scholarly journals eRESEARCH IN THE DEGREE OF ADHERENCE BY ASTHMA PATIENTS – A PILOT STUDY

2021 ◽  
Vol 2 ◽  
pp. 168-173
Author(s):  
Anna Todorova ◽  
Antoaneta Tsvetkova ◽  
Silvia Mihaylova
Keyword(s):  
Treatment Adherence ◽  
Developed Countries ◽  
Educational Background ◽  
Adherence To Treatment ◽  
Chronic Patients ◽  
Patient Gender ◽  
Global Issue ◽  
Asthma Patients ◽  
Care Costs

Introduction: Non-adherence to treatment is a global issue which in recent years has reached epidemic proportions. The WHO has reported that treatment adherence in chronic patients is 50% in developed countries on average. According to data from the Association of Bulgarians with Bronchial Asthma (ABBA) the percentage of asthma patients who are not regularly treated is the highest compared with other chronic diseases. Non-adherence to treatment not just influences the patient’s quality of life but increases the health care costs in society. Objectives: The aim of this study is to analyse the degree of adherence to prescribed treatment in asthma patients. Methods: An anonymous survey was made among 50 outpatients with asthma using an adapted survey card consisting of two parts: a questionnaire that collects information about the demographic profile of the patient (gender, age, educational background, etc) and a validated tool, the Morisky test, which is a questionnaire that defines the degree of treatment adherence. Results: The results from the Morisky test (Morisky coefficient 2.22) showed a mean degree of adherence both for the whole sample and for men and women separately, with a minimal difference of 0.01 in favour of men (Morisky coefficient 2.24 in men and 2.23 in women). Conclusions: The studied asthma patients show unsatisfactory adherence to the prescribed treatment. The mean degree of adherence reported in the study indicates the need for educating patients, monitoring and collaboration among doctors, patients, pharmacists and other healthcare professionals.

scholarly journals ESTIMATION OF INDICATORS OF QUALITY OF LIFE AND LEVEL OF CONTROL IN ASTHMA PATIENTS OF YOUNG AGE

2017 ◽  
Vol 1 (66) ◽  
pp. 8-13
Author(s):  
Елена Собко ◽  
E. Sobko ◽  
Ирина Соловьева ◽  
Irina Solovʹeva ◽  
Ирина Демко ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Young Patients ◽  
Young Age ◽  
Adherence To Treatment ◽  
Uncontrolled Asthma ◽  
Moderate Asthma ◽  
Full Control ◽  
Sf 36 ◽  
Asthma Patients

Indicators of quality of life, the level of asthma control and the risk of exacerbations in 78 patients of a young age with moderate asthma taking a basic anti-inflammatory therapy and not having an exacerbation of the disease for at least two months before including to the study were assessed. The survey was conducted using special questionnaires AQLQ, SF-36, ACT, ACQ. Morisky-Green test was used to assess adherence to treatment. Lung function was studied using spirometry, bodypletismography. Young patients with moderate asthma had an insufficient level of disease control. Full control of asthma was recorded in 14.1% of patients; partially-controlled asthma was noted in 59%; uncontrolled asthma was registered in 26.9%. Decrease of asthma is accompanied by a decrease in the quality of life indices based on the results of questionnaires AQLQ, SF-36. Clinical and functional parameters, quality of life and adherence to therapy are interrelated with the level of control over the symptoms of asthma.

scholarly journals The Financial And Cost Accounting Implications Of Medical Tourism

2010 ◽  
Vol 9 (8) ◽  
Author(s):  
Paul J. Carruth ◽  
Ann K. Carruth
Keyword(s):  
Health Care ◽  
Medical Tourism ◽  
Developed Countries ◽  
Direct Care ◽  
Out Of Pocket Expenses ◽  
Cost Implications ◽  
The Cost ◽  
Care Costs ◽  
The U.S

It is estimated that the current annual U.S. investment in health care is $2 trillion, roughly 16 percent of the gross domestic product (GDP).   Of great concern is the fact that health care costs are rising at two-and-one-half times the rate of inflation in the economy. As a result, the model of health care outsourcing to less developed countries has become increasingly more attractive to individuals who pay out of pocket expenses for health care or who do not want to wait long periods for health care. Medical tourism, introduced in several countries outside the U.S. over a decade ago, is a term coined to represent those underinsured individuals who are willing to pay to travel overseas to save significant amounts of money on the same procedures offered at much greater expense through the U.S. health care system.  Because quality of health care around the world varies, concern over substandard care with regard to surgery and other medical procedures is a factor to take into consideration when evaluating medical tourism.   This article analyzes the cost implications of medical outsourcing abroad and discusses the financial implications of medical tourism as it relates to the cost of direct care, follow up care, and complications.

