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Tytuł:
Knowledge of parents from urban and rural areas vs. prevention methods of hearing loss threats seen as challenges for public health
Autorzy:
Głowacka, Maria Danuta
Świdziński, Piotr
Frankowska, Anna
Bajurna, Beata
Marcinkowski, Jerzy T.
Mojs, Ewa
Powiązania:
https://bibliotekanauki.pl/articles/989823.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
hearing protection
children
public health
Opis:
Introduction. Parents as day-to-day caregivers looking after their children’s health and upbringing are crucial in the process of hearing loss prevention among the young. The aim of the study was to assess the parents’ knowledge and awareness of hazards bringing about hearing loss, possibilities to prevent this, as well as their reaction in the case of problems of their children with hearing. Material and methods. The research group comprised respondents (402 persons), medical or paramedical professionals. None of the surveyed was a doctor. 56% of the surveyed were inhabitants of large cities, 24% of small towns, and 20% of village, mostly located in the area of Greater Poland (Wielkopolska) (97%). To perform the research a survey was devised. GSES scale was applied as an accessory tool. Results. The subjects surveyed posses a great deal of knowledge concerning basic conditions that could adversely affect the hearing of children. Village inhabitants are half as afraid of hearing loss hazards as the inhabitants of large cities. More than 40% of the respondents claimed they do nothing to counteract their children’s overexposure to noise. In 48.5% of cases, GPs had not drawn parents’ attention to possible complications resulting from upper respiratory tract infections in children. Parents know where they should go to in case their children develop hearing problems or sudden hearing loss. Conclusions. Knowledge and awareness of factors that may trigger hearing loss is not synonymous with avoidance of the problem. Main components of hearing loss prevention among children and youths should be administrative actions, extensive education, and proper childcare at home.
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
How is the process of setting micronutrients recommendations reflected in nutrition policies in Poland? The case study of folate
Autorzy:
Sicińska, E.
Jeruszka-Bielak, M.
Roszkowski, W.
Brzozowska, A.
Jarosz, M.
Raats, M.M.
Powiązania:
https://bibliotekanauki.pl/articles/2081566.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
micronutrients
nutrition policy
public health
folate
Opis:
Introduction and objective. Ensuring the adequate intake of micronutrients by populations is an important aspect of public health. This study aims to elucidate the process of setting nutrition recommendations and the development of subsequent policies associated with micronutrients in Poland by using the case study of folate. Materials and method. The study was based on 13 interviews conducted between October 2010 – February 2011, and desk research comprising a review of the associated scientific literature and relevant documents, such as scientific opinions and reports of the meetings of scientific committees. The interviews were conducted within the EURRECA (EURopean micronutrient RECommendations Aligned) Network of Excellence in the frame of the European Union’s 6th Framework Programme. Results. Since 1997, the Experts Group of the Ministry of Health recommended that all women of childbearing age should consume folic acid as a supplement to prevent neural tube defects in their offspring. The fortification of foodstuffs with folic acid is not obligatory. This study describes the revision of the folate nutrient recommendation and the process by which strategies to increase the intake of this vitamin by the Polish population were identified. The institution responsible for the choice and implementation of folate policy is the Ministry of Health and the National Food and Nutrition Institute is responsible for setting/updating the nutrient recommendations. Conclusions. The current Polish nutrition recommendations for folate are consistent with the levels set by most other countries. The constant improvement of nutritional knowledge on folate among consumers, especially young women, is necessary.
Źródło:
Annals of Agricultural and Environmental Medicine; 2018, 25, 1; 82-86
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Asbestosis hospitalizations in Poland (2006–2016): results from the National Hospital Discharge Registry
Autorzy:
Kanecki, K.
Kosińska, I.
Tyszko, P.Z.
Nitsch-Osuch, A.
Goryński, P.
Zieliński, G.
