scholarly journals Hospitalizations leading causes for maternal disorders

2014 ◽  
Vol 48 (3) ◽  
pp. 401-408 ◽  
Author(s):  
Thaise Castanho da Silva Veras ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Health Care ◽  
Descriptive Study ◽  
Primary Diagnosis ◽  
Obstetric Complications ◽  
Healthcare Team ◽  
Regional Health ◽  
Hospital System ◽  
Unified Health System ◽  
Diagnosis Age

Presenting the rates of obstetric admissions of women living in Paraná in 2010.Method: A descriptive study in which the admission information of the hospital system of the Unified Health System was analyzed. Data from women aged between 10 to 49 years available on the DATASUS website were analyzed, using percentage and according to primary diagnosis, age and Regional Health area.Results: The Rate of Obstetric Complications (RtOC) was 38%, increasing with the age of women. Complications of labor and delivery (10.5%), and pregnancy with abortive outcome (9.1%) were the diagnoses with highest RtOC. The RtOC ranged between 8.4% in Telêmaco Borba, until 62.6% in Ponta Grossa.Conclusion: The healthcare team should monitor the rates of admissions for obstetric complications as these indicate the quality of health care of women, mainly focused on labor, delivery and women of older age.


A Regional Health Care Network: eHealth.Braunschweig

2012 ◽  
Vol 51 (03) ◽  
pp. 199-209 ◽  
Author(s):  
T. Bartkiewicz ◽  
W. Bautsch ◽  
A. Gerlach ◽  
M. Goldapp ◽  
R. Haux ◽  
...  
Keyword(s):  
Health Care ◽  
Information Processing ◽  
Regional Health ◽  
Quality Of Information ◽  
Care Network ◽  
Healthcare Network ◽  
Regional Health Care ◽  
Quality Of Patient Care ◽  
Health Care Network

SummaryBackground: Health care network eHealth.Braunschweig has been started in the South-East region of Lower Saxony in Germany in 2009. It composes major health care players, participants from research institutions and important local industry partners.Objectives: The objective of this paper is firstly to describe the relevant regional characteristics and distinctions of the eHealth.Braunschweig health care network and to inform about the goals and structure of eHealth.Braunschweig; secondly to picture and discuss the main concepts and domain fields which are addressed in the health care network; and finally to discuss the architectural challenges of eHealth.Braunschweig regarding the addressed domain fields and defined requirements.Methods: Based on respective literature and former conducted projects we discuss the project structure and goals of eHealth.Braunschweig, depict major domain fields and requirements gained in workshops with participants and discuss the architectural challenges as well as the architectural approach of eHealth.Braunschweig network.Results: The regional healthcare network eHealth.Braunschweig has been established in April 2009. Since then the network has grown constantly and a sufficient progress in network activities has been achieved. The main domain fields have been specified in different workshops with network participants and an architectural realization approach for the transinstitutional information system architecture in the healthcare network has been developed. However, the effects on quality of information processing and quality of patient care have not been proved yet. Systematic evaluation studies have to be done in future in order to investigate the impact of information and communication technology on the quality of information processing and the quality of patient care.Conclusions: In general, the aspects described in this paper are expected to contribute to a systematic approach for the establishment of regional health care networks with lasting and sustainable effects on patient-centered health care in a regional context.

scholarly journals Perceived Effects of a Somatic Psychopedagogy (SPP) Program in Nurse Training: An Exploratory Study

2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Josée Lachance ◽  
Pierre Paillé ◽  
Jean-François Desbiens ◽  
Marianne Xhignesse
Keyword(s):  
Health Care ◽  
Sense Of Self ◽  
Health Care Team ◽  
The Body ◽  
Healthcare Team ◽  
Second Phase ◽  
Nurse Training ◽  
Structured Interviews ◽  
Care Giving

