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1.
Rev Panam Salud Publica ; 43: e55, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31171925

RESUMO

Caribbean countries are experiencing social, epidemiological, and demographic transitions shaped by the growing elderly population and the rise of noncommunicable diseases (NCDs)-now responsible for 78% of all deaths. These circumstances demand rethinking the model of care to improve health outcomes and build more sustainable health systems with new orientations in policy, service delivery, organization, training, technology, and financing. Policy must be aimed towards healthy living, leveraging interventions that ensure healthy aging. The health system must proactively structure interventions to reduce the incidence of new NCD cases and to prevent related complications. Interventions should be focused on optimizing the individual's capacity, functional ability, and autonomy within adapted environments, as well as with the necessary preventive, long-term care, self-care, community care, and health system support.

2.
Artigo em Inglês | PAHO-IRIS | ID: phr-51069

RESUMO

[ABSTRACT]. Caribbean countries are experiencing social, epidemiological, and demographic transitions shaped by the growing elderly population and the rise of noncommunicable diseases (NCDs)—now responsible for 78% of all deaths. These circumstances demand rethinking the model of care to improve health outcomes and build more sustainable health systems with new orientations in policy, service delivery, organization, training, technology, and financing. Policy must be aimed towards healthy living, leveraging interventions that ensure healthy aging. The health system must proactively structure interventions to reduce the incidence of new NCD cases and to prevent related complications. Interventions should be focused on optimizing the individual’s capacity, functional ability, and autonomy within adapted environments, as well as with the necessary preventive, long-term care, self-care, community care, and health system support.


[RESUMEN]. Los países del Caribe están experimentando transiciones sociales, epidemiológicas y demográficas como resultado del envejecimiento de la población y el aumento de la prevalencia de las enfermedades no transmisibles (ENT), que en la actualidad causan el 78% de todas las defunciones. Estas circunstancias exigen replantear el modelo de atención para mejorar los resultados de salud y establecer sistemas de salud más sostenibles mediante nuevos enfoques en políticas, prestación de servicios, organización, capacitación, tecnología y financiamiento. Las políticas deben tener como propósito procurar una vida saludable, aprovechando las intervenciones que garanticen el envejecimiento saludable. El sistema de salud debe ser proactivo, estructurando las intervenciones para reducir la incidencia de nuevos casos de ENT y para prevenir las complicaciones relacionadas. Las intervenciones deben centrarse en optimizar la capacidad funcional, la autonomía y el desenvolvimiento general de la persona dentro de un entorno adaptado y con el apoyo necesario del sistema de salud en materia de atención preventiva, cuidados a largo plazo, de autocuidado y de atención en la comunidad.


[RESUMO]. Os países do Caribe estão passando por transições sociais, epidemiológicas e demográficas configuradas pela população de idosos cada vez maior e a ascensão das doenças não transmissíveis (DNTs), já responsáveis por 78% de todas as mortes. Essas circunstâncias exigem repensar o modelo de atenção para melhorar os desfechos de saúde e construir sistemas de saúde mais sustentáveis, com novas orientações de política, prestação de serviços, organização, treinamento, tecnologia e financiamento. As políticas devem ser orientadas para a vida saudável, alavancando intervenções que asseguram o envelhecimento saudável. O sistema de saúde deve estruturar proativamente intervenções para reduzir a incidência de novos casos de DNT e a prevenir as complicações relacionadas. As intervenções devem se concentrar na otimização da capacidade do indivíduo, das habilidades funcionais e da autonomia dentro de ambientes adaptados, e também nas ações preventivas a para assistência de longa duração, no autocuidado, na atenção na comunidade e no apoio pelos sistemas de saúde.


Assuntos
Sistemas de Saúde , Envelhecimento , Doenças não Transmissíveis , Aruba , Curaçao , Sistemas de Saúde , Envelhecimento , Doenças não Transmissíveis , Sistemas de Saúde , Envelhecimento , Doenças não Transmissíveis , Curaçao
3.
World Hosp Health Serv ; 51(2): 4-6, 2015.
Artigo em Inglês | MEDLINE | ID: mdl-26521377

RESUMO

Moving towards Universal Access to Health and Universal Health Coverage (UAH/UHC) is an imperative task on the health agenda for the Americas. The Directing Council of the Pan American Health Organization (PAHO) recently approved resolution CD53.R14, titled Strategy for Universal Access to Health and Universal Health Coverage. From the perspective of the Region of the Americas, UAH/UHC "imply that all people and communities have access, without any kind of discrimination, to comprehensive, appropriate and timely, quality health services determined at the national level according to needs, as well as access to safe, affordable, effective, quality medicines, while ensuring that the use of these services does not expose users to financial hardship, especially groups in conditions of vulnerability". PAHO's strategic approach to UAH/UHC sets out four specific lines of action toward effective universal health systems. The first strategic line proposes: a) implementation of integrated health services delivery networks (IHDSNs) based on primary health care as the key strategy for reorganizing, redefining and improving healthcare services in general and the role of hospitals in particular; and b) increasing the response capacity of the first level of care. An important debate initiated in 2011 among hospital and healthcare managers in the region tried to redefine the role of hospitals in the context of IHSDNs and the emerging UAH/UHC movement. The debates resulted in agreements around three main propositions: 1) IHSDNs cannot be envisioned without hospitals; 2) The status-quo and current hospital organizational culture makes IHSDNs inviable; and 3) Without IHSDNs, hospitals will not be sustainable. This process, that predates the approval of PAHO's UAH/UHC resolution, now becomes more relevant with the recognition that UAH/UHC cannot be attained without a profound change in healthcare service and particularly in hospitals. In this context, a set of challenges both for hospitals and for the first level of care based on the experience of hospital and healthcare services managers and the vision they have for hospitals in IHSDNs is presented.


