Health Service Impact from Mass Gatherings: A Systematic Literature Review

2016 ◽  
Vol 32 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Jamie Ranse ◽  
Alison Hutton ◽  
Toby Keene ◽  
Shane Lenson ◽  
Matt Luther ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Ambulance Service ◽  
Local Health ◽  
Mass Gathering ◽  
Mass Gatherings ◽  
The Impact

AbstractBackgroundDuring a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review.AimThis literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services.MethodThis research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization.ResultsTwenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported.ConclusionsThere is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.RanseJ, HuttonA, KeeneT, LensonS, LutherM, BostN, JohnstonANB, CrillyJ, CannonM, JonesN, HayesC, BurkeB. Health service impact from mass gatherings: a systematic literature review. Prehosp Disaster Med. 2017;32(1):71–77.

Development of a Mass-Gathering Triage Tool: An Australian Perspective

2016 ◽  
Vol 32 (1) ◽  
pp. 101-105 ◽  
Author(s):  
Matt Cannon ◽  
Rebecca Roitman ◽  
Jamie Ranse ◽  
Julia Morphet
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Care Professionals ◽  
First Responders ◽  
Service Organizations ◽  
Mass Gathering ◽  
Publication Type ◽  
Mass Gatherings ◽  
Patient Presentation

AbstractMany health service organizations deploy first responders and health care professionals to mass gatherings to assess and manage injuries and illnesses. Patient presentation rates (PPRs) to on-site health services at a mass gathering range from 0.48-170 per 10,000 participants. Transport to hospital rates (TTHRs) range from 0.035-15 per 10,000 participants. The aim of this report was to outline the current literature pertaining to mass-gathering triage and to describe the development of a mass-gathering triage tool for use in the Australian context by first responders. The tool is based on the principles of triage, previous mass-gathering triage tools, existing Australian triage systems, and Australian contextual considerations. The model is designed to be appropriate for use by first responders.CannonM, RoitmanR, RanseJ, MorphetJ. Development of a mass-gathering triage tool: an Australian perspective. Prehosp Disaster Med. 2017;32(1): 101–105.

scholarly journals Re-orientation of Health Services towards Health Promotion: An Australian Case Study of Aborted Health Service Reform

2006 ◽  
Vol 12 (2) ◽  
pp. 24 ◽  
Author(s):  
Fran Baum ◽  
Helen van Eyk ◽  
Catherine Hurley
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Service ◽  
Health Services ◽  
Health Care Reform ◽  
Health Systems ◽  
Local Health ◽  
Continuous Change ◽  
The Impact

This paper examines a case study of local health care reform in Australia that had as one of its aims the desire to increase the health promotion and partnership work of the region. The case study highlights the pressures contemporary health systems are facing and the challenge of re-orientating health services towards health promotion in this environment. Qualitative research, including interviews, focus groups, a staff survey and policy analysis were used to identify health system professionals? perceptions of the impact of health care reform. The case study portrays a complex system that is subject to frequent change but little reform. Our case study indicates that features of health systems that encourage collaborative partnerships are those where there is: an environment that encourages trust; a common purpose among the key players; a supportive external environment; practical projects to work on; organisational stability; commitment from staff throughout organisations; willingness to commit resources; evidence that change is likely to improve outcomes for users; and an organisational environment in which learning from past experience is encouraged. A number of constraints and tensions that work against introducing a greater emphasis on health promotion and collaboration within the system studied are discussed, including tensions between central funding bureaucracies and health care agencies and the reform fatigue and increasing cynicism among staff resulting from continuous change. The paper concludes that against the chaotic background of contemporary health service reform it is very difficult to bring about genuine reform to achieve a shift to more emphasis on health promotion and partnerships.

scholarly journals Sustainability of Biosimilars in Europe: A Delphi Panel Consensus with Systematic Literature Review

