• Refine Query
  • Source
  • Publication year
  • to
  • Language
  • 7
  • 3
  • 1
  • 1
  • 1
  • Tagged with
  • 14
  • 14
  • 14
  • 5
  • 4
  • 4
  • 3
  • 3
  • 3
  • 3
  • 3
  • 3
  • 3
  • 3
  • 3
  • About
  • The Global ETD Search service is a free service for researchers to find electronic theses and dissertations. This service is provided by the Networked Digital Library of Theses and Dissertations.
    Our metadata is collected from universities around the world. If you manage a university/consortium/country archive and want to be added, details can be found on the NDLTD website.
1

Road Traffic Accidents in Uganda in view of Taxi Drivers Masaka District

Nnajjuma, Hellen January 2013 (has links)
The aim of this study was to explore how psychosocial lived experiences of taxi drivers explain accident involvement in Uganda. Face to face in-depth semi-structured interviews were conducted with six male taxi drivers who survived accidents while driving and still served as taxi drivers. The sample was identified with purposive and snowball sampling techniques. Ethical considerations were observed during data collection through transcription, analysis to the final compilation. Interpretive phenomenological analysis (IPA) was employed to each participant’s discernment of the specific and general accounts of accident narratives in a bid to make "sense" of their lived worlds as drivers and accident involvement. Three superordinate themes illuminating accidents emerged out of the data: typical routines of taxi drivers; the socio-cultural context; and the taxi drivers’ community. These were discussed based on relevant theories and previous studies as well as pertinent concepts. Considering the study results, typical routines of taxi drivers, driver community factors and social/cultural factors affect each other, these together leave driver-accident involvement inevitable. Categorically such factors include; age, formal education, driving training, driver health status, domestic concerns, significant others, competitive driving / worse-worse, other road users, Impulsive pick and drop-off of passengers, theft, driver stress, state of the road, state of the vehicle among others. Thus behavioural and cognitive remedies are herein suggested towards ameliorative and/or transformative processes of the accident endemic.
2

Risk factors associated with serious and fatal road traffic accidents in Manzini City, Swaziland

Demissie, Motuma January 2017 (has links)
Magister Public Health - MPH / Background: Road Traffic Accidents (RTAs) are an important cause of morbidity and mortality worldwide, especially in low and middle-income countries. Traffic police reports indicate that RTAs are amongst the commonest health challenges Swaziland faces. Assessing the magnitude of the challenge, understanding the impact on public health and gaining more insight into the actual risk factors involved in RTAs, and especially RTAs that result in serious injuries and fatalities, is important for the road transport authority, the traffic police and for public health planners, in order to improve road safety, to develop effective countermeasures and to improve preparedness for effective health care, respectively. There is an insufficiency of studies on risk factors associated with RTAs, and particularly those associated with serious and fatal RTAs, in Sub-Saharan countries in general and Swaziland specifically. Manzini, a busy small city in Swaziland with a population of 61000 and an estimate of approximately 12000 vehicles on its roads daily is the setting for this study. RTAs in Manzini, are considered as a major public health problem with many people either seriously injured or killed on the roads annually. Aim: The aim of this study was to determine the human (e.g. age, gender, speeding and drunk driving), vehicle (e.g. vehicle types and vehicle defects), infrastructural (e.g. type of roads, road surface defects and road lighting) and environmental risk factors (e.g. rain and darkness) associated with serious and fatal RTAs in Manzini city and surrounding suburbs in Swaziland. Methodology: A case control study, based on data collected from RTA records at Manzini Traffic Police Station, was conducted. The study population was all RTAs in Manzini, with cases being RTAs that resulted in serious or fatal injuries, while RTAs with no injuries (vehicle and property damage only) and minor injuries were categorised as controls. A sample size of 294 consisting of all 143 RTAs with fatal and serious injury that occurred from July 2013 to June 2015 in Manzini city as cases and a random sample of 151 controls from amongst the minor injury and property damage only RTAs, was selected. A standardised data extraction tool was used to collect data from routine traffic police records on all RTAs. Frequencies were calculated for categorical variables. Numerical variables were summarised mathematically, via their central tendencies and distribution as well as collapsed into meaningful categories. Bivariate analysis to ascertain odds ratios was undertaken and all risk factors that showed a significant association with severe and fatal RTAs were further assessed via multivariate logistic regression analysis. Ethical approval for the study was secured from the Swaziland National Ethics Committee and the University of the Western Cape Research and Ethics committee. Results: Factors that had an unconfounded association on multivariate analysis with serious/fatal RTAs, compared to minor RTAs, were: male drivers (AOR = 5.48; 95% CI = 1.63 – 18.43); drivers not wearing a seatbelt (AOR = 5.07; 95% CI = 2.39 – 10.74); pedestrian error (AOR = 2.66; 95% CI = 1.46 – 4.86); accidents occurring on weekends (AOR 3.62; 95% CI = 2.07- 6.33); and accidents occurring between 18:00 – 23:59 time of the day (AOR = 11.68; 95% CI = 4.49 - 30.39). Other factors such as: age of driver, no driver's license at the accident scene, drunk-driving, seasons of the year, driver error, vehicle type, vehicle defect, road surface type, road surface condition, weather condition, street light condition and urban/rural location were not found to be associated with serious/fatal RTAs in our study. Limitations Limitations of the study were that some data collected at the scene of the accident were incomplete and not collected in a standardised manner (alcohol use, speeding, vehicle defects, road defects and environmental factors) and that there was probable misclassification of some serious/fatal RTAs as minor ones and under-reporting of minor RTAs. Also several variables which may affect the severity of RTAs, such as educational level, socioeconomic status, medical illness, marital status and emotional status of the driver, were not routinely collected by the traffic police department and hence were not assessed. Conclusions and Recommendations: Modifiable risk factors that had an unconfounded positive association with serious/fatal RTAs were not using a seatbelt, night-time driving, weekend driving and pedestrian error, while male gender might be a proxy for reckless driving. Hence, education programmes for drivers and the public on behavioural change encouragement, improving pedestrians' road safety by provision of pedestrian sidewalks and crossing sites, coupled with increased traffic law enforcement at critical days and times, may result in reduction of serious/fatal RTAs.
3

