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2.
J Formos Med Assoc ; 120(1 Pt 2): 422-428, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32563581

RESUMO

BACKGROUND/PURPOSE: Population aging and unequal accessibility of health care are increasingly important in developed countries. One strategy to overcome these issues is utilizing telemedicine, which is recently made possible technologically by the advancement of internet speed, high speed zooming cameras, and the information storages. In Taiwan, the telemedicine is granted legally by the amendment for Taiwan's Physician Act in 2018. METHODS: Kaohsiung Chang Gung Memorial Hospital (Kaohsiung CGMH) is the first hospital in Taiwan to provide the telemedicine service connecting to Cheng Kung Branch of Taitung Hospital since Nov 2018. Consultation services from Dermatology, ENT, and Ophthalmology have been delivered in the live-interactive and face to face module every week. RESULTS: Dermatology consultation comprises the majorities. In the first year, there were totally 426 dermatology consultation services. Eczema, fungal infections, and scabies infestation were the three most common diseases in the beginning. The disease diagnosis became more diverse after several months, including some ready-to-treat diseases pending correct diagnosis, such as pediculosis, psoriasis, and urticaria. Coupled with dermoscopic images, diseases such as hair loss, pediculosis capitis, skin tumor, and scabies, were diagnosed promptly. The subjective patient improvement rate was more than 75% year-round and the case closure rate was more than 85% year-round. CONCLUSION: Teledermatology is a promising approach to serve the remote medical-underprivileged regions. The teledermatology is anticipated to help underserved regions, nursing homes, prisons, and in situations with severe pandemic infections, such as COVID-19.


Assuntos
Dermatologia/métodos , Acesso aos Serviços de Saúde/organização & administração , Hospitais de Distrito , Hospitais Rurais , Serviços de Saúde Rural/organização & administração , Dermatopatias , Telemedicina/métodos , Dermatologia/organização & administração , Humanos , Dermatopatias/diagnóstico , Dermatopatias/terapia , Taiwan , Telemedicina/organização & administração
3.
Support Care Cancer ; 29(1): 11-15, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-32856215

RESUMO

During the current pandemic scenario, maxillofacial rehabilitation specialists involved with supportive care in cancer must transform its practice to cope with COVID-19 and improve protocols that could quickly return the oral function of complex cancer patients who cannot wait for surgical complex rehabilitation. This includes the role of the maxillofacial prosthodontist for the rehabilitation of surgically treated patients with maxillary cancers by the means of filling obturator prostheses that are considered an optimal scientific-based strategy to reduce hospital stay with excellent pain control, oral function (speech, swallowing, mastication, and facial esthetics), psychologic and quality of life outcomes for the patients following intraoral cancer resection. Therefore, the aim of this commentary was to bring new lights to the strategic use of obturator prostheses for the rehabilitation of oral cancer patients during the COVID-19 pandemic as well as to present a protocol for managing such cases.


Assuntos
/epidemiologia , Procedimentos Clínicos/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Prótese Maxilofacial , Neoplasias Bucais/reabilitação , Obturadores Palatinos , Assistência Ambulatorial/métodos , Assistência Ambulatorial/organização & administração , Procedimentos Clínicos/normas , Planejamento de Prótese Dentária/normas , Estética , Humanos , Reconstrução Mandibular/instrumentação , Reconstrução Mandibular/métodos , Reconstrução Mandibular/normas , Prótese Maxilofacial/estatística & dados numéricos , Neoplasias Bucais/cirurgia , Ortodontia/métodos , Ortodontia/organização & administração , Ortodontia/normas , Obturadores Palatinos/estatística & dados numéricos , Pandemias , Patologia Bucal/organização & administração , Patologia Bucal/normas , Qualidade de Vida , Fluxo de Trabalho
4.
J Nerv Ment Dis ; 209(1): 49-53, 2021 01.
Artigo em Inglês | MEDLINE | ID: mdl-33003053

RESUMO

The novel coronavirus pandemic and the resulting expanded use of telemedicine have temporarily transformed community-based care for individuals with serious mental illness (SMI), challenging traditional treatment paradigms. We review the rapid regulatory and practice shifts that facilitated broad use of telemedicine, the literature on the use of telehealth and telemedicine for individuals with SMI supporting the feasibility/acceptability of mobile interventions, and the more limited evidence-based telemedicine practices for this population. We provide anecdotal reflections on the opportunities and challenges for telemedicine drawn from our daily experiences providing services and overseeing systems for this population during the pandemic. We conclude by proposing that a continued, more prominent role for telemedicine in the care of individuals with SMI be sustained in the post-coronavirus landscape, offering future directions for policy, technical assistance, training, and research to bring about this change.


