scholarly journals Gestão em saúde: avaliação do acesso ao sistema regional

2019 ◽  
Vol 13 (4) ◽  
pp. 933
Author(s):  
Priscila Balderrama ◽  
Josué Souza Gleriano ◽  
Silvia Helena Henriques ◽  
Janise Braga Barros Ferreira ◽  
Larissa Roberta Alves ◽  
...  
Keyword(s):  
Cardiovascular Diseases ◽  
Health Management ◽  
Health Planning ◽  
Study Data ◽  
Access To Health Services ◽  
Microsoft Excel ◽  
Organization Of Care ◽  
Access To Health ◽  
El Sistema ◽  
La Red

RESUMOObjetivo: avaliar o acesso ao sistema regional de saúde a partir das ações de atenção aos agravos cardiovasculares. Método: trata-se de um estudo misto, descritivo. Coletaram-se dados a partir dos Sistemas de Informação Ambulatorial e Hospitalar do SUS, armazenados em planilhas Microsoft Excel e analisados utilizando-se estatística descritiva. Posteriormente, selecionaram-se 41 participanetes (gestores e reguladores) para responderem um questionário semiestruturado sobre acesso em cardiologia na rede regional. Optou-se pela Análise Temática de Conteúdo para análise dos dados qualitativos. Resultados: registrou-se o incremento da produção de consultas e exames, indicando a ampliação da oferta de serviços, a redução das internações clínicas e o crescimento das internações cirúrgicas em Cardiologia. Revelaram-se, em entrevistas, aspectos da organização da atenção no sistema regional que favorecem o acesso à atenção integral em Cardiologia. Conclusão: conclui-se que houve uma melhoria do acesso à atenção cardiovascular. Aponta-se que a coordenação do cuidado e a melhoria da resolubilidade da Atenção Básica favorecem o acesso à saúde, que também requer a implantação de estruturas sólidas de gestão, envolvendo planejamento, controle, regulação e avaliação. Descritores: Acesso aos Serviços de Saúde; Avaliação em Saúde; Doenças Cardiovasculares; Gestão em Saúde; Planejamento em Saúde; Regionalização.ABSTRACTObjective: to evaluate the access to the regional health system from the actions of attention to cardiovascular diseases. Method: this is a mixed, descriptive study. Data were collected from UHS Ambulatory and Hospital Information Systems, stored in Microsoft Excel spreadsheets and analyzed using descriptive statistics. Subsequently, 41 participanetes (managers and regulators) were selected to answer a semi-structured questionnaire about access in cardiology in the regional network. The Thematic Content Analysis was used to analyze the qualitative data. Results: there was an increase in the production of consultations and examinations, indicating the expansion of the service offer, the reduction of clinical hospitalizations and the increase of surgical hospitalizations in Cardiology. In interviews, aspects of the organization of care in the regional system that favor access to comprehensive care in Cardiology were revealed. Conclusion: it was concluded that there was an improvement in access to cardiovascular care. It is pointed out that the coordination of care and the improvement of the resolubility of Primary Care favor access to health, which also requires the implementation of solid management structures, involving planning, control, regulation and evaluation. Descriptors: Access to Health Services; Health Evaluation; Cardiovascular diseases; Health Management; Health Planning; Regionalization.RESUMENObjetivo: evaluar el acceso al sistema regional de salud a partir de las acciones de atención a los agravios cardiovasculares. Método: se trata de un estudio mixto, descriptivo. Se recolectó datos a partir de los Sistemas de Información Ambulatoria y Hospitalaria del SUS, almacenados en hojas de cálculo de Microsoft Excel y analizados utilizando estadística descriptiva. Posteriormente, se seleccionaron 41 participantes (gestores y reguladores) para responder un cuestionario semiestructurado sobre acceso en cardiología en la red regional. Se optó por el Análisis Temático de Contenido para el análisis de los datos cualitativos. Resultados: se registró el incremento de la producción de consultas y exámenes, indicando la ampliación de la oferta de servicios, la reducción de las internaciones clínicas y el crecimiento de las internaciones quirúrgicas en Cardiología. Se revelaron, en entrevistas, aspectos de la organización de la atención en el sistema regional que favorecen el acceso a la atención integral en Cardiología. Conclusion: se concluye que hubo una mejora del acceso a la atención cardiovascular. Se señala que la coordinación del cuidado y la mejora de la resolución de la Atención Básica favorecen el acceso a la salud, que también requiere la implantación de estructuras sólidas de gestión, involucrando planificación, control, regulación y evaluación. Descriptores: Accesibilidad a los Servicios de Salud; Evaluación en Salud; Enfermedades Cardiovasculares; Gestión en Salud; Planificación en Salud; Regionalización.

