{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,21]],"date-time":"2026-03-21T21:13:08Z","timestamp":1774127588845,"version":"3.50.1"},"reference-count":34,"publisher":"FapUNIFESP (SciELO)","issue":"12","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Cad. Sa\u00fade P\u00fablica"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:p>Apesar dos meios para assist\u00eancia adequada aos pacientes de dengue na rede de sa\u00fade, os \u00edndices de letalidade pela doen\u00e7a mant\u00eam-se altos no Brasil. Visando a identificar implica\u00e7\u00f5es para ocorr\u00eancia do \u00f3bito, este estudo avaliou a qualidade da assist\u00eancia conforme grau de implanta\u00e7\u00e3o das a\u00e7\u00f5es, qualidade t\u00e9cnico-cient\u00edfica da aten\u00e7\u00e3o e acesso aos servi\u00e7os de sa\u00fade, em dois munic\u00edpios do Nordeste do Brasil. Realizou-se pesquisa avaliativa, do tipo an\u00e1lise de implanta\u00e7\u00e3o, tendo o \u00f3bito por dengue como evento sentinela da qualidade da assist\u00eancia. Para avalia\u00e7\u00e3o do grau de implanta\u00e7\u00e3o e qualidade da aten\u00e7\u00e3o, pontuaram-se os crit\u00e9rios das entrevistas e an\u00e1lise dos prontu\u00e1rios; para o acesso, procedeu-se \u00e0 an\u00e1lise tem\u00e1tica. Quanto \u00e0 estrutura e ao processo, os servi\u00e7os de sa\u00fade encontram-se parcialmente adequados (70%). N\u00e3o foram encontradas barreiras geogr\u00e1ficas e econ\u00f4micas que justificassem a ocorr\u00eancia dos \u00f3bitos. A qualidade t\u00e9cnico-cient\u00edfica n\u00e3o alcan\u00e7ou a adequa\u00e7\u00e3o nos munic\u00edpios (46% e 30%) e nos servi\u00e7os avaliados, observando-se insufici\u00eancia no manejo cl\u00ednico da dengue nos servi\u00e7os de sa\u00fade.<\/jats:p>","DOI":"10.1590\/s0102-311x2011001200009","type":"journal-article","created":{"date-parts":[[2012,1,4]],"date-time":"2012-01-04T08:21:27Z","timestamp":1325665287000},"page":"2373-2385","source":"Crossref","is-referenced-by-count":12,"title":["\u00d3bito por dengue como evento sentinela para avalia\u00e7\u00e3o da qualidade da assist\u00eancia: estudo de caso em dois munic\u00edpios da Regi\u00e3o Nordeste, Brasil, 2008"],"prefix":"10.1590","volume":"27","author":[{"given":"Ana Cl\u00e1udia","family":"Figueir\u00f3","sequence":"first","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira, Brasil"}]},{"given":"Zulmira Maria de Ara\u00fajo","family":"Hartz","sequence":"additional","affiliation":[{"name":"Universidade Nova de Lisboa, Portugal"}]},{"given":"Carlos Alexandre Antunes de","family":"Brito","sequence":"additional","affiliation":[{"name":"Universidade Federal de Pernambuco, Brasil"}]},{"given":"Isabella","family":"Samico","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira, Brasil"}]},{"given":"No\u00eamia Teixeira de","family":"Siqueira Filha","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira, Brasil"}]},{"given":"Gisele","family":"Cazarin","sequence":"additional","affiliation":[{"name":"Instituto de Medicina Integral Prof. Fernando Figueira, Brasil"}]},{"given":"Cynthia","family":"Braga","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brasil"}]},{"given":"Eduarda \u00c2ngela Pessoa","family":"Cesse","sequence":"additional","affiliation":[{"name":"Funda\u00e7\u00e3o Oswaldo Cruz, Brasil"}]}],"member":"530","reference":[{"key":"ref1","series-title":"Dengue and dengue hemorrhagic fever: Fact sheet, 117"},{"key":"ref2","series-title":"Dengue - casos da doen\u00e7a no Brasil","year":"2010"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"S7","DOI":"10.1590\/S0102-311X2009001300002","article-title":"Dengue: twenty-five years since reemergence in Brazil","volume":"25","author":"Teixeira MG","year":"2009","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1590\/S0037-86822007000200009","article-title":"Estudo retrospectivo (hist\u00f3rico) da dengue no Brasil: caracter\u00edsticas regionais e din\u00e2micas","volume":"40","author":"C\u00e2mara FP","year":"2007","journal-title":"Rev Soc Bras Med Trop","ISSN":"https:\/\/id.crossref.org\/issn\/0037-8682","issn-type":"print"},{"key":"ref5","year":"2002"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"60","DOI":"10.1590\/S1020-49892006000700013","article-title":"La prevenci\u00f3n de la