2015, Number 1
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Gaceta Médica Espirituana 2015; 17 (1)
Intervention strategy in health service to improve the medical care process to children with recurrent lung affections
Orellana MGA, Carpio ME
Language: Spanish
References: 23
Page:
PDF size: 545.13 Kb.
ABSTRACT
Background: The medical care process to children with recurrent lung affections at Sancti Spíritus province shows insufficiencies that promote inappropriate identification of those patients and use of methods for the diagnosis of the possible underlying causes in different ways. The design of actions to offset those insufficiencies has not still been described in scientific papers.
Objective: to design an intervention strategy in health service for the improvement on the medical care process to children with recurrent lung affections.
Methodology: The following methods were used: documental analysis, observation, interviews, nominal groups, experts' criteria; as well as statistical-mathematical methods. The investigation was divided into three stages and it was developed at Sancti Spíritus province from 2009 to 2014.
Results: Methodological insufficiencies were detected in the medical care process to children with recurrent lung affections. An intervention strategy was elaborated and executed; this strategy consisted on the re dimension of the existent organization in health services, as well as in the structuring of theoretical, clinical and investigative elements to evaluate and to investigate those patients.
Conclusions: The strategy demonstrated to be effective and applicable; it facilitated a first approach to Cuban children with recurrent lung affections and allowed to increase the level of doctors’ knowledge on those affections.
REFERENCES
Owayed AF, Campbell DM, Wang EEL. Underlying causes of recurrent pneumonia in children. Arch Pediatr Adolosc Med [Internet]. 2000 Feb [cited: nov 2014];154(2):190-4. Available from: http://archpedi.jamanetwork.com/data/Journals/PEDS/8514/poa9175.pdf
Valdés Lazo F. La atención médica al niño en Cuba. En: de la Torre Montejo E, Pelayo González-Posada EJ. Pediatría. La Habana: Ecimed; 2007.p.6-16. Disponible en: http://www.bvs.sld.cu/libros_texto/pediatria_tomoi/indice_p.htm
Pérez-Fernández LF. Guía para estudio del niño con neumopatía crónica de difícil diagnóstico. Acta Pediatr Mex. 1988; 9:119-26.
Saad K, Mohamed SA, Metwalley KA. Recurrent/Persistent Pneumonia among Children in Upper Egypt. Mediterr J Hematol Infect Dis [Internet]. 2013 [cited: nov 2014];5(1):e2013028. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647710/
Medina F, Juan P, Ruiz M, Gregorio R, García P. Neumonía recurrente en niños. Fronteras med [Internet]. 1996 [citado: nov 2014];4(3):133-8. Disponible en: http://bases.bireme.br/cgi-bin/wxislind.exe/iah/online/?IsisScript=iah/iah.xis&src=google&base=LILACS&lang=p&nextAction=lnk&exprSearch=235975&indexSearch=ID
Ciftci E, Gunes M, Koksal Y, Ince E, Dogru U. Underlying Causes of recurrent pneumonia in Turkish Children in a University Hospital. J Trop Pediatr [Internet]. 2003[cited: nov 2014];49(4):212-5. Available from: http://tropej.oxfordjournals.org/content/49/4/212.abstract
Cabezuelo G, Vidal S, Abeledo A, Frontera P. Causas subyacentes de neumonía recurrente. An Pediatr (Barc) [Internet]. 2005 [cited: nov 2014]; 63(5):409-12. Available from: http://dialnet.unirioja.es/servlet/articulo?codigo=1319652
Ozdemir O, Sari S, Bakirtas A, Zorlu P, Ertan U. Underlying diseases of recurrent pneumonia in Turkish children. Turk J Med Sci [Internet]. 2010 [cited: nov 2014];40(1):25-30. Available from: http://journals.tubitak.gov.tr/medical/issues/sag-10-40-1/sag-40-1-4-0906-15.pdf
Celebi S, Hacimustafaoglu M, Albayrak Y, Bulur N. Recurrent Pneumonia in Children. Cocuk Enf Derg [Internet]. 2010 [cited: nov 2014];4:56-9. Available from: http://www.cocukenfeksiyon.org/sayilar/20/56-59.pdf
