Acolhimento em saúde: a compreensão dos usuários e trabalhadores a partir da visão de acadêmicos dentro da unidade de saúde jardim esperança, Itajaí/SC / Health care embracement: users' and workers' understanding from the academics' point of view at the jardim esperança health care unit, Itajaí/SC

2021 ◽  
Vol 4 (4) ◽  
pp. 14712-14717
Author(s):  
Marcel Antônio De Abreu ◽  
Gabriel Marques Pimentel ◽  
Gabriela Colussi Cenci ◽  
Ricardo Luiz Berti ◽  
Carlos Alberto Severo Garcia Júnior
2004 ◽  
Vol 5 (1) ◽  
pp. 25-29
Author(s):  
A. Trequattrini ◽  
L. Guidi ◽  
R. Cestini ◽  
M. Mezzetti ◽  
F. Ciappi

Objective of the present work is to evaluate the economic impact caused by the attendance of the Local Health Care Unit Diurnal Center (DC) by Alzheimer disease patients. 21 Alzheimer patients were observed prospectively during 8 months: 2 months before DC attendance (period 1), 4 months during DC attendance (period 2) and finally 2 months after DC discharge (period 3). Data collected were analyzed and average resources consumption was translated into monetary costs according to the Local Health Care Unit point of view and family burden. Our analysis showed a significant cost reduction during DC attendance in respect to period 1 and 3, both on Local Health Care Unit and family sides. During period 2 (DC attendance) patients showed a significant clinical improvement too, as demonstrated by MMSE (Mini Mental State Examination), ADL (Activity of Daily Leaving), IADL (Instrumental Activity of Daily Leaving) scales. Finally our work demonstrates that the DC is a valid and economically advantageous support for the health care assistance of Alzheimer patients on SSN side and that it is able to reduce the burden of continuous care giving for families.


1988 ◽  
Vol 22 (11) ◽  
pp. 903-905
Author(s):  
Thomas R. Einarson

Clinical pharmacy administration has emerged as a separate discipline, but this new field has not been functionally defined. This article defines clinical pharmacy administration from an academic point of view and provides a framework within which it may be understood. It is an applied field of study that deals with the research, evaluation, and management of the patient, the drug, and the health care practitioner as they all relate to patient care. These entities and relationships are studied at the micro, macro, and global levels from financial, economic, managerial, legal, ethical, social, behavioral, educational, and historical perspectives. It is intended that this paper generate debate and discussion in order to refine and develop the field.


BMJ Leader ◽  
2021 ◽  
pp. leader-2021-000509
Author(s):  
Marcel Levi

BackgroundThe NHS is a fascinating health care system and is enjoying a lot of support from all layers of British society. However, it is clear that the system has excellent features but also areas that can be improved.Story of selfA number of years as a chief executive in one of London’s largest hospital has brought me a wealth of impressions, experiences, and understanding about working in the NHS. Contrasting those to my previous experience as chief executive in Amsterdam (The Netherlands) provides an interesting insight.ObservationsVery strong features of the NHS are the high level of health care professionals, the focus on quality and safety, and involvement of patients and the public. However, the NHS can significantly improve by addressing the lack of clinical professionals in the lead, curtailing ever increasing bureaucracy, and reducing its peculiar preference for outsourcing even the most crucial activities to private parties. The frequent inability to swiftly and successfully complete goal-directed negotiations as well as the large but from a clinical point of view irrelevant private sector are areas of sustained bewilderment. Lastly, the drive for innovation and transformation as well as the level of biomedical research in the NHS and supported by the British universities is fascinating and outstanding.


