Wisconsin Consumer Guide to Health Care: Health Care and Quality

2013 ◽  
Author(s):  
Keyword(s):  
Health Care ◽  
Care Health

Práticas humanizadoras na Atenção Básica: uma revisão sistemática qualitativa

2020 ◽  
Vol 20 (2) ◽  
pp. 54-62
Author(s):  
Ieda Carla Almeida dos Santos de Souza Pastana ◽  
Erika Cardozo Pereira Cardozo Pereira ◽  
Janaina Cristina Santos Lima Cristina Santos Lima ◽  
Mariana Cabral Schveitzer
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Personnel ◽  
Personal Autonomy ◽  
Attitude Of Health Personnel ◽  
Holistic Care ◽  
Patient Centred Care ◽  
Primary Health ◽  
Care Health

Objetivos: identificar práticas de humanização na Atenção Básica. Método: revisão sistemática, partindo das seguintes fontes de in-formação: PubMed, CINAHL, Scielo, utilizando-se a palavra-chave primary health care, associada separadamente às seguintes pa-lavras-chave: humanization of assistance (humanização), holistic care/health (cuidado/saúde holístico), patient centred care, user embracement (acolhimento), personal autonomy, holism, attitude of health personnel (atitude dos profissionais). Método: Revisão sistemática qualitativa. Resultados: Foram incluídos 17 estudos identificados entre 2012 e 2018. Os dados foram sistematizados em sete categorias: (a) Oferta de práticas humanizadoras, (b) Difi-cultadores das práticas humanizadoras, (c) Facilitadores das prá-ticas humanizadoras, (d) Necessidade de capacitação sobre as práticas humanizadoras, (e) Vínculo profissional-usuário, (f) Efei-to positivo das práticas humanizadoras no trabalho em equipe e (g) Atitudes e crenças que refletem as práticas humanizadoras. Considerações Finais: As práticas humanizadoras continuam a ser desenvolvidas na Atenção Básica e seus efeitos positivos são re-conhecidos pelos profissionais de saúde. Por isso, investimentos no desenvolvimento dessas práticas e também em pesquisas de-vem continuar, incluindo também as percepções de usuários e dos órgãos gestores.  

Health and Health Care of Sexual and Gender Minorities

2021 ◽  
Vol 62 (3) ◽  
pp. 318-333
Author(s):  
Ning Hsieh ◽  
Stef M. Shuster
Keyword(s):  
Health Care ◽  
Care Utilization ◽  
Future Research ◽  
Sexual And Gender Minorities ◽  
Social Dimensions ◽  
Gender Minorities ◽  
Care Health ◽  
Gender Based ◽  
And Gender ◽  
Interdisciplinary Scholarship

Research on the social dimensions of health and health care among sexual and gender minorities (SGMs) has grown rapidly in the last two decades. However, a comprehensive review of the extant interdisciplinary scholarship on SGM health has yet to be written. In response, we offer a synthesis of recent scholarship. We discuss major empirical findings and theoretical implications of health care utilization, barriers to care, health behaviors, and health outcomes, which demonstrate how SGMs continue to experience structural- and interactional-level inequalities across health and medicine. Within this synthesis, we also consider the conceptual and methodological limitations that continue to beleaguer the field and offer suggestions for several promising directions for future research and theory building. SGM health bridges the scholarly interests in social and health sciences and contributes to broader sociological concerns regarding the persistence of sexuality- and gender-based inequalities.

scholarly journals HUBUNGAN INTENSI DENGAN PERILAKU PERAWAT DALAM PENDOKUMENTASIAN ASUHAN KEPERAWATAN DI INSTALASI GAWAT DARURAT

2018 ◽  
Vol 4 (1) ◽  
Author(s):  
Ardhiles Wahyu Kurniawan
Keyword(s):  
Health Care ◽  
Work Environment ◽  
Nursing Care ◽  
Care Process ◽  
Nursing Documentation ◽  
Exclusion Criteria ◽  
Cross Sectional ◽  
Good Intention ◽  
Care Health

