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Publications related to Health Policy (10,000)
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Article
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Purpose Navigating a health system which differs considerably from one’s own can be a challenging process. Navigating this in seeking maternal health care can be additionally daunting. This article explores how immigrant women from diverse countries and ethnic backgrounds experienced and navigated the Norwegian maternal health service during pregna...
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This qualitative study used unstructured interviews to gain insights into how families in the Bugisu sub-region conceptualise masculinity in response to safe medical male circumcision (SMMC), as promoted by the Ugandan government. Results were obtained from cultural leaders, clan leaders, traditional surgeons, medical officers, 2016 initiates, focu...
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Background Assistive technologies promote participation and quality of life for people with disabilities and other functional limitations. There is a global call to develop and implement policies to improve access to assistive technologies. In response, a stakeholder led initiative in Malawi is working towards the development of such a policy. Obj...
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The proliferation of "wicked" policy problems in complex systems requires an experimental approach of problem-solving. Experimentalist governance offers a conducive framework through which to seek policy solutions amidst high levels of complexity in a multilevel governance structure. This study conceptualizes four distinctive experimental modalitie...
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Economic variables are dynamic in nature. This paper uses a simultaneous equation model to assess the complexity of the link between economic expansion and environmental deterioration in ASEAN. The study examines how CO2 emissions, economic growth, public health initiatives, and control factors interact using dynamic panel data from 2011 to 2020. T...
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Background With the development of urbanization in China, the scale of internal migration and the number of immigrants among older adults are increasing. This requires paying attention to the living conditions and environment of immigrants. Many studies note a gap in the prevalence of depressive symptoms among older adults living in different main...
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Background Few studies have explored regional asymmetries and their implications for health policies regarding episodes of falls among the population of ≥80 years old in continental and developing countries like Brazil with deep inequalities and sociocultural differences. Objective To evaluate the occurrence of falls and their association with fun...
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The WHO’s report Health literacy development for the prevention and control of non-communicable diseases (NCDs) delivers practical what-to-do how-to-do guidance for health literacy development to build, at scale, contextually-relevant public health actions to reduce inequity and the burden of NCDs on individuals, health systems and economies. The k...
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Objective To reflect on the concept of psychosis using the Tidal Model framework. Method Reflective study developed from the bookEl modelo Tidal: salud mental, reivindicación y recuperación by Phil Barker and Poppy Buchanan-Barker and other texts. Results The reflection was organized into three axes of discussion: “The Tidal Model”, “The metaphor...
Article
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Fractional calculus is very convenient tool in modeling of an emergent infectious disease system comprising previous disease states, memory of disease patterns, profile of genetic variation etc. Significant complex behaviors of a disease system could be calibrated in a proficient manner through fractional order derivatives making the disease system...
Article
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In the face of the Covid-19 crisis, vaccination was the medical tool and nonprofit organizations have tried to reduce its social impact. Nevertheless, they are mostly constituted of elderly volunteers, who chose to suspend their commitment. In France, within community-engaged research, a proposition from practitioners was to adapt the health strate...
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Background Multiple sclerosis (MS) is a chronic, inflammatory disease of the central nervous system, commonly diagnosed during young adulthood. The proportion of direct and indirect costs of MS vary across settings. The International Multiple Sclerosis Study, involving 1152 patients with MS from 19 countries, reported the average annual costs per p...
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Background: Australia’s social, structural, and political context, together with the continuing impact of colonisation, perpetuates health care and outcome disparities for First Nations Australians. A new approach led by First Nations Australians is required to address these disparities. Co-design is emerging as a valued method for First Nations Au...
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Background Although it is difficult to quantify, previous estimates suggested that China’s global health aid has increased sharply since the early 2000s. Unlike many donors, China has no official aid reporting obligations, nor does it voluntarily disclose detailed aid information. Our study aimed to create a standardised estimate using commonly acc...
