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1.
Nutrients ; 16(11)2024 May 21.
Artículo en Inglés | MEDLINE | ID: mdl-38892491

RESUMEN

The nutritional status in inflammatory bowel disease (IBD) is often impaired, and adherence to the Mediterranean diet (MedDiet) remains under-investigated. The aim of this study was to assess diet quality (DQ) and adherence to MedDiet in a cohort of Sardinian IBD patients. We conducted a case-control study in which 50 Crohn's disease (CD) and 50 ulcerative colitis (UC) patients were matched with 100 healthy controls each. The Diet Quality Index (DQI-I) and Medi-Lite were used to assess DQ and adherence to MedDiet, respectively. Subgroup analysis by disease characteristics and use of advanced therapies were also carried out. DQI-I scored significantly lower in IBD, independently of disease localization and behavior (CD) and disease extent (UC): [DQI-I: CD 34.5 (IQR 33-37) vs. CTRL 40 (IQR 38.5-43) p < 0.0001; UC 34.5 (IQR 33-37) vs. CTRL 42 (IQR 40-44) p < 0.0001]. Medi-Lite scores were significantly lower in stricturing and ileo-colonic CD and in extensive UC: [Medi-Lite CD 7.5 (IQR 7-9)] vs. CTRL 9 (IQR 7-10) p = 0.0379]; [UC 8 (IQR7-10) vs. CTRL 9 (IQR 8-10.5) p = 0.0046]. IBD patients had a low DQ independently of disease type and phenotype. Patients with ileo-colonic stenosing CD or extensive UC had lower MedDiet adherence, suggesting that its benefits may be mitigated by low acceptance in specific subgroups.


Asunto(s)
Colitis Ulcerosa , Enfermedad de Crohn , Dieta Mediterránea , Cooperación del Paciente , Humanos , Femenino , Estudios de Casos y Controles , Masculino , Adulto , Persona de Mediana Edad , Cooperación del Paciente/estadística & datos numéricos , Enfermedad de Crohn/dietoterapia , Colitis Ulcerosa/dietoterapia , Colitis Ulcerosa/terapia , Enfermedades Inflamatorias del Intestino/dietoterapia , Estado Nutricional , Italia
2.
Sci Rep ; 14(1): 12714, 2024 06 03.
Artículo en Inglés | MEDLINE | ID: mdl-38830923

RESUMEN

Infrastructure is often a limiting factor in microplastics research impacting the production of scientific outputs and monitoring data. International projects are therefore required to promote collaboration and development of national and regional scientific hubs. The Commonwealth Litter Programme and the Ocean Country Partnership Programme were developed to support Global South countries to take actions on plastics entering the oceans. An international laboratory network was developed to provide the infrastructure and in country capacity to conduct the collection and processing of microplastics in environmental samples. The laboratory network was also extended to include a network developed by the University of East Anglia, UK. All the laboratories were provided with similar equipment for the collection, processing and analysis of microplastics in environmental samples. Harmonised protocols and training were also provided in country during laboratory setup to ensure comparability of quality-controlled outputs between laboratories. Such large networks are needed to produce comparable baseline and monitoring assessments.


Asunto(s)
Monitoreo del Ambiente , Laboratorios , Microplásticos , Microplásticos/análisis , Monitoreo del Ambiente/métodos , Laboratorios/normas , Cooperación Internacional
3.
PLoS One ; 19(5): e0300392, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-38768192

RESUMEN

This study examines the potential benefits of cooperation among Belt and Road Initiative (BRI) countries in achieving common goals within the international tourism cooperation network. Despite its significance, limited research has been conducted on this topic in terms of economic and spatial insights. To address this gap, we utilized the gravity model, social network, and quadratic regression. The revealed findings suggest that while the intermediary function among BRI countries is declining, the tourism cooperation network is gradually strengthening. Furthermore, reducing the gap between the governance and consumption levels of BRI countries can improve the network. The study offers new insights into the BRI tourism cooperation network, which could be critical for the future growth of regional tourism.


