scholarly journals Temporal Changes in Alcohol-Related Morbidity and Mortality in Germany

2015 ◽  
Vol 21 (5) ◽  
pp. 262-272 ◽  
Author(s):  
Ludwig Kraus ◽  
Alexander Pabst ◽  
Daniela Piontek ◽  
Gerrit Gmel ◽  
Kevin D. Shield ◽  
...  
Keyword(s):  
Health Care Access ◽  
Age Groups ◽  
Morbidity And Mortality ◽  
Attributable Mortality ◽  
Population Exposure ◽  
Care Access ◽  
Hospitalization Rates ◽  
Attributable Fractions ◽  
Per Capita Consumption ◽  
Related Mortality

Aims: Trends in morbidity and mortality, fully or partially attributable to alcohol, for adults aged 18-64 were assessed for Germany. Methods: The underestimation of population exposure was corrected by triangulating survey data with per capita consumption. Alcohol-attributable fractions by sex and two age groups were estimated for major disease categories causally linked to alcohol. Absolute numbers, population rates and proportions relative to all hospitalizations and deaths were calculated. Results: Trends of 100% alcohol-attributable morbidity and mortality over thirteen and eighteen years, respectively, show an increase in rates of hospitalizations and a decrease in mortality rates. Comparisons of alcohol-attributable morbidity including diseases partially caused by alcohol revealed an increase in hospitalization rates between 2006 and 2012. The proportion of alcohol-attributable hospitalizations remained constant. Rates of alcohol-attributable mortality and the proportion among all deaths decreased. Conclusions: The increasing trend in mortality due to alcohol until the mid-1990s has reversed. The constant proportion of all hospitalizations that were attributable to alcohol indicates that factors such as improved treatment and easier health care access may have influenced the general increase in all-cause morbidity. To further reduce alcohol-related mortality, efforts in reducing consumption and increasing treatment utilization are needed.

scholarly journals Statistical Modelling of Temperature-Attributable Deaths in Portuguese Metropolitan Areas under Climate Change: Who Is at Risk?

Atmosphere ◽  
2020 ◽  
Vol 11 (2) ◽  
pp. 159
Author(s):  
Mónica Rodrigues ◽  
Paula Santana ◽  
Alfredo Rocha
Keyword(s):  
Climate Change ◽  
Metropolitan Area ◽  
Age Groups ◽  
Circulatory System ◽  
Statistical Modelling ◽  
Attributable Mortality ◽  
Historical Period ◽  
Age Group ◽  
Circulatory System Diseases ◽  
Related Mortality

Several studies emphasize that temperature-related mortality can be expected to have differential effects on different subpopulations, particularly in the context of climate change. This study aims to evaluate and quantify the future temperature-attributable mortality due to circulatory system diseases by age groups (under 65 and 65+ years), in Lisbon metropolitan area (LMA) and Porto metropolitan area (PMA), over the 2051–2065 and 2085–2099 time horizons, considering the greenhouse gas emissions scenario RCP8.5, in relation to a historical period (1991–2005). We found a decrease in extreme cold-related deaths of 0.55% and 0.45% in LMA, for 2051–2065 and 2085–2099, respectively. In PMA, there was a decrease in cold-related deaths of 0.31% and 0.49% for 2051–2065 and 2085–2099, respectively, compared to 1991–2005. In LMA, the burden of extreme heat-related mortality in age group 65+ years is slightly higher than in age group <65 years, at 2.22% vs. 1.38%, for 2085–2099. In PMA, only people aged 65+ years showed significant temperature-related burden of deaths that can be attributable to hot temperatures. The heat-related excess deaths increased from 0.23% for 2051–2065 to 1.37% for 2085–2099, compared to the historical period.

Balancing safety against obstruction to health care access: An examination of behavioral flags in the VA health care system.

2018 ◽  
Vol 5 (1) ◽  
pp. 35-41
Author(s):  
Linda E. Weinberger ◽  
Shoba Sreenivasan ◽  
Daniel E. Smee ◽  
James McGuire ◽  
Thomas Garrick
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Access ◽  
Care Access ◽  
Va Health Care System ◽  
Care System

Measurement Issues in Dissemination and Implementation Research

2017 ◽  
Author(s):  
Cara C. Lewis ◽  
Enola K. Proctor ◽  
Ross C. Brownson
Keyword(s):  
Health Care ◽  
Implementation Research ◽  
Health Care Access ◽  
Healthcare Research ◽  
Dissemination And Implementation ◽  
Measurement Issues ◽  
Care Access ◽  
Dissemination And Implementation Science ◽  
Dissemination And Implementation Research ◽  
Access And Quality

The National Institutes of Health, the Agency for Healthcare Research and Quality, the CDC, and a number of private foundations have expressed the need for advancing the science of dissemination and implementation. Interest in dissemination and implementation research is present in many countries. Improving health care requires not only effective programs and interventions, but also effective strategies to move them into community based settings of care. But before discrete strategies can be tested for effectiveness, comparative effectiveness, or cost effectiveness, context and outcome constructs must be identified and defined in such a way that enables their manipulation and measurement. Measurement is underdeveloped, with few psychometrically strong measures and very little attention paid to their pragmatic nature. A variety of tools are needed to capture health care access and quality, and no measurement issues are more pressing than those for dissemination and implementation science.

Health Care Access and Use Among the Rural Uninsured

2012 ◽  
Vol 23 (3) ◽  
pp. 1327-1345 ◽  
Author(s):  
Erika C. Ziller ◽  
Jennifer D. Lenardson ◽  
Andrew F. Coburn
Keyword(s):  
Health Care ◽  
Health Care Access ◽  
Care Access
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