Base de dados : MEDLINE
Pesquisa : N04.761.789 [Categoria DeCS]
Referências encontradas : 13230 [refinar]
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[PMID]:29203754
[Au] Autor:Pietras P; Lyp M; Nowicka K; Soliwoda M; Kruszynski M; Malczewski D
[Ad] Endereço:Klinika Kardiologii Oddzialu Fizjoterapii, Ii Wydzial Lekarski, Warszawski Uniwersytet Medyczny, Warszawa, Polska, Wyzsza Szkola Rehabilitacji W Warszawie, Warszawa, Polska.
[Ti] Título:[Scientific research results commercialization as an opportunity for the physiotherapy development].
[So] Source:Wiad Lek;70(5):988-991, 2017.
[Is] ISSN:0043-5147
[Cp] País de publicação:Poland
[La] Idioma:pol
[Ab] Resumo:Physiotherapy is under the very intensive development. The research carried out around the world result in implementing new forms of therapy. For several years higher education institutions are trying to support scientists in an attempt to commercialize the results of research, although the process is complex. The practice in the world shows that the cooperation of science and business is possible and results in the implementation of modern solutions as real applications. It is important to scientists and people planning a career in science knew the rules and limitations of the above process.
[Mh] Termos MeSH primário: Pesquisa Biomédica/organização & administração
Medicina Baseada em Evidências
Fisioterapia/organização & administração
[Mh] Termos MeSH secundário: Seres Humanos
Guias de Prática Clínica como Assunto
Indicadores de Qualidade em Assistência à Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  2 / 13230 MEDLINE  
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[PMID]:29203748
[Au] Autor:Pashkov VM; Batyhina OM; Trotska MV
[Ad] Endereço:Poltava Law Institute Of Yaroslav The Wise National Law University, Poltava, Ukraine.
[Ti] Título:International legal regulation of impact of occupational injuries and diseases on agricultural workers' health.
[So] Source:Wiad Lek;70(5):953-958, 2017.
[Is] ISSN:0043-5147
[Cp] País de publicação:Poland
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Agricultural workers' health depends on many factors: working conditions, security arrangements, medicine, quality of drugs, the environment, etc. Occupational injuries and diseases are also among the factors that can negatively affect their health. THE AIM: To analyze provisions of the international legislation and scientific literature concerning existence of restrictions on impact of occupational injuries and diseases on agricultural workers' health. MATERIALS AND METHODS: International acts, data of international organizations and conclusions of scientists have been examined and used in the study. The article also integrates information from scientific journals and monographs from a medical and legal point of view with scientific methods. This article is based on dialectical, comparative, analytic, synthetic and comprehensive research methods. Impact of occupational injuries and diseases on agricultural workers' health has been studied within the system approach, as well as analysis and synthesis. CONCLUSIONS: The level of occupational morbidity, traumatism and above all standard of agricultural workers' health depends on the way of occupational safety organization. Working conditions and safety in agricultural industry and therefore the appropriate standard of health remain unsatisfactory in many countries.
[Mh] Termos MeSH primário: Saúde do Trabalhador/legislação & jurisprudência
Traumatismos Ocupacionais/terapia
Medicina do Trabalho/legislação & jurisprudência
Indenização aos Trabalhadores/legislação & jurisprudência
[Mh] Termos MeSH secundário: Agricultura/legislação & jurisprudência
Eficiência Organizacional/legislação & jurisprudência
Feminino
Seres Humanos
Masculino
Indicadores de Qualidade em Assistência à Saúde
Local de Trabalho/legislação & jurisprudência
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171206
[St] Status:MEDLINE


