82 results on '"Health regulations"'
Search Results
2. Socio-cultural values in managing risk communication during the COVID-19 pandemic in Indonesia
- Author
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Rachmah Ida, Sri Endah Kinasih, Syafrida Nurrachmi Febriyanti, Ratih Puspa, Muhammad Saud, and Rachmat Kriyantono
- Subjects
Risk communication ,vaccination program ,COVID-19 ,communication protocols ,health regulations ,Indonesia ,Social Sciences - Abstract
AbstractThe significant factors influencing the perception of the public towards the “risk” concept are cultural values, social and traditional beliefs that form public views towards risk situations. Taking the cue from previous research on risk communication management in Asia, the present study discusses how administrative regional governments such as Surabaya City and the East Java Provincial authorities in Indonesia have conceptualized risk management. It pertains to how risk, particularly the COVID-19 vaccine, is assessed, regulated, and controlled in these places. Since communication and guidelines regarding the vaccine play an important role in any stage of risk management processes. This study thus aims to examine and analyze how risk communication management protocols and model have been understood through evidence-based and theory-informed research as an assessment form of the existing model and regulations. It also attempts to contribute to the risk-informed policymaking by the regional government and provides recommendations for the development of risk communication management and the preparation to manage the COVID-19 vaccine risk issues for the public, which has not been studied yet by scholars in this province and in Indonesia in general.
- Published
- 2024
- Full Text
- View/download PDF
3. Socio-cultural values in managing risk communication during the COVID-19 pandemic in Indonesia.
- Author
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Ida, Rachmah, Kinasih, Sri Endah, Febriyanti, Syafrida Nurrachmi, Puspa, Ratih, Saud, Muhammad, and Kriyantono, Rachmat
- Subjects
SOCIOCULTURAL factors ,COVID-19 pandemic ,POLICY sciences - Abstract
The significant factors influencing the perception of the public towards the "risk" concept are cultural values, social and traditional beliefs that form public views towards risk situations. Taking the cue from previous research on risk communication management in Asia, the present study discusses how administrative regional governments such as Surabaya City and the East Java Provincial authorities in Indonesia have conceptualized risk management. It pertains to how risk, particularly the COVID-19 vaccine, is assessed, regulated, and controlled in these places. Since communication and guidelines regarding the vaccine play an important role in any stage of risk management processes. This study thus aims to examine and analyze how risk communication management protocols and model have been understood through evidence-based and theory-informed research as an assessment form of the existing model and regulations. It also attempts to contribute to the risk-informed policymaking by the regional government and provides recommendations for the development of risk communication management and the preparation to manage the COVID-19 vaccine risk issues for the public, which has not been studied yet by scholars in this province and in Indonesia in general. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
4. International Law and Global Health
- Author
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Villarreal, Pedro A., Nannini, Claudia, Raviglione, Mario C. B., editor, Tediosi, Fabrizio, editor, Villa, Simone, editor, Casamitjana, Núria, editor, and Plasència, Antoni, editor
- Published
- 2023
- Full Text
- View/download PDF
5. Public Health Data and International Privacy Rules and Practices: A Case Study of Singapore
- Author
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Alibeigi, Ali, Munir, Abu Bakar, Goos, Gerhard, Founding Editor, Hartmanis, Juris, Founding Editor, Bertino, Elisa, Editorial Board Member, Gao, Wen, Editorial Board Member, Steffen, Bernhard, Editorial Board Member, Yung, Moti, Editorial Board Member, Kö, Andrea, editor, Francesconi, Enrico, editor, Asemi, Adeleh, editor, Kotsis, Gabriele, editor, Tjoa, A Min, editor, and Khalil, Ismail, editor
- Published
- 2023
- Full Text
- View/download PDF
6. Added value through design for healthcare facilities/buildings in Saudi Arabia within the legislative regulations of Saudi Arabia
- Author
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Fadel, Bedour A. and Arif, Mohammed
- Subjects
healthcare management ,added value ,building design ,evidence based design ,value management ,patient-centered care ,health regulations ,Saudi healthcare facilities - Abstract
High-quality physical environments can promote health and well-being. A healthcare facility with an environment that is user centered, welcoming, and accessible, while also supporting staff and patient privacy and security has been found to enhance medical outcomes, and patient and staff comfort and well-being, which in turn have a positive effect on medical outcomes. The use of Evidence Based Designhas been shown to be of benefit to add value through design to a building . A comprehensive review of relevant literature was used to develop an understanding of the factors perceived to add value to a healthcare facility. Data were derived from two instruments an expert survey and a group AHP pairwise comparison survey. The findings of the first instrument resulted in validation of the factors, both directly and indirectly related to design, proposed in the literature and added insight into some culturally specific perceptions of factors which add value to a healthcare facility. The second instrument was a pairwise comparison of the six main design criteria and 25 related sub-factors to gain a multi-user perspective of their priority in adding value. The results from the first expert survey of the factors found in the literature and the AHP pairwise comparison survey were synthesized to develop a proposed framework to add value to healthcare facilities through building design . The framework was developed with consideration of factors indirectly impacted by design in addition to the design factors themselves. The proposed framework has six main criteria of Risk and Safety, Accessibility and Way-finding, Functionality, Cultural factors , Aesthetics, Comfort and Well-being and Cost with 25 sub-factors directly related to design of varied priority ranking found to add value to a healthcare facility within the Saudi Cultural context and presented in order of priority weighting . These were then related to their impact on the factors which add value to a healthcare facility which have been shown to be indirectly related to the healthcare facility design. Findings suggest that while perceptions of factors that add value are mostly in agreement with those found in other studies, that there are some culturally specific factors that need to be considered in order to design facilities that provide the greatest value, including patient rooms of a size and design that allow for a caretaker to be present and to accommodate for a large number of visitors, In addition, there is a need to consider the direction for the prayer and the need for signage to indicate it in the room layout. They also suggest that added value through design can have a positive effect on medical outcomes and the satisfaction and well-being of staff and patients.
- Published
- 2021
7. Sedative drug-use in Denmark, 2000 to 2019: a nationwide drug utilization study.
- Author
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Rosenqvist, Thomas Wolff, Osler, Merete, Wium-Andersen, Marie Kim, and Wium-Andersen, Ida Kim
- Subjects
- *
BENZODIAZEPINES , *SEDATIVES , *DRUG utilization , *DRUG laws , *PREGABALIN , *QUETIAPINE , *MEDICAL registries - Abstract
Aim: To describe trends in and characteristics of sedative drug use from 2000 through 2019 in relation to the introduction of central regulations and new drugs. Methods: In this descriptive study, we used individual prescription data on the entire Danish population from the Danish National Prescription Registry to calculate yearly incidence and prevalence of use of benzodiazepines, benzodiazepine-related drugs (Z-drugs), melatonin, olanzapine, low-dose quetiapine, mianserin/mirtazapine, pregabalin, and promethazine from 2000 through 2019. From the Danish National Patient Registry, we obtained data on drug users' psychiatric and somatic comorbidity. Results: The use of benzodiazepines and Z-drugs declined gradually from 2000 through 2019, whereas the newer alternatives, melatonin, low-dose quetiapine, pregabalin and promethazine, increased in use, while the use of olanzapine and mianserin/mirtazapine was relatively stable. This development was seen in both men and women and across all age groups except for hypnotic benzodiazepines which showed a steep increase in the oldest age group from 2010. For all sedative drugs depression, anxiety, alcohol and misuse disorder, pain and cancer were the most prevalent comorbidities. During our study period, the number of individuals without any of the selected diagnoses increased. Conclusion: In Denmark different central regulations have influenced prescription practice toward more restrictive use of Z-drugs and benzodiazepines, except for hypnotic benzodiazepine prescriptions increased after the introduction of special palliative care. An increase in use of newer sedative drugs, however, indicates that the regulations do not remove the need for sedative drugs in the population. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
8. Legislations and ethics in United Kingdom travel and tourism sector
- Author
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Kumawat, Poojyashree
- Published
- 2023
- Full Text
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9. Gender-Based Violence and COVID-19: Legislative and Judicial Measures for Protection and Support of the Women Victims of Domestic Violence in Sri Lanka
- Author
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Niriella, Muthukuda Arachchige Dona Shiroma Jeeva Shirajanie
- Published
- 2022
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10. Supplements as symbols: Public arguments against natural health product regulation in Canada
- Author
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Colleen Derkatch and Julie Homchick Crowe
- Subjects
Natural health products ,Dietary supplements ,Health regulations ,Argument ,Rhetorical analysis ,Public aspects of medicine ,RA1-1270 - Abstract
After Canadian lawmakers proposed legislation in 2008 to better enforce existing regulations of the supplement industry, Canadians mounted significant public protest, including an online petition that garnered more than 24,000 signatures and 8585 comments over several months. In this article, we offer a rhetorical analysis of a randomized sample of those comments to track the range of topics and arguments advanced by signatories against the legislation. We identify five primary topics that recur throughout the dataset, freedom, choice, health, greed, and nature, which in turn furnish sixteen core arguments that together illuminate the signatories' primary concerns about potentially losing access to supplements. Ultimately, the topics and arguments reveal deep and persistent public anxieties not only about individuals’ health but also about their agency and autonomy. This study both provides insight into why people reject government oversight of health in favor of alternative, natural health interventions and illustrates the utility of qualitative analysis of public commentary about health and health policy in texts such as petitions, public comment periods, and social media responses, all of which are rich sites of discourse that merit further study from both scholars, policy-makers, and health researchers and practitioners.
- Published
- 2023
- Full Text
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11. Beyond health regulations: Lessons from vaccine acceptance and the prevention of the COVID-19 pandemic
- Author
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Shinta Dewi Rismawati and Irwan Abdullah
- Subjects
public acceptance ,vaccinations ,COVID-19 pandemic ,health regulations ,state policy ,Social Sciences - Abstract
AbstractVaccine acceptance is a critical issue to study because it provides a means of measuring a nation’s success in handling the COVID-19 pandemic, particularly in nations where vaccine hesitancy has historically been common. This article seeks to explore the non-medical reasons for public acceptance of vaccines. More specifically, it asks: why has Indonesia, a Muslim-majority nation with elevated levels of resistance to the government’s COVID-19 mitigation policies, ultimately implemented vaccine mandates? This article relies on qualitative research, using a case study as well as in-depth interviews with one hundred randomly selected respondents. It shows that public acceptance was driven not by health considerations, but by coercive regulations. Three factors drove public acceptance: proof of vaccination was legally required to access public facilities; proof of vaccination was legally required to access public transportation systems; and proof of vaccination was legally required to access government assistance. Facing such regulations, the public had no choice but to comply with vaccine mandates, as only then could they access public facilities, travel, and access government assistance. This study concludes that coercive vaccination policies, though repressive, have been effective means of ensuring public compliance and reducing the spread of COVID-19. This study provides the government with considerations for formulating more effective policies for pandemic mitigation.
