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1.
Rev. enferm. UERJ ; 28: 40392, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1094841

RESUMO

Objetivo: discutir sobre a aplicação do construto da perspectiva temporal e os principais instrumentos de análise utilizados em estudos na área da saúde e da enfermagem. Conteúdo: a perspectiva temporal é uma das forças fundamentais na vida das pessoas e desempenha influência nos comportamentos, atitudes e decisões. Por ter forte influência nos comportamentos, o campo da saúde pode se beneficiar da sua aplicação. As dimensões temporais de passado, presente e futuro são usadas na codificação, armazenamento e recuperação de experiências vividas, inclusive de saúde e doença, fornecendo interpretações, estabelecendo metas e auxiliando a tomada de decisões. Conclusão: destaca-se a importância da influência da perspectiva temporal no comportamento relacionado à saúde, visto que a incorporação da avaliação da perspectiva temporal nas ações de cuidado à saúde também pode contribuir na prática da assistência, tanto para prevenção de comportamentos considerados prejudiciais, quanto para o desenvolvimento de comportamentos protetores para a saúde.


Objective: to discuss the application of the temporal perspective construct and the main analytical tools used in health and nursing studies. Content: the time perspective is one of the fundamental forces in people's lives and influences behavior, attitudes and decisions. Because it has a strong influence on behaviors, the field of health can be benefited with its application. The time dimensions of past, present and future are used in the codification, storage and retrieval of lived experiences, including health and illness, providing interpretations, setting goals and assisting in decision making. Conclusion: the importance of the time perspective's influence on health-related behavior is highlighted, since the incorporation of the temporal perspective evaluation into health care actions can also contribute to the practice of care, both for the prevention of behaviors considered harmful and for the development of protective behaviors for health. Descriptors: Time perception; health behavior; delivery of health care; nursing.


Objetivo: discutir la aplicación del construco de la perspectiva temporal y las principales herramientas analíticas utilizadas en los estudios de salud y enfermería. Contenido: la perspectiva del tiempo es una de las fuerzas fundamentales en la vida de las personas e influye en el comportamiento, las actitudes y las decisiones. Debido a que tiene una fuerte influencia en los comportamientos, el campo de la salud se puede beneficiar con su aplicación. Las dimensiones de tiempo del pasado, presente y futuro se utilizan en la codificación, almacenamiento y recuperación de experiencias vividas, incluida la salud y la enfermedad, proporcionando interpretaciones, estableciendo objetivos y ayudando en la toma de decisiones. Conclusión: se destaca la importancia de la influencia de la perspectiva del tiempo en el comportamiento relacionado con la salud, ya que la incorporación de la evaluación de la perspectiva temporal en las acciones de atención de la salud también puede contribuir a la práctica de la atención, tanto para la prevención de comportamientos considerados perjudiciales como para el desarrollo de comportamientos protectores para la salud.


Assuntos
Humanos , Percepção do Tempo , Comportamentos Relacionados com a Saúde , Assistência à Saúde , Qualidade de Vida , Inquéritos e Questionários , Vulnerabilidade em Saúde , Cuidados de Enfermagem
2.
Rev. enferm. UERJ ; 28: e45918, jan.-dez. 2020.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1117684

RESUMO

Objetivo: analisar a compreensão de estudantes de graduação em enfermagem sobre as Redes de Atenção à Saúde. Método: estudo descritivo e exploratório, qualitativo, realizado com 27 estudantes em Enfermagem de uma universidade federal do sul do Brasil, por meio de entrevistas semiestruturadas realizadas entre agosto e setembro de 2018. Resultados: foi evidenciado o conhecimento dos estudantes em relação ao conceito e objetivo das Redes de Atenção à Saúde, a identificação de fragilidades na comunicação e a falta de conhecimento do usuário como obstáculos na efetivação das mesmas, a dificuldade em ver a atuação do enfermeiro dentro dos variados serviços das redes e a percepção sobre a fragmentação do processo de formação. Conclusão: o estudo contribui para a discussão sobre a inclusão dos estudantes nas Redes de Atenção à Saúde, com intuito de superar as exigências educacionais que buscam favorecer a efetivação do Sistema Único de Saúde e das Redes de Atenção à Saúde.


