scholarly journals Formação para a integralidade no cuidado: potencialidades de um projeto interprofissional / Training for integrality in Health Care Careers: Potential for an Interprofessional Project

2014 ◽  
Vol 3 (1) ◽  
Author(s):  
Rosana Rossit ◽  
Sylvia Helena Batista ◽  
Nildo Alves Batista
Keyword(s):  
Health Care ◽  
Interprofessional Education ◽  
Professional Training ◽  
Sao Paulo ◽  
Point Of View ◽  
São Paulo ◽  
Patient Centered ◽  
Centered Care ◽  
Development Of Competencies

ABSTRACTThis study highlights the importance of interprofessional education in health for the learning process of the teamwork and integrality in care to expand effectiveness of services and quality of care. Former students from undergraduate health courses in Federal University of São Paulo/UNIFESP, Brazil (physical education, physical therapy, nursing and occupational therapy) responded to the questionnaire RIPLS to assess attitudes and readiness to three factors: teamwork and collaboration, professional identity and patient-centered care. The results showed the following development of competencies, which are essential for health professionals - problem solving, decision making, leadership, trust and respect to each other, communication with patients and other professionals, understanding the nature of the problems, understanding the clinical cases from the patient´s point of view. These are recognized on the global scenario as components of quality of professional training and attention to health care. Eighty -four percent of the former students of the undergraduate courses were satisfied with the training received and provided contributions to the analysis of health education in the perspective of interprofessional education.RESUMOPesquisa de abordagem quantitativa para avaliar a formação para a integralidade no cuidado em carreiras da saúde. Destaca-se a importância da educação interprofissional em saúde para o aprendizado do trabalho em equipe e da integralidade no cuidado para ampliar a resolutividade dos serviços e a qualidade da atenção à saúde. Egressos da graduação em saúde da Universidade Federal de São Paulo/UNIFESP-Brasil (educação física, fisioterapia, nutrição e terapia ocupacional) responderam ao Questionário RIPLS para avaliação de atitudes e prontidão para três fatores: trabalho de equipe e colaboração, identidade profissional e atenção centrada no paciente. Os resultados indicam o desenvolvimento de competências essenciais para as profissões da saúde - resolução de problemas, tomada de decisão, liderança, confiança e respeito uns aos outros, comunicação com pacientes e outros profissionais, compreensão da natureza dos problemas, entendimento dos casos clínicos na perspectiva do paciente - as quais são reconhecidas no cenário global como componentes da qualidade da formação profissional e da atenção à saúde. Oitenta e quatro por cento dos egressos mostram-se satisfeitos com a formação recebida e fornecem contribuições para a análise da forma-ção em saúde, na perspectiva da educação interprofissional.

scholarly journals Instrumento norteador para auditoria clínica de protocolos

2021 ◽  
Vol 21 (82) ◽  
Author(s):  
Vitória Régia Dias dos Santos Cavalcante ◽  
Tatiane Santos Da Silva ◽  
Patrícia Gabriela Santana Alvestor ◽  
Sara Diniz Rubinsztejn Azevedo ◽  
Crystiane Aline Alves De Souza ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Audit Quality ◽  
Clinical Audit ◽  
Sao Paulo ◽  
Care Quality ◽  
São Paulo ◽  
Common Structure ◽  
Health Care Quality Indicators

