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Pesquisa : N03.540.452 [Categoria DeCS]
Referências encontradas : 864 [refinar]
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[PMID]:28384534
[Au] Autor:Ray-Coquard I; Pujade Lauraine E; Le Cesne A; Pautier P; Vacher Lavenue MC; Trama A; Casali P; Coindre JM; Blay JY
[Ad] Endereço:GINECO/TMRO Network, Centre Léon Bérard & Université Claude Bernard, Lyon, France. Electronic address: isabelle.ray-coquard@lyon.unicancer.fr.
[Ti] Título:Improving treatment results with reference centres for rare cancers: where do we stand?
[So] Source:Eur J Cancer;77:90-98, 2017 May.
[Is] ISSN:1879-0852
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Rare adult cancer (RAC) is characterised by an incidence of less than six cases per 100,000 people per annum; 4,300,000 patients in the European Union are living with rare cancer (22% of all new human cancers). These cancers are linked with worse survival rates than 'frequent' tumours (5-year survival: 47% for RAC against 65% for 'common' cancers), mainly because of: (1) delays in obtaining an accurate diagnosis, (2) inadequate treatments given in curative phases and (3) restricted opportunities for patients to participate in clinical trials because of the lack of support for dedicated trials for this disease group from both academic and industrial sponsors. Although quantitative studies to measure the socioeconomic burden of RACs as a whole are still lacking, the increasing fragmentation of all cancers into molecular subgroups implies a substantial increase in the number of RACs and their associated socioeconomic burden. To answer this urgent and growing need, some countries, cooperative groups, and cancer institutes delineated national and/or regional organisations to promote quality management for RACs. Currently, the European Union (EU) is supporting an official EU call to organise a European network dedicated to RACs. The goals will be to pool the vast knowledge and expertise of the 67 EU clinical reference centres and to cover ten rare adult solid cancer domains across more than 18 countries in order to deploy an integrated, EU-wide capacity towards accelerated innovative treatments and care for RACs while empowering patients. This article will summarise these experiences and the potential benefit for patients.
[Mh] Termos MeSH primário: Neoplasias/terapia
Doenças Raras/terapia
[Mh] Termos MeSH secundário: Adulto
Institutos de Câncer
Ensaios Clínicos como Assunto
Métodos Epidemiológicos
Europa (Continente)/epidemiologia
União Europeia
Feminino
Metas
Planejamento em Saúde
Organizações de Planejamento em Saúde
Seres Humanos
Cooperação Internacional
Masculino
Neoplasias/mortalidade
Equipe de Assistência ao Paciente
Doenças Raras/mortalidade
Encaminhamento e Consulta
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170814
[Lr] Data última revisão:
170814
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170407
[St] Status:MEDLINE


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[PMID]:28213083
[Au] Autor:Dupin CM
[Ad] Endereço:Haute école de santé (HES-SO), 47, avenue de Champel, 1206 Genève, Suisse. Electronic address: cecile.dupin@hesge.ch.
[Ti] Título:[Health promotion and logic models].
[Ti] Título:Promotion de la santé et logiques de programme..
[So] Source:Soins;62(812):53-56, 2017 Jan - Feb.
[Is] ISSN:0038-0814
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:The first phase of interventional research in the health of populations is the development of its conceptual basis. Programme logic models are used to describe the way in which the results should be generated. The programme theory is used to develop intermediary objectives and to increase the chances of success of public health actions. This approach requires the coproduction of knowledge between researchers and partners. The teams can benefit from the application of evaluation to the theory in order to clarify the results obtained.
[Mh] Termos MeSH primário: Pesquisa em Enfermagem Clínica/organização & administração
Promoção da Saúde/organização & administração
Modelos Organizacionais
[Mh] Termos MeSH secundário: Pesquisa em Enfermagem Clínica/métodos
Organizações de Planejamento em Saúde/normas
Disparidades em Assistência à Saúde/organização & administração
Seres Humanos
Desenvolvimento de Programas
Saúde Pública
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170706
[Lr] Data última revisão:
170706
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170219
[St] Status:MEDLINE


