Revista Cubana de Higiene y Epidemiología, Dec 1, 2012
Conclusiones: La aplicación de estos instrumentos ofrece una aproximación de cómo se utilizan los... more Conclusiones: La aplicación de estos instrumentos ofrece una aproximación de cómo se utilizan los servicios de salud y alternativos por la población. Su replicación, perfeccionamiento y adecuación en otros contextos es de gran ayuda a los decisores de salud para fortalecer el trabajo en el nivel primario de atención, y así brindar un servicio de calidad a la población. Palabras clave: servicios de salud, utilización de los servicios, accesibilidad, equidad en el acceso, atención médica, enfermedades no transmisibles.
Revista Cubana de Higiene y Epidemiología, Apr 1, 2006
... Ana M. Ibarra Sala,3 Dr. Pol de Vos,4 Lic. María de los Ángeles Mariné Alonso,5 Dr. Patrick V... more ... Ana M. Ibarra Sala,3 Dr. Pol de Vos,4 Lic. María de los Ángeles Mariné Alonso,5 Dr. Patrick Van der Stuyft4 y Dr. Mariano H. Bonet Gorbea6. Resumen. ... Infanta No. 1158 e/ Llinás y Clavel, Ciudad de La Habana. Cuba. Email: [email protected]. ...
sino sus creencias y aspectos culturales; pero, sobre todo, el complejo contexto en que se da la ... more sino sus creencias y aspectos culturales; pero, sobre todo, el complejo contexto en que se da la prestación de servicios. Objetivo: exponer las características sociodemográficas y las enfermedades o sintomatologías más frecuentes en la población del área de salud "Marcio Manduley", del municipio Centro Habana, y los que hicieron uso de los servicios de salud durante el período abril-junio de 2010. Métodos: estudio descriptivo transversal. Se seleccionó una muestra poblacional representativa del área; se tomó en consideración el total de viviendas. Como se desconoce la prevalencia del factor bajo estudio, se maximizó la muestra tomando como prevalencia el 50 %, la precisión en 10 % y una posible caída muestral del 10 %. El tamaño muestral fue de 408 familias. Se aplicaron cuestionarios a todos los integrantes de las familias seleccionadas y en particular a aquellos individuos que durante los últimos 30 días enfermaron e hicieron uso de algún servicio de salud. Resultados: se obtuvieron datos de 1 244 personas; de ellas enfermaron 25,1 % en los últimos 30 días y el 17,7 % hizo uso de servicios formales de salud. Las enfermedades más frecuentes fueron respiratorias, cardiovasculares y osteomioarticular. La puerta de entrada al sistema de salud más utilizada fue el consultorio médico (54,1 %). Conclusiones: en nuestro estudio los factores del individuo que influyen en la utilización de los servicios de salud son el nivel de enfermedad percibida o necesidad de salud y el sexo.
Revista Cubana de Medicina General Integral, Jun 1, 2013
podríamos proponer su introducción y generalización dentro del sistema de salud, como una alterna... more podríamos proponer su introducción y generalización dentro del sistema de salud, como una alternativa para la planificación en el trabajo conjunto de áreas de saludconsejos populares.
Introduction: use of health services is determined not only by the need of health care in case of... more Introduction: use of health services is determined not only by the need of health care in case of illness, but also by beliefs and cultural views, and above all by the complex environment in which services are rendered. Objective: present the sociodemographic characteristics and the most common conditions and symptoms in Marcio Manduley health area, municipality of Centro Habana, and describe the use of health services in the period from April to June 2010. Methods: descriptive cross-sectional study of a representative sample of the population in the area, taking into consideration the total number of households. Since the prevalence of the factor under study is unknown, the sample was maximized to a prevalence of 50%, an accuracy of 10% and a potential sample dropout rate of 10%. The sample size was 408 households. Questionnaires were given to all members of the households selected, particularly to those who had been ill in the previous 30 days and had made use of any health service. Results: data were obtained about 1 244 persons, of whom 25.1% had been ill in the previous 30 days and 17.7% had made use of formal health services. The most frequent conditions were respiratory, cardiovascular and osteoarticular. Family doctors' offices were the most common entrance door to the health care system (54.1%). Conclusions: according to our study, the factors exerting the greatest influence on the use of health services by the population are the level of perceived severity of the illness or need of medical care, and gender.