  3 / 13230 MEDLINE  
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[PMID]:28464917
[Au] Autor:You YN; Cho MR; Park JH; Park GC; Song MY; Choi JB; Na CS; Han JY; Shin JC; Kim JH
[Ad] Endereço:Clinical Research Center, DongShin University Gwangju Oriental Hospital, Gwangju City, Republic of Korea.
[Ti] Título:Assessing the quality of reports about randomized controlled trials of scalp acupuncture treatment for vascular dementia.
[So] Source:Trials;18(1):205, 2017 May 02.
[Is] ISSN:1745-6215
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: This study aimed to evaluate the quality of reports about randomized controlled trials (RCTs) of scalp acupuncture (SA) for the treatment of vascular dementia (VD). METHOD: A systematic search of reports published through to December 2015 was performed in eight databases. The quality of RCTs that used SA as an intervention for VD was evaluated based on the 2010 Consolidated Standards for Reporting of Trials (CONSORT) and 2010 Standards for Reporting Interventions in Controlled Trials of Acupuncture (STRICTA) guidelines. Thirteen items from the CONSORT guideline were scored to give an overall quality score (OQS, range 0-13), and a combined key methodological index score (MIS) (range 0-5) of five key methodological items was measured. The OQS of 17 items from the STRICTA guideline (range 0-17) was also measured. RESULTS: In total, 26 reports were evaluated. The median OQS based on the CONSORT guideline was 8 (minimum 5, maximum 11), and "trial design," "sample size," "ancillary analyses," and "harms" had a positive rate of less than 10%. The median MIS was 2 (minimum 0, maximum 5), with "allocation concealment and implementation," "blinding," and "intent-to-treat analysis" having a positive rate of less than 15%. The median OQS based on the STRICTA guideline was 12 (minimum 8, maximum 14), with "extent to which treatment was varied (1c)," "number of needle insertions per subject per session (2a)," and "setting and context of treatment (4b)" having a positive rate of less than 10%. CONCLUSIONS: The overall quality of reports on RCTs of SA treatment for VD was moderate to low. The quality of methodological items was markedly lower than that of other items. The CONSORT and STRICTA guidelines should be used more frequently to standardize the quality of RCT reports of SA treatment for VD.
[Mh] Termos MeSH primário: Pontos de Acupuntura
Terapia por Acupuntura/métodos
Demência Vascular/terapia
Controle de Qualidade
Indicadores de Qualidade em Assistência à Saúde/normas
Ensaios Clínicos Controlados Aleatórios como Assunto/normas
Projetos de Pesquisa/normas
Couro Cabeludo
[Mh] Termos MeSH secundário: Demência Vascular/diagnóstico
Demência Vascular/psicologia
Seres Humanos
Resultado do Tratamento
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170504
[St] Status:MEDLINE
[do] DOI:10.1186/s13063-017-1945-0


  4 / 13230 MEDLINE  
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[PMID]:29228143
[Au] Autor:Ganguli I; Ferris TG
[Ad] Endereço:Harvard Medical School, Boston, Massachusetts.
[Ti] Título:Accountable Care at the Frontlines of a Health System: Bridging Aspiration and Reality.
[So] Source:JAMA;319(7):655-656, 2018 Feb 20.
[Is] ISSN:1538-3598
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Organizações de Assistência Responsáveis
Política de Saúde
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Organizações de Assistência Responsáveis/normas
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180302
[Lr] Data última revisão:
180302
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171212
[St] Status:MEDLINE
[do] DOI:10.1001/jama.2017.18995


  5 / 13230 MEDLINE  
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[PMID]:29298765
[Au] Autor:Bonfrer I; Figueroa JF; Zheng J; Orav EJ; Jha AK
[Ad] Endereço:Department of Health Policy and Management, Harvard T H Chan School of Public Health, 42 Church St, Cambridge, MA 02138, USA.
[Ti] Título:Impact of Financial Incentives on Early and Late Adopters among US Hospitals: observational study.
[So] Source:BMJ;360:j5622, 2018 01 03.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:OBJECTIVE: To examine how hospitals that volunteered to be under financial incentives for more than a decade as part of the Premier Hospital Quality Incentive Demonstration (early adopters) compared with similar hospitals where these incentives were implemented later under the Hospital Value-Based Purchasing program (late adopters). DESIGN: Observational study. SETTING: 1189 hospitals in the USA (214 early adopters and 975 matched late adopters), using Hospital Compare data from 2003 through 2013. PARTICIPANTS: 1 371 364 patients aged 65 years and older, using 100% Medicare claims. MAIN OUTCOME MEASURES: Clinical process scores and 30 day mortality. RESULTS: Early adopters started from a slightly higher baseline of clinical process scores (92) than late adopters (90). Both groups reached a ceiling (98) a decade later. Starting from a similar baseline, just below 13%, early and late adopters did not have significantly (P=0.25) different mortality trends for conditions targeted by the program (0.05% point difference quarterly) or for conditions not targeted by the program (-0.02% point difference quarterly). CONCLUSIONS: No evidence that hospitals that have been operating under pay for performance programs for more than a decade had better process scores or lower mortality than other hospitals was found. These findings suggest that even among hospitals that volunteered to participate in pay for performance programs, having additional time is not likely to turn pay for performance programs into a success in the future.
[Mh] Termos MeSH primário: Hospitais
Medicare
Indicadores de Qualidade em Assistência à Saúde
Reembolso de Incentivo
Aquisição Baseada em Valor
[Mh] Termos MeSH secundário: Idoso
Feminino
Seres Humanos
Masculino
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE; OBSERVATIONAL STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180301
[Lr] Data última revisão:
180301
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180105
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5622


