OP105 Disinvestment Toolkit: Patients Involvement In Disinvestment Activities

2018 ◽  
Vol 34 (S1) ◽  
pp. 39-40
Author(s):  
Janney Wale ◽  
Ken Bond ◽  
Sally Wortley ◽  
Janet Martin ◽  
Brian Godman ◽  
...  
Keyword(s):  
Health Care ◽  
Population Level ◽  
Medical Interventions ◽  
The Public ◽  
The People ◽  
Healthcare Decision Making ◽  
Key Stakeholders ◽  
Patient Representatives ◽  
Potential Benefits ◽  
Important Means

Introduction:Patients are the people who, with their informed consent, receive medical interventions. It is important, therefore, that patients have an understanding of interventions and their potential as a treatment for their condition. Patients are becoming more informed about their health care and the treatments that are available to them. At a population level, the potential benefits and harms of treatments need to be regularly assessed. This is part of healthcare decision making at a policy level about what treatments are publically available. As technology develops and old methods are replaced by new and evidence-based interventions and procedures, healthcare payers look to streamline their payment schedules and disinvest in old technologies and procedures. Some users of health care are reluctant to let go of outmoded methods, so disinvestment is best achieved through transparent processes. Successful engagement with key stakeholders of health care, engaging with payers, health service administrators, clinicians and patients, can facilitate implementation of disinvestment processes.Methods:To assist in this process, Health Technology Assessment International (HTAi) Interest Groups and EuroScan have come together to develop the following key points to consider in the involvement and engagement of clinicians, patients, and the public in the disinvestment of services and technologies.Results:The best time to involve clinicians and patient representatives is right at the beginning of the process. Clinicians and patients can make valuable contributions as advisory committee members. The disinvestment processes may be led by clinicians, payers, or independent organizations. This will likely influence commitment of clinicians to the process.Conclusions:Broader consultation with clinicians, patients and the public in the development and consideration of draft reports and recommendations can increase the transparency of the disinvestment process. Consultation is an important means of obtaining buy in. Feedback needs to be seen as taken seriously, and explanations given for any changes made or not made to the report and its recommendations.

Pelaksanaan Jaminan Kesehatan Oleh BPJS Kesehatan Dalam Perspektif Syariah

Liquidity ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 110-118
Author(s):  
Iwan Subandi ◽  
Fathurrahman Djamil
Keyword(s):  
Health Care ◽  
Financial Institution ◽  
Social Supports ◽  
Religious Leaders ◽  
The Public ◽  
The People ◽  
The Social ◽  
Ministry Of Finance ◽  
Health Support ◽  
The Government

Health is the basic right for everybody, therefore every citizen is entitled to get the health care. In enforcing the regulation for Jaringan Kesehatan Nasional (National Health Supports), it is heavily influenced by the foreign interests. Economically, this program does not reduce the people’s burdens, on the contrary, it will increase them. This means the health supports in which should place the government as the guarantor of the public health, but the people themselves that should pay for the health care. In the realization of the health support the are elements against the Syariah principles. Indonesian Muslim Religious Leaders (MUI) only say that the BPJS Kesehatan (Sosial Support Institution for Health) does not conform with the syariah. The society is asked to register and continue the participation in the program of Social Supports Institution for Health. The best solution is to enforce the mechanism which is in accordance with the syariah principles. The establishment of BPJS based on syariah has to be carried out in cooperation from the elements of Social Supports Institution (BPJS), Indonesian Muslim Religious (MUI), Financial Institution Authorities, National Social Supports Council, Ministry of Health, and Ministry of Finance. Accordingly, the Social Supports Institution for Helath (BPJS Kesehatan) based on syariah principles could be obtained and could became the solution of the polemics in the society.

scholarly journals Lean Six Sigma Methodology: The Nub to Boost the Public Healthcare System in Egypt

2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Wael Omran Aly
Keyword(s):  
Health Care ◽  
Six Sigma ◽  
Healthcare Service ◽  
Service System ◽  
Lean Six Sigma ◽  
Public Health Care ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
The People

For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.

scholarly journals Resilience Approach of Ayurveda: nCOV-19 Pandemic

2021 ◽  
Vol 12 (1) ◽  
pp. 129-133
Author(s):  
Vijay Mohan Soni ◽  
Shiv Singh ◽  
Neha Munjal
Keyword(s):  
Health Care ◽  
Public Perception ◽  
Healthy Lifestyle ◽  
Holistic Approach ◽  
Statistical Techniques ◽  
Global Level ◽  
The Public ◽  
Vedic Science ◽  
The People ◽  
Mind And Body