- Published
- 2023
- Full Text
- View/download PDF
12. Beyond health regulations: Lessons from vaccine acceptance and the prevention of the COVID-19 pandemic.
- Author
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Rismawati, Shinta Dewi and Abdullah, Irwan
- Abstract
Vaccine acceptance is a critical issue to study because it provides a means of measuring a nation's success in handling the COVID-19 pandemic, particularly in nations where vaccine hesitancy has historically been common. This article seeks to explore the non-medical reasons for public acceptance of vaccines. More specifically, it asks: why has Indonesia, a Muslim-majority nation with elevated levels of resistance to the government's COVID-19 mitigation policies, ultimately implemented vaccine mandates? This article relies on qualitative research, using a case study as well as in-depth interviews with one hundred randomly selected respondents. It shows that public acceptance was driven not by health considerations, but by coercive regulations. Three factors drove public acceptance: proof of vaccination was legally required to access public facilities; proof of vaccination was legally required to access public transportation systems; and proof of vaccination was legally required to access government assistance. Facing such regulations, the public had no choice but to comply with vaccine mandates, as only then could they access public facilities, travel, and access government assistance. This study concludes that coercive vaccination policies, though repressive, have been effective means of ensuring public compliance and reducing the spread of COVID-19. This study provides the government with considerations for formulating more effective policies for pandemic mitigation. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
13. Public Health Challenges in Saudi Arabia during the COVID-19 Pandemic: A Literature Review.
- Author
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Sheerah, Haytham A., Almuzaini, Yasir, and Khan, Anas
- Subjects
IMMUNIZATION ,HEALTH attitudes ,MEDICAL personnel ,INTERNATIONAL public health laws ,TRAVEL hygiene ,WORLD health ,EPIDEMICS ,RELIGION ,VACCINE hesitancy ,PUBLIC health ,COVID-19 pandemic ,PSYCHOSOCIAL factors - Abstract
Similar to most countries, Saudi Arabia faced several challenges during the novel coronavirus disease 2019 (COVID-19) pandemic, some of which were related to the religious position of the country. The main challenges included deficits in knowledge, attitudes, and practices toward COVID-19, the negative psychological impacts of the pandemic on the general population and healthcare workers, vaccine hesitancy, the management of religious mass gatherings (e.g., Hajj and Umrah), and the imposition of travel regulations. In this article, we discuss these challenges based on evidence from studies involving Saudi Arabian populations. We outline the measures through which the Saudi authorities managed to minimize the negative impacts of these challenges in the context of international health regulations and recommendations. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
14. Legionella pneumophila Risk from Air–Water Cooling Units Regarding Pipe Material and Type of Water.
- Author
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Gea-Izquierdo, Enrique, Gil-de-Miguel, Ángel, and Rodríguez-Caravaca, Gil
- Subjects
LEGIONELLA pneumophila ,LEGIONNAIRES' disease ,COOLING ,IRON ,WELL water - Abstract
Legionellosis is a respiratory disease related to environmental health. There have been manifold studies of pipe materials, risk installations and legionellosis without considering the type of transferred water. The objective of this study was to determine the potential development of the causative agent Legionella pneumophila regarding air–water cooling units, legislative compliance, pipe material and type of water. Forty-four hotel units in Andalusia (Spain) were analysed with respect to compliance with Spanish health legislation for the prevention of legionellosis. The chi-square test was used to explain the relationship between material–water and legislative compliance, and a biplot of the first two factors was generated. Multiple correspondence analysis (MCA) was performed on the type of equipment, legislative compliance, pipe material and type of water, and graphs of cases were constructed by adding confidence ellipses by categories of the variables. Pipe material–type of water (p value = 0.29; p < 0.05) and legislative compliance were not associated (p value = 0.15; p < 0.05). Iron, stainless steel, and recycled and well water contributed the most to the biplot. MCA showed a global pattern in which lead, iron and polyethylene were well represented. Confidence ellipses around categories indicated significant differences among categories. Compliance with Spanish health legislation regarding the prevention and control of legionellosis linked to pipe material and type of water was not observed. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
15. Food Security Achieved Through Utilizing Waste Materials in Part of Durban and Rural Surrounds, South Africa
- Author
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Leech, M. G., Diehl, Jessica Ann, editor, and Kaur, Harpreet, editor
- Published
- 2021
- Full Text
- View/download PDF
16. Will Regulation of Health Service Providers (Hospitals) Help Insurance Companies to Improve the Results?
- Author
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Dahuja, Shashi Kant
- Subjects
INSURANCE companies ,BUSINESS insurance ,MEDICAL care ,HEALTH insurance ,GOVERNMENT insurance ,HEALTH literacy ,STATE government personnel - Abstract
Medical healthcare system of India is in a terrible state with good amount of population either having little or no access at all to medical healthcare system. It is a fact that the healthcare system of India is very costly and the same is preventing Indian citizens to receive effective and required treatment. Private healthcare system of India is also very complex and excessive priced. Medical inflation is growing very fast in India with a rate of around 10-20% year-over-year and putting huge impact on the pockets of patients, their family members and off course to insurance companies as well. While almost all the hospitals operating in India have been steadily increasing their medical pricing which is hugely impacting the profitability of insurance companies operating in India. In spite of this increase, Insurer cannot increase their health premium because as per guidelines given by the Insurance regulator (IRDAI), Insurers can revise their pricing only once in 3 years. The Insurance industry is having a very strong Regulator 'IRDAI' to regulate the insurance business and even the premium charged by the Insurance companies are being monitored through IRDAI. Since last once decade, Insurance Industry is demanding some proper Health regulations for health service providers for handling patient and Insurer's different grievances. It is very difficult to understand the medical healthcare system of India with different rates being offered by the hospitals under CGHS (Central government health scheme) and for state government employees and for insurance companies. For increasing health insurance penetration and reducing out of pocket spending, government of India has announced various insurance programmes for poor people but mere announcement of these schemes will not service the purpose until and unless proper regulations are in place for health service providers. During recent pandemic of Covid, Indian Government took some very good steps by capping rates of certain medical tests and treatments but still there are many instances to quote wherein hospitals have overcharged from the patients and unfortunately nobody knows where to raise these problems because currently there is no regulator for these hospitals. Different health insurance programmes introduced by Government of India are running since last few years but nobody including government has taken the issue of overpricing seriously. There are few questions which need to be addressed like how much should the average room rent hospital should charge from patient? How much doctor should charge for a surgical procedure? Nothing is regulated till now. Covid pandemic has already hit the insurance industry very hard and all types of Indian insurers (Life, Nonlife and health) have received a huge number of Covid claims during this pandemic. While pricing these health insurance products, Impact of Covid claims were not considered because nobody thought about it. All the insurance companies have felt the long lasting impact on their financials due to Covid Pandemic. [ABSTRACT FROM AUTHOR]
- Published
- 2022
17. Der Mensch als Keimträger : Hygieneangst und Hospitalisierung des normalen Wohnens im Pflegeheim
- Author
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Frank Schulz-Nieswandt and Frank Schulz-Nieswandt
- Subjects
- Medical care--Law and legislation, Long-term care facilities--Management, health regulations, Medical laws and legislation
- Abstract
In Wohneinrichtungen der Langzeitpflege herrschen mitunter deutlich überzogene Hygienestandards. Diese Regulationskultur verweist auf neurotisch verstiegene Hygieneängste und transformiert ein normales Wohnen im Heim zur klinischen Welt des Akutkrankenhauses, in dem die Gefahr vom alten Menschen als Keimträger ausgeht. Frank Schulz-Nieswandt diskutiert kritisch ordnungsrechtliche Überregulationen und (Ent-)Normalisierungen des Wohnens als Rückfall in die Logik totaler Institutionen. Im Zentrum steht dabei ein kulturwissenschaftlicher Blick auf soziale Praktiken, die tiefenpsychologisch Rekurs auf religions- und kulturgeschichtlich archaische Formen der Hygieneangst und des Dämonenabwehrzaubers nehmen.
- Published
- 2020
18. "Professional pharmacy and industrial pharmacy": disputes between doctors and pharmacists in Salvador at the end of the 19th century.
