Prosumer capitalism in the sharing economy: a gender approach to service providers' experiences in ridesharing platforms.

Introduction: The study draws on the theory of "prosumer capitalism" to explore the experiences of female drivers in ridesharing platforms. Methods: Twenty-five phenomenological in-depth interviews were carried out with Mexican female drivers in ridesharing platforms. Results: The results yielded insights regarding the motives of women to become rideshare drivers, their prosumption experiences, and gender issues related to the job. Discussion: The study offers a novel gender-based approach to comprehend the status of female service providers as prosumer-as-producers and the diverse risks and challenges they face while working in the sharing economy. In a practical sense, platform designers and marketers can improve the application functions to attend to the specific needs of female drivers and implement inclusive measures to safeguard their integrity and well-being.

Perspectives on self-managed abortion among providers in hospitals along the Texas-Mexico border.

BACKGROUND: Following self-managed abortion (SMA), or a pregnancy termination attempt outside of the formal health system, some patients may seek care in an emergency department. Information about provider experiences treating these patients in hospital settings on the Texas-Mexico border is lacking. METHODS: The study team conducted semi-structured interviews with physicians, advanced practice clinicians, and nurses who had experience with patients presenting with early pregnancy complications in emergency and/or labor and delivery departments in five hospitals near the Texas-Mexico border. Interview questions focused on respondents' roles at the hospital, knowledge of abortion services and laws, perspectives on SMA trends, experiences treating patients presenting after SMA, and potential gaps in training related to abortion. Researchers conducted interviews in person between October 2017 and January 2018, and analyzed transcripts using a thematic analysis approach. RESULTS: Most of the 54 participants interviewed said that the care provided to SMA patients was, and should be, the same as for patients presenting after miscarriage. The majority had treated a patient they suspected or confirmed had attempted SMA; typically, these cases required only expectant management and confirmation of pregnancy termination, or treatment for incomplete abortion. In rare cases, further clinical intervention was required. Many providers lacked clinical and legal knowledge about abortion, including local resources available. CONCLUSIONS: Treatment provided to SMA patients is similar to that provided to patients presenting after early pregnancy loss. Lack of provider knowledge about abortion and SMA, despite their involvement with SMA patients, highlights a need for improved training.

Family-Centered practice in a Brazilian rehabilitation network service.

BACKGROUND: Family-centered practice (FCP) is widely accepted as a best practice in pediatric rehabilitation. However, its implementation in Brazil is incipient, and systematic documentation of the extent to which it has been achieved is not available. OBJECTIVES: To determine parents' and service providers' perceptions of family-centeredness and specific areas in need of improvement in four rehabilitation hospitals. METHODS: A total of 107 caregivers and 89 service providers responded to the Measure of Processes of Care-20 (MPOC-20) and the Measure of Processes of Care for Service providers (MPOC-SP), respectively. The MPOC questionnaires evaluate FCP from the point of view of parents and rehabilitation professionals. Domain scores within each questionnaire were compared with Kruskal-Wallis and Mann-Whitney tests. MPOC items with low scores (from 1-4 out of 7 by 33% or more of respondents) were considered to indicate weaknesses in service delivery. RESULTS: Median MPOC-20 scores varied from 5.2 (4.7, 5.8) (Providing General Information) to 7.0 (6.0, 7.0) (Enabling and Partnership). The Providing General Information scores were significantly lower than those of other domains (p <  0.003). The MPOC-SP scores varied from 4.8 (4.0, 5.8) (Providing General Information) to 6.1 (5.8, 6.6) (Treating People Respectfully). Scores for Treating People Respectfully were significantly higher (p <  0.0001) and Providing General Information scores significantly lower (p <  0.0001) than those of the other domains. Most items with high percentages of low scores were from the domain Providing General Information. CONCLUSION: Except for Providing General Information, the results indicated that services implement FCP "to a fairly great extent," comparing favorably to international data. Provision of information can be improved.

An Artifact for Evaluating the Quality of Health Service Providers: Evidence From Brazil.

The aim of this article is to present an artifact for evaluating the quality and performance of service providers in the field of health care: the UNIPLUS Program. To verify the scientific nature of the artifact and ensure that it meets the criteria set by the community and the environment, the premises of Design Science Research (DSR) were used. As this research field lacks empirical evidence, the artifact was tested from 2013 to 2015 with 25 health care service providers from different categories, with an emphasis on hospitals and clinics located in 7 cities in the south of Brazil. This article makes 3 main contributions to the field: (1) the artifact can be applied to any health insurance operator in Brazil and other countries, as it meets the legal norms and requirements established by current legislation; (2) it helps health service providers by generating information that identifies shortfalls and possibilities for improvement for every aspect analyzed in the evaluation process; and (3) it uses the DSR methodology in an evaluation artifact that evaluates the quality and performance of services in the field of health care. The artifact proved to be adequate for the purpose in question, helping to improve the quality of care and institutional performance.

