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59-473: At the time of its dissolution in 2020, the 582-square-kilometre (225 sq mi) municipality is the 190th largest by area out of the 422 municipalities in Norway. Gaular is the 263rd most populous municipality in Norway with a population of 3,027. The municipality's population density is 5.7 inhabitants per square kilometre (15/sq mi) and its population has increased by 9.8% over the last decade. In 2016,

118-593: A ferry between the villages of Lavik and Oppedal across the Sognefjorden ). The Norwegian County Road 13 runs through the eastern part of the municipality. Førde Airport, Bringeland (ENBL) is located at Bringelandsåsen in Gaular municipality. William T. Potts from Coreen Castle in Ireland initiated the building of the salmon stairs (a type of fish ladder ), which were completed in 1871, in return for an agreement made with

177-403: A tincture of argent which means it is commonly colored white, but if it is made out of metal, then silver is used. The green color in the field symbolizes the forests and farmland in the municipality. The charge was chosen to symbolize the river Gaula and its many waterfalls. The arms were designed by Even Skoglund after an original idea by Margrete Hareide from Bygstad. The municipal flag has

236-642: A basic framework for defining the sector, the United Nations' International Standard Industrial Classification categorizes health care as generally consisting of hospital activities, medical and dental practice activities, and "other human health activities." The last class involves activities of, or under the supervision of, nurses, midwives, physiotherapists, scientific or diagnostic laboratories, pathology clinics, residential health facilities, patient advocates or other allied health professions . In addition, according to industry and market classifications, such as

295-552: A challenge for the design of ICT (information and communication technology) for home care. Because statistics show that over 80 million Americans have taken time off of their primary employment to care for a loved one, many countries have begun offering programs such as the Consumer Directed Personal Assistant Program to allow family members to take care of their loved ones without giving up their entire income. With obesity in children rapidly becoming

354-608: A clear correlation between worse quality and higher spending. Expand the OECD charts below to see the breakdown: The management and administration of health care is vital to the delivery of health care services. In particular, the practice of health professionals and the operation of health care institutions is typically regulated by national or state/provincial authorities through appropriate regulatory bodies for purposes of quality assurance . Most countries have credentialing staff in regulatory boards or health departments who document

413-591: A gain of 10 years since 1970. The US (78.7 years) ranges only on place 26 among the 34 OECD member countries, but has the highest costs by far. All OECD countries have achieved universal (or almost universal) health coverage, except the US and Mexico . (see also international comparisons .) In the United States , where around 18% of GDP is spent on health care, the Commonwealth Fund analysis of spend and quality shows

472-441: A licensed independent practitioner such as a physiotherapist , or a non-physician primary care provider such as a physician assistant or nurse practitioner . Depending on the locality and health system organization, the patient may see another health care professional first, such as a pharmacist or nurse . Depending on the nature of the health condition, patients may be referred for secondary or tertiary care. Primary care

531-404: A little less than the land area of Puerto Rico , 8,868 square kilometres (3,424 sq mi). Although the arithmetic density is the most common way of measuring population density, several other methods have been developed to provide alternative measures of population density over a specific area. Health care Health care , or healthcare , is the improvement of health via

590-419: A major concern, health services often set up programs in schools aimed at educating children about nutritional eating habits, making physical education a requirement and teaching young adolescents to have a positive self-image. Health care ratings are ratings or evaluations of health care used to evaluate the process of care and health care structures and/or outcomes of health care services. This information

649-744: A marvellous view over the Haukedalen valley. Along Råheimsdalen and Eldalen to the Gaularfjellet mountains, you will see a marvellous waterfall landscape that has been landscaped with paths for visitors. From the top of Gaularfjellet mountains, hairpin bends wind down to the Vetlefjorden , an arm of the Sognefjorden . The breathtaking contrasts of steep mountainsides, winding roads, and waterfalls are characteristic of Western Norway 's exceptional scenery. Population density Population density (in agriculture : standing stock or plant density )

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708-400: A primary care practitioner must possess a wide breadth of knowledge in many areas. Continuity is a key characteristic of primary care, as patients usually prefer to consult the same practitioner for routine check-ups and preventive care , health education , and every time they require an initial consultation about a new health problem. The International Classification of Primary Care (ICPC)

