Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Health Transition”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 451 records · Page 25Linked to original sources
PubMed1997

[Transitions in public health from the legal perspective].

The rules and regulations of the health system reflect the basic ideas of the health system itself. Taking a closer look at the regulations, we encounter the increasingly dominating idea of autonomous responsibility of the health services' clients. On the other hand, however, we find many regulations that express the lack of confidence in the health consumer's ability to make proper judgements regarding offers made by certain health providers. Thus, the whole health system is as ambivalent as the whole society. Today, no profound basic ideas seem to exist, with one exception: the economic power over the demands of most of the people.

Cost Control↗
PubMed1997

China's health care sector in transition: resources, demand and reforms.

Economic development and reforms have had profound impacts on China's health care sector. As a result, the health care sector in China is in transition. This report reviews the major changes, and the possible policy response to these changes in China's health care sector. It discusses resource availability in the Chinese health sector, and analyses the trend of household demand for health care goods and services. This study also examines the trade and investment situations in China's health sector and investigates the major forces that are driving the transition in health care and comments on the potential policy responses.

China↗
PubMedDate not supplied

Modeling women's health during the menopausal transition: a longitudinal analysis.

OBJECTIVE: There has been controversy about the relative effects on various health outcomes of hormonal, psychosocial, and lifestyle changes during the menopausal transition. In previous studies the risk factors for one particular health endpoint have been analyzed separately. Separate analyses do not provide an overall view of the relationships between all the variables or the relative importance of different factors. Thus, the objective of this study was to provide an overall analysis of the influence of hormonal changes during the menopausal transition on a range of health outcomes while simultaneously considering all the available predictors and all the endpoints and to test the hypothesis that prior health status predicts current health status. DESIGN: This was a 9-year prospective observational study of 438 Australian-born women, who at baseline were aged 45 to 55 years and had menstruated in the prior 3 months. Interviews were conducted and fasting blood and physical measurements were performed annually. RESULTS: Main outcome measures were hormone levels, sociodemographic variables, attitudes and lifestyle variables, self-rated health and well-being, bothersome symptoms, coronary heart disease risk, bone mineral density, and sexuality. Data from 336 women, 77% of the original sample, were analyzed. Statistical modeling using structural equations showed that for all health endpoints, the prior level of that variable was the most important predictor. Declining levels of estradiol during the menopausal transition affected certain health outcomes: bone mineral density, coronary heart disease risk, vasomotor symptoms, vaginal dryness, and sexual response. Well-being is negatively affected by symptoms, hassles, and stress. Exercise has beneficial effects on hot flushes, well-being, body mass index, and coronary heart disease risk. Relationship factors and mood affect sexual response. CONCLUSIONS: This observational study provides a conceptual data-based framework for understanding changes in women's health during the natural menopausal transition.

Estradiol↗
PubMed1996

Transition of care provided for adolescents with special health care needs. American Academy of Pediatrics Committee on Children with Disabilities and Committee on Adolescence.

This policy statement describes how the pediatrician can work closely with patients with special health care needs and their families as an advocate and educator to help them adapt positively to an adult-focused system of health care. Issues in health care transitions including independence and dependence, education and vocational issues, insurance issues and limitations, Social Security, and hospitalization are outlined.

Adolescent↗
PubMed1999

Estimating equations for a latent transition model with multiple discrete indicators.

This paper proposes a two-part model for studying transitions between health states over time when multiple, discrete health indicators are available. The includes a measurement model positing underlying latent health states and a transition model between latent health states over time. Full maximum likelihood estimation procedures are computationally complex in this latent variable framework, making only a limited class of models feasible and estimation of standard errors problematic. For this reason, an estimating equations analogue of the pseudo-likelihood method for the parameters of interest, namely the transition model parameters, is considered. The finite sample properties of the proposed procedure are investigated through a simulation study and the importance of choosing strong indicators of the latent variable is demonstrated. The applicability of the methodology is illustrated with health survey data measuring disability in the elderly from the Longitudinal Study of Aging.

Aged↗
PubMed2003

Physical and mental health: changes during menopause transition.

OBJECTIVE: To measure changes in physical and mental health in six groups of women defined by menopausal status or use of hormone replacement therapy (HRT). DESIGN: Longitudinal study with 2 years follow-up. PARTICIPANTS: Eight thousand six hundred and twenty three women participating in the Australian Longitudinal Study on Women's Health, aged 45-50 years in 1996. MAIN OUTCOME MEASURES: Changes in the eight dimensions of the Short Form General Health Survey (SF-36) adjusted for baseline scores, lifestyle, behavioural and demographic factors. RESULTS: At baseline, mean scores for five of the eight dimensions of the SF-36 were highest (indicating better state of health or well-being) in premenopausal women. There were declines (that is, worsening health) in the SF-36 dimensions in most groups of women. Declines were largest in physical functioning (adjusted mean change of -4.9, standard error (SE) 0.7) and physical role limitation (-5.7, SE: 1.3) in women who remained peri-menopausal throughout the study period and in women taking HRT at the time of either survey (physical functioning: -5.3 (0.7), role physical limitation: -7.5 (1.2)). They were smallest in women who remained pre-menopausal (physical functioning: -3.2 (0.7); role physical limitation: -2.1 (1.1)). CONCLUSIONS: Physical aspects of general health and well-being decline during the menopausal transition. Sensitive measures and careful analysis are needed to understand why these changes are worse for peri-menopausal women and those taking HRT.

Female↗