scholarly journals A EuroHOPE kutatási program módszertana

2016 ◽  
Vol 157 (41) ◽  
pp. 1619-1625
Author(s):  
Éva Belicza ◽  
Péter Mihalicza ◽  
Judit Lám ◽  
Cecília Surján

The European Health Care Outcomes, Performance and Efficiency research was financed by the European Union between 2010 and 2013. In this program a new methodology was developed which made the analysis of regularly collected data and international benchmarking of the healthcare results of 5 socially and economically critical diagnosis group between the 7 participant countries possible. This paper presents the most important areas of the development, such as (1) the principles of the methodology, (2) the definition of available databases, code systems, (3) the events to be analysed, (4) the general rules of analyses and indicator development, (5) the exact methodology of data collection, processing, and analysis, (6) the methods of risk adjustment, (7) and the development of the standardised database. The databases which include all information of all patients and healthcare activities serve as perfect inexhaustible data sources for decision makers, healthcare personnel, and researchers. The indicator results of this program serve as starting point for further root cause analysis and development measures based on the results of the abovementioned analyses. Orv. Hetil., 2016, 157(41), 1619–1625.

Healthcare ◽  
2021 ◽  
Vol 9 (12) ◽  
pp. 1741
Author(s):  
Marie Nabbe ◽  
Helmut Brand

The COVID-19 pandemic brought visibility and intensified the discussions on the European Union’s (EU) health mandate. The proposals of the European Commission (EC) to move towards a European Health Union (EHU) can be seen as a starting point towards more integration in health. However, the definition of what the EHU will look like is not clear. This paper searches to find a common definition, and/or features for this EHU through a systematic literature review performed in May 2021. “European Union’s concern about health for all” is suggested as a definition. The main drivers identified to develop an EHU are: surveillance and monitoring, crisis preparedness, funding, political will, vision of public health expenditures, population’s awareness and interest, and global health. Based on these findings, five scenarios were developed: making a full move towards supranational action; improving efficiency in the actual framework; more coordination but no real change; in a full intergovernmentalism direction; and fragmentation of the EU. The scenarios show that the development of a EHU is possible inside the current legal framework. However, it will rely on increased coordination and has a focus on cross-border health threats. Any development will be strongly linked to political choices from Member States.


2004 ◽  
Vol 11 (6) ◽  
pp. 543-552 ◽  
Author(s):  
Åshild Slettebø ◽  
Eli Haugen Bunch

Patients in nursing homes sometimes give accounts of episodes in which they feel their autonomy and/or self-respect are violated as a result of the care they receive from nursing staff. In these ethically difficult care situations nurses use strategies such as negotiation, explanation and, in some cases, restraint. This study investigates how nurses apply these strategies to resolve ethical dilemmas in such a way that patients experience respect rather than violation. Critical issues that will be discussed include the definition of ethically difficult care situations in nursing homes and the identification of strategies for resolving such situations. Examples of the use of three strategies are presented. The use of negotiation, restraint and explanation are discussed in order to ensure respect for patients’ autonomy and thus to optimize health care outcomes.


Author(s):  
Riccardo Di Liberto ◽  
Daniele Andreuccetti ◽  
Moreno Comelli ◽  
Giancarlo Burriesci

This work is the result of a campaign of measures of exposure levels to magnetic field gradients (GMF) generated by magnetic resonance imaging (MRI) tomographs, to which both healthcare staff and any persons accompanying patients who remain inside the magnet room are exposed while performing a diagnostic Investigation. The study was conducted on three MRI tomographs with a static magnetic induction field up to 1.5 T installed in two hospitals of Lombardy. The study aims to characterize electromagnetic emissions within the magnet room and the definition of a measurement method suitable for assessing the level of exposure of healthcare personnel and any persons accompanying patients. The measurements performed concerned the determination of the weighted peak index for magnetic induction, due to the diagnostic GMF, relating to the action levels for the workers and the reference levels for the general population, in force in the European Union. Thanks to the defined experimental setup, the use of two different measuring instruments, and the software resources of the WEBNIR platform, it was possible to identify, for both categories of exposed persons, the “clearance” space, i.e., the distance from the magnet of the tomograph that guarantees health protection concerning the exposure to GMF, according to the indications of the standards in force. The method used showed that the exposure levels to GMF are substantially safe for professionally exposed workers who do not carry specific risks. For workers particularly sensitive to the specific risk, as well as to individuals part of the population, it is however advisable to maintain a distance from the magnet of about one meter to prevent sensorial neuromuscular stimulation effects.


