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1.
San Salvador; MINSAL; mar. 03, 2022. 52 p. ilus.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1363031

ABSTRACT

El presente manual de procesos y procedimientos documenta las principales actividades de atención integral en hospitalización como parte del proceso de atención en salud integral e integrada a la persona en el curso de vida con enfoque de atención primaria en salud, describe el sistema de operación de los establecimientos de salud, mediante el enfoque por procesos, fomentando el desarrollo organizacional y el mejoramiento continuo para el cumplimiento de la misión institucional. Esta herramienta táctica y operativa, permite integrar las actividades y tareas de manera ágil, para el logro de la prestación de servicios con calidad de hospitalización con los diferentes niveles de atención, facilitando el cumplimiento de las normativas y lineamientos de programas especiales o por ciclo de vida vigentes en el Ministerio de Salud, así como la armonización con la sistematización y uso de herramientas tecnológicas que sea necesario implementar para volver más eficaz el trabajo del talento humano en salud


This manual of processes and procedures documents the main activities of comprehensive care in hospitalization as part of the process of comprehensive and integrated health care to the person in the course of life with a focus on primary health care, describes the operating system of the health establishments, through a process approach, promoting organizational development and continuous improvement for the fulfillment of the institutional mission. This tactical and operational tool allows activities and tasks to be integrated in an agile manner, in order to achieve the provision of hospitalization quality services with the different levels of care, facilitating compliance with the regulations and guidelines of special programs or by cycle of care. in force in the Ministry of Health, as well as harmonization with the systematization and use of technological tools that need to be implemented to make the work of human talent in health more effective


Subject(s)
Comprehensive Health Care , Institutional Development , Hospitalization , Primary Health Care , El Salvador , Health Facilities
2.
Fisioter. Bras ; 23(1): 18-36, Fev 11, 2022.
Article in Portuguese | LILACS | ID: biblio-1358397

ABSTRACT

Introdução: As atividades desenvolvidas nos estabelecimentos de saúde muitas vezes constituem um risco à saúde dos profissionais e pacientes, principalmente em relação às doenças infectocontagiosas. Nesse contexto, sabe-se que os pacientes atendidos pelo profissional fisioterapeuta variam desde atletas a indivíduos imunossuprimidos, o que torna imprescindível a inserção desta temática no currículo dos estudantes. Objetivo: Investigar a percepção dos estudantes de Fisioterapia de uma universidade pública acerca de conceitos de biossegurança e algumas doenças infectocontagiosas. Métodos: Tratou-se de um estudo quali-quantitativo do tipo descritivo exploratório de caráter transversal, no qual foram aplicados questionários sobre a conduta do fisioterapeuta frente às doenças infectocontagiosas. A amostra, definida por conveniência, foi composta por 105 estudantes. Resultados: Cerca de 67,3% dos estudantes reconheceram o conceito de biossegurança. Em relação às precauções de contato, 59% dos discentes afirmaram serem necessárias em casos de escabiose, 46,7% na furunculose e 34,3 % no impetigo. Conclusão: A partir do presente estudo, foi possível concluir que apesar do elevado percentual de respostas assertivas, o aprendizado adquirido durante a formação acadêmica pode ser perdido no decorrer das práticas ocupacionais, o que demonstra a importância da educação continuada na prática clínica do profissional fisioterapeuta. (AU)


Subject(s)
Students , Communicable Diseases , Physical Therapy Modalities , Health Risk , Physical Therapists , Health Facilities , Containment of Biohazards
3.
Health SA Gesondheid (Print) ; 27(NA): 1-8, 2022.
Article in English | AIM, AIM | ID: biblio-1359081

ABSTRACT

Background: Neonatal care is provided by various levels of healthcare facilities in South Africa. Intensive care for neonates is only provided at the higher levels, hence the need for transfers from lower-level to higher-level facilities (e.g. primary hospitals to tertiary hospitals) or across levels of facilities, particularly when life-threatening situations arise (e.g. cardiac deterioration, respiratory deterioration and desaturation). Aim: The aim of the study was to explore neonatologists' views regarding the neonatal transfer process and to describe the preparedness of advanced life support (ALS) paramedics to undertake such transfers. Setting: The setting consisted of neonatologists from three provinces i.e. KwaZulu-Natal, Gauteng and Western cape. Method: A qualitative descriptive design was utilised in this study. Semistructured interviews were conducted on the public health hospitals in three provinces (N = 9; n = 3) with neonatologists (N = 7; n = 7) who were involved in the transfers of critically ill neonates. The process of thematic analysis was used. Results: The themes that emerged in this study were: an awareness of local contextual realities related to neonatal transfers, challenges evident within the context of neonatal transfers, decision-making around the transfer of ill neonates, ALS paramedic preparedness for transfers and good clinical governance Conclusion: The study found that there was a need to be aware of local contextual realities confronting neonatal transfers, a need for greater preparedness for paramedics to undertake these transfers, a need for a sound referral processes and a need for coordinated transfer effort between paramedics, hospital staff and transport team members for the successful transfer of critically ill neonates. Contribution: The findings highlight the challenges confronting the neonatal transfer process in South Africa through the lens of neonatologist at public hospitals. Hence, the study reinforces the preparedness and coordination of the transfer process, along with more efficient communication between paramedics, hospital staff and the transfer team.