mortalidad por dengue: un espacio y un reto para la atenci\u00f3n primaria de salud","volume":"20","author":"Torres ME","year":"2006","journal-title":"Rev Panam Salud P\u00fablica"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"S22","DOI":"10.2223\/JPED.1622","article-title":"Dengue and dengue hemorrhagic fever: management issues in an intensive care unit","volume":"83","author":"Singhi S","year":"2007","journal-title":"J Pediatr","ISSN":"https:\/\/id.crossref.org\/issn\/0022-3476","issn-type":"print"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"166","DOI":"10.2307\/3348969","article-title":"Evaluating the quality of medical care","volume":"44","author":"Donabedian A","year":"1966","journal-title":"Milbank Q","ISSN":"https:\/\/id.crossref.org\/issn\/0887-378X","issn-type":"print"},{"key":"ref9","first-page":"1115","article-title":"The seven pillars of quality","volume":"114","author":"Donabedian A","year":"1990","journal-title":"Arch Pathol Lab Med","ISSN":"https:\/\/id.crossref.org\/issn\/0003-9985","issn-type":"print"},{"key":"ref10","first-page":"17","article-title":"A qualidade da sa\u00fade","volume":"3","author":"Vuori H","year":"1991","journal-title":"Divulg Sa\u00fade Debate"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"1561","DOI":"10.1590\/S0102-311X2002000600009","article-title":"Qualidade e subjetividade na avalia\u00e7\u00e3o de programas e servi\u00e7os de sa\u00fade","volume":"18","author":"Uchimura KY","year":"2002","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref12","series-title":"Dengue, diagn\u00f3stico e manejo cl\u00ednico","year":"2007"},{"key":"ref13","first-page":"438","article-title":"El concepto y la medici\u00f3n de accesibilidad","volume":"27","author":"Frenk J","year":"1985","journal-title":"Salud P\u00fablica M\u00e9x","ISSN":"https:\/\/id.crossref.org\/issn\/0036-3634","issn-type":"print"},{"key":"ref14","series-title":"L'\u00e9valuation: concepts et m\u00e9thodes","first-page":"225","volume-title":"L'analyse de l'implantation","author":"Champagne F","year":"2009"},{"key":"ref15","series-title":"Estudo de caso: planejamento e m\u00e9todo","author":"Yin RK","year":"2005","edition":"3\u00aa"},{"key":"ref16","series-title":"The Joint Commission: Sentinel event policy and procedures","year":"2007"},{"key":"ref17","doi-asserted-by":"crossref","first-page":"582","DOI":"10.1056\/NEJM197603112941104","article-title":"Measuring the quality of medical care: a clinical method","volume":"294","author":"Rutstein DD","year":"1976","journal-title":"N Engl J Med","ISSN":"https:\/\/id.crossref.org\/issn\/0028-4793","issn-type":"print"},{"key":"ref18","doi-asserted-by":"crossref","first-page":"310","DOI":"10.1590\/S0034-89101996000400004","article-title":"Mortalidade infantil \"evit\u00e1vel\" em duas cidades do nordeste do Brasil: indicador de qualidade do sistema local de sa\u00fade","volume":"30","author":"Hartz ZMA","year":"1996","journal-title":"Rev Sa\u00fade P\u00fablica"},{"key":"ref19","series-title":"Sentinel events in Australian public hospitals 2004-05"},{"key":"ref20","series-title":"Osservatorio Nazionale sugli Eventi Sentinella: Protocollo per il monitoraggio degli eventi sentinella"},{"key":"ref21","doi-asserted-by":"crossref","first-page":"S283","DOI":"10.1590\/S0102-311X2004000800022","article-title":"Teste de uma metodologia para avaliar a organiza\u00e7\u00e3o, acesso e qualidade t\u00e9cnica do cuidado na aten\u00e7\u00e3o \u00e0 diarr\u00e9ia na inf\u00e2ncia","volume":"20","author":"Lopes RM","year":"2004","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref22","series-title":"O contexto local, a organiza\u00e7\u00e3o da aten\u00e7\u00e3o prim\u00e1ria e a implementa\u00e7\u00e3o de redes integradas de aten\u00e7\u00e3o \u00e0 sa\u00fade: resultados da avalia\u00e7\u00e3o de dois estudos de caso","author":"Medina MG","year":"2006"},{"key":"ref23","series-title":"Aten\u00e7\u00e3o b\u00e1sica e integralidade: contribui\u00e7\u00f5es para estudos de pr\u00e1ticas avaliativas em sa\u00fade","first-page":"167","volume-title":"O itiner\u00e1rio terap\u00eautico como uma tecnologia avaliativa da integralidade em sa\u00fade","author":"Bellato R","year":"2008"},{"key":"ref24","doi-asserted-by":"crossref","first-page":"77","DOI":"10.1191\/1478088706qp063oa","article-title":"Using