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1.
S Afr Med J ; 0(0): 13185, 2020 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-33334393

RESUMO

BACKGROUND: Current evidence indicates that children are relatively spared from direct COVID-19-related morbidity and mortality, but that the indirect effects of the pandemic pose significant risks to their health and wellbeing. OBJECTIVES: To assess the impact of the local COVID-19 outbreak on routine child health services. METHODS: The District Health Information System data set for KwaZulu-Natal (KZN) provincial health services was accessed, and monthly child health-related data were extracted for the period January 2018 - June 2020. Chronological and geographical variations in sentinel indicators for service access, service delivery and the wellbeing of children were assessed. RESULTS: During April - June 2020, following the start of the COVID-19 outbreak in KZN, significant declines were seen for clinic attendance (36%; p=0.001) and hospital admissions (50%; p=0.005) of children aged <5 years, with a modest recovery in clinic attendance only. Among service delivery indicators, immunisation coverage recovered most rapidly, with vitamin A supplementation, deworming and food supplementation remaining low. Changes were less pronounced for in- and out-of-hospital births and uptake rates of infant polymerase chain reaction testing for HIV at birth, albeit with wide interdistrict variations, indicating inequalities in access to and provision of maternal and neonatal care. A temporary 47% increase in neonatal facility deaths was reported in May 2020 that could potentially be attributed to COVID-19-related disruption and diversion of health resources. CONCLUSIONS: Multiple indicators demonstrated disruption in service access, service delivery and child wellbeing. Further studies are needed to establish the intermediate- and long-term impact of the COVID-19 outbreak on child health, as well as strategies to mitigate these.


Assuntos
Serviços de Saúde da Criança , Acesso aos Serviços de Saúde , Controle de Infecções , Assistência Perinatal , /epidemiologia , Saúde da Criança/normas , Serviços de Saúde da Criança/organização & administração , Serviços de Saúde da Criança/estatística & dados numéricos , Pré-Escolar , Recursos em Saúde/normas , Acesso aos Serviços de Saúde/estatística & dados numéricos , Acesso aos Serviços de Saúde/tendências , Necessidades e Demandas de Serviços de Saúde , Humanos , Lactente , Mortalidade Infantil , Recém-Nascido , Controle de Infecções/métodos , Controle de Infecções/organização & administração , Assistência Perinatal/normas , Assistência Perinatal/estatística & dados numéricos , África do Sul/epidemiologia
2.
Health Aff (Millwood) ; 39(10): 1752-1761, 2020 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-33017237

RESUMO

Safety-net programs improve health for low-income children over the short and long term. In September 2018 the Trump administration announced its intention to change the guidance on how to identify a potential "public charge," defined as a noncitizen primarily dependent on the government for subsistence. After this change, immigrants' applications for permanent residence could be denied for using a broader range of safety-net programs. We investigated whether the announced public charge rule affected the share of children enrolled in Medicaid, the Supplemental Nutrition Assistance Program, and the Special Supplemental Nutrition Program for Women, Infants, and Children, using county-level data. Results show that a 1-percentage-point increase in a county's noncitizen share was associated with a 0.1-percentage-point reduction in child Medicaid use. Applied nationwide, this implies a decline in coverage of 260,000 children. The public charge rule was adopted in February 2020, just before the coronavirus disease 2019 (COVID-19) pandemic began in the US. These results suggest that the Trump administration's public charge announcement could have led to many thousands of eligible, low-income children failing to receive safety-net support during a severe health and economic crisis.


Assuntos
Serviços de Saúde da Criança/organização & administração , Infecções por Coronavirus/prevenção & controle , Assistência Alimentar/estatística & dados numéricos , Disparidades em Assistência à Saúde/economia , Medicaid/economia , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Pobreza/estatística & dados numéricos , Adolescente , Criança , Saúde da Criança , Pré-Escolar , Estudos de Coortes , Infecções por Coronavirus/epidemiologia , Bases de Dados Factuais , Medo , Feminino , Política de Saúde/legislação & jurisprudência , Humanos , Cobertura do Seguro/estatística & dados numéricos , Masculino , Inovação Organizacional , Pandemias/estatística & dados numéricos , Pneumonia Viral/epidemiologia , Formulação de Políticas , Estudos Retrospectivos , Provedores de Redes de Segurança/organização & administração , Estados Unidos
3.
Child Adolesc Ment Health ; 25(4): 267-269, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33025729

