ABSTRACT
Objective:To meet people's increasing needs for essential public health services in different regions of China,and to adjust the needs of essential public health services according to local conditions,including demographic characteristics,disease burden,economic development level,etc.Methods:The selection and evaluation framework of extended essential public health services was developed through a literature review,based on the Multi-criteria decision analysis theory,and the operational selection process and subsidy standard of extended essential public health services were explored through conducting case simulation for public health intervention programs.Results:The study initially constructed a selection and evaluation framework containing three dimensions and eight indicators,and formed the process and steps for selecting and adjusting the provincial essential public health services programs.Conclusions:The study provides an evidence-based reference for the governments'decision-making on adjusting the connotation of the local essential public health services system.
ABSTRACT
É fácil constatar em conversas informais com estudantes de Medicina que nos momentos de dificuldades apelam para a ajuda materna. Partindo desta observação os autores fazem uma revisão da literatura sobre a influência materna na educação da pessoa e as consequências que se decorrem na escolha da profissão médica. A incorporação de valores e atitudes, com ênfase na empatia, está de algum modo atrelada ao cenário de aprendizado junto das mães. Melhorar a seleção de candidatos às faculdades de medicina deve contemplar requisitos que vão além dos conhecimentos técnico-científicos, parâmetros que também estão relacionados com a figura materna formadora. As referências variadas que os autores incluem no presente trabalho servem de base para uma reflexão a todos os que estão envolvidos no mundo da educação médica. Caberá à criatividade de cada um encontrar o modo de incorporar o exemplo que as mães proporcionam como elemento de sinergia na formação profissional.
ABSTRACT
OBJECTIVE: The present study aims to correlate the LGU list of PhilHealth Sponsored Members in a municipality of Batangas with the list of poor residents as identified by the Participatory Action Research (PAR) methodology. METHOD: Interview of key informants documented the processes utilized by the LGU in determining PhilHealth beneficiaries for the Sponsored Program and the Participatory Action Research (PAR) survey in the classification of households into poor, middle and rich in four barangays of the municipality. The list of LGU Sponsored members was then cross matched with the PAR household classification. RESULTS:The comparison of the LGU list of Sponsored members and the household classification by the PAR survey showed a wide discrepancy: (1) 464 "Not Found" Sponsored households or 70% of the LGU's Sponsored list; (2) inclusion of the non-poor: 140 middle class families as classified by the PAR survey or 21.1% of the LGU's Sponsored list; and (3) exclusion of 413 or 87.5% of true poor families identified by the PAR Survey. Only 59 families or 8.9% of the LGU Sponsored list were classified as poor families by PAR. CONCLUSION:PAR offers communities, LGUs and the National Health Insurance Program a tool to validate the coverage of the Sponsored program. LGUs and the PhilHealth should consider such tool or similar tools to validate their identification, selection and enrollment of the poor, which is extremely vital in achieving universal coverage. Given the right tool, communities are in the best position to identify the poor for the Sponsored program. By way of collaboration with the underprivileged themselves, the academe has a role in assisting communities in acquiring collective awareness of their own situation and developing capacity for improving their lives. The academe also has a role in assisting LGUs in improving their health systems and national health programs in validating and improving their implementation. Further studies should be done to investigate the following: the identity of the "not found" SP members; the utilization of PhilHealth benefits by the poor; and the prospect of utilizing the PAR method by other non-academic institutions in monitoring the progress of community programs.
Subject(s)
Humans , Male , Female , Universal Health Insurance , Health Services Research , Family Characteristics , National Health Programs , Vulnerable PopulationsABSTRACT
Objetivou-se, no presente trabalho, através de correlação de Pearson e análise de trilha, identificar variáveis para caracterizar porta-enxertos ananizantes para a cultura da pereira (Pyrus communis L.). Neste experimento foram utilizadas 49 plantas de pereira, plantadas nos canteiros do Departamento de Fitotecnia da FAEM/UFPel. As plantas foram avaliadas na época do seu crescimento vegetativo, segundo parâmetros descritos em instruções do Ministério da Agricultura, Pecuária e Abastecimento. Pela correlação de Pearson, as variáveis VP, NRP, HCP e FCNPRCL se destacaram. Na análise de trilha, a variável número de lenticelas obteve maior efeito positivo sobre VP, NRP e FCNPRCL, a variável ramificação do ramo demonstrou-se com efeito positivo sobre HCP, sendo essas duas variáveis consideradas eficazes no processo de seleção de porta-enxerto juntamente com as variáveis básicas.
The objective of this work was to identify, through the Pearson correlation and path analysis, variables to characterize rootstocks suitable for the cultivation of the pear (Pyrus communis L.). In this experiment 49 pear specimens were used, planted in flowerbeds at the Phytotechny Department. The plants were evaluated at the time of growth, according to parameters described in the instructions of the Ministério da Agricultura, Pecuária e Abastecimento. According to the Pearson correlation, the variables VP, NRP, ETA and FCNPRCL stood out. In path analysis, the variable number of lenticels had a more positive effect on VP, NRP and FCNPRCL, variable branch of the industry had a more positive effect on ETA. Both variables were considered effective in the process of selection of rootstock together with the basic variables.