scholarly journals Long-term hospital attendance of children and adults who have undergone removal of normal or inflamed appendices

2002 ◽  
Vol 181 (6) ◽  
pp. 526-530 ◽  
Author(s):  
Nicola J. Dummett ◽  
Nicola J. Maughan ◽  
Anne Worrall-Davies
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Attendance Rates ◽  
Liaison Psychiatry ◽  
Abdominal Symptoms ◽  
Secondary Health Care ◽  
Care Systems ◽  
Self Harm ◽  
Males And Females

BackgroundEarly studies suggested that presentations with unexplained acute abdominal pain were associated with increased long-term rates of hospital attendance and self-harm, especially in women, but few studies were large enough for definitive findings.AimsTo test the hypothesis that such presentations are followed by higher long-term utilisation rates of secondary health care even excluding further abdominal symptoms, and particularly for self-harm, than presentations with acute appendicitis.MethodNew hospital attendance rates, liaison psychiatry attendances and self-harm attendances of patients with normal appendices at emergency appendicectomy were compared with those of appendicitis patients.ResultsAttendance rates of all kinds were significantly higher for normal appendix patients than for appendicitis patients, with equal strengths of finding for males and females.ConclusionsPeople with normal appendices at emergency appendicectomy show higher long-term rates of hospital attendance. This has implications for how these patients are best managed by health care systems.

Attitudes of British Psychiatrists to the Diagnosis of Somatisation Disorder

1993 ◽  
Vol 162 (4) ◽  
pp. 463-466 ◽  
Author(s):  
Julian Stern ◽  
Michael Murphy ◽  
Christopher Bass
Keyword(s):  
Health Care ◽  
North American ◽  
Health Care Systems ◽  
Postal Questionnaire ◽  
Liaison Psychiatry ◽  
Diagnostic Practices ◽  
Somatisation Disorder ◽  
Icd 10 ◽  
Care Systems ◽  
The Difference

A postal questionnaire was sent to 195 senior British psychiatrists who were asked about their attitudes towards the DSM-III-R diagnosis of somatisation disorder (SD) and the ICD-10 diagnosis of multiple somatisation disorder. Of the 148 respondents, 98 (66%) had experience of liaison psychiatry, and these psychiatrists used the diagnosis significantly more often than those without liaison sessions. More than half the respondents perceived SD as both a personality disorder and a mental state disorder, although 27% thought that patients with SD had an undiagnosed physical disease. The marked discrepancy between British and North American psychiatrists in diagnostic practices was perceived to be a consequence of both the difference in health care systems and the interest shown in the disorder by North American psychiatrists, rather than a reflection of genuine differences in prevalence.

scholarly journals Potential long term adverse health outcomes of COVID-19

2021 ◽  
Vol 9 (1) ◽  
pp. 38-40
Author(s):  
Dibanur Rashid Siddiqua ◽  
Md Shahadat Hossain
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Potential Risk ◽  
Health Care Systems ◽  
Persistent Symptoms ◽  
Adverse Health ◽  
Adverse Health Outcomes ◽  
Care Systems ◽  
Post Infectious

The coronavirus disease 2019(COVID-19) pandemic poses an extraordinary challenges to patients, communities and overall health care systems. It has resulted in millions of people infected worldwide and has indirectly devastated even more individuals with prolonged post-infectious symptoms. The burden of survivors having post-COVID symptoms is likely to be huge. Multidisciplinary post-COVID-19 clinics are now playing a pivotal role addressing both persistent symptoms and potential long term sequelae. In this review, we tried to summarize the adverse health outcomes based on current evidences, assess the potential risk of long-term complications and make certain recommendations. Bangladesh Crit Care J March 2021; 9(1): 38-40

scholarly journals COVID-19 containment policies through time may cost more lives at metapopulation level

2020 ◽  
Author(s):  
Konstans Wells ◽  
Miguel Lurgi
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Systems ◽  
Informed Decision ◽  
Mitigation Strategies ◽  
Disease Spread ◽  
Informed Decision Making ◽  
Short Term ◽  
Care Systems

AbstractThe rapid and pandemic spread of COVID-19 has led to unprecedented containment policies in response to overloaded health care systems. Disease mitigation strategies require informed decision-making to ensure a balance between the protection of the vulnerable from disease and the maintenance of global economies. We show that temporally restricted containment efforts, that have the potential to flatten epidemic curves, can result in wider disease spread and larger epidemic sizes in metapopulations. Longer-term rewiring of metapopulation networks or the enforcement of feasible long-term measures that decrease disease transmissions appear to be more efficient than temporarily restricted intensive mitigation strategies (e.g. short-term mass quarantine). Our results may inform balanced containment strategies for short-term disease spread mitigation in response to overloaded health care systems and longer-term epidemiological sizes.

scholarly journals Can innovative digital collaborations help overcome barriers to intersectoral collaboration?