Subject(s)
Humans , Infant, Newborn , Infant , Intensive Care, Neonatal , Transportation of Patients , Patient Transfer , Health Facilities , Hospitals, Public , Neonatologists
4.
Afr. J. Clin. Exp. Microbiol ; 23(1): 57-65, 2022.
Article in English | AIM, AIM | ID: biblio-1357605

ABSTRACT

Background: Tuberculosis (TB) remains a major public health concern despite being a curable and preventable disease. The treatment of TB using a cocktail of drugs over a period of six months under the directly observed treatment short-course strategy has led to a reduction in cases but is plagued by some challenges that leads to unsuccessful or poor outcomes, which can ultimately result in spread of infections, development of drug resistance and increase in morbidity and mortality. The objectives of this study are to determine outcomes of TB treatment in Dalhatu Araf Specialist Hospital, Lafia, Nasarawa State, Nigeria and the factors that may be associated with the outcomes. Methodology: This was a retrospective study using the medical records of patients who were registered for TB treatment over a five-year period between 2016 to 2020. Data from TB registers including demographic and relevant clinical information, and treatment outcomes, were extracted into a structured data extraction format, and analysed with SPSS version 21.0 software package. Univariate and bivariate analyses were conducted, and Chi square test was used to determine association between TB outcomes and independent variables at 95% confidence interval and p<0.05 was considered as the significant value. Results: Records of 1,313 patients were studied, 744 (56.7%) were males while 569 (43.3%) were females. The age range of the patients was ≤ 1 year - 96 years, with a mean age of 30±16.7 years. Most were pulmonary TB cases (88.8%, n=1,166), newly diagnosed (95.5%, n=1254), and human immunodeficiency virus (HIV) negative at the time of TB diagnosis (63.7%, n=837). Eight hundred and seven (61.5%) patients had successful treatment, and 34% (n=446) had unsuccessful outcomes made of 'loss to follow-up' 25.8% (n=339), deaths 7.8% (n=102) and treatment failure 0.4% (n=5), while 2.3% (n=30) were transferred out and 2.3% (n=30) removed from TB register. Treatment success rate was significantly higher in patients with pulmonary TB (p=0.0024), residents in Lafia LGA (p=0.0005), those treated in 2016 (p=0.0006) and bacteriologically confirmed cases (p<0.0001), while death rate was significantly lower among patients who were HIV-negative at the time of TB diagnosis (p<0.0001). Conclusion: TB treatment success rate in this study fell short of the WHO average rate. High rates of 'loss to followup' and deaths in this study is a wake-up call to all stakeholders in the facility and the State to put in place measures to reduce poor outcomes of TB treatment.


Subject(s)
Tuberculosis , Patient Compliance , Treatment Outcome , Medication Adherence , Health Facilities
5.
Niger. J. Dent. Res. (Online) ; 7(1): 60-66, 2022. figures, tables
Article in English | AIM, AIM | ID: biblio-1354980

ABSTRACT

Objective: This study compared the concentration of salivary lactoferrin in patients with and without chronic periodontitis and investigated correlations with clinical variables of the disease. Methods: The study included 102 participants (51 cases and 51 controls) who presented at the Periodontology Clinic of University of Benin Teaching Hospital and met the selection criteria of '4mm and above' periodontal probing depths (PPD) and positive bleeding on probing (BOP) using community periodontal index (CPI) probe. Healthy participants (controls) were patients that had PPD less than or equal to 3mm, absence of BOP and simplified oral hygiene index (OHI-S) not more than 1.2. Baseline OHI-S and CPI scores were recorded. Saliva samples were collected and analyzed using enzyme-linked immunosorbent assay. All data were analyzed with the Statistical Package for Social Sciences (SPSS) version 22.0. Results: There was a statistically significant difference between the mean (SD) lactoferrin concentration of control participants 5.27(0.59) mg/l and case participants 6.74(0.61) mg/l (p<0.001). Participants with probing pocket depths (PPD) of 6mm or more had a significantly higher mean concentration [6.85(0.06) mg/l] than that of those with PPD 4-5mm [6.71(0.67) mg/l] (p< 0.001)Lactoferrin levels were highest in participants with 'poor' oral hygiene [6.85(0.60) mg/l] and lowest in those with 'good' oral hygiene [6.65(0.83) mg/l]. Conclusion: Salivary lactoferrin levels were higher among participants with chronic periodontitis than those without chronic periodontitis and correlates positively with the main clinical characteristics of the disease


Subject(s)
Saliva , Lactoferrin , Chronic Periodontitis , Health Facilities
6.
San Salvador; MINSAL; dic. 09, 2021. 39 p. ilus, graf.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1359278

ABSTRACT

El presente manual de procesos y procedimientos documenta las principales actividades de atención integral en emergencias como parte del proceso de atención en salud integral e integrada a la persona en el curso de vida con enfoque de atención primaria en salud, describe el sistema de operación de los establecimientos de salud, mediante el enfoque por procesos, fomentando el desarrollo organizacional y el mejoramiento continuo para el cumplimiento de la misión institucional. Establece las bases para la ejecución de los procesos y procedimientos, unificando criterios de contenido que permite la sistematización de las actividades y la definición de la metodología para efectuarlas