- Author
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Reis Sampaio, Gabriela dos
- Subjects
PHARMACISTS ,PHYSICIANS ,PHARMACY ,MEDICAL sciences ,SLAVERY ,QUACKS & quackery ,SOCIAL structure ,SPECIALTY pharmacies - Abstract
In this article, conflicts involving pharmacists and doctors are presented, especially those linked to the Inspectorate of Sanitation, in the city of Salvador in the last decade of the 19th century, a topic that has not yet been addressed by the historiography. We seek to discuss how the regulation created during the imperial government to control healing practices in general and the work of pharmacists in particular, ended up limiting the work of the latter. Considering the regulations imposed on them by the health authorities to be unfair, for restricting their performance while favoring charlatans, several pharmacists fought to acquire autonomy in the face of what they considered the authoritarianism of doctors. Such conflicts reveal how much the establishment of medical science as hegemonic in the country was a turbulent process even between these supposedly allied professions. The beginning of the Republic, a context permeated by debates and transformations that occurred with the fall of the monarchy, the abolition of slavery and the initial difficulties for the establishment of power, was strongly marked by the presence of doctors, who worked together with military and judiciary to impose a new social organization. This medical presence was visible in the strong influence of racialized thinking that characterized public policies. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
19. Changes in the activity levels and financing sources of Israel’s private for-profit hospitals in the wake of reforms to the public-private divide
- Author
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Royi Barnea, Adi Niv-Yagoda, and Yossi Weiss
- Subjects
Health policy ,Health economics ,Private healthcare system ,Public healthcare system ,Healthcare funding ,Health regulations ,Medicine (General) ,R5-920 ,Public aspects of medicine ,RA1-1270 - Abstract
Abstract Background The Israeli National Health Insurance Law provides permanent residents with a basket of healthcare services through non-profit public health insurance plans, independently of the individual’s ability to pay. Since 2015, several reforms and programs have been initiated that were aimed at reinforcing public healthcare and redressing negative aspects of the health system, and specifically the constant rise in private health expenditure. These include the “From Reimbursement-to-Networks Arrangement”, the “Cooling-off Period” program and the program to shorten waiting times. The objectives of this study were to identify, describe, and analyze changes in private hospitals in 1) the volume of publicly and privately funded elective surgical procedures; and 2) private health expenditure on surgical procedures. Methods Data on the volume and funding of surgical procedures during 2013–2018 were obtained from Assuta Medical Center, Hertzelia Medical Center, the Israeli Ministry of Health and the Central Bureau of Statistics. The changes in the volume and financing sources of surgical activities in private hospitals, in the wake of the reforms were analyzed using aggregate descriptive statistics. Results Between 2013 and 2018 the volume of surgical activities in private for-profit hospitals increased by 7%. Between 2013 and 2017, the distribution of financing sources of surgical procedures in private hospitals remained stable, with most surgical procedures (75–77%) financed by the voluntary health insurance programs of the health plans (HP-VHI). In 2018, following the regulatory reforms, a significant change in the distribution of financing sources was observed: there was a sharp decline in the volume of HP-VHI-funded surgical procedures to 26%. Concurrently, the share of publicly-funded surgical procedures performed in private hospitals increased to 56% in 2018.,. During the study period, private spending on elective surgical procedures in private hospitals declined by 53% while public funding for them increased by 51%. Conclusions and policy implications In the wake of the reforms, there was a substantial shift from private to public financing of elective surgical activity in private hospitals. Private for-profit hospitals have become important providers of publicly-funded procedures. It is likely that the reforms affected the public-private mix in the financing of elective surgical procedures in those hospitals, but due to the absence of a control group, causality cannot be proven. It is also unclear whether waiting times were shortened. Health reforms must be accompanied by a clear and comprehensive set of indicators for measuring their success.
- Published
- 2021
- Full Text
- View/download PDF
20. The Effects of Certificate-of-Need Laws on the Quality of Hospital Medical Services.
- Author
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Stratmann, Thomas
- Subjects
QUALITY of service ,MEDICAL personnel ,CAPITAL investments ,QUALITY standards ,HOSPITALS - Abstract
Certificate-of-need (CON) laws restrict entry into health services by requiring healthcare providers to seek approval from state healthcare regulators before making any major capital expenditures. An important question is whether CON laws influence the quality of medical services in CON law states. For instance, if CON laws actually lower the quality of medical services, they fail to achieve their intended effect. This paper tests the hypothesis that hospitals in states with CON laws provide lower-quality services than hospitals in states without CON laws. Our overall results suggest that CON regulations lead to lower-quality care for some quality measures and have little or no effect on other quality standards. The results remain consistent across several robustness tests. [ABSTRACT FROM AUTHOR]
- Published
- 2022
- Full Text
- View/download PDF
21. Legionella pneumophila Risk from Air–Water Cooling Units Regarding Pipe Material and Type of Water
- Author
-
Enrique Gea-Izquierdo, Ángel Gil-de-Miguel, and Gil Rodríguez-Caravaca
- Subjects
legionellosis ,health regulations ,pipe material ,type of water ,Biology (General) ,QH301-705.5 - Abstract
Legionellosis is a respiratory disease related to environmental health. There have been manifold studies of pipe materials, risk installations and legionellosis without considering the type of transferred water. The objective of this study was to determine the potential development of the causative agent Legionella pneumophila regarding air–water cooling units, legislative compliance, pipe material and type of water. Forty-four hotel units in Andalusia (Spain) were analysed with respect to compliance with Spanish health legislation for the prevention of legionellosis. The chi-square test was used to explain the relationship between material–water and legislative compliance, and a biplot of the first two factors was generated. Multiple correspondence analysis (MCA) was performed on the type of equipment, legislative compliance, pipe material and type of water, and graphs of cases were constructed by adding confidence ellipses by categories of the variables. Pipe material–type of water (p value = 0.29; p < 0.05) and legislative compliance were not associated (p value = 0.15; p < 0.05). Iron, stainless steel, and recycled and well water contributed the most to the biplot. MCA showed a global pattern in which lead, iron and polyethylene were well represented. Confidence ellipses around categories indicated significant differences among categories. Compliance with Spanish health legislation regarding the prevention and control of legionellosis linked to pipe material and type of water was not observed.
- Published
- 2023
- Full Text
- View/download PDF
22. Policing health regulations in democratic societies: A focus on COVID-19 challenges and opportunities in Australia.
- Author
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Mazerolle, Lorraine and Ransley, Janet
- Subjects
- *
COVID-19 , *COVID-19 pandemic , *POLICE , *SOCIAL distancing - Abstract
Bayley stated just four short years ago that "... policing has become dramatically more complex in six ways: its tasks, public demands, strategies, technology, accountability and resources" (p. 164). The COVID-19 pandemic has clearly escalated these policing complexities creating a range of new responsibilities, tasks and strategies for police as well as raising new accountability questions. In this paper, we examine a number of new health regulations that are now commonplace for police to enforce including: restrictions on the number of people visiting private homes, maintaining physical distancing between people in public space, and mandated wearing of masks. We explore what these new tasks, public demands, and strategies mean for the future of policing in democratic societies. We conclude that the pandemic has created unprecedented access for police into the private lives of citizens creating what David H. Bayley would have seen as both as an opportunity and threat to civil society. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
23. HERRAMIENTAS JURÍDICAS FRENTE A SITUACIONES DE EMERGENCIA SANITARIA ¿HASTA DÓNDE SE PUEDEN LIMITAR DERECHOS SIN RECURRIR A LA EXCEPCIONALIDAD CONSTITUCIONAL?
- Author
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VIDAL PRADO, CARLOS
- Abstract
This article analyses some of the proposals made in relation to the regulation of health emergencies. Specifically, it looks at what kind of decisions could be taken under the so-called "law of normality", i.e. in the absence of the declaration of one of the three states of exceptionality ("law of exception"). A brief review is made of the normative changes that have been applied, few at the state level, somewhat more extensive at the autonomous community level. The jurisprudence of the High Courts of Justice and the Supreme Court is critically reviewed. It also explains why the task of prior control entrusted to judges does not fit in with the principle of the separation of powers, and finally, it makes a group of proposals that should be incorporated into current legislation. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
24. FAILURE TO COMPLY WITH HEALTH REGULATIONS DURING AN EPIDEMIC - MACEDONIAN CRIMINAL CASES DURING THE COVID-19 PANDEMICS.
- Author
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Savovska, Katerina Krstevska
- Subjects
CRIMINAL procedure ,COVID-19 pandemic ,EPIDEMICS ,CRIMINAL act ,CRIMINAL codes - Abstract
The criminal act "Failure to comply with health regulations during an epidemic", as stipulated in Article 206 of the Macedonian Criminal Code, became particularly popular in 2020 when the COVID-19 pandemics spread all over the world. This act falls under Chapter 21, which encompasses several criminal acts whose main object of protection is human health. Having in mind the above, by analysing the legal framework from the aspect of the criminal policy, the trend of movement of this act shall be determined. Furthermore, with the help of scientific analysis and description of the statistical data, the detecting and proving activities of the Macedonian law enforcement organs shall be noted through the submitted criminal reports, initiated accusations and delivered judgments for sanctioning of the perpetrators that had failed to comply with health regulations during an epidemic. Finally, the Paper shall elaborate on specific court cases in which the subject was this criminal act. [ABSTRACT FROM AUTHOR]
- Published
- 2021
25. Advances in Epidemic Control Laws & COVID-19 Pandemic in India: A Medico-Legal Analysis.
- Author
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Nomani, M. Z. M., Sherwani, Faisal, and Allail, Jalal
- Subjects
PANDEMICS ,COVID-19 pandemic ,EPIDEMICS ,SWINE influenza ,HEALTH equity ,COVID-19 - Abstract
This paper deals with the efficacy of the Epidemic Diseases Act, 1897 and Epidemic Diseases Amendment Act, 1937 in the context of Covid-19 pandemic. The colonial mould of epidemic control laws reviewed the World Health Organization (WHO) legal guidelines for disease preparedness and response. The public health strategies of epidemic-pandemic control need juristic innovation, and blanket application of British enactment fall short of the expectation of the right based approach health and equity. The enforcement of the Epidemic Diseases Act, 1897 during dengue, swine flu, influenza and COVID-19 criticized by the Indian medico-legal community in India. The emerging discourse can be tailor-made to suit the magnitude of the Covid-19 and pandemics needs a careful analysis. Though the WHO Revision of the International Health Regulations, 2005 offers new paradigm the Indian government resort to the Epidemic Diseases Amendment Ordinance, 2020 needs a critical appraisal in COVID-19 pandemic in India. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
26. Changes in the activity levels and financing sources of Israel's private for-profit hospitals in the wake of reforms to the public-private divide.
- Author
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Barnea, Royi, Niv-Yagoda, Adi, and Weiss, Yossi
- Subjects
PROPRIETARY hospitals ,PUBLIC-private sector cooperation ,NATIONAL health insurance ,HEALTH policy - Abstract
Background: The Israeli National Health Insurance Law provides permanent residents with a basket of healthcare services through non-profit public health insurance plans, independently of the individual's ability to pay. Since 2015, several reforms and programs have been initiated that were aimed at reinforcing public healthcare and redressing negative aspects of the health system, and specifically the constant rise in private health expenditure. These include the "From Reimbursement-to-Networks Arrangement", the "Cooling-off Period" program and the program to shorten waiting times. The objectives of this study were to identify, describe, and analyze changes in private hospitals in 1) the volume of publicly and privately funded elective surgical procedures; and 2) private health expenditure on surgical procedures. Methods: Data on the volume and funding of surgical procedures during 2013–2018 were obtained from Assuta Medical Center, Hertzelia Medical Center, the Israeli Ministry of Health and the Central Bureau of Statistics. The changes in the volume and financing sources of surgical activities in private hospitals, in the wake of the reforms were analyzed using aggregate descriptive statistics. Results: Between 2013 and 2018 the volume of surgical activities in private for-profit hospitals increased by 7%. Between 2013 and 2017, the distribution of financing sources of surgical procedures in private hospitals remained stable, with most surgical procedures (75–77%) financed by the voluntary health insurance programs of the health plans (HP-VHI). In 2018, following the regulatory reforms, a significant change in the distribution of financing sources was observed: there was a sharp decline in the volume of HP-VHI-funded surgical procedures to 26%. Concurrently, the share of publicly-funded surgical procedures performed in private hospitals increased to 56% in 2018.,. During the study period, private spending on elective surgical procedures in private hospitals declined by 53% while public funding for them increased by 51%. Conclusions and policy implications: In the wake of the reforms, there was a substantial shift from private to public financing of elective surgical activity in private hospitals. Private for-profit hospitals have become important providers of publicly-funded procedures. It is likely that the reforms affected the public-private mix in the financing of elective surgical procedures in those hospitals, but due to the absence of a control group, causality cannot be proven. It is also unclear whether waiting times were shortened. Health reforms must be accompanied by a clear and comprehensive set of indicators for measuring their success. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
27. Programación Curricular Inclusiva en la Escuela Secundaria de Córdoba (Argentina) para Estudiantes con Trastorno del Espectro Autista (TEA).
