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Search Results: 1 - 10 of 66066 matches for " health system "
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Brazil’s Unified Health System (SUS) and Its Treatment for Transgender People  [PDF]
Juliana Perucchi, Brune Coelho Brand?o, Cláudio Magno Gomes Berto, Fernanda Deotti Rodrigues, Junior Augusto da Silva
Psychology (PSYCH) , 2014, DOI: 10.4236/psych.2014.59121
Abstract:

This present article was constructed from an empirical work of intervention-research in a support group for transgender people which worked at the Clínica de Psicologia Aplicada (CPA) [Applied Psychology Clinic] of the Universidade Federal de Juiz de Fora (UFJF), in Minas Gerais, Brazil. It aimed at analyzing psychosocial aspects of the interventions that such people made to their bodies, investigating process of health and sickness involved in these contexts. The analysis of the participants’ reports of the support group identified itself with a deep relation between the construction of the bodies and subjectivities of travesty and transgender people belonging to the lower classes and the utilization of the Brazilian public health system, called Unified Health System (SUS). As results, it found that in Brazil, the travesty and transgender population is neglected when accessing the public health services, which causes many damages and, in some cases, irretrievable consequences to the health of these people. The treatment model in the public health system in Brazil concerning the travesty and transgender population is reductionist and precarious, considering health only under the biological view and disregarding the complexity of this phenomenon. This way, SUS neglects the psychic losses that transgender brings related to their bodies, something which contradicts the broad health concept defined by the World Health Organization (WHO).

Evaluation of the Management of Family Physicians Health Care Services to Diabetic Patients in Rural Areas of Northern Iran  [PDF]
Ghahraman Mahmodi, Melody Omraninava, Bahman Nikpour, Eissa Omidi Qasemabad
International Journal of Clinical Medicine (IJCM) , 2018, DOI: 10.4236/ijcm.2018.92010
Abstract: Background and Objectives: The ultimate goal of the health system is to improve the health status of people. To achieve this goal and meet the needs and expectations of people in the field of health, different strategies have been designed, one of which is the family physician. Therefore, the main aim of this study was to evaluate management and performance of the family physician in the diagnosis, treatment and prevention of diabetes in the Counties of Gilan Province. Materials and Methods: This is a cross-sectional study, which was carried out descriptively. In this study 320 patients with diabetic records were selected from among 1900 using simple random selection. Results: There is a significant difference between the number of visits, the number of referrals to specialists and the number of tests with the expected rate. In addition, 68.8% of patients were diagnosed by the family physician for the first time. According to comparisons made on the number of referrals, visits and request for blood tests, there was a significant difference between two Counties (p < 0.05). Conclusion: The results of the present study indicate that there is a fundamental weakness in terms of diagnosis, control, care of patients, referral, completion of health records and eventually preventing diabetes complications in the northern villages of Iran. In general, family physician program has relatively good performance in Iran after several years, but has not been able to reach the determined goals and standards.
A Tree Model for Identification of Threats as the First Stage of Risk Assessment in HIS  [PDF]
Ahmad Bakhtiyari Shahri, Zuraini Ismail
Journal of Information Security (JIS) , 2012, DOI: 10.4236/jis.2012.32020
Abstract: Security remains to be a critical issue in the safe operation of Information Systems (IS). Identifying the threats to IS may lead to an effective method for measuring security as the initial stage for risk management. Despite many attempts to classify threats to IS, new threats to Health Information Systems (HIS) remains a continual concern for system developers. The main aim of this paper is to present a research agenda of threats to HIS. A cohesive completeness study on the identification of possible threats on HIS was conducted. This study reveals more than 70 threats for HIS. They are classified into 30 common criteria. The abstraction was carried out using secondary data from various research databases. This work-in-progress study will proceed to the next stage of ranking the security threats for assessing risk in HIS. This classification of threats may provide some insights to both researchers and professionals, who are interested in conducting research in risk management of HIS security.
Utilization of Health Services in the Burkina Faso Health System: Empirical Evidence of Health System Fragmentation and Integration  [PDF]
Ousmane Traoré
Modern Economy (ME) , 2016, DOI: 10.4236/me.2016.713139
Abstract:
In this paper, the utilization of health services in the context of health system fragmentation in Burkina Faso is analyzed using household living condition survey data. The methodology explores the relationships between population health risk factors and health services utilization. The results of the analysis highlighted eight reference care providers in the Burkina Faso health system; thus, the probability of service use in the first level of the system, assumed to be its point of entry, is significantly and negatively associated with age and sex, with a lower probability for female gender. As a whole, the health risk factors positively influence the probability of service use at the higher levels of the health system and in the private sector. The results suggest that utilization of the traditional health sector remains predominated by the elderly. These results thus suggest the need for coordination of care across the levels of the public healthcare sector, on the one hand, and the presence of interaction and integration between the traditional or private sector and the public sector, on the other hand.
Managing Health Risks during the Balkans Floods  [PDF]
Vladimir Kendrovski, Franziska Matthies, Goran Cerkez, Maja Dragosavac, Dragana Dimitrijevic, Milan Rancic, Elizabet Paunovic, Oliver Schmoll, Bettina Menne
American Journal of Climate Change (AJCC) , 2017, DOI: 10.4236/ajcc.2017.64030
Abstract: Floods have always had and will continue to have significant consequences for society. In May 2014, there was widespread flooding in the Balkans affecting Bosnia and Herzegovina, Croatia and Serbia. The aim of this article is to show that resilient and proactive health systems that anticipate needs and challenges are more likely to reduce risks and respond effectively during emergencies, saving lives and alleviating human suffering. The method draws on multiple sources of information, including a Balkan case study questionnaire survey with public health professionals involved in response to floods (n = 18) from three affected countries, and focus group discussion results (n = 43) presented at the meeting on “Prevention, preparedness and response to reduce or avoid health effects of flood events”, held in Bonn, Germany, in October 2015. The proposed range of measures to protect population health, organized around flood prevention, preparedness, response and recovery listed issues and considerations largely corresponds to the identified needs by Member State requests, following the Balkan country experiences. The consideration of lessons for early warning, preparedness and response and the integration of research results would lead to improved preparedness measures to better prevent flooding risks. Experiences in the WHO European Region point to a need to shift the emphasis from disaster response to long-term risk management.
Políticas de salud en Venezuela: Ni lo urgente, ni lo importante
González R,Marino J.;
Anales Venezolanos de Nutrición , 2005,
Abstract: abstract the paper reviews the current situation in the venezuelan health system. the main objective of the paper is to propose a general agenda of critical issues to be considered in the definition of policy options. the review takes into consideration the perspective and methodology formulated by josé maría bengoa in 1940 regarding the role of social medicine, in the specific context of rural venezuela. this approach is combined with recent developments in the analysis of health policies, such as the concept of policy systems.the application of this concept illustrates that the performance of the venezuelan health systems is strongly affected by serious limitations in the general and specific policy systems. as a result, health conditions at the country level show signs of deterioration and stagnation. in general terms, health policies in venezuela do not respond adequately neither to the urgent nor important matters.the paper proposes fundamental changes aimed to improve the current performance of the venezuelan health system, especially in the areas of financing, organization and provision of services. key words: health system, health policy.
Organiza??o do sistema de referência e contra-referência no contexto do Sistema único de Saúde: a percep??o de enfermeiro
Juliani, Carmen Maria Casquel Monti;Ciampone, Maria Helena Trench;
Revista da Escola de Enfermagem da USP , 1999, DOI: 10.1590/S0080-62341999000400001
Abstract: this study aimed to understand and to care counter-reference and reference system upon the context of the health system in botucatu-sp, brazil from the nurses who experience this practice. we adopted a qualitative research, situated fenomena model, methodologically derived from phenomenology. in the first part of this study there is a brief presentatiori record about the health system in brazil contextualizing as it follows counter-reference and reference system. results were obtained through ideographic analysis and nomothetic analysis from the testimony of 13 nurses interviewed, bringing 13 themes, reduced into 3 categories: counter-reference and reference system operation, guiding possibilities and local system structural factors. this study showed that this purpose is still an horizont that depend's the isolately professional liability.
Effective Regulation and Level of Awareness: An Exposé of the Nigeria’s Construction Industry  [PDF]
Ikechukwu A. Diugwu, Dorothy L. Baba, Ashem E. Egila
Open Journal of Safety Science and Technology (OJSST) , 2012, DOI: 10.4236/ojsst.2012.24018
Abstract: The preparedness of any organization to minimize the frequency and severity of work related accidents, ill-health, and damage to property is demonstrated by the adoption of a health and safety management system. By its nature, a health and safety management system through its provisions and demands, not only highlights the impact of poor health and safety standards on organizational performance but also encourages greater awareness of health and safety issues and responsibilities. Quite unfortunately, in Nigeria (as in many developing economies) statutory regulation, capable of ensuring the adoption and implementation of health and safety management systems by organizations, seems inadequate or ineffective. The impact of this, as demonstrated by the outcome of survey and literature review, is a general lack of awareness on important health and safety issues among Nigerian construction workers. Equally, there is an inability and or unwillingness by organizations to pay adequate attention to health and safety management. Consequently, the overall health and safety standard, operational capability and corporate image of Nigeria’s construction industry have been affected.
Non-medical factors on choice of delivery (CS/NVD) in hospitals of Tehran University of Medical Sciences  [PDF]
Rahim Ostovar, Batool Hossein Rashidi, Fedeyh Haghallahi, Mohammad Fararoei, Mahin Rasouli, Ebrahim Naeimi
Open Journal of Obstetrics and Gynecology (OJOG) , 2013, DOI: 10.4236/ojog.2013.31015
Abstract:

