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Wyszukujesz frazę "Gonzalez, Alejandro" wg kryterium: Autor


Tytuł:
Addressing health corruption during a public health crisis through anticipatory governance : lessons from the COVID-19 pandemic
Autorzy:
Gonzalez-Aquines, Alejandro
Kowalska-Bobko, Iwona
Opis:
Corruption in the health sector costs over 500 billion USD annually, weakening health system preparedness and response to health crises like the COVID-19 pandemic. The lack of resources to deal with a shock limits the capacity to protect the population, exposing them to a greater risk of infection and mortality. There is an urgent need to improve health policy to reduce corruption in the health sector during times of crisis. This article aims to propose a prepare and response strategy to address corruption during times of health crises. We first explore the inherent characteristics of health systems that make them vulnerable to corruption and present the different faces corrupt practices take. We then explain why anticipatory governance is fundamental in addressing corruption in health systems and draw upon examples of corruption during COVID-19. Finally, we conclude by proposing that anticipatory governance could decrease the impact of corruption during health crises by increasing the availability of resources required to improve the population's health.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł
Tytuł:
Corruption in the health care sector: A persistent threat to European health systems
Autorzy:
Gonzalez-Aquines, Alejandro
Mohamed, Bassam Y.
Kowalska-Bobko, Iwona
Tematy:
corruption
fraud
health care
health systems
Europe
Europa
korupcja
opieka zdrowotna
systemy zdrowotne
Pokaż więcej
Wydawca:
Uniwersytet Jagielloński. Wydawnictwo Uniwersytetu Jagiellońskiego
Powiązania:
https://bibliotekanauki.pl/articles/63195082.pdf  Link otwiera się w nowym oknie
Opis:
Corruption is commonly defined as the abuse of entrusted power for private gain. It is estimated that over 500 USD billion are lost every year due to corruption and that a 1-point change in the control of corruption indicator measured by the World Bank increases life expectancy by 0.44 years and reduces under-five mortality by 4.6 per 1,000 infants. Despite its global prevalence and critical impact on public and private services, corruption in the healthcare sector remains understudied. The present report aims to expand the knowledge on the paramount need to tackle corruption in healthcare by identifying the actors in the health system at risk to involving in corrupt practices, followed by defining health corruption from the governmental, non-governmental organisations, and societal perspectives, together with describing relevant corruption indicators from countries from the WHO European region. To conclude, this report presents a set of proposals and recommendations to address corruption in the healthcare sector.
Dostawca treści:
Biblioteka Nauki
Artykuł
Autorzy:
Kowalska-Bobko, Iwona
Gonzalez-Aquines, Alejandro
Cordero-Perez, Adolfo C.
Opis:
Objectives: To identify, describe, and classify the cases of health corruption present in selected Western [the Netherlands and the United Kingdom (UK)] and Central-Eastern European (Poland and Slovakia) countries during the COVID-19 pandemic. Methods: A rapid review of the literature was conducted, evaluating data from 11 March 2020 to 15 April 2021. Information sources included MEDLINE via WoS, IBSS via ProQuest, Scopus, and gray literature. Results: Thirteen cases were identified across the four countries. The primary type of health corruption in Western European countries was procurement corruption, while misuse of (high) level positions was the most prevalent in Central-Eastern European countries. Actors from central governments were most involved in cases. The rule of law and anti-corruption watchdogs reported most cases in the United Kingdom and the Netherlands, while the media reported cases in Poland and Slovakia. Conclusion: The differences in types of corruption in WE and CEE countries emphasize the need to contextualize the approach to tackle corruption. Thus, further research in preventing and tackling corruption is a vital and necessary undertaking despite the inherent of conducting health corruption research.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł
Tytuł:
Effectiveness and safety of mechanical thrombectomy for acute ischaemic stroke in Latin American countries : a systematic review
Autorzy:
Gongora-Rivera, Fernando
Bochenek, Tomasz
Mohammadnezhad, Masoud
Gonzalez-Aquines, Alejandro
Cordero-Perez, Adolfo C.
