Base de dados : MEDLINE
Pesquisa : N02.350 [Categoria DeCS]
Referências encontradas : 11989 [refinar]
Mostrando: 1 .. 10   no formato [Detalhado]

página 1 de 1199 ir para página                         

  1 / 11989 MEDLINE  
              next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28460530
[Au] Autor:McGrail MR; Wingrove PM; Petterson SM; Humphreys JS; Russell DJ; Bazemore AW
[Ad] Endereço:School of Rural Health, Northways Rd Churchill VIC 3842 Australia. matthew.mcgrail@monash.edu.
[Ti] Título:Measuring the attractiveness of rural communities in accounting for differences of rural primary care workforce supply.
[So] Source:Rural Remote Health;17(2):3925, 2017 Apr-Jun.
[Is] ISSN:1445-6354
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Many rural communities continue to experience an undersupply of primary care doctor services. While key professional factors relating to difficulties of recruitment and retention of rural primary care doctors are widely identified, less attention has been given to the role of community and place aspects on supply. Place-related attributes contribute to a community's overall amenity or attractiveness, which arguably influence both rural recruitment and retention relocation decisions of doctors. This bi-national study of Australia and the USA, two developed nations with similar geographic and rural access profiles, investigates the extent to which variations in community amenity indicators are associated with spatial variations in the supply of rural primary care doctors. METHODS: Measures from two dimensions of community amenity: geographic location, specifically isolation/proximity; and economics and sociodemographics were included in this study, along with a proxy measure (jurisdiction) of a third dimension, environmental amenity. Data were chiefly collated from the American Community Survey and the Australian Census of Population and Housing, with additional calculated proximity measures. Rural primary care supply was measured using provider-to-population ratios in 1949 US rural counties and in 370 Australian rural local government areas. Additionally, the more sophisticated two-step floating catchment area method was used to measure Australian rural primary care supply in 1116 rural towns, with population sizes ranging from 500 to 50 000. Associations between supply and community amenity indicators were examined using Pearson's correlation coefficients and ordinary least squares multiple linear regression models. RESULTS: It was found that increased population size, having a hospital in the county, increased house prices and affluence, and a more educated and older population were all significantly associated with increased workforce supply across rural areas of both countries. While remote areas were strongly linked with poorer supply in Australia, geographical remoteness was not significant after accounting for other indicators of amenity such as the positive association between workforce supply and coastal location. Workforce supply in the USA was negatively associated with fringe rural area locations adjacent to larger metropolitan areas and characterised by long work commutes. The US model captured 49% of the variation of workforce supply between rural counties, while the Australian models captured 35-39% of rural supply variation. CONCLUSIONS: These data support the idea that the rural medical workforce is maldistributed with a skew towards locating in more affluent and educated areas, and against locating in smaller, poorer and more isolated rural towns, which struggle to attract an adequate supply of primary care services. This evidence is important in understanding the role of place characteristics and rural population dynamics in the recruitment and retention of rural doctors. Future primary care workforce policies need to place a greater focus on rural communities that, for a variety of reasons, may be less attractive to doctors looking to begin or remain working there.
[Mh] Termos MeSH primário: Recursos Humanos em Saúde/organização & administração
Médicos de Atenção Primária/provisão & distribuição
Atenção Primária à Saúde/organização & administração
Distribuição Espacial da População/estatística & dados numéricos
Serviços de Saúde Rural/recursos humanos
[Mh] Termos MeSH secundário: Austrália
Meio Ambiente
Acesso aos Serviços de Saúde
Seres Humanos
Isolamento Social
Fatores Socioeconômicos
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE
[do] DOI:10.22605/RRH3925


  2 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29359904
[Au] Autor:Lee A; Berry MD; Thomson Reuters Accelus.
[Ti] Título:Healthcare Workforce.
[So] Source:Issue Brief Health Policy Track Serv;2017:[1-59], 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Recursos Humanos em Saúde/legislação & jurisprudência
Recursos Humanos em Saúde/estatística & dados numéricos
[Mh] Termos MeSH secundário: Conflito de Interesses
Consciência
Odontólogos/provisão & distribuição
Educação em Enfermagem
Serviços de Assistência Domiciliar/recursos humanos
Seres Humanos
Licenciamento
Profissionais de Enfermagem
Enfermagem/recursos humanos
Admissão e Escalonamento de Pessoal
Assistentes Médicos
Médicos/provisão & distribuição
Atenção Primária à Saúde/recursos humanos
Salários e Benefícios
Governo Estadual
Telemedicina
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180219
[Lr] Data última revisão:
180219
[Sb] Subgrupo de revista:T
[Da] Data de entrada para processamento:180124
[St] Status:MEDLINE