This manual of processes and procedures documents the main activities of comprehensive care in emergencies as part of the process of comprehensive and integrated health care to the person in the course of life with a focus on primary health care, describes the operating system of the health establishments, through a process approach, promoting organizational development and continuous improvement for the fulfillment of the institutional mission. Establishes the bases for the execution of processes and procedures, unifying content criteria that allows the systematization of activities and the definition of the methodology to carry them out


Subject(s)
Primary Health Care , Delivery of Health Care , Emergencies , Manuals as Topic , Health , Health Facilities
7.
Ciênc. Saúde Colet ; 26(10): 4715-4726, out. 2021. tab
Article in Portuguese | LILACS | ID: biblio-1345709

ABSTRACT

Resumo Este artigo tem por objetivo apresentar e analisar o perfil de governança institucional das 434 comissões intergestores regionais em funcionamento em 25 estados da federação brasileira. Os dados são da Pesquisa Nacional das Comissões Intergestores Regionais (CIR), um estudo censitário realizado nos anos de 2017 e 2018, e foram coletados por meio de um questionário aplicado aos coordenadores/diretores/presidentes das CIR. A composição do perfil das CIR foi realizada empregando uma matriz de análise especificamente desenvolvida para este estudo, que combina 23 variáveis organizadas em cinco atributos da governança interna dessas instâncias: legitimidade institucional, adesão e regularidade de funcionamento, qualidade da estrutura e condições de funcionamento, equilíbrio federativo e qualidade do processo decisório. Os resultados mostram, por um lado, um sistema de governança institucional intergestores consolidado em todo o território nacional, com significativa adesão das esferas estadual e municipal e regras de funcionamento definidas e publicizadas. Por outro, um complexo de instâncias caracterizadas por expressivas limitações de recursos financeiros, humanos e de infraestrutura de gestão e atuação concentrada em problemas emergenciais da gestão da rede de ações e serviços de saúde.


Abstract The scope of this article is to present and analyze the institutional governance profile of the 434 regional interagency committees operating in 25 states of the Brazilian Federation. The data were taken from the National Survey of Regional Interagency Committees (CIR), a census conducted in the years 2017 and 2018, and were collected through a questionnaire applied to the coordinators/directors/presidents of the CIR. The composition of the CIR profile was carried out using an analysis matrix specifically developed for this study, which combines 23 variables organized in five dimensions of institutional governance: institutional legitimacy, compliance and consistency of operation, quality of structure and operating conditions, federative equilibrium and quality of decision-making. The results show, on the one hand, an interagency institutional governance system consolidated throughout the national territory, with significant acceptance by the state and municipal spheres and clearly defined and publicized operating rules. On the other hand, it reveals a complex of levels characterized by marked limitations in financial and human resources and management infrastructure, in addition to action concentrated on emergency problems in the management of the network of health care and services.


Subject(s)
Humans , Health Policy , National Health Programs , Brazil , Delivery of Health Care , Health Facilities
8.
Ciênc. Saúde Colet ; 26(10): 4769-4782, out. 2021. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1345701

ABSTRACT

Resumo A partir de 2010 a organização do Sistema Único de Saúde tem como principal modelo as Redes de Atenção à Saúde (RAS), fundamentadas nas Redes Integradas de Serviços de Saúde preconizadas pela Organização Panamericana de Saúde. Este estudo tem como objetivo analisar a produção científica sobre as RAS através do método de revisão integrativa da literatura. A pesquisa deu-se em bases de dados utilizando-se dos descritores: Rede de Atenção à Saúde e seus congêneres em inglês e espanhol. Foram selecionados 27 artigos incluindo estudos conceituais, relatos de casos, análises de implementação e estudos de avaliação. A análise das publicações evidenciou cinco núcleos de sentido: O paradigma das RAS; A Atenção Básica como coordenadora das RAS; Regionalização, redes e governança regional; O cuidado em rede; e, Desafios para implementação das RAS. Os resultados dessa revisão apontam para duas questões centrais: Como superar a fragmentação do cuidado, garantindo a integralidade, compondo as redes de atenção à saúde a partir de concepções teóricas distintas? E, como a produção das redes de cuidado pode impactar nas relações interfederativas, no processo de financiamento, no acesso ao sistema e na qualidade dos processos de cuidado em saúde?


Abstract Since 2010, the organization of the Brazilian Unified Health System has as its main model the Health Care Networks, based on the Integrated Health Service Networks recommended by the Pan American Health Organization. This study aims to analyze the scientific production on Health Care Networks the integrative literature review method. The research was conducted in databases using the descriptors: Health Care Network and its counterparts in Portuguese and Spanish. A total of 27 articles were selected, including conceptual studies, case reports, implementation analyses and evaluation studies. The analysis of the publications evidenced five cores of meaning: the Health Care Network paradigm; Primary Care as network coordinator; regionalization, networks and regional governance; network care; and challenges for implementation. The results of this review point to two central questions: how to overcome the fragmentation of care, ensuring integrality, composing health care networks from distinct theoretical conceptions? And how can the production of care networks impact inter-federative relations, the financing process, the access to the system and the quality of health care processes?


