scholarly journals Changing Emergency Department and hospital organization in response to a changing epidemic

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniele Coen ◽  
Ciro Paolillo ◽  
Mario Cavazza ◽  
Gianfranco Cervellin ◽  
Andrea Bellone ◽  
...  

The world is facing a new pandemic that sets the national health systems, their structures and professionals in a crisis never experienced before. (...)

2009 ◽  
Vol 38 (4) ◽  
pp. 607-625 ◽  
Author(s):  
KATH CHECKLAND ◽  
STEPHEN HARRISON ◽  
ANNA COLEMAN

AbstractAlford's theory of structural interests has been used as a framework within which to analyse health systems across the world. However, authors have often been uncritical in their acceptance of Alford's original analytic categories. In this article we use data from a detailed qualitative study of the introduction of Practice Based Commissioning in the UK NHS to interrogate Alford's work more critically. Disrupting Alford's original categories of ‘professional monopolisers’ as dominant interests, challenged by management ‘corporate rationalisers’, we suggest that the new structures established in the NHS since 2002 systematically privilege an interest that we call ‘corporate monopolisers’, and that this is under challenge from ‘professional rationalisers’.


2021 ◽  
Vol 58 (2) ◽  
pp. 5626-5630
Author(s):  
Dheeraj Gahlawat

Since the time immemorial, the disease and the Man have lived cheek by Jowl. Where there is a man, there has always been diseases. These diseases have been in different forms, lingering on the mankind either in the form of ordinary diseases or as lethal pandemics or epidemics such as SARS, MERS, EBOLA, H1N1, HIV etc. Covid-19 or Coronavirus is one of them, which is a formidable challenge before the world today. In these days, it is ready to engulf the whole world in a jiffy, if precautionary measures as suggested by the WHO are not taken. As of May 08, 2020, the corona virus outbreak has infected more than 39 lakh people and taken 2.71 Lakh lives across the world. Out of these, 76,000 people in USA, 30,000 people in UK, 29,000 people in Italy, 26,000 people in Spain and 25,000 people in France have lost their lives due to this pandemic with no fault on their part. Today about 212 countries in the world are in the grip of coronavirus disease. This disease has put scientists to the test: it is a test of political leadership, of national health systems, of social care services, of solidarity, of the social contract- a test of our very own fabric. Although the world has tried its best to harness over this pandemic and is trying its best to prepare the vaccine for its treatment but still no vaccine in fighting against coronavirus. We are in very early stages and have not made ourselves capable to find out any way to fight against this disease.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L F Pinto ◽  
M R Gonçalves ◽  
N Katz ◽  
R S Silva ◽  
C A A Schmitz ◽  
...  

Abstract Primary health care has been considered by the World Health Organization (WHO) as the most efficient way of organizing health systems in order to achieve universal health coverage, preserving its attributes and focusing on people. Several countries in the world have developed instruments to measure access, use of services and lifestyles of their populations. In Europe, European Union members have validated the European Health Interview Survey (EHIS / Eurostat), which is in its third wave of application. Brazil, for over 20 years, has developed, through the Brazilian Institute of Geography and Statistics (IBGE) - the Brazilian Federal Statistics Bureau - in partnership with the Ministry of Health, a national household health survey throughout its territory, the so-called National Health Survey (PNS). PNS-2019 questionnaire innovated by including a module of questions that allows assessing the scores of the attributes proposed by Shi and Starfield in the 2000s. The Primary Care Assessment Tool (PCAT) was included in its brazilian statistically validated version for adult users and applied in more than 100,000 households in all five regions and 27 states in Brazil. Over a six-month period, a sample of approximately 10,000 adults was registered, according to the inclusion criteria of the PCAT considered (being 18 years old or older, having had more than one medical appointment in the last six months, having performed this appointment in a public primary health care facility). We consider it essential to use statistically validated instruments that allow cross-country comparisons and we encourage Governments all over the world to follow Brazilian example in incorporating in their national health surveys a module containing the validated version of the PCAT. This instrument has already been validated and used in the evaluation of primary care in regions of all five continents of the world, demonstrating, therefore, its capacity for cultural adaptation to each reality. Key messages PCAT's set of instruments remains current for the evaluation of primary health care services from the users' perspective nationwide. The importance of using National Health Surveys in each country, with random household sampling to assess health systems and conditions.


1993 ◽  
Vol 36 (6) ◽  
pp. 694-708 ◽  
Author(s):  
MILTON I. ROEMER

Medical Care ◽  
1994 ◽  
Vol 32 (6) ◽  
pp. 656
Author(s):  
Steven Neuhauser

Sign in / Sign up

Export Citation Format

Share Document