scholarly journals Reasons that made aged people seek care at a basic health unit

2009 ◽  
Vol 17 (5) ◽  
pp. 670-676
Author(s):  
Mary Rosane Quirino Polli Rosa ◽  
Zuleica Maria Patrício ◽  
Maria Regina Silvério ◽  
Davi Rumel
Keyword(s):  
Health Care ◽  
Signs And Symptoms ◽  
Study Region ◽  
Health Team ◽  
Basic Health ◽  
Aged People ◽  
Medicine Prescription ◽  
Icd 10 ◽  
Initial Reading ◽  
Care Demands

This quantitative study aimed to get to know the reasons that made aged people seek care at a basic health care outpatient clinic in the State of Santa Catarina, Brazil. The data was collected in the patient files of 401 aged people attended by the health team. Initial reading of these records evidenced 4634 reasons that, after qualitative analysis, were grouped under complaints and requests for attention. In a second analysis, these data were classified as R and Z, according to ICD-10. The R category - complaints expressed by signs and symptoms- equals 64% of the reasons, with "pain" as the most common one. The other reasons, 36%, corresponded to the Z category, called requests for attention, represented by medicine prescription requests and attendance for health control. The study evidenced the complexity of this population's health care demands in the study region, showing the need for that service to develop specific and interdisciplinary care.

scholarly journals Processo de trabalho e planejamento das ações de saúde

2018 ◽  
Vol 12 (10) ◽  
pp. 2564
Author(s):  
Ankilma Do Nascimento Andrade ◽  
Wilkslam Alves de Araújo ◽  
Juliane Carla Medeiros de Sousa ◽  
Renata Lívia Silva Fonsêca Moreira de Medeiros ◽  
Edineide Nunes da Silva ◽  
...  
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Family Health ◽  
Interdisciplinary Approach ◽  
Care Process ◽  
Health Team ◽  
Basic Health ◽  
Basic Health Care ◽  
Trabajo En Equipo ◽  
The Impact

RESUMO Objetivo: analisar o processo de trabalho com base no planejamento das ações de saúde e o impacto no âmbito da atenção básica de saúde. Método: trata-se de um estudo quantitativo, exploratório e descritivo com 25 profissionais da Equipe Saúde da Família, a partir de um questionário. Os dados foram organizados no SPSS, versão 21, e analisados por meio de estatística descritiva e inferencial bivariada. Resultados: o trabalho em equipe, aliado às ações educativas, com foco na promoção e prevenção da saúde, favorece a integralidade da atenção à saúde em sua dimensão ampliada. As ações de promoção e prevenção desenvolvidas no cenário da atenção básica de saúde ainda são pontuais, dirigidas e assistenciais. Conclusão: a integralidade da atenção deve compreender a noção de ampliação do conhecimento com vistas sobre a realidade comunitária, o trabalho em equipe multiprofissional, com abordagem interdisciplinar. Descritores: Atenção Primária à Saúde; Avaliação de Processos; Equipe Interdisciplinar de Saúde; Promoção da Saúde; Saúde da Família; Saúde Integral.ABSTRACT Objective: to analyze the work process based on the planning of health actions and the impact in the scope of basic health care. Method: this is a quantitative, exploratory and descriptive study with 25 professionals from the Family Health Team, based on a questionnaire. The data was organized in SPSS, version 21, and analyzed using bivariate descriptive and inferential statistics. Results: Teamwork, together with educational actions, focusing on health promotion and prevention, favors the integrality of health care in its expanded dimension. The actions of promotion and prevention developed in the scenario of basic health care are still punctual, directed and related to care. Conclusion: the integrality of care must comprehend the notion of expansion of knowledge with a view to the community reality, the multiprofessional teamwork, with an interdisciplinary approach. Descriptors: Primary Health Care; Process Evaluation; Interdisciplinary Health Team; Health Promotion; Family Health; Comprehensive Health.RESUMEN Objetivo: analizar el proceso de trabajo con base en la planificación de las acciones de salud y el impacto en el ámbito de la atención básica de salud. Método: se trata de un estudio cuantitativo, exploratorio y descriptivo con 25 profesionales del Equipo Salud de la Familia, a partir de un cuestionario. Los datos fueron organizados en el SPSS, versión 21, y analizados por medio de estadística descriptiva e inferencial bivariante. Resultados: el trabajo en equipo, aliado a las acciones educativas, con foco en la promoción y prevención de la salud, favorece la integralidad de la atención a la salud en su dimensión ampliada. Las acciones de promoción y prevención desarrolladas en el escenario de la atención básica de salud todavía son puntuales, dirigidas y asistenciales. Conclusión: la integralidad de la atención debe comprender la noción de ampliación del conocimiento con vistas a la realidad comunitaria, el trabajo en equipo multiprofesional, con enfoque interdisciplinario. Descriptores: Atención Primaria a la Salud; Evaluación de Procesos; Equipo Interdisciplinario de Salud; Promoción de la salud; Salud de la Familia; Salud Integral.

