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Salud primaria en Chile : recursos humanos, desigualdades territoriales y planificación
(Universidad de Chile, 2016-05)
La importancia de la atención primaria para la igualdad y calidad de los sistemas nacionales de salud ha sido reconocida por la Organización Mundial de la Salud, sin embargo, en Chile este nivel de atención se encuentra distanciado del resto del...
El lenguaje en el primer Heidegger
(Universidad de Chile, Facultad de Filosofía y Humanidades, 1999)
EL LENGUAJE EN EL PRIMER HEIDEGGER
Tatiana Aguilar-Álvarez Bay
Ed. Fondo de Cultura Económica, México, 1998
Prólogo de Ramón Xirau
296 páginas.
i"ili Hay frases de índole filosófica que suelen repetirse sin que se...
segundo Heidegger-, la obra de Tatiana Aguilar-Álvarez, referida al primer Heidegger -esto es, al de Ser y Tiempo y escritos previos a ese texto fundamental publicado en 1927-, nos proporciona elementos conceptuales para asumirlos con mayor lucidez. El...
segundo Heidegger-, la obra de Tatiana Aguilar-Álvarez, referida al primer Heidegger -esto es, al de Ser y Tiempo y escritos previos a ese texto fundamental publicado en 1927-, nos proporciona elementos conceptuales para asumirlos con mayor lucidez. El...
Diagnóstico de los niveles de accesibilidad geográfica de los servicios de atención primaria de urgencia de la comuna de Valparaíso
(Universidad de Chile, 2018)
médicas, el sistema de salud público encuentra a los Servicios de Atención Primaria de Urgencia (SAPU) como la primera línea de respuesta que se otorga ante casos de urgencia de baja y mediana gravedad, hasta casos que ponen en riesgo la vida de las...
Adherencia a tratamiento de personas con primer episodio de esquizofrenia en establecimientos del sistema público de salud
(Universidad de Chile, 2015-09)
caracterizar la adherencia a tratamiento de las personas con primer episodio de esquizofrenia en establecimientos del sistema público de salud en Chile y determinar su asociación con la percepción de los usuarios respecto de la calidad de atención y el respeto...
Vía hacia la atención de personas con primer episodio de esquizofrenia, en Chile
(Universidad Nacional de Córdoba, 2015)
totalidad de las personas con diagnostico de primer episodio de esquizofrenia, en cinco centros de atención psiquiátrica del norte, centro y sur de Chile. El diagnóstico se confirmó con criterios CIE-10 y los síntomas psicopatológicos se exploraron...
Background. It has been considered that the duration of first episode of psychosis is a critical period influencing the clinical and psychosocial evolution in people with diagnosis of schizophrenia. However, there is little knowledge about this issue in Low and Middle Income Countries. Objective. To describe the clinical characteristics and contacts with health services of people with first episode of schizophrenia, prior to their diagnoses and initiation of treatment. Sources and methods. The sample included all persons with diagnosis of first episode of schizophrenia, in five psychiatric care centers, located in the North, Center and South of Chile. Diagnosis was confirmed with ICD-10 criteria and psychopathology symptoms were explored using PANSS. Results. The sample was constituted by 48 patients (79.2% men, average age in 23.4 years). The symptom of depression was the first to appear (median of 15 months, before diagnosis). Positive symptoms started in the previous year before diagnosis (delusions, median of 6 months). Positive symptoms triggered the first contact in 77.1% of the patients. Of these cases, 91.7% had medical care in this period (in Primary Health Care Centers and Mental Health Centers). The median for previous contacts was 3.5, but the correct diagnosis was not done at that time. Conclusion. Most of the patients had medical contacts for their psychotic symptoms, but their diagnosis were not made within that period, delaying the start of treatment. There is a need to develop strategies to improve diagnosis capabilities in these centers....