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[PMID]:27679522
[Au] Autor:Barasa EW; Cleary S; Molyneux S; English M
[Ad] Endereço:KEMRI Centre for Geographic Medicine Research - Coast, and Wellcome Trust Research Programme, Nairobi, Kenya.
[Ti] Título:Setting healthcare priorities: a description and evaluation of the budgeting and planning process in county hospitals in Kenya.
[So] Source:Health Policy Plan;32(3):329-337, 2017 Apr 01.
[Is] ISSN:1460-2237
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:This paper describes and evaluates the budgeting and planning processes in public hospitals in Kenya. We used a qualitative case study approach to examine these processes in two hospitals in Kenya. We collected data by in-depth interviews of national level policy makers, hospital managers, and frontline practitioners in the case study hospitals (n = 72), a review of documents, and non-participant observations within the hospitals over a 7 month period. We applied an evaluative framework that considers both consequentialist and proceduralist conditions as important to the quality of priority-setting processes. The budgeting and planning process in the case study hospitals was characterized by lack of alignment, inadequate role clarity and the use of informal priority-setting criteria. With regard to consequentialist conditions, the hospitals incorporated economic criteria by considering the affordability of alternatives, but rarely considered the equity of allocative decisions. In the first hospital, stakeholders were aware of - and somewhat satisfied with - the budgeting and planning process, while in the second hospital they were not. Decision making in both hospitals did not result in reallocation of resources. With regard to proceduralist conditions, the budgeting and planning process in the first hospital was more inclusive and transparent, with the stakeholders more empowered compared to the second hospital. In both hospitals, decisions were not based on evidence, implementation of decisions was poor and the community was not included. There were no mechanisms for appeals or to ensure that the proceduralist conditions were met in both hospitals. Public hospitals in Kenya could improve their budgeting and planning processes by harmonizing these processes, improving role clarity, using explicit priority-setting criteria, and by incorporating both consequentialist (efficiency, equity, stakeholder satisfaction and understanding, shifted priorities, implementation of decisions), and proceduralist (stakeholder engagement and empowerment, transparency, use of evidence, revisions, enforcement, and incorporating community values) conditions.
[Mh] Termos MeSH primário: Orçamentos
Tomada de Decisões Gerenciais
Organizações de Planejamento em Saúde
Prioridades em Saúde
Hospitais de Condado
[Mh] Termos MeSH secundário: Hospitais Públicos
Seres Humanos
Entrevistas como Assunto
Quênia
Estudos de Casos Organizacionais/métodos
Pesquisa Qualitativa
[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:H
[Da] Data de entrada para processamento:160929
[St] Status:MEDLINE
[do] DOI:10.1093/heapol/czw132


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[PMID]:27454165
[Au] Autor:Dovlo D; Nabyonga-Orem J; Estrelli Y; Mwisongo A
[Ad] Endereço:Health Systems and Services Cluster, World Health Organization Regional Office for Africa, Cite de Djoue, BP 06, Brazzaville, Republic of Congo. dovlod@who.int.
[Ti] Título:Policy dialogues - the "bolts and joints" of policy-making: experiences from Cabo Verde, Chad and Mali.
[So] Source:BMC Health Serv Res;16 Suppl 4:216, 2016 Jul 18.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Policy processes that yield good outcomes are inherently complex, requiring interactions of stakeholders in problem identification, generation of political will and selection of practical solutions. To make policy processes rational, policy dialogues are increasingly being used as a policy-making tool. Despite their increasing use for policy-making in Africa, evidence is limited on how they have evolved and are being used on the continent or in low and middle income countries elsewhere. METHODS: This was an exploratory study using qualitative methods. It utilised data related to policy dialogues for three specific policies and strategies to understand the interplay between policy dialogue and policy-making in Cabo Verde, Chad and Mali. The specific methods used to gather data were key informant interviews and document review. Data were analysed inductively and deductively using thematic content analysis. RESULTS: Participation in the policy dialogues was inclusive, and in some instances bottom-up participatory approaches were used. The respondents felt that the execution of the policy dialogues had been seamless, and the few divergent views expressed often were resolved in a unanimous manner. The policies and strategies developed were seen by all stakeholders as relating to priority issues. Other specific process factors that contributed to the success of the dialogues included the use of innovative approaches, good facilitation, availability of resources for the dialogues, good communication, and consideration of the different opinions. Among the barriers were contextual issues, delays in decision-making and conflicting coordination roles and mandates. CONCLUSIONS: Policy dialogues have proved to be an effective tool in health sector management and could be a crucial component of the governance dynamics of the sector. The policy dialogue process needs to be institutionalised for continuity and maintenance of institutional intelligence. Other essential influencing factors include building capacity for coordination and facilitation of policy dialogues, provision of sustainable financing for execution of the dialogues, use of inclusive and bottom-up approaches, and timely provision of reliable evidence. Ensuring continued participation of all the actors necessitates innovation to allow dialogue outside the formal frameworks and spaces that should feed into the formal dialogue processes.
[Mh] Termos MeSH primário: Política de Saúde
Formulação de Políticas
[Mh] Termos MeSH secundário: Cabo Verde
Fortalecimento Institucional/economia
Fortalecimento Institucional/organização & administração
Chade
Tomada de Decisões
Apoio Financeiro
Órgãos Governamentais/economia
Órgãos Governamentais/organização & administração
Programas Governamentais/economia
Programas Governamentais/organização & administração
Organizações de Planejamento em Saúde/economia
Organizações de Planejamento em Saúde/organização & administração
Promoção da Saúde/economia
Promoção da Saúde/organização & administração
Financiamento da Assistência à Saúde
Seres Humanos
Mali
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-016-1455-x


