Saturday, December 18, 2010
full free access: PLoS Medicine: Which Path to Universal Health Coverage? Perspectives on the World Health Report 2010
Box 1. Key Recommendations of the World Health Report 2010
- There is no single path or magic bullet to achieve universal health coverage: each country needs to devise its own route to achieve this goal.
- All countries, but particularly poorer ones, need to reduce reliance on direct, out-of-pocket payments for health care by increasing risk pooling and prepayment for services.
- Countries should address barriers to health care other than direct payments for care: transport costs and lost income can be substantial obstacles to care seeking.
- There is substantial scope to raise further domestic resources for health care, particularly through innovative approaches to financing.
- 20%–40% of health care expenditure is wasted; improved health system efficiency can make a substantial contribution to the achievement of universal health coverage.
- Wealthier countries should provide financial support to low income countries in order for them to achieve universal health care coverage.
- Despite some progress, development assistance for health remains fragmented and unpredictable; efforts to improve the efficiency and coordination of aid must be intensified.
new research: ICON7 Results May Change Practice in Ovarian Cancer | Cancer Survivors Network
OncologySTAT: Dr. Cervantes, what were the most important studies in ovarian cancer that were presented at this year’s ESMO Congress?
Nov 2010: Health Council of Canada / Conseil canadien de la santé - How Do Canadians Rate the Health Care System?
full free access: Clinical Cancer Advances 2010: Annual Report on Progress Against Cancer From the American Society of Clinical Oncology — JCO
Note: includes discussion on ovarian cancer (Avastin/disparities/screening)
Pathologic findings following false-positive screening tests for ovarian cancer in the Prostate, Lung, Colorectal and Ovarian (PLCO) cancer screening
Abstract
OBJECTIVE: In the Prostate, Lung, Colorectal and Ovarian Cancer Screening Trial (PLCO), ovarian cancer screening with transvaginal ultrasound (TVU) and CA-125 produced a large number of false-positive tests. We examined relationships between histopathologic diagnoses, false-positive test group, and participant and screening test characteristics.CONCLUSIONS: False-positive ovarian cancer screening tests were associated with a range of histopathologic diagnoses, some of which may be related to patient and screening test characteristics. Further research into the predictors of false-positive ovarian cancer screening tests may aid efforts to reduce false-positive results.
The utility and cost of routine follow-up procedures in the surveillance of ovarian and primary peritoneal carcinoma: a 16-year institutional review
CONCLUSION: Ultimately, serial imaging and the CA-125 assay detected the highest number of ovarian cancer and PCC progressive disease cases in comparison to physical examination and vaginal cytology, but nevertheless, all of the procedures were conducted at a considerable financial expense.
Mechanism of action and toxicities of purgatives used for colonoscopy preparation
Take home message: Although generally safe and effective, colonic purgatives have both acute and permanent toxicities. The safest preparations utilize PEG combined with a balanced electrolyte solution. Limitations of this preparation center on the volume required and poor taste. Alternative formulations are now available; however, those using sodium phosphate have fallen out of favor due to a risk of renal toxicity
Read More: http://informahealthcare.com/doi/abs/10.1517/17425255.2011.542411
Read More: http://informahealthcare.com/doi/abs/10.1517/17425255.2011.542411
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