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1.
Braz. J. Pharm. Sci. (Online) ; 58: e18849, 2022. tab
Article in English | LILACS | ID: biblio-1360168

ABSTRACT

Abstract To assess the performance indicators for pharmaceutical services (PS) in primary health care (PHC), the level of satisfaction with pharmacy services among users and managers / pharmacists' impressions in relation to the findings were evaluated. The study used mixed methods, including a retrospective and descriptive study of the performance indicators for PS in PHC, an observational study on the level of satisfaction and a qualitative study of users' perception of pharmacy services at Health Units. Managers and pharmacists' impressions of the study results were also collected. Only 44.4% of pharmacies had a full-time pharmacist. From the establishments visited, 5.3% did not have an air-conditioned environment, and only 33.3% of the items essential to the Good Practices of Storage of Medicines and Supplies criteria were fulfilled. Although 77.9% of the prescribed medicines were dispensed, it did not reach the 80% standard. The satisfaction level of users was 3.2±0.6, indicating dissatisfaction with pharmacies' services. By means of an evaluation of each item within the questionnaire, it was possible to observe that variables related to pharmaceutical care presented low scores in relation to other domains, thus evidencing the fragility of the pharmaceutical- patient relationship in users' perception. Managers and pharmacists suggested that these results were related to the inadequate physical infrastructure of pharmacies, work overload, lack of recognition and undervaluation of pharmacists, lack of interaction within the PHC team, high turnover of pharmacists, and lack of PS prioritization by the administration. PS in PHC has structural and organizational weaknesses that require changes. In general, users are dissatisfied with pharmacies' services, especially with pharmaceutical care.


Subject(s)
Humans , Male , Female , Patients , Personal Satisfaction , Pharmacists/classification , Pharmaceutical Services/organization & administration , Primary Health Care/classification , Patient Satisfaction/statistics & numerical data , Consumer Behavior , Emergency Medical Services/organization & administration , Health Manager , Organization and Administration/statistics & numerical data , Pharmacies , Diagnosis of Health Situation , Surveys and Questionnaires , Equipment and Supplies/supply & distribution , Health Research Evaluation
2.
Nursing (Säo Paulo) ; 24(280): 6147-6156, set.-2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1343673

ABSTRACT

Objetivo: analisar o impacto na implantação do Projeto Lean, sob ótica de enfermeiros assistenciais. Método: estudo descritivo, exploratório, retrospectivo, documental, de abordagem qualitativa, com enfermeiros assistenciais lotados em um Hospital de Ensino. Os dados foram coletados por meio de entrevista semiestruturada, no ano de 2019. Utilizou-se Análise de Conteúdo na modalidade Temática. Resultados: Evidenciaram-se problemas como aumento da carga de trabalho e dimensionamento de pessoal incipiente. A equipe de enfermagem, durante a realização da assistência enfrenta limitações quando se refere ao dimensionamento inadequado e quantitativo insuficiente de profissionais e recursos materiais disponíveis, tornando o trabalho desgastante. Conclusão: O estudo mostrou a necessidade de dimensionamento de pessoal de enfermagem adequado bem como previsão e provisão de materiais médico-hospitalares para uma assistência de qualidade, buscando agregar valor ao paciente bem como sua satisfação com o atendimento na Instituição.(AU)


Objective: analyze the impact on the implementation of the Lean Program, on the perspective of assistant nurses. Method: descriptive, exploratory, retrospective, and documental study, of qualitative approach, with assistant nurses from a Teaching Hospital. The data was collected by semi structured interviews, in the year 2019. Content Analysis was used in the Thematic modality. Results: Problems such as the increase of working hours and incipient staff sizing were evidenced. The nursing staff, during the assistancefaces limitations when it is related to the inadequate sizing and insufficient qualitative of professionals and material resources available, making it an exhausting work. Conclusion: the study has shown the necessity of adequate nursing staff sizing as well as prediction and provision of medical and hospital materials for good quality assistance, seekingto add value to the patient as well as their satisfaction with the care provided at the institution.(AU)


Objetivo: analizar el impacto en la implementación del Proyecto Lean, desde la perspectiva de los enfermeros clínicos. Método: estudio descriptivo, exploratorio, retrospectivo, documental, con abordaje cualitativo, con enfermeros clínicos que en un Hospital Docente. Los datos fueron recolectados a través de entrevistas semiestructuradas, en el año 2019. Se utilizó Análisis de Contenido en la modalidad Temática. Resultados: Se evidenciaron problemas como aumento de la carga de trabajo y dimensionamiento del personal incipiente. El equipo de enfermería, durante la atención, se enfrenta a limitaciones en cuanto a dimensionamiento inadecuado y cantidad insuficiente de profesionales y recursos materiales disponibles, lo que hace que el trabajo sea agotador. Conclusión: El estudio mostró la necesidad de un adecuado dimensionamiento del personal de enfermería, así como la previsión y provisión de materiales médico-hospitalarios para una atención de calidad, buscando agregar valor al paciente, así como su satisfacción con la atención en la institución.(AU)


Subject(s)
Humans , Quality of Health Care , Personnel Downsizing , Quality Management , Equipment and Supplies/supply & distribution , Health Resources/supply & distribution , Workload , Emergencies , Nursing Staff
3.
Nursing (Säo Paulo) ; 24(280): 6191-6198, set.-2021.
Article in English, Portuguese | LILACS, BDENF | ID: biblio-1343833

