scholarly journals Assessing the Capital Efficiency of Healthcare Information Technologies Investments: An Econometric Perspective

2008 ◽  
Vol 17 (01) ◽  
pp. 114-127 ◽  
Author(s):  
Rodolphe Meyer ◽  
Patrice Degoulet
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Information Technologies ◽  
Positive Impact ◽  
Health Care Sector ◽  
Added Value ◽  
It Investment ◽  
Econometric Methods ◽  
General Business ◽  
Economic Tools

Summary Objectives To examine the different methods that can be used in the quantification of the added value of information technologies (IT) in the health care sector. This quantification represents a major issue for decision-makers and health care professionals when they have to plan an IT investment. MethodsArticles were chosen via Medline, internet and the University of Geneva bibliographic portal. Some of the papers were obtained directly from their authors. We examine the most current methods used to evaluate IT return on investment (ROI) in the general business and in the health care sector, drawing attention on methods traditionally used in macro economic studies that could reveal themselves disruptive for IT ROI impact evaluation in hospitals. Results Financial and accounting methods can provide interesting data on a specific IT project but are usually incomplete for revealing the global IT investment influence. Econometric methods tend to demonstrate the positive impact of health care IT (HIT) on hospital production and productivity. Hospitals having higher levels of IT investment tend to deliver a higher level of clinical quality and show improved hospital cost performances. Conclusions Information technologies are so intermingled with people and processes that the identification of specific IT benefit remains questionable. Using macro economic tools could be the best way to analyze and compute IT ROI in health care. Econometric tools take into account all types investments (inputs) and all the returns (outputs) enabling the precise measurement of IT investments impact, breakeven points, and possible threshold levels, thus providing helpful intelligence to reach the higher levels of IT governance in hospitals.

scholarly journals Are antiretrovirals prescribed according to the recommended prescribed daily doses in the private healthcare sector in South Africa

2011 ◽  
Vol 16 (1) ◽  
Author(s):  
Norah L. Katende-Kyenda ◽  
Martie Lubbe ◽  
Juan H.P. Serfontein ◽  
Ilse Truter
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Health Care Sector ◽  
Hiv And Aids ◽  
Healthcare Sector ◽  
Private Health Care ◽  
Care Providers ◽  
Increased Risk

Current antiretroviral treatment (ART) guidelines recommend different combinations that have led to major improvements in the management of HIV and AIDS in the developed and developing world. With the rapid approval of many agents, health care providers may not be able to familiarise themselves with them all. This lack of knowledge leads to increased risk of dose- prescribing errors, especially by non-HIV and AIDS specialists. The purpose of this retrospective non-experimental, quantitative drug utilisation study was to evaluate if antiretrovirals (ARVs) are prescribed according to the recommended prescribed daily doses (PDDs) in a section of the private health care sector in South Africa (SA). Analysed ARV prescriptions (49995, 81096 and 88988) for HIV and AIDS patients were claimed from a national medicine claims database for the period 1 January 2005 through to 31 December 2007. ARV prescriptions prescribed by general practitioners (GPs) with PDDs not according to the recommended ARV dosing increased dramatically, from 12.33% in 2005 to 24.26% in 2007. Those prescribed by specialists (SPs) increased from 15.46% in 2005 to 35.20% in 2006 and decreased to 33.16% in 2007. The highest percentage of ARV prescriptions with PDDs not according to recommended ARV dosing guidelines was identified in ARV regimens with lopinavir−ritonavir at a PDD of 1066.4/264 mg and efavirenz at a PDD of 600 mg prescribed to patients in the age group of Group 3 (19 years > age ≤ 45 years). These regimens were mostly prescribed by GPs rather than SPs. There is a need for more education for all health care professionals and/or providers in the private health care sector in SA on recommended ARV doses, to avoid treatment failures, development of resistance, drug-related adverse effects and drug interactions.OpsommingHuidige riglyne vir behandeling met antiretrovirale middels beveel verskillende kombinasies aan wat tot groot verbetering in die beheer van MIV en VIGS in die ontwikkelde en ontwikkelende wêreld gelei het. Met die vinnige goedkeuring van talle nuwe middels kan dit gebeur dat verskaffers van gesondheidsorg nie kan bybly om hulle hiermee op hoogte te hou nie. Hierdie gebrek aan kennis lei tot ‘n hoër risiko vir foute in die voorgeskrewe dosis en veral deur persone wat nie spesialiste in MIV en VIGS is nie. Die doel van hierdie nie-eksperimentele, retrospektiewe, kwantitatiewe studie van die gebruik van geneesmiddels was om te bepaal of antiretrovirale middels in ‘n deel van die privaat gesondheidsorgsektor in Suid-Afrika (SA) volgens die aanbevole voorgeskrewe daaglikse dosisse (VDD) voorgeskryf word. Voorskrifte van antiretrovirale middels (49995, 81096 en 88988) aan pasiënte met MIV en VIGS wat in die periode van 1 Januarie 2005 tot 31 Desember 2007 van ‘n nasionale medisyne databasis geëis is, is ontleed. Voorskrifte van antiretrovirale middels deur algemene praktisyns (APs) met VDDs wat nie volgens die aanbevole dosisse vir antiretrovirale middels was nie, het dramaties van 12.33% in 2005 tot 24.26% in 2007 toegeneem. Die wat deur spesialiste (SPs) voorgeskryf is, het van 15.46% in 2005 tot 35.20% in 2006 toegeneem en in 2007 tot 33.16% gedaal. Die hoogste persentasie van voorskrifte vir antiretrovirale middels met VDDs wat nie volgens die riglyne was nie, was in die regimens met lopinavir−ritonavir met ‘n VDD van 1066.4/264 mg en efavirens met ‘n VDD van 600 mg wat aan pasiënte in die ouderdomsgroep van ouer as 19 tot en met 45 jaar voorgeskryf is. Hierdie regimens is meer deur APs as deur SPs voorgeskryf. Daar is ‘n behoefte aan nog opleiding van alle gesondheidsprofessies en/of voersieners in die privaat gesondheidsorgsektor in SA oor die aanbevole antiretrovirale middel-dosisse om mislukking van behandeling, ontwikkeling van weerstand, nadelige effekte vanweë geneesmiddels en geneesmiddel interaksies te voorkom.

