Health Care Services - Science topic

Los avances tecnocientíficos del siglo XXI en el ámbito de la salud reproductiva influyen en el derecho. Así pues, es indispensable una regulación en base a un marco de principios bioéticos, cuyo objetivo es orientar la conducta médico-científica hacia la humanización de los servicios de salud. En Ecuador, los principios bioéticos se encuen-tran re...

Background Access to health care has traditionally been conceptualized as a function of patient socio-demographic characteristics (i.e., age, race/ethnicity, education, health insurance status, etc.) and/or the system itself (i.e., payment structures, facility locations, etc.). However, these frameworks typically do not take into account the broade...

Background Prostate cancer is an epidemic of the modern age, and despite efforts to improve awareness, it remains the case that mortality has hardly altered over the decades, driven largely by late presentation. There is a strong public perception that male urinary symptoms is one of the key indicators of prostate cancer, and this continues to be p...

Objective Home care is one of the essential community health care services; thus, identifying changes of home care utilization before and during the COVID-19 pandemic would be useful for researchers and policymaker to reconsider the home care system, the support needed for home care staff, and the collaborative system with hospitals in the COVID-19...

Background The recent Austrian Primary Care Act established new primary health care units (PHCUs) and obliged them to draw up a “care strategy” specifying their focal care tasks and objectives and emphasizing the health care needs of the population in their catchment area with its specific local health and epidemiological profile. The main purpose...

Background The SARS-CoV-2 pandemic is still ongoing and a major challenge for health care services worldwide. In the first WSES COVID-19 emergency surgery survey , a strong negative impact on emergency surgery (ES) had been described already early in the pandemic situation. However, the knowledge is limited about current effects of the pandemic on...

Background This study is to investigate the interaction of family support, transport cost (ex-post), and disabilities on health service seeking behavior among older people from the perspective of social ecological model. Method We conduct a series of regressions including the Poisson model and Multiple logit model. The Heckman two-stage procedure...

Background Antenatal depression is associated with intrauterine growth retardation, preterm birth, and low birth weight. Infants born to mothers with postnatal depression also may suffer from malnutrition and other health problems. Even though there are few single studies conducted so far, a systematic review of these studies is highly important to...

Background The COVID-19 pandemic and the subsequent lockdown have significantly altered many aspects of the health care services. We investigated the impact of the restrictive measures during the pandemic on the volume and spectrum of operated neurosurgical cases at two University hospitals in Egypt. Results The total number of surgeries dropped d...

Background: Sexual and reproductive health challenges among youth in low-income countries have persistently remained a public health challenge. In addition to these challenges, approximately 25% of youth experience a mental health illness, a situation anticipated to steeply increase especially in sub-Saharan Africa. However, there is still a scarc...

Background Medicines of poor quality are currently prevailing problems undermining the quality of health care services in veterinary and human medicine. In this study, physico-chemical quality of veterinary medicines was evaluated. Methods A total of 959 veterinary medicines samples were collected during routine regulatory activities, i.e. pre-reg...

This study aims to investigate the effects of health expenditure on economic growth in Turkey. For this purpose, time series data of Turkey over the period 1975–2018 were evaluated. Moreover, household consumption, life expectancy at birth, trade, and foreign direct investments were added as control variables. Cointegration analysis was performed t...

Background Stroke is a leading cause of death and chronic disability worldwide. In Sub-Saharan Africa (SSA), which includes Somalia, stroke represents a significant part of the chronic disease burden. However, there is relatively little data on risk factors, demographics, and clinical profiles. This study aimed to define the etiological, demographi...

Objective Myxedema crisis (MC) is a rare condition. There is a dearth of data regarding the predictors of mortality in MC. Predictive scores for mortality specific to the clinical and biochemical profile of MC are still lacking. Design and methods All consecutive patients presenting with MC from September 2006 to December 2020 comprised the new...

