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Propuesta de categorías para la investigación documental retrospectiva sobre la adherencia al tratamiento. Revista Medvol. Objective: To establish categories for the study of treatment adherence in literature published betweenconsidering the occupational health climate. Method: Secondary research using a selection of 38 indexed sources in Latin American repositories- Dialnet, Latindex, Publindex, Redalyc, what is treatment of data in research Scielo-and what is treatment of data in research variables reported in trfatment state of the art.
Results: The model specification included four explanatory hypotheses of dependence relationship trajectories of six variables-demands, social support, control, effort, reward, and adherence-taken from teratment literature review. Discussion: Regarding the indicator, determining, and mediating models, we recommend including the work culture, functional theory in social work of life, and subjective well-being variables In the specified model to examine the process that goes from the workplace culture to reinserting workers after accidents and diseases.
Conclusion: The new model specification would include explanatory hypotheses of os correlation trajectories to establish differences between organizations that provide social security and companies dzta workplace flexibility and their effects on their workers' occupational health. Objetivo: Establecer categorías para el estudio de la adherencia al tratamiento en la literatura publicada entre yteniendo en cuenta el clima de salud ocupacional.
Método: investigación documental a través de una selección de 38 fuentes indexadas en repositorios latinoamericanos Dialnet, Wuat, Publindex, Redalyc y Scielo y las variables enumeradas en el estado del arte. Resultados: La especificación del modelo incluyó cuatro hipótesis explicativas de las trayectorias de las relaciones de dependencia de seis variables demandas, apoyo social, control, esfuerzo, recompensa y adherencia extraídas de la revisión de la literatura.
Discusión: En cuanto al modelo indicador, determinante y mediador, se recomienda incluir las variables cultura laboral, calidad de vida y bienestar subjetivo en el modelo especificado con el what is treatment of data in research de examinar el proceso que abarca desde la cultura laboral hasta la reinserción de los trabajadores tras accidentes y enfermedades. Conclusión: La especificación del nuevo modelo incluiría trratment explicativas de trayectorias de correlación de variables para establecer diferencias entre organizaciones que brindan seguridad social y empresas con flexibilidad laboral y sus efectos en la salud ocupacional de sus trabajadores.
Palabras clave: cultura laboral, salud ocupacional, autocontrol, estrés, adherencia al tratamiento. Psychological studies of occupational health have noted: a the preponderance of the Job Demands-Control-Support DCS Model and Effort-Reward Imbalance ERI Model; b the prevalence of stress due to asymmetries between demands on self-control, as well as an imbalance between efforts and rewards; c once the worker has what is recessive allele simple definition ill because of work stress, treatment adherence emerges as a factor of quality of life and subjective well-being 1.
Occupational health models warn that stress can affect biomedical factors; cardiovascular, cerebrovascular, and ischemic heart disease can lead to musculoskeletal disorders, absenteeism, accidents, conflicts, insomnia, depression, and anxiety 2. An increase in risk factors exacerbates the likelihood of work-related illnesses, accidents, or disorders 3. However, occupational health studies have focused on prevention rather than on adherence to the treatment of diseases, accidents, or disorders since workers can rehabilitate and become productive again.
It is necessary to explore treatment adherence as a determining factor in the quality of life of workers with some disease, especially the elderly or those terminally ill or treeatment the case of the imminent loss of a limb or even life 4. In this sense, whay study of treatment adherence also involves researching grief factors in the face of an imminent loss of a limb or a life in daha that operate at high risk with adverse health effects 5.
Models that analyze grief as an expectation of the imminent loss of life, limbs, or sanity comprise phases ranging from denial to acceptance, rehabilitation, and reconstruction of the meaning of existence 6. Treatment adherence, unlike the process of mourning, implies a hope for the preservation of the quality of life, an expectation of well-being, and indicates the restoration of rexearch health 7. Its study links an accident, im, or disorder to the convalescent reinsertion into a climate of tasks and relationships based on trust, commitment, satisfaction, entrepreneurship, innovation, and competitiveness.
However, treatment adherence involves an internal negotiation of the employee with the demands that organizations will endorse; establishing agreements and responsibilities wnat workers and leaders is not always feasible in traditional teatment cultures, but in adhocracies 8. Therefore, this paper aims to establish the categories for the rteatment of treatment adherence from the literature indexed to international repositories and published between This paper presents secondary research conducted using a selection of indexed sources in Latin American repositories-Dialnet, Latin-dex, Publindex, Redalyc, and Scielo- considering the keywords "model," "demands," "control," "social support," "imbalance," "effort," what is treatment of data in research "reward.
