scholarly journals Gestão da Atenção Primária: uma proposta de avaliação de impacto da APS em duas cidades do Nordeste do Brasil

2021 ◽  
Vol 3 (2) ◽  
pp. 117-130
Author(s):  
Galba Freire Moita
Keyword(s):  
Health Care ◽  
Impact Assessment ◽  
Public Management ◽  
Health Assessment ◽  
Health Sector ◽  
Health Impact ◽  
Non Profit ◽  
Care Health ◽  
Health Organization ◽  
The Impact

Esse estudo apresenta uma proposta de avaliação de impacto na APS a partir da análise contextual da atenção primaria em duas grandes cidades do Ceará, visto que Fortaleza (gestão incremental por OSs) e Sobral (Gestão Pública) representam ambientes privilegiados para a aplicação de modelos avaliativos visando mensurar o impacto, a eficiência, a efetividade e a resolutividade aplicáveis em diferentes contextos da APS do Brasil. Palavras-chave: Direção e Governança do Setor de Saúde, Avaliação de Processos e Resultados (cuidado de saúde), Avaliação em Saúde, Qualidade, Acesso e Avaliação da Assistência à Saúde, Avaliação do Impacto na Saúde.   Abstract This study presents a proposal for impact assessment on PHC from the contextual analysis of primary care in two large cities in Ceará, since Fortaleza (incremental management by OSs - non-profit health organization) and Sobral (Public Management) represent privileged environments for the application of evaluation models aiming to measure the impact, efficiency, effectiveness and resoluteness applicable in different contexts of PHC in Brazil.   Keywords: Health Sector Stewardship and Governance. Process and Results Evaluation (health care). Health Assessment. Quality, Access and Evaluation of Health Care. Health Impact Assessment.

scholarly journals Health Impact Assessment of the construction of hydroelectric dams in Brazil

2018 ◽  
Vol 3 (1) ◽  
pp. 11-36
Author(s):  
Diego Velloso Veronez ◽  
Karina Camasmie Abe ◽  
Simone Georges El Khouri Miraglia
Keyword(s):  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Sector ◽  
Policy Decision ◽  
Health Impact ◽  
Hydroelectric Dams ◽  
Health Authorities ◽  
Study Results ◽  
Social Environmental ◽  
The Impact

Background: Brazil´s dam-building plans in Amazonia imply substantial environmental and social impacts. This study evaluates the relationship between social, environmental, and economic aspects and impacts on the health status of the population of Rondônia, Brazil, due to the implementation of the Jirau and Santo Antônio hydroelectric dams. Methods: A qualitative and retrospective Health Impact Assessment (HIA) is used to focus the study objectives. The information is arranged in a structured diagram that enables an outside reviewer to assess the aspects/impacts relationship derived from the construction of the dams. This comes with outline recommendations for health risk management that can orient national health authorities. We selected a narrative review synthesis as the most appropriate approach for the study. Results: The diagram network was built making it possible to analyse the impact changes caused by this enterprise in the health sector. Additionally, the model will serve in the implementation of a complete HIA approach in an attempt to quantitatively map the impacts and to propose recommendations. Conclusion: This effort is very important for highlighting the priorities in the public policy decision-making process, serving as a basis for the Brazilian Health System. 

scholarly journals Short-Term Health Impact Assessment of Urban PM10in Bejaia City (Algeria)

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Fatima Benaissa ◽  
Cara Nichole Maesano ◽  
Rezak Alkama ◽  
Isabella Annesi-Maesano
Keyword(s):  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Impact ◽  
World Health ◽  
Long Term Effects ◽  
Short Term ◽  
Short Term Exposure ◽  
Quality Guideline ◽  
Health Organization ◽  
The Impact

We used Health Impact Assessment (HIA) to analyze the impact on a given population’s health outcomes in terms of all-causes mortality and respiratory and cardiovascular hospitalizations attributable to short-term exposure to particulate matter less than 10 μm diameter (PM10) in Bejaia city, for which health effects of air pollution have never been investigated. Two scenarios of PM10reduction were considered: first, a scenario where the PM10annual mean is decreased by 5 µg/m3, and then a scenario where this PM10mean is decreased to 20 µg/m3(World Health Organization annual air quality guideline (WHO-AQG)). Annual mean level of PM10(81.7 µg/m3) was calculated from objective measurements assessedin situ. Each year, about 4 and 55 deaths could be postponed with the first and the second scenarios successfully. Furthermore, decreasing PM10annual mean by 5 µg/m3would avoid 5 and 3 respiratory and cardiac hospitalizations, respectively, and not exceeding the PM10WHO-AQG (20 µg/m3) would result in a potential gain of 36 and 23 per 100000 respiratory and cardiac hospitalizations, respectively. Lowering in current levels of PM10has a nonnegligible impact in terms of public health that it is expected to be higher in the case of long-term effects.

