Academic literature on the topic 'Public health – Economic aspects – Honduras'
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Journal articles on the topic "Public health – Economic aspects – Honduras"
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Botello, Hector, and Isaac Guerrero Rincon. "IMPACT OF COVID 19 ON THE PERFORMANCE OF CENTRAL AMERICAN EXPORTING COMPANIES: A FIRST REVIEW." Economic Profile 16, no. 2(22) (January 15, 2022): 16–26. http://dx.doi.org/10.52244/ep.2021.22.02.
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The Covid-19 disease has had major consequences around the world for both public health and the real economy. This economic crisis generated by COVID-19 turns out to be different from previous crises in aspects such as the urgency, scope and magnitude of the negative shock on demand and supply. Countries such as El Salvador, Honduras, Guatemala and Nicaragua, located in Central America, which are among the poorest in Latin America implemented anti-Covid-19 measures since March 2020. Such as restricting mobility and temporarily shutting down non-essential economic activities. As a result, households and businesses are facing an economic downturn due to the pandemic, with effects across the supply chain and from the demand side, because customers can't leave. For this analysis, the average impact on the sales of exporting companies will be estimated. The results indicate that all companies experienced a sudden drop-in economic activity. Permanently closed exporting firms accounted for 6% of employment, compared with 1% for all other firms in the domestic market. This is a first review of the effects of Covid-19 mitigation measures on the performance of exporting companies in four Latin American countries. The study uses a longitudinal database to perform a descriptive analysis of company conditions and company survival. A difference model is used to estimate the average impact on the sales of exporting companies. The control variables were the characteristics of the company, as well as whether it was temporarily closed due to Covid-19. The results indicate that all companies experienced a sudden drop-in economic activity. Permanently closed exporting firms accounted for 6% of employment, compared with 1% for all other firms in the domestic market. The estimation model indicates that for businesses that temporarily closed during this period, there was a further 8% reduction in sales. This article contributes to the literature in several aspects. First, the results complement articles investigating the economic impact of COVID-19 by providing quantitative evidence on the pandemic situation in four Central American countries. Second, longitudinal data provides a unique perspective on how companies have been reacting to the pandemic, as they allow us to control a few variables that can alter analysis in other types of structures. Third, I further examine how the impact of the pandemic on businesses varies by country based on ownership structure and other characteristics. With the observed consequences, our results provide information that can help us consider the broader economic implications of the impact of COVID 19, as well as the design of strategies for recovery.
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Krzysztoszek, Jana, Dorota Koligat, Piotr Ratajczak, Wiesław Bryl, Maciej Cymerys, Karolina Hoffmann, Ewelina Wierzejska, and Paweł Kleka. "Public health Economic aspects of hypertension treatment in Poland." Archives of Medical Science 3 (2014): 607–17. http://dx.doi.org/10.5114/aoms.2013.32853.
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Rhodes, S. P., and S. Ridley. "Economic Aspects of General Anaesthesia." PharmacoEconomics 3, no. 2 (February 1993): 124–30. http://dx.doi.org/10.2165/00019053-199303020-00005.
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Destache, Christopher J. "Economic Aspects of Pharmacokinetic Services." PharmacoEconomics 3, no. 6 (June 1993): 433–36. http://dx.doi.org/10.2165/00019053-199303060-00002.
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De Graeve, Diana, and Philippe Beutels. "Economic Aspects of Pneumococcal Pneumonia." PharmacoEconomics 22, no. 11 (2004): 719–40. http://dx.doi.org/10.2165/00019053-200422110-00003.
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Burchardi, Hilmar, and Heinz Schneider. "Economic Aspects of Severe Sepsis." PharmacoEconomics 22, no. 12 (2004): 793–813. http://dx.doi.org/10.2165/00019053-200422120-00003.
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MAYNARD, ALAN. "Economic aspects of addiction policy." Health Promotion International 1, no. 1 (1986): 61–71. http://dx.doi.org/10.1093/heapro/1.1.61.
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Schondelmeyer, Stephen W. "Economic Aspects of Switch." Drug Information Journal 24, no. 1 (January 1990): 57–66. http://dx.doi.org/10.1177/009286159002400111.
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Fuentes, Itzel, Karla Henriquez, Fausto Muñoz, Elsa Palou, Tito Alvarado, Ivette Lorenzana, Víctor Valladares, Arturo Corrales, Lysien Zambrano, and Manuel Sierra. "COVID-19 situation in Honduras: lessons learned." Gaceta Médica de Caracas 128, S2 (December 1, 2020): S242—S250. http://dx.doi.org/10.47307/gmc.2020.128.s2.12.
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Introduction: Several emerging and re-emerging diseases in the last decade have shown the global weakness to detect and act in a timely manner in situations that threaten the health of the planet. Latin America has been vulnerable to outbreaks as a result of increased poverty, social inequity and the poor response capacity of the public health system. Objective: Describe the situation of COVID-19 in Honduras and the challenges it presents. Methodology: Analysis of the epidemiology and control strategies applied in the country to contain the spread of SARS-CoV-2, in the context of the social and economic reality until September 18, 2020. Results: Honduras ranks fifth in Central America in the number of tests performed; the cumulative incidence rate of cases is 7 105 per million inhabitants. The country has an accelerated growth in the percentage of positivity with intense community transmission. Some 63.4 % of cases are concentrated in the group 20-49 years old (43 624 cases); 15.2 % in adults 60+ (10 440 cases) and 7.5 % in children under 20 (5 133 cases). With a disjointed health system and a chronic and recurrent shortage of physical and human resources, the National Risk Management System (SINAGER), which includes the Ministry of Health (SESAL), implemented various strategies to reduce the spread of the virus. Some control measures were border closures, physical distancing and the use of masks were made mandatory by legislative decree. The serious impact on the weak national economy forced an intelligent opening coinciding with the rise of cases. Conclusions: Current data show that the age group most affected is adults between 20 and 49 years old. The country’s socioeconomic situation has been aggravated by the pandemic; the continuous rise in the number of cases, hospitalizations and deaths has collapsed the public health system leaving the majority of Hondurans in continuous vulnerability. Primary care clinics and mobile medical brigades have been implemented as a new way to contain the spread and impact of transmission. Several European countries and cities in the Americas have had to reverse the process of economic reopening when faced with successive waves of outbreaks. Honduras has demonstrated limited capacity to deal with catastrophic situations. The national epidemiological surveillance system and access to timely and quality diagnostic tests remain weak and fragmented. There is an urgent need to improve the health and surveillance system to guide strategic evidence-based decision making and to prevent future pandemics.
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Beringer, Paul M., Annie Wong-Berringer, and Jay P. Rho. "Economic Aspects of Antibacterial Adverse Effects." PharmacoEconomics 13, no. 1 (1998): 35–49. http://dx.doi.org/10.2165/00019053-199813010-00004.
Full textDissertations / Theses on the topic "Public health – Economic aspects – Honduras"
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Pari, Anees Ahmed Abdul. "Health economic aspects in the management of bipolar disorder." Thesis, University of Oxford, 2016. https://ora.ox.ac.uk/objects/uuid:f8ea6eae-9111-4efe-87d1-52276d97e827.
