G. Maciocco

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Background: In developing countries, user fees may represent an important source of revenues for private-non-for-profit hospitals, but they may also affect access, use and equity. Methods: This survey was conducted in ten hospitals of the Uganda Catholic Medical Bureau to assess differences in user fees policies and to propose changes that would better fit(More)
Objectives: Assess the effectiveness of influenza vaccination in reducing hospitalization due to pneumonia and influenza among elderly subjects in a community in central Italy. Estimate the hospitalization fraction preventable by extending the vaccination program. Methods: Case–control study. Cases were subjects aged 65+ at hospital admission (1 December(More)
OBJECTIVES To develop and validate mortality and hospitalization prognostic tools based upon information readily available to primary care physicians (PCPs). DESIGN Population-based cohort study. Baseline predictors were patient demographics, a seven-item questionnaire on functional status and general health, use of five or more drugs, and previous(More)
The main goals of our study were to evaluate: 1) the annual risk of tuberculosis infection (ARTI) and its annual decrease in Uganda; 2) the expected incidence of new tuberculosis cases and the notification rate; and 3) the role of incentives given to children tested in increasing compliance with the survey procedures. The methodology is based on performing(More)
  • G. Maciocco
  • Annali di igiene : medicina preventiva e di…
  • 2008
The Alma Ata Declaration (September 1978) was a turning point in the definition of "Primary Health Care". The traditional bio-medical model was based on a paternalistic approach and on the treatment of the individual episodes of disease. The new bio-psycho-social model was based on prevention, continuity of care, integrated health care teams and on a direct(More)
  • G. Maciocco
  • Annali di igiene : medicina preventiva e di…
  • 2007
The waiting paradigm is typical of acute diseases: one waits for an event upon which to act, a problem to solve. Waiting is the classical health care paradigm of the bio-medical model, upon which has always been based the university training. It is not astonishing that it also became the dominant paradigm in the territorial and primary care. Pro-active(More)
AIMS To characterize the epidemiology of disability in, and the level of care available to, older community-dwellers in an Italian urban sample. METHODS In a 2-phase survey, persons aged 65+ years, randomly selected from the patients lists of 98 primary care physicians (PCP), were screened (phase I) by their PCP with a structured questionnaire to detect(More)