scholarly journals Mental health in primary healthcare in Chile

2010 ◽  
Vol 7 (1) ◽  
pp. 7-8 ◽  
Author(s):  
Alfredo Pemjean
Keyword(s):  
Mental Health ◽  
Healthcare System ◽  
Health Systems ◽  
National Health ◽  
Primary Healthcare ◽  
The Other ◽  
The Public

Chile has two major national health systems, the public one, which serves nearly 80% of the country's close to 17 million population, and the private one, which serves the other 20%. The public primary healthcare system has been developing in Chile since before the Alma Ata Conference in 1978 (which produced the first international declaration on the importance of primary healthcare).

scholarly journals Introduction of e-mental health in national health systems – A health professionals' perspective

2017 ◽  
Vol 6 (4) ◽  
pp. 436-445 ◽  
Author(s):  
Jorge Osma ◽  
Michaela Sprenger ◽  
Tobias Mettler
Keyword(s):  
Mental Health ◽  
Health Systems ◽  
National Health ◽  
Health Professionals

scholarly journals JOKE, LAUGH AND CRY: QUALITATIVE ANALYSIS OF “MEME” IN PSYCHODYNAMICS AND COLLECTIVE PSYCHIATRIC CLINIC

2021 ◽  
Author(s):  
Arthur Dartagnan Chaves dos Santos
Keyword(s):  
Mental Health ◽  
Sigmund Freud ◽  
Popular Education ◽  
The Other ◽  
Psychiatric Clinic ◽  
The Public ◽  
The Social ◽  
The Face ◽  
Essential Problem ◽  
Psychic Function

Existing is a verb that encompasses basal biological categories - biochemical, cellular and molecular processes - and psychodynamics, these tied to the experiences of ones and the world. Mental health, then, has as essential problem the face of the other and the "Other" through limited mechanisms and, also, by affections marked by otherness. The question, therefore, was "the most viral memes are based on which psychic processes and, therefore, what was the related otherness?". Three accounts on Instagram - @jedinizm, @pacifylyrics and @mariamchami - were evaluated qualitatively based on the parameters (i) communication objective, (ii) particular psychic function made collective and (iii) taboos and restrictive social norms addressed; clash arose by the critical reading of Sigmund Freud and Maria Homem. The joke was observed in the three accounts, @pacifylyrics presented greater conjugation between images - individual memes - and songs, @mariamchami, in turn, acts in a disruptive way, demystifying the image of the muslim woman through the ridicule of the intolerant thinking of the viewer. @jedinizm, more attentive to the public in general, brings themes such as adultery and financial bankruptcy as objects of laughter and subversion. In all cases, the meme acted as elaboration of affections for conscious denial, raising the characteristic austerity of forbidden themes in the social norm. It is, in fact, a category of popular education in collective mental health.

MORTALITY DURING THE COVID-19 PANDEMIC AND RISK REDUCTION DIRECTIONS: PRELIMINARY RESULTS FOR 2020

2021 ◽  
pp. 50-73
Author(s):  
Maria Polozhikhina ◽  
Keyword(s):  
Risk Reduction ◽  
Healthcare System ◽  
Health Systems ◽  
National Health ◽  
Preliminary Results ◽  
Coronavirus Infection ◽  
Available Information

The mortality indicators of the world's population in 2019 and 2020 are analyzed. Despite the approximate character and inaccuracy of the available information for 2020, the analysis allows to present the overall picture and preliminarily estimate the demographic losses from the COVID-19 pandemic. In addition, the problems that have been identified in national health systems during the fight against coronavirus infection are considered. The experience gained serves as a basis for proposals for improving the healthcare system in Russia.

scholarly journals Pragmatic vs explanatory trials: the pragmascope tool to help measure differences in protocols of mental health randomized controlled trials

2011 ◽  
Vol 13 (2) ◽  
pp. 209-215 ◽  
Keyword(s):  
Mental Health ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
The Other ◽  
Controlled Trials ◽  
Policy Makers ◽  
The Public ◽  
Randomized Controlled ◽  
Trial Protocols ◽  
Explanatory Trials

In the pragmatic-explanatory continuum, a randomized controlled trial (RCT) can at one extreme investigate whether a treatment could work in ideal circumstances (explanatory), or at the other extreme, whether it would work in everyday practice (pragmatic). How explanatory or pragmatic a study is can have implications for clinicians, policy makers, patients, researchers, funding bodies, and the public. There is an increasing need for studies to be open and pragmatic; however, explanatory trials are also needed. The previously developed Pragmatic-explanatory continuum indicator summary (PRECIS) was adapted into the Pragmascope tool to assist mental health researchers in designing RCTs, taking the pragmatic-explanatory continuum into account. Ten mental health trial protocols were randomly chosen and scored using the tool by three independent raters. Their results were compared for consistency and the tool was found to be reliable and practical. This preliminary work suggests that evaluating different domains of an RCT at the protocol level is useful, and suggests that using the Pragmascope tool presented here might be a practical way of doing this.

