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1.
Rev. enferm. UERJ ; 28: e45918, jan.-dez. 2020.
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1117684

RESUMEN

Objetivo: analisar a compreensão de estudantes de graduação em enfermagem sobre as Redes de Atenção à Saúde. Método: estudo descritivo e exploratório, qualitativo, realizado com 27 estudantes em Enfermagem de uma universidade federal do sul do Brasil, por meio de entrevistas semiestruturadas realizadas entre agosto e setembro de 2018. Resultados: foi evidenciado o conhecimento dos estudantes em relação ao conceito e objetivo das Redes de Atenção à Saúde, a identificação de fragilidades na comunicação e a falta de conhecimento do usuário como obstáculos na efetivação das mesmas, a dificuldade em ver a atuação do enfermeiro dentro dos variados serviços das redes e a percepção sobre a fragmentação do processo de formação. Conclusão: o estudo contribui para a discussão sobre a inclusão dos estudantes nas Redes de Atenção à Saúde, com intuito de superar as exigências educacionais que buscam favorecer a efetivação do Sistema Único de Saúde e das Redes de Atenção à Saúde.


Objective: to examine undergraduate nursing students' understanding of Health Care Networks (HCNs). Method: in this exploratory, qualitative descriptive study, semi-structured interviews were conducted with 27 Nursing students at a federal University in southern Brazil between August and September 2018. Results: the interviews revealed that the students' knowledge related to the HCNs' concept and purpose, beyond the communication weaknesses and users' lack knowledge as obstacles to effective HCNs, the difficulty in seeing nurses' roles in the various network services, and perceived fragmentation in the training process. Conclusion: the study contributed to discussion of inclusion of students in HCRs, with a view to meeting the educational requirements designed to favor implementation of the national health system (SUS) and the HCNs.


Objetivo: analizar la comprensión de los estudiantes de enfermería de pregrado sobre las redes de atención de la salud (HCN). Método: en este estudio exploratorio, cualitativo descriptivo, se realizaron entrevistas semiestructuradas a 27 estudiantes de Enfermería de una Universidad federal del sur de Brasil entre agosto y septiembre de 2018. Resultados: las entrevistas revelaron que los conocimientos de los estudiantes relacionados con el concepto y propósito, más allá de las debilidades de comunicación y la falta de conocimiento de los usuarios como obstáculos para una HCN eficaz, la dificultad para ver el rol de las enfermeras en los distintos servicios de la red y la fragmentación percibida en el proceso de formación. Conclusión: el estudio contribuyó a la discusión de la inclusión de los estudiantes en las HCR, con miras a cumplir con los requisitos educativos diseñados para favorecer la implementación del Sistema Nacional de Salud (SUS) y las HCN.


Asunto(s)
Humanos , Masculino , Femenino , Atención Primaria de Salud/organización & administración , Estudiantes de Enfermería , Sistema Único de Salud/organización & administración , Prestación de Atención de Salud/organización & administración , Comprensión , Brasil , Rol de la Enfermera , Investigación Cualitativa , Educación de Postgrado en Enfermería
2.
Nurs Womens Health ; 24(5): 309-310, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-33038989
4.
Artículo en Inglés | MEDLINE | ID: mdl-33007951

RESUMEN

The SARS-CoV2 pandemic has impacted risk management globally. Blockchain has been increasingly applied to healthcare management, as a strategic tool to strengthen operative protocols and to create the proper basis for an efficient and effective evidence-based decisional process. We aim to validate blockchain in healthcare, and to suggest a trace-route for a COVID19-safe clinical practice. The use of blockchain in combination with artificial intelligence systems allows the creation of a generalizable predictive system that could contribute to the containment of pandemic risk on national territory. A SWOT analysis of the adoption of a blockchain-based prediction model in healthcare and SARS-CoV-2 infection has been carried out to underline opportunities and limits to its adoption. Blockchain could play a strategic role in future digital healthcare: specifically, it may work to improve COVID19-safe clinical practice. The main concepts, and particularly those related to clinical workflow, obtainable from different blockchain-based models have been reported here and critically discussed.


