Browsing by Author "Dois, Angelina"

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    Attributes and features of a community health model from the perspective of practitioners
    (SOC MEDICA SANTIAGO, 2017) Dois, Angelina; Bravo, Paulina; Soto, Gabriela
    Background: The Family and Community Health Model is based on three essential principles: user-centered care, comprehensive care and continuity of care. Aim: To describe the attributes and characteristics of the guiding principles of the Family and Community Health Model (FHM) from the perspective of primary care experts. Material and Methods: This was a qualitative study. An electronic Delphi was conducted with 29 national experts on primary care. Results: The experts agree that user centered care must be based on a psycho-social model integrating the multiple factors that influence health problems. It also must integrate patients' individual features, family and environmental issues. The proposed actions promote shared decision making. To promote integral care, anticipatory guidelines should be expanded and health care of patients with chronic conditions should be improved. Continuity of care should be promoted increasing working hours of medical centers and easing access to integrated electronic medical records, thereby generating efficient links between the different care levels. Conclusions: The results of the study can guide the clinical and administrative management of health teams, allowing the strengthening of primary health care according to the local realities.
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    Perception of users about an Integral Model of Family and Community Health care in Santiago, Chile
    (SOC MEDICA SANTIAGO, 2016) Dois, Angelina; Contreras, Aixa; Bravo, Paulina; Mora, Isabel; Soto, Gabriela; Solis, Claudia
    Background: The integral Model of Family and Community Health care is based on three essential principles: patient centered care, comprehensive care and continuity of care. Aim: To know the perception of primary care clinic users about the elements that should be considered in a patient centered integrated health care. Material and Methods: Ten males and 31 females aged 18 to 78 years, users of two public family primary care centers participated in focus groups, which were recorded. A qualitative descriptive research design based on content analysis according to Krippendorf was done. Results: Seven issues emerged from the description of patients' experiences: professional-patient relationship, fragmentation of care, continued care with the same professional, promotion and prevention, availability of services and patient records. Conclusions: There are difficulties to install an integral model of family and community health care. The concerns raised by participants should be considered in order to modify the design of these models.
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    Risk factors for post partum depression
    (SOC MEDICA SANTIAGO, 2012) Dois, Angelina; Uribe, Claudia; Villarroel, Luis; Contreras, Aixa
    Background: Postpartum depression (PPD) is a public health problem with high prevalence in Chile. Many factors are associated with PPD. Aim: To analyze the factors associated with the incidence of depressive symptoms (SD) in women with low obstetric risk. Material and Methods: Cross-sectional analytical study on a sample of 105 postpartum women with low obstetric risk assessed by the Edinburgh Depression Scale at the eighth week postpartum. Results: A 37% prevalence of depressive symptoms was found. Univariate analysis showed that the perception of family functioning, overcrowding and number of siblings, were significantly associated with postpartum depressive symptoms. A multiple regression model only accepted family functioning as a predictor of depression. Conclusions: Perception of family functioning was the only variable that explained in part the presence of depressive symptoms in women with low obstetric risk. (Rev Med Chile 2012; 140: 719-725).
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    What is needed to effectively communicate risk during a health crisis? A qualitative study with international experts based on the COVID-19 pandemic
    (2023) Bravo, Paulina; Martinez-Pereira, Alejandra; Fernandez-Gonzalez, Loreto; Dois, Angelina
    ObjectiveTo identify a framework for risk communication during health crises by using the current pandemic as a case study.DesignA qualitative study based on individual interviews.SettingDifferent countries with diverse levels of perceived success on risk communication during the COVID-19 health crisis.ParticipantsInternational experts with experience in health crisis management or risk communication.AnalysisA thematic analysis was performed supported by Atlas.ti.ResultsFour men and six women took part in the study (three from Europe, two from Latin America, two from North America, one from Asia and two from Oceania). Three major themes emerged from the data: (1) institutionalising the communication strategy; (2) defining the problem that needs to be faced; (3) developing an effective communication strategy.ConclusionRisk communication during a health crisis requires preparation of governments and of health teams in order to produce and deliver effective messages as well as to help communities to make informed and healthy decisions. This is particularly relevant for slow disasters, such as COVID-19, as the strategy must innovate to avoid information fatigue of the audience. The findings of this article could inform guidelines to best equip countries for a clear communication strategy for future crises.PROSPERO registration numberCRD42021234443.