Hoving MP, Brand PL. Causes of recurrent pneumonia in children in a general hospital. J Paediatr Child Health [Internet]. 2013 Mar [cited: nov 2014];49(3):E208–E12. Available from: http://onlinelibrary.wiley.com/doi/10.1111/jpc.12114/abstract
Lodha R, Puranik M, Natchu UCM, Kabra SK. Recurrent pneumonia in children: clinical profile and underlying causes. Acta Paediatr [Imternet]. 2002 [cited: nov 2014];91(11):1170-3. Available from: http://onlinelibrary.wiley.com/doi/10.1111/j.1651-2227.2002.tb00123.x/abstract
Pérez-Fernández LF, Cuevas Schacht FJ, Alva Chaire AC. Primer Consenso Nacional para el estudio del niño con Neumopatía Crónica. Sociedad Mexicana de Neumología y Cirugía de Tórax. Acta Pediatr Mex [Internet] 2004 [citado: Nov 2014];25(3):193-200. Disponible en: http://www.neumologospediatras.com/pdf/neumopatia_cronica.pdf
Panitch HB. Evaluation of Recurrent Pneumonia. Pediatr Infect Dis J [Internet]. 2005 [cited: nov 2014]; 24(3):265-6. Available from: http://journals.lww.com/pidj/Citation/2005/03000/Evaluation_of_Recurrent_Pneumonia.15.aspx
Health.Wa.gov. [Internet]. Australia: Department of Health. Diagnostic Imaging Pathways - Recurrent or Persistent Pneunomia. [updated 2014 Jul; cited: 2014 nov]. Available from: http://www.imagingpathways.health.wa.gov.au/index.php/imaging-pathways/paediatrics/recurrent-or-persistent-pneumonia?tmpl=component&format=pdf
Jogeesvaran KH, Owens CM. Chronic diseases of lung parenchyma in children: the role of imaging. Pediatr Radiol [Internet]. 2010 Jun [cited: nov 2014];40(6):850-8. Available from: http://link.springer.com/article/10.1007%2Fs00247-010-1615-9
Tolín M, Gil Ruiz M, Rodríguez MJ, Mora A, Rodríguez Cimadevilla JL, Salcedo A. Protocolo de actuación ante una neumonía que no se resuelve. Acta Pediatr Esp [Internet]. 2010 [cited: nov 2014]; 68(6):285-91. Available from: http://www.actapediatrica.com/index.php/secciones/revision/209-protocolo-de-actuaci%C3%B3n-ante-una-neumon%C3%ADa-que-no-se-resuelve
Patria MF, Esposito S. Recurrent Lower Respiratory Tract Infections in Children: A Practical Approach to Diagnosis. Paediatric Respiratory Reviews [Internet]. 2013 Mar [cited: 2014 nov];14(1):53-60. Available from: http://www.prrjournal.com/article/S1526-0542%2811%2900092-3/abstract
Murray DL, Mani CS. Persistent and Recurrent Pneumonia. En: Long SS, editores. Principles and practice of pediatric infectious diseases. 4th ed. China: Elsevier;2012.p.245-52.
Patria F, Longhi B, Tagliabue C, Tenconi R, Ballista P, Ricciardi G et al. Clinical profile of recurrent community-acquired pneumonia in children. BMC Pulm Med [Internet]. 2013 Oct [cited: 2014 nov 10];13:60. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3852007/
Declaración de Helsinki de la Asociación Médica Mundial [Internet].Corea: Principios éticos para las investigaciones médicas en seres humanos. [59ª Asamblea General, Seúl, Corea]. [publicado: 2008 Oct; citado 2014 nov]. Disponible en: http://www.wma.net/es/30publications/10policies/b3/17c_es.pdf
Corona Martínez LA. El objeto de aprendizaje en la carrera de medicina: el proceso de atención médica y su método, el método clínico. Medisur [Internet]. 2011[cited: 2014 nov 10];9(2):142-5. Disponible en: http://medisur.sld.cu/index.php/medisur/article/view/1561/596
Jiménez Paneque RE. Indicadores de calidad y eficiencia de los servicios hospitalarios. Una mirada actual. Rev Cubana Salud Pública [Internet]. 2004 [cited: 2014 nov 10];30(1): Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S0864-34662004000100004&lng=es&nrm=iso&tlng=es
Carnota Lauzán O. Garantía de calidad en salud. En: Tecnologías Gerenciales. Una oportunidad para los Sistemas de salud. La Habana: Ecimed; 2005.p.171-212. [Internet]. [cited: 2014 nov 10].Disponible en: http://www.bvs.sld.cu/libros_texto/tecnologias_gerenciales/completo.pdf