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[PMID]:26260471
[Au] Autor:Ribesse N; Bossyns P; Marchal B; Karemere H; Burman CJ; Macq J
[Ad] Endereço:1. Institute of Health and Society, Universite Catholique de Louvain, Brussels, Belgium.
[Ti] Título:Methodological approach and tools for systems thinking in health systems research: technical assistants' support of health administration reform in the Democratic Republic of Congo as an application.
[So] Source:Glob Health Promot;24(1):43-52, 2017 Mar.
[Is] ISSN:1757-9767
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:In the field of development cooperation, interest in systems thinking and complex systems theories as a methodological approach is increasingly recognised. And so it is in health systems research, which informs health development aid interventions. However, practical applications remain scarce to date. The objective of this article is to contribute to the body of knowledge by presenting the tools inspired by systems thinking and complexity theories and methodological lessons learned from their application. These tools were used in a case study. Detailed results of this study are in process for publication in additional articles. Applying a complexity 'lens', the subject of the case study is the role of long-term international technical assistance in supporting health administration reform at the provincial level in the Democratic Republic of Congo. The Methods section presents the guiding principles of systems thinking and complex systems, their relevance and implication for the subject under study, and the existing tools associated with those theories which inspired us in the design of the data collection and analysis process. The tools and their application processes are presented in the results section, and followed in the discussion section by the critical analysis of their innovative potential and emergent challenges. The overall methodology provides a coherent whole, each tool bringing a different and complementary perspective on the system.
[Mh] Termos MeSH primário: Assistência à Saúde/organização & administração
Reforma dos Serviços de Saúde/organização & administração
[Mh] Termos MeSH secundário: República Democrática do Congo
Programas Governamentais
Assistência Técnica ao Planejamento em Saúde/organização & administração
Seres Humanos
Inovação Organizacional
Análise de Sistemas
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1707
[Cu] Atualização por classe:170724
[Lr] Data última revisão:
170724
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150812
[St] Status:MEDLINE
[do] DOI:10.1177/1757975915591684


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[PMID]:27170790
[Au] Autor:Lam CA; Sherbourne C; Tang L; Belin TR; Williams P; Young-Brinn A; Miranda J; Wells KB
[Ad] Endereço:From the Veterans Administration Health Services Research and Development Center for the Study of Healthcare Innovation, Implementation and Policy, Veterans Administration Greater Los Angeles Healthcare System, Sepulveda, CA (CAL); the Departments of Medicine (CAL) and Psychiatry and Biobehavioral S
[Ti] Título:The Impact of Community Engagement on Health, Social, and Utilization Outcomes in Depressed, Impoverished Populations: Secondary Findings from a Randomized Trial.
[So] Source:J Am Board Fam Med;29(3):325-38, 2016 May-Jun.
[Is] ISSN:1558-7118
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Disparities in depression care exist among the poor. Community Partners in Care (CPIC) compared a community coalition model with technical assistance to improve depression services in under-resourced communities. We examine effects on health, social, and utilization outcomes among the poor and, non-poor depressed, and poor subgroups. METHODS: This study analyzed clients living above (n = 268) and below (n = 750) the federal-poverty level and, among the poor, 3 nonoverlapping subgroups: justice-involved (n = 158), homeless and not justice-involved (n = 298), and other poor (n = 294). Matched programs (n = 93) from health and community sectors were randomly assigned to community engagement and planning (CEP) or resources for services (RS). Primary outcomes were poor mental health-related quality of life and 8-item Patient Health Questionnaire scores, whereas community-prioritized and utilization outcomes were secondary. Effects were scrutinized using false discovery rate-adjusted P values to account for multiple comparisons. RESULTS: In the impoverished group, CEP and RS clients of participating study programs did not differ in primary outcomes, but CEP more than RS improved mental wellness among the depressed poor (unadjusted P = .004) while providing suggestive evidence for other secondary outcomes. Within the poor subgroups, evidence favoring CEP was only suggestive but was strongest among justice-involved clients. CONCLUSIONS: A coalition approach to improving outcomes for low-income clients with depression, particularly those involved in the justice system, may offer additional benefits over standard technical assistance programs.
