在注册不足的场景中,初级保健中的绩效报酬的影响
Paula de Castro-Nunes1, Paloma Palmieri1, Hugo Bellas1
1Fundação Oswaldo Cruz. Centro de Estudos Estratégicos Antônio Ivo de Carvalho. Rio de Janeiro, RJ, Brasil.
细胞病理学检查的注册不足可能会导致严重的财务损失,特别是在新的医疗保健资助计划中. 本研究提出了一种方法来检测未充分注册和其对初级医疗保健服务的财务影响.
科学领域:
- 公共卫生 公共卫生
- 医疗信息学 医疗信息学
- 卫生经济学 卫生经济学
背景情况:
- 健康数据,特别是细胞病理学检查的未充分登记,对医疗服务的准确评估构成了挑战.
- 预防巴西计划的实施需要清楚地了解数据的完整性,以获得有效的融资.
研究的目的:
- 开发和介绍一种方法来识别和分析细胞病理学检查的低注册情况.
- 在"防止巴西"计划的背景下,量化此次未注册的潜在财务影响.
主要方法:
- 一项生态研究分析了来自里约热内卢的细胞病理学检查数据.
- 利用了统一卫生系统 (DATASUS) 信息学部门的数据,包括SISAB和SISCOLO数据库.
主要成果:
- 据估计,在两年内,在程序领域3.1中,有108,511次考试未被注册.
- 这种低注册代表了预计R $ 435,129.00的预期收入,如果Previne Brasil计划一直活跃.
结论:
- 提供经验证据,证明低注册对初级医疗保健 (PHC) 融资的财务影响.
- 强调脆弱地区的数据记录缺陷以及PHC潜在的资金周期不稳定.
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