Towards a general optimal model for minimizing nighttime road traffic accidents and road lighting power consumption

Jun, Ma January 2010 (has links)
<p>Nowadays, NRTS (Nighttime Road Traffic Safety) and energy saving are very hot topics in transportation field. This thesis investigates a general optimal model for minimizing NRTAs (nighttime road traffic accidents) and power consumption of the road lighting. To establish this model, the relationship between N/D RTAs (Night to Day Road Traffic Accidents) ratio and road lighting condition and the relationship between power consumption and road lighting condition have been studied and explained. A media variable “economic cost” has been chosen which is used for making a connection between these two relationships. The evaluations of NRTAs and power consumption from cost point of view are introduced as well. The impacts of each internal factor defined by author are explained carefully. The result of the model based on these relationships and internal influencing factors is presented in the paper. Finally, the recommendations for reducing NRTAs and/or power consumption, as well as other interesting areas for further study are presented.</p>
4

Towards a general optimal model for minimizing nighttime road traffic accidents and road lighting power consumption

Jun, Ma January 2010 (has links)
Nowadays, NRTS (Nighttime Road Traffic Safety) and energy saving are very hot topics in transportation field. This thesis investigates a general optimal model for minimizing NRTAs (nighttime road traffic accidents) and power consumption of the road lighting. To establish this model, the relationship between N/D RTAs (Night to Day Road Traffic Accidents) ratio and road lighting condition and the relationship between power consumption and road lighting condition have been studied and explained. A media variable “economic cost” has been chosen which is used for making a connection between these two relationships. The evaluations of NRTAs and power consumption from cost point of view are introduced as well. The impacts of each internal factor defined by author are explained carefully. The result of the model based on these relationships and internal influencing factors is presented in the paper. Finally, the recommendations for reducing NRTAs and/or power consumption, as well as other interesting areas for further study are presented.
5

Did the alcohol prohibition reduce motor vehicle accidents related to alcohol? / Způsobila alkoholová prohibice pokles počtu dopravních nehod spáchaných řidiči pod vlivem alkoholu?

