scholarly journals Homoeopathy: It’s role in palliative and curative care of cancer

2021 ◽  
Vol 5 (3) ◽  
pp. 160-171
Author(s):  
Chavan RB
Keyword(s):  
Curative Care

scholarly journals Case study of the beneficiary group distribution of curative care expenditure based on SHA 2011 in Xinjiang autonomous region, China

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e043155
Author(s):  
Honghong Feng ◽  
Kai Pan ◽  
Xiaoju Li ◽  
Liwen Zhang ◽  
Lu Mao ◽  
...  
Keyword(s):  
Health Expenditure ◽  
Age Groups ◽  
Family Health ◽  
Curative Care ◽  
Medical Institutions ◽  
Health Policy Analysis ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
Xinjiang Autonomous Region

BackgroundThe System of Health Accounts 2011 (SHA 2011) assists in health policy analysis and health expenditure comparison at the international level. Based on SHA 2011, this study analysed the distribution of beneficiary groups of curative care expenditure (CCE) in Xinjiang, to present suggestions for developing health policies.MethodsA total of 160 health institutions were selected using the multistage stratified random sampling method. An analysis of the agewise CCE distribution, institutional flow, and disease distribution was then performed based on the SHA 2011 accounting framework.ResultsIn 2016, the CCE in Xinjiang was ¥50.05 billion, accounting for 70.18% of current health expenditure and 6.66% of the gross domestic product. The per capita CCE was ¥2366.56. The CCE was distributed differently across age groups, with the highest spending on people over the age of 65 years. The CCE was highest for diseases of the circulatory, respiratory and digestive systems. Most of the expenditure was incurred in hospitals and, to a lesser extent, in primary healthcare institutions. Family health expenditure, especially on children aged 14 years and below, accounted for a relatively high proportion of the CCE.ConclusionSHA 2011 was used to capture data, which was then analysed according to the newly added beneficiary dimension. The findings revealed that the use of medical resources is low, the scale of primary medical institutions needs to be significantly expanded and there is a need to optimise the CCE financing scheme. Therefore, the health policymaking department should optimise the relevant policies and improve the efficiency of health services.

Materials for medical examination of students of the 1st Moscow State University

1930 ◽  
Vol 26 (8) ◽  
pp. 835-837
Author(s):  
D. M. Russian
Keyword(s):  
Medical Examination ◽  
Educational Institutions ◽  
State University ◽  
Higher Educational Institutions ◽  
Curative Care ◽  
Higher Educational ◽  
Moscow State University ◽  
Work And Life

One of the most important moments in achieving healthier work and life of students in higher educational institutions is the medical examination of students, which is the necessary method of medical examination and observation of students, in which students receive all the necessary types of preventive and curative care.

Intolerable Burden of Malaria among Primitive Tribal Community in Odisha: Examining the Fundamental Cause

2021 ◽  
pp. 097206342110504
Author(s):  
Jayakant Singh ◽  
Mathew George
Keyword(s):  
Working Conditions ◽  
Chloroquine Resistance ◽  
Tribal Community ◽  
Health Seeking ◽  
Open Defecation ◽  
Curative Care ◽  
Fundamental Cause ◽  
Treatment Plans ◽  
Mosquito Breeding ◽  
The Government

This study seeks to examine the living conditions, working conditions, and health seeking behaviour for malaria among Kondho community after one is infected with malaria. The residential surroundings of those diagnosed with malaria positive cases were extremely conducive for mosquito breeding. For instance, the majority of households threw garbage near their house, went for open defecation, the cowshed was beside their houses, and above all the houses were mostly situated in the jungle or near thick forest. Sub-centre followed by the community health centres was the first point of contact in most cases but medical care was sought only after routine life was affected. While malaria treatment plans are changing towards administering more powerful drugs as a result of chloroquine resistance but not as much has been done in the ground to prevent malaria at the first place. Therefore, together with continuing curative care for malaria—more emphasis is needed on its prevention. Community, civil society and the government need to work in tandem to improve the living and working conditions of backward communities particularly those living in malaria endemic zone so as to be able to take effective preventive measures for malaria.

scholarly journals Connected care for endocarditis and heart failure patients: a hospital-at-home programme

2021 ◽  
Author(s):  
J. van Ramshorst ◽  
M. Duffels ◽  
S. P. M de Boer ◽  
A. Bos-Schaap ◽  
O. Drexhage ◽  
...  
Keyword(s):  
Heart Failure ◽  
Home Care ◽  
Nurse Practitioners ◽  
Care Group ◽  
Proof Of Concept ◽  
Home Setting ◽  
Curative Care ◽  
Care At Home ◽  
Hospital At Home ◽  
At Home