2020 ◽  
Vol 13 (11) ◽  
pp. 400
Author(s):  
Arnold G. Vulto ◽  
Jackie Vanderpuye-Orgle ◽  
Martin van der Graaff ◽  
Steven R. A. Simoens ◽  
Lorenzo Dagna ◽  
...  
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Health Care Systems ◽  
Delphi Panel ◽  
The European Union ◽  
Modified Delphi ◽  
Care Systems ◽  
Supply Risks ◽  
The Impact

Introduction: Biosimilars have the potential to enhance the sustainability of evolving health care systems. A sustainable biosimilars market requires all stakeholders to balance competition and supply chain security. However, there is significant variation in the policies for pricing, procurement, and use of biosimilars in the European Union. A modified Delphi process was conducted to achieve expert consensus on biosimilar market sustainability in Europe. Methods: The priorities of 11 stakeholders were explored in three stages: a brainstorming stage supported by a systematic literature review (SLR) and key materials identified by the participants; development and review of statements derived during brainstorming; and a facilitated roundtable discussion. Results: Participants argued that a sustainable biosimilar market must deliver tangible and transparent benefits to the health care system, while meeting the needs of all stakeholders. Key drivers of biosimilar market sustainability included: (i) competition is more effective than regulation; (ii) there should be incentives to ensure industry investment in biosimilar development and innovation; (iii) procurement processes must avoid monopolies and minimize market disruption; and (iv) principles for procurement should be defined by all stakeholders. However, findings from the SLR were limited, with significant gaps on the impact of different tender models on supply risks, savings, and sustainability. Conclusions: A sustainable biosimilar market means that all stakeholders benefit from appropriate and reliable access to biological therapies. Failure to care for biosimilar market sustainability may impoverish biosimilar development and offerings, eventually leading to increased cost for health care systems and patients, with fewer resources for innovation.

Debunking the myth of industry 4.0 in health care: insights from a systematic literature review

2020 ◽  
Vol 32 (4) ◽  
pp. 849-868 ◽  
Author(s):  
Mauro Cavallone ◽  
Rocco Palumbo
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Health Services ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Industry 4.0 ◽  
Services Quality ◽  
State Of The Art ◽  
The State ◽  
Content Type

PurposeIndustry 4.0, artificial intelligence and digitalization have got a momentum in health care. However, scholars and practitioners do not agree on their implications on health services' quality and effectiveness. The article aims at shedding light on the applications, aftermaths and drawbacks of industry 4.0 in health care, summarizing the state of the art.Design/methodology/approachA systematic literature review was undertaken. We arranged an ad hoc research design, which was tailored to the study purposes. Three citation databases were queried. We collected 1,194 scientific papers which were carefully considered for inclusion in this systematic literature review. After three rounds of analysis, 40 papers were taken into consideration.FindingsIndustry 4.0, artificial intelligence and digitalization are revolutionizing the design and the delivery of care. They are expected to enhance health services' quality and effectiveness, paving the way for more direct patient–provider relationships. In addition, they have been argued to allow a more appropriate use of available resources. There is a dark side of health care 4.0 involving both management and ethical issues.Research limitations/implicationsIndustry 4.0 in health care should not be conceived as a self-nourishing innovation; rather, it needs to be carefully steered at both the policy and management levels. On the one hand, comprehensive governance models are required to realize the full potential of health 4.0. On the other hand, the drawbacks of industry 4.0 should be timely recognized and thoroughly addressed.Originality/valueThe article contextualizes the state of the art of industry 4.0 in the health care context, providing some insights for further conceptual and empirical developments.

Patient Presentation Trends at 15 Mass-Gathering Events in South Australia

2018 ◽  
Vol 33 (4) ◽  
pp. 368-374 ◽  
Author(s):  
Olga Anikeeva ◽  
Paul Arbon ◽  
Kathryn Zeitz ◽  
Murk Bottema ◽  
Adam Lund ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
South Australia ◽  
Well Being ◽  
Mass Gathering ◽  
Care Providers ◽  
Mass Gatherings ◽  
Being There ◽  
The Impact ◽  
Patient Presentation

