scholarly journals Back into Modernity? COVID-19 Returns Nation-State to Its Original Nature

2020 ◽  
Vol 11 (1) ◽  
pp. 11-26
Author(s):  
N. Yu. Silaev ◽  
N. P. Protsenko
Keyword(s):  
Historical Perspective ◽  
International System ◽  
Health Care Systems ◽  
Current Crisis ◽  
Market Mechanisms ◽  
The World ◽  
Collateral Effect ◽  
Care Systems ◽  
Power Inequality ◽  
State Interventions

From a historical perspective, the curbing of epidemics was the collateral effect of emerging European Modern states. The current COVID-19 pandemic reminds that. It supports the broad international tendency to strengthen state sovereignty, nationalism, and economic protectionism. Meanwhile, in recent decades health care systems around the world have been evolving toward deregulation, use of market mechanisms, and decrease of state interventions, and it was one of the most salient evidence that Modern state is being deconstructed. The current crisis puts forward the prospect that Modern comes back with the following social conflicts, interstate rivalry, and growing power inequality between the international system actors.

scholarly journals Community system of social support

2017 ◽  
Vol 127 (1) ◽  
pp. 37-40
Author(s):  
Krzysztof Włoch ◽  
Janusz Jaroszyński ◽  
Ewa Warchoł-Sławińska ◽  
Anna Jurek ◽  
Bartłomiej Drop ◽  
...  
Keyword(s):  
Social Support ◽  
Health Care ◽  
Health Care Systems ◽  
Family Doctors ◽  
Community System ◽  
Modern Health Care ◽  
Number Of Patients ◽  
The World ◽  
Care Systems ◽  
Is Evaluation

Abstract Community System of Social Support is the basis of modern health care systems not only in Poland but all over the world in the prophylaxis-treatment-rehabilitation procedure. In Poland, family doctors, commune councils and territorial self-governments are involved in it. Family doctors perform a substantial function, whereas commune councils and territorial self-governments an administrative one. The principle of the system work is evaluation of its benefits. Its aim is the reduction of the number of patients who abuse alcohol and those who abuse alcohol despite treatment.

scholarly journals Application of Health-Care Networking in COVID-19: A Brief Report

2020 ◽  
pp. 1-5
Author(s):  
Punidha Kaliaperumal ◽  
Tamorish Kole ◽  
Neha Chugh
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Systems ◽  
Public Health Care ◽  
Current Crisis ◽  
Delivery Of Care ◽  
Public Health Emergencies ◽  
Northern India ◽  
Care Systems ◽  
Private And Public

ABSTRACT Health-care systems all over the world are stretched out and being reconfigured to deal with the coronavirus disease 2019 (COVID-19) pandemic. Some countries have flattened the curve, some are still fighting to survive it, and others are embracing the second wave. Globally, there is an urgent need to increase the resilience, capacity, and capability of health-care systems to deal with the current crisis and improve upon the future responses. The epidemiological burden of COVID-19 has led to rapid exhaustion of local response resources and massive disruption to the delivery of care in many countries. Health-care networking and liaison are essential component in disaster management and public health emergencies. It aims to provide logistical support between hospitals; financial support through local or regional governmental and nongovernmental agencies for response; manpower and mechanism for coordination and to implement policies, procedures, and technologies in the event of such crisis. This brief report describes how 4 independent private hospitals in northern India had adopted the principles of health-care networking, pooled their resources, and scaled up 1 of the partner hospitals as Dedicated COVID-19 Hospital (DCH) to treat moderate to severe category of COVID-19 patients. It brings out the importance of a unique coalition between private and public health-care system.

scholarly journals Practical Considerations for Treating Patients With Cancer in the COVID-19 Pandemic

2020 ◽  
Vol 16 (8) ◽  
pp. 467-482 ◽  
Author(s):  
Eva Segelov ◽  
Craig Underhill ◽  
Hans Prenen ◽  
Christos Karapetis ◽  
Christopher Jackson ◽  
...  
Keyword(s):  
Conventional Treatment ◽  
Health Care Systems ◽  
Significant Risk ◽  
Significant Risk Factor ◽  
Diverse Group ◽  
Patients With Cancer ◽  
Medical Oncologists ◽  
The World ◽  
Prevalent Disease ◽  
Care Systems

