International intervention will aid Venezuela's Maduro

2020 ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Regime Change ◽  
Gold Deposits ◽  
Content Type ◽  
International Intervention ◽  
Bank Of England ◽  
The Government ◽  
Care System

Significance Responding to the COVID-19 pandemic has enabled President Nicolas Maduro to stabilise his domestic position. The government is leveraging humanitarian needs to bypass US sanctions, including by obtaining fuel shipments from Iran and suing the Bank of England for the return of gold deposits, some of which it proposes to transfer to the UNDP to avert concerns about corruption. Impacts Venezuela’s health care system will be unable to cope with a rise in COVID-19 infections. Guaido’s credibility will remain tarnished from association with another embarrassing regime change attempt. Any belated effort to raise petrol prices will be controversial and unpopular.

Health system responsiveness in Iran: a cross-sectional study in hospitals of Mazandaran province

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Roya Malekzadeh ◽  
Samereh Yaghoubian ◽  
Edris Hasanpoor ◽  
Matina Ghasemi
Keyword(s):  
Health Care ◽  
Social Security ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Mazandaran Province ◽  
Cross Sectional ◽  
Content Type ◽  
System Responsiveness ◽  
Care System

Purpose Responsiveness is a reaction to the reasonable expectations of patients regarding ethical and non-clinical aspects of the health-care system. Responsiveness is a characteristic of health-care system and the observance of the patient’s rights. The purpose of this study is to compare the responsiveness of the health-care system based on the hospital ownership in Mazandaran province in Iran. Design/methodology/approach The cross-sectional study design was used on 1,083 patients referred to public and private hospitals and hospitals affiliated to social security organization in Mazandaran province in 2017. The World Health Organization’s responsibility questionnaire was used to collect data. Data were analyzed by using SPSS version 21. Descriptive statistics and one-way ANOVA results are presented is the results section. Findings All responsiveness dimensions were salient for respondents. The response rate in the selected hospitals was very close, which ranged from 85.7 to 90.2%, and there was no significant difference between public, private and social security hospitals (p > 0.05). The most crucial responsiveness dimension in hospitals was autonomy. Originality/value In the current study, the dimensions of communication and confidentiality were identified as priority dimensions based on the least score for breeding actions to improve the responsiveness of the health-care system. At the end, some useful recommendations such as re-engineering the processes, training to engage the employees with patients and encouraging them to fill the gap were suggested.

The role of transformative healthcare technology on quality of life during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Health Care System ◽  
Service System ◽  
Content Type ◽  
Care System

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.

scholarly journals How does the pharmaceutical industry influence prescription? A qualitative study of provider payment incentives and drug remunerations in hospitals in Shanghai

2016 ◽  
Vol 11 (4) ◽  
pp. 379-395 ◽  
Author(s):  
Wei Yang
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Clinical Settings ◽  
Medical Department ◽  
Social Functions ◽  
Provider Payment ◽  
Four Levels ◽  
The Government ◽  
Funding Pressure ◽  
Care System

AbstractOver-prescription has become one major problem in China’s health care sector. Incorporating interview data from hospitals in Shanghai, this paper provided empirical evidence on how the process of over-prescription was carried out in day-to-day clinical settings, and demonstrates various mechanisms that allow over-prescription to continue vigorously in the context of the Chinese health care system. In particular, this study identified four levels of incentives that over-prescription was carried out: hospital, medical department, doctors and pharmaceutical companies. Due to the insufficient funding from the government and rising operational costs, hospitals had to rely on the sales of drugs and provision of medical services to survive. This funding pressure then transferred to specific revenue targets for medical departments. A combination of incentives, including drug remunerations, bonus system, low pay and high workloads motivated over-prescription at doctor level. At pharmaceutical company level, high profits of pharmaceuticals products as well as lack of emphasis on efficacy of drugs led to under-table payments and illicit drug remunerations. The study argued that the way that the Chinese health care system operates was based on the profit-seeking principle rather than on fulfilling its social functions, and called for a systematic reform of provider incentives to eradicating the problem of over-prescription.

scholarly journals A study on the knowledge, attitude & perspectives of final year students of bachelor of pharmacy programme in Malaysian Universities towards the implementation of the separation of drug prescribing & dispensing activity in Malaysia

