{"id":{"repo_id":"rosario","oai_identifier":"oai:repository.urosario.edu.co:10336/44055"},"canonical_url":"https://search.dev.ndltd.org/etd/rosario/oai:repository.urosario.edu.co:10336/44055","repository":{"repo_id":"rosario","name":"Universidad del Rosario","base_url":"https://repository.urosario.edu.co/oai/request"},"display":{"title":"Atención domiciliaria de pacientes con requerimientos de soporte ventilatorio","abstract":"Sanitas EPS en la ciudad de Montería Córdoba tenía dificultades con la atención de uno de sus afiliados, un paciente crónico con diagnóstico de Parálisis diafragmática - miopatía de origen genético - taquicardia supraventricular - HTA - portador de traqueostomía; que había pasado largo tiempo hospitalizado en Unidades de Cuidados Intensivos en las ciudades de Medellín y Montería, con todos los costos y las dificultades de atención que dicha situación implicaba para el paciente y para su familia. SOLUCIONES EN SALUD IPS decide asumir el reto de esta atención, para esto realiza la planeación y el alistamiento necesario para prestar un servicio con estas características en el domicilio del paciente, lo cual es un reto clínico y administrativo, dada la complejidad de su estado de salud y los procesos de infraestructura domiciliaria; a pesar de la dificultad del caso se ha alcanzado un proceso de atención efectivo, con mejoría clínica del estado físico y mental del paciente, disminuyendo al mínimo las quejas y reclamaciones de la familia, humanizando la prestación del servicio y reduciendo los costos de atención elevados con los que venía Sanitas EPS por este particular.","abstract_html":"Sanitas EPS en la ciudad de Montería Córdoba tenía dificultades con la atención de uno de sus afiliados, un paciente crónico con diagnóstico de Parálisis diafragmática - miopatía de origen genético - taquicardia supraventricular - HTA - portador de traqueostomía; que había pasado largo tiempo hospitalizado en Unidades de Cuidados Intensivos en las ciudades de Medellín y Montería, con todos los costos y las dificultades de atención que dicha situación implicaba para el paciente y para su familia. SOLUCIONES EN SALUD IPS decide asumir el reto de esta atención, para esto realiza la planeación y el alistamiento necesario para prestar un servicio con estas características en el domicilio del paciente, lo cual es un reto clínico y administrativo, dada la complejidad de su estado de salud y los procesos de infraestructura domiciliaria; a pesar de la dificultad del caso se ha alcanzado un proceso de atención efectivo, con mejoría clínica del estado físico y mental del paciente, disminuyendo al mínimo las quejas y reclamaciones de la familia, humanizando la prestación del servicio y reduciendo los costos de atención elevados con los que venía Sanitas EPS por este particular.","abstract_has_math":false,"creators":["Sejín Vasquez, Carlos Enrique"],"institution":"Universidad del Rosario","degree_name":null,"degree_level":null,"degree_discipline":null,"degree_department":null,"school":null,"contributors":[],"advisors":[],"committee_chairs":[],"committee_members":[],"year":2024,"date_issued":"2024-09-02","date_published":"2024-09-02","updated_at":"2026-07-27T20:46:31Z","subjects":["Atención domiciliaria","Ventilación mecánica","Equipo multidisciplinario de salud","Planeación de la atención","Facturación en salud","Home Care","Mechanical ventilation","Multidisciplinary Health Team","Care Planning","Healthcare Billing"],"languages":["spa"],"rights":["info:eu-repo/semantics/openAccess"],"rights_urls":["http://creativecommons.org/licenses/by-nc-sa/4.0/"],"identifier_entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.4877910336_44055","https://repository.urosario.edu.co/handle/10336/44055"],"render_values":[{"text":"https://doi.org/10.4877910336_44055","href":"https://doi.org/10.4877910336_44055","code":true},{"text":"https://repository.urosario.edu.co/handle/10336/44055","href":"https://repository.urosario.edu.co/handle/10336/44055","code":true}]}]},"links":{"outbound_url":"https://doi.org/10.48713/10336_44055","outbound_label":"DOI","outbound_source":"dc:identifier"},"metadata_groups":[{"id":"people","label":"People","entries":[{"key":"dc:creator","label":"Author","values":["Sejín Vasquez, Carlos Enrique"]}]},{"id":"academic_context","label":"Academic Context","entries":[{"key":"dc:date","label":"Dc Date","values":["2024-09-02","2024-10-31T21:08:16Z"]},{"key":"dc:publisher","label":"Institution","values":["Universidad del Rosario","Escuela de Administración","Maestría en Administración en Salud"]},{"key":"dc:type","label":"Dc Type","values":["info:eu-repo/semantics/bachelorThesis","info:eu-repo/semantics/acceptedVersion"]}]},{"id":"subjects_keywords","label":"Subjects