Background: Developed in Europe in the 1980’s, somatic psychopedagogy (SPP) is a formative practice geared toward care giving and support. Characterized as a type of mind-body medicine, it examines how the use of the body and its movement allows for the development of one’s conscience, one’s sense of self and of others, which are all desirable qualities for professionals within the health care sector.Purpose: To explore if and how SPP training followed by nurses modifies their perception of the quality of their self awareness, their presence in regard to others, as well as their relationship with respect to health and their professional practice.Methods: Qualitative research based on two types of semi-structured interviews: comprehensive and elicitation. Exploratory interviews with three nurses trained (or in training) in SPP. The content of the interviews was first analyzed thematically then grouped by categories.Findings: The three participants perceived a change in the quality of their presence with respect to themselves and to others as well as changes within the nature of their relationships with their patients, colleagues and healthcare team members. Content analysis of the interviews has allowed us to conclude that relationships with the health care team evolved into a better ability to give recognition and a better quality of interaction between members. Participants also reported an increased ability to express their opinions in both their personal and professional lives. A second level of analysis has allowed for the identification of differences between nurses just finishing their first year of training and those having completed the full four-year course.Conclusion: Interesting transformations are reported at different levels confirming the relevance of a second phase of the project. The latter will permit to identify whether physicians trained in SPP experience changes similar to those of the nurses, and if so, whether they perceive these as having an impact on their practice.

scholarly journals Structural factors for public dental health services in Regional Health Care Network 13: an analysis of the Brazilian National Program for Improving Access and Quality of Primary Care

2018 ◽  
Vol 47 (1) ◽  
pp. 31-39 ◽  
Author(s):  
Lucila Brandão HIROOKA ◽  
Guilherme Vinícius CATANANTE ◽  
Hélio Souza PORTO ◽  
Maria do Carmo Gullaci Guimarães CACCIA-BAVA
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Dental Health ◽  
Regional Health ◽  
Regional Health Care ◽  
Quality Of Primary Care ◽  
Access And Quality

Abstract Introduction The Brazilian National Program for Improving Access and Quality of Primary Care aims to induce the institution of processes that expand the capacity of federal, state and municipal administrations and Primary Care teams to offer services that ensure greater access and quality. Objective To identify the characteristics of infrastructure for the dental health care of the health units from the Regional Health Care Network 13, from the perspective of a health evaluation. Material and method This is a descriptive and cross-sectional study in which is used the Module V database of the External Evaluation instrument of 156 health units of this region that participated of the 2nd cycle of the referred program, which discuss the modality of the health teams, structure and environment of the dental office, the hours of operation, equipment, instruments and dental supplies. Result In general, the oral health units of this study have dental offices with good structural conditions and sufficient equipment and supplies to carry out clinical activities, except those for dental prostheses, possibly due to the permanence of this service in secondary care. However, they point out that advances in access and coverage by oral health services are still necessary. Conclusion Although the theme includes other studies and reflections, the present work may contribute to discussions about the present condition, and it is recommended the active participation of all the actors involved in the care, in the search for the qualification of oral health services in this region.

Social portrait of a professional group of doctors in the regional healthcare

2020 ◽  
pp. 70-74
Author(s):  
M. G. Eremina ◽  
E. P. Kovalev ◽  
V. L. Krom
Keyword(s):  
Health Care ◽  
Public Health System ◽  
Professional Group ◽  
Sociological Study ◽  
Regional Health ◽  
The Public ◽  
Primary Health ◽  
Regional Health Care ◽  
Quality Of Medical Care

The article presents the results of a sociological study «Social portrait of a professional group of doctors in regional health care», for which a survey of 976 doctors of state, municipal and private medical organizations of the Saratov region was conducted. In regional health care, there is a shortage of polyclinic doctors in the public health system (–986 doctors) with a small surplus of doctors in inpatient medical organizations (+91). The main deficit (–939 people out of the estimated 3727 people) was established among the doctors of the district service, which determines the low availability and quality of medical care in the provision of primary health care, which is the basis of the Russian health care system.

scholarly journals A Identificação do paciente no alcance de práticas seguras: concepções e práticas

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Andréia Guerra
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Adverse Events ◽  
Safety Culture ◽  
Descriptive Study ◽  
Quality And Safety ◽  
Patient Identification ◽  
Nursing Team ◽  
Study Sites