The Post-Amputation Rehabilitation Experience of People Living in Rural Settings

2001 ◽  
Vol 7 (1) ◽  
pp. 23-37
Author(s):  
Amanda Young ◽  
Gregory Murphy ◽  
Sandra Kippen ◽  
Peter Foreman
Keyword(s):  
Surgical Intervention ◽  
Health Planning ◽  
Rural Setting ◽  
Access To Health Services ◽  
Counselling Services ◽  
Access To Health ◽  
Rural Settings ◽  
Social Support Services ◽  
Depth Interviews ◽  
Initial Focus

This paper reports the results from a qualitative study aimed at identifying the factors influencing the rehabilitation experience of people living with an amputation in a rural setting. Following the conduct of an initial focus group, 24 rural-based individuals responded to an invitation to participate in the study's in-depth interviews. Fourteen of those interviewed lived in a ‘regional’ setting (the regional group) and the other ten lived in more remote locations (the ‘distant’ group). Consistent with this population's demography, the sample was comprised mainly of older people (mean age of 66.8 years) who had suffered their amputation as a result of vascular disease. While the groups differed with respect to two aspects of their rehabilitation experience (with the distant group reporting more problems with accommodation and access to health services), many common themes emerged from the interviews, including an overall positive acceptance of the surgical intervention, the call for increased post-operative counselling services, and an endorsement of the usefulness of peer-support (and more generally of social support) services. Results are discussed in terms of their implications for service delivery and endorsement is made of the suggestion that rural health planning be more community-focussed.

scholarly journals Improving Access to Malaria Rapid Diagnostic Test in Niger State, Nigeria: An Assessment of Implementation up to 2013

2016 ◽  
Vol 2016 ◽  
pp. 1-13 ◽  
Author(s):  
Olatunji Joshua Awoleye ◽  
Chris Thron
Keyword(s):  
State Government ◽  
Treatment Guidelines ◽  
Health Management ◽  
Substantial Reduction ◽  
Health Management Information System ◽  
Access To Health Services ◽  
Presumptive Treatment ◽  
Accessibility Barriers ◽  
Access To Health ◽  
Artemisinin Combination Therapies

Nigeria’s 2009–2013 malaria strategic plan adopted WHO diagnosis and treatment guidelines, which include the use of rapid diagnostic tests (RDTs) prior to prescribing treatment with artemisinin combination therapies (ACTs). The current study explores accessibility barriers to the use of RDTs in Niger State and makes recommendations for improving the uptake of RDTs. The study employs literature review, review of data from the Niger State Health Management Information System for January–October 2013, and application of Peters’ conceptual framework for assessing access to health services. Data showed that 27 percent of public health facilities (HFs) implemented RDTs, with the aid of donor funds. In these facilities, 77 percent of fever cases presented during the study period were tested with RDTs; 53 percent of fever cases were confirmed cases of malaria, while 60 percent of fever cases were treated. Stockouts of RDTs were a major constraint, and severe fever tended to trigger presumptive treatment. We conclude that although implementation of RDTs led to a reduction in the use of ACTs at HFs, more substantial reduction could be achieved if the state government directed more resources towards the acquisition of RDTs as well as raising the level of awareness of potential users.

Accessibility and satisfaction of the elderly living in rural areas in relation to the health services.

2020 ◽  
Vol 42 ◽  
pp. e48896
Author(s):  
Pamela Kaezynski Maciel ◽  
Carla Weber Peters ◽  
Celmira Lange ◽  
Denise Somavila Przylynski Castro ◽  
Jessica Noema da Rosa Braga ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Health Management ◽  
Family Health ◽  
The Elderly ◽  
Exploratory Research ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Unified Health System ◽  
Access To Health

 This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were defined: "Access to health services used by elderly residents of rural areas" and "Satisfaction with health services used by elderly residents of rural areas". Concerning access, many are the difficulties faced, such as long distances to be traveled until arriving at a health service, poor road conditions, limitations related to public transport days, timetables and itineraries, lack of human and material resources, and long waiting time to make appointments with specialists and schedule exams through the Brazilian Unified Health System. As for satisfaction, the main complaint of the elderly participants refers to issues involving, above all, health management and work process, such as delay in making health care appointments, although most participants reported being satisfied with the care provided by health professionals. It is worth noting that learning about the conditions of access to health services used by elderly people living in rural areas and their satisfaction contributes to the planning, implementation, development and evaluation of public health actions, programs and policies.

