ORCID Profile
0000-0001-9493-1241
Current Organisations
Hospital CIMA
,
Clínica Corachan
,
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES)
Does something not look right? The information on this page has been harvested from data sources that may not be up to date. We continue to work with information providers to improve coverage and quality. To report an issue, use the Feedback Form.
Related Links
Publications
Evaluation of interventions on road traffic injuries in Peru: a qualitative approach
Publisher: Springer Science and Business Media LLC
Date: 23-01-2012
Epidemiology of Road Traffic Incidents in Peru 1973–2008: Incidence, Mortality, and Fatality
Publisher: Public Library of Science (PLoS)
Date: 13-06-2014
Patient perspectives on the promptness and quality of care of road traffic incident victims in Peru: a cross-sectional, active surveillance study
Publisher: F1000 Research Ltd
Date: 09-08-2013
DOI: 10.12688/F1000RESEARCH.2-167.V1
Abstract: Background: Road injuries are the second-leading cause of disease and injury in the Andean region of South America. Adequate management of road traffic crash victims is important to prevent and reduce deaths and serious long-term injuries. Objective: To evaluate the promptness of health care services provided to those injured in road traffic incidents (RTIs) and the satisfaction with those services during the pre-hospital and hospital periods. Methods: We conducted a cross-sectional study with active surveillance to recruit participants in emergency departments at eight health care facilities in three Peruvian cities: a large metropolitan city (Lima) and two provincial cities (an urban center in the southern Andes and an urban center in the rainforest region), between August and September 2009. The main outcomes of interest were promptness of care, measured by time between injury and each service offered, as well as patient satisfaction measured by the Service Quality (SERVQUAL) survey. We explored the association between outcomes and city, type of health care facility (HCF), and type of provider. Results : We recruited 644 adults seeking care for RTIs. This active surveillance strategy yielded 34% more events than anticipated, suggesting under-reporting in traditional registries. Median response time between a RTI and any care at a HCF was 33 minutes overall and only 62% of participants received professional care during the initial “golden” hour after the RTI. After adjustment for various factors, there was strong evidence of higher global dissatisfaction levels among those receiving care at public HCFs compared to private ones (odds ratio (OR) 5.05, 95% confidence interval (CI) 1.88-13.54). This difference was not observed when provincial sites were compared to Lima (OR 1.41, 95% CI 0.42-4.70). Conclusions: Response time to RTIs was adequate overall, though a large proportion of RTI victims could have received more prompt care. Overall, dissatisfaction was high, mainly at public institutions indicating much need for improvements in service provision.
Cobertura real de la ley de atención de emergencia y del Seguro Obligatorio contra Accidentes de Tránsito (SOAT)
Publisher: FapUNIFESP (SciELO)
Date: 06-2010
DOI: 10.1590/S1726-46342010000200004
Abstract: The aim of this study was to ascertain, from patients' perspective, the degree of knowledge and the actual coverage of the Emergency Health Care Law and the Compulsory Insurance against Road Traffic Crashes (SOAT). A cross-sectional, active surveillance of emergency wards of selected health facilities in three Peruvian cities (Lima, Pucallpa y Ayacucho) was conducted. Out of 644 surveyed victims, 77% did not know about the law about provision of emergency health care (81% in Lima, 64% in Pucallpa y 93% in Ayacucho p<0.001). Following the explanation of what this law entails, 46% reported to have received care according to the law specifications. As for SOAT, the health care related costs of 237 persons (37.2%) were not covered by any insurance scheme (74% in Pucallpa, 34% in Ayacucho and 26% in Lima: p<0.001). In this study, the lack of knowledge about the provision of emergency health care law was important, and the coverage of care was deficient as nearly half of participants reported not to be treated by one or more of the entitlements stated in such law. Road traffic injuriesrelated health care costs were not covered by any insurance scheme in one of three victims. Improvements on citizens information about their rights and of effective law enforcement are badly needed to reach a universal and more equitable coverage in the health care of road traffic-related victims.
Recursos y capacidades de servicios de emergencia para atención de lesiones por traumas en Perú
Publisher: FapUNIFESP (SciELO)
Date: 09-2011
DOI: 10.1590/S0102-311X2011000900017
Abstract: Los objetivos de este trabajo fueron determinar la percepción de los recursos y capacidades de los servicios de emergencia en tres ciudades del Perú, utilizando las guías publicadas por la Organización Mundial de la Salud: Guidelines for Essential Trauma Care. Estudio transversal, realizado en 8 establecimientos de salud públicos y privados, en las ciudades de Lima, Ayacucho y Pucallpa. Se aplicaron cuestionarios semi-estructurados a los responsables de los servicios calificando, de acuerdo a su percepción, ersos aspectos de recursos y capacidades. Teniendo en consideración los perfiles y volúmenes de atención en el servicio de emergencia de los establecimientos de salud, la mayoría de los entrevistados, en las tres ciudades, considera que sus recursos disponibles son inadecuados. Al comparar los establecimientos de salud, se observó un déficit de los recursos en los públicos y en los de Provincia (Ayacucho y Pucallpa). Existe una lia percepción de que los recursos tanto humanos, como físicos, son inadecuados, especialmente, en los establecimientos de salud públicos y en los de provincias.
Evaluación situacional, estructura, dinámica y monitoreo de los sistemas de información en accidentes de tránsito en el Perú - 2009
Publisher: FapUNIFESP (SciELO)
Date: 06-2010
DOI: 10.1590/S1726-46342010000200018
Abstract: A baseline assessment of the structure, dynamics, and monitoring capabilities of the information systems for road traffic injuries was conducted in three Peruvian cities: Lima, Huamanga and Pucallpa. 50 in-depth interviews were performed with key stakeholders, including managers and operators of information systems. The instrument was developed taking into account international standards and recommendations for information systems. Six information systems were identified, some of which contain integrated operational systems enabling the recollection, processing, aggregation and data analysis following automated processes. These systems are considered valuable by different stakeholders because of their ability to present data in an organized manner. A low level of collaboration and exchange of information between institutions in the erse aspects of data collection, processing and usage was observed. Officially, formal collaboration agreements between institutions do exist, potentially enabling more collaborative work. An interest was expressed in establishing an integrated information system due to the need for detailed and solid/trusted information that maximizes the use of existing resources. Current information systems for road traffic injuries have limitations. The actual use and utility of the information for decision-making for prevention of road traffic injuries nationwide is limited.
Related Organisations
Centro De Investigación Biomédica En Red De Enfermedades Respiratorias (CIBERES)
Location: Spain
Related Funding Activities
No related grants have been discovered for Edmundo Rosales-Mayor.