DOCSLIB.ORG

Disaster Disaster

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Disaster Disaster Volume 6-Issue3-Autumn 2006 The OfficialManagementand PracticeJournal PPrrepepaarringing foforr DIDISASASTSTERER 4 6 5 7 - 377 =1 ISSN PLUS: • TRANSPORTVENTILATORS • INTENSIVE CARE • GLYCAEMIC CONTROL IN PORTUGAL What’sone waytodramatically impactCriticalCare? Achieve 1weaning00protocol compli% ance. ESICM -19thannualcongress Ventilation weaning protocolshavebeen showntoreducelength Barcelona, Spain of stay*;unfortunately,theycanalsobelaborintensiveforclinicians. 24-27 September2006 But withDrägerMedical’s SmartCare TM system,they’reautomatically CCIB Convention Center supported. Think of whatthatcanmeantoyour patients…your 27 -30 /39-42 productivity…and your bottom line. Yetit’sjustone aspectof our integrated CareArea™SolutionsforCriticalCare… and the entire careprocess. Todiscoverhowall our innovativesolutionscanimpactyour care process,visitwww.draegermedical.com. *E.WesleyEly,NewEngland JournalofMedicine (1996),Vol. 335:1864-9 EmergencyCare·PerioperativeCare·CriticalCare·PerinatalCare·Home Care Becauseyoucare Preparing for Disaster l a i r o t Ascriticalcarespecialists,weareaccustomed to di combating life-threatening illness and injuryon a E dailybasis.Our staff must bevigilantand must beprepared torespond rapidlytoanydeteriora- tion in apatient’scondition,asthatpatient’slife connectionswiththe departments,hospitals maydepend on immediatemedicalintervention. and agenciesthatmightprovecrucialpartners Every day,around the world,criticalcaredoctors in atime of crisis. and nursessavethousandsof lives. Thisissueof ICU Management focuseson dis- But whathappenswhen thousandsof livesare astermanagement,in ordertoshareinsights that put in peril all atonce,in one location? Thissum- mayhelp criticalcaremanagers strengthen their meralone,anumberof disastersituationsrocked disasterpreparedness programs.Inthisissue, the world –atrain bombing in India, atsunami in Drs.Faltlhauserand Thomassharetheirexpertise Indonesia, tropicalstormsin Chinaand armed on careand transport,including the recentex- warfareinthe Middle East,among others.Natural pansion of aeromedicalevacuation operations and man-made disasters alikecanwreckhavoc tonaturaldisastersituations.Dr.Maegele then wheretheystrike,leaving death,destruction, gives anoverviewof the specialconsiderations illness and injuryin theirwake.Trauma, shock, affecting patients who wereevacuated toEurope infectious disease–inthe spaceofafew following the 2004tsunami disaster.Finally, moments,adisastermayproducemoreimmi- Dr.Farmer highlights specificaspects of disaster nentlylife-threatening medicalsituationsthanthe preparedness thathospitaland criticalcareman- average hospitalwould encounterundernormal agers should take intoconsideration well before circumstancesin weeksoreven months. disasterstrikes.Eachofthesearticlesoffers a uniqueand helpfulperspectiveoncoping with When ahurricane,terrorist attackorotherdisas- very differentdisasterresponsesituations. terhits,criticalcarespecialists arecalled on more thanevertopracticetheirlife-saving services.But Disasters forceus tomake tough medicalman- the overwhelming numberof victims,along with agementdecisionsand enterintocollaborative the manylogisticaland infrastructureproblems relationshipsthatmightnotexist during regular produced byadisastersituation,posesignificant ICU operations.Inordertoaccomplishthiseffec- challengestodelivering timely,quality critical tively,wemust beorganized and develop plans care. Disasterresponserequiresphenomenal in advancetomanage worst-casescenarios. coordination of medicalresources,space,priori- Preparedness isthe keytosuccessfuldisaster tiesand personnel –bothwithin amedicalunit response. Ihope thatthe articlesin thisissue and across affected medicalfacilities.This,in turn, of ICU Management offerideasthathelp requirescriticalcaremanagers toplaninadvance, improveyour unit’sdisasterresponseplans. Jean-LouisVincent establishdisasterresponsestrategiesand forge Mayyouneverhavetousethem. Head,Departmentof IntensiveCare,Erasme HospitalFree University of Letters tothe Editor&Requests forReferencesCited in ICU Management Brussels,Belgium [email protected] www.icu-management.org1 Table of Contents Volume 6-Issue3-Autumn 2006 EDITORIAL Preparing forDisasterJ.