Introduction: The coronavirus disease, nCOV-19 pandemic is exceptional and unprecedented in many aspects and it has shaken the health care system at global level. The several studies reported on nCOV-19 suggest that, immunization is the only way to fight against it. For this, Ayurveda is the most imperative as it recommends a healthy lifestyle instead of the mere prescription of medicines. Methodology: Ministry of Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy is purposed with developing education, research and propagation of indigenous alternative medicine systems in India (Ministry of AYUSH). The Ministry is headed by a Minister of State, which is currently held by Shripad Yesso Naik and has recommended some measures to be followed in building strength by following the holistic approach of Ayurveda toward Swasthavritta. Thus, the present paper focuses on analysing the public perception towards Ayurveda measures using the most popular statistical techniques as ANOVA. Results: The analysis of data indicated that, the people are mesmerised by the concept of Ayurveda and are following all the possible precautions to save themselves from the effect of COVID-19. Older generation has a firm believe on the vedic science as compared to the younger generation. Conclusion: The classic of Ayurveda ‘Charaka Samhita’ describes the epidemic management and it defines immunity as the most essential to prevent diseases and arrest its progress. The foundation of Ayurveda is to building strength of mind and body to manage with different stressors, including infections. The Ayurveda concept of immunity (Bala or strength) is categorized as natural (Sahaja), chronobiologic (Kalaja), and acquired (Yuktikrut). Henceforth, we can achieve the aim of Ayurveda i.e. the Swasthasya Swasthya Rakshanam and Aturasya Vikar Prashamanam, against nCOV-19 pandemic.

Concepts behind Serious Games and Computer-Based Trainings in Health Care

2013 ◽  
pp. 1-14 ◽  
Author(s):  
Jana Birkenbusch ◽  
Oliver Christ
Keyword(s):  
Health Care ◽  
Serious Games ◽  
Dynamic Changes ◽  
Medical Interventions ◽  
Psychological Phenomena ◽  
Rehabilitation Technology ◽  
Potential Benefits ◽  
Computer Based

In the area of health care, dynamic changes and improvements of computer-based methods of intervention are more and more observable. This tendency is, amongst other reasons, caused by the implementation of theoretical constructs and psychological phenomena, such as flow, immersion, and presence, because they are able to explain processes and effects of medical interventions and thereby provide helpful hints to the enhancement of rehabilitation technology. This chapter provides an overview of the definitions of constructs related to computer-based technology, how these constructs are related to each other, and how they can be measured. Furthermore, practical aspects of improvement, possible areas of application, and potential benefits of implementing these constructs are discussed.

Bridging the Political Gap?

2013 ◽  
pp. 1658-1677
Author(s):  
Yanina Welp
Keyword(s):  
Information And Communication Technologies ◽  
Political Institutions ◽  
Public Management ◽  
Communication Technologies ◽  
Public Confidence ◽  
The Public ◽  
The People ◽  
Information And Communication ◽  
Potential Benefits ◽  
High Level

Given the lack of transparency and the extent to which corruption is endemic to most Latin American countries, it is not surprising to find a high level of citizen distrust in political institutions. Parliaments and political parties are the institutions most affected by this crisis of representative democracy, and receive the lowest levels of public confidence. In recent years, many initiatives, including those based on Information and Communication Technologies (ICTs), have been developed with the aim of revitalizing democracy, increasing transparency in public management, and opening up new spaces for political participation. However, the consequences of such initiatives are still unknown while the potential benefits of e-participation remain controversial: Should parliaments promote e-participation in societies that experience such a huge digital divide? Should participation be a top-down process initiated by governments or parliaments? Or should they increase accountability and leave participation in hands of the people? The aims of this chapter are twofold: (i) to analyze to what extent parliaments are offering more and better information to the public, and are becoming more transparent and accountable through the use of ICTs, and (ii) to examine the spread and scope of participatory initiatives in the law-making process.

The Evolution of a Public Health Policy: Health Care Providers and the Transmission of HIV

1994 ◽  
Vol 24 (3) ◽  
pp. 535-548 ◽  
Author(s):  
Sally Guttmacher
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Public Health Policy ◽  
Health Care Facilities ◽  
Care Providers ◽  
The Public ◽  
Care Facilities ◽  
Potential Benefits ◽  
Spread Of Infection

The single known instance of transmission of HIV from a health care provider to a patient raised issues concerning the responsibility of clinicians to their patients, and sparked debate over policies to prevent the spread of HIV in health care facilities. The intensity and politicization of the debate were reflected in revision of the Centers for Disease Control guidelines to control the spread of infection at health care facilities, and in legislation proposed in Congress. The guidelines and proposed legislation provoked responses by public health and medical organizations, several of which considered the measures to be unnecessarily restrictive and too costly in terms of potential benefits. This article describes the events and responses that took place during 1991–1992 after the public was made aware of the case involving transmission from provider to patient. The author examines the situation in the context of public health efforts to control the spread of HIV.