AbstractIntroductionMass gatherings are complex events that present a unique set of challenges to attendees’ health and well-being. There are numerous factors that influence the number and type of injuries and illnesses that occur at these events, including weather, event and venue type, and crowd demographics and behavior.ProblemWhile the impact of some factors, such as weather conditions and the availability of alcohol, on patient presentations at mass gatherings have been described previously, the influence of many other variables, including crowd demographics, crowd behavior, and event type, is poorly understood. Furthermore, a large number of studies reporting on the influence of these variables on patient presentations are based on anecdotal evidence at a single mass-gathering event.MethodsData were collected by trained fieldworkers at 15 mass gatherings in South Australia and included event characteristics, crowd demographics, and weather. De-identified patient records were obtained from on-site health care providers. Data analysis included the calculation of patient proportions in each variable category, as well as the total number of patient presentations per event and the patient presentation rate (PPR).ResultsThe total number of expected attendees at the 15 mass gatherings was 303,500, of which 146 presented to on-site health care services. The majority of patient presentations occurred at events with a mean temperature between 20°C and 25°C. The PPR was more than double at events with a predominantly male crowd compared to events with a more equal sex distribution. Almost 90.0% of patient presentations occurred at events where alcohol was available.Conclusion:The results of the study suggest that several weather, crowd, and event variables influence the type and number of patient presentations observed at mass-gathering events. Given that the study sample size did not allow for these interactions to be quantified, further research is warranted to investigate the relationships between alcohol availability, crowd demographics, crowd mobility, venue design, and injuries and illnesses.Anikeeva O, Arbon P, Zeitz K, Bottema M, Lund A, Turris S, Steenkamp M. Patient presentation trends at 15 mass-gathering events in South Australia. Prehosp Disaster Med. 2018;33(4):368–374.

scholarly journals Implementasi Sistem Rujukan Layanan Kesehatan: Systematic Literature Review

2021 ◽  
Vol 9 (2) ◽  
pp. 138-152
Author(s):  
Sri Rahayu ◽  
Hosizah Hosizah
Keyword(s):  
Health Care ◽  
Health Service ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Health Personnel ◽  
Health Workers ◽  
Google Scholar ◽  
Referral System ◽  
Synthesis Process ◽  
Service Referral

AbstractThe Health Care Referral System is a service system that controls the delegation of authority and responsibility for health problems which is carried out reciprocally vertically or horizontally, in the sense of a unit with less capability to a more capable unit. The purpose of this study was to determine the implementation of the health service referral system in terms of regulations, health personnel resources and infrastructure. This research is a systematic review (Systematic Literature Review). The data synthesis process was carried out by comparing 15 literatures that met the quality assessment as well as inclusion and exclusion criteria with the database sources used, namely, Google Scholar, Pubmed, ScienceDirect. The data is processed and presented in tabulated form. The results showed that several countries such as Indonesia, Iran, Northern Tanzania, Riyadh, Ghana, Zambia and Hoduras from the articles reviewed used a referral system starting from the basic level (Primary), secondary level (Secondary) and tertiary level (Tertiary). Judging from the three aspects of the implementation of the health service referral system reviewed, it shows that there are problems in its implementation, including; the regulatory aspect found only 2 literatures that discussed regulations in the implementation of the referral system, the aspect of health personnel resources was found to be unavailability of health workers in health services causing patient referral and infrastructure aspects found obstacles in inadequate infrastructure resulting in referral.Keywords: implementation, referral system, health care AbstrakSistem Rujukan Pelayanan Kesehatan merupakan sistem pelayanan yang mengendalikan pelimpahan wewenang serta tanggung jawab atas permasalahan kesehatan yang dilakukan secara timbal balik secara vertikal ataupun horizontal, dalam makna dari unit yang berkemampuan kurang ke unit yang lebih, terjangkau dan rasional. Tujuan penelitian ini untuk mengetahui implementasi sistem rujukan layanan kesehatan dilihat dari aspek regulasi, sumber daya tenaga kesehatan dan sarana prasarana. Penelitian ini merupakan tinjauan sistematis (Systematic Literature Review). Proses data sintesis dalam penelitian ini dilakukan dengan cara membandingkan 15 literature yang memenuhi penilaian kualitas serta kriteria inklusi dan ekslusi dengan sumber database yang digunakan yaitu, Google Scholar, Pubmed, ScienceDirect. Data diolah dan disajikan dalam bentuk tabulasi. Hasil penelitian menunjukan beberapa negara seperti Indonesia, Iran, Tanzania Utara, Riyadh, Ghana, Zambia dan Hoduras dari artikel yang direview menggunakan sistem rujukan yang dimulai dari tingkat dasar (Primary), tingkat menengah (Secondary) dan tingkat tersier (Tertiary). Dilihat dari ketiga aspek implementasi sistem rujukan layanan kesehatan yang direview menunjukkan adanya permasalahan dalam pengimplementasiannya diantaranya; aspek regulasi ditemukan hanya 2 literature yang membahas regulasi dalam pengimplementasian sistem rujukan, aspek sumber daya tenaga kesehatan ditemukannya ketidaktersediaan tenaga kesehatan di layanan kesehatan sehingga menyebabkan terjadinya rujukan pasien dan aspek sarana prasarana ditemukannya hambatan pada infrastruktur yang tidak memadai sehingga menyebabkan terjadinya rujukanKata Kunci: implementasi, sistem rujukan, layanan kesehatan

