Search results for "030503 health policy & services"

The Effect of Public Subsidies for Formal Care on the Care Provision for Disabled Elderly People in France

2012

Ce papier vise à évaluer l’effet de l’allocation personnalisée d’autonomie (APA) sur l’aide reçue par les personnes âgées dépendantes vivant à domicile. À partir des données de l’enquête Handicap-Santé Ménage, nous proposons une analyse statistique basée sur une méthode d’appariement par score de propension. Nos résultats suggèrent que l’aide professionnelle financée par l’intermédiaire de l’APA se substitue partiellement, selon le niveau de dépendance et les ressources en aide informelle, à de l’aide professionnelle financée de manière privée et à de l’aide informelle, mais que globalement, bénéficier de l’APA améliore la prise en charge des personnes âgées dépendantes. The aim of this pap…

<p>A Country Pandemic Risk Exposure Measurement Model</p>

2020

Purpose: The purpose of this study is to develop a Pandemic Risk Exposure Measurement (PREM) model to determine the factors that affect a country’s prospective vulnerability to a pandemic risk exposure also considering the current COVID-19 pandemic Methods: To develop the model, drew up an inventory of possible factor variables that might expose a country’s vulnerability to a pandemic such as COVID-19 This model was based on the analysis of existing literature and consultations with some experts and associa-tions To support the inventory of selected possible factor variables, we have conducted a survey with participants sampled from people working in a risk management environment carrying o…

Implementación de estrategias y herramientas de coordinación sociosanitaria en un departamento de salud

2018

Resumen: Es objetivo de este artículo mostrar una experiencia de práctica novedosa implementada por la dirección de un departamento de salud. Se expone un modelo organizativo de coordinación sociosanitaria entre los diferentes niveles asistenciales y sectores, estableciendo sinergias de los recursos sociales y sanitarios comunes del Departamento de Salud Clínico-Malvarrosa (Valencia). Tras un año, se han constituido cinco consejos de salud de zona básica en atención primaria y una comisión de coordinación sociosanitaria integrada por tres subcomisiones: 1) de atención asistencial social y sanitaria, 2) de asociacionismo y voluntariado hospitalario, y 3) de acción comunitaria y participación…

2019

The etiology of overweight and obesity is a mixture of genetic determinants, environmental factors and health behaviors. Especially intra- and interpersonal inactive behaviors, here termed convenience seems to play an important role. The objective was to develop and validate the Convenience Behavior Questionnaire (CBQ) to assess convenience-related items and their association with overweight and obesity in a large population. A sample of 1233 subjects aged 18 to 82 years from six population groups took part in a self-administered questionnaire. Test-retest reliability was estimated and the independent association between convenience-related items and overweight and obesity was investigated.…

Has China’s Health Sector Development Matched the Rapid Growth in the Country?

2017

China is the world's largest country by population, the third largest by territory and the second largest world’s economy by GDP. Therefore it is important to follow the successes and failures of China in the field of health, because they affect the health area and processes in the world. This article includes retrospective analysis of empirical data to analyze the main inputs and outputs of China's health policy in order to identify the main problems and highlight the major challenges. In the article is concluded that main problems are related with insufficient and unequal access to health care.

Towards evidence-based management: A nationwide administrative data-based audit of acute myocardial infarction in Latvia

2019

When care for an individual patient is determined by evidence-based medical guidelines, the management of the whole clinical process also needs to be based on evidence. In Latvia, an careful retros...

Modeling cost-effectiveness and health gains of a “universal” versus “prioritized” hepatitis C virus treatment policy in a real-life cohort

2017

We evaluated the cost-effectiveness of two alternative direct-acting antiviral (DAA) treatment policies in a real-life cohort of hepatitis C virus–infected patients: policy 1, “universal,” treat all patients, regardless of fibrosis stage; policy 2, treat only “prioritized” patients, delay treatment of the remaining patients until reaching stage F3. A liver disease progression Markov model, which used a lifetime horizon and health care system perspective, was applied to the PITER cohort (representative of Italian hepatitis C virus–infected patients in care). Specifically, 8,125 patients naive to DAA treatment, without clinical, sociodemographic, or insurance restrictions, were us…

Social, health care and rehabilitation educators' competence in professional education—Empirical testing of a model

2021

The social and health care educator's role in educating future professionals need to be stronger emphasised and deserves international recognition. The purpose of this study was to develop and test an empirical model of social and health care educators' competence in higher and professional education. The presented research employed a cross-sectional study design. Data were collected using HeSoEduCo-instrument from 28 educational institutions in Finland. The model was empirically tested with confirmatory factor analysis through Structural Equation Modelling that applied the Full Imputation Maximum Likelihood estimator. A total of 422 social and health care educators participated in the stud…

Loneliness Among Older Home-Dwelling Persons: A Challenge for Home Care Nurses.

2021

Solveig Tomstad, Kari Sundsli, Hans Inge Sævareid, Ulrika Söderhamn Centre for Caring Research, Faculty of Health and Sport Sciences, University of Agder, Grimstad, NorwayCorrespondence: Solveig TomstadFaculty of Health and Sport Sciences, University of Agder, Kristiansand, 4604, NorwayEmail solveig.t.tomstad@uia.noAim: To explore how nurses working in the home care service sector perceived the loneliness experienced by older people living at home, and how they met these lonely individuals’ needs.Background: Loneliness is a well-known phenomenon among groups of older home-dwelling people and has been shown to be a health-related problem. Health care professional…

Hybridizing large neighborhood search and exact methods for generalized vehicle routing problems with time windows

2021

International audience; Delivery options are at the heart of the generalized vehicle routing problem with time windows (GVRPTW) allowing that customer requests are shipped to alternative delivery locations which can also have different time windows. Recently, the vehicle routing problem with delivery options was introduced into the scientific literature. It extends the GVRPTW by capacities of shared locations and by specifying service-level constraints defined by the customers' preferences for delivery options. The vehicle routing problem with delivery options also generalizes the vehicle routing problem with home roaming delivery locations and the vehicle routing problem with multiple time…