scholarly journals Big data analysis of Pulmonary Embolism in Greece

2020 ◽  
Author(s):  
Ioannis Ch Lampropoulos ◽  
Dimitrios G Raptis ◽  
Zoe Daniil ◽  
Sotirios K Tasoulis ◽  
Vassilis P Plagianakos ◽  
...  

Abstract Background: Pulmonary embolism (PE) epidemiological data are unclear considering the disease prevalence in the general population. The present study aims to investigate the prevalence of PE at the Greek population and the associated trends for the years 2013-2017. Methods: Data on medical prescriptions for PE in the years 2013-2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results: The total number of medical prescriptions for PE for the study period was 101,426. Of the total prescriptions, 51% were issued by the Public Sector, while 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100,000 citizens and increased constantly until 2017 with 23.79 cases per 100,000 population. Prevalence is higher in all years studied in the age group 70-80 with 69.35 cases per 100,000 population for the year 2017 followed by the ages 80-90 (60.58/100,000) and 60-70 (56.47/100,000) for the same year. Females display higher PE prevalence than males and higher increasing trend.Conclusion: PE prevalence displays an increasing trend throughout the years while prevalence in females is higher than males and displays a higher increasing trend. Our results may be used to appropriately organize nationwide health care systems aiming at the diagnosis, treatment and prevention of PE.

2020 ◽  
Author(s):  
Ioannis Ch Lampropoulos ◽  
Dimitrios G Raptis ◽  
Zoe Daniil ◽  
Sotirios K Tasoulis ◽  
Vassilis P Plagianakos ◽  
...  

Abstract Background: Pulmonary embolism (PE) epidemiological data are unclear considering the disease prevalence in the general population. The present study aims to investigate the prevalence of PE at the Greek population and the associated trends for the years 2013-2017. Methods: Data on prescriptions for PE in the years 2013-2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results: The total number of prescriptions for PE for the study period was 101.426. Of the total prescriptions, 51% were issued by the Public Sector, while 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100.000 citizens and increased constantly until 2017 with 23.79 cases per 100.000 population. Prevalence is higher in all years studied in the age group 70-80 with 69.35 cases per 100.000 population for the year 2017 followed by the ages 80-90 (60.58/100.000) and 60-70 (56.47/100.000) for the same year. Females display higher PE prevalence than males and higher increasing trend.Conclusion: PE prevalence displays an increasing trend throughout the years while female prevalence is higher than males with a higher increasing trend. Our results may be used to appropriately organize nationwide health care systems aiming at the diagnosis, treatment and prevention of PE.


2020 ◽  
Author(s):  
Ioannis Ch Lampropoulos ◽  
Dimitrios G Raptis ◽  
Zoe Daniil ◽  
Sotirios K Tasoulis ◽  
Vassilis P Plagianakos ◽  
...  

Abstract Introduction Pulmonary embolism (PE) epidemiological data are unclear considering the disease prevalence in the general population. The present study aims to investigate the prevalence of PE at the Greek population and the associated trends for the years 2013-2017. Methods Data on prescriptions for PE in the years 2013-2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results The total number of prescriptions for PE for the study period was 101.426. Of the total prescriptions, 51% were issued by the Public Sector, while 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100.000 citizens and increased constantly until 2017 with 23.79 cases per 100.000 population. Prevalence is higher in all years studied in the age group 70-80 with 69.35 cases per 100.000 population for the year 2017 followed by the ages 80-90 (60.58/100.000) and 60-70 (56.47/100.000) for the same year. Females display higher PE prevalence than males and higher increasing trend. Conclusion PE prevalence displays an increasing trend throughout the years while female prevalence is higher than males with a higher increasing trend. Our results may be used to appropriately organize nationwide health care systems aiming at the diagnosis, treatment and prevention of PE.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Ioannis C. Lampropoulos ◽  
Dimitrios G. Raptis ◽  
Zoe Daniil ◽  
Sotirios K. Tasoulis ◽  
Vassilis P. Plagianakos ◽  
...  

