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643 records – page 1 of 65.

[About making up for manpower resource of paramedical personnel].

https://arctichealth.org/en/permalink/ahliterature112667
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2013 Mar-Apr;(2):38-40
Publication Type
Article
Author
I I Grekova
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2013 Mar-Apr;(2):38-40
Language
Russian
Publication Type
Article
Keywords
Allied Health Personnel - education - supply & distribution
Education, Medical - methods
Emergency Medical Technicians - education - supply & distribution
Female
Health Manpower - organization & administration
Health Resources - organization & administration
Humans
Male
Retrospective Studies
Russia
Abstract
The article deals with the analysis of quality of training of paramedical personnel in the medical colleges of Kursk oblast during last ten years. It is established that during last decade the number of graduates of the Kursk medical college has a tendency to decrease. If in 2001 the college graduated 169 medical nurses, 44 feldshers, and 30 midwives (243 in total) then in 2011 graduated 121 medical nurses, 64 feldshers (185 in totals). The number of college entrants with 11th grade is decreasing against the background of increasing of number of college entrants with 9th grade. Basically, the educational institutions are completed with graduates of rural schools whose resources are limited. The graduates from urban schools have no intent to acquire the profession of medical nurse. Hence, in Kursk oblast under annual decrease of number of paramedical personnel concurrently decreases number of graduates of medical colleges. This situation makes quite problematic the making up of manpower resource both in nowadays and in near-term outlook.
PubMed ID
23808043 View in PubMed
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Active surveillance for localized prostate cancer: an analysis of patient contacts and utilization of healthcare resources.

https://arctichealth.org/en/permalink/ahliterature271603
Source
Scand J Urol. 2015 Feb;49(1):43-50
Publication Type
Article
Date
Feb-2015
Author
Frederik B Thomsen
Kasper D Berg
M Andreas Røder
Peter Iversen
Klaus Brasso
Source
Scand J Urol. 2015 Feb;49(1):43-50
Date
Feb-2015
Language
English
Publication Type
Article
Keywords
Aged
Ambulatory Care - economics - utilization
Biopsy, Large-Core Needle - adverse effects - economics - statistics & numerical data
Cohort Studies
Denmark
Disease Management
Disease Progression
Health Resources - economics - utilization
Hospitalization - economics - statistics & numerical data
Humans
Kallikreins - blood
Male
Middle Aged
Prospective Studies
Prostate-Specific Antigen - blood
Prostatic Neoplasms - blood - pathology - therapy
Transurethral Resection of Prostate
Watchful Waiting - economics - statistics & numerical data
Abstract
Evidence supports active surveillance (AS) as a means to reduce overtreatment of low-risk prostate cancer (PCa). The consequences of close and long-standing follow-up with regard to outpatient visits, tests and repeated biopsies are widely unknown. This study investigated the trajectory and costs of AS in patients with localized PCa.
In total, 317 PCa patients were followed in a prospective, single-arm AS cohort. The primary outcomes were number of patient contacts, prostate-specific antigen (PSA) tests, biopsies, hospital admissions due to biopsy complications and patients eventually undergoing curative treatment. The secondary outcome was cost.
The 5 year cumulative incidence of discontinued AS in a competing-risk model was 40%. During the first 5 years of AS patients underwent a median of two biopsy sets, and patients were seen in an outpatient clinic including PSA testing three to four times annually. In total, 38 of the 406 biopsy sessions led to hospital admission and 87 of the 317 patients required treatment for bladder outlet obstruction (BOO). With a median of 3.7 years' follow-up, the total cost of AS was euro (€) 1,240,286. Assuming all patients had otherwise undergone primary radical prostatectomy, the cost difference favoured AS with a net benefit of €662,661 (35% reduction).
AS entails a close clinical follow-up with a considerable risk of rebiopsy complication, treatment of BOO and subsequent delayed definitive therapy. This risk should be weighed against a potential economic benefit and reduction in the risk of overtreatment compared to immediate radical treatment.
PubMed ID
25363612 View in PubMed
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[Acute myelogenous leukemia. When the choice is between a good and a bad death]

https://arctichealth.org/en/permalink/ahliterature26417
Source
Sykepleien. 1986 Jan 24;73(2):23-5, 29
Publication Type
Article
Date
Jan-24-1986

Admission patterns of persistent somatization patients.

https://arctichealth.org/en/permalink/ahliterature73318
Source
Gen Hosp Psychiatry. 1993 Jul;15(4):211-8
Publication Type
Article
Date
Jul-1993
Author
P. Fink
Author Affiliation
Institute of Psychiatric Demography, Aarhus Psychiatric Hospital, Risskov, Denmark.
Source
Gen Hosp Psychiatry. 1993 Jul;15(4):211-8
Date
Jul-1993
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Cross-Sectional Studies
Denmark - epidemiology
Diagnosis, Differential
Female
Health Resources - utilization
Health Services Misuse - statistics & numerical data
Humans
Incidence
Male
Middle Aged
Patient Admission - statistics & numerical data
Patient Discharge - statistics & numerical data
Primary Health Care - utilization
Referral and Consultation - utilization
Research Support, Non-U.S. Gov't
Somatoform Disorders - diagnosis - epidemiology - psychology
Specialties, Medical - statistics & numerical data
Abstract
Persistent somatization patients put a serious burden on the health care system with multiple admissions, tests, surgeries, and medications. This study reports on factors relevant to the health-seeking behavior of somatizing patients and aspects of the health care system that facilitate their overutilization of health resources. Individuals (age 17-49 years) from the general population of two Danish municipalities with at least 10 general admissions during an 8-year period were studied comparing persistent somatizers with other high utilizers of medical admissions. Results are reported on geographical mobility, change in family doctors, route and distribution of admissions by time of day or week, discharges against medical advice, physical disease overlooked, and distribution of admissions to specialties. Although the health-seeking behavior of persistent somatizers may in part explain their overutilization of health care resources, such overutilization could be reduced and much suffering avoided if physicians displayed the same enthusiasm in diagnosing somatization as in ruling out organic pathology.
Notes
Comment In: Gen Hosp Psychiatry. 1993 Jul;15(4):208-108344509
PubMed ID
8344510 View in PubMed
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[Admissions to the medical wards. Are resources used in accordance to patients' needs?]

