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Implantação de protocolo de prevenção da pneumonia associada à ventilação mecânica : impacto do cuidado não farmacológico

Vieira, Débora Feijó Villas Boas
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Tese de Doutorado Formato: application/pdf
Português
Relevância na Pesquisa
36.24%
Contextualização: Na última década, houve um grande crescimento de ações de melhoria da qualidade assistencial e de promoção da segurança do paciente, com objetivo de diminuir a ocorrência de desfechos preveníveis, como a pneumonia associada à ventilação mecânica (PAVM). Embora existam várias diretrizes clínicas, ainda não há evidências suficientes para um consenso quanto aos cuidados não farmacológicos de prevenção (CNFP) a serem implantados e sua contribuição na redução da PAVM. Objetivos: Avaliar o impacto da implantação de CNFP na ocorrência da PAVM. Métodos: O estudo foi realizado com pacientes adultos, submetidos à ventilação mecânica (VM) por mais de 48 horas, internados em centro de tratamento intensivo clínico e cirúrgico, de 34 leitos. No primeiro artigo, é descrito um quase experimento com controles históricos, realizado no período de setembro de 2004 (pré-intervenção -20 meses) a dezembro 2007 (pós-intervenção – 20 meses). Constou do experimento a implantação do protocolo de prevenção da PAVM, com cuidados não farmacológicos. No segundo artigo, é descrito um estudo de coorte prospectiva de pacientes submetidos à VM no período de junho de 2006 a julho de 2007. Entre as onze medidas preventivas que fazem parte da rotina de cuidados...

Comportamento suicida : fatores de risco e intervenções preventivas; Suicidal behavior : risk factors and preventive interventions; Comportamento suicida : factores de riesgo y intervenciones de prevención

Abreu, Kelly Piacheski de; Lima, Maria Alice Dias da Silva; Kohlrausch, Eglê Rejane; Soares, Joannie dos Santos Fachinelli
Fonte: Universidade Federal do Rio Grande do Sul Publicador: Universidade Federal do Rio Grande do Sul
Tipo: Artigo de Revista Científica Formato: application/pdf
Português
Relevância na Pesquisa
36.22%
As taxas de suicídio evidenciam um problema de saúde pública, e ações preventivas são necessárias. O objetivo deste artigo de atualização é discorrer sobre fatores de risco para o comportamento suicida e as possíveis intervenções utilizadas para sua prevenção na atenção primária à saúde. Os fatores de risco mais importantes para comportamento suicida são: transtornos mentais, antecedentes familiares, sexo, idade, relações familiares, abuso de substâncias, problemas físicos e situação social desfavorável. Considerando que os usuários com comportamento suicida tendem a procurar auxílio nos serviços de atenção primária antes de morrer, é possível identificar a presença desse comportamento. O foco de implementação do cuidado deve ser direcionado àqueles que se enquadram em situações de agravos que predisponham às tentativas de suicídio. Por isso, o conhecimento dos fatores de risco e intervenções preventivas para o comportamento suicida pode trazer benefícios para a comunidade e profissionais de saúde, garantindo um cuidado seguro e tecnicamente orientado. Para isso é necessária a sensibilização dos profissionais de saúde para o uso de tecnologias relacionais, bem como estratégias de acolhimento e vínculo para a identificação dos fatores de risco...

Compliance & dexterity, factors to consider in home care and maintenance procedures

Criado,Victoria; Tawse-Smith,Andrew
Fonte: Sociedade Brasileira de Pesquisa Odontológica - SBPqO Publicador: Sociedade Brasileira de Pesquisa Odontológica - SBPqO
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2007 Português
Relevância na Pesquisa
36.24%
Mechanical plaque control appears to be the primary means of controlling supragingival dental plaque build-up. Although daily oral hygiene practices and periodic professional care are considered the basis for any program aimed at the prevention and treatment of oral diseases, these procedures are technically demanding, time consuming and can be affected by the compliance and manual dexterity of the patient. Individual skills and acquired behavior patterns determine effectiveness of a preventive program and oral hygiene practice. Successful preventive programs and home care procedures clearly depend on the interaction and commitment between the dental professional and the patient. Identifying the capacity of the individual to comply with the professional recommendations and evaluating the dexterity of the patient to remove supragingival dental plaque will permit the implementation of an adequate preventive program and can help on the selection of adjunctive antimicrobial agents and devices needed to reach an effective oral care routine.

