scholarly journals Seminars in social psychiatry in Romania

1992 ◽  
Vol 16 (6) ◽  
pp. 340-342 ◽  
Author(s):  
Greg Wilkinson ◽  
Linda Gask ◽  
John Henderson
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Graduate Training ◽  
Training Programme ◽  
World Health ◽  
Psychiatric Training ◽  
Regional Office ◽  
Care Services ◽  
Post Graduate Training ◽  
Health Organization

For more than a decade there has been no opportunity for formal post-graduate training in psychiatry in Romania. In February 1992, as part of a World Health Organization (Regional Office for Europe) initiative, we travelled to Romania as WHO temporary advisers to give seminars on: (i) the role of primary health care services in providing mental health care; and (ii) the development of community-based services for the mentally ill and disabled. Our seminars were designed to complement the biological and clinical elements of a developing psychiatric training programme.

scholarly journals Maternal near miss morbidity in Colombia: variables related to opportune access to health care related to the number of inclusion criteria

2015 ◽  
Vol 62 (4) ◽  
pp. 553-558 ◽  
Author(s):  
José Luis Pérez-Olivo ◽  
Esther Liliana Cuevas ◽  
Sara García-Forero ◽  
Adalberto Campo-Arias
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Near Miss ◽  
World Health ◽  
Maternal Near Miss ◽  
Inclusion Criteria ◽  
Care Services ◽  
Timely Access ◽  
Health Organization

<p>Background. In Colombia, maternal near miss morbidity is<br />monitored in the health surveillance system. The National<br />Health Institute included a special report on cases that met<br />three or more World Health Organization criteria according to<br />the World Health Organization criteria.</p><p><br />Objective. To estimate the relationship between variables<br />related to opportune access to health care services in Colombia during 2013 depending on inclusion criteria –three or more– for maternal near miss morbidity.</p><p><br />Materials and methods. A cross-sectional analysis of the<br />national registry of obligatory notification on maternal near<br />miss morbidity was performed. Cases with three or more criteria were compared with those with one or two according to some variables related to the timely access of health care services.</p><p><br />Results. A total of 8 434 maternal near miss morbidity cases<br />were reported, women were aged between 12 and 51 years old<br />(M=26.4, SD=7.5). 961 (11.4%) lived in remote rural areas; 4<br />537 (53.8%) were uninsured under the health system, or they<br />were affiliated to either the subsidized or special health care<br />regime; 845 (10.0%) belonged to an ethnic minority; 3 696<br />(44.4%) were referred to a more complex service; 4 097 (49.2%) were admitted to the intensive care unit; and 3 975 (47.1%) met three or more of the inclusion criteria for maternal near miss morbidity. They were combined to meet three or more of the case inclusion criteria: intensive care unit admission (OR=5.58;IC95% 5.06-6.15); being uninsured or affiliated to the subsidized or special regime (OR=1.57; IC95% 1.42-1.74); and referral to a more complex service (OR=1.18; IC95% 1.07-1.31).</p><p><br />Conclusions. In Colombia, the timely access of health care<br />services is related to maternal near miss morbidity with three<br />or more inclusion criteria.</p>

scholarly journals The Relations between Disability and Environmental Factors: A Pilot Study in Iranian Older Adults

2016 ◽  
Vol 8 (12) ◽  
pp. 87 ◽  
Author(s):  
Mohammadreza Shahbazi ◽  
Mahshid Foroughan ◽  
Mahdi Rahgozar ◽  
Reza Salmanroghani
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Environmental Factors ◽  
Health Care Services ◽  
Cross Sectional Study ◽  
World Health ◽  
Structural Barriers ◽  
Cross Sectional ◽  
Care Services ◽  
Health Organization

<p><strong>OBJECTIVE: </strong>This study explored disability and its correlations with the environmental factors in a group of Iranian older adults.</p><p><strong>MATERIALS &amp; METHODS</strong><strong>:</strong> A cross sectional study was performed. One hundred participants receiving adult day care services in Kahrizak center in Iran were selected by using the complete enumeration method. The World Health Organization Disability Assessment Schedule 2 (WHODAS II) and the Craig Hospital Inventory of Environmental Factors (CHIEF) questionnaires were used to collect data.</p><p><strong>RESULTS:</strong> The mean score of disability was 20.61±13.66, and the scores were higher in women compared to men (P=0.001). Among the CHIEF-25 items‚ the most frequently perceived barrier by the participants was transportation followed by home design and unavailability of health care services. There was a significant association between the disability scores and the environmental factors (P&lt;0.001). Also, significant relationships were found between the disability and all the subscales investigated in the study (polices‚ physical/structural‚ attitude/support‚ services/assistance) (P&lt;0.001).<strong></strong></p><p><strong>CONCLUSION: </strong>Appropriate transportation‚ availability to health care services and removing physical/structural barriers should be taken in consideration.</p>