Drug and Alcohol Related Patient Presentations to Emergency Departments during Sporting Mass-Gathering Events: An Integrative Review

2020 ◽  
Vol 35 (3) ◽  
pp. 298-304
Author(s):  
Catherine Delany ◽  
Julia Crilly ◽  
Jamie Ranse
Keyword(s):  
Health Services ◽  
Emergency Departments ◽  
Care Delivery ◽  
Alcohol Intoxication ◽  
Disaster Medicine ◽  
Local Health ◽  
Mass Gathering ◽  
The Spectator ◽  
The Impact ◽  
Drug And Alcohol

AbstractBackground:Drug and alcohol consumption at sporting mass-gathering events (MGEs) has become part of the spectator culture in some countries. The direct and indirect effects of drug and alcohol intoxication at such MGEs has proven problematic to in-event health services as well as local emergency departments (EDs). With EDs already under significant strain from increasing patient presentations, resulting in access block, it is important to understand the impact of sporting and other MGEs on local health services to better inform future planning and provision of health care delivery.Aim:The aim of this review was to explore the impact of sporting MGEs on local health services with a particular focus on drug and alcohol related presentations.Method:A well-established integrative literature review methodology was undertaken. Six electronic databases and the Prehospital and Disaster Medicine (PDM) journal were searched to identify primary articles related to the aim of the review. Articles were included if published in English, from January 2008 through July 2019, and focused on a sporting MGE, mass-gathering health, EDs, as well as drug and alcohol related presentations.Results:Seven papers met the criteria for inclusion with eight individual sporting MGEs reported. The patient presentation rate (PPR) to in-event health services ranged from 0.18/1,000 at a rugby game to 41.9/1,000 at a recreational bicycle ride. The transport to hospital rate (TTHR) ranged from 0.02/1,000 to 19/1,000 at the same events. Drug and alcohol related presentations from sporting MGEs contributed up to 10% of ED presentations. Alcohol was a contributing factor in up to 25% of cases of ambulance transfers.Conclusions:Drug and alcohol intoxication has varying levels of impact on PPR, TTHR, and ED presentation numbers depending on the type of sporting MGE. More research is needed to understand if drug and alcohol intoxication alone influences PPR, TTHR, and ED presentations or if it is multifactorial. Inconsistent data collection and reporting methods make it challenging to compare different sporting MGEs and propose generalizations. It is imperative that future studies adopt more consistent methods and report drug and alcohol data to better inform resource allocation and care provision.

scholarly journals Care Starts at Home: Emotional State and Appeals to Altruism may Reduce Demand for Overused Health Services in the UK

