Proposta de indicadores e padrões para a avaliação de qualidade da atenção hospitalar: o caso da asma brônquica

Cadernos de Saúde Pública

Marina Ferreira De Noronha²  Cristiani Vieira Machado¹  Luciana Dias De Lima¹ 

[1] ,Fundação Oswaldo Cruz Escola Nacional de Saúde Pública Departamento de Administração e Planejamento em SaúdeRio de Janeiro RJ ,Brasil

关键词: Bronchial Asthma;    Hospital Care Evaluation;    Quality Evaluation;    Asma Brônquica;    Avaliação da Atenção Hospitalar;    Avaliação de Qualidade;   

DOI  :  10.1590/S0102-311X1996000600006

来源: SciELO

【 摘 要 】

The objectives of this article are to propose indicators for evaluation of the quality of hospital management of bronchial asthma patients, based on explicit criteria from literature reviews. The central problem identified in the literature review is the erroneous evaluation of severity of asthma crises, either by patients and their relatives, or by health professionals at all levels of care, causing serious consequences not only for the patient, but for society as a whole. Mortality figures indicate that from 1980 to 1990, an average of 2000 deaths per year from asthma occurred in Brazil, of which 70% occurred in hospital. Asthma was the fourth cause of hospitalization (hospital admissions), in the state of Rio de Janeiro in 1993. Only 12% of the admissions that resulted in death made use of the ICU. The above information highlights the need for a thorough evaluation of hospital care of bronchial asthma in Brazil, including a review of all admissions resulting in death and reviews of a sample of all bronchial asthma admissions. Proposed criteria are for this evaluation include: severity of the crise, treatment prescribed, information given to the patient and their relatives, and follow-up appointments made after discharge from hospital.

【 授权许可】

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