Objective: to examine undergraduate nursing students' understanding of Health Care Networks (HCNs). Method: in this exploratory, qualitative descriptive study, semi-structured interviews were conducted with 27 Nursing students at a federal University in southern Brazil between August and September 2018. Results: the interviews revealed that the students' knowledge related to the HCNs' concept and purpose, beyond the communication weaknesses and users' lack knowledge as obstacles to effective HCNs, the difficulty in seeing nurses' roles in the various network services, and perceived fragmentation in the training process. Conclusion: the study contributed to discussion of inclusion of students in HCRs, with a view to meeting the educational requirements designed to favor implementation of the national health system (SUS) and the HCNs.


Objetivo: analizar la comprensión de los estudiantes de enfermería de pregrado sobre las redes de atención de la salud (HCN). Método: en este estudio exploratorio, cualitativo descriptivo, se realizaron entrevistas semiestructuradas a 27 estudiantes de Enfermería de una Universidad federal del sur de Brasil entre agosto y septiembre de 2018. Resultados: las entrevistas revelaron que los conocimientos de los estudiantes relacionados con el concepto y propósito, más allá de las debilidades de comunicación y la falta de conocimiento de los usuarios como obstáculos para una HCN eficaz, la dificultad para ver el rol de las enfermeras en los distintos servicios de la red y la fragmentación percibida en el proceso de formación. Conclusión: el estudio contribuyó a la discusión de la inclusión de los estudiantes en las HCR, con miras a cumplir con los requisitos educativos diseñados para favorecer la implementación del Sistema Nacional de Salud (SUS) y las HCN.


Assuntos
Humanos , Masculino , Feminino , Atenção Primária à Saúde/organização & administração , Estudantes de Enfermagem , Sistema Único de Saúde/organização & administração , Assistência à Saúde/organização & administração , Compreensão , Brasil , Papel do Profissional de Enfermagem , Pesquisa Qualitativa , Educação de Pós-Graduação em Enfermagem
3.
Texto & contexto enferm ; 29: e20190025, Jan.-Dec. 2020.
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1059133

RESUMO

ABSTRACT Objective: to analyze the perceptions of the family members of users of a children's psychosocial care center, regarding the facilitating factors and the difficulties in the communication with the health professionals. Method: a qualitative and descriptive study conducted with 25 family members of users of a children's psychosocial care center in a city of Minas Gerais (Brazil). Data collection took place between April and July 2017 using focus groups and a semi-structured script for the implementation of group sessions. Data was analyzed according to content analysis, thematic category. Results: two categories emerged from the analysis: Professional-Family relationship and Suggestions to enhance communication, which included practicalities and difficulties in communication. The data showed that the professional-family relationship refers to the professionals' positive actions, which facilitate communication, and to their negative actions, which means offering a distant and dehumanized care and failing to provide guidance. The suggestions to enhance communication were directed to the interventions focused on the family and on the dynamics and management of the service. Conclusion: there is a need for collaboration among management, staff and family members, which can contribute to a better health care and to building more solidary and dialogical relationships.


RESUMEN Objetivo: analizar las percepciones de los familiares de los usuarios de un centro de atención psicosocial infanto-juvenil, en relación con los factores facilitadores y las dificultades de la comunicación con los profesionales de la salud. Método: estudio cualitativo y descriptivo realizado con 25 familiares de usuarios de un centro de atención psicosocial infanto-juvenil en un municipio de Minas Gerais (Brasil). Los datos se recolectaron entre los meses de abril y junio de 2017 por medio de grupos focalizados, con la aplicación de un guión semiestructurado para desarrollar las sesiones grupales. Los datos se analizaron conforme al análisis de contenido, con la modalidad temática. Resultados: a partir del análisis surgieron dos categorías: Relación profesional-familia y Sugerencias para potenciar la comunicación; ambas abarcaron facilidades y dificultades en la comunicación. Los datos evidenciaron que la relación profesional-familia se refiere tanto a las acciones positivas de los profesionales, que facilitan la comunicación, como a sus acciones negativas, que significan ofrecer una atención distante y poco humanizada con escasa orientación. Las sugerencias para potenciar la comunicación estuvieron dirigidas a las intervenciones enfocadas en la familia y en la dinámica y organización del servicio. Conclusión: se hace evidente que es necesaria una aproximación entre la administración, el equipo de profesionales y los familiares, lo que puede ayudar a mejorar los cuidados en salud y hacer posible que se establezcan relaciones más solidarias y con más diálogo.