767-633: A short period of time for a brief but serious illness, injury, or other health condition. This care is often found in a hospital emergency department . Secondary care also includes skilled attendance during childbirth , intensive care , and medical imaging services. The term "secondary care" is sometimes used synonymously with "hospital care". However, many secondary care providers, such as psychiatrists , clinical psychologists , occupational therapists , most dental specialties or physiotherapists , do not necessarily work in hospitals. Some primary care services are delivered within hospitals. Depending on

826-986: A significant part of a country's economy , development, and industrialization . Health care is an important determinant in promoting the general physical and mental health and well-being of people around the world. An example of this was the worldwide eradication of smallpox in 1980, declared by the WHO, as the first disease in human history to be eliminated by deliberate healthcare interventions. The delivery of modern health care depends on groups of trained professionals and paraprofessionals coming together as interdisciplinary teams . This includes professionals in medicine , psychology , physiotherapy , nursing , dentistry , midwifery and allied health , along with many others such as public health practitioners , community health workers and assistive personnel , who systematically provide personal and population-based preventive, curative and rehabilitative care services. While

885-499: Is 53/km (140/sq mi). This includes all continental and island land area, including Antarctica . However, if Antarctica is excluded, then population density rises to over 58 per square kilometre (150/sq mi). The European Commission's Joint Research Centre (JRC) has developed a suite of (open and free) data and tools named the Global Human Settlement Layer (GHSL) to improve the science for policy support to

944-450: Is a measurement of population per unit land area. It is mostly applied to humans , but sometimes to other living organisms too. It is a key geographical term. Population density is population divided by total land area , sometimes including seas and oceans, as appropriate. Low densities may cause an extinction vortex and further reduce fertility. This is called the Allee effect after

1003-494: Is a standardized tool for understanding and analyzing information on interventions in primary care based on the reason for the patient's visit. Common chronic illnesses usually treated in primary care may include, for example, hypertension , diabetes , asthma , COPD , depression and anxiety , back pain , arthritis or thyroid dysfunction . Primary care also includes many basic maternal and child health care services, such as family planning services and vaccinations . In

1062-499: Is around 8,000,000,000 and the Earth 's total area (including land and water) is 510,000,000 km (200,000,000 sq mi). Therefore, the worldwide human population density is approximately 8,000,000,000 ÷ 510,000,000 = 16/km (41/sq mi). However, if only the Earth's land area of 150,000,000 km (58,000,000 sq mi) is taken into account, then human population density

1121-417: Is considered necessary, regardless of whether the funding is from private insurance schemes or national health insurance . Allied health professionals , such as physical therapists , respiratory therapists , occupational therapists , speech therapists , and dietitians , also generally work in secondary care, accessed through either patient self-referral or through physician referral. Tertiary care

1180-574: Is often used as the term for the health care services that play a role in the local community. It can be provided in different settings, such as Urgent care centers that provide same-day appointments or services on a walk-in basis. Primary care involves the widest scope of health care, including all ages of patients, patients of all socioeconomic and geographic origins, patients seeking to maintain optimal health , and patients with all types of acute and chronic physical, mental and social health issues, including multiple chronic diseases . Consequently,

1239-502: Is seen from the analysis carried out each year by Bloomberg. Clearly this kind of analysis is flawed in that life expectancy is only one measure of a health system's performance, but equally, the notion that more funding is better is not supported. In 2011, the health care industry consumed an average of 9.3 percent of the GDP or US$ 3,322 ( PPP-adjusted ) per capita across the 34 members of OECD countries. The US (17.7%, or US$ PPP 8,508),

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1298-622: Is sometimes used as an extension of tertiary care in reference to advanced levels of medicine which are highly specialized and not widely accessed. Experimental medicine and some types of uncommon diagnostic or surgical procedures are considered quaternary care. These services are usually only offered in a limited number of regional or national health care centers. Many types of health care interventions are delivered outside of health facilities. They include many interventions of public health interest, such as food safety surveillance, distribution of condoms and needle-exchange programs for

1357-545: Is specialized consultative health care, usually for inpatients and on referral from a primary or secondary health professional, in a facility that has personnel and facilities for advanced medical investigation and treatment, such as a tertiary referral hospital . Examples of tertiary care services are cancer management, neurosurgery , cardiac surgery , plastic surgery , treatment for severe burns , advanced neonatology services, palliative, and other complex medical and surgical interventions. The term quaternary care

