scholarly journals Costos derivados de la atención a pacientes con enfermedad crónica no transmisible

Respuestas ◽  
2014 ◽  
Vol 19 (2) ◽  
pp. 51-58 ◽  
Author(s):  
María Stella Campos-de Aldana ◽  
Myriam Durán-Parra ◽  
Sonia Solano-Aguilar ◽  
Delia Moya-Plata ◽  
Ligia Betty Arboleda- Salazar ◽  
...  

 Antecedentes: Las enfermedades crónicas no transmisibles, son la principal causa de morbimortalidad a nivel mundial. Comportamiento similar se presenta en Colombia al igual que en Santander. Las patologías cardiovasculares en el 2010 cobraron la vida de 1527 mujeres y 1634 hombres; seguido de las neoplasias, en especial las de localización de tumores malignos que causaron la muerte a 727 mujeres y 755 hombres, estos resultados se ven reflejados en los altos costos requeridos para la atención hospitalaria, ambulatoria y domiciliaria por lo que requiere dedicación, educación y cuidado individualizado. Métodos: Se realizó una búsqueda de artículos teniendo en cuenta tiempo de publicación y las palabras claves; en las bases de datos: MEDLINE, IME, LILACS, Centro Cochrane Iberoamericano, EMBASE, CINAHL, BDIE, en el primer semestre de 2013. Identificando 55 estudios potenciales, de los cuales se seleccionaron seis artículos del comportamiento de los costos de la atención a pacientes con enfermedades crónicas no transmisibles; cabe incluir que se obtuvo información directa por parte de algunas instituciones de Bucaramanga, la cual demuestra el comportamiento de los costos frente al cuidado de enfermería y a nivel interno de cada entidad no solo del sistema de salud sino de los pacientes y cuidadores familiares. Resultados: la enfermedad crónica genera la mayor parte de los costos al Sistema de Salud, situación a tener en cuenta; así como el cuidado efectivo para la atención de pacientes que ya han sido afectados. Conclusiones: el Sistema de Salud debe implementar estrategias preventivas para la aparición de las Enfermedades Crónicas No Trasmisibles (ECNT) y las complicaciones derivadas de ellas, que contemple un cuidado efectivo para la atención de los individuos.Palabras claves: Costos, Cuidado, Enfermedad Crónica no transmisible.  Abstract  Background: Chronic noncommunicable diseases are the leading cause of morbidity and mortality worldwide. Similar behavior occurs in Colombia as in Santander. Cardiovascular diseases in 2010 claimed the lives of 1527 women and 1634 men ; followed by neoplasms, especially the localization of malignant tumors that killed 727 women and 755 men, these results are reflected in the high cost required for inpatient , outpatient and home care so requires dedication , education and individualized care. Methods: A search of articles were given at time of publication and keyword; in databases: MEDLINE, IME, LILACS, Iberoamerican Cochrane Centre, EMBASE, CINAHL, BDIE in the first half of 2013. By identifying 55 potential studies, of which six articles of behavior of costs of care were selected patients with chronic non- communicable diseases; it should include direct information was obtained by some institutions Bucaramanga, which shows the behavior of costs compared to nursing care and internally each institution not only the health system but patients and family caregivers. Results: Chronic illness generates most of the costs the health system, a situation to consider; and effective care for the care of patients who have already been affected. Conclusions: Health System must implement preventive strategies for the appearance of Chronic Non Communicable (ECNT) and complications arising from them, by providing effective care for the care of individuals.Keywords: Costs, Care, Chronic Non-Communicable Disease.

2021 ◽  
Author(s):  
Jaideep Menon ◽  
Mathews Numpeli ◽  
Sajeev.P. Kunjan ◽  
Beena.V. Karimbuvayilil ◽  
Aswathy Sreedevi ◽  
...  

