scholarly journals Desenvolvimento de um protocolo de indicadores para avaliação nacional da capacidade de gestão da Assistência Farmacêutica na Atenção Primária à Saúde

2020 ◽  
Vol 20 (78) ◽  
Author(s):  
Emilia Baierle Faraco ◽  
Marina Matozo Rover ◽  
Mareni Rocha Farias ◽  
Silvana Nair Leite
Keyword(s):  
National Survey ◽  
Health Management ◽  
Pharmaceutical Services ◽  
Three Dimensions ◽  
National Database ◽  
Assessment Protocol ◽  
Lack Of Information ◽  
Starting Point ◽  
Management Capacity ◽  
Survey Results

Objetivo: Descrever as etapas da adaptação de um protocolo de indicadores para a avaliação da capacidade de gestão da Assistência Farmacêutica a partir das variáveis constantes em um banco de dados nacional. Métodos: Estudo sistemático por meio da convergência de um protocolo de indicadores de avaliação da capacidade de gestão da assistência farmacêutica a nível municipal com dados oriundos da Pesquisa Nacional de Acesso, Uso e Promoção do Uso Racional de Medicamentos, para elaboração de um protocolo de indicadores de abrangência nacional. Após a adaptação e análise preliminar do protocolo, um estudo de consenso foi realizado em duas etapas: consulta com especialistas e oficina de consenso. Na sequência foi realizado um teste de aplicabilidade do protocolo de indicadores com os dados disponíveis pela pesquisa nacional. Resultados: Entre os indicadores, 17 sofreram alterações e em seis foram alteradas as fontes de coleta de dados. Devido à ausência de informações necessárias para aplicar as medidas preconizadas, 16 indicadores foram excluídos do protocolo original. Ao final, o protocolo proposto foi composto por 30 indicadores organizados em três dimensões: Organizacional, Operacional e Sustentabilidade. Conclusão: Os resultados da validação da aplicabilidade dos indicadores, com base nos dados nacionais, asseguram a sensibilidade do novo protocolo de avaliação no contexto dos serviços farmacêuticos na atenção primária. O novo protocolo permite, assim, avaliar a capacidade de gestão da Assistência Farmacêutica em municípios brasileiros sem prejuízo das premissas que sustentaram o modelo original. O protocolo viabilizará avaliações futuras, sugerindo-se a possível institucionalização destes indicadores para monitoramento contínuo da Assistência Farmacêutica no Brasil. Os resultados deste processo podem ser adotados como ponto de partida para o desenvolvimento de indicadores de capacidade de gestão dos serviços farmacêuticos também em outros países.Palavras-Chave: Avaliação em Saúde, Gestão em Saúde, Assistência Farmacêutica, PNAUM Development of a protocol of indicators for national evaluation of the management capacity of Pharmaceutical Services in Primary Health CareABSTRACTObjective: To describe the stages of adaptation of an indicator protocol for the evaluation of Pharmaceutical Services management capacity from the variables in a national database. Methods: Systematic study through the convergence of a protocol of indicators of evaluation of the management capacity of pharmaceutical services at municipal level with data from the National Survey of Access, Use and Promotion of the Rational Use of Medicines, to elaborate a protocol of indicators. nationwide. After adaptation and preliminary analysis of the protocol, a consensus study was carried out in two steps: consultation with experts and consensus workshop. Subsequently, an applicability test of the indicator protocol was performed with data available from the national survey. Results: Among the indicators, 17 suffered alterations and in six the sources of data collection were altered. Due to the lack of information necessary to implement the recommended measures, 16 indicators were excluded from the original protocol. In the end, the proposed protocol was composed of 30 indicators organized in three dimensions: Organizational, Operational and Sustainability. Conclusions: The results of validating the applicability of the indicators, based on national data, ensure the sensitivity of the new assessment protocol in the context of pharmaceutical services in primary care. Thus, the new protocol allows us to evaluate the Pharmaceutical Services management capacity in Brazilian municipalities, without prejudice to the assumptions that supported the original model. The protocol will enable future evaluations, suggesting the possible institutionalization of these indicators for continuous monitoring of Pharmaceutical Services in Brazil. The results of this process can be taken as a starting point for the development of pharmaceutical services management capacity indicators also in other countries.KEYWORDS: Health Evaluation, Health Management, Pharmaceutical Services, PNAUM

Intolerance of Uncertainty, Anxiety, and Career Indecision: A Mediation Model

2021 ◽  
pp. 106907272110025
Author(s):  
Consuelo Arbona ◽  
Weihua Fan ◽  
Ayoung Phang ◽  
Norma Olvera ◽  
Marcel Dios
Keyword(s):  
College Students ◽  
Decision Making ◽  
Intolerance Of Uncertainty ◽  
Career Decision ◽  
Career Indecision ◽  
Three Dimensions ◽  
Career Decision Making ◽  
Lack Of Information ◽  
Path Analyses

