Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional
Ano de defesa: | 2011 |
---|---|
Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Pontifícia Universidade Católica de São Paulo
|
Programa de Pós-Graduação: |
Programa de Estudos Pós-Graduados em Fonoaudiologia
|
Departamento: |
Fonoaudiologia
|
País: |
BR
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | https://tede2.pucsp.br/handle/handle/11886 |
Resumo: | Introduction: Hearing impairment is considered a public health problem by the impact of sensory deprivation on child development as well as it´s prevalence. Hearing Health Policy in Brazil was boosted after the Ministry of Health published the National Ordinance Hearing Health Care in 2004. After the six years of implementation, it is time to evaluate actions and propose improvements. Goal: The aim of this study is to describe and analyze demographic, audiological and organizational processes of the Center for Hearing in Children (Centro de Audição na Criança - CeAC), a service that provides of high complexity procedures within the municipal network of the Secretary of Health of Sao Paulo, aimed at children from birth to age three, within the period 2004 to 2009. Method: During the study period, 3000 patients were registered in the service database. Of these, we selected 865 records of patients who completed the diagnostic process. The data from the charts were analyzed using descriptive and inferential analysis of demographic and audiological characteristics of the population, and some aspects of the intervention with hearing aids, analyzing trends over the period studied within annual intervals.Results: The results show that 54% of children diagnosed with hearing loss are male. As for region of residence, 75.8% lived in São Paulo, of whom 47.9% were residents of regions of references CeAC. The percentages of subjects with hearing loss are not all alike in the years 2004 to 2009. Regarding the degree and type of hearing loss, there is predominance profound hearing loss; when considering patients with unilateral hearing, loss there was predominantly conductive hearing loss. Among those with bilateral hearing loss, there was predominantly neurosensory hearing loss. The average age of diagnosis of children referred by Hospitals is smaller than in other categories. The chance of hearing impairment in Espontaneous Demand is higher than in hospital. There are significant differences between the distributions of age at diagnosis, degree and type of hearing loss. Method: During the study period, 3000 patients were registered in the service database. Of these, we selected 865 records of patients who completed the diagnostic process. The data from the charts were analyzed using descriptive and inferential analysis of demographic and audiological characteristics of the population, and some aspects of the intervention with hearing aids, analyzing trends over the period studied within annual intervals.Results: The results show that 54% of children diagnosed with hearing loss are male. As for region of residence, 75.8% lived in São Paulo, of whom 47.9% were residents of regions of references CeAC. The percentages of subjects with hearing loss are not all alike in the years 2004 to 2009. Regarding the degree and type of hearing loss, there is predominance profound hearing loss; when considering patients with unilateral hearing, loss there was predominantly conductive hearing loss. Among those with bilateral hearing loss, there was predominantly neurosensory hearing loss. The average age of diagnosis of children referred by Hospitals is smaller than in other categories. The chance of hearing impairment in Espontaneous Demand is higher than in hospital. There are significant differences between the distributions of age at diagnosis, degree and type of hearing loss |
id |
PUC_SP-1_e96af7212037ff9e122f3066f7ae84fb |
---|---|
oai_identifier_str |
oai:repositorio.pucsp.br:handle/11886 |
network_acronym_str |
PUC_SP-1 |
network_name_str |
Biblioteca Digital de Teses e Dissertações da PUC_SP |
repository_id_str |
|
spelling |
Novaes, Beatriz Cavalcanti de Albuquerque Caiubyhttp://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4267228U0Silva, Tatiane Alencar2016-04-27T18:11:50Z2011-03-172011-02-22Silva, Tatiane Alencar. Process of establishing an office of high complexity on hearing health (2004-2009): demographic, audiological and organizational. 2011. 