Preferencias por las decisiones compartidas en pacientes con depresión

Hernández, Ascensión Ángeles Fumero; Quevedo, Rosario Josefa Marrero; Castresana, Carlos de las Cuevas; Castro, Wenceslao Peñate

doi:10.14718/acp.2016.19.1.11

Cited by 3 publications

(1 citation statement)

References 41 publications

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“…Las organizaciones de la salud crecen y desarrollan sus funciones en situaciones caracterizadas por constantes cambios; en consecuencia, afrontan desafíos siempre nuevos. Como respuesta, el control interno ha evolucionado hasta consolidarse como un sistema enfocado en temas esenciales y en la capacidad de las instituciones para lograr los objetivos que se han trazado (Morais y Teixeira, 2016;Fumero Hernández, Marrero Quevedo, de las Cuevas Castresana y Peñate Castro, 2016). En Cuba está establecido que los servicios de salud son gratuitos y que en ellos deben distinguirse estándares de calidad bien denidos.…”

Section: Introductionunclassified

Inferencia estadística de las variables del control interno en una entidad hospitalaria de acuerdo con la percepción de sus actores

Cruz

Pravia

Claro

2018

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Al ser un aspecto que se aplica a múltiples procesos, el control ha sido denominado de diferentes maneras: control de gestión, financiero, administrativo, de calidad, de producción o interno. En la actualidad, los directivos se enfrentan a la difícil tarea de entender su funcionamiento, una labor notable por su complejidad, pues es efectuada en primer lugar por la dirección y el resto del personal. El objetivo de este artículo es realizar una inferencia estadística de las variables del control interno en una entidad hospitalaria, con información derivada de la percepción de sus actores. Con ese propósito, se desarrolló un instrumento de veintiséis ítems que abarcan los cinco componentes del control interno. En concordancia, se recurrió a unas de las ciencias pertinentes para el análisis de inferencias: la estadística multivariada, la cual es representada por el análisis factorial y el clúster. Como resultado, se obtienen los componentes según la debilidad de las variables, que son medidas de acuerdo con la percepción de los actores, su validez y su fiabilidad. Además, esta proporciona una estrategia a los directivos de la entidad hospitalaria que es objeto de estudio, de acuerdo con el diagnóstico de las variables del control interno.

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Section: Introductionunclassified

Inferencia estadística de las variables del control interno en una entidad hospitalaria de acuerdo con la percepción de sus actores

Cruz

Pravia

Claro

2018

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Measurement issues of shared decision making in mental health: challenges and opportunities

Perestelo-Pérez

Rivero‐Santana

Álvarez‐Pérez

et al. 2017

MHRJ

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Purpose Shared decision making (SDM) is a model of health care in which patients are involved in the decision-making process about their treatment, considering their preferences and concerns in a deliberative process with the health care provider. Many existing instruments assess the antecedents, process, or the outcomes of SDM. The purpose of this paper is to identify the SDM-related measures applied in a mental health context. Design/methodology/approach The authors performed a systematic review in several electronic databases from 1990 to October 2016. Studies that assessed quantitatively one or more constructs related to SDM (antecedents, process, and outcomes) in the field of mental health were included. Findings The authors included 87 studies that applied 48 measures on distinct SDM constructs. A large majority of them have been developed in the field of physical diseases and adapted or directly applied in the mental health context. The most evaluated construct is the SDM process in consultation, mainly by patients’ self-report but also by external observer measures, followed by the patients’ preferences for involvement in decision making. The most applied instrument was the Autonomy Preference Index, followed by the Observing Patient Involvement in Decision Making (OPTION) and the Control Preferences Scale (CPS). The psychometric validation in mental health samples of the instruments identified is scarce. Research limitations/implications The bibliographic search is comprehensive, but could not be completely exhaustive. Effort should be invested in the development of new SDM for mental health tools that will reflect the complexity and specific features of mental health care. Originality/value The authors highlight several limitations and challenges for the measurement of SDM in mental health care.

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Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance

Fumero

Marrero

Castro

et al. 2021

IJERPH

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Background: There is a high dropout rate of oral contraceptive pills (OCP), mainly due to a lack of adherence to treatment. The aim of this study was to identify the psychological processes and attitudes toward medication involved in adherence to OCP, depending on the prescription, to avoid unintended pregnancies (AUP) or gynecological problems (GP). Methods: This cross-sectional study was conducted by asking 689 young women in the fertile period, mean age 23.41 (SD = 5.90), to complete questionnaires related to attitudes, beliefs, psychological reactance, locus of control, and adherence to contraceptive medication. Descriptive analyses and a binary logistic regression were performed. Results: The results confirmed that different beliefs and psychological processes were involved in adherence to oral contraception, based on women’s reasons for taking contraceptive medication. More psychological processes were involved in non-adherence in the AUP group than in the GP group. Psychological reactance contributed most to explaining non-adherence in women who used the OCP to prevent unintended pregnancies. Conversely, women with gynecological problems reported difficulties in adherence, mainly due to their beliefs about contraceptive pills. Conclusions: These findings indicate that attitudes toward medication and psychological processes can play an important role in adherence to OCP, including reasons for using the pill. Identifying the psychological factors and beliefs linked with contraception could guide health professionals to provide counseling to women, thus increasing their adherence to medication and maximizing their health and well-being.

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Preferencias por las decisiones compartidas en pacientes con depresión

Cited by 3 publications

References 41 publications

Inferencia estadística de las variables del control interno en una entidad hospitalaria de acuerdo con la percepción de sus actores

Inferencia estadística de las variables del control interno en una entidad hospitalaria de acuerdo con la percepción de sus actores

Measurement issues of shared decision making in mental health: challenges and opportunities

Adherence to Oral Contraception in Young Women: Beliefs, Locus of Control, and Psychological Reactance

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