Health Priorities: Preferentially rated health-related activities or functions to be used in establishing health planning goals. This may refer specifically to PL93-641.Public Health: Branch of medicine concerned with the prevention and control of disease and disability, and the promotion of physical and mental health of the population on the international, national, state, or municipal level.Health Policy: Decisions, usually developed by government policymakers, for determining present and future objectives pertaining to the health care system.Delivery of Health Care: The concept concerned with all aspects of providing and distributing health services to a patient population.World Health: The concept pertaining to the health status of inhabitants of the world.Public Health Administration: Management of public health organizations or agencies.Health Status: The level of health of the individual, group, or population as subjectively assessed by the individual or by more objective measures.Health Promotion: Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care.Health Services Accessibility: The degree to which individuals are inhibited or facilitated in their ability to gain entry to and to receive care and services from the health care system. Factors influencing this ability include geographic, architectural, transportational, and financial considerations, among others.Health Behavior: Behaviors expressed by individuals to protect, maintain or promote their health status. For example, proper diet, and appropriate exercise are activities perceived to influence health status. Life style is closely associated with health behavior and factors influencing life style are socioeconomic, educational, and cultural.Health Surveys: A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area.Health Care Reform: Innovation and improvement of the health care system by reappraisal, amendment of services, and removal of faults and abuses in providing and distributing health services to patients. It includes a re-alignment of health services and health insurance to maximum demographic elements (the unemployed, indigent, uninsured, elderly, inner cities, rural areas) with reference to coverage, hospitalization, pricing and cost containment, insurers' and employers' costs, pre-existing medical conditions, prescribed drugs, equipment, and services.Population Surveillance: Ongoing scrutiny of a population (general population, study population, target population, etc.), generally using methods distinguished by their practicability, uniformity, and frequently their rapidity, rather than by complete accuracy.Developing Countries: Countries in the process of change with economic growth, that is, an increase in production, per capita consumption, and income. The process of economic growth involves better utilization of natural and human resources, which results in a change in the social, political, and economic structures.Mental Health: The state wherein the person is well adjusted.Health: The state of the organism when it functions optimally without evidence of disease.HIV Infections: Includes the spectrum of human immunodeficiency virus infections that range from asymptomatic seropositivity, thru AIDS-related complex (ARC), to acquired immunodeficiency syndrome (AIDS).Socioeconomic Factors: Social and economic factors that characterize the individual or group within the social structure.Health Planning: Planning for needed health and/or welfare services and facilities.Attitude to Health: Public attitudes toward health, disease, and the medical care system.Prevalence: The total number of cases of a given disease in a specified population at a designated time. It is differentiated from INCIDENCE, which refers to the number of new cases in the population at a given time.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Primary Health Care: Care which provides integrated, accessible health care services by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustained partnership with patients, and practicing in the context of family and community. (JAMA 1995;273(3):192)Cost of Illness: The personal cost of acute or chronic disease. The cost to the patient may be an economic, social, or psychological cost or personal loss to self, family, or immediate community. The cost of illness may be reflected in absenteeism, productivity, response to treatment, peace of mind, or QUALITY OF LIFE. It differs from HEALTH CARE COSTS, meaning the societal cost of providing services related to the delivery of health care, rather than personal impact on individuals.United StatesHealth Care Rationing: Planning for the equitable allocation, apportionment, or distribution of available health resources.Quality of Health Care: The levels of excellence which characterize the health service or health care provided based on accepted standards of quality.Cross-Sectional Studies: Studies in which the presence or absence of disease or other health-related variables are determined in each member of the study population or in a representative sample at one particular time. This contrasts with LONGITUDINAL STUDIES which are followed over a period of time.Health Services Needs and Demand: Health services required by a population or community as well as the health services that the population or community is able and willing to pay for.Health Services: Services for the diagnosis and treatment of disease and the maintenance of health.Sexually Transmitted Diseases: Diseases due to or propagated by sexual contact.Urban Population: The inhabitants of a city or town, including metropolitan areas and suburban areas.Health Personnel: Men and women working in the provision of health services, whether as individual practitioners or employees of health institutions and programs, whether or not professionally trained, and whether or not subject to public regulation. (From A Discursive Dictionary of Health Care, 1976)Health Services Research: The integration of epidemiologic, sociological, economic, and other analytic sciences in the study of health services. Health services research is usually concerned with relationships between need, demand, supply, use, and outcome of health services. The aim of the research is evaluation, particularly in terms of structure, process, output, and outcome. (From Last, Dictionary of Epidemiology, 2d ed)Insurance, Health: Insurance providing coverage of medical, surgical, or hospital care in general or for which there is no specific heading.Infant, Newborn: An infant during the first month after birth.Health Education: Education that increases the awareness and favorably influences the attitudes and knowledge relating to the improvement of health on a personal or community basis.Oral Health: The optimal state of the mouth and normal functioning of the organs of the mouth without evidence of disease.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Health Expenditures: The amounts spent by individuals, groups, nations, or private or public organizations for total health care and/or its various components. These amounts may or may not be equivalent to the actual costs (HEALTH CARE COSTS) and may or may not be shared among the patient, insurers, and/or employers.Health Knowledge, Attitudes, Practice: Knowledge, attitudes, and associated behaviors which pertain to health-related topics such as PATHOLOGIC PROCESSES or diseases, their prevention, and treatment. This term refers to non-health workers and health workers (HEALTH PERSONNEL).Environmental Health: The science of controlling or modifying those conditions, influences, or forces surrounding man which relate to promoting, establishing, and maintaining health.Questionnaires: Predetermined sets of questions used to collect data - clinical data, social status, occupational group, etc. The term is often applied to a self-completed survey instrument.Occupational Health: The promotion and maintenance of physical and mental health in the work environment.Health Status Disparities: Variation in rates of disease occurrence and disabilities between population groups defined by socioeconomic characteristics such as age, ethnicity, economic resources, or gender and populations identified geographically or similar measures.Age Distribution: The frequency of different ages or age groups in a given population. The distribution may refer to either how many or what proportion of the group. The population is usually patients with a specific disease but the concept is not restricted to humans and is not restricted to medicine.National Health Programs: Components of a national health care system which administer specific services, e.g., national health insurance.Health Status Indicators: The measurement of the health status for a given population using a variety of indices, including morbidity, mortality, and available health resources.Patient Acceptance of Health Care: The seeking and acceptance by patients of health service.Public Health Practice: The activities and endeavors of the public health services in a community on any level.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.Smoking: Inhaling and exhaling the smoke of burning TOBACCO.Mental Health Services: Organized services to provide mental health care.Pregnancy: The status during which female mammals carry their developing young (EMBRYOS or FETUSES) in utero before birth, beginning from FERTILIZATION to BIRTH.Delivery of Health Care, Integrated: A health care system which combines physicians, hospitals, and other medical services with a health plan to provide the complete spectrum of medical care for its customers. In a fully integrated system, the three key elements - physicians, hospital, and health plan membership - are in balance in terms of matching medical resources with the needs of purchasers and patients. (Coddington et al., Integrated Health Care: Reorganizing the Physician, Hospital and Health Plan Relationship, 1994, p7)Health Care Sector: Economic sector concerned with the provision, distribution, and consumption of health care services and related products.Attitude of Health Personnel: Attitudes of personnel toward their patients, other professionals, toward the medical care system, etc.World Health Organization: A specialized agency of the United Nations designed as a coordinating authority on international health work; its aim is to promote the attainment of the highest possible level of health by all peoples.Women's Health: The concept covering the physical and mental conditions of women.Community Health Services: Diagnostic, therapeutic and preventive health services provided for individuals in the community.Rural Health: The status of health in rural populations.