This article shows how many health insurance companies operating in the Greater São Paulo have been performing auditing of the quality of their health care services, professionals, and which criteria are being employed to do so. Because of the legislation decreeing that health insurance companies have legal co-responsibility for the health care services and National Health Agency control the health services National Health Agency, auditing evaluations have been implemented since then. The survey was based on electronic forms e-mailed to all health insurance companies operating in the Greater São Paulo. The sample consisted of 125 health insurance companies; 29 confirmed that had monitoring and evaluation processes; 26 performed auditing of their services regularly; from those, 20 used some type of form or protocol for technical visits; all evaluation physical and administrative structure and 22 included functional structure. Regarding the professionals audited 21 were nurses, 13 administrative assistants; 04 managers and 02 doctors. Regarding criteria for accreditation the following were highlighted: region analysis (96%), localization (88.88%) and cost (36%). We conclude that this type of auditing evaluation is rather innovative and is being gradually implemented by the health insurance companies, but is not a systematic process.
Stroke is an ischemic or hemorrhagic clinical condition that affects the central nervous system and engenders cognitive and motor deficits. Many studies are made each year to find better ways to alleviate the symptoms and recover as many of the functions lost as possible. Nowadays, the latest trends in rehabilitation are exploiting advances in technology and virtual reality devices, such as the Nintendo Wii®. Objective: To identify the functional results obtained in the rehabilitation of individuals with stroke using the interface of the Nintendo Wii games. Method: For this systematic review, articles were selected from MEDLINE, PubMed and the Cochrane Library through the PICO strategy. The keywords used were: User-Computer Interface; Stroke; and Rehabilitation. Results: We found 229 articles, of which only 3 were used in this review, because they showed a direct relationship between Wii and stroke. All studies showed benefits such as improved motor coordination and agility of upper limbs using the Wii associated with conventional therapies such as physiotherapy and occupational therapy. Conclusion: Further studies should be performed with Nintendo Wii® and the new Virtual Reality Technologies that appear every day in order to improve the level of scientific evidence regarding the use of these resources in the rehabilitation of stroke patients.
Stroke is an ischemic or hemorrhagic clinical condition that affects the central nervous system and engenders cognitive and motor deficits. Many studies are made each year to find better ways to alleviate the symptoms and recover as many of the functions lost as possible. Nowadays, the latest trends in rehabilitation are exploiting advances in technology and virtual reality devices, such as the Nintendo Wii®. Objective: To identify the functional results obtained in the rehabilitation of individuals with stroke using the interface of the Nintendo Wii games. Method: For this systematic review, articles were selected from MEDLINE, PubMed and the Cochrane Library through the PICO strategy. The keywords used were: User-Computer Interface; Stroke; and Rehabilitation. Results: We found 229 articles, of which only 3 were used in this review, because they showed a direct relationship between Wii and stroke. All studies showed benefits such as improved motor coordination and agility of upper limbs using the Wii associated with conventional therapies such as physiotherapy and occupational therapy. Conclusion: Further studies should be performed with Nintendo Wii® and the new Virtual Reality Technologies that appear every day in order to improve the level of scientific evidence regarding the use of these resources in the rehabilitation of stroke patients.
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