ABSTRACT

Objetivo: Refletir sobre os aspectos relacionados ao trabalho da equipe de Enfermagem, durante a pandemia da COVID-19 no Brasil. Métodos: Trata-se de uma reflexão sobre alguns aspectos das condições de trabalho e a exposição aos riscos à saúde dos profissionais de Enfermagem no Brasil, fundamentada nas informações do Observatório de Enfermagem e dos relatórios de fiscalização do Conselho Federal de Enfermagem (COFEN), e da Pesquisa Perfil da Enfermagem no Brasil. Resultados: Os profissionais de Enfermagem brasileiros tem enfrentado duras condições de trabalho, a exemplo da insuficiência e a inadequação dos Equipamentos de Proteção Individual (EPI) e o subdimensionamento das equipes, com isso aumentando os riscos à saúde dos trabalhadores. Conclusões: A pandemia exacerbou problemas enfrentados pelos profissionais de Enfermagem, e o déficit de EPI com o subdimensionamento das equipes e a sobrecarga de trabalho podem estar associados ao elevado número de óbitos de profissionais durante o período analisado.(AU)


Objective: To reflect on aspects related to the work of the Nursing team, during the COVID-19 pandemic in Brazil. Methods: This is a reflection on some aspects of working conditions and the exposure to health risks of nursing professionals in Brazil, based on information from the Nursing Observatory and inspection reports from the Federal Nursing Council (COFEN), and the Nursing Profile Survey in Brazil. Results: Brazilian Nursing professionals have faced harsh working conditions, such as the insufficiency and inadequacy of the Equipment of Individual Protection (EIP) and the undersizing of teams, thereby increasing the risks to workers' health. Conclusions: The pandemic has exacerbated problems faced by nursing professionals, and the deficit in EIP with the undersizing of teams and work overload may be associated with the high number of deaths of professionals during the analyzed period.(AU)


Objetivo: Reflexionar sobre los aspectos relacionados al trabajo del equipo de Enfermería, durante la pandemia de COVID-19 en Brasil. Métodos: Se trata de una reflexión sobre algunos aspectos de las condiciones de trabajo y la exposición a los riesgos a la salud de los profesionales de Enfermería en Brasil, basada en las informaciones del Observatorio de Enfermería, los informes de fiscalización del Consejo Federal de Enfermería (COFEN), y de la Investigación Perfil de la Enfermería en Brasil. Resultados: Los profesionales de Enfermería brasileños han enfrentado duras condiciones de trabajo, como la insuficiencia y la inadecuación de los Equipos de Protección Individual (EPI) y el tamaño insuficiente de los equipos de Enfermería, aumentando con esto los riesgos a la salud de los trabajadores. Conclusiones: La pandemia exacerbó problemas enfrentados por los profesionales de Enfermería, y el déficit de EPI con el tamaño insuficiente de los equipos de Enfermería y la sobrecarga de trabajo pueden estar asociados al elevado número de óbitos de profesionales durante el período analizado.(AU)


Subject(s)
Humans , Working Conditions , Occupational Risks , COVID-19/nursing , Nurse Practitioners , Equipment and Supplies/supply & distribution , Sanitary Supervision , Pandemics , Personal Protective Equipment
4.
Nursing (Säo Paulo) ; 24(272): 5098-5107, jan.2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1148425

ABSTRACT

A Covid-19 é causada pelo coronavírus e transmitida por contato próximo, gotículas e aerossóis. Para minimizar o risco de transmissão, profissionais de saúde devem fazer uso de equipamentos de proteção individual, como máscaras ou respiradores, aventais e luvas. Objetivou-se analisar a quantidade consumida destes equipamentos de proteção individual antes e durante a pandemia e também o impacto orçamentário causado para sua aquisição. Estudo retrospectivo, compreendendo os meses de janeiro/fevereiro de 2020 (antes da pandemia Covid ­ 19) e março/abril (durante a pandemia Covid ­ 19), em um hospital público. Realizado avaliação do consumo e custo de aquisição dos insumos considerados equipamento de proteção individual.Os dados foram coletados em sistema de informação próprio da instituição. Todos os itens analisados apresentaram aumento importante na quantidade utilizada e, principalmente, no valor de compra, chegando custar 525% mais caro comparado aos meses sem pandemia. O aumento dos custos estava relacionado à escassez dos produtos tanto no mercado nacional, quanto internacional. Entender os valores pagos e estabelecer controle de dispensação dos equipamentos, favorece o planejamento orçamentário.(AU)


Covid-19 is caused by the coronavirus and transmitted by close contact, droplets and aerosols. To minimize the risk of transmission, healthcare professionals should use personal protective equipment, such as masks or respirators, aprons and gloves. The objective was to analyze the amount consumed of this personal protective equipment before and during the pandemic and also the budgetary impact caused for its acquisition. Retrospective study, comprising the months of January / February 2020 (before the Covid pandemic - 19) and March / April (during the Covid pandemic - 19), in a public hospital. Evaluation of consumption and cost of acquisition of inputs considered as personal protective equipment was performed. Data were collected in the institution's own information system. All the items analyzed showed an important increase in the quantity used and, mainly, in the purchase value, reaching 525% more expensive compared to the months without a pandemic. The increase in costs was related to the scarcity of products both in the national and international markets. Understanding the amounts paid and establishing equipment dispensing control, favors budgetary planning.(AU)


