Aspects of Medical Care Administration: Specifying Requirements for Health Care

Kisch, Arnold I.

doi:10.1097/00005650-197410000-00009

Cited by 14 publications

(16 citation statements)

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“…Because attention has remained underprioritised, 3 children do not receive the treatment they require, and represent an unmet need within the healthcare system. 4 According to the epidemiological model, mental health problems are understood as 'any alteration in health and well-being' that require services and resources for their care, 5 i.e. those referred to as health conditions (morbidity and mortality) are needs that motivate or induce these individuals to seek mental healthcare once these problems arise.…”

Section: Mental Disorders In Children and Adolescentsmentioning

confidence: 99%

Mental health needs and accessing specialised healthcare in Mexican children with mental disorders: gender- and diagnosis-dependent differences

Diaz-Castro,

Hoffman,

Marquez-Caraveo

et al. 2023

BJPsych open

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Background Access describes factors that influence the initial contact or use of services, emphasising both the characteristics of patients and the health resources that influence the use of health services. Aims To compare Mexican boys and girls with mental disorders, with respect to primary diagnosis, symptom onset, and seeking and accessing specialised mental health services (SMHS). Method Longitudinal data were collected from primary caregiver-reported assessments of 397 child–caretaker dyads (child mean age 12.17 years, range 5–18 years, 63% male) that were obtained in two psychiatric hospitals specialising in child mental healthcare. Student t-tests and χ2-tests were applied to compare boys and girls regarding their diagnosis and variables associated with the seeking of and access to SMHS. Results Hyperkinetic disorder was the most prevalent diagnosis in boys, whereas depressive disorder and anxiety disorder were most prevalent in girls. The mean age at symptom onset for boys was 7 years, compared with 10 years for girls. Hyperkinetic disorder had the earliest symptom onset (mean 5.9 years), followed by depressive disorder (mean 9.8 years) and anxiety disorder (mean 12 years). Delayed access to SMHS was associated with initially seeking care from a psychologist, whereas quicker access was associated with affiliation with the (now defunct) Popular Insurance, a programme that served low-income and uninsured individuals. Conclusions Programmes aimed at children's mental health education and early intervention should consider gender- and diagnosis-related differences in symptom onset and trajectory. Access to SMHS might be improved by rapid identification by parents, educators, primary-care physicians and psychologists.

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Section: Mental Disorders In Children and Adolescentsmentioning

confidence: 99%

Mental health needs and accessing specialised healthcare in Mexican children with mental disorders: gender- and diagnosis-dependent differences

Diaz-Castro,

Hoffman,

Marquez-Caraveo

et al. 2023

BJPsych open

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“…Workshop discussions were recorded and transcribed. Thematic analysis of qualitative data, 19 was supported by NVivo 11 software using a framework informed by the literature examining structure, process and outcome, 20,21 and the implications for key agencies. This paper focuses on the learning from students engaging with older people in this way.…”

Section: Materials S and Me Thodsmentioning

confidence: 99%

Learning in conversation—A feasibility pilot study involving dental students and older people

Gallagher

Awojobi

Ahilan

et al. 2023

Eur J Dental Education

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IntroductionOlder people represent a growing proportion of the population in most high‐income countries. The impact of oral diseases on health and well‐being is far‐reaching, and future graduates should be able to meet their needs in this phase of life. This research tested the feasibility of involving dental students in direct community engagement to explore older peoples' oral health concerns and information needs.Materials and MethodsSeventeen older people were recruited locally to attend workshops with eight dental students in a health and well‐being centre. First, older people selected oral health‐related topics important to them, raising relevant questions and concerns. Students provided evidence‐informed feedback on these selected topics at a subsequent workshop. Participants (students and older people) reflected on their involvement (via questionnaires, discussions and personal reflections). Qualitative data were analysed using thematic analysis. The structure, process and outcome of the study were explored.ResultsStructure: Both students and older people were willing to participate in workshops. Workshops in the community facilitated active engagement between both groups without the constraints of clinics. Process: Students considered pre‐workshop preparations adequate but raised issues about their ability to manage ‘strong characters’ within discussion groups. Outcome: Older people welcomed the initiative. Important topics raised by them were addressed by students giving them advice on maintaining their oral health. Students reported an improved understanding of how older people can be supported and expected a significant impact on future practice.ConclusionStudent involvement in direct community engagement was welcomed by all, demonstrating the feasibility and positive impact of the design whilst highlighting issues of importance for older people's oral health.

