disconnects and defects in care – such as duplication, poor integration between services or avoidable adverse events – are costly to the health system and potentially harmful to patients and families. for patients living with multiple chronic conditions, such disconnects can be particularly detrimental. lean is an approach to optimizing value by reducing waste (eg, duplication and defects) and ...

the article of marc jamoulle shows the importance of the contribution of general practitioners (gps) in improving the quality and the efficiency of the health systems. starting from the concept of quaternary prevention for reducing excessive costs in the preventive procedures, he suggests a change of paradigm in every daily activity of the gp in order to have a stronger ethical approach to the ...

Abstract This study quantifies the impacts of climate change on yields and corresponding economic losses in six relevant crops that account for 65% harvested area Mexico are highly terms consumption value. The results show crop could decrease considerably during this century, especially rainfed management system. Under a high-emission scenario, large reductions expected by end century both irri...