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West Indian med. j ; 65(Supp. 3): [20], 2016.
Artigo em Inglês | MedCarib | ID: med-18088


Objective: The study investigates the perception of publicvs private healthcare among doctors, nurses and the publicin Trinidad.Subjects and Methods: A cross-sectional study wasconducted on a sample of 1222 persons. Respondents wereasked via interviewer-administered questionnaire whichhealthcare system (public or private) they would chooseand why, if ability to pay was not a factor. They were alsoasked to state what in their view would improve thesystems. The data collected were subject to the Chisquaredtest and Fisher’s exact test to determine anysignificant associations.Results: One thousand two hundred and twenty-twopersons were interviewed (response rate 89%). Themajority of all groups would choose private healthcare (÷2= 238.06, df = 7, p-value = 0.000). The majority of nonmedicalgroups perceived private care to be faster andbetter (p = 0.000); doctors would like more accountabilityin private settings and more drugs and equipment in thepublic sector, while non-clinical groups wanted cheaperprivate care (p = 0.000).Conclusion: The publicly funded healthcare system seemsto be falling short on some quality standards, thus contravening a fundamental human right. The publicshould be informed when making a decision to opt forprivate care that the same doctors often work in bothsettings. For critical care, the public institutions have abetter staff complement, although this study highlightedthe need for more drugs and better equipment. Thegovernment needs to look closer at the reasons all groups,including doctors and nurses, would choose privatehealthcare.

Prática de Saúde Pública , Cobertura de Serviços Privados de Saúde , Corpo Clínico , Corpo Clínico Hospitalar , Recursos Humanos de Enfermagem , Recursos Humanos de Enfermagem no Hospital , Opinião Pública
In. Caribbean Public Health Agency. Caribbean Public Health Agency: 60th Annual Scientific Meeting. Kingston, The University of the West Indies. Faculty of Medical Sciences, 2015. p.[1-75]. (West Indian Medical Journal Supplement).
Monografia em Inglês | MedCarib | ID: med-17924


OBJECTIVE: To determine the prevalence of physical and psychological violence amongst the medical staff in the eight public polyclinics of Barbados. DESIGN AND METHODS: A cross sectional study was conducted utilising a modified version of the standard Workplace Violence Questionnaire by the World Health Organisation, designed to assess the prevalence, types and features of workplace violence. All nursing and physician staff on duty at the island’s eight polyclinics during the study period (June-July 2014) were invited to participate. Statistical analysis was performed using Epi info 7. RESULTS: Of the 102 respondents (72% response rate), a total of 63% (95% CI 53.0%-72.4%) of nursing and physician staff at the polyclinics in Barbados reported having suffered at least one incident of violence in the past 12 months. Verbal abuse was the most frequent (60%; 95% CI 50.1%- 69.7%). The one-year prevalence rates of physical violence, bullying, sexual harassment, and racial harassment were 2.9%, 18.8%, 6.9% and 2.9%, respectively. Logistic regression showed that females were more likely to experience verbal abuse than males (OR=11; 95% CI 2.8-43.1) and nurses more likely than physicians (OR=1.9; 95% CI 1.1-4.7). The client accounted for 64% of the incidents. CONCLUSIONS: More than half of all staff surveyed reported experiencing some type of violence in the past year, female gender being a significant predictor of abuse. This initial process of characterising the extent and type of violence present, can serve as a foundation for further qualitative research exploring reasons for violence experienced.

Local de Trabalho , Violência , Corpo Clínico , Instalações de Saúde , Barbados
West Indian med. j ; 50(2): 175-6, Jun. 2001.
Artigo em Inglês | MedCarib | ID: med-334
West Indian med. j ; 42(Suppl. 1): 41, Apr. 1993.
Artigo em Inglês | MedCarib | ID: med-5125