A auditoria clínica envolve um processo de verificação das práticas preconizadas e o cuidado prestado nas instituições de saúde implicando na qualidade do atendimento, neste contexto o trabalho tem como objetivo elaborar um protótipo, avaliar aplicabilidade e oportunidades de melhoria de um instrumento norteador para análise da eficácia da implantação de protocolos. Realizado em hospital pediátrico de ensino de grande porte entre abril e setembro de 2020, no município de São Paulo, através de levantamento bibliográfico e de protocolos institucionais, interações com profissionais da Instituição e um teste-piloto. O instrumento em sua versão validada foi baseado na estrutura comum de seis protocolos, constando de seis critérios correspondentes ao objetivo, abrangência, fluxo de atendimento, condutas adotadas, registros em prontuário e indicadores sendo as informações classificadas em conforme, parcialmente e não conforme. No processo de validação verificou a necessidade de instrumento específico para cada protocolo auditado. O instrumento elaborado atendeu ao objetivo proposto de nortear a prática de auditoria dentro do hospital e demonstrou conseguir em conjunto com específico agregar valor ao atendimento apontando possíveis melhorias.Palavras-chave: Auditoria Clínica; Qualidade da Assistência à Saúde; Indicadores de Qualidade em Assistência à Saúde; Protocolos Clínicos ABSTRACTGuiding instrument for clinical audit of protocolsThe clinical audit involves a process of verifying the recommended practices and the are provided in health institutions, implying in the quality of care, in this context the work aims to develop a prototype, evaluate applicability and opportunities for improvement of a guiding instrument for analyzing the effectiveness the implementation of protocols. Held in a large teaching pediatric hospital between April and September 2020, in the city of São Paulo, through a bibliographic survey and institutional protocols, interactions with professionals of the Institution and a pilot test. The instrument in its validated version was based on the common structure of six protocols, consisting of six criteria corresponding to the objective, scope, service flow, conduct adopted, medical records and indicators being classified as conforming, partially and non-conforming. In the validation process, he verified the need for a specific instrument for each audited protocol. The instrument developed met the proposed objective to guide the audit practice within the hospital and obtain the set with the specific value of adding possible improvements to care.Keywords: Clinical Audit; Quality of Health Care; Quality Indicators, Health Care; Clinical Protocols

scholarly journals Interprofessional collaboration in home-based community care programs: A leadership imperative

2021 ◽  
Vol 11 (11) ◽  
pp. 15
Author(s):  
Jacqueline Limoges ◽  
Kim Jagos ◽  
Martin McNamara ◽  
Ian Drennan
Keyword(s):  
Health Care ◽  
Interprofessional Education ◽  
Community Care ◽  
Interprofessional Collaboration ◽  
Patient Centered ◽  
Coordination Strategies ◽  
Barriers And Enablers ◽  
Positive Attitudes ◽  
Home Based ◽  
Centered Care

Community Paramedic (CP) services are relatively new in home-based community care, and as these programs expand, there are additional opportunities for leadership in interprofessional and cross-sectoral collaboration. Understanding the unique contributions of each health care provider can ensure that a patient-centered approach remains forefront. This qualitative study included 33 participants representing nurses, physicians and CPs involved in home-based community care. Interviews explored attitudes, barriers and enablers to collaboration, role optimization and integration of paramedics into home-based community care and were analyzed with interpretive descriptive methods. Participants recognized the benefits of CP services and positive attitudes motivated them to engage in collaboration to support patient-centered care. Participants stated they require support and leadership to strengthen interprofessional collaboration and care coordination. Strategies such as the removal of silos, forging new networks of collaboration, interprofessional education, and changes in professional regulation for paramedics can support new roles and opportunities for nurses, paramedics and physicians in home-based community care.

scholarly journals Use, access, and equity in health care services in São Paulo, Brazil

2017 ◽  
Vol 33 (4) ◽  
Author(s):  
Camila Nascimento Monteiro ◽  
Mariëlle A. Beenackers ◽  
Moisés Goldbaum ◽  
Marilisa Berti de Azevedo Barros ◽  
Reinaldo José Gianini ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Sao Paulo ◽  
São Paulo ◽  
Socioeconomic Groups ◽  
Care Services ◽  
Lower Socioeconomic ◽  
Access To Health