RESUMO

The pandemic is creating unprecedented demand for mental health support for young people. While schools often facilitate mental health support for their students, the demands for online teaching and the uncertainty created by the pandemic make traditional delivery of support through schools challenging. Technology provides a potential way forward. We have developed a digital ecosystem, HABITS, that can be integrated into school and healthcare systems. This has allowed us to deploy specific evidence-based interventions directly, and through schools, to students and to parents in New Zealand during the current pandemic. Chatbot architecture is particularly suited to rapid iteration to provide specific information while apps can provide more generalised support. While technology can provide some solutions, it is important to be aware of the potential to increase current inequities, with those facing the greatest challenges to health and well-being, also least able to afford the resources to access digital interventions. Development of an integrated and equitable digital system will take time and collaboration.


Assuntos
Serviços de Saúde da Criança/organização & administração , Infecções por Coronavirus , Serviços de Saúde Mental/organização & administração , Saúde Mental , Pandemias , Pneumonia Viral , Serviços de Saúde Escolar/organização & administração , Estudantes/psicologia , Adolescente , Criança , Computadores , Ecossistema , Humanos , Nova Zelândia , Telecomunicações
5.
Niger J Clin Pract ; 23(8): 1127-1134, 2020 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-32788491

RESUMO

Background: The Child Welfare Card (CWC) contains the records of a child's immunization and information on the other aspects of the child's health, including growth curves and home treatment of diarrheal disease to mention a few. How easily retrievable these records are and what influence the cards have on parents/caregivers regarding the child's nurture are uncertain in our environment. Aim: The present study was aimed at assessing the parents/caregivers' knowledge and utilization of CWCs as well as the health-providers' accessibility of the card in the hospital. Method: This study was a cross-sectional descriptive one that involved the parents/caregivers of children aged 60 months and below, attending the children's clinics and wards in a tertiary center. We collected the relevant information, including the sociodemographic data of the parents/caregivers, their knowledge, and assessed the utilization of CWC. The analysis of the categorical data was performed with the IBM Statistical Package for Social Sciences (S.P.S.S) version 23.0 for windows. P values < 0.05 were considered significant. Results: Of the 377 parents/caregivers enrolled in the study, good knowledge of the contents of the CWC was demonstrated by 82 (21.8%) while 78 (20.7%) made the cards available to the health care providers. Eighty (21.2%) made adequate use of the cards at home. A greater number of parents/caregivers from the higher social class had good knowledge of the intervention contents of the CWC (P = 0.005). The accessibility of the cards to the health care-providers was significantly higher among the older parents/caregivers (P = 0.010), those with a good knowledge of CWC (P = 0.020) and parents/caregivers from higher social class (P = 0.001). Subjects with good knowledge were 2.4 times (OR = 2.4, 95% CI = 1.4-4.2) more likely to utilize the intervention contents in the CWC. Conclusion: The overall knowledge, utilization, and accessibility of the CWC were poor. Parents/caregivers with good knowledge were more likely to utilize the information on the CWC compared with participants with poor knowledge.


Assuntos
Cuidadores/estatística & dados numéricos , Serviços de Saúde da Criança/estatística & dados numéricos , Bem-Estar da Criança/estatística & dados numéricos , Conhecimentos, Atitudes e Prática em Saúde , Pessoal de Saúde/psicologia , Registros Médicos/estatística & dados numéricos , Adulto , Cuidadores/psicologia , Criança , Saúde da Criança , Serviços de Saúde da Criança/organização & administração , Pré-Escolar , Estudos Transversais , Família , Feminino , Pesquisas sobre Serviços de Saúde , Humanos , Esquemas de Imunização , Masculino , Pessoa de Meia-Idade , Nigéria , Classe Social , Fatores Socioeconômicos
6.
BMC Public Health ; 20(1): 1122, 2020 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-32677944

