scholarly journals Characteristics and Trends in Hypnotics Consumption in the Largest Health Care System in Israel

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
O. Marom ◽  
G. Rennert ◽  
N. Stein ◽  
K. Landsman ◽  
G. Pillar
Keyword(s):  
Health Care ◽  
Health Services ◽  
Retrospective Analysis ◽  
Health Care System ◽  
Health Care Provider ◽  
Dose Escalation ◽  
Care Provider ◽  
Pharmacy Records ◽  
Israeli Population ◽  
Major Increase

Objectives. To quantify and characterize hypnotics consumption habits among adult patients insured by Clalit Health Services (CHS), the largest health care provider in Israel, in 2000 and 2010.Methods. A retrospective analysis of CHS computerized pharmacy records. Data were collected for all patients over the age of 18 years who were prescribed hypnotics in 2000 and in 2010.Results. Sleep medications were consumed by 8.7% of the adult CHS population in 2000 and by 9.6% in 2010. About one-quarter of consumers were treated for more than 6 months in both years. Multiple sleeping drugs were consumed more often in 2010 (45.2%) than a decade before (22%). While in 2000 benzodiazepines accounted for 84.5% of hypnotics, in 2010 this was reduced to 73.7% (p<0.05). Of all patients treated for longer than 6 months only 11% in 2000 and 9% in 2010 required a dose escalation suggesting the absence of tolerance.Conclusions. Nine percent of the Israeli population consumes hypnotics. There is a major increase in prescription of combination of medications between 2000 and 2010, with an increase in Z class medications use and reduction in benzodiazepines. Most patients chronically treated did not escalate dosage, suggesting the absence of tolerance.

scholarly journals Telemedicine during COVID-19: India embracing the change

2021 ◽  
Vol 8 (4) ◽  
pp. 262-264
Author(s):  
Manoj Pathak ◽  
Srishti Rai
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Provider ◽  
Care Provider ◽  
Adult Literacy ◽  
Rural Areas ◽  
Vital Role ◽  
Literacy Rate ◽  
Psychological Counselling ◽  
Standards Of Practice

Telemedicine has been around for decades but it has taken foreground in health services recently. When COVID-19 cases started to be reported in the country it brought with itself panic and chaos. At all India level, the adult literacy rate is 77.7%, this could also be linked to unawareness related to the disease in rural areas. The sudden countrywide lockdown imposed was of no help and further worsened the situation for economically weaker section of the society. During the struggle of our nation to overcome the COVID-19 Telemedicine has indeed played a vital role. People in fear of contacting the disease and due to nationwide lockdown were unable to reach their health care provider. People with pre-existing conditions that needs regular monitoring, pregnancy related queries, queries on new symptoms, psychological counselling and many more could not wait for the COVID-19 to be over before they get any help on the issues.­­ Telemedicine shall continue developing and be used in a multitude of settings by more health-care doctors and patients, and these standards of practice will be a crucial driver within this evolution.

scholarly journals Experiences of everyday racism in Toronto’s health care system: a concept mapping study

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Deb Finn Mahabir ◽  
Patricia O’Campo ◽  
Aisha Lofters ◽  
Ketan Shankardass ◽  
Christina Salmon ◽  
...  
Keyword(s):  
Health Care ◽  
Concept Mapping ◽  
Health Care System ◽  
Health Care Provider ◽  
Health Care Providers ◽  
Care Provider ◽  
Institutional Racism ◽  
Care Providers ◽  
Racial Ethnic ◽  
Care System

Abstract Background In Canada, there is longstanding evidence of health inequities for racialized groups. The purpose of this study is to understand the effect of current health care policies and practices on racial/ethnic groups and in particular racialized groups at the level of the individual in Toronto’s health care system. Methods This study used a semi-qualitative study design: concept mapping. A purposive sampling strategy was used to recruit participants. Health care users and health care providers from Toronto and the Greater Toronto Area participated in all four concept mapping activities. The sample sizes varied according to the activity. For the rating activity, 41 racialized health care users, 23 non-racialized health care users and 11 health care providers completed this activity. The data analysis was completed using the concept systems software. Results Participants generated 35 unique statements of ways in which patients feel disrespect or mistreatment when receiving health care. These statements were grouped into five clusters: ‘Racial/ethnic and class discrimination’, ‘Dehumanizing the patient’, ‘Negligent communication’, ‘Professional misconduct’, and ‘Unequal access to health and health services’. Two distinct conceptual regions were identified: ‘Viewed as inferior’ and ‘Unequal medical access’. From the rating activity, racialized health care users reported ‘race’/ethnic based discrimination or everyday racism as largely contributing to the challenges experienced when receiving health care; statements rated high for action/change include ‘when the health care provider does not complete a proper assessment’, ‘when the patient’s symptoms are ignored or not taken seriously’, ‘and ‘when the health care provider belittles or talks down to the patient’. Conclusions Our study identifies how racialized health care users experience everyday racism when receiving health care and this is important to consider in the development of future research and interventions aimed at addressing institutional racism in the health care setting. To support the elimination of institutional racism, anti-racist policies are needed to move beyond cultural competence polices and towards addressing the centrality of unequal power social relations and everyday racism in the health care system.

Can We Design a Better Immunization Mousetrap?

PEDIATRICS ◽  
1979 ◽  
Vol 63 (3) ◽  
pp. 501-502
Author(s):  
Edgar K. Marcuse
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Provider ◽  
Care Provider ◽  
Washington State ◽  
Immunization Schedule ◽  
National Immunization ◽  
Lost To Follow Up ◽  
Care System

Our nation's failure to adequately immunize children remains a vexing and embarrassing problem. An article in this issue (p 416) verifies the virtual impossibility of fully immunizing 90% of children by age 2 years. Repeated national immunization surveys have shown that most children receive some immunization by age 2 years.1 The failure results principally from children who enter the health care system and are then lost to follow-up. A 1977 immunization survey in Washington state showed that a single additional visit to a health care provider could have increased the number of two-yean-olds fully immunized from 60% to 82%.2 Part of the solution may lie in simplifying the recommended immunization schedule.

1652: The Effect of Health Care Provider Characteristics on Nodal Yield at Radical Cystectomy

2007 ◽  
Vol 177 (4S) ◽  
pp. 548-548
Author(s):  
Girish S. Kulkarni ◽  
Gina A. Lockwood ◽  
Andrew Evans ◽  
Arthy Saravanan ◽  
Michael A.S. Jewett ◽  
...  
Keyword(s):  
Health Care ◽  
Radical Cystectomy ◽  
Health Care Provider ◽  
Care Provider ◽  
Provider Characteristics ◽  
Nodal Yield

User- and Health Care Provider–Reported Outcomes for a Wearable Bolus Insulin Delivery Patch

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 995-P
Author(s):  
MARK PEYROT ◽  
RICHARD M. BERGENSTAL ◽  
DARLENE M. DREON ◽  
VANITA ARODA ◽  
TIMOTHY S. BAILEY ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Provider ◽  
Care Provider ◽  
Insulin Delivery ◽  
Bolus Insulin
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