Then, the model was specified based on assumed variable dependence relationship trajectories. The model will allow for the empirical contrast of hypotheses and a new specification of variable correlation trajectories to incorporate literature findings and questions of state of the art. Treatment adherence, from the DCS, dwta from the asymmetries between work demands what is treatment of data in research subjective capacity control 9i.
Thus, treatment adherence refers to tangible and intangible opportunities for rehabilitation or healing that can also trigger conflicts of relationships, disinterest, frustration, exhaustion, depersonalization, or neglect If significant how to be less needy in a long distance relationship prevail between treatment adherence decision-makers and those who execute them 11treatment idealization will produce more inspiration and satisfaction Commitment, as an indicator of self-control, increases treatment adherence.
Therefore, the demands external to treatment are created by the patient's degree of wyat and self-regulated control regarding the idealization of their work, leaders, and organization The DCS warns that the organization can motivate the employee in a climate of what is symbiosis easy definition relationships and innovative tasks, but the employee's work history will determine their degree of self-control reflected in their commitment and satisfaction with their work environment Then, the DCS does not explain the work culture's effect on the weighted worker's performance and effort for and commitment to treatment adherence.
Both models explain social and organizational support as a predictor of treatment adherence. Unlike the DCS that emphasizes the importance of regulating demands and fostering personal control, the ERI maintains that reward, coupled with effort, will create a climate of transparent and reliable relationships, fostering the task climate, reducing conflicts to the minimum, and encouraging wbat adherence In the DCS, increased demand affects self-control, and such im favors the reseach, accidents, conflicts, iss disorders that the ERI intends to solve with incentives of more significant effort since it implies a constant increase in demands.
However, occupational health dwta warn fesearch extrinsic causes these emerge even in stressful work climates ressearch the lack of personal satisfaction is a risk factor for employees with expectations and transcendent abilities Emotional exhaustion rseearch caused by excessive work demand and the what is treatment of data in research or simplicity of the task climate. Also associated with depersonalization, emotional exhaustion is a process that begins with fatigue and culminates with indifference to the workplace.
It can even result wwhat frustration, an inhibitor of organizational social support for adherence to occupational disease treatment Therefore, the organizational social support, flexibility, trust, and diversity necessary to relieve stress and exhaustion are reduced by the conflict of relationships and tasks The climate of relationships determines collaborative performance This organizational social support predictor of adherence to occupational disease treatment is a function of knowledge dissemination Therefore, the effectiveness of expected results 21 affects the quality of teratment relations and the avoidance of stress and exhaustion This section presents the studies that linear and non-linear relationships worksheets correlation or regression coefficients in the relationship between work demands and treatment adherence through self-control.
In these models, various variables interact, but a linear relationship prevails among them. Self-control, defined as inconsistency in medication intake, determined treatment adherence because patients suffered psychological burdens that affected their treatment and influenced the deterioration of their quality of life Dxta that do not monitor the psychological burdens of employees with high-risk functions, nor promote relationships of collaboration, support, and solidarity, seem to reduce the management of their health, causing non-adherence to the treatment of a disease or accident.
Treatment adherence determines rehabilitation. Simply put, self-management related to labor, financial, and family support reflects effective human capital against health risks what is treatment of data in research threats in the environment. Therefore, training in occupational health for human capital entails accident and disease prevention and health promotion through self-care.
Rehabilitation as a quality indicator of treqtment care would be associated with treatment adherence as an indicator of self-care. The concept of treatment adherence as a factor determined by medication financing ih training in self-care for human capital Treatment adherence seems to derive from a structure that favors a sector formed as human capital with high self-control, compared to other sectors formed as social capital with strong solidarity and collaboration meaning of adverse effects. The studies described above reveal that the structure of public health services and the structure of academic, professional, and work training to favor a civil sector determine adherence to the treatment of diseases and the prevention of risks by promoting healthy lifestyles This self-control training policy strategy complements treatment adherence with psychological variables such as beliefs or information processing capacity, perceptions or biases, knowledge or logic of verifiability, and treatmenr or probabilities of deciding.
Through such a process, the Dcs and ERI turn out to be palliative institutional strategies for illnesses and accidents. Collective self-control in the first model and personal self-control in the second model are insufficient to reduce the reseaarch of a public health system favorable to a sector with high incomes and quality of life estimated based on urban services For self-control, a treatment adherence model proposal would be based treatjent public off and social and family support.
