scholarly journals Déterminants de l’utilisation des services médicaux en régime d’assurance-maladie

2009 ◽  
Vol 56 (2) ◽  
pp. 164-193 ◽  
Author(s):  
N. M. Hung ◽  
N. V. Phu
Keyword(s):  
Health Care ◽  
Sex Discrimination ◽  
Data Bank ◽  
Geographic Area ◽  
Age Group ◽  
Income Class ◽  
Dummy Variable ◽  
Rate Of Increase ◽  
Significant Difference ◽  
The Individual

Abstract Under the regime of public health insurance, the utilization of health cares are determined by various socio-demographic and economic characteristics of the beneficiaries. These determinants are estimated in this study where we apply the dummy variable regression technique to the AMULET data bank, a 1971 cross-section of 8,608 beneficiaries in the province of Québec where most of health cares are free. In increasing order of importance, we find that : i) The individual utilization of health care is increasing with the age of beneficiaries and is higher for women than for the men for the age-group 15-50 years. This tendency is reversed for the age-group 50 years and older since the rate of increase in utilization is higher for men. There is, however, any significant difference in utilization on the basis of sex discrimination for the age-group 0-15 years. The structure age-sex, being of course a proxy of the health status of the beneficiaries, is the most important determinant of health cares utilization. ii) Individual utilization depends on the income class to which belongs the beneficiary. The beneficiaries of the highest and the lowest income class utilize more health care than those belonging to the so called "middle class". Notice however that the lowest income class in the data sample is composed in majority of aged beneficiaries. iii) The size of the beneficiaries' family is not a significant determinant of the utilization of health care for children of age-group 0-15 years. For other age-group however, utilization decreases with this family size for men, but increases for women. iv) The geographic area where the beneficiaries are identified is a weak determinant of utilization. Beneficiaries in urban area utilize more of health care than those living in rural area.

Optimization of the care model for elderly in Poland

Physiotherapy ◽  
2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Felicja Lwow ◽  
Małgorzata Korzeniowska ◽  
Joanna Dadacz ◽  
Ewa Hladik ◽  
Agata Łukojko ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Institutional Care ◽  
Developed Countries ◽  
Social Aspect ◽  
Age Group ◽  
Care Needs ◽  
Optimal Health ◽  
Health Care Models ◽  
The Individual

AbstractThe demographic situation of Poland as well as other developed countries shows a growing number of people at retirement age. According to the data from GUS (Central Statistical Office), their number reached 6.5 mln in Poland in 2011, and the prognosis for shows 8,3 mln by the year 2035. The consequence of this fact is a necessity of including the specificity of this age group in the functioning of Polish health care as well as in preventive medicine and health promotion. Unifying the health needs of this age group would be disadvantageous due to the diversification of physical efficiency level in the psychosomatic and social aspect. Nevertheless, the key problem is to distinguish the optimal health care models which include not only chronic conditions and dysfunctions but also the quality of life and socially independent life style that guarantee the lack of isolation and social exclusion. Distinguishing the four action models, namely people considered as healthy by the system, autonomously functioning people with chronic conditions, and people who need other people or institutional care to function in a society, seems to cover the individual needs of this group. Concluding, the National Health Care needs to work out some proceeding algorithms for these models. The optimal program adjustment for the needs of the target group would most certainly improve the effectiveness of the Health Care.

scholarly journals Forensic age assessment using Kvaal’s method with digital orthopantomographs (OPG) and comparison with the actual age of the subjects

2021 ◽  
Vol 12 (10) ◽  
pp. 142-146
Author(s):  
Azia Manzoor ◽  
Vinka Maini ◽  
Wasim Manzoor
Keyword(s):  
Age Estimation ◽  
Regression Equation ◽  
Coefficient Of Determination ◽  
Age Group ◽  
Age Assessment ◽  
Lower Canine ◽  
Significant Difference ◽  
Minimum Number ◽  
Dental Evidence ◽  
The Individual

