Abstract: The objective of this study was to analyse the costs of productivity losses of violence against women in Senegal. The costs of lost productivity were calculated from the database derived from the epidemiological survey at the level of Senegal's courts. The basis of the epidemiological survey allowed the information to calculate the costs. These costs include lost pay and time for those considered to be victims, but also for perpetrators. The human capital approach was used. The total costs of productivity losses were estimated 105,792 € for the victims and 2,926,543 € for the perpetrators. The costs of lost productivity of the perpetrators who committed sexual violence were estimated 1,868,499 € or 64% of the total costs. The costs related to productivity losses for both victims and perpetrators in regards to murders and rapes accounted for the following percentage of the total costs 49.6% and 52.6%, respectively. Depending on the types of sectors and violence, the average costs of productivity losses were statistically higher among the perpetrators compared to the victims (p<0.05). This study highlights the high costs of violence borne by society. An analysis of direct costs would have provided a better understanding of the economic burden of this violence.Abstract: The objective of this study was to analyse the costs of productivity losses of violence against women in Senegal. The costs of lost productivity were calculated from the database derived from the epidemiological survey at the level of Senegal's courts. The basis of the epidemiological survey allowed the information to calculate the costs. These cos...Show More
Abstract: Medical assistance is an important way to address the uneven distribution of medical resources and promote health equity. The medical alliance is the practice of medical administrative authorities and hospitals to explore the development of medical assistance, but at present there are difficulties in this cooperation. In this study, we analyze the practice of Hospital J in helping member hospitals in the construction of a medical alliance, and the key influencing factors of cooperation at three levels: hospital leaders, department heads and general practitioners. We propose a research design, focusing on how to enhance the level of willingness of core hospitals to participate in the cooperation of station-based support, which is useful for enhancing the leading role of core hospitals, promoting the steady development and achieving the policy objectives of the medical alliance.Abstract: Medical assistance is an important way to address the uneven distribution of medical resources and promote health equity. The medical alliance is the practice of medical administrative authorities and hospitals to explore the development of medical assistance, but at present there are difficulties in this cooperation. In this study, we analyze the ...Show More
Abstract: Objective: The study attempts to explore the effect of case management on improving the quality of life of breast cancer patients in chemotherapy. Methods: We selected 138 patients who were pathologically diagnosed with breast cancer and were receiving chemotherapy in our department, and averagely divided them into control group and observation group. The control group was given usual nursing care and telephone follow-up after discharge while in the observation group, case management model was employed besides the intervention the control group received. After that, we observed the quality of life and the total incidence of adverse reactions (myelosuppression, gastrointestinal discomfort, skin reaction, allergic reaction, infusion tube related complications, etc.) of the two groups. We used the quality of life questionnaire made by the European Organization for Research and Treatment of Cancer (EORCTQLQ-C30) to evaluate the quality of life of the two groups and compared that between the two groups before and after intervention. Results: During chemotherapy, the score on somatic function, role function, emotional function, social function, cognitive function and general health of the observation group was higher than that of the control group (P<0.05). Besides, the total incidence of adverse reactions of the observation group (30.43%) was significantly lower than that of the control group (53.62%) (χ2=7.614, P=0.000). Conclusions: Case management for breast cancer patients in chemotherapy can reduce adverse reactions caused by chemotherapy and increase treatment compliance so as to improve the quality of life of patients.Abstract: Objective: The study attempts to explore the effect of case management on improving the quality of life of breast cancer patients in chemotherapy. Methods: We selected 138 patients who were pathologically diagnosed with breast cancer and were receiving chemotherapy in our department, and averagely divided them into control group and observation gro...Show More