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1.
Enferm. foco (Brasília) ; 12(2): 209-215, set. 2021. tab
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1291188

RESUMO

Objetivo: Investigar os conhecimentos e cuidados desenvolvidos por enfermeiros de uma instituição hospitalar em relação às lesões por pressão relacionadas a dispositivos médicos. Métodos: Estudo de abordagem qualitativa exploratório-descritivo realizado em novembro de 2018, mediante aplicação de questionário semiestruturado com enfermeiros de unidades assistenciais de um hospital privado do Sul do Brasil. Os dados foram processados mediante análise temática de conteúdo. Resultados: Participaram 18 enfermeiros que desenvolvem assistência em unidades de atendimento à idosos. Dentre estes, 61,2% compreende a terminologia lesão por pressão relacionada a dispositivo médico, mas metade dos entrevistados apresentam fragilidades em conhecimentos relacionados a prevenção deste tipo de lesão. Dentre os cuidados empregados destacam-se, inspeção diária da pele durante o exame físico uma vez ao dia com 12 respondentes, ou inspeção da pele durante quadros de intercorrências relacionados a dor/desconforto com dez respondentes. A maioria deles (13) sinalizou a implementação de cuidados de enfermagem indicados na prescrição de enfermagem, 11 enfermeiros destacaram a notificação ao Núcleo de Segurança do Paciente e dez profissionais discutem ações de prevenção com a equipe multidisciplinar. Conclusão: Observou-se fragilidades apresentadas pelos enfermeiros quanto a identificação e avaliação clínica desse tipo de lesão de pele, caracterizando a necessidade de instrumentalização dos profissionais. (AU)


Objective: To investigate the knowledge and care developed by nurses at a hospital in relation to pressure injuries related to medical devices. Methods: A qualitative exploratory descriptive study carried out in November 2018, using a semi-structured questionnaire with nurses from care units in a private hospital in southern Brazil. The data analysis was processed through thematic content analysis. Results: Participated 18 nurses who develop assistance in elderly care units. Among these, 61.2% understand the terminology pressure injury related to medical device, but half of the interviewees have weaknesses in knowledge related to the prevention of this type of injury. The care employed stands out, daily inspection of the skin during the physical examination once a day with 12 respondents, or inspection of the skin during conditions of complications related to pain / discomfort with ten respondents. Most of them (13) signaled the implementation of nursing care indicated in the nursing prescription, 11 nurses highlighted the notification to the Patient Safety Center and ten professionals discuss prevention actions with the multidisciplinary team. Conclusion: It was observed weaknesses presented by nurses regarding the identification and clinical evaluation of this type of skin lesion, characterizing the need for instrumentalization of professionals. (AU)


Objetivo: Investigar el conocimiento y la atención desarrollada por las enfermeras en un hospital en relación con las lesiones por presión relacionadas con dispositivos médicos. Métodos: Estudio cualitativo exploratorio descriptivo realizado en noviembre de 2018, utilizando un cuestionario semiestructurado con enfermeras de unidades de atención en un hospital privado en el sur de Brasil. El análisis de datos se procesó mediante análisis de contenido temático. Resultados: Participaron 18 enfermeras que desarrollan asistencia en unidades de atención a personas mayores. Entre estos, el 61.2% entiende la terminología lesiones por presíon relacionada con el dispositivo médico, pero la mitad de los entrevistados tienen debilidades en el conocimiento relacionado con la prevención de este tipo de lesiones. Se destaca la atención empleada, la inspección diaria de la piel durante el examen físico una vez al día con 12 encuestados, o la inspección de la piel durante las condiciones de complicaciones relacionadas con el dolor / incomodidad con diez encuestados. La mayoría de ellos (13) señalaron la implementación de la atención de enfermería indicada en la receta de enfermería, 11 enfermeras destacaron la notificación al Centro de Seguridad del Paciente y diez profesionales discutieron las acciones de prevención con el equipo multidisciplinario. Conclusión: Se observaron debilidades presentadas por enfermeras con respecto a la identificación y evaluación clínica de este tipo de lesión cutánea, caracterizando la necesidad de instrumentalización de los profesionales (AU)


