Utilization of health care services in public and private healthcare in India: Causes and determinants

AbstractBlack medicine represents the most problematic configuration of informal payments for health care. According to the accepted economic explanations, we would not expect to find black medicine in a system with a developed private service. Using Israel as a case study, we suggest an alternative yet a complimentary explanation for the emergence of black medicine in public health care systems – even though citizens do have the formal option to use private channels. We claim that when regulation is weak and political culture is based on ‘do it yourself’ strategies, which meant to solve immediate problems, blurring the boundaries between public and private health care services may only reduce public trust and in turn, contribute to the emergence of black medicine. We used a combined quantitative and qualitative methodology to support our claim. Statistical analysis of the results suggested that the only variable significantly associated with the use of black medicine was trust in the health care system. The higher the respondents’ level of trust in the health care system, the lower the rate of the use of black medicine. Qualitatively, interviewee emphasized the relation between the blurred boundaries between public and private health care and the use of black medicine.

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Mobile Apps, a tool for public health

Mexican Journal of Medical Research ◽

10.29057/mjmr.v8i16.3970 ◽

2020 ◽

Vol 8 (16) ◽

pp. 33-39

Author(s):

Ma. Elena Cruz-Cortes

Keyword(s):

Public Health ◽

Health Care ◽

Health Care Services ◽

Mobile Apps ◽

Mobile App ◽

Public And Private ◽

Public Health Programs ◽

Care Services ◽

Effective Counseling ◽

Access And Quality

The use of mobile apps in healthcare turned around the paradigm in which the medical service is underneath. M-Health is an increasing sector that offers a lot of innovation possibilities, it makes information available at any time. It allows the access to a large universe of tools that pledge to be of great benefit and become an important resource in the provision of health services due to its easy diffusion, use and wide acceptance. The mobile app help in diagnosis, treatment, disease prevention and effective counseling of health information. The reviewed literature reveal that M-Health in Mexico has a great potential to ameliorate access and quality of health-care services, boosting effectiveness of public health programs and the abatement of health care costs. The objective of this article is to explain the relation and benefits of e-Health and m- Health in the health care field and to identify the mobile app developed in public and private health care services in Mexico

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RELUCTANCE TO SERVE IN RURAL AREAS: DOCTORS' PERSPECTIVE

Pakistan Journal of Public Health ◽

10.32413/pjph.v7i3.71 ◽

1970 ◽

Vol 7 (3) ◽

pp. 157-162 ◽

Cited By ~ 1

Author(s):

Tamkeen Nishat Jaffry ◽

Samiha Mirza ◽

Shehla Farheen ◽

Sadaf Khalid

Keyword(s):

Health Care ◽

Rural Areas ◽

Health Care Services ◽

Cross Sectional Study ◽

Working Environment ◽

Cross Sectional ◽

Public And Private ◽

Care Services ◽

Rural And Remote Areas ◽

Public And Private Hospitals

Background: Pakistan's health care system has been adversely affected by the non-availability of doctors in its rural and remote areas. It is the high time to realize that the improvement in the standard of health care services can be achieved with willingness and dedication of doctors to work in these areas which is only possible by providing them with suitable working environment. Methods: This was a descriptive cross-sectional study conducted on 200 doctors working in public and private hospitals/clinics of Islamabad, Pakistan. Data was collected through a questionnaire and processed in SPSS software version 16. Results: 200 doctors comprising of 113 males and 87 females were recruited for the study. The mean age was 30 years (0.65 SD). Majority (86.5 %) of the doctors were of the view; that indeed it was the non-availability of doctors at rural health care centres for poor health services in such areas. 83.9 % agreed that basic facilities were lacking in rural areas. Regarding transportation, 74.5 % had the opinion that these facilities were inadequate in rural areas. Nevertheless, 84.5 % agreed that by improving the basic facilities of life, working conditions could be improved. However, 72.5 % supported the idea of extra hard area grant to improve doctors' motivation towards serving rural areas. Conclusion: Doctors were reluctant to serve in rural areas because of the difficulties affecting their social, professional and family life. By developing the infra-structure of health centres and by providing some special incentives to the serving doctors, this issue can be resolved to a considerable extent.

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Perception of hematologists and oncologists about the biosimilars: A prospective Tunisian study based on a survey

Journal of Oncology Pharmacy Practice ◽

10.1177/1078155219848817 ◽

2019 ◽

Vol 26 (1) ◽

pp. 124-132 ◽

Cited By ~ 1

Author(s):

Selma Hadoussa ◽

Mehdi Bouhlel ◽

Mohamed A Soussi ◽

Chema Drira ◽

Myriam Hadoussa ◽

...

Keyword(s):

Health Care ◽

Access To Health Care ◽

Health Care Services ◽

General Knowledge ◽

Public And Private ◽

Care Services ◽

Lack Of Information ◽

Health Authorities ◽

Access To Health ◽

Descriptive Survey

Introduction Biosimilar drugs have significantly shaken the global pharmaceutical market through a better access to the health care services. The aim of this study is to establish a state of play in Tunisia based on the knowledge and perceptions of doctors on biosimilars in order to identify the problems related to these drugs and to propose solutions for improvement. Materials and methods In our study, we conducted a prospective, descriptive survey using a questionnaire, destinated to oncologists and hematologists with different grades, from both public and private sectors and from several regions. The questions focused on physicians' general knowledge of biosimilars and their comparison with reference on safety, quality, efficacy, and indication. Finally, we explored the proportion of physicians who are favorable to the policy encouraging biosimilar use. Results One hundred and seven doctors among 150 answered the questionnaire; 57% were oncologists and 43% were hematologists. About one over five physicians defines biosimilar as a chemical drug. About 29% do not differentiate between a biosimilar and a generic one. A percentage of 68 believe that a biosimilar can have all the indications of its reference following complementary clinical studies. On the other side, 68.2% support the policy encouraging these drugs. Last, only 3.7% of the practitioners believe that they are well informed about biosimilars. Discussion Our results are comparable to other surveys described in the literature. However, this is the first study that targets oncologists and hematologists specifically. Conclusion Our study showed a lack of information from oncologists and hematologists about biosimilars in Tunisia. Thus, health authorities should carry out training programs on biosimilars and introduce clear and effective legislation in order to allow better access to health care services.