El covid-19 es causado por el coronavirus y se transmite por contacto cercano, gotitas y aerosoles. Para minimizar el riesgo de transmisión, los profesionales de la salud deben usar equipo de protección personal, como mascarillas o respiradores, delantales y guantes. El objetivo fue analizar la cantidad consumida de este equipo de protección personal antes y durante la pandemia y también el impacto presupuestario que ocasionó su adquisición. Estudio retrospectivo, que comprende los meses de enero / febrero de 2020 (antes de la pandemia Covid - 19) y marzo / abril (durante la pandemia Covid - 19), en un hospital público. Se realizó una evaluación de consumo y costo de adquisición de insumos considerados como equipo de protección personal, los datos fueron recolectados en el sistema de información propio de la institución. Todos los artículos analizados mostraron un aumento importante en la cantidad utilizada y, principalmente, en el valor de compra, llegando a ser un 525% más caro respecto a los meses sin pandemia. El aumento de costos estuvo relacionado con la escasez de productos tanto en el mercado nacional como internacional. Conocer los montos pagados y establecer el control de dispensación de equipos favorece la planificación presupuestaria.(AU)


Subject(s)
Humans , Health Personnel , Hospital Costs , Coronavirus Infections , Disease Transmission, Infectious/prevention & control , Personal Protective Equipment , Costs and Cost Analysis , Protection , Equipment and Supplies/supply & distribution , Pandemics
5.
Braz. arch. biol. technol ; 64(spe): e21210159, 2021. graf
Article in English | LILACS | ID: biblio-1285568

ABSTRACT

Abstract The Innovation Centers are one of the arms of a nation's technological development. Due to their characteristics and objectives, these centers are equipped with laboratories, equipment and researchers capable of developing a product from basic research to the installation of the solution in the field. Entering the context of Innovation Centers and knowing how to correctly position the level of technological maturity is one of the challenges to be understood and explored. In order to advance the market phase, it is recommended to form alliances with technology-based companies to provide both production and commercialization of these technologies, even more if it is possible to create a spinoff from these centers, to take advantage of the experience, knowledge and skills already acquired over time.


Subject(s)
Power Plants , Technological Development/methods , Equipment and Supplies/supply & distribution , Research , Technical Cooperation
6.
Guatemala; MSPAS; 2 Rev; 9 jun. 2020. 15 p. graf.
Non-conventional in Spanish | LILACS, LIGCSA | ID: biblio-1129030

ABSTRACT

Este documento de orientación provisional procura fortalecer la respuesta de los servicios hospitalarios y a nivel domiciliar ante la posibilidad de tener casos en el país de COVID-19, especialmente en la parte de prevención de la transmisión a del fortalecimiento de las precauciones estándar para la prevención y control de infecciones, con énfasis en el lavado de manos y el uso de equipo protección personal por parte del personal de salud. Además, provee orientaciones para organizar los servicios hospitalarios para adecuar áreas de aislamiento, cuidados intermedios y áreas de triage. El documento también orienta para la proyección de costos de insumos: Material medico quirúrgico, medicamentos, recursos humanos, entre otros como preparación para la respuesta.


Subject(s)
Humans , Male , Female , Hospital Services , Hand Disinfection , Infection Control/organization & administration , Coronavirus Infections/prevention & control , Patients , Pharmaceutical Preparations , Organizations , Health Personnel , Personal Protection , Equipment and Supplies/supply & distribution , Workforce
7.
Rev. gaúch. enferm ; 41(spe): e20190151, 2020. tab, graf
Article in English | LILACS, BDENF | ID: biblio-1101686

ABSTRACT

ABSTRACT Objective: To contextualize the performance of nurses/nursing team in the dispensing of materials to assist users in home visits, in primary care. Methods: Dialectical qualitative study conducted between March and April 2018 in which 24 nurses from primary health care units in the Gloria/Cruzeiro/Cristal District of Porto Alegre, Rio Grande do Sul, completed the self-administered questionnaire, whose data were treated by thematic content analysis. The study was approved by the Research Ethics Committee. Results: Two categories emerged from the empirical corpus: logistic chain of material management for home user assistance; production of services and capacity of the team. Conclusion: The work processes related to materials management for home user assistance and the resulting health services production require a look at specificities such as workload and technologies involved, as they move the performance of the nurse/nursing staff.


RESUMEN Objetivo: Contextualizar el desempeño del enfermero/equipo de enfermería en la dispensación de materiales para asistencia al usuario en el domicilio, en la atención básica. Métodos: Estudio dialéctico cualitativo. Entre marzo y abril de 2018, 24 enfermeros de unidades de salud del Distrito Gloria/Cruzeiro/Cristal, Porto Alegre, Rio Grande do Sul, respondieron al cuestionario autoadministrado, cuyos datos fueron tratados mediante Análisis de Contenido Temático. El estudio fue aprobado por el Comité de Ética en Investigación. Resultados: Del corpus empírico resultaron dos categorías: cadena logística de la gestión de materiales para asistencia al usuario en el domicilio; la producción de servicios y la capacidad del equipo. Conclusión: Los procesos de trabajo relacionados con la gestión de materiales para la asistencia al usuario doméstico y la producción de servicios de salud resultantes requieren un análisis de las especificidades carga de trabajo y tecnologías involucradas, a medida que mueven el desempeño de la enfermería/enfermería.


