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En Honduras, los sistemas de salud se han visto en la obligación y necesidad de establecer mecanismos de vigilancia con el objetivo de conocer procesos de salud y enfermedad en la población. El objetivo del artículo es describir el proceso de análisis y las estrategias utilizadas durante el desarrollo de un sistema de información robusto para vigilar la seguridad de las vacunas, el cual también se puede replicar con otras vigilancias. Con este fin, se utilizan metodologías ágiles de desarrollo y herramientas de código abierto, se configura y desarrolla un sistema base de vigilancia, y se incorporan estándares reconocidos para la codificación, la validación y la verificación de la información. Se logró la implementación de un sistema de información confiable, estable y escalable que se utilizará para la vigilancia de eventos supuestamente atribuibles a la vacunación e inmunización (ESAVI) y eventos adversos de especial interés (EVADIE), el cual permitirá la captura oportuna y ágil de los datos de vigilancia y facilitará las tareas de análisis de datos.

Objetivo: Estimar el índice de positividad del anticuerpo contra antígeno de superficie de hepatitis B con las características demográficas y categorías de exposición entre casos confirmados en municipios de 17ª Regional de Salud (Paraná, Brasil). Método: Estudio transversal, descriptivo, cuantitativo, a partir de casos notificados/confirmados en personas con edad ≥ a 1 año, residentes en la Regional de Salud, entre 2017 y 2022. Como variable de desenlace fueron utilizados el marcador serológico y las variables de exposición categorizadas, utilizada frecuencia absoluta y relativa, test Chi-cuadrado y Exacto de Fisher. Resultados: Las variables sexo, franja etaria, embarazo, escolarización y exposición a drogas inyectables mostraron diferencia estadística entre los grupos con índice de positividad del marcador reactivo. Conclusión: Debe capacitarse a los profesionales de salud sobre pruebas rápidas y a completar integralmente la ficha, para que reconozcan el perfil epidemiológico de cada región y tracen estrategias específicas de prevención, control y tratamiento.

Introduction. Artificial intelligence and machine learning methodologies, such as prediction, pattern recognition, or general inference based on the data used in clinical aspects, must fit within the intended purposes of developing it. This article aims to provide high-level, non-technical details of the initiative and a comprehensive approach that has been taken to integrate AI-powered techniques in evidence-based nursing practices appropriately. Methodology. A multi-pronged phased approach was considered for developing artificial intelligence tools. This approach includes conducting a scoping review, analyzing data to identify patterns of impactful intervention, employing data triangulation, enhancing data collection based on impactful intervention strategies, and developing a prototype (pilot) for an artificial intelligence tool. The process encompasses piloting, testing and training, validation, and implementation. Results. In this early stage of piloting the tool, the primary focus was identifying patterns from various information gathered from healthcare organizations. This analysis revealed opportunities for knowledge generation, facilitated the expedited implementation of guidelines, and enhanced resource efficiency. Discussion. Focusing on a data-driven model to inform best practices for implementing guidelines and identifying the most impactful interventions is facilitated by extensive in-house data storage. The triangulation of approaches to guideline development, implementation, and evaluation contributes to developing this scientifically validated artificial intelligence and machine learning initiative. Conclusion. Any artificial intelligence technique requires extensive data. To provide healthcare organizations with the best available evidence, purposeful efforts must be made to structure data collection and ensure data quality before expanding the development of artificial intelligence tools. [ABSTRACT FROM AUTHOR]

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En el presente artículo se sistematizaron las principales acciones de transformación digital (TD) de los sistemas de salud que abordan a las funciones esenciales de la salud pública (FESP). Se realizó una revisión narrativa, donde se interrelacionó el marco conceptual de las funciones esenciales de la salud pública renovadas con los ocho principios rectores de la transformación digital del sector de la salud. En las publicaciones seleccionadas, se halló que las principales acciones de la TD comprenden la historia clínica electrónica, la telemedicina, la legislación en salud digital, la alfabetización digital, los portales del paciente, las tecnologías de código abierto y la gobernanza de datos. Estas acciones posibilitan aumentar la calidad y la eficiencia de los sistemas de salud, favorecer la accesibilidad y mejorar los resultados de salud.

