Child and Adolecent Assistance in hospital units of urgency and emergency in an inner city of São Paulo: an evaluation study / Assistência à criança e ao adolescente em unidades não-hospitalares de urgência e emergência em um município do interior do Estado de São Paulo: um estudo de avaliação

AUTOR(ES)

Yolanda Rufina Condorimay Tacsi

DATA DE PUBLICAÇÃO

2008

RESUMO

Nowadays the indexes of mortality and morbity among child have been controlled by several strategies in different levels of assistance. This population is still vulnerable for many different diseases (economical, social and environmental). Urgency and emergency pediatric services must be well structured in order to answer all the needs of this group. When a child or a teenager goes to these services, the specific units must be prepared to receive and classify the risk of each case. This study aimed at study the child and teenager assistance in units (not hospitals) of urgency and emergency in an inner city of São Paulo State by checking structure, process and results of assistance. The data collection was made in five different units by using interview and observation; the records of patients were also checked. The results reveal that the physical structure was unsatisfied, material and equipment also were, the same observation was revealed to quality of assistance. Analyzing the consultation we observed that the attitudes was founded on the patients claim, not consider other facts that may help on prevention other pathologies. The evaluation of results was realized by understanding the satisfaction perceptions of health workers and companies. As good points companies declared the orientation, possibility of been listened and medicine supply; and as bad points we found that the problem of been assisted by different doctors and the need of buying medicine out of the unit. The health workers like to work with children, and the assistance to teenagers has been difficult due to specified characteristics of this group. As good points to this group they are stimulated for doing a good job. The insatisfacion is noted when related to low remuneration and not continuing training on urgency and emergency.

ASSUNTO(S)

health services serviços de saúde urgência humanização humanizing avaliação evaluation pediatric nursing emergency qualidade dos cuidados de saúde emergência quality of health care enfermagem pediátrica urgency

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