-L.Vincent 1 NEWS AND INNOVATIONS 4 COVER STORY: PREPARING FOR DISASTER Strategicaeromedicalevacuation in naturaldisasters: A.Faltlhauser,A.Thomas 6 Newtasksformilitary aeromedicalevacuation systems Tertiary intensivecaretovictimsrepatriated toEurope M.Maegele 10 ICU Management is afterthe 2004tsunami disaster the OfficialManagement and PracticeJournalof The evolving role of criticalcaremedicine in disastermedicalresponse J.C.Farmer 14 the InternationalSymposium on IntensiveCareand MATRIX FEATURES EmergencyMedicine and Tightglycemiccontrol during criticalillness:Overcoming the obstacles S.Nasraway 15 waspreviouslypublished asHospitalCriticalCare. Benefits of aseparateairwayemergencyresponseteamB.Smith,S.Afifi, 17 M.Ault,L.Morris Editor-in-chief Prof. Jean-LouisVincent PRODUCT COMPARISON:TRANSPORTVENTILATORS Belgium Transport ventilators ECRI Europe 21 Editorialboard Prof. Antonio Artigas MANAGEMENT Spain Useofseverity scoresin clinicalpracticeM.Capuzzo 26 Dr.RichardBeale Motivating staff R.Pauldine,T.Dorman 29 United Kingdom Dr.Todd Dorman Evidence-based design supportsevidence-based United States medicine in the ICU D.K.Hamilton 31 Prof. HansKristianFlaatten Norway VIEWS &INTERVIEWS Prof. Luciano Gattinoni Inside the ESAwithSirPeterSimpson A.Heggestad 32 Italy Prof. Armand Girbes EU FOCUS Netherlands Institution Series:EuropeanCourtof Auditors I.Raath 34 Dr.Claude Martin France COUNTRYFOCUS: PORTUGAL Prof. KonradReinhart Anoverviewof the healthcaresystem in PortugalA.L.Jardim 37 Germany Intensivecaremedicine in PortugalR.Moreno 39 Prof. JukkaTakala Switzerland Intensivecaremedicine and emergencymedicine in PortugalR.Matos 40 Intensivecaretraining in PortugalT.Fevereiro,L.Amado 43 Correspondents Prof. David Edbrooke Sepsisand organfailureinPortugalI.Miranda 44 United Kingdom Dr.Anders Larsson CONGRESS PREVIEWS Denmark SCCM’sannualCongress:Improving patientcareSCCM 46 Prof. Esko Ruokonen Finland AGENDA 48 Prof. RetoStocker Switzerland Dr.PatriciaWegermann Letters tothe Editor&Requests forReferencesCited in ICU Management Germany [email protected] www.icu-management.org3 N e w s NeWwsorld PRNewswirepress release,the Triage MeterPro the useofthe AutoPulse. The studyanalyzed WHO findsmost countriesfall short combinesBiosite's rapid,easy-to-usetechnology out-of-hospitalcardiac arrest casesbetween of ensuring asafe blood supply withamoreconvenientuserinterface. January 2001and March2005and evaluated www.who.int databeforeand afterRAA paramedicsbegan The Triage MeterProisaportable,rapid testing using the AutoPulse. World Blood DonorDaywasJune 14,2006.To platformdesigned toprovide rapid,quantitative markthe occasion,the World Health orqualitativeresults forimmunoassays using The AutoPulseisdesigned tohelp improveblood Organization (WHO)released anannouncement urine,whole-blood orplasmaand featurescom- flowtothe heart and brain during sudden car- stating thatthe world ismaking slowprogress prehensivebuilt-in quality control capabilities. diac arrest bydelivering continuous,uninterrupt- towardsthe goalof100%unpaid,voluntary blood The Triage MeterPro's user-friendlyfeaturesare ed chest compressions.* donation. According tothe WHO, regular,volun- expected tomake testing even easiertoperform, tary donors aredesirable,astheyareless likely while maintaining the high quality and perfor- According toits MedicalDirectorJoseph P. tolie about theirhealthstatus and maybemore mancestandardsof the existing Triage Meter Ornato,MD, RAA isthe first EMS agencyin the likelytokeep themselveshealthy.Nevertheless, platform. According toBiosite,enhancements to U.S.tohaveshownthatsignificantlymore manycountriesstill fall short of ensuring the the Triage MeterProinclude analphanumeric patients cansurviveand bedischarged from the safety and the sustainability of blood supplies. keypad,75percentlargerdisplay,backlighting hospitalwithuseofthe AutoPulse. Most developing countriesstill depend on paid and fasterprinting. The Triage Meters also donors orfamilymembers; however,some have feature"Test Select™,"enabling healthcare *Clinicaldataavailable upon request. made progress byapplying stricterprinciples providers tocustomizetest menus based on within theirAIDS prevention programs. physicianpreferenceorpatientpresentation when using Triage Test Panelswithmultiple ana- AWHO surveyshowed 56of 124countriespar- lytes.Thisallows customers tousethe same ticipating in the surveysawanincreasein