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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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東ジャワ州インドネシアにおける人間の開発指数(HDI)レベルは、母性トリプル排除プログラムに影響を与えるか?

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
まとめ

人間開発指数(HDI)はトリプル排除プログラムと相関がなかった

キーワード:
HIVB型肝炎人間開発指数梅毒トリプル排除プログラム

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科学分野:

  • 公衆衛生; 健康の社会経済的決定要因; 母性保健

背景:

  • インドネシアにおける地区レベルの人間開発指数(HDI)の格差は、母性保健や公衆衛生イニシアチブに影響を与える可能性があります。トリプル排除プログラムは、HIV、梅毒、B型肝炎の母子感染を防ぐことを目的としていますが、そのカバー率は一様ではありません。社会経済的要因とプログラム実施との関連性を理解することは、母子保健の成果を改善するために不可欠です。

研究 の 目的:

  • 東ジャワ州の地区における人間開発指数(HDI)とトリプル排除プログラムの実施との関連性を評価すること。社会経済的幸福が、HIV、梅毒、B型肝炎の母子感染を防ぐ成功に影響を与えるかどうかを判断すること。

主な方法:

  • 横断研究では、2023年1月から12月までの東ジャワ州全38地区の二次データを分析しました。HIV、梅毒、B型肝炎のスクリーニングに関するデータは、州保健情報システムおよびインドネシア統計HDIから取得しました。STROBEガイドラインを遵守し、地区レベルのHDIとプログラム実施との関係を分析するためにスピアマンの順位相関係数を使用しました。

主要な成果:

  • 東ジャワ州の妊婦における梅毒、HIV、B型肝炎のスクリーニング率は、地区によって著しく異なりました。梅毒のスクリーニング率は10.9%から148.4%(平均78.5%)、HIVのスクリーニング率は9.2%から118.3%(平均79.6%)、B型肝炎のスクリーニング率は59.8%から118.5%(平均80.2%)でした。地区レベルのHDIとトリプル排除プログラムの実施との間に有意な関連性は見られませんでした。

結論:

  • 東ジャワ州において、地区レベルの人間開発指数(HDI)はトリプル排除プログラムの実施と有意な関連はありませんでした。HIV、梅毒、B型肝炎のスクリーニング成績は、社会経済的状況よりも保健システム要因の影響をより受ける可能性があります。プログラムのカバー率を向上させ、現在の推定値の限界に対処するには、データ精度と地域報告システムの改善が必要です。