Asunto(s)
Cooperación Internacional , Turismo , Humanos
4.
Orphanet J Rare Dis ; 19(1): 197, 2024 May 13.
Artículo en Inglés | MEDLINE | ID: mdl-38741100

RESUMEN

BACKGROUND: Rare diseases are often complex, chronic and many of them life-shortening. In Germany, healthcare for rare diseases is organized in expert centers for rare diseases. Most patients additionally have regional general practicioners and specialists for basic medical care. Thus, collaboration and information exchange between sectors is highly relevant. Our study focuses on the patient and caregiver perspective on intersectoral and interdisciplinary care between local healthcare professionals (HCPs) and centers for rare diseases in Germany. The aims were (1) to investigate patients' and caregivers' general experience of healthcare, (2) to analyse patients' and caregivers' perception of collaboration and cooperation between local healthcare professionals and expert centers for rare diseases and (3) to investigate patients' and caregivers' satisfaction with healthcare in the expert centers for rare diseases. RESULTS: In total 299 individuals of whom 176 were patients and 123 were caregivers to pediatric patients participated in a survey using a questionnaire comprising several instruments and constructs. Fifty participants were additionally interviewed using a semistructured guideline. Most patients reported to receive written information about their care, have a contact person for medical issues and experienced interdisciplinary exchange within the centers for rare diseases. Patients and caregivers in our sample were mainly satisfied with the healthcare in the centers for rare diseases. The qualitative interviews showed a rather mixed picture including experiences of uncoordinated care, low engagement and communication difficulties between professionals of different sectors. Patients reported several factors that influenced the organization and quality of healthcare e.g. engagement and health literacy in patients or engagement of HCPs. CONCLUSIONS: Our findings indicate the high relevance of transferring affected patients to specialized care as fast as possible to provide best medical treatment and increase patient satisfaction. Intersectoral collaboration should exceed written information exchange and should unburden patients of being and feeling responsible for communication between sectors and specialists. Results indicate a lack of inclusion of psychosocial aspects in routine care, which suggests opportunities for necessary improvements.


Asunto(s)
Enfermedades Raras , Humanos , Enfermedades Raras/terapia , Alemania , Masculino , Femenino , Encuestas y Cuestionarios , Adulto , Persona de Mediana Edad , Colaboración Intersectorial , Personal de Salud/psicología , Atención a la Salud , Comunicación , Satisfacción del Paciente , Adulto Joven , Cuidadores/psicología
5.
Artículo en Español | PAHO-IRIS | ID: phr-59391

RESUMEN

[RESUMEN]. La formación de recursos humanos en salud es una preocupación recurrente. El Campus Virtual de Salud Pública (CVSP) es la plataforma educativa de la Organización Panamericana de Salud (OPS) que busca mejorar la accesibilidad a la educación en salud pública, con énfasis en la formación en liderazgo educativo orientado a planificar, implementar y evaluar políticas y acciones educativas. El objetivo de este trabajo es presentar los resultados de una consulta a personas expertas sobre el curso virtual “Liderazgo para la Gestión Educativa en Organizaciones de Salud”, como parte de una estrategia de fortalecimiento de las capacidades de liderazgo para la gestión educativa en las Américas propuesta por el CVPS/OPS. Se realizó un estudio cualitativo de investigación-acción, con una metodología Delphi de dos iteraciones de consultas, una virtual y una presencial, a expertos en gestión educativa en organizaciones de salud. Los resultados muestran la relevancia que adquieren ocho dimensiones de análisis: el perfil de los destinata- rios, las competencias, el enfoque y los contenidos, las actividades, la evaluación del y para el aprendizaje, la adaptabilidad, la implementación y el seguimiento durante y poscurso. La participación de actores de diferentes ámbitos geopolíticos en el diseño e implementación de una propuesta educativa regional promueve la transformación del contexto de aplicación y mejora su potencial adopción. Se destaca el lugar estratégico del curso como catalizador en la conformación y la consolidación de una red integrada de organizaciones para fortalecer el liderazgo educativo en las Américas, y la conveniencia de la estrategia metodológica empleada para mejorar la calidad de la formación de recursos humanos en salud.


