Relación del personal de salud con los pacientes en la Ciudad de México

Abstract

OBJECTIVE:To assess quality of the relationship between inpatients and health providers. METHODS:A qualitative study was carried out in a tertiary care hospital in the Mexico City, Mexico, between February and July 2005. In-depth interviews were conducted with 40 inpatients. The following categories of analysis were used to explore the respondent's perception of care: attitudes and actions of medical and nursing providers, effective communication, level of knowledge of patients and their family on the diagnosis, clinical treatment, and evolution. RESULTS:Overall the level of satisfaction with health care was high. Inpatients perceived everyday (non-clinical) interactions with medical and nursing providers as inadequate due to lack of confi dence to request information on their condition. In addition, this perception was reinforced by excessive use by providers of technical terminology. CONCLUSIONS:The routine relationship between health providers and their patients is perceived as inadequate showing that clinical effectiveness does not mean high quality of care. There is a need to bring together technical-scientifi c effi ciency and patients' needs and expectations of non-clinical interactions.

Demandas de atendimento psiquiátrico em um hospital universitário

“…Entre os 92 sinais/sintomas identificados constavam tristeza, choro, ansiedade e irritabilidade que são respostas humanas ou expressões afetivas esperadas no processo de adoecimento. No entanto estes, muitas vezes, não são percebidos pela equipe como necessidades de cuidado (12) . A psiquiatria, na perspectiva biopsicossocial que adentrou o hospital geral, passou a cuidar não apenas dos transtornos mentais, mas também a promover a integralidade e a integração dos cuidados buscando, em parceria com as demais especialidades, atender o sujeito em suas necessidades em uma perspectiva que supere a fragmentação da assistência (13) .…”

Calidad percibida de la atención en salud en una red pública del municipio de Pasto, Colombia

“…En el estudio realizado por Barca et al, se identificó que el hecho de que un profesional sanitario utilice un lenguaje ajeno a sus pacientes, limita la posibilidad de establecer vínculos de confianza, coadyuvando a mantener en los pacientes y sus familiares, temores o dudas sobre su padecimiento y las posibilidades de recuperación (27) .…”

Opinión de los pacientes sobre su participación en la enseñanza práctica de medicina en un hospital universitario de Brasil

“…Esta pasividad no fue observada por HerreraKiengelher et al [7] en un estudio realizado en otro país, lo que puede tratarse de un hecho de naturaleza cultural. Los pacientes pueden sentir el deseo de negarse a someterse a entrevistas con realización de exámenes físicos [3,5].…”