Objetivo: identificar la frecuencia de notificación de casos de violencia interpersonal contra adolescentes en Espírito Santo, Brasil, y los factores asociados. Método: estudio transversal realizado entre 2011 y 2018 con datos del Sistema de Información sobre Problemas de Salud de Notificación Obligatoria. Las asociaciones se sometieron a las pruebas chi-cuadrado de Pearson y regresión de Poisson. Resultados: la frecuencia de violencia interpersonal fue del 72,2%. El desenlace se asoció con adolescentes varones, de 10 a 12 años de edad, de raza negra/morena y sin discapacidades/trastornos; al igual que con incidentes en la vía pública y agresores del sexo masculino bajo sospecha de consumo de alcohol (p

Objetivo: analizar los indicadores de gestión de salud relacionados con el servicio móvil de atención de urgencias en el Estado de Ceará. Método: se trata de un estudio documental, retrospectivo, de abordaje cuantitativo, realizado en el sitio IntegraSUS del gobierno del estado de Ceará - Brasil, en el período de julio de 2021, para el análisis de los indicadores "total de llamadas" y "tiempo medio de respuesta". Resultados: se verificó un perfil de prevalencia de llamadas para hombres (52,66%), con edad avanzada >70 años (22,06%), ocurrencias de asistencia del Covid-19 para la Central Juazeiro (7,62%) y accidentes de motocicleta para la Central Eusébio (7,94%). El servicio obtuvo llamadas para 177 municipios de Ceará (96,19%) con un tiempo medio de respuesta mayor para Covid-19. Conclusión: el análisis señala la necesidad de ajustar las estrategias para mejorar el rendimiento del tiempo de respuesta del servicio, con una revisión del sistema organizativo, incluida la publicación de datos por la plataforma digital.

Objetivo. Comparar la diferencia en la cobertura y proporción de pacientes controlados con hipertensión arterial sistémica entre diciembre de 2020 y diciembre de 2021 en los establecimientos de salud con implementación de la Iniciativa HEARTS, y explorar los facilitadores y las barreras relacionados con los sistemas de información en México. Métodos. Estudio observacional ecológico descriptivo. Se compararon los resultados de los establecimientos de salud que han iniciado la implementación de la Iniciativa HEARTS (n=29) en Chiapas y Sonora, respecto a las variables de cobertura de atención y control de la hipertensión, en 4 periodos (semestres) del 2020 al 2021. Resultados. Existe mayor número de mujeres en tratamiento y en control respecto de los hombres en los diferentes grupos de edad. Se identificaron algunas barreras (p. ej.multiplicidad de sistemas, falta de interoperabilidad, conectividad limitada a internet en los establecimientos de salud) y facilitadores (p. ej.acceso libre a la información, disponibilidad de datos desde años previos, generación de estimaciones y proyecciones) en los sistemas de información. Conclusiones. El 55% de los establecimientos bajo implementación (16 establecimientos) mejoraron la proporción de pacientes controlados en el periodo analizado. Es importante monitorear indicadores a nivel de procesos, lo cual debe ir acompañado de una redistribución de las funciones de los equipos de salud y asegurar el abastecimiento de medicamentos para potenciar la efectividad de la estrategia. Se sugiere fortalecer la implementación con los impulsores clave para el control de la hipertensión.

En este artículo se describen ocho principios rectores para la transformación digital del sector de la salud, se establece su relación con la pandemia de COVID-19 y se destaca su importancia para los países que se encuentran en un proceso de transformación digital. En la Región de las Américas, 30% de las personas no tiene acceso a Internet, entre otras brechas, por lo que es imperativo adoptar políticas y medidas para que la implementación de las intervenciones de salud pública sea equitativa y sostenible, de manera de garantizar que nadie se quede atrás. Los ocho principios se centran en las cuatro esferas de un sistema de salud sostenible (humana, social, económica y ambiental) y ponen de relieve las posibilidades más amplias de utilizar las tecnologías digitales para incidir en la sostenibilidad de los sistemas de salud.

Objective: to analyze training processes of health managers and professionals in the implementation of the e-SUS Primary Care strategy in cities of Minas Gerais. Method: online questionnaires of the websurvey type were sent to the managers responsible for the implementation of the strategy in the selected cities; the data were processed with the aid of the statistical software Statistical Package for the Social Sciences 21.0. Results: managers from 114 cities of Minas Gerais participated in the study. About 71.9% of them claimed to have participated in training processes for the performance of the function, and 52.6% of the cities did not executed training for the adoption/use of the systems to health professionals. Conclusion: the process of implementation of the e-SUS Primary Care strategy in Minas Gerais, despite developments, presents weaknesses in the adoption of training processes for professionals who use the systems. [ABSTRACT FROM AUTHOR]

