Página 1 dos resultados de 512 itens digitais encontrados em 0.007 segundos
- Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
- Biblioteca Digitais de Teses e Dissertações da USP
- Universidade Estadual Paulista
- Biblioteca Digital da Unicamp
- Faculdade de Saúde Pública da Universidade de São Paulo
- CENTERS for MEDICARE & MEDICAID SERVICES
- Washington, DC
- World Bank, Washington, DC
- Associação Médica Brasileira
- Universidade de São Paulo. Faculdade de Saúde Pública
- Pharmacy Practice (Internet)
- Instituto Nacional de Salud Pública
- World Health Organization
- Mais Publicadores...
Hipertensão arterial em profissionais que atuam em serviços de atendimento pré-hospitalar; Hypertension in professionals working in prehospital care services; Hipertensión arterial en profesionales que trabajan en servicios de atención prehospitalaria
Fonte: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
Publicador: Universidade Federal de Santa Catarina, Programa de Pós Graduação em Enfermagem
Tipo: Artigo de Revista Científica
POR
Relevância na Pesquisa
36.26%
#Hipertensão arterial#Atendimento pré-hospitalar#Monitorização ambulatorial da pressão arterial#Saúde do trabalhador#Arterial hypertension#Prehospital care#Ambulatory blood pressure monitoring#Occupational health#Hipertensión arterial#Atención prehospitalaria#Monitorización ambulatoria de la presión arterial
Avaliou-se a prevalência de hipertensão e variáveis relacionadas em 154 profissionais de serviço pré-hospitalar pela medida casual da pressão e monitorização ambulatorial da pressão. A prevalência de hipertensão na medida casual foi 33,1% e 26,6% na monitorização ambulatorial da pressão arterial. A presença de hipertensão se associou (odds ratio=OR): a) medida casual da pressão, com o HDL-c >40 mg/dL (OR=0,25); b) monitorização ambulatorial (24 h) com glicemia > 110 mg/dL (OR:9,98), sexo masculino (OR=2,71), trabalhar cansado raramente/nunca (OR=0,19) e às vezes (OR=0,17); c) monitorização ambulatorial (vigília) com glicemia > 110 mg/dL (OR=11,18), sexo masculino (OR=3,24), trabalhar cansado raramente/nunca (OR=0,14) e às vezes (OR=0,16), índice de massa corporal (OR=1,10), trabalhar cansado raramente/nunca (OR=0,14) e às vezes (OR=0,16); e d) monitorização ambulatorial (sono) com sono diurno (OR=0,14) e índice de massa corporal (OR=1,11). Foi elevada a prevalência de hipertensão e fatores de risco associados.; This study evaluated the prevalence of hypertension and related variables among 154 pre-hospital care service professionals, measuring for causal blood pressure and ambulatory blood pressure. The prevalence of hypertension by causal blood pressure measurement was 33.1% and ambulatory blood pressure was 26.6%. Hypertension was associated with (odds ratio=OR): a) causal blood pressure measurement...
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Desigualdades no uso e acesso aos serviços de saúde entre a população idosa do município de São Paulo ; Inequalities in use and access to health care services among the elderly population in São Paulo.
Fonte: Biblioteca Digitais de Teses e Dissertações da USP
Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado
Formato: application/pdf
Publicado em 16/08/2006
PT
Relevância na Pesquisa
36.33%
#Acesso aos serviços de saúde#Assistência ambulatorial#Eqüidade no acesso#Fatores socioeconômicos#Health services for the aged#Inequalities in health#Iniqüidade na saúde#Prestação de cuidados de saúde#Regressão logística (Saúde Pública)#Saúde do idoso#Serviços de saúde para idosos
Objetivos: Este estudo é parte do Projeto Saúde, Bem-estar e Envelhecimento (SABE), com o objetivo de identificar as desigualdades no acesso e uso de serviços de saúde entre idosos no município de São Paulo, Brasil. Métodos: Em 2000, foram entrevistados, 2143 indivíduos com 60 anos ou mais, utilizando-se o questionário padronizado do SABE. A amostra foi obtida em dois estágios, utilizando-se setores censitários com reposição, probabilidade proporcional à população e complementação da amostra de pessoas de 75 anos. Os dados finais foram ponderados, de forma a serem expandidos. Foi mensurado o uso de serviços hospitalares (internações) e ambulatoriais (consultas médicas) nos últimos quatro meses e o não uso de serviços de saúde (mesmo precisando), relacionando-os com fatores de capacidade, necessidade e predisposição (renda total, escolaridade, seguro saúde, morbidade referida, auto-percepção, sexo e idade). Resultados: A proporção dos entrevistados que referiu ter utilizado algum serviço de saúde, nos últimos quatro meses, foi de 4,7 por cento com relação à internação hospitalar e 64, 4 por cento com referência ao atendimento ambulatorial. Dos atendimentos ambulatoriais, 24,7 por cento ocorreu em hospital público e 24...