scholarly journals Adding value to the use of Health Impact Assessment and social return on investment technologies

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Green ◽  
K Ashton ◽  
M Dyakova ◽  
L Parry-Williams
Keyword(s):  
Impact Assessment ◽  
Return On Investment ◽  
Health Impact Assessment ◽  
Grey Literature ◽  
Health Impact ◽  
Social Value ◽  
Decision Makers ◽  
Structured Interviews ◽  
Social Return On Investment ◽  
The Impact

Abstract Health Impact Assessment (HIA) and Social Return on Investment (SROI) are beneficial public health methodologies that assess potential effects on health including social, economic and environmental factors and have synergies in their approaches. This paper explores how HIA and SROI can complement each other to capture and account for the impact and social value of an assessed intervention or policy. A scoping review of academic and grey literature was undertaken to identify case studies published between January 1996 and April 2019 where HIA and SROI methods have been used to complement each other. Semi-structured interviews were carried out with nine international experts from a range of regulatory/legislative contexts to gain a better understanding of past experiences and expertise of both HIA and SROI. A thematic analysis was undertaken on the data collected. The review identified two published reports which outline when HIA and SROI have both been used to assess the same intervention. Interview results suggest that both methods have strengths as standalone processes i.e. HIAs are well-structured in their approach, assessing health in its broadest context and SROI can add value by monetizing social value as well as capturing social/environmental impact. Similarities of the two methods were identified i.e. a strong emphasis on stakeholder engagement and common shared principles. When questioned how the two methods could complement each other in practice, the results indicate the benefits of using HIA to explore initial impact, and as a platform on which to build SROI to monetarize social value. HIA and SROI methodologies have cross-over. The research suggests potential benefits when used in tandem or combining the methods to assess impact and account for health and social value. Innovative work is now being carried out in Wales to understand the implications of this in practice and to understand how the results of the two methods could be used by decision-makers. Key messages HIA and SROI methods can be used in tandem to capture both the health impact and social value of policies and proposed interventions. HIA and SROI when used together can provide valuable information to inform decision makers around the health impact and social value of proposed policies and interventions.

scholarly journals Komunitas Masyarakat Dan Perawatan Kesehatan Dalam Peningkatan Kualitas Hidup

2020 ◽  
Vol 10 (1) ◽  
pp. 11-24
Author(s):  
Agustinus Hermino
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Health Care Quality ◽  
Health Sector ◽  
Well Being ◽  
Individual Variability ◽  
Care Quality ◽  
Global Era ◽  
The Impact

Latar belakang: Seiring dengan perkembangan jaman, dalam beberapa tahun terakhir ini banyak perhatian yang difokuskan pada eksplorasi dampak penyakit fisik dan mental pada kualitas hidup seseorang baik secara individu maupun masyarakat secara keseluruhan. Sifat subyektif dari 'kualitas hidup' individu, merupakan konsep yang dinamis untuk diukur dan didefinisikan, tetapi bahwa secara umum dapat dipandang sebagai konsep multidimensi yang menekankan pada persepsi diri dari keadaan pikiran seseorang saat iniTujuan: penulisan ini bertujuan untuk memberikan pemahaman tentang peran masyarakat dalam memahani pentingnya kesehatan di era global ditinjau dari perspektif akademis. Pada sektor kesehatan pemahaman kesehatan menjadi sangat pentingnya karena akan menunjukkan pada kualitas hidup seseorang, tetapi hal ini tidak cukup secara individu karena diperlukan pemahaman secara menyeluruh terhadap masyarakat tentang makna kesehatan dan perawatan kesehatan.Metode: penulisan ilmiah ini adalah dengan melakukan analisa akademis dari dari berbagai sumber rujukan relevan sehingga menemukan makna teoritis baru dalam rangka menjawab tantangan yang terjadi di masyarakat.Hasil: Berdasarkan berbagai sumber rujukan yang ada, dapat disimpulkan bahwa kesehatan merupakan gaya hidup yang bertujuan untuk mencapai kesejahteraan fisik, emosional, intelektual, spiritual, dan lingkungan. Penggunaan langkah-langkah kesehatan dapat meningkatkan stamina, energi, dan harga diri, kemudian meningkatkan kualitas hidup. Dengan demikian maka konsep kesehatan memungkinkan adanya variabilitas individu. Kesehatan dapat dianggap sebagai keseimbangan aspek fisik, emosional, psikologis, sosial dan spiritual dari kehidupan seseorang. Kata kunci: masyarakat, perawatan kesehatan, kualitas hidup Society Community and Health Care in Improving Quality of LifeAbstract Background: Along with the development of the era, in recent years there has been a lot of attention focused on exploring the impact of physical and mental illness on the quality of life of a person both individually and as a whole. The subjective nature of an individual's 'quality of life' is a dynamic concept to measure and define, but that in general can be seen as a multidimensional concept that emphasizes self-perception of one's current state of mindAim: purpose of this study is to provide an understanding the role of community in understanding the importance of health in the global era from an academic perspective. In the health sector understanding of health is very important because it will show the quality of life of a person, but this is not enough individually because a comprehensive understanding of the meaning of health and health care is needed. Method: The method of scientific writing is to carry out academic analysis from various relevant reference sources, and find new theoretical meanings in order to answer the challenges that occur in society. Keyword: Community, Society,Health Care, Quality oflife Resullt : Based on various academic reference, it can be concluded that health is a lifestyle that aims to achieve physical, emotional, intellectual, spiritual, and environmental well-being. The use of health measures can increase stamina, energy, and self-esteem, then improve the quality of life. Thus the concept of health allows for individual variability. Health can be considered as a balance of physical, emotional, psychological, social and spiritual aspects of one's life. Keywords: community, health care, quality of life 