  3 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:29351311
[Au] Autor:Ngcobo S; Wolvaardt JE; Bac M; Webb E
[Ad] Endereço:School of Health Systems and Public Health, Faculty of Health Sciences, University of Pretoria, Pretoria, South Africa.
[Ti] Título:The quality of voluntary medical male circumcision done by mid-level workers in Tshwane District, South Africa: A retrospective analysis.
[So] Source:PLoS One;13(1):e0190795, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Voluntary medical male circumcision (VMMC) reduces the acquisition of human immunodeficiency virus (HIV) in heterosexual men by up to 60%. One HIV infection is averted for every 5 to 15 VMMCs. To conduct VMMCs in large populations, large numbers of trained healthcare professionals are needed. Countries in Sub-Saharan Africa have a high burden of HIV and a shortage of healthcare professionals, creating a healthcare conundrum. To bridge this gap, South Africa launched a new cadre of mid-level medical worker called Clinical Associates (CA). We assessed the ability of CAs to perform circumcisions of adequate quality and their subsequent usefulness to meet the demands of VMMCs in a population with a high HIV burden. METHODS: We conducted a retrospective analysis, reviewing patient files (n = 4850) of surgical VMMCs conducted over a 16-month period. Patient files were sourced from clinics and hospitals that provided free VMMCs in Tshwane district in South Africa. FINDINGS: Clinical associates performed 88.66% of the circumcisions and doctors performed the remaining 11.34% (p < 0.001). The number of adverse events did not differ between the two groups. Data on intra-operative adverse events were available for 4 738 patients. Of these, 341 (7.2%) experienced intra-operative adverse events. For the whole sample, 44 (8.1%, n = 543) adverse events occurred during circumcisions done by doctors and 297 (7.1%, n = 4195) occurred during circumcisions done by CAs (p = 0.385). Clinical associates performed circumcisions in shorter times (duration: 14.63 minutes) compared to doctors (duration: 15.25 minutes, t = -7.46; p < 0.001). Recorded pain, bleeding, swelling, infection and wound destruction did not differ between clients circumcised by CAs and doctors. This study is limited by the use of data from a single district. CONCLUSIONS: Clinical associates contribute to the demands for high numbers of VMMCs in Tshwane district, South Africa. Clinical associates perform VMMCs at a clinical standard that is comparable to circumcisions performed by doctors.
[Mh] Termos MeSH primário: Circuncisão Masculina/normas
Pessoal de Saúde
[Mh] Termos MeSH secundário: Adolescente
Circuncisão Masculina/efeitos adversos
Circuncisão Masculina/educação
Infecções por HIV/prevenção & controle
Recursos Humanos em Saúde
Pessoal de Saúde/educação
Pessoal de Saúde/normas
Recursos em Saúde
Seres Humanos
Masculino
Médicos
Qualidade da Assistência à Saúde
Estudos Retrospectivos
Comportamento de Redução do Risco
África do Sul
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180205
[Lr] Data última revisão:
180205
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180120
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190795


  4 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28450030
[Au] Autor:Adams LT; Campbell J; Deming K
[Ad] Endereço:College of Health Sciences, West Chester University, Philadelphia, PA. Electronic address: ladams@wcupa.edu.
[Ti] Título:Diversity: A key aspect of 21st century faculty roles as implemented in the Robert Wood Johnson Foundation Nurse Faculty Scholars program.
[So] Source:Nurs Outlook;65(3):267-277, 2017 May - Jun.
[Is] ISSN:1528-3968
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Academic nursing faculty play a vital role in recruiting a diverse student body to increase the diversity of the profession and educate students to provide culturally sensitive care to expand equitable health care. PURPOSE: The purpose of the study is to present the Robert Wood Johnson Foundation Nurse Faculty Scholars program diversity initiatives and outcomes. METHODS: Data on the diversity of the 90 scholars and their diversity-related leadership positions were compiled. DISCUSSION: Although the program was designed with selection criteria to encourage racial/ethnic and gender diversity, it was not until a diversity strategic plan was designed and implemented that sufficient diversity in the applicant pool and consistent diversity among the scholars was achieved. The program also included highly evaluated leadership content in diversity and inclusion. CONCLUSIONS: Lessons learned from the program are important for the assurance of continued diversity among tenure-track nursing faculty, commitment to diversity in the nursing workforce among all faculty, and support in nursing education on providing culturally sensitive nursing care and nursing research that addresses health inequities.
[Mh] Termos MeSH primário: Diversidade Cultural
Currículo
Docentes de Enfermagem/educação
Fundações/organização & administração
Recursos Humanos em Saúde/estatística & dados numéricos
Recursos Humanos em Saúde/tendências
Liderança
[Mh] Termos MeSH secundário: Adulto
Idoso
Feminino
Previsões
Seres Humanos
Masculino
Meia-Idade
Avaliação de Programas e Projetos de Saúde
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:180126
[Lr] Data última revisão:
180126
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE


  5 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:29202251
[Au] Autor:Ashbolt M; Corke C; Venkatesh B
[Ad] Endereço:Royal Hobart Hospital, Hobart, TAS, Australia. bvenkatesh@georgeinstitute.org.au.
[Ti] Título:Determining the optimum capacity to train: a challenge for the College of Intensive Care Medicine of Australia and New Zealand.
[So] Source:Crit Care Resusc;19(4):283-284, 2017 12.
[Is] ISSN:1441-2772
[Cp] País de publicação:Australia
[La] Idioma:eng
[Mh] Termos MeSH primário: Cuidados Críticos
Educação de Pós-Graduação em Medicina
[Mh] Termos MeSH secundário: Austrália
Cuidados Críticos/recursos humanos
Currículo
Bolsas de Estudo
Recursos Humanos em Saúde/tendências
Seres Humanos
Nova Zelândia
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1801
[Cu] Atualização por classe:180104
[Lr] Data última revisão:
180104
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171205
[St] Status:MEDLINE


  6 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:27778076
[Au] Autor:Chichom-Mefire A; Mbome Njie V; Verla V; Atashili J
[Ad] Endereço:Faculty of Health Sciences, University of Buea, Buea, Cameroon. chichomefire@gmail.com.
[Ti] Título:A Retrospective One-Year Estimation of the Volume and Nature of Surgical and Anaesthetic Services Delivered to the Populations of the Fako Division of the South-West Region of Cameroon: An Urgent Call for Action.
[So] Source:World J Surg;41(3):660-671, 2017 03.
[Is] ISSN:1432-2323
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Surgery-related conditions account for the majority of admissions in primary referral hospitals in Sub-Saharan Africa. The role of surgery in the reduction of global disease burden is well recognized, but there is a great qualitative and quantitative disparity in the delivery of surgical and anaesthetic services between countries. This study aims at estimating the nature and volume of surgery delivered in an entire administrative division of Cameroon. METHODS: In this retrospective survey conducted during the year 2013, we used a standard tool to analyse the infrastructure and human resources involved in the delivery of surgical and anaesthetic services in the Fako division in the south-west region of Cameroon. We also estimated the nature and volume of surgical services as a rate per catchment population. RESULTS: Public, private and mission hospital contributed equally to the delivery of surgical services in the Fako. For every 100,000 people, there were <5 operative rooms. A total of 2460 surgical interventions were performed by 2.2 surgeons, 1.1 gynaecologists and 0.3 anaesthetists. These surgical interventions consisted mostly of minor and emergency procedures. Neurosurgery, paediatric, thoracic and endocrine surgery were almost non-existent. CONCLUSIONS: The volume of surgery delivered in the Fako is far below the minimum rates required to meet up with the most basic requirements of the populations. It is likely that most of these surgical needs are left unattended. A community-based assessment of unmet surgical needs is necessary to accurately estimate the magnitude of the problem and guide surgical capacity improvements.
[Mh] Termos MeSH primário: Recursos Humanos em Saúde/estatística & dados numéricos
Procedimentos Cirúrgicos Operatórios/estatística & dados numéricos
[Mh] Termos MeSH secundário: Camarões
Pesquisas sobre Serviços de Saúde
Hospitais/estatística & dados numéricos
Seres Humanos
Salas Cirúrgicas/estatística & dados numéricos
Admissão do Paciente/estatística & dados numéricos
Estudos Retrospectivos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171208
[Lr] Data última revisão:
171208
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE
[do] DOI:10.1007/s00268-016-3775-8


  7 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
[PMID]:28463393
[Au] Autor:Borggren J
[Ti] Título:Ny teknik är svaret på arbetskraftsbrist inom vården..
[So] Source:Lakartidningen;114, 2017 Apr 27.
[Is] ISSN:1652-7518
[Cp] País de publicação:Sweden
[La] Idioma:swe
[Mh] Termos MeSH primário: Tecnologia Biomédica
Recursos Humanos em Saúde
[Mh] Termos MeSH secundário: Automação
Seres Humanos
[Pt] Tipo de publicação:LETTER
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170503
[St] Status:MEDLINE