[Mh] Termos MeSH primário: Serviços Comunitários de Saúde Mental
Transtorno Depressivo/terapia
Coalizão em Cuidados de Saúde
Disparidades em Assistência à Saúde
Populações Vulneráveis/psicologia
[Mh] Termos MeSH secundário: Adulto
Pesquisa Participativa Baseada na Comunidade
Criminosos/psicologia
Criminosos/estatística & dados numéricos
Feminino
Assistência Técnica ao Planejamento em Saúde
Pessoas em Situação de Rua/psicologia
Pessoas em Situação de Rua/estatística & dados numéricos
Hospitalização/estatística & dados numéricos
Seres Humanos
Masculino
Meia-Idade
Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos
Pobreza
Qualidade de Vida
Inquéritos e Questionários
Populações Vulneráveis/estatística & dados numéricos
[Pt] Tipo de publicação:COMPARATIVE STUDY; JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171109
[Lr] Data última revisão:
171109
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:160513
[St] Status:MEDLINE
[do] DOI:10.3122/jabfm.2016.03.150306


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[PMID]:26565696
[Au] Autor:Korenromp EL; Gobet B; Fazito E; Lara J; Bollinger L; Stover J
[Ad] Endereço:Avenir Health, Geneva, Switzerland/Glastonbury, United States of America.
[Ti] Título:Impact and Cost of the HIV/AIDS National Strategic Plan for Mozambique, 2015-2019--Projections with the Spectrum/Goals Model.
[So] Source:PLoS One;10(11):e0142908, 2015.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Mozambique continues to face a severe HIV epidemic and high cost for its control, largely born by international donors. We assessed feasible targets, likely impact and costs for the 2015-2019 national strategic HIV/AIDS plan (NSP). METHODS: The HIV epidemic and response was modelled in the Spectrum/Goals/Resource Needs dynamical simulation model, separately for North/Center/South regions, fitted to antenatal clinic surveillance data, household and key risk group surveys, program statistics, and financial records. Intervention targets were defined in collaboration with the National AIDS Council, Ministry of Health, technical partners and implementing NGOs, considering existing commitments. RESULTS: Implementing the NSP to meet existing coverage targets would reduce annual new infections among all ages from 105,000 in 2014 to 78,000 in 2019, and reduce annual HIV/AIDS-related deaths from 80,000 to 56,000. Additional scale-up of prevention interventions targeting high-risk groups, with improved patient retention on ART, could further reduce burden to 65,000 new infections and 51,000 HIV-related deaths in 2019. Program cost would increase from US$ 273 million in 2014, to US$ 433 million in 2019 for 'Current targets', or US$ 495 million in 2019 for 'Accelerated scale-up'. The 'Accelerated scale-up' would lower cost per infection averted, due to an enhanced focus on behavioural prevention for high-risk groups. Cost and mortality impact are driven by ART, which accounts for 53% of resource needs in 2019. Infections averted are driven by scale-up of interventions targeting sex work (North, rising epidemic) and voluntary male circumcision (Center & South, generalized epidemics). CONCLUSION: The NSP could aim to reduce annual new HIV infections and deaths by 2019 by 30% and 40%, respectively, from 2014 levels. Achieving incidence and mortality reductions corresponding to UNAIDS' 'Fast track' targets will require increased ART coverage and additional behavioural prevention targeting key risk groups.
[Mh] Termos MeSH primário: Síndrome de Imunodeficiência Adquirida/epidemiologia
Síndrome de Imunodeficiência Adquirida/prevenção & controle
Infecções por HIV/epidemiologia
Infecções por HIV/prevenção & controle
[Mh] Termos MeSH secundário: Síndrome de Imunodeficiência Adquirida/economia
Adolescente
Adulto
Controle de Doenças Transmissíveis
Simulação por Computador
Preservativos
Análise Custo-Benefício
Feminino
Infecções por HIV/economia
Custos de Cuidados de Saúde
Assistência Técnica ao Planejamento em Saúde
Seres Humanos
Incidência
Cooperação Internacional
Masculino
Meia-Idade
Moçambique
Desenvolvimento de Programas
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1606
[Cu] Atualização por classe:170220
[Lr] Data última revisão:
170220
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:151114
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0142908


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[PMID]:26414143
[Au] Autor:Ribesse N; Iyeti A; Macq J
[Ti] Título:[Change management: An analysis of actors; perceptions about technical assistance in the Democratic Republic of Congo].
[Ti] Título:Accompagnement du changement : une analyse de représentations d’acteurs sur l’assistance technique en République Démocratique du Congo..
[So] Source:Sante Publique;27(3):415-24, 2015 May-Jun.