Assuntos
Enfermagem , Idoso , Lesão por Pressão , Empatia , Equipamentos e Provisões
2.
Br J Nurs ; 30(15): S24-S30, 2021 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-34379465

RESUMO

This article provides an introduction to the aetiology of medical device-related pressure ulcers (MDRPUs), describes the vicious cycle that leads to these injuries and highlights bioengineering methodologies and findings that connect the aetiology to the clinical practice of preventing MDRPUs. Specifically, the vicious cycle of MDRPUs is triggered by the sustained tissue deformations induced by a skin-contacting device. The primary, deformation-inflicted cell damage leads to a secondary inflammatory-oedema-related damage and then to tertiary ischaemic damage. Each of these three factors contributes to cumulative cell death and tissue damage under and near the applied device. The damage therefore develops in an escalated manner, as a result of the added contributions of the above three factors. This phenomenon is exemplified through two common clinical scenarios. First, through the use of continuous positive airway pressure (CPAP) masks, which are being applied extensively in the current COVID-19 pandemic, and, second, through the use of doughnut-shaped head positioners, which are applied to surgical patients and sometimes to bedridden individuals who receive intensive care in a supine position. These two medical devices cause intense, localised mechanical loads in the facial skin and underlying tissues (CPAP mask) and at the occipital scalp (doughnut-shaped positioner), where the soft tissues cannot swell in response to the inflammatory oedema as, in both cases, the tissues are sandwiched between the device and the skull. Accordingly, the two device types result in characteristic MDRPUs that are avoidable through appropriate prophylactic interventions, that is, preventive dressings under the CPAP mask and replacement of the doughnut device by a soft, shape-conforming support aid to alleviate and disperse the localised soft tissue deformations. Hence, understanding the aetiology of MDRPUs targets and focuses effective clinical interventions.


Assuntos
Equipamentos e Provisões , Lesão por Pressão , COVID-19/epidemiologia , Equipamentos e Provisões/efeitos adversos , Humanos , Pandemias , Lesão por Pressão/etiologia , Lesão por Pressão/enfermagem
3.
Br J Nurs ; 30(15): S12-S23, 2021 Aug 12.
Artigo em Inglês | MEDLINE | ID: mdl-34379466

RESUMO

Several studies have demonstrated improved clinical outcomes in pressure ulcer prevention using the SEM scanner, but none have compared it with other methods. In one of Scotland's health boards, 'hot spot' wards had been unable to reduce the number of hospital-acquired pressure ulcers (HAPUs) after several years of focused improvement work. In addition, other wards showed high use of dynamic therapy systems with associated costs. This review compares the use of a first generation SEM scanner versus a mattress and equipment selection pathway over a 6-week period. The findings show that the SEM scanner wards had zero HAPU while the equipment pathway wards developed a total of 4 HAPU. The two SEM scanner wards showed a 11% and 33% reduction in dynamic therapy use, while the pathway wards showed an average 40% increase. Consideration should be given to using SEM scanners to support staff decision-making to reduce HAPU development and dynamic therapy usage.


Assuntos
Microscopia Eletrônica de Varredura , Lesão por Pressão , Leitos , Equipamentos e Provisões , Hospitais , Humanos , Lesão por Pressão/diagnóstico , Lesão por Pressão/prevenção & controle
4.
Biomolecules ; 11(8)2021 08 04.
Artigo em Inglês | MEDLINE | ID: mdl-34439823

