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1.
Article in English | AIM | ID: biblio-1353242

ABSTRACT

Background: To improve healthcare access and mitigate healthcare costs for its population, Nigeria established a National Health Insurance Scheme (NHIS) in 1999. The NHIS remains Nigeria's leading vehicle for achieving universal health coverage; nonetheless, questions remain regarding its quality and effectiveness. Studies on patient satisfaction have served as a useful strategy to further understand the patient experience and the efficacy of health systems. Aim: To synthesise current knowledge on patient satisfaction with the NHIS. Methods: The authors performed a systematic review of primary literature from 1999 to 2020 reporting on NHIS patient satisfaction in eight databases (including PubMed, Embase, and Africa-wide Information). Results: This search returned 764 unique records of which 21 met criteria for full data extraction. The 21 qualifying studies representing 11 of the 36 Nigerian states, were published from 2011 to 2020, and found moderate overall satisfaction with the NHIS (64%). Further, when disaggregated into specific domains, NHIS enrolees were most satisfied with provider attitudes (77%) and healthcare environments (70%), but less satisfied with laboratories (62%), billings (62%), pharmaceutical services (56%), wait times (55%), and referrals (51%). Importantly, time trends indicate satisfaction with the NHIS is increasing ­ although to differing degrees depending on the domain. Conclusion: The beneficiaries of the NHIS are moderately satisfied with the scheme. They consider it an improvement from being uninsured, but believe that the scheme can be considerably improved. The authors present two main recommendations: (1) shorter wait times may increase patient satisfaction and can be a central focus in improving the overall scheme, and (2) more research is needed across all 36 states to comprehensively understand patient satisfaction towards NHIS in anticipation of potential scheme expansion


Subject(s)
Patient Satisfaction , Systematic Review , Insurance, Health , Program Evaluation , Costs and Cost Analysis , Nigeria
2.
An. Fac. Cienc. Méd. (Asunción) ; 54(3): 61-66, Dec. 2021.
Article in Spanish | LILACS | ID: biblio-1352909

ABSTRACT

El tabaquismo es una importante causa de enfermedad y muerte debido a neoplasias, enfermedades cardiovasculares y pulmonares, provocando además disminución de la productividad y aumento de la pobreza. La telemedicina es una de las innovaciones principales en los servicios de salud, especialmente en el contexto de la pandemia de COVID19 que dificulta la atención presencial. Se ha evidenciado en los pacientes, un grado de satisfacción elevado, un aspecto importante al momento de valorar la calidad de la atención médica prestada y justificar las innovaciones


Smoking is an important cause of illness and death due to neoplasms, cardiovascular and pulmonary diseases, also causing a decrease in productivity and an increase in poverty. Telemedicine is one of the main innovations in health services, especially in the context of the COVID19 pandemic that makes face-to-face care difficult. A high degree of patient satisfaction has been evidenced, an important aspect when assessing the quality of medical care provided and justifying innovations


Subject(s)
Tobacco Use Disorder , Telemedicine , Patients , Pulmonary Medicine , Smoking , Patient Satisfaction , Efficiency
3.
Más Vita ; 3(3): 33-41, sept. 2021. tab, graf
Article in Spanish | LILACS, LIVECS | ID: biblio-1343305

ABSTRACT

La percepción que tienen los usuarios y su nivel de satisfacción frente a servicios brindados durante su atención es considerada como un indicador de calidad en el sector salud, además de reafirmar que la atención se centra sobre el paciente, familia o comunidad. Objetivo: analizar los factores determinantes en el nivel de atención y su relación con la satisfacción de los usuarios que acuden a la sala de emergencias del hospital Dr. Carlos del Pozo Melgar de Muisne. Materiales y Métodos: El estudio fue de tipo mixto, con diseño transversal y alcance descriptivo. Se aplicó un cuestionario desarrollado por el Ministerio de Salud Pública y adaptado a la población de estudio. La muestra fue de 165 personas que acudieron a la emergencia del hospital. Además, para registrar los datos se utilizó una ficha de observación durante la atención que se brindaba. Resultados: el 45% de los usuarios se sintieron muy satisfechos en cuanto al grado de satisfacción por la ubicación de la casa de salud. El 78% de los usuarios consideraron que la atención recibida fue personalizada. El 10% expresaron percepciones de discriminación por parte del personal de salud durante su atención. Se encontró que del 17% que poseían grado académico superior, el 10% no se encontraba satisfecho con la atención recibida. Conclusiones: existe un alto nivel de satisfacción en la mayoría de la muestra estudiada, en donde los principales factores determinantes fueron el grado académico de los usuarios y el estado de la infraestructura de la casa de salud(AU)


The perception of users and their level of satisfaction with the services provided during their care is considered an indicator of quality in the health sector, in addition to reaffirming that care is centered on the patient, family or community. Objective: To analyze the determining factors in the level of care and their relationship with the satisfaction of users attending the emergency room of the Dr. Carlos del Pozo Melgar Hospital in Muisne. Materials and Methods: The study was of a mixed type, with a cross-sectional design and descriptive scope. A questionnaire developed by the Ministry of Public Health and adapted to the study population was applied. The sample consisted of 165 people who attended the hospital emergency room. In addition, an observation form was used to record the data during the care provided. Results: 45% of the users were very satisfied with the location of the health center. Seventy-eight percent of the users considered that the care they received were personalized. In addition, the 10% expressed perceptions of discrimination on the part of the health personnel during their care. It was found that of the 17% who had a higher academic degree, 10% were not satisfied with the care received. Conclusions: there was a high level of satisfaction in the majority of the sample studied, where the main determining factors were the academic degree of the users and the state of the infrastructure of the health center(AU)


Subject(s)
Humans , Male , Female , Patient Satisfaction , Emergency Service, Hospital , Hospital Care , Patient Admission , Quality of Health Care , Medical Care
4.
Rev. cuba. oftalmol ; 34(2): e1008, 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1341454

