Josh Perelman
Biographic Data
| ID | 1481422 |
|---|---|
| NAME | Josh Perelman |
| GIVEN NAMES | Josh |
| FAMILY NAME | Perelman |
| SIGNATURE | PERELMAN J |
| AFFILIATIONS | Universidade Nova de Lisboa |
| ORCID | 0000-0001-6634-9000 |
| VERIFIED | Yes |
| TOTAL WORKS | 35 |
| TOTAL CITATIONS | 20 |
| AUTHOR COUNT | 35 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2008 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 2 |
Direct economic burden of acute coronary syndromes in the Portuguese National Health Service—facts and trends between 2002 and 2022
Aim: We estimated the average direct cost per Acute Coronary Syndromes (ACS) in-patient episodes by diagnosis, namely ST-elevation myocardial infarction (STEMI), non-ST elevation myocardial infarction (NSTEMI), unstable angina (UA), and undetermined AMI (Acute Myocardial Infarction). We also analyzed the changes in direct costs over time between 2002 and 2022, and the total direct economic burden of ACS hospitalizations for the Portuguese Nationa…
The Impact of the Tobacco Law on Tobacco-Related Hospitalizations in Portugal – A Natural Experiment
Are Policies Implemented Where Most Needed? Exploring Equity in School‐Based Smoking Prevention in 2013 and 2016 in Six European Cities
BACKGROUND: Health policies are key social determinants of health, but may cause inequalities if their implementation does not match local needs and if resources are misallocated. This study tests the inverse prevention law on school tobacco policies, assessing inequity in their implementation and identifying contributing factors. METHODS: A student survey and a staff survey were conducted in 38 schools across six European cities in 2013 and 2016…
Understanding the health system drivers of delayed cancer diagnosis in public healthcare networks of Chile, Colombia and Ecuador: A qualitative study with health professionals, managers and policymake…
Although the greatest delays in cancer diagnosis in Latin America occur in the provider interval little is known about the related factors. This study aims to analyze factors influencing access to cancer diagnosis -from initial contact with health services to confirmation- from institutional stakeholders' perspective in public healthcare networks of Chile, Colombia, and Ecuador. A qualitative, descriptive-interpretative study was conducted in two…
Freedom of choice for specialized consultation in Portugal: An observational analysis of response to hospital quality
Teleworking: Does it make workers healthier and productive? A cross-sectional study on a Southern European population
Most teleworkers highlighted a positive perspective about teleworking. Yet, TW conditions are not favorable for all workers, with consequences on health, well-being, and productivity, suggesting that further support is needed for teleworkers to protect their health at home, and reach its maximum benefit
The emergence of socioeconomic inequalities in smoking during adolescence and early adulthood
These results highlight that actions to prevent smoking should also take in account the potential impact in smoking inequalities, and should focus not only on middle adolescence but also on late adolescence and early adulthood
The association between socioeconomic position and vigorous physical activity among adolescents: A cross-sectional study in six European cities
This study showed that across European cities adolescent VPA is positively related to both family-based SEP and adolescents' own SEP. When analysing socioeconomic differences in adolescent VPA, one should consider the use of multiple indicators of SEP
Change in the Prevalence and Social Patterning of First- and Second-Hand Smoking in Portugal: A Repeated Cross-Sectional Study (2005 and 2014)
Between 2005 and 2007, important reinforcements of the tobacco legislation have been implemented in Portugal, which may have affected smoking patterns. The aim of this study was to measure the change in prevalence of first- and second-hand smoking (SHS) among adults, and its socio-demographic patterning in Portugal from 2005 to 2014. Data from the last two Portuguese National Health Interview Surveys (2005 and 2014) were used. The changes in dail…
Academic Well-Being and Structural Characteristics of Peer Networks in School
Peer networks at school and students' position in these networks can influence their academic well-being. We study here individual students' network position (isolation, popularity, social activity) and peer network structures at the school level (centralization, density, clustering, school connectedness) and their relations to students' academic well-being (school burnout, SB; schoolwork engagement, SE). Classroom surveys for 14-16-year-olds ( N…
Enhancing implementation of smoke-free places: A comparative qualitative study across seven European cities
Effect of a national primary care reform on avoidable hospital admissions (2000-2015): A difference-in-difference analysis
Environmental disasters and birth outcomes: Impact of a tailings dam breakage in Brazil
Is food insecurity related to health-care use, access and absenteeism
Objective: Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access, and absenteeism. Design…
Dietary changes during the Great Recession in Portugal: Comparing the 2005/2006 and the 2014 health surveys
Objective We aimed at analysing changes in consumption of selected food groups in the Portuguese population before and after the Great Recession, which hit the country between 2008 and 2013. Design We used pooled cross-sectional data from the Portuguese National Health Interview Surveys of 2005/2006 and 2014. We modelled the probability of consumption of soup, fish, meat, potatoes/rice/pasta, bread, legumes, fruit, vegetables and sweets/desserts,…
