Suchergebnisse

Neonatal mortality is a major challenge in reducing child mortality rates in Nepal. Despite efforts by the Government of Nepal, data from the last three demographic and health surveys show a rise in the contribution of neonatal deaths to infant and child mortality. The Government of Nepal has implemented community-based programs that were piloted and then scaled up based on lessons learned. These programs include, but are not limited to ensuring safe motherhood, birth preparedness package, community-based newborn care package, and integrated management of childhood illnesses. Despite the implementation of such programs on a larger scale, their effective coverage is yet to be achieved. Health system challenges included an inadequate policy environment, funding gaps, inadequate procurement, and insufficient supplies of commodities, while human resource management has been found to be impeding service delivery. Such bottlenecks at policy, institutional and service delivery level need to be addressed incorporating health information in decision-making as well as working in partnership with communities to facilitate the utilization of available services.

Originally published in 1989, Aging and Health Care focuses on the most urgent health care problems of older people at the time and explores possible solutions. Drawing on up-to-date social and behavioral research, it provides a sound basis on which to build practices and policies on aging and health care.

FrontMatter -- Reviewers -- Contents -- Box and Figures -- Abbreviations and Acronyms -- 1 Overview and Highlights of the Workshop -- 2 Responding to the Challenge -- 3 Funding: Opportunities, Threats, and Potential for Innovation -- 4 Implementing Innovations at the State and Local Levels -- 5 Intermediary Groups for Two-Generation Approaches -- 6 Implementing Innovations in Primary Care -- 7 Implementing Innovations in Other Settings -- 8 The Research Landscape for Primary Care and Children's Behavioral Health -- 9 Looking Forward: Reflections for Public Policy

Cover Page -- Title Page -- Copyright Page -- Contents -- Introduction -- 1: Health Care Reform Will Help America's Economy -- 2: Health Care Reform Will Cause a Rise in Unemployment -- 3: Health Care Reform Would Give the IRS More Power -- 4: The IRS Does Not Have the Power to Enforce a Health Care Mandate -- 5: Americans Want Universal Health Care, the Health Care Industry Does Not -- 6: Americans Are Not Happy with the Health Care System -- 7: The World Health Organization's Report Is Misleading -- 8: International Comparisons Must Be Considered in Health Care Reform -- 9: New Technologies Cause Health Care Costs to Rise -- 10: New Technologies Can Cut Health Care Costs -- 11: The Delivery of Health Care Must Be Redesigned -- 12: Proposed Health Care Reforms Will Lead to Rationing of Care -- 13: America Is Already Rationing Health Care -- Appendix -- What You Should Know About Health Care -- What You Should Do About Health Care -- Organizations to Contact -- Bibliography -- Index -- Picture Credits -- Back Cover

Dignity in Childbirth: US Women's Perceptions of Respect and Autonomy in Hospital BirthsIntroduction; Conceptual Framework; The Significance of Birth; Dignity and Childbirth; Social Location; Medical Interventions; Significant Other Support; Provider Care; Birth Knowledge; Methods; Data; Measures; Outcome; Social Location; Interventions; Significant Other Support; Provider Care; Birth Knowledge; Additional Controls; Analytic Strategy; Results; Descriptive Statistics; Regression Analysis; Discussion and Conclusion; Implications for Practice and Policy; Limitations; Conclusions; Acknowledgment

Large scale collection and analysis of data on patients' experiences and outcomes have become staples of successful health systems worldwide. The systems go by various names—including registries, quality registries, clinical databases, clinical audits, and quality improvement programmes—but all collect standardised information on patients' diagnoses, care processes, and outcomes, enabling systematic comparison and analysis across multiple sites. Hundreds of what we will term, for simplicity, "registries," now exist around the world. The United Kingdom is home to over 50 clinical audit programmes, the United States has over 110 federally qualified registries certified to report quality metrics, and Sweden, perhaps the registry epicentre, has over 100, covering conditions from birth to frail old age. These registries have had far reaching effects. They facilitate public reporting, retrospective and prospective research, professional development, and service improvement. They reveal variations in practices, processes, and outcomes, and identify targets for improvement. In the UK, they have been associated with many notable successes, including improvements in management of cardiovascular disease and stroke, cancer, and joint replacement.

Intro -- FrontMatter -- Reviewers -- Acknowledgments -- Contents -- Summary -- 1 Introduction -- 2 Five Health Care Sector Activities to Better Integrate Social Care -- 3 A Workforce to Integrate Social Care into Health Care Delivery -- 4 Leveraging Data and Digital Tools -- 5 Financing Social Care -- 6 Implementing Awareness, Adjustment, and Assistance Strategies in Health Care Delivery Settings: Challenges and Potential Solutions -- 7 Recommendations -- Appendix: Social Need Screening Tools Comparison Table.

Effective spiritual care must truly interact with its recipients in order to discern need and to engage in a mutual process of exploration. Spiritual carers should be a resource in the individual's search for meaning and purpose, and a support through the sometimes painful re-examination of beliefs in the face of some life crisis. To be effective the carer must have personally engaged with the existential issues which arise. Support for spiritual caregivers is essential in order to increase self knowledge, address sources of anxiety, and work through the difficult feelings which engagement with another person at this level will arouse.

For development in military applications, industrial and government the predictive analytics and decision models have long been cornerstones. In modern healthcare system technologies and big data analytics and modeling of multi-source data system play an increasingly important role. Into mathematical models in these domains various problems arising that can be formulated, by using computational techniques, sophisticated optimization and decision analysis it can be analyzed. This paper studies the use of data science in healthcare applications and the mathematical issues in data science. ; Mathematics is the bedrock of any contemporary order of science. Practically every one of the systems of current information science, including AI, has a profound scientific supporting. In healthcare field math plays a vital role. For diagnose, treat medical problems and presentation reliable calculations and data are must obtained by medical providers.

The practice of making informal payments in the health sector is common in a number of countries. It has become an important policy issue around the world. These payments can jeopardize governments' attempts to improve equity and access to care and policies targeted to the poor. It is widely believed that a considerable amount of out-of-pocket payment in the health sector in Turkey is informal. To examine this issue, we used a questionnaire adopted from a wider international study. We concluded that informal payments in Turkey are significant and have important implications for health care reform.

A National Academies committee was tasked with identifying essential health care services for women related to intimate partner violence (IPV) during steady state conditions, determining whether the essential health care services related to IPV differ during public health emergencies (PHEs), and identifying strategies to sustain access to those essential health care services during PHEs. This report, Essential Health Care Services Addressing Intimate Partner Violence, presents findings from research and deliberations and lays out recommendations for leaders of health care systems, federal agencies, health care providers, emergency planners, and those involved in IPV research.