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1.
Community Dent Health ; 37(1): 3-4, 2020 Feb 27.
Artículo en Inglés | MEDLINE | ID: mdl-32112675

RESUMEN

On Friday, 20 December 2019, after three and a half years of discussion the Parliament of the United Kingdom (UK) voted decisively that this country should leave the European Union (EU). For many of us this was a sad day. However, this political decision has been made and intensive negotiations will now take place between the UK and the EU's negotiating teams to agree the details for the UK's future relationship with the EU. It is still far from clear exactly what the consequences of the resulting deal will be for both parties. A number of previous articles and editorials have speculated on the possible consequences for health and oral health in the UK. Key areas include workforce, research and regulations for medicines and medical and dental equipment. This editorial will consider the implications for the UK's Oral healthcare workforce.


Asunto(s)
Fuerza Laboral en Salud , Salud Bucal , Unión Europea , Humanos , Reino Unido , Recursos Humanos
2.
Rev Panam Salud Publica ; 44, February 2020
Artículo en Portugués | PAHO-IRIS | ID: phr-51479

RESUMEN

[RESUMO]. Objetivo. Caracterizar os municípios brasileiros que compunham os perfis prioritários para implantação do Programa Mais Médicos (PMM) e avaliar o efeito do programa no provimento emergencial de médicos na atenção primária à saúde (APS) no Brasil segundo contexto de implantação. Métodos. Estudo de séries temporais interrompidas, que considerou como desfecho as taxas de médicos de APS/10 000 habitantes no Brasil e nos contextos de implantação do PMM. Para essa análise de série temporal, foram coletados dados mensais de janeiro de 2008 a dezembro de 2016. O início da intervenção foi estabelecido no mês de julho de 2013, data da assinatura da medida provisória que criou o PMM. Os municípios foram caracterizados segundo aspectos demográficos, socioeconômicos, serviços de saúde e distribuição de médicos. Resultados. A criação do PMM resultou em incremento na taxa de médicos de APS em todos os perfis prioritários para a implantação do programa, com destaque para municípios com mais de 20% dos habitantes vivendo em situação de pobreza. Além disso, o estudo demonstrou diferenças marcantes entre os municípios brasileiros em aspectos socioeconômicos, na organização de serviços de saúde e na disponibilidade de médicos na APS, inclusive dentro de um mesmo contexto de implantação do PMM. Conclusões. O PMM tem contribuído para reduzir a escassez e a má distribuição de médicos na APS no Brasil, reduzindo as inequidades de acesso. Desse modo, foi bem-sucedido em seu eixo de provimento emergencial, tornando-se uma importante estratégia de fortalecimento da APS e do Sistema Único de Saúde.


[ABSTRACT]. Objective. To characterize the Brazilian municipalities in each More Doctors Program (MDP) priority profile and to assess the effect of the program on the emergency supply of primary care physicians in Brazil according to implementation context. Method. An interrupted time-series analysis (ITSA) was performed, considering as outcome the rate of primary care physicians/10 000 inhabitants in Brazil and within each MDP implementation context. Monthly data were collected from January 2008 to December 2016. The intervention was considered to have started in July 2013, when the MDP was officially created. The municipalities were characterized according to demographic, socioeconomic, health care service, and physician distribution variables. Results. Establishment of the MDP was associated with increased rate of primary care physicians in all priority profiles, especially in municipalities in which at least 20% of the population lived in poverty. Furthermore, the study showed significant differences among Brazilian municipalities in socioeconomic aspects, health care service organization, and availability of primary care physicians, even within the same MDP implementation context. Conclusion. The MDP has contributed to reduce the shortage and improve the distribution of primary care physicians in Brazil, thus reducing inequalities in access to services. Consequently, the MDP was successful in its emergency supply of physicians, having become an important strategy to strengthen primary health care and the Brazilian Unified Health System.