Assuntos
Atitude do Pessoal de Saúde , Serviços de Saúde Comunitária , Acesso aos Serviços de Saúde , Transtornos Mentais/terapia , Serviços de Saúde Mental , Aceitação pelo Paciente de Cuidados de Saúde , Telemedicina , Serviços de Saúde Comunitária/economia , Serviços de Saúde Comunitária/organização & administração , Serviços de Saúde Comunitária/normas , Acesso aos Serviços de Saúde/economia , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/normas , Humanos , Serviços de Saúde Mental/economia , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Mental/normas , Telemedicina/economia , Telemedicina/organização & administração , Telemedicina/normas
5.
Bull World Health Organ ; 98(12): 826-827, 2020 Dec 01.
Artigo em Inglês | MEDLINE | ID: mdl-33293741

RESUMO

Significant challenges need to be overcome to ensure eventual COVID-19 vaccines get to everyone who needs them. Andréia Azevedo Soares reports.


Assuntos
/provisão & distribução , Acesso aos Serviços de Saúde/organização & administração , Disparidades em Assistência à Saúde/organização & administração , Brasil , Países em Desenvolvimento , Humanos , Pandemias
7.
BMJ ; 371: m4750, 2020 12 15.
Artigo em Inglês | MEDLINE | ID: mdl-33323376

RESUMO

OBJECTIVE: To analyze the premarket purchase commitments for coronavirus disease 2019 (covid-19) vaccines from leading manufacturers to recipient countries. DESIGN: Cross sectional analysis. DATA SOURCES: World Health Organization's draft landscape of covid-19 candidate vaccines, along with company disclosures to the US Securities and Exchange Commission, company and foundation press releases, government press releases, and media reports. ELIGIBILITY CRITERIA AND DATA ANALYSIS: Premarket purchase commitments for covid-19 vaccines, publicly announced by 15 November 2020. MAIN OUTCOME MEASURES: Premarket purchase commitments for covid-19 vaccine candidates and price per course, vaccine platform, and stage of research and development, as well as procurement agent and recipient country. RESULTS: As of 15 November 2020, several countries have made premarket purchase commitments totaling 7.48 billion doses, or 3.76 billion courses, of covid-19 vaccines from 13 vaccine manufacturers. Just over half (51%) of these doses will go to high income countries, which represent 14% of the world's population. The US has reserved 800 million doses but accounts for a fifth of all covid-19 cases globally (11.02 million cases), whereas Japan, Australia, and Canada have collectively reserved more than one billion doses but do not account for even 1% of current global covid-19 cases globally (0.45 million cases). If these vaccine candidates were all successfully scaled, the total projected manufacturing capacity would be 5.96 billion courses by the end of 2021. Up to 40% (or 2.34 billion) of vaccine courses from these manufacturers might potentially remain for low and middle income countries-less if high income countries exercise scale-up options and more if high income countries share what they have procured. Prices for these vaccines vary by more than 10-fold, from $6.00 (£4.50; €4.90) per course to as high as $74 per course. With broad country participation apart from the US and Russia, the COVAX Facility-the vaccines pillar of the World Health Organization's Access to COVID-19 Tools (ACT) Accelerator-has secured at least 500 million doses, or 250 million courses, and financing for half of the targeted two billion doses by the end of 2021 in efforts to support globally coordinated access to covid-19 vaccines. CONCLUSIONS: This study provides an overview of how high income countries have secured future supplies of covid-19 vaccines but that access for the rest of the world is uncertain. Governments and manufacturers might provide much needed assurances for equitable allocation of covid-19 vaccines through greater transparency and accountability over these arrangements.