UNSTRUCTURED Abstract: India has a massive non-communicable disease (NCD) burden at an enormous cost to the individual, family, society and health system at large, in spite of which prevention and surveillance is relatively neglected. Risk factors for atherosclerotic cardiovascular disease if diagnosed early and treated adequately would help decrease the mortality and morbidity burden. India is in a stage of rapid epidemiological transition with the state of Kerala being at the forefront, pointing us towards likely disease burden and outcomes for the rest of the country, in the future. A previous study done by the same investigators, in a population of >100,000, revealed poor awareness and treatment of NCDs and also poor adherence to medicines in individuals with CVD. The investigators are looking at a sustainable, community based model of surveillance for NCDs with corporate support wherein frontline health workers check all individuals in the target group ( > age 30 years) with further follow up and treatment planned in a “spoke and hub” model using the public health system of primary health centres (PHCs) as spokes to the hubs of Taluk or District hospitals. All data entry done by frontline health workers would be on a Tab PC ensuring rapid acquisition and transfer of participant health details to PHCs for further follow up and treatment. The model will be evaluated based on the utilisation rate of various services offered at all tier levels. The proportions of the target population screened, eligible individuals who reached the spoke or hub centres for risk stratification and care and community level control for hypertension and diabetes in annual surveys will be used as indicator variables. The model ensures diagnosis and follow up treatment at no cost to the individual entirely through the tiered public health system of the state and country.


Author(s):  
Cristina Gutiérrez López

<p>El derecho a la protección de la salud reconocido por la Constitución Española dota al sistema sanitario de especial importancia. Sin embargo, las últimas reformas ponen en riesgo el modelo de sanidad universal, afectado por los recortes en la financiación, el envejecimiento de la población y una creciente demanda asistencial.<br />El artículo resume los rasgos principales del Sistema Nacional de Salud, las características de su gestión y el modelo de financiación sanitario derivado del traspaso de competencias a las Comunidades Autónomas. Asimismo, para el caso de León se plantean los datos más relevantes en términos de recursos y gasto sanitario en los últimos 25 años.</p><p>The right to have an adequate level of health protection is recognized by the Spanish Constitution, giving the health system a special status. Nevertheless, the latest reforms threaten our universal health system, affected by recent cuts in government financing, population ageing and an increasing demand for these services.<br />The article summarizes the main aspects of the Health National System, as well as their management features, and the financing model as a consequence of the powers transferred to the Autonomous regions. Futhermore, the case of the province of León is analysed through the more significant aspects in terms of resources and expenditures in the last 25 years.</p>


2021 ◽  
Vol 9 ◽  
Author(s):  
Arunah Chandran ◽  
Shurendar Selva Kumar ◽  
Noran Naqiah Hairi ◽  
Wah Yun Low ◽  
Feisul Idzwan Mustapha

In 2012, the World Health Organization (WHO) set a comprehensive set of nine global voluntary targets, including the landmark “25 by 25” mortality reduction target, and 25 indicators. WHO has also highlighted the importance of Non-Communicable Disease (NCD) surveillance as a key action by Member States in addressing NCDs. This study aimed to examine the current national NCD surveillance tools, activities and performance in Malaysia based on the WHO Global Monitoring Framework for NCDs and to highlight gaps and priorities moving forward. A desk review was conducted from August to October in 2020, to examine the current national NCD surveillance activities in Malaysia from multiple sources. Policy and program documents relating to NCD surveillance in Malaysia from 2010 to 2020 were identified and analyzed. The findings of this review are presented according to the three major themes of the Global Monitoring Framework: monitoring of exposure/risk factor, monitoring of outcomes and health system capacity/response. Currently, there is a robust monitoring system for NCD Surveillance in Malaysia for indicators that are monitored by the WHO NCD Global Monitoring Framework, particularly for outcome and exposure monitoring. However, Malaysia still lacks data for the surveillance of the health system indicators of the framework. Although Malaysia has an NCD surveillance in place that is adequate for the WHO NCD Global Monitoring Framework, there are areas that require strengthening. The country must also look beyond these set of indicators in view of the increasing burden and impact of the COVID-19 pandemic. This includes incorporating mental health indicators and leveraging on alternate sources of data relating to behaviors.