Subject(s)
Humans , Primary Health Care , Delivery of Health Care , Organizations , Health Facilities , Health Services
9.
Rev. Méd. Inst. Mex. Seguro Soc ; 59(5): 412-416, 01-oct-2021. tab
Article in Spanish | LILACS | ID: biblio-1357981

ABSTRACT

Introducción: los problemas de salud mental derivados de la pandemia por COVID-19, entre ellos la depresión, la ansiedad y el estrés, requieren identificación. Objetivo: validar y adaptar la COVID-19 Anxiety Scale (CAS) al español. Material y métodos: se realizó un estudio transversal en un total de 303 individuos, en los cuales se aplicó la CAS y se identificaron de forma secundaria, como comparación, pruebas de anticuerpos para SARS-CoV-2. Resultados: se hizo el proceso de validación transcultural recomendado por la American Academy of Orthopeadic Surgeon (AAOS) y se obtuvo un alfa de Cronbach de 0.8493 (covarianza promedio interitem de 0.2620). Conclusiones: se logró una versión al español de la CAS válida para utilizarla en la práctica clínica rutinaria.


Background: Mental health problems derived from the COVID-19 pandemic, including depression, anxiety, and stress, need to be identified. Objective: To validate and adapt the COVID-19 Anxiety Scale (CAS) into Spanish. Material and methods: A cross-sectional study was carried out in a total of 303 individuals who answered the Covid-19 Anxiety Scale. Antibody tests for SARS-CoV-2 were identified as a secondary comparison. Results: It was carried out the cross-cultural validation process recommended by the American Academy of Orthopeadic Surgeon (AAOS). It was obtained a Cronbach's alpha of 0.8493 (with an average interitem covariance of 0.2620). Conclusions: It was achieved a valid Spanish version of CAS to be used in routine clinical practice.


Subject(s)
Humans , Male , Female , Anxiety , Mental Health , Validation Study , Depression , SARS-CoV-2 , COVID-19 , Cross-Sectional Studies , Adaptation , Health Facilities , Mexico , Antibodies
10.
Rev. colomb. anestesiol ; 49(3): e700, July-Sept. 2021.
Article in English | LILACS, COLNAL | ID: biblio-1280186

ABSTRACT

The SARS-CoV-2 virus affects all age groups. According to the Colombian National Institute of Health, by November 5, 2020, nearly 83,698 children under 18 years of age had been infected by the virus in Colombia. The probability of viral transmission in this age group is similar to that found in adults, even in asymptomatic individuals 1,2. The World Health Organization has advocated social distancing, hand washing and the use of face masks as effective measures to mitigate contagion, and healthcare institutions have implemented measures for the protection of patients and healthcare workers in order to cope with this "new normal" at work 3-5. In accordance with national and international recommendations, our institution has implemented a new preoperative care protocol during the COVID-19 pandemic.


El virus SARS-CoV-2 afecta a todos los grupos de edad. Según el Instituto Nacional de Salud de Colombia, al 5 de noviembre de 2020, cerca de 83.698 niños menores de 18 años habían sido infectados por el virus en Colombia. La probabilidad de transmisión viral en este grupo de edad es similar a la encontrada en adultos, incluso en individuos asintomáticos 1 , 2 . La Organización Mundial de la Salud ha abogado por el distanciamiento social, el lavado de manos y el uso de mascarillas como medidas efectivas para mitigar el contagio, y las instituciones de salud han implementado medidas para la protección de pacientes y trabajadores de la salud para hacer frente a esta "nueva normalidad" en el trabajo. 3 - 5. De acuerdo con las recomendaciones nacionales e internacionales, nuestra institución ha implementado un nuevo protocolo de atención preoperatoria durante la pandemia de COVID-19.


Subject(s)
Humans , Child , Viruses , Risk , Pandemics , SARS-CoV-2 , Preoperative Care , Hand Disinfection , Health Personnel , Delivery of Health Care , Physical Distancing , COVID-19 , Health Facilities
11.
Lima; Perú. Ministerio de Salud. ESSALUD; 1 ed; Ago. 2021. 64 p. ilus.
Monography in Spanish | MINSAPERU, LILACS, LIPECS, MINSAPERU | ID: biblio-1359628

ABSTRACT

Desde 1936, cada 12 de agosto celebramos el nacimiento de la Seguridad Social en el Perú, que se inicia con la Ley N° 8433, Ley del Seguro Social Obligatorio, que crea la Caja Nacional de Seguro Social como uno de los pilares mediante el cual el Estado peruano asume el rol regulador del trabajo, previsión y asistencial social, basado en la justicia social y el progreso de la sociedad peruana. En esta oportunidad, queremos compartirles la historia de la Escuela de Enfermería de la Caja Nacional de Seguro Social que nuestros predecesores, en un contexto de déficit de enfermeras y construcción de hospitales, formaron con un importante capital humano de enfermeras para cooperar con el cuerpo médico y mejorar los servicios de los establecimientos de salud de la seguridad social, con la finalidad de brindar atención, recuperación y rehabilitación a los asegurados


Subject(s)
Schools , Social Security , History, 20th Century , Health Facilities , History of Medicine , Nurses
12.
Rev. habanera cienc. méd ; 20(4): e4101, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1289625