Assuntos
/economia , Saúde Global/economia , Acesso aos Serviços de Saúde/economia , Financiamento da Assistência à Saúde , /imunologia , Estudos Transversais , Países Desenvolvidos/economia , Países em Desenvolvimento/economia , Acesso aos Serviços de Saúde/organização & administração , Humanos
9.
Dan Med J ; 67(12)2020 Nov 20.
Artigo em Inglês | MEDLINE | ID: mdl-33269695

RESUMO

INTRODUCTION: Pandemics are known to cause stress and anxiety in pregnant women. During the coronavirus disease 2019 (COVID-19) lockdown of the Danish society, pregnant women were considered to be at increased risk, and access to antenatal care changed. METHODS: On 8 April 2020A, a questionnaire was sent to 332 pregnant women previously sampled by general practitioners in two Danish regions. The women were contacted via secured e-mail (e-Boks), and questionnaires were returned until 6 May. RESULTS: The questionnaire was returned by 257 women (77%). More than half believed that they were at a high risk of infection with COVID-19, and a third of the women were concerned about the risk of serious disease - especially for their unborn child. Almost 90% isolated at home most of the time. The majority were worried about possible consequences of the pandemic for antenatal care, but very few had actually missed a scheduled preventive consultation with their general practitioner, and only 15% had missed an appointment with their midwife. The majority of the women preferred normal consultations and found no added safety in shifting the consultation from the normal clinical setting. CONCLUSIONS: The COVID-19 pandemic and lockdown have had a major impact on Danish pregnant women. Even so, concerns were more focused on access to care than on the risk of COVID-19 infection. Contacts with the antenatal healthcare system have only been moderately affected. FUNDING: TRYG Foundation and KEU, Region Copenhagen. TRIAL REGISTRATION: not relevant.


Assuntos
/psicologia , Gestantes/psicologia , Cuidado Pré-Natal/psicologia , Adulto , Estudos Transversais , Dinamarca , Feminino , Acesso aos Serviços de Saúde/organização & administração , Humanos , Pandemias , Gravidez , Cuidado Pré-Natal/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
10.
Rev Peru Med Exp Salud Publica ; 37(3): 541-546, 2020 Dec 02.
Artigo em Espanhol | MEDLINE | ID: mdl-33295559

RESUMO

Patients diagnosed with type 2 diabetes mellitus, who then become infected with SARS-CoV-2, are at greater risk of developing complications from COVID-19, which may even lead to death. Diabetes is a chronic condition that requires continuous contact with healthcare facilities; therefore, this type of patients should have regular access to medicines, tests and appointments with healthcare personnel. In Peru, care and treatment continuity have been affected since the national state of emergency due to COVID-19 began; because many healthcare facilities suspended outpatient consultations. The strategies presented in this study were developed by different Peruvian health providers in the pandemic context to ensure care continuity for people with diabetes. This article provides recommendations to strengthen primary healthcare, because it is the first level of healthcare contact for patients with diabetes.


Assuntos
/complicações , Continuidade da Assistência ao Paciente/organização & administração , Assistência à Saúde/organização & administração , Diabetes Mellitus Tipo 2/complicações , /epidemiologia , Diabetes Mellitus Tipo 2/terapia , Emergências/epidemiologia , Acesso aos Serviços de Saúde/organização & administração , Humanos , Programas Nacionais de Saúde , Pandemias , Peru/epidemiologia , Telemedicina
11.
PLoS One ; 15(11): e0241194, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33147265

RESUMO

BACKGROUND: This article explores mental health services in Norway and their availability for women subjected to female genital mutilation/cutting (FGM/C). The article focus on the system of communication and referrals from the perspective of health workers, and aims to identify bottlenecks in the system, what and where they are to be found, and analyze how different mental health services deal with Sub Saharan African (SSA) women in general, but in particular with respect to FGM/C. METHOD: The study was conducted in Oslo, Norway, using a qualitative fieldwork research design, with the use of purposeful sampling, and a semi-structural guideline. One hundred interviews were done with general practitioners (GPs), gynecologists, psychologists, psychiatrists, midwives and nurses. ANALYSIS: A system analysis is applied using socio-cybernetics as a tool to identify the flow of communication and referrals of patients. FINDINGS: The study shows that borders of subsystems, silencing mechanisms, regulations and "attitudes" of the system can lead to women with SSA background having difficulty getting access to the specialist services. High standards for referral letters, waiting lists, out pushing to the lower levels, insecurities around treatment and deference rules silencing mental health issues during consultancies, have a negative impact on the accessibility of services. Consequences are that mental health problems due to FGM/C are under-investigated, under-referred, and under-treated and a silenced problem within the mental health services for women. CONCLUSION: A better integration of subsystems at the specialist level with the GP scheme is necessary, as well as providing competence on FGM/C to the different levels. It is also important to strengthen and integrating the services at the Municipal level and provide information to SSA women about the low threshold services.


