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[The "To Live in Cascavel" project: analysis of the information flow]
Nelsi Salete Tonini Paiva1, Maria Luiza Anselmi, Claudia Benedita dos Santos
1Universidade de São Paulo, Departamento de Enfermagem da Universidade Estadual do Oeste do Paraná.
Insights
Live Birth Declarations for high-risk newborns took 25-30 days to process from hospital to home visit. This delay in care for high-risk infants may impede efforts to reduce infant mortality.
Area of Science:
- Public Health
- Neonatal Care
- Health Informatics
Context:
- Study conducted in Cascavel, Paraná, Brazil, from 1996-1998.
- Focus on high-risk newborns assisted by the "Living in Cascavel" project.
- Analysis of 303 Live Birth Declarations (DNV).
Purpose:
- To estimate and evaluate the time period (in days) for the flow of Live Birth Declarations (DNV).
- To assess DNV processing time from hospital to home visit.
- To identify potential delays in the care pathway for high-risk newborns.
Summary:
- Live Birth Declarations (DNV) for high-risk newborns exhibited a flow time of 25 to 30 days from hospital discharge to the initial home visit.
- Statistical analysis using 95% confidence intervals for mean population times was employed.
- The study examined DNV flow across different organizational sites: hospital, epidemiological surveillance service, and basic health unit.
Impact:
- The identified DNV flow time may hinder the timely provision of essential care to high-risk newborns.
- Delays in the DNV process could impede the project's objective of reducing infant morbidity and mortality.
- Highlights the need for optimizing administrative processes to ensure prompt neonatal interventions.
Abstract:
This study estimated and evaluated the time period (in days) concerning the flow of Live Birth Declarations (DNV) for high-risk newborns assisted by the Project "Living in Cascavel"-Paraná, Brazil, from 1996 to 1998, according to organization sites (hospital, epidemiological surveiliance service, basic health unit). Three hundred and three declarations were analyzed, and in order to analyze the flow time of the DNVs, 95% confidence intervals were constructed for the medium population times (in days). Results showed that the DNVs took 25 to 30 days to flow from the hospital until the moment when the home visit occurred. The care to high-risk newborns must take place in the shortest possible time; therefore, the flow time of DNVs found in this study, from birth until the home visit, may hinder the achievement of one of the objectives proposed by the project in question, which is the reduction of infant morbi-mortality in the municipality.