ABSTRACT
El objetivo de este trabajo fue evaluar el nivel de satisfacción de los pacientes que asistieron al Centro de Salud de Acatenango, Guatemala, respecto de la atención recibida, durante el primer trimestre del año 2002. Con este fin se utilizó un muestreo intencionado que involucró a 270 pacientes, que asistieron a consulta al consultorio de Acatenango en un período de 2 meses. El instrumento que se usó para medir el nivel de satisfacción de los usuarios, corresponde a una adaptación de un cuestionario previamente aplicado en el sistema de salud chileno. Las variables consideradas fueron sexo, procedencia, alfabetismo y etnia, así como las dimensiones de tangibilidad, aseguramiento y sensibilidad. Entre los hallazgos obtenidos, es posible destacar el alto grado de aceptación a la atención que se brinda en el consultorio (89,26 por ciento); el porcentaje de satisfacción con la atención del personal sobrepasa el 82 por ciento de opiniones favorables respecto a la atención brindada en cada una de las categorías profesionales. De las tres dimensiones evaluadas, la dimensión de tangibilidad, especialmente la variable "limpieza de los baños", es la que recibió la calificación más baja con relación a las otras dimensiones. La realización de un análisis bivariado permitió concluir que los pacientes procedentes del área rural esperan más tiempo para ser atendidos que los que residen en el área urbana, y que un menor número de pacientes pertenecientes a la etnia indígena kakchiquel reciben medicamento, en comparación con los pacientes pertenecientes a la etnia ladina.
Subject(s)
Humans , Patient Satisfaction , Primary Health Care , Quality of Health Care , Educational Status , Ethnicity , Health Services Research , Guatemala , Health Care Surveys , Rural Population , Patient Satisfaction/ethnology , Sex Distribution , Social Isolation , Waiting ListsSubject(s)
Humans , Female , Male , Infant , Child, Preschool , Adolescent , Attention Deficit Disorder with Hyperactivity , Mood Disorders , Adjustment Disorders/epidemiology , Age Distribution , Child Abuse, Sexual , Chile , Comorbidity , Residence Characteristics/statistics & numerical data , Hospital Statistics , Hospitals, State , Outpatients , Sex DistributionSubject(s)
Humans , Male , Female , Adolescent , Anxiety , Depression/diagnosis , Suicide, Attempted , Adolescent Behavior , Attitude to Death , Child Behavior , Suicide, AttemptedABSTRACT
Background: Trauma in the third cause of death in Chile and the most important among youngsters. Aim: To analyze the certification of deaths by trauma, studying those deaths in which it is not known if they were accidental or self inflicted. Material and methods: Deaths certified as caused by trauma, poisoning or violence during the period 1992-1994 are analyzed. Those in which their accidental or self inflicted nature was ignored were specially considered. Results: During the study period, 26.886 of 225.796 deaths were certified as caused by trauma, poisoning or violence. In 41.7 percent of these deaths, no defined cause (accidental or self inflicted) was reported. In the Metropolitan region 65.3 percent of deaths by trauma were not defined. Ninety seven percent of certificates in this area were extended by pathologists or coroners. In all health services, there was a positive correlation between the percentage of ill defined deaths by trauma and the percentage of certifications by pathologists or coroners. Conclusions: The deficiency in certification of deaths by trauma is possibly due to administrative causes and precludes the study of deaths caused by accidents, violence or suicide in Chile and its comparison with other countries. An effort should be done to solve this problem
Subject(s)
Humans , Male , Female , Infant , Child, Preschool , Adolescent , Adult , Middle Aged , Wounds and Injuries/mortality , Death Certificates , Violence/statistics & numerical data , Indicators of Morbidity and Mortality , Cause of Death/trends , Age Distribution , Sex Distribution , Health Services StatisticsABSTRACT
Forty postmenopausal women were divided in 2 groups to receive a dayli dose of 2 mg oestradiol valerate and 2,5 mg medroxyprogesterone acetate or an identical placebo during 6 months. Initially and the end of the treatment period, they were subjected to a psychiatric interview and the Graffar, Hamilton and Eysenk personality tests were applied. Also an analysis of Verbal Behavior was used, that results in hope and hopeless scores. There were no differences in the initial assessment between the 2 treatment groups. In women receiving hormonal suplementation, the Hamilton score decreased from 11.2 to 4.9 (p<0.002) and in women receiving placebo from 8.1 to 5.3 (NS). No other significant changes in psychological tests were observed. In conclusion, hormonal supplementation decreases the Hamilton depression score in postmenopausal women