scholarly journals CHALLENGES OF THE MEDICAL TEAM DURING HOSPITAL TREATMENT OF PATIENTS WITH SUSPECTED COVID-19

2020 ◽  
Vol 7 (1) ◽  
pp. 072-076
Author(s):  
Natali Cruz de Castro Nicolino ◽  
Yury Tatiana Granja-Salcedo
Keyword(s):  
Universal Access ◽  
Health Sector ◽  
Hospital Treatment ◽  
Medical Team ◽  
New Disease ◽  
Access To Health Services ◽  
Unified Health System ◽  
First Case ◽  
Access To Health ◽  
Hospital Team

In December 2019, a new disease was identified in China. From the investigation of cases of pneumonia of undefined origin, researchers came to the identification of a new coronavirus, named SARS-CoV-2. The health sector in Brazil is facing a huge load from the disease pandemic. Since February 26, 2020, when the first case of COVID-19 was registered in São Paulo, the Unified Health System, which offers universal access to health services, and the private sector face a growing pressure and overload on the system, with 241 thousand cases, 16 thousand deaths and 8 million of tests performed. In the most affected regions, health systems are near to the collapse - the result of years of fragmentation and decades of financial cuts, and deprivations of human and technical resources. This scenario never before faced in most of western countries, but already seen in eastern countries, is a major challenge for health teams and health managers in Brazil. This review aims to elucidate the main challenges of the hospital team in the management of patients suspected of COVID-19 during the 2020 pandemic in Brazil.  

scholarly journals O acesso universal aos serviços de saúde como construção psicossocial dos usuários/ Universal access to health services as psychosocial construction of users

2019 ◽  
Vol 18 (2) ◽  
Author(s):  
Denize Cristina De Oliveira ◽  
Antonio Marcos Tosoli Gomes ◽  
Thelma Spindola ◽  
Hellen Pollyanna Mantelo Cecilio ◽  
Eduardo Pereira Paschoal ◽  
...  
Keyword(s):  
Health Services ◽  
Rio De Janeiro ◽  
Universal Access ◽  
Access To Health Services ◽  
Access To Health

Objetivo: Analisar o acesso universal à saúde a partir das representações sociais dos usuários acerca do Sistema Único de Saúde, no município do Rio de Janeiro, Brasil. Método: Estudo com abordagem quanti-qualitativa, pautado na Teoria das Representações Sociais, em sua abordagem processual. A coleta de dados foi realizada em 2010, por meio de entrevista semiestruturada. Os dados foram analisados com auxílio do software Alceste 4.7. Resultados: Participaram 104 usuários do sistema de saúde, sendo a maioria mulheres, renda de até um salário mínimo e residentes no município do Rio de Janeiro. Foram evidenciados na análise lexical, dois conjuntos textuais: “O processo de avaliação do sistema de saúde: a experiência dos usuários” e “O sistema de Saúde: estrutura e finalidade”. Conclusão:Os usuários dos serviços de saúde vêm acumulando a experiência de um sistema em permanente construção que carece, em algumas situações, de insumos e ações essenciais, rotineiras e básicas, mas que efetiva a universalidade perpassando classes sociais e distintos níveis de complexidades de assistência.

scholarly journals Health Empowerment: Health Service Strategies to Poor Community Around Conserved Forest

2019 ◽  
Vol 4 (8) ◽  
pp. 45-53
Author(s):  
Muria Herlina
Keyword(s):  
High School Students ◽  
Health Services ◽  
Health Sector ◽  
Community Empowerment ◽  
Access To Health Services ◽  
School Students ◽  
Health Empowerment ◽  
Access To Health ◽  
School Senior ◽  
Service Strategies

This research was done in Central Bengkulu District, in suburbs of Semidang Bukit Kabu within conserved forest area. Poverty and isolation were the causes of low access to health services. This weakness requires a strategy through health empowerment. This research purpose was to explore the benefits of community empowerment activities in health as healthy house renovation, doctors visiting to village and free medical treatment and integrated service for elderly by Community Economic Zone (CEZ)-CSR PT. Pertamina. It uses qualitative method to produce descriptive data on public health phenomena related to forests society. There were 11 informants selected by purposive sampling. The data was collected by observation, in-depth interviews and FGD. The research found that informants were elementary school-senior high school students, aged 21-57 years, and came from the Rejang and Serawai tribes, work as coffee plantation farmers, oil palm plantation cultivators and coal vehicle drivers. Their income was IDR 150,000 up to IDR 275,000 per week. The family member were 4-6 person, most of them had semi-permanent and permanent houses, legacy from parent or rent. Diseases often found were hypertension, rheumatic, malaria/typhoid, diabetes, dyspepsia, respiratory diseases, dermatitis, and common cold. The research found that most of them supported the health empowerment program, with various phenomena and meanings from informants. The poor in conserved forest areas need health services through community empowerment in health sector.

