AME: Ambulatório Médico de Especialidades agilidade com resolutividade

Tadei, Valdecir C.; Braile, Domingo Marcolino

doi:10.1590/s0102-76382008000400019

Cited by 3 publications

(4 citation statements)

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“…Considering the relevance of the regional need for specialists, with the implantation of the Votuporanga Specialty Medical Outpatient Clinic, the principles of universality, integrality and equity can be achieved, as all patients are treated in the same physical environment with the immediate resolution of cases of medium-and high-complexity outpatient care and referrals to medium-and high-complexity hospital centers, when necessary. (30) Further studies are needed on medical specialty clinics administrated by SHOs, with an emphasis on aspects related to health indicators and the quality of life of the population…”

Section: Discussionmentioning

confidence: 99%

Public-Private Partnerships as a Public Health Management Strategy in the State of São Paulo, Brazil: A Historical Overview

Carlos Tadei,

Marcolino Braile

2023

ijSciences

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Novel strategies for improving the management of public health services have been the object of discussion in Brazil since the implantation of the universal public healthcare system. Public-private partnerships are among the options in the quest for greater efficiency in the offer of public health services. A novel health management model implemented by the Secretary of Health of the state of São Paulo involving Social Health Organizations (SHOs) has achieved good results, with quite positive indicators of efficiency, quality of care and the economy of financial resources, constituting a successful public health management experience in the state. Further studies are needed at medical specialty clinics administrated by SHOs, with an emphasis on aspects related to health indicators and the quality of life of the population.

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Section: Discussionmentioning

confidence: 99%

Public-Private Partnerships as a Public Health Management Strategy in the State of São Paulo, Brazil: A Historical Overview

Carlos Tadei,

Marcolino Braile

2023

ijSciences

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“…There is great interest in outpatient procedures such as colonoscopy in both public and private settings (16) . In the state of São Paulo, less complex procedures with no need for hospitalization have been transferred to specialized outpatient facilities of medium complexity (9) . In our city, a substantial number of low-risk patients managed to be removed from the colonoscopy queues of highly complex public hospitals, which remained responsible for high-risk cases or those in need of hospitalization.…”

Section: Discussionmentioning

confidence: 99%

“…In the state of São Paulo, the largest state of Brazil, 14670 new cases of CRC are expected this year (8) . To meet these and other demands for specialized care and tests, medium complexity health centers, known as specialty outpatient clinics and state hospitals, have been created (9) .…”

Section: Introductionmentioning

confidence: 99%

Teaching Basic Colonoscopy Skills: Quality and Safety Standards Can Be Fulfilled in an Outpatient University Center

Feitosa

Parra

Freitas

et al. 2021

Arq. Gastroenterol.

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BACKGROUND: Recent studies have shown that endoscopy fellows can perform colonoscopy effectively and safely. However, little is known about the performance of surgical residents without prior knowledge of endoscopic techniques. OBJECTIVE: To assess whether quality indicators were met at an outpatient endoscopy center and whether surgical residents, without prior upper or lower endoscopy skills, could perform colonoscopy adequately. METHODS: A prospective non-randomized cohort study was undertaken. All exams were performed either by assistant physicians or by residents. Quality measures were compared between those groups. RESULTS: A total of 2720 colonoscopies were analyzed. In the resident group, we observed older patients (57.7±12.7 years vs 51.5±14.5 years, P<0.001), a higher prevalence of screening colonoscopies (52% vs 39.4%, P<0.001) and a higher prevalence of colorectal cancer (6.4% vs 1.8%, P<0.001). The cecal intubation rate was higher in the attending group (99.9% vs 89.3%; P<0.001). The polyp detection rate was 40.8%, and no differences were observed between the studied groups. The residents had a higher rate of perforation in all exams (0.4% vs 0%; P=0.02). Postpolypectomy bleeding and 7-day readmission rates were the same (0.2%). All readmissions in 7 days occurred due to low digestive bleeding, and none required intervention. CONCLUSION: Quality indicators were met at a university outpatient endoscopy center; however, medical residents achieved lower rates of cecal intubation and higher rates of perforation than the attending physicians.

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“…E é neste contexto, onde ainda vivemos um momento de mudanças, aprendendo cuidar da família, que os autores brasileiros vivenciam seus questionamentos e tentam compreender os conceitos relativos a estes cuidados. Enquanto em outros países, como Espanha e Canadá, há uma outra realidade, onde esse modelo assistencial na área da Saúde já está consolidado (66) . (2) 2) 2) 2) 2): : : : : 290-9 290-9 290-9 290-9 290-9. .…”

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Apoio social à família do paciente com câncer: identificando caminhos e direções

et al. 2010

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Network and social support are resources that nursing can offer to families. This review identifies which aspects of social support are being investigated for the family of the cancer patient. Fifty one articles were found of which 70% were quantitative research and 26% were published in the last two years. The issues addressed were: Family caregivers as provider of social support; Factors that interfere with social support; Religiosity as social support as well as support coming from educative programs, group activity and technological resources. Of these papers, 49% were written by nurses, with international emphasis on needs assessment, family experiences and support offered, while national articles emphasize definition concepts and identifying family needs focusing on intervention planning.

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AME: Ambulatório Médico de Especialidades agilidade com resolutividade

Abstract: Descriptors: Health management. Health administration. Health policy, planning and management.Descritores: Gestão em saúde. Administração em saúde. Políticas, planejamento e administração em saúde.

Cited by 3 publications

References 1 publication

Public-Private Partnerships as a Public Health Management Strategy in the State of São Paulo, Brazil: A Historical Overview

Public-Private Partnerships as a Public Health Management Strategy in the State of São Paulo, Brazil: A Historical Overview

Teaching Basic Colonoscopy Skills: Quality and Safety Standards Can Be Fulfilled in an Outpatient University Center

Apoio social à família do paciente com câncer: identificando caminhos e direções

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