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
C Nordström ◽  
B Kumar
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Systems ◽  
Local Level ◽  
National Level ◽  
Migrant Health ◽  
Intersectoral Collaboration ◽  
Professional Networks ◽  
Care Systems

Abstract Issue Health in all policies is desirable, but moving from the silos approach is a challenge for health care systems. New health policies require more cooperation and broader collaboration between governmental, private and volunteer sector, as well as across professions. Though it is key to implementation of national policies and long-term public health work at the local level, intersectoral collaboration remains elusive. Professionals working with public health and migrant health across Norway often work independently of each other and other sectors. Description of the Problem Evaluation of the Norwegian network for migrant friendly hospitals showed that with the opportunity to meet and share experiences, participants used the new knowledge and network in developing their practice and organisation of services. They experienced greater support to challenge status quo in their institutions. However, fear of making the network “too big to handle” is a barrier to creating intersectoral network. In a recent survey (2017), health personnel ask for digital solutions for finding resources and support in their practice to give better health care to immigrant patients. Results The newly (2020) knowledge HUB part of JAHEE actions brings stakeholders together at the local, regional and national level, ensuring access to the same knowledge, increase evidence based decisions among stakeholders when choosing interventions on the local, regional and national level, including sharing of good practices and promising initiatives at a national level so that they can be replicated. Lessons Professional networks that are coordinated and collaborative are important for development of services and implementation of measures for migrant health. However, expanding them across sectors and fields may create challenges. Combining sectoral networks with a common digital platform may overcome some of these challenges. Key messages Exploiting the potential of collaborative digital solutions may help overcome some barriers to intersectoral approach to migrant health. Coordinated collaborative professional networks can support the participants in developing their practice and organisation of services for migrants.

scholarly journals Federating distributed clinical data for the prediction of adverse hypotensive events

2009 ◽  
Vol 367 (1898) ◽  
pp. 2679-2690 ◽  
Author(s):  
Anthony Stell ◽  
Richard Sinnott ◽  
Jipu Jiang ◽  
Rob Donald ◽  
Iain Chambers ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Health Care ◽  
System Development ◽  
Health Care Systems ◽  
Health Indicators ◽  
Relevant Information ◽  
Pressure Drops ◽  
Arterial Blood ◽  
Secondary Health Care ◽  
Care Systems

The ability to predict adverse hypotensive events, where a patient's arterial blood pressure drops to abnormally low (and dangerous) levels, would be of major benefit to the fields of primary and secondary health care, and especially to the traumatic brain injury domain. A wealth of data exist in health care systems providing information on the major health indicators of patients in hospitals (blood pressure, temperature, heart rate, etc.). It is believed that if enough of these data could be drawn together and analysed in a systematic way, then a system could be built that will trigger an alarm predicting the onset of a hypotensive event over a useful time scale, e.g. half an hour in advance. In such circumstances, avoidance measures can be taken to prevent such events arising. This is the basis for the Avert-IT project ( http://www.avert-it.org ), a collaborative EU-funded project involving the construction of a hypotension alarm system exploiting Bayesian neural networks using techniques of data federation to bring together the relevant information for study and system development.

scholarly journals THE PREVENTABLE CAUSES OF DEATH IN RUSSIA AND IN THE EU COUNTRIES

2019 ◽  
Vol 61 (3) ◽  
pp. 116-122 ◽  
Author(s):  
Tamara P. Sabgayda
Keyword(s):  
Health Care ◽  
Causes Of Death ◽  
Health Care Systems ◽  
Eu Countries ◽  
Care Systems ◽  
Males And Females ◽  
Analysis Of Dynamics ◽  
Source Of Information ◽  
The Eu ◽  
Preventable Mortality

