The ecology of medical care: access points to the health care system in Austria and other developed countries

The issues of raising the qualifications of doctors occupy a prominent place in the Soviet health care system and it can be said without exaggeration that improvement is currently the task of each individual doctor, both in the periphery and in the center. This task is given to him every day by life itself, starting with the exuberant growth of the population's needs for qualified and special medical care and ending with a huge network of preventive and medical institutions of the People's Commissariat for Health, constantly in need of not only doctors in general, but especially demanding specialists who are at the height of modern medical knowledge. The institutes for advanced training of doctors, numerous special scientific Institutes of the People's Commissariat of Health, various kinds of individual courses of all kinds are conducting intense and fruitful work to replenish the knowledge of a doctor and to develop scientifically educated specialists in all fields of medicine

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The nursing shortage: a worldwide problem

Revista Latino-Americana de Enfermagem ◽

10.1590/s0104-11692002000300013 ◽

2002 ◽

Vol 10 (3) ◽

pp. 392-400 ◽

Cited By ~ 24

Author(s):

Rachel Z. Booth

Keyword(s):

Health Care ◽

Work Environment ◽

Health Care System ◽

Health Care Systems ◽

Developed Countries ◽

World Health ◽

Insurance Companies ◽

Advisory Group ◽

Positive Effects ◽

Care System

A worldwide shortage of nurses has been acknowledged by the multidisciplinary Global Advisory Group of the World Health Organization. The shortage is caused by an increased demand for nurses, while fewer people are choosing nursing as a profession and the current nurses worldwide are aging. The shortage applies to nurses in practice as well as the nurse faculty who teach students. The inter-country recruitment and migration of nurses from developing countries to developed countries exacerbates the problem. Although public opinion polls identifies the nurse as the person who makes the health care system work for them, the conditions of the work environment in which the nurse functions is unsatisfactory and must change. Numerous studies have shown the positive effects on the nurse of a healthy work environment and the positive relationships between nursing care and patient outcomes. It is important that government officials, insurance companies, and administrators and leaders of health care systems acknowledge and operationalize the value of nurses to the health care system in order to establish and maintain the integrity and viability of that system.

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Engaging African American Veterans with Health Care Access Challenges in a Community Partnered Care Coordination Initiative: A Qualitative Needs Assessment

Ethnicity & Disease ◽

10.18865/ed.28.s2.475 ◽

2018 ◽

Vol 28 (Supp) ◽

pp. 475-484

Author(s):

Adriana Izquierdo ◽

Michael Ong ◽

Felica Jones ◽

Loretta Jones ◽

David Ganz ◽

...

Keyword(s):

Health Care ◽

African American ◽

Los Angeles ◽

Health Care System ◽

Health Care Access ◽

Veterans Health ◽

Health Administration ◽

Health Care Environment ◽

Care Access ◽

Care System

Background: Little has been written about engaging potentially eligible members of a health care system who are not accessing the care to which they are entitled. Knowing more about the experiences of African American Veterans who regularly experience health care access challenges may be an important step toward equitable, coordinated Veterans Health Administration (VHA) care. This article explores the experiences of African American Veterans who are at risk of experiencing poor care coordination.Design: We partnered with a community organization to recruit and engage Veterans in three exploratory engagement workshops between October 2015 and February 2016.Participants and Setting: Veterans living in South Los Angeles, CaliforniaMain Outcome Measures: Veterans were asked to describe their experiences with community care and the VHA, a division of the US Department of Veterans Affairs (VA). Field notes taken during the workshops were analyzed by community and academic partners using grounded theory methodology to identify emergent themes.Results: 12 Veterans and 3 family members of Veterans participated in one or more engagement workshops. Their trust in the VA was generally low. Positive themes included: Veterans have knowledge to share and want to help other Veterans; and connecting to VA services can result in positive experiences. Negative themes included: functional barriers to accessing VA health care services; insensitive VA health care environment; lack of trust in the VA health care system; and Veteran status as disadvantageous for accessing non-VA community services.Conclusions: Veterans living in underserved areas who have had difficulty accessing VA care have unique perspectives on VA services. Partnering with trusted local community organizations to engage Veterans in their home communities is a promising strategy to inform efforts to improve care access and coordination for vulnerable Veterans.Ethn Dis. 2018;28(Suppl 2):475-484; doi:10.18865/ed.28.S2.475.

