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Registros recuperados: 11
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Comparison of clinical characteristics between healthcare-associated pneumonia and community-acquired pneumonia in patients admitted to secondary hospitals BJID
Lee,Jong Hoo; Kim,Yee Hyung.
BACKGROUND: Since healthcare-associated pneumonia (HCAP) is heterogeneous, clinical characteristics and outcomes are different from region to region. There can also be differences between HCAP patients hospitalized in secondary or tertiary hospitals. This study aimed to evaluate the clinical characteristics of HCAP patients admitted into secondary community hospitals. METHODS: This was a retrospective study conducted in patients with HCAP or community-acquired pneumonia (CAP) hospitalized in two secondary hospitals between March 2009 and January 2011. RESULTS: Of a total of 303 patients, 96 (31.7%) had HCAP. 42 patients (43.7%) resided in a nursing home or long-term care facility, 36 (37.5%) were hospitalized in an acute care hospital for > 2 days...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Health care; Pneumonia; Antibiotics; Mortality; Resistance.
Ano: 2012 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1413-86702012000400002
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Use of an indicator to evaluate physician adherence to prescription guidelines for the treatment of heart failure BJPS
Oliveira,Márcio Galvão; Passos,Luiz Carlos; Santos Júnior,Edval Gomes; Barbosa,Andrea Cristina; Santos,Djanilson Barbosa.
The aim of this study was to use indicators to evaluate physician adherence to prescription guidelines for heart failure treatment in a university hospital. This was a prospective cohort study conducted in a university hospital. The information collected at the time of patient admission, including therapeutic indication, absolute contra indications and intolerance, was utilised for the formulation of a guideline adherence indicator (GAI). This indicator was calculated as follows: (the number of patients who used the medication/the number of eligible patients) x 100. The percentage of eligible patients was calculated using the following formula: (the number of eligible patients/the total number patients) x 100. The GAI was applied to a population of 53...
Tipo: Info:eu-repo/semantics/article Palavras-chave: Heart failure/treatment; Health care; Clinical medicine/practice guidelines; Medicines/use; Medicines/prescriptions.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502013000400023
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Social inequalities in lawsuits for drugs BJPS
Provin,Mércia Pandolfo; Leite,Silvana Nair; Amaral,Rita Goreti.
The aim of this study was to characterize the lawsuits requesting drugs considering the economic profile of their petitioners. All lawsuits (1378) accepted against Goiânia, GO from 2003 to 2007 were analyzed. Petitioners' demographic characteristics, reported diseases, requested drugs, origin of healthcare service, and lawsuit agent were described. Complainants' addresses were georeferenced and distributed into 4 regional groups classified in accordance with the population's average income. Dwellers of wealthier regions filed court actions requesting drugs more frequently, with an average rate of 1.7 lawsuits/1000 inhabitants versus 0.55/1000 in the poorer region. Lawsuit costs were 4-fold higher in wealthier regions compared with the poorest region....
Tipo: Info:eu-repo/semantics/article Palavras-chave: Health rights; Drugs/access; Health inequalities; Health care.
Ano: 2013 URL: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1984-82502013000300008
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Professionalism, Latent Professionalism and Organizational Demands for Health Care Quality in a Developing Country AgEcon
Leonard, Kenneth L.; Masatu, Melkiory C..
Medicine is a professional pursuit, and even in developing countries professionalism should lead at least some practitioners to care for their patients despite the absence of direct incentives to do so. Even if practitioners do not behave as professionals, what is the extent of latent professionalism, in which socialization in the profession conditions health workers to respond to a demand for professionalism even if they do not normally act as professionals? How many health care workers in developing countries act as professionals all the time and what will happen if health services turn toward remuneration schemes in which health workers are paid by the output or outcome? We examine the behavior of 80 practitioners from Arusha region of Tanzania for...
Tipo: Working or Discussion Paper Palavras-chave: Incentives; Quality; Health care; Professionalism; Tanzania; Health Economics and Policy; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/42883
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Idle Chatter or Learning? Evidence from Rural Tanzania of Social Learning about Clinicians and the Health System AgEcon
Adelman, Sarah W.; Essam, Timothy M.; Leonard, Kenneth L..
We examine data from rural Arusha region in Tanzania in which households are asked to recall the illness episodes of randomly chosen other households in their village. We analyze the probability that a household would be able to recall another illness episode as a function of the characteristics of the illness, the location and type of health care chosen and the outcome experienced. Households are more likely to recall severe illnesses and illnesses for which good quality care is important, illnesses that resulted in visits to hospitals or when the patient was not cured. In addition, households are more likely to recall illnesses that resulted in a visit to a facility where the average tenure of clinicians is less than two years old. The results are...
Tipo: Working or Discussion Paper Palavras-chave: Learning; Health care; Trust; Social networks; Community/Rural/Urban Development; Health Economics and Policy; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/42884
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Using the Hawthorne Effect to Examine the Gap Between a Doctor's Best Possible Practice and Actual Performance AgEcon
Leonard, Kenneth L.; Masatu, Melkiory C..