RESUMO Objetivo: Contextualizar a performance do enfermeiro/equipe de enfermagem na dispensação de materiais para assistência ao usuário no domicílio, na atenção básica. Métodos: estudo qualitativo dialético. Entre março e abril de 2018, 24 enfermeiros de unidades de saúde da atenção básica do Distrito Gloria/Cruzeiro/Cristal, de Porto Alegre, Rio Grande do Sul, responderam ao questionário autoadministrado, cujos dados foram tratados mediante Análise de Conteúdo Temática. O estudo foi aprovado por Comitê de Ética em Pesquisa. Resultados: Do corpus empírico resultaram duas categorias: cadeia logística do gerenciamento de materiais para assistência ao usuário no domicílio; produção de serviços e a capacidade da equipe. Conclusão: Os processos de trabalho referentes ao gerenciamento de materiais para assistência ao usuário no domicílio e a produção de serviços em saúde decorrentes requerem um olhar para especificidades como carga de trabalho e tecnologias envolvidas, por moverem a performance do enfermeiro/equipe de enfermagem.


Subject(s)
Humans , Male , Adult , Organization and Administration , Primary Health Care , Community Health Services/organization & administration , Equipment and Supplies/supply & distribution , Home Care Services/organization & administration , Nursing, Team , Surveys and Questionnaires , Family Health Strategy , House Calls
8.
Rev. bras. enferm ; 71(supl.1): 631-636, 2018.
Article in English | LILACS, BDENF | ID: biblio-898457

ABSTRACT

ABSTRACT Objective: Learn about the perception of health professionals who perform rapid tests in Health Centers (HCs). Method: This is a descriptive and qualitative study conducted in nine HCs in Recife. Data were collected through individual interviews and evaluated using Bardin's content analysis, in its thematic category. Results: Challenges were observed in rapid tests related to the supply of products, physical structure, training for pre- and post-test counseling, and the need for improvements in permanent education actions. Final considerations: These issues can be resolved with management improvements, systematization of permanent education activities, and definition of care flows that enable early diagnosis. Besides the diagnosis, care lines should be created for people living with HIV and AIDS who use the HCs for early health care process.


RESUMEN Objetivo: conocer la percepción de profesionales de salud ejecutores de prueba rápida en Centros de Salud (CS). Método: estudio descriptivo y cualitativo realizado en nueve UBS en Recife. Los datos fueron recogidos a través de encuesta individual y evaluados por medio del análisis de contenido de Bardin, en su modalidad temática. Resultados: se certifican fragilidades para la realización de las pruebas rápidas, relacionadas a la logística de materiales e insumos, estructura física, capacitación para la realización del asesoramiento pre y pos-prueba, y la necesidad de mejoras en las acciones de educación permanente. Consideraciones finales: esas dificultades pueden ser puestas en ecuación con la mejora de la gestión, sistematización de las actividades de educación permanente y definición de flujos de atención que posibiliten el diagnóstico precoz. Además del diagnóstico, es necesario establecer líneas de cuidado para personas viviendo con VIH y sida que tengan como inicio del proceso de asistencia a la salud las UBS.


RESUMO Objetivo: conhecer a percepção de profissionais de saúde executores de teste rápido em Unidades Básicas de Saúde (UBS). Método: estudo descritivo e qualitativo realizado em nove UBS em Recife. Os dados foram coletados através de entrevista individual e avaliados por meio da análise de conteúdo de Bardin, em sua modalidade temática. Resultados: verificam-se fragilidades para realização dos testes rápidos, relacionadas à logística de materiais e insumos, estrutura física, capacitação para realização do aconselhamento pré e pós-teste, e a necessidade de melhorias nas ações de educação permanente. Considerações finais: essas dificuldades podem ser equacionadas com a melhoria da gestão, sistematização das atividades de educação permanente e definição de fluxos de atendimento que possibilitem o diagnóstico precoce. Além do diagnóstico, é necessário estabelecer linhas de cuidado para pessoas vivendo com HIV e aids que tenham como início do processo de assistência à saúde as UBS.


Subject(s)
Humans , Perception , Mass Screening/standards , Nurses/psychology , Brazil , Mass Screening/instrumentation , Mass Screening/psychology , Community Health Centers/organization & administration , Qualitative Research , Equipment and Supplies/supply & distribution , Workforce
9.
Ciênc. cuid. saúde ; 15(3): 405-412, Jul.-Set. 2016. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-974864

ABSTRACT

RESUMO A rede hospitalar e a força de trabalho em saúde se distribuem de maneira desigual no territorio nacional, refletindo o modelo de atenção hegemônico e a organização a partir da oferta de serviços. O estudo teve por objetivo analisar a rede hospitalar e a composição e distribuição da força de trabalho em saúde dos hospitais da 9ª Região de Saúde do Paraná. Pesquisa descritiva, quantitativa que teve como fonte de dados o Cadastro Nacional de Estabelecimentos de Saúde. A estatística descritiva revelou que 84,62% dos hospitais são privados; 61,54% de pequeno porte; existem 2.307 ocupações cadastradas e destas 57,91% são de nível superior; 69,27% dos vínculos de trabalho são precários e 23,50% dos trabalhadores apresentavam mais que um vínculo empregatício. Identificou-se, ainda, menor jornada de trabalho semanal e maior precarização entre as ocupações de nível superior. Conclui-se pela necessidade de maior participação do Estado na regulação das instituições públicas e privadas, sobretudo na gestão do trabalho, e no planejamento da distribuição da força de trabalho em saúde.


