{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:53:33Z","timestamp":1777852413962,"version":"3.51.4"},"reference-count":25,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2023,12,1]],"date-time":"2023-12-01T00:00:00Z","timestamp":1701388800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Health Management"],"published-print":{"date-parts":[[2023,12]]},"abstract":"<jats:p>This study\u2019s 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\u2019 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.<\/jats:p>","DOI":"10.1177\/09720634231215393","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T09:02:31Z","timestamp":1703840551000},"page":"850-859","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["The Information on Decision-making in Health: From Predictable to Unpredictable"],"prefix":"10.1177","volume":"25","author":[{"given":"Vanessa","family":"de Lima e Souza","sequence":"first","affiliation":[{"name":"Telehealth and Health Systems Research Group, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil"}]},{"given":"Maria Manuel","family":"Borges","sequence":"additional","affiliation":[{"name":"Department of Philosophy, Communication and Information, University of Coimbra, Coimbra, Portugal"}]}],"member":"179","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"bibr1-09720634231215393","doi-asserted-by":"crossref","unstructured":"Barreto A. A. (1998). Mudan\u00e7a estrutural no fluxo do conhecimento: a comunica\u00e7\u00e3o eletr\u00f4nica.\n                      Ci\u00eancia da Informa\u00e7\u00e3o, Bras\u00edlia\n                      , 27(2). http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0100-19651998000200003&lng=en&nrm=iso","DOI":"10.1590\/S0100-19651998000200003"},{"key":"bibr2-09720634231215393","doi-asserted-by":"crossref","unstructured":"Berti I. C. L. W. & Ara\u00fajo C. A. A. (2017). Estudos de usu\u00e1rios e pr\u00e1ticas informacionais: do que estamos falando?\n                      Informa\u00e7\u00e3o & Informa\u00e7\u00e3o\n                      , 22(2), 389\u2013401. http:www.uel.br\/revistas\/informa\u00e7\u00e3o","DOI":"10.5433\/1981-8920.2017v22n2p389"},{"key":"bibr3-09720634231215393","author":"Brazil","year":"2009","journal-title":"A experi\u00eancia brasileira em sistemas de informa\u00e7\u00e3o em sa\u00fade"},{"key":"bibr4-09720634231215393","author":"Brazil","year":"2010","journal-title":"Portaria n\u00ba 201"},{"key":"bibr5-09720634231215393","unstructured":"Cavalcante R. B., Pinheiro M. M. K., Bernardes M. F. V. G., Cunha S. G. S. & Santos C. S. (2011). Fluxo informacional do Sistema de Informa\u00e7\u00e3o da Aten\u00e7\u00e3o B\u00e1sica.\n                      Revista de Enfermagem do Centro Oeste Mineiro\n                      , 1(4), 523\u2013536. https:\/\/www.researchgate.net\/publication\/277148432_Fluxo_informacional_do_Sistema_de_Informacao_da_Atencao_Basica"},{"key":"bibr6-09720634231215393","doi-asserted-by":"publisher","DOI":"10.1590\/1981-5344\/2734"},{"key":"bibr7-09720634231215393","unstructured":"Daniel V. M. (2012).\n                      Os sistemas de Informa\u00e7\u00e3o em Sa\u00fade e seu apoio \u00e0 gest\u00e3o e ao planejamento do SUS: uma an\u00e1lise de estados brasileiros\n                      . [Master dissertation, Pontifical Catholic University of Rio Grande do Sul]. Pontifical Catholic University of Rio Grande do Sul Repository. http:\/\/repositorio.pucrs.br\/dspace\/bitstream\/10923\/1161\/1\/000448564-Texto%2bCompleto-0.pdf"},{"key":"bibr8-09720634231215393","unstructured":"Dervin B. (1983). An overview of\n                      sense making\n                      research: Concepts, methods, and results to date. Paper Presented at Annual meeting of International Communication Association. Dallas. https:\/\/faculty.washington.edu\/wpratt\/MEBI598\/Methods\/An%20Overview%20of%20Sense-Making%20Research%201983a.htm"},{"key":"bibr9-09720634231215393","doi-asserted-by":"publisher","DOI":"10.1016\/S0306-4573(99)00023-0"},{"issue":"2","key":"bibr10-09720634231215393","first-page":"1","volume":"25","author":"Ferreira S. M. S. P.","year":"1995","journal-title":"Bras\u00edlia"},{"key":"bibr11-09720634231215393","unstructured":"Foreit K., Moreland S. & Lafond A. (2006). Data demand and information use in the health sector: A conceptual framework.\n                      Measure Evaluation\n                      . https:\/\/www.measureevaluation.org\/resources\/publications\/ms-06-16a"},{"key":"bibr12-09720634231215393","doi-asserted-by":"crossref","unstructured":"Hollingworth S. A., Downey L., Ruiz F. J., Odame E., Dsane-Selby L., Gyansa-Lutterodt M., Nonvignon J. & Chalkidou K. (2020). What do we need to know? Data sources to support evidence-based decisions using health technology assessment in Ghana.