Background: Forensic Dentistry is one of the branch of Forensic Medicine which deals with the complete handling of dental evidence, estimation and examination and the evidence obtained would be used in the court for justice. Kvaal and Solheim given a method used on adults for calculation of age with the help of morphological and radiological methods, but extraction was still required. Hence to improve this procedure Kvaal et al made a method which is totally based on radiological analysis. Aims and Objective: The present study was designed to compare the forensic age assessment using Kvaal’s method and digital orthopantomographs with the actual age of the subjects. Materials and Methods: Present observational study was conducted in subjects with all the required complement of teeth on either right or left side, completely erupted clinical crown, without any morphological abnormalities for age estimation by Kvaal’s method with digital orthopantomograph as and compared with actual age of subjects. Results: In the present study out of 100 subjects, maximum number of subjects i.e. 61 were in the age group of 20 – 29 and minimum number of subjects i.e. 7 were in the age group of 50 –59. 43 were females and 57 were males. The regression equation was derived for all six studied teeth and coefficient of determination R2 was found for all the individual six teeth. Coefficient of determination was highest for lower first premolar (0.517) followed by upper central incisor (0.178), lower canine (0.134), lower lateral incisors, upper second premolar and upper lateral incisors. M & W-L were found significant predictors for lower first premolar, lower canine and upper central incisors. Similarly, coefficient of determination (R2) was significant higher for lower three teeth (0.478) than upper three teeth (0.069) with M & W-L were significant predictor. Regression equation derived for all six teeth together shows significant coefficient of determination R2(0.430) with M, W-L both are significant predictors. No statistically significant difference between the actual age and estimated age for all individual six teeth was noted. Mean difference lowest for lower first premolar (0.001) followed by lower canine (0.007). Conclusion: We noted that age assessment using Kvaal’s method with digital orthopantomographas and actual age of the subjects were comparable & no significant difference was noted. Kvaal’s method with digital orthopantomographas is a better option for age estimation without teeth removal.

scholarly journals Prevalence of Impostor Phenomenon in Physiotherapy Professionals: A Pan India Survey

2021 ◽  
Vol 11 (10) ◽  
pp. 322-331
Author(s):  
Vaishvi. P. Kansara ◽  
Neeraj Kumar ◽  
Sukhpreet Pabla
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Online Survey ◽  
Demographic Data ◽  
Simple Random Sampling ◽  
Survey Method ◽  
Impostor Phenomenon ◽  
Significant Difference ◽  
Males And Females ◽  
The Individual

Background: Impostor Phenomenon is described as the psychological experience in which there is the individual does not have the ability to believe that the accomplishments achieved by him/her are deserved or are achieved because of one’s own skills and talents, but because of one being fortunate. Impostor Phenomenon is seen in many professional setting and is also prominent in highly successful individuals. Impostor phenomenon is increasing among the health care professionals. The following study determines the prevalence of Impostor Phenomenon in Physiotherapy professionals. Method: The study was conducted through online survey method. Simple random sampling was done and forms were sent to the physiotherapists. 200 participants responded to the questionnaire. Clance Impostor Phenomenon Scale was used to measure Impostor Phenomenon. Demographic data was collected and questionnaire was filled by the participants. Total scoring was done and the participants were classified according to categories of Clance Impostor Phenomenon Scale. Result: 7.5% of physiotherapists had few impostor characteristics, 58% experienced moderate impostor characteristics, 32% having often impostor characteristics and 2.5% of had intense Impostor Phenomenon. The scoring of male and female physiotherapists was similar and the scores of clinicians were more than academicians. Conclusion: The study concluded that Impostor Phenomenon affected the Physiotherapists. Many of physiotherapists scored between 40-60 and indicated having the characteristics of Impostor Phenomenon at a moderate level. No significant difference was seen between males and females. The prevalence of Impostor Phenomenon in clinicians was higher than in academicians. Key words: Impostor Phenomenon, Health care professionals, Physiotherapists.

