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3,136 Results Found

  • Article
  • Open Access
5 Citations
5,231 Views
23 Pages

Proposal of a Learning Health System to Transform the National Health System of Spain

  • Rafael Carnicero,
  • David Rojas,
  • Ignacio Elicegui and
  • Javier Carnicero

10 September 2019

This article identifies the main challenges of the National Health Service of Spain and proposes its transformation into a Learning Health System. For this purpose, the main indicators and reports published by the Spanish Ministries of Health and Fin...

  • Article
  • Open Access
1,960 Views
11 Pages

6 December 2024

Background/Objectives: This study aimed to investigate the actual situation of individuals with unknown health conditions (UHCs) and those indifferent to health (IH) among old-old adults (OOAs) aged 75 years and above using the National Health Insura...

  • Article
  • Open Access
10 Citations
3,386 Views
17 Pages

The increasing national healthcare expenditure (NHE) with the aging rate is a significant social problem in Japan, and efficient distribution and use of NHE is an urgent issue. It is assumed that comparisons in subregions would be important to explor...

  • Article
  • Open Access
21 Citations
4,562 Views
10 Pages

Objective: This study investigated the impacts of the hierarchical medical system under the national health insurance program on residents’ healthcare-seeking behavior in Taiwan. Background: Healthcare authorities in Taiwan initiated an allowance red...

  • Article
  • Open Access
2 Citations
1,942 Views
9 Pages

How to Implement Pressurized Intraperitoneal Aerosol Chemotherapy into a National Health System Scenario: A Single-Center Retrospective Analysis of Costs and Economic Sustainability at a High-Volume Italian Hospital

  • Matteo Aulicino,
  • Cecilia Orsini,
  • Giorgio D’Annibale,
  • Lorenzo Barberis,
  • Paolo Catania,
  • Carlo Abatini,
  • Miriam Attalla El Halabieh,
  • Federica Ferracci,
  • Claudio Lodoli and
  • Francesco Santullo
  • + 2 authors

24 July 2024

PIPAC is a new surgical procedure and a viable treatment option for PSM patients, due to promising therapeutic outcomes, minimal invasiveness, limited surgical morbidity, and systemic toxicity side effects. However, its implementation throughout hosp...

  • Article
  • Open Access
1 Citations
2,539 Views
13 Pages

Evaluation of the Impact of Oral Health on the Daily Activities of Users of the National Health System

  • Adriane Wood,
  • Antonio Pereira,
  • Enoque Araújo,
  • Júlia Ferigatto,
  • Luisa Buexm,
  • Eliane Barroso and
  • Fabiana Vazquez

Background: the integration of dentistry services in the Unified Health System in Brazil (SUS) is essential in primary care assistance. Objective: we aimed to develop a tool for improving demand flowby evaluating the impact of oral health on the dail...

  • Article
  • Open Access
29 Citations
618 Views
10 Pages

Background: Health technology assessment (HTA) has been reinforced in France, notably with the introduction of economic evaluation in the pricing process for the most innovative and expensive treatments. Similarly to the National Institute for Clinic...

  • Article
  • Open Access
1 Citations
2,556 Views
18 Pages

17 April 2025

Systems of national importance like national health care systems, even if historically and culturally diverse, are today facing similar problems. One way to address them is through responsible leadership orientations and practices that promote comple...

  • Article
  • Open Access
17 Citations
5,017 Views
16 Pages

An Exploratory Research of 18 Years on the Economic Burden of Diabetes for the Romanian National Health Insurance System

  • Claudiu Morgovan,
  • Smaranda Adina Cosma,
  • Madalina Valeanu,
  • Anca Maria Juncan,
  • Luca Liviu Rus,
  • Felicia Gabriela Gligor,
  • Anca Butuca,
  • Delia Mirela Tit,
  • Simona Bungau and
  • Steliana Ghibu

The prevalence of diabetes mellitus (DM) rises constantly each year worldwide. Because of that, the funds allocated for the DM treatment have increased over time. Regarding the number of DM cases, Romania is among the top ten countries in Europe. Bas...

