Search results for "THC"
showing 10 items of 901 documents
Social- and Health Care Educators’ Cultural Competence
2020
Introduction and aim: Cultural differences have significant impacts on classroom behaviours and communication in teaching. The aim of this study is to explore social and healthcare educators’ cultural competence in transcultural education. Methodology: Data was collected from semi-structured focus group interviews at universities of applied sciences and vocational colleges. Inductive content analysis was used in the analysis process. Results: Educators’ cultural competence in transcultural education emerges as generic categories: transcultural education, educatorship and ethical attitudes, and underpins by the sub-categories: language and linguistics, different learning styles, integrating …
The accreditation system of Italian medical residency programs: fostering quality and sustainability of the National Health Service
2020
Summary. Background and aim: In June 2017, University and Health Ministries jointly enacted a decree imple-menting a new accreditation system for the Italian post-graduate medical schools (residency programs). We report the innovations introduced through the reform. Methods: Universities were called to submit post-gradu-ate medical school projects to the National Observatory on medical residency programs, the inter-institutional committee responsible for the entire accreditation process, through an interactive web platform. The adherence to minimum standards, requirements and the performances were measured. After this first assessment, universities were asked to provide programs of improvem…
Cuba and Italy: a comparative study on the determinants of health in a context of limited resources
2012
Italian and Cuban healthcare systems, although operating in very different context, show some of the best evidence in the world in terms of health outcomes. The Cuban model, unique because of an historical-economic-political asset not repeatable, had oriented its development on education and health promotion through a public health approach. The aim of our study is to perform a comparison of the Italian and Cuban healthcare system through the use of health indicators validated at international level in order to identify best practices. Cuba provides health care to all residents focusing strongly on primary care and health promotion and obtains similar results to Italy despite the limited av…
I luoghi del malinteso nella cultura e nella cura
2015
This article focuses on cultural misunderstanding in care relations, starting from the analysis of the effects misunderstanding causes in the relation between doctor and migrant patient. The Western medical model tends to be based on objective data, which can be diagnosed through more and more precise and detailed techniques, but it excludes from care relations human and cultural aspects of subjectivity and relation. This exclusion creates distance, which increases when doctor and patient do not share a cultural homogeneity but differ for their language and the way they conceive their body, health, disease. By showing some clinical examples, this contribution points out how specialized comp…
Misunderstanding Situations in Culture and Cultural Care
2017
This article focuses on cultural misunderstanding in care relations, starting from the analysis of the effects misunderstanding causes in the relation between doctor and migrant patient. The Western medical model tends to be based on objective data, which can be diagnosed through more and more precise and detailed techniques, but it excludes human and cultural aspects of subjectivity and relation from care. This exclusion creates distance, which increases when doctor and patient do not share a cultural homogeneity but differ for their language and the way they conceive their body, health, and disease. By showing some clinical examples, this contribution points out how specialized competence…
Managing an Online Survey about Influenza Vaccination in Primary Healthcare Workers
2015
Online surveys are increasingly used due to their speed and efficiency. The aim of this study was to analyze factors that may have contributed to the quality and speed of response of an online survey on influenza vaccination in primary healthcare workers. A multicenter study including family physicians, nurses and pediatricians from primary healthcare teams from seven Spanish Autonomous Communities was designed. The centers were selected by simple random sampling. The survey remained active and accessible for 56 days and four reminders were sent. The odds ratios (OR) and their 95% confidence intervals (CI) were calculated to assess the association of sociodemographic variables and respondin…
Defensive behavior in healthcare: the role of organizational factors
Defensive medicine occurs when a healthcare practitioner performs treatment or procedure to avoid exposure to malpractice litigation. Being the consequences of such a behavior nefarious both in terms of patient care, healthcare operations and cost, much has been done in terms of research and practice with the aim to reduce the likelihood of its occurrence. Because defensive medicine is strictly related to the doctor perception of the risk of litigation and its legal repercussions, in the last years, jurisprudence and insurance contract studies in healthcare focused on this topic, as well as national laws have been introduced with the goal of contrasting it. This paper argues and demonstrate…
Professionals in value co-creation through digital healthcare services
2018
Digitization is changing the dynamics within the service sector, including healthcare. The customer access to information and new ways of interacting with the customer challenge the traditional service within healthcare featured by information asymmetry and autonomous role of professionals in decision making. Digitization introduces new service concepts and roles of service actors benefiting value cocreation among the service network. Customer actively participates in the digital service process, which sets demand for new approach, behavior and skills of the professional interacting with the customer. The present discussion around value cocreation lacks research from the service provider’s …
A health promotion intervention to improve lifestyle choices and health outcomes in people with psychosis: a research programme including the IMPaCT …
2020
Background People with psychotic disorders have reduced life expectancy largely because of physical health problems, especially cardiovascular disease, that are complicated by the use of tobacco and cannabis. Objectives We set out to (1) chart lifestyle and substance use choices and the emergence of cardiometabolic risk from the earliest presentation with psychosis, (2) develop a pragmatic health promotion intervention integrated within the clinical teams to improve the lifestyle choices and health outcomes of people with psychosis and (3) evaluate the clinical effectiveness and cost-effectiveness of that health promotion intervention. Design We performed a longitudinal cohort study of peo…
e-Health and the Internet of Things. Definitions, applications, regulation, actors. Roadmap to a use cases research.
2015
This reports deals with the electronic health (e-Health) as a prism to study the Internet of Things. After having provided the necessary definitions and having described applications, regulators, regulations and actors both in the UK, in the US and in the EU, the author sets the basis for a use cases research regarding the e-prescribing.