ABSTRACT

Objetivo: Demostrar los resultados de la criofacoemulsificación en la cirugía de catarata, como una mejora en la calidad visual y de vida de los pacientes. Métodos: Se realizó un estudio prospectivo y analítico de serie de casos en 43 ojos con catarata. Se utilizaron técnicas estadísticas descriptivas como media y desviación estándar. En los resultados no comparados la prueba de chi cuadrado, con significación del 95 por ciento y un valor de p < 0,05 se consideró estadísticamente significativa. Resultados: El 67,44 por ciento de los pacientes no sintieron dolor y lo refirieron muy leve en la colocación del blefaróstato, en la incisión por córnea clara y durante la colocación del lente intraocular; el 62,79 por ciento fueron féminas, mayores de 70 años; el 51,16 por ciento tenía dureza nuclear NO3 por LOCSIII; la visión de colores mejoró en el 90,70 por ciento; la sensibilidad al contraste mejoró en el 58,14 por ciento; el cilindro refractivo en el 72,09 por ciento fue menor de 0,5 dioptrías; la agudeza visual mejor corregida en el 93,02 por ciento fue de 0,8 a 1,0; la paquimetría demostró diferencias significativas al final; la pérdida celular endotelial media fue de 274,16 cel. /mm2; la hexagonalidad media se redujo en un 3,42 por ciento y la encuesta FV-14 fue muy buena en el 100 por ciento de los pacientes al mes de operado. Conclusiones: La criofacoemulsificación es segura y efectiva, que disminuye los efectos inflamatorios de la cirugía sobre la córnea, con alto grado de satisfacción de los pacientes(AU)


ABSTRACT Objective: Demonstrate the effect of cryophacoemulsification in cataract surgery as a way to improve patient visual quality and quality of life. Methods: An analytical prospective study was conducted of a case series of 43 eyes with cataract. Statistical analysis was based on mean and standard deviation descriptive techniques. In results not compared, a chi-square test with 95 percent significance and p < 0.05 was considered to be statistically significant. Results: Of the patients studied, 67.44 percent did not feel any pain and reported very mild pain during blepharostat placement, clear corneal incision and intraocular lens placement; 62.79 percent were females aged over 70 years; 51.16 percent had NO3 nuclear hardness by LOCSIII; color vision improved in 90.70 percent; contrast sensitivity improved in 58.14 percent; in 72.09 percent the refractive cylinder was smaller than 0.5 diopters; in 93.02 percent best corrected visual acuity was 0.8-1.0; pachymetry showed significant differences at the end; mean endothelial cell loss was 274.16 cel/mm2; mean hexagonality was reduced 3.42 percent, and the VF-14 index was very good in 100 percent of the patients one month after surgery. Conclusions: Cryophacoemulsification is safe and effective, reduces the inflammatory effects of surgery on the cornea and achieves a high level of patient satisfaction(AU)


Subject(s)
Humans , Cataract Extraction/methods , Patient Satisfaction , Phacoemulsification/methods , Cryoanesthesia/methods , Prospective Studies
5.
Rev. bras. med. esporte ; 27(spe2): 16-19, Apr.-June 2021. tab, graf
Article in English | LILACS | ID: biblio-1280086

ABSTRACT

ABSTRACT After arthroscopic ligament reconstruction, athletes still need to go through a postoperative rehabilitation training period and suffer the possible pain that can go from moderate to severe. Commonly used analgesic medications, ropivacaine and fentanyl have the effect of relieving athletes' pain. To study the analgesic effect of ropivacaine on arthroscopic reconstruction of the knee ligament, the steps of reconstruction and pharmacology of ropivacaine were first introduced. Next, the analgesic effects of ropivacaine and fentanyl in 86 athletes were compared on muscle strength recovery, patient satisfaction, and pain score. The results showed that the satisfaction of patients with ropivacaine was 95.35%, and the incidence of postoperative adverse reactions was only 9.30%. These results indicate that ropivacaine has a better analgesic effect in arthroscopic reconstruction of the knee ligament in athletes, which is suitable for postoperative rehabilitation.


RESUMO Após a reconstrução artroscópica do ligamento, os atletas ainda precisam passar por um longo período de treinamento pós-operatório de reabilitação e suportar a possível dor de moderada a severa. Os medicamentos analgésicos ropivacaina e fentanilo comumente utilizados têm o efeito de aliviar a dor dos atletas. Para estudar o efeito analgésico da ropivacaína na reconstrução artroscópica do ligamento do joelho foram introduzidos, em primeiro lugar, os passos da reconstrução artroscópica do ligamento e os da farmacologia da ropivacaína. Em seguida, os efeitos analgésicos da ropivacaína e o fentanilo em 86 atletas foram comparados com a recuperação na força muscular, na satisfação do paciente e na pontuação da dor. Os resultados mostraram que a satisfação dos doentes com a ropivacaína chegava a 95.35%, e a incidência de reações adversas pós-operatórias foi apenas de 9.30%. Estes resultados indicam que a ropivacaína tem melhor efeito analgésico na reconstrução artroscópica do ligamento do joelho, o que é adequado para a reabilitação pós-operatória.


RESUMEN Después de la reconstrucción artroscópica del ligamento, los atletas aun precisan pasar por un largo período de entrenamiento posoperatorio de rehabilitación y soportar el posible dolor que puede ir de moderado a severo. Los medicamentos analgésicos, ropivacaína y fentanilo que son comúnmente utilizados, tienen el efecto de aliviar el dolor de los atletas. Para estudiar el efecto analgésico de la ropivacaína en la reconstrucción artroscópica del ligamento de la rodilla fueron introducidos, en primer lugar, los pasos de la reconstrucción y de la farmacología de la ropivacaína. Enseguida, los efectos analgésicos de la ropivacaína y el fentanilo en 86 atletas fueron comparados en la recuperación de la fuerza muscular, en la satisfacción del paciente y en la puntuación del dolor. Los resultados mostraron que la satisfacción de los pacientes con la ropivacaína llegaba a 95.35%, y la incidencia de reacciones adversas posoperatorias fue apenas de 9.30%. Estos resultados indican que la ropivacaína tiene mejor efecto analgésico en la reconstrucción artroscópica del ligamento de la rodilla de los atletas, lo que es adecuado para la rehabilitación posoperatoria.


