Suchergebnisse

The US needs at least 25,000 more doctors than it now has. Instead of graduating 7,000 doctors a yr as we now do, we should graduate 10,000 if we mean to keep the gap between need & supply from growing even larger. Our medical Sch's do not have room for all of the qualified applicants. In addition, there are geographic & ethnic quotas. The 1st real break in the quota system came during WWII under the influence of the general discredit into which anything smacking of official discrimination had fallen. By dint of publicity & pressure the quota system in medical Sch's has gone underground. Jews & Italian Cath's are discriminated against in admissions practices but there is evidence that special consideration is given Negro applicants. The traditional Jewish interest in medicine is now beginning to show signs of flagging as discrimination against Jews in such fields as engineering & industry relaxes. A likely result of the increased competition for admission to medical Sch which is expected by 1965 will be the further tightening of restrictive admission policies through residential, ethnic & religious quotas. J. A. Fish-.

Cover title. ; Includes bibliographical references. ; Mode of access: Internet.

Introduction: vaccination is one of the most important public health tools ever developed. Its effectiveness is underpinned by the respect of the vaccination calendar. In recent years, the existence of vaccine delays has been demonstrated. In a context of recasting of the French vaccination policy, to study its characteristics seemed necessary. The main objective was to analyze the reasons for vaccine delays advanced by parents of children from 2 months to 6 years of age, followed by primary health care physicians from Gironde since January 2013. Method:aA observational cross-sectional qualitative study by 12 semi-directed interviews, conducted between June and November 2017, was conducted. Axial and open coding was performed using the Nvivo software according to the grounded theory method. Results: five reasons for vaccine delays were cited lack of interest and forgetfulness, shortages and supply tensions, impossibility to advance costs, intercurrent events and finally hesitation. The parents interviewed did not always have a good understanding of the pathophysiology of vaccine-preventable diseases and the functioning of vaccines and expressed increasing doubts about the orientation of the benefit / risk balance. In a climate of mistrust of industries and health authorities, where general practitioners were still cited as a trusted person, the issues of immunization effectiveness and safety were of prime concern. Conclusion: it seems necessary, facing the rising hesitation and the strong demand for information and transparency, to strengthen communication with the public but also the doctor / patient relationship. The implementation of the immunization obligation for 11 valences constitutes the immediate stake of the French vaccination policy and will have to be evaluated. ; Introduction : la vaccination est un des outils de santé publique les plus importants jamais mis au point. Son efficacité est sous-tendue au respect du calendrier vaccinal. Ces dernières années, l'existence de retards vaccinaux a été démontrée. Dans un contexte de refonte de la politique vaccinale française, en étudier les caractéristiques, semblait nécessaire. L'objectif principal était donc d'analyser les raisons des retards vaccinaux avancés par les parents d'enfants de 2 mois à 6 ans, suivis par des médecins de premier recours de Gironde depuis janvier 2013. Méthode : une étude observationnelle transversale qualitative par 12 entretiens semi dirigés, menés entre juin et novembre 2017, a été réalisée. Un codage axial et ouvert a ensuite été effectué à l'aide du logiciel Nvivo selon la méthode de théorisation ancrée. Résultats : cinq raisons de retards vaccinaux ont été citées : manque d'intérêt et oublis, pénuries et tensions d'approvisionnement, impossibilité d'avancer les frais, événements intercurrents et finalement hésitation. Les parents interrogés n'avaient pas toujours une bonne compréhension de la physiopathologie des maladies à prévention vaccinale et du fonctionnement des vaccins et exprimaient des doutes croissants concernant l'orientation de la balance bénéfice / risque. Dans un climat de défiance par rapport aux industries et aux autorités de santé où le médecin traitant était toutefois encore cité comme personne de confiance, les questions de l'efficacité et de la sécurité de la vaccination étaient des préoccupations de premier ordre. Conclusion : il paraît nécessaire, devant la progression des hésitations et la forte demande d'information et de transparence, de renforcer la communication auprès du grand public mais aussi la relation médecin/patient au cabinet, concernant la vaccination en France. La mise en place de l'obligation vaccinale pour 11 valences constitue l'enjeu immédiat de la politique vaccinale française et devra être évaluée.

Government Regulations have the power to effect patient care. To understand the implications of nationwide healthcare regulation in the United States, the Balanced Budget Act of 1997 was thoroughly examined. This analysis focused on the changes in reimbursement available to hospitals, licensed bed counts, and physician employment in the years following 1997. The key implication of this research for public health practice is even though many health programs are funded utilizing a top-down approach, the variation in health status due to socio-demographic and environmental factors at the local level must be considered.

This book addresses the mobility of physicians in the Mediterranean region within a global context, focusing on the role mobility has played in the global health system in both developed and developing economies.

