The Reality of Accessibility in the Public Health Systems

Author(s):  
Guillermo López Cala ◽  
Yolanda María de la Fuente Robles ◽  
Rosa María Fernández Alcalá

This chapter deals with accessibility, a relevant and important concept for every citizen in the improvement of their quality of life in any environment or daily situation. Specifically, an empirical study about accessibility in the public health centers of a Basic Health Area (BHA) of Jaén is carried out. From this study, accessibility deficiencies in health buildings are revealed, and explicit proposals are provided with the aim of improving accessibility in different scopes such as information and communications. The improvement plans based on the use of Technology, Information, and Communication (TIC) tools help sensory disabled users that attend to the Health Center.

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Miguel A. Galán-Martín ◽  
Federico Montero-Cuadrado ◽  
Enrique Lluch-Girbes ◽  
M. Carmen Coca-López ◽  
Agustín Mayo-Iscar ◽  
...  

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.


Author(s):  
Thaís Mello de Souza ◽  
Luiz Faustino dos Santos Maia

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.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C F Tenani ◽  
M L R Sousa ◽  
M J Batista

Abstract Chronic diseases of the population have been a global challenge for public health. Considered a new field of study, health literacy (LS) is the ability to obtain and understand basic health information and services needed to make health decisions. Worse outcomes, such as less control of chronic diseases, have been associated with LS. Thus, the objective of the study was to investigate the association of LS, clinical and behavioral conditions in patients with chronic non-communicable diseases (NCDs) users of the public health service in Brazil. It was a cross-sectional study, conducted from July to December 2019, with 238 adult users of the public health service, in a random sample, from 10 basic health units, in Piracicaba-SP, Brazil. A questionnaire was applied to obtain socioeconomic, behavioral, and LS data (Suka et al, 2013). The outcome was LS (high, medium and low) and the independent variables: CNCDs (diabetes, systemic blood pressure), clinical conditions (pressure, tooth loss, pain, visible plaque and insertion loss), behaviors (brushing, use of dental floss), determinants (type and frequency of service use) and self-perception (oral health and quality of life) in health. Descriptive statistical analysis was performed, and the Chi-Square test, based on a conceptual model adapted for LS (5% significance level). They had low levels of literacy 35.3% (n = 84), average 35.7% (n = 85), and high 29.0% (n = 69). Low LS levels were associated with older individuals, low education, less brushing and flossing, irregular use of dental services, edentulism, pain, loss of insertion, negative self-perception of oral health and quality of life, and better systolic blood pressure index. The results of this study show the association of LS with behavioral and clinical factors, showing an important role in the health-disease process in this population. LS should be considered in health promotion policies in future studies. Key messages Our study shows the importance of health literacy, and its association with health outcomes in individuals with chronic non-communicable diseases. Within the important global epidemiological panorama of chronic diseases, better understanding the role of LS is important, and it can collaborate with health promotion strategies for this population.


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 ◽  
...  

Author(s):  
Abdulkarim Abdulrahman ◽  
Manaf AlSabbagh ◽  
Abdulla AlAwadhi ◽  
Jaffar A. Al-Tawfiq ◽  
Ali A. Rabaan ◽  
...  

AbstractThe quarantine period imposed to travelers in many countries due to COVID19 is a major obstacle for any traveler. Lifting the quarantine period could lead to significant improvement in people’s quality of life and any country’s economy. Bahrain have used two quarantine models from arriving passengers. We report data about the incidence of COVID19 on arriving passengers at Bahrain International airport. Infection rates were reported on arrival, during quarantine and after leaving quarantine. Results showed that travelers had low incidence of COVID19 on arriving and during the quarantine period, while becoming at higher risk after leaving quarantine. We concluded that quarantine requirement maybe lifted for arriving travelers. Testing upon arrival with implementation of the public health preventative measures can minimize the risk of transmission.


