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Cadernos de Saúde Pública

On-line version ISSN 1678-4464Print version ISSN 0102-311X


SILVA, Gerluce Alves Pontes da  and  VIEIRA-DA-SILVA, Ligia Maria. Health surveillance: proposal for a tool to evaluate technological arrangements in local health systems. Cad. Saúde Pública [online]. 2008, vol.24, n.11, pp.2463-2475. ISSN 1678-4464.

In order to identify the various meanings ascribed to health surveillance, the authors conducted a systematic review of articles published from January 1990 to August 2005 in the following databases: LILACS, SciELO, CAPES, MEDLINE, and Web of Science. A total of 144 abstracts were read and 18 full texts of Brazilian articles were selected for in-depth analysis, leading to the design of a typology for technological arrangements related to the various meanings: (i) traditional epidemiological surveillance, with communicable diseases as the main object; (ii) public health surveillance, as the municipal component of the national health surveillance system; and (iii) health surveillance, a technological mode of organizing health practices in a given territory. The proposed typology can contribute to research on surveillance practices in local health systems. It can also serve as a template for data collection and analysis. The meanings ascribed to the three types are discussed in light of public health's historical development as a field.

Keywords : Local Health Systems; Health Surveillance; Evaluation.

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