Powiązania:
https://bibliotekanauki.pl/articles/2085542.pdf
Data publikacji:
2020
Wydawca:
Instytut Medycyny Wsi
Tematy:
public health
environmental health
lung disease
occupational exposure
Opis:
Introduction and objective. Occupational asbestos exposure is one of the major public health issues. Although asbestos use in Poland has decreased, asbestosis continues to remain an important health concern in the area of occupational medicine. The aim of the study is to perform a descriptive analysis of hospitalization cases in patients suffering from asbestosis in Poland. Materials and method. The authors used hospital discharge records to conduct a retrospective, population-based study. To estimate the asbestosis hospitalization rate, data from the Nationwide General Hospital Morbidity Study conducted by the National Institute of Public Health were used. Events were defined as in-patient hospital discharges during 2006–2016. 1,101 hospitalization records of 764 patients were included in the study. Results. In the study group of first-time hospitalized patients, the mean and median ages were 68.1 and 69 years, respectively; CI: 67.3–68.9; SD: 11.1, min-max:16–99 years. In this group, significant gender differences were observed (560 males vs. 204 female; P<0.001). No statistical differences were observed regarding the place of residence. During the observation period, 61 in-hospital deaths were reported (8% of all patients), 40 of whom (5.2 % of all patients) took place during the first-time hospitalizations. Asbestosis hospitalizations were mainly clustered in the south-western region, whereas the highest hospitalization rates were clustered in several areas of Poland. Conclusions. The authors believe this study to be the first evaluation of asbestosis in Poland made on the basis of the hospital morbidity database. The data presented may be helpful in comparative studies on the epidemiology of asbestosis across European countries.
Źródło:
Annals of Agricultural and Environmental Medicine; 2020, 27, 2; 284-289
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Use of marijuana for medical purposes
Autorzy:
Pinkas, Jarosław
Jabłoński, Piotr
Kidawa, Michal
Wierzba, Waldemar
Powiązania:
https://bibliotekanauki.pl/articles/990961.pdf
Data publikacji:
2016
Wydawca:
Instytut Medycyny Wsi
Tematy:
medical cannabis
public health
drug policy
public debat
Opis:
Cannabis is the most popular illicit drug on the European market. Over 16 million young Europeans have used it at least once in the last few years. The recent trends in the consumption of marihuana differ between countries. Some countries face an increase in the prevalence of cannabis use, including Poland, where the level cannabis use has been systematically increasing since the 1990’s. According to a recent ESPAD study, 19% of Polish adolescents aged 15–16 have used cannabis in the last year. Marihuana is also a leading substance when analyzing the data of seizures and crimes. The recent EMCDDA Annual report on the drug situation in Europe notes the increasing potency in cannabis available on the market. Some countries face an increasing number of emergencies caused by marihuana, which was unlikely to have happened previously. In almost all European countries there is an ongoing discussion about loosening marijuana laws or its complete legalization. There is also ongoing discussion on the use of marihuana in therapy as a medicine. Many scientific studies are being conducted in this field. Some of the results are promising; however, there is no well-designed human trial which would unequivocally confirm that medical cannabis is effective as a medicine, or more effective than other medicines on the market. The problem is that the debate on the medical use of marihuana becomes more ideological and less professional. The medical use of marihuana is strongly supported by organizations lobbying for the legalization of cannabis use. Research on the medical use of cannabis should be continued, as there are some promising results supporting therapy in different medical conditions. However, the use of cannabis as a medicine should be discussed only among professionals. If marihuana is to be used for medical purposes, the fact that it is the most popular illicit drug in Europe is irrelevant.
Źródło:
Annals of Agricultural and Environmental Medicine; 2016, 23, 3
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
POlish-Norwegian Study (PONS)
Autorzy:
Zatonski, W.A.
Vatten, L.
Powiązania:
https://bibliotekanauki.pl/articles/50506.pdf
Data publikacji:
2011
Wydawca:
Instytut Medycyny Wsi
Tematy:
PONS project
Polska
Norway
health
human health
European Union
public health
Źródło:
Annals of Agricultural and Environmental Medicine; 2011, 18, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Influence of socio-economic factors on emotional changes during the postnatal period
Autorzy:
Wszołek, K.
