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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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Regression Toward the Mean01:52

Regression Toward the Mean

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Regression toward the mean (“RTM”) is a phenomenon in which extremely high or low values—for example, and individual’s blood pressure at a particular moment—appear closer to a group’s average upon remeasuring. Although this statistical peculiarity is the result of random error and chance, it has been problematic across various medical, scientific, financial and psychological applications. In particular, RTM, if not taken into account, can interfere when...
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Teratogenicity01:07

Teratogenicity

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The ability of a drug to produce structural deformations and functional abnormalities in the developing embryo or the fetus is called teratogenicity, and the drug producing this effect is known as a teratogen. Teratogenic effects include stillbirth, miscarriage, intrauterine growth restriction, and neurocognitive delay. A teratogen may affect the embryo at different stages of development, which is important in determining the type and extent of the damage. During blastocyst formation, the early...
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Infertility in Females01:28

Infertility in Females

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Female infertility is defined as the inability to conceive after a year of regular, unprotected intercourse and affects about 10–15% of couples worldwide. The primary cause of female infertility is ovulatory disorders, which hinder the release of eggs. These disorders can be classified as hypothalamic amenorrhea, polycystic ovarian syndrome (PCOS), premature ovarian failure, and hyperprolactinemic anovulation disorders.
Endometriosis, a condition characterized by abnormal growth of...
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Environmental Influences on Intelligence01:29

Environmental Influences on Intelligence

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Despite the strong genetic influence on traits like intelligence, environmental factors significantly shape outcomes. For example, while over 90% of height variation is due to genetic differences, environmental factors such as nutrition also have a notable impact. Similarly, for intelligence, changes in a child's surroundings can significantly alter their IQ. Research shows that enriched environments boost children's academic success and help them develop key cognitive skills. Children...
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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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Updated: Feb 24, 2026

A Novel Method for Involving Women of Color at High Risk for Preterm Birth in Research Priority Setting
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¿El nivel del índice de desarrollo humano moldea el programa de triple eliminación materna? Perspectivas de Java

Budi Prasetyo1,2, Alifina Izza3, Zalfa Dinah Khairunnisa1,2

  • 1Department of Obstetrics and Gynecology, Faculty of Medicine, Universitas Airlangga, Indonesia.

Journal of public health research
|February 23, 2026
PubMed
Resumen

El Índice de Desarrollo Humano (IDH) no se correlacionó con el Programa de Triple Eliminación

Palabras clave:
VIHhepatitis Bíndice de desarrollo humanosífilisprograma de triple eliminación

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Área de la Ciencia:

  • Salud Pública
  • Determinantes Socioeconómicos de la Salud
  • Salud Materna

Sus antecedentes:

  • Las disparidades en el Índice de Desarrollo Humano (IDH) a nivel de distrito en Indonesia pueden afectar la salud materna y las iniciativas de salud pública.
  • El Programa de Triple Eliminación tiene como objetivo prevenir la transmisión maternoinfantil del VIH, la sífilis y la hepatitis B, pero su cobertura es desigual.
  • Comprender el vínculo entre los factores socioeconómicos y la implementación del programa es crucial para mejorar los resultados de salud materna e infantil.

Objetivo del estudio:

  • Evaluar la asociación entre el Índice de Desarrollo Humano (IDH) de los distritos de Java Oriental y la implementación del Programa de Triple Eliminación.
  • Determinar si el bienestar socioeconómico influye en el éxito de la prevención de la transmisión maternoinfantil del VIH, la sífilis y la hepatitis B.

Principales métodos:

  • Se realizó un estudio transversal analizando datos secundarios de los 38 distritos de la provincia de Java Oriental de enero a diciembre de 2023.
  • Los datos sobre la detección de VIH, sífilis y hepatitis B se obtuvieron del Sistema de Información de Salud Provincial y del IDH de Estadísticas de Indonesia.
  • Se utilizó la correlación de rangos de Spearman para analizar la relación entre el IDH a nivel de distrito y la implementación del programa, siguiendo las pautas STROBE.

Principales resultados:

  • Las tasas de detección de sífilis, VIH y Hepatitis B en mujeres embarazadas en Java Oriental mostraron variaciones significativas entre los distritos.
  • Las tasas de detección de sífilis oscilaron entre el 10,9 % y el 148,4 % (media del 78,5 %), las tasas de detección de VIH entre el 9,2 % y el 118,3 % (media del 79,6 %) y las tasas de detección de Hepatitis B entre el 59,8 % y el 118,5 % (media del 80,2 %).
  • No se encontró una asociación significativa entre el IDH a nivel de distrito y la implementación del Programa de Triple Eliminación.

Conclusiones:

  • El Índice de Desarrollo Humano (IDH) a nivel de distrito no se asoció significativamente con la implementación del Programa de Triple Eliminación en Java Oriental.
  • El rendimiento de la detección de VIH, sífilis y hepatitis B puede estar más influenciado por factores del sistema de salud que por condiciones socioeconómicas.
  • Se necesita mejorar la precisión de los datos y los sistemas de información locales para mejorar la cobertura del programa y abordar las limitaciones de las estimaciones actuales.