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Littérature scientifique sur le sujet « National health services – Sweden »

Auteur : Grafiati

Publié le 10 mars 2023

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Articles de revues sur le sujet "National health services – Sweden"

Wennergren, Mattias, Karin Berg, Ann-Sofie Frisk Cavefors, Helena Edin, Leif Ekholm, Lars Gelander, Marie Golsäter et al. « Swedish Child Health Services Register : a quality register for child health services and children’s well-being ». BMJ Paediatrics Open 7, n^o 1 (janvier 2023) : e001805. http://dx.doi.org/10.1136/bmjpo-2022-001805.

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BackgroundSwedish child health services (CHS) is a free-of-charge healthcare system that reaches almost all children under the age of 6. The aim for the CHS is to improve children’s physical, psychological and social health by promoting health and development, preventing illness and detecting emerging problems early in the child’s life. The services are defined in a national programme divided into three parts: universal interventions, targeted interventions and indicated interventions.The Swedish Child Health Services Register (BHVQ) is a national Quality Register developed in 2013. The register extracts data from the child’s health record and automatically presents current data in real time. At present, the register includes 21 variables.AimWe aim to describe data available in the BHVQ and the completeness of data in BHVQ across variables.MethodsChild-specific data were exported from the register, and data for children born in the regions were retrieved from Statistics Sweden to calculate coverage.ResultsThe register includes over 110 000 children born between 2011 and 2022 from 221 child healthcare centres in eight of Sweden’s 21 regions. In seven of the eight regions, 100% of centres report data.The completeness of data differs between participating regions and birth cohorts. The average coverage for children born in 2021 is 71%.ConclusionsThe BHVQ is a valuable resource for evaluating Child Health Services nationally, with high coverage for the youngest children. As a result of continuous improvement of the services, the possibility to follow the development of children’s health in Sweden is possible through the register. When fully expanded, the register will be a natural and essential part of developing preventive services, improving healthcare for children below 6 years of age and a tool for developing evidence-based child health interventions.

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Dahlgren, Göran, et Finn Diderichsen. « Strategies for Equity in Health : Report from Sweden ». International Journal of Health Services 16, n^o 4 (octobre 1986) : 517–37. http://dx.doi.org/10.2190/27k4-dhk1-cdcb-9p94.

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In recent years the Swedish debate on health policy has been focusing on resource allocation between primary care versus secondary care, private care versus public care, and prevention versus care. The National Commission on the “Swedish Health Services in the 1990s” brought attention to the prevailing inequalities in health. The Health Policy Bill of 1985 defines the reduction of inequalities in health as a major target of national health policy. The health policy measures discussed are mainly outside the health care sector.

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Wagenius, Cecilia M., Miguel San Sebastián, Per E. Gustafsson et Isabel Goicolea. « Access for all ? Assessing vertical and horizontal inequities in healthcare utilization among young people in northern Sweden ». Scandinavian Journal of Public Health 47, n^o 1 (19 mai 2018) : 1–8. http://dx.doi.org/10.1177/1403494818774965.

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Background: Previous studies in Sweden have detected socioeconomic inequities in access to healthcare services. However, there is limited information regarding access in younger populations. The aim of this study was to explore vertical and horizontal inequities in access to healthcare services in young adults in the north of Sweden. Methods: The study used data from the Health on Equal Terms survey (age group 16–24 years, n = 2726) for the health and healthcare variables and from national registers for the sociodemographic characteristics. Self-rated healthcare utilization was measured as visits to general practitioners, youth clinics and nurses. Crude and multivariable binomial regression analysis, stratified by sex, was used to assess vertical equity, adjusting for sociodemographic characteristics, and horizontal equity, adjusting for need variables. Results: Vertical inequity was detected for all three healthcare services (youth clinics, general practitioners and nurses), with variations for men and women. Horizontal inequities were also found for both men and women in relation to all three healthcare services. Conclusions: These findings suggest that both vertical and horizontal inequities in access exist for young people in northern Sweden and that the associations between sociodemographic characteristics and healthcare utilization are complex and need further investigation.

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Burström, Bo. « What Is Happening in Sweden ? » International Journal of Health Services 49, n^o 2 (14 janvier 2019) : 204–11. http://dx.doi.org/10.1177/0020731418822236.

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Election to the parliament was held in Sweden on 9 September 2018. None of the traditional political blocks obtained a majority of the vote. The nationalist Sweden Democrats party increased their share of the vote from 13% in 2014 elections to 17% of the vote in 2018. As no traditional political block wants to collaborate with the Sweden Democrats, no new government has yet been formed, more than 2 months after the election. Health care was a prominent issue in the elections. Health care in Sweden is universal and tax-funded, with a strong emphasis on equity. However, recent reforms have emphasized market-orientation and privatization in order to increase access to care, and may not contribute to equity. In spite of a majority of the population being opposed to profits being made on publicly funded services, privatization of health and social care has increased in the last decades. The background to this is described. Health is improving in Sweden, but inequalities remain and increase. The Swedish Public Health Policy from 2003 has been revised in 2018, on the basis of a national review of inequalities in health. The revised policy further emphasizes reducing inequalities in health.

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Manhica, H., Y. Almquist, M. Rostila et A. Hjern. « The use of psychiatric services by young adults who came to Sweden as teenage refugees : a national cohort study ». Epidemiology and Psychiatric Sciences 26, n^o 5 (29 juin 2016) : 526–34. http://dx.doi.org/10.1017/s2045796016000445.

