Résultats: 222

How can health care systems effectively deal with the major health care needs of homeless people?

Homeless people have poorer physical and mental health than the general population, and often have problems obtaining suitable health care. This synthesis has critically reviewed the international literature pertaining to the health care needs of homeless people in countries with relatively well-develope...

What are the main factors that influence the implementation of disease prevention and health promotion programmes in children and adolescents?

Many disease prevention and health promotion programmes are directed at the health of children and young people because they can prevent both immediate problems (mortality and morbidity) and long-term problems. However, even where there is evidence to support such public health interventions, implementat...

How effective are different types of day care services for people with severe mental disorders?

Day care is considered to be an important component of psychiatric services, but the evidence on different forms of day care is not easy to interpret. This review evaluates five main forms of day care for adults with severe mental disorders: acute psychiatric day hospital care, transitional psychiatric d...

Is housing improvement a potential health improvement strategy?

The well-established links between poor health, poor housing and poverty suggest that housing improvements in disadvantaged areas or social housing may provide a population-based strategy to improve health and reduce health inequalities. Housing improvements that reduce exposure to specific hazards may l...

Reducing hospital beds: what are the lessons to be learned?

For many people, the hospital has come to symbolize the modern health care system. Yet in many countries, the role of the acute hospital is changing, with an emphasis on outpatient diagnosis and treatment as well as alternatives to long-term hospital care, leading to reductions in numbers of hospital bed...

What are the advantages and disadvantages of restructuring a health care system to be more focused on primary care services?

Governments are searching for ways to improve the equity, efficiency, effectiveness, and responsiveness of their health systems. In recent years there has been an acceptance of the important role of primary health care in helping to achieve these aims. However, there have been no systematic reviews on pr...

What are the equity, efficiency, cost containment and choice implications of private health-care funding in western Europe?

Over the last 20 years the level of private spending on health care has risen in many western European countries, leading to concern about its impact. The main channels of private spending are private health insurance policies and cost-sharing schemes in public health systems....

Should mass screening for prostate cancer be introduced at the national level?

Prostate cancer is a major cause of death among men, with over 56,000 deaths in the European Union in 1998. There are no obvious preventive strategies, therefore screening has been considered to reduce the number of deaths. Opportunistic screening is widely carried out but there are no known national pro...

For which strategies of suicide prevention is there evidence of effectiveness?

Suicide is a serious public health problem in the European Region, where rates vary from about 40 per million people (in Greece) to about 400 per million (in Hungary). Suicide rates among adolescents and young adults have also increased considerably over the last decades. Many widely-used suicide prevent...

What are the palliative care needs of older people and how might they be met?

Ageing populations are characteristic of many countries. The pattern of disease at the end of life is changing and more people are living with serious chronic circulatory and respiratory diseases as well as with cancer. More people will need help at the end of life, in a social context of changing family...