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1.
Rev. enferm. Inst. Mex. Seguro Soc ; 30(3): 54-59, 18-jul-2022. tab
Article in Spanish | LILACS, BDENF | ID: biblio-1379493

ABSTRACT

Introducción: la satisfacción con la calidad en la atención de enfermería por parte del paciente es el resultado de la relación profesional entre la enfermera y el paciente. Objetivo: evaluar la satisfacción con la calidad en la atención de enfermería de los pacientes de hemodiálisis de un hospital de especialidades en Sonora. Metodología: estudio cuantitativo, observacional, descriptivo, transversal y prospectivo, realizado mediante la aplicación del cuestionario SERVQHOS-E, que consta de 16 ítems y una encuesta de opinión y sirve para medir la satisfacción del paciente y la calidad percibida de la atención de enfermería. El análisis de datos se hizo con estadística descriptiva, frecuencias relativas y absolutas. Resultados: se estudiaron 146 pacientes. En cuanto a percepción de la calidad de la atención de enfermería, 99.3% estuvieron satisfechos y solo 0.7% estuvieron insatisfechos. En relación con la satisfacción global, el 100% se manifestaron satisfechos y 99.3% de los pacientes recomendaría el servicio. Conclusión: los pacientes con hemodiálisis de un hospital de especialidades en Sonora se encuentran satisfechos.


Introduction: Patient satisfaction with the quality of nursing care is the result of the professional relationship between nurse and patient. Objective: To assess patient satisfaction with hemodialysis as relates to the quality of nursing care in a specialty hospital in Sonora. Methodology: observational, descriptive, cross-sectional and prospective study, which was carried out using the SERVQHOS-E questionnaire, which consists of 16 items and one survey and measures the patient satisfaction and the perceived quality about nursing care. Data analysis was completed through descriptive statistics, relative and absolute frequencies. Results: 146 patients were studied. Concerning the perceived quality of nursing care, 99.3% were satisfied and only 0.7% reported dissatisfaction. Regarding global satisfaction, 100% of patients expressed satisfaction with their stay and 99.3% would recommend the services received to others. Conclusion: Hemodialysis patients at a specialty hospital in Sonora are satisfied.


Subject(s)
Humans , Male , Female , Quality of Health Care/statistics & numerical data , Renal Dialysis/statistics & numerical data , Patient Satisfaction/statistics & numerical data , Prospective Studies , Total Quality Management , Nursing Care/statistics & numerical data
2.
Braz. J. Pharm. Sci. (Online) ; 58: e18849, 2022. tab
Article in English | LILACS | ID: biblio-1360168

ABSTRACT

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


Subject(s)
Humans , Male , Female , Patients , Personal Satisfaction , Pharmacists/classification , Pharmaceutical Services/organization & administration , Primary Health Care/classification , Patient Satisfaction/statistics & numerical data , Consumer Behavior , Emergency Medical Services/organization & administration , Health Manager , Organization and Administration/statistics & numerical data , Pharmacies , Diagnosis of Health Situation , Surveys and Questionnaires , Equipment and Supplies/supply & distribution , Health Research Evaluation
3.
Brasília; Fiocruz Brasília;Instituto de Saúde de São Paulo; 5 nov. 2021. 28 p.
Non-conventional in Portuguese | LILACS, ColecionaSUS, PIE | ID: biblio-1362985

ABSTRACT

O problema: A satisfação é um relevante indicador de qualidade da atenção, particularmente entre usuários com doenças crônicas, como diabetes mellitus tipo 2 (DM2) e hipertensão arterial sistêmica (HAS). Ela pode estar relacionada a diversos aspectos do cuidado ofertado na Atenção Primária à Saúde, e sua avaliação possibilita repensar as práticas profissionais e a forma de organização do cuidado. Busca de evidências: As buscas foram realizadas em sete bases de literatura científica para identificar revisões sistemáticas (RS) sobre satisfação de pacientes com DM2 ou HAS com os cuidados recebidos em serviços de saúde. Resultados: De 562 registros recuperados nas bases, 18 RS foram selecionadas para esta síntese de evidências. A avaliação da qualidade metodológica, realizada com a ferramenta AMSTAR 2, classificou uma RS como de confiança moderada, duas de confiança baixa e dezesseis de confiança criticamente baixa. Os dados extraídos das RS puderam ser categorizados em quatro opções para melhorar a satisfação dos usuários. Opção 1. Esquemas terapêuticos para pessoas com DM2: Seis RS analisaram o efeito de diversos esquemas terapêuticos sobre a satisfação de usuários. Os resultados mostraram uma preferência dos participantes dos estudos pelos seguintes medicamentos em relação a seus comparadores: insulina inalada, insulina glulisina de ação curta, terapia combinada com dose fixa de rosiglitazona-metformina, dulaglutida. É importante ressaltar que nenhum desses medicamentos faz parte da RENAME 2020. Opção 2. Gestão do cuidado para pessoas com DM2: Cinco RS avaliaram a satisfação de usuários que receberam cuidados de profissionais de saúde. Os resultados mostraram associação entre satisfação e cuidados liderados por enfermeiros, grupo de educação para autogerenciamento da diabetes, e tratamento conduzido por equipe multidisciplinar. Opção 3. Monitoramento da glicemia para pessoas com DM2: Quatro RS avaliaram a satisfação de usuários com a utilização de estratégias de monitoramento da glicemia, mostrando resultados positivos para o monitoramento contínuo. Opção 4. Atendimento de telessaúde para pessoas com DM2 e HAS: Três RS analisaram a satisfação de usuários com o atendimento de telessaúde apontando resultados favoráveis a intervenções de telemedicina para usuários com HAS e teleatendimento de DM2. Considerações finais: Esta síntese de evidências indica que há poucos estudos que mensuraram a satisfação dos usuários, particularmente aqueles com HAS. Embora a maioria dos resultados tenha mostrado satisfação de pessoas com DM2 quanto às estratégias estudadas, observa-se que há várias incertezas. Desse modo, há necessidade de mais estudos com alta qualidade metodológica que investiguem intervenções para melhorar a satisfação dos usuários.


The problem: Satisfaction is a relevant indicator of quality of care, particularly among users with chronic diseases, such as type 2 diabetes mellitus (DM2) and systemic arterial hypertension (SAH). It may be related to several aspects of the care offered in Primary Health Care, and its evaluation makes it possible to rethink professional practices and the way in which care is organized. Search for evidence: Searches were carried out in seven scientific literature bases to identify systematic reviews (SR) on the satisfaction of patients with DM2 or SAH with the care received in health services. Results: Of 562 records retrieved from the databases, 18 RS were selected for this evidence synthesis. The methodological quality assessment, carried out with the AMSTAR 2 tool, classified one RS as moderately confident, two as low confidence and sixteen as critically low confidence. The data extracted from the SRs could be categorized into four options to improve user satisfaction. Option 1. Therapeutic regimens for people with DM2: Six SRs analyzed the effect of different therapeutic regimens on user satisfaction. The results showed a preference of study participants for the following drugs over their comparators: inhaled insulin, short-acting insulin glulisine, rosiglitazone-metformin fixed-dose combination therapy, dulaglutide. It is important to note that none of these drugs are part of RENAME 2020. Option 2. Management of care for people with DM2: Five SRs evaluated the satisfaction of users who received care from health professionals. The results showed an association between satisfaction and care led by nurses, education group for diabetes self-management, and treatment conducted by a multidisciplinary team. Option 3. Blood glucose monitoring for people with DM2: Four SRs evaluated the satisfaction of users with the use of blood glucose monitoring strategies, showing positive results for continuous monitoring. Option 4. Telehealth care for people with DM2 and SAH: Three SRs analyzed the satisfaction of users with telehealth care, pointing to favorable results for telemedicine interventions for users with SAH and telecare for DM2. Final considerations: This synthesis of evidence indicates that there are few studies that have measured user satisfaction, particularly those with SAH. Although most results have shown satisfaction of people with DM2 regarding the strategies studied, it is observed that there are several uncertainties. Thus, there is a need for more studies with high methodological quality that investigate interventions to improve user satisfaction.


