Estudio para estimar los costos económicos en la atención de la neumonía nosocomial al compararlo con el grupo sin neumonía nosocomial en Hospital II Huánuco EsSalud, del 2009 al 2011. Los materiales y métodos utilizados fueron: evaluación económica parcial, diseño de casos y controles pareado; se empleó una ficha de recolección. Variable dependiente: neumonía nosocomial. Variables independientes: costos directos sanitarios, costos directos no sanitarios, costos indirectos, ocupación, comorbilidad, procedencia y grado de instrucción. Se realizó análisis bivariado.

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La satisfacción del paciente es uno de los aspectos que en términos de evaluación de los servicios de salud y calidad de atención, ha venido cobrando mayor atención en salud pública, siendo considerada desde hace poco más de una década uno de los ejes de evaluación de servicios de salud. Si bien es cierto existe un intenso debate en cuanto a su concepción y metodologías de medición, también es consenso la relevancia de la visión de los usuarios sobre los servicios como un elemento clave en la mejoría de la organización y provisión de los servicios de salud. Los usuarios pueden evaluar la calidad del servicio recibido, expresando su satisfacción o insatisfacción en aspectos específicos, o en todo el servicio. Pero además de ser un criterio válido sobre la atención recibida, la satisfacción de los usuarios permite obtener su cooperación y contribución para el bien...

The objective was to determine the relationship between the waiting time for an appointment, the length of hospital stay, the orientation by non-medical staff and the explanation of the medical staff with the users' successful level in the outpatient clinic in the Hospital II Huánuco ESSALUD welfare network, 2017. The materials and study research method of cases and controls, the cases were with the highest successful level and the Controls with low level. For the calculation of the sample size of employment a proportion in exposed 0.80 and proportion in not exposed 0.60, error type I (0.05) and error type II (0.20). Convenience sampling. The successful level was evaluated with SERVQUAL. A data collection form was used, with trained personnel, who do not belong to the institution. It was approved by the research and ethics committees of Hospital II. Descriptive statistical analysis (pro...

Objective. To determine the preconceptional, pregnancy, delivery and product risk factors related to perinatal mortality in the Hermilio Valdizan Hospital of Huanuco during 2007-2008 period. Materials and methods. A case series; retrospective and analytical design. The target population was all born in the hospital, registered in the clinical history, Perinatal Information System and CLAP. The perinatal mortality was response variable. The exposure variables were divided into preconceptional, pregnancy, delivery and product factors. Exclusion criteria were incomplete information in clinical history, Perinatal Computer System or CLAP. Bivariate analysis was performed with chi2, Fisher and Mann-Whitney U-test. Multivariate analysis was by multiple logistic regressions. Results. The perinatal mortality rate was 16,5 [IC95 % (12,3; 21,7)] per 1 000 live births (LB). Educational attainment (i...

Objective. To determine the preconceptional, pregnancy, delivery and product risk factors related to perinatal mortality in the Hermilio Valdizan Hospital of Huanuco during 2007-2008 period. Materials and methods. A case series; retrospective and analytical design. The target population was all born in the hospital, registered in the clinical history, Perinatal Information System and CLAP. The perinatal mortality was response variable. The exposure variables were divided into preconceptional, pregnancy, delivery and product factors. Exclusion criteria were incomplete information in clinical history, Perinatal Computer System or CLAP. Bivariate analysis was performed with chi2, Fisher and Mann-Whitney U-test. Multivariate analysis was by multiple logistic regressions. Results. The perinatal mortality rate was 16,5 [IC95 % (12,3; 21,7)] per 1 000 live births (LB). Educational attainment (i...

The objective was to determine the relationship between the waiting time for an appointment, the length of hospital stay, the orientation by non-medical staff and the explanation of the medical staff with the users' successful level in the outpatient clinic in the Hospital II Huánuco ESSALUD welfare network, 2017. The materials and study research method of cases and controls, the cases were with the highest successful level and the Controls with low level. For the calculation of the sample size of employment a proportion in exposed 0.80 and proportion in not exposed 0.60, error type I (0.05) and error type II (0.20). Convenience sampling. The successful level was evaluated with SERVQUAL. A data collection form was used, with trained personnel, who do not belong to the institution. It was approved by the research and ethics committees of Hospital II. Descriptive statistical analysis (pro...

Introduction: The present research work allowed knowing whether the performance of subjects in the pre university center Valdizano CEPREVAL is related to the performance of various subjects of the first year of university studies of the Academic Professional School of Human Medicine, in the National University Hermilio Valdizán of Huánuco. Methods: For whose purpose was considered the subjects of Mathematical aptitude, Verbal Ability, Chemistry, Biology and Anatomy of CEPREVAL as variables of the independent vector, and the subjects of Mathematics and Logical; Language and Communication, Medical Chemistry, Human Anatomy and Cell and Molecular Biology, of the first year of studies, of Academic Professional School - human medicine; as, variables of the dependent vector. These variables were analyzed in a sample of 35 medical students who entered in 2005 and 2006 by the modality of CEPREV...