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Entendiendo la Economía de la Salud: Una revisión de los estudios sobre eficiencia, equidad y desigualdades

Studies of Applied Economics ◽

10.25115/eea.v31i2.3283 ◽

2020 ◽

Vol 31 (2) ◽

pp. 281

Author(s):

Marta Pascual Sáez ◽

David Cantarero Prieto

Keyword(s):

Health Care ◽

Health Economics ◽

Access To Health Care ◽

Health Care Services ◽

Current Status ◽

Public And Private ◽

Future Evolution ◽

Care Services ◽

Access To Health ◽

Equity In Access

This paper examines the current development and influence of health economics to efficiency, equity and inequality issues. Besides, the current status of public and private sectors and their collaboration with health care provision and financing systems is showed. The results suggest that future evolution of health economics will create useful tools for improving quality and equity in access to health care services. Nevertheless, to obtain a comprehensive vision in relation with health economics studies, it is advisable to use a set of complementary measures.

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Setting Health Care Services Tariffs in Iran: Half a Century Quest for a Window of Opportunity

10.21203/rs.2.24711/v2 ◽

2020 ◽

Author(s):

Leila Doshmangir ◽

Arash Rashidian ◽

Farhad Kouhi ◽

Vladimir S Gordeev

Keyword(s):

Health Care ◽

Health System ◽

Health Care Services ◽

Analysis Data ◽

Lessons Learned ◽

Structured Interviews ◽

Public And Private ◽

Middle Income ◽

Care Services ◽

The Right

Abstract Background: The process of medical tariffs setting in Iran remains to be a contentious issue and is heavily criticized by many stakeholders. This paper explores the experience of setting health care services tariffs in the Iranian health care system over the last five decades. Methods: We analyzed data collected through literature review and reviews of the official documents developed at the various levels of the Iranian health system using inductive and deductive content analysis. Twenty-two face-to-face semi-structured interviews supplemented the analysis. Data were analysed and interpreted using 'policy triangle' and 'garbage can' models.Results: Our comprehensive review of changes in the medical tariff setting provides valuable lessons for major stakeholders. Most changes were implemented in a sporadic, inadequate, and a non-evidence-based manner. Disparities in tariffs between public and private sectors continue to exist. Lack of clarity in tariffs setting mechanisms and its process makes negotiations between various stakeholders difficult and can potentially become a source of a corrupt income. Such clarity can be achieved by using fair and technically sound tariffs. Technical aspects of tariff setting should be separated from the political negotiations over the overall payment to the medical professionals. Transparency regarding a conflict of interest and establishing punitive measures against those violating the rules could help improving trust in the doctor-patient relationship. Conclusion: Use of evidence-informed models and methods in medical tariff setting could help to strike the right balance in the process of health care services provision to address health system objectives. A sensitive application of policy models can offer significant insights into the nature of medical tariff setting and highlight existing constraints and opportunities. This study generates lessons learned in tariffs setting, particularly for low- and middle-income countries.

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Influence of Leadership, Remuneration and Organizational Culture on Health Madani Trough Performance of Public Hospital as Mediator

Asia Proceedings of Social Sciences ◽

10.31580/apss.v5i2.1127 ◽

2020 ◽

Vol 5 (2) ◽

pp. 185-191

Author(s):

Ana Faizah ◽

Nurhatisyah ◽

Sri Yanti ◽

Nola Puspita Dewi ◽

Chablullah Wibisono

Keyword(s):

Health Care ◽

Organizational Culture ◽

Health Care Services ◽

Public Hospital ◽

Sampling Technique ◽

Sample Population ◽

Public And Private ◽

Care Services ◽

The Government ◽

Hospital Orientation

Health of Madani or Civil Society is "Healthy, Self-reliant and Equitable People”. The hospital as the spearhead of the leading health care services, whereas there are two kind of hospital in Batam, Public and Private Hospital. Orientation performance of hospitals is certainly influenced by the spirit and variable determiner of the hospital's performance, so this study aims to: "analyse of Leadership, Remuneration and Organizational Culture on Health Madani through Performance of Public Hospital”. The study population was all over the State Civil Administration, with a random sampling technique as the sample population, totally 220 respondents. The data were analyzed using SEM. The software used for the structural analysis is AMOS, and for a descriptive study using SPSS version 24.0. The research proves that: Leadership, Remuneration and Organizational Culture on Health Madani through Performance of Public Hospital as Mediator has significant effect. Pursuant to the result of this study is suggested that management of hospital in order to have a spirit of service as health care does not only embed oriented profit, the government also suggested to provide subsidized financing to hospital, so that health Madani which is "Healthy, Self-reliant and Equitable People” can be reached.

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