  6 / 13230 MEDLINE  
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[PMID]:29208735
[Au] Autor:Oliver D
[Ad] Endereço:Berkshire.
[Ti] Título:David Oliver: Seven day service standards in NHS hospitals: thorny problem or blooming success?
[So] Source:BMJ;359:j5552, 2017 12 05.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Doença Aguda/terapia
Assistência à Saúde/normas
Medicina Estatal/normas
[Mh] Termos MeSH secundário: Seres Humanos
Indicadores de Qualidade em Assistência à Saúde
Reino Unido
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180222
[Lr] Data última revisão:
180222
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171207
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.j5552


  7 / 13230 MEDLINE  
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[PMID]:29390500
[Au] Autor:Li W; Zeng L; Li J; Huang L; Gui G; Song J; Chen L; Jiang L; Zhang L
[Ad] Endereço:Department of Pharmacy.
[Ti] Título:Development of indicators for assessing rational drug use to treat community-acquired pneumonia in children in hospitals and clinics: A modified Delphi study.
[So] Source:Medicine (Baltimore);96(51):e9308, 2017 Dec.
[Is] ISSN:1536-5964
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Community-acquired pneumonia (CAP) is a common infectious disease in children. Rational drug use (RDU) is an important approach to reducing the disease burden and mortality rate of CAP in children. There are no monitoring indicators for assessing RDU in children. This study aimed to develop a set of indicators to assess RDU to treat CAP in children in hospitals and clinics using a modified Delphi method.Initial indicators were generated based on a systematic review of guidelines and studies investigating CAP in children. A 3-round modified Delphi process in the form of an email survey combined with round-table discussion was then carried out, and an analytic hierarchy process (AHP) was applied to determine the weight of each indicator.A total of 24 and 8 experts were invited to participate in the email survey and round-table discussion, respectively. A consensus was reached after 3 rounds of the Delphi survey. Three first-rank indicators and 23 second-rank indicators were developed, and each indicator was weighted. The first-rank indicators comprised drug choice (45.5%), drug usage and dosage (36.4%), and the duration of drug therapy (18.2%); the second-rank indicators were indicators related to antibiotics (63.6%), antiviral agents (18.2%), traditional Chinese medicines (4.5%), and adjuvant drugs (13.6%). The weight value of drug selection was the highest, followed by the values of drug usage and dosage and the duration of drug therapy.The developed indicator set constitutes the first set intended to assess RDU to treat CAP in children in hospitals (including community hospitals) and clinics. The indicators were based on drug selection, drug usage and dosage and duration of drug therapy, which are associated with most therapeutic drugs for CAP in children. Monitoring these indicators will guide people towards the promotion of RDU in the absence of drug monitoring indicators for CAP. Furthermore, the indicator set constitutes a methodological reference for the development of other indicator sets.
[Mh] Termos MeSH primário: Antibacterianos/uso terapêutico
Antivirais/uso terapêutico
Pneumonia/tratamento farmacológico
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Instituições de Assistência Ambulatorial
Criança
China/epidemiologia
Infecções Comunitárias Adquiridas/tratamento farmacológico
Técnica Delfos
Hospitais
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Nm] Nome de substância:
0 (Anti-Bacterial Agents); 0 (Antiviral Agents)
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180220
[Lr] Data última revisão:
180220
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180203
[St] Status:MEDLINE
[do] DOI:10.1097/MD.0000000000009308