Żak, E.
Żurawska, J.
Olszewska, J.
Pięta, B.
Bojar, I.
Powiązania:
https://bibliotekanauki.pl/articles/2081563.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
postpartum depression
screening and diagnostic tests
public health
Opis:
Objectives. The aim of the study was to identify socio-economic factors that may influence the emotional changes which occur among new mothers in the first days postpartum. Materials and method. A group of 541 women completed a questionnaire consisting of 30 multiple-choice questions, Edinburgh Postnatal Depression Scale (EPDS), and Hospital Anxiety and Depression Scale (HADS). Statistical calculations were performed with the use of Statistica v.10 and Cytel Studio v. 9.0.0. Results. The findings revealed the presence of factors which might increase the risk of mood disorders during the postpartum period. Conclusions. Women who demonstrate warning symptoms should be screened for postnatal emotional changes and mood swings during their hospitalization after delivery. EPDS seems to be a suitable tool for early detection of emotional disturbances.
Źródło:
Annals of Agricultural and Environmental Medicine; 2018, 25, 1; 41-45
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Treatment for active tuberculosis in giraffe (Giraffa camelopardalis) in a Zoo and potential consequences for public health - case report
Autorzy:
Krajewska-Wędzina, M.
Augustynowicz-Kopeć, E.
Weiner, M.
Szulowski, K.
Powiązania:
https://bibliotekanauki.pl/articles/2081930.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
tuberculosis
epidemiology
anti-tuberculosis therapy
public health
giraffe
Opis:
Introduction. Bovine tuberculosis (bTB) is an infectious disease that occurs in many species of both domestic and freeranging animals, as well as animals kept in zoos. According to the Polish regulations, cattle tuberculosis are slaughtered and microbiological examinations are performed, the rest of animal species can be treated and laboratory diagnostics are not obligatory. Case report. The presented case concerns two male giraffes which were purchased by the zoo and united with a third male. After a year, the oldest male died. Post mortem examinations confirmed generalized tuberculosis. After a further six months, the second male was euthanized after suffering great pain. The material for the study of drug resistance was a swab from the nose, obtained ante mortem from the third male. Attempted treatments did not produce the expected results. Genotyping allowed the exclusion of a common source of transmission. Conclusions. The final effect of the anti-tuberculosis therapy in the male giraffe raises the question whether the research team should have undertaken the treatment of the animal with active tuberculosis.
Źródło:
Annals of Agricultural and Environmental Medicine; 2018, 25, 4; 593-595
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Impact of way of life and environment on the prevalence of Chlamydia felis in cats as potentional sources of infection for humans
Autorzy:
Halanova, M.
Petrova, L.
Halan, M.
Trbolova, A.
Babinska, I.
Weissova, T.
Powiązania:
https://bibliotekanauki.pl/articles/2083221.pdf
Data publikacji:
2019
Wydawca:
Instytut Medycyny Wsi
Tematy:
Chlamydia felis
cat
prevalence
zoonosis
PCR
public health
Opis:
Introduction and objectives. Chlamydia (C.) felis can cause infection which may be associated with conjunctivitis and/or respiratory tract disease, particularly in kittens, but could also be the cause of the disease in adult cats. Infection is more common in multi-cat environments. The zoonotic potential of C. felis appears low, but exposure to this microorganism is possible by handling the affected cats, by contact with their aerosol, and also via fomites. Materials and method. In the study, 140 cats of various breeds from Košice region in Slovakia were studied. Conjunctival samples were obtained from 71 clinically healthy cats (50.7%) and 69 cats with clinical signs of conjunctivitis and upper respiratory tract impairment (49.3%). Cats were divided into 4 groups according to breed and type of environment in which they lived. In the 1st group were cats kept inside only (n=33), in the 2nd group, free-roaming cats (n=50), the 3rd group comprised stray cats, taken from the streets (n=28), and the 4th group included cats kept in shelters or deposit devices (n=29). Molecular method PCR and DNA sequencing was used as the diagnostic method. Results. Overall positivity was 17.1%. Of the 24 positive cats, the highest positivity was detected in the population of stray cats (35.7%) and shelter cats (31%). In the group of free-roaming cats, 10% had positivity. No positive animals were detected in the group of cats kept inside only. It was also found that the risk of C. felis in cats with clinical signs of disease was more than 7-fold higher than in cats without clinical signs of conjunctivitis and respiratory tract. Conclusion. The obtained results show that cats, especially stray and shelter cats, can be important sources of feline chlamydiosis, and due to their close contact with people they can present a risk for transmission.