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Aims.To investigate the patterns of use of different forms of psychiatric care in refugees who settled in Sweden as teenagers.Method.Cox proportional hazards models were used to estimate the use of different forms of psychiatric care from 2009 to 2012 in a population of 35 457 refugees, aged from 20 to 36, who had settled in Sweden as teenagers between 1989 and 2004. These findings were compared with 1.26 million peers from the same birth cohorts in the general Swedish population.Results.Unaccompanied and accompanied refugees were more likely to experience compulsory admission to a psychiatric hospital compared with the native Swedish population, with hazard ratios (HRs) of 2.76 (1.86–4.10) and 1.89 (1.53–2.34), respectively, as well as psychiatric inpatient care, with HRs of 1.62 (1.34–1.94) and 1.37 (1.25–1.50). Outpatient care visits by the young refugees were similar to the native Swedish population. The longer the refugees had residency in Sweden, the more they used outpatient psychiatric care. Refugees born in the Horn of Africa and Iran were most likely to undergo compulsory admission, with HRs of 3.98 (2.12–7.46) and 3.07 (1.52–6.19), respectively. They were also the groups who were most likely to receive inpatient care, with HRs of 1.55 (1.17–2.06) and 1.84 (1.37–2.47), respectively. Our results also indicated that the use of psychiatric care services increased with the level of education in the refugee population, while the opposite was true for the native Swedish population. In fact, the risks of compulsory admissions were particularly higher among refugees who had received a secondary education, compared with native Swedish residents, with HRs of 4.72 (3.06–7.29) for unaccompanied refugees and 2.04 (1.51–2.73) for accompanied refugees.Conclusions.Young refugees received more psychiatric inpatient care than the native Swedish population, with the highest rates seen in refugees who were not accompanied by their parents. The discrepancy between the use of inpatient and outpatient care by young refugees suggests that there are barriers to outpatient care, but we did note that living in Sweden longer increased the use of outpatient services. Further research is needed to clarify the role that education levels among Sweden's refugee populations have on their mental health and health-seeking behaviour.

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Arat, Arzu, Marie Norredam, Ulrike Baum, Stefán Hrafn Jónsson, Geir Gunlaugsson, Thomas Wallby et Anders Hjern. « Organisation of preventive child health services : Key to socio-economic equity in vaccine uptake ? » Scandinavian Journal of Public Health 48, n^o 5 (17 mai 2019) : 491–94. http://dx.doi.org/10.1177/1403494819850430.

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Background: Measles has made a comeback in Western Europe, with more cases being reported each year. One factor behind this development is low vaccination coverage in socially disadvantaged segments of the population in many countries. This study investigates whether socioeconomic patterns of uptake of the measles, mumps and rubella (MMR) vaccine in the Nordic countries differ by national organisation of preventive health services for children. Methods: MMR vaccine uptake before the age of two years was analysed in register data from Denmark, Finland, Iceland and Sweden, linked to family indicators of socio-economic status (SES) from national registers. Results: Denmark, a country where child vaccinations are administered by general practitioners, presented the lowest overall coverage of MMR at 83%. It also had the greatest difference between subpopulations of low and high SES at 14 percentage points. Finland, Iceland and Sweden, countries where preschool children are vaccinated in ‘well-baby’ clinics, had a higher overall coverage at 91–94%, with a more equal distribution between SES groups at 1–4 percentage points. Conclusions: This study suggests that the organisation of preventive health care in special units, ‘well-baby’ clinics, facilitates vaccine uptake among children with low SES in a Nordic welfare context.

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Sundström, Gerdt, Magnus Jegermalm, Antonio Abellán, Alba Ayala, Julio Pérez, Rogelio Pujol et Javier Souto. « Men and older persons also care, but how much ? Assessing amounts of caregiving in Spain and Sweden ». International Journal of Ageing and Later Life 12, n^o 1 (13 août 2018) : 75–90. http://dx.doi.org/10.3384/ijal.1652-8670.17356.

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We estimate how much caregiving men and women respectively do, and how much of the caregiving is done by older (65+) and younger persons, inside their household and for other households, in Spain and in Sweden. To assess this, we use self-reported hours of caregiving from two national surveys about caregiving, performed in 2014 (Spain, N = 2003; Sweden, N = 1193). Spain and Sweden have dissimilar household structures, and different social services for older (65+) persons. Caregivers, on average, provide many more hours of care in Spain than in Sweden. Women provide about 58% of all hours of caregiving, in Spain in all age groups, in Sweden only among younger caregivers. The reason is the dominance of partner caregivers among older Swedes, with older men and women providing equal hours of care. Family caregiving inside the household is more extensive in the more complex Spanish households than in Swedish households. Family care between households prevails in Sweden, where the large majority of older persons live with a partner only, or alone. This is increasingly common in Spain, although it remains at a lower level. We estimate that older persons provide between 22% and 33% of all hours of caregiving in Spain, and between 41% and 49% in Sweden. Patterns of caregiving appear to be determined mainly by demography and household structure.

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Kulling, Per E. J., et Jonas E. A. Holst. « Educational and Training Systems in Sweden for Prehospital Response to Acts of Terrorism ». Prehospital and Disaster Medicine 18, n^o 3 (septembre 2003) : 184–88. http://dx.doi.org/10.1017/s1049023x00001035.