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“…Según distintos autores y el punto de vista que asuman, las definiciones incluyen o no aspectos vinculados al usuario. Desde la perspectiva de la oferta de servicios, puede ser definida como "las características del recurso que facilitan o dificultan el uso por parte de los clientes potenciales" 17 , o "el grado de ajuste entre las características de los recursos de atención a la salud, y las de la población, en el proceso de búsqueda y obtención de atención" 19 . Desde otra perspectiva es entendida como el "encuentro/desencuentro entre los sujetos y los servicios", incorporando las características de la población usuaria y entendiendo que la definición desde la oferta invisibiliza el hecho de que los sujetos son también constructores de accesibilidad 18. En la mayor parte de los trabajos se relaciona al concepto con la posibilidad de contacto de la población usuaria con los servicios de primer nivel de atención, entendidos como puerta de entrada al sistema de salud.…”

Section: Accesibilidadunclassified

“…Trienio 2008 -2010.253 traslados (17,96%) pertenecen al grupo que, afectando a personas con patología de resolución ambulatoria, deben ser realizados para abordar la situación de salud en otra localidad, por falta de oferta local de estudio o consulta. Entre ellos se cuentan principalmente traslados de pacientes afectados por causas externas, predominando los referidos a traumatología (104 traslados), cirugía(17), oftalmología(19) y estudios tomográficos por trauma craneoencefálico u otras afecciones (45 traslados).La condición restante, cuidados domiciliarios, representa al grupo de pacientes que requieren controles o sesiones terapéuticas periódicas en mayor complejidad. Ejemplo de ello son los pacientes oncológicos que deben viajar por tratamiento radio o quimioterápico.Este grupo, de 189 pacientes, ocupa el 13,41% de los traslados (tabla 4).Fuente: Elaboración propiaAunque la unidad de análisis del estudio son los traslados realizados, resulta interesante cotejarlos con los pacientes involucrados en dichos procesos.Fuente:Fuente: de personas, emergencias, seguridad, vuelos sanitarios, etc.…”

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Perfil epidemiológico del traslado de pacientes a centros de mayor complejidad: Hospital Zonal Chos Malal. Provincia de Neuquén. Trienio 2008-2010

Lomardo¹

2012

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El traslado secundario, como parte del proceso de cuidado brindado a los pacientes, adquiere una gran importancia en hospitales de complejidad media, insertos en un sistema de salud organizado bajo preceptos de regionalización y complejidad creciente. Se analizaron los traslados en ambulancia a centros de mayor complejidad realizados durante el trienio 2008 -2010 desde el Hospital Zonal Chos Malal, en la provincia del Neuquén.Objetivos: registrar los traslados realizados, analizar su composición, describir su evolución y compararlos, en el marco de los egresos totales, con los otros tipos, ponderando su peso relativo. Metodología: estudio observacional, descriptivo. Fueron utilizadas múltiples fuentes de información secundaria existentes en distintas áreas del hospital y de la Subsecretaría de Salud provincial. Resultados: Se analizaron 1409 traslados, de los cuales 78,6% fueron mayores de 14 años. En relación al sexo 56,7% fueron varones, hallándose un índice de masculinidad de 1,3. El 38,6% de los pacientes se encontraba internado al momento de la derivación, estando en condición de ambulatorio internable el 28,0%; 18,0% fueron pacientes ambulatorios y el restante 13,4% se encontraba en cuidados domiciliarios (2,0% sin datos). Neuquén (78,6%) y Zapala fueron los principales destinos, con un predominio de instituciones del ámbito público como receptoras. Los pacientes trasladados mayoritariamente fueron cuidados por personal de enfermería durante el viaje, participando personal médico solo en el 20,3% de los casos. La tasa de traslados en ambulancia del año 2010 fue de 17,4 por mil y la proporción de traslados durante la internación fue 6,9%.Discusión: El proceso de traslado de pacientes es importante en el marco de los cuidados generales ofrecidos y el análisis sistemático de sus características y su tendencia temporal pueden configurar un instrumento de gestión que aporte a la mejora de

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Aspects of Medical Care Administration: Specifying Requirements for Health Care

Cited by 14 publications

References 0 publications

Mental health needs and accessing specialised healthcare in Mexican children with mental disorders: gender- and diagnosis-dependent differences

Mental health needs and accessing specialised healthcare in Mexican children with mental disorders: gender- and diagnosis-dependent differences

Learning in conversation—A feasibility pilot study involving dental students and older people

Perfil epidemiológico del traslado de pacientes a centros de mayor complejidad: Hospital Zonal Chos Malal. Provincia de Neuquén. Trienio 2008-2010

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