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Primary Healthcare Services01:30

Primary Healthcare Services

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Primary care promotes wellness and prevents disease. This care includes health promotion, education, protection (such as immunizations), early disease screening, and environmental considerations. Settings providing this type of healthcare include physician offices, public health clinics, school nursing, and community health nursing.
In 1978, international leaders convened in Alma-Ata, Kazakhstan, for what would be a pivotal event in global health. The Alma-Ata Declaration was the first to call...
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Levels of Health Promotion and Illness Prevention01:26

Levels of Health Promotion and Illness Prevention

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Health promotion allows a person to control the determinants of health, resulting in an improved health status. It enhances the quality of life and reduces premature deaths. Health promotion and illness prevention programs help people make beneficial choices to reduce the risk of disease and disabilities. There are three health promotion and illness prevention levels: primary, secondary, and tertiary prevention.
In primary prevention, actions taken before disease onset prevent the disease from...
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Preventive Healthcare Services01:30

Preventive Healthcare Services

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Preventive healthcare services keep people healthy via frequent check-ups, screening, and counseling. They primarily aid in disease prevention rather than treating an acute or chronic illness. Preventive treatment also keeps individuals productive and energetic, allowing them to work well into their retirement years. Examples of preventive care services include:
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Principles of Disease Surveillance01:26

Principles of Disease Surveillance

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Disease surveillance is the systematic collection, analysis, and interpretation of health data essential to the planning, implementation, and evaluation of public health practice. This process integrates data dissemination to entities responsible for preventing and controlling disease, injury, and disability. Surveillance systems provide crucial information for action, helping public health authorities make informed decisions to manage and prevent outbreaks, ensure public safety, optimize...
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Healthcare Agencies II01:17

Healthcare Agencies II

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There are various healthcare agencies in the United States—some of which are managed by religious institutions and others by different government branches.
Parish nursing is a growing specialty nursing profession that focuses on holistic healthcare, health promotion, and illness prevention. It blends professional nursing practice with a health ministry, focusing on health and healing within the context of a Christian community. Parish nurses serve as health educators, referral sources,...
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Methods Of Healthcare Delivery System01:26

Methods Of Healthcare Delivery System

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At the different levels of the healthcare system, we see varying methods of healthcare used. These methods include managed care systems, case management, and primary healthcare.
Managed Care System:
The managed care system is designed to control the cost while maintaining the quality of care. The patient's care from admission to discharge is planned by the primary care provider or the case manager, also known as the gatekeeper. In a managed care system, the number of care providers is...
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Updated: Jan 8, 2026

Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children
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Determining Soil-transmitted Helminth Infection Status and Physical Fitness of School-aged Children

Published on: August 22, 2012

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Salud Pública

Awaale Fuad Rirash1, Renelle Bourdage2, Sanne Franzen3

  • 1Erasmus Medical Center, Rotterdam, South Holland, Netherlands.

Alzheimer's & dementia : the journal of the Alzheimer's Association
|December 23, 2025
PubMed
Resumen

Para mejorar la investigación sobre la prevención de la demencia, debemos superar las barreras para incluir a poblaciones diversas. Comprender y abordar factores como la desconfianza y la comunicación adaptada son clave para resultados de salud equitativos.

Palabras clave:
Salud PúblicaPrevención de la demenciaEquidad en saludInvestigaciónPoblaciones diversas

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Área de la Ciencia:

  • Salud Pública
  • Investigación en Prevención de la Demencia
  • Equidad en Salud

Sus antecedentes:

  • Los estudios de prevención de la demencia en los Países Bajos se dirigen principalmente a poblaciones nativas acomodadas, descuidando a los grupos subrepresentados con mayor riesgo.
  • Las poblaciones subrepresentadas a menudo enfrentan un mayor riesgo de demencia debido a antecedentes migratorios, bajo nivel socioeconómico y baja alfabetización en salud.
  • Existe la necesidad de comprender los factores que influyen en la investigación inclusiva sobre la prevención de la demencia.

Objetivo del estudio:

  • Identificar barreras y facilitadores para reclutar, involucrar y retener (RER) a poblaciones subrepresentadas en la investigación de prevención de la demencia.
  • Examinar estos factores dentro del contexto holandés a través de una revisión de literatura y grupos focales.
  • Informar a investigadores y responsables de políticas sobre estrategias para una investigación inclusiva.

Principales métodos:

  • Se realizó una revisión de alcance siguiendo las pautas PRISMA-ScR, buscando en múltiples bases de datos sin restricciones.
  • Se seleccionaron 1955 artículos únicos, eligiendo 60 para la extracción de datos (45 ensayos, 15 revisiones).
  • Se realizaron dos grupos focales con investigadores de cinco estudios de cohorte holandeses, incluido el estudio HELIUS, culturalmente diverso.

Principales resultados:

  • Se identificaron barreras y facilitadores en varios dominios: desconfianza, logística, enfoques de talla única, contacto personal y interacción sostenida.
  • Se encontró que las 'personas clave' pueden ser tanto una barrera como un facilitador, lo que resalta la necesidad de reconocer la diversidad dentro de los grupos.
  • Los resultados se mapearon en una infografía para investigadores y responsables de políticas.

Conclusiones:

  • La revisión de alcance ofrece información sobre las barreras y facilitadores para RER en poblaciones de estudios de prevención de demencia diversas.
  • Los resultados de los grupos focales proporcionan una comprensión específica del contexto holandés.
  • Abordar los factores específicos del país es crucial para desarrollar estrategias de prevención de demencia efectivas y equitativas.