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Einstein (Sao Paulo) ; 18: eGS4442, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31576910


OBJECTIVE: To analyze the legal demands of tiotropium bromide to treat chronic obstructive pulmonary disease. METHODS: We included secondary data from the pharmaceutical care management systems made available by the Paraná State Drug Center. RESULTS: Public interest civil action and ordinary procedures, among others, were the most common used by the patients to obtain the medicine. Two Health Centers in Paraná (Londrina and Umuarama) concentrated more than 50% of the actions. The most common specialty of physicians who prescribed (33.8%) was pulmonology. There is a small financial impact of tiotropium bromide on general costs with medicines of the Paraná State Drug Center. However, a significant individual financial impact was observed because one unit of the medicine represents 38% of the Brazilian minimum wage. CONCLUSION: Our study highlights the need of incorporating this medicine in the class of long-acting anticholinergic bronchodilator in the Brazilian public health system.

Broncodilatadores/economia , Medicamentos Essenciais/provisão & distribução , Necessidades e Demandas de Serviços de Saúde/legislação & jurisprudência , Função Jurisdicional , Doença Pulmonar Obstrutiva Crônica/economia , Brometo de Tiotrópio/economia , Brasil , Medicamentos Essenciais/economia , Acesso aos Serviços de Saúde/economia , Acesso aos Serviços de Saúde/legislação & jurisprudência , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/economia , Necessidades e Demandas de Serviços de Saúde/tendências , Humanos , Programas Nacionais de Saúde , Doença Pulmonar Obstrutiva Crônica/tratamento farmacológico , Estudos Retrospectivos , Estatísticas não Paramétricas , Fatores de Tempo
Rev Assoc Med Bras (1992) ; 65(6): 796-800, 2019 Jul 22.
Artigo em Inglês | MEDLINE | ID: mdl-31340307


OBJECTIVE: To estimate the human resources and services needed to meet the demand of the Brazilian population who would benefit from palliative care, based on the population growth projection for 2040. METHODS: Population and mortality estimates and projections were obtained from the Brazilian Institute of Geography and Statistics. Service needs were estimated based on literature data. RESULTS: The expected increase in the Brazilian population for 2000-2040 is 31.5%. The minimum estimate of patients with palliative care needs was 662,065 in 2000 and 1,166,279 in 2040. The staff required for each hundred thousand inhabitants would increase from 1,734 to 2,282, the number of doctors needed would increase from 4,470 to 6,274, and the number of nurses from 8,586 to 11,294, for the same period. CONCLUSION: The definition of a national strategy predicting the increasing palliative care needs of the population is necessary. The expansion of the support network for chronic and non-transmissible diseases is necessary, but the training of existing human resources at all levels of attention to perform palliative actions can be a feasible alternative to minimize the suffering of the population.

Necessidades e Demandas de Serviços de Saúde/tendências , Mão de Obra em Saúde/tendências , Cuidados Paliativos/tendências , Brasil , Feminino , Previsões , Acesso aos Serviços de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde/estatística & dados numéricos , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Masculino , Cuidados Paliativos/estatística & dados numéricos , Fatores de Tempo
BMC Public Health ; 19(Suppl 4): 552, 2019 Jun 13.
Artigo em Inglês | MEDLINE | ID: mdl-31196021


The current issue of BMC Public Health presents work by the Consortium of Low Income Population Research (CB40R), highlighting a comprehensive aspect of health, i.e., physical health, mental health, health behaviour and health financing; and also nutrition involving all stages of lifespan of the socioeconomic deprived group in Malaysia.Consortium of B40 Research (CB40R) reposited and harmonised shared, non-identifiable data from epidemiological studies involving low income population (B40) in Malaysia. CB40R also performed joint or mega-analyses using combined, harmonised data sets that yield collated results with enhanced statistical power, more variabilities (study population, geographical regions, ethnicities and sociocultural groups) to better understand the needs, characteristics and issues of B40 groups in Malaysia. It also aimed to develope a system/framework of minimum/standard variables to be collected in research involving B40 in future. For this special issues, members of the consortium have been invited to contribute an original article involving analysis of the health aspects, access to health and nutritional issues of the B40 samples.All the papers in this special issue have successfully highlighted the health and nutritional issues (i.e., non-communicable disease (NCD), inflammatory bowel disease (IBD), knowledge towards sexually transmitted disease (STD), low birth weight, Motoric Cognitive Risk (MCR) syndrome, urinary incontinence), mental health, oral health and inequalities among the low-income group in Malaysia, including the rural population and also the urban poor. The low-income population in Malaysia is also at risk of both under- and over nutrition, of which specific cost effective strategies are indeed needed to improve their quality of life.The low income population in Malaysia is facing various health challenges, particularly related to NCD and poor mental health, nutritional and physical function. There is a need for a sustainable intervention model to tackle the issues. It is also important to highlight that reducing SES disparities in health will require policy initiatives addressing the components of socioeconomic status (income, education, and occupation) as well as the pathways by which these affect health.