Repackaging Primary Healthcare in Odisha: Can ‘Task Shifting’ to AYUSH Doctors Address Human Resources Deficit?

2021 ◽  
pp. 097206342110351
Author(s):  
Shridhar Kadam ◽  
Bhuputra Panda ◽  
Srinivas Nallala ◽  
Sanghamitra Pati ◽  
Mohammed Akhtar Hussain ◽  
...  
Keyword(s):  
Public Health ◽  
Human Resources ◽  
Health System ◽  
National Health ◽  
Primary Healthcare ◽  
Task Shifting ◽  
Key Informants ◽  
The Public ◽  
Public Health Programmes ◽  
Health Programmes

Provision of primary healthcare in India received thrust of National Health Policy 2017. Vacancy, chronic absenteeism and non-availability of allopathic doctors is a chronic problem of the public health system. Engagement of alternative human resources could get the ailing health system rid of this shortage. AYUSH doctors in Odisha are involved in clinical and public health activities since 1970s. This study aims to examine perspectives of key stakeholders on ‘task shifting’ as a possible policy alternative. We reviewed the policies and guidelines of government of Odisha on human resources deployment, recruitment, retention and terms of reference of their engagement in the public health sector. Further, 76 AYUSH doctors and 30 key informants were interviewed. Ethical clearance was obtained beforehand. Most AYUSH doctors were involved in monitoring and supervising community-based public health programmes and village-level health service providers, respectively. Their involvement in the implementation of national health programmes was found to range from 8% to 62%. A sizeable proportion of AYUSH doctors had not been trained on management of national vector borne disease control, Tuberculosis control, immunisation (RI) and disease surveillance. More than 70% of respondents showed interest in implementing and managing public health programmes. Almost all key informants recommended for improved involvement of AYUSH doctors in public health activities. Inadequate logistics support, insufficient training on public health and unequal administrative authorities was perceived to be systemic bottlenecks. Job enrichment, management capacity development, and pre-deployment orientation of AYUSH doctors may precede the opportunity of ‘task-shifting’ of public health functions.

scholarly journals A Endocrinologia em Portugal - Censo 2016. Direção do Colégio de Endocrinologia e Nutrição da Ordem dos Médicos

2017 ◽  
Vol 30 (9) ◽  
pp. 642
Author(s):  
Joana Guimarães ◽  
António Afonso ◽  
Davide Carvalho ◽  
Ana Paula Marques ◽  
Teresa Martins ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Medical Association ◽  
Human Resources ◽  
National Health ◽  
National Survey ◽  
Public Hospitals ◽  
The Other ◽  
European Countries ◽  
The Public

Introduction: On September 2016, the Board of the College of Endocrinology and Nutrition of the Portuguese Medical Association carried out a national survey, about all Endocrinology, Diabetes and Metabolism Departments of the public hospitals included in the Portuguese National Health Service and a simplified version of this survey was sent to all endocrinologists working in Portugal and registered with the Portuguese Medical Association.Material and Methods: Data related to organizational and human resources were collected, reporting the situation by the end of year 2015. The census registered 107 individuals and 27 Departments.Results: The ratio of endocrinologists-population was 1.4, much lower than in the other European countries (varies between 2 to 4), resulting in alarming shortages of services in some areas of Portugal and in worse quality indicators.Discussion: These data suggest that actions should be taken to increase the number of endocrinologists and departments in the country.Conclusion: In recent years, the number of residents has significantly increased, which will make it possible to correct this situation.

scholarly journals MEDICAL TELECONSULTATION IN THE POLISH HEALTHCARE SYSTEM

2019 ◽  
Vol 72 (7) ◽  
pp. 1343-1349
Author(s):  
Małgorzata Paszkowska
Keyword(s):  
Health Services ◽  
Healthcare System ◽  
National Health ◽  
The Public ◽  
Health Fund ◽  
National Health Fund ◽  
The Subject ◽  
New Form ◽  
Medical Health ◽  
Public Payer

Telemedicine is a relatively new form of medicine and healthcare combining elements of telecommunications, IT and medicine. Telemedicine is also increasingly important in Poland. Currently, the law allows for the provision of medical health services using ICT systems. For physicians in practice the most important is the possibility of teleconsultation. The public payer (National Health Fund) is financing in Poland the teleconsylum cardiology and geriatrics. The subject of the article is the presentation of the possibility of providing medical teleconsultations in the Polish healthcare system.