[RESUMEN]. Objetivo. Caracterizar los municipios brasileños representativos de los perfiles prioritarios para la implementación del programa Mais Médicos (PMM) y evaluar el efecto del programa en la dotación de médicos de atención primaria de salud (APS) en situaciones de emergencia en Brasil, según el contexto de implementación. Métodos. Se realizó un análisis de series cronológicas interrumpidas, en el cual se consideraron como resultado las tasas de dotación de médicos de APS por cada 10 000 habitantes en Brasil y en el contexto de implementación del PMM. Para dicho análisis, se recolectaron datos mensuales desde enero del 2008 hasta diciembre del 2016. Se determinó que la intervención comenzó en el mes de julio del 2013, fecha de la firma de la medida provisional en virtud de la cual se creó el PMM. Los municipios se caracterizaron según sus características demográficas y socioeconómicas, los servicios de salud y la distribución de los médicos en cada uno. Resultados. La creación del PMM redundó en un incremento de la tasa de dotación de médicos de APS en todos los perfiles prioritarios para la implementación del programa, con hincapié en los municipios donde más de 20% de los habitantes se encontraban en situación de pobreza. Además, el análisis demostró que había notables diferencias entre los municipios brasileños en cuanto al aspecto socioeconómico, a la organización de los servicios de salud y a la disponibilidad de médicos de APS, incluso dentro del mismo contexto de implementación del PMM. Conclusión. El PMM ha contribuido a reducir la escasez y la mala distribución de los médicos de APS en Brasil, con lo cual ha disminuido la inequidad del acceso a los servicios. En ese sentido, tuvo éxito en su eje de dotación de médicos en situaciones de emergencia, hecho que lo convirtió en una importante estrategia de fortalecimiento de la APS y del Sistema Único de Salud.


Asunto(s)
Recursos Humanos , Recursos Humanos , Distribución de Médicos , Estrategia de Salud Familiar , Sistema Único de Salud , Brasil , Sistema Único de Salud , Distribución de Médicos , Atención Primaria de Salud , Estrategia de Salud Familiar , Sistema Único de Salud , Brasil , Distribución de Médicos , Atención Primaria de Salud , Estrategia de Salud Familiar
3.
Curr Psychiatry Rep ; 22(2): 8, 2020 Jan 27.
Artículo en Inglés | MEDLINE | ID: mdl-31989417

RESUMEN

PURPOSE OF REVIEW: The purpose of this paper is to demonstrate how a remote workforce may increase access to care while reducing physician burnout. We review workforce issues and organizational and individual obstacles for implementing a telepsychiatry workforce including administrative, logistical, and clinical considerations and offer resources for how to overcome barriers that may arise in implementing a remote workforce. RECENT FINDINGS: There is an increasingly unmet demand for mental health services and a shortage in psychiatrists. Burnout may be a key factor contributing to psychiatrists working less, pursuing less acute cases, and leading to worsened outcomes for patients and the psychiatrists themselves. Telepsychiatry provides comparable patient and provider satisfaction and equal outcomes when compared with face-to-face encounters. We provided 3 case examples to demonstrate psychiatrists demonstrating successful delivery of care in a range of clinic settings and workplace configurations while optimizing their quality of life and reducing their risk of burnout.


Asunto(s)
Agotamiento Profesional/prevención & control , Psiquiatría , Telemedicina , Recursos Humanos , Humanos , Calidad de Vida , Videoconferencia
5.
Int Nurs Rev ; 67(1): 101-108, 2020 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-31943202

RESUMEN

AIM: This paper examines the possibility of including families, particularly mothers, within the health workforce using the human resource for health planning model to improve newborn outcomes. BACKGROUND: In many low- and middle-income countries, there is a critical shortage of healthcare providers which impacts care for the neonatal population. A maternal and newborn health need that is prevalent in such countries is the care available between pregnancy and the postnatal period, where significant maternal and newborn deaths occur. SOURCES OF EVIDENCE: Using the population health need of the neonatal population in Tanzania, this paper explores the opportunity to include mothers as an additional human resource for health within the Needs-Based Health Human Resources and Health Systems Planning model. DISCUSSION: In relation to educating and engaging family caregivers, the possible extension of the health workforce to include mothers as a response to meeting the healthcare needs of the neonatal population has yet to be explored. Through mothers and healthcare providers working together to address the population health need of essential newborn care, it offers a way forward for planning the resources needed in a health system. If utilized, mothers offer the opportunity to supplement the demand for human resources for health in the provision of newborn care, without replacing healthcare providers. CONCLUSION: Mothers as potential members of the health workforce furthers the health system as a whole whereby population health needs are addressed and newborn mortality declines. IMPLICATIONS FOR HEALTH POLICY: To solve the critical gap based on the supply of and demand for providers including doctors, nurses and midwives, a broader look at innovative solutions is essential. IMPLICATIONS FOR NURSING PRACTICE: Mothers offer the opportunity to supplement the available human resources for health in the provision of newborn care, thus helping to close existing gaps.