thematic analysis in psychology","volume":"3","author":"Braun V","year":"2006","journal-title":"Qualitative Research in Psychology"},{"key":"ref25","series-title":"Diretrizes nacionais para preven\u00e7\u00e3o e controle de epidemias de dengue: S\u00e9rie A. Normas e manuais t\u00e9cnicos","year":"2009"},{"key":"ref26","doi-asserted-by":"crossref","first-page":"437","DOI":"10.1590\/S1519-38292006000400011","article-title":"An\u00e1lise de implanta\u00e7\u00e3o das \u00e1reas estrat\u00e9gicas da aten\u00e7\u00e3o b\u00e1sica nas equipes de Sa\u00fade da Fam\u00edlia em munic\u00edpios de uma Regi\u00e3o Metropolitana do Nordeste Brasileiro","volume":"6","author":"Cavalcante MGS","year":"2006","journal-title":"Rev Bras Sa\u00fade Matern Infant"},{"key":"ref27","series-title":"An\u00e1lise de implanta\u00e7\u00e3o da Pol\u00edtica de Qualifica\u00e7\u00e3o da Aten\u00e7\u00e3o \u00e0 Sa\u00fade do Minist\u00e9rio da Sa\u00fade - Pol\u00edtica Qualisus - em tr\u00eas hospitais do munic\u00edpio do Recife","author":"Gusm\u00e3o-Filho FAR","year":"2008"},{"key":"ref28","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1590\/S1519-38292005000200012","article-title":"Aten\u00e7\u00e3o \u00e0 sa\u00fade da crian\u00e7a: uma an\u00e1lise do grau de implanta\u00e7\u00e3o e da satisfa\u00e7\u00e3o de profissionais e usu\u00e1rios em dois munic\u00edpios do estado de Pernambuco, Brasil","volume":"5","author":"Samico I","year":"2005","journal-title":"Rev Bras Sa\u00fade Matern Infant"},{"key":"ref29","doi-asserted-by":"crossref","first-page":"73","DOI":"10.3410\/M1-73","article-title":"Assessing the prognosis of dengue-infected patients","volume":"1","author":"Halstead SB","year":"2009","journal-title":"F1000 Med Rep"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"S331","DOI":"10.1590\/S0102-311X2004000800026","article-title":"Integralidade da aten\u00e7\u00e3o e integra\u00e7\u00e3o de servi\u00e7os de sa\u00fade: desafios para avaliar a implanta\u00e7\u00e3o de um \"sistema sem muros\"","volume":"20","author":"Hartz ZMA","year":"2004","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref31","doi-asserted-by":"crossref","first-page":"509","DOI":"10.1590\/S0021-75572002000600012","article-title":"Vigil\u00e2ncia de \u00f3bitos infantis como indicador da efetividade do sistema de sa\u00fade: estudo em um munic\u00edpio do interior do Nordeste brasileiro","volume":"78","author":"Frias PG","year":"2002","journal-title":"J Pediatr (Rio J.)"},{"key":"ref32","doi-asserted-by":"crossref","first-page":"1307","DOI":"10.1590\/S0102-311X2005000500002","article-title":"Dengue and dengue hemorrhagic fever epidemics in Brazil: what research is needed based on trends, surveillance, and control experiences?","volume":"21","author":"Teixeira MG","year":"2005","journal-title":"Cad Sa\u00fade P\u00fablica"},{"key":"ref33","doi-asserted-by":"crossref","first-page":"534","DOI":"10.4269\/ajtmh.2007.77.534","article-title":"Clinical intervention and molecular characteristics of a dengue hemorrhagic fever outbreak in Timor Leste, 2005","volume":"77","author":"Kalayanarooj S","year":"2007","journal-title":"Am J Trop Med Hyg","ISSN":"https:\/\/id.crossref.org\/issn\/0002-9637","issn-type":"print"},{"key":"ref34","doi-asserted-by":"crossref","first-page":"262","DOI":"10.1186\/1471-2458-7-262","article-title":"Health seeking and access to care for children with suspected dengue in Cambodia: an ethnographic study","volume":"7","author":"Khun S","year":"2007","journal-title":"BMC Public Health"}],"container-title":["Cadernos de Sa\u00fade P\u00fablica"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/csp\/v27n12\/09.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,12,24]],"date-time":"2021-12-24T06:05:27Z","timestamp":1640325927000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S0102-311X2011001200009&lng=pt&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":34,"journal-issue":{"issue":"12","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["S0102-311X2011001200009"],"URL":"https:\/\/doi.org\/10.1590\/s0102-311x2011001200009","relation":{},"ISSN":["0102-311X"],"issn-type":[{"value":"0102-311X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,12]]}}}