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Emotional Distress in Portuguese Cancer Patients: The Use of the Emotion Thermo...
Silva, Sónia; Paredes, Tiago; Teixeira, Ricardo João; Brandão, Tânia; Dimitrovová, Klára; Marques, Diogo; Sousa, Joana; Leal, Monick; Dias, AlbinaCancer patients may experience significant distress. The "Emotion Thermometers" (ETs) are a short visual analogue scale used to screen patients for psychosocial risk. This study aimed to assess emotional distress in a large sample of cancer patients attending psychological services at an non-governmental organization (NGO), and to explore factors that may contribute to it. The ETs were answered by 899 cancer pa...
Efficiency and equity dimensions of Primary Care: the consequences of a changin...
Dimitrovová, KláraABSTRACT - Background: Primary care is one of the key features for a sustainable, effective, and comprehensive health system, but its contribution depends on its strength. This dissertation evaluates (i) changes and inequalities in access to primary care in Europe and Portugal, and, (ii) how an important reform of the Portuguese model for providing primary care affected the use of inpatient and emergency care. ...
"Evolution and financial cost of socioeconomic inequalities in ambulatory care ...
Dimitrovová, Klára; Costa, Cláudia; Santana, Paula; Perelman, JulianBackground: Hospitalizations for Ambulatory Care Sensitive Conditions (ACSC) are specific conditions for which hospitalization is thought to be avoidable through patient education, health promotion initiatives, early diagnosis and by appropriate chronic disease management, and have been shown to be greatly influenced by socioeconomic (SE) characteristics. We examined the SE inequalities in hospitalization rates...
Análise comparativa de sistemas de classificação de doentes de reabilitação
Dimitrovová, KláraRESUMO - Caracterização do problema: A inadequação e ineficácia do sistema de financiamento ―por diária‖ dos cuidados de reabilitação resultaram na necessidade de criação de sistemas de classificação de doentes de reabilitação em regime de internamento, em muitos países. Também em Portugal é necessário implementar um sistema de financiamento, baseado num sistema de classificação de doentes, ajustado pela comple...