30,254 research outputs found

    CIS-based registration of quality of life in a single source approach

    Get PDF
    Background: Documenting quality of life (QoL) in routine medical care and using it both for treatment and for clinical research is not common, although such information is absolutely valuable for physicians and patients alike. We therefore aimed at developing an efficient method to integrate quality of life information into the clinical information system (CIS) and thus make it available for clinical care and secondary use. Methods: We piloted our method in three different medical departments, using five different QoL questionnaires. In this setting we used structured interviews and onsite observations to perform workflow and form analyses. The forms and pertinent data reports were implemented using the integrated tools of the local CIS. A web-based application for mobile devices was developed based on XML schemata to facilitate data import into the CIS. Data exports of the CIS were analysed with statistical software to perform an analysis of data quality. Results: The quality of life questionnaires are now regularly documented by patients and physicians. The resulting data is available in the Electronic Health Record (EHR) and can be used for treatment purposes and communication as well as research functionalities. The completion of questionnaires by the patients themselves using a mobile device (iPad) and the import of the respective data into the CIS forms were successfully tested in a pilot installation. The quality of data is rendered high by the use of automatic score calculations as well as the automatic creation of forms for follow-up documentation. The QoL data was exported to research databases for use in scientific analysis. Conclusion: The CIS-based QoL is technically feasible, clinically accepted and provides an excellent quality of data for medical treatment and clinical research. Our approach with a commercial CIS and the web-based application is transferable to other sites

    Global estimation of child mortality using a Bayesian B-spline Bias-reduction model

    Full text link
    Estimates of the under-five mortality rate (U5MR) are used to track progress in reducing child mortality and to evaluate countries' performance related to Millennium Development Goal 4. However, for the great majority of developing countries without well-functioning vital registration systems, estimating the U5MR is challenging due to limited data availability and data quality issues. We describe a Bayesian penalized B-spline regression model for assessing levels and trends in the U5MR for all countries in the world, whereby biases in data series are estimated through the inclusion of a multilevel model to improve upon the limitations of current methods. B-spline smoothing parameters are also estimated through a multilevel model. Improved spline extrapolations are obtained through logarithmic pooling of the posterior predictive distribution of country-specific changes in spline coefficients with observed changes on the global level. The proposed model is able to flexibly capture changes in U5MR over time, gives point estimates and credible intervals reflecting potential biases in data series and performs reasonably well in out-of-sample validation exercises. It has been accepted by the United Nations Inter-agency Group for Child Mortality Estimation to generate estimates for all member countries.Comment: Published in at http://dx.doi.org/10.1214/14-AOAS768 the Annals of Applied Statistics (http://www.imstat.org/aoas/) by the Institute of Mathematical Statistics (http://www.imstat.org

    Non-specialist health worker interventions for mental health care in low- and middle- income countries.

    Get PDF
    This is the protocol for a review and there is no abstract. The objectives are as follows: OVERALL OBJECTIVE: In order to assess the impact of delivery by non-specialist health workers (NSHWs) and other professionals with health roles (OPHRs) on the effectiveness of mental healthcare interventions in low- and middle- income countries (LMICs), we will specifically analyse the effectiveness of NSHWs and OPHRS in delivering acute mental health interventions; as well as the effectiveness of NSHWs and OPHRs in delivering long term follow-up and rehabilitation for people with mental disorders; and the effect of the detection of mental disorders by NSHWs and OPHRs on patient and health delivery outcomes. For each of these objectives we will examine the current evidence for the impact of delivery by NSHWs and OPHRs on the resource use and costs associated with mental healthcare provision in LMICs

    Inequality and poverty in the CIS-7, 1989-2002

    No full text
    This paper examines the impact of a decade of transition on the living standards of people living in seven of the poorest Republics of the former Soviet Union – Armenia, Azerbaijan, Georgia, Kyrgyzstan, Moldova, Tajikistan, and Uzbekistan (known as the CIS-7). Data are drawn from a wide variety of sources, providing a comprehensive overview of household and individual welfare within the region. The picture painted is a bleak one, with rising income inequality, high levels of material poverty, and deterioration in health status and in access to health and education services. However, there are now the green shoots of economic recovery. Since 2000 all countries have experienced positive economic growth. The challenge for policy makers is to ensure that the benefits of this growth are shared equally amongst the population and that human capabilities are protected and strengthened