Objetivo: Avaliar as dificuldades, ações e estratégias realizadas pela equipe de enfermagem para alcançar a meta de segurança de identificação dos pacientes em uma unidade de internação de um hospital filantrópico. Método: estudo descritivocom abordagem qualitativa. A coleta de dados foi realizada de junho a julho de 2016, por meio de entrevistas, com roteirosemiestruturado, com vinte profissionais da equipe de enfermagem. Resultados: foram construídas três categorias temáticas: Identificação do Paciente: concepções, ações e dificuldades vivenciadas; Identificação do Paciente: riscos existentes;Estratégias para desenvolver a cultura de segurança do paciente. Conclusão: evidenciou-se a falta de cultura de segurançado paciente nos locais de estudo. Surge a necessidade de criar estratégias educativas que possibilitem uma melhor capacitação, planejamento e organização das ações, assim como as notificações de eventos adversos garantindo qualidade esegurança aos pacientes.Palavras chave: Segurança do Paciente. Qualidade da Assistência à Saúde. Cultura Organizacional. ABSTRACTObjective: To evaluate the difficulties, actions and strategies carried out by the nursing team in order to achieve the goalof identifying patients in an inpatient unit of a philanthropic hospital. Method: descriptive study with qualitative approach.Data collection was carried out from June to July of 2016, through interviews, with semi-structured script, with twentyprofessionals of the nursing team. Results: three thematic categories were constructed: Patient Identification: conceptions,actions and difficulties experienced; Patient identification: existing risks; Strategies for developing a patient safety culture.Conclusion: the lack of safety culture of the patient in the study sites was evidenced. The need to create educationalstrategies that allow better training, planning and organization of actions, as well as the notifications of adverse events,guaranteeing quality and safety to the patients.Keywords: Patient Safety. Quality of Health Care. Organizational Culture

scholarly journals EVALUASI PERESEPAN OBAT PASIEN RAWAT JALAN PUSKESMAS SUNGAI TABUK 1 KALIMANTAN SELATAN TERHADAP FORMULAIRUM KABUPATEN

2020 ◽  
Vol 3 (2) ◽  
pp. 377-386
Author(s):  
Okta Muthia Sari ◽  
◽  
Rollah Muhammad Arasy Hasan ◽  
Pretty Wulan Sari ◽  
Henni Selvina ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Service ◽  
Primary Health Care ◽  
Prescription Drugs ◽  
Health Workers ◽  
Descriptive Study ◽  
Primary Health ◽  
The Mean

Drug formularies are a guide for health workers in choosing drugs rationally. One of the benefits of formularies is controlling quality and optimizing services for patients. The conformity of prescription drugs to formularies is important to improve the quality of service. The purpose of this study was to assess the conformity of prescription drugs at Sungai Tabuk 1 Primary Health Care against the Banjar District Formulary for the period 2019. This retrospective descriptive study was conducted in January to February 2020 at the outpatient of Sungai Tabuk 1 Primary Health, South Kalimantan. Prescribing drugs at the outpatient of the 16 therapy classes, there are 13 therapy classes 100% according to the Banjar Regency Formulary for the period 2019. Meanwhile, 3 classes of less than 100% conformity therapy include anti-infection, topical medicines for the skin, and vitamins and minerals. The mean percentage of prescription drugs at the outpatient of Sungai Tabuk 1 in accordance with the Banjar Regency Formulary was 99.15.

scholarly journals SATISFAÇÃO DOS USUÁRIOS DAS REDES DE ATENÇÃO À SAÚDE APÓS IMPLANTAÇÃO DO PROGRAMA MAIS MÉDICOS

2018 ◽  
Vol 7 (1) ◽  
pp. 112-128
Author(s):  
Janaína Alves Guilherme ◽  
Sônia Cristina Dias Soares Vermelho ◽  
Ely Mitie Massuda ◽  
Mirian Ueda Yamaguchi
Keyword(s):  
Health Care ◽  
Quantitative Data ◽  
Comprehensive Health Care ◽  
Health Care Networks ◽  
Quantitative And Qualitative Research ◽  
Unified Health System ◽  
Semistructured Interviews ◽  
Comprehensive Health ◽  
Care Health