Abstract: The study analyzed how socioeconomic factors are associated with seeking, access, use, and quality of health care services in São Paulo, Brazil. Data were obtained from two household health surveys in São Paulo. We used logistic regression to analyze associations between socioeconomic factors and seeking, access, use, and quality of health care services. Access to health care services was high among those who sought it (94.91% in 2003 and 94.98% in 2008). The proportion of access to and use of health care services did not change significantly from 2003 to 2008. Use of services in the public sector was more frequent in lower socioeconomic groups. There were some socioeconomic differences in seeking health care and resolution of health problems. The study showed almost universal access to health care services, but the results suggest problems in quality of services and differences in quality experienced by lower socioeconomic groups, who mostly use the Brazilian Unified National Health System (SUS).

scholarly journals Introducing Interprofessional Education to Foster Patient Centred Health Care : A Quasi Experimental Experience in Bangladesh

2016 ◽  
Vol 15 (1) ◽  
pp. 3-7
Author(s):  
Md Humayun Kabir Talukder ◽  
Md Nuruzzaman ◽  
Tahmina Nargis
Keyword(s):  
Health Care ◽  
Health Professional ◽  
Professional Education ◽  
Interprofessional Education ◽  
Health Professional Education ◽  
Student Life ◽  
Patient Centered ◽  
Quasi Experimental ◽  
Medical Technologists

Introduction: Interprofessional education is considered to be an innovative and useful concept to accelerate the effort of transforming health professional education under health systems perspective. Generally Interprofessional Education (IPE) occurs when two or more professionals belong to different professional groups learn together through mutual interaction with the purpose to improve collaboration and the quality of care. The key for IPE is that the learning must be interactive. It is an important step in advancing health professional education for many years and has been endorsed by the Institute of Medicine as a mechanism to improve the overall quality of health care.Methods: Realizing the importance of IPE, a quasi experimental study was undertaken and conducted in Bangladesh in May 2014. Sample size was 32 out of which 15 teachers (Such as Professor, Associate Professor, Assistant Professor, Lecturer and Instructor) and 17 students of medical, dental, nursing, medical technology and allied health science institutes. All the participants voluntarily attended 5 sessions on basic concept on IPE, role delineation, communication, teamwork & team building and patient centered care followed by group work and group activities within three consecutive days. After those 5 sessions, views of the participants were sought through self administered structured questionnaire after data entry and analysis.Results: According to the study, 100% participants viewed that medical, dental, nursing, and medical technologists should have few common sessions in their student life while about 90.7% respondents opined that those sessions will develop positive relationship among them, which will help to feel and honor each other’s professional responsibilities viewed by all the respondents. It was also revealed that 96.9% respondents viewed that IPE sessions in student life will help to reduce silos in professional life. Better team work among doctors, nurses and medical technologists will ensure patient centered better health care was viewed by 100% respondents. Study recommended introducing IPE in Bangladesh to foster patient centered health care.Conclusion and Recommendation: The study concluded with recommendation that specific sessions for IPE should be incorporate in the under graduate education curriculum of the health professionals during their academic period and also during in- service period at workplace as part of their professional development to promote quality of care.Chatt  Shi Hosp Med Coll J; Vol.15 (1); Jan 2016; Page 3-7

QUALIDADE DE VIDA DE MULHERES E AS CARACTERÍSTICAS SOCIODEMOGRÁFICAS ASSOCIADAS

2019 ◽  
Vol 10 (3) ◽  
Author(s):  
Larissa Giovanna Cazella ◽  
Letícia Yamawaka De Almeida ◽  
Jaqueline Lemos De Oliveira ◽  
Ana Carolina Guidorizzi Zanetti ◽  
Jacqueline De Souza
Keyword(s):  
Quality Of Life ◽  
Social Vulnerability ◽  
Sao Paulo ◽  
Life Assessment ◽  
Sociodemographic Characteristics ◽  
São Paulo ◽  
Calidad De Vida ◽  
Primary Health ◽  
Las Mujeres

