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[PMID]:29425001
[Au] Autor:Butler M
[Ti] Título:Solving the Health IT Interoperability Quagmire.
[So] Source:J AHIMA;87(8):14-8, 2016 08.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sistemas de Informação em Saúde/organização & administração
Registro Médico Coordenado/métodos
Integração de Sistemas
[Mh] Termos MeSH secundário: Segurança Computacional
Seres Humanos
Armazenamento e Recuperação da Informação/métodos
Privacidade
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180210
[St] Status:MEDLINE


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[PMID]:29400424
[Au] Autor:Herrin BS
[Ti] Título:RELEASE OF INFORMATION: When to Call a Healthcare Compliance Attorney.
[So] Source:J AHIMA;87(9):24-7, 2016 09.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: American Recovery and Reinvestment Act
Sistemas de Informação em Saúde/legislação & jurisprudência
Health Insurance Portability and Accountability Act
Advogados
Privacidade/legislação & jurisprudência
[Mh] Termos MeSH secundário: Confidencialidade
Seres Humanos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180206
[St] Status:MEDLINE


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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:29236875
[Au] Autor:Galdino A; Santana VS; Ferrite S
[Ad] Endereço:Universidade Estadual do Sudoeste da Bahia. Departamento de Saúde II. Jequié, BA, Brasil.
[Ti] Título:Quality of the record of data on fatal workplace injuries in Brazil.
[So] Source:Rev Saude Publica;51:120, 2017 Dec 11.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To evaluate the quality of the data on fatal workplace injuries in Brazil, in the Mortality Information System (SIM) and the Information System of Notifiable Diseases (SINAN-AT), analyzing the spatial and temporal distribution between 2007 and 2012. METHODS: We identified fields related to fatal workplace injuries, which were examined for completeness and the use of the "ignored" option. From the SIM, we extracted the records of deaths from external causes, which require the completing of the field about their relation with work. From the SINAN, we analyzed the field, which allows us to identify fatal cases among s severe workplace injuries. RESULTS: In the SIM, from 469,121 records, the field was left unfilled or filled as ignored in 84.2% of them; the Brazilian region with the highest proportion was the Northeast (79.1%), from which the state of Alagoas (94.4%) had the highest amount. There was a 5.5% decreasing trend between 2007 (86.6%) and 2012 (81.8%). Among the 251,681 records found in the SINAN-AT, 28.3% had unfilled or ignored responses for , varying from 39.7% in 2007 to 23.2% in 2012, a 41.6% decrease. CONCLUSIONS: The quality of the records on the fields of interest needed to identify fatal workplace injuries is poor in the SIM, but gradually improving. Recording quality was better for SINAN-AT, which has also been strongly getting better lately.
[Mh] Termos MeSH primário: Acidentes de Trabalho/mortalidade
Sistemas de Informação em Saúde/normas
Registros Médicos/normas
Vigilância da População/métodos
Local de Trabalho/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Brasil/epidemiologia
Notificação de Doenças
Sistemas de Informação em Saúde/estatística & dados numéricos
Seres Humanos
Registros Médicos/estatística & dados numéricos
Meia-Idade
Controle de Qualidade
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29223439
[Au] Autor:Godown J; Thurm C; Dodd DA; Soslow JH; Feingold B; Smith AH; Mettler BA; Thompson B; Hall M
[Ad] Endereço:Pediatric Cardiology, Monroe Carell Jr. Children's Hospital, Nashville, TN. Electronic address: justin.godown@vanderbilt.edu.
[Ti] Título:A unique linkage of administrative and clinical registry databases to expand analytic possibilities in pediatric heart transplantation research.
[So] Source:Am Heart J;194:9-15, 2017 Dec.
[Is] ISSN:1097-6744
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Large clinical, research, and administrative databases are increasingly utilized to facilitate pediatric heart transplant (HTx) research. Linking databases has proven to be a robust strategy across multiple disciplines to expand the possible analyses that can be performed while leveraging the strengths of each dataset. We describe a unique linkage of the Scientific Registry of Transplant Recipients (SRTR) database and the Pediatric Health Information System (PHIS) administrative database to provide a platform to assess resource utilization in pediatric HTx. METHODS: All pediatric patients (1999-2016) who underwent HTx at a hospital enrolled in the PHIS database were identified. A linkage was performed between the SRTR and PHIS databases in a stepwise approach using indirect identifiers. To determine the feasibility of using these linked data to assess resource utilization, total and post-HTx hospital costs were assessed. RESULTS: A total of 3188 unique transplants were identified as being present in both databases and amenable to linkage. Linkage of SRTR and PHIS data was successful in 3057 (95.9%) patients, of whom 2896 (90.8%) had complete cost data. Median total and post-HTx hospital costs were $518,906 (IQR $324,199-$889,738), and $334,490 (IQR $235,506-$498,803) respectively with significant differences based on patient demographics and clinical characteristics at HTx. CONCLUSIONS: Linkage of the SRTR and PHIS databases is feasible and provides an invaluable tool to assess resource utilization. Our analysis provides contemporary cost data for pediatric HTx from the largest US sample reported to date. It also provides a platform for expanded analyses in the pediatric HTx population.
[Mh] Termos MeSH primário: Pesquisa Biomédica
Cardiologia
Sistemas de Informação em Saúde/utilização
Cardiopatias Congênitas/cirurgia
Transplante de Coração/estatística & dados numéricos
Sistema de Registros
[Mh] Termos MeSH secundário: Adolescente
Criança
Pré-Escolar
Bases de Dados Factuais
Feminino
Hospitais Pediátricos
Seres Humanos
Lactente
Masculino
Estudos Retrospectivos
Estados Unidos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171211
[St] Status:MEDLINE