Asunto(s)
Prestación de Atención de Salud , Salud de la Familia , Planificación en Salud , Madres , Recursos Humanos , Femenino , Necesidades y Demandas de Servicios de Salud , Humanos , Lactante , Cuidado del Lactante , Recién Nacido , Partería , Médicos
6.
Rev Saude Publica ; 53: 110, 2019.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31826176

RESUMEN

OBJECTIVE: To evaluate the influence of the Mais Médicos (More Doctors) Program on the performance of primary health care by quantifying health services access and use in Northeast Brazil, based on the population size of the municipalities, on the financial investment in health, and on the number of physicians in the family health teams. METHOD: Evaluative research of quantitative nature. Access was evaluated by the population coverage ratio of the Family Health Strategy and use of health services, which were measured by medical appointments conducted between April 2013 and September 2015. We defined processes for database selection, adjustment, and validation, including explanatory variables for a sample of 896 municipalities. The analysis was based on the time periods before and after the implementation of the program. The Wilcoxon signed-rank test and non-parametric alternatives constituted statistical tests in the comparative analysis of the data. RESULTS: A 19.2% increase was observed in the number of medical appointments between the first six months and the final six months of the data series. In this period, the median appointments in municipalities with up to 5,000 inhabitants increased from 701.0 to 768.0; while in those with more than 100,000 inhabitants it decreased from 285.5 to 280.0 (p < 0.05). Between April 2013 and September 2015, the median coverage ratio of the family health teams increased from 89.2% to 95.3%, approaching 100% in the municipalities with up to 20,000 inhabitants. CONCLUSIONS: The study highlights the expansion of access and use of primary health care services in the northeast region after the implementation of the Mais Médicos (More Doctors) Program. Between April 2013 and September 2015, the coverage of family health teams and the production of medical appointments increased, constituting important achievements for SUS.


Asunto(s)
Prestación de Atención de Salud/estadística & datos numéricos , Programas de Gobierno , Médicos/provisión & distribución , Atención Primaria de Salud/estadística & datos numéricos , Derivación y Consulta/estadística & datos numéricos , Brasil , Prestación de Atención de Salud/economía , Salud de la Familia , Asignación de Recursos para la Atención de Salud , Humanos , Atención Primaria de Salud/economía , Evaluación de Programas y Proyectos de Salud , Recursos Humanos
8.
BMJ ; 367: l6721, 2019 Dec 18.
Artículo en Inglés | MEDLINE | ID: mdl-31852665

RESUMEN

OBJECTIVES: To compare the proportional representation of healthcare workers in receipt of New Year honours (NYHs) with workers in other industries and to determine whether the NYH system has gender or geographical biases. DESIGN: Observational study of the UK honours system with a comparative analysis of proportional representation of the UK workforce and subgroup analyses of gender and geographical representations. PARTICIPANTS: Recipients of NYHs from 2009 to 2018. MAIN OUTCOME MEASURES: Absolute risk of receiving an NYH based on industry, gender, or region of the UK. Relative risk of receiving an NYH for services to healthcare compared with other industries. RESULTS: 10 989 NYHs were bestowed from 2009 to 2018, 47% of which were awarded to women. 832 awards (7.6%) were for services to healthcare. People working in sport and in the arts and media were more likely to receive NYHs than those working in healthcare (relative risks of 22.01 (95% confidence interval 19.91 to 24.34) and 5.84 (5.31 to 6.44), respectively). There was no significant difference between the rate of receiving honours for healthcare and for science and technology (P=0.22). 34% (3741) of awards were issued to people living in London and in the southeast of England, and only 496 of 1447 (34%) higher order awards (knighthoods, damehoods, companions of honour, and commanders of the order of the British empire) were received by women. CONCLUSIONS: In relation to the size of its workforce, a career in healthcare is not as "honourable" as careers in certain other industries. Geographical and gender biases might exist in the honours system.


