[Death from dengue fever as a sentinel event for evaluation of quality of healthcare: a case study in two municipalities in Northeast Brazil, 2008].
Despite the existing resources for adequate dengue patient care in the Brazilian healthcare system, the case-fatality rate for the disease is still high in the country. In order to identify factors associated with dengue-related death, this study evaluated quality of care according to the degree of implementation of specific measures, the technical and scientific quality of care, and access to health services in two municipalities (counties) in Northeast Brazil. An evaluative study of the implementation analysis type was performed, with death from dengue as the sentinel event for quality of care. To assess the degree of implementation and quality of care, the study scored the interview criteria and patient chart analysis; access was evaluated by thematic analysis. As for structure and process, the health services were found to be partially adequate (70%). No geographic or economic barriers were found to explain the occurrence of deaths. Technical and scientific quality failed to achieve adequate levels in the municipalities (46% and 30%) or in the specific services, and clinical management of dengue by the health services proved insufficient.
Instituto de Medicina Integral Prof. Fernando Figueira, Rua José Trajano 170, Recife, PE, Brazil. anaclaudiafigueiro@yahoo.com.br
Ana Cláudia
AC
Figueiró
Zulmira Maria de Araújo
ZM
Hartz
Carlos Alexandre Antunes de
CA
Brito
Isabella
I
Samico
Noêmia Teixeira de
NT
Siqueira Filha
Gisele
G
Cazarin
Cynthia
C
Braga
Eduarda Ângela Pessoa
EÂ
Cesse
D001938:Brazil / Q000453:epidemiology; D002947:Cities; D003695:Delivery of Health Care; D003715:Dengue / Q000401:mortality*; D006298:Health Services Administration; D006801:Humans; D015397:Program Evaluation; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care; D018571:Sentinel Surveillance