RESUMEN

Introduction: A deeper comprehension of accountability is beneficial for identifying and fostering tactics to boost accountability and raise the standard of healthcare. The main objective of the present paper is to measure the level of customers' perception of accountability of healthcare diagnostic service providers and to identify the factors that influence the perception of accountability of healthcare diagnostic service customers. Methods: A questionnaire survey was used to collect data from 393 customers of various diagnostic centers in the city of Guwahati from the state of Assam in India. The reliability of the data was tested using Cronbach's Alpha. Statistical tests were used for the mean, percentage, standard deviation, etc. Factor analysis was performed to find out the factors affecting customers' perception of accountability. Results: It was found that the overall level of perception of the customers with respect to the accountability of diagnostic centers in Guwahati is of high level. The study reveals four variables that affect how customers perceive the accountability of diagnostic service providers. These are Competency, Responsiveness, Compliance with protocol, and Problem-solving approach. Discussion: Significant contributions have been made by the present study in terms of the development of a scale to measure customers' perception of accountability of diagnostic centre, and the development of a theoretical model to explain this accountability.

RESUMEN

Corona virus disease 2019 (COVID-19) is caused by severe acute respiratory coronavirus 2 (SARS-CoV-2) and has been declared as pandemic. Its transmission is mainly by droplets and touching infected surfaces. Health care workers including personnel working at diagnostic centers are more prone to contact the disease through infected patients and hence various precautionary measures have to be implemented which has been discussed in this article. This manuscript shall brief about the preparedness by the diagnostic center in terms of the modification in the work flow, the precautions and protections to be taken by the personnel and patients, disinfection of the equipment and surfaces, and new norms of social distancing. This article will be addressing mainly to the diagnostic centers and the changes to be made as per their convenience.

RESUMEN

INTRODUCCION: el infarto agudo del miocardio constituyó más del 12 por ciento de los fallecimientos por cardiopatía isquémica en Venezuela en 2006, sin evidenciarse disminución en la mortalidad a pesar del mejoramiento tecnológico de los servicios de urgencias. OBJETIVO: caracterizar su comportamiento en los centros de diagnóstico integrales del Estado de Vargas, en el período comprendido de junio de 2006 a junio de 2009. MÉTODOS: se realizó un estudio descriptivo, retrospectivo para caracterizar el comportamiento del infarto agudo del miocardio en los servicios de urgencia y emergencia de los centros de diagnóstico integrales utilizando las estadísticas de la Misión Barrio Adentro. RESULTADOS: fueron atendidos 186 pacientes por infarto agudo del miocardio, predominaron los ingresos en la terapia intensiva (2,4 por ciento) sobre los servicios de hospitalización. Los fallecidos por esta causa fueron 35 personas, 17,1 por ciento del total de fallecidos. Fueron trombolizados el 39,2 por ciento, con el mayor número alcanzado en el 2008 con 51,2 por ciento. La letalidad por infarto agudo del miocardio osciló entre tasas de 17,3 y 20 por cada 100 pacientes vistos. La tasa de mortalidad bruta fue de 9,58 x 100 000 habitantes. CONCLUSIONES: el número de casos atendidos por infarto tuvo un comportamiento ascendente de manera estable, representaron el 0,7 por ciento del total de ingresos en estos centros, con predominio de los ingresos en la terapia intensiva sobre los servicios de hospitalización. Se le aplicó el tratamiento trombolítico con estreptoquinasa recombinante a un por ciento importante de enfermos. En los servicios de hospitalización fue superior la letalidad por esta causa. No disminuyó el riesgo de morir para los pacientes con esta enfermedad y la mortalidad general en el período estudiado fue de 35 pacientes para una tasa de 9,58 Î 100 000 habitantes(AU)