Cancer has become a prevalent disease, affecting millions of new patients globally each year. The COVID-19 pandemic is having far-reaching impacts around the world, causing substantial disruptions to health and health care systems that are likely to last for a prolonged period. Early data have suggested that having cancer is a significant risk factor for mortality from severe COVID-19. A diverse group of medical oncologists met to formulate detailed practical advice on systemic anticancer treatments during this crisis. In the context of broad principles, issues including risks of treatment, principles of prioritizing resources, treatment of elderly patients, and psychosocial impact are discussed. Detailed treatment advice and options are given at a tumor stream level. We must maintain care for patients with cancer as best we can and recognize that COVID-19 poses a significant competing risk for death that changes conventional treatment paradigms.

scholarly journals Contemporary rehabilitation at cancer centres

2014 ◽  
Vol 83 (2) ◽  
pp. 156-160
Author(s):  
Katarzyna Hojan
Keyword(s):  
Health Care Systems ◽  
Review Article ◽  
Cancer Rehabilitation ◽  
Continuous Part ◽  
Rehabilitation Care ◽  
Cancer Services ◽  
The World ◽  
Care Systems ◽  
Professional Resources ◽  
Extent Of Disease

Aim. Cancer rehabilitation is an important, but often underutilized treatment in the comprehensive care of the cancer patient. The lack of appropriate referral by physicians unfamiliar with the concept of rehabilitation was identified as primary barriers to optimal delivery of rehabilitation care. Therefore, the aim of this paper is to describe the current situation in the world of science of cancer rehabilitation and to describe availability of professional resources in the selected countries in the world. Material and methods. This paper is a review article to describe rehabilitation models in cancer services for patients in selected cases in the world.Results. Rehabilitation should be applied in various settings, depending on the level of disability, extent of disease, medical acuity level of the patient, and available services. However, the rehabilitation systems in the world differ depending on the various social security and health-care systems, but they are largely based on a similar, multidimensional and multidisciplinary understanding of cancer rehabilitation. Conclusions. On the basis of description of the bio-psycho-social models, it can be seen that rehabilitation must be an integral and continuous part of all cancer care. There is strong evidence that rehabilitation is a well-tolerated and safe adjunct therapy that can mitigate several common treatment-related side effects among cancer patients.

scholarly journals Early evidence that social distancing and public health interventions flatten the COVID-19 curve in Italy

2020 ◽  
Author(s):  
Valentina Rotondi ◽  
Liliana Andriano ◽  
Jennifer Beam Dowd ◽  
Melinda C. Mills
Keyword(s):  
Health Care Systems ◽  
Scientific Evidence ◽  
Health Interventions ◽  
Infection Rates ◽  
Public Health Interventions ◽  
Social Distancing ◽  
Early Evidence ◽  
The World ◽  
Care Systems ◽  
Policy Measures

With the world experiencing one of the largest pandemics in one-hundred years, governments and policymakers are looking for scientific evidence to introduce rapid and effective policies. Here we provide evidence from two provinces in Italy with comparable early infection rates but different timing of mitigating policy measures. Lodi prohibited movement on February 23, 2020 and Bergamo 2 weeks later on March 8, before the entire lockdown of Italy on March 11. This comparison provides early evidence that rapid restriction of movement and social distancing measures may slow the transmission of the virus and “flatten the curve”, ultimately reducing pressure on health care systems

scholarly journals Impact of the COVID-19 pandemic on radiologists

2020 ◽  
Vol 72 ◽  
pp. 177-180
Author(s):  
Ganesh Hegde ◽  
Christine Azzopardi ◽  
Patrick Hurley ◽  
Harun Gupta ◽  
Naga Varaprasad Vemuri ◽  
...  
Keyword(s):  
Health Care Systems ◽  
Continuing Professional Development ◽  
Well Being ◽  
Radiology Workflow ◽  
Protective Equipment ◽  
Ability To Work ◽  
Innovative Solutions ◽  
The World ◽  
Care Systems ◽  
The Impact

