scholarly journals The financial and economic results and the potentialities of training and advanced courses for doctors, dispensing chemists, and interns under conditions of the health care system reformation

2021 ◽  
Vol 27 (1-2) ◽  
pp. 76-82
Author(s):  
O.Ye. Sichkoriz ◽  
Keyword(s):  
Health Care ◽  
Economic Effect ◽  
Practical Importance ◽  
First Year ◽  
Organization And Management ◽  
National Medical ◽  
Postgraduate Studies ◽  
Financial Income ◽  
Loading Amount ◽  
Advanced Courses

Aim. to forecast the economic effect of potentialities of the Departments subordinated to the Faculty of Advanced (postgraduate) studies that deals with training of interns and tuition relating to advanced and re-training (refresher) courses for specialists. Materials and Methods. The research was carried out on the basis of actual indices of the Faculty of Advanced (postgraduate) studies at Danylo Halytsky Lviv National Medical University during 2014-2018 years. The statistical methods, structural-and-logical analysis and systemic approach were used. Results and Discussion. The number of individuals who underwent (on contract terms) the primary specialization at the Departments subordinated to the Faculty of Advanced (postgraduate) studies with regard to 29 specialties was established. The financial income, 13 million 668 thousand and 74 hryvnyas, to the special fund for the first year of interns' education was forecast. The feasibility of this forecast may become valid if the maximum possible number of applicants to the internship will be enrolled (on contract terms) regarding the specialties of eligible type. As it is forecast, the largest amount of fees for the first year of studies (29,54%), will be provided by the interns-dentists, while the smallest share in the structure of income (20,01%) will be paid by the interns who are specialized in different surgical profiles. The education at the Advanced Courses and the re-training of the maximum possible number of students of the Faculty of Advanced (postgraduate) studies, on contract terms, will provide the maximum possible income, which is 10 million 826 thousand and 33 hryvnyas; 28,67% out of them are fees for the education from the students of surgery type; 42,01% are fees from the students of therapy type, and 29,32% are fees from the students of medico-prophylactic type, organization and management of Health Care and dispensing chemists. Conclusions. The computation of the maximal loading (amount of work) at the Departments dealing with the interns' training and advanced courses for doctors and dispensing chemists is of significant practical importance for the evaluation of the potentialities of the Departments subordinated to the Faculty of Advanced (postgraduate) studies as to conducting the primary specialization, advanced courses, and re-training of specialists. This is imposed in the finances as well, primarily in the money receipts from interns' training and advanced courses and re-training of specialists on contract terms (at the expense of natural and juridical persons)

Predicting First-Year Returns of Health Care IPOs

2012 ◽  
Author(s):  
Richard Borghesi ◽  
Thomas Pencek
Keyword(s):  
Health Care ◽  
First Year

scholarly journals Predictors of Veterans Health Administration utilization and pain persistence among soldiers treated for postdeployment chronic pain in the Military Health System

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rachel Sayko Adams ◽  
Esther L. Meerwijk ◽  
Mary Jo Larson ◽  
Alex H. S. Harris
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Chronic Pain ◽  
Veterans Health Administration ◽  
First Year ◽  
Veterans Health ◽  
Health Administration ◽  
Military Health System ◽  
Military Health ◽  
The Military

Abstract Background Chronic pain presents a significant burden for both federal health care systems designed to serve combat Veterans in the United States (i.e., the Military Health System [MHS] and Veterans Health Administration [VHA]), yet there have been few studies of Veterans with chronic pain that have integrated data from both systems of care. This study examined 1) health care utilization in VHA as an enrollee (i.e., linkage to VHA) after military separation among soldiers with postdeployment chronic pain identified in the MHS, and predictors of linkage, and 2) persistence of chronic pain among those utilizing the VHA. Methods Observational, longitudinal study of soldiers returning from a deployment in support of the Afghanistan/Iraq conflicts in fiscal years 2008–2014. The analytic sample included 138,206 active duty soldiers for whom linkage to VHA was determined through FY2019. A Cox proportional hazards model was estimated to examine the effects of demographic characteristics, military history, and MHS clinical characteristics on time to linkage to VHA after separation from the military. Among the subpopulation of soldiers who linked to VHA, we described whether they met criteria for chronic pain in the VHA and pain management treatments received during the first year in VHA. Results The majority (79%) of soldiers within the chronic pain cohort linked to VHA after military separation. Significant predictors of VHA linkage included: VHA utilization as a non-enrollee prior to military separation, separating for disability, mental health comorbidities, and being non-Hispanic Black or Hispanic. Soldiers that separated because of misconduct were less likely to link than other soldiers. Soldiers who received nonpharmacological treatments, opioids/tramadol, or mental health treatment in the MHS linked earlier to VHA than soldiers who did not receive these treatments. Among those who enrolled in VHA, during the first year after linking to the VHA, 49.7% of soldiers met criteria for persistent chronic pain in VHA. Conclusions The vast majority of soldiers identified with chronic pain in the MHS utilized care within VHA after military separation. Careful coordination of pain management approaches across the MHS and VHA is required to optimize care for soldiers with chronic pain.

