Rise in Polish health spending could be more ambitious

2020 ◽  
Keyword(s):  
Public Hospital ◽  
Focal Point ◽  
Health Spending ◽  
Healthcare Spending ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Political Debate ◽  
Content Type ◽  
The Public ◽  
Structural Problems

Significance This has resulted in the limited availability of a range of health services and in structural problems, including insufficient human resources and public hospital debts. However, with the relatively recent introduction of binding funding targets, the public health system is on a path to structural reforms. Impacts Redistributing financial resources in the existing framework may benefit specialised public hospitals and pharma multinationals. United Right is likely to benefit politically from post-COVID health reforms. Pressure to increase public healthcare spending further will be a focal point in the future political debate.

scholarly journals Who benefits from healthcare spending in Cambodia? Evidence for a universal health coverage policy

2019 ◽  
Vol 34 (Supplement_1) ◽  
pp. i4-i13 ◽  
Author(s):  
Augustine D Asante ◽  
Por Ir ◽  
Bart Jacobs ◽  
Limwattananon Supon ◽  
Marco Liverani ◽  
...  
Keyword(s):  
Private Sector ◽  
Universal Health Coverage ◽  
Public Hospital ◽  
Health Spending ◽  
Health Financing ◽  
Healthcare Spending ◽  
Health Coverage ◽  
The Public ◽  
The Poor ◽  
Universal Health

Abstract Cambodia’s healthcare system has seen significant improvements in the last two decades. Despite this, access to quality care remains problematic, particularly for poor rural Cambodians. The government has committed to universal health coverage (UHC) and is reforming the health financing system to align with this goal. The extent to which the reforms have impacted the poor is not always clear. Using a system-wide approach, this study assesses how benefits from healthcare spending are distributed across socioeconomic groups in Cambodia. Benefit incidence analysis was employed to assess the distribution of benefits from health spending. Primary data on the use of health services and the costs associated with it were collected through a nationally representative cross-sectional survey of 5000 households. Secondary data from the 2012–14 Cambodia National Health Accounts and other official documents were used to estimate the unit costs of services. The results indicate that benefits from health spending at the primary care level in the public sector are distributed in favour of the poor, with about 32% of health centre benefits going to the poorest population quintile. Public hospital outpatient benefits are quite evenly distributed across all wealth quintiles, although the concentration index of −0.058 suggests a moderately pro-poor distribution. Benefits for public hospital inpatient care are substantially pro-poor. The private sector was significantly skewed towards the richest quintile. Relative to health need, the distribution of total benefits in the public sector is pro-poor while the private sector is relatively pro-rich. Looking across the entire health system, health financing in Cambodia appears to benefit the poor more than the rich but a significant proportion of spending remains in the private sector which is largely pro-rich. There is the need for some government regulation of the private sector if Cambodia is to achieve its UHC goals.

Health improvements will be slow in Central America

2015 ◽  
Keyword(s):  
Health Services ◽  
El Salvador ◽  
Central America ◽  
Public Debt ◽  
Health Spending ◽  
Health Indicators ◽  
Universal Coverage ◽  
Healthcare Spending ◽  
Public Healthcare ◽  
Content Type

Subject Challenges in improving public healthcare in Central America. Significance Public healthcare spending has increased in Central America over the last two decades. However, advances towards universal coverage have been uneven, with major differences between El Salvador, Nicaragua and Guatemala. While reforms have resulted in better services and more effective regulation of the private sector in El Salvador, Guatemalan health services have improved little and health indicators are comparatively poor. Impacts Salvadoran public debt may rise significantly as Sanchez Ceren attempts to sustain health spending. The pace of improvements in Guatemala will continue to lag behind those in Nicaragua and El Salvador. FSLN complacency may hinder public healthcare advancement in Nicaragua.

Developing a framework for fire safety management plan: the case of Malaysia's public hospital buildings

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mastura Jaafar ◽  
Nuzaihan Aras Agus Salim ◽  
Naziah Muhamad Salleh ◽  
Mohd Zailan Sulieman ◽  
Norhidayah Md Ulang ◽  
...  
Keyword(s):  
Fire Safety ◽  
Public Hospital ◽  
Safety Management ◽  
Action Plan ◽  
Management Plan ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Research Approach ◽  
Content Type ◽  
Healthcare Facilities

