scholarly journals Regional Palliative Care Program in Extremadura: An Effective Public Health Care Model in a Sparsely Populated Region

2007 ◽  
Vol 33 (5) ◽  
pp. 591-598 ◽  
Author(s):  
Emilio Herrera ◽  
Javier Rocafort ◽  
Liliana De Lima ◽  
Eduardo Bruera ◽  
Francisco García-Peña ◽  
...  
2021 ◽  
Author(s):  
Tiansheng Xie ◽  
Fumin Liu ◽  
Nanping Wu

Abstract Objective By investigating the large-scale HIV antibody screening of more than 1 million people, we explored weather the strategy of integrated universal HIV testing in a public health care program was useful. Methods We used a multi-stage stratified random cluster sampling method in a community-based investigation of 30 sample points within 9 counties in the Zhejiang province. The HIV antibody was detected, and demographic information was collected. Results Of the 1 113 030 people screened for HIV, 310 tested positive (adjusted HIV prevalence, 3.45/10000; 95% confidence interval [CI], 3.41–3.48). The HIV prevalence was higher in men(5.62/10000 ) than in women(1.17/10000) of all ages; those in the 25–34 and 35–44 age groups were highest (compared with the < 15 age group, the adjusted odds ratios were 25.69 and 18.48, respectively). The HIV prevalence at the medium gross domestic product (GDP) level (adjusted HIV prevalence, 5.28/10000; 95% CI, 4.53–6.04) was significantly higher than those at high and low GDP levels Especially in the male 25–34 and 35–44 age groups. Compared with the native HIV positive population, the migrants were younger, did not have a stable sexual partner, and had a lower level of education. Conclusion By using universal HIV testing integrated into a public health care program was feasible and (perhaps) effective in finding new HIV cases. We should pay more attention to the 25–44 age male population, as well as migrants in our HIV/AIDS control strategies, especial in industrial activity district.


Author(s):  
Prabhat K. Dwivedi

Purpose – The purpose of this paper is to develop an improvised sustainable health-care model by integrating best practices, innovations and new dimensions to the present public health-care system – National Rural Health Mission (NRHM) – for improving the health status of the bottom of pyramid (BoP) in India. Design/methodology/approach – The contribution of NRHM in ensuring the availability of health-care services and improving health indicators has been assessed. Some unique proven models of excellent health-care services and innovations have also been considered in designing an improvised health-care model. The empirical context takes the use of case study research methodology. The data have been extracted from various relevant papers, reports and websites. Findings – Despite substantial augmentation in health infrastructure and human resources, increased local engagement and technology integration, the progress in health indicators during the NRHM has not been fairly better than that before. The present paper provides an improvised model that integrates all the potential stakeholders such as Government, Private health-care services providers, pharmaceutical and insurance companies and BoP community itself to ensuring 5As rather than 4As (Prahalad, 2004) in rural health care. Research limitations/implications – This study has relied mainly upon the secondary sources of data and some published case studies. The model is a hypothetical framework designed exclusively for rural setups of India. Practical implications – The study shows the ways and invites all the stakeholders to come forward and build hybrid partnerships not only to develop society but also to develop sustainable BoP markets and earn profits. Originality/value – The paper brings forth the aspects of achievements and limitations of NRHM in improving BoP health status, and it develops an improvised model to achieve the BoP-health objectives.


Author(s):  
Adam D. Reich

This chapter examines a paradox of GroupCare Hospital's palliative care program. On the one hand, GroupCare created a space for intimacy, honesty, and personal connection that has become exceedingly rare in the U.S. medical system. On the other hand, GroupCare considered the palliative care program to be consistent with its goal of “appropriate utilization” and likely would not have invested such resources in the program had it not been seen as economically efficient. This chapter shows that the staff at GroupCare tended to believe that through evidence-based medicine, technical savvy, and systems integration, it could make the mission of health care and the market for health care consistent with and supportive of one another. It also considers how GroupCare seemed to have succeeded in taming the market for hospital care and aligning the health of its membership with the economic interests of the organization and the practitioners within it.


2014 ◽  
Vol 152-154 ◽  
pp. 513-516 ◽  
Author(s):  
Leandro Ciulla ◽  
Eduardo Lopes Nogueira ◽  
Irenio Gomes da Silva Filho ◽  
Guilherme Levi Tres ◽  
Paula Engroff ◽  
...  

2012 ◽  
Vol 7 (1) ◽  
pp. 163-171
Author(s):  
Tatsuya Morita ◽  
Chizuru Imura ◽  
Yoshiko Nozue ◽  
Satoshi Suzuki ◽  
Mie Shibuya ◽  
...  

2020 ◽  
Vol 6 (5) ◽  
pp. 152-156
Author(s):  
Onpicha Ketphan ◽  
Siripattra Juthamanee ◽  
Sarah Jane Racal ◽  
Dussanee Bunpitaksakun

The COVID-19 pandemic has caused people worldwide, such as in Thailand, to be frightened of being infected from the coronavirus. Exposure to media - including unreliable news sources - trigger people's stress and anxiety. This leads to increased mental health problems and psychiatric disorders in the population, resulting in higher suicide rates. Furthermore, this also affects medical and public health care staff working until emotional exhaustion and physical health deterioration. The ongoing fight against the outbreak of the COVID-19 virus increases the likelihood of pressure, stress, and anxiety. Therefore, a mental health care model for the people of Thailand is necessary. With the appropriate format for people to receive correct information, people will be more likely to accept changes, think logically and positively, not be discouraged, and be ready to improve themselves and their mental health.


Cureus ◽  
2020 ◽  
Author(s):  
Sami A Alshammary ◽  
Balaji Punalvasal Duraisamy ◽  
Lobna Salem ◽  
Abdullah Altamimi

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