Asunto(s)
Inteligencia Artificial , Cadena de Bloques , Infecciones por Coronavirus , Prestación de Atención de Salud/organización & administración , Pandemias , Neumonía Viral , Betacoronavirus , Humanos , Flujo de Trabajo
5.
Ital J Pediatr ; 46(1): 142, 2020 Oct 02.
Artículo en Inglés | MEDLINE | ID: mdl-33008445

RESUMEN

BACKGROUND: The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting. METHODS: We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment. RESULTS: The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians. CONCLUSIONS: Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Control de Infecciones/organización & administración , Pandemias/prevención & control , Neumonía Viral/prevención & control , Cuarentena/organización & administración , Encuestas y Cuestionarios , Telemedicina/estadística & datos numéricos , Adulto , Atención Ambulatoria/estadística & datos numéricos , Niño , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/organización & administración , Servicio de Urgencia en Hospital/estadística & datos numéricos , Femenino , Hospitalización/estadística & datos numéricos , Humanos , Italia , Masculino , Evaluación de Resultado en la Atención de Salud , Pandemias/estadística & datos numéricos , Planificación de Atención al Paciente/organización & administración , Pediatría/métodos , Neumonía Viral/epidemiología , Sociedades Médicas
6.
Colomb Med (Cali) ; 51(2): e4266, 2020 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-33012884

RESUMEN

Background: The best scientific evidence is required to design effective Non-pharmaceutical interventions to help policymakers to contain COVID-19. Aim: To describe which Non-pharmaceutical interventions used different countries and a when they use them. It also explores how Non-pharmaceutical interventions impact the number of cases, the mortality, and the capacity of health systems. Methods: We consulted eight web pages of transnational organizations, 17 of international media, 99 of government institutions in the 19 countries included, and besides, we included nine studies (out of 34 identified) that met inclusion criteria. Result: Some countries are focused on establishing travel restrictions, isolation of identified cases, and high-risk people. Others have a combination of mandatory quarantine and other drastic social distancing measures. The timing to implement the interventions varied from the first fifteen days after detecting the first case to more than 30 days. The effectiveness of isolated non-pharmaceutical interventions may be limited, but combined interventions have shown to be effective in reducing the transmissibility of the disease, the collapse of health care services, and mortality. When the number of new cases has been controlled, it is necessary to maintain social distancing measures, self-isolation, and contact tracing for several months. The policy decision-making in this time should be aimed to optimize the opportunities of saving lives, reducing the collapse of health services, and minimizing the economic and social impact over the general population, but principally over the most vulnerable. The timing of implementing and lifting interventions could have a substantial effect on those objectives.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Política de Salud , Pandemias/prevención & control , Neumonía Viral/prevención & control , Formulación de Políticas , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/mortalidad , Prestación de Atención de Salud/organización & administración , Humanos , Neumonía Viral/epidemiología , Neumonía Viral/mortalidad , Cuarentena , Aislamiento Social , Factores de Tiempo
7.
Colomb Med (Cali) ; 51(2): e4271, 2020 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-33012886

RESUMEN

Coronavirus illness 2019 (COVID-19) is an airways infection caused by the new coronavirus (SARS-CoV-2) which has been quickly disseminated all over the world, affecting to the general population including women in pregnancy time. As being a recent infection, the evidence that supports the best practices for the management of the infection during pregnancy is limited, and most of the questions have not been completely solved yet. This publication offers general guidelines focused on decision-making people, managers, and health's teams related to pregnant women attention and newborn babies during COVID-19 pandemic. Its purpose is to promote useful interventions to prevent new infections as well as prompt and adequate attention to avoid serious complications or deaths, trying to be adapted to the different contexts in which attention to expectant mothers is provided. Guidelines are set within a well-scientific evidence and available recommendations up to date.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Complicaciones Infecciosas del Embarazo/epidemiología , Infecciones por Coronavirus/virología , Prestación de Atención de Salud/organización & administración , Femenino , Humanos , Recién Nacido , Pandemias , Neumonía Viral/virología , Guías de Práctica Clínica como Asunto , Embarazo , Complicaciones Infecciosas del Embarazo/virología
8.
Colomb Med (Cali) ; 51(2): e4277, 2020 Jun 30.
Artículo en Inglés | MEDLINE | ID: mdl-33012889

