Travelling to the city for hospital care: Access factors in country Aboriginal patient journeys

2014 ◽  
Vol 22 (3) ◽  
pp. 109-113 ◽  
Author(s):  
Janet Kelly ◽  
Judith Dwyer ◽  
Eileen Willis ◽  
Brita Pekarsky
Keyword(s):  
Hospital Care ◽  
Care Access ◽  
Aboriginal Patient ◽  
The City

Estimation of the Demand for Hospital Care After a Possible High-Magnitude Earthquake in the City of Lima, Peru

2016 ◽  
Vol 32 (1) ◽  
pp. 106-111 ◽  
Author(s):  
Celso Bambarén ◽  
Angela Uyen ◽  
Miguel Rodriguez
Keyword(s):  
Hospital Care ◽  
Civil Defense ◽  
Public Hospitals ◽  
Time Of Arrival ◽  
Publication Type ◽  
Large Cities ◽  
High Magnitude ◽  
The Hours ◽  
Specialized Care ◽  
The City

AbstractIntroductionA model prepared by National Civil Defense (INDECI; Lima, Peru) estimated that an earthquake with an intensity of 8.0 Mw in front of the central coast of Peru would result in 51,019 deaths and 686,105 injured in districts of Metropolitan Lima and Callao. Using this information as a base, a study was designed to determine the characteristics of the demand for treatment in public hospitals and to estimate gaps in care in the hours immediately after such an event.MethodsA probabilistic model was designed that included the following variables: demand for hospital care; time of arrival at the hospitals; type of medical treatment; reason for hospital admission; and the need for specialized care like hemodialysis, blood transfusions, and surgical procedures. The values for these variables were obtained through a literature search of the databases of the MEDLINE medical bibliography, the Cochrane and SciELO libraries, and Google Scholar for information on earthquakes over the last 30 years of over magnitude 6.0 on the moment magnitude scale.ResultsIf a high-magnitude earthquake were to occur in Lima, it was estimated that between 23,328 and 178,387 injured would go to hospitals, of which between 4,666 and 121,303 would require inpatient care, while between 18,662 and 57,084 could be treated as outpatients. It was estimated that there would be an average of 8,768 cases of crush syndrome and 54,217 cases of other health problems. Enough blood would be required for 8,761 wounded in the first 24 hours. Furthermore, it was expected that there would be a deficit of hospital beds and operating theaters due to the high demand.ConclusionSudden and violent disasters, such as earthquakes, represent significant challenges for health systems and services. This study shows the deficit of preparation and capacity to respond to a possible high-magnitude earthquake. The study also showed there are not enough resources to face mega-disasters, especially in large cities.BambarénC, UyenA, RodriguezM. Estimation of the demand for hospital care after a possible high-magnitude earthquake in the City of Lima, Peru. Prehosp Disaster Med. 2017;32(1):106–111.

e-Care e anziani fragili: l'accesso come percorso comunicativo

2009 ◽  
pp. 83-102
Author(s):  
Carla Fiori ◽  
Walter Orsi
Keyword(s):  
Health Care ◽  
Life Quality ◽  
Third Sector ◽  
Degenerative Diseases ◽  
Old People ◽  
Access System ◽  
Care Access ◽  
Care Project ◽  
The Times ◽  
The City

- Weakness and chronic or degenerative diseases highlight the need to reconsider the access system to social and sanitary services. Such an access is connoted by a communicational route, which from time to time will require listening, information, guidance, mediation, reassurance and promotion of adequate lifestyles. The e-Care system represents an original way to manage that communicational route. Specifically, the e-Care project in Bologna has highlighted numerous innovative aspects through its organisational sides and its achieved good results. These are: access personalisation; making the city user responsible; involving associations and voluntary services in order to fulfil those needs of a life quality that affect the health, the times and the circumstances of the service fruition.Keywords: e-Care; access personalisation; old people; health care; third sector.

