ABSTRACT
Introducción: a finales del año 2019 el mundo se enfrentó al SARS-CoV-2, coronavirus causante de la COVID-19 y declarada pandemia en marzo del 2020. En este contexto, los servicios de salud han necesitado reorganizar, diseñar estrategias o interrumpir sus servicios de rutina, y muchos dejaron de brindar atención a las personas en tratamiento contra enfermedades de salud mental y condiciones crónicas. Asimismo, muchos trabajadores de la salud que suelen brindar esta atención fueron redirigidos a la respuesta de COVID-19. Material y Métodos: se realizó un estudio observacional, descriptivo y transversal, con el objetivo de estudiar la percepción de los usuarios sobre el acompañamiento del Servicio de Salud Mental del Hospital Infantil Dr. Robert Reid Cabral durante la pandemia de la COVID-19, entre diciembre 2020 y marzo 2021. La población estuvo conformada por un total de 237 pacientes, de la cual un 19 % fue incluido en la investigación final. Discusión: más de la mitad de los usuarios del servicio de Salud Mental de nuestro Hospital percibió el acompañamiento recibido como bueno. Esto coincide con otros estudios internacionales que igualmente han utilizado herramientas como telesalud para mantener el contacto y la atención con los pacientes. No encontramos diferencias significativas en la cantidad de pacientes con contactos positivos confirmados entre sus convivientes y las alteraciones en los patrones de sueño, alimentación y conducta, en comparación con aquellos que no tuvieron un contacto positivo confirmado entre sus convivientes. Conclusiones: la oferta de acceso a servicios de salud a distancia resulta ser una buena alternativa para ofrecer a los pacientes y a sus familias, brindar una atención oportuna a los conflictos presentados, y, cuando es implementada apropiadamente, las familias beneficiadas perciben como bueno el servicio ofrecido.
Introduction: At the end of 2019, the world faced SARS-CoV-2, the coronavirus that causes COVID-19, declared a pandemic in March 2020. In this context, health services have needed to reorganize, design strategies or interrupt their services routine, and many stopped providing care to people being treated for mental health illnesses and chronic conditions. Additionally, many healthcare workers who typically provide this care were redirected to the COVID-19 response. Material and methods: An observational, descriptive and cross-sectional study was carried out, with the aim of studying the perception of users about the follow-up of the Mental Health Service of the Dr. Robert Reid Cabral Children's Hospital during the COVID-19 pandemic, between December 2020 and March 2021. The population consisted of a total of 237 patients, of which 19% were included in the final investigation. Discussion: More than half of the users of the Mental Health service of our Hospital perceived the accompaniment received as good. This coincides with other international studies that have also used tools such as telehealth to maintain contact and care with patients. A single review study recorded the perception of the users interviewed towards the remote mental health care service, where they qualify it, in general terms, as good, which coincides with our results. We found no significant differences in the number of patients with confirmed positive contacts between their partners and alterations in sleep, eating and behavior patterns, compared to those who did not have a confirmed positive contact between their partners. A single review study recorded the perception of the users interviewed towards the remote mental health care service, where they qualify it, in general terms, as good, which coincides with our results. Conclusions: The offer of access to remote health services turns out to be a good alternative to offer patients and their families, provide timely attention to the conflicts presented, and, when properly implemented, the beneficiary families perceive the offered service as good.
Subject(s)
Humans , Child , Child Psychiatry , COVID-19 , Telemedicine , Dominican Republic , Patient CareABSTRACT
The objective of a country's government is to increase the well-being of its population. For this reason, a precise measure of inequality and poverty contributes to better development of economic and public policies to reduce the former and latter, respectively. Therefore, in recent years, various indexes have been developed to measure and compare inequality and poverty. In the case of Mexico, the Gini and Theil indexes are used to measure both problems. However, they are criticized for the overvaluation that they generate on specific population segments. For a better measurement, this paper calculates and investigates the relationship between the Palma index (inequality) and the Foster, Greer, and Thorbecke index (poverty). In addition to reducing the overvaluation problem, the indexes mentioned allow us to perform an analysis by gender and employment type (salaried and self-employed). The main results do not diverge from those already found through traditional measures. In general, a high level of inequality exists. However, our paper contributes to the literature by identifying both problems by gender. Men present greater inequality than women, whereas women present greater poverty than men. Finally, a positive, albeit weak, correlation exists between both problems, which means that poverty can be combated by combating inequality.