scholarly journals Impact of Home Care Services on Patient and Economic Outcomes: A Targeted Review

2021 ◽  
pp. 108482232110383
Author(s):  
Irene Lizano-Díez ◽  
Sonia Amaral-Rohter ◽  
Lucía Pérez-Carbonell ◽  
Susana Aceituno
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Positive Impact ◽  
Patient Empowerment ◽  
Home Care Services ◽  
Care Services ◽  
Adherence To Medication ◽  
Home Based ◽  
Patient Reported ◽  
Home Based Care

Patient Support Programs (PSPs) reinforce patients’ care provided by health care professionals with the aim to improve adherence and patient empowerment. PSPs may include interventions such as home-based care, individualized medication counseling, support, training, and home delivery of medicines and/or devices. This study described these services and its impact on patient-reported outcomes and health care savings. We conducted an integrative literature review which was limited to publications from the last 10 years (2009-2019) and focused on diseases that require special support and/or parenteral administration. From 7040 total citations, we identified 64 home-based care services performed worldwide. Among the home-based care services, most were provided by nurses (n = 47/64; 73.4%) and addressed to cancer patients (n = 22/64; 34.4%); 23 out of 64 services (35.9%) incorporated telepharmacy. In general, home-based services and PSPs showed a positive impact on patients’ adherence to medication, patient satisfaction, and health-related quality of life. In addition, 14 (21.9%) services reported economic results, most of which showed that home therapy led to substantial cost savings.

The benefits and burdens of patient advocacy.

2021 ◽  
Vol 39 (28_suppl) ◽  
pp. 204-204
Author(s):  
Shelley Fuld Nasso ◽  
Laura Diane Porter ◽  
Kristen K. McNiff Landrum
Keyword(s):  
Health Care ◽  
Cancer Research ◽  
Health Care Professionals ◽  
Working Group ◽  
Positive Impact ◽  
Care Delivery ◽  
Quality Measurement ◽  
Final Analysis ◽  
Patient Advocates ◽  
Group Members