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Uso de serviços segundo a posse de plano privado de saúde no município de São Paulo; Health insurance and health services utilization in Sao Paulo, Brazil
Fonte: Biblioteca Digitais de Teses e Dissertações da USP
Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado
Formato: application/pdf
Publicado em 29/08/2014
PT
Relevância na Pesquisa
46.12%
#Health Insurance#Health Services#Health Survey#Hospitalização#Hospitalization#Inquérito de Saúde#Saúde Suplementar#Sistema Único de Saúde#Uso de Serviços de Saúde
Introdução - O sistema de saúde brasileiro é composto por um segmento público universal e por um segmento privado. Grande parte da população do município de São Paulo está coberta por planos privado de saúde, porém existem poucos estudos locais explorando a influência desse fator no uso dos serviços de saúde. O estudo de unidades geográficas menores permite um melhor entendimento da realidade local. Objetivo Analisar o uso dos serviços de saúde segundo a posse de plano privado de saúde no município de São Paulo. Métodos - Estudo transversal com base nos dados obtidos no Inquérito de Saúde no Município de São Paulo de 2008. Analisamos o uso de serviços na resolução das condições agudas de saúde, no acompanhamento de doenças crônicas, no rastreamento de neoplasias e na hospitalização. Primeiro realizamos uma análise descritiva dos dados, com estimativa das prevalências. Então, verificamos a associação de cada um dos desfechos com a posse de plano privado de saúde, por meio da regressão logística múltipla, com ajuste para variáveis demográficas, socioeconômicas e da condição de saúde, estimando o Odds Ratio. Resultados As pessoas sem plano privado de saúde apresentaram maior chance de uso de serviços de urgência e emergência. As pessoas com plano apresentaram maior chance de uso de serviços ambulatoriais...
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A família do portador de sofrimento psíquico e os serviços de saúde mental: Estudo de caso
Fonte: Universidade Estadual Paulista
Publicador: Universidade Estadual Paulista
Tipo: Artigo de Revista Científica
Formato: 175-181
POR
Relevância na Pesquisa
36.3%
#Family#Health services#Mental disturb#Psychic sufferer#ambulatory care#case study#consultation#day care#emergency care#emergency ward#family relation
This qualitative research, case study type, aimed at presenting the understanding of psychic sufferers in search for mental health services during emergency situation, partial hospitalization or in ambulatory services. 12 family members were interviewed. They reported difficulties in the attendance in the emergency room when the patient is in crisis, as well as doctors considering merely the present symptomatology and undervaluing their own knowledge of the sickening process. The day-care hospital is conceived as a place to provide care, occupation and should teach as a school. The ambulatory service represents for the family the possibility of the patient being responsible for their attendance to the consultations and for the correct use of the medication.
