The Impact of Additive Manufacturing for Medical Care Delivery in Space: A Systematic Review

2021 ◽  
pp. 2001002
Author(s):  
Sergio M. Navarro ◽  
Hashim Shaikh ◽  
Nory Klop‐Packel ◽  
Hetvi Jethwani ◽  
Jimmy Wu ◽  
...  
Keyword(s):  
Systematic Review ◽  
Additive Manufacturing ◽  
Medical Care ◽  
Care Delivery ◽  
The Impact

scholarly journals Effect of Regional Cooperation on Efficiency of Medical Care Delivery in secondary Medical Areas of Japan

2021 ◽  
Vol 13 (10) ◽  
pp. 1
Author(s):  
Hajime Hajime Watanabe ◽  
Asuka Suzuki ◽  
Yoshinori Nakata
Keyword(s):  
Regression Analysis ◽  
Medical Care ◽  
Regional Cooperation ◽  
Care Delivery ◽  
Average Length ◽  
Length Of Hospital Stay ◽  
Efficiency Score ◽  
Tobit Regression ◽  
Medical Area ◽  
The Impact

The Japanese population is aging and requires regional health facilities to cooperate to use medical resources efficiently. This study evaluated the impact of regional cooperation on the efficiency of medical care delivery in secondary medical areas. The discharge adjustment implementation rate of each secondary medical area was used as a proxy for regional cooperation. The study data were obtained from publicly available sources. The efficiency scores of secondary medical areas were calculated using the input-oriented Banker–Charnes–Cooper model for Data Envelopment Analysis. The inputs used were the number of general beds and the average length of hospital stay for each secondary medical area. The outputs used were the number of discharged patients and inpatient medical expenses per person. In addition, the relationship between discharge adjustment implementation rates and efficiency scores were assessed using tobit multiple regression analysis. The models were adjusted for the 7 variables. Ten secondary medical areas had an efficiency score of 1.00 (i.e., highest efficiency). Tobit regression analysis was performed on the 340 secondary medical areas for which efficiency scores were obtained. The discharge adjustment implementation rates and efficiency scores were significantly positively correlated (p = 0.032). While studies that quantitatively evaluate regional cooperation and efficiency are limited, these findings suggest that implementing regional cooperation may improve the efficiency of medical care delivery in secondary medical areas.

State Nurse Practitioner Practice Regulations and U.S. Health Care Delivery Outcomes: A Systematic Review

2020 ◽  
pp. 107755871990121 ◽  
Author(s):  
Bo Kyum Yang ◽  
Mary E. Johantgen ◽  
Alison M. Trinkoff ◽  
Shannon R. Idzik ◽  
Jessica Wince ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Access To Care ◽  
Health Care Delivery ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Care Quality ◽  
Cost Of Care ◽  
Delivery Outcomes ◽  
The Impact

There is a great variation across states in nurse practitioner (NP) scope of practice moderated by state regulations. The purpose of this study was to synthesize the evidence from studies of the impact of state NP practice regulations on U.S. health care delivery outcomes (e.g., health care workforce, access to care, utilization, care quality, or cost of care), guided by Donabedian’s structure, process, and outcomes framework. This systematic review was performed using Medline, CINAHL, PsycINFO, and PubMed according to Preferred Reporting Items for Systematic and Meta-Analysis on the literature from January 2000 to August 2019. The results indicate that expanded state NP practice regulations were associated with greater NP supply and improved access to care among rural and underserved populations without decreasing care quality. This evidence could provide guidance for policy makers in states with more restrictive NP practice regulations when they consider granting greater practice independence to NPs.

scholarly journals The benefits of health information exchange: an updated systematic review

2018 ◽  
Vol 25 (9) ◽  
pp. 1259-1265 ◽  
Author(s):  
Nir Menachemi ◽  
Saurabh Rahurkar ◽  
Christopher A Harle ◽  
Joshua R Vest
Keyword(s):  
Systematic Review ◽  
New York ◽  
Health Information ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Care Delivery ◽  
The United States ◽  
Current Systematic Review ◽  
Meta Analyses ◽  
The Impact