Purpose The purpose of this study is to parse out differences between unmet need and perceived need for health care services among rural and urban adults with disabilities in the United States. While unmet need focuses primarily on environmental factors such as access to health insurance or provider availability, perceived need relates to personal...

Objective: To map the literature on subjective and objective oral health indicators and oral health-related quality of life (OHRQoL) in older adults receiving home health care services (HHCS). Background: The proportion of older adults in need of HHCS will increase in the coming years. Previous studies indicate that frail and dependent older adu...

Introduction Community-integrated care initiatives are increasingly being used for social and health service delivery and show promising outcomes. Nevertheless, it is unclear what structures and underlining causal agents (generative mechanisms) are responsible for explaining how and why they work or not. Methods and analysis Critical realist synth...

O cenário da emergência sanitária causado pela pandemia da COVID-19 impôs aos gestores do SUS novos e imensos desafios. A rapidez e a alta taxa de transmissão, a produção de casos graves e fatais e o risco de colapso para a rede de saúde exigiram o estabelecimento de planos de contingenciamento. Analisar as experiências dos gestores nas regiões de...

As feridas crônicas são definidas como qualquer interrupção na continuidade de um tecido corpóreo, em maior ou menor extensão, decorrente de traumas ou de afecções clínicas, que apresenta difícil processo de cicatrização, ultrapassando a duração de seis semanas (ALMEIDA et al., 2016). Dentre elas, destacam-se as Lesões por Pressão (LP), Úlcera Diab...

The connection between the design and delivery of health care services using information technology is known as health informatics. It involves data usage, validation, and transfer of an integrated medical analysis using neural networks of multi-layer deep learning techniques to analyze complex data. For instance, Google incorporated ''DeepMind'' h...

INTRODUÇÃO: A emergência da pandemia de COVID-19 trouxe grandes desafios que têm impactado a assistência direta às pessoas em todos os níveis de atenção à saúde, em especial a população em situação de rua (PSR), que é caracterizada como um grupo populacional de grande vulnerabilidade social, com características associadas à pobreza extrema, vínculo...

A comprehensive understanding of patient satisfaction with additional services in the pharmacy has become recognized as an important outcome of care. Patient satisfaction is an indicator in identifying and assessing the patient's needs. It is an essential factor in determining the health care services being delivered to the patient. Hence, this res...

Background Family doctor contract services was launched in Sichuan province in 2016. The focus was mainly on developing primary health care services but paying less attention to the work stress and job satisfaction of in-service family doctors. Objective This study aims to explore the influencing factors of job satisfaction, and the relation betwe...

Background Obesity, a complex public health problem, is generally associated with other chronic diseases. The association of obesity with health service utilization has been little investigated in low- and middle-income countries. This study aimed to analyze the association between obesity and health service utilization (considering those services...

Background Patient participation is highlighted as an important facilitator for patient-centered care. Patient participation organised as patient advisory boards (PABs) is an integral part of health care institutions in Norway. More knowledge is needed on how PAB representatives experience patient engagement (PE) with regard to organisation, influe...

Il est bien établi que les services de santé québécois sont engorgés, un phénomène exacerbé par la pandémie. Les avancées technologiques des dernières années offrent des modalités de soutien qui permettent de contrecarrer les limites des approches traditionnelles. Les applications mobiles en santé mentale présentent plusieurs avantages par rapport...

Being able to predict with confidence the early onset of type 2 diabetes from a suite of signs and symptoms (features) displayed by potential sufferers is desirable to commence treatment promptly. Late or inconclusive diagnosis can result in more serious health consequences for sufferers and higher costs for health care services in the long run. A...

Objectives: to analyze sexual function and its correlation with sexuality and quality of life in male older adults. Methods: a cross-sectional study, developed with 231 male older adults. Participants completed four instruments to obtain biosociodemographic data, sexual function, sexuality and quality of life. Analyzes were performed using the M...