Subject(s)
Humans , Primary Health Care , Patient Satisfaction , Patient Satisfaction/statistics & numerical data , Telemedicine , Patient Reported Outcome Measures , Diabetes Mellitus, Type 2 , Hypertension
4.
Braz. J. Pharm. Sci. (Online) ; 57: e19008, 2021. tab
Article in English | LILACS | ID: biblio-1345462

ABSTRACT

The study aimed to examine the psychometric properties of the Urdu version of Patient Satisfaction with Pharmacist Services Questionnaire (PSPSQ 2.0). We applied the forward-backward procedure to translate the PSPSQ 2.0 in the Urdu language. The test-retest reliability was assessed through Cronbach's alpha reliability analysis. The validity of the translated PSPSQ 2.0 was constructed by using Confirmatory Factor Analysis (CFA) through principal axis factoring extraction and Oblique rotation with Kaiser Normalization onto 2 predetermined factors. The Quality of Care (QOC) construct exhibited Cronbach's alpha values of 0.900 (Test) and α = 0.871 (Retest) at two-time points. The Interpersonal Relationship (IPR) Construct had alpha values of 0.845 (Test) and α = 0.819 (Retest). The Kaiser-Meyer-Olkin measure of sampling adequacy for the factor analysis was 0.899. Barlett's Test of Sphericity was significant (Chi-square = 1192.72; p < 0.05) revealing relationships of the data and suitability of CFA. Two factors explaining the total variance of 40% were extracted whereby loading values were acceptable (> 0.50) for all items of the translated version of PSPSQ 2.0. Results of this study conclude that the translated version of PSPSQ 2.0 is a valid instrument in regions where Urdu is a prime language of communication


Subject(s)
Pharmacists/ethics , Quality of Health Care , Surveys and Questionnaires/statistics & numerical data , Patient Satisfaction/statistics & numerical data , Psychometrics , Factor Analysis, Statistical , Communication , Methods
5.
Esc. Anna Nery Rev. Enferm ; 25(1): e20200046, 2021. tab
Article in Portuguese | LILACS, BDENF | ID: biblio-1124789

ABSTRACT

Resumo Objetivo Analisar uma ferramenta de telessaúde de um centro de referência em Diabetes Mellitus sob a ótica dos cuidadores. Método Estudo transversal, com abordagem quantitativa, desenvolvido em um centro de referência em Diabetes Mellitus, com cuidadores de crianças e adolescentes que utilizaram a Hot-Line e responderam ao questionário online, no período de novembro de 2018 a fevereiro de 2019. Resultados A amostra foi constituída de 90 participantes, sendo 76 (84,4%) do sexo feminino, tendo como o maior parentesco o materno 68 (75,6%). Quanto aos motivos das ligações, 31 (34,4%) referem-se às orientações gerais, 41 (45,6%) ao ajuste de dose de insulina, 6 (6,7%) à hipoglicemia aguda, 6 (6,7%) à hiperglicemia aguda, 2 (2,2%) aos dias de doença e 4 (4,4%) referem-se aos resultados de exames. Os participantes apresentaram um alto índice de satisfação com o uso da linha telefônica. Conclusão e implicações práticas O teleatendimento produz benefícios imediatos aos pacientes, sendo resolutivo no manejo da doença. Cabe ressaltar que o uso da telessaúde como forma de promoção da saúde contribui para a prevenção de agravos de maneira rápida, satisfatória e sem o deslocamento do paciente e sua família.


Abstract Objective To analyze a telehealth tool of a reference center in Diabetes Mellitus from the caregivers' perspective. Method A cross-sectional study, with a quantitative approach, developed at a reference center in Diabetes Mellitus, with caregivers of children and adolescents who used the Hot-Line and responded to the online questionnaire, from November 2018 to February 2019. Results The sample consisted of 90 participants, 76 (84.4%) were female, and the highest kinship was the maternal 68 (75.6%). Regarding the reasons for the telephone callings, 31 (34.4%) refer to general guidelines, 41 (45.6%) to the insulin dose adjustment, 6 (6.7%) to the acute hypoglycemia, 6 (6.7%) acute hyperglycemia, 2 (2.2%) to the days of disease and 4 (4.4%) refer to the test results. The participants presented a high level of satisfaction with the use of the telephone line.Conclusion and implications for practice: The call center produces immediate benefits to patients, being effective in the management of the disease. It should be emphasized that the use of telehealth as a form of health promotion contributes to the prevention of health problems in a fast, satisfactory way and without the displacement of the patient and his family.


Subject(s)
Humans , Male , Female , Child , Adolescent , Adult , Telemedicine/statistics & numerical data , Diabetes Mellitus/prevention & control , Socioeconomic Factors , Health Education/statistics & numerical data , Cross-Sectional Studies , Patient Satisfaction/statistics & numerical data , Caregivers/statistics & numerical data , Diabetes Mellitus/therapy , Age and Sex Distribution
6.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 1068-1074, jan.-dez. 2021. tab, graf
Article in English, Spanish, Portuguese | LILACS, BDENF | ID: biblio-1252944

ABSTRACT

Objetivo: analisar o nível de satisfação dos usuários com os cuidados de enfermagem no ambiente hospitalar. Métodos: estudo transversal, analítico, quantitativo, realizado com 101 pacientes de um hospital do Centro-Sul do Piauí, no período de março de 2016 a janeiro de 2017. Utilizou-se a "Escala de satisfação do cliente" da Classificação dos Resultados de Enfermagem, com análise dos resultados a partir do Software Statistic Package for Social Sciences. Resultados: os pacientes se mostraram satisfeitos com os cuidados de enfermagem (58,4%). As variáveis que apresentaram associação estatisticamente significante com a satisfação foram "raça/cor" (p=0,028) e "situação conjugal" (p=0,030), além dos indicadores "alimentar-se" (p=0,018) e "higiene" (p=0,035) da escala de autocuidado. Conclusão: a satisfação dos pacientes permite a identificação de potencialidades e deficiências fornecendo contribuições para a reorganização das atividades assistenciais, gerenciais e de ensino


Objective: to analyze the level of user satisfaction with nursing care in the hospital environment. Method: cross-sectional, analytical, quantitative study, carried out with 101 patients from a hospital in the Center-South of Piauí, from March 2016 to January 2017. The "Customer Satisfaction Scale" of the Results Classification of Nursing, with analysis of the results using the Statistic Package for Social Sciences Software. Results: patients were satisfied with nursing care (58.4%). The variables that showed a statistically significant association with satisfaction were "race / color" (p = 0.028) and "marital status" (p = 0.030), in addition to the indicators "eating" (p = 0.018) and "hygiene" (p = 0.035) of the self-care scale. Conclusion: patient satisfaction allows the identification of potential and deficiencies, providing contributions for the reorganization of care, management and teaching activities