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

An Exploratory Pilot Study Into Undergraduate Physiotherapy Students' Perceptions Of Working With Patients With Mental Illness And Working Within The Mental Health Sector Of Health Care

2019 ◽  
Vol 26 (6) ◽  
pp. 10-10
Author(s):  
Samantha McIver ◽  
Jane Toms
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Illness ◽  
Focus Group ◽  
Lived Experiences ◽  
Personal Experience ◽  
Core Competencies ◽  
Health Sector ◽  
The Impact ◽  
Physiotherapy Students

Background/Aims Mental illness is widespread throughout the United Kingdom with increasing prevalence. As mental illness affects such a large proportion of the population, it is likely that healthcare professionals, including qualified and student physiotherapists, will work with patients in all areas of healthcare, who have mental illness alongside co-morbidities. Physiotherapy students are placed into a wide range of placements throughout an undergraduate degree to develop skills and autonomy in rehabilitation. Understanding students' perspective appears relatively unexplored and was stimulated by personal experience of the first author where patients' rehabilitation could be impacted by mental illness. The impact varied depending on the severity of their illness, as well as the understanding of that illness by the multidisciplinary team involved in their care. The aim of this phenomenological study was to: explore physiotherapy students' lived experiences and perceptions of working with patients with mental illness, despite no mental health specific placement and understand their views of working in the mental health sector of healthcare Methods Ethical approval was obtained from Coventry University Ethics and a qualitative methodology was applied. Purposeful sampling was used to recruit six participants, who were all Undergraduate physiotherapy students at Coventry University, and data were collected via a focus group. The focus group explored their lived experiences, opinions and perceptions. Results A number of themes were discovered from the data, with associated sub-themes: ‘Lack of clarity’ with sub-themes: ‘Definitions, Terminology and understanding’, ‘Mental illnesses’ and ‘Physiotherapist role’ ‘Emotional Roller-Coaster’ with sub-themes: ‘Negative reactions’ and ‘Positive sentiments’ ‘Transferable skills’ with sub-themes: ‘Core competencies’ and ‘Core skills to elevate’ ‘Everyone has a story to tell’ with sub-themes: ‘Job’, ‘Placement’ and ‘Personal experience’ The themes influenced their ‘curious intrigue’, which related to their views of working in the mental health sector of health care. Conclusions All participants in the study had experiences to discuss and found it challenging to provide effective rehabilitation, appropriate to the patients' needs. Discussing these experiences evoked a complex range of perceptions and emotions.

scholarly journals The Public Health Implications of Brexit: A Health Impact Assessment Approach

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
L Green
Keyword(s):  
Public Health ◽  
Impact Assessment ◽  
Health Impact Assessment ◽  
Health Impact ◽  
Complex Nature ◽  
The Public ◽  
Wide Range ◽  
The Impact ◽  
The Eu ◽  
Public Bodies

Abstract On March 29th 2019, the United Kingdom (UK) was due to exit the EU in a process known informally as ’Brexit’. This exit and entry into a 2-year transition is a period of unprecedented political and social upheaval - with many unknowns and much uncertainty attached to the outcomes and future impact. In preparation for Brexit, Public Health Wales commissioned the Wales HIA Support Unit to carry out a health impact assessment of Brexit in Wales to support and inform its and other public bodies planning and future work. This paper examines the unique HIA carried out between July and December 2018 on the impact of the UK withdrawal from the EU in Wales. It discusses the robust, participatory process undertaken, the stakeholders involved and the benefits reaped from this. It highlights the evidence gathered and analysed including the collection methods, the complex nature of the work and disseminates the main findings from the HIA including the potential determinants of health and population groups identified. Finally, it describes the challenges faced, how these were overcome, and the huge benefits, impact and influence it has had to date across a wide range of UK and Welsh organisations and public bodies. This work demonstrates continued leadership in the field of impact assessment and spearheads the requirement for public bodies to carry out HIAs as part of the forthcoming statutory requirements of the Public Health (Wales) Act 2017 an can inform practice at a global level. Key messages HIA can inform and influence action in response to important strategic decisions. The Brexit HIA is a unique example which can inform international HIA practice.