RESUMEN

Currently, there are several mathematical models that have been developed to understand the dynamics of COVID-19 infection. However, the difference in the sociocultural contexts between countries requires the specific adjustment of these estimates to each scenario. This article analyses the main elements used for the construction of models from epidemiological patterns, to describe the interaction, explain the dynamics of infection and recovery, and to predict possible scenarios that may arise with the introduction of public health measures such as social distancing and quarantines, specifically in the case of the pandemic unleashed by the new SARS-CoV-2/COVID-19 virus. Comment: Mathematical models are highly relevant for making objective and effective decisions to control and eradicate the disease. These models used for COVID-19 have supported and will continue to provide information for the selection and implementation of programs and public policies that prevent associated complications, reduce the speed of the virus spread and minimize the occurrence of severe cases of the disease that may collapse health systems.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Política de Salud , Modelos Teóricos , Neumonía Viral/epidemiología , Infecciones por Coronavirus/prevención & control , Prestación de Atención de Salud/organización & administración , Humanos , Pandemias/prevención & control , Neumonía Viral/prevención & control , Salud Pública , Cuarentena , Aislamiento Social
9.
Acta Med Indones ; 52(3): 196-198, 2020 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-33020330

RESUMEN

Since the detection of the first confirmed case of coronavirus disease 2019 (COVID-19) in early March 2020, 248,852 cases have been detected in Indonesia by 21 September 2020. At least 100 doctors have died from COVID-19 nationwide. Full large-scale social restriction was a temporary measure, followed by an early transition to the new normal era during the never-ending first wave in the country. Workers in industrial, retail, transport, and tourism fields suffered a significant decrease in work. Many countries are, however, in dilemma of protecting the health of the citizens and prioritising economy. Health should be prioritised because it is an important aspect of our lives for our economy. Poor health is estimated to reduce global gross domestic product (GDP) by 15% annually through premature deaths and potential loss of productivity of the working-age citizens. Pandemics also depress economy through decrease in both supply and demand. Data from flu pandemic a century ago suggested the importance of aggressiveness and speed of intervention. Taiwan's early action led to beneficial effects on SARS-CoV-2 infection rate and economy recovery. The target of enhancement of containment measures, provision of personal protective equipments, and testing and isolation facilities should be achieved earlier and be more than the projected demand.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/organización & administración , Costos de la Atención en Salud , Pandemias , Neumonía Viral/epidemiología , Infecciones por Coronavirus/economía , Humanos , Indonesia/epidemiología , Pandemias/economía , Neumonía Viral/economía
10.
Ital J Pediatr ; 46(1): 149, 2020 Oct 08.
Artículo en Inglés | MEDLINE | ID: mdl-33032650

RESUMEN

The rapid spread of the COVID-19 outbreak in Italy has dramatically impacted the National Healthcare System, causing the sudden congestion of hospitals, especially in Northern Italy, thus imposing drastic restriction of almost all routine medical care. This exceptional adaptation of the Italian National Healthcare System has also been felt by non-frontline settings such as Pediatric Orthopaedic Units, where the limitation or temporary suspension of most routine care activities met with a need to maintain continuity of care and avoid secondary issues due to the delay or suspension of the routine clinical practice. The Italian Society of Pediatric Orthopaedics and Traumatology formulated general and specific recommendations to face the COVID-19 outbreak, aiming to provide essential care for children needing orthopaedic treatments during the pandemic and early post-peak period, ensure safety of children, caregivers and healthcare providers and limit the spread of contagion.