Prevalence of Schizophrenia in an Urban Population

1986 ◽  
Vol 149 (5) ◽  
pp. 603-611 ◽  
Author(s):  
H. Freeman ◽  
M. Alpert
Keyword(s):  
Health Services ◽  
Hospital Care ◽  
Urban Population ◽  
Point Prevalence ◽  
Case Register ◽  
Selective Migration ◽  
Psychiatric Case Register ◽  
One Year ◽  
The City ◽  
Use Of Health Services

The treated one-year prevalence and point-prevalence of schizophrenia, schizoaffective psychosis, and paranoid state in the city of Salford were derived from the Salford Psychiatric Case Register. The high rates found are attributed primarily to the effects of selective migration from the area. A breakdown of the use of health services in the area by patients with these diagnoses is given; hospital care was found to be the major form of treatment.

scholarly journals Preventing vertical HIV virus transmission: hospital care assessment

2020 ◽  
Vol 73 (3) ◽  
Author(s):  
Ana Paula Ferreira Holzmann ◽  
Carla Silvana de Oliveira e Silva ◽  
Janer Aparecida Silveira Soares ◽  
Sibylle Emilie Vogt ◽  
Carolina dos Reis Alves ◽  
...  
Keyword(s):  
Medical Records ◽  
Hospital Care ◽  
Retrospective Cohort ◽  
Virus Transmission ◽  
Postpartum Women ◽  
Hiv Virus ◽  
Care Assessment ◽  
Maternity Hospitals ◽  
Vertical Transmission Of Hiv ◽  
The City

ABSTRACT Objectives: assess the implementation of actions to prevent vertical transmission of HIV. Methods: a retrospective cohort study conducted in two maternity hospitals in the city of Montes Claros, State of Minas Gerais. All women admitted for childbirth diagnosed with HIV and their respective newborns were included from 2014 to 2017. Data were collected from medical records and analyzed descriptively. Results: population consisted of 46 pairs of mothers and newborns. Management was considered inadequate in 30 cases of parturient/postpartum women (65.2%) and 14 cases of newborns (30.4%). The main reasons for inadequate maternal management were lack of pharmacological inhibition of lactation (53.3%) and counseling/consent for HIV testing (43.3%). For newborns, late onsetoffirst dose ofZidovudine (50.0%) and no prescriptionofNevirapine (28.6%). Conclusions: important prevention opportunities were missed, pointing to the need for improved care.

scholarly journals HOME BIRTH: UNDERSTANDING THE REASONS FOR THIS CHOICE

2015 ◽  
Vol 24 (3) ◽  
pp. 875-882 ◽  
Author(s):  
Clara Fróes de Oliveira Sanfelice ◽  
Antonieta Keiko Kakuda Shimo
Keyword(s):  
Content Analysis ◽  
Hospital Care ◽  
Home Birth ◽  
Informed Choice ◽  
Descriptive Study ◽  
Sao Paulo ◽  
Model Of Care ◽  
Structured Interviews ◽  
The City ◽  
At Home

ABSTRACTThis qualitative, exploratory and descriptive study aimed to understand the reasons that underlie the choice of homebirth. The information was captured through semi-structured interviews, applied between February and March 2014, recorded and transcribed. The sample obtained by saturation of data was composed of 14 women who had at least one experience of home birth, planned and attended in the previous year in the city of Campinas, state of São Paulo, Brazil, and region. The discussions were analyzed according to the method of Bardin's content analysis. The results gave rise to two categories: to gain information so as to be able to make an informed choice, and to be against the model of hospital care. The reasons listed show that the acquisition of knowledge is a basic condition to support the decision to give birth at home, in addition to revealing these women's great dissatisfaction with the current institutionalized model of care during childbirth.

scholarly journals Hospitalization flow in the public and private systems in the state of Sao Paulo, Brazil

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Juan Stuardo Yazlle Rocha ◽  
Rosane Aparecida Monteiro ◽  
Marizélia Leão Moreira
Keyword(s):  
Hospital Care ◽  
Sao Paulo ◽  
The State ◽  
Southeastern Brazil ◽  
São Paulo ◽  
Public And Private ◽  
The Public ◽  
Care Access ◽  
Flow Balance ◽  
Migration Flows