Evaluation of emergency department (ED) presentation by Syrian refugee children might provide important information about their health care needs. For this purpose, we compared ED presentation of refugee and resident children in a tertiary university hospital in Istanbul, Turkey. Electronic medical records of Syrian refugee children ≤ 18 years old...

Objectives: to analyze the sociodemographic and clinical factors associated with frailty in the elderly with Parkinson's disease in the context of a Specialized Health Care Service for the Elderly. Methods: documentary, analytical, correlational, cross-sectional study carried out with 230 elderly people with Parkinson's. The medical records of t...

We provide time series evidence of tort reform's impact on inputs and quality in the nursing home industry. Between 2000 and 2010, 11 state reforms capped noneconomic damages for health care services. Small chain and unaffiliated nursing homes enjoyed “judgment proof standing” and were less apt to be sued, prior to reform. We find that the managers...

Millions of women in developing countries experience life-threatening health problems related to pregnancy or childbirth. Despite several policies and program provisioning the accessibility, availability, and affordability of maternal health care services, improvement in maternal health remains a challenge to the Indian health care system. This stu...

COVID-19 has challenged the public dental workforce in their ability to continue providing routine oral health care services. To mitigate the risk of COVID-19 transmission to staff and patients, Teledentistry was implemented in many parts of the world, mainly to provide remote consultations, undertake triage, and offer preventive educational sessio...

Background: In South Africa, universal access to health care services, including those relating to sexual and reproductive health (SRH) care, is contained in Section 27 of the Constitution and commits the country to supporting the United Nations 2030 Agenda for the Sustainable Development Goals (SDGs). The objective of this study was to examine th...

Background: Those whose lives are most directly impacted by health care-patients, caregivers, and frontline staff-are ideally situated to improve patient health care services and care quality. Despite a proliferation of literature on both Patient and Public Involvement (PPI) and clinical quality improvement (QI), concrete strategies regarding how...

The Teleprimary Care-Oral Health Clinical Information System (TPC-OHCIS) is an updated electronic medical record (EMR) that has been applied in Malaysian primary healthcare. Recognizing the level of patient satisfaction following EMR implementation is crucial for assessing the performance of health care services. Hence, the main objective of this s...

Background Reablement is a multi-professional and internationally established home-based health care service for mainly older people with the aim to reduce the need for long-term care and to promote self-determination. However, it is unknown which factors would facilitate the implementation of reablement in health care services. Therefore, the aim...

Introduction The stigma of mental illness has a negative impact on the diagnosis and treatment of these disorders. Considering the high prevalence of mental illness, the attitude of medical specialists toward mental disorders, who are front liners in diagnosing and treating these patients, is critical. Therefore, we examined the attitude of Iranian...

Background: Many countries have adopted the nursing process as a basic requirement for quality health care services, but there is a problem with its implementation in the clinical areas of many hospitals. Even though nurses accept the benefits of the nursing process, they do not use it practically. The implementation of the nursing process in Eth...

Risico's bij het taxeren van risico? Sancties 2022/40 Het inschatten van de kans op recidive door middel van risicotaxatie-instrumenten is in-middels gemeengoed geworden. De discussie over de mogelijkheden en beperkingen van deze risico-inschattingen is echter nog steeds actueel. In dit themanummer komt deze dis-cussie uitgebreid aan de orde. Ook h...

A deterioração da qualidade das águas em ambientes aquáticos recreacionais pode causar danos à saúde humana e, consequentemente, aumentar a pressão e gastos sobre os serviços de saúde, bem como impactar significativamente a economia local. O Lago de Furnas, localizado na região sul do estado de Minas Gerais, consiste em um dos maiores reservatórios...

No presente ensaio teórico, as autoras, a partir de suas experiências como docentes, pesquisadoras, psicólogas e supervisoras de estágio, buscam situar os impactos da pandemia da COVID-19 para a saúde mental da população brasileira e para as práticas clínicas em serviços escolas de Psicologia no país, assim como refletir sobre a elasticidade da dem...