2019 ◽  
Vol 10 (SPL1) ◽  
Author(s):  
Santhanathan S Rajendram ◽  
Muhamad Danial Muhamad Hamdan
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cross Sectional Study ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Public And Private ◽  
Institutions Of Higher Learning ◽  
Highly Sensitive ◽  
The Government ◽  
Care System

Dispensing separation in Malaysia has been a widely discussed topic among the medical fraternity. It is a highly sensitive topic as it involves both professional and economic considerations for doctors, pharmacists, and the general public. There has been no decision made thus far but the discussion is ongoing, making a study on this topic very relevant. The subjects of this study, final year students of Bachelor of Pharmacy Programme in Malaysian universities, are chosen to reflect their awareness, preparedness, and knowledge on dispensing separation, which will affect their future in the pharmacy profession. The study was conducted among all 20 Public and Private Institutions of Higher Learning recognized by the Pharmacy Board, Malaysia. This was a cross-sectional study design, and data was collected using a convenience sampling method. The research instrument was an online questionnaire. The first part of the questionnaire covers the demographic information about the respondent, like name, age, gender, and institution. The second part covers the knowledge, awareness and perspectives of respondents towards the implementation of the separation of prescribing and dispensing activities in Malaysia. The final part of the survey focuses on suggestions or problems arising. There were 126 respondents to the survey, way above the 96 respondents needed to make the survey valid. The majority of them are aware of and understand the dispensing separation. Most of them agree that the government should legalize the dispensing separation activities as they believe pharmacists are more knowledgeable and better equipped to dispense drugs. The majority of them believe by implementing dispensing separation, the health care system will be better optimized, and the service will be better. They also believe that patients can accept and adapt to the role of the pharmacist in dispensing medication. The majority of them also agree that the price of medicine will be lowered by the implementation of dispensing separation. Based on the study, these students who are future pharmacists are very knowledgeable on the dispensing separation issue. They believe strongly that the implementation of dispensing separation in Malaysia will bring more beneficial changes to the health care system. The patients will also benefit from this. With such a positive attitude, the implementation of dispensing separation in Malaysia could be imminent  

SOA Designed Health Care System for Taiwan Government

2012 ◽  
pp. 643-669
Author(s):  
Jun-Bin Shi ◽  
Shu-Fen Yang ◽  
Tsung-Jen Huang
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Service Oriented Architecture ◽  
Early Stage ◽  
Initial Stage ◽  
Need To Evaluate ◽  
Service Oriented ◽  
The Government ◽  
Care System

SOA (Service-Oriented Architecture) is gaining popularity in becoming the mainstream in corporate integrated applications in recent years. However, at the early stage of proposal for SOA, due to the lack of a completion in relevant standards and infrastructure, corporations still need to evaluate the effect and risks involved in investment for SOA. For this reason, the introduction for SOA among corporations becomes relatively conservative. In contrast to the conservation projected by corporations at the initial stage, the government agents took position in promoting SOA and developing e-Government, who were the forerunners first committed in the integration of SOA applications.

Public-private: unequal competition Israeli public hospitals vs the private health-care system following government reforms

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Lior Naamati Schneider
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Data Gathering ◽  
State Regulation ◽  
Public Hospitals ◽  
Content Type ◽  
Creative Solutions ◽  
Government Reforms ◽  
Care System

Purpose This study aims to map perceptions and changes in public hospitals in response to competition with the private health system, describes solutions adopted by the public hospitals and considers their implications for the business and strategic management of those hospitals. Design/methodology/approach This paper opted for a qualitative study using the open-ended approach of grounded theory, including 40 in-depth interviews with key figures in the health system and administrators at various levels of management. Findings Public hospitals are constantly adopting changes because of state-mandated reforms and growing competition with private hospitals. Notable measures include making hospitals customer-oriented and adopting business-oriented behaviors and competitive and marketing strategies. However, because public hospitals are unable to institute radical changes, they typically introduce hybrid services (private services within public services) and other creative solutions such as business-funded research foundations operating alongside them. Research limitations/implications The main methodological limitation of this study was the difficulty in obtaining data because of the limited cooperation and lack of transparency of Israel’s health-care system. The interviewees expressed concerns that their department or hospital would appear in a negative light, especially as motivated solely by financial considerations. In anticipation of this difficulty, requests for participation were addressed individually and contained extensive detail regarding the study, the ethics committee’s approval, the data gathering and the strict maintenance of anonymity and confidentiality. Originality/value Adopting business-oriented behaviors in public hospitals is somewhat contrary to the principles of public medicine. Their adaptation to the market is partial, and their creative hybrid solutions require state regulation. The absence of controls leads to duplication and waste, causing various problems, including increased social inequality, costs and deficits.