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Gestão do cuidado na atenção ambulatorial especializada : elementos para pensar uma política; Health care management in specialized ambulatory care : elements to think about a policy
Fonte: Biblioteca Digital da Unicamp
Publicador: Biblioteca Digital da Unicamp
Tipo: Dissertação de Mestrado
Formato: application/pdf
Publicado em 18/02/2014
PT
Relevância na Pesquisa
36.3%
#Atenção secundária à saúde#Saúde - Administração#Políticas públicas de saúde#Secondary care#Health services administration#Health public policy
No Brasil, o debate sobre a organização da assistência à saúde ocupou-se até o momento principalmente da discussão em torno da Atenção Básica (ou Atenção Primária em Saúde) e do ambiente hospitalar, em diferentes vertentes. Entre estes dois pólos, a Atenção Ambulatorial Especializada não teve o mesmo tratamento por parte de pesquisadores e formuladores de políticas públicas de saúde. As investigações sobre esse nível assistencial centraram seu foco, até o momento, na questão da oferta e demanda, sem avançar na discussão sobre especificidades que se passam no modo de produção do cuidado nos serviços especializados e sua interação com outros equipamentos. O princípio da integralidade, pressuposto constitucional do Sistema Único de Saúde, e o "nó crítico" que vem representando o acesso à Atenção Especializada no país, exigem um esforço no aprofundamento da compreensão desta área. O presente estudo, situado no âmbito de um Mestrado Profissional em Saúde Coletiva, Política e Gestão em Saúde, propõe-se a contribuir na redução dessa lacuna, realizando uma discussão sobre a gestão do cuidado na Atenção Ambulatorial Especializada a partir de uma revisão de literatura analisada em diálogo com a vivência da coordenação da Atenção Especializada em uma Secretaria Municipal de Saúde registrada através de um Diário de Campo.; In Brazil...
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Hospitalization of older adults due to ambulatory care sensitive conditions
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo
Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/10/2014
EN
Relevância na Pesquisa
36.26%
OBJECTIVE To analyze the temporal evolution of the hospitalization of older adults due to ambulatory care sensitive conditions according to their structure, magnitude and causes. METHODS Cross-sectional study based on data from the Hospital Information System of the Brazilian Unified Health System and from the Primary Care Information System, referring to people aged 60 to 74 years living in the state of Rio de Janeiro, Souhteastern Brazil. The proportion and rate of hospitalizations due to ambulatory care sensitive conditions were calculated, both the global rate and, according to diagnoses, the most prevalent ones. The coverage of the Family Health Strategy and the number of medical consultations attended by older adults in primary care were estimated. To analyze the indicators’ impact on hospitalizations, a linear correlation test was used. RESULTS We found an intense reduction in hospitalizations due to ambulatory care sensitive conditions for all causes and age groups. Heart failure, cerebrovascular diseases and chronic obstructive pulmonary diseases concentrated 50.0% of the hospitalizations. Adults older than 69 years had a higher risk of hospitalization due to one of these causes. We observed a higher risk of hospitalization among men. A negative correlation was found between the hospitalizations and the indicators of access to primary care. CONCLUSIONS Primary healthcare in the state of Rio de Janeiro has been significantly impacting the hospital morbidity of the older population. Studies of hospitalizations due to ambulatory care sensitive conditions can aid the identification of the main causes that are sensitive to the intervention of the health services...
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Hospitalizations for ambulatory care-sensitive conditions, Minas Gerais, Southeastern Brazil, 2000 and 2010
Fonte: Faculdade de Saúde Pública da Universidade de São Paulo
Publicador: Faculdade de Saúde Pública da Universidade de São Paulo
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/12/2014
EN
Relevância na Pesquisa
36.26%
#Hospitalization#Length of Stay#trends#Ambulatory Care#Primary Health Care#Family Health Strategy#Hospital Information Systems#Ecological Studies#Health Services Evaluation#Primary Health Care#Hospitalization
OBJECTIVE To analyze hospitalization rates and the proportion of deaths due to ambulatory care-sensitive hospitalizations and to characterize them according to coverage by the Family Health Strategy, a primary health care guidance program. METHODS An ecological study comprising 853 municipalities in the state of Minas Gerais, under the purview of 28 regional health care units, was conducted. We used data from the Hospital Information System of the Brazilian Unified Health System. Ambulatory care-sensitive hospitalizations in 2000 and 2010 were compared. Population data were obtained from the demographic censuses. RESULTS The number of ambulatory care-sensitive hospitalizations declined from 20.75/1,000 inhabitants [standard deviation (SD) = 10.42) in 2000 to 14.92/thousand inhabitants (SD = 10.04) in 2010 Heart failure was the most frequent cause in both years. Hospitalizations rates for hypertension, asthma, and diabetes mellitus, decreased, whereas those for angina pectoris, prenatal and birth disorders, kidney and urinary tract infections, and other acute infections increased. Hospitalization durations and the proportion of deaths due to ambulatory care-sensitive hospitalizations increased significantly. CONCLUSIONS Mean hospitalization rates for sensitive conditions were significantly lower in 2010 than in 2000...
