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Health Transition Review. 1997 Apr; 7(1):61-71.The World Development Report 1993 announced that global life expectancy was then 65. Experience in the developed world suggests that the World Health Organization’s dictum, ‘health is a state of complete physical, mental and social well-being’, is simply not attainable for the foreseeable future. As physical health has improved, mental problems have become more prominent and a sense of well-being has declined. Furthermore, as the population ages and medical technology improves, the cost of health care grows almost exponentially. Since the population of the developed world is continuing to age and aging is spreading rapidly throughout the developing world, knowledge is the principal way of dealing with this seemingly intractable problem: we must know, quantitatively, the age-specific causes of ill health, and we must know which means of prevention and treatment are effective. Finally, we must apply that knowledge rationally. (author's)
BJOG: An International Journal of Obstetrics and Gynaecology. 2005 May; 112:607-611.Objective To assess the impact of the publication of hospital caesarean section rates on the reduction of these rates in South Korea, and explore associated factors contributing to the decrease. Design Observational study. Setting South Korea. Sample Two hundred and sixty-three hospitals in South Korea. Methods The caesarean section rates of 263 hospitals, before and after the release of caesarean section rates to the public, were obtained. The factors influencing the reduction in hospital caesarean section rates were also explored using multiple logistic regression. Main outcome measure Hospital caesarean section rates. Results After the release of information in 2000, the total (clinic and hospital) caesarean section rates in 2000 and 2001 decreased to 38.6% and 39.6%, respectively, from 43.0% in 1999. Caesarean section rates for hospitals were 45.9%, 42.7% and 44.6% in 1999, 2000 and 2001, respectively. Hospitals with the highest baseline caesarean section rates (OR 9.4, 95% CI 4.2- 21.0) and highest number of deliveries (OR 8.1, 95% CI 2.1-31.1) were significant factors contributing independently to a decrease in caesarean section rates. Market share, competition, characteristics of revenue generation and ownership did not significantly influence the change of rates. Conclusion The public release of information on caesarean section rates in Korea has reversed the ever-increasing trend in these rates. Hospitals with pre-existing high caesarean section rates or a larger number of deliveries were influenced by the information release and could be the main targets for interventions to decrease these rates. (author's)
Choices. 2001 Autumn; 18-9.In Moldova, where many young people suffer from hunger and unemployment, young people do not consider sexual and reproductive health (SRH) issues to be of high priority. This attitude complicated the advocacy efforts of young people who helped the Family Planning Association of Moldova (FPAM) promote a new family planning law. Young group members initiated discussion with their peers, and high school and university students on reproductive health issues and the necessity of family planning legislation in the country. Nonetheless, the reproductive health legislation passed the Moldavian Parliament and was approved by the country's president on July 27, 2001.