Article
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Objective To reflect on the concept of psychosis using the Tidal Model framework. Method Reflective study developed from the bookEl modelo Tidal: salud mental, reivindicación y recuperación by Phil Barker and Poppy Buchanan-Barker and other texts. Results The reflection was organized into three axes of discussion: “The Tidal Model”, “The metaphor...
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Background: The COVID-19 pandemic has highlighted the important role of professionals in designing and communicating effective policies. The purpose of this study was to evaluate the level of trust in the COVID-19 national public health policy among public health professionals in Israel and its correlates during the first wave of the pandemic. Me...
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The paper from Steiner et al. suggests that an outcome measure expressed in time units may be an adequate method to assess the impact of headache disorders, regardless of diagnosis or health care setting, proving useful for cost-benefit analysis and health policy definition. Using time lost to each attack – weighted by disability – may prove to be...
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Background The European Commission supports the initiation of health information related projects and networks serving comparative population health monitoring and health system performance assessment. Many of these projects and networks have produced relevant data, standards, methods, indicators and knowledge that may be lost as these networks bec...
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Much health communication during the COVID-19 pandemic has been designed to persuade people more than to inform them. For example, messages like “masks save lives” are intended to compel people to wear face masks, not to enable them to make an informed decision about whether to wear a face mask or to understand the justification for a mask mandate....
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The COVID-19 pandemic is permanently changing modern social and economic coexistence. Most governments have declared infection control to be their top priority while citizens face great restrictions on their civil rights. A pandemic is an exemplary scenario in which political actors must decide about future, and thus uncertain, events. This paper t...
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The Covid-19 pandemic has not only outlined the importance of using evidence in the healthcare policy making process but also the complexity that exists between policymakers and the scientific community. As a matter of fact, scientific data is just one of many other concurrent factors, including economic, social and cultural, that may provide the r...
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Background Due to the explosion in rapid reviews in the literature during COVID-19, their utility in universal health coverage and in other routine situations, there is now a need to document and further advance the application of rapid review methods, particularly in low-resource settings where a scarcity of resources may preclude the production o...
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Background Haemophilia bears substantial humanistic and economic burden on children and their caregivers. Characterising the differential impact of severe versus moderate paediatric haemophilia is important for clinical and health policy decisions. We analysed health-related quality of life (HRQoL), annual direct medical (excluding factor treatment...
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Background To report the national prevalence, years lived with disability (YLDs) and attributable risk factors for all musculoskeletal conditions and separately for low back pain (LBP), as well as compare the disability burden related to musculoskeletal with other health conditions in Australia in 2019. Methods Global Burden of Disease (GBD) 2019...
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Medical assistance in dying (MAiD) was legalized in Canada in 2016. Canadians’ opinions on the service are nuanced, particularly as the legislation changes over time. In this paper, we outline findings from our review of representations of MAiD in Canadian news media texts since its legalization. These stories reflect the concerns, priorities, and...
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This commentary focuses on “intangible software”, defined as the range of ideas, norms, values and issues of power or trust that affect the performance of health systems. While the need to work with intangible software within health systems is increasingly being recognized, the practical hows of doing so have been given less attention. In this comm...
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Background: Adverse drug events (ADEs) in the elderly frequently occur because of their multiple chronic diseases and complexity of drug therapy. To better understand adverse drug events, the prevalence and characteristics of adverse drug events in elderly South Korean patients were assessed. Methods: The National Health Insurance databases for 201...
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Introduction Tuberculosis (TB) is a global health emergency and low treatment adherence among patients is a major barrier to ending the TB epidemic. The WHO promotes digital adherence technologies (DATs) as facilitators for improving treatment adherence in resource-limited settings. However, limited research has investigated whether DATs improve ou...
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Intimate partner violence (IPV) has been a significant public health problem in same-sex relationships. However, health policies across the globe do not address IPV causing a massive gap in health and economic burden. In the last decade, crucial missing links have been established, and researchers tried to connect the dots of this severe health dis...
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Background Real-world evidence (RWE) plays an increasingly important role within global regulatory and reimbursement processes. RWE generation can be enhanced by the collection and use of patient-reported outcomes (PROs), which can provide valuable information on the effectiveness, safety, and tolerability of health interventions from the patient p...