  • Article
  • Open Access
18 Citations
2,021 Views
8 Pages

A Catalyst for Transforming Health Systems and Person-Centred Care: Canadian National Position Statement on Patient-Reported Outcomes

  • S. Ahmed,
  • L. Barbera,
  • S.J. Bartlett,
  • D.G. Bebb,
  • M. Brundage,
  • S. Bryan,
  • W.Y. Cheung,
  • N. Coburn,
  • T. Crump and
  • L. Cuthbertson
  • + 15 authors

1 May 2020

Background: Patient-reported outcomes (pros) are essential to capture the patient’s perspective and to influence care. Although pros and pro measures are known to have many important benefits, they are not consistently being used and there is there n...

  • Article
  • Open Access
786 Views
15 Pages

Aligned with the worldwide shift towards promotional and preventative health care, the South African government has introduced a re-engineered primary health care plan, facilitated through a National Health Insurance (NHI) platform. Community health...

  • Essay
  • Open Access
53 Citations
18,147 Views
14 Pages

Global warming with increasing weather extremes, like heat events, is enhancing impacts to public health. This essay focuses on unusual extreme summer heat extremes occurring in Germany at higher frequency, longer duration, and with new temperature r...

  • Article
  • Open Access
20 Citations
4,947 Views
30 Pages

The Effects of Health Status on Life Insurance Holdings in 16 European Countries

  • Saruultuya Tsendsuren,
  • Chu-Shiu Li,
  • Sheng-Chang Peng and
  • Wing-Keung Wong

27 September 2018

This study examines the relationships among three health status indicators (self-perceived health status, objective health status, and future health risk) and life insurance holdings in 16 European countries. Our results show that households with poo...

  • Article
  • Open Access
1 Citations
2,660 Views
12 Pages

The Collaboration of Private Hospitals with the Public Health Service: The Case of La Rioja, Spain (1986–2019)

  • María Teresa Jiménez-Buñuales,
  • Pilar León-Sanz,
  • Paulino González-Diego and
  • Leonor González-Menorca

In Spain, the public National Health Service provides care to Spaniards and other residents and is tailored for a decentralized state of autonomies. Each Autonomous Community has legislative capacity in its organization and management. We study the c...

  • Article
  • Open Access
1,298 Views
16 Pages

Evaluating the Gaps in the Diagnosis and Treatment in Extra-Pulmonary Tuberculosis Patients Under National Tuberculosis Elimination Programme (NTEP) Guidelines: A Multicentric Cohort Study

  • Sanjeev Sinha,
  • Renuka Titiyal,
  • Prasanta R. Mohapatra,
  • Rajesh K. Palvai,
  • Itishree Kar,
  • Baijayantimala Mishra,
  • Anuj Ajayababu,
  • Akanksha Sinha,
  • Sourin Bhuniya and
  • Shivam Pandey

Extra-pulmonary tuberculosis (EPTB) can affect any organ of the body, producing a wide variety of clinical manifestations that make the diagnosis and treatment of EPTB challenging. The optimum treatment varies depending on the site of EPTB, its sever...

  • Article
  • Open Access
572 Views
12 Pages

Background/Objectives: This study aimed to evaluate the additive effect of periodontitis and diabetes mellitus on systemic inflammation, measured by high-sensitivity C-reactive protein (hs-CRP), in a nationally representative Korean population. Metho...

  • Article
  • Open Access
12 Citations
3,623 Views
24 Pages

17 September 2020

This study reviewed the existing experience of implementing the nation-wide freshwater health evaluation in China and around the world and proposes a new framework that works in collaboration with the River Chief System (RCS). The institutional conte...

  • Article
  • Open Access
13 Citations
2,179 Views
21 Pages

Perceptions of and Practical Experience with the National Surveillance Centre in Managing Medicines Availability Amongst Users within Public Healthcare Facilities in South Africa: Findings and Implications

  • Marco F. Falco,
  • Johanna C. Meyer,
  • Susan J. Putter,
  • Richard S. Underwood,
  • Hellen Nabayiga,
  • Sylvia Opanga,
  • Nenad Miljković,
  • Ephodia Nyathi and
  • Brian Godman

The introduction of the National Surveillance Centre (NSC) has improved the efficiency and effectiveness of managing medicines availability within the public healthcare system in South Africa. However, at present, there is limited data regarding the...

