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Pesquisa : H01.770.644.145.360 [Categoria DeCS]
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[PMID]:29486762
[Au] Autor:Schmid MK; Reich O; Blozik E; Faes L; Bodmer NS; Locher S; Thiel MA; Rapold R; Kuhn M; Bachmann LM
[Ad] Endereço:University of Zurich, Zurich, Switzerland.
[Ti] Título:Outcomes and costs of Ranibizumab and Aflibercept treatment in a health-service research context.
[So] Source:BMC Ophthalmol;18(1):64, 2018 Feb 27.
[Is] ISSN:1471-2415
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To compare anti-VEGF treatments for macular disease in terms of costs and clinical outcomes. METHODS: We identified patients suffering from macular disease and treated either with aflibercept, ranibizumab or both at the largest public eye clinic in Switzerland between January 1st and December 31st 2016 who were insured in one of the two participating health insurance companies. Clinical data were extracted from the electronic health record system. The health insurers provided the health claim costs for the ophthalmologic care and the total health care costs of each patient in the observation period. Using multivariate regression models, we assessed the monthly ophthalmologic and the monthly total costs of patients with no history of switching (ranibizumab vs. aflibercept), patients with a history of switching from ranibizumab to aflibercept, patients switching during the observation period and a miscellaneous group. We examined baseline differences in age, proportion of males, visual acuity (letters), central retinal thickness (CRT) and treatment history before entering the study. We investigated treatment intensity and compared the changes in letters and CRT. RESULTS: The analysis involved 488 eyes (361 patients), 182 on ranibizumab treatment, and 63 on aflibercept treatment, 160 eyes with a history of switching from ranibizumab to aflibercept, and 45 switchers during follow-up and 38 eyes of the miscellaneous group. Compared to ranibizumab, monthly costs of ophthalmologic treatment were slightly higher for aflibercept treatment + 175.0 CHF (95%CI: 1.5 CHF to 348.3 CHF; p = 0.048) as were the total monthly costs + 581.0 CHF (95%CI: 159.5 CHF to 1002.4 CHF; p = 0.007). Compared to ranibizumab, the monthly treatment intensity with aflibercept was similar (+ 0.057 injections/month (95%CI -0.023 to 0.137; p = 0.162), corresponding to a projected annual number of 5.4 injections for ranibizumab vs. 6.1 injections for aflibercept. During follow-up, visus dropped by 0.7 letters with ranibizumab and increased by 0.6 letters with aflibercept (p = 0.243). CRT dropped by - 14.9 µm with ranibizumab and by - 19.5 µm with aflibercept (p = 0.708). The monthly costs of all other groups examined were higher. CONCLUSION: These real-life data show that aflibercept treatment is equally expensive, and clinical outcomes between the two drugs are similar.
[Mh] Termos MeSH primário: Inibidores da Angiogênese/economia
Custos de Cuidados de Saúde
Ranibizumab/economia
Proteínas Recombinantes de Fusão/economia
Doenças Retinianas/tratamento farmacológico
[Mh] Termos MeSH secundário: Idoso
Idoso de 80 Anos ou mais
Inibidores da Angiogênese/uso terapêutico
Feminino
Pesquisa sobre Serviços de Saúde
Seres Humanos
Masculino
Meia-Idade
Análise Multivariada
Ranibizumab/uso terapêutico
Receptores de Fatores de Crescimento do Endotélio Vascular/uso terapêutico
Proteínas Recombinantes de Fusão/uso terapêutico
Doenças Retinianas/economia
Acuidade Visual
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Angiogenesis Inhibitors); 0 (Recombinant Fusion Proteins); 15C2VL427D (aflibercept); EC 2.7.10.1 (Receptors, Vascular Endothelial Growth Factor); ZL1R02VT79 (Ranibizumab)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180301
[St] Status:MEDLINE
[do] DOI:10.1186/s12886-018-0731-4


