scholarly journals Death in hospital and at home: population and health policy influences in Londrina, State of Paraná, Brazil (1996-2010)

2015 ◽  
Vol 20 (3) ◽  
pp. 833-840 ◽  
Author(s):  
Fernando Cesar Iwamoto Marcucci ◽  
Marcos Aparecido Sarria Cabrera
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Policy ◽  
Health Policies ◽  
Epidemiological Transition ◽  
Policy Changes ◽  
Hospital Deaths ◽  
End Stage ◽  
The City ◽  
At Home

An aging population and epidemiological transition involves prolonged terminal illnesses and an increased demand for end-stage support in health services, mainly in hospitals. Changes in health care and government health policies may influence the death locations, making it possible to remain at home or in an institution. The scope of this article is to analyze death locations in the city of Londrina, State of Paraná, from 1996 to 2010, and to verify the influence of population and health policy changes on these statistics. An analysis was conducted into death locations in Londrina in Mortality Information System (SIM) considering the main causes and locations of death. There was an increase of 28% in deaths among the population in general, though 48% for the population over 60 years of age. There was an increase of deaths in hospitals, which were responsible for 70% of the occurrences, though death frequencies in others locations did not increase, and deaths in the home remained at about 18%. The locations of death did not change during this period, even with health policies that broadened care in other locations, such as the patient´s home. The predominance of hospital deaths was similar to other Brazilian cities, albeit higher than in other countries.

scholarly journals 18.L. Workshop: Public mental health policies - experiences and challenges

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Participatory Research ◽  
Policy Development ◽  
Mental Health Policy ◽  
Public Mental Health ◽  
Health Policies ◽  
National Mental Health ◽  
Mental Health Policies

Abstract The workshop has the aim to help developing and strengthening policies for Public Mental Health and support experience sharing platform for Public Mental Health policy development. Mental health policy defines the vision for the future mental health of the national population and internationally. The WHOs developed three recommendations for the development of mental health policy, strategic plans and for organizing services which are to deinstitutionalise mental health care; to integrate mental health into general health care; and to develop community mental health services. For each this aim a situational analysis and needs assessment is recommended as first step. Therefore, this workshop consists of four talks in the development of mental health policies at the regional and national level. First, the process of population consultations and participatory research is described (Felix Sisenop). Participatory research enables exchanging experiences, results and key challenges in Public Mental Health. Participatory research can contribute greatly in empowering people to discuss and deal with mental health issues and therefore is a step towards a more involved and active general public. Second, a policy development at the regional level is described (Elvira Mauz). On behalf of the federal ministry of health the Robert Koch Institute as the German public health institute is currently developing a concept for a national Mental Health Surveillance (MHS). In the talk objectives, framework model and work processes are presented. The MHS should systematically gather, process and analyze primary and secondary data, thus an integrating and monitoring system is working. Third, the Public Mental Health policy in Malta will be described (John Cachia) Over the last 7 years CMH Malta developed a strategic framework for the mental health with the input of patients, families, service providers, NGOs and civil society. The Maltese National Mental Health Strategy 2020-2030 was published in July 2019. This strategy will be described in the Talk. Fourth presenter (Ignas Rubikas) will introduce the national perspective on development of Lithuanian mental health policy addressing major public mental health challenges of suicide prevention, alcohol control policies and mental health promotion in a broader context of national mental health care. Key messages Participatory research in Public Mental Health is an approach to involve the population in policy development. Development of mental health policies can benefit from sharing experiences and lessons learned on a national and regional levels.

scholarly journals Tracking the Workforce: The American Society of Clinical Oncology Workforce Information System

2013 ◽  
Vol 9 (1) ◽  
pp. 3-8 ◽  
Author(s):  
M. Kelsey Kirkwood ◽  
Michael P. Kosty ◽  
Dean F. Bajorin ◽  
Suanna S. Bruinooge ◽  
Michael A. Goldstein
Keyword(s):  
Health Care ◽  
Information System ◽  
Clinical Oncology ◽  
Health Care System ◽  
Policy Changes ◽  
Workforce Shortages ◽  
American Society ◽  
Care System

