Browsing by Author "Pantoja, Tomas"

Now showing 1 - 6 of 6
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    A cost-effectiveness evaluation of a home visit program for adolescent mothers
    (SAGE PUBLICATIONS LTD, 2009) Aracena, Marcela; Krause, Mariane; Perez, Carola; Jesus Mendez, Maria; Salvatierra, Loreto; Soto, Mauricio; Pantoja, Tomas; Navarro, Sandra; Salinas, Alejandra; Farah, Claudio; Altimir, Carolina
    A home visit intervention program for adolescents throughout their pregnancy and during the early stages of motherhood was evaluated. The participants (N = 90) were part of a larger group of adolescents treated in two health centers in a poor neighborhood in Santiago, Chile. The program was carried out by volunteer community health monitors and evaluated through an experimental, randomized, controlled clinical trial. Cost-effectiveness was examined in comparison with standard health care. Results show higher scores for the intervention group on the mothers' mental health and nutritional state, as well as on the children's levels of linguistic development.
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    Alma-Ata: Rebirth and revision 2 - Supporting the delivery of cost-effective interventions in primary health-care systems in low-income and middle-income countries: an overview of systematic reviews
    (ELSEVIER SCIENCE INC, 2008) Lewin, Simon; Lavis, John N.; Oxman, Andrew D.; Bastias, Gabriel; Chopra, Mickey; Ciapponi, Agustin; Flottorp, Signe; Garcia Marti, Sebastian; Pantoja, Tomas; Rada, Gabriel; Souza, Nathan; Treweek, Shaun; Wiysonge, Charles S.; Haines, Andy
    Strengthening health systems is a key challenge to improving the delivery of cost-effective interventions in primary health care and achieving the vision of the Alma-Ata Declaration. Effective governance, financial and delivery arrangements within health systems, and effective implementation strategies are needed urgently in low-income and middle-income countries. This overview summarises the evidence from systematic reviews of health systems arrangements and implementation strategies, with a particular focus on evidence relevant to primary health care in such settings. Although evidence is sparse, there are several promising health systems arrangements and implementation strategies for strengthening primary health care. However, their introduction must be accompanied by rigorous evaluations. The evidence base needs urgently to be strengthened, synthesised, and taken into account in policy and practice, particularly for the benefit of those who have been excluded from the health care advances of recent decades.
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    Clinical practice guidelines in the Chilean health sector reform: a critical assessment of their quality
    (SOC MEDICA SANTIAGO, 2012) Pantoja, Tomas; Valenzuela, Lorena; Leniz, Javiera; Castanon, Carla
    Background: Clinical practice guidelines are widely used as tools for improving quality of health care. However, there is increasing concern about limitations in their development process conducting to inconsistent recommendations. During the last decade the use of guidelines has been promoted in the Chilean health system, but their quality has not yet been evaluated systematically. Aim: To assess the quality of clinical practice guidelines developed by the Chilean guidelines program. Material and Methods: All the guidelines developed by the Chilean program between 2005 and 2009 were retrieved from the Ministry of Health website. Each guideline was assessed independently by three appraisers using the Appraisal of Guidelines, Research and Evaluation (AGREE) instrument. Standardized scores were obtained for each dimension in each guideline and across the whole set of guidelines. Results: Sixty guidelines were assessed. The 'scope and purpose' dimension scored significantly higher (mean 82.2%, range: 25.9%-100%) and the 'applicability' dimension scored significantly lower (mean 23.3%, range: 0%-72.4%) than any other dimension. 'Publication date' was the only variable consistently associated with dimension scores. Conclusions: The quality of Chilean clinical practice guidelines is far from ideal. Although they seem to have a strong sense of purpose and vision, methodological procedures should be strengthened, especially those related to applicability. (Rev Med Chile 2012; 140: 1391-1400).
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    GLOBAL HEALTH Health care reform in Chile
    (CMA-CANADIAN MEDICAL ASSOC, 2008) Bastias, Gabriel; Pantoja, Tomas; Leisewitz, Thomas; Zarate, Victor
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    Patients' perspective in Chilean primary care: a questionnaire validation study
    (OXFORD UNIV PRESS, 2009) Pantoja, Tomas; Beltran, Marcela; Moreno, Gladys
    The aim of this study was to adapt and validate an instrument for assessing quality of care from the patients' perspective in the context of Chilean primary care.
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    The Latin American ongoing clinical trial register (LATINREC)
    (PAN AMER HEALTH ORGANIZATION, 2006) Reveiz, Ludovic; Delgado, Martha B.; Urrutia, Gerard; Ortiz, Zuma; Dieguez, Marcelo Garcia; Marti Carvajal, Arturo; Calgua, Erwin; Weyra, Armando; Ciapponi, Agustin; Hidalgo, Ricardo; Pantoja, Tomas; Sanchez, Luis Maria; Pecino, Flora Martinez; Tristanl, Mario