Suchergebnisse

#Background The aim of this study was to assess the bibliometric output related to health economics from 2000 to 2020. #Methods Published papers that were indexed in Pubmed were enumerated and later stratified by regions. #Results A declining publication trend was observed, with the most articles recorded in 2015, followed by a steady decline ever since. From 2015 to 2020, as many as 42 thousand articles less was published compared to the projected trend of growth recorded from 2000 to 2015. This decline was the strongest for articles related to Europe and the Americas, while articles related to Africa, Asia, and Australia were rising. #Conclusions A steady decline of health economics research output was observed during the past five years, which was to a degree negated by the rising output from the low- and middle-income countries.

Quarantine, isolation, curfew, certificate… Although these words have become popular in 2020 and 2021, they are not new. If you had been around in the Republic of Ragusa, today's Dubrovnik and the surrounding districts in Croatia, in the 14th and 15th century you would have heard them being used on a daily basis. In 1348, the city was severely affected by the plague, which might have killed as much as two thirds of the city population (1). In response to this and other epidemics, numerous counter-mechanisms have been developed. The Republic had a small population that it was determined to protect. The political ideals of liberty, prosperity, stability, longevity, and social tolerance strongly affected the goal of health care for all (2). One of the first European hospices for the poor (Hospedal del comun, per beneficio dei poveri amalati), was founded in 1347, while the earliest recorded Health Office was founded in 1390. The Republic was also among the first to employ and pay physicians, probably as early as 1280 (medicus salariatus); this meant that all citizens had free and fair access to health care and it effectively abolished the traditional payment to a physician – a chicken (3). The Republic was at the forefront of wholly understanding the inseparable link between population health and economy.

Aims To investigate the association between socioeconomic status and psychological distress measured by the General health questionnaire (GHQ-30) with all-cause mortality, cardiovascular mortality and cancer mortality on the Croatian island of Vis. Methods This population-based cohort consisted of 1,025 subjects (426 men and 599 women), who were followed up for 18 years or a total of 5.8 million days. The causes of death were extracted from the Croatian National Institute of Public Health database. We calculated the adjusted hazard ratios, with subjective material status, years of schooling and a composite household material status used as estimates of socioeconomic status. Results There were 279 cases of death (27.2%). Socioeconomic status and psychological distress did not predict either the specific or the all-cause mortality risk. In addition, the interaction between socioeconomic variables and psychological distress also did not yield a significant hazard ratio in all three instances (all-cause, cardiovascular or tumour mortality). Conclusions These results confirm previous reports of the high level of social equality in the population of the island of Vis. Small and isolated communities may experience a lesser extent of social inequalities in health.