Asunto(s)
Distinciones y Premios , Geografía/estadística & datos numéricos , Industrias/estadística & datos numéricos , Sexismo/estadística & datos numéricos , Recursos Humanos/estadística & datos numéricos , Adulto , Femenino , Humanos , Masculino , Persona de Mediana Edad , Reino Unido
9.
J Emerg Manag ; 17(5): 380-384, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-31736044

RESUMEN

The authors propose that, through innovative and mutually beneficial partnerships between medical schools and local Emergency Medical Services (EMS) agencies, medical students can help mitigate EMS shortages in areas across the country. These partnerships, which we have seen very early signs of in some places, would create channels by which medical students get their emergency medical technician certifications in the summer before matriculating and volunteer with the agency's ambulance service, either as an extracurricular clinical experience (which are very popular among medical students) or as a way to fulfill clinical or service requirements or earn elective credit. In the attached piece, the authors (1) establish, using data, that a key factor contributing to current and impending EMS shortages is a lack of certified personnel, and (2) propose why and how medical students could provide a novel source of additional volunteers for understaffed public ambulance services, explore some of the benefits and limitations of this proposal, and provide a road-map for how to form partnerships between medical schools and local EMS agencies.


Asunto(s)
Creación de Capacidad , Servicios Médicos de Urgencia/organización & administración , Auxiliares de Urgencia/provisión & distribución , Estudiantes de Medicina , Recursos Humanos , Ambulancias , Humanos
11.
J Am Dent Assoc ; 150(12): 992, 2019 12.
Artículo en Inglés | MEDLINE | ID: mdl-31761027
12.
Isr J Health Policy Res ; 8(1): 74, 2019 10 14.
Artículo en Inglés | MEDLINE | ID: mdl-31610814

RESUMEN

One of the major health disparities between Israel's center and periphery relates to the physician to population ratio. To overcome it, the Israeli government launched a financial incentive program in 2011, in an attempt to encourage physicians to work in the periphery and in specialties experiencing major shortages. A recent IJHPR study found that residents who choose to work in a peripheral institution gave more weight to the grant in their decision-making process than did residents from central institutions. This finding lends support to the rationale behind the government program and suggests that it is an effective means of achieving the desired goal.This commentary details how the program was repeatedly adjusted during the 2011-2018 period, in light of changing needs. As financial and human resources are expected to remain scarce in the future, the program must continue to be constantly evaluated and adjusted in order to maintain its effectiveness.


Asunto(s)
Internado y Residencia , Gobierno , Humanos , Israel , Motivación , Autoinforme , Recursos Humanos
13.
Rev Sci Tech ; 38(1): 251-260, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31564726

RESUMEN

One Health Surveillance (OHS) implements the One Health approach to improving health by collecting data and producing information to support integrated action across the animal health, human health and environment sectors. The purpose of this study was to survey the biosurveillance community to assess its OHS practices and capabilities, its attitudes towards OHS (perceived value), and the factors that motivate its members to implement OHS practices. The authors used a convenience sample of 185 professionals from multiple domains and 44 nations. They examined the extent to which these professionals implemented OHS, gathered their opinions on the value of OHS, assessed their perceptions of the capacity to perform specific OHS tasks and identified their priorities for change. Over 85% of all respondents said that they considered OHS to be beneficial, with no significant differences between work domains or country income groups; over 50% indicated that they already applied OHS. Obtaining access to data collected by other domains was both the most frequent challenge and the most difficult to improve. The highest priority for improvement was having the ability to send and receive electronic data. Respondents from low-income or middle-income countries were more motivated to make improvements than stakeholders from high-income countries. These findings provide a snapshot of current opinions and practices and, together with suggestions for improvements from professionals in the field, can help to target priority needs for OHS information, training and resources.