[ABSTRACT]. The training of human resources for health (HRH) is a recurring concern. The Virtual Campus for Public Health (VCPH) – the educational platform of the Pan American Health Organization (PAHO) – seeks to improve access to public health education, emphasizing leadership training for teams that plan, implement, and evaluate poli- cies and educational initiatives. The objective of this work is to present the results of a consultation with experts on the virtual course “Leader- ship for Educational Management in Health Organizations”, as part of a PAHO/VCPH strategy to strengthen leadership capacities for educational management in the Americas. A qualitative action-research study was carried out using the Delphi method with two iterations of consultations (one virtual and one in person) with experts in educational management in health organizations. The results show the importance of eight dimensions of analysis: recipient profiles, competencies, approach and contents, activities, evaluation of and for learning, adaptability, implementation, and monitoring during and after the course. The participation of actors from different geopolitical spheres in the design and implementation of a regional educational initiative fosters adaptations in the context of its implementation and improves the likelihood it will be adopted. This course can play a strategic role as a catalyst in the formation and consolidation of an integra- ted network of organizations that strengthen educational leadership in the Americas. This study also highlights the value of the methodological strategy used to improve the quality of HRH training.


[RESUMO]. A formação de recursos humanos em saúde é uma preocupação recorrente. O Campus Virtual de Saúde Pública (CVSP) é a plataforma educacional da Organização Pan-Americana da Saúde (OPAS), que busca melhorar a acessibilidade à educação em saúde pública, com ênfase na formação de lideranças educacio- nais voltadas para o planejamento, a implementação e a avaliação de políticas e ações educacionais. O objetivo deste documento é apresentar os resultados de uma consulta com especialistas sobre o curso virtual “Liderazgo para la Gestión Educativa en Organizaciones de Salud” [Liderança para a Gestão Edu- cacional em Organizações de Saúde], como parte de uma estratégia para fortalecer as capacidades de liderança para gestão educacional na Região das Américas proposta pelo CVPS/OPAS. Foi realizado um estudo qualitativo de pesquisa-ação utilizando o método Delphi com duas rodadas de con- sultas, uma virtual e outra presencial, a especialistas em gestão educacional em organizações de saúde. Os resultados mostram a relevância de oito dimensões de análise: perfil do público-alvo; competências; abordagem e conteúdo; atividades; avaliação de e para as aprendizagens; adaptabilidade; implementação; e acompanhamento durante e após o curso. A participação de atores de diferentes esferas geopolíticas no delineamento e na implementação de uma proposta educacional regional promove a transformação do contexto de aplicação e aumenta seu potencial de adoção. Destaca-se o posicionamento estratégico do curso como catalisador na criação e consolidação de uma rede integrada de organizações para fortalecer a liderança educacional na Região das Américas e a adequação da estratégia metodológica empregada para melhorar a qualidade da formação de recursos humanos em saúde.


Asunto(s)
Capacitación de Recursos Humanos en Salud , Educación a Distancia , Capacidad de Liderazgo y Gobernanza , Técnica Delphi , Cooperación Técnica , Américas , Capacitación de Recursos Humanos en Salud , Educación a Distancia , Capacidad de Liderazgo y Gobernanza , Técnica Delphi , Cooperación Técnica , Américas , Capacitación de Recursos Humanos en Salud , Educación a Distancia , Capacidad de Liderazgo y Gobernanza , Cooperación Técnica
6.
Psychol Sport Exerc ; 73: 102642, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38615899

RESUMEN

Many adults with major depressive disorder (MDD) do not receive effective treatment. The potential benefits of resistance exercise training (RET) are understudied and may be mechanistically related to cerebral blood flow changes. PURPOSE: To assess feasibility, acceptability, and preliminary efficacy of a 16-week, theory-informed RET trial for the treatment of MDD and explore changes in cerebral blood flow. METHODS: Ten adults with DSM-5-diagnosed MDD were enrolled in a single-arm, 16-week, twice-weekly, whole-body RET intervention, consistent with US and WHO Physical Activity resistance exercise guidelines. To build intrinsic motivation and develop exercise-preparatory habits, motivators and commitment were discussed weekly. Screening, enrollment, and intervention attendance and compliance rates documented feasibility. At baseline and weeks 8, 16, and 26, current MDD diagnosis, clinician-rated, and self-reported symptom severity were evaluated along with cerebral blood flow which was assessed as middle cerebral artery (MCA) mean blood velocity, conductance, and pulsatility. RESULTS: Nine participants completed the intervention. Strong feasibility and acceptability (98 % adherence, 93 % compliance, and 90 % retention) were found. MDD remission was reached by 8/9 participants at week 16 and persisted through week 26. There were large decreases in clinician-rated and self-reported symptoms at each assessment (Hedges' g = 0.84-2.13). There were small-to-moderate increases in MCA velocity (g = 0.32-0.57) and conductance (g = 0.20-0.76) across time, with minimal changes in pulsatility (all g < 0.21). CONCLUSIONS: Preliminary results suggest RET for MDD treatment is feasible and plausibly efficacious, finding large antidepressant effects. A sufficiently powered randomized controlled trial to assess RET's efficacy for treating MDD via potential cerebrovascular mechanisms is warranted.


