scholarly journals NHS indemnity for medical negligence: its implications

1991 ◽  
Vol 15 (2) ◽  
pp. 79-80 ◽  
Author(s):  
Ram Seth
Keyword(s):  
Major Change ◽  
Health Department ◽  
Local Health Authority ◽  
Local Health ◽  
Medical Practitioners ◽  
Health Authorities ◽  
Dental Practitioners ◽  
Local Health Authorities ◽  
Medical Defence

From 1 January 1990 medical and dental practitioners employed by health authorities were no longer required under the terms of their contracts to subscribe to a medical defence organisation. The health department, however, advised practitioners (DHSS circular) to “maintain their defence body membership in order to ensure they are covered for any work which does not fall within the scope of the indemnity scheme”. The expediency with which the scheme was introduced enabled little discussion on the consequences of such change and surprised medical practitioners and defence organisations alike. This major change in medical indemnity since 1954 will have long-term implications for practitioners, medical defence organisations, local health authorities and most importantly, the quality and quantity of health care which can be delivered. A meeting held on 9 April 1990 at Charter Nightingale Hospital was convened to discuss the implications of the NHS indemnity scheme between senior registrars in psychiatry and representatives from the Medical Defence Union, Medical Protection Society, British Medical Association and the local health authority.

The use of preventable hospitalization for monitoring the performance of local health authorities in long-term care

Health Policy ◽  
2018 ◽  
Vol 122 (3) ◽  
pp. 309-314 ◽  
Author(s):  
Andelija Arandelovic ◽  
Anna Acampora ◽  
Bruno Federico ◽  
Francesco Profili ◽  
Paolo Francesconi ◽  
...  
Keyword(s):  
Long Term Care ◽  
Local Health ◽  
Term Care ◽  
Preventable Hospitalization ◽  
Health Authorities ◽  
Local Health Authorities

scholarly journals Characteristic Temporary Loss of Taste and Olfactory Senses in SARS-CoV-2-positive-Individuals with Mild Symptoms

2020 ◽  
Vol 5 (1) ◽  
pp. 117 ◽  
Author(s):  
Ricarda Maria Schmithausen ◽  
Manuel Döhla ◽  
Heidrun Schößler ◽  
Christin Diegmann ◽  
Bianca Schulte ◽  
...  
Keyword(s):  
Clinical Signs ◽  
Index Patient ◽  
Local Health Authority ◽  
Local Health ◽  
Inclusion Criteria ◽  
Health Authorities ◽  
Survey Participation ◽  
Probable Infection ◽  
Lower Death Rate ◽  
Local Health Authorities

SARS-CoV-2 infection has been characterized as an upper and lower respiratory tract infection with symptoms ranging from sore throat, cough, headache, and fatigue to a severe respiratory syndrome that requires intensive care [1-7]. Although a lower death rate has been recorded for SARS-CoV-2 in comparison to other recent coronavirus outbreaks, such as MERS or SARS, a compromised respiratory status on admission has been associated with fatal outcomes. Among the >1200 SARS-CoV-2-infected individuals in Germany to date, many of the diagnosed persons show mild symptoms to no clinical signs of infection. Here we describe the onset and characteristics of symptoms in a cluster outbreak after a carnival celebration in a small town in the state of North Rhine-Westphalia currently contributing 43% of the total number of infected individuals in Germany to date [8]. Among the nearly 500 individuals in domestic quarantine as ordered by the Local Health Authority at that time, we interviewed 41 randomly selected individuals with qPCR confirmed SARS-CoV-2 infection. Inclusion criteria for the survey participation were: residents, positive for SARS-CoV-2 in pharyngeal swabs, ≥18 years of age, and confirmed informed consent. Median age was 40 years (IQR: 31-53, range: 18-82) and 51% were female. All persons examined had attended a carnival festivity also attended by the SARS-CoV-2positive index patient. All persons who attended this carnival festivity were tested for SARS-CoV-2 by the local health authorities 10 days later. Among survey participants, onset of symptoms began 12 days (IQR: 11-13) after probable infection and a median of 6 distinct symptoms (IQR: 4-8) were described.

