Publicação
Epidemiological surveillance: a team challenge
| Resumo: | The National Epidemiological Surveillance System monitors the incidence of communicable diseases, adding to their prevention and control and evaluating the effectiveness of prevention efforts. In view of recent legislative reviews, Public Health Units should play an important role in the operation of such a system. In this context, it was considered opportune in collaboration with a hospital, to develop a consultancy in order to understand reporting embarrassment factors and develop a systematic multidisciplinary review. In 2015, we retrospectively audited 26 diseases listed for mandatory notification between 2010 and 2014. We determined the notification rates of the cases identified, matching residents in Municipality B. The information sources consulted were homogeneous diagnosis groups, laboratory records, medical notifications, and 717 clinical records referring to cases of disease with positive or dubious laboratory results. We applied a questionnaire to 26 doctors to quantify and understand the under-reporting. We identified 289 cases relating to 14 of the 26 diseases audited. In Municipality B there was an overall notification rate of 34,6% (45/130). The identified cases of brucellosis, Lyme disease, Q fever, and malaria were not reported. The main reason for under notification is "bureaucracy" (53,8%). Some doctors (15,8%) only reported at the time of the patient’s discharge from hospital. Some limitations stand out for their impact, such as those relating to complementary diagnostic tests and epidemiological veterinary monitoring. A multidisciplinary and complementary interactive approach of public health services is essential. This must be integrated with other health institutions and with veterinary services, in order to ensure better monitoring, thereby helping to improve people’s health and wellbeing. |
|---|---|
| Autores principais: | Eufrásio, Ricardo |
| Outros Autores: | Lopes, Fernando |
| Assunto: | Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| Ano: | 2023 |
| País: | Portugal |
| Tipo de documento: | artigo |
| Tipo de acesso: | unknown |
| Instituição associada: | Imprensa da Universidade de Coimbra |
| Idioma: | português |
| Origem: | Territorium |
| _version_ | 1867781741541851136 |
|---|---|
| author | Eufrásio, Ricardo |
| author2 | Lopes, Fernando |
| author2_role | author |
| author_facet | Eufrásio, Ricardo Lopes, Fernando |
| author_role | author |
| country_str | PT |
| creators_json_txt | [{\"Person.name\":\"Eufrásio, Ricardo\"},{\"Person.name\":\"Lopes, Fernando\"}] |
| datacite.creators.creator.creatorName.fl_str_mv | Eufrásio, Ricardo Lopes, Fernando |
| datacite.rights.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| datacite.subjects.subject.fl_str_mv | Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| datacite.titles.title.fl_str_mv | Epidemiological surveillance: a team challenge Vigilncia epidemiológica: um desafio multidisciplinar |
| dc.creator.none.fl_str_mv | Eufrásio, Ricardo Lopes, Fernando |
| dc.description.none.fl_str_mv | OO Sistema Nacional de Vigilncia Epidemiológica monitoriza a ocorrência de doenças transmissíveis, contribuindo para a respetiva prevenção e controlo. Face à s recentes alterações legislativas, as Unidades de Saúde Pública podem contribuir na operacionalização local do referido sistema. Neste contexto, considerou-se oportuno em colaboração com um hospital, realizar uma consultoria, visando esclarecer a subnotificação, identificar fatores de constrangimento, e desenvolver uma revisão sistemática multidisciplinar. Em 2015, realizou-se uma auditoria externa retrospetiva (2010-2014) relativa à notificação de 26 doenças listadas para o efeito. Determinaram-se as taxas de notificação dos casos identificados, correspondentes a residentes no Concelho B. Consultou-se informação referente aos grupos de diagnóstico homogéneo, registos laboratoriais, notificações, bem como a 717 registos clínicos referentes a casos de doença com resultados laboratoriais positivos ou duvidosos. Aplicou-se um inquérito por questionário a 26 médicos, para quantificar e compreender a subnotificação. Identificaram-se 289 casos referentes a 14 das 26 doenças auditadas. Observou-se no Concelho B uma taxa global de notificação de 34,6% (45/130). Os casos identificados de brucelose, doença de Lyme, febre Q, hepatite B e malária, não foram notificados. Entre os principais motivos para a subnotificação destaca-se a "burocracia" (53,8%). Alguns profissionais (15,8%) notificam apenas no momento da alta hospitalar. Pelo seu impacto, destacaram-se limitações relativas à s opções de exames complementares de diagnóstico e à vigilncia epidemiológica veterinária. É fundamental uma articulação multidisciplinar e complementar dos serviços de saúde pública com as demais instituições de saúde, visando contribuir para a saúde e bem-estar das populações. |
