Base de dados : MEDLINE
Pesquisa : J03.700 [Categoria DeCS]
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[PMID]:28870415
[Au] Autor:Nardin S; Pinto N; Bensadoun RJ
[Ad] Endereço:Centre de haute énergie, 10, boulevard Pasteur, 06000 Nice, France. Electronic address: s.nardin-che@orange.fr.
[Ti] Título:[Implementation of the tracer patient audit in a private radiation therapy centre].
[Ti] Título:Mise en place de l'audit patient traceur au sein d'un centre privé de radiothérapie..
[So] Source:Cancer Radiother;21(6-7):662-664, 2017 Oct.
[Is] ISSN:1769-6658
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The "tracer patient" audit is an evaluation method introduced by the French health authority in the V2014 certification. This is not mandatory in private radiotherapy centres. In our continuous quality improvement approach and in order to improve the management of patient care, the management of our radiation therapy centre has decided to use this method to evaluate our medical practice and to engage healthcare professionals at the core of this approach.
[Mh] Termos MeSH primário: Auditoria Médica
Radioterapia/normas
[Mh] Termos MeSH secundário: Seres Humanos
Instalações Privadas
Melhoria de Qualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171005
[Lr] Data última revisão:
171005
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170906
[St] Status:MEDLINE


  2 / 11 MEDLINE  
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[PMID]:28538779
[Au] Autor:Servidoni MF; Gomez CCS; Marson FAL; Toro AADC; Ribeiro MÂGO; Ribeiro JD; Ribeiro AF; Grupo Colaborativo de Estudos em Fibrose Cística
[Ad] Endereço:. Departamento de Pediatria, Faculdade de Ciências Médicas, Universidade Estadual de Campinas - Unicamp - Campinas (SP) Brasil.
[Ti] Título:Sweat test and cystic fibrosis: overview of test performance at public and private centers in the state of São Paulo, Brazil.
[So] Source:J Bras Pneumol;43(2):121-128, 2017 Mar-Apr.
[Is] ISSN:1806-3756
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:Objective:: The sweat test (ST) measures chloride levels in sweat and is considered the gold standard for the diagnosis of cystic fibrosis (CF). However, the reliability of a ST depends on their being performed by experienced technicians and in accordance with strict guidelines. Our aim was to evaluate how sweat stimulation, sweat collection, and chloride measurement are performed at 14 centers (9 public centers and 5 private centers) that routinely perform STs in the state of São Paulo, which has the highest frequency of CF in Brazil. Methods:: This was a cross-sectional cohort study, using a standardized questionnaire administered in loco to the staff responsible for conducting STs. Results:: No uniformity regarding the procedures was found among the centers. Most centers were noncompliant with the international guidelines, especially regarding the collection of sweat (the samples were insufficient in 10-50% of the subjects tested); availability of stimulation equipment (which was limited at 2 centers); modernity and certification of stimulation equipment (most of the equipment having been used for 3-23 years); and written protocols (which were lacking at 12 centers). Knowledge of ST guidelines was evaluated at only 1 center. Conclusions:: Our results show that STs largely deviate from internationally accepted guidelines at the participating centers. Therefore, there is an urgent need for standardization of STs, training of qualified personnel, and acquisition/certification of suitable equipment. These are essential conditions for a reliable diagnosis of CF, especially with the increasing demand due to newborn screening nationwide, and for the assessment of a possible clinical benefit from the use of modulator drugs. Objetivo:: O teste do suor (TS) mede os níveis de cloro no suor e é considerado o padrão ouro para o diagnóstico da fibrose cística (FC). Contudo, a confiabilidade do TS depende de sua realização por técnicos experientes e segundo diretrizes rígidas. Nosso objetivo foi avaliar como são realizadas a estimulação e coleta do suor e a dosagem de cloro em 14 centros (9 públicos e 5 privados) que realizam TS rotineiramente no estado de São Paulo, que possui a maior frequência de FC do Brasil. Métodos:: Estudo de coorte transversal utilizando um questionário padronizado aplicado in loco ao pessoal responsável pela realização dos TS. Resultados:: Não houve uniformidade entre os centros quanto aos procedimentos. A maioria dos centros não era aderente às diretrizes internacionais, especialmente quanto à coleta do suor (amostras insuficientes em 10-50% dos indivíduos testados), disponibilidade de equipamentos de estimulação (limitada em 2 centros), modernidade e certificação dos mesmos (a maioria utilizada há 3-23 anos) e protocolos escritos (ausentes em 12 centros). Avaliou-se o conhecimento sobre diretrizes para TS em apenas 1 centro. Conclusões:: Nossos resultados mostram que, nos centros participantes, os TS estão muito distantes das diretrizes internacionalmente aceitas. Portanto, há necessidade urgente de padronização dos TS, de treinamento de pessoal qualificado e de aquisição/certificação de equipamentos adequados. Essas são condições essenciais para um diagnóstico confiável de FC, especialmente com a crescente demanda resultante da triagem neonatal em todo o país, e para a avaliação do possível benefício clínico do uso de moduladores.
[Mh] Termos MeSH primário: Cloretos/análise
Técnicas de Laboratório Clínico/normas
Fibrose Cística/diagnóstico
Testes Diagnósticos de Rotina
Sódio/análise
Suor/química
[Mh] Termos MeSH secundário: Brasil
Técnicas de Laboratório Clínico/estatística & dados numéricos
Estudos de Coortes
Estudos Transversais
Fibrose Cística/prevenção & controle
Conhecimentos, Atitudes e Prática em Saúde
Seres Humanos
Instalações Privadas
Logradouros Públicos
Reprodutibilidade dos Testes
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Chlorides); 9NEZ333N27 (Sodium)
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171006
[Lr] Data última revisão:
171006
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170525
[St] Status:MEDLINE


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[PMID]:28159131
[Au] Autor:Pradhan J; Dwivedi R
[Ad] Endereço:Department of Humanities and Social Sciences, National Institute of Technology, Rourkela 769 008, Orissa, India. Electronic address: jpp_pradhan@yahoo.co.uk.
[Ti] Título:Do we provide affordable, accessible and administrable health care? An assessment of SES differential in out of pocket expenditure on delivery care in India.
[So] Source:Sex Reprod Healthc;11:69-78, 2017 Mar.
[Is] ISSN:1877-5764
[Cp] País de publicação:Netherlands
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Reproductive and Child Health (RCH) financing is a key area of focus which can lead towards an overall empowerment of women through financial inclusion. The major objectives of this paper are: first; to examine the socio-economic differentials in Out of Pocket Expenditure (OOPE) on delivery care, second; to look into the role of insurance coverage, third; to analyse various sources of financing, and fourth; to measure the adjusted effect of various covariates on the level of OOPE. METHODS: Data were extracted from the National Sample Survey Organisations (NSSO), 71st round "Key indicators of social consumption in India, Health" conducted by the GoI during January to June 2014. Multivariate Generalised Linear Regression Model (GLRM) has been used to analyse the various covariates of OOPE on maternity care. FINDINGS: Multivariate analysis has demonstrated a significant association between socioeconomic status of women and the level of OOPE on delivery care. Level of education, urban residence, higher caste and social group affiliation, strong economic conditions, and use of private facilities for the child birth among the mothers were a significant predictor of the expenditure on maternity care. CONCLUSION: Despite various efforts by the central and state governments to reduce financial burden, still a large number of households are paying a significant amount from their own pockets. There is an immediate need to re-look in the aspects of insurance coverage and high level of OOPE in delivery care.
