scholarly journals P97 Palliative care provision is associated with reduced prevalence of death in hospital: Population-level panel data from 30 European countries in the years 2005–2017

Author(s):  
JingJing Jiang ◽  
Peter May
2021 ◽  
Vol 26 (6) ◽  
pp. 4538
Author(s):  
A. S. Alieva ◽  
O. V. Reutova ◽  
E. I. Pavlyuk ◽  
D. V. Duplyakov ◽  
A. V. Khripun ◽  
...  

Despite the advances in lipidology over the past decade, the control of dyslipidemia at the population level in Russia, as in a number of European countries, remains unsatisfactory. The need for novel organizational approaches to solving the problem at the regional and federal levels is obvious. This publication provides an overview of the implemented projects and the successful practical experience of lipid centers in Russia, as well as the prospects for the development of novel models that will optimize the care provision for patients with lipid metabolism disorders at the population level.


Author(s):  
Matthew Hotopf

Depression in palliative care is common, under-recognised and has significant impacts for sufferers. There are effective treatments but often a shortage of staff to provide them. This chapter sets out a number of key issues to consider when assessing and treating individual patients and considers the way in which palliative care services can innovate to provide a population level response to depression. Palliative care staff can be trained to deliver basic depression care and follow simple protocols to initiate, monitor and adjust antidepressant treatment. These approaches have been tested in trials in cancer care but the challenge is to take these approaches from research trials conducted in centres of excellence with good resources, to other settings.


Mathematics ◽  
2021 ◽  
Vol 9 (9) ◽  
pp. 1061
Author(s):  
Patricia Carracedo ◽  
Ana Debón

In the past decade, panel data models using time-series observations of several geographical units have become popular due to the availability of software able to implement them. The aim of this study is an updated comparison of estimation techniques between the implementations of spatiotemporal panel data models across MATLAB and R softwares in order to fit real mortality data. The case study used concerns the male and female mortality of the aged population of European countries. Mortality is quantified with the Comparative Mortality Figure, which is the most suitable statistic for comparing mortality by sex over space when detailed specific mortality is available for each studied population. The spatial dependence between the 26 European countries and their neighbors during 1995–2012 was confirmed through the Global Moran Index and the spatiotemporal panel data models. For this reason, it can be said that mortality in European population aging not only depends on differences in the health systems, which are subject to national discretion but also on supra-national developments. Finally, we conclude that although both programs seem similar, there are some differences in the estimation of parameters and goodness of fit measures being more reliable MATLAB. These differences have been justified by detailing the advantages and disadvantages of using each of them.


2021 ◽  
pp. 1-7
Author(s):  
H. Khalil ◽  
M. Garett ◽  
A. Byrne ◽  
P. Poon ◽  
K. Gardner ◽  
...  

Abstract Objective End-of-life and anticipatory medications (AMs) have been widely used in various health care settings for people approaching end-of-life. Lack of access to medications at times of need may result in unnecessary hospital admissions and increased patient and family distress in managing palliative care at home. The study aimed to map the use of end-of-life and AM in a cohort of palliative care patients through the use of the Population Level Analysis and Reporting Data Space and to discuss the results through stakeholder consultation of the relevant organizations. Methods A retrospective observational cohort study of 799 palliative care patients in 25 Australian general practice health records with a palliative care referral was undertaken over a period of 10 years. This was followed by stakeholders’ consultation with palliative care nurse practitioners and general practitioners who have palliative care patients. Results End-of-life and AM prescribing have been increasing over the recent years. Only a small percentage (13.5%) of palliative care patients received medications through general practice. Stakeholders’ consultation on AM prescribing showed that there is confusion about identifying patients needing medications for end-of-life and mixed knowledge about palliative care referral pathways. Significance of results Improved knowledge and information around referral pathways enabling access to palliative care services for general practice patients and their caregivers are needed. Similarly, the increased utility of screening tools to identify patients with palliative care needs may be useful for health care practitioners to ensure timely care is provided.


Energy Policy ◽  
2010 ◽  
Vol 38 (11) ◽  
pp. 6877-6885 ◽  
Author(s):  
António C. Marques ◽  
José A. Fuinhas ◽  
J.R. Pires Manso

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