\n                      Health Research Policy and Systems\n                      , 18(41), 1\u201312. https:\/\/health-policy-systems.biomedcentral.com\/articles\/10.1186\/s12961-020-00550-8","DOI":"10.1186\/s12961-020-00550-8"},{"key":"bibr13-09720634231215393","author":"Jamil G. L.","year":"2001","journal-title":"Repensando a TI na empresa moderna"},{"key":"bibr14-09720634231215393","doi-asserted-by":"publisher","DOI":"10.18203\/2394-6040.ijcmph20200991"},{"key":"bibr15-09720634231215393","doi-asserted-by":"publisher","DOI":"10.1590\/S0104-12902015000100005"},{"key":"bibr16-09720634231215393","unstructured":"Maggio M. P. (2018).\n                      Tutela da Sa\u00fade P\u00fablica:\n                      novas perspectivas e a construtiva atua\u00e7\u00e3o do Minist\u00e9rio P\u00fablico. [Doctoral dissertation, University of S\u00e3o Paulo]. University of S\u00e3o Paulo Digital Library. https:\/\/teses.usp.br\/teses\/disponiveis\/6\/6135\/tde-12042018-123251\/publico\/MarceloPauloMaggioSIMPLIFICADA.pdf"},{"key":"bibr17-09720634231215393","unstructured":"Mart\u00ednez-Silveira M. S. (2005).\n                      A informa\u00e7\u00e3o cient\u00edfica na pr\u00e1tica m\u00e9dica: estudo do comportamento informacional do m\u00e9dico-residente\n                      . [Masters dissertation, Federal University of Bahia]. Federal University of Bahia Institutional Repository. http:\/\/repositorio.ufba.br\/ri\/handle\/ri\/8175"},{"key":"bibr18-09720634231215393","unstructured":"de Moraes I. H. S., Lima V., Risi J. B., Quevedo D. & Dias N. X. (2013). RIPSA no Estado: Inova\u00e7\u00e3o na gest\u00e3o da informa\u00e7\u00e3o em sa\u00fade no Brasil?\n                      Revista Eletr\u00f4nica de Comunica\u00e7\u00e3o, Informa\u00e7\u00e3o e Inova\u00e7\u00e3o em Sa\u00fade\n                      , 7(2). https:\/\/www.reciis.icict.fiocruz.br\/index.php\/reciis\/article\/view\/486"},{"key":"bibr19-09720634231215393","volume-title":"Management information systems","author":"O\u2019Brien J. A.","year":"2011","edition":"10"},{"key":"bibr20-09720634231215393","author":"Santos B. de. S.","year":"2010","journal-title":"A gram\u00e1tica do tempo: para uma nova cultura pol\u00edtica"},{"key":"bibr21-09720634231215393","author":"Silva A.","year":"2004","journal-title":"Sistemas de informa\u00e7\u00e3o na administra\u00e7\u00e3o p\u00fablica"},{"key":"bibr22-09720634231215393","unstructured":"Souza V. de L. e. (2011).\n                      Pr\u00e1tica participativa em um Conselho Municipal de Sa\u00fade: resultado da apropria\u00e7\u00e3o de informa\u00e7\u00e3o e da incorpora\u00e7\u00e3o de \u2019capital social\u2019?\n                      [Masters dissertation, Oswaldo Cruz Foundation]. Oswaldo Cruz Foundation Repository. https:\/\/www.arca.fiocruz.br\/bitstream\/icict\/24281\/1\/830.pdf"},{"key":"bibr23-09720634231215393","unstructured":"Souza V. de L. e (2018).\n                      O processo decis\u00f3rio em sa\u00fade: gestores, informa\u00e7\u00e3o e o cuidado \u00e0 sa\u00fade\n                      . [Doctoral dissertation, Oswaldo Cruz Foundation, University of Coimbra]. Oswaldo Cruz Foundation Repository. https:\/\/www.arca.fiocruz.br\/bitstream\/icict\/31712\/2\/vanessa_souza_icict_dout_2018.pdf"},{"key":"bibr24-09720634231215393","volume-title":"Fundamentals of information systems","author":"Stair R.","year":"2015","edition":"8"},{"key":"bibr25-09720634231215393","doi-asserted-by":"publisher","DOI":"10.1108\/EUM0000000007145"}],"container-title":["Journal of Health Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09720634231215393","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09720634231215393","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09720634231215393","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:36:01Z","timestamp":1777502161000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/09720634231215393"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,12]]},"references-count":25,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,12]]}},"alternative-id":["10.1177\/09720634231215393"],"URL":"https:\/\/doi.org\/10.1177\/09720634231215393","relation":{},"ISSN":["0972-0634","0973-0729"],"issn-type":[{"value":"0972-0634","type":"print"},{"value":"0973-0729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,12]]}}}