Medical Technology and Developing Countries: The Case of Brazil

1986 ◽  
Vol 16 (3) ◽  
pp. 363-373 ◽  
Author(s):  
H. David Banta
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Services ◽  
Medical Technology ◽  
Developed Countries ◽  
World Health ◽  
Care Services ◽  
Use Of Technology ◽  
The Government ◽  
Health Organization

Developing countries, faced with severe resource limitations, are trying to develop modern health care services that deliver sensible medical technologies. Because of their lack of development, these countries must import much technology, while often lacking the expertise to make wise choices. In this article, the case of Brazil is examined. Brazil has shared many of the problems of other developing countries, including inadequate access of the population to health services, maldistribution and excessive use of technology, a relatively weak national industry for production of drugs and medical devices, a weak policy structure for dealing with medical technology, and little tradition of using research or policy analysis as a guide to action. Since the election in 1985 that returned Brazil to democratic rule, the government has taken active steps to address many of these problems. The example of Brazil is important for all of the developing world to examine and follow, where applicable. In addition, North American and European aid programs could play a much more constructive role in helping less developed countries develop their health care services. International organizations such as the World Health Organization must also be active in assisting such countries to improve their decisions concerning medical technology.

scholarly journals A study on disease burden and treatment among patients attending teleconsultation during lockdown period

2021 ◽  
Vol 10 (4) ◽  
pp. 434
Author(s):  
Mounika Yedlapalli ◽  
Sai Pasupula Kiran ◽  
Sravani Potti ◽  
Devikala A. ◽  
Chandrakala Kambar
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Disease Burden ◽  
Medical Officer ◽  
Vital Role ◽  
World Health ◽  
Care Services ◽  
Disease Pattern ◽  
The Government ◽  
Health Organization

Background: Covid-19 has been announced as a pandemic by the World Health Organization. To maintain social distancing effectively, the Government of India announced a complete lockdown on March 25th, 2020. As there are no proper transport facilities for patients who need health care services, the Government of Andhra Pradesh started 104 sevakendram as a helpline. Medical services were also provided by this 104 sevakendram through teleconsultation with doctors. The aim and objectives of the study were to study the disease pattern and treatment given to patients attending teleconsultations, to analyze the disease burden among the patients attending teleconsultation, to study the treatment given to the patients attending teleconsultation.Methods: It is a retrospective, observational, and analytical study. After prior IEC clearance and permission from teleconsultation authority, we did the study at Dr.YSR Aarogyasri health care trust, Guntur. Data regarding all calls connected to 104 was collected. Detailed information of the calls related to the Medical officer about the age, gender, disease pattern, and treatment given to the patient was collected. Statistical analysis was done using MS excel software.Results: On average, 104 sevakendram received two hundred valid teleconsultations per day. Most of the calls are related to anxiety and these calls constitute twenty four percent. Treatment given was according to probable diagnosis, mostly symptomatic and continuation of the same treatment.Conclusions: 104 sevakendram has played a vital role in meeting the medical and health requirements of the people suffering from different diseases during the lockdown period. 

scholarly journals Effective Containment of a COVID-19 Subregional Outbreak in Italy Through Strict Quarantine and Rearrangement of Local Health Care Services

2021 ◽  
Vol 8 (2) ◽  
Author(s):  
Sara Tedeschi ◽  
Lorenzo Badia ◽  
Fabio Berveglieri ◽  
Rodolfo Ferrari ◽  
Simona Coladonato ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
World Health ◽  
Nasopharyngeal Swab ◽  
Local Health ◽  
Telephone Contact ◽  
Care Services ◽  
Local Health Care ◽  
Emilia Romagna Region ◽  
Health Organization

Abstract Background Since the beginning of the pandemic, the epidemiology of coronavirus disease 2019 (COVID-19) in Italy has been characterized by the occurrence of subnational outbreaks. The World Health Organization recommended building the capacity to rapidly control COVID-19 clusters of cases in order to avoid the spread of the disease. This study describes a subregional outbreak of COVID-19 that occurred in the Emilia Romagna region, Italy, and the intervention undertaken to successfully control it. Methods Cases of COVID-19 were defined by a positive reverse transcriptase polymerase chain reaction (RT-PCR) for severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) on nasopharyngeal swab. The outbreak involved the residential area of a small town, with ~10 500 inhabitants in an area of 9 km2. After the recognition of the outbreak, local health care authorities implemented strict quarantine and a rearrangement of health care services, consisting of closure of general practitioner outpatient clinics, telephone contact with all residents, activation of health care units to visit at-home patients with symptoms consistent with COVID-19, and a dedicated Infectious Diseases ambulatory unit at the nearest hospital. Results The outbreak lasted from February 24 to April 6, 2020, involving at least 170 people with a cumulative incidence of 160 cases/10 000 inhabitants; overall, 448 inhabitants of the municipality underwent at least 1 nasopharyngeal swab to detect SARS-CoV-2 (positivity rate, 38%). Ninety-three people presented symptoms before March 11 (pre-intervention period), and 77 presented symptoms during the postintervention period (March 11–April 6). Conclusions It was possible to control this COVID-19 outbreak by prompt recognition and implementation of a targeted local intervention.

