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1.
Multimedia | Recursos Multimídia | ID: multimedia-9463

RESUMO

A saúde digital é de suma importância para a qualificação das informações adequadas. Esta live conduzida pelo Conasems em parceria com o Ministério da Saúde (SAPS e DATASUS) tem o objetivo de apresentar e esclarecer aspectos dos projetos de Conectividade das Unidades Básicas de Saúde e o Informatiza APS, além da Rede Nacional de Dados em Saúde - RNDS. Será um momento importante para que os municípios possam se apropriar do que está em andamento e as melhorias que irão ocorre.


Assuntos
Informática em Saúde Pública/economia , Centros de Saúde , Estratégias de eSaúde , Acesso à Internet , Atenção Primária à Saúde , Registros Eletrônicos de Saúde , Sistemas de Informação em Saúde , Investimentos em Saúde/economia , Governo Local , Parcerias Público-Privadas , Conselhos de Saúde ,
2.
Eur J Public Health ; 31(Supplement_4): iv54-iv58, 2021 Nov 09.
Artigo em Inglês | MEDLINE | ID: mdl-34751360

RESUMO

In this article, we examine what the role of the private sector in times of crises is and whether the private sector is, and can be held to be, accountable. COVID-19 has amplified the difficulties with public-private partnerships and this article addresses several aspects concerning business enterprises, in particular transnational corporations, human rights and health sector activities, highlighting the key aspects to understand and address accountability issues. The article also explores accountability for the private sector, the processes to ensure accountability, and the relevance of regulation and self-regulation.


Assuntos
COVID-19 , Vacinas , Humanos , Setor Privado , Parcerias Público-Privadas , SARS-CoV-2 , Responsabilidade Social
4.
Afr J Prim Health Care Fam Med ; 13(1): e1-e3, 2021 Sep 16.
Artigo em Inglês | MEDLINE | ID: mdl-34636615

RESUMO

Four family physicians, who received their specialty training at Amoud University in Somaliland, organised a practice together that uses informal public-private partnerships to optimise their clinical care and teaching. Their experience offers insights into public-private partnerships that could strengthen the country's healthcare system.


Assuntos
Medicina de Família e Comunidade , Setor Privado , Atenção à Saúde , Humanos , Parcerias Público-Privadas
5.
J Law Med Ethics ; 49(3): 415-417, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34665098

RESUMO

Telehealth has the potential to address health disparities, but not without deliberate choices about how to implement it. To support vulnerable patients, health policy leaders must pursue creative solutions such as public-private partnerships, broadband infrastructure, and value-based payment. Without these initiatives or others like them, health disparities are likely to persist despite telehealth's tantalizing potential.


Assuntos
COVID-19 , Telemedicina , Política de Saúde , Acesso aos Serviços de Saúde , Humanos , Parcerias Público-Privadas
6.
Sante Publique ; 33(2): 301-304, 2021.
Artigo em Francês | MEDLINE | ID: mdl-34553875

RESUMO

This contribution highlights the structural characteristic of vaccine access during epidemics that give rise to a permanent narrative of exceptionality fueled by socio-political tensions. It starts from the observation of the recurrence of seasonal meningitis epidemics and questions the strategies put in place by public health stakeholders. It advocates the sovereign inclusion of preparedness in epidemic responses and an action plan to strengthen pharmaceutical capacities in the South. It would also be important to re-centralize the vaccination strategy within the prevention paradigm.