Assuntos
Circuncisão Feminina/reabilitação , Prestação Integrada de Cuidados de Saúde/organização & administração , Emigrantes e Imigrantes/psicologia , Acesso aos Serviços de Saúde/organização & administração , Serviços de Saúde Mental/organização & administração , Circuncisão Feminina/psicologia , Emigrantes e Imigrantes/estatística & dados numéricos , Feminino , Humanos , Noruega , Pesquisa Qualitativa , Encaminhamento e Consulta/organização & administração , Análise de Sistemas
12.
Eur J Cardiothorac Surg ; 58(6): 1254-1260, 2020 12 01.
Artigo em Inglês | MEDLINE | ID: mdl-33175141

RESUMO

OBJECTIVES: Italy has been one of the countries most severely affected by the coronavirus disease 2019 (COVID-19). The Italian government was forced to introduce quarantine measures quickly, and all elective health services were stopped or postponed. This emergency has dramatically changed the management of paediatric and adult patients with congenital heart disease. We analysed data from 14 Italian congenital cardiac surgery centres during lockdown, focusing on the impact of the pandemic on surgical activity, patients and healthcare providers and resource allocation. METHODS: Fourteen centres participated in this study. The period analysed was from 9 March to 4 May. We collected data on the involvement of the hospitals in the treatment of patients with COVID-19 and on limitations on regular activity and on the contagion among patients and healthcare providers. RESULTS: Four hospitals (29%) remained COVID-19 free, whereas 10 had a 39% reduction in the number of beds for surgical patients, especially in the northern area. Two hundred sixty-three surgical procedures were performed: 20% elective, 62% urgent, 10% emergency and 3% life-saving. Hospital mortality was 0.4%. Compared to 2019, the reduction in surgical activity was 52%. No patients operated on had positive test results before surgery for severe acute respiratory syndrome coronavirus 2, the virus responsible for COVID-19. Three patients were infected during the postoperative period. Twenty-nine nurses and 12 doctors were infected. Overall, 80% of our infected healthcare providers were in northern centres. CONCLUSIONS: Our study shows that the pandemic had a different impact on the various Italian congenital cardiac surgery centres based on the different patterns of spread of the virus across the country. During the lockdown, the system was able to satisfy all emergency clinical needs with excellent results.


Assuntos
/prevenção & controle , Procedimentos Cirúrgicos Cardíacos/tendências , Alocação de Recursos para a Atenção à Saúde/tendências , Acesso aos Serviços de Saúde/tendências , Cardiopatias Congênitas/cirurgia , /epidemiologia , Infecção Hospitalar/epidemiologia , Infecção Hospitalar/prevenção & controle , Procedimentos Cirúrgicos Eletivos/tendências , Emergências , Alocação de Recursos para a Atenção à Saúde/métodos , Alocação de Recursos para a Atenção à Saúde/organização & administração , Pesquisas sobre Serviços de Saúde , Política de Saúde , Acesso aos Serviços de Saúde/organização & administração , Humanos , Controle de Infecções/métodos , Itália/epidemiologia , Doenças Profissionais/epidemiologia , Doenças Profissionais/prevenção & controle , Pandemias , Complicações Pós-Operatórias/epidemiologia , Complicações Pós-Operatórias/prevenção & controle , Quarentena
13.
Am J Manag Care ; 26(11): 462-463, 2020 11.
Artigo em Inglês | MEDLINE | ID: mdl-33196278

RESUMO

One in 5 Americans utilizes federally qualified health center (FQHC) services for their primary care, preventive, and community health needs. Medicaid and FQHC programs have been partners at the forefront of addressing population health needs for more than 50 years. Although testing and contact tracing during the coronavirus disease 2019 (COVID-19) crisis are helping rural FQHC patients, there are other vital Medicaid services that are both available right now and ripe for enhancement to ensure the accessibility of services during and after the COVID-19 emergency. A primary example is nonemergency medical transportation (NEMT). Community health centers must focus on NEMT use to ensure access to care for rural patients as states reopen. This commentary defines NEMT and ways that FQHCs can enhance it as a Medicaid benefit as states reopen amid COVID-19.