Abstract Background Healthcare expenditure in the Netherlands is increasing at such a rate that currently 1 in 7 employees are working in healthcare/curative care. Future increases in healthcare spending will be restricted, given that 10% of the country’s gross domestic product is spent on healthcare and the fact that there is a workforce shortage. Dutch healthcare consists of a curative sector (mostly hospitals) and nursing care at home. The two entities have separate national budgets (€25 bn + €20 bn respectively) Aim In a proof of concept, we explored a new hospital-at-home model combining hospital cure and nursing home care budgets. This study tests the feasibility of (1) providing hospital care at home, (2) combining financial budgets, (3) increasing workforces by combining teams and (4) improving perspectives and increasing patient and staff satisfaction. Results We tested the feasibility of combining the budgets of a teaching hospital and home care group for cardiology. The budgets were sufficient to hire three nurse practitioners who were trained to work together with 12 home care cardiovascular nurses to provide care in a hospital-at-home setting, including intravenous treatment. Subsequently, the hospital-at-home programme for endocarditis and heart failure treatment was developed and a virtual ward was built within the e‑patient record. Conclusion The current model demonstrates a proof of concept for a hospital-at-home programme providing hospital-level curative care at home by merging hospital and home care nursing staff and budgets. From the clinical perspective, ambulatory intravenous antibiotic and diuretic treatment at home was effective in safely achieving a reduced length of stay of 847 days in endocarditis patients and 201 days in heart-failure-at-home patients. We call for further studies to facilitate combined home care and hospital cure budgets in cardiology to confirm this concept.

scholarly journals Effects of results based financing models on the performance of exposed health zones in Benin

2018 ◽  
Vol 5 (10) ◽  
pp. 4188
Author(s):  
Lamidhi Salami ◽  
Edgard-Marius Ouendo ◽  
Benjamin Fayomi
Keyword(s):  
Health Services ◽  
Health System ◽  
System Performance ◽  
Health Care Services ◽  
Child Health Services ◽  
Double Difference ◽  
Health System Performance ◽  
Care Services ◽  
Curative Care ◽  
Results Based Financing

Background: Since 2011, Benin adhered to results-based financing (RBF), with the implementation of RBF_PRPSS model by Health System Performance Strengthening Project (PRPSS) and RBF_PASS model by health system support project (PASS). Notwithstanding the lack of evidence on this experimental phase, the Ministry of Health initiated the extension of the RBF_PRPSS model to uncovered areas. This comparative study was led to evaluate the health system performance in RBF zones.Methods: The study examined data from sixty-seven health facilities in six health zones offering maternal and child health services, using the double difference, the Student's test and the variance comparison, with 5% significance level.Results: The study found that between 2011 and 2014, staff numbers remained stable in the RBF strata (p>0.05). The cumulative duration over a six-month period of stock-outs of five key drugs (paracetamol, amoxicillin, oxytocin, iron, sulfadoxine pyrimetamine) decreased from 51 days to 29 days (p<0.05). Direct revenues per health facility increased more in the RBF strata (p<0.05). Financial viability increased in RBF_PRPSS stratum. Health services utilization improved significantly for institutional delivery, tetanus toxoid immunization, DTP (Hib) HepB 3 and MCV immunization and curative care. Decreasing of maternal and neonatal mortalities in RBF strata were not significant.Conclusions: In sum, the RBF implementation has not yet generated a significant effect on the overall performance of the health system in exposed areas, although it is already accompanied by a significant improvement in the utilization of certain health care services. 

scholarly journals The burden of the current curative expenditure of injury in Dalian, China-A study based on “System of Health Accounts 2011”

2020 ◽  
Author(s):  
Shu Sun ◽  
Liuna Yang ◽  
Xinzhu Hu ◽  
Yalan Zhu ◽  
Boxi Liu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Lower Limb ◽  
Control Strategies ◽  
Age Groups ◽  
The Body ◽  
Age Group ◽  
Curative Care ◽  
Health Accounts ◽  
System Of Health Accounts ◽  
The Cost

Abstract Background Injury is one of the major public health problems, which causes more than 5 million deaths in the world every year. Cases of specific types of injury put a tremendous threat to human health and also add a heavy medical burden on individuals and societies. This study was to calculate and analyze the current curative expenditure (CCE) of injury in Dalian and consequently to provide control strategies for decision-makers. Main text: A total of 565 medical institutions were selected with multistage stratified cluster random sampling, containing 4,375,351 valid samples. Subsequently, the distribution of injury CCE in different dimensions (including age and site of injury) was analyzed under the framework of System of Health Accounts 2011(SHA 2011) using the established database. There were increases from 32.36/100,000 in 2006 to 37.34/100,000 in 2017 and from 46.12/100,000 in 2006 to 54.48/100,000 in 2017 in urban and rural residents respectively. The study found that the CCE of injury in Dalian had reached 1572.73 million RMB, accounting for 7.45% of the total curative care expenditure. In the 15–25 age group, the cost of injury accounts for a larger proportion of CCE than other age groups. Among the injuries in different regions of the body, injuries to the spine, lower limb, head and foreign body entering cost the most. Conclusions Dalian has a relatively serious burden of injury costs. The essential and primary goal is to reduce the cost and increase the benefit of attending to patients with injuries. Specific control strategies should be tilted toward the age group 15–25. Injuries to the spine, lower limb, head and foreign body entering also should be priorities of interventions.