2016 ◽  
Vol 20 (1) ◽  
pp. 137
Author(s):  
Débora Aparecida da Silva Santos ◽  
Pedro Vieira De Azevedo ◽  
Jullianna Vitorio Vieira De Azevedo ◽  
Telma Lúcia Bezerra Alves

O presente estudo propõe uma análise do caminho percorrido na relação entre as políticas públicas de saúde e do meio ambiente em um contexto amplo, através de uma revisão bibliográfica sobre o tema. A aproximação da temática ambiental com o movimento de promoção da saúde permite a ampliação na compreensão do processo saúde-doença. Essa proposta seleciona a integração entre os setores como condição para o estabelecimento e a execução de políticas públicas como maneira de garantir melhores condições socioambientais. Desta maneira, é indispensável uma discussão ampla da importância dos diversos atores sociais relacionados à saúde e ao meio ambiente, entendendo que a ação interdisciplinar através do reconhecimento das políticas públicas melhora a qualidade de vida da população e, consequentemente, contribui para uma sociedade mais equilibrada ecologicamente. Palavras-chave: Políticas públicas, Saúde, Meio ambiente, Saúde ambiental.TRAVERSING THE WAYS OF THE RELATION BETWEEN HEALTH AND ENVIRONMENTAL PUBLIC POLICIES Abstract: This study presents an analysis of the path taken in the relation between public health policies and the environment in a broader context, through a literature review on the topic. The approach of environmental issues with the health promotion movement allows a broader understanding of the health-disease process. This proposal selects the integration across sectors as a condition for the establishment and implementation of public policies as a way to ensure better environmental conditions. In this way, a broad discussion of the importance of various social actors related to health and the environment is essential, understanding that an interdisciplinary action by recognizing the public policies improves people's quality of life and, consequently, contributes to a more balanced society ecologically. Key words: Public policies, Health, Environment, Environmental health.


2021 ◽  
Author(s):  
Susy Érika de Lima Barros ◽  
Caique dos Santos Rocha ◽  
Mayara Storel Beserra de Moura ◽  
Mariana Pegrucci Barcelos ◽  
Carlos Henrique Tomich de Paula da Silva ◽  
...  

Food allergies are known as the public health problem, affecting people of all age groups, but more commonly in babies and children, with consequences for nutritional status and quality of life.


2017 ◽  
Vol 74 (4) ◽  
pp. 279
Author(s):  
Tatiana Ganzer Da Rosa ◽  
Vagner Flávio Reginato ◽  
Angélica Maroli ◽  
Mateus Bertolini Fernandes Dos Santos ◽  
Alfonso Sanchez-Ayala ◽  
...  

Objective: the objective of this study was to evaluate the influence of partial or total edentulism on the quality of life of elderly patients. Material and Methods: the sample consisted of 120 individuals, divided into edentulous patients with bi-maxillary complete dentures (CD) (n = 60) or partially edentulous individuals with maxillary CD and mandibular removable partial denture (RPD) (n = 60). Patients' quality of life was assessed using the OHIP-EDENT-19 questionnaire and the data were analyzed using the SPSS software. Results: patients using RPD presented higher quality of life compared to users of double CD, according to the values presented in OHIP-EDENT. Statistically significant differences were found when comparing the groups between complaints related to chewing (difficulty chewing, discomfort when eating, avoiding eating, interruption of meals), psychological discomfort and incapacity (unable to eat), social incapacity (unsatisfactory life), and painful mouth and discomfort (unsuitable prostheses, sore mouth). Conclusion: the type of prosthesis used may influence self-reported quality of life.


Author(s):  
Polina ANANCHENKOVA ◽  
◽  
Natalya KAMYNINA ◽  

The article deals with current issues of financing Russian health care, the implementation of which will ensure the effective functioning of the system of public health protection. In the structure of a modern state, the security of any country is based on effectively functioning defense and health systems that ensure stability and a high level of quality of life for citizens. Therefore, the system for ensuring public health should not receive funding on a residual basis, and the mechanism for providing medical care and preventing morbidity should be based on market principles.


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