Asunto(s)
Motivación , Salud Única , Recursos Humanos , Animales , Humanos , Encuestas y Cuestionarios , Recursos Humanos/normas , Recursos Humanos/tendencias
14.
Rev Sci Tech ; 38(1): 239-250, 2019 05.
Artículo en Inglés | MEDLINE | ID: mdl-31564727

RESUMEN

The capacity to effectively and efficiently address threats to public and animal health requires an adequately trained workforce. A prerequisite for this is an effective plan for building the capacity of both private and public health workers. Yet capacity building and workforce development within One Health collaboration remain challenging for a number of reasons, including competing priorities, sectorspecific funding and a lack of trust and communication across sectors. Practical considerations, such as differences in language and culture, and working across time zones and geography, also have a considerable influence. Consequently, previous attempts to build capacity have traditionally lacked the attributes necessary for effective development and sustainability, such as continuity and systematic coordination of the learning process. Through the presentation and analysis of two recently implemented workforce development programmes, the authors highlight effective characteristics of workforce initiatives to build capacity. Such programmes can play a strategic role in developing, coordinating and supporting systematic and sustainable training for One Health and Veterinary Services performance on a regional and global scale.


Asunto(s)
Salud Única , Recursos Humanos , África , Animales , Asia , Humanos , América Latina , Salud Única/tendencias , Recursos Humanos/tendencias
15.
BMC Cancer ; 19(1): 992, 2019 Oct 23.
Artículo en Inglés | MEDLINE | ID: mdl-31646991

RESUMEN

BACKGROUND: Cancer mortality is one of the major causes of productivity loss; and within all cancer sites, malignant neoplasms of the lung continue to be the principal cancer-related cause of death in Spain, with a survival rate of only 10.7%. Thus its effects in labour productivity are a major concern and represent a great social impact. The objective of this study was to evaluate the productivity losses that occur as a result of premature deaths due to lung cancer in Spain. METHODS: The human capital approach was used to calculate the costs derived from the premature mortality due to lung cancer, via the extraction of data on mortality, reference salaries and unemployment rates. RESULTS: Deaths due to lung cancer represented the 28.90% and the 10.83% of all cancer-related deaths in 2017 in males and females respectively, with an increasing tendency in this last group. In addition, the YPPLL count increased in the study period among females. Lung cancer was responsible annually for 60,846 YPPLL, and productivity losses summed €13.1 billion over the 10 year period. CONCLUSIONS: The assessment of productivity losses due to lung cancer provides new information that may assist decision makers in the allocation of resources, reducing the burden it supposes in working-age individuals.


Asunto(s)
Costo de Enfermedad , Eficiencia , Neoplasias Pulmonares/mortalidad , Mortalidad Prematura , Femenino , Humanos , Esperanza de Vida , Neoplasias Pulmonares/economía , Masculino , Factores Sexuales , España/epidemiología , Tasa de Supervivencia , Recursos Humanos
16.
Artículo en Inglés | MEDLINE | ID: mdl-31597239

RESUMEN

The fast population ageing has generated and will continue to generate large social, economic and health challenges in the 21th century in Australia, and many other developed and developing countries. Population ageing is projected to lead to workforce shortages, welfare dependency, fiscal unsustainability, and a higher burden of chronic diseases on health care system. Promoting health and sustainable work capacity among mature age and older workers hence becomes the most important and critical way to address all these challenges. This paper used the pooled data from the longitudinal Household, Incomes and Labour Dynamics in Australia (HILDA) survey 2002-2011 data to investigate common and different factors predicting voluntary or involuntary workforce transitions among workers aged 45 to 64. Long term health conditions and preference to work less hours increased while having a working partner and proportion of paid years decreased both voluntary and involuntary work force transitions. Besides these four common factors, the voluntary and involuntary workforce transitions had very different underlying mechanisms. Our findings suggest that government policies aimed at promoting workforce participation at later life should be directed specifically to life-long health promotion and continuous employment as well as different factors driving voluntary and involuntary workforce transitions, such as life-long training, healthy lifestyles, work flexibility, ageing friendly workplace, and job security.