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Background In an article published in 2011, we discussed the need for a new role in health care systems, referred to as the Primary Spine Practitioner (PSP). The PSP model was proposed to help bring order to the chaotic nature of spine care. Over the past decade, several efforts have applied the concepts presented in that article. The purpose of th...
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Samenvatting De toename van de levensverwachting bij de geboorte is het resultaat van de op- en neergang van sterfte aan een groot aantal afzonderlijke ziekten. Dat zoveel ziekten een patroon van opkomst en neergang vertonen, berust op het feit dat zowel opkomst als neergang veelal een direct of indirect gevolg zijn van sociaaleconomische ontwikkel...
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Objective: We aimed to evaluate adolescent pregnancy rates and both maternal and perinatal adverse pregnancy outcomes in a secondary care public hospital. Methods: Maternal and perinatal pregnancy outcomes of pregnant women of adolescent age who applied to a secondary level public hospital between June 2018 and March 2021 were evaluated. The study...
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Background Evidence suggests a gradual decrease in the effectiveness of the anti-COVID-19 vaccines, stressing the potential need for periodical booster shots. However, it is hard to tell whether previously applied policies for enhancing vaccine acceptance will be as effective for repeated periodical booster shots during a pandemic. Hence, this stud...
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International drug policy is rapidly evolving in tandem with promising evidence for psychedelic-assisted psychotherapy (PAP) in treating a range of mental health conditions. Canada is among the countries increasingly expanding access to psychedelic substances for therapeutic purposes. The 8-year ban on medical exemptions through the Canadian Specia...
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The COVID-19 virus outbreak generated new questions about the health policy all over the world. Last several years’ evolutions proved that short-term financing solutions could help health systems to deal with shocks, but the research regarding the relationship between the ability to react to unexpected events such as pandemics and steady long-term...
Chapter
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Measurement choices play a critical role in improving healthcare systems. As this book describes, improved measurement can promote excellence in person-centered outcomes through health policy, methodology, theory, and clinical practice. This chapter focuses on measurement choices within clinical practice that can guide decision-making for improved...
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The ketogenic diet (KD) is a high-fat, adequate-protein, and very-low-carbohydrate diet regimen that mimics the metabolism of the fasting state to induce the production of ketone bodies. The KD has long been established as a remarkably successful dietary approach for the treatment of intractable epilepsy and has increasingly garnered research atten...
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Many fields and different approaches have undergone a crucial merging of implications and have been co-involved in the developing and/or implementation of the 17-SDGs concepts. However, little has been done on the role of the generation Z who is transforming the workplaces and societies by creating and interpreting trends. The objectives of this re...
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In times of crisis, communication by leaders is essential for mobilizing an effective public response. During the COVID-19 pandemic, compliance with public health guidelines has been critical for the prevention of infections and deaths. We assembled a corpus of over 1500 pandemic-related speeches, containing over 4 million words, delivered by all 5...
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Background Lack of political will is frequently invoked as a rhetorical tool to explain the gap between commitment and action for health reforms in sub-Saharan Africa (SSA). However, the concept remains vague, ill defined and risks being used as a scapegoat to actually examine what shapes reforms in a given context, and what to do about it. This st...
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Objective In the research note, our main objective is to explore the value of combining an evidence synthesis with a network analysis. The discussion is based on a critical interpretive synthesis, which combines systematic review methodology with qualitive inquiry, and ‘research concept’ network analysis focused on understanding the roles of midwiv...
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Comparative health economic evaluation is based on premise of being able to compare the worth of a year of life lived in full quality across different patients, population groups, settings and interventions. Given the rising numbers of forcibly displaced people, the nexus of economics, migration and health has emerged as a central theme in recent c...
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Background As the COVID-19 pandemic evolves, it is critical to understand characteristics that have allowed US healthcare systems, including the Veterans Affairs (VA) and non-federal hospitals, to mount an effective response in the setting of limited resources and unpredictable clinical demands generated by this system shock. Objective To compare...