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AbstractSweden has a long tradition in planning for disaster situations in which the National Board of Health and Welfare has a key responsibilty within the health sector. One important part of this disaster preparedness is education and training. Since 11 September 2001, much focus has been placed on the acts of terrorism with special reference to the effects of the use of chemical, biological, or nuclear/radiological (CBNR) agents. In the health sector, the preparedness for such situations is much the same as for other castastrophic events. The National Board of Health and Welfare of Sweden is a national authority under the government, and one of its responsibilities is planning and the provision of supplies for health and medical services, environmental health, and social services in case of war or crises. “Joint Central Disaster Committees” in each County Council/Region in the country are responsible for overseeing major incident planning for their respective counties/regions. The “Disaster Committee” is responsible for ensuring that: (1) plans are established and revised; (2) all personnel involved in planning receive adequate information and training; (3) equipment and supplies are available; and (4) maintenance arrangements are in place.Sweden adopts a “Total Defense” strategy, which means that it places a high value in preparing for peacetime and wartime major incidents. The Swedish Emergency Management Agency coordinates the civilian Total Defense strategy, and provides funding to the relevant responsible authority to this end. The National Board of Health and Welfare takes responsibility in this process. In this area, the main activities of the National Board of Health and Welfare are: (1) the establishment of national guidelines and supervision of standards in emergency and disaster medicine, social welfare, public health, and prevention of infectious diseases; (2) the introduction of new principles, standards, and equipment; (3) the conducting education and training programmes; and (4) the provision of financial support. The budget for National Board of Health and Welfare in this area is approximately 160 million SEK (US$18 million). The National Board of Health and Welfare also provides funding to the County Councils/Regions for the training of healthcare professionals in disaster medicine and crises management by arranging (and financing) courses primarily for teachers and by providing financial support to the County Councils/Regions for providing their own educational and training programmes. The National Board of Health and Welfare provides funding of approximately 20 million SEK (US$2.4 million) to the County Councils/Regions for this training of healthcare professionals in disaster medicine and crises.

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Ghatnekar, Ola, Ulf Persson, Kjell Asplund et Eva-Lotta Glader. « COSTS FOR STROKE IN SWEDEN 2009 AND DEVELOPMENTS SINCE 1997 ». International Journal of Technology Assessment in Health Care 30, n^o 2 (avril 2014) : 203–9. http://dx.doi.org/10.1017/s0266462314000075.

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Objectives: The aim of this study was to estimate direct and indirect excess costs attributable to stroke in Sweden in 2009 and to compare these with similar estimates from 1997.Methods: Data on first-ever stoke admissions in the first half of 2009 from the Swedish national stroke register (RS) were used for cost calculations and compared with results from 1997 also using RS data. A societal perspective was taken including the acute and follow-up phase, rehabilitation, stroke re-admissions, drugs, home- and residential care services for activities of daily life (ADL) support, and indirect costs for premature death and productivity losses (2009 prices). Survival was extrapolated to estimate the lifetime present value cost of stroke.Results: The societal lifetime present value cost for stroke in 2009 was €68,800 per patient (ADL support: 59 percent; productivity losses: 21 percent). Women had higher costs than men in all age groups as a result from greater need for ADL support. Patients treated at a stroke unit indicated low incremental cost per life-year gained compared with those who had not. The total lifetime cost increased between 1997 and 2009. Hospitalization costs per patient were stable, while long-term costs for home- and residential care services increased.Conclusions: Changes in patient characteristics, longer expected survival, and possibly in the Swedish stroke care, have led to higher annual and lifetime costs per patient in 2009 compared with 1997. A comprehensive national stroke care performance register like RS may be suitable for health economic assessments.

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Øvretveit, John, Patricia Ramsay, Stephen M. Shortell et Mats Brommels. « Comparing and improving chronic illness primary care in Sweden and the USA ». International Journal of Health Care Quality Assurance 29, n^o 5 (13 juin 2016) : 582–95. http://dx.doi.org/10.1108/ijhcqa-02-2016-0014.

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Purpose – The purpose of this paper is to identify opportunities for improving primary care services for people with chronic illnesses by comparing how Sweden and US services use evidence-based practices (EBPs), including digital health technologies (DHTs). Design/methodology/approach – A national primary healthcare center (PHCC) heads surveys in 2012-2013 carried out in both countries in 2006. Findings – There are large variations between the two countries. The largest, regarding effective DHT use in primary care centers, were that few Swedish primary healthcare compared to US heads reported having reminders or prompts at the point of care (38 percent Sweden vs 84 percent USA), despite Sweden’s established electronic medical records (EMR). Swedish heads also reported 30 percent fewer centers receiving laboratory results (67 percent Sweden vs 97 percent USA). Regarding following other EBPs, 70 percent of Swedish center heads reported their physicians had easy access to diabetic patient lists compared to 14 percent in the USA. Most Swedish PHCC heads (96 percent) said they offered same day appointment compared to 36 percent in equivalent US practices. Practical implications – There are opportunities for improvement based on significant differences in effective practices between the countries, which demonstrates to primary care leaders that their peers elsewhere potentially provide better care for people with chronic illnesses. Some improvements are under primary care center control and can be made quickly. There is evidence that people with chronic illnesses in these two countries are suffering unnecessarily owing to primary care staff failing to provide proven EBP, which would better meet patient needs. Public finance has been invested in DHT, which are not being used to their full potential. Originality/value – The study shows the gaps between current and potential proven effective EBPs for services to patients with chronic conditions. Findings suggest possible explanations for differences and practical improvements by comparing the two countries. Many enhancements are low cost and the proportionate reduction in suffering and costs they bring is high.