Acesso aos Serviços de Saúde/tendências , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde/tendências , Pobreza , Feminino , Financiamento da Assistência à Saúde , Humanos , Malásia/epidemiologia , Masculino , Transtornos Nutricionais/epidemiologia , Qualidade de Vida , População Rural/tendências , Classe Social
An. psicol ; 35(2): 175-180, mayo 2019. graf
Artigo em Espanhol | IBECS | ID: ibc-181686


Objetivos: Analizar la incidencia de diferentes variables en el padecimiento de reiterados episodios en la situación sin hogar. Método: El trabajo se realizó a partir de los datos obtenidos de una muestra representativa de las personas en situación sin hogar en Madrid (España) (n=188). Resultados: El padecimiento de una enfermedad grave o crónica ejerce un efecto en la "puerta giratoria" a la situación sin hogar mediado por una percepción subjetiva muy negativa de la propia salud que, a su vez, se encuentra mediada por el padecimiento de alguna discapacidad. El consumo excesivo de alcohol ejerce un efecto en la "puerta giratoria" a la situación sin hogar mediado por el acceso a tratamiento por problemas derivados de dicho consumo. Padecer una enfermedad grave o crónica correlaciona con tener o haber tenido problemas derivados de un consumo excesivo de alcohol. El padecimiento de múltiples sucesos vitales estresantes ejerce un efecto directo en la "puerta giratoria" a la situación sin hogar. Conclusiones: Para prevenir la "puerta giratoria" a la situación sin hogar hay que eliminar las barreras que dificultan el acceso a los recursos normalizados de salud a las personas en exclusión social, a la vez que implementar programas continuados de apoyo para las personas sin hogar o en riesgo que incluyan prioritariamente cuestiones de salud

Objectives: To analyse the impact of different variables on repeated episodes of homelessness. Method: The study was conducted based on data obtained from a representative sample of homeless people in Madrid (Spain) (n=188). Results: Suffering from a serious or chronic illness has an effect on the revolving door to homelessness, which is mediated by a highly negative subjective perception of the individual's own health, which is in turn mediated by suffering from a disability. Excessive alcohol consumption has an effect on the revolving door to homelessness, mediated by access to treatment for problems caused by alcohol consumption. Suffering from a serious or chronic illness correlates with having problems caused by excessive alcohol consumption. Experiencing multiple stressful life events has a direct effect on the revolving door to homelessness. Conclusions: To prevent the revolving door to homelessness, it is necessary to remove the barriers that hinder access to normal health resources which are experienced by people suffering from social exclusion, while implementing on going support programmes for homeless people or those at risk of homelessness, which primarily deal with health issues

Humanos , Masculino , Feminino , Pessoa de Meia-Idade , Pessoas em Situação de Rua/psicologia , Alcoolismo/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos Mentais/epidemiologia , Pessoas em Situação de Rua/estatística & dados numéricos , Pacientes Desistentes do Tratamento/psicologia , Problemas Sociais/psicologia , Acesso aos Serviços de Saúde/tendências
J Stroke Cerebrovasc Dis ; 28(5): 1243-1251, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30745230