Asunto(s)
Circulación Cerebrovascular , Trastorno Depresivo Mayor , Estudios de Factibilidad , Entrenamiento de Fuerza , Humanos , Trastorno Depresivo Mayor/terapia , Trastorno Depresivo Mayor/fisiopatología , Masculino , Femenino , Adulto , Entrenamiento de Fuerza/métodos , Persona de Mediana Edad , Circulación Cerebrovascular/fisiología , Arteria Cerebral Media/diagnóstico por imagen , Arteria Cerebral Media/fisiopatología , Motivación , Resultado del Tratamiento , Cooperación del Paciente
7.
Vet Clin North Am Food Anim Pract ; 40(2): 233-249, 2024 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-38462420

RESUMEN

Transboundary animal diseases are defined by the Food and Agriculture Organization (FAO) of the United Nation's Emergency Prevention System as those diseases that are of significant economic, trade and/or food security importance, which can easily spread to other countries and reach epidemic proportions, and where control/management including exclusion requires cooperation among several countries. The Global Framework for the Progressive Control of Transboundary Animal Diseases represents a platform of the FAO and World Organisation for Animal Health to engage regional sub-regional organizations and national veterinary authorities in developing and monitoring progress in animal disease management efforts.


Asunto(s)
Enfermedades de los Animales , Animales , Enfermedades de los Animales/prevención & control , Enfermedades de los Animales/terapia , Control de Enfermedades Transmisibles , Salud Global , Medicina Veterinaria/organización & administración , Cooperación Internacional , Enfermedades Transmisibles/veterinaria , Enfermedades Transmisibles/terapia
8.
Postgrad Med ; 136(1): 67-77, 2024 Jan.
Artículo en Inglés | MEDLINE | ID: mdl-38445664

RESUMEN

OBJECTIVES: To understand the role of primary care physicians (PCPs) in the recognition, diagnosis, and management of Crohn's perianal fistulas (CPF) and their referral patterns and treatment expectations. METHODS: This survey-based study was conducted between September 2020 and October 2020. US-based PCPs managing at least one patient with Crohn's disease per week were included. Participants were presented with two case vignettes relevant to primary care practice; Case Vignette 1 comprised three parts and focused on initial CPF presentation and progression to partial response; Case Vignette 2 focused on recurrent CPF. Survey questions elicited the physician's clinical approach to each case. Data were presented as descriptive statistics. RESULTS: Overall, 151 PCPs (median 23 years in practice) who saw about three patients per month with new/existing CPF responded. For Case Vignette 1, upon identification of a fistulous tract, 89% of respondents would refer the patient, mostly to a colorectal surgeon or gastroenterologist. Most PCPs (69%) would begin the patient on medication; 46% would conduct a diagnostic/imaging study. Treatment expectations after referral varied: 55% of respondents believed surgeons would place a seton or use one prior to surgery; 23% expected medical management only; 23% were unsure. Case Vignette 2 revealed that 98% of PCPs preferred to be involved in patient care after referral; however, only 49% were. Of these, 76% considered reinforcing patient treatment adherence as their primary role. While 80% of PCPs were at least moderately satisfied with communication and care coordination with multidisciplinary teams, 52% considered lack of access to specialists as at least a moderate barrier to multidisciplinary team management. CONCLUSION: PCPs want more involvement in multidisciplinary management of patients with CPF. Continuing education providing PCPs with up-to-date information on diagnostic modalities, treatment options, early diagnosis, the role of PCPs within a multidisciplinary team, and effective initial CPF care is required.