2020 ◽  
Author(s):  
Philip A Powell ◽  
Jennifer Roberts ◽  
Mark Gabbay ◽  
Nathan S Consedine
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Emotional State ◽  
Low Cost ◽  
Health Care Systems ◽  
The Self ◽  
Screening Tests ◽  
The Uk ◽  
The Impact

Abstract Background Overuse of unnecessary services, screening tests, and treatments is an ongoing problem for national health care systems. Overuse is at least partly driven by patient demand. Purpose This study examined whether altering patients’ emotional state and appealing to patient altruism would reduce demand for three commonly overused UK health services. Methods In an online experiment, 1,267 UK volunteers were randomized to anxiety, compassion, or neutral conditions before viewing three overuse vignettes. In each vignette, use of the health service was recommended against by the doctor and participants were further randomized to one of three altruism frames, emphasizing the impact of overuse on the self, the self and others locally, or the self and others nationally. Participants rated the likelihood that they would pursue the health service and, assuming that they did not, how long they would be willing-to-wait for it. Results Altruism frame had a small effect on intentions to use the health service. Those in the local or national (vs. self) frame were 4.7 and 6.1 percentage points, respectively, less likely to ask for the service. Emotion induction had no direct effect on outcomes. However, self-reporting higher levels of anxiety or compassion post-induction was associated with a small, greater likelihood in intentions to ask for the health service or willingness-to-wait, respectively. No interactions between frame and emotion were observed. Conclusions As a low-cost initiative, emphasizing the benefits to the self and local or national communities could be embedded in appeals designed to appropriately reduce health care overuse in the UK.

scholarly journals Health Service Impact from Mass Gatherings: A Systematic Literature Review

2017 ◽  
Vol 32 (S1) ◽  
pp. S138-S139
Author(s):  
Jamie Ranse ◽  
Alison Hutton ◽  
Toby Keene ◽  
Shane Lenson ◽  
Matthew Luther ◽  
...  
Keyword(s):  
Health Service ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Mass Gatherings

Impact of Patients Presenting with Alcohol and/or Drug Intoxication on In-Event Health Care Services at Mass-Gathering Events: An Integrative Literature Review

2018 ◽  
Vol 33 (5) ◽  
pp. 539-542 ◽  
Author(s):  
Makayla Bullock ◽  
Jamie Ranse ◽  
Alison Hutton
Keyword(s):  
Health Care ◽  
Substance Use ◽  
Literature Review ◽  
Health Care Services ◽  
National Institutes Of Health ◽  
Mass Gathering ◽  
Inclusion Criteria ◽  
Music Festivals ◽  
Care Services ◽  
The Impact

AbstractBackgroundThere is a growing body of literature relating to mass-gathering events. A common thread amongst this literature, particularly the literature relating to music festivals, is the incidence of patients presenting with substance and/or alcohol intoxication. However, the impact of alcohol and/or drugs on the provision of in-event health care services has not been explored in detail.AimThe goal of this review was to develop an understanding of the impact of alcohol and/or drugs on in-event health care services at mass-gathering events.MethodThis paper used integrative review as a methodology. The articles included in this literature review were sourced by searching databases inclusive of Medline (Ovid; US National Library of Medicine, National Institutes of Health; Bethesda, Maryland USA), Scopus (Elsevier; Amsterdam, Netherlands), PsycINFO (Ovid; American Psychological Association; Washington DC, USA), and Pub Med (National Center for Biotechnology Information, National Institutes of Health; Bethesda, Maryland USA). Identified manuscripts that met the inclusion criteria were thematically analyzed.ResultsIn total, 12 manuscripts met the inclusion criteria for this review. A thematic analysis of these manuscripts identified three main themes: (i) predictive factors, (ii) patient presentation rates, and (iii) levels of care.Conclusion:Substance use and/or intoxication can place a strain on in-event medical services at mass-gathering events. Of the various types of mass-gathering events, music festivals appear to be the most affected by substance use and intoxication.BullockM, RanseJ, HuttonA.Impact of patients presenting with alcohol and/or drug intoxication on in-event health care services at mass-gathering events: an integrative literature review. Prehosp Disaster Med. 2018;33(5):539–542.

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