The EPA Guidance Project: Guidance for Mental Healthcare in Europe

2015 ◽  
Vol 12 (01) ◽  
pp. 5-11
Author(s):  
I. Großimlinghaus ◽  
J. Zielasek ◽  
W. Gaebel
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Graduate Training ◽  
Action Plan ◽  
Stakeholder Involvement ◽  
Mental Healthcare ◽  
World Health ◽  
Post Graduate Training ◽  
Health Organization

Summary Background: The development of guidelines is an important and common method to assure and improve quality in mental healthcare in European countries. While guidelines have to fulfill predefined criteria such as methodological accuracy of evidence retrieval and assessment, and stakeholder involvement, the development of guidance was not standardized yet. Aim: In 2008, the European Psychiatric Association (EPA) initiated the EPA Guidance project in order to provide guidance in the field of European psychiatry and related fields for topics that are not dealt with by guideline developers – for instance due to lack of evidence or lack of funding. The first three series of EPA Guidance deal with diverse topics that are relevant to European mental healthcare, such as quality assurance for mental health services, post-graduate training in mental healthcare, trust in mental health services and mental health promotion. Results: EPA Guidance recommendations address current and future challenges for European psychiatry. They are developed in accordance with the World Health Organization (WHO) European Mental Health Action Plan.

Quality of life assessment: the World Health Organization perspective

1997 ◽  
Vol 12 (S3) ◽  
pp. 263s-266s ◽  
Author(s):  
S Saxena ◽  
J Orley ◽  
Keyword(s):  
Quality Of Life ◽  
World Health Organization ◽  
Health Care Services ◽  
Life Assessment ◽  
World Health ◽  
Life Project ◽  
Care Services ◽  
The World ◽  
Health Organization

Summary Assessment of quality of life (QoL) and use of this information towards improvement of health care services is an important area of activity of the World Health Organization (WHO). This paper briefly discusses the conceptual basis and the methodology used in WHO's Quality of Life Project (WHOQOL). It describes the simultaneous development of instruments in widely different cultures to assess subjective QoL. Use of these instruments in the field of clinical trials with psychotropics is highlighted.

scholarly journals Co-creating and Evaluating a Web-app Mapping Real-World Health Care Services for Students: The servi-Share Protocol

2017 ◽  
Vol 6 (2) ◽  
pp. e24 ◽  
Author(s):  
Ilaria Montagni ◽  
Emmanuel Langlois ◽  
Jérôme Wittwer ◽  
Christophe Tzourio
Keyword(s):  
Health Care ◽  
Real World ◽  
Health Care Services ◽  
World Health ◽  
Care Services ◽  
Web App

scholarly journals Governance in Public Purchasing of Tertiary-Level Health Care: Lessons From Madhya Pradesh, India

SAGE Open ◽  
2020 ◽  
Vol 10 (3) ◽  
pp. 215824402094248
Author(s):  
Raj Panda ◽  
Pradeep Guin ◽  
Kumar Gaurav
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Health Financing ◽  
Madhya Pradesh ◽  
World Health ◽  
Organizational Assessment ◽  
The Status ◽  
Critical Components ◽  
Health Organization

The performance of a health system hinges upon effective and efficient allocation of resources. The nature of governance within the health system, including critical components such as purchasing mechanism of health care services, also determines the health status of program beneficiaries. This article investigates an existing purchasing mechanism of a state-funded health care scheme through the lens of governance. We applied framework method on an adapted version of a tool developed by the World Health Organization (WHO), Organizational Assessment for Improving and Strengthening Health Financing (OASIS), to draw four themes to study the status of purchasing mechanism in Madhya Pradesh (MP), India. We used purposive sampling to select subjects from the state, district, and block levels and conducted 32 in-depth interviews. Subjects from the district and block levels were drawn from a sample of three out of 51 districts in MP. We found that although the scheme is functional, it has immense scope for improvement, thereby bettering the health outcomes of its beneficiaries.

‘Out of Pocket Expenditure’ of Health Care Services in India: Factors, Consequences and Solution

2013 ◽  
Vol 9 (2) ◽  
Author(s):  
Shatabdi Bagchi ◽  
Priyanka Bakhshi
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Secondary Data ◽  
Critical Factor ◽  
World Health ◽  
World Health Survey ◽  
Care Services

Financing is the most crucial part of the of the health care service delivery system and health care finance is one of the most critical factor contributing in the poverty scenario of any country.  In developing countries like India where the health system should be more equitable and cost effective, the soaring problem of ‘out of pocket expenditure’ on Health System has shown a gloomy face and raises question on health equity. Evidences from several studies In India show that out of pocket expenditures on health care services intensify poverty.  In the World Health Survey of 2011, India was ranked 42nd in the list of countries with highest average of out of pocket expenditure. The survey found that 74.4 per cent of private expenditure on health was paid out of pocket. The article discusses the triggering factors which lead to the inequitable out of pocket health expenditure. Secondary Data from World Health Statistics 2010, NSSO 52nd and 60th round have been used here as evidence.

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