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Hospital and ambulatory services for selected illnesses.
Fonte: PubMed
Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /12/1986
EN
Relevância na Pesquisa
46.2%
National survey data were used to describe and analyze the treatment of selected illnesses: hypertension, heart condition, hernia, gynecological infection, menstrual disorder, other gynecological conditions, pneumonia, and urinary tract infection. The number of office visits, the rate of diagnostic testing, the average charge, and the use of inpatient and outpatient hospital services were analyzed in an econometric model of treatment. Differences in the treatment of patients with similar illnesses were associated with comprehensive insurance, the availability of hospital and physician resources, and other economic considerations. There was also evidence that hospital and ambulatory services were substituted for each other, as a result of economic as well as medical considerations.
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Toward a prospective payment system for ambulatory surgery
Fonte: CENTERS for MEDICARE & MEDICAID SERVICES
Publicador: CENTERS for MEDICARE & MEDICAID SERVICES
Tipo: Artigo de Revista Científica
Publicado em //1990
EN
Relevância na Pesquisa
36.3%
In this article, ambulatory surgery among the aged Medicare population in 1985 is examined. Total hospital facility charges for ambulatory surgery in that year were estimated at $1.8 billion, with about one-half of that amount involving cataract surgery. The possibility of using diagnosis-related groups for a prospective payment system for ambulatory surgery was examined and was rejected for two reasons: (1) about 20 percent of the dollar volume of hospital-based ambulatory surgery fell into medical diagnosis-related groups and (2) the ratio of inpatient diagnosis-related group weight to outpatient billed charges for the ambulatory procedures falling into a given diagnosis-related group varied more than tenfold, making diagnosis-related group weights impossible to use in a consistent manner. A newly developed version of ambulatory visit groups and the even newer ambulatory patient groups were then considered as an alternative for a prospective payment system. These are briefly described.
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Access of Rural AFDC Medicaid Beneficiaries to Mental Health Services
Fonte: CENTERS for MEDICARE & MEDICAID SERVICES
Publicador: CENTERS for MEDICARE & MEDICAID SERVICES
Tipo: Artigo de Revista Científica
Publicado em //1995
EN
Relevância na Pesquisa
46.09%
This article examines geographic differences in the use of mental health services among Aid to Families with Dependent Children (AFDC)-eligible Medicaid beneficiaries in Maine. Findings indicate that rural AFDC beneficiaries have significantly lower utilization of mental health services than urban beneficiaries. Specialty mental health providers account for the majority of ambulatory visits for both rural and urban beneficiaries. However, rural beneficiaries rely more on primary-care providers than do urban beneficiaries. Differences in use are largely explained by variations in the supply of specialty mental health providers. This finding supports the long-held assumption that lower supply is a barrier to access to mental health services in rural areas.
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Ambulatory and Community-Based Services
Fonte: CENTERS for MEDICARE & MEDICAID SERVICES
Publicador: CENTERS for MEDICARE & MEDICAID SERVICES
Tipo: Artigo de Revista Científica
Publicado em //1999
EN
Relevância na Pesquisa
36.3%
The shift in the site of service delivery from inpatient and institutional to ambulatory and community settings has been prompted by concerns over cost and the prospect for improving the quality of life. In response to these concerns, Medicare has implemented several demonstrations that emphasize ambulatory and community-based services. In this issue, articles are presented on four demonstrations, which focus on the extent to which coordinated care models reduce health care costs, and the cost effectiveness and beneficiary outcomes of disease-specific programs. Two articles are included on home health. One examines home health care in relation to the other Medicare post-acute benefits, and the other focuses on the use of home health care in the treatment of end stage renal disease (ESRD). Finally, two articles report on Section 1915c Medicaid home and community-based waiver programs.