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[PMID]:29412544
[Au] Autor:Alakrawi Z; Watzlaf V; Nemchik S; Sheridan P
[Ti] Título:New Study Illuminates the Ongoing Road to ICD-10 Productivity and Optimization.
[So] Source:J AHIMA;88(3):40-5, 2017 03.
[Is] ISSN:1060-5487
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Codificação Clínica
Eficiência
Classificação Internacional de Doenças
[Mh] Termos MeSH secundário: Pesquisa sobre Serviços de Saúde
Seres Humanos
Pennsylvania
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:180208
[St] Status:MEDLINE


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[PMID]:29206973
[Au] Autor:Johnson KJ; Hong M; Inoue M; Adamek ME
[Ad] Endereço:School of Social Work, Indiana University-Purdue University Indianapolis.
[Ti] Título:Social Work Should Be More Proactive in Addressing the Need to Plan for End of Life.
[So] Source:Health Soc Work;41(4):271-274, 2016 Nov 20.
[Is] ISSN:0360-7283
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Papel Profissional
Serviço Social
Assistência Terminal
[Mh] Termos MeSH secundário: Atitude Frente à Morte
Pesquisa sobre Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180227
[Lr] Data última revisão:
180227
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE
[do] DOI:10.1093/hsw/hlw021


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Texto completo SciELO Colômbia
Texto completo SciELO Saúde Pública
[PMID]:28453118
[Au] Autor:Barreto-Zorza YM; Velasquez-Gutierrez VF
[Ad] Endereço:Facultad de Medicina. Universidad Nacional de Colombia. Bogotá. ymbarretoz@unal.edu.co.
[Ti] Título:[Community center for human development: program for African-Colombian families based on the participatory action research approach].
[Ti] Título:Centro de Desarrollo Humano Comunitario: programa para familias afrocolombianas desde la investigación acción participativa..
[So] Source:Rev Salud Publica (Bogota);18(5):768-781, 2016 Sep-Oct.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:Objective: To describe the process of construction of a program of Primary Health Care (PHC) for African-Colombian families in Guapi, Cauca. Methodology : Participatory action research (PAR). Results: The PHC program is a collective construction between the IAP Group and the Commission for Support and Follow-up (CAS), carried out in four phases: 1. Field preparation; 2. Approximation to the universe of the African-Colombian families of Guapi; 3. Building the program "Center for Human Development: with strength, joy and love we go 'pa'lante' families"; and 4. Evaluation and socialization of results. Discussion: The collective construction of the program was conducted from the perspective of PHC, PAR and the cultural context, where the experts are the community, health professionals and institutions who have the ability to examine, reflect and participate in the transformation of reality based on their everyday life and view of the world. The starting point involves planning, developing and evaluating actions in healthy environments, relating not only to the physical space, but also to the work with families and community, taking into account needs, perceptions, beliefs, and actions towards health. The "Human Development Center Community" program allows a process of community participation towards achieving healthy environments to improve the health of the African-Colombian population, through the active participation of families, community, institutions and health professionals who, based on reality and knowledge exchange, generate actions directed to health of the large families of Guapi.
[Mh] Termos MeSH primário: Grupo com Ancestrais do Continente Africano
Participação da Comunidade
Promoção da Saúde/organização & administração
Desenvolvimento Humano
Atenção Primária à Saúde/organização & administração
Desenvolvimento de Programas
[Mh] Termos MeSH secundário: Colômbia
Promoção da Saúde/métodos
Pesquisa sobre Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180216
[Lr] Data última revisão:
180216
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28453110
[Au] Autor:Escobar-Díaz FA; Agudelo-Calderón CA
[Ad] Endereço:Universidad Nacional de Colombia, Bogotá, faescobard@unal.edu.co.
[Ti] Título:[On health research as public policy in Colombia: assessment and perspectives].
[Ti] Título:Investigación en salud como política pública en Colombia: balance y perspectivas..
[So] Source:Rev Salud Publica (Bogota);18(3):484-494, 2016 Jun.
[Is] ISSN:0124-0064
[Cp] País de publicação:Colombia
[La] Idioma:spa
[Ab] Resumo:This essay presents some elements of analysis for thinking about health research in Colombia as a public policy, something which was formed starting in 1990 with the establishment of Science and Technology regulations. A set of institutional adjustments was carried out which led to the creation of the National Program of Health Science and Technology and the National Council of Health Science and Technology. In addition, it led to the institutionalization of calls for research proposals as a mechanism for selecting research projects and assigning resources in accordance with the needs and priorities of the National System of Science and Technology. Since then, there have been no major changes in the public management of health research, with the exception of the Health Research Fund, created in 2001. However, some efforts have been made to develop some capacities and -so far unsuccessfully- to formulate a national policy on health research. The Statutory Health Act approved in 2015 could be an important opportunity to realize and implement this policy decision.
[Mh] Termos MeSH primário: Política de Saúde
Pesquisa sobre Serviços de Saúde
Programas Nacionais de Saúde/organização & administração
[Mh] Termos MeSH secundário: Colômbia
Política de Saúde/legislação & jurisprudência
Pesquisa sobre Serviços de Saúde/legislação & jurisprudência
Pesquisa sobre Serviços de Saúde/organização & administração
Seres Humanos
Programas Nacionais de Saúde/legislação & jurisprudência
Desenvolvimento de Programas
Saúde Pública
Política Pública
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


