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At least 433 records · Page 24Linked to original sources

The needs of family members of patients receiving radioactive iodine.

The current literature on radionuclide therapy is heavily based on health care professionals' perspectives and provides little insight regarding what patients or family members identify as their needs or concerns. Family members (N = 130) of patients undergoing treatment with radioactive iodine were selected from eight programs across Canada to participate in a survey to identify the needs they had when a close relative was undergoing treatment with radioactive iodine. The results of the survey indicated family members experienced worries and concerns about the patient being at home after treatment, and there was variation in their knowledge about what precautions were needed. Family members provided evidence that many experienced psychosocial distress, but very few received adequate assistance for their difficulties.

Adult↗

One approach to building an HSA data base.

This paper discusses one approach for Health Systems Agencies to focus their information acquisition and analysis activities on subjects which will be most helpful to them in gaining visibility and credibility, while also offering opportunities for identifying and quantifying the most serious problem confronting them--the rapid rise in health care expenditures. Assembling information on health care expenditures will have the additional benefit of allowing the planning agencies to isolate and monitor the possible effects which their actions may have on changes in health care costs. This may become particularly critical in a few years when the Congress and HEW are less patient and more insistent that evidence of clear cost control benefits will have to be produced if the nation is to continue to invest in health planning. In general, as health care costs have continued to climb, serious questions have been raised about the ability of the taxpayers, employees, and employers, through insurers, to continue to pay for even the health services and benefits now available. At a minimum, severe fiscal pressures will seriously threaten existing entitlements and coverage. Health planning could be a major tool to reduce cost inflation and protect other social and health programs while simultaneously permitting the introduction of needed and desirable innovations. Health planning could be a significant instrument for shifting health system investments, especially capital investments, into those areas which may produce more health at the margin than current expenditures.

Health Expenditures↗

Long-term psychological effects of carrier testing and prenatal diagnosis of haemophilia: comparison with a control group.

The long-term psychological effects resulting from carrier testing and prenatal diagnosis (PD) of haemophilia were evaluated by comparing mental symptomatology scores (Symptom Check List, SCL-90) for 50 carriers of haemophilia who had undergone PD about five years earlier, 55 carriers who had not undergone PD and 262 control women who were not carriers. All of the women had children. Carrier testing for haemophilia per se and in combination with PD does not appear to have negative long-term psychological effects. A low tendency for somatization seems to be a factor characteristic of carriers considering PD for haemophilia and it was particularly salient when carriers had to consider the more invasive late PD procedures (amniocentesis and fetal blood sampling). Women who performed late PD appeared to represent a positive selection of carriers for whom a good sense of coherence and social support protected them from negative long-term psychological effects. It is reassuring that early PD by CVS, which is the current method of choice for PD for haemophilia, did not appear to have negative long-term psychological effects, even for women who had had an early abortion following PD.

Adult↗