multi-analyteTriage Panel but choosewhich unpaid voluntary donation. The remaining 68 assays torunatthe time of testing. haveeithermade no progress orhaveseen a decline in the numberof unpaid,voluntary Biosite's announcementassuresthatcurrent donors.Ofthe 124countries,49 havereached and futureTriage tests will continuetobecom- 100%unpaid voluntary blood donation. patible withthe Triage MeterProand the Triage TeleflexMedicalexpands Furthermore,the numberof donationsper1,000 MeterPlus.The Triage MeterProisnowavailable respiratory offering population remainsabout 15 timesgreaterin in the United Statesand will launchinternation- www.teleflex.com high-income thaninlow-income countries, allyin the second half of 2006. despitethe increased need forsustained,safe blood suppliesin developing countries. TeleflexMedicalrecentlyissued apress release announcing the launchofaninnovativeinterface Recentstudynotesautomated
Load more

Recommended publications
  • Country Profile Highlights Strategy
    Country Profile Highlights Strategy Legal Framework inside Actors Infrastructure Services for Citizens Services for Businesses What’s eGovernment in Portugal ISA² Visit the e-Government factsheets online on Joinup.eu Joinup is a collaborative platform set up by the European Commission as part of the ISA² programme. ISA² supports the modernisation of the Public Administrations in Europe. Joinup is freely accessible. It provides an observatory on interoperability and e-Government and associated domains like semantic, open source and much more. Moreover, the platform facilitates discussions between public administrations and experts. It also works as a catalogue, where users can easily find and download already developed solutions. The main services are: Have all information you need at your finger tips; Share information and learn; Find, choose and re-use; Enter in discussion. This document is meant to present an overview of the eGoverment status in this country and not to be exhaustive in its references and analysis. Even though every possible care has been taken by the authors to refer to and use valid data from authentic sources, the European Commission does not guarantee the accuracy of the included information, nor does it accept any responsibility for any use thereof. Cover picture © AdobeStock Content © European Commission © European Union, 2018 Reuse is authorised, provided the source is acknowledged. eGovernment in Portugal May 2018 Country Profile .........................................................................................................
    [Show full text]
  • Brochura HCP V10.3
    PORTUGAL A PRIVILEGED DESTINATION FOR MEDICAL TOURISM Contents - Manuel Caldeira Cabral – Minister of Economy - Adalberto Campos Fernandes – Minister of Health - Salvador de Mello - President of Health Cluster Portugal - Portugal - A Privileged Destination - Healthcare in Portugal - Areas of excellence in Portuguese Healthcare - Cardiology & Cardiac Surgery - Orthopedics - Rehabilitation - Oncology - Plastic Surgery - Obesity - Ophthalmology - OB/GYN - Assisted Reproductive Technology - Check-ups - Portugal facts and figures - How to get in touch or find out more MEDICAL TOURISM IN PORTUGAL Terminal de Cruzeiros do Porto de Leixões Manuel Caldeira Cabral Minister of Economy In the past few years, Portugal has established itself as one of the best touristic destinations all across the world. The growth of this sector in our country has been a major Key for the wealth creation in Portugal, and one of the main drivers for our economy. Last year, 2017, we broke new records again – revenue increased 20%, something we had not seen in the last two decades. So strong is the performance of tourism in Portugal that it accounts for more than half the services exports and 18% of the exports of goods and services. Last year, overall, Portuguese exports Kept growing and represented 42,5% of our GDP, a new record, which clearly shows how sustainable and resilient the Portuguese economy is. We are also aware that the demand for high quality health treatments is growing, namely because of demographics, and we have identified that as a priority in our National Strategy for Tourism 2027. We have some of the best qualified doctors and nurses and modern and functional medical infrastructures that are able to serve both locals and tourists.
