scholarly journals Do private hospitals outperform public hospitals regarding efficiency, accessibility, and quality of care in the European Union? A literature review

2018 ◽  
Vol 33 (2) ◽  
pp. e434-e453 ◽  
Author(s):  
Florien M. Kruse ◽  
Niek W. Stadhouders ◽  
Eddy M. Adang ◽  
Stef Groenewoud ◽  
Patrick P.T. Jeurissen
Keyword(s):  
European Union ◽  
Quality Of Care ◽  
Literature Review ◽  
Public Hospitals ◽  
The European Union ◽  
Private Hospitals

scholarly journals Current status of quality of care for public hospitals in Korea : Comprehensive comparison with private hospitals

2021 ◽  
Vol 5 (1) ◽  
pp. e10
Author(s):  
Hey Jin Ko ◽  
Eunji Yun ◽  
Boryung Ahn ◽  
Won Mo Jang ◽  
Jin Yong Lee
Keyword(s):  
Quality Of Care ◽  
Quality Evaluation ◽  
Public Hospitals ◽  
Quality Level ◽  
Incentive Scheme ◽  
Hospital Services ◽  
Average Quality ◽  
Private Hospitals ◽  
Comprehensive Comparison

Objective: This ecological study aims to perform a comprehensive comparison and evaluation of the quality of care in public and private hospitals according to hospital type.Methods: Thisstudy compared and analyzed the results of the National Quality Assessment Program (NQAP) of Health Insurance Review and Assessment Service (HIRA) and Incentive Scheme for Quality Evaluation of Hospital Services. The NQAP results published on the HIRA website, as of the end of May 2021, and the internal data of HIRA for the 2020 Incentive Scheme for Quality Evaluation of Hospital Services were used as data collection sources.Results: The NQAP analysisrevealed that the overall average scores were higher for public rather than private hospitals, while the Incentive Scheme for Quality Evaluation of Hospital Services analysis reported that the proportion of higher grades (i.e., grades 1 and 2) was higher in public hospitals. Therefore, it was revealed that public hospital quality levels were notlowerthan that of private hospitals.However, itis necessary to improve the quality levelsin terms ofthe quality distribution.Conclusions: The quality levels of public hospitals are notlowerthan that of private hospitals. However,the high average quality level, we identified certain areas that required improvement in their quality level throughout the distribution. Currently, public hospitals that are particularly located in the lower ranks should strive to achieve the average quality level demonstrated by same level private hospitals, thereby, achieving progressive quality levels and minimizing the between institutions. Thus, furtherresearch should focus on identifying the trends of differencesin quality levels, and they should determine the causes by controlling for the characteristics of medical institutions.

scholarly journals Effective coverage and budget implications of skill-mix change to improve neonatal nursing care: an explorative simulation study in Kenya

2019 ◽  
Vol 4 (6) ◽  
pp. e001817 ◽  
Author(s):  
Apostolos Tsiachristas ◽  
David Gathara ◽  
Jalemba Aluvaala ◽  
Timothy Chege ◽  
Edwine Barasa ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Neonatal Mortality ◽  
Nursing Care ◽  
Public Hospitals ◽  
Sensitivity Analyses ◽  
Full Time ◽  
Skill Mix ◽  
Neonatal Nursing ◽  
Low Middle Income Countries

IntroductionNeonatal mortality is an urgent policy priority to improve global population health and reduce health inequality. As health systems in Kenya and elsewhere seek to tackle increased neonatal mortality by improving the quality of care, one option is to train and employ neonatal healthcare assistants (NHCAs) to support professional nurses by taking up low-skill tasks.MethodsMonte-Carlo simulation was performed to estimate the potential impact of introducing NHCAs in neonatal nursing care in four public hospitals in Nairobi on effectively treated newborns and staff costs over a period of 10 years. The simulation was informed by data from 3 workshops with >10 stakeholders each, hospital records and scientific literature. Two univariate sensitivity analyses were performed to further address uncertainty.ResultsStakeholders perceived that 49% of a nurse full-time equivalent could be safely delegated to NHCAs in standard care, 31% in intermediate care and 20% in intensive care. A skill-mix with nurses and NHCAs would require ~2.6 billionKenyan Shillings (KES) (US$26 million) to provide quality care to 58% of all newborns in need (ie, current level of coverage in Nairobi) over a period of 10 years. This skill-mix configuration would require ~6 billion KES (US$61 million) to provide quality of care to almost all newborns in need over 10 years.ConclusionChanging skill-mix in hospital care by introducing NHCAs may be an affordable way to reduce neonatal mortality in low/middle-income countries. This option should be considered in ongoing policy discussions and supported by further evidence.

scholarly journals Overview of Facebook Use by Hospitals in Italy: A Nationwide Survey during the COVID-19 Emergency

