Principles of Health Care Management: Foundations for a Changing Health Care System (2nd ed.)

2010 ◽  
Vol 23 (3) ◽  
Author(s):  
Elena AKSENOVA ◽  
◽  
Alexandr ZUDIN ◽  
Anastasiya METELSKAYA ◽  
◽  
...  

The article discusses some theoretical aspects of using the concept of "lean manufacturing" in the implementation of the practice of management of the health care system and medical services. The main problems of functioning of polyclinic institutions and tasks solved by implementing the "lean polyclinic" system are highlighted.


2020 ◽  
Vol 6 (1) ◽  
pp. 63-69
Author(s):  
Donald L. Zimmerman ◽  
Lisheng Yu ◽  
Ruoh-yi Cheng ◽  
Randy Kearns

Overview. A partnership between the undergraduate health care management program at a U.S. public research university and a Chinese university provided ongoing opportunities for U.S. faculty to teach introductory health care management courses in China. These courses have been offered every semester since Spring 2018 with course enrollment ranging from 18 to 52 students. Method. This research was based in grounded theory and aimed at creating an effective teaching strategy for Chinese students. The premises used for this task were cultural humility, ongoing personal reflection and self-critique, the active use of student feedback, and ongoing collaboration with Chinese faculty. Findings. Three pedagogical barriers were addressed as the most parsimonious and useful framework for improving teaching practice in China: (1) Differences between U.S. and Chinese health care systems made comparisons problematic. Response: A new teaching model for visualizing the core components of a health care system was successfully developed and used. (2) Differences between English and Mandarin Chinese created translation gaps. Response: Bilingual presentation materials were developed based on a scaffolding of “thick translations.” (3) There were difficulties in navigating the political landscape. Response: U.S. faculty shifted focus from locating their presentations in the political landscape of China to offering a window into the U.S. health care system from American perspective. To date, Chinese student evaluations have been extremely positive across all courses. Need for Further Research. While U.S. faculty have made significant progress in creating effective teaching strategies for Chinese students, additional research is needed to further identify and refine best practices.


Author(s):  
Madhuri Prakash Kubal ◽  
Archana Raman Belge

The Coronavirus Disease 2019 (COVID-19) has affected largest population of world in several aspects. The consequences of this pandemic are multidimensional. Developing countries like India, where health care system is already struggling with many problems, and sudden outburst of COVID-19 created major challenges in terms of public health management. During management of COVID-19 patients, in second most populous country of world, Indian health care system is overburdened. This has left impact on overall health care management of COVID-19 and non COVID-19 patients. Objective: To review the public health crisis created during COVID-19 in India. Method: Various articles and studies performed during COVID-19 related to health care management are referred to have critical review of COVID-19 situation, its management and public health care challenges. Result: In the process of containing COVID-19 spread and treatment various measures and guidelines has been adopted regarding health care like restrictions on hospitalization of other than COVID-19 patients, curtailing surgeries etc. Diversion of health care system to COVID-19 patients has affected essential health services like Immunization, ANC services, treatment for Non-communicable diseases. Conclusion: Preparation of health care system for future pandemic like conditions by instituting a regular audit at health care centres and hospitals has become necessary. Need of investing in infrastructure, effective planning and overall strengthening of primary health care services has been identified. It is foremost step to ensure their functioning during emergencies without affecting regular basic health services, which majorly contributes in population health.


Author(s):  
Rami Salem Mosleh ◽  
Noorizan Abd Aziz ◽  
Salmiah Mohd Ali ◽  
Mohamed Mansor Manan ◽  
Sa'ed Zyoud ◽  
...  

  Objectives: The aim of this study is to assess glycemic control and its relationship with patient characteristics, health-care system factors, and self-care management in type II diabetes patients.Methods: A retrospective cross-sectional study was conducted among 330 type II diabetes patients who met the inclusion criteria and whose medical records covered a period of 1 year. Data concerning patient characteristics, health-care system factors, self-care management, and available last reading of hemoglobin A1c (HbA1c) were collected through personal interviews and a medical records’ review using structured questionnaires and data collection forms. Good glycemic control was defined as HbA1c ≤7%. To assess the results, the Statistical Package for Social Sciences (version 16) was used to undertake descriptive, univariate, and multivariate analyses.Results: The mean±standard deviation age was 60±9.7 years. More than half of the participants were male (51.2%), and the majority had additional chronic diseases (88.5%). Of the total 271 participants whose HbA1c levels have been monitored, 16.7% had good glycemic control. Multivariate analysis showed that unemployment was significantly related to a decreased odds of good glycemic control (odds ratio=0.34; 95% confidence interval=0.12-0.98; p<0.05).Conclusion: The study noted that the proportion of patients with good glycemic control was low, a result comparable to studies from many countries. Further investigation and improvement of inappropriate health-care system factors and self-care management together with educational programs that emphasize the importance of self-care management and the health-care providers’ role would be of great benefit in glycemic control.


Diabetes ◽  
2019 ◽  
Vol 68 (Supplement 1) ◽  
pp. 1281-P
Author(s):  
ANDIRAN AYANAMBAKKAM NAMBI ◽  
ZIRKA T. SMITH ◽  
MARGARET S. PRESSWOOD ◽  
SOL JACOBS ◽  
ALISA F. MCALEER ◽  
...  

Author(s):  
Katarína Ševcová

In medicine, an intelligent data and communication environment should support diagnosis, prevention and treatment, as well as health care management and influencing a healthy lifestyle. The introduction of the eHealth system into practice is a demanding process, the eHealth system implies obligations for healthcare workers. Many criticize the failure of this project, doctors complain about its malfunction and complexity, patients worry about the safety of their health data. Under the conditions of the Slovak Republic, there is a threat of fines for doctors who do not yet use eHealth. Indeed, many of them, despite their efforts, are unable to join the system, and the state itself has a share of the blame, tolerates this procedure quietly and obscures it with impunity. But the law must be respected.


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