scholarly journals O problema da evasão universitária no sistema público de ensino superior: uma proposta de ação com base na atuação de uma equipe multidisciplinar / The problem of university dropout in the public system highereducation: a proposal for action based on the acting of a multidisciplinary team

2021 ◽  
Vol 7 (4) ◽  
pp. 42674-42692
Author(s):  
Bruno Osvaldo Mussliner ◽  
Monica de Sousa e Silva Mussliner ◽  
Edwin Benito Mitacc Meza ◽  
Guillermo Luján Rodríguez
Keyword(s):  
Multidisciplinary Team ◽  
Public System ◽  
The Public ◽  
University Dropout

scholarly journals Barriers to Biosimilar Prescribing Incentives in the Context of Clinical Governance in Spain

2021 ◽  
Vol 14 (3) ◽  
pp. 283
Author(s):  
Félix Lobo ◽  
Isabel Río-Álvarez
Keyword(s):  
Health Services ◽  
Trade Unions ◽  
National Level ◽  
Professional Associations ◽  
Legal Framework ◽  
Clinical Governance ◽  
Monetary Incentives ◽  
Public System ◽  
The Public ◽  
Micro Level

Incentives contribute to the proper functioning of the broader contracts that regulate the relationships between health systems and professionals. Likewise, incentives are an important element of clinical governance understood as health services’ management at the micro-level, aimed at achieving better health outcomes for patients. In Spain, monetary and non-monetary incentives are sometimes used in the health services, but not as frequently as in other countries. There are already several examples in European countries of initiatives searching the promotion of biosimilars through different sorts of incentives, but not in Spain. Hence, this paper is aimed at identifying the barriers that incentives to prescribe biosimilars might encounter in Spain, with particular interest in incentives in the framework of clinical governance. Both questions are intertwined. Barriers are presented from two perspectives. Firstly, based on the nature of the barrier: (i) the payment system for health professionals, (ii) budget rigidity and excessive bureaucracy, (iii) little autonomy in the management of human resources (iv) lack of clinical integration, (v) absence of a legal framework for clinical governance, and (vi) other governance-related barriers. The second perspective is based on the stakeholders involved: (i) gaps in knowledge among physicians, (ii) misinformation and distrust among patients, (iii) trade unions opposition to productivity-related payments, (iv) lack of a clear position by professional associations, and (v) misalignment of the goals pursued by some healthcare professionals and the goals of the public system. Finally, the authors advance several recommendations to overcome these barriers at the national level.

scholarly journals Programa Cisterna nas Escolas: estudo de caso na Microrregião Serrana dos Quilombos no estado de Alagoas, Brasil

2020 ◽  
Vol 13 (3) ◽  
pp. 1050
Author(s):  
Elvis Pantaleão Ferreira ◽  
José Thales Pantaleão Ferreira ◽  
Fabiana De Souza Pantaleão
Keyword(s):  
Water Supply ◽  
Rural Schools ◽  
The State ◽  
Report Cards ◽  
Public System ◽  
The Public ◽  
Access To Water ◽  
Semi Arid ◽  
Water Supply Services

O Projeto Cisternas nas Escolas objetiva o fornecimento de água para as escolas rurais do Semiárido, utilizando ações estruturais mediante concepção de cisternas como tecnologia social para armazenamento de água pluvial, e ações não estruturais por meio de práticas educativas contextualizadas. Este trabalho objetiva apresentar um pioneiro diagnóstico da infraestrutura dos serviços de abastecimento de água as escolas rurais em que foram implantadas cisternas do Programa Cisternas nas Escolas na Microrregião Serrana dos Quilombos, no estado de Alagoas, especificamente no município de Santana do Mundaú, utilizando-se como metodologia a pesquisa exploratória e qualitativa, com emprego de entrevista semiestruturada e não estruturada, além do uso de questionário, fichas-relatório e registros fotográficos. Das cisternas implantadas nas escolas, apenas uma está sendo parcialmente utilizada. Estão todas elas totalmente desprovidas de acompanhamento técnico, sendo possível perceber a falta de interesse do executivo municipal na promoção da manutenção desses equipamentos. São fundamentais ações que elevem o empoderamento social a essas construções.  Cistern in Schools Program: case study in the mountainous microregion of quilombos in the state of Alagoas, Brazil The reality of many rural schools in the public system presents a still worrying scenario regarding access to water. The Cisterns in Schools Project aims to provide water for rural schools in the Semi-Arid and priority areas located in indigenous villages and quilombola communities, using structural actions through the design of cisterns as social technology for rainwater storage, and non-structural actions through contextualized educational practices. The work aims to present a pioneering diagnosis of the infrastructure of water supply services to rural schools in which cisterns of the Cisterns in Schools Program were implemented in the mountainous dos Quilombos Microregion in the state of Alagoas, specifically in the municipality of Santana do Mandau. The methodology was based on exploratory and qualitative research using semi-structured and unstructured interviews, using a questionnaire, report cards and photographic records. Of the cisterns installed in schools, only one is being partially used. They are all totally devoid of technical monitoring, being possible to perceive the lack of interest of the municipal executive in promoting the maintenance of this equipment. Keywords: Water supply, Education, Health.