and Keywords","entries":[{"key":"dc:subject","label":"Dc Subject","values":["Atención domiciliaria","Ventilación mecánica","Equipo multidisciplinario de salud","Planeación de la atención","Facturación en salud","Home Care","Mechanical ventilation","Multidisciplinary Health Team","Care Planning","Healthcare Billing"]}]},{"id":"language_rights","label":"Language and Rights","entries":[{"key":"dc:language","label":"Dc Language","values":["spa"]},{"key":"dc:rights","label":"Dc Rights","values":["info:eu-repo/semantics/openAccess","http://creativecommons.org/licenses/by-nc-sa/4.0/"]}]},{"id":"identifiers","label":"Identifiers","entries":[{"key":"dc:identifier","label":"Identifier","values":["https://doi.org/10.48713/10336_44055","https://doi.org/10.4877910336_44055","https://repository.urosario.edu.co/handle/10336/44055"]}]},{"id":"additional","label":"Additional Metadata","entries":[{"key":"dc:description","label":"Description","values":["Sanitas EPS en la ciudad de Montería Córdoba tenía dificultades con la atención de uno de sus afiliados, un paciente crónico con diagnóstico de Parálisis diafragmática - miopatía de origen genético - taquicardia supraventricular - HTA - portador de traqueostomía; que había pasado largo tiempo hospitalizado en Unidades de Cuidados Intensivos en las ciudades de Medellín y Montería, con todos los costos y las dificultades de atención que dicha situación implicaba para el paciente y para su familia. SOLUCIONES EN SALUD IPS decide asumir el reto de esta atención, para esto realiza la planeación y el alistamiento necesario para prestar un servicio con estas características en el domicilio del paciente, lo cual es un reto clínico y administrativo, dada la complejidad de su estado de salud y los procesos de infraestructura domiciliaria; a pesar de la dificultad del caso se ha alcanzado un proceso de atención efectivo, con mejoría clínica del estado físico y mental del paciente, disminuyendo al mínimo las quejas y reclamaciones de la familia, humanizando la prestación del servicio y reduciendo los costos de atención elevados con los que venía Sanitas EPS por este particular.","Sanitas EPS in the city of Monteria, Córdoba, had difficulties with the care of one of its members, a chronic patient diagnosed with diaphragmatic paralysis - myopathy of genetic origin - supraventricular tachycardia - hypertension - tracheostomy carrier; that he had spent a long time hospitalized in Intensive Care Units in the cities of Medellín and Monteria, with all the costs and difficulties of care that this situation implied for the patient and his family. SOLUCIONES EN SALUD IPS decides to take on the challenge of this care, for this it carries out the planning and preparation necessary to provide a service with these characteristics in the patient's home, which is a clinical and administrative challenge, given the complexity of their health status and the processes of home infrastructure; Despite the difficulty of the case, an effective care process has been achieved, with clinical improvement of the physical and mental state of the patient, reducing to a minimum the complaints and claims of the family, humanizing the provision of the service and reducing the high costs of care with which Sanitas EPS came for this particular."]},{"key":"dc:format","label":"Dc Format","values":["67 pp","application/pdf"]},{"key":"dc:source","label":"Dc Source","values":["Adams, R. H., & Carter, M. E. (2019). Social Determinants of Health and Chronic Disease. Cambridge, UK: Cambridge University Press. https://doi.org/10.1017/9781108564567","Baker, O. D., & Evans, Q. L. (2020). Remote Monitoring Technologies for Chronic Disease Management. Cambridge, MA: MIT Press. https://doi.org/10.7554/eLife.00666.001","Brown, L. M., & Davis, C. R. (Eds.). (2020). Chronic Care Management: A Practical Guide. Chicago, IL: American Medical Association. https://doi.org/10.1001/jama.2020.0582","Garcia, R. C., & White, S. P. (Eds.). (2017). Home-Based Care for Chronically Ill Patients. Washington, DC: American Public Health Association. https://doi.org/10.2105/AJPH.2017.303936","Harris, T. E., & Wilson, K. L. (2020). Integrated Care Models for Chronic Disease Management. Oxford, UK: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780190686371.001.0001","Jackson, D. W., & Peterson, R. E. (2020). Behavioral Interventions for Chronic Disease Management. St. Louis, MO: Mosby. https://doi.org/10.1016/j.biopsych.2019.02.031","Jones, R. S., & Martinez, E. M. (2018). Telemedicine in Chronic Disease Management. San Francisco, CA: Jossey-Bass. https://doi.org/10.1002/9781119179399.ch13","King, J. A., & Scott, S. D. (2019). Health Coaching for Chronic Disease Management. Boca Raton, FL: CRC Press. https://doi.org/10.1201/9780429279147","Lee, H. S., & Kim, J. W. (2019). Patient Education in Chronic Disease Management. Seoul, South Korea: Seoul National University Press. https://doi.org/10.1016/j.jvs.2019.11.010","Lopez, G. M., & Nguyen, T. H. (2018). Cultural Competence in Chronic Disease Management. Thousand Oaks, CA: Sage Publications. https://doi.org/10.4135/9781483377541","Miller, P. Q., & Thompson, L. S. (2021). Innovations in Home Healthcare: Strategies for Chronic Disease Management. Boston, MA: Harvard Health Publishing. https://doi.org/10.1007/s00702-020-02212-2","Patel, A. B., & Lee, J. R. (2018). Mobile Health Applications for Chronic Disease Management. Amsterdam, Netherlands: Elsevier. https://doi.org/10.1016/B978-0-12-803468-5.00160-5","Roberts, C. H., & Miller, K. M. (Eds.). (2018). Health Information Technology in Chronic Disease Management. New York, NY: McGraw-Hill. https://doi.org/10.1037/e571872010-001","Robinson, L. C., & Murphy, D. P. (2017). Community Health Workers in Chronic Disease Management. Hoboken, NJ: Wiley-Blackwell. https://doi.org/10.1002/9781119058809.ch10","Sanchez, P. L., & Patel, R. B. (2017). Care Coordination in Chronic Disease Management. Charlotte, NC: Information Age Publishing. https://doi.org/10.4324/9781315164027","Turner, S. L., & Bennett, G. K. (Eds.). (2021). Palliative Care for Chronic Patients. Philadelphia, PA: Lippincott Williams & Wilkins. https://doi.org/10.1002/acr.24088","Williams, M. A., & Clark, D. P. (2019). The Role of Nursing in Chronic Disease Management. London, UK: Royal College of Nursing Publishing. https://doi.org/10.1093/ptj/pzz048","World Health Organization. (2021). Home care across Europe: Current structure and future challenges. Retrieved from https://www.euro.who.int/en/publications/abstracts/home-care-across-europe-current-structure-and-future-challenges-2021.","Young, R. S., & Anderson, M. E. (2021). Self-Management Strategies for Chronic Disease. Seattle, WA: University of Washington Press. https://doi.org/10.1017/S0047279413000169","instname:Universidad del Rosario","reponame:Repositorio Institucional EdocUR"]},{"key":"dc:title","label":"Title","values":["Atención domiciliaria de pacientes con requerimientos de soporte ventilatorio","Home care of patients with ventilatory support requirements"]}]}],"canonical_facts":{"dc:creator":["Sejín Vasquez, Carlos Enrique"],"dc:date":["2024-09-02","2024-10-31T21:08:16Z"],"dc:description":["Sanitas EPS en la ciudad de Montería Córdoba tenía dificultades con la atención de uno de sus afiliados, un paciente crónico con diagnóstico de Parálisis diafragmática - miopatía de origen genético - taquicardia supraventricular - HTA - portador de traqueostomía; que había pasado largo tiempo hospitalizado en Unidades de Cuidados Intensivos en las ciudades de Medellín y Montería, con todos los costos y las dificultades de atención que dicha situación implicaba para el paciente y para su familia. SOLUCIONES EN SALUD IPS decide asumir el reto de esta atención, para esto realiza la planeación y el alistamiento necesario para prestar un servicio con estas características en el domicilio del paciente, lo cual es un reto clínico y administrativo, dada la complejidad de su estado de salud y los procesos de infraestructura domiciliaria; a pesar de la dificultad del caso se ha alcanzado un proceso de atención efectivo, con mejoría clínica del estado físico y mental del paciente, disminuyendo al mínimo las quejas y reclamaciones de la familia, humanizando la prestación del servicio y reduciendo los costos de atención elevados con los que venía Sanitas EPS por este particular.","Sanitas EPS in the city of Monteria, Córdoba, had difficulties with the care of one of its members, a chronic patient diagnosed with diaphragmatic paralysis - myopathy of genetic origin - supraventricular tachycardia - hypertension - tracheostomy carrier; that he had spent a long time hospitalized in Intensive Care Units in the cities of Medellín and Monteria, with all the costs and difficulties of care that this situation implied for the patient and his family. SOLUCIONES EN SALUD IPS decides to take on the challenge of this care, for this it carries out the planning and preparation necessary to provide a service with these characteristics in the patient's home, which is a clinical and administrative challenge, given the complexity of their health status and the processes of home infrastructure; Despite the difficulty of the case, an effective care process has been achieved, with clinical improvement