The provision and financing of medical care for AIDS patients in US public and private teaching hospitals

JAMA ◽  
1987 ◽  
Vol 258 (10) ◽  
pp. 1343-1346 ◽  
Author(s):  
D. P. Andrulis
Keyword(s):  
Medical Care ◽  
Teaching Hospitals ◽  
Aids Patients ◽  
Public And Private ◽  
Private Teaching

scholarly journals GOVERNING THE TEACHING HOSPITALS IN MALAYSIA: LEGAL ISSUES AND CHALLENGES

Bioethics ◽  
2021 ◽  
Vol 28 (2) ◽  
pp. 26-32
Author(s):  
Izuan Izzaidi Azmi ◽  
◽  
Nurrulhuda Ahmad ◽  
Norazlina Abdul Aziz ◽  
Irini Ibrahim ◽  
...  
Keyword(s):  
Medical Care ◽  
Teaching Hospital ◽  
Clinical Education ◽  
Health Professionals ◽  
Legal Issues ◽  
Teaching Hospitals ◽  
Public And Private ◽  
Legal Position ◽  
And Training ◽  
Diagnosis Of Diseases

Hospital, is an institution that is built, staffed, and equipped for the diagnosis of diseases; for the treatment, both medical and surgical, of the sick and the injured; and for their housing during this process. Generally, hospitals in Malaysia are being categorized into two categories which are: public and private. Another type of hospital that serves as a centre for investigation and teaching is known as a teaching hospital. It provides clinical education and training for future and current doctors, nurses, and other health professionals, in addition to delivering medical care to patients. Some teaching hospitals also have a commitment to research and are centres for experimental, innovative and technically sophisticated services. Despite its important roles, there is no specific legislation to govern the teaching hospital in Malaysia. This situation leads to uncertainties in some crucial areas of the governance. Therefore, this study aims to explore the legal issues and challenges with regard to the teaching hospital’s governance in Malaysia. A thorough doctrinal analysis is being conducted to examine the loopholes of the current legal position. The findings will be used to propose some recommendations for the improvement of the governance of the teaching hospitals in Malaysia.

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

Viewpoint From the Division of Community Child Health

PEDIATRICS ◽  
1974 ◽  
Vol 54 (2) ◽  
pp. 251-251
Author(s):  
Joel Bass ◽  
Dorothea Johnson ◽  
Jacqueline Kirby ◽  
George A. Lamb ◽  
Janice C. Levy ◽  
...  
Keyword(s):  
Primary Care ◽  
Child Health ◽  
Medical Care ◽  
Medical Schools ◽  
House Staff ◽  
Teaching Hospitals ◽  
Primary Medical Care

We read with interest Dr. Nathan's comments on primary medical care (Pediatrics, 52:768, 1973), but feel compelled to add another viewpoint. One of the striking changes occurring today in teaching hospitals and medical schools is an increased awareness of and interest in primary care. Some institutions, including our own, have created residencies and fellowships in ambulatory pediatrics as a response to house staff interests and also in response to the needs of the surrounding community.

Integrated School Health Services

PEDIATRICS ◽  
1994 ◽  
Vol 94 (3) ◽  
pp. 400-402
Author(s):  
Keyword(s):  
Health Services ◽  
Medical Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
School Health ◽  
Care Home ◽  
Psychosocial Care ◽  
School Health Services ◽  
Public And Private ◽  
Community Needs

When integrated school health services are implemented according to an assessment of community needs and resources, and with adequate attention to quality assurance and evaluation, they may be a way to expand access to health care services for under-served populations. They can also become a coordinated extension of an ongoing medical care home. This approach may be an effective vehicle for integrating psychosocial care and education with medical care. Pediatricians practicing in public and private sectors should become actively involved in any community effort to develop an integrated school health services initiative. The well-designed integrated health services program, when coupled with comprehensive school health education, could significantly advance the state of health of the nation's children, youth, and families.

Medical Expenditures on and by Immigrant Populations in the United States: A Systematic Review

2018 ◽  
Vol 48 (4) ◽  
pp. 601-621 ◽  
Author(s):  
Lila Flavin ◽  
Leah Zallman ◽  
Danny McCormick ◽  
J. Wesley Boyd
Keyword(s):  
United States ◽  
Health Care ◽  
Medical Care ◽  
Health Care Policy ◽  
Age Groups ◽  
Health Care Expenditures ◽  
The United States ◽  
Public And Private ◽  
Health Insurance Markets ◽  
Private And Public

In health care policy debates, discussion centers around the often-misperceived costs of providing medical care to immigrants. This review seeks to compare health care expenditures of U.S. immigrants to those of U.S.-born individuals and evaluate the role which immigrants play in the rising cost of health care. We systematically examined all post-2000, peer-reviewed studies in PubMed related to health care expenditures by immigrants written in English in the United States. The reviewers extracted data independently using a standardized approach. Immigrants’ overall expenditures were one-half to two-thirds those of U.S.-born individuals, across all assessed age groups, regardless of immigration status. Per capita expenditures from private and public insurance sources were lower for immigrants, particularly expenditures for undocumented immigrants. Immigrant individuals made larger out-of-pocket health care payments compared to U.S.-born individuals. Overall, immigrants almost certainly paid more toward medical expenses than they withdrew, providing a low-risk pool that subsidized the public and private health insurance markets. We conclude that insurance and medical care should be made more available to immigrants rather than less so.

Do multidisciplinary teams make a difference to the quality of medical care?

2019 ◽  
Vol 80 (12) ◽  
pp. 696-698
Author(s):  
Sam Marsden ◽  
Liam Dunbar ◽  
Nemandra Sandiford
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Multidisciplinary Team ◽  
Teaching Hospitals ◽  
Multidisciplinary Teams ◽  
Team Management ◽  
Treatment Pathways ◽  
Quality Of Medical Care ◽  
Centres Of Excellence

One of the major modern advances in the organization and delivery of health care has been the introduction of multidisciplinary team management. This approach has reduced mortality levels in patients suffering with cancer and other complex multiorgan pathologies. Many centres of excellence and teaching hospitals have established multidisciplinary teams in order to streamline treatment pathways and optimize patient care. This article presents an overview of multidisciplinary teams, their history, their introduction into mainstream medical care and the issues resulting from their introduction to the treating organizations as well as clinicians.

The Economic Attributes of Medical Care: Implications for Rationing Choices in the United States and United Kingdom

1996 ◽  
Vol 5 (4) ◽  
pp. 546-558 ◽  
Author(s):  
Dwayne A. Banks
Keyword(s):  
United States ◽  
United Kingdom ◽  
Private Sector ◽  
Medical Care ◽  
Consumer Choice ◽  
The United States ◽  
Public And Private ◽  
Care Services ◽  
Point Of Entry ◽  
Public And Private Sector

The healthcare systems of the United States and United Kingdom are vastly different. The former relies primarily on private sector incentives and market forces to allocate medical care services, while the latter is a centrally planned system funded almost entirely by the public sector. Therefore, each nation represents divergent views on the relative efficacy of the market or government in achieving social objectives in the area of medical care policy. Since its inception in 1948, the National Health Services (NHS) of the United Kingdom has consistently emphasized equity in the allocation of medical services. It has done so by creating a system whereby services are universally free of charge at the point of entry. Conversely, the United States has relied upon the evolution of a perplexing array of public and private sector insurance schemes centered more around consumer choice than equity in allocation.

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