RESUMO

BACKGROUND: Integrated Management of Childhood Illnesses (IMCI) is a strategy developed by the World Health Organization (WHO) and UNICEF in 1992. It was deployed as an integrated approach to improve children's health in the world. This strategy is divided into three components: organizational, clinical, and communitarian. If the Integrated Management of Childhood Illnesses implementation-related factors in low- and middle-income countries are known, the likelihood of decreasing infant morbidity and mortality rates could be increased. This work aimed to identify, from the clinical component of the strategy, the implementation-related factors to Integrated Management of Childhood Illnesses at 18 Colombian cities. METHODS: A quantitative cross-sectional study was performed with a secondary analysis of databases of a study conducted in Colombia by the Public Health group of Universidad de Los Andes in 2016. An Integrated Care Index was calculated as a dependent variable and descriptive bivariate and multivariate analyses to find the relationship between this index and the relevant variables from literature. RESULTS: Information was obtained from 165 medical appointments made by nurses, general practitioners, and pediatricians. Health access is given mainly in the urban area, in the first level care and outpatient context. Essential medicines availability, necessary supplies, second-level care, medical appointment periods longer than 30 min, and care to the child under 30 months are often related to higher rates of Integrated Care Index. CONCLUSION: Health care provided to children under five remains incomplete because it does not present the basic minimums for the adequate IMCI's implementation in the country. It is necessary to provide integrated care that provides medicine availability and essential supplies that reduce access barriers and improve the system's fragmentation.


Assuntos
Serviços de Saúde da Criança/estatística & dados numéricos , Saúde da Criança/estatística & dados numéricos , Prestação Integrada de Cuidados de Saúde/estatística & dados numéricos , Implementação de Plano de Saúde/estatística & dados numéricos , Saúde Pública/estatística & dados numéricos , Criança , Serviços de Saúde da Criança/organização & administração , Pré-Escolar , Cidades , Colômbia , Estudos Transversais , Prestação Integrada de Cuidados de Saúde/organização & administração , Feminino , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/estatística & dados numéricos , Pesquisa sobre Serviços de Saúde , Humanos , Lactente , Masculino , Nações Unidas , Organização Mundial da Saúde
7.
BMC Public Health ; 20(1): 1093, 2020 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-32652971

RESUMO

BACKGROUND: The Chinese government has been strengthening the primary care system since the launch of the New Healthcare System Reform in 2009. Among all endeavors, the most obvious and significant improvement lays in maternal and child health. This study was designed to explore the association of primary care physician supply with maternal and child health outcomes in China, and provide policy suggestions to the law makers. METHODS: Six-year panel dataset of 31 provinces in China from 2012 to 2017 was used to conduct the longitudinal ecological study. Linear fixed effects regression model was applied to explore the association of primary care physician supply with the metrics of maternal and child health outcomes while controlling for specialty care physician supply and socio-economic covariates. Stratified analysis was used to test whether this association varies across different regions in China. RESULTS: The number of primary care physicians per 10,000 population increased from 15.56 (95% CI: 13.66 to 17.47) to 16.08 (95% CI: 13.86 to 18.29) from 2012 to 2017. The increase of one primary care physician per 10,000 population was associated with 5.26 reduction in maternal mortality per 100,000 live births (95% CI: - 6.745 to - 3.774), 0.106% (95% CI: - 0.189 to - 0.023) decrease in low birth weight, and 0.419 decline (95% CI: - 0.564 to - 0.273) in perinatal mortality per 1000 live births while other variables were held constant. The association was particularly prominent in the less-developed western China compared to the developed eastern and central China. CONCLUSION: The sufficient supply of primary care physician was associated with improved maternal and child health outcomes in China, especially in the less-developed western region. Policies on effective and proportional allocation of resources should be made and conducted to strengthen primary care system and eliminate geographical disparities.


Assuntos
Saúde da Criança/estatística & dados numéricos , Serviços de Saúde Materna/organização & administração , Médicos de Atenção Primária/organização & administração , Atenção Primária à Saúde/organização & administração , Adulto , Criança , Serviços de Saúde da Criança/organização & administração , China/epidemiologia , Feminino , Reforma dos Serviços de Saúde , Humanos , Recém-Nascido , Mortalidade Materna/tendências , Gravidez
11.
BMC Public Health ; 20(1): 993, 2020 Jun 24.
Artigo em Inglês | MEDLINE | ID: mdl-32580720