| dc.format.none.fl_str_mv | application/pdf |
| dc.identifier.none.fl_str_mv | https://doi.org/10.14195/1647-7723_30-1_7 |
| dc.language.none.fl_str_mv | por |
| dc.publisher.none.fl_str_mv | Imprensa da Universidade de Coimbra |
| dc.rights.none.fl_str_mv | http://purl.org/coar/access_right/c_abf2 |
| dc.source.none.fl_str_mv | Territorium; No. 30(I) (2023): Health risks in the context of a pandemic: reflections on the impact of COVID-19; 85-97 Territorium; N.º 30(I) (2023): Riscos para a saúde em contexto pandémico: reflexões sobre o impacte da COVID-19; 85-97 1647-7723 0872-8941 10.14195/1647-7723_30-1 |
| dc.subject.none.fl_str_mv | Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| dc.title.fl_str_mv | Epidemiological surveillance: a team challenge Vigilncia epidemiológica: um desafio multidisciplinar |
| dc.type.none.fl_str_mv | http://purl.org/coar/resource_type/c_6501 |
| description | The National Epidemiological Surveillance System monitors the incidence of communicable diseases, adding to their prevention and control and evaluating the effectiveness of prevention efforts. In view of recent legislative reviews, Public Health Units should play an important role in the operation of such a system. In this context, it was considered opportune in collaboration with a hospital, to develop a consultancy in order to understand reporting embarrassment factors and develop a systematic multidisciplinary review. In 2015, we retrospectively audited 26 diseases listed for mandatory notification between 2010 and 2014. We determined the notification rates of the cases identified, matching residents in Municipality B. The information sources consulted were homogeneous diagnosis groups, laboratory records, medical notifications, and 717 clinical records referring to cases of disease with positive or dubious laboratory results. We applied a questionnaire to 26 doctors to quantify and understand the under-reporting. We identified 289 cases relating to 14 of the 26 diseases audited. In Municipality B there was an overall notification rate of 34,6% (45/130). The identified cases of brucellosis, Lyme disease, Q fever, and malaria were not reported. The main reason for under notification is "bureaucracy" (53,8%). Some doctors (15,8%) only reported at the time of the patient’s discharge from hospital. Some limitations stand out for their impact, such as those relating to complementary diagnostic tests and epidemiological veterinary monitoring. A multidisciplinary and complementary interactive approach of public health services is essential. This must be integrated with other health institutions and with veterinary services, in order to ensure better monitoring, thereby helping to improve people’s health and wellbeing. |
| dirty | 0 |
| eu_rights_str_mv | unknown |
| format | article |
| id | terrium_3f0d28fcb95ded8816b22f369cc030d4 |
| identifier.doi.fl_str_mv | https://doi.org/10.14195/1647-7723_30-1_7 |
| instacron_str | IUC |
| institution | Imprensa da Universidade de Coimbra |
| instname_str | Imprensa da Universidade de Coimbra |
| language | por |
| network_acronym_str | terrium |
| network_name_str | Territorium |
| oai_identifier_str | oai:impactum-journals.uc.pt:article/12019 |
| organization_str_mv | urn:organizationAcronym:iuc |
| person_str_mv | Eufrásio, Ricardo Lopes, Fernando |
| publishDate | 2023 |
| publisher.none.fl_str_mv | Imprensa da Universidade de Coimbra |
| reponame_str | Territorium |
| repository_id_str | urn:repositoryAcronym:terrium |
| service_str_mv | urn:repositoryAcronym:terrium |
| spelling | en-USEpidemiological surveillance: a team challengept-PTVigilncia epidemiológica: um desafio multidisciplinarEufrásio, RicardoLopes, FernandoEpidemiological monitoringpublic healthhospital epidemiology.Vigilncia epidemiológicasaúde públicaepidemiologia hospitalarDireitos de Autor (c) 2023 Territoriumhttp://purl.org/coar/access_right/c_abf2http://creativecommons.org/licenses/by/4.0https://doi.org/10.14195/1647-7723_30-1_7DOIhttps://impactum-journals.uc.pt/territorium/article/view/12019URLHasVersionhttps://impactum-journals.uc.pt/territorium/article/view/12019/9352URLHasVersionhttps://doi.org/10.14195/1647-7723_30-1_7DOI2023-06-29en-USThe National Epidemiological Surveillance System monitors the incidence of communicable diseases, adding to their prevention and control and evaluating the effectiveness of prevention efforts. In view of recent legislative reviews, Public Health Units should play an important role in the operation of such a system. In