Made available in DSpace on 2014-12-17T14:46:31Z (GMT). No. of bitstreams: 1 DjailsonJDC.pdf: 571354 bytes, checksum: 76c0fc5d414dfcc9ba3978b974f5052c (MD5) Previous issue date: 2005-09-29 / This is a historically focused study with a qualitative approach whose main purpose is to investigate the trajectory of Nursing at the Hospital Universit?rio Onofre Lopes (HUOL) and how it associates with the teaching of Nursing at the Federal University of Rio Grande do Norte (UFRN). Motivation for carrying out this study is due, firstly, to a liking for history and, secondly, to the nonexistence of records on Nursing in one of the institutions with the most teaching tradition in the area of health and nursing in the state of Rio Grande do Norte. The objectives of the study were to analyze the historical development of Nursing at the HUOL and its association with the teaching of Nursing at the UFRN; describe the historical development of the Hospital referred to; and to establish a relationship between the development of nursing at the HUOL and the teaching of Nursing at the UFRN. Empirical investigation was carried out based on the study of historical documents such as reports, minutes, letters, by-laws, decrees and administrative directives, as well as photographs and interviews with people who lived through this history or who kept vivid memories of it. From this research it can be gathered that Nursing at the HUOL was at first closely identified with the empirical stage of the profession. Its development is a result of the institutionalization of teaching whose starting point is an authorization for running the Nursing Aid School of Natal in 1955. Since then, gradually, teaching has enabled those who practiced nursing at that institution to become professionals through a partnership between the Nursing Aid School and the Nursing Department at the Hospital whose administration had been in charge of a professor for many years. Upon the creation of the undergraduate program in Nursing in 1973, nursing at the HUOL underwent a new transformation process with new nurses being hired. Likewise, the creation of post-graduate specialization and master s degree programs in 1982 and 1996, respectively, opened the way to the growth of the academic qualifications of nurses at that institution. Therefore, it must be asserted that Nursing at the HUOL has, over the years, gone through a continuous process of qualification of its members and in such trajectory the teaching of Nursing that is carried out at different levels at the UFRN stands as a hallmark / Trata-se de um estudo de enfoque hist?rico com abordagem qualitativa, tendo como principal prop?sito investigar a trajet?ria da Enfermagem do Hospital Universit?rio Onofre Lopes (HUOL) e sua rela??o com o ensino de Enfermagem da Universidade Federal do Rio Grande do Norte (UFRN). A motiva??o para sua realiza??o se deve, em primeiro lugar, ao gosto pela hist?ria e, em segundo lugar, pela inexist?ncia de registros acerca da Enfermagem de uma das institui??es de maior tradi??o no ensino da ?rea de sa?de, e de Enfermagem no Rio Grande do Norte. Teve como objetivos analisar a evolu??o hist?rica da Enfermagem do HUOL e sua rela??o com o ensino de Enfermagem da UFRN; descrever a evolu??o hist?rica do referido Hospital; e estabelecer a rela??o existente entre a evolu??o da Enfermagem do HUOL e o ensino de Enfermagem da UFRN. A investiga??o emp?rica pautou-se no estudo de documentos hist?ricos, como relat?rios, atas, cartas, regimentos, estatutos, Leis, Decretos, Portarias, al?m de fotos e entrevistas com pessoas que viveram essa hist?ria ou que dela tem vivas mem?rias. Da pesquisa realizada, pode-se depreender que a Enfermagem do HUOL, nos seus prim?rdios, guarda uma estreita identidade com a fase emp?rica da profiss?o. Sua evolu??o deve-se ? institucionaliza??o do ensino, tendo como marco inicial a autoriza??o para o funcionamento da Escola de Auxiliares de Enfermagem de Natal, no ano de 1955. A partir de ent?o, gradativamente, o ensino possibilitou a profissionaliza??o dos exercentes de Enfermagem daquela institui??o, em regime de parceria entre a Escola de Auxiliares e a dire??o de Enfermagem do Hospital que, por muitos anos, foi exercida por um professor. No ano de 1973, com a cria??o do curso de gradua??o em Enfermagem na UFRN, a Enfermagem do HUOL passa por um novo processo de transforma??o, com a admiss?o de novos enfermeiros em seu quadro. O mesmo ocorreu com a cria??o do ensino de p?s-gradua??o _ especializa??o e mestrado _ em 1982 e 1996, respectivamente, abrindo perspectiva de aprofundamento da forma??o acad?mica dos enfermeiros daquela institui??o. Portanto, deve-se afirmar que a Enfermagem do HUOL, ao longo dos anos, passou por um processo cont?nuo de qualifica??o de seu quadro, tendo como marco, nessa trajet?ria, o ensino de Enfermagem da UFRN em seus diferentes n?veis