Introduction: The present research work allowed knowing whether the performance of subjects in the pre university center Valdizano CEPREVAL is related to the performance of various subjects of the first year of university studies of the Academic Professional School of Human Medicine, in the National University Hermilio Valdizán of Huánuco. Methods: For whose purpose was considered the subjects of Mathematical aptitude, Verbal Ability, Chemistry, Biology and Anatomy of CEPREVAL as variables of the independent vector, and the subjects of Mathematics and Logical; Language and Communication, Medical Chemistry, Human Anatomy and Cell and Molecular Biology, of the first year of studies, of Academic Professional School - human medicine; as, variables of the dependent vector. These variables were analyzed in a sample of 35 medical students who entered in 2005 and 2006 by the modality of CEPREV...

Objetivo: Evaluar la calidad de vida relacionada a la salud (CVRS), describir susdimensiones y su probable asociación con la hemoglobina, albumina sérica yadherencia al tratamiento, en pacientes en hemodiálisis crónica de la RedAsistencial de Huánuco – EsSalud. Métodos: Estudio observacional descriptivo,prospectivo, serie de casos. Se evaluó la CVRS en 39 pacientes en hemodiálisiscrónica utilizando el cuestionario KDQOL-SF. Se recogieron datossociodemográficos, clínicos y de laboratorio. Se evaluó la adherencia altratamiento. Se exploraron asociaciones bivariadas. Resultados: La media de edadfue 51.44±17.81 años. El 59% no fue adherente. En el análisis CVRS, el puntajetotal fue 54.14±12.14; las dimensiones con las puntuaciones más altas fueronsíntomas/problemas (78.47±6.91) y actitud del personal de hemodiálisis(75.64±5.44) salud mental (71.79±8.75) y con las punt...

Objetivo: Determinar la relación de la prevalencia de enteroparásitos zoonóticos en perros y el nivel de cultura ambiental orientado a mascotas en el Centro Poblado La Esperanza, Huánuco. Materiales y Métodos: Se realizó un estudio transversal-correlacional en diciembre del 2014, en 104 perros con dueño, de ambos sexos, diferentes edades y razas seleccionados por un muestreo bietápico. Se evaluaron dos muestras de heces por animal mediante el Método de Graban y de concentración (Método de flotación de Sheather y Método de Sedimentación simple en copas). Se definió como caso a los animales que resultaron positivos a helmintos al examen coproparasitológico. Resultados: La Prevalencia total por uno o más helmintos fue de 92,3%, el parásito hallado con mayor frecuencia fue Ancylostoma caninum 72,1%, seguido de Toxocara canis 54,8%, Taenia sp. 20,2%, Toxascaris leonina 19,2%...

Objetivo: Evaluar la calidad de vida relacionada a la salud (CVRS), describir susdimensiones y su probable asociación con la hemoglobina, albumina sérica yadherencia al tratamiento, en pacientes en hemodiálisis crónica de la RedAsistencial de Huánuco – EsSalud. Métodos: Estudio observacional descriptivo,prospectivo, serie de casos. Se evaluó la CVRS en 39 pacientes en hemodiálisiscrónica utilizando el cuestionario KDQOL-SF. Se recogieron datossociodemográficos, clínicos y de laboratorio. Se evaluó la adherencia altratamiento. Se exploraron asociaciones bivariadas. Resultados: La media de edadfue 51.44±17.81 años. El 59% no fue adherente. En el análisis CVRS, el puntajetotal fue 54.14±12.14; las dimensiones con las puntuaciones más altas fueronsíntomas/problemas (78.47±6.91) y actitud del personal de hemodiálisis(75.64±5.44) salud mental (71.79±8.75) y con las punt...

Objetivo: Determinar la relación de la prevalencia de enteroparásitos zoonóticos en perros y el nivel de cultura ambiental orientado a mascotas en el Centro Poblado La Esperanza, Huánuco. Materiales y Métodos: Se realizó un estudio transversal-correlacional en diciembre del 2014, en 104 perros con dueño, de ambos sexos, diferentes edades y razas seleccionados por un muestreo bietápico. Se evaluaron dos muestras de heces por animal mediante el Método de Graban y de concentración (Método de flotación de Sheather y Método de Sedimentación simple en copas). Se definió como caso a los animales que resultaron positivos a helmintos al examen coproparasitológico. Resultados: La Prevalencia total por uno o más helmintos fue de 92,3%, el parásito hallado con mayor frecuencia fue Ancylostoma caninum 72,1%, seguido de Toxocara canis 54,8%, Taenia sp. 20,2%, Toxascaris leonina 19,2%...

Introduction: The objective of the present study was to determine the relationship of the factors related to burnout syndrome in health staff Hermilio Valdizán Regional Hospital in the period 2014. Methods: The study analyzed from patients treated from January to December 2010, it was developed an observational, analytical, transversal, retrospective case – control study, of 130 patients: 65 cases and 65 controls which were chosen at randomized from the record of the department of Gynecology, cases were those pregnant patients with diagnosis with urinary tract infection and controls were those pregnant patients who assisted during this period for various reasons without a diagnosis of urinary tract infection; information gathering was to review the medical records taken as a reference sheet prenatal care, the base characteristics of the groups were compared using chi-square test. It w...