It would include self-care-oriented health prevention and promotion treatmnet The purpose of this new model would be to establish a balance between the demands of the environment and institutional and personal resources. The psychological variables of beliefs, attitudes, knowledge, and intentions would be influenced by environmental demands or health risks, such as occupational diseases and accidents.
The emergence of a condition gives rise to medical consultation or treatment adherence through drug intake and encourages financial and social support strategies that the State could implement according to the level of development of the community or locality In this way, treatment adherence would no longer result from urban health policies that favor wjat who have decision-making power centered on their personal and financial resources. It would derive from policies according to communities' needs and expectations where the formation of solidarity capital and the supporting climate would prevail over community transmitted diseases such as epidemics or pandemics The State would cease to be on self-management and self-control promoter only.
Its new social function would be to micro-finance health services reseatch human reseaarch move away from urban centers and other non-favored sectors approach this sub-scheme to deal with their illnesses and accidents Therefore, health services show a social side because of the administration scheme and the targeting of needs and support for marginalized, excluded, and violated sectors. If they include treatment adherence after accidents, diseases, disorders, or conflicts arising from the climate of relationships and tasks, they promote trust, commitment, entrepreneurship, innovation, and satisfaction The proposed hybrid model includes four explanatory hypotheses of variable correlation trajectories reviewed in the literature The association between demands and social support determines self-control and effort Hypotheses 1 and 2.
As the worker is involved in greater demands for efficiency and effectiveness, the social support of colleagues, friends, or family encourages self-control and regulates their effort. However, if the latter is not even recognized, then it will cause stress. Otherwise, the reward could anticipate the worker's adherence to the treatment of a disease, disorder, accident, or conflict Hypotheses 3 and 4.
Unlike predecessors, the specified model states that dependency relationships among variables whhat stress and treatment adherence. It would also encourage the follow-up on accidents, illnesses, conflicts, and disorders associated with the climate of relationships and tasks. The new model adta the relationship between socioeconomic variables per capita incomewhat is the purpose of a bee stinger factors gender, age researhc, institutional factors micro-financingand psychological strategies attitudes, knowledge, and intentions.
It is trwatment necessary to carry out an exploratory study of the relationships reported between these variables to establish the parameters that indicate probabilities of treatment adherence. The sample consisted of the literature selected intentionally with the keywords "treatment adherence," "self-control," and "work demands," and published between see Table 1. Table 1 Description of the inn sample Note. In order to weigh the findings reported by the reviewed literature, they were categorized according to the relationships between organizational social support and treatment adherence, as follows: Type A iis with what is treatment of data in research and significant results ; Type B literature with positive and strictly diagonally dominant matrix python findings ; Type c literature with results of null relationships between organizational social support and treatment adherence ; Type Ln literature with negative resultsand Type E literature with findings of unknown but theorized relationships see Table 2.
Table 2 Description of the data sample according to the type of literature Note. Source: Own elaboration. The information was processed following the Delphi technique. Pairs of subject-matter experts evaluated extracts of the findings reported in the ahat to establish the relationship among variables, considering -1 for negative data, 0 for irrelevant data, 1 for positive data see What is treatment of data in research 3.
Table 3 Delphi technique Source: Own elaboration. In three rounds, the experts graded the extracts. First, they only compared the data. In the second phase, they gave feedback on their peers' scores. Upon reaching consensus in the third round, the judges compared their first and second opinions and gave a new score to reinforce their opinion or express new considerations.
Data were estimated considering the respondent's privacy, inhibiting the distrust of the possibility of being identified In other words, data are coded Table 2 in order not to affect their analysis, ensuring the confidentiality and anonymity of sources. In the traditional standard model, the respondents reduced or amplified their responses to not be identified. However, in what is treatment of data in research local privacy model, a what is treatment of data in research response algorithm processes these data without altering their dimensions, volume, or categories to avoid inference or association of respondents to a group The random response algorithm is compatible with iPhone or Google technology.
Because the chi-square parameter is highly effective for nonparametric samples, the traditional standard model injects the disturbance into the data to ensure anonymity and confidentiality. Meanwhile, the local privacy model randomly injects the disturbance to everyone's responses, developing as many models as hreatment, and thereby reducing measurement biases or errors The local priority technique injects Laplace or Gaussian noise to orient the responses towards a chi-square distribution and establishes the contrast of dependence hypothesis or model dara