Subject(s)
Humans , Pain, Postoperative/prevention & control , Arthroscopy/methods , Athletic Injuries/surgery , Ropivacaine/therapeutic use , Knee Injuries/surgery , Anesthetics, Local/therapeutic use , Patient Satisfaction , Reconstructive Surgical Procedures
6.
An. Facultad Med. (Univ. Repúb. Urug., En línea) ; 8(1): e302, jun. 2021. ilus, tab
Article in Spanish | LILACS, BNUY, UY-BNMED | ID: biblio-1248719

ABSTRACT

La calidad de vida relacionada a la salud se refiere a la percepción que tienen los sujetos sobre su estado de salud, y las actividades realizadas para mantener o mejorar la salud en su contexto sociocultural. La encefalopatía crónica no evolutiva es una lesión estática no progresiva que constituye la primera causa de disfunción motora en niños. La historia natural de la marcha y la función en esta población es el deterioro con el paso del tiempo. El tratamiento estándar es la cirugía multinivel. Objetivo: determinar los resultados sobre satisfacción, percepción de función y percepción de calidad de vida en niños con encefalopatía crónica no evolutiva luego de realizada la cirugía multinivel. Metodología: se realizó una revisión bibliográfica de la literatura. Resultados: se seleccionaron 10 artículos de metodologías heterogéneas que cumplen con los criterios de inclusión. Los resultados arrojan una mejora en la percepción de función y calidad de vida. Conclusiones: es necesario ahondar más en la investigación sobre los resultados de la cirugía y en abordajes que incorporen la mirada de los pacientes y sus cuidadores.


Health-related quality of life refers to the perception that subjects have about their state of health, and the activities carried out to maintain or improve health in their sociocultural context. Chronic non-progressive encephalopathy is a non-progressive static lesion that is the leading cause of motor dysfunction in children. The natural history of gait and function in this population is deterioration over time. The standard treatment is multilevel surgery. Objective: to determine the results on satisfaction, perception of function and perception of quality of life in children with non-progressive chronic encephalopathy after multilevel surgery. Methodology: a bibliographic review of the literature was carried out. Results: 10 articles with heterogeneous methodologies that meet the inclusion criteria were selected. The results show an improvement in the perception of function and quality of life. Conclusions: it is necessary to delve deeper into research on the results of surgery and on approaches that incorporate the point of view of patients and their caregivers.


A qualidade de vida relacionada à saúde refere-se à percepção que os sujeitos têm sobre seu estado de saúde e as atividades realizadas para manter ou melhorar a saúde em seu contexto sociocultural. A encefalopatia crônica não progressiva é uma lesão estática não progressiva que é a principal causa de disfunção motora em crianças. A história natural da marcha e da função nesta população é a deterioração ao longo do tempo. O tratamento padrão é a cirurgia multinível. Objetivo: determinar os resultados sobre satisfação, percepção de função e percepção de qualidade de vida em crianças com encefalopatia crônica não progressiva após cirurgia multinível. Metodologia: foi realizada uma revisão bibliográfica da literatura. Resultados: foram selecionados 10 artigos com metodologias heterogêneas que atendem aos critérios de inclusão. Os resultados mostram uma melhora na percepção de função e qualidade de vida. Conclusões: é necessário aprofundar as pesquisas sobre os resultados da cirurgia e sobre as abordagens que incorporem o olhar do paciente e de seu cuidador.


Subject(s)
Humans , Child , Quality of Life/psychology , Cerebral Palsy/surgery , Cerebral Palsy/psychology , Patient Satisfaction , Orthopedic Procedures/rehabilitation , Surveys and Questionnaires , Caregivers/psychology
7.
Online braz. j. nurs. (Online) ; 20: e20216455, 05 maio 2021. ilus
Article in English, Spanish, Portuguese | LILACS, BDENF | ID: biblio-1224607

ABSTRACT

OBJETIVO: Desenvolver e validar o conteúdo do Resultado de Enfermagem (RE) "Satisfação da Cliente: Processo de Parto". MÉTODO: Estudo metodológico de validação de conteúdo do RE por nove especialistas, utilizando-se o Índice de Validade de Conteúdo (IVC) em 33 puérperas. RESULTADOS: A versão final do RE foi composta por 25 indicadores. O IVC foi maior ou igual a 0,8 para todos os critérios avaliados para a maioria dos indicadores após a segunda avaliação das especialistas. DISCUSSÃO: O RE "Satisfação da cliente: Processo de Parto" foi definido como "extensão da percepção positiva das mulheres quanto aos cuidados prestados pela equipe de saúde durante o processo do parto". CONCLUSÃO: Considera-se que o uso dos RE da Nursing Outcomes Classification embora recente na nossa prática assistencial, representa uma possibilidade para avaliar cuidados relacionados ao processo de parto.


OBJECTIVE: To develop and validate the content of the Nursing Result (RE) "Customer Satisfaction: The Delivery Process". METHOD: Methodological study of RE content validation by nine specialists, using the Content Validity Index (CVI) in 33 puerperal women.   RESULTS: The final version of the RE was composed of 25 indicators. The CVI was greater than or equal to 0.8 for all criteria evaluated for most indicators after the second evaluation of the specialists.  DISCUSSION:  The RE "Customer Satisfaction: Delivery Process" was defined as "an extension of the positive perception of women regarding the care provided by the health team during the delivery process". CONCLUSION:  It is considered that the use of RE nursing outcomes classification although recent in our care practice, represents a possibility to evaluate care related to the delivery process.


OBJETIVO: Desarrollar y validar el contenido del Resultado de Enfermería (RE) "Satisfacción del cliente: Proceso de parto". MÉTODO: Estudio metodológico de validación de contenido de la RE por nueve especialistas, utilizando el Índice de Validez de Contenido (IVC) en 33 puérperas. RESULTADOS: La versión final del RE estuvo compuesta por 25 indicadores. El IVC fue mayor o igual a 0.8 para todos los criterios evaluados para la mayoría de los indicadores luego de la segunda evaluación por parte de los especialistas. DISCUSIÓN: El RE "Satisfacción del cliente: proceso del parto" se definió como "una extensión de la percepción positiva de la mujer sobre la atención brindada por el equipo de salud durante el proceso del parto". CONCLUSIÓN: Se considera que el uso de la RE de la Nursing Outcomes Classification, aunque reciente en nuestra práctica asistencial, representa una posibilidad para evaluar la atención relacionada con el proceso del parto.