Assuntos
Epidemias , Meningite , Vacinas , Humanos , Parcerias Público-Privadas , Vacinação
7.
Transfusion ; 61(10): 2814-2824, 2021 10.
Artigo em Inglês | MEDLINE | ID: mdl-34510475

RESUMO

In March 2020, there were no treatment options for COVID-19. Passive immune therapy including anti-SARS-CoV-2 hyperimmune globulin (hIVIG) was a logical candidate for COVID-19 therapeutic trials, given past success treating emerging pathogens with endogenous neutralizing antibodies. We established a plasma collection protocol for persons recovered from COVID-19. To speed recruitment in the first U.S. hotspot, Seattle, Washington, federal and state public health agencies collaborated with Bloodworks Northwest to collect convalescent plasma (CP) for manufacturing hIVIG. During March-December 2020, we identified and recruited prospective CP donors via letters to persons recovered from COVID-19 with laboratory-confirmed SARS-CoV-2 infection. Prospective donors were pre-screened and administered a medical history survey. Anti-SARS-CoV-2 neutralizing antibody (NAb) titers were classified as qualifying (≥1:80) or non-qualifying (<1:80) for enrollment based on a live virus neutralization assay. Generalized estimating equations were used to identify characteristics of donors associated with qualifying versus nonqualifying NAb titers. Overall, 21,359 letters resulted in 3207 inquiries, 2159 prescreenings with laboratory-confirmed SARS-CoV-2 infection, and 573 donors (27% of all pre-screenings with confirmed infection) who provided a screening plasma donation. Of 573 donors screened, 254 (44%) provided plasma with qualifying NAb titers, resulting in 1284 units for hIVIG manufacture. In a multivariable model, after adjusting for other factors, time (60 days) from COVID-19 symptom onset to screening was associated with lower odds of qualifying NAb (adjusted odds ratio = 0.67, 95% CI: 0.48-0.94). The collaboration facilitated a rapid response to develop and provide hIVIG for clinical trials and CP for transfusion. Only 1 in 12 donor inquiries resulted in a qualifying plasma donation. Challenges included recruitment and the relatively low percentage of persons with high NAb titers and limited screening capacity. This resource-intensive collaboration may not be scalable but informs preparedness and response strategies for plasma collection in future epidemics. Operational readiness plans with templates for screening, consent, and data collection forms are recommended.


Assuntos
Coleta de Amostras Sanguíneas , COVID-19/terapia , Saúde Pública , Parcerias Público-Privadas , SARS-CoV-2 , Adulto , Idoso , Idoso de 80 Anos ou mais , Emergências , Feminino , Humanos , Imunização Passiva , Masculino , Pessoa de Meia-Idade , Adulto Jovem
8.
Crit Care Med ; 49(11): 1963-1973, 2021 11 01.
Artigo em Inglês | MEDLINE | ID: mdl-34495876

RESUMO

Given the urgent need for coronavirus disease 2019 therapeutics, early in the pandemic the Accelerating Coronavirus Disease 2019 Therapeutic Interventions and Vaccines (ACTIV) public-private partnership rapidly designed a unique therapeutic agent intake and assessment process for candidate treatments of coronavirus disease 2019. These treatments included antivirals, immune modulators, severe acute respiratory syndrome coronavirus 2 neutralizing antibodies, and organ-supportive treatments at both the preclinical and clinical stages of development. The ACTIV Therapeutics-Clinical Working Group Agent Prioritization subgroup established a uniform data collection process required to perform an assessment of any agent type using review criteria that were identified and differentially weighted for each agent class. The ACTIV Therapeutics-Clinical Working Group evaluated over 750 therapeutic agents with potential application for coronavirus disease 2019 and prioritized promising candidates for testing within the master protocols conducted by ACTIV. In addition, promising agents among preclinical candidates were selected by ACTIV to be matched with laboratories that could assist in executing rigorous preclinical studies. Between April 14, 2020, and May 31, 2021, the Agent Prioritization subgroup advanced 20 agents into the Accelerating Coronavirus Disease 2019 Therapeutic Interventions and Vaccines master protocols and matched 25 agents with laboratories to assist with preclinical testing.