2021 ◽  
Vol 18 (14) ◽  
pp. 7225
Author(s):  
Beniamino Schiavone ◽  
Andrea Vitale ◽  
Mena Gallo ◽  
Gianlucasalvatore Russo ◽  
Domenico Ponticelli ◽  
...  
Keyword(s):  
Health Information ◽  
Nationwide Survey ◽  
Public Hospitals ◽  
Communication Strategy ◽  
Private Hospitals ◽  
The Public ◽  
Access To Health ◽  
Facebook Pages ◽  
Pandemic Wave

Background: Facebook is the most popular social network across the world and also allows users access to health information. Our study presents an overview of the official Facebook profiles of hospitals in Italy (n = 1351) and how much they are used. Methods: All hospitals were surveyed on the number of Facebook posts in May (post-lockdown) and October (second pandemic wave) 2020. The number of followers, the creation date of the official page, and the frequency of publication—that is, the average number of days between two subsequent posts—were determined. Results: In Italy, only 28% (n = 379) of the hospitals had official Facebook pages, of which 20.6% (n = 78) were public hospitals, and 79.4% (n = 301) were private hospitals. Of the hospitals with Facebook pages, 49.1% used them every week, and public hospitals published more often. Conclusions: Despite the differences between regions and types of management, the number of hospitals in Italy that use Facebook as a tool for the public dissemination of health information is still low. Hospitals should adopt an effective communication strategy using social networks to improve the quality of health care.

scholarly journals Competitiveness Determinants of Moroccan Exports: Quantity-Based Analysis

2016 ◽  
Vol 8 (7) ◽  
pp. 140 ◽  
Author(s):  
Bilal Lotfi ◽  
Mohamed Karim
Keyword(s):  
European Union ◽  
Literature Review ◽  
Econometric Analysis ◽  
External Factors ◽  
The European Union ◽  
Export Competitiveness ◽  
Main Determinants ◽  
Internal And External Factors ◽  
The Impact ◽  
Relative Concept

<p>The term competitiveness is a relative concept whose perception changes with the level of conducted analysis (nation, sector, company). Thus, a variety of internal and external factors can have deep effects on the competitiveness of a given entity. This paper aims to evaluate the competitiveness of Moroccan exports by identifying the main determinants that explain their performance. This is particularly dealing with the impact of customs’ tariff, the tariff of import, foreign demand, the share of the non-residents in the capital of domestic enterprises and the investment rate compared to the value of exporters.</p><p>Moreover, this paper presents a literature review on competitiveness and examines the main results of our econometric analysis regarding the determinants of export competitiveness applied to the top ten branches most exporters in Morocco. The gained results allow confirming the sensitivity of exports by branch to the situation of Morocco’s main trading partner namely the European Union while emphasizing, quantitatively, on the role played by the investment effort undertaken by Moroccan exporting companies in improving the competitiveness of national exports.</p>

Content of antenatal care and perception about services provided by primary hospitals in Nepal: a convergent mixed methods study

2021 ◽  
Vol 33 (2) ◽  
Author(s):  
Yubraj Acharya ◽  
Nigel James ◽  
Rita Thapa ◽  
Saman Naz ◽  
Rishav Shrestha ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Mixed Methods ◽  
Antenatal Care ◽  
Quality Care ◽  
National Level ◽  
Poor Quality ◽  
Public Hospitals ◽  
World Health ◽  
Outcome Variable

Abstract Background Nepal has made significant strides in maternal and neonatal mortality over the last three decades. However, poor quality of care can threaten the gains, as maternal and newborn services are particularly sensitive to quality of care. Our study aimed to understand current gaps in the process and the outcome dimensions of the quality of antenatal care (ANC), particularly at the sub-national level. We assessed these dimensions of the quality of ANC in 17 primary, public hospitals across Nepal. We also assessed the variation in the ANC process across the patients’ socio-economic gradient. Methods We used a convergent mixed methods approach, whereby we triangulated qualitative and quantitative data. In the quantitative component, we observed interactions between providers (17 hospitals from all 7 provinces) and 198 women seeking ANC and recorded the tasks the providers performed, using the Service Provision Assessments protocol available from the Demographic and Health Survey program. The main outcome variable was the number of tasks performed by the provider during an ANC consultation. The tasks ranged from identifying potential signs of danger to providing counseling. We analyzed the resulting data descriptively and assessed the relationship between the number of tasks performed and users’ characteristics. In the qualitative component, we synthesized users’ and providers’ narratives on perceptions of the overall quality of care obtained through focus group discussions and in-depth interviews. Results Out of the 59 tasks recommended by the World Health Organization, providers performed only 22 tasks (37.3%) on average. The number of tasks performed varied significantly across provinces, with users in province 3 receiving significantly higher quality care than those in other provinces. Educated women were treated better than those with no education. Users and providers agreed that the overall quality of care was inadequate, although providers mentioned that the current quality was the best they could provide given the constraints they faced. Conclusion The quality of ANC in Nepal’s primary hospitals is poor and inequitable across education and geographic gradients. While current efforts, such as the provision of 24/7 birthing centers, can mitigate gaps in service availability, additional equipment, infrastructure and human resources will be needed to improve quality. Providers also need additional training focused on treating patients from different backgrounds equally. Our study also points to the need for additional research, both to document the quality of care more objectively and to establish key determinants of quality to inform policy.