  8 / 13230 MEDLINE  
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[PMID]:29360298
[Au] Autor:Raduege TJ; Thomson Reuters Accelus.
[Ti] Título:Healthcare Reform: Delivery Reform.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-71, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Reforma dos Serviços de Saúde/organização & administração
[Mh] Termos MeSH secundário: Organizações de Assistência Responsáveis
Serviços de Saúde Comunitária
Redução de Custos
Cuidado Periódico
Necessidades e Demandas de Serviços de Saúde
Serviços de Assistência Domiciliar
Seres Humanos
Reembolso de Seguro de Saúde
Programas de Assistência Gerenciada
Medicaid
Medicare
Administração dos Cuidados ao Paciente
Patient Protection and Affordable Care Act
Assistência Centrada no Paciente
Projetos Piloto
Indicadores de Qualidade em Assistência à Saúde
Qualidade da Assistência à Saúde
Reembolso de Incentivo
Serviços de Saúde Rural
Governo Estadual
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


  9 / 13230 MEDLINE  
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[PMID]:29360295
[Au] Autor:White R; Thomson Reuters Accelus.
[Ti] Título:Quality of Healthcare.
[So] Source:Issue Brief Health Policy Track Serv;2017:1-19, 2017 Dec 26.
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Garantia da Qualidade dos Cuidados de Saúde/organização & administração
Indicadores de Qualidade em Assistência à Saúde/organização & administração
Qualidade da Assistência à Saúde/organização & administração
[Mh] Termos MeSH secundário: Criança
Serviços de Saúde da Criança
Segurança Computacional
Custos de Medicamentos
Serviços Médicos de Emergência
Médicos Graduados Estrangeiros
Cuidados Paliativos na Terminalidade da Vida
Seres Humanos
Medicare
Casas de Saúde
Readmissão do Paciente
Segurança do Paciente
Delitos Sexuais
Governo Estadual
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


  10 / 13230 MEDLINE  
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[PMID]:29315325
[Au] Autor:Joling KJ; van Eenoo L; Vetrano DL; Smaardijk VR; Declercq A; Onder G; van Hout HPJ; van der Roest HG
[Ad] Endereço:Department of General Practice and Elderly Care Medicine, Amsterdam Public Health Research Institute, VU University Medical Center, Amsterdam, The Netherlands.
[Ti] Título:Quality indicators for community care for older people: A systematic review.
[So] Source:PLoS One;13(1):e0190298, 2018.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Health care systems that succeed in preventing long term care and hospital admissions of frail older people may substantially save on their public spending. The key might be found in high-quality care in the community. Quality Indicators (QIs) of a sufficient methodological level are a prerequisite to monitor, compare, and improve care quality. This systematic review identified existing QIs for community care for older people and assessed their methodological quality. METHODS: Relevant studies were identified by searches in electronic reference databases and selected by two reviewers independently. Eligible publications described the development or application of QIs to assess the quality of community care for older people. Information about the QIs, the study sample, and specific setting was extracted. The methodological quality of the QI sets was assessed with the Appraisal of Indicators through Research and Evaluation (AIRE) instrument. A score of 50% or higher on a domain was considered to indicate high methodological quality. RESULTS: Searches resulted in 25 included articles, describing 17 QI sets with 567 QIs. Most indicators referred to care processes (80%) and measured clinical issues (63%), mainly about follow-up, monitoring, examinations and treatment. About two-third of the QIs focussed on specific disease groups. The methodological quality of the indicator sets varied considerably. The highest overall level was achieved on the domain 'Additional evidence, formulation and usage' (51%), followed by 'Scientific evidence' (39%) and 'Stakeholder involvement' (28%). CONCLUSION: A substantial number of QIs is available to assess the quality of community care for older people. However, generic QIs, measuring care outcomes and non-clinical aspects are relatively scarce and most QI sets do not meet standards of high methodological quality. This study can support policy makers and clinicians to navigate through a large number of QIs and select QIs for their purposes. PROSPERO Registration: 2014:CRD42014007199.
[Mh] Termos MeSH primário: Serviços de Saúde Comunitária/normas
Serviços de Saúde para Idosos/normas
Indicadores de Qualidade em Assistência à Saúde
[Mh] Termos MeSH secundário: Idoso
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; REVIEW
[Em] Mês de entrada:1802
[Cu] Atualização por classe:180215
[Lr] Data última revisão:
180215
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180110
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0190298



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