Preface and acknowledgements -- Introduction -- Part I: The emergence of the Polish-Jewish intellectual: Chapter 1. A new elite -- Chapter 2. From Krewo to Warsaw: the formative years -- Part II: With or without a stethoscope, Between the two world wars -- Chapter 3. In the new Polish Republic -- Chapter 4. New state, New life: 1923-1935 -- Chapter 5. Between Here and there: The first Jewish physicians' congress in Palestine -- Chapter 6. Years of disillusionment, 1936-1939 -- Part III: Unfinished symphony -- Chapter 7. Death watches me from all sides: 1939-1943 -- Chapter 8. Conclusions -- Appendix: the fate of the Milejkowski family -- Bibliography and abbreviations -- Index.

Cumberland mayor appeals to government to send physicians. Hospital areas with epidemic victims separated. 29 nurses ill at the two hospitals. 'Frostburg has been particularly free of the epidemic, there having been but one pneumonia death there. The immunity of the place is believed due to the altitude'. ; Newspaper article ; 3

Nowadays, the fight against violence against women represents a real health and social issue that is increasingly taken up by the media and politicians. Many studies have shown the essential role that health professionals can play in this fight. Particularly general practitioners who, as the main resource for victims, are often on the front line. However, few of them take on this role because it is not encouraged by health and medical institutions (lack of training, means and encouragement). Thus, the lack of preparation and awareness of physicians on this issue makes management and screening difficult, and therefore few physicians get involved. And, those who do are often isolated. In spite of this, some doctors get involved, train, screen and transmit. Who are these doctors who get involved? How and why do they get involved? What type(s) of medicine do they practice? Where does this involvement come from? How is it characterized?The aim of this study is to answer these questions and to try to establish a typology of physicians who are involved in this struggle. We are therefore interested in the reasons for the involvement of physicians and the nature of this involvement through a survey of "aware and involved" physicians in the Poitiers region. ; De nos jours la lutte contre les violences faites aux femmes représente un réel enjeu sanitaire et social dont les médias et les politiques s'emparent de plus en plus. De nombreuses études ont montré le rôle essentiel que les professionnel.les de santé peuvent jouer dans cette lutte. Particulièrement les médecins généralistes qui, en tant que principale ressource pour les victimes, sont souvent en première ligne. Pourtant, iels sont peu nombreux à investir ce rôle car il n'est pas encouragé par les institutions sanitaires et médicales (manques de formations, de moyens et d'encouragements). Ainsi, l'absence de préparation et de sensibilisation des médecins sur cette question rend la prise en charge et le dépistage difficiles, et donc peu de médecins s'investissent. Et, celleux qui le font sont souvent isolé.es. Malgré tout, certain.es s'impliquent, se forment, dépistent, et transmettent. Qui sont ces médecins qui s'impliquent ? Comment et pourquoi s'impliquent-iels ? Quel(s) type(s) de médecine pratiquent-iels ? D'où vient cette implication ? Comment se caractérise-t-elle ?L'enjeu de cette étude est de répondre à ces questions et tenter d'établir une typologie des médecins qui s'impliquent dans cette lutte. Il s'agit donc de s'intéresser aux raisons d'implication des médecins et au caractère même de cette implication par le biais d'une enquête réalisée auprès de médecins « sensibilisé.es et impliqué.es » de la région de Poitiers.

Nowadays, the fight against violence against women represents a real health and social issue that is increasingly taken up by the media and politicians. Many studies have shown the essential role that health professionals can play in this fight. Particularly general practitioners who, as the main resource for victims, are often on the front line. However, few of them take on this role because it is not encouraged by health and medical institutions (lack of training, means and encouragement). Thus, the lack of preparation and awareness of physicians on this issue makes management and screening difficult, and therefore few physicians get involved. And, those who do are often isolated. In spite of this, some doctors get involved, train, screen and transmit. Who are these doctors who get involved? How and why do they get involved? What type(s) of medicine do they practice? Where does this involvement come from? How is it characterized?The aim of this study is to answer these questions and to try to establish a typology of physicians who are involved in this struggle. We are therefore interested in the reasons for the involvement of physicians and the nature of this involvement through a survey of "aware and involved" physicians in the Poitiers region. ; De nos jours la lutte contre les violences faites aux femmes représente un réel enjeu sanitaire et social dont les médias et les politiques s'emparent de plus en plus. De nombreuses études ont montré le rôle essentiel que les professionnel.les de santé peuvent jouer dans cette lutte. Particulièrement les médecins généralistes qui, en tant que principale ressource pour les victimes, sont souvent en première ligne. Pourtant, iels sont peu nombreux à investir ce rôle car il n'est pas encouragé par les institutions sanitaires et médicales (manques de formations, de moyens et d'encouragements). Ainsi, l'absence de préparation et de sensibilisation des médecins sur cette question rend la prise en charge et le dépistage difficiles, et donc peu de médecins s'investissent. Et, celleux qui le font sont souvent isolé.es. Malgré tout, certain.es s'impliquent, se forment, dépistent, et transmettent. Qui sont ces médecins qui s'impliquent ? Comment et pourquoi s'impliquent-iels ? Quel(s) type(s) de médecine pratiquent-iels ? D'où vient cette implication ? Comment se caractérise-t-elle ?L'enjeu de cette étude est de répondre à ces questions et tenter d'établir une typologie des médecins qui s'impliquent dans cette lutte. Il s'agit donc de s'intéresser aux raisons d'implication des médecins et au caractère même de cette implication par le biais d'une enquête réalisée auprès de médecins « sensibilisé.es et impliqué.es » de la région de Poitiers.