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[PMID]:28452251
[Au] Autor:Gollust SE; Seymour JW; Pany MJ; Goss A; Meisel ZF; Grande D
[Ad] Endereço:1 University of Minnesota School of Public Health, Minneapolis, MN, USA.
[Ti] Título:Mutual Distrust: Perspectives From Researchers and Policy Makers on the Research to Policy Gap in 2013 and Recommendations for the Future.
[So] Source:Inquiry;54:46958017705465, 2017 01 01.
[Is] ISSN:1945-7243
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The production of health policy-relevant research is necessary, but not sufficient, to promote its utilization in policy. Our objective was to understand the perspectives of United States' state-level policy makers and health researchers on the barriers and facilitators to the translation of health evidence into the policy process, with a particular focus on issues related to relationship building. We conducted interviews with 215 US health services and health policy researchers and 40 state-level staffers and legislators. Researchers and policy makers faced the same major barrier to research translation: lack of dedicated time to do so. Some policy makers questioned the credibility of research, and researchers questioned policy makers' authentic desire to use evidence in decision making. For some study participants, a mutual mistrust of the other group challenges stronger relationship formation. Interventions are needed to help both groups understand a broader role that research plays in policy making and to increase personal contact, and ultimately trusted relationships, across various actors in the policy process.
[Mh] Termos MeSH primário: Política de Saúde
Pesquisa sobre Serviços de Saúde/utilização
Formulação de Políticas
Pesquisadores/psicologia
[Mh] Termos MeSH secundário: Adulto
Idoso
Tomada de Decisões Gerenciais
Feminino
Seres Humanos
Entrevistas como Assunto
Masculino
Meia-Idade
Pesquisa Qualitativa
Confiança
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180214
[Lr] Data última revisão:
180214
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1177/0046958017705465


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[PMID]:29189626
[Au] Autor:Lyman B; Shaw L; Moore C
[Ad] Endereço:Bret Lyman, PhD, RN, Assistant Professor, College of Nursing, Brigham Young University, Provo, UT. Lindsey Shaw, BS, RN, Research Assistant, College of Nursing, Brigham Young University, Provo, UT. Carly Moore, Nursing Student and Research Assistant, College of Nursing, Brigham Young University, Provo, UT.
[Ti] Título:Organizational Learning in an Orthopaedic Unit: A Learning History.
[So] Source:Orthop Nurs;36(6):424-431, 2017 Nov/Dec.
[Is] ISSN:1542-538X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The purpose of this study was to explore organizational learning in an orthopaedic hospital unit. Skill in organizational learning is necessary to achieve high reliability in a dynamic healthcare environment, yet organizational learning in hospital units is not well understood. A learning history was conducted with a high-performing orthopaedic unit. Findings were interpreted in the context of a previous learning history conducted with a critical care unit. Despite contextual differences, each unit progressed through the same four developmental stages to achieve its current state of high reliability. On both units, psychological safety and a healthy work environment proved essential for developmental progression. Hospital units may progress through distinct developmental stages to achieve their desired outcomes. Psychological safety and a healthy work environment appear foundational to organizational learning in hospital units. Nursing leaders should work with team members to evaluate their unit's development and use suggested strategies to facilitate organizational learning.
[Mh] Termos MeSH primário: Modelos Organizacionais
Recursos Humanos de Enfermagem no Hospital/educação
Cultura Organizacional
Ortopedia/educação
[Mh] Termos MeSH secundário: Pesquisa sobre Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:171201
[St] Status:MEDLINE
[do] DOI:10.1097/NOR.0000000000000403