Submitted by Biblioteca da Faculdade de Farmácia (bff@ndc.uff.br) on 2018-01-12T13:36:10Z No. of bitstreams: 1 Lívia Gonçalves dos Santos.pdf: 1966028 bytes, checksum: ce4f6a062e6fcea35758f69235302a88 (MD5) / Made available in DSpace on 2018-01-12T13:36:10Z (GMT). No. of bitstreams: 1 Lívia Gonçalves dos Santos.pdf: 1966028 bytes, checksum: ce4f6a062e6fcea35758f69235302a88 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / Doenças crônicas, como a aids, estão associadas ao emprego de grande número medicamentos, sendo importante monitorar e acompanhar do uso dos mesmos. Sistemas informatizados para dispensação de medicamentos podem ser usados como fonte de informação e avaliação do uso e da posse de medicamentos. Este estudo teve como objetivos investigar a terapia antirretroviral (ARV) utilizada por pacientes acompanhados em um hospital universitário no estado do Rio de Janeiro a partir do Sistema de Controle Logístico de Medicamentos (SICLOM), caracterizar o perfil dos usuários atendidos no local bem como discutir o uso de indicadores logísticos de posse de ARV. Foi realizado um estudo de utilização de medicamentos do tipo prescrição-indicação, seccional, observacional a partir dos registros de dispensação de farmácia. Foram incluídos pacientes que iniciaram o uso de ARV entre janeiro e dezembro de 2014 (virgens de tratamento ou troca de ARV), maiores de 18 anos, de ambos os sexos, com cadastro ativo no SICLOM. Gestantes e pacientes que não tinham mais vínculo com a Unidade Dispensadora de Mecicamentos (UDM) foram excluídos. A coleta de dados sócio demográficos e clínicos foi realizada por meio do uso do SICLOM. Para calcular a posse dos medicamentos foram usados os indicadores PDC (do inglês Proportion of Days Covered) e CR (do inglês Compliance Rate). A análise incluiu descrição da população estudada, distribuições de frequência e medidas estatísticas de resumo das variáveis selecionadas. Dos 77 pacientes estudados, 60% eram homens. A média de idade foi 42,3 anos (± 13,2 anos) e o tempo médio de uso de ARV foi de 7,3 anos (± 6,2 anos). A maior parte da população estudada estava em uso de ARV de primeira linha terapêutica e 35% eram virgens de tratamento. A maioria das trocas de esquema terapêutico não foi justificada. Não foi verificada associação estatística entre as variáveis sócio demográficas e clínicas e a posse de ARV. A posse de ARV apresentou média acima de 80% por ambos os indicadores. Os indicadores PDC e CR permitiram avaliar a posse de medicamentos da terapia ARV e o SICLOM permitiu o conhecimento do perfil dos pacientes atendidos no referido hospital, bem como os medicamentos usados por essa população. Recomenda-se o uso de CR para avaliar a posse de ARV a partir dos dados do SICLOM / Chronic diseases such as AIDS are associated with the use of many medications and monitoring the use of these drugs is very important. Drug pickups could be used as a source of information and evaluation of the use and possession of drugs. The aim of this study was to evaluate the possession for antiretroviral drugs (ART), the socio demographics and clinics factors associated with medicine use for people living with HIV/Aids (PLHA) from a University Hospital in Rio de Janeiro state. It was conducted as a prospective drug utilization study, sectional and descriptive, realized through pharmacy dispensing records obtained from the National System of Logistic Control of Antiretroviral Medicines (SICLOM). Two logistic measures defined by literature, PDC (Proportion of Days Covered) and CR (Compliance Rate) were used for ascertaining the possession of ART. All PLHA, both male and female, with active and updated refill records (treatment naïve and PLVA who switched the drug regimen) was included since they were >18 years of age. Pregnant and people who had no more connection with pharmacy were excluded. Clinic and demographic information were performed using SICLOM. To calculate