Źródło:
Annals of Agricultural and Environmental Medicine; 2019, 26, 2; 222-226
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Prevalence of rotavirus, adenovirus, hepatitis A virus and enterovirus in water samples collected from different region of Peshawar, Pakistan
Autorzy:
Ahmad, Tahir
Arshad, Najma
Adnan, Fazal
Sadaf Zaidi, Najam-us-Sahar
Talha Shahid, Muhammad
Zahoor, Usman
Sohail Afza, Muhammad
Anjum, Sadia
Powiązania:
https://bibliotekanauki.pl/articles/989737.pdf
Data publikacji:
2016
Wydawca:
Instytut Medycyny Wsi
Tematy:
water
enteric viruses
molecular epidemiology
diagnostic
public health
Opis:
Viral gastroenteritis and other water-borne diseases are the most neglected areas of research in Pakistan. To determine the quality of water, 4 enteric viruses were studied from different localities of Peshawar, Pakistan. The study validates the viral detection method for Rotavirus (RV), Human adenovirus (HAdV), Enterovirus (EV) and Hepatitis A virus (HAV), directly from water sources of rural areas of Peshawar, KPK, Pakistan. Overall, 95 five water samples were tested; among them, 9.47% were positive for RV, 38.94% for HAdV, 48.42% for EV and 12.63% for HAV. The presence of these viruses in water was directly correlated with meteorological data. High prevalence of EV and HAdV was detected frequently in the wet season from May – September, which can be the potential cause of spreading of gastroenteritis in the population. Environmental surveillance is an additional tool to evaluate the epidemiology of enteric viruses circulating in a given community.
Źródło:
Annals of Agricultural and Environmental Medicine; 2016, 23, 4
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Invasive forms of canine endoparasites as a potential threat to public health - a review and own studies
Autorzy:
Felsmann, Mariusz Zbigniew
Michalski, Mirosław Mariusz
Felsmann, Mirosława
Sokół, Rajmund
Szarek, Józef
Strzyżewska-Worotyńska, Emilia
Powiązania:
https://bibliotekanauki.pl/articles/989829.pdf
Data publikacji:
2017
Wydawca:
Instytut Medycyny Wsi
Tematy:
parasitic zoonosis
public health
urban and public places
endoparasites
dogs
geohelminths
Opis:
Dogs serve as the vectors of serious zoonotic parasitic diseases. In the month of May 2012 – 2014, 339 dog faeces samples from seven public sites in Chełmno, a town in northern Poland, were collected and examined to determine the gastrointestinal parasite fauna of dogs. Each faecal sample was dissected with a needle, checked for tapeworm segments and examined for parasite eggs and oocysts using the flotation and decantation method and a modified Baermann technique. Differences were observed in the degree of parasite species occurrence. The most dominant were Toxocara canis and Ancylostomatidae. The detected species included: T. canis and Toxascaris leonina eggs (23.4% and 10.2%, respectively), as well as eggs from the Ancylostomatidae family (16.2%), Trichuris vulpis eggs (6.6%), Taenia type eggs (4.6%), Dipylidium caninum (5.2%) and Cystoisospora (Isospora) spp. oocysts (10.9%).
Źródło:
Annals of Agricultural and Environmental Medicine; 2017, 24, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
New laws to reduce tobacco smoking changed attitudes to the problem, but not the percentage of smokers
Autorzy:
Opoczyńska-Swieżewska, D.