Social determinants of health are the social conditions where members of a particular population ... more Social determinants of health are the social conditions where members of a particular population are born, live and work. This article was aimed at documenting the current evidence on the proposed local intervention for the study and management of social determinants of health of the Cuban population. From a structural perspective, the health service variables show differences among the regions, mainly associated to the existence of a single health system with universal coverage and access for the entire population. Greatest differences are observed in the behavior of "non-medical determinants" such as population density, economic production and circulation, these differences showing a geographical pattern. Differentials are also observed in the behavior of maternal mortality and hypertension among regions and in the course of time. Economic productivity and living conditions are poorly related to other result indicators. Given the abovementioned, a methodological proposal...
Background One of today’s greatest challenges in public health worldwide - and especially its key... more Background One of today’s greatest challenges in public health worldwide - and especially its key management from Primary Health Care (PHC) - is the growing burden of non-communicable diseases (NCDs). In El Salvador, since 2009 the Minister of Health (MoH) has scaled up a national public health system based on a comprehensive PHC approach. A national multi-sectorial strategic plan for a comprehensive approach to NCDs has also been developed. This analysis explores stakeholders’ perceptions related to the management of NCDs in PHC and, in particular, the role of social participation. Methods A case-study was developed consisting of semi structured interviews and official document reviews. Semi-structured interviews were developed with chronic patients (14) and PHC professionals working in different levels within PHC (12). Purposive sampling was used to recruit participants. A non-pure, deductive approach was implemented for coding. After grouping codes into potential themes, a themat...
Revista Cubana de Higiene y Epidemiología, Dec 1, 2012
Conclusiones: La aplicación de estos instrumentos ofrece una aproximación de cómo se utilizan los... more Conclusiones: La aplicación de estos instrumentos ofrece una aproximación de cómo se utilizan los servicios de salud y alternativos por la población. Su replicación, perfeccionamiento y adecuación en otros contextos es de gran ayuda a los decisores de salud para fortalecer el trabajo en el nivel primario de atención, y así brindar un servicio de calidad a la población. Palabras clave: servicios de salud, utilización de los servicios, accesibilidad, equidad en el acceso, atención médica, enfermedades no transmisibles.
Revista Cubana de Higiene y Epidemiología, Apr 1, 2006
... Ana M. Ibarra Sala,3 Dr. Pol de Vos,4 Lic. María de los Ángeles Mariné Alonso,5 Dr. Patrick V... more ... Ana M. Ibarra Sala,3 Dr. Pol de Vos,4 Lic. María de los Ángeles Mariné Alonso,5 Dr. Patrick Van der Stuyft4 y Dr. Mariano H. Bonet Gorbea6. Resumen. ... Infanta No. 1158 e/ Llinás y Clavel, Ciudad de La Habana. Cuba. Email: [email protected]. ...
