scholarly journals Training metacognitive and problem-solving strategies in children aged 5 to 7 years

2011 ◽  
Vol 4 (2) ◽  
pp. 9-19
Author(s):  
María Consuelo Sáiz Manzanares ◽  
José María Román Sánchez

Studies on the socioeconomic impact of fibromyalgia (FM) have shown the high health services use done by these patients. These data indicate the challenge of dealing with these people, their treatment and rehabilitation, as well as the need of changes in actions and implementation of cost-effective approaches. In this study we reviewed the literature on the health care use behavior in FM. The data shows that the emotional state and catastrophizing are relevant factors in the onset of seeking health care, and within the system, higher self-efficacy, attributions of symptoms to external factors, the perception of good health and lower comorbidity is associated with less use.

2011 ◽  
Vol 4 (2) ◽  
pp. 80-91
Author(s):  
Ana Lledó Boyer ◽  
Mª Ángeles Pastor Mira ◽  
Sofía López-Roig ◽  
Maximiliano Nieto Ferrandéz

Studies on the socioeconomic impact of fibromyalgia (FM) have shown the high health services use done by these patients. These data indicate the challenge of dealing with these people, their treatment and rehabilitation, as well as the need of changes in actions and implementation of cost-effective approaches. In this study we reviewed the literature on the health care use behavior in FM. The data shows that the emotional state and catastrophizing are relevant factors in the onset of seeking health care, and within the system, higher self-efficacy, attributions of symptoms to external factors, the perception of good health and lower comorbidity is associated with less use.


Author(s):  
Renato Peixoto Veras ◽  
João André Cruz Gomes ◽  
Sandro Tadeu Macedo

Abstract The study addresses a health care model of the elderly practiced by a health care provider in the city of Rio de Janeiro, RJ, Brazil, focusing on the age group of the elderly, population segment in which the greatest misconceptions are identified. The current assistance models did not consider the deep transformations observed in the new epidemiological and demographic reality of the country. Considering that the aging process in Brazil is relatively recent, the article presents a proposal for a contemporary care model, recommended by the most important national and international health agencies as the most suitable for better care, focusing on the promotion, prevention of health care and the coordination of care, in order to avoid excesses, waste and fragmentation. The assistance and financial results of this study display very positive figures and indicate the path to be taken by healthcare companies. The model of remuneration for service providers and the indicators used for the establishment of bonuses are also presented, since they function as an instrument that stimulates and values good health care practices. This text is concerned with a higher quality, more resolutive and cost-effective care model, which is corroborated by the operator’s results presented here.


2009 ◽  
Vol 22 (1) ◽  
pp. 42-50 ◽  
Author(s):  
Jian Hu

In Thailand, a universal coverage health care scheme for Thai citizens and a foreign worker health insurance program for registered foreign workers have been implemented since 2001. This study uses the 2000-2004 panel data of the Kanchanaburi Demographic Surveillance System to explore the role of health insurance in influencing the use of health care for Thai, Thai ethnic minority, and ethnic minority migrants from 2000 to 2004. The results show that health insurance plays a major role in improving the use of health care for ethnic groups, especially for Thai ethnic minorities. However, a gap still existed in 2004 between health insurance and health care use by ethnic minority migrants and by Thais. The results suggest that improving health insurance status for ethnic minority migrants should be encouraged to reduce the ethnic gap in the use of health care.


Author(s):  
Peter Laurberg ◽  
Stig Andersen

The basis of health care is that it is much better for the individual member of society to be healthy and well than to be ill or deceased (1). To assist the individual in staying alive and well the health care system provides a broad range of services aimed at cure or control of disease. These services are available when someone becomes ill. A different approach to preservation of good health and longevity is the prevention of disease. Prevention may take many forms. This may vary from legislation on food declaration via public campaigns on the importance of physical exercise to neonatal screening programmes. The intervention may be directed at decreasing the risk for disease in healthy subjects (primary prevention). A common variation is prevention of the severe consequences of disease by early detection of subclinical disease by screening or case-finding (secondary prevention). Other variants are prevention of complications of disease (tertiary prevention) or prevention of recurrence of disease by secondary intervention. Often the costs of classic clinical care and prevention are compared in a way suggesting that the primary advantage of prevention is that it saves money. This conclusion may be correct in some areas of prevention such as in iodine deficiency disorders. It is, however, far too simple when it comes to many other areas such as prevention of complications in elderly patients with diabetes mellitus (1). The major appeal of prevention is that it is a most effective and often also a cost-effective way of reducing the burden of disease.


Author(s):  
Kumar Vijay ◽  
Saxena Arti ◽  
Kumar Suresh

Health care is considered as the fundamental right of every citizen and it is principle duty of every country to provide good health care facilities. Many developed countries spend substantial amount of gross domestic product (GDP) on healthcare. In this chapter, we discuss kernel based machine learning techniques, i.e., k-PCA (Kernel principal component analysis) and its related properties with a aim to prescribe cost effective treatments and easy diagnosis of diseases. This objective could be met only by the serious collaboration between physician and data scientist. We discussed that how we could construct a kernel and exact features based on the given dataset. Also, we compared the proposed method with the other methods. For the sake of easy understanding, applications of the proposed method are included in the text.


2021 ◽  
Author(s):  
Ariuntuya Tuvdendorj ◽  
Otgonjargal Dechinkhorloo ◽  
Bayarsaikhan Dorjsuren ◽  
Erik Buskens ◽  
Talitha Feenstra

Abstract Background: Non-communicable diseases (NCDs) consistently pose a huge economic burden to health systems and countries in general. The aim of this study was to quantify inpatient costs associated with chronic obstructive pulmonary disease, stroke and ischemic heart disease stratified by type of referral pathway, and to investigate key factors that drive these costs. Methods: A registry-based data analysis was performed using national public hospital inpatient records from 2016 to 2018 for 117,600 unique patients and linking patient-level inpatient health care use with hospital-specific unit cost per bed-day. These were combined to calculate the annual inpatient costs for each of the three disorders per person and per year. Generalized linear modeling was used to assess the association of inpatient costs with age, gender, location, comorbidity, treatment referral pathways and years.Results: Across three diagnoses, the majority of patients were female. Most were over 50-60 years old, with more than half being a pensioner, typically with at least one comorbidity. About 25% of patients followed what might be considered inappropriate (unofficial) inpatient referral pathways. Mean annual inpatient costs were int$ 721. These costs rose to int$ 849 for unofficial pathways and dropped to int$677 for official pathways. Further covariates significantly associated with high inpatient costs were location, age, gender, and comorbidity. Conclusion: Our findings provide background information essential to develop evidence-based and cost-effective interventions aimed at health promotion, prevention and service delivery. Reducing the unofficial use of inpatient care can improve efficient resource allocation in health care and prevent further escalation of inpatient costs in the future.


Author(s):  
Amy Hasselkus

The need for improved communication about health-related topics is evident in statistics about the health literacy of adults living in the United States. The negative impact of poor health communication is huge, resulting in poor health outcomes, health disparities, and high health care costs. The importance of good health communication is relevant to all patient populations, including those from culturally and linguistically diverse backgrounds. Efforts are underway at all levels, from individual professionals to the federal government, to improve the information patients receive so that they can make appropriate health care decisions. This article describes these efforts and discusses how speech-language pathologists and audiologists may be impacted.


2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.


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