2013 ◽  
Vol 19 (2) ◽  
pp. 201-215
Author(s):  
Aleksandra Krajnović ◽  
Jurica Bosna ◽  
Dražen Jašić

The purpose – The purpose of this paper is to support the thesis that a region represents a key functional and geographical entity which requires branding and development of marketing activities. Its geographical components are tourism clusters that should develop their own identity in cooperation with other clusters, within the region as their umbrella brand. Design – The special focus is given to reviewing the issue of defining boundaries of regions as tourism brands, i.e. discussing what exactly makes the essence, or the essential framework, of a region as a market brand in tourism. The paper also presents the model of geographical and marketing clusterisation of Istria and Dalmatia – the Croatia's regions that are essential for the development of tourism in this country. Methodology – The methodology of the research includes the examples of good practice, analysis of the existing strategic documents of the region Istria and Dalmatia, workshop – creating an original model of region clusterisation in the case of Dalmatia by graduate students of management in the Department of Economics at the University of Zadar and author’s management experience in public management in tourism. Approach – There are particular interests within fragmented basic units of local government – towns and municipalities – aiming to "preserve" the identity of each separate geographical unit, even the smallest one, whereas the marketing trends in the dynamic international tourism market require exactly the opposite. Regions must be the unique spatial and socio-cultural entities featuring an adequate tourism identity which is built as an independent and inherent market brand. That fact is perceived in the light of the forthcoming accession of Croatia into the European Union (1st July 2013) and the exceptionally important process of redefining Croatia's regional administrative-political boundaries, where an appropriate regionalisation is considered as one of the prerequisites for the "correct" and optimal social and economic development in the future. Findings – The problem of defining regional boundaries must be seen as one of the essential issues in defining the region's geographical area as the basis for the development of economy. An appropriate definition of the tourism region as an umbrella brand and its sub-brands – tourism "products", i.e. clusters – presents the starting point for further definition of all management and marketing activities, both at the level of clusters, through individual activities, and at the level of the umbrella brand, through joint, i.e. networked management activities. The originality of this research – The originality of the model consists on the fact that it refers to a relatively wide region (within European context) featuring a rich of natural attractiveness and cultural-historical heritage, whose borders were often altered in the past, and which was, and still is, intersected with a number of administrative-political boundaries.


2017 ◽  
Vol 35 (2) ◽  
pp. 155-166 ◽  
Author(s):  
Howard J. Osofsky ◽  
Carl F. Weems ◽  
Tonya Cross Hansel ◽  
Anthony H. Speier ◽  
Joy D. Osofsky ◽  
...  

Author(s):  
Volker Scheid

This chapter explores the articulations that have emerged over the last half century between various types of holism, Chinese medicine and systems biology. Given the discipline’s historical attachments to a definition of ‘medicine’ that rather narrowly refers to biomedicine as developed in Europe and the US from the eighteenth century onwards, the medical humanities are not the most obvious starting point for such an inquiry. At the same time, they do offer one advantage over neighbouring disciplines like medical history, anthropology or science and technology studies for someone like myself, a clinician as well as a historian and anthropologist: their strong commitment to the objective of facilitating better medical practice. This promise furthermore links to the wider project of critique, which, in Max Horkheimer’s definition of the term, aims at change and emancipation in order ‘to liberate human beings from the circumstances that enslave them’. If we take the critical medical humanities as explicitly affirming this shared objective and responsibility, extending the discipline’s traditional gaze is not a burden but becomes, in fact, an obligation.


2014 ◽  
Vol 155 (21) ◽  
pp. 822-827
Author(s):  
Ágnes Váradi

The question of electronic solutions in public health care has become a contemporary issue at the European Union level since the action plan of the Commission on the e-health developments of the period between 2012 and 2020 has been published. In Hungary this issue has been placed into the centre of attention after a draft on modifications of regulations in health-care has been released for public discourse, which – if accepted – would lay down the basics of an electronic heath-service system. The aim of this paper is to review the basic features of e-health solutions in Hungary and the European Union with the help of the most important pieces of legislation, documents of the European Union institutions and sources from secondary literature. When examining the definition of the basic goals and instruments of the development, differences between the European Union and national approaches can be detected. Examination of recent developmental programs and existing models seem to reveal difficulties in creating interoperability and financing such projects. Finally, the review is completed by the aspects of jurisdiction and fundamental rights. It is concluded that these issues are mandatory to delineate the legislative, economic and technological framework for the development of the e-health systems. Orv. Hetil., 2014, 155(21), 822–827.


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