possession drug regimen we used two refill adherence measures, Proportion of Days Covered (PDC) and Compliance Rate (CR). The analysis included description of the study population, frequency distributions and measures, summary statistics of the selected variables. Of the 77 patients, 60% were male. The mean age was of 42.4 years and the average time of ARV use was 7.3 years (± 6.2 years). Of ART schemes employed in this hospital, the most corresponded to a first line treatment and a minority was naïve of treatment (35%). The possession rate was above 80% in both measures (PDC or CR). The switches were not justified. The PDC and CR indicators allowed us to evaluate the possession of antiretroviral treatment and SICLOM allowed us to know the profile of the patients treated at the same hospital as well the drugs used by this population. The use of CR is recommended to evaluate the possession of ARV from SICLOM data

Thesis (Ed.D.)--Boston University Vita. Includes bibliographical references (leaves 85-89). N.B.:Page 165 of Volume 2 missing from the original copy.

The Covid-19 crisis has affected society in different ways. Something that is apparent is to the extent that it has shaken societal structures and put them on the test. Hospital care is certainly no exception. In this study, leaders from Karolinska University hospital are investigated from a perspective in how their leaders' leadership skills have been affected during the Covid-19 pandemic. This is done through a focus group interview with a team that have acted as leadership consultants during the pandemic for these leaders. The purpose of this study is tosee how the development of the leaders' leadership skills have looked in such a crisis that Covid-19 has been in Karolinska University hospital. The study has shown that the consultants have supported the hospital in constructing new routines and offering new tools to handle the crisis. This in spite of clear challenges where the consultant team have worked through digital platforms with an unclear starting point in regards to what they can accomplish within the organization. Through an overview of their work since the pandemic started as well as a reflection regarding what has turned out to be key strategies as well as successes and hardships an insight into their work has been formed. This insight indicates that compassion, communication, presence and visibility have been key skills for leaders to possess during the crisis at Karolinska hospital. This can be compared to a transformational leadership style which will be described further in this essay, and this study supports earlier research meaning that this leadership style is highly useful for leaders to possess when organisations or other groups they lead are in a crisis. / Covid-19 krisen har påverkat samhället på väldigt olika sätt. Någonting som är tydligt är hur mycket det omskakat samhällets strukturer och satt dem på prövning. Här är sjukvården minst sagt inget undantag. I denna studie undersöks ledare vid Karolinska Universitetssjukhuset från ett perspektiv kring hur de påverkats i deras ledarförmågor under Covid-19 pandemin. Detta görs genom en fokusgruppsintervju med ett team som agerat ledarskapskonsulter under pandemin för dessa ledare på Karolinska Universitetssjukhuset. Syftet med denna studie är att se hur utvecklingen av ledares ledarförmågor sett ut i en sådan kris som Covid-19 varit inom Karolinska Universitetssjukhuset. Studien har visat att konsultteamet stöttat sjukhuset i att bygga upp nya arbetssätt och gå tillgång till nya verktyg för att hantera krisen. Detta trots utmaningar; där konsultteamet arbetat över digitala verktyg med en otydlig utgångspunkt kring vad de kan åstadkomma inom organisationen. Genom en överblick över deras arbete sedan pandemins början samt en reflektion kring vad som visat sig vara viktiga strategier samt framgångar och motgångar har en insikt i deras arbete formats. Denna insikt indikerar att medmänsklighet, kommunikation, närvaro och synlighet har varit viktiga egenskaper förledare att inneha under krisen på Karolinska Universitetssjukhuset. Detta kan liknas vid en transformativt ledarskapsstil som kommer att diskuteras vidare i denna uppsats, och denna studie stöttar tidigare forskning kring att denna ledarskapsstil är användbar för ledare att inneha när organisationer eller andra grupper de leder befinner sig i kris.

