scholarly journals TUBERCULOSIS CONTROL ACTIONS: ANALYSIS BASED ON THE ACCESS AND PRIMARY HEALTH CARE QUALITY IMPROVEMENT PROGRAM

2016 ◽  
Vol 25 (4) ◽  
Author(s):  
Francisco de Sales Clementino ◽  
Emanuella de Castro Marcolino ◽  
Luciano Bezerra Gomes ◽  
Joria Viana Guerreiro ◽  
Francisco Arnoldo Nunes de Miranda

ABSTRACT The study's aim was to analyze primary health care delivered to people with tuberculosis on a national level, based on the information collected by an external assessment implemented by the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica. This cross-sectional study with a quantitative approach used data from the 2nd cycle external assessment of the Programa de Melhoria do Acesso e da Qualidade da Atenção Básica conducted in 2014. The Statistical Package for Social Sciences was used to establish frequencies and check for associations using the Chi-square test. The percentage of Family Health Strategy units recording the annual number of confirmed tuberculosis cases and respiratory symptoms was high for the entire country (81.1%). In contrast, the recording of follow-up of tuberculosis cases was performed by only 48.3% of the facilities, while only 48% of the health basic unites units implemented directly observed treatment. The findings reveal barriers in the structure of health basic unites units regarding the operationalization and sustainability of care provided to individuals with tuberculosis, including directly observed treatment.

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Christian Gerdesköld ◽  
Eva Toth-Pal ◽  
Inger Wårdh ◽  
Gunnar H. Nilsson ◽  
Anna Nager

Abstract Background Evidence-based information available at the point of care improves patient care outcomes. Online knowledge bases can increase the application of evidence-based medicine and influence patient outcome data which may be captured in quality registries. The aim of this study was to explore the effect of use of an online knowledge base on patient experiences and health care quality. Methods The study was conducted as a retrospective, observational study of 24 primary health care centers in Sweden exploring their use of an online knowledge base. Frequency of use was compared to patient outcomes in two national quality registries. A socio-economic Care Need Index was applied to assess whether the burden of care influenced the results from those quality registries. Non-parametric statistical methods and linear regression were used. Results Frequency of knowledge base use showed two groups: frequent and non-frequent users, with a significant use difference between the groups (p < 0.001). Outcome data showed significant higher values for all seven National Primary Care Patient Survey dimensions in the frequent compared to the non-frequent knowledge base users (p < 0.001), whereas 10 out of 11 parameters in the National Diabetes Register showed no differences between the groups (p > 0.05). Adjusting for Care Need Index had almost no effect on the outcomes for the groups. Conclusions Frequent users of a national online knowledge base received higher ratings on patient experiences, but figures on health care quality in diabetes showed near to no correlation. The findings indicate that some effects may be attributed to the use of knowledge bases and requires a controlled evaluation.


2019 ◽  
Vol 21 (1) ◽  
pp. 71-77
Author(s):  
Hasan Abolghasem Gorji ◽  
Sanaz Royani ◽  
Mohammad Mohseni ◽  
Saber Azami-Aghdash ◽  
Ahmad Moosavi ◽  
...  

2019 ◽  
Vol 110 (6) ◽  
pp. 756-767
Author(s):  
Anya Pimentel Gomes Fernandes Vieira-Meyer ◽  
Maria Socorro de Araújo Dias ◽  
Maristela Ines Osawa Vasconcelos ◽  
Emilia Soares Chaves Rouberte ◽  
Ana Mattos Brito de Almeida ◽  
...  

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Graziela Piovesan ◽  
Cristiane Cardoso de Paula ◽  
Luis Felipe Dias Lopes ◽  
Stela Maris de Mello Padoin ◽  
Raquel Einloft Kleinubing ◽  
...  

ABSTRACT Objective: evaluate, based on the professionals’ experience, the primary health care quality in home cities of children and adolescents with HIV, treated at a specialized service. Method: cross-sectional study involving 527 professionals in 25 interior cities in Rio Grande do Sul, Brazil, in the first semester of 2014. The Primary Care Assessment Tool was applied. Pearson’s chi-square Test, the Mann Whitney Test and the Poisson Regression were used. Results: the Estratégia Saúde da Família and the primary health care service presented a high score related to the essential attributes: longitudinality (7.17 and 6.74), coordination-integration of care (6.87 and 7.03) and coordination-information systems (8.24 and 8.19); and a low score for the attribute access (3.96 and 3.8). The variables: female gender (0.009), education as general practitioner (<0.001), statutory staff (0.029), coordinator position (0.087) and not having another job (0.027) were also associated with the high score. Conclusion: the coverage of the Estratégia Saúde da Família needs to be expanded and structural and organizational shortages in the access need to be overcome.


2018 ◽  
Vol 4 (1) ◽  
pp. 42-55 ◽  
Author(s):  
Mara Rejane Barroso Barcelos ◽  
Bruno Pereira Nunes ◽  
Suele Manjourany Silva Duro ◽  
Elaine Tomasi ◽  
Rita de Cássia Duarte Lima ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Ramin Rezapour ◽  
Jafar Sadegh Tabrizi ◽  
Mostafa Farahbakhsh ◽  
Mohammad Saadati ◽  
Hossein Mashhadi Abdolahi

Vestnik ◽  
2021 ◽  
pp. 302-308
Author(s):  
К.М. Толегенов ◽  
Д.А. Оспанова

Первичная медико-санитарная помощь - важная часть общей системы здравоохранения. Эффективная первичная медико-санитарная помощь обеспечивает улучшение общественного здоровья, удовлетворенность пациентов и снижение общих затрат на здравоохранение.Стратегическое планирование человеческих ресурсов при реализации политики в области качества медицинской помощи - одна из основных задач менеджмента по повышению качества лечебно-диагностического процесса и повышению клинической эффективности и экономической эффективности каждого медицинского учреждения. Primary health care is an important part of the overall health care system. Effective primary health care provides improved public health, patient satisfaction and lower overall health care costs Strategic human resource planning in implementing health care quality policy is one of the main management objectives to improve the quality of the diagnostic process and increase clinical efficiency and the economic efficiency of each medical institution.


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