Cross-border value-based innovation procurement in health systems: the Euriphi Project

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F Fera ◽  
M Di Ciano ◽  
G Gorgoni
Keyword(s):  
Integrated Care ◽  
Unmet Needs ◽  
Care Delivery ◽  
Public Procurement ◽  
Rapid Diagnosis ◽  
Open Market ◽  
Horizon 2020 ◽  
Adoption Of Innovation ◽  
Care Systems ◽  
Definition Of

Abstract The EU Coordination and Support Action, under Horizon 2020 “Innovation in Healthcare”, aims at the adoption of innovation in health and care systems and advancing procurement of innovation practices. In response to this initiative, a consortium of 25 leading organizations in procurement and health care has been created. Among the project partners, AReSS Puglia, in collaboration with InnovaPuglia (public provider of Apulian system), analysed and exploited the best integrated solution to adopt in the Health and Care system. The EURIPHI project has successfully contributed to address common unmet needs and shortcomings in the current care delivery by using value-based innovation procurement for Public Procurement of Innovation Solutions and Pre-Commercial Procurement in the field of rapid-diagnosis of infectious diseases and integrated care. Regions, providers and procurers joined the effort to map the unmet needs and to have a broader view on demands for innovative solutions for rapid diagnosis for infectious disease and integrated care. After the definition of unmet needs and, therefore of procurement objectives, the EURIPHI consortium organized two Open Market Consultations with the industry, one in the field of rapid diagnosis and in integrated care. Two ecosystems have been created to ensure the sustainability of the project's results the EURIPHI Health & Social Care Regions Network and Value Based Procurement Community of Practice. Puglia Region is at the forefront of the two, together with other relevant healthcare stakeholders across Europe. The needed reform of health and care systems in Europe requires the adoption of innovation and integrated solutions. One way forward is to rethink procurement policies. A positive transformation in this area definitively is to elevate procurement practices towards an approach that awards the value offered by innovation or integrated solution.

scholarly journals European Integrated Care Horizon 2020: increase societal participation; reduce care demands and costs in Finnish context

2019 ◽  
Author(s):  
Katja Heikkinen ◽  
Mari Lahti ◽  
Johanna Berg ◽  
Arina Kiseleva ◽  
Sini Eloranta
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Integrated Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Well Being ◽  
Poor Mental Health ◽  
Horizon 2020 ◽  
Societal Participation ◽  
Mental Health Client

This project is part of larger European level integrated care project led by HU University of Applied Sciences.Background: In Finland, the integration of social and health care services has taken centre stage in both the policy and practice arenas. The needs of many client groups, for example mental health client, older people and families of child, are many and varied.For example, poor mental health considerably impairs well-being of the population and has considerable economic consequences like absence from work, early retirement and productive losses. Efforts to move towards integrated care in social and health care have been met with increased interest and enthusiasm in recent years.  This will increase the focus to improve care and population health while containing costs. However, there is a need to better understand different integrated care approaches for social and health care and guide future implementation of new integrated care models.It is now important to move towards integrated care for many client groups e.g. mental disorders. In this, professionals with different training backgrounds co-ordinate their expertise in providing care for theirshared clients. It provides a safe nexus for the exchange of knowledge and opinions, as well as a framework for reaching a consensus about appropriate health care delivery for a particular client or client cohort. The client should have an immediate access to integrated care, with a focus on rehabilitation in patient’s social roles.Aim: Support societal participation, quality of live and reduce care demand and costs in social and health care client, for example mental health client through integration of healthcare and welfare services. 

Digital Technologies as a Catalyst for Change towards Integrated Care Delivery

2016 ◽  
Vol 5 (2) ◽  
pp. 31-49 ◽  
Author(s):  
Lutz Kubitschke ◽  
Ingo Meyer ◽  
Sonja Müller ◽  
Kira Stellato ◽  
Andrea Di Lenarda
Keyword(s):  
Integrated Care ◽  
Care Delivery ◽  
Digital Technologies ◽  
Lessons Learned ◽  
End User ◽  
Working Models ◽  
Research Activities ◽  
Implementation Approach ◽  
Care Systems ◽  
Different Levels

The quest for more integrated care is not in itself new, but recent technology developments have nourished hopes that application of advanced digital solutions can make a major contribution to better joined-up care delivery, in particular to those suffering from chronic conditions. However, in contrast, with an enormous breadth of research activities, few instances of routine application of integrated eCare have yet emerged. This raises the question whether the concept of digitally-supported care delivery is indeed a present-day reality transforming traditionally separated care systems or just a hyped-up vision of what could be. Based on a review of recent evidence, including lessons learned from pilot implementations in different countries, the authors argue that the inherent properties of digital technologies do not by themselves lead to better-integrated care delivery. Rather, a reasonable implementation strategy needs to take account of the fact that desired end user support is not delivered by such technologies alone, but by socio-technical systems. An implementation approach that pays simultaneous attention to the stakeholders involved, to the particular working models of the different care actors, and to the technologies to be employed is shown to considerably increase the likelihood of achieving positive impacts on different levels, even if risks and uncertainty cannot be completely avoided.