RESUMO

Alveolar osteitis (AO) is a common complication following the extraction of the teeth, particularly the lower third molars. It starts within a few days after the extraction and manifests mainly as pain in the extraction site. Several strategies of treatment are available in order to relieve pain and heal the extraction wound. Recently, a novel medical device combining hyaluronic acid (HA) and octenidine (OCT) was introduced for the treatment of AO. This series of case reports aims to summarize the initial clinical experiences with this new device and to highlight factors possibly interfering with this treatment. The medical documentation of five patients with similar initial situations treated for AO with HA + OCT device was analyzed in detail. Smoking and previous treatment with Alveogyl (Septodont, Saint-Maur-des-Fossés, France) were identified as factors interfering with the AO treatment with the HA + OCT device. In three patients without these risk factors, the treatment led to recovery within two or three days. The patient pretreated with Alveogyl and the smoker required six and seven applications of the HA + OCT device, respectively. According to these initial observations, it seems smoking and previous treatment with Alveogyl prolong the treatment of AO using the HA + OCT device that, in turn, shows a rapid effect if these risk factors are not present.


Assuntos
Alvéolo Seco/tratamento farmacológico , Ácido Hialurônico/uso terapêutico , Iminas/uso terapêutico , Dor/tratamento farmacológico , Piridinas/uso terapêutico , Cicatrização/efeitos dos fármacos , Adolescente , Adulto , Creosoto/efeitos adversos , Combinação de Medicamentos , Alvéolo Seco/etiologia , Alvéolo Seco/fisiopatologia , Alvéolo Seco/cirurgia , Equipamentos e Provisões , Feminino , Humanos , Hidrocarbonetos Iodados/efeitos adversos , Pessoa de Meia-Idade , Dente Molar/cirurgia , Dor/etiologia , Dor/fisiopatologia , Dor/cirurgia , Fatores de Risco , Fumar/efeitos adversos , Timol/efeitos adversos , Extração Dentária/efeitos adversos , Resultado do Tratamento , Cicatrização/fisiologia
5.
Am J Public Health ; 111(9): 1595-1599, 2021 09.
Artigo em Inglês | MEDLINE | ID: mdl-34436929

RESUMO

During the COVID-19 pandemic, a shortage of personal protective equipment compromised efficient patient care and provider safety. Volunteers from many different backgrounds worked to meet these demands. Additive manufacturing, laser cutting, and alternative supply chains were used to produce, test, and deliver essential equipment for health care workers and first responders. Distributed equipment included ear guards, face shields, and masks. Contingent designs were created for powered air-purifying respirator hoods, filtered air pumps, intubation shields, and N95 masks.


Assuntos
COVID-19/epidemiologia , Equipamentos e Provisões/provisão & distribuição , Colorado/epidemiologia , Desenho de Equipamento , Humanos , Máscaras/provisão & distribuição , Pandemias , Equipamento de Proteção Individual/provisão & distribuição , SARS-CoV-2 , Voluntários
6.
Lima; Perú. Ministerio de Salud; 20210800. 25 p. ilus.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1283147

RESUMO

El documento contiene los criterios de selección y los procedimientos para el suministros de oxígeno medicinal mediante cánula nasal de alto flujo a los pacientes con insuficiencia respiratoria aguda secundaria en la COVID-19.


Assuntos
Oxigênio , Pacientes , Insuficiência Respiratória , Impactos na Saúde , Populações Vulneráveis , Equipamentos e Provisões , Cânula , COVID-19
7.
San Salvador; MINSAL; jul. 22, 2021. 49 p. ilus.
Não convencional em Espanhol | LILACS, BISSAL | ID: biblio-1292033

RESUMO

El suministro de combustible es uno de los principales insumos adquiridos con fondos del Estado, necesarios para garantizar la operatividad en el transporte y funcionamiento de equipo hospitalario en la red nacional de establecimientos de salud, así como también en el Nivel Superior del Ministerio de Salud. En el marco de lo anterior, el combustible debe ser administrado con mecanismos eficientes, que garanticen seguridad y transparencia en su consumo. Los presentes lineamientos incorporan las actividades y responsabilidades de los encargados de control, autoridades y usuarios de combustible en el Nivel Superior, regiones de salud y hospitales nacionales del MINSAL; así como también, los diferentes procedimientos enfocados al uso controlado de ese suministro


