Base de dados : MEDLINE
Pesquisa : M01.987 [Categoria DeCS]
Referências encontradas : 9 [refinar]
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[PMID]:28245612
[Au] Autor:Guillaumier A; Twyman L; Paul C; Siahpush M; Palazzi K; Bonevski B
[Ad] Endereço:School of Medicine & Public Health, University of Newcastle and Hunter Medical Research Institute, CBMHR, P.O. Box 833, Newcastle, NSW 2300, Australia. ashleigh.guillaumier@newcastle.edu.au.
[Ti] Título:Financial Stress and Smoking within a Large Sample of Socially Disadvantaged Australians.
[So] Source:Int J Environ Res Public Health;14(3), 2017 Feb 25.
[Is] ISSN:1660-4601
[Cp] País de publicação:Switzerland
[La] Idioma:eng
[Ab] Resumo:Financial stress is associated with fewer quit attempts and higher relapse rates. This study aimed to compare financial stress among smokers, ex-smokers and never smokers in a highly socioeconomically disadvantaged sample. The study also aimed to determine whether specific indicators of financial stress differ according to smoking status. Adult clients seeking welfare assistance from two Social and Community Service Organisation sites in New South Wales, Australia, were invited to complete a cross-sectional survey between March 2012 and December 2013. Responses to a financial stress scale, smoking status and demographics were collected. Linear and logistic regression modelling was used to examine associations between smoking status and financial stress. A total of 1463 participants completed the survey. Current smokers had significantly higher total financial stress scores than ex-smokers and non-smokers respectively. Current smokers also had higher odds of severe financial stress indicators, such as going without meals (Odds Ratio = 2.2 and 2.0), than both non-smokers and ex-smokers. Even among a highly socioeconomically disadvantaged sample with high levels of financial stress, smoking status further exacerbates experiences of deprivation. Given the relationship between financial stress, socioeconomic disadvantage and difficulty quitting, it is important to provide enhanced cessation support to smokers experiencing financial stress.
[Mh] Termos MeSH primário: Administração Financeira
Fumar/epidemiologia
Trabalhadores Pobres
[Mh] Termos MeSH secundário: Adulto
Estudos Transversais
Feminino
Administração Financeira/estatística & dados numéricos
Seres Humanos
Modelos Lineares
Modelos Logísticos
Masculino
Meia-Idade
New South Wales/epidemiologia
Fumar/psicologia
Estresse Psicológico/epidemiologia
Estresse Psicológico/etiologia
Populações Vulneráveis/psicologia
Populações Vulneráveis/estatística & dados numéricos
Trabalhadores Pobres/psicologia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1706
[Cu] Atualização por classe:170619
[Lr] Data última revisão:
170619
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170302
[St] Status:MEDLINE


  2 / 9 MEDLINE  
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[PMID]:28144836
[Au] Autor:Harmon BE
[Ad] Endereço:School of Public Health, University of Memphis, 200 Robison Hall, Memphis, TN, 38138, USA. bharmon1@memphis.edu.
[Ti] Título:Rethinking physical activity for children: implications for the working poor.
[So] Source:Transl Behav Med;7(1):69-71, 2017 03.
[Is] ISSN:1613-9860
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Beauchamp, Rhodes, and Nigg propose a tripartite framework necessary for increasing physical activity among elementary-aged children. This framework includes legislation to increase time spent in physical activity during the school day, an extension of the school day for physical activity, and supervision of this time by trained teachers. If implemented, this framework could significantly increase the amount of time elementary-aged children spend in physical activity. Extending the school day also has the potential to alleviate child care anxiety in low-resource households as well as have farther-reaching family and societal impacts.
[Mh] Termos MeSH primário: Exercício/fisiologia
Disparidades em Assistência à Saúde/legislação & jurisprudência
Trabalhadores Pobres/estatística & dados numéricos
[Mh] Termos MeSH secundário: Criança
Pré-Escolar
Seres Humanos
Instituições Acadêmicas
Fatores Socioeconômicos
Trabalhadores Pobres/etnologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; COMMENT
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171120
[Lr] Data última revisão:
171120
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170202
[St] Status:MEDLINE
[do] DOI:10.1007/s13142-017-0467-3