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[PMID]:28990915
[Au] Autor:Ashton RA; Bennett A; Yukich J; Bhattarai A; Keating J; Eisele TP
[Ad] Endereço:Center for Applied Malaria Research and Evaluation, School of Public Health and Tropical Medicine, Tulane University, New Orleans, Louisiana.
[Ti] Título:Methodological Considerations for Use of Routine Health Information System Data to Evaluate Malaria Program Impact in an Era of Declining Malaria Transmission.
[So] Source:Am J Trop Med Hyg;97(3_Suppl):46-57, 2017 Sep.
[Is] ISSN:1476-1645
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Coverage of malaria control interventions is increasing dramatically across endemic countries. Evaluating the impact of malaria control programs and specific interventions on health indicators is essential to enable countries to select the most effective and appropriate combination of tools to accelerate progress or proceed toward malaria elimination. When key malaria interventions have been proven effective under controlled settings, further evaluations of the impact of the intervention using randomized approaches may not be appropriate or ethical. Alternatives to randomized controlled trials are therefore required for rigorous evaluation under conditions of routine program delivery. Routine health management information system (HMIS) data are a potentially rich source of data for impact evaluation, but have been underused in impact evaluation due to concerns over internal validity, completeness, and potential bias in estimates of program or intervention impact. A range of methodologies were identified that have been used for impact evaluations with malaria outcome indicators generated from HMIS data. Methods used to maximize internal validity of HMIS data are presented, together with recommendations on reducing bias in impact estimates. Interrupted time series and dose-response analyses are proposed as the strongest quasi-experimental impact evaluation designs for analysis of malaria outcome indicators from routine HMIS data. Interrupted time series analysis compares the outcome trend and level before and after the introduction of an intervention, set of interventions or program. The dose-response national platform approach explores associations between intervention coverage or program intensity and the outcome at a subnational (district or health facility catchment) level.
[Mh] Termos MeSH primário: Controle de Doenças Transmissíveis/organização & administração
Sistemas de Informação em Saúde
Malária/prevenção & controle
Malária/transmissão
Programas Nacionais de Saúde/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171018
[Lr] Data última revisão:
171018
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171010
[St] Status:MEDLINE
[do] DOI:10.4269/ajtmh.16-0734