The supply of fuel is one of the main inputs acquired with State funds, necessary to guarantee the operability in the transport and operation of hospital equipment in the national network of health establishments, as well as in the Higher Level of the Ministry of Health. Within the framework of the foregoing, fuel must be managed with efficient mechanisms that guarantee safety and transparency in its consumption. These guidelines incorporate the activities and responsibilities of those in charge of control, authorities and fuel users in the Higher Level, health regions and national hospitals of the MINSAL; as well as the different procedures focused on the controlled use of this supply


Assuntos
Organização e Administração , Equipamentos e Provisões , Instalações de Saúde , Hospitais , Controle
8.
Healthc Q ; 24(2): 15-26, 2021 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-34297659

RESUMO

During the COVID-19 pandemic, the rapid surge in demand for critical supplies and public health efforts needed to guard against virus transmission have placed enormous pressure on health systems worldwide. These pressures and the uncertainty they have created have impacted the health workforce in a substantial way. This paper examines the relationship between health supply chain capacity and the impact of the COVID-19 pandemic on Canada's health workforce. The findings of this research also highlight the impact of the pandemic on health workers, specifically the relationship between the health supply chain and the autonomy of the health workforce.


Assuntos
COVID-19/epidemiologia , Equipamentos e Provisões/provisão & distribuição , Mão de Obra em Saúde/organização & administração , Autonomia Profissional , Canadá/epidemiologia , Tomada de Decisões Gerenciais , Medo/psicologia , Mão de Obra em Saúde/estatística & dados numéricos , Humanos , Equipamento de Proteção Individual/provisão & distribuição , Alocação de Recursos/organização & administração , Incerteza
9.
Washington, D.C.; OPS; 2021-07-01. (OPS/HSS/SF/21-0007).
Não convencional em Espanhol | PAHO-IRIS | ID: phr-54473

RESUMO

El informe anual del Fondo Estratégico de la OPS correspondiente al 2020 describe los progresos realizados durante el período para ayudar a garantizar el acceso a medicamentos e insumos de salud pública esenciales, al tiempo que se respondía a la pandemia de COVID‑19. En el informe se abarcan diversos aspectos del Fondo Estratégico, como los beneficios ofrecidos, los interesados directos que participan, las ofertas de productos y algunas iniciativas clave. Asimismo, se presentan datos útiles, información, estadísticas y ejemplos de formas en que el Fondo Estratégico ha facilitado la cooperación técnica en toda la Región de las Américas. Este informe tiene por objeto resumir la labor crítica realizada por el Fondo Estratégico en el 2020 y ofrecer información sobre sus principios y objetivos operativos para el fortalecimiento y apoyo a largo plazo de los sistemas de salud de la Región.


Assuntos
COVID-19 , Coronavirus , Betacoronavirus , Pandemias , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Equipamentos e Provisões , América
10.
Lima; Perú. Ministerio de Salud; 20210700. 30 p. ilus.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1282364

RESUMO

El documento contiene las disposiciones técnicas para la coordinación del cuidado integral de salud del paciente con enfermedad no transmisible, entre el Equipo Multidisciplinario de Salud del establecimiento de salud del Primer Nivel de Atención de Salud y los profesionales de la salud del Hospital o Instituto de Salud Especializado, con un enfoque de Red Integrada de Salud.


Assuntos
Atenção Primária à Saúde , Pessoal de Saúde , Empatia , Equipamentos e Provisões , Doenças não Transmissíveis , Assistência ao Paciente
12.
Food Microbiol ; 99: 103779, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34119091

RESUMO

Genomic diversity of Listeria monocytogenes isolates from the deboning and slicing areas of three dry-cured ham processing plants was analysed. L. monocytogenes was detected in 58 out of 491 samples from the environment and equipment surfaces, all from the deboning area, with differences in prevalence among facilities. The most frequent PCR-serogroup was IIa (74.1%) followed by IIb and IIc, and only one isolate was serogroup IVb. Twenty different pulsotypes and 11 sequence types (STs) grouped into 10 clonal complexes (CCs) were determined. ST121 (CC121) and ST9 (CC9) were the most abundant. Premature stop codons (PMSC6 and PMSC19) associated with attenuated virulence were found in the inlA sequence in 7 out of 12 selected strains. CC121 strains were strong biofilm formers and some harboured the transposon Tn6188, related with increased tolerance to quaternary ammonium compounds. L. monocytogenes clones considered hypovirulent resulted predominant in the deboning areas. The clonal structure and potential virulence of the isolates could help to establish adequate control measures and cleaning protocols for the comprehensive elimination of the pathogen in dry-cured ham processing environment.


