Panagiotis Zogopoulos is a resident of Neurosurgery at the General Hospital of Nikaia-Piraeus “Agios Panteleimon”, Athens, Greece. He has received a 6-month advanced clinical training (clinical fellow) at the Neurosurgery Department of Osaka University Hospital in Japan. Several of his papers have been published in reputed peer-review journals and he has presented various researches in international conferences.
Contrary to other countries, in Greece there is no separation of the emergency departments of public hospitals between primary and more advanced (2nd and 3rd degree) health care units. Therefore, the emergency departments of all public hospitals are treating all presenting patients regardless of their disease or severity of their condition. The lack of primary health care units, where the less severe cases would be treated, results in an enormous amount of patients presenting at the emergency departments of tertiary hospitals. Specifically, in some large hospitals of Athens nearly 1500 patients are admitted to the emergency departments everyday. The fact that many not so severe cases are admitted to the same hospitals with multiply and severely injured patients leads to the exhaustion of the staff (doctors and nurses) and to the reduction of the available time for clinical examination of each patient. Furthermore, it also maximizes healthcare costs (medicines, disposable healthcare products etc) in a period that Greece is already facing a serious economic crisis. In conclusion, there is an unmet need for the creation of fully operational primary health care units that will help decongest the emergency departments of large hospitals and thus optimize health services.
Jong-Yi Wang completed his PhD from University of South Carolina and Post-doctoral studies from South Carolina Rural Health Research Center. He is an Associated Professor in the Department of Health Services Administration, China Medical University, Taiwan. He has published more than 17 SCI/SSCI papers in reputed journals. His specialities include mental health, health policy, health promotion, health disparities, and health care quality.
Mental illness is a growing global health issue. The existing theories including Emotional Contagion might suggest a potential family cluster of mental disorders. However, there is a dearth of nationally-representative research on the Familial Proportion (prevalence) of mental disorders among married couples. This study aimed to investigate the concordance of mental disorders among married couples and the associated factors. This retrospective cohort study used one million randomly sampled beneficiaries recorded from the National Health Insurance Databases from 2002 to 2013, which included 5,643 couples (11,286 individuals). The case and control groups were matched by identical gender and age. Mental disorders were defined by ICD-9-CM. Logistic regressions were performed in SAS 9.3. The Familial Proportion of mental disorders among the couples was 3.12%. Mental disorder status, age, beneficiary category, premium, comorbidity, and region of the independents were the factors significantly associated with the mental disorder onset of the dependents. The results identified the family clustering of mental disorders among the couples. If one spouse was diagnosed anxiety, the other was significantly more likely to suffer the same anxiety disorders (OR=2.516); with the same phenomena found in mood disorders (OR=2.915) and other mental disorders (OR=1.186). The findings were named “the Phenomena of Parallel Contagion” among the married couples. The characteristics of independents are the risk factors affecting the mental disorders status of their spouses. The authorities and healthcare organizations should utilize this “Parallel Contagion” and target the spouses of high risk to establish preventive intervention measures for mental disorders among couples.