Healthcare and Social Services Providers Who Serve Sexual and Gender Minorities in a U.S.-Mexico Border City.

Sexual and gender minorities, including lesbian, gay, bisexual, transgender, and queer (LGBTQ) individuals, experience barriers to healthcare as a result of stigma, discrimination, and poor cultural competence by healthcare and social services providers (HCSSP). The purpose of the study is to increase access to care and services for the LGBTQ community in a U.S.-Mexico border city by identifying LGBTQ-friendly HCSSP. A survey, developed based on concerns voiced in a predominantly Hispanic LGBTQ community, was administered to HCSSP and used to create a referral list, "The Purple Pages of El Paso" (PPoEP). Overall, 77 HCSSP have responded and 43 are included in the most recent version of the PPoEP. This model for developing a referral list of providers can be adapted in areas where LGBTQ communities face similar barriers to care and services. To be effective in reducing barriers to care, PPoEP must be updatable and sustainable.

Evaluación de la satisfacción de los usuarios y prestadores de servicios en la Clínica Estomatológica "Fe Dora Beris" / Evaluación de la satisfacción de los usuarios y prestadores de servicios en la Clínica Estomatológica "Fe Dora Beris"

Se hizo un estudio descriptivo y transversal de 8 estomatólogos y 120 pacientes atendidos en la Clínica Estomatológica "Fe Dora Beris" de Santiago de Cuba, desde julio hasta diciembre del 2014, a fin de evaluar el nivel de satisfacción de usuarios y prestadores de servicios estomatológicos, para lo cual se utilizó una encuesta. Se reestablecieron criterios, indicadores y estándares. Entre los principales resultados sobresalieron: solo 2 criterios relacionados con la investigación en los proveedores fueron inadecuados, y con respecto al nivel de satisfacción de los usuarios, el total de los integrantes de la serie manifestaron estar satisfechos con la atención recibida.

A descriptive and cross-sectional study of 8 dentists and 120 patients assisted at "Fe Dora Beris" Stomatological Clinic was carried out in Santiago de Cuba from July to December, 2014, in order to evaluate the satisfaction level of patients and providers about stomatological services by means of a survey. Criteria, indicators and standards were re-established. Among the main results there were: that just 2 criteria related to the investigation of the providers were inadequate, and regarding the satisfaction level of patients, all the members of the series were satisfied with the care provided.

Representación social de los prestadores de servicios de salud en la discapacidad visual / Social representation of the health service providers in visual disability

Introducción: el conocimiento de la representación social de los prestadores de servicios de salud resulta de suma importancia para la salud pública, debido a su influencia en la calidad de su relación con los pacientes. Objetivo: caracterizar la representación social de los prestadores de servicios de salud acerca de la discapacidad visual. Métodos: estudio de caso realizado en el policlínico Hermanos Ruíz Aboy en San Miguel del Padrón en el período de enero a junio de 2012. Participaron 33 informantes clave escogidos por muestreo intencional. Las técnicas de indagación empleadas fueron la asociación libre de palabras y las entrevistas en profundidad. Resultados: el estudio reveló la existencia en los prestadores de una representación angustiosa-conmiserativa-dependiente que configura elementos provenientes de referentes experienciales, componentes afectivos e insumos informacionales relacionados con las personas en situación de discapacidad visual. Conclusiones: los prestadores de servicios de salud investigados tiene en el núcleo de sus representaciones experiencias y conocimientos relacionados con el daño anatómico que condiciona limitación e incapacidad para la participación en la vida social de las personas con discapacidad visual, pero las asociaciones relativas a las necesidades de atención, definen un deficiente reconocimiento de elementos que garantizarían la compensación e integración psicosocial en estas personas(AU)

Introduction: knowing the social representation of the health service providers is very important for the public health, due to their influence on the quality of relationship with the patients. Objective: to characterize the social representation of the health service providers on visual disability. Methods: case study performed in Hermanos Ruiz Aboy in San Miguel del Padron municipality in the period of January through June, 2012. Thirty three key informants selected by intentional sampling participated. The research techniques were free association of words and in-depth interviews. Results: this study disclosed the existence in health providers of an anguishing-commisserative-dependent representation that shapes elements from experience referents, affective components and informational inputs related to the persons facing visual disability. Conclusions: the health service providers under research have, in the core of their representation, experiences and knowledge linked to the anatomical damage that causes limitation and disability to be involved in the people with visual disability; however, the relative associations with the care requirements define a poor recognition of those elements that would assure compensation and psychosocial integration of these people(AU)