scholarly journals Outpatient medical care in the practice of a pediatric surgeon

2021 ◽  
Vol 25 (2) ◽  
pp. 116-120
Author(s):  
I. V. Krest'yashin ◽  
V. M. Krest'yashin ◽  
I. I. Kuzhelivsky
Keyword(s):  
Medical Care ◽  
Developed Countries ◽  
Good Evidence ◽  
Medical Services ◽  
Modern Trend ◽  
Surgical Interventions ◽  
Quality Of Medical Care ◽  
Care Costs ◽  
Made In

Introduction. In the number of countries, the ambulatory direction in the domain of medical care has been created as an alternative one to hospitalization. This is a type of round-o’clock hospitalization which is a modern trend in medical care where a patient is in the center of progress and modernization of healthcare.Material and methods. The literature search was made in Scopus, MedLine, ELibrary, CyberLeninka, RSCI databases.Results. Over the past 30 years, the proportion of outpatient surgeries in children has significantly increased in developed countries. Such modality of medical care is provided in the overwhelming majority of cases. In Russia, in 2010-2018, the number of ambulatory surgical interventions increased by 15%, but this figure is still lower than in European countries. In pediatric surgical practice, there is no good evidence-based support yet for performing most of common surgical procedures outpatiently, due to the lack of well-planned randomized trials. However, the world’s widespread experience allows to suggest that routine surgical interventions could be recommended for outpatient care. Inpatient replacement technologies reduce health care costs because the inpatient care is a more expensive type of medical services.Conclusion. The outpatient medical care has to develop so as to transfer medical services from expensive hospital stay to much more economic and efficient one-day stay. At the same time, while developing the inpatient replacement technologies one must observe the basic principle – to ensure a high quality of medical care.

Psychological influences on wound healing

2019 ◽  
Vol 98 (8) ◽  
pp. 312-314
Keyword(s):  
Wound Healing ◽  
Enhanced Recovery ◽  
Enhanced Recovery After Surgery ◽  
Wound Complications ◽  
State Of Mind ◽  
Life Threatening ◽  
Psychological Influences ◽  
Fear And Anxiety ◽  
Care Costs

Surgical wound complications remain a major cause of morbidity; although usually not life threatening, they reduce the quality of life. They are also associated with excessive health care costs. Wound healing is affected by many factors – wound characteristics, infection, comorbidities and nutritional status of the patient. In addition, though, psychological stress and depression may decrease the inflammatory response required for bacterial clearance and so delay wound healing, as well. Although the patient´s state of mind can be influenced only to a certain extent, we should nevertheless stick to ERAS (Enhanced Recovery After Surgery) guidelines and try to diminish fear and anxiety by providing enough information preoperatively, pay due attention to postoperative analgesia and seek to provide an agreeable environment.

Physical capital stock, technological upgrading and modernisation in Hungary

2005 ◽  
Vol 55 (2) ◽  
pp. 201-221 ◽  
Author(s):  
Andrea Szalavetz
Keyword(s):  
Capital Accumulation ◽  
Physical Capital ◽  
Developed Countries ◽  
Point Of View ◽  
Technology Generation ◽  
Development Policies ◽  
Specific Factors ◽  
Physical Capital Accumulation

This paper discusses the relation between the quality and quantity indicators of physical capital and modernisation. While international academic literature emphasises the role of intangible factors enabling technology generation and absorption rather than that of physical capital accumulation, this paper argues that the quantity and quality of physical capital are important modernisation factors, particularly in the case of small, undercapitalised countries that recently integrated into the world economy. The paper shows that in Hungary, as opposed to developed countries, the technological upgrading of capital assets was not necessarily accompanied by the upgrading of human capital i.e. the thesis of capital skill complementarity did not apply to the first decade of transformation and capital accumulation in Hungary. Finally, the paper shows that there are large differences between the average technological levels of individual industries. The dualism of the Hungarian economy, which is also manifest in terms of differences in the size of individual industries' technological gaps, is a disadvantage from the point of view of competitiveness. The increasing differences in the size of the technological gaps can be explained not only with industry-specific factors, but also with the weakness of technology and regional development policies, as well as with institutional deficiencies.