The Future of Health Care in South Korea and the UK

2006 ◽  
Vol 5 (3) ◽  
pp. 375-385 ◽  
Author(s):  
Bob Matthews ◽  
Yoonsoon Jung
Keyword(s):  
Health Care ◽  
South Korea ◽  
Care Delivery ◽  
Health Care Systems ◽  
Public Provision ◽  
Capitalist System ◽  
Private Provision ◽  
Care Systems ◽  
Health Care Delivery Systems ◽  
The Uk

This paper discusses and compares the origin and development of the health care systems of South Korea and the UK from the end of WW2 and endeavours to compare outcomes. The paper emphasises the importance of war as a stimulus to the development of national health services in both countries and argues that there is convergence between the UK's nationalised NHS and South Korea's US-modelled capitalist system. Overall, we conclude that there is a possibility not only that the financing and nature of the Korean and UK health care delivery systems may show convergence, but it is not impossible that they will ‘change places’ with the UK system dominated by private provision and South Korea's by public provision.

Integrated care delivery

2018 ◽  
Vol 23 (9) ◽  
pp. 414-414
Author(s):  
Alison While
Keyword(s):  
Integrated Care ◽  
Care Delivery

scholarly journals Social commissioning in the sphere of social services provision

2021 ◽  
Vol 66 ◽  
pp. 113-117
Author(s):  
M.O. Buk
Keyword(s):  
Social Services ◽  
Social Order ◽  
Social Care ◽  
Social Issues ◽  
Public Procurement ◽  
The State ◽  
The Social ◽  
The Law ◽  
Definition Of ◽  
State Regional

This article is dedicated to the analysis of the essential hallmarks of social services procurement. The attention is focused on the absence of the unity of the scientists’ thoughts as for the definition of the term “social procurement”. It has been determined that in the foreign scientific literature the scientists to denote the term “social procurement” use the notions “social contracting”, “social order” and “social commissioning”, and they use these notions with slightly different meanings. Therefore, the notion “social procurement” is defined as: 1) activity of a country; 2) form of the state support; 3) complex of measures; 4) legal mechanism. The article has grounded the expediency of the definition of social procurement in the legal relations of social care as a special legal way to influence the behavior of the parties of the social care legal relations. The publication advocates the idea that social procurement is one of the conditions for the rise of the state and private sectors partnership. The state-private partnership in the legal relations regarding the provision of social services is proposed to be defined as cooperation between Ukraine, AR of Crimea, territorial communities represented by the competent state bodies, self-government bodies (authorized bodies in the sphere of social services provision) and legal entities, but for the state and municipal enterprises and establishments, and organizations (providers of social services) regarding the provision of social services, which is carried out on the basis of an agreement and under the procedure set by the Law of Ukraine “On Social Services” and other legal acts that regulate the social care legal relations. The article substantiates the thesis that the subject of the social procurement is social services and resolution of social issues of the state/regional/local levels in the aspect of the satisfaction of the needs of people/families for social services (state/regional/local programs of social services). It has been determined that the main forms of realization of the social procurement in the social care legal relations are public procurements of social services and financing of the state/regional/local programs of social services. The public procurement of social services is carried out under the procedure set by the Law of Ukraine “On  Public Procurement” taking into account the special features determined by the Law of Ukraine “On Social Services”. The social procurement in the form of financing of the state/regional/local programs of social services is decided upon the results of the tender announced by a client according to the plan for realization of the corresponding target program.

scholarly journals The Prevalence of Chronic Pain in Canada

2011 ◽  
Vol 16 (6) ◽  
pp. 445-450 ◽  
Author(s):  
Donald Schopflocher ◽  
Paul Taenzer ◽  
Roman Jovey
Keyword(s):  
Chronic Pain ◽  
Care Delivery ◽  
Case Definitions ◽  
Survey Questions ◽  
Industrialized Nations ◽  
High Prevalence ◽  
Prevalence Estimates ◽  
Pain Prevalence ◽  
Definition Of ◽  
Survey Methodologies