1416-414: Is translated into report cards that are generated by quality organizations, nonprofit, consumer groups and media. This evaluation of quality is based on measures of: Access to healthcare may vary across countries, communities, and individuals, influenced by social and economic conditions as well as health policies . Providing health care services means "the timely use of personal health services to achieve

1475-454: The Dalsfjorden near the village of Bygstad . There are several large lakes that are part of the river Gaula including the lakes Haukedalsvatnet and Viksdalsvatnet . The river begins in the Gaularfjellet mountains to the east of the municipality. The European route E39 highway runs through the centre of Sande south to the city of Bergen , a distance of 150 kilometres (93 mi) (with

1534-631: The European Commission Directorate Generals and Services and as support to the United Nations system. Several of the most densely populated territories in the world are city-states , microstates and urban dependencies . In fact, 95% of the world's population is concentrated on just 10% of the world's land. These territories have a relatively small area and a high urbanization level, with an economically specialized city population drawing also on rural resources outside

1593-647: The Global Industry Classification Standard and the Industry Classification Benchmark , health care includes many categories of medical equipment, instruments and services including biotechnology , diagnostic laboratories and substances, drug manufacturing and delivery. For example, pharmaceuticals and other medical devices are the leading high technology exports of Europe and the United States. The United States dominates

1652-544: The Netherlands (11.9%, 5,099), France (11.6%, 4,118), Germany (11.3%, 4,495), Canada (11.2%, 5669), and Switzerland (11%, 5,634) were the top spenders, however life expectancy in total population at birth was highest in Switzerland (82.8 years), Japan and Italy (82.7), Spain and Iceland (82.4), France (82.2) and Australia (82.0), while OECD's average exceeds 80 years for the first time ever in 2011: 80.1 years,

1711-481: The biopharmaceutical field, accounting for three-quarters of the world's biotechnology revenues. The quantity and quality of many health care interventions are improved through the results of science, such as advanced through the medical model of health which focuses on the eradication of illness through diagnosis and effective treatment. Many important advances have been made through health research, biomedical research and pharmaceutical research , which form

1770-815: The prevention , diagnosis , treatment , amelioration or cure of disease , illness , injury , and other physical and mental impairments in people. Health care is delivered by health professionals and allied health fields . Medicine , dentistry , pharmacy , midwifery , nursing , optometry , audiology , psychology , occupational therapy , physical therapy , athletic training , and other health professions all constitute health care. The term includes work done in providing primary care , secondary care , tertiary care , and public health . Access to healthcare may vary across countries, communities, and individuals, influenced by social and economic conditions and health policies . Providing health care services means "the timely use of personal health services to achieve

1829-536: The social model of health and disability , which emphasizes the societal changes that can be made to make populations healthier. Results from health services research often form the basis of evidence-based policy in health care systems. Health services research is also aided by initiatives in the field of artificial intelligence for the development of systems of health assessment that are clinically useful, timely, sensitive to change, culturally sensitive , low-burden, low-cost, built into standard procedures, and involve

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1888-416: The United States, the 2013 National Health Interview Survey found that skin disorders (42.7%), osteoarthritis and joint disorders (33.6%), back problems (23.9%), disorders of lipid metabolism (22.4%), and upper respiratory tract disease (22.1%, excluding asthma) were the most common reasons for accessing a physician. In the United States, primary care physicians have begun to deliver primary care outside of

1947-988: The area, illustrating the difference between high population density and overpopulation . Deserts have very limited potential for growing crops as there is not enough rain to support them. Thus, their population density is generally low. However, some cities in the Middle East, such as Dubai , have been increasing in population and infrastructure growth at a fast pace. Cities with high population densities are, by some, considered to be overpopulated, though this will depend on factors like quality of housing and infrastructure and access to resources. Very densely populated cities are mostly in Asia (particularly Southeast Asia ); Africa's Lagos , Kinshasa , and Cairo ; South America's Bogotá , Lima , and São Paulo ; and Mexico City and Saint Petersburg also fall into this category. City population and especially area are, however, heavily dependent on

2006-662: The basis for evidence-based medicine and evidence-based practice in health care delivery. Health care research frequently engages directly with patients, and as such issues for whom to engage and how to engage with them become important to consider when seeking to actively include them in studies. While single best practice does not exist, the results of a systematic review on patient engagement suggest that research methods for patient selection need to account for both patient availability and willingness to engage. Health services research can lead to greater efficiency and equitable delivery of health care interventions, as advanced through