RESUMO

BACKGROUND: Universal child health services (UCHS) provide an important pragmatic platform for the delivery of universal and targeted interventions to support families and optimize child health outcomes. We aimed to identify brief, evidence-based interventions for common health and developmental problems that could be potentially implemented in UCHS. METHODS: A restricted evidence assessment (REA) of electronic databases and grey literature was undertaken covering January 2006 to August 2019. Studies were eligible if (i) outcomes related to one or more of four areas: child social and emotional wellbeing (SEWB), infant sleep, home learning environment or parent mental health, (ii) a comparison group was used, (iii) universal or targeted intervention were delivered in non-tertiary settings, (iv) interventions did not last more than 4 sessions, and (v) children were aged between 2 weeks postpartum and 5 years at baseline. RESULTS: Seventeen studies met the eligibility criteria. Of these, three interventions could possibly be implemented at scale within UCHS platforms: (1) a universal child behavioural intervention which did not affect its primary outcome of infant sleep but improved parental mental health, (2) a universal screening programme which improved maternal mental health, and (3) a targeted child behavioural intervention which improved parent-reported infant sleep problems and parental mental health. Key lessons learnt include: (1) Interventions should impart the maximal amount of information within an initial session with future sessions reinforcing key messages, (2) Interventions should see the family as a holistic unit by considering the needs of parents with an emphasis on identification, triage and referral, and (3) Brief interventions may be more acceptable for stigmatized topics, but still entail considerable barriers that deter the most vulnerable. CONCLUSIONS: Delivery and evaluation of brief evidence-based interventions from a UCHS could lead to improved maternal and child health outcomes through a more responsive and equitable service. We recommend three interventions that meet our criteria of "best bet" interventions.


Assuntos
Serviços de Saúde da Criança/organização & administração , Serviços de Saúde da Criança/estatística & dados numéricos , Medicina Baseada em Evidências/organização & administração , Medicina Baseada em Evidências/estatística & dados numéricos , Cobertura Universal do Seguro de Saúde/organização & administração , Cobertura Universal do Seguro de Saúde/estatística & dados numéricos , Adolescente , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino
13.
PLoS One ; 15(5): e0231620, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32374786

RESUMO

BACKGROUND: There is little evidence on the child and family factors that affect the intensity of care use by children with complex problems. We therefore wished to identify changes in these factors associated with changes in care service use and its intensity, for care use in general and psychosocial care in particular. METHODS: Parents of 272 children with problems in several life domains completed questionnaires at baseline (response 69.1%) and after 12 months. Negative binominal Hurdle analyses enabled us to distinguish between using care services (yes/ no) and its intensity, i.e. number of contacts when using care. RESULTS: Change in care use was more likely if the burden of adverse life events (ALE) decreased (odds ratio, OR = 0.94, 95% confidence interval, CI = 0.90-0.99) and if parenting concerns increased (OR = 1.29, CI = 1.11-1.51). Psychosocial care use became more likely for school-age children (vs. pre-school) (OR = 1.99, CI = 1.09-3.63) if ALE decreased (OR = 0.93, CI = 0.89-0.97) and if parenting concerns increased (OR = 1.26, CI = 1.10-1.45). Intensity of use (>0 contacts) of any care decreased when ALE decreased (relative risk, RR = 0.95, CI = 0.92-0.98) and when psychosocial problems became less severe (RR = 0.38, CI = 0.20-0.73). Intensity of psychosocial care also decreased when severe psychosocial problems became less severe (RR = 0.39, CI = 0.18-0.84). CONCLUSIONS: Changes in care-service use (vs. no use) and its intensity (>0 contacts) are explained by background characteristics and changes in a child's problems. Care use is related to factors other than changes in its intensity, indicating that care use and its intensity have different drivers. ALE in particular contribute to intensity of any care use.