COVID-19 pandemic is one of the biggest crises faced by health-care systems in the recent times. The aim of this study was to assess the impact of the COVID-19 pandemic on radiology workflow, working pattern, training and continuing professional development (CPD) activities, as well as personal well-being of the radiologists during the pandemic. Material and Methods: Questionnaire designed to gather the opinions regarding the impact of the COVID-19 pandemic was distributed to radiologists throughout the world in electronic format. Anonymized responses were obtained and analyzed. Two hundred radiologists, working in 17 different countries, responded to our questionnaire. Majority of the respondents were from India (72.8%) and 70% of the them were in the age group of 25–45 years. About 80% of respondents felt that they were well protected or moderately well protected in terms of the personal protective equipment (PPE), however, most of them felt that the use of PPE had affected their ability to work. Similar number of radiologists felt that there was significant reduction in the radiology workload. More than half of the respondents felt that their working patterns were altered by the pandemic with drastic impact on teaching, CPD activities, and personal well-being. COVID-19 pandemic has had profound impact on the radiologists all over the world. Learning from the experiences of the first wave should be used to provide innovative solutions to some of the challenges posed to provide better radiology services, training, and improve the well-being of radiologists if we encounter a similar situation in the future. COVID-19 pandemic had significant impact on radiologists. Radiologists felt that they were well or moderately well protected with PPEs; however, PPEs affected their ability to work. Radiology workflow was significantly reduced in the pandemic with more radiologists working from home. COVID-19 pandemic had deleterious effect on radiologist’s well-being, education, and CPD activities.

scholarly journals Worldwide Management of Inflammatory Bowel Disease During the COVID-19 Pandemic: An International Survey

2020 ◽  
Author(s):  
Charles N Bernstein ◽  
Siew C Ng ◽  
Rupa Banerjee ◽  
Flavio Steinwurz ◽  
Bo Shen ◽  
...  
Keyword(s):  
Inflammatory Bowel Disease ◽  
Bowel Disease ◽  
Task Force ◽  
Health Care Systems ◽  
Underlying Disease ◽  
Virus Spread ◽  
The World ◽  
Management Guidance ◽  
Care Systems ◽  
Inflammatory Bowel

Abstract Background and Aims Persons with inflammatory bowel disease (IBD) may be particularly vulnerable to COVID-19 either because of their underlying disease or its management. Guidance has been presented on the management of persons with IBD in the time of this pandemic by different groups. We aimed to determine how gastroenterologists around the world were approaching the management of IBD. Methods Members of the World Gastroenterology Organization (WGO) IBD Task Force contacted colleagues in countries largely beyond North America and Europe, inviting them to review the WGO website for IBD and COVID-19 introduction, with links to guideline documents, and then to respond to 9 ancillary open-ended management questions. Results Fifty-two gastroenterologists from 33 countries across 6 continents completed the survey (April 14 to May 16, 2020). They were all adhering for the most part to published guidelines on IBD management in the COVID-19 era. Some differences and reductions in services related to access, and some related to approach within their communities in terms of limiting virus spread. In particular, most gastroenterologists reduced in-person clinics (43 of 52), limited steroid use (47 of 51), limited elective endoscopy (45 of 52), and limited elective surgeries (48 of 51). If a patient was diagnosed with COVID-19, immunomodulatory therapy was mostly held. Conclusions In most countries, the COVID-19 pandemic significantly altered the approach to persons with IBD. The few exceptions were mostly based on low burden of COVID-19 in individual communities. Regardless of resources or health care systems, gastroenterologists around the world took a similar approach to the management of IBD.

Transformation des deutschen Gesundheitssystems Anforderungen und Instrumente

2005 ◽  
Vol 54 (1) ◽  
Author(s):  
Torsten Sundmacher
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Insurance Companies ◽  
System Transformation ◽  
Special Health Care ◽  
Starting Point ◽  
Care Systems ◽  
Health Insurance Companies ◽  
The Right ◽  
State Interventions

AbstractA rising discussion can be seen concerning a transformation of health care systems. Real system changes have till now strengthened competition predominantly and reduced state interventions. Such a procedure also is probably the right way for the German system. Previous reform trials in Germany have i.e. introduced the Integrated Health Care (Integrierte Versorgung, IV). In this special health care form, single contractual regulations are allowed in the contract relationship between doctors and health insurance companies. These contracts partly take the usual collective agreements off. But, until now, the significance of this special form for the normal health care is minor, though. Whether the IV can be a starting point to a system transformation of the health care system by small steps is the question to be examined here.

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