3 resultados para Australia, cognitive appraisal, consumer satisfaction, complaints, dissatisfaction, emotions, health services, Heidegger, hermeneutic, Leximancer™, patients, phenomenology, Queensland, satisfaction

em Archivo Digital para la Docencia y la Investigación - Repositorio Institucional de la Universidad del País Vasco


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[ES] La necesidad de determinar los requerimientos del cliente y satisfacerlos se ha convertido en el principal objetivo de las empresas. Gestionar esa actividad, comúnmente asociada al departamento de marketing, ha llegado a ser el fin de cualquier sistema de calidad, y por ende, del resto de departamentos de la organización. A través de un estudio de casos, este trabajo pretende identificar cuales son las prácticas de marketing habituales en la industria del mueble, y plantear un marco de actuación idóneo de acuerdo con los procedimientos establecidos en las normas de calidad ISO 9000:2000.

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Background: In contrast with the recommendations of clinical practice guidelines, the most common treatment for anxiety and depressive disorders in primary care is pharmacological. The aim of this study is to assess the efficacy of a cognitive-behavioural psychological intervention, delivered by primary care psychologists in patients with mixed anxiety-depressive disorder compared to usual care. Methods/Design: This is an open-label, multicentre, randomized, and controlled study with two parallel groups. A random sample of 246 patients will be recruited with mild-to-moderate mixed anxiety-depressive disorder, from the target population on the lists of 41 primary care doctors. Patients will be randomly assigned to the intervention group, who will receive standardised cognitive-behavioural therapy delivered by psychologists together with usual care, or to a control group, who will receive usual care alone. The cognitive-behavioural therapy intervention is composed of eight individual 60-minute face-to face sessions conducted in eight consecutive weeks. A follow-up session will be conducted over the telephone, for reinforcement or referral as appropriate, 6 months after the intervention, as required. The primary outcome variable will be the change in scores on the Short Form-36 General Health Survey. We will also measure the change in the frequency and intensity of anxiety symptoms (State-Trait Anxiety Inventory) and depression (Beck Depression Inventory) at baseline, and 3, 6 and 12 months later. Additionally, we will collect information on the use of drugs and health care services. Discussion: The aim of this study is to assess the efficacy of a primary care-based cognitive-behavioural psychological intervention in patients with mixed anxiety-depressive disorder. The international scientific evidence has demonstrated the need for psychologists in primary care. However, given the differences between health policies and health services, it is important to test the effect of these psychological interventions in our geographical setting.