74 research outputs found

    Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review

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    AbstractBackgroundDue to the current economic crisis in Greece, effects on health and healthcare have been reported. The aim of this study was to present a systematic overview of the consequences that the financial crisis has had for health and healthcare in Greece.MethodsSystematic literature review was conducted in order to identify articles that were published from January 2009 to March 2013 and explicitly referred to the effects of economic crisis on health or healthcare, in Greece. Data extraction and synthesis was performed with the use of thematic analysis.FindingsThirty-nine studies were considered for further analyses. Various existing and potential relevant effects were identified, including reductions in public health expenditure and changes in healthcare services and the pharmaceutical market, with an increasing number of admissions in public healthcare sector, and efficiency and organizational-related issues being evident, overall. Indications were found for post-crisis deterioration of public health with increasing rates of mental health, suicides, and epidemics, and deterioration of self-rated health.ConclusionThe recent efforts to reform the Greek National Health System have been focusing mainly on short-term effects by reducing expenditure, while the measures imposed seem to have dubious long-term consequences for Greek public health and healthcare

    Quality indicators for primary health care : a systematic literature review

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    Data have indicated that countries with a strong system of Primary Health Care (PHC) are more likely to have efficient health systems and better health outcomes than countries that focus strongly on hospital services. The aim of the article was to systematically review implemented quality projects used for evaluation of quality in PHC services. A systematic literature review was conducted via MEDLINE to identify papers referring to international or national PHC quality assessment projects, published in English from 1990 to 2010. Projects were included if they had been implemented, had a holistic approach, and reported specifications of the quality indicators used. Sixteen publications were considered eligible for further analyses, referring to 10 relevant projects and a total of 556 indicators. Number and content of indicators and their domains varied across projects. Regarding raw data, lack of standardization of collection tools between projects could lead to invalid comparisons. In areas that international projects operate in parallel to national initiatives, there may be problems regarding expenses and burden of data collection, which might create competing interests and low quality of information. Further actions for alignment of quality projects on primary health care are required, for future results to become comparable

    Developing a national framework of quality indicators for public hospitals

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    Background: The current study describes the development of a preliminary set of quality indicators for public Greek National Health System (GNHS) hospitals, which were used in the "Health Monitoring Indicators System: Health Map" (Ygeionomikos Chartis) project, with the purpose that these quality indicators would assess the quality of all the aspects relevant to public hospital healthcare workforce and services provided. Methods: A literature review was conducted in the MEDLINE database to identify articles referring to international and national hospital quality assessment projects, together with an online search for relevant projects. Studies were included if they were published in English, from 1980 to 2010. A consensus panel took place afterwards with 40 experts in the field and tele-voting procedure. Results: Twenty relevant projects and their 1698 indicators were selected through the literature search, and after the consensus panel process, a list of 67 indicators were selected to be implemented for the assessment of the public hospitals categorized under six distinct dimensions: Quality, Responsiveness, Efficiency, Utilization, Timeliness, and Resources and Capacity. Conclusion: Data gathered and analyzed in this manner provided a novel evaluation and monitoring system for Greece, which can assist decision-makers, healthcare professionals, and patients in Greece to retrieve relevant information, with the long-term goal to improve quality in care in the GNHS hospital sector

    Out of the Black Patch: the autobiography of Effie Marquess Carmack, folk musician, artist, and writer

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    Edited by Noel A. Carmack and Karen Lynn Davidson.Includes bibliographical references and index.Effie Marquess Carmack (1885-1974) grew up in the tobacco-growing region of southern Kentucky known as the Black Patch. As an adult she moved to Utah, back to Kentucky, to Arizona, and finally to California. Economic necessity primarily motivated Effie and her husband's moves, but her conversion to the Mormon Church in youth also was a factor. Throughout her life, she was committed to preserving the rural, southern folkways she had experienced as a child. She and other members of her family were folk musicians, at times professionally, and she also became a folk poet and artist, teaching herself to paint. In the 1940s she began writing her autobiography and eventually also completed a verse adaptation of it and an unpublished novel about life in the Black Patch. Much of Effie's story is a charming memoir of her vibrant childhood on a poor tobacco farm. She describes a wide variety of folk practices, from healing and crafts to children's games. Her family's life included the backbreaking labor and economic trials of raising tobacco, but it was enriched by a deep familial heritage, communal music, creative play, and traditional activities of many kinds. After the family converted to the Mormon Church, religious study and devotion became another important dimension. Effie's account of Mormon missions contributes to the little-known record of Latter-day Saint attempts to establish a presence in the South. After marrying, the Carmacks moved west, eventually landing in the Arizona desert, where Effie took up painting in earnest. Her art began to attract modest attention, which brought exhibits, awards, and a new career teaching others what she had taught herself. After the Carmacks later retired to Atascadero, California, Effie became a more active and public folk singer as well.--Provided by publisher.Foreword / Maureen Ursenbach Beecher -- Pictures of Childhood -- Ponderous Milestones -- Raised in a Patch of Tobacco -- A One Horse Religion -- Dear Home, Sweet Home -- Bitterness and Sorrow Helped me Find the Sweet -- Epilogue [The Outskirts of a Desert Town] -- Appendix One: The Song and Rhyme Repertoire of Effie Marquess Carmack -- Appendix Two: Things to Accomplish -- Appendix Three: Henry Edgar Carmack

    Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: A systematic review

    No full text
    Background: Due to the current economic crisis in Greece, effects on health and healthcare have been reported. The aim of this study was to present a systematic overview of the consequences that the financial crisis has had for health and healthcare in Greece. Methods: Systematic literature review was conducted in order to identify articles that were published from January 2009 to March 2013 and explicitly referred to the effects of economic crisis on health or healthcare, in Greece. Data extraction and synthesis was performed with the use of thematic analysis. Findings: Thirty-nine studies were considered for further analyses. Various existing and potential relevant effects were identified, including reductions in public health expenditure and changes in healthcare services and the pharmaceutical market, with an increasing number of admissions in public healthcare sector, and efficiency and organizational-related issues being evident, overall. Indications were found for post-crisis deterioration of public health with increasing rates of mental health, suicides, and epidemics, and deterioration of self-rated health. Conclusion: The recent efforts to reform the Greek National Health System have been focusing mainly on short-term effects by reducing expenditure, while the measures imposed seem to have dubious long-term consequences for Greek public health and healthcare. (C) 2014 The Authors. Published by Elsevier Ireland Ltd. All rights reserved

    Effie Louise Power: Librarian, Educator, Author

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    Submitted by Russell Clark ([email protected]) on 2007-07-23T20:39:46Z No. of bitstreams: 1 Kimball924951.pdf: 239710 bytes, checksum: 19a2729bfeca45f34143a5d8f3c855d9 (MD5)Made available in DSpace on 2007-07-23T20:39:47Z (GMT). No. of bitstreams: 1 Kimball924951.pdf: 239710 bytes, checksum: 19a2729bfeca45f34143a5d8f3c855d9 (MD5) Previous issue date: 2004published or submitted for publicationEffie Louise Power (1873–1969) represented the high standard of collaboration among children’s librarians that characterized the entire development of youth services work. This article examines Power’s role in U.S. library history as a practitioner, library and information science educator, national and regional professional leader, and author. Particular emphasis is given to Power’s place in the network of children’s librarians in the early twentieth century, her professional authority as the librarian selected by the American Library Association to write the fi rst textbook for children’s librarianship, and her success as one of the many librarians who have written and edited children’s books, especially folktale collections for use in storytelling programs. Emerging most notably from this research is the discovery of how energetically, albeit quietly, Power infl uenced not only her contemporaries but also the next several generations of children’s librarians who have followed in her professional footsteps

    Effects of the economic crisis on health and healthcare in Greece in the literature from 2009 to 2013: a systematic review

    No full text
    BACKGROUND: Due to the current economic crisis in Greece, effects on health and healthcare have been reported. The aim of this study was to present a systematic overview of the consequences that the financial crisis has had for health and healthcare in Greece. METHODS: Systematic literature review was conducted in order to identify articles that were published from January 2009 to March 2013 and explicitly referred to the effects of economic crisis on health or healthcare, in Greece. Data extraction and synthesis was performed with the use of thematic analysis. FINDINGS: Thirty-nine studies were considered for further analyses. Various existing and potential relevant effects were identified, including reductions in public health expenditure and changes in healthcare services and the pharmaceutical market, with an increasing number of admissions in public healthcare sector, and efficiency and organizational-related issues being evident, overall. Indications were found for post-crisis deterioration of public health with increasing rates of mental health, suicides, and epidemics, and deterioration of self-rated health. CONCLUSION: The recent efforts to reform the Greek National Health System have been focusing mainly on short-term effects by reducing expenditure, while the measures imposed seem to have dubious long-term consequences for Greek public health and healthcare
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