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[PMID]:27454117
[Au] Autor:Nabyonga-Orem J; Gebrikidane M; Mwisongo A
[Ad] Endereço:Health Systems and Services Cluster, World Health Organization Regional Office for Africa, B.P. 06, Brazzaville, Congo. nabyongaj@who.int.
[Ti] Título:Assessing policy dialogues and the role of context: Liberian case study before and during the Ebola outbreak.
[So] Source:BMC Health Serv Res;16 Suppl 4:219, 2016 Jul 18.
[Is] ISSN:1472-6963
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In the last decade participatory approaches have gained prominence in policy-making, becoming the focus of good policy-making processes. Policy dialogue is recognised as an important aspect of policy-making among several interactive and innovative policy-making models applied in different contexts and sectors. Recently there has been emphasis on the quality of policy dialogue in terms of how it should be conducted to attain participation and inclusiveness. However, there is paucity of evidence on how the context influences policy dialogue, particularly participation of stakeholders. Liberia's context, which is characterised as post-war, highly donor dependent and in recovery from the recent catastrophic Ebola outbreak, provides an opportunity to understand the influence of context on policy dialogue. METHODS: This was an exploratory study using qualitative methods. Key informant interviews were conducted using an interview guide. A total of 16 interviews were conducted, 12 at the national level and 4 at the sub national level. Data were analysed using inductive thematic content analysis. RESULTS: The respondents felt that the dialogues were a success and involved important stakeholders; however, there were concerns about the improper methodology and facilitation used to conduct them. Opinions among the respondents about the process of generating and selecting the themes for the dialogues were extremely divergent. Both before and during the Ebola outbreak, the context was instrumental in shaping the dialogues according to the issue of focus, requirements for participation and the decisions to be made. Policy dialogues have become a platform for policy discussions and decisions in Liberia. It is a process that is well recognised and appreciated and is highly attributed to the success of the negotiations during the Ebola outbreak. CONCLUSIONS: To sustain and strengthen policy dialogues in future, there needs to be proper information sharing through diverse forums and avenues, stakeholders' empowerment and competent facilitation. These will ensure that the process is credible and legitimate.
[Mh] Termos MeSH primário: Surtos de Doenças
Política de Saúde
Promoção da Saúde/organização & administração
Doença pelo Vírus Ebola/epidemiologia
Formulação de Políticas
[Mh] Termos MeSH secundário: Pessoal Administrativo/psicologia
Atitude Frente à Saúde
Compreensão
Programas Governamentais/economia
Programas Governamentais/organização & administração
Organizações de Planejamento em Saúde/organização & administração
Prioridades em Saúde
Promoção da Saúde/economia
Financiamento da Assistência à Saúde
Seres Humanos
Disseminação de Informação
Relações Interprofissionais
Libéria/epidemiologia
Percepção
Poder (Psicologia)
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170815
[Lr] Data última revisão:
170815
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160726
[St] Status:MEDLINE
[do] DOI:10.1186/s12913-016-1454-y