Asunto(s)
Infección Hospitalaria/prevención & control , Prestación de Atención de Salud/organización & administración , Procedimientos Ortopédicos/estadística & datos numéricos , Evaluación de Resultado en la Atención de Salud , Guías de Práctica Clínica como Asunto/normas , Niño , Preescolar , Toma de Decisiones Clínicas , Femenino , Humanos , Italia , Masculino , Salud Laboral/estadística & datos numéricos , Procedimientos Ortopédicos/métodos , Ortopedia/normas , Seguridad del Paciente , Pediatría/normas , Sociedades Médicas/normas , Traumatología/normas
11.
Acta Biomed ; 91(3): ahead of print, 2020 08 10.
Artículo en Inglés | MEDLINE | ID: mdl-32921743

RESUMEN

During COVID-19 pandemic, the recruitment of new personnel was necessary to guarantee an adequate healthcare level to all patients affected by SARS-CoV-2 virus. In order to deal with the sanitary emergency, unusual selection procedures have been adopted inside the public health system by searching for new healthcare personnel. The recruitment of new candidates with a short self-introduction was very effective and permitted to select 65 nurses.


Asunto(s)
Betacoronavirus , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/organización & administración , Personal de Salud/organización & administración , Neumonía Viral/epidemiología , Grabación en Video/métodos , Humanos , Pandemias
12.
Surg Clin North Am ; 100(5): 937-948, 2020 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-32882175

RESUMEN

Regionalization of surgery is an important component of surgical outcomes. This has been based on numerous studies validating the relationship of surgical volume to surgical outcomes. The Mayo Clinic is actively engaged in regionalization of surgery within its health system. It has embraced a nonvolume outcome approach focusing on outcomes using electronic medical record data mining and National Surgical Quality Improvement Program. Implementing surgical regionalization is supported but ineffectively implemented. In addition, the implementation process has been poorly described in the literature. The Mayo clinic has actively implemented regionalization within its health system, which includes supporting the health system.


Asunto(s)
Prestación de Atención de Salud/organización & administración , Cirugía General/organización & administración , Instituciones de Salud , Humanos , Minnesota
15.
Pan Afr Med J ; 36: 179, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32952823

RESUMEN

As SARS-CoV-2 rapidly spread across the globe, short-term modeling forecasts provided time-critical information for containment and mitigation strategies. Global projections had so far incorrectly predicted large numbers of COVID-19 cases in Africa and that its health systems would be overwhelmed. Significantly higher COVID-19-related mortality were expected in Africa mainly because of its poor socio-economic determinants that make it vulnerable to public health threats, including diseases of epidemic potential. Surprisingly as SARS-CoV-2 swept across the globe, causing tens of thousands of deaths and massive economic disruptions, Africa has so far been largely spared the impact that threw China, USA, and Europe into chaos. To date, 42 African countries imposed lockdowns on movements and activities. Experience from around the world suggests that such interventions effectively suppressed the spread of COVID-19. However, lockdown measures posed considerable economic costs that, in turn, threatened lives, put livelihoods at risk, exacerbated poverty and the deleterious effects on cultures, health and behaviours. Consequently, there has been great interest in lockdown exit strategies that preserve lives while protecting livelihoods. Nonetheless in the last few weeks, African countries have started easing restrictions imposed to curb the spread of SARS-CoV-2. WHO recommends lifting of lockdowns should depend on the ability to contain SARS-CoV-2 and protect the public once restrictions are lifted. Yet, the greatest challenge is the critical decision which must be made in this time of uncertainties. We propose simple strategies on how to ease lockdowns in Africa based on evidence, disease dynamics, situational analysis and ability of national governments to handle upsurges.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Salud Pública/legislación & jurisprudencia , Cuarentena/legislación & jurisprudencia , África/epidemiología , Infecciones por Coronavirus/economía , Infecciones por Coronavirus/epidemiología , Prestación de Atención de Salud/organización & administración , Humanos , Pandemias/economía , Neumonía Viral/economía , Neumonía Viral/epidemiología , Pobreza , Salud Pública/economía , Cuarentena/economía , Factores Socioeconómicos
16.
Rev Med Suisse ; 16(707): 1763-1766, 2020 Sep 23.
Artículo en Francés | MEDLINE | ID: mdl-32969614