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The Cuban Healthcare System: An Insight

Asian Journal of Medicine and Health ◽

10.9734/ajmah/2021/v19i130298 ◽

2021 ◽

pp. 63-69

Author(s):

Nisha Zahid ◽

Farah Ahmed ◽

Noor Israr ◽

Akhtar Ali ◽

Sidra Farooq ◽

...

Keyword(s):

Health Care ◽

Healthcare System ◽

Health Care System ◽

Swot Analysis ◽

Healthcare Services ◽

Developed Countries ◽

Primary Health Care System ◽

Public Health Policies ◽

The World ◽

Care System

All the countries in the world are struggling to improve their healthcare systems regardless of being rich or poor. Talking about Cuba, it represents an example of well-developed healthcare system and policies which is comparable to developed countries of the world. The success of Cuban healthcare system largely depends upon its strong primary health care system, proper immunization, robust public health policies, treating all the population classes equally providing them with free healthcare services. The control of infection spread and non-communicable diseases also contributes to the success of Cuban Healthcare system. We have discussed the Cuban health care system from start till the current situation and also, we performed SWOT analysis to bring the clearer depiction of the Cuban Healthcare System as it highlights the key internal and external issues which are further discussed in detail.

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Monitoring Health Care System Performance in Iowa

Health Services Management Research ◽

10.1177/095148489701000111 ◽

1997 ◽

Vol 10 (1-2) ◽

pp. 107-112

Author(s):

J. E. Rohrer ◽

M. Vaughan

Keyword(s):

Health Care ◽

Medical Care ◽

Ambulatory Care ◽

Health Care System ◽

System Performance ◽

Hospital Admissions ◽

High Rate ◽

Average Risk ◽

Care System ◽

Ambulatory Care Sensitive

Monitoring the performance of the health care delivery system is a public health function that becomes more important as organized delivery systems begin to take control over large portions of the medical care market. The study reported here illustrates how standard medical care epidemiology can be applied to analysis of health care system performance to aid governmental efforts to monitor new developments in the medical care market. In order to evaluate the efficiency of hospital care delivered in Iowa, age- and sex-adjusted population admission rates for five common procedures were generated for all 99 counties. The five common procedures were defined as follows: hernia, tonsillectomy, cesarean section, hysterectomy, and cholecystectomy. In addition, variations in 11 ambulatory care-sensitive condition rates were analyzed. Residents of at least 15 counties were at significantly greater than average risk for receiving each of the common procedures (χ2 test, P < 0.05). Counties that had a high rate for one procedure tended to have a high rate for at least one other procedure. Several counties had more than twice the mean rate. Even a 10% reduction, when added across all five common procedures, amounts to well over 2000 hospitalizations avoided. It is assumed that reductions would be concentrated in high-rate counties. If a 50% reduction could be achieved in only part of the ambulatory care-sensitive procedures, more than 10 000 hospital admissions could be avoided.

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Health Care System and Policy Factors Influencing Engagement in HIV Medical Care: Piecing Together the Fragments of a Fractured Health Care Delivery System

Clinical Infectious Diseases ◽

10.1093/cid/ciq048 ◽

2011 ◽

Vol 52 (suppl_2) ◽

pp. S238-S246 ◽

Cited By ~ 155

Author(s):

Michael J. Mugavero ◽

Wynne E. Norton ◽

Michael S. Saag

Keyword(s):

Health Care ◽

Medical Care ◽

Health Care System ◽

Delivery System ◽

Health Care Delivery ◽

Care Delivery ◽

Health Care Delivery System ◽

Factors Influencing ◽

Care System

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Utilization, satisfaction and barriers of medical care among adults of Turkish descent in Germany

European Journal of Public Health ◽

10.1093/eurpub/ckz185.250 ◽

2019 ◽

Vol 29 (Supplement_4) ◽

Author(s):

C Dornquast ◽

S Solak ◽

M Durak ◽

L Krist ◽

K H Jöckel ◽

...

