Proyecto de rotación electiva

Este documento presenta el informe realizado luego del tránsito por la sede de rotación externa de elección libre de la residente de 3er año, la Lic. Olivares García Sofía. La rotación se llevó a cabo durante el período comprendido entre el 14 de febrero y 13 de mayo de 2022 por el Servicio Social del Hospital Ramón Carrillo de San Martín de los Andes, por los centros de salud "Arenal", "Cordones del Chapelco - Chacra 30", "Tiro Federal" y "Vega Maipú", y también por el Centro de Día de dicha ciudad, ubicada en la provincia de Neuquén. A continuación, se presenta la sede de rotación electiva, se expone la fundamentación sobre la elección de dicha sede, se explicitan objetivos del proceso de rotación, actividades realizadas, aprendizajes logrados, obstáculos hallados y aportes realizados a la institución. Para finalizar, se elabora una evaluación y se adjunta la evaluación de la institución.(AU)

Interventions targeting absences increase adherence and reduce abandonment of childhood cancer treatment in El Salvador.

BACKGROUND: In El Salvador, about 200 new cases of pediatric cancer are diagnosed each year, and survival rates approach 70%. Although treatment is available at no cost, abandonment of therapy has remained at a steady yearly rate of 13% during the past decade. A time sensitive adherence tracking procedure (TS-ATP) was recently implemented to detect missed appointments, identify their causes, and intervene promptly. Procedure The study team was informed daily of patient/family failure to attend medical appointments in the pediatric oncology unit; the families were contacted and interviewed to ascertain and address the reasons. Patients who did not return after this initial contact were contacted again through local health clinics and municipalities. Law enforcement was a last resort for patients undergoing frontline treatment with a good prognosis., The system was adapted to clinical urgency: families of patients undergoing induction therapy were contacted within 24 hr, those in other therapy phases, within 48 hr, and those who had completed treatment, within one week. Reasons for absence were obtained by telephone or in person. RESULTS: The annual rate of abandonment was reduced from 13-3% during the 2 years period. There were 1,111 absences reported and 1,472 contacts with caregivers and institutions. The three main reasons for absences were financial needs (165, 23%), unforeseen barriers (116, 16%), and domestic needs (86, 12%). CONCLUSIONS: Use of the treatment adherence tracking system to locate and communicate with patients/families after missed appointments and the allocated aid stemming from these interviews substantially reduced abandonment and non-adherence.

Journey of change and back: a case study of a reconstituted social work service.

As a result of Total Quality Management and Reengineering principles during the VA's "Journey of Change" in the mid-1990s many hospital social work departments were re-organized under umbrella-care lines. Outcome studies of this movement have focused primarily on patient services. This study focused on the service providers' (including social workers) point of view and their satisfaction with the change in service structure. Data gathering consisted of a master thesis project by one of the co-authors, an administrative in-house survey of staff satisfaction, a qualitative presentation of staff concerns, and the perspective of the administrator who took the decision.

International models of hospital interdisciplinary teams for the identification, assessment, and treatment of child abuse.

The well-being of a child who has experienced abuse or neglect is dependent on whether or not an interdisciplinary, holistic treatment perspective is applied in the hospital setting. This paper examines the different interdisciplinary approaches used by two major hospitals, one in the United States and the other in Brazil, in their attempt to confront the social problem of child maltreatment.