Raciborski, F.
Samoliński, B.K.
Powiązania:
https://bibliotekanauki.pl/articles/2081844.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
tobacco cessation
smoke-free policy
smoking epidemiology
public health
Opis:
Introduction. The epidemic of tobacco smoking remains one of the most important challenges in public health. It is associated with premature death. For this reason, the Act of 9 November 1995 on the Protection of Public Health against the Effects of Use of Tobacco and Tobacco Products, as amended on 15 November 2010, implemented significant additional restrictions on smoking in public places. Objective. The objective of this study is evaluation of the impact of smoking regulations on social behaviour and attitude to the legal forms of tobacco control, due to the new smoke-free policy. Materials and method. A secondary statistical analysis of third party data was used in the study. The material was obtained from the Public Opinion Research Centre. Polls are conducted among representative samples of about 1,000 adult inhabitants of Poland. The studies on cigarette smoking were carried out in 3 editions (2010, 2011, 2012). Results. The collected data on tobacco smoking before and after implementation of the Act show that the number of smokers remained at a comparable level – about 30% (p=0.891). Between 2010–2012, an increase was observed in the percentage of people supporting the smoking ban in public places. The total number of people who definitely or rather supported the smoking ban increased from 75.6% in 2010 to 85.0% in 2012 (p<0.001). Conclusions. The restrictive smoking ban in public places implemented in 2010 did not have an impact on the number of smokers in the studied time interval, although an increase in the number of people supporting the smoking ban in public places was observed.
Źródło:
Annals of Agricultural and Environmental Medicine; 2018, 25, 3; 546-551
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Socio-economic inequalities in the use of dental care in urban and rural areas in Poland
Autorzy:
Piotrowska, D.E.
Pędziński, B.
Jankowska, D.
Huzarska, D.
Charkiewicz, A.E.
Szpak, A.S.
Powiązania:
https://bibliotekanauki.pl/articles/2081767.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
dental public health
rural/urban environment
health disparities
health inequalities
socio-economic factors
Opis:
Introduction. The issue of inequalities in the use of health services and health inequalities between urban and rural dwellers is a subject of numerous scientific reports, but similar publications on dental health are scarce. Objective. The aim of this study is to assess the correlations between the use or non-use of dental services and the classical socio-economic factors (SES) in urban and rural groups in a representative population of Poland. Materials and method. The analysis consisted in desk research based on a questionnaire survey conducted by the Central Statistical Office of Poland on 12,532 individuals (urban areas – 6411, rural areas – 6121) in 2013. The chi-squared test, multivariate and univariate logistic regression models were applied. Results. There were major differences in the use of dental services depending on income level, education and source of income among rural and urban populations, as well as differences between these populations. Urban dwellers had 1.34 times greater odds of using dental services than rural ones (95% CI: 1.20–1.51). In the case of the highest income group, the odds were 3.26 (95% CI 2.21–4.83) times greater in cities and 2.07 (95% CI 1.51–2.85) times greater in villages than the odds in the lowest income group. In the highest education group, the odds were 1.58 (95% CI 1.17–2.13) times greater in urban areas and 2.08 (95% CI 1.48–2.91) times greater in rural areas than the odds in the lowest education group. Conclusions. There are considerable inequalities in the use of dental services, yet the differences in non-use, despite such a need, are less evident. This could imply that health disparities arise not only from economic constraints and unavailability of health care, but also from health attitudes and behaviours.
Źródło:
Annals of Agricultural and Environmental Medicine; 2018, 25, 3; 512-516
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Enteroviruses in water environment - a potential threat to public health
Autorzy:
Rajtar, B
Majek, M.
Polanski, L.
Polz-Dacewicz, M.