Subject(s)
Humans , Female , Peer Review , Patient Satisfaction , Parturition , Postpartum Period , Standardized Nursing Terminology
8.
Alerta (San Salvador) ; 4(2): 20-27, may. 26, 2021. ilus, tab
Article in Spanish | LILACS, BISSAL | ID: biblio-1224709

ABSTRACT

Durante la pandemia por la COVID-19, la salud mental de los salvadoreños se vio afectada por diversas razones. Algunas personas que manifiestan malestar de índole psicológico, buscan atención en una clínica especializada en salud mental, por ello, es importante verificar la satisfacción del paciente al recibir el servicio y valorar la percepción en relación al terapeuta que ejerce su labor en dicha clínica


During the COVID-19 pandemic, the mental health of Salvadorans was affected for various reasons. Some people who manifest discomfort of a psychological nature seek care in a clinic specialized in mental health, therefore, it is important to verify the satisfaction of the patient when receiving the service and assess the perception in relation to the therapist who works in said clinic


Subject(s)
Patient Satisfaction , Patient Care , Mental Health Services , Student Run Clinic
9.
Rev. ADM ; 78(2): 106-114, mar.-abr. 2021. ilus
Article in Spanish | LILACS | ID: biblio-1247959

ABSTRACT

Las estrategias para el éxito en la rehabilitación bucal requieren de la interrelación de varias disciplinas que en conjunto logren resultados predecibles y duraderos. La visión individualizada de cada área de especialidad puede conllevar a no ofrecer la mejor alternativa de tratamiento, es por ello que la valoración, el diagnóstico y la planificación del caso clínico debe ser realizada por un equipo interdisciplinario para evitar esta situación y crear una sinergia en donde el «todo sea mayor que la suma de sus partes¼. El objetivo de este trabajo es presentar un caso clínico en el cual intervinieron varias áreas de especialidad: periodoncia, prostodoncia, cirugía oral y patología bucal, logrando devolver la función y la estética a través del manejo interdisciplinario (AU)


The strategies for success in oral rehabilitation require the interrelation of several disciplines, which together, achieve predictable and lasting results. The individualized view of each specialty area may lead to not offering the best treatment alternative, which is why the assessment, diagnosis, and planning of the clinical case must be carried out by an interdisciplinary team to avoid this situation and create a synergy in where the «whole is greater than the sum of its parts¼. The objective of this work is to present a clinical case where several areas of specialty intervened: periodontics, prosthodontics, oral surgery, and oral pathology, thus achieving the return of function and aesthetics through interdisciplinary management (AU)


Subject(s)
Humans , Female , Middle Aged , Patient Care Team , Oral Surgical Procedures, Preprosthetic/methods , Mouth Rehabilitation , Periodontitis/therapy , Schools, Dental , Patient Satisfaction , Photography, Dental , Advance Care Planning , Denture, Complete, Immediate , Esthetics, Dental , Alveolar Ridge Augmentation/methods , Labial Frenum/surgery , Mexico
10.
Rev. cuba. salud pública ; 47(1): e2191, ene.-mar. 2021. tab, graf
Article in Spanish | LILACS, CUMED | ID: biblio-1289575

ABSTRACT

Introducción: El asesoramiento genético constituye el proceso central en el manejo de trastornos de causa genética, de ahí la importancia de evaluar su efectividad. Objetivo: Evaluar la efectividad y aspectos éticos del asesoramiento genético en Cuba. Métodos: Se realizó un estudio observacional - descriptivo - retrospectivo de 2003 a 2013, que consistió en la realización de entrevistas, basadas en instrumentos diseñados y validados, a familias atendidas en los servicios de asesoramiento genético y a otros ciudadanos, la muestra quedó constituida por 13 142 individuos. Resultados: El nivel de conocimientos adquiridos fue bueno en 71,1 por ciento de los participantes; predominaron las decisiones muy racionales (68,4 por ciento); en 74,9 por ciento de las familias se logró un buen ajuste en relación con la situación particular. Existe en la población una elevada satisfacción con los servicios de asesoramiento genético (89,8 por ciento). La mayoría considera la prevención secundaria de enfermedades el objetivo más prioritario de la genética médica (81,3 por ciento), 93 por ciento está de acuerdo con el aborto selectivo como opción reproductiva ante el diagnóstico de enfermedades genéticas graves y de inicio precoz, y 76,5 por ciento prefiere el enfoque no directivo del asesoramiento genético. Conclusiones: El asesoramiento genético que se ofrece en los servicios de genética médica de Cuba es efectivo, satisface las expectativas de la población y cumple con principios éticos universalmente aceptados. La metodología diseñada y aplicada, basada en la organización de los servicios de genética en Cuba, permite la evaluación sistemática del asesoramiento genético, lo que propicia su mejoramiento y la posibilidad de trazar estrategias locales para aumentar su eficacia y alcanzar su excelencia(AU)


Introduction: Genetic counseling is the central process in the management of genetic disorders, hence the importance of assessing its effectiveness. Objective: Assess the effectiveness and ethical aspects of genetic counseling in Cuba. Methods: An observational - descriptive - retrospective study was conducted from 2003 to 2013, which consisted of conducting interviews based on instruments designed and validated with families assisted in genetic counseling services and other citizens; the sample consisted of 13 142 individuals. Results: The level of knowledge acquired was good in 71.1 percent of the participants; very rational decisions predominated (68.4 percent); in 74.9 percent of the families a good adjustment was achieved in relation to the particular situation. The population is highly satisfied with the genetic counselling services (89.8 percent). Most consider secondary diseases prevention to be the top priority for medical genetics (81.3 percent), 93 percent agree with selective abortion as a reproductive option after a diagnosis of serious and early-onset genetic diseases, and 76.5 percent prefer the non-directive approach to genetic counseling. Conclusions: The genetic counseling offered in the medical genetics services of Cuba is effective, satisfies the expectations of the population and complies with universally accepted ethical principles. The methodology designed and applied, based on the organization of genetic services in Cuba, allows the systematic assessment of genetic counseling, which males possible their improvement and the chance of devising local strategies to increase their effectiveness and achieve excellence in the service(AU)


Subject(s)
Humans , Patient Satisfaction , Ethics , Genetic Counseling/standards , Epidemiology, Descriptive , Retrospective Studies , Cuba , Observational Study
11.
Rev. argent. salud publica ; 13: 1-7, 5/02/2021.
Article in Spanish | LILACS | ID: biblio-1251059