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[PMID]:27405210
[Au] Autor:Trankvilevsky DV; Tsarenko VA; Zhukov VI
[Ti] Título:[THE PRESENT STATE OF EPIZOOTOLOGICAL MONITORING OF THE NATURAL FOCI OF INFECTIONS IN THE RUSSIAN FEDERATION].
[So] Source:Med Parazitol (Mosk);(2):19-24, 2016 Apr-Jun.
[Is] ISSN:0025-8326
[Cp] País de publicação:Russia (Federation)
[La] Idioma:rus
[Ab] Resumo:The facilities of the Russian Federal Service for Supervision of Consumer Rights Protection and Human Welfare play a leading role in epizootological monitoring. The specialists (zoologists and entomologists) of Hygiene and Epidemiology Centers do basic work in the subjects of the Russian Federation. The data obtained in the participation of different ministries and departments are used to analyze the results of monitoring. The latter is one of the important steps in the management of the epidemic, process in natural focal infections. In recent years, there has been an unjustified reduction in the volume of studies in the natural foci. This negatively affects the reliability of estimates and predictions of the epidemic activity of the natural foci of infections. Ensuring the national, security of the Russian Federation, epidemiological surveillance, and control of its natural foci requires staffing and appropriate professional training in the zoological and entomological subdivisions of the Russian Federal Service for Supervision of Consumer Rights Protection and Human Welfare.
[Mh] Termos MeSH primário: Doenças Transmissíveis Emergentes/epidemiologia
Reservatórios de Doenças/veterinária
Monitoramento Epidemiológico
Zoonoses/epidemiologia
[Mh] Termos MeSH secundário: Animais
Bioterrorismo
Doenças Transmissíveis Emergentes/prevenção & controle
Encefalite Transmitida por Carrapatos/epidemiologia
Encefalite Transmitida por Carrapatos/prevenção & controle
Infecções por Hantavirus/epidemiologia
Infecções por Hantavirus/prevenção & controle
Organizações de Planejamento em Saúde/legislação & jurisprudência
Seres Humanos
Insetos/microbiologia
Insetos/parasitologia
Insetos/virologia
Doença de Lyme/epidemiologia
Doença de Lyme/prevenção & controle
Roedores/microbiologia
Roedores/parasitologia
Roedores/virologia
Federação Russa/epidemiologia
Tularemia/epidemiologia
Tularemia/prevenção & controle
Febre do Nilo Ocidental/epidemiologia
Febre do Nilo Ocidental/prevenção & controle
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1607
[Cu] Atualização por classe:171116
[Lr] Data última revisão:
171116
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160714
[St] Status:MEDLINE


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[PMID]:27320159
[Au] Autor:Yoshizawa T
[Ad] Endereço:Medical Imaging Systems Division at Japan Medical Imaging and Radiological Systems Industries Association.
[Ti] Título:[Activity Report of Good Health Software Promotion Council (GHS)].
[So] Source:Nihon Hoshasen Gijutsu Gakkai Zasshi;72(6):540-3, 2016 Jun.
[Is] ISSN:0369-4305
[Cp] País de publicação:Japan
[La] Idioma:jpn
[Mh] Termos MeSH primário: Organizações de Planejamento em Saúde/tendências
Software
[Mh] Termos MeSH secundário: Japão
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1608
[Cu] Atualização por classe:160620
[Lr] Data última revisão:
160620
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160621
[St] Status:MEDLINE
[do] DOI:10.6009/jjrt.2016_JSRT_72.6.540


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[PMID]:27295802
[Au] Autor:Pierce J; Fagan D; Prescott B; Thomson Y; McCann S
[Ti] Título:Engaging student nurses in commissioning.
[So] Source:Nurs Times;112(16):22-3, 2016 Apr 20-26.
[Is] ISSN:0954-7762
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Commissioning is an important element of healthcare provision, but is often not understood or considered in depth by students. It is vital that the workforce of the future understands the machinations of service development and commissioning, so one higher education establishment decided to offer its students a placement in a clinical commissioning group. This article outlines how a university partnered with local CCGs and a regional placement network to develop the CCG clinical placement and its benefits.
[Mh] Termos MeSH primário: Organizações de Planejamento em Saúde/organização & administração
Planejamento em Saúde
Estudantes de Enfermagem
[Mh] Termos MeSH secundário: Seres Humanos
Medicina Estatal
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1606
[Cu] Atualização por classe:161126
[Lr] Data última revisão:
161126
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:160615
[St] Status:MEDLINE


