A better-quality alternative. Single-payer national health system reform. Physicians for a National Health Program Quality of Care Working Group

JAMA ◽  
1994 ◽  
Vol 272 (10) ◽  
pp. 803-808 ◽  
Author(s):  
G. D. Schiff
Keyword(s):  
Quality Of Care ◽  
Health System ◽  
National Health ◽  
Working Group ◽  
Health Program ◽  
National Health System ◽  
System Reform ◽  
Single Payer ◽  
Care Working Group

Perception of the quality of care, work environment and sleep characteristics of nurses working in the National Health System

2018 ◽  
Vol 28 (4) ◽  
pp. 230-239
Author(s):  
María Teresa Moreno-Casbas ◽  
Emma Alonso-Poncelas ◽  
Teresa Gómez-García ◽  
María José Martínez-Madrid ◽  
Gema Escobar-Aguilar
Keyword(s):  
Quality Of Care ◽  
Health System ◽  
Work Environment ◽  
National Health ◽  
National Health System ◽  
Care Work

scholarly journals Nurses' sleep quality, work environment and quality of care in the Spanish National Health System: observational study among different shifts

BMJ Open ◽  
2016 ◽  
Vol 6 (8) ◽  
pp. e012073 ◽  
Author(s):  
Teresa Gómez-García ◽  
María Ruzafa-Martínez ◽  
Carmen Fuentelsaz-Gallego ◽  
Juan Antonio Madrid ◽  
Maria Angeles Rol ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Observational Study ◽  
Sleep Quality ◽  
Health System ◽  
Work Environment ◽  
National Health ◽  
National Health System ◽  
Quality Work ◽  
Spanish National Health System

scholarly journals Quality of basic maternal care functions in health facilities of five African countries: an analysis of national health system surveys

2016 ◽  
Vol 4 (11) ◽  
pp. e845-e855 ◽  
Author(s):  
Margaret E Kruk ◽  
Hannah H Leslie ◽  
Stéphane Verguet ◽  
Godfrey M Mbaruku ◽  
Richard M K Adanu ◽  
...  
Keyword(s):  
Health System ◽  
National Health ◽  
Maternal Care ◽  
National Health System ◽  
Health Facilities ◽  
African Countries

Sleep quality of nurses working in six hospitals of the spanish national health system

2013 ◽  
Vol 14 ◽  
pp. e65
Author(s):  
M. Segura Aroca ◽  
T. Gómez García ◽  
M. Lopez Iborra ◽  
E. Alonso Poncelas ◽  
R. Santos Serrano ◽  
...  
Keyword(s):  
Sleep Quality ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Spanish National Health System

scholarly journals Effectiveness of education at work in a health program: a strategy for vocational training and lifelong learning

2018 ◽  
Vol 26 (100) ◽  
pp. 986-1003
Author(s):  
Maria da Graça Munareto Rodrigues ◽  
Maria de Lourdes Drachler ◽  
Jussara Munareto ◽  
José Carlos de Carvalho Leite
Keyword(s):  
Health System ◽  
Lifelong Learning ◽  
National Health ◽  
Vocational Training ◽  
Health Program ◽  
National Health System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Electronic Questionnaire

Abstract A cross-sectional study investigated the effectiveness of an education at work in health program in a Brazilian federal university, by sending an electronic questionnaire to 553 active and former participants (80.5% participation). Means of approximately 3.00 (scale from zero to 4.00) for program’s clarity of purpose, suitability of process, and impact, indicated that the program was largely effective. Clarity of purpose was greater among preceptors and mentors when compared to students. The program’s impact was perceived as greater by the students when compared to the lifelong learning of preceptors and mentors, and by females. Building the capacity of preceptors and mentors for education at work in the Brazil’s national health system could advance the effectiveness of the program.

Health-Care Justice, Health Inequalities, and U.S. Health System Reform

2016 ◽  
Author(s):  
Carla C. Keirns
Keyword(s):  
Quality Of Care ◽  
Health System ◽  
Financial Incentives ◽  
System Reform ◽  
Value System ◽  
Health System Financing ◽  
Care Models ◽  
Access And Quality ◽  
Health Care Justice

Changes in health system financing and delivery have the potential to save thousands of lives and billions of dollars. The overarching value system embedded in these new models for payment is a rough utilitarianism with origins in economic analysis. These models use financial incentives to change the behavior of physicians, hospitals, and patients. In addition, many of these policy approaches are also based in other normative approaches to medical care with links to liberal economic theory. While these utilitarian-based innovations in insurance and payment policy have often proven to improve access and quality of care in the aggregate, they have frequently been shown to have less benefit or even cause harm to vulnerable populations. This chapter demonstrates how improvements in quality of care frequently have the unintended consequence of widening disparities, either because the populations who had the worst outcomes to start with are more difficult to reach with improved-care models, or because the mechanisms designed to increase access and quality actually destabilize institutions that have long served the poor. As health reforms are implemented, attention to their impact on poor patients and the institutions that serve them will be essential.

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