scholarly journals Exchange of experience in the field of medical services as a form of international cooperation between Ukraine and Poland

2021 ◽  
pp. 53
Author(s):  
Viktoriia Adamyk ◽  
Khrystyna Shcherbiak

Introduction. The development of bilateral relations in the context of globalization and European integration involves expanding the range of forms of cooperation, as well as those areas covered by cooperation. The implementation of medical reform in Ukraine necessitates the intensification of the exchange of experience in the medical field with other countries, including Poland. The rapid processes of digitalization against the background of the Kovid-19 pandemic determine the modernization of communication tools and cooperation in the field of health services.The purpose of the article is to study the state and prospects of exchange of experience in the field of medical services between Ukraine and Poland.Research methods. To achieve the goal set in the article, general scientific and special methods were used, namely: analysis and synthesis, induction and deduction, abstraction and concretization, systematization, as well as elements of comparative analysis. The methodological basis for the study are national and international regulations of Ukraine and Poland, which regulate the functioning of health care and bilateral relations in the field of medical services, scientific works of domestic and foreign researchers, statistical reports and more.Results. The exchange of experience in the provision of medical services between Ukraine and Poland is carried out in a slightly different state of health care and taking into account Ukraine’s integration intentions using tools such as conferences, seminars, webinars, academic mobility of scientists and students, bilateral agreements between medical institutions with the support of local governments and self-government, etc. Digitalization, on the one hand, expands opportunities for collaboration, and on the other - necessitates the need to improve the quality of technical equipment of hospitals and makes new demands on human capital. Improving the exchange of experience in the field of  medical services is enhanced by receiving technical assistance from Polish partners, including under the auspices of international institutions, such as the EU, WHO, UNICEF, etc. Perspective areas are the introduction of the eHealth system in Ukraine, as well as the involvement of Polish specialists to modernize the management system in domestic health care facilities. The article details the recommendations for intensifying the exchange of experience between Ukraine and Poland in areas and tools.Perspectives. Future research is important to focus on an interdisciplinary analysis of the consequences of health care reform in Ukraine and Poland in the context of the impact on the well-being of citizens.

2019 ◽  
Author(s):  
Mary Rodriguez-Rabassa ◽  
Ruthmarie Hernandez ◽  
Zindie Rodriguez ◽  
Claudia B. Colon-Echevarria ◽  
Lizette Maldonado ◽  
...  

AbstractCancer is the leading cause of death in Puerto Rico (PR). Hurricane Maria (HM) and its aftermath lead to widespread devastation in the island, including the collapse of the healthcare system. Medically fragile populations, such as cancer survivors, were significantly affected. The goal of this study was to assess the impact of HM on barriers to care, emotional distress, and inflammatory biomarkers among cancer survivors in PR. This exploratory longitudinal study was conducted in health care facilities and community support groups from PR. Cancer survivors (n=50) and non-cancer participants (n=50) completed psychosocial questionnaires and provided blood samples that were used to assess inflammatory cytokines levels. Data were analyzed through descriptive, frequencies, correlational, and linear regression analyses. Cancer survivors that were affected by HM reported increased barriers in accessing medical care, which were directly associated with anxiety, perceived stress, and post-traumatic symptomatology. Moreover, being a cancer survivor, along with closeness in time from HM predicted more barriers to receiving health care. Several inflammatory cytokines, such as CD31, BDNF, TFF3, Serpin E-1, Vitamin D BP, VCAM-1, Osteopontin, Chitinase 3 like 1, MMP-9 and MIF were significantly upregulated in cancer survivors while BDNF, MMP9 and Osteopontin had significant positive correlations with barriers to care. HM significantly impacted Puerto Ricans psychosocial well-being. Cancer survivors had significant barriers to care and showed increased serum inflammatory cytokines, but didn’t show differences in anxiety, stress and post-traumatic symptoms compared to non-cancer participants.


