Relationship between health providers and patients in Mexico City
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2009 |
| Outros Autores: | , , , |
| Tipo de documento: | Artigo |
| Idioma: | spa eng |
| Título da fonte: | Revista de Saúde Pública |
| Texto Completo: | https://www.revistas.usp.br/rsp/article/view/32640 |
Resumo: | OBJECTIVE: To assess quality of the relationship between inpatients and health providers. METHODS: A qualitative study was carried out in a tertiary care hospital in the Mexico City, Mexico, between February and July 2005. In-depth interviews were conducted with 40 inpatients. The following categories of analysis were used to explore the respondent's perception of care: attitudes and actions of medical and nursing providers, effective communication, level of knowledge of patients and their family on the diagnosis, clinical treatment, and evolution. RESULTS: Overall the level of satisfaction with health care was high. Inpatients perceived everyday (non-clinical) interactions with medical and nursing providers as inadequate due to lack of confidence to request information on their condition. In addition, this perception was reinforced by excessive use by providers of technical terminology. CONCLUSIONS: The routine relationship between health providers and their patients is perceived as inadequate showing that clinical effectiveness does not mean high quality of care. There is a need to bring together technical-scientific efficiency and patients' needs and expectations of non-clinical interactions. |
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Relationship between health providers and patients in Mexico City Relación del personal de salud con los pacientes en la Ciudad de México Qualidade da relação da equipe de saúde com pacientes hospitalizados, Cidade do México Qualidade da Assistência à SaúdeRelações Profissional-PacientePessoal de SaúdeServiços de SaúdeEntrevistaRelações Médico-PacientePesquisa QualitativaCalidad de la Atención de SaludRelaciones Profesional-PacientePersonal de SaludServicios de SaludEntrevistaRelaciones Médico-PacienteInvestigación CualitativaQuality of Health CareProfessional-Patient RelationsHealth PersonnelHealth ServicesInterviewPhysician-Patient RelationsQualitative Research OBJECTIVE: To assess quality of the relationship between inpatients and health providers. METHODS: A qualitative study was carried out in a tertiary care hospital in the Mexico City, Mexico, between February and July 2005. In-depth interviews were conducted with 40 inpatients. The following categories of analysis were used to explore the respondent's perception of care: attitudes and actions of medical and nursing providers, effective communication, level of knowledge of patients and their family on the diagnosis, clinical treatment, and evolution. RESULTS: Overall the level of satisfaction with health care was high. Inpatients perceived everyday (non-clinical) interactions with medical and nursing providers as inadequate due to lack of confidence to request information on their condition. In addition, this perception was reinforced by excessive use by providers of technical terminology. CONCLUSIONS: The routine relationship between health providers and their patients is perceived as inadequate showing that clinical effectiveness does not mean high quality of care. There is a need to bring together technical-scientific efficiency and patients' needs and expectations of non-clinical interactions. OBJETIVO: Analizar la calidad de la relación del personal de salud con los pacientes hospitalizados. MÉTODOS: Estudio cualitativo realizado de febrero a julio del 2005, en la Ciudad de México. Se aplicaron 40 entrevistas a profundidad a pacientes internados en un hospital de tercer nivel. Las categorías de análisis para explorar la percepción del trato entre los informantes fueron las siguientes: actitudes y acciones del personal médico y de enfermería, comunicación efectiva, grado de conocimiento del paciente y/o familiares sobre el diagnóstico, tratamiento clínico, evolución del agravo. RESULTADOS: En general, se encontró un alto grado de satisfacción con la atención médica. No obstante, los pacientes hospitalizados percibieron como inadecuado el trato cotidiano (no clínico) del personal médico y de enfermería del hospital, relacionado con la falta de confianza para solicitar información acerca de su