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14 records – page 1 of 2.

Between ideals and reality in home-based rehabilitation.

https://arctichealth.org/en/permalink/ahliterature278126
Source
Scand J Prim Health Care. 2016;34(1):46-54
Publication Type
Article
Date
2016
Author
Sissel Steihaug
Jan-W Lippestad
Anne Werner
Source
Scand J Prim Health Care. 2016;34(1):46-54
Date
2016
Language
English
Publication Type
Article
Keywords
Adult
Aged
Attitude of Health Personnel
Cities
Delivery of Health Care - legislation & jurisprudence - standards
Female
Health Services Research
Home Care Services - standards
Humans
Male
Middle Aged
Norway
Qualitative Research
Rehabilitation - legislation & jurisprudence - standards
Abstract
The growing elderly population and the rising number of people with chronic diseases indicate an increasing need for rehabilitation. Norwegian municipalities are required by law to offer rehabilitation. The aim of this study was to investigate how rehabilitation work is perceived and carried out by first-line service providers compared with the guidelines issued by Norway's health authorities.
In this action research project, qualitative data were collected through 24 individual interviews and seven group interviews with employees--service providers and managers--in the home-based service of two boroughs in Oslo, Norway. The data were analysed using a systematic text-condensation method.
The results show that rehabilitation receives little attention in the boroughs and that patients are seldom rehabilitated at home. There is disagreement among professional staff as to what rehabilitation is and should be. The purchaser-provider organization, high speed of service delivery, and scarcity of resources are reported to hamper rehabilitation work.
A discrepancy exists between the high level of ambitious goals of Norwegian health authorities and the possibilities that practitioners have to achieve them. This situation results in healthcare staff being squeezed by the increasing expectations and demands of the population and the promises and statutory rights coming from politicians and administrators. For the employees in the municipalities to place rehabilitation on the agenda, it is a requirement that authorities understand the clinical aspect of rehabilitation and provide the municipalities with adequate framework conditions for successful rehabilitation work.
Home-based rehabilitation is documented to be effective, and access to rehabilitation has been established in Norwegian law. The purchaser-provider organization, high rate of speed, and a scarcity of resources in home-based services hamper rehabilitation work. Healthcare providers find themselves squeezed between the health authorities' overarching guidelines and requirements and the possibilities of achieving them. Rehabilitation must be placed on the agenda on the condition that authorities understand the clinical aspect of rehabilitation.
PubMed ID
26828898 View in PubMed
Less detail

[Cancer service modernization is the most important area in the systemic improvement of cancer care to the population of Russia].

https://arctichealth.org/en/permalink/ahliterature118262
Source
Ter Arkh. 2012;84(10):4-8
Publication Type
Article
Date
2012
Author
V I Chissov
Source
Ter Arkh. 2012;84(10):4-8
Date
2012
Language
Russian
Publication Type
Article
Keywords
Delivery of Health Care - legislation & jurisprudence - standards
Health Services - legislation & jurisprudence - standards
Humans
Neoplasms - prevention & control
Russia
Abstract
The paper presents data on planned measures to modernize our cancer service, one of the key areas of public health modernization, the main goal of which is to maximally ensure the citizens' right to have accessible and qualitative medical care. To adequately finance the field and to set up a current legislative base will give rise to the reorientation of the cancer service to priorities for primary prevention and active detection of malignancies, to an improvement of quality of life in cancer patients; to the formation of the populations' positive and integral awareness of health and healthy society, to the rational use of available manpower resources and inventory of all health facilities, which is extremely important under current conditions.
PubMed ID
23227492 View in PubMed
Less detail

Dilemmas of anonymous predictive testing for Huntington disease: privacy vs. optimal care.

https://arctichealth.org/en/permalink/ahliterature207718
Source
Am J Med Genet. 1997 Aug 8;71(2):197-201
Publication Type
Article
Date
Aug-8-1997
Author
M M Burgess
S. Adam
M. Bloch
M R Hayden
Author Affiliation
Chair of Biomedical Ethics, Centre for Applied Ethics, University of British Columbia, Vancouver, Canada.
Source
Am J Med Genet. 1997 Aug 8;71(2):197-201
Date
Aug-8-1997
Language
English
Publication Type
Article
Keywords
Adult
Canada
Confidentiality - legislation & jurisprudence - psychology
Delivery of Health Care - legislation & jurisprudence - standards
Female
Genetic Testing - legislation & jurisprudence - psychology
Heterozygote Detection
Humans
Huntington Disease - genetics - psychology
Insurance Selection Bias
Male
Stress, Psychological
United States
Abstract
Some persons at risk for Huntington disease (HD) seek predictive testing under the protection of anonymity to reduce the risk of insurance discrimination for themselves and their families. While Canadian and European health care systems seem to limit insurance discrimination to life and disability insurance, U.S. residents do not have national health insurance and are concerned about health insurance discrimination. Two persons residing outside Canada requested predictive testing anonymously. Their primary reason for doing so was to avoid the risks of medical insurance discrimination. After a detailed preparatory session and agreement to counselling and to receipt of results in person, we agreed to provide anonymous testing to these persons. One participant, whose psychological assessment was unremarkable, coped well with the predictive testing process and did not have the CAG expansion. The other participant had considerable emotional problems prior to testing, which necesitated postponement of discussion of results and referral for psychiatric assessment and support. Both participants had difficulty maintaining anonymity. The provision of anonymous predictive testing raises several problems. With anonymous testing, clinicians cooperate with participants to exclude insurance companies from information. This may invalidate the contract with insurance companies. A policy response by insurance companies or a universal health care system to protect individuals is preferable. Individuals who request anonymous testing may be precisely those most vulnerable and in need of additional support and counselling. However, the preservation of anonymity is a burden to participants and may frustrate the clinicians' ability to establish rapport in counselling and to provide appropriate follow-up typically available through genetic counselling in predictive testing programs.
PubMed ID
9217222 View in PubMed
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[Forensic-medical obstetric-gynecological examinations in cases on professional delinquency of medical personnel].