RESUMEN La red hospitalaria y la fuerza del trabajo en salud se distribuyen de forma desigual en el país, lo que refleja el modelo de atención hegemónico y la organización a partir de la oferta de servicios. El objetivo del estudio fue analizar la red hospitalaria y la composición y distribución de la fuerza de trabajo en salud de los hospitales de la 9ªRegión de Salud de Paraná-Brasil. Investigación descriptiva, cuantitativa que tuvo como fuente de datos el Registro Nacional de Establecimientos de Salud. La estadística descriptiva mostró que 84,62% de los hospitales son privados; 61.54% pequeño porte; hay 2.307 ocupaciones registradas y de estas 57,91% son de nivel superior; 69.27% de los vínculos laborales son precarios y 23,50% de los trabajadores tenían más de un empleo. También fueron identificadas menos horas de trabajo semanal y más relaciones precarias entre las ocupaciones de nivel superior. Los resultados confirmaron la necesidad de una mayor participación del Estado en la regulación de las instituciones públicas y privadas, sobre todo en la gestión del trabajo, y la planificación de la distribución de la fuerza de trabajo en salud.


ABSTRACT The hospital network and health workforce are distributed unevenly in the country, reflecting the hegemonic model of attention and organization as from the services offer. The study aimed to analyze the hospital network and its composition and distribution of health workforce of the 9th Health Region hospitals of Paraná. Descriptive, quantitative research had as data source the National Register of Health Facilities. The statistics showed that 84.62% of hospitals are private; 61.54% are small; there are 2,307 registered occupations and, of these, 57.91% are educated level; 69.27% of the working relations are precarious and out of them, 23.50% of workers had more than one job. It was also identified shorter week working hours and higher precariousness among the educated level occupations. The results confirmed the need for greater participation of the state in the regulation of public and private institutions, particularly in work management, and planning the distribution of the health workforce.


Subject(s)
Humans , Male , Female , Personnel, Hospital , Unified Health System/organization & administration , Hospital Units/supply & distribution , Equipment and Supplies/supply & distribution , Health Facilities/supply & distribution , Health Workforce/organization & administration
10.
Rev. panam. salud pública ; 39(5): 238-244, may. 2016. tab, graf
Article in Spanish | LILACS | ID: lil-795356

ABSTRACT

RESUMEN Objetivo Describir y analizar la situación actual y los desafíos de la regulación de dispositivos médicos en la Región de las Américas, así como presentar los resultados del Mapeo Regional, los avances en la construcción de indicadores avanzados de evaluación y los logros obtenidos por el Grupo de Trabajo Regional. Métodos Elaborar un perfil regional sobre la regulación de dispositivos médicos en las Américas es una prioridad del Grupo de Trabajo. Para ello, se desarrolló una herramienta de evaluación integrada por 45 preguntas organizadas en seis secciones, que se distribuyó en 15 países para su autoevaluación (la tasa de participación fue 100%). A partir de los datos recibidos se establecieron nueve indicadores básicos y se acordó el desarrollo de indicadores avanzados para medir el nivel de implementación de los programas regulatorios de dispositivos médicos. Resultados El 93% de 15 países cuenta con una institución responsable de la regulación de dispositivos médicos. Al analizar el desempeño por país, se observa variabilidad: desde países que cumplen todos los indicadores, hasta aquellos que únicamente cumplen 11%. El mapeo también permitió generar información sobre alianzas colaborativas, capacitación y reglamentación. Conclusiones Los resultados muestran una heterogeneidad significativa a nivel regional. La implementación de indicadores avanzados contribuirá a identificar áreas de oportunidad y fortalezas para la creación del perfil regulatorio. Aunque se ha avanzado en el fortalecimiento de los programas regulatorios de dispositivos médicos, aún hay brechas que deben reducirse mediante estrategias e iniciativas que serán lideradas por el Grupo de Trabajo.


ABSTRACT Objective To describe and analyze the current status of and the challenges involved in the regulation of medical devices in the Region of the Americas and to present the results of the regional mapping exercise, progress toward the development of advanced assessment indicators, and the achievements of the Regional Working Group. Methods Creating a regional profile on the regulation of medical devices in the Americas is a priority for the Working Group. To this end a tool composed of 45 questions organized into six sections was developed and distributed among 15 countries for self-assessment (the participation rate was 100%). Based on the data received, nine basic indicators were established and an agreement was reached to develop advanced indicators for measuring the extent to which regulatory programs for medical devices were being implemented. Results Of the 15 countries, 93% have an agency in charge of regulating medical devices. An analysis of individual country performance shows wide variability, with some countries meeting all indicators and others meeting as few as 11%. The mapping also made it possible to generate information on collaborative partnerships, training, and regulation. Conclusions The results show significant heterogeneity at the regional level. Implementation of advanced indicators will help to identify areas of opportunity and strengths for the development of the regulatory profile. Although progress has been made toward strengthening regulatory programs for medical devices, remaining gaps need to be bridged through strategies and initiatives to be led by the Working Group.


