Suchergebnisse

In this study, we analyzed healthcare provision and health expenditure across six Mediterranean countries that adopt the National Health System (Beveridge model) and that form part of the European Union (EU) with the main aim being that of analyzing and comparing out-of-pocket health spending in countries with a European Mediterranean connection. To this end, we considered various economic indicators and statistics to derive commonalities and differences across these countries and also compared trends in these indicators to those observed across the rest of the EU. We then analyzed these findings in light of other data related to the quality of healthcare delivery and the infrastructure of the health system and discussed recent developments in healthcare within each country and the main challenges faced by the respective health systems. The results show that on average, Mediterranean countries spend less on total healthcare expenditure (THE) than the EU average, both as a proportion of GDP, as well as in per capita terms. This is primarily driven by lower-than-EU-average public funding of healthcare. The 2008/2009 macro-economic and financial crisis had a significant impact on the countries under review, and explains the persistent reductions in public health spending as part of the austerity measures put in force across sectors. On the flipside, Mediterranean countries have a higher presence of private health providers in total funding, thereby explaining the higher Out-of-Pocket (OOPs) health expenditures in these countries relative to the EU-average. With regard to the overall health infrastructure in these countries, we observed that although the supply of physicians is largely in line with the rest of the EU, there is under-supply when it comes to hospital beds. This may be symptomatic of lower government funding. Nonetheless, all countries score highly in the evaluation of the quality of health services, as recorded by international rankings like the WHO's 2000 metric, whereas health system performance indicators, namely mortality rates and life expectancy reveal favorable health outcomes in the Mediterranean EU countries. The findings in this paper may be seen in light of the Mediterranean region's lifestyle in terms of diet, health behavior, health beliefs and shared culture. In particular, the higher out-of-pocket expenditure may reflect the tendency for one-to-one relationships with private clinicians and the pursuit of person-centered care (1). Additionally, the Mediterranean people may not be as disciplined as their European counterparts in accessing and using the public health sector. The lower THE also reflects the fact that the Mediterranean countries are less wealthy than the more economically-advanced European countries. ; peer-reviewed

This book addresses the mobility of physicians in the Mediterranean region within a global context, focusing on the role mobility has played in the global health system in both developed and developing economies.

Elderly adults with cognitive impairment may face considerable hurdles in navigating through the tasks of daily living. These difficulties may result from such factors as diminished organizational skills, reduced physical mobility, reduced financial resources, perceptual lapses, and reduced attention, among others. The individuals may find it particularly problematic to identify and maintain suitable housing, to manage finances, to manage their transportation and/or utilize public transit. Individuals are also vulnerable to various forms of abuse and neglect due to their impairment. We present various cases to illustrate such situations and suggest strategies to ameliorate these difficulties.

THIS ARTICLE STATES THAT NOWHER IS THE INABILITY OF THE SOVIET STATE TO UPHOLD ITS PART OF THE SOCIAL CONTRACT WITH ITS SITIZENS DEMONSTRATED MORE GRAPHICALLY AS IN HEALTH CARE. THE DUAL ILLNESS THAT PARALYZES THE SOVIET ECONOMY AND SOCIETY MATERIAL PVERTY AND EXHAUSTION ON ONE HAND AND THE TOTAL BREAKDOWN OF LABOR MORE ON THE OTHER-IS LEAVING DEEP SCARS ON SOVIET MEDICINE.

Introduction: Brucellosis is a zoonotic disease which is also known as Mediterranean fever. It is acquired from the handling of infected animals or consuming contaminated milk or milk products. The incubation period varies from 1-3 weeks to several months before clinical disease appearance and it shows multiorgan involvement. This study focuses on the varied presentation of this disease and laboratory findings. Materials and Methods: This is a retrospective study, where the past 15 years data of cases diagnosed with brucellosis was studied in a tertiary care center in South India. Patient demographics, clinical presentation, duration of stay in the hospital, hematological and biochemistry profiles were collected and analyzed in SPSS. Results: More number cases were found among the male gender (70%), mostly in the 20- 40 years age group (40%). 95% of cases reported fever, 40% with arthralgia (29% generalized in nature), and 32% with a headache. A Positive Pearson correlation between CRP and NLR, and CRP and PLR were found, which was statistically significant. Mean laboratory values were documented. 37% of patients were found to have hepatosplenomegaly on ultrasound Conclusion: Most of the patients were admitted as cases with pyrexia of unknown origin. Our study focused on the different clinical presentations and laboratory findings of brucellosis and will help give a better understanding and outline during brucellosis case diagnosis and management in a cost-efficient manner.

Intro -- Contents -- List of tables and diagrams -- Author and contributors -- The Pompidou Group role in integrating a gender dimension of drug policies -- Executive summary -- Introduction -- Methodology -- Results and data analysis -- Conclusions and recommendations -- APPENDICES.