Search results for "Healthcare system"
showing 10 items of 48 documents
A review of mental health and wellbeing under climate change in small island developing states (SIDS)
2021
AbstractSmall island developing states (SIDS) are often at the forefront of climate change impacts, including those related to health, but information on mental health and wellbeing is typically underreported. To help address this research lacuna, this paper reviews research about mental health and wellbeing under climate change in SIDS. Due to major differences in the literature’s methodologies, results, and analyses, the method is an overview and qualitative evidence synthesis of peer-reviewed publications. The findings show that mental health and wellbeing in the context of climate change have yet to feature prominently and systematically in research covering SIDS. It seems likely that m…
Advances in drug-induced cholestasis: Clinical perspectives, potential mechanisms and in vitro systems
2018
Despite growing research, drug-induced liver injury (DILI) remains a serious issue of increasing importance to the medical community that challenges health systems, pharmaceutical industries and drug regulatory agencies. Drug-induced cholestasis (DIC) represents a frequent manifestation of DILI in humans, which is characterised by an impaired canalicular bile flow resulting in a detrimental accumulation of bile constituents in blood and tissues. From a clinical point of view, cholestatic DILI generates a wide spectrum of presentations and can be a diagnostic challenge. The drug classes mostly associated with DIC are anti-infectious, anti-diabetic, anti-inflammatory, psychotropic and cardiov…
Learning from the past in the COVID-19 era: rediscovery of quarantine, previous pandemics, origin of hospitals and national healthcare systems, and e…
2020
Abstract After the dramatic coronavirus outbreak at the end of 2019 in Wuhan, Hubei province, China, on 11 March 2020, a pandemic was declared by the WHO. Most countries worldwide imposed a quarantine or lockdown to their citizens, in an attempt to prevent uncontrolled infection from spreading. Historically, quarantine is the 40-day period of forced isolation to prevent the spread of an infectious disease. In this educational paper, a historical overview from the sacred temples of ancient Greece—the cradle of medicine—to modern hospitals, along with the conceive of healthcare systems, is provided. A few foods for thought as to the conflict between ethics in medicine and shortage of personne…
Stakeholders? views on online interventions to prevent common mental health disorders in adults implemented into existing healthcare systems in Europe
2021
Abstract Background Online preventive interventions can help to reduce the incidence of mental disorders. Whereas knowledge on stakeholders’ attitudes and factors relevant for successfully integrating online treatment into existing healthcare systems is available, knowledge is scarce for online prevention. Methods Stakeholders from Germany, Switzerland, Austria and Spain were surveyed. Potential facilitators/delivery staff (e.g. psychologists, psychotherapists) completed an online questionnaire (n = 183), policy makers (i.e. from the governing sector or health insurance providers) participated in semi-structured interviews (n = 16) and target groups/potential users of mental illness prevent…
COVID-19 vaccination hesitancy among Ukrainians
2022
Šajā darbā tiek pētīta šaubu dinamika attiecībā uz Covid-19 vakcīnām, tās triangulējot starp trīs sfērām – personīgo, sociālo un politisko. Vakcīnu apšaubīšana tiek aplūkota plašākā kontekstā, skatot politiskā režīma maiņu Ukrainā vēsturiski izsekojot pēcpadomju periodam raksturīgas šaubas un to pastiprinājumu kopš Covid- 19 pandēmijas sākuma, kā arī šo šaubu mazināšanās kopš Krievijas-Ukrainas kara fāzes sākuma 2022. gadā. Vakcinācijas apšaubīšana aptver vakcinācijas plāna pārrunu procesus, iespējamo Covid-19 un vakcīnu riskus un ieguvumu, citu sociālo un politisko spiedienu izvērtēšanu. Šaubas par vakcīnām konceptuāli atrodas starp nevēlēšanos vakcinēties pandēmijas laikā un piekrišanu va…
Reactions and countermeasures of medical oncologists towards the incoming COVID-19 pandemic: A whatsapp messenger-based report from the Italian colle…
2020
Background This descriptive, unplanned investigation has been undertaken to report reactions, attitudes and countermeasures which have been put in place and implemented by medical oncology units facing the COVID-19 outbreak in Southern Italy. Materials and methods Data have been retrospectively obtained from the time-related analysis of conversations via a WhatsApp messenger-based group chat between the medical directors belonging to the Italian College of Medical Oncology Directors. Overall number, intensity and time trend of conversations related to reactions during the 4 weeks of observation related to the crucial events which occurred between 24 February and 28 March, 2020 2020 are incl…
Evaluating the Reform of Healthcare System in Sicily: variations of efficiency and appropriateness between 2008 and 2010
2022

 
 Background. Sicilian government has developed a very ambitious Reform through the Regional Law n. 5 (14th April 2009). Hospitals were requested to ensure the quality of care through monitoring of appropriateness and quality of service. The aim of this study was to assess variations of efficiency and organizational appropriateness of healthcare delivery before and after this Reform and to show patterns associated to different types of healthcare delivery organizations.
 Methods. This study was based on repeated cross-sectional data for 118 (out of 129) short-term, acute-care, non teaching-and-research Sicilian hospitals, in 2008 and 2010. Congestion and slacks analysis was…
Overview of the pediatric healthcare system in Romania.
2020
Until 1989, Romania was one of the countries of the communist bloc in Europe and its healthcare system was characterized by centralized planning and severe underfunding, with low performance and low quality healthcare. Since 1998, Romania replaced the Semashko model with a social health insurance system, highly centralized under the management of the Ministry of Health as the central administrative authority. After joining the European Union, quality of life increased in our country and there were efforts to improve the quality of healthcare, including pediatric and neonatal care. Still, Romania has the lowest share of health expenditure of gross domestic product among the European Union Me…
The national cancer programme in Romania: Challenges in a low-resource healthcare system
2017
Abstract The incidence and mortality due to malignancies are increasing in Romania. Since 2001, Romania provides the public support for cancer patients through the National Programme for Cancer (NPC). Using documentary analysis, the present paper provides a longitudinal and comprehensive examination of all the policy documents issued during 2001 and 2016 within the programme, and of the five implementation reports available. The paper examines several press articles as a sole source for exploring implementation difficulties. Results show that current cancer policies in Romania are focusing on treatment and screening, less on prevention, surveillance, research and rehabilitation and not at a…
Dental Public Health Landscape: Challenges, Technological Innovation and Opportunities in the 21st Century and COVID-19 Pandemic
2020
The convergent forces of rising costs, growing consumerism, expensive new treatments, sociodemographic shifts and increasing health disparities are exerting intense and unsustainable pressures on healthcare systems. As with the other health domains, these disruptive forces demand new approaches and delivery models for oral healthcare. Technological innovations and practices borrowed from the e-commerce and tech sectors could facilitate the move to a sustainable 21(st) century oral healthcare system, one that delivers high-quality, value-based care to wider groups of patients. The broad reach of mobile technologies and changing digital lifestyles provide unique opportunities for using remote…