INTRODUCTION: the acute myocardial infarction was over the 12 percent of deceased from ischemic heart disease in Venezuela in 2006 without evidence of decrease in mortality despite the technological improvement of emergences services. OBJECTIVE: to characterize its behavior in the integral diagnostic centers of the Vargas State from June, 2006 to June, 2009. METHODS: a retrospective and descriptive study was conducted to characterize the behavior of myocardial acute infarction in urgency and emergency services of integral diagnostic centers using the Barrio Adentro's Statistics. RESULTS: a total of 186 patients were seen due to myocardial acute infarction with predominance of intensive therapy admissions (2,4 percent) on the hospitalization services. Those deceased from this cause included 35 persons the 17,1 percent of total of deceased. The 39,2 percent was thrombolized where the higher figure was achieved in 2008 with a 51,2 percent. The mortality from myocardial acute infarction fluctuated between rates of 17,3 and 20 by each 100 patients treated. The crude mortality rate was of 9,58 by 100 000 inhabitants. CONCLUSIONS: the figure of cases seen due to infarction had a stable increasing behavior, accounting for the 0,7 percent of total of admissions in these centers with predominance of intensive therapy admissions over the hospitalization services. Thrombolytic treatment was applied using recombinant streptokinase in a significant percentage of patients. In the hospitalization services mortality from this cause was higher. The death risk not decreased for patients presenting with this disease and the general mortality during the study period was of 35 patients for a rate of 9,58 x 100 000 inhabitants(AU)

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RESUMEN

INTRODUCCION: el infarto agudo del miocardio constituyó más del 12 por ciento de los fallecimientos por cardiopatía isquémica en Venezuela en 2006, sin evidenciarse disminución en la mortalidad a pesar del mejoramiento tecnológico de los servicios de urgencias. OBJETIVO: caracterizar su comportamiento en los centros de diagnóstico integrales del Estado de Vargas, en el período comprendido de junio de 2006 a junio de 2009. MÉTODOS: se realizó un estudio descriptivo, retrospectivo para caracterizar el comportamiento del infarto agudo del miocardio en los servicios de urgencia y emergencia de los centros de diagnóstico integrales utilizando las estadísticas de la Misión Barrio Adentro. RESULTADOS: fueron atendidos 186 pacientes por infarto agudo del miocardio, predominaron los ingresos en la terapia intensiva (2,4 por ciento) sobre los servicios de hospitalización. Los fallecidos por esta causa fueron 35 personas, 17,1 por ciento del total de fallecidos. Fueron trombolizados el 39,2 por ciento, con el mayor número alcanzado en el 2008 con 51,2 por ciento. La letalidad por infarto agudo del miocardio osciló entre tasas de 17,3 y 20 por cada 100 pacientes vistos. La tasa de mortalidad bruta fue de 9,58 x 100 000 habitantes. CONCLUSIONES: el número de casos atendidos por infarto tuvo un comportamiento ascendente de manera estable, representaron el 0,7 por ciento del total de ingresos en estos centros, con predominio de los ingresos en la terapia intensiva sobre los servicios de hospitalización. Se le aplicó el tratamiento trombolítico con estreptoquinasa recombinante a un por ciento importante de enfermos. En los servicios de hospitalización fue superior la letalidad por esta causa. No disminuyó el riesgo de morir para los pacientes con esta enfermedad y la mortalidad general en el período estudiado fue de 35 pacientes para una tasa de 9,58 Î 100 000 habitantes

INTRODUCTION: the acute myocardial infarction was over the 12 percent of deceased from ischemic heart disease in Venezuela in 2006 without evidence of decrease in mortality despite the technological improvement of emergences services. OBJECTIVE: to characterize its behavior in the integral diagnostic centers of the Vargas State from June, 2006 to June, 2009. METHODS: a retrospective and descriptive study was conducted to characterize the behavior of myocardial acute infarction in urgency and emergency services of integral diagnostic centers using the Barrio Adentro's Statistics. RESULTS: a total of 186 patients were seen due to myocardial acute infarction with predominance of intensive therapy admissions (2,4 percent) on the hospitalization services. Those deceased from this cause included 35 persons the 17,1 percent of total of deceased. The 39,2 percent was thrombolized where the higher figure was achieved in 2008 with a 51,2 percent. The mortality from myocardial acute infarction fluctuated between rates of 17,3 and 20 by each 100 patients treated. The crude mortality rate was of 9,58 by 100 000 inhabitants. CONCLUSIONS: the figure of cases seen due to infarction had a stable increasing behavior, accounting for the 0,7 percent of total of admissions in these centers with predominance of intensive therapy admissions over the hospitalization services. Thrombolytic treatment was applied using recombinant streptokinase in a significant percentage of patients. In the hospitalization services mortality from this cause was higher. The death risk not decreased for patients presenting with this disease and the general mortality during the study period was of 35 patients for a rate of 9,58 x 100 000 inhabitants

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