Unlabelled: THE PROBLEM OF MANAGING DEMAND: Most healthcare systems have 'third-party payers' who face the problem of keeping within budgets despite pressures to increase resources due to the ageing population, new technologies and patient demands to lower thresholds for care. This paper uses the UK National Health Service as a case study to suggest techniques for system-based demand management, which aims to control demand and costs whilst maintaining the cost-effectiveness of the system.
Technique For Managing Demand: The technique for managing demand in primary, elective and urgent care consists of managing treatment thresholds for appropriate care, using a whole-systems approach and costing the care elements in the system. It is important to analyse activity in relation to capacity and demand. Examples of using these techniques in practice are given.
Conclusion: The practical effects of using such techniques need evaluation. If these techniques are not used, managing demand and limiting healthcare expenditure will be at the expense of clinical outcomes and unmet need, which will perpetuate financial crises.
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http://dx.doi.org/10.1016/j.puhe.2007.04.013 | DOI Listing |
Front Public Health
January 2025
Department of Psychology, Kazimierz Wielki University, Bydgoszcz, Poland.
Introduction: The ongoing COVID-19 pandemic, which began in early 2020, and the outbreak of war in Ukraine in 2022 (a country bordering Poland on the east) have significantly impacted the mental health of young people in Poland, leading to increased rates of depression, anxiety, and other mental health issues. The rising number of individuals struggling to cope with daily stressors, as well as non-normative stressors, may indicate a decrease in the individual's potential, specifically in skills, attitudes, and competencies required to overcome difficulties that they encounter. It can be assumed that for young people, maintaining mental health under the influence of social stressors, such as the pandemic and the ongoing war in Ukraine, depends on the ability to adapt positively, which is the ability of young individuals to adjust to situational demands in a way that allows them to effectively manage those situations.
View Article and Find Full Text PDFMalawi Med J
January 2025
Department of Health Systems and Policy, School of Global and Public Health, Kamuzu University of Health Sciences, Blantyre, Malawi.
Background: Each year, nearly 400,000 new cases of paediatric hydrocephalus are estimated to occur worldwide, and almost half of these cases are expected to affect children in Africa. At Queen Elizabeth Central Hospital (QECH), an urban tertiary hospital in Blantyre, Malawi, located in south-east Africa, around 200 children received neurosurgical treatment for hydrocephalus in 2023. These children require lifelong follow-up and care, which places significant demands on their caregivers.
View Article and Find Full Text PDFConserv Biol
January 2025
Department of Forestry and Wildlife Management, University of Inland Norway, Koppang, Norway.
Coexistence with large carnivores represents one of the world's highest profile conservation challenges. Ecologists have identified ecological benefits derived from large carnivores (and large herbivores), yet livestock depredation, perceived competition for shared game, risks to pets and humans, and social conflicts often lead to demands for reduction of predator numbers from a range of stakeholder groups. Nearly 100 years ago, Vito Volterra predicted that increased mortality on both prey and predators results in increased abundance of prey and decreased abundance of predators.
View Article and Find Full Text PDFBMC Health Serv Res
January 2025
Department of Nursing Management, Florence Nightingale Faculty of Nursing, Istanbul University-Cerrahpaşa, Istanbul, Türkiye.
Purpose: This research aimed to determine the relationship between work intensification and occupational fatigue in nurses using a cross-sectional and correlational design.
Methods: The sample included 597 nurses from public, private, and university hospitals in Istanbul, selected through convenience sampling. Data were collected using the "Nurse Information Form," the "Intensification of Job Demands Scale," and the "Occupational Fatigue Exhaustion/Recovery Scale.
Sci Rep
January 2025
School of ECE, Adama Science and Technology University, Adama, Ethiopia.
This paper details the hardware implementation of a Universal Converter controlled by an Artificial Neural Network (ANN), utilizing key components such as six Insulated Gate Bipolar Transistors (IGBTs), two inductors, and two capacitors for energy storage and voltage smoothing. A Digital Signal Processor (DSP) serves as the core controller, processing real-time input and feedback signals, including voltage and current measurements, to dynamically manage five operational modes: rectifier buck, inverter boost, DC-DC buck, DC-DC boost, and AC voltage control. The pre-trained ANN algorithm generates pulse-width modulation (PWM) signals to control the switching of the IGBTs, optimizing timing and duty cycles for efficient operation.
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