RESUMO Objetivo: analisar as percepções dos familiares de usuários de um centro de atenção psicossocial infantojuvenil, em relação aos fatores facilitadores e dificultadores da comunicação com os profissionais de saúde. Método: estudo qualitativo, descritivo, realizado com 25 familiares de usuários de um centro de atenção psicossocial infantojuvenil, em um município de Minas Gerais (Brasil). A coleta de dados ocorreu entre os meses de abril a julho de 2017, por meio de grupos focais, aplicando-se roteiro semiestruturado para desenvolvimento das sessões grupais. Os dados foram analisados segundo a análise de conteúdo, modalidade temática. Resultados: da análise emergiram duas categorias: Relação profissional-família e Sugestões para potencializar a comunicação, as quais abrangeram facilidades e dificuldades na comunicação. Os dados evidenciaram que a relação profissional-família diz respeito às ações positivas dos profissionais que facilitam a comunicação, e às ações negativas atuação distante, pouco humanizado, com escassez de orientação. As sugestões para potencializar a comunicação foram direcionadas às intervenções focadas na família e na dinâmica e organização do serviço. Conclusão: evidencia-se a necessidade de aproximação entre gerência, equipe de profissionais e familiares; o que pode contribuir para melhoria do cuidado em saúde e para a construção de relações mais solidárias e dialógicas.


Assuntos
Saúde Mental , Cuidadores , Comunicação , Serviços de Saúde Mental , Relações Profissional-Família , Assistência à Saúde , Relações Familiares
5.
Nurs Womens Health ; 24(5): 309-310, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: covidwho-843268
6.
Br J Community Nurs ; 25(Sup10): S12-S16, 2020 Oct 01.
Artigo em Inglês | MEDLINE | ID: covidwho-842124

RESUMO

The COVID-19 pandemic of 2020 has led to considerable changes in how healthcare is delivered, as it has pushed people to think outside the box technologically. Mobile working is becoming more widespread, useful and valuable in this innovative period in the NHS. Point-of-care (POC) technology encompasses mobile devices and systems that support health professionals in their daily activities of patient care. It allows the user to safely assess and diagnose individuals at the point of care, providing actionable information to allow rapid clinical decision-making. POC technology also has the ability to support and educate patients with health needs, encouraging patients and their carers to assume greater more control of and responsibility over their health. Providing patients individual care plans to maintain their health will help realise the future of self-care. This article describe the development of a mobile app-Juzo Care-designed to enhance the management of chronic oedema and lymphoedema in mobile working settings.


Assuntos
Enfermagem em Saúde Comunitária , Edema/enfermagem , Linfedema/enfermagem , Aplicativos Móveis , Educação de Pacientes como Assunto , Sistemas Automatizados de Assistência Junto ao Leito , Autocuidado , Betacoronavirus , Doença Crônica , Infecções por Coronavirus , Assistência à Saúde , Humanos , Pandemias , Pneumonia Viral , Guias de Prática Clínica como Assunto , Medicina Estatal , Reino Unido
7.
Br J Community Nurs ; 25(10): 480-488, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: covidwho-841751

RESUMO

People with chronic pain faced potential treatment disruption during the COVID-19 pandemic in Singapore, as the focus of healthcare shifted. A model of rapid integration of a pain centre with community healthcare teams was implemented to care for vulnerable older patients with chronic pain and multiple comorbidities. Telemedicine and home visits by community nurses were used, with risk-mitigation measures, ensuring comprehensive assessment and treatment compliance. Medications from pain physicians were delivered at home through a hospital pharmacy. A secure national electronic health records system used by all teams ensured seamless access and documentation. Potential emergency department visits, admissions and delayed discharges were thus avoided. Integration of community teams with chronic pain management services can be recommended to ensure pandemic preparedness.