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Thèses sur le sujet "National health services – Sweden"

Nordenfelt, Patrik. « Hereditary Angioedema in Sweden : a National Project ». Doctoral thesis, Linköpings universitet, Institutionen för klinisk och experimentell medicin, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-142207.

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Background: Hereditary angioedema (HAE) due to C1-inhibitor deficiency, type I and II, is a rare disease with an estimated prevalence of 1/50,000. Angioedema in the larynx can be life threatening and angioedema in the abdomen and skin can give severe and disabling pain. Data on patients with HAE in Sweden were scarce before our study. Aim: To study the prevalence of HAE, and to investigate clinical manifestations, treatments, and Health-Related Quality of Life (HR-QoL) in adults and children in Sweden. Method: In studies, I and II, all patients received a written questionnaire followed by a phone interview with questions about clinical manifestations, medication, sick leave and QoL. In study III the patients completed EuroQol 5 Dimensions 5 Levels (EQ-5D-5L) questionnaires for both the attack-free state (EQ5D today), and the last HAE attack (EQ5D attack). Questions were also asked about sick-leave. In study IV all adults received questionnaires with EQ-5D-5L and RAND-36, Angioedema Quality of Life instrument (AE-QoL), and Angioedema Activity Score (AAS) form, and questionnaires on sick leave and prophylactic medication. Results: We identified 146 patients, 110 adults and 36 children with HAE, type I (n=136) or II (n=10), giving a minimal HAE prevalence of 1.54/100,000. For adults, the median age at onset of symptoms was 12 years and median age at diagnosis was 22 years. Median age at onset of symptoms for children was 4 years and at diagnosis 3 years. During the previous year, 47% of adults experienced at least 12 attacks, 21% 4-11 attacks, 11% 1-3 attacks, while 22% were asymptomatic. For children, the corresponding figures were about the same. The median number of attacks in those having attacks was 14 in adults and 6 in children last year. Adult females reported on average 19 attacks the previous year versus nine for males. Irrespective of location nine out of 10 reported pain. Trigger factors were experienced in 95 % of adults and 74 % of children. Plasma-derived C1-inhibitor concentrate (pdC1INH) had a very good effect on acute attacks. Long-term prophylaxis with androgens and pdC1INH reduced the annual attack frequency by more than 50 %. Of the children’s parents, 73% had been on parental leave to care for the child due to HAE symptoms. Health and QoL were generally rated as good. In study III 103 of 139 responded and reported an EQ5D today score that was significantly higher than the EQ5D attack score. Attack frequency had a negative effect on EQ5D today. Children had significantly higher EQ-5D-5L than adults. Forty four percent had been absent from work or school during the latest attack. In study IV 64 of 133 adults responded. The most affected HR-QoL dimensions in EQ-5D-5L were pain/discomfort and anxiety/depression, in RAND-36 energy/fatigue, general health, health transition, pain, and in AE-QoL fears/shame and fatigue/mood. Females had significantly lower HR-QoL in RAND-36 for general health and energy/fatigue. There was an association between AAS and EQ-5D-5L/RAND-36 (except physical function) /AEQoL. There was no significant difference in HR-QoL in patients with and without prophylactic medication. Conclusion: The minimal prevalence of HAE type I and II in Sweden is 1.54/100,000. Median age at onset was 12 years. Adult females had twice as many attacks as males, adults had also twice as many attacks as children. For acute treatment, pdC1INH had a very good effect. For long term prophylaxis, androgens and pdC1INH had good effect. The most affected HR-QoL dimensions in EQ-5D-5L were pain/discomfort and anxiety/ depression, in RAND-36 energy/fatigue, general health, health transition and pain, and in AE-QoL fears/shame and fatigue/mood. Children reported better HR-QoL than adults. AE-QoL is more disease-specific in HAE than the generic instruments EQ-5D-5L and RAND-36. However, the latter highlights the pain aspect, whereas AE-QoL does not. Patients with high disease activity should thus be considered for more intensive treatment to improve their HR-QoL.

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Nadowska, Agnieszka. « Services Marketing in the Health Care Industry- Elekta in Sweden ». Thesis, Högskolan i Gävle, Avdelningen för ekonomi, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-15674.

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During the nineteenth and the twentieth centuries, the world has moved from a manufacturing to service-based economy, where the twentieth first century, will be the” century of services”, and will transform into the century of “international services” (Clark and Rajaratnam, 1999).

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Button, Catherine. « WTO review of national health regulations ». Thesis, University of Oxford, 2003. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.273098.

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Atueyi, Kene Chukwu. « Implementing management information systems in the National Health Service ». Thesis, Sheffield Hallam University, 1991. http://shura.shu.ac.uk/4990/.