[Mh] Termos MeSH primário: Parto Obstétrico/economia
Financiamento Pessoal
Gastos em Saúde
Acesso aos Serviços de Saúde/economia
Cobertura do Seguro
Serviços de Saúde Materna/economia
Classe Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Assistência à Saúde/economia
Características da Família
Feminino
Seres Humanos
Índia
Meia-Idade
Análise Multivariada
Parto
Gravidez
Instalações Privadas
Fatores Socioeconômicos
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170621
[Lr] Data última revisão:
170621
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170205
[St] Status:MEDLINE


  4 / 11 MEDLINE  
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[PMID]:26985999
[Au] Autor:Jacobsen GM; Prando ML; Moraes AL; Pureza JD; Gonçalves HA; Siqueira LS; Joanette Y; Fonseca RP
[Ad] Endereço:a Psychology Department , Pontifical Catholic University of Rio Grande do Sul , Porto Alegre , Brazil.
[Ti] Título:Effects of age and school type on unconstrained, phonemic, and semantic verbal fluency in children.
[So] Source:Appl Neuropsychol Child;6(1):41-54, 2017 Jan-Mar.
[Is] ISSN:2162-2973
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Biological and cultural factors have been found to have a significant influence on cognitive development and performance in neuropsychological instruments such as verbal fluency tasks (VFT). Variations of traditional VFT, involving unconstrained word production and increased retrieval times, may provide further data regarding the executive, attentional, mnemonic, and linguistic abilities involved in VFT. As such, the aim of this study was to investigate the impact of age and school type on the performance of 6- to 12-year-old children in unconstrained, phonemic, and semantic VFT. The VFT were administered to 460 participants. The effects of age and school type on verbal fluency (VF) performance were analyzed using a two-way analysis of variance, followed by Bonferroni post-hoc tests (p ≤ .05). A repeated-measures analysis was also used to evaluate VF performance over time (p ≤ .05). Main effects of age and school type were identified on all measures (effect sizes ranged from .05 to .32, p ≤ .05). VF scores increased with age and were higher among private school students. The influence of age on VFT may be associated with the development of executive functions. The impact of type of school on VF performance may be explained by the greater availability of cognitive stimulation (semantic knowledge) provided by private schools and families with better socioeconomic levels.
[Mh] Termos MeSH primário: Fonética
Instalações Privadas/tendências
Logradouros Públicos/tendências
Instituições Acadêmicas/tendências
Semântica
Comportamento Verbal/fisiologia
[Mh] Termos MeSH secundário: Fatores Etários
Brasil/epidemiologia
Criança
Feminino
Seres Humanos
Linguagem
Masculino
Instalações Privadas/normas
Logradouros Públicos/normas
Instituições Acadêmicas/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170201
[Lr] Data última revisão:
170201
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160318
[St] Status:MEDLINE
[do] DOI:10.1080/21622965.2015.1072535


  5 / 11 MEDLINE  
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[PMID]:28192275
[Au] Autor:Guilbert ER; Hayden AS; Jones HE; White KO; Steven Lichtenberg E; Paul M; Norman WV
[Ad] Endereço:Senior Medical Advisor in the Institut national de santé publique du Québec in Quebec city. edith.guilbert@inspq.qc.ca.
[Ti] Título:First-trimester medical abortion practices in Canada: National survey.
[So] Source:Can Fam Physician;62(4):e201-e208, 2016 Apr.