Published population estimates of the prevalence of chronic pain have been highly variable due, in part, to differences in definitions and study methodologies. Designing health care delivery models that address chronic pain and reduce its impact, however, require accurate, up-to-date prevalence data. This article first reviews studies that examined the prevalence of chronic pain both internationally and in Canada. The ensuing sections describe a telephone-based survey of a well-defined population of adults using a detailed and sequential definition of chronic pain, and well-validated and reliable data collection tools for establishing the prevalence of chronic pain in Canada.BACKGROUND: While chronic pain appears to be relatively common, published population prevalence estimates have been highly variable, partly due to differences in the definition of chronic pain and in survey methodologies.OBJECTIVES: To estimate the prevalence of chronic pain in Canada using clear case definitions and a validated survey instrument.METHODS: A telephone survey was administered to a representative sample of adults from across Canada using the same screening questionnaire that had been used in a recent large, multicountry study conducted in Europe.RESULTS: The prevalence of chronic pain prevalence for adults older than 18 years of age was 18.9%. This was comparable with the overall mean reported using identical survey questions and criteria for chronic pain used in the European study. Chronic pain prevalence was greater in older adults, and females had a higher prevalence at older ages compared with males. Approximately one-half of those with chronic pain reported suffering for more than 10 years. Approximately one-third of those reporting chronic pain rated the intensity in the very severe range. The lower back was the most common site of chronic pain, and arthritis was the most frequently named cause.CONCLUSIONS: A consensus is developing that there is a high prevalence of chronic pain within adult populations living in industrialized nations. Recent studies have formulated survey questions carefully and have used large samples. Unfortunately, a substantial proportion of Canadian adults continue to live with chronic pain that is longstanding and severe.

scholarly journals Essential medicines for emergency care in Africa

2018 ◽  
Vol 35 (7) ◽  
pp. 412-419 ◽  
Author(s):  
Morgan C Broccoli ◽  
Jennifer L Pigoga ◽  
Mulinda Nyirenda ◽  
Lee Wallis ◽  
Emilie J Calvello Hynes
Keyword(s):  
Emergency Care ◽  
Online Survey ◽  
Care Delivery ◽  
Careful Consideration ◽  
Essential Medicines ◽  
Health Priorities ◽  
Consensus Process ◽  
Expert Review ◽  
District Hospitals ◽  
Care Systems

ObjectivesEssential medicines lists (EMLs) are efficient means to ensure access to safe and effective medications. The WHO has led this initiative, generating a biannual EML since 1977. Nearly all countries have implemented national EMLs based on the WHO EML. Although EMLs have given careful consideration to many public health priorities, they have yet to comprehensively address the importance of medicines for treating acute illness and injury.MethodsWe undertook a multistep consensus process to establish an EML for emergency care in Africa. After a review of existing literature and international EMLs, we generated a candidate list for emergency care. This list was reviewed by expert clinicians who ranked the medicines for overall inclusion and strength of recommendation. These medications and recommendations were then evaluated by an expert group. Medications that reached consensus in both the online survey and expert review were included in a draft emergency care EML, which underwent a final inperson consensus process.ResultsThe final emergency care EML included 213 medicines, 25 of which are not in the 2017 WHO EML, but were deemed essential for clinical practice by regional emergency providers. The final EML has associated recommendations of desirable or essential and is subdivided by facility level. Thirty-nine medicines were recommended for basic facilities, an additional 96 for intermediate facilities (eg, district hospitals) and an additional 78 for advanced facilities (eg, tertiary centres).ConclusionThe 25 novel medications not currently on the WHO EML should be considered by planners when making rational formularies for developing emergency care systems. It is our hope that these resource-stratified lists will allow for easier implementation and will be a useful tool for practical expansion of emergency care delivery in Africa.

A Comparison of Organized and Traditional Health Care

2005 ◽  
Vol 44 (02) ◽  
pp. 273-277
Author(s):  
D. M. Lawrence
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Systems ◽  
Delivery Systems ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Care Systems ◽  
Health Care Delivery Systems

Summary Purpose: To compare organized and traditional health care delivery systems and their ability to meet several major challenges facing health care in the next 25 years. Approach: Analysis of traditional and organized health care systems based on a career spent in organized health care systems. Conclusions: The traditional health care system based on independent autonomous physicians is not able to meet the challenges of current healthcare. Stronger integration and coordination, i.e., organized health care delivery systems are required.

Parental Self-Efficacy: A Concept Analysis Related to Teen Parenting and Implications for School Nurses

2018 ◽  
Vol 35 (1) ◽  
pp. 8-14 ◽  
Author(s):  
Debra C. Sims ◽  
Anita J. Skarbek
Keyword(s):  
Self Efficacy ◽  
Care Delivery ◽  
Concept Analysis ◽  
Operational Definition ◽  
School Nurses ◽  
School Nursing ◽  
Analysis Framework ◽  
Teen Parents ◽  
Definition Of ◽  
Concept Review

Levels of parental self-efficacy are correlated with both positive and negative care delivery and developmental outcomes for parents and their infants. School nurses are in a unique position to facilitate parenting self-efficacy in teen parents. Using the concept analysis framework of Walker and Avant, parental self-efficacy is analyzed and elucidated to distinguish the concept’s defining attributes, antecedents, consequences, and empirical referents. The operational definition of parental self-efficacy arising from this concept review is an individual’s belief that he or she is capable of integrating and executing the knowledge and skills necessary to parent their infant. Model, borderline, related, and contrary cases are presented, along with implications for school nursing practice. School nurses are ideally situated to assist teen parents with parental self-efficacy realization tasks.

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