Introduction The synergy of health care and elderly social care organizations has become the focus of the research on integrated health care and social care. This study aims to propose a collaborative strategy among health care and elderly social care service providers. Methods An evolutionary game model is applied for performance analysis and opt...

RESUMO | Introdução: A implementação de metodologias de avaliação da qualidade em serviços de saúde possibilita o monitoramento dos resultados obtidos em relação aos objetivos e padrões estabelecidos para o cuidado prestado. Objetivos: Avaliar a qualidade dos processos envolvidos na realização dos exames médicos periódicos em um hospital universitá...

The purpose of this study was to analyze consumer or patient determinants of hospital brand equity (HBE) based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) Statement. A search of six databases: Scopus, Web of Sciences, PubMed, Google Scholar, Ebsco, and Elsevier was conducted. A search for studies published up...

Information technology is used to offer Health services, the use of computers in health is referred to as eHealth. The benefits of using eHealth is enormous, however people have not appreciated it fully because of problematic factors associated with its adoption and implementation. The main objective of the study was to investigate the environmenta...

This dissertation will aim to identify heteronormative practices within English fertility health care services and determine how they intrinsically alienate LGBTQ+ clients, specifically those facing infertility. The fertility process with either the NHS or private practices can be quite challenging, with many restrictions including Body-Mass Index...

The female work participation in India is relatively lower as compared to other countries due to various socioeconomic and cultural factors; women face the double burden of domestic work and work outside the house. Hence, it is very important to understand the health status and health-seeking behavior of these women which in turn affects their heal...

Trata-se de uma pesquisa qualitativa, descritiva e exploratória, realizada no Tratamento Fora de Domicílio, na cidade de Cuiabá-MT, Brasil, que objetivou levantar reflexões sobre os itinerários terapêuticos de pessoas trans, na busca pelo Processo Transexualizador. Participaram três homens trans, duas mulheres trans e uma mulher travesti, com faixa...

Hematopoietic stem cell transplant is a complicated intervention only offered in specialized centers. Access to transplants may vary based on the location of primary residence, income levels, age, and reported race or ethnicity. Using data from the Canadian Institute of Health (CIH) Discharge abstract database (DAD), all non-Quebec Canadians under...

Background Self-rated health has been widely used as a useful screening tool to subjectively evaluate individuals' health status. Under the context of the rapid growth of aging, there was a dramatic rapid expansion in internal older migrants in China. Serious concerns on the issues of health status continue to attract quite a lot of attention over...

The purpose of this research was to look at the effects of poverty on access to health care services among rural families in Osun state. The study's overarching goal was to identify household characteristics that influence healthcare service selection, as well as the amount of accessibility of rural households to healthcare facilities. Structured q...

Objective The aim of this study was to investigate the longitudinal impact of depressive symptoms on utilization of healthcare in terms of GP visits as well as specialist visits and hospital admission in late life among community-dwelling individuals. Methods Longitudinal data (baseline and follow-up) were derived from the German multicentre, pros...

Introduction Visual impairment is a major public health problem in developing countries where there is no enough health-care service. It has a significant impact on the affected child’s psychological, educational and socioeconomic experiences, during childhood and beyond. Therefore, the aim of this review was to estimate the pooled prevalence of vi...

Este ensaio teórico teve por objetivo refletir sobre desigualdades no acesso à saúde e à produção do cuidado integral de mulheres quilombolas, com foco na equidade, integralidade e garantia do direito à saúde. Adotou-se como referencial as Políticas de Promoção da Equidade em Saúde e, mais especificamente, na Política Nacional de Saúde Integral da...

Introduction The novel coronavirus disease 2019 (COVID-19) continues to disrupt the availability and utilization of routine and emergency health care services, with differing impacts in jurisdictions across the world. In this scoping review, we set out to synthesize documentation of the direct and indirect effect of the pandemic, and national respo...