Keyword(s):

Health Care ◽

Cohort Study ◽

Medical Care ◽

Health Care System ◽

Self Report ◽

German Health Care System ◽

Screening Programs ◽

Preliminary Results ◽

German Health ◽

Care System

Abstract Background The growing proportion of people with a migration background poses major challenges for public health and the health care system in Germany. People of Turkish descent represent the largest group within this specific population. The aim of this study was therefore to examine the use and satisfaction of medical services and barriers to health care access among adults of Turkish descent in Germany. Methods A cohort study of a group of nearly 1200 Turkish adults in Berlin and Essen constitutes the basis of this analysis. The baseline examination was carried out as part of the pretests of the German National Cohort study. This follow-up survey assessed utilization, satisfaction and subjectively perceived barriers in the German health care system, as well as socio-demography, lifestyle, health status and quality of life via self-report (paper based or online) in Turkish or German. Descriptive preliminary results are presented in this abstract. Results The first 287 participants interviewed until December 31, 2018 were on average 49 years old, with 64% being female. 90% of the participants had a family doctor and in the last 12 months, 17% were in a hospital for in-patient treatment and 23% in an emergency room. The use of screening programs varied from 15% (skin cancer screening) to 87% (mammography). The most frequently visited physician was the general practitioner (86%). The participants were satisfied regarding many aspects, with the best values for the communication with their doctor. However, 22% reported problems or barriers in the context of medical care in the last five years. Conclusions These preliminary results provide a first insight into the utilization behaviour among adults of Turkish descent, their satisfaction as well as barriers with the German health care system. However, possible consequences of our study should only be discussed after all analyses have been completed. Key messages This is one of the few cohort studies in a migrant population in Germany. Knowledge of barriers could provide indications of problems of adults of Turkish descent in the German health care system.

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Polypharmacy: Its Cost Burden and Barrier to Medical Care in a Drug-Oriented Health Care System

International Journal of Health Services ◽

10.2190/w0vc-v1bw-wu54-cpq5 ◽

1988 ◽

Vol 18 (2) ◽

pp. 335-342 ◽

Cited By ~ 16

Author(s):

Anthony E. Isenalumhe ◽

Osawaru Oviawe

Keyword(s):

Health Care ◽

Medical Care ◽

Health Care System ◽

University Teaching ◽

Therapeutic Implications ◽

Drug Policies ◽

Pediatric Outpatients ◽

Nigerian University ◽

Cost Of Drugs ◽

Care System

In order to determine the economic and therapeutic implications of the prescriber habit in a drug-oriented health care system, data were collected on the provisional diagnosis, prescribed drugs, and their cost and procurement pattern among 1450 pediatric outpatients in a Nigerian University Teaching Hospital. It was found that on average, about five drugs were prescribed for each patient, and there was a tendency to prescribe more expensive and sometimes unnecessary drugs. The more the number or higher the cost of drugs prescribed, the less patients procured them. It is therefore recommended that health care authorities and physicians in similar settings should review their drug policies and prescribing habits in order to discourage polypharmacy and the high cost of chemotherapy, with their attendant barrier to medical care.

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Markets in Health Care: The Case of Renal Transplantation

The Journal of Law Medicine & Ethics ◽

10.1111/j.1748-720x.2007.00133.x ◽

2007 ◽

Vol 35 (2) ◽

pp. 249-255 ◽

Cited By ~ 5

Author(s):

Troyen Brennan

Keyword(s):

Health Care ◽

Health Care System ◽

Organ Procurement ◽

Universal Access ◽

Developed Countries ◽

American Health Care System ◽

Outcomes Of Care ◽

Recent Developments ◽

State Programs ◽

Care System

Recent developments in organ procurement have revived the much-debated role of markets in our health care system. The unique American health care system, with its presumption of universality alongside private health insurance and relatively limited federal and state programs, is in many ways consumer-driven today. We certainly tolerate more broad disparities in availability of care and in outcomes of care largely based on socioeconomic status than do many other developed countries, where notions of universal access are supported by broader public financing.

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