A Review of Data on the U.S. Health Sector Fall 2002

2003 ◽  
Vol 33 (1) ◽  
pp. 173-192
Author(s):  
Ida Hellander
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Health Sector ◽  
The State ◽  
Health Care Information ◽  
Care Systems ◽  
Care Information ◽  
Care Health ◽  
Pharmaceutical Industries

This report presents information on the state of U.S. health care in mid-2002. It provides data on the uninsured and underinsured and their difficulties in finding health care; the increasing costs of care; health, social, and economic inequalities; and the role of corporate money in health care. Information is also presented on mental health care, the hospital and pharmaceutical industries, Medicare HMOs, and the state of nursing. The author then provides updates on Congressional activity and the results of polls on matters of health, and some data on health care systems elsewhere in the world.

Health impact assessment on urban development projects in France: finding pathways to fit practice to context

2017 ◽  
Vol 24 (2) ◽  
pp. 25-34 ◽  
Author(s):  
Anne Roué-Le Gall ◽  
Françoise Jabot
Keyword(s):  
Urban Planning ◽  
Urban Development ◽  
Impact Assessment ◽  
Health Sector ◽  
Implementation Process ◽  
Health Impact ◽  
Public Authorities ◽  
The Public ◽  
Health Impact Assessments ◽  
Multiple Case

In France, there is increasing interest in health impact assessments (HIAs) and most are performed on urban projects. The field of expertise is still under development and mostly established within the public health sector. To date, in France, all HIAs conducted in urban planning are stand-alone HIAs disconnected from the required environmental impact assessment (EIA). The paper opens with an introduction of the close and complex relationship between health and urban planning, HIA and a description of key elements needed for understanding the French context. Then, the paper analyses the context and the implementation process for four HIAs in progress in order to understand the specific characteristics of urban development, identify the key stages for introducing a health perspective into urban projects, and extract avenues to be explored when adapting HIAs applied to urban planning in France. Using a qualitative multiple case study design, an analysis framework was built to compare several aspects of the four HIAs and made it possible to highlight three pathways for adapting HIA to the urban planning sector: the schedule, links between the EIA and HIA, and the complementarity of the initiatives to involve residents. Legal measures enable a point of contact that brings health institutions and cities closer together. HIA is yet another tool that public authorities now have at their fingertips to work together in strengthening democracy and in reducing social, geographical and environmental health inequalities. More research must be undertaken to develop an understanding of the practice-related context; to judge HIA’s capacity to draw on existing approaches in different fields; and to explore the different avenues leading to increased health, wellbeing and equity.

scholarly journals Health Impact of Domestic Violence Cases During Covid-19 Pandemic: The Case Study in Malang Regency of East Java

2021 ◽  
Vol 2 (2) ◽  
pp. 86-91
Author(s):  
Suryani ◽  
Atik Triratnawati
Keyword(s):  
Domestic Violence ◽  
Reproductive Health ◽  
Women’S Health ◽  
Women's Health ◽  
Health Sector ◽  
Health Impact ◽  
Domestic Violence Victims ◽  
The Social ◽  
Speak Up ◽  
The Impact

The impact of Covid-19 has not only affected the health sector but also economic and social sectors. In the social sector, the increase of domestic violence cases is being concern. It has a wide impact towards women’s health. This paper wants to reveal the impact of women’s health including reproductive health suffered by domestic violence victims and how they find solutions to the problems they face. Data collection was using ethnographic research methods from April to June 2021 in Malang regency. Observations and interviews were conducted towards 5 domestic violence victims and 2 associate staffs of domestic violence victims. Data analysis was carried out by classifying the data with the classification of minor, severe and reproductive health impacts.  As a result, researcher found that domestic violence victims suffer health impact both physically and psychologically. Physically, they are experiencing bruises, swelling, up to stitches on the part of their body. While psychologically, they feel common to deep fear, cannot sleep well, feel insecure to experience trauma. As the impact of reproductive health, the victim suffered miscarriage. The victims are needed assistance to be brave enough to speak up and seek protection quickly and accurately.

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