[Is] ISSN:1715-5258
[Cp] País de publicação:Canada
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To understand the current availability and practice of first-trimester medical abortion (MA) in Canada. DESIGN: Using public sources and professional networks, abortion facilities across Canada were identified for a cross-sectional survey on medical and surgical abortion. English and French surveys were distributed by surface or electronic mail between July and November 2013. SETTING: Canada. PARTICIPANTS: A total of 94 abortion facilities were identified. MAIN OUTCOME MEASURES: Descriptive statistics on MA practice and facility and provider characteristics, as well as comparisons of MA practice by facility and provider characteristics using χ and tests. RESULTS: A total of 78 of 94 (83.0%) facilities responded. Medical abortion represented 3.8% of first-trimester abortions reported (2706 of 70 860) in 2012. Among the facilities offering MA, 45.0% performed fewer than 500 first-trimester abortions a year, while 35.0% performed more than 1000. More MAs were performed in private offices or ambulatory health centres than in hospitals. Sixty-two physicians from 28 of 78 facilities reported providing first-trimester MA; 87.1% also provided surgical abortion. More than three-quarters of MA physicians were female and 56.5% were family physicians. A preponderance (85.2%) of providers offered methotrexate with misoprostol. Nearly all physicians (90.3%) required patients to have an ultrasound before MA, and 72.6% assessed the completion of the abortion with ultrasonography. Most physicians (74.2%) offered MA through 49 days after the onset of the last menstrual period, and 21.0% offered MA through 50 to 56 days; 37.1% reported providing MA to patients who lived more than 2 hours away. Four physicians from 1 site provided MA via telemedicine. CONCLUSION: In Canada, MA provision using methotrexate and misoprostol is consistent with best-practice guidelines, but MA is rare and its availability is unevenly distributed.
[Mh] Termos MeSH primário: Aborto Induzido/estatística & dados numéricos
Instituições de Assistência Ambulatorial
Primeiro Trimestre da Gravidez
Instalações Privadas
[Mh] Termos MeSH secundário: Canadá
Estudos Transversais
Feminino
Seres Humanos
Médicos de Família
Gravidez
Inquéritos e Questionários
Ultrassonografia
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170228
[Lr] Data última revisão:
170228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170214
[St] Status:MEDLINE


  6 / 11 MEDLINE  
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[PMID]:27900904
[Au] Autor:Haidrani L
[Ti] Título:Focus on patient dignity.
[So] Source:Nurs Older People;28(10):40, 2016 Nov 30.
[Is] ISSN:1472-0795
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:What does your job involve? It is hands-on and strategic. I spend intensive time with five dementia care communities. This involves practical clinical supervision on the floor, reviewing dementia training and helping to develop the overall dementia strategy.
[Mh] Termos MeSH primário: Demência/enfermagem
Casas de Saúde
Pessoalidade
[Mh] Termos MeSH secundário: Seres Humanos
Enfermeiras Especialistas
Instalações Privadas
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:INTERVIEW
[Em] Mês de entrada:1702
[Cu] Atualização por classe:170221
[Lr] Data última revisão:
170221
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:161201
[St] Status:MEDLINE


  7 / 11 MEDLINE  
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[PMID]:27884131
[Au] Autor:Kwong EW; Hung MS; Woo K
[Ad] Endereço:School of Nursing, Tung Wah College, Wylies Road, Kowloon, Hong Kong, China. enidkwong@twc.edu.hk.
[Ti] Título:Improvement of pressure ulcer prevention care in private for-profit residential care homes: an action research study.
[So] Source:BMC Geriatr;16(1):192, 2016 Nov 25.
[Is] ISSN:1471-2318
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: A need exits to develop a protocol for preventing pressure ulcers (PUs) in private for-profit nursing homes in Hong Kong, where the incidence of PUs is relatively high and which have high proportion of non-professional care staff. The implementation of such protocol would involve changes in the practice of care, likely evoking feelings of fear and uncertainty that may become a barrier to staff adherence. We thus adopted the Systems Model of Action Research in this study to manage the process of change for improving PU prevention care and to develop a pressure ulcer prevention protocol for private for-profit nursing homes. METHODS: A total of 474 residents and care staff who were health workers, personal care workers, and/or nurses from four private, for-profit nursing homes in Hong Kong participated in this study. Three cyclic stages and steps, namely, unfreezing (planning), changing (action), and refreezing (results) were carried out. During each cycle, focus group interviews, field observations of the care staff's practices and inspections of the skin of the residents for pressure ulcers were conducted to evaluate the implementation of the protocol. Qualitative content analysis was adopted to analyse the data. The data and methodological triangulation used in this study increased the credibility and validity of the results. RESULTS: The following nine themes emerged from this study: prevention practices after the occurrence of PUs, the improper use of pressure ulcer prevention materials, non-compliance with several prevention practices, improper prevention practices, the perception that the preventive care was being performed correctly, inadequate readiness to use the risk assessment tool, an undesirable environment, the supplying of unfavorable resources, and various management styles in the homes with or without nurses. At the end of the third cycle, the changes that were identified included improved compliance with the revised risk assessment method, the timely and appropriate use of PU prevention materials, the empowering of staff to improve the quality of PU care, and improved home management. CONCLUSION: Through the action research approach, the care staff were empowered and their PU prevention care practices had improved, which contributed to the decreased incidence of pressure ulcers. A PU prevention protocol that was accepted by the staff was finally developed as the standard of care for such homes.
