Medical Resources and Suicide Prevention

1992 ◽  
Vol 75 (3_suppl) ◽  
pp. 1254-1254
Author(s):  
David Lester
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Suicide Prevention ◽  
Mortality Rates ◽  
Homicide Rates ◽  
Medical Resources ◽  
Suicide Rates ◽  
American States ◽  
Quality Of Medical Care

Infant mortality rates, a measure of the quality of medical care, was associated with homicide rates, but not suicide rates, over nations and over the American states.

scholarly journals Comparative assessment of mortality and lethality rates of newborns at the regional level

Public Health ◽  
2022 ◽  
Vol 1 (4) ◽  
pp. 34-48
Author(s):  
D. O. Ivanov ◽  
V. K. Yuryev ◽  
Yu. V. Petrenko ◽  
K. E. Moiseeva ◽  
I. I. Mogileva ◽  
...  
Keyword(s):  
Medical Care ◽  
Maternity Care ◽  
Federal District ◽  
Mortality Rates ◽  
Average Hospital ◽  
The North ◽  
Quality Of Medical Care ◽  
The City ◽  
North Western

In order to assess the mortality and lethality rates of newborns in obstetric organizations of the North-Western Federal District in 2013–2019, a comparative analysis of official statistics data was carried out. It was found that in the North-Western Federal District in the period from 2013 to 2019, there was an almost annual decrease in newborn mortality rates. The overall decrease in mortality in maternity care organizations of the Federal District (from 2,5% to 1,9%) was mainly due to a decrease in mortality in obstetric hospitals of the first and second levels (respectively from 3,2% to 1,2% and from 1,7% to 0,7%), while most children died in perinatal centers, where the mortality rate has not changed in recent years (2013 – 4,1%; 2019 – 4,0%). The study showed a decrease in mortality rates in the subjects of the Russian Federation that are part of the federal district, except for the city of St. Petersburg. The average hospital lethality rate of newborns in maternity care organizations of the North-Western Federal District during 2013–2019 was in the range of 1,9%–2,0%, did not change significantly and corresponded to the national average. However, the level of hospital lethality significantly differed in individual subjects of the district – in more than half of them, the level of hospital lethality exceeded the average, while in others it was significantly lower. Thus, the decrease in the mortality and lethality rates of newborns in maternity care organizations indicates an increase in the quality of medical care for children in the North-Western Federal District. dicates an increase in the quality of medical care for children in the North-Western Federal District. 

scholarly journals Клиническая и нейрофизиологическая характеристика неонатального периода детей, родившихся от ранних преждевременных родов

2019 ◽  
pp. 32-38
Keyword(s):  
Infant Mortality ◽  
Neonatal Period ◽  
Mortality Rates ◽  
Mortality And Morbidity ◽  
Typical Sample ◽  
High Infant Mortality ◽  
Nervous System Function ◽  
Quality Of Medical Care ◽  
Neurological Pathology

In recent years, there has been a decrease in perinatal and infant mortality rates in the world due to improvements in the quality of medical care for children born in early pre-term birth (32 and less weeks of gestation) (Baranov A.A., Namazova-Baranova L.S., Kurenkov A.L., etc., 2014). Complications of prematurity are the main causes of high infant mortality and morbidity in premature infants, the risk of complications increases with severity of immaturity (Sakharova E.S., 2017). Objective – to study the clinical and neurophysiological features of the neonatal period in children born at the gestational age of 32 weeks or less. Materials and methods: a cohort prospective study of the physical, neurological and neurophysiological status of 85 children born at the age of up to 32 weeks of pregnancy was conducted by a typical sample. Eelectroencephalography (Neuro-Facilities Copyright © 201-2018 Neurosoft) was performed, visual and auditory potentials were determined (Neuro-SPECTR Copyright © 2012-2018 Neurosoft), NSG. Results: on the basis of the obtained data, the dependence of the state of health and severity of neurological pathology on the period of gestation at birth, the severity of hypoxia and the severity of brain damage at birth was confi rmed. It was found out that the main manifestation of the nervous system function in children born at 32 and less weeks of gestation at 38-40 weeks of post-conceptual age is neurophysiological immaturity.

scholarly journals Urban variation in infant mortality from birth injury and atelectasis in England and Wales in 1958–67

1972 ◽  
Vol 70 (1) ◽  
pp. 181-196
Author(s):  
Percy Stocks
Keyword(s):  
Infant Mortality ◽  
Sex Ratio ◽  
Medical Care ◽  
Cause Of Death ◽  
Birth Injury ◽  
England And Wales ◽  
Diagnostic Difficulties ◽  
Quality Of Medical Care

SUMMARYVariations in mortality attributed to birth injury and atelectasis in the 10 years 1958–67 have been investigated for each county borough of England and Wales. It became evident that diagnostic difficulties in separating these two causes must have been such that for statistical purposes they should be combined in a single rate.Variables likely to affect the local rates such as the sex ratio of births, and rates of illegitimacy and immaturity as an ill-defined cause of death appeared to affect the mortality levels in certain towns but not sufficiently to account for the wide variations apparent in those levels. It is concluded that local surveys are necessary in the towns with highest rates to uncover differences in numbers of births in hospital, in obstetric techniques and in quality of medical care.

Postneonatal infant mortality and quality of medical care: a case-control study

2001 ◽  
Vol 77 (6) ◽  
pp. 461-8
Author(s):  
Antônio P. Caldeira ◽  
Elizabeth França ◽  
Eugênio M.A. Goulart
Keyword(s):  
Infant Mortality ◽  
Medical Care ◽  
Case Control Study ◽  
Case Control ◽  
Quality Of Medical Care ◽  
Control Study

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

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