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Objective: to analyze epidemiological data regarding suicide deaths in Brazil from 2010 to 2019. Method: retrospective, quantitative research, whose data were obtained in December 2020 in the database of the Departamento de Informática of the Brazilian Sistema Único de Saúde. Results: between 2010 and 2019, Brazil recorded, on an annual basis, 112,166 deaths by suicide, with a mortality rate due to this cause of 6.4/100,000 inhabitants in 2019. Males were the majority, in the proportion of 8:2, on average, with a trend of growth in mortality rates for men and women. Conclusion: suicide mortality rates in Brazil increased significantly and with an increasing trend in all Brazilian regions and in 19 Federation Units. [ABSTRACT FROM AUTHOR]

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Texto & Contexto Enfermagem is the property of Universidade Federal de Santa Catarina, Programa de Pos-Graduacao de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

El 11 de marzo de 2020, la Organización Mundial de la Salud (OMS) declaró el COVID-19 como pandemia, afectando drásticamente la atención de la salud. A nivel global se adoptaron medidas como el distanciamiento social y la cuarentena. Ello representó un enorme desafío para los Sistemas de Información en Salud (SIS), que rápidamente debieron adaptarse, frente a una razón ineludible para abrazar por completo la transformación digital. Surge la necesidad de explorar las tecnologías digitales utilizadas durante la pandemia y considerarlas para su uso continuado en el tiempo o cíclicamente en caso de brotes recurrentes. Las herramientas informáticas se han utilizado para la prestación de servicios de telemedicina, monitorización remota de pacientes, comunicación digital entre líderes políticos y autoridades científicas, monitorización de datos para analizar la propagación y evolución del COVID-19, etc. Los países y organizaciones han impulsado el uso de soluciones tecnológicas con distintas limitaciones. El Hospital Italiano de Buenos Aires posee una trayectoria de más de 20 años en implementaciones e innovaciones tecnológicas; sin embargo, la pandemia impulsó una serie de adaptaciones en su SIS. El objetivo de este trabajo fue describir dicho proceso de adaptación digital desde marzo a diciembre de 2020, e identificar los principales resultados utilizando un modelo sociotécnico. Se empleó el modelo de Sittig que incluye 8 dimensiones: Infraestructura, Contenido clínico, Interfaz Humano-computadora, Personas, Comunicación y procesos, Regulaciones, Características organizacionales y Políticas internas y Medición y monitorización.

Objective: To identify the prevalence of notified self-inflicted injuries among adolescents in Espírito Santo and to analyze the associated factors. Materials and methods: A cross-sectional and analytical study, with the notified data of self-inflicted violence among adolescents in Espírito Santo registered in the Notifiable Diseases Information System from 2011 to 2018. The bivariate analyses considered the Chi-square (χ²) and Fisher's Exact tests. The multivariate analysis considered the log-binomial model, and the adjustment results were presented as prevalence ratio. Results: The prevalence of notified self-inflicted injuries was 33 % and, of this total, 79.8 % occurred among female adolescents. Prevalence was higher among adolescents aged from 13 to 17 years old (female gender) and from 18 to 19 years old (male gender), as well as among those with some disability or disorder. Higher prevalence values were found in the residence and in collective housing, as well as among those who did not consume alcohol at the event in question. In the female gender, there was also an association with the urban area (p < 0.05). Conclusions: hHigh prevalence of notified self-inflicted injuries is perceived among adolescents in Espírito Santo, as well as of the factors associated to this phenomenon. The importance of adopting promotion, prevention and recovery measures for the problem is verified. [ABSTRACT FROM AUTHOR]

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Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

El diseño de sistemas de información ajustado a las necesidades del sector salud requiere una atención especial, debido a la complejidad de la información, la compatibilidad y el soporte de los sistemas requerido para este sector. A pesar de existir iniciativas nacionales para la estandarización de la información que comparten las entidades del sector salud, existen factores como el déficit financiero del sector y los malos manejos de los recursos que impactan de forma negativa en esta estandarización y también en la prestación de los servicios de salud, especialmente, los relacionados con los derechos sexuales y reproductivos. En este artículo se propone un framework conceptual para el diseño colaborativo de sistemas de información en salud, inicialmente priorizado para el dominio de salud sexual y reproductiva, lo cual permitirá contar con un marco de trabajo que contribuya en la captura, el almacenamiento, el tratamiento y la consulta de la información de salud de los colombianos de una forma estandarizada, actualizada y segura. El framework se compone de una ontología de dominio, una guía de implementación y otros componentes que permiten la escalabilidad de este, lo cual evidencia la importancia de este tipo de soluciones para este sector, y promueve el diseño de sistemas de información en salud bajo el concepto de trabajo colaborativo entre las organizaciones interesadas. Los resultados obtenidos muestran que la estandarización de la información y el trabajo colaborativo permite diseñar sistemas más eficientes y al mismo tiempo compatibles e interoperables, lo cual reduce los trámites administrativos y la pérdida de datos importantes en la atención médica.

