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https://www.readbyqxmd.com/read/28731001/economic-and-social-impact-of-out-of-pocket-expenditure-on-households-of-patients-attending-public-hospitals
#1
Vikas Bajpai, Namrata Singh, Hardik Sardana, Sanjana Kumari, Beth Vettiyil, Anoop Saraya
BACKGROUND: We aimed to generate evidence on the social and economic impact of out-of-pocket expenses incurred by households on illness. METHODS: We did a hospital-based cross-sectional study including a convenience sample of 374 inpatients and outpatients. RESULTS: The median illness expenditure was the same (₹62 500) for inpatients and outpatients. Of all respondents, 51.3% among the rural and 65.5% among the urban patients were employed before illness, but after illness only 24...
January 2017: National Medical Journal of India
https://www.readbyqxmd.com/read/28723995/the-alma-ata-decade-the-crisis-of-development-and-international-health
#2
Fernando Antônio Pires-Alves, Marcos Cueto
The paper analyzes formulations in the area of international health at the time of the International Conference on Primary Health Care, held in Alma Ata, Kazakhstan, in 1978. It is set within the context of the broader debate on development and international cooperation throughout the 1970s. Three sets of concepts and prescriptive formulations were examined namely: the New International Economic Order (NIEO), the Dag Hammarskjöld Report (DHR) and the Basic Human Needs Approach (BHN). They were compared with the proposals in documents from the World Health Organization and in the statements from Halfdan Mahler, its director...
July 2017: Ciência & Saúde Coletiva
https://www.readbyqxmd.com/read/28722213/countering-resistance-to-protected-area-extension
#3
David Lindenmayer, Simon Thorn, Reed Noss
The establishment of protected areas is a critical strategy for conserving biodiversity. Key policy directives like the Aichi targets seek to expand protected areas to 17% of the earth's land surface, with calls by some conservation biologists for much more. However, in places such as the USA, Germany and Australia, attempts to increase protected areas are meeting strong resistance from communities, industry groups, and governments. Here we provide case studies of such resistance and suggest four ways to tackle this problem: (1) Broaden the case for protected areas beyond just nature conservation, to include the economic, human health, and other benefits, and translate these into a persuasive business case for protected areas...
July 19, 2017: Conservation Biology: the Journal of the Society for Conservation Biology
https://www.readbyqxmd.com/read/28711284/financialisation-in-health-care-an-analysis-of-private-equity-fund-investments-in-turkey
#4
Ipek Eren Vural
The 2007-2008 global financial crisis revived interest in the impacts of financial markets and actors on our social and economic life. Nevertheless, research on health care financialisation remains scant. This article presents findings from research on one modality of financial investments in health care: global private equity funds' investments in private hospitals. Adopting a political economy approach, it analyses the drivers and impacts of the upsurge of global private equity investments in the Turkish private hospital sector amid the global financial crisis...
June 9, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28711011/an-overview-of-the-challenges-facing-death-investigation-systems-in-certain-resource-limited-countries
#5
REVIEW
Ken Obenson, George Enow Orock
A properly operated death investigation system (DIS) serves multiple stakeholders. Law enforcement, public health departments and members of the public, benefit in various ways from the information that it provides. This information must be collected systematically and efficiently. The system must also be flexible enough to respond to pressures on its resources such as occurs during mass disasters. These obligations on a DIS require an investment of public money. However even in affluent Western countries the recent world economic crisis has led to a cut in spending on public services that affect both the healthcare system and services associated with death investigation...
May 10, 2017: Journal of Forensic and Legal Medicine
https://www.readbyqxmd.com/read/28705355/growing-educational-differentials-in-the-retreat-from-marriage-among-korean-men
#6
Hyunjoon Park, Jae Kyung Lee
Applying discrete-time hazard models to person-year data constructed from 1% microdata sample of 2010 Korean Census, we explore how men's education affects their transition to first marriage, and how the relationship between education and marriage has changed across three 10-year birth cohorts of Korean men born from 1946 to 1975. Drawing on Oppenheimer's theory of marriage and review of changing educational and economic contexts of Korean men, we develop a hypothesis on growing educational differentials in marriage...
August 2017: Social Science Research
https://www.readbyqxmd.com/read/28698249/pd-vs-hd-in-post-economic-crisis-greece-differences-in-patient-characteristics-and-estimation-of-therapy-cost
#7
Marilena Koukou
OBJECTIVE: The aim of this study was to investigate patient characteristics and make an estimation of the cost of peritoneal dialysis (PD) and hemodialysis (HD) on Greek society during the economic crisis. METHODS: We recorded the characteristics and the total cost of dialysis treatment in 100 patients on PD and 100 on HD. Total cost included dialysis procedure, consumables, drugs, laboratory tests, food, and transportation fees (only HD) and were covered by patients' insurance...