Subject(s)
Equipment and Supplies/supply & distribution , Medical Device Legislation/standards , Americas
11.
Ciênc. cuid. saúde ; 14(2): 1156-1163, 20/06/2015.
Article in Portuguese | LILACS | ID: biblio-1122833

ABSTRACT

O estudo objetivou compreender os conflitos e dilemas éticos vivenciados por enfermeiros no cuidado perioperatório de um hospital geral, em Salvador-Bahia. Optou pela abordagem fenomenologica de Edmund Husserl,por ter como objeto de estudo o fenômeno conflitos e dilemas éticos do enfermeiro no centro cirúrgico. A fonte de dados foi aentrevista fenomenológica. As análises ideográfica e nomotética possibilitaram a apreensão da estrutura do fenômeno com duas categorias: Compreendendo os conflitos e dilemas éticos vivenciados pelos enfermeiros no período perioperatório e os enfermeiros vivenciam conflitos e dilemas éticos no períodoperioperatório em contexto de deficiências de recursos humanos, físicos e materiais. Compreende-se que a escassez de recursos além da divergência de opiniões sobre uma mesma situação; dificuldade da equipe cirúrgica para chegar a um consenso; não atendimento das solicitações da equipe; ações realizadas sob tensão na unidade; desrespeito à autonomia dos enfermeiros durante a prática e escassez de recursos são os geradores deconflitos e dilemas no perioperatório. Recomenda-se às instituições investir em infraestrutura, recursos materiais e humanos no centro cirúrgico.


The study aimed to get to understand the conflicts and ethical dilemmas experienced nurses in the perioperative care of a general hospital in Salvador-Bahia. It was choose the phenomenological approach by Edmund Husserl, by having as object of study the phenomenon conflicts and ethical dilemmas of the nurse in surgical center. The data collected by phenomenological interview. Ideographic and nomothetic analyzes allowed the seizure of the phenomenological structure in two categories: Comprehending the conflicts and ethical dilemmas experienced by nurses in the perioperative period and Nurses experience conflicts and ethical dilemmas in perioperative period in the context of inadequate human resources, physical and material. It is understood that the shortage of resources and divergence of opinions on the same situation; difficulty of the surgical team to reach a consensus; not treatment of requests of the team; actions held under tension in the unit; disrespect for the autonomy of nurses during practice and scarcity of resources are the generators of conflicts and dilemmas in perioperative. It recommended to institutions to invest in infrastructure, material and human resources in surgical center.


Subject(s)
Humans , Male , Female , Perioperative Nursing/ethics , Conflict, Psychological , Ethics , Nurses/organization & administration , Operating Room Nursing/ethics , Nursing , Perioperative Care/nursing , Personal Autonomy , Equipment and Supplies/supply & distribution , Infrastructure , Health Resources/supply & distribution
12.
Epidemiol. serv. saúde ; 24(1): 105-114, Jan-Mar/2015. tab, graf
Article in Portuguese | LILACS | ID: lil-741467

ABSTRACT

Descrever a distribuição dos mamógrafos e das mamografias realizadas no estado do Rio de Janeiro, Brasil. Métodos: estudo descritivo, baseado em informações do Cadastro Nacional de Estabelecimentos de Saúde (CNES) e do Sistema de Informação do Câncer de Mama (SISMAMA) referentes a 2012 e 2013. Resultados: dos 546 mamógrafos em uso, 142 (26,0 por cento) atendiam ao Sistema Único de Saúde (SUS); não se verificou déficit de mamógrafos – inclusive no SUS – nas diferentes regiões do estado, segundo o parâmetro de cobertura nacional; a região Metropolitana I concentrou a maior parte dos mamógrafos em uso e dos exames realizados, apresentando a mais elevada razão entre população e mamógrafos SUS (170.231), e média de 228,3 exames/ano por equipamento. Conclusão: apesar das desigualdades na distribuição dos equipamentos, não há déficit de mamógrafos; todavia, a produtividade média anual desses equipamentos foi baixa...


To describe the distribution of mammography equipament and mammographies performed in Rio de Janeiro State. Methods: this was a descriptive study based on information from the National Register of Health Establishments (CNES) and the Breast Cancer Information System (SISMAMA), 2012/2013. Results: there were 546 mammography machines in use, 142 (26.0 per cent) of which serve the Unified Health System (SUS); no shortage of mammography machines was found - including in SUS services - in the state’s regions according to the national coverage parameter. Most mammography machines and exams were concentrated in Metropolitan Region I which had the highest ratio of SUS population and mammographies (170 231) with 228.3 tests per machine per annum on average. Conclusion: there is no shortage of mammography equipment despite inequalities in their distribution; however, average annual equipment productivity was low...


