962 resultados para Administrative and bureaucratic hindrances
Resumo:
O presente trabalho tem o objetivo de identificar e estudar os principais entraves técnicos, administrativos e burocráticos que desafiam a solidificação da Zona Franca de Manaus como Pólo Industrial Exportador. O levantamento da bibliografia técnica, legislação federal e a pesquisa de campo realizada constituem-se na sustentação do estudo. A hipótese de que existem entraves administrativos, técnicos e burocráticos que se estabelecem como os principais desafios que dificultam a consolidação do Distrito Industrial instalado na Zona Franca de Manaus permite buscar o mapeamento desses desafios a serem enfrentados pelos atuais e potenciais exportadores.
Resumo:
Background: The aim of this research was to characterize the experience of living with diabetes mellitus (DM) and identify patients" opinions of the quality of care received and the results of interventions. Methods: A descriptive, exploratory evaluation study using qualitative methodology was performed. Participants consisted of 40 adult patients diagnosed with DM and followed up in a public hospital in Barcelona, Spain. A semistructured interview and a focus group were used and a thematic content analysis was performed. Results: Patients described DM as a disease that is difficult to control and that provokes lifestyle changes requiring effort and sacrifice. Insulin treatment increased the perception of disease severity. The most frequent and dreaded complication was hypoglycemia. The main problems perceived by patients affecting the quality of care were related to a disease-centered medical approach, lack of information, limited participation in decision-making, and the administrative and bureaucratic problems of the health care system. Conclusion: The bureaucratic circuits of the health care system impair patients" quality of life and perceived quality of care. Health professionals should foster patient participation in decision-making. However, this requires not only training and appropriate attitudes, but also adequate staffing and materials.
Resumo:
Background: The aim of this research was to characterize the experience of living with diabetes mellitus (DM) and identify patients" opinions of the quality of care received and the results of interventions. Methods: A descriptive, exploratory evaluation study using qualitative methodology was performed. Participants consisted of 40 adult patients diagnosed with DM and followed up in a public hospital in Barcelona, Spain. A semistructured interview and a focus group were used and a thematic content analysis was performed. Results: Patients described DM as a disease that is difficult to control and that provokes lifestyle changes requiring effort and sacrifice. Insulin treatment increased the perception of disease severity. The most frequent and dreaded complication was hypoglycemia. The main problems perceived by patients affecting the quality of care were related to a disease-centered medical approach, lack of information, limited participation in decision-making, and the administrative and bureaucratic problems of the health care system. Conclusion: The bureaucratic circuits of the health care system impair patients" quality of life and perceived quality of care. Health professionals should foster patient participation in decision-making. However, this requires not only training and appropriate attitudes, but also adequate staffing and materials.
Resumo:
Contiene las resoluciones 40/237 y 41/213 de la Asamblea General y la resolución 1987/112 del Consejo Económico y Social, sobre el funcionamiento administrativo y financiero de las Naciones Unidas.