2065-501: The best possible health outcomes". Factors to consider in terms of healthcare access include financial limitations (such as insurance coverage), geographical and logistical barriers (such as additional transportation costs and the ability to take paid time off work to use such services), sociocultural expectations, and personal limitations (lack of ability to communicate with health care providers, poor health literacy , low income). Limitations to health care services affect negatively

2124-502: The best possible health outcomes". Factors to consider in terms of healthcare access include financial limitations (such as insurance coverage), geographical and logistical barriers (such as additional transportation costs and the ability to take paid time off work to use such services), sociocultural expectations, and personal limitations (lack of ability to communicate with health care providers, poor health literacy , low income). Limitations to health care services affects negatively

2183-520: The chief of police for Vestlandet formally suggested a reconfiguration of police districts and stations. He proposed that the police station in Gaular be closed. The parish of Indre Holmedal was established as a municipality on 1 January 1838 (see formannskapsdistrikt law). The original municipality was identical to the Indre Holmedal parish ( prestegjeld ) which included the sub-parishes ( sokn ) of Bygstad , Sande , and Vik . In 1912,

2242-470: The context of global population aging , with increasing numbers of older adults at greater risk of chronic non-communicable diseases , rapidly increasing demand for primary care services is expected in both developed and developing countries. The World Health Organization attributes the provision of essential primary care as an integral component of an inclusive primary health care strategy. Secondary care includes acute care : necessary treatment for

2301-547: The definition of "urban area" used: densities are almost invariably higher for the center only than when suburban settlements and intervening rural areas are included, as in the agglomeration or metropolitan area (the latter sometimes including neighboring cities). In comparison, based on a world population of 8 billion, the world's inhabitants, if conceptualized as a loose crowd occupying just under 1 m (10 sq ft) per person (cf. Jacobs Method ), would occupy an area of 8,000 square kilometres (3,100 sq mi)

2360-438: The definitions of the various types of health care vary depending on the different cultural , political, organizational, and disciplinary perspectives, there appears to be some consensus that primary care constitutes the first element of a continuing health care process and may also include the provision of secondary and tertiary levels of care. Health care can be defined as either public or private . Primary care refers to

2419-457: The farmers that had 25 years of free fishing. The salmon stairs at Osen in Bygstad are the oldest in the world. The stairs consist of 17 pools/stages and has height of around 11 metres (36 ft). It is very effective as the salmon are forced to make their way up the stair construction, due to the current below the falls. Fylkesvei 13 (Fv13) is one of 18 national tourist roads in Norway because of

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2478-468: The final municipal council was as follows: The mayors ( Nynorsk : ordførar ) of Gaular: Gaular is located in the central part of Vestland county, in the Sunnfjord region. It is bordered to the north by the municipalities of Askvoll and Førde , to the east by Balestrand , to the south by Høyanger , and to the west by Fjaler . The Gaula River flows west through the municipality and empties into

2537-515: The managed care (insurance-billing) system through direct primary care which is a subset of the more familiar concierge medicine . Physicians in this model bill patients directly for services, either on a pre-paid monthly, quarterly, or annual basis, or bill for each service in the office. Examples of direct primary care practices include Foundation Health in Colorado and Qliance in Washington. In

2596-461: The name of the municipality was changed to Gaular . On 1 January 1990, parts of the Hestad area (west of Sunde-Klepp, west of Bygstad ) were transferred from Fjaler to Gaular. On 1 January 2020, the neighboring municipalities of Gaular, Førde , Naustdal , and Jølster were merged to form the new Sunnfjord Municipality . The municipality (originally the parish ) was named Indre Holmedal , after

2655-413: The nearby waterfalls. From near the town of Førde , drivers start on a sightseeing journey with cultural attractions that date from the 19th century to the present day's city environment. The districts of Holsen and Haukedalen are typical of Western Norwegian farming communities that have created a picturesque cultivated landscape. Rørvik Mountain is on the road and it has fascinating stone walls and

2714-401: The old Holmedal farm ( Old Norse : Hǫlmudalr ) since the first Holmedal Church was built there. The meaning of the first element of Holmedal is uncertain, but it may have been an old name for a local river, Holma . It is unknown what the river name meant. The last element is derived from the word dalr which means " valley " or "dale". The prefix indre (which means "inner")

2773-400: The organization and policies of the national health system, patients may be required to see a primary care provider for a referral before they can access secondary care. In countries that operate under a mixed market health care system, some physicians limit their practice to secondary care by requiring patients to see a primary care provider first. This restriction may be imposed under