scholarly journals Matrix support work: difficulties in the scope of basic healthcare

2014 ◽  
Vol 35 (1) ◽  
pp. 140-147
Author(s):  
Amanda de Araújo ROMERA ◽  
Anne Jaquelyne Roque BARRÊTO ◽  
Lenilde Duarte de SÁ ◽  
Sandra Aparecida de ALMEIDA ◽  
Jordana de Almeida NOGUEIRA ◽  
...  
Keyword(s):  
Health Care ◽  
Qualitative Research ◽  
Primary Health Care ◽  
Data Collection ◽  
Family Health ◽  
Health Team ◽  
Basic Health ◽  
Primary Health ◽  
Support Work

Qualitative research under the analysis of contents, thematic modality, aimed to identify the difficulties lived by the matricial supporter in its practice in the Primary Health Care. The scenery of the study were six units of family health located in one of the five Sanitary Districts of João Pessoa-PB. The data collection was performed from August to September 2010, through semi directed interviews, in which ten professionals who worked as matricial supporters participated. According to the speeches the difficulties faced relate to the ignorance of some professionals of the health team toward the function of the matricial supporter in the Basic Health Attention; lack of autonomy and administrative overload. In this sense, it is suggested that a process of reflection about the work of the matricial supporter with the health team aiming to acknowledge which contribution of this professional in the reorganization of the work of the team of basic attention.

Primary Health Care and the ICD-11

2013 ◽  
Vol 10 (01) ◽  
pp. 33-37 ◽  
Author(s):  
M. Klinkman ◽  
D. Goldberg
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Mental Disorders ◽  
Medical Care ◽  
Special Needs ◽  
Field Trials ◽  
Primary Medical Care ◽  
Dsm 5 ◽  
Primary Health ◽  
Icd 10

SummaryThis paper describes the necessity of adapting the major classifications of mental disorders exemplified by the ICD-11 and the DSM-5 for the special needs of primary medical care. An earlier version of the classification – the ICD-10-PHC – is described, and the process of adapting it is described in detail. The new 28 item version of the classification is described, and the procedures to be adopted in the Field Trials to be held during 2013 are set out, together with the specific problems these field trials will address.

Prevalence of Psychiatric Diagnoses and Psychiatric Consultation Service Utilization on Inpatient Medical Units

2021 ◽  
pp. 107839032110055
Author(s):  
Bianca Reis ◽  
Jenny Hsin-Chun Tsai
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Adult Patients ◽  
Psychiatric Diagnoses ◽  
Psychiatric Consultation ◽  
Consultation Service ◽  
Icd 10 ◽  
Delivery Models

OBJECTIVE This practice improvement project sought to determine the prevalence of psychiatric diagnoses among patients admitted to a community hospital’s inpatient medical units and which diagnoses were serviced by the hospital’s psychiatric consultation service. METHOD Electronic medical record data on adult patients of five medical units admitted with a psychiatric condition between October 1, 2019, and December 31, 2019, were used. Psychiatric ICD-10 ( International Classification of Diseases, 10th Revision) codes and diagnosis names extracted were categorized into seven major diagnostic groups. A total of 687 adult patients with 82 psychiatric ICD-10 codes were analyzed using descriptive statistics. RESULTS Substance-related and addictive disorders were the most prevalent psychiatric diagnoses. Ninety-six percent ( n = 658) of patients residing on medical floors with psychiatric disorders were hospitalized for a principal medical problem. Seventy-three cases received psychiatric consultations during their stay. Sixty percent ( n = 44) of those cases had psychiatric disorders from two or more diagnostic categories. CONCLUSIONS Multidisciplinary, team-based health care delivery models that include a psychiatric nurse can provide an effective approach to treat patients in community hospitals with multiple psychiatric and medical comorbidities. Hospitals could take a significant role in providing substance use disorder treatment and equipping medical nurses with training to competently care for patients with psychiatric disorders on medical units. Further research into the prevalence and impact of patients with co-occurring and multiple psychiatric diagnoses in community hospitals is needed to implement effective health care delivery models and provide appropriate treatment options in the community.

scholarly journals Multisite medical record review of emergency department visits for traumatic brain injury

2021 ◽  
Vol 27 (S1) ◽  
pp. i42-i48
Author(s):  
Barbara A Gabella ◽  
Jeanne E Hathaway ◽  
Beth Hume ◽  
Jewell Johnson ◽  
Julia F Costich ◽  
...  
Keyword(s):  
Traumatic Brain Injury ◽  
Emergency Department ◽  
Brain Injury ◽  
Skull Fracture ◽  
Signs And Symptoms ◽  
International Classification Of Diseases ◽  
Emergency Department Visits ◽  
Intracranial Injury ◽  
Imaging Results ◽  
Icd 10