Asunto(s)
Envejecimiento/psicología , Empleo/psicología , Reorganización del Personal/estadística & datos numéricos , Jubilación/psicología , Reinserción al Trabajo/psicología , Recursos Humanos/estadística & datos numéricos , Lugar de Trabajo/psicología , Australia , Empleo/estadística & datos numéricos , Empleo/tendencias , Femenino , Predicción , Humanos , Renta , Masculino , Persona de Mediana Edad , Reorganización del Personal/tendencias , Jubilación/estadística & datos numéricos , Jubilación/tendencias , Reinserción al Trabajo/estadística & datos numéricos , Encuestas y Cuestionarios , Recursos Humanos/tendencias
18.
Rev Panam Salud Publica ; 43, October 2019
Artículo en Español | PAHO-IRIS | ID: phr-51646

RESUMEN

[RESUMEN]. Objetivo. Conocer la opinión de las escuelas de medicina sobre la existencia de políticas públicas y la suficiencia de financiamiento público y mecanismos regulatorios para la formación médica de pregrado e identificar áreas que permitan mejorar la disponibilidad de médicos generales en la Región de las Américas. Métodos. Estudio transversal, descriptivo realizado con 105 escuelas de medicina, 51 públicas y 54 privadas, de 17 países. Se utilizó un cuestionario con una escala tipo Likert para explorar tres dimensiones (contextos político, económico y regulatorio) integradas por 4, 2 y 4 variables cada una, respectivamente, y validado con el método Delphi. Se estimaron frecuencias de respuestas a las preguntas del cuestionario. Se realizó un análisis de frecuencias, y para identificar diferencias entre escuelas públicas y privadas se efectuó un análisis bivariante aplicando la prueba de Chi cuadrado para comparar porcentajes. Resultados. El contexto político fue favorable para 64% de las escuelas, el contexto económico, para 37% y la regulación, para 23%. Sólo hubo diferencias significativas entre escuelas públicas y privadas en la variable recursos financieros que ellas administran. Conclusiones. Es necesario fortalecer las políticas públicas, la inversión pública y la regulación de la educación médica, para mejorar la formación y disponibilidad de médicos generales en los países de la Región.


[ABSTRACT]. Objective. To gather opinions from medical schools regarding the existence of public policies on the health workforce (human resources for health) and whether sufficient public financing and regulatory mechanisms are in place for undergraduate medical education; and to identify areas of opportunity to improve the availability of general practitioners in the Region of the Americas. Methods. Cross-sectional, descriptive study conducted with 105 medical schools (51 public and 54 private) in 17 countries. A questionnaire with a Likert scale was used to explore three dimensions (political, economic, and regulatory contexts) composed of 4, 2, and 4 variables each, respectively, and validated with the Delphi method. Frequencies of responses to the questions were estimated. A frequency analysis was performed, as well as a bivariate analysis to identify differences between public and private schools, applying the Chi-square test to compare percentages. Results. The political context was considered favorable by 64% of the schools; the economic context, by 37%; and the regulatory context, by 23%. The only significant differences between public and private schools were in the financial resources they administer. Conclusions. It is necessary to strengthen public policies, public investment, and the regulation of medical education in order to improve the education and availability of general practitioners in the countries of the Region.


[RESUMO]. Objetivo. Conhecer a opinião das faculdades de medicina sobre o volume de políticas públicas e financiamento público e mecanismos reguladores para graduação médica e identificar áreas que possibilitem aumentar o número de clínicos gerais na Região das Américas. Métodos. Estudo transversal descritivo realizado com 105 faculdades de medicina (51 públicas e 54 particulares) em 17 países. Um questionário com uma escala tipo Likert foi usado para explorar três dimensões (contexto político, contexto econômico e regulamentação), contendo 4, 2 e 4 variáveis cada, e foi validado com o método Delphi. As frequências de respostas às perguntas do questionário foram calculadas e analisadas. A fim de identificar diferenças entre as faculdades públicas e particulares, uma análise bivariada com teste qui-quadrado foi realizada para comparar porcentagens. Resultados. O contexto político foi considerado favorável por 64% das faculdades; o contexto econômico por 37%; e a regulamentação por 23%. Apenas foi observada diferença significativa entre as faculdades públicas e particulares na variável recursos financeiros geridos. Conclusões. É necessário fortalecer as políticas públicas, o investimento público e a regulamentação da educação médica para melhorar a formação e aumentar o número de clínicos gerais nos países da Região.