Reports generated by the workforce information system can be used by ASCO and others in the oncology community to advocate for needed health care system and policy changes to help offset future workforce shortages.

scholarly journals The Need for Palliative Care in Primary Health Care

2018 ◽  
Vol 1 (3) ◽  
pp. 103
Author(s):  
Nita Arisanti ◽  
Dany Hilmanto ◽  
Elsa Pudji Setiawati ◽  
Veranita Pandia
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Primary Health Care ◽  
Service Providers ◽  
Primary Health ◽  
Stage Disease ◽  
Family Perceptions ◽  
Dying At Home ◽  
End Stage ◽  
At Home

.................... The access to palliative care in ends of life is one of the patients’ rights. Therefore it should be delivered into every level of health care for patients and family members. In some countries, palliative care is more frequent delivered in hospitals compare to primary health care, even though primary health care has a significant role in providing palliative care. Most families prefer to care for patients at home rather than in the hospital................................... The implementation of palliative care in Indonesia is still very limited to certain hospitals, even though doctors in primary care have great potential to offer such care to people in the community. Some of the factors contributing to the implementation are cultural and socioeconomic factors, patient and family perceptions, attitudes of service providers, lack of trained personnel, distribution of palliative care units, lack of consolidation and limited funds. As a result, patients with end-stage disease die in hospitals without receiving palliative care or dying at home with inadequate support................

Comparing health policy: An assessment of typologies of health systems

2010 ◽  
pp. 185-201
Author(s):  
Keyword(s):  
Health Care ◽  
Public Policy ◽  
Health Policy ◽  
Comparative Study ◽  
Health Systems ◽  
Institutional Context ◽  
Health Policies ◽  
Ideal Types

Typologies have been central to the comparative turn in public policy and this paper contributes to the debate by assessing the capacity of typologies of health systems to capture the institutional context of health care and to contribute to explaining health policies across countries. Using a recent comparative study of health policy and focusing on the concept of the health care state the paper suggests three things. First, the concept of the health care state holds as a set of ideal types. Second, as such the concept of the health care state provides a useful springboard for analyzing health policy, but one which needs to be complemented by more specific institutional explanations. Third, the concept of the health care state is less applicable to increasingly important, non-medical areas of health policy. Instead, different aspects of institutional context come into play and they can be combined as part of a looser ‘‘organizing framework''.

Epidemiological Transition In Asian Countries and Related Health Policy Issues

1989 ◽  
Vol 3 (2) ◽  
pp. 139-144 ◽  
Author(s):  
W. O. Phoon
Keyword(s):  
Health Policy ◽  
Occupational Diseases ◽  
Communicable Diseases ◽  
Health Policies ◽  
Epidemiological Transition ◽  
Tropical Diseases ◽  
Asian Countries ◽  
Old People ◽  
Policy Issues ◽  
National Health Policies

The transition in morbidity and mortality from largely communicable diseases to largely non-communicable diseases has been effected in many Asian countries, particularly those which are newly-industrializing. Consequently, significant changes in national health policies have been made to cope with new problems such as the increasing numbers of old people, occupational diseases, accidents and cancer. AIDS, hepatitis B and the “tropical diseases” should, however, remind un that communicable diseases are still very important in Asian countries.

Manitoba's Population-Based Databases and Long-Term Planning: Beyond the Hospital Databases

1995 ◽  
Vol 8 (3) ◽  
pp. 5-13 ◽  
Author(s):  
Marsha M. Cohen ◽  
Noralou P. Roos ◽  
Carolyn DeCoster ◽  
Charlyn Black ◽  
Kathleen M. Decker
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Policy ◽  
Health Services Research ◽  
Health Information System ◽  
Population Based ◽  
Administrative Databases ◽  
Services Research ◽  
Policy Analysts

The Manitoba Centre for Health Policy and Evaluation (MCHPE) conducts health services research focusing on Manitoba's administrative databases. Administrative databases contain information which is routinely and systematically collected for administrative purposes such as hospital and physician claims and funding requirements. This article describes the MCHPE's five major databases, their strengths and limitations, and the development of the Population Health Information System (PHIS). Four modules from PHIS illustrate how the data are used to provide useful information for health care planners, administrators and policy analysts. Finally, future projects and directions for using administrative databases are explored.