[Is] ISSN:0995-3914
[Cp] País de publicação:France
[La] Idioma:fre
[Ab] Resumo:INTRODUCTION: Technical assistance (TA) is a common component of health system strengthening interventions. This type of intervention is too often designed and evaluated according to a logic that fails to take into account social complexity. Actors' perceptions are one element of this complexity. This article presents a study conducted in the Democratic Republic of Congo designed to identify perceptions concerning two types of technical support providers for health system strengthening: long-term technical assistants (agents of development agencies) and provincial technical advisors (agents of the Ministry of Health). METHODS: Interviews were conducted with an innovative tool inspired by the principles of systems thinking. Interviewees were actors involved in a TA intervention in the province of Bandundu. Their expectations regarding TA providers were identified in terms of personal characteristics (knowledge, know-how and interpersonal skills), roles, and styles of interaction for capacity building ("interventionist/ prescriptive axes"). RESULTS AND DISCUSSION: Interviewees emphasized the importance of mutual learning and the quality of interactions, which depends on TA provider's interpersonal skills and mutual willingness. Perceptions of TA provider's characteristics tend to be similar, but several differences were observed concerning the expectations about the roles of TAs, and the style that should be adopted for capacity building. Ignoring these differences in expectations may be a threat to the effectiveness of TA.
[Mh] Termos MeSH primário: Fortalecimento Institucional
Assistência à Saúde/organização & administração
Assistência Técnica ao Planejamento em Saúde/organização & administração
[Mh] Termos MeSH secundário: República Democrática do Congo
Seres Humanos
Entrevistas como Assunto
Inovação Organizacional
[Pt] Tipo de publicação:ENGLISH ABSTRACT; JOURNAL ARTICLE
[Em] Mês de entrada:1510
[Cu] Atualização por classe:150929
[Lr] Data última revisão:
150929
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150929
[St] Status:MEDLINE


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[PMID]:26365844
[Au] Autor:Ranta AA; Tiwari P; Mottershead J; Abernethy D; Simpson M; Brickell K; Lynch C; Walker E; Frith R
[Ad] Endereço:MD, PhD, FRACP, Medicine, Cancer, and Community Directorate, Wellington Regional Hospital, Level 6, Grace Neil Block, Private Bag 7902, Wellington South. anna.ranta@otago.ac.nz.
[Ti] Título:New Zealand's neurologist workforce: a pragmatic analysis of demand, supply and future projections.
[So] Source:N Z Med J;128(1419):35-44, 2015 Aug 07.
[Is] ISSN:1175-8716
[Cp] País de publicação:New Zealand
[La] Idioma:eng
[Ab] Resumo:AIMS: To estimate current and future specialist neurologist demand and supply to assist with health sector planning. METHODS: Current demand for the neurology workforce in New Zealand was assessed using neuroepidemiological data. To assess current supply, all New Zealand neurology departments were surveyed to determine current workforce and estimate average neurologist productivity. Projections were made based on current neurologists anticipated retirement rates and addition of new neurologists based on current training positions. We explored several models to address the supply-demand gap. RESULTS: The current supply of neurologists in New Zealand is 36 full-time equivalents (FTE), insufficient to meet current demand of 74 FTE. Demand will grow over time and if status quo is maintained the gap will widen. CONCLUSIONS: Pressures on healthcare dollars are ever increasing and we cannot expect to address the identified service gap by immediately doubling the number of neurologists. Instead we propose a 12-year strategic approach with investments to enhance service productivity, strengthen collaborative efforts between specialists and general service providers, moderately increase the number of neurologists and neurology training positions, and develop highly skilled non-specialists including trained.
[Mh] Termos MeSH primário: Assistência Técnica ao Planejamento em Saúde
Neurologia
Médicos/provisão & distribuição
[Mh] Termos MeSH secundário: Controle de Custos
Recursos Humanos em Saúde/tendências
Necessidades e Demandas de Serviços de Saúde
Seres Humanos
Neurologia/economia
Neurologia/recursos humanos
Neurologia/organização & administração
Nova Zelândia
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1512
[Cu] Atualização por classe:150914
[Lr] Data última revisão:
150914
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150915
[St] Status:MEDLINE


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[PMID]:26316109
[Au] Autor:Fuller AT; Butler EK; Tran TM; Makumbi F; Luboga S; Muhumza C; Chipman JG; Groen RS; Gupta S; Kushner AL; Galukande M; Haglund MM
[Ad] Endereço:Duke University School of Medicine, Durham, NC, USA.
[Ti] Título:Surgeons OverSeas Assessment of Surgical Need (SOSAS) Uganda: Update for Household Survey.