139 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011.https://tede2.pucsp.br/handle/handle/11886Introduction: Hearing impairment is considered a public health problem by the impact of sensory deprivation on child development as well as it´s prevalence. Hearing Health Policy in Brazil was boosted after the Ministry of Health published the National Ordinance Hearing Health Care in 2004. After the six years of implementation, it is time to evaluate actions and propose improvements. Goal: The aim of this study is to describe and analyze demographic, audiological and organizational processes of the Center for Hearing in Children (Centro de Audição na Criança - CeAC), a service that provides of high complexity procedures within the municipal network of the Secretary of Health of Sao Paulo, aimed at children from birth to age three, within the period 2004 to 2009. Method: During the study period, 3000 patients were registered in the service database. Of these, we selected 865 records of patients who completed the diagnostic process. The data from the charts were analyzed using descriptive and inferential analysis of demographic and audiological characteristics of the population, and some aspects of the intervention with hearing aids, analyzing trends over the period studied within annual intervals.Results: The results show that 54% of children diagnosed with hearing loss are male. As for region of residence, 75.8% lived in São Paulo, of whom 47.9% were residents of regions of references CeAC. The percentages of subjects with hearing loss are not all alike in the years 2004 to 2009. Regarding the degree and type of hearing loss, there is predominance profound hearing loss; when considering patients with unilateral hearing, loss there was predominantly conductive hearing loss. Among those with bilateral hearing loss, there was predominantly neurosensory hearing loss. The average age of diagnosis of children referred by Hospitals is smaller than in other categories. The chance of hearing impairment in Espontaneous Demand is higher than in hospital. There are significant differences between the distributions of age at diagnosis, degree and type of hearing loss. Method: During the study period, 3000 patients were registered in the service database. Of these, we selected 865 records of patients who completed the diagnostic process. The data from the charts were analyzed using descriptive and inferential analysis of demographic and audiological characteristics of the population, and some aspects of the intervention with hearing aids, analyzing trends over the period studied within annual intervals.Results: The results show that 54% of children diagnosed with hearing loss are male. As for region of residence, 75.8% lived in São Paulo, of whom 47.9% were residents of regions of references CeAC. The percentages of subjects with hearing loss are not all alike in the years 2004 to 2009. Regarding the degree and type of hearing loss, there is predominance profound hearing loss; when considering patients with unilateral hearing, loss there was predominantly conductive hearing loss. Among those with bilateral hearing loss, there was predominantly neurosensory hearing loss. The average age of diagnosis of children referred by Hospitals is smaller than in other categories. The chance of hearing impairment in Espontaneous Demand is higher than in hospital. There are significant differences between the distributions of age at diagnosis, degree and type of hearing lossIntrodução: A deficiência auditiva é considerada um problema de saúde pública pelo impacto da privação sensorial no desenvolvimento infantil e pela sua prevalência, a Saúde Auditiva no Brasil ganhou um formato especial depois que o Ministério da Saúde publicou a Portaria Nacional de Atenção a Saúde Auditiva em 2004. Passados estes seis anos de implantação dessa Política, é o momento de avaliar as ações e propor melhorias. Objetivo: O objetivo deste estudo é descrever e analisar aspectos demográficos, audiológicos e organizacionais do processo de estabelecimento do Centro Audição na Criança - CeAC, um serviço de Alta Complexidade na Saúde Auditiva voltado a crianças do nascimento aos três anos de idade, na perspectiva de sua inserção na rede municipal de saúde de São Paulo, no período de 2004 a 2009. Método: No período estudado foram registrados 3000 pacientes no sistema de agendamento. Destes, foram selecionados os prontuários de pacientes que completaram o processo de diagnóstico no CeAC, totalizando 865 pacientes. Foi realizada análise descritiva e inferencial das características demográficas e audiológicas da população estudada, e alguns aspectos relativos à intervenção com os Aparelhos de Amplificação Sonora Individual, analisando tendências ao longo do período estudado, estes foram sistematizados segundo intervalos anuais. Resultados: Os resultados mostram que: 54% das crianças com diagnóstico de deficiência auditiva eram do gênero masculino. Quanto à região de moradia, 75,8% residiam no município de São Paulo, destes, 47,9% eram residentes das regiões de referências do CeAC. As porcentagens dos sujeitos com deficiência auditiva não são todas iguais nos anos de 2004 a 2009. Em relação ao grau e tipo de perda auditiva, houve predominância das perdas auditivas profundas; dos pacientes que apresentaram perda auditiva unilateral houve predominância de perdas auditivas condutivas e para os pacientes com perda auditiva bilateral houve predominância de perdas auditivas neurosensoriais. A média da idade do diagnóstico na procedência Hospital é menor que nas demais procedências. A chance de ter deficiência auditiva em Demanda Espontânea é maior que em Hospital. Há diferença significativa entre as distribuições da idade do diagnóstico, grau e tipo de perda auditiva. Conclusão: Há a necessidade de aprimoramento dos registros dos prontuários, sendo proposto um sistema de