What were the study's aims?To understand how primary care physicians recognize, treat, and monitor patients with Crohn's disease-related perianal fistulas (small tunnels between the bowel and skin near the anus).How was the study done?US-based primary care physicians, including internists, were included if they had experience in treating patients with Crohn's disease. Descriptions of the history and symptoms of two hypothetical patients were provided: one patient who may have Crohn's perianal fistulas and another patient whose Crohn's perianal fistulas had returned after being treated. After reading these descriptions, the physicians completed a questionnaire designed to show how they would help each patient.What did the study find out?Not all physicians treat patients with Crohn's perianal fistulas in the same way in terms of diagnostic tests and medical treatments, although most said they would refer them to a specialist if a fistula was identified. Many wanted to be involved in patient care after referral to a specialist but only half were. Of those, most thought their main role was to ensure patients followed the treatments given by specialists. More than half of primary care physicians thought a lack of access to specialists could be a barrier to care.How does this impact care?The physicians surveyed want more involvement in multidisciplinary teams who look after patients with Crohn's perianal fistulas. To do this, they need more education about the diagnosis and treatment of Crohn's perianal fistulas, and clarity around their role within multidisciplinary teams who manage these patients.


Asunto(s)
Enfermedad de Crohn , Gastroenterólogos , Médicos de Atención Primaria , Humanos , Enfermedad de Crohn/diagnóstico , Enfermedad de Crohn/terapia , Comunicación , Cooperación del Paciente
9.
J Manag Care Spec Pharm ; 30(2): 206-210, 2024 Feb 03.
Artículo en Inglés | MEDLINE | ID: mdl-38308624

RESUMEN

Formularies are a tool for managing costs, optimizing patient access, and improving overall health outcomes. The general goal of formularies is to provide access to appropriate therapy while promoting effective resource utilization, which allows the managed care pharmacy organization to operate sustainably. Traditional formulary strategies have included open and closed formularies as well as tiered formularies. However, other formulary structures have emerged in support of the focus on product value. The formulary development process is primarily driven by the pharmacy and therapeutics (P&T) committee and value committee within an organization. Key considerations such as member population, regional differences, regulatory/compliance implications, and benefit design strategies may influence payers to create a customized formulary to provide additional value to their members while managing costs. With the rise of high-cost and specialty products, formularies continue to serve as an important tool for managed care pharmacy organizations. Ongoing trends, such as biosimilars, prescription digital therapeutics, and addressing health equity, will shape future strategy and management of formularies.


Asunto(s)
Biosimilares Farmacéuticos , Medicina , Servicios Farmacéuticos , Humanos , Biosimilares Farmacéuticos/uso terapéutico , Comité Farmacéutico y Terapéutico , Cooperación del Paciente
10.
Environ Sci Pollut Res Int ; 31(9): 13471-13488, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38253841

RESUMEN

This paper examines the linkages between information and communication technology (ICT) diffusion, renewable energy consumption (REC), and carbon (CO2) emissions across three distinct regions: the South Asian Association for Regional Cooperation (SAARC), Middle East and North Africa (MENA), and Organization for Economic Cooperation and Development (OECD) nations. We explore the causal pathways linking these variables and perform a comparative assessment of region-specific patterns with their policy implications. Utilizing a panel dataset of 28 countries from 1998 to 2019, we employ panel ARDL, FMOLS, DOLS, and D-H causality tests. The comprehensive analysis of the sample reveals that ICT development enhances CO2 emissions, whereas REC reduces emissions. However, the comparative analysis suggests a positive linkage between ICT diffusion and CO2 emissions in MENA and OECD countries but a negative linkage in SAARC countries. Further, REC substantially reduces emissions in MENA and OECD countries but has an insignificant effect in SAARC countries. Our findings corroborate the first-order effect of ICT (negative environmental impact) in MENA and OECD countries, with contextual variations attributed to economic structure, financial sector growth, trade openness, and industrialization. These findings offer pivotal insights for policymakers to leverage ICT capabilities and REC to attain sustainable development and mitigate climate change consequences.