Introduction: The objective of the present study was to determine the relationship of the factors related to burnout syndrome in health staff Hermilio Valdizán Regional Hospital in the period 2014. Methods: The study analyzed from patients treated from January to December 2010, it was developed an observational, analytical, transversal, retrospective case – control study, of 130 patients: 65 cases and 65 controls which were chosen at randomized from the record of the department of Gynecology, cases were those pregnant patients with diagnosis with urinary tract infection and controls were those pregnant patients who assisted during this period for various reasons without a diagnosis of urinary tract infection; information gathering was to review the medical records taken as a reference sheet prenatal care, the base characteristics of the groups were compared using chi-square test. It w...

Objetivo: determinar la asociación entre el control prenatal, la cesárea y laprematuridad con la mortalidad perinatal e identificar algunas característicasmaternas y del recién nacido. Material y métodos: estudio analítico, retrospectivo,de casos y controles. El muestreo fue aleatorio simple. Fueron analizadas lashistorias clínicas de 171 pacientes (57 casos y 114 controles), que fueronatendidos en el Hospital Regional “Hermilio Valdizán” de Huánuco, Enero -Diciembre 2010. La prueba de Ji cuadrado fue empleada para el análisis, el Oddsratio fue calculado, con un intervalo de confianza del 95% y con un nivel designificancia < 0,05. Resultados: los factores asociados fueron la edad gestacional(< 37 y > 40 semanas) [p<0,05; OR=29,90 (IC 95% 5,70–25,91)], el número decontroles prenatales (< 5) [p<0,05; OR=7,12 (IC 95% 3,51–14,44)], elanalfabetismo/instruc...

Objective: Assessing the health related quality of life (HRQOL), describe its dimensions and explore their probable association with hemoglobin, serum albumin and adherence to treatment in patients in chronic hemodialysis in the Huánuco Healthcare Network - EsSalud. Methods: An observational, descriptive, prospective study, case series. It was assessed the HRQOL in 39 patients with chronic hemodialysis using the KDQOL-SF questionnaire. Data were collected sociodemographic, clinical and laboratory. It was assessed adherence to treatment. Bivariate associations were explored. Results: The average age was 51.44±17.81 years old. 59% were not-adherent. In the HRQOL analysis, the total score was 54.14±12.14; the dimensions with the highest scores were symptoms/problems (78.47±6.91) and the attitude of the staff of hemodialysis (75.64±5.44) mental health (71.79 ± 8.75) and with the lowest...

Objective: Assessing the health related quality of life (HRQOL), describe its dimensions and explore their probable association with hemoglobin, serum albumin and adherence to treatment in patients in chronic hemodialysis in the Huánuco Healthcare Network - EsSalud. Methods: An observational, descriptive, prospective study, case series. It was assessed the HRQOL in 39 patients with chronic hemodialysis using the KDQOL-SF questionnaire. Data were collected sociodemographic, clinical and laboratory. It was assessed adherence to treatment. Bivariate associations were explored. Results: The average age was 51.44±17.81 years old. 59% were not-adherent. In the HRQOL analysis, the total score was 54.14±12.14; the dimensions with the highest scores were symptoms/problems (78.47±6.91) and the attitude of the staff of hemodialysis (75.64±5.44) mental health (71.79 ± 8.75) and with the lowest...

Objetivo: determinar la asociación entre el control prenatal, la cesárea y laprematuridad con la mortalidad perinatal e identificar algunas característicasmaternas y del recién nacido. Material y métodos: estudio analítico, retrospectivo,de casos y controles. El muestreo fue aleatorio simple. Fueron analizadas lashistorias clínicas de 171 pacientes (57 casos y 114 controles), que fueronatendidos en el Hospital Regional “Hermilio Valdizán” de Huánuco, Enero -Diciembre 2010. La prueba de Ji cuadrado fue empleada para el análisis, el Oddsratio fue calculado, con un intervalo de confianza del 95% y con un nivel designificancia < 0,05. Resultados: los factores asociados fueron la edad gestacional(< 37 y > 40 semanas) [p<0,05; OR=29,90 (IC 95% 5,70–25,91)], el número decontroles prenatales (< 5) [p<0,05; OR=7,12 (IC 95% 3,51–14,44)], elanalfabetismo/instruc...

Introduction: The objective of the present study was to identify food habits and psychological conditions which act as associated factors to Irritable Bowel Syndrome in the outpatient service of gastroenterology at the Huánuco base hospital ESSALUD-2009. Methods: We performed an observational, analytical, longitudinal and retrospective case-control study, matched by age and gender. Cases were people diagnosed of IBS according to the Rome III criteria in 2009. We worked with a sample size of 210 outpatients:105 cases and 105 controls (type1error = 0,05, potency = 0.8, exposed cases probability = 43,5%, exposed controls probability = 25%).Convenience Sampling. Variables studied as risk factors for IBS were food habits and anxiety/depression, measured by a dietary questionnaire adapted and evaluated by expert opinion and HADS score respectively. Results: The average age of patients was 51,...