Hospital costs of maternal near miss: a micro-costing analysis.

Background: This micro-costing study assessed hospital admissions for maternal near miss in a high-complexity maternity referral center in Brazil. The findings revealed an average cost of US$ 1,427.70 per admission, with personnel costs being the main driver.

Parental Stress, Depression, Anxiety, and Participation in Neonatal Care in a Referral Brazilian NICU over Different Phases of the COVID-19 Pandemic.

During the COVID-19 pandemic, neonatal care units had to change protocols, and little is known about its impact on parents' mental health. This study aimed to evaluate parental stress, depression, anxiety, and participation in neonatal care in a Brazilian neonatal intensive care unit (NICU) and observe changes over two different periods of the COVID-19 pandemic. Cross-sectional study comparing stress, depression, anxiety, and participation in neonatal care levels between two time periods: T1, high COVID-19 incidence (May 2020 to July 2020 and March 2021 to June 2021) and T2, low COVID-19 incidence (August 2020 to February 2021 and July 2021 to December 2021).

[More Doctors Program: characterizing the quality of primary care by the type of medical provision].

This study characterized the quality of primary care based on the responses of professionals and users, focusing on the type of physician - whether or not they were included in the More Doctors Program (PMM, acronym in Portuguese). A cross-sectional study was conducted applying the Quality and Strengthening of Primary Care Questionnaire to 149 physicians and 795 users in basic health units in Pernambuco State, Brazil, from February to November 2018. The present study used the concept of PMM provision which foresees the allocation of medical professionals to an areas of social vulnerability.

Telemedicine minimum viable product for post-exposure prophylaxis to biological material in the COVID-19 pandemic.

Introduction: The COVID-19 pandemic brought new challenges for health services. The follow-up of cases of exposure to biological material is regulated by protocols of the Ministry of Health in Brazil. Telemedicine can be useful in maintaining appointments and reducing patient crowding.

Development and validation of a questionnaire (QSPC-Q) for assessment of quality and strengthening of primary care in Brazil.

The performance evaluation of services through instruments is relevant, as it can support thoughts, actions and political approaches to meet a social need. The objective of the article was to develop and validate the Quality and Strengthening of Primary Care Questionnaire (QSPC-Q) for professionals and users based on Starfield attributes and Donabedian pillars. A mixed sequential study was performed to develop the QSPC-Q.

Telemedicine in Post-Exposure Prophylaxis to Biological Material During the COVID-19 Pandemic: Impact on Care and Outcome Indicators.

The restrictions on face-to-face care for exposure to biological material during the COVID-19 pandemic required alternatives to maintain outpatient assistance. This study evaluated the impact of telemedicine on care and outcome indicators of a reference service for exposure to biological material during the COVID-19 pandemic. This pre- and post-study compared the effectiveness of telemedicine in the Hospital Correia Picanço in Recife (Pernambuco, Brazil) before (August 2018 to January 2019 [P1]) and during the COVID-19 pandemic (August 2020 to January 2021 [P2]).

[Evaluation of the effectiveness of the intervention to improve the Brazilian Mortality Information System in Pernambuco, Brazil: a quasi-experimental study].

This study evaluated the influence of the variation in the implementation of the Brazilian Mortality Information System (SIM) on the results, before and after the intervention to improve the system in Pernambuco, Brazil. The SIM logical model and matrix of indicators and assessment were described, primary data were collected from the 184 municipalities and secondary data were collected from the system database. The degree of implementation (DI) was obtained from the indicators of structure and process, and then related to result indicators, based on the model.

Prevalence, Trends and Conditions for the DTP3 Vaccine: A 25-Year Historical Perspective.

Background: The aim was to verify the prevalence of vaccination coverage, tendency and factors of the third dose of the vaccine against diphtheria, tetanus and pertussis-DTP3 in surveys over the period of 25 years in a state of the Northeast of Brazil.

Methods: Cross-sectional and temporal series, utilizing ad hoc database, were extracted from the Health and Nutrition State Research 1991, 1997, 2006 and 2015/2016. Children from 12 to 23 months of age with proof in the vaccination card were included.

Sociodemographic, Behavioral and Oral Health Factors in Maternal and Child Health: An Interventional and Associative Study from the Network Perspective.

Oral healthcare during pregnancy needs to be part of the assistance routine given to pregnant women by health professionals as a way to encourage self-care and strengthen the general health of the mother and the baby. The aim of this study was to evaluate the effectiveness of an integrated oral healthcare intervention for pregnant women and to analyze the association of sociodemographic, behavioral, oral health and general maternal and child health factors in prenatal care at usual risk in primary care in a city in the northeast of Brazil, in 2018-2019. A controlled, randomized, single-blinded community trial was conducted.

Responsiveness of Specialized Hearing Rehabilitation Centers in Maceió: User Evaluation.

Purpose: To evaluate the responsiveness of hearing health services as a measure of user satisfaction.