Background: Kind of delivery affect many aspects of individuals, families and health systems situations. The aim of this study was to identify the Role of non-medical factors on choice of delivery (CS/NVD) in hospitals affiliated to Tehran University of Medical Sciences. Materials and Method: This cross-sectional study was performed to identify the factors involved in the choice of delivery (CS/NVD) among women attending hospitals affiliated to Tehran University of Medical Sciences. Data was derived from the medical records of women who gave birth in the hospitals. Results: A significant statistical relationship was found between factors such as age of mother, level of education, occupational status, type of previous delivery, person supervising the pregnancy and dissatisfaction about delivery were more frequent in women who underwent CS than those who gave birth by NVD. Conclusion: The highly increasing rise in the rate of unnecessary CS during throughout the world, and its adverse effect on maternal and child health, the financial burden imposed on families and health systems, has highlighted the importance of studies to identify the non-medical factors that affect decision-making concerning type of delivery as well as to determine the appropriate medical indications of CS.

Current Situation and Suggestions of Mental Health Service System in Universities  [PDF]
Chen Benyou
Chinese Studies (ChnStd) , 2014, DOI: 10.4236/chnstd.2014.34020
Abstract: Mental health service is an important system. An investigation of 257 employees leads to the fol-lowing conclusions. 1) The overall situation of mental health service system in universities remains well (M = 3.62) after management training (M = 2.85). 2) There are significant differences in the second-level indicators of service effects in mental health service system. 3) There are significant differences between genders and among service providers in universities. The paper concludes that the mental health service system oriented to mental promotion and student-centered principle should be established in universities to improve the mental health service.
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