123 resultados para Reforma dos serviços de saúde. Gestão de qualidade.
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Bases Gerais da Cirurgia - FMB
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Pós-graduação em Odontologia Preventiva e Social - FOA
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
Os caminhos da participação e do controle social na saúde: estudo das realidades do Brasil e Espanha
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Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)
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Pós-graduação em Ciências Sociais - FCLAR
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O objetivo deste estudo foi analisar a percepção do idoso quanto ao cuidado humanizado na atenção básica de saúde, com enfoque sobre os aspectos do atendimento ambulatorial que interferem na qualidade do atendimento. Para isso, realizou-se um estudo do tipo transversal, abrangendo todas as unidades básicas de saúde de um município do interior do Estado de São Paulo, por meio de entrevistas dirigidas aos idosos que frequentavam essas unidades. O instrumento utilizado foi desenvolvido pela Organização Mundial da Saúde (OMS), que, em busca de maior objetividade para a avaliação da qualidade do cuidado à saúde, propôs o conceito de responsividade, para referir-se aos elementos não diretamente ligados ao estado de saúde, e sim aos envolvidos no atendimento acolhedor e resolutivo com responsabilidade e vínculo. Dessa forma, os domínios de responsividade avaliados foram: pronta atenção, dignidade, comunicação, autonomia, escolha dos profissionais, confidencialidade e estrutura física e conforto. Os resultados foram analisados através do software Epi Info 3.5.2. Verificou-se que alguns domínios da atenção em saúde, altamente valorizados pelos idosos, tiveram desempenho bem inferior, como: Autonomia, em que apenas 54,4% tiveram liberdade para tomar decisões sobre sua saúde ou tratamento; e Comunicação, em que 67,6% não obtiveram informações sobre outros tipos de tratamentos ou exames e 79,2% não tiveram oportunidade para esclarecimentos quanto às dúvidas sobre o tratamento. Sugere-se, portanto, mudanças nos serviços de atenção básica à saúde prestados, principalmente quando se trata de idosos, uma população especial que necessita receber uma assistência diferenciada.
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PURPOSE: Describe hearing aid use by the elderly population in the city of São Paulo and identify associated factors. METHODS: A cross-sectional, descriptive, quantitative study integrated with the SABE (health, well-being and aging) project developed in 2006. A total of 1.115 individuals aged 65 or over were interviewed. Sample selection occurred in two stages, with replacement and probabilities proportional to the population to complement those aged 75 or over. Structured questionnaires and validated instruments were used. The data were weighted, the Rao-Scott test was used for univariate analysis and backward stepwise logistic regression was used for multivariate analysis, performed on Stata 10® software. RESULTS: Three hundred and seventy-seven subjects (30.4%) were classified as hearing impaired and 10.1% of these reported using hearing aids. To acquire the devices, 78.8% used their own resources and 16.9% acquired them through the Brazilian public health system (SUS). Among non-users of hearing aids, 16.6% reported prior indication; however, 8.6% were unable to adapt to the device and 8.0% could not afford to acquire one. Hearing aid use was associated with lower prevalence of probable dementia. CONCLUSION: The low number of hearing aid users indicates the difficulties elderly people face in acquiring them and/or that the health services face in effectively helping them to adapt. These findings may influence the quality of life of elderly with hearing impairment, given the association with probable dementia revealed by this study.
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Pós-graduação em Enfermagem (mestrado profissional) - FMB
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Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
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The quality control is of great importance for the development of any organization, mainly for providing an assurance of delivering high quality services and goods for the consumers. Quality can be defined by the word „change‟, for the company which intends to implement a quality control system must be open to changes. This can be noticed from the JURAN concept (1992 In SILVEIRA ET AL., 2002): “Quality is to fit for usage”, i.e., depending on the goal, the situation and the consumer, quality is seen in different ways, since each one has different wishes and opinions. Taking in to account the availability of means such as norms, theories and tools, that contribute for an efficient quality management system, this discrepancy of opinions and the lack of objectivity of this concept can be solved, since through the analyzes of these means one can set quality standards, i.e., market references which fulfill both consumers and builders demands. Thus, the quality concept ceases to be something so abstract, non-measurable, to become a more objective concept. Finally, the goal of this work is to analyze the quality concept through bibliographic studies and possible consumers‟ enquires, aiming at the building industry, and show how the quality, often taken as something abstract, can be a measurable and objective concept, that benefits both the consumer as well as the enterprise of this branch
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Currently the service sectors have an increasingly important role in the productive sector because they can represent a great advantage to the consumer. In this graduate work a study was conducted with the objective of process improveme nt services in the sector of technical assistance in a factory machinery and equipment. Through process mapping, through the technical blueprint, and time study were able to identify opportunities for improvement for reducing the time customer service, as well as the proposed performance indicators for the service
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Befor the vast economical growth and wild scientific and technological development, the companies are demanding, more and more qualification and acting of the services rendered by their employees. Like this, tasks are restricted the they be done with excellence, because the companies are always controlling the worker's development. They are several the tools used by the companies, as acting indexes to control the course of the worker's activities or certain section, integrations for new employees with the objective to present the line of work of the company so that the new employee is framed in these patterns, trainings offered for the employees to carry out their services with quality and compromising, evaluations of year end in order to test the worker's knowledge and to demand better results, finally, the companies hope the employee integrates normativamente into the reality of the company, in way to contribute for the atingimento of the organizational strategies, always collecting for this to obtain the best results and contribute to the growth of the company. This way, that research will present a tool of control of the total quality applied in a company in Rio Clearing's city and that it is managed by an educador. They will be verified the objectives that the company has in relationship a this control, the worker's subjectivity as participant subject of the tool of control of the System of Administration of the Quality and the worker's different glances before these aspects throught an interview.