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[PMID]:27167441
[Au] Autor:Board of Representatives for the Global Initiative for Chronic Obstructive Lung Disease in Brazil; Board of Representatives for the Global Initiative for Asthma in Brazil; Board of Representatives for the World Health Organization Global Alliance against Chronic Respiratory Diseases in Brazil; Medical Association of Minas Gerais; Minas Gerais Society of Pulmonology and Thoracic Surgery; Federal University of Minas Gerais Hospital das Clínicas; Health Committee of the Legislative Assembly of Minas Gerais
[Ti] Título:Open letter to city, state, and federal health authorities, to State Health Councils, and to the National Council of Municipal Health Secretaries in Brazil.
[So] Source:J Bras Pneumol;42(2):160, 2016 Apr.
[Is] ISSN:1806-3756
[Cp] País de publicação:Brazil
[La] Idioma:eng; por
[Mh] Termos MeSH primário: Organizações de Planejamento em Saúde
Política de Saúde
Doenças Respiratórias/terapia
[Mh] Termos MeSH secundário: Brasil
Doença Crônica
Congressos como Assunto
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1704
[Cu] Atualização por classe:170817
[Lr] Data última revisão:
170817
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160512
[St] Status:MEDLINE


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[PMID]:26498744
[Au] Autor:DiLiberto DD; Staedke SG; Nankya F; Maiteki-Sebuguzi C; Taaka L; Nayiga S; Kamya MR; Haaland A; Chandler CI
[Ad] Endereço:Department of Medical Statistics, London School of Hygiene & Tropical Medicine, London, UK; deborah.diliberto@lshtm.ac.uk.
[Ti] Título:Behind the scenes of the PRIME intervention: designing a complex intervention to improve malaria care at public health centres in Uganda.
[So] Source:Glob Health Action;8:29067, 2015.
[Is] ISSN:1654-9880
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: In Uganda, health system challenges limit access to good quality healthcare and contribute to slow progress on malaria control. We developed a complex intervention (PRIME), which was designed to improve quality of care for malaria at public health centres. OBJECTIVE: Responding to calls for increased transparency, we describe the PRIME intervention's design process, rationale, and final content and reflect on the choices and challenges encountered during the design of this complex intervention. DESIGN: To develop the intervention, we followed a multistep approach, including the following: 1) formative research to identify intervention target areas and objectives; 2) prioritization of intervention components; 3) review of relevant evidence; 4) development of intervention components; 5) piloting and refinement of workshop modules; and 6) consolidation of the PRIME intervention theories of change to articulate why and how the intervention was hypothesized to produce desired outcomes. We aimed to develop an intervention that was evidence-based, grounded in theory, and appropriate for the study context; could be evaluated within a randomized controlled trial; and had the potential to be scaled up sustainably. RESULTS: The process of developing the PRIME intervention package was lengthy and dynamic. The final intervention package consisted of four components: 1) training in fever case management and use of rapid diagnostic tests for malaria (mRDTs); 2) workshops in health centre management; 3) workshops in patient-centred services; and 4) provision of mRDTs and antimalarials when stocks ran low. CONCLUSIONS: The slow and iterative process of intervention design contrasted with the continually shifting study context. We highlight the considerations and choices made at each design stage, discussing elements we included and why, as well as those that were ultimately excluded. Reflection on and reporting of 'behind the scenes' accounts of intervention design may improve the design, assessment, and generalizability of complex interventions and their evaluations.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/organização & administração
Organizações de Planejamento em Saúde/organização & administração
Malária/terapia
Melhoria de Qualidade/organização & administração
[Mh] Termos MeSH secundário: Serviços de Saúde Comunitária/normas
Acesso aos Serviços de Saúde/organização & administração
Seres Humanos
Capacitação em Serviço/métodos
Malária/diagnóstico
Malária/tratamento farmacológico
Assistência Centrada no Paciente
Saúde Pública
Uganda
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1606
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151027
[St] Status:MEDLINE
[do] DOI:10.3402/gha.v8.29067



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