Abstract Background Pulmonary embolism (PE) epidemiological data about the disease prevalence in the general population are unclear. The present study aims to investigate the prevalence of PE in Greece and the associated temporal trends for the years 2013–2017. Methods Data on medical prescriptions for PE in the years 2013–2017 were provided by the Greek National Health Service Organization (EOPYY). Data on age, gender, specialty of the prescribing physician and prescription unit were provided as well. Results The total number of medical prescriptions for PE for the study period was 101,426. Of the total prescriptions, 51% were issued by the Public Sector and 48% by the Private Sector. In 2013 the prevalence of PE was 5.43 cases per 100,000 citizens and increased constantly until 2017 with 23.79 cases per 100,000 population. Prevalence was higher in all years studied in the age group of 70–80 years. For the year 2017, we observed 69.35 cases per 100,000 population for subjects 70–80 years, followed by the ages 80–90 (60.58/100,000) and 60–70 years (56.47 /100,000). Females displayed higher PE prevalence than males and higher increasing trend. Conclusion PE prevalence has an increasing trend throughout the years 2013–2017 while prevalence in females is higher than males and displays a higher increasing trend. Our results may be used to appropriately organize nationwide health care campaigns aiming at the diagnosis, treatment and prevention of PE.


2015 ◽  
Vol 1 (2) ◽  
pp. 321-346 ◽  
Author(s):  
Shiri Noy ◽  
Patricia A. McManus

Are health care systems converging in developing nations? We use the case of health care financing in Latin America between 1995 and 2009 to assess the predictions of modernization theory, competing strands of globalization theory, and accounts of persistent cross-national differences. As predicted by modernization theory, we find convergence in overall health spending. The public share of health spending increased over this time period, with no convergence in the public-private mix. The findings indicate robust heterogeneity of national health care systems and suggest that globalization fosters human investment health policies rather than neoliberal, “race to the bottom” cutbacks in public health expenditures.


Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.


2021 ◽  
Vol 51 (2) ◽  
pp. 293-303
Author(s):  
Anthony L Pillay ◽  
Anne L Kramers-Olen

The COVID-19 pandemic heralded challenges that were both significant and unfamiliar, placing inordinate burdens on health care systems, economies, and the collective psyche of citizens. The pandemic underscored the tenuous intersections between public mental health care, politics, economics, and psychosocial capital. In South Africa, the inadequacies of the public health system have been laid bare, and the disproportionate privileges of the private health care system exposed. This article critically considers government responses to the COVID-19 pandemic, the psychosocial correlates of lockdown, politics, corruption, and public mental health policy in South Africa.


2005 ◽  
Vol 33 (4) ◽  
pp. 660-668 ◽  
Author(s):  
Christopher Newdick

Most now recognize the inevitability of rationing in modern health care systems. The elastic nature of the concept of “health need,” our natural human sympathy for those in distress, the increased range of conditions for which treatment is available, the “greying” of the population; all expand demand for care in ways that exceed the supply of resources to provide it. UK governments, however, have found this truth difficult to present and have not encouraged open and candid public debate about choices in health care. Indeed, successive governments have presented the opposite view, that “if you are ill or injured there will be a national health service there to help; and access to it will be based on need and need alone.” And they have been rightly criticized for misleading the public and then blaming clinical and managerial staffin the National Health Service (NHS) when expectations have been disappointed.


2020 ◽  
Vol 163 (4) ◽  
pp. 705-706 ◽  
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to outpatient care.


OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093665
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits and surgical volumes. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. Our institution has had the unique opportunity to already return operations back to full capacity. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to patient care.


2017 ◽  
Vol 13 (2) ◽  
pp. 162-188 ◽  
Author(s):  
Tom Daniels ◽  
Iestyn Williams ◽  
Stirling Bryan ◽  
Craig Mitton ◽  
Suzanne Robinson

AbstractPublic involvement in disinvestment decision making in health care is widely advocated, and in some cases legally mandated. However, attempts to involve the public in other areas of health policy have been accused of tokenism and manipulation. This paper presents research into the views of local health care leaders in the English National Health Service (NHS) with regards to the involvement of citizens and local communities in disinvestment decision making. The research includes a Q study and follow-up interviews with a sample of health care clinicians and managers in senior roles in the English NHS. It finds that whilst initial responses suggest high levels of support for public involvement, further probing of attitudes and experiences shows higher levels of ambivalence and risk aversion and a far more cautious overall stance. This study has implications for the future of disinvestment activities and public involvement in health care systems faced with increased resource constraint. Recommendations are made for future research and practice.


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