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93 results on '"Berkis, U."'

5. Latvian health care competitiveness in relation to its infrastructure and available resources

Author

Kokarevica A., Villerusa A., Behmane D., Berkis U., and Cauce V.

Subjects
Social Sciences
Abstract

Resources are one of the essential indicators for the functioning of the health care system. Better health care provision is an essential prerequisite for the export of services. Traditionally a competitive health care system is linked to a number of factors (price, quality, reliability, products and services) largely determined by the new technologies, innovations and implementation the new methods. The authors of this article analyzed and collected data from the European Commission Eurostat and OECD data. Current situation in health care in Latvia is characterized by populations’ restricted access to health care services, high out-of-pocket payments and poor health outcomes of the population. More than 10% of Latvian population can’t afford medical care. The ratio of public funding for healthcare in Latvia is among the lowest in EU countries. Latvia spends 5.3% (USD PPP 1217) of GDP on health, lower than the OCED country average of 8.9% (USD PPP 3453). Latvia is facing a dramatic gap between the availability of hospital beds and long term care beds and the lowest prevalence of general medical practitioners among all Baltic States 321.6 per 100 000. These mentioned factors may hinder the development of health care in Latvia and reduce the ability to participate in international health service market.

Published
2018
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9. Social innovation between necessity and opportunity

Author

Berkis U., Ozolanta I., Vike J., and Blazarene J.

Subjects
Social Sciences
Abstract

The contribution of social innovation to the institutional change has been studied in the case of promoting healthy ageing. While major institutional change is well memorized by the present generation, the iterative approach to social innovation build up, and reaching the critical mass for a leap is viewed in the context of a specific region and social group. Selected types of social innovations are projected in their impact on societal challenges and institutional transformation potential.

Published
2016
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12. Myalgic encephalomyelitis/chronic fatigue Syndrome (ME/CFS): Investigating care practices pointed out to disparities in diagnosis and treatment across European Union

Author

Strand, Elin B., Nacul, Luis, Mengshoel, Anne Marit, Helland, Ingrid B., Grabowski, Patricia, Krumina, Angelika, Alegre Martín, José, Efrim-Budisteanu, Magdalena, Sekulic, Slobodan, Pheby, Derek, Sakkas, Giorgos K., Adella Sirbu, Carmen, Authier, François Jérôme, Murovska, Modra, Lacerda, Eliana, Estevez Lopez, Fernando, Scheibenbogen, C., Shi-Kova-Lekova, E., Lorusso, Lorenzo, Berkis, U., Westermeier, F., Riederer, M., Tobback, E., Meeus, Mira, Shikova-Lekova, E., Nielsen, H., Brandslund, I., Polo, O., De Korwin, J. D., Harrer, T., Prusty, B., Freitag, H., Trepel, D., Cullinan, John, Capelli, Enrica, Nora-Krukle, Z., Rasa, S., Vermeulen, R., Menhshoel, A. M., Helland, I. B., Zalewski, Paweł, Sepulveda, N., Sirbu, C. A., Vukadinovic, M., Marusic, U., Pisot, R., Castro-Marrero, Jesús., Blanco, Julià, Oltra, E., Miro, J., Berquist, J., Blomberg, J., Pheby, D., Edwards, J., Wang, X., and Universitat Autònoma de Barcelona

Subjects
Male, Coping (psychology), diagnosis, medicine.medical_treatment, Disease, Pathology and Laboratory Medicine, chronic fatigue syndrome, Geographical locations, 0302 clinical medicine, Public health surveillance, Surveys and Questionnaires, Medicine and Health Sciences, Public Health Surveillance, 030212 general & internal medicine, Practice Patterns, Physicians', Fatigue, media_common, Netherlands, 0303 health sciences, Multidisciplinary, Fatigue Syndrome, Chronic, treatment, Depression, Disease Management, Research Assessment, Cognitive behavioral therapy, Europe, myalgic encephalomyelitis, Practice Guidelines as Topic, Medicine, Female, ME/CFS, Research Article, medicine.medical_specialty, Science, MEDLINE, Research and Analysis Methods, 03 medical and health sciences, Signs and Symptoms, Diagnostic Medicine, Mental Health and Psychiatry, Chronic fatigue syndrome, medicine, media_common.cataloged_instance, Humans, European Union, European union, Healthcare Disparities, 030304 developmental biology, Treatment Guidelines, Health Care Policy, business.industry, Mood Disorders, medicine.disease, Health Care, Psychotherapy, Family medicine, Quality of Life, People and places, business, Mental Health Therapies, Delivery of Health Care
Abstract

ME/CFS is a chronic, complex, multisystem disease that often limits the health and functioning of the affected patients. Diagnosing patients with ME/CFS is a challenge, and many different case definitions exist and are used in clinical practice and research. Even after diagnosis, medical treatment is very challenging. Symptom relief and coping may affect how patients live with their disease and their quality of life. There is no consensus on which diagnostic criteria should be used and which treatment strategies can be recommended for patients. The purpose of the current project was to map the landscape of the Euromene countries in respect of national guidelines and recommendations for case definition, diagnosis and clinical approaches for ME/CFS patients. A 23 items questionnaire was sent out by email to the members of Euromene. The form contained questions on existing guidelines for case definitions, treatment/management of the disease, tests and questionnaires applied, and the prioritization of information for data sampling in research. We obtained information from 17 countries. Five countries reported having national guidelines for diagnosis, and five countries reported having guidelines for clinical approaches. For diagnostic purposes, the Fukuda criteria were most often recommended, and also the Canadian Consensus criteria, the International Consensus Criteria and the Oxford criteria were used. A mix of diagnostic criteria was applied within those countries having no guidelines. Many different questionnaires and tests were used for symptom registration and diagnostic investigation. For symptom relief, pain and anti-depressive medication were most often recommended. Cognitive Behavioral Therapy and Graded Exercise treatment were often recommended as disease management and rehabilitative/palliative strategies. The lack of consistency in recommendations across European countries urges the development of regulations, guidance and standards. The results of this study will contribute to the harmonization of diagnostic criteria and treatment for ME/CFS in Europe.

Published
2019

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