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Bipolar disorder (BD) is one of the leading causes of disability worldwide and has a detrimental impact on health-related quality of life (HRQoL), and personal and social functioning. Despite this, there is insufficient knowledge of the costs, HRQoL implications relevant to BD, and the cost-effectiveness of current treatments for BD in the UK. This thesis aims to inform decisions about local and national service provision by applying a variety of health economic tools to build an economic case for BD. First, economic evaluations of BD management strategies are systematically reviewed. A cost-of-illness study is then conducted to estimate the societal burden of BD in the UK and explore the factors that drive variations in these costs. The appropriateness of applying the EQ-5D-3L outcome measure in BD is assessed, and the feasibility of mapping disease-specific measures to the EQ-5D-3L is explored. Finally, a cost-utility analysis (CUA) is conducted to bring together evidence on the costs and outcomes associated with alternative psychological interventions in BD management. This thesis makes critical contributions to multiple research domains, informing the allocation of scarce healthcare resources in this context. There is a sheer dearth of evidence on cost-effectiveness strategies for the long-term management of BD in the UK, especially the evidence for psychological therapies is limited. The annual societal costs associated with BD in the UK are estimated to be £5.14 billion, demonstrating the significant economic burden associated with this disease. The EQ-5D-3L instrument is found to be useful in measuring HRQoL in BD patients who predominantly experience depressive symptoms but is not sensitive enough to detect changes in individuals with mania. More psychometric evidence is therefore required before this instrument can be widely applied in economic evaluations of BD-related interventions. Finally, the CUA indicates that a novel structured psychoeducation intervention in individuals on remote mood monitoring in the UK is not cost-effective.
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Catena, Rodolfo. "Essays on health care operations management." Thesis, University of Oxford, 2015. http://ora.ox.ac.uk/objects/uuid:3c2035a6-b5d0-43b7-9b12-4883e5db4526.
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The aim of operations management in health care is to enhance the provision of services to patients and to decrease costs. Overall worldwide health care expenditures represent around 10.5% of the global GDP and are projected to increase at an annual rate of 5.3% from 2015 to 2017 [74]. In order to investigate how to curb health care costs, I study the English NHS, a health care system that provided universal care to around 54 million people in 2014 [243]. The NHS has launched many initiatives to improve the performance of hospital operations such as the "QIPP" program, which has the objective to save £20 billion of costs by 2015 [98]. Given this framework, this research aims to contribute to the theory that is guiding these operational changes, using data on all admissions to hospitals and focussing on the inguinal hernia, one of the most common surgical procedures [86]. In the next chapters, this research describes inguinal hernia care delivery in the English NHS, examines the impact of spillovers and complementarities on costs, and investigates the effects of length of stay reduction on risk of re-admission and risk of death. The findings of this thesis indicate that one of the possible problems in the delivery of inguinal hernia care in the NHS is the decrease in the number of elective operations performed and the increase in readmission rates. They also clarify how decisions on allocation of resources can affect hospital expenditures by showing that loss in focus can increase health care costs and by pointing out that there is little evidence to support the theory of spillovers and complementarities in the surgical context. Finally, the results of this research can be used to suggest the logic of a policy to decrease length of stay that can inform hospital decisions and can decrease hospital costs.
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Starkie, Helen Jane. "Health economic aspects in the management of Chronic Obstructive Pulmonary Disease." Thesis, University of Glasgow, 2010. http://theses.gla.ac.uk/2154/.
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The broad aim of this thesis on ‘Health Economic aspects in the management of Chronic Obstructive Pulmonary Disease’ (COPD) was to study the natural history of the disease in order to inform the conceptualisation and development of a new economic model. Existing economic evaluations for COPD were critiqued and information on the natural history of the disease gathered though literature searches and analyses of two large datasets, a COPD randomised controlled trial called TORCH and a general population observational dataset called the Renfrew/Paisley (MIDSPAN) study. Particular attention was paid to identifying the COPD population using different diagnostic criteria. The elicitation of utility estimates under a number of circumstances was considered. A regression based prediction model was conceptualised and developed. Significant contributions of this thesis include, but are not limited to: a NICE COPD cohort were identified who were found to be at higher risk of all-cause and COPD mortality than a GOLD defined cohort; a mapping equation was successfully developed that predicts the EQ-5D from the SGRQ; and an entirely new concept for modelling COPD was developed that uses a series of regression equations to predict cost and effect based on lung function, symptoms and exacerbations and weighted by survival probability in order to generate a model with one arm representing current treatment and a second arm representing a comparator treatment. The thesis successfully combined information gathered throughout the period of research on the natural history of COPD with treatment effects in a novel way in order to conceptualise and develop a new economic model for COPD.
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Botha, Willings. "A broader economic evaluative space for public health interventions : an integrated approach." Thesis, University of Glasgow, 2017. http://theses.gla.ac.uk/8488/.
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Introduction: There is an increasing need for economic evaluation of public health interventions to ensure efficient allocation of resources. Outcomes of such interventions often consists of health and non-health and do not fit in the conventional economic evaluation of quality-adjusted life year (QALY) framework. A cost-benefit analysis (CBA) could be appropriate but has concerns of assigning monetary values to health outcomes. Questions remain on how to consider the broad outcomes of a public health intervention in an economic evaluation. Objective: This thesis aimed to develop an integrated approach for an economic evaluation of a public health intervention that combines the standard cost-utility analysis (CUA) for health outcomes with the stated preference discrete choice experiment (SPDCE) approach for non-health outcomes on a single monetary metric. Methods: A natural experiment of the Woods In and Around Towns (WIAT) study in Scotland was used for empirical analysis. Costs were assessed using a top-down approach based on resources used. A difference-in-differences (DiD) approach was used to establish the impact. A CUA valued the health outcomes in terms of QALYs while a previously developed conceptual model of the WIAT was used to identify the SPDCE attributes and levels for the non-health outcomes. The WIAT study questionnaire was mapped to the SPDCE which generated relative willingness to pay (WTP) values from a general Scottish population. The WTP estimates were applied to the changes or improvements in the attributes and levels resulting from the intervention. A net monetary benefit (NMB) framework was then used to combine the CUA with the SPDCE on the same monetary scale, effectively deriving a CBA. Results: The WIAT interventions were of low cost despite the base case DiD analysis showing a statistically insignificant effect for interventions. The incremental cost-effective ratios (ICERs) for the interventions revealed that they were cost-effective. The probabilistic sensitivity analysis (PSA) showed that the physical intervention was 73% likely to be cost-effective at WTP of £20,000 and £30,000. The combined physical and social interventions had 74% and 75% likelihood of being cost-effective at WTP of £20,00 and £30,000, respectively. There was a great deal of uncertainty around QALY results. Overall, the integrated approach revealed that the WIAT interventions were cost-beneficial in terms of both health and non-health outcomes. Conclusion: This thesis has proposed and demonstrated the integrated approach that combines the conventional QALY framework with the SPDCE on a single monetary scale, hence a broader economic evaluative space particularly suitable for an economic evaluation of a public health intervention.
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Boyer, Nicole Renée Soldner. "Economic evaluation of population health interventions aimed at children and delivered at school." Thesis, University of Glasgow, 2018. http://theses.gla.ac.uk/9012/.