Abstract Objective Widespread health information exchange (HIE) is a national objective motivated by the promise of improved care and a reduction in costs. Previous reviews have found little rigorous evidence that HIE positively affects these anticipated benefits. However, early studies of HIE were methodologically limited. The purpose of the current study is to review the recent literature on the impact of HIE. Methods We used the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to conduct our systematic review. PubMed and Scopus databases were used to identify empirical articles that evaluated HIE in the context of a health care outcome. Results Our search strategy identified 24 articles that included 63 individual analyses. The majority of the studies were from the United States representing 9 states; and about 40% of the included analyses occurred in a handful of HIEs from the state of New York. Seven of the 24 studies used designs suitable for causal inference and all reported some beneficial effect from HIE; none reported adverse effects. Conclusions The current systematic review found that studies with more rigorous designs all reported benefits from HIE. Such benefits include fewer duplicated procedures, reduced imaging, lower costs, and improved patient safety. We also found that studies evaluating community HIEs were more likely to find benefits than studies that evaluated enterprise HIEs or vendor-mediated exchanges. Overall, these finding bode well for the HIEs ability to deliver on anticipated improvements in care delivery and reduction in costs.

Physician communication via Internet-enabled technology: A systematic review

2017 ◽  
Vol 25 (3) ◽  
pp. 919-934 ◽  
Author(s):  
Neil G Barr ◽  
Glen E Randall ◽  
Norman P Archer ◽  
David M Musson
Keyword(s):  
Systematic Review ◽  
Information Exchange ◽  
Clinical Decision Making ◽  
Care Delivery ◽  
Clinical Decision ◽  
Computing Machinery ◽  
Information And Communication ◽  
Use Of Internet ◽  
The Impact ◽  
Improve Health Care Delivery

The use of Internet-enabled technology (information and communication technology such as smartphone applications) may enrich information exchange among providers and, consequently, improve health care delivery. The purpose of this systematic review was to gain a greater understanding of the role that Internet-enabled technology plays in enhancing communication among physicians. Studies were identified through a search in three electronic platforms: the Association for Computing Machinery Digital Library, ProQuest, and Web of Science. The search identified 5140 articles; of these, 21 met all inclusion criteria. In general, physicians were satisfied with Internet-enabled technology, but consensus was lacking regarding whether Internet-enabled technology improved efficiency or made a difference to clinical decision-making. Internet-enabled technology can play an important role in enhancing communication among physicians, but the extent of that benefit is influenced by (1) the impact of Internet-enabled technology on existing work practices, (2) the availability of adequate resources, and (3) the nature of institutional elements, such as privacy legislation.

scholarly journals Impact of the COVID-19 pandemic on end of life care delivery in care homes: A mixed method systematic review

2021 ◽  
pp. 026921632110298
Author(s):  
Adam Spacey ◽  
Sam Porter ◽  
Michele Board ◽  
Janet Scammell
Keyword(s):  
Systematic Review ◽  
End Of Life ◽  
End Of Life Care ◽  
Service Providers ◽  
Care Delivery ◽  
Care Homes ◽  
Current Evidence ◽  
Future Research ◽  
Life Care ◽  
The Impact

Background: Current evidence suggests that COVID-19 is having a negative impact on the delivery of end of life care in care homes around the world. There is a need to collate current evidence to provide a comprehensive overview to assess extent of the problem. Aim: To describe and evaluate the impact of the COVID-19 pandemic on end of life care delivery in care homes. Design: Systematic review and narrative synthesis of studies reporting qualitative and quantitative data. Data sources: The databases MEDLINE, psycINFO, SCOPUS and CINAHL were searched between December 2019 and March 2021. Results: Nine studies were included. For care home staff, challenges included significant increases in responsibility and exposure to death, both of which have taken an emotional toll. Results indicate that staff tended not to be offered adequate emotional support or afforded the time to grieve. For those receiving end of life care, results indicate that the end of life care that they tended to receive, especially in the form of advance planning, was disrupted by the pandemic. Conclusion: The effect of the pandemic has been to exacerbate existing problems in the provision of end of life care in care homes for both service providers and users, making that which was previously opaque starkly visible. Future research is needed to explore the effects of the pandemic and its management on those receiving end of life care in care homes and their significant others.