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As a discipline Management Information System (MIS) is relatively new. Its short history has been characterised with epistemological dialectism. The current conflict and debate about MIS inquiry is broadly between the advocates of the social systems and technical systems perspectives. Few authors have made positive contributions toward clarifying the meaning and nature of MIS, and the appropriate design framework for MIS development. This thesis adds to their effort by using a MIS designed and implemented through action research at the North Western Regional Health Authority. There are seven Chapters in this thesis. Chapters One and Two examine the nature of the problem addressed by this research; the project history, ontological assumptions and research strategy. Chapter Three examines the debate, nature and conflicting views about MIS. It defines the theoretical problem addressed by this thesis and proposes a new concept of MIS. The theoretical problems are dealt with in Chapter Four. In Chapter Five the application of the theoretical concepts developed in Chapter Four is demonstrated in the design of MIS. Chapter Six relates some of the findings of this thesis to the work of other authors. It also examines the problem of human inquiry and the suitability of action research for MIS research. The main findings of this research summarised in Chapter Seven provide a new perspective of MIS as a purposeful system; the taxonomy of purposeful systems; primary context and secondary context of MIS; context analysis and context evaluation of MIS.

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Marco, Mariano. « “Italy and Sweden : a comparative analysis of financing and health services provision” ». Thesis, University West, Department of Economics and Informatics, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-2558.

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The present study focuses on the financing and provision of health services in Italy and in Sweden. The purpose is to compare Italian and Swedish health system with respect to these aspects. The intention is to provide new insights to how the financing and provision health care system in Italy and Sweden are organized and make a comparison analyzing different quantitative data. The study is organized in two part: one “qualitative, based on literature review, and one “statistical” based on critical analysis of data. In the theoretical part the financing flow of Italian and Sweden public health care system, which incentives are awarded to providers and which health services are provided, are reviewed. The statistical part shows how many resources (human and technological) are involved in the delivery process. The main findings, discussed in the conclusion section, suggest the need to improve the fairness in the financial contribution for the Sweden and the need for Italy to undertake cost-control and rationalization measures. Further research and especially greater availability of data remains to be done in order to make more complete the comparison.

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Mariano, Marco. « Italy and Sweden : a comparative analysis of financing and health services provision ». Thesis, Högskolan Väst, Institutionen för ekonomi och informatik, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-3453.

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The present study focuses on the financing and provision of health services in Italy and in Sweden. The purpose is to compare Italian and Swedish health system with respect to theseaspects. The intention is to provide new insights to how the financing and provision health care system in Italy and Sweden are organized and make a comparison analyzing different quantitative data. The study is organized in two part: one " qualitative, based on literature review, and one" statistical" based on critical analysis of data. In the theoretical part the financing flow of Italianand Sweden public health care system, which incentives are awarded to providers and which health services are provided, are reviewed. The statistical part shows how many resources (human and technological) are involved in the delivery process. The main findings, discussed in the conclusion section, suggest the need to improve the fairness in the financial contribution for the Sweden and the need for Italy to undertake cost-control and rationalization measures. Further research and especially greater availability of data remains to be done in order to make more complete the comparison.

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Hopkins, Jan. « From National Lottery to national screening : improving cervical screening coverage and quality in South Lancashire ». Thesis, Lancaster University, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.301823.

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Sexton, Jonathan. « The maximisation of strategic health care objectives through the commissioning of health services ». Thesis, University of Kent, 2001. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.365209.

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Domapielle, Maximillian K. « Extending health services to rural residents in Jirapa District : analyses of national health insurance enrolment and access to health care services ». Thesis, University of Bradford, 2015. http://hdl.handle.net/10454/14803.

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This thesis sheds light on differences in health insurance enrolment determinants and uptake barriers between urban and rural areas in the Jirapa district of Ghana. The National Health Insurance Scheme in Ghana has made significant progress in terms of enrolment, which has had a commensurate increase in utilization of health care services. However, there are challenges that pose a threat to the scheme’s transition to universal coverage; enrolment in the scheme has not progressed according to plan, and there are many barriers known to impede uptake of health care. Interestingly, these barriers vary in relation to locality, and rural residents appear to carry a disproportionate portion of the burden. A mixed method approach was employed to collect and analyse the data. On the basis of the primary qualitative and quantitative results, the thesis argues that the costs of enrolling and accessing health care is disproportionately higher for rural residents than it is their urban counterparts. It also highlights that the distribution of service benefits both in terms of the NHIS and health care in the Jirapa district favours urban residents. Lastly, the thesis found that whereas rural residents prefer health care provision to be social in nature, urban residents were more interested in the technical quality aspects of care. These findings suggest that rural residents are not benefitting from, or may not be accessing health services to the extent as their urban counterparts. Affordability, long distance to health facilities, availability and acceptability barriers were found to influence the resultant pro-urban distribution of the overall health care benefit.

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Rawabdeh, Ali Ahmad Awad. « An integrated national health insurance system for Jordan : costs, consequences and viability ». Thesis, Keele University, 1997. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.337091.