Jamaica's primary health care services have been in a process of development since the 1970s. In 1984, a large management study collected data on levels of material resources (basic facilities, utilities, furniture, equipment and supplies items). Since 1984, serious staff shortages have affected the services and there have been economic constraints, as well as a major hurricane. In order to measure changes over subsequent years, data on material resources were again collected in 1991/92, using the same sample of 65 type 2 and 3 health centres as in 1984. Data were collected by interview with health centre staff. Results, whilst showing various changes item-by-item, showed constancy or minor improvements in the global (mean) levels of resources. Type 2 health centres continued to have lower resource levels than type 3s. Staff members' opinions of condition and adequacy of resources had become more positive. It was concluded that, in terms of material resourcs, activities within the primary health care sector have offset the adverse effects of the macro-environmental conditions affecting the health centres (AU)

Humanos , Recursos em Saúde , Corpo Clínico/economia , Fatores Socioeconômicos , Jamaica
West Indian med. j ; 41(2): 72-4, June 1992.
Artigo em Inglês | MedCarib | ID: med-9634


Advanced Trauma Life Support (ATLS) training of medical staff did not improve outcome of the trauma victim. Potential benefit of this course may have been masked by weak links in the trauma care chain such as pre-hospital care and in hospital investigative and therapeutic facilities. (AU)

Humanos , Acidentes de Trânsito/mortalidade , Corpo Clínico/educação , Serviços Médicos de Emergência , Trinidad e Tobago , Fatores de Tempo , Educação Médica Continuada
West Indian med. j ; 40(Suppl. 2): 102, July 1991.
Artigo em Inglês | MedCarib | ID: med-5213


The AIDs pandemic has brought in its wake a number of legal and ethical dilemmas for the members of the medical profession. The extent of the duty of the doctor care for the HIV-infected patient; how much exposure the health professional should be willing to risk; and whether the criteria for research and experimentation, terminal care and access to life-sustaining treatment should be modified for HIV-infected persons are some of the very vexed issues being currently debated. Problems of confidentiality; consent; reporting and notification of HIV status; disclosure to third parties at risk; discrimination; isolation and detention; irresponsible, violent or dangerous patients; mental competence; living wills and power of attorney all complicate the management of the HIV-infected. The HIV-infected doctor presents a particularly difficult quandary. While most people will readily accept the exposure of the doctor to the illnesses of patients, and the possibility of contagion comes with the territory, few seem to accept that the reverse is true. The World Health Organization estimates that by the year 2000, about 10 million infants and children will have been infected by the HIV and that an even greater number will be uninfected but orphaned as a result of the AIDS pandemic. In addition to the tremendous social and public health consequences, there are difficult legal and ethical problems to be grappled with in managing these children (AU)

Humanos , Lactente , Criança , Ética Médica , Corpo Clínico , Síndrome de Imunodeficiência Adquirida/psicologia , Confidencialidade/legislação & jurisprudência , Barbados
In. Carpenter, Reginald A; Branday, Joseph M. Burn care. Kingston, Jamaica Burn Programme Management Committee, 1989. p.67-71.
Monografia em Inglês | MedCarib | ID: med-8378
Kingston; Caribbean Health Management Consultants Limited; 1988. viii,47 p. ilus.
Monografia em Inglês | MedCarib | ID: med-16506


THe manual sets out to pinpoint common areas of language and management deficiencies affecting day-to-day performances, and to correct them by a variety of methods. These include questions, comprehension exercises, word tests, pronunciation drills, vocabulary building and specific exercises on procedure. A dictionary is a basic tool to have among reference documents in your office as a companion to this manual (AU)

Humanos , Corpo Clínico/organização & administração
Carib Med J ; 11(3): 120-24, 1949.
Artigo em Inglês | MedCarib | ID: med-3918
Monografia em Inglês | MedCarib | ID: med-16724


When plans are being made for improved maternity services the training of doctors and midwives who are to staff them must also be considered. Each of the two professions brings special skills to the service of the parturient. The role of the midwife is to deal with normal obstetrics, to detect abnormalities and to refer patients who develop them to a doctor, and to provide for all mothers and their newborn babies the special nursing care they require (AU)

Humanos , Educação Médica/história , Corpo Clínico , Capacitação em Serviço/métodos , Maternidades , Medicina Tropical , Países em Desenvolvimento