- Author
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Grosso, María Laura
- Abstract
Copyright of Búsqueda is the property of Corporacion Universitaria del Caribe (CECAR) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2021
- Full Text
- View/download PDF
28. Governing antimicrobial resistance: a narrative review of global governance mechanisms.
- Author
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Ruckert, Arne, Fafard, Patrick, Hindmarch, Suzanne, Morris, Andrew, Packer, Corinne, Patrick, David, Weese, Scott, Wilson, Kumanan, Wong, Alex, and Labonté, Ronald
- Subjects
- *
DRUG resistance in microorganisms , *INTERNATIONAL organization , *TWENTY-first century - Abstract
Antimicrobial resistance (AMR), a central health challenge of the twenty first century, poses substantial population health risks, with deaths currently estimated to be around 700,000 per year globally. The international community has signaled its commitment to exploring and implementing effective policy responses to AMR, with a Global Action Plan on AMR approved by the World Health Assembly in 2015. Major governance challenges could thwart collective efforts to address AMR, along with limited knowledge about how to design effective global governance mechanisms. To identify common ground for more coordinated global actions we conducted a narrative review to map dominant ideas and academic debates about AMR governance. We found two categories of global governance mechanisms: binding and non-binding and discuss advantages and drawbacks of each. We suggest that a combination of non-binding and binding governance mechanisms supported by leading antimicrobial use countries and important AMR stakeholders, and informed by One Health principles, may be best suited to tackle AMR. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
29. Sedative drug-use in Denmark, 2000 to 2019:a nationwide drug utilization study
- Author
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Rosenqvist, Thomas Wolff, Osler, Merete, Wium-Andersen, Marie Kim, Wium-Andersen, Ida Kim, Rosenqvist, Thomas Wolff, Osler, Merete, Wium-Andersen, Marie Kim, and Wium-Andersen, Ida Kim
- Abstract
Aim: To describe trends in and characteristics of sedative drug use from 2000 through 2019 in relation to the introduction of central regulations and new drugs. Methods: In this descriptive study, we used individual prescription data on the entire Danish population from the Danish National Prescription Registry to calculate yearly incidence and prevalence of use of benzodiazepines, benzodiazepine-related drugs (Z-drugs), melatonin, olanzapine, low-dose quetiapine, mianserin/mirtazapine, pregabalin, and promethazine from 2000 through 2019. From the Danish National Patient Registry, we obtained data on drug users’ psychiatric and somatic comorbidity. Results: The use of benzodiazepines and Z-drugs declined gradually from 2000 through 2019, whereas the newer alternatives, melatonin, low-dose quetiapine, pregabalin and promethazine, increased in use, while the use of olanzapine and mianserin/mirtazapine was relatively stable. This development was seen in both men and women and across all age groups except for hypnotic benzodiazepines which showed a steep increase in the oldest age group from 2010. For all sedative drugs depression, anxiety, alcohol and misuse disorder, pain and cancer were the most prevalent comorbidities. During our study period, the number of individuals without any of the selected diagnoses increased. Conclusion: In Denmark different central regulations have influenced prescription practice toward more restrictive use of Z-drugs and benzodiazepines, except for hypnotic benzodiazepine prescriptions increased after the introduction of special palliative care. An increase in use of newer sedative drugs, however, indicates that the regulations do not remove the need for sedative drugs in the population.
- Published
- 2023
30. Public Understandings of Healthcare Services Regulations.
- Author
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Amin, M. Erham, Hafidah, Noor, Gozali, Djoni S., Faisal, Achmad, Tornado, Anang S., Irawan, Rudy, and Firdaus, Ananta
- Subjects
- *
HOSPITAL patients , *MEDICAL care , *HEALTH policy - Abstract
The issue of public understandings of healthcare services enacted in different nations across the globe is rapidly gaining popularity among the medical professionals and the related researchers. Some of the countries which have been adversely affected by the public unawareness of critical health-related laws include Indonesia. Despite its high and ever-expanding population, Indonesia is experiencing significant health-related challenges since most of its citizens do not appropriately apprehend some of the most important health policies, including the Minister of Health Regulation No.4. policy which was enacted in 2018. In this concern, the current project was aimed at investigating the level of public apprehension of the healthcare policies. In this regard, the study was based on answering the respective question: How well do members of the public in Banjarmasin City understand and interpret the Minister of Health Regulation No.4. policy? Resultantly, it was hypothesized that the most Indonesians are unaware or do not comprehend the aspects of the recently implemented Minister of Health Regulation No.4. (2018) policy and the respective obligations of hospitals to their patients. The study exercise was performed in Banjarmasin City and comprised of about 12 healthcare centers. In general, the study incorporated 350 respondents. It was determined that most Indonesians are not aware of the existence of the Minister of Health Regulation No.4. (2018) policy. In this case, the government and related healthcare stakeholders should enforce significant programs to improve the apprehension of the above healthcare policy among Indonesians, such as conducting educational seminars. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
31. 'Professional pharmacy and industrial pharmacy': disputes between doctors and pharmacists in Salvador at the end of the 19th century
- Author
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Gabriela dos Reis Sampaio
- Subjects
Salvador ,Higienismo ,Health regulations ,Bahia ,Health Policy ,Public Health, Environmental and Occupational Health ,Farmácia ,Pharmacy ,Sanitation ,Regulamento sanitário - Abstract
Resumo Neste artigo são apresentados conflitos envolvendo farmacêuticos e médicos, especialmente aqueles ligados à Inspetoria de Higiene, na cidade de Salvador, na última década do século XIX, tema ainda pouco trabalhando pela historiografia. A intenção é discutir como a regulamentação criada ainda no governo imperial para controlar as práticas de cura em geral e o trabalho dos farmacêuticos em particular acabou limitando a atuação desses últimos. Ao considerar injustas as prescrições impostas pelas autoridades sanitárias, por cercearem sua atuação ao mesmo tempo em que favoreciam embusteiros, diversos farmacêuticos lutaram para adquirir autonomia diante do que consideravam autoritarismo dos médicos. Tais conflitos revelam o quanto o estabelecimento da ciência médica como hegemônica no país foi um processo turbulento, mesmo entre os pares de profissões supostamente aliadas. O início da República, contexto permeado por debates e transformações ocorridos com a queda da monarquia, a abolição da escravidão e as dificuldades iniciais para o estabelecimento do poder, foi marcado fortemente pela presença dos médicos, que atuavam junto com militares e juristas para impor uma nova organização social. Essa presença se verificou na forte influência do pensamento racializado que caracterizou as políticas públicas. Abstract In this article, conflicts involving pharmacists and doctors are presented, especially those linked to the Inspectorate of Sanitation, in the city of Salvador in the last decade of the 19th century, a topic that has not yet been addressed by the historiography. We seek to discuss how the regulation created during the imperial government to control healing practices in general and the work of pharmacists in particular, ended up limiting the work of the latter. Considering the regulations imposed on them by the health authorities to be unfair, for restricting their performance while favoring charlatans, several pharmacists fought to acquire autonomy in the face of what they considered the authoritarianism of doctors. Such conflicts reveal how much the establishment of medical science as hegemonic in the country was a turbulent process even between these supposedly allied professions. The beginning of the Republic, a context permeated by debates and transformations that occurred with the fall of the monarchy, the abolition of slavery and the initial difficulties for the establishment of power, was strongly marked by the presence of doctors, who worked together with military and judiciary to impose a new social organization. This medical presence was visible in the strong influence of racialized thinking that characterized public policies.
- Published
- 2022
- Full Text
- View/download PDF
32. Factors related to compliance with the COVID-19 health regulations among young people
- Author
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Joana Jaureguizar, Iratxe Redondo, Nuria Galende, and Naiara Ozamiz
- Subjects
Health regulations ,COVID-19 ,Minireviews ,Young people ,Adolescents ,Compliance - Abstract
The coronavirus pandemic has affected all facets of our lives and all ages and social strata worldwide. Measures have been taken to protect against the spread of the virus, such as more rigorous hand hygiene, the use of face masks and social distancing. However, the focus has often been on young people, who have been seen as a group lacking sufficient respect for government-imposed measures. This review outlines the preventive measures that have been taken in different countries and discusses their specific impact on young people and adolescents, taking into account the developmental stage and concrete needs of this age group. It summarizes those studies that have provided information on compliance with preventive measures by young people and adolescents, concluding that although compliance levels among this age group are lower than among older adults, the general view of youths as non-compliant is not consistent with real, objective data. The review also summarizes different views regarding the possible reasons for this lower level of compliance, taking into account both social (gender and age) and personal factors (personality, empathy, prosociality, self-control, cognitive styles and motivations), and discusses the practical implications of these findings for the future.
- Published
- 2021
33. International Travel and Contagious Diseases -- Should Health Regulations for Entry into the United States Be More Strictly Enforced?
- Author
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Kirchgraber, Ilse
- Subjects
- *
INFECTIOUS disease transmission , *COMMUNICABLE diseases , *EMIGRATION & immigration , *HEALTH , *TRAVEL , *GOVERNMENT policy - Abstract
The article discusses factors to consider when assessing whether to impose health restrictions on the international traveler's entry into the U.S. Topics include the dissemination of infectious diseases through migration of humans, the application of health regulations by the U.S., and due process analysis on international travel and health regulations. Also discussed are international regulations and their effect on U.S. health regulations on entry.