[So] Source:World J Surg;39(12):2900-7, 2015 Dec.
[Is] ISSN:1432-2323
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The first step in improving surgical care delivery in low- and middle-income countries (LMICs) is quantifying surgical need. The Surgeons OverSeas Assessment of Surgical Need (SOSAS) is a validated household survey that has been previously implemented in three LMICs with great success. We implemented the SOSAS survey in Uganda, a medium-sized country with comparatively more language and ethnic group diversity. METHODS: The investigators partnered with the Performance Monitoring and Accountability 2020 (PMA2020) Uganda to access a data collection platform sampling 2520 households in 105 randomly selected enumeration areas. Due to geographic size consideration and language diversity, SOSAS's methodology was updated in three significant dimensions (1) technology, (2) staff management, and (3) questionnaire adaptations. RESULTS: The SOSAS survey was successfully implemented with non-medically trained but field proven research assistants. We sampled 2315 of 2402 eligible households (response rate 96.4 %) and 4248 of 4374 eligible individual respondents (response rate 97.1 %). The female-to-male ratio was 51.1-48.9 %. Total survey cost was USD 73,145 and data collection occurred in 14 days. DISCUSSION: SOSAS Uganda has demonstrated that non-medically trained, but university-educated, experienced researchers supervised by academic surgeons can successfully perform accurate data collection of SOSAS. SOSAS can be successfully implemented within larger and more diverse LMICs using existing national survey platforms, and SOSAS Uganda provides insights on how SOSAS can be executed specifically within other PMA2020 program countries.
[Mh] Termos MeSH primário: Coleta de Dados/métodos
Acesso aos Serviços de Saúde/estatística & dados numéricos
Necessidades e Demandas de Serviços de Saúde
Determinação de Necessidades de Cuidados de Saúde
[Mh] Termos MeSH secundário: Adolescente
Adulto
Idoso
Criança
Pré-Escolar
Custos e Análise de Custo
Grupos Étnicos
Feminino
Geografia
Assistência Técnica ao Planejamento em Saúde
Seres Humanos
Lactente
Recém-Nascido
Masculino
Meia-Idade
Pobreza
Cirurgiões
Inquéritos e Questionários
Uganda
Universidades
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1606
[Cu] Atualização por classe:170926
[Lr] Data última revisão:
170926
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150829
[St] Status:MEDLINE
[do] DOI:10.1007/s00268-015-3191-5


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[PMID]:26098555
[Au] Autor:Koni P; Chishinga N; Nyirenda L; Kasonde P; Nsakanya R; Welsh M
[Ad] Endereço:FHI 360, PO Box 320303, Lusaka, Zambia.
[Ti] Título:Health Facility Graduation from Donor-Supported Intensive Technical Assistance and Associated Factors in Zambia.
[So] Source:PLoS One;10(6):e0131084, 2015.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The FHI360-led Zambia Prevention Care and Treatment partnership II (ZPCT II) with funding from United States Agency for International Development, supports the Zambian Ministry of Health in scaling up HIV/AIDS services. To improve the quality of HIV/AIDS services, ZPCT II provides technical assistance until desired standards are met and districts are weaned-off intensive technical support, a process referred to as district graduation. This study describes the graduation process and determines performance domains associated with district graduation. METHODS: Data were collected from 275 health facilities in 39 districts in 5 provinces of Zambia between 2008 and 2012. Performance in technical capacity, commodity management, data management and human resources domains were assessed in the following services areas: HIV counselling and testing and prevention of mother to child transmission, antiretroviral therapy/clinical care, pharmacy and laboratory. The overall mean percentage score was calculated by obtaining the mean of mean percentage scores for the four domains. Logistic regression models were used to obtain odds ratios (OR) and 95% confidence intervals (CI) for the domain mean percentage scores in graduated versus non-graduated districts; according to rural-urban, and province strata. RESULTS: 24 districts out of 39 graduated from intensive donor supported technical assistance while 15 districts did not graduate. The overall mean percentage score for all four domains was statistically significantly higher in graduated than non-graduated districts (93.2% versus 91.2%, OR = 1.34, 95%CI:1.20-1.49); including rural settings (92.4% versus 89.4%, OR = 1.43,95%CI:1.24-1.65). The mean percentage score in human resource domain was statistically significantly higher in graduated than non-graduated districts (93.6% versus 71.6%, OR = 5.81, 95%CI: 4.29-7.86) and in both rural and urban settings. CONCLUSIONS: QA/QI tools can be used to assess performance at health facilities and determine readiness for district graduation. Human resources management domain was found to be an important factor associated with district graduation.
