European journal of public health
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Eur J Public Health · Oct 2014
Multicenter StudyRelevance of hospital characteristics as performance indicators for treatment of very-low-birth-weight neonates.
Current attempts at centralization of neonatal care in Germany focus on a minimum volume of 30 very-low-birth-weight (VLBW, weighing <1250 g) neonate admissions per year. However, the evidence for a selective referral strategy based on hospital volume is unclear. ⋯ A selective referral strategy based solely on hospital volume will fall short of the task of optimal allocation of neonatal care by means of centralization.
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Eur J Public Health · Oct 2014
Associations between life conditions and multi-morbidity in marginalized populations: the case of Palestinian refugees.
Evidence suggests that higher multi-morbidity rates among people with low socioeconomic status produces and maintains poverty. Our research explores the relationship between socioeconomic deprivation and multi-morbidity among Palestinian refugees in Lebanon, a marginalized and impoverished population. ⋯ We identified a positive gradient between socioeconomic status and multi-morbidity within a refugee population. These findings reflect inequalities produced by the health and social systems in Lebanon, a problem expected to worsen following the massive influx of refugees from Syria. Ending legal discrimination and funding infrastructural, housing and health service improvements may counteract the effects of deprivation. Addressing this problem requires providing a decent livelihood for refugees in Lebanon.
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Eur J Public Health · Oct 2014
Dying in hospital: a study of incidence and factors related to hospital death using death certificate data.
Most people prefer not to die in a hospital, and for those with palliative care needs, doing so may result in inappropriate care and poor outcomes. We examined place of death and factors associated with hospital death in a population eligible for palliative care. ⋯ Hospital death is still common among those eligible for palliative care. The significant proportion of people living at home and dying in long-term care settings indicates the need for additional inpatient beds for terminal care in palliative care institutions.
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Eur J Public Health · Oct 2014
The impact of the HDI on the association of psychosocial work demands with sickness absence and presenteeism.
The purpose of this study was to determine whether psychosocial work demands have a different impact on sickness absence and presenteeism in countries with a high vs. countries with a low Human Development Index (HDI). ⋯ We argue that Public Health Actions that are connected to work characteristics need to take into consideration the level of HDI of the countries. In low- and high-HDI countries, different actions could be necessary to reach the needs of the working population.