Medicine and Health Care as a Data Problem: Will Computers Become Better Medical Doctors?

Author(s):  
Michael Duerr-Specht ◽  
Randy Goebel ◽  
Andreas Holzinger

Privatization oriented government health care policies have stimulated robust growth of private health care sector in India, without putting in place regulatory architecture that safeguards patients’ rights. The lack of adequate regulatory framework to govern them has put patients to undue disadvantage. This paper, based on primary investigation, analyses the ‘politics of evidence’ that patients are confronted with and are forced to navigate, in redressing ethical and patient rights violations against private medical establishments. The analysis of cases indicates that in the current medico-legal ecosystem is non-conducive to patients and impedes obtaining legally admissible evidence against medical professionals. The prevailing redressal avenues are significantly hostile to patients and unduly favour the private medical establishments who enjoy support and impunity from prosecution under the implicit state patronage. The paper makes a compelling case for a comprehensive regulatory architecture that simultaneously regulates the private medical establishments and safeguards the rights of patients.


2017 ◽  
Vol 22 ◽  
Author(s):  
Chester Marufu ◽  
Kefiloe A. Maboe

Background: Mobile Health is the utilisation of mobile devices like cellphones and tablets for the delivery of health care. It is an up and coming intervention promising to benefit health services. Recent mobile health studies have tended to focus on mHealth for data collection and surveillance rather than on actual patient care. This paper highlights the potential and the challenges of mHealth use in the delivery of health care services.Objectives: This paper focused on determining the use of mHealth and identifying and describing the opportunities and the challenges faced by the medical doctors in using mHealth at a specific health care facility in Zimbabwe.Methods: A quantitative, descriptive, cross-sectional and analytical design was used to determine the rate of utilisation of selected mHealth “patient identification and treatment activities” by medical doctors. A structured questionnaire was used for data collection form 104 respondents. The number of the returned complete and usable questionnaires was 42. No sampling technique was done because the whole population was of interest to the researcher, accessible and available during data collection.Results: Fifty percent (50%) of the respondents indicated, lack of knowledge and unawareness in using mHealth to support chronically ill patients. The majority of the respondents (83.3%) believed that mHealth presented opportunities to improve health care delivery. The majority of the respondents (95%) indicated the potential for its future use.Conclusion: Given the challenges that were encountered mHealth program to be officially launched for mHealth use and the users to be developed on its utilisation.


2021 ◽  
Author(s):  
Kathrin Zuercher ◽  
Catrina Mugglin ◽  
Matthias Egger ◽  
Sandro Mueller ◽  
Michael Fluri ◽  
...  

Aims of the study: Vaccination is regarded as the most promising response to the COVID-19 pandemic. We assessed opinions towards COVID-19 vaccination, willingness to be vaccinated, and reasons for vaccination hesitancy among health care workers (HCWs). Methods: We conducted a cross-sectional, web-based survey among 3,793 HCWs in December 2020 in the Canton of Solothurn, Switzerland, before the start of the national COVID-19 vaccination campaign. Results: Median age was 43 years (interquartile range [IQR] 31-53), 2,841 were female (74.9%). 1,511 HCWs (39.8%) reported willingness to accept vaccination, while 1,114 (29.4%) were unsure, and 1,168 (30.8%) would decline vaccination. Among medical doctors, 76.1% were willing, while only 27.8% of nurses expressed willingness. Among 1,168 HCWs who would decline vaccination, 1,073 (91.9%) expressed concerns about vaccine safety and side effects. The willingness of HCWs to be vaccinated was associated with older age (adjusted odds ratio [aOR] 1.97, 95%Cl 1.71-2.27) and having been vaccinated for influenza this year (aOR 2.70, 95%Cl 2.20-3.31). HCWs who reported a lack of confidence in government were less likely to be willing to be vaccinated (aOR 0.58, 95%Cl 0.40-0.84), and women were less willing to be vaccinated than men (OR 0.33 (0.28-0.38). Conclusion: Less than half of HCWs reported willingness to be vaccinated before the campaign start, but proportions varied greatly depending on the profession and workplace. Strategies with clear and objective messages that particularly address the concerns of HCWs are needed if their willingness to be vaccinated is to be increased.