Does type of health insurance affect health care use and assessments of care among the privately insured?

Reschovsky, J D; Kemper, P; Tu, H
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/2000 Português
Relevância na Pesquisa
36.2%
OBJECTIVE: To inform the debate about managed care by examining how different types of private insurance-indemnity insurance, PPOs, open model HMOs, and closed model HMOs-affect the use of health services and consumer assessments of care. DATA SOURCES/DATA COLLECTION: The 1996-1997 Community Tracking Study Household Survey, a nationally representative telephone survey of households, and the Community Tracking Study Insurance Followback Survey, a supplement to the Household Survey, which asks insurance organizations to match household respondents to specific insurance products. The analysis sample includes 27,257 nonelderly individuals covered by private insurance. STUDY DESIGN: Based on insurer reports, individuals are grouped into one of the four insurance product types. Measures of service use include ambulatory visits, preventive care use, hospital use, surgeries, specialist use, and whether there is a usual source of care. Consumer assessments of care include unmet or delayed care needs, satisfaction with health care, ratings of the last physician visit, and trust in physicians. Estimates are adjusted to control for differences in individual characteristics and location. PRINCIPAL FINDINGS: As one moves from indemnity insurance to PPOs to open model HMOs to closed model HMOs...

Ruptured appendicitis among children as an indicator of access to care.

Gadomski, A; Jenkins, P
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /04/2001 Português
Relevância na Pesquisa
36.25%
OBJECTIVE: To determine factors associated with ruptured appendicitis among children, using administrative databases. Insurance-related differences in the risk of ruptured appendix among adults in California have previously been described (Braveman, Schaaf, Egerter, et al. 1994). DATA SOURCES/STUDY SETTING: State of Maryland Medicaid claims data for children < or = 18 years of age from 1989 to 1993 and hospital discharge data for children < or = 19 years of age from 1989 to 1994 were analyzed. STUDY DESIGN: Administrative data analysis pre- and post-implementation of a Medicaid managed care program called Maryland Access to Care. DATA COLLECTION/EXTRACTION METHODS: Medicaid claims and hospital discharge ICD-9-CM codes were used to define hospitalization for ruptured and nonruptured appendicitis. Linear regression was used to model trends. Logistic regression was used to model the probability of ruptured appendicitis. PRINCIPAL FINDINGS: Among the 374 Medicaid inpatient claims for appendicitis, 37 percent were for ruptured appendicitis. Among the 5,141 hospital discharges for appendicitis, 30 percent were for ruptured appendicitis. Using Medicaid claims data, the probability of ruptured appendicitis was inversely related to age (OR = 0.86...

Health Organization in Republic of Macedonia—the place of preventive health care in the medical health system: advantages and disadvantages

Kamcev, Nikola; Angelovska, Bistra; Kamceva, Gordana; Richter, Kneginja
Fonte: Springer Netherlands Publicador: Springer Netherlands
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.22%
The health system in Macedonia is organized by public or private property health institutions divided on three levels: primary, secondary and tertiary health care. According to the legal regulations and their acts, regulatory authorities for preventive care are the health institutions of primary health care (whether they have private or public character), heath care establishments and some of the hospitals. In the period of transition starting from 1991 up to this day, numerous health system modifications have been made concerning health reforms: common alterations in health legislation change in property of health institutions, realignment of authorities etc. The adjustment of the system to the new circumstances and constant changes has provoked partial disruption in the established system for preventive health care activity.

Contextualizing an expanded definition of health literacy among adolescents in the health care setting

Massey, Philip M.; Prelip, Michael; Calimlim, Brian M.; Quiter, Elaine S.; Glik, Deborah C.
Fonte: Oxford University Press Publicador: Oxford University Press
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.22%
The current emphasis on preventive health care and wellness services suggests that measures of skills and competencies needed to effectively navigate the health care system need to be better defined. We take an expanded perspective of health literacy and define it as a set of skills used to organize and apply health knowledge, attitudes and practices relevant when managing one’s health environment. It is an emerging area of inquiry especially among adults and those with chronic conditions; however, it has been less studied among adolescent populations. To begin operationalizing this concept in a manner appropriate for teens in a health systems context, we explored knowledge, attitudes and practices related to health and preventive health care in 12 focus groups with publicly insured adolescents (N = 137), aged 13–17 years, as well as eight key informant interviews with physicians who serve publicly insured teens. Five dimensions emerged that provide a preliminary framework for an expanded definition of health literacy among adolescents. These include: (i) navigating the system, (ii) rights and responsibilities, (iii) preventive care, (iv) information seeking and (v) patient–provider relationship. This robust definition of health literacy contextualizes the concept in a health environment where individuals must be informed and skilled health care consumers.