Assuntos
Anticorpos/uso terapêutico , Antivirais/uso terapêutico , Vacinas contra COVID-19/administração & dosagem , COVID-19/prevenção & controle , COVID-19/terapia , COVID-19/tratamento farmacológico , Desenvolvimento de Medicamentos/organização & administração , Descoberta de Drogas/organização & administração , Humanos , National Institutes of Health (U.S.) , Pandemias , Parcerias Público-Privadas , SARS-CoV-2 , Estados Unidos
9.
PLoS One ; 16(9): e0253394, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34506485

RESUMO

Long project cycle and uncertainties are important characteristics of public-private partnership (PPP) projects. Since the introduction of PPP projects in China, the timing of capital withdrawal has become important. With the emergence of risk factors during the course of the project, it will face the problem of investment withdrawal by social capital financial investors. Escalation of commitment (EOC) refers to the erroneous behaviour of project decision makers who do not promptly withdraw from a project when they receive negative feedback and continue to invest resources in the project. EOC not only causes more unnecessary losses but also adversely affects decision makers. Therefore, it is crucial to clarify the impact of EOC on the choice of the exit timing of social capital. This article adopts literature survey method and quantitative analysis method: introducing the theory of maximization of income into the real option model, combining the net present value method with the binary tree option pricing model, constructing the decision-making model to analyze the exit timing of PPP social capital in the context of EOC. Then combined numerical simulation and empirical analysis to verify the effectiveness of the decision-making model, discussed the reasons why the social capital party chooses EOC, and proposes measures for controlling EOC. The higher the degree of completion of the project, the easier it is for the person in charge of the project to make inaccurate judgements about the project due to personal psychological factors, and the easier it is for EOC to occur. Therefore, after setting the minimum goal of the project, the decision maker needs to accurately evaluate the existing value of the project to avoid falling into decision-making errors.


Assuntos
Investimentos em Saúde/economia , Parcerias Público-Privadas/economia , China , Tomada de Decisões , Humanos , Modelos Econômicos
10.
Pan Afr Med J ; 39: 91, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34466193

RESUMO

Introduction: Mozambique is one of the poorest nations in the world and its health budget is heavily dependent on external funding. Increasingly, donors prefer to direct their funds through international non-governmental organizations instead of direct donations to the State budget. In the current climate of increased emphasis on health system strengthening, a strong and stable partnership between government and international non-governmental organizations is pivotal for health system strengthening in Mozambique. Methods: the study evaluates the current partnership through a standardized survey to healthcare workers employed by international non-governmental organizations in health (INGO, private) and the ministry of health (MOH, public). Results of the survey have been analyzed only descriptively and no statistical evaluations have been performed. Results: out of the valid 109 responses obtained 55.1% were from MOH cadres and 45.0% from INGO cadres. Most have been in the health sector for more than 5 years. Most of the respondents recognize that INGOs assist the government in strengthening the health system (71.6%), see the internal brain drain to INGOs and salary scale difference as major problems (70.6% and 78.0%); 87.2% reported that the coordination between INGOs and government needs to be improved. MOH cadres perceived the migration of cadres to INGOs and the need for improving coordination as major issues more acutely than their INGO counterparts (80.0% vs. 59.2% and 88.3% vs. 85.7% respectively). INGOs were perceived to offer better quality health services by 51.4% of respondents (of these 69.4% were INGO respondents). The quality of health services was alike between INGOs and MOH for 33% of the respondents. Conclusion: through the various efforts outlined the MOH and INGOs are moving towards an environment of mutual accountability, joint planning and coordination as well as harmonization of activities; but there are still challenges to be addressed. Prioritization and increased funding of the planning unit and planning and cooperation directorate as well as strategies for workforce retention are urgently needed.