this context, it was considered opportune in collaboration with a hospital, to develop a consultancy in order to understand reporting embarrassment factors and develop a systematic multidisciplinary review. In 2015, we retrospectively audited 26 diseases listed for mandatory notification between 2010 and 2014. We determined the notification rates of the cases identified, matching residents in Municipality B. The information sources consulted were homogeneous diagnosis groups, laboratory records, medical notifications, and 717 clinical records referring to cases of disease with positive or dubious laboratory results. We applied a questionnaire to 26 doctors to quantify and understand the under-reporting. We identified 289 cases relating to 14 of the 26 diseases audited. In Municipality B there was an overall notification rate of 34,6% (45/130). The identified cases of brucellosis, Lyme disease, Q fever, and malaria were not reported. The main reason for under notification is "bureaucracy" (53,8%). Some doctors (15,8%) only reported at the time of the patient’s discharge from hospital. Some limitations stand out for their impact, such as those relating to complementary diagnostic tests and epidemiological veterinary monitoring. A multidisciplinary and complementary interactive approach of public health services is essential. This must be integrated with other health institutions and with veterinary services, in order to ensure better monitoring, thereby helping to improve people’s health and wellbeing.pt-PTOO Sistema Nacional de Vigilncia Epidemiológica monitoriza a ocorrência de doenças transmissíveis, contribuindo para a respetiva prevenção e controlo. Face à s recentes alterações legislativas, as Unidades de Saúde Pública podem contribuir na operacionalização local do referido sistema. Neste contexto, considerou-se oportuno em colaboração com um hospital, realizar uma consultoria, visando esclarecer a subnotificação, identificar fatores de constrangimento, e desenvolver uma revisão sistemática multidisciplinar. Em 2015, realizou-se uma auditoria externa retrospetiva (2010-2014) relativa à notificação de 26 doenças listadas para o efeito. Determinaram-se as taxas de notificação dos casos identificados, correspondentes a residentes no Concelho B. Consultou-se informação referente aos grupos de diagnóstico homogéneo, registos laboratoriais, notificações, bem como a 717 registos clínicos referentes a casos de doença com resultados laboratoriais positivos ou duvidosos. Aplicou-se um inquérito por questionário a 26 médicos, para quantificar e compreender a subnotificação. Identificaram-se 289 casos referentes a 14 das 26 doenças auditadas. Observou-se no Concelho B uma taxa global de notificação de 34,6% (45/130). Os casos identificados de brucelose, doença de Lyme, febre Q, hepatite B e malária, não foram notificados. Entre os principais motivos para a subnotificação destaca-se a "burocracia" (53,8%). Alguns profissionais (15,8%) notificam apenas no momento da alta hospitalar. Pelo seu impacto, destacaram-se limitações relativas à s opções de exames complementares de diagnóstico e à vigilncia epidemiológica veterinária. É fundamental uma articulação multidisciplinar e complementar dos serviços de saúde pública com as demais instituições de saúde, visando contribuir para a saúde e bem-estar das populações.Imprensa da Universidade de Coimbraapplication/pdfen-USTerritorium; No. 30(I) (2023): Health risks in the context of a pandemic: reflections on the impact of COVID-19; 85-97pt-PTTerritorium; N.º 30(I) (2023): Riscos para a saúde em contexto pandémico: reflexões sobre o impacte da COVID-19; 85-971647-77230872-894110.14195/1647-7723_30-1porjournal articlehttp://purl.org/coar/resource_type/c_6501literatureVoRhttp://purl.org/coar/version/c_970fb48d4fbd8a85 |
| spellingShingle | Epidemiological surveillance: a team challenge Eufrásio, Ricardo Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| status | SINGLETON |
| status_str | VoR |
| subject.fl_str_mv | Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| title | Epidemiological surveillance: a team challenge |
| title_full | Epidemiological surveillance: a team challenge |
| title_fullStr | Epidemiological surveillance: a team challenge |
| title_full_unstemmed | Epidemiological surveillance: a team challenge |
| title_short | Epidemiological surveillance: a team challenge |
| title_sort | Epidemiological surveillance: a team challenge |
| topic | Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| topic_facet | Epidemiological monitoring public health hospital epidemiology. Vigilncia epidemiológica saúde pública epidemiologia hospitalar |
| url | https://doi.org/10.14195/1647-7723_30-1_7 |
| visible | 1 |