ABSTRACT

INTRODUCCIÓN: El papel de los pacientes en los sistemas sanitarios es cada vez más relevante. Su satisfacción aparece como uno de los principales indicadores al evaluar la gestión sanitaria y la calidad asistencial. El objetivo del estudio fue determinar variables predictoras de satisfacción con la atención médica en la consulta externa pediátrica del Hospital El Cruce-Néstor Kirchner. MÉTODOS: Se realizó un estudio de corte transversal. Se incluyó a pacientes en edad pediátrica que concurrieron al Hospital a partir de junio de 2018. Se completaron encuestas CAHPS (Consumer Assessment of Healthcare Providers and Systems) después de la visita. Se utilizó test de Kruskal-Wallis para comparar distribución de cada variable predictora; para variables independientes categóricas, se realizó tabla n x p buscando significancia por test de chi cuadrado ajustada por número de comparaciones y chi cuadrado de tendencia lineal buscando asociación entre categorías predictoras ordenadas y variable respuesta. RESULTADOS: Un total de 423 personas respondieron el cuestionario; 368 eran mujeres, 390/415 eran padre o madre. La mayoría estaba conforme; sólo 3 asignaron puntajes menores a 7 (mínimo 0, máximo 10). Ninguna de las variables predictoras analizadas se asoció significativamente con peor evaluación del profesional y satisfacción con la atención. DISCUSIÓN: Hay un alto grado de satisfacción con la atención. Los motivos podrían ser abordados en profundidad mediante estudios cualitativos.


Subject(s)
Argentina , Quality of Health Care , Patient Satisfaction , Ambulatory Care
12.
Medisan ; 25(1)ene.-feb. 2021. ilus
Article in Spanish | LILACS, CUMED | ID: biblio-1154861

ABSTRACT

El problema de la conformidad del ser humano con las características específicas de su cuerpo puede tener su origen en un problema estético o en un aspecto de carácter puramente físico que limita de manera marcada el desarrollo de sus actividades diarias. Ambos pueden tener solución mediante una cirugía, especialmente la estética. El objetivo de este trabajo es reafirmar que la cirugía plástica estética resuelve verdaderos problemas de salud tanto física como mental al reconocer la labor de los especialistas de cirugía plástica como evaluadores y consejeros de pacientes que acuden a consulta en busca de ayuda en nuestra provincia. Se revisó la literatura nacional e internacional sobre el tema y se concluyó que la cirugía plástica con fines estéticos constituye una solución, al satisfacer las expectativas tanto de las personas que reciben el tratamiento, como de los especialistas que realizan el trabajo.


The problem of dissagrement of the human being with the specific characteristics of his body may have its origin in an esthetical problem or in a purely physical character affair which limits, in a marked way, the development of his daily activities. Both may be solved through a surgery, specially, a esthetic surgery. The objective of this work is to reaffirm that the plastic esthetic surgery solves real physical or mental health problems, so as to recognize the work of plastic surgery specialists as evaluators and advisers of patients visiting the provincial department who look for help. National and international literature on the topic was reviewed and it was concluded that plastic surgery with esthetic aims is a solution, as it satisfies the expectatives either from people searching treatment, as from the specialists who give the service.


Subject(s)
Surgery, Plastic , Mammaplasty , Abdominoplasty , Patient Satisfaction , Cuba , Esthetics
13.
Nursing (Säo Paulo) ; 24(273): 5267-5278, fev.2021.
Article in Portuguese | LILACS, BDENF | ID: biblio-1148503

ABSTRACT

Objetivos: Conhecer a satisfação e qualidade do serviço sobre time de acesso vascular e terapia infusional (TAVTI) e identificar a importância do TAVTI para a equipe de saúde. Metodo: Trata-se de uma pesquisa de campo exploratória, descritiva, com abordagem quantitativa e qualitativa. Aplicamos formulários para 149 profissionais. Resultados: Dos participantes, 46,97%(n:70) refere total satisfação frente ao TAVTI; a minoria 0,67%(n:1) demonstra insatisfação total; a maioria considera o serviço muito importante 71,14%(n:106) e excelente atuação para 44,96%(n:67). Apenas 1,34%(2) dos profissionais considerou a qualidade do trabalho regular. Dos participantes, 126 declararam: serviço humanizado; seguro para o paciente; necessita de capacitação e treinamento; material seguro; período integral. Conclusão: A atuação do TAVTI demonstra ser efetiva. Constatou-se a satisfação da equipe de saúde e a importância na pediatria devido à preservação do acesso venoso e o desejo dos profissionais em manter o TAVTI período integral. Frente ao percentual de qualidade considerado, excelente e ótimo.(AU)


Objectives: To know the satisfaction and quality of service on the vascular access and infusional therapy team (TAVTI) and to identify the importance of TAVTI for the health team. Methodo: This is an exploratory, descriptive field research, with a quantitative and qualitative approach. We apply forms to 149 professionals. Results: Of the participants, 46.97% (n: 70) reported total satisfaction with TAVTI; the minority 0.67% (n: 1) shows total dissatisfaction; the majority considered the service very important 71.14% (n: 106) and excellent performance for 44.96% (n: 67). Only 1.34% (2) of the professionals considered the quality of work to be regular. Of the participants, 126 declared: humanized service; safe for the patient; needs qualification and training; safe material; Full time. Conclusion: The performance of TAVTI proves to be effective. The satisfaction of the health team and the importance in pediatrics were found due to the preservation of venous access and the desire of professionals to maintain TAVTI full time. In view of the percentage of quality considered, excellent and great.(AU)


Objetivos: Conocer la satisfacción y calidad del servicio del equipo de acceso vascular y terapia infusional (TAVTI) e identificar la importancia de TAVTI para el equipo de salud. Metodo: Se trata de una investigación de campo exploratoria, descriptiva, con enfoque cuantitativo y cualitativo. Aplicamos formularios a 149 profesionales. Resultados: De los participantes, el 46,97% (n: 70) reportaron satisfacción total con TAVTI; la minoría 0,67% (n: 1) muestra total insatisfacción; la mayoría consideró el servicio muy importante 71,14% (n: 106) y excelente desempeño para el 44,96% (n: 67). Solo el 1,34% (2) de los profesionales consideró regular la calidad del trabajo. De los participantes, 126 declararon: servicio humanizado; seguro para el paciente; necesita cualificación y formación; material seguro; período integral. Conclusión: La actuación de TAVTI demuestra ser eficaz. La satisfacción del equipo de salud y la importancia en pediatría se encontraron debido a la preservación del acceso venoso y el deseo de los profesionales de mantener TAVTI a tiempo completo. En vista del porcentaje de calidad considerado, excelente y óptimo.(AU)