OBJECTIVE To describe the migration flows of demand for public and private hospital care among the health regions of the state of Sao Paulo, Brazil. METHODS Study based on a database of hospitalizations in the public and private systems of the state of Sao Paulo, Southeastern Brazil, in 2006. We analyzed data from 17 health regions of the state, considering people hospitalized in their own health region and those who migrated outwards (emigration) or came from other regions (immigration). The index of migration effectiveness of patients from both systems was estimated. The coverage (hospitalization coefficient) was analyzed in relation to the number of inpatient beds per population and the indexes of migration effectiveness. RESULTS The index of migration effectiveness applied to the hospital care demand flow allowed characterizing health regions with flow balance, with high emigration of public and private patients, and with high attraction of public and private patients. CONCLUSIONS There are differences in hospital care access and opportunities among health regions in the state of Sao Paulo, Brazil.

scholarly journals Child Health in the Peruvian Amazon: Prevalence and Factors Associated with Referred Morbidity and Health Care Access in the City of Iñapari

2015 ◽  
Vol 2015 ◽  
pp. 1-11
Author(s):  
Maria Gabriela Silva Guimarães ◽  
Athos Muniz Braña ◽  
Humberto Oliart-Guzmán ◽  
Fernando Luiz Cunha Castelo Branco ◽  
Breno Matos Delfino ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Access ◽  
Respiratory Symptoms ◽  
Respiratory Infections ◽  
Access To Health Services ◽  
Care Access ◽  
Poor Access ◽  
Access To Health ◽  
The City

Introduction. Children under 5 years of age are more susceptible to developing morbidities such as diarrhea, respiratory infections, anemia, and malnutrition. The objective of the study is to evaluate the prevalence of reported morbidities in this age group in the city of Iñapari (Peru) and the access to health services in this municipality.Methods. Data collection using interviews that assessed socioeconomic and demographic conditions, child morbidity, and access to health services was performed in 2011. Statistical analysis was performed using SPSS 13.0.Results. Regarding morbidities that occurred during lifetime, 39.8% reported previous anemia and intestinal parasite infection. About 53.7% of the children reported any type of morbidities in the last 15 days before interview, being most frequent respiratory symptoms (38.9%), diarrhea (23,4%), and fever (23,1%). Only 63.1% of those reporting recent morbidities sought health care. These morbidities were associated with precarious sanitation and lack of infrastructure, the presence of other comorbidities, and poor access to health services.Conclusion. The main referred morbidities in Amazonian Peruvian children were diarrhea, respiratory symptoms, anemia, and vomiting. Incentives and improvements in the health and sanitation conditions would be important measures to improve the quality of life of the Amazonian child population.

When to Care

2009 ◽  
Vol 33 (2) ◽  
pp. 155-182
Author(s):  
Kevin Lander ◽  
Jonathan Pritchett
Keyword(s):  
United States ◽  
Civil War ◽  
Hospital Admission ◽  
Medical Treatment ◽  
New Orleans ◽  
Hospital Care ◽  
Southern United States ◽  
Length Of Residence ◽  
Positive Correlation ◽  
The City

Prior to the Civil War, many hospitals in the southern United States treated both free and slave patients. In this article we develop a model for the selective medical treatment of slaves. We argue that the pecuniary benefits of hospital care increased with the price of the slave if healthy. Using a rich sample of admission records from New Orleans Touro Hospital, we find a positive correlation between the predicted price of the slave and the probability of hospital admission. We test the robustness of the model by controlling for the length of residence in the city, ownership by traders and doctors, and the type of illness.

scholarly journals Insular pathways to health care in the city: a multilevel analysis of access to hospital care in urban Kerala, India

2007 ◽  
Vol 12 (7) ◽  
pp. 802-814 ◽  
Author(s):  
Jean-Frédéric Levesque ◽  
Slim Haddad ◽  
Delampady Narayana ◽  
Pierre Fournier
Keyword(s):  
Health Care ◽  
Multilevel Analysis ◽  
Hospital Care ◽  
The City
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