scholarly journals Accessibility to health services in Italy and in the world

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
G Marchetti ◽  
M Simonelli ◽  
M G Dente ◽  
M Marceca ◽  
S Declich

Abstract Background The Universal Health Coverage (UHC) proposes that an ideal health system must be able to extend the health coverage to the whole population (universality), to guarantee all the necessary services (globality) and to do it without additional direct costs for the people (free of charge). The achievement of the UHC represents the target 3.8 of the Sustainable Developed Goals. The World Health Organization and the World Bank have developed an index to monitor the UHC (an algorithm that contains 16 indicators of essential health services), while for financial protection they rely on the incidence of catastrophic expenditure on health (percentage of families in which the living expenses for health without reimbursement exceed the10% of consumption). Objectives To strengthen the Italian operators' knowledge about the accessibility to health services in Italy and in countries around the world utilizing the UHC index and the incidence of catastrophic expenditure. Results The National Center for Global Health of the Italian National Institute of Health (ISS) collected the documents and the data already produced and validated by the international scientific community. ISS in collaboration with the Department of Public Health and Infectious Disease of Sapienza University of Rome developed a workshop training program to bring the UHC concepts at national level in a simplified manner. This was developed in order to encourage a reflection and to strengthen the understanding of the complexity of the UHC. The framework and the program of the workshop will be presented during the conference. Conclusions Studying the UHC means focusing on the inequalities in health care. To increase the sensibility of professionals may be a resource to promote the health coverage for all in the national territory. Key messages Encouraging the discussion between professionals is possible to understand the complexity of the UHC. The achievement of the UHC may happen only through the improving of the knowledge about it.

2020 ◽  
Vol 5 (3) ◽  
pp. 142-151
Author(s):  
@febri Laksana

World health organization, WHO, guarantees that every  community in the world gets a good standard of health services. Through Universal Health Coverage, it is hoped that countries around the world are able to raise the level of health services that have so far been overlooked. This is done as an effort to guarantee human rights that guarantee rights freedom of life and the right to health services. But the health standard system (UHC) is still lacking in its application in Indonesia. This is seen from several important points that occur in Indonesia. Hospital facilities are still inadequate, especially hospitals in the region. In this paper I will provide information regarding evaluations carried out on the health insurance program in Indonesia with case studies of how to deal with Covid 19 in Indonesia whether it is in accordance with health standards or not.


2020 ◽  
Vol 11 (SPL1) ◽  
pp. 748-752
Author(s):  
Swapnali Khabade ◽  
Bharat Rathi ◽  
Renu Rathi

A novel, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), causes severe acute respiratory syndrome and spread globally from Wuhan, China. In March 2020 the World Health Organization declared the SARS-Cov-2 virus as a COVID- 19, a global pandemic. This pandemic happened to be followed by some restrictions, and specially lockdown playing the leading role for the people to get disassociated with their personal and social schedules. And now the food is the most necessary thing to take care of. It seems the new challenge for the individual is self-isolation to maintain themselves on the health basis and fight against the pandemic situation by boosting their immunity. Food organised by proper diet may maintain the physical and mental health of the individual. Ayurveda aims to promote and preserve the health, strength and the longevity of the healthy person and to cure the disease by properly channelling with and without Ahara. In Ayurveda, diet (Ahara) is considered as one of the critical pillars of life, and Langhana plays an important role too. This article will review the relevance of dietetic approach described in Ayurveda with and without food (Asthavidhi visheshaytana & Lanhgan) during COVID-19 like a pandemic.


2020 ◽  
Author(s):  
Jeya Sutha M

UNSTRUCTURED COVID-19, the disease caused by a novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), is a highly contagious disease. On January 30, 2020 the World Health Organization declared the outbreak as a Public Health Emergency of International Concern. As of July 25, 2020; 15,947,292 laboratory-confirmed and 642,814 deaths have been reported globally. India has reported 1,338,928 confirmed cases and 31,412 deaths till date. This paper presents different aspects of COVID-19, visualization of the spread of infection and presents the ARIMA model for forecasting the status of COVID-19 death cases in the next 50 days in order to take necessary precaution by the Government to save the people.


2021 ◽  
Vol 29 (Supplement_1) ◽  
pp. i45-i46
Author(s):  
A Peletidi ◽  
R Kayyali