Objetivo: analizar el nivel de satisfacción del usuario con la atención de enfermería en el entorno hospitalario. Método: estudio transversal, analítico, cuantitativo, realizado con 101 pacientes de un hospital del Centro-Sur de Piauí, de marzo de 2016 a enero de 2017. La "Escala de satisfacción del cliente" de la Clasificación de resultados de Enfermería, con análisis de resultados utilizando el Paquete Estadístico para Software de Ciencias Sociales. Resultados: los pacientes quedaron satisfechos con los cuidados de enfermería (58.4%). Las variables que mostraron una asociación estadísticamente significativa con la satisfacción fueron "raza / color" (p = 0.028) y "estado civil" (p = 0.030), además de los indicadores "comer" (p = 0.018) e "higiene" (p = 0.035) de la escala de autocuidado. Conclusión: la satisfacción del paciente permite la identificación de potenciales y deficiencias, aportando contribuciones para la reorganización de las actividades de atención, gestión y enseñanza


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Patient Satisfaction/statistics & numerical data , Hospital Care/statistics & numerical data , Nursing Care/statistics & numerical data , Standardized Nursing Terminology
8.
Gac. méd. Méx ; 156(1): 47-52, ene.-feb. 2020. tab, graf
Article in English, Spanish | LILACS | ID: biblio-1249869

ABSTRACT

Resumen Antecedentes: La satisfacción del usuario es clave para definir y valorar la calidad de la atención, sin embargo, no existe una escala rápida de satisfacción del paciente en México. El objetivo fue determinar la validez y consistencia de la Escala Rápida de Satisfacción del Paciente de Consulta Externa (ERSaPaCE). Método: Estudio comparativo, observacional, transversal, prolectivo. En la fase 1 se elaboró un modelo de escala rápida, que se sometió a la valoración de expertos en atención médica; se realizaron pruebas piloto con 10 pacientes por ronda, tantas veces como fuera necesario hasta lograr 20 aprobaciones. En la fase 2 se aplicó el cuestionario resultante y la escala de Satisfacción del Usuario de Consultas Externas (SUCE) a usuarios de consulta externa; la ERSaPaCE se reaplicó telefónicamente siete a 10 días después. Se utilizó estadística descriptiva, a de Cronbach, Spearman y coeficiente de correlación intraclase (CCI). Resultados: Se reclutaron 200 pacientes, 53 % con edad de 31 a 60 años, 51.5 % mujeres y 48.5 % hombres de la consulta externa de 13 especialidades; a de Cronbach de ERSaPaCE = 0.608, CCI = 0.98 (p = 0.000) y validez convergente = 0.681 (p = 0.000) por rho de Spearman. Conclusiones: ERSaPaCE fue un instrumento válido y consistente para evaluar la satisfacción del usuario de consulta externa.


Abstract Background: User satisfaction is key to define and assess the quality of care; however, there is no patient satisfaction rapid scale in Mexico. Our objective was to determine the validity and consistency of an outpatient department user satisfaction rapid scale (ERSaPaCE). Method: Comparative, observational, cross-sectional, prolective study. In phase 1, a rapid scale model was developed, which was submitted to experts in medical care for assessment; the instrument was pilot-tested in 10-patient groups, using as many rounds as required until it obtained 20 approvals. In phase 2, the resulting questionnaire and the Outpatient Service User Satisfaction (SUCE) scale were applied to outpatient department users. ERSaPaCE was reapplied by telephone 10 days later. Descriptive statistics, Cronbach’s a, Spearman’s correlation and intra-class correlation coefficient (ICC) were used. Results: Two-hundred patients were recruited, out of which 53 % were aged 31-60 years; 51.5 % were women and 48.5 % men, all of them users of the outpatient services from 13 specialties. Cronbach’s a for ERSaPaCE was 0.608, whereas ICC was 0.98 (p = 0.000). Convergent validity was 0.681 (p = 0.000) using Spearman’s rho. Conclusion: ERSaPaCE was a valid and consistent instrument for the assessment of outpatient department user satisfaction.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Outpatients/statistics & numerical data , Quality of Health Care , Surveys and Questionnaires , Patient Satisfaction/statistics & numerical data , Ambulatory Care/standards , Outpatients/psychology , Patient Admission , Attitude of Health Personnel , Cross-Sectional Studies , Reproducibility of Results , Statistics, Nonparametric , Health Facility Environment/standards
9.
Rev. Col. Bras. Cir ; 47: e20202398, 2020. tab
Article in Portuguese | LILACS | ID: biblio-1136601

ABSTRACT

RESUMO Objetivo: Avaliar a qualidade de vida de pacientes submetidos a simpatectomia torácica bilateral de R5 a R8 como forma de tratamento da hiperidrose compensatória (HC) grave e debilitante em pacientes que foram previamente submetidos a simpatectomia torácica bilateral para tratamento da hiperidrose localizada. Métodos: Doze pacientes com hiperidrose compensatória grave e debilitante foram submetidos a simpatectomia estendida no Hospital das Clínicas da Universidade Federal de Pernambuco, Brasil, entre setembro de 2016 e maio de 2019. Os seguintes desfechos foram estudados: nível de satisfação com a operação, escore de qualidade de vida e as possíveis complicações cirúrgicas. Resultados: Houve significativa melhora na qualidade de vida em 66% da amostra. Em todas as esferas de função, foi evidenciada relevância estatística no que se refere ao alívio dos sintomas relacionados à hiperidrose compensatória. Conclusões: A simpatectomia estendida de R5 a R8 mostrou-se efetiva na maioria dos casos operados, caracterizando este procedimento como promissor, podendo, após estudos futuros, ser incluído como uma opção terapêutica para a hiperidrose compensatória.


ABSTRACT Objective: The purpose of this study was to assess the quality of life of patients who had undergone bilateral thoracic sympathectomy from R5 to R8 as a treatment for severe and debilitating compensatory hyperhidrosis (CH). Methods: Twelve patients with severe and debilitating compensatory hyperhidrosis underwent extended sympathectomy (R5-R8) from September 2016 to May 2019 at the Hospital das Clínicas, Federal University of Pernambuco, Brazil. Outcomes such as the level of patient satisfaction with the operation, quality of life scores as well as postoperative complications were assessed. Results: There has been a substantial improvement in the quality of life score of 66% of the sample. In all four domains, a statistical significant difference was seen, regarding the relief of compensatory hyperhidrosis symptoms. Conclusions: Extended sympathectomy from R5 to R8 was shown to be quite effective in most cases, leading us to believe that this approach could be a therapeutic option for severe compensatory hyperhidrosis.


Subject(s)
Humans , Quality of Life/psychology , Sympathectomy/methods , Patient Satisfaction/statistics & numerical data , Hyperhidrosis/surgery , Sympathectomy/psychology , Severity of Illness Index , Treatment Outcome , Hyperhidrosis/psychology
10.
Epidemiol. serv. saúde ; 29(3): e2019429, 2020. tab, graf
Article in English, Portuguese | LILACS | ID: biblio-1101147

ABSTRACT

Objetivo: avaliar os fatores associados à insatisfação dos usuários dos centros de especialidades odontológicas (CEOs) do Brasil. Métodos: estudo transversal, com dados do Programa de Melhoria do Acesso e da Qualidade dos CEOs; realizado em 2014, o estudo incluiu amostra não probabilística de usuários; foram classificados como insatisfeitos aqueles que responderam ser o atendimento por eles recebido regular, ruim ou muito ruim. Resultados: foram incluídos 8.730 usuários, dos quais 4,8% relataram insatisfação; maior tempo de deslocamento até o serviço (OR=1,38 - IC95% 1,10;1,74) e maior tempo de espera (OR=1,37 - IC95% 1,07;1,75) associaram-se positivamente à insatisfação; encontrou-se associação negativa com o acolhimento (OR=0,12 - IC95% 0,09;0,16), a possibilidade de tirar dúvidas (OR=0,37 IC95% 0,24;0,58) e o recebimento de orientações (OR=0,33 - IC95% 0,25;0,44). Conclusão: a insatisfação dos usuários teve baixa prevalência e foi associada a fatores relativos à organização dos serviços e ao recebimento de informação e apoio.