of the physical and mental state of the patient, reducing to a minimum the complaints and claims of the family, humanizing the provision of the service and reducing the high costs of care with which Sanitas EPS came for this particular."],"dc:format":["67 pp","application/pdf"],"dc:identifier":["https://doi.org/10.48713/10336_44055","https://doi.org/10.4877910336_44055","https://repository.urosario.edu.co/handle/10336/44055"],"dc:language":["spa"],"dc:publisher":["Universidad del Rosario","Escuela de Administración","Maestría en Administración en Salud"],"dc:rights":["info:eu-repo/semantics/openAccess","http://creativecommons.org/licenses/by-nc-sa/4.0/"],"dc:source":["Adams, R. H., & Carter, M. E. (2019). Social Determinants of Health and Chronic Disease. Cambridge, UK: Cambridge University Press. https://doi.org/10.1017/9781108564567","Baker, O. D., & Evans, Q. L. (2020). Remote Monitoring Technologies for Chronic Disease Management. Cambridge, MA: MIT Press. https://doi.org/10.7554/eLife.00666.001","Brown, L. M., & Davis, C. R. (Eds.). (2020). Chronic Care Management: A Practical Guide. Chicago, IL: American Medical Association. https://doi.org/10.1001/jama.2020.0582","Garcia, R. C., & White, S. P. (Eds.). (2017). Home-Based Care for Chronically Ill Patients. Washington, DC: American Public Health Association. https://doi.org/10.2105/AJPH.2017.303936","Harris, T. E., & Wilson, K. L. (2020). Integrated Care Models for Chronic Disease Management. Oxford, UK: Oxford University Press. https://doi.org/10.1093/acprof:oso/9780190686371.001.0001","Jackson, D. W., & Peterson, R. E. (2020). Behavioral Interventions for Chronic Disease Management. St. Louis, MO: Mosby. https://doi.org/10.1016/j.biopsych.2019.02.031","Jones, R. S., & Martinez, E. M. (2018). Telemedicine in Chronic Disease Management. San Francisco, CA: Jossey-Bass. https://doi.org/10.1002/9781119179399.ch13","King, J. A., & Scott, S. D. (2019). Health Coaching for Chronic Disease Management. Boca Raton, FL: CRC Press. https://doi.org/10.1201/9780429279147","Lee, H. S., & Kim, J. W. (2019). Patient Education in Chronic Disease Management. Seoul, South Korea: Seoul National University Press. https://doi.org/10.1016/j.jvs.2019.11.010","Lopez, G. M., & Nguyen, T. H. (2018). Cultural Competence in Chronic Disease Management. Thousand Oaks, CA: Sage Publications. https://doi.org/10.4135/9781483377541","Miller, P. Q., & Thompson, L. S. (2021). Innovations in Home Healthcare: Strategies for Chronic Disease Management. Boston, MA: Harvard Health Publishing. https://doi.org/10.1007/s00702-020-02212-2","Patel, A. B., & Lee, J. R. (2018). Mobile Health Applications for Chronic Disease Management. Amsterdam, Netherlands: Elsevier. https://doi.org/10.1016/B978-0-12-803468-5.00160-5","Roberts, C. H., & Miller, K. M. (Eds.). (2018). Health Information Technology in Chronic Disease Management. New York, NY: McGraw-Hill. https://doi.org/10.1037/e571872010-001","Robinson, L. C., & Murphy, D. P. (2017). Community Health Workers in Chronic Disease Management. Hoboken, NJ: Wiley-Blackwell. https://doi.org/10.1002/9781119058809.ch10","Sanchez, P. L., & Patel, R. B. (2017). Care Coordination in Chronic Disease Management. Charlotte, NC: Information Age Publishing. https://doi.org/10.4324/9781315164027","Turner, S. L., & Bennett, G. K. (Eds.). (2021). Palliative Care for Chronic Patients. Philadelphia, PA: Lippincott Williams & Wilkins. https://doi.org/10.1002/acr.24088","Williams, M. A., & Clark, D. P. (2019). The Role of Nursing in Chronic Disease Management. London, UK: Royal College of Nursing Publishing. https://doi.org/10.1093/ptj/pzz048","World Health Organization. (2021). Home care across Europe: Current structure and future challenges. Retrieved from https://www.euro.who.int/en/publications/abstracts/home-care-across-europe-current-structure-and-future-challenges-2021.","Young, R. S., & Anderson, M. E. (2021). Self-Management Strategies for Chronic Disease. Seattle, WA: University of Washington Press. https://doi.org/10.1017/S0047279413000169","instname:Universidad del Rosario","reponame:Repositorio Institucional EdocUR"],"dc:subject":["Atención domiciliaria","Ventilación mecánica","Equipo multidisciplinario de salud","Planeación de la atención","Facturación en salud","Home Care","Mechanical ventilation","Multidisciplinary Health Team","Care Planning","Healthcare Billing"],"dc:title":["Atención domiciliaria de pacientes con requerimientos de soporte ventilatorio","Home care of patients with ventilatory support requirements"],"dc:type":["info:eu-repo/semantics/bachelorThesis","info:eu-repo/semantics/acceptedVersion"]},"updated_at":"2026-07-27T20:46:31Z"}