ABSTRACT

Introducción: La duración de la inmunidad natural generada por la COVID-19 está por definir, lo que determina la probable reinfección. Objetivo: Destacar la necesidad de mantener las medidas de prevención a propósito de un caso de reinfección en un trabajador sanitario. Presentación de caso: Paciente femenina de 48 años de edad con antecedentes de salud que, en junio, 2020 y marzo, 2021 se le diagnóstica la COVID-19, en ambos casos con el comportamiento de enfermedad sintomática leve. Después de 24 horas de comenzar con cefalea, mareos y tos seca se confirma el diagnóstico de infección por SARS CoV-2 con PCR positivo y umbral de ciclo (CT) en 24.84. Pasados 9 meses y 9 días de la infección original, y dos días posteriores a recibir la vacuna BNT162b2 (Pfizer-BioNTech), comienza con malestar general, tos seca, secreción nasal y dolor de garganta, con PCR positivo y CT de 17.61. Conclusiones: La posibilidad de la reinfección por la COVID-19 orienta la necesidad de fortalecer las acciones de prevención de la transmisión en instituciones de salud en tanto las evidencias científicas nos provean de recursos más eficaces para su control(AU)


Introduction: The duration of natural immunity generated by COVID-19 is yet to be defined, which determines the probable reinfection. Objective: To analyze issues related to natural infection and the need to maintain prevention practices regarding a case of reinfection in a health care worker. Case presentation: Forty-eight-year-old female patient without comorbidities who was diagnosed with COVID-19 in June 2020 and March 2021, in both cases as a mild symptomatic disease. Twenty-four hours after the onset with headache, dizziness, and dry cough, the diagnosis of SARS CoV-2 infection was confirmed by positive PCR and cycle threshold (CT) at 24.84. Nine months and nine days after original infection, and two days after receiving the BNT162b2 vaccine (Pfizer-BioNTech), the patient began with general malaise, dry cough, runny nose, and sore throat, with a positive PCR and CT of 17.61. Conclusions: The possibility of reinfection by COVID-19 points to the need to strengthen transmission prevention practices in healthcare facilities as long as scientific evidence provides us with more effective resources for its control(AU)


Subject(s)
Humans , Female , Middle Aged , Reinfection , COVID-19 , Health Facilities , Immunity, Innate , Polymerase Chain Reaction , Severe Acute Respiratory Syndrome
13.
Horiz. enferm ; 32(2): 155-176, 20210831. tab, graf
Article in Spanish | LILACS, BDENF | ID: biblio-1290753

ABSTRACT

El programa de enfermería de la Universidad Católica de Manizales (Colombia) incluye escenarios prácticos en los cuales se desarrollan, entre otros, la ejecución de planes de mejoramiento que buscan fortalecer en los estudiantes competencias relacionadas al quehacer profesional, al mismo tiempo que se busca apoyar las Instituciones Prestadoras de Servicios de Salud (IPS) en el cumplimiento de sus funciones, en respuesta a las necesidades de estas instituciones. OBJETIVO: Identificar el rol del estudiante de VII semestre en los planes de mejoramiento realizados en las IPS, durante las prácticas formativas del programa de enfermería de la Universidad Católica de Manizales entre los años 2017 y 2019. MÉTODOS: Se realizó un estudio descriptivo retrospectivo de tipo documental, que permitió la revisión del archivo de 190 planes de mejoramiento realizados por este grupo de estudiantes, en el periodo definido. Las variables de estudio fueron: Grupos poblacionales, prácticas clínicas, educativas y administrativas. Se realizó análisis descriptivo de base de datos en Excel de acuerdo con las variables definidas en el instrumento. RESULTADOS: Dentro de las prácticas realizadas por parte de los estudiantes la más frecuente fue la de tipo clínico, seguida de administrativa y promoción de la salud, realizadas en áreas de urgencias, hospitalización, consulta externa, quirófano, unidad de cuidados intensivos y área administrativa. Con respecto a la población beneficiaria de las intervenciones, el mayor número estuvo en el grupo de adultos (29 ­ 59 años) en quienes el tópico más abordado fue el autoexamen de mama y citología, de acuerdo a las necesidades institucionales. Dentro de las actividades administrativas y asistenciales más ejecutadas, se encuentran pausas activas y manejo de corto punzantes, respectivamente. En relación a la capacitación se tiene que se benefició un total de 1226 usuarios internos y 1703 usuarios externos. CONCLUSIÓN: El rol que desempeñan los estudiantes de VII semestre es de gran importancia para apoyar y apalancar procesos administrativos, clínicos, de promoción y mantenimiento de la salud en las IPS, debido a que permiten incrementar la fuerza de respuesta, además ofrece la oportunidad para aprovechar este talento humano en beneficio de educación para cliente interno y externo, identificación de problemas y según los resultados; diseñar y hacer seguimiento a los procesos que en su momento se observan como críticos.