    Making Social Work Work: Improving social work for vulnerable families and children without parental care around the world: A literature review

    Get PDF
    This literature review calls for families and children in developing countries to be supported in ways that are appropriate to the conditions, culture and resources available rather than through approaches to social work that are common in the west. Children living without, or at risk of losing, parental care have wide and varied needs, this paper highlights the need for more thorough assessments of appropriate approaches, functions and support needs for social workers, and suggests elements of an assessment tool to explore these issues. This paper is the first part of a longer process for developing such an assessment tool, and plans are underway to further develop and test the tool in 2012.- See more at: http://www.everychild.org.uk/resources/reports-policies/making-social-work-work#sthash.4EF6qnzc.dpu

    A Decade of Transition

    Get PDF
    The MONEE project Regional Monitoring Report of the UNICEF Innocenti Research Centre is a unique source of information on the social side of the transition taking place in the 27 countries of Central and Eastern Europe and the Commonwealth of Independent States. Each year’s Report contains an update on the social and economic changes affecting people in the region and includes a wealth of data in a detailed Statistical Annex. The present Report provides a review of the first 10 years of transition, exploiting the fact that data are now available on many issues that cover the entire 1990s. The core chapters examine the record of the decade in four key areas affecting human welfare: income inequality and child poverty, health, education, and child protection. An introductory chapter analyses key economic and demographic trends. In each case, the Report summarizes developments to the end of the decade, discussing both the outcomes measured with statistical data and the policy options.economic monitoring; economic transition; educational policy; health; juvenile justice;Baltic States; Central Europe; Eastern Europe; Russia;

    Fostering growth in CEE countries: a country-tailored approach to growth policy

    Get PDF
    This paper analyses the long term growth experiences of the eastern European accession countries and the effect of various tailored growth policies. We find that there are two overarching growth-enhancing policies that can substantially increase long-term growth: competition and the quality of education. We find empirical evidence that if accession countries from the transition region want to achieve – and sustain – higher growth rates they will need to ensure competition by continuing to remove entry and trade barriers and by strengthening competition agencies. We also find evidence on the positive long-run impact of quality of education on growth, and hence the high return on public investment in education, particularly at the primary and secondary level. The private sector’s role in overcoming skill mismatches will benefit from deepening financial intermediation and reducing constraints in access to finance.

    Russian Migration Policy and Its Impact on Human Development

    Get PDF
    For Russia, migration policy – in terms of internal or/and international migration flows management – was an ever-important element of the State activities. Concentrated on State interests, the policy also resulted in human development. The paper presents a historical overview of the Soviet and Russian migration policies with special emphases on the impact on human development and the driving forces behind the changing policies. The Soviet period can be characterized as contradiction between strict limitations on the freedom of movement provided by the propiska system, and large-scale population movements, both voluntary and involuntary, that were inspired by economic and administrative policy measures to meet labor demand of an industrializing economy. In the post-Soviet period, international migration is the major focus of the Russian migration policy. The Russian Federation is the major receiving country in the vast former USSR territory. The evolution of Russian migration policy in the post- Soviet period is a good example for getting a better understanding of how the everlasting conflict between the need for additional human resources and anti-immigrant public moods (typical of all receiving countries), combined with the opportunistic considerations of political elites, that hampers the elaboration of a reasonable long-term migration strategy. Russian migration policy has been drifting from a relatively open immigration regulation based on a laissez faire approach in the early 1990s to restrictive immigration laws in the early 2000s and to an ‘open door’ migration policy in respect to CIS citizens in 2007.Human development, internal migration, international migration, migration policy, Russia
    • 

    corecore