2021 ◽  
Vol 6 (4) ◽  
Author(s):  
Muhammad Fadli Ramadhansyah ◽  
Arief Nugroho ◽  
Nur Endah Wahyuningsih

Policy briefs have an important role in solving problems that exist in a health agency, especially during the COVID-19 pandemic. One example of the problems that exist in health care facilities is air pollution that comes from the ashes resulting from the burning of medical waste. The impact of air pollution on humans is that it triggers respiratory disorders which are characterized by a decrease in the elasticity of the lungs to accommodate the volume of air so that this can be associated with the incidence of respiratory disorders. In addition, it has a small particle size and is scattered in the air in large quantities. The purpose of this study is to provide information related to the summary of policy making that is used as a reference to increase the effectiveness of processing ash from combustion based on a review study. This study uses a descriptive method with a literature review approach. The criteria for the articles used have a publication time of the last 10 years, discuss the utilization of combustion ash, and discuss the policy of processing incinerator ash waste. Making a policy brief can be used as a starting point for advocating for local governments to use ash from burning as an alternative to building materials to reduce air pollution and the accumulation of ash waste that accumulates in incinerators in health care facilities.


2020 ◽  
pp. 60-65
Author(s):  
Inna Irtyshcheva ◽  
Dmytro Ryabets

Introduction. The main priorities for the development and reform of the health care system are to create conditions for improving the quality, life expectancy and efficiency of citizens by increasing the availability of medical services and medical care, improving the quality of medical services, early prevention and prevention of timely medical care. The aim of the article is to develop recommendations for ensuring the availability of medical care as a basic basis for the formation of good health and well-being of the population on the way to achieving the Sustainable Development Goals. Methods (methodology). The general scientific methods, in particular theoretical generalization - for research of theoretical bases of maintenance of availability of medical care are applied in research; system economic analysis - for correlation-regression analysis of the relationship between morbidity, mortality and economic affordability of medical services in Ukraine. Results. The impact of public and private sector expenditures on the level of morbidity was analyzed and compared, which showed that both factors have a positive impact on reducing the incidence rate. At the same time, there is a tendency to increase household spending on health care and the purchase of medicines much faster than at the state level, which confirms the targeted trends in health care reform to significantly reduce the number of free medical services. To a certain extent, these trends are positive, but in the event of a significant deterioration in the situation with the level of morbidity, this financial policy should be revised.


Author(s):  
Anne Kathrine Frandsen

Within the last decades the impacts of the physical environments of hospitals on healing and health-care outcomes have been subject to ample research. The amount of documentation linking the design of physical environments to patient and staff outcomes is increasing. A Danish research project undertaken by Architecture and Design and the Danish Building Research Institute (Aalborg University) set out in 2008 to review research on the impact of the environmental qualities of health-care facilities on patients and staff. The objective of the review team was to develop a tool that would allow an overview of this research, needed by construction clients and decision-makers in Denmark responsible for large investments in future hospitals and healthcare environments in the decade to come. The present paper offers an overview of the findings of the review team. Its point of departure is the categorisation developed during the study, which facilitated the sorting and communication of the findings. In this categorisation, research findings are grouped according to their focus on specific spatial qualities – such as light and acoustics – and not according to the different diagnoses, which may be linked to such spatial qualities, like stress and depression. In other words, the application of this categorisation foregrounds the importance and the convenience of looking at spatial qualities of the physical environment, when addressing issues related to patient or staff wellbeing.


2021 ◽  
Author(s):  
A .A. Hettiarachchi ◽  
◽  
D.R. Perera ◽  

Physically disabled community in Sri Lanka is not receiving sufficient attention with reference to the conduciveness of their living environments. The patients who are harrowed with mobility impairments should be supported to overcome challenges which hinder the smooth functioning of day today physical activities while maintaining their psychological health by incorporating disabled-friendly, optimum healing design interventions. In view of this, an attempt was made to determine the impact of interior colours to reduce depression, anxiety and stress levels of disabled individuals. The investigation was executed with reference to wall colour of patient’s (n=15) bedrooms of a selected rehabilitation centre, at Ragama. The impact of three selected hues (blue, yellow and green) were tested by installing colour panels on the sidewall of the beds, allowing the participants to be exposed to each colour for three consecutive days. Depression, anxiety and stress levels of participants were measured using DASS-21. Impact of green colour was found to be more favourable to reduce depression, anxiety and stress levels of participants over blue and yellow. It is recommended to extend this study further to test different hues, shades and intensities of green colour with long-term exposure, to enhance psychological health and well-being of disabled patients in health care facilities.