Assuntos
Atenção à Saúde/organização & administração , Pessoal de Saúde/organização & administração , Organizações/organização & administração , Parcerias Público-Privadas/organização & administração , Estudos Transversais , Humanos , Agências Internacionais , Moçambique , Setor Privado , Setor Público , Qualidade da Assistência à Saúde , Inquéritos e Questionários
11.
Front Public Health ; 9: 711084, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34552908

RESUMO

This study investigates the spatiotemporal evolution of the efficiency of medical public-private partnerships (PPPs) and the decoupling of environmental pollution to promote public health, balanced development, and environmentalism. Based on the 2011-2020 data of medical PPPs in China, the results of a three-stage data envelopment analysis (DEA) and decoupling model show that, firstly, the spatiotemporal evolution of PPP efficiency of China in healthcare has forward periodic twists and turns, and alternating peaks and valleys, which fall into two stages: extensive development, and transformation and upgrading. Secondly, this development is either a type of stable, steady or a surge increase. Thirdly, PPP efficiency and environmental pollution show a weak decoupling state. That is, Northeast China (NEC) and Southwest China (SWC) are in a state of increasing connection, whereas Northwest China (NWC) is in an expanding negative decoupling state. The remaining regions are in a weak decoupling state. This study recommends the mode of ecology-oriented development (EOD) to promote a high-quality, integrated development of PPPs in medicine and healthcare that are especially conducive to a "green economy." There should be a more coordinated development across regions in China as well.


Assuntos
Saúde Pública , Parcerias Público-Privadas , China , Eficiência , Poluição Ambiental/prevenção & controle
13.
J Exp Med ; 218(9)2021 09 06.
Artigo em Inglês | MEDLINE | ID: mdl-34410327

RESUMO

A unique experiment in bringing academic and industrial scientists together to tackle endemic infectious diseases has proved a success. The Tres Cantos Open Lab Foundation, guided and advised by independent experts, funds extended stays of academics at the campus of a pharmaceutical company, where they access the firm's resources in partnership with company scientists. Progress in tackling tuberculosis, protozoal infections, and enteric bacterial diseases has sustained the decade-long evolution of the model, whose distinctive features complement other public-private partnerships with similar goals.


Assuntos
Doenças Transmissíveis/tratamento farmacológico , Desenvolvimento de Medicamentos/organização & administração , Indústria Farmacêutica/organização & administração , Doenças Endêmicas , Academias e Institutos/organização & administração , Humanos , Parcerias Público-Privadas
14.
Front Public Health ; 9: 695807, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34336774

RESUMO

As part of the U.S. Food and Drug Administration COVID-19 vaccine review process, public commentary was solicited offering an opportunity to reflect on vaccine attitudes that may impact the uptake of coronavirus vaccines. We identified themes in the commentary that highlighted the safety, efficacy, ethics, and trustworthiness and transparency regarding the novel mRNA COVID-19 vaccines. A "Learning Immunization System" model is proposed to optimize public, private, and academic partnerships relating to vaccine development and implementation.


Assuntos
COVID-19 , Vacinas , Atitude , Vacinas contra COVID-19 , Humanos , Imunização , Parcerias Público-Privadas , RNA Mensageiro , SARS-CoV-2 , Estados Unidos , United States Food and Drug Administration
15.
Yonsei Med J ; 62(9): 777-791, 2021 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-34427063

RESUMO

The government of the Republic of Korea (ROK) has established relevant laws and a master plan for infectious disease control and prevention based on their experiences with past epidemics. In addition, the Ministry of Health and Welfare has designed a standard manual for risk management that involves pan-governmental crisis management systems. This national infectious disease management system is constantly being supplemented and developed in face of infectious disease-related crises. In this study, we set out to present directions for infectious disease prevention and flow of management and governance between central and local governments to ensure systematic quarantine activities in the ROK. During the coronavirus disease 2019 (COVID-19) pandemic, public-private partnerships have been established to collect, provide, process, and disseminate information for effective quarantine. This has enabled the development and rapid approval of test kits, the tracking of cases, and the allocation of appropriate resources for patient treatment. Additionally, the Infectious Disease Control Agency has actively utilized information and communication technology platforms to disclose information necessary in real-time for COVID-19 quarantine and management. Overall, these efforts have played an important role in epidemiological investigations, patient management, and quarantine in the early stages of the COVID-19 pandemic.