Abstract : The complex IGD work environment will affect the quality of care, health care, including inaccurate or incomplete documentation. Incomplete nursing documentation indicates that the nursing care process is not working properly and continuously. Intentionin documenting can predict the appearance of person behavior including the behavior of nurses, especially in documenting nursing care. The purpose of this study was to analyze correlation intention with nurse behavior in documenting nursing care in Emergency Installation. The research design used correlational analysis with cross sectional approach. The sample in this research is part of nurse of executing at IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan and IGD RS Islam Malang. The sample of 45 nurses IGD and 341 documents were selected according to inclusion and exclusion criteria. The result of statistical analysis of gamma that there is a significant correlation between intention and nursing documentation behavior evidenced by value of p = 0,000, positive correlation direction and strong correlation value is proved by r = 0,739. Hospital and nurse IGD is expected to develop a good intention then formed good nursing documenting behavior as well.Keywords : Nurse IGD, Intention, Nursing Documentation. Abstrak: Lingkungan kerja IGD yang kompleks akan mempengaruhi kualitas perawatan, pelayanan kesehatan, termasuk dokumentasi yang dilakukan tidak tepat atau tidak lengkap. Dokumentasi keperawatan yang tidak lengkap menunjukkan proses asuhan keperawatan tidak berjalan dengan baik dan berkesinambungan. Intensi dalam pendokumentasian dapat memprediksi munculnya perilaku seseorang termasuk perilaku perawat khususnya dalam pendokumentasian asuhan keperawatan. Tujuan penelitian ini untuk menganalis hubungan intensi dengan perilaku perawat dalam pendokumentasian asuhan keperawatan di Instalasi Gawat Darurat. Desain penelitian menggunakan analysis correlationaldengan pendekatan cross sectional. Sampel dalam penelitian ini adalah sebagian perawat pelaksana di IGD Rumkit TK II dr Soepraoen, IGD RS Panti Waluya Sawahan Malang dan IGD RS Islam Malang. Sampel berjumlah 45 perawat IGD dan 341 dokumen dipilih sesuai dengan kriteria inklusi dan ekslusi. Hasil analisis statistik uji gammamenunjukkan terdapat hubungan signifikan antara intensi dengan perilaku pendokumentasian keperawatan dibuktikan dengan nilai p = 0,000, arah korelasi positif, dan nilai korelasi kuat dibuktikan dengan nilai r = 0,739. Rumah Sakit dan perawat IGD diharapkan mengembangkan intensi yang baik sehingga diharapkan terbentuk perilaku pendokumentasian keperawatan yang baik pula. Kata Kunci : Perawat IGD, Intensi, Dokumentasi Keperawatan.

scholarly journals Approaches to Evaluations of Virtual Care in Primary Care

2022 ◽  
Vol 2 (1) ◽  
pp. es0358
Author(s):  
Daphne Hui ◽  
Bert Dolcine ◽  
Hannah Loshak
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Utilization ◽  
Clinical Outcomes ◽  
Care Utilization ◽  
Cost Analyses ◽  
Virtual Care ◽  
Primary Care Health ◽  
Guidance Documents ◽  
Care Health

A literature search informed this Environmental Scan and identified 11 evaluations of virtual care in primary care health settings and 7 publications alluding to methods, standards, and guidelines (referred to as evaluation guidance documents in this report) being used in various countries to evaluate virtual care in primary care health settings. The majority of included literature was from Australia, the US, and the UK, with 2 evaluation guidance documents published by the Heart and Stroke Foundation of Canada. Evaluation guidance documents recommended using measurements that assess the effectiveness and quality of clinical care including safety outcomes, time and travel, financial and operational impact, participation, health care utilization, technology experience including feasibility, user satisfaction, and barriers and facilitators or measures of health equity. Evaluation guidance documents specified that the following key decisions and considerations should be integrated into the planning of a virtual care evaluation: refining the scope of virtual care services; selecting an appropriate meaningful comparator; and identifying opportune timing and duration for the evaluation to ensure the evaluation is reflective of real-world practice, allows for adequate measurement of outcomes, and is comprehensive, timely, feasible, non-complex, and non–resource-intensive. Evaluation guidance documents highlighted that evaluations should be systematic, performed regularly, and reflect the stage of virtual care implementation to encompass the specific considerations associated with each stage. Additionally, evaluations should assess individual virtual care sessions and the virtual care program as a whole. Regarding economic components of virtual care evaluations, the evaluation guidance documents noted that costs or savings are not limited to monetary or financial measures but can also be represented with time. Cost analyses such as cost-benefit and cost-utility estimates should be performed with a specific emphasis on selecting an appropriate perspective (e.g., patient or provider), as that influences the benefits, effects, and how the outcome is interpreted. Two identified evaluations assessed economic outcomes through cost analyses in the perspective of the patient and provider. Evidence suggests that, in some circumstances, virtual care may be more cost-effective and reduces the cost per episode and patient expenses (e.g., travel and parking costs) compared to in-person care. However, virtual care may increase the number of individuals treated, which would increase overall health care spending. Four identified evaluations assessed health care utilization. The evidence suggests that virtual care reduces the duration of appointments and may be more time-efficient compared to in-person care. However, it is unclear if virtual care reduces the use of medical resources and the need for follow-up appointments, hospital admissions, and emergency department visits compared to in-person care. Five identified evaluations assessed participation outcomes. Evidence was variable, with some evidence reporting that virtual care reduced attendance (e.g., reduced attendance rates) and other evidence noting improved attendance (e.g., increased completion rate and decreased cancellations and no-show rates) compared to in-person care. Three identified evaluations assessed clinical outcomes in various health contexts. Some evidence suggested that virtual care improves clinical outcomes (e.g., in primary care with integrated mental health services, symptom severity decreased) or has a similar effect on clinical outcomes compared to in-person care (e.g., use of virtual care in depression elicited similar results with in-person care). Three identified evaluations assessed the appropriateness of prescribing. Some studies suggested that virtual care improves appropriateness by increasing guideline-based or guideline-concordant antibiotic management, or elicits no difference with in-person care.