Personalen på barnavdelningen Albatross, Karolinska Universitetssjukhuset i Huddinge har känt av ett behov av att på ett användarvänligt och lättåtkomligt sätt komma åt information om antalet lediga och upptagna rum på avdelningen. Förslag på en visuell digital lösning till avdelningen skulle kunna bidra till att skapa effektivare arbete. Karolinska Universitetssjukhuset har för nuvarande ingen lösning för att uppfylla detta behov. Projektet som beskrivs i denna rapport handlar om att ta fram en förslagsmodell för att möta personalens behov. Modellens utformning baserades på personalens önskemål för rumsvisning. Modellen skapades utifrån diskussion med sjukvårdspersonal, en observationsstudie samt analys av data från Karolinskas journalsystem, TakeCare. Inspiration till modellen hämtades från en befintlig prototyp på enheten Strategisk Sjukvårdsutveckling och Vårdproduktion, Karolinska Solna. Arbetet utmynnade i en rumsvisningsmodell som skapades i programmet Tableau och integrerades med en rörelsesensor. Modellen kan detektera aktivitet av rörelse i ett rum och presentera denna aktivitet i rumsvisningmodellen i Tableau. Denna modell kan dock inte i nuläget redovisa för vem som befinner i rummet eller om rummet har kvitterats. För att uppfylla dessa kriterier behöver förslagsmodellen utvecklas mer omfattande. Detta är ett potentiellt vidare arbete inom området. / The staff at the children's ward Albatross, Karolinska University Hospital in Huddinge, have identified a need to access information about the number of vacant and occupied rooms in the department in a user-friendly and easily accessible way. Suggestions for a visual digital solution to the department could help create more efficient work. Karolinska University Hospital has currently no solution to forfill this need. The project described in this report is about developing a proposal model to try to forfill the needs of the staff. The model design was based on the staff's wishes for room displaying. The model was created on the basis of discussion with healthcare professionals, an observation study and an analysis of data from Karolinska's journal system, TakeCare. Inspiration for the model was taken from an existing prototype on the Unit Strategic Health Care and Care Production, Karolinska Solna. The work resulted in a space display model created in Tableau Software and integrated with a motion sensor. The model can detect movement activity in a room and present this activity in the Table View model in Tableau. However, this model can not currently display for who is in the room or if the room has been subscribed. In order to meet these criteria, the proposal model needs to be developed more extensively. This is potential further work in the field.

Purpose of the study - Identify predictors of mortality and develop a related care plan for patients who are on antiretroviral therapy (ART) in Gondar, Ethiopia. Design - A quantitative, retrospective cohort study was conducted analysing medical records of HIV patients who presented to Gondar University Hospital (GUH), Gondar, and started ART between 1 January 2007 and 30 June 2010. Results - In defining the predictors of mortality, the findings in bivariate analysis revealed: female sex, CD4 cell count ≤ 50/μl, CD4 cell count 51-199/μl, a haemoglobin concentration ≤8g/dl, a history of oral candidiasis, tuberculosis and Cryptococcus meningitis were all statistically significant. A female sex, CD4 cell count ≤ 50/μl and CD4 cell count 51-199/μl maintain their significance level in the multivariate analysis. Conclusions - The study therefore recommends that clinicians and case managers be vigilant of these predictors of mortality while managing HIV patients who are on ART / Health Studies / M.A. (Public Health)

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal.