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Exercise: Physical activity which is usually regular and done with the intention of improving or maintaining PHYSICAL FITNESS or HEALTH. Contrast with PHYSICAL EXERTION which is concerned largely with the physiologic and metabolic response to energy expenditure.Urban Health: The status of health in urban populations.Child Health Services: Organized services to provide health care for children.Regional Health Planning: Planning for health resources at a regional or multi-state level.Health Literacy: Degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions.Community Health Planning: Planning that has the goals of improving health, improving accessibility to health services, and promoting efficiency in the provision of services and resources on a comprehensive basis for a whole community. (From Facts on File Dictionary of Health Care Management, 1988, p299)Outcome Assessment (Health Care): Research aimed at assessing the quality and effectiveness of health care as measured by the attainment of a specified end result or outcome. Measures include parameters such as improved health, lowered morbidity or mortality, and improvement of abnormal states (such as elevated blood pressure).Rural Health Services: Health services, public or private, in rural areas. The services include the promotion of health and the delivery of health care.Health Manpower: The availability of HEALTH PERSONNEL. It includes the demand and recruitment of both professional and allied health personnel, their present and future supply and distribution, and their assignment and utilization.Health Facilities: Institutions which provide medical or health-related services.Quality Assurance, Health Care: Activities and programs intended to assure or improve the quality of care in either a defined medical setting or a program. The concept includes the assessment or evaluation of the quality of care; identification of problems or shortcomings in the delivery of care; designing activities to overcome these deficiencies; and follow-up monitoring to ensure effectiveness of corrective steps.Health Resources: Available manpower, facilities, revenue, equipment, and supplies to produce requisite health care and services.Research: Critical and exhaustive investigation or experimentation, having for its aim the discovery of new facts and their correct interpretation, the revision of accepted conclusions, theories, or laws in the light of newly discovered facts, or the practical application of such new or revised conclusions, theories, or laws. (Webster, 3d ed)Preventive Health Services: Services designed for HEALTH PROMOTION and prevention of disease.Community Health Centers: Facilities which administer the delivery of health care services to people living in a community or neighborhood.Maternal Health Services: Organized services to provide health care to expectant and nursing mothers.Politics: Activities concerned with governmental policies, functions, etc.Resource Allocation: Societal or individual decisions about the equitable distribution of available resources.Social Justice: An interactive process whereby members of a community are concerned for the equality and rights of all.Reproductive Health: The physical condition of human reproductive systems.Policy Making: The decision process by which individuals, groups or institutions establish policies pertaining to plans, programs or procedures.Interviews as Topic: Conversations with an individual or individuals held in order to obtain information about their background and other personal biographical data, their attitudes and opinions, etc. It includes school admission or job interviews.Electronic Health Records: Media that facilitate transportability of pertinent information concerning patient's illness across varied providers and geographic locations. Some versions include direct linkages to online consumer health information that is relevant to the health conditions and treatments related to a specific patient.Public Health Nursing: A nursing specialty concerned with promoting and protecting the health of populations, using knowledge from nursing, social, and public health sciences to develop local, regional, state, and national health policy and research. It is population-focused and community-oriented, aimed at health promotion and disease prevention through educational, diagnostic, and preventive programs.Health Occupations: Professions or other business activities directed to the cure and prevention of disease. For occupations of medical personnel who are not physicians but who are working in the fields of medical technology, physical therapy, etc., ALLIED HEALTH OCCUPATIONS is available.Decision Making, Organizational: The process by which decisions are made in an institution or other organization.Occupational Health Services: Health services for employees, usually provided by the employer at the place of work.Health Plan Implementation: Those actions designed to carry out recommendations pertaining to health plans or programs.Health Services Administration: The organization and administration of health services dedicated to the delivery of health care.National Institutes of Health (U.S.): An operating division of the US Department of Health and Human Services. It is concerned with the overall planning, promoting, and administering of programs pertaining to health and medical research. Until 1995, it was an agency of the United States PUBLIC HEALTH SERVICE.Health Benefit Plans, Employee: Health insurance plans for employees, and generally including their dependents, usually on a cost-sharing basis with the employer paying a percentage of the premium.Health Services for the Aged: Services for the diagnosis and treatment of diseases in the aged and the maintenance of health in the elderly.Health Planning Guidelines: Recommendations for directing health planning functions and policies. These may be mandated by PL93-641 and issued by the Department of Health and Human Services for use by state and local planning agencies.Program Evaluation: Studies designed to assess the efficacy of programs. They may include the evaluation of cost-effectiveness, the extent to which objectives are met, or impact.Catchment Area (Health): A geographic area defined and served by a health program or institution.Public Health Informatics: The systematic application of information and computer sciences to public health practice, research, and learning.Organizational Objectives: The purposes, missions, and goals of an individual organization or its units, established through administrative processes. It includes an organization's long-range plans and administrative philosophy.State Health Plans: State plans prepared by the State Health Planning and Development Agencies which are made up from plans submitted by the Health Systems Agencies and subject to review and revision by the Statewide Health Coordinating Council.Qualitative Research: Any type of research that employs nonnumeric information to explore individual or group characteristics, producing findings not arrived at by statistical procedures or other quantitative means. (Qualitative Inquiry: A Dictionary of Terms Thousand Oaks, CA: Sage Publications, 1997)Great BritainNeeds Assessment: Systematic identification of a population's needs or the assessment of individuals to determine the proper level of services needed.International Cooperation: The interaction of persons or groups of persons representing various nations in the pursuit of a common goal or interest.Health Care Coalitions: Voluntary groups of people representing diverse interests in the community such as hospitals, businesses, physicians, and insurers, with the principal objective to improve health care cost effectiveness.Quality Indicators, Health Care: Norms, criteria, standards, and other direct qualitative and quantitative measures used in determining the quality of health care.Reproductive Health Services: Health care services related to human REPRODUCTION and diseases of the reproductive system. Services are provided to both sexes and usually by physicians in the medical or the surgical specialties such as REPRODUCTIVE MEDICINE; ANDROLOGY; GYNECOLOGY; OBSTETRICS; and PERINATOLOGY.Women's Health Services: Organized services to provide health care to women. It excludes maternal care services for which MATERNAL HEALTH SERVICES is available.Health Services, Indigenous: Health care provided to specific cultural or tribal peoples which incorporates local customs, beliefs, and taboos.Urban Health Services: Health services, public or private, in urban areas. The services include the promotion of health and the delivery of health care.Outcome and Process Assessment (Health Care): Evaluation procedures that focus on both the outcome or status (OUTCOMES ASSESSMENT) of the patient at the end of an episode of care - presence of symptoms, level of activity, and mortality; and the process (ASSESSMENT, PROCESS) - what is done for the patient diagnostically and therapeutically.Poverty: A situation in which the level of living of an individual, family, or group is below the standard of the community. It is often related to a specific income level.Financing, Government: Federal, state, or local government organized methods of financial assistance.Mental Disorders: Psychiatric illness or diseases manifested by breakdowns in the adaptational process expressed primarily as abnormalities of thought, feeling, and behavior producing either distress or impairment of function.Public Policy: A course or method of action selected, usually by a government, from among alternatives to guide and determine present and future decisions.Quality of Life: A generic concept reflecting concern with the modification and enhancement of life attributes, e.g., physical, political, moral and social environment; the overall condition of a human life.United States Dept. of Health and Human Services: A cabinet department in the Executive Branch of the United States Government concerned with administering those agencies and offices having programs pertaining to health and human services.Healthcare Disparities: Differences in access to or availability of medical facilities and services.Allied Health Personnel: Health care workers specially trained and licensed to assist and support the work of health professionals. Often used synonymously with paramedical personnel, the term generally refers to all health care workers who perform tasks which must otherwise be performed by a physician or other health professional.Program Development: The process of formulating, improving, and expanding educational, managerial, or service-oriented work plans (excluding computer program development).Family Health: The health status of the family as a unit including the impact of the health of one member of the family on the family as a unit and on individual family members; also, the impact of family organization or disorganization on the health status of its members.Social Responsibility: The obligations and accountability assumed in carrying out actions or ideas on behalf of others.Adolescent Health Services: Organized services to provide health care to adolescents, ages ranging from 13 through 18 years.Health Records, Personal: Longitudinal patient-maintained records of individual health history and tools that allow individual control of access.Men's Health: The concept covering the physical and mental conditions of men.Rural Population: The inhabitants of rural areas or of small towns classified as rural.Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.School Health Services: Preventive health services provided for students. It excludes college or university students.Community Mental Health Services: Diagnostic, therapeutic and preventive mental health services provided for individuals in the community.Health Maintenance Organizations: Organized systems for providing comprehensive prepaid health care that have five basic attributes: (1) provide care in a defined geographic area; (2) provide or ensure delivery of an agreed-upon set of basic and supplemental health maintenance and treatment services; (3) provide care to a voluntarily enrolled group of persons; (4) require their enrollees to use the services of designated providers; and (5) receive reimbursement through a predetermined, fixed, periodic prepayment made by the enrollee without regard to the degree of services provided. (From Facts on File Dictionary of Health Care Management, 1988)Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Cooperative Behavior: The interaction of two or more persons or organizations directed toward a common goal which is mutually beneficial. An act or instance of working or acting together for a common purpose or benefit, i.e., joint action. (From Random House Dictionary Unabridged, 2d ed)Organizational Case Studies: Descriptions and evaluations of specific health care organizations.United States Public Health Service: A constituent organization of the DEPARTMENT OF HEALTH AND HUMAN SERVICES concerned with protecting and improving the health of the nation.Comprehensive Health Care: Providing for the full range of personal health services for diagnosis, treatment, follow-up and rehabilitation of patients.Health Planning Support: Financial resources provided for activities related to health planning and development.Cost-Benefit Analysis: A method of comparing the cost of a program with its expected benefits in dollars (or other currency). The benefit-to-cost ratio is a measure of total return expected per unit of money spent. This analysis generally excludes consideration of factors that are not measured ultimately in economic terms. Cost effectiveness compares alternative ways to achieve a specific set of results.State Medicine: A system of medical care regulated, controlled and financed by the government, in which the government assumes responsibility for the health needs of the population.Schools, Public Health: Educational institutions for individuals specializing in the field of public health.Chronic Disease: Diseases which have one or more of the following characteristics: they are permanent, leave residual disability, are caused by nonreversible pathological alteration, require special training of the patient for rehabilitation, or may be expected to require a long period of supervision, observation, or care. (Dictionary of Health Services Management, 2d ed)Government Agencies: Administrative units of government responsible for policy making and management of governmental activities.Biomedical Research: Research that involves the application of the natural sciences, especially biology and physiology, to medicine.Maternal-Child Health Centers: Facilities which administer the delivery of health care services to mothers and children.Public Opinion: The attitude of a significant portion of a population toward any given proposition, based upon a measurable amount of factual evidence, and involving some degree of reflection, analysis, and reasoning.Health Communication: The transfer of information from experts in the medical and public health fields to patients and the public. The study and use of communication strategies to inform and influence individual and community decisions that enhance health.Health Planning Councils: Organized groups serving in advisory capacities related to health planning activities.Private Sector: That distinct portion of the institutional, industrial, or economic structure of a country that is controlled or owned by non-governmental, private interests.Interinstitutional Relations: The interactions between representatives of institutions, agencies, or organizations.Consumer Participation: Community or individual involvement in the decision-making process.Australia: The smallest continent and an independent country, comprising six states and two territories. Its capital is Canberra.Marketing of Health Services: Application of marketing principles and techniques to maximize the use of health care resources.Research Support as Topic: Financial support of research activities.Educational Status: Educational attainment or level of education of individuals.EnglandHistory, 20th Century: Time period from 1901 through 2000 of the common era.Health Fairs: Community health education events focused on prevention of disease and promotion of health through audiovisual exhibits.Financing, Organized: All organized methods of funding.Government Programs: Programs and activities sponsored or administered by local, state, or national governments.Social Class: A stratum of people with similar position and prestige; includes social stratification. Social class is measured by criteria such as education, occupation, and income.Health Food: A non-medical term defined by the lay public as a food that has little or no preservatives, which has not undergone major processing, enrichment or refinement and which may be grown without pesticides. (from Segen, The Dictionary of Modern Medicine, 1992)Local Government: Smallest political subdivisions within a country at which general governmental functions are carried-out.Planning Techniques: Procedures, strategies, and theories of planning.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Leadership: The function of directing or controlling the actions or attitudes of an individual or group with more or less willing acquiescence of the followers.Decision Making: The process of making a selective intellectual judgment when presented with several complex alternatives consisting of several variables, and usually defining a course of action or an idea.Insurance Coverage: Generally refers to the amount of protection available and the kind of loss which would be paid for under an insurance contract with an insurer. (Slee & Slee, Health Care Terms, 2d ed)Residence Characteristics: Elements of residence that characterize a population. They are applicable in determining need for and utilization of health services.Longitudinal Studies: Studies in which variables relating to an individual or group of individuals are assessed over a period of time.Social Values: Abstract standards or empirical variables in social life which are believed to be important and/or desirable.Internationality: The quality or state of relating to or affecting two or more nations. (After Merriam-Webster Collegiate Dictionary, 10th ed)United Nations: An international organization whose members include most of the sovereign nations of the world with headquarters in New York City. The primary objectives of the organization are to maintain peace and security and to achieve international cooperation in solving international economic, social, cultural, or humanitarian problems.Time Factors: Elements of limited time intervals, contributing to particular results or situations.BrazilPatient Satisfaction: The degree to which the individual regards the health care service or product or the manner in which it is delivered by the provider as useful, effective, or beneficial.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Communicable Disease Control: Programs of surveillance designed to prevent the transmission of disease by any means from person to person or from animal to man.Conservation of Natural Resources: The protection, preservation, restoration, and rational use of all resources in the total environment.Dental Health Services: Services designed to promote, maintain, or restore dental health.State Government: The level of governmental organization and function below that of the national or country-wide government.Government: The complex of political institutions, laws, and customs through which the function of governing is carried out in a specific political unit.Disabled Persons: Persons with physical or mental disabilities that affect or limit their activities of daily living and that may require special accommodations.Delphi Technique: An iterative questionnaire designed to measure consensus among individual responses. In the classic Delphi approach, there is no interaction between responder and interviewer.Universal Coverage: Health insurance coverage for all persons in a state or country, rather than for some subset of the population. It may extend to the unemployed as well as to the employed; to aliens as well as to citizens; for pre-existing conditions as well as for current illnesses; for mental as well as for physical conditions.Prepaid Health Plans: Contracts between an insurer and a subscriber or a group of subscribers whereby a specified set of health benefits is provided in return for a periodic premium.Insurance, Health, Reimbursement: Payment by a third-party payer in a sum equal to the amount expended by a health care provider or facility for health services rendered to an insured or program beneficiary. (From Facts on File Dictionary of Health Care Management, 1988)Research Design: A plan for collecting and utilizing data so that desired information can be obtained with sufficient precision or so that an hypothesis can be tested properly.Ontario: A province of Canada lying between the provinces of Manitoba and Quebec. Its capital is Toronto. It takes its name from Lake Ontario which is said to represent the Iroquois oniatariio, beautiful lake. (From Webster's New Geographical Dictionary, 1988, p892 & Room, Brewer's Dictionary of Names, 1992, p391)Budgets: Detailed financial plans for carrying out specific activities for a certain period of time. They include proposed income and expenditures.Public Sector: The area of a nation's economy that is tax-supported and under government control.Academies and Institutes: Organizations representing specialized fields which are accepted as authoritative; may be non-governmental, university or an independent research organization, e.g., National Academy of Sciences, Brookings Institution, etc.Social Support: Support systems that provide assistance and encouragement to individuals with physical or emotional disabilities in order that they may better cope. Informal social support is usually provided by friends, relatives, or peers, while formal assistance is provided by churches, groups, etc.Vulnerable Populations: Groups of persons whose range of options is severely limited, who are frequently subjected to COERCION in their DECISION MAKING, or who may be compromised in their ability to give INFORMED CONSENT.Demography: Statistical interpretation and description of a population with reference to distribution, composition, or structure.Government Regulation: Exercise of governmental authority to control conduct.Employment: The state of being engaged in an activity or service for wages or salary.Health Transition: Demographic and epidemiologic changes that have occurred in the last five decades in many developing countries and that are characterized by major growth in the number and proportion of middle-aged and elderly persons and in the frequency of the diseases that occur in these age groups. The health transition is the result of efforts to improve maternal and child health via primary care and outreach services and such efforts have been responsible for a decrease in the birth rate; reduced maternal mortality; improved preventive services; reduced infant mortality, and the increased life expectancy that defines the transition. (From Ann Intern Med 1992 Mar 15;116(6):499-504)Information Dissemination: The circulation or wide dispersal of information.Disaster Planning: Procedures outlined for the care of casualties and the maintenance of services in disasters.Occupational Health Nursing: The practice of nursing in the work environment.Ethnic Groups: A group of people with a common cultural heritage that sets them apart from others in a variety of social relationships.Community-Institutional Relations: The interactions between members of a community and representatives of the institutions within that community.

