Percepção dos profissionais de saúde sobre os fatores associados à subnotificação no Sistema Nacional de Agravos de Notificação

Abstract

Objective: To identify factors that contribute to the underreporting of diseases and compulsory notification harms in the National System of Notification Diseases (Sinan), in the perception of health professionals. Methods: A conducted study based on the Critical Incidents Technique for data collection and content analysis, in a stratified sample of workers and managers of the health surveillance units responsible for notifying diseases and notifiable harms. Results: The reported cases were associated with 33 diseases and compulsory notification harms and the main behaviors were non-notification or late notification in Sinan. The doctor’s and nurse's conduct, difficulties in the notification process, and problems related to the patient and / or family were the main factors associated with underreporting. Conclusion: Underreporting is a reality experienced in patient care units and hides the real health situation of the population.