Public versus Private Healthcare Systems following Discharge from the ICU: A Propensity Score-Matched Comparison of Outcomes

Purpose.The long-term outcomes of patients after discharge from tertiary ICUs as they relate to the public versus private healthcare systems in Brazil have not yet been evaluated.Materials and Methods.A multicenter prospective cohort study was conducted to compare the all-cause mortality and the physical functional status (PFS) 24 months after discharge from the ICU between adult patients treated in the public and private healthcare systems. A propensity score- (PS-) matched comparison of all causes of mortality and PFS 24 months after discharge from the ICU was performed.Results.In total, 928 patients were discharged from the ICU including 172 (18.6%) patients in the public and 756 (81.4%) patients in the private healthcare system. The results of the PS-matched comparison of all-cause mortality revealed higher mortality rates among the patients of the public healthcare system compared to those of the private healthcare system (47.3% versus 27.6%,P=0.003). The comparison of the PS-matched Karnofsky performance and Lawton activities of daily living scores between the ICU survivors of the public and private healthcare systems revealed no significant differences.Conclusions.The patients of private healthcare system exhibited significantly greater survival rates than the patients of the public healthcare system with similar PFS following ICU discharge.

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Healthcare in the news media: The privileging of private over public

Journal of Sociology ◽

10.1177/1440783317733324 ◽

2017 ◽

Vol 54 (4) ◽

pp. 574-590 ◽

Cited By ~ 7

Author(s):

Sophie Lewis ◽

Fran Collyer ◽

Karen Willis ◽

Kirsten Harley ◽

Kanchan Marcus ◽

...

Keyword(s):

Private Sector ◽

Healthcare System ◽

News Media ◽

Healthcare Sector ◽

Public Healthcare ◽

Public And Private ◽

The Public ◽

Print News ◽

Private Healthcare ◽

Time Period

This article reports on a discourse analysis of the representation of healthcare in the print news media, and the way this representation shapes perspectives of healthcare. We analysed news items from six major Australian newspapers over a three-year time period. We show how various framing devices promote ideas about a crisis in the current public healthcare system, the existence of a precarious balance between the public and private health sectors, and the benefits of private healthcare. We employ Bourdieu’s concepts of field and capital to demonstrate the processes through which these devices are employed to conceal the power relations operating in the healthcare sector, to obscure the identity of those who gain the most from the expansion of private sector medicine, and to indirectly increase health inequalities.

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Corrigendum to “Public versus Private Healthcare Systems following Discharge from the ICU: A Propensity Score-Matched Comparison of Outcomes”

BioMed Research International ◽

10.1155/2018/8751513 ◽

2018 ◽

Vol 2018 ◽

pp. 1-1

Author(s):

Felippe Leopoldo Dexheimer Neto ◽

Regis Goulart Rosa ◽

Bruno Achutti Duso ◽

Jaqueline Sangiogo Haas ◽

Augusto Savi ◽

...

Keyword(s):

Propensity Score ◽

Healthcare Systems ◽

Private Healthcare ◽

Public Versus Private ◽

Matched Comparison

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Public and private sectors collective response to combat COVID-19 in Malaysia

Journal of Pharmaceutical Policy and Practice ◽

10.1186/s40545-021-00322-x ◽

2021 ◽

Vol 14 (1) ◽

Author(s):

Ching Siang Tan ◽

Saim Lokman ◽

Yao Rao ◽

Szu Hua Kok ◽

Long Chiau Ming

Keyword(s):

Insurance Coverage ◽

Healthcare Providers ◽

Screening Tests ◽

Public Healthcare ◽

Private Hospitals ◽

Public And Private ◽

The Public ◽

Private Healthcare ◽

Care Services ◽

Challenges And Opportunities

AbstractOver the last year, the dangerous severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has spread rapidly around the world. Malaysia has not been excluded from this COVID-19 pandemic. The resurgence of COVID-19 cases has overwhelmed the public healthcare system and overloaded the healthcare resources. Ministry of Health (MOH) Malaysia has adopted an Emergency Ordinance (EO) to instruct private hospitals to receive both COVID-19 and non-COVID-19 patients to reduce the strain on public facilities. The treatment of COVID-19 patients at private hospitals could help to boost the bed and critical care occupancy. However, with the absence of insurance coverage because COVID-19 is categorised as pandemic-related diseases, there are some challenges and opportunities posed by the treatment fees management. Another major issue in the collaboration between public and private hospitals is the willingness of private medical consultants to participate in the management of COVID-19 patients, because medical consultants in private hospitals in Malaysia are not hospital employees, but what are termed “private contractors” who provide patient care services to the hospitals. Other collaborative measures with private healthcare providers, e.g. tele-conferencing by private medical clinics to monitor COVID-19 patients and the rollout of national vaccination programme. The public and private healthcare partnership must be enhanced, and continue to find effective ways to collaborate further to combat the pandemic. The MOH, private healthcare sectors and insurance providers need to have a synergistic COVID-19 treatment plans to ensure public as well as insurance policy holders have equal opportunities for COVID-19 screening tests, vaccinations and treatment.

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Disparities in Acute Myocardial Infarction Treatment Between Users of the Public and Private Healthcare System in Sergipe

International Journal of Cardiovascular Sciences ◽

10.5935/2359-4802.20180043 ◽

2018 ◽

Author(s):

Jussiely Cunha Oliveira ◽

Laís Costa Souza Oliveira ◽

Jeferson Cunha Oliveira ◽

Ikaro Daniel de Carvalho Barreto ◽

Marcos Antonio Almeida-Santos ◽

...