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[PMID]:26912351
[Au] Autor:Groves LH
[Ad] Endereço:Institute for Research on Poverty, University of Wisconsin-Madison, 1180 Observatory Drive, Madison, WI, 53706, USA. lgroves@wisc.edu.
[Ti] Título:Welfare Reform and Labor Force Exit by Young, Low-Skilled Single Males.
[So] Source:Demography;53(2):393-418, 2016 Apr.
[Is] ISSN:1533-7790
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:While the labor market woes of low-skilled male workers in the United States over the past several decades have been well documented, the academic literature identifying causal factors leading to declines in labor force participation (LFP) by young, low-skilled males remains scant. To address this gap, I use the timing and characteristics of welfare-reform policies implemented during the 1990s and fixed-effects, instrumental variable regression modeling to show that policies seeking to increase LFP rates for low-skilled single mothers inadvertently led to labor force exit by young, low-skilled single males. Using data from the Current Population Survey and a bundle of work inducements enacted by states throughout the 1990s as exogenous variation in a quasi-experimental design, I find that the roughly 10 percentage point increase in LFP for low-skilled single mothers facilitated by welfare reform resulted in a statistically significant 2.8 percentage point decline in LFP for young, low-skilled single males. After conducting a series of robustness checks, I conclude that this result is driven entirely by white males, who responded to welfare-reform policies with a 3.7 percentage point decline in labor supply. Young black males, as well as other groups of potentially affected workers, appear to be uninfluenced by the labor supply response of less-educated single mothers to welfare reform. Impacts on young, single white males are large and economically significant, suggesting that nearly 150,000 males departed the formal labor market in response to directed welfare-reform policies.
[Mh] Termos MeSH primário: Emprego/legislação & jurisprudência
Mães/legislação & jurisprudência
Política Pública/legislação & jurisprudência
Pais Solteiros/legislação & jurisprudência
Seguridade Social/legislação & jurisprudência
Trabalhadores Pobres/legislação & jurisprudência
[Mh] Termos MeSH secundário: Adolescente
Adulto
Emprego/classificação
Emprego/economia
Emprego/tendências
Feminino
Seres Humanos
Masculino
Meia-Idade
Mães/estatística & dados numéricos
Política Pública/economia
Política Pública/tendências
Análise de Regressão
Seguridade Social/economia
Seguridade Social/tendências
Fatores Socioeconômicos
Desemprego/tendências
Estados Unidos
Mulheres Trabalhadoras/legislação & jurisprudência
Mulheres Trabalhadoras/estatística & dados numéricos
Trabalhadores Pobres/economia
Trabalhadores Pobres/tendências
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1701
[Cu] Atualização por classe:171112
[Lr] Data última revisão:
171112
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160226
[St] Status:MEDLINE
[do] DOI:10.1007/s13524-016-0460-3


  4 / 9 MEDLINE  
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[PMID]:26842271
[Au] Autor:Fung CS; Yu EY; Guo VY; Wong CK; Kung K; Ho SY; Lam LY; Ip P; Fong DY; Lam DC; Wong WC; Tsang SK; Tiwari AF; Lam CL
[Ad] Endereço:Department of Family Medicine and Primary Care, The University of Hong Kong, Hong Kong.
[Ti] Título:Development of a Health Empowerment Programme to improve the health of working poor families: protocol for a prospective cohort study in Hong Kong.
[So] Source:BMJ Open;6(2):e010015, 2016 Feb 03.
[Is] ISSN:2044-6055
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: People from working poor families are at high risk of poor health partly due to limited healthcare access. Health empowerment, a process by which people can gain greater control over the decisions affecting their lives and health through education and motivation, can be an effective way to enhance health, health-related quality of life (HRQOL), health awareness and health-seeking behaviours of these people. A new cohort study will be launched to explore the potential for a Health Empowerment Programme to enable these families by enhancing their health status and modifying their attitudes towards health-related issues. If proven effective, similar empowerment programme models could be tested and further disseminated in collaborations with healthcare providers and policymakers. METHOD AND ANALYSIS: A prospective cohort study with 200 intervention families will be launched and followed up for 5 years. The following inclusion criteria will be used at the time of recruitment: (1) Having at least one working family member; (2) Having at least one child studying in grades 1-3; and (3) Having a monthly household income that is less than 75% of the median monthly household income of Hong Kong families. The Health Empowerment Programme that will be offered to intervention families will comprise four components: health assessment, health literacy, self-care enablement and health ambassador. Their health status, HRQOL, lifestyle and health service utilisation will be assessed and compared with 200 control families with matching characteristics but will not receive the health empowerment intervention. ETHICS AND DISSEMINATION: This project was approved by the University of Hong Kong-the Hospital Authority Hong Kong West Cluster IRB, Reference number: UW 12-517. The study findings will be disseminated through a series of peer-reviewed publications and conference presentations, as well as a yearly report to the philanthropic funding body-Kerry Group Kuok Foundation (Hong Kong) Limited.
[Mh] Termos MeSH primário: Saúde da Família
Conhecimentos, Atitudes e Prática em Saúde
Alfabetização em Saúde
Promoção da Saúde/métodos
Acesso aos Serviços de Saúde
Nível de Saúde
Poder (Psicologia)
Trabalhadores Pobres
[Mh] Termos MeSH secundário: Estudos de Coortes
Hong Kong
Seres Humanos
Pobreza
Estudos Prospectivos
Qualidade de Vida
Autocuidado
Autoeficácia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1611
[Cu] Atualização por classe:161230
[Lr] Data última revisão:
161230
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160205
[St] Status:MEDLINE
[do] DOI:10.1136/bmjopen-2015-010015


