bluuebunny/crossref_metadata_2025_split huggingface dataset:
Assessment of State of Health and Healthcare Expenditure by Single-Person Households
Authors: Tur-Sinai A , Magnezi R , Grinvald-Fogel H 
Published: November 2019

Abstract

Background
The latest statistics on household size in the EU show that in 2017 around one third of households in the EU comprised single adults without children. The study documents a direct relationship between individuals’ health and patterns of healthcare expenditure by isolating single-person households and creating a new reference group in which household healthcare expenditure is based on one person’s expenditure patterns in accordance with his or her own state of health.

Methods
The study matched two surveys using Propensity Score Matching based on single-person household, age, and gender. Structural Equation Modeling (SEM) explores paths of relation between the population’s income and socioeconomic level and its health self-assessment and expenditure.

Results
Single-person households’ health expenditure increases with age and the differences in most expenditure categories are significant. The current study looks into the direct and indirect effects of income, gender, and SES on health insurance and other out-of-pocket health expenses among single-person households. A direct link exists between income, gender, and socioeconomic status (SES) and several aspects of health expenditure, depending on the specific age group. The indirect effects are attested via health status assessment, in which a negative correlation is found between self-assessed health status and various health-expenditure categories.

Conclusions
The last-mentioned result may support the general perception that single-person households who feel that they are doing better than their near-equals enjoy better health. This line of inquiry yields a better examination of how a single-person household’s state of health affects expenditure patterns without assuming ab initio that expenditure patterns attest to state of health.

Key messages
Healthcare system and policymakers have to be mindful of the profile of single-person households and should ensure to examine these households’ patterns of healthcare expenditure as a function of age. Policymakers should seek alternative sources of funding for the single-person households’ health-insurance outlays and should examine alternative ways of restraining their expenditure on dental care.
Balanced Scorecard for performance assessment in healthcare settings: a review of literature
Authors: Cacciatore P , Kannengiesser P , Carini E , Di Pilla A , Pezzullo A M , Hoxhaj I , Gabutti I , Cicchetti A , Boccia S , Specchia M L 
Published: November 2019

Abstract

Background
The Balanced-Scorecard (BSC) is a management tool developed in the early 1990s to balance the impact of financial and non-financial parameters and analyse the organisational performance in private companies according to four determinants. The original BSC has spread to different sectors in the last decades, including healthcare services, in numerous amended versions. The aim of our project was to identify potential indicators of BSC for performance evaluation in general hospitals.

Methods
We performed a systematic review of literature on Pubmed and Web of Science using the search string “balanced scorecard AND healthcare AND indicators”. We found 102 papers; 80 papers were removed for irrelevance, absence of full text or performance indicators. We only considered articles that followed the classic structure of BSC (Customer, Internal Processes, Financial, and Learning and Growth). The indicators listed in them were classified according to the four determinants of organisational performance.

Results
Eight articles out of 22 followed the classic structure of the BSC. The most represented category was Internal Processes (59 indicators), followed by Learning and Growth (52), Customer (40) and Financial (33). The number of common/overlapping indicators was low (5 for Internal Processes and 4 for the three other categories).

Conclusions
While BSC has spread to different settings, the list of indicators used in the classic four determinants for performance evaluation is heterogeneous. While common points can be identified between indicators, our review highlighted that every BSC is developed in a unique way which makes it difficult to identify a general framework adaptable to different hospital settings.

Key messages
The use of the Balanced Scorecard as management tool has spread to healthcare settings in the last decade. Indicators in BSC for healthcare settings are heterogeneous and only a limited number follow the standard structure of BSC.
The satisfaction of the new competencies and roles of nurses in Kazakhstan
Authors: Bekbergenova Z , Baigozhina Z , Umbetzhanova A , Kabdullina G , Abdrakhmanova A , Koikov V 
Published: November 2019

Abstract

Background
When interviewing nursing specialists of the Republic of Kazakhstan (RK) about the level of satisfaction with the prospects of the profession with the participation of 9039 nurses, 71% of whom believe that nurses should be given special status. To study the satisfaction of the new competencies and roles of nurses in the framework of the reform of the nursing service conducted a survey of employers

Methods
The cross-sectional study in 1417 of employers participated, of which 11% were senior doctors, 26% deputy chief physicians, 50% of heads of departments, 13% others.

