Psichosocial addictions treatment based on matrix model in a public center: a pilot study / Tratamiento psicosocial de las adicciones basado en el modelo matrix en un centro público: un estudio piloto

2012 ◽  
Vol 12 (2) ◽  
Author(s):  
Jesús Martí Esquitino ◽  
José Luis Carballo Crespo ◽  
Inmaculada Cárceles Arnau ◽  
Ana María García Ruíz ◽  
Rosa María Gómez Sánchez
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health System ◽  
Matrix Model ◽  
Public Health System ◽  
Psychosocial Treatment ◽  
Control Group ◽  
Addiction Severity ◽  
Calidad De Vida

El Modelo Matrix (MM) está recomendado por el Instituto Nacional de Drogas y Abuso de EEUU (NIDA) como uno de los tratamientos efectivos para la adicción a cocaína, sin embargo, todavía no hay estudios en la sanidad pública española. El objetivo fue medir la efectividad del tratamiento basado en el Modelo Matrix adaptado a la sanidad pública murciana sobre la calidad de vida percibida, deseo de consumo, consumo real y autoinformado, retención y criterios de dependencia. Se trata de un estudio prospectivo pre experimental pre-post sin grupo control, llevado a cabo en el Centro de Atención a Drogodependencias (CAD) de Murcia, entre Octubre de 2011 y Mayo de 2012 con 9 pacientes consumidores de cocaína. Todos los cuestionarios mejoraron la puntuación, siendo estadísticamente significativos los cambios en criterios de dependencia y nivel de calidad de vida percibido. La retención fue muy alta y el consumo descendió, se concluye que aumenta la retención para los sujetos estudiados respecto de otros estudios, mejora el nivel de calidad percibida, se mantiene la abstinencia y disminuye el craving; así, el tratamiento mejora la gravedad del consumo y la retención en este estudio.  Abstract National Institute on Drug Abuse (NIDA) of USA recomends Matrix Model among other effective treatments on addiction to cocaine, however, there is no studies on the spanish public health system yet. The objective was to measure effectiveness of a psychosocial treatment based on Matrix Model, adapted to the murcian public health system on: quality of life, craving, reported and actual use, retention and dependence criteria. Prospective pre-experimental pre-post study with no control group was used, not linked to drug, conducted October, 2011 to May, 2012 at the Center of Attention to Drug Dependency (CAD) in Murcia, among 9 cocaine users. All questionaires improved their score, changes in dependence criteria and perceibed quality of life reached statistical significancy. Retention was high, with only one participant lost and general cocaine use decreased or ceased. Retention and quality of life have been improved, abstinence mantained and craving decreased; thus, this treatment reduces addiction severity.

scholarly journals Effectiveness of a Physical Therapeutic Exercise Programme for Caregivers of Dependent Patients: A Pragmatic Randomised Controlled Trial from Spanish Primary Care

2020 ◽  
Vol 17 (20) ◽  
pp. 7359
Author(s):  
Federico Montero-Cuadrado ◽  
Miguel Ángel Galán-Martín ◽  
Javier Sánchez-Sánchez ◽  
Enrique Lluch ◽  
Agustín Mayo-Iscar ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Primary Care ◽  
Health System ◽  
Public Health System ◽  
Experimental Treatment ◽  
Control Group ◽  
Therapeutic Exercise ◽  
Care Programme

Female family caregivers (FFCs) constitute one of the basic supports of socio-health care for dependence in developed countries. The care provided by FFCs may impact their physical and mental health, negatively affecting their quality of life. In order to alleviate the consequences of providing care on FFCs, the Spanish Public Health System has developed the family caregiver care programme (FCCP) to be applied in primary care (PC) centres. The effectiveness of this programme is limited. To date, the addition of a physical therapeutic exercise (PTE) programme to FCCP has not been evaluated. A randomised multicentre clinical trial was carried out in two PC centres of the Spanish Public Health System. In total, 68 FFCs were recruited. The experimental group (EG) performed the usual FCCP (4 sessions, 6 h) added to a PTE programme (36 sessions in 12 weeks) whereas the control group performed the usual FCCP performed in PC. The experimental treatment improved quality of life (d = 1.17 in physical component summary), subjective burden (d = 2.38), anxiety (d = 1.52), depression (d = 1.37) and health-related physical condition (d = 2.44 in endurance). Differences between the groups (p < 0.05) were clinically relevant in favour of the EG. The experimental treatment generates high levels of satisfaction.