*  Health, education top priorities of govt: Qaim

Sindh Chief Minister Syed Qaim Ali Shah says Sindh Government is giving top priority to the health and education sectors. He ... Health, education top priorities of govt: Qaim. Chief Minister lauds performances of SIUT in Karachi and Sukkur.. ... Sindh Chief Minister Syed Qaim Ali Shah says Sindh Government is giving top priority to the health and education sectors. ... Adeeb-ul-Hassan Rizvi informed the Chief Minister that SIUT is celebrating 40 years of its philosophy that "Health is Birth ...
radio.gov.pk/13-Nov-2015/health-education-top-priorities-of-govt-qaim

*  Not Running a Hospital: What's happening at the NHS?

... of the NGP in health care.. Politicians here usually say that we have one of the best health care systems among western ... Just under half the staff in hospitals said care of patients was their trust's top priority, but 25% said it was not.. Check ... As we in the United States debate the issue of national health insurance, it can be informative to "look in on" what is ... I was Organization Development Fellow at Fairview Health Services, Mpls in the early 90s working for Rick Norling, now ...
runningahospital.blogspot.com/2007/04/whats-happening-at-nhs.html

*  Setting Priorities in Health Care Special Session and Beyond | California Healthline

... stakeholders to use post-election perspective to define priorities for both the state Legislature's special session on health ... Setting Priorities in Health Care Special Session and Beyond. California's march toward health care reform may be picking up ... Refrain from passing any bill that would create a Basic Health Plan. A BHP would create a new public health insurance program ... Key health care issues that must be addressed this year include:. Basic Health Program: The ACA authorizes states to establish ...
https://californiahealthline.org/news/setting-priorities-in-health-care-special-session-and-beyond/

*  Openings, Child Development Center, U.Va.

UVA Health System full time (with full benefits) employees are Priority 2; University and UVA Health System part time (with ... see Priority System Information) are Priority 3. Siblings of enrolled children are moved to the top of the priority list. ... Enrollment is offered based on priority and date of submission. University full time (with full benefits) faculty and staff, ...
virginia.edu/childdevelopmentcenter/openings.html

*  Quality and Patient Safety | Swedish Medical Center Seattle and Issaquah

... our top priorities are patient care and safety. See the safety initiatives currently underway and review our safety data. ... Since 1910, Swedish has been the Seattle area's hallmark for excellence in hospitals and health care. Swedish is consistently ... 1 Priority: Quality Care and Patient Safety. True then, true now.. From our founding in 1910, Swedish has been at the forefront ... Johanson's legacy and leadership live on today at Swedish, where our highest priority continues to be on quality and safety for ...
swedish.org/about/quality-and-patient-safety

*  Protection of public health - Decommissioning of Gentilly-2 facilities

... the health of Gentilly-2 employees and of the general public remains one of Hydro-Québec's top priorities. ... The health of Gentilly-2 employees remains one of Hydro-Québec's top priorities. As during operations, every worker has a ... Protection of public health. In Canada, natural ionizing radiation exposes people to a yearly dose of 1.8 mSv (millisieverts). ... Furthermore, annual health and safety campaigns keep workers informed of best practices. ...
hydroquebec.com/decommissioning-gentilly-2/protection-public-health.html

