Healthcare practitioners and researchers need internationally validated measurement tools to compare outcomes of interventions in clinical management and research tools in oral anticoagulation therapy.
OBJECTIVETo analyze physical structure, working conditions of health professionals and
outline of the procedures established in prisons.METHODSWe analyzed 34 provisional detention centers and 69 male and six female
prison units in the state of Sao Paulo, Southeastern Brazil, in 2009. A
self-applied instrument was developed to collect quantitative data on the
characteristics of health care structure, equipment and personnel in
prisons. Analysis of variance (ANOVA) or equivalent non-parametric tests and
Chi-square or Fisher’s tests were used to compare categorical and continuous
variables, respectively, between the groups.RESULTSThe main problems were delays in the results of laboratory tests and imaging.
With respect to the teams, it was observed that a large majority were in
conditions close to those proposed by the Bipartite Commission 2013 but
without improvement being reflected in the indicators. With respect to the
process, more than 60.0% of prisons located in small towns do not have the
structural conditions to ensure secondary or tertiary health care for the
continuity of treatment.CONCLUSIONSThis profile of prisons in the country can be used for planning and
monitoring future actions for the continuous improvement of healthcare
processes.
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