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[PMID]:28938967
[Au] Autor:O'Byrne ML; Shinohara RT; Grant EK; Kanter JP; Gillespie MJ; Dori Y; Rome JJ; Glatz AC
[Ad] Endereço:Division of Cardiology, Children's National Health System and Department of Pediatrics George Washington University School of Medicine and Health Sciences, Washington, DC. Electronic address: obyrnem@email.chop.edu.
[Ti] Título:Increasing propensity to pursue operative closure of atrial septal defects following changes in the instructions for use of the Amplatzer Septal Occluder device: An observational study using data from the Pediatric Health Information Systems database.
[So] Source:Am Heart J;192:85-97, 2017 Oct.
[Is] ISSN:1097-6744
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Concern for device erosion following transcatheter treatment of atrial septal defects (TC-ASD) led in 2012 to a United States Food and Drug Administration panel review and changes in the instructions for use of the Amplatzer Septal Occluder (ASO) device. No studies have assessed the effect of these changes on real-world practice. To this end a multicenter observational study was performed to evaluate trends in the treatment of ASD. METHODS: A retrospective observational study was performed using data from the Pediatric Health Information Systems database of all patients with isolated ASD undergoing either TC-ASD or operative ASD closure (O-ASD) from January 1, 2007, to September 30, 2015, hypothesizing that the propensity to pursue O-ASD increased beginning in 2013. RESULTS: A total of 6,392 cases from 39 centers underwent ASD closure (82% TC-ASD). Adjusting for patient factors, between 2007 and 2012, the probability of pursuing O-ASD decreased (odds ratio [OR] 0.95 per year, P = .03). This trend reversed beginning in 2013, with the probability of O-ASD increasing annually (OR 1.21, P = .006). There was significant between-hospital variation in the choice between TC-ASD and O-ASD (median OR 2.79, P < .0001). The age of patients undergoing ASD closure (regardless of method) decreased over the study period (P = .04). Cost of O-ASD increased over the study period, whereas cost of TC-ASD and length of stay for both O-ASD and TC-ASD was unchanged. CONCLUSIONS: Although TC-ASD remains the predominant method of ASD closure, the propensity to pursue O-ASD has increased significantly following changes in instructions for use for ASO. Further research is necessary to determine what effect this has on outcomes and resource utilization.
[Mh] Termos MeSH primário: Fidelidade a Diretrizes
Sistemas de Informação em Saúde
Comunicação Interatrial/cirurgia
Pontuação de Propensão
Dispositivo para Oclusão Septal
[Mh] Termos MeSH secundário: Adolescente
Cateterismo Cardíaco/métodos
Criança
Pré-Escolar
Ecocardiografia Transesofagiana
Feminino
Comunicação Interatrial/diagnóstico
Seres Humanos
Masculino
Estudos Retrospectivos
Resultado do Tratamento
Estados Unidos
United States Food and Drug Administration
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; OBSERVATIONAL STUDY
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170929
[Lr] Data última revisão:
170929
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170924
[St] Status:MEDLINE