scholarly journals Investigating the Prevalence of Reactive Online Searching in the COVID-19 Pandemic: Infoveillance Study

10.2196/19791 ◽  
2020 ◽  
Vol 22 (10) ◽  
pp. e19791 ◽  
Author(s):  
Rafael A Badell-Grau ◽  
Jordan Patrick Cuff ◽  
Brendan P Kelly ◽  
Helen Waller-Evans ◽  
Emyr Lloyd-Evans
Keyword(s):  
Health Care ◽  
Temporal Trends ◽  
The United States ◽  
Search Term ◽  
Online Searching ◽  
Medical Interventions ◽  
The Public ◽  
Search Terms ◽  
Global Pandemic ◽  
Per Capita

Background The ongoing pandemic has placed an unprecedented strain on global society, health care, governments, and mass media. Public dissemination of government policies, medical interventions, and misinformation has been remarkably rapid and largely unregulated during the COVID-19 pandemic, resulting in increased misinterpretations, miscommunication, and public panic. Being the first full-scale global pandemic of the digital age, COVID-19 has presented novel challenges pertinent to government advice, the spread of news and misinformation, and the trade-off between the accessibility of science and the premature public use of unproven medical interventions.  Objective This study aims to assess the use of internet search terms relating to COVID-19 information and misinformation during the global pandemic, identify which were most used in six affected countries, investigate any temporal trends and the likely propagators of key search terms, and determine any correlation between the per capita cases and deaths with the adoption of these search terms in each of the six countries. Methods This study uses relative search volume data extracted from Google Trends for search terms linked to the COVID-19 pandemic alongside per capita case and mortality data extracted from the European Open Data Portal to identify the temporal dynamics of the spread of news and misinformation during the global pandemic in six affected countries (Australia, Germany, Italy, Spain, the United Kingdom, and the United States). A correlation analysis was carried out to ascertain any correlation between the temporal trends of search term use and the rise of per capita mortality and disease cases. Results Of the selected search terms, most were searched immediately following promotion by governments, public figures, or viral circulation of information, but also in relation to the publication of scientific resources, which were sometimes misinterpreted before further dissemination. Strong correlations were identified between the volume of these COVID-19–related search terms (overall mean Spearman rho 0.753, SD 0.158), and per capita mortality (mean per capita deaths Spearman rho 0.690, SD 0.168) and cases (mean per capita cases Spearman rho 0.800, SD 0.112). Conclusions These findings illustrate the increased rate and volume of the public consumption of novel information during a global health care crisis. The positive correlation between mortality and online searching, particularly in countries with lower COVID-19 testing rates, may demonstrate the imperative to safeguard official communications and dispel misinformation in these countries. Online news, government briefings, and social media provide a powerful tool for the dissemination of important information to the public during pandemics, but their misuse and the presentation of misrepresented medical information should be monitored, minimized, and addressed to safeguard public safety. Ultimately, governments, public health authorities, and scientists have a moral imperative to safeguard the truth and maintain an accessible discourse with the public to limit fear.

Bridging the Political Gap?

2012 ◽  
pp. 217-236 ◽  
Author(s):  
Yanina Welp
Keyword(s):  
Information And Communication Technologies ◽  
Political Institutions ◽  
Public Management ◽  
Communication Technologies ◽  
Public Confidence ◽  
The Public ◽  
The People ◽  
Information And Communication ◽  
Potential Benefits ◽  
High Level

Given the lack of transparency and the extent to which corruption is endemic to most Latin American countries, it is not surprising to find a high level of citizen distrust in political institutions. Parliaments and political parties are the institutions most affected by this crisis of representative democracy, and receive the lowest levels of public confidence. In recent years, many initiatives, including those based on Information and Communication Technologies (ICTs), have been developed with the aim of revitalizing democracy, increasing transparency in public management, and opening up new spaces for political participation. However, the consequences of such initiatives are still unknown while the potential benefits of e-participation remain controversial: Should parliaments promote e-participation in societies that experience such a huge digital divide? Should participation be a top-down process initiated by governments or parliaments? Or should they increase accountability and leave participation in hands of the people? The aims of this chapter are twofold: (i) to analyze to what extent parliaments are offering more and better information to the public, and are becoming more transparent and accountable through the use of ICTs, and (ii) to examine the spread and scope of participatory initiatives in the law-making process.

scholarly journals Investigating the Prevalence of Reactive Online Searching in the COVID-19 Pandemic: Infoveillance Study (Preprint)