Depression is a mental disorder which affects the behavioural, somatic and emotional components in an individual. Earlier prevalence of depression was restricted to urban dwellers but now it is prevalent also among the vulnerable tribal communities. By applying the Beck Depression Inventory (BDI-II) on 125 adults from the Juang community, a PVTG in...

ntrodução: A pandemia por COVID-19 afetou diretamente o ensino superior no mundo, visto que o distanciamento social era a medida mais eficaz para conter o número de casos. Diante disso, o âmbito educacional recorreu a novas práticas visando dar continuidade a formação dos alunos, como a adoção de aulas online. Entretanto, os discentes dos cursos de...

Human Development is an integral part for all overall development of a country where every citizen is provided equal opportunities and choices for their living which includes affordable, accessible and equitable in the field of education, health and economy. Human development Index acts as a tool in providing these facilities. India due to its lack...

COVID-19 shows us the how poorly India is prepared for a disaster , covid-19 followed by natural disasters and new disease , with a humongous population of 1.3 billion with maximum people are live in poverty and are dependent on daily wages , with complete lockdown people dying more duty to hunger and poverty than corona , the slum dwellers , stree...

There is an urgent need to upgrade the urban health care centres to provide basic health care services to its people .People travel from rural to urban parts for better health care services . However the sad part is that people living in urban parts are also vulnerable to health care services , majority of the people live in the urban slums or s...

is an important one which aims to provide best quality health care service to everyone. Biomedical Waste is one of the main barrier of providing best quality health care service to mankind which is the major concern in recent days. This paper focuses on the management of Biomedical Waste in sustainable manner under current pandemic situation across...

Gambling problems are often associated with homelessness and linked to elevated psychiatric morbidity and homelessness chronicity. We performed a systematic review and meta-analysis on prevalence rates of problem gambling (PG) and gambling disorder (GD) in homeless people. Following PRISMA guidelines, we searched databases Medline, Embase and PsycI...

Background Globally, there is recognition of the value of using mobile phones among health providers in improving health systems performance. However, in many Low- and Middle-income countries where there is shortage of health providers, Community Health Workers have assumed some responsibilities especially relating to identifying and reporting on h...

Background and Aim: Referral system is one of the principles and foundations of primary health care services. One of the most important challenges and problems of the referral system is the lack of knowledge of people and patients of its nature, services and benefits. The purpose of this study was to identify the factors affecting the acceptance of...

Het Belgische en Nederlandse beroepengebouw van psychologen in de gezondheidszorg vergeleken.

South Africa has recorded the highest COVID-19 morbidity and mortality compared to other African regions. Several authors have linked the least amount of death in African countries with under-reporting due to poor health systems and patients’ health-seeking behaviors, making the use of clinical audits more relevant for establishing the root causes...

Introduction Emergencies and disasters occur in any society, and it is the hospitals and their emergency department staff who must be prepared in such cases. Therefore, 1 of the effective methods of training medical care staff is the use of simulators. However, when introducing new simulation approaches, we face many challenges. The aim of this stu...

Severity of falls in hospital patients are threat to patient safety which can result in a financial burden on the patient’s family and health care services. Both patient specific and environmental and organisational factors are associated with severity of falls in hospital. It is important to continuously analyse the factors associated with severit...

Purpose: Disrupted healthcare facilities due to disasters leave the affected communities without access to sufficient health care. This study proposed the use of mobile health clinics to address the issues faced by medical service providers during disaster response. Design/methodology/approach: A mobile health clinic a mobile facility that perform...

Title: Rural/remote primary healthcare demand forecasting model Objective: Development of a patient-centred index of geographical accessibility to health care services, using the index as a basis for forecasting rural and remote populations and future primary care demand for patients in rural and remote areas in New Zealand, as well as identifying...

Studies using co-design methods require the meaningful involvement of stakeholders in creating new knowledge and harnessing, mobilising, and transferring existing knowledge to support comprehensive and long-term solutions. In the health sector, co-design methodology is seen as a way of supporting and engaging local communities in critical decision-...