Opis:
Objective: To describe the use, effectiveness, and safety outcomes of mechanical thrombectomy (MT) for acute ischemic stroke (AIS) in Latin American countries. Materials and methods: Studies reporting MT outcomes for AIS in Latin America were identified in CINAHL, MEDLINE, Web of Science, SciELO, EMBASE, and LILACS databases. Synthesis was conducted according to effectiveness (recanalization rates) and safety measures (mortality and functional independence at 90 days). Results: Seventeen studies were included, mainly from public and university hospitals. MT utilization varied from 2.6% to 50.1%, while successful recanalization ranged from 63% to 95%. Functional independence 90 days after stroke (a modified Rankin scale score of 0 to 2) was achieved in less than 40% across most studies. Mortality rates were below 30%; studies with posterior circulation strokes reported higher mortality rates. The randomized trial reported better health outcomes for functional independence among patients in the MT group (OR 2.28; 95% CI, 1.41 - 3.69), favoring MT over standard care. Conclusions: The included studies had great methodological heterogeneity due to differences in study design, the MT time window, and stroke location. The only randomized trial showed improved functional independence and lower mortality rates with MT than with standard care. The rest of the studies reported similar findings to available literature. Efforts to improve stroke care are reflected in improved patient outcomes in the region. Future studies should consider standard time window criteria and reduce the risk of bias by including representative samples and comparison groups.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł
Tytuł:
An extensive quality control and quality assurance (QC/QA) program significantly improves inter-laboratory concordance rates of flow-cytometric minimal residual disease assessment in acute lymphoblastic leukemia : an I-BFM-FLOW-Network report
Autorzy:
Scarparo, Pamela
Groeneveld-Krentz, Stefanie
Dubravcic, Klara
Moller, Claudia
Ratei, Richard
Rodriguez, Cecilia
Kloboves Prevodnik, Veronika
Popov, Alexander
Giordano, Hugo
Svec, Peter
Palazzi, Jorge
Anastasiou-Grenzelia, Theodora
Mejstrikova, Ester
Hrusak, Ondrej
Barcala, Virna
Szczepański, Tomasz
Deniz, Gunnur
Malusardi, Cecilia
Kiss, Csongor
Buldini, Barbara
Martin, Bibiana Maria
Gaipa, Giuseppe
Batinic, Drago
Campbell, Myriam
Paterakis, Georgios
Varotto, Elena
Barna, Gabor
Biondi, Andrea
Bruggemann, Monika
Dworzak, Michael N.
Gaillard, Marie Isabel
Slavkovic, Bojana
Basso, Giuseppe
Sala, Simona
Kohlscheen, Saskia
Sartor, Mary
Sędek, Łukasz
Burnusuzov, Hasan
Vernitsky, Helly
Bourquin, Jean-Pierre
Conter, Valentino
Felice, Marisa
Nikulshin, Sergey
Schumich, Angela
Rossi, Jorge
Suzan, Adin Cinar
Gonzalez, Alejandro
Torrebadell, Montserrat
Attarbaschi, Andishe
Bukowska-Straková, Karolina
Iarossi, Maria Belen
Feuerstein, Tamar
Tzanoudaki, Marianna
Kappelmayer, Janos
Kreminska, Elena
Solari, Liliana
Carelli, Daniela
Schrappe, Martin
Jakso, Pal
Agriello, Evangelina
Maglia, Oscar
Karawajew, Leonid
Galeano, Adriana
Marinov, Neda
Samardzija, Gordana
Taparkou, Anna
Maurer-Granofszky, Margarita
Sajaroff, Elisa Olga
Hevessy, Zsuzsanna
Opis:
Monitoring of minimal residual disease (MRD) by flow cytometry (FCM) is a powerful prognostic tool for predicting outcomes in acute lymphoblastic leukemia (ALL). To apply FCM-MRD in large, collaborative trials, dedicated laboratory staff must be educated to concordantly high levels of expertise and their performance quality should be continuously monitored. We sought to install a unique and comprehensive training and quality control (QC) program involving a large number of reference laboratories within the international Berlin-Frankfurt-Münster (I-BFM) consortium, in order to complement the standardization of the methodology with an educational component and persistent quality control measures. Our QC and quality assurance (QA) program is based on four major cornerstones: (i) a twinning maturation program, (ii) obligatory participation in external QA programs (spiked sample send around, United Kingdom National External Quality Assessment Service (UK NEQAS)), (iii) regular participation in list-mode-data (LMD) file ring trials (FCM data file send arounds), and (iv) surveys of independent data derived from trial results. We demonstrate that the training of laboratories using experienced twinning partners, along with continuous educational feedback significantly improves the performance of laboratories in detecting and quantifying MRD in pediatric ALL patients. Overall, our extensive education and quality control program improved inter-laboratory concordance rates of FCM-MRD assessments and ultimately led to a very high conformity of risk estimates in independent patient cohorts.
Dostawca treści:
Repozytorium Uniwersytetu Jagiellońskiego
Artykuł

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