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Patient Care Team , Pediatric Nursing/methods , Quality of Health Care , Infusions, Intravenous/methods , Vascular Access Devices , Job Satisfaction , Patient Satisfaction , Quality Management , Health Services Needs and Demand
14.
Rev. bras. med. fam. comunidade ; 16(43): 2702, 20210126. tab
Article in Portuguese | LILACS | ID: biblio-1282414

ABSTRACT

Introdução: A aplicação do método clínico centrado na pessoa (MCCP) busca alcançar a compreensão da pessoa e da sua doença por meio da abordagem de duas perspectivas: a do médico e a da pessoa. A satisfação dos usuários é considerada um importante indicador de avaliação dos serviços. Objetivo: O presente artigo tem como objetivo investigar se há associação entre o grau de orientação ao MCCP, segundo a percepção da pessoa, e a satisfação com a última consulta médica em um serviço de atenção primária à saúde (APS). Metodologia:Trata-se de estudo transversal, realizado com pessoas com hipertensão e/ou diabetes nas 12 unidades de um serviço de APS, em Porto Alegre, RS (n = 408). O grau de orientação ao MCCP foi medido pelo instrumento "Percepção do Paciente sobre o Centramento da Consulta" (PPCC). Resultados: O baixo escore geral do PPCC (o que corresponde à alta orientação ao MCCP) esteve associado significativamente com a maior satisfação das pessoas com aspectos relacionados ao serviço (forma de agendamento e cordialidade da recepção) e ao atendimento médico (atenção dada às queixas pelo médico, exame físico do médico, explicações sobre problema e explicações sobre prognóstico), com a consulta em geral e com o tratamento da hipertensão arterial sistêmica e/ou do diabetes mellitus na unidade de saúde. Discussão: O médico de APS deve ser mais orientado à pessoa para que possa atingir, portanto, níveis mais altos de satisfação. Nessa perspectiva, a incorporação da satisfação dos usuários na avaliação dos serviços de saúde deve se constituir em indicador de qualidade, sobretudo, da abordagem praticada pelo médico.


Introduction: The application of the patient-centered clinical method (PCCM) aims to achieve the understanding about the patient and his/her condition by means of the approach from two perspectives: the doctor's and the patient's. The satisfaction of the users is considered as a major indicator of service evaluation. Purpose: This paper aims to investigate whether there is an association between the degree of PCCM orientation, according to the patient's perception, and the satisfaction with the most recent medical appointment in a primary health care (PHC) service. Methods: This is a cross-sectional study, developed with hypertensive and/or diabetic patients in the 12 health care centers of a PHC service in Porto Alegre, RS (n = 408). The degree of PCCM orientation was measured by the use of the "Patient Perception of Patient-Centeredness" (PPPC) tool. Results: The low general score of the PPPC (corresponding to the high PCCM orientation) was significantly associated with the higher satisfaction of the patients with aspects related to the service (scheduling mode and cordiality at the reception) and the medical care (attention paid to the demands by the doctor, physical exam by the doctor, explanations about the problem, and explanations on the prognosis), the appointment in general, and to the systemic hypertension and/or diabetes mellitus treatment in the health care center. Discussion: The PHC doctor must be more person-oriented to achieve, therefore, higher levels of satisfaction. In this perspective, the incorporation of the users' satisfaction in the evaluation of health services must be a quality indicator, especially of the approach practiced by the doctor.


Introducción: La aplicación del método clínico centrado en la persona (MCCP) busca lograr la comprensión del paciente y su enfermedad a través del abordaje desde dos perspectivas: la del médico y la del paciente. La satisfacción del usuario se considera un indicador importante de la evaluación del servicio. Objetivo: Este artículo tiene como objetivo investigar si existe una asociación entre el grado de orientación al MCCP, según la percepción del paciente, y la satisfacción con la última consulta médica en un servicio de atención primaria de salud (APS). Métodos:Se trata de un estudio transversal, realizado con pacientes hipertensos y/o diabéticos en las 12 unidades de un servicio de APS, en Porto Alegre, RS (n=408). El grado de orientación al MCCP se midió mediante el instrumento "Percepción del Paciente en el Centro de Consulta" (PPCC). Resultados: La baja puntuación general del PPCC (que corresponde a la alta orientación al MCCP) se asoció significativamente con la mayor satisfacción de los pacientes con aspectos relacionados con el servicio (forma de programación y cordialidad de recepción) y la atención médica (atención de las quejas por parte del médico), exploración física por parte del médico, explicaciones del problema y explicaciones de pronóstico), con consulta general y tratamiento de hipertensión arterial sistémica y/o diabetes mellitus en la unidad de salud. Discusión: El médico de la APS debe estar más orientado a las personas para que así pueda alcanzar mayores niveles de satisfacción. En esta perspectiva, la incorporación de la satisfacción del usuario en la valoración de los servicios de salud debe ser un indicador de calidad, sobre todo, del abordaje practicado por el médico.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Primary Health Care , Patient Satisfaction , Patient-Centered Care , Quality Indicators, Health Care
15.
Article in English | AIM | ID: biblio-1293118

ABSTRACT

Objectives: While studies on satisfaction following medical procedures are well documented, but this is not so with dental procedures. Therefore, this study aims to determine the level of satisfaction in patient undergoing intraoral examination (IOE). Material and Methods: Consecutive patients attending the oral diagnosis clinic of University of Benin Teaching Hospital from April 2020 to September 2020 were interviewed using a questionnaire modified from the modified Group Health Association of America-9 questionnaire. Results: A total number of 103 consecutive dental patients were recruited as they all agreed to participate in the study. The age range was 18­77 years with a mean age of 35.8 ± 14.3 years. There were more males (51.5%). The overall satisfaction was 82.5%. The maximum satisfactory response was on doctor's manner (93.2%), followed by staff 's manner (89.3%), comfort during IOE (80.6%), adequate explanation (78.6%), and finally by waiting time (60.2%). There was association between occupation (P = 0.04) of the patients, type of dental condition (P = 0.03), waiting time (P = 0.01), doctor's manner (P = 0.00), staff manner (P = 0.00), adequate explanation (P = 0.00), comfort during IOE (P = 0.00), and level of satisfaction. The problem rate was 16%. Conclusion: Although waiting time and adequate explanation ranked the highest in terms of unfavorable responses, the overall satisfaction of patients following IOE was generally good. The factors that influence satisfaction were occupation of the patients, type of dental condition, waiting time, doctor's manner, staff manner, adequate explanation, and comfort during IOE.


