scholarly journals A Endocrinologia em Portugal - Censo 2016. Direção do Colégio de Endocrinologia e Nutrição da Ordem dos Médicos

2017 ◽  
Vol 30 (9) ◽  
pp. 642
Author(s):  
Joana Guimarães ◽  
António Afonso ◽  
Davide Carvalho ◽  
Ana Paula Marques ◽  
Teresa Martins ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Medical Association ◽  
Human Resources ◽  
National Health ◽  
National Survey ◽  
Public Hospitals ◽  
The Other ◽  
European Countries ◽  
The Public

Introduction: On September 2016, the Board of the College of Endocrinology and Nutrition of the Portuguese Medical Association carried out a national survey, about all Endocrinology, Diabetes and Metabolism Departments of the public hospitals included in the Portuguese National Health Service and a simplified version of this survey was sent to all endocrinologists working in Portugal and registered with the Portuguese Medical Association.Material and Methods: Data related to organizational and human resources were collected, reporting the situation by the end of year 2015. The census registered 107 individuals and 27 Departments.Results: The ratio of endocrinologists-population was 1.4, much lower than in the other European countries (varies between 2 to 4), resulting in alarming shortages of services in some areas of Portugal and in worse quality indicators.Discussion: These data suggest that actions should be taken to increase the number of endocrinologists and departments in the country.Conclusion: In recent years, the number of residents has significantly increased, which will make it possible to correct this situation.

THE PEDIATRICIAN AND THE PUBLIC

PEDIATRICS ◽  
1950 ◽  
Vol 5 (2) ◽  
pp. 337-352
Keyword(s):  
New York ◽  
National Health Service ◽  
Health Service ◽  
Medical Association ◽  
National Health ◽  
Panel Discussion ◽  
British Medical Association ◽  
The Public ◽  
The Government ◽  
British National Health

THIS issue contains two communications concerning the British National Health Service; a letter from Dr. Hugh C. Thompson, who is a member of the Tucson Clinic, Tucson, Arizona; and a reply by Dr. Edwards A. Park. The first two papers are those which were presented by a panel of visiting experts who were invited to discuss the British National Health Service at the recent annual meeting of the American Public Health Association in New York City. The first paper is by Mr. J. T. Rice-Edwards, F.R.C.S., who appeared as the official representative of the British Medical Association. One point brought out in the panel discussion was that the present National Health Service in Great Britain is not the child of the Labor Government, but rather had been agreed to in principle by all major parties. As early as 1933 the British Medical Association had recommended to the government that the panel system which then covered less than 50% of the population should be greatly expanded. The Beveridge Report, which laid the foundation for the whole broad welfare program, including the National Health Service, was accepted in principle by Mr. Churchill's government in 1942. Mr. Rice-Edwards points out in his paper that the profession agreed to accept service under the Minister of Health and also to make the service available to 100% of the population in 1944, before the present government came into power.

Survey of incapacity associated with mental handicap at Rampton and Moss Side Special Hospitals: a comparison with the 1970 National Survey

1975 ◽  
Vol 5 (3) ◽  
pp. 300-306
Author(s):  
Elizabeth Parker
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
National Survey ◽  
Mentally Handicapped ◽  
Mental Handicap ◽  
Hospital Patients ◽  
Special Hospital ◽  
Special Hospitals

SynopsisThe results of a survey carried out at Rampton and Moss Side Special Hospitals into physical and behavioural incapacity associated with mental handicap are described and compared with the findings of the 1970 National Survey. The Special Hospital patients were found to be less mentally handicapped than similar patients in subnormality hospitals in the National Health Service. The prevalence of physical incapacity associated with mental handicap was also lower in the Special Hospitals but the Special Hospital patients were assessed as more behaviourally disordered. In both surveys the incapacities present were concentrated in the severely mentally handicapped patients. In the Special Hospitals survey the women, when compared with the men, were found to be more behaviourally disordered and to suffer from a greater degree of multiple severe incapacity. All the differences found between the two surveys are consistent with the statutory criteria for admission to a Special Hospital.

