Changes in the remuneration system for psychiatric care in Japan

2011 ◽  
Vol 08 (01) ◽  
pp. 16-22
Author(s):  
H. Ito
Keyword(s):  
Health Care ◽  
Outpatient Care ◽  
Inpatient Care ◽  
Health Care Quality ◽  
Psychiatric Care ◽  
Service Providers ◽  
Care Quality ◽  
Major Influence ◽  
Term Care ◽  
Fee Schedule

SummaryJapan’s psychiatric care is reimbursed according to official prices called “national fee schedule,” which is revised once every 2 years. Fee schedule revisions have had a major influence on medical service providers in Japan, where the rate of private health care institutions is high. The increase of acute beds in inpatient care and the fee schedule for outpatient care have been promoted since the 1990’s. As a result, inpatient care has diverged into acute care units and geriatric units focused primarily on long-term care. In addition, outpatient care services have increased dramatically. Under these circumstances, some key challenges faced by Japan’s psychiatric care include poorly defined catchments areas and how to improve the evaluation of health care quality. Furthermore, the degree to which psychiatric care should assume the responsibility of geriatric care in Japan’s super-aging society remains a topic of debate.

Medical Errors

2017 ◽  
pp. 33-60
Author(s):  
Jayita Poduval
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
System Failures ◽  
Root Cause ◽  
The Impact ◽  
Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

scholarly journals Supporting employees' work-family needs improves health care quality: Longitudinal evidence from long-term care

2016 ◽  
Vol 157 ◽  
pp. 111-119
Author(s):  
Cassandra A. Okechukwu ◽  
Erin L. Kelly ◽  
Janine Bacic ◽  
Nicole DePasquale ◽  
David Hurtado ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Quality ◽  
Long Term Care ◽  
Care Quality ◽  
Family Needs ◽  
Term Care ◽  
Work Family

scholarly journals Impact of Informal Care on Health Care Utilization Among Older People in China

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 334-334
Author(s):  
Yixiao Wang
Keyword(s):  
Health Care ◽  
Older People ◽  
Informal Care ◽  
Outpatient Care ◽  
Inpatient Care ◽  
Health Care Expenditures ◽  
Chinese Government ◽  
Term Care ◽  
Variable Approach ◽  
The Impact

Abstract Population aging has become a challenge to long-term care and health care for the society. Using China as a case study, this paper assesses allocative efficiency of resources in informal care and health care, to explore the effectiveness of the policy, i.e., encouraging informal care as a more cost-effective way to reduce public health care spending. Drawing data from the 2011, 2014, and 2018 waves of the Chinese Longitudinal Healthy Longevity Survey, this study examines the impact of informal care on utilization of health care as well as amount of health care expenditures among older people with functional limitations in China. Using random effects model with instrumental variable approach, our findings suggest that informal care significantly reduces the utilization of health care, primarily by reducing the utilization of outpatient care. However, informal care significantly increases the amount of inpatient care expenditures for inpatient care users. We do not observe significant association between informal care and amount of outpatient care expenditures for outpatient care users. This study highlights a pressing need for the Chinese government to support informal caregivers by taking economic values of informal caregiving into consideration, and to improve efficiency in inpatient care by a more integrated resource allocation mechanism

scholarly journals Public Hospitals in China: Is There a Variation in Patient Experience with Inpatient Care

2019 ◽  
Vol 16 (2) ◽  
pp. 193 ◽  
Author(s):  
Wenhua Wang ◽  
Ekaterina Loban ◽  
Emilie Dionne
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Inpatient Care ◽  
Health Care Quality ◽  
Public Hospital ◽  
Care Quality ◽  
Public Hospitals ◽  
Income Quintile ◽  
Patient Centeredness ◽  
Geographical Regions

In China, public hospitals are the main provider of inpatient service. The Chinese public hospital reform has recently shifted towards health care organizations and delivery to improve health care quality. This study analyzes the variation of one of the dimensions of health care quality, patient-centeredness, among inpatients with different socioeconomic status and geographical residency in China. 1471 respondents who received inpatient care in public hospitals were included in our analysis. Patient-centeredness performance was assessed on the dimensions of Communication, Autonomy, Dignity, and Confidentiality. Variations of inpatient experience were estimated using binary logistic regression models according to: residency, region, age, gender, education, income quintile, self-rated health, and number of hospital admissions. Our results indicate that older patients, and patients living in rural areas and Eastern China are more likely to report positive experience of their public hospital stay according to the care aspects of Dignity, Communication, Confidentiality and Autonomy. However, there remains a gap between China and other countries in relation to inpatient experience. Noticeable disparities in inpatient experience also persist between different geographical regions in China. These variations of patient experience pose a challenge that China’s health policy makers would need to consider in their future reform efforts.

Medical Errors

2017 ◽  
pp. 975-994
Author(s):  
Jayita Poduval
Keyword(s):  
Health Care ◽  
Medical Errors ◽  
Health Care Professionals ◽  
Health Care Quality ◽  
Service Providers ◽  
Care Quality ◽  
System Failures ◽  
Root Cause ◽  
The Impact ◽  
Improving Health Care

The impact of medical errors on the delivery of health care is massive, and it significantly reduces health care quality. They could be largely attributed to system failures and not human weakness. Therefore improving health care quality and ensuring quality control in health care would mean making systems function in a better manner. In order to achieve this all sections of society as well as industry must be involved. Reporting of medical error needs to be encouraged and this may be ensured if health care professionals as well as administrators and health consumers come forward without fear of being blamed. To get to the root of the problem- literally and metaphorically- a root cause analysis and audit must be carried out whenever feasible. Persons outside the medical care establishment also need to work with medical service providers to set standards of performance, competence and excellence.

scholarly journals Portuguese Adaptation and Input for the Validation of the Views on Inpatient Care (VOICE) Outcome Measure to Assess Service Users’ Perceptions of Inpatient Psychiatric Care

2017 ◽  
Vol 30 (11) ◽  
pp. 790
Author(s):  
João Palha ◽  
Filipa Palha ◽  
Pedro Dias ◽  
Manuel Gonçalves-Pereira
Keyword(s):  
Internal Consistency ◽  
Inpatient Care ◽  
Health Care Quality ◽  
Psychiatric Care ◽  
Outcome Measure ◽  
Care Quality ◽  
Service Users ◽  
Inpatient Psychiatric Care ◽  
Portuguese Version ◽  
The Impact

Introduction: Patient satisfaction is an important measure of health care quality. Patients’ views have seldom been considered in the construction of measures addressing satisfaction with inpatient facilities in psychiatry. The Views on Inpatient Care - VOICE - is a first service-user generated outcome measure relying solely on their perceptions of acute care, representing a valuable indicator of service users’ perceived quality of care. The present study aimed to contribute to the validation of the Portuguese version of VOICE.Material and Methods: The questionnaire was translated into Portuguese and applied to a sample of eighty-five female inpatients of a psychiatric institution. Data analysis focused on assessing reliability and exploring the impact of demographic and clinical variables on participants’ satisfaction.Results: Internal consistency of the questionnaire was high (α = 0.87). Participants’ age and marital status were associated with differences in scores, with older patients and patients who were married or involved in a close relationship presenting higher satisfaction levels.Discussion: The questionnaire demonstrated good internal consistency and acceptability, as well as construct validity. Further studies should expand the analysis of the psychometric properties of this measure e.g., test-retest reliability.Conclusion: The Portuguese version of VOICE is a promising tool to assess service users’ perceptions of inpatient psychiatric care in Portugal.

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