scholarly journals Emergency care units and dimensions of accessibility to health care for the elderly

2018 ◽  
Vol 71 (suppl 2) ◽  
pp. 811-817 ◽  
Author(s):  
Giovana Aparecida de Souza Scolari ◽  
Leidyani Karina Rissardo ◽  
Vanessa Denardi Antoniassi Baldissera ◽  
Lígia Carreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Emergency Care ◽  
Elderly Population ◽  
The Elderly ◽  
Care For The Elderly ◽  
Emergency Care Units

ABSTRACT Objective: to understand the conception of the elderly and their caregivers about the accessibility to health mediated by the service in Emergency Care Units. Methodo: a qualitative study conducted with 25 elderly patients and caregivers at Emergency Care Units in a city of Paraná, using Grounded Theory as a methodological reference. Results: According to the participants, the resources available in these services guarantee medical consultation and provide access to exams and medicines. Such resources have attracted patients and caused excess demand, which implies a set of compromising factors for the quality of care in these services. Final considerations: Investments in the restructuring of the care network, especially in primary care, with an increase in the number of consultations and the creation of a bond, can contribute to the emergency care units achieving the goal of access to qualified assistance to the elderly population.

scholarly journals Qualidade da atenção à saúde do idoso atenção primária: uma revisão integrativa

2022 ◽  
Vol 21 (1) ◽  
pp. 545-589
Author(s):  
Ricardo Saraiva Aguiar ◽  
Henrique Salmazo da Silva
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Literature Review ◽  
Quality Of Health Care ◽  
Elderly Person ◽  
The Elderly ◽  
Support Network ◽  
Care For The Elderly ◽  
Recursos Humanos

Objective: To investigate, through an integrative literature review, the quality of health care for the elderly in primary care. Material and Methods: Integrative literature review conducted in MEDLINE/PubMed, SciELO, LILACS and BDENF databases between April and May 2020, which generated 780 references. After removal of the duplicates and use of inclusion and exclusion criteria, the final sample consisted of 15 articles. Results: The quality of health care for the elderly in primary care was associated with potential and weaknesses that involved the availability and training of human resources, adoption of evaluation protocols, monitoring and follow-up, supply of inputs and structural variables linked to infrastructure and intersectoral support network. The effectiveness of actions to the elderly in primary care was related to the implementation of the Family Health Strategy, combined with the active action of the community health agent in the territory and the participation of the elderly in the decisions. Conclusion: Strengthening the health care of the elderly in primary care involves short, medium and long-term efforts related to education, human and material resources management, networking, and the formation of ties with the territory and the elderly person. Objetivo: Investigar, a través de una revisión integradora de la literatura, la calidad de la atención en salud del adulto mayor en atención primaria.Materiales y Métodos: Revisión bibliográfica integradora realizada en las bases de datos MEDLINE / PubMed, SciELO, LILACS y BDENF entre abril y mayo de 2020, que generó 780 referencias. Después de eliminar los duplicados y utilizar los criterios de inclusión y exclusión, la muestra final fue de 15 artículos.Resultados: La calidad de la atención en salud del adulto mayor en atención primaria se asoció con fortalezas y debilidades que involucraron la disponibilidad y formación de recursos humanos, adopción de protocolos de evaluación, seguimiento y seguimiento, suministro de insumos y variables estructurales vinculadas a la infraestructura y red de apoyo intersectorial. La efectividad de las acciones para el adulto mayor en atención primaria estuvo relacionada con la implementación de la Estrategia Salud de la Familia, combinada con el desempeño activo del agente comunitario de salud en el territorio y la participación del adulto mayor en las decisiones.Conclusión: El fortalecimiento de la atención a la salud del anciano en la atención primaria implica esfuerzos a corto, mediano y largo plazo relacionados con la educación, la gestión de los recursos humanos y materiales, el trabajo en red y la formación de vínculos con el territorio y el anciano. Objetivo: Investigar, por meio de uma revisão integrativa da literatura, a qualidade da atenção à saúde do idoso na atenção primária. Materiais e Métodos: Revisão integrativa da literatura realizada nas bases de dados MEDLINE/PubMed, SciELO, LILACS e BDENF entre os meses de abril e maio de 2020, as quais geraram 780 referências. Após remoção das duplicatas e emprego dos critérios de inclusão e exclusão a amostra final foi composta por 15 artigos. Resultados: A qualidade da atenção à saúde do idoso na atenção primária esteve associada a potencialidades e fragilidades que envolveram a disponibilidade e treinamento dos recursos humanos, adoção de protocolos de avaliação, acompanhamento e monitoramento, oferta de insumos e variáveis estruturais ligadas à infraestrutura e à rede de apoio intersetorial. A efetividade das ações à pessoa idosa na atenção primária esteve relacionada à implantação da Estratégia Saúde da Família, conjugada com a atuação ativa do agente comunitário de saúde no território e a participação do idoso nas decisões. Conclusão: Fortalecer a atenção à saúde do idoso na atenção primária envolve esforços a curto, médio e longo prazo relacionados à educação, gestão de recursos humanos e materiais, atuação em rede e a formação de vínculo com o território e a pessoa idosa.

