miércoles, 31 de diciembre de 2014

SALUD EQUITATIVA: DIRECTORIO DE DOCUMENTOS EDITADOS EN DICIEMBRE de 2014 [*] ▲ SALUD EQUITATIVA - GESTIÓN EN SALUD PÚBLICA ► Contenidos Copyright by Cerasale, 2008 a 2014. SALTA / ARGENTINA.

SALUD EQUITATIVA: DIRECTORIO DE DOCUMENTOS EDITADOS EN DICIEMBRE de 2014 [*] ▲ SALUD EQUITATIVA - GESTIÓN EN SALUD PÚBLICA ► Contenidos Copyright by Cerasale, 2008 a 2014. SALTA / ARGENTINA.

Contenidos Copyright by Cerasale, Víctor Norberto. Salta, Argentina. 2008 a 2014. 

MIÉRCOLES 31 de DICIEMBRE de 2014
SALUD EQUITATIVA: GESTIÓN EN SALUD PÚBLICA
DIRECTORIO DE DOCUMENTOS EDITADOS EN DICIEMBRE de 2014[*]


SALUD EQUITATIVA - 
GESTIÓN EN SALUD PÚBLICA
Lectores ► ¡11.225.000! y sumando
visitas registradas por Google+ 477,0 MILLONES!!!

SALUD EQUITATIVA

GESTIÓN EN SALUD PÚBLICA

SÉPTIMO AÑO

GRUPO DE BLOG´S SALUD EQUITATIVA

► http://saludequitativa.blogspot.com/
▲GESTIÓN EN SALUD PÚBLICA
► http://herenciageneticayenfermedad.blogspot.com/
▲CIENCIAS DE LA HERENCIA
► http://elbiruniblogspotcom.blogspot.com/
▲CIENCIAS MÉDICAS NEWS


Contador Google ►
LECTORES acumulados desde enero 2009 a la fecha:  2.229.768
LECTORES totales conjuntos (todos los blogs: [5]): 11.225.000
Páginas consultadas desde el inicio de los blogs (3): > 172,1 millones


Páginas vistas por países

Gráfico de los países más populares entre los lectores del blog
EntradaPáginas vistas
Estados Unidos
634446
Alemania
314284
España
292404
Francia
168721
Argentina
82654
México
56657
Ucrania
45288
Rusia
31005
Colombia
29988
Reino Unido
23836

Documentos EDITADOS durante el mes de DICIEMBRE de 2014: 875

Documentos acumulados en 2014: 11.028
Documentos editados desde el inicio del blog (2008): 46.544
▲ Google indica ►
Páginas vistas en el último mes: 58.249
Páginas vistas (historial completo): 2.229.768
Documentos totales editados en los blog´s ► 161.590

Muchas gracias a TODOS, por seguir sumando. 

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Poverty Makes Diabetes Care Tougher, Study Reports: MedlinePlus

Poverty Makes Diabetes Care Tougher, Study Reports: MedlinePlus

A service of the U.S. National Library of Medicine
From the National Institutes of HealthNational Institutes of Health