Assuntos
Betacoronavirus , Centers for Medicare and Medicaid Services, U.S./organização & administração , Centros Comunitários de Saúde/organização & administração , Infecções por Coronavirus/terapia , Acesso aos Serviços de Saúde/organização & administração , Pneumonia Viral/terapia , Atenção Primária à Saúde/organização & administração , Humanos , Pandemias , Estados Unidos
14.
Eur Rev Med Pharmacol Sci ; 24(21): 11440-11444, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33215467

RESUMO

OBJECTIVE: A computerized system of telephone consultation has been experimented at the Pediatric Emergency Department (ED) of Policlinico Gemelli Hospital in Rome during the outbreak of Coronavirus Disease 2019 (COVID-19). MATERIALS AND METHODS: Twenty monothematic items with a series of questions to evaluate child's clinical conditions have been set up in order to evaluate the different situations according to their severity. All items were highlighted according to conventional scores corresponding to the different answers (yes/no) given by the child's parents. This system has been implemented with large diffusion of computer programs and applications by the availability of a computer station in every ED room. RESULTS: The system allows healthcare workers to establish the medical check-up urgency which may be immediate, within the next 24 hours or scheduled in the pediatric ward. Therefore, it has been implemented a telephone triage consultation with a standardized method. CONCLUSIONS: Telephone consultation during outbreaks, considering the risks of contagion, allows healthcare workers to decrease the concern of families and to reduce indiscriminate access to ED. The remote approach will not solve logistic and setting problems related to COVID-19 outbreak17, but it would be a valid tool to improve medical evaluation without deep change in infrastructure and clinical organization.


Assuntos
Infecções por Coronavirus/prevenção & controle , Serviço Hospitalar de Emergência/organização & administração , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle , Encaminhamento e Consulta/organização & administração , Telefone , Triagem/organização & administração , Betacoronavirus/patogenicidade , Criança , Infecções por Coronavirus/epidemiologia , Infecções por Coronavirus/transmissão , Infecções por Coronavirus/virologia , Implementação de Plano de Saúde , Acesso aos Serviços de Saúde/organização & administração , Humanos , Itália/epidemiologia , Pneumonia Viral/epidemiologia , Pneumonia Viral/transmissão , Pneumonia Viral/virologia , Avaliação de Programas e Projetos de Saúde , Centros de Atenção Terciária/organização & administração , Fatores de Tempo
15.
Health Educ Behav ; 47(6): 845-849, 2020 12.
Artigo em Inglês | MEDLINE | ID: mdl-33148042

RESUMO

The COVID-19 pandemic has exposed, and intensified, health inequities faced by Latinx in the United States. Washington was one of the first U.S. states to report cases of COVID-19. Public health surveillance shows that 31% of Washington cases are Latinx, despite being only 13% of the state population. Unjust policies related to immigration, labor, housing, transportation, and education have contributed to both past and existing inequities. Approximately 20% of Latinx are uninsured, leading to delays in testing and medical care for COVID-19, and early reports indicated critical shortages in professional interpreters and multilingual telehealth options. Washington State is taking action to address some of these inequities. Applying a health equity framework, we describe key factors contributing to COVID-19-related health inequities among Latinx populations, and how Washington State has aimed to address these inequities. We draw on these experiences to make recommendations for other Latinx communities experiencing COVID-19 disparities.