July 11, 2017: Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis
https://www.readbyqxmd.com/read/28696434/when-should-governments-increase-the-supply-of-psychiatric-beds
#8
S Allison, T Bastiampillai, J Licinio, D A Fuller, N Bidargaddi, S S Sharfstein
Low numbers of hospital-based psychiatric beds create problems for people with severe mental illness (SMI), when they face extended emergency department (ED) waits, higher thresholds for admission to an acute bed, and short revolving-door stays with high rates of rehospitalisation. Limited access to inpatient treatment has been associated with higher suicide risk, premature mortality, homelessness, violent crime and incarceration. Ultimately, people with SMI can be transinstitutionalised to the criminal justice system...
July 11, 2017: Molecular Psychiatry
https://www.readbyqxmd.com/read/28692947/how-services-for-children-with-disabilities-in-serbia-affect-the-quality-of-life-of-their-families
#9
Tamara Dzamonja Ignjatovic, Marko Milanovic, Nevenka Zegarac
BACKGROUND: Families that have children with disabilities face numerous difficulties related to the lack of services support, social isolation and poverty in Serbia. Mostly due to the prolonged effect of social and economic crisis, there are insufficient adequate and diverse community-based services for those families. AIMS: The aim of the study was to examine the effect of newly introduced services on the quality of families' life. METHODS: A pretest/posttest study was conducted at the beginning of service and one year later to evaluate the effect of services measured by Family Quality of Life Scale (Hoffman et al...
July 7, 2017: Research in Developmental Disabilities
https://www.readbyqxmd.com/read/28690914/investigation-of-obesity-related-mortality-rates-in-delaware
#10
Malcolm J D'Souza, Derald E Wentzien, Riza C Bautista, Catherine C Gross
As Delaware's adult obesity crisis continues to be a leading public health concern, we evaluated Delaware's 1999-2014 vital records to examine the association between obesity and mortality. We used the Delaware population death records from the Centers for Disease Control and Prevention (CDC) WONDER database and the Delaware Health Statistics Center (DHSC). Together with the vital records, we incorporated Microsoft Excel, SAS (Statistical Analysis System) and GIS (geographic information system) tools to analyze obesity influences from county residence, economic status, education, gender, and race...
June 2017: American Journal of Health Sciences
https://www.readbyqxmd.com/read/28688269/nature-based-solution-for-improving-mental-health-and-well-being-in-urban-areas
#11
Maja Vujcic, Jelena Tomicevic-Dubljevic, Mihailo Grbic, Dusica Lecic-Tosevski, Olivera Vukovic, Oliver Toskovic
The general disproportion of urban development and the socio-economical crisis in Serbia, followed by a number of acute and chronic stressors, as well as years of accumulated trauma, prevented the parallel physical, mental and social adaptation of society as a whole. These trends certainly affected the quality of mental health and well-being, particularly on the vulnerable urban population, increasing the absolute number of people with depression, stress and psychosomatic disorders. This study was pioneering in Serbia and was conducted in collaboration with the Faculty of Forestry, the Institute of Mental Health and the Botanical Garden in Belgrade, in order to understand how spending time and performing horticulture therapy in specially designed urban green environments can improve mental health...
July 4, 2017: Environmental Research
https://www.readbyqxmd.com/read/28686963/long-term-health-consequences-of-recessions-during-working-years
#12
Liudmila Antonova, Tabea Bucher-Koenen, Fabrizio Mazzonna
Economic crises may have severe consequences for population health. We investigate the long-term effects of macroeconomic crises experienced during prime working age (20-50) on health outcomes later in life using SHARE data (Survey of Health Aging and Retirement in Europe) from eleven European countries. Analyses are based on the first two waves of SHARE data collected in 2004 and 2006 (N = 22,886) and retrospective life history data from SHARELIFE collected in 2008 (N = 13,732). Experiencing a severe crisis in which GDP dropped by at least 1% significantly reduces health later in life...
June 26, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28686558/-psychiatric-specialty-training-in-greece-comparative-analysis-of-educational-programs-2000-vs-2014
#13
M Margariti, Ch Papageorgiou
Modern educational programs for specialization in psychiatry should follow the developments in psychiatric science, both in the part of acquired knowledge about mental disorders and their treatment, as well as in the part of clinical practice in the diverse spectrum of modern psychiatric services. In Greece, the institutional framework for psychiatric training during specialization has yet to modernize and conform to European standards. For the moment, it is covered by a 1994 Presidential Decree, which briefly describes the time of specialization in psychiatry and the duration of clinical practice in the relevant educational subjects...
April 2017: Psychiatrikē, Psychiatriki
https://www.readbyqxmd.com/read/28685808/renal-function-replacement-by-hemodialysis-forty-year-anniversary-and-a-glimpse-into-the-future-at-hand
#14
Gerardo Catapano, Andrea Buscaroli
From its introduction in 1943 and until the late 1970s, hemodialysis (HD) has been a lengthy and cumbersome treatment administered by a few skilled physicians and technicians to a very limited number of terminal kidney patients. The technological innovations introduced over the years made HD a treatment administered and supervised by nursing personnel to a very large numbers of kidney patients, hopefully until recovery of kidney functions or kidney transplantation. In 2013, it is estimated that 2.250.00 kidney patients were treated worldwide, and their number is steadily increasing...