RESUMEN

The care of vulnerable people with non-communicable diseases faces numerous barriers including difficulties in identifying affected people, lack of time, resources, tools and skills to address these issues, poor intersectoral work between health-care and social work. We plea for a systematic public policy which allows to implement intersectoral collaborations at all levels.


Asunto(s)
Prestación de Atención de Salud/organización & administración , Prestación de Atención de Salud/tendencias , Enfermedades no Transmisibles , Poblaciones Vulnerables , Humanos
19.
Cien Saude Colet ; 25(9): 3493-3502, 2020 Sep.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-32876243

RESUMEN

Prisional health is, in its essence, public health. The COVID-19 pandemic poses a great threat to the world and has shown that preventing the disease escalation in prisons integrates the novel corona virus clash in society in general. Up to this moment, the most effective known measure to curb the disease spread is social isolation. Nevertheless, in penal institutions, often overcrowded, social isolation becomes difficult to carry out and, when it happens, it takes the enclosed population to overisolation, with consequences to their mental health. Besides, prisoners suffer with clogged up environment, lack of materials for personal hygiene, poor basic sanitary conditions and difficulties in accessing health services. This paper deals with a narrative review on the pandemic effects in prisons and how government and civil society have organized themselves in order to reduce the disease consequences at those places. The text has been divided into three sections: the first with literature review on the current health theme; the second discusses how different countries have been dealing with the prison situation in the pandemic context, and, the last part focuses on how the Brazilian Penal System has reacted to the new disease.


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Prisioneros/estadística & datos numéricos , Prisiones/estadística & datos numéricos , Brasil , Infecciones por Coronavirus/prevención & control , Infecciones por Coronavirus/psicología , Prestación de Atención de Salud/organización & administración , Accesibilidad a los Servicios de Salud , Humanos , Salud Mental , Pandemias/prevención & control , Neumonía Viral/prevención & control , Neumonía Viral/psicología , Prisioneros/psicología , Aislamiento Social
20.
Cien Saude Colet ; 25(9): 3567-3571, 2020 Sep.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-32876259

RESUMEN

On February 3, 2020, the Brazilian Ministry of Health declared a state of emergency in public health of national relevance due to the pandemic caused by the new coronavirus SARS-CoV-2. As a result, IBGE postponed the 2020 Demographic Census and started to formulate a COVID-19 PNAD. The survey included a total sample of 349 thousand people in about 200 thousand households. Of the total Brazilian resident population, the IBGE estimated in May/2020 that 24.0 million (11.4%) had at least one of the flu-like syndrome symptoms. Of this contingent, 20.2 million (84.3% of all symptomatic patients) did not seek health care. The innovations brought to health surveillance and the IBGE's pioneering spirit show that it is possible, in a continental country that has been experiencing several local epidemics at different times in its territory, that other countries also develop similar household surveys, with weekly data collection (referred to epidemiological weeks) by telephone in an innovative and timely manner. The COVID-19 PNAD also brought new technology to the Institute, reviving its role as an external evaluator of the Unified Health System (SUS).


Asunto(s)
Infecciones por Coronavirus/epidemiología , Neumonía Viral/epidemiología , Vigilancia en Salud Pública/métodos , Salud Pública , Encuestas y Cuestionarios , Betacoronavirus/aislamiento & purificación , Tecnología Biomédica , Brasil , Infecciones por Coronavirus/terapia , Infecciones por Coronavirus/virología , Prestación de Atención de Salud/organización & administración , Humanos , Pandemias , Aceptación de la Atención de Salud/estadística & datos numéricos , Neumonía Viral/terapia , Neumonía Viral/virología
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