Many doctors in developing countries provide considerably lower levels of quality to their patients than they have been trained to provide. The gap between best practice and actual performance is difficult to measure for individual doctors who differ in levels of training and experience and who face very different types of patients. We exploit the Hawthorne effect—in which doctors change their behavior when a researcher comes to observe their practices—to measure the gap between best and actual performance. We analyze this gap for a sample of doctors, examining the impact of the organization for which doctors work on the performance of doctors, after controlling for their ability. We find that some organizations succeed in motivating doctors to work at...
Tipo: Working or Discussion Paper Palavras-chave: Motivation; Practice quality; Health care; Tanzania; Hawthorne effect; Health Economics and Policy; Institutional and Behavioral Economics; International Development; I1; O1; O2.
Ano: 2008 URL: http://purl.umn.edu/36693
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Provision of Public Goods in the Transition Process: Empirical Evidence on Access to Health Care in Rural Regions of Russia AgEcon
Lohlein, Daniela; Jutting, Johannes Paul; Wehrheim, Peter.
The objective of the paper is to identify the determinants of access to health care in rural Russia. We started out with the observation that the transition process has affected the provision of social services in the Russian Federation in general, and in rural areas in particular, owing to the overlap with agricultural reforms. Based on this observation we asked how the reduced role of the state and the concomitant decentralization of policy making has affected access of the rural populace to social services. A review of the available literature on this topic resulted in the formulation of the following three hypotheses. Firstly, that income is a determinant of access to health care. Secondly, that informal payments play an important role in determining...
Tipo: Conference Paper or Presentation Palavras-chave: Russia; Transition process; Public goods; Health care; Rural development; Health Economics and Policy.
Ano: 2002 URL: http://purl.umn.edu/24843
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SPATIAL ACCESSIBILITY OF HEALTH CARE IN INDIANA AgEcon
Unal, Eda; Chen, Susan E.; Waldorf, Brigitte S..
Healthy populations and access to health care services are significant factors influencing economic development and prosperity. Since geographic access is an essential feature of an overall health system, it is important for health service researchers to develop accurate measures of physical access to health. In this paper we develop a series of gravity-based health care accessibility measures for all the counties in Indiana. The measures go beyond local availability of health care services within a county and account for travel impedance via distance-discounted health care services accessible throughout the state. When applied to Indiana counties, the results show sharp disparities in health care accessibility with extensive pockets of poor accessibility...
Tipo: Working or Discussion Paper Palavras-chave: Spatial accessibility; Health care; Geographic information systems (GIS); Health Economics and Policy; I12.
Ano: 2007 URL: http://purl.umn.edu/7329
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Can Health Care Services Attract Retirees And Contribute to the Economic Sustainability of Rural Places? AgEcon
Oehmke, James F.; Tsukamoto, Satoshi; Post, Lori A..
The search for engines to power rural economic growth has gone beyond the traditional boundaries of the food and fiber sector to industries such as tourism and to schemes such as attracting metropolitan workers to commuter communities with rural amenities. A group that has been somewhat overlooked is retirees, who may wish to trade in urban or suburban life-styles for a more peaceful rural retirement. An industry that has been neglected is the health care industry, which is the most rapidly growing industry nationally and of particular interest to retirees and aging populations. This paper examines the importance of rural health care services in attracting migrants age 65+ to rural counties in Michigan. Results indicate that the number of health care...
Tipo: Journal Article Palavras-chave: Elder migration; Health care; Rural development; Community/Rural/Urban Development.
Ano: 2007 URL: http://purl.umn.edu/10155
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Environmental Implications of the Health Care Service Sector AgEcon
Davies, Terry; Lowe, Adam I..
This report analyzes the environmental effects associated with activities undertaken and influenced by the health care service sector. It is one part of a larger study to better understand the environmental effects of service sector activities and the implications for management strategies. Considerable analysis has documented the service sector's contribution to domestic economic conditions, yet little analysis has been performed on the broad impacts service firms have on environmental quality. For this study we developed a framework to examine the nature of service sector industries' influence on environmental quality. Three primary types of influence were identified: direct impacts, upstream impacts, and downstream impacts. In addition, indirect...
Tipo: Working or Discussion Paper Palavras-chave: Health care; Medical services; Service sector; Environmental impact analysis; Sector environmental profile; Sector-based strategies; Health Economics and Policy.
Ano: 1999 URL: http://purl.umn.edu/10857
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Health Care Reform and Farm Women’s Off-Farm Labor Force Participation: Evidence from Taiwan AgEcon
Liao, Pei-An; Taylor, J. Edward.
Do non-wage fringe benefits affect women’s off-farm work decisions? We test the impact of the 1995 introduction of universal National Health Insurance (NHI) in Taiwan on off-farm labor force participation (LFP) among farm wives. Our results, based on a difference-in- differences approach, indicate that employment-delinked NHI reduced farm wives’ off-farm LFP by 9.6 to 13.6 percentage points. The larger impact was for wives from small farm households. The health insurance reform had a larger negative impact on overall LFP among married women in agricultural households than in nonagricultural households.
Tipo: Journal Article Palavras-chave: Agricultural households; Difference-in-differences; Farm wives; Health care; Insurance; Labor force participation; Off-farm; Taiwan; Health Economics and Policy; Labor and Human Capital.
Ano: 2010 URL: http://purl.umn.edu/93218
Registros recuperados: 11
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