scholarly journals Fragilidades e fortalezas da assistência à saúde do homem na atenção primária à saúde

2020 ◽  
Vol 10 (32) ◽  
pp. 53-61
Author(s):  
Angélica Cristina Silveira Marques ◽  
Adriani Izabel de Souza Moraes ◽  
Sílvia Carla da Silva André Uehara
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Men’S Health ◽  
Men's Health ◽  
Health It ◽  
Access To Health Services ◽  
Primary Health ◽  
Access To Health ◽  
Care Health ◽  
The City

O processo de adoecimento dos homens vem sendo determinado pelo seu comportamento na sociedade e como expressam suas crenças de masculinidade. O objetivo deste trabalho foi identificar as ações realizadas pelos enfermeiros da Atenção Primária à Saúde (APS) direcionadas à promoção da saúde do homem. Trata-se de uma pesquisa descritiva, exploratória e de abordagem quantitativa. A pesquisa foi realizada com 29 enfermeiros de serviços da APS do município de São Carlos-SP. Os dados foram coletados por meio de uma entrevista, utilizando um instrumento validado. Os dados foram analisados por meio da estatística descritiva. A pesquisa foi aprovada pelo Comitê de Ética em Pesquisa. Os resultados mostram que 65,5% (19) dos enfermeiros referiram não ter recebido capacitação sobre a saúde do homem. Quanto aos fatores facilitadores do acesso dos homens nos serviços de saúde, destacam-se que 19% (11) das respostas incluíram o vínculo estabelecido entre os profissionais e usuários; e, como agentes dificultadores, em 35,1% (19) das respostas foi ressaltada a cultura do homem. Para uma maior efetividade da assistência à saúde do homem, torna-se necessário a sensibilização de profissionais e gestores de saúde na busca de estratégias para facilitar o acesso da população masculina aos serviços de saúde.Descritores: Saúde do Homem, Atenção Primária à Saúde, Enfermagem. Fragilities and strengths of man's health care in primary health careAbstract: The illness process of men has been determined by their behavior in society and how they express their beliefs about masculinity. The objective of this study was to identify the actions performed by nurses of Primary Health Care (PHC) directed to the promotion of men's health. It is descriptive, exploratory, and quantitative approach research. The research was conducted with 29 nurses from the PHC services of the city of São Carlos-SP. Data were collected through an interview using an instrument validated. Data were analyzed using descriptive statistics. Still, data collection began after approval by the Research Ethics Committee. The results show that 65.5% (19) of the nurses reported not having received training on men's health. Regarding factors that facilitate men's access to health services, it is noteworthy that 19% (11) of the answers included the bond established between professionals and users; and, as hindering agents, 35.1% (19) of the answers highlighted men's culture. Thus, for greater effectiveness of men's health care, health professionals and managers need to be sensitized in the search for strategies to facilitate the male population's access to health services.Descriptors: Men's Health, Primary Health Care, Nursing. Fragilidades y fortalezas de la atención médica del hombre en la atención primaria de saludResumen: El proceso de enfermedad de los hombres ha sido determinado por su comportamiento en la sociedad y cómo expresan sus creencias sobre la masculinidad. El objetivo de este estudio fue identificar las acciones realizadas por las enfermeras de Atención Primaria de Salud (APS) dirigidas a la promoción de la salud de los hombres. Es una investigación de enfoque descriptivo, exploratorio y cuantitativo. La investigación se realizó con 29 enfermeras de los servicios de APS de la ciudad de São Carlos-SP. Los datos fueron recolectados a través de una entrevista utilizando un instrumento validado. Los datos se analizaron mediante estadística descriptiva. Aún así, la recopilación de datos comenzó después de la aprobación del Comité de Ética en Investigación. Los resultados muestran que el 65.5% (19) de las enfermeras informaron no haber recibido capacitación sobre la salud de los hombres. En cuanto a los factores que facilitan el acceso de los hombres a los servicios de salud, cabe destacar que el 19% (11) de las respuestas incluyeron el vínculo establecido entre profesionales y usuarios; y, como agentes obstaculizadores, el 35,1% (19) de las respuestas destacaron la cultura de los hombres. Por lo tanto, para una mayor efectividad de la atención médica de los hombres, los profesionales de la salud y los gerentes deben ser sensibilizados en la búsqueda de estrategias para facilitar El acceso de la población masculina a los servicios de salud.Descriptores: Salud del Hombre, Atención Primaria de Salud, Nursing.