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Background: Population health interventions by their nature affect an entire population and are typically delivered outwith of health services and within the community, such as in schools. An example of such interventions are those that aim to improve children’s social and emotional wellbeing, which have demonstrated effectiveness in the short-term and potentially the long-term. However, challenges arise when conducting economic evaluations of population health interventions, most notably the difficulties of identifying, measuring, and valuing broader intersectoral costs, health, and non-health outcomes. Economic evaluation in an education context is relatively novel, but could provide decision-makers with information to help them make transparent and consistent decisions about how to allocate limited funds. This thesis examined the role for economic evaluation in school-based interventions and sought to determine appropriate methods for its implementation in addition to examining appropriate child-focused outcome measures. Thus, the overarching research question asked, ‘How should the cost-effectiveness of school-based, population health interventions aimed at children be determined?’ Methods: A mixed methods approach to this thesis was used: (i) a systematic literature review and narrative synthesis to determine which evaluation methods (economic and non-economic) are currently being used in school-based population health interventions; (ii) a case study to illustrate an economic evaluation (including cost-utility and cost-effectiveness analysis) of a school-based intervention to reflect on the advantages and disadvantages for decision making in this context; and (iii) an exploration of outcome measures (through mapping validation) for valuing child health and social and emotional wellbeing in school-based programmes to support future evaluation work in this context. Data for the economic evaluation and mapping validation study were available from a cluster randomised controlled trial of the Roots of Empathy programme in Northern Ireland (Ref: 10/3006/02). Results: The systematic review found that the methods currently being utilised to evaluate school programmes are varied (including economic evaluation, cost only, and effectiveness only studies), with poor quality reporting for the economic evaluations. Of the few cost-utility analyses in school-based settings identified, none had directly measured health-related quality of life using child measures or values. The case study cost-utility analysis using Child Health Utility 9D of a school-based intervention was found to be cost-effective from the National Health Service perspective with an incremental cost-effectiveness ratio of £11,000 per quality-adjusted life year (confidence interval: -£95,500 to £147,000), however the wide confidence interval demonstrates considerable uncertainty. This uncertainty is likely due to a lack of statistically significant effect that remained at the 36-month follow-up. Cost-effectiveness analysis using child behavioural descriptive measure, the Strengths and Difficulties Questionnaire, resulted in an incremental cost-effectiveness ratio of £197 per unit decrease in total difficulties score (confidence interval: £77 to £471). The Strengths and Difficulties Questionnaire is suitable for measuring social and emotional wellbeing, but is less advantageous for cost-effectiveness decision-making as no consensus has been reached as to what a clinically meaningful change in score represents, nor has a cost-effectiveness threshold been defined. It remains uncertain how these cost-effectiveness results will be interpreted in an education decision-making context where cost-effectiveness thresholds have not been set up. The mapping validation study validated a mapping algorithm to convert the Strengths and Difficulties Questionnaire into child health utility. Using this algorithm provides an option for valuing incremental changes in health-related quality of life against a generally accepted cost-effectiveness threshold from a health service perspective. Conclusions: Given the findings from the various aspects of work undertaken for this thesis to address population health issues, this thesis identified cost-benefit analysis as currently the most comprehensive method for determining the value for money of school-based public health interventions. Cost-benefit analysis incorporates monetary valuation of multisector outcomes in a final net benefit/loss result allowing clear, consistent, decision-making criteria to be set. Other methods such as cost-consequence analysis, cost-utility analysis, and multi-criteria decision analysis may also be suitable depending on the decision-making context and problem. This thesis demonstrates a lack of clear decision-making criteria in place for funding allocation decisions in education (e.g. education specific cost-effectiveness thresholds). Furthermore, there is no equitable method currently in place for apportioning the cost of funding public health interventions that generate benefits for multiple sectors. From a health service perspective, directly measuring child health utility using the Child Health Utility 9D is preferred as it is the only preference-based measure developed specifically for children and valued by young people. Mean child health utility can be predicted by mapping from the Strengths and Difficulties Questionnaire. This affords the opportunity to estimate longer-term utility by utilising long-term cohort data that routinely collects the Strengths and Difficulties Questionnaire, as long-term cost-effectiveness of school-based preventive programmes is an area in need of further research. The school setting plays an important role in shaping our young people’s futures. Economic evaluation of school-based population health interventions is justified, as schools need to maximise their existing resources in order to give children the best start in life.
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Jarumai, Cyril Joshua. "Some aspects of modern Irish law." Thesis, National Aviation University, 2021. https://er.nau.edu.ua/handle/NAU/48765.
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By the early 21st Century further amendment to the Constitution has been necessitated by Ireland’s membership of the European Union, which has involved the cession of a degree of sovereignty and the subordination of national law to European law. A significant amendment was effected pursuant to the Good Friday Agreement, when Ireland removed its territorial claim to Northern Ireland and replaced it with the principle of unity by consent.Today’s Irish law due to the pandemic conditions of its development is on
the way to its own improvement to regulate social relations effectively and protect the interests of their participants.
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Grangård, Halfdan. "Health and the economy : three essays." Thesis, London School of Economics and Political Science (University of London), 2011. http://etheses.lse.ac.uk/207/.
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The main questions of this thesis are how a period of in utero malnutrition can impact the health of young children and their later development, and how job promotions can affect health. In the first chapter I analyse to what extent the South-East Asian financial crisis affected the height of Indonesian children who had in utero exposure to the crisis. I find that they are significantly shorter than children who were exposed at later ages. There is a large difference in effect for urban and rural children. This finding helps attribute the detrimental health effects to the crisis and not other events which occurred during the period of analysis. The second chapter exploits the exogenous shock of the crisis to analyse how early childhood height causes later cognitive development. I argue that this question should be analysed using instrumental variables. The results show a large and significant effect of early childhood height on cognitive ability and the use of instrumental variables changes the results significantly compared to OLS with or without fixed effects. Lastly, I analyse how on the job promotions of British civil servants affect health. In a cross-section, the direction of causality is almost certainly two-way. I argue that the use of individual fixed effects will alleviate this concern. The results show a large, positive effect of a job promotion on health in the subsequent survey phase.
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Willis, Eileen. "Accelerating control : an ethnographic account of the impact of micro-economic reform on the work of health professionals /." Title page, table of contents and abstract only, 2004. http://web4.library.adelaide.edu.au/theses/09PH/09phw7341.pdf.
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Muir, Lauretta, and n/a. "The impact of economic theory on the art of clinical practice : a study of science, meaning, and health." University of Otago. Dunedin School of Medicine, 2006. http://adt.otago.ac.nz./public/adt-NZDU20060911.160405.
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In being philosophically based this thesis is concerned with understanding the human condition with particular reference to matters of meaning and how these find expression in systems of government and social policy.
This study is based on the premise that concepts determine how the world is viewed and people use a variety of conceptual schemes to answer different classes of questions. Scientific endeavour is based in a scheme that enables questions about the material world to be answered. It cannot however answer classes of questions related to many features of human lives as its methods necessitate the development and use of abstractions and generalisations that are ill-equipped by design to determine what is important to people and what motivates and satisfies them. Therefore, the reality of any particular individual or group cannot be adequately understood in scientific terms.
The thesis examines the scientific conceptual framework and minimalist abstractions of the medical model and the quasi-scientific conceptual frameworks of economics and identifies their conceptual limits. It shows that if the medical model is assumed to provide a complete representation of realities in health and is uncritically used as the basis of medical practice it has the potential to overlook the patient as a person and distance medical practice from its social roots which can lead to adverse outcomes for both clinical practice and medicine itself. It also observes that the economic scheme has conceptual limits that create their own distorted representations of reality. A similar dislocation in the meaning of people�s lives occurs when abstractions are made by adopting concepts from other schemes based in science, such as the medical model, without any awareness of their conceptual limits. Further distortions occur when these other accounts are turned into economic ones. Not only is the patient as a person overlooked, so is the patient as an entity.
In light of these observations the thesis examines health reforms that have taken place in New Zealand, whereby the economic scheme has been given dominance in the development of public policy and set the parameters for rationality and what can acceptably be said. It shows that in not recognising features of meaning these parameters have led to health sector reforms that have had unintended and adverse consequences for clinical practice, as shown in the particular case of reforms of maternity services. Furthermore these reforms have severed the health sector from its social roots and moral frameworks and created barriers between it and government so that health sector problems that cannot be understood using economic parameters cannot be addressed in forums where public policy is developed.