  5 / 9 MEDLINE  
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[PMID]:26710134
[Au] Autor:Molyneux J
[Ti] Título:The Top Health Care News Story of 2015: Continuing Gaps in Health Care Access, Services for the Most Vulnerable Americans.
[So] Source:Am J Nurs;116(1):14-5, 2016 Jan.
[Is] ISSN:1538-7488
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Doença Crônica/epidemiologia
Disparidades em Assistência à Saúde/economia
Cuidados de Enfermagem/normas
Pobreza/estatística & dados numéricos
Populações Vulneráveis/estatística & dados numéricos
Trabalhadores Pobres/estatística & dados numéricos
[Mh] Termos MeSH secundário: Doença Crônica/economia
Doença Crônica/psicologia
Disparidades em Assistência à Saúde/estatística & dados numéricos
Seres Humanos
Seguro Saúde/economia
Seguro Saúde/legislação & jurisprudência
Seguro Saúde/estatística & dados numéricos
Pessoas sem Cobertura de Seguro de Saúde/legislação & jurisprudência
Pessoas sem Cobertura de Seguro de Saúde/estatística & dados numéricos
Pessoas Mentalmente Doentes/psicologia
Pessoas Mentalmente Doentes/estatística & dados numéricos
Cuidados de Enfermagem/tendências
Pobreza/psicologia
Estigma Social
Suicídio/economia
Suicídio/psicologia
Suicídio/estatística & dados numéricos
Estados Unidos/epidemiologia
Violência/economia
Violência/psicologia
Violência/estatística & dados numéricos
Populações Vulneráveis/psicologia
Trabalhadores Pobres/economia
Trabalhadores Pobres/psicologia
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1605
[Cu] Atualização por classe:151229
[Lr] Data última revisão:
151229
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:151229
[St] Status:MEDLINE
[do] DOI:10.1097/01.NAJ.0000476151.96143.c4


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[PMID]:26472679
[Au] Autor:Azarpazhooh A; Quiñonez C
[Ad] Endereço:Discipline of Dental Public Health, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Discipline of Endodontics, Faculty of Dentistry, University of Toronto, Toronto, Ontario, Canada; Clinical Epidemiology and Health Care Research, Institute of Health Policy, Management and Evaluation, Faculty of Medicine, University of Toronto, Toronto, Ontario, Canada; Toronto Health Economics and Technology Assessment Collaborative, University of Toronto, Toronto, Ontario, Canada. Electronic address: amir.azarpazhooh@dentistry.utoronto.ca.
[Ti] Título:Treatment Preferences for Toothache among Working Poor Canadians.
[So] Source:J Endod;41(12):1985-90, 2015 Dec.
[Is] ISSN:1878-3554
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Working poor (WP) Canadians are those who work ≥ 20 hours/week, are not full-time students, and have annual family incomes <$34,300. They have unique vulnerabilities and face significant barriers to accessing dental care because they rarely receive employment-based dental benefits and are ineligible for publicly funded dental programs. This research aimed to understand whether WP Canadians would prefer extraction rather than tooth restoration and preservation when they have toothache. METHODS: A cross-sectional stratified sampling study design and telephone survey methodology was used to collect data from a nationally representative sample of 1049 WP individuals aged 18-64 years. A pretested questionnaire included sociodemographic and self-reported oral health questions and asked participants to select their preference for maintaining versus extracting an aching tooth. By using bivariate and logistic regression analyses, we applied the Gelberg-Andersen Behavioral Model for Vulnerable Populations to understand what influences treatment preferences among this population (P ≤ .05). RESULTS: The majority of participants (86%) preferred to save and fill an aching tooth rather than take it out. Those who were older, partially dentate, reported a history of oral pain, had their last dental visit more than 3 years ago, or who only visited the dentist when in pain were significantly more likely to opt for tooth extraction. CONCLUSIONS: The majority of WP Canadians value preserving their natural dentition. Effective dental care service delivery in both private and public settings requires an understanding of the possible factors that influence WP persons' preferences for essential treatment modalities in dentistry.
[Mh] Termos MeSH primário: Preferência do Paciente
Periodontite Periapical/complicações
Periodontite Periapical/terapia
Odontalgia/etiologia
Odontalgia/terapia
Trabalhadores Pobres
[Mh] Termos MeSH secundário: Adolescente
Adulto
Canadá
Estudos Transversais
Tomada de Decisões
Feminino
Seres Humanos
Masculino
Meia-Idade
Fatores Socioeconômicos
Extração Dentária
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1703
[Cu] Atualização por classe:170302
[Lr] Data última revisão:
170302
[Sb] Subgrupo de revista:D
[Da] Data de entrada para processamento:151017
[St] Status:MEDLINE