- Published
- 2017
- Full Text
- View/download PDF
34. Changes in the activity levels and financing sources of Israel’s private for-profit hospitals in the wake of reforms to the public-private divide
- Author
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Adi Niv-Yagoda, Yossi Weiss, and Royi Barnea
- Subjects
medicine.medical_specialty ,Financing, Government ,Health administration ,Private healthcare system ,Health care ,medicine ,Humans ,Public healthcare system ,Healthcare funding ,Original Research Article ,Israel ,Health policy ,health care economics and organizations ,Finance ,lcsh:R5-920 ,Health economics ,Insurance, Health ,Descriptive statistics ,business.industry ,Health regulations ,Public health ,lcsh:Public aspects of medicine ,Public Health, Environmental and Occupational Health ,Health services research ,lcsh:RA1-1270 ,Hospitals ,Business ,Health Expenditures ,Elective Surgical Procedure ,lcsh:Medicine (General) - Abstract
Background The Israeli National Health Insurance Law provides permanent residents with a basket of healthcare services through non-profit public health insurance plans, independently of the individual’s ability to pay. Since 2015, several reforms and programs have been initiated that were aimed at reinforcing public healthcare and redressing negative aspects of the health system, and specifically the constant rise in private health expenditure. These include the “From Reimbursement-to-Networks Arrangement”, the “Cooling-off Period” program and the program to shorten waiting times. The objectives of this study were to identify, describe, and analyze changes in private hospitals in 1) the volume of publicly and privately funded elective surgical procedures; and 2) private health expenditure on surgical procedures. Methods Data on the volume and funding of surgical procedures during 2013–2018 were obtained from Assuta Medical Center, Hertzelia Medical Center, the Israeli Ministry of Health and the Central Bureau of Statistics. The changes in the volume and financing sources of surgical activities in private hospitals, in the wake of the reforms were analyzed using aggregate descriptive statistics. Results Between 2013 and 2018 the volume of surgical activities in private for-profit hospitals increased by 7%. Between 2013 and 2017, the distribution of financing sources of surgical procedures in private hospitals remained stable, with most surgical procedures (75–77%) financed by the voluntary health insurance programs of the health plans (HP-VHI). In 2018, following the regulatory reforms, a significant change in the distribution of financing sources was observed: there was a sharp decline in the volume of HP-VHI-funded surgical procedures to 26%. Concurrently, the share of publicly-funded surgical procedures performed in private hospitals increased to 56% in 2018.,. During the study period, private spending on elective surgical procedures in private hospitals declined by 53% while public funding for them increased by 51%. Conclusions and policy implications In the wake of the reforms, there was a substantial shift from private to public financing of elective surgical activity in private hospitals. Private for-profit hospitals have become important providers of publicly-funded procedures. It is likely that the reforms affected the public-private mix in the financing of elective surgical procedures in those hospitals, but due to the absence of a control group, causality cannot be proven. It is also unclear whether waiting times were shortened. Health reforms must be accompanied by a clear and comprehensive set of indicators for measuring their success.
- Published
- 2021
35. Programación Curricular Inclusiva en la Escuela Secundaria de Córdoba (Argentina) para Estudiantes con Trastorno del Espectro Autista (TEA)
- Author
-
María Laura Grosso
- Subjects
educational regulations ,Educación ,legislación inclusiva ,Argentina ,Legislación inclusiva ,Escuela Secundaria ,health regulations ,estudiantes con TEA ,didáctica inclusiva ,normativa Argentina ,escuela secundaria ,General Environmental Science ,Córdoba regulations ,Inclusive legislation ,H1-99 ,Educación secundaria ,Aprendizaje ,Estudiantes con TEA ,Argentine regulations ,Sanidad ,normativa de Córdoba ,normativa educativa ,Social sciences (General) ,Estudiantes ,Trastornos del espectro autista ,General Earth and Planetary Sciences ,secondary school ,Curriculum ,Students with ASD ,normativa sanitaria ,inclusive didactics ,Inclusión ,Normativa - Abstract
Para poder enseñar de un Modo Inclusivo, se requiere un marco legal que permita diseñar el Programa Curricular y que considere el estilo de aprendizaje atípico del Estudiante con diagnóstico. El Autismo es una condición con características específicas cuya consideración es necesaria a la hora de diseñar programas inclusivos en la escuela. Objetivo. Abordar la normativa que permite la Inclusión y la Programación Curricular Inclusiva para Estudiantes con diagnóstico de Trastorno del Espectro Autista (TEA) en la Escuela Secundaria argentina de la Provincia de Córdoba. Método. Este artículo reflexivo describe las dimensiones diagnóstico del Autismo para poder considerar una Inclusión según su estilo de aprendizaje. Luego, se analizan los paradigmas que han impulsado los marcos regulatorios en el ámbito sanitario y educativo para la Inclusión de Aprendices con Autismo, en el secundario. Se coteja la programación posible para el TEA, según dicha normativa. Conclusión. Se propondrán las configuraciones de apoyo para eliminar las barreras a la participación, promover el Aprendizaje Significativo y se planteará un diseño general que considere objetivos, metodologías, estrategias y evaluaciones de Inclusión en el Aula. In order to teach in an Inclusive Mode, a legal framework is required that allows the Curriculum Program to be designed and that considers the atypical learning style of the Student with a diagnosis. Autism is a condition with specific characteristics whose consideration is necessary when designing inclusive programs at school. Objective. Address the regulations that allow Inclusion and Inclusive Curriculum Programming for Students diagnosed with Autism Spectrum Disorder (ASD) in the Argentine Secondary School of the Province of Córdoba. Method. This reflective article describes the diagnostic dimensions of Autism in order to consider an Inclusion according to its learning style. Then, the paradigms that have promoted the regulatory frameworks in the health and educational field foro the Inclusion of Learners with Autism, in secondary school, are analyzed. The possible programming for the TEA is checked, according to said regulations. Conclusion. Support configurations will be proposed to eliminate barriers to participation, promote Meaningful Learning and a general design will be proposed that considers objectives, methodologies, strategies and evaluations of Inclusion in the Classroom.
- Published
- 2022
36. Endgame for polio eradication? Options for overcoming social and political factors in the progress to eradicating polio.
- Author
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Ganapathiraju, Pavan V., Morssink, Christiaan B., and Plumb, James
- Subjects
- *
POLICY sciences , *POLIOMYELITIS vaccines , *PRACTICAL politics , *RULES , *SOCIOECONOMIC factors , *SOCIAL context , *EVALUATION of human services programs , *DISEASE eradication - Abstract
In 1988, the Global Polio Eradication Initiative (GPEI) was launched with the goal of eradicating polio by the year 2000. After 25 years, several dynamics still challenge this large public health campaign with new cases of polio being reported annually. We examine the roots of this initiative to eradicate polio, its scope, the successes and setbacks during the last 25 years and reflect on the current state of affairs. We examine the social and political factors that are barriers to polio eradication. Options are discussed for solving the current impasse of polio eradication: using force, respecting individual freedoms and gaining support from those vulnerable to fundamentalist ‘propaganda’. The travails of the GPEI indicate the need for expanding the Convention on the Rights of the Child to address situations of war and civic strife. Such a cultural and structural reference will provide the basis for global stakeholders to engage belligerent local actors whose local political conflicts are barriers to the eradication of polio. Disregard for these actors will result in stagnation of polio eradication policy, delaying eradication beyond 2018. [ABSTRACT FROM PUBLISHER]
- Published
- 2015
- Full Text
- View/download PDF
37. The Federal Data Quality Act?s Impact on the Environmental Health Regulatory Process.
- Author
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Caress, Stanley
- Subjects
- *
RESEARCH , *EXPERT evidence , *ADMINISTRATIVE procedure , *FEDERAL courts , *ENVIRONMENTAL protection - Abstract
The little-known Data Quality Act, passed by Congress in 2000, may have had a noticeable impact on the creation and implementation of federal regulations. This act, which makes it far easier to question scientific evidence used to justify regulations, has altered the regulatory process in several key ways. First, it has created new but vague standards for the acceptability of scientific research used as the basis for federal regulations. Each federal agency is now required to establish its own standards that could be used for evaluating the quality of the data it used to justify a new regulation. Second, it allows any party to challenge the credibility of the scientific evidence used to justify a regulation. Third, it has shifted authority for rule-making away from federal agencies and to the federal courts. And finally, it has made the entire regulatory process more cumbersome and subject to lengthy delays. The DQA allows industry-sponsored studies to be used to counter the findings of peer-reviewed scientific research. Additionally, it gives the federal courts final authority to determine if scientific evidence is credible and sufficient enough to warrant new federal rules, a power previously held exclusively by government agencies. Supporters claim that the DQA insures that government action is based on solid and reliable science. Critics, however, charge that this act exploits the fundamental uncertainty found in all scientific research and is a callous attempt to prevent the creation of needed health and environmental protections. At a minimum, this act will produce additional costs associated with challenges to regulations; it will lengthen the time necessary for the establishment of regulations by adding several new potential obstacles; and if used to its fullest extent, it can be a powerful tool to hinder the development of a broad range of government regulations. Since the Data Quality Act (DQA) took effect there have been 39 (32 by regulated industries) challenges to federal regulations. Lawsuits under the DQA have been filed by industry groups against the National Institutes of Health, the U.S. EPA, and several other federal agencies. Many of these cases have required some modification to issued regulations. Additionally, an examination of federal consumer safety and health spending on regulatory activity suggests that the DQA may have had a significant impact on federal regulations. Since the establishment and implementation of the required agency standards increases in regulatory spending outlays appear to have dropped. This may suggest that the act has had a negative impact on regulatory activity, but it is too early to suggest a causal connection. ..PAT.-Unpublished Manuscript [ABSTRACT FROM AUTHOR]
- Published
- 2007
38. Man-induced activities modify demographic parameters in a long-lived species: effects of poisoning and health policies.
