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14.
South Med J ; 113(2): 64-69, 2020 02.
Artigo em Inglês | MEDLINE | ID: mdl-32016435

RESUMO

OBJECTIVES: A growing body of research has demonstrated the effect of local government spending on health outcomes; however, the effect of spending on different demographic groups is unclear. We combined national and local data to examine the impact of public spending on mortality rates in Tennessee. METHODS: Within-between random effects models to examine the relation between county-level spending and mortality rates. RESULTS: We found a significant association between per capita library and kindergarten through grade 12 education spending and mortality outcomes. We also found sex differences in the effects of per capita public health spending and highway spending. CONCLUSIONS: This study provides further evidence that local government spending plays a role in addressing and improving population health and suggests that public spending can have differential effects within a population.


Assuntos
Financiamento Governamental/estatística & dados numéricos , Governo Local , Mortalidade , Saúde da População/estatística & dados numéricos , Fatores Sexuais , Feminino , Humanos , Masculino , Saúde Pública/economia , Tennessee
15.
Rev Saude Publica ; 54: 2, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32022147

RESUMO

OBJECTIVE: One of the primary objectives of Brazil's conditional cash transfer program, Bolsa Família, is to break the intergenerational transmission of poverty by improving human capital via conditionalities. In this study, we hypothesized that health indicators of Bolsa Família participants would be comparable to those of other local children who were nonparticipants after two years of follow-up in the city of Acrelândia, Acre state, Western Brazilian Amazon. METHODS: Data from a population-based longitudinal study were analyzed to examine school enrollment, vaccination coverage, height and body mass index for age z-scores, and biomarkers of micronutrient deficiencies (iron and vitamin A) between Bolsa Família participants (n = 325) and nonparticipants (n = 738). RESULTS: Out of 1063 children 10 years and younger included in the 2007 baseline survey, 805 had anthropometric measurements and 402 had biochemical indicators in the 2009 follow-up survey. Prevalence rate ratio (PRR) for non-enrollment in school at 4 years of age was 0.58 (95%CI: 0.34-1.02) when comparing Bolsa Família participants with nonparticipants. No difference was found for vaccination coverage, which was insufficient for most vaccine-preventable diseases. Bolsa Família participants were less likely to show a positive change in body mass index for age z-scores compared with nonparticipants (PRR = 0.81, 95%CI: 0.70-0.95), while a positive change in height for age z-scores was similar in the groups. No differences in micronutrient deficiencies were found between groups after 2 years. CONCLUSIONS: Early school enrollment and consistent nutritional indicators between Bolsa Família participants and nonparticipants suggest Bolsa Família was facilitating similarities between groups over time.


Assuntos
Financiamento Governamental/métodos , Programas Governamentais , Antropometria , Brasil , Criança , Desenvolvimento Infantil , Pré-Escolar , Comportamento Alimentar , Feminino , Financiamento Governamental/estatística & dados numéricos , Humanos , Masculino , Programas Nacionais de Saúde , Avaliação de Programas e Projetos de Saúde , Assistência Pública , Fatores Socioeconômicos , Inquéritos e Questionários
17.
Br J Nurs ; 29(3): 172-173, 2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32053434

RESUMO

Emeritus Professor Alan Glasper, from the University of Southampton, discusses a government initiative to increase the number of nurses in the NHS through the reintroduction of student funding.


Assuntos
Educação em Enfermagem/economia , Financiamento Governamental , Enfermeiras e Enfermeiros/provisão & distribução , Estudantes de Enfermagem , Apoio ao Desenvolvimento de Recursos Humanos/economia , Humanos , Medicina Estatal , Reino Unido
18.
Br J Nurs ; 29(3): 181, 2020 Feb 13.
Artigo em Inglês | MEDLINE | ID: mdl-32053445

RESUMO

Sam Foster, Chief Nurse, Oxford University Hospitals, considers the Government's promise of funding for continuing professional development, and calls for transparecy and further guidance.


Assuntos
Educação Continuada em Enfermagem/economia , Financiamento Governamental , Recursos Humanos de Enfermagem/educação , Desenvolvimento de Pessoal/economia , Inglaterra , Humanos , Recursos Humanos de Enfermagem/psicologia , Recursos Humanos de Enfermagem/provisão & distribução , Medicina Estatal/organização & administração
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