sino sus creencias y aspectos culturales; pero, sobre todo, el complejo contexto en que se da la ... more sino sus creencias y aspectos culturales; pero, sobre todo, el complejo contexto en que se da la prestación de servicios. Objetivo: exponer las características sociodemográficas y las enfermedades o sintomatologías más frecuentes en la población del área de salud "Marcio Manduley", del municipio Centro Habana, y los que hicieron uso de los servicios de salud durante el período abril-junio de 2010. Métodos: estudio descriptivo transversal. Se seleccionó una muestra poblacional representativa del área; se tomó en consideración el total de viviendas. Como se desconoce la prevalencia del factor bajo estudio, se maximizó la muestra tomando como prevalencia el 50 %, la precisión en 10 % y una posible caída muestral del 10 %. El tamaño muestral fue de 408 familias. Se aplicaron cuestionarios a todos los integrantes de las familias seleccionadas y en particular a aquellos individuos que durante los últimos 30 días enfermaron e hicieron uso de algún servicio de salud. Resultados: se obtuvieron datos de 1 244 personas; de ellas enfermaron 25,1 % en los últimos 30 días y el 17,7 % hizo uso de servicios formales de salud. Las enfermedades más frecuentes fueron respiratorias, cardiovasculares y osteomioarticular. La puerta de entrada al sistema de salud más utilizada fue el consultorio médico (54,1 %). Conclusiones: en nuestro estudio los factores del individuo que influyen en la utilización de los servicios de salud son el nivel de enfermedad percibida o necesidad de salud y el sexo.
Revista Cubana de Medicina General Integral, Jun 1, 2013
podríamos proponer su introducción y generalización dentro del sistema de salud, como una alterna... more podríamos proponer su introducción y generalización dentro del sistema de salud, como una alternativa para la planificación en el trabajo conjunto de áreas de saludconsejos populares.
Introduction: use of health services is determined not only by the need of health care in case of... more Introduction: use of health services is determined not only by the need of health care in case of illness, but also by beliefs and cultural views, and above all by the complex environment in which services are rendered. Objective: present the sociodemographic characteristics and the most common conditions and symptoms in Marcio Manduley health area, municipality of Centro Habana, and describe the use of health services in the period from April to June 2010. Methods: descriptive cross-sectional study of a representative sample of the population in the area, taking into consideration the total number of households. Since the prevalence of the factor under study is unknown, the sample was maximized to a prevalence of 50%, an accuracy of 10% and a potential sample dropout rate of 10%. The sample size was 408 households. Questionnaires were given to all members of the households selected, particularly to those who had been ill in the previous 30 days and had made use of any health service. Results: data were obtained about 1 244 persons, of whom 25.1% had been ill in the previous 30 days and 17.7% had made use of formal health services. The most frequent conditions were respiratory, cardiovascular and osteoarticular. Family doctors' offices were the most common entrance door to the health care system (54.1%). Conclusions: according to our study, the factors exerting the greatest influence on the use of health services by the population are the level of perceived severity of the illness or need of medical care, and gender.
Social determinants of health are the social conditions where members of a particular population ... more Social determinants of health are the social conditions where members of a particular population are born, live and work. This article was aimed at documenting the current evidence on the proposed local intervention for the study and management of social determinants of health of the Cuban population. From a structural perspective, the health service variables show differences among the regions, mainly associated to the existence of a single health system with universal coverage and access for the entire population. Greatest differences are observed in the behavior of "non-medical determinants" such as population density, economic production and circulation, these differences showing a geographical pattern. Differentials are also observed in the behavior of maternal mortality and hypertension among regions and in the course of time. Economic productivity and living conditions are poorly related to other result indicators. Given the abovementioned, a methodological proposal...
Background One of today’s greatest challenges in public health worldwide - and especially its key... more Background One of today’s greatest challenges in public health worldwide - and especially its key management from Primary Health Care (PHC) - is the growing burden of non-communicable diseases (NCDs). In El Salvador, since 2009 the Minister of Health (MoH) has scaled up a national public health system based on a comprehensive PHC approach. A national multi-sectorial strategic plan for a comprehensive approach to NCDs has also been developed. This analysis explores stakeholders’ perceptions related to the management of NCDs in PHC and, in particular, the role of social participation. Methods A case-study was developed consisting of semi structured interviews and official document reviews. Semi-structured interviews were developed with chronic patients (14) and PHC professionals working in different levels within PHC (12). Purposive sampling was used to recruit participants. A non-pure, deductive approach was implemented for coding. After grouping codes into potential themes, a themat...
Uploads
Papers by Pol De Vos