  7 / 9 MEDLINE  
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[PMID]:25889557
[Au] Autor:Adebowale AS; Palamuleni ME; Odimegwu CO
[Ad] Endereço:Population Training and Research Unit, Faculty of Humanities and Social Sciences, North-West University, Mafikeng, South Africa. Adehamilt2008@yahoo.com.
[Ti] Título:Wealth and under-nourishment among married women in two impoverished nations: evidence from Burkina Faso and Congo Democratic Republic.
[So] Source:BMC Res Notes;8:34, 2015 Feb 08.
[Is] ISSN:1756-0500
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Burkina Faso (BF) and Congo Democratic Republic (CDR) are among the top-ten poverty and hunger stricken countries globally. The influence of poverty and hunger on health is enormous. The objectives of the study are to; examine the association between poverty and nutritional status, it also identified socio-demographic and health related mediating factors that contribute to the relationship between poverty and poor nutritional status. The study focused on married or cohabiting women aged 15-49 years and utilized 2010 and 2007 DHS dataset from BF and CDR respectively. FINDINGS: Mean age of the women in BF and CDR were 34.4 ± 9.3 and 34.7 ± 9.0 years respectively. About 19.4% and 18.4% of the poor were malnourished as against 7.7% and 9.7% of the rich women in BF and CDR respectively. Obesity and overweight were more prominent among the rich than the poor. Higher prevalence of under-nourish women was found among the older than the younger women in BF. In the countries, the prevalence of malnutrition was significantly higher among women; in the rural areas, with no formal education, anaemic and those who are not working. Multivariate analysis revealed that in the countries, the risk of under-nourishment was significantly higher among poor and middle class than the rich women despite controlling for confounding variables. CONCLUSIONS: Undernourished women were more common among the poor and those with no formal education. Programs that target nutrition of women of reproductive age should be strengthened in BF and CDR.
[Mh] Termos MeSH primário: Renda/estatística & dados numéricos
Desnutrição/epidemiologia
Pobreza/estatística & dados numéricos
Trabalhadores Pobres/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Adulto
Burkina Faso/epidemiologia
Congo/epidemiologia
Características da Família
Feminino
Seres Humanos
Meia-Idade
Estado Nutricional
Obesidade/epidemiologia
Classe Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1511
[Cu] Atualização por classe:150420
[Lr] Data última revisão:
150420
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150419
[St] Status:MEDLINE
[do] DOI:10.1186/s13104-015-1001-7


