Metodologia para a implementação de um sistema de apoio à decisão no sistema nacional de saúde baseado nos indicadores para a saúde

Actualmente, o SIS depara-se com problemas relativos à normalização e qualidade de dados, interoperabilidade entre instituições e inexistência de sistemas que suportem e agilizem o processo da decisão estratégica no sector. Numa primeira fase, este trabalho caracteriza e clarifica o papel das diversas instituições que colaboram com o MS, a forma como é gerida a informação e o conhecimento e os pressupostos do PNS enquanto documento agregador de indicadores que permitem avaliar o estado da saúde em Portugal. Com base na caracterização do sector e na importância orientadora do PNS, apresenta-se uma metodologia que organiza e desenvolve um modelo de metadados, baseados nos indicadores para a saúde, presentes no PNS. A sua importância para o sector é evidente uma vez que permite servir de suporte ao futuro desenvolvimento de aplicações estratégicas de apoio à decisão, salvaguardando a implementação e a divulgação do PNS e dos seus indicadores. ABSTRACT; Currently, the SIS comes across with problems related with normalization and quality of data, cooperation between institutions and the inexistence of systems that support and speed the process of strategical decisions in the sector. ln a first phase, this work characterizes and simplifies the role of each institution that collaborates with MS, the form as it is managed the information and the knowledge and the fundamentals of PNS, as a document witch aggregates pointers that allow the evaluation of the state of health in Portugal. On the basis of this characterization and the orienting importance of PNS, this work demonstrates a metadata methodology that organizes and develops a model, based on health pointers, indicated in PNS. Its importance for the sector is evident because it can support future developments of strategical applications, safeguarding the implementation and the analysis of PNS and its pointers.

Influence of different land uses on groundwater quality in southern Portugal

In Alentejo region, southern Portugal, differences in groundwater samples from six groundwater bodies covered with different land uses were analysed based on the monitoring plan of the Alqueva multi-purpose project, created in the sequence of the construction of the Alqueva Dam on the Guadiana River, in South Portugal. For most of the groundwater bodies there is a statistical significant difference between magnesium, sulphate, chloride, and phosphate. All of these ions are strongly correlated with land use management. Groundwater, where land is covered by olive groves, has high levels of electric conductivity, calcium, potassium, sulphate, and phosphate. Dry land crops are correlated with calcium, magnesium, chloride and consequently, electric conductivity, phosphates and sulphate. Vineyards are strongly correlated with high sulphate and phosphate levels. This study clearly shows that different land uses within a certain groundwater body influence the water quality in a different way. Therefore, an appropriate soil management should be adjusted to each situation, taking into account the aquifer matrix and the overlying soil.