Objetivo: analisar as características sociodemográficas associadas à percepção da qualidade de vida de mulheres atendidas na atenção primária. Metodologia: estudo transversal, quantitativo, desenvolvido com 113 mulheres em uma unidade de saúde do interior de São Paulo. Utilizou-se um questionário sociodemográfico e a versão abreviada do instrumento de avaliação de qualidade de vida. Para análise dos dados, foram empreendidos testes de associação. Resultados: a maioria das participantes era de classes sociais menos favorecidas e apresentava boa percepção de qualidade de vida e saúde. Os fatores renda, escolaridade e idade foram os mais relevantes na associação com a qualidade de vida. Conclusão: Apesar de mencionarem boa qualidade de vida e saúde, foram identificados piores resultados nos domínios físicos, psicológicos e meio ambiente.  Os achados reforçam a necessidade de que as ações de saúde estejam contextualizadas aos aspectos sociais/territoriais e vinculadas a políticas mais amplas de redução da vulnerabilidade social. WOMEN'S QUALITY OF LIFE AND ASSOCIATED SOCIO DEMOGRAPHIC CHARACTERISTICSObjective: to analyze the sociodemographic characteristics associated to the perception of the quality of life of the women attended in the Primary Health Care. Methodology: this cross-sectional quantitative study was carried out with 113 women aged 20 to 65 years in a health unit in the interior of São Paulo. A sociodemographic questionnaire and the abbreviated version of the WHOQOL-bref quality of life assessment instrument were used. For data analysis, association tests were undertaken. Results: the majority of participants were from less favored social classes and had a good perception of quality of life and health. The factors income, schooling and age were the most relevant in the association with quality of life. Conclusion: in view of the sociodemographic characteristics associated with quality of life in the present study, it is emphasized that health actions should be linked to broader policies to reduce social vulnerability, enabling empowerment strategies and, above all, increasing women's access to education and income.Descriptors: Quality of Life; Health Centers; Social Vulnerability; Women; Primary Health Care.CALIDAD DE VIDA DE LAS MUJERES Y LAS CARACTERÍSTICAS SOCIODEMOGRÁFICAS ASSOCIADASObjetivo: analizar las características sociodemográficas asociadas a la percepción de la calidad de vida de mujeres que acuden a atención primaria. Métodos: este estudio cuantitativo transversal se realizó con 113 mujeres de 20 a 65 años en una unidad de salud en el interior de São Paulo. Se utilizó un cuestionario sociodemográfico y la versión abreviada del instrumento de evaluación de calidad de vida WHOQOL-bref. Para el análisis de los datos, se realizaron pruebas de asociación. Resultados: la mayoría de los participantes provenían de clases sociales más bajas y tenían una buena percepción de la calidad de vida y la salud. Los factores ingresos, educación y edad fueron los más relevantes en asociación con la calidad de vida. Conclusión: en vista de las características sociodemográficas asociadas con la calidad de vida en el presente estudio, se enfatiza que las acciones de salud están vinculadas a políticas más amplias para reducir la vulnerabilidad social, permitiendo estrategias de empoderamiento y, sobre todo, aumentando el acceso de las mujeres a educación e ingresos.Descriptores: Calidad de Vida; Centros de Salud; Vulnerabilidad Social; Mujeres; Atención Primaria de Salud.

scholarly journals Determinants of neonatal, postneonatal and maternal mortality on models of primary health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A B Guerra ◽  
L M Guerra ◽  
L F Probst ◽  
B V Castro Gondinho ◽  
G M Bovi Ambrosano ◽  
...  
Keyword(s):  
Health Care ◽  
Infant Mortality ◽  
Maternal Mortality ◽  
Public Policies ◽  
Family Health ◽  
Mortality Rates ◽  
Sao Paulo ◽  
The State ◽  
Care Organization ◽  
São Paulo