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As the health care and well-being of sexual and gender minority (SGM; i.e., lesbian, gay, bisexual, and/or transgender or gender non-binary) people in the United States receive federal and local-level attention, SGM older adults and caregivers continue to be left out of important health policy and care conversations. The current article describes p...
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Background UK Children generally fail to meet physical activity (PA) recommendations. Whole school approaches (WSA) have the potential to impact large numbers of children due to their ubiquitous nature for school wide implementation, however there is limited knowledge regarding primary school PA WSA implementation in the UK. This study aimed to inv...
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Contemporary bioethics generally stipulates that public moral deliberation must avoid allowing religious beliefs to influence or justify health policy and law. Secular premises and arguments are assumed to maintain the neutral, common ground required for moral deliberation in the public square of a pluralistic society. However, a careful examinatio...
Research
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The COVID-19 pandemic is a Public Health Emergency of International Concern (PHEIC) that has a tremendous impact globally. Over the pandemic period, researchers, including in Indonesia, have been carrying out a large body of research that keeps growing at a higher rate to get a better understanding of the pandemic and provide recommendations for so...
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Objective Studies have shown that screening for pre-diabetes mellitus (pre-DM) is essential to prevent type 2 diabetes mellitus (T2DM). This study evaluates the cost-effectiveness of two screening strategies that apply the Chinese Diabetes Risk Score (CDRS) to screen for pre-DM in China. Methods A Markov microsimulation model was conducted from a...
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Background The timing of the launch of a new drug is an important factor that determines access for patients. We evaluated patient access to pharmaceuticals in 30 European markets over the past two decades. Methods Launch dates were extracted from the IQVIA (formerly IMS) database for 30 European countries for all pharmaceuticals launched internat...
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Introduction. Hypertension is known worldwide as a preventable significant risk factor for cardiovascular diseases and their mortality. This study was designed to determine the mortality rate and years of life lost (YLL) due to hypertension in Fars Province. Method. In this cross-sectional study, we extracted all death reports due to hypertension b...
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Introduction We comprehensively evaluate whether the Chinese Government’s goal of ensuring Universal Health Coverage for essential health services has been achieved. Methods We used data from the 2008, 2013 and 2018 National Health Services Survey to report on the coverage of a range of Sustainable Development Goals (SDG) indicator 3.8.1. We creat...
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En el presente artículo se analizan las respuestas de los tres órdenes de gobierno en México que, de acuerdo con su distribución competencial, debían responder coordinadamente a la pandemia de covid-19, específicamente en el abastecimiento de agua potable para consumo humano y la higiene. Se hicieron evidentes las incapacidades institucionales, la...
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Background Endemic malaria is present in all 15 municipalities of Roraima state, Brazilian Amazonia. Knowledge of epidemiological data of specific populations can guide health policies to formulate effective strategies for integrated control of health-disease care. This study aims to ascertain when, where and who fell ill with malaria in Roraima st...
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Background Low acuity presentations to Australian emergency departments drive long wait times, higher costs and may be better treated in primary care settings. This study sought to understand factors leading these patients to present to emergency departments. Methods Semi-structured interviews were carried out with patients at two tertiary emergen...
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Background The balance between stress perception and recovery of emergency medical service personnel during service and leisure time is an essential indicator of mental and physical health. It ensures success in emergency medical care and is also a health policy and economic factor for any organization. The aim of the study was to evaluate the reco...
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Background: Rapid population ageing remains an important concern for health, social and economics systems; thus, a broader assessment of cognitive decline among adults aged ≥ 60 years is essential. It is important to regularly collect reliable data through validated and affordable methods from people living in different areas and in different circ...
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Savaş Zamanı Omanlı Sağlık politikası I. Dünya Savaşı Örneği-Omani Health policy in Wartime Example of World War I
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Background Gastrointestinal cancers are a critical global cancer burden, and tracking their trends would inform the health policies. Methods Trends of years of life lost (YLLs) and years lived with disability (YLDs) caused by three common gastrointestinal cancers were estimated using annual percentage change (EAPC) and age-standardized rate (ASR)....