204 Background: Patient advocates share their time and experience to improve cancer research, care, and support. Advocacy can be rewarding and empowering, and survivors and caregivers express a variety of reasons for engaging in advocacy. Yet, advocacy can also come with mental and emotional costs. Challenges include the grief of losing friends to cancer, the related “survivors’ guilt”, and the burden of repeatedly reliving their experience. The National Coalition for Cancer Survivorship (NCCS) conducted a survey to better understand the experience of patient advocates, and actions that organizations can take to recognize and support advocates. Methods: NCCS convened two focus groups with 10 advocates (the “working group”) to understand factors that contribute to advocates feeling rewarded or burned out from advocacy. We reviewed the transcripts to identify themes and reviewed the literature. We developed a survey and included a validated, non-proprietary, single-item burnout measure used for health care professionals. We built the survey online and tested with select working group members. We disseminated the survey to NCCS’ advocacy network, and working group members shared with their networks. Results: As of June 1, we received 176 responses, with the survey will open for another week. The initial data show that the vast majority of respondents find their advocacy work rewarding (97%), empowering (93%), and a positive impact on their lives (96%). At the same time, 29.5% of respondents indicated they have symptoms of burnout, including emotional and physical exhaustion. Respondents report that their advocacy work results in exhaustion (50.7%), sadness (41.1%), and anxiousness (28.7%). More than a third (36.7%) said that grief makes it hard to maintain their work as advocates. A majority manage the demands of their advocacy work by practicing self-care (66.6%) and using coping strategies (62.5%). Advocates shared the specific practices and strategies they used. Less than half (42.5%) said they set boundaries between their advocacy work and their personal life. The final analysis of the survey data will be complete by the end of June 2021. Conclusions: The phrase, “Nothing about us, without us,” has guided the inclusion of patient and caregiver voices in the design of research, care delivery, research grant review, quality measurement, and other aspects of cancer care and cancer research. Yet organizations that ask for the mental and emotional labor of advocates, including patient organizations, researchers, health care professionals, government institutions, and pharmaceutical companies, should understand the costs to advocates and how to best support them. As one respondent said, “Perhaps organizations could set the stage for this work by openly validating the toll that cancer itself takes, and acknowledge that advocacy takes energy and commitment, which may not always be possible to sustain in the face of ongoing treatment or other life complications.”

scholarly journals The Impact of Extrinsic and Intrinsic Motivation on Employee Engagement: An Empirical Study of Health Care Sector of Punjab, Pakistan

2019 ◽  
Vol 2 (2) ◽  
pp. 95-106
Author(s):  
Abou Bakar ◽  
Abdul Hameed ◽  
Aasir Ali ◽  
Muhammad Imran
Keyword(s):  
Health Care ◽  
Intrinsic Motivation ◽  
Employee Engagement ◽  
Positive Impact ◽  
Analysis Data ◽  
Health Care Sector ◽  
Descriptive Statistics ◽  
Relationship Of ◽  
Managerial Level ◽  
The Impact

The purpose of this study is to find extrinsic and intrinsic motivation that has positive impact on employee’s engagement. The study was conducted in the health care sector in Pakistan. A sample size of 100 employees was selected using convenient sampling techniques. The data were collected from doctors, nurses and managerial level of employees. 100 questionnaires were distributed among these employees out of whom 80 filled questionnaires were received forming percentage of 80%. These properly filled questionnaires were used for data analysis. Data were analyzed through descriptive statistics, reliability analysis and regression analysis. Findings of the study reveal that there is significant relationship of extrinsic and intrinsic motivation on employee’s engagements in the health care sector of Pakistan.

scholarly journals Challenges and benefits of working in teams – Interpersonal interactions in health care

2017 ◽  
Vol 2 (3) ◽  
pp. 11-19
Author(s):  
G. Bányai ◽  
K. Bíró
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Patient Involvement ◽  
Positive Impact ◽  
Care Process ◽  
Organizational Responses ◽  
Team Members ◽  
Working Groups ◽  
Psychological Harassment ◽  
Paternalistic Approach

Teamwork has become the accepted way of doing one’s job. This is so true even profession’s that were considered an exception are shifting towards teamwork. Apart from the well-known benefits, there seems to be a downside of the enforcement of this work strategy. Conflicts, frictions, frustration in working groups can affect the dignity, psychological or physical integrity of team members, generally referred to as psychological harassment, workplace bullying or mobbing. The outcomes of the phenomenon are various negative organizational responses. Health care is somewhat lagging behind in this shift towards working in teams, but with increasing specialization greater coordination is needed between health care professionals. Above all, the patient wishes to be more involved in the health care process. Research suggests that patient involvement and working in teams have a positive impact on effectiveness and patient mortality, respectively. One of the challenges for health care is to include the patient in the teamwork process as an equal member of the group and at the same time overcome the drawbacks mentioned above, in a setting where a traditional, paternalistic approach is still present and the vulnerability of the patient (and his/her dignity) is evident.

scholarly journals Baron Dominique Jean Larrey 1766 – 1842

2013 ◽  
Vol 1 (3) ◽  
Author(s):  
Phil Nestor
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Professionals ◽  
Positive Impact ◽  
Triage System ◽  
Military Surgeon ◽  
Espoused Values ◽  
French Military ◽  
Practical Research ◽  
Innovative Thinking

Dominique Jean Larrey was a French military surgeon during the Napoleonic times. A man of great compassion and devotion to his patients, Larrey espoused values and commitment to his profession which are still reflected by health care professionals today. His practical and innovative thinking led to great improvements and change in patient care – in his development of the first purpose built ambulances and invention of the triage system. Larrey was a man who employed practical research in his every day thinking and observations, without realizing that the outcomes of his innovative ideas would have a lasting and positive impact on today‟s society.