Objetivo: evaluar los factores asociados con la insatisfacción de los usuarios de los centros de especialidades dentales (CEO) de Brasil. Métodos: estudio transversal con datos del Programa de Mejoramiento de Acceso y Calidad de los Centros de Especialidad Dental de 2014, que incluyó una muestra no probabilística de usuarios; los que respondieron que el servicio recibido era regular, malo o muy malo fueron clasificados como insatisfechos. Resultados: se incluyeron 8.730 usuarios, 4,8% reportaron insatisfacción; mayor tiempo de viaje (OR=1,38 - IC95% 1,10;1,74) y espera (OR=1,37 - IC95% 1,07;1,75) se asociaron positivamente con la insatisfacción; hubo asociación negativa con la recepción (OR=0,12 - IC95% 0,09;0,16), la posibilidad de despejar dudas (OR=0,37 - IC95% 0,24;0,58) y recibir orientación (OR=0,33 - IC95% 0,25;0,44). Conclusión: la prevalencia de insatisfacción fue baja y se asoció con factores relacionados con la organización de los servicios y la recepción de información y apoyo.


Objective: to evaluate factors related to the dissatisfaction of users of the specialized dental care centers (CEO) in Brazil. Methods: this was a cross-sectional study with data from the Dental Specialty Center Access and Quality Improvement Program; the study was conducted in 2014 and included a non-probabilistic sample of users; those who answered that the service received was regular, poor or very poor were classified as dissatisfied. Results: a total of 8,730 users were included, 4.8% reported dissatisfaction; longer time taken to get to the service (OR=1.38 - 95%CI1.10;1.74), and longer waiting time until treatment (OR=1.37 - 95%CI1.07;1.75), were positively associated with dissatisfaction, whereas negative association was found with attention received (OR=0.12 - 95%CI0.09;0.16), the possibility of asking questions about treatment (OR=0.37 - 95%CI0.24;0.58), and receiving advice during treatment (OR=0.33 - 95%CI0.25;0.44). Conclusion: prevalence of user dissatisfaction was low and was associated with factors related to service organization and receipt of information and support.


Subject(s)
Humans , Oral Health/statistics & numerical data , Patient Satisfaction/statistics & numerical data , Dental Health Services/organization & administration , Specialties, Dental , Secondary Care , Brazil , Cross-Sectional Studies
11.
Rev. chil. salud pública ; 24(1): 40-48, 2020. tab
Article in Spanish | LILACS | ID: biblio-1121735

ABSTRACT

INTRODUCCIÓN: La calidad y seguridad de la atención constituyen pilares fundamentales del sistema de salud, basándose en el respeto por la dignidad y autonomía de los usuarios. Esto demanda que la atención considere características propias de las personas al evaluar su satisfacción con sus servicios; sin embargo, las encuestas de satisfacción usuaria suelen indagar solamente en generalidades como infraestructura y tiempos de atención. EL OBJETIVO de este trabajo era evaluar los factores socio-demográficos y clínicos asociados a la satisfacción usuaria de padres/cuidadores en un hospital pediátrico de alta complejidad en Santiago, Chile. MATERIALES Y MÉTODOS: Se aplicó la encuesta Pediatric Acute Care, adaptada al castellano, a 304 padres/cuidadores de pacientes pediátricos. Se analizó el comportamiento psicométrico del instrumento, y se aplicó un modelo lineal generalizado para evaluar las características sociodemográficas y clínicas asociadas al puntaje de satisfacción usuaria. RESULTADOS: Los padres/cuidadores que perciben la salud del niño/a como "buena" presentan, en promedio, 4,64 puntos más de satisfacción en comparación a quienes consideran la salud como "mala" (IC95% 0,9 ­ 8,38; p=0,015). Del mismo modo, a medida que aumenta la edad del niño/a en un mes, la satisfacción aumenta en 0,026 puntos (IC95% 0,01 ­ 0,041; p=0,001). No obstante, la satisfacción disminuye en 0,06 puntos por cada día que el niño/a pasa hospitalizado/a (IC95% -0,69 ­ -0,003; p=0,034), ajustando por otras variables. DISCUSIÓN: La satisfacción usuaria de padres/cuidadores de niños/as hospitalizados está asociada a características personales de los mismos. Los profesionales de la salud deben considerar estas características con el objetivo de otorgar una atención de calidad, ajustada a las necesidades de los usuarios.


INTRODUCTION: Assuring the quality of care and patient safety are central pillars of health sys-tems, in order to respect patients' dignity and autonomy. On the basis of these principles, healthcare systems should consider users' personal characteristics to evaluate their satisfaction with services; however, most user satisfaction surveys only ask about general issues, such as infrastructure and wait times. THE OBJECTIVE of this study was to evaluate socio-demographic and clinical factors related to parent/caregiver's user satisfaction in a tertiary pediatric hospital located in Santiago, Chile. MATERIALS AND METHODS: The Pediatric Acute Care questionnaire was adapted and applied to 304 parents/caregivers. Psychometric characteristics were evaluated, and a generalized linear model was applied to obtain socio-demographic and clinical factors related to the user satis-faction score. RESULTS: Parents/caregivers who perceive their child's health as 'good' obtained, on average, 4.64 more satisfaction points than those who consider their child's health as 'bad' (IC95% 0.9 ­ 8.38; p=0.015). Likewise, as a child's age increases by one month, satisfaction increases by 0.0026 points (IC95% 0.01 ­ 0.041; p=0.001). Nonetheless, each additional day a child is hospitalized decreases user satisfaction by 0.06 points (IC95% -0.69 ­ -0.003; p=0.034), holding other variables constant. DISCUSSION: User satisfaction is associated with parents/caregivers' personal characteristics. Health workers should consider these characteristics in order to deliver better care, adjusted to their users' needs


Subject(s)
Humans , Male , Female , Child , Adult , Parents/psychology , Patient Satisfaction/statistics & numerical data , Caregivers/psychology , Parent-Child Relations , Psychometrics , Socioeconomic Factors , Logistic Models , Child, Hospitalized , Cross-Sectional Studies , Surveys and Questionnaires , Social Determinants of Health , Hospitals, Pediatric
12.
Rev. bras. cir. plást ; 34(4): 477-484, oct.-dec. 2019. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1047906

ABSTRACT

Introdução: Sabe-se que o câncer de mama é hoje a segunda neoplasia mais frequente entre as mulheres, as quais são submetidas desde a tratamentos clínicos até cirúrgicos mutilantes da mama. Ter mamas bonitas e harmoniosas é um direito legítimo, sendo assim o conceito de reconstrução mamária e do complexo areolo papilar se torna importante na reinserção social feminina. Este estudo visa apresentar uma técnica eficaz de reconstrução areolar, utilizando enxerto cutâneo livre palpebral bilateral, demonstrando sua eficácia através de resultados fotográficos, comparação com outras técnicas já descritas e questionários de satisfação dos pacientes. Resultados: Foram avaliados, retrospectivamente, 50 pacientes operados de reconstrução areolar com enxerto de pele palpebral e outras técnicas já descritas, operados por um único cirurgião sênior. O grupo de pacientes operados com pele palpebral não obtiveram diferenças significativas dentro da análise de resultados, comparados com outras técnicas de reconstrução. Houve boa satisfação por parte dos pacientes, quanto ao resultado das cirurgias das aréolas. Conclusão: O estudo obteve baixos índices de complicações, apresentando-se como boa opção terapêutica, dentro do arsenal cirúrgico de reconstrução areolar.


