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Pesquisa : N02.421.314 [Categoria DeCS]
Referências encontradas : 53 [refinar]
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[PMID]:28686096
[Au] Autor:Davies DHJ
[Ad] Endereço:Specialist in Special Care Dentistry, Abertawe Bro Morgannwg University Health Board, Community Dental Service.
[Ti] Título:The Community Dental Service in Abertawe Bro Morgannwg University Health Board.
[So] Source:Br J Community Nurs;22(7):318-320, 2017 Jul 02.
[Is] ISSN:1462-4753
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/organização & administração
Serviços de Saúde Bucal/organização & administração
Serviços de Saúde para Pessoas com Deficiência
[Mh] Termos MeSH secundário: Promoção da Saúde
Seres Humanos
Competência Mental
Saúde Bucal
Encaminhamento e Consulta
País de Gales
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.12968/bjcn.2017.22.7.318


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[PMID]:28256017
[Au] Autor:Koritsas S; Hagiliassis N; Cuzzillo C
[Ad] Endereço:Scope Australia, Melbourne, Victoria, Australia.
[Ti] Título:The Outcomes and Impact Scale - Revised: the psychometric properties of a scale assessing the impact of service provision.
[So] Source:J Intellect Disabil Res;61(5):450-460, 2017 May.
[Is] ISSN:1365-2788
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: The Outcomes and Impact Scale - Revised (O&IS-R) was developed to measure the impact of service provision on adults with disability. The aim of this research was to explore the psychometric properties of the scale following a recent revision. METHOD: Adults with disability and/or their carers or support workers participated in the research. Participants were recruited across Australia using a range of strategies and completed the scale in relation to a service or support that they nominated. Two forms of the scale were developed (easy and standard English), which could be completed in hardcopy or via a bespoke website. RESULTS: The O&IS-R demonstrated good internal consistency and alternate form reliability. Factor analysis of the scale revealed one factor that clearly corresponded to the whole of life construct that the scale was designed to measure and, in general, participants with disability and staff understood the intent or purpose of the survey. All domains except the spiritual and political domain were considered to be relevant service outcomes. Some changes to wording were suggested to improve clarity. CONCLUSIONS: The O&IS-R is a psychometrically sound scale that can be used in service and research settings to measure the impact of services and supports.
[Mh] Termos MeSH primário: Pessoas com Deficiência/estatística & dados numéricos
Serviços de Saúde para Pessoas com Deficiência/estatística & dados numéricos
Serviços de Saúde para Pessoas com Deficiência/normas
Avaliação de Resultados (Cuidados de Saúde)/métodos
Psicometria/instrumentação
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Austrália
Feminino
Seres Humanos
Masculino
Meia-Idade
Avaliação de Resultados (Cuidados de Saúde)/normas
Reprodutibilidade dos Testes
Inquéritos e Questionários/normas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170731
[Lr] Data última revisão:
170731
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170304
[St] Status:MEDLINE
[do] DOI:10.1111/jir.12366