The Pursuit of Preventive Care for Chronic Illness: Turning Healthy People into Chronic Patients

Kreiner, Meta J.; Hunt, Linda M.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Português
Relevância na Pesquisa
36.21%
Preventive health care has become prominent in clinical medicine in the United States, emphasizing risk assessment and control, rather than addressing the signs and symptoms of pathology. Current clinical guidelines, reinforced by evidence-based decision aids and quality of care assessment, encourage clinicians to focus on maintaining rigid test thresholds which are based on population norms. While achieving these goals may benefit the total population, this may be of no benefit or even harmful to individual patients. In order to explore how this phenomenon is manifest in clinical care, and consider some factors that promote and sustain this trend, we analyze observations of over 100 clinical consultations, and open-ended interviews with 58 primary care clinicians and 70 of their patients. Both clinicians and patients equated at-risk states with illness, and viewed the associated interventions not as prevention, but as treatment. This conflation of risk and disease redefines clinical success such that reducing the threat of anticipated future illness requires acceptance of aggressive treatments and any associated adverse effects in the present. While the expanding emphasis on preventive medicine may improve the health profile of the total population...

Do Medical Homes Reduce Disparities in Receipt of Preventive Services Between Children Living in Immigrant and Non-immigrant Families?

BeLue, R.; Degboe, A. N.; Miranda, P. Y.; Francis, L. A.
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /08/2012 Português
Relevância na Pesquisa
36.24%
The patient-centered medical home model has the potential to reduce healthcare disparities among immigrant children. The purpose of this study is to examine the relationship between medical home (MH) participation and receipt of preventive services among immigrant children age 0–17. The study employed extant data from the National Survey of Children’s Health, 2007 (NSCH). Logistic regression analyses were employed to assess the relationship between receipt of preventive services and MH status among immigrant and non-immigrant children. Due to primarily the lack of family-centered care, only 40% of immigrant children met the medical home criteria versus approximately 62% of non-immigrant children. Immigrant children have decreased odds of receiving preventive care despite MH status. Improving the family-centered care aspect of the MH is necessary to increasing medical home access to immigrant children and the receipt of preventive services for immigrant children who meet the MH criteria.

Identifying Elements of Patient-Centered Care in Underserved Populations: A Qualitative Study of Patient Perspectives

Raja, Sheela; Hasnain, Memoona; Vadakumchery, Tracy; Hamad, Judy; Shah, Raveena; Hoersch, Michelle
Fonte: Public Library of Science Publicador: Public Library of Science
Tipo: Artigo de Revista Científica
Publicado em 19/05/2015 Português
Relevância na Pesquisa
36.21%
Patient-centered care is an important goal in the delivery of healthcare. However, many patients do not engage in preventive medical care. In this pilot study, we conducted twenty in depth, semi-structured qualitative interviews at the University of Illinois at Chicago Health Sciences campus in a four month time frame. Many patients were underserved and underinsured, and we wanted to understand their experiences in the healthcare system. Using content analysis, several themes emerged from the interview data. Participants discussed the need for empathy and rapport with their providers. They identified provider behaviors that fostered a positive clinical relationship, including step-by step explanations of procedures, attention to body language and clinic atmosphere, and appropriate time management. Participants identified cost as the most common barrier to engaging in preventive care and discussed children and social support as motivating factors. A long-term relationship with a provider was an important motivator for preventive care, suggesting that the therapeutic alliance was essential to many patients. Conversely, many participants discussed a sense of dehumanization in the healthcare system, reporting that their life circumstances were overlooked...