Factors modifying the quality of life in patients submitted to cataract surgery in the public health system

2017 ◽  
Vol 27 ◽  
Author(s):  
André Lopes Carvalho Pereira ◽  
Bárbara Machado da Silveira ◽  
Felipe Corrêa Alves Martins ◽  
Júlia Martins Azevedo Eyer Thomaz ◽  
Márcio Heitor Stelmo da Silva ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health System ◽  
Cataract Surgery ◽  
Public Health System ◽  
The Public

Who Counts Where? COVID-19 Surveillance in Federal Countries

2021 ◽  
Author(s):  
Philip Rocco ◽  
Jessica A. J. Rich ◽  
Katarzyna Klasa ◽  
Kenneth A. Dubin ◽  
Daniel Béland
Keyword(s):  
Public Health ◽  
Data Quality ◽  
Health System ◽  
Case Studies ◽  
Fiscal Decentralization ◽  
Public Health System ◽  
System Capacity ◽  
Democratic Institutions ◽  
Subnational Governments

Abstract Context: While the World Health Organization (WHO) has established guidance on COVID-19 surveillance, little is known about implementation of these guidelines in federations, which fragment authority across multiple levels of government. This study examines how subnational governments in federal democracies collect and report data on COVID-19 cases and mortality associated with COVID-19. Methods: We collected data from subnational government websites in 15 federal democracies to construct indices of COVID-19 data quality. Using bivariate and multivariate regression, we analyzed the relationship between these indices and indicators of state capacity, the decentralization of resources and authority, and the quality of democratic institutions. We supplement these quantitative analyses with qualitative case studies of subnational COVID-19 data in Brazil, Spain, and the United States. Findings: Subnational governments in federations vary in their collection of data on COVID-19 mortality, testing, hospitalization, and demographics. There are statistically significant associations (p&lt;0.05) between subnational data quality and key indicators of public health system capacity, fiscal decentralization, and the quality of democratic institutions. Case studies illustrate the importance of both governmental and civil-society institutions that foster accountability. Conclusions: The quality of subnational COVID-19 surveillance data in federations depends in part on public health system capacity, fiscal decentralization, and the quality of democracy.

scholarly journals Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Miguel A. Galán-Martín ◽  
Federico Montero-Cuadrado ◽  
Enrique Lluch-Girbes ◽  
M. Carmen Coca-López ◽  
Agustín Mayo-Iscar ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Primary Care ◽  
Chronic Pain ◽  
Clinical Practice ◽  
Physical Exercise ◽  
Public Health System ◽  
The Public ◽  
Neuroscience Education

Abstract Background Chronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting. Methods Randomised and multicentre clinical trials, which will be carried out in 10 Primary Care centres. The trial will compare the effect of a Pain Neuroscience Education program (six sessions, 10 h) and group physical exercise (18 sessions program carried out in six weeks, 18 h), with usual care physiotherapy treatment. Group physical exercise incorporates dual tasks, gaming, and reinforcement of contents of the educational program. The aim is to assess the effect of the intervention on quality of life, as well as on pain, disability, catastrophism, kinesiophobia, central sensitisation, and drug use. The outcome variables will be measured at the beginning of the intervention, after the intervention (week 11), at six months, and a year. Discussion Therapeutic interventions based on active coping strategies are essential for the treatment of chronic pain and the sustainability of the Public Health System. Demonstrating whether group interventions have an effect size is essential for optimising resources in such a prevalent problem. Trial registration NCT03654235 “Retrospectively registered” 31 August 2018.

scholarly journals Saúde do idoso, o envelhecimento e as políticas públicas de saúde

2010 ◽  
Vol 1 (1) ◽  
pp. 37
Author(s):  
Thaís Mello de Souza ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Health Professionals ◽  
Population Aging ◽  
The Elderly ◽  
The Public ◽  
Calidad De Vida ◽  
The Sixties ◽  
Public Politics