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[PMID]:28185857
[Au] Autor:Iezzoni LI; Marsella SA; Lopinsky T; Heaphy D; Warsett KS
[Ad] Endereço:Mongan Institute Health Policy Center, Massachusetts General Hospital, Boston, MA, USA; Department of Medicine, Harvard Medical School, Boston, MA, USA. Electronic address: liezzoni@mgh.harvard.edu.
[Ti] Título:Do prominent quality measurement surveys capture the concerns of persons with disability?
[So] Source:Disabil Health J;10(2):222-230, 2017 Apr.
[Is] ISSN:1876-7583
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Demonstration programs nationwide aim to control costs and improve care for people dually-eligible for Medicare and Medicaid, including many persons with disability. Ensuring these initiatives maintain or improve care quality requires comprehensive evaluation of quality of care. OBJECTIVES: To examine whether the common quality measures being used to evaluate the Massachusetts One Care duals demonstration program comprehensively address the concerns of persons with disability. METHODS: Drawing upon existing conceptual frameworks, we developed a model of interrelationships of personal, health care, and environmental factors for achieving wellness for persons with disability. Based on this model, we specified a scheme to code individual quality measurement items and coded the items contained in 12 measures being used to assess Massachusetts One Care, which exclusively enrolls non-elderly adults with disability. RESULTS: Across these 12 measures, we assigned 376 codes to 302 items; some items received two codes. Taken together, the 12 measures contain items addressing most factors in our conceptual model that affect health care quality for persons with disability, including long-term services and supports. Some important gaps exist. No items examine sexual or reproductive health care, peer support, housing security, disability stigmatization, and specific services obtained outside the home like adult day care. Certain key concepts are covered only by a single or several of the 12 quality measures. CONCLUSIONS: Common quality metrics cover most - although not all-health care quality concerns of persons with disability. However, multiple different quality measures are required for this comprehensive coverage, raising questions about respondent burden.
[Mh] Termos MeSH primário: Pessoas com Deficiência
Pesquisas sobre Serviços de Saúde/normas
Serviços de Saúde para Pessoas com Deficiência
Avaliação de Programas e Projetos de Saúde
Indicadores de Qualidade em Assistência à Saúde
Qualidade da Assistência à Saúde
Qualidade de Vida
[Mh] Termos MeSH secundário: Adulto
Programas Governamentais
Saúde
Seres Humanos
Massachusetts
Medicaid
Medicare
Modelos Teóricos
Avaliação de Programas e Projetos de Saúde/normas
Melhoria de Qualidade
Estados Unidos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170211
[St] Status:MEDLINE


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[PMID]:28114960
[Au] Autor:Jesus TS; Landry MD; Dussault G; Fronteira I
[Ad] Endereço:Portuguese Ministry of Education, Aggregation of Schools of Escariz, 4540-320, Escariz, Portugal. jesus-ts@outlook.com.
[Ti] Título:Human resources for health (and rehabilitation): Six Rehab-Workforce Challenges for the century.
[So] Source:Hum Resour Health;15(1):8, 2017 Jan 23.
[Is] ISSN:1478-4491
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: People with disabilities face challenges accessing basic rehabilitation health care. In 2006, the United Nations Convention on the Rights of Persons with Disabilities (CRPD) outlined the global necessity to meet the rehabilitation needs of people with disabilities, but this goal is often challenged by the undersupply and inequitable distribution of rehabilitation workers. While the aggregate study and monitoring of the physical rehabilitation workforce has been mostly ignored by researchers or policy-makers, this paper aims to present the 'challenges and opportunities' for guiding further long-term research and policies on developing the relatively neglected, highly heterogeneous physical rehabilitation workforce. METHODS: The challenges were identified through a two-phased investigation. Phase 1: critical review of the rehabilitation workforce literature, organized by the availability, accessibility, acceptability and quality (AAAQ) framework. Phase 2: integrate reviewed data into a SWOT framework to identify the strengths and opportunities to be maximized and the weaknesses and threats to be overcome. RESULTS: The critical review and SWOT analysis have identified the following global situation: (i) needs-based shortages and lack of access to rehabilitation workers, particularly in lower income countries and in rural/remote areas; (ii) deficiencies in the data sources and monitoring structures; and (iii) few exemplary innovations, of both national and international scope, that may help reduce supply-side shortages in underserved areas. DISCUSSION: Based on the results, we have prioritized the following 'Six Rehab-Workforce Challenges': (1) monitoring supply requirements: accounting for rehabilitation needs and demand; (2) supply data sources: the need for structural improvements; (3) ensuring the study of a whole rehabilitation workforce (i.e. not focused on single professions), including across service levels; (4) staffing underserved locations: the rising of education, attractiveness and tele-service; (5) adapt policy options to different contexts (e.g. rural vs urban), even within a country; and (6) develop international solutions, within an interdependent world. CONCLUSIONS: Concrete examples of feasible local, global and research action toward meeting the Six Rehab-Workforce Challenges are provided. Altogether, these may help advance a policy and research agenda for ensuring that an adequate rehabilitation workforce can meet the current and future rehabilitation health needs.
[Mh] Termos MeSH primário: Pessoas com Deficiência/reabilitação
Saúde Global
Equidade em Saúde
Pessoal de Saúde
Serviços de Saúde para Pessoas com Deficiência/recursos humanos
Área Carente de Assistência Médica
População Rural
[Mh] Termos MeSH secundário: Países em Desenvolvimento
Política de Saúde
Necessidades e Demandas de Serviços de Saúde
Serviços de Saúde para Pessoas com Deficiência/organização & administração
Seres Humanos
Cooperação Internacional
Terapeutas Ocupacionais/provisão & distribuição
Fisioterapeutas/provisão & distribuição
Políticas
Pobreza
Serviços de Saúde Rural
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170919
[Lr] Data última revisão:
170919
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170125
[St] Status:MEDLINE
[do] DOI:10.1186/s12960-017-0182-7