Abstract Background The state of São Paulo recorded a significant reduction in infant mortality, but the desired reduction in maternal mortality was not achieved. Knowledge of the factors with impact on these indicators would be of help in formulating public policies. The aims of this study were to evaluate the relations between socioeconomic and demographic factors, health care model and both infant mortality and maternal mortality in the state of São Paulo, Brazil. Methods In this ecological study, data from national official open sources were used. Analyzed were 645 municipalities in the state of São Paulo, Brazil. For each municipality, the infant mortality and maternal mortality rates were calculated for every 1000 live births, 2013. The association between these rates, socioeconomic variables, demographic models and the primary care organization model in the municipality were verified. We used the zero-inflated negative binomial model. Gross analysis was performed and then multiple regression models were estimated. For associations, we adopted “p” at 5%. Results The increase in the HDI of the city and proportion of Family Health Care Strategy implemented were significantly associated with the reduction in both infant mortality (neonatal + post-neonatal) and maternal mortality rates. In turn, the increase in birth and caesarean delivery rates were associated with the increase in infant and maternal mortality rates. Conclusions It was concluded that the Family Health Care Strategy model that contributed to the reduction in infant (neonatal + post-neonatal) and maternal mortality rates, and so did actors such as HDI and cesarean section. Thus, public health managers should prefer this model. Key messages Implementation of public policies with specific focus on attenuating these factors and making it possible to optimize resources, and not interrupting the FHS. Knowledge of the factors with impact on these indicators would be of help in formulating public policies.

scholarly journals Concordance and Patient-Centered Care in Medicaid Enrollees’ Care Experience With Providers

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Iwimbong Kum Ghabowen ◽  
Neeraj Bhandari
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Patient Centered Care ◽  
Care Utilization ◽  
Federal State ◽  
Patient Centered ◽  
Care Experience ◽  
Centered Care ◽  
State And Local ◽  
Privately Insured

Patient-centered care is at the nexus of several overlapping institutional reforms to improve health care system performance. However, we know little regarding Medicaid patients’ experience with their doctors along several key dimensions of patient-centered care, and how their experience compares with Medicare and privately insured patients. We studied 4 outcomes using the 2017 National Health Interview Survey: patient–provider concordance on racial/sexual/cultural identity, respectful provider attitude, solicitation of patient opinion/beliefs during the care encounter, and patient-centered communication (PCC). The primary independent variable was Medicaid enrollee status. We dichotomized responses and ran multivariate logistic regressions for each type of care experience outcome, controlling for sociodemographic factors, health care access, and health care utilization of respondents. Compared to Medicare and privately insured enrollees, Medicaid enrollees reported much lower odds of seeing providers who treated them with respect (OR = 1.91, P < .001; OR = 1.62, P < .01) and who offered PCC (OR = 1.35, P < .05; OR = 1.35, P < .01), but similar odds of seeing concordant providers (OR = 0.78, P = .96; OR = 0.96, P = .72). Importantly, Medicaid enrollees reported higher odds of seeing providers who solicited their opinion/beliefs/preferences than their Medicare or privately insured counterparts (OR = 0.82, P < .05; OR = 0.87 P < .10). Medicaid enrollees report less patient-centered experiences in some important facets of their provider interaction than their Medicare or privately insured counterparts. Federal, state, and local policies and practices directed at improving these facets of patient–provider interaction are needed and should be aimed squarely at Medicaid providers, especially those working in geographic areas and settings with a disproportionate number of racial, gender, cultural, and linguistic minorities.

An Innovative Patient-centered Approach to Common Playing-related Pain Conditions in Musicians

2004 ◽  
Vol 19 (4) ◽  
pp. 170-173
Author(s):  
Marc Brodsky ◽  
Ka-Kit Hui
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Medical Systems ◽  
Case Discussion ◽  
Patient Centered ◽  
Complementary And Alternative

Musicians are increasingly seeking out complementary and alternative medicine (CAM) to relieve suffering that results from playing-related pain conditions. Using an innovative patient-centered model, an approach has been developed that can incorporate various medical systems and therapeutics to offer safe, effective, affordable, and accessible health care for musicians. A case discussion explores how musicians, through combining different traditions of medicine in orchestration, can optimize their quality of life while meeting their needs of prevention and rehabilitation of occupation-related conditions.

Sign in / Sign up

Export Citation Format

Share Document