Assuntos
Equipamentos e Provisões/microbiologia , Variação Genética , Listeria monocytogenes/genética , Listeria monocytogenes/isolamento & purificação , Produtos da Carne/microbiologia , Animais , Proteínas de Bactérias/genética , Proteínas de Bactérias/metabolismo , Técnicas de Tipagem Bacteriana , Biofilmes , Contaminação de Equipamentos/estatística & dados numéricos , Manipulação de Alimentos/instrumentação , Microbiologia de Alimentos/instrumentação , Genômica , Listeria monocytogenes/classificação , Listeria monocytogenes/fisiologia , Carne de Porco/microbiologia , Suínos
13.
Washington, D.C.; OPS; 2021-06-17. (OPS/IMS/PHE/CPI/COVID-19-20-0017).
Não convencional em Espanhol | PAHO-IRIS | ID: phr-54327

RESUMO

Este documento tiene por objetivo ofrecer recomendaciones para facilitar la ampliación de capacidades de atención clínica, así como el despliegue de equipos médicos de emergencia, para asegurar la respuesta a un elevado número de pacientes que pudiera exceder los límites de la red integrada de servicios de salud de una comunidad o una zona afectada por la COVID-19. Con base en la mayor cohorte de pacientes con COVID-19, el 40% de los pacientes puede presentar una enfermedad leve cuyo tratamiento será principalmente sintomático y no necesitará atención hospitalaria, alrededor de un 40% presentará una enfermedad moderada que podría requerir atención hospitalaria, un 15% presentará una enfermedad grave que necesitará oxigenoterapia (entre otras intervenciones hospitalarias) y alrededor de un 5% presentará una enfermedad crítica que requerirá ventilación mecánica.


Assuntos
COVID-19 , Coronavirus , Infecções por Coronavirus , Betacoronavirus , Equipamentos e Provisões , Emergências , Serviços de Saúde , Assistência Hospitalar
14.
Washington, D.C.; PAHO; 2021-06-15. (PAHO/HSS/SF/21-0007).
em Inglês | PAHO-IRIS | ID: phr-54292

RESUMO

The PAHO Strategic Fund Annual Report 2020 outlines progress made over the past year in helping ensure access to essential medicines and public health supplies while responding to the COVID-19 pandemic. The report covers various aspects of the Strategic Fund, including benefits offered, participating stakeholders, product offerings, and key initiatives. It also provides useful data, information, statistics, and examples of ways in which the Strategic Fund has facilitated technical cooperation across the Region of the Americas. This report aims to summarize the critical work undertaken by the Strategic Fund during 2020 and offer insight into its operating principles and goals for long-term strengthening and support of health systems in the Region.


Assuntos
COVID-19 , Betacoronavirus , Coronavirus , Pandemias , Acesso a Medicamentos Essenciais e Tecnologias em Saúde , Equipamentos e Provisões
15.
Lima; Perú. Ministerio de Salud; 20210600. 17 p. tab.
Monografia em Espanhol | MINSAPERÚ | ID: biblio-1253327

RESUMO

El documento establece los criterios organizativos para la entrega económica por prestaciones adicionales para la vacunación contra la COVID-19, en el marco de los artículos 2 y 3 del Decreto de Urgencia N° 051-2021, Decreto de Urgencia que autoriza medidas extraordinarias para fortalecer los equipos de coordinación y las brigadas de vacunación, para incrementar la capacidad de respuesta de los centros de vacunación. Incluye R.M. N° 842-2021-Minsa, que modifica la Directiva Administrativa Nº 317-MINSA/2021/DGIESP.