Results
Analysis of the survey results showed the following: more than 70% of employers have a positive attitude towards nursing service reforms. According to 48% of employers, the functionality of nurses is expanded. 54% of nurses fully cope with new functional responsibilities. 44% of respondents say that with the expansion of the functionality of nurses, doctors have more time to perform more complex skilled work. According to 44% of employers, nurses should delegate the primary reception and examination of the patient, 42% setting the primary diagnosis, 33% deciphering the results of laboratory and instrumental studies, 21% independent visiting the patient at home, 8% active prenatal and postnatal patronage, 17% rendering pre-medical and emergency medical care. 62% of employers consider it appropriate to introduce the practice of joint training of doctors and nurses and fully support the increase in the independence of the nursing service.

Conclusions
In general, employers support the reform of nursing, are satisfied with the new competencies of nurses and have a positive attitude towards increasing their independence.

Key messages
It is necessary to improve basic training programs in medical colleges and to implement effective advanced training programs for working nurses. It is advisable to practice the introduction of co-education for doctors and nurses - the practice of inter-professional teams specialists.
Evaluation of chronic disease follow-up training of family physicians in primary care units
Authors: Buzgan B , Mete B , Pehlivan E 
Published: November 2019

Abstract

Background
Chronic diseases are a major cause of morbidity and mortality due to late diagnosis and insufficient treatment. This study deals with the training on chronic diseases organized by the Ministry of Health in the provinces. The aim of this study was to measure the effectiveness of training programs for family physicians in a province.

Methods
This semi experimental study was carried out during the training held in Bingöl that is eastern city of Turkey, on 22-26 October 2018 and 19-20 December 2018. The universe of the study consisted of family physicians working in the province. Of the 90 family physicians working in the province, 75 participated in the study. The training was conducted by the researchers and (before-after) 16-question test to the participants were used. The trainings cover the sub-heading Cardiovascular Risk Assessment and Diagnosis and Treatment of Hypertension. The family physicians were divided into 7 groups and were given 7-hour training. SPSS 25 program was used to analyze the data. In the analysis of data, Wilcoxon test, Cochran’s Q test and Bayesian approach samples t test were used.

Results
The average number of correct before training was 7.33 (min: 2 - max: 13), after training 12.64 (min: 7- max: 16; p &lt; 0.001). After the training, participants’ correct answers to 15 questions increased (p &lt; 0.001). Increase rate is 71%. Bayesian factor was found to be &lt; 0.001 according to the results of Bayesian approach t test. There is definite evidence against the H0 hypothesis. According to the results of this quasi-experimental study, training is very effective.

Conclusions
In this study, it was shown that the education of the family physicians about the chronic diseases of the Ministry of Health is effective in increasing the knowledge level of family physicians.

Key messages
The training of the family physicians in charge of the primary health care is important. This study showed that education is very effective accorging to the pre-training.
Looking for bridge engineering: the role of an information officer in ’sanitary service’
Authors: Defaut M , Sizaret A , Manca M F 
Published: November 2019

Abstract

Background
Launched in 2018, ’sanitary service’ aims at training all future health professionals in prevention issues, through elaborating concrete projects designed for population identified as priority. It responds to the first axe of the National Health Strategy, which is to develop a prevention and health promotion policy. In our region, about 430 actions have been implemented by 2200 students, in interdisciplinary teams.

Objectives
From this context occurred a reflection on how a documentary product can be used as a bridge between various health disciplines and a path to health promotion. A triple goal is pursued: provide pedagogic support, share a common view and langage, help with taking action.

Results
6 theme-based document files were created. They were conceived as a collection, with a running gag in titles, colourful covers and numerous illustrations.
As for promotion and dissemination, they appeared on our website, on social networks, but also (Back to the Future?) printed as proper books and sent to our partners. Our team also got involved in methodological assistance, at university and in our resource centre.
Thanks to its formal innovation and its multidisciplinary audience, this production built a collective culture of health promotion. Overpassing sanitary service, it is now used by other professionals for different purposes, including project managers during training sessions.

Conclusions
This action faced the recurring challenge of assessing a support function such as ours, but performed in becoming a showcase to promote our structure.
Information accessibility could be improved by better internet referencing, its attraction by infographics, its efficiency by evaluation. But above all, live interaction appears to be the key in a knowledge transfer strategy.

Key messages
Sanitary service is an opportunity to picture a common view on health promotion. As documentalists, let’s build bridges to knowledge by turning into super mediators.
Predictors of job satisfaction in public hospitals in Belgrade, Serbia: a cross-sectional study
Authors: Tripković K , Odalović M , Mladenović Janković S , Nešković A , Jakovljević M 
Published: November 2019

Abstract

Background
Growing evidence has suggested that job satisfaction in the health-care system can affect productivity, the quality of service, and patient safety. Knowledge regarding job satisfaction of health workers and its determinants is valuable to health-care managers for decision making in the field of personnel policy. This study was aimed to assess job satisfaction among health workers in public hospitals in Belgrade, Serbia and identify its associated factors.