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Baba, Camilla Rose Evatt. "Valuing the health and wellbeing aspects of community empowerment in an urban regeneration context using economic evaluation techniques." Thesis, University of Glasgow, 2016. http://theses.gla.ac.uk/7940/.
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Background and Rationale: Urban regeneration programmes are well placed to address social inequalities, and improve residents' quality of life and thus, are increasingly regarded a form of population health intervention. Within such programmes, the central role of communities is becoming increasingly recognised as important, with policy makers highlighting the need for activities that foster community empowerment and community involvement in programmes’ delivery. A motivating factor for this emphasis on community empowerment is the envisaged health gains it can produce. Existing literature has demonstrated that community empowerment is linked to positive health (specifically mental health) however, little is known about this link within an urban regeneration context and the value of allocating resources to foster community empowerment as an outcome of urban regeneration programmes. Previous attempts to value community empowerment as an outcome of urban regenerations have failed to fully capture and measure this complex, multi-faceted outcome or its theorised links to health. This thesis crosses disciplines, addressing issues of public health, urban planning and health economics. However, as outlined in Chapter 1, its leading discipline is health economics, drawing on methodology from the field to make a contribution to the evolving focus of public health economic evaluation. Specifically, the thesis demonstrates how health economic methodology can be adapted or expanded upon to aid the challenges researchers face when trying to identify, measure and value complex, non-health outcomes (such as community empowerment) for inclusion in economic evaluations of population health interventions (such as urban regeneration), which, as discussed at length in Chapter 5, present numerous challenges for techniques previously used solely within the health sector, and commonly in controlled settings (randomised controlled trials). Methods: The thesis initially outlines the policy context of the study (community empowerment in urban regeneration), defines what is meant by community empowerment and the study’s overall health economics focus in Chapter 1. Chapter 2 continues this introduction to the study’s context by highlighting how community empowerment relates to other concepts, whether it is viewed as an outcome or a process and how this impacts on efforts of measuring the concept and through a rapid scoping review, summarises what is known in the current evidence base on community empowerment and its links to health. It clearly highlights that community empowerment is a context specific concept and that in order to identify, measure and value it within an urban regeneration context, investigation of its specific, quantifiable ‘elements’ within this context must be identified. This is presented in Chapters 3 and 4. Firstly, a systematic review with narrative synthesis was then conducted (Chapter 3) to identify whether urban regeneration interventions can lead to a sense of empowerment and key community empowerment elements within this context. Then in Chapter 4, analyses of cross-sectional data from Glasgow’s GoWell neighbourhoods regeneration study (n=4254) was used to further test the causal relationship between community empowerment and self-reported health. The final part of the thesis (Chapters 5-8), firmly centres these initial findings into the health economics focus of the thesis to demonstrate how discrete choice experiments could be used to value a non-health outcome such as community empowerment for future inclusion in economic evaluations of population health interventions. It outlines the challenges of conducting economic evaluations of population health interventions and the importance of health economics as a discipline for decision-makers (Chapter 5). Then in Chapters 6-8 it presents the conceptualisation, design and results of a UK representative population discrete choice experiment survey (n=311) and how its results can value community empowerment as a potential outcome (using the payment vehicle ‘time’) for use in economic evaluation of population health interventions within urban regeneration. Results: The thesis identifies that community empowerment can result from urban regeneration interventions and that there are specific community empowerment ‘elements’ within this context which can be used to start conceptualising how to measure and value this concept and its links to health. The thesis also demonstrated that this was not always a positive relationship between urban regeneration and community empowerment and that a sense of disempowerment could be felt by the affected communities. These elements were sense of inclusion, sense of belonging, residents’ time commitment, a sense of trust in stakeholders, availability of stakeholder help and support and, availability of information about the regeneration programme (Chapters 2-3). Regression analysis of the GoWell data (Chapter 4) highlighted significant associations between community empowerment and improved general health and mental wellbeing. The discrete choice experiment’s (shown in Chapters 6-8) mixed logit model analyses demonstrated that there is an overall value for community empowerment activities within urban regeneration. The general populations respondents strongest preferences were shown for the delivery of community empowerment activities which require less time commitment, offer opportunities to participate, fully explain decision making processes, increase social interactions with their neighbours, have help and support from stakeholders and, keep them informed of the regeneration programme. Respondents’ strongest preferences were for delivery of community empowerment attributes that increase sense of belonging and feeling informed about the regeneration programme. Conclusions: The thesis provides valuations for attributes of community empowerment which can be used to inform future resource allocation decisions related to the cost-effectiveness of community empowerment generating activities as part of the delivery of urban regeneration programmes. Progress on the application of economic evaluation methodology to public health has been challenging, thwarted by complexities due to broad ranging costs and outcomes that are not readily suited to established economic evaluation techniques. The thesis contributes to the growing field of public health economic evaluation by highlighting the use of stated preference techniques, specifically discrete choice experiment methodology as a tool for measuring and eliciting values for the non-health outcomes of population health interventions for inclusion in economic evaluations. Failure to capture and include all benefits or costs of these multi-sector interventions which seek to look beyond health gains could lead to under or over estimation of their value and total effectiveness. This could ultimately result in poor investment decisions. To conclude, this study has contributed to current evidence by providing a means for identifying, measuring and valuing community empowerment both as an outcome in its own right and as an interim surrogate outcome linked to health. Thus, it has begun to address and tackle the research gaps identified in previous studies (outlined in Section 1.2.2). It has valued individual elements of CE within urban regeneration programmes which can be used by policy makers for decisions regarding future investment in CE and has further evidenced claims that community empowerment is linked to health within this context. Therefore, the thesis is able to recommend investment for community empowerment promoting activities in the delivery of urban regeneration programmes as a pathway to mental health gains.
Books on the topic "Public health – Economic aspects – Honduras"
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Cutler, David M. Public policy for health care. Cambridge, MA: National Bureau of Economic Research, 1996.
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Ruhm, Christopher J. Macroeconomic conditions, health and mortality. Cambridge, MA: National Bureau of Economic Research, 2004.
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Nagla, Madhu. Sociology of health. New Delhi: Sage Publications, 2013.
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Monjonell, Joan Clavera i. Estudi del valor afegit del sector de la sanitat i la seva relació amb altres branques dʼactivitat a Catalunya. Barcelona: Generalitat de Catalunya, Departament de Sanitat i Seguretat Social, 1993.
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Scholing, Eberhard. Gesundheit in Entwicklungsländern und ihre sozioökonomischen Bestimmungsfaktoren. Stuttgart: G. Fischer, 1994.
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Rhode Island. Dept. of Health. Public health in Rhode Island: An epidemiologic and economic analysis. Providence, R.I: The Department, 1999.
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Tandon, Ajay. Population health and foreign direct investment: Does poor health signal poor government effectiveness? Manila: Asian Development Bank, 2004.
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Bonabom, Isidore. Health and human rights in Ghana: The political and economic aspects of health care. Champaign, Illinois, USA: Common Ground, 2014.
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Reisman, David A. Health care and public policy. Cheltenham, UK: Edward Elgar, 2007.
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Sloan, Frank A. The law and economics of public health. Boston: Now, 2007.
Find full textBook chapters on the topic "Public health – Economic aspects – Honduras"
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Butler, J. R. G. "The DRG Hospital Payment Scheme: Some Economic Aspects." In Developments in Health Economics and Public Policy, 331–53. Dordrecht: Springer Netherlands, 1995. http://dx.doi.org/10.1007/978-94-011-0179-0_11.
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Rushing, William A. "Medical Care: Actual Effects and Public Perception." In Social Functions and Economic Aspects of Health Insurance, 43–75. Dordrecht: Springer Netherlands, 1986. http://dx.doi.org/10.1007/978-94-009-4231-8_3.