To analyze functioning of health care systems in the European countries, a new listing of preventable causes of death was developed, ignoring impact of policy of population health protection. The following question is arising: does proximity of rates of more than ten-year decreasing of preventable and non-preventable mortality in Russia is conditioned by occurred necessity of adjustment of listing of preventable causes? The study was carried out to investigate applicability of the new listing of preventable causes for analyzing mortality of population of Russia. The comparative analysis was applied to dynamics of preventable mortality evaluated according two listings for Russia and EU countries up to May 2004 (Holland W., 1997; Nolte E., McKee M., 2004). In both listings the causes were assorted in three levels of mortality prevention. The information of European mortality database WHO/Europe was used. The analysis concerned males and females aged from 25 to 64 years during 1999-2013. The results of analysis of dynamics of preventable mortality in the EU counties substantially depend on listing of preventable causes whereas in Russia this dependency is observed only during analysis of female mortality. For the EU countries it is inexpediently to consider causes depending on primarily prevention of diseases as related to controllable mortality. However, in Russia these causes have a crucial impact on level and dynamics of mortality. So, in Russia the old listing of preventable causes continues to be actual and the new listing can be applied only as additional source of information to results of evaluation of functioning of health care system developed on the basis of the old listing.

Health and Care of an Ageing Population: Alignment of Health and Social Systems to Address the Need

2021 ◽  
pp. 097206342199499
Author(s):  
Sangay Thinley
Keyword(s):  
Health Care ◽  
Older People ◽  
Long Term Care ◽  
Health Care Systems ◽  
Population Ageing ◽  
Demographic Shift ◽  
Term Care ◽  
The Social ◽  
Care Systems

Population ageing is both an achievement and challenge, an achievement as longevity is the result of successful prevention and control of diseases, decreasing fertility rates and overall socio-economic development. It is at the same time a challenge as the increasing number of older people and the resultant demographic shift are accompanied by the need to adjust and scale up the social and health care systems. The challenges are of particular relevance to the developing world where the demographic shift is occurring much faster. Comprehensive efforts based on country contexts are required in the following areas: (a) older persons and development, (b) health and well-being and (c) enabling and supportive environments to address population ageing needs. This article, however, focuses only on three most crucial issues, that is, livelihood, health care systems and care of the older dependent people. Measures to sustain the livelihood of older people, to align the health systems to provide care and to develop long-term care systems are highlighted. Person-centred care, integration and functional capacity are advocated. Further, ageing in place or living in one’s own home, community or a place with the closest fit with the person’s needs and preferences is considered very important for healthy ageing. In terms of enhancing livelihood, major policy changes and reforms to improve the social security systems and expanding coverage as well as increasing the amounts to minimum subsistence levels are highlighted. Another area which needs to be strengthened is the tradition of existing family support systems. The health systems alignment required are reflected for each health system building block, and focuses mainly on (a) developing and ensuring access to services that provide older-person-centred care; (b) shifting the clinical focus from disease to intrinsic capacity; and (c) developing or reorienting the health workforce to provide care as per alignment. Long-term care systems would best meet the needs of dependent older people if families, communities, civil society organisations and private sector are equally involved while governments play leadership roles in setting up and monitoring quality.

scholarly journals Investigating duration and intensity of Covid-19 social-distancing strategies

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
C. Neuwirth ◽  
C. Gruber ◽  
T. Murphy
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
A Priori ◽  
Added Value ◽  
Secondary Effects ◽  
Social Distancing ◽  
National Health Care ◽  
Rapid Spread ◽  
Care Systems

AbstractThe exponential character of the recent Covid-19 outbreak requires a change in strategy from containment to mitigation. Meanwhile, most countries apply social distancing with the objective to keep the number of critical cases below the capabilities of the health care system. Due to the novelty and rapid spread of the virus, an a priori assessment of this strategy was not possible. In this study, we present a model-based systems analysis to assess the effectiveness of social distancing measures in terms of intensity and duration of application. Results show a super-linear scaling between intensity (percent contact reduction) and required duration of application to have an added value (a lower number of fatalities). This holds true for an effective reproduction of $$R>1$$ R > 1 and is reverted for $$R<1$$ R < 1 . If R is not reduced below 1, secondary effects of required long-term isolation are likely to unravel the added value of disease mitigation. If an extinction is not feasible, we recommend moderate social-distancing that is well balanced against capability limits of national health-care systems.

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