BackgroundIn 2016, the CDC in the USA proposed codes from the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for identifying traumatic brain injury (TBI). This study estimated positive predictive value (PPV) of TBI for some of these codes.MethodsFour study sites used emergency department or trauma records from 2015 to 2018 to identify two random samples within each site selected by ICD-10-CM TBI codes for (1) intracranial injury (S06) or (2) skull fracture only (S02.0, S02.1-, S02.8-, S02.91) with no other TBI codes. Using common protocols, reviewers abstracted TBI signs and symptoms and head imaging results that were then used to assign certainty of TBI (none, low, medium, high) to each sampled record. PPVs were estimated as a percentage of records with medium-certainty or high-certainty for TBI and reported with 95% confidence interval (CI).ResultsPPVs for intracranial injury codes ranged from 82% to 92% across the four samples. PPVs for skull fracture codes were 57% and 61% in the two university/trauma hospitals in each of two states with clinical reviewers, and 82% and 85% in the two states with professional coders reviewing statewide or nearly statewide samples. Margins of error for the 95% CI for all PPVs were under 5%.DiscussionICD-10-CM codes for traumatic intracranial injury demonstrated high PPVs for capturing true TBI in different healthcare settings. The algorithm for TBI certainty may need refinement, because it yielded moderate-to-high PPVs for records with skull fracture codes that lacked intracranial injury codes.

Thailand's Bare-headed Doctors

1985 ◽  
Vol 19 (4) ◽  
pp. 761-796 ◽  
Author(s):  
David Gosling
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Basic Health ◽  
Basic Health Care

For the last few years an imaginative programme for training Buddhist monks in basic health care has been in operation in Thailand. The scheme, originally based on two wats (temples) in Bangkok, is now being extended to the Northeast where poverty and malnutrition are most acute. The originator of the programme, Dr Prawase Wasi, a distinguished haematologist, has received several awards for his work, which is increasingly recognized as a major landmark in the implementation of health care in developing countries.

scholarly journals Community psychiatry's achievements

2014 ◽  
Vol 23 (4) ◽  
pp. 337-344 ◽  
Author(s):  
T. Burns
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Community Psychiatry ◽  
Psychosocial Interventions ◽  
Community Mental Health Team ◽  
Pattern Of Care ◽  
Mental Health Team ◽  
Health Team ◽  
Developed World

Mental health care in the second half of the 20th century in much of the developed world has been dominated by the move out from large asylums. Both in response to this move and to make it possible, a pattern of care has evolved which is most commonly referred to as ‘Community Psychiatry’. This narrative review describes this process, from local experimentation into the current era of evidence-based mental health care. It focuses on three main areas of this development: (i) the reprovision of care for those discharged during deinstitutionalisation; (ii) the evolution and evaluation of its characteristic feature the Community Mental Health Team; and (iii) the increasing sophistication of psychosocial interventions developed to support patients. It finishes with an overview of some current challenges.

scholarly journals (A4) Emergency Health Interventions in Earthquakes: Red Cross Experience from Haiti and Chile, 2010

2011 ◽  
Vol 26 (S1) ◽  
pp. s2-s2
Author(s):  
P. Saaristo ◽  
T. Aloudat
Keyword(s):  
Health Care ◽  
Emergency Response ◽  
Red Cross ◽  
Local Health ◽  
Basic Health ◽  
Basic Health Care ◽  
Health Response ◽  
Local Health Care ◽  
Local Health Care System ◽  
Rapid Deployment

On 12 January 2010, the fate of Haiti and its people shifted with the ground beneath them as the strongest earthquake in 200 years, and a series of powerful aftershocks demolished the capital and multiple areas throughout the southern coast in thirty seconds, leaving some 220,000 people dead, and 300,000 persons injured. On 27 February 2010, at 03:35 hours local time, an earthquake of magnitude 8.8 struck Chile. As a consequence, the tsunami generated affected a coastal strip of more than 500 kilometers. Approximately 1.5 million people were affected and thousands lost their homes and livelihoods. The emergency health response of the International Red Cross Movement to both disasters was immediate, powerful and dynamic. The IFRC deployed seven emergency response units (ERU) to Haiti: one 150-bed referral hospital, one Rapid Deployment Emergency Hospital, and five basic health care units. One surgical hospital and two Basic Health Care Units were deployed to Chile. The ERU system of the IFRC is a flexible and dynamic tool for emergency health response in shifting and challenging environments. Evaluations show that the system performs well during urban and rural disasters. Despite a very different baseline in the two contexts, the ERU system of IFRC can adapt to the local needs. As panorama of pathology in the aftermath of an earthquake changes, the ERU system adapts and continues supporting the local health care system in its recovery.

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