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[PMID]:28450463
[Au] Autor:Brookes G; Baker P
[Ad] Endereço:School of English, University of Nottingham, Nottingham, UK.
[Ti] Título:What does patient feedback reveal about the NHS? A mixed methods study of comments posted to the NHS Choices online service.
[So] Source:BMJ Open;7(4):e013821, 2017 04 27.
[Is] ISSN:2044-6055
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine the key themes of positive and negative feedback in patients' online feedback on NHS (National Health Service) services in England and to understand the specific issues within these themes and how they drive positive and negative evaluation. DESIGN: Computer-assisted quantitative and qualitative studies of 228 113 comments (28 971 142 words) of online feedback posted to the NHS Choices website. Comments containing the most frequent positive and negative evaluative words are qualitatively examined to determine the key drivers of positive and negative feedback. PARTICIPANTS: Contributors posting comments about the NHS between March 2013 and September 2015. RESULTS: Overall, NHS services were evaluated positively approximately three times more often than negatively. The four key areas of focus were: treatment, communication, interpersonal skills and system/organisation. Treatment exhibited the highest proportion of positive evaluative comments (87%), followed by communication (77%), interpersonal skills (44%) and, finally, system/organisation (41%). Qualitative analysis revealed that reference to staff interpersonal skills featured prominently, even in comments relating to treatment and system/organisational issues. Positive feedback was elicited in cases of staff being caring, compassionate and knowing patients'' names, while rudeness, apathy and not listening were frequent drivers of negative feedback. CONCLUSIONS: Although technical competence constitutes an undoubtedly fundamental aspect of healthcare provision, staff members were much more likely to be evaluated both positively and negatively according to their interpersonal skills. Therefore, the findings reported in this study highlight the salience of such 'soft' skills to patients and emphasise the need for these to be focused upon and developed in staff training programmes, as well as ensuring that decisions around NHS funding do not result in demotivated and rushed staff. The findings also reveal a significant overlap between the four key themes in the ways that care is evaluated by patients.
[Mh] Termos MeSH primário: Comportamento de Escolha
Satisfação do Paciente/estatística & dados numéricos
Qualidade da Assistência à Saúde/estatística & dados numéricos
Medicina Estatal/normas
[Mh] Termos MeSH secundário: Inglaterra
Retroalimentação
Pesquisa sobre Serviços de Saúde
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180201
[Lr] Data última revisão:
180201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1136/bmjopen-2016-013821


