Assessing Ehealth Readiness Within the Libyan National Health Service by Carrying Out Research Case Studies of Hospitals and Clinics in Both Urban and Rural Areas of Libya

2017 ◽  
pp. 33-48
Author(s):  
Mansour Ahwidy ◽  
Lyn Pemberton
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Case Studies ◽  
National Health ◽  
Rural Areas ◽  
Urban And Rural Areas

scholarly journals Effect of Critical Illness Insurance on Household Catastrophic Health Expenditure: The Latest Evidence from the National Health Service Survey in China

2019 ◽  
Vol 16 (24) ◽  
pp. 5086 ◽  
Author(s):  
Anqi Li ◽  
Yeliang Shi ◽  
Xue Yang ◽  
Zhonghua Wang
Keyword(s):  
National Health Service ◽  
Critical Illness ◽  
Health Service ◽  
National Health ◽  
Rural Areas ◽  
Health Expenditure ◽  
Household Head ◽  
Catastrophic Health Expenditure ◽  
Jiangsu Province ◽  
Related Factors

Background: China fully implemented the critical illness insurance (CII) program in 2016 to alleviate the economic burden of diseases and reduce catastrophic health expenditure (CHE). With an aging society, it is necessary to analyze the extent of CHE among Chinese households and explore the effect of CII and other associated factors on CHE. Methods: Data were derived from the Sixth National Health Service Survey (NHSS, 2018) in Jiangsu Province. The incidence and intensity of CHE were calculated with a sample of 3660 households in urban and rural areas in Jiangsu Province, China. Logistic regression and multiple linear regression models were used for estimating the effect of CII and related factors on CHE. Results: The proportion of households with no one insured by CII was 50.08% (1833). At each given threshold, from 20% to 60%, the incidence and intensity were higher in rural households than in urban ones. CII implementation reduced the incidence of CHE but increased the intensity of CHE. Meanwhile, the number of household members insured by CII did not affect CHE incidence but significantly decreased CHE intensity. Socioeconomic factors, such as marital status, education, employment, registered type of household head, household income and size, chronic disease status, and health service utilization, significantly affected household CHE. Conclusions: Policy effort should further focus on appropriate adjustments, such as dynamization of CII lists, medical cost control, increasing the CII coverage rate, and improving the reimbursement level to achieve the ultimate aim of using CII to protect Chinese households against financial risk caused by illness.

scholarly journals Assessing the impact of England's National Health Service R&D Health Technology Assessment program using the “payback” approach

2009 ◽  
Vol 25 (01) ◽  
pp. 1-5 ◽  
Author(s):  
James Raftery ◽  
Stephen Hanney ◽  
Colin Green ◽  
Martin Buxton
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Health Technology Assessment ◽  
Case Studies ◽  
National Health ◽  
Technology Assessment ◽  
Clinical Excellence ◽  
Health Technology ◽  
The Mean ◽  
The Impact

Objectives:This study assesses the impact of the English National Health Service (NHS) Health Technology Assessment (HTA) program using the “payback” framework.Methods:A survey of lead investigators of all research projects funded by the HTA program 1993–2003 supplemented by more detailed case studies of sixteen projects.Results:Of 204 eligible projects, replies were received from 133 or 65 percent. The mean number of peer-reviewed publications per project was 2.9. Seventy-three percent of projects claimed to have had had an impact on policy and 42 percent on behavior. Technology Assessment Reports for the National Institute for Health and Clinical Excellence (NICE) had fewer than average publications but greater impact on policy. Half of all projects went on to secure further funding. The case studies confirmed the survey findings and indicated factors associated with impact.Conclusions:The HTA program performed relatively well in terms of “payback.” Facilitating factors included the program's emphasis on topics that matter to the NHS, rigorous methods and the existence of “policy customers” such as NICE.

Impact of patients' socioeconomic status on the distance travelled for hospital admission in the English National Health Service

2007 ◽  
Vol 12 (3) ◽  
pp. 153-159 ◽  
Author(s):  
Carol Propper ◽  
Michael Damiani ◽  
George Leckie ◽  
Jennifer Dixon
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Hospital Admission ◽  
National Health ◽  
Rural Areas ◽  
Economic Status ◽  
Geographical Location ◽  
Patient Choice ◽  
Ward Level ◽  
The Impact

Objectives: To compare the distances travelled for inpatient treatment in England between electoral wards prior to the introduction of a policy to extend patient choice and to consider the impact of patients' socio-economic status. Methods: Using Hospital Episode Statistics for 2003–04, the distance from a patient's residence to a National Health Service hospital was calculated for each admission. Distances were summed to electoral ward level to give the distribution of distances travelled at ward level. These were analysed to show the distance travelled for different admission types, ages of patient, rural/urban location, and the socioeconomic deprivation of the population of the ward. Results: There is considerable variation in the distances travelled for hospital admission between electoral wards. Some of this is explained by geographical location: individuals living in more rural areas travel further for elective (median 27.2 versus 15.0 km), emergency (25.3 versus 13.9 km) and maternity (25.0 versus 13.9 km) admissions. But individuals located in highly deprived wards travel less far, and this shorter distance is not explained simply by the closer location of hospitals to these wards. Conclusions: Before the introduction of more patient choice, there were considerable differences between individuals in the distances they travelled for hospital care. An increase in patient choice may disproportionately benefit people from less deprived areas.

The beauty of boosting collaboration with paired learning programmes

2018 ◽  
Vol 32 (4) ◽  
pp. 28-30
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Case Studies ◽  
National Health ◽  
Design Methodology ◽  
Reading Time ◽  
Content Type ◽  
Collaborative Action ◽  
Pertinent Information ◽  
Practical Implications

Purpose This paper aims to review the latest management developments across the globe and pinpoint practical implications from cutting-edge research and case studies. Design/methodology/approach This briefing is prepared by an independent writer who adds their own impartial comments and places the articles in context. Findings This research paper concentrates on how paired learning programmes (PLPs) involving clinicians and managers in the National Health Service (NHS) can dissolve barriers to collaborative action. PLP helped managers and clinicians form shared goals, communicate more effectively, and empathize with each other’s position in the organization. Practical implications The paper provides strategic insights and practical thinking that have influenced some of the world’s leading organizations. Originality/value The briefing saves busy executives and researchers hours of reading time by selecting only the very best, most pertinent information and presenting it in a condensed and easy-to-digest format.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

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