Government subsidies for dental care in Australia

Harford, J.; Spencer, A.
Fonte: Public Health Assoc Australia Inc Publicador: Public Health Assoc Australia Inc
Tipo: Artigo de Revista Científica
Publicado em //2004 Português
Relevância na Pesquisa
36.22%
OBJECTIVES: To evaluate the impact of recent changes in public subsidies for oral health care in Australia, and to propose more effective and equitable uses of Commonwealth Government subsidies. METHODS: Review of literature and Australian Research Centre for Population Oral Health information. RESULTS: Commonwealth subsidies for oral health care services in Australia have been moved from public dental services to private dental health insurance. This has resulted in a redistribution of funds from people on low incomes with poor oral health, to people on middle to high incomes with relatively better oral health. CONCLUSIONS: Public funding for dental care in Australia favours the financially and orally better off at the expense of disadvantaged and orally unhealthy Australians. Current approaches to public funding for oral health services in Australia are unlikely to result in a substantial improvement in oral health. IMPLICATIONS: Maximum gains in oral health are likely to be achieved by a reorientation of Commonwealth subsidies towards preventive and basic treatment services. This reorientation needs to occur within a primary health care framework. Whereas the Commonwealth plays a national leadership role in the provision of general health services...

What Factors Hinder Women of Color From Obtaining Preventive Health Care?

Cornelius, Llewellyn J.; Smith, Pamela L.; Simpson, Gaynell M.
Fonte: © American Journal of Public Health 2002 Publicador: © American Journal of Public Health 2002
Tipo: Artigo de Revista Científica
Publicado em /04/2002 Português
Relevância na Pesquisa
36.24%
This commentary examines how women of color fare on the use of preventive care. Logistic regression models of women's use of preventive care were computed with data from the 1994 Commonwealth Fund Minority Health Survey. It was found that having a regular doctor was the most consistent predictor of the use of preventive care, irrespective of the women's racial/ethnic background, socioeconomic circumstances, or place of residence.

National trends in the use of preventive health care by women.

Makuc, D M; Freid, V M; Kleinman, J C
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /01/1989 Português
Relevância na Pesquisa
36.24%
This study investigates national changes between 1973-74 and 1985 in women's use of three preventive health services based on data from the National Health Interview Survey. Smoothed proportions of women with recent preventive care were estimated using weighted least squares for subgroups categorized by age (20-39, 40-59, 60-79), race (White, Black), income (poor, nonpoor), and year of interview. Older women and Black women experienced the largest increases in recent use of clinical breast examinations and Pap tests. Between 1973 and 1985 changes in recent breast examination ranged from zero for White women ages 20-39 years to a 23 percentage point increase (95% CI = 17,30) for Black women ages 60-79 years. A similar pattern was found for Pap testing. Changes between 1974 and 1985 in recent blood pressure testing ranged from zero for women ages 20-39 years to an 8 percentage point increase (95% CI = 6, 10) for women ages 60-79 years. Despite the increases among older women, in 1985 recent use of breast exams and Pap tests remained lower among older women. Further, the poor remained less likely than the nonpoor to have recent preventive care (except blood pressure testing among older women). Most women without recent cancer screening tests had a recent physician contact...

Proactive Office Encounter: A Systematic Approach to Preventive and Chronic Care at Every Patient Encounter

Kanter, Michael; Martinez, Osvaldo; Lindsay, Gail; Andrews, Kristen; Denver, Cristine
Fonte: The Permanente Journal Publicador: The Permanente Journal
Tipo: Artigo de Revista Científica
Publicado em //2010; 2010 Português
Relevância na Pesquisa
36.25%
In 2007, Kaiser Permanente's (KP) Southern California Region designed and implemented a systematic in-reach program, the Proactive Office Encounter (POE), to address the growing needs of its three million patients for preventive care and management of chronic disease. The program sought staff from both primary and specialty care departments to proactively identify gaps in care and to assist physicians in closing those gaps. The POE engaged the entire health team in a proactive patient-care experience, creating standard work flows and using information technology to identify gaps in patient care. The goals were to improve consistency of preventive care and improve quality of care for chronic conditions and to improve reliability of staff support for physicians. The POE has been implemented in all outpatient settings in KP's Southern California Region's 13 medical centers and 148 medical office buildings. The program has contributed to significant improvements in key clinical quality metrics, including cancer screenings, blood pressure control, and tobacco cessation. It is now being extended into the inpatient setting and is being shared with other KP Regions.

