scholarly journals Parish records from Namibia 1925-1990 - an attempt to analyze fertility and mortality in Ovamboland

1996 ◽  
pp. 295-305
Author(s):  
Veijo Notkola
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Primary Source ◽  
Mortality Decline ◽  
Natural Fertility ◽  
Reconstruction Method ◽  
Population Development ◽  
Family Reconstruction ◽  
The Family ◽  
The 1950S

The general aim of the study is to describe and to try to understand the population development (mortality and fertility) in Ovamboland in North-Namibia. Parish records are used as a primary source. The family reconstruction method based on marriage cohorts has been used. The data includes about 7,000 marriages and 27,000 children. Administrative and missionary records were used especially in interpretation of research results. According to the results both a clear decline and increase in fertility have occurred during 1930-1980 although fertility has been all the time close to natural fertility. Mortality declined in the 1950s in Ovamboland. The main cause for the mortality decline was probably the health care system built by the missionaries. At the same time, however, there was no more bad famines in the area during the 1950s and in general the nutrition level also improved during the 1950s.

scholarly journals How many lived to maturity?

1993 ◽  
pp. 16-24
Author(s):  
Eino Jutikkala
Keyword(s):  
Children And Adolescents ◽  
Social Groups ◽  
Child And Adolescent ◽  
Reconstruction Method ◽  
Family Reconstruction ◽  
The Family ◽  
The Common

Calculations have been made of the total child and adolescent mortality in Finland in the 1700s and 1800s and the beginning of the 1900s. The author examines the cohort mortality of children and adolescents in different periods, regions and social groups. He does this by using the family reconstruction method with the aid of genealogical tables. The study focuses on five populations. In these cases the common allegation that during preindustrial period half the children died before reaching maturity is somewhat exaggerated.

scholarly journals Ethical Impact of Changes in Health Care on the Role of Medicine in Society and the Physician - Patient Relationship

2003 ◽  
Author(s):  
Albert Simon
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Worker ◽  
Health Care Professionals ◽  
Physician Patient Relationship ◽  
American Health Care System ◽  
American Health Care ◽  
The 1950S ◽  
Care Worker ◽  
Care System

Patients contact a myriad of different health care personnel in their trek through the American health care system. In the 1950s on the numerous TV shows about medicine, it was easy to discern “who was who” in the health care cast of characters in these portrayals. The physicians, like Dr. Kildare, were always male, clean cut and serious looking. Nurses wore starched white dresses with nursing caps and distinctive pins; they instantly obeyed the doctor’s orders (including the one to make the doctor a cup of coffee). For better or worse it is a different world now than it was in the 1950s. Social role changes will soon have the doctors being mostly female and a large number of the nurses being male, no one wears a starched white dress, and any health care worker of any gender can have hair of any length, ear-rings and usually will be dressed in the generic scrub suit with white running shoes that has come to signify the American health care worker. Needless to say it is difficult to tell “who is who” in the health care system today by appearance. The stereotypical health care professional role identification related to dress is largely a thing of the past. So how do health care professionals distinguish themselves? Is it in roles, actions or responsibility?

scholarly journals Legal regulation of the institute of family medicine

2020 ◽  
pp. 45-50
Author(s):  
V.V. Mirgorod-Karpova ◽  
B.O. Pavlenko ◽  
V.V. Smal
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Family Medicine ◽  
Health Care System ◽  
Family Doctor ◽  
Legal Regulation ◽  
Medical Services ◽  
The Family ◽  
Care System

The article is devoted to the issue of legal regulation of medical services in Ukraine. The main focus is on family medicine and regulation of the relationship between the family doctor and the patient with whom the declaration was signed, as well as the topic of reforming the health care system of Ukraine, which began in 2015. After all, it was the reform of the health care system that opened such a state institution for Ukraine as family medicine. The relevance of this research topic is that the quality of medical services is one of the main indicators of the effective functioning of the health care system. It is the factor of proper provision of medical services that contributes to: population size, mortality, life expectancy and, in general, public health and population demographics. These important factors determine the development of the state and its socioeconomic situation. If we do not take into account the modern fundamental factor of quality, the medical system will not be able to function properly, and as a result will have problems and shortcomings that will prevent the country from moving forward, both in medicine and in other areas. After the implementation of the first stage of reform, the Ukrainian health care system has undergone significant changes. The main of which was family medicine and all its principles and innovations. The topic of family medicine in Ukraine is quite important, because the family doctor is almost the first to whom the patient turns, so attention should be focused on primary care in order for this institute of medicine to function well and efficiently. Today, Ukraine faces a problem such as the COVID-19 pandemic, which has led to certain gaps in health care, such as inefficient and poor quality of primary care services, lack of responsibility for quality on the part of both doctors and patients, and society. dissatisfied with the reform of the health care system in Ukraine, and the lack of legal force in declarations between family doctors and patients is also a problem today. These problems were not so obvious and noticeable before the COVID-19 epidemic, but it is this situation with the coronavirus that highlights all the above gaps.

scholarly journals Parents Need More Support: A Qualitative Study of the Experiences of Australian Parents Who Are Waiting for Surgical Intervention for Their Children With Otitis Media

2019 ◽  
Vol 7 (5) ◽  
pp. 717-725
Author(s):  
Jacqueline H Stephens ◽  
Maree O’Keefe ◽  
Mark Schembri ◽  
Peter A Baghurst
Keyword(s):  
Health Care ◽  
Otitis Media ◽  
Health Care System ◽  
Treatment Options ◽  
Well Being ◽  
Cross Sectional ◽  
Medical Practitioners ◽  
The Family ◽  
The Impact ◽  
Care System

Objective: To explore the experiences, expectations, and motivations of parents/caregivers of children with otitis media who were booked to undergo tympanostomy tube insertion. Method: A cross-sectional cohort study was conducted using semistructured interviews with 39 parents. Interviews were conducted via telephone and analyzed for key themes. Results: Three themes emerged that incorporated a range of subthemes: (1) the impact of the child’s underlying condition on the family, (2) the cues and prompts that influenced parents to seek intervention, and (3) the parents’ expectations of the health-care system. The child’s otitis media disrupted the day-to-day functioning of the family and the child’s well-being, but despite this, the families found ways to adapt and cope. Parents were influenced by their friends, family, and medical practitioners when making treatment decisions and had differing expectations of the health-care system. Conclusion: Parents need support during their child’s illness to help with pressures placed on the family and also in making health-care decisions for their child. Clinicians should consider these issues when discussing treatment options with parents.

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