scholarly journals Knowledge of primary health care professionals on health policies for the riverside population

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Leandro Barreto da Silva ◽  
Ivaneide Leal Ataíde Rodrigues ◽  
Laura Maria Vidal Nogueira ◽  
Ingrid Fabiane Santos da Silva ◽  
Felipe Valino dos Santos
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health Care Professionals ◽  
Family Health ◽  
Health Policies ◽  
Individual Interviews ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Facilitators And Barriers ◽  
The City

ABSTRACT Objectives: to analyze the knowledge of health professionals on the health policies for the riverside population; identify how health practices with this group are developed; and discuss facilitators and barriers for the implementation of these policies. Methods: qualitative and descriptive study with 24 professionals from the Riverside Family Health Strategy Teams in the city of Belém-Pará. Data were collected in individual interviews and analyzed by Content Analysis. Results: although professionals demonstrate knowledge about public health policies, there is a need to expand and strengthen knowledge about health policies for the riverside population. The activities directed to the communities took place in the Unit itself, and some did not occur due to insufficient material and human resources. Final Considerations: the greatest barrier for the organization of health care is the lack of material and human resources, and the most prominent facilitator was the union and cohesion of the health team.

scholarly journals Home Visit and Palliative Care

2017 ◽  
Vol 35 (4) ◽  
pp. 399
Author(s):  
Orapan Fumaneeshoat
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Medical Technology ◽  
Home Visit ◽  
Holistic Approach ◽  
Rapid Progression ◽  
End Stage ◽  
Exacerbation Of Symptoms ◽  
At Home

To date, an advance in medical technology and science increase the population’s life-span. Hence, palliative medicine, aiming to improve quality of life in patients’ life with incurable diseases becomes essentially significant. Palliative care is a holistic approach, incorporating physical, mental, social and spiritual health. Most Thai patients in the late stage of diseases prefer staying and receiving health care at home where they feel more familiar and restful. In addition, home is the place where they can be with their beloveds and relatives. Therefore, they would like to die at home rather than at hospital. However, many of them did not live, the way they want the remaining of their lives to be nor they die where they would like to die. This is because their caregivers could not manage the exacerbation of symptoms properly, along with the rapid progression of diseases, resulted in hospital admission at the end stage of patients’ lives. Hereafter, palliative home visit plays an important role to allow patients spend their precious time as they approach the end of their life and finally die peacefully at home as they wished. Palliative home visit must be well-planned and appropriate for each patient to ensure that patients, their families and caregivers receive the best health care, according to patients’ will.

scholarly journals Region and Networks: multidimensional and multilevel approaches to analyze the health regionalization process in Brazil

2017 ◽  
Vol 17 (suppl 1) ◽  
pp. S7-S16 ◽  
Author(s):  
Ana Luiza d'Ávila Viana ◽  
Aylene Bousquat ◽  
Maria Paula Ferreira ◽  
Maria Alice Bezerra Cutrim ◽  
Liza Yurie Teruya Uchimura ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Secondary Data ◽  
Policy Planning ◽  
Management Research ◽  
Health Care Networks ◽  
Policy Structure ◽  
Analytical Scheme ◽  
Health Policy Analysis ◽  
The City

Abstract Objectives: to present a methodology used by the Policy, Planning and Region Management research and the Health Care Networks in Brazil - the Regions and Networks research. Methods: description of the analytical scheme in the process of choosing health regions and criteria to select cities and health units, instruments for collecting primary and secondary data and the indicators database, besides the regional typology elaborated for data analysis. Results: the analytical scheme is based on the health policy analysis; policy, structure and organization were defined as the macro dimensions. For each one of these, sub-dimensions were defined. The questionnaire was elaborated by variables that were possible to analyze the regionalization process determinants. Five health regions were selected from the previously defined criteria. Conclusions: the method allowed to establish attributes in the regionalization, constructed by specific components - integration, coordination and regulation. The multilevel approach was important because it portrayed different perceptions from the stakeholder managers and providers according to their bonds in the city, regional and state scenarios.

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