Poverty Makes Diabetes Care Tougher, Study Reports

Too little money for food, housing and medicine affects disease management
Monday, December 29, 2014
HealthDay news image
Related MedlinePlus Pages
MONDAY, Dec. 29, 2014 (HealthDay News) -- People with diabetes who have difficulty paying for food, medicine and other basic needs also have trouble managing their diabetes, a new study finds.
Those who have trouble paying for food or medicine had the highest risk of poor diabetes control, according to the study. Poor control means higher blood sugar, cholesterol and blood pressure than normal, the researchers said.
"Despite insurance coverage, unmet basic needs were common, associated with worse diabetes control, and high use of expensive health services," said lead author Dr. Seth Berkowitz, a research fellow in medicine at Harvard Medical School.
"If we do not try to address these needs specifically, we may make little progress in improving health for vulnerable diabetes patients," he said.
Historically, patients come in for office visits or hospitalizations, but most of their time -- the time that determines their overall health -- is spent outside the health care system, Berkowitz noted.
Health care systems are being held accountable for health outcomes, but these outcomes may be determined by situations that most health care systems have limited experience dealing with, he said.
"This study suggests that simply increasing access to health care that does not address root causes of illness may be missing a big piece of what patients need to stay healthy and manage their illnesses," Berkowitz said.
However, Berkowitz thinks that the Affordable Care Act may help address these needs.
"Changes in health care financing could encourage health care delivery systems to think about population health management in a way that gives room to address issues not classically thought of as medical, like unmet basic needs," he said.
Medicaid is likely to be helpful, especially for prescription medication coverage, he said.
As for where people can turn for help, Berkowitz said that unfortunately, there isn't a single easy answer.
Social services -- both public and private -- in the United States are a "patchwork" so the answer will be different for each person, he said.
The report was published Dec. 29 online in JAMA Internal Medicine.
Dr. Joel Zonszein, director of the Clinical Diabetes Center at Montefiore Medical Center in New York City, said, "As can be expected, the more 'insecurities,' the worse the outcomes."
"This study also proves that diabetes is a complex disease to treat and social variables play an important role that cannot be easily controlled by the government," he said.
For the study, Berkowitz's team collected data on more than 400 people with diabetes. They were seen at two community health centers in Massachusetts from June 2012 through October 2013.
The researchers found that 19 percent of the patients said they had trouble affording food; 28 percent said they had problems paying for medications; 11 percent had problems paying for a place to live, and 14 percent had difficulty paying utility bills. Nearly 40 percent of those surveyed had difficulty paying for one of these needs, the researchers found.
Almost half of the respondents -- 46 percent -- had trouble with diabetes management.
The researchers found that financial problems affected diabetes management in varying ways.
For example, having problems affording food significantly upped the odds of poor diabetes control and increased clinic visits, but did not affect visits to the emergency room or hospitalizations.
Trouble paying for medicine was also linked to poor diabetes control and more emergency room visits, but did not affect clinic visits, the researchers noted.
Problems paying for housing or utilities were associated with more clinic visits, but not with poor diabetes control or with emergency room visits, according to the study.
SOURCES: Seth Berkowitz, M.D., M.P.H., research fellow in medicine, Harvard Medical School, Boston; Joel Zonszein, M.D., director, Clinical Diabetes Center, Montefiore Medical Center, New York City; Dec. 29, 2014, JAMA Internal Medicine
HealthDay
Copyright (c) 2014 HealthDay. All rights reserved.
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Preventing Emergency Surgeries Could Save $1 Billion: MedlinePlus

Preventing Emergency Surgeries Could Save $1 Billion: MedlinePlus

A service of the U.S. National Library of Medicine
From the National Institutes of HealthNational Institutes of Health





Preventing Emergency Surgeries Could Save $1 Billion

Elective procedures tend to be less costly, and safer, study shows
By Mary Elizabeth Dallas
Monday, December 29, 2014
HealthDay news image
Related MedlinePlus Pages
MONDAY, Dec. 29, 2014 (HealthDay News) -- Strategies to reduce the number of emergency surgeries in the United States could save up to $1 billion in health care costs over a decade, new research suggests.
The study also found that surgeries planned ahead of time (elective surgery) are less risky for patients and generally have better outcomes.
"The costs of surgical care represent nearly 30 percent of total health care expenditures and they are projected to total more than $900 billion by 2025," study author Dr. Adil Haider, director of the Center for Surgery and Public Health at Brigham and Women's Hospital in Boston, said in a hospital news release. Haider was at the Center for Surgical Trials and Outcomes Research at Johns Hopkins University while conducting the study.
"If 10 percent of these emergency surgeries had been performed electively, the cost difference would have been nearly $1 billion over 10 years," Haider said.
"Importantly, elective procedures are better for patients, too, who experience lower rates of mortality and better outcomes. There is a tremendous opportunity to both save lives and decrease costs," he added.
The researchers looked at three common operations for the study. One is a procedure to repair the main artery in the abdomen (aortic aneurysm repair). The second is heart surgery to restore blood supply to the heart (coronary artery bypass graft). The third operation was surgery to remove part of the large intestine (colon resection).
The researchers analyzed data on more than 600,000 patients. All had one of these procedures between 2001 and 2010.
The researchers compared the hospital costs and risk of death when surgeries were planned versus when they were performed in an emergency.
Emergency surgery was 53 percent more expensive for colon resection than elective surgery. Emergency procedures were 30 percent more expensive for abdominal aortic aneurysm repair and 17 percent more expensive for coronary artery bypass graft, the researchers found.
People who had planned surgery also had lower rates of death than patients who had emergency procedures.
Results of the study were published online in the Annals of Surgery.
SOURCE: Brigham and Women's Hospital, news release, Dec. 19, 2014
HealthDay
Copyright (c) 2014 HealthDay. All rights reserved.
More Health News on:
Emergency Medical Services
Surgery
Preventing Emergency Surgeries Could Save $1 Billion: MedlinePlus
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Nuevo caso de ébola en Escocia