Brabenec, Tomáš January 2015 (has links)
This paper tries to find out whether a short ban on sales of liquors reduced the harmful use of alcohol with respect to motor vehicle accidents. I make use of short (two weeks) alcohol prohibition which was imposed by the Ministry of Health Care in the Czech Republic in September 2012 aiming to stop the deadly wave of methanol poisoning. To estimate the effect of prohibition on the number of road traffic accidents, I exploit the methodology of differences-in-differences. I use daily data about traffic accidents from the Czech Republic (treatment group) and from neighboring countries such as Austria, Germany and Poland (control group). The result suggests that there is no significant drop in term of road traffic accidents.
6

The challenges experienced by traumatic brain injury survivors with regard to family reintegration post-hospitalisation

Sogoni, Sanda January 2021 (has links)
Magister Artium (Social Work) - MA(SW) / Recovery from traumatic brain injury (TBI) can be a lengthy and challenging process for survivors, their families, and health and welfare services. Globally, South Africa has the second-highest prevalence of TBI that is due to road traffic accidents. The growing challenges for TBI survivors are the financial constraints, health implications, and the psychosocial support required by survivors of TBI and their families, which impacts family reintegration, post-hospitalisation. The aim of the study was to understand the challenges experienced by TBI survivors with regards to the psychosocial support services for family reintegration. A qualitative approach, using an exploratory-descriptive design was used. The person-centred perspective was chosen as a theoretical framework.
7

A vigilância epidemiológica de agravos decorrentes de acidentes de trânsito em Porto Alegre : caracterização das fontes de dados existentes