Accountability for Rationing — Theory into Practice

2005 ◽  
Vol 33 (4) ◽  
pp. 660-668 ◽  
Author(s):  
Christopher Newdick
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Systems ◽  
The Public ◽  
Modern Health Care ◽  
Concept Of Health ◽  
Care Systems ◽  
Health Need

Most now recognize the inevitability of rationing in modern health care systems. The elastic nature of the concept of “health need,” our natural human sympathy for those in distress, the increased range of conditions for which treatment is available, the “greying” of the population; all expand demand for care in ways that exceed the supply of resources to provide it. UK governments, however, have found this truth difficult to present and have not encouraged open and candid public debate about choices in health care. Indeed, successive governments have presented the opposite view, that “if you are ill or injured there will be a national health service there to help; and access to it will be based on need and need alone.” And they have been rightly criticized for misleading the public and then blaming clinical and managerial staffin the National Health Service (NHS) when expectations have been disappointed.

scholarly journals Guardians of public interest: the expectation and experience of non-executive directors in National Health Service commissioning boards in England

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Joy Tweed ◽  
Louise M. Wallace
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Public Interest ◽  
Open Systems ◽  
Executive Directors ◽  
Goal Model ◽  
Content Type ◽  
The Public ◽  
Systems Model

PurposeThe purpose of the study is to examine how Non-Executive Directors (NEDs) in the English National Health Service (NHS) commissioning bodies experienced their role and contribution to governance.Design/methodology/approachSemi-structured interviews were conducted with a purposive sample of 31 NEDs of Primary Care Trusts (PCTs) and 8 Clinical Commissioning Group (CCG) NEDs. Framework analysis was applied using a conceptualisation of governance developed by Newman, which has four models of governance: the hierarchy, self-governance, open systems and rational goal model.FindingsNEDs saw themselves as guardians of the public interest. NEDs’ power is a product of the explicit levers set out in the constitution of the board, but also how they choose to use their knowledge and expertise to influence decisions for, as they see it, the public good. They contribute to governance by holding to account executive and professional colleagues, acting largely within the rational goal model. CCG NEDs felt less powerful than in those in PCTs, operating largely in conformance and representational roles, even though government policy appears to be moving towards a more networked, open systems model.Originality/valueThis is the first in-depth study of NEDs in English NHS local commissioning bodies. It is of value in helping to inform how the NED role could be enhanced to make a wider contribution to healthcare leadership as new systems are established in the UK and beyond.

Introduzione: Introduction

1995 ◽  
Vol 62 (2) ◽  
pp. 273-274
Author(s):  
S. Guazzieri
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Early Diagnosis ◽  
Secondary Prevention ◽  
National Health ◽  
The Other ◽  
Primary And Secondary Prevention ◽  
Family Doctors ◽  
The Military ◽  
Urological Diseases

The importance of early diagnosis is by now accepted. As urological pathologies predominantly involve men, it is natural for the urologist to seek co-operation regarding primary and secondary prevention with the Medical Corps. Paediatricians and family doctors are the other professional figures who play a fundamental role in this field. The records are given of the congress “Prevention and early diagnosis of urological diseases” between the Military Corps and the National Health Service, held at Belluno in June 1994.

Night emergency cover for ENT in England: a national survey

2009 ◽  
Vol 123 (8) ◽  
pp. 899-902 ◽  
Author(s):  
D Biswas ◽  
A Rafferty ◽  
P Jassar
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
National Survey ◽  
Basic Knowledge ◽  
Junior Doctors ◽  
Night Time ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive

AbstractObjectives:To evaluate the quality of out-of-hours ENT on-call cover by junior doctors, in view of the European Working Time Directive and the recent changes in the National Health Service workforce due to the ‘Modernising Medical Careers’ initiative, in England.Methods:We performed a national survey of first-on-call doctors for ENT, using a telephone questionnaire. Hospital contact details were sourced from the National Health Service website. The inclusion criterion was hospitals providing acute ENT facilities overnight in England.Results:One hundred and nineteen hospitals were contacted; 91 were eligible, and 83 interviews were conducted. The grade of the first-on-call ENT doctor ranged from foundation year two (19 per cent) to registrar level or above (13 per cent). Forty-nine respondents (68 per cent) reported having no previous ENT experience. Fifty-three respondents (74 per cent) covered more than one speciality at night, with seven (10 per cent) covering four or more specialities. The second-on-call doctor was non-resident in 63 cases (88 per cent). Thirty respondents (42 per cent) stated that they did not feel comfortable managing common ENT emergencies as the first doctor on call. Otorhinolaryngology induction courses were offered in 37 of the respondents’ hospitals (51 per cent), these courses were of varying duration.Conclusion:Night-time ENT care is often provided by junior doctors with little experience of the speciality, who are often also responsible for covering multiple specialities. Many reported not feeling comfortable managing common ENT emergencies. Structured induction programmes would help to provide basic knowledge and should be mandatory for all doctors covering ENT.

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