[Mh] Termos MeSH primário: Infecções por HIV/terapia
Instalações de Saúde
[Mh] Termos MeSH secundário: Feminino
Infecções por HIV/prevenção & controle
Infecções por HIV/transmissão
Instalações de Saúde/normas
Assistência Técnica ao Planejamento em Saúde
Seres Humanos
Masculino
Gravidez
Garantia da Qualidade dos Cuidados de Saúde
Qualidade da Assistência à Saúde
Estudos Retrospectivos
Serviços de Saúde Rural/normas
Estados Unidos
United States Agency for International Development
Serviços Urbanos de Saúde/normas
Zâmbia
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1604
[Cu] Atualização por classe:150627
[Lr] Data última revisão:
150627
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150623
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0131084


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[PMID]:25996984
[Au] Autor:Madsen KA; Cotterman C; Crawford P; Stevelos J; Archibald A
[Ad] Endereço:University of California Berkeley, School of Public Health, 219 University Hall, No. 7360, Berkeley, CA 94720-7360. Telephone: 510-664-9070. Email: madsenk@berkeley.edu.
[Ti] Título:Effect of the Healthy Schools Program on prevalence of overweight and obesity in California schools, 2006-2012.
[So] Source:Prev Chronic Dis;12:E77, 2015 May 21.
[Is] ISSN:1545-1151
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: The Alliance for a Healthier Generation's Healthy Schools Program (HSP) is a national evidence-based obesity-prevention initiative aimed at providing the schools in greatest need with onsite training and technical assistance (TTA) and consultation with national experts (HSP national advisors) to create sustainable healthy change in schools' nutrition and physical activity environments. The objective of this study was to evaluate the impact of HSP on the prevalence of overweight and obesity in California schools, from HSP's inception in 2006 through 2012. METHODS: We used statewide body mass index (BMI) data collected annually from 5th-, 7th-, and 9th-grade students to determine whether enrolling in the HSP's onsite intervention reduced the prevalence of overweight and obesity in intervention schools (n = 281) versus propensity-score matched control schools (n = 709) and whether increasing exposure to the program (TTA and contact with HSP national advisors) was associated with reductions in the prevalence of overweight and obesity. RESULTS: Analyses showed no difference between HSP schools and control schools in overweight or obesity prevalence. However, program exposure varied widely among participating schools, and each additional contact with TTA or HSP national advisors was associated with a 0.3% decline in overweight and obesity prevalence (P < .05). CONCLUSION: HSP appears to be an important means of supporting schools in reducing obesity. Although participation in HSP alone was not sufficient to improve weight status in California schools, there was a clear dose-response relationship to the program. HSP serves as an effective model for addressing childhood obesity among engaged schools.
[Mh] Termos MeSH primário: Promoção da Saúde/métodos
Obesidade/epidemiologia
Sobrepeso/epidemiologia
Serviços de Saúde Escolar/normas
Instituições Acadêmicas/tendências
[Mh] Termos MeSH secundário: Adolescente
Índice de Massa Corporal
California/epidemiologia
Estudos de Casos e Controles
Criança
Pré-Escolar
Grupos Étnicos
Prática Clínica Baseada em Evidências
Feminino
Assistência Técnica ao Planejamento em Saúde
Seres Humanos
Modelos Lineares
Masculino
Programas Nacionais de Saúde
Obesidade/prevenção & controle
Sobrepeso/prevenção & controle
Prevalência
Avaliação de Programas e Projetos de Saúde
Pontuação de Propensão
Distribuição Espacial da População
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1609
[Cu] Atualização por classe:150613
[Lr] Data última revisão:
150613
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150522
[St] Status:MEDLINE
[do] DOI:10.5888/pcd12.150020


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[PMID]:25880770
[Au] Autor:Stein A; Baldyga W; Hilgendorf A; Walker JG; Hewson D; Rhew L; Uskali A
[Ad] Endereço:1932 Mail Service Center, Raleigh, NC 27699. Email: anna.stein@dhhs.nc.gov.
[Ti] Título:Challenges in promoting joint use agreements: experiences from Community Transformation Grant awardees in North Carolina, Illinois, and Wisconsin, 2011-2014.
[So] Source:Prev Chronic Dis;12:E51, 2015 Apr 16.