Assuntos
Economia Hospitalar , Equidade em Saúde , Serviços de Saúde/economia , Organização Pan-Americana da Saúde , Cobertura Universal do Seguro de Saúde , Américas , Humanos , Formulação de Políticas
4.
World Hosp Health Serv ; 50(2): 4-6, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-26502483

RESUMO

Core components Health care-associated infections (HAIs) are a major cause of morbidity and mortality. In addition to pain and suffering, HAIs increase the cost of health care and generates indirect costs from loss of productivity for patients and society as a whole. Since 2005, the Pan American Health Organization has provided support to countries for the assessment of their capacities in infection prevention and control (IPC). More than 130 hospitals in 18 countries were found to have poor IPC programmes. However, in the midst of many competing health priorities, IPC programmes are not high on the agenda of ministries of health, and the sustainability of national programmes is not viewed as a key point in making health care systems more consistent and trustworthy. Comprehensive IPC programmes will enable countries to reduce the mobility, mortality and cost of HAIs and improve quality of care. This paper addresses the relevance of national infection prevention and control (NIPC) programmes in promoting, supporting and reinforcing IPC interventions at the level of hospitals. A strong commitment from national health authorities in support of national IPC programmes is crucial to obtaining a steady decrease of HAIs, lowering health costs due to HAIs and ensuring safer care.


Assuntos
Infecção Hospitalar/prevenção & controle , Qualidade da Assistência à Saúde , Humanos , Organização Pan-Americana da Saúde , Estados Unidos
5.
World Hosp Health Serv ; 48(3): 9-12, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-23342754

RESUMO

The achievement of national and international health goals requires better-performing health systems. Strengthening leadership and management of health systems thus becomes essential for achieving greater efficiency and responsiveness, ultimately improving health outcomes. Building a global framework of core competencies for leadership and management needs to be approached with systems thinking and methodologies akin to complexity science that takes into account all components and levels of the health system and the possible interactions between them that influence outcomes. The results will have important policy implications for national health authorities seeking to strengthen management capacity and building transformational leadership in health systems.


Assuntos
Administradores de Instituições de Saúde/normas , Liderança , Competência Profissional , Assistência à Saúde/normas , Metas , Humanos
6.
World Hosp Health Serv ; 47(3): 6-9, 2011.
Artigo em Inglês | MEDLINE | ID: mdl-22235720

RESUMO

This article summarizes a presentation made at the IHF Leadership Summit held in Chicago, USA in June 2010, by Denis Porignon from the World Health Organization (WHO) and Reynaldo Holder from the Pan American Health Organization (PAHO/WHO). It focuses on the role of hospitals within the framework of the renewed PHC strategy.


Assuntos
Planejamento em Saúde , Hospitais , Atenção Primária à Saúde/organização & administração , Papel (figurativo) , Internacionalidade
7.
Rev. Hosp. Niño (Panamá) ; 7(2): 83-8, nov. 1988. tab, ilus
Artigo em Espanhol | LILACS | ID: lil-75440

RESUMO

Se revisan los acidentes automovilíticos ocurridos en la República de Panamá en los años comprendidos entre 1980 y 1986. Se analizan los menores de 20 años involucrados en los mismos, los grupos etarios, las lesiones y el tipo de accidente. Se concluye que el número creciente de accidentes de tránsito constituye un problema de Salud Pública que debe ser abordado a la mayor brevedad


Assuntos
Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Humanos , Masculino , Feminino , Acidentes de Trânsito/estatística & dados numéricos , Acidentes de Trânsito/prevenção & controle , Panamá
8.
Rev. Hosp. Niño (Panamá) ; 6(1): 30-5, mayo 1987. ilus, mapas
Artigo em Espanhol | LILACS | ID: lil-60430

RESUMO

Las enfermedades de Transmisiones Sexual en la Práctica Pediátrica pueden enfocarse desde la problemática Materno-neonatal, Niños abusados sexualmente; y adolescentes sexualmente activos. Se trata de un estudio descriptivo de incidencia de casos diagnosticado de gonorrea en el Hospital del Niño durante 1985, 1986, analizándose variables de tiempo, lugar, persona y el entorno familiar social. Se detectaron 32 casos, 8 en 1985 y 24 casos en 1986 con predominio del sexo femenino entre 2 y 11 años de edad y del sexo masculino en 2 años y 12 a 14 años. El casco viejo Río Abajo, Tocumen y Pacora fueron los corregimentos con mayor incidencia de gonorrea en niños. Una investigación epidemiológica exhaustiva se hizo en 7 de los 32 casos identificándose en 3 de fuente de infección y en los restantes 4 existen fuertes sospecha de abuso sexual pero fue imposible establecer la identidad del abusador. En dos de los casos identificados dos abusadores resultaron se menor de 14 años y 16 años respectivamente, este último primo hermano de la misma abusada de 6 años de edad. El aumento de 3 veces entre 1985 y 1986 refleja una mayor detección del problema. Más que un aumento de tal magnitud en la incidencia real de gonorrea en niños de la Ciudad de Panamá, indica que el sub-diagnóstico y el sub-registro es muy grande. Se recomienda revisar normas de diagnóstico y manejo de infeccion genital y abuso sexual. Incorporar Epidemiología, Trabajo Social, y Salud Mental en el manejo integral de los casos. Diseñar e implantar Sistema de Vigilancia para ETS en Niños, Abuso Sexual y Maltrato. Elaborar programas de educación para adolescentes y padres de familia


Assuntos
Recém-Nascido , Lactente , Pré-Escolar , Criança , Adolescente , Humanos , Masculino , Feminino , Gonorreia/epidemiologia , Abuso Sexual na Infância , Panamá , Fatores Socioeconômicos
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