En 2006, un hôpital universitaire de la région de Montréal a décidé d’implanter le projet « Hôpital Promoteur de Santé » dans un contexte où les conditions de travail des infirmières étaient particulièrement difficiles. Une étude de cas a été menée dans le CHU, afin de mieux comprendre le contexte interne d’implantation du sous-projet ‘milieu de travail promoteur de santé’. Des entrevues ont été menées auprès de 7 acteurs-clés du niveau stratégique et 18 infirmières-chefs pour examiner leurs perceptions relativement à l’implantation du projet HPS, et plus particulièrement d’un ‘milieu de travail promoteur de santé’ pour les infirmières. Un questionnaire a aussi été administré par entrevue à quatre acteurs-clés stratégiques du CHU afin d’évaluer la compatibilité des pratiques organisationnelles avec les critères d’une des dimensions du projet HPS, le milieu de travail promoteur de santé. Les résultats montrent des similitudes et des différences parmi les perceptions des acteurs stratégiques au sujet du contexte interne d’implantation. Les similitudes portent sur l’utilité, la compatibilité du sous-projet ‘milieu de travail promoteur de santé’ avec les valeurs de l’organisation, la nécessité d’une implantation graduelle ainsi que sur l’existence d’obstacles à l’implantation. Les différences ont mené à cinq discours d'acteurs stratégiques aux niveaux d’engagement différents, en fonction de facteurs d'intelligibilité (i.e. compréhension du concept HPS, rôle perçu dans l'implantation, stratégie d'implantation, vision des implications du concept HPS). Les résultats révèlent aussi que toutes les infirmières-chefs perçoivent l’utilité et la compatibilité du sous-projet ‘milieu de travail promoteur de santé’ avec les valeurs, normes, stratégies et buts organisationnels, ainsi que les mêmes obstacles à son implantation perçus par les acteurs stratégiques. Ils montrent aussi l’existence de deux groupes différents chez les infirmières-chefs quant aux stratégies proposées et utilisées pour implanter un ‘milieu de travail promoteur de santé’. Ainsi, les stratégies des infirmières-chefs du groupe 1 peuvent être assimilées à celles de leaders transactionnels, tandis que les infirmières-chefs du groupe 2 peuvent être assimilées à celles de leaders transformationnels. Finalement, les résultats de l’analyse des données du questionnaire indiquent divers niveaux de compatibilité des pratiques de l’hôpital par rapport aux critères d’un ‘milieu de travail promoteur de santé’. Ainsi, la compatibilité est élevée pour les critères portant sur l'organisation apprenante et performante, les stratégies pour un milieu de travail sain et sécuritaire, les activités liées à la promotion de saines habitudes de vie ainsi que les modifications de l'environnement physique et social. Cependant, elle est faible pour les critères portant sur la politique de promotion de la santé et la participation des infirmières. Notre étude a souligné l’importance de l’état de préparation d’une organisation de santé à l’implantation d’une innovation, un concept peu étudié dans les études sur l’implantation efficace d’innovations dans les services de santé, plus particulièrement du projet HPS. Nos résultats ont également mis en évidence l’importance, pour un hôpital souhaitant implanter un milieu de travail promoteur de santé, de former son personnel et ses gestionnaires au sujet du projet HPS, de disposer d’un plan de communication efficace, et de réaliser un état des lieux préalablement à l’implantation. / In 2006, a University Hospital in Montreal decided to implement the "Health Promoting Hospital" project in a context where nurses’ working conditions were particularly difficult. A case study was conducted at the University Hospital in order to better understand the internal context of implementation of the subproject ‘health promoting workplace'. Interviews were conducted with 7 strategic stakeholders and 18 head nurses to examine their perceptions about the implementation of the HPH project, and particularly of a ‘health promoting workplace’ for nurses. A questionnaire was administered by interview to four key strategic stakeholders of the hospital to assess the compatibility of organizational practices with the standards and criteria of one dimension of the HPH project i.e. the health promoting workplace. The results show similarities and differences among strategic stakeholders’ perceptions about the internal context of implementation. The similarities are on utility, compatibility of the subproject ‘health promoting workplace’ with the organizational values, the need for a gradual