Probable impact of the 1994 elections on laboratory medicine

1995 ◽  
Vol 41 (8) ◽  
pp. 1223-1227
Author(s):  
H S Foster
Keyword(s):  
Clinical Laboratory ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Policy Makers ◽  
Quarter Century ◽  
The Past ◽  
Probable Impact ◽  
Clinical Laboratory Improvement Amendments

Abstract During the past quarter century, federal health policy makers concerned themselves with: (a) improving the quality of healthcare delivered to the American public; (b) increasing access to needed healthcare services; and (c) curtailing the escalating cost of such services. These goals led Congress to expand the role of the federal government in regulating the delivery of healthcare. The enactment of the Clinical Laboratory Improvement Amendments of 1988 (CLIA '88) was a significant and widely discussed example of how Congress, when controlled by the Democrats, sought to correct healthcare problems and achieve federal objectives. In November 1994, the Republicans won majorities in both the Senate and the House, promising to reduce the federal government's power. Many now believe that CLIA '88, or significant parts of it, could be substantially modified as part of this effort. This paper addresses the developments that led the Democrats to seek enactment of CLIA '88 and the likely arguments that may be offered by the Republicans to lessen the rigor and scope of the law.

Quality of Healthcare Services in Rural India: The User Perspective

2011 ◽  
Vol 36 (1) ◽  
pp. 51-60 ◽  
Author(s):  
J K Sharma ◽  
Ritu Narang
Keyword(s):  
Service Quality ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Developing Nations ◽  
User Perception ◽  
Policy Makers ◽  
Life Years ◽  
Physical Access

Developing nations have been focusing on relevant infrastructure, technology, disease control, and health outcomes in terms of deaths and disability-adjusted life years, largely ignoring the service quality aspect from the patient's viewpoint. However, researchers opine that real improvement in quality of care cannot occur if the user perception is not involved. Patients' perception is significant as it impacts their ‘health-seeking behaviour’ including utilization of services, seeks involvement in issues directly related to them, enables the service provider to meet their expectations better, and provides relevant information to the policy makers to improve the quality. Some studies conducted in the recent years have made attempts to develop multi-dimensional scales and measure quality of healthcare services in the developing nations. The current study seeks to assess the perception of patients towards quality of healthcare services in rural areas of seven districts of Uttar Pradesh based on the scale developed by Haddad et al (1988) after making adjustment for Indian culture and language. 500 patients were contacted at the healthcare centres. A response rate of 79.2 per cent was obtained resulting in 396 complete questionnaires. The 23-item scale employed in the study comprised five homogeneous sub-scales and tested well for reliability. The findings illustrated some interesting differences in user perception regarding service quality and how they varied between different healthcare centres and according to the demographic status of patients. It was observed that: ‘Healthcare delivery’ and ‘financial and physical access to care’ significantly impacted the perception among men while among women it was ‘healthcare delivery’ and ‘health personnel conduct and drug availability’. With improved income and education, the expectations of the respondents also increased. It was not merely the financial and physical access that was important but the manner of delivery, the availability of various facilities and the interpersonal and diagnostic aspect of care as well that mattered to the people with enhanced economic earnings. What was most astonishing was the finding that the overall quality of healthcare services is perceived to be higher in Primary Healthcare Centres than in Community Healthcare Centres (CHCs). Inadequate availability of doctors and medical equipments, poor clinical examination and poor quality of drugs were the important drawbacks reported at CHCs. The current study demonstrates that the instrument employed was reliable and possessed the power to discern differences in the opinion of people on the basis of demographic factors and point out the quality differences in different healthcare centres. It could be employed to evaluate healthcare quality perception in other rural and urban regions of the country and to assess the perception of users towards private healthcare centres. Further, research could be conducted on price-quality relationship. The government and policy makers are urged to consider the perceptions of patients as well in order to affect improvement in the quality of services and subsequently increase their utilization.

Empirical Evidence on Violations of Patient Rights in the Republic of Slovenia

2016 ◽  
Vol 14 (3) ◽  
pp. 575-589
Author(s):  
Anka Mohorič Kenda ◽  
Robert Leskovar ◽  
Rajko Pirnat ◽  
Duško Uršič ◽  
Milan Pukšič
Keyword(s):  
Simulation Model ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Patient Rights ◽  
Policy Makers ◽  
Patient Complaints ◽  
The Republic ◽  
Determination Of Parameters

The objective of the study was to: a) Analyse the causes of patient complaints on a large sample of the population of the Republic of Slovenia, and b) Develop a discrete simulation model used for the handling of patient complaints. Data obtained from the survey (N=1195), was used in the determination of parameters while legislation in the field of patient rights was employed to determine the structure of the simulation model. The model was used to simulate activities for different categories and paths of complaints. The most commonly identified causes of patient complaints were identified as follows: violation of legislative stipulations (93.6%), deterioration of health (93.1%), suspected improper treatment (91.7%), staff unavailability (91.1%), disregard of violations (90.9%) and loss of documentation (89.4%). Through improved transparency and safe electronic access, the simulation of patient complaints process enables feedback for policy makers to foster the quality of healthcare services.

