Circulatory Disease in the NHS: Measuring Trends in Hospital Costs and Output

Following the publication of the Atkinson Review of the measurement of government outputs in the National Accounts, there has been great interest in measuring the productivity growth of the National Health Service. Such macro measures of productivity are important when deciding how much public money to devote to the NHS, and in holding the NHS to account. However, it is also important to gain an understanding of the productivity of individual programmes of care, so as to ensure that resources are allocated efficiently within the NHS. Hitherto, such information has not been available. This report is an exploratory study of the feasibility and usefulness of developing measures of growth in outputs, costs and productivity of a single programme of care within the NHS: hospital treatment of circulatory diseases.

Exploring the impact of public services on quality of life indicators

The fundamental aim of public services is to improve the quality of life of citizens. The main objective of this study was to investigate the influence of public service organisations (PSOs) on aspects of quality of life (broadly measured) of citizens at a local level. We assembled a rich database using 20 of the 45 quality of life measures developed by the Audit Commission. Those we selected covered broad areas of quality of life such as safety, housing, health, education, and transport and were available at ‘small area’ level. We used a range of advanced statistical methods to analyse the relationships between PSOs and quality of life measures at different hierarchical levels. The techniques were selected to be robust when making comparisons between levels and when looking at associations between quality of life measures. Our descriptive analyses (bivariate correlations, factor analysis and ANOVA) suggested overall some significant correlations between some of the quality of life variables. The SUR model results also indicated that the quality of life indicators are correlated, and therefore that we should look at these measures in a joint modelling approach such as MVML, as envisaged in the study objectives.

Regional variation in the productivity of the English National Health Service

At a time when there are severe pressures on reducing public spending there is increasing emphasis on determining which parts of the country secure best value for money in the NHS. By linking together large scale and routinely collected datasets we produce and compare productivity estimates across the ten Strategic Health Authorities in England in 2007/08.

The genus Echinofabricia (Annelida: Fabriciidae) in the Mediterranean Sea with the description of E. rousei sp. nov.

The new species Echinofabricia rousei is described for the Mediterranean Sea based on specimens collected along the Sardinia Coast (Porto Conte). The genus Echinofabricia is reported for the first time in the Mediterranean area. At present three species are described within the genus: E. goodhartzorum, described from the Caribbean, E. dubia, described from the East Pacific (Hawaii) and E. alata from Australia

Measurement of Health system performance

EThOS - Electronic Theses Online ServiceGBUnited Kingdo

Unravelling the mental health productivity puzzle : where do we start?

In this editorial we define 'productivity' and 'efficiency' in a mental health service context, outlining the key challenges to measuring these in practice. We attempt to bring clarity of thought to this often debated, but rarely researched area

Productivity of the English National Health Service : 2017/18 update

This report updates the Centre for Health Economics’ time-series of National Health Service (NHS) productivity growth for the period 2016/17 to 2017/18. NHS productivity growth is measured by comparing the growth in outputs produced by the NHS to the growth in inputs used to produce them. NHS outputs include all the activities undertaken for NHS patients wherever they are treated in England. It also accounts for changes in the quality of care provided to those patients. NHS inputs include the number of doctors, nurses and support staff providing care, the equipment and clinical supplies used, and the facilities of hospitals and other premises where care is provided

MENTES CONFLITUOSAS

Este artigo se refere à reflexão dos conflitos mentais de um rapaz, que assassinou um líder e seu filho, de uma seita religiosa onde era adepto, o Santo Daime, culto surgido em solo brasileiro, no início do século XX, fundado por Raimundo Irineu Serra, que reúne elementos cristãos, da tradição espírita européia, indígenas e africanos, e que conta com a ingestão de uma bebida feita a partir dos mesmos elementos constituintes da ayahuasca, bebida sagrada utilizada pelos incas. This article refers to the reflection of the mental conflicts of a boy who killed a leader and his son, a religious sect where he was adept, the Santo Daime cult emerged on Brazilian soil in the early twentieth century, founded by Irineu Serra, which includes Christian elements, the European spirit of tradition, Indians and Africans, and that includes the ingestion of a beverage made from the same constituents of ayahuasca, a sacred drink used by the Incas. Palavras-chave. Dependência toxicológica. Perturbações psicológicas. Estranhos rituais religiosos

Response to COVID-19: was Italy (un)prepared?

On 31st January 2020, the Italian cabinet declared a 6-month national emergency after the detection of the first two COVID-19 positive cases in Rome, two Chinese tourists travelling from Wuhan. Between then and the total lockdown introduced on 22nd March 2020 Italy was hit by an unprecedented crisis. In addition to being the first European country to be heavily swept by the COVID-19 pandemic, Italy was the first to introduce stringent lockdown measures. The SARS-CoV-2 outbreak and related COVID-19 pandemic have been the worst public health challenge endured in recent history by Italy. Two months since the beginning of the first wave, the estimated excess deaths in Lombardy, the hardest hit region in the country, reached a peak of more than 23,000 deaths. The extraordinary pressures exerted on the Italian Servizio Sanitario Nazionale (SSN) inevitably leads to questions about its preparedness and the appropriateness and effectiveness of responses implemented at both national and regional levels. The aim of the paper is to critically review the Italian response to the COVID-19 crisis spanning from the first early acute phases of the emergency (March-May 2020) to the relative stability of the epidemiological situation just before the second outbreak in October 2020