  • Article
  • Open Access
17 Citations
5,991 Views
19 Pages

The French Early Breast Cancer Cohort (FRESH): A Resource for Breast Cancer Research and Evaluations of Oncology Practices Based on the French National Healthcare System Database (SNDS)

  • Elise Dumas,
  • Lucie Laot,
  • Florence Coussy,
  • Beatriz Grandal Rejo,
  • Eric Daoud,
  • Enora Laas,
  • Amyn Kassara,
  • Alena Majdling,
  • Rayan Kabirian and
  • Floriane Jochum
  • + 9 authors

27 May 2022

Background: Breast cancer (BC) is the most frequent cancer and the leading cause of cancer-related death in women. The French National Cancer Institute has created a national cancer cohort to promote cancer research and improve our understanding of c...

  • Article
  • Open Access
15 Citations
3,835 Views
19 Pages

Evaluating Completeness of Foodborne Outbreak Reporting in the United States, 1998–2019

  • Yutong Zhang,
  • Ryan B. Simpson,
  • Lauren E. Sallade,
  • Emily Sanchez,
  • Kyle M. Monahan and
  • Elena N. Naumova

Public health agencies routinely collect time-referenced records to describe and compare foodborne outbreak characteristics. Few studies provide comprehensive metadata to inform researchers of data limitations prior to conducting statistical modeling...

  • Article
  • Open Access
39 Citations
5,991 Views
16 Pages

6 July 2020

Recently, with the rapid change to an aging society and the increased interest in healthcare, disease prediction and management through various healthcare devices and services is attracting much attention. In particular, stroke, represented by cerebr...

  • Article
  • Open Access
15 Citations
5,242 Views
18 Pages

4 August 2018

Legal protection has been used as means of conserving forests and associated biodiversity in many regions of the world since the eighteenth century. However, most forests in the global south, even those within protected areas, are influenced by human...

  • Commentary
  • Open Access
54 Citations
18,212 Views
19 Pages

On 4 August 2011, United Nations Environment Program (UNEP) submitted an unprecedented, scientific, groundbreaking environmental assessment report (EAR) on Ogoniland to the Nigerian government. This was the outcome of a 14-month intensive evaluation...

  • Article
  • Open Access
5 Citations
3,726 Views
15 Pages

Carcinogenic and Non-Carcinogenic Health Risk Evaluation of Heavy Metals in Water Sources of the Nubian Sandstone Aquifer in the El-Farafra Oasis (Egypt)

  • Abdullah A. Saber,
  • Mahmood Fayz M. Al-Mashhadany,
  • Aadil Hamid,
  • Jacopo Gabrieli,
  • Klement Tockner,
  • Sarah S. A. Alsaif,
  • Ali A. M. Al-Marakeby,
  • Stefano Segadelli,
  • Marco Cantonati and
  • Sami Ullah Bhat

8 June 2024

Expanding anthropogenic activities, globally and in Egypt, have increased concentrations of heavy metals in surface and ground waters. Contamination of drinking water may threaten public health. In the present study, the concentrations of 10 heavy me...

  • Article
  • Open Access
313 Citations
15,744 Views
14 Pages

31 January 2023

Background and aim: Chronic low-grade inflammation is associated with various health outcomes, including cardiovascular diseases (CVDs) and cancers. Systemic immune inflammation index (SII) and system inflammation response index (SIRI) have lately be...

  • Article
  • Open Access
5 Citations
2,207 Views
13 Pages

Impact of Public Policy and COVID-19 Pandemic on Hepatitis C Testing and Treatment in France, 2014–2021

  • Cécile Brouard,
  • Manon Schwager,
  • Aude Expert,
  • Nicolas Drewniak,
  • Stella Laporal,
  • Grégoire de Lagasnerie and
  • Florence Lot

16 May 2024

Given the World Health Organization’s target to eliminate the hepatitis C virus (HCV) by 2030, we assessed the impact of French public policies and the COVID-19 pandemic on HCV testing and initiation of direct-antiviral agents (DAAs). Using the...

  • Article
  • Open Access
5 Citations
3,104 Views
12 Pages

10 September 2022

In Japan, a decrease in cardiovascular mortality has coincided with reduced population salt intake since the 1950s. The purpose of this study was to quantify the effect of reduced population salt intake on the long-term trends of cardiovascular morta...