scholarly journals Monitoring the performance of local health authorities in start of long term care program in Toscana

2016 ◽  
Vol 26 (suppl_1) ◽  
Author(s):  
G Damiani ◽  
A Acampora ◽  
A Arandelovic ◽  
B Federico ◽  
F Profili ◽  
...  
Keyword(s):  
Long Term Care ◽  
Care Program ◽  
Local Health ◽  
Term Care ◽  
Health Authorities ◽  
Local Health Authorities

scholarly journals Exit,Voice, andLoyaltyin the Italian Public Health Service: Macroeconomic and Corporate Implications

2013 ◽  
Vol 2013 ◽  
pp. 1-9 ◽  
Author(s):  
Adelaide Ippolito ◽  
Cira Impagliazzo ◽  
Paola Zoccoli
Keyword(s):  
Public Health ◽  
Health Service ◽  
Public Health Service ◽  
Local Health Authority ◽  
Local Health ◽  
Health Organizations ◽  
Health Authorities ◽  
Public Health Organizations ◽  
Local Health Authorities ◽  
Level Of Analysis

The paper analyses how customers of public health organizations can express their dissatisfaction for the services offered to them. The main aim is to evaluate the effects that possible dissatisfaction of Italian public health service customers can have on public health organizations. We adopted the methodological scheme developed by Hirschman withexit, voice,andloyalty, considering the macroeconomic and corporate implications that it causes for Italian public health organizations. The study investigated the effects developed by exit of the patients on the system of financing of local health authorities considering both the corporate level of analysis and the macroeconomic level. As a result, local health authority management is encouraged to pay greater attention to theexitphenomena through the adoption of tools that promote loyalty, such as the promotion of voice, even ifexitis not promoting, at a macroeconomic level, considerable attention to this phenomenon.

scholarly journals An assessment of methods for routine local monitoring of vaccine efficacy, with particular reference to measles and pertussis

1987 ◽  
Vol 99 (2) ◽  
pp. 485-499 ◽  
Author(s):  
J. A. Clarkson ◽  
P. E. M. Fine
Keyword(s):  
Child Health ◽  
Health Department ◽  
Local Health Authority ◽  
Local Health ◽  
Control Analysis ◽  
Routine Procedure ◽  
Health Authorities ◽  
Simple Protocol ◽  
Case Control Analysis ◽  
Health Registers

SUMMARYThe efficacy of measles and pertussis vaccines was investigated using several different procedures based upon data routinely available at Local Health Authority level in England and Wales. It is demonstrated that such estimates can be derived by methods which can be carried out simply and routinely by local health department staff. Several theoretical and practical difficulties in the procedures are discussed. It is recommended that Health Authorities consider monitoring by a routine procedure based on crude case-control analysis of recorded vaccination status of notified cases compared with that of the population in the Child Health computer file, or of matched controls drawn from Child Health Registers. A simple protocol for such studies is provided.

scholarly journals FACTORS AFFECTING THE INCIDENCE OF RABIES DISEASE IN PUSKESMAS REJOSARI PEKANBARU CITY

2019 ◽  
Vol 13 (1) ◽  
pp. 12
Author(s):  
Winda Parlin
Keyword(s):  
Health Department ◽  
P Value ◽  
Local Health ◽  
Preventive Action ◽  
Control Data ◽  
Chi Square ◽  
Factors Affecting ◽  
Health Authorities ◽  
Analytical Research ◽  
Local Health Authorities