Challenges for psychosocial rehabilitation services in the Lisbon Metropolitan Area: A qualitative approach
In Portugal, a mental health reform process is in place aiming to redefine the model of service provision. In 2008, a National Mental Health Plan (NMHP) was approved to provide policy guidance over the transition period. The NMHP intended, among others, to develop community-based services, with a specific focus on rehabilitation and deinstitutionalization. This study aims to explore the perspectives of service managers of psychosocial rehabilitat…
Inequalities in adolescent self-rated health and smoking in Europe: Comparing different indicators of socioeconomic status
BACKGROUND: Although there is evidence for socioeconomic inequalities in health and health behaviour in adolescents, different indicators of socioeconomic status (SES) have rarely been compared within one data sample. We examined associations of five SES indicators with self-rated health (SRH) and smoking (ie, a leading cause of health inequalities) in Europe. METHODS: Data of adolescents aged 14-17 years old were obtained from the 2013 SILNE sur…
Income-related inequality and inequity in children's health care: A longitudinal analysis using data from Brazil
The Brazilian Unified Health System was created in the late 1980s to ensure free universal access to health care and was funded by taxes and social contributions. The persistent inequity in access to health services in favour of richer individuals in Brazil has been observed in the literature. However, to the best of our knowledge, no measurement of inequality in medicine use or private health insurance (PHI) among children has been performed wit…
Linkage to HIV care and its determinants in the late Haart era: A systematic review and meta-analysis
Academic performance and adolescent smoking in 6 European cities: The role of friendship ties
Poor academic performance is a known risk factor for adolescent smoking, yet the association remains unclear, as the role of social ties has been rarely examined. Our study aims to investigate the role of friendship ties in this association. In a sample of 11,015 adolescents, aged 14 to17, in 50 schools within six European cities (SILNE-survey, 2013), we used multilevel models to analyse the mediating effect of the composition of friendship ties …
Economic evaluation of HIV testing for men who have sex with men in community-based organizations – results from six European cities
The non-decreasing incidence of HIV among men who have sex with men (MSM) has motivated the emergence of Community Based Voluntary Counselling and Testing (CBVCT) services specifically addressed to MSM. The CBVCT services are characterized by facilitated access and linkage to care, a staff largely constituted by voluntary peers, and private not-for-profit structures outside the formal health system institutions. Encouraging results have been meas…
Ageing under unequal circumstances: A cross-sectional analysis of the gender and socioeconomic patterning of functional limitations among the Southern European elderly
Functional limitations are unequally distributed, hitting women and the worse-off earlier and more severely, with consequences on care needs. Considering the burden on healthcare systems and families, public health policies should seek to reduce current inequalities in functional limitations
Evolution and financial cost of socioeconomic inequalities in ambulatory care sensitive conditions: An ecological study for Portugal, 2000–2014”
There was an increasing SE patterning in ACSC related hospitalizations, possibly reflecting increasing SE inequalities in early and preventive high-quality care, imposing a substantial financial burden to the Portuguese NHS
Adolescent alcohol use and parental and adolescent socioeconomic position in six European cities
Across the six European cities, adolescent drinking was associated with adolescents' own SEP, but not with parental SEP. Socio-economic inequalities in adolescent drinking seem to stem from adolescents' own situation rather than that of their family
School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14–17 years in Europe
BACKGROUND: Studies on the effects of school smoking policies are inconclusive and there is no research on whether the effects of school policies vary by educational level. We examined the association between school smoking policies and smoking behaviour among adolescents aged 14-17 years in Europe and assessed educational inequalities in these associations. METHODS: Data on 10,325 adolescents from 50 schools in six European cities were obtained …
A social network analysis of substance use among immigrant adolescents in six European cities
Effect of a national primary care reform on avoidable hospital admissions (2000-2015): A difference-in-difference analysis
Environmental disasters and birth outcomes: Impact of a tailings dam breakage in Brazil
Gender equity in treatment for cardiac heart disease in Portugal
Deriving a risk-adjustment formula for hospital financing: Integrating the impact of socio-economic status on length of stay
Challenges for psychosocial rehabilitation services in the Lisbon Metropolitan Area: A qualitative approach
In Portugal, a mental health reform process is in place aiming to redefine the model of service provision. In 2008, a National Mental Health Plan (NMHP) was approved to provide policy guidance over the transition period. The NMHP intended, among others, to develop community-based services, with a specific focus on rehabilitation and deinstitutionalization. This study aims to explore the perspectives of service managers of psychosocial rehabilitat…
