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1.
Washington, D.C.; PAHO; 2021-10-28.
Não convencional em Inglês | PAHO-IRIS | ID: phr-55081

RESUMO

In 2007, PAHO launched the Integrated Health Service Delivery Network (IHSDN) initiative to address the problems derived from the fragmentation of health services and to overcome the structural problems stemming from the widespread segmentation of health systems in the countries of the Region. In the IHSDN initiative, hospitals are an aggregate of specialized institutions that support a highly effective first level of care. Hospitals themselves are defragmented, which is theoretically correct, innovative, and even visionary. However, the IHSDN initiative does not seek to diminish the influence of hospitals in the health system or the importance of their role, but to integrate these institutions so that all their efforts are aligned with the needs of the people and communities they serve through the development of IHSDNs. It is obvious that without hospitals there can be no IHSDNs; however, it should also be recognized that without effective networks, hospitals cannot do their job. The IHSDN initiative presents a change in the role assigned to hospitals, in which they are no longer considered the apex of a pyramid in which the hierarchy is based on specialization to successfully treat disease. Instead, the hospital becomes a very important participant in a service organized as a network, performing specific tasks in a series of processes that cut repeatedly across the health service delivery network and include the participation of individuals and communities. The product of an intense debate and joint effort, this work contains a series of proposals in the six areas considered a priority for developing the new role of hospitals in IHSDNs: governance, resource allocation and incentives, the model of care, technology and infrastructure, human resources, and organization and management.


Assuntos
Hospitais , Serviços de Saúde , Governança , Instituições de Saúde, Recursos Humanos e Serviços , Assistência Hospitalar , Colaboração Intersetorial
2.
Rev. argent. salud publica ; 13: 1-11, 5/02/2021.
Artigo em Espanhol | LILACS, BINACIS, ARGMSAL | ID: biblio-1147224

RESUMO

INTRODUCCIÓN: El estudio de la atención integral pluridisciplinar de la salud es relevante para tratamientos como el de cáncer de cuello de útero (CCU) avanzado, debido a la complejidad de su abordaje. El objetivo de este trabajo fue evaluar el funcionamiento del conjunto de servicios médicos para el tratamiento del CCU según pautas del modelo de redes integradas de la Organización Panamericana de la Salud. MÉTODOS: Sobre una muestra de tres redes de servicios en Posadas, Avellaneda y Ciudad de Buenos Aires, se entrevistó a profesionales y pacientes, y se revisaron sus historias clínicas. Se efectuó un análisis del contenido y del discurso para interpretar el funcionamiento de las redes y sus determinaciones. RESULTADOS: Se verificó una escasa correspondencia con el modelo de referencia. Se destacan los problemas de comunicación entre los servicios y con las pacientes, que distorsionan el curso del tratamiento, así como una pobre intervención de las direcciones de hospitales y ministerios de salud sobre el desempeño de las redes. DISCUSIÓN: Los déficits del trabajo cooperativo entre servicios afectan la integración de las acciones de cuidado. La insuficiente comunicación con las pacientes dificulta la comprensión y su autonomía decisional. La baja intervención de la autoridad institucional y sanitaria complica el desarrollo del trabajo en red de los servicios


Assuntos
Neoplasias do Colo do Útero , Assistência Integral à Saúde , Instituições de Saúde, Recursos Humanos e Serviços , Pesquisa sobre Serviços de Saúde
10.
Rev Panam Salud Publica ; 44, sept. 2020
Artigo em Espanhol | PAHO-IRIS | ID: phr-52708

RESUMO

Se propone un modelo conceptual sobre condiciones y medio ambiente de trabajo en salud que integra la evidencia disponible para facilitar el diseño y la evaluación de intervenciones orientadas a mejorar la atracción, captación y retención del personal de salud en el primer nivel de atención de áreas rurales y remotas. Se consultó la evidencia teórica, empírica y testimonial para fundamentar la propuesta y se sintetizaron 15 modelos difundidos en los últimos 20 años. El artículo da cuenta de la diversidad de perspectivas y la complejidad que conlleva establecer las dimensiones que deben considerarse en una propuesta que sea útil para aplicar a las políticas de recursos humanos en salud. El modelo propuesto incluye cuatro categorías de componentes: factores del contexto externo, factores organizacionales, condiciones del empleo y del trabajo, y factores individuales. Los límites entre los componentes –así como el peso y la influencia de cada uno– varían en función de la relación entre ellos y de la interacción con el medio, por lo que su interpretación debe adecuarse al ámbito en que se pretenda aplicar. A partir de este modelo conceptual, el diseño y la evaluación de las intervenciones dirigidas a incrementar la disponibilidad de personal de salud –en particular en el primer nivel de atención de áreas rurales y remotas de la Región de las Américas– deberían surgir de una interacción entre las políticas de salud y empleo, y las realidades y expectativas de los trabajadores y las comunidades.