scholarly journals DRUG-ADMINISTERING PERSONS’ EXPOSURE TO ORAL ANTICANCER DRUGS TO BE ADMINISTERED THROUGH A TUBE

2016 ◽  
Vol 9 (9) ◽  
pp. 316
Author(s):  
Masahiro Murakami ◽  
Satoko Katsuragi ◽  
Masako Ohno ◽  
Makoto Shigematsu ◽  
Ayumi Kishi ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Anticancer Drugs ◽  
Anticancer Drug ◽  
Health Care Professionals ◽  
Drug Exposure ◽  
The Other ◽  
Age Group ◽  
Human Type ◽  
Significant Difference

ABSTRACTObjective: The objective of this study was to quantitatively evaluate anticancer drug exposure of non-health care professionals who administer drugsthrough a tube employing a method devised by us.Methods: The subjects were 30 general volunteers aged 22-84 years. They wore gloves and administered Indian ink, simulating an anticancer drug, toa multipurpose adult human-type patient care simulator through a tube using 5 types of syringe, and the area stained with Indian ink was measured.Results: When comparing the number of pixels among the syringes regardless of age, Syringe B showed the lowest number (11.8±3.1 cm2), and therewas a significant difference between Syringes B and E. Furthermore, we compared the total number of pixels in each age group regardless of the typeof syringe. In the 20-year-old group, it was the lowest (10.9±2.3 cm2) showing significant differences in comparison with the other groups. WhenSyringe B was used, the number of pixels was markedly lower than on adopting the other syringes.Conclusion: It was clarified that the level of exposure to anticancer drugs markedly varies depending on the type of syringe and age. It was alsoclarified that the method to evaluate exposure to anticancer drugs using Indian ink devised by us is simple and useful.Keywords: Oral anticancer drugs, Simple suspension method, Drug-administering persons’ exposure.

HECLINET — Health Care Literature Information Network

1977 ◽  
Vol 16 (02) ◽  
pp. 103-105
Author(s):  
R. Schaad ◽  
P. Swertz
Keyword(s):  
Health Care ◽  
Hospital Care ◽  
Working Party ◽  
Large Degree ◽  
Data Bank ◽  
Division Of Labour ◽  
Literature Information ◽  
Study Committee ◽  
University Of Berlin ◽  
The Individual

In the field of hospital care there lias been cooperation between various European hospital institutes in the last few years. Since 1970, a working party for information and documentation has been in operation, which was institutionalized as a Study Committee of the International Hospital Federation in 1973.A survey of this Study Committee showed a large degree of parallel and multiple work being done in the European documentation centers for hospital care. With a view to avoiding this duplication of work, a sensible division of labour has been initiated since 1968 by the Institute for Hospital Building of the Technical University of Berlin and the German Hospital Institute — an institute affiliated to the University of Düsseldorf. Thereby the national hospital literature is being indexed in the individual countries, but centrally collected, suitable for EDP. A magnetic tape service and an on-line access to a data bank in Düsseldorf are offered to the hospital institutes concerned.Within the framework of the network system, the original literature cited is made available to the partners on microfiche.For official institutionalization of the documentation network, an organizational concept has been developed, termed HECLINET (.Health Care. Literature information JVeiwork), which is at present being discussed with all the institutions concerned.

scholarly journals Examination of new parameters for sex determination of mandible using Japanese computer tomography data

2020 ◽  
Vol 49 (5) ◽  
pp. 20190282
Author(s):  
Kei Suzuki ◽  
Hiroyuki Nakano ◽  
Kazuya Inoue ◽  
Yoichiro Nakajima ◽  
Sho Mizobuchi ◽  
...  
Keyword(s):  
Oral Surgery ◽  
Principal Component ◽  
Sex Discrimination ◽  
Personal Identification ◽  
Wilcoxon Test ◽  
Determination Method ◽  
Significant Difference ◽  
Modeling Software ◽  
Observation Method ◽  
The Individual