scholarly journals The Privatization of the Italian National Health System and its Impact on Health Emergency Preparedness and Response: The COVID-19 Case

2021 ◽  
pp. 002073142110249
Author(s):  
Maria Luisa Buzelli ◽  
Tammy Boyce
Keyword(s):  
Health System ◽  
Health Systems ◽  
National Health ◽  
Emergency Preparedness ◽  
Critical Role ◽  
Health Sector ◽  
National Health System ◽  
Lessons Learned ◽  
Future Health ◽  
The Public

Hospitals play a critical role in providing essential care during emergencies; however, this essential care can overwhelm the functional capacity of health systems. In Italy, substantial cuts in funding have drastically reduced the resources of the National Health Service (NHS) and contributed to the expansion of the private health sector which, unlike the public health system, does not have the capacity to deal with a health emergency such as coronavirus disease 2019 (COVID-19). The purpose of this article is to show how the privatization of the NHS contributed to making Italy more vulnerable and unprepared to tackle the COVID-19 pandemic. The available capacity and resources in the public and private emergency services systems in Italy are compared, including a focus on the numbers of hospital staff, hospitals, and hospital beds. The reduced funding and subsequent shortfalls in services in the NHS are reasons why extreme measures were needed to increase these resources during the COVID-19 pandemic. A public NHS in Italy would be better prepared for future health emergencies. The lessons learned from the COVID-19 pandemic can help to inform future health systems strategies, to halt the current financial decline and performance loss of national health systems, and to enable better preparation for future health emergencies.

scholarly journals Public Health measures to control the spread of COVID-19 amongst the migrant population in Malta

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Melillo ◽  
R M C Medialdea-Carrera
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Healthcare System ◽  
Scientific Information ◽  
Communication Barriers ◽  
Migrant Population ◽  
Public Health Response ◽  
The Public ◽  
Migrant Populations ◽  
The Impact

Abstract Issue In the last 10 years, the migrant population residing in Malta has increased exponentially. The COVID-19 epidemic impacted disproportionally migrants which are often in disadvantaged positions due to the lower socioeconomic status, communication barriers and lower education levels. Description of the Problem During the COVID-19 epidemic migrants were particularly affected due to multiple factors including communication barriers, restriction measures imposed, loss of employment, challenges accessing the healthcare system, travel ban and mental health issues. Ports were closed preventing disembarkation of migrant boats and asylum request applications were put on hold. Results As of the 16th of June, a total of 30.2% (n = 198) confirmed COVID-19 cases were migrants. A strategy to support migrants was designed and implemented. The COVID-19 outbreak in a migrant centre resulted in all the 800 residents being placed in lock-down for 38 days (5th April till 13th May) and a total of 50 COVID-19 cases. Migrant boats that arrived before ports were closed were placed under quarantine. Migrants reported difficulties seeking healthcare, using the helpline, and higher exposure risk due to overcrowded living conditions. Lessons Migrants faced additional challenges due to the impact of the pandemic. The public health response measures implemented for the general population were not always feasible or accessible for the migrant population including hygiene recommendations, access to testing, isolation and quarantine and access to accurate scientific information. The mental health impact of COVID-19 among migrant populations was enhanced due to loneliness, lack of communication with their families and financial instability. Challenges accessing the healthcare system, understanding the restriction measures and the evolving public health recommendations were highlighted. Future strategies to control epidemics should always include specific plans to support migrant populations. Key messages The public health strategy must incorporate specific plans to support migrants in order to control and reduce the impact of the COVID-19 epidemic. Transdisciplinary policy needs to be developed considering the ethical, socio-economical, psychological and human right aspects of the migrant population.

Public Sector, Disaster, and Military Population-Based Responses to Trauma and Disaster

2018 ◽  
Author(s):  
Elspeth Cameron Ritchie ◽  
Kevin O’Brien
Keyword(s):  
Public Health ◽  
Mental Health ◽  
Health Systems ◽  
Disaster Response ◽  
Veterans Health ◽  
Health Administration ◽  
Mental Health Systems ◽  
The Public ◽  
Health Response ◽  
The Military

This chapter focuses on systems issues for disaster outreach and intervention across the public and military public health and mental health systems. It examines how systems are organized for disasters and how community interventions are aimed to prevent or mitigate trauma-and stressor-related disorders and enhance community resilience at the population level. The chapter reviews briefly the military and associated elements of the Veterans Health Administration federal systems which has helped shape disaster response. Key innovations in disaster mental health response are outlined. The chapter describes the health care systems in the military, the Veterans Administration, and the public health sector. The authors first focus on the military, noting military resources are often called upon in civilian disasters when local response capabilities are overwhelmed. The ways in which military experience with mental health response to disaster has shaped the development of the approach to disaster response in public health systems are described.

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