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Access to and continuity of primary medical care of different providers as perceived by the Finnish population.

https://arctichealth.org/en/permalink/ahliterature164689
Source
Scand J Prim Health Care. 2007 Mar;25(1):27-32
Publication Type
Article
Date
Mar-2007
Author
Pekka Mäntyselkä
Pirjo Halonen
Arto Vehviläinen
Jorma Takala
Esko Kumpusalo
Author Affiliation
Department of Public Health and Clinical Nutrition, Unit of Family Practice, University of Kuopio, Kuopio, Finland. pekka.mantyselka@uku.fi
Source
Scand J Prim Health Care. 2007 Mar;25(1):27-32
Date
Mar-2007
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Chronic Disease - therapy
Community Health Centers - standards - statistics & numerical data
Continuity of Patient Care
Family Practice - standards - statistics & numerical data
Finland
Health Services Accessibility
Humans
Middle Aged
Occupational Health Services - standards - statistics & numerical data
Patient satisfaction
Primary Health Care - standards - statistics & numerical data
Private Sector
Public Sector
Questionnaires
Abstract
To study people's views on the accessibility and continuity of primary medical care provided by different providers: a public primary healthcare centre (PPHC), occupational healthcare (OHC), and a private practice (PP).
A nationwide population-based questionnaire study.
Finland.
A total of 6437 (from a sample of 10,000) Finns aged 15-74 years.
Period of time (in days) to get an appointment with any physician was assessed via a single structured question. Accessibility and continuity were evaluated with a five-category Likert scale. Values 4-5 were regarded as good.
Altogether 72% had found that they could obtain an appointment with a physician within three days, while 6% had to wait more than two weeks. Older subjects and subjects with chronic diseases perceived waiting times as longer more often than younger subjects and those without chronic diseases. The proportion of subjects who perceived access to care to be good was 35% in a PPHC, 68% in OHC, and 78% in a PP. The proportion of subjects who were able to get successive appointments with the same doctor was 45% in a PPHC, 68% in OHC, and 81% in a PP. A personal doctor system was related to good continuity and access in a PPHC.
Access to and continuity of care in Finland are suboptimal for people suffering from chronic diseases. The core features of good primary healthcare are still not available within the medical care provided by public health centres.
Notes
Cites: Fam Pract. 2000 Jun;17(3):236-4210846142
Cites: Br J Gen Pract. 2000 Nov;50(460):882-711141874
Cites: Scand J Prim Health Care. 2001 Jun;19(2):131-4411482415
Cites: Br J Gen Pract. 2002 Jun;52(479):459-6212051209
Cites: Health Serv Res. 2002 Oct;37(5):1403-1712479503
Cites: Scand J Prim Health Care. 2006 Sep;24(3):140-416923622
Cites: Scand J Prim Health Care. 1992 Dec;10(4):290-41480869
Cites: J Fam Pract. 2004 Dec;53(12):974-8015581440
Cites: CMAJ. 2006 Jan 17;174(2):177-8316415462
Cites: Scand J Prim Health Care. 2006 Mar;24(1):1-216464807
Cites: Ann Fam Med. 2003 Sep-Oct;1(3):149-5515043376
PubMed ID
17354156 View in PubMed
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Accreditation of occupational health services in Norway.

https://arctichealth.org/en/permalink/ahliterature278579
Source
Occup Med (Lond). 2015 Dec;65(9):722-4
Publication Type
Article
Date
Dec-2015
Author
A. Lie
O. Bjørnstad
Source
Occup Med (Lond). 2015 Dec;65(9):722-4
Date
Dec-2015
Language
English
Publication Type
Article
Keywords
Accreditation
Humans
Norway - epidemiology
Occupational Health Services - standards - statistics & numerical data
Occupational Medicine
Pilot Projects
Quality Assurance, Health Care - standards
Surveys and Questionnaires
Abstract
In 2010, an accreditation system for occupational health services (OHS) in Norway was implemented.
To examine OHS experiences of the accreditation system in Norway 4 years after its implementation.
A web-based questionnaire was sent to all accredited OHS asking about their experiences with the accreditation system. Responses were compared with a similar survey conducted in 2011.
The response rate was 76% (173/228). OHS reported that the most common changes they had had to make to achieve accreditation were: improvement of their quality assurance system (53%), a plan for competence development (44%) and increased staffing in occupational hygiene (36%) and occupational medicine (28%). The OHS attributed improved quality in their own OHS (56%) and in OHS in Norway (47%), to the accreditation process.
The accreditation system was well accepted by OHS, who reported that it had improved the quality of their OHS and of OHS in Norway. The results are similar to the findings of a 2011 survey.
Notes
Cites: Int J Occup Med Environ Health. 2002;15(2):159-6312216773
Cites: Int J Occup Med Environ Health. 2002;15(2):173-712216775
PubMed ID
26276757 View in PubMed
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[Contemporary features of pneumoconiosis formation and course in miners of East Donbass].