2020 ◽  
Vol 3 (2) ◽  
pp. 65-103
Author(s):  
Nicoletta Varani ◽  
Anna Siri ◽  
Enrico Bernardini

Abstract Through an interdisciplinary contribution, the authors intend to propose an updated framework of the progress of the COVID-19 pandemic on the African continent and some critical reflections on various geopolitical and geo-anthropological aspects concerning the new vulnerabilities associated with the pandemic crisis in Africa and the importance of culture and its effects on well-being and health. The pandemic seems to have hit the African continent much less severely than the rest of the world, with a mortality index (2,4%) lower than the global one (3,5%). The spread of the virus in this geographical area is largely underestimated because health care facilities do not have the tracking power that rich countries have, several factors show how Africa is managing to counter the impact of the pandemic. One reason could be the intervention of the immune capacity of a population exposed in the recent past to numerous other infections that could have stimulated greater protection, both in terms of innate and acquired immunity. The dispersion of the rural population, which represents the majority of the African population (43%), could act as a geographical barrier to the virus. It is a complex picture where there are feelings of distrust between the institutions and the population on the management of the pandemic and the circulation of an excessive amount of data that creates confusion. In the African context, the need to understand the relationship between culture and health becomes fundamental. If the role of cultural values is underestimated, the positive potential of culture as a critical element for maintaining and improving health is negated. According to the World Health Organization, traditional medicine is the cornerstone of health care or its complement in the countries where community membership is most deeply rooted. In Africa, the World Health Organisation estimates that 85% of the population uses it because it is more widespread and accessible than traditional healing systems. Only one form of contagion travels faster than a virus. And that’s fear. Dan Brown


Author(s):  
Lyudmyla Mishchenko ◽  
◽  
Dmytro Mishchenko ◽  

The actualization of the results of financial decentralization in Ukraine as part of the reform of decentralization of power and the development of proposals for its improvement is explained by the fact that a clear division of functions, powers and financial resources between national and regional levels is the basis for the well-being of our citizens. opportunities for its sustainable socio- economic development on a democratic basis. It is noted that financial decentralization is a process of giving authority to mobilize revenues and expenditures of local governments in order to increase the effectiveness of the implementation of these powers and better management of community budgets. It is established that unlike traditional entrepreneurship, which focuses on profit generation, the purpose of social entrepreneurship is to create and accumulate social capital. Abroad, social enterprises operate successfully in the fields of education, the environment, human rights, poverty reduction and health care, and their development and dissemination is one way to improve the living conditions of citizens. A similar mission is entrusted to local governments, which allows us to consider the revival of social entrepreneurship as an important element in improving self-government policy. It is determined that in modern conditions social entrepreneurship is one of the tools to ensure the ability of the local community to provide its members with an appropriate level of education, culture, health, housing and communal services, social protection, etc., as well as plan and implement programs efficient use of available natural and human resources, investment and infrastructural support of territorial communities. Due to financial decentralization, local governments have received additional resources that can be used to create economic incentives to promote social entrepreneurship in small and medium-sized businesses at the community level.


Author(s):  
Tina Vilovic ◽  
Josko Bozic ◽  
Marino Vilovic ◽  
Doris Rusic ◽  
Sanja Zuzic Furlan ◽  
...  