*  Pregnant Women Especially Vulnerable To Swine Flu - ABC News

As health officials prioritize who takes top priority for a swine flu vaccine, pregnant women appear to be especially ... Earlier this month, federal, state and local health officials gathered at a swine flu summit to size up what needs to happen to ... The conversation comes as a federal vaccine advisory panel meets tomorrow to further discuss who should receive top priority ... At that time, Health and Human Services Secretary Kathleen Sebelius called on all states to update their emergency plans, ...
abcnews.go.com/Health/Politics/story?id=8194314&page=2

*  WHO | WHO in emergencies

... efficient and timely action to address public health priorities so that lives are saved and suffering is reduced; ... The escalating conflict has put pressure on the health system and the vulnerable population seeking health care. WHO and health ... and to determine outbreak response priorities, treatment strategies, and clinical management approaches. ... WHO is leading the response to provide emergency health access to victims of the clashes. Health cluster partners have been ...
who.int/emergencies/en/

*  HU dean denounces state's low health priority - Health & Science - Jerusalem Post

JERUSALEM Business & Innovation Israeli Politics Culture Health & Science Judaica Store BDS THREAT EDITION FRANÇAISE Blogs ... health and not just their political security," said Leitersdorf, a 1975 graduate of the school.. The dean said that medical ... adding that the population's health status is as important to the country's future as security.. "We hope the conference at the ...
jpost.com/Health-and-Science/HU-dean-denounces-states-low-health-priority

*  National Health Priority - News, Research and Analysis - The Conversation - page 1

Browse National Health Priority news, research and analysis from The Conversation ... Articles on National Health Priority. Displaying all articles. The declining health levels of asylum seekers should spark the ... Dementia has become Australia's latest national health priority. John/Flickr August 14, 2012. Alzheimer hypothesis stuck in ... epidemic has forced a welcome decision by health ministers to name the disorder as Australia's latest national health priority ...
theconversation.com/uk/topics/national-health-priority-3593

*  PLOS Medicine: Lung Infection-A Public Health Priority

The pervasive burden of lung infections receives proportionately little attention from the biomedical and public health ...
journals.plos.org/plosmedicine/article/email?id=10.1371/journal.pmed.0030076

*  Priority Health in Yorkville, Illinois | Groupon

One or Two LipoLaser Treatments with Consultation at Priority Health in Yorkville ... About Priority Health Paula Weihler, DC and her staff take into account every detail when deciding which special adjustment ... Follow the light with today's Groupon to Priority Health in Yorkville. Choose between the following options:. *For $60, you get ... The trained beamsmiths at Priority Health target patrons' soft spots with figure-firming Lapex BCS LipoLasers during non- ...
https://groupon.com/deals/priority-health-chiropractic

*  Lobbying Spending Database-Priority Health, 2010 | OpenSecrets

Explore the billions of dollars special interest groups are spending on lobbying in Washington, D.C., -- and on what -- at OpenSecrets.org.
opensecrets.org/lobby/clientbills.php?id=D000065010&year=2010

*  Healthcare Analytics Market: Effective tool for stratifying population to cater to public health priorities on epidemiological...

Healthcare Analytics Market: Effective tool for stratifying population to cater to public health priorities on epidemiological ... Healthcare analytics can be an effective tool for stratifying population to cater to public health priorities on ... public health financing, efficient government spending in health infrastructure, and facilitate enforcement of healthcare laws ... and incentives funded by the Health Information Technology for Economic and Clinical Health (HITECH). It will further gain ...
https://medgadget.com/2016/11/healthcare-analytics-market-effective-tool-for-stratifying-population-to-cater-to-public-health-priorities-on-epidemiological-basis.html

*  Core plans | Priority Health

A Core wellness plan from Priority Health is ideal for large groups just getting started with Wellness. ... Online health assessment - measures each employee's current health and lifestyle and helps identify potential health issues. ... 2017 Priority Health, a Michigan company. Jobs , Privacy policy , Terms of use , Media , Vendors , Nondiscrimination notice. ... Priority Health does not accept advertising on our website nor do we have financial ownership in other companies that are ...
https://priorityhealth.com/plans/employer-employee/employer/large-group-health-insurance/wellness-plans/core

*  Medicaid service area | Priority Health

Priority Health Choice, Inc. service area map. Priority Health Choice, Inc., offers coverage for these programs: Medicaid, ... 2017 Priority Health, a Michigan company. Jobs , Privacy policy , Terms of use , Media , Vendors , Nondiscrimination notice. ... Healthy Michigan Plan, MIChild & Children's Special Health Care Services in the Michigan counties shown below. ...
https://priorityhealth.com/about-us/service-area/medicaid-service-area

*  Area 1 - PriorityMedicare | Priority Health

Priority Health has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract ... 2017 Priority Health, a Michigan company. Jobs , Privacy policy , Terms of use , Media , Vendors , Nondiscrimination notice. ... If you prefer, you may enroll in Priority Health Medicare Advantage plans through the CMS Online Enrollment Center at medicare. ... PriorityMedicare Area 1 premium assistance rates. If you qualify for extra help from Medicare to pay the premium for your ...
https://priorityhealth.com/medicare/once-you-enroll/plan-information/2016-prioritymedicare/premium-assistance/area-1

*  Priority Health Neurologists: Book Online By Insurance, Reviews & ZIP

Neurologists that take Priority Health, See Reviews and Book Online Instantly. It's free! All appointment times are guaranteed ... Neurologists and other providers in Wichita, KS , Priority Health - PriorityHMO default order. default order. distance. wait ...
https://zocdoc.com/neurologists/priority-health-786m

*  Medicare Advantage plans drug coverage | Priority Health

Priority Health has HMO-POS and PPO plans with a Medicare contract. Enrollment in Priority Health Medicare depends on contract ... 2017 Priority Health, a Michigan company. Jobs , Privacy policy , Terms of use , Media , Vendors , Nondiscrimination notice. ... If you prefer, you may enroll in Priority Health Medicare Advantage plans through the CMS Online Enrollment Center at medicare. ... Priority Health offers three easy ways to find out if your drugs will be covered. ...
https://priorityhealth.com/medicare/drug-coverage

*  FEHB doctor and hospital networks | Priority Health

FEHB members can see physicians that use our HMO network or participate with the Sparrow Physicians Health Network. ... The Priority Health HMO network. The Priority Health HMO network has doctors, hospitals, labs and pharmacies all over ... Search the Priority Health Find a Doctor directory now.. The Sparrow Physicians Health Network All the doctors and hospitals in ... 2017 Priority Health, a Michigan company. Jobs , Privacy policy , Terms of use , Media , Vendors , Nondiscrimination notice. ...
https://priorityhealth.com/fehb/networks