Methods
This was a cross-sectional study, carried out within 24 hours, in December 2018, as a part of a national survey, which is conducted annually in all health care institutions in Serbia. Data were collected by self-administered structured questionnaire, which was distributed to all health workers who were at work at the time of the survey (11,588 health workers in 26 public hospitals in Belgrade). The completed questionnaires were returned by 9,203 health workers, which constituted the response rate of 79.4%. Multivariable logistic regression was applied to identify factors significantly and independently associated with a higher level of job satisfaction.

Results
Overall, 31.4% of the respondents were satisfied with their job. Age less than 35 years [AOR = 1.40; 95% CI (1.18-1.67)], no work stress [AOR = 2.66; 95% CI (1.94-3.65)], satisfaction with time for accomplishment of tasks [AOR = 1.92; 95% CI (1.64-2.26)], satisfaction with recognition and value of health workers’ engagement [AOR = 1.79; 95% CI (1.51-2.13)], and satisfaction with leadership style and work organization [AOR = 1.90; 95% CI (1.60-2.26)] were identified as determinants with highest influence at job satisfaction.

Conclusions
Less than third of health workers in Belgrade’s hospitals were satisfied with their job, while satisfaction with various aspects of the job, age, and work stress, were identified as predictors. The results of this study could be useful in proposing strategies to improve job satisfaction of health workers.

Key messages
The job satisfaction of health workers in Belgrade’s hospitals is low. Health-care managers should pay attention to create an environment that promotes job satisfaction and reduces work stress.
Clinical psychologists in primary mental health care in Norway - what to do?
Authors: Kaspersen S L , Ådnanes M , Ose S O 
Published: November 2019

Abstract

Background
The past 20 years Norwegian health authorities have put significant effort into increasing the number of clinical psychologists in primary health care. By 2020, all Norwegian municipalities are required by law to have clinical psychologists available. In 2018, only about half of the 422 municipalities had fulfilled this requirement, and the number of vacant positions is growing. The purpose of this study was to investigate the usefulness of clinical psychologists in a primary care setting as perceived from primary mental health care leaders/employees and those who educate clinical psychologists at the universities.

Methods
We combined the use of open-ended questions in a survey (N = 456) among leaders and employees of primary mental health services in Norway, with data from semi-structured focus group and individual interviews (N = 15) with academic staff at the four universities in Norway that provides education for clinical psychologists.

Results
The discussion on utilisation and usefulness of clinical psychologists in Norwegian primary care often condensates into weighing time spent on a never-ending demand for individual therapy against time spent on health promotion, prevention and system level work. Traditionally, Norwegian psychologists have received education mostly focusing on treatment methodology and individual therapy most suitable for the specialist services. The curricula are now changing towards more health promotion/prevention in primary care, but still lacks focus on system level approaches like collaboration with and guidance of other professions - which are the qualities asked for from those who hire clinical psychologists in primary mental health care.

Conclusions
Interdisciplinary collaboration with a wide spectre of professionals and thereby ’working with and through others’ in the health and welfare services, was suggested to be the most efficient way of utilising psychological clinical competence.

Key messages
The Norwegian clinical psychologists’ education is becoming more primary care friendly. Psychologists in primary care must be part of interdisciplinary teams where they can work with and trough others.
A methodological support to set up multidisciplinary group practices in Southeastern France
Authors: Douchement O , Dumesnil H , Dagnet L , Saugeron B , Sonnier P , Verger P , Guagliardo V 
Published: November 2019

Abstract

Issue/Problem
Despite high medical densities in Southeastern France, access to prevention and care is difficult in some territories due to a lack of health professionals. The Regional Council supports multidisciplinary group practices (MGP) to improve primary care access and quality. When developing them, health professionals have to propose a health project addressing population health needs in the area.

Description of the problem
Two complementary resource centres -the Southeastern Regional Health Observatory and the Regional Committee for Health Education- collaborate to provide support to health professionals in the creation of MGP. The process includes a territorial assessment based on quantitative indicators about various environmental and socio-economic determinants, morbidity, mortality, and health-seeking behaviours. Stakeholders then discuss the results of this assessment in order to confront it to their experiences, identify priorities and design the health project: it defines the forms according to which professionals will work together and set specific objectives and activities to cover main public health needs in the corresponding territory.