Assuntos
Dor Crônica/terapia , Enfermagem em Saúde Comunitária , Infecções por Coronavirus , Visita Domiciliar , Clínicas de Dor , Manejo da Dor , Pandemias , Pneumonia Viral , Telemedicina , Betacoronavirus , Comportamento Cooperativo , Assistência à Saúde , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Equipe de Assistência ao Paciente , Encaminhamento e Consulta , Singapura , Fluxo de Trabalho
8.
JAMA Netw Open ; 3(10): e2021476, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: covidwho-812612

RESUMO

Importance: Little is known about the association between the coronavirus disease 2019 (COVID-19) pandemic and the level and content of primary care delivery in the US. Objective: To quantify national changes in the volume, type, and content of primary care delivered during the COVID-19 pandemic, especially with regard to office-based vs telemedicine encounters. Design, Setting, and Participants: Analysis of serial cross-sectional data from the IQVIA National Disease and Therapeutic Index, a 2-stage, stratified nationally representative audit of outpatient care in the US from the first calendar quarter (Q1) of 2018 to the second calendar quarter (Q2) of 2020. Main Outcomes and Measures: Visit type (office-based or telemedicine), overall and stratified by patient population and geographic region; assessment of blood pressure or cholesterol measurement; and initiation or continuation of prescription medications. Results: In the 8 calendar quarters between January 1, 2018, and December 31, 2019, between 122.4 million (95% CI, 117.3-127.5 million) and 130.3 million (95% CI, 124.7-135.9 million) quarterly primary care visits occurred in the US (mean, 125.8 million; 95% CI, 121.7-129.9 million), most of which were office-based (92.9%). In 2020, the total number of encounters decreased to 117.9 million (95% CI, 112.6-123.2 million) in Q1 and 99.3 million (95% CI, 94.9-103.8 million) in Q2, a decrease of 21.4% (27.0 million visits) from the average of Q2 levels during 2018 and 2019. Office-based visits decreased 50.2% (59.1 million visits) in Q2 of 2020 compared with Q2 2018-2019, while telemedicine visits increased from 1.1% of total Q2 2018-2019 visits (1.4 million quarterly visits) to 4.1% in Q1 of 2020 (4.8 million visits) and 35.3% in Q2 of 2020 (35.0 million visits). Decreases occurred in blood pressure level assessment (50.1% decrease, 44.4 million visits) and cholesterol level assessment (36.9% decrease, 10.2 million visits) in Q2 of 2020 compared with Q2 2018-2019 levels, and assessment was less common during telemedicine than during office-based visits (9.6% vs 69.7% for blood pressure; P < .001; 13.5% vs 21.6% for cholesterol; P < .001). New medication visits in Q2 of 2020 decreased by 26.0% (14.1 million visits) from Q2 2018-2019 levels. Telemedicine adoption occurred at similar rates among White individuals and Black individuals (19.3% vs 20.5% of patient visits, respectively, in Q1/Q2 of 2020), varied by region (low of 15.1% of visits [East North Central region], high of 26.8% of visits [Pacific region]), and was not correlated with regional COVID-19 burden. Conclusions and Relevance: The COVID-19 pandemic has been associated with changes in the structure of primary care delivery, with the content of telemedicine visits differing from that of office-based encounters.


Assuntos
Visita a Consultório Médico/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , Adulto , Afro-Americanos , Idoso , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Assistência à Saúde/estatística & dados numéricos , Grupo com Ancestrais do Continente Europeu , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Estados Unidos/epidemiologia , Adulto Jovem
9.
Colomb Med (Cali) ; 51(2): e4277, 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: covidwho-875102

RESUMO

Currently, there are several mathematical models that have been developed to understand the dynamics of COVID-19 infection. However, the difference in the sociocultural contexts between countries requires the specific adjustment of these estimates to each scenario. This article analyses the main elements used for the construction of models from epidemiological patterns, to describe the interaction, explain the dynamics of infection and recovery, and to predict possible scenarios that may arise with the introduction of public health measures such as social distancing and quarantines, specifically in the case of the pandemic unleashed by the new SARS-CoV-2/COVID-19 virus. Comment: Mathematical models are highly relevant for making objective and effective decisions to control and eradicate the disease. These models used for COVID-19 have supported and will continue to provide information for the selection and implementation of programs and public policies that prevent associated complications, reduce the speed of the virus spread and minimize the occurrence of severe cases of the disease that may collapse health systems.