  8 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28450462
[Au] Autor:Rimmer A
[Ad] Endereço:BMJ Careers.
[Ti] Título:Increase paediatric trainee numbers to meet workforce shortfall, says Royal College.
[So] Source:BMJ;357:j2075, 2017 04 27.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Recursos Humanos em Saúde/estatística & dados numéricos
Pediatria/educação
Pediatria/recursos humanos
Apoio ao Desenvolvimento de Recursos Humanos/legislação & jurisprudência
[Mh] Termos MeSH secundário: Criança
Serviços de Saúde da Criança/recursos humanos
Serviços de Saúde da Criança/normas
Seres Humanos
Medicina/estatística & dados numéricos
Pediatria/estatística & dados numéricos
Reino Unido
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171128
[Lr] Data última revisão:
171128
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j2075


  9 / 11989 MEDLINE  
              first record previous record next record last record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28837462
[Au] Autor:Kennedy MS
[Ad] Endereço:AJN Editor-in-Chief E-mail: shawn.kennedy@wolterskluwer.com.
[Ti] Título:Welcoming the Class of 2021: Prepare for Uncharted Waters.
[So] Source:Am J Nurs;117(9):7, 2017 Sep.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:By the time they graduate, nursing roles and settings may be vastly different.
[Mh] Termos MeSH primário: Educação em Enfermagem
Enfermagem/tendências
[Mh] Termos MeSH secundário: Recursos Humanos em Saúde
Seres Humanos
[Pt] Tipo de publicação:EDITORIAL
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170830
[Lr] Data última revisão:
170830
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:170825
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000524521.34803.d3


  10 / 11989 MEDLINE  
              first record previous record
seleciona
para imprimir
Fotocópia
Texto completo
[PMID]:28800618
[Au] Autor:Alameddine M; Chamoun N; Btaiche R; El Arnaout N; Richa N; Samaha-Nuwayhid H
[Ad] Endereço:Department of Health Management and Policy, Faculty of Health Sciences, American University of Beirut, Beirut, Lebanon.
[Ti] Título:The workforce trends of nurses in Lebanon (2009-2014): A registration database analysis.
[So] Source:PLoS One;12(8):e0182312, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Analysis of the nursing registration databases is a highly informative approach that provides accurate and reliable information supporting evidence based decisions relevant to the nursing workforce planning, management and development. This study presents the first systematic analysis of the nursing registration database in Lebanon. It Reports on the workforce distribution and trends using an updated version of the Order of Nurses in Lebanon (ONL) databases. METHODS: This study presents a secondary data analysis of a de-identified subset of the updated ONL registration database. The workforce participation status of ONL registered nurses was categorized as active and eligible. For active nurses sectors and sub-sectors of employment were defined. Eligible nurses were categorized as unemployed, working outside nursing and working abroad. SPSS was used to conduct descriptive analysis to present workforce trends of Lebanese nurses for year 2009-2014 as frequencies, percentages and percentage changes. RESULTS: Increases in the size of the Active (35%) and Eligible (86%) nurses were observed over the past six years. The majority of nurses fell in the below 35 years age group (60% in 2014). The hospital sector remained the principle employer, with 87% of Lebanese nurses working in hospitals in 2014. A 173% increases was reported for nurses working abroad. DISCUSSION: Despite the growth of the Active nursing workforce, the skewed distribution of nurses in the below 35 age group and the growth in the Eligible category, especially for nurses living abroad, raise concerns on the longevity of nurses in the profession and the reasons for their attrition from the workforce. CONCLUSION: There is a need to investigate the push and pull factors that are affecting nurses and the design of policies and interventions that would encourage nurses to remain active in Lebanon. Furthermore, policies and interventions that would create employment opportunities outside hospitals, especially in the Community sector, are recommended.
[Mh] Termos MeSH primário: Bases de Dados como Assunto
Recursos Humanos em Saúde/estatística & dados numéricos
Enfermeiras e Enfermeiros/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adulto
Emprego
Seres Humanos
Líbano
Meia-Idade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171009
[Lr] Data última revisão:
171009
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170812
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182312



página 1 de 1199 ir para página                         
   


Refinar a pesquisa
  Base de dados : MEDLINE Formulário avançado   

    Pesquisar no campo  
1  
2
3
 
           



Search engine: iAH v2.6 powered by WWWISIS

BIREME/OPAS/OMS - Centro Latino-Americano e do Caribe de Informação em Ciências da Saúde