<p>Rabies is a disease caused by the rabies virus. Rabies attacks can cause death. Based on data from Pekanbaru City Health Department found that the highest rabies cases were 15 cases in Puskesmas Rejosari. The purpose was to determine the factors that influence the incidence of rabies. This research is quantitative analytical research with case control design<em>.  </em>The respondents are 30 divided by 15 cases of rabies and 15 people as a control. Data were analyzed using univariate and bivariate with <em>chi square </em>test.The results are there is a relationship between the bite of animal with the rabies incidence <em>(p value</em> 0.01) and OR = 5, there is a relationship between knowledge with the rabies incidence <em>(p value</em> 0.005) and OR = 8, there is a relationship between attitude with the rabies incidence <em>(p value</em> 0.004) with OR = 9.000, there is a relationship between preventive action with rabies incidence <em>(p value</em> 0.000) with OR = 3.Conclusions: factors that influencing rabies incidence are animals bite, knowledge, attitude, and preventive action. Suggestion: There should be held education promotion about rabies and monitoring of families who raise animals that can transmitted rabies in Puskesmas Rejosari by local health authorities</p><p> </p><p>Rabies merupakan penyakit yang disebabkan oleh virus. Rabies menyebabkan kematian. Berdasarkan data dari Dinas Kesehatan Kota Pekanbaru ditemukan bahwa kasus rabies tertinggi berada di Wilayah Kerja Puskesmas Rejosari yaitu sebanyak 15 kasus. Tujuan dari penelitian ini adalah untuk mengetahui faktor-faktor apa yang mempengaruhi kejadian di Wilayah Kerja Puskesmas Rejosari. Penelitian ini bersifat kuantitatif analitik dengan desain penelitian kasus kendali<em>.  </em>Jumlah  responden adalah 30 orang, terbagi dalam 15 orang  kasus rabies dan 15 orang sebagai kendali. Analisa data menggunakan analisa univariat dan bivariate dengan uji <em>chi square</em>. Hasil penelitian mendapatkan bahwa terdapat hubungan antara gigitan hewan dengan kejadian penyakit rabies (<em>p value</em> 0.01) dengan OR = 5, terdapat hubungan antara pengetahuan dengan kejadian penyakit rabies (<em>p value</em> 0.005) dengan OR = 8, terdapat hubungan antara sikap dengan kejadian penyakit rabies (<em>p value</em> 0.004) dengan OR = 9.000, terdapat hubungan antara tindakan pencegahan dengan kejadian penyakit rabies (<em>p value</em> 0.000) dengan OR = 3. Kesimpulan : Faktor yang berpengaruh dengan kejadian rabies di wilayah kerja Puskesmas Rejosari adalah gigitan hewan, pengetahuan, sikap, dan tindakan pencegahan. Saran : Sebaiknya diadakan penyuluhan mengenai penyakit rabies serta dilakukan pemantauan pada keluarga yang memelihara hewan penular penyakit rabies di Puskesmas Rejosari oleh petugas kesehatan setempat.</p>

OBSTETRICS AND LOCAL HEALTH AUTHORITIES

BMJ ◽  
1924 ◽  
Vol 2 (3329) ◽  
pp. 741-742
Author(s):  
J. G. Bennett
Keyword(s):  
Local Health ◽  
Health Authorities ◽  
Local Health Authorities

scholarly journals Mobility, exposure, and epidemiological timelines of COVID-19 infections in China outside Hubei province

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Xiao Fan Liu ◽  
Xiao-Ke Xu ◽  
Ye Wu
Keyword(s):  
Hubei Province ◽  
Mitigation Measures ◽  
Quality Data ◽  
Local Health ◽  
Travel History ◽  
Health Authorities ◽  
Virus Exposure ◽  
Public Disclosures ◽  
Local Health Authorities

AbstractThe 2019 coronavirus disease (COVID-19) is pseudonymously linked to more than 100 million cases in the world as of January 2021. High-quality data are needed but lacking in the understanding of and fighting against COVID-19. We provide a complete and updating hand-coded line-list dataset containing detailed information of the cases in China and outside the epicenter in Hubei province. The data are extracted from public disclosures by local health authorities, starting from January 19. This dataset contains a very rich set of features for the characterization of COVID-19’s epidemiological properties, including individual cases’ demographic information, travel history, potential virus exposure scenario, contacts with known infections, and timelines of symptom onset, quarantine, infection confirmation, and hospitalization. These cases can be considered the baseline COVID-19 transmissibility under extreme mitigation measures, and therefore, a reference for comparative scientific investigation and public policymaking.

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