A total audit of preventive procedures in 45 practices caring for 430,000 patients.

Lawrence, M; Coulter, A; Jones, L
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em 09/06/1990 Português
Relevância na Pesquisa
36.21%
OBJECTIVE--To develop and report the results of a system of audit of computer records in general practice. DESIGN--A retrospective audit of records in practices using the same computer system. Information about recorded preventive procedures was collected by sending the same audit program to each practice on floppy disk. Other characteristics of the practices were determined by postal questionnaire. SETTING--Forty five general practices, widely distributed in England and Wales. SUBJECTS--All 430,901 patients registered with the practices. MAIN OUTCOME MEASURES--Within each practice the percentage of patients in specified age groups for whom certain preventive procedures were recorded as having been carried out. These measures were analysed in relation to practice characteristics. RESULTS--Practice characteristics and recording rates for preventive procedures varied over a wide range. Recording rates were higher in practices with computer terminals on every doctor's desk. Only one practice achieved the new contract target of 90% coverage for recorded primary immunisations, and fewer than two thirds recorded 80% coverage for cervical cytology in the past five years. Practices holding clinics did no better than those without. Smaller partnerships and smaller doctors' list sizes were associated with better performance. CONCLUSIONS--Centrally programmed audit of computerised records is a feasible method of providing data on a regular basis for epidemiological purposes and for performance review. The fact that practices with smaller list sizes had higher levels of recorded preventive care suggests that the trend towards larger lists promoted by the new contract might militate against the intended effect of better preventive care.

Barriers to the use of preventive health care services for children.

Riportella-Muller, R; Selby-Harrington, M L; Richardson, L A; Donat, P L; Luchok, K J; Quade, D
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em //1996 Português
Relevância na Pesquisa
36.24%
This article describes findings from interviews of parents targeted for outreach efforts that encouraged them to use Medicaid's Early and Periodic Screening, Diagnosis and Treatment(EPSDT) Program. Begun in the 1970s, the EPSDT program held out the promise of ensuring that needy children would receive comprehensive preventive care. With only one-third of eligible children in the United States receiving EPSDT checkups, the program has yet to fulfill its promise. This study sought to understand parents' perceptions of barriers to using EPSDT by interviewing (a) 110 parents who did not schedule EPSDT checkups for their children after being exposed to outreach efforts and (b) 30 parents who did. Although the EPSDT Program is designed to provide health care at no charge and to provide assistance with appointment scheduling and transportation, these low-income parents identified significant barriers to care. Reasons for not using EPSDT services included (a) competing family or personal issues and priorities; (b) perceived or actual barriers in the health care system; and (c) issues related directly to problems with the outreach efforts. Parents who successfully negotiated these barriers and received EPSDT services encountered additional barriers...

Accidental Extubation Prevention Associated to Nursing Care to High Complexity Patients in Intensive Therapy Unit – Systematic Literature Review

Santos, Ana Cristina; Cruz, Isabel CF da
Fonte: Universidade Federal Fluminense Publicador: Universidade Federal Fluminense
Tipo: Peer-reviewed Article; systematic review Formato: text/html
Publicado em 03/07/2010 Português
Relevância na Pesquisa
36.24%
Accidental extubation, understood as an adverse event in those patients submitted to mechanical ventilation, is an unplanned removal of the ventilatory device that may happen by self-extubation, when the patient removes the ventilatory device, or by nursing inappropriate management in four moments: bath in the stream bed, endotracheal tube fixation or tracheostomy, transportation and change of decubitus. This kind of incident, when associated to nursing care, causes serious complications to the patient who is, eventually, sedated or in coma, motivating reintubation or other complications, as well death, occasioned by unsuccessfull execution of that. In case of removal performed by the patient himself, the necessity of reintubation will vary according to patient’s clinical status in the exact moment of the occurrence. This study intends to analyze articles published on national and international scientific journals, concerning the circumstances of higher incidence rates of accidental extubation and preventive measures, related to nursing care. It’s a systematic review of scientific literature, with qualitative approach, in what PUBMED E BDENF eletronic database is used, temporally limited to the period from 2003 to 2008. For this study...