Influenza vaccination of health care personnel: Experiences with the first year of a national data collection effort

2015 ◽  
Vol 43 (11) ◽  
pp. 1154-1160 ◽  
Author(s):  
Elizabeth J. Kalayil ◽  
Samantha B. Dolan ◽  
Megan C. Lindley ◽  
Faruque Ahmed
Keyword(s):  
Health Care ◽  
Data Collection ◽  
Influenza Vaccination ◽  
Health Care Personnel ◽  
First Year ◽  
National Data ◽  
Data Collection Effort

scholarly journals CARLOS POTENCIANO REYES, MD (1940 - 2020) Little-Known but Significant Pioneer

2020 ◽  
Vol 35 (1) ◽  
pp. 83
Author(s):  
Generoso Abes
Keyword(s):  
Operating Room ◽  
Temporal Bone ◽  
First Year ◽  
Sensitivity Index ◽  
Conference Room ◽  
Usual Norm ◽  
Postgraduate Studies ◽  
Training Institutions ◽  
Set Up ◽  
Audiologic Evaluation

Consultants and more senior co-resident physicians at the Philippine General Hospital (PGH) would call him “Caloy.” Hardly would I hear anybody (including our ENT department secretary) address him as Dr. Reyes. This was not because he was not a respected faculty member. Rather, he was everybody’s friend and he probably preferred to be addressed by his nickname. Dr. Carlos P. Reyes was a tall, friendly guy, easily recognizable while walking through the short PGH corridor stretching from the old ENT Ward (Ward 3) to the old ENT operating room (OR) called Floor 15, later designated as the PGH Nursing Office. He would almost always be holding either an expensive photography camera, electronic gadget, ENT OR instrument, or car magazines – suggesting his varied interests aside from having good knowledge of Otolaryngology, particularly Otology. He would usually stop and chat with an acquaintance about his new medical or non-medical interests. I first met Dr. Caloy when I was the first year resident assigned to the Otology section. He would call me “Ging” while presenting the ear patients at the outpatient department (OPD) Ear Clinic, only to learn later that he would address all unfamiliar persons by that name. He was kind, helpful and very understanding. Equipped with ample information in Otology he gathered from postgraduate studies abroad, he would selflessly share these with the residents in order to sharpen our diagnostic acumen. He would instruct us to rely on concise yet complete clinical examination, involving audiologic evaluation tools and meager radiologic information in considering differential diagnoses. He was quite willing to assist us in our learning processes, particularly on how to distinguish middle ear from inner ear disorders, and cochlear versus retrocochlear diseases. Since we did not have any audiologist at that time, he admonished us to carry out the needed audiometric evaluations on our ear patients ourselves in order to learn both the techniques of the procedures and their limitations. Hence, after the OPD clinic we would not only perform routine pure tone and speech audiometric tests but also special examinations like the Bekesy test, short increment sensitivity index (SISI) test, alternate binaural loudness balance (ABLB) test and the test for tone decay. We would then discuss the test results during our next ear clinic and we would listen and be amazed at how Dr. Caloy would integrate the information and arrive at the complex diagnosis. Dr. Caloy was our mentor at the time when refinements in tympanoplasty and mastoidectomy aroused the excitement and imagination of budding otologists worldwide. Whereas canal down mastoidectomy was the usual norm to safely remove common mastoid pathology like cholesteatoma, Dr. Caloy introduced the concept of intact canal wall mastoidectomy that avoids or mitigates recurrent postoperative cleaning of the mastoid bone. The period was also the dawn of neuro-otology when Dr. William House popularized the transmastoid approach for acoustic neuroma and the endolymphatic mastoid shunt as treatment for Meniere’s disease. In order to teach us the anatomical and surgical principles of performing these procedures, Dr. Caloy set up the first temporal bone dissection laboratory in the country at the mezzanine above the ENT conference room. He would offer the course to all ENT residents-in-training and consultants nationwide. He practically revolutionized the method of otologic surgery by requiring ENT surgeons to practice doing ear surgery in the temporal bone dissection lab prior to performing ear surgeries in the operating room. In addition, he advocated the use of the operating microscope and dental drills in place of the old bone gouges, chisels and bone ronguers. His ideas were later adopted by other ENT training institutions as we see today. The requirement that every ENT resident must undergo temporal bone dissection in the course of his training obviously stemmed from the efforts of Dr. Caloy. Many senior ENT consultants who are still with us today were former students of Dr. Caloy in his temporal bone lab Unfortunately, before finishing my residency training, Dr Caloy expeditiously left the PGH ENT department for unknown reasons. He then set up his private clinic in Quezon City and later joined the ENT department of University of Santo Tomas. Reflecting on the significant yet probably unknown achievements of Dr. Caloy toward the advancement of otology and neuro-otology in our country, I realize how blessed I was to be one of his students during that brief period when he was still with us at UP-PGH. With our profound gratitude Sir, we will always remember you.