Livi, Karla Lindorfer January 2013 (has links)
A dissertação tem por objetivo caracterizar as fontes de dados sobre acidentes de trânsito existentes em um município de grande porte (Porto Alegre-RS) visando o desenvolvimento e a implantação de um sistema de vigilância epidemiológica de lesões e mortes no trânsito. Para tanto, foi elaborado um modelo conceitual a partir da definição de Acidentes de Transporte Terrestre (ATT) e seus fatores determinantes, de modo a identificar oportunidades de registro das informações. Foram considerados aspectos relacionados à estrutura, processos, fluxos de informações geradas, e atores envolvidos na produção e utilização das mesmas. Partindo deste modelo e da definição de sistemas de vigilância epidemiológica, as fontes de dados foram descritas quanto as variáveis: lugar, pessoa e tempo, definição de caso, objetivos, descrição de componentes e funcionamento (população alvo, forma, método e tempo de coleta, armazenamento e transferência de dados); frequência de análise dos dados; a quem são destinadas e a forma de divulgação das informações; as intervenções às quais estão vinculadas e a possibilidade de identificação dos fatores de risco para acidentes de trânsito. Além disto, partindo do referencial teórico para estruturação de sistemas de vigilância epidemiológica de acidentes da OMS/CDC, foram identificadas potencialidades e limitações dos dados disponíveis nas diferentes fontes para vigilância de ATT. Foram estudadas seis fontes de dados: Sistema de Informação Sobre Mortalidade, Sistema de Internação Hospitalar Descentralizado, Inquérito de Violências e Acidentes em Serviços Sentinela de Urgência e Emergência da Vigilância de Violências e Acidentes, Sistema de Atendimento Pré-Hospitalar do Serviço de Atendimento Móvel de Urgência, Cadastro de Acidentes de Trânsito da Empresa Pública de Transporte e Circulação de Porto Alegre, e Sistema de Informações Policiais da Secretaria de Segurança Pública do Estado do Rio Grande do Sul. A coleta de dados foi realizada por meio de entrevistas semiestruturadas com os responsáveis técnicos pelas bases de dados e análise de material documental disponível. O artigo descreve a forma de processamento, análise e divulgação dos dados, a utilidade e vinculação das informações em relação a processos decisórios e a identificação de fatores de risco para acidentes de trânsito. A descrição operacional das fontes dados, a caracterização das variáveis e a identificação de potencialidades e limitações para vigilância de ATT foram apresentadas como detalhes metodológicos adicionais. O estudo demonstrou que a coleta de dados primários ou secundários depende da oportunidade de acesso ao evento e o processamento, análise e divulgação das informações obedecem a atribuições e objetivos setoriais. Quanto à utilidade das informações e a vinculação dessas com processos decisórios, no setor saúde, estão voltadas para o planejamento e a gestão dos serviços. Nos órgãos de segurança e trânsito, para a segurança pública e viária, planejamento educação e engenharia de trânsito. Há escassez de dados relacionados à cena do acidente e a trajetória da vítima. A totalidade das informações produzidas pelas fontes estudadas caracteriza parcialmente os eventos, muitas vezes, não apontando a dinâmica do evento, quem foram os envolvidos e os fatores de risco associados de forma a auxiliar na determinação e causalidade e direcionar medidas de prevenção e controle. Tais resultados indicam a importância da qualificação dos dados primários coletados na cena do acidente e a padronização dos dados em relação a conceitos e terminologias. Para auxiliar na determinação de causalidade, apontar fatores de risco e subsidiar a tomada de decisão em saúde é fundamental à integração, relacionamento e compartilhamento de dados bem como análise multidisciplinar dos eventos. / The aim of this thesis is to characterize the sources of data on existing traffic accidents in a large municipality (Porto Alegre, Brazil) in order to develop and implement a system of epidemiological surveillance of injuries and deaths from traffic accidents. To do so, a conceptual model from the definition of Land Transport Accidents (LTAs) and its