Mohalla Clinics in Delhi: A Preliminary Assessment of their Functioning and Coverage

2019 ◽  
Vol 13 (2) ◽  
pp. 195-210 ◽  
Author(s):  
Taniya Sah ◽  
Rituparna Kaushik ◽  
Neha Bailwal ◽  
Neisetuonuo Tep
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Tertiary Care ◽  
Access To Health Services ◽  
Geographical Access ◽  
Access To Health ◽  
Minor Ailments ◽  
The Government ◽  
Major Section ◽  
Care System

The Government of Delhi introduced the policy of Mohalla Clinics in 2015 in order to improve its health care system. It was aimed at providing primary health care to people in their neighbourhood, with a particular focus on people residing in poor localities of Delhi. This article seeks to assess the role of Mohalla Clinics in the urban health care system. Based on a primary survey conducted in various areas of Delhi, we find that these clinics have helped in easing the pressure on tertiary care hospitals by providing treatment of minor ailments within the vicinity of neighbourhood. Overall, people positively endorse this initiative which contributed to a decline in out-of-pocket expenditure on medicines and tests. We find that Mohalla Clinics are ensuring better geographical access to health services by reducing time in commuting and waiting. Their scope, however, can be further broadened by introducing provisions for pregnant and lactating women, who constitute a major section of the patients visiting these clinics.

scholarly journals Regulations of the Health Care System facing climate change in Mexico

2017 ◽  
Vol 5 (10) ◽  
Author(s):  
Tania C. López-Martínez
Keyword(s):  
Climate Change ◽  
Health Care ◽  
Health Care System ◽  
Scientific Evidence ◽  
Health Impact ◽  
Regulatory Frameworks ◽  
The Subject ◽  
The Government ◽  
Natural Dynamics ◽  
Care System

Climate change poses a major challenge for all nations before the increasing alteration of the natural dynamics of the planet by human activities, since it has a social, economic and health impact on the population. It has been scientifically proven that climate change may originate and even make worse many diseases and health problems, this situation has led to take actions and implement public policies to address the issue in Mexico. This document presents a review of the legal and regulatory frameworks implemented by the Government of Mexico, focusing on the health care system to deal with the effects of climate change. This situation reveals the need to carry out more research on the subject, due to the wide variety of repercussions for the population’s health. To broaden the knowledge and the generation of scientific evidence, allows a better design of laws, strategies and programs before implementing policies in the country.

scholarly journals Poverty Alleviation Programme and Poverty Reduction in Anambra State. Evidence from Women Business Ownership

2020 ◽  
Vol 7 (1) ◽  
pp. 217-229
Author(s):  
Joan N. Ozoh ◽  
Amaka G. Metu ◽  
Chukwuka Stephen M. ◽  
Chinwe Madueke
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Poverty Reduction ◽  
Sampling Technique ◽  
Good Health ◽  
Poor People ◽  
Anambra State ◽  
The Government ◽  
Good Health Care ◽  
Care System

The fight against poverty is one of the key components of the development of any country. If the percentage of poor people is high, there will be slow development. The government policies and program such as YOUWIN, Better Life is aimed at encouraging entrepreneurship and supporting women into business. Despite these efforts, poverty incidence still increases among women in micro business. This study examined government alleviation programs and dimension of poverty among women into micro business in Anambra state, Nigeria. It is a descriptive survey research. Probability and non- probability sampling technique were employed in which the samples were drawn using multi-stage sampling and purposive sampling technique. Questionnaire was used as an instrument for data collection. Data were analyzed using descriptive statistics, chi-square and Multidimensional Poverty Index (MPI). The findings of this study showed that most women participating in micro business are not aware of poverty reduction programs and do not have access to such programs. The study also found out that most of the women still experience hardship, no access to infrastructure, no good health care system and low standard of living which indicates that poverty has not reduced. The study recommended among others that the government should target its reduction policies towards the multidimensional indicators (good infrastructure, good health care system etc.) of poverty in order to eradicate poverty.

Sign in / Sign up

Export Citation Format

Share Document