Assuntos
Infecções por Coronavirus/etnologia , Disparidades em Assistência à Saúde/etnologia , Hispano-Americanos/estatística & dados numéricos , Pneumonia Viral/etnologia , Betacoronavirus , Barreiras de Comunicação , Política de Saúde , Acesso aos Serviços de Saúde/organização & administração , Habitação/normas , Humanos , Pandemias , Tradução , Estados Unidos/epidemiologia , Washington/epidemiologia , Trabalho/estatística & dados numéricos
16.
Med Sci (Paris) ; 36(11): 1034-1037, 2020 Nov.
Artigo em Francês | MEDLINE | ID: mdl-33151866

RESUMO

Coronavirus disease (COVID)-19 is an emerging pandemic infection whose significant ability to spread in a naïve population is well established. The first response of states to the COVID-19 outbreak was to impose lock-down and social barrier measures, such as wearing a surgical mask or social distancing. One of the consequences of this pandemic in terms of public health was the suspension or slowdown of infant vaccination campaigns, in almost all countries. The indirect effects of COVID-19 may therefore weigh on mortality from measles and polio in developing countries. In this pandemic chaos, the only hope lies in the rapid development of an effective vaccine against severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2). However, acceptance of this vaccine has not yet been won, as beyond the many unknowns that will inevitably weigh around such rapid development, skepticism among vaccine hesitants is growing.


Assuntos
Infecções por Coronavirus/epidemiologia , Programas de Imunização/estatística & dados numéricos , Pandemias , Pneumonia Viral/epidemiologia , Saúde Pública/estatística & dados numéricos , Vacinação/estatística & dados numéricos , Betacoronavirus/fisiologia , Infecções por Coronavirus/imunologia , Infecções por Coronavirus/prevenção & controle , Surtos de Doenças/prevenção & controle , Acesso aos Serviços de Saúde/organização & administração , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Programas de Imunização/organização & administração , Programas de Imunização/normas , Programas de Imunização/tendências , Sarampo/epidemiologia , Sarampo/prevenção & controle , Pandemias/prevenção & controle , Participação do Paciente/estatística & dados numéricos , Participação do Paciente/tendências , Pneumonia Viral/imunologia , Pneumonia Viral/prevenção & controle , Poliomielite/epidemiologia , Poliomielite/prevenção & controle , Saúde Pública/normas , Saúde Pública/tendências , Cobertura Vacinal/organização & administração , Cobertura Vacinal/estatística & dados numéricos , Vacinas Virais/uso terapêutico
17.
PLoS One ; 15(11): e0241563, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33206636

RESUMO

OBJECTIVES: This study explores the promise of an intersectoral network in enhancing the response to transgender (trans) survivors of sexual assault. METHODS: One hundred and three representatives of healthcare and community organizations across Ontario, Canada were invited to participate in a survey. Respondents were asked to: 1) identify systemic challenges to supporting trans survivors, 2) determine barriers to collaborating across sectors, and 3) indicate how an intersectoral network might address these challenges and barriers. Descriptive statistics were used to summarize quantitative data and qualitative data were collated thematically. RESULTS: Sixty-seven representatives responded to the survey, for a response rate of 65%. Several themes capturing the challenges organizations face in supporting trans survivors were identified: Lack of knowledge and training among providers, Inadequate resources across organizations and institutions, and Limited access to and availability of appropriate services. Barriers to collaborating across sectors considered important by the overwhelming majority of respondents were: Lack of trans-positive service professionals (e.g., a paucity of sensitivity training), lack of resources (e.g., staff, staff time and workload, spaces to meet), and Institutional structures (e.g., oppressive policies, funding mandates). Four ways in which a network could address these challenges and barriers emerged from the data: Center the voices of trans communities in advocacy; Support competence of professionals to provide trans-affirming care; Provide the platform, strategies, and tools to aid in organizational change; and Create space for organizations to share ideas, goals, and resources. CONCLUSION: Our findings deepen our understanding of important impediments to enhancing the response to trans survivors of sexual assault and the role networks of healthcare and community organizations can play in comprehensively responding to complex health and social problems.


Assuntos
Colaboração Intersetorial , Delitos Sexuais/psicologia , Apoio Social , Sobreviventes/psicologia , Pessoas Transgênero/psicologia , Participação da Comunidade , Feminino , Acesso aos Serviços de Saúde/organização & administração , Humanos , Masculino , Ontário , Pesquisa Qualitativa , Delitos Sexuais/prevenção & controle , Rede Social , Inquéritos e Questionários
18.
J Nepal Health Res Counc ; 18(3): 569-571, 2020 Nov 14.
Artigo em Inglês | MEDLINE | ID: mdl-33210663