Este artigo apresenta resultado de pesquisa empírica quanti-qualitativa que consistiu em avaliar a satisfação dos usuários das Redes de Atenção à Saúde (RAS) do Sistema Único da Saúde (SUS) e do Programa Mais Médicos (PMM) numa microrregião do Noroeste do Paraná. Utilizou-se questionário fechado para os usuários e entrevista semiestruturada para gestores de 24 municípios, dos 30 que compõem a microrregião. Os dados quantitativos foram tratados com software Sphinx Léxica e Statgraph e os qualitativos com o software Atlas.ti. Utilizou-se estatística descritiva e inferencial. Os usuários das RAS avaliaram positivamente a qualidade do atendimento dos médicos mas negativamente no que se refere ao tempo de espera e liberdade de escolha dos profissionais. Quanto a infraestrutura, a avaliação foi menos favorável. Para o PMM, a avaliação dos médicos foi positiva por parte dos gestores, contudo, a distribuição destes nos municípios não foi igualitário, permanecendo uma concentração naqueles de maior porte, reproduzindo o comportamento geral observado em relação à distribuição entre capital e interior do Estado.Palavras-chave: Comportamento do Consumidor. Satisfação do Paciente. Descentralização. Assistência Integral à Saúde. Promoção da Saúde. ABSTRACT: This article presents the results of empirical quantitative and qualitative research which evaluate the satisfaction of users of the Health Care Networks (HCN) of the Unified Health System and the Program More Doctors (PMD) in micro-region Parana Northwest of Parana. It used closed questionnaire for users and semistructured interviews for managers of 24 municipalities of the 30 cities that compose the micro-region. Quantitative data were analyzed with software Sphinx Lexica and StatGraph and qualitative with Atlas.ti software. We used descriptive and inferential statistics. Users of HCN positively assessed the quality of care of physicians but negatively in relation to the waiting time and choice of profissionais. About infrastructure, the assessment was less favorable. For the PMD, the assessment of physicians was positive by managers, however, the distribution of the municipalities was not equal; there is a larger concentration in those, reproducing the general behavior observed in relation to the distribution between capital and the state.Keywords: Consumer Behavior. Patient Satisfaction. Decentralization. Comprehensive Health Care. Health Promotion.

Quality of life of three health care workers categories in a hospital in Minas Gerais, Brazil

2010 ◽  
Vol 4 (3) ◽  
pp. 1365
Author(s):  
Josiane Costa Sales ◽  
Carolina Marques Borges ◽  
Odete Vicente Moreira Alves ◽  
Lívia Wagner Paes ◽  
Ana Cristina Viana Campos
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Workers ◽  
Descriptive Study ◽  
Minas Gerais ◽  
World Health ◽  
World Health Organization Quality ◽  
Calidad De Vida ◽  
Care Workers

ABSTRACTObjective: investigate the quality of life of three health care workers in a philanthropic Hospital in Minas Gerais. Method: this is about a descriptive study, from transversal design (n=27) with nurses, doctors and physiotherapists whom work in a philanthropic Hospital in Minas Gerais. The valid and reliable Portuguese WHOQOL-bref version was used as a tool to measure quality of life. The study was approved by the Research Ethics Committee of the Pontifícia Universidade Católica de Minas Gerais, Brazil with protocol number 1662.0.000.213-0. Results: dichotomization of all WHOQoL scores based on respective medians showed that most of professionals had partial scores under it: Physic (55.6%), Psychology (63.0%), Social (74.1%) and Environmental (70.4%). Conclusions: measurement of health care workers’ quality of life suggests low quality of life among them, however due descriptive study design it was not possible to consider none comparison among the three health care worker’s categories. Descriptors: quality if life; professional practice; intensive care units.RESUMOObjetivo: investigar a qualidade de vida de três categorias profissionais da saúde de um hospital filantrópico de Minas Gerais, Belo Horizonte, Brasil. Método: trata-se de estudo transversal descritivo (n=27) com enfermeiros, médicos e fisioterapeutas de um Hospital Filantrópico no interior de Minas Gerais. O instrumento utilizado para mensurar a qualidade de vida foi o World Health Organization Quality Of Life na sua versão abreviada traduzida e validada para o português, mediante a aprovação do Comitê de Ética em Pesquisa da Pontifícia Universidade Católica de Minas Gerais sob o Certificado de Apresentação para Apreciação Ética (CAAE) – 1662.0.000.213-0. Resultados: a dicotomização dos escores do WHOQoL feitas pelas respectivas medianas mostrou que a maioria dos profissionais apresentou escore parcial abaixo da mediana, Físico (55,6%), Psicológico (63,0%), Social (74,1%) e Ambiental (70,4%). Conclusão: a mensuração da qualidade de vida dos profissionais de saúde entrevistados sugere uma baixa qualidade de vida dos mesmos, no entanto devido ao caráter descritivo do estudo nao foi possivel realizar nenhum tipo de comparação entre as três categorias profissionais. Descritores: qualidade de vida; pratica profissional; unidades de terapia intensiva.RESUMENObjetivo: investigar la calidad de vida de las tres categorías de profesionales de la salud de un hospital filantrópico de Minas Gerais. Método: estudio descriptivo transversal (n=27) con las enfermeras, médicos y terapeutas en un hospital de beneficencia en el estado de Minas Gerais. El instrumento utilizado para medir la calidad de vida era la de la Organización Mundial de la Salud la calidad de vida en su versión abreviada traducido y validado por los portugueses. El estudio fue aprobado por el Comité de Ética de la Pontifícia Universidade Católica de Minas Gerais con el numero de protocolo 1662.0.000.213-0. Resultados: La dicotomía de la WHOQOL realizados por sus medianas mostraron que la mayoría de los profesionales tenían una puntuación parcial por debajo de la mediana, físico (55,6%), psicológico (63,0%), sociales (74,1%) y Medio Ambiente (70,4%). Conclusión: La medición de la calidad de vida de los profesionales de la salud sugiere una menor calidad de vida para nosotros mismos, sin embargo debido a la naturaleza descriptiva de este estudio no fue posible hacer una comparación entre las tres categorías profesionales. Descriptores: calidad de vida, práctica profesional; unidades de terapia intensiva. 