Introduction: Breast cancer is currently the second most common neoplasm among women who undergo clinical treatments and breast-mutilating surgeries. Having beautiful and harmonious breasts is a legitimate right, so the concept of reconstructing the breast and nipple-areolar complex becomes important in female social reinsertion. This study aimed to present an effective technique of areolar reconstruction using free bilateral eyelid skin grafts and demonstrate its effectiveness through photographic results, comparison with previously described techniques, and patient satisfaction questionnaires. Results: The authors retrospectively evaluated 50 patients who underwent areolar reconstruction with eyelid skin grafts and other techniques performed by a single senior surgeon. Patients who underwent eyelid skin graft surgery did not achieve significantly different results from those who underwent other reconstruction techniques. Patients who underwent areola surgeries reported good satisfaction. Conclusion: The study revealed low complication rates and demonstrated that the use of eyelid skin is a good therapeutic option for areolar reconstruction.


Subject(s)
Humans , Female , History, 21st Century , Patients , Skin , Transplantation , Breast , Patient Satisfaction , Reconstructive Surgical Procedures , Esthetics , Eyelids , Nipples , Transplantation/methods , Transplantation/statistics & numerical data , Breast/surgery , Patient Satisfaction/statistics & numerical data , Reconstructive Surgical Procedures/methods , Eyelids/surgery , Nipples/surgery
13.
Rev. bras. ginecol. obstet ; 41(10): 613-620, Oct. 2019. tab
Article in English | LILACS | ID: biblio-1042319

ABSTRACT

Abstract Objective To evaluate the association between the acceptance on the part of the patients and their reasons to consent to or refuse medical student attendance during gynecological outpatient care, considering the participants' demographic characteristics, consultation experience, and gender bias or lack thereof. Methods Face-to-face interviews with patients waiting for gynecological consultations that had been scheduled in advance at Hospital Universitário de Brasília. Contingency analyses were used to determine the levels of association among the patient variables. The accepted significance level was values of p<0.05. Results We interviewed 469 patients. The comfort level with the presence of a student was strongly related to the number of students present during the consultation (Cramér V=0.671). The inclination to grant consent (a series of reasons to consent to or refuse student attendance) was significantly related (p<0.001) to the overall receptivity to student participation (ρ=0.482), the positive appraisal of student-doctor demeanor in previous consultations (ρ=0.253, N=408), and to greater levels of schooling (ρ=0.158). The patients' receptivity was significantly related (p<0.001) to the lack of bias regarding the gender of the physician (CramérV=0.388), previous experience with students (Cramér V=0.235) and awareness of the fact that they would be present (Cramér V=0.217), older age (ρ=0.136, p=0.003), and multiparity (ρ=0.102, p=0.027). Conclusion Greater receptivity to student participation related significantly to five conditions in decreasing order of strength of association: lack of bias regarding the gender of the Ob-Gyn, previous experience with student involvement, awareness of the presence of students, older age, and multiparity. We also found that a more positive inclination to consent to student attendance correlated positively with a greater receptivity to student participation and to a suitable student-doctor demeanor.


Resumo Objetivo Avaliar a associação entre as razões das pacientes para consentir ou recusar a presença de estudantes de medicina no ambulatório de Ginecologia, considerando seus fatores demográficos, experiência prévia com alunos, e sensibilidade com relação ao gênero. Métodos Entrevistas com as pacientes que aguardavam consultas ginecológicas previamente agendadas no Hospital Universitário de Brasília. Análises de contingência foram utilizadas para determinar os níveis de associação entre as variáveis das pacientes. Valores de p<0.05 foram considerados estatisticamente significativos. Resultados Foram entrevistadas 469 pacientes. Observou-se forte associação entre o conforto com a presença do estudante e o número destes presentes à consulta (V de Cramér=0.671). A tendência ao consentimento (relação de motivos para consentir ou discordar da presença do estudante) relacionou-se significativamente (p<0.001) à maior receptividade à participação dos alunos (ρ=0.482), a uma avaliação positiva do comportamento aluno-médico em consultas anteriores (ρ =0.253, N=408), e a maior escolaridade das pacientes (ρ =0.158). Observou-se associação significativa entre receptividade das pacientes (p<0.001) e ausência de discriminação quanto ao gênero do médico (V de Cramér=0.388), experiência prévia com estudantes (V de Cramér =0.235), ciência de que estariam presentes à consulta (V Cramér=0.217), idade mais avançada (ρ=0.136; p=0.003), e multiparidade (ρ=0.102; p=0.027). Conclusão Maior receptividade à participação dos estudantes relacionou-se a cinco condições em ordem decrescente de força de associação: ausência de discriminação quanto ao gênero do médico ginecologista-obstetra, experiência prévia com estudantes, conhecimento antecipado sobre a presença deles, idade mais avançada, e multiparidade. Também foi observada correlação positiva entre maior tendência ao consentimento e maior receptividade à participação dos alunos e comportamento adequado médico-estudante.


Subject(s)
Humans , Male , Female , Adult , Patients/psychology , Patient Acceptance of Health Care/psychology , Patient Satisfaction/statistics & numerical data , Ambulatory Care/psychology , Gynecology , Referral and Consultation , Students, Medical , Cross-Sectional Studies , Surveys and Questionnaires , Middle Aged
14.
Rev. bras. ginecol. obstet ; 41(10): 607-612, Oct. 2019. tab, graf
Article in English | LILACS | ID: biblio-1042315

ABSTRACT

Abstract Objective Almost 80% of adolescent pregnancies are unplanned, and between 28 and 63% of adolescent mothers had a repeated pregnancy within 18 months. Among girls with repeated pregnancies, two-thirds reported that the pregnancy was unplanned. We aim to assess contraceptive use by adolescent mothers with increasing choice for long-acting reversible contraception (LARC) methods in postpartum consultation after a semistructured group intervention involving adolescent mothers. Methods Retrospective observational study conducted at the Universidade Estadual de Campinas, Campinas, state of São Paulo, Brazil, involving new antenatal and postpartum education groups for adolescents. At postpartum consultations, the adolescents chose their contraceptive. The datawas compared with previous series followed in a period before the implementation of the education group - a historical control group. Results We included 129 adolescent after childbirth from January 1st, 2015 through July 31st, 2017. Out of this total, 63% had ever used contraceptive methods before pregnancy, and the most frequent method was combined oral contraceptives (33%) followed by condoms (21%). At the first postpartum consultation, the most common contraceptive chosen was intrauterine contraception (IUC) (37.2%) and depot-medroxyprogesterone acetate (DMPA) (34.1%).When comparing the rates before and after the education interventions, there was a 3-fold increase in the use of IUCs. Conclusion Antenatal and postpartum education have shown a significant increase in the choice for LARC methods among adolescent mothers, with very high acceptability after a period using the method. The educational groups performed during the antenatal care and beyond the gestational period are easy to be applied worldwide with low dependence on funding.