Background. It has been considered that the duration of first episode of psychosis is a critical period influencing the clinical and psychosocial evolution in people with diagnosis of schizophrenia. However, there is little knowledge about this issue in Low and Middle Income Countries. Objective. To describe the clinical characteristics and contacts with health services of people with first episode of schizophrenia, prior to their diagnoses and initiation of treatment. Sources and methods. The sample included all persons with diagnosis of first episode of schizophrenia, in five psychiatric care centers, located in the North, Center and South of Chile. Diagnosis was confirmed with ICD-10 criteria and psychopathology symptoms were explored using PANSS. Results. The sample was constituted by 48 patients (79.2% men, average age in 23.4 years). The symptom of depression was the first to appear (median of 15 months, before diagnosis). Positive symptoms started in the previous year before diagnosis (delusions, median of 6 months). Positive symptoms triggered the first contact in 77.1% of the patients. Of these cases, 91.7% had medical care in this period (in Primary Health Care Centers and Mental Health Centers). The median for previous contacts was 3.5, but the correct diagnosis was not done at that time. Conclusion. Most of the patients had medical contacts for their psychotic symptoms, but their diagnosis were not made within that period, delaying the start of treatment. There is a need to develop strategies to improve diagnosis capabilities in these centers....
Participación social en la atención primaria en salud: tensiones y contradicciones
(Doyma, 2020)
;
Investiga
cualitati
∗ Autor pa
Correo e
https://doi.
0212-6567/©
creativecomgan˜a Rojasa, Lorena Iglesias Vejarb, Ricardo Cerda Riosecob,
Molina Carrascob y Patricia Gálvez Espinozab,∗
ento de Atención Primaria y Salud Familiar, Facultad de Medicina...
; primaria de ción va Resumen Objetivo: Explorar las perspectivas de tomadores de decisiones y miembros de la comunidad en atención primaria en salud (APS) en torno a la conceptualización de la participación social (PS). Disen...
; primaria de ción va Resumen Objetivo: Explorar las perspectivas de tomadores de decisiones y miembros de la comunidad en atención primaria en salud (APS) en torno a la conceptualización de la participación social (PS). Disen...
Modelo predictivo de la demanda de atención de urgencia en Chile : una aplicación de Google Trends.
(Universidad de Chile, 2018)
recursos humanos y físicos (camas, boxes de atención, sala de procedimientos, equipamiento general, etc.) y de esta manera mejoraría el flujo de pacientes y del servicio en general. El uso de internet, cada vez más masivo, podría ser utilizado como...
Background: Overcrowding and extended waiting times of patients are common problems in Emergency Department (ED) in Chile and in the world. A forecasting model of demand, would allow a better planning and distribution of both human and material resources (beds, examination and procedure rooms, general equipment), improving the patients flow and service. The use of internet, every time more massive, could be used as a tool to predict the patient’s needs, limiting overcrowding and its problems, which would allow to take advantage of this tool to foresee the problems that generate overcrowding. Objective: Estimate if in Chile, search in Google could predict the number of patient´s visits for respiratory diseases in UEH or primary care (SAPU or SAR) ED. Methods: Retrospective analysis, evaluating the search behavior in Google related to respiratory diseases, with the amount of ED visits for those diseases. A time series analysis was performed using SARIMA and ARIMAX models, assessing the correlation grade between the two series and forecasting performance of ED “Visits” time series. Additionally a Granger causality test was used to evaluate if the two time series were related in the direction of the hypothesis or if it was a reverse causality case. Relevance: The use of spontaneous information of users could become a useful tool to anticipate overcrowding of patients with respiratory causes in ED in Chile, allowing the reorganization of human and material resources, improving the patient´s care. Results: The SARIMA (2, 0, 1)(2, 0, 0)[7] model, generated the best prediction (Mean Absolute Percentage Error (MAPE) 1,46% and 17,87% for the training and test groups, respectively) for time series “Visits”. Of a hundred searches found with google correlate, a 100% was directly or indirectly related to respiratory diseases, most of them regarding to treatment. The best fit of ARIMAX model was when the sum of the ten first searches was used as an exogenous variable, with a MAPE of 0,97% and 3,54% for the training and test groups, respectively. The Granger test showed bidirectional causality for the two time series analyzed. Conclusion: The use of Google searches allowed the design of a forecasting model for respiratory related patient´s visits to the ED in Chile. Based on the MAPE, the sum of the 10 first searches was chosen as the exogenous variable of the ARIMAX model. However, it is still necessary to evaluate this model under unusual frequency patterns of respiratory diseases, in order to study whether other factors could influence the results. Furthermore, it was not possible to determine whether patients performed the Google searches before or after visiting the ED, the impact of which needs to be clarified before implementation....