During the coronavirus disease 2019 (COVID-19) outbreak, family physicians (FPs) are the backbone of the healthcare system with considerable impact on the general population, and their well-being is of great importance. The aim of this investigation was to assess FPs mental health, as well as knowledge, attitudes and practices (KAPs) regarding the pandemic, and opinions on non-communicable disease (NCD) health care provided to patients. A cross-sectional study was carried out with a sample of 613 FPs. Anxiety and depression levels were estimated with the Hospital Anxiety and Depression Scale, subjective perceived stress with the Perceived Stress Scale, while trauma-related symptoms were assessed using the Impact on Event Scale-COVID19. KAPs toward the pandemic and opinions regarding NCD patients were evaluated with questionnaires accordingly. Results have shown that age (β = −0.02, p = 0.013) and personal risk of COVID‑19 (β = 1.05, p < 0.001) were significant independent correlates of the knowledge score. A total of 87.7% FPs expressed moderate/high perceived stress, 45.2% moderate/severe trauma-related symptoms, 60.4% borderline/abnormal anxiety levels, and 52.4% borderline/abnormal depression levels. Knowledge score was an independent predictor of perceived stress (β = −0.33, p = 0.023) and anxiety (β = −0.31, p = 0.006) levels. Limited accessibility to healthcare services and decreased number of newly-diagnosed NCD cases were mostly agreed on. The pandemic puts a considerable strain on FPs mental health, as well as on public health measures, due to the decreased overall quality of NCD patient health care. Educational programs may bridge the gaps between FPs’ knowledge. Thus lowering anxiety and improving patient care.


2021 ◽  
Vol 28 (1) ◽  
pp. 42-50
Author(s):  
Nicole M. Glenn ◽  
Lisa Allen Scott ◽  
Teree Hokanson ◽  
Karla Gustafson ◽  
Melissa A. Stoops ◽  
...  

Financial well-being describes when people feel able to meet their financial obligations, feel financially secure and are able to make choices that benefit their quality of life. Financial strain occurs when people are unable to pay their bills, feel stressed about money and experience negative impacts on their quality of life and health. In the face of the global economic repercussions of the COVID-19 pandemic, community-led approaches are required to address the setting-specific needs of residents and reduce the adverse impacts of widespread financial strain. To encourage evidence-informed best practices, a provincial health authority and community-engaged research centre collaborated to conduct a rapid review. We augmented the rapid review with an environmental scan and interviews. Our data focused on Western Canada and was collected prior to the pandemic (May–September 2019). We identified eight categories of community-led strategies to promote financial well-being: systems navigation and access; financial literacy and skills; emergency financial assistance; asset building; events and attractions; employment and educational support; transportation; and housing. We noted significant gaps in the evidence, including methodological limitations of the included studies (e.g. generalisability, small sample size), a lack of reporting on the mechanisms leading to the outcomes and evaluation of long-term impacts, sparse practice-based data on evaluation methods and outcomes, and limited intervention details in the published literature. Critically, few of the included interventions specifically targeted financial strain and/or well-being. We discuss the implications of these gaps in addition to possibilities and priorities for future research and practice. We also consider the results in relation to the COVID-19 pandemic and its economic consequences.


Author(s):  
Jonathan Plante ◽  
Karine Latulippe ◽  
Edeltraut Kröger ◽  
Dominique Giroux ◽  
Martine Marcotte ◽  
...  

Abstract Older persons experiencing a longer length of stay (LOS) or delayed discharge (DD) may see a decline in their health and well-being, generating significant costs. This review aimed to identify evidence on the impact of cognitive impairment (CI) on acute care hospital LOS/DD. A scoping review of studies examining the association between CI and LOS/DD was performed. We searched six databases; two reviewers independently screened references until November 2019. A narrative synthesis was used to answer the research question; 58 studies were included of which 33 found a positive association between CI and LOS or DD, 8 studies had mixed results, 3 found an inverse relationship, and 14 showed an indirect link between CI-related syndromes and LOS/DD. Thus, cognitive impairment seemed to be frequently associated with increased LOS/DD. Future research should consider CI together with other risks for LOS/DD and also focus on explaining the association between the two.


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