implementation, as well as obstacles to its implementation. Differences have lead to five discourses from strategic actors with different levels of commitment. These levels depend on factors of intelligibility (i.e. understanding of the HPH concept, perceived role in the implementation, implementation strategies, vision of implications of the HPH concept). The results also reveal that all head nurses perceive the usefulness and compatibility of the subproject ‘health promoting workplace' with the organizational values, norms, strategies and goals, as well as the same obstacles to its implementation perceived by the strategic stakeholders. They also show two groups of head nurses differing on proposed and used strategies to implement a ‘health promoting workplace’. The strategies of group 1 can be compared to those of transactional leaders, while those of group 2 can be compared to transformational leaders. Finally, results from the questionnaire show various levels of compatibility between hospital practices and the criteria of a health promoting workplace. Compatibility is high on the criteria for organizational learning and efficiency, health and safety strategies, activities related to health promoting lifestyles, and changes in the physical and social environment. However, it is low for the criteria on health promotion policy and nurses’ participation. Our study has shown the importance of organizational readiness to implement an innovation, a concept hardly considered in the studies about the implementation efficacy of innovations in health services, and particularly the HPH project. Our results also highlighted the importance for a hospital wishing to implement a ‘health promoting workplace’, to train its staff and managers about the HPH project, to have an effective communication plan, and to achieve an organizational diagnostic prior to implementation.

Les hôpitaux publics français subissent, au gré des alternances politiques, de très nombreux changements qui interrogent aujourd’hui tant les procédés de gestion que les reconfigurations structurelles nécessaires pour faire face aux défis que leur lancent les restrictions budgétaires successives, le vieillissement de la population ou l’apparition de nouvelles pathologies. Cette recherche vise, sur la base d’un cadrage conceptuel analysant les réformes du secteur sanitaire à l’aune du paradigme de l’action publique qu’est le « new public management » d’une part, et d’une seconde analyse relative à la métamorphose des hôpitaux que l’on peut qualifier de bureaucraties professionnelles pluralistes en évolution d’autre part, à proposer une lecture de ces institutions par le prisme culturel dans une démarche exploratoire aux fondements ethnographiques et interprétativistes. Une étude de cas multiples enchâssée portant sur deux centres hospitaliers universitaires a donc été menée. S’appuyant sur 47 entretiens analysés dans une démarche inductive et triangulés avec les résultats d’une observation flottante et de nombreuses données secondaires, elle offre une analyse transversale et comparée des structures étudiées au regard d’un modèle narratif de présentation des résultats reconstruit pour une meilleure compréhension des déterminants hiérarchiques, prospectifs, interactionnistes, sociaux et stratégiques qui caractérisent les cultures des institutions étudiées. Les résultats permettent de faire émerger, au regard d’une discussion basée sur l’application de divers cadres conceptuels, de nombreuses implications managériales applicables au contexte actuel des deux structures étudiées / French public hospitals are currently affected by many changes due to political alternation. These changes raise questions on management processes and structural reconfigurations required by the new challenges they’re facing such as budgets cuts, the aging of the population and the increase of chronical pathologies. This research aims, on one hand to analyze the reforms of the health sector according to the « new public management » paradigm based on a conceptual approach, and secondly to analyze the gradual metamorphosis of hospitals (or evolving pluralistic professional bureaucracies) and finally, to propose a reading of these institutions by the cultural prism following an exploratory methodology based on an ethnographic and interpretivist approach. As a result, multiple case studies were conducted in two hospitals. Based on 47 semi-directive interviews which were analyzed with an inductive approach and then triangulated with the results of a floating observation and additional secondary data, it provides a transversal and compared analysis of the studied structures. Presented by a narrative model therefore rebuilt, these results aims to understand the hierarchical, prospective, interactionist, social and strategic cultures criteria that describes the studied institutions and organizations. A discussion of the results based on the application of various conceptual frameworks, allows to highlight numerous managerial implications applicable to both studied structures

