Development of a quantitative health inspection instrument in food and nutrition services, Brazil.
Lilian Monteiro Ferrari ViterboMaria Alzira Pimenta DinisMayara Pinheiro de SouzaCynara Araújo Santos de Castrothor MarquesMarcus Vinícius Teixeira NavarroHanderson Jorge Dourado LeitePublished in: Ciencia & saude coletiva (2018)
The study aimed to develop a Quantitative Health Inspection Instrument (IQIS) large-sized Brazilian food and nutrition services. The inspection technology based on the Potential Risk Assessment Model (MARP) and the Brazilian Health Legislation was used. Twelve dimensions, 41 modules, and 57 risk control (critical/non-critical) indicators were structured on a scale of 0-5, totalling 1,512 indices with closed-ended response coding. The IQIS was validated with the Kappa Coefficient, with excellent agreement for the attributes of clarity and relevance (k = 0.82 and k = 0.92) and good agreement for applicability (k = 0.78). The Kruskal-Wallis test showed no statistically significant difference between the assessments (p = 0.423), the Intraclass Correlation Coefficient was satisfactory (ICC = 0.53), and Cronbach's Alpha (α = 0.71) was acceptable. The final result made it possible to classify the service as having an unacceptable health risk. IQIS is considered to have validated content, be reliable and reproducible to assess the hygienic-sanitary conditions, being a technological innovation for food and nutrition services and sanitary, allowing a detailed and rigorous inspection.
Keyphrases
- healthcare
- human health
- mental health
- risk assessment
- health risk
- public health
- primary care
- physical activity
- heavy metals
- health information
- high resolution
- magnetic resonance imaging
- drinking water
- climate change
- nuclear factor
- inflammatory response
- patient reported outcomes
- computed tomography
- affordable care act