*  Make Your Health a Priority Video - ABC News

":"A new survey reveals that mothers often neglect their own health. ","url":"/Health/video/make-health-priority-10617766"," ... Now Playing: 'Motivated' podcast: Staying on track with your fitness and health goals ... ":"Make Your Health a Priority ","duration":"6:25","description ... Make Your Health a Priority More. A new survey reveals that ...
abcnews.go.com/Health/video/make-health-priority-10617766

*  AMA releases new government priority health investment plan

... and Health Minister with a list of health policy priorities for immediate implementation to give Australians a better health ... As part of the National Health Reform Consultation Summit at Canberra Hospital, the AMA has presented the Prime Minister ... The AMA Priority Investment Plan for Australia's Health System identifies seven key areas of the health system where urgent ... The AMA Priority Investment Plan for Australia's Health System sets out seven priority areas for action:. - Indigenous ...
https://medicalsearch.com.au/ama-releases-new-government-priority-health-investment-plan/f/3901

*  Q and A: Jim Byrne, Priority Health - ACHP

Q and A: Jim Byrne, Priority Health. Jim Byrne, the chief medical officer of Priority Health who plans to retire this summer, ... ACHP and our members improve the health of the communities we serve and actively lead the transformation of health care to ... 2014 - 2015 Alliance of Community Health Plans All Rights Reserved.202-785-2247info@achp.org ... speaks with MiBiz about upcoming changes to the health care industry, obstacles facing providers and payers and what he sees as ...
achp.org/member-news/q-and-a-jim-byrne-priority-health-2/

*  Michiganders get access to real-time health care costs with new tool from Priority Health | Business Wire

The Cost Estimator is a new health transparency tool ... health care services without knowing the true cost. ... About Priority Health Priority Health is an award-winning, Michigan-based non-profit health plan nationally recognized for ... Priority Health members can access Cost Estimator through priorityhealth.com or through the Priority Health mobile app. Once a ... Michiganders get access to real-time health care costs with new tool from Priority Health ...
businesswire.com/news/home/20150224006034/en/Michiganders-access-real-time-health-care-costs-tool

*  Advocacy Priorities | Health Promotion Advocates

Advocacy Priorities. On an ongoing basis the Board of Directors of Health Promotion Advocates monitors the health needs of the ... Health Plan Premium Differential for Achieving Health Goal or Participating in Wellness Program. We are working with several ... Advocacy priorities for each Congressional session emerge from these analyses. The advocacy priorities for the 112th Congress ( ... These provisions allow employers to offer workers a discount on health plan premiums for reaching a health goal or ...
healthpromotionadvocates.org/legislative-priorities/

Aging (scheduling): In Operating systems, Aging is a scheduling technique used to avoid starvation. Fixed priority scheduling is a scheduling discipline, in which tasks queued for utilizing a system resource are assigned a priority each.Public Health Act: Public Health Act is a stock short title used in the United Kingdom for legislation relating to public health.Health policy: Health policy can be defined as the "decisions, plans, and actions that are undertaken to achieve specific health care goals within a society."World Health Organization.Global Health Delivery ProjectSelf-rated health: Self-rated health (also called Self-reported health, Self-assessed health, or perceived health) refers to both a single question such as “in general, would you say that you health is excellent, very good, good, fair, or poor?” and a survey questionnaire in which participants assess different dimensions of their own health.Lifestyle management programme: A lifestyle management programme (also referred to as a health promotion programme, health behaviour change programme, lifestyle improvement programme or wellness programme) is an intervention designed to promote positive lifestyle and behaviour change and is widely used in the field of health promotion.Behavior: Behavior or behaviour (see spelling differences) is the range of actions and [made by individuals, organism]s, [[systems, or artificial entities in conjunction with themselves or their environment, which includes the other systems or organisms around as well as the (inanimate) physical environment. It is the response of the system or organism to various stimuli or inputs, whether [or external], [[conscious or subconscious, overt or covert, and voluntary or involuntary.Rock 'n' Roll (Status Quo song)Proportional reporting ratio: The proportional reporting ratio (PRR) is a statistic that is used to summarize the extent to which a particular adverse event is reported for individuals taking a specific drug, compared to the frequency at which the same adverse event is reported for patients taking some other drug (or who are taking any drug in a specified class of drugs). The PRR will typically be calculated using a surveillance database in which reports of adverse events from a variety of drugs are recorded.Lucas paradox: In economics, the Lucas paradox or the Lucas puzzle is the observation that capital does not flow from developed countries to developing countries despite the fact that developing countries have lower levels of capital per worker.}}Management of HIV/AIDS: The management of HIV/AIDS normally includes the use of multiple antiretroviral drugs in an attempt to control HIV infection. There are several classes of antiretroviral agents that act on different stages of the HIV life-cycle.Halfdan T. MahlerList of Parliamentary constituencies in Kent: The ceremonial county of Kent,Contraceptive mandate (United States): A contraceptive mandate is a state or federal regulation or law that requires health insurers, or employers that provide their employees with health insurance, to cover some contraceptive costs in their health insurance plans. In 1978, the U.School health education: School Health Education see also: Health Promotion is the process of transferring health knowledge during a student's school years (K-12). Its uses are in general classified as Public Health Education and School Health Education.Incidence (epidemiology): Incidence is a measure of the probability of occurrence of a given medical condition in a population within a specified period of time. Although sometimes loosely expressed simply as the number of new cases during some time period, it is better expressed as a proportion or a rate with a denominator.Behavior change (public health): Behavior change is a central objective in public health interventions,WHO 2002: World Health Report 2002 - Reducing Risks, Promoting Healthy Life Accessed Feb 2015 http://www.who.Great Lakes Environmental Research Laboratory: right|300px|thumb|Great Lakes Environmental Research Laboratory logo.Closed-ended question: A closed-ended question is a question format that limits respondents with a list of answer choices from which they must choose to answer the question.Dillman D.WHO collaborating centres in occupational health: The WHO collaborating centres in occupational health constitute a network of institutions put in place by the World Health Organization to extend availability of occupational health coverage in both developed and undeveloped countries.Network of WHO Collaborating Centres in occupational health.National Collaborating Centre for Mental Health: The National Collaborating Centre for Mental Health (NCCMH) is one of several centres of the National Institute for Health and Care Excellence (NICE) tasked with developing guidance on the appropriate treatment and care of people with specific conditions within the National Health Service (NHS) in England and Wales. It was established in 2001.Prenatal nutrition: Nutrition and weight management before and during :pregnancy has a profound effect on the development of infants. This is a rather critical time for healthy fetal development as infants rely heavily on maternal stores and nutrient for optimal growth and health outcome later in life.European Immunization Week: European Immunization Week (EIW) is an annual regional initiative, coordinated by the World Health Organization Regional Office for Europe (WHO/Europe), to promote immunization against vaccine-preventable diseases. EIW activities are carried out by participating WHO/Europe member states.Women's Health Initiative: The Women's Health Initiative (WHI) was initiated by the U.S.Comprehensive Rural Health Project: The Comprehensive Rural Health Project (CRHP) is a non profit, non-governmental organization located in Jamkhed, Ahmednagar District in the state of Maharashtra, India. The organization works with rural communities to provide community-based primary healthcare and improve the general standard of living through a variety of community-led development programs, including Women's Self-Help Groups, Farmers' Clubs, Adolescent Programs and Sanitation and Watershed Development Programs.QRISK: QRISK2 (the most recent version of QRISK) is a prediction algorithm for cardiovascular disease (CVD) that uses traditional risk factors (age, systolic blood pressure, smoking status and ratio of total serum cholesterol to high-density lipoprotein cholesterol) together with body mass index, ethnicity, measures of deprivation, family history, chronic kidney disease, rheumatoid arthritis, atrial fibrillation, diabetes mellitus, and antihypertensive treatment.High-intensity interval training: High-intensity interval training (HIIT), also called high-intensity intermittent exercise (HIIE) or sprint interval training (SIT), is an enhanced form of interval training, an exercise strategy alternating short periods of intense anaerobic exercise with less-intense recovery periods. HIIT is a form of cardiovascular exercise.Sharon Regional Health System: Sharon Regional Health System is a profit health care service provider based in Sharon, Pennsylvania. Its main hospital is located in Sharon; additionally, the health system operates schools of nursing and radiography; a comprehensive pain management center across the street from its main hospital; clinics in nearby Mercer, Greenville, Hermitage, and Brookfield, Ohio; and Sharon Regional Medical Park in Hermitage.Healthy community design: Healthy community design is planning and designing communities that make it easier for people to live healthy lives. Healthy community design offers important benefits:Society for Education Action and Research in Community Health: Searching}}Minati SenResource leak: In computer science, a resource leak is a particular type of resource consumption by a computer program where the program does not release resources it has acquired. This condition is normally the result of a bug in a program.Andrew Dickson WhiteNortheast Community Health CentreMaternal Health Task ForceOpinion polling in the Philippine presidential election, 2010: Opinion polling (popularly known as surveys in the Philippines) for the 2010 Philippine presidential election is managed by two major polling firms: Social Weather Stations and Pulse Asia, and several minor polling firms. The polling firms conducted surveys both prior and after the deadline for filing of certificates of candidacies on December 1, 2009.Injustice SocietyChronic care: Chronic care refers to medical care which addresses pre-existing or long term illness, as opposed to acute care which is concerned with short term or severe illness of brief duration. Chronic medical conditions include asthma, diabetes, emphysema, chronic bronchitis, congestive heart disease, cirrhosis of the liver, hypertension and depression.Psychiatric interview: The psychiatric interview refers to the set of tools that a mental health worker (most times a psychiatrist or a psychologist but at times social workers or nurses) uses to complete a psychiatric assessment.Basic Occupational Health Services: The Basic Occupational Health Services are an application of the primary health care principles in the sector of occupational health. Primary health care definition can be found in the World Health Organization Alma Ata declaration from the year 1978 as the “essential health care based on practical scientifically sound and socially accepted methods, (…) it is the first level of contact of individuals, the family and community with the national health system bringing health care as close as possible to where people live and work (…)”.Implementation research: Implementation research is the scientific study of methods to promote the uptake of research findings. Often research projects focus on small scale pilot studies or laboratory based experiments, and assume that findings can be generalised to roll out into a practice based domain with few changes.DenplanStandard evaluation frameworkIntegrated catchment management: Integrated catchment management is a subset of environmental planning which approaches sustainable resource management from a catchment perspective, in contrast to a piecemeal approach that artificially separates land management from water management.Essence (Electronic Surveillance System for the Early Notification of Community-based Epidemics): Essence is the United States Department of Defense's Electronic Surveillance System for the Early Notification of Community-based Epidemics. Essence's goal is to monitor health data as it becomes available and discover epidemics and similar health concerns before they move out of control.