Intolerance of uncertainty (IU) refers to the tendency to fear the unknown and to worry excessively about potential future negative outcomes. In the career decision-making process, college students experience uncertainty regarding the future of occupational opportunities and the evolution of their interests and capabilities. Anxiety is a well-established predictor of career indecision. Therefore, this study examined the role of anxiety as a mediator in the relation of IU and rumination to three dimensions of career decision making difficulties among college students ( N = 678). Results of path analyses indicated that as hypothesized, after controlling for age, intolerance of uncertainty was directly and indirectly (though anxiety) related to the three dimensions of career decision making difficulties: lack of readiness, lack of information, and inconsistent information. Results suggested that career choice interventions may be enhanced with a targeted emphasis on coping with the uncertainty involved in career decision making among college students.

National survey of critical-care pharmaceutical services

1989 ◽  
Vol 46 (11) ◽  
pp. 2308-2312
Author(s):  
Joseph F. Dasta ◽  
Richard Segal ◽  
Anthony Cunningham
Keyword(s):  
Critical Care ◽  
National Survey ◽  
Pharmaceutical Services

Public acceptance of tree health management: Results of a national survey in the UK

2016 ◽  
Vol 59 ◽  
pp. 18-25 ◽  
Author(s):  
Lauren Fuller ◽  
Mariella Marzano ◽  
Andrew Peace ◽  
Christopher P. Quine ◽  
Norman Dandy
Keyword(s):  
National Survey ◽  
Health Management ◽  
Public Acceptance ◽  
Tree Health ◽  
The Uk

National survey on appropriateness of clinical biochemistry reporting in China

2015 ◽  
Vol 53 (11) ◽  
Author(s):  
Fengfeng Kang ◽  
Wei Wang ◽  
Zhiguo Wang
Keyword(s):  
Quality Indicators ◽  
National Survey ◽  
Clinical Biochemistry ◽  
Error Rates ◽  
Significant Difference ◽  
Survey Results ◽  
Complete Report ◽  
Term Monitoring ◽  
Reliable Testing

AbstractAccurate and reliable testing reports play an important role in the prevention, diagnosis, treatment and prognosis of disease. However, little is known about the appropriateness of laboratory testing reporting in China. This national survey takes clinical biochemistry as an example to investigate the state of reporting appropriateness in our country.An electronic questionnaire was sent to 1209 laboratories. The participants were asked to retrospectively evaluate the error rates of the following quality indicators: report template integrity, report content filling integrity, report delay, report recall, non-conformities between instrument and laboratory information system (LIS) data, non-conformities between report and request, report notification error, and report modification. Mann-Whitney and Kruskal-Wallis tests were used to identify the potential impacts of reporting appropriateness.A total of 662 of the 1209 laboratories (55%) submitted the survey results, with three returning incomplete data. For the integrity of the report, only 31% of the laboratories had a complete report template that contained all of 21 elements. In addition, the overall error rate of content filling integrity was 45.9% for 19,770 pieces of reports. The overall σ-values of other six quality indicators were all >4, and no significant difference was found among different departments. Group comparison suggested that reporting electronically had a better performance.The laboratory reporting system in China needs to improve, particularly the integrity of the report. Strengthening information technology will not only promote reporting appropriateness, but also guarantee accurate, standardized and traceable data collection and long-term monitoring.

scholarly journals Investigation of Occupational Hazards in Transport Wharf of Liquid Chemicals

2019 ◽  
Vol 3 (1) ◽  
Author(s):  
Yizhou Jiang ◽  
Dongxu Zhang ◽  
Datao Weng ◽  
Xuli Chen
Keyword(s):  
Occupational Health ◽  
Health Management ◽  
Chemical Transport ◽  
Occupational Hazard ◽  
Management Level ◽  
Administrative Management ◽  
Occupational Health Management ◽  
Protection Technology ◽  
Survey Results ◽  
Liquid Chemical

Abstract: Occupational health management of liquid chemical transport wharf is still in its infancy, in order to grasp the occupational health status of employees in the industry and improve the occupational health management level of employees, taking the liquid chemical transport wharf of an enterprise as the investigation object, according to the relevant domestic occupations. Hygiene standards, using the combination of on-site occupational hygiene survey and workplace occupational hazard factors detection, identify the occupational hazard factors of the wharf, and detect the degree of hazard. The survey results show that the overall occupational health of the wharf is basically good, but the noise index is slightly exceeded. It is suggested to further improve the occupational health management level of the wharf by improving the protection technology and strengthening the administrative management.

scholarly journals Developing A General Framework for National Health Information Network for Developing Countries

