Resultados: 64

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...

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...

What are the most effective diagnostic and therapeutic strategies for the management of depression in specialist care?

Depression is a major illness with health and social effects similar to those for chronic diseases like hypertension, congestive heart failure or diabetes. The Global Burden of Disease Programme of WHO indicates that depressive disorders are among the most important causes of death and disability in both...

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...

Cross border health care in Europe

This policy brief provides a review of current information and issues relating to cross-border health care in Europe. Following an overview of current patterns of patient mobility, the policy brief looks in turn at the legal framework for mobility, the financial implications, approaches to quality monito...

Mental health I: key issues in the development of policy and practice across Europe

Mental health problems account for approximately 20% of the total burden of ill health in Europe (WHO, 2004a). This estimate of burden is just the tip of the iceberg; what makes mental health almost unique is the broad impact it can have on all aspects of life, including physical health, family relations...

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 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,...

Should patient decision aids (PtDAs) be introduced in the health care system?

“Grey zone” treatments are those that rely upon the patient’s judgement of associated benefits versus harms. When clinicians judge patients are eligible for “grey zone” treatments, their acceptance should be consistent with informed patients’ values. The question is how can one obtain informe...