20 research outputs found
Assessment and Analysis of Health Care Institutions Service Accessibility and Acceptability
Sveikatos priežiūros kokybė, jos valdymas ir pritaikymas tampa vienu iš svarbiausių sveikatos priežiūros prioritetų tiek Lietuvoje, tiek ir kitose Europos bei pasaulio šalyse. Sveikatos priežiūros įstaigos teikia sveikatos priežiūros paslaugas, vykdo užtikrindamos ligų prevenciją, gyventojų sveikatos kokybę, visos visuomenės gerovę. Remiantis teorinės ir metodologinės literatūros apibendrinimais bei autorių atliktos pacientų apklausos rezultatais, teikiamos išvados apie paslaugų kokybės gerinimą paslaugų prieinamumo ir priimtinumo aspektais. Sveikatos teisinio reglamentavimo sistemą sudaro Europos, taip pat Lietuvos standartai, tarptautiniai ir nacionaliniai teisiniai aktai, produktų ar paslaugų kokybės laidavimas ir organizacijos veiklos kokybės sertifikavimas bei visuomenės reikalavimai. Visuomenės nuomonė apie sveikatos priežiūros paslaugų kokybę yra vienas iš daugelio sveikatos priežiūros paslaugų kokybės rodiklių. Paslaugų kokybės kompleksinis ir sisteminis vertinimas turėtų būti atliekamas kokybės vadybos sistemos požiūriu, atsižvelgiant į pacientų suvokiamą kokybę, vidaus kontrolės dokumentus, metinius veiklos planus, darbo reglamentus, kokybės valdymo sistemos procedūrų aprašus. Svarbus veiksnys yra neatitikčių rodikliams registravimas, jų periodinė analizė ir analizės rezultatais pagrįstų pakeitimų sveikatos priežiūros paslaugų kokybės gerinimo procesams įgyvendinimas. Šie veiksniai padeda gydymo įstaigoms kryptingai tobulinti teikiamų paslaugų kokybę.Quality of health care, management and customization is becoming one of the most important health care priorities in Lithuania and in other European countries and worldwide. Objektive. To summarizes the improvement measures of health care service access and acceptability and estimate and analyze the Vilnius patients opinion about health care services. Health care institutions provide health care services, make the prevention of illness to ensure quality and welfare of all population. Based on the theoretical and methodological literature summaries and results of patient satisfaction surveys are providing conclusions about improvement of quality service in the availability and acceptability aspects. Public opinion on health care services is one of the many health care quality indicators. Quality service in an integrated and systematic assessment should be carried out in terms of the quality management system according to the patients perceived quality, documents of internal quality, annual work plans and regulations, quality management system procedures descriptions. An important factor is a registration of incongruity indicators, their periodical analysis and health care quality improvement based on the results of analysis. These factors helps for health care institutions targeted to improve quality of service
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Safety and efficacy of sucroferric oxyhydroxide in pediatric patients with chronic kidney disease
BACKGROUND: Pediatric patients with advanced chronic kidney disease (CKD) are often prescribed oral phosphate binders (PBs) for the management of hyperphosphatemia. However, available PBs have limitations, including unfavorable tolerability and safety.
METHODS: This phase 3, multicenter, randomized, open-label study investigated safety and efficacy of sucroferric oxyhydroxide (SFOH) in pediatric and adolescent subjects with CKD and hyperphosphatemia. Subjects were randomized to SFOH or calcium acetate (CaAc) for a 10-week dose titration (stage 1), followed by a 24-week safety extension (stage 2). Primary efficacy endpoint was change in serum phosphorus from baseline to the end of stage 1 in the SFOH group. Safety endpoints included treatment-emergent adverse events (TEAEs).
RESULTS: Eighty-five subjects (2-18 years) were randomized and treated (SFOH, n = 66; CaAc, n = 19). Serum phosphorus reduction from baseline to the end of stage 1 in the overall SFOH group (least squares [LS] mean ± standard error [SE]) was - 0.488 ± 0.186 mg/dL; p = 0.011 (post hoc analysis). Significant reductions in serum phosphorus were observed in subjects aged ≥ 12 to ≤ 18 years (LS mean ± SE - 0.460 ± 0.195 mg/dL; p = 0.024) and subjects with serum phosphorus above age-related normal ranges at baseline (LS mean ± SE - 0.942 ± 0.246 mg/dL; p = 0.005). Similar proportions of subjects reported ≥ 1 TEAE in the SFOH (75.8%) and CaAc (73.7%) groups. Withdrawal due to TEAEs was more common with CaAc (31.6%) than with SFOH (18.2%).
CONCLUSIONS: SFOH effectively managed serum phosphorus in pediatric patients with a low pill burden and a safety profile consistent with that reported in adult patients