scholarly journals PNS36 A CONCEPTUAL PAPER ON THE USE OF PATIENT SUPPORT PROGRAMS IN PROVIDING BETTER ACCESS TO MEDICAL CARE IN EGYPT

2019 ◽  
Vol 22 ◽  
pp. S768-S769
Author(s):  
I. Anan ◽  
E. Fetian
2020 ◽  
Vol 32 (5) ◽  
pp. 276-284
Author(s):  
William J. Jefferson

The United States Supreme Court declared in 1976 that deliberate indifference to the serious medical needs of prisoners constitutes the unnecessary and wanton infliction of pain…proscribed by the Eighth Amendment. It matters not whether the indifference is manifested by prison doctors in their response to the prisoner’s needs or by prison guards intentionally denying or delaying access to medical care or intentionally interfering with treatment once prescribed—adequate prisoner medical care is required by the United States Constitution. My incarceration for four years at the Oakdale Satellite Prison Camp, a chronic health care level camp, gives me the perspective to challenge the generally promoted claim of the Bureau of Federal Prisons that it provides decent medical care by competent and caring medical practitioners to chronically unhealthy elderly prisoners. The same observation, to a slightly lesser extent, could be made with respect to deficiencies in the delivery of health care to prisoners of all ages, as it is all significantly deficient in access, competencies, courtesies and treatments extended by prison health care providers at every level of care, without regard to age. However, the frailer the prisoner, the more dangerous these health care deficiencies are to his health and, therefore, I believe, warrant separate attention. This paper uses first-hand experiences of elderly prisoners to dismantle the tale that prisoner healthcare meets constitutional standards.


1993 ◽  
Vol 16 (3) ◽  
pp. 251-277 ◽  
Author(s):  
David G. Gil

Medical Care ◽  
1981 ◽  
Vol 19 (Supplement) ◽  
pp. 4-27 ◽  
Author(s):  
Lu Ann Aday ◽  
Ronald M. Andersen

Author(s):  
Kolyagina N.M. ◽  
Berezhnova T.A. ◽  
Kulintsova Ya.V. ◽  
Elistratova O.S. ◽  
Drapalyuk M.A.

Relevance. Exacerbation of the disease, as a rule, leads to the patient seeking medical help. In this regard, data on the population's access to medical care can serve as an indicator of the exacerbation of the disease. Aim: to analyze meteorological risk factors that contribute to the development of cardiovascular diseases. Material and methods. The ratio of the average number of cases of requests for medical care on unfavorable days for meteorological factors to the average number of cases of requests per day for medical care during the year was calculated. Using software tools (STATISTICA Base V6. 1), the type of data distribution was estimated, and a correlation analysis of the likely relationship between the number of medical care requests and the indicators of meteorological factors was carried out. Results. As a result of the study, it was found that the average number of cases of medical care requests on hot days (air temperature over + 300C) is 1.1-1.4 times higher than the average number of cases of requests per day for the same reasons (diagnoses) during the year and is abnormal for the territory of the city of Voronezh, due to such diagnoses as hypertension without heart failure, brain vascular lesions (specified), cerebrovascular disease, hypertension with heart failure. Conclusions. Thus, it was found that one of the meteorological risk factors for the formation of cardiovascular pathology is high air temperature (above + 300C), which is the goal for the implementation of the main directions of prevention of increased weather sensitivity and treatment of weather-dependent patients.


Theology ◽  
2018 ◽  
Vol 121 (2) ◽  
pp. 95-102 ◽  
Author(s):  
Therese Feiler

The responsibilization of patients for their disease and care may imply reduced access to medical care or overly moralize the doctor–patient relationship. This article first examines Luther’s early readings of the penitential Psalms, in which he transposes the nexus between sin and disease into the sphere of faith. His subsequent emphasis on the imputation of salvation further diminishes responsibilization: medical and pastoral care become distinct. This will be contrasted with Calvin’s cathartic, forward-looking understanding of disease and with Melanchthon’s moralist merging of humanism and theology into dietetics. These theological tendencies all represent present-day options.


Author(s):  
Valeria N. Pospelova ◽  
Boris A. Minko ◽  
Svetlana M. Gelbutovskaya ◽  
Egor A. Strogonov

Introduction. The fundamental strategic objective of the national health care was to increase the life expectancy of Russians including the early detection and treatment of cancer, remaining in recent years the leading cause of mortality, and therefore ensuring the availability of diagnostic studies for patients conducted for early diagnosis and control of treatment was extremely urgent. The objective of the study was to assess the volume and economic indicators of the availability of studies by computer tomography and magnetic resonance imaging (CT, MRI) for patients.Material and methods. The basis for the study – all cases of CT and MRI studies in patients under the program of state guarantees of free medical care for citizens in St. Petersburg in the dynamics of 5 years. The data were statistically processed using the methods of variation statistics.Results. Over the last 5 years in St. Petersburg, the number of medical organizations conducting CT and MRI in patients under the program of state guarantees has been doubled (CT: 37 medical organizations in 2013, 63 – in 2018; MRI: 32 medical organizations in 2013, 65 – in 2018), and there was a significant increase in the number of studies by these methods. In 2017, the number of CT scans was 106028, MRI – 107503 that was more than 2 times higher the number of studies conducted in 2013: 44799 and 56090, respectively. The role of these studies for the diagnosis of tumor process was significant: 67.3 % of CT and 46.6 % of MRI were performed for this purpose. The increase in the number of studies was accompanied by the increase in tariffs and costs of the system of compulsory health insurance for their implementation.Conclusion. In St. Petersburg, sufficient conditions was created to ensure the volume and financial indicators of access to medical care for patients with cancer (suspected cancer) in need of CT and MRI. At following planning for the development of this type of care, it was advisable to take into account the research needs of residents of certain districts in St. Petersburg.


2021 ◽  
Vol 111 (S2) ◽  
pp. S101-S106
Author(s):  
Elizabeth B. Pathak ◽  
Rebecca B. Garcia ◽  
Janelle M. Menard ◽  
Jason L. Salemi

Objectives. To examine age and temporal trends in the proportion of COVID-19 deaths occurring out of hospital or in the emergency department and the proportion of all noninjury deaths assigned ill-defined causes in 2020. Methods. We analyzed newly released (March 2021) provisional COVID-19 death tabulations for the entire United States. Results. Children (younger than 18 years) were most likely (30.5%) and elders aged 64 to 74 years were least likely (10.4%) to die out of hospital or in the emergency department. In parallel, among all noninjury deaths, younger people had the highest proportions coded to symptoms, signs, and ill-defined conditions, and percentage symptoms, signs, and ill-defined conditions increased from 2019 to 2020 in all age–race/ethnicity groups. The majority of young COVID-19 decedents were racial/ethnic minorities. Conclusions. The high proportions of all noninjury deaths among children, adolescents, and young adults that were coded to ill-defined causes in 2020 suggest that some COVID-19 deaths were missed because of systemic failures in timely access to medical care for vulnerable young people. Public Health Implications. Increasing both availability of and access to the best hospital care for young people severely ill with COVID-19 will save lives and improve case fatality rates.


BMJ ◽  
1999 ◽  
Vol 319 (7223) ◽  
pp. 1496-1496
Author(s):  
M. Reynolds ◽  
M. Doublet-Stewart

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