(1/868) Effect of discussion and deliberation on the public's views of priority setting in health care: focus group study.

OBJECTIVE: To investigate the extent to which people change their views about priority setting in health care as a result of discussion and deliberation. DESIGN: A random sample of patients from two urban general practices was invited to attend two focus group meetings, a fortnight apart. SETTING: North Yorkshire Health Authority. SUBJECTS: 60 randomly chosen patients meeting in 10 groups of five to seven people. MAIN OUTCOME MEASURES: Differences between people's views at the start of the first meeting and at the end of the second meeting, after they have had an opportunity for discussion and deliberation, measured by questionnaires at the start of the first meeting and the end of the second meeting. RESULTS: Respondents became more reticent about the role that their views should play in determining priorities and more sympathetic to the role that healthcare managers play. About a half of respondents initially wanted to give lower priority to smokers, heavy drinkers, and illegal drug users, but after discussion many no longer wished to discriminate against these people. CONCLUSION: The public's views about setting priorities in health care are systematically different when they have been given an opportunity to discuss the issues. If the considered opinions of the general public are required, surveys that do not allow respondents time or opportunity for reflection may be of doubtful value.  (+info)

(2/868) Diabetes care: who are the experts?

OBJECTIVES: To identify issues that patients and professionals consider important in diabetes care and differences in their priorities for care and to determine patients' and professionals' judgements of the relative importance of their chosen priorities. DESIGN: Structured group interviews using the nominal group technique. SETTING: Five district health authorities on Tyneside. SUBJECTS: Five nominal groups: expert (seven), non-expert (seven) health care professionals; insulin dependent (four), non-insulin dependent patients (eight); and carers of diabetic patients (eight). MAIN MEASURES: Items important in diabetes care to each nominal group (themes of care), ranked into a series of "top 10" items for each group, and allocated a score according to relative importance to individual members; scores were standardised by individual weighting and group weighting for comparison within and between groups. RESULTS: Patients and professionals agreed that information given to patients, interaction between professionals and patients, patient autonomy, and access were important for good diabetes care, but the importance assigned to each differed. Thus the professionals emphasised empathy and aspects of good communication and patients the desire to know enough to live a "normal" life. Differences were also found within the patient groups; these related to changes in patients' needs at specific points in the development of their illness and in their orientations to care. CONCLUSION: Patients differ from professionals in their orientation to diabetes care, and they can, and should, be involved in setting priorities for care. Since these priorities are dynamic further work is needed to explore the nature of patient satisfaction with diabetes care.  (+info)

(3/868) Policy priorities in diabetes care: a Delphi study.