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Copyright of Revista de Pesquisa: Cuidado é Fundamental is the property of Revista de Pesquisa: Cuidado e Fundamental Online and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

El objetivo del estudio fue corregir y estimar las tasas quinquenales de homicidios en Bahía, Brasil, en el período 1996-2015. Se realizó un estudio ecológico de los homicidios a partir de datos oficiales del Sistema de Información sobre Mortalidad del Ministerio de Salud. Estas defunciones por agresiones corresponden a los códigos X85-Y09 de la Clasificación internacional de enfermedades 10ª revisión (CIE 10). Se realizó una redistribución proporcional de las defunciones clasificadas como eventos de intención indeterminada (Y10-Y34) y se aplicaron factores de corrección de la mortalidad. En el período analizado, se registraron 67.599 homicidios en el Sistema de Información sobre Mortalidad y, luego de la segunda corrección, se estimaron 88.429 homicidios. Al comparar los números oficiales a los ajustados, se observó una subnotificación del 30,8%. Las mayores tasas de homicidio corregidas se observaron en la región este, en Pojuca (129,8 homicidios por 100.000 habitantes), Lauro de Freitas (117,7) y Simões Filho (114,3); en la región sur, en Santa Luzia (121,4), Valença (87,6) e Itabuna (86,5); y en el extremo sur, en Santa Cruz Cabrália (128,2), Itabela (113,3) y Porto Seguro (106,8). Luego de las correcciones, se observó un incremento de los homicidios en todos los quinquenios en los municipios analizados, lo que resultó en una tasa de mortalidad aún más elevada.

Abstract Objective: To analyze the intraurban spatial distribution of perinatal mortality, its avoidability, and relationship with socioeconomic indicators in Recife, Pernambuco, Brazil, in the period from 2013 to 2015. Method: An ecological study with data from the Information Systems on Mortality and Live Births and the Brazilian Institute of Geography and Statistics, using neighborhoods as the analysis unit. We elaborated an indicator of social deprivation formed by variables from the demographic census. We estimated the Kernel density of the deaths and calculated the Moran index of the perinatal mortality coefficients in the spatial analysis. We elaborated thematic maps of avoidable perinatal mortality and social deprivation. Results: The global statistical analysis of the mortality distribution indicated evidence of spatial aggregation. Moran's index was 0.18. We found clusters of perinatal mortality in neighborhoods of the Central, North, Northwest, and South Regions. In the North, Northwest, Southwest, and South Regions we identified neighborhoods with greater social deprivation and avoidable mortality coefficients. The primary cause of death was of fetuses and newborns affected by hypertensive maternal disorders. Conclusion: We demonstrated intraurban differentials in perinatal mortality among neighborhoods. The stratification of the urban space according to the social deprivation indicator presented a relation with the perinatal mortality and its avoidability.

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Information Systems play a relevant role for primary health care in policy orientation and attention of users needs; therefore, criteria and mechanisms are required to establish whether in a specific strategy implementation, they provide adequate support. In this paper, a characterization of Information Systems that support primary health care, based on the model of community-oriented primary care is presented. A set of essential characteristics that the Information Systems should offer to support the primary health care was identified, with which it is possible to establish the aspects that require intervention to improve their support for strategy implementation . On the basis of the obtained characterization, the development of a methodology which will allow a more formalized evaluation is under construction. [ABSTRACT FROM AUTHOR]