    [Show full text]
  • COVID-19: What Is Next for Portugal?
    PERSPECTIVE published: 21 August 2020 doi: 10.3389/fpubh.2020.00392 COVID-19: What Is Next for Portugal? Ahmed Nabil Shaaban 1,2*, Barbara Peleteiro 2,3 and Maria Rosario O. Martins 1 1 Global Health and Tropical Medicine (GHTM), Institute of Hygiene and Tropical Medicine (IHMT), NOVA University of Lisbon, Lisbon, Portugal, 2 EPIUnit - Instituto de Saúde Pública, Universidade Do Porto, Porto, Portugal, 3 Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina da Universidade Do Porto, Porto, Portugal Highly infectious with the possibility of causing severe respiratory complications, the novel COVID-19 began stretching health systems beyond their capacity all over the world and pushing them to breaking points. Giving the devastating effects caused by this infection, unprecedented measures have to be adopted in order to mitigate its impacts on the health system. This perspective aims to review the epidemic of COVID-19 in Portugal, possible areas of improvement, and potential interventions that can help to mitigate the effect of COVID-19 on the Portuguese health system. Keywords: COVID-19, health inequalites, health system, quality indicators—healthcare, mental health, economic crisis By June 3, 2020, the Severe Acute Respiratory Syndrome-Coronavirus-2 (SARS-CoV-2) has infected 33,261 individuals with 1,447 mortalities in Portugal (1). Unfortunately, this crisis came shortly after the recent recovery from the financial crisis that heavily affected the country Edited by: in 2011, during which Portugal was obligated to sign-up for a bailout program from several Tarun Stephen Weeramanthri, funding entities, including the European Central Bank and the International Monetary Fund University of Western (2, 3).
    [Show full text]
  • Activities 2008
    Activities 2008 Centro de Estudos Sociais Universidade de Coimbra Centre for Social Studies University of Coimbra Laboratório Associado do Ministério da Ciência, Tecnologia e Ensino Superior Associate Laboratory of the Ministry for Science, Technology and Higher Education O CES é financiado pelo Ministério da Ciência, Tecnologia e Ensino Superior através da Fundação para a Ciência e a Tecnologia. CES is funded by the Ministry for Science, Technology and Higher Educationthrough the Foundation for Science and Technology 2008 Activities Report Index 2 Executive Summary 4 1. Expanding and consolidating research activities 7 1.1. Scientific Organisation 7 1.2. Strengthening the research team 42 1.3.Research Projects 44 1.4.Interaction with other national and international research units 48 2. Advanced Research Training 53 2.1.Annual Cycle of Young Social Scientists 53 2.2.Doctoral Programs 54 2.3.Post-doctoral students 61 2.4.Grants and Scholarships 62 2.5.Participation of young researchers and students in research projects 63 3. Disseminating knowledge 64 3.1.Conferences, seminars and similar events 64 3.2.Advanced training courses 73 3.3.CES Periodical publications 74 3.4. CES Non-periodical publications 75 3.5.Communication Strategies 76 3.6.Website 77 3.7.Outreach activities 79 4. North-South Library 83 4.1.Human resources 83 4.2. Collections’ Development 83 4.3.Outside Users 86 4.4.Circulation 87 4.5.Selective Dissemination of Information (DSI) 87 4.6. SIB-UC (Integrated System of Coimbra University Libraries) 88 4.6.Other Activities 88 5. Expanding and requalifying human resources and infrastructures 89 5.1.Human resources 89 5.2.Spaces 89 5.3.Technical Infrastructure 90 6.
    [Show full text]
  • Of Welfare State
    University of Utrecht Faculty of Humanities Master Program Politics and Society in Historical Perspective Carlos Miguel Jorge Martins (student number 5574714) Master Thesis: Welfare Growth in Times of Retrenchment – The Case of Portugal Welfare Growth in Times of Retrenchment – The Case of Portugal 2015 Contents Contents ............................................................................................................................................ 3 Abstract ............................................................................................................................................ 4 Introduction ...................................................................................................................................... 5 Chapter I - An Era of Welfare Retrenchment? ............................................................................... 13 Welfare State .............................................................................................................................. 13 Welfare Retrenchment ................................................................................................................ 14 A Trajectory of Retrenchment .................................................................................................... 16 What Can Explain Welfare Retrenchment? ................................................................................ 22 Neoliberalism ........................................................................................................................