scholarly journals Enfermedades importadas en España: dificultades en la atención sanitaria

2019 ◽  
Vol 18 (1) ◽  
pp. 582-607 ◽  
Author(s):  
Adela Gómez Luque ◽  
Lorena Breña Díaz ◽  
Sebastián Sanz Martos ◽  
Laura Bermejo Sánchez ◽  
Argeme Serradilla Fernández ◽  
...  
Keyword(s):  
Public Health ◽  
Negative Consequences ◽  
Security Measures ◽  
Access To Health Services ◽  
Health Security ◽  
Population Movements ◽  
Access To Health ◽  
El Sistema ◽  
The Government ◽  
Spanish Health

Introducción: En España, desde el 2000 hasta el 2010, existían medidas que fomentaban la igualdad en salud y acceso a los servicios sanitarios de la población inmigrante. Con el inicio de la crisis y las reducciones del gasto público en salud, se instauraron medidas, que no solo tienen consecuencias negativas para este colectivo sino también para la salud pública en general, viéndose en aumento el número de casos de enfermedades importadas, también relacionadas con el aumento de viajes internacionales.Objetivos: Evaluar la presencia de enfermedades importadas en España y conocer la problemática del inmigrante en el Sistema Sanitario. Método: Revisión bibliográfica de estudios en lengua inglesa y castellana publicados entre 2007 y 2017 recogidos varias bases de datos y en informes de instituciones y organizaciones científicas.Resultados: Se obtuvo un total de 173 artículos indexados en las bases de datos. De estos, 32 se ajustaron a los criterios de inclusión, de los que se seleccionaron 15 para responder a los objetivos.15 producciones se adaptaron al objetivo del presente estudio. Los estudios afirman que los movimientos poblacionales como migraciones o a viajes internacionales, elevan la presencia de enfermedad importada en España. Esto junto con las medidas legislativas impuestas por el gobierno en materia de sanidad, dificultan al inmigrante irregular la posibilidad de acceder al Sistema Sanitario español. Destacan además otras dificultades para el inmigrante como son el idioma y el desconocimiento del correcto acceso y uso de las prestaciones sanitarias.Conclusión: Todo esto, crea desconfianza en el inmigrante, el cual aplaza el contacto con el servicio sanitario, pudiendo llegar a ocasionar un grave problema en la salud pública, principalmente por el retraso en el diagnóstico, tratamiento y seguimiento de enfermedades infecciosas importadas. Introduction: In Spain, from 2000 to 2010, there were measures that promoted equality in health and permitted access to health services for the immigrant population. Because of the economic crisis and the reductions in public expenditure on health, security measures were put in place, which not only had negative consequences for this group, also for public health in general. Therefore, the number of imported diseases cases have increased in direct relation to international travels.Objectives: To evaluate the presence of imported diseases in Spain and to know the problem of the immigrant in the Health System.Method: the literature review of studies in English and Spanish published between 2007 and 2017, including several databases and reports from institutions and scientific organizations.Results: A total of 173 articles indexed in the databases were obtained. 32 of these articles were adjusted to the inclusion criteria, of which 15 were selected to respond to the objectives. The studies affirm that population movements such as migrations or international trips, increase the presence of imported diseases in Spain. In addition, legislative measures imposed by the government on health matters, complicate access to the Spanish Health System for irregular immigrants. They also highlight other difficulties for the immigrant, such as the language and the lack of knowledge of the correct access and use of health services.Conclusion: The sum of all the above mentioned, creates lack of confidence in the immigrant, which postpones contact with the health service, and may lead to a serious problem in public health, mainly due to the delay in the diagnosis, treatment, and monitoring of imported infectious diseases.