Copyright of Revista Brasileira em Promoção da Saúde is the property of Revista Brasileira em Promocao da Saude and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Este estudo objetivou propor a criação de um sistema de monitoramento dos casos de mesotelioma maligno no Município de Curitiba, Paraná, Brasil, desenvolvido com base no modelo italiano. Trata-se de uma pesquisa-ação tipo diagnóstica, que utiliza as fases exploratória e de planejamento, desenvolvida no período de julho de 2015 a maio de 2017. Utilizaram-se como ferramentas de busca os seguintes instrumentos: Integrador de Registro Hospitalar de Câncer, com as morfologias específicas para mesotelioma; Registro Hospitalar de Câncer, com os códigos C38.4 e C45, da Classificação Internacional de Doenças, 10ª revisão, e/ou registros codificados pelo CID-O, com as topografias C38 e C48; Registro de Câncer de base populacional da Secretaria Municipal de Saúde de Curitiba, com os mesmos códigos. Também foram conhecidos, analisados e adaptados para a realidade brasileira o modelo, os questionários e o software de registro de mesotelioma da Lombardia, na Itália. Observou-se que, no Integrador de Registro Hospitalar de Câncer, foram registrados 15 casos de mesotelioma. No Registro Hospitalar de Câncer do hospital universitário, foram dois. No hospital oncológico, 16. Os dados do Registro de Câncer de Base Populacional, por sua vez, indicaram 317 registros relativos ao período. Apesar de algumas informações estarem mais completas, existe a falta de dados relacionados à história laboral, impossibilitando estabelecer o nexo causal. Com o aumento do número de casos de mesotelioma previstos para as próximas décadas e o atendimento às demandas legais, a implantação de registros torna-se essencial para auxiliar no conhecimento, no acompanhamento, na determinação de nexo causal e nas fontes de contaminação específicas no país.

ABSTRACT Objectives: To describe the epidemiological profile of mortality due to tuberculosis (TB), to analyze the spatial pattern of these deaths and to investigate the temporal trend in mortality due to tuberculosis in Northeast Brazil. Methods: An ecological study based on secondary mortality data. Deaths due to TB were included in the study. Descriptive statistics were calculated and gross mortality rates were estimated and smoothed by the Local Empirical Bayesian Method. Prais-Winsten’s regression was used to analyze the temporal trend in the TB mortality coefficients. The Kernel density technique was used to analyze the spatial distribution of TB mortality. Results: Tuberculosis was implicated in 236 deaths. The burden of tuberculosis deaths was higher amongst males, single people and people of mixed ethnicity, and the mean age at death was 51 years. TB deaths were clustered in the East, West and North health districts, and the tuberculosis mortality coefficient remained stable throughout the study period. Conclusions: Analyses of the spatial pattern and temporal trend in mortality revealed that certain areas have higher TB mortality rates, and should therefore be prioritized in public health interventions targeting the disease.

Objective: to characterize the differences in the clinical and epidemiological profile of cases of death that had tuberculosis as an immediate or associated cause, and to analyze the spatial distribution of the cases of death from tuberculosis within the territories of Ribeirão Preto, Brazil.Method: an ecological study, in which the population consisted of 114 cases of death from tuberculosis. Bivariate analysis was carried out, as well as point density analysis, defined with the Kernel estimate.Results: of the cases of death from tuberculosis, 50 were the immediate cause and 64 an associated cause. Age (p=.008) and sector responsible for the death certificate (p=.003) were the variables that presented statistically significant associations with the cause of death. The spatial distribution, in both events, did not occur randomly, forming clusters in areas of the municipality.Conclusion: the difference in the profiles of the cases of death from tuberculosis, as a basic cause and as an associated cause, was governed by the age and the sector responsible for the completion of the death certificate. The non-randomness of the spatial distribution of the cases suggests areas that are vulnerable to these events. Knowing these areas can contribute to the choice of disease control strategies.

O Estudo de abordagem qualitativa que teve como objetivo analisar o contexto atual de definição e implementação da Política Nacional de Informação e Informática em Saúde (PNIIS). Realizaram-se pesquisa documental e aplicação de um formulário online aos envolvidos com a definição da PNIIS no cenário nacional. Os dados coletados foram analisados por meio da Análise de Conteúdo, modalidade Temático Categorial. Verificou-se que a PNIIS em construção é alvo de debates e proposições em diversas instâncias. Normativas emergem em paralelo para regulamentar ações de informação e informática em saúde. A participação da população na construção desta política e a convergência das leis, normas, resoluções e instâncias para a formulação de uma política comum, reconhecida, legitimada e implementada são desafios, bem como articulação entre o público e o privado. Conclui-se que o panorama da PNIIS no cenário nacional avança lentamente, predominantemente em debates teóricos, revisões e atualizações. Há muitos desafios para sua implementação e prevalece a necessidade de legitimação.

