sábado, 25 de abril de 2015

*****SPAM***** Message from Dave Dawes

Message from Dave Dawes

This is a personal email directed to you,I am Dave Dawes, My fiance and I won a Jackpot Lottery of 101 million pounds (101 Million GBP),and we have voluntarily decided to donate the sum of 1 million pounds (1 Million GBP) to you as part of our own charity project to improve the lot of 5 unknown lucky individuals all over the world plus close friends and family.

If you have received this email then you are one of the lucky recipients and all you have to do is to contact Barr.Eduardo with Code: BMTU1005 via email( barrister.eduardo@aim.com) so that he can send your details to the payout bank for fund disbursement.

You can verify this by visiting the web pages below.

Good luck,
Dave Dawes.

miércoles, 22 de abril de 2015

Médico crítico: Las venas abiertas de la Atención Primaria

Eduardo Galeano: 
"Ahora la sanidad es, para el mundo, nada más que los hospitales; nosotros habitamos, a lo sumo, una sub sanidad, una sanidad de segunda clase, de nebulosa identificación. Es Atención Primaria, el nivel asistencial de las venas abiertas."


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Building primary care in a changing Europe

La fuerza de la atencion primaria en la pagina 30 y 31.

Mirror, Mirror on the Wall, 2014 Update: How the U.S. Health Care System Compares Internationally - The Commonwealth Fund

Comparativa de sistemas sanitarios, Rastreatorrrrrr...

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Continuity of Care and Avoidable Hospitalizations for COPD

Background Numerous studied suggest that better continuity of care could result in better health outcomes. However, few studies have examined the relationship between continuity of care and avoidable hospitalizations.

Methods A retrospective cohort study design was adopted. We used secondary data analysis based on claim data regarding health care utilization under a universal coverage health insurance scheme in Taiwan. The study population included 3,015 subjects who were newly diagnosed with chronic obstructive pulmonary disease (COPD) in 2006. The main outcome was COPD-related avoidable hospitalization, and the continuity of care index (COCI) was used to measure continuity of care. A logistic regression model was used to control for sex, age, low-income status, and health status.

Results With regard to the effects of continuity of care on avoidable hospitalizations, dose–response trends were observed. The logistic regression model showed that after controlling for covariables, subjects in the low COCI group were 129% (adjusted odds ratio, 2.29; 95% confidence interval, 1.26–4.15) more likely to undergo COPD-related avoidable hospitalizations than those in the high COCI group.

Conclusions Patients with COPD with higher continuity of care had a significantly lower likelihood of avoidable hospitalization. To prevent future hospitalizations, health policy stakeholders should encourage physicians and patients to develop long-term relationships to further improve their health outcomes.


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martes, 21 de abril de 2015