[Is] ISSN:1545-1151
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Community Transformation Grant awardees in North Carolina, Illinois, and Wisconsin promoted joint use agreements (formal agreements between 2 parties for the shared use of land or facilities) as a strategy to increase access to physical activity in their states. However, awardees experienced significant barriers to establishing joint use agreements, including 1) confusion about terminology and an aversion to complex legal contracts, 2) lack of applicability to single organizations with open use policies, and 3) questionable value in nonurban areas where open lands for physical activity are often available and where the need is instead for physical activity programs and infrastructure. Furthermore, promotion of formal agreements may unintentionally reduce access by raising concerns regarding legal risks and costs associated with existing shared use of land. Thus, joint use agreements have practical limitations that should be considered when selecting among strategies to promote physical activity participation.
[Mh] Termos MeSH primário: Planejamento em Saúde Comunitária/métodos
Relações Comunidade-Instituição
Serviços Contratados/utilização
Apoio ao Planejamento em Saúde
Atividade Motora
Logradouros Públicos
[Mh] Termos MeSH secundário: Distinções e Prêmios
Doença Crônica/prevenção & controle
Serviços Contratados/legislação & jurisprudência
Serviços Contratados/organização & administração
Análise Custo-Benefício
Planejamento Ambiental
Apoio ao Planejamento em Saúde/economia
Apoio ao Planejamento em Saúde/legislação & jurisprudência
Assistência Técnica ao Planejamento em Saúde
Promoção da Saúde/economia
Promoção da Saúde/métodos
Seres Humanos
Illinois
Modelos Organizacionais
North Carolina
Inovação Organizacional
Política Organizacional
Logradouros Públicos/economia
Logradouros Públicos/legislação & jurisprudência
Administração em Saúde Pública/métodos
Serviços de Saúde Escolar/economia
Terminologia como Assunto
Wisconsin
[Pt] Tipo de publicação:JOURNAL ARTICLE; MULTICENTER STUDY; RESEARCH SUPPORT, U.S. GOV'T, P.H.S.
[Em] Mês de entrada:1609
[Cu] Atualização por classe:161019
[Lr] Data última revisão:
161019
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150417
[St] Status:MEDLINE
[do] DOI:10.5888/pcd12.140457


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[PMID]:25764188
[Au] Autor:Takla A; Wichmann O; Carrillo-Santisteve P; Cotter S; Levy-Bruhl D; Paradowska-Stankiewicz I; Valentiner-Branth P; D'Ancona F; VENICE III NITAG Survey Group
[Ad] Endereço:Robert Koch Institute, Berlin, Germany.
[Ti] Título:Characteristics and practices of National Immunisation Technical Advisory Groups in Europe and potential for collaboration, April 2014.
[So] Source:Euro Surveill;20(9), 2015 Mar 05.
[Is] ISSN:1560-7917
[Cp] País de publicação:Sweden
[La] Idioma:eng
[Ab] Resumo:In many countries, national vaccination recommendations are developed by independent expert committees, so-called national immunisation technical advisory groups (NITAG). Since the evaluation of vaccines is complex and resource-demanding, collaboration between NITAGs that evaluate the same vaccines could be beneficial. We conducted a cross-sectional survey among 30 European countries in February 2014, to explore basic characteristics and current practices of European NITAGs and identify potential modes and barriers for collaboration. Of 28 responding countries, 26 reported to have a NITAG or an equivalent expert group. Of these, 20 apply a systematic approach in the vaccine decision-making process, e.g. by considering criteria such as country-specific disease epidemiology, vaccine efficacy/effectiveness/safety, health economics, programme implementation/logistics or country-specific values/preferences. However, applied frameworks and extent of evidence review differ widely. The use of systematic reviews is required for 15 of 26 NITAGs, while results from transmission modelling and health economic evaluations are routinely considered by 18 and 20 of 26 NITAGs, respectively. Twenty-five countries saw potential for NITAG-collaboration, but most often named structural concerns, e.g. different NITAG structures or countries' healthcare systems. Our survey gathered information that can serve as an inventory on European NITAGs, allowing further exploration of options and structures for NITAG collaboration.
[Mh] Termos MeSH primário: Comitês Consultivos
Assistência Técnica ao Planejamento em Saúde
Imunização
Programas Nacionais de Saúde/organização & administração
[Mh] Termos MeSH secundário: Comportamento Cooperativo
Europa (Continente)
União Europeia
Inquéritos Epidemiológicos
Seres Humanos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T
[Em] Mês de entrada:1505
[Cu] Atualização por classe:151119
[Lr] Data última revisão:
151119
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:150313
[St] Status:MEDLINE



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