Objective: In the field of forensic science, sex discrimination of skeletons is an important identification item for personal identification. The individual sex discrimination method using skeletons includes a determination method using measurement values and a macroscopic form observation method. Both methods have advantage and disadvantage. In this study, we used the homologous model technique and principal component (PC) analysis to determine gender difference from morphology of the mandible. Methods and materials: 45 patients (23 males and 22 females) of CT imaging for tooth extraction from January 2018 to March 2019 at department of oral surgery, Osaka Medical College. The mean age was 43.1 ± 14.6. Patients with less than 14 remaining teeth were excluded because the number of remaining teeth may affect the shape of the mandible. 3D images were constructed, and 20 landmarks plotting on the 3D model surfaces. We generated template models of the mandible consisting of approximately 8434 polygons. The template model automatically fitted into the individually scanned point cloud of the mandible by minimising external and internal energy functions. As described above, the mandibles were constructed for each sample by using the Homologous Body Modeling software (HBM, Digital Human Technology, Inc.) and the mHBM-Rugle (Medic Engineering Corporation). The mandibles were analysed using the PCA. Results: The contribution of the most important PC was found to be 27.2%. 12 PCs explained over 75% of the total variance. That is, it was able to express 75% or more of the mandible expression with 12 PCs. A significant difference between male and female was observed in the first PCs (Wilcoxon test, p < 0.05). Visualising the result of the first PC showed that the mandibular branch of male was larger than that of female, and the mandible angle was overhanging outside. Conclusion: This method is a combination of the determination method using the previous measurement values and the determination using macroscopic observation, and is considered to be innovative method.

ENDOCRINE CHANGES BEFORE AND AFTER THE MENARCHE

1973 ◽  
Vol 74 (4) ◽  
pp. 695-702 ◽  
Author(s):  
B.-A. Lamberg ◽  
R.-L. Kantero ◽  
P. Saarinen ◽  
O. Widholm
Keyword(s):  
Age Groups ◽  
Age Group ◽  
Significant Elevation ◽  
Significant Difference ◽  
Before And After ◽  
The Mean ◽  
The Individual ◽  
Almost All ◽  
Normal Adults ◽  
Serum Tsh

ABSTRACT In an endocrine survey of healthy girls aged 8 to 20 years before and after the menarche the serum TSH was measured by radioimmunoassay along with some parameters of thyroid function which are described separately. The subjects were grouped according to the skeletal age (SA) until the menarche and after this in the post-menarcheal age (PMA) expressed in years. The TSH value was highest in the youngest age group and from then on decreased. However, within 0.5 years after the menarche another significantly elevated TSH peak occurred. There was no significant difference between the means for TSH before (5.4 μU/ml) and after the menarche (5.7 μU/ml). Both values, however, as well as the means for almost all the individual age groups, were significantly higher than the mean for 13 boys aged 12 to 16 years (3.9 μU/ml) and that for normal adults (3.6 μU/ml). When the girls were grouped according to the stage of puberty, the TSH peak at the time of menarche disappeared. When they were grouped according to SA, a gradual declining trend was seen from age 8 to 16 years. It is concluded that the maturation process in girls in some way involves a significant elevation of serum TSH and an increase in the total and free T4 level which is not dependent on binding proteins.

SAĞLIK ÇALIŞANLARININ ÖRGÜTSEL DEPRESYON DÜZEYLERİNİN BELİRLENMESİ

2016 ◽  
Vol 4 (3) ◽  
Author(s):  
Meltem SAYGILI ◽  
Keziban AVCI ◽  
Özgür UĞURLUOĞLU ◽  
Özlem ÖZER
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Public Hospital ◽  
Occupational Status ◽  
Descriptive Research ◽  
Care Workers ◽  
Significant Difference ◽  
Gender Education ◽  
The Individual ◽  
The Universe

The aim of this study is to determine the level of organizational depression of health care workers and to reveal whether the individual and demographic characteristics of the employees are effective on the level of organizational depression or not. The universe of this work that is a descriptive research covers whole health care workers who serve in a public hospital in Ankara. In the study, sampling method was not applied, the whole universe (670) was tried to be reached, the data were obtained from total 278 workers. According to the results derived from the study, it has been determined that organizational depression levels of health care workers participating in the study show a statictically significant difference in line with their occupational status and age, but their marital status, gender, education and working experience do not create a difference in terms of organizational depression levels. In the research, it has been fixed that the level of organizational depression falls as age increases and the level of organizational depression of nurses is higher than physicians and other health care workers.