    [Show full text]
  • A Case Study in a Portuguese Healthcare Organization
    Are the Healthcare Institutions Ready to Comply with Data Traceability Required by GDPR? A Case Study in a Portuguese Healthcare Organization Catia´ Santos-Pereira1;2 a, Alexandre B. Augusto1, Jose´ Castanheira3, Tiago Morais3 and Ricardo Correia1;4 b 1HealthySystems, Porto, Portugal 2Faculdade de Engenharia da Universidade do Porto, Porto, Portugal 3Unidade Local de Saude´ de Matosinhos, Porto, Portugal 4CINTESIS – Centro de Investigac¸ao˜ em Tecnologias e Servic¸os de Saude,´ Porto, Portugal fcatiapereira, aaugusto, [email protected], fjose.castanheira, [email protected] Keywords: Audit-trail, Audit-log, GDPR, Security, Data Privacy, Traceability, Healthcare. Abstract: GDPR introduces a new concept: ”Data protection by design and per default” for new software development however legacy systems will also have to adapt in order to comply. This creates great pressure on health care institutions, namely hospitals, and software producers to provide data protections and traceability mechanisms for their current and legacy systems. The aim of this work is to understand the maturity level of a Portuguese Healthcare Organization in their audit records to comply with GDPR article 30 and 32 since healthcare orga- nization operate in a daily-basis with personal data. This study was performed with the partnership of a public Portuguese healthcare organization and were organized into three main phases: (1) data collection of all in- formation systems that operate with personal data; (2) interviews with IT professionals in order to retrieve the necessary knowledge for each information system and (3) analysis of the collected data and its conclusions. This study helped to identify a need inside this organization and to determine a follow-up plan to overpass this challenge.
    [Show full text]
  • Programme Book
    10th European Public Health Conference OVERVIEW PROGRAMME Sustaining resilient WEDNESDAY 1 NOVEMBER THURSDAY 2 NOVEMBER FRIDAY 3 NOVEMBER SATURDAY 4 NOVEMBER 09:00 – 12:30 09:00 – 10:30 08:30 - 09:30 08:30 - 10:00 Pre-conferences Parallel sessions 1 Parallel sessions 4 Parallel session 8 09:40 - 10:40 10:10 - 11:10 and healthy communities Plenary 3 Parallel session 9 10:30 – 11:00 10:30 – 11:00 10:40 – 11:10 11:10 – 11:40 Coffee/tea Coffee/tea Coffee/tea Coffee/tea 11th European Public Health Conference 2018 12th European Public Health Conference 2019 11:00 – 12:00 11:10 - 12:10 11:40 - 13:10 Ljubljana, Slovenia Marseille, France PROGRAMME Plenary 1 Parallel sessions 5 Parallel session 10 12:30 – 13:30 12:00 – 13:15 12:10 – 13:40 13:10 – 14:10 Lunch for pre-conference Lunch – Lunch symposiums and Lunch – Lunch symposiums Lunch – Join the Networks delegates only Join the Networks and Join the Networks 13:30 – 17:00 13:15 - 14:15 13:40 - 14:40 14:10 - 15:10 Pre-conferences Plenary 2 Plenary 4 Plenary 5 14:25 – 15:25 14:50-15:50 15:10 – 16:00 Parallel sessions 2 Parallel sessions 6 Closing Ceremony Winds of Change: towards new ways Building bridges for solidarity 15:00 – 15:30 15:25 – 15:55 15:50 – 16:20 of improving public health in Europe and public health Coffee/tea Coffee/tea Coffee/tea 17:00 16:05 – 17:05 16:20 - 17:50 28 November - 1 December 2018 20 - 23 November 2019 End of Programme Parallel sessions 3 Parallel sessions 7 Cankarjev Dom, Ljubljana Marseille Chanot, Marseille 17:15 - 18:00 Opening Ceremony @EPHConference #EPH2018
    [Show full text]
  • O Arqueólogo Português Série V