Subject(s)
Humans , Health Services Accessibility/statistics & numerical data , Health Care Rationing/statistics & numerical data , Equipment and Supplies/supply & distribution , Mammography/statistics & numerical data , Mammography
13.
Rev. cuba. salud pública ; 40(4)oct.-dic. 2014.
Article in Spanish | LILACS, CUMED | ID: lil-726987

ABSTRACT

Introducción: la capacidad resolutiva constituye una resultante a tomar en cuenta para mejorar el desempeño de las redes integradas de servicios. Objetivo: diseñar un procedimiento metodológico para evaluar la capacidad resolutiva de equipos básicos de salud en el primer nivel de atención. Métodos: investigación de desarrollo en sistemas y servicios de salud realizada entre diciembre 2012 y febrero 2013. Se constituyó un grupo de trabajo en la Escuela Nacional de Salud Pública considerado experto. Se realizó una revisión bibliográfica y documental utilizando el modelo Big 6. Se establecieron escalas que pemitieron hacer un análisis de los resultados a obtener. Se contruyó un cuestionario, guía de aplicación y guía para análisis de resultados para su validación en la práctica. Resultados: el instrumento de alcence nacional, puede ser aplicado de forma anual o bianual por el jefe del grupo básico de trabajo y otros, en la modalidad de autoinspección o inspecciones cruzadas. Se examina la evidencia documental recogida en el análisis de la situación de salud, dispensarización e historias clínicas individuales. Se seleccionan 10 historias clínicas al azar, de cada grupo. Debe llenarse por una sola persona entrenada. Se cruzan los aspectos generales y específicos propuestos, lo que permite un análisis en contexto. Conclusiones: la capacidad resolutiva de los equipos básicos de salud se puede medir con herramientas de trabajo propias del primer nivel de atención. El procedimiento diseñado es un aporte a la integración de las redes en ese nivel de atención. Se recomienda validar el procedimiento y su instrumento de medición(AU)


Introduction: the resolute capability is a quality to be taken into account to improve the performance of the integrated service networks. Objective: to design a methodological procedure to evaluate the resolute capability of the basic health teams at the primary health care. Methods: developmental research study of health systems and services conducted from December 2012 through February 2013. An expert working group was created in the National School of Public Health. A literature and documentary review using Big 6 model was made. Some scales were set to analyze the results to be achieved in addition to the preparation of a questionnaire, an implementation guide and also a guide to analyze and to validate the results in practice. Results: the resulting instrument of national scope may be applied annually or biannually by the head of the basic working team and by others in the self-inspection or cross-inspection variants. The documentary evidence collected from the health situation analysis, the patient classification system and the individual medical histories were all examined. Ten medical records were selected from each group. Just one person should be in charge of filling out the model. The submitted general and specific aspects are crossed, so as to allow a contextual analysis. Conclusions: the resolute capability of the basic working health team can be measured with working tools inherent to the primary health care level. The designed procedure contributes to integrate service networks at that level and it is recommended to validate the procedure and its measuring instrument(AU)


Subject(s)
Humans , Primary Health Care , Preventive Dentistry/methods , Equipment and Supplies/supply & distribution , Methodology , Basic Health Services
14.
Medwave ; 13(8)sept. 2013. ilus, tab, graf
Article in Spanish | LILACS | ID: lil-716662

ABSTRACT

Contexto: Latinoamérica se encuentra en una transición demográfica y epidemiológica, proceso que representa un aumento de las enfermedades crónico-degenerativas. La osteoporosis y las fracturas por fragilidad se perfilan como una de las causas de carga por enfermedad de mayor impacto en el sector salud. Objetivo: ofrecer un panorama actualizado sobre las tendencias de la epidemiología de la osteoporosis y las fracturas por fragilidad, su impacto económico y los recursos con que actualmente cuenta nuestra región para el diagnóstico, tratamiento oportuno y prevención. Método: panel de expertos. Conclusión: se observó que la información epidemiológica y económica en nuestra región es escasa y fragmentada. Por lo tanto es deseable recolectar datos sobre la calidad de vida en la osteoporosis y fracturas por fragilidad, además de enfatizar la prevención como herramienta para disminuir estas lesiones.


Background. The Latin American region is undergoing a demographic and epidemiological transition, which is leading to an increase in chronic and degenerative diseases. Osteoporosis (OP) and fragility fractures (FF) are emerging as main causes of disease burden with great impact on health institutions. Purpose. This review article provides an updated overview of trends in the epidemiology and economic impact of OP and FF, as well as in diagnosis and available treatments in Latin America, including calcium, vitamin D and prevention programs. Methods. Expert panel. Conclusions. According to this review, there is a lack of epidemiological and economic information in the region. It is desirable to obtain information regarding quality of life in OP and FF as well as to highlight prevention as a tool to reduce FF.


Subject(s)
Female , Fractures, Bone/epidemiology , Osteoporosis/epidemiology , Population Dynamics , Densitometry/statistics & numerical data , Diagnostic Equipment/supply & distribution , Equipment and Supplies/supply & distribution , Hip Fractures/epidemiology , Spinal Fractures/epidemiology , Osteoporosis/prevention & control , Pharmaceutical Raw Material , Health Policy , Health Resources/supply & distribution
15.
Rev. bras. eng. biomed ; 28(2): 124-139, jun. 2012. ilus, tab
Article in Portuguese | LILACS | ID: lil-649100

