0440/2018 - Validade e Concordância do registro em prontuário do uso de serviços da Rede de Atenção à Saúde por idosos. Validity and Agreement of registration records of the use of the Health Care Network services by the elderly.
Objetivo: verificar a validade e concordância entre registros em prontuários e autorrelato do uso dos serviços de saúde por idosos usuários da Rede de Atenção à Saúde. Método: estudo observacional transversal de base populacional. Foram avaliados registros em prontuário e autorrelato de consultas médicas, odontológicas, visitas domiciliares, encaminhamentos para consultas no setor secundário e hospitalizações nos anos de 2015 e 2016. Foram analisados percentuais de concordância, estatística Kappa, sensibilidade, especificidade e valores preditivos para cada um dos itens. Resultados: O maior percentual de concordância (81,93%) com Kappa significativo (p=0,03) foi para o item “hospitalização”. As consultas odontológicas apresentaram maior Kappa (k=0,271), significativo (p=0,01). As análises demonstraram alta especificidade nos registros de hospitalização (83%), e maior sensibilidade para visitas domiciliares (74%). Os valores preditivos positivos foram baixos para hospitalização (8%), e os negativos baixos para consultas médicas (17%), Conclusão: A baixa concordância entre o uso do serviço de saúde autorrelatado e registros em prontuário apontam para uma das possíveis causas da fragmentação da continuidade do cuidado.
Palavras-chave:
Atenção Primária à Saúde, Saúde Pública, Serviços de Saúde, Validade dos Testes, Autorrelato.
Abstract:
Objective: To verify the validity and the agreement between registers of medical records and self-report about the use of the Health Services by elderly users of the Health Care Network. Method: Cross-sectional population-based observational study. Were evaluated records of medical and dentistry appointment, home visits, referrals for secondary level consultations and hospitalizations by the years of 2015 and 2016. Percentage of concordance, Kappa coefficient, sensibility, specifity and predictive values for each items were also analyzed. Results: The biggest percentage of concordance (81,93%) with a significant Kappa coefficient (p=0,03) was for hospitalization. The dentistry appointments presented higher Kappa coefficient (k=0,271), significant (p=0,01). The analyses showed high specifity in the hospitalizations records (83%), and a greater sensibility for home visits (74%). Positive predictive values were low for hospitalization (8%), and the negative predictive values were low for medical appointments (17%).Conclusion: The low agreement between the use of the self-reported health service and records in medical records points one of the possible causes of the fragmentation of continuity of care.
Keywords:
Primary Health Care, Public Health, Health Services, Validity of Tests, Self Report.
Validity and Agreement of registration records of the use of the Health Care Network services by the elderly.
Resumo (abstract):
Objective: To verify the validity and the agreement between registers of medical records and self-report about the use of the Health Services by elderly users of the Health Care Network. Method: Cross-sectional population-based observational study. Were evaluated records of medical and dentistry appointment, home visits, referrals for secondary level consultations and hospitalizations by the years of 2015 and 2016. Percentage of concordance, Kappa coefficient, sensibility, specifity and predictive values for each items were also analyzed. Results: The biggest percentage of concordance (81,93%) with a significant Kappa coefficient (p=0,03) was for hospitalization. The dentistry appointments presented higher Kappa coefficient (k=0,271), significant (p=0,01). The analyses showed high specifity in the hospitalizations records (83%), and a greater sensibility for home visits (74%). Positive predictive values were low for hospitalization (8%), and the negative predictive values were low for medical appointments (17%).Conclusion: The low agreement between the use of the self-reported health service and records in medical records points one of the possible causes of the fragmentation of continuity of care.
Palavras-chave (keywords):
Primary Health Care, Public Health, Health Services, Validity of Tests, Self Report.
Rocha, V.C.L.G, Pereira, D.S, Pereira, M.J, da Silva, S. L. A. Validade e Concordância do registro em prontuário do uso de serviços da Rede de Atenção à Saúde por idosos.. Cien Saude Colet [periódico na internet] (2018/out). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/validade-e-concordancia-do-registro-em-prontuario-do-uso-de-servicos-da-rede-de-atencao-a-saude-por-idosos/16973?id=16973&id=16973
