| |  | Miranda, J. J. | ¿Políticas de salud y salud politizada? Un análisis de las políticas de salud sexual y reproductiva en Perú desde la perspectiva de la ética médica, calidad de atención y derechos humanos read moreAbstract: Health professionals view medical ethics as a discipline that provides the basis for more adequate patient care. In recent years the concepts of quality of care and human rights - with their attending discourses - have joined the concept of medical ethics among the paradigms to consider in care for humans both at the individual and health policy levels. The current study seeks to analyze such paradigms, based on a case study of sexual and reproductive health policies in Peru in the last 10 years. | 2008 |
| | | Cash, Richard | Ethical issues in health workforce development read moreAbstract: Increasing the numbers of health workers and improving their skills requires that countries confront a number of ethical dilemmas. The ethical considerations in answering five important questions on enabling health workers to deal appropriately with the circumstances in which they must work are described. These include the problems of the standards of training and practice required in countries with differing levels of socioeconomic development and different priority diseases; how a society can be assured that health practitioners are properly trained; how a health system can support its workers; diversion of health workers and training institutions; and the teaching of ethical principles to student health workers. The ethics of setting standards for the skills and care provided by traditional health-care practitioners are also discussed. | 2005 |
| | | Maciel-Lima, Sandra M. | Acolhimento solidário ou atropelamento? A qualidade na relação profissional de saúde e paciente face à tecnologia informacional read moreAbstract: In the services sector, the product of labor is not a commodity that can be traded easily. What is sold is a specialized service, basically through an exchange of information to meet the client's needs and expectations. What emerge are thus the social relations between individuals: professionals and clients/consumers. This article presents evidence that the introduction of information technology undermines the quality of the relationship between the health professional and the patient. The article begins by discussing concepts pertaining to quality in the health sector. The health professional-patient relationship is then discussed through a brief review of the health/disease concept and specifically the physician-patient relationship. Analysis of primary data shows some indication that technological, physical, and management changes in health care units are undermining the quality of health care: many technological changes, but few operational changes, and many machines, but few professionals to treat patients. | 2004 |
| | | Deslandes, Suely F. | Análise do discurso oficial sobre a humanização da assistência hospitalar read moreAbstract: The term "humanization" has been employed constantly in the health field. It is the base of a wide set of initiatives, even though the concept does not have a clear definition. Generally, it refers to a kind of assistance that gives importance to the technical quality of care, associated with recognition of patients' rights, subjectivity and culture. Such concept intends to guide a new praxis in the care production in health. This article, of exploratory mark, aims analyze the speech of the Health Department on the assistance humanization. We investigate the meanings and expectations associates to the humanization idea from the analysis of the official texts, retaking a critical dialog with the authors of the area of public health and of the social sciences. We argue the central ideas of the humanization as opposition to the violence; quality assistance offer, articulating the technological advances with welcoming; professional working terms improvement; and communicational process enlargement, central axis of the texts. | 2004 |
| | | Ramos, Donatela D. | Acesso e acolhimento aos usuários em uma unidade de saúde de Porto Alegre, Rio Grande do Sul, Brasil read moreAbstract: This study focuses on users' views of factors influencing quality of care at a health care unit in the city of Porto Alegre, relating to access and receptivity. The data were collected using a semi-structured interview and participatory observation and treated using thematic analysis. The results compare ease and difficulties in geographic, economic, and functional access. Organization of services and professional competency were determinant factors in ease of reception, leading to user satisfaction. Poor reception and unsatisfactory professional performance were identified as difficulties. The study concluded that there is a need to increase the professional staff, train them in receiving users, implement a complementary modality for dental care, open the facility earlier for scheduling appointments, and prioritize care for residents of the catchment area. | 2003 |
| | | Jiménez Cangas, Leonor | Metodología para la evaluación de la calidad en instituciones de atención primaria de salud read moreAbstract: A methodology is proposed; it allows the assessment of quality using the selection of activities and/or health problems that may be considered as tracers for the process, and participating methods for the selection of criteria, indicators and standards to use in the assessment, in which the staff of the institution subject to assessment takes part, and are referred not only to results in health care, but also to the structure and the process. The opinion of the users of the service is included. Applying this methodology allows a greater compromise of the providers of the services with the results of the process, and with the corrective measures derived from it, and due to this the solutions to the problems detected are more feasible. It is demonstrated how its practical application in a primary health care institution, allowed to know the quality of care for hipertensive patients, by means of the assessment of important dimensions of quality: the scientific-technical quality of care, and the user's satisfaction. This methodology is also used to assess quality in mother-child care, and a project was designed to assess qualityin Hygiene and Epidemiology services in a local health system. | 1996 |
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