Policy Options and the Impact of National Health Insurance Revisited

1977 ◽  
Vol 7 (3) ◽  
pp. 503-509 ◽  
Author(s):  
Joseph P. Newhouse ◽  
Charles E. Phelps ◽  
William B. Schwartz
Keyword(s):  
Medical Care ◽  
Delivery System ◽  
Gross National Product ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Hospital Utilization ◽  
Insurance Program ◽  
Short Run ◽  
Basic Concepts ◽  
The Impact

In his discussion, Jonas demonstrates a misunderstanding of the basic concepts of our paper. We nowhere implied that if medical care is free to the user, the health care delivery system would be “wrecked”; rather, we said that ambulatory utilization would, in the short run, be rationed on a basis other than price, whereas hospital utilization would be relatively little affected by a new insurance program. Over a period of time, the delivery system (if free to respond) would adjust to the increased demands, with an eventual level of expenditure on medical care of some 11 percent of gross national product (if technology does not change). Evidence from Canada is consistent with our analysis.

scholarly journals A systematic review of ePCR systems on reducing the response time of prehospital medical care

F1000Research ◽  
2021 ◽  
Vol 10 ◽  
pp. 1209
Author(s):  
ALI JASBI ◽  
Saravanan Muthaiyah ◽  
Thein Oak Kyaw Zaw
Keyword(s):  
Systematic Review ◽  
Response Time ◽  
Medical Care ◽  
Prehospital Care ◽  
Considerable Proportion ◽  
Healthcare Organisation ◽  
Care Services ◽  
Prehospital Medical Care ◽  
Actual Response ◽  
The Impact

Background Poor communication at the time of patient handover is recognized as a root cause of a considerable proportion of preventable deaths. Despite several advantages, the Patient Care Report (PCR) implementation may include insufficient details for demonstrating the functional status of the patients during the actual response which can further prolong the response time. Healthcare entities have been emphasizing the need to implement e-PCR systems. This systematic review aimed to examine the impact of e-PCR systems on reducing response time of prehospital care. Methods Literature search was carried out using the relevant search terms and keywords with inclusion and exclusion criteria. N=6 researchers that focused on the impact of e-PCR systems on reducing response time of prehospital medical care were included within this review. Results The findings indicated that ePCR implementation led to prominent improvements in the quality of the care services provided by the healthcare organisation. Additionally, ePCR reduces the response rate by data standardization. Conclusion The implementation of e-PCR systems ensures the availability of records and automates reporting on given quality metrics. Moreover, the implementation of e-PCR systems also improved response time and increased the out of hospital rates of survival. However, fear of increasing the ambulance run time, compromise on the availability of ambulance, and challenges in integration with the existing information systems implemented within the hospitals, were some of the most common challenging situations associated with implementing e-PCR systems.

scholarly journals THE IMPACT OF WORKING CONDITIONS ON STRESS AND ITS EFFECTS IN THE GROUP OF PARAMEDICS: A SYSTEMATIC REVIEW

2021 ◽  
Vol 9 (4) ◽  
pp. 188-193
Author(s):  
Katarzyna Wojtysiak ◽  
Adriana Wielgus ◽  
Halina Zielińska-Więczkowska
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Medical Care ◽  
Working Conditions ◽  
Stress Coping ◽  
Emergency Medical Care ◽  
Medical Care System ◽  
Emergency Medical ◽  
The Impact ◽  
Care System

Purpose: This is a review to assess the working conditions that affect the stress level of paramedics and their ability to cope with stress. The profession of a paramedic is characterized by constant contact with other people and exposure to many factors, including biological (HIV, flu virus), chemical (causing allergic reactions, burns) physical (noise, low or excessive temperature), psychosocial (aggression, violence, traumatic experiences). Methodology: This is a Systematic review paper. The PubMed, Cochrane Library, and Google scholar search were used to analyze the problem. The following keywords were used to search for information sources: paramedic, working conditions, medical rescue, ambulance, stress, coping with stress. Articles were selected according to the impact of working conditions on stress and its consequences among the group of paramedics. Main Findings: The work of a rescuer is a constant action under the influence of a high level of stress and emotions, caused by an unforeseen sequence of events and time pressure. The long-term presence of negative factors is the cause of the appearance of burnout syndrome, rumination, PTSD, and somatic symptoms related to stress in the workplace. It can result in a deterioration of the quality of patient care. Implications of this study: The above results should be taken into account by units of the emergency medical care system. The paper indicates the occurrence of negative psychological effects of work-related stress and as a consequence the need to train the personnel in the field of stress-coping techniques and to provide emergency medical service workers with mental health monitoring and psychological care in the workplace. Novelty in this study: There is a lack of systematic reviews of the impact of working conditions on the mental health of workers in emergency medical care services. The paper is an attempt to assess the impact of working conditions on stress and its effects on the group of paramedics and other emergencies medical care system employees.

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