Nuevo caso de ébola en Escocia

información para el médico especialista de hospital y atención primaria: investigación médica, gestión, tecnología y servicios sanitarios

31 de Diciembre de 2014

Nuevo caso de ébola en Escocia

nuevo caso ebola esc
El Gobierno escocés ha confirmado un nuevo contagio por ébola. La paciente regresaba a Glasgow procedente de Sierra Leona.
Escocia ha alertado de un nuevo caso de ébola en una sanitaria, llegada a Glasgow procedente de Sierra Leona. Tras confirmarse el contagio, la enfermera fue trasladada al hospital militar de Royal Free de Londres, y permanece en la unidad de aislamiento de alto nivel. Las autoridades creen que la enfermedad ha sido detectada en fase prematura, con lo que el riesgo de contagio a otras personas es bajo. Un segundo sanitario que regresaba de África a Escocia también ha sido aislado a la espera de saber si ha sido contagiado. La ministra de Escocia, Nicola Sturgeon, ha explicado en rueda de prensa que por razones de confidencialidad no se podrá facilitar la identidad de la paciente infectada. 
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Más de 2.300 especialistas de digestivo participan en la formación de la SEPD

Más de 2.300 especialistas de digestivo participan en la formación de la SEPD

información para el médico especialista de hospital y atención primaria: investigación médica, gestión, tecnología y servicios sanitarios

31 de Diciembre de 2014

Más de 2.300 especialistas de digestivo participan en la formación de la SEPD

2300 especialistas d
La plataforma de e-learning de la Sociedad se consolida como una herramienta de formación a distancia muy bien valorada por los usuarios.
Durante este curso 2013-2014, cerca de 2.300 especialistas de patologías digestivas han participado en los cursos de formación de la Sociedad Española de Patología Digestiva (SEPD) a través de suplataforma de e-learning. Esta plataforma de formación propia ha organizado un total de once cursos, entre los que destacan cuatro programas de alta acreditación que combinan la formación presencial y online y siete cursos a distancia. De hecho, el número de inscritos en los cursos de este año han supuesto un incremento del 15% respecto al curso pasado. En este sentido, la SEPD cumple con su objetivo como sociedad científica de mejorar las competencias profesionales de los especialistas del aparato digestivo, ampliando e integrando nuevos conocimientos, habilidades y actitudes de aplicación en la práctica médica.
Cabe señalar que una de las propuestas más exitosas de este año han sido las sesiones conjuntas de actualización de digestivo dedicadas a enfermedad inflamatoria intestinal,hepatología y endoscopia. En estas sesiones, más 50 centros sanitarios de toda España se conectan simultáneamente para compartir sesiones clínicas en directo que se completan con posterior formación a distancia. También fue significativa la participación en la tercera edición del curso pancreatic y en el novedoso programa de formación y capacitación en endoscopia diagnóstica y terapéutica aplicada a las lesiones neoplásicas de colon.
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