determining factors were prepared in order to identify opportunities of information records. Aspects related to structure, processes, generated information flows, and actors involved in their production were considered. On the basis of this model and the definition of epidemiological surveillance systems, the sources of data were described according to the variables: place, person, and time; definition of case; objectives; description of components and functioning (target population, form, methods, and time of collection, storage, and transfer of data); frequency of analysis of data; to whom the information is addressed as well as its form of dissemination; interventions to which the information is linked; and the possibility of identifying the risk factors for road traffic accidents. In addition, based on the theoretical framework for organization of systems of epidemiological surveillance of accidents of WHO/CDC, both potentialities and limitations on the data available in the different sources for surveillance of LTAs were identified. Six sources of data were studied: Mortality Information System, Decentralized Hospitalization System, Investigation of Acts of Violence and Accidents in the Sentinela (Sentinel) Urgency and Emergency Services of VIVA (Surveillance System for Acts of Violence and Accidents), System of Pre-Hospital Care of SAMU (Mobile Emergency Care Service), Records of Traffic Accidents of EPTC (Government-owned Corporation for Transport and Traffic in Porto Alegre), and System of Police Information of the Secretariat for Public Security in the State of Rio Grande do Sul. Data were collected by means of both semi-structured interviews with technicians responsible for the databases and documented material available. The article describes the form of processing, analysis and dissemination of data, utility and linking of information in relation to the processes of decision-making, and the identification of risk factor for road traffic accidents. The operational description of the source of data, the characterization of variables, and the identification of potentialities as well as the limitations on the surveillance of LTAs were presented as additional methodological details. The study showed that the collection of primary or secondary data depends on the opportunity to access the event and the processing, analysis and dissemination of information obey tasks and sectorial objectives. The usefulness of the information and its relation to the processes of decision-making in the health sector are related to the planning and management of services. In the agencies for security and traffic, they are related to public and road safety, planning, education, and traffic engineering. There is shortage of data related to the scene of the accident and the victim's course. All information produced by the study partially characterizes the events, often not pointing the dynamics of the event, who the involved were, and the associated risk factors, in order to help in determination and causality, and to direct both prevention and control measures. These results indicate the importance of the classification of the primary data collected at the scene of the accident and the standardization of data regarding concepts and terminology. In order to help determine causality, identify risk factors, and support the decision-making in health, record linkage, and data sharing as well as the multidisciplinary analysis of the events are essential to integration.
8

Analýza příčin a důsledků dopravních nehod v silniční nákladní přepravě / Analysis of causes and consequences of traffic accidents in road goods conveyance

STANĚK, Petr January 2012 (has links)
This work describes general view of a traffic accident in order to introdukce non-specific features of traffic accidents. The objective of this work is deeper understanding of this issue, of the difference between the need for improving the participants skills and the repressive measures introduced in the attempt to guarantee the observance of fundamental legal standards.
9

A vigilância epidemiológica de agravos decorrentes de acidentes de trânsito em Porto Alegre : caracterização das fontes de dados existentes