Method: Cross-sectional study conducted in four Specialized Hearing Rehabilitation Centers (SHRC), accredited by the National Health System (SUS) in Maceió, state of Alagoas, Brazil, henceforth named SHRC-A, -B, -C and -D. The sample size was calculated proportional to the number of users aged >18 years who received hearing aids by SHRC.

Sociodemographic and health care profile of maternal death in Recife, PE, Brazil, 2006-2017: a descriptive study.

Objective: to describe the sociodemographic and health care characteristics of women dying due to maternal causes in Recife, Pernambuco, Brazil.

Methods: this was a descriptive study using the Mortality Information System, case investigation sheets and summary sheets of early and late maternal deaths occurring between 2006 and 2017, with avoidability assessed by the Municipal Maternal Mortality Committee.

Results: we identified 171 deaths, of which 133 were in the puerperium; most deaths occurred among Black women (68.

Estimation of the Costs of Invasive Cervical Cancer Treatment in Brazil: A Micro-Costing Study.

Objective:  The main objective of the present study was to estimate the annual treatment costs of invasive cervical cancer (ICC) per patient at an oncology center in Brazil from a societal perspective by considering direct medical, direct nonmedical, and indirect costs.

Methods:  A cost analysis descriptive study, in which direct medical, direct nonmedical, and indirect costs were collected using a microcosting approach, was conducted between May 2014 and July 2016 from a societal perspective. The study population consisted of women diagnosed with ICC admitted to a tertiary hospital in Recife, state of Pernambuco, Brazil.

Evaluation of the implantation of the Mortality Information System in Pernambuco state, Brazil, in 2012.

Objective: to evaluate the implantation of the Mortality Information System (SIM) in Pernambuco, Brazil.

Methods: this was an evaluation study; primary data (questionnaires) and secondary data (SIM) were used for the municipalities to estimate the degree of implantation (DI), comparing structure and process indicators with outcome indicators; data were consolidated by region and state.

Results: SIM was partially implanted in the state (70.

Evaluation of the implantation of the Notifiable Diseases Information System in Pernambuco state, Brazil, 2014.

Objective: to evaluate the implantation of the Notifiable Diseases Information System (SINAN) in Pernambuco, Brasil, 2014.

Methods: This was an evaluation study based on primary data (interviews) and secondary data (SINAN documents/data) provided by the State Health Department and its Regional Divisions in order to estimate the degree of SINAN implantation, comparing structure and process indicators with results achieved.

Results: SINAN was found to be partially implemented at central level (77.

Cancer patients, emergencies service and provision of palliative care.

Objective: To describe the clinical and sociodemographic profile of cancer patients admitted to the Emergency Center for High Complexity Oncologic Assistance, observing the coverage of palliative and home care.

Method: Cross sectional study including adult cancer patients admitted to the emergency service (September-December/2011) with a minimum length of hospital stay of two hours. Student's t-test and Pearson chi-square test were used to compare the means.

[Analysis of the implementation of the TeleHealth Program in Pernambuco State, Brazil: a case study].

The Network of TeleHealth Centers (RedeNutes) is part of the TeleHealth Brazil Program and conducts activities for the Family Health Strategy through the telecare and teleeducation services. The objective of this study was to evaluate the degree of implementation of RedeNutes in six municipalities (counties) in Pernambuco State. This was an evaluation study analyzing implementation in the second component, referring to analysis of the impact of implementation on the observed effects, backed by the multiple case study strategy.

An exploratory study of the costs and consequences of prenatal care in the Family Health Program.

Objective: To assess costs and consequences of prenatal care on perinatal morbidity and mortality.

Methods: Evaluation study using two types of analysis: implementation and efficiency analysis, carried out at 11 Family Health Units in the Recife, Northeastern Brazil, in 2006. The costs were calculated by means of the activity-based costing technique and the cost-effectiveness ratio was calculated for each consequence.

[Breast-feeding: assessment of the implementation of a program at basic healthcare units in Recife, Pernambuco State (2002)].

This paper analyses the implementation level of a breast-feeding incentive program at Government healthcare facilities in Recife, Pernambuco State, Brazil, through a normative assessment conducted through 84 Family Health Teams and at 42 Health Centers in January 2002. A tool containing structured questions was used, related to rules and routines for promoting breast-feeding. The Family Health Teams performed better, with the actions implemented in 7.

Hypothermia on admission: a risk factor for death in newborns referred to the Pernambuco Institute of Mother and Child Health.

The objective of this study was to determine the mortality risk related to hypothermia at the moment of admission and other factors such as clinical and geographical related to the transportation of the newborns admitted to the Instituto Materno Infantil de Pernambuco IMIP from 8 March to 11 June 2000. A prospective study involving 320 newborns arriving from home or health centres was carried out. Babies that were dead on arrival or subsequently transferred to other units were excluded.