ABSTRACT

O presente trabalho apresenta a proposta de um Programa para o desenvolvimento do Sistema Nacional de Inovação de Produtos Médicos  –   SNIPM no âmbito do Sistema Único de Saúde  – SUS, de forma integrada e alinhada com as ações do Ministério da Saúde. Os conhecimentos e as ferramentas em engenharia clínica permitiram realizar uma análise diferenciada do contexto socioeconômico do setor, a sistematização e a percepção dos fatores e atores que induzem ou retardam o crescimento tecnológico do setor. Neste artigo, buscou-se contextualizar o setor de produtos médicos no Brasil à luz da atual conjuntura socioeconômica nacional e mundial, caracterizando-o como de grande indutor de atividades inovadoras. Posteriormente, são abordadas as definições e teorias sobre os Sistemas Nacionais de Inovação e as especificidades do SNIPM no Brasil, apresentando seus atores incluindo suas atribuições e competências. A metodologia utilizada para a coleta e análises de dados econômicos é apresentada, de modo a caracterizar a importância deste segmento para a economia nacional e suas potencialidades na indução do surgimento de tecnologias inovadoras no SNIPM. A análise dos dados setoriais coletados durante a pesquisa é apresentada, como o objetivo de quantificar e apresentar os números socioeconômicos do setor de produtos. Por fim, é apresentado o delineamento de um Programa destinado acatalisar o desenvolvimento do SNIPM considerando as demandas tecnológicas e prioridades do SUS e as dos mercados-alvo do setor produtivo. A proposta, que foi desenvolvida e implementada no Ministério da Saúde, pode se constituir como uma das ferramentas no âmbito do SUS destinadas a fortalecer e modernizar o setor de equipamentos e materiais de uso em saúde, visando à ampliação da capacidade inovadora das empresas e mudança do seu patamar competitivo.


This paper presents a proposal of a program for the development of the Brazilian National Innovation System for Medical Products  (SNIPM) under the National Health System  (SUS) integrated and aligned with the actions of the Brazilian Ministry of Health. Clinical engineering knowledge and tools allowed performing a differentiated socio-economic analysis of the sector, the systematization and the perception of actors and factors that induce or retard the growth of the technology sector. In this article, the medical devices sector in Brazil was first contextualized to in the light of current national and global socio-economic conjuncture, in order to characterize it as a major inducer of innovative activities. The definitions and theories about the National Innovation Systems are described, followed by a discussion of the specifics of SNIPM in Brazil, with its actors, including their duties and responsibilities. The methodology for the collection and analysis of economic data, were shown, in order to characterize the importance of this sector to the national economy and its potential to induce the rising of innovative technologies whithin the SNIPM. The analysis of industry data is presented, which attempts to present and comment on some industry data collected during a survey. In the Results section, it is presented the design of a program used to to catalyze the development of the SNIPM considering the technological demands and priorities of the SUS and the target markets of the productive sector. The proposed program, which was developed and implemented within the Brazilian Ministry of Health, can become one of the tools within the SUS to strengthen and modernize the sector of medical equipments and materials, aiming to increase the innovative capacity of firms and change its competitive standing.


Subject(s)
Health Services Administration/statistics & numerical data , Health Services Administration/trends , Total Quality Management/trends , Health Planning Organizations/trends , Unified Health System/trends , Equipment and Supplies/supply & distribution , Technological Development
16.
Córdoba; s.n; 2012. 52 p. graf.
Thesis in Spanish | LILACS | ID: biblio-971351

ABSTRACT

El gestor en servicios de salud se enfrenta de la manera más real posible al eterno dilema del administrador: la adecuada asignación de recursos. El avance en el campo de la tecnología en los últimos años (una verdadera revolución) ha provocado una mayor necesidad, y a la vez dependencia, del componente tecnológico o equipamiento m´pedico para el diagnóstico y la resolución de problemas de salud de la población...


The health services manager faces, as realistic as possible, the eternal dilemma of the administrator: the adequate allocation of resources. Progress in the fiel of technology in recent years (a revolution) has led to increased need, while dependency, of technological component and medical equipment for the diagnosis and the resolution of heatlh problemas of the population...


Subject(s)
Male , Female , Humans , Management Indicators , Personnel Administration, Hospital , Decision Making , Decision Making, Organizational , Equipment and Supplies/supply & distribution , Argentina
17.
New Egyptian Journal of Medicine [The]. 2010; 43 (Supp. 5): 7-17
in English | IMEMR | ID: emr-166071

ABSTRACT

The danger in critical care units technology and unplanned device removal presents a different life threatening scenario and tremendous burden for the nurses. Maintaining technologic access was the core problem identified in this study. This study aims to assess the enhancing nurses competency to maintain technologic devices at critical care units. A quasi experimental design was used. This study was carried out at critical care units of El-Demerdash Hospital [General Surgery] and Children hospital, affiliated to Ain Shams University. A purposive sample composed of 65 nurses, 25 were caring for children and rest of them 40 were caring for adults, and 45 critically ill patients [28 adult and 17 children] added to 22 physician from the above mentioned settings. Tools: 1] Self administered questionnaire to assess nurses' knowledge [pre/post tests], 2] An observation checklist to assess nurses practice [pre/post tests], 3] Patients assessment sheet [pre/post tests], and 4] Opinnionair sheet for physicians and nurses [pre test]. There are statistically significant differences between nurses' knowledge and practice in pre/post tests regarding to technologic devices maintenance at critical care units, added to significant reduction in the percentage of removing technologic devices among the studied patients in post tests. Enhancing nurses' competency through training program was helpful to maintain technologic devices at critical care units . Educational program should be held periodically for critical care nurses about technologic device maintenance. Further studies should be done to assess the long term effects of such program on patient's quality of life at the critical care units


Subject(s)
Humans , Female , Equipment and Supplies/supply & distribution , Education, Nursing , Education, Nursing, Continuing , Surveys and Questionnaires , Hospitals, University
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