HEALTH SERVICES IN THE HOME

PEDIATRICS ◽  
1973 ◽  
Vol 52 (6) ◽  
pp. 773-781
Author(s):  
Cicely D. Williams
Keyword(s):  
Public Health ◽  
Health Services ◽  
Continuity Of Care ◽  
Public Health Nurse ◽  
Public Health Services ◽  
District Nurse ◽  
Curative Care ◽  
Personnel Needs ◽  
A Minor ◽  
Integrated Service

1. The hospital is the power source for patient care, for teaching, for supervision and research. But if it loses sight of the home situation and of other agencies, the treatment and the teaching become inadequate, the research unrealistic; it is spinning its wheels and failing to maintain any progress. 2. Maternal and child health in advanced countries has adopted a pattern of "preventive but little or no curative" care. It is only when there is a properly integrated service that care of the sick, teaching and research will be effective. Service must be comprehensive in content and extent. This type of integrated service is the most suitable for developing areas. 3. There has been an artificial separation between preventive and curative medicine. Public health services provide preventive medicine in its major operations and with the mass approach. But personal or individual medicine must be both preventive and curative. In treating a minor disorder we are preventing a major catastrophe. It would be preferable if the division came not between curative and preventive, but between individual and mass medicine. Then hospitals, health centers, and homes could provide rational settings for continuity of care. 4. Continuity of care is essential. The public health nurse, health visitor, community nurse, midwife, district nurse, and their aides are the most essential workers. Their numbers should be increased and their training improved. The first diagnosis is made by the mother when she decides to take the child to the doctor, the hospital, or the clinic. The second diagnosis is made by the nurse when she decides to refer the child to the doctor. Without continuity in this chain of diagnosis, the whole system is inefficient. 5. Training of personnel needs to be revised with these objects in view.

Can We Promote Public Health and Generate Return on Our Investment?

Pained ◽  
2020 ◽  
pp. 99-102
Author(s):  
Michael D. Stein ◽  
Sandro Galea
Keyword(s):  
Public Health ◽  
Teenage Pregnancy ◽  
Return On Investment ◽  
National Level ◽  
Health Interventions ◽  
Public Health Interventions ◽  
Vaccination Programs ◽  
Sweetened Beverages ◽  
Curative Care ◽  
Improve Health

This chapter looks at how the country’s health investment remains resolutely focused on curative care. Perhaps people spend more on cure than they do on prevention because they believe keeping people healthy is too expensive. But is this true? An analysis set out to assess the return on investment for high-income countries that adopt efforts to improve health. The authors found that the median return on investment for public health interventions was 14 to 1—that is, for every dollar invested, it yields the same dollar back and another 14. They also found that the more these interventions were established at the wider, national level, the higher the return, rising up to about 40 to 1 for the best investments. These interventions include vaccination programs, taxes on sugar-sweetened beverages, building better cities to reduce falls, and early youth interventions to limit teenage pregnancy and delinquency. In other words, these are classic efforts to promote the public’s health by shaping the conditions in which people live.

scholarly journals Societal Expenditure on Prevention

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Van Gils ◽  
A W M Suijkerbuijk ◽  
G A de Wit ◽  
J J Polder ◽  
M A Koopmanschap
Keyword(s):  
Health Promotion ◽  
Disease Prevention ◽  
Working Conditions ◽  
Healthcare Expenditure ◽  
Health Protection ◽  
Annual Reports ◽  
Insurance Companies ◽  
Total Spending ◽  
Curative Care ◽  
National Prevention

Abstract Introduction In 2015, Dutch healthcare expenditure exceeded 85 billion euros. But what about prevention? In this study we estimated national expenditure on prevention. A distinction was made between health protection, health promotion and disease prevention. In the estimation of prevention expenditures, this study is limited to universal, selective and indicated prevention, as healthcare-related prevention can hardly be distinguished from curative care. This study analyzed expenditure on preventive activities in the Netherlands in 2015 and took a societal perspective. Methods We used various sources to investigate spending on prevention in 2015. Insofar as costs were part of healthcare expenditure, estimates were based on the Care Accounts of Statistics Netherlands. For the remainder, we estimated expenditure using annual reports and annual accounts of governments and other organizations. We included preventive activities by consumers, industry, NGOs, insurance companies, and government. Results In 2015, an estimated € 12.4 billion (1.8% of the GDP) was spent on prevention: € 2.4 billion on disease prevention (19%), € 0.6 billion on health promotion (5%) and € 9.4 billion on health protection (76%). This is a decrease of 17% compared to 2007, the last year that a similar estimate was made. Within health promotion, the largest expenditure was for working conditions and safety: € 160 million. € 67 million was spent on mental disorders. The largest expenditure item within disease prevention was dental care: € 675 million. Within health protection, this was the sewer by more than € 3 billion. Conclusions Spending on prevention is relatively low compared to total spending on healthcare. The largest part is targeted at health protection. In the coming years there may be an increase in expenditure, due to more governmental prevention policies such as the National Prevention Agreement. Key messages Spending on prevention is relatively low compared to total spending on healthcare. Relatively little money for health protection.

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