Writing in Aphasia Rehabilitation: Cursive vs Manuscript

1976 ◽  
Vol 41 (4) ◽  
pp. 523-529 ◽  
Author(s):  
Daniel R. Boone ◽  
Harold M. Friedman
Keyword(s):  
Correct Response ◽  
The Other ◽  
Read Aloud ◽  
Writing Style ◽  
Reading And Writing ◽  
Manual Responses ◽  
Significant Difference ◽  
Written Form ◽  
The Individual ◽  
Read Number

Reading and writing performance was observed in 30 adult aphasic patients to determine whether there was a significant difference when stimuli and manual responses were varied in the written form: cursive versus manuscript. Patients were asked to read aloud 10 words written cursively and 10 words written in manuscript form. They were then asked to write on dictation 10 word responses using cursive writing and 10 words using manuscript writing. Number of words correctly read, number of words correctly written, and number of letters correctly written in the proper sequence were tallied for both cursive and manuscript writing tasks for each patient. Results indicated no significant difference in correct response between cursive and manuscript writing style for these aphasic patients as a group; however, it was noted that individual patients varied widely in their success using one writing form over the other. It appeared that since neither writing form showed better facilitation of performance, the writing style used should be determined according to the individual patient’s own preference and best performance.

Parent’s Experiences from the Treatment of their Children at the Physic Children’s Surgery Clinic in Skopje.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
M. Trajchevska ◽  
A. Lleshi ◽  
S. Gjoshev ◽  
A. Trajchevski
Keyword(s):  
Health Care ◽  
Health Status ◽  
Independent Predictor ◽  
Demographic Data ◽  
Parental Satisfaction ◽  
Pediatric Care ◽  
Simple Random Sample ◽  
Significant Independent Predictor ◽  
Cross Sectional ◽  
Significant Difference

Background: The respect of the needs and wishes of the patients is in the focus of the human health system. The experience of the parents in terms of child’s health care may be used as an indicator of quality of the health care. Material and methods: The research is a quantitative analytical cross-sectional study. In accordance with the inclusion and exclusion criteria, simple random sample of 207 parents / guardians is covered, whose children in the period of three months, had been hospitalized in the hospital department JZUU Pediatric Surgery Clinic in Skopje.It was used a two parted questionnaire. The first part is a standardized questionnaire (Parent Experience of Pediatric Care - PECP), and the second part concerns the general socio-demographic data of the parent/guardian. Statistical evaluation was performed using appropriate statistical programs (Statistics for Windows 7,0 and SPSS 17.0). Results: In accordance with the age of the parents, the survey respondents were divided into two groups: a) age ≤ 33 years - 107 (51.69%) and b) age> 33 years - 100 (48.31%).Significant independent predictor of parental satisfaction from the receipt of their child to the clinic research confirms the age of the parent under / over 33 years due to 4.1% of the change in satisfaction (R2 = 0,041). Parents generally believe that their children's room of the clinic is "good", without significant difference between parental satisfaction from both age groups (Mann-Whitney U Test Z = -0,9613 p = 0,3364). Significant independent predictor of parental satisfaction from the room of their child improves the health status after treatment due to 6% of the change in satisfaction (R2 = 0,060). Parents generally believe that testing and treatment of their children in the clinic was "very good" and an independent significant predictor is to improve the health status after the treatment - 7,8% (R2 = 0,078). Conclusions: Regardless of the generally good parental satisfaction about health care for their children, it is necessary to continuously monitor the status of the clinic in order to consider the possible deficiencies and needs of intervention.

Sign in / Sign up

Export Citation Format

Share Document