scholarly journals Group versus individual antenatal and first year postpartum care: Study protocol for a multi-country cluster randomized controlled trial in Kenya and Nigeria

2019 ◽  
Vol 2 ◽  
pp. 56 ◽  
Author(s):  
Mark M. Kabue ◽  
Lindsay Grenier ◽  
Stephanie Suhowatsky ◽  
Jaiyeola Oyetunji ◽  
Emmanuel Ugwa ◽  
...  
Keyword(s):  
Health Care ◽  
Randomized Controlled Trial ◽  
Data Collection ◽  
Pregnant Women ◽  
Controlled Trial ◽  
Phase 1 ◽  
First Year ◽  
Phase 2 ◽  
Randomized Controlled ◽  
Cluster Randomized

Background: Antenatal care (ANC) in many low- and middle-income countries is under-utilized and of sub-optimal quality. Group ANC (G-ANC) is an intervention designed to improve the experience and provision of ANC for groups of women (cohorts) at similar stages of pregnancy. Methods: A two-arm, two-phase, cluster randomized controlled trial (cRCT) (non-blinded) is being conducted in Kenya and Nigeria. Public health facilities were matched and randomized to either standard individual ANC (control) or G-ANC (intervention) prior to enrollment. Participants include pregnant women attending first ANC at gestational age <24 weeks, health care providers, and sub-national health managers. Enrollment ended in June 2017 for both countries. In the intervention arm, pregnant women are assigned to cohorts at first ANC visit and receive subsequent care together during five meetings facilitated by a health care provider (Phase 1). After birth, the same cohorts meet four times over 12 months with their babies (Phase 2). Data collection was performed through surveys, clinical data extraction, focus group discussions, and in-depth interviews. Phase 1 data collection ended in January 2018 and Phase 2 concludes in November 2018. Intention-to-treat analysis will be used to evaluate primary outcomes for Phases 1 and 2: health facility delivery and use of a modern method of family planning at 12 months postpartum, respectively. Data analysis and reporting of results will be consistent with norms for cRCTs. General estimating equation models that account for clustering will be employed for primary outcome analyzes. Results: Overall 1,075 and 1,013 pregnant women were enrolled in Nigeria and Kenya, respectively. Final study results will be available in February 2019. Conclusions: This is the first cRCT on G-ANC in Africa. It is among the first to examine the effects of continuing group care through the first year postpartum. Registration: Pan African Clinical Trials Registry PACTR201706002254227 May 02, 2017

scholarly journals Nursing as a subject of licensing

2001 ◽  
Vol 82 (4) ◽  
pp. 303-303
Author(s):  
Sh. M. Vakhitov ◽  
R. G. Yamaleev ◽  
V. S. Pronevich ◽  
Z. Z. Gaidullin ◽  
O. N. Vilkova ◽  
...  
Keyword(s):  
Health Care ◽  
Nursing Education ◽  
Medical Technologies ◽  
Organization And Management