[Mh] Termos MeSH primário: Instituição de Longa Permanência para Idosos
Casas de Saúde
Lesão por Pressão
Serviços Preventivos de Saúde
Instalações Privadas
[Mh] Termos MeSH secundário: Idoso
Feminino
Grupos Focais
Fidelidade a Diretrizes/normas
Pessoal de Saúde/normas
Pessoal de Saúde/estatística & dados numéricos
Instituição de Longa Permanência para Idosos/normas
Instituição de Longa Permanência para Idosos/estatística & dados numéricos
Hong Kong/epidemiologia
Seres Humanos
Incidência
Masculino
Casas de Saúde/normas
Casas de Saúde/estatística & dados numéricos
Lesão por Pressão/epidemiologia
Lesão por Pressão/etiologia
Lesão por Pressão/prevenção & controle
Serviços Preventivos de Saúde/métodos
Serviços Preventivos de Saúde/organização & administração
Instalações Privadas/normas
Instalações Privadas/estatística & dados numéricos
Melhoria de Qualidade
Medição de Risco/métodos
Higiene da Pele/métodos
Higiene da Pele/normas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170626
[Lr] Data última revisão:
170626
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161126
[St] Status:MEDLINE


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[PMID]:27642463
[Au] Autor:Mosissa L; Kebede A; Mindaye T; Getahun M; Tulu S; Desta K
[Ad] Endereço:Addis Abeba University, College of Health Sciences, School of Allied Health Sciences Department of Medical Laboratory Sciences, Addis Abeba, Ethiopia; City Government of Addis Ababa Technical & Vocational Education & Training (TVET) Agency, Addis Abeba, Ethiopia.
[Ti] Título:External quality assessment of AFB smear microscopy performances and its associated factors in selected private health facilities in Addis Ababa, Ethiopia.
[So] Source:Pan Afr Med J;24:125, 2016.
