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2007, Number 3

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Rev Med Inst Mex Seguro Soc 2007; 45 (3)

Noise Conditions Inside Waiting Rooms of Primary Care Clinics

German-González M, Santillán AO

Language: Spanish
References: 32
Page: 269-275
PDF size: 148.54 Kb.


ABSTRACT

Objectives: to explore the acoustic noise conditions of the waiting rooms in primary care facilities and to evaluate whether the ambient noise level was within the recommended levels for these facilities.
Methodology: the waiting rooms of four primary care clinics located in the south of Mexico City were tested. Several recording points homogeneously distributed and close to the seats of the users were chosen. In each recording point, four recordings of the ambient noise were carried out in intervals of 20 to 40 minutes; this was done during the provision of care. The day in which the recordings were made was randomly selected. The values of the specifications used in the analysis of the ambient noise levels were determined in the laboratory.
Results: the ambient noise level of the waiting rooms in each of the four clinics was above 55 dB-A. This level is considered as the threshold of annoyance. In one of the clinics, the level exceeded 65 dB-A. The chief contributors to the noise were the conversations of the people that were at the waiting room or in adjacent rooms, and in some cases the sound from the TV sets.
Conclusions: the study showed that the ambient noise level passed the upper limits indicated by The American National Standard Institute. It is appropriate to define criteria to guarantee suitable noise conditions inside health care facilities and to revise current Mexican standards.


REFERENCES

  1. Donabedian A. La dimensión internacional de la evaluación y garantía de la calidad. Salud Publica Mex 1990;32(2):113-117.

  2. Ruiz-de-Chávez M, Martínez-Narváez G, Calvo-Ríos JM, Aguirre-Gas H, Arango-Rojas R, Lara-Carreño R et al. Bases para la evaluación de la calidad de la atención en las unidades médicas del sector salud. Salud Publica Mex 1990;32(2):156-169.

  3. Ramírez-Sánchez T, Nájera-Aguilar P, Nigenda-López G. Percepción de la calidad de la atención de los servicios de salud en México: perspectiva de los usuarios. Salud Publica Mex 1998;40:3-12.

  4. Ortiz-Espinosa RM, Muñoz-Juárez S, Lechuga-Martín del Campo D, Torres-Carreño E. Consulta externa en instituciones de salud de Hidalgo, México, según la opinión de los usuarios. Rev Panam Salud Publica 2003;13(4):229-238.

  5. Álvarez-Heredia F. Calidad y auditoría en salud. Colombia: Eco Ediciones; 2003.

  6. Aguirre-Gas H. Calidad de la atención médica. 3a edición. México: Noriega Editores; 2002.

  7. Sotomayor-Gallardo A. Calidad, elemento esencial de la seguridad social. México: CISS, Serie Estudios Seguridad Social; 2000.

  8. Guzmán MA, Ramos-Córdova LF, Castañeda-Sánchez O, López-del-Castillo-Sánchez D, Gómez-Alcalá AV. Satisfacción de los usuarios de una unidad de medicina familiar. Rev Med Inst Mex Seguro Soc 2006;44(1):39-45.

  9. Cohen S, Weinstein N. Nonauditory effects of noise on behavior and health. En: Evans GW, editor. Environmental stress. USA: Cambridge University Press; 1982. p. 45-73.

  10. Guski R, Felscher-Suhr U, Schuemer R. The concept of noise annoyance: how international experts see it. Journal of Sound and Vibration 1999;223(4):513-527.

  11. Embleton TFW, Tutorial on sound propagation outdoors. J Acoust Soc Am 1996;100(1):31-46.

  12. García A. Introduction. En: García A, editor. Environmental urban noise. Great Britain: WIT Press; 2001. p. 1-13.

  13. Berglund B, Lindvall T. Community noise- document prepared for the World Health Organization. Stockholm, Sweden: Archives of the Center for Sensory Research; 1995.

  14. World Health Organization. Guidelines for community noise. Geneva: WHO; 1999.

  15. Rodríguez-Marín J, Zurriago-Llorens R. Estrés, enfermedad y hospitalización. Serie Monografías 17. España: Escuela Andaluza de Salud Pública; 1997.

  16. Hosking S, Haggard L. Healing the hospital environment. US: E and FN Spon; 1999. p. 159-172.

  17. Malkin J. Hospital interior architecture, China: John Wiley and Sons; 1992. p. 18.

  18. Crocker MJ. Rating measures, descriptors, criteria and procedures for determing human response to noise. En: Crocker MJ, editor. Handbook of Acoustic. US: John Wiley and Sons; 1998. p. 775-797.

  19. Levy-Levoyer C. Psicología y medio ambiente. Madrid: Morata; 1985. p. 112-118.

  20. Fields JM. Effects of personal and situational variables on noise annoyance in residential areas. J Acoust Soc Am 1993;93(5):2753-2763.

  21. Job RFS. Community response to noise: A review of factors influencing the relationship between noise exposure and reaction. J Acoust Soc Am 1988;83(3):991-1001.

  22. Vallet M. Effects of noise on health. En: García A, editor. Environmental urban noise. Great Britain: WIT Press; 2001. p. 64-109.

  23. Comisión Europea. Política futura de lucha contra el ruido. Libro Verde. Bruselas: Comisión Europea; 1996.

  24. Bies DA, Hansen CH. Engineering noise control. 2nd edition. Great Britain: E and FN Spon; 1998. p. 121.

  25. Secretaría de Gobernación. Norma Mexicana NMX-C-207-1977, criterios de ruido según la función de los claustros. Disponible en http:// www.gobernacion.gob.mx/dof/2003/noviembre/dof_13-11-2003.pdf.

  26. Tocci GC. Room noise criteria–The state of the art in the year 2000. Sitio en internet del Institute of Noise Control Engineering. Disponible en http://www.cavtocci.com/portfolio/publications/tocci.pdf.

  27. Recommended ANSI levels. Sitio en internet de Acoustics.com. Disponible en http://acoustics.com/ansi.asp.

  28. Beranek LL. Criteria for noise and vibration in communities, buildings, and vehicles. En: Beranek LL, Ver IL, editors. Noise and vibration control engineering. New York: John Wiley and Sons; 1992. p. 617-641.

  29. Carrión IA. Diseño acústico de espacios arquitectónicos. México: Alfaomega; 2001. p. 46.

  30. Reglamento de construcciones para el Distrito Federal. Normas técnicas complementarias para el proyecto arquitectónico. México: Gaceta Oficial del Distrito Federal 2004, tomo II, número 103-BIS. p. 283.

  31. Secretaría de Salud. Norma Oficial Mexicana NOM-178-SSA1-1978, requisitos mínimos de infraestructura y equipamiento de establecimientos para la atención médica de pacientes ambulatorios. Disponible en http://www.salud.gob.mx/unidades/cdi/nom/178ssa18.html.

  32. Guski R. Community response to environmental noise. En: García A, editor. Environmental urban noise. Great Britain: WIT Press; 2001. p. 111-148.




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