2832-544: The patient. There are generally five primary methods of funding health care systems : In most countries, there is a mix of all five models, but this varies across countries and over time within countries. Aside from financing mechanisms, an important question should always be how much to spend on health care. For the purposes of comparison, this is often expressed as the percentage of GDP spent on health care. In OECD countries for every extra $ 1000 spent on health care, life expectancy falls by 0.4 years. A similar correlation

2891-553: The prevention of transmissible diseases. They also include the services of professionals in residential and community settings in support of self-care , home care , long-term care , assisted living , treatment for substance use disorders among other types of health and social care services. Community rehabilitation services can assist with mobility and independence after the loss of limbs or loss of function. This can include prostheses , orthotics , or wheelchairs . Many countries are dealing with aging populations, so one of

2950-577: The priorities of the health care system is to help seniors live full, independent lives in the comfort of their own homes. There is an entire section of health care geared to providing seniors with help in day-to-day activities at home such as transportation to and from doctor's appointments along with many other activities that are essential for their health and well-being. Although they provide home care for older adults in cooperation, family members and care workers may harbor diverging attitudes and values towards their joint efforts. This state of affairs presents

3009-542: The same design as the coat of arms. The Church of Norway had one parish ( sokn ) within the municipality of Gaular. It was part of the Sunnfjord prosti ( deanery ) in the Diocese of Bjørgvin . While it existed, this municipality was responsible for primary education (through 10th grade), outpatient health services , senior citizen services, unemployment , social services , zoning , economic development , and municipal roads . During its existence, this municipality

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3068-443: The scientist who identified it. Examples of the causes of reduced fertility in low population densities are: Population density is the number of people per unit of area, usually transcribed as "per square kilometer" or square mile, and which may include or exclude, for example, areas of water or glaciers. Commonly this is calculated for a county , city , country , another territory or the entire world . The world's population

3127-414: The sound of the river. The coat of arms was granted on 24 April 1992 and it was in use until 1 January 2020 when the municipality was dissolved. The official blazon is " Vert , a pale argent engrailed " ( Norwegian : På grøn grunn ein sølv stolpe laga med taggesnitt ). This means the arms have a green field (background) and the charge is a vertical bar with scalloped edges. The charge has

3186-410: The terms of the payment agreements in private or group health insurance plans. In other cases, medical specialists may see patients without a referral, and patients may decide whether self-referral is preferred. In other countries patient self-referral to a medical specialist for secondary care is rare as prior referral from another physician (either a primary care physician or another specialist)

3245-626: The use of medical services, the efficacy of treatments, and overall outcome (well-being, mortality rates). Health care extends beyond the delivery of services to patients, encompassing many related sectors, and is set within a bigger picture of financing and governance structures. A health system , also sometimes referred to as health care system or healthcare system , is the organization of people, institutions, and resources that deliver health care services to populations in need. The healthcare industry incorporates several sectors that are dedicated to providing health care services and products. As

3304-650: The use of medical services, the efficacy of treatments, and overall outcome (well-being, mortality rates). Health systems are the organizations established to meet the health needs of targeted populations. According to the World Health Organization (WHO), a well-functioning healthcare system requires a financing mechanism, a well-trained and adequately paid workforce , reliable information on which to base decisions and policies , and well-maintained health facilities to deliver quality medicines and technologies. An efficient healthcare system can contribute to

3363-401: The work of health professionals who act as a first point of consultation for all patients within the health care system . The primary care model supports first-contact, accessible, continuous, comprehensive and coordinated person-focused care. Such a professional would usually be a primary care physician , such as a general practitioner or family physician . Another professional would be

3422-426: Was added to distinguish the area from its neighbor, Ytre Holmedal . On 16 October 1911, a royal resolution changed the name of the municipality to Gaular , reviving an old name for the area. The new name is the plural form of the word Gaul which is the old name for the river Gaula . The old name of the river is identical with the word gaula which means "to bellow " or "to howl ", likely referring to

3481-525: Was governed by a municipal council of directly elected representatives. The mayor was indirectly elected by a vote of the municipal council. The municipality was under the jurisdiction of the Sogn og Fjordane District Court and the Gulating Court of Appeal . The municipal council (Kommunestyre) of Gaular was made up of 21 representatives that were elected to four year terms. The party breakdown of

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