- Author
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Margalida, Antoni, Colomer, MA Àngels, and Oro, Daniel
- Subjects
POISONING in animals ,LAMMERGEIER ,VULTURE mortality ,SANITATION ,HEALTH policy ,DEAD animal disposal ,ANIMAL carcasses ,GOVERNMENT policy - Abstract
Recent changes in sanitary policies within the European Union (EU) concerning disposal of carcasses of domestic animals and the increase of non-natural mortality factors, such as illegal poisoning, are threatening European vultures. However, the effects of anthropogenic activities on demographic parameters are poorly studied. Using a long-term study (1994-2011) of the threatened Pyrenean Bearded Vulture Gypaetus barbatus population, we assess the variation in the proportion of breeding pairs, egg-laying dates, clutch size, breeding success, and survival following a sharp reduction in food availability in 2005 due to the application of restrictive sanitary policies decreasing livestock carcass availability. We found a delay in laying dates and a regressive trend in clutch size, breeding success, and survival following policy change. The maintenance of specific supplementary feeding stations for Bearded Vultures probably reduced the negative effects of illegal poisoning and food shortages, which mainly affected subadult survival. A drop in food availability may have produced changes in demographic parameters and an increase in mortality due to an increased exposure to contaminated food. As a result, supplementary feeding as a precautionary measure can be a useful tool to reduce illegal poisoning and declines in demographic parameters until previous food availability scenarios are achieved. This study shows how anthropogenic activities through human health regulations that affect habitat quality can suddenly modify demographic parameters in long-lived species, including those, such as survival, with high sensitivity to population growth rate. [ABSTRACT FROM AUTHOR]
- Published
- 2014
- Full Text
- View/download PDF
39. Efecto de factores socio-económicos y condiciones de salud en el contagio de COVID-19 en los estados de México
- Author
-
Mejía Reyes, Pablo, Hurtado Jaramillo, Annel, Rendon Rojas, Liliana, Mejía Reyes, Pablo, Hurtado Jaramillo, Annel, and Rendon Rojas, Liliana
- Abstract
The aim of this paper is to analyze the effect of a large battery of demographic, social, health and economic factors on the magnitude and intensity of SARS-CoV-2 contagion in the Mexican states. To do so, an extreme-bounds analysis in crosssection econometric models, with possible spatial dependence, is carried out. Our findings suggest that a greater population density (that impedes social distancing), the suffering of obesity and/or chronic degenerative diseases (diabetes and hypertension) and the lack of respect for health regulations have favored the spread of COVID-19. Social conditions of population and economic characteristics seem to be not relevant. The public policy implications from our results are straightforward., El objetivo de este documento es analizar el impacto de múltiples factores demográficos, sociales, de salud y económicos en la magnitud e intensidad del contagio de SARS-CoV-2 en los estados mexicanos. Para ello se desarrolla un análisis de límites extremos (extreme-bounds analysis) en modelos de regresión de corte transversal, que pueden incluir efectos espaciales. Los resultados sugieren que una mayor densidad de población (que dificulta el distanciamiento social), el padecimiento de obesidad y/o enfermedades crónico-degenerativas (diabetes e hipertensión) y el no respeto a las disposiciones sanitarias han favorecido el contagio de COVID-19. Las condiciones sociales de la población y las características económicas de los estados no resultaron relevantes. Las implicaciones de política pública que se derivan de este resultado son directas.
- Published
- 2020
40. Arsenic removal by reverse osmosis
- Author
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Ning, Robert Y.
- Subjects
- *
ARSENIC , *REVERSE osmosis , *GEOCHEMISTRY - Abstract
Arsenic is widely distributed in nature in air, water and soil. Acute and chronic arsenic exposure via drinking water has been reported in many countries, especially Argentina, Bangladesh, India, Mexico, Mongolia, Thailand and Taiwan, where a large proportion of ground water is contaminated with arsenic at levels from 100 to over 2,000 micrograms per liter (ppb). Public health standards of maximum of 50 ppb have been adopted by the US and World Health Organization in the 1970s and the 80s. Carcinogenicity and genotoxicity led to the WHO recommendation of 10 ppb maximum level in 1993, followed by the US adoption of the same in 2001, with the US estimate that 5% of all US community water systems will have to take corrective actions to lower the current levels of arsenic in their drinking water. In high arsenic areas of the world, the need for better water treatment and resulting economic impact would be even greater. In this article, we briefly review the geochemistry, natural distribution, regulation, anthropogenic sources and removal mechanisms of arsenic, pointing especially to the promise of reverse osmosis (RO) as a practical means of purification. We conclude that arsenic in the commonly high oxidation states of (V) is very effectively removed by RO. With further attention to the removal of the weakly acidic arsenic (III) species in waters by the operation of RO at sufficiently high pHs made possible by the newer antiscalants, practical processes can be developed with RO to remove all major species of arsenic from water. Further studies are needed in the characterization of the arsenic species being treated and in the design of the RO process to match the demands. [Copyright &y& Elsevier]
- Published
- 2002
- Full Text
- View/download PDF
41. Reformas al sistema general de seguridad social en salud en Colombia desde la calidad de la prestación de los servicios
- Author
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Romero Ordoñez, Sandra Liliana, Cárdenas Morales, Vivian Estrella, Mosquera Castro, Diana Carolina, and Valenzuela Cazés, Alejandra
- Subjects
Reformistas ,Health system in Colombia ,Quality in health ,Calidad en salud ,Normativa en salud ,Health regulations ,Administracion de servicios de salud ,Sistema de salud en Colombia ,Calidad total en administracion - Abstract
OBJETIVO: Llevar a cabo un análisis acerca de la normatividad que se ha establecido para dar las bases al modelo de salud que actualmente rige en nuestro país. METODOLOGÍA: Se realizó una búsqueda en la página Web del Ministerio de Salud y protección social de Colombia donde hay una lista de reglamentaciones que están enfocadas al modelo de salud para esta nación, separadas en resoluciones, leyes, decretos, etc. Al consultarlas y ordenarlas, se puede hacer una línea de tiempo para así establecer de manera cronológica, desde la normatividad más antigua hasta la más reciente que rigen en la actualidad. Luego, se realizará una investigación descriptiva en base a fuentes primarias, secundarias y terciarias, acerca del impacto y contenido de estas normativas, sacando conclusiones de qué ha sido beneficioso y qué ha sido contraproducente en el Sistema General de seguridad Social en Salud. OBJECTIVE: To carry out an analysis about the regulations that have been established to give the bases to the health model currently in force in our country. METHODOLOGY: A search was made on the website of the Ministry of Health and Social Protection of Colombia. You can make a timeline to establish a chronological way, from the oldest standard to the most recent date. Then, we will see a descriptive investigation based on primary, secondary and tertiary sources, about the impact and content of these norms, drawing the conclusions of what has been beneficial and what has been counterproductive in the General System of Social Security in Health. Especialista en Auditoría de Salud http://unidadinvestigacion.usta.edu.co Especialización
- Published
- 2018
42. Factors related to compliance with the COVID-19 health regulations among young people.
- Author
-
Jaureguizar J, Redondo I, Galende N, and Ozamiz N
- Abstract
The coronavirus pandemic has affected all facets of our lives and all ages and social strata worldwide. Measures have been taken to protect against the spread of the virus, such as more rigorous hand hygiene, the use of face masks and social distancing. However, the focus has often been on young people, who have been seen as a group lacking sufficient respect for government-imposed measures. This review outlines the preventive measures that have been taken in different countries and discusses their specific impact on young people and adolescents, taking into account the developmental stage and concrete needs of this age group. It summarizes those studies that have provided information on compliance with preventive measures by young people and adolescents, concluding that although compliance levels among this age group are lower than among older adults, the general view of youths as non-compliant is not consistent with real, objective data. The review also summarizes different views regarding the possible reasons for this lower level of compliance, taking into account both social (gender and age) and personal factors (personality, empathy, prosociality, self-control, cognitive styles and motivations), and discusses the practical implications of these findings for the future., Competing Interests: Conflict-of-interest statement: The authors declare that they do not have conflicts of interest., (©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.)
- Published
- 2021
- Full Text
- View/download PDF
43. Bird Flu, the OIE, and National Regulation : The WTO's India–Agricultural Products Dispute
- Author
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Jennifer A. Hillman and Chad P. Bown
- Subjects
Economics and Econometrics ,medicine.medical_specialty ,trade dispute ,health regulations ,International trade ,WTO ,0502 economics and business ,medicine ,050207 economics ,agricultural trade ,0505 law ,050502 law ,Commercial policy ,Government ,Animal health ,Bird flu ,business.industry ,Public health ,05 social sciences ,International economics ,World Trade Organization ,trade policy ,Agriculture ,Political Science and International Relations ,domestic regulatory policy ,Economic model ,Business ,avian influenza ,Law ,Externality - Abstract
This paper provides a legal-economic assessment of issues arising in the Panel Report over the WTO's India–Agricultural Products dispute, one of a growing list of disputes arising at the intersection of the WTO and domestic regulatory policy over human, animal, or plant health. This dispute featured allegations that India's import measures applied against avian influenza- (AI-) infected countries over poultry and related products were too restrictive, in light of the World Organisation for Animal Health's (OIE's) scientifically motivated standards and guidelines. We rely on insights from a set of economic models of commercial poultry markets in the presence of negative externalities such as AI. We use such models to motivate critical tradeoffs arising at the intersection of government regulatory regimes designed to deal with AI and how they fit alongside trade agreements such as the WTO and standard-setting bodies such as the OIE, which combine to impose constraints on regulatory and trade policy. While we find the institutional design of the OIE to be well-motivated and we are in broad agreement with the overall thrust of the Panel Report in the dispute, we also highlight a number of subtle issues which pose long-term challenges for the multilateral trading system's ability to balance trade rules with public health concerns.