Assuntos
Transtornos do Comportamento Infantil/terapia , Cuidado da Criança , Serviços de Saúde da Criança/provisão & distribução , Serviços de Saúde da Criança/estatística & dados numéricos , Recursos em Saúde , Adolescente , Adulto , Criança , Transtornos do Comportamento Infantil/epidemiologia , Cuidado da Criança/métodos , Cuidado da Criança/estatística & dados numéricos , Serviços de Saúde da Criança/organização & administração , Bem-Estar da Criança/estatística & dados numéricos , Pré-Escolar , Estudos de Coortes , Família , Feminino , Seguimentos , Recursos em Saúde/organização & administração , Recursos em Saúde/estatística & dados numéricos , Recursos em Saúde/provisão & distribução , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Países Baixos/epidemiologia , Relações Pais-Filho , Poder Familiar , Fatores Socioeconômicos , Inquéritos e Questionários
15.
Gac. sanit. (Barc., Ed. impr.) ; 34(2): 186-188, mar.-abr. 2020. tab
Artigo em Inglês | IBECS | ID: ibc-196056

RESUMO

OBJECTIVE: To construct a territorial measure and classification of child and maternal health in the countries of the Horn of Africa based on the 2030 Agenda for Sustainable Development adopted by all United Nations Member States in 2015. METHOD: The design of our index includes the variables child and maternal health defined in the Sustainable Development Goals (SDGs) to enable territorial ranking of the countries. For this purpose, we used Pena's distance method for 2017. RESULTS: The results indicate a relatively high territorial disparity in maternal health between the countries of the Horn of Africa according to the differing values of the SDGs variables of child and maternal health. CONCLUSIONS: We propose a territorial classification in the countries of the Horn of Africa. We believe that the most striking differences between countries relate to basic variables of maternal health such as being attended by skilled health personnel


OBJETIVO: Elaborar una medida y clasificación territorial de la salud infantil y materna en los países del Cuerno de África, basada en la Agenda 2030 para el Desarrollo Sostenible, que fue adoptada por todos los Estados miembros de las Naciones Unidas en 2015. MÉTODO: El diseño del índice incluye variables de salud infantil y materna definidas en los Objetivos de Desarrollo Sostenible (ODS), para permitir la clasificación territorial de los países. Para este propósito, utilizamos el método de distancia de Pena para 2017. RESULTADOS: Los resultados revelan una disparidad territorial relativamente alta en salud materna entre los países del Cuerno de África, de acuerdo con los diferentes valores de las variables ODS. CONCLUSIONES: Proponemos una clasificación territorial en el Cuerno de África. Consideramos que las mayores diferencias entre los países se relacionan con variables básicas de salud materna, como la asistencia de personal de salud cualificado


Assuntos
Humanos , Direitos Humanos/classificação , Atenção à Saúde , Serviços de Saúde Materna/organização & administração , Serviços de Saúde da Criança/organização & administração , África/epidemiologia , Saúde da Criança/classificação , Saúde Materna/classificação , Desenvolvimento Sustentável/tendências , Disparidades nos Níveis de Saúde , Disparidades em Assistência à Saúde/estatística & dados numéricos
16.
Pediatrics ; 145(Suppl 1): S13-S19, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32238527

RESUMO

The Autism Treatment Network and Autism Intervention Research Network on Physical Health were established in 2008 with goals of improving understanding of the medical aspects of autism spectrum disorders. Over the past decade, the combined network has conducted >2 dozen clinical studies, established clinical pathways for best practice, developed tool kits for professionals and families to support better care, and disseminated these works through numerous presentations at scientific meetings and publications in medical journals. As the joint network enters its second decade continuing this work, it is undergoing a transformation to increase these activities and accelerate their incorporation into clinical care at the primary care and specialty care levels. In this article, we describe the past accomplishments and present activities. We also outline planned undertakings such as the establishment of the Autism Learning Health Network, the increasing role of family members as co-producers of the work of the network, the growth of clinical trials activities with funding from foundations and industry, and expansion of work with primary care practices and autism specialty centers. We also discuss the challenges of supporting network activities and potential solutions to sustain the network.


Assuntos
Transtorno do Espectro Autista/terapia , Criança , Serviços de Saúde da Criança/organização & administração , Humanos , Guias de Prática Clínica como Assunto
19.
Hu Li Za Zhi ; 67(2): 91-98, 2020 Apr.
Artigo em Chinês | MEDLINE | ID: mdl-32281087

RESUMO

Child life services is a professional service that supports children and adolescents seeking medical treatment. These services provide age-appropriate medical understandings and psychological preparation, coping skills, and psychosocial support for children with the goal of reducing fear, anxiety, and psychological trauma during healthcare provision. In addition to supporting young patients, child life services also support family members and caregivers, facilitating their effective response to related disease and medical situations. Child life specialists are experts in providing child life services. This article reviews the historical development of child life services, including its development and theory, related professional training and education, and the application and intervention goals of child life services in medical care. Finally, the establishment and developmental model of promoting child life services in Taiwan are reviewed with the goal of providing information for the promotion and utilization of child life services by healthcare professionals in practice settings.


