The impact of private hospital insurance on the utilization of hospital care in Australia

SummaryThis survey provides an overview of major developments on the impact of computers in medical and hospital care over the last 25 years. Though the review emphasizes developments in the U. S. and their multi-faceted impacts upon resource allocation and regulation, a serious attempt is made to track those impacts being universally true in multinational environments.

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The impact of ageing on hospital care and long-term care—the example of Germany

Health Policy ◽

10.1016/s0168-8510(03)00083-6 ◽

2004 ◽

Vol 67 (1) ◽

pp. 57-74 ◽

Cited By ~ 69

Author(s):

Erika Schulz ◽

Reiner Leidl ◽

Hans-Helmut König

Keyword(s):

Hospital Care ◽

Long Term Care ◽

Term Care ◽

The Impact

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Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece

Gastroenterology Research and Practice ◽

10.1155/2020/8701791 ◽

2020 ◽

Vol 2020 ◽

pp. 1-9

Author(s):

Georgios Tziatzios ◽

Dimitrios N. Samonakis ◽

Theocharis Tsionis ◽

Spyridon Goulas ◽

Dimitrios Christodoulou ◽

...

Keyword(s):

Airway Management ◽

Public Hospital ◽

Private Hospital ◽

Life Support ◽

Advanced Life Support ◽

Nationwide Survey ◽

Web Based ◽

The Public ◽

Management Techniques ◽

The Impact

Objectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/analgesia rates and monitoring practices during endoscopy either in a hospital-based or in an office-based setting was disseminated to the members of the Hellenic Society of Gastroenterology and Professional Association of Gastroenterologists. Participants were asked to complete a questionnaire, which consisted of 35 items, stratified into 4 sections: demographics, preprocedure (informed consent, initial patient evaluation), intraprocedure (monitoring practices, sedative agents’ administration rate), and postprocedure practices (recovery). Results. 211 individuals responded (response rate: 40.3%). Propofol use was significantly higher in the private hospital compared to the public hospital and the office-based setting for esophagogastroduodenoscopy (EGD) (85.8% vs. 19.5% vs. 10.5%, p<0.0001) and colonoscopy (88.2% vs. 20.1% vs. 9.4%, p<0.0001). This effect was not detected for midazolam, pethidine, and fentanyl use. Endoscopists themselves administered the medications in most cases. However, a significant contribution of anesthesiology sedation/analgesia provision was detected in private hospitals (14.7% vs. 2.8% vs. 2.4%, p<0.001) compared to the other settings. Only 35.2% of the private offices have a separate recovery room, compared to 80.4% and 58.7% of the private hospital- and public hospital-based facilities, respectively, while the nursing personnel monitored patients’ recovery in most of the cases. Participants were familiar with airway management techniques (83.9% with bag valve mask and 23.2% with endotracheal intubation), while 49.7% and 21.8% had received Basic Life Support (BLS) and Advanced Life Support (ALS) training, respectively. Conclusion. The private hospital-based setting is associated with higher propofol sedation administration both for EGD and for colonoscopy. Greek endoscopists are adequately trained in airway management techniques.

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Management of bio-psycho-social frailty to reduce hospital use and improve survival of older adults

European Journal of Public Health ◽

10.1093/eurpub/ckaa165.605 ◽

2020 ◽

Vol 30 (Supplement_5) ◽

Author(s):

G Liotta ◽

N Accarino ◽

S Orlando ◽

S Gentili ◽

E Terracciano ◽

...

Keyword(s):