Currently, 18 medical universities in the country have opened faculties of higher nursing education (HEE), graduates of which are qualified as "manager" in the specialty of "nursing". The emergence of a new category of medical workers for domestic health care is a necessity dictated by the objective need to reform the industry and introduce modern organizational, managerial and medical technologies. However, not all medical workers, including managers, adequately and willingly perceive the innovations. Moreover, many of them simply do not think about the fact that the emergence of specialists with HSS is only the first and necessary link in the chain of subsequent changes in the system of organization and management of health care.

scholarly journals Emotional Condition and Physical Activity of First-year Female Students at Medical College During the Academic Year

2017 ◽  
Vol 17 (2) ◽  
pp. 62-66
Author(s):  
Nataliia Semenova ◽  
Anatolii Mahlovanyi
Keyword(s):  
Physical Activity ◽  
Female Students ◽  
Activity Level ◽  
First Year ◽  
Technical Literature ◽  
Medical College ◽  
National Medical ◽  
Observation Methods ◽  
Analysis And Synthesis ◽  
Academic Year

The objective isto establish emotional state changes among female students during the academic year regarding available physical activity.Material & methods: the study involved 65 first year femalestudents of medical college at Danylo Halytskyi Lviv National Medical University. To achieve the tasks set the study relied on the following methods: analysis and synthesis of scientific and technical literature, pedagogical observation, methods of mathematical statistics (t-Student test for independent samples), SAN method.Results: no reliable differences found when comparing indicators of activity and mood at the beginning and end of the academic year. The obtained results of the survey indicate medium and high evaluationof SAN categories at low levels of physical activity.Conclusions: state of health, activity and mood levelswere rated with middle and high scoresbyfemale students. SAN evaluation dynamics has been lowering during the academic year, and the activity level of female students was significantly lower than that ofstate of health as well as mood. The resulting index of activity level as emotional characteristic largely reflects low physical activity of female students. 

scholarly journals Non-invasive respiratory unit in the Hungarian health care system

2012 ◽  
Vol 153 (23) ◽  
pp. 918-921 ◽  
Author(s):  
András Lorx ◽  
Dóra Bartusek ◽  
György Losonczy ◽  
János Gál
Keyword(s):  
Health Care ◽  
Intensive Care ◽  
Hospital Stay ◽  
Respiratory Insufficiency ◽  
First Year Experience ◽  
First Year ◽  
Non Invasive ◽  
High Dependency ◽  
Chronic Respiratory Insufficiency ◽  
General Wards

Treating patients with acute or chronic respiratory insufficiency still poses a major load on the healthcare system. Though there is evidence that treating these patients in high dependency respiratory units results in a shortening of hospital stay, reduces the need of intubation, and decreases mortality. In the Hungarian routine these patients are treated in general wards until the development of global respiratory insufficiency, when they are transferred to intensive care units. The authors present their first year experience on their novel Non-invasive Respiratory Unit established at Semmelweis University. Orv. Hetil., 2012, 153, 918–921.

Consumer Cost-Sharing as a Means to Reduce Health Care Costs

PEDIATRICS ◽  
1980 ◽  
Vol 65 (1) ◽  
pp. 168-170
Author(s):  
Stephen M. Davidson ◽  
John P. Connelly ◽  
R. Don Blim ◽  
James E. Strain ◽  
H. Doyl Taylor
Keyword(s):  
Health Care ◽  
Health Care Costs ◽  
Cost Sharing ◽  
Cost Of Care ◽  
National Commission ◽  
Insurance Policies ◽  
National Medical ◽  
Use Of Services ◽  
The Cost ◽  
Care Costs

The National Commission on the Cost of Medical Care1 states in part (Recommendation 2) that "insurance policies should include provisions through which the consumer shares in the cost of care received, at the time of service, for selected benefits and for selected groups...." These cost-sharing provisions are expected to reduce national medical care expenditures by encouraging consumers to reduce their use of services in order to avoid paying additional money out of their own pockets. They will thus moderate the demand-inducing tendency of insurance, leading the rational consumer to seek only necessary services and to forego those services contributing to what is believed to be over-utilization. As the Commission states in its supporting statement:

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