Medicare Policy Initiatives and the Relative Utilization of “Double-Scan” CT

2016 ◽  
Vol 13 (2) ◽  
pp. 137-143 ◽  
Author(s):  
Jonathan A. Flug ◽  
Jennifer Hemingway ◽  
Danny Hughes ◽  
Ezequiel Silva ◽  
Richard Duszak
Keyword(s):  
Policy Initiatives ◽  
Medicare Policy ◽  
Relative Utilization

A Typology of Caregiving Situations and Service Use in Family Carers of Older People in Six European Countries

GeroPsych ◽  
2011 ◽  
Vol 24 (1) ◽  
pp. 5-18 ◽  
Author(s):  
Mirko Di Rosa ◽  
Christopher Kofahl ◽  
Kevin McKee ◽  
Barbara Bień ◽  
Giovanni Lamura ◽  
...  
Keyword(s):  
Health Services ◽  
Older People ◽  
Support Services ◽  
Family Caregiving ◽  
Service Use ◽  
European Countries ◽  
Limited Resources ◽  
Family Carers ◽  
Policy Initiatives ◽  
Typology Of Care

This paper presents the EUROFAMCARE study findings, examining a typology of care situations for family carers of older people, and the interplay of carers with social and health services. Despite the complexity of family caregiving situations across Europe, our analyses determined the existence of seven “caregiving situations,” varying on a range of critical indicators. Our study also describes the availability and use of different support services for carers and care receivers, and carers’ preferences for the characteristics of support services. Our findings have relevance for policy initiatives in Europe, where limited resources need to be more equitably distributed and services should be targeted to caregiving situations reflecting the greatest need, and organized to reflect the preferences of family carers.

STEROID FORMATION IN PORCINE OVARIAN TISSUE IN VITRO

1970 ◽  
Vol 63 (3) ◽  
pp. 441-453 ◽  
Author(s):  
Asbjørn Aakvaag
Keyword(s):  
Liquid Scintillation ◽  
Specific Activity ◽  
Ovarian Tissue ◽  
Gas Liquid Chromatography ◽  
Similar Concentration ◽  
Endogenous Substrates ◽  
Exogenous Progesterone ◽  
Relative Utilization ◽  
Radioactive Substrate

ABSTRACT Slices of non-luteinized porcine ovaries have been incubated in the presence or absence of human chorionic gonadotrophin (HCG) and exogenous radioactive substrates. Progesterone, 17α-hydroxyprogesterone and androstenedione were isolated in a radiochemically pure form. The chemical mass and the specific activity were determined by gas liquid chromatography and liquid scintillation spectrometry. HCG stimulated the rate of formation of androstenedione in the absence of exogenous substrates with a factor of 4–8. In the presence of pregnenolone or progesterone at a concentration of about 2 × 10−6 mol/l the stimulatory effect of HCG was either abolished or markedly reduced. The conversion of exogenous progesterone to androstenedione was reduced in response to HCG indicating that the capacity of the tissue to convert progesterone to androstenedione was limited, and that the limit was reached at this rather low substrate concentration. These findings furthermore suggest that the endogenous rather than the exogenous radioactive substrate will be »preferred« by the tissue. The observations demonstrate the necessity of measuring both the radioactivity and the chemical mass of the products in investigations of this type using radioactive substrates. The formation of progesterone from endogenous substrates was also stimulated by HCG. [1-14C] acetate and [7α-3H]cholesterol were not utilized by the tissue for steroid formation. Exogenous [4-14C] pregnenolone and [7α-3H] progesterone in similar concentration were both utilized for production of 17α-hydroxyprogesterone and androstenedione. HCG had no effect on the relative utilization of the radioactive substrates.

The mediating role of medical professionalism on financial self-interest GPs

2018 ◽  
Vol 68 (suppl 1) ◽  
pp. bjgp18X697193
Author(s):  
David McCaffrey ◽  
Chris O’Riordan ◽  
Felicity Kelliher
Keyword(s):  
General Practitioners ◽  
Financial Resources ◽  
Medical Professionalism ◽  
Fiscal Constraints ◽  
Policy Initiatives ◽  
Mediating Role ◽  
Documentary Analysis ◽  
Self Interest ◽  
Fluid Interpretation

BackgroundWhile no normative definition exists, medical professionalism emphasises a set of values, behaviours and relationships that underpin public trust in a physician. The empirical setting for this study is the Irish health care system where GPs receive income through a unique mix of private fee income and state funded capitation. GPs’ income per patient has fallen by 33% under state schemes between 2008 and 2013 due to changes in health policy and national fiscal constraints.AimThis paper examines how general practitioners conceptualise and operationalise medical professionalism and financial self-interest in the Irish healthcare system.MethodTo address this research aim, a historical documentary analysis (2009–2016) of national and medical newspapers was used to investigate GPs’ expressions of medical professionalism and financial self-interest.ResultsThe vagueness of language in differing definitions of medical professionalism may lead to a GP having a fluid interpretation depending on the situation. While general practitioners expressed core humanistic values, such as empathy and compassion, the expression of altruistic values were limited when practitioners indicated there was constraint on the financial resources of a practice.ConclusionCentral to the analysis of a medical practitioner’s treatment of patients and receipt of fee income is the tension between medical professionalism and financial self-interest. Developing an understanding of this tension has implications for those undertaking healthcare policy initiatives and the recruitment and retention of general practitioners in primary care.

Designing for Dissemination in Chronic Disease Prevention and Management

2017 ◽  
Author(s):  
Neville Owen ◽  
Ana Goode ◽  
Takemi Sugiyama ◽  
Mohammad Javad Koohsari ◽  
Genevieve Healy ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Cost Effectiveness ◽  
Health Behavior Change ◽  
The Other ◽  
Research Quality ◽  
Policy Initiatives ◽  
Rigorous Study ◽  
Behavior Change Program

This chapter emphasizes the need for research that is designed and implemented explicitly with dissemination in mind. This is illustrated in relation to environmental and policy initiatives to influence physical activity through active transport, and through the example of initiatives to reduce workplace sitting. The other element of this chapter, the broad-reach intervention-dissemination case study of a health behavior-change program, highlights the need to maintain key elements of research quality in designing for dissemination, to the extent that is practically possible: a rigorous study design; the systematic tracking of implementation and related costs; and, the conduct of dose-response, maintenance and cost-effectiveness analyses. These examples of designing for dissemination illustrate not only the exciting opportunities for real-world dissemination research, but also the resourcefulness and commitment required for success.

Poverty, Risk, and Resilience

2018 ◽  
Author(s):  
Silvia H. Koller ◽  
Juliana Prates Santana ◽  
Marcela Raffaelli
Keyword(s):  
Social Policy ◽  
Children And Adolescents ◽  
Street Children ◽  
Risk And Resilience ◽  
Ethical Challenges ◽  
Street Life ◽  
Daily Lives ◽  
Research And Practice ◽  
Policy Initiatives ◽  
Poverty Risk

This chapter aims to present a selective review that can be used to identify some contradictions about street life; once recognized, this knowledge may be used to inform interventions and social policy initiatives. We begin by defining street children and adolescents; examining evidence of vulnerability and resilience in research on the daily lives of street-involved youth; discussing methodological and ethical challenges to advancing understanding of this population; and examining how research with street-involved youth can be used to advance local and global practice and policy. Our aim is to present literature from around the globe, but our discussion is informed by—and draws on—our long-standing program of research and practice in Brazil.

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