  • Article
  • Open Access
5 Citations
2,449 Views
10 Pages

20 June 2023

Background: This retrospective cohort study aimed to examine the risk of developing systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA) in patients with primary Sjögren’s syndrome (pSS) compared to controls using data from a n...

  • Article
  • Open Access
1 Citations
2,092 Views
12 Pages

14 September 2022

Shortening the time to diagnosis and initiating early treatment are imperative to improve outcomes in patients with systemic lupus erythematosus (SLE). The aim of this case-control study, based on the data from the Taiwan’s National Health Insu...

  • Article
  • Open Access
1 Citations
2,342 Views
13 Pages

Has Data Quality of an Antimicrobial Resistance Surveillance System in a Province of Nepal Improved between 2019 and 2022?

  • Sweety Upadhaya,
  • Jyoti Acharya,
  • Maria Zolfo,
  • Divya Nair,
  • Mahesh Kharel,
  • Anjana Shrestha,
  • Basudha Shrestha,
  • Surendra Kumar Madhup,
  • Bijendra Raj Raghubanshi and
  • Hari Prasad Kattel
  • + 6 authors

An operational research study was conducted in 2019 to assess the quality of data submitted by antimicrobial resistance (AMR) surveillance sites in the Bagmati Province of Nepal to the National Public Health Laboratory for Global Antimicrobial Resist...

  • Article
  • Open Access
34 Citations
9,400 Views
17 Pages

Each year in the U.S. more than 7,000 adults aged 60 years and older die of suicide and as the population ages, these numbers are expected to increase. While sex is an important predictor of older adult suicide, differences between males and females...

  • Article
  • Open Access
8 Citations
3,234 Views
10 Pages

Palliative Care Coverage across European National Health Systems: Proposal of a Synthetic Indicator

  • Miguel Antonio Sánchez-Cárdenas,
  • Eduardo Garralda,
  • Edgar Benítez,
  • Natalia Arias-Casais,
  • Danny van Steijn and
  • Carlos Centeno

Background: The coverage of palliative care (PC) may be understood as a country’s capacity to offer prevention and relief from serious health-related suffering in relation to an existing need. The aim of this study is to estimate European countries´...

  • Article
  • Open Access
11 Citations
4,867 Views
23 Pages

Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability

  • Alicia Ramírez-Orellana,
  • María del Carmen Valls Martínez and
  • Mayra Soledad Grasso

27 May 2021

This article aims to provide information to public agencies and policymakers on the determinants of health systems and their relationships that influence citizens’ health–disease status. A total of 61 indicators for each of 17 Spanish autonomous comm...

  • Article
  • Open Access
10 Citations
4,530 Views
17 Pages

eHealth and mHealth Development in Spain: Promise or Reality?

  • Xosé Mahou,
  • Bran Barral,
  • Ángela Fernández,
  • Ramón Bouzas-Lorenzo and
  • Andrés Cernadas

In the last decades, the use of Information and Communication Technologies (ICTs) has progressively spread to society and public administration. Health is one of the areas in which the use of ICTs has more intensively developed through what is now kn...

  • Article
  • Open Access
11 Citations
3,750 Views
19 Pages

Multilevel Analysis of the Relationship between Ownership Structure and Technical Efficiency Frontier in the Spanish National Health System Hospitals

  • Mª Isabel Ortega-Díaz,
  • Ricardo Ocaña-Riola,
  • Carmen Pérez-Romero and
  • José Jesús Martín-Martín

Objective: To evaluate the relationship between the ownership structure of hospitals and the possibility of their being positioned on the frontier of technical efficiency in the economic crisis period 2010–2012, adjusting for hospital variables...

  • Review
  • Open Access
5 Citations
2,471 Views
13 Pages

Opportunities and Obstacles to the Development of Health Data Warehouses in Hospitals in France: The Recent Experience of Comprehensive Cancer Centers

  • François Bocquet,
  • Judith Raimbourg,
  • Frédéric Bigot,
  • Victor Simmet,
  • Mario Campone and
  • Jean-Sébastien Frenel

Big Data and Artificial Intelligence can profoundly transform medical practices, particularly in oncology. Comprehensive Cancer Centers have a major role to play in this revolution. With the purpose of advancing our knowledge and accelerating cancer...