padecimiento. El uso excesivo de tecnicismos por parte del prestador de servicios reforzó esta percepción de trato inadecuado. CONCLUSIONES: La percepción del trato inadecuado por el personal de salud fuera del ámbito técnico, mostró que la efectividad clínica no significa una plena calidad de la atención y que es necesario incorporar las necesidades y expectativas de trato no clínico de los pacientes a la eficiencia técnica y científica. OBJETIVO: Analisar a qualidade da relação da equipe de saúde com os pacientes hospitalizados. MÉTODOS: Estudo qualitativo realizado de fevereiro a julho de 2005, na Cidade do México. Foram realizadas entrevistas em profundidade com 40 pacientes em internação prolongada. As categorias de análise para explorar a percepção de trato entre os informantes foram as seguintes: atitudes e ações do pessoal médico e de enfermaria, comunicação efetiva, grau de conhecimento do paciente e/ou familiares sobre o diagnóstico, tratamento clínico, evolução do agravo. RESULTADOS: Em geral, observou-se um alto grau de satisfação com a atenção médica. Entretanto, os pacientes hospitalizados perceberam como inadequado o trato cotidiano (não-clínico) realizado pelo pessoal médico e de enfermagem do hospital, relacionado à falta de confiança para solicitar informação sobre sua enfermidade. O uso excessivo de termos técnicos por parte do prestador de serviços reforçou esta percepção de trato inadequado. CONCLUSÕES: A percepção do trato inadequado pelo pessoal de saúde foi de âmbito técnico, mostrando que a efetividade clínica não significa uma plena qualidade de atenção e que é necessário incorporar as necessidades e expectativas de trato não-clínico dos pacientes à eficiência técnica e científica. Universidade de São Paulo. Faculdade de Saúde Pública2009-08-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://www.revistas.usp.br/rsp/article/view/3264010.1590/S0034-89102009005000042Revista de Saúde Pública; Vol. 43 No. 4 (2009); 589-594 Revista de Saúde Pública; Vol. 43 Núm. 4 (2009); 589-594 Revista de Saúde Pública; v. 43 n. 4 (2009); 589-594 1518-87870034-8910reponame:Revista de Saúde Públicainstname:Universidade de São Paulo (USP)instacron:USPspaenghttps://www.revistas.usp.br/rsp/article/view/32640/35019https://www.revistas.usp.br/rsp/article/view/32640/35020Copyright (c) 2017 Revista de Saúde Públicainfo:eu-repo/semantics/openAccessHerrera-Kiengelher, LoredmyVillamil-Álvarez, MirnaPelcastre-Villafuerte, BlancaCano-Valle, FernandoLópez-Cervantes, Malaquias2012-07-09T02:04:14Zoai:revistas.usp.br:article/32640Revistahttps://www.revistas.usp.br/rsp/indexONGhttps://www.revistas.usp.br/rsp/oairevsp@org.usp.br||revsp1@usp.br1518-87870034-8910opendoar:2012-07-09T02:04:14Revista de Saúde Pública - Universidade de São Paulo (USP)false |
| dc.title.none.fl_str_mv |
Relationship between health providers and patients in Mexico City Relación del personal de salud con los pacientes en la Ciudad de México Qualidade da relação da equipe de saúde com pacientes hospitalizados, Cidade do México |
| title |
Relationship between health providers and patients in Mexico City |
| spellingShingle |
Relationship between health providers and patients in Mexico City Herrera-Kiengelher, Loredmy Qualidade da Assistência à Saúde Relações Profissional-Paciente Pessoal de Saúde Serviços de Saúde Entrevista Relações Médico-Paciente Pesquisa Qualitativa Calidad de la Atención de Salud Relaciones Profesional-Paciente Personal de Salud Servicios de Salud Entrevista Relaciones Médico-Paciente Investigación Cualitativa Quality of Health Care Professional-Patient Relations Health Personnel Health Services Interview Physician-Patient Relations Qualitative Research |
| title_short |
Relationship between health providers and patients in Mexico City |
| title_full |
Relationship between health providers and patients in Mexico City |
| title_fullStr |
Relationship between health providers and patients in Mexico City |
| title_full_unstemmed |
Relationship between health providers and patients in Mexico City |
| title_sort |
Relationship between health providers and patients in Mexico City |
| author |
Herrera-Kiengelher, Loredmy |
| author_facet |
Herrera-Kiengelher, Loredmy Villamil-Álvarez, Mirna Pelcastre-Villafuerte, Blanca Cano-Valle, Fernando López-Cervantes, Malaquias |
| author_role |
author |
| author2 |
Villamil-Álvarez, Mirna Pelcastre-Villafuerte, Blanca Cano-Valle, Fernando López-Cervantes, Malaquias |