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Arguably, in common with many other nation states, Jordan could be said to have drifted into different ways of paying for health services without always foreseeing the long run consequences of taking the strategic direction necessary. In part, of course, as in many developing countries, the financing of Jordan's health care services has been influenced by its colonial past. This partly explains why, historically, Jordan has attempted not only to provide wholly free services, but to provide privileged access to medical services, not only to the military personnel but also to public servants in general. With world economic instability and recent economic difficulties, notwithstanding the opportunities created by Jordan signing the peace treaty with Israel, and the unclear but likely stark future conditions facing the Jordanian economy, it is highly improbable that Jordan will continue to be in a position to sustain, from central government monies, a health system which currently consumes about7percent of the GDP. Financing strategies will, therefore, have to address the heightened expectations for rising health expenditures. Options under active consideration at this time include: introducing or extending the present system of user charges; community financing (participation ); (increased) use of the private sector; public or private health insurance; and, improving efficiency in the use of hospital and community resources. These are all financing options open to the Jordanian government to adopt, whether singly or in combination, to generate more resources for the health system and to make better use of existing resources. Examining the range of different modalities of health services' financing reveals, not surprisingly, that there are advantages and disadvantages in each financing scheme. Nevertheless, depending on Jordan 's circumstances, some of the approaches may be more appreciated than others: that is from a political, cultural, socio-economic, or strictly fiscal point of view. This thesis focuses upon one particular health financing approach, "National Health Insurance (NU)", and is aimed to lead the government of Jordan to rigorously explore the concept, consider the options, and develop an implementation strategy benefiting, where appropriate, from other countries' experiences with systems of NHI. Specifically, the thesis first provides an overview (or situation analysis) of the healthiness of the Jordanian economy, its key demographic and epidemiological characteristics, and salient features of the Jordanian health sector. This is followed by a largely theoretical discussion of the principles of insurance, and its potential relevance to the unpredictability and uncertainty of health and disease. Methodological problems inherent in public or private health insurance schemes are highlighted, and then considered in a comparative context, drawing on lessons and experience around the globe. The thesis considers as its basic premise that a system of national health insurance is both desirable and feasible for Jordan as it faces the next millennium. To test that premise, the study is conducted by means of a series of investigations emphasising both secondary and primary sources of data, and a range of quantitative and qualitative research methods including: content and document analysis; experimental and survey methods; interviews; and questionnaires. The conclusions drawn from the evidence supports the contention that the introduction of NM is potentially both desirable and feasible in Jordan but subject to meeting very strict conditionalities, not least government ownership of the scheme, and the willingness to address the present choice and diversity in health service provision through health sector reform. These matters are as much political as technical matters. On the more technical front, nonetheless, the design of an appropriate NHI is shown to raise critical issues regarding: coverage; benefits; organisation and management; costing and financing; and, provider payment mechanisms. Various technical options are discussed in the thesis, and were consulted upon with key decision makers in Jordan. Further directions of research and development are also identified, which likely have applicability beyond the specifics of Jordan itself.

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Livres sur le sujet "National health services – Sweden"

J, Spreding C., dir. National health care. Commack, N.Y : Nova Science Publishers, 1993.

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Health information : A national strategy. Dublin : Stationery Office, 2004.

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Office, National Audit. National Health Service : Patient transport services. London : H.M.S.O., 1990.

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Samoa. Ministry of Health. Health Services Planning Committee. The Samoa national health services plan. Apia, Samoa] : Ministry of Health, 2003.

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Great Britain. Parliament. House of Commons. Committee of Public Accounts. National Health Service : Patient transport services. London : H.M.S.O., 1991.

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Evaluating the National Health Service. Buckingham : Open University Press, 1997.

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J, Woods Kevin, Carter David C. 1940- et Nuffield Trust, dir. Scotland's health and health services. London : TSO, 2003.

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Ian, Kendall, dir. Health and the National Health Service. London : Athlone Press, 1998.

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Namibia. National occupational health policy. Windhoek : Occupational Health Services, Public & Environmental Health Services, Pprimary [sic] Hleath [sic] Care Services, 2006.

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Parliament, Scotland. National Health Service Reform (Scotland) Act. Edinburgh : The Stationery Office, 2004.

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Chapitres de livres sur le sujet "National health services – Sweden"

de Verdier, Carl-Henric. « The Organization of the National Health Service and its Consequence for the Clinical Chemistry Laboratory in Sweden ». Dans Clinical Chemistry, 481–86. Boston, MA : Springer US, 1989. http://dx.doi.org/10.1007/978-1-4613-0753-2_49.

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Moon, Graham, et Ian Kendall. « The National Health Service ». Dans Managing the New Public Services, 172–87. London : Macmillan Education UK, 1993. http://dx.doi.org/10.1007/978-1-349-22646-7_8.

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Kendall, Ian, Graham Moon, Nancy North et Sylvia Horton. « The National Health Service ». Dans Managing the New Public Services, 200–218. London : Macmillan Education UK, 1996. http://dx.doi.org/10.1007/978-1-349-24723-3_10.

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Corby, Susan. « The National Health Service ». Dans Managing People in the Public Services, 149–84. London : Macmillan Education UK, 1996. http://dx.doi.org/10.1007/978-1-349-24632-8_4.

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Thor, Johan, Charlotte Lundgren, Paul Batalden, Boel Andersson Gäre, Göran Henriks, Rune Sjödahl et Felicia Gabrielsson Järhult. « Collaborative Improvement of Cancer Services in Southeastern Sweden ». Dans Sustainably Improving Health Care, 175–92. London : CRC Press, 2022. http://dx.doi.org/10.1201/9781846198250-11.

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Baugh, W. E. « The National Health Service Today ». Dans Introduction to the Social Services, 73–85. London : Macmillan Education UK, 1987. http://dx.doi.org/10.1007/978-1-349-18834-5_7.