Assuntos
COVID-19 , Pandemias , Humanos , Pandemias/prevenção & controle , Parcerias Público-Privadas , República da Coreia/epidemiologia , SARS-CoV-2
16.
JCO Glob Oncol ; 7: 1260-1269, 2021 08.
Artigo em Inglês | MEDLINE | ID: mdl-34351813

RESUMO

PURPOSE: Radiotherapy (RT) treatment at public hospitals in Nigeria is often interrupted by prolonged periods of machine breakdown because of insufficient funds for maintenance and repair. These delays have prompted the uptake of public-private partnerships (PPPs) to acquire and maintain RT equipment. This study aimed to understand Nigeria's current RT capacity and the impact of PPPs on RT availability and cost. METHODS: Eleven radiation oncologists, each representing one of the 11 RT centers in Nigeria (eight public and three private), were invited to complete a survey on the type, status, acquisition, and maintenance plan of existing RT equipment, cost incurred by patients for external-beam radiation (EBRT) and brachytherapy treatment, and number of patients treated per year on each machine. Type and status of equipment at nonresponding facilities were obtained through literature review and confirmed with the facility. RESULTS: A total of eight (81%) respondents completed the survey, all representing public centers, three of which reported PPP use. They reported 11 megavoltage units in total (seven linear accelerators [LINACs] and four Cobalt-60s) and 10 brachytherapy afterloaders. Of those, 57% (4/7) of the LINACs, 100% (4/4) of the Cobalt-60s, and 63% (7/11) of the afterloaders were in clinical use. All commissioned equipment supported by PPPs (three LINACs and one afterloader) were in operation. The public EBRT equipment were nonfunctional 35% of the year (resulting in 60% fewer patients treated per year). The PPP EBRT and afterloaders did not experience any periods of breakdown, but PPP costs were 338% higher than public equipment. CONCLUSION: This study characterizes the use of PPP as a more reliable method of RT delivery in Nigeria, albeit at higher costs.


Assuntos
Braquiterapia , Radioterapia (Especialidade) , Humanos , Nigéria , Aceleradores de Partículas , Parcerias Público-Privadas
17.
Ann Glob Health ; 87(1): 66, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34307069

RESUMO

Introduction: Partnerships are essential to creating effective global health leadership training programs. Global pandemics, including the HIV/AIDS pandemic, and more recently the COVID-19 pandemic, have tested the impact and stability of healthcare systems. Partnerships must be fostered to prepare the next generation of leaders to collaborate effectively and improve health globally. Objectives: We provide key matrices that predict success of partnerships in building global health leadership capacity. We highlight opportunities and challenges to building effective partnerships and provide recommendations to promote development of equitable and mutually beneficial partnerships. Findings: Critical elements for effective partnership when building global health leadership capacity include shared strategic vision, transparency and excellent communication, as well as intentional monitoring and evaluation of the partnership, not just the project or program. There must be recognition that partnerships can be unpredictable and unequal, especially if the end is not defined early on. Threats to equitable and effective partnerships include funding and co-funding disparities between partners from high-income and low-income countries, inequalities, unshared vision and priorities, skewed decision-making levels, and limited flexibility to minimize inequalities and make changes. Further, imbalances in power, privilege, position, income levels, and institutional resources create opportunities for exploitation of partners, particularly those in low-income countries, which widens the disparities and limits success and sustainability of partnerships. These challenges to effective partnering create the need for objective documentation of disparities at all stages, with key milestones to assess success and the environment to sustain the partnerships and their respective goals. Conclusions: Developing effective and sustainable partnerships requires a commitment to equality from the start by all partners and an understanding that there will be challenges that could derail otherwise well-intended partnerships. Guidelines and training on evaluation of partnerships exist and should be used, including generic indicators of equity, mutual benefit, and the added value of partnering. Key Takeaways: Effective partnerships in building global health leadership capacity require shared strategic vision and intentional monitoring and evaluation of goalsInequalities in partnerships may arise from disparities in infrastructure, managerial expertise, administrative and leadership capacity, as well as limited mutual benefit and mutual respectTo promote equitable and effective partnerships, it is critical to highlight and monitor key measures for success of partnerships at the beginning of each partnership and regularly through the lifetime of the partnership.We recommend that partnerships should have legal and financial laws through executed memoranda of understanding, to promote accountability and facilitate objective monitoring and evaluation of the partnership itself.More research is needed to understand better the contextual predictors of the broader influence and sustainability of partnership networks in global health leadership training.