Key facts on moderate to severe acute pain combined treatment with tramadol and dexketoprofen at fixed doses

2020 ◽  
Vol 13 (3) ◽  
pp. 304-310
Author(s):  
Jarosław Woroń
Keyword(s):  
Quality Of Life ◽  
Treatment Adherence ◽  
Acute Pain ◽  
Pain Treatment ◽  
Combined Treatment ◽  
Physiological Changes ◽  
Physiological Mechanisms ◽  
Pain Mechanisms ◽  
Proven Efficacy

The development of pain is associated with numerous physiological mechanisms. Improper acute pain treatment significantly reduces the quality of life and leads to a number of physiological changes that adversely affect the general condition of the patient. In many cases, inadequate analgesic therapy results in the transition from acute to chronic pain. For this reason, it is extremely important to use drugs that synergistically affect various pain mechanisms. Combined preparations, including the combination of tramadol and dexketoprofen, are very effective. This combination has many advantages, including proven efficacy and tolerability, ensures better treatment adherence and is easy to administer.

KAJIAN LITERATUR MODEL KONSEPTUAL KEBERHASILAN E-GOVERNMENT

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Bernadus Gunawan Sudarsono ◽  
Sri Poedji Lestari
Keyword(s):  
Information Technology ◽  
Best Practice ◽  
Public Services ◽  
Developed Countries ◽  
Internet Technology ◽  
Electronic Government ◽  
Digital Government ◽  
Management Ethics ◽  
The Government

The use of internet technology in the government environment is known as electronic government or e-government. In simple terms, e-government or digital government is an activity carried out by the government by using information technology support in providing services to the community. In line with the spirit of bureaucratic reform in Indonesia, e-government has a role in improving the quality of public services and helping the process of delivering information more effectively to the public. Over time, the application of e-Government has turned out to have mixed results. In developed countries, the application of e-Government systems in the scope of government has produced various benefits ranging from the efficiency of administrative processes and various innovations in the field of public services. But on the contrary in the case of developing countries including Indonesia, the results are more alarming where many government institutions face obstacles and even fail to achieve significant improvements in the quality of public services despite having adequate information and communication technology. The paradigm of bureaucrats who wrongly considers that the success of e-Government is mainly determined by technology. Even though there are many factors outside of technology that are more dominant as causes of failure such as organizational management, ethics and work culture. This study aims to develop a model of success in the application of e-Government from several best practice models in the field of information technology that have been widely used so far using literature studies as research methods. The results of the study show that the conceptual model of the success of the implementation of e-Government developed consists of 17 determinants of success..Keywords: Model, Factor, Success, System, e-Government

COMPARISON OF THE QUALITY OF LIFE OF PATIENTS IN THE LOCALY ADVANCED BREAST CANCER FORMS AFTER SYSTEM AND INTRALYMPHATIC POLYCHEMOTHERAPY

2018 ◽  
Vol 4 ◽  
pp. 3-13
Author(s):  
Yuriy Dumanskiy ◽  
Oleksandr Bondar ◽  
Oleksandr Tkachenko ◽  
Evhenii Stoliachuk ◽  
Vasilii Ermakov
Keyword(s):  
Breast Cancer ◽  
Quality Of Life ◽  
Locally Advanced ◽  
Developed Countries ◽  
Control Group ◽  
Preoperative Treatment ◽  
Discrete Elements ◽  
Important Indicator ◽  
Significant Difference

In recent years, breast cancer (BC) is the most common cancer pathology and the most common cause of disability among women in developed countries. Finding the most effective ways of interaction between the patient and the doctor creates the preconditions for the necessary analysis of the treatment process from an objective and subjective point of view. Therefore, an important indicator to be taken into account is the quality of life of a patient. To compare the indicators of a comprehensive assessment of the quality of life of patients to the adverse locally advanced forms (LA) of breast cancer before and after systemic intravenous polychemotherapy (SPCTx) and selective endolymphatic polychemotherapy (ELPCTx) in neoadjuvant mode. The study was conducted on the basis of a random analysis of outpatient cards from 112 patients with LA BC T4A-DN0-3M0 who received a comprehensive antitumor treatment on the basis of the Donetsk regional antitumor center and the University Clinic of the Odessa National Medical University from 2000 to 2017, which was proposed a questionnaire at various stages of preoperative treatment. The first (control) group consisted of 65 patients (58 %) with inoperable forms of LA BC, which was performed in neoadjuvant mode by SPCTx. The second (study group) included 47 patients (42 %) with inoperable forms of LA BC, which was performed as a neoadjuvant course ELPCTx. According to the integral indicators of quality of life and quality of health between patients in the control and study groups, there was no statistically significant difference. In a detailed analysis of the indicators of symptomatic scales, the difference between the groups did not exceed the critical. Based on the results of a study conducted among patients receiving endolymphatic chemotherapy in a neoadjuvant mode, the subjective evaluations of treatment in absolute numbers have better reference values without statistical superiority. The study of the integrative indicator of quality of life and its discrete elements is an ergonomic and economical means of heuristic assessment of the health of patients in order to further develop more rational and convenient ways of solving urgent issues of modern oncology by increasing compliance and finding a compromise between the physician and the patient.

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