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      Avaliação da satisfação dos usuários atendidos por serviço pré-hospitalar móvel de urgência Translated title: Evaluation of satisfaction of users assisted by prehospital mobile emergency care service

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          Abstract

          RESUMO O objetivo deste estudo foi avaliar a satisfação dos usuários atendidos pelo Serviço de Atendimento Móvel de Urgência do estado do Rio Grande do Norte. Trata-se de pesquisa transversal, analítica e quantitativa, realizada de janeiro a junho de 2016, com 384 usuários. Obteve-se satisfação na estrutura e no processo. O indicador de estrutura que gerou mais insatisfação foi o conforto das ambulâncias, e o de processo foi o tempo resposta. Conclui-se que os usuários, em sua maioria, estão satisfeitos com o serviço do estado, porém, pesquisas de satisfação dos usuários são sempre necessárias para o monitoramento constante desse serviço.

          Translated abstract

          ABSTRACT The aim of this study was to evaluate the satisfaction of the users assisted by the Mobile Emergency Care Service of the state of Rio Grande do Norte. It is a transversal, analytical and quantitative research, carried out from January to June of 2016, with 384 users. Satisfaction was obtained in structure and process. The indicator of structure that generated more dissatisfaction was the comfort of ambulances, and of the process was the response time. It is concluded that users are, mostly, satisfied with the state service, however, user satisfaction surveys are always necessary for the constant monitoring of this service.

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          Why do patients with ‘primary care sensitive’ problems access ambulance services? A systematic mapping review of the literature

          Objective Emergency ambulance use for problems that could be managed in primary care continues to rise owing to complex reasons that are poorly understood. The objective of this systematic review is to draw together published evidence across a variety of study methodologies and settings to gain a better understanding of why patients seek help from ambulance services for these problems. Design Systematic searches were undertaken across the MEDLINE, EMBASE, PsychINFO, CINAHL, Health Management Information Consortium and Health Management Information Service publication databases. Google Scholar, Web of Science, OpenSigle, EThOS and DART databases were also systematically searched for reports, proceedings, book chapters and theses, along with hand-searching of grey literature sources. Studies were included if they reported on findings examining patient, carer, health professional or service management interactions with ambulance services for primary care problems. All study methodologies and perspectives were of interest. Data were extracted, quality assessed and systematically mapped according to key findings through generation of an iterative framework. Results A total of 31 studies met inclusion criteria. Findings were summarised across 5 broad categories: factors associated with individual patients; actions of care-givers and bystanders; population-level factors; health infrastructure factors; challenges faced by health professionals. A number of subcategories were developed to explore these factors in more detail. Conclusions This review reports important factors that may impact on ambulance use for primary care problems across a global setting, including demographic measures associated with deprivation, minority status and individual social circumstances. Categorising ambulance calls for primary care problems as ‘inappropriate’ is context dependant and may be unhelpful. Potential implications for triage and risk management strategies are discussed.
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            Reassurance as a key outcome valued by emergency ambulance service users: a qualitative interview study.

            There is an increasing need to assess the performance of emergency ambulance services using measures other than the time taken for an ambulance to arrive on scene. In line with government policy, patients and carers can help to shape new measures of ambulance service performance.
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              Toward patient-centered care: a systematic review of older adults' views of quality emergency care.

              Observers have cited a quality gap between the current emergency care and the needs of elderly adults in the emergency setting. The Institute of Medicine identified patient-centeredness as a vital aim of quality health care. To develop a patient-centered approach in the emergency setting, we must first understand the elderly patients' views of their emergency care. Thus, we performed a systematic review to synthesize the current knowledge about the elderly patient's preferences and views of their emergency care.
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                Author and article information

                Contributors
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Role: ND
                Journal
                sdeb
                Saúde em Debate
                Saúde debate
                Centro Brasileiro de Estudos de Saúde (Rio de Janeiro, RJ, Brazil )
                0103-1104
                2358-2898
                March 2018
                : 42
                : 116
                : 191-202
                Affiliations
                [1] Aracaju Sergipe orgnameUniversidade Federal de Sergipe Brazil rodrigoenf@ 123456yahoo.com.br
                [2] Aracaju Sergipe orgnameUniversidade Federal de Sergipe Brazil daniele00@ 123456hotmail.com
                [3] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Departamento de Enfermagem Brazil jessicacristhy@ 123456gmail.com
                [6] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Departamento de Enfermagem Brazil
                [5] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Departamento de Enfermagem Brazil sara_iasd@ 123456hotmail.com
                [4] Natal orgnameUniversidade Estácio de Sá Brazil sabrinagurgelsarm@ 123456outlook.com
                Article
                S0103-11042018000100191
                10.1590/0103-1104201811615
                491191be-0c25-4229-ae94-904d25adc04a

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 09 October 2017
                : 08 February 2018
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 28, Pages: 12
                Product

                SciELO Brazil


                Satisfação do paciente,Patient-centered care,Health evaluation,Prehospital care,Patient satisfaction,Assistência centrada no paciente,Avaliação em saúde,Assistência pré-hospitalar

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