RESUMENLa evaluación de la calidad asistencial ha adquirido gran relevancia en los últimos años con la fi nalidad de mejorar las prácticas sanitarias, actualizar los conocimientos de los profesionales y alcanzar los mejores resultados en salud. La fi nalidad del presente estudio es realizar una descripción del panorama sobre el uso de medidas de resultados de salud basadas en el paciente en la práctica clínica.Los cuestionarios validados SF-36 y NHP son los más utilizados en los estudios analizados para medir el impacto de la Calidad de Vida Relacionada con la Salud (CVRS) en distintas poblaciones de pacientes. Las medidas subjetivas de valoración de la CVRS empleadas en la práctica clínica constituyen un criterio complementario en la atención de los pacientes con enfermedades en las que los indicadores de morbimortalidad no expresan completamente el impacto de la enfermedad en el individuo y la sociedad. A pesar de lo anterior, existen dimensiones no recogidas en los cuestionarios existentes, por lo que se deben perfeccionar y completar en el futuro. Palabras clave: Calidad de vida. Perfi l de Impacto de Enfermedad. Satisfacción del Paciente.
ABSTRACTEvaluation of health outcome. Overview of the use of patient-based Health Outcome measures in clinical practice Assessment of healthcare quality has become very important in the last few years. The aim is to improve healthcare practices, update healthcare professionals' knowledge and achieve the best health outcomes. The aim of this study is to provide an overview of the use of patient-based health outcome measures in clinical practice. In the studies analysed, the most commonly used questionnaires to measure the impact of Healthrelated Quality of Life (HRQoL) in different patient populations are the SF-36 and NHP. The subjective assessment measures of HRQoL used in clinical practice constitute a complementary criterion in the healthcare of patients with diseases in which the morbidity-mortality indicators do not fully express the impact of the disease on the individual and on society. In spite of this, the current questionnaires do not take into account certain dimensions and need to be perfected and extended in the future.
Musculoskeletal disorders is the main reason for immobilisation in home care patients. Most informal carers are older women. The length and intensity of care is high and the main support comes from healthcare professionals. Patients make limited use of social healthcare resources.
Those taking part in the 2 discussion groups had the following characteristics: 3 men and 8 women. 5 of them were from rural health centres (HC) and 6 from urban HC; 3 had under 2 years experience in the Home Visit Programme (HVP) and 8 had over 5 years experience in it; 5 completed their nursing studies before 1990, and 6 afterwards. In the chats it was clear that the broad experience of PC nurses made them aware of the health situation and quality of life of informal carers, of the loneliness of these and the inter-personal conflicts that occur in families when a situation of dependency arises. Nurses had their educational function towards the carers assumed despite the limitations. The view that the responsibility for the care of the dependent person is the family's was predominant, and a concern for lack of resources and support was appreciated. Nurses had a view of the carer as a resource and barely perceived her as a patient.
La presente investigación analiza las percepciones sobre tipos de violencia en los/las estudiantes de la Universidad Central del Ecuador en 2018. El trabajo pretende recuperar información clave para pensar la gestión universitaria en cuanto a temas de prevención y respeto de Derechos Humanos. En este sentido, el estudio se aproxima al cuerpo de creencias, actitudes y prácticas violentas que puedan surgir en el espacio educativo investigado y que, generalmente, es invisibilizado o naturalizado como prácticas cotidianas. Para esto, se aplicó una encuesta a una muestra representativa por cada facultad y, a partir de los datos recogidos, se analizará el fenómeno antes señalado.
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