Article
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Background: Traditional Chinese medicine (TCM), a main form of complementary and alternative medicine provides a potential possibility for demyelinating disease of the central nervous system (DDC) management and has been applied in considerable amounts of patients with this disorder. Nevertheless, powerful real-world evidences regarding the epidemi...
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Background: Successful implementation of health policies require acceptance from the public and policy-makers. This review aimed to identify tools used to assess the acceptability of policies targeting physical activity and dietary behaviour, and examine if acceptability differs depending on characteristics of the policy and of the respondents. M...
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Background: Grading of Recommendations, Assessment, Development and Evaluation (GRADE) Evidence to Decision (EtD) frameworks are well-known tools that enable guideline panels to structure the process of developing recommendations and making decisions in healthcare and public health. To date, they have not regularly been used for health policy-maki...
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Background: Adolescence is the lifespan between childhood and adulthood from ages 10 to 19 years. Psychological problem is a state of emotional and behavioral disorders, including depression, anxiety, aggression, educational difficulties, etc. The study aimed to assess the impact of associated factors on adolescents’ psychosocial problems.Methods:...
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El desarrollo político-económico que ha tenido Chile durante las últimas décadas ha permitido la evolución de su institucionalidad sanitaria, donde se ha mejorado la cobertura, gestión e infraestructura hospitalaria. La organización de la política sanitaria es altamente centralizada y estructurada desde el Estado, ello ha permitido implementar con...
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This paper examines the anti-mask and anti-lockdown online movement in connection to the COVID-19 pandemic. To combat the spread of the coronavirus, health officials around the world urged and/or mandated citizens to wear facemasks and adopt physical distancing measures. These health policies and guidelines have become highly politicized in some pa...
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Nutritional deficiency is prevalent among the elderly, and it is associated with many adverse health consequences. China is rapidly moving toward an aging society with a large population; however, evidence on the epidemiological trends in nutritional deficiency among the Chinese elderly is limited. Data on the incidence of nutritional deficiency am...
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Objectives To quantify the burden of death that COVID-19 contributes relative to the top three causes of death for all countries. Design We performed uncertainty analyses and created contour plots for COVID-19 mortality to place the number of COVID-19 deaths in context relative to the top three causes of death in each country, across a plausible r...
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Introduction Research–practice partnerships (RPPs) are long-term collaborations between research and practice that aim to conduct research that can be used to make practice-based improvements. They intentionally bring together diverse experience in decision making and seek to shift power dynamics so that all partners have a say. The Creating Care P...
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Person-centered practice plays a significant role in the organization and management of health systems, as well as in the definition of health policies. This essay aimed to identify the ethical principles and theoretical structures of a person-centered practice, as well as the Portuguese and European national guidelines establish its regulation. A...
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Increasing numbers of research teams are investigating the feasibility of developing artificial amnion and placenta technology (AAPT), commonly referred to as "artificial womb technology". This technology, aimed at supporting ex vivo gestation, has not yet been tested in humans, but it has been stated that we are closer to clinical application than...
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Objectives During 2020 many countries reduced the number of elective surgeries to free up beds and cope with the COVID-19 outbreak. This situation led healthcare systems to prioritise elective interventions and reduce the overall volumes of treatments. The aim of this paper is to analyse whether the pandemic and the prioritisation policies on elect...
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Objectives In many high-income countries, structural, legal, social and political barriers to adequate healthcare interfere with the ability of health professionals to respond to the healthcare needs of a fluctuating and superdiverse population of asylum seekers. However, the relationship between individual, interpersonal and structural factors is...
Book
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La medicina occidental moderna se presenta como el conocimiento legitimado en el abordaje de la salud y la enfermedad. Sin embargo, explicar la salud y el malestar en términos de gérmenes, bacterias y alteraciones del organi