scholarly journals Injury-Related Emergency Department Visits After Hurricane Maria in a Southern Puerto Rico Hospital

2019 ◽  
Vol 14 (1) ◽  
pp. 63-70 ◽  
Author(s):  
Verónica M. Frasqueri-Quintana ◽  
Carene A. Oliveras García ◽  
Laura E. Adams ◽  
Xiomara Torres-Figueroa ◽  
Rafael Iván Iriarte ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Emergency Department ◽  
Puerto Rico ◽  
Informed Consent ◽  
Natural Disaster ◽  
Emergency Department Visits ◽  
Primary Reason ◽  
Health Care Needs ◽  
Care Needs

ABSTRACTObjective:The aim of this study was to describe individuals seeking care for injury at a major emergency department (ED) in southern Puerto Rico in the months after Hurricane Maria on September 20, 2017.Methods:After informed consent, we used a modified version of the Natural Disaster Morbidity Surveillance Form to determine why patients were visiting the ED during October 16, 2017–March 28, 2018. We analyzed visits where injury was reported as the primary reason for visit and whether it was hurricane-related.Results:Among 5 116 patients, 573 (11%) reported injury as the primary reason for a visit. Of these, 10% were hurricane-related visits. The most common types of injuries were abrasions, lacerations, and cuts (43% of all injury visits and 50% of hurricane-related visits). The most common mechanisms of injury were falls, slips, trips (268, 47%), and being hit by/or against an object (88, 15%). Most injury visits occurred during the first 3 months after the hurricane.Conclusions:Surveillance after Hurricane Maria identified injury as the reason for a visit for about 1 in 10 patients visiting the ED, providing evidence on the patterns of injuries in the months following a hurricane. Public health and emergency providers can use this information to anticipate health care needs after a disaster.

Transitions in “Privatized” Prison Health Systems: Emergency Department Visits and Hospitalizations Among Incarcerated People in Florida, 2011–2018

2021 ◽  
pp. e1-e4
Author(s):  
Jessica L. Adler ◽  
Weiwei Chen ◽  
Timothy F. Page
Keyword(s):  
Public Health ◽  
Health Care ◽  
Emergency Department ◽  
Hospital Discharge ◽  
Emergency Department Visits ◽  
Care Utilization ◽  
Discharge Data ◽  
Prison Health ◽  
Discharge Rates ◽  
Care Problems

Objectives. To examine rates of emergency department (ED) visits and hospitalizations among incarcerated people in Florida during a period when health care management in the state’s prisons underwent transitions. Methods. We used Florida ED visit and hospital discharge data (2011–2018) to depict the trend in ED visit and hospital discharge rates among incarcerated people. We proxied incarcerated people using individuals admitted from and discharged or transferred to a court or law enforcement agency. We fitted a regression with year indicators to examine the significance of yearly changes. Results. Among incarcerated people in Florida, ED visit rates quadrupled, and hospitalization rates doubled, between 2015 and 2018, a period when no similar trends were evident in the nonincarcerated population. Public Health Implications. Increasing the amount and flexibility of payments to contractors overseeing prison health services may foster higher rates of hospital utilization among incarcerated people and higher costs, without addressing major quality of care problems. Hospitals and government agencies should transparently report on health care utilization and outcomes among incarcerated people to ensure better oversight of services for a highly vulnerable population. (Am J Public Health. Published online ahead of print March 18, 2021: e1–e4. https://doi.org/10.2105/AJPH.2020.305988 )

scholarly journals Therapeutic budget modelling: a possible road to budgetary allocations in the public health care setting

2007 ◽  
Vol 12 (2) ◽  
Author(s):  
George K John ◽  
Martie S Lubbe ◽  
Jan HP Serfontein
Keyword(s):  
Public Health ◽  
Health Care ◽  
Care Setting ◽  
Public Health Care ◽  
Health Care Needs ◽  
Care Needs ◽  
The Public ◽  
Primary Health ◽  
Health Care Structure ◽  
Care Structure

In South Africa, 70% of the country’s population is dependent on the public health care sector (especially the primary health care structure) for their basic health care needs. Opsomming In Suid-Afrika is 70% van die land se bevolking van die openbare gesondheidsorgsektor (veral die primêre gesondheidsorgstruktuur) afhanklik vir hulle basiese behoeftes aan gesondheidsorg. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

scholarly journals Assessing and Ensuring a Comprehensive System of Services for Children With Special Health Care Needs: A Public Health Approach

2011 ◽  
Vol 101 (2) ◽  
pp. 224-231 ◽  
Author(s):  
Bonnie B. Strickland ◽  
Peter C. van Dyck ◽  
Michael D. Kogan ◽  
Cassie Lauver ◽  
Stephen J. Blumberg ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Special Health Care Needs ◽  
Comprehensive System ◽  
Public Health Approach ◽  
Health Care Needs ◽  
Care Needs ◽  
Special Health Care ◽  
Special Health

Both a ‘magic bullet’ and good aim are required to link public health interests and health care needs in HIV infection

10.1038/73104 ◽  
2000 ◽  
Vol 6 (3) ◽  
pp. 261-262 ◽  
Author(s):  
G.P. Garnett ◽  
L.M. Bartley ◽  
D.W. Cameron ◽  
R.M. Anderson
Keyword(s):  
Public Health ◽  
Health Care ◽  
Hiv Infection ◽  
Magic Bullet ◽  
Health Care Needs ◽  
Care Needs

scholarly journals Health Services Development Resource Assumptions and Planning Guidelines 1990/1991

1990 ◽  
Vol 14 (5) ◽  
pp. 316-316
Author(s):  
M. M. Tannahill
Keyword(s):  
Public Health ◽  
Health Care ◽  
Community Care ◽  
White Paper ◽  
Health Care Needs ◽  
Health Issues ◽  
Care Needs ◽  
Department Of Health ◽  
Health Authorities ◽  
Development Resource

In August 1989 the NHS Management Executive of the Department of Health issued Health Authorities with Circular HC(89)24 which lays down planning guidelines and resource assumptions for 1990/91. In five terse pages, the document sets the scene for the Government's priority health issues over the next two years. Several of these issues are of interest and importance to psychiatrists, as they are concerned with the implementation of the White Paper Caring for People: Community Care in the Next Decade and Beyond. Health Authorities are asked to “identify the health care needs of their populations” and to set targets, based on reports of their Directors of Public Health, to improve the overall health of their population.

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