健康决策信息:从可预测到不可预测

IF 1 Q4 HEALTH POLICY & SERVICES
Vanessa de Lima e Souza, Maria Manuel Borges
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引用次数: 0

摘要

本研究旨在确定参与公共卫生决策的卫生管理人员的信息需求、信息来源、信息搜索行为和信息使用情况。我们进行了一项探索性、定性和比较研究,分析了巴西市级和州级公共卫生管理部门以及联邦一级的国家卫生系统信息部。九名不同级别的卫生管理人员接受了访谈。经核实,决策得到了技术、科学信息和不同来源经验的支持。信息流是自下而上的,与为卫生信息系统提供信息的文件流有关。需要可预测和不可预测的信息,这些信息主要来自新闻界和公共事务部。市政部门比国家部门更善于处理信息。不可预测的信息需要干扰日常的卫生管理工作,影响卫生管理人员的决策。在决策过程中很少使用信息,卫生信息系统的薄弱被认为是主要原因。决策信息的产生需要系统化,以支持决策,并对现有信息系统的不同来源进行综合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
The Information on Decision-making in Health: From Predictable to Unpredictable
This study’s aim is to identify the information needs, sources, seeking behaviour and uses of information by health managers involved with decision-making in public health. An exploratory, qualitative and comparative study was performed to analyse the municipal and state spheres of public health administration in Brazil and the Department of Informatics of the National Health System at the federal level. Nine health managers were interviewed at different hierarchy levels. It was verified that the decision is subsidised by technical, scientific information and appropriation of experiences from different sources. The flow of information is bottom-up, associated with the flow of documents that feed the health information systems. There is a need for predictable and unpredictable information, originating mainly from the press and the Public Ministry. The municipal sphere is better structured to handle information than the state sphere. Unpredictable information needs to interfere with the routine of health management work activities and impact health managers’ decision-making. Information is seldom used in this decision-making process, with the weakness of the health information systems being pointed out as the main cause. The production of information for decision-making needs to be systematised to support decisions, making a synthesis of the different sources of existing information systems.
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来源期刊
Journal of Health Management
Journal of Health Management HEALTH POLICY & SERVICES-
CiteScore
3.40
自引率
0.00%
发文量
84
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