PurposeGlobally, several studies have shown that hospital building is charged with multiple inherent risks because a large number of users are vulnerable in tragic events. Thus, the need for the fire safety management plan (FSMP) has been proved as an instrument to mitigate fire and related risks in healthcare facilities. In Malaysia, FSMP regarding public healthcare building is yet to be explored in-depth. Therefore, this paper explores the information necessary to develop the FSMP framework for public hospital buildings.Design/methodology/approachThe paper’s objectives were accomplished via a combination of five face-to-face interviews and observations of five selected public hospitals in Pulau Pinang, Malaysia. The five key participants were across the five public hospitals and collated data analysed through thematic analysis with the assistance of MAXQDA 2018.FindingsFindings show that fire safety stakeholders practice system, fire safety action plan and fire risk management were the three main variables that promote fire safety programme and will improve FSMP for Malaysia’s public hospital buildings.Research limitations/implicationsThis paper’s data collection is limited to Penang, Malaysia, and a qualitative research approach was used, but this does not deteriorate the strength of the findings. Future studies are needed to consider validating findings from this paper via a quantitative approach.Practical implicationsThe suggested framework can be employed by Malaysia’s public hospital authorities as a guideline to mitigate fire hazards in the country’s healthcare facilities.Originality/valueThis paper is encouraging hospital operators and other key stakeholders to improve on their FSMP for healthcare buildings across Malaysia as part of the study implications.

scholarly journals Longitudinal Evaluation on the Operation Index Applied to Public Hospitals in Pudong New District of Shanghai, China

2018 ◽  
Vol 55 ◽  
pp. 004695801879059
Author(s):  
Shanshan Liu ◽  
Jiaoling Huang ◽  
Yanting Li ◽  
Jincheng Fan ◽  
Hong Liang ◽  
...  
Keyword(s):  
Financial Risk ◽  
Public Hospital ◽  
Risk Index ◽  
Condition Index ◽  
Public Hospitals ◽  
Operating Index ◽  
The Public ◽  
Management Condition ◽  
Service Operation ◽  
Public Hospital Reform

The public hospital reform has lasted 5 years in China; however, the operation development status and trends of public hospitals have not been systematically evaluated in Pudong New District. We first applied the technology of longitudinal index to assess the development of public hospitals there. The quantitative data were mainly gathered by taking health statistics database from 2009 to 2014. The results showed that overall operating index presented a down-up trend, with the highest point in 2014 and the lowest point in 2012. Overall operating index, development foundation index, and management condition index were found to be statistically different ( P = .010, P = .016, P = .031) in different years, whereas the service operation index and financial risk index were not so ( P = .543, P = .228). Moreover, the results demonstrated that no obvious difference was observed in the overall operating index between the general and specialized hospitals ( P = .327), which was the same in the 4 first-class indexes. However, there were statistical differences in the overall operating index and development foundation index among these 5 years ( P = .018, P = .036), but none in the service operation index, management condition index, and financial risk index ( P = .503, P = .062, P = .177). No interaction effects were discovered between year and hospital categories in the current study ( P = .673, P = .375, P = .885, P = .152, P = .288).

scholarly journals Using Action Research and Action Learning (ARAL) to develop a response to the abuse of older people in a healthcare context

2015 ◽  
Vol 7 (1) ◽  
pp. 38-51 ◽  
Author(s):  
Fiona McAlinden
Keyword(s):  
Action Research ◽  
Older People ◽  
Hospital Admissions ◽  
Elder Abuse ◽  
Health Management ◽  
Action Learning ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Content Type ◽  
Policy And Procedure

Purpose The purpose of this paper is to describe Monash Health’s development of a Policy and Procedure on the abuse of older people in metropolitan Australia. Monash Health is a public healthcare network that consists of six public hospitals and over 40 community health care sites throughout the South East of Melbourne. Design/methodology/approach An Action Research Action Learning approach was employed to develop a comprehensive set of policy and procedure documents to ensure that Monash Health became compliant with the State Government’s expectations around responding to the abuse of older people in a consistent manner. Findings Almost 90,000 Monash Health hospital admissions per year are older people aged over 65 years. Senior Monash Health management recognized that staff did not have adequate information, education and resources to consistently identify and respond to situations of elder abuse. What is more, the existing internal Monash Health document Supporting Older People at Risk did not meet obligations stated in the Victorian Government’s Elder Abuse Strategy (2009). Originality/value The project’s emphasis upon participatory action research, cooperative inquiry and action learning further resulted in the identification of an opportunity to develop a strategic response to violence and abuse for all patients of Monash Health, not just older people.