Powiązania:
https://bibliotekanauki.pl/articles/50650.pdf
Data publikacji:
2008
Wydawca:
Instytut Medycyny Wsi
Tematy:
epidemiology
laboratory technique
public health
aquatic environment
water
enterovirus
Picornaviridae
Źródło:
Annals of Agricultural and Environmental Medicine; 2008, 15, 2
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Human as a potential vector of bovine tuberculosis in cattle
Autorzy:
Krajewska-Wedzina, M.
Weiner, M.
Anusz, K.
Augustynowicz-Kopeć, E.
Lipiec, M.
Szulowski, K.
Powiązania:
https://bibliotekanauki.pl/articles/2085020.pdf
Data publikacji:
2019
Wydawca:
Instytut Medycyny Wsi
Tematy:
bovine tuberculosis
Mycobacterium bovis
epidemiology
zoonosis
mycobacteriology
public health
transmission
tuberculosis
Opis:
Introduction and objective. Bovine tuberculosis (bTB, bovine TB) is caused by mycobacteria which are grouped within the MTBC. TB in animals is a highly infectious and progressive disease which can be transmitted to humans. Since 2009, Poland has gained official bTB-free status. Despite the official fact of bTB-free status, a dozen bTB outbreaks are still noted each year. Since 2000 in Poland, every year 1/5 of the national herd is subject to intradermal skin TB testing to control the bTB outbreaks in the cattle population. Application, with 5-year intervals between each government-funded skin test, undoubtedly resulted in financial savings. However it also seems to have caused several adverse and worrying events, e.g. an increase in the number of reactors detected and removed from a single tested herd. The objective of this study was the examination of 898 cattle imputed with bTB infection in Poland between 2008–2012. Materials and method. The study concerned a potential epidemic outbreak with suspected bTB transmission. 20 cows came from 3 herds in the same county located in the same province in southern Poland. Results. 134 MTBC strains were identified. In MIRU-VNTR, all isolates showed the same genetic pattern 322532243421232. Based on molecular investigation, the characteristics of M. bovis strains isolated from cattle from 3 different herds confirmed the common source of this zoonotic disease. Conclusions. Although not bacteriologically proven, everything points to the fact that humans were the vector of bovine tuberculosis transmission between herds. This finding confirms transmission between 3 cattle herds in the Małopolskie Province in southern Poland (Podhale). The outbreak of tuberculosis in animals finally compromised public health.
Źródło:
Annals of Agricultural and Environmental Medicine; 2019, 26, 3; 396-399
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
Tytuł:
Regional differences in access to health care in Poland from the perspective of health care resources
Autorzy:
Zienkiewicz, E.
Zienkiewicz, T.
Dziaduch, S.
Powiązania:
https://bibliotekanauki.pl/articles/2081579.pdf
Data publikacji:
2018
Wydawca:
Instytut Medycyny Wsi
Tematy:
health care resources
public health care services
socio-economic development of the region
urbanisation
Opis:
Objective. To examine disparities in access to the public in Poland, in association of the resources of health care, socioeconomic development of Provinces and their level of urbanization. Materials and method. The Provinces were divided into four groups, using the quartile method, according to the urbanization and level of socio-economic development. The socio-economic development level was identified by the Human Development Index (HDI) for each Province. The urbanization level of each Province was determined by the Index of Urbanization (URBI). Disparities level to access to public health care was identified by taxonomic measure of accessibility (TMA), calculated using resources of health care data. TMA index was compared in the different regions, depending on the level of HDI and URBI. Results. There was no linear relationship between accessibility to public healthcare and socio-economic development of each tested region, nor between accessibility to public health care in the Provinces and their urbanization level. During the study, the correlation between the TMA and HDI and URBI alsdo produced a negative result. Conclusions. An insufficient number of physicians and the limited value of contracts within the public health service may cause a drop in the availability of the public medical service sector, regardless of regional level of urbanization and socioeconomic development.
Źródło:
Annals of Agricultural and Environmental Medicine; 2018, 25, 1; 77-81
1232-1966
Pojawia się w:
Annals of Agricultural and Environmental Medicine
Dostawca treści:
Biblioteka Nauki
Artykuł
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