  • Article
  • Open Access
7 Citations
2,472 Views
13 Pages

Canadian Healthcare Professionals’ Views and Attitudes toward Risk-Stratified Breast Cancer Screening

  • Julie Lapointe,
  • Jean-Martin Côté,
  • Cynthia Mbuya-Bienge,
  • Michel Dorval,
  • Nora Pashayan,
  • Jocelyne Chiquette,
  • Laurence Eloy,
  • Annie Turgeon,
  • Laurence Lambert-Côté and
  • Jennifer D. Brooks
  • + 7 authors

21 June 2023

Given the controversy over the effectiveness of age-based breast cancer (BC) screening, offering risk-stratified screening to women may be a way to improve patient outcomes with detection of earlier-stage disease. While this approach seems promising,...

  • Article
  • Open Access
3 Citations
3,557 Views
11 Pages

(1) Background: Diabetes mellitus is a significant public health problem. Macrovascular complications (stroke, acute myocardial infarction (AMI) and lower limb amputations (LLAs) represent the leading cause of morbi-mortality in DM. This work aims to...

  • Article
  • Open Access
12 Citations
4,551 Views
9 Pages

The Health Economic Evaluation of Bariatric Surgery Versus a Community Weight Management Intervention Analysis from the Idiopathic Intracranial Hypertension Weight Trial (IIH:WT)

  • Magda Aguiar,
  • Emma Frew,
  • Susan P. Mollan,
  • James L. Mitchell,
  • Ryan S. Ottridge,
  • Zerin Alimajstorovic,
  • Andreas Yiangou,
  • Rishi Singhal,
  • Abd A. Tahrani and
  • Alex J. Sinclair

30 April 2021

Background: The Idiopathic Intracranial Hypertension Weight Trial (IIH:WT) established the efficacy of bariatric surgery as compared to a community weight management intervention in reducing intracranial pressure in active IIH. The aim of this cost-e...

  • Article
  • Open Access
1,529 Views
17 Pages

“It Empowers You to Empower Them”: Health Professional Perspectives of Care for Hyperglycaemia in Pregnancy Following a Multi-Component Health Systems Intervention

  • Diana MacKay,
  • Louise Maple-Brown,
  • Natasha Freeman,
  • Jacqueline A. Boyle,
  • Sandra Campbell,
  • Anna McLean,
  • Sumaria Corpus,
  • Cherie Whitbread,
  • Paula Van Dokkum and
  • Christine Connors
  • + 9 authors

The Northern Territory (NT) and Far North Queensland (FNQ) have a high proportion of Aboriginal and Torres Strait Islander women birthing who experience hyperglycaemia in pregnancy. A multi-component health systems intervention to improve antenatal a...

  • Article
  • Open Access
9 Citations
4,218 Views
17 Pages

Background: Population ageing is a worldwide phenomenon that could influence health policy effectiveness. This research explores the impact of age structural transitions on copayment policy responses under Taiwan’s National Health Insurance (NH...

  • Article
  • Open Access
7 Citations
3,324 Views
10 Pages

Health System Barriers and Facilitators to Delivering Additional Vaccines through the National Immunisation Programme in China: A Qualitative Study of Provider and Service-User Perspectives

  • Dan Gong,
  • Qiyun Jiang,
  • Tracey Chantler,
  • Fiona Yueqian Sun,
  • Jiatong Zou,
  • Jiejie Cheng,
  • Yuqian Chen,
  • Chengyue Li,
  • Mei Sun and
  • Natasha Howard

In China, there are two categories of vaccines available from the Chinese Center for Disease Control and associated public health agencies. Extended Program of Immunization (EPI) vaccines are government-funded and non-EPI vaccines are voluntary and p...

  • Article
  • Open Access
1 Citations
3,302 Views
16 Pages

SUMAMOS EXCELENCIA® Project: Results of the Implementation of Best Practice in a Spanish National Health System (NHS)

  • María-Lara Martínez-Gimeno,
  • Nélida Fernández-Martínez,
  • Gema Escobar-Aguilar,
  • María-Teresa Moreno-Casbas,
  • Pedro-Ruyman Brito-Brito and
  • Jose-Manuel Caperos

The use of certain strategies for the implementation of a specific recommendation yields better results in clinical practice. The aim of this study was to assess the effectiveness of an evidence-based model using clinical audits (GRIP model), for the...