Livi, Karla Lindorfer January 2013 (has links)
A dissertação tem por objetivo caracterizar as fontes de dados sobre acidentes de trânsito existentes em um município de grande porte (Porto Alegre-RS) visando o desenvolvimento e a implantação de um sistema de vigilância epidemiológica de lesões e mortes no trânsito. Para tanto, foi elaborado um modelo conceitual a partir da definição de Acidentes de Transporte Terrestre (ATT) e seus fatores determinantes, de modo a identificar oportunidades de registro das informações. Foram considerados aspectos relacionados à estrutura, processos, fluxos de informações geradas, e atores envolvidos na produção e utilização das mesmas. Partindo deste modelo e da definição de sistemas de vigilância epidemiológica, as fontes de dados foram descritas quanto as variáveis: lugar, pessoa e tempo, definição de caso, objetivos, descrição de componentes e funcionamento (população alvo, forma, método e tempo de coleta, armazenamento e transferência de dados); frequência de análise dos dados; a quem são destinadas e a forma de divulgação das informações; as intervenções às quais estão vinculadas e a possibilidade de identificação dos fatores de risco para acidentes de trânsito. Além disto, partindo do referencial teórico para estruturação de sistemas de vigilância epidemiológica de acidentes da OMS/CDC, foram identificadas potencialidades e limitações dos dados disponíveis nas diferentes fontes para vigilância de ATT. Foram estudadas seis fontes de dados: Sistema de Informação Sobre Mortalidade, Sistema de Internação Hospitalar Descentralizado, Inquérito de Violências e Acidentes em Serviços Sentinela de Urgência e Emergência da Vigilância de Violências e Acidentes, Sistema de Atendimento Pré-Hospitalar do Serviço de Atendimento Móvel de Urgência, Cadastro de Acidentes de Trânsito da Empresa Pública de Transporte e Circulação de Porto Alegre, e Sistema de Informações Policiais da Secretaria de Segurança Pública do Estado do Rio Grande do Sul. A coleta de dados foi realizada por meio de entrevistas semiestruturadas com os responsáveis técnicos pelas bases de dados e análise de material documental disponível. O artigo descreve a forma de processamento, análise e divulgação dos dados, a utilidade e vinculação das informações em relação a processos decisórios e a identificação de fatores de risco para acidentes de trânsito. A descrição operacional das fontes dados, a caracterização das variáveis e a identificação de potencialidades e limitações para vigilância de ATT foram apresentadas como detalhes metodológicos adicionais. O estudo demonstrou que a coleta de dados primários ou secundários depende da oportunidade de acesso ao evento e o processamento, análise e divulgação das informações obedecem a atribuições e objetivos setoriais. Quanto à utilidade das informações e a vinculação dessas com processos decisórios, no setor saúde, estão voltadas para o planejamento e a gestão dos serviços. Nos órgãos de segurança e trânsito, para a segurança pública e viária, planejamento educação e engenharia de trânsito. Há escassez de dados relacionados à cena do acidente e a trajetória da vítima. A totalidade das informações produzidas pelas fontes estudadas caracteriza parcialmente os eventos, muitas vezes, não apontando a dinâmica do evento, quem foram os envolvidos e os fatores de risco associados de forma a auxiliar na determinação e causalidade e direcionar medidas de prevenção e controle. Tais resultados indicam a importância da qualificação dos dados primários coletados na cena do acidente e a padronização dos dados em relação a conceitos e terminologias. Para auxiliar na determinação de causalidade, apontar fatores de risco e subsidiar a tomada de decisão em saúde é fundamental à integração, relacionamento e compartilhamento de dados bem como análise multidisciplinar dos eventos. / The aim of this thesis is to characterize the sources of data on existing traffic accidents in a large municipality (Porto Alegre, Brazil) in order to develop and implement a system of epidemiological surveillance of injuries and deaths from traffic accidents. To do so, a conceptual model from the definition of Land Transport Accidents (LTAs) and its determining factors were prepared in order to identify opportunities of information records. Aspects related to structure, processes, generated information flows, and actors involved in their production were considered. On the basis of this model and the definition of epidemiological surveillance systems, the sources of data were described according to the variables: place, person, and time; definition of case; objectives; description of components and functioning (target population, form, methods, and time of collection, storage, and transfer of data); frequency of analysis of data; to whom the information is addressed as well as its form of dissemination; interventions to which the information is linked; and the possibility of identifying the risk factors for road traffic accidents. In addition, based on the theoretical framework for organization of systems of epidemiological surveillance of accidents of WHO/CDC, both potentialities and limitations on the data available in the different sources for surveillance of LTAs were identified. Six sources of data were studied: Mortality Information System, Decentralized Hospitalization System, Investigation of Acts of Violence and Accidents in the Sentinela (Sentinel) Urgency and Emergency Services of VIVA (Surveillance System for Acts of Violence and Accidents), System of Pre-Hospital Care of SAMU (Mobile Emergency Care Service), Records of Traffic Accidents of EPTC (Government-owned Corporation for Transport and Traffic in Porto Alegre), and System of Police Information of the Secretariat for Public Security in the State of Rio Grande do Sul. Data were collected by means of both semi-structured interviews with technicians responsible for the databases and documented material available. The article describes the form of processing, analysis and dissemination of data, utility and linking of information in relation to the processes of decision-making, and the identification of risk factor for road traffic accidents. The operational description of the source of data, the characterization of variables, and the identification of potentialities as well as the limitations on the surveillance of LTAs were presented as additional methodological details. The study showed that the collection of primary or secondary data depends on the opportunity to access the event and the processing, analysis and dissemination of information obey tasks and sectorial objectives. The usefulness of the information and its relation to the processes of decision-making in the health sector are related to the planning and management of services. In the agencies for security and traffic, they are related to public and road safety, planning, education, and traffic engineering. There is shortage of data related to the scene of the accident and the victim's course. All information produced by the study partially characterizes the events, often not pointing the dynamics of the event, who the involved were, and the associated risk factors, in order to help in determination and causality, and to direct both prevention and control measures. These results indicate the importance of the classification of the primary data collected at the scene of the accident and the standardization of data regarding concepts and terminology. In order to help determine causality, identify risk factors, and support the decision-making in health, record linkage, and data sharing as well as the multidisciplinary analysis of the events are essential to integration.
10

