Suchergebnisse

PurposeBrazil has the second-biggest transplant system in the world. The organ donation rates, however, are still low. To persuade the population towards the theme, media interventions are broadcast regularly. This article analyses how media intervention in the form of advertising campaigns, telenovelas, and news can raise the rates of organ donations in Brazil.Design/methodology/approachWe obtained data from the Brazilian Association for Organ Transplantation (ABTO), the Brazilian Health Ministry (HM), the Brazilian Institute for Geography and Statistics (IBGE), Globoplay, and other media sources to build a panel with quarterly data from 2009 to 2019, by state. Then we used fixed-effect panel regression models with healthcare supply and demographics as control variables to ascertain the effect of the media variable on organ donations during this period.FindingsThe results indicate that media interventions can increase the number of effective organ donors by up to 1%. The coefficient of media interventions is significant and positive for telenovelas (95% C.I 0.156–0.164), and for news in the following quarter (95% C.I 0.108–0.232), not significant individually for contemporaneous news or government advertising campaigns.Social implicationsTelenovelas and news presentations are effective tools of awareness for organ donation. Empirically, media interventions in the form of telenovelas or news impact organ donation as much as improvements in the healthcare system and can diminish the mortality on the waiting list by 17%.Originality/valueThis is the first time that media coverage and organ donation campaigns are evaluated together using panel data analysis in Brazil.Peer reviewThe peer review history for this article is available at: https://publons.com/publon/10.1108/IJSE-03-2023-0221

Introduction: In Portugal, a reform to implement Long-term mental health care (LTMHC) started in 2017 allowing patients with severe mental illness receiving psychosocial rehabilitation to regain their autonomy and be reintegrated into their communities. Aim: To describe the first steps of the Portuguese LTMHC implementation and to assess the relationship between the LTMHC's demand (referrals) and supply (vacancies and occupancy). Methods: We conducted a national retrospective observational study to analyse the LTMHC referrals, vacancies and occupancy between mid-2017 (LTMHC establishment) and December 2022. We described and analysed the associated indicators through time and geography, as well as performed a simultaneous regression model to evaluate the relationship between supply and demand. Results: There were 1,192 referrals to the LTMHC, of which 99 (8.3%) were made for childhood and adolescence structures. The maximum support residence (RAMa, 'Residência de apoio máximo'), designed for patients with higher disabilities, had the highest number of referrals. Additionally, since the opening of vacancies in different institutions, residential structures became quickly saturated. On the other hand, domiciliary services were those with the lowest occupancy. Our estimates support that the vacancies (supply) are induced by the referrals (demand), and referrals are also related to the location of LTMHC facilities. Conclusion: LTMHC is still in the initial stage of development in Portugal, and it is expected to receive financial support through the Recovery and Resilience Programme. According to the occupancy rates and referrals made, residential structures seem to be a priority, being also important to explore the partial use of domiciliary services. The geographical distribution of vacancies can also be a concern, considering the important proximity to the community in LTMHC.