  • Article
  • Open Access
18 Citations
6,665 Views
11 Pages

A Spatial Analysis Framework to Monitor and Accelerate Progress towards SDG 3 to End TB in Bangladesh

  • Ente Rood,
  • Ahmadul Hasan Khan,
  • Pronab Kumar Modak,
  • Christina Mergenthaler,
  • Margo Van Gurp,
  • Lucie Blok and
  • Mirjam Bakker

Global efforts to end the tuberculosis (TB) epidemic by 2030 (SDG3.3) through improved TB case detection and treatment have not been effective to significantly reduce the global burden of the TB epidemic. This study presents an analytical framework t...

  • Review
  • Open Access
43 Citations
14,583 Views
18 Pages

Impact of the Refugee Crisis on the Greek Healthcare System: A Long Road to Ithaca

  • Ourania S. Kotsiou,
  • Panagiotis Kotsios,
  • David S. Srivastava,
  • Vaios Kotsios,
  • Konstantinos I. Gourgoulianis and
  • Aristomenis K. Exadaktylos

Greece is the country of “Xenios Zeus”, the Ancient Greek god of foreigners and hospitality; however, it is also the main point of entry to Europe. Since the beginning of 2014, 1,112,332 refugees crossed the borders of Greece. Overall, 33...

  • Article
  • Open Access
17 Citations
2,762 Views
11 Pages

Increased Risk of Chronic Periodontitis in Chronic Rhinosinusitis Patients: A Longitudinal Follow-Up Study Using a National Health-Screening Cohort

  • Soo Hwan Byun,
  • Chanyang Min,
  • Il Seok Park,
  • Heejin Kim,
  • Sung Kyun Kim,
  • Bum Jung Park,
  • Hyo Geun Choi and
  • Seok Jin Hong

19 April 2020

This study compared the risk of chronic periodontitis (CP) between chronic rhinosinusitis (CRS) and non-chronic rhinosinusitis (control) patients using a national cohort dataset from the Korean Health Insurance Review and Assessment Service. CRS (n =...

  • Review
  • Open Access
3,365 Views
14 Pages

Models Used by Nurse Case Managers in Different Autonomous Communities in Spain: A Scoping Review

  • Paula Villarreal-Granda,
  • Amada Recio-Platero,
  • Yara Martín-Bayo,
  • Carlos Durantez-Fernández,
  • Rosa M. Cárdaba-García,
  • Lucía Pérez-Pérez,
  • Miguel Madrigal,
  • Alba Muñoz-del Caz,
  • Elena Olea and
  • Esther Bahillo Ruiz
  • + 2 authors

(1) Background: The role of the nurse case manager is unknown to the population. The main objective is to analyze the existing differences within the national territory in order to make known the situation in Spain with a view to the recognition of i...

  • Article
  • Open Access
3 Citations
1,850 Views
12 Pages

How Are Diagnosis-Related Groups and Staffing Allocation Systems Associated with the Complexity of Nursing Care? An Observational Study

  • Diletta Fabrizi,
  • Davide Paolo Bernasconi,
  • Giulia Locatelli,
  • Michela Luciani,
  • Giorgio Beretta,
  • Stefania Di Mauro,
  • Paola Rebora and
  • Davide Ausili

5 October 2024

Background: In Italy, Diagnosis-Related Groups (DRGs) have been adopted for hospital services reimbursement. In some Italian regions, nurse staffing allocation is purely volume-based, with different minutes/patient/day categories determined by the ty...

  • Article
  • Open Access
1,551 Views
18 Pages

Background: Existing research highlights the necessity of tailoring cost-containment policies to specific treatments due to the varying benefits across different diseases. This study contributes additional insights by examining the impact of such pol...

  • Article
  • Open Access
1 Citations
1,902 Views
33 Pages

Age-related macular degeneration (AMD) is a common cause of blindness worldwide, and it is projected to affect several million individuals by 2040. The human retinal pigment epithelium (hRPE) degenerates in dry AMD, prompting the need to develop stem...

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