Inequalities in adolescent self-rated health and smoking in Europe: Comparing different indicators of socioeconomic status
BACKGROUND: Although there is evidence for socioeconomic inequalities in health and health behaviour in adolescents, different indicators of socioeconomic status (SES) have rarely been compared within one data sample. We examined associations of five SES indicators with self-rated health (SRH) and smoking (ie, a leading cause of health inequalities) in Europe. METHODS: Data of adolescents aged 14-17 years old were obtained from the 2013 SILNE sur…
Gender disparities in health and healthcare: Results from the Portuguese National Health Interview Survey
Although women experience poorer health conditions during their lives, they live longer than men. The main explanations for this paradox suggest that women's excess of ill-health is limited to minor illnesses and their different attitudes toward health. The authors test these assumptions by investigating disparities between men and women in health and healthcare in Portugal. Data are used from the Portuguese National Health Interview Survey 2005/…
Deriving a risk-adjustment formula for hospital financing: Integrating the impact of socio-economic status on length of stay
Gender equity in treatment for cardiac heart disease in Portugal
Gender disparities in health and healthcare: Results from the Portuguese National Health Interview Survey
Although women experience poorer health conditions during their lives, they live longer than men. The main explanations for this paradox suggest that women's excess of ill-health is limited to minor illnesses and their different attitudes toward health. The authors test these assumptions by investigating disparities between men and women in health and healthcare in Portugal. Data are used from the Portuguese National Health Interview Survey 2005/…
Direct treatment costs of HIV/Aids in Portugal
OBJECTIVE To analyze the direct medical costs of HIV/AIDS in Portugal from the perspective of the National Health Service. METHODS A retrospective analysis of medical records was conducted for 150 patients from five specialized centers in Portugal in 2008. Data on utilization of medical resources during 12 months and patients’ characteristics were collected. A unit cost was applied to each care component using official sources and accounting data…
Medical Homes Versus Individual Practice in Primary Care: Impact on Health Care Expenditures
BACKGROUND: The medical home (MH) model has prompted increasing attention given its potential to improve quality of care while reducing health expenditures. OBJECTIVES: We compare overall and specific health care expenditures in Belgium, from the third-party payer perspective (compulsory social insurance), between patients treated at individual practices (IP) and at MHs. We compare the sociodemographic profile of MH and IP users. RESEARCH DESIGN:…
Are chronic diseases related to height? Results from the Portuguese National Health Interview Survey
Evolution of socioeconomic inequalities in smoking: Results from the Portuguese national health interview surveys
Inequalities have been increasingly unfavourable to the worse-off in Portugal, although better-off women are still more likely to smoke. Worrisome inequality trends have been observed among the youngest generations, which call for the rapid implementation of equity-oriented tobacco control policies
The impact of creating vertically integrated organizations on hospital inpatient use
Introduction: One of the most recent important policy reforms in the Portuguese healthcare sector was the creation of seven new vertically integrated organizations, known as Local Health Units (LHU). These organizations are responsible for primary and secondary levels of care, providing comprehensive healthcare services on a population based approach. Currently LHUs cover approximately 12% of the total population and have a global yearly budget o…
Impact of the Medical Home Model on the Quality of Primary Care: The Belgian Experience
BACKGROUND: The Belgium medical home (MH) model, which has been garnering support of late, resembles its US counterpart in that it aims at improving the quality of health care while containing costs. OBJECTIVES: To compare the quality of care offered by MHs with that offered by traditional individual practices (IPs) in Belgium in terms of the extent of their adherence to clinical practice guidelines in antibiotherapy, cervical-cancer screening, i…
School smoking policies and educational inequalities in smoking behaviour of adolescents aged 14–17 years in Europe
BACKGROUND: Studies on the effects of school smoking policies are inconclusive and there is no research on whether the effects of school policies vary by educational level. We examined the association between school smoking policies and smoking behaviour among adolescents aged 14-17 years in Europe and assessed educational inequalities in these associations. METHODS: Data on 10,325 adolescents from 50 schools in six European cities were obtained …
A social network analysis of substance use among immigrant adolescents in six European cities
Economic evaluation of HIV testing for men who have sex with men in community-based organizations – results from six European cities
The non-decreasing incidence of HIV among men who have sex with men (MSM) has motivated the emergence of Community Based Voluntary Counselling and Testing (CBVCT) services specifically addressed to MSM. The CBVCT services are characterized by facilitated access and linkage to care, a staff largely constituted by voluntary peers, and private not-for-profit structures outside the formal health system institutions. Encouraging results have been meas…