Resumo Objetivo Cerca de 80% das gestações na adolescência não são planejadas, e entre 28 e 63% das mães adolescentes apresentam repetição da gravidez em 18 meses. Entre as meninas com gravidez repetida, dois terços relataram que a gravidez não foi planejada. Métodos Estudo observacional retrospectivo realizado na Universidade Estadual de Campinas, São Paulo, SP, Brasil, envolvendo novos grupos de educação pré-natal e pósparto para adolescentes. Nas consultas pós-parto, os adolescentes optaram pela contracepção. Os dados foram comparados com uma série de casos seguida em um período anterior à implementação do grupo de educação pré-natal - um grupo de controle histórico. Resultados Foram incluídas 129 adolescentes no período pós-parto de 1° de janeiro de 2015 a 31 de julho de 2017. Destas, 63% já tinham usado métodos contraceptivos antes da gravidez, e o método prévio mais frequente foi contraceptivo oral combinado (33%) seguido por preservativo (21%). Na primeira consulta pós-parto, o anticoncepcional mais comumente escolhido foi o dispositivo intrauterino (DIU) (37,2%) e o acetato de medroxiprogesterona de depósito (DMPA) (34,1%). Ao comparar as taxas antes e depois das intervenções de educação pré-natal, houve um aumento de três vezes no uso de DIUs. Conclusão Educação pré-natal e pós-parto mostraram um aumento significativo na escolha de métodos contraceptivos reversíveis de longa duração entre mães adolescentes. Grupos educativos realizados durante o pré-natal e alémdo período gestacional são ferramentas para promoção da saúde e são de fácil aplicação mundial, com baixa dependência de financiamento.


Subject(s)
Humans , Female , Pregnancy , Adolescent , Pregnancy in Adolescence/prevention & control , Health Education , Contraception/statistics & numerical data , Health Behavior , Retrospective Studies , Patient Satisfaction/statistics & numerical data , Postpartum Period , Long-Acting Reversible Contraception , Empowerment , Intrauterine Devices , Mothers
15.
Fisioter. Pesqui. (Online) ; 26(3): 322-328, jul.-set. 2019. tab
Article in Portuguese | LILACS | ID: biblio-1039887

ABSTRACT

RESUMO A satisfação é determinada pela reação do paciente ao serviço recebido, sendo, portanto, um indicador sensível da qualidade do atendimento. O objetivo deste estudo foi comparar a satisfação dos usuários que realizam tratamento fisioterapêutico ambulatorial em clínicas públicas (CP), em clínicas privadas de convênio (CC) e em clínica-escola (CE). Foram avaliados 382 pacientes, com idade mínima de 18 anos, que haviam sido submetidos a, no mínimo, cinco atendimentos. Os pacientes foram divididos em três grupos e utilizou-se um questionário com perguntas sobre dados sociodemográficos e satisfação nos domínios interação paciente-terapeuta, acesso e atendimento da recepção, conveniência, ambiente e satisfação geral. A maior parte dos pacientes eram do sexo feminino (68,60%), com média de 51,96 anos de idade. Na comparação entre os serviços, a CE apresentou maior satisfação que a CP em equipe de apoio, conveniência e ambiente físico, e a CC em relação terapeuta-paciente e satisfação geral. A CC foi mais bem avaliada que a CP em conveniência e ambiente físico. A análise de correlação entre a satisfação geral e cada um dos domínios mostrou valores de bom a moderado para relação terapeuta-paciente, e os menores valores para o domínio conveniência. O questionário mostrou boa consistência interna e coerência nos três serviços (α≥0,94). Esses resultados representam um importante indicador da impressão dos usuários nos serviços investigados, permitindo melhor direcionamento na implementação de políticas públicas, privadas e acadêmicas, visando a melhora da qualidade dos atendimentos de fisioterapia.


RESUMEN Determinada por la reacción al servicio recibido, la satisfacción del paciente es un indicador sensible de la calidad de la atención. El objetivo de este estudio fue comparar la satisfacción de los usuarios que realizan tratamiento fisioterapéutico ambulatorio en clínicas públicas (CP), en clínicas privadas de convenio (CC) y en clínica-escuela (CE). Se evaluaron 382 pacientes, con edad mínima de 18 años, sometidos a por lo menos cinco atendimientos. Los pacientes fueron divididos en tres grupos y se utilizó un cuestionario con preguntas sobre datos sociodemográficos y satisfacción en los dominios interacción paciente-terapeuta, acceso y atención de la recepción, conveniencia, ambiente y satisfacción general. La mayoría de los pacientes eran mujeres (68,60%), con edad media de 51,96 años. En la comparación entre los servicios, la CE presentó mayor satisfacción que la CP en equipo de apoyo, conveniencia y ambiente físico, y la CC en la relación terapeuta-paciente y satisfacción general. La CC fue mejor evaluada que la CP en conveniencia y ambiente físico. El análisis de correlación entre la satisfacción general y cada uno de los dominios mostró valores de bueno a moderado para relación terapeuta-paciente, y los menores valores para el dominio conveniencia. El cuestionario mostró buena consistencia interna y coherencia en los tres servicios (α≥0,94). Estos resultados representan un importante indicador de la impresión de los usuarios en los servicios investigados, permitiendo un mejor direccionamiento en la implementación de políticas públicas, privadas y académicas, buscando la mejora de la calidad de las atenciones de fisioterapia.


ABSTRACT Satisfaction is determined by the patient's reaction to the service received, acting as a sensitive indicator of quality in medical care. The goal of this study was to compare the satisfaction of patients receiving outpatient physical therapy treatment in public clinics (PC), private healthcare clinics (PHC) and school clinics (SC). A total of 382 patients aged over 18 years old who had been to at least five appointments were divided into three groups. A questionnaire containing questions about sociodemographic data and overall satisfaction as well as satisfaction with the patient-therapist relationship, access to and support offered by the team, convenience and the environment was used. The majority of the patients was female (68.6%), their mean age being 52.0 years old. In the comparison of the services, the school clinic showed greater satisfaction rates than the public clinics in relation to the support team, convenience and physical environment; and greater satisfaction rates than the private healthcare clinics in relation the therapist-patient relationship and overall satisfaction. The private healthcare clinics were better evaluated than the public clinics in relation to convenience and physical environment. The correlation analysis between overall satisfaction and each variable showed good and moderate values for the therapist-patient relationship variable and the lowest values for the convenience variable. The questionnaire had good internal consistency and coherence for the three services (α≥0.94). These results represent an important indicator of the patients' perception about the services investigated, allowing the proper implementation of public, private and academic policies aimed at the improvement of the quality of physical therapy care.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Patient Satisfaction/statistics & numerical data , Physical Therapy Specialty , Ambulatory Care , Cross-Sectional Studies , Surveys and Questionnaires , Health Facilities, Proprietary
16.
Rev. bras. cir. plást ; 34(3): 336-343, jul.-sep. 2019. ilus, tab
Article in English, Portuguese | LILACS | ID: biblio-1047149

ABSTRACT

Introdução: A lipoaspiração de definição abdominal consiste na criação de sulcos em locais específicos do abdome através da retirada de gordura em toda sua espessura, incluindo a camada superficial, permitindo um maior detalhamento da musculatura. O objetivo deste estudo foi avaliar os resultados da técnica de lipoaspiração na definição abdominal. Métodos: Foram avaliadas 80 pacientes do sexo feminino no período de 2017 a 2018. O grau de definição e as complicações relacionadas ao procedimento foram avaliadas pelo autor. Todas as pacientes responderam um questionário padrão sobre grau de definição abdominal, satisfação, naturalidade do resultado, aumento da atividade física e melhora da alimentação. Resultados: A média de idade das pacientes foi de 38,97 anos e a média de índice de massa corporal, 24,01. Gestação prévia foi observada em 75% dos casos, cirurgia abdominal pregressa em 25% e tabagismo em 2,5%. Cirurgias simultâneas foram realizadas em 90%. Em relação ao tipo de cirurgia realizada, ocorreu a seguinte distribuição: 40% lipoaspiração isolada, 36,25% lipoabdominoplastia, 12,5% minilipoabdominoplastia, 10% lipoaspiração pós-abdominoplastia e 1,25% lipoabdominoplastia reversa. Grau 2 de definição abdominal foi observado em 86,25% e complicações ocorreram em 8 pacientes. O índice de satisfação foi de 91,7% e o resultado foi classificado como natural por 97,5% das pacientes. Conclusão: A lipoaspiração de definição abdominal promoveu um alto índice de satisfação e naturalidade à região abdominal. Esse resultado pode ser atingido através da técnica de lipoaspiração convencional, sem nenhum dispositivo tecnológico adicional. Contudo, são necessários novos estudos para avaliação dos resultados em longo prazo.