This report proposes a conceptual model on workplace environment and working conditions that integrates the available evidence to facilitate the design and evaluation of interventions aimed at improving the attraction, recruitment and retention of health personnel at the first level of care in rural and remote areas. Theoretical, empirical and testimonial evidence was consulted to support the model, and 15 frameworks disseminated in the last 20 years were synthesized. The article shows the diversity of perspectives and the complexity involved in establishing the dimensions to be considered in a proposal that is useful to apply to human resources for health policies. The proposed model includes four categories of components: factors of the external context, organizational factors, employment and work conditions, and individual factors. The boundaries between the components – as well as the weight and influence of each one– vary according to the interrelationship among them and the interaction with the environment, and thus its interpretation must be adapted to the context in which it is intended to be applied. Based on this conceptual model, the design and evaluation of interventions aimed at increasing the availability of health personnel –particularly at the primary care level in rural and remote areas of the Region of the Americas– should emerge from an interaction between health and employment policies, and the realities and expectations of workers and the communities.


Assuntos
Condições de Trabalho , Modelos Teóricos , Saúde da População Rural , Zonas Remotas , Mão de Obra em Saúde , Meio Ambiente e Saúde Pública , Condições de Trabalho , Modelos Teóricos , Saúde da População Rural , Instituições de Saúde, Recursos Humanos e Serviços , Zonas Remotas , América
11.
Washington, D.C.; PAHO; 2020-05-11. (PAHO/CDE/CE/COVID-19/20-0018).
em Inglês | PAHO-IRIS | ID: phr-52182

RESUMO

This technical note presents recommendations for handling solid waste correctly to minimize possible secondary impacts on health and the environment. The note covers safe management measures for personnel, transportation of common waste, final disposal services of waste, special considerations for the handling of waste from health facilities to be treated outside the facility, and waste management in homes.


Assuntos
COVID-19 , Coronavirus , Gerenciamento de Resíduos , Instalações de Eliminação de Resíduos , Eliminação de Resíduos de Serviços de Saúde , Instituições de Saúde, Recursos Humanos e Serviços
12.
Washington, D.C.; PAHO; 2020-05-07. (PAHO/HSS/HR/COVID-19/20-0010).
em Inglês | PAHO-IRIS | ID: phr-52095

RESUMO

In order to address the COVID-19 pandemic, countries and health institutions must have the capacity to respond with human resources that are sufficient in quantity and who possess the skills and capacities necessary to meet the needs of the population in a timely, relevant, efficient, and effective manner. Effective management of human resources will allow health systems to respond in a timely manner, improve health care outcomes, rationalize the use of resources, and reduce the stress on staff. The COVID-19 pandemic presents challenges to ensure the availability of health personnel in areas of high demand with the necessary capacities to respond adequately to the increased demand and expansion of services as well as the possible reduction in available personnel due to, among other things, illness, risk situations, and personal or family issues. Planning of human resources is essential to ensure preparedness for response, enhance surge capacity, and ensure a sufficient supply of health workers that are more efficient and productive, providing them with the training, protections, rights, recognition, and tools necessary to undertake their roles...


Assuntos
COVID-19 , Coronavirus , Instituições de Saúde, Recursos Humanos e Serviços , Pessoal de Saúde
13.
Washington, D.C.; PAHO; 2020-04-03. (PAHO/CDE/COVID-19/20-0008).
em Inglês | PAHO-IRIS | ID: phr-52119

RESUMO

Existing recommendation on water, sanitation and hygiene measures in healthcare facilities are important to provide adequate patient care and protect both patients and staff. These include: sufficient provision of safe drinking water for staff, caregivers and patients, personal hygiene, laundry and cleaning; adequate and accessible toilets; safe excreta management, including keeping excreta (faeces and urine) separate from human contact and safe treatment and disposal in the environment; frequent hand hygiene using the proper technique; periodic cleaning and disinfection; and safe management of healthcare waste.


Assuntos
COVID-19 , Coronavirus , Água , Saneamento , Instituições de Saúde, Recursos Humanos e Serviços
14.
Washington, D.C.; PAHO; 2020-03-20. (PAHO/CMU/PA/COVID-19/20-001).
em Inglês | PAHO-IRIS | ID: phr-52401

RESUMO

This package provides healthcare facility management and healthcare workers with an overview of the key actions required to keep safe and healthy in the workplace. This toolkit was originally developed by the World Health Organization’s Western Pacific Regional Office (WPRO).


Assuntos
COVID-19 , Coronavirus , Instituições de Saúde, Recursos Humanos e Serviços , Gestão de Riscos , Comunicação
15.
Brasília, D.F.; OPAS; 2020-03-19. (OPAS/BRA/Covid-19/20-033).
em Português | PAHO-IRIS | ID: phr2-51988

RESUMO

[Introdução]: Os trabalhadores da saúde estão na linha de frente para resposta ao surto de COVID-19, portanto, estão expostos a perigos que os colocam em risco de infecção. Os perigos incluem exposição ao patógeno, longas jornadas de trabalho, estresse emocional, fatiga, síndrome do esgotamento físico e mental ligado ao trabalho (síndrome de burnout), estigma, e violência física e psicológica. Este documento destaca os direitos e responsabilidades dos trabalhadores da saúde, inclusive as medidas específicas necessárias para proteger a segurança e a saúde ocupacional.


Assuntos
COVID-19 , Saúde do Trabalhador , Segurança , Riscos Ocupacionais , Infecções por Coronavirus , Coronavirus , Instituições de Saúde, Recursos Humanos e Serviços , Recursos Humanos
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