Problems of pathology related to the dermatovenerology field in the emergency hospital

2020 ◽  
pp. 45-52
Author(s):  
I. Barsukova ◽  
I. Bagretsova
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Emergency Care ◽  
Diagnostic Process ◽  
Emergency Hospital ◽  
New Models ◽  
Hospital Development

Development of a system for the delivery of emergency care in a hospital inevitably raises questions of its availability and quality. And, if the leading pathological syndrome which is a reason for hospitalization and posing a threat to the patient's life deserves priority attention, then the accompanying pathology often stays in the background. At the same time the accompanying pathology related to the field of dermatovenerology poses epidemiological threat. The aim of the study was to improve the organization of health care for patients with concomitant pathology related to dermatovenerology in an emergency hospital. Development of new models and principles of the organization of medical and diagnostic process, introduction of methods of express diagnostics is required; importance of a dermatovenerologist becomes obvious, it will increase the availability and quality of care for patients with dermatovenereological pathology in an emergency hospital.

The Impact of Contract Primary Care on Health Care Expenditures and Quality of Care

2007 ◽  
Vol 65 (3) ◽  
pp. 300-314 ◽  
Author(s):  
Chuan-Fen Liu ◽  
Michael K. Chapko ◽  
Mark W. Perkins ◽  
John Fortney ◽  
Matthew L. Maciejewski
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Health Care Expenditures ◽  
The Impact

scholarly journals Theoretical Perspectives of Hospitalized Older Patients and Their Health-Related Problems and Quality of Care: Systematic Literature Review

2017 ◽  
Vol 10 (1) ◽  
pp. 215-225 ◽  
Author(s):  
Atef Hasan Khatib ◽  
Ayman M. Hamdan-Mansour ◽  
Manar Ali Bani Hani
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Quality Of Care ◽  
Elderly Patients ◽  
Older Patients ◽  
Older Persons ◽  
Elderly Care ◽  
Quality Of Healthcare ◽  
Emotional Wellbeing

Introduction:The proportion of aged people is growing worldwide. Older persons are affected by a number of physical, psychological and social factors that influence their health and quality of life. These factors are usually multiple and are often masked by sensory and cognitive impairments.Purpose:The purpose of this study was to examine the available literature emphasizing older persons’ care, care-related problems, and older persons’ quality of healthcare. Also, the paper aimed at exploring the future direction of research needs.Results:Good quality older patients’ care involves safety, professional interventions, recognition and management of physical and emotional wellbeing. Care of older patients requires addressing the aging process itself, the expected decrease in functionality, and diminished cognitive ability. Little statistical data were found to address the quality of hospitalized elderly patients in particular as well as study on healthcare facilities and nursing homes. Literature does not provide much guidance to the effectiveness of care strategies.Conclusion:The results assert that elderly health care is a priority. However, health care systems are not specific about elderly patients’ needs, leading to low quality of elderly care. There is a need to use an integrated model of care to improve the quality of life and quality of care provided to hospitalized older patients.

scholarly journals A study on health-related quality of life and comorbidity among elderly population in rural Sabah, Malaysia

2016 ◽  
Vol 5 (2) ◽  
pp. 35-42
Author(s):  
Thant Zin ◽  
Than Myint ◽  
Daw KS Naing ◽  
Kyaw Htay ◽  
Aye Aye Wynn ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Joint Pain ◽  
Elderly Population ◽  
The Elderly ◽  
Health Related Quality ◽  
Hrqol Score ◽  
Related Quality ◽  
Health Related