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[PMID]:28904707
[Au] Autor:Flora OC; Margaret K; Dan K
[Ad] Endereço:Tropical Institute of Community Health and Development, Great Lakes University of Kisumu, Kenya.
[Ti] Título:Perspectives on utilization of community based health information systems in Western Kenya.
[So] Source:Pan Afr Med J;27:180, 2017.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Health information systems (HIS) are considered fundamental for the efficient delivery of high quality health care. However, a large number of legal and practical constraints influence the design and introduction of such systems. The inability to quantify and analyse situations with credible data and to use data in planning and managing service delivery plagues Africa. Establishing effective information systems and using this data for planning efficient health service delivery is essential to district health systems' performance improvement. Community Health Units in Kenya are central points for community data collection, analysis, dissemination and use. In Kenya, data tend to be collected for reporting purposes and not for decision-making at the point of collection. This paper describes the perspectives of local users on information use in various socio-economic contexts in Kenya. METHODS: Information for this study was gathered through semi-structured interviews. The interviewees were purposefully selected from various community health units and public health facilities in the study area. The data were organized and analysed manually, grouping them into themes and categories. RESULTS: Information needs of the community included service utilization and health status information. Dialogue was the main way of information utilization in the community. However, health systems and personal challenges impeded proper collection and use of information. CONCLUSION: The challenges experienced in health information utilization may be overcome by linkages and coordination between the community and the health facilities. The personal challenges can be remedied using a motivational package that includes training of the Community Health Workers.
[Mh] Termos MeSH primário: Coleta de Dados/métodos
Assistência à Saúde/organização & administração
Sistemas de Informação em Saúde/utilização
Conhecimentos, Atitudes e Prática em Saúde
[Mh] Termos MeSH secundário: Serviços de Saúde Comunitária/organização & administração
Agentes Comunitários de Saúde
Tomada de Decisões
Seres Humanos
Entrevistas como Assunto
Quênia
Fatores Socioeconômicos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170925
[Lr] Data última revisão:
170925
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170915
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2017.27.180.6419


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Cavalcanti, Maria de Lourdes Tavares
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28792988
[Au] Autor:Noronha GA; Kale PL; Torres TZG; Costa AJL; Cavalcanti MLT; Szklo M
[Ad] Endereço:Instituto de Estudos em Saúde Coletiva, Universidade Federal do Rio de Janeiro, Rio de Janeiro, Brasil.
[Ti] Título:[Validity of information on birth weight for studies based on fetal programming].
[Ti] Título:Validade da informação sobre o peso ao nascer para estudos fundamentados na programação fetal..
[So] Source:Cad Saude Publica;33(7):e00051816, 2017 Aug 07.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:Birth weight is essential information in fetal programming studies and is generally obtained retrospectively. In Brazil's Information System on Live Births (SINASC), birth weight is valid information but is not always accessible. The study aimed to establish an algorithm for the selection of the most reliable data source for birth weight in the absence of information in the SINASC database. In a cross-sectional study of 6-14-year-old schoolchildren in Niterói, Rio de Janeiro State, Brazil, in 2010, birth weight was collected through a self-completed questionnaire, interview, medical records from the Family Physician Program, and the SINASC database. We calculated intra-class correlation coefficients (ICCs) and differences in mean birth weight. ICCs varied from 0.90 to 0.99. All the other sources showed higher mean birth weight than SINASC, allowing differences up to 100g. Birth weight is recorded at birth (SINASC) or close to it (Family Physician Program), and in the absence of these sources, birth weight as retrieved at 6-14 years of age is a reliable option. To complement information on birth weight in the absence of SINASC, we recommend the following order: Family Physician Program, interview, and questionnaire.
[Mh] Termos MeSH primário: Algoritmos
Peso ao Nascer
Acurácia dos Dados
Desenvolvimento Fetal
Sistemas de Informação em Saúde/normas
[Mh] Termos MeSH secundário: Adolescente
Pesquisa Biomédica/normas
Brasil
Criança
Estudos Transversais
Feminino
Seres Humanos
Masculino
Padrões de Referência
Valores de Referência
Sistema de Registros/normas
Reprodutibilidade dos Testes
Projetos de Pesquisa
Estudos Retrospectivos
Inquéritos e Questionários/normas
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE


