Data for health: impact on improving the quality of cause-of-death information in Brazil
Data for health: impact on improving the quality of cause-of-death information in Brazil
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DOI：
10.1590/1980-549720190005.supl.3
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发表时间：
2019-01-01
影响因子：
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通讯作者：
Abreu, Daisy Maria Xavier de
中科院分区：
文献类型：
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作者：
Marinho, Maria Fatima;França, Elisabeth Barboza;Abreu, Daisy Maria Xavier de
导言：了解死亡人数及其原因是公共卫生管理人员的相关信息。目的：描述和评价2017年对分类不当死亡的根本原因调查对死亡证明的影响。方法：根据标准化方案，对60个城市的GC死亡进行调查，主要是在医院记录和尸检服务中。州一级死亡率信息系统的管理人员还制定了程序，以改进死亡原因的分类，从而得到其他城市的遵守（n = 4 022）。结果：2017年，在全国调查的108，826例GC中，48%被重新归类为特定原因。在60个重点城市中，35，366例调查的GC死亡中有58%被重新分类。干预后，死亡的比例被归类为GC下降了11%，在该国和17%在municipals.Discussion：在医院记录的研究，使近一半的死亡GC调查被重新分类。这是第一项在超过10万例死亡的医院记录中调查GC的研究。干预的60个城市的目标有更好的结果比其他city.CONCLUSION：干预被证明是一个适当的举措，以提高死亡原因的信息质量，应予以鼓励。
INTRODUCTION: Knowing the number of deaths and their causes is relevant information for public health managers. However, the cause of death is often classified with codes that are not useful for mortality analysis, called garbage codes (GC).OBJECTIVE: To describe and evaluate the impact of investigation of the underlying cause of poorly classified deaths on death certificates in 2017.METHODS: Based on a standardized protocol, GC deaths from 60 municipalities were investigated, mainly in hospital records and autopsy services. Managers at the state level of the Mortality Information System also developed procedures to improve the classification of causes of death, with the consequent adherence of other municipalities (n = 4022). This made it possible to compare the results of GC research between these two groups of municipalities.RESULTS: In the country, among the 108,826 GC investigated in 2017, 48% were reclassified to specific causes. In the 60 focus municipalities, 58% of the 35,366 investigated deaths from GC were reclassified. After the intervention, the proportion of deaths classified as GC decreased by 11% in the country and 17% in the municipalities.DISCUSSION: The research in hospital records enabled almost half of the deaths from GC investigated to be reclassified. This is the first study to investigate GC in hospital records of more than 100,000 deaths. The 60 cities targeted by the intervention had better results than the other cities.CONCLUSION: The intervention proved to be an appropriate initiative to improve the quality of information on cause of death and should be encouraged.