scholarly journals Primary Health Care from the perception of women living in a rural area

2015 ◽  
Vol 49 (5) ◽  
pp. 726-732 ◽  
Author(s):  
Érica de Brito Pitilin ◽  
Maicon Henrique Lentsck
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Rural Area ◽  
Descriptive Study ◽  
Southern Brazil ◽  
Care Model ◽  
Unequal Treatment ◽  
Primary Health ◽  
Rural Context

AbstractOBJECTIVEUnderstanding the perception of women living in a rural area about the actions and services of Primary Health Care (PHC) in a municipality of southern Brazil, which is the only one regarded as predominantly rural.METHODA descriptive study of qualitative approach, carried out with women who lived in the countryside and required health services in the 15 days prior to collection.RESULTSThe results registered low fidelity to PHC attributes, focusing its functional axis on sickness, transforming the unit into small points of emergency care and a bureaucratic place where patients are referred to other types of services. The quality of service offered is compromised to offering quick, fragmented and unequal treatment in the rural context.CONCLUSIONThe findings of this study highlight the need for greater efforts in order to adequate the new care model in the development of appropriate actions as designated by PHC in the rural context studied.

scholarly journals Narrative Study of Shariah Hospitals in Indonesia: A Review of Islamic Brand Communities Innovation for Health Care

2020 ◽  
Author(s):  
Wahyu Sulistiadi ◽  
Sri Rahayu ◽  
Meita Veruswati ◽  
Al Asyary
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Health Workers ◽  
Code Of Conduct ◽  
Hospital Management ◽  
Hospital System ◽  
Narrative Study ◽  
Care Services

The Ministry of Health evaluates hospital management in accordance with the standard of quality of service. The concept of Shariah hospitals offers management services that exceed the standard of quality of hospital care. The study aims to illustrate the concept of Shariah hospitals in Indonesia. We collect related literature from various media via online search with the keywords “Shariah hospitals,” “implementation of Shariah hospitals,” and “application of Shariah hospitals.” Main findings: The study finds that the Shariah hospitals built by the philosophy of Islam are willing to provide the best health-care services to patients. A code of conduct must be fulfilled by the hospital management in Shariah hospitals: (1) general liability, (2) obligations to society and the environment, (3) obligations to patients, (4) obligations to the leaders, staff, and employees, and (4) relationships with related institutions. The foremost challenges include the improvement of health personnel performance and the quality of services in addition to perceptions that are not inclusive of the system of Shariah hospitals. This implementation should run consistently and with the commitment of all parties. Such insight, in turn, can be counted as an input to an approach to health services, particularly in increasing the performance rates, such as hospital. This study is the first to provide new insight into discussion about shariah hospital by presenting its focuses on Islamic approaches in meeting the quality standards of health services in hospitals so as to obtain more value. However, exclusive principles—Islamization, heterogeneity, and the performance of health workers—challenge the implementation of this hospital system.

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