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Romania - Functional Review : Health Sector
Fonte: Washington, DC
Publicador: Washington, DC
EN_US
Relevância na Pesquisa
36.34%
#ACCESS TO HEALTH CARE#ACCESS TO HEALTH SERVICES#ACCESS TO SERVICES#AGE GROUPS#AGE STRUCTURE#AGING#AMBULATORY CARE#AMBULATORY SERVICES#BUDGET CEILING#BUDGET INCREASE#BURDEN OF DISEASE
This Functional Review was carried by a
Bank team upon request by the Government of Romania. As a
starting point, it shows that: (i) health outcomes in
Romania lag behind those of the EU; (ii) users are not
satisfied with its lack of responsiveness - long lines,
informal payments, discourteous handling of patients, poor
cleanliness, lack of maintenance, and breach of safety
measures; (iii) the poor and other vulnerable groups (for
example Roma communities) suffer from a significant lack of
access to services; and (iv) the fiscal contraction of
2008-2010 exposed the weakness of financial controls in the
health sector. The Review examines four health functions in
depth: service delivery, financing, stewardship and
resources (including pharmaceuticals). Based on our
findings, we present recommendations categorized by the
three set of challenges that the sector is facing: (i)
improving governance and management; (ii) streamlining the
health service network and re-launching quality control
systems; and (iii) increasing preventive services and
equity. For any expansion of the sector to be sustainable...
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Costa Rica Case Study : Primary Health Care Achievements and Challenges within the Framework of the Social Health Insurance
Fonte: World Bank, Washington, DC
Publicador: World Bank, Washington, DC
Tipo: Publications & Research :: Working Paper; Publications & Research
EN_US
Relevância na Pesquisa
36.33%
#abuse#access to health services#access to services#Adult mortality#Adult mortality rate#age groups#aged#aging#allocation of resources#ambulatory care#ambulatory services
The objective of this paper is to assess the key interventions Costa Rica has developed to expand health coverage for the poor and other vulnerable groups, with an emphasis on its approach to primary health care. Universal health coverage in Costa Rica is provided through a single national health insurance program. This program, which protects the poor without the pitfalls of a fragmented system, and the sustained policies that have enabled the building of a solid primary health care system, is broadly recognized as a success story. At the same, time new challenges are emerging to sustaining the success of Costa Rica's universal health coverage. Social Security of Costa Rica (Caja Costarricense de Seguridad Social, CCSS) faces increased production costs and demographic and epidemiological changes in a rapidly aging population. This report is divided into three broad sections: (1) objective of the case study and health system overview; (2) primary health care and the organization of health services within CCSS; and (3) agenda of key policy decisions for a renewed primary health care approach as part of a more responsive and sustainable health insurance system.
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Croatia Program-for-Results : Improving Quality and Efficiency of Health Services
Fonte: Washington, DC
Publicador: Washington, DC
Tipo: Economic & Sector Work :: Other Health Study
ENGLISH; EN_US
Relevância na Pesquisa
46.43%
#ADMINISTRATIVE COSTS#ADULT POPULATION#AGE STRUCTURE#AGED#AGING#ALCOHOL CONSUMPTION#ALCOHOLISM#AMBULATORY CARE#AMBULATORY SERVICES#AMBULATORY SURGERY#ANESTHESIA
This technical assessment has been
carried out as part of the preparation of the Health
Program-for-Results (PforR) operation in Croatia. The
primary focus of the assessment is on the Government's
Program, and the National Health Care Strategy 2012-2020,
and serves as the policy framework for this operation. The
needs that Croatia's health system must address have
changed as a consequence of the demographic and
epidemiological transition in the country. The disease
burden in Croatia has shifted from being dominated by
maternal and child health and communicable diseases to being
dominated by chronic and non-communicable conditions. The
Government of Croatia's National Health Care Strategy
sets out development directions for the health sector and is
the framework for making policy and operational decisions,
including the distribution of budgetary resources. The
development of emergency medical services and investment
planning project supported technical assistance to develop a
hospital rationalization master plan...