Results
Since 2011, our methodological support has benefited 45 MGP projects: 19 were successful, 13 are still in progress and 13 projects were not completed. It helped decision-makers in the identification of priority territories in terms of prevention and care; it also presented outlooks of the current and coming health needs of various areas.

Lessons
Levers to the MGP setting up have been identified: a project is more successful when it is initiated by health professionals supported by local authorities, and up for discussion. On the contrary, preconceived ideas about the MGP project complicate the assessment’s appropriation.

Key messages
Taking into account the results of the assessment helps to propose MGP projects that better match population needs. It also improves collective knowledge of public health issues between health professionals and various local stakeholders.
Foreign workers’ health in agriculture: assessing health workers’ perception and training needs
Authors: Salvatori L M , Rinaldi A , Angelozzi A , Caminada S , Paglione L , Persechino B , Marceca M 
Published: November 2019

Abstract

Introduction
Health and safety of foreign workers employed in agriculture and zootechny present several critical areas. The multidisciplinary project ’Livingstone’, funded by INAIL and carried out by several Italian universities, aims to address some of these critical issues. One of the project research line focuses on health professionals and has the objective to investigate their perception of the risks to which foreign workers are exposed and their training needs.

Methods
A 33 items questionnaire is being self-administered to social and health professionals of three Italian regions (Lazio, Lombardia and Campania) where agriculture is developed; the administration phase will last 13 months (2018, April - 2019, May). The questionnaire has been built starting from a literature review; a pilot study have been conducted in a pilot sample in Rome in March 2018. The questionnaire is composed by five sections: general, social and professional information; characteristics of the respondents’ foreign patients/users; knowledge about health problems of foreign patients and about possible obstacles in use of health services, with a specific focus on foreign patients working in agriculture and zootechny sector; perception about health and safety risks of these workers; training background and needs, included desired training contents and modalities.

Results
The research is ongoing. 238 answered questionnaires have been collected yet. 65 of the respondents are General Practitioners; the rest are other health and social professionals. The complete results will be shown during the congress.

Conclusions
This study will contribute to widen the knowledge about health professionals’ perceptions about problems and needs of foreign workers employed in agriculture and zootechny sector.
Specific training addressed to social and health professionals will be developed from the observation of their current knowledge and from their reported needs.

Key messages
This study will contribute to widen knowledge about health professionals’ perceptions about problems and needs of foreign workers employed in agriculture and zootechny sector. Specific training addressed to social and health professionals will be developed from the observation of their current knowledge and from their reported needs.
The AAPRISS Platform: Learning and Taking Action to Reduce Social Inequalities in Health to help PHIR
Authors: Lang T , Marquis C , Haschar-Noé N , Kelly-Irving M , Huot-Royer M , Grosclaude P , Delpierre C 
Published: November 2019

Abstract

Today, the reduction of social inequalities in health is on the political agenda in public health. The complex reality of the determinants of these health inequalities remains difficult to understand and translate into practical actions. One of the reasons is that the circulation of expertise amongst researchers, actors in the field, and public decision is not systematic and still too rare.
In 2013, the Federative Institute of Interdisciplinary Research and Studies Health Society (IFERISS) of Toulouse has an interdisciplinary platform (health, the humanities, and the social sciences) that directly offers expertise to public health actors, institutions, and local communities in order to respond to public health issues.
At the request of the actors, AAPRISS can intervene at all stages of a study or an intervention, from conceptual and methodological construction to implementation support, and data analysis and use. In particular, the team has expertise in public policy evaluation, support for transferability according to the key functions/implementation/context (FIC) model, and awareness-raising at the intersection of urban planning and health. The platform is in a multi-year partnership with local authorities, the regional health agency of Occitanie, the primary health insurance funds of Occitanie, and various partners in civil society. Six years after the establishment of the AAPRISS platform, there is a strong demand for support and research from the actors and institutions. However, funding for activities remains uncertain despite the support of the National Cancer League and an increasingly strong network of partners. Mixed structures housing spaces for both research and action, which create a dynamic of Population Health Intervention Research, are showing themselves to be effective and seem to meet a need, but their financial stability is insufficient to sustain their activities and promote sustainable reduction of social inequalities in health.

Key messages
Mixed structures housing spaces for both research and action, which create a dynamic of Population Health Intervention Research, are showing themselves to be effective and seem to meet a need. But the financial stability of this mixed structures is insufficient to sustain their activities and promote sustainable reduction of social inequalities in health.