RESUMO
Telemedicine is a very useful tool and resource for medical diagnosis and treatment. Since its inception in the 70s it has developed progressively, demonstrating the clinical benefit it brings to patients and being increasingly present in the daily activities of clinicians. Different studies have tried to define and limit its effectiveness at the time of application versus face-to-face assistance, this being an important variable to clarify. This article reviews the different variables that have been coined to define the effectiveness when trying to demonstrate the cost-effectiveness of including telemedicine in daily healthcare activity
La telemedicina es una herramienta y recurso de gran utilidad para el diagnóstico y tratamiento médico. Desde su inicio en la década de los 70 se ha desarrollado de forma progresiva, demostrando el beneficio clínico que aporta a los pacientes y estando cada vez más presente en la actividad diaria de los clínicos. Diferentes estudios han tratado de definir y acotar su efectividad a la hora de aplicarse versus la asistencia presencial, siendo esta una variable importante a despejar. Este artículo realiza una revisión de las diferentes variables que se han acuñado para definir efectividad a la hora de tratar de demostrar la rentabilidad de incluir la telemedicina en la actividad asistencial diaria
Assuntos
Humanos , Resultado do Tratamento , Telemedicina/economia , Telemedicina/métodos , Difusão de Inovações , Análise Custo-Benefício , Informática Médica/normasRESUMO
This study was designed to determine the level of satisfaction, tolerance and perceived effectiveness by patients in the first pollen season after starting treatment with Alergovit(®). For this purpose, a nationwide, retrospective, multicentre and cross-sectional observational study was carried on 256 patients. Perceived effectiveness by the patients was measured using a visual analogue scale and was clinically significant in 92.4% of the patients. The satisfaction level was evaluated with a specific questionnaire. 32.5% of the patients were totally satisfied with Allergovit(®) and 48.8% reported a high degree of satisfaction. The treatment was well tolerated by 99.2% of the patients. Our results demonstrate that subcutaneous immunotherapy with Allergovit(®) is effective and well-tolerated in routine clinical practice.
Assuntos
Alérgenos/administração & dosagem , Antígenos de Plantas/administração & dosagem , Dessensibilização Imunológica/métodos , Satisfação do Paciente , Percepção , Rinite Alérgica Sazonal/terapia , Vacinas/administração & dosagem , Adolescente , Adulto , Alérgenos/efeitos adversos , Antígenos de Plantas/efeitos adversos , Biomarcadores/sangue , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Imunoglobulina E/sangue , Masculino , Pessoa de Meia-Idade , Estudos Retrospectivos , Rinite Alérgica Sazonal/diagnóstico , Rinite Alérgica Sazonal/imunologia , Rinite Alérgica Sazonal/psicologia , Medição de Risco , Fatores de Risco , Espanha , Inquéritos e Questionários , Resultado do Tratamento , Vacinas/efeitos adversos , Adulto JovemRESUMO
BACKGROUND: Burnout is a worrying problem in the medical profession and has proven to be highly prevalent in all the care settings and specialty areas in which it has been studied.We applied 2 widely used questionnaires to analyze the working conditions of Spanish allergists in terms of quality of professional life and degree of burnout perceived. METHODS: Participants completed 2 questionnaires: the 22-item Maslach scale, a structured questionnaire covering different aspects of the feelings and attitudes of professionals toward their work and patients; and the Spanish Quality of Professional Life Questionnaire (CPV-35), a 35-item questionnaire evaluating job satisfaction and perceived quality of life at work. RESULTS: We received 404 questionnaires from throughout Spain. The main sources of motivation were better pay (94.4%), more available resources/technology (85.1%), access to research activities (81%), and promotion in one's professional career (80.1%). Analysis of the scores from the Maslach scale revealed that two-thirds of the allergists interviewed experienced medium and high levels of negative burnout (67.9% and 66.2%, respectively, for emotional exhaustion and depersonalization). This situation was in part compensated for by the fact that a slightly lower proportion of the group (59.2%) obtained very high scores on personal accomplishment in their work. Analysis of the scores from the CPV-35 questionnaire revealed 3 complementary aspects of job satisfaction: perceptions of the workload borne (5.8), management support available to cope with daily patient workload (5.6), and levels of intrinsic motivation for work (7.7), which was the highest value. The score for the item summarizing self-perceived overall quality of working life was acceptable (6.4). CONCLUSION: Promoting intrinsic motivation of Spanish allergists using the motivating factors identified in this study could protect against professional burnout.
Assuntos
Esgotamento Profissional/epidemiologia , Esgotamento Profissional/etiologia , Satisfação no Emprego , Médicos/psicologia , Adulto , Idoso , Estudos Transversais , Feminino , Humanos , Hipersensibilidade/terapia , Masculino , Pessoa de Meia-Idade , Motivação , Qualidade de Vida , Espanha/epidemiologia , Carga de Trabalho/estatística & dados numéricosRESUMO
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Humanos , Publicações Periódicas como Assunto , Alergia e Imunologia , EspanhaRESUMO
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Imunoterapia/métodos , Imunoterapia/tendências , Doenças Respiratórias/imunologia , Doenças Respiratórias/terapia , Rinite/imunologia , Rinite/terapia , Asma/imunologia , Asma/terapia , Alérgenos/uso terapêutico , Perfil de Impacto da Doença , Medicina Baseada em Evidências/métodos , Medicina Baseada em Evidências/organização & administração , Meio Ambiente/prevenção & controle , Medicina Baseada em Evidências/tendênciasRESUMO
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Alergia e Imunologia/educação , Alergia e Imunologia/história , Organizações de Normalização Profissional/legislação & jurisprudência , Comissão Para Atividades Profissionais e Hospitalares/legislação & jurisprudência , Credenciamento/legislação & jurisprudência , Educação Profissionalizante/legislação & jurisprudência , Reeducação Profissional/legislação & jurisprudência , Alergia e Imunologia , Alergia e Imunologia/organização & administração , Organizações de Normalização Profissional/história , Organizações de Normalização Profissional/organização & administraçãoRESUMO
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Humanos , Pesquisa Biomédica/estatística & dados numéricos , Alergia e Imunologia/estatística & dados numéricos , Internacionalidade , Bibliometria , 25783 , 24960 , EspanhaRESUMO
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Humanos , Alergia e Imunologia/tendências , Hipersensibilidade/epidemiologia , Especialização , Competência ProfissionalRESUMO
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Humanos , Bases de Dados Bibliográficas , Publicações Periódicas como Assunto/tendências , MEDLINE , Indexação e Redação de Resumos , Acreditação , Indicadores de Sociedade da Informação , Acesso à InformaçãoRESUMO
To assess the role of some pro-inflammatory cells in inflammatory processes in lung cancer by measuring their respective activation markers in different portions of bronchoalveolar lavage (BAL) fluid. Prospective study in a university hospital. We studied 52 BAL samples, 37 from patients with lung cancer and 15 from a control group, using a radioimmunoassay technique to analyze for tryptase (T), hyaluronic acid (HA) and eosinophil cationic protein (ECP) in separate bronchial and bronchoalveolar samples from BAL fluid. Statistical analysis was performed using the R-SIGMA program. Patients with tumors had significantly higher T and HA levels in BAL fluid than did control patients, in both bronchial and bronchoalveolar portions. Lung cancer patients had higher T and ECP levels in bronchoalveolar portions. Mast cells and fibroblasts, at least, play a part in lung cancer, mainly in the distal portions of the bronchial tree.