The nursing program of Universidad Católica de Manizales (Colombia) includes practical scenarios in which it developments, among others, the execution of improvement plans for the strengthen in students the skills related to professional work, while searching to support to the health providing institutes on theirs functions, in response to the institutional needs. OBJECTIVE: To identify the VII semester student's role in improvement plans made on health providing institutes, during formatives practices of nursing program of Universidad Católica de Manizales since 2017 until 2019. METHODS: A descriptive retrospective documental kind study was made, that allowed the revision of the 190 improvement plan´s file who carried out by this group of students, in the defined period. The variables were: population groups, clinical, educational and administrative practices. Descriptive analysis of Excel data base was made, according the defined variables. RESULTS: The most common practice made for this groups of students were clinical kind, followed by administrative and health promotion, this practices were made in emergency, hospitalization, external consultation, surgery, intensive care unit, and administrative areas. With respect to beneficiary population of the interventions, the greater number was in group of adults (29 ­ 59 years old) in whom the most approached issue was breast self-examination and cytology, in response to institutional needs. Within the most frequent clinical and administrative activities were active breaks and sharp tools management, respectively. In relation to training, it benefices 1226 internal users and 1703 users of health services. CONCLUSION: the VII semester student's role is of great importance to support and leverage administrative, clinical, promotion and maintenance processes of health in the health providing institutes, because they provide an increase in the response force, it also offers the opportunity to take advantage of this human talent for the benefit of education for internal and external users of this services, identification of problems and according to the results, design and monitor the processes that are observed at the time as critics.


Subject(s)
Humans , Male , Female , Education, Nursing , Higher Education Institutions , Professional Training , Health Facilities , Professional Competence , Epidemiology, Descriptive , Retrospective Studies , Colombia , Curriculum , Nurse's Role
14.
Ciênc. Saúde Colet ; 26(7): 2783-2792, jul. 2021.
Article in Portuguese | LILACS | ID: biblio-1278795

ABSTRACT

Resumo O objetivo deste artigo é analisar os sentidos construídos por adolescentes residentes na Maré, região periférica da cidade do Rio de Janeiro, a partir do acesso a produções jornalísticas sobre cuidado e risco à saúde disponíveis em diferentes plataformas e suportes tecnológicos. A discussão proposta origina-se de uma investigação qualitativa mais abrangente, sustentada em dois eixos teóricos: a construção discursiva do conceito de risco à saúde na contemporaneidade e a participação do jornalismo no cenário comunicacional como um ator destacado na produção de informações e de posicionamentos sobre a temática. O principal recurso metodológico da pesquisa empírica foram grupos de discussão com adolescentes de 14 a 16 anos. A técnica busca observar os processos interativos e discursivos dos sujeitos de pesquisa. A análise dos materiais aponta, dentre outros achados, que: a) a presença do jornalismo no cotidiano desses jovens não se dá sem críticas ao seu modus operandi, independentemente da confiabilidade no veículo; b) a crítica se estende a outros atores acionados como fontes das matérias/reportagens, sobretudo ao abordarem temas relacionados a condições de vulnerabilidade social; c) a repetição de alertas sobre riscos à saúde no noticiário tem grande potencial de esgotamento.


Abstract The scope of this article is to analyze the meanings constructed by adolescents living in Maré, in the outskirts of Rio de Janeiro, based on their access to journalistic coverage on health care and risk, available on different technological platforms and social media. The discussion stems from more comprehensive qualitative research, supported by two theoretical axes: the discursive construction of the concept of health risk in contemporary times; and the role of journalism as a prominent actor in the production and circulation of information and its approach on the subject. The main empirical research resource was discussion groups with teenagers aged between 14 and 16. This technique seeks to observe the interactive and discursive processes of the research participants. The analysis of the materials, among other findings, shows that: a) the presence of journalism in the daily lives of these young people is not without criticism of its modus operandi, irrespective of the reliability of each specific vehicle; b) the criticism extends to other actors used as sources of the articles/reports, especially when addressing issues related to conditions of social vulnerability; c) the repetition of warnings about health risks in the news has considerable potential for excess coverage and burnout.


Subject(s)
Humans , Adolescent , Narration , Health Facilities , Brazil , Reproducibility of Results , Qualitative Research
15.
San Salvador; MINSAL; jul. 22, 2021. 118 p. ilus, graf, tab.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1292032

ABSTRACT

El Ministerio de Salud cuenta con una red de establecimientos de servicios de salud de primero, segundo y tercer nivel que han sido desarrollados de acuerdo a las necesidades identificadas. Los presentes lineamientos establecen, de acuerdo a 4 criterios, requisitos esenciales de categorización para definir el nivel de respuesta que cada establecimiento debe poseer, con el propósito de establecer redes que garanticen la atención de calidad, según la complejidad requerida


The Ministry of Health has a network of first, second and third level health service establishments that have been developed according to the identified needs. These guidelines establish, according to 4 criteria, essential categorization requirements to define the level of response that each establishment must have, in order to establish networks that guarantee quality care, according to the complexity required


Subject(s)
Quality of Health Care , Health Facilities , Hospitals , Health Services , Health Services Needs and Demand
16.
San Salvador; MINSAL; jul. 22, 2021. 49 p. ilus.
Non-conventional in Spanish | LILACS, BISSAL | ID: biblio-1292033

ABSTRACT

El suministro de combustible es uno de los principales insumos adquiridos con fondos del Estado, necesarios para garantizar la operatividad en el transporte y funcionamiento de equipo hospitalario en la red nacional de establecimientos de salud, así como también en el Nivel Superior del Ministerio de Salud. En el marco de lo anterior, el combustible debe ser administrado con mecanismos eficientes, que garanticen seguridad y transparencia en su consumo. Los presentes lineamientos incorporan las actividades y responsabilidades de los encargados de control, autoridades y usuarios de combustible en el Nivel Superior, regiones de salud y hospitales nacionales del MINSAL; así como también, los diferentes procedimientos enfocados al uso controlado de ese suministro