| author2_role |
author author author author |
| dc.contributor.author.fl_str_mv |
Herrera-Kiengelher, Loredmy Villamil-Álvarez, Mirna Pelcastre-Villafuerte, Blanca Cano-Valle, Fernando López-Cervantes, Malaquias |
| dc.subject.por.fl_str_mv |
Qualidade da Assistência à Saúde Relações Profissional-Paciente Pessoal de Saúde Serviços de Saúde Entrevista Relações Médico-Paciente Pesquisa Qualitativa Calidad de la Atención de Salud Relaciones Profesional-Paciente Personal de Salud Servicios de Salud Entrevista Relaciones Médico-Paciente Investigación Cualitativa Quality of Health Care Professional-Patient Relations Health Personnel Health Services Interview Physician-Patient Relations Qualitative Research |
| topic |
Qualidade da Assistência à Saúde Relações Profissional-Paciente Pessoal de Saúde Serviços de Saúde Entrevista Relações Médico-Paciente Pesquisa Qualitativa Calidad de la Atención de Salud Relaciones Profesional-Paciente Personal de Salud Servicios de Salud Entrevista Relaciones Médico-Paciente Investigación Cualitativa Quality of Health Care Professional-Patient Relations Health Personnel Health Services Interview Physician-Patient Relations Qualitative Research |
| description |
OBJECTIVE: To assess quality of the relationship between inpatients and health providers. METHODS: A qualitative study was carried out in a tertiary care hospital in the Mexico City, Mexico, between February and July 2005. In-depth interviews were conducted with 40 inpatients. The following categories of analysis were used to explore the respondent's perception of care: attitudes and actions of medical and nursing providers, effective communication, level of knowledge of patients and their family on the diagnosis, clinical treatment, and evolution. RESULTS: Overall the level of satisfaction with health care was high. Inpatients perceived everyday (non-clinical) interactions with medical and nursing providers as inadequate due to lack of confidence to request information on their condition. In addition, this perception was reinforced by excessive use by providers of technical terminology. CONCLUSIONS: The routine relationship between health providers and their patients is perceived as inadequate showing that clinical effectiveness does not mean high quality of care. There is a need to bring together technical-scientific efficiency and patients' needs and expectations of non-clinical interactions. |
| publishDate |
2009 |
| dc.date.none.fl_str_mv |
2009-08-01 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://www.revistas.usp.br/rsp/article/view/32640 10.1590/S0034-89102009005000042 |
| url |
https://www.revistas.usp.br/rsp/article/view/32640 |
| identifier_str_mv |
10.1590/S0034-89102009005000042 |
| dc.language.iso.fl_str_mv |
spa eng |
| language |
spa eng |
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https://www.revistas.usp.br/rsp/article/view/32640/35019 https://www.revistas.usp.br/rsp/article/view/32640/35020 |
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Copyright (c) 2017 Revista de Saúde Pública info:eu-repo/semantics/openAccess |
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Copyright (c) 2017 Revista de Saúde Pública |
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openAccess |
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application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
| publisher.none.fl_str_mv |
Universidade de São Paulo. Faculdade de Saúde Pública |
| dc.source.none.fl_str_mv |
Revista de Saúde Pública; Vol. 43 No. 4 (2009); 589-594 Revista de Saúde Pública; Vol. 43 Núm. 4 (2009); 589-594 Revista de Saúde Pública; v. 43 n. 4 (2009); 589-594 1518-8787 0034-8910 reponame:Revista de Saúde Pública instname:Universidade de São Paulo (USP) instacron:USP |
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Universidade de São Paulo (USP) |
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USP |
| institution |
USP |
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Revista de Saúde Pública |
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Revista de Saúde Pública |
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Revista de Saúde Pública - Universidade de São Paulo (USP) |
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revsp@org.usp.br||revsp1@usp.br |
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1800221789483171840 |