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Littmann, Jasper, A. M. Viens, and Diego S. Silva. "The Super-Wicked Problem of Antimicrobial Resistance." In Ethics and Drug Resistance: Collective Responsibility for Global Public Health, 421–43. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-27874-8_26.
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Abstract Antimicrobial resistance (AMR) – the progressive process by which microbes, such as bacteria, through evolutionary, environmental and social factors develop the ability to become resistant to drugs that were once effective at treating them – is a threat from which no one can escape. It is one of the largest threats to clinical and global health in the twenty-first century – inflicting monumental health, economic and social consequences. All persons locally and globally, and even all future persons yet to come into existence, all suffer the shared, interdependent vulnerability to this threat that will have a substantial impact on all aspects of our lives. For example, while reliable data are hard to find, the European Centre for Disease Prevention and Control (ECDC) has conservatively estimated that, in Europe alone, AMR causes additional annual cost to health care systems of at least €1.5 billion, and is responsible for around 25,000 deaths per year. Furthermore, AMR significantly increases the cost of treating bacterial infections with an increase in length of hospital stays and average number of re-consultations, as well as the resultant lost productivity from increased morbidity. With a combined cost of up to $100 trillion to the global economy – pushing a further 28 million people into extreme poverty – this is one of the most pressing challenges facing the world. Most troublingly, if we do not succeed in diminishing the progression of AMR, there is the very real potential for it to threaten common procedures and treatments of modern medicine, including the safety and efficacy of surgical procedures and immunosuppressing chemotherapy. Some experts are warning that we may soon be ushering in a post-antibiotic area.
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Mantero, Claudio. "Sustainable, Smart and Safe Mobility at the Core of Sustainable Tourism in Six European Islands." In Sustainable Mobility for Island Destinations, 1–18. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-73715-3_1.
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AbstractTransport and tourism are rising economic sectors based on their mutual growth on reliable technological tools, affordable energy sources in relatively peaceful decades. This growing trend, faced along years of sudden slowdown caused mainly by the financial and health crisis; one of the most severe and recent episodes was the COVID-19 pandemic. The pandemic outbreak is representing a global turning point for both international markets of tourism and transport which can be addressed with innovative solutions looking to retake the growing trends. In such a changing framework CIVITAS DESTINATIONS European project addressed the main challenges of tourism and resident mobility at local (rural, urban area, large city) and regional levels, focusing on six European islands (Malta, Cyprus, Elba, Crete, Gran Canaria, Madeira) aiming to implement and evaluate 83 different sustainable mobility measures. The project proves to have a cumulative relevant impact on environmental indicators such as CO2 emission avoided, fossil fuel saved and energy saved. Additionally, the project findings focus on the quality of life and economic development to grant long-run environmental and financial sustainability of tourism and transport at the local and regional levels. The main aspects observed were related to public participation and governance models in touristic mobility integrated with the residents’ needs, touristic mobility the island, role of technologies to focus on final user needs, growing trends of elder and disabled people, new integrated and innovative business in tourism and mobility markets, health at the core of future trends.
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Maki, Hussein AwadElkarim Hussein. "General Oncology Care in Sudan." In Cancer in the Arab World, 251–64. Singapore: Springer Singapore, 2022. http://dx.doi.org/10.1007/978-981-16-7945-2_16.
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AbstractThe Sudanese healthcare system has two main branches to solve the country’s health problems, preventive medicine and therapeutic medicine. In other words, it mainly works with communicable and non-communicable diseases and the services are divided into primary level (for the primary health centers), secondary level (general hospitals), and tertiary level (specialized centers such as oncology and neurosurgery). However, the main factors that are drawbacks to the healthcare system are overall economic instability, low health expenditure, and civil wars. Data about cancer in Sudan is scarce. There is a lack of prospective whole country studies about cancer in Sudan. The instability of the population, inadequate trained personnel, and the inefficient cancer registry system contributed to the lack of accurate figures about the true incidence of cancer in Sudan. Therefore, the frequency ratios of tumors are mostly represented in different publications. Cancer in Sudanese patients is usually present lately or in advanced stages and many cases are reported at younger ages. Cancer treatment centers in Sudan are few with inadequate resources for the variety of treatment methods. While huge efforts are being made to improve cancer medical care in the country, there are still many obstacles that need to be solved to ensure that cancer patients have a high standard of services in both public and private sectors. There are limited early detection and screening programs, especially in rural areas. More diagnostic and treatment centers are now being established in many cities in Sudan. This chapter addresses the general view of the cancer situation in Sudan, reviewing the different aspects of the cancer burden and different associated conditions related to oncology.
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Hess, Daniel Baldwin, and Alex Bitterman. "Who Are the People in Your Gayborhood? Understanding Population Change and Cultural Shifts in LGBTQ+ Neighborhoods." In The Life and Afterlife of Gay Neighborhoods, 3–39. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-66073-4_1.
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AbstractGay neighborhoods, like all neighborhoods, are in a state of continual change. The relevance of gay neighborhoods—originally formed to promote segregation of individuals who identify as sexual minorities—is lately challenged by advances in technology, experiences with pandemics, shifts in generational opinion and social values, increasing acceptance of LGBTQ+ individuals, and (in certain places) increased rights and protections for LGBTQ+ individuals. This confluence of change has created for many people anxiety related to the belief that gay neighborhoods may be dissolving or even disappearing altogether. Seeking to address these concerns, this opening chapter of the book The Life and Afterlife of Gay Neighborhoods: Renaissance and Resurgence presents eight important takeaway messages distilled from the chapters in this volume that, taken together, provide an in-depth overview of the formation, maturation, current challenges, and future prospects of LGBTQ+ spaces in urban environments. Findings suggest that shifts in patterns of residence, socialization, and entertainment for LGBTQ+ residents and visitors across metropolitan space have resulted in certain gay neighborhoods becoming less gay while other neighborhoods become more gay. In this time of social change, economic inequities, public health crises, and technological evolution, gay neighborhoods provide a culturally and historically significant template for communities in confronting adversity, fear, and discrimination. At this point in their maturity, gay neighborhoods have reached a plateau in their evolution; from here we pause to consider the current state of gay neighborhoods—and trajectories that might describe their future form—as we contemplate the importance of gay neighborhoods in the ongoing advancement of LGBTQ+ people everywhere. We conclude by observing that while gayborhoods have experienced a certain level of de-gaying, the trend toward viewing gayborhoods as inclusive and gay-friendly places de-emphasizes the self-segregation aspects of gayborhoods that were important to their initial formation; consequently, while gay neighborhoods may become less gay, other neighborhoods may also become more gay.
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Paes-Souza, Romulo, Paulo M. Buss, and Mauricio L. Barreto. "Reducing health inequalities in developing countries." In Oxford Textbook of Global Public Health, edited by Roger Detels, Quarraisha Abdool Karim, Fran Baum, Liming Li, and Alastair H. Leyland, 139–48. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198816805.003.0010.
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In the current international context of economic globalization, discussions have not only highlighted inequalities within individual countries, but also inequalities between countries. Inequalities between countries are related to the differences in economic and social development achieved by different countries, which are generated by the position that these countries have occupied during different phases of history within the global production system. The latter reflect historical aspects, and the international economic and political environments in relation to each country’s share of global resources and development opportunities. Policies for fighting poverty and inequality require local, national, and global approaches, but funding issues often hamper their feasibility.
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Gray, Muir J. A., and Walter Ricciardi. "Value-based healthcare." In Oxford Handbook of Public Health Practice, edited by Ichiro Kawachi, Iain Lang, and Walter Ricciardi, 510–18. Oxford University Press, 2020. http://dx.doi.org/10.1093/med/9780198800125.003.0047.