Abstract Introduction Obesity is one of the main cardiovascular disease (CVD) risk factors.(1) In primary care, pharmacists are in a unique position to offer weight management (WM) interventions. Greece is the European country with the highest number of pharmacies (84.06 pharmacies per 100,000 citizens).(2) The UK was chosen as a reference country, because of the structured public health services offered, the local knowledge and because it was considered to be the closest country to Greece geographically, unlike Australia and Canada, where there is also evidence confirming the potential role of pharmacists in WM. Aim To design and evaluate a 10-week WM programme offered by trained pharmacists in Patras. Methods This WM programme was a step ahead of other interventions worldwide as apart from the usual measuring parameters (weight, body mass index, waist circumference, blood pressure (BP)) it also offered an AUDIT-C and Mediterranean diet score tests. Results In total,117 individuals participated. Of those, 97.4% (n=114), achieved the programme’s aim, losing at least 5% of their initial weight. The mean % of total weight loss (10th week) was 8.97% (SD2.65), and the t-test showed statistically significant results (P<0.001; 95% CI [8.48, 9.45]). The programme also helped participants to reduce their waist-to-height ratio, an early indicator of the CVD risk in both male (P=0.004) and female (P<0.001) participants. Additionally, it improved participants’ BP, AUDIT-C score and physical activity levels significantly (P<0.001). Conclusion The research is the first systematic effort in Greece to initiate and explore the potential role of pharmacists in public health. The successful results of this WM programme constitute a first step towards the structured incorporation of pharmacists in public’s health promotion. It proposed a model for effectively delivering public health services in Greece. This study adds to the evidence in relation to pharmacists’ CVD role in public health with outcomes that superseded other pharmacy-led WM programmes. It also provides the first evidence that Greek pharmacists have the potential to play an important role within primary healthcare and that after training they are able to provide public health services for both the public’s benefit and their clinical role enhancement. This primary evidence should support the Panhellenic Pharmaceutical Association, to “fight” for their rights for an active role in primary care. In terms of limitations, it must be noted that the participants’ collected data were recorded by pharmacists, and the analysis therefore depended on the accuracy of the recorded data, in particular on the measurements or calculations obtained. Although the sample size was achieved, it can be argued that it is small for the generalisation of findings across Greece. Therefore, the WM programme should be offered in other Greek cities to identify if similar results can be replicated, so as to consolidate the contribution of pharmacists in promoting public health. Additionally, the study was limited as it did not include a control group. Despite the limitations, our findings provide a model for a pharmacy-led public health programme revolving around WM that can be used as a model for services in the future. References 1. Mendis S, Puska P, Norrving B, World Health Organization., World Heart Federation., World Stroke Organization. Global atlas on cardiovascular disease prevention and control [Internet]. Geneva: World Health Organization in collaboration with the World Heart Federation and the World Stroke Organization; 2011 [cited 2018 Jun 26]. 155 p. Available from: http://www.who.int/cardiovascular_diseases/publications/atlas_cvd/en/ 2. Pharmaceutical Group of the European Union. Pharmacy with you throughout life:PGEU Annual Report [Internet]. 2015. Available from: https://www.pgeu.eu/en/library/530:annual-report-2015.html


2020 ◽  
Vol 132 (4) ◽  
pp. 1256-1260 ◽  
Author(s):  
Gail Rosseau ◽  
Walter D. Johnson ◽  
Kee B. Park ◽  
Peter J. Hutchinson ◽  
Laura Lippa ◽  
...  

Global neurosurgery is the practice of neurosurgery with the primary purpose of delivering timely, safe, and affordable neurosurgical care to all who need it. This field is led by neurosurgeons, and global neurosurgery sessions are now part of every major international neurosurgical meeting. The World Federation of Neurosurgical Societies (WFNS) is working to coordinate activities and align all related activities for greater impact. This report updates the contributions made by the WFNS-WHO Liaison Committee at the most recent World Health Assembly (WHA) in 2019. The WHA is a decision-making body of the World Health Organization (WHO), attended by its 194 Member States. The WFNS has maintained official relations as a nongovernmental organization with the WHO for over 30 years, and this year 15 neurosurgical delegates attended events during the WHA. Participation by neurosurgeons continues to grow as many WHA events focused on global surgery have intrinsically involved neurosurgical leadership and participation. This year, resolution WHA72.31, entitled “Emergency and trauma care, Emergency care systems for universal health coverage: ensuring timely care for the acutely ill and injured,” was passed. This resolution provides further opportunities for neurosurgical advocacy as the landscape of global surgery gains recognition and momentum.


2012 ◽  
Vol 42 (2) ◽  
pp. 341-357 ◽  
Author(s):  
Debabar Banerji

Two major research studies carried out in India fundamentally affected tuberculosis treatment practices worldwide. One study demonstrated that home treatment of the disease is as efficacious as sanatorium treatment. The other showed that BCG vaccination is of little protective value from a public health viewpoint. India had brought together an interdisciplinary team at the National Tuberculosis Institute (NTI) with a mandate to formulate a nationally applicable, socially acceptable, and epidemiologically sound National Tuberculosis Programme (NTP). Work at the NTI laid the foundation for developing an operational research approach to dealing with tuberculosis as a public health problem. The starting point for this was not operational research as enunciated by experts in this field; rather, the NTI achieved operational research by starting from the people. This approach was enthusiastically welcomed by the World Health Organization's Expert Committee on Tuberculosis of 1964. The NTP was designed to “sink or sail with the general health services of the country.” The program was dealt a major blow when, starting in 1967, a virtual hysteria was worked up to mobilize most of the health services for imposing birth control on the people. Another blow to the general health services occurred when the WHO joined the rich countries in instituting a number of vertical programs called “Global Initiatives.” An ill-conceived, ill-designed, and ill-managed Global Programme for Tuberculosis was one outcome. The WHO has shown rank public health incompetence in taking a very casual approach to operational research and has been downright quixotic in its thinking on controlling tuberculosis worldwide.