Ageing is a global phenomenon. In Malaysia, a projected model estimated that the number of elderly would be 3.4 million in 2020 which is more than 10% of the population. A cross-sectional study targeted the elderly population of three villages in rural Sabah, Malaysia aimed to investigate the health-related quality of life, comorbidity, and the socio-demographic profile amongst the elderly in the community. Participants (60 years and above) were selected for face-to-face interviews using health-related quality of life questionnaires (SF-36). SPSS 21 was used for statistical analyses. Results showed that mean (sd) of age; 67.71 (6.95) years. Five common co-morbidities were hypertension (67%), bone and joint pain (63%), gastric pain (67%), poor vision (58%), and hearing problems (33%). The highest HRQoL score was social functioning (67.96) whereas the lowest HRQoL score is role limitation due to emotional problems (30.54). There is a significant relationship between HRQoL domains and socio-demographic factors (gender, marital status, membership in association), and health condition (co-morbidities and access to healthcare, bone and joint pain or arthritis and treatment, hearing impairment and treatment) which indicated need for health and social support like participating in association and access to health care for rural elderly in future programme. We recommend a further study to compare elderly HRQoL in rural, urban and institutional settings for future health-care planning.South East Asia Journal of Public Health Vol.5(2) 2015: 35-42

scholarly journals Perceived quality of care and satisfaction for deaf people with regard to primary care in a Health Area in the region of Murcia

2019 ◽  
Vol 18 (2) ◽  
pp. 303-322 ◽  
Author(s):  
Pedro Simón Cayuela Fuentes ◽  
María del Mar Pastor Bravo ◽  
María de los Ángeles Conesa Guillén
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Quality Of Care ◽  
Communication Systems ◽  
Perceived Quality ◽  
Deaf People ◽  
Quality Health Care ◽  
Health Area ◽  
El Sistema

Objetivo: Describir la calidad asistencial percibida y la satisfacción frente a los servicios de Atención Primaria del Área de Salud II Cartagena del Servicio Murciano de Salud por parte de las personas sordas de Cartagena y comarca.Método: Estudio observacional, descriptivo y transversal. Los datos se recogieron mediante la traducción simultánea a la lengua de signos española del Cuestionario de Evaluación y Mejora de la Calidad Asistencial de Calidad Percibida en Atención Primaria. Se analizaron las variables: edad, sexo, nivel de estudios, tipo de sordera, primera lengua y uso, sistemas o apoyos comunicativos, calidad de atención percibida, percepción de la profesionalidad y trato humano por parte del profesional de la medicina, enfermería y administración y la satisfacción global percibida con su Centro de Atención Primaria. Resultados: La profesionalidad y trato humano recibido por parte del personal médico y administrativo fue percibido como deficiente, considerándose bueno en caso de las enfermeras. La satisfacción global es menor a la de la población general. Existen diferencias estadísticamente significativas entre el tipo de sordera y la profesionalidad percibida, el trato humano y la profesionalidad percibida y entre el sistema o apoyo comunicativo y la calidad de la atención percibida. Conclusiones: Es necesario adaptar la atención en salud que se presta a este colectivo con necesidades especiales a fin de que perciban una atención sanitaria de calidad que derive en un mayor acceso y seguimiento de personas sordas en el sistema sanitario.   Objective: To describe the quality of care and satisfaction with regard to the primary care services of the Health Area II Cartagena of the Murcia Health Service as perceived by deaf people of Cartagena and the region.Method: Observational, descriptive and cross-sectional study. The data were collected through the simultaneous translation of the Questionnaire on Evaluation and Improvement of the Quality of Care (EMCA) relative to the Perceived Quality in Primary Care. The variables analyzed were: age, sex, level of education, kind of deafness, first language and use, communication systems or supports, quality of perceived service, perception of professionalism and humane treatment by doctors, nurses and administrative personnel and overall satisfaction perceived regarding their Health Center.Results: Professionalism and humane treatment on behalf of doctors and administrative staff was perceived as deficient, yet this perception was good in the case of nurses. Overall satisfaction is lower than that in the general population. There are statistically significant differences between the type of deafness and the perceived professionalism, the humane treatment and the perceived professionalism and between the communication system or support and the perceived quality of care.Conclusions: The health care provided to this group with special needs must be adapted so that they perceive quality health care leading to increased access and monitoring of deaf people in the health system.  

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