https://arctichealth.org/en/permalink/ahliterature161736
Source
Sud Med Ekspert. 2007 Jul-Aug;50(4):24-7
Publication Type
Article
Author
O A Dmitrieva
T M Fedchenko
D V Goncharenko
E A Iurtaeva
A P Pichugin
Source
Sud Med Ekspert. 2007 Jul-Aug;50(4):24-7
Language
Russian
Publication Type
Article
Keywords
Delivery of Health Care - legislation & jurisprudence - standards - trends
Expert Testimony
Fatal Outcome
Female
Forensic Medicine
Genital Diseases, Female - diagnosis - pathology - surgery
Gynecologic Surgical Procedures - adverse effects
Humans
Medical Errors - legislation & jurisprudence
Obstetric Surgical Procedures - adverse effects
Pregnancy
Russia
Abstract
We studied the trend in the number of forensic-medical examinations in trials against obstetricians and gynecologists conducted in Primorsky Region in 1997-2005. Most typical defects in obstetric-gynecological care are characterized. These cases are analysed in terms of forensic-medical practice. Detection and forensic-medical analysis of the above defects contribute to optimization of the diagnosis and treatment both in obstetric-gynecological practice and in wide medical practice.
PubMed ID
17718085 View in PubMed
Less detail

[Human ecology: challenges of civilization, debt of society, responsibility of public health service].

https://arctichealth.org/en/permalink/ahliterature187799
Source
Vestn Ross Akad Med Nauk. 2002;(10):3-6
Publication Type
Article
Date
2002

[Obstetric-gynecologic care for female soldiers: status and prospects].

https://arctichealth.org/en/permalink/ahliterature120361
Source
Voen Med Zh. 2012 Aug;333(8):13-7
Publication Type
Article
Date
Aug-2012
Author
A A Shmidt
V G Abashin
Source
Voen Med Zh. 2012 Aug;333(8):13-7
Date
Aug-2012
Language
Russian
Publication Type
Article
Keywords
Adult
Delivery of Health Care - legislation & jurisprudence - standards
Female
Genital Diseases, Female - epidemiology - therapy
Hospitals, Military - legislation & jurisprudence - standards
Humans
Middle Aged
Military Medicine - legislation & jurisprudence - standards
Military Personnel
Russia - epidemiology
Women's Health Services - legislation & jurisprudence - standards
Abstract
The article presents the analysis of primary gynecologic pathology in female soldiers for the last years. The basic disease groups are marked out. The information about the very medical help standard in different hospitals is given. This paper presents the perspective directions of development of the delivery of obstetrical and gynecological care for women due to level of military medical establishments of the Russian Federation Ministry of Defense.
PubMed ID
23012777 View in PubMed
Less detail

[Overview of the white book. The reform of health and social services].

https://arctichealth.org/en/permalink/ahliterature226392
Source
Nurs Que. 1991 May-Jun;11(3):10-3
Publication Type
Article

[Problematic issues and prospects of development of information and telecommunication technologies in the medical service of the Armed Forces].

https://arctichealth.org/en/permalink/ahliterature261751
Source
Voen Med Zh. 2014 Dec;335(12):4-11
Publication Type
Article
Date
Dec-2014
Author
O V Kalachev
I V Pershin
D N Borisov
A A Korneenkov
Source
Voen Med Zh. 2014 Dec;335(12):4-11
Date
Dec-2014
Language
Russian
Publication Type
Article
Keywords
Computer Communication Networks - organization & administration - trends
Delivery of Health Care - legislation & jurisprudence - standards
Government Regulation
Medical Informatics - organization & administration - trends
Military Medicine - methods - organization & administration - trends
Russia
Abstract
Medical information systems composed of many specialized modules help in synchronous solving of diagnostic, therapeutic, administrative, financial, statistical, and other tasks. According to the authors, the creation of a single information space of the medical service, integrating it into a single information space of the Defense Ministry of the Russian Fedaration, development and widespread use of telemedicine technology will significantly accelerate the integration in the daily activities of military hospitals of the latest achievements in medical science and practices consistent with the objectives of improving the military health care and improvement of the quality and accessibility of health care.
PubMed ID
25804077 View in PubMed
Less detail

Protection of privacy against protection of health.

https://arctichealth.org/en/permalink/ahliterature58748
Source
Acta Obstet Gynecol Scand. 2000 Jun;79(6):520-2
Publication Type
Article
Date
Jun-2000

14 records – page 1 of 2.