Utilization of healthcare services among children members of Medical Insurance for a New Generation

Pérez-Cuevas,Ricardo; Doubova,Svetlana V; Flores-Hernández,Sergio; Muñoz-Hernández,Onofre
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 Português
Relevância na Pesquisa
36.25%
OBJECTIVE: To describe the utilization and associated factors for preventive and curative care utilization among children affiliated to the Medical Insurance for a New Generation (SMNG). MATERIALS AND METHODS: Data from the 2009 National Survey of SMNG was analyzed. RESULTS: The analysis represented 1 316 867 children; 25% of urban and 37.5% of rural mothers that took their children to well-child visits. Covariates associated with preventive care utilization were children <12 months, low-birth weight, history of infectious or other diseases, mother >35 years, mother's literacy level of bachelor degree, housewife, attendance at >7 antenatal care visits, and living in a rural area. Curative care: 12% attended emergency room services, 5.4% were hospitalized and 66% received ambulatory care. Covariates associated with curative care utilization: child history of frequent diseases, mother living with husband/partner, mother's literacy level of bachelor degree, attendance >7 antenatal care visits and having paid work. CONCLUSION: It is needed to reinforce the programs encouraging mothers to seek preventive care regularly.

Common perinatal mental disorders in northern Viet Nam: community prevalence and health care use

Fisher,Jane; Tran,Thach; thi La,Buoi; Kriitmaa,Kelsi; Rosenthal,Doreen; Tran,Tuan
Fonte: World Health Organization Publicador: World Health Organization
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/10/2010 Português
Relevância na Pesquisa
36.21%
OBJECTIVE: To establish the prevalence of common perinatal mental disorders their determinants, and their association with preventive health care use among women in one rural and one urban province in northern Viet Nam. METHODS: We conducted a cross-sectional survey of cohorts of pregnant women and mothers of infants recruited systematically in 10 randomly-selected communes. The women participated in psychiatrist-administered structured clinical interviews and separate structured interviews to assess sociodemographic factors, reproductive health, the intimate partner relationship, family violence and the use of preventive and psychiatric health care. Associations between these variables and perinatal mental disorders were explored through univariate analyses and multivariable logistic regression. FINDINGS: Among women eligible for the study (392), 364 (93%) were recruited. Of these, 29.9% (95% confidence interval, CI: 25.20-34.70) were diagnosed with a common perinatal mental disorder (CPMD). The frequency of such disorders during pregnancy and in the postpartum period was the same. Their prevalence was higher among women in rural provinces (odds ratio, OR: 2.17; 95% CI: 1.19-3.93); exposed to intimate partner violence (OR: 2.11; 95% CI: 1.12-3.96); fearful of other family members (OR: 3.36; 95% CI: 1.05-10.71) or exposed to coincidental life adversity (OR: 4.40; 95% CI: 2.44-7.93). Fewer women with a CPMD used iron supplements than women without a CPMD...

Utilization of healthcare services among children members of Medical Insurance for a New Generation

Pérez-Cuevas,Ricardo; Doubova,Svetlana V; Flores-Hernández,Sergio; Muñoz-Hernández,Onofre
Fonte: Instituto Nacional de Salud Pública Publicador: Instituto Nacional de Salud Pública
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2012 Português
Relevância na Pesquisa
36.25%
OBJECTIVE: To describe the utilization and associated factors for preventive and curative care utilization among children affiliated to the Medical Insurance for a New Generation (SMNG). MATERIALS AND METHODS: Data from the 2009 National Survey of SMNG was analyzed. RESULTS: The analysis represented 1 316 867 children; 25% of urban and 37.5% of rural mothers that took their children to well-child visits. Covariates associated with preventive care utilization were children <12 months, low-birth weight, history of infectious or other diseases, mother >35 years, mother's literacy level of bachelor degree, housewife, attendance at >7 antenatal care visits, and living in a rural area. Curative care: 12% attended emergency room services, 5.4% were hospitalized and 66% received ambulatory care. Covariates associated with curative care utilization: child history of frequent diseases, mother living with husband/partner, mother's literacy level of bachelor degree, attendance >7 antenatal care visits and having paid work. CONCLUSION: It is needed to reinforce the programs encouraging mothers to seek preventive care regularly.