scholarly journals Evaluation of the Medical Interpreter and Patient Guidance Training in the Migrant Health Services: The Case Study in Turkey

2019 ◽  
Vol 2 (2) ◽  
pp. 57
Author(s):  
Şenel Tekin ◽  
Afsun Ezel Esatoğlu
Keyword(s):  
Health Services ◽  
Training Program ◽  
Nutrition Education ◽  
Health Sector ◽  
Migrant Health ◽  
World Health ◽  
Medical Terminology ◽  
Access To Health Services ◽  
Access To Health ◽  
Post Test

Turkey is a country that embraces many migrants from Africa and the Middle East especially in the last 10 years due to its geopolitical position. The number of Syrian refugees in Turkey as of February 2019 is reported to be 3.644.342. In particular, benefiting from the most basic human rights such as nutrition, education and health of migrants is an issue given the importance by the Republic of Turkey. In this context, important cultural differences arise for the immigrants. Language is an important obstacle to access to health services, especially in Arabic speaking patients. In order to facilitate access to health services and to improve the quality, a project has been developed covering the training and employment of medical interpreters and patient guides by the Turkey’s Ministry of Health and the World Health Organization. With this project, 960 medical translators were employed and trained 2016 to 2019. The research provides an evaluation covering the training phase of this project. In this context, the aim of the study is to evaluate the effectiveness of the training program. In the study, an interactive training program, including medical terminology, health sector organization of Turkey, communication skills and medical ethics was implemented to the bilingual interpreters and patient guides. Participants completed a 50-question pre-test and post-test designed to evaluate the effectiveness of the training. Training was deemed successful as all participants scored higher on the post-test than the pre-test. The results obtained from the research include important lessons that guide the planning of similar trainings.

scholarly journals The main stages of the process of improvement of the medical services in the Republic of Moldova

2021 ◽  
pp. 94-99
Author(s):  
Lilia Dragomir ◽  
Keyword(s):  
Information Technologies ◽  
Universal Access ◽  
Rapid Development ◽  
Medical Services ◽  
Access To Health Services ◽  
Disease Treatment ◽  
Republic Of Moldova ◽  
Access To Health ◽  
The Republic ◽  
Basic Medical

The health system of the Republic of Moldova is organized according to the principles of universal access to basic medical services, equity and solidarity in financing medical services both by the state and by citizens through AOAM mechanisms. Compulsory health care means that every person can benefit from quality medical services in order to prevent disease, treatment itself, but also rehabilitation and palliative care. The year 2019 continued to be a challenge for the compulsory health insurance system, both in order to increase access to health services and to improve their quality, having as benchmarks demographic trends, expectations of society and the rapid development of information technologies.

scholarly journals Practices and challenges on coordinating the Brazilian Unified Health System

2020 ◽  
Vol 54 ◽  
pp. 25
Author(s):  
Luzia Beatriz Rodrigues Basto ◽  
Maria Alves Barbosa ◽  
Claci Fátima Weirich Rosso ◽  
Lizete Malagoni de Almeida Cavalcante Oliveira ◽  
Ilma Pastana Ferreira ◽  
...  
Keyword(s):  
Primary Care ◽  
Health System ◽  
Limiting Factors ◽  
Access To Health Services ◽  
Structured Interviews ◽  
High Demand ◽  
Training And Education ◽  
Unified Health System ◽  
Access To Health ◽  
Flow Of Information

OBJECTIVE: To analyze the obstacles and challenges faced by managers and coordination professionals in their practices in municipal coordinating centers. METHODS: An exploratory descriptive study with a qualitative focus, applied in 40 managers and coordination professionals, from September 2017 to November 2018, with semi-structured interviews, resulting in two categories of analysis: limiting factors and factors that facilitate the management and operationalization of the Brazilian Unified Health System (SUS) coordinating sector. RESULTS: Analyzing the statements, we found evidence of the following limiting factors: failure in the criteria of referral, unavailability of beds, high demand, systemic difficulties in relation to the coordinating system, procedures of difficult scheduling and execution, increased repressed demand for elective procedures and difficulties in the flow of information between primary care and coordination. In the category of facilitating factors, the most significant possibilities were: expansion of the capability to know the user’s reality, improvement in primary care and increase in health financial resources, health training and education and restructuring, in addition to reorganizing internal coordinating procedures. CONCLUSION: The limiting factors of coordination show the need to promote actions that offer all SUS users full access to health services.

