Tags:health services

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Governance for health equity

www.euro.who.int/en/home

Este informe analiza por qué las políticas e intervenciones para abordar los determinantes sociales de las desigualdades sanitarias y de salud tienen éxito o fracasan. También se analizan las características importantes de la gobernanza y los sistemas de prestación de servicios que aumentan la probabilidad de éxito en la reducción de las inequidades. El informe presenta una lista de verificación de sistemas para gobernar para la equidad en salud desde una perspectiva integral-de-gobierno. Esto está pensado para su posterior discusión y como un marco para ayudar a los países en el fortalecimiento de su gobernanza para la equidad en salud en la práctica, a través de la acción sobre los determinantes sociales de la salud.

Categoría:Clase Social
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2014-03-14

Governanace for health equity in the WHO European Region

www.euro.who.int/en/

Este informe analiza por qué las políticas e intervenciones para abordar los determinantes sociales de las desigualdades en salud tienen éxito o fracasan. También se analizan las características importantes de la gobernanza y los sistemas de prestación de servicios que aumentan la probabilidad de éxito en la reducción de las inequidades. El informe presenta una lista de verificación de sistemas para gobernar para la equidad en salud desde una perspectiva integral de gobierno. Con esto se quiere fomentar la discusión y proporcionar un marco para ayudar a los países en el fortalecimiento de su gobernanza para la equidad en salud en la práctica, a través de la acción sobre los determinantes sociales de la salud.

Categoría:Directorio
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2014-03-14

Access to health services by lesbian, gay, bisexual and transgender persons: systematic literature review

Access to health services by lesbian, gay, bisexual and transgender persons: systematic literature review Background:The relationship between users and health services is considered essential to strengthen the quality of care. However, the Lesbian, Gay, Bisexual, and Transgender population suffer from prejudice and discrimination in access and use of these services. This study aimed to identify the difficulties associated with homosexuality in access and utilization of health services. Method:A systematic review conducted using PubMed, Cochrane, SciELO, and LILACS, considering the period from 2004 to 2014. The studies were evaluated according to predefined inclusion and exclusion criterias. Were included manuscripts written in English or Portuguese, articles examining the Lesbian, Gay, Bisexual, and Transgender population’s access to health services and original articles with full text available online. Results:The electronic databases search resulted in 667 studies, of which 14 met all inclusion criteria. Quantitative articles were predominant, showing the country of United States of America to be the largest producer of research on the topic. The studies reveal that the homosexual population have difficulties of access to health services as a result of heteronormative attitudes imposed by health professionals. The discriminatory attendance implies in human rights violations in access to health services. Conclusions:The non-heterosexual orientation was a determinant factor in the difficulties of accessing health care. A lot must still be achieved to ensure access to hea ...

Categoría:Género
TipoRevisión
Publicado en ODS2016-02-24

A "Before and After" in the Use of Emergency Services in Spain? The Impact of the Economic Crisis

The objective of this study was to analyse whether variables associated with emergency services (ES) use in Spain have changed in the period 2006-2011 using a comparative analysis of the 2006 and 2011 Spanish National Health Surveys. The measure of association was the prevalence ratio with its 95% confidence interval, obtained by Poisson regression with robust variance. We studied interactions between the explanatory variables for ES use and year and subsequently performed a stratified analysis by year. ES use declined by 2.1% in 2011. Most emergency care (approximately 60% in both surveys) was provided in public hospitals. Between 2006 and 2011, ES use increased by 9% in women (p for interaction=0.008) [ref. men], 3% in persons with poor mental health (p for interaction=0.072) [ref. good mental health], and 8% in individuals with limitations on activities of daily living (p for interaction=0.006) [ref. no limitations]. The change in the effect of the variables sex, mental health, and limitations on activities of daily living on use of ES (2006 and 2011) is not explained by either demographic characteristics or individual socioeconomic indicators. These results could be associated with macroeconomic and structural changes occurring during the period 2006-2011.

Categoría:Crisis Económica
TipoComunicaciones/Informes/Artículos (individual)
Publicado en ODS2016-04-14