Author(s):  
Cristina Gutiérrez López

<p>El derecho a la protección de la salud reconocido por la Constitución Española dota al sistema sanitario de especial importancia. Sin embargo, las últimas reformas ponen en riesgo el modelo de sanidad universal, afectado por los recortes en la financiación, el envejecimiento de la población y una creciente demanda asistencial.<br />El artículo resume los rasgos principales del Sistema Nacional de Salud, las características de su gestión y el modelo de financiación sanitario derivado del traspaso de competencias a las Comunidades Autónomas. Asimismo, para el caso de León se plantean los datos más relevantes en términos de recursos y gasto sanitario en los últimos 25 años.</p><p>The right to have an adequate level of health protection is recognized by the Spanish Constitution, giving the health system a special status. Nevertheless, the latest reforms threaten our universal health system, affected by recent cuts in government financing, population ageing and an increasing demand for these services.<br />The article summarizes the main aspects of the Health National System, as well as their management features, and the financing model as a consequence of the powers transferred to the Autonomous regions. Futhermore, the case of the province of León is analysed through the more significant aspects in terms of resources and expenditures in the last 25 years.</p>


2021 ◽  
Vol 5 (1) ◽  
pp. 23
Author(s):  
Nurwulan Adi Ismaya ◽  
Riris Andriati ◽  
Tri Okta Ratnaningtyas ◽  
Nur Hasanah ◽  
Dewi Yulianti

Cancer is a non-communicable disease, or NCD (Noncommunicable diseases). It becomes a second causative factor of mortality in global. In some cases and scientific journals that show a high problem of drug use in cancer patients. The purpose of this research is to identify the use of sitostatica drugs which are reviewed from a variety of literature. This study uses literature study research. Literature study is a research conducted by researchers by collecting a number of library data relating to the problem and research objectives. Result showed there are the most inaccurate drug diagnosis criteria for patients are 16 cases (22.86%). Inaccuracy in most doses is 21 cases (29.18%). the most inaccurate dose inaccuracy is 127 cases (36.38%), inaccurate indications include the need to add drugs the most is 26 cases (25.49%), drugs without the most indications are 11 cases (10.78%) , inaccurate duration of administration of the most drugs is 15 cases (23.43%), the criteria for alerting for the most side effects are 208 cases (59.59%) the right criteria for the administration method is 100%, the patient is 100% right, and the right submission (dispensing) and information at 100%.Keywords: DrugCancerEvaluationDRPABSTRAKSalah satu penyakit tidak menular adalah Kanker, disebut juga dengan NCD (Noncommunicable diseases) serta merupakan faktor kedua penyebab kematian di dunia. Pada beberapa kasus dan jurnal ilmiah yang ada menunjukkan masih tingginya masalah penggunaan obat-obat pada pasien kanker. Tujuan penelitian ini adalah untuk mengevaluasi penggunaan obat Sitostatika di tinjau dari berbagai literatur. Penelitian ini menggunakan penelitian studi literatur. Penelitian ini menggunakan metode studi literatur dimana peneliti mencari sejumlah jurnal penelitian untuk menghasilkan kesimpulan yang terbaru. Hasil dari penelitian menunjukkan bahwa ketidaktepatan obat kriteria diagnosis pasien yang paling banyak adalah 16 kasus (22,86%). ketidaktepatan dosis lebih yang paling banyak adalah 21 kasus (29,18%). ketidaktepatan dosis kurang yang paling banyak adalah 127 kasus (36,38%), ketidaktepatan indikasi meliputi perlu tambahan obat yang paling banyak adalah 26 kasus (25,49%),obat tanpa indikasi yang paling banyak adalah 11 kasus (10,78%), ketidaktepatan lama pemberian obat yang paling banyak adalah 15 kasus (23,43%),kriteria waspada efek samping yang paling banyak adalah 208 kasus (59,59%) kriteria tepat cara pemberian sebesar 100%, tepat pasien sebesar 100%, dan tepat penyerahan (dispensing) dan informasi sebesar 100%.Kata Kunci:ObatKankerEvaluasiDRP


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