Introduction: Abdominal etching involves improvement of the appearance of the abdominal musculature by removing fat from several skin layers, including the superficial layer. This study evaluated the aesthetic results of abdominal etching using liposuction. Methods: The aesthetic results and surgical complications of female patients were evaluated between 2017 and 2018. All study patients answered a standard questionnaire about the extent of improvement in body image, overall satisfaction level, naturalness of the result, and changes in exercise and dietary habits. Results: The mean patient age was 38.97 years, while the mean body mass index was 24.01. In our sample, 75% of the subjects had previous pregnancies, 25% had previous abdominal surgeries, and 2.5% had a history of smoking. Simultaneous surgeries were performed in 90% of cases. The following surgery types were performed: liposuction alone (40.00%), liposuction + abdominoplasty (36.25%), miniabdominoplasty (12.50%), abdominoplasty + liposuction (10.00%), and reverse abdominoplasty (1.25%). Moderate aesthetic improvement was observed in 86.25% of the patients, and surgical complications occurred in eight patients. The satisfaction rate was 91.7%, and the result was classified as natural by 97.5% of the patients. Conclusion: Abdominal etching promoted high patient satisfaction and achieved a natural appearance of the abdomen. This surgical outcome was achieved using conventional liposuction without the need for additional techniques. However, further studies are needed to evaluate long-term outcomes.


Subject(s)
Humans , Female , Adult , Middle Aged , History, 21st Century , Lipectomy , Patient Satisfaction , Reconstructive Surgical Procedures , Subcutaneous Fat , Esthetics , Abdominoplasty , Body Contouring , Lipectomy/adverse effects , Lipectomy/methods , Patient Satisfaction/statistics & numerical data , Reconstructive Surgical Procedures/adverse effects , Reconstructive Surgical Procedures/methods , Subcutaneous Fat/surgery , Esthetics/psychology , Abdominoplasty/adverse effects , Abdominoplasty/methods , Body Contouring/adverse effects , Body Contouring/methods
17.
Rev. bras. ginecol. obstet ; 41(6): 371-378, June 2019. tab, graf
Article in English | LILACS | ID: biblio-1013627

ABSTRACT

Abstract Objective The aim of this study was to determine the content and face validity of the Mackey Childbirth Satisfaction Rating Scale (MCSRS) questionnaire cross-culturally adapted to Brazilian Portuguese. Methods The MCSRS is a questionnaire with 34 items related to childbirth satisfaction. The forward- and back-translated versions were compared with the original material, and 10 experts analyzed each item according to the following criteria: clarity, semantic equivalence, appropriateness, and cultural relevance. The final version was presented to 10 mothers for face validation to ensure the questionnaire would suit the target population. Results The total of 34 items assessed by experts for clarity, semantic equivalence, appropriateness, and relevance showed positive agreement of 0.85, 0.92, 0.97 and 0.97; negative agreement of 0.13, 0.09, 0.04 and 0.04; and total agreement of 0.75; 0.85, 0.94 and 0.94, respectively. Multilevel linear modeling was applied with crossed random effects and with nested random effects for each judge. The intercept of each criterion was as follows: clarity, 0.87; semantic equivalence, 0.92; appropriateness, 0.96; and cultural relevance, 0.96. The overall mean of agreement was 92.8%. The face validity measurement yielded 80% of agreement on the items, all of them clearly understood. Conclusion The final version of the Brazilian Portuguese MCSRS questionnaire had face and content validity confirmed. This instrument of evaluation of maternal satisfaction during childbirth was validated to be applied in the Brazilian female population.


Resumo Objetivo O objetivo deste estudo foi determinar a validação de face e conteúdo da Escala Mackey de Avaliação da Satisfação com o Parto (MCSRS, na sigla em inglês), transculturalmente adaptada para o português brasileiro. Métodos O MCSRS é um questionário com 34 itens relacionados à satisfação com o parto. As versões traduzida e retrotraduzida foram comparadas com o material original, e 10 especialistas analisaram cada item de acordo com os seguintes critérios: clareza, equivalência semântica, pertinência e relevância cultural. A versão final foi apresentada a 10 mães para validação de face, para garantir que o questionário fosse adequado à população-alvo. Resultados O total de 34 itens avaliados por especialistas para clareza, equivalência semântica, pertinência e relevância apresentou concordância positiva de 0,85, 0,92, 0,97 e 0,97; concordância negativa de 0,13, 0,09, 0,04 e 0,04; e concordância total de 0,75; 0,85, 0,94 e 0,94, respectivamente. A modelagem linear multinível foi aplicada com efeitos aleatórios cruzados e com efeitos aleatórios aninhados para cada juiz. A intercepção de cada critério foi a seguinte: clareza, 0,87; equivalência semântica, 0,92; pertinência, 0,96; e relevância cultural, 0,96. A média geral de concordância foi de 92,8%. A mensuração da validade de face foi 80% de concordância nos itens, todos claramente entendidos. Conclusão A versão final do questionário MCSRS do português brasileiro teve validade de face e conteúdo confirmada. Este instrumento de avaliação da satisfação materna durante o parto foi validado para ser aplicado na população femininabrasileira.


Subject(s)
Humans , Female , Pregnancy , Adult , Translations , Cross-Cultural Comparison , Surveys and Questionnaires/standards , Patient Satisfaction/statistics & numerical data , Parturition/physiology , Maternal Health Services , Psychometrics , Brazil/epidemiology , Reproducibility of Results , Health Surveys
18.
Rev. salud pública ; 21(1): 128-134, ene.-feb. 2019. tab
Article in Spanish | LILACS | ID: biblio-1058876

ABSTRACT

RESUMEN Objetivo Conocer el nivel de satisfacción de los usuarios en relación con los servicios prestados por las entidades del sector público de salud de Bogotá Método Estudio descriptivo de corte trasversal, en el cual se indagó a 12 573 usuarios y pacientes de 196 puntos de atención de las subredes de servicios de salud, la entidad administradora de planes de beneficios (Capital Salud EPS) y la entidad rectora del sistema de salud en Bogotá, acerca de aspectos relacionados con la calidad y satisfacción percibidas. Se diseñaron tres instrumentos con calificación entre 1 y 5, en los que puntajes de 4 y 5 representaron satisfacción. Resultados Se presentan en cinco categorías: 1. El resultado global de desempeño del sistema, entendido como la confianza que genera y el posicionamiento del mismo; 2. Si hay mejoras en la gestión en relación con el año anterior; 3. El nivel de adherencia a los tratamientos; 4. La intención de colaborar con el sistema, y; 5. La experiencia vivencial integral, como la suma de las interacciones durante el proceso de atención. Aunque se encuentran niveles de satisfacción aceptables, se identifican diversas oportunidades de mejoramiento. Discusión Se analiza la importancia y validez del estudio, se postulan algunas acciones de mejora y se recomienda la implementación sistemática de este tipo de estudios.(AU)