2020 ◽  
Author(s):  
Rafael A Badell-Grau ◽  
Jordan Patrick Cuff ◽  
Brendan P Kelly ◽  
Helen Waller-Evans ◽  
Emyr Lloyd-Evans
Keyword(s):  
Health Care ◽  
Temporal Trends ◽  
The United States ◽  
Search Term ◽  
Online Searching ◽  
Medical Interventions ◽  
The Public ◽  
Search Terms ◽  
Global Pandemic ◽  
Per Capita

BACKGROUND The ongoing pandemic has placed an unprecedented strain on global society, health care, governments, and mass media. Public dissemination of government policies, medical interventions, and misinformation has been remarkably rapid and largely unregulated during the COVID-19 pandemic, resulting in increased misinterpretations, miscommunication, and public panic. Being the first full-scale global pandemic of the digital age, COVID-19 has presented novel challenges pertinent to government advice, the spread of news and misinformation, and the trade-off between the accessibility of science and the premature public use of unproven medical interventions.  OBJECTIVE This study aims to assess the use of internet search terms relating to COVID-19 information and misinformation during the global pandemic, identify which were most used in six affected countries, investigate any temporal trends and the likely propagators of key search terms, and determine any correlation between the <i>per capita</i> cases and deaths with the adoption of these search terms in each of the six countries. METHODS This study uses relative search volume data extracted from Google Trends for search terms linked to the COVID-19 pandemic alongside <i>per capita</i> case and mortality data extracted from the European Open Data Portal to identify the temporal dynamics of the spread of news and misinformation during the global pandemic in six affected countries (Australia, Germany, Italy, Spain, the United Kingdom, and the United States). A correlation analysis was carried out to ascertain any correlation between the temporal trends of search term use and the rise of <i>per capita</i> mortality and disease cases. RESULTS Of the selected search terms, most were searched immediately following promotion by governments, public figures, or viral circulation of information, but also in relation to the publication of scientific resources, which were sometimes misinterpreted before further dissemination. Strong correlations were identified between the volume of these COVID-19–related search terms (overall mean Spearman rho 0.753, SD 0.158), and <i>per capita</i> mortality (mean <i>per capita</i> deaths Spearman rho 0.690, SD 0.168) and cases (mean <i>per capita</i> cases Spearman rho 0.800, SD 0.112). CONCLUSIONS These findings illustrate the increased rate and volume of the public consumption of novel information during a global health care crisis. The positive correlation between mortality and online searching, particularly in countries with lower COVID-19 testing rates, may demonstrate the imperative to safeguard official communications and dispel misinformation in these countries. Online news, government briefings, and social media provide a powerful tool for the dissemination of important information to the public during pandemics, but their misuse and the presentation of misrepresented medical information should be monitored, minimized, and addressed to safeguard public safety. Ultimately, governments, public health authorities, and scientists have a moral imperative to safeguard the truth and maintain an accessible discourse with the public to limit fear.

scholarly journals THE RECONSTRUCTION OF PROGRESSIVE LAW BASED BUREAUCRATIC LEGAL CULTURE OF HEALTH CARE SERVICES

2019 ◽  
pp. 285-300
Author(s):  
Jamiat Akadol
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Symbolic Interaction ◽  
Legal Culture ◽  
Healthcare Services ◽  
Disadvantaged Community ◽  
The Public ◽  
Care Services ◽  
The People ◽  
Sense Of Justice

Bureaucratic legal culture in health care services is extremely important. The expected bureaucratic legal culture is the one that is fair for the public so that the healthcare services can satisfy and be accepted by the public. The importance of bureaucratic legal culture in health care services becomes the reason why this research is done. The proposed research questions for the study on bureaucratic legal culture in health care services for mothers and babies are: (1) How is the current bureaucratic legal culture in health care services? (2) Why hasn’t the current bureaucratic legal culture reflected the sense of justice for the people? (3) How should the ideal construction of progressive law-based bureaucratic legal culture in the health care services be to reflect the sense of justice for the people? This is qualitative research, which uses the synergy between constructivism paradigm and a socio-legal approach. To reveal the practice of bureaucratic legal culture in the health care services, some theories of symbolic interaction, legal culture, bureaucratic, state administration, and power of authority are used. The participants of the study are determined through a purposive sampling method. The data gathering method is done through interviews, focus group discussions, and participant observation, which is analyzed by using an interactive method. This research showed that the bureaucracy in health care services applied Weberian and Marxian’s models, which influenced the bureaucratic legal culture, resulted in the practice of health care services. The community’s rights to attain fairness in health care services were ignored because of the economic and power factors that were in line with paternalistic and patron-client cultures, as well as the legal factor that did not side to the disadvantaged community and the people in the border areas. The principles of progressive law had been applied but they had not been understood thoroughly and done consistently to form a bureaucratic legal culture in health care services. Therefore, the bureaucratic legal culture in health care services should be reformed by using the principles of progressive law.

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