Resultados: 40

    How can hospital performance be measured and monitored?

    Measurement is central to the concept of quality improvement; it provides a means to define what hospitals actually do, and to compare that with the original targets in order to identify opportunities for improvement....

    What are the lessons learnt by countries that have had dramatic reductions of their hospital bed capacity?

    Many countries have decided to reduce the number of hospital beds. Some have succeeded by making a sustained investment in alternative facilities, but some have been so successful that they now face shortages, meaning growing waiting lists and difficulties in admitting acutely ill patients. Other countri...

    What are the main risk factors for disability in old age and how can disability be prevented?

    In the next twenty years, the European Union will gain 17 million people over age 65 – a 30% increase – and 5.5 million more people over age 80, a 39% increase. Disability in old age is frequent and not only lowers the quality of life of its victims, but strains society’s limited resources for assi...

    What are the best strategies for ensuring quality in hospitals?

    Ensuring the safety of patients and personnel and improving quality have become important objectives for national health systems in developed and developing countries alike, in response to research highlighting poor quality, increasing patient expectations, and media reports. There is a general belief, s...

    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 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...

    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...

    What is the evidence on effectiveness of capacity building of primary health care professionals in the detection, management and outcome of depression?

    Depression is a common health care problem and is largely managed in primary care, with little or no specialist input from secondary care services. The quality of care is often low, with poor recognition of the condition, inadequate prescription, poor compliance with medication and poor provision and upt...

    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...