OBJECTIVE: To explore a 5-year comparison of disparities in intravenous t-PA (IV t-PA) use among acute ischemic stroke (AIS) patients based on race, gender, age, ethnic origin, hospital status, and geographic location. METHODS: We extracted patients' demographic information and hospital characteristics for 2010 and 2014 from the New York Statewide Planning and Research Cooperative System (SPARCS). We compared disparities in IV t-PA use among AIS patients in 2010 to that in 2014 to estimate temporal trends. Multiple logistic regression was performed to compare disparities based on demographic variables, hospital designation, and geographic location. RESULTS: Overall, there was approximately a 2% increase in IV t-PA from 2010 to 2014. Blacks were 15% less likely to receive IV t-PA compared to Whites in 2014, but in 2010, there was no difference. Patients aged 62-73 had lower odds of receiving IV t-PA than age group ≤61 in both 2010 and 2014. Designated stroke centers in the Lower New York State region were associated with reduced odds of IV t-PA use in 2010 while those located in the Upper New York State region were associated with increased odds of IV t-PA use in both 2010 and 2014, compared to their respective nondesignated counterparts. Gender, ethnic origin, and insurance status were not associated with IV t-PA utilization in both 2010 and 2014. CONCLUSION: Overall IV t-PA utilization among AIS patients increased between 2010 and 2014. However, there are evident disparities in IV t-PA use based on patient's race, age, hospital geography, and stroke designation status.

Isquemia Encefálica/tratamento farmacológico , Fibrinolíticos/administração & dosagem , Acesso aos Serviços de Saúde/tendências , Disparidades em Assistência à Saúde/tendências , Avaliação de Processos (Cuidados de Saúde)/tendências , Acidente Vascular Cerebral/tratamento farmacológico , Terapia Trombolítica/tendências , Administração Intravenosa , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Isquemia Encefálica/diagnóstico , Isquemia Encefálica/etnologia , Grupos de Populações Continentais , Bases de Dados Factuais , Feminino , Disparidades em Assistência à Saúde/etnologia , Humanos , Masculino , Pessoa de Meia-Idade , New York/epidemiologia , Fatores Sexuais , Acidente Vascular Cerebral/diagnóstico , Acidente Vascular Cerebral/etnologia , Fatores de Tempo , Resultado do Tratamento
J Neurointerv Surg ; 11(8): 833-836, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-30674633


BACKGROUND AND PURPOSE: Previous studies have documented disparate access to cerebrovascular neurosurgery for patients of different racial and socioeconomic backgrounds. We further investigated the effect of race and insurance status on access to treatment of unruptured intracranial aneurysms (UIAs) and compared it with data on patients with aneurysmal subarachnoid hemorrhage (aSAH). METHODS: Through the use of a national database, admissions for clipping or coiling of an UIA and for aSAH were identified. Demographic characteristics of patients were characterized according to age, sex, race/ethnicity, and insurance status, and comparisons between patients admitted for treatment of an UIA versus aSAH were performed. RESULTS: There were 10 545 admissions for clipping or coiling of an UIA and 33 166 admissions for aSAH between October 2014 and July 2018. White/non-Hispanic patients made up a greater proportion of patients presenting for treatment of an UIA than those presenting with aSAH (64.3% vs 48.2%; P<0.001), whereas black/Hispanic patients presented more frequently with aSAH than for treatment of an UIA (29.3% vs 26.1%; P=0.006). On multivariate linear regression analysis, the proportion of patients admitted for management of an UIA relative to those admitted for aSAH increased with the proportion of patients who were women (P<0.001) and decreased with the proportion of patients with a black/Hispanic background (P=0.010) and those insured with Medicaid or without insurance (P=0.003). CONCLUSION: For patients with UIAs, racial, ethnic, and socioeconomic backgrounds appear to continue to influence access to treatment.

Grupos de Populações Continentais/etnologia , Acesso aos Serviços de Saúde/economia , Disparidades em Assistência à Saúde/economia , Aneurisma Intracraniano/economia , Aneurisma Intracraniano/etnologia , Adulto , Idoso , Feminino , Acesso aos Serviços de Saúde/tendências , Disparidades em Assistência à Saúde/tendências , Hospitalização/tendências , Humanos , Aneurisma Intracraniano/terapia , Masculino , Pessoa de Meia-Idade , Procedimentos Neurocirúrgicos/economia , Procedimentos Neurocirúrgicos/tendências , Resultado do Tratamento , Estados Unidos/etnologia , Adulto Jovem
Psychiatry Res ; 272: 618-627, 2019 02.
Artigo em Inglês | MEDLINE | ID: mdl-30616132