[Is] ISSN:1937-8688
[Cp] País de publicação:Uganda
[La] Idioma:eng
[Ab] Resumo:Tuberculosis (TB) is still a public health problem in sub Saharan African countries. In resource-limited settings, TB diagnosis relies on sputum smear microscopy, with low and variable sensitivities, especially in paucibacillary pediatric and HIV-associated TB patients. Tuberculosis microscopy centers have several weaknesses like overworking, insufficiently trained personnel, inconsistent reagent supplies, and poorly maintained equipments; thus, there is a critical need for investments in laboratory infrastructure, capacity building, and quality assurance schemes. The performance of TB microscopy centers in the private health facilities in Addis Ababa is not known so far. The main objective of the study was to assess laboratory performance of acid fast bacilli (AFB) smear microscopy and its associated factors in selected private health facilities in Addis Ababa, Ethiopia. A cross-sectional study was conducted in 33 selected private health facilities of Addis Ababa, Ethiopia comprising 7 hospitals, 2 NGO health centers, 23 higher clinics and 1 diagnostic laboratory that provide AFB smear microscopy services. The study was conducted from January to April 2014. A total of 283 stained sputum smears were randomly collected from participant laboratories for blinded rechecking, 320 panel slides were sent to 32 microscopy centers to evaluate their performance on AFB reading, staining and reporting. Checklists were used to assess quality issues of laboratories. Data were captured, cleaned, and analyzed using SPSS version 16.0; χ(2) tests, kappa statistics were used for comparison purpose. P value < 0.05 considered statistically significant. Among the 32 participant laboratories, 2-scored 100%, 15 scored 80-95% & the remaining 15 scored 50-75% for overall proficiency test performance. There were 10 (3.15%) major errors and 121 (37.8%) minor errors. The sensitivity, specificity, PPV and NPV of panel reading by microscopy centers were 89%, 96%, 96%, and 90% respectively. Out of 283 randomly selected slides for blind rechecking, 11 (3.9%) slides interpreted falsely for AFB, with overall agreement of 97.5%, sensitivity of 88.4% and specificity of 99.3%. In terms of slide quality assessment, 71.6% of AFB slides were graded as good for evenness, cleanness, thickness, size, staining and labeling. The performance score for AFB slide evenness was 56.9% (161 slides) and for labeling quality was 90.8% (257 slides); having significant difference in slide quality (p value < 0.05). On-site evaluation indicated problems in terms of infrastructure, standard operating procedure, reagent quality; equipment maintenance, data management and training issues. Most of the health facilities had poor maintenance scheme for microscope (53.5%) and poor inventory management (25.0%) system. Microscopy centers that scored a proficiency of 75.5%; which is below the acceptable minimum score of 80% and an overall error rate of 3.9% for blinded rechecking needs attention. Moreover, there are gaps identified through on site assessment including poor SOP, reagent quality, equipment maintenance, data management & lack of updated training on AFB microscopy techniques, requiring a concerted effort to alleviate the bottle neck problems and strengthening the public private partnership to control TB.
[Mh] Termos MeSH primário: Laboratórios/normas
Microscopia/normas
Tuberculose/diagnóstico
[Mh] Termos MeSH secundário: Técnicas Bacteriológicas/métodos
Estudos Transversais
Etiópia
Seres Humanos
Valor Preditivo dos Testes
Instalações Privadas
Sensibilidade e Especificidade
Escarro/microbiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170314
[Lr] Data última revisão:
170314
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160920
[St] Status:MEDLINE
[do] DOI:10.11604/pamj.2016.24.125.7459


  9 / 11 MEDLINE  
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[PMID]:27421644
[Au] Autor:Rutebemberwa E; Buregyeya E; Lal S; Clarke SE; Hansen KS; Magnussen P; LaRussa P; Mbonye AK
[Ad] Endereço:Department of Health Policy, Planning and Management, Makerere University School of Public Health, Kampala, Uganda. ellie@musph.ac.ug.
[Ti] Título:Assessing the potential of rural and urban private facilities in implementing child health interventions in Mukono district, central Uganda-a cross sectional study.
[So] Source:BMC Health Serv Res;16:268, 2016 Jul 15.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Private facilities are the first place of care seeking for many sick children. Involving these facilities in child health interventions may provide opportunities to improve child welfare. The objective of this study was to assess the potential of rural and urban private facilities in diagnostic capabilities, operations and human resource in the management of malaria, pneumonia and diarrhoea. METHODS: A survey was conducted in pharmacies, private clinics and drug shops in Mukono district in October 2014. An assessment was done on availability of diagnostic equipment for malaria, record keeping, essential drugs for the treatment of malaria, pneumonia and diarrhoea; the sex, level of education, professional and in-service training of the persons found attending to patients in these facilities. A comparison was made between urban and rural facilities. Univariate and bivariate analysis was done. RESULTS: A total of 241 private facilities were assessed with only 47 (19.5 %) being in rural areas. Compared to urban areas, rural private facilities were more likely to be drug shops (OR 2.80; 95 % CI 1.23-7.11), less likely to be registered (OR 0.31; 95 % CI 0.16-0.60), not have trained clinicians, less likely to have people with tertiary education (OR 0.34; 95 % CI 0.17-0.66) and less likely to have zinc tablets (OR 0.38; 95 % CI 0.19-0.78). In both urban and rural areas, there was low usage of stock cards and patient registers. About half of the facilities in both rural and urban areas attended to at least one sick child in the week prior to the interview. CONCLUSION: There were big gaps between rural and urban private facilities with rural ones having less trained personnel and less zinc tablets' availability. In both rural and urban areas, record keeping was low. Child health interventions need to build capacity of private facilities with special focus on rural areas where child mortality is higher and capacity of facilities lower.