- Published
- 2016
44. Central America Social Expenditures and Institutional Review : Panama
- Author
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World Bank Group
- Subjects
LEVELS OF EDUCATION ,SOCIAL PROGRAMS ,CARDIOVASCULAR DISEASES ,CHILDREN ,ECONOMIC GROWTH ,GROSS DOMESTIC PRODUCT ,PUBLIC HEALTH EXPENDITURE ,FAMILIES ,MEASUREMENT ,AGING ,POPULATION GROUPS ,QUALITY OF EDUCATION ,HEALTH SYSTEM ,PHYSICIANS ,ENVIRONMENTAL HEALTH ,VULNERABLE POPULATIONS ,YOUNG PEOPLE ,ADOLESCENTS ,IMPLEMENTATION ,TEEN PREGNANCY ,POPULATION ,UNEMPLOYMENT ,SOCIAL EXPENDITURES ,IMMUNODEFICIENCY ,RESOURCE ALLOCATION ,WOMEN ,WORKERS ,HUMAN IMMUNODEFICIENCY VIRUS ,ELDERLY POPULATION ,REDUCING MATERNAL MORTALITY ,FIGHT AGAINST POVERTY ,HEALTH REGULATIONS ,DIPHTHERIA ,PARADIGM SHIFT ,DISEASES ,MEDICINES ,SOCIAL SECTOR ,HEALTH OUTCOMES ,UNIVERSITY EDUCATION ,VACCINATION ,POPULATIONS ,HEALTH ,BEHAVIOR ,HEALTH CARE SERVICES ,AGED ,OLD AGE ,SERVICE DELIVERY ,PENSIONS ,HEALTH POLICIES ,PRIMARY EDUCATION ,MINISTRY OF EDUCATION ,AGGRESSIVE ,INVESTMENT IN EDUCATION ,STUDENTS ,MEASLES ,HUMAN RESOURCE MANAGEMENT ,INFORMATION SYSTEMS ,DROPOUT ,SANITATION ,PEOPLE WITH DISABILITIES ,PUBLIC EDUCATION ,SURVEILLANCE ,PATIENTS ,RURAL AREAS ,WHOOPING COUGH ,PURCHASING POWER ,SECONDARY EDUCATION ,HEALTH FACILITIES ,PROGRESS ,PARENTING ,VULNERABILITY ,LABOR MARKET ,INDIGENOUS PEOPLE ,MILLENNIUM DEVELOPMENT GOAL ,ELDERLY ,DECISION MAKING ,INDIGENOUS PEOPLES ,HYPERTENSION ,MATERNAL MORTALITY RATES ,INFORMATION SYSTEM ,INCOME INEQUALITY ,MORTALITY ,DISABILITY ,SOCIAL INFORMATION ,EARLY CHILDHOOD ,PREVENTION ,SCREENING ,MATERNAL HEALTH ,RISKS ,CLINICS ,HEALTH PROVIDERS ,HOSPITALS ,TERTIARY EDUCATION ,RISK GROUPS ,MATERNAL MORTALITY ,HEALTH SECTOR ,SOCIAL SECURITY ,LEVEL OF EDUCATION ,DEMOGRAPHIC TRENDS ,LIVING CONDITIONS ,TEENAGE PREGNANCY ,HOUSEHOLD SURVEYS ,COMMUNICABLE DISEASES ,HEALTH PROMOTION ,PREGNANT WOMEN ,HOSPITAL BEDS ,RURAL POPULATION ,SOCIAL POLICY ,MILLENNIUM DEVELOPMENT GOALS ,HEALTH CARE PROFESSIONALS ,SANITATION FACILITIES ,QUALITY OF HEALTH CARE ,WORLD HEALTH ORGANIZATION ,INSTITUTIONALIZATION ,DEVELOPMENT GOALS ,EPIDEMIOLOGY ,DIABETES ,HEALTH RESEARCH ,HUMAN DEVELOPMENT ,MINISTRY OF HEALTH ,MEDICAL PERSONNEL ,FOOD SECURITY ,PURCHASING POWER PARITY ,POLICIES ,POLICY ,IMMUNIZATION ,HEALTH INDICATORS ,HEALTH WORKERS ,TEACHER RATIO ,PREGNANCY ,HEALTH CARE ,HUMAN CAPITAL ,REGISTRATION ,SOCIAL DEVELOPMENT ,PRENATAL CARE ,NUTRITION ,PUBLIC HEALTH ,MALNUTRITION AMONG CHILDREN ,SECONDARY SCHOOL ,MATERNAL MORTALITY RATE ,CHILD MORTALITY RATE ,TRAINING ,MIGRATION ,SERVICE PROVISION ,MEDICAL CARE ,SOCIAL EXCLUSION ,TUBERCULOSIS ,PRIMARY SCHOOLS ,MORBIDITY ,PEOPLE ,CHILD MORTALITY RATES ,TEEN ,MEASLES IMMUNIZATION ,STRATEGY ,UNIVERSAL PRIMARY EDUCATION ,INTERNET ,LABOR MARKETS ,WORKFORCE ,TERTIARY LEVEL ,ACCESS TO HEALTH SERVICES ,NEEDS ASSESSMENT ,MORTALITY RATE ,PRIMARY HEALTH CARE ,AT RISK GROUPS ,HIV ,JOB CREATION ,LABOR FORCE ,DEMOGRAPHIC PROJECTIONS ,LAWS ,HEALTH SERVICES ,POPULATION DENSITY ,SOCIAL SECTORS ,SCHOOL ATTENDANCE ,MEDICAL SPECIALISTS ,URBAN AREAS ,CHILD MORTALITY ,DISABILITIES ,NURSES ,WEIGHT ,NATIONAL COUNCIL ,HOSPITAL ,RURAL POPULATIONS ,TETANUS - Abstract
Panama has experienced impressive and significant economic growth, emerging as one of the better performers in Central America in recent years and one of the fastest growing economies worldwide. From 2003 to 2013, Panama has averaged an annual GDP growth rate of approximately 7 percent, surpassing the average GDP growth in Central America. It has also emerged as one of the fastest growing economies worldwide. Even during the economic crisis of 2008-2009, its economy continued to grow albeit at a lower rate. This note recommends that Panama prioritize three main aspects: a) improving the effectiveness of social public spending by further enhancing the pro-poor and pro-indigenous features of targeting mechanisms; b) reducing inefficiencies in the various sectors, for example, by improving the coordination between the Ministries of Education, Health, Social Development, and CSS to minimize duplication of efforts and resources; and c) strengthening planning, budgeting, and information tools and systems, legislation, and institutions to support implementation and track progress toward Government goals.
- Published
- 2015
45. Bulgaria Health Financing : Final Report on Health Financing Diagnostic and Review of Envisaged Reforms
- Author
-
World Bank
- Subjects
PARAMEDICS ,WASTE ,CHILDREN ,HEALTH INSURANCE ,PROSTATE CANCER ,FAMILIES ,MEASUREMENT ,AGING ,PHYSICIANS ,FINANCING ,IMPLEMENTATION ,HEALTH FOR ALL ,INTERMEDIARIES ,WORKING CONDITIONS ,MIGRANTS ,UNEMPLOYMENT ,PATIENT SATISFACTION ,PHARMAC ,HOLISTIC APPROACH ,WORKERS ,CRIME ,INCENTIVES ,HEALTH REGULATIONS ,MENTAL HEALTH ,RISK FACTORS ,MEDICINES ,HEALTH OUTCOMES ,SOCIAL SERVICES ,VACCINATION ,HEALTH PLANNING ,HEALTH ,SMOKING ,INTERVENTION ,WALKING ,STROKE ,BEHAVIOR ,AGED ,AGGRESSIVE ,DAY CARE ,PATIENT ,ELDERLY PEOPLE ,PEOPLE WITH DISABILITIES ,BREAST CANCER ,SURVEILLANCE ,QUALITY CONTROL ,PATIENTS ,GENERAL PRACTITIONERS ,DECISION MAKING ,HYPERTENSION ,MORTALITY ,PREVENTION ,SCREENING ,RISKS ,CLINICS ,VICTIMS ,PSYCHIATRIC HOSPITALS ,HOSPITALS ,PHARMACISTS ,LEUKEMIA ,COMMUNICABLE DISEASES ,MARKETING ,HEALTH PROMOTION ,PREGNANT WOMEN ,PROGNOSIS ,STRESS ,SURGERY ,SOCIAL POLICY ,LIFESTYLE ,GLAUCOMA ,EPIDEMIOLOGY ,LIFE EXPECTANCY ,DIABETES ,GENERAL PRACTICE ,PSYCHIATRISTS ,LIVER CANCER ,COST EFFECTIVENESS ,HEALTH POLICY ,DEATH ,CHEMOTHERAPY ,IMMUNIZATION ,HIGH BLOOD PRESSURE ,PREGNANCY ,CHRONICALLY ILL PATIENTS ,HEALTH CARE ,HOSPITALIZATION ,INFLUENZA ,OBESITY ,DISASTERS ,INSURANCE ,REGISTRATION ,PUBLIC HEALTH ,CHILDBIRTH ,NURSING ,COMMON COLD ,MIGRATION ,EMERGENCY MEDICAL CARE ,EXERCISES ,SOCIAL EXCLUSION ,INTERNATIONAL COMPARISONS ,MORBIDITY ,ALCOHOL CONSUMPTION ,QUALITY OF LIFE ,PEOPLE ,HEALTH FINANCING ,DEATH RATE ,KNOWLEDGE ,STRATEGY ,INTERNET ,CIRCULATORY SYSTEM ,HEALTH MANAGEMENT ,PSYCHOLOGISTS ,PRIMARY HEALTH CARE ,HOSPITAL ADMISSION ,IN VITRO FERTILIZATION ,MEDICAL TREATMENT ,LAWS ,HEALTH SERVICES ,REFUGEES ,OBSERVATION ,PATIENT INFORMATION ,DISABILITIES ,INJURIES ,NURSES ,WEIGHT ,OUTPATIENT CARE ,ALS ,SOCIAL SUPPORT ,HEALTH INTERVENTIONS - Abstract
Health financing in Bulgaria is organized in a way that should, in theory, allow the system to deliver good performance. In particular, the national health insurance fund was set up to provide universal coverage, and the provider-payment system contains elements of international best practices. The hospital-centric service delivery structure is not well targeted to the predominant and growing burden of non-communicable diseases, and loopholes in the provider-payment system reinforce this bias toward expensive hospital care. The first part of this report presents a health financing diagnostic to assist the Government of Bulgaria in developing health financing reform options that improve the efficiency, equity, and long-term sustainability of the Bulgarian health system. The second part reviews the reform agenda currently envisaged by the government with a focus on health financing aspects. It presents practical suggestions, drawn from international experience, which should support the government as it moves toward implementing its reform agenda. These suggestions aim to enhance the reforms’ capacity to address some of the performance gaps highlighted in part one with respect to efficiency, sustainability, and capacity to provide financial protection.