Black ethnicity is associated with increased risk for psychosis in South London. This study explored the distribution of ethnicity among services users at ultra high risk for psychosis (UHR) and examined the influence of ethnicity on service access, treatment uptake and incidence of psychosis. The ethnic distribution of 228 people at UHR for psychosis, seen in an early detection clinical service over 10 years, was compared with 146 people with first episode psychosis from the same geographic region and census figures for the local population. Black service users were significantly over-represented in the UHR group compared to the background population (34% vs 21%; p < 0.05); but less so than in the first episode sample (58% vs 19%; p < 0.05). Within the UHR sample, there was no strong evidence of differences between ethnic groups in the types of treatment provided, nor in the rate of transition to psychosis over 2 years. The absence of differences between ethnic groups in rates of transition to psychosis raises the possibility that access to mental health care at the high risk stage might have reduced the influence of ethnicity on the incidence of psychosis in this sample. This would need to be replicated in a larger sample.

Grupos Étnicos/psicologia , Acesso aos Serviços de Saúde , Transtornos Psicóticos/etnologia , Transtornos Psicóticos/psicologia , Adolescente , Adulto , Diagnóstico Precoce , Feminino , Acesso aos Serviços de Saúde/tendências , Humanos , Incidência , Londres/etnologia , Masculino , Transtornos Psicóticos/terapia , Fatores de Risco , Resultado do Tratamento , Adulto Jovem
Eur J Pediatr ; 178(3): 351-361, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30554367


The largest group of recipients of pediatric gastrostomy have neurological impairment with intellectual disability (ID). This study investigated trends in first gastrostomy insertion according to markers of disadvantage and ID etiology. Linked administrative and health data collected over a 32-year study period (1983-2014) for children with ID born between 1983 and 2009 in Western Australia were examined. The annual incidence rate change over calendar year was calculated for all children and according to socioeconomic status, geographical remoteness, and Aboriginality. The most likely causes of ID were identified using available diagnosis codes in the linked data set. Of 11,729 children with ID, 325 (2.8%) received a first gastrostomy within the study period. The incidence rate was highest in the 0-2 age group and there was an increasing incidence trend with calendar time for each age group under 6 years of age. This rate change was greatest in children from the lowest socioeconomic status quintile, who lived in regional/remote areas or who were Aboriginal. The two largest identified groups of ID were genetically caused syndromes (15.1%) and neonatal encephalopathy (14.8%).Conclusion: Gastrostomy is increasingly used in multiple neurological conditions associated with ID, with no apparent accessibility barriers in terms of socioeconomic status, remoteness, or Aboriginality. What is Known: • The use of gastrostomy insertion in pediatrics is increasing and the most common recipients during childhood have neurological impairment, most of whom also have intellectual disability (ID). What is New: • Nearly 3% of children with ID had gastrostomy insertion performed, with the highest incidence in children under 3 years of age. • Gastrostomy use across different social groups was equitable in the Australian setting.

Gastrostomia/tendências , Disparidades em Assistência à Saúde/tendências , Deficiência Intelectual/cirurgia , Padrões de Prática Médica/tendências , Adolescente , Criança , Pré-Escolar , Feminino , Gastrostomia/estatística & dados numéricos , Acesso aos Serviços de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/tendências , Disparidades em Assistência à Saúde/estatística & dados numéricos , Humanos , Lactente , Recém-Nascido , Deficiência Intelectual/diagnóstico , Deficiência Intelectual/epidemiologia , Deficiência Intelectual/etiologia , Estudos Longitudinais , Masculino , Padrões de Prática Médica/estatística & dados numéricos , Estudos Retrospectivos , Austrália Ocidental/epidemiologia
J Autism Dev Disord ; 49(4): 1493-1504, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30536218


A mixed-methods randomized controlled trial pilot study evaluated an educational curriculum focused on the medical needs of transition-age youth (TAY) with autism (ASD) for family nurse practitioner students. Fourteen out of a cohort of 16 (87.5%) nursing students consented to participate in the study and were randomly assigned to either a waitlist control group (WLC) (n = 8) or an intervention group (INT) (n = 6). Three measures were used to determine pre- and post-intervention levels of self-efficacy, knowledge, and attitudes. Quantitative and qualitative data provide preliminary support that participation in intervention may improve and enhance knowledge and level of self-efficacy in working with TAY with ASD.