1956 ◽  
Vol 10 (3) ◽  
pp. 489-491

The activities of the World Health Organization (WHO) during 1955 were surveyed in the anuual report to the World Health Assembly and to the UN of the WHO Director-General, Dr. Marcoline G. Candau. During 1955, Dr. Candau stated, substantial results had been achieved in three categories of programs: the fight against communicable diseases, the strengthening of national health services, and the raising of standards of education and training for all types of health personnel. Malaria, tuberculosis, poliomyelitis, and trachoma were among the communicable diseases towards the eradication of which WHO activities had been directed, with in many instances considerable progress. However, it had become increasingly evident that the beneficial effects of such campaigns against disease could only constitute concrete gains for public health if national health services could be effectively strengthened, and during 1955 a large part of WHO's work had continued to be devoted to that aim, in all regions but particularly in the Americas, southeast Asia and the eastern Mediterranean. In the development of national health services, particular attention had been devoted to such matters as the principle of program integration, nutrition and health education, changes in health services necessitated by the aging of populations, mental health, and environmental sanitation. In regard to education and training of health personnel, an effort had been made in the regions to increase the use of all methods which had proved their value in the past, including direct training of health personnel at all levels, provision of fellowships for study abroad, assistance to institutions and the sponsoring of international conferences, training courses and seminars.


2020 ◽  
Vol S.I. (1) ◽  
pp. 60-66
Author(s):  
Alexandru Trifu ◽  

In this study we are dealing with a new aspect of the problem in discussion that is the pursuing of Happiness, supported by institutions and regulations in the domain, but in moments of disturbances, in moments of crisis. We need to have goals, actions to be accomplished, in order to achieve the desired state of satisfaction or Happiness that anyone can have. We are in the presence of a double determination: the first one is represented by the material, especially money background, influencing the life and activities of households and entities and, the second one is represented by the reverse action that is of Happiness affecting the management and the activities of individuals, households and firms/organizations. The survey of the literature in the field, data from the World Health Organization, from the national authorities, analyses of the specialists in healthcare and economics, reports of the people in difficult health and economic situations are used in order to be able to synthesize the situation at this moment and possible forecasts regarding medical healing and economic recovery of the countries. Nothing is hard to manage, if you have knowledge, required abilities/skills to anticipate challenges or to make fast and right decisions, altogether at Micro and Macro-levels, in the benefit of all parts involved in. The huge interest is to reestablish the economies, mental health of people, i.e. the elements of a functional economic infrastructure.


Indian pharmaceutical industry (IPI) has traversed through many phases and it is in emerging phase now (2019). IPI is looking for innovation, creativity, newness in patient connect to perform different activities to achieve their stated goals. According to a recent World Health Organization report, approximately 50% of the people with chronic illness do not take their medication as prescribed [1]. Medication NonAdherence is a huge problem across the world. Pharmaceutical companies across the world manufacture medicines with set of standard operating procedures, guidelines, quality execution systems, inspection and verification from quality control and quality assurance activities. The very intention of producing medicines is to sell them to the patients who are in need. The last thing Pharmaceutical companies expects from Health Care Professional (HCP) is to write the prescription and patient carrying it to Pharmacy to buy the medicine. The medicines for chronic illness are expensive in general. Despite having the prescriptions for medicines, there are plethora of reasons for Patient not to buy them. One of the most remarkable reason is – ‘the medicine costs are exorbitant’. If the medicines are not taken in case of the chronic illness, the patient’s quality of life degrades over a period of time, eventually resulting to fatality. This is a known concern to Pharmaceutical companies and new methods are invented to address the need for supporting the Patient at difficult times. This paper made an attempt to introduce predictive analytics based financial assistance model for chronic care patients in India.


2020 ◽  
Vol 23 (10) ◽  
pp. 707-711
Author(s):  
Leila Mounesan ◽  
Ehsan Mostafavi

The honorable Abdul Hussein Tabatabaei was born in 1911 in Iran and received his medical education in the United Kingdom. Famously known as Dr. A.H. Taba, he was a well-respected man for his significant impact on the improvement of the national and global healthcare services and support for social justice. Before joining the World Health Organization (WHO), he was twice elected to the Iranian national assembly and served as the under-secretary of health services in Iran. Later, he joined the WHO and was elected as the Director of the Eastern Mediterranean Region (EMRO) in Alexandria in 1957 – a position he maintained for 25 years. During his tenure as the Regional Director, he rendered valuable assistance to the development and expansion of major health issues such as development and expansion of the health workforce, improvement of the national health services and controlling of various communicable diseases in the member countries and across the WHO regional offices.


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