The negative impact of rebate contracts on the health care of patients with depression in Germany

2011 ◽  
Vol 49 (06) ◽  
pp. 397-402 ◽  
Author(s):  
K. Kostev ◽  
S. Fuchs ◽  
C. Bauer ◽  
U. May
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.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Haj-Younes ◽  
E Strømme ◽  
W Hasha ◽  
J Igland ◽  
E Abildsnes ◽  
...  

Abstract Background Lack of basic infrastructure and poor provision of health services in conflict settings and during flight can have a negative impact on health. The overall health status of refugees seems to improve after arrival at a safe destination. This may be related to a safer environment and better access to health care services, but prior studies on this topic are limited. This study aims to assess self-perceived access to healthcare and its relationship with self-rated health (SRH) among refugees in transit and when settled in a host country. Methods We used data from the CHART study (Changing Health and health care needs Along the Syrian Refugees' Trajectories to Norway), which includes a cohort of 353 Syrian refugees who were contacted in 2017-2018 in Lebanon while waiting for relocation, and one year after their arrival to Norway. Information on self-perceived access to healthcare and its association with SRH was analyzed separately at each time-point. Data analysis was performed with STATA using logistic regression adjusting for age, gender, ethnicity and years of education and presented as adjusted odds ratios (AOR) with 95% CI. Results Fifteen percent reported good access to healthcare and 62% reported good SRH in Lebanon vs. 91% and 77% respectively, in Norway. Measures in Lebanon showed no association between access to healthcare and good SRH (AOR: 1.2 (0.6-2.2)), and men reported worse access to healthcare than women (AOR: 0.5 (0.3-1.0). In Norway, access to healthcare was strongly associated with good SRH (AOR: 4.7 (2.1-10.7) and was negatively associated with belonging to one specific minority group (AOR: 0.1 (0.0-0.3)). Conclusions Both SRH and perceived access to care improved from being in transit to being settled in Norway, the latter substantially more. There was a significant association between access to healthcare and good SRH after the refugees' arrival to a safe host country but not in transit. Key messages Refugee’s self-reported health and access to healthcare seem to improve shortly after arrival to a host country. To ensure that the UN’S Sustainable Development Goals concerning health equity are reached, refugees’ access to healthcare in transit and its impact on overall health needs to be addressed.


PLoS ONE ◽  
2021 ◽  
Vol 16 (8) ◽  
pp. e0256092
Author(s):  
Tatiane Fernandes Novaes ◽  
Maisa Camillo Jordão ◽  
Carlos Felipe Bonacina ◽  
André Oswaldo Veronezi ◽  
Carlos Ariel Rodrigues de Araujo ◽  
...  

The state of São Paulo, Brazil, where more than 94.000 dentists are currently registered, has become the epicenter of COVID-19 in Latin America. The aim of this cross-sectional study was to evaluate the impact of COVID-19 pandemic on dentists in this state. A semi-structured questionnaire was sent via e-mail to 93.280 dentists with active registration in the Dental Council of São Paulo (CROSP). The impact of COVID-19 pandemic was assessed through questions related to demographic, socioeconomic, dental practice characteristics and personal protective equipment (PPE) use. Ordinal logistic regression analysis was performed to investigate the association between all the variables (p<0.05). Over 8 days, 2113 responses were received. Only 26.52% of the sample reported a low-income reduction (from 0–10%), while the majority of dentists reported a more negative financial impact, 35.6% with a reduction of more than 50% of their monthly income. Dentists who worked in the private sector and at the capital had a greater financial impact when compared to those of the public sector and countryside of the state (p<0.05). Furthermore, about 83% reported not having received any specific training to control the transmission of coronavirus in the health area. This study provides evidence of the negative impact of the COVID-19 pandemic on the routine of dentists in the state of São Paulo, Brazil. Hopefully, this study will help dental and other health care professionals to better understand the consequences of disease in dental settings and strengthen preparedness throughout the dental health care system.


2020 ◽  
Vol 22 ◽  
pp. 01010
Author(s):  
Natalya Krivenko ◽  
Daria Epaneshnikova

The article considers modern demographic trends, in the conditions of medical care cost increasing and aging of the population. The expediency of studying aspects of health care efficiency is justified. The relationship and mutual influence of changes in the country’s economy and changes in the health care system are revealed. The problems of preserving the health of the population are considered comprehensively, taking into account the influence of environmental factors, behavioral factors and attitudes to human health, the effectiveness of public policy implementation and the effectiveness of the health system. An integrative model for evaluating the effectiveness of regional health care is proposed based on an integrated approach aimed at improving the population health and ensuring social and demographic security of the region. The integrative model is adapted on the example of the Sverdlovsk region. In dynamics for 2008-2018, improved medical and demographic indicators and high effects were achieved as a result of comprehensive measures to neutralize factors that have a negative impact on the health of the population, promotion and implementation of healthy lifestyle, strengthening state support for the industry, and the successful functioning of regional health care.


2021 ◽  
Author(s):  
Ashley Comrie

This study provides a unique perspective on health care and emergency shelter services for older women dealing with homelessness as well as complex health care needs in the city of Toronto. Qualitative interviews with frontline shelter staff highlight the assumption that older women who are discharged from hospital will be cared for in an institutional setting such as an emergency shelter. Discussion focuses on how this assumption fails to adequately meet the needs of older women and how lack of adequate housing has a negative impact on their access to healthcare.


2019 ◽  
pp. 105984051986415 ◽  
Author(s):  
Helena Wigert ◽  
Andreas Fors ◽  
Stefan Nilsson ◽  
Kristina Dalenius ◽  
Marie Golsäter

Stress has a negative impact on students’ daily lives and can be associated with recurrent pain. School nurses play a key role in supporting young people with stress-related pain. The purpose of this qualitative interview study was to elucidate school nurses’ experiences of encountering students with recurrent pain when practicing person-centred care. The school nurses were based at public and private schools and worked with students aged 12-19. Data were collected through interviews with 18 school nurses and analyzed with deductive content analysis. The school nurses felt that actively listening to the students’ narratives about daily life with recurrent pain, and co-creation of a health plan, encouraged the students to participate as partners in their own care and strengthened their relation with the students. The application of a person-centred approach in school health care meant that traditional knowledge transfer was replaced with a dialogue that reflects both the student’s and school nurse’s perspective.


2017 ◽  
Vol 13 (5) ◽  
pp. 217 ◽  
Author(s):  
Nasreen Khan ◽  
Sofia Khurshid

Workplace stress is a world-wide concern and has been a subject of researchers, academicians, authorities and decision makers’ interest. It has evidently been considered to be causing poor performance, reduced employee morale, lack of autonomy, job insecurity and to greater extent the employee's wellbeing. Employees in healthcare and hospitality sector work in 24*7 work schedule due to the demanding nature of the industry. Empirical evidences have indicated that employee experience high stress on account of work overload and long working hours taking a toll on their mental and physical well-being. The purpose of this study was to investigate the impact of workplace stress on employee well-being among staff employees in the health care sector and hospitals in UAE. A total of 150 employees working at staff level in health care centers and hospitals in UAE were surveyed. The results showed that workplace has negative impact on employee well-being and the impact was found to be weak. The findings of the study suggest that an increase in workplace stresses will reduce wellbeing of employees. The researchers recommend that in order to reduce the impact of stress on employee well-being organizational support, family support and social support is essential.


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