Subject(s)
Humans , Global Health , Patient Satisfaction , Diagnosis, Oral , Tertiary Care Centers , Nigeria
17.
Acta Paul. Enferm. (Online) ; 34: eAPE02843, 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1278057

ABSTRACT

Resumo Objetivo: Descrever o processo de adaptação transcultural e as evidências de validade e confiabilidade da versão brasileira da Escala de Bienestar Materno en Situación de Parto . Métodos: Estudo do tipo metodológico realizado por meio das etapas de tradução, retrotradução, avaliação por comitê de juízes, pré-teste e validação. O processo de validação incluiu a participação de 500 puérperas que realizaram parto vaginal. Foram realizadas análises fatoriais exploratórias e confirmatórias. Resultados: Após a análise dos juízes, foram aplicadas as alterações sugeridas e todos os itens apresentaram concordância entre os avaliadores acima de 80%. A análise fatorial exploratória e confirmatória indicaram um ajuste satisfatório do modelo com três dimensões e bons índices de confiabilidade (alpha = 0,95 e ômega = 0,94). Conclusão: A versão brasileira abreviada da Escala de Bienestar Materno en Situación de Parto é uma escala de 16 itens que apresenta boas evidências de validade e confiabilidade.


Resumen Objetivo: Describir el proceso de adaptación transcultural y las evidencias de validez y fiabilidad de la versión brasileña de la Escala de Bienestar Materno en Situación de Parto. Métodos: Estudio metodológico realizado mediante las etapas de traducción, retrotraducción, evaluación por comité de jueces, prueba piloto y validación. El proceso de validación incluyó la participación de 500 puérperas que tuvieron parto vaginal. Se realizaron análisis factoriales exploratorios y confirmatorios. Resultados: Después del análisis de los jueces, se aplicaron las modificaciones sugeridas y todos los ítems presentaron concordancia entre los evaluadores superior al 80 %. Los análisis factoriales exploratorios y confirmatorios indicaron un ajuste satisfactorio del modelo con tres dimensiones y buenos índices de fiabilidad (alfa = 0,95 y omega = 0,94). Conclusión: La versión brasileña abreviada de la Escala de Bienestar Materno en Situación de Parto es una escala que presenta buenas evidencias de validez y fiabilidad.


Abstract Objective: To describe the process of cross-cultural adaptation and validity and reliability evidence of the Brazilian version of the Bienestar Materno en Situación de Parto scale (Maternal Well-being in Childbirth Scale). Methods: This is a methodological study carried out through translation, back-translation, assessment by a committee of judges, pre-test, and validation. Validation included participation of 500 mothers who underwent vaginal childbirth. Exploratory and confirmatory factor analyzes were performed. Results: After analysis by judges, the suggested changes were applied, and all items showed agreement among evaluators above 80%. Exploratory and confirmatory factor analysis indicated a satisfactory fit of the model with three dimensions and good reliability indexes (alpha = 0.95 and omega = 0.94). Conclusion: The short Brazilian version of the Bienestar Materno en Situación de Parto scale is a 16-item scale that presents good validity and reliability evidence.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Labor, Obstetric , Pregnancy , Parturition , Maternal Health , Maternal Welfare , Translating , Patient Satisfaction , Validation Study , Health Promotion
18.
Article in English | LILACS-Express | LILACS, BBO | ID: biblio-1143390

ABSTRACT

ABSTRACT Objective: To evaluate the satisfaction of adolescents undergoing dental treatment between 2016 and 2018 at the Dental School of the Federal University of Minas Gerais (FAO UFMG). Material and Methods: A descriptive cross-sectional study using the Oral Health Services Satisfaction Assessment Questionnaire (QASSaB). The structured questionnaire has eleven questions divided among the dimensions: dentist / patient relationship, relationship with other professionals, effectiveness, accessibility/availability, technical-scientific quality, cleanliness and physical environment, acceptability, effectiveness/resolution, each with five response options. Descriptive data analysis was performed using absolute and relative frequencies. Results: A total of 145 adolescents participated in this study, 60 males and 85 females; 74.85% of adolescents rated dental treatment received as excellent, 76.7% reported having no symptoms after treatment, 46.2% considered it easy/very easy to get treatment, 65.6% reported that waiting time was short/very short, 90% considered dental equipment modern/very modern, 98% regarded the cleanliness of the waiting room and bathrooms as being excellent, 83.4% reported that they always received an explanation about the treatment, and 51.57% were totally satisfied with the appearance of the treated teeth and their chewing capacity. Conclusion: It was possible to observe that the adolescents, users of FAO UFMG, were satisfied with the service in the studied dimensions: human relations, effectiveness, accessibility/availability, technical-scientific quality, physical environment/cleanliness, acceptability and resolvability/effectiveness.


Subject(s)
Humans , Male , Female , Adolescent , Students, Dental , Oral Health/education , Patient Satisfaction , Adolescent Health Services , Dentist-Patient Relations , Schools, Dental , Brazil/epidemiology , Epidemiology, Descriptive , Cross-Sectional Studies , Surveys and Questionnaires , Data Interpretation, Statistical
19.
Rev. Esc. Enferm. USP ; 55: e03720, 2021. tab
Article in English | LILACS, BDENF | ID: biblio-1287977

ABSTRACT

ABSTRACT Objective: To determine the level of satisfaction with childbirth and the postpartum period. Method: This is a longitudinal, observational study. Clinical variables of the patients and delivery were collected, and a descriptive and inferential analysis was performed. The validated state-trait anxiety inventory (STAI) and the satisfaction survey Care in Obstetrics Measure For Testing Satisfaction Scale (COMFORTS) in Spanish were used. Results: A total of 381 women was included in the study and grouped into satisfied vs. dissatisfied (94.54% vs. 5.46%). Women having given birth by eutocic delivery (p = 0.005), as well as those who had skin-to-skin time with their newborn (p = 0.012) after delivery, report more satisfaction. Mothers who were separated from their babies reported being less satisfied (p = 0.004), as did those who did not meet the expectations raised in the birth plan (p = 0.013). All the women with minimal anxiety are satisfied (p = 0.004), the same happening for those showing postpartum anxiety (p <0.001). Conclusion: The percentage of satisfied women is high; it is necessary to monitor childbirth and postpartum care, promoting good practices in childbirth care, as well as in women's emotional well-being.