2020 ◽  
pp. 606-619

The COVID-19 pandemic verifies the preparation of medical care in individual countries in terms of the fluent of guaranteed medical services provided to the people in need. Due to the easy spread of SARS-CoV-2 virus when in direct contact with the patients, health care workers are at an increased risk of infection. Nurses and auxiliary staff, as well as medical doctors, were most frequently infected. The prevalence of infection depends on the adopted reporting method, including the diagnostic test used to recognize the infection, the nature of the work performed, but also on the gender, knowledge, and individual behavior of employees while performing their professional duties. It ranges from 5-30% depending on the country and the occupational group, and the highest rates were recorded in the initial phase of the pandemic. A review of the literature shows the lack of a uniform, transparent system of reporting infections in health care workers, which makes a reliable assessment of the epidemiological situation in this area difficult.


2021 ◽  
Author(s):  
Samim Ahmed Al-Dabbagh ◽  
Hushyar Musa Sulaiman ◽  
Nazik Abdulrahman Abdulkarim

Abstract Background: A shortage in human resources, particularly physicians, has become a challenge confronting health authorities in the Duhok governorate, as these resources are the key input for delivering health care. It has become necessary to identify the most appropriate scientifically sound method for having adequate staffing levels. This study aimed to forecast the required number of physicians to cope with the current workload at the main primary health care centers in the Duhok governorate.Methods: A cross-sectional study was adopted to collect data for one full year. Data collection included both primary and secondary data sources. A semi-structured questionnaire was developed to obtain information every month from health centers on activities related to training and leaves. Data analysis was performed using Workload Indicators of Staffing Need software.Results: Sixty-one primary health care centers met the final criteria for analysis. The study revealed physician shortages and inequity in the distribution of staffing. In these centers, 145 physicians lacked an adequate delivery of health services based on the workload imposed on them. The 'workload indicators of staffing need' ratio was 0.33, indicating high work pressure on medical doctors. Some centers offered more health care than others but had fewer doctors based on the current staffing practices. Conclusions: This study pointed out the importance for the public health sector and academic medical institutions to use Workload Indicators of Staffing Needs software in health policy administration to restructure their efforts to address the physician shortages and distribution imbalances at primary health care facilities.


Author(s):  
Mainul Haque

Therefore, the answer remains in improving clinical pharmacology teaching and learning in undergraduate curriculum [40, 41]with necessary assessment program regarding prescribing skill [40]need to incorporate with the hope situation will improve to provide better health care for common people of this planet. 


Author(s):  
Tiina Tiilikka

This paper provides answers to the question of how medical doctors and nurses at health centres narrate their experiences of outsourced health care services and make sense of their position in the new organization. The article contributes to the debate on the recent change in the marketization and transformation of health care organizations. The research material consists of seven group interviews with medical doctors and nurses. The method makes use of viewpoints from the narrative approach. The results of the analysis indicate that the workers interviewed are primarily rational professional actors. They do not actively take an emotional position. The short contracts between public or private actors mean that work processes in the outsourced health care organizations are intermittent. It may be necessary for the workers to adopt a strong professional identity without strong mental ties to the employer.


Author(s):  
Nada Zouag ◽  
Ahmed Driouchi

This chapter looks at the current situation of health deficits and shortages in Morocco with a focus on the role of medical education. The trends and prospects in health care, medical staffing, and medical education are analyzed. The attained results from both trend description and simulations of patterns show major shortages relative to the needs. The existence of these trends appeals for further cooperation in the areas of health care through emphasis on medical education and research. These outcomes appear to be promising for the pursuit of satisfying the needs of a growing population and demand for healthcare. Further cooperation can lead to the acceleration of a mutual win-win collaborative process between Northern and Southern economies with no room for brain drain in the case of medical doctors. This chapter introduces the health system of Morocco to the reader and helps in better perceiving the survey conducted with medical doctors in Morocco and that is analyzed in the following chapter.


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