Health-care information technologies for dispersed knowledge management

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Dana Abdulla Alrahbi ◽  
Mehmood Khan ◽  
Shivam Gupta ◽  
Sachin Modgil ◽  
Charbel Jose Chiappetta Jabbour
Keyword(s):  
Health Care ◽  
Factor Analysis ◽  
Knowledge Management ◽  
Information Technologies ◽  
Care Quality ◽  
Health Care Sector ◽  
Health Care Information ◽  
Actual Structure ◽  
Content Type ◽  
Care Information

Purpose The health-care industry has multiple stakeholders, with knowledge dispersed among clinicians, experts and patients and their families. As the adoption of health-care information technologies (HITs) depends on multiple factors, this study aims to uncover the motivators for adopting them. Design/methodology/approach The study considers 391 respondents, representing the health-care sector, to evaluate the motivators for adopting HITs for better-dispersed knowledge management. The authors analyze the responses using exploratory factor analysis (EFA) to identify the actual structure of the factors, followed by confirmatory factor analysis (CFA). Findings EFA categorized the factors into four classes: quality management; information sharing; strategic governance; and available technological infrastructure. CFA revealed that the strategic governance factor is most predictive of successfully adopting HITs that model the normative pressure of Institutional theory in health-care organizations. These results indicate that, along with considerations of finances, care quality and infrastructure, effective government involvement and policy-making are important for successful HIT adoption. Practical implications Results reveal that stakeholders’ motivating factors for HIT adoption in a developed economy like the United Arab Emirates are based on considering HITs as a knowledge management mechanism. These factors may help other nations in HIT implementation and drive valuable innovations in the health-care sector. This research presents the implications for health-care professionals and stakeholders in relation to adopting HITs and their role in knowledge flow for efficient care. Originality/value HITs offer an affordable and convenient platform for collaboration among diverse teams in the health-care sector. Apart from this, it helps in facilitating an interactive platform for knowledge creation and transfer for the benefit of users and providers.

scholarly journals Using Gamification to Break Barriers in Physical Therapy

2019 ◽  
Vol 87 (2) ◽  
pp. 9-11
Author(s):  
Iyad Al-Nasri ◽  
Shahan Salim
Keyword(s):  
Health Care ◽  
Virtual Reality ◽  
Physical Therapy ◽  
Video Games ◽  
Health Care Professionals ◽  
Positive Impact ◽  
Simulation Design

Adherence to physical therapy can have a significant positive impact on the outcome of treatment, but remains a challenge for both clinicians and patients. Ubiquitous and accessible technologies such as video games and virtual reality (VR) can help to increase adherence in physical therapy, but adoption of these technologies is a barrier in itself. As such, health care professionals must play a larger role in game and simulation design in order for these interventions to be used in removing barriers to adherence. 

scholarly journals COVID-19: a brief update for radiologists

2020 ◽  
Vol 53 (5) ◽  
pp. 320-328
Author(s):  
Gustavo de Souza Portes Meirelles
Keyword(s):  
Health Care ◽  
Severe Acute Respiratory Syndrome ◽  
Health Care Professionals ◽  
Health Care Sector ◽  
Fundamental Importance ◽  
Imaging Methods ◽  
Broad View

Abstract Coronavirus disease 2019 (COVID-19), which is caused by a new coronavirus-severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2)-is a pandemic with major impacts on the health care sector, and a broad view of the disease is of fundamental importance for any radiologist. The purpose of this review is to address the main clinical and imaging aspects of COVID-19, as well as guidelines for requesting and using imaging methods; measures to protect patients and health care professionals; systems for quantifying pulmonary findings and preparing integrated reports; and the main innovations that have emerged during this pandemic.

scholarly journals A Change in the Supply of Professionals in the Health Care Sector and Assessment of the Demand for Physicians and Opportunities for their Integration into the Labour Market

2013 ◽  
Vol 52 (1) ◽  
pp. 45-57 ◽  
Author(s):  
Arūnas Pocius
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Labour Market ◽  
Health Care Professionals ◽  
Scientific Literature ◽  
Labour Force ◽  
Health Care Sector ◽  
Data Sources ◽  
Demand For Health Care ◽  
Demand For Health

The article paper analyses the supply of health care professionals in health care sector in Lithuania in terms of demographic change. On the basis of data from different studies and of the analysis carried out in this work by the author, particular attention is given to the problem of the assessment of the demand for health care professionals (physicians) in health care sector in Lithuania. When analysing the integration of health care professionals into the labour market, in addition to sociological surveys, the data of Lithuanian Statistics Lithuania Department on labour force (employment) was were used. This paper investigates explores the possibility of using different data sources for the analysis of the demand for health care professionals (physicians), as well as analyses their situation in the labour market on the basis of the scientific literature review.

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