2021 ◽  
Vol 17 (4) ◽  
pp. 503-513
Author(s):  
Natalya Krivenko

The article is aimed at studying the state of the Russian economy and health care system before and after the COVID-2019 pandemic, identifying the main trends in the economy and health care, regardless of the pandemic, as well as its impact on the socioeconomic development of the country. The interrelation and mutual influence of the levels of development of the economy and health care of the country is noted. An analysis of the state of the economy and health care system in Russia for 2017–2019 is presented, problems and achievements in the pre-pandemic period are identified. The COVID-2019 pandemic is considered not only from the point of view of a medical manifestation but as a powerful trigger that provoked large-scale socioeconomic changes in the world, as a bifurcation point in world development, requiring states to objectively assess the state of the economy and healthcare, revise the current coordinate system, getting out of the state of uncertainty and choosing promising areas of socioeconomic development. A cross-country analysis of the response of various health systems to the COVID-19 pandemic has shown the advantages of countries with centralized management, health financing, and subordinate sanitary and epidemiological services. Along with the achievements of Russia in the fight against COVID-19, the existing specific problems of the domestic health care system are noted, which negatively affected the preparedness for a pandemic. Analyzed the consequences of the COVID-2019 pandemic for the socio-economic state of countries at the global level. The change in socio-economic indicators in Russia in 2020 compared to 2019 is presented as a result of the consequences of the COVID-2019 pandemic. The main results of the study are to identify the main trends in the development of the economy and the healthcare system in Russia in the context of the ongoing COVID-2019 pandemic, defining the directions of reforming the national healthcare, trajectories of increasing the level of socioeconomic development of the country


2008 ◽  
Vol 16 (2) ◽  
pp. 238-244 ◽  
Author(s):  
Idalina Diair Regla Carolino ◽  
Carlos Alexandre Molena-Fernandes ◽  
Raquel Soares Tasca ◽  
Sonia Silva Marcon ◽  
Roberto Kenji Nakamura Cuman

This study was carried out to evaluate the risk factors of type 2 diabetic patients through sociodemographic data, habits of health, anthropometric and biochemist profiles, assisted at a basic public health care unit in Maringá, Paraná. Sixty-six patients, 56 women aged over than 50 years-old were interviewed. High prevalence factors for cardiovascular risk were observed, such as: overweight and obesity, hypertension, dyslipidemia, sedentariness and inadequate diet. Data suggested the need for multidisciplinary intervention programs in health care units associated to educative programs, adjusted diet intake and regular physical activity for these diabetic patients.


Tele-health is characterized as the usage of electronic data and broadcast using telecommunication advancements to help and advance long-distance clinical medicinal services, patient and expert long-distance clinical health care, patient and professional health education, public healthmonitoring and health administration. In this research, the proposed system that uses Sensors to monitor patient's health and uses internet to alert the practitioner and family members in case of emergency. It is capable of monitoring health status of the patient at home, which is at remote location also. If system identifies any parameter is beyond the normal range temperature, the health care unit gives continuous alertation about the patients’ status over Internet and also shows details of heartbeat & temperature of patient continuously using the IoT.


2018 ◽  
Vol 31 (1) ◽  
pp. 17-32 ◽  
Author(s):  
Susanna Hihnala ◽  
Lilja Kettunen ◽  
Marjo Suhonen ◽  
Hanna Tiirinki

Purpose The purpose of this paper is to discuss health services managers’ experiences of management in a special health-care unit and development efforts from the point of view of the Lean method. Additionally, the aim is to deepen the knowledge of the managers’ work and nature of the Lean method development processes in the workplace. The research focuses on those aspects and results of Lean method that are currently being used in health-care environments. Design/methodology/approach These data were collected through a number of thematic interviews. The participants were nurse managers (n = 7) and medical managers (n = 7) who applied Lean management in their work at the University Hospital in the Northern Ostrobothnia Health Care District. The data were analysed with a qualitative content analysis. Findings A common set of values in specialized health-care services, development of activities and challenges for management in the use of the Lean manager development model to improve personal management skills. Practical implications Managers in specialized health-care services can develop and systematically manage with the help of the Lean method. This emphasizes assumptions, from the point of view of management, about systems development when the organization uses the Lean method. The research outcomes originate from specialized health-care settings in Finland in which the Lean method and its associated management principles have been implemented and applied to the delivery of health care. Originality/value The study shows that the research results and in-depth knowledge on Lean method principles can be applied to health-care management and development processes. The research also describes health services managers’ experiences of using the Lean method. In the future, these results can be used to improve Lean management skills, identify personal professional competencies and develop skills required in development processes. Also, the research findings can be used in the training of health services managers in the health-care industry worldwide and to help them survive the pressure to change repeatedly.


Health Policy ◽  
2003 ◽  
Vol 66 (2) ◽  
pp. 123-134 ◽  
Author(s):  
Ana-Claudia Bara ◽  
W.J.A van den Heuvel ◽  
J.A.M Maarse ◽  
Jitse van Dijk ◽  
Luc P de Witte

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