The Crisis of Public Health as a Media Event

2016 ◽  
pp. 78-89
Author(s):  
Valentina Marinescu
Keyword(s):  
Public Health ◽  
Public System ◽  
Protest Movements ◽  
The Public ◽  
Media Messages ◽  
The Media ◽  
Media Narratives ◽  
A Minor ◽  
The Impact ◽  
Media Event

The focus of the present article is on the analysis of the influence exercised by media narratives on the Romanian audience's reconstructions of social movements from January-February 2012. The analysis was interested to show what are the aspects involved in the publicizing of this media event in Romania, by focusing on the event narrative built in such a way to transmit a particular significance related to the protest movements related to the crisis of the health public system in Romania. Two research methods were used in collecting the data: a survey on two hundreds Romanian respondents and quantitative content analysis of five national Romanian newspapers. As the results show, the high consumption of mass media messages does not determine whether the public adopts the media narratives concerning the events from the beginning of year 2012. At the same time, the analysis shows that in the case of the media events that took place in Romania in January-February 2012 the impact of the media narrative on the way in which the audience from Romania rebuilt those protests was a minor one and other factors had played a major role in triggering massive mass protests in Romania.

‘Private schools in the public system’

2015 ◽  
pp. 55-68 ◽  
Author(s):  
Rubén Gaztambide-Fernández ◽  
Julie Garlen Maudlin
Keyword(s):  
Private Schools ◽  
Public System ◽  
The Public

PD31 Financial Impact Of Target Molecular Therapies In A Brazilian Hospital

2018 ◽  
Vol 34 (S1) ◽  
pp. 140-141
Author(s):  
Maria Angélica Ferreira ◽  
Caroline Lacerda ◽  
Leila Moreira
Keyword(s):  
New Technologies ◽  
Clinical Effectiveness ◽  
Drug Expenditure ◽  
Financial Impact ◽  
Porto Alegre ◽  
Public System ◽  
Budgetary Impact ◽  
The Public ◽  
Cost Impact ◽  
Molecular Therapies

Introduction:The therapy using molecular-targeted (MTT) and monoclonal antibodies (MA) are examples of new therapeutic technologies in search of greater clinical effectiveness and reduction of adverse effects in the fight against frequent diseases. Generally, new technologies have a high cost impact on the health system. The objective of this study was to evaluate the financial impact generated by the use of MTT and MA therapies in the teaching Hospital de Clínicas, Porto Alegre, Brazil.Methods:The first 60 higher monetary spending drug items of the last 12 months were analyzed. From them, drugs which fit in the categories under study, and have been regularly used, were identified. The monthly expenditures with each item were tabulated and compared with the total expenditures on drugs, in order to calculate the budgetary impact. The major groups of diseases treated with each agent were analyzed.Results:Two MTT agents (gefitinib and infliximab) and three MAs (rituximab, basiliximab and abciximab) were identified. The highest expenditure items, respectively, per year, were the oncological medicines rituximab (USD127,890) and gefitinib (USD96,923), followed by the immunosuppressive basiliximab (USD88,998) and the immunomodulatory infliximab (USD68,642), and the platelet aggregation inhibitor abciximab (USD47,886). These values corresponding to, respectively, 1.1 percent, 0.8 percent, 0.8 percent, 0.6 percent and 0.4 percent of total drug expenditure per year (USD11,866,124). Trastuzumab, bortezomib and imatinib were often used, but directly supplied by the public system, in a way that didn't impact the hospital budgetary management.Conclusions:MTT and MA have an important impact on health budgets, and are mainly used to treat some types of cancer, cardiovascular disease and autoimmune disorders. These aspects should be considered in the management of drugs in hospitals of high complexity.

scholarly journals Primary health care pharmacists and vision for community pharmacy and pharmacists in Chile