Assuntos
Saúde Global , Cooperação Internacional , Liderança , Parcerias Público-Privadas/organização & administração , Comunicação , Humanos , Desenvolvimento de Programas/métodos , Avaliação de Programas e Projetos de Saúde/métodos , Participação dos Interessados
18.
Ann Afr Med ; 20(2): 121-126, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34213479

RESUMO

Background: Public-private partnership (PPP) in hemodialysis delivery in Nigeria is a new concept. We set out to compare the performance of Specialist Hospital Sokoto's (SHS) renal center operating with this model with four other neighboring government-operated dialysis centers. Materials and Methods: We reviewed the 6-year records (May 2011 to April 2017) of Dialysis Center of SHS, operated under a PPP and compared some performance indicators with four government-operated dialysis centers over the same period. Comparisons were made using Chi-square and corresponding P values were reported accordingly. P < 0.05 was considered significant. Results: A total of 1167 patients' data were studied. Of these, 252 (21.6%) patients with end-stage renal disease were dialyzed at SHS. The SHS dialysis center experienced 5 months of interruption in dialysis service. Only 38 (15.1%) patients sustained dialysis beyond 90 days and 105 (41.7%) patients had more than three sessions of hemodialysis. Only one patient was referred for kidney transplant from the dialysis center during the review period. SHS performed better than Federal Medical Center and Sir Yahaya Hospitals in terms of service availability, duration on hemodialysis, and greater number of hemodialysis sessions (χ2 = 29.06, df = 3, P < 0.001). Conclusion: PPP has improved the availability of dialysis service, mean duration on dialysis, and mean number of dialysis sessions but did not improve the kidney transplant referral rate at SHS. There is a need to encourage the current arrangement in the Hospital as well as other centers offering similar partnerships.


Assuntos
Falência Renal Crônica/terapia , Parcerias Público-Privadas , Diálise Renal/métodos , Adulto , Humanos , Transplante de Rim , Pessoa de Meia-Idade , Nigéria , Estudos Prospectivos , Indicadores de Qualidade em Assistência à Saúde
20.
PLoS One ; 16(7): e0254046, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34242300

RESUMO

Construction of not in my back yard (NIMBY) facility Public Private Partnership (PPP) projects are feasible measures to realize sustainable urbanization. In order to ensure the smooth development of the NIMBY facility PPP projects, the problem of choosing the most suitable operation mode among many PPP modes is still scarce and unscientific. In order to select the operation mode of the PPP projects that best fits the characteristics of the project, this paper constructs the operation mode selection of the NIMBY facility PPP project. Firstly, the index system of operation mode selection of the NIMBY facility PPP project is determined. G1 subjective weighting method and information entropy objective weighting method are introduced to solve the optimal weight of each index. Grey correlation theory is used to improve TOPSIS method, and the calculation form of relative proximity degree is optimized to determine the most suitable operation mode for the project. In this paper, combined weighting and TOPSIS method are applied to the research of NIMBY facility PPP project, and the operation mode selection of NIMBY facility PPP project is established, which makes up the blank of this part. Finally, a PPP project in Qingdao, Shandong Province, China, is taken as an example to verify the applicability of the model. The effectiveness of this model was tested by comparing the results of TOPSIS method, Grey target model, Extended matter-element mode and GRA-TOPSIS. It is hoped to provide useful reference for the operation mode selection of NIMBY facility PPP project.


Assuntos
Parcerias Público-Privadas , China , Entropia
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