https://arctichealth.org/en/permalink/ahliterature73721
Source
Tidsskr Nor Laegeforen. 1990 Oct 30;110(26):3362-5
Publication Type
Article
Date
Oct-30-1990
Author
E. Bjørnstad
O. Bergesen
B. Nordhaug
U. Abildgaard
G. Stene-Larsen
Author Affiliation
Medisinsk avdeling, Aker sykehus, Oslo.
Source
Tidsskr Nor Laegeforen. 1990 Oct 30;110(26):3362-5
Date
Oct-30-1990
Language
Norwegian
Publication Type
Article
Keywords
Adult
Aged
English Abstract
Female
Health Resources - utilization
Health services needs and demand
Hospital Departments - utilization
Humans
Internal Medicine - statistics & numerical data
Male
Middle Aged
Norway
Patient Admission - statistics & numerical data
Abstract
Medical and social data on 980 consecutive admissions to the Medical Department, Aker Hospital, Oslo, were recorded prospectively with emphasis on patients' requirements and the Department's use of available resources. 73% of the admissions were acute, 4% were considered unnecessary. Half were because of chronic illness. Although 88% of the patients' requirements could have been met at a local hospital, 59% were treated in specialized units. 12% were admitted to the day unit at reduced cost for an average stay of three days. 41% of the patients were over 70 years of age, 37% lived alone and 14% needed rehabilitation. A main reason for admission was the patient's inability to take care of him/herself at home, in nearly all cases the main reason being acute illness or deterioration. Therefore many of the patients seemed to need care in an acute geriatric unit. At any one time the reason for 20-25% of the patients being in the department was delay in providing care at home or in a nursing home.
PubMed ID
2256059 View in PubMed
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[A false image of health care activities in Lotz reports].

https://arctichealth.org/en/permalink/ahliterature232155
Source
Sygeplejersken. 1988 Nov 16;88(46):38-40
Publication Type
Article
Date
Nov-16-1988

AHELP: Alaska Health Education Library Project

https://arctichealth.org/en/permalink/ahliterature288377
Publication Type
Database
  1 website  
Author Affiliation
Alaska Department of Health and Human Services
Language
English
Geographic Location
U.S.
Publication Type
Database
Digital File Format
Web site (.html, .htm)
Keywords
One Health
Northern communities
Public Health
Alaska
Health education
Health promotion
Health Resources
Abstract
The Alaska Health Education Library Project (AHELP) is an electronic clearinghouse of current health promotion and health education resources that are specific to and available in Alaska.
Online Resources
Less detail
Source
Lancet. 1989 Sep 9;2(8663):623-4
Publication Type
Article
Date
Sep-9-1989
Source
CMAJ. 1993 Mar 1;148(5):802-5
Publication Type
Article
Date
Mar-1-1993
Author
M T Schechter
Author Affiliation
Department of Health Care and Epidemiology, Faculty of Medicine, University of British Columbia.
Source
CMAJ. 1993 Mar 1;148(5):802-5
Date
Mar-1-1993
Language
English
Publication Type
Article
Keywords
Acquired Immunodeficiency Syndrome - economics - epidemiology - microbiology - prevention & control - transmission
Attitude to Health
Canada - epidemiology
Costs and Cost Analysis
Disease Outbreaks
HIV
Health Priorities
Health Resources
Humans
Incidence
Research Support as Topic
Notes
Cites: CMAJ. 1988 Apr 15;138(8):736-413355954
Cites: Science. 1988 Jul 29;241(4865):514, 5173399880
Comment In: CMAJ. 1993 Aug 1;149(3):265, 268; author reply 268-98339169
Comment In: CMAJ. 1993 Mar 1;148(5):745-98439932
Comment In: CMAJ. 1993 Aug 1;149(3):265; author reply 268-98339168
PubMed ID
8439940 View in PubMed
Less detail
Publication Type
Database
  1 website  
Author Affiliation
University of Alaska Fairbanks
Language
English
Geographic Location
U.S.
Publication Type
Database
Digital File Format
Web site (.html, .htm)
Keywords
Indigenous Collections
Traditional healing
Sharing & Teaching
Alaska Natives
Knowledge
Health Resources
Abstract
A resource for compiling and exchanging information related to Alaska Native knowledge systems and ways of knowing.
Online Resources
Less detail

643 records – page 1 of 65.