https://arctichealth.org/en/permalink/ahliterature102740
Source
Med Tr Prom Ekol. 2014;(2):10-4
Publication Type
Article
Date
2014
Author
T E Piktushanskaia
Source
Med Tr Prom Ekol. 2014;(2):10-4
Date
2014
Language
Russian
Publication Type
Article
Keywords
Adult
Anthracosilicosis - epidemiology - etiology
Coal Mining - statistics & numerical data
Disease Progression
Humans
Male
Mass Screening - standards - statistics & numerical data
Occupational Diseases - epidemiology
Occupational Health Services - standards - statistics & numerical data
Russia - epidemiology
Abstract
The author analyzed dynamics and structure of occupational morbidity including pneumoconiosis in Rostov region of Russian Federation, since 1990 until now. They were compared with analogous parameters of previous historical period. Findings are that contemporary dynamics of anthracosilicosis clinical features is characterized by severily reduced terms of the disease development from medical registration of the diseased miner, earlier addition of malignancy, respiratory failure and other complications--that in aggregate causes earlier disablement and drastically reduced survival rate in occupational patients with anthracosilicosis.
PubMed ID
25073334 View in PubMed
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The experience of an occupational health centre during a prolonged work stoppage.

https://arctichealth.org/en/permalink/ahliterature222846
Source
Can J Public Health. 1992 Nov-Dec;83(6):448-51
Publication Type
Article
Author
I M Arnold
G W Olsen
K M Bodner
R D Egedahl
Author Affiliation
Dow Chemical Canada Inc., Sarnia Division, Occupational Health Centre, Ontario.
Source
Can J Public Health. 1992 Nov-Dec;83(6):448-51
Language
English
Publication Type
Article
Keywords
Health Services Research
Humans
Occupational Health Services - standards - statistics & numerical data - utilization
Ontario
Strikes, Employee
Workload
Abstract
We describe the experience of the occupational health centre at the Sarnia Division of Dow Chemical Canada prior to, during and after a work stoppage of seven months duration. A descriptive analysis was performed of the occupational health case load during the work stoppage compared to the same period one year earlier. Total visits as well as those for dermatologic, upper respiratory, musculoskeletal and those associated with a non-occupationally related situation (e.g., sunburn) exceeded normal frequencies during the first ten weeks of the work stoppage. In particular, there was a peak number of visits during the first two weeks when a 'lock-in' prevented employees from visiting their own physicians except for emergency situations. In the Discussion section, recommendations are outlined to lessen the chance of adverse health effects in workers responsible for operating a chemical plant during a work stoppage.
PubMed ID
1286448 View in PubMed
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[Improved medical care for miners with ischemic heart disease]

https://arctichealth.org/en/permalink/ahliterature55188
Source
Gig Tr Prof Zabol. 1992;(5):42-4
Publication Type
Article
Date
1992
Author
L T Malaia
G P Kobets
R A Kopytina
V P Cherkesov
V P Kamkov
V M Danilik
I G Fufaeva
T N Ovsiannikova
Source
Gig Tr Prof Zabol. 1992;(5):42-4
Date
1992
Language
Russian
Publication Type
Article
Keywords
Adult
Coal Mining - statistics & numerical data
English Abstract
Humans
Myocardial Ischemia - diagnosis - epidemiology - therapy
Occupational Diseases - diagnosis - epidemiology - therapy
Occupational Health Services - standards - statistics & numerical data
Prospective Studies
Ukraine - epidemiology
Abstract
The article is devoted to coronary disease in miners of deep Donbass mines. Data of its prevalence, chemical and functional features are given. Rapid progress of the disease was found to correlate with unfavourable factors of occupational environment. Mechanisms of dangerous heart rythm disorders formation during the work are shown. The main points of the programme improving the health care of miners suffering from coronary heart disease are described.
PubMed ID
1427355 View in PubMed
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