Assuntos
Registros , Vacinação , Equipamentos e Provisões , Política de Inovação e Desenvolvimento , Capacidade de Resposta ante Emergências , COVID-19
16.
BMC Infect Dis ; 21(1): 620, 2021 Jun 29.
Artigo em Inglês | MEDLINE | ID: mdl-34187390

RESUMO

BACKGROUND: Candida pelliculosa is an ecological fungal species that can cause infections in immunocompromised individuals. Numerous studies globally have shown that C. pelliculosa infects neonates. An outbreak recently occurred in our neonatal intensive care unit; therefore, we aimed to evaluate the risk factors in this hospital-acquired fungal infection. METHODS: We performed a case-control study, analysing the potential risk factors for neonatal infections of C. pelliculosa so that infection prevention and control could be implemented in our units. Isolated strains were tested for drug resistance and biofilm formation, important factors for fungal transmission that give rise to hospital-acquired infections. RESULTS: The use of three or more broad-spectrum antimicrobials or long hospital stays were associated with higher likelihoods of infection with C. pelliculosa. The fungus was not identified on the hands of healthcare workers or in the environment. All fungal isolates were susceptible to anti-fungal medications, and after anti-fungal treatment, all infected patients recovered. Strict infection prevention and control procedures efficiently suppressed infection transmission. Intact adhesin-encoding genes, shown by genome analysis, indicated possible routes for fungal transmission. CONCLUSIONS: The use of three or more broad-spectrum antimicrobials or a lengthy hospital stay is theoretically associated with the risk of infection with C. pelliculosa. Strains that we isolated are susceptible to anti-fungal medications, and these were eliminated by treating all patients with an antifungal. Transmission is likely via adhesion to the cell surface and biofilm formation.


Assuntos
Biofilmes , Candidíase/epidemiologia , Candidíase/prevenção & controle , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Surtos de Doenças/prevenção & controle , Equipamentos e Provisões/microbiologia , Unidades de Terapia Intensiva Neonatal , Saccharomycetales/genética , Antifúngicos/uso terapêutico , Candidíase/tratamento farmacológico , Candidíase/microbiologia , Estudos de Casos e Controles , China/epidemiologia , Infecção Hospitalar/tratamento farmacológico , Infecção Hospitalar/microbiologia , Feminino , Pessoal de Saúde , Humanos , Recém-Nascido , Controle de Infecções/métodos , Tempo de Internação , Masculino , Testes de Sensibilidade Microbiana , RNA Fúngico/genética , Fatores de Risco , Saccharomycetales/isolamento & purificação
18.
ACS Appl Mater Interfaces ; 13(20): 23339-23351, 2021 May 26.
Artigo em Inglês | MEDLINE | ID: mdl-33974396

RESUMO

Developing strategies to prevent bacterial infections that do not rely on the use of drugs is regarded globally as an important means to stem the tide of antimicrobial resistance, as argued by the World Health Organization (WHO) (Mendelson, M.; Matsoso, M. P. The World Health Organization Global Action Plan for Antimicrobial Resistance. S. Afr. Med. J. 2015, 105 (5), 325-325. DOI: 10.7196/SAMJ.9644). Given that many antimicrobial-resistant infections are caused by the bacterial colonization of indwelling medical devices such as catheters and ventilators, the use of microengineered surfaces to prevent the initial attachment of microbes to these devices is a promising solution. In this work, it is demonstrated that 3D engineered surfaces can inhibit the initial phases of surface colonization for Escherichia coli, Klebsiella pneumoniae, and Pseudomonas aeruginosa, representing the three most common catheter-associated urinary tract bacterial infections, identified by the WHO as urgent threats. A variety of designs including 11 different topographies and configurations that exhibited random distributions, sharp protrusions, and/or curvilinear shapes with dimensions ranging between 500 nm and 2 µm were tested to better understand the initial stages of surface colonization and how to optimize the design of fabricated surfaces for improved inhibition. These topographies were fabricated in two configurations to obtain either a standard 2D cross section or a 3D engineered topography using a novel UV lithography process enabling cost-efficient high-throughput manufacturing. Evaluating both the number of adhered bacteria and microcolonies formed by all three bacterial pathogens on the different surfaces provides insight into the initial colonization phase of bacterial growth on the various surfaces. The results demonstrate that both initial attachment and subsequent colonization can be significantly reduced on concrete 3D engineered patterns when compared to flat substrates and standard 2D micropatterns. Thus, this technology has great potential to reduce the colonization of bacteria on surfaces in clinical settings without the need for chemical treatments that might enhance antimicrobial resistance.


