Résultats: 222

Staffing for safety: a synthesis of the evidence on nurse staffing and patient safety

Nurse staffing makes a critical difference to patients. Research reveals a close link between inappropriate nurse staffing levels and higher rates of unwanted outcomes for patients. This report highlights evidence-informed recommendations for improvements in patient outcomes through advancements in nurse...

What evidence is there for the prevention and screening of osteoporosis?

Osteoporosis – an excessive decrease in bone mass – is more common in women than in men. It is a particularly common condition among elderly women in affluent countries. Osteoporosis is a risk factor for fractures, which occur most commonly at the wrist, spine and hip. Other important risk factors fo...

What is the evidence on school health promotion in improving health or preventing disease and, specifically, what is the effectiveness of the health promoting schools approach?

School health promotion, based on a wide range of research and practice, has evolved over the course of the last 50 years, alongside health promotion in other settings. During the 1990s, WHO, working jointly with the European Commission and the Council of Europe, developed the health promoting schools in...

Health technology assessment: An introduction to objectives, role of evidence, and structure in Europe

Health systems have developed at different speeds, and with differing degrees of complexity throughout the twentieth century, reflecting the diverse political and social conditions in each country. Notwithstanding their diversity, all systems, however, share a common reason for their existence, namely th...

What are the advantages and limitations of different quality and safety tools for health care?

The term “quality tools” is used in many different ways to refer to a method used by an individual, a team, an organization or a health system. It is most often used in a narrow sense in American texts to refer to a set of simple “continuous quality improvement” methods (CQI tools). More broadly,...

What is the impact of HIV on families?

In Europe, the number of people infected with human immunodeficiency virus (HIV) is increasing. More infections of heterosexuals are appearing, and young people and women are becoming more vulnerable. For these people, the introduction of highly active antiretroviral therapy (HAART) now allows them to li...

What evidence is there about the effects of health care reforms on gender equity, particularly in health?

In most countries the pressure for health care reform is aimed at improving the efficiency, equity and effectiveness of the health sector. Emerging evidence shows that health care reforms can affect men and women differently, as a consequence of their different positions as users and producers of health ...

Do current discharge arrangements from inpatient hospital care for the elderly reduce readmission rates, the length of inpatient stay or mortality, or improve health status?

In the developed world, older people make up an increasing proportion of the population, and this demographic transition also affects some developing countries. In general, older people are at increased risk of disease, disability and financial and social deprivation compared to younger people in the sam...

What is the effectiveness of antenatal care? Supplement

This is a Health Evidence Network (HEN) evidence report on antenatal care (ANC). This report is a supplement to the 2003 HEN report on the same subject (http://www.euro.who.int/Document/e82996.pdf). It is a review of the best available evidence in the scientific literature regarding ANC interventions. It...

What is the evidence for the effectiveness of interventions to reduce hepatitis C infection and the associated morbidity?

Hepatitis C infection has been declared a global health problem. Prevalence is most common among injecting drug user populations, where up to 98% can be infected despite a low HIV prevalence. Up to 20% of those infected with hepatitis C can clear the virus, though chronic infection can lead to significan...