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Øvretveit, John. « Digitalization of health in Sweden to benefit patients ». Dans Digital Transformation and Public Services, 83–96. Abingdon, Oxon ; New York, NY : Routledge, 2020. : Routledge, 2019. http://dx.doi.org/10.4324/9780429319297-5.

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Baugh, W. E. « The National Health Service Today ». Dans Introduction to Social and Community Services, 65–77. London : Macmillan Education UK, 1992. http://dx.doi.org/10.1007/978-1-349-22154-7_7.

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Shahian, David M., et Jeffrey P. Jacobs. « Health Services Information : Lessons Learned from the Society of Thoracic Surgeons National Database ». Dans Health Services Evaluation, 217–39. New York, NY : Springer US, 2019. http://dx.doi.org/10.1007/978-1-4939-8715-3_11.

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Rosenbaum, Sara, Jennifer Lee, Mandi Pratt Chapman et Steven R. Patierno. « Cancer Survivorship and National Health Reform ». Dans Health Services for Cancer Survivors, 355–72. New York, NY : Springer New York, 2011. http://dx.doi.org/10.1007/978-1-4419-1348-7_17.

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Actes de conférences sur le sujet "National health services – Sweden"

Migliazzi, C., C. Della Costanza, E. Aliprandi, C. Tirone, M. Galassi et V. Ladisa. « 5PSQ-045 Olaratumab : what is the economic impact on the national health system ? » Dans 25th EAHP Congress, 25th–27th March 2020, Gothenburg, Sweden. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/ejhpharm-2020-eahpconf.362.

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Sezdi, Mana, et Tuna Utku Vatansever. « Occupational safety and health of workers in biomedical services ». Dans 2015 Medical Technologies National Conference (TIPTEKNO). IEEE, 2015. http://dx.doi.org/10.1109/tiptekno.2015.7374627.

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Castro Balado, A., L. Garcia-Quintanilla, C. Mondelo-García, M. González-Barcia, I. Zarra-Ferro et A. Fernández-Ferreiro. « 3PC-031 Current state of the anti-infective ophthalmic compounding formulation in pharmacy services : a national survey ». Dans 25th EAHP Congress, 25th–27th March 2020, Gothenburg, Sweden. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/ejhpharm-2020-eahpconf.78.

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« Wireless Monitoring Systems for Enhancing National Health Services in Developing Regions ». Dans International Conference on Health Informatics. SCITEPRESS - Science and and Technology Publications, 2014. http://dx.doi.org/10.5220/0004913905110516.

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Kharbat, Faten F., Jamil Razmak et Abdallah A. Al Shawabkeh. « Proposing UAE-patient portal : A new direction in the health services ». Dans 2017 Medical Technologies National Congress (TIPTEKNO). IEEE, 2017. http://dx.doi.org/10.1109/tiptekno.2017.8238040.

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Borchetto, SL, B. Taddei, F. Marchesi, S. Nozza, F. Gregis, V. Gatti et L. Rossi. « 6ER-016 Economic value of unused high cost experimental infusion drugs : a potential saving for the national health system ». Dans 25th EAHP Congress, 25th–27th March 2020, Gothenburg, Sweden. British Medical Journal Publishing Group, 2020. http://dx.doi.org/10.1136/ejhpharm-2020-eahpconf.451.

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Hung Chi Chiang, Heng Shuen Chen, Chuan Wan Tai et Ming Been Lee. « National suicide surveillance system : experience in Taiwan ». Dans HEALTHCOM 2006 8th International Conference on e-Health Networking, Applications and Services. IEEE, 2006. http://dx.doi.org/10.1109/health.2006.246439.

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Borovits, I., I. Taussig et O. Yeheskel. « Strategic information systems planning for national public health services in Israel ». Dans [1989] Proceedings of the Twenty-Second Annual Hawaii International Conference on System Sciences. Volume IV : Emerging Technologies and Applications Track. IEEE, 1989. http://dx.doi.org/10.1109/hicss.1989.48144.

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« A CASE STUDY - On Patient Empowerment and Integration of Telemedicine to National Healthcare Services ». Dans International Conference on Health Informatics. SciTePress - Science and and Technology Publications, 2012. http://dx.doi.org/10.5220/0003870902630269.

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Maltsev, Andrey, et Alyona Fechina. « Global Health Services Market in the New Economic Conditions ». Dans Proceedings of the 2nd International Scientific conference on New Industrialization : Global, national, regional dimension (SICNI 2018). Paris, France : Atlantis Press, 2019. http://dx.doi.org/10.2991/sicni-18.2019.104.

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Rapports d'organisations sur le sujet "National health services – Sweden"

Aalto, Juha, et Ari Venäläinen, dir. Climate change and forest management affect forest fire risk in Fennoscandia. Finnish Meteorological Institute, juin 2021. http://dx.doi.org/10.35614/isbn.9789523361355.