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Institutional and familial cost of patients in continuous ambulatory peritoneal dialysis
Fonte: Associação Médica Brasileira
Publicador: Associação Médica Brasileira
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/01/2014
EN
Relevância na Pesquisa
36.38%
Objective: to determine the cost of institutional and familial care for patients with chronic kidney disease replacement therapy with continuous ambulatory peritoneal dialysis. Methods: a study of the cost of care for patients with chronic kidney disease treated with continuous ambulatory peritoneal dialysis was undertaken. The sample size (151) was calculated with the formula of the averages for an infinite population. The institutional cost included the cost of outpatient consultation, emergencies, hospitalization, ambulance, pharmacy, medication, laboratory, x-rays and application of erythropoietin. The family cost included transportation cost for services, cost of food during care, as well as the cost of medication and treatment materials acquired by the family for home care. The analysis included averages, percentages and confidence intervals. Results: the average annual institutional cost is US$ 11,004.3. The average annual family cost is US$ 2,831.04. The average annual cost of patient care in continuous ambulatory peritoneal dialysis including institutional and family cost is US$ 13,835.35. Conclusion: the cost of chronic kidney disease requires a large amount of economic resources, and is becoming a serious problem for health services and families. It's also true that the form of patient management in continuous ambulatory peritoneal dialysis is the most efficient in the use of institutional resources and family.
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Acesso a ambulatório pediátrico de um hospital universitário; Evaluation of access to the pediatric service of a university hospital
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública
Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ;
Formato: application/pdf
Publicado em 01/08/1998
POR
Relevância na Pesquisa
36.28%
#Acesso aos serviços de saúde#Assistência ambulatorial#Serviços de saúde infantil#Ambulatory services accessibility#Ambulatory care#Child health
INTRODUÇÃO: No Brasil verifica-se um descompasso entre o aumento das necessidades de atenção à saúde e de sua oferta. O Sistema Único de Saúde, cujas deretrizes preconizam a atenção universal e eqüânime, determina a relevância desta temática dentro do campo da avaliação dos serviços de saúde. Assim, foram estudados dois ambulatórios de pediatria de um hospital universitário, um geral e outro de uma subespecialiadade (pneumologia), comparando os usuários quanto ao acesso. MÉTODO: Foram aplicados 221 questionários entre clientes de ambos os ambulatórios de pediatria com o objetivo de se estudar e comparar variáveis socioeconômicas, procedência, acesso aos referidos ambulatórios e outros serviços de saúde. RESULTADOS: Evidenciou-se grande dificuldade de locomoção dos pacientes, a maioria dos quais são encaminhados por serviços de saúde locais. Dos pacientes atendidos 40% não receberam nenhum atendimento anteriormente à sua chegada ao hospital, fato que decorre principalmente de seu baixo nível socioeconômico, que os torna dependentes exclusivamente dos serviços públicos de saúde. A comparação entre os dois ambulatórios mostra que os pacientes do ambulatório de especialidade têm melhor nível socioeconômico e são menos dependentes dos serviços públicos...
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Collaboration with pharmacy services in a family practice for the medically underserved
Fonte: Pharmacy Practice (Internet)
Publicador: Pharmacy Practice (Internet)
Tipo: info:eu-repo/semantics/article; journal article; info:eu-repo/semantics/publishedVersion
Formato: text/html; application/pdf
Publicado em 01/12/2009
ENG
Relevância na Pesquisa
36.3%
Objectives: Pharmacist-managed collaborative services in a family practice setting are described, and diabetes and hypertension outcomes are assessed. Methods: Pharmacist-managed clinics, pharmacotherapy consultations, and drug information services are provided for a medically underserved, predominantly African American population. A pharmacy residency director, an ambulatory care pharmacy resident and three PharmD candidate student pharmacists work directly with physicians, nurse practitioners, nurses, and social workers to form an interdisciplinary health care team. Providers utilize pharmacy services through consultations and referrals. Collaboration outcomes were evaluated in twenty-two patients with diabetes and thirty hypertensive patients. Patients were retrospectively followed throughout their history with pharmacy service. Hemoglobin A1c (A1C) was tracked before referral to pharmacy services, 3 to 6 months after, and as the most current measure after at least 6 months. Blood pressure (BP) was observed before pharmacy involvement, 2 to 4 months later, and then currently for at least 4 months with the service. The mean of the most current markers was calculated, and the percent of patients at their goal marker was compared to national averages. Results: Fifty percent of pharmacy service patients met the American Diabetes Association hemoglobin A1c goal of less than 7% in our evaluation compared to the national mean of 49.8% overall and 44% in African Americans. Thirty percent of patients were at their BP goal while 33.1% of patients without diabetes and 33.2% of patients with diabetes nationally are at goal. Conclusion: The medically underserved patients under the care of pharmacy services achieved a higher percentage at their A1C goal than the national mean. The percentage of patients who achieved their BP goals was comparable to the national average. Increasing utilization of pharmacy services in the family practice setting allows for pharmacists and providers to form a trusted relationship while providing enhanced care and potentially improved outcomes for patients.
