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Economic evaluations of medical devices in paediatrics: a systematic review and...
Mascarenhas, Edgar; Miguel, Luís Lopes Madureira Silva; Oliveira, Mónica D.; Fernandes, Ricardo M.Background: Although economic evaluations (EEs) have been increasingly applied to medical devices, little discussion has been conducted on how the different health realities of specific populations may impact the application of methods and the ensuing results. This is particularly relevant for pediatric populations, as most EEs on devices are conducted in adults, with specific aspects related to the uniqueness ...
ANIPHI: an innovative pedagogical platform based on the Delphi method to suppor...
Vieira, Ana C. L.; Vidal, Michel; Menassol, Jean-Baptiste; Mateus, Teresa Letra; Santos, Ana Sofia; Durieux, Jean-Pierre; Oliveira, Mónica D.As a teaching subject, animal welfare is challenging for educators and learners, as was recently shown in a recent survey on the evolution of animal welfare teaching in Europe. Among several suggestions to overcome the current resistance to implementing animal welfare education, we highlight two. The first is that animal welfare education should be based on learner-centred approaches; the second is that it shou...
Selecting indicators to monitor and assess environmental health in a Portuguese...
Salgado, Marta; Vieira, Ana C. L.; Torres, Anália; Oliveira, Mónica D.Environmental health (EH) is influenced by complex interactions between health and the built and natural environments, there being little research on its specificities in urban settings. The use of suitable indicators to monitor and assess EH is fundamental in informing evidence-based interventions at the local level. A participatory approach to selecting indicators to inform the monitoring and assessment of EH...
Scenarios for population health inequalities in 2030 in Europe: the EURO-HEALTH...
Alvarenga, António; Costa, Carlos A. Bana e; Borrell, Carme; Ferreira, Pedro Lopes; Freitas, Ângela Mendes; Freitas, Liliana; Oliveira, Mónica D.Background: Health inequalities have been consistently reported across and within European countries and continue to pose major challenges to policy-making. The development of scenarios regarding what could affect population health (PH) inequalities across Europe in the future is considered critical. Scenarios can help policy-makers prepare and better cope with fast evolving challenges. Objective: This paper de...
Indicators for evaluating European population health: a Delphi selection process
Freitas, Ângela; Santana, Paula; Oliveira, Mónica D.; Almendra, Ricardo; Bana E Costa, João C.; Bana E Costa, Carlos A.Background: Indicators are essential instruments for monitoring and evaluating population health. The selection of a multidimensional set of indicators should not only reflect the scientific evidence on health outcomes and health determinants, but also the views of health experts and stakeholders. The aim of this study is to describe the Delphi selection process designed to promote agreement on indicators consi...
Valuing health states: is the MACBETH approach useful for valuing EQ-5D-3L heal...
Oliveira, Mónica D.; Agostinho, Andreia; Ferreira, Lara; Nicola, Paulo; Bana e Costa, CarlosBackground Quality Adjusted Life Years (QALYs) are a key outcome measure widely used within health technology assessment and health service research studies. QALYs combine quantity and quality of life, with quality of life calculations relying on the value of distinct health states. Such health states’ values capture the preferences of a population and have been typically built through numerical elicitation met...
Prioritizing health care interventions : a multicriteria resource allocation mo...
Oliveira, Mónica D.; Rodrigues, Teresa C.; Costa, Carlos A. Bana e; Sá, Armando Brito deMany countries, including Portugal, are currently dealing with budget cuts and a shortage of resources in the health sector, while the demand for health care services is increasing. The Group of Health Centres (GHC) of the Northen Lisbon faces the challenge of priortizing community care programmes in order to decide wich programmes to fund. We describe the development with the GHC of a Multi-criteria model to a...
Using discrete event simulation to compare the performance of family health uni...
Fialho, André S.; Oliveira, Mónica D.; Sá, Armando B.Background: Recent reforms in Portugal aimed at strengthening the role of the primary care system, in order to improve the quality of the health care system. Since 2006 new policies aiming to change the organization, incentive structures and funding of the primary health care sector were designed, promoting the evolution of traditional primary health care centres (PHCCs) into a new type of organizational unit -...