Assuntos
Infecções por Coronavirus/epidemiologia , Política de Saúde , Modelos Teóricos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/prevenção & controle , Assistência à Saúde/organização & administração , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Saúde Pública , Quarentena , Isolamento Social
10.
JAMA Netw Open ; 3(10): e2021476, 2020 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-33006622

RESUMO

Importance: Little is known about the association between the coronavirus disease 2019 (COVID-19) pandemic and the level and content of primary care delivery in the US. Objective: To quantify national changes in the volume, type, and content of primary care delivered during the COVID-19 pandemic, especially with regard to office-based vs telemedicine encounters. Design, Setting, and Participants: Analysis of serial cross-sectional data from the IQVIA National Disease and Therapeutic Index, a 2-stage, stratified nationally representative audit of outpatient care in the US from the first calendar quarter (Q1) of 2018 to the second calendar quarter (Q2) of 2020. Main Outcomes and Measures: Visit type (office-based or telemedicine), overall and stratified by patient population and geographic region; assessment of blood pressure or cholesterol measurement; and initiation or continuation of prescription medications. Results: In the 8 calendar quarters between January 1, 2018, and December 31, 2019, between 122.4 million (95% CI, 117.3-127.5 million) and 130.3 million (95% CI, 124.7-135.9 million) quarterly primary care visits occurred in the US (mean, 125.8 million; 95% CI, 121.7-129.9 million), most of which were office-based (92.9%). In 2020, the total number of encounters decreased to 117.9 million (95% CI, 112.6-123.2 million) in Q1 and 99.3 million (95% CI, 94.9-103.8 million) in Q2, a decrease of 21.4% (27.0 million visits) from the average of Q2 levels during 2018 and 2019. Office-based visits decreased 50.2% (59.1 million visits) in Q2 of 2020 compared with Q2 2018-2019, while telemedicine visits increased from 1.1% of total Q2 2018-2019 visits (1.4 million quarterly visits) to 4.1% in Q1 of 2020 (4.8 million visits) and 35.3% in Q2 of 2020 (35.0 million visits). Decreases occurred in blood pressure level assessment (50.1% decrease, 44.4 million visits) and cholesterol level assessment (36.9% decrease, 10.2 million visits) in Q2 of 2020 compared with Q2 2018-2019 levels, and assessment was less common during telemedicine than during office-based visits (9.6% vs 69.7% for blood pressure; P < .001; 13.5% vs 21.6% for cholesterol; P < .001). New medication visits in Q2 of 2020 decreased by 26.0% (14.1 million visits) from Q2 2018-2019 levels. Telemedicine adoption occurred at similar rates among White individuals and Black individuals (19.3% vs 20.5% of patient visits, respectively, in Q1/Q2 of 2020), varied by region (low of 15.1% of visits [East North Central region], high of 26.8% of visits [Pacific region]), and was not correlated with regional COVID-19 burden. Conclusions and Relevance: The COVID-19 pandemic has been associated with changes in the structure of primary care delivery, with the content of telemedicine visits differing from that of office-based encounters.


Assuntos
Visita a Consultório Médico/estatística & dados numéricos , Atenção Primária à Saúde/estatística & dados numéricos , Telemedicina/estatística & dados numéricos , Adulto , Afro-Americanos , Idoso , Betacoronavirus , Infecções por Coronavirus/epidemiologia , Estudos Transversais , Assistência à Saúde/estatística & dados numéricos , Grupo com Ancestrais do Continente Europeu , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Pneumonia Viral/epidemiologia , Estados Unidos/epidemiologia , Adulto Jovem
11.
Nat Commun ; 11(1): 5012, 2020 10 06.
Artigo em Inglês | MEDLINE | ID: mdl-33024096

RESUMO

Understanding changes in human mobility in the early stages of the COVID-19 pandemic is crucial for assessing the impacts of travel restrictions designed to reduce disease spread. Here, relying on data from mainland China, we investigate the spatio-temporal characteristics of human mobility between 1st January and 1st March 2020, and discuss their public health implications. An outbound travel surge from Wuhan before travel restrictions were implemented was also observed across China due to the Lunar New Year, indicating that holiday travel may have played a larger role in mobility changes compared to impending travel restrictions. Holiday travel also shifted healthcare pressure related to COVID-19 towards locations with lower healthcare capacity. Network analyses showed no sign of major changes in the transportation network after Lunar New Year. Changes observed were temporary and did not lead to structural reorganisation of the transportation network during the study period.