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[PMID]:28457940
[Au] Autor:Fairbrother G; Dougherty D; Pradhananga R; Simpson LA
[Ad] Endereço:AcademyHealth, Washington, DC. Electronic address: Gerry.Fairbrother1@gmail.com.
[Ti] Título:Road to the Future: Priorities for Child Health Services Research.
[So] Source:Acad Pediatr;17(8):814-824, 2017 Nov - Dec.
[Is] ISSN:1876-2867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Prior health services research (HSR) agendas for children have been published, but major ones are now over 15 years old and do not reflect augmented understanding of the drivers and determinants of children's health; recent changes in the organization, financing, and delivery of health care; a growing emphasis on population health; and major demographic shifts in the population. A policy-relevant research agenda that integrates knowledge gained over the past 2 decades is essential to guide future child HSR (CHSR). We sought to develop and disseminate a robust, domestically focused, policy-oriented CHSR agenda. METHODS: The new CHSR agenda was developed through a series of consultations with leaders in CHSR and related fields. After each round of consultation, the authors synthesized the previous experts' guidance to help inform subsequent discussions. The multistep process in generation of the agenda included identification of major policy-relevant research domains and specification of high-value research questions for each domain. Stakeholders represented in the discussions included those with expertise in child and family advocacy, adult health, population health, community development, racial and ethnic disparities, women's health, health economics, and government research funders and programs. RESULTS: In total, 180 individuals were consulted in developing the research agenda. Six priority domains were identified for future research, including both enduring and emerging emphases: 1) framing children's health issues so that they are compelling to policy-makers; 2) addressing poverty and other social determinants of child health and wellbeing; 3) promoting equity in population health and health care; 4) preventing, diagnosing, and treating high priority health conditions in children; 5) strengthening performance of the health care system; and 6) enhancing the CHSR enterprise. Within these 6 domains, 40 specific topics were identified as the most pertinent for future research. Three overarching and crosscutting themes that affect research across the domains were also noted: the need for syntheses to build on the current, and sometimes extensive, evidence base to avoid duplication; the interrelated nature of the domains, which could lead to synergies in research; and the need for multidisciplinary collaborations in conducting research because research studies will look beyond the health sector. CONCLUSIONS: The priorities presented in the agenda are policy-oriented and include a greater emphasis on how findings are framed and communicated to support action. We expect that the agenda will be useful for immediate uptake by investigators and research funders.
[Mh] Termos MeSH primário: Serviços de Saúde da Criança
Política de Saúde
Prioridades em Saúde
Pesquisa sobre Serviços de Saúde
[Mh] Termos MeSH secundário: Criança
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180130
[Lr] Data última revisão:
180130
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170502
[St] Status:MEDLINE


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[PMID]:25816387
[Au] Autor:Bazuin D; Martinez J; Harper K; Okland K; Bergquist P; Kumar S
[Ad] Endereço:Herman Miller, Inc., Holland, MI, USA doug_bazuin@hermanmiller.com.
[Ti] Título:If I were a band-aid, where would I be? Researching the use and location of supplies on two patient units.
[So] Source:HERD;8(2):110-22, 2015.
[Is] ISSN:1937-5867
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The purpose of this study was to gain insight into the use and storage of supplies in the neonatal intensive care and women's health units of Parkland Hospital in Dallas, Texas. BACKGROUND: Construction of a new Parkland Hospital is underway, with completion of the 862-bed, 2.5-million square feet hospital in 2014. Leaders from the hospital and representatives from one of its major vendors collaborated on a research study to evaluate the hospital's current supply management system and develop criteria to create an improved system to be implemented at the new hospital. METHOD: Approach includes qualitative and quantitative methods, that is, written survey, researcher observations, focus groups, and evaluation of hospital supply reports. RESULTS: Approaching the ideal location of supplies can be best approached by defining a nurse's activity at the point of care. Determining an optimal supply management system must be approached by understanding the "what" of caregivers' activities and then determining the "where" of the supplies that support those activities. CONCLUSIONS: An ideal supply management system locates supplies as close as possible to the point of use, is organized by activity, and is standardized within and across units.
[Mh] Termos MeSH primário: Equipamentos e Provisões Hospitalares
Unidades de Terapia Intensiva Neonatal/organização & administração
Decoração de Interiores e Mobiliário/normas
Administração de Materiais no Hospital/normas
Recursos Humanos de Enfermagem no Hospital/organização & administração
Serviços de Saúde da Mulher/organização & administração
[Mh] Termos MeSH secundário: Eficiência Organizacional
Estudos de Avaliação como Assunto
Grupos Focais
Pesquisas sobre Serviços de Saúde
Pesquisa sobre Serviços de Saúde/métodos
Pesquisa sobre Serviços de Saúde/organização & administração
Unidades Hospitalares/organização & administração
Seres Humanos
Decoração de Interiores e Mobiliário/métodos
Administração de Materiais no Hospital/métodos
Recursos Humanos de Enfermagem no Hospital/psicologia
Pesquisa Qualitativa
Texas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150328
[St] Status:MEDLINE
[do] DOI:10.1177/1937586714566409



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