The supply of fuel is one of the main inputs acquired with State funds, necessary to guarantee the operability in the transport and operation of hospital equipment in the national network of health establishments, as well as in the Higher Level of the Ministry of Health. Within the framework of the foregoing, fuel must be managed with efficient mechanisms that guarantee safety and transparency in its consumption. These guidelines incorporate the activities and responsibilities of those in charge of control, authorities and fuel users in the Higher Level, health regions and national hospitals of the MINSAL; as well as the different procedures focused on the controlled use of this supply


Subject(s)
Organization and Administration , Equipment and Supplies , Health Facilities , Hospitals , Control
17.
Ciênc. Saúde Colet ; 26(supl.1): 2471-2482, jun. 2021. tab, graf
Article in English | LILACS | ID: biblio-1278846

ABSTRACT

Abstract To describe a general overview of health services delivery in Mexico and geospatially analyze the current distribution and accessibility of Primary Health Care (PHC) facilities to contribute to new approaches to improve healthcare planning in Mexico. We performed a spatial analysis of official data to analyze current distances from health facilities to population, to determine the underserved areas of health services delivery in three selected states using a ranking of indicators. We estimated service area coverage of PHC facilities with road networks of three Mexican states (Chiapas, Guerrero, and Oaxaca). Our estimations provide an overview of spatial access to healthcare of the Mexican population in Mexico's three most impoverished states. We did not consider social security nor private providers. Geospatial access to health facilities is critical to achieving PHC and adequate coverage. Countries like Mexico must measure this to identify underserved areas with a lack of geospatial access to healthcare to solve it. This type of analysis provides critical information to help decision-makers decide where to build new health facilities to increase effective geospatial access to care and to achieve Universal Health Coverage.


Resumo Descrever uma visão geral da prestação de serviços de saúde no México e analisar geoespacialmente a atual distribuição e acessibilidade das unidades de APS para contribuir com novas abordagens para melhorar o planejamento da saúde no México. Realizamos uma análise espacial de dados oficiais para analisar as distâncias atuais das unidades de saúde à população, para determinar as áreas descobertas de prestação de serviços de saúde em 3 estados selecionados usando uma classificação de indicadores. Estimamos a cobertura da área de serviço das unidades de APS com redes viárias de 3 estados do México (Chiapas, Guerrero e Oaxaca). Nossas estimativas fornecem uma visão geral do acesso espacial à saúde da população mexicana nos três estados mais pobres do México. Não consideramos seguridade social nem prestadores privados. O acesso geoespacial às unidades de saúde é fundamental para alcançar a cobertura universal de saúde e uma cobertura eficaz. Países, como o México, devem medir isso para identificar áreas não merecidas com falta de acesso geoespacial à saúde para resolvê-lo. Os governos devem gerar políticas e mecanismos para distribuir efetivamente novas instalações de saúde para aumentar o acesso geoespacial efetivo à saúde, bem como para evitar instalações de saúde não planejadas.


Subject(s)
Humans , Geographic Information Systems , Health Services Accessibility , Universal Health Insurance , Health Facilities , Mexico
18.
Ciênc. Saúde Colet ; 26(supl.1): 2497-2506, jun. 2021. tab, graf
Article in English | LILACS | ID: biblio-1278838

ABSTRACT

Abstract This study diagnosed the situation regarding the physical accessibility of the resident population to primary health care, based on the characteristics of the population served, their spatial distribution in the territory, based on space-time analysis. Thus, bearing the different means of transport available and the specific features of a low-density territory, we considered several mobility profiles under analysis, and selected the Baixo Alentejo as the study area. In methodological terms, besides using the location of primary health facilities and their areas of influence, the use of the road network and its restrictions, we selected the use the new 1x1 km grid, recently implemented throughout the EU (European Union), instead of using the statistical units or administrative boundaries. Its advantages allow overcoming some of the issues of the usual base cartography. The final results can be divided into two groups: conclusions related to the methodologies used and conclusions related to the accessibility of primary health care equipment in the study area.


Resumo Decidiu-se realizar o diagnóstico de situação sobre a acessibilidade física da população residente aos cuidados de saúde primários, baseada nas características da população servida, na sua distribuição espacial, tendo por base uma análise espaço/tempo, permitindo avaliar essa mesma acessibilidade. Deste modo, e tendo em consideração os diversos modos de transporte disponíveis, bem como as características específicas de um território de baixa densidade, foram considerados diversos perfis de mobilidade, sendo a área de estudo escolhida o Baixo Alentejo. Em termos metodológicos, além da utilização da localização dos equipamentos de saúde primários e das suas áreas de influência, da utilização da rede viária e das suas restrições, optou-se pela utilização de uma cartografia base menos convencional. Em vez das unidades estatísticas associadas às unidades administrativas, optou-se pela utilização da nova quadrícula de 1x1 km, implementada recentemente em toda a União Europeia (UE). A utilização desta quadrícula permite ultrapassar alguns dos problemas apresentados pela cartografia base habitual. Os resultados podem-se dividir em dois grupos: conclusões relacionadas com as metodologias utilizadas, e conclusões relacionadas com a acessibilidade aos equipamentos de saúde primários na área de estudo.