Assuntos
Infecções por Coronavirus/epidemiologia , Pandemias , Pneumonia Viral/epidemiologia , Viagem/tendências , Betacoronavirus , China/epidemiologia , Assistência à Saúde , Férias e Feriados , Humanos , Densidade Demográfica , Saúde Pública , Fatores de Tempo , Transportes
12.
Ital J Pediatr ; 46(1): 149, 2020 Oct 08.
Artigo em Inglês | MEDLINE | ID: mdl-33032650

RESUMO

The rapid spread of the COVID-19 outbreak in Italy has dramatically impacted the National Healthcare System, causing the sudden congestion of hospitals, especially in Northern Italy, thus imposing drastic restriction of almost all routine medical care. This exceptional adaptation of the Italian National Healthcare System has also been felt by non-frontline settings such as Pediatric Orthopaedic Units, where the limitation or temporary suspension of most routine care activities met with a need to maintain continuity of care and avoid secondary issues due to the delay or suspension of the routine clinical practice. The Italian Society of Pediatric Orthopaedics and Traumatology formulated general and specific recommendations to face the COVID-19 outbreak, aiming to provide essential care for children needing orthopaedic treatments during the pandemic and early post-peak period, ensure safety of children, caregivers and healthcare providers and limit the spread of contagion.


Assuntos
Infecção Hospitalar/prevenção & controle , Assistência à Saúde/organização & administração , Procedimentos Ortopédicos/estatística & dados numéricos , Avaliação de Resultados em Cuidados de Saúde , Guias de Prática Clínica como Assunto/normas , Criança , Pré-Escolar , Tomada de Decisão Clínica , Feminino , Humanos , Itália , Masculino , Saúde do Trabalhador/estatística & dados numéricos , Procedimentos Ortopédicos/métodos , Ortopedia/normas , Segurança do Paciente , Pediatria/normas , Sociedades Médicas/normas , Traumatologia/normas
13.
Ugeskr Laeger ; 182(41)2020 10 05.
Artigo em Dinamarquês | MEDLINE | ID: mdl-33046185

RESUMO

Transparency in modelling of the COVID-19 spread is necessary for enhanced understanding of the underlying logic and assumptions. In Denmark, the government relies on the expert advice given by Statens Serum Institut, whose model logic requires programming capabilities. This review demonstrates the importance in model transparency by setting up a system dynamics simulation model of the COVID-19 spread. The developed model can be applied to test intended interventions' effects and is promoted as a suitable approach for other equally complex problem solving in healthcare.


Assuntos
Infecções por Coronavirus , Pandemias , Pneumonia Viral , Resolução de Problemas , Betacoronavirus , Infecções por Coronavirus/transmissão , Assistência à Saúde , Humanos , Modelos Teóricos , Pneumonia Viral/transmissão
14.
Wiad Lek ; 73(8): 1650-1654, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33055327

RESUMO

OBJECTIVE: The aim: to substantiate conceptual approaches to organizing the model of university stomatological clinic based on the public-private partnership principles (PPP). PATIENTS AND METHODS: Materials and methods: To achieve the aim the author used general scientific methods of analysis, synthesis, generalization, interpreting scientific data as well as systemic and structural-functional approaches. The conceptual approaches comply with the Constitution of Ukraine, laws and other legislative standards of Ukraine, generally accepted standards and principles of world law in the healthcare, considering the Ukrainian and foreign experience. RESULTS: Results: The article represents conceptual approaches to organizing university clinic, based on the public-private partnership principles, in order to provide development of theoretical and practical stomatology, training professionals as well as to providing accessible and affordable high-quality stomatological service to population. Introduction of the conceptual approaches will provide for development of a modern model of the university clinic, creating public-private healthcare institution which will provide affordable and high-quality stomatological service corresponding to modern requirements and approaches ( last advances of science and technology). Implementation of the public-private partnership mechanisms will be a guarantee of steady long-lasting social-economic development of the clinic. CONCLUSION: Conclusions: The priority way of development of the university clinics under new economic conditions is basing their economic mechanisms on the PPP principles. To realize this, the conceptual approaches to organizing university stomatological clinic model based on the public-private partnership principles were introduced (with the example of university stomatological clinic).


