Impacto da atuação da Vigilância Sanitária na adesão ao Programa Nacional de Qualidade em Mamografia no município do Rio de Janeiro

Abstract

The objective of the study was to analyze the impact of Health Surveillance activities on the adherence of mammography services to the National Mammography Quality Program (PNQM) in the city of Rio de Janeiro. This is a retrospective study, with a “before and after” temporal analysis of a Health Surveillance action, from 2018 to 2022, considering private imaging diagnostic services that performed mammography as the observation unit, based on analysis of data obtained through the Health Surveillance Information System (SISVISA). The setting is the city of Rio de Janeiro. The population and sample of the study are the records of inspections carried out at the Municipal Health Surveillance, in the period between 2018 and 2022. The PNQM was established in 2012, through Ordinance of the Office of the Minister of the Ministry of Health (GM/MS) no. 531 of 03/26/2012, updated by Ordinance GM/MS nº 2898 of 11/28/2013. Thus, as it is one of the SUS's performance competencies to control the provision of mammography services in our municipality through IVISA-Rio, an analysis was carried out as to whether or not these health actions could cause any impact directly related to adherence. effectiveness of mammography services to the PNQM. The collection, processing and analysis of quantitative data provided an understanding of health actions in mammography services. The IVISA-Rio indicators were analyzed by comparing them with the PNQM data and correspondences that occurred in the evaluation between the number of mammography services inspected and the number of mammograms with approved quality were observed. The study focused on the analysis of Health Surveillance indicators (IVISA-Rio), specifically Terms of Visit (TVS), Terms of Intimation (TI), Notices of Infraction (AI) and Prohibition Notices (EI), referring to establishments private healthcare providers (EAS) that have mammography services in our municipality during this period. We sought to verify the number of establishments approved by the PNQM by analyzing the INCA public database. In relation to registered services and services evaluated in Phase 1, there was a constant increase in this period, indicating greater interest and engagement of healthcare establishments in seeking certification. Phase 1 is the first stage, where services are assessed for compliance with initial requirements. Phase 2 is more detailed and aims to ensure quality is maintained over time, while pending services still in phase 1 may require further additional investigations. In the case of services approved and certified in phase 2, a considerable increase was observed, indicating efforts to improve the quality of mammography services. This points to a continuous commitment of IVISA-Rio's health actions to improving the quality of mammography services in the city. With the results obtained, I can say that inspection actions played an important role in improving the quality of mammography services.