Background: Overcrowding and extended waiting times of patients are common problems in Emergency Department (ED) in Chile and in the world. A forecasting model of demand, would allow a better planning and distribution of both human and material resources (beds, examination and procedure rooms, general equipment), improving the patients flow and service. The use of internet, every time more massive, could be used as a tool to predict the patient’s needs, limiting overcrowding and its problems, which would allow to take advantage of this tool to foresee the problems that generate overcrowding. Objective: Estimate if in Chile, search in Google could predict the number of patient´s visits for respiratory diseases in UEH or primary care (SAPU or SAR) ED. Methods: Retrospective analysis, evaluating the search behavior in Google related to respiratory diseases, with the amount of ED visits for those diseases. A time series analysis was performed using SARIMA and ARIMAX models, assessing the correlation grade between the two series and forecasting performance of ED “Visits” time series. Additionally a Granger causality test was used to evaluate if the two time series were related in the direction of the hypothesis or if it was a reverse causality case. Relevance: The use of spontaneous information of users could become a useful tool to anticipate overcrowding of patients with respiratory causes in ED in Chile, allowing the reorganization of human and material resources, improving the patient´s care. Results: The SARIMA (2, 0, 1)(2, 0, 0)[7] model, generated the best prediction (Mean Absolute Percentage Error (MAPE) 1,46% and 17,87% for the training and test groups, respectively) for time series “Visits”. Of a hundred searches found with google correlate, a 100% was directly or indirectly related to respiratory diseases, most of them regarding to treatment. The best fit of ARIMAX model was when the sum of the ten first searches was used as an exogenous variable, with a MAPE of 0,97% and 3,54% for the training and test groups, respectively. The Granger test showed bidirectional causality for the two time series analyzed. Conclusion: The use of Google searches allowed the design of a forecasting model for respiratory related patient´s visits to the ED in Chile. Based on the MAPE, the sum of the 10 first searches was chosen as the exogenous variable of the ARIMAX model. However, it is still necessary to evaluate this model under unusual frequency patterns of respiratory diseases, in order to study whether other factors could influence the results. Furthermore, it was not possible to determine whether patients performed the Google searches before or after visiting the ED, the impact of which needs to be clarified before implementation....
Estado de higiene oral y salud gingival en un grupo de pacientes pediátricos con necesidades especiales de salud, atendidos en el Hospital de Niños Roberto del Río : estudio comparativo
(Universidad de Chile, 2010)
TEÓRICO…………………………………………………………………..5
A Pacientes con Necesidades Especiales de Atención en Salud……………….5
A.1 Epidemiología……………………………………………………………..7
A.2 Niños con Necesidades Especiales de Atención en Salud…………...7
A.3 Atención Dental...
…………………………………………………………...9 A.4 Interconsultas Médicas…………………………………………………...9 A.5 Barreras para la Atención Dental………………………………………..9 B Genopatías y Trastornos Neurológicos…………………………………………..12 B.1 Enfermedades Genéticas………………………………………………..12 B.1.1 Síndrome Cornelia de...
…………………………………………………………...9 A.4 Interconsultas Médicas…………………………………………………...9 A.5 Barreras para la Atención Dental………………………………………..9 B Genopatías y Trastornos Neurológicos…………………………………………..12 B.1 Enfermedades Genéticas………………………………………………..12 B.1.1 Síndrome Cornelia de...
Barreras en la consulta nutricional en atención primaria a personas migradas internacionales. Perspectiva de nutricionistas
(Sociedad Chilena de Nutrición Bromatología & Toxicología, Chile, 2021)
Atención Primaria en Salud
(APS), lugar de primer contacto en el sistema de salud chileno.
Además de las dificultades técnico-administrativas, destacan
las tensiones derivadas del desconocimiento intercultural,
prejuicios raciales y culturales, entre...
recurrentemente verbalizado se relaciona con la demanda de atenciones por especialistas en el nivel primario, principalmente entre la población venezolana. Para las nutricionistas, esto reflejaría una dificultad en comprender cómo funciona el sistema público...
recurrentemente verbalizado se relaciona con la demanda de atenciones por especialistas en el nivel primario, principalmente entre la población venezolana. Para las nutricionistas, esto reflejaría una dificultad en comprender cómo funciona el sistema público...
Consulta de urgencia psiquiátrica y modelo comunitario de atención en salud mental
(Universidad de Chile, 2010)
Introducción: La evaluación de modelos de atención en salud mental es compleja, existiendo carencias de estudios de impactos de estos servicios; también del Modelo Comunitario de Atención en Salud Mental (MCASM). La Consulta de Urgencia Psiquiátrica...