scholarly journals Epidemiological effects in Amyotrophic Lateral Sclerosis from the application of a DTCP

Author(s):  
Massimo Esposito ◽  
Marcello Sartori ◽  
Emilio Terlizzi ◽  
Roberto Antenucci ◽  
Elena Braghieri ◽  
...  

Abstract This article introduces the report on the difference occurred in management of ALS patients by an italian Public Health Care Service through 15 years with-and without DTCP (Diagnostic and Therapeutic Care Pathway) during three timeframes. The article illustrates Demography, Provenance and Territorial context of the patients in charge. The formalization of the staging-based ALS DTCP appears to have increased and improved the possibility of clinical taking in charge of patients.

2017 ◽  
Vol 12 (7) ◽  
pp. 1033-1042 ◽  
Author(s):  
Sara Albolino ◽  
Riccardo Tartaglia ◽  
Tommaso Bellandi ◽  
Elisa Bianchini ◽  
Giancarlo Fabbro ◽  
...  

2009 ◽  
Vol 1 (3) ◽  
pp. 123-127
Author(s):  
Bosiljka M. Lalević-Vasić

Abstract This paper deals with the period from 1881 to 1918, when the following Sanitary Laws were passed: Law on the Organization of the Sanitary Profession and Public Health Care (1881), which implemented measures for protection from venereal diseases, as well as restriction of prostitution; Public Sanitary Fund (1881), with independent budget for health care; Announcement on Free of Charge Treatment of Syphilis (1887). Dermatovenereological Departments were also founded: in the General Public Hospital in Belgrade (1881), and in the General Military Hospital (1909). The Hospital in Knjaževac for Syphilis was reopened (1881), as well as mobile and temporary hospitals for syphilis, and a network of County and Municipality hospitals. The first Serbian dermatovenereologist was Dr. Jevrem Žujović (1860 - 1944), and then Dr. Milorad Savićević (1877 - 1915). Skin and venereal diseases were treated by general practitioners, surgeons, internists and neurologists. Although Dr. Laza Lazarević (1851 - 1890) was not a dermatologist, but a physician and a writer, he published three papers on dermatovenereology, whereas Dr. Milorad Godjevac (1860 - 1933) wrote an important study on endemic syphilis. From 1885 to 1912, organization of dermatovenereology service has significantly improved. Considering the fact that archive documents are often missing, only approximate structure of diseases is specified: in certain monthly reports in Zaječar, out of all the diseased persons, 45% had skin or venereal diseases, while in Užice the number was 10.5%, which points to different distribution of these diseases. High percentage of dermatovenereology diseases was caused by high frequency of venereal diseases and syphilis. During the war: 1912 - 1918, the military medical service dominated, and in 1917 Prince Alexander Serbian Reserve Hospital was founded in Thessaloniki with a Department for Skin and Venereal Diseases. During this period, work of the Civilian Health Care Service was interrupted, consequently leading to a considerable aggravation of public health.


2009 ◽  
Vol 283 (1-2) ◽  
pp. 298-299
Author(s):  
J.I. Siqueira-Neto ◽  
O.M. Pontes-Neto ◽  
J.D.V. Castro ◽  
L. Wichert-Ana ◽  
F.A.C. Vale ◽  
...  

2021 ◽  
Vol 5 (1) ◽  
pp. e8
Author(s):  
Hyrean Jeong ◽  
Jeehee Pyo ◽  
Minsu Ock

Introduction: In order to strengthen the core competencies of workers, systematic education tailored to their needs is necessary. In this study, a survey was conducted on workers in public health care service in Ulsan Metropolitan City (Ulsan) to investigate the demand for education according to core competencies.Methods: A total of 70 workers who work for public health care service in Ulsan participated in this online survey. The questionnaire consisted of socio-demographic factors, work ability, education demand, and preference of education form.Results: The core competency with a high level of work ability is ‘Expertise on health and disease’ (41, 58.6%). On the other hand, the core competency with a low level of work ability was found to be the ‘Evaluation-related theories of public health care service’ (57, 81.4%). The core competencies with the highest demand for education were “Resident-centered service implementation” and “Public health care service strategy development” (64, 91.4%), followed by ‘Public health care service cases review’ and ‘knowledge of public health service plan’ (63, 90.0%). The preferred form of education is offline education (49, 40.8%). The most important factor in education was ‘work utilization’ (Offline: 57, 81.4%; Online: 48, 68.6%), both online and offline.Conclusions: Through the research results, it was possible to find out education demand according to core competencies and preference of education form. Based on these results, we will develop a core competency education program tailored to actual demand. In the future, it is necessary to continuously conduct research on such education demand.


2018 ◽  
Vol 24 (1) ◽  
pp. e1745
Author(s):  
Verónica Cobo-Sevilla ◽  
Italo de Oliveira-Ferreira ◽  
Lenin Moposita-Baño ◽  
Valeria Paredes-Sánchez ◽  
Joshua Ramos-Guevara

2019 ◽  
Vol 16 (3) ◽  
pp. 513-527 ◽  
Author(s):  
Tamara De Melo Sathler ◽  
João Flávio Almeida ◽  
Samuel Vieira Conceição ◽  
Luiz Ricardo Pinto ◽  
Francisco Cardoso de Campos

Goal: This study aims at solving a location problem of Medical Specialties Centers (MSCs) and medical care equipment allocation. Addressing both problems simultaneously is an opportunity to improve public health service quality in the long-term since the literature traditionally treats these problems separately. Design / Methodology / Approach: The challenge consists in maximizing demand satisfaction with the minimum resource allocation in the public health care reality, where there is limited resource availability and high demand for medical services. For that, it was developed an integrated mathematical model, throughout mixed linear programming. The problem is a case study applied to the secondary public health care level in a Brazilian state. The method is generic and suitable to set the location and allocate resources in health care if the decision maker’s intention is to maximize the use of specialists’ assistance and medical exams. Results: The results reveal possible improvements in accessibility. Among the insights, the state government should hire 4% more specialists and acquire 1.5% more equipment to assist 99% of population demand for health care service on the secondary level.   Limitation of the investigation: Usually, one appointment can result in more than one medical exam referral. However, this study considers that each specialist meeting refers to only one exam per consultation.  Practical implications: This study contributes to healthcare planning, suggesting a better distribution and allocation of facilities, equipment, and professionals. Moreover, the study proposes accessibility improvements to health unit centers. Originality / Value: The main contribution of this work is the new integrated approach to public health care planning. The system proposes the reduction of access inequality and the improvement of the quality of health care services.


2018 ◽  
Vol 24 (2) ◽  
pp. 188-207 ◽  
Author(s):  
Jari Stenvall ◽  
Tony Kinder ◽  
Paivikki Kuoppakangas ◽  
Ilpo Laitinen

All successful public service innovations require learning and just as importantly and often more deeply, unlearning. This research investigates the unlearning of health professionals focusing on the issue of why and how unlearning happens at an individual level for health care professions in the transition from product logic to service-dominant logic at Tampere University Hospital in Finland. We applied a qualitative single case study method, a problem-centred unlearning framework with a narrative approach, which facilitates understanding of how the informants perceived the service transition process. We identified three distinct unlearning narratives, and we recognised barriers and enablers to unlearning in the health care service culture and context and suggest ways in which these might be overcome. Results of the study shows that deep and radical change in public health care services is possible, by applying distributed leadership and allowing individual actors time for reflections, mind-wandering, listening and learning from users and discourse between professionals.


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