Transtorno Autístico/terapia , Currículo/tendências , Enfermeiras de Saúde da Família/educação , Acesso aos Serviços de Saúde/tendências , Transferência de Pacientes/tendências , Estudantes de Enfermagem , Adolescente , Transtorno Autístico/psicologia , Estudos de Coortes , Feminino , Humanos , Masculino , Projetos Piloto , Autoeficácia , Adulto Jovem
J Autism Dev Disord ; 49(4): 1652-1664, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30552540


Utilizing the 2016 National Survey of Children's Health, this study illustrates that children with ASD have nearly 4 times higher odds of unmet health care needs compared to children without disabilities, whereas children with other disabilities had nearly 2 times higher odds of unmet health care needs compared to children without disabilities. Applying Andersen's Behavioral Model of health care utilization, this study estimates that enabling factors (e.g., access to health insurance, quality of health insurance, access to family-centered care, family-level stress, exposure to adverse childhood experiences, and parental employment) improved prediction of regression model for unmet health care needs by 150%. Policy and program implications are discussed and a new framework for responding to observed disparities is discussed.

Transtorno do Espectro Autista/diagnóstico , Transtorno do Espectro Autista/epidemiologia , Saúde da Criança/tendências , Necessidades e Demandas de Serviços de Saúde/tendências , Disparidades em Assistência à Saúde/tendências , Inquéritos e Questionários , Adolescente , Experiências Adversas da Infância , Transtorno do Espectro Autista/terapia , Criança , Serviços de Saúde da Criança/estatística & dados numéricos , Pré-Escolar , Feminino , Acesso aos Serviços de Saúde/tendências , Humanos , Seguro Saúde , Masculino , Pais/psicologia , Fatores Socioeconômicos , Estados Unidos/epidemiologia
Clin. transl. oncol. (Print) ; 20(12): 1493-1501, dic. 2018. tab
Artigo em Inglês | IBECS | ID: ibc-173756


Cancer cases are growing in an exponential way, likewise the prices of new cancer drugs. Continuing in this way, in the near future, it will be impossible to provide optimum care for all cancer patients. Therefore, it is important to establish mechanisms that enable the National Health Systems to provide the best options of treatment, either through the elaboration of decision-binding frameworks or through other initiatives that guarantee the best quality care for all oncology patients to overcome, in the best possible way, this difficult illness. Here, we review current proposals that have been established by different cancer organizations worldwide, their similarities, their differences and whether they are helpful in a real clinical setting. Facing present reality and despite these organizations’ huge efforts, these proposals are not being implemented at all and it does not seem feasible that they will in the short run. In the same way, we support and argue why oncologists should have a crucial and a preponderant role to establish the best way of guaranteeing an equal access to the latest oncology care

No disponible

Humanos , Oncologia/tendências , Tecnologia de Alto Custo , Neoplasias/economia , Equidade no Acesso aos Serviços de Saúde , Acesso aos Serviços de Saúde/tendências , Custos de Cuidados de Saúde/tendências , Papel Profissional
Rehabilitación (Madr., Ed. impr.) ; 52(4): 230-237, oct.-dic. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-175829


Introducción: En Colombia, las personas con enfermedades raras se enfrentan a múltiples barreras para acceder a los servicios de salud. La Asociación Colombiana de Pacientes con Enfermedad de Depósito Lisosomal acompaña a las personas con diagnóstico de síndrome de Morquio y sus familias en la búsqueda de soluciones para un tratamiento integral con el objetivo de mejorar su calidad de vida y la de su familia. Material y método: Se describe la calidad de vida familiar de pacientes con síndrome de Morquio IV-A. Participaron 102 personas con diagnóstico de síndrome de Morquio, de 81 familias vinculadas a la asociación. La escala de calidad de vida familiar adaptada para Colombia fue aplicada a cuidadores. Resultados: Los resultados del mapa de calidad de vida familiar mostraron que las familias se sienten satisfechas con su calidad de vida. Se evidencia una fuerte satisfacción en los factores relacionados con la dinámica interna de la familia. Sin embargo, los factores cuya relación es mayor con elementos externos a la familia presentaron menor satisfacción. Conclusión: La mirada integral de la calidad de vida que se obtiene desde el modelo de calidad de vida familiar, permite identificar elementos del ambiente que pueden influir negativamente en la calidad de vida familiar lo que permite una mejor orientación de las acciones