The use of computers among the workers in the European Union and its impact on the quality of work

2002 ◽  
Vol 21 (6) ◽  
pp. 441-447 ◽  
Author(s):  
Frank Andries ◽  
Peter G. W. Smulders ◽  
Steven Dhondt
Keyword(s):  
European Union ◽  
The European Union ◽  
Quality Of Work

Ophthalmologist Attitudes regarding Fixed Combination Treatment for Glaucoma in the European Union

2009 ◽  
Vol 19 (4) ◽  
pp. 588-593 ◽  
Author(s):  
William C. Stewart ◽  
Bonnie Kruft ◽  
Lindsay A. Nelson ◽  
Jeanette A. Stewart
Keyword(s):  
Quality Of Life ◽  
European Union ◽  
Intraocular Pressure ◽  
Electronic Mail ◽  
Fixed Combination ◽  
The European Union ◽  
Perceived Safety ◽  
Popular Method ◽  
First Choice

Purpose To survey ophthalmologists in the European Union to determine their fixed combination (FC) preferences. Methods A multiple-choice survey was sent to randomly chosen ophthalmologists throughout the European Union and bordering countries by electronic mail delivery. Ophthalmologists were resent the survey on two more occasions if no response was obtained. Results In total, 50 surveys were received from 530 distributed (9.4% response) from 16 countries. More ophthalmologists prescribed an FC as second (80%) or third choice (64%) therapy than first choice (30%, p=0.0036). As first (p<0.0001) and third choice (p=0.011), the dorzolamide/timolol FC was most commonly prescribed, while as second choice the latanoprost/timolol FC (p<0.0001) was most popular. Overall, 98% (49/50) of doctors believed FC therapy improved patient care most often by better compliance (n=49) and quality of life (n=48, p<0.0001). Most ophthalmologists believed that there was a difference in efficacy between the FC products (32/50, 64%) with the most effective being the bimatoprost/timolol FC (n=12, 24%, p=0.029). However, fewer ophthalmologists perceived safety differences between the products (34/50, 68%). For prostaglandins, dosing time was suggested in the morning by 18 (36%) ophthalmologists and in the evening by 24 (48%) (p=0.35). Conclusions FCs in the European Union are a potentially popular method to reduce intraocular pressure, being prescribed most commonly as second or third choice therapy. The perceived advantages to FC therapy are greater compliance to the medicine and improved patient quality of life.

scholarly journals Mobile therapeutic attention for treatment-resistant schizophrenia (m-RESIST): a prospective multicentre feasibility study protocol in patients and their caregivers

BMJ Open ◽  
2018 ◽  
Vol 8 (7) ◽  
pp. e021346 ◽  
Author(s):  
Anna Alonso-Solís ◽  
Katya Rubinstein ◽  
Iluminada Corripio ◽  
Erika Jaaskelainen ◽  
Annika Seppälä ◽  
...  
Keyword(s):  
Quality Of Life ◽  
European Union ◽  
Feasibility Study ◽  
Study Protocol ◽  
Preliminary Data ◽  
Perceived Quality ◽  
The European Union ◽  
Treatment Resistant ◽  
Perceived Quality Of Life

IntroductionTreatment-resistant schizophrenia (TRS) is a severe form of schizophrenia. In the European Union, approximately 40% of people with schizophrenia have TRS. Factors such as the persistence of positive symptoms or higher risk of comorbidities leave clinicians with a complex scenario when treating these patients. Intervention strategies based on mHealth have demonstrated their ability to support and promote self-management-based strategies. Mobile therapeutic attention for treatment-resistant schizophrenia(m-RESIST), an innovative mHealth solution based on novel technology and offering high modular and flexible functioning, has been developed specifically for patients with TRS and their caregivers. As intervention in TRS is a challenge, it is necessary to perform a feasibility study before the cost-effectiveness testing stage.Methods and analysisThis manuscript describes the protocol for a prospective multicentre feasibility study in 45 patients with TRS and their caregivers who will be attended in the public health system of three localities: Hospital Santa Creu Sant Pau (Spain), Semmelweis University (Hungary) and Gertner Institute & Sheba Medical Center (Israel). The primary aim is to investigate the feasibility and acceptability of the m-RESIST solution, configured by three mHealth tools: an app, wearable and a web-based platform. The solution collects data about acceptability, usability and satisfaction, together with preliminary data on perceived quality of life, symptoms and economic variables. The secondary aim is to collect preliminary data on perceived quality of life, symptoms and economic variables.Ethics and disseminationThis study protocol, funded by the Horizon 2020 Programme of the European Union, has the approval of the ethics committees of the participating institutions. Participants will be fully informed of the purpose and procedures of the study, and signed inform consents will be obtained. The results will be published in peer-reviewed journals and presented in scientific conferences to ensure widespread dissemination.Trial registration numberNCT03064776; Pre-results.

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