RESUMO Objetivo: Determinar o grau de satisfação no parto e puerpério. Método: Estudo observacional longitudinal. Foram coletadas variáveis clínicas das pacientes e do parto, realizando-se análise descritiva e inferencial. Foram utilizados os questionários validados de ansiedade como traço e estado (STAI) e a pesquisa de satisfação da Care in Obstetrics Measure For Testing Satisfaction Scale (COMFORTS) em espanhol. Resultados: 381 mulheres foram incluídas no estudo, agrupadas em satisfeitas vs. não satisfeitas (94,54% vs. 5,46%). Mulheres com parto eutócico relataram estar mais satisfeitas (p = 0,005), assim como aquelas que realizaram contato pele-a-pele com o recém-nascido (p = 0,012). As mães que se separaram de seus bebês relataram estar menos satisfeitas (p = 0,004), assim como aquelas que não tiveram atendidas as expectativas refletidas no plano de parto (p = 0,013). 100% das mulheres com ansiedade mínima estão satisfeitas (p = 0,004), o mesmo ocorre com o grau de ansiedade pós-parto (p <0,001). Conclusão: O percentual de mulheres satisfeitas é alto, é necessário cuidar da assistência ao parto e puerpério, promovendo boas práticas na assistência ao parto, bem como o bem-estar emocional da mulher.


RESUMEN Objetivo: Determinar el grado de satisfacción en el parto y puerperio. Método: Estudio observacional longitudinal. Se recogieron variables clínicas de las pacientes y del parto, realizándose un análisis descriptivo e inferencial. Se utilizaron los cuestionarios validados de ansiedad estado y rasgo (STAI) y la encuesta de satisfacción Care in Obstetrics Measure For Testing Satisfaction Scale (COMFORTS) en Español. Resultados: Se incluyeron en el estudio 381 mujeres que se agruparon en satisfechas vs. no-satisfechas (94,54% vs. 5,46%). Las mujeres con un parto eutócico refieren estar más satisfechas (p=0,005), así como aquellas que realizaron piel con piel con su recién nacido (p=0,012). Las madres que se separaron de sus bebés refieren estar menos satisfechas (p=0,004), al igual que las que no cumplieron las expectativas reflejadas en el plan de nacimiento (p=0,013). El 100% de las mujeres con ansiedad mínima están satisfechas (p=0,004), de igual manera sucede con el grado de ansiedad estado postparto (p<0,001). Conclusión: El porcentaje de mujeres satisfechas es elevado, es necesario cuidar la atención al parto y puerperio, fomentando las buenas prácticas de atención al parto, así como el bienestar emocional de las mujeres.


Subject(s)
Humans , Female , Pregnancy , Infant, Newborn , Adult , Patient Satisfaction , Delivery, Obstetric , Postpartum Period , Maternal-Child Health Services , Prospective Studies , Longitudinal Studies
20.
Rev. bras. educ. méd ; 45(3): e154, 2021. tab, graf
Article in Portuguese | LILACS | ID: biblio-1279859

ABSTRACT

Resumo: Introdução: A educação médica nas últimas décadas caminhou para um entendimento da importância de que os futuros profissionais sejam submetidos à aprendizagem em cenários de práticas o mais cedo possível dentro da graduação médica. Objetivo: Tendo em vista esse cenário diferenciado, o estudo dedicou-se a realizar uma avaliação pelos pacientes dos atendimentos em ambulatório do SUS realizados por estudantes de Medicina de diversos períodos, sob supervisão de preceptores médicos. Método: Foi realizado estudo transversal e descritivo por meio da aplicação de 200 questionários autopreenchidos. Resultado: A maior parte dos pacientes entrevistados relatou que foi informada previamente desse tipo de atendimento, que houve solicitação de consentimento e que os estudantes foram respeitosos e educados. Por conta disso, os pacientes sentiram-se satisfeitos em contribuir para o aprendizado dos estudantes e receberam mais explicações do seu estado de saúde. Tudo isso resultou em uma taxa de 98,5% de satisfação dos pacientes com o atendimento recebido. Em relação à duração do atendimento, houve relação entre a percepção de inadequação do tempo, a ausência do pedido de consentimento e a baixa escolaridade. Alguns pacientes mencionaram situações de incômodo, constrangimento ou desrespeito. Conclusão: A pesquisa demonstrou que a maioria dos pacientes entrevistados se sentiu satisfeita com o atendimento recebido pelos estudantes, o que comprova que esse tipo de metodologia de ensino tem sido bem recebido pela população. O estudo também evidenciou alguns aspectos que precisam ser melhorados, revelando necessidade de ações por meio da coordenação para aperfeiçoar esse importante método de ensino e o serviço de saúde ofertado à população.


Abstract: Introduction: Medical education in recent decades has moved towards an understanding of the importance of undergraduate medical students training in practical settings as early as possible. Objective: In view of this different scenario, the study was dedicated to carrying out an assessment by patients of the SUS outpatient care provided by medical students from different periods, under the supervision of medical preceptors. Method: A cross-sectional and descriptive study was conducted using 200 self-administered questionnaires. Results: It was found that most of the interviewed patients reported that they had previously been informed of this type of care, consent was requested, the student was respectful and polite, felt satisfied to contribute to the students' learning and received more explanations of their state of health, all resulting in a 98.5% patient satisfaction rate with the care received. Regarding the duration of care, there was a relationship between the perception of inadequate time, absence of the request for consent and low education. There were also some reports of discomfort, embarrassment, or disrespect for the patient. Conclusions: The research showed that the majority of the interviewed patients felt satisfied with the care they had received from the students, which proves that this type of teaching methodology has been welcomed by the population. The study also highlighted some aspects that need to be improved, revealing the need for actions through coordination to improve this important teaching method and the health service offered to the general public.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Preceptorship , Students, Medical , Patient Satisfaction , Ambulatory Care , Unified Health System , Cross-Sectional Studies , Surveys and Questionnaires , Educational Status
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