RESUMO

With advent of community transmission of COVID-19 in Nepal, the number of cases continues to rise and poses threat to the fragile health system of our country. 'Trace, isolate, test and treat' is the strategy advocated by World Health Organization to fight against COVID-19. Despite the efforts for last nine months, Nepal lacks in some aspect of this strategy. Lack of prompt testing facilities and substandard quarantine and isolation centers, have led to mismanagement of cases. The panic regarding COVID-19, lack of adequate protective measures to healthcare workers in early stage of the pandemic, and nation-wise lockdown, has led to collateral damage in the form of increased morbidity and mortality due to non-COVID related illnesses. COVID-19 pandemic has uncovered the grim reality of the debilitated health system of our country. With mass influx of Nepali migrant workers, the epidemic is expected to grow exponentially. We need to understand that the health system of Nepal must be prepared to function to its maximum capacity in the coming days. Keywords: COVID-19; health; Nepal; pandemic.


Assuntos
/epidemiologia , Controle de Doenças Transmissíveis/organização & administração , Assistência à Saúde/organização & administração , /diagnóstico , Assistência à Saúde/normas , Acesso aos Serviços de Saúde/organização & administração , Humanos , Nepal/epidemiologia , Pandemias , Qualidade da Assistência à Saúde/organização & administração , Quarentena/organização & administração
19.
Air Med J ; 39(6): 516-519, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-33228907

RESUMO

The aims of this article are to comment on pre-coronavirus disease 2019 (COVID-19) mental health activity in rural and remote Australia, including related air medical retrievals; to discuss how the current pandemic is likely to impact on this vulnerable population's mental health; and to provide potential solutions. The COVID-19 pandemic has resulted in significant air medical activity from rural and remote Australia. COVID-19 and the necessary public health and socioeconomic interventions are likely to significantly compound mental health problems for both the general public and the mental health workforce servicing rural and remote communities. However, the COVID-19 crisis provides a window of opportunity to develop, support, and build novel and sustainable solutions to the chronic mental health service vulnerabilities in rural and remote areas in Australia and other countries.


Assuntos
/psicologia , Acesso aos Serviços de Saúde/organização & administração , Transtornos Mentais/terapia , Serviços de Saúde Mental/organização & administração , Serviços de Saúde Rural/organização & administração , Adulto , Idoso , Resgate Aéreo/organização & administração , Resgate Aéreo/estatística & dados numéricos , Austrália/epidemiologia , Feminino , Acesso aos Serviços de Saúde/tendências , Humanos , Masculino , Transtornos Mentais/diagnóstico , Transtornos Mentais/epidemiologia , Transtornos Mentais/etiologia , Serviços de Saúde Mental/tendências , Pessoa de Meia-Idade , Pandemias , Saúde da População Rural/tendências , Serviços de Saúde Rural/tendências , Telemedicina/métodos , Telemedicina/organização & administração , Telemedicina/tendências
20.
Salud Colect ; 16: e2897, 2020 10 17.
Artigo em Espanhol | MEDLINE | ID: mdl-33147400

RESUMO

Taking into account the latent threat of future pandemics, the objective of this study is to analyze - particularly with respect to medications - the sustainability of the health system, healthcare coverage, budgetary efficiency, and connections with the pharmaceutical patent system. In this context, the pharmaceutical patent system acts as a determining factor, given that promoting its existence stimulates the production of research, but in turn its existence stands in the way of rapid advancements, primarily due to the development of protective legislation concerning patents, which has largely accommodated the industry. Given that the pharmaceutical industry has managed to extend the duration of patents and avoid the incorporation of generics, our analysis focuses on the influence of pharmaceutical patents; this influence has led to reflection on the possibility of combining efforts by forging alliances between numerous companies and the public sector in order to face the challenges posed by new diseases caused by viruses that give rise to epidemics and pandemics.


Assuntos
Antivirais , Custos de Medicamentos , Indústria Farmacêutica/organização & administração , Política de Saúde , Acesso aos Serviços de Saúde/organização & administração , Patentes como Assunto , Viroses/tratamento farmacológico , Antivirais/economia , Antivirais/uso terapêutico , Medicamentos Genéricos , Saúde Global , Humanos , Pandemias , Avaliação de Programas e Projetos de Saúde , Viroses/economia , Viroses/epidemiologia , Viroses/prevenção & controle
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