Ageing under unequal circumstances: A cross-sectional analysis of the gender and socioeconomic patterning of functional limitations among the Southern European elderly
Functional limitations are unequally distributed, hitting women and the worse-off earlier and more severely, with consequences on care needs. Considering the burden on healthcare systems and families, public health policies should seek to reduce current inequalities in functional limitations
Evolution and financial cost of socioeconomic inequalities in ambulatory care sensitive conditions: An ecological study for Portugal, 2000–2014”
There was an increasing SE patterning in ACSC related hospitalizations, possibly reflecting increasing SE inequalities in early and preventive high-quality care, imposing a substantial financial burden to the Portuguese NHS
Adolescent alcohol use and parental and adolescent socioeconomic position in six European cities
Across the six European cities, adolescent drinking was associated with adolescents' own SEP, but not with parental SEP. Socio-economic inequalities in adolescent drinking seem to stem from adolescents' own situation rather than that of their family
Linkage to HIV care and its determinants in the late Haart era: A systematic review and meta-analysis
Academic performance and adolescent smoking in 6 European cities: The role of friendship ties
Poor academic performance is a known risk factor for adolescent smoking, yet the association remains unclear, as the role of social ties has been rarely examined. Our study aims to investigate the role of friendship ties in this association. In a sample of 11,015 adolescents, aged 14 to17, in 50 schools within six European cities (SILNE-survey, 2013), we used multilevel models to analyse the mediating effect of the composition of friendship ties …
Is food insecurity related to health-care use, access and absenteeism
Objective: Food insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access, and absenteeism. Design…
Dietary changes during the Great Recession in Portugal: Comparing the 2005/2006 and the 2014 health surveys
Objective We aimed at analysing changes in consumption of selected food groups in the Portuguese population before and after the Great Recession, which hit the country between 2008 and 2013. Design We used pooled cross-sectional data from the Portuguese National Health Interview Surveys of 2005/2006 and 2014. We modelled the probability of consumption of soup, fish, meat, potatoes/rice/pasta, bread, legumes, fruit, vegetables and sweets/desserts,…
Challenges for psychosocial rehabilitation services in the Lisbon Metropolitan Area: A qualitative approach
In Portugal, a mental health reform process is in place aiming to redefine the model of service provision. In 2008, a National Mental Health Plan (NMHP) was approved to provide policy guidance over the transition period. The NMHP intended, among others, to develop community-based services, with a specific focus on rehabilitation and deinstitutionalization. This study aims to explore the perspectives of service managers of psychosocial rehabilitat…
Inequalities in adolescent self-rated health and smoking in Europe: Comparing different indicators of socioeconomic status
BACKGROUND: Although there is evidence for socioeconomic inequalities in health and health behaviour in adolescents, different indicators of socioeconomic status (SES) have rarely been compared within one data sample. We examined associations of five SES indicators with self-rated health (SRH) and smoking (ie, a leading cause of health inequalities) in Europe. METHODS: Data of adolescents aged 14-17 years old were obtained from the 2013 SILNE sur…
Income-related inequality and inequity in children's health care: A longitudinal analysis using data from Brazil
The Brazilian Unified Health System was created in the late 1980s to ensure free universal access to health care and was funded by taxes and social contributions. The persistent inequity in access to health services in favour of richer individuals in Brazil has been observed in the literature. However, to the best of our knowledge, no measurement of inequality in medicine use or private health insurance (PHI) among children has been performed wit…
Change in the Prevalence and Social Patterning of First- and Second-Hand Smoking in Portugal: A Repeated Cross-Sectional Study (2005 and 2014)
Between 2005 and 2007, important reinforcements of the tobacco legislation have been implemented in Portugal, which may have affected smoking patterns. The aim of this study was to measure the change in prevalence of first- and second-hand smoking (SHS) among adults, and its socio-demographic patterning in Portugal from 2005 to 2014. Data from the last two Portuguese National Health Interview Surveys (2005 and 2014) were used. The changes in dail…
Academic Well-Being and Structural Characteristics of Peer Networks in School
Peer networks at school and students' position in these networks can influence their academic well-being. We study here individual students' network position (isolation, popularity, social activity) and peer network structures at the school level (centralization, density, clustering, school connectedness) and their relations to students' academic well-being (school burnout, SB; schoolwork engagement, SE). Classroom surveys for 14-16-year-olds ( N…
Enhancing implementation of smoke-free places: A comparative qualitative study across seven European cities
Medicine (28 works) · Environmental health (20 works) · Demography (16 works) · Demography (13 works) · Population (12 works) · Psychology (12 works) · Health care (11 works) · Socioeconomic status (10 works) · Sociology (10 works) · Public health (9 works)