  8 / 9 MEDLINE  
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[PMID]:25865664
[Au] Autor:Larsen MH
[Ad] Endereço:Department of Planning and Development, Aalborg University, A.C. Meyers Vænge 15, 2450 Copenhagen, Denmark. Electronic address: ml@plan.aau.dk.
[Ti] Título:Nutritional advice from George Orwell. Exploring the social mechanisms behind the overconsumption of unhealthy foods by people with low socio-economic status.
[So] Source:Appetite;91:150-6, 2015 Aug.
[Is] ISSN:1095-8304
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Despite a general consensus and recognition of the importance of the "social gradient" on nutritional standards and ultimately people's health, (Budrys, 2003; Marmot & Wilkinson, 1999; Marmot et al., 1991; Ross & Wu, 1995), the body of literature identifying and describing the actual underlying social mechanisms which could explain this association is small, fragmented and not contained within one single discipline of thought - the effects of this conundrum seem easier to describe than to explain. The aim of this article is therefore to explore and identify social mechanisms, which could help explain why people with low socio-economic status consume a disproportionate amount of unhealthy foods and therefore also observe poorer diets. It is therefore in many ways an exploration into the nature of (relative) poverty. The point of departure for this exploration and identification is historical descriptions (in the form of excerpts) from George Orwell's (1937) book "The Road to Wigan Pier" on the living conditions of the British working classes. These descriptions will be aligned with results from contemporary research into nutritional behaviour. Strong similarities are identified between George Orwell's historical descriptions of the working-class's unhealthy diet and the findings from contemporary research into nutritional behaviour of people with a low socio-economic status. Certain social mechanisms influencing nutritional choices are readily identifiable across disciplines, and even partly reproduced in different historical, social and spatial contexts, with stronger negative (nutritional) consequences for people with low socio-economic status. The disregard of social mechanisms, and therefore implicitly issues of class, could indicate a general "de-socialization" of nutritional advice also in its dispersal through various health-promotion initiatives and campaigns, which raises serious questions about the usefulness of much nutritional advice, already tentatively questioned by some nutritionist (Burr et al., 2007) as well as "food" sociologist (Smith & Holm, 2010).
[Mh] Termos MeSH primário: Dieta/efeitos adversos
Comportamento Alimentar
Hiperfagia/etiologia
Modelos Psicológicos
Política Nutricional
Cooperação do Paciente
Comportamento Social
[Mh] Termos MeSH secundário: Desvalorização pelo Atraso
Dieta/economia
Dieta/etnologia
Inglaterra
Comportamento Alimentar/etnologia
Preferências Alimentares/etnologia
França
Conhecimentos, Atitudes e Prática em Saúde/etnologia
Seres Humanos
Hiperfagia/economia
Hiperfagia/etnologia
Literatura Moderna
Medicina na Literatura
Cooperação do Paciente/etnologia
Autocontrole
Mudança Social
Fatores Socioeconômicos
Trabalhadores Pobres/economia
Trabalhadores Pobres/etnologia
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE
[Em] Mês de entrada:1603
[Cu] Atualização por classe:161125
[Lr] Data última revisão:
161125
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150414
[St] Status:MEDLINE


  9 / 9 MEDLINE  
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[PMID]:25648454
[Au] Autor:Honda A
[Ad] Endereço:Health Economics Unit, School of Public Health and Family Medicine, University of Cape Town, Anzio Road, Observatory, 7925, South Africa. Ayako.Honda@uct.ac.za.
[Ti] Título:Analysis of agency relationships in the design and implementation process of the equity fund in Madagascar.
[So] Source:BMC Res Notes;8:31, 2015 Feb 04.
[Is] ISSN:1756-0500
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: There are large gaps in the literature relating to the implementation of user fee policy and fee exemption measures for the poor, particularly on how such schemes are implemented and why many have not produced expected outcomes. In October 2003, Madagascar instituted a user fee exemption policy which established "equity funds" at public health centres, and used medicine sales revenue to subsidise the cost of medicine for the poor. This study examines the policy design and implementation process of the equity fund in Madagascar in an attempt to explore factors influencing the poor equity outcomes of the scheme. METHODS: This study applied an agency-incentive framework to investigate the equity fund policy design and implementation practices. It analysed agency relationships established during implementation; examined incentive structures given to the agency relationships in the policy design; and considered how incentive structures were shaped and how agents responded in practice. The study employed a case-study approach with in-depth analysis of three equity fund cases in Madagascar's Boeny region. RESULTS: Policy design problems, triggering implementation problems, caused poor equity performance. These problems were compounded by the re-direction of policy objectives by health administrators and strong involvement of the administrators in the implementation of policy. The source of the policy design and implementation failure was identified as a set of principal-agent problems concerning: monitoring mechanisms; facility-based fund management; and the nature and level of community participation. These factors all contributed to the financial performance of the fund receiving greater attention than its ability to financially protect the poor. CONCLUSION: The ability of exemption policies to protect the poor from user fees can be found in the details of the policy design and implementation; and implications of the policy design and implementation in a specific context determine whether a policy can realise its objectives. The equity fund experience in Madagascar, which illustrates the challenges of beneficiary identification, casts doubts on the application of the 'targeting' approach in health financing and raises issues to be considered in universal health policy formulation. The agency framework provides a useful lens through which to examine policy process issues.
[Mh] Termos MeSH primário: Honorários Médicos/ética
Política de Saúde/legislação & jurisprudência
Acesso aos Serviços de Saúde/legislação & jurisprudência
Mecanismo de Reembolso/legislação & jurisprudência
[Mh] Termos MeSH secundário: Financiamento Governamental/legislação & jurisprudência
Acesso aos Serviços de Saúde/ética
Seres Humanos
Madagáscar
Pobreza
Trabalhadores Pobres/economia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1511
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150205
[St] Status:MEDLINE
[do] DOI:10.1186/s13104-015-0988-0



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