Desde os anos sessenta do século passado, a expressão qualidade de vida tem sido referência de inúmeros discursos acadêmicos, políticos, ideológicos. A preocupação com a saúde do idoso vem promovendo a implantação de políticas públicas de saúde, visando cada vez mais melhoria da qualidade de vida. O envelhecimento populacional é um fenômeno que diz respeito a todos, não ficando circunscrito apenas aos cidadãos maiores de 60 anos. Portanto esta pesquisa através de uma revisão literária objetivou levar ao conhecimento dos profissionais de saúde a cerca da saúde do idoso e as políticas públicas de saúde para este segmento etário. Os resultados mostrou que os profissionais de saúde têm uma grande importância para a melhoria, implementação e execução das políticas públicas de saúde.Descritores: Qualidade de Vida, Saúde do Idoso, Envelhecimento. Health of the aged one, the aging and the public politics of healthAbstractSince the sixties of last century, the term quality of life has been a benchmark for many academic discourses, political, ideological. The concern with the health of the aged one comes promoting the implantation of public politics of health, aiming at each time more improvement of the quality of life. The population aging is a phenomenon that says respect to all, not being circumscribed only to the citizens biggest of 60 years. Therefore this research through a literature review aimed to inform health professionals about the health of the elderly and public health policies for this age group. The results showed that health professionals are of great importance for the improvement, implementation and enforcement of public health policies.OuvirDescriptors:Quality of Life, Health of the Aged one, Aging. Salud Del anciano, el envejecimiento y las politicas publica de saludResumenDesde los años sesenta del siglo pasado, el término calidad de vida ha sido un referente para muchos discursos académicos, políticos, ideológicos. La preocupación por la salud de las personas de edad ha estado promoviendo el despliegue de políticas de salud pública, en busca de mayor calidad y mejores de vida mejor. El envejecimiento poblacional es un fenómeno que concierne a todos, no limitándose sólo a los ciudadanos mayores de 60 años. Por tanto, esta investigación a través de una revisión de la literatura destinada a informar a los profesionales de salud acerca de la salud de las personas mayores y las politicas publicas de salud para este grupo de edad. Los resultados mostraron que los profesionales de la salud son de gran importancia para el mejoramiento, aplicación y ejecución de políticas de salud pública.Descriptores: Calidad de Vida, Salud del Adulto Mayor, Envejecimiento.

scholarly journals Efecto de una intervención estructurada de enfermería en disminución del hábito tabáquico en mujeres fumadoras

2018 ◽  
Vol 18 (1) ◽  
pp. 281-303
Author(s):  
Patricia Cid Henriquez ◽  
Olivia Sanhueza Alvarado ◽  
José Manuel Merino ◽  
Katia Sáez Carrillo
Keyword(s):  
Quality Of Life ◽  
Intervention Group ◽  
Control Group ◽  
Calidad De Vida ◽  
Structured Intervention ◽  
The Difference ◽  
Las Mujeres ◽  
And Control ◽  
Los Grupos

Introducción: El consumo del tabaco está asociado al incremento de la morbilidad y la mortalidad femenina. Este hábito implica además un deterioro en la calidad de vida relacionada con salud. El propósito de esta investigación fue determinar el efecto de una intervención estructurada que motivara a las mujeres a disminuir el consumo diario de cigarrillos y mejorar su calidad de vida. Método: Diseño experimental con preprueba-postprueba y grupo de control con asignación de los grupos al azar. De 120 personas se homologaron los dos grupos con cinco caracteristicas, se homologó nuevamente la muestra porque respondieron la entrevista en domicilio sólo 64 personas. El grupo intervención estuvo constituido por 10 mujeres entre 18 y 65 años de la región del Bio- Bío, y el grupo control por 20 mujeres. Se aplicó un cuestionario semiestructurado de características sociodemográficas, de test, cuestionarios y escalas que midieron las variables asociadas al consumo, y las orientaciones subjetivas y conductuales, previo consentimiento informado. La intervención estructurada estuvo conformada por: métodos activos de aprendizaje, consejería con énfasis en el fortalecimiento de la percepción de autoeficacia. Resultados: La diferencia de medias en el tiempo y la diferencia de medias entre los grupos (grupo tratamiento y grupo control) es de casi 5 cigarrillos (4,8), esta interacción (tiempo-grupo) resulta a un nivel de significación menor al uno por diez mil.Conclusiones: Esta intervención requiere de reforzamiento periódico hasta lograr la deshabituación tabáquica e incidir en la calidad de vida relacionada con salud de las mujeres con hábito tabáquico. Introduction: Tobacco consumption is associated with an increase in female morbidity and mortality. This habit also implies deterioration in the quality of life related to health. The purpose of this research was to determine the effect of a structured intervention that motivated women to reduce their daily consumption of cigarettes and improve their quality of life.Method: Experimental design with pre-test-post-test and control group with allocation of the groups at random. Out of 120 people, the two groups were approved with five characteristics. The sample was homologated again because the home interview was answered by only 64 people. The intervention group consisted of 10 women between 18 and 65 years old from the Bio-Bio region, and the control group by 20 women. A semi-structured questionnaire with sociodemographic characteristics, test, questionnaires and scales that measured the variables associated with consumption, and subjective and behavioral guidelines, with prior informed consent, was applied. The structured intervention consisted of: active learning methods, counseling with emphasis on strengthening the perception of self-efficacy. Results: The difference of means in time and the difference of means between the groups (treatment group and control group) is of almost 5 cigarettes (4,8). This interaction (time-group) results has a level of significance less than one in ten thousand. Conclusions: This intervention requires periodic reinforcement to achieve smoking cessation and affect the quality of life related to health of women with smoking.

