- MeSH
- dostupnost zdravotnických služeb MeSH
- duševní zdraví MeSH
- lidé MeSH
- reforma zdravotní péče MeSH
- sociální práce psychiatrická * metody trendy MeSH
- Check Tag
- lidé MeSH
- Geografické názvy
- Česká republika MeSH
The Roma are Europe's largest ethnic minority group, and often face discrimination and social exclusion. Social strife and lack of access to healthcare are associated with increased symptoms of psychopathology. We aimed to review evidence on mental health outcomes and on access to mental healthcare among the Roma population in Europe. We systematically searched five databases (PsycINFO, Global Health, Social Policy and Practice, Web of Science and PubMed) and conducted a grey literature search in August 2020. We identified 133 studies, 26 of which were included for final analysis. We present the results using a narrative synthesis. The available literature indicates a relatively high prevalence of anxiety, depression and substance abuse among Roma, and females seem to be more affected than males. Roma children exhibit more externalizing and internalizing disorders when compared with non-Roma children. Mental health and perceived well-being among the Roma population are strongly linked to social determinants of health such as housing or economic income. Access to mental healthcare is limited for Roma people because of several barriers pertaining to language, lack of information regarding available services, and the insurance and economic status of Roma people. Roma people report mainly negative experiences with mental health services, including a lack of understanding from healthcare providers, and instances of racism and discrimination. There is a need for more research on mental health and access to healthcare in Roma people. Future studies should be participatory in order to provide guidelines for mental healthcare that addresses the needs of the Roma population.
- MeSH
- dítě MeSH
- dostupnost zdravotnických služeb MeSH
- duševní zdraví MeSH
- etnicita psychologie MeSH
- lidé MeSH
- menšiny MeSH
- Romové * MeSH
- Check Tag
- dítě MeSH
- lidé MeSH
- mužské pohlaví MeSH
- ženské pohlaví MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
- systematický přehled MeSH
- Geografické názvy
- Evropa MeSH
- MeSH
- dostupnost zdravotnických služeb MeSH
- integrované poskytování zdravotní péče * MeSH
- lidé MeSH
- sociální práce MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- úvodníky MeSH
- MeSH
- diabetes mellitus epidemiologie MeSH
- dostupnost zdravotnických služeb MeSH
- lékaři primární péče * normy MeSH
- lidé MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- grafy a diagramy MeSH
- Geografické názvy
- Česká republika MeSH
BACKGROUND: Functional neurological disorder (FND) is a common cause of neurological disability. Despite recent advances in pathophysiological understanding and treatments, application of this knowledge to clinical practice is variable and limited. OBJECTIVE: Our aim was to provide an expert overview of the state of affairs of FND practice across Europe, focusing on education and training, access to specialized care, reimbursement and disability policies, and academic and patient-led representation of people with FND. METHODS: We conducted a survey across Europe, featuring one expert per country. We asked experts to compare training and services for people with FND to those provided to people with multiple sclerosis (MS). RESULTS: Responses from 25 countries revealed that only five included FND as a mandatory part of neurological training, while teaching about MS was uniformly included. FND was part of final neurology examinations in 3/17 countries, unlike MS that was included in all 17. Seventeen countries reported neurologists with an interest in FND but the estimated mean ratio of FND-interested neurologists to MS neurologists was 1:20. FND coding varied, with psychiatric coding for FND impacting treatment access and disability benefits in the majority of countries. Twenty countries reported services refusing to see FND patients. Eight countries reported an FND special interest group or network; 11 reported patient-led organizations. CONCLUSIONS: FND is largely a marginal topic within European neurology training and there is limited access to specialized care and disability benefits for people with FND across Europe. We discuss how this issue can be addressed at an academic, healthcare and patient organization level.
- MeSH
- dostupnost zdravotnických služeb MeSH
- lidé MeSH
- nemoci nervového systému terapie MeSH
- neurologie výchova MeSH
- neurologové MeSH
- roztroušená skleróza terapie MeSH
- zdravotní politika * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- Geografické názvy
- Evropa MeSH
- MeSH
- lidé MeSH
- novorozenec MeSH
- postnatální péče * organizace a řízení MeSH
- transport pacientů * metody organizace a řízení statistika a číselné údaje MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- přehledy MeSH
Novorození pacienti s vrozenými vývojovými vadami po narození vyžadují specializovanou péči, do které se často musí zapojit multioborový tým. Jedním z aspektů péče o tuto skupinu je také transport v rámci zdravotnického zařízení. Transport pacienta je vždy rizikový proces, zvláště u pacientů nestabilních, kteří vyžadují podporu vitálních funkcí. Příspěvek popisuje technické vybavení a základní postupy při nemocničním transportu pacientů s vybranými vadami.
Newborn patients born with a congenital defect require specialized care upon birth. A multidisciplinary approach is often needed. One of the components of care of these patients is intra-hospital transport. Patient transport is always a risky undertaking, especially with unstable patients requiring mechanical ventilation and hemodynamic support. This article outlines the technical equipment and basic approach to intra-hospital transport of patients with congenital defects.
- MeSH
- alprostadil aplikace a dávkování MeSH
- inkubátory kojenecké MeSH
- lidé MeSH
- novorozenec MeSH
- transport pacientů * metody MeSH
- vrozené vady * klasifikace ošetřování MeSH
- Check Tag
- lidé MeSH
- novorozenec MeSH
- Publikační typ
- přehledy MeSH
xii, 260 stran ; 24 cm
A collection of reports and case studies that focus on the allocation of scarce resources in health care and on crisis patient prioritisation during the COVID-19 pandemic, mostly in Europe. Focuses on the legal aspect. Intended for professional public.
- MeSH
- COVID-19 MeSH
- péče o pacienty v kritickém stavu zákonodárství a právo MeSH
- právní odpovědnost MeSH
- přidělování zdravotní péče zákonodárství a právo MeSH
- třídění pacientů zákonodárství a právo MeSH
- zákonodárství lékařské MeSH
- Publikační typ
- kazuistiky MeSH
- sborníky MeSH
- zprávy MeSH
- Geografické názvy
- Brazílie MeSH
- Evropa MeSH
- Jihoafrická republika MeSH
- Spojené státy americké MeSH
- Konspekt
- Právo
- NLK Obory
- právo, zákonodárství
- management, organizace a řízení zdravotnictví
- urgentní lékařství
BACKGROUND: Treatment options for people with haemophilia are evolving at a rapid pace and a range of prophylactic treatment options using various technologies are currently available, each with their own distinct safety and efficacy profile. TREATMENT GOALS: The access to replacement therapy and prophylaxis has driven a dramatic reduction in mortality and resultant increase in life expectancy. Beyond this, the abolition of bleeds and preservation of joint health represent the expected, but rarely attained, goals of haemophilia treatment and care. These outcomes also do not address the complexity of health-related quality of life impacted by haemophilia and its treatment. CONCLUSION: Capitalizing on the major potential of therapeutic innovations, 'Normalization' of haemostasis, as a concept, should include the aspiration of enabling individuals to live as normal a life as possible, free from haemophilia-imposed limitations. To achieve this-being supported by the data reviewed in this manuscript-the concept of haemostatic and life Normalization needs to be explored and debated within the wider multidisciplinary teams and haemophilia community.
- MeSH
- cíle MeSH
- hemofilie A * farmakoterapie terapie MeSH
- hemostáza * účinky léků MeSH
- kvalita života MeSH
- lidé MeSH
- rovnost ve zdraví * MeSH
- Check Tag
- lidé MeSH
- Publikační typ
- časopisecké články MeSH
- přehledy MeSH
