0852/2012 - Avaliação de estratégia para identificação e mensuração dos Acidentes de Trabalho Fatais Evaluation of the strategy for identification and measurement of the Fatal Accidents at Work
Resumo
Objetivando avaliar estratégia da Secretaria Municipal de Saúde de Belo Horizonte (SMSA/BH) na redução da subregistro de mortes por acidentes de trabalho de 2008 a 2010, realizou-se relacionamento determinístico de dados de mortes por acidentes de trabalho notificadas no SINAN e no SIM. Como estratégia complementar ao relacionamento determinístico foram analisadas as Fichas de Investigação e as Declarações de Óbito nas quais se suspeitava tratar-se de mortes por acidentes de trabalho, porém elas não estavam declaradas. O óbito por acidente de trabalho era confirmado quando se tratava do mesmo acidentado, mesmo acidente, com nexo temporal entre o acidente e o óbito. A estratégia complementar utilizada na SMSA permitiu reduzir a subregistro identificado pelo relacionamento determinístico, com incremento de 45 mortes. Evidenciou-se maior subregistro de óbitos no SINAN (n=117) do que no SIM (n=70). Conclui-se que o relacionamento de dados SIM/SINAN é uma estratégia necessária para redução da subregistro das mortes por acidentes de trabalho. Porém, consideradas as limitações ainda presentes nos dois sistemas o relacionamento de dados não é suficiente e que a estratégia complementar adotada na SMSA/BH – simples e de fácil execução, tem bons resultados.
Palavras-chave:
Notificação de acidentes de trabalho
Sistemas de Informação
Mortalidade ocupacional
Sub-registro
Morte
Abstract:
Abstract
In order to evaluate the strategy used by the Municipal Health Department of Belo Horizonte (SMSA/BH) for reducing the underreporting of deaths from work accidents during the years of 2008 to 2010, we carried out a deterministic linking of data on deaths from accidents at work as reported in SINAN (Brazilian information system for mandatory reporting diseases) and SIM (Brazilian information system for death). As a complementary strategy to the deterministic linking, we analyzed the Investigation Data Sheets and Death Certificates that although not clearly declared,we suspected involved death by work accident. Death from an accident at work was confirmed when we matched the same victim, same accident, with a temporal connection between accident and death. This complementary strategy used by the SMSA/BH reduced the underreporting identified by deterministic linking, with an increase of 45 deaths. We found higher rates of underreporting of deaths in the SINAN (n = 117) than in the SIM (n = 70). We conclude that although data linkage between SIM/SINAN is a necessary strategy to reduce the undercounting of deaths from accidents, it is still not enough, considering the limitations still present in both systems.The complementary strategy adopted by the SMSA/BH, which is simple and easy to perform, yields good results.
Keywords:
Occupational Accidents Registry
Information Systems
Occupational Mortality
Underregistration
Death
Evaluation of the strategy for identification and measurement of the Fatal Accidents at Work
Resumo (abstract):
Abstract
In order to evaluate the strategy used by the Municipal Health Department of Belo Horizonte (SMSA/BH) for reducing the underreporting of deaths from work accidents during the years of 2008 to 2010, we carried out a deterministic linking of data on deaths from accidents at work as reported in SINAN (Brazilian information system for mandatory reporting diseases) and SIM (Brazilian information system for death). As a complementary strategy to the deterministic linking, we analyzed the Investigation Data Sheets and Death Certificates that although not clearly declared,we suspected involved death by work accident. Death from an accident at work was confirmed when we matched the same victim, same accident, with a temporal connection between accident and death. This complementary strategy used by the SMSA/BH reduced the underreporting identified by deterministic linking, with an increase of 45 deaths. We found higher rates of underreporting of deaths in the SINAN (n = 117) than in the SIM (n = 70). We conclude that although data linkage between SIM/SINAN is a necessary strategy to reduce the undercounting of deaths from accidents, it is still not enough, considering the limitations still present in both systems.The complementary strategy adopted by the SMSA/BH, which is simple and easy to perform, yields good results.
Palavras-chave (keywords):
Occupational Accidents Registry
Information Systems
Occupational Mortality
Underregistration
Death
Drumond, E. F., HECKERT, CAL, Silva, JM. Avaliação de estratégia para identificação e mensuração dos Acidentes de Trabalho Fatais. Cien Saude Colet [periódico na internet] (2012/out). [Citado em 24/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/avaliacao-de-estrategia-para-identificacao-e-mensuracao-dos-acidentes-de-trabalho-fatais/11621?id=11621&id=11621