- Published
- 2015
46. When Institutions Work : Nigeria's Ebola Response
- Author
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Tilley-Gyado, Ritgak Dimka
- Subjects
EMERGENCY PREPAREDNESS ,PARALYSIS ,SYMPTOMS ,CHILDREN ,DIAGNOSTICS ,CHILD HEALTH ,FATIGUE ,THERAPY ,DISEASE ,EMERGENCY RESPONSE ,HEALTH SYSTEM ,PHYSICIANS ,ENVIRONMENTAL HEALTH ,ENVIRONMENTAL DAMAGE ,IMPLEMENTATION ,TECHNICAL ASSISTANCE ,POLICY MAKERS ,DISEASE SURVEILLANCE ,POPULATION ,WORKING CONDITIONS ,NATIONAL LEVEL ,IMMUNODEFICIENCY ,DISSEMINATION OF INFORMATION ,RESOURCE ALLOCATION ,QUALITATIVE APPROACH ,CIVIL WAR ,WORKERS ,HUMAN IMMUNODEFICIENCY VIRUS ,INFECTIOUS DISEASES ,MALNUTRITION ,REDUCING MATERNAL MORTALITY ,HEALTH REGULATIONS ,SERVICE PROVIDERS ,DISEASES ,VIRUS ,HEALTH ,LARGE POPULATION ,WAR ,INTERVENTION ,SERVICE DELIVERY ,SYNDROME ,RISK OF EXPOSURE ,EBOLA ,SERVICE DELIVERY SYSTEMS ,EXERCISE ,DIAGNOSIS ,PATIENT ,MORBIDITY AND MORTALITY ,EPIDEMIOLOGISTS ,SURVEILLANCE ,QUALITY CONTROL ,LEAD POISONING ,PATIENTS ,FERTILITY ,HEALTH FACILITIES ,PROGRESS ,HEALTH SURVEYS ,MILLENNIUM DEVELOPMENT GOAL ,EMERGENCIES ,DECISION MAKING ,POLIO ERADICATION INITIATIVE ,MEDICINE ,INFORMATION SYSTEM ,MORTALITY ,NATIONAL CAPACITIES ,PREVENTION ,RISKS ,CLINICS ,INTERVIEW ,AGGRESSIVENESS ,TECHNICAL RESOURCES ,EBOLA VIRUS ,HEALTH SECTOR REFORM ,HUMAN RIGHTS ,MATERNAL MORTALITY ,HEALTH SECTOR ,ANTIMALARIALS ,INFANT ,BLIND ,MEDICAL ETHICS ,POISONING ,PEDAGOGY ,WORLD HEALTH ORGANIZATION ,GLOBAL HEALTH ,POLIO ,RISK OF DEATH ,PLAGUE ,INFECTION ,FLOW OF INFORMATION ,EPIDEMIOLOGY ,HEALTH SURVEILLANCE ,LASSA FEVER ,DISEASE_SURVEILLANCE ,HEALTH RESEARCH ,PRINT MEDIA ,USE OF RESOURCES ,MINISTRY OF HEALTH ,MEDICAL PERSONNEL ,HEALTH POLICY ,REST ,DEATH ,HUMANITARIAN AFFAIRS ,DISSEMINATION ,HAZARD ,POLICIES ,TREATMENT ,POLIO ERADICATION ,POLICY ,HEALTH WORKERS ,PRIMARY HEALTH CARE SYSTEMS ,HEALTH CARE ,INFLUENZA ,INFECTIONS ,EFFECTS ,INTERNATIONAL COMMUNITY ,MEDICAL PRACTICE ,NUTRITION ,PUBLIC HEALTH ,TECHNICAL CAPACITY ,INFECTION RATES ,HEALTH CARE SYSTEM ,TRAINING ,POLICY RESPONSE ,DIAGNOSES ,INTERNATIONAL RESPONSE ,ILLNESS ,EMERGENCY RESPONSE SYSTEMS ,MORBIDITY ,FEVER ,EPIDEMIC ,VACCINES ,CHILD MORTALITY RATES ,KNOWLEDGE ,STRATEGY ,INTERNET ,ACUTE FLACCID PARALYSIS ,DISEASE CONTROL ,HEALTH MANAGEMENT ,PRIMARY HEALTH CARE ,DISEASE OUTBREAKS ,HEALTH CARE SYSTEMS ,HIV ,NATURAL RESOURCES ,MATERNAL AND CHILD HEALTH ,LIFE ,VISION ,HEALTH SERVICES ,URBAN AREAS ,CHILD MORTALITY ,DISEASE OUTBREAK ,PUBLICATIONS ,WEIGHT ,AVIAN INFLUENZA ,ALL ,HOSPITAL ,HEALTH INTERVENTIONS - Abstract
Nigeria is a country of immense natural resources and potential, but the government’s capacity to deliver public goods has generally been weak. It was against this backdrop that Nigeria faced the arrival within its borders of the deadly Ebola virus disease in July 2014. Despite assurances that the Nigerian government was prepared to respond to an outbreak of Ebola, the country was caught unaware and forced to mount an emergency response. Yet despite these serious concerns, the spread of Ebola was successfully contained in Nigeria. This case study seeks to understand why Nigeria’s Ebola response was so successful despite the challenging context. The case study will focus on institutional architecture and political will, taking an exploratory qualitative approach to examine the institutional dynamics and motivations among various stakeholders involved in the country’s response. The aim is to distill lessons that may be applied to other emergency response initiatives, as well as elsewhere in the health sector and in other areas of service delivery. A proactive communication strategy is required to build a broader coalition of support, and demand-side actors such as nongovernmental organizations play a helpful role.
- Published
- 2015
47. Man-induced activities modify demographic parameters in a long-lived species: effects of poisoning and health policies
- Author
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Antoni Margalida, Daniel Oro, Generalitat de Catalunya, Ministerio de Medio Ambiente (España), Govern de les Illes Balears, Ministerio de Economía y Competitividad (España), and European Commission
- Subjects
Avian clutch size ,Male ,Conservation of Natural Resources ,Time Factors ,Survival ,Supplementary feeding ,Bearded vulture ,Population ,Population Dynamics ,Nesting Behavior ,biology.animal ,media_common.cataloged_instance ,Population growth ,Animals ,Humans ,Human Activities ,European union ,education ,Life history ,Ecosystem ,Falconiformes ,media_common ,Vulture ,Pyrenees, Catalonia, Spain ,education.field_of_study ,European sanitation policies ,Ecology ,biology ,business.industry ,Health regulations ,Breeding parameters ,Poisoning ,Endangered Species ,Clutch Size ,Habitat ,Gypaetus barbatus ,Threatened species ,570 Life sciences ,590 Animals (Zoology) ,Livestock ,Female ,business - Abstract
Recent changes in sanitary policies within the European Union (EU) concerning disposal of carcasses of domestic animals and the increase of non-natural mortality factors, such as illegal poisoning, are threatening European vultures. However, the effects of anthropogenic activities on demographic parameters are poorly studied. Using a long-term study (1994-2011) of the threatened Pyrenean Bearded Vulture Gypaetus barbatus population, we assess the variation in the proportion of breeding pairs, egg-laying dates, clutch size, breeding success, and survival following a sharp reduction in food availability in 2005 due to the application of restrictive sanitary policies decreasing livestock carcass availability. We found a delay in laying dates and a regressive trend in clutch size, breeding success, and survival following policy change. The maintenance of specific supplementary feeding stations for Bearded Vultures probably reduced the negative effects of illegal poisoning and food shortages, which mainly affected subadult survival. A drop in food availability may have produced changes in demographic parameters and an increase in mortality due to an increased exposure to contaminated food. As a result, supplementary feeding as a precautionary measure can be a useful tool to reduce illegal poisoning and declines in demographic parameters until previous food availability scenarios are achieved. This study shows how anthropogenic activities through human health regulations that affect habitat quality can suddenly modify demographic parameters in long-lived species, including those, such as survival, with high sensitivity to population growth rate., This study was supported by Generalitat de Catalunya and Ministerio de Medio Ambiente. Funds were partially provided by Balearic Regional Government-FEDER programme. A. Margalida was supported by a Ramón y Cajal research contract from the Ministerio de Economía y Competitividad (RYC-2012-11867)
- Published
- 2014
- Full Text
- View/download PDF
48. Recent Trends in Medieval Urban History.
- Author
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Rollo-Koster, Joëlle
- Subjects
- *
NONFICTION - Published
- 2016
- Full Text
- View/download PDF
49. Le deroghe ai requisiti igienico-sanitari nel recupero e nelle sanatorie di civili abitazioni in Italia
- Author
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Capasso, L, Varagnoli, Claudio, Basti, A, Petronio, Mg, Flacco, Me, Mascaro, L, Manzoli, Lamberto, and D'Alessandro, D.
- Subjects
Building Hygiene, Hygienic Requirements, Health Regulations ,Hygienic Requirements ,Igiene edilizia ,Socio-culturale ,Igiene edilizia, requisiti igienico-sanitari, normativa sanitaria ,requisiti igienico-sanitari ,normativa sanitaria ,Building Hygiene ,Health Regulations - Published
- 2014
50. Stop! The Polio Vaccination Cessation Game
- Author
-
Scott Barrett
- Subjects
Economics and Econometrics ,Economic growth ,polio ,health regulations ,Development ,immunization ,infectious diseases ,polioviruses ,Polio vaccine ,polio vaccine ,Accounting ,Poliomyelitis eradication ,medicine ,birth rate ,infections ,Smallpox virus ,Health policy ,public health ,health policy ,medicine.disease ,vaccination ,Polio Vaccination ,Poliomyelitis ,Vaccination ,global polio eradication initiative ,smallpox ,endemic countries ,workers ,life expectancy ,epidemiology ,Business ,Developed country ,immunodeficiency ,Finance ,polio eradication ,poliomyelitis - Abstract
Should polio be eradicated worldwide, countries must decide whether to continue to vaccinate with the live-attenuated vaccine, to continue to vaccinate with the alternative, killed vaccine, or to cease vaccinating. To reap a dividend from polio eradication, countries must choose the last option, but vaccination cessation entails interdependent risks as well as rewards. This article models the polio vaccination cessation game, deriving the conditions that support vaccination cessation as an equilibrium, describing the policies and institutions needed to steer countries toward this equilibrium, and presenting crude quantitative estimates of the gains to supporting this equilibrium. Copyright , Oxford University Press.
- Published
- 2011
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