Assuntos
Serviços de Saúde da Criança/organização & administração , Modelos Organizacionais , Criança , Humanos , Taiwan
20.
Rev. chil. obstet. ginecol. (En línea) ; 85(2): 147-154, abr. 2020. graf
Artigo em Espanhol | LILACS | ID: biblio-1115510

RESUMO

INTRODUCCIÓN: La entrega de turnos de los diferentes equipos clínicos de atención al paciente es un acto de suma importancia en el día a día, apunta al óptimo y continuo cuidado del paciente. En el continuo de atención por diferentes Unidades Clínicas, se debe cumplir un protocolo definido por las Unidades de Calidad de Establecimientos y Servicios Clínicos como parte del Sistema de Acreditación en Salud, apuntando a mejorar la seguridad de atención al paciente. Se planteó reemplazar antiguos informes en papel por bases de datos digitales acumulativas, de fácil llenado, con alternativa de pre-informes y análisis rápido de series, permitiendo tomar decisiones mejor fundamentadas en el futuro. Esta herramienta como se describe al inicio considera el continuo desde el ingreso de la paciente a la Unidad de Urgencia de nuestra maternidad hasta la resolución de esta madre en nuestro Servicio o el traslado de ella o su recién nacido dentro de la Red Pública como primera instancia o privada acorde a protocolos establecidos. MATERALES Y MÉTODOS: Desarrollo de aplicación a través de programas Microsoft Acces y MySQL. Parametrización de variables según Guia perinatal MINSAL y recomendaciones de expertos empleados en Unidad Ginecoobstétrica del establecimiento. RESULTADOS: Creación de aplicación propia ¨Sistema de entrega de turno¨ (SET). Implementación mediante marcha blanca a partir de Agosto de 2019. Adecuada acogida por personal de Servicio de la Mujer y Recién Nacido HCSBA. CONCLUSIÓN: La informática médica permite avanzar y agilizar procesos de gestión clinica. Es posible implementar sistemas de creación propios en la atención de salud pública chilena. La herramienta SET permitirá obtener resultados precisos y rápido análisis de series obtenidas.


INTRODUCTION: The delivery of shifts of the different clinical teams of patient care is an act of utmost importance in the day to day, it points to the optimal and continuous care of the patient. In the continuum of care by different Clinical Units, a protocol defined by the Quality Units of Establishments and Clinical Services as part of the Health Accreditation System must be complied with, aiming at improving the safety of patient care. It was proposed to replace old paper reports with cumulative digital databases, easy to fill, with alternative pre-reports and quick series analysis, allowing better informed decisions in the future. This tool as described at the beginning considers the continuum from the patient's admission to the Emergency Unit of our motherhood until the resolution of this mother in our Service or the transfer of this or her newborn within the Public Network as the first instance or private according to established protocols. MATERIALS AND METHODS: Application development through Microsoft access and MySQL programs. Parameterization of variables according to the MINSAL perinatal guide and recommendations of experts employed in the Obstetric Gynecology Unit of the establishment. RESULTS: Creation of own application "Shift Delivery System" (SET). Implementation through white march as of August 2019. Adequate reception by women service personnel and newborn HCSBA. CONCLUSION: Medical informatics allows progress and speed up clinical management processes. It is possible to implement own creation systems in Chilean public health care. The SET tool will allow obtaining accurate results and rapid analysis of series obtained.


Assuntos
Aplicações da Informática Médica , Serviços de Saúde da Mulher/organização & administração , Serviços de Saúde da Criança/organização & administração , Jornada de Trabalho em Turnos , Saúde Pública , Continuidade da Assistência ao Paciente/organização & administração , Gestão em Saúde , Assistência à Saúde/métodos , Serviço Hospitalar de Emergência , Avaliação de Custo-Efetividade , Ginecologia , Administração Hospitalar , Hospitalização , Acreditação , Obstetrícia
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