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Revista Archivo Médico de Camagüey

On-line version ISSN 1025-0255

Abstract

PEREZ ALVAREZ, Luis  and  SANCHEZ LAMEDA, Leonardo Eustaquio. Analysis of the quality care to the disabled boy in Camagüey municipality. AMC [online]. 2008, vol.12, n.2. ISSN 1025-0255.

Background: To evaluate the health state of a person, especially when is seen affected by a health condition that limits its functional capacity, requires an integral focus that consider social, psychological, and biological aspects. Objective: To know the factors that influence negatively in the quality care to the disabled boy. Method: A qualitative descriptive cross-sectional study in two phases, the first one carried out on February 2006 and the second on September of the same year. In the first phase was considered as universe the group of professionals and parents directly linked to the attention of the boy with disability in Camagüey municipality. A sample comprising 57 of them considered as experts and selected by means of intentional sampling was structured; the parents were selected among the assistants to the rehabilitation consulting room at the Pediatric Specialties hospital of Camagüey. The sample remained conformed by ten mothers of disabled children, eight family doctors, five family nurses, ten doctors of specialties related to the attention to the disabled boy and two medical specialists in health administration, ten licentiates (Defectology, Physical Culture and Psychology), five Physiotherapy technicians, three Logopedics, two social workers and two members of the ACLIFIM. To each one an open questions questionnaire was delivered where they expressed their opinion on the factors that influence negatively in the quality care to the boy with disability in the Primary Health Care. In the second phase, the second questionnaire with anonymous character was applied to a sample comprising 79 technicians, licentiates and doctors of the nine Integral Rooms of Rehabilitation of Camagüey municipality and to the 100% of the ones who were working the day that the Integral Room of Rehabilitation was visited, and accepted to participate in the study once its objective was reported. Results: Eleven problems grouped in three categories were identified: the need of material resources (that is found under solution with the equipment of the integral rooms), organization and the need of information. Conclusions: The need to improve the organizing work in the health system related to the attention of the boy with disability, as well as to plan courses, diplomates, masteries on the theme and to deepen in the management of this health problem in the programs of pre and postgraduate educational formation.

Keywords : Disabled children; quality assurance health care; primary health care; qualitative analysis.

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