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The term ‘value’ has a different meaning in the singular and plural. Values, in the plural, may be regarded as a synonym for principles as in the statement that ‘this hospital’s values are compassion combined with excellence’. In the singular, the term has more of an economic meaning with four aspects.
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"Healthcare as a Health Investment." In Advances in Human Services and Public Health, 22–32. IGI Global, 2021. http://dx.doi.org/10.4018/978-1-7998-4450-1.ch002.
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This chapter explores healthcare as an investment and the geopolitical implications of healthcare in Africa. The importance of healthcare as a tool of diplomacy is documented and acknowledged. According to Li, the West and China have common interests in Africa regarding economic development and environmental protection. China, Africa, and Western countries must discuss effective methods for increasing cooperation on the continent together. But their interest can sometimes be contradictory in different aspects of the continent. Healthcare is the crossroads of their geo-political implications in Africa. As the PRC evolves from a poor country to a superpower, Africa has become the testing ground for soft power diplomacy via economic development and healthcare.
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Trofimova, Larysa. "LEGAL REGULATION OF PUBLIC FINANCIAL POLICY IN UKRAINE: CHALLENGES, IMPACT OF RISKS, LANDMARKS." In CHALLENGES AND OPPORTUNITIES OF THE MODERN RISK SOCIETY: SOCIO-CULTURAL, ECONOMIC AND LEGAL ASPECTS, 104–21. OKTAN PRINT s.r.o., 2021. http://dx.doi.org/10.46489/caotm-21042611.
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The diverse geopolitical and economic life of society during the pandemic requires awareness of the analysis of the states’ effectiveness in implementing careful public financial policies and requires proper changes in the legal regulation of relations based on understanding of social, spiritual and legal values in the context of moral and physical health of humankind. The content and nature of legal regulation of public policy, financial crises, the development of democratic institutions, awareness of the impact of risks in balancing different interests in the formation and distribution of public finances and the nature of financial activities of the state affect the dynamics of reforms and socio-economic transformations in society that change the possibilities of mankind development and create the basis for the protection of state sovereignty.
Conference papers on the topic "Public health – Economic aspects – Honduras"
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Misheva, Kristina, and Marija Ampovska. "THE LEGAL ASPECTS OF TELEHEALTH." In The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22436.
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Telehealth seems to be the new normal in this fast-changing environment. According to the European Commission eHealth was among the highest priorities before the COVID -19 pandemic. Transformation of health and care in the digital single market is among the EU`s six political priorities of the Commission 2019-2024 (2018 Communication on Digital Health and Care). The pandemic caused by COVID-19 just accelerates the necessity of the inclusion of digital health into the traditional healthcare systems. Telehealth services are among the biggest eHealth trends in EU. Therefore, one of the challenges is the national, regional and regulatory priorities regarding telehealth. There is lack of telehealth special legislative and governmental policies that needs to stimulate the developing and innovative solutions in medicine through technology and to envisage the upcoming innovation technology. Therefore, the government support and adequate policy making is important to support the development of the telehealth services. One of the main challenges is the electronic transactions of patient data among the telehealth providers and services and the cross-border patient data share. Another issue is the exchange of information among the national health institutions and providers and their interoperability. The Macedonian legislation does not have special legislation (policies, or laws) about telehealth. Telehealth is regulated as a term in the Law on health protection. Additionally, there is a lack of national acts, literature, and research in this subject matter. Thus, this paper will explore the telehealth from two main perspectives: scientific theories and legal practice and the users’ practice. Hence, this paper will analyze the legislation about the telehealth on the EU level and the EU Member States and the Macedonian legislation and the impact on the e-health that was made during COVID-19 pandemic. Furthermore, it will make comparative analyses among different countries into the EU zone compared with the EU aspirant country- the Republic of North Macedonia. A survey conducted among doctors in private and public healthcare institutions in the primary, secondary, and tertiary healthcare levels in the city of Stip and in the city of Skopje will provide data about the challenges, risks, and trends in telehealth before and during COVID -19.
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Wahyuningsih, Heni Puji, Bhisma Murti, Eny Lestari, and Reviono Reviono. "The Influence of Social Capital, Parenting, and Environment on Quality of Life among 2-4 Years Old Children." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.01.15.
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Background: Quality of life is actually a broader construct that encompasses aspects of life that may not be amenable to healthcare service. The quality of life of children is a subjective perception of satisfaction or happiness on quality of life. The quality of life is influenced by various factors, namely health conditions, socio-economic status, parenting styles, and the environment. According to HL Bloom’s theory, health status is determined by 40 percent of environmental factors, 30 percent of behavioral factors, 20 percent of health services, and 10 percent of genetics or heredity. The purpose of this study was to determine the effect of social capital, parenting, and the environment on the quality of life among children. Subjects and Method: This was a retrospective cohort study. Total of 400 children aged 2-4 years old who reside in the desa layak anak villages and ordinary villages in the region of Sleman regency. The dependent variable was quality of life among children. The independent variables were social capital, parenting, and the environment. Data were obtained from in-depth interview and questionnaire. Data were analyzed using path analysis. Results: The good quality of life of children was affected directly by positive social capital (b = 0.084; SE = 0.049; p = 0.001), good parenting style (b = 0.123; SE = 0.050; p <0.001), and good environment (b = 0.128; SE = 0.048; p <0.001). Conclusion: Social capital, parenting and environment have a direct influence on the quality of life among children. Keywords: quality of life, children, social capital, parenting, environment Correspondence: Heni Puji Wahyuningsih. Doctoral Program of Development Counseling, Universitas Sebelas Maret/ School of Health Polytechnis, Yogyakarta, Indonesia. Email: heni.pujiw@-poltekkesjogja.ac.id DOI: https://doi.org/10.26911/the7thicph.01.15
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Japarova, Damira. "Diagnostics of Financing the System of Public Health in the Kyrgyzstan Republic and its Modernization." In International Conference on Eurasian Economies. Eurasian Economists Association, 2020. http://dx.doi.org/10.36880/c12.02378.
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Despite the multi-channel resources, the financial sources of state health programs do not cover the needs of their implementation in the Kyrgyz Republic. The residual principle of health financing keeps unchanged and the amount of financing does not match the real health needs. The variety of problems in financing, the ambiguity of their positive practical solutions and controversy of theoretical aspects makes the research topic particularly relevant. No funds are allocated for prevention, and this type of medical service remains formally, just on paper. The main drawback of compulsory health insurance is the lack of forms for the insured patient to participate in the economic system of insurance relations. In this connection, it is relevant to develop a mechanism for attracting additional sources of financing. To increase the interest of commercial structure to this structure, it is proposed to introduce personalized accounting of compulsory medical insurance.
Informal payments in medicine shouldn’t be considered as a “bribe”, since this type of payment for medical services acts as an addition to the market price in the absence of an adequate regulatory mechanism by the state, and it is impossible to cancel such a mechanism. The only way to formalize them is legalization. Revenues from paid services should be the source of the own fund of health organizations and used primarily to increase the salaries of medical workers.
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Gajić, Aleksandar V. "FACING REALITY: A NEED TO CHANGE THE LEGAL FRAMEWORK OF THE EU PUBLIC HEALTH POLICY AND THE INFLUENCE OF THE PANDEMIC OF COVID-19 ON THE PERCEPTION OF IDENTITY AND THE ROLE OF THE EU." In The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22434.
