scholarly journals The Impact of Antipsychotic Polytherapy Costs in the Public Health Care in Sao Paulo, Brazil

PLoS ONE ◽  
2015 ◽  
Vol 10 (4) ◽  
pp. e0124791 ◽  
Author(s):  
Denise Razzouk ◽  
Monica Kayo ◽  
Aglaé Sousa ◽  
Guilherme Gregorio ◽  
Hugo Cogo-Moreira ◽  
...  
Utafiti ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. 92-110
Author(s):  
Kiagho Kilonzo

Abstract The twentieth century saw a huge increase worldwide in the presence of the arts in organisations and institutions involved in healthcare activities, including public health care research conducting in various countries. This article shows the impact of using art to engage literate and non-literate people in the pro-active translation of research outcomes into their own cultural practices and their personal decisions affecting their health status. The study demonstrates that art can be of use changing social behaviour and therefore to improve public health records in statistically significant ways. This work also demonstrates that the term ‘art’ refers to more than a means of entertainment and passive appreciation of aesthetics; the effectiveness of art is tangible and its impact is measurable as a mode of education, and as providing a deeply needed instructive incentive for hygienic and sanitation transformation.


Atmosphere ◽  
2019 ◽  
Vol 10 (3) ◽  
pp. 108 ◽  
Author(s):  
Thiago Nogueira ◽  
Pamela Dominutti ◽  
Marcelo Vieira-Filho ◽  
Adalgiza Fornaro ◽  
Maria Andrade

The broad expanse of the urban metropolitan area of São Paulo (MASP) has made buses, the predominant public transport mode for commuters in the city. In 2016, the bus fleet in the MASP reached 56,354 buses and it was responsible for more than 12 million daily trips. Here, we evaluate for the first time, the emission profile of gaseous and particulate pollutants from buses running on 7% biodiesel + 93% petroleum diesel and their spatial distribution in the MASP. This novel study, based on four bus terminal experiments, provides an extensive analysis of atmospheric pollutants of interest to public health and climate changes, such as CO2, CO, NOx, VOCs, PM10, PM2.5 and their constituents (black carbon (BC) and elements). Our results suggest that the renovation of the bus fleet from Euro II to Euro V and the incorporation of electric buses had a noticeable impact (by a factor of up to three) on the CO2 emissions and caused a decrease in NO emissions, by a factor of four to five. In addition, a comparison with previous Brazilian studies, shows that the newer bus fleet in the MASP emits fewer particles. Emissions from the public transport sector have implications for public health and air quality, not only by introducing reactive pollutants into the atmosphere but also by exposing the commuters to harmful concentrations. Our findings make a relevant contribution to the understanding of emissions from diesel-powered buses and about the impact of these new vehicular technologies on the air quality in the MASP.


2019 ◽  
Vol 19 (77) ◽  
Author(s):  
Luiza Fior Pelegrini ◽  
Beatriz Helena Tess ◽  
Olímpio J N V Bittar ◽  
Denis Pajecki

