RESUMO
UNLABELLED: The health organisations have moved from being centred on the professionals and are now centred on users and their expectations. The new health institutions want to know patients' perception of the quality of the care received, with particular respect to the information received, consent and decision making. It is necessary to have available measuring instruments that explore the different components of the process of information, consent and decision making. BACKGROUND: To identify the dimensions related to the process of information, consent and decision making of most importance to patients and susceptible to evaluation by questionnaire. SUBJECTS AND METHODS: Adult persons who have been hospitalised for at least two days. Qualitative study using semi-structured interviews. RESULTS: The participants wish to be informed and to participate in decision making; they do not know the meaning of the charter of patients' rights; they wish to share the whole care process with their family; written information is incomprehensible to them; and they feel that their pain and discomfort do not receive appropriate attention. CONCLUSION: It would be convenient to include the following dimensions in the questionnaires on satisfaction: a) the possibility of clarifying doubts; b) real knowledge of the rights and duties of patients; c) participation by the family in the care process; d) continuity of the same informer throughout hospitalisation; d) degree of understanding of the written information; e) involvement in decision making; and f) attention to pain and discomfort.
Assuntos
Hospitalização , Satisfação do Paciente , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Sistemas Computadorizados de Registros Médicos , Pessoa de Meia-Idade , Participação do Paciente , Inquéritos e QuestionáriosRESUMO
La diarrea persistente es un síndrome que causa desnutrición, morbilidad y mortalidad.Objetivo: mostrar la experiencia de diarrea persistente en la Fundación Cardio Infantil y la Asociación Médica de los Andes (AMA) respecto a las característica clínicas, tratamiento previo, diagnóstico y tratamiento definitivo. }discusión: la diarrea persistente no está exenta de morbilidad que amenaza la vida. Se revisan los mecanismos fisiopatológicos y el tratamiento
Assuntos
Humanos , Criança , DiarreiaRESUMO
Two anthropometric surveys of children and adolescents have been carried out in Cuba with national samples. A third study done in the province of Ciudad de la Habana provided information on the physical characteristics of the population in that area and a baseline for the periodic evaluation of its nutritional status. This article compares the weight and height results obtained in these surveys for children 0 to 5 years old who lived in this province with the international reference standards proposed by WHO. The results show that, despite the economic difficulties the country has faced, the prevalence of malnutrition is low. In 1993, the prevalence of low height-for-age was 3.1%; that of low weight-for-height, 0.4%; and that of low weight-for-age, 1.5%. Overweight was the most common type of malnutrition, with a prevalence of 5.2%. Between 1972 and 1993, the prevalence of chronic malnutrition fell 32.6%, acute malnutrition was reduced by 69.2%; malnutrition of all types decreased by 44.4%; and overweight fell 48.5%.
Assuntos
Fenômenos Fisiológicos da Nutrição Infantil , Antropometria , Pré-Escolar , Cuba/epidemiologia , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Distúrbios Nutricionais/epidemiologia , Inquéritos Nutricionais , Estado Nutricional , Obesidade/epidemiologia , Prevalência , Estudos Retrospectivos , Fatores SocioeconômicosRESUMO
OBJECTIVE: To study the number and quality of the referrals from primary care to pneumology. To analyse their relationship to specialist medical training and the attendance pattern. DESIGN: A descriptive, retrospective study. SETTING: A Pneumology Clinic at the Peripheral Specialities Centre at Cartuja (Granada). PATIENTS AND OTHER PARTICIPANTS: 597 referrals were gathered. These were for all the patients referred from primary care to this clinic from may to december 1992. MEASUREMENTS AND MAIN RESULTS: The overall population referral rate per 100,000 inhabitants and month of study was 39.73. The out-clinic doctors referred twice as many patients as health centre (HC) doctors, with OR = 2.01 (1.70 < OR < 2.36). Taken together, general physicians referred three times more than family doctors, with OR = 3.04 (2.54 < OR < 3.78). Regarding the quality of the referral documents, HC doctors accompanied a referral with sufficient information eleven times more often than out-clinic doctors, with OR = 11.38 (6.13 < OR < 21.47). Family doctors contributed this "correct" information thirteen times more often than general physicians without specialist training: OR = 13.50 (8.06 < OR < 22.67). CONCLUSIONS: The number and quality of referrals appear to be closely related to the attendance pattern and in particular to the specialist training of health professionals.
Assuntos
Medicina de Família e Comunidade , Padrões de Prática Médica , Pneumologia , Encaminhamento e Consulta , Humanos , Estudos Retrospectivos , EspanhaRESUMO
The authors present a patient with intestinal lymphangiectasis discussing the pathophysiology, diagnosis and immunologic treatment instituted which was with mebendazole, sulfazalosopyridine and oral calcium. Immunoglobulins and T and B leukocytes showed increase together with clinical improvement in the diarrheal picture.