The impact of intervening in green space in Dutch deprived neighbourhoods on physical activity and general health: results from the quasi-experimental URBAN40 study

Background Many problems concentrate in deprived neighbourhoods, among which is poor health. One possible way to address these health problems is to invest in the green space in deprived neighbourhoods. The number of evaluations of the public health impact of actual changes in neighbourhood green space is still limited. This study investigated the impact of real-life changes in the quality or quantity of green space in severely deprived neighbourhoods on physical activity and perceived general health.

Methods Repeated cross-sectional surveys from 2004 till 2011 yielded self-reported information on leisure time walking, cycling and sports, and perceived general health of 48 132 adult residents. We fitted generalised mixed models to assess the rate of change per half year, estimate the linear trend, and the change in trends before and after the start of the urban regeneration mid- 2008. Using a quasi-experimental design, we compared the trends in the intervention neighbourhoods with ...

Changes in Hospital–Physician Affiliations in U.S. Hospitals and Their Effect on Quality of Care

Many U.S. policymakers believe that increased integration between hospitals and physicians may foster better care and potentially decrease health care spendind. The logic behind this notion is straightforward: When physicians are employed or otherwise more substantially influenced by the hospitals in which the work, they are less likely to focus on generating revenue to maintain an independent practice and more likely to focus on patient care. The objetive of this article was to examine changes in United States acute care hospitals that reported employment relationships with their physicians and to determine whether quality of care improved after the hospitals switched to this integration model. 

Why the biopsychosocial model needs to be the underpinning philosophy in rehabilitation pathways for patients recovering from COVID-19

The pandemic caused by COVID-19 has left many consequences, both social and health, on a social and individual level. In the face of individual sequelae, the need to address this need for care with an integrative approach becomes more important.The pandemic caused by COVID-19 has left many consequences, both social and health, on a social and individual level. In the face of individual sequelae, the need to address this need for care with an integrative approach becomes more important.

"For patients recovering from COVID-19, it will be impossible to separate the person and their personal circumstances from COVID-19, and to regard physical, psychological and social factors as independent entities. For this reason, we argue that the BPS model is needed with even more reason than before, and that it should be the philosophy of care to underpin rehabilitation in the recovery from COVID-19".