2020 ◽  
Vol 18 (3) ◽  
pp. 2142
Author(s):  
Francisco Martinez-Mardones ◽  
Antonio Ahumada-Canale ◽  
Loreto Gonzalez-Machuca ◽  
Jose C. Plaza-Plaza
Keyword(s):  
Primary Care ◽  
Public Perception ◽  
Private Insurance ◽  
Pharmaceutical Services ◽  
Community Pharmacies ◽  
Care Model ◽  
Public And Private ◽  
Public System ◽  
Non Profit ◽  
The Public

The Chilean healthcare system is composed of public and private sectors, with most of the higher-income population being covered privately. Primary healthcare in the public system is provided in more than 2,500 public primary care centers of different sizes with assigned populations within territories. Private insurance companies have their own healthcare networks or buy services from individual health providers. Patients from the public system receive most medications free of charge in primary care pharmacies embedded in each care center. Private patients must purchase their medicines from community pharmacies. Some government policies subsidize part of the cost of medications, but original medicines remain as the most expensive of Latin America. Three chain pharmacies have more than 90% of the market share, and these pharmacies have negative public perception because of price collusion court sentences. A non-profit, municipal pharmacy model was developed but has limited implementation. Most privately owned independent and chain community pharmacies do not provide pharmaceutical services as there is no remuneration or cover by insurers. The limited number of publicly owned Municipal pharmacies could implement pharmaceutical services in community settings as they are non-profit establishments and have full-time pharmacists but are not resourced for these services. A limited number of pharmaceutical services are almost exclusively provided in public primary care, including medication reviews, pharmaceutical education, home visits and pharmacovigilance services, but several barriers to their implementation remain. A risk-based multimorbidity care model was implemented in 2020 for public primary care with additional employment of part-time pharmacists to provide services. We believe that this model will help pharmacists to optimize their time by prioritizing the much-needed clinical tasks. We propose within this multimorbidity care model that the more time-consuming services are provided to higher risk patients. Pharmacy prescribing i.e. amending or approving changes in medications in primary care for chronic conditions could also be useful for the health system, but pharmacists would require additional training. The landscape for pharmaceutical services for primary care in Chile is promising, but the integration with community pharmacies will not be possible until they are funded by public and private insurance, and the public perception of these establishments is improved.

The “Cool Mind” program (“Programa Cuca Legal”): mental health literacy for middle- and high-school teachers of the public system in Brazil

2015 ◽  
pp. 21-29
Author(s):  
Gustavo M. Estanislau ◽  
Marlene A. Vieira ◽  
Taís S. Moriyama ◽  
Ary G. Araripe Neto ◽  
Isabel A. S. Bordin ◽  
...  
Keyword(s):  
Mental Health ◽  
High School ◽  
Health Literacy ◽  
High School Teachers ◽  
Mental Health Literacy ◽  
School Teachers ◽  
Public System ◽  
The Public

scholarly journals Wait Times for Physical and Occupational Therapy in the Public System for People with Arthritis in Quebec

2013 ◽  
Vol 65 (3) ◽  
pp. 238-243 ◽  
Author(s):  
Ashley Delaurier ◽  
Sasha Bernatsky ◽  
Marie-Hélène Raymond ◽  
Debbie Ehrmann Feldman
Keyword(s):  
Occupational Therapy ◽  
Wait Times ◽  
Public System ◽  
The Public

scholarly journals Taxing Higher Incomes: What Makes the High-Income Earners Consent to More Progressive Taxation in Latin America?

2016 ◽  
Vol 39 (3) ◽  
pp. 703-729 ◽  
Author(s):  
Sarah Berens ◽  
Armin von Schiller
Keyword(s):  
Latin American ◽  
Political Institutions ◽  
High Income ◽  
Public System ◽  
Progressive Taxation ◽  
The Public ◽  
Trust In Institutions ◽  
Fiscal Contract ◽  
Latin American Countries ◽  
Progressive Income Taxation

Abstract When do high-income earners get ‘on board’ with the fiscal contract and accept paying a larger share of the tax burden? Progressive taxes perform particularly poorly in developing countries. We argue that the common opposition of the affluent to more progressive taxation is not merely connected to administrative limitations to coercively enforce compliance, but also to the uncertainty that high-income earners associate with the returns to taxes. Because coercion is not an option, there is a need to convince high-income earners to ‘invest’ in the public system via taxes. Trust in institutions is decisive for the fiscal contract. Expecting that paid contributions will be used in a sensible manner, high-income earners will be more supportive of progressive income taxation. We study tax composition preferences of a cross-section of Latin American countries using public opinion data from LAPOP for 2012. Findings reveal that higher levels of trust in political institutions strongly mitigate the opposition of the affluent towards more progressive taxation.

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