scholarly journals EFFECT OF EDUCATION HOME PHARMACY CARE ON HYPERTENSION PATIENTS ‘LIVING QUALITY IN PUSKESMAS

2019 ◽  
Vol 5 (1) ◽  
pp. 30-38
Author(s):  
Pinasti Utami
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Blood Pressure ◽  
Health Center ◽  
Life Assessment ◽  
Control Group ◽  
Hypertensive Patients ◽  
Public Health Center ◽  
Care Education

Hypertension is one of ten degenerative diseases that decline the patient’s quality of life. Controlling hypertension through the role of pharmacists as a care giver in home pharmacy care activities can reduce the morbidity of the disease. The purpose of this study was to examine the effect of home pharmacy care education on the quality of life of hypertensive patients hospitalized at the Gamping II Public Health Center. This research design was quasi-experimental with a pre post control group. Respondents of this study were 28 hypertensive patients of the Gamping II Public Health Center. They were taken by simple random sampling and then divided into 2 groups, control and intervention. In the intervention group, respondents were given a pre-test and then educated with Home Pharmacy Care as many as 4 times. Data on blood pressure changes were measured using tensimeter, while quality of life assessment was SF-36 questionnaires. Data were analyzed by using student t-test. The results of this study showed that hypertensive patients are home pharmacy care services at Gamping II Public Health Center had significantly decreased blood pressures both systolic and diastolic (p <0.05), while the quality of life showed a significant increase (p <0.05). It was concluded that the application of home pharmacy care education to hypertensive patients in GampingPublic Health Center could reduce blood pressure and can statistically improve quality of life.

scholarly journals Challenges of Conducting Point-Of-Care Testing Operations During The COVID-19 Pandemic In The Municipal Public Health System Based Ambulatory Care And School Health Clinics In New York City

2021 ◽  
Vol 156 (Supplement_1) ◽  
pp. S115-S115
Author(s):  
T Sherpa ◽  
T Choesang ◽  
S Ahmad ◽  
F M Huq Ronny
Keyword(s):  
Public Health ◽  
New York ◽  
New York City ◽  
Health System ◽  
Ambulatory Care ◽  
York City ◽  
Public Health System ◽  
Point Of Care ◽  
Ambulatory Care Clinics

Abstract Introduction/Objective Our New York City Municipal Public Health System based multisite ambulatory clinics and school-based clinics, offer various waived POCT (point of care tests) and provider performed microscopy (PPM). To ensure standardization and quality of POC testing across our health system, our laboratory service conducts system wide centralized implementation, monitoring and oversight of the POCT operations in regard to regulatory compliance, test performance, quality control and training. With the emergence of the COVID-19 infection in the New York City, like all other clinical laboratories, our ambulatory care clinics encountered numerous hurdles and challenges. Here we elaborated the issues that we encountered and how we managed to overcome during the COVID-19 Pandemic. Methods/Case Report We categorized the challenges that affected our managers as well as field level laboratory operations and have devised a plane to deal with COVID-19 related predicaments. Results (if a Case Study enter NA) Among the staffing issues, staff relocation to the acute care hospital laboratories during the peak of the pandemic caused massive delay or cessation of POCT operations in our ambulatory care clinics. Manual result entry, for COVID-19 testing, at the patient portals due to lack of interface with the reference testing labs, staff shortages and frequent absences due to illness and fatigue were primary issues noted at technical level. Furthermore, there were notable delays in the processing of paper works and new staff recruitments. The lack of and significant delays in the critical laboratory supplies was another major management issue. Conclusion Given the vastness and complexity of our multisite ambulatory care network, the COVID -19 pandemic impacted our ambulatory care clinic POCT operation in a very challenging way. However, our timeliness, coordinated interventions, close communications and initiatives handled the obstacles that arose very effectively to the ensure quality of POC testing, patient safety and quality care across our health system.

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