    © DISTRIBUIÇÃO GRATUITA. NÃO É PERMITIDA A COMERCIALIZAÇÃO. © DISTRIBUIÇÃO GRATUITA. NÃO É PERMITIDA A COMERCIALIZAÇÃO. revista_OAP_10.indd 1 31/03/2017 00:40 Revista fundada em 1895 por José Leite de Vasconcelos © DISTRIBUIÇÃO GRATUITA. NÃO É PERMITIDA A COMERCIALIZAÇÃO. revista_OAP_10.indd 2 31/03/2017 00:40 Revista fundada em 1895 por José Leite de Vasconcelos © DISTRIBUIÇÃO GRATUITA. NÃO É PERMITIDA A COMERCIALIZAÇÃO. revista_OAP_10.indd 3 31/03/2017 00:40 SÉRIE V . VOLUME 4/5 MUSEU NACIONAL DE ARQUEOLOGIA IMPRENSA NACIONAL LISBOA, 2014-2015 © DISTRIBUIÇÃO GRATUITA. NÃO É PERMITIDA A COMERCIALIZAÇÃO. revista_OAP_10.indd 4 31/03/2017 00:40 SÉRIE V . VOLUME 4/5 MUSEU NACIONAL DE ARQUEOLOGIA IMPRENSA NACIONAL LISBOA, 2014-2015 © DISTRIBUIÇÃO GRATUITA. NÃO É PERMITIDA A COMERCIALIZAÇÃO. revista_OAP_10.indd 5 31/03/2017 00:40 DIRETOR António Carvalho COORDENAÇÃO Ana Ávila de Melo Lívia Cristina Coito CONSELHO EDITORIAL Prof. Doutor Armando Coelho F. da Silva – Universidade do Porto Prof. Doutor João Luís Cardoso – Universidade Aberta Prof. Doutor José d’Encarnação – Universidade de Coimbra Dr. Luís Raposo – Museu Nacional de Arqueologia Prof. Doutor Nuno Bicho – Universidade do Algarve Prof.ª Doutora Rosa Varela Gomes – Universidade Nova de Lisboa Prof. Doutor Victor S. Gonçalves – Universidade de Lisboa DESIGN GRÁFICO Artlandia PAGINAÇÃO Undo PRÉ -IMPRESSÃO E IMPRESSÃO Imprensa Nacional -Casa da Moeda TIRAGEM 1000 exemplares Impresso em abril de 2017 Periodicidade anual ISSN 0870 -094X Depósito legal n.º 3161/83 Solicita-se permuta – On prie l’échange – Exchange wanted – Tauschverkehr erwunscht – Sollicitiamo scambio As opiniões expressas em texto e imagens são da exclusiva responsabilidade dos seus respetivos autores, salvo quando devidamente assinalado.
    [Show full text]
  • Gender Transformations
    Edited by: JULIA KATHARINA KOCH, WIEBKE KIRLEIS GENDER TRANSFORMATIONS in Prehistoric and Archaic Societies This is a free offprint – as with all our publications the entire book is freely accessible on our website, and is available in print or as PDF e-book. www.sidestone.com Edited by: JULIA KATHARINA KOCH, WIEBKE KIRLEIS GENDER TRANSFORMATIONS in Prehistoric and Archaic Societies Scales of Transformation I 06 © 2019 Individual authors Published by Sidestone Press, Leiden www.sidestone.com Imprint: Sidestone Press Academics All articles in this publication have peen peer-reviewed. For more information see www.sidestone.nl Layout & cover design: CRC 1266/Carsten Reckweg and Sidestone Press Cover images: Carsten Reckweg. – In the background a photo of the CRC1266-excavation of a Bronze Age burial mound near Bornhöved (LA117), Kr. Segeberg, Germany, in summer/autumn 2018. The leadership was taken over by 2 women, the team also included 10 women and 11 men, of whom the female staff were present for a total of 372 days and the male for 274 days. Text editors: Julia Katharina Koch and Suzanne Needs-Howarth ISSN 2590-1222 ISBN 978-90-8890-821-7 (softcover) ISBN 978-90-8890-822-4 (hardcover) ISBN 978-90-8890-823-1 (PDF e-book) The STPAS publications originate from or are involved with the Collaborative Research Centre 1266, which is funded by the Deutsche Forschungsgemeinschaft (DFG, German Research Foundation; Projektnummer 2901391021 – SFB 1266). Preface of the series editors With this book series, the Collaborative Research Centre Scales of Transformation: Human-Environmental Interaction in Prehistoric and Archaic Societies (CRC 1266) at Kiel University enables the bundled presentation of current research outcomes of the multiple aspects of socio-environmental transformations in ancient societies.