gestão integrada, visando organizar e centralizar o armazenamento dos dados dos pacientes, atualmente provenientes de fontes diversas em um único sistema de informação, esse sistema favorecerá uma avaliação contínua do serviço de saúde auditiva. O estabelecimento e a sistematização de informações relativas ao funcionamento dos serviços são de grande importância, na medida em que possam ser estabelecidos os parâmetros desejáveis para a rede de Saúde Auditiva e ainda que possibilitem comparação entre os serviços de alta complexidadeConselho Nacional de Desenvolvimento Científico e Tecnológicoapplication/pdfhttp://tede2.pucsp.br/tede/retrieve/24724/Tatiane%20Alencar%20Silva.pdf.jpgporPontifícia Universidade Católica de São PauloPrograma de Estudos Pós-Graduados em FonoaudiologiaPUC-SPBRFonoaudiologiaDeficiência auditivaCriançaAuxiliares de audiçãoAssistência à saúdeQualidade da assistência à saúdeHearing lossChildHearing aidsQuality assuranceHealth careDelivery of health careCNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIAProcesso de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacionalProcess of establishing an office of high complexity on hearing health (2004-2009): demographic, audiological and organizationalinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesisinfo:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_SPinstname:Pontifícia Universidade Católica de São Paulo (PUC-SP)instacron:PUC_SPTEXTTatiane Alencar Silva.pdf.txtTatiane Alencar Silva.pdf.txtExtracted texttext/plain203614https://repositorio.pucsp.br/xmlui/bitstream/handle/11886/3/Tatiane%20Alencar%20Silva.pdf.txtc9805cfcd3b4200f31828869c15b5fccMD53ORIGINALTatiane Alencar Silva.pdfapplication/pdf4029497https://repositorio.pucsp.br/xmlui/bitstream/handle/11886/1/Tatiane%20Alencar%20Silva.pdf0ed7bbfb7a4ca86e9a06cacfae9bd25fMD51THUMBNAILTatiane Alencar Silva.pdf.jpgTatiane Alencar Silva.pdf.jpgGenerated Thumbnailimage/jpeg2104https://repositorio.pucsp.br/xmlui/bitstream/handle/11886/2/Tatiane%20Alencar%20Silva.pdf.jpgc4715912a635b5fbde63d2a9b070733fMD52handle/118862022-04-27 17:41:54.78oai:repositorio.pucsp.br:handle/11886Biblioteca Digital de Teses e Dissertaçõeshttps://sapientia.pucsp.br/https://sapientia.pucsp.br/oai/requestbngkatende@pucsp.br||rapassi@pucsp.bropendoar:2022-04-27T20:41:54Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP)false |
dc.title.por.fl_str_mv |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
dc.title.alternative.eng.fl_str_mv |
Process of establishing an office of high complexity on hearing health (2004-2009): demographic, audiological and organizational |
title |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
spellingShingle |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional Silva, Tatiane Alencar Deficiência auditiva Criança Auxiliares de audição Assistência à saúde Qualidade da assistência à saúde Hearing loss Child Hearing aids Quality assurance Health care Delivery of health care CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
title_short |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
title_full |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
title_fullStr |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
title_full_unstemmed |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
title_sort |
Processo de estabelecimento de um serviço de alta complexidade na saúde auditiva (2004-2009): caracterização, audiológica, demográfica e organizacional |
author |
Silva, Tatiane Alencar |
author_facet |
Silva, Tatiane Alencar |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Novaes, Beatriz Cavalcanti de Albuquerque Caiuby |
dc.contributor.authorLattes.fl_str_mv |
http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4267228U0 |
dc.contributor.author.fl_str_mv |
Silva, Tatiane Alencar |
contributor_str_mv |
Novaes, Beatriz Cavalcanti de Albuquerque Caiuby |
dc.subject.por.fl_str_mv |
Deficiência auditiva Criança Auxiliares de audição Assistência à saúde Qualidade da assistência à saúde |
topic |
Deficiência auditiva Criança Auxiliares de audição Assistência à saúde Qualidade da assistência à saúde Hearing loss Child Hearing aids Quality assurance Health care Delivery of health care CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
dc.subject.eng.fl_str_mv |
Hearing loss Child Hearing aids Quality assurance Health care Delivery of health care |
dc.subject.cnpq.fl_str_mv |
CNPQ::CIENCIAS DA SAUDE::FONOAUDIOLOGIA |
description |