Introduction: In Colombia, people with rare diseases face multiple barriers to accessing health services. The Colombian Association of Patients with Lysosomal Storage Disease supports people with Morquio syndrome and their families in the search for solutions for an integral management with the aim of improving their quality of life and that of their families. Material and methods: We analysed the Quality of Family Life of patients with Morquio type iv-A syndrome. A total of 102 patients with a diagnosis of Morquio syndrome from 81 families affiliated with the association participated in this study. The Family Life Quality Scale adapted for Colombia was applied to their caregivers. Results: The results of the Family Quality of Life Map demonstrated that the families were satisfied with their quality of life. Strong satisfaction was found for the factors related to internal family dynamics; however, satisfaction was less strong for the factors mainly related to elements external to the family. Conclusion: The integral view of quality of life obtained with the family quality of life model can identify elements of the environment that negatively influence family quality of life, allowing better targeting of actions

Humanos , Masculino , Feminino , Mucopolissacaridose IV/epidemiologia , Acesso aos Serviços de Saúde/tendências , Relações Familiares/psicologia , Psicometria/instrumentação , Mucopolissacaridose IV/psicologia , Qualidade de Vida , Perfil de Impacto da Doença , Doenças Raras/psicologia , Colômbia/epidemiologia , Estudos Transversais , Características da Família , Inquéritos e Questionários
Gac. sanit. (Barc., Ed. impr.) ; 32(6): 584-587, nov.-dic. 2018. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-174296


La promoción de la salud puede ayudar a reducir las desigualdades y velar por la igualdad de oportunidades, proporcionando los medios que permitan a toda la población desarrollar su máximo potencial de salud. Las mujeres que viven en zonas con necesidades de transformación social (ZNTS) son un grupo especialmente vulnerable por la situación de exclusión social y privación material en que viven; los programas de promoción de la salud en este colectivo pueden contribuir a la mejora de su salud. En este trabajo se describe el programa de promoción de la salud Grupos Socioeducativos de Atención Primaria dirigidos a Mujeres (GRUSE-M), y se evalúa su implantación en diversas ZNTS de la ciudad de Sevilla, así como los beneficios y las dificultades de su desarrollo, a través de un análisis documental y de entrevistas a profesionales que lo están implementando

Health promotion can contribute towards reducing inequality and ensuring equal opportunities, providing the means to enable the entire population to develop its maximum health possibilities. Women living in areas with social transformation needs (ASTN) are an especially vulnerable group due to the situation of material deprivation and social exclusion in which they live. Health promotion programmes for this group can bring about an improvement in their health. This paper describes the health promotion programme Socio-educational Groups of Primary Care for Women (SEGPC-W), and evaluates its implementation in ASTN in the city of Seville (Spain), as well as the benefits and difficulties of its development through a documentary analysis and interviews with participating professionals

Humanos , Feminino , Promoção da Saúde/métodos , Saúde da Mulher/tendências , Disparidades nos Níveis de Saúde , Acesso aos Serviços de Saúde/tendências , Serviços de Saúde da Mulher/organização & administração , Marginalização Social , Entrevistas como Assunto
Hosp Top ; 96(4): 114-122, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30588867


The purpose of this study is to identify factors influencing patient preferences for communication from the US Department of Veterans Affairs (VA) during natural disasters. The 37-question, probability-based survey collected data from 2,264 VA users living in the Northeast US logistic regression analyses were conducted for top four modalities, and age was identified as the most important predictor of communication preferences. The findings suggest that the use of multiple modalities, such as telephone, television, radio, text, and email is necessary to successfully disseminate information and effectively reach all VA patients in the event of large-scale emergencies.

Comportamento de Busca de Informação , Desastres Naturais , United States Department of Veterans Affairs/tendências , Adulto , Idoso , Registros Eletrônicos de Saúde/tendências , Feminino , Acesso aos Serviços de Saúde/normas , Acesso aos Serviços de Saúde/tendências , Humanos , Renda/estatística & dados numéricos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos , United States Department of Veterans Affairs/organização & administração , Veteranos/estatística & dados numéricos