Asunto(s)
Recursos Humanos , América Latina , Recursos Humanos , Educación Médica , Cobertura Universal de Salud , América Latina , Educación Médica , Cobertura Universal de Salud , Educación Médica , Cobertura Universal del Seguro de Salud
19.
Rev. bras. ativ. fís. saúde ; 24: 1-5, out. 2019.
Artículo en Portugués | LILACS | ID: biblio-1026754

RESUMEN

O objetivo deste ensaio foi apresentar uma proposta de síntese para a atuação do profissional de Educação Física (PEF) no contexto da Atenção Básica à Saúde (ABS) do Brasil. São apresentadas 15 itens, elaborados a partir de experiências vivenciadas no campo de atuação pelos autores, bem como na literatura. Posteriormente, a clareza e pertinência dos itens foram avaliadas por 33 PEF de nove diferentes municípios brasileiros que atuavam ou tinham atuado anteriormente na ABS. Apesar de os itens apresentados não terem o objetivo de competir ou substituir as diretrizes do Ministério da Saúde ou das secretarias estaduais ou municipais, espera-se que possam ser úteis para os PEF que atuam na ABS, bem como para a formação dos PEF que pretendem atuar neste contexto


The objective of this essay was to present a proposal of the synthesis of the work of the Physical Education Professional (PEF) in Primary Health Care (PHC) in a brazilian context. We present the 15 items, elaborated from experiences lived in the field of actuation by the authors, as well as in the literature. Subsequently, the clarity and pertinence of the items were evaluated by 33 PEFs from nine different Brazilian municipalities that were currently working or who had previously worked in PHC. The items presented are not intended to compete or replace the guidelines of the Ministry of Health or the state or municipal secretariats. In fact, we hope that they may be useful for the PEF working in PHC, as well as for the professional qualification of the PEF who intend to work in this context


Asunto(s)
Atención Primaria de Salud , Práctica Profesional , Sistema Único de Salud , Estrategia de Salud Familiar , Recursos Humanos
20.
Int J Med Inform ; 131: 103945, 2019 11.
Artículo en Inglés | MEDLINE | ID: mdl-31561193

RESUMEN

BACKGROUND: Electronic health information systems (HIS) are critical components of national health systems, and have been identified as a key element in the development and strengthening of health systems globally. Novel approaches are needed to effectively and efficiently train health care workers on the use of HIS. One such approach is the use of digital eLearning programs, either alone or blended with face-to-face learning activities. METHODS: We developed a novel blended eLearning course based on an in-person HIS training package previously developed by the United States Centers for Disease Control and Prevention. We then conducted a pilot implementation of the eLearning course in Namibia and Tanzania. RESULTS: The blended eLearning pilot program enrolled 131 people, 72 (55%) from Namibia and 59 (45%) from Tanzania. The majority of enrollees were female (n = 88, 67%) and were nurses (n = 66, 50%). Of the 131 people who participated in the in-person orientation, 95 (73%) completed some or all of the eLearning modules. Across all three modules, the mean score on the post-test was significantly greater than on the pre-test (p < 0.001). When comparing results from previous in-person workshops and the blended eLearning course, we found that participants experienced strong learning gains in both, although learning gains were somewhat greater in the in-person course. Blended eLearning course participants reported good to very good satisfaction with the overall content of the course and with the eLearning modules (3.5 and 3.6 out of 5-point Likert scale). We estimate that the total cost per participant is 2.2-3.4 times greater for the in-person course (estimated cost USD $980) than for the blended eLearning course (estimated cost USD $287-$437). CONCLUSION: A blended eLearning course is an effective method with which to train healthcare workers in the basic features of HIS, and the cost is up to 3.4 times less expensive than for an in-person course with similar content.


Asunto(s)
Instrucción por Computador/métodos , Sistemas de Información en Salud/estadística & datos numéricos , Personal de Salud/educación , Aprendizaje , Sistemas en Línea/estadística & datos numéricos , Recursos Humanos/estadística & datos numéricos , Femenino , Humanos , Masculino , Namibia , Tanzanía
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