Assuntos
Medicina Bucal , Parcerias Público-Privadas , Assistência à Saúde , Ucrânia , Universidades
15.
Wiad Lek ; 73(8): 1771-1779, 2020.
Artigo em Polonês | MEDLINE | ID: mdl-33055350

RESUMO

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.


Assuntos
Assistência à Saúde , Médicos , Humanos , Polônia , Competência Profissional
16.
Ital J Pediatr ; 46(1): 142, 2020 Oct 02.
Artigo em Inglês | MEDLINE | ID: mdl-33008445

RESUMO

BACKGROUND: The coronavirus disease 2019 (COVID-19) is currently rare in children and they seem to have a milder disease course and better prognosis than adults. However, SARS-Cov-2 pandemic has indirectly caused problems in pediatric medical assistance. In view of this we wanted to draw a picture of what happened during health emergency and analyze future prospects for restarting. METHODS: We involved the Italian pediatric scientific societies institutionally collected in the Italian Federation of Associations and Scientific Societies of the Pediatric Area (FIARPED); We sent a questionnaire to all scientific societies about the pediatric care activity during the COVID-19 emergency and future perspectives for the phase of post-containment. RESULTS: The analysis of the questionnaires showed significant decrease of:admission, outpatient visits and specialist consultancy activities during the COVID-19 emergency, primarily linked to the fear of infection. Instead it was increased the serious degree of diseases admitted. Most of scientific societies maintained the relationship with chronic patients through some form of telemedicine, reporting a strong positive opinion about this modality. Finally showed the need to give life a new approach for hospitalizations and outpatient visits through a greater use of telemedicine, educational programs on families and a more decisive role of family pediatricians. CONCLUSIONS: Our study highlighted many aspects that can be improved in pediatric care. We think that It will be necessary a new shared strategy to improve the management and continuity of care for pediatric patients, primarily developing a network of collaboration between families, family pediatrician and hospitals and by enhancing the use of new methods of telecommunications.


Assuntos
Infecções por Coronavirus/prevenção & controle , Controle de Infecções/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Quarentena/organização & administração , Inquéritos e Questionários , Telemedicina/estatística & dados numéricos , Adulto , Assistência Ambulatorial/estatística & dados numéricos , Criança , Infecções por Coronavirus/epidemiologia , Assistência à Saúde/organização & administração , Serviço Hospitalar de Emergência/estatística & dados numéricos , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Itália , Masculino , Avaliação de Resultados em Cuidados de Saúde , Pandemias/estatística & dados numéricos , Planejamento de Assistência ao Paciente/organização & administração , Pediatria/métodos , Pneumonia Viral/epidemiologia , Sociedades Médicas
17.
Colomb Med (Cali) ; 51(2): e4266, 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-33012884

RESUMO

Background: The best scientific evidence is required to design effective Non-pharmaceutical interventions to help policymakers to contain COVID-19. Aim: To describe which Non-pharmaceutical interventions used different countries and a when they use them. It also explores how Non-pharmaceutical interventions impact the number of cases, the mortality, and the capacity of health systems. Methods: We consulted eight web pages of transnational organizations, 17 of international media, 99 of government institutions in the 19 countries included, and besides, we included nine studies (out of 34 identified) that met inclusion criteria. Result: Some countries are focused on establishing travel restrictions, isolation of identified cases, and high-risk people. Others have a combination of mandatory quarantine and other drastic social distancing measures. The timing to implement the interventions varied from the first fifteen days after detecting the first case to more than 30 days. The effectiveness of isolated non-pharmaceutical interventions may be limited, but combined interventions have shown to be effective in reducing the transmissibility of the disease, the collapse of health care services, and mortality. When the number of new cases has been controlled, it is necessary to maintain social distancing measures, self-isolation, and contact tracing for several months. The policy decision-making in this time should be aimed to optimize the opportunities of saving lives, reducing the collapse of health services, and minimizing the economic and social impact over the general population, but principally over the most vulnerable. The timing of implementing and lifting interventions could have a substantial effect on those objectives.


