Rethinking health care systems: Private health care provision in India

1998 ◽  
Vol 26 (8) ◽  
pp. 1463-1479 ◽  
Author(s):  
Peter A. Berman
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Health Care Provision ◽  
Care Provision ◽  
Private Health Care ◽  
Care Systems

scholarly journals The Challenges of the Health Care Providers in Refugee Settings: A Systematic Review

2019 ◽  
Vol 34 (02) ◽  
pp. 188-196 ◽  
Author(s):  
Nurtaç Kavukcu ◽  
Kerim Hakan Altıntaş
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Systems ◽  
Refugee Health ◽  
Cultural Barriers ◽  
Health Care Provision ◽  
Care Provision ◽  
Care Providers ◽  
Care Systems

Background:All over the world, migration is affecting millions of people who either choose or are forced to leave their countries of origin. Health is considered to be one of the important aspects of migration that is highly influenced by the circumstances created by mobility within or across countries. In the context of forced migration, it is well-established that refugees are susceptible to various diseases and other health conditions which might occur or deteriorate based on the health systems and health care provision in receiving countries. There is a considerable amount of research on the challenges encountered by refugees in receiving countries, in terms of health care systems and services. However, there seems to be little focus on the health care providers’ perspectives of the challenges in health care provision in refugee settings. This review aims to explore some of the articles discussing the challenging issues surrounding refugee health from a provider’s perspective.Methods:A systematic review was conducted through five main online databases: Medline (US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA); Science Direct (Elsevier; Amsterdam, Netherlands); Scopus (Elsevier; Amsterdam, Netherlands); Sage (Sage Publications; Thousand Oaks, California USA); and Google Scholar (Google Inc.; Mountain View, California USA), including only the articles published in English. In addition, grey literature resources available online were used.Results:Forty-eight articles were included in this review, mainly based on the amount of emphasis they placed on providers’ viewpoints in refugee health settings. Most of the articles were retrieved based on their availability in the databases which Hacettepe University (Ankara, Turkey) is subscribed to. Almost all of the articles mentioned the challenges caused by linguistic and cultural barriers, and some focused on providers’ limited knowledge and skills, as well as inefficient health care systems. There was little emphasis on ethical discussions, and the physical and emotional impact of caring for refugees on health care professionals. In the few articles discussing ethical and personal dimensions, issues concerning stress, burnout, and safety risks were found to be the recurring themes.Conclusions:Evidence gathered suggests that the challenges faced by health care providers involve a variety of factors that are specific to health care settings involving refugees, such as linguistic and cultural barriers, and a lack of proper support and training. It seems that the challenges that health care providers face in refugee settings could be further investigated both from professional and personal aspects for a better understanding of refugee health care.Kavukcu N, Altıntaş KH. The challenges of the health care providers in refugee settings: a systematic review. Prehosp Disaster Med. 2019;34(2):188–196

scholarly journals Direct Costs of Dengue Hospitalization in Brazil: Public and Private Health Care Systems and Use of WHO Guidelines

2014 ◽  
Vol 8 (9) ◽  
pp. e3104 ◽  
Author(s):  
Alessandra A. Vieira Machado ◽  
Anderson Oliveira Estevan ◽  
Antonio Sales ◽  
Kelly Cristina da Silva Brabes ◽  
Júlio Croda ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Direct Costs ◽  
Private Health Care ◽  
Who Guidelines ◽  
Public And Private ◽  
Care Systems

scholarly journals The Role of Private Health Care Financing in the Central and Eastern European Countries

Ekonomika ◽  
2008 ◽  
Vol 83 ◽  
Author(s):  
Marta Borda
Keyword(s):  
Health Care ◽  
Health Expenditure ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Care Financing ◽  
Economic Transformation ◽  
Eastern European ◽  
Private Health Care ◽  
Out Of Pocket Payments ◽  
Care Systems