scholarly journals Presence and extent of the primary health care attributes among children hospitalized for pneumonia

2015 ◽  
Vol 23 (3) ◽  
pp. 512-519 ◽  
Author(s):  
Juliana Coelho Pina ◽  
Suzana Alves de Moraes ◽  
Maria Cândida de Carvalho Furtado ◽  
Débora Falleiros de Mello
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health System ◽  
Family Counseling ◽  
Coordination Of Care ◽  
Access To Health Services ◽  
Unified Health System ◽  
Primary Health ◽  
Access To Health

OBJECTIVE: to analyze the presence and extent of the primary health care attributes among children hospitalized for pneumonia.METHOD: observational and retrospective study with hospital-based case-control design, developed in three hospitals associated to the Brazilian Unified Health System, located in a city of the State of São Paulo, Brazil. The study included 690 children under five years old, with 345 cases and 345 controls.RESULTS: both groups scored high for access to health services. In contrast, high scores for attributes such as longitudinality and coordination of care were observed for the controls. Despite low scores, integrality and family counseling were also high for the controls.CONCLUSION: knowledge of the aspects involving the primary health care attributes and its provision for child care are very important because they have the potential to support professionals and managers of the Brazilian Unified Health System in the organization of health services.

scholarly journals ACCESS VERSUS CARE CONTINUITY IN HEALTH NETWORK SERVICES: EXPERIENCING POSSIBILITIES AND CONTRADICTIONS

2020 ◽  
Vol 29 ◽  
Author(s):  
Fernanda Catafesta Utzumi ◽  
Elizabeth Bernardino ◽  
Maria Ribeiro Lacerda ◽  
Jose Luis Guedes dos Santos ◽  
Aida Maris Peres ◽  
...  
Keyword(s):  
Grounded Theory ◽  
Health Services ◽  
Family Health ◽  
Access To Health Services ◽  
Health Network ◽  
Care Continuity ◽  
Unified Health System ◽  
Experience Of Care ◽  
Access To Health ◽  
Hospital Institution

ABSTRACT Objective: to understand the meaning of access to health services with a view to care continuity in the care network for users and professionals. Method: qualitative research, which used the methodological steps of Grounded Theory, carried out from November 2015 to April 2017. The theoretical sampling was obtained with 33 participants from a hospital institution and a Family Health Strategy unit. The participants were organized into three sample groups according to circular and continuous orientation of data collection and Grounded Theory analysis. The analysis was conducted according to the guidelines of the methodological framework which was composed of the open, axial and integrative coding phases. Results: four central concepts emerged from the data that demonstrate how participants experience access with a view to care continuity. These range from the first contact with the health network, through limitations and alternatives found to achieve perspectives to the care continuity in health actions and services. Conclusion: possibilities and contradictions were identified in the experience of care, with regard to access to health services and actions for the continuity of care, understanding them as feasible in health services, but divergent from the ideal advocated by the literature on the theme, as well as by the norms and prerogatives in force in the Unified Health System.

Hungary

2021 ◽  
pp. 723-744 ◽  
Author(s):  
Mária Éva Földes
Keyword(s):  
Health Insurance ◽  
Universal Access ◽  
Social Health Insurance ◽  
Quality Of Healthcare ◽  
Social Health ◽  
Managed Competition ◽  
Access To Health Services ◽  
Access To Health ◽  
The Social ◽  
Insurance Model

This chapter offers an in-depth look at health politics and the social health insurance-based system in Hungary. It traces the development of the Hungarian healthcare system, characterized by seismic shifts from a Bismarckian, solidarity-based social health insurance to centrally planned healthcare pledging universal access to health services as a citizen’s right. After the fall of state socialism, Hungary returned to a social health insurance model, and since then the main policy efforts have focused on decentralization, strengthening of private provision and entrepreneurship, and financial consolidation of the health system. After the highly contested and ultimately failed attempt to introduce managed competition and user fees between 2006 and 2008, there has been a shift back to an increasingly centralized system with tax-based financing. As noted in the chapter, the consequences of recentralization for the solidarity, accessibility, affordability, and quality of healthcare in Hungary are still to be seen.

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