The Crisis of European Healthcare Systems in the 21st Century: The Patient with Chronic Disease and the Potential Role of Acupuncture in the National Healthcare Systems

Author(s):  
Carlo Maria Giovanardi ◽  
Mauro Devecchi ◽  
Giuseppina M. Farella ◽  
Alessandra Poini ◽  
Giuseppe Tallarida
Complexity ◽  
2019 ◽  
Vol 2019 ◽  
pp. 1-12 ◽  
Author(s):  
Andrzej Bielecki ◽  
Sylwia Nieszporska

National healthcare systems in all countries do not act effectively. Therefore, especially strategies for introducing organizational innovation to public organization should be considered. The problem is how to organize the research in this field. One of the generally accepted solutions is the systemic approach to healthcare systems. In this paper multiagent systems theory and autonomous systems theory are applied to the analysis of main types of healthcare systems. Such analysis allows us to consider the system properties: the level of the autonomy, energy dissipation in the system, the payoff specificity (in the meaning of game theory), functional role of the agents in the system, the level of the agents’ cooperation, and delays in flows of money, requests, rules, and controls. As a result, some new functionalities of the healthcare system on the national level have been found and analysed. The aforementioned parameters are good tools to analyse the system functionality.


2002 ◽  
Vol 17 (4) ◽  
pp. 311
Author(s):  
Lev S. Belyaev ◽  
Sergei P. Filippov ◽  
Oleg V. Marchenko ◽  
Vladimir N. Tyrtyshnyi

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Lingri ◽  
E Petelos

Abstract The fourth speaker will present the role of HTA in reimbursement, as well as existing pricing frameworks and HTA initiatives, and determining overall access. An overview of constraints and opportunities in terms of establishing legislative frameworks to enable deliberation, transparency will be further discussed. Their importance for national healthcare systems, i.e., payers, and for ensuring system sustainability. Affordability will be examined in terms of effect on individuals, on payers, and on systems.


Author(s):  
Saima Rashid ◽  
Muhammad Faisal Khan ◽  
Rajkumar Rajendram

Ultrasound (US) was introduced in the 1950s and since then its use has increased exponentially. This has been facilitated by significant improvement in the probe technology, increasing access to portable machines and better understanding of lung, heart, abdominal and vascular US. Use of critical care US (CCUS) is now extremely common. It is important for frontline physicians who must make appropriate and timely decisions within seconds. It is safe, convenient and readily available in many centers. The concept of point of care ultrasound (POCUS) differs from US screening by a radiologist or sonographer. It is, rapid focused and goal-orientated. Despite its major limitation, e.g. operator dependence, bedside CCUS can be used for an ever-increasing range of indications. This narrative review will describe the potential role of CCUS as the replacement for the stethoscope in the 21st century and the limitations which must be overcome to achieve this. Received: 3 Nov 2018Reviewed & Accepted: 10 Nov 2018 Citation: Rashid S, Khan MF, Rajendram R. Ultrasound in critical care. Anaesth Pain & Intensive Care 2018;22 Suppl 1:S160-S163


Author(s):  
Emilio Casariego ◽  
Ana Cebrián-Cuenca ◽  
José Llisterri ◽  
Rafael Micó-Pérez ◽  
Domingo Orozco-Beltran ◽  
...  

Background: Chronic diseases are currently the main cause of morbidity and mortality and represent a major challenge to healthcare systems. The objective of this study is to know Spanish public opinion about chronic disease and how it affects their daily lives. Methods: Through a telephone or online survey of 24 questions, data was gathered on the characteristics of the respondents and their knowledge and experiences of chronic diseases. Results: Of the 2522 survey respondents, 325 had a chronic disease and were carers, 1088 had a chronic disease and were not carers, 140 did not have a chronic disease but were carers, and 969 did not have chronic disease and were not carers. The degree of knowledge on these diseases was good or very good for 69.4%, 56.0%, 62.2%, and 46.7%, respectively, for each group. All the groups agreed that chronic diseases mainly affect mood, quality of life and having to make sacrifices. Conclusions: Knowledge about chronic diseases is relatively good, although it can be improved among the Spanish population, especially among patients who report having a chronic disease and play the role of carers. However, it is important to continue maintaining the level of information and training concerning these diseases.


Author(s):  
Amin Daei Sorkhabi ◽  
Aila Sarkesh ◽  
Alireza Daei Sorkhabi ◽  
Taher Entezari-Maleki ◽  
Jalil Rashedi ◽  
...  

Abstract The recent pandemic, severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the causative agent of Coronavirus Disease 2019 (COVID-19) has introduced itself into the human population in the 21st century after the coronavirus diseases SARS-CoV and Middle East respiratory syndrome (MERS-CoV). Major investigations are underway worldwide in the search for pharmaceutical interventions for COVID-19 and many agents are administered in off-label routes. Several cases are under study to check or restrict clinical manifestations of COVID-19. According to the fact that the efficacy of some micro-nutrients like vitamins is proven to treat or prevent infectious diseases because of their antimicrobial and immunomodulatory activity, the potential role of vitamins in the COVID-19 treatment or prevention must be considered.


2021 ◽  
Vol 01 ◽  
Author(s):  
Syeda Marriam Bakhtiar ◽  
Syeda Eeman Zahra Bokhari ◽  
Iqra Riasat ◽  
Erum Dilshad

: COVID-19 or SARS-CoV-2 or 2019-nCov is a pandemic disease that occurred in December 2019 from Wuhan, Hubei Province of China. It was first transmitted from the animal host to a human source, after which it followed human-human transmission and spread exponentially worldwide. Various countries have fallen prey to this virus, but there are certain countries or populations, which have been more affected by this than others. Moreover, the demographics of transmission and affected individuals are also variable from country-country. The purpose of this article is to highlight the non-modifiable risk factors for COVID-19 and their analysis in various populations affecting their susceptibility. Besides age, gender, and blood group, two major genetic factors associated with this disease are discussed here including the potential of IL-6, in causing chronic disease conditions and the rs1800795 G/C-174 IL-6 polymorphism in the IL-6 gene and with the potential role of ACE-2 receptor in viral transmission and pathogenicity with its protective and disease-causing variants.


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