OBJECTIVES: To produce policy priorities for improving care of diabetes based on the findings of original research into patient and professional opinions of diabetes care in South Tyneside. To judge the feasibility of implementing these priorities as policy. DESIGN: A two round Delphi survey with a panel of 28 inverted question markexperts. inverted question mark In the first round each respondent produced a list of recommendations based on the findings of a report of patients' and professionals' opinions of diabetes care. 20 respondents produced a total of 180 recommendations, reviewed by a monitoring panel to produce a summary list of 28 recommendations. In the second round respondents rated each recommendation on two 5 point Likert scales. SETTING: Mainly Tyneside but also other parts of England. SUBJECTS: 28 healthcare professionals, including patients and patients' representatives. MAIN MEASURES: Voting by experts on how important each recommendation was to improving diabetes care service, and how likely the recommendation was to be implemented in the next five years. RESULTS: There was a high degree of consensus among respondents about recommendations considered important and likely to be implemented--namely, those concerned with improving communications between doctors in hospital and in general practice, and improving communications with patients. Respondents were more pessimistic about the prospects of implementing the recommendations than about their importance. Respondents thought that standards were important for improving care, and half would stop payments to general practice diabetic clinics that did not keep to district standards for diabetes care. For two recommendations a mismatch occurred between the importance of the recommendations and likelihood of implementation. This may reflect the practical problems of implementing recommendations. 18 of the 22 respondents thought that the study was useful in generating recommendations. CONCLUSIONS: The Delphi technique is a useful method for determining priorities for diabetes care and in assessing the feasibility of implementing recommendations.  (+info)

(4/868) Breastfeeding promotion and priority setting in health.

An increase in exclusive breastfeeding prevalence can substantially reduce mortality and morbidity among infants. In this paper, estimates of the costs and impacts of three breastfeeding promotion programmes, implemented through maternity services in Brazil, Honduras and Mexico, are used to develop cost-effectiveness measures and these are compared with other health interventions. The results show that breastfeeding promotion can be one of the most cost-effective health interventions for preventing cases of diarrhoea, preventing deaths from diarrhoea, and gaining disability-adjusted life years (DALYs). The benefits are substantial over a broad range of programme types. Programmes starting with the removal of formula and medications during delivery are likely to derive a high level of impact per unit of net incremental cost. Cost-effectiveness is lower (but still attractive relative to other interventions) if hospitals already have rooming-in and no bottle-feeds; and the cost-effectiveness improves as programmes become well-established. At an annual cost of about 30 to 40 US cents per birth, programmes starting with formula feeding in nurseries and maternity wards can reduce diarrhoea cases for approximately $0.65 to $1.10 per case prevented, diarrhoea deaths for $100 to $200 per death averted, and reduce the burden of disease for approximately $2 to $4 per DALY. Maternity services that have already eliminated formula can, by investing from $2 to $3 per birth, prevent diarrhoea cases and deaths for $3.50 to $6.75 per case, and $550 to $800 per death respectively, with DALYs gained at $12 to $19 each.  (+info)

(5/868) Promoting audit in primary care: roles and relationships of medical audit advisory groups and their managers.

OBJECTIVES: To investigate perceptions of family health service authorities and medical audit advisory groups of advisory groups' involvement in clinical audit and wider quality issues; communication with the authorities; and manager satisfaction. DESIGN: National postal questionnaire survey in 1994. SETTING: All family health services authority districts in England and Wales. SUBJECTS: Chief executives or other responsible authority officers and advisory group chairpersons in each district. MAIN MEASURES: Priorities of advisory group and authority for audit; involvement of advisory group in wider quality issues; communication of information to, and contacts with, the authority and its involvement in planning the future work of the advisory group; and authorities' satisfaction. RESULTS: Both groups' views about audit were similar and broadly consistent with current policy. Advisory group involvement in wider quality issues was extensive, and the majority of both groups thought this appropriate. Much of the information about their activities collected by advisory groups was not passed on to the authority. The most frequent contact between the two groups was the advisory group's annual report, but formal personal contact was the most valued. Most authority respondents thought their views had been recognised in the advisory group's planning of future work; only a small minority were not satisfied with their advisory groups. Dissatisfied respondents received less information from their advisory groups, had less contact with them, and thought they had less input into their plans. There was some evidence that advisory groups in the "dissatisfied districts" were less involved in clinical audit and with their authorities in wider quality issues. CONCLUSIONS: Most advisory groups are developing their activities in clinical audit and have expanded their scope of work. The quality and availability of information about progress with audit is a cause for concern to both groups.  (+info)

(6/868) Developing a plan for primary health care facilities in Soweto, South Africa. Part II: Applying locational criteria.

This article is the second of a two-part series describing the development of a ten-year plan for primary health care facility development in Soweto. The first article concentrated on the political problems and general methodological approach of the project. This second article describes how the technical problem of planning in the context of scanty information was overcome. The reasoning behind the various assumptions and criteria which were used to assist the planning of the location of facilities is explained, as well as the process by which they were applied. The merits and limitations of this planning approach are discussed, and it is suggested that the approach may be useful to other facility planners, particularly in the developing world.  (+info)

(7/868) Gender and equity in health sector reform programmes: a review.

This paper reviews current literature and debates about Health Sector Reform (HSR) in developing countries in the context of its possible implications for women's health and for gender equity. It points out that gender is a significant marker of social and economic vulnerability which is manifest in inequalities of access to health care and in women's and men's different positioning as users and producers of health care. Any analysis of equity must therefore include a consideration of gender issues. Two main approaches to thinking about gender issues in health care are distinguished--a 'women's health' approach, and a 'gender inequality' approach. The framework developed by Cassels (1995), highlighting six main components of HSR, is used to try to pinpoint the implications of HSR in relation to both of these approaches. This review makes no claim to sociological or geographical comprehensiveness. It attempts instead to provide an analysis of the gender and women's health issues most likely to be associated with each of the major elements of HSR and to outline an agenda for further research. It points out that there is a severe paucity of information on the actual impact of HSR from a gender point of view and in relation to substantive forms of vulnerability (e.g. particular categories of women, specific age groups). The use of generic categories, such as 'the poor' or 'very poor', leads to insufficient disaggregation of the impact of changes in the terms on which health care is provided. This suggests the need for more carefully focused data collection and empirical research.  (+info)

(8/868) Opening the debate on DALYs (disability-adjusted life years).

The 1993 World Development Report is proving to be an influential document for the development of the health sector policies in developing countries. One important aspect of the Report concerns its proposals for Disability Adjusted Life Years as a measure of health change and hence effectiveness of interventions. This article comments on the use of such measures in the health policy arena.  (+info)



interventions


  • The study has identified criteria for priority setting of HIV/AIDS interventions in Thailand, and revealed that different stakeholders have different preferences vis-à-vis these criteria. (biomedcentral.com)
  • This could be used for a broad ranking of interventions, and as such as a basis for more detailed priority setting, taking into account also qualitative criteria. (biomedcentral.com)

fairness


  • 1996 Benchmarks of Fairness for Health Care Reform - Oxford University Press. (slideserve.com)

attendees


  • The NASPA Well-being and Health Promotion Leadership Conference will build attendees' knowledge and capacity around creating a culture of health and well-being, and inform future planning at institutions of higher education. (naspa.org)

efficiency


  • First, cost-effectiveness, or efficiency, aims to maximize population health given a certain budget. (biomedcentral.com)

process


  • Health promotion is the process of enabling people to increase control over, and improve, their health. (naspa.org)

evidence


  • However, as of yet, there is no evidence on the criteria that should guide the priority setting of HIV/AIDS programmes in Thailand, including their relative importance. (biomedcentral.com)