Nowadays, the fight against violence against women represents a real health and social issue that is increasingly taken up by the media and politicians. Many studies have shown the essential role that health professionals can play in this fight. Particularly general practitioners who, as the main resource for victims, are often on the front line. However, few of them take on this role because it is not encouraged by health and medical institutions (lack of training, means and encouragement). Thus, the lack of preparation and awareness of physicians on this issue makes management and screening difficult, and therefore few physicians get involved. And, those who do are often isolated. In spite of this, some doctors get involved, train, screen and transmit. Who are these doctors who get involved? How and why do they get involved? What type(s) of medicine do they practice? Where does this involvement come from? How is it characterized?The aim of this study is to answer these questions and to try to establish a typology of physicians who are involved in this struggle. We are therefore interested in the reasons for the involvement of physicians and the nature of this involvement through a survey of "aware and involved" physicians in the Poitiers region. ; De nos jours la lutte contre les violences faites aux femmes représente un réel enjeu sanitaire et social dont les médias et les politiques s'emparent de plus en plus. De nombreuses études ont montré le rôle essentiel que les professionnel.les de santé peuvent jouer dans cette lutte. Particulièrement les médecins généralistes qui, en tant que principale ressource pour les victimes, sont souvent en première ligne. Pourtant, iels sont peu nombreux à investir ce rôle car il n'est pas encouragé par les institutions sanitaires et médicales (manques de formations, de moyens et d'encouragements). Ainsi, l'absence de préparation et de sensibilisation des médecins sur cette question rend la prise en charge et le dépistage difficiles, et donc peu de médecins s'investissent. Et, celleux qui le font sont souvent isolé.es. Malgré tout, certain.es s'impliquent, se forment, dépistent, et transmettent. Qui sont ces médecins qui s'impliquent ? Comment et pourquoi s'impliquent-iels ? Quel(s) type(s) de médecine pratiquent-iels ? D'où vient cette implication ? Comment se caractérise-t-elle ?L'enjeu de cette étude est de répondre à ces questions et tenter d'établir une typologie des médecins qui s'impliquent dans cette lutte. Il s'agit donc de s'intéresser aux raisons d'implication des médecins et au caractère même de cette implication par le biais d'une enquête réalisée auprès de médecins « sensibilisé.es et impliqué.es » de la région de Poitiers.

An increasing number of older persons have complex health care needs. This, along with the organizational principle of remaining at home, emphasizes the need to develop collaborations among organizations caring for older persons. A health care model developed in Sweden, the Mobile Integrated Care Model aims to promote work in teams across organizations. The aim of the study was to describe nurses' experiences in working and providing health care in the Mobile Integrated Care Model in the home with home health care physicians. Semi-structured interviews were conducted with 18 nurses and analyzed through qualitative content analysis. The method was compliant with the COREQ checklist. A mutually trusting collaboration with physicians, which formed person-centered care, created work satisfaction for the nurses. Working within the Mobile Integrated Care Model was negatively impacted by being employed by different organizations, lack of time to provide health care, and physicians' person-centered work abilities. ; CC BY 4.0 Corresponding author: Lina Hovlin, School of Health Sciences, University of Skövde, P.O. Box 408, SE-541 28 Skövde, Sweden. Email: lina.hovlin@his.se Article first published online: December 21, 2021 The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This study was supported by a grant from The Kamprad Family Foundation for Entrepreneurship, Research & Charity in Sweden (20190175). It was also supported by the School of Health Sciences, University of Skövde, Sweden; the Skaraborg Institute for Research and Development; The foundation in memory of Gösta Svensson.

This book details ethnic differences in assisted reproductive technology and sheds light on contributing factors. It addresses medical, socio-economic, behavioral, and cultural differences that physicians should keep in mind when treating infertility .