  9 / 849 MEDLINE  
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Valente, Joaquim Gonçalves
Portela, Margareth Crisóstomo
Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:28792987
[Au] Autor:Caldas ADR; Santos RV; Borges GM; Valente JG; Portela MC; Marinho GL
[Ad] Endereço:Núcleo Estadual do Ministério da Saúde no Rio de Janeiro, Ministério da Saúde, Rio de Janeiro, Brasil.
[Ti] Título:[Infant mortality according to color or race based on the 2010 Population Census and national health information systems in Brazil].
[Ti] Título:Mortalidade infantil segundo cor ou raça com base no Censo Demográfico de 2010 e nos sistemas nacionais de informação em saúde no Brasil..
[So] Source:Cad Saude Publica;33(7):e00046516, 2017 Aug 07.
[Is] ISSN:1678-4464
[Cp] País de publicação:Brazil
[La] Idioma:por
[Ab] Resumo:The aim of this study was to investigate infant mortality data according to color or race in Brazil with a focus on indigenous individuals, based on data from the 2010 Population Census and the Brazilian Mortality Information System (SIM) and Brazilian Information System on Live Births (SINASC). In both sources, the infant mortality rate (IMR) for indigenous individuals was the highest of all the various population segments. Although the census data indicate inequalities by color or race, the infant mortality rates for indigenous and black individuals were lower than those based on data from SIM/SINASC. Methodological specificities in the data collection in the two sources should be considered. The reduction in IMR in Brazil in recent decades is largely attributed to the priority of infant health on the policy agenda. The study's findings indicate that the impact of public policies failed to reach indigenous peoples on the same scale as in the rest of the population. New sources of nationwide data on deaths in households, as in the case of the 2010 Census, can contribute to a better understanding of inequalities by color or race in Brazil.
[Mh] Termos MeSH primário: Censos
Grupos de Populações Continentais/estatística & dados numéricos
Sistemas de Informação em Saúde/estatística & dados numéricos
Mortalidade Infantil/etnologia
[Mh] Termos MeSH secundário: Distribuição por Idade
Fatores Etários
Brasil
Feminino
Seres Humanos
Lactente
Mortalidade Infantil/tendências
Nascimento Vivo
Masculino
Fatores Socioeconômicos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171011
[Lr] Data última revisão:
171011
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE


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[PMID]:28759005
[Au] Autor:Cortes A; Dendrou CA; Motyer A; Jostins L; Vukcevic D; Dilthey A; Donnelly P; Leslie S; Fugger L; McVean G
[Ad] Endereço:Wellcome Trust Centre for Human Genetics, University of Oxford, Oxford, UK.
[Ti] Título:Bayesian analysis of genetic association across tree-structured routine healthcare data in the UK Biobank.
[So] Source:Nat Genet;49(9):1311-1318, 2017 Sep.
[Is] ISSN:1546-1718
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Genetic discovery from the multitude of phenotypes extractable from routine healthcare data can transform understanding of the human phenome and accelerate progress toward precision medicine. However, a critical question when analyzing high-dimensional and heterogeneous data is how best to interrogate increasingly specific subphenotypes while retaining statistical power to detect genetic associations. Here we develop and employ a new Bayesian analysis framework that exploits the hierarchical structure of diagnosis classifications to analyze genetic variants against UK Biobank disease phenotypes derived from self-reporting and hospital episode statistics. Our method displays a more than 20% increase in power to detect genetic effects over other approaches and identifies new associations between classical human leukocyte antigen (HLA) alleles and common immune-mediated diseases (IMDs). By applying the approach to genetic risk scores (GRSs), we show the extent of genetic sharing among IMDs and expose differences in disease perception or diagnosis with potential clinical implications.
[Mh] Termos MeSH primário: Teorema de Bayes
Assistência à Saúde/estatística & dados numéricos
Estudos de Associação Genética/estatística & dados numéricos
Sistemas de Informação em Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Idoso
Alelos
Análise por Conglomerados
Assistência à Saúde/classificação
Feminino
Predisposição Genética para Doença/genética
Estudo de Associação Genômica Ampla/estatística & dados numéricos
Antígenos HLA/genética
Seres Humanos
Classificação Internacional de Doenças/classificação
Classificação Internacional de Doenças/estatística & dados numéricos
Modelos Logísticos
Masculino
Meia-Idade
Polimorfismo de Nucleotídeo Único
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (HLA Antigens)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171025
[Lr] Data última revisão:
171025
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170801
[St] Status:MEDLINE
[do] DOI:10.1038/ng.3926



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