Assuntos
Bactérias , Aderência Bacteriana/fisiologia , Desenho de Equipamento/métodos , Impressão Tridimensional , Propriedades de Superfície , Antibacterianos/farmacologia , Bactérias/citologia , Bactérias/efeitos dos fármacos , Bactérias/metabolismo , Biofilmes , Incrustação Biológica , Farmacorresistência Bacteriana , Equipamentos e Provisões
19.
Ann Glob Health ; 87(1): 42, 2021 04 23.
Artigo em Inglês | MEDLINE | ID: mdl-33977085

RESUMO

The Covid-19 pandemic has exposed critical inequities in global healthcare supply chains and the need for these systems to be analyzed and reoriented with an equity lens. Implementation research methodology can guide the use of evidence-based interventions to re-orient health supply chains towards equity and optimize health outcomes. Using this approach, private and public sector entities can adapt their strategies to focus not just on efficiency and cost savings but ensuring that vulnerable populations have access to essential medications, vaccines, and supplies. Findings can inform regulations that address supply chain inequities at the global level, strengthen existing systems to fill structural gaps at the national level, and address contextual challenges at the subnational level. This methodology can help account for historical practices from prior health initiatives, identify contemporary barriers and facilitators for positive change, and have applicability to the Covid-19 pandemic and ongoing vaccine distribution efforts. An implementation research approach is critical in equipping health supply chains with a path for more resilient and equitable distribution of necessary supplies, vaccines, and delivery of care.


Assuntos
COVID-19/epidemiologia , Equipamentos e Provisões/provisão & distribuição , Equidade em Saúde , Ciência da Implementação , Instalações Industriais e de Manufatura/provisão & distribuição , COVID-19/economia , Comércio/economia , Equipamentos e Provisões/economia , Humanos , Instalações Industriais e de Manufatura/economia , Pandemias , SARS-CoV-2 , Populações Vulneráveis
20.
J Korean Med Sci ; 36(17): e103, 2021 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-33942575

RESUMO

Due to the coronavirus disease 2019 (COVID-19) outbreak, consultation and prescription via telemedicine were temporarily allowed in the Korean population. However, at this point, it is difficult to determine whether telemedicine fulfills its role as a health care strategy. Arguably, if we had enough previous experience with telemedicine or sufficient preparation for its application, telemedicine could be more smoothly and flexibly adopted in the medical field. As it is still not possible to predict when the COVID-19 pandemic will end, phone consultation and prescription are likely to continue for some time. Hence, it is expected that telemedicine will naturally settle in the medical field in the near future. However, as we have noticed during this outbreak, improvised telemedicine without adequate guidance can be confusing to both patients and health professionals, thus reducing the benefit to patients. Medical staff requires preparation on how to appropriately use telemedicine. Thus, here we present some suggestions on implementing and preparing for telemedicine in the medical community.


Assuntos
COVID-19/epidemiologia , Guias de Prática Clínica como Assunto , SARS-CoV-2 , Telemedicina , Continuidade da Assistência ao Paciente , Procedimentos Clínicos , Equipamentos e Provisões , Humanos , Colaboração Intersetorial , Equipe de Assistência ao Paciente , Médicos , República da Coreia/epidemiologia
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