Objective. To use a newly developed framework to assess the contribution that eHealth makes to closing gaps in primary health care (PHC) and to providing person-centered, integrated PHC services in Latin America and the Caribbean. Methods. The new assessment model for eHealth-enabled primary health care (ePHC) is called the ePHC Assessment Framework. It is based on the National eHealth Strategy Toolkit developed by the World Health Organization and the International Telecommunications Union in 2012, and the Alberta Health Primary Health Care Evaluation Framework. To validate the ePHC Assessment Framework, a pilot study was conducted in 2017 in four locations: the city of Buenos Aires, Argentina, and the countries of Brazil, Costa Rica, and the Dominican Republic. Results. The ePHC Assessment Framework was successfully used to evaluate the building blocks of a primary health care-oriented approach to eHealth and the eHealth-enabled enhancements for management of chronic conditions needed to improve prevention and management at PHC centers in the studied locations. The study found that Brazil, Costa Rica, and Buenos Aires are clearly engaged in eHealth initiatives as part of the transformation of PHC to provide person-centered, high-quality services. As for the Dominican Republic, there was not enough evidence to verify the contribution of eHealth in improving PHC in the country. Conclusions. It is clear that eHealth helps improve the quality and effectiveness of the prevention and management of chronic conditions at the PHC level. To improve the foundations of ePHC, policymakers should ensure that their national eHealth strategies explicitly identify and establish the opportunities for eHealth to enable an effective PHC system to provide person-centered, integrated, high-quality services. [ABSTRACT FROM AUTHOR]

Objective. To describe the methods of a study aimed at evaluating high risk-HPV (hrHPV)-based screening and cervical cytology as triage compared to conventional cervical cytology as primary screening in the detection of grade 2+ cervical intraepithelial neoplasia in the National Cancer Screening Program (NCSP) of Mexico. Materials and methods. We will use information originated from the Womens Cancer Information System of Mexico regarding cervical cancer from 2008 to 2018. The database includes cytology results, diagnostic confirmation by histopathology and/or treatment colposcopy. We will then carry out statistical analyses on approximately 15 million hrHPV. Results. We will evaluate the overall performance of hrHPV-based screening as part of the NCSP and compare hrHPV-based to cytology-based screening under real-life conditions. To guarantee an unbiased comparison between hrHPV with cytology triage and conventional cytology we will use propensity score matching. Conclusion. Decision makers may use our results to identify areas of opportunity for improvement in NCSP processes. [ABSTRACT FROM AUTHOR]

Copyright of Cadernos de Saude Publica is the property of Escola Nacional de Saude Publica Sergio Arouca and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Cogitare Enfermagem is the property of Cogitare Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective: the objective of this study was to elucidate a growing and poorly studied type of violence. The prevalence of violence against men has been the object of study of international investigations in several countries such as USA, Canada and UK. In recent decades, the focus of research and public attention on violence in Brazil has focused on violence against women; Men, however, also experience significant levels of aggression Materials and methods: this paper describes and analyzed 57,893 cases of violence against man (physical, sexual, psychological, and negligence) reported by SIVVA (Information and Surveillance System of Violence and Accidents) in the city of São Paulo from 2008 to 2015. Results: prevalence was observed throughout the 8 years evaluated in the study of domestic physical violence or by acquaintances with use of corporal force, predominating in the groups of young and adults, Caucasian, without prior use of drugs or alcohol, and half of the cases in the mentally handicapped. Conclusion: continuing to ignore this situation will make it unfeasible for health development, the creation of support and intervention services for this growing population. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Nursing UFPE / Revista de Enfermagem UFPE is the property of Revista de Enfermagem UFPE and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Acta Paulista de Enfermagem is the property of Universidade Federal de Sao Paulo, Escola Paulista de Enfermagem and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Desfechos perinatais/infantis constituem as principais causas de morbi-mortalidade infantil em países em desenvolvimento como o Brasil. Dentre os fatores de risco, está a presença de transtornos mentais maternos. Foi realizado um estudo longitudinal retrospectivo baseado no seguimento passivo por meio do método de linkage probabilístico para verificar a prevalência de desfechos perinatais/infantis em pacientes internadas em um hospital psiquiátrico público do Rio de Janeiro, Brasil, que tiveram partos durante o período de 1999 a 2009. As prevalências encontradas foram: baixo peso ao nascer (27,6%), prematuridade (17,4%), malformações (2,5%), óbitos fetais (4,8%) e neonatais (3,7%), sendo fatores associados o cuidado pré-natal insatisfatório, a presença de esquizofrenia e a baixa renda familiar. Os resultados reforçam que a prevalência de desfechos perinatais/infantis é elevada em mães com transtornos mentais maiores, sendo fundamental o rastreamento de sintomas psiquiátricos e o acompanhamento especializado por profissionais da saúde mental durante a assistência pré e pós-parto.