ABSTRACT Objective To know the user satisfaction level in relation to the services provided by the Bogotá Health Department and its affiliated institutions. Materials and Methods A descriptive, cross-sectional study was performed, in which 12 573 users and patients at 196 care points of the health services sub-networks, the benefits plan administration entity (Capital Salud EPS) and the governing entity of the Bogotá Health System were asked about aspects related to perceived quality and satisfaction. Results Five categories are presented: 1. overall performance result, understood as the confidence generated; 2. management improvements compared to the previous year; 3. level of adherence to treatments; 4. intention to cooperate with the system; and 5. comprehensive experience as the sum of the interactions during the care process. Although acceptable levels of satisfaction were found, improvement opportunities were also identified. Discussion The importance and validity of the study was analyzed. Some improvement actions are proposed, and the systematic implementation of this type of studies is recommended.(AU)


Subject(s)
Humans , Quality of Health Care/organization & administration , Patient Satisfaction/statistics & numerical data , Delivery of Health Care/standards , Social Perception , Epidemiology, Descriptive , Cross-Sectional Studies
19.
Rev. saúde pública (Online) ; 53: 87, jan. 2019. tab
Article in English | LILACS | ID: biblio-1043335

ABSTRACT

ABSTRACT OBJECTIVE To analyze the trend of opinion and satisfaction indicators of the Spanish national health system from 2005 to 2017. METHODS Ecological study of time series analyzing the trend of eight indicators of opinion and satisfaction on the Spanish national health system and its autonomous communities from 2005 to 2017. The data was obtained from the Ministry of Health, Social Services and Equality and from the Health Barometer. The Prais-Winsten regression method was used. RESULTS A static tendency was observed in the perception of users on how the health system works (APC = 1.898, 95%CI -0.954 - 4.751) and decreasing opinion on the improvement of primary care (APC = -0.283; 95%CI -0.335 - -0.121), specialized (APC = -0.241, 95%CI -0.74 - -0.109) and hospitalization (APC = -0.171, 95%CI -0.307 - -0.036). Satisfaction with knowledge and follow-up by the family doctor and pediatrician showed an increasing trend (APC = 7.939, 95%CI 3.965 - 11.914). Satisfaction with medical and nursing professionals was static. No large differences were observed in the trends of the indicators studied in the autonomous communities. CONCLUSIONS A negative trend was observed in the opinion of the Spanish national health system users. Financing, human resources, quality management systems and differences in the autonomous communities may be some of the causes.


RESUMEN OBJETIVO Analizar la tendencia de indicadores de opinión y satisfacción del sistema nacional de salud español de 2005 a 2017. MÉTODOS Estudio ecológico de series temporales analizando la tendencia de ocho indicadores de opinión y satisfacción sobre el sistema nacional de salud y sus comunidades autónomas de 2005 a 2017. Los datos se obtuvieron del Ministerio de Sanidad, Servicios Sociales e Igualdad y del Barómetro Sanitario. Se utilizó el método de autoregresión de Prais-Winsten. RESULTADOS Se observó una tendencia estática en la percepción de los usuarios sobre el funcionamiento del sistema sanitario (APC = 1,898; IC95% -0,954-4,751) y decreciente sobre la opinión en la mejora de la atención primaria (APC = -0.283; IC95% -0,335- -0.121), especializada (APC = -0,241; IC95% -0.74- -0.109) y hospitalización (APC = -0.171; IC95% -0,307- -0,036). La satisfacción con el conocimiento y seguimiento por el médico de familia y pediatra mostró una tendencia creciente (APC = 7,939; IC95% 3,965-11,914). La satisfacción con los profesionales de medicina y enfermería fue estática. No se observaron grandes diferencias en las tendencias de los indicadores estudiados en las comunidades autónomas. CONCLUSIONES Se observó una tendencia negativa en la opinión de los usuarios del sistema nacional de salud español. Financiación, recursos humanos, sistemas de gestión de calidad y diferencias en las comunidades autónomas pueden ser algunas de las causas.


Subject(s)
Humans , Quality of Health Care/trends , Quality of Health Care/statistics & numerical data , Patient Satisfaction/statistics & numerical data , National Health Programs/trends , National Health Programs/statistics & numerical data , Primary Health Care/trends , Primary Health Care/statistics & numerical data , Reference Values , Spain , Time Factors , Regression Analysis , Health Services Research
20.
Rev. saúde pública (Online) ; 53: 38, jan. 2019. tab
Article in English | LILACS | ID: biblio-1004510

ABSTRACT

ABSTRACT OBJECTIVE To evaluate whether the scheduling model influences the perception of the user about the quality of primary health care centers. METHODS This is a cross-sectional and population-based study that measured the quality of centers by the Primary Care Assessment Tool (PCATool-Brazil), applied to adult users (n = 409) from 11 health centers in Florianópolis, state of Santa Catarina. Multilevel analysis was used to verify the relationship between the score of general quality of the primary health care and the scheduling model. The independent variables (age, skin color, scheduling model, panel size by primary health team, poverty ratio as income proxy, number of health teams, presence of economically interest areas, number of medical appointments in one year per primary health team, number of people treated in one year per health team), with p < 0.20 were selected for the multilevel model, which was adjusted with aggregates of information from users and health centers. RESULTS The health center that used advanced access had a general score of 7.04, while those using a weekly carve-out had a score of 6.26; the carve-out every 15 days, score of 5.87; and the traditional carve-out, score of 6.29. CONCLUSIONS The scheduling model of advanced access had a positive effect on the quality of primary health care, in the perception of users.


RESUMO OBJETIVO Avaliar se o modelo de agendamento influencia a percepção do usuário sobre a qualidade dos serviços da atenção primária à saúde. MÉTODOS Estudo transversal de base populacional que mediu a qualidade dos serviços pelo instrumento Primary Care Assessment Tool (PCATool-Brasil), aplicado aos usuários adultos (n = 409) de 11 centros de saúde em Florianópolis, SC. A análise multinível foi utilizada para verificar a relação entre o escore de qualidade geral da atenção primária à saúde e o modelo de agendamento. As variáveis independentes (idade, cor da pele, modelo de agendamento, população por equipe de saúde da família, proporção de pobreza como proxy de renda, número de equipes de saúde da família, presença de áreas de interesse social, número de consultas médicas em um ano por equipe de saúde da família, número de pessoas atendidas em um ano por equipe de saúde) com p < 0,20 foram selecionadas para o modelo multinível, que foi ajustado com agregados de informações dos usuários e dos centros de saúde. RESULTADOS O centro de saúde que utilizava acesso avançado apresentou o escore geral 7,04, enquanto os que utilizavam carve-out semanal tiveram escore 6,26, carve-out quinzenal escore 5,87 e tradicional escore 6,29. CONCLUSÕES O modelo de agendamento acesso avançado teve um efeito positivo na qualidade da atenção primária à saúde, na percepção dos usuários.


Subject(s)
Humans , Male , Female , Adolescent , Adult , Aged , Aged, 80 and over , Young Adult , Appointments and Schedules , Primary Health Care/standards , Quality of Health Care/standards , Surveys and Questionnaires/standards , Primary Health Care/methods , Reference Standards , Time Factors , Brazil , Cross-Sectional Studies , Multivariate Analysis , Reproducibility of Results , Patient Satisfaction/statistics & numerical data , Middle Aged
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