2020 ◽  
Vol 9 ◽  
pp. 1792
Author(s):  
Hamid Moghaddasi ◽  
Reza Rabiei ◽  
Farkhondeh Asadi ◽  
Ali Mohammadpour
Keyword(s):  
Information Systems ◽  
Health System ◽  
Health Information ◽  
National Health ◽  
General Framework ◽  
Health Information Systems ◽  
Three Dimensions ◽  
Information Network ◽  
Starting Point ◽  
The Usa

Background: The National Health Information Network (NHIN) is one of the key issues in health information systems in any country. However, the development of this network should be based on an appropriate framework. Unfortunately, the conducted projects of health information systems in the Ministry of Health of Iran do not fully comply with the concept of NHIN. The present study was aimed to develop a general framework for NHIN in Iran. Materials and Methods: In this study, in the first stage, the required information about the concept of the NHIN framework and related NHIN documents in the USA and the UK were collected based on a literature review. Then, according to the results of the first stage and with regards to the structure of the Iranian health system, a general framework for Iranian NHIN was proposed. The Delphi technique was conducted to verify the framework. Results: The proposed framework for Iranian NHIN includes three dimensions; components, principles, and architecture. Over 80% of experts have evaluated all three aspects of the framework at an acceptable scale. In total, the proposed framework has been evaluated by 83.8% of the experts at an acceptable scale. Conclusion: The proposed framework was expected to serve as the starting point for moving towards the design and creation of Iranian NHIN. At any rate, the framework could be criticized, and it could only be used for the countries whose health system is similar to the structure of the health system in Iran. [GMJ.2020;9:e1792]

scholarly journals Ethnography in the Danish Veterinary Learning Environment

Seminar.net ◽  
2015 ◽  
Vol 11 (1) ◽  
Author(s):  
Camilla Kirketerp Nielsen
Keyword(s):  
Learning Environment ◽  
Virtual Environment ◽  
Health Management ◽  
Clinical Skills ◽  
Classical Swine Fever ◽  
Herd Health ◽  
Learning Context ◽  
Veterinary Students ◽  
Starting Point ◽  
Actual Learning

The overall objective of this project is research-based development, implementation and evaluation of a game-based learning concept to be used in the veterinary education. Herd visits and animal contact are essential for the development of veterinary competences and skills during education. Yet veterinary students have little occasion to reach/attain a proper level of confidence in their own skills/abilities, as they have limited “training-facilities” (Kneebone & Baillie, 2008). One possible solution mightbe to provide a safe, virtual environment (game-based) where students could practise interdisciplinary clinical skills in an easily-accessible, interactive setting. A playable demo using Classical Swine Fever in a pig herd as an example has been produced for this purpose. In order totailor the game concept to the specific veterinary learning environment and to ensure compliance with both learning objectives and the actual learning processes/procedures of the veterinary students, the project contains both a developmental aspect (game development) and an exploration of the academic (scholastic) and profession (practice) oriented learning context. The initial phase of the project was a preliminary exploration of the actual learning context, providing an important starting point for the upcoming phase in which I will concentrate on research-based development, implementation and evaluation of a game-based virtual environment in this course context. In the academic (scholastic) and profession (practice) oriented learning context of a veterinary course in Herd Health Management (Pig module),ethnographic studies have been conducted by using multiple data collection methods; participant observation, spontaneous dialogues and interviews (Borgnakke, 1996; Hammersley & Atkinson, 2007). All courserelated activities in the different learning spaces (commercial pig herds, auditoriums, post-mortem examinations, independent group work) were followed.This paper will describe the project and it will focus in particular on the initial exploration of the veterinary learning context in terms of theory, empirical data and the methods.

scholarly journals Monitoring the Future national survey results on drug use, 1975-2017: Volume II, college students and adults ages 19-55

2018 ◽  
Author(s):  
J.E. Schulenberg ◽  
L.D. Johnston ◽  
P.M. O'Malley ◽  
J.G. Bachman ◽  
R.A. Miech ◽  
...  
Keyword(s):  
College Students ◽  
Drug Use ◽  
National Survey ◽  
The Future ◽  
Survey Results ◽  
Monitoring The Future

Integration and volunteering: the case of first-generation immigrants to Canada

2021 ◽  
Author(s):  
A. Stefanie Ruiz ◽  
Lili Wang ◽  
Femida Handy
Keyword(s):  
National Survey ◽  
First Generation ◽  
Immigrant Integration ◽  
Three Dimensions ◽  
First Generation Immigrants ◽  
Different Dimensions ◽  
Using Data ◽  
The Relationship

This study investigates the association between the integration of first-generation immigrants and their volunteering. Using data from a Canadian national survey, we examine three dimensions of immigrant integration: professional, psychosocial and political. General volunteering is not significantly related to integration; however, there exists a relationship between the different dimensions of integration and where immigrants choose to volunteer. Thus, the relationship between the type and degree of immigrant integration and volunteering is nuanced; it matters where volunteering occurs.

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