Asunto(s)
Desarrollo Económico , Organización para la Cooperación y el Desarrollo Económico , Dióxido de Carbono/análisis , Comunicación , África del Norte , Medio Oriente , Energía Renovable
11.
Washington D.C; Organización Panamericana de la Salud; 1 ed; Ene. 2024. 38 p. ilus.
Monografía en Español | LIPECS | ID: biblio-1532145

RESUMEN

El presente folleto, recopila, analiza y difunde información del proyecto para mejorar la atención del niño, niña y adolescente con cáncer. Asimismo, ofrece conocimientos y orientación a otros interesados en el diagnóstico precoz de cáncer infantil de la subregión andina, así como a nivel regional y global. También, ofrece ejemplos de buenas prácticas en base a los pilares prioritarios abordados, objetivos, desafíos y oportunidades, así como lecciones aprendidas y recomendaciones para futuros colaboradores e implementadores


Asunto(s)
Mortalidad Infantil , Salud Infantil , Diagnóstico Precoz
12.
National Capital District (Papua New Guinea); World Health Organization Representative Office in Papua New Guinea; 2024.
en Inglés | WHO IRIS | ID: who-376931
15.
Washington, D.C.; OPS; 2024. (OPS/NMH/NV/24-0003).
en Español | PAHO-IRIS | ID: phr-59258

RESUMEN

En el marco de la GICC y el trabajo liderado por el Comité Andino de Prevención y Control del Cáncer del ORAS-CONHU, se obtuvo fondos semilla de la OPS en el año 2023 para el desarrollo de un proyecto de Cooperación entre Países para el Desarrollo Sanitario (CCHD) con la finalidad de promover el diagnóstico precoz de cáncer infantil a ser implementado por los seis países andinos. El proyecto se centró en tres pilares fundamentales: capacitación, comunicación y colaboración en base a estrategias, políticas y actividades establecidas en los países y basadas en evidencia, siendo lideradas por los Ministerios de Salud con el acompañamiento de la OPS y ORAS-CONHU. El objetivo de este folleto es recopilar, analizar y difundir información del proyecto para mejorar la atención del niño, niña y adolescente con cáncer. Se espera que este material ofrezca conocimientos y orientación a otros interesados en el diagnóstico precoz de cáncer infantil de la subregión andina, así como a nivel regional y global. Este folleto ofrece ejemplos de buenas prácticas en base a los pilares prioritarios abordados, objetivos, desafíos y oportunidades, así como lecciones aprendidas y recomendaciones para futuros colaboradores e implementadores. Además, se puede encontrar más información sobre cada práctica en el sitio web correspondiente.


Asunto(s)
Salud Infantil , Neoplasias , Diagnóstico Precoz , Mortalidad Infantil , Américas
19.
Australas Psychiatry ; 32(2): 118-120, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38114305

RESUMEN

OBJECTIVE: The Australian federal government is considering a 'digital front door' to mental healthcare. The Brain and Mind Centre at the University of Sydney has published a discussion paper advocating that the government should adopt a comprehensive model of digital triage and monitoring (DTM) based on a government-funded initiative Project Synergy ($30 million). We critically examine the final report on Project Synergy, which is now available under a Freedom of Information request. CONCLUSION: The DTM model is disruptive. Non-government organisations would replace general practitioners as care coordinators. Patients, private psychiatrists, and psychologists would be subjected to additional layers of administration, assessment, and digital compliance, which may decrease efficiency, and lengthen the duration of untreated illness. Only one patient was deemed eligible for DTM, however, during the 8-month regional trial of Project Synergy (recruitment rate = 1/500,000 across the region). Instead of an unproven DTM model, the proposed 'digital front door' to Australian mental healthcare should emphasise technology-enabled shared care (general practitioners and mental health professionals) for the treatment of moderate-to-severe illness.


Asunto(s)
Psiquiatría , Triaje , Humanos , Cebollas , Australia , Cooperación del Paciente , Práctica Privada
20.
Health Hum Rights ; 25(2): 125-139, 2023 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-38145134

RESUMEN

Private actors' involvement in health care financing, provision, and governance contributes to economic inequality. This paper provides an overview of emerging normative trends regarding private actors' involvement in health care by reviewing and critically analyzing international and regional human rights standards on the right to the highest attainable standard of physical and mental health. Specifically, we survey statements from United Nations human rights treaty bodies and recent jurisprudence of the African Commission on Human and Peoples' Rights that discuss private actors' involvement in health care. We then identify strengths and weaknesses of the current international human rights law framework to address the human rights and inequality impacts of private health care actors, before concluding with a series of recommendations to further develop existing standards.


Asunto(s)
Atención a la Salud , Derechos Humanos , Humanos , Cooperación Internacional , Derecho Internacional , Instituciones de Salud
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