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Forest and wildland fires are a natural part of ecosystems worldwide, but large fires in particular can cause societal, economic and ecological disruption. Fires are an important source of greenhouse gases and black carbon that can further amplify and accelerate climate change. In recent years, large forest fires in Sweden demonstrate that the issue should also be considered in other parts of Fennoscandia. This final report of the project “Forest fires in Fennoscandia under changing climate and forest cover (IBA ForestFires)” funded by the Ministry for Foreign Affairs of Finland, synthesises current knowledge of the occurrence, monitoring, modelling and suppression of forest fires in Fennoscandia. The report also focuses on elaborating the role of forest fires as a source of black carbon (BC) emissions over the Arctic and discussing the importance of international collaboration in tackling forest fires. The report explains the factors regulating fire ignition, spread and intensity in Fennoscandian conditions. It highlights that the climate in Fennoscandia is characterised by large inter-annual variability, which is reflected in forest fire risk. Here, the majority of forest fires are caused by human activities such as careless handling of fire and ignitions related to forest harvesting. In addition to weather and climate, fuel characteristics in forests influence fire ignition, intensity and spread. In the report, long-term fire statistics are presented for Finland, Sweden and the Republic of Karelia. The statistics indicate that the amount of annually burnt forest has decreased in Fennoscandia. However, with the exception of recent large fires in Sweden, during the past 25 years the annually burnt area and number of fires have been fairly stable, which is mainly due to effective fire mitigation. Land surface models were used to investigate how climate change and forest management can influence forest fires in the future. The simulations were conducted using different regional climate models and greenhouse gas emission scenarios. Simulations, extending to 2100, indicate that forest fire risk is likely to increase over the coming decades. The report also highlights that globally, forest fires are a significant source of BC in the Arctic, having adverse health effects and further amplifying climate warming. However, simulations made using an atmospheric dispersion model indicate that the impact of forest fires in Fennoscandia on the environment and air quality is relatively minor and highly seasonal. Efficient forest fire mitigation requires the development of forest fire detection tools including satellites and drones, high spatial resolution modelling of fire risk and fire spreading that account for detailed terrain and weather information. Moreover, increasing the general preparedness and operational efficiency of firefighting is highly important. Forest fires are a large challenge requiring multidisciplinary research and close cooperation between the various administrative operators, e.g. rescue services, weather services, forest organisations and forest owners is required at both the national and international level.

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Wierup, Martin, Helene Wahlström et Björn Bengtsson. How disease control and animal health services can impact antimicrobial resistance. A retrospective country case study of Sweden. O.I.E (World Organisation for Animal Health), avril 2021. http://dx.doi.org/10.20506/bull.2021.nf.3167.

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Data and experiences in Sweden show that it is possible to combine high productivity in animal production with the restricted use of antibiotics. The major key factors that explain Sweden’s success in preventing AMR are: Swedish veterinary practitioners were aware of the risk of AMR as early as the 1950s, and the need for prudent use of antibiotics was already being discussed in the 1960s. Early establishment of health services and health controls to prevent, control and, when possible, eradicate endemic diseases reduced the need for antibiotics. Access to data on antibiotic sales and AMR made it possible to focus on areas of concern. State veterinary leadership provided legal structures and strategies for cooperation between stakeholders and facilitated the establishment of coordinated animal health services that are industry-led, but supported by the State.

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Rast, Jessica E., Anne M. Roux, Kristy A. Anderson, Lisa A. Croen, Alice A. Kuo, Lindsay L. Shea et Paul T. Shattuck. National Autism Indicators Report : Health and Health Care. A.J. Drexel Autism Institute, décembre 2020. http://dx.doi.org/10.17918/healthandhealthcare2020.

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Health and health care are critical issues for many children and adults on the autism spectrum. They may experience more frequent use of services and medications. They may need more types of routine and specialty healthcare. And their overall health and mental health care tends to be more complex than people with other types of disabilities and special health care needs. This report provides indicators of health and health care for autistic persons across the lifespan. Topics covered include overall health, health services, medication, insurance, and accessing services. We need to understand health and healthcare needs across the life course to support recommendations on how to improve health and health care at critical points across a person's life. The purpose of this report is to catalogue indicators to aid in decision making to this end.

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Ursano, Robert J. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services among National Guard Forces. Fort Belvoir, VA : Defense Technical Information Center, octobre 2012. http://dx.doi.org/10.21236/ada578785.

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Ursano, Robert J., et Sandro Galea. PTSD Trajectory, Comorbidity, and Utilization of Mental Health Services Among National Guard Soldiers. Fort Belvoir, VA : Defense Technical Information Center, octobre 2010. http://dx.doi.org/10.21236/ada544007.

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Ursano, Robert J. PTSD Trajectory, Co-morbidity, and Utilization of Mental Health Services among National Guard Soldiers. Fort Belvoir, VA : Defense Technical Information Center, septembre 2014. http://dx.doi.org/10.21236/ada612357.

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Ursano, Robert J. PTSD Trajectory, Co-morbidity, and Utilization of Mental Health Services Among National Guard Soldiers. Fort Belvoir, VA : Defense Technical Information Center, octobre 2009. http://dx.doi.org/10.21236/ada518145.

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Mozumdar, Arupendra, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley et M. E. Khan. Understanding demand for family planning and reproductive health services through the Indian National Health Insurance Scheme in Uttar Pradesh. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1064.

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Mozumdar, Arupendra, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley et M. E. Khan. Utilization of national health insurance for family planning and reproductive health services by the urban poor in Uttar Pradesh, India. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1065.

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Mozumdar, Arupendra, Kumudha Aruldas, Aparna Jain, Laura Reichenbach, Robin Keeley et M. E. Khan. Addressing supply side factors to improve family planning and reproductive health services in the Indian National Health Insurance Scheme in Uttar Pradesh. Population Council, 2016. http://dx.doi.org/10.31899/rh8.1051.

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