The economic transformation process in the central and Eastern European (CEE) countries has included, among others, a thorough reform of the previous, centrally planned health care systems. Consequently, the contemporary health care systems functioning in these countries, despite common directions of changes, vary in the area of detailed aspects. The purpose of the paper is to provide an overview of private sources of the health care financing (including out-of-pocket payments and prepaid plans), which are considered to be an important component of each health care system. In the first part of the paper, the results of comparative analysis of total health expenditure incurred by the CEE countries between 2000 and 2004 are presented in order to indicate the main trends, problems and differences among the analysed states. Next, the main types of private health expenditure are described and their contribution to the health care financing is presented. Finally, voluntary health insurance offered in the Polish market, considered as an additional method of health care financing. is characterized.The obtained results allow to compare and evaluate the range of using private health care funds in the analysed countries during the last few years. Moreover, the results indicate a need for the further development of private methods of health care financing. which in practice can supplement or duplicate health care services delivered by the public sector.

scholarly journals Diagnostic Delay of Inflammatory Bowel Disease Is Significantly Higher in Public versus Private Health Care System in Mexican Patients

2021 ◽  
pp. 1-9
Author(s):  
Jesús K. Yamamoto-Furusho ◽  
Norma N. Parra-Holguín
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Associated Factors ◽  
Health Care Systems ◽  
Diagnostic Delay ◽  
Private Health Care ◽  
The Public ◽  
Care Systems ◽  
Inflammatory Bowel ◽  
Care System

<b><i>Introduction:</i></b> Inflammatory bowel disease (IBD) includes ulcerative colitis (UC) and Crohn’s disease (CD) characterized by a fluctuating course with periods of clinical activity and remission. No previous studies have demonstrated the frequency of delay at diagnosis and its associated factors in Mexico and Latin America. The aim of this study was to evaluate diagnostic delay of IBD in the last 4 decades in 2 different health care systems (public vs. private) and its associated factors. <b><i>Methods:</i></b> This is a cohort study that included 1,056 patients with a confirmed diagnosis of IBD from public and private health care systems. The diagnostic delay was defined as time &#x3e;1 year from the onset of symptoms to the confirmed diagnosis for patients with UC and 2 years for patients with CD. Statistical analysis was performed with the SPSS v.24 program. A value of <i>p</i> ≤ 0.05 was taken as significant. <b><i>Results:</i></b> The delay at diagnosis decreased significantly by 24.9% in the last 4 decades. The factors associated with the diagnostic delay were proctitis in UC, clinical course &#x3e;2 relapses per year and IBD surgeries for CD. We found a delay at diagnosis in 35.2% of IBD patients in the public versus 16.9% in the private health care system (<i>p</i> = 0.00001). <b><i>Conclusions:</i></b> We found a significant diagnosis delay of IBD in 35.2% from the public health care system versus 16.9% in the private health care system.

scholarly journals User-centred design as an important component of technological development

2017 ◽  
Vol 3 (1) ◽  
pp. 69-73
Author(s):  
Natalie Jankowski ◽  
Laura Schönijahn ◽  
Christina Salchow ◽  
Ekaterina Ivanova ◽  
Michael Wahl
Keyword(s):  
Health Care ◽  
New Technologies ◽  
Technological Development ◽  
Health Care Systems ◽  
Care Provision ◽  
Iterative Development ◽  
Care Systems ◽  
Development Processes ◽  
Funded Project

Abstract:New technologies can be implemented in clinical rehabilitation processes or to close the gap in health care provision by transferring them to the patients’ home. Successful use can only be achieved under the assumption that the technology is accepted by its users. The involvement of users in iterative development processes is to be shown to increase the quality of health care systems and to prevent refusal. In this review potentials of user acceptance and satisfaction surveys in the development of stroke rehabilitation systems are discussed. The surveys are conducted as a method for improving the ongoing design process of innovative technical systems developed in the BMBF funded project “BeMobil”.

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