Assuntos
Infecções por Coronavirus/prevenção & controle , Política de Saúde , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Formulação de Políticas , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/mortalidade , Assistência à Saúde/organização & administração , Humanos , Pneumonia Viral/epidemiologia , Pneumonia Viral/mortalidade , Quarentena , Isolamento Social , Fatores de Tempo
18.
Colomb Med (Cali) ; 51(2): e4271, 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-33012886

RESUMO

Coronavirus illness 2019 (COVID-19) is an airways infection caused by the new coronavirus (SARS-CoV-2) which has been quickly disseminated all over the world, affecting to the general population including women in pregnancy time. As being a recent infection, the evidence that supports the best practices for the management of the infection during pregnancy is limited, and most of the questions have not been completely solved yet. This publication offers general guidelines focused on decision-making people, managers, and health's teams related to pregnant women attention and newborn babies during COVID-19 pandemic. Its purpose is to promote useful interventions to prevent new infections as well as prompt and adequate attention to avoid serious complications or deaths, trying to be adapted to the different contexts in which attention to expectant mothers is provided. Guidelines are set within a well-scientific evidence and available recommendations up to date.


Assuntos
Infecções por Coronavirus/epidemiologia , Pneumonia Viral/epidemiologia , Complicações Infecciosas na Gravidez/epidemiologia , Infecções por Coronavirus/virologia , Assistência à Saúde/organização & administração , Feminino , Humanos , Recém-Nascido , Pandemias , Pneumonia Viral/virologia , Guias de Prática Clínica como Assunto , Gravidez , Complicações Infecciosas na Gravidez/virologia
19.
Colomb Med (Cali) ; 51(2): e4277, 2020 Jun 30.
Artigo em Inglês | MEDLINE | ID: mdl-33012889

RESUMO

Currently, there are several mathematical models that have been developed to understand the dynamics of COVID-19 infection. However, the difference in the sociocultural contexts between countries requires the specific adjustment of these estimates to each scenario. This article analyses the main elements used for the construction of models from epidemiological patterns, to describe the interaction, explain the dynamics of infection and recovery, and to predict possible scenarios that may arise with the introduction of public health measures such as social distancing and quarantines, specifically in the case of the pandemic unleashed by the new SARS-CoV-2/COVID-19 virus. Comment: Mathematical models are highly relevant for making objective and effective decisions to control and eradicate the disease. These models used for COVID-19 have supported and will continue to provide information for the selection and implementation of programs and public policies that prevent associated complications, reduce the speed of the virus spread and minimize the occurrence of severe cases of the disease that may collapse health systems.


Assuntos
Infecções por Coronavirus/epidemiologia , Política de Saúde , Modelos Teóricos , Pneumonia Viral/epidemiologia , Infecções por Coronavirus/prevenção & controle , Assistência à Saúde/organização & administração , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Saúde Pública , Quarentena , Isolamento Social
20.
Arq Bras Cardiol ; 115(3): 547-557, 2020 09.
Artigo em Inglês, Português | MEDLINE | ID: mdl-33027380

RESUMO

The challenges that the COVID-19 pandemic cretead to the healthcare system have made it necessary to adapt routines and services, with the objectives of controlling the spread of the virus and preserving health. Safe and correct management of patients in risks groups, such as elderly patients, patients with cardiovascular diseases, and patients with cancer, has become even more important. Thus, cardio-oncology has gained a new dimension, with the aim of adapting to patients' needs during the pandemic by restructuring the system of care in a manner that offers quality and safety in healthcare.


Assuntos
Doenças Cardiovasculares/terapia , Infecções por Coronavirus/epidemiologia , Neoplasias/terapia , Pneumonia Viral/epidemiologia , Idoso , Betacoronavirus , Cardiologia , Assistência à Saúde , Humanos , Oncologia , Pandemias
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