Abstract:
:Performance assessment in health services is essential. The comparison of performance indicators requires the use of risk adjustment strategies. The objective of this paper was to assess variations in clinical performance, measured by hospital mortality and length of stay, between private and public hospitals, while taking into account the hospital case mix. This study is located in the Ribeirão Preto region in São Paulo State, Brazil. From 1996 to 1998, 32,906 patients admitted with cardiovascular and respiratory diagnoses were studied. Variables used for risk adjustment of performance indicators were: sex, age, principal diagnosis, and severity measures based on co-morbidity. Clinical performance in public hospitals as measured by adjusted hospital mortality (OR = 0.41) was better than in private hospitals. Public and private hospitals were not statistically different concerning patients' length of stay. Although some conceptual and methodological problems persist, hospital mortality and other adjusted performance indicators should be considered as useful tools to identify health services' performance problems.
journal_name
Cad Saude Publicajournal_title
Cadernos de saude publicaauthors
Martins M,Blais R,Leite Ida Cdoi
10.1590/s0102-311x2004000800021keywords:
subject
Has Abstractpub_date
2004-01-01 00:00:00pages
S268-82eissn
0102-311Xissn
1678-4464pii
S0102-311X2004000800021journal_volume
20 Suppl 2pub_type
杂志文章abstract::Data from Brazilian national surveys conducted since the 1970s have indicated an increase in the prevalence of overweight/obesity. The two most frequently cited causes of this trend have been dietary changes and reduction in physical activity, characterizing a "contemporary Western lifestyle". The objective of this pa...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2004000300006
更新日期:2004-05-01 00:00:00
abstract::This study aims to improve the health of rural Amazonian communities through the development and application of a participatory ecosystem approach to human health assessment. In the study area marked seasonal fluctuations dictate food availability, water quality and disease outbreak. Determining the causal linkages be...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2001000700028
更新日期:2001-01-01 00:00:00
abstract::This cross-sectional study aimed to analyze the first health service to which patients turned for tuberculosis diagnosis in São José do Rio Preto, São Paulo, Brazil, 2009. Eighty-one patients in treatment were interviewed with a questionnaire based on the Primary Care Assessment Tool adapted to TB care and used as a r...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:
更新日期:2013-05-01 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010001100018
更新日期:2010-11-01 00:00:00
abstract::Although most childbirth care in Brazil is financed by the Brazilian Unified National Health System (SUS), there are out-of-pocket expenditures (private personal costs) involved in births. This study aims to compare maternal out-of-pocket expenditures in births of children from the Pelotas Birth Cohorts of 2004 and 20...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00120019
更新日期:2020-01-01 00:00:00
abstract::Workplace violence is currently a worrying factor at many hospitals. The objectives of this study were to characterize the occupational violence problems detected by health workers in an emergency hospital. The study was exploratory and transversal, with a quantitative data approach. It took place at the emergency war...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2006000100024
更新日期:2006-01-01 00:00:00
abstract::This study aimed to assess the prevalence and factors associated with dynapenia in a nationally representative sample of Brazilians aged 50 years and older. A cross-sectional study was performed with baseline data from the Brazilian Longitudinal Study of Aging (ELSI-Brazil). Dynapenia was defined as low muscle strengt...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00107319
更新日期:2020-04-30 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000500012
更新日期:2010-05-01 00:00:00
abstract::In Brazil, the Unified National Health System (SUS) is responsible for the majority of kidney transplants. To maintain these interventions, the guidelines recommend the use of cyclosporine or tacrolimus, associated with corticosteroids and azathioprine or mycophenolate. Taking the perspective of the National Health Sy...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2010000100017
更新日期:2010-01-01 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00091419
更新日期:2020-01-01 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x1999000200022
更新日期:1999-04-01 00:00:00
abstract::This paper analyses the demographic dynamics of the Suyá, a Jê people, inhabitants of the Xingu Indigenous Park, Mato Grosso State, Brazil, during the years 1970-2004. Data was gathered from medical records of the São Paulo Federal University Health Program at the Xingu Indigenous Park. The demographic characteristics...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007000500009
更新日期:2007-05-01 00:00:00
