Healthcare System Financing and Profits: All That Glitters is Not Gold

Zeleny, Tomas; Bencko, Vladimír

doi:10.21101/cejph.a4027

Cited by 8 publications

(7 citation statements)

References 3 publications

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“…Another study reported growing expenditures of healthcare systems all over the world, including the CR. One of the basic factors of expenditure growth is the ageing of population (26). Important components in active ageing are personal active ageing strategies of older people, which include lower alcohol consumption (27).…”

Section: Discussionmentioning

confidence: 99%

Manner of Death of Older People with Regard to Blood Alcohol Concentration

Juríčková¹,

Ivanová²,

Dobiáš³

et al. 2017

Cent Eur J Public Health

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Section: Discussionmentioning

confidence: 99%

Manner of Death of Older People with Regard to Blood Alcohol Concentration

Juríčková¹,

Ivanová²,

Dobiáš³

et al. 2017

Cent Eur J Public Health

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“…Toxicity of many drugs in children is different to that observed in adults, and indeed, there are some groups of paediatric patients, such as neonates, in whom a higher toxicity is relatively common . The errors lead to high stress and upset children and parents, emergency calls and/or hospital admissions .…”

Section: Discussionmentioning

confidence: 99%

Unintentional Pharmaceutical‐Related Medication Errors Caused by Laypersons Reported to the Toxicological Information Centre in the Czech Republic

Urban

Lesso

Pelclová

2016

Basic Clin Pharma Tox

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The purpose of the article was to study unintentional pharmaceutical-related poisonings committed by laypersons that were reported to the Toxicological Information Centre in the Czech Republic. Identifying frequency, sources, reasons and consequences of the medication errors in laypersons could help to reduce the overall rate of medication errors. Records of medication error enquiries from 2013 to 2014 were extracted from the electronic database, and the following variables were reviewed: drug class, dosage form, dose, age of the subject, cause of the error, time interval from ingestion to the call, symptoms, prognosis at the time of the call and first aid recommended. Of the calls, 1354 met the inclusion criteria. Among them, central nervous system-affecting drugs (23.6%), respiratory drugs (18.5%) and alimentary drugs (16.2%) were the most common drug classes involved in the medication errors. The highest proportion of the patients was in the youngest age subgroup 0-5 year-old (46%). The reasons for the medication errors involved the leaflet misinterpretation and mistaken dose (53.6%), mixing up medications (19.2%), attempting to reduce pain with repeated doses (6.4%), erroneous routes of administration (2.2%), psychiatric/elderly patients (2.7%), others (9.0%) or unknown (6.9%). A high proportion of children among the patients may be due to the fact that children's dosages for many drugs vary by their weight, and more medications come in a variety of concentrations. Most overdoses could be prevented by safer labelling, proper cap closure systems for liquid products and medication reconciliation by both physicians and pharmacists.Medication errors and unintentional pharmaceutical-related poisonings are important because of their potential effect on patient safety. Therefore, it is essential to carefully review data that characterize such adverse events [1]. Several studies presented medication errors committed by healthcare professionals and in healthcare facilities [2,3]. It was discovered by comparing inpatient and outpatient records that 49% of patients discharged from the hospital sustained at least one medication error [4]. However, trends among out-of-hospital medication errors caused by laypersons have been only scarcely reviewed despite their impact on people, therapeutic effectiveness and significant costs for the healthcare system [5]. Learning more about the occurrence of medication errors may help to prevent such unwanted situations.In our study, we investigated the frequency, age-related trends, reasons and consequences, prognosis and other characteristics on the annual rate of medication error calls to the Toxicological Information Centre (TIC) in the Czech Republic. Materials and MethodsThe TIC is the only toxicology unit of its kind situated in the Czech Republic, which has a population of over 10 million people.TIC provides healthcare professionals and laypersons 24/7/365 with information concerning toxicity and management of a different range of substances [6,7]. Every phone call is...

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“…Within the European Union as well as the Organisation for Economic Co-operation and Development, significant differences in the availability of resources for mental healthcare are evident. Over the past three decades, the most common causes of death changed from infectious diseases to chronic diseases, putting further pressure on the efficiency and effectiveness of healthcare [ 13 , 14 ].…”

Section: Introductionmentioning

confidence: 99%

Regional disparities in medical equipment distribution in the Slovak Republic – a platform for a health policy regulatory mechanism

2017

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BackgroundThis study aims to examine the localisation of selected parameters in the deployment and use of medical equipment in the Slovak Republic and to verify potential regional disparities. The study evaluates the benefits of an analytical platform for regulatory mechanisms in the healthcare system.MethodsThe correspondence analysis is applied to the entire data set containing information regarding medical equipment distribution and mortality.ResultsThe results highlight regional differences in the use of medical equipment throughout the analysed period from 2008 to 2014. The total amount of medical equipment increased slightly to 9192 devices during the time span. In 2014, there was a significant decrease of 16.44%. Disparities are found in the frequencies and structure of medical equipment. In some regions, medical equipment is not present or is present in low numbers.ConclusionsThe results regarding regional disparities demonstrate the regional development of the amount of medical equipment. The deployment of medical equipment is not proportional, and not all of the analysed devices are available in each region. The tests also indicate the appropriateness of the amount of medical equipment and create a platform for further investigation. The results of the analysis suggest the unsuitable distribution of medical equipment throughout the Slovak regions, where there are significant regional disparities. These findings can serve as a monitoring platform to evaluate the accessibility and efficiency of medical equipment usage.Trial registrationNo human participants were involved in the research.

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Healthcare System Financing and Profits: All That Glitters is Not Gold

Cited by 8 publications

References 3 publications

Manner of Death of Older People with Regard to Blood Alcohol Concentration

Manner of Death of Older People with Regard to Blood Alcohol Concentration

Unintentional Pharmaceutical‐Related Medication Errors Caused by Laypersons Reported to the Toxicological Information Centre in the Czech Republic

Regional disparities in medical equipment distribution in the Slovak Republic – a platform for a health policy regulatory mechanism

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