INTRODUÇÃO: O diabetes melito tipo 2 constitui uma doença crônica, caracterizada pelo longo curso clínico, por não apresentar cura e por requerer, de forma variável, gerenciamento contínuo e permanente. Um aspecto que vem suscitando interesse é a qualidade de vida destes pacientes. OBJETIVO: Descrever o perfil e estudar as associações entre a Qualidade de Vida Relacionada à Saúde (QVRS) e variáveis sócio-demográficas e clínicas em idosos diabéticos tipo 2. MÉTODOS: Realizou-se um estudo epidemiológico transversal, em 117 idosos diabéticos tipo 2, atendidos no Ambulatório de Diabetes do Serviço de Endocrinologia e Metabologia do Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo. As variáveis independentes foram avaliadas por dois questionários: um sócio-demográfico e um clínico. A variável dependente, a QVRS, foi aferida pelo questionário \"Short Form General Health Survey\" (SF-36), constituído de oito dimensões. Para analisar os dados realizou-se uma análise bivariada e posteriormente, de regressão múltipla, por meio de modelos lineares generalizados, supondo distribuição de probabilidades gama com função de ligação logarítmica. RESULTADOS: O perfil da qualidade de vida deste grupo é inferior àqueles sem diabetes, comparando com dados da literatura; todas as dimensões do SF-36 apresentaram influência de pelo menos uma variável, no sentido de diminuição da qualidade de vida; o estado geral de saúde (EGS) foi a dimensão com maior associação (quatro variáveis); número de co-morbidades foi o fator negativo que se associou com maior número de dimensões do SF-36. CONCLUSÕES: Observou-se comprometimento da qualidade de vida tanto nas dimensões físicas como nas dimensões não físicas; A teoria que valoriza a sobrecarga (burden) do diabético como mecanismo importante na determinação da qualidade de vida é a que mais se adequou aos dados de nossa amostra. / INTRODUCTION: Type 2 Diabetes melito constitutes a chronic illness, characterized by the long clinical course, not presenting cure and requiring, in a changeable way, continuous and permanent management. An aspect that is generating interest is the quality of life of these elderly patients. OBJECTIVE: To describe the profile and to study the association between Health-Related Quality of Life (HRQL) and demographic and clinical variables of elderly people with type 2 diabetes. METHODS: It was realized an epidemiologic cross-sectional type study, with 117 elderly patients with type 2 diabetes, taken care in the Service of Endocrinologia and Metabologia, at Hospital das Clinicas (College of Medicine of the University of Sao Paulo). Service of Endocrinologia and Metabologia of the Hospital of the Clinics of the College of Medicine of the University of São Paulo. The independent variables were evaluated by two questionnaires: a demographic and a clinical. The dependent variable, the HRQL, was measured by the questionnaire \"Shorts General Form Health Survey\" (SF-36), wich considers eight domains. In order to analyze the data, it was realized a bivaried analysis and, after that, a multiple regression analysis, using generalized linear models, considering the distribution of probabilities to be gamma, with logarithmic function. RESULTS: The profile of the quality of life of the chosen elderly people wiht type 2 diabetes was worse than the quality of life of those people without diabetes, if compared with literature data; every dimension of the SF-36 indicated influence of at least one variable, towards the reduction of the quality of life; the general state of health (EGS) was the dimension with the greatest association (with four variables); the number of comorbidities was the negative factor that was associated with the greatest quantity of dimensions of the SF-36. CONCLUSIONS: It was observed a negative effect in the quality of life of those elderly people with type 2 diabetes in the physical domains as well as in the non-physical domains. The theory that values the overload of people with diabetes as an important tool in the determination of the quality of life is the one that is more suitable to the data of our sample.