Introduction: Hearing impairment is considered a public health problem by the impact of sensory deprivation on child development as well as it´s prevalence. Hearing Health Policy in Brazil was boosted after the Ministry of Health published the National Ordinance Hearing Health Care in 2004. After the six years of implementation, it is time to evaluate actions and propose improvements. Goal: The aim of this study is to describe and analyze demographic, audiological and organizational processes of the Center for Hearing in Children (Centro de Audição na Criança - CeAC), a service that provides of high complexity procedures within the municipal network of the Secretary of Health of Sao Paulo, aimed at children from birth to age three, within the period 2004 to 2009. Method: During the study period, 3000 patients were registered in the service database. Of these, we selected 865 records of patients who completed the diagnostic process. The data from the charts were analyzed using descriptive and inferential analysis of demographic and audiological characteristics of the population, and some aspects of the intervention with hearing aids, analyzing trends over the period studied within annual intervals.Results: The results show that 54% of children diagnosed with hearing loss are male. As for region of residence, 75.8% lived in São Paulo, of whom 47.9% were residents of regions of references CeAC. The percentages of subjects with hearing loss are not all alike in the years 2004 to 2009. Regarding the degree and type of hearing loss, there is predominance profound hearing loss; when considering patients with unilateral hearing, loss there was predominantly conductive hearing loss. Among those with bilateral hearing loss, there was predominantly neurosensory hearing loss. The average age of diagnosis of children referred by Hospitals is smaller than in other categories. The chance of hearing impairment in Espontaneous Demand is higher than in hospital. There are significant differences between the distributions of age at diagnosis, degree and type of hearing loss. Method: During the study period, 3000 patients were registered in the service database. Of these, we selected 865 records of patients who completed the diagnostic process. The data from the charts were analyzed using descriptive and inferential analysis of demographic and audiological characteristics of the population, and some aspects of the intervention with hearing aids, analyzing trends over the period studied within annual intervals.Results: The results show that 54% of children diagnosed with hearing loss are male. As for region of residence, 75.8% lived in São Paulo, of whom 47.9% were residents of regions of references CeAC. The percentages of subjects with hearing loss are not all alike in the years 2004 to 2009. Regarding the degree and type of hearing loss, there is predominance profound hearing loss; when considering patients with unilateral hearing, loss there was predominantly conductive hearing loss. Among those with bilateral hearing loss, there was predominantly neurosensory hearing loss. The average age of diagnosis of children referred by Hospitals is smaller than in other categories. The chance of hearing impairment in Espontaneous Demand is higher than in hospital. There are significant differences between the distributions of age at diagnosis, degree and type of hearing loss |
publishDate |
2011 |
dc.date.available.fl_str_mv |
2011-03-17 |
dc.date.issued.fl_str_mv |
2011-02-22 |
dc.date.accessioned.fl_str_mv |
2016-04-27T18:11:50Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/masterThesis |
format |
masterThesis |
status_str |
publishedVersion |
dc.identifier.citation.fl_str_mv |
Silva, Tatiane Alencar. Process of establishing an office of high complexity on hearing health (2004-2009): demographic, audiological and organizational. 2011. 139 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011. |
dc.identifier.uri.fl_str_mv |
https://tede2.pucsp.br/handle/handle/11886 |
identifier_str_mv |
Silva, Tatiane Alencar. Process of establishing an office of high complexity on hearing health (2004-2009): demographic, audiological and organizational. 2011. 139 f. Dissertação (Mestrado em Fonoaudiologia) - Pontifícia Universidade Católica de São Paulo, São Paulo, 2011. |
url |
https://tede2.pucsp.br/handle/handle/11886 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
dc.publisher.program.fl_str_mv |
Programa de Estudos Pós-Graduados em Fonoaudiologia |
dc.publisher.initials.fl_str_mv |
PUC-SP |
dc.publisher.country.fl_str_mv |
BR |
dc.publisher.department.fl_str_mv |
Fonoaudiologia |
publisher.none.fl_str_mv |
Pontifícia Universidade Católica de São Paulo |
dc.source.none.fl_str_mv |
reponame:Biblioteca Digital de Teses e Dissertações da PUC_SP instname:Pontifícia Universidade Católica de São Paulo (PUC-SP) instacron:PUC_SP |
instname_str |
Pontifícia Universidade Católica de São Paulo (PUC-SP) |
instacron_str |
PUC_SP |
institution |
PUC_SP |
reponame_str |
Biblioteca Digital de Teses e Dissertações da PUC_SP |
collection |
Biblioteca Digital de Teses e Dissertações da PUC_SP |
bitstream.url.fl_str_mv |
https://repositorio.pucsp.br/xmlui/bitstream/handle/11886/3/Tatiane%20Alencar%20Silva.pdf.txt https://repositorio.pucsp.br/xmlui/bitstream/handle/11886/1/Tatiane%20Alencar%20Silva.pdf https://repositorio.pucsp.br/xmlui/bitstream/handle/11886/2/Tatiane%20Alencar%20Silva.pdf.jpg |
bitstream.checksum.fl_str_mv |
c9805cfcd3b4200f31828869c15b5fcc 0ed7bbfb7a4ca86e9a06cacfae9bd25f c4715912a635b5fbde63d2a9b070733f |
bitstream.checksumAlgorithm.fl_str_mv |
MD5 MD5 MD5 |
repository.name.fl_str_mv |
Biblioteca Digital de Teses e Dissertações da PUC_SP - Pontifícia Universidade Católica de São Paulo (PUC-SP) |
repository.mail.fl_str_mv |
bngkatende@pucsp.br||rapassi@pucsp.br |
_version_ |
1793424049319182336 |