Representación social de los prestadores de servicios de salud en la discapacidad visual / Social representation of the health service providers in visual disability

Introducción: el conocimiento de la representación social de los prestadores de servicios de salud resulta de suma importancia para la salud pública, debido a su influencia en la calidad de su relación con los pacientes. Objetivo: caracterizar la representación social de los prestadores de servicios de salud acerca de la discapacidad visual. Métodos: estudio de caso realizado en el policlínico Hermanos Ruíz Aboy en San Miguel del Padrón en el período de enero a junio de 2012. Participaron 33 informantes clave escogidos por muestreo intencional. Las técnicas de indagación empleadas fueron la asociación libre de palabras y las entrevistas en profundidad. Resultados: el estudio reveló la existencia en los prestadores de una representación angustiosa-conmiserativa-dependiente que configura elementos provenientes de referentes experienciales, componentes afectivos e insumos informacionales relacionados con las personas en situación de discapacidad visual. Conclusiones: los prestadores de servicios de salud investigados tiene en el núcleo de sus representaciones experiencias y conocimientos relacionados con el daño anatómico que condiciona limitación e incapacidad para la participación en la vida social de las personas con discapacidad visual, pero las asociaciones relativas a las necesidades de atención, definen un deficiente reconocimiento de elementos que garantizarían la compensación e integración psicosocial en estas personas...

Introduction: knowing the social representation of the health service providers is very important for the public health, due to their influence on the quality of relationship with the patients. Objective: to characterize the social representation of the health service providers on visual disability. Methods: case study performed in Hermanos Ruiz Aboy in San Miguel del Padron municipality in the period of January through June, 2012. Thirty three key informants selected by intentional sampling participated. The research techniques were free association of words and in-depth interviews. Results: this study disclosed the existence in health providers of an anguishing-commisserative-dependent representation that shapes elements from experience referents, affective components and informational inputs related to the persons facing visual disability. Conclusions: the health service providers under research have, in the core of their representation, experiences and knowledge linked to the anatomical damage that causes limitation and disability to be involved in the people with visual disability; however, the relative associations with the care requirements define a poor recognition of those elements that would assure compensation and psychosocial integration of these people...

La calidad en salud, un compromiso de todos / Health quality, and obligation for everybody

La atención en salud y la calidad en los servicios de salud se han convertido en parte de un proceso de mejoramiento dentro del Sistema de Seguridad Social en Salud en Colombia. Es por eso que la normatividad vigente se hace cada día más puntual a ese respecto por considerarse de suma importancia el proceso de la consecución y la permanencia de la salud con calidad en el contexto de nuestro país, en el cual debe tomar parte cada uno de los entes prestadores de salud, sus profesionales y la población, para que se de cómo consecuencia un resultado satisfactorio en la solución verdadera de problemas de salud en el país.Las normas actuales pretenden dar importancia a un aspecto primordial que es el mejoramiento de los servicios de salud. En este proceso los entes prestadores y los profesionales tienen un compromiso con cada una de las partes del proceso que obliga la ley y con los usuarios como fin último de la atención. Se pretende resaltar un aspecto primordial que es el mejoramiento de los servicios de salud, y así entonces, los entes prestadores y los profesionales tienen un compromiso con cada una de las partes del proceso al que obliga la ley y con los usuarios como fin último de la atención.La ley 100 de 1993 ha traído consigo una serie de reflexiones que nos han involucrado en el mejoramiento de la calidad de vida de los usuarios; siendo el acceso a los servicios de salud uno de los más importantes aspectos por el cual se debe propender y para esto el proceso de consecución de la calidad se hace indispensable.

Health attention and quality in health service have become part of an improvement process in the SocialSecurity System in Colombia. That is whyregulations in force are each time more specificregarding this topic. The process to find and keephealth quality in our context is highly important.Every agent providing health, professionals andpopulation must participate, therefore, asconsequence, a satisfactory result in the real solutionof health problems in the country might appear.Current regulations intend to give importance to abasic aspect: health service improvement. In thisprocess every agent providing health andprofessionals have a commitment with every partin the process and with users as a final end ofattention. Law 100 of 1993 brought a series ofreflections which have involved us in users’ lifequality improvement. The access to health serviceis the most important aspect to tend towards andtherefore the process to obtain quality isindispensable.