A vigilância epidemiológica de agravos decorrentes de acidentes de trânsito em Porto Alegre : caracterização das fontes de dados existentes

Livi, Karla Lindorfer January 2013 (has links)
A dissertação tem por objetivo caracterizar as fontes de dados sobre acidentes de trânsito existentes em um município de grande porte (Porto Alegre-RS) visando o desenvolvimento e a implantação de um sistema de vigilância epidemiológica de lesões e mortes no trânsito. Para tanto, foi elaborado um modelo conceitual a partir da definição de Acidentes de Transporte Terrestre (ATT) e seus fatores determinantes, de modo a identificar oportunidades de registro das informações. Foram considerados aspectos relacionados à estrutura, processos, fluxos de informações geradas, e atores envolvidos na produção e utilização das mesmas. Partindo deste modelo e da definição de sistemas de vigilância epidemiológica, as fontes de dados foram descritas quanto as variáveis: lugar, pessoa e tempo, definição de caso, objetivos, descrição de componentes e funcionamento (população alvo, forma, método e tempo de coleta, armazenamento e transferência de dados); frequência de análise dos dados; a quem são destinadas e a forma de divulgação das informações; as intervenções às quais estão vinculadas e a possibilidade de identificação dos fatores de risco para acidentes de trânsito. Além disto, partindo do referencial teórico para estruturação de sistemas de vigilância epidemiológica de acidentes da OMS/CDC, foram identificadas potencialidades e limitações dos dados disponíveis nas diferentes fontes para vigilância de ATT. Foram estudadas seis fontes de dados: Sistema de Informação Sobre Mortalidade, Sistema de Internação Hospitalar Descentralizado, Inquérito de Violências e Acidentes em Serviços Sentinela de Urgência e Emergência da Vigilância de Violências e Acidentes, Sistema de Atendimento Pré-Hospitalar do Serviço de Atendimento Móvel de Urgência, Cadastro de Acidentes de Trânsito da Empresa Pública de Transporte e Circulação de Porto Alegre, e Sistema de Informações Policiais da Secretaria de Segurança Pública do Estado do Rio Grande do Sul. A coleta de dados foi realizada por meio de entrevistas semiestruturadas com os responsáveis técnicos pelas bases de dados e análise de material documental disponível. O artigo descreve a forma de processamento, análise e divulgação dos dados, a utilidade e vinculação das informações em relação a processos decisórios e a identificação de fatores de risco para acidentes de trânsito. A descrição operacional das fontes dados, a caracterização das variáveis e a identificação de potencialidades e limitações para vigilância de ATT foram apresentadas como detalhes metodológicos adicionais. O estudo demonstrou que a coleta de dados primários ou secundários depende da oportunidade de acesso ao evento e o processamento, análise e divulgação das informações obedecem a atribuições e objetivos setoriais. Quanto à utilidade das informações e a vinculação dessas com processos decisórios, no setor saúde, estão voltadas para o planejamento e a gestão dos serviços. Nos órgãos de segurança e trânsito, para a segurança pública e viária, planejamento educação e engenharia de trânsito. Há escassez de dados relacionados à cena do acidente e a trajetória da vítima. A totalidade das informações produzidas pelas fontes estudadas caracteriza parcialmente os eventos, muitas vezes, não apontando a dinâmica do evento, quem foram os envolvidos e os fatores de risco associados de forma a auxiliar na determinação e causalidade e direcionar medidas de prevenção e controle. Tais resultados indicam a importância da qualificação dos dados primários coletados na cena do acidente e a padronização dos dados em relação a conceitos e terminologias. Para auxiliar na determinação de causalidade, apontar fatores de risco e subsidiar a tomada de decisão em saúde é fundamental à integração, relacionamento e compartilhamento de dados bem como análise multidisciplinar dos eventos. / The aim of this thesis is to characterize the sources of data on existing traffic accidents in a large municipality (Porto Alegre, Brazil) in order to develop and implement a system of epidemiological surveillance of injuries and deaths from traffic accidents. To do so, a conceptual model from the definition of Land Transport Accidents (LTAs) and its determining factors were prepared in order to identify opportunities of information records. Aspects related to structure, processes, generated information flows, and actors involved in their production were considered. On the basis of this model and the definition of epidemiological surveillance systems, the sources of data were described according to the variables: place, person, and time; definition of case; objectives; description of components and functioning (target population, form, methods, and time of collection, storage, and transfer of data); frequency of analysis of data; to whom the information is addressed as well as its form of dissemination; interventions to which the information is linked; and the possibility of identifying the risk factors for road traffic accidents. In addition, based on the theoretical framework for organization of systems of epidemiological surveillance of accidents of WHO/CDC, both potentialities and limitations on the data available in the different sources for surveillance of LTAs were identified. Six sources of data were studied: Mortality Information System, Decentralized Hospitalization System, Investigation of Acts of Violence and Accidents in the Sentinela (Sentinel) Urgency and Emergency Services of VIVA (Surveillance System for Acts of Violence and Accidents), System of Pre-Hospital Care of SAMU (Mobile Emergency Care Service), Records of Traffic Accidents of EPTC (Government-owned Corporation for Transport and Traffic in Porto Alegre), and System of Police Information of the Secretariat for Public Security in the State of Rio Grande do Sul. Data were collected by means of both semi-structured interviews with technicians responsible for the databases and documented material available. The article describes the form of processing, analysis and dissemination of data, utility and linking of information in relation to the processes of decision-making, and the identification of risk factor for road traffic accidents. The operational description of the source of data, the characterization of variables, and the identification of potentialities as well as the limitations on the surveillance of LTAs were presented as additional methodological details. The study showed that the collection of primary or secondary data depends on the opportunity to access the event and the processing, analysis and dissemination of information obey tasks and sectorial objectives. The usefulness of the information and its relation to the processes of decision-making in the health sector are related to the planning and management of services. In the agencies for security and traffic, they are related to public and road safety, planning, education, and traffic engineering. There is shortage of data related to the scene of the accident and the victim's course. All information produced by the study partially characterizes the events, often not pointing the dynamics of the event, who the involved were, and the associated risk factors, in order to help in determination and causality, and to direct both prevention and control measures. These results indicate the importance of the classification of the primary data collected at the scene of the accident and the standardization of data regarding concepts and terminology. In order to help determine causality, identify risk factors, and support the decision-making in health, record linkage, and data sharing as well as the multidisciplinary analysis of the events are essential to integration.

Page generated in 0.5618 seconds