Core Of Health Care Research Articles

Integrative Medicine in Chile: Towards a more global vision of people's health

The World Health Organization has defined health as a state of complete physical, mental and social well-being, not just the absence of disease. Integrative medicine considers the articulation of different medical practices and systems such as mind-body therapies, manual therapies, energy medicine, whole systems and healthy lifestyles, allowing focusing on the cause of diseases and giving concrete tools to focus on the person rather than just the disease. In Chile, the Ministry of Health proposed incorporating alternative and complementary medicines through Decree 42, regulating them as auxiliary to traditional care, the conditions of practice for the exercise of acupuncture, homeopathy, and naturopathy. There are multiple barriers to implementing integrative medicine units, such as the perception that they are expensive and ineffective and, frequently, the resistance of health teams. For its advancement, it is essential to gradually incorporate this discipline in health careers curricula, agree on taxonomies and outcomes, and maintain sight that the core of health care is at the primary level. It is also necessary to generate evidence on the use of integrative medicine, especially at the local level, incorporating its practice more routinely and reporting on its potential adverse effects.

Business-centric healthcare's effects on the doctor-patient relationship in the emergency department

BackgroundThe doctor-patient relationship has always been at the core of health care, and this relationship remains of paramount importance, regardless of treatment location or the patient's condition. The hospital emergency department (ED) plays a major role in this relationship by providing access to board-certified, residency-trained emergency physicians capable of rapid diagnosis and treatment of urgent, emergent, and life-threatening conditions. U.S. EDs also serve as the nation's safety net for the care of uninsured and underinsured patients. DiscussionAs the ED has become a major profit center in the multi-trillion-dollar health care industry, business-centric pressures on ED care pose major threats to the doctor-patient relationship. This article describes and evaluates business-imposed practices that can undermine this relationship in the ED. ConclusionsHealth systems should strive to enhance relationships between emergency physicians and their patients and to avoid business practices that undermine them.

Confronting racism in nursing

Confronting racism in nursing

From the Editors.

This issue of Healthcare Quarterly includes instructive research results, statistical analyses and case-study insights within and without the COVID-19 context. It also strikes a highly humanistic tone, a reminder that relationships are at the core of healthcare and that providing and receiving healthcare are profoundly personal and consequential. Organizing, running and resourcing healthcare require strong interpersonal and collective connections, shared accountabilities and agreement on goals that aim for a coherent, continuously improving health system and a safe, fair and caring place to work and heal.

Longitudinality in Primary Health Care: a comparison between care models

to evaluate the attribute longitudinality in different models of assistance in Primary Health Care and observe its association with demographic, socioeconomic and health care characteristics. a cross-sectional study, carried out in 2015 with 1076 adult users of primary care services in the 32 cities of the 4th Regional Health Care Core of Rio Grande do Sul State. The Primary Care Assessment Tool was used with definition of low (<6.6) or high (≥6.6) score for longitudinality. The association with independent variables was observed through the Poisson regression. the attribute was better assessed in the Family Health Strategy and associate with age, housing health region and care model. the study points out the Family Health Strategy as a promoter of longitudinal care, and so, it suggests the expansion of this assistance model coverage for quality improvement in health care.

Teaching Public Health Professionals Entrepreneurship: An Integrated Approach

Entrepreneurship is reflected in mass media and pop culture by television shows like Shark Tank and The Profit. In fact, entrepreneurship was characterized as the hype of the 1990s (De Leeuw, 1999) and entrepreneurship education has since been described as booming (Fayolle, 2013). The increase in college degree programs in entrepreneurship has been documented by a range of researchers (Jones et al., 2012; Kuratko, 2005; Wakefield, 2012). Recently, such entrepreneurship programs have begun to extend across campuses and beyond the walls of business schools. Such cross campus programs are currently to be found in curricula in the arts, the sciences, and engineering, as well as in medical schools (Nambisan, 2015).The aim of the present paper is to describe an interdepartmental entrepreneurship curriculum with extra-curricular activities developed at DePaul University in Chicago, Illinois, for graduate students in public health. Before describing this entrepreneurship curriculum, the changing healthcare landscape is briefly reviewed; the conceptual links between entrepreneurship and the social determinants model of health explored, and entrepreneurship education in the health professions discussed. Shepherd and Patzelt (2015) assert that entrepreneurship scholarship has pushed health topics largely to the periphery. This paper represents an attempt to bring entrepreneurial education among public health professionals closer to the core of healthcare.

Primary health care and family medicine at the core of health care: challenges and priorities in how to further strengthen their potential.

Primary health care and family medicine at the core of health care: challenges and priorities in how to further strengthen their potential.

Infermieristica Nefrologica: Competenze Assistenziali Generali e Specifiche

The article discusses the actual statement of the EDTNA/ERCA ITALIAN BRANCH related to Nephrology nursing advanced competences in the clinical setting, aiming at actively taking part to the national debate on the allocation of advanced nursing practice. Taking into account the ISFOL model as a definition of the work curricula proposed for the free circulation in both the EU and international areas, the model is elaborated to enhance healthcare core items and, more specifically, in the Nephrology nursing setting, starting from basic competences to healthcare, cross-sectional, and specific competences. The pathway moves from general to specific, defining 6 areas of Nephrology nursing interest (outpatients department, ward unit, peritoneal dialysis, hemodialysis, intensive care, and transplantation). For each area, nursing competences are listed (knowing, doing, being). The article is meant to be used as a guideline, benchmarking, and audit tool for the various national Nephrology nursing settings.

Efficiency measurement in developing countries: application of data envelopment analysis for Iranian hospitals

Hospitals have been at the core of health care in most countries during past decades, in view of the importance and criticality of their services and absorbing the highest quota of health care financial resources. Specific problems associated with these organizations in developing countries, such as Iran, have further added to the attention they have received over the course of those years. Efficiency measurement of hospitals based on simple ratios has long been utilized to remedy these problems in Iran. However, application of data envelopment analysis as an advanced method for measuring efficiency of health care organizations is mostly unexplored in this country. The current study has applied this method to investigate technical efficiency of a group of provincial hospitals in Iran. The findings showed that just under 60% of all hospitals at the province were technically efficient, and the remainder faced excess number of inputs (specifically in their non-clinical human resources) that should be attended to by the managers. Implications for practice and research on the efficiency of hospitals in the country and similar settings are provided.

The rapidly increasing cost of medicines threatens the core of healthcare

The rapidly increasing cost of medicines threatens the core of healthcare