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The main aim of this article is to highlight two interconnected issues raised in the context of the COVID-19 pandemic. The first one concerns a need to change the EU Health Policy legal framework, particularly the founding treaties (TEU and TFEU), while the second one relates to the issue of the very perception of the identity of the European Union. The possible adequate solution for the situation created by the unprecedented nature of the COVID-19 pandemic and unprecedented measures that followed, was to proclaim state of emergency, which was largely avoided. It seems that it should be considered whether there is a need for amendments of the European Union founding treaties and/or the Charter on Fundamental Rights by providing the possibility of the state of emergency proclamation in the case of “the threats of the life” of the EU. The European Union is not entrusted with the competencies, powers, and responsibilities in health matters such as a pandemic, however founding treaties, functioning institutions as well as procedures seem sufficient for an effective response to health crises such as the one caused by the COVID-19 pandemic. However, having in mind experience with the COVID-19 pandemic it seems that there is a need to strengthen the EU legal framework concerning the issues of pandemic and similar threats, not by altering the nature of the EU competence regarding health issues, but by identifying the threats such as pandemic in the founding treaties that should contain basic regulations concerning European Centre for Disease Prevention and Control. In that manner the efficient response would be in a form of an institutionalized mechanism at the core of the European Union instead of being fully dependent on the variable political will. At the same time there is an urgent need to identify those Health Policy issues that should be an adequate subject of judicial scrutiny. The COVID-19 pandemic also proved that Member States and the European Union should be more realistic regarding the perception of the role and identity of the European Union. The author argues that the identity of the European Union is blurred with a variety of considerations and that its content and features should be more determined, not only in academic literature but also in political practice, especially when it comes to the issue of self-determination of the European Union. The world is not the same as it was before the pandemic, and it seems that the European Union, in order to be prepared to face new challenges, must build its identity in realistic parameters and act in one voice “if it wants to make itself heard and play its proper rôle in the world”, as it was declared in the 1973 Declaration on the European Identity.
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Altay, Osman, and Hatice Mutlu. "Financial Evaluation of Drug Addiction Rehabilitation Services with Respect to the Health Economics." In International Conference on Eurasian Economies. Eurasian Economists Association, 2020. http://dx.doi.org/10.36880/c12.02360.
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Healthcare interventions are concern of government policies, health service providers, civil society organizations and public. These interventions are mainly criticized with respect to their cost effectiveness. However, economic, social and health benefits of drug addiction rehabilitation services are not well understood and they remain relatively subsidized in comparison to other aspects of healthcare interventions. But, notwithstanding this, drug addiction rehabilitation services are generally financed with public funds in Turkey as like many other countries and this situation become subject to questioning when fiscal policies and cost effectiveness of these services are considered.
Based on this circumstances there is a great need for scientifically sound and practical financial and economic evaluation of substance abuse treatment services. In Turkey, recent legislative developments on substance abuse treatment services provide a baseline for structural evaluation of financial and economic feasibility of these services. In spite of ongoing methodological and empirical developments in economic evaluation of the primary health services, similar studies regarding addiction treatments are very rare in the literature. Correspondingly, methodological guidelines in this area are also very limited.
This study addresses these gaps by presenting a financial and economic evaluation of drug addiction rehabilitation services in Turkey considering urgent need of intervention in this area. Evaluation of these services is based on the basic requirements of a drug addiction rehabilitation center, which is determined by the related legislation in Turkey, and the evaluation was conducted according to the methodological principles presented by EMCDDA, European Monitoring Centre for Drugs and Drug Addictions.
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Held, Mateja, and Kristina Perkov. "SPATIAL PLANNING IN THE EU AND CROATIA UNDER THE INFLUENCE OF COVID-19 PANDEMIC." In The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22445.
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Spatial planning is an interdisciplinary process dealing with practices of regulating and transforming the space, including experts from various fields such as lawyers, spatial and urban planners, geographers, civil engineers, economists, sociologists, etc. Spatial plans are general acts that arise due to the complex spatial planning process in which public participation is a necessary tool for transparent and legal procedure. They impact human rights due to their influence on a healthy environment, organization of life, quality of public services, green areas in the cities, etc. Spatial plans also deal with the economic aspect of investments, urban planning, and development of a particular territory. Cities are rapidly evolving and are characterized by density and overcrowded population, so the EU has a special interest in the adequate organization of the space. Consequences of the COVID- 19 pandemic have produced a need for a different land use regulation from the established one. New challenges for the Member State’s governments include regulation for the organization of life and everyday needs in 15 minutes’ walk areas (work, market, health care, school, kindergartens, public services, parks, etc.). Although the European Union does not have direct competence in spatial planning of each Member State, it has a strong influence on the Member States through regulations (for example, European Spatial Development Perspective, The New Leipzig Charter, etc. which provide a strong framework for good and sustainable urban governance) and practice, as well as through the financial support to the Member States. This paper has two main goals. The first aim of this paper is to analyse how the EU tries to overcome the consequences of the pandemic in the physical planning system (recommendations, guidelines, financial support, consulting, or others). We also aim to discover how the pandemic affected the process of adopting the spatial plans in the Member States on the example of Croatia in one case study. The paper is divided into several parts. After the introduction, the first part of the paper brings an overview of the spatial planning process in the EU and Croatia based on the analyses of the relevant EU and domestic regulations. Next part of the paper deals with the influence of the COVID-19 pandemic on the spatial planning at the EU level, and on the development and adoption of spatial plans in Croatia. This includes the duration of the process, restrictions, and new ways of public participation in the process of the development and adoption of spatial plans (for example online public presentations), the influence on economic development (investments in a building), social distancing, etc. Last part of the paper will contain a research of development and adoption of spatial plans under the influence of the COVID-19 pandemic. The paper concludes with particular suggestions for improving the Croatian situation based on the good practices of the EU.
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Hajdini, Bojana, and Gentjan Skara. "THE RIGHT TO FREEDOM OF PEACEFUL ASSEMBLY DURING THE COVID-19 PANDEMIC IN THE LIGHT OF ECHR STANDARDS." In The recovery of the EU and strengthening the ability to respond to new challenges – legal and economic aspects. Faculty of Law, Josip Juraj Strossmayer University of Osijek, 2022. http://dx.doi.org/10.25234/eclic/22430.
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The COVID-19 crisis confronted states with the challenge of finding an immediate balance between public health measures and the principles of the rule of law. The rapid spread of the virus associated with the severe consequences on human health and life required prompt action, without the necessary scientific evidence to assess the effectiveness of the measures taken. Being faced with such a situation, numerous countries opted for drastic measures, like lock down and the restriction of some fundamental human rights and freedoms. This paper analyses the freedom of peaceful assembly during the COVID-19 pandemic in Albania, addressing the research question of whether and to what extent the response of the Albanian government to the COVID-19 pandemic was in compliance with the European Convention of Human Rights (ECHR). In this attempt, it will briefly introduce the measures taken by the Albanian government in the face of the situation and their impact. Following, it will focus on the recent decision of the Constitutional Court of Albania (D-11/21) in relation to the constitutionality of Order 633/2020 of the Ministry of Health and Social Protection which restricted the right of assembly. It will also analyze the extensively-discussed Order 633/2020 in the light of the ECHR and EU standards. The paper concludes that the measures taken by the Ministry of Health and Social Protection of Albanian lacked clarity on ratio legis and most importantly, information on how these measures would be implemented and to what extent they would restrict human rights.
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Kostova, Nadezhda. "SOME ASPECTS OF IN-PERSON AND ONLINE PHYSICAL EDUCATION AND SPORT." In INTERNATIONAL SCIENTIFIC CONGRESS “APPLIED SPORTS SCIENCES”. Scientific Publishing House NSA Press, 2022. http://dx.doi.org/10.37393/icass2022/110.
