{"id":1322,"date":"2023-09-01T23:57:37","date_gmt":"2023-09-01T23:57:37","guid":{"rendered":"https:\/\/hclinical.com\/viagens-realistas-para-visitas-domiciliarias-a-ensaios-clinicos\/"},"modified":"2023-10-31T22:57:33","modified_gmt":"2023-10-31T22:57:33","slug":"viagens-realistas-para-visitas-domiciliarias-a-ensaios-clinicos","status":"publish","type":"post","link":"https:\/\/hclinical.com\/pt-br\/viagens-realistas-para-visitas-domiciliarias-a-ensaios-clinicos\/","title":{"rendered":"Viagens realistas para visitas domicili\u00e1rias a ensaios cl\u00ednicos"},"content":{"rendered":"\n

As visitas domicili\u00e1rias para ensaios cl\u00ednicos descentralizados (DCTs) na Am\u00e9rica Latina s\u00e3o diferentes das dos EUA ou da Europa. Esta imagem foi tirada recentemente por uma enfermeira que visitava uma casa rural no Brasil. A estrada n\u00e3o \u00e9 pavimentada. As condi\u00e7\u00f5es climat\u00e9ricas s\u00e3o adversas. E, no entanto, quando a H Clinical \u00e9 solicitada a apresentar um or\u00e7amento para visitas domicili\u00e1rias a doentes com doen\u00e7as raras, cancro e outras doen\u00e7as, \u00e9-nos sistematicamente pedido que limitemos as desloca\u00e7\u00f5es a uma hora de ida e volta. Eis alguns factos importantes que todos devem saber sobre os ensaios cl\u00ednicos directos aos doentes e as visitas domicili\u00e1rias na Am\u00e9rica Latina. <\/p>\n

Diversas localiza\u00e7\u00f5es geogr\u00e1ficas<\/h3>\n\n

De acordo com a McKinsey, 70% dos participantes em ensaios vivem a mais de duas horas de dist\u00e2ncia dos locais de investiga\u00e7\u00e3o<\/a>. Na Am\u00e9rica Latina, duas horas podem demorar tr\u00eas horas, tendo em conta a seguran\u00e7a das condi\u00e7\u00f5es. Os desafios socioecon\u00f3micos e a falta de infra-estruturas de transporte tornam as viagens exponencialmente mais dif\u00edceis para os doentes chegarem aos locais de investiga\u00e7\u00e3o tradicionais e para os enfermeiros realizarem visitas domicili\u00e1rias, especialmente nas zonas mais rurais. Mesmo para os participantes que vivem em zonas urbanas, onde vive 80% da popula\u00e7\u00e3o<\/a>, o tr\u00e2nsito em algumas das cidades mais populosas do mundo pode ser incrivelmente dif\u00edcil.<\/p>\n

Condi\u00e7\u00f5es de estrada dif\u00edceis<\/h3>\n\n

As condi\u00e7\u00f5es das estradas, a falta de ruas claramente marcadas e, em alguns casos, a aus\u00eancia de endere\u00e7os vis\u00edveis criam dificuldades acrescidas quando se viaja de zonas urbanas para zonas rurais. E quando o mau tempo se junta \u00e0s m\u00e1s condi\u00e7\u00f5es das estradas, sobretudo nas zonas rurais, o fator de dificuldade aumenta a probabilidade de atrasos. Tal como a imagem ilustra, encontrar o local para onde \u00e9 necess\u00e1rio ir n\u00e3o \u00e9 t\u00e3o f\u00e1cil como parece numa folha de c\u00e1lculo. <\/p>\n

Acessibilidade limitada aos transportes<\/h3>\n\n

Em 2021, o n\u00famero de ve\u00edculos per capita nesta regi\u00e3o era de cerca de 0,22, ou seja, 220 por 1.000<\/a>. A Europa (0,52) e a Am\u00e9rica do Norte (0,71) registaram mais do dobro ou o triplo desse valor, respetivamente. O transporte fi\u00e1vel \u00e9 um privil\u00e9gio. A maioria dos enfermeiros, urbanos ou rurais, n\u00e3o possui autom\u00f3vel. Al\u00e9m disso, os transportes p\u00fablicos s\u00e3o limitados e n\u00e3o s\u00e3o vi\u00e1veis para o transporte de equipamento m\u00e9dico. \u00c9 necess\u00e1rio recorrer a um servi\u00e7o de transporte partilhado ou a um t\u00e1xi, ou organizar a viagem.<\/p>\n

A vis\u00e3o cl\u00ednica H<\/h3>\n\n

A centraliza\u00e7\u00e3o no doente \u00e9 o objetivo comum da investiga\u00e7\u00e3o cl\u00ednica? Se for esse o caso, as visitas ao domic\u00edlio respondem aos desejos e necessidades dos doentes<\/a>, proporcionam uma oportunidade de atender popula\u00e7\u00f5es de doentes diversificadas e optimizam o recrutamento, a inscri\u00e7\u00e3o e a reten\u00e7\u00e3o de doentes. No entanto, as estimativas dos tempos de desloca\u00e7\u00e3o – para os enfermeiros chegarem, entrarem, sa\u00edrem e se fazerem \u00e0 estrada – t\u00eam de ser realistas. O contexto das situa\u00e7\u00f5es regionais e locais tem de conduzir a estimativas razo\u00e1veis do tempo de desloca\u00e7\u00e3o. <\/p>\n","protected":false},"excerpt":{"rendered":"

As visitas domicili\u00e1rias para ensaios cl\u00ednicos descentralizados (DCTs) na Am\u00e9rica Latina s\u00e3o diferentes das dos EUA ou da Europa. Esta imagem foi tirada recentemente por uma enfermeira que visitava uma casa rural no Brasil. A estrada n\u00e3o \u00e9 pavimentada. As condi\u00e7\u00f5es climat\u00e9ricas s\u00e3o adversas. E, no entanto, quando a H Clinical \u00e9 solicitada a apresentar […]<\/p>\n","protected":false},"author":3,"featured_media":1324,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[38],"tags":[46,43,55,54],"class_list":["post-1322","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nao-categorizado","tag-america-latina","tag-ensaios-clinicos-descentralizados","tag-tempo-de-deslocacao","tag-visitas-de-enfermeiros"],"acf":[],"yoast_head":"\nViagens realistas para visitas domicili\u00e1rias a ensaios cl\u00ednicos - H Clinical<\/title>\n<meta name=\"description\" content=\"Os tempos de desloca\u00e7\u00e3o na Am\u00e9rica Latina para visitas domicili\u00e1rias descentralizadas a ensaios cl\u00ednicos s\u00e3o imprevis\u00edveis. Aprenda considera\u00e7\u00f5es realistas para viagens de ida e volta.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/hclinical.com\/pt-br\/viagens-realistas-para-visitas-domiciliarias-a-ensaios-clinicos\/\" \/>\n<meta property=\"og:locale\" content=\"pt_BR\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Viagens realistas para visitas domicili\u00e1rias a ensaios cl\u00ednicos - H Clinical\" \/>\n<meta property=\"og:description\" content=\"Os tempos de desloca\u00e7\u00e3o na Am\u00e9rica Latina para visitas domicili\u00e1rias descentralizadas a ensaios cl\u00ednicos s\u00e3o imprevis\u00edveis. 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