    [Show full text]
  • National Health Plan 2012-2016
    National Health Plan 2012-2016 Summarised Version (May 2013) National Health Plan 2012-2016 TABLE OF CONTENTS CONTENTS OF BOXES, FIGURES AND TABLES ........................................................................................ 4 TECHNICAL INFORMATION .................................................................................................................... 5 RECEIVED CONTRIBUTIONS ................................................................................................................... 9 ABBREVIATIONS AND ACRONYMS ...................................................................................................... 14 EXPLANATORY NOTE ........................................................................................................................... 17 PREFACE BY THE MINISTRY OF HEALTH .............................................................................................. 18 MESSAGE FROM THE DIRECTOR-GENERAL OF HEALTH ...................................................................... 20 1. FRAMEWORK OF THE NATIONAL HEALTH PLAN ............................................................................ 22 1.1. Foreword ................................................................................................................................... 22 1.2. Vision of the NHP ...................................................................................................................... 23 1.3. Mission of the NHP ..................................................................................................................
    [Show full text]
  • Improving Healthcare Delivery in Hospitals by Optimized Utilization of Medicines a Study Into 8 European Countries
    Improving healthcare delivery in hospitals by optimized utilization of medicines A study into 8 European countries Commissioned by Medicines for Europe KPMG Advisory N.V. © 2019 KPMG Advisory N.V., a Dutch limited liability company, is a member firm of the KPMG network of independent member firms affiliated with KPMG International Cooperative (‘KPMG International’), a Swiss entity. All rights reserved. Document classification: KPMG Public Improving healthcare delivery in hospitals by optimized utilization of medicines KPMG Advisory N.V. Contents 1 Management Summary 3 2 Introduction 25 2.1 Scope of study 26 2.2 Overall project approach 26 2.3 Outline of this document and reading guide 27 3 Hospital Financing Systems 28 3.1 Belgium 28 3.2 France 34 3.3 Germany 40 3.4 Italy 45 3.5 Poland 49 3.6 Portugal 54 3.7 Spain 60 3.8 The United Kingdom 66 4 Hospital system performance 70 4.1 Conceptual framework 70 4.2 Quality of hospital care 72 4.3 Cost of hospital care 73 4.4 Comparison of hospital system performance 75 5 Enabler and Barriers for generic and biosimilar medicine access in the hospital setting 76 5.1 Belgium 76 5.2 France 81 5.3 Germany 87 5.4 Italy 90 5.5 Poland 95 5.6 Portugal 98 5.7 Spain 101 5.8 The United Kingdom 105 6 Urge to improve the hospital environment to increase the utilization of generic and biosimilar medicines 109 6.1 Differences between countries in the utilization of generic and biosimilar medicines in hospitals 110 6.2 Decrease in market competiveness due to manufacturers abandoning the market 112 i Improving healthcare delivery in hospitals by optimized utilization of medicines KPMG Advisory N.V.
    [Show full text]
  • Access to Healthcare in Portugal for EU Nationals
    b50 FISCAL & EXPATRIATE SERVICES Access to Healthcare in Portugal for EU Nationals If you are in receipt of a Social Security Pension or long term Incapacity Benefit and you decide to move to Portugal permanently, ask for your S1 (previously E121) from your Social Security office or, in the case of UK nationals, the International Pension Centre (IPC) in Newcastle. Once registered with the Portuguese authorities, the S1 gives you and your dependants the same medical cover in Portugal as a Portuguese national under the Portuguese national health scheme. This cover may not be the same as you received before so you may have to pay for some treatments or services. Remember that: • you will be charged a nominal fee for a state GP consultation; • you will have to pay a contribution towards the cost of any medicines and/or medical exams you may need, such as x-rays, scans, blood tests; • spectacles are not available free-of-charge; • treatment given privately and repatriation costs to the UK are not covered. Think about whether you want to take out private health insurance; • some social services may not be available. Registering with the authorities for Healthcare In order to register for healthcare and obtain a health card (Cartão de Utente), take your S1 and your identification to your local health centre (Centro da Saúde) or nearest Loja do Cidadão. They will keep both copies of your S1 and issue you with a provisional certificate to allow you to access the Portuguese state-run health system immediately. Your health card will be sent to you later by post.
    [Show full text]