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ABSTRACT It is an indisputable fact that the Covid 19 pandemic at the beginning of 2020 negatively impacted the life and health of people and changed the social, public, and economic situation around the world. The education system was also strongly affected and suffered a great number of changes. The measures taken for social isolation lead to a general reorganization of the education process. The lessons in physical education and sport - a compulsory subject of students’ general education also had to be transformed in the emergency situation. The direct form of interaction between the teacher and the students during in-person lessons (the traditional style) had to be reorganized in an online form. Because of the specificity of the subject, namely the motor-cognitive activities of the students during the physical education and sports lessons, learning new knowledge and developing motor skills and habits in an online environment proved to be a great challenge both for students and teachers. Aim of the study: The aim of the present study is to reveal some basic aspects of in-person and online learning in the school subject of physical education and sport. Methods of the scientific study: The following methods for gathering empirical information were applied in the realization of the aim of the study – system approach, content approach, and SWOT analysis. Results of the study: A theoretical model was developed for the achievement of the aim of the study, specifying some aspects of face-to-face and online education. An attempt to compare and analyze the peculiarities of face-to-face and online education is made; the advantages and disadvantages of traditional and online classes in physical education and sports at secondary school are presented. Conclusions: The results from the present study can be used as a basis for future experimental work concerning traditional (in-person) and online education with a focus on the effectiveness of the learning process in physical education and sport and its strategic optimization.
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Darmajanti, Linda, Daniel Mambo Tampi, and Irene Sondang Fitrinita. "Sustainable Urban Development: Building Healthy Cities in Indonesia." In 55th ISOCARP World Planning Congress, Beyond Metropolis, Jakarta-Bogor, Indonesia. ISOCARP, 2019. http://dx.doi.org/10.47472/mbxo5435.
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The urban process or commonly called urbanization is a phenomenon that is occurring in several regions in Indonesia. In 2045, the projection results show 61.7% of Indonesia's population will live in urban areas. In the process, cities in Indonesia are facing several challenges related to Urban Infrastructure, decent and affordable housing, clean environment, local economic, slum, and urban poor (Social welfare). These indicators can have a positive impact on increasing the city index with healthy city categories, but also can have a negative impact with the increasing gap between the poor and the rich. The purposes of this study are to find out which cities in Indonesia fall into the category of healthy cities and to find out what factors and actors play a role in building healthy cities in Indonesia. The analytical method in this study is log frame analysis. The result is building healthy cities is closely related to the availability of aspects of life in urban areas: health services, environmental, and socioeconomic aspects. There are 3 cities in Indonesia: Palembang, Solo and Denpasar City. Building a healthy city is also an effort in improving health status, health facilities, cleanliness, garbage services, food availability, clean water, security, safety, park facilities, public transportation, art and culture facilities, housing, urban economics, religious facilities, and urban planning quality. Healthy cities in Indonesia will be achieved if efforts to improve not only physical health but also mental, social, economic and spiritual health are achieved. Finally, building a healthy city in Indonesia is an effort to contribute to sustainable urban development.
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Khristodulo, Olga, Vladimir Gvozdev, Oxana Bezhaeva, and Marat Shamsutdinov. "Assessment of the characteristics of the municipal solid waste management system based on the apparatus of the theory of reliability." In International Conference "Computing for Physics and Technology - CPT2020". Bryansk State Technical University, 2020. http://dx.doi.org/10.30987/conferencearticle_5fce277281cca9.86270786.
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Currently, the problem of organizing a municipal solid waste management system (MSW) has become more acute in Russian regions and all over the world. Various environmental and economic problems, as well as problems related to public health negatively affect many aspects of the development of modern society. Therefore, the careful organization of the management of the MSW management system is of great social importance and needs constant improvement.
In this paper, we look at the MSW management system from the point of various scientific approaches, namely, structural analysis methods, geoinformation technology methods, reliability theory for complex technical systems, evergetics, graph theory and fuzzy logic methods, including the apparatus of linguistic variables. The purpose of the work is to show the possibility of application and systematic combination of the above scientific methods that have proven themselves well in their fields to a new area of the MSW management systems. However, just application of these approaches is impossible without their further adaptation and systematization from the point of view of existing approaches to the management of similar systems.
As part of this study, elements of the MSW management system were identified and a topological model of the system was developed. Structural-logical models of reliability at various levels of abstraction were also built.
Reports on the topic "Public health – Economic aspects – Honduras"
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Shpigel, Nahum, Raul Barletta, Ilan Rosenshine, and Marcelo Chaffer. Identification and characterization of Mycobacterium paratuberculosis virulence genes expressed in vivo by negative selection. United States Department of Agriculture, January 2004. http://dx.doi.org/10.32747/2004.7696510.bard.
Full textAbstract:
Mycobacterium avium subsp. paratuberculosis (MAP) is the etiological agent of a severe inflammatory bowel disease (IBD) in ruminants, known as Johne’s disease or paratuberculosis. Johne’s disease is considered to be one of the most serious diseases affecting dairy cattle both in Israel and worldwide. Heavy economic losses are incurred by dairy farmers due to the severe effect of subclinical infection on milk production, fertility, lower disease resistance and early culling. Its influence in the United States alone is staggering, causing an estimated loss of $1.5 billion to the agriculture industry every year. Isolation of MAP from intestinal tissue and blood of Crohn's patients has lead to concern that it plays a potential pathogenic role in promoting human IDB including Crohn’s disease. There is great concern following the identification of the organism in animal products and shedding of the organism to the environment by subclinically infected animals. Little is known about the molecular basis for MAP virulence. The goal of the original proposed research was to identify MAP genes that are required for the critical stage of initial infection and colonization of ruminants’ intestine by MAP. We proposed to develop and use signature tag mutagenesis (STM) screen to find MAP genes that are specifically required for survival in ruminants upon experimental infection. This research projected was approved as one-year feasibility study to prove the ability of the research team to establish the animal model for mutant screening and alternative in-vitro cell systems. In Israel, neonatal goat kids were repeatedly inoculated with either one of the following organisms; MAP K-10 strain and three transposon mutants of K-10 which were produced and screened by the US PI. Six months after the commencement of inoculation we have necropsied the goats and taken multiple tissue samples from the jejunum, ileum and mesenteric lymph nodes. Both PCR and histopathology analysis indicated on efficient MAP colonization of all the inoculated animals. We have established several systems in the Israeli PI’s laboratory; these include using IS900 PCR for the identification of MAP and using HSP65-based PCR for the differentiation between MAV and MAP. We used Southern blot analysis for the differentiation among transposon mutants of K-10. In addition the Israeli PI has set up a panel of in-vitro screening systems for MAP mutants. These include assays to test adhesion, phagocytosis and survival of MAP to/within macrophages, assays that determine the rate of MAPinduced apoptosis of macrophages and MAP-induced NO production by macrophages, and assays testing the interference with T cell ã Interferon production and T cell proliferation by MAP infected macrophages (macrophage studies were done in BoMac and RAW cell lines, mouse peritoneal macrophages and bovine peripheral blood monocytes derived macrophages, respectively). All partners involved in this project feel that we are currently on track with this novel, highly challenging and ambitious research project. We have managed to establish the above described research systems that will clearly enable us to achieve the original proposed scientific objectives. We have proven ourselves as excellent collaborative groups with very high levels of complementary expertise. The Israeli groups were very fortunate to work with the US group and in a very short time period to master numerous techniques in the field of Mycobacterium research. The Israeli group has proven its ability to run this complicated animal model. This research, if continued, may elucidate new and basic aspects related to the pathogenesis MAP. In addition the work may identify new targets for vaccine and drug development. Considering the possibility that MAP might be a cause of human Crohn’s disease, better understanding of virulence mechanisms of this organism might also be of public health interest as well.