Search results for " POLICY"

Impact of orphan drugs on Latvian budget

2016

Background Number of orphan medicinal products on the market and number of rare disease patients, taking these usually expensive products, are increasing. As a result, budget impact of orphan drugs is growing. This factor, along with the cost-effectiveness of orphan drugs, is often considered in the reimbursement decisions, directly affecting accessibility of rare disease therapies. The current study aims to assess the budget impact of orphan drugs in Latvia. Methods Our study covered a 5-year period, from 2010 to 2014. Impact of orphan drugs on Latvian budget was estimated from the National Health Service’s perspective. It was calculated in absolute values and relative to total pharmaceuti…

Adolescents with Neuropsychiatric Disorders during the COVID-19 Pandemic: Focus on Emotional Well-Being and Parental Stress

2022

(1) Introduction: The aim of our research was to explore emotional/behavioral changes in adolescents with neuropsychiatric conditions during the COVID-19 pandemic, and parental stress levels through a standardized assessment, comparing the data collected before and during the first months of lockdown. Moreover, an additional goal was to detect a possible relationship between emotional/behavioural symptoms of adolescents and the stress levels of their parents. (2) Methods: We enrolled 178 Italian adolescents aged between 12–18 that were referred to the Child Neuropsychiatry Unit of the University Hospital of Salerno with different neuropsychiatric diagnoses. Two standardized questionnaires w…

Challenges Faced by the Eu’s Energy Policy on CO2 Emissions From 1997-2017, Including Bilaterial Trade Between The EU and the US

2020

Purpose of research: The European Union has three main objectives in its energy policy. The most crucial one is due by 2020, to reduce greenhouse gas emissions (mainly CO2) by at least 20% below 1990 levels. This research attempts to calculate Actual-Open CO2 emission in the EU countries for the years 1997-2017, including in the calculation export and import of CO2 in products and services from the USA. Design/methodology/approach: This study takes into account the USA and 27 European countries (all the EU members without Malta). Actual-Open CO2 emissions were obtained by applying the appropriate Actual Emission Factor. The calculation takes into consideration the transfer of CO2 in exporte…

Sustainable Development and Technological Impact on CO2 Reducing Conditions in Romania

2015

Climate change is a reality all over the world, and its complexity is increasing. Therefore, sustainability has become a national and international concern, ingrained in many organizational processes. The ability of organizations to respond to sustainability concerns is sometimes hindered by the complexity of integrating sustainability into business models and by the need to rethink their strategic directions. In Romania, sustainable development has become a priority for businesses, but even though companies are showing some concern, there are yet to demonstrate any full commitment (they are mainly concerned with areas such as society and the environment). This paper assesses Romania’s invo…

KLUM@GTAP: SPATIALLY EXPLICIT, BIOPHYSICAL LAND USE IN A COMPUTABLE GENERAL EQUILIBRIUM MODEL

2009

<p>Early management of COPD: where are we now and where do we go from here? A Delphi consensus project</p>

2019

Purpose There is a lack of consensus on the most appropriate early diagnostic strategy, criteria for early access to treatment and follow-up approach for patients with COPD. Materials and methods A Delphi consensus project investigated the early management of COPD. We formulated two questionnaires for completion by pneumologists in Italy. Results A total of 207 specialists completed questionnaire 1 and 184 of them questionnaire 2, between November 2016 and October 2017. Early diagnosis of COPD was considered uncommon for 93.2% of the expert panel. Regardless of the definition of "early diagnosis" - a diagnosis made before the clinical manifestation of the disease for most responders (60.4%)…

Cost-description and multiple imputation of missing values: theSATisfaction and adherence to COPD treatment(SAT) study

2018

Aim:This article reports on a retrospective quarterly cost description (CD) performed on 401 patients with stable chronic obstructive pulmonary disease (COPD) at enrolment in the national, multicen...

Regulating Internet Trade in CITES Species

2013

International trade in species that are or may be endangered by collection from the wild is regulated under the Convention on International Trade in Endangered Species of wild fauna and flora (CITES) for 176 member States (Parties). Internet commerce is a relatively new route for such trade. In 2007, the CITES Secretariat asked Parties to collect information on internet wildlife trade and report problems and implemented regulations. The reports indicated it was difficult to even approximate the influence of e-commerce on CITES-listed species (CITES Secretariat 2009). We report a case study in which we quantified international transactions over an internet auction site of CITES-listed cacti …

L’analisi delle politiche di riduzione dei cesarei attraverso il dynamic performance management: La valutazione del percorso nascita in un’azienda sa…

2018

Da tre decenni l'Organizzazione Mondiale della Sanità considera appropriata una percentuale di cesarei tra il l 0-1 5%. Tuttavia, molti Paesi tuttora si trovano a fronteggiare valori molto più elevati e le politiche adottate dai decisori pubblici spesso mostrano di essere poco efficaci. Il presente lavoro prende avvio dall'analisi del percorso nascita introdotto in Sicilia e propone il ricorso all'approccio del Dynamic Performance Management per investigare le cause sottostanti l'andamento dei parti cesarei. Lo studio ha consentito di costruire un modello di System Dynamics, successivamente personalizzato con i dati di un'azienda sanitaria. L'analisi dei risultati delle simulazioni evidenzi…

Framing Caesarean Section Reduction Policies Through a Dynamic Performance Management Approach: A Maternity Pathway Case-Based Analysis

2017

The World Health Organization since the last three decades strongly encourages countries to reduce the caesarean section (CS) rate down to 10–15%. However, this goal nowadays appears still far from its achievement. Public decision-makers are indeed struggling to design and implement effective policies to reduce the CS rate. The literature provides a wide range of factors causing a change in the CS rate, such as the patient clinical profile and the healthcare service quality provided. Maternity pathway (MP) is considered a mean through which to standardize the cares and to reduce CSs. This study investigates the MP recently introduced in Sicilian local health authorities. Based on such an an…