[Mh] Termos MeSH primário: Serviços de Saúde da Criança
Instalações Privadas
[Mh] Termos MeSH secundário: Criança
Serviços de Saúde da Criança/recursos humanos
Estudos Transversais
Diarreia/diagnóstico
Diarreia/terapia
Feminino
Pesquisas sobre Serviços de Saúde
Seres Humanos
Malária/diagnóstico
Malária/terapia
Masculino
Farmácias
Pneumonia/diagnóstico
Pneumonia/terapia
Serviços de Saúde Rural
Uganda
Serviços Urbanos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160717
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-016-1529-9


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[PMID]:27173661
[Au] Autor:Mutlu E; Alaei A; Tracy M; Waye K; Cetin MK; Alaei K
[Ad] Endereço:Department of Psychology, Gelisim University, Avcilar, Turkey.
[Ti] Título:Correlates of injection drug use among individuals admitted to public and private drug treatment facilities in Turkey.
[So] Source:Drug Alcohol Depend;164:71-81, 2016 Jul 01.
[Is] ISSN:1879-0046
[Cp] País de publicação:Ireland
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The number of individuals seeking treatment for drug use has been increasing in recent years in Turkey. However, existing research on patterns and risk factors for drug use and how they vary by age and location in Turkey is limited. METHODS: We examined the socio-demographic characteristics, drug use behaviors, and treatment history of citizens admitted to inpatient substance use treatment at public and private facilities in Turkey during 2012 and 2013 and identified correlates of lifetime and current injection drug use. RESULTS: Of the 11,247 patients at the 22 public treatment centers in 2012-2013, a majority were male, lived with family, were unemployed, and had an average age of 27 years. Within private clinics (n=663), a higher proportion was female (9.7% private vs. 5.7% public), aged 11-17 years old (13% vs. 7.4%), used cannabis as their primary drug (18.4% vs. 13.2%), and had previously received drug treatment (57% vs. 47.2%). Within public centers, 40.4% reported ever injecting drugs and 33.7% reported injecting in the past 30 days; the corresponding percentages at private clinics were 22.5% and 18.1%. Significant predictors of injection drug use included being homeless, being a temporal employee or unemployed, having higher education, heroin as a preferred drug, having a longer duration of drug use, and prior drug treatment. CONCLUSION: Prevention and intervention efforts are needed to reduce the transition to heroin and injection drug use among youth as well as improve access to a variety of drug treatment options for people who use substances in Turkey.
[Mh] Termos MeSH primário: Instalações Privadas/estatística & dados numéricos
Logradouros Públicos/estatística & dados numéricos
Abuso de Substâncias por Via Intravenosa/epidemiologia
Abuso de Substâncias por Via Intravenosa/etiologia
[Mh] Termos MeSH secundário: Adolescente
Adulto
Fatores Etários
Criança
Escolaridade
Emprego
Feminino
Hospitalização
Seres Humanos
Masculino
Meia-Idade
Fatores de Risco
Fatores Sexuais
Abuso de Substâncias por Via Intravenosa/reabilitação
Turquia/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171017
[Lr] Data última revisão:
171017
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160514
[St] Status:MEDLINE



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