Evaluation of outpatient satisfaction and service quality of Pakistani healthcare projects

2018 ◽  
Vol 8 (4) ◽  
pp. 462-480 ◽  
Author(s):  
Saad Ahmed Javed ◽  
Sifeng Liu
Keyword(s):  
Service Quality ◽  
Private Sector ◽  
Healthcare Delivery ◽  
Grey System Theory ◽  
Public Healthcare ◽  
Grey System ◽  
Healthcare Delivery System ◽  
Public And Private ◽  
Content Type ◽  
The Public

PurposeThe purpose of this paper is to analyse the relationship between outpatient satisfaction and the five constructs of healthcare projects’ service quality in Pakistan using Deng’s grey incidence analysis (GIA) model, absolute degree GIA model (ADGIA), a novel second synthetic degree GIA (SSDGIA) model and two approaches of decision-making under uncertainty.Design/methodology/approachThe study proposes a new synthetic GIA model and demonstrates its feasibility on data (N=221) collected from both public and private sector healthcare projects of Punjab, the most populous province of Pakistan, using a self-administered questionnaire developed using the original SERVQUAL approach.FindingsThe results of decision analysis approach indicated that outpatients’ satisfaction from the private sector healthcare projects is higher as compared to the public healthcare projects’. The results from the proposed model revealed that tangibility and reliability play an important role in shaping the patient satisfaction in the public and private sectors, respectively.Originality/valueThe study is pioneer in evaluating a healthcare system’s service quality using grey system theory. The study proposes the SSDGIA model as a novel method to evaluate parameters comprehensively based on their mutual association (given by absolute degree of grey incidence) and inter-dependencies (given by Deng’s degree of grey incidence), and tests the new model in the given scenario. The study is novel in terms of its analysis of data and modelling. The study also proposes a comprehensive structure of the healthcare delivery system of Pakistan.

Introducing E-Procurement in a Local Healthcare Agency

2011 ◽  
pp. 2160-2178
Author(s):  
Tommaso Federici
Keyword(s):  
Public Sector ◽  
Healthcare Spending ◽  
Public Healthcare ◽  
Pilot Projects ◽  
Public Agency ◽  
Process Redesign ◽  
The Public ◽  
Electronic Procurement ◽  
Local Healthcare

This chapter deals with the introduction of electronic procurement in the public healthcare domain. After a brief discussion on the healthcare spending characteristics and on the suitability of e-procurement tools in the public sector; the long-lasting experience of e-procurement implementation promoted by an Italian Local Healthcare Public Agency is described. This initiative included some pilot projects and applied many different solutions; always involving both a new ICT tool and a thorough process redesign. The development of the innovation introductions is discussed; together with their organizational and managerial background; the description of the new processes; and the analysis of the most relevant results. The chapter provides a fairly comprehensive illustration of available solutions; opportunities; and challenges in this still neglected topic.

Introducing E-Procurement in a Local Healthcare Agency

2010 ◽  
pp. 218-237 ◽  
Author(s):  
Tommaso Federici
Keyword(s):  
Public Sector ◽  
Healthcare Spending ◽  
Public Healthcare ◽  
Pilot Projects ◽  
Public Agency ◽  
Process Redesign ◽  
The Public ◽  
Electronic Procurement ◽  
Local Healthcare

This chapter deals with the introduction of electronic procurement in the public healthcare domain. After a brief discussion on the healthcare spending characteristics and on the suitability of e-procurement tools in the public sector; the long-lasting experience of e-procurement implementation promoted by an Italian Local Healthcare Public Agency is described. This initiative included some pilot projects and applied many different solutions; always involving both a new ICT tool and a thorough process redesign. The development of the innovation introductions is discussed; together with their organizational and managerial background; the description of the new processes; and the analysis of the most relevant results. The chapter provides a fairly comprehensive illustration of available solutions; opportunities; and challenges in this still neglected topic.

Do the servicescape of public and private hospitals differ? The Malaysian context

2019 ◽  
Vol 11 (3) ◽  
pp. 357-377 ◽  
Author(s):  
Kim Piew Lai ◽  
Siong Choy Chong
Keyword(s):  
Design Methodology ◽  
Recovery Process ◽  
Public Hospitals ◽  
Ambient Conditions ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
The Public ◽  
Public And Private Hospitals ◽  
Practical Implications

Purpose This study aims to explore if public and private hospitals have differing servicescape attributes. Design/methodology/approach The study uses a two-stage (EFA and CFA) procedure for identifying the servicescape attributes and examining their validity in the context of public and private hospitals. Findings The findings indicate that, in different contexts, patients would expect different aesthetics of servicescape attributes and how they are influenced by the hospital premises. Research limitations/implications It is interesting to note that: not all of the attributes that appear in both contexts are exactly the same; patients do not seem to face difficulties in analysing and interpreting directional cues, even though the spatial orientation in private hospitals is relatively smaller; the way patients of public hospitals draw inference about the ambient conditions is not consistent with private hospitals; and patients perceive that private hospitals pay special attention to developing a built environment that facilitates treatment and recovery process via interior layout, as well as decoration and architecture attributes. Practical implications The study grounds the servicescape attributes and provides insights to effectively promote public and private hospitals. Originality/value This study may be amongst the first to offer servicescape evidence in both the public and private hospitals.

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