scholarly journals Construção e validação de indicadores interdisciplinares em um centro de reabilitação

2020 ◽  
Vol 20 (80) ◽  
Author(s):  
Darlene Vieira Candido Zarbinati ◽  
Camila Reis Paris Servoni ◽  
Alessandro José Pereira ◽  
Eduardo Federighi Baisi Chagas ◽  
Pedro Marco Karan Barbosa
Keyword(s):  
Health Care ◽  
Organizational Structures ◽  
Patient Care Team ◽  
Consensus Conference ◽  
Rehabilitation Center ◽  
Work Processes ◽  
Rehabilitation Centers ◽  
Third Stage ◽  
Management Of Rehabilitation ◽  
Care Health

O uso de indicadores caracteriza-se como uma estratégia que possibilita a busca da eficácia e eficiência das estruturas organizacionais, dos processos de trabalho e dos resultados da assistência, permitindo que os profissionais monitorem e avaliem todo o processo. Portanto, para estruturar um indicador é necessário que haja participação de vários profissionais, tendo em vista a interdisciplinaridade. Desse modo, este trabalho tem por objetivo propor uma matriz de indicadores de processo e resultado na assistência em saúde com enfoque interdisciplinar no âmbito do atendimento ambulatorial em reabilitação. Estudo quanti-qualitativo realizado no Centro de Reabilitação Lucy Montoro da Unidade de Marília - SP, com amostra intencional, dividida em 2 grupos: construção dos indicadores e validação dos indicadores. Para a construção dos indicadores, participaram 33 profissionais de saúde, entre eles enfermeiros, nutricionistas, psicólogos, terapeutas ocupacionais, fonoaudiólogos, assistentes sociais, educadores físicos e fisioterapeutas. Foram constituídas 3 etapas, sendo a primeira uma oficina de planejamento, na qual foi apresentado o conceito de indicador e os critérios para a construção. A segunda etapa foram as oficinas de trabalho com os terapeutas de cada setor utilizando a técnica de brainstorm, definindo as principais práticas assistenciais empregadas no centro de reabilitação que se correlacionassem entre os setores para a elaboração dos indicadores, segundo o modelo proposto por Donabedian. Na terceira etapa os indicadores foram submetidos à juízes especialistas para validação de conteúdo através da técnica de conferência de consenso. A validação foi realizada por 5 juízes, e todos os 10 indicadores elaborados foram validados. Acredita-se que o emprego desse instrumento colabore com a avaliação e gestão da qualidade nos serviços de reabilitação.Palavras-chave: Avaliação da qualidade dos cuidados de saúde. Assistência à saúde. Centros de reabilitação. Equipe de assistência ao paciente. ABSTRACTThe use of indicators is characterized as a strategy that enables the search for the effectiveness and efficiency of organizational structures, work processes and care results, allowing professionals to monitor and evaluate the entire process. Therefore, to structure an indicator it is necessary to participate several professionals, in view of interdisciplinarity. Thus, this work aims to propose a matrix of process and result indicators in health care with an interdisciplinary focus in the scope of outpatient care in rehabilitation. Quantitative-qualitative study conducted at the Lucy Montoro Rehabilitation Center of the Marília Unit - SP, with an intentional sample, divided into 2 groups: construction of indicators and validation of indicators. To construct the indicators, 33 health professionals participated, including nurses, nutritionists, psychologists, occupational therapists, speech therapists, social workers, physical educators and physiotherapists. Three stages were constituted, the first being a planning workshop, in which the concept of indicator and the criteria for construction were presented. The second stage were the workshops with the therapists of each sector using the brainstorm technique, defining the main care practices employed in the rehabilitation center that correlated between the sectors for the elaboration of indicators, according to the model proposed by Donabedian. In the third stage, the indicators were submitted to expert judges for content validation through the Consensus Conference technique. The validation was performed by 5 jurors, and all 10 indicators elaborated were validated. It is believed that the use of this instrument collaborates with the evaluation and quality management of rehabilitation services.Keywords: Evaluation of the quality of health care. Health care. Rehabilitation centers. Patient care team

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