O artigo investigou as formas de acesso a nove serviços de cirurgia bariátrica que operaram, em 2013, 50 ou mais pacientes pelo Sistema Único de Saúde no Estado de São Paulo. Para isso, utilizou-se metodologia qualitativa com base em informações coletadas por entrevistas presenciais com os responsáveis pelos serviços. Cinco centros estavam no interior do Estado, cinco eram de natureza privada sem fins lucrativos e sete eram hospitais de ensino. As análises apontaram duas categorias conforme a integração com a rede de saúde: pouco ou fortemente integrado; e quatro categorias segundo o tipo de acesso: porta aberta, triagem própria, órgão de regulação ou Unidade Básica de Saúde. Dos quatro serviços pouco integrados à rede de saúde, três eram do tipo porta aberta e um realizava triagem própria; dos cinco centros fortemente integrados à rede de saúde, quatro receberam os pacientes encaminhados por instâncias de regulação e um por Unidade Básica de Saúde. As conclusões indicam que há grande heterogeneidade nas características organizacionais e nas formas de acesso aos serviços participantes deste estudo. Apesar de previsto na normatização do sistema público de saúde que a porta de entrada preferencial à rede deve ser pela Atenção Primária à Saúde, esse fluxo foi observado em somente um serviço. Há necessidade de padronização do modelo organizacional de acesso aos serviços que oferecem tratamento cirúrgico pelo Sistema Único de Saúde aos indivíduos portadores de obesidade.Palavras-chave: Obesidade. Cirurgia bariátrica. Acesso aos serviços de saúde. Organização e administração. Sistema Único de SaúdePublicly funded surgical treatment of obesity: A study on the access in nine services in the State of São PauloAbstractThe paper researched the accessibility to bariatric surgery centers in the public health system in the State of Sao Paulo, Brazil. A case series study with a qualitative approach. Semi-structured interviews were conducted in person with nine chiefs of bariatric surgical units that had performed 50 or more procedures publicly funded in 2013. Five were in the interior of the State, five were of private non-profit nature and seven were teaching hospitals. The analyzes pointed out categories according to integration with the public health network and type of access. Of the four services weakly integrated to the health system, three were open access and one performed self-screening; of the five centers strongly integrated into the health network, four received patients referred by regulatory bodies and one from a Primary Health Care Unit. Although the governmental obesity care policy states that the preferential access of patients are the Primary Health Care Units, in this study it was observed in only one service. There is a need for standardization of the organizational model of access to services that offer publicly funded surgical care to individuals with obesity.Keywords: Obesity. Bariatric surgery. Health services accessibility. Organization and administration. Unified Health System.


Author(s):  
Nguyen Van Phuong

This paper aim to build a theory model to generalize the health care market and find the solution for the hospitalization issues in the public health care system in Vietnam. Specifically, the results indicate that increased quality improvement and reduced waiting time for patients within a hospital are able to solve if two-price tariffs are allowed to implement in the state hospitals. Additionally, by exploring the two-wave Vietnamese Household Living Standard Survey conducted in 2004 and 2006, this paper also investigates the impact of the new health insurance policy on a number of hospital visits.


Health Policy ◽  
2011 ◽  
Vol 99 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Susan Cleary ◽  
Sheetal Silal ◽  
Stephen Birch ◽  
Henri Carrara ◽  
Victoria Pillay-van Wyk ◽  
...  

2007 ◽  
Vol 122 (5) ◽  
pp. 573-578 ◽  
Author(s):  
Peter J. Levin ◽  
Eric N. Gebbie ◽  
Kristine Qureshi

The federal pandemic influenza plan predicts that 30% of the population could be infected. The impact of this pandemic would quickly overwhelm the public health and health-care delivery systems in the U.S. and throughout the world. Surge capacity for staffing, availability of drugs and supplies, and alternate means to provide care must be included in detailed plans that are tested and drilled ahead of time. Accurate information on the disease must be made available to health-care staff and the public to reduce fear. Spokespersons must provide clear, consistent messages about the disease, including actions to be taken to contain its spread and treat the afflicted. Home care will be especially important, as hospitals will be quickly overwhelmed. Staff must be prepared ahead of time to assure their ability and willingness to report to work, and public health must plan ahead to adequately confront ethical issues that will arise concerning the availability of treatment resources. The entire community must work together to meet the challenges posed by an epidemic. Identification and resolution of these challenges and issues are essential to achieve adequate public health preparedness.


2007 ◽  
Vol 12 (2) ◽  
Author(s):  
George K John ◽  
Martie S Lubbe ◽  
Jan HP Serfontein

In South Africa, 70% of the country’s population is dependent on the public health care sector (especially the primary health care structure) for their basic health care needs. Opsomming In Suid-Afrika is 70% van die land se bevolking van die openbare gesondheidsorgsektor (veral die primêre gesondheidsorgstruktuur) afhanklik vir hulle basiese behoeftes aan gesondheidsorg. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.


1997 ◽  
Vol 41 (4-10) ◽  
pp. 531-536 ◽  
Author(s):  
A.I. Grigoriev ◽  
A.A. Agadjanyan ◽  
V.M. Baranov ◽  
V.V. Polyakov

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