scholarly journals Attention to the spiritual and religious needs of patients by healthcare personnel. A model based on spiritual accompaniment.

2021 ◽  
Vol 9 (12) ◽  
Author(s):  
Marcelo Canteros

During the past decades, spirituality and religion have regained their importance in health care, not only as a way of respecting the decision-making autonomy of the patient but as an element that influences the clinical evolution and quality of life of the sick patient and allowing to provide comprehensive health care. The latter has resulted in many countries guaranteeing spiritual care during hospitalizations by law. However, on the one hand, attention to spiritual and religious needs is usually reserved only for terminal cancer patients and/or patients with catastrophic diseases. On the other hand, attention to these needs has gradually become considered part of the obligations of the health teams, not without their reluctance and without a clear indication of how this task must be carried out. This work aims to present the importance of spirituality and religion inpatient care and a care model based on spiritual accompaniment. Know all the theories, master all the techniques, but as you touch a human soul be just another human soul. Carl Jung

2019 ◽  
Vol 13 ◽  
Author(s):  
Fabiana Lopes Joaquim ◽  
Zenith Rosa Silvino ◽  
Fabio Ricardo Dutra Lamego ◽  
Carlos Marcelo Balbino ◽  
Claudio José De Souza ◽  
...  

Objetivo: refletir sobre o gerenciamento do cuidado aos pacientes com úlceras venosas crônicas sob a perspectiva da qualidade da saúde proposta por Avedis Donabedian. Método: trata-se de um estudo teórico-reflexivo ancorado na perspectiva da qualidade em saúde proposta por Donabedian. Utilizaram-se, como fonte de dados para subsidiar as reflexões, as obras de Avedis Donabedian, com vistas a apresentar uma abordagem ampliada e contextualizada. Resultados: encontram-se as reflexões organizadas nas seguintes seções: “Avedis Donabedian e a qualidade em saúde” e “A gerência do cuidado aos pacientes com úlceras venosas crônicas: qualificando a assistência”. Conclusão: conclui-se que a equipe de enfermagem deve exercer o cuidado aos pacientes que apresentam úlceras venosas crônicas por intermédio de ações que qualifiquem a assistência, podendo esta qualificação ocorrer por intermédio de tecnologias gerenciais que atendam às demandas identificadas pelo profissional ao longo da assistência, bem como nos relatos realizados pelo sujeito assistido. Descritores: Gerenciamento Clínico; Úlcera Varicosa; Qualidade da Assistência à Saúde; Protocolos; Assistência Integral à Saúde; Pesquisa em Administração de Enfermagem.ABSTRACTObjective: to reflect on the management of care for patients with chronic venous ulcers from the perspective of health quality proposed by Avedis Donabedian. Method: this is a theoretical-reflexive study based on the perspective of health quality proposed by Donabedian. Avedis Donabedian's works were used as a source of data to support the reflections, in order to present a broad and contextualized approach. Results: the reflections are organized in the following sections: “Avedis Donabedian and Quality in Health” and “The management of care for patients with chronic venous ulcers: qualifying care”. Conclusion: it is concluded that the nursing staff should exercise care to patients with chronic venous ulcers through actions that qualify care, and this qualification may occur through management technologies that meet the demands identified by the professional throughout care, as well as in the reports made by the assisted subject. Descriptors: Disease Management; Varicose Ulcer; Quality of Health Care; Protocols; Comprehensive Health Care; Nursing Administration Research.RESUMENObjetivo: reflexionar sobre la gestión de la atención a pacientes con úlceras venosas crónicas desde la perspectiva de la calidad de salud propuesta por Avedis Donabedian. Método: se trata de un estudio teórico-reflexivo basado en la perspectiva de la calidad en salud propuesta por Donabedian. Se utilizaron como fuente de datos para apoyar las reflexiones, las obras de Avedis Donabedian con el fin de presentar un enfoque amplio y contextualizado. Resultados: las reflexiones se organizan en las siguientes secciones: "Avedis Donabedian y la  calidad en salud" y "El manejo de la atención a pacientes con úlceras venosas crónicas: atención calificada". Conclusión: se concluye que el personal de enfermería debe ejercer el cuidado a  los pacientes que presentan úlceras venosas crónicas a través de acciones que puedan calificar la atención, pudendo esta calificación ocurrir a través de tecnologías de gestión que satisfagan las demandas identificadas por el profesional durante la atención. , así como en los informes realizados por el sujeto asistido. Descriptores: Manejo de la Enfermedad; Úlcera Varicosa; Calidad de la Atención de Salud; Protocolos; Atención Integral de Salud; Investigación en Administración de Enfermería.


2016 ◽  
Vol 19 (2) ◽  
pp. 201-259 ◽  
Author(s):  
Maria Serakos ◽  
Barbara Wolfe

Abstract On March 23, 2010, President Barack Obama signed the Patient Protection and Affordable Care Act (ACA) into law. This comprehensive health care reform legislation sought to expand health care coverage to millions of Americans, control health care costs, and improve the overall quality of the health care system. The ACA required that all US citizens and legal residents have qualifying health insurance by 2014. In this paper we give readers a brief overview of the effects of the ACA based on recent research. We then turn our attention to the possibility of using the ACA expansion to answer important underlying questions, such as: To what extent does the holding of insurance lead to improvements in access to care? To what extent does the holding of coverage lead to improvements in health? In mental health? Are there likely general equilibrium effects on labor force participation, hours worked, employment setting, and indeed even the probability of marrying? By necessity, researchers’ ability to answer these questions depends on the availability of data, so we discuss current and potential data sources relevant for answering these questions. We also look to what has been studied about the health reform in Massachusetts and early Medicaid expansions to speculate what we can expect to learn about the effects of the ACA on these outcomes in the future.


2018 ◽  
Vol 7 (1) ◽  
pp. 112-128
Author(s):  
Janaína Alves Guilherme ◽  
Sônia Cristina Dias Soares Vermelho ◽  
Ely Mitie Massuda ◽  
Mirian Ueda Yamaguchi

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.


1969 ◽  
Vol 18 (5) ◽  
pp. 454
Author(s):  
J. C. HASIER ◽  
P. M. R. HEMPHILI ◽  
T. I. STEWART ◽  
E ROYL ◽  
S ANDREY. HARRI

PEDIATRICS ◽  
1973 ◽  
Vol 52 (2) ◽  
pp. 289-293
Author(s):  
Kathleen J. Motil ◽  
W. John Siar

With the emphasis being placed on comprehensive health care, outpatient clinics in major city hospitals have found it necessary to reevaluate their methods of health care delivery. An increasing number of patients who fail to schedule or keep medical appointments appear for crisis care, resulting in a higher cost of hospital operation due to unnecessary utilization of emergency rooms and the wasting of time of clerical and professional personnel, as well as poor quality of health care due to See the Table in PDF File sporadic clinic attendance. When comparing behavior patterns and attitudes of clinic patients under different methods of health care delivery, patient preferences become apparent.


1972 ◽  
Vol 60 (2) ◽  
pp. 112-113
Author(s):  
THOMAS M. BATCHELOR ◽  
ANTOINETTE MC. NOWELL ◽  
MURIEL G. WAGNER

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