Public Health ◽

Older Adults ◽

Health Outcomes ◽

Social Isolation ◽

Hospital Care ◽

Admission Rate ◽

Term Care ◽

Hospital Admission Rate ◽

Starting Point ◽

The Impact

Abstract Background Ageing of population is associated to the increase of care demand. Many health systems are still centered on hospital care, that sometime is not appropriate. The shift from hospital to community care requires a new model of service delivery. Aim of this paper is to assess the impact of a community service based on the assessment of frailty, on mortality and use of hospital care by older adults. Methods A cohort made up by 8,592 over-75 subjects (67.1% female, mean age 84.5; SD ± 5.29) has been assessed once a year for bio-psycho-social frailty by the administration of the Short Functional Geriatric Evaluation questionnaire. The enrolled subjects were involved in a Community-based pro-Active Monitoring Program which provides interventions aimed at reducing social isolation. Mortality, use of hospital care and use of residential long-term care have been recorded during the follow up and separate and cumulative incidence rate was measured. Results The sample was stratified in Robust (37.5%), Pre-frail (24.0%), Frail, (29.5%) and Very Frail (9.1%) individuals. Mortality, Hospital admission rate and Residential LTC admission rate were higher in the very frails than among the other groups. However, according to social isolation, the integrated subjects at the baseline assessment, showed the highest incidence of negative events: 29.5%, 20.8%, 21.0%, .and 20.8% for integrated, mild isolated, moderate isolated and severely isolated individuals respectively (p < 0.001). The logistic regression analysis, adjusted for age, gender and level of frailty, confirmed the protective role of reducing social isolation among isolated individuals compared with integrated ones (OR: 0.729; CL95% 0.673-0.720). Conclusions The assessment of bio-psycho-social frailty could be the starting point for effective intervention at community level, like the program mentioned above. Management of frailty may lead to an improvement of public health outcomes. Key messages Intervention dealing with social isolation are able to revert the increase of mortality related to the lack of social resources. Management of frailty may lead to an improvement of public health outcomes.

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Impact of Moral & Material Incentives on Employee’s Performance; An Empirical Study in Private Hospitals at Capital Amman

International Business Research ◽

10.5539/ibr.v9n11p222 ◽

2016 ◽

Vol 9 (11) ◽

pp. 222

Author(s):

Hasan Salih Suliman Al-Qudah

Keyword(s):

Statistical Analysis ◽

Empirical Study ◽

Empirical Analysis ◽

Analytical Method ◽

Private Hospital ◽

Demographic Variables ◽

Research Use ◽

Private Hospitals ◽

The Impact

<p class="1main-text">The aim of this study is to identify the impact of moral & material incentives on employee’s performance as it will focus on some private hospitals operating at Amman capital of Jordan. The research use empirical analysis and distributed set of a questionnaire with a total of 291 out of which 20 were rejected due to various reasons including incompletely questionnaire, thus, 271 questionnaires was completed and shortlisted for statistical analysis , the study applied descriptive analytical method, and reached to following result, there is no difference application on moral and material incentives for employees to improve their performance when it comes to demographic variables like gender, age, educational qualifications. The study recommended a number of recommendations that private hospital has to develop policies and strategies to increase effectiveness incentives in addition to this, also the study recommend that the private hospitals in Amman should use incentives systems to meet with the needs of all employees.</p>

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The impact of traditional healers on the treatment of psychotic patents in Alexandria, Egypt

European Psychiatry ◽

10.1016/j.eurpsy.2016.01.1436 ◽

2016 ◽

Vol 33 (S1) ◽

pp. S399-S399

Author(s):

S. Darwish

Keyword(s):

Private Hospital ◽

Negative Impact ◽

Traditional Healers ◽

Psychotic Symptoms ◽

Socioeconomic Groups ◽

Highly Educated ◽

Lower Socioeconomic ◽

Male Patients ◽

Competing Interest ◽

The Impact

IntroductionPsychotic symptoms in the Egyptian community have always been mixed up with supernatural phenomena. This makes patients and their families seek help from traditional healers who can abuse them physically, financially and sexually.AimThe aim of the study was to assess the impact of the traditional healers on the psychotic patients in the Egyptian community.ObjectivesTo measure the percentage of patients going to traditional healers and how much they pay and for how long.MethodsThe study was conducted on a total of 555 psychotic patients. Four hundred and fifty-five psychotic patients from the Mamoura Mental state Hospital and 100 psychotic patients from a private hospital in Alexandria in duration of three months in 2006. A special questionnaire was designed and was run for all patients and their families.ResultsA total of 67.4% of male patients consulted healers while 88.4% of the females consulted healers. Only 9.4% of the females who went to the healers were highly educated compared to 19.7% of the male patients. The majority of the patients who improved were illiterate or can only read and write. Lower socioeconomic groups tend to have a higher percentage in consulting healers and a longer duration of staying in treatment with them. Although therapy at the first session tended to be for free, from the second session forward patients pay more than they would pay seeing a psychiatrist.ConclusionsTraditional healers have a negative impact on the psychiatry practice and are sources of patient's abuse in Egypt.Disclosure of interestThe author has not supplied their declaration of competing interest.

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