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[PMID]:28108154
[Au] Autor:Iezzoni LI; Matulewicz H; Marsella SA; Warsett KS; Heaphy D; Donelan K
[Ad] Endereço:Mongan Institute Health Policy Center, Massachusetts General Hospital, Boston, MA, United States; Department of Medicine, Harvard Medical School, Boston, MA, United States. Electronic address: liezzoni@mgh.harvard.edu.
[Ti] Título:Collaborative design of a health care experience survey for persons with disability.
[So] Source:Disabil Health J;10(2):231-239, 2017 Apr.
[Is] ISSN:1876-7583
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: When assessing results of health care delivery system reforms targeting persons with disability, quality metrics must reflect the experiences and perspectives of this population. OBJECTIVE: For persons with disability and researchers to develop collaboratively a survey that addresses critical quality questions about a new Massachusetts health care program for persons with disability dually-eligible for Medicare and Medicaid. METHODS: Persons with significant physical disability or serious mental health diagnoses participated fully in all research activities, including co-directing the study, co-moderating focus groups, performing qualitative analyses, specifying survey topics, cognitive interviewing, and refining survey language. Several sources informed survey development, including key informant interviews, focus groups, and cognitive testing. RESULTS: We interviewed 18 key informants from key stakeholder groups, including disability advocates, health care providers, and governmental agencies. We conducted 12 total English- and Spanish-language focus groups involving 87 participants (38 with physical disability, 49 with mental health diagnoses). Although some details differed, focus group findings were similar across the two disability groups. Analyses by collaborators with disability identified 29 questions for persons with physical disability and 38 for persons with mental health diagnoses. After cognitive testing, the final survey includes questions on topics ranging from independent living principles to health care delivery system concerns. CONCLUSIONS: The Persons with Disabilities Quality Survey (PDQ-S) captures specific quality concerns of Massachusetts residents with physical or mental health disability about an integrated health plan. PDQ-S requires further testing elsewhere to determine its value for quality assessment more generally and to other populations with disability.
[Mh] Termos MeSH primário: Participação da Comunidade
Pessoas com Deficiência
Pesquisas sobre Serviços de Saúde
Serviços de Saúde para Pessoas com Deficiência
Transtornos Mentais
Avaliação de Programas e Projetos de Saúde
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Assistência à Saúde
Grupos Focais
Programas Governamentais
Seres Humanos
Massachusetts
Medicaid
Medicare
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170914
[Lr] Data última revisão:
170914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170122
[St] Status:MEDLINE


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[PMID]:27769758
[Au] Autor:Lindsay S; McAdam L; Mahendiran T
[Ad] Endereço:Bloorview Research Institute, Holland Bloorview Kids Rehabilitation Hospital, Canada; Department of Occupational Science & Occupational Therapy, University of Toronto, Canada. Electronic address: slindsay@hollandbloorview.ca.
[Ti] Título:Enablers and barriers of men with Duchenne muscular dystrophy transitioning from an adult clinic within a pediatric hospital.
[So] Source:Disabil Health J;10(1):73-79, 2017 Jan.
[Is] ISSN:1876-7583
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Young men with Duchenne muscular dystrophy (DMD) live into adulthood and need specialized care. However, services for adults are fragmented. We know little about young men's experiences, their parents, and clinicians who support them as they transition to adult care. OBJECTIVE: To explore the enablers and barriers of clinicians, young men, and parents as they transition from an adult DMD clinic within a pediatric hospital to an adult health facility. METHODS: We conducted semi-structured, in-depth interviews with 16 participants (7 clinicians, 5 parents, 4 youth). We used an open-coding, thematic approach to analyze the data. RESULTS: Clinicians, youth and their parents experienced several enablers and barriers in transitioning to an adult health care center. Clinicians reported that structural factors including leadership and advocacy supported the transition. Clinicians and parents found that the availability and continuity of care both enabled and hindered the transition. Parents and youth conveyed the difficulties of adjusting to the different model of adult care and also accessing resources. All participants described how relational factors (i.e., effective communication and family involvement) enabled the transition. On an individual level, clinicians, parents and youth viewed transition readiness and other life skill supports as an enabler and a barrier to transitioning. All participants reported the difficulties of maintaining mental health for youth with DMD transitioning to adult health care. CONCLUSIONS: Clinicians, youth, and parents experienced several enablers and barriers in transitioning to adult health care. Further work is needed to understand the complex transition needs of youth with DMD.
[Mh] Termos MeSH primário: Instituições de Assistência Ambulatorial
Atitude
Pessoas com Deficiência
Serviços de Saúde para Pessoas com Deficiência
Hospitais Pediátricos
Distrofia Muscular de Duchenne
Transição para Assistência do Adulto
[Mh] Termos MeSH secundário: Adulto
Comunicação
Pesquisas sobre Serviços de Saúde
Pessoal de Saúde
Seres Humanos
Masculino
Saúde Mental
Pais
Participação do Paciente
Pesquisa Qualitativa
Fatores Sexuais
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161023
[St] Status:MEDLINE


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[PMID]:27746151
[Au] Autor:Bennett KJ; McDermott S; Mann JR; Hardin J
[Ad] Endereço:University of South Carolina, School of Medicine, Department of Family & Preventive Medicine, Columbia SC, USA. Electronic address: kevin.bennett@sc.edu.
[Ti] Título:Receipt of recommended services among patients with selected disabling conditions and diabetes.
[So] Source:Disabil Health J;10(1):58-64, 2017 Jan.
[Is] ISSN:1876-7583
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Receiving recommended services for patients with diabetes is associated with improved outcomes and reduced morbidity. People with diabetes who also have a condition associated with disability represent one group that is at risk for health disparities. OBJECTIVE: To examine service utilization among persons with selected disabling conditions and diabetes, compared to those without. METHODS: 2007-2012 Medical Expenditure Panel Survey Full-Year Consolidated files, medical conditions files, and the 1996-2012 pooled linkage files were merged for this analysis. This analysis focused on five selected conditions that are associated with disability: Visual impairment and blindness, spinal cord injury, intellectual disability, multiple sclerosis, and muscular dystrophy. Unadjusted and adjusted rates of receipt estimated using various multivariable regression techniques. RESULTS: The proportion with diabetes was higher among those with a selected condition (12.1%) than without (7.1%). Respondents with a selected condition were more likely to have a foot exam; for all other services, the rate of receipt across the two groups was similar. Controlling for other factors, having a selected condition was only a significant factor for foot exams (AOR 1.49, 1.07-2.07). Different factors, but not having a selected condition, were associated with the receipt of each additional service. CONCLUSIONS: In general, individuals received the full complement of recommended diabetes management services at a low rate, whether or not they had one of the selected disabling conditions. The comparison results indicated few disparities in diabetes management services among those with selected conditions compared those without these conditions, excepting foot exams, which were more common in the group with a disabling condition.
[Mh] Termos MeSH primário: Complicações do Diabetes/prevenção & controle
Diabetes Mellitus/terapia
Pessoas com Deficiência
Acesso aos Serviços de Saúde
Serviços de Saúde
Disparidades em Assistência à Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Idoso de 80 Anos ou mais
Criança
Pré-Escolar
Comorbidade
Feminino

Serviços de Saúde para Pessoas com Deficiência
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Exame Físico
Inquéritos e Questionários
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161018
[St] Status:MEDLINE


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[PMID]:27431768
[Au] Autor:Betts AC; Froehlich-Grobe K
[Ad] Endereço:Baylor Institute for Rehabilitation, Dallas, TX, USA; Division of Health Promotion and Behavioral Sciences, University of Texas School of Public Health, Dallas Regional Campus, USA.
[Ti] Título:Accessible weight loss: Adapting a lifestyle intervention for adults with impaired mobility.
[So] Source:Disabil Health J;10(1):139-144, 2017 Jan.
[Is] ISSN:1876-7583
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Despite disparities in obesity between those with and without disability, there is limited evidence to guide weight loss intervention in people with impaired mobility (IM), particularly those with severe impairments. OBJECTIVE: Examine the usability, feasibility, and effectiveness of adapting an existing evidence-based weight loss program for people with IM. METHODS: In this single-group pre-test post-test pilot study, 10 overweight or obese individuals with permanent IM (e.g. spinal cord injury, spina bifida, osteoarthritis) participated in a 20-week modification of the DPP Group Lifestyle Balance™ (DPP GLB) program, a group-based adaptation of the Diabetes Prevention Program (DPP). Fifteen conference calls encouraged reducing calorie and fat intake and increasing exercise through self-monitoring and problem solving. We defined feasibility as retention and engagement, usability as participants' program satisfaction ratings, and effectiveness as physiological and psychosocial change measured on three occasions over 20 weeks. Analytic methods included basic descriptive statistics (feasibility and usability) and repeated measures ANOVA (effectiveness). RESULTS: The program retained 70% of participants. These individuals attended an average of 79.3% of conference calls and self-monitored more than half of the weeks. Participants rated the program highly, with mean overall scores of 6.3 ± 0.3 and 6.2 ± 0.6 out of 7 on helpfulness and satisfaction scales, respectively. Program completers experienced a significant mean weight loss of 8.86 ± 8.37 kg (p = 0.024), or 7.4% of their start weight, and significantly reduced their BMI. CONCLUSIONS: An adapted version of the DPP GLB is a feasible, usable, and potentially effective intervention for promoting weight loss among persons with IM.
[Mh] Termos MeSH primário: Pessoas com Deficiência
Serviços de Saúde para Pessoas com Deficiência
Estilo de Vida
Limitação da Mobilidade
Obesidade/terapia
Perda de Peso
Programas de Redução de Peso
[Mh] Termos MeSH secundário: Adulto
Análise de Variância
Índice de Massa Corporal
Diabetes Mellitus/prevenção & controle
Dieta
Exercício
Comportamento Alimentar
Feminino
Seres Humanos
Masculino
Meia-Idade
Pacientes Desistentes do Tratamento
Satisfação do Paciente
Projetos Piloto
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160720
[St] Status:MEDLINE


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[PMID]:27830693
[Au] Autor:Capó-Juan MÁ; Fiol-Delgado RM; Alzamora-Perelló MM; Bosch-Gutiérrez M; Serna-López L; Bennasar-Veny M; Aguiló-Pons A; De Pedro-Gómez JE
[Ad] Endereço:Centro Base de Personas con Discapacidad. Servicio de Promoción de la Autonomía Personal de Palma de Mallorca. Dirección General de Dependencia. Consejería de Servicios Sociales y Cooperación. Gobierno de las Islas Baleares. Palma de Mallorca. España.miguelcapo@dgad.caib.es.
[Ti] Título:[Satisfaction of Users with Spinal Cord Injury in relation to the Service of Promotion of Personal Autonomy of the Balearic Islands, Spain].
[Ti] Título:Satisfacción de las personas con lesión medular con el Servicio de Promoción de la Autonomía Personal en las Islas Baleares..
[So] Source:Rev Esp Salud Publica;90:e1-e8, 2016 Nov 10.
[Is] ISSN:2173-9110
[Cp] País de publicação:Spain
[La] Idioma:spa
[Ab] Resumo:BACKGROUND: Public Service Promotion of Personal Autonomy aims to provide care to users with severe physical and/or physical-mental disabilities, including people with spinal cord injury. These users are in a chronic phase and thus they require educational-therapeutic measures of physiotherapy. This study is meant to determine the satisfaction of people with spinal cord injury who attend this service. METHODS: A descriptive, cross-sectional, quantitative study in the Public Service Promotion of Personal Autonomy after a sixteen-month therapeutic monitoring process was carried out, which began in March 2015. The final study sample was 25 people with spinal cord injury (17 men and 8 women). At the end of therapeutic intervention, users responded to the SERVQHOS questionnaire, which consists in nineteen questions that aim to measure the quality of the care services provided. A statistical analysis was conducted, calculating averages and standard deviations or frecuencies and percentages. RESULTS: The best valued external factor was the staff appearance with 4,5 on average and the worst scored external factor was the ease of access and / or signposting of the center with 2,6 on average. On the other hand, the best valued internal factor was the kindness of the staff with 4,8 on average and the worst scored factor was the speed in which the users receive what they requested with 4,2 on average. CONCLUSIONS: We concluded that the quality offered is determined by internal factors (kindness, trust, willingness to help) and weaknesses are related to structural factors of the center (external factors).
[Mh] Termos MeSH primário: Serviços de Saúde para Pessoas com Deficiência
Satisfação do Paciente/estatística & dados numéricos
Autonomia Pessoal
Modalidades de Fisioterapia
Traumatismos da Medula Espinal/reabilitação
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Seres Humanos
Masculino
Meia-Idade
Espanha
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1705
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161111
[St] Status:MEDLINE


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[PMID]:27780029
[Au] Autor:Iezzoni LI
[Ad] Endereço:Professor of medicine at Harvard Medical School and director of the Mongan Institute Health Policy Center at Massachusetts General Hospital in Boston.
[Ti] Título:Why Increasing Numbers of Physicians with Disability Could Improve Care for Patients with Disability.
[So] Source:AMA J Ethics;18(10):1041-1049, 2016 Oct 01.
[Is] ISSN:2376-6980
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Erroneous assumptions among health care professionals about the daily lives, preferences, values, and expectations of persons with disability can contribute to documented health care disparities, faulty communication, and substandard quality of care affecting this heterogeneous population. Efforts to reduce racial and ethnic disparities have focused on expanding diversity in the physician workforce. Would expanding the numbers of physicians with disability benefit patients with disability? Increasing the number of physicians who identify as "disabled" is one strategy for proactively confronting disability-related barriers affecting patients, but such efforts will likely face substantial challenges. Nonetheless, physicians who require accommodations to practice (e.g., a height-adjustable examination table) could plausibly benefit patients needing similar accommodations and perhaps be well-positioned to provide patient-centered care to persons with comparable disability.
[Mh] Termos MeSH primário: Pessoas com Deficiência
Acesso aos Serviços de Saúde
Serviços de Saúde para Pessoas com Deficiência/normas
Relações Médico-Paciente
Médicos
Qualidade da Assistência à Saúde
[Mh] Termos MeSH secundário: Empatia
Disparidades em Assistência à Saúde
Seres Humanos
Assistência Centrada no Paciente
Melhoria de Qualidade
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:161026
[St] Status:MEDLINE



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