Control de dispositivos de seguridad a través de Internet, utilizando el protocolo IEEE 802.15.4

2013 ◽  
Vol 8 (15) ◽  
pp. 23-31
Author(s):  
Franklin Pineda Torres ◽  
Edwar Jovani Melo Gutierrez
Keyword(s):  
Ieee 802.15.4 ◽  
El Sistema ◽  
La Red

La capacidad de controlar y monitorear remotamente diferentes dispositivos a través de conexiones cliente-servidor sobre la red de Internet, permite una mayor y mejor gama de posibilidades sobre el problema de seguridad. El sistema electrónico diseñado que interactúa a nivel físico por USB con el software LabVIEW®, permite establecer y mantener una comunicación remota entre los diferentes dispositivos capaces de alertarnos sobre situaciones delictivas. El usuario puede recibir alertas y tomar decisiones desde Internet que interactúa con los dispositivos que se comunican inalámbricamente con un sistema electrónico conectado al Servidor por medio de módulos de transmisión Xbee, éstos internamente siguen el protocolo IEEE 802.15.4, y a su vez se pueden comunicar entre ellos, estableciendo conexiones maestro-esclavo. Se presenta todo el sistema como opción comercial en seguridad domótica, pero sus aplicaciones pueden abarcar las demás áreas tecnológicas e ingenieriles.

Lesiones macroscópicas observadas en núcleos talámicos después de Status Epilepticus por Pilocarpina

2020 ◽  
Vol 23 (1) ◽  
pp. 16-22
Author(s):  
Estela López-Hernández ◽  
Martín Gallegos-Santiago ◽  
Hugo Solís
Keyword(s):  
Status Epilepticus ◽  
De Se ◽  
El Sistema ◽  
La Red

Antecedentes: el Status Epilepticus (SE) es un evento agudo y constituye una emergencia neurológica que requiere tratamiento rápido y eficaz con el fin de evitar daño neuronal. Es frecuente que después de un período de SE, hayan alteraciones estructurales y funcionales en redes neuronales que culminan con la aparición de crisis convulsivas espontáneas. Dentro de las estructuras que se afectan está el sistema límbico y en particular la amígdala del lóbulo temporal y el hipocampo.Otra estructura que se afecta después del SE es el tálamo que es considerado modulador de las crisis convulsivas, y está involucrado en la fisiopatología de crisis convulsivas tipo ausencias.Objetivo: estudiar que los núcleos talámicos están afectados después de inducir SE por la administración de pilocarpina en ratas sometidas a diferentes tiempos de duración del SE.Material y métodos: valorar los núcleos talámicos con presencia de focos hemorrágicos macroscópicos, después de 1, 2, 3 y 4 hs PosSE.Resultados: los 5 núcleos talámicos que tuvieron focos hemorrágicos independientemente del tiempo de duración del SE, fue el posterior, el reticular, el ventrolateral, el ventroposterolateral y el ventroposteromedial. Observamos también que los animales mostraron deficit motor que se correlacionó con la duración del SE, es decir el defict motor fue mayor en los animales que tuvieron 4 hs de SE.Discusión y conclusión: Los focos hemorrágicos observados pueden corresponder a microsangrados por ruptura de vasos sanguíneos de pequeño calibre, que posiblemente condicionen el déficit motor y diversos cambios en la red neuronal.

DISPONIBILIDAD ESTADISTICA DE INDICADORES DE CONFIABILIDAD EN EL SISTEMA DE TRANSMISIÓN DEL ECUADOR

2006 ◽  
Vol 2 (1) ◽  
Author(s):  
Adriana Pacheco
Keyword(s):  
El Sistema ◽  
La Red

Actualmente no se conoce el comportamiento histórico de los indicadores de confiabilidad del Sistema Nacional de Transmisión, existe por tanto la necesidad de genera la estadística operativa de los mismos. La evolución historia de estos indicadores permitirá al CENACE conocer el grado de confiabilidad de la red; al transmisor mejorar los procesos de mantenimiento de los elementos de la red de transmisión; y al regulador la aplicación de reglas de cumplimiento de índices de de disponibilidad de los elementos de transmisión y la determinación de manera técnica, de las compensaciones económicas respectivas.

Desigualdade social em doentes renais crônicos/ Social inequality in chronic renal patients

1970 ◽  
Vol 1 (1) ◽  
pp. 44-49
Author(s):  
Beatriz Bertolaccini Martínez ◽  
Fernanda Marcelino Da Silva ◽  
Vinícius Tavares Veiga ◽  
Rodrigo Pereira Custódio ◽  
José Vítor Da Silva
Keyword(s):  
Social Inequality ◽  
Access To Health Care ◽  
Young Patients ◽  
Cross Sectional Study ◽  
Access To Health Services ◽  
Access To Treatment ◽  
Cross Sectional ◽  
Economic Class ◽  
Access To Health ◽  
Clinical Background

