Cross-Cultural Validation of the TeamSTEPPS Teamwork Perceptions Questionnaire-Spanish in Colombia.

BACKGROUND: Teamwork influences health care quality and patient safety. Yet, validated instruments for assessing teamwork in Colombia are lacking. PURPOSE: The purpose of this study was to validate the Spanish version of the TeamSTEPPS-Teamwork Perceptions Questionnaire (T-TPQ-S) for the Colombian health care context. METHODS: The T-TPQ-S underwent translation, cultural adaptation, and comprehensive psychometric testing, including reliability and confirmatory factor analyses and item difficulty and discrimination analyses. RESULTS: The T-TPQ-S demonstrated high internal consistency and excellent fit to the theoretical model. Item discrimination was within expected ranges, with response thresholds displaying an ascending order. The tool better differentiated subjects with low and high teamwork perceptions. CONCLUSIONS: The T-TPQ-S is an effective, reliable, and valid instrument for assessing teamwork perception among Colombian health care workers.

Disparidades en la incidencia de sífilis congénita en Colombia 2005 a 2011: Un estudio ecológico / Congenital syphilis incidence disparities in Colombia 2005 to 2011: an ecological study

Objetivo La sífilis es una enfermedad infectocontagiosa, sistémica, de transmisión sexual causada por la espiroqueta Treponema pallidum. Las intervenciones que disminuyan la incidencia de la sífilis congénita contribuyen con dos de las metas de desarrollo del milenio (MDG). Existen métodos de diagnóstico y tratamiento para manejar la sífilis congénita, aunque, existen variaciones en seroprevalencia y el número de casos anuales mundialmente, la situación sigue siendo preocupante. El objetivo del estudio fue describir las disparidades por Departamentos en la incidencia de Sífilis congénita, en Colombia durante el período 2005 a 2011. Metodología Se tomaron los registros del sistema de vigilancia del Instituto Nacional de Salud (INS), y de nacidos vivos (NV) y necesidades básicas insatisfechas del Departamento Administrativo Nacional de Estadística-DANE de los años 2005 a 2011. Resultados En Colombia la Incidencia global aumento de 2,15 casos por 1 000 NV en el año 2005, (1 550 casos), hasta 3,28 Casos por 1 000 NV 2011 (2 078 casos), alejándose cada vez más de la MDG (0,5 por 1 000 NV). Conclusiones El número creciente de casos de Sífilis Congénita indica que sigue siendo un problema prioritario de salud pública, que el Sistema General de Seguridad Social en Salud no ha sido capaz de resolver, a pesar del aumento de cobertura y recursos que éste ha tenido en los últimos años, lo que exige una re-evaluación del impacto real que el Sistema ha tenido sobre los resultados en salud.

Objective Syphilis is a systemic, infecto-contagious, sexually-transmitted disease caused by the spirochete bacterium Treponema pallidum. Interventions reducing congenital syphilis incidence represent two of the Millennium Development Goals (MDG). Diagnostic and treatment methods are available for managing congenital syphilis; even so, variations occur in seroprevalence and the number of annual cases worldwide, so the situation continues to be worrying. This study was aimed at describing disparities per department regarding congenital syphilis incidence in Colombia from 2005 to 2011. Methodology Colombian Institute of Health (Instituto Nacional de Salud-INS) surveillance system records and Colombian Statistics Department (Departamento Administrativo Nacional de Estadística-DANE) records of live births (LB) and basic unsatisfied needs (BUN) from 2005 to 2011 were analyzed. Results Overall incidence in Colombia rose from 2.15 cases per 1,000 LB in 2005, (1,550 cases) to 3.28 cases per 1,000 LB in 2011 (2,078 cases), thereby moving further away from the MDG (0.5 per 1,000 LB). Conclusions The growing number of cases of congenital syphilis indicates that this continues being a priority problem for public health and that the Overall Healthcare-related Social Security System (OHSSS) has not been able to resolve it, in spite of increased coverage and the resources which this entity has received during the last few years. Such situation demands a re-evaluation of the OHSSS's real impact on public healthcare results.

[Congenital syphilis incidence disparities in Colombia 2005 to 2011: an ecological study]. / Disparidades en la incidencia de sífilis congénita en Colombia 2005 a 2011: Un estudio ecológico.

OBJECTIVE: Syphilis is a systemic, infecto-contagious, sexually-transmitted disease caused by the spirochete bacterium Treponema pallidum. Interventions reducing congenital syphilis incidence represent two of the Millennium Development Goals (MDG). Diagnostic and treatment methods are available for managing congenital syphilis; even so, variations occur in seroprevalence and the number of annual cases worldwide, so the situation continues to be worrying. This study was aimed at describing disparities per department regarding congenital syphilis incidence in Colombia from 2005 to 2011. METHODOLOGY: Colombian Institute of Health (Instituto Nacional de Salud-INS) surveillance system records and Colombian Statistics Department (Departamento Administrativo Nacional de Estadística-DANE) records of live births (LB) and basic unsatisfied needs (BUN) from 2005 to 2011 were analyzed. Results Overall incidence in Colombia rose from 2.15 cases per 1,000 LB in 2005, (1,550 cases) to 3.28 cases per 1,000 LB in 2011 (2,078 cases), thereby moving further away from the MDG (0.5 per 1,000 LB). CONCLUSIONS: The growing number of cases of congenital syphilis indicates that this continues being a priority problem for public health and that the Overall Healthcare-related Social Security System (OHSSS) has not been able to resolve it, in spite of increased coverage and the resources which this entity has received during the last few years. Such situation demands a re-evaluation of the OHSSS's real impact on public healthcare results.