July 5, 2017: International Journal of Artificial Organs
https://www.readbyqxmd.com/read/28669573/-the-health-of-the-elderly-in-spain-during-the-economic-crisis
#15
Laura Lorenzo-Carrascosa
INTRODUCTION: Numerous studies have shown that economic crises are linked to a worsening of health conditions of the population. During the current economic crisis in Spain, there have been significant cuts in social and health services and a general worsening of the emotional well-being of the population. All these changes could have an impact on the health of the population, especially in the most vulnerable groups like older people. MATERIAL AND METHODS: The evolution of life expectancy and healthy life years in the period 2004-2014 have been examined in order to examine the health status of people aged 65 years and over in Spain during the economic crisis...
June 29, 2017: Revista Española de Geriatría y Gerontología
https://www.readbyqxmd.com/read/28648798/zoonotic-parasites-of-sheltered-and-stray-dogs-in-the-era-of-the-global-economic-and-political-crisis
#16
REVIEW
Domenico Otranto, Filipe Dantas-Torres, Andrei D Mihalca, Rebecca J Traub, Michael Lappin, Gad Baneth
Sheltered and stray dogs, exposed to zoonotic parasites, including protozoa, helminths, and arthropods, may represent a major threat to public health. Resources for addressing health problems in these animals are not on the priority list of veterinary and public health authorities. Thus, dogs continue to represent an important reservoir for zoonotic parasites. In this article, we review the importance of sheltered and stray dogs as reservoirs of zoonotic parasites in different parts of the world, especially in the context of the current global political and economic crisis...
June 22, 2017: Trends in Parasitology
https://www.readbyqxmd.com/read/28641069/the-present-retirement-crisis-and-how-social-workers-can-respond
#17
David B Miller, M Terry Hokenstad, Kristen Berg
In recent years, research on Americans' retirement readiness indicates a wide range of preparedness for the golden years. Struggling to recover from the economic downturn of the Great Recession, millions of Americans maintain inadequate savings needed to maintain their post-employment standard of living. Described as a "crisis" by researchers, retirement for some Americans may include significant choices regarding continued employment and utilization of social welfare services. This paper describes the factors contributing to the present retirement crisis and what roles social workers can play in addressing the needs of older retirees...
June 22, 2017: Journal of Gerontological Social Work
https://www.readbyqxmd.com/read/28633047/the-impacts-of-the-global-financial-crisis-on-hospitalizations-due-to-depressive-illnesses-in-taiwan-a-prospective-nationwide-population-based-study
#18
Chiachi Bonnie Lee, Chen-Mao Liao, Chih-Ming Lin
BACKGROUND: In the third quarter of 2008, a major financial crisis hit many developed countries. Taiwan suffered its own share: a rise in unemployment and a severe decline in gross domestic product. This study is to address the health consequences of this crisis on different socioeconomic populations in Taiwan. METHODS: A sample of 6,225,766 men and 5,417,651 women, was obtained and their admissions data over 2007-2012 were retrieved. Stratified into three income levels, the sample was examined on the 147,921 episodes of hospitalization due to depressive illnesses (DIs) over that period by an interrupted time series analysis for monthly incidence rates of DI hospitalizations RESULTS: The adjusted incidence rates of hospitalization (AIRH) for DIs among the low income were 10 times that of the high income group...
October 15, 2017: Journal of Affective Disorders
https://www.readbyqxmd.com/read/28626909/adaptation-during-a-great-economic-recession-a-cohort-study-of-greek-and-immigrant-youth
#19
Frosso Motti-Stefanidi, Jens B Asendorpf
This study examined how Greek and immigrant youth adapted to school life during the economic recession in Greece. Two cohorts of adolescents (Mage  = 12.6 years) were compared, one assessed before the crisis and the other during the crisis (N = 1,057 and 1,052, respectively). Cohort findings were disaggregated by immigrant status, generation, and ethnic group. Crisis-cohort youth experienced more economic problems, displayed worse conduct, higher levels of absenteeism, and lower self-efficacy than precrisis youth...
June 19, 2017: Child Development
https://www.readbyqxmd.com/read/28626827/the-effect-of-rapid-privatisation-on-mortality-in-mono-industrial-towns-in-post-soviet-russia-a-retrospective-cohort-study
#20
Aytalina Azarova, Darja Irdam, Alexi Gugushvili, Mihaly Fazekas, Gábor Scheiring, Pia Horvat, Denes Stefler, Irina Kolesnikova, Vladimir Popov, Ivan Szelenyi, David Stuckler, Michael Marmot, Michael Murphy, Martin McKee, Martin Bobak, Lawrence King
BACKGROUND: Population-level data suggest that economic disruptions in the early 1990s increased working-age male mortality in post-Soviet countries. This study uses individual-level data, using an indirect estimation method, to test the hypothesis that fast privatisation increased mortality in Russia. METHODS: In this retrospective cohort study, we surveyed surviving relatives of individuals who lived through the post-communist transition to retrieve demographic and socioeconomic characteristics of their parents, siblings, and male partners...
May 2017: Lancet. Public Health
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