Introdução: A pobreza influencia na evolução dos pacientes com doenças crônicas, porque contribui para o seu agravamento e dificulta o acesso à assistência médica. O objetivo deste trabalho foi avaliar os aspectos relacionados à desigualdade social de pacientes em hemodiálise. Métodos: Estudo transversal com 123 pacientes em hemodiálise no Hospital Samuel Libânio – Pouso Alegre, MG, divididos, de acordo com a classe econômica, em 3 grupos: AB (n=23), C (n=60) e DE (n=40),. Foram coletados dados sociodemográficos e econômicos, antecedentes clínicos e informações sobre o acesso a serviços de saúde. Para a análise dos resultados, foi utilizada estatística analítica e descritiva. Adotou-se p £ 0,05. Resultados: O grupo AB apresentou um menor número de pacientes jovens (4,3% em AB vs 40% em C e 25% em DE, p < 0,05), um maior número de indivíduos com mais anos de escolaridade (65,3% em AB vs 18,3% em C e 2,5% em DE; p < 0,05), predomínio de pacientes com menos de um ano em tratamento de hemodiálise (65,2% em AB vs 10% em C e 5% em DE, p < 0,05), menor número de usuários do SUS (40% em C e 25% em DE vs 4,3% em AB; p < 0,05) e maior acesso ao tratamento com nefrologista (73,9% em AB vs 46,7% em C e 52,5 em DE; p < 0,05). Conclusão: Classes economicamente desfavorecidas agregam indivíduos mais jovens, com menor escolaridade, usuários do SUS, com maior tempo em hemodiálise e pior acesso ao tratamento com nefrologista.Introduction: The poverty influence on the evolution of patients with chronic diseases because it contributes to your aggravation and hinders access to health care. Our goal was to evaluate the aspects related to social inequality on hemodialysis patients. Methods: cross-sectional study with 123 patients on hemodialysis in Samuel Libânio Hospital – Pouso Alegre, MG, divided according to the economic class, into 3 groups: AB (n = 23), C (n = 60) and DE (n = 40). Were collected socio-demographic and economic data, clinical background and information about access to health services. For analysis of the results has been used statistical analytical and descriptive. We take p £ 0,05.  Results: The AB group has fewer young patients (4,3% in AB vs 40% in C and 25% in DE, p< 0,05), a greater number of individuals with more years of schooling (65,3% in AB vs 18,3% in C and 2,5% in DE; p< 0,05), predominance of patients with less than a year on haemodialysis treatment (65,2% in AB vs 10% in C and 5% in DE, p< 0,05), smaller number of users of SUS (40% in C and 25% in DE vs 4,3% in AB; p< 0,05), greater access to treatment with nephrologist (73,9% in AB vs 46,7% in C and 52,5% in DE; p< 0,05). Conclusion: Economically disadvantaged classes bring younger patients, with less schooling, users of SUS, patients with greater time on hemodialysis and worse access to treatment with nephrologist. 

Reseña del 10º Coloquio Nacional de Educación Media Superior a Distancia

2020 ◽  
Vol 12 (23) ◽  
Author(s):  
Felicidad Bonilla Gómez ◽  
Ángel López Martínez ◽  
Efrén Marmolejo Valle
Keyword(s):  
Educación Superior ◽  
Educacion Superior ◽  
El Sistema ◽  
Educación Virtual ◽  
La Red

<p align="right"> </p><p>La Red de Bachilleratos Universitarios Públicos a Distancia (Red) y el Espacio Común de Educación Superior a Distancia (ECOESAD) organizan cada año, desde 2010, el Coloquio Nacional de Educación Media Superior a Distancia, con el fin de crear y consolidar un espacio donde se reúnan los protagonistas de esta comunidad de aprendizaje para intercambiar y compartir experiencias, así como para conocer los avances en el uso de las tecnologías educativas en el bachillerato a distancia y la incidencia de estos en la transformación de la sociedad.</p><p> </p><p>En esta edición, previa emisión de la respectiva convocatoria, y mediante una fase virtual y una presencial, se llevó a cabo el 10º Coloquio Nacional de Educación Media Superior a Distancia, con el tema<strong> </strong>“Transformación digital en la educación 4.0,”. La primer fase se realizó del 2 al 9 de septiembre de 2019 y la fase presencial se desarrolló en la ciudad y puerto de Acapulco, Guerrero, durante los días 18, 19 y 20 de septiembre de 2019. La sede estuvo a cargo de la Universidad Autónoma de Guerrero (UAGro), a través de la Coordinación de Educación Virtual y el Sistema de Universidad Virtual (SUVUAGro).</p>

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