abstract::Maternal tobacco use during pregnancy is one of the most important factors for low birth weight and length. However, postnatal exposure to environmental tobacco smoke has not been explored in children's growth studies. It is known that smoking is more prevalent in low socioeconomic groups and that stunting is also ass...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000500027
更新日期:2005-09-01 00:00:00
abstract::This paper aims to analyze mortality among elderly residents in the city of Recife, Pernambuco State, Brazil, and its association with social deprivation (hardship) in the year 2000. An ecological study was performed, and 94 neighborhoods and 5 social strata were analyzed. The independent variable consisted of a compo...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2008000500008
更新日期:2008-05-01 00:00:00
abstract::: The objective was to describe the governance system used in structuring the regionalized healthcare network in Santa Catarina State, Brazil, based on the Bipartite Inter-Managerial Commission (CIB), with a focus on structuring of oral healthcare. This was a qualitative, exploratory-descriptive documental study, base...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00133516
更新日期:2017-09-28 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2002000100022
更新日期:2002-01-01 00:00:00
abstract::Colombia recorded 11 cases of acute Chagas disease and 80 cases of oral contamination with Trypanosoma cruzi. The current study analyzes the entomological and parasitological characteristics of the outbreak in Aguachica, Cesar Department, in 2010. An interdisciplinary group of health professionals and regional univers...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311x00024013
更新日期:2014-04-01 00:00:00
abstract::This article compares food intake by women 35 years or older in two population-based cross-sectional studies in Rio de Janeiro, Brazil, in 1995-1996 (n = 1,014) and 2004-2005 (n = 1,001). Food intake was assessed with a food-frequency questionnaire, and nutritional status was defined according to body mass index (BMI ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001100012
更新日期:2009-11-01 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000700010
更新日期:2005-01-01 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00079818
更新日期:2019-10-14 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001200016
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journal_title:Cadernos de saude publica
pub_type: 传,历史文章,杂志文章
doi:10.1590/0102-311XET011214
更新日期:2014-12-01 00:00:00
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007001400013
更新日期:2007-01-01 00:00:00
abstract::The article presents gender and age-specific selected anthropometric data for a representative sample of elderly Brazilians in the city of São Paulo. This was a cross-sectional, population-based household survey. A total of 1,894 older adults (men and women, > 60 years) were examined from January to March 2001. Data w...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2005000600043
更新日期:2005-11-01 00:00:00
abstract::This study examines renal care from the perspective of kidney transplant patients with chronic kidney disease (CKD), as well as their families. A qualitative study was performed in three cities of Uruguay. Using theoretical sampling, we selected 25 persons with CKD that were living with kidney transplants, in addition...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/0102-311X00160416
更新日期:2017-10-26 00:00:00
abstract::Various strategies for eliminating leprosy as a public health problem have evolved in the last 20 years. In some countries, especially highly endemic ones, the WHO target rate for leprosy elimination fell far short. The current study aimed to analyze the impact of different strategies for reducing leprosy prevalence i...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2007000500020
更新日期:2007-05-01 00:00:00
abstract::This study aimed to analyze the epidemiological profile of dental caries in the central western region of the State of São Paulo, Brazil, focusing on 12-year-old children by gender, comparing the DMFT index in fluoridated and non-fluoridated cities. The study used data from the Epidemiological Surveys in the State of ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2002000500020
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journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2002000600007
更新日期:2002-11-01 00:00:00
abstract::Alarming trends in the resurgence of vector-borne diseases are anticipated to continue unless more effective action is taken to address the variety of underlying causes. Social factors, anthropogenic environmental modifications and/or ecological changes appear to be the primary drivers. The ecological dimension of vec...
journal_title:Cadernos de saude publica
pub_type: 杂志文章
doi:10.1590/s0102-311x2009001300015
更新日期:2009-01-01 00:00:00
abstract::This article provides a literature review of dental care models in Brazil, with a specific focus on the Incremental System. Other models that appeared in the research were the Inversion of Care, Early Dental Care, and Family Health Programs. The various authors analyzed the pros and cons, origins, program principles, ...
journal_title:Cadernos de saude publica
pub_type: 杂志文章,评审
doi:10.1590/s0102-311x2008000200002
更新日期:2008-02-01 00:00:00