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A predictive model for the utilization of curative ambulatory health services in Mexico
Fonte: Instituto Nacional de Salud Pública
Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/10/2008
EN
Relevância na Pesquisa
46.26%
OBJECTIVES: To estimate the degree to which individual and household variables jointly predict utilization of curative ambulatory services in Mexico for four types of health providers. MATERIAL AND METHODS: Patient choice of provider (self-care, Ministry of Health, social security, or private provider) when they become ill is modeled using a nested multinomial logit model that uses household and individual variables as predictors. The data are from the Mexican National Health Survey conducted in 2000. RESULTS: Being a social security beneficiary is one of the most important predictors of utilization. A strong positive relationship between socio-economic status (SES) and demand for services was also found, with the strongest relationship being for private providers, followed by social security. Utilization of Ministry of Health (MoH) services was negatively associated with household SES. CONCLUSIONS: Expansion of health insurance coverage should significantly reduce health inequalities due to reduced care-seeking by non-beneficiaries.
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A predictive model for the utilization of curative ambulatory health services in Mexico
Fonte: Instituto Nacional de Salud Pública
Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/10/2008
EN
Relevância na Pesquisa
46.26%
OBJECTIVES: To estimate the degree to which individual and household variables jointly predict utilization of curative ambulatory services in Mexico for four types of health providers. MATERIAL AND METHODS: Patient choice of provider (self-care, Ministry of Health, social security, or private provider) when they become ill is modeled using a nested multinomial logit model that uses household and individual variables as predictors. The data are from the Mexican National Health Survey conducted in 2000. RESULTS: Being a social security beneficiary is one of the most important predictors of utilization. A strong positive relationship between socio-economic status (SES) and demand for services was also found, with the strongest relationship being for private providers, followed by social security. Utilization of Ministry of Health (MoH) services was negatively associated with household SES. CONCLUSIONS: Expansion of health insurance coverage should significantly reduce health inequalities due to reduced care-seeking by non-beneficiaries.
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Organization of ambulatory care provision: un déterminant critique de la performance des systèmes de santé dans les pays en développement
Fonte: World Health Organization
Publicador: World Health Organization
Tipo: Artigo de Revista Científica
Formato: text/html
Publicado em 01/06/2000
EN
Relevância na Pesquisa
36.61%
#Ambulatory care#organization and administration#cost of illness#developing countries#diarrhoea#prevention and control#health services administration#outcome assessment#health care
Success in the provision of ambulatory personal health services, i.e. providing individuals with treatment for acute illness and preventive health care on an ambulatory basis, is the most significant contributor to the health care system's performance in most developing countries. Ambulatory personal health care has the potential to contribute the largest immediate gains in health status in populations, especially for the poor. At present, such health care accounts for the largest share of the total health expenditure in most lower income countries. It frequently comprises the largest share of the financial burden on households associated with health care consumption, which is typically regressively distributed. The "organization" of ambulatory personal health services is a critical determinant of the health system's performance which, at present, is poorly understood and insufficiently considered in policies and programmes for reforming health care systems. This article begins with a brief analysis of the importance of ambulatory care in the overall health system performance and this is followed by a summary of the inadequate global data on ambulatory care organization. It then defines the concept of "macro organization of health care" at a system level. Outlined also is a framework for analysing the organization of health care services and the major pathways through which the organization of ambulatory personal health care services can affect system performance. Examples of recent policy interventions to influence primary care organization - both government and nongovernmental providers and market structure - are reviewed. It is argued that the characteristics of health care markets in developing countries and of most primary care goods result in relatively diverse and competitive environments for ambulatory care services...
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