Subject(s)
Primary Health Care , Health Services Accessibility , Portugal , Health Facilities
19.
Rev. cuba. med. mil ; 50(2): e1003, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1341438

ABSTRACT

Introducción: La extensión transdiafragmática del absceso hepático piógeno constituye un caso raro de empiema pleural. Es una enfermedad de progresión rápida y con altas tasas de mortalidad, cercanas al 100 por ciento si no se trata a tiempo. Objetivo: Describir el caso de una paciente con empiema pleural derecho, secundario a ruptura de absceso piógeno del lóbulo hepático izquierdo. Caso clínico: Paciente femenina de 70 años de edad que acude al cuerpo de guardia con fiebre, dolor abdominal, síndrome general. La tomografía computadorizada mostró absceso hepático el lóbulo izquierdo con licuefacción casi total y posteriormente presentó como complicación un empiema torácico derecho. La paciente fue tratada con drenaje con sonda pleural. A pesar de los tratamientos antibióticos y quirúrgicos oportunos la paciente fallece en shock séptico. Conclusiones: Se reporta un caso raro de empiema secundario a absceso hepático del lóbulo izquierdo. La demora de la paciente en acudir a instituciones de salud conllevó al fallecimiento de la paciente a pesar del tratamiento antibiótico y quirúrgico(AU)


Introduction: The transdiaphragmatic extension of the pyogenic liver abscess constitutes a rare case of pleural empyema. It is a rapidly progressive disease with high mortality rates close to 100 percent if it is not treated in time. Objective: To describe the case of a patient with right pleural empyema secondary to a ruptured pyogenic abscess of the left hepatic lobe. Clinical case: A 70-year-old female patient who came to emergency with fever, abdominal pain and general syndrome. The computed tomography scan showed a liver abscess in the left lobe with almost total liquefaction, and later a right thoracic empyema was a complication. The patient was treated with chest tube drainage. Despite timely antibiotic and surgical treatments, the patient died of septic shock. Conclusions: A rare case of empyema secondary to liver abscess of the left lobe is reported. The delay of the patient in going to health institutions led to the death of the patient despite antibiotic and surgical treatment(AU)


Subject(s)
Humans , Female , Aged , Abdominal Pain/complications , Empyema, Pleural/complications , Procrastination , Anti-Bacterial Agents , Tomography, X-Ray Computed/methods , Health Facilities , Liver Abscess/mortality
20.
Rev. cub. inf. cienc. salud ; 32(2): e1685, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1341366

ABSTRACT

En la actualidad la elevación del desempeño competitivo constituye una prioridad en las instituciones de salud. Tal exigencia tiene el propósito de reducir los costos de atención y aumentar la productividad, en un contexto donde la demanda de servicios hospitalarios es cada vez mayor por el acelerado envejecimiento poblacional y el incremento de los costos de atención. Disímiles investigaciones han demostrado que con el empleo de las tecnologías de la información y la comunicación se puede elevar el desempeño competitivo en salud. Dentro de estas, la Minería de Procesos posibilita mejorar la ejecución de los procesos de negocio, con el impacto en el empleo de recursos, así como en los tiempos y en la satisfacción del proceso de atención. El objetivo de la investigación fue analizar el impacto que tienen las tecnologías de la información y la comunicación como factor de desempeño competitivo en las instituciones de salud, a partir de su evaluación en el Sistema de Información Hospitalaria XAVIA HIS, por medio de la aplicación de Minería de Procesos. La investigación presentó un enfoque cualitativo, con alcance explicativo y un diseño no experimental, donde se empleó el análisis documental y la modelación. Fue aplicada al Sistema de Información Hospitalaria XAVIA HIS en el año 2019. Para esto, fue utilizada la metodología computacional para la aplicación de la Minería de Procesos. Como resultado se obtuvo un modelo adecuado a la realidad y fácilmente analizable, que constató el impacto de las tecnologías de la información y la comunicación en la elevación del desempeño competitivo en las instituciones de salud(AU)


At present, it constitutes a priority the competitive performance elevation in health institutions. This exigence has a purpose to reduce the costs of healthcare and increase productivity, in a context where the demand for hospital services is increasing, due to the accelerated aging of the population and the increase in the costs of healthcare. Different researches have shown that with the use of Information and Communication Technologies, competitive performance in health can be increased. Within this, Process Mining allows to improve the execution of business processes, which it impacts the use of resources, as well as the times and satisfaction of the healthcare process. The objective is to analyze the impact that Information and Communication Technologies have, as a factor of competitive performance in health institutions, based on their evaluation in the XAVIA HIS Hospital Information System, through the application of Process Mining. The research has a qualitative approach, with explanatory scope and non-experimental design, where documentary analysis and modeling are used. It is applied to the Hospital Information System XAVIA HIS in 2019. For this, the Methodology was used for the application of process mining. As a result, a model adapted to reality and easily analyzed is obtained, which it is confirms the impact of Information and Communication Technologies in increasing competitive performance in health institutions(AU)


Subject(s)
Humans , Male , Female , Population Dynamics , Delivery of Health Care/methods , Information Technology , Health Facilities , Research Design , Hospital Information Systems
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