A psychiatric pharmacist in a liver clinic managing treated patients with chronic hepatitis C viral infection

2014 ◽  
Vol 4 (6) ◽  
pp. 266-270
Author(s):  
Susie H. Park
Keyword(s):  
Chronic Hepatitis ◽  
Hepatitis C ◽  
Chronic Hepatitis C ◽  
Psychiatric Symptoms ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Direct Patient Care ◽  
Practice Model

A board-certified psychiatric pharmacist is an ideal clinician to manage medication needs for patients being treated for chronic hepatitis C virus infection. Underlying psychiatric symptoms should be managed before initiating medications such as interferons-therapeutic biologicals associated with causing psychiatric adverse events, including suicide. The role of a psychiatric pharmacist in a hepatitis C liver clinic highlights the value of a psychiatric pharmacist providing direct patient care and improving the quality of healthcare services in a subspecialty practice model.

Preventive aspect of ayurveda and yoga towards newly emerging disease COVID-19

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Ranjeet S. Sawant ◽  
Bharat D. Zinjurke ◽  
Sandeep V. Binorkar
Keyword(s):  
Public Health ◽  
Severe Acute Respiratory Syndrome ◽  
Medical Care ◽  
Supportive Therapy ◽  
Prophylactic Therapy ◽  
Current Line ◽  
Therapeutic Aspect ◽  
The Past

Abstract The ongoing coronavirus pandemic is caused by severe acute respiratory syndrome coronavirus 2 (SARS CoV 2) and unique in various facets. The earlier experience from the past severe acute respiratory syndrome (SARS) epidemics seem to be insufficient and there is need for better strategies in public health and medical care. Ayurved & Yog are well known for their preventive and therapeutic aspect, but not getting utilized properly for prevention of Covid 19 crisis which may also be helpful as supportive therapy along with current line of management. This paper is aimed at unrevealing the role of Ayurved and Yoga guidelines established by Department of AYUSH for prevention from SARS-CoV-2 by providing help to improving the quality of supportive/prophylactic therapy in relation with their immunity.

scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

Mothering from a Distance: The Lived Experiences of Filipina Transnational Mothers in Singapore

2021 ◽  
pp. 106648072110618
Author(s):  
Jeffrey R. Ballaret ◽  
Jonel P. Lanada
Keyword(s):  
Labor Migration ◽  
Lived Experiences ◽  
Positive Thinking ◽  
Economic Prosperity ◽  
Virtual Communication ◽  
The Past ◽  
New Family ◽  
Transnational Mothers

Transnational motherhood continues to grow among Filipina mothers. It resulted in economic prosperity and quality of life of Filipino families but caused family pressures within the sphere of motherhood. This qualitative study is grounded through the philosophical lens of phenomenology aimed to explore the lived experiences of transnational mothers. It seeks to understand their life history, present experiences that redefined their motherhood, and reflections of the future. The lived experiences of transnational mothers began with the experience of the personal and structural dimensions of poverty in the past. Their decision to embark on labor migration was primarily instrumental to alleviate their life condition. However, mothering from a distance has ensued emotional, social, and psychological strains. To cope with the situation, they observed four central coping ways: the role of faith and prayer; the repression of emotional strains through work and friends; focus and positive thinking; and the rationalization of distance by way of regular virtual communication and remittances. The hopes of transnational mothers revealed their yearning for family reunification predicated on improving their family life through financial security, savings, and children's education. This intersection between motherhood and labor migration has therefore created new family forms, structures, roles, meaning, and expectations.

La politica dei Cluster in Europa: tendenze e criticitŕ emergenti

ARGOMENTI ◽  
2009 ◽  
pp. 99-122
Author(s):  
Alessandro Minello
Keyword(s):  
European Commission ◽  
Complex Adaptive Systems ◽  
Adaptive Systems ◽  
Triple Helix ◽  
Cluster Policy ◽  
Policy Makers ◽  
Critical Elements ◽  
Complex Adaptive

- Cluster policy today represent one of the main elements of the European agenda, both for policy makers and for practitioners. In the last decade an extensive-type cluster policy has produced a proliferation of clusters all over the Europe, but the generated quality of clusters created has not always been quite satisfactory. Following the input by the European commission, currently is underway a qualitative review of the goals and processes of European cluster policy. This paper aims at presenting such changes in the European cluster policy, beside the main lessons that can be learned. The analysis emphasizes some critical elements of the current process of "clustering" and highlights the role of the institutions, besides the market, in the planning of new clusters and the strengthening of those existing. The final message is that Europe needs a better cluster policy, rather than more clusters, according to the growing complexity and dynamism of clusters.Parole chiave: cluster, politica dei cluster, approccio triple-helix, sistemi adattivi complessi.Keywords: cluster, cluster policy, triple helix approach, complex adaptive systems.

MEASURING SPATIAL HEALTHCARE FACILITIES ACCESSIBILITY USING TWO-STEP FLOATING CATCHMENT ANALYSIS (2SFCA) (Case Study: Cianjur Regency, Indonesia)

2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami
Keyword(s):  
Travel Time ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Spatial Disparities ◽  
Time Threshold

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.

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