Keyword(s):

Myocardial Infarction ◽

Acute Myocardial Infarction ◽

Healthcare System ◽

Public And Private ◽

The Public ◽

Private Healthcare

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Hepatitis B and C virus infection among HIV patients within the public and private healthcare systems in Chile: A cross-sectional serosurvey

PLoS ONE ◽

10.1371/journal.pone.0227776 ◽

2020 ◽

Vol 15 (1) ◽

pp. e0227776 ◽

Cited By ~ 2

Author(s):

Thomas Weitzel ◽

Fernanda Rodríguez ◽

Luis Miguel Noriega ◽

Alejandra Marcotti ◽

Luisa Duran ◽

...

Keyword(s):

Virus Infection ◽

Hepatitis B ◽

Healthcare Systems ◽

Hiv Patients ◽

Cross Sectional ◽

Public And Private ◽

The Public ◽

Private Healthcare

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Public Healthcare: Citizen’s Preferences in Spain

Healthcare ◽

10.3390/healthcare8040467 ◽

2020 ◽

Vol 8 (4) ◽

pp. 467

Author(s):

Silvia Prieto-Herraez ◽

Teresa González-Arteaga ◽

Rocío de Andrés Calle

Keyword(s):

Healthcare System ◽

Healthcare Services ◽

Healthcare Systems ◽

Public Healthcare ◽

Private Hospitals ◽

The Public ◽

The Stability ◽

Spanish Health ◽

Rapid Emergence ◽

Over Time

This paper analyzes the stability of citizens’ preferences on public healthcare services in Spain. Nowadays, the increasing privatization of some healthcare services and the rapid emergence of private hospitals have caused changes in people’s preferences on public healthcare systems. This paper focuses on analyzing the preferences of Spaniards on their healthcare system over time under the assumption that citizens’ preferences are represented by complete pre-orders. Data for this study were collected from the Spanish Health Barometer survey, and they were searched from 1995 until 2018. The results show that preferences on the public healthcare system are very stable along time.

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Health risks analysis and complex procedure for estimating the efficiency of targeted activities performed within regional public healthcare systems and aimed at reducing mortality among the population caused by cardiovascular diseases and oncologic diseases

Health Care of the Russian Federation ◽

10.47470/0044-197x-2021-65-4-302-309 ◽

2021 ◽

Vol 65 (4) ◽

pp. 302-309

Author(s):

Nina V. Zaitseva ◽

Dmitriy A. Kiryanov ◽

Marat R. Kamaltdinov ◽

Olga Yu. Ustinova ◽

Svetlana V. Babina ◽

...

Keyword(s):

Cardiovascular Diseases ◽

Life Expectancy ◽

Healthcare System ◽

Research Work ◽

Healthcare Systems ◽

Public Healthcare ◽

Public Healthcare System ◽

The Public ◽

National Priority ◽

Oncologic Diseases

Introduction. Preservation and growth of the country population is the top national priority in the Russian Federation. A contemporary approach focuses on several especially urgent demographic issues that can be resolved, among other things, due to public healthcare systems becoming more efficient. The present research work is vital due to the necessity to achieve target medical and demographic parameters fixed in the national and federal projects and regional programs. These parameters include life expectancy and mortality caused by cardiovascular and oncologic diseases. The goal of this work is a development of new approaches for the complex evaluation of potential management reserves of health population indicators and the prognosis of efficiency of targeted activities performed within public healthcare systems and aimed at increasing life expectancy through reducing mortality among the population caused by cardiovascular diseases and oncologic diseases. Material and methods. The work dwells on solving a “direct” task in the “medical activities - morbidity - mortality” triple analysis system; the solution involves predicting changes in morbidity and mortality under preset, planned, or scenario changes in parameters related to the public healthcare system. We modelled cause-and-effect relations in the above system, applying mathematical statistics techniques (correlation-regression analysis and factor analysis) with the consequent medical expertise of obtained results. Results. These procedures allow assessing health losses and spot out priorities in activities performed within the public healthcare system as well as ranking managerial decisions, already taken or only planned, as per their efficiency, taking into account territories; sex and age structure of the population; diseases, their subclasses and gravity; specific activities performed within the public healthcare system (prevention, diagnostics, or treatment). We should stress that the most significant potential management reserves of reducing mortality are achieved on territories with maximum mortality levels due to reserves for the reduction in it; these reserves are manageable due to prevention and early diagnostics. Conclusion. Research techniques and results described in the present work can be used in practice to achieve target parameters fixed by national and regional priorities and to select an optimal set of activities aimed at reducing mortality among the population.

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P-117: Multiple Myeloma treatment patterns and outcomes in the public and private healthcare systems in Brazil: one country, two worlds

Clinical Lymphoma Myeloma & Leukemia ◽

10.1016/s2152-2650(21)02244-8 ◽

2021 ◽

Vol 21 ◽

pp. S98-S99

Author(s):

Vania Hungria ◽

Rosane Bittencourt ◽

Gracia Martinez ◽

Juliana santos ◽

Denise Almeida ◽

...

Keyword(s):

Multiple Myeloma ◽

Healthcare Systems ◽

Treatment Patterns ◽

Public And Private ◽

The Public ◽

Private Healthcare

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Improving The Slovenian Healthcare System By Examining Other European Healthcare Systems

American Journal of Health Sciences (AJHS) ◽

10.19030/ajhs.v3i4.7315 ◽

2012 ◽

Vol 3 (4) ◽

pp. 229-238

Author(s):

Stanka Setnikar Cankar ◽

Veronika Petkovsek

Keyword(s):

Healthcare System ◽

Rapid Development ◽

Healