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[PMID]:29431322
[Au] Autor:Shinkaruk EV; Agbalyan EV
[Ti] Título:[Cytogenetic status of the residents of the Gydansky Peninsula (Gydan)].
[So] Source:Gig Sanit;95(9):865-8, 2016.
[Is] ISSN:0016-9900
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The relevance of the study on the Gydansky Peninsula lies in poor knowledge and inaccessibility of the territory, planned intensive industrial development of the Gydansky Peninsula, in 2011 there were received licenses for the exploration of license areas at the peninsula up to 2031. Industrial development will inevitably lead to certain environmental shifts, emission of the harmful substances into biosphere, the accumulation of anthropogenic pollutants in soil and water sources. The proposed development of the territory of the Peninsula Gydan sets the task of assessment of the impact of gas and oil production in conditions of the far North on health, as well indigenous persons as employees recruited to this of the region. One of the informative approaches to the assessment of population health is the assessment of the cytogenetic status with the use of noninvasive analysis of buccal epithelium. The aim of the study is to determine the cytogenetic status of the inhabitants of the village of Antipayuta of the Yamal-Nenets Autonomous Okrug for the assessment of the impact of environmental factors on the health of the population at the present stage of the industrial development of the territory. Samples of buccal epithelium of 81 alien and indigenous people of the Yamal-Nenets Autonomous district were the object of the investigation. There was performed the analysis of indices of cells of buccal epithelium of the residents living in the village in comparison with the control group. The analysis of samples was performed on a Nikon Eclipse E100 microscope. For the assessment of the cytogenetic status of the individual there was used the proposed by Sycheva L. P. (2012-Index of accumulation of cytogenetic damages (Iac). It is shown that the frequency of occurrence of micronucleus and nuclear protrusions does not exceed the performance of the control group. The index of accumulation of cytogenetic damage for the population of the village is 0.78±0.07% and corresponds to a low level. The analysis of indices of buccal epithelial cells of residents living in rural areas was performed in the comparison with the control group The prevalence rate of cells with micronuclei and protrusions were shown to account of 14.6% andfail to exceed indices in the control group. Accumulation index of cytogenetic damages for the village population is 0.78 ± 0.07 % and corresponds to the low level. The amount of cells with micronuclei and protrusions in the current study is by 14.6% lower than the average of the control group. The intensity of proliferative processes and apoptosis in the comparison groups occurs evenly.
[Mh] Termos MeSH primário: Análise Citogenética
Exposição Ambiental
Desenvolvimento Industrial/tendências
Saúde Pública
Regionalização/organização & administração
[Mh] Termos MeSH secundário: Regiões Árticas/epidemiologia
Análise Citogenética/métodos
Análise Citogenética/estatística & dados numéricos
Exposição Ambiental/análise
Exposição Ambiental/prevenção & controle
Exposição Ambiental/normas
Implementação de Plano de Saúde/métodos
Implementação de Plano de Saúde/tendências
Seres Humanos
Saúde da População/estatística & dados numéricos
Saúde Pública/normas
Saúde Pública/tendências
Federação Russa/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180213
[St] Status:MEDLINE


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[PMID]:28452044
[Au] Autor:Luckmann R; White MJ; Costanza ME; Frisard CF; Cranos C; Sama S; Yood R
[Ad] Endereço:Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lave Ave. N, Worcester, MA, 01655, USA. LuckmanR@ummhc.org.
[Ti] Título:Implementation and process evaluation of three interventions to promote screening mammograms delivered for 4 years in a large primary care population.
[So] Source:Transl Behav Med;7(3):547-556, 2017 Sep.
[Is] ISSN:1613-9860
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The optimal form of outreach to promote repeated, on time screening mammograms in primary care has not been established. The purpose of this study is to assess the implementation process and process outcomes for three interventions for promoting biannual screening mammography in a randomized trial. In a large urban primary care practice over a 4-year period, we randomized women aged 40-85 and eligible for mammograms to three interventions: reminder letter only (LO), reminder letter + reminder call (RC), and reminder letter + counseling call (CC). We tracked information system development, staff training, patient and provider recruitment, reach, dose delivered and received, fidelity, and context measures. Ninety-three of 95 providers approved participation by 80% (23,999) of age-eligible patients, of whom only 207 (0.9%) opted not to receive any intervention. Of 9161 initial reminder letters mailed to women coming due or overdue for mammograms, 0.8% were undeliverable. Of women in the RC and CC arms unresponsive to the first reminder letter (n = 3982), 71.4% were called and reached, and of those, 49.1% scheduled a mammogram. Only 33.4% of women reached in the CC arm received full counseling, and women in the CC arm were less likely to schedule a mammogram than those in the RC arm. Implementing mail and telephone mammography reminders is feasible and acceptable in a large urban practice and reaches a majority of patients. Many schedule a mammogram when reached. A reminder letter followed by a simple reminder call if needed may be the optimal approach to promoting screening mammograms.
[Mh] Termos MeSH primário: Aconselhamento
Detecção Precoce de Câncer/métodos
Promoção da Saúde/métodos
Mamografia
Atenção Primária à Saúde
Sistemas de Alerta
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama/diagnóstico por imagem
Neoplasias da Mama/prevenção & controle
Feminino
Implementação de Plano de Saúde
Política de Saúde
Seres Humanos
Meia-Idade
Atenção Primária à Saúde/métodos
Avaliação de Programas e Projetos de Saúde
Software
Telefone
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s13142-017-0497-x


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[PMID]:29461352
[Au] Autor:Omogbai T; Milner KA
[Ad] Endereço:Author Affiliations: Nurse Manager (Mr Omogbai), Hudson Valley Veteran Affairs Healthcare System, New York; Associate Professor (Dr Milner), College of Nursing, Sacred Heart University, Fairfield, Connecticut.
[Ti] Título:Implementation and Evaluation of Shared Medical Appointments in Veterans With Diabetes: A Quality Improvement Study.
[So] Source:J Nurs Adm;48(3):154-159, 2018 Mar.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: The aim of this study is to implement and evaluate shared medical appointments (SMA) in veterans with diabetes. BACKGROUND: Health systems are challenged to meet the complex care needs of veterans with diabetes. Use of SMA has resulted in significant improvements in A1c, blood pressure, and self-management skills in this population. METHODS: Shared medical appointments were implemented in a Veterans Administration Health System. A1c, blood pressure, total cholesterol, high-density lipoprotein, low-density lipoprotein, triglycerides, weight, and height were collected at baseline, 3 months, and 6 months; hospitalization anytime; and veteran satisfaction at baseline and 6 months. RESULTS: From October 15, 2015, to March 15, 2016, 30 male veterans with diabetes participated in monthly SMA. Outcome measures except for high-density lipoprotein improved significantly (P < .02) from baseline to 6 months. No veterans were hospitalized. Veteran satisfaction increased significantly (P < .001). CONCLUSION: Shared medical appointment can be a highly effective intervention for veterans with diabetes. Nursing leaders need to be at the forefront of implementing SMA for populations with chronic conditions.
[Mh] Termos MeSH primário: Agendamento de Consultas
Doenças Cardiovasculares/prevenção & controle
Diabetes Mellitus/terapia
Avaliação de Processos e Resultados (Cuidados de Saúde)/estatística & dados numéricos
Melhoria de Qualidade/organização & administração
Saúde dos Veteranos/estatística & dados numéricos
[Mh] Termos MeSH secundário: Doenças Cardiovasculares/diagnóstico
Doenças Cardiovasculares/epidemiologia
Comorbidade
Complicações do Diabetes/prevenção & controle
Complicações do Diabetes/terapia
Processos Grupais
Pesquisas sobre Serviços de Saúde
Implementação de Plano de Saúde
Seres Humanos
Masculino
Registros Médicos
New York
Estudos de Casos Organizacionais
Avaliação de Processos e Resultados (Cuidados de Saúde)/métodos
Avaliação de Programas e Projetos de Saúde
Melhoria de Qualidade/normas
Estudos Retrospectivos
[Pt] Tipo de publicação:EVALUATION STUDIES; JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180228
[Lr] Data última revisão:
180228
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:180221
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000590


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[PMID]:29211383
[Au] Autor:Hull NS; Schubert LC; Smith JP
[Ti] Título:Perspectives of key stakeholders and experts in infant feeding on the implementation of the Australian National Breastfeeding Strategy 2010-2015.
[So] Source:Breastfeed Rev;25(1):25-34, 2017 Mar.
[Is] ISSN:0729-2759
[Cp] País de publicação:Australia
[La] Idioma:eng
[Ab] Resumo:Breastfeeding is widely accepted as an important public health issue for babies and their mothers. Yet, despite this, Australia continues to struggle with reaching global targets for breastfeeding indicators. In 2007, the Best Start Parliamentary Inquiry Report was released and set the stage for the Australian National Breastfeeding Strategy [2010-2015), which was announced in November 2009, with the vision to increase Australia's breastfeeding rates of infants at 6 months of age and beyond. The aim of this research project was to explore the perspectives of key stakeholders in the field of infant feeding in Australia on the implementation of the strategy, barriers and enablers to its successful implementation and actions that were still needed. Using qualitative research methods of in-depth, semi-structured interviews and thematic analysis, this study identifies main themes of these perceptions about the strategy implementation and some recommendations for future strategies and further research. The main themes identified were initial opinions of the strategy as a blueprint for action, the strategy as a driver for action, lessons learned and recommendations for the future. For success in improving implementation of national breastfeeding strategies, it is recommended that Australia establish an independent breastfeeding/infant feeding committee, increase the political prioritisation of issues surrounding infant feeding and strengthen the regulation of the marketing of breastmilk substitutes.
[Mh] Termos MeSH primário: Aleitamento Materno/estatística & dados numéricos
Implementação de Plano de Saúde/organização & administração
Promoção da Saúde/organização & administração
Participação dos Interessados
[Mh] Termos MeSH secundário: Austrália
Feminino
Seres Humanos
Lactente
Recém-Nascido
Marketing de Serviços de Saúde/organização & administração
Atenção Primária à Saúde/organização & administração
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171227
[Lr] Data última revisão:
171227
[Sb] Subgrupo de revista:K
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE


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Texto completo SciELO Brasil
Texto completo SciELO Saúde Pública
[PMID]:29236876
[Au] Autor:O'Dwyer G; Konder MT; Reciputti LP; Lopes MGM; Agostinho DF; Alves GF
[Ad] Endereço:Fundação Oswaldo Cruz. Escola Nacional de Saúde Pública. Departamento de Administração e Planejamento em Saúde. Rio de Janeiro, RJ, Brasil.
[Ti] Título:The process of implementation of emergency care units in Brazil.
[So] Source:Rev Saude Publica;51:125, 2017 Dec 11.
[Is] ISSN:1518-8787
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Ab] Resumo:OBJECTIVE: To analyze the process of implementation of emergency care units in Brazil. METHODS: We have carried out a documentary analysis, with interviews with twenty-four state urgency coordinators and a panel of experts. We have analyzed issues related to policy background and trajectory, players involved in the implementation, expansion process, advances, limits, and implementation difficulties, and state coordination capacity. We have used the theoretical framework of the analysis of the strategic conduct of the Giddens theory of structuration. RESULTS: Emergency care units have been implemented after 2007, initially in the Southeast region, and 446 emergency care units were present in all Brazilian regions in 2016. Currently, 620 emergency care units are under construction, which indicates expectation of expansion. Federal funding was a strong driver for the implementation. The states have planned their emergency care units, but the existence of direct negotiation between municipalities and the Union has contributed with the significant number of emergency care units that have been built but that do not work. In relation to the urgency network, there is tension with the hospital because of the lack of beds in the country, which generates hospitalizations in the emergency care unit. The management of emergency care units is predominantly municipal, and most of the emergency care units are located outside the capitals and classified as Size III. The main challenges identified were: under-funding and difficulty in recruiting physicians. CONCLUSIONS: The emergency care unit has the merit of having technological resources and being architecturally differentiated, but it will only succeed within an urgency network. Federal induction has generated contradictory responses, since not all states consider the emergency care unit a priority. The strengthening of the state management has been identified as a challenge for the implementation of the urgency network.
[Mh] Termos MeSH primário: Serviços Médicos de Emergência/organização & administração
Implementação de Plano de Saúde/organização & administração
Política de Saúde
[Mh] Termos MeSH secundário: Ambulâncias/organização & administração
Brasil
Serviço Hospitalar de Emergência/organização & administração
Acesso aos Serviços de Saúde/organização & administração
Seres Humanos
Administração dos Cuidados ao Paciente/organização & administração
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:171220
[Lr] Data última revisão:
171220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171214
[St] Status:MEDLINE


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[PMID]:29065072
[Au] Autor:Carroll T; Tonges M; Ray J
[Ad] Endereço:Author Affiliations: Director (Ms Carroll), Inpatient Heart and Vascular Services; and Retired Senior Vice President and Chief Nursing Officer (Dr Tonges), University of North Carolina Hospitals, Chapel Hill; and Vice President Patient Care Services and Chief Nursing Officer (Mr Ray), UNC REX Healthcare, Raleigh, North Carolina.
[Ti] Título:Preparing for Electronic Medical Record Implementation: Carolina Care Communication in an Electronic Environment.
[So] Source:J Nurs Adm;47(11):558-564, 2017 Nov.
[Is] ISSN:1539-0721
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:This article describes 1 organization's successful approach to mitigating the potential negative effects of a new electronic medical record on patient experience. The Carolina Care model, developed at the University of North Carolina Hospitals to actualize caring theory in practice, helped to structure and greatly facilitate this work. Seven focus areas were integrated to create the "Communication in an Electronic Environment" program with a strong emphasis on nurse-patient communication.
[Mh] Termos MeSH primário: Registros Eletrônicos de Saúde/normas
Implementação de Plano de Saúde/normas
Relações Enfermeiro-Paciente
Recursos Humanos de Enfermagem no Hospital/educação
Satisfação do Paciente
[Mh] Termos MeSH secundário: Documentação/métodos
Documentação/normas
Registros Eletrônicos de Saúde/tendências
Implementação de Plano de Saúde/métodos
Seres Humanos
Modelos Organizacionais
North Carolina
Recursos Humanos de Enfermagem no Hospital/organização & administração
Recursos Humanos de Enfermagem no Hospital/normas
Estudos de Casos Organizacionais
[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:AIM; IM; N
[Da] Data de entrada para processamento:171025
[St] Status:MEDLINE
[do] DOI:10.1097/NNA.0000000000000543


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[PMID]:29016505
[Au] Autor:Bell AD; Joy S; Gullo S; Higgins R; Stevenson E
[Ad] Endereço:Carolinas HealthCare System, Charlotte, North Carolina; the Institute for Healthcare Improvement, Cambridge, Massachusetts; and Duke University School of Nursing, Durham, North Carolina.
[Ti] Título:Implementing a Systematic Approach to Reduce Cesarean Birth Rates in Nulliparous Women.
[So] Source:Obstet Gynecol;130(5):1082-1089, 2017 Nov.
[Is] ISSN:1873-233X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To implement a systematic approach to safely reduce nulliparous cesarean birth rates. METHODS: This is a quality improvement project at two rural community hospitals and one urban community hospital in North Carolina. These facilities implemented a systematic approach to reduce nulliparous cesarean birth rates, aligning with recommendations developed by the Council on Patient Safety in Women's Health Care: Patient Safety Bundle on the Safe Reduction of Primary Cesarean Births. Health care providers and nurses received education on contemporary labor management guidelines developed by the American College of Obstetricians and Gynecologists and the Society for Maternal-Fetal Medicine Obstetric Care Consensus regarding safe prevention of primary cesarean deliveries and nurses were instructed on labor support techniques. The preguideline implementation period was January 1, 2015, to June 30, 2015. The postguideline implementation period was July 1, 2016, to December 31, 2016. The primary outcome measured was the nulliparous, term, singleton, vertex cesarean birth rate. Secondary outcomes included maternal and neonatal outcomes. Standard statistical analysis was used and a P value of <.05 was considered significant. RESULTS: There were 434 women identified in the preguideline period and 401 women in the postguideline period. The nulliparous, term, singleton, vertex cesarean birth rate decreased from 27.9% to 19.7% [odds ratio (OR) 0.63, CI 0.46-0.88]. There were improvements in health care provider compliance with following the labor management guidelines from 86.2% to 91.5% (OR 1.73, 95% CI 1.11-2.70), the use of maternal position changes from 78.7% to 87.5% (OR 1.86, 95% CI 1.29-2.68), and use of the peanut birthing ball from 16.8% to 45.2% (OR 3.83, 95% CI 2.84-5.16) as provisions for labor support. DISCUSSION: Implementing a systematic approach for care of nulliparous women is associated with a decrease in term, singleton, vertex cesarean birth rates.
[Mh] Termos MeSH primário: Cesárea/normas
Parto Obstétrico/normas
Implementação de Plano de Saúde
Hospitais Comunitários/normas
Guias de Prática Clínica como Assunto
[Mh] Termos MeSH secundário: Adulto
Coeficiente de Natalidade
Feminino
Fidelidade a Diretrizes
Seres Humanos
North Carolina
Razão de Chances
Paridade
Gravidez
Nascimento a Termo
[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:AIM; IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1097/AOG.0000000000002263


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[PMID]:28984760
[Au] Autor:Gumede-Moyo S; Filteau S; Munthali T; Todd J; Musonda P
[Ad] Endereço:aDepartment of Population Health, Faculty of Epidemiology and Population Health, London School of Hygiene and Tropical Medicine, London, UK bSchool of Public Health, University of Zambia cMinistry of Health, Lusaka, Zambia.
[Ti] Título:Implementation effectiveness of revised (post-2010) World Health Organization guidelines on prevention of mother-to-child transmission of HIV using routinely collected data in sub-Saharan Africa: A systematic literature review.
[So] Source:Medicine (Baltimore);96(40):e8055, 2017 Oct.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: To synthesize and evaluate the impact of implementing post-2010 World Health Organization (WHO) prevention of mother-to-child transmission (PMTCT) guidelines on attainment of PMTCT targets. METHODS: Retrospective and prospective cohort study designs that utilized routinely collected data with a focus on provision and utilization of the cascade of PMTCT services were included. The outcomes included the proportion of pregnant women who were tested during their antenatal clinic (ANC) visits; mother-to-child transmission (MTCT) rate; adherence; retention rate; and loss to follow-up (LTFU). RESULTS: Of the 1210 references screened, 45 met the inclusion criteria. The studies originated from 14 countries in sub-Saharan Africa. The highest number of studies originated from Malawi (10) followed by Nigeria and South Africa with 7 studies each. More than half of the studies were on option A while the majority of option B+ studies were conducted in Malawi. These studies indicated a high uptake of human immunodeficiency virus (HIV) testing ranging from 75% in Nigeria to over 96% in Zimbabwe and South Africa. High proportions of CD4 count testing were reported in studies only from South Africa despite that in most of the countries CD4 testing was a prerequisite to access treatment. MTCT rate ranged from 1.1% to 15.1% and it was higher in studies where data were collected in the early days of the WHO 2010 PMTCT guidelines. During the postpartum period, adherence and retention rate decreased, and LTFU increased for both HIV-positive mothers and exposed infants. CONCLUSION: Irrespective of which option was followed, uptake of antenatal HIV testing was high but there was a large drop off along later points in the PMTCT cascade. More research is needed on how to improve later components of the PMTCT cascade, especially of option B+ which is now the norm throughout sub-Saharan Africa.
[Mh] Termos MeSH primário: Infecções por HIV/transmissão
Implementação de Plano de Saúde/estatística & dados numéricos
Transmissão Vertical de Doença Infecciosa/prevenção & controle
Guias de Prática Clínica como Assunto
Diagnóstico Pré-Natal/normas
[Mh] Termos MeSH secundário: África ao Sul do Saara
Assistência Ambulatorial
Contagem de Linfócito CD4/métodos
Coleta de Dados
Feminino
Seres Humanos
Recém-Nascido
Gravidez
Cuidado Pré-Natal/normas
Cuidado Pré-Natal/estatística & dados numéricos
Diagnóstico Pré-Natal/métodos
Estudos Prospectivos
Estudos Retrospectivos
Organização Mundial da Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171007
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000008055


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[PMID]:28971827
[Au] Autor:Duggan C; Dvaladze AL; Tsu V; Jeronimo J; Constant TKH; Romanoff A; Scheel JR; Patel S; Gralow JR; Anderson BO
[Ad] Endereço:Public Health Sciences, Fred Hutchinson Cancer Research Center, Seattle, WA, USA.
[Ti] Título:Resource-stratified implementation of a community-based breast cancer management programme in Peru.
[So] Source:Lancet Oncol;18(10):e607-e617, 2017 Oct.
[Is] ISSN:1474-5488
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Breast cancer incidence and mortality rates continue to rise in Peru, with related deaths projected to increase from 1208 in 2012, to 2054 in 2030. Despite improvements in national cancer control plans, various barriers to positive breast cancer outcomes remain. Multiorganisational stakeholder collaboration is needed for the development of functional, sustainable early diagnosis, treatment and supportive care programmes with the potential to achieve measurable outcomes. In 2011, PATH, the Peruvian Ministry of Health, the National Cancer Institute in Lima, and the Regional Cancer Institute in Trujillo collaborated to establish the Community-based Program for Breast Health, the aim of which was to improve breast health-care delivery in Peru. A four-step, resource-stratified implementation strategy was used to establish an effective community-based triage programme and a practical early diagnosis scheme within existing multilevel health-care infrastructure. The phased implementation model was initially developed by the Breast Cancer Initiative 2·5: a group of health and non-governmental organisations who collaborate to improve breast cancer outcomes. To date, the Community-based Program for Breast Health has successfully implemented steps 1, 2, and 3 of the Breast Cancer Initiative 2·5 model in Peru, with reports of increased awareness of breast cancer among women, improved capacity for early diagnosis among health workers, and the creation of stronger and more functional linkages between the primary levels (ie, local or community) and higher levels (ie, district, region, and national) of health care. The Community-based Program for Breast Health is a successful example of stakeholder and collaborator involvement-both internal and external to Peru-in the design and implementation of resource-appropriate interventions to increase breast health-care capacity in a middle-income Latin American country.
[Mh] Termos MeSH primário: Neoplasias da Mama/economia
Serviços de Saúde Comunitária/organização & administração
Gerenciamento Clínico
Implementação de Plano de Saúde/economia
Recursos em Saúde/organização & administração
[Mh] Termos MeSH secundário: Adulto
Idoso
Neoplasias da Mama/diagnóstico
Neoplasias da Mama/terapia
Países em Desenvolvimento
Feminino
Implementação de Plano de Saúde/legislação & jurisprudência
Seres Humanos
Meia-Idade
Determinação de Necessidades de Cuidados de Saúde
Peru
Pobreza
Desenvolvimento de Programas
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171012
[Lr] Data última revisão:
171012
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171004
[St] Status:MEDLINE


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[PMID]:28891880
[Au] Autor:Abela-Dimech F; Johnston K
[Ad] Endereço:Frances Abela-Dimech, MN, BScN, RN, is Director of Interprofessional Practice, Patient Safety and Risk at the Centre for Addiction and Mental Health, Toronto Ontario. Kim Johnston, MN, BScN, BA, RN, is Manager of Clinical Education and Informatics, Centre for Addiction and Mental Health, Toronto, Ontario.
[Ti] Título:Safe Searches: The Scale and Spread of a Quality Improvement Project.
[So] Source:J Nurses Prof Dev;33(5):247-254, 2017 Sep/Oct.
[Is] ISSN:2169-981X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:To ensure the safety of staff, patients, and visitors to psychiatric inpatient units, a standardized safe search protocol was developed and implemented across a psychiatric facility. This article provides an overview of the methods used in the planning, implementation, and spread of this quality improvement initiative, focusing on the concepts of change management, leadership, and team involvement. The professional development of point-of-care staff is enhanced by active engagement in quality improvement initiatives.
[Mh] Termos MeSH primário: Implementação de Plano de Saúde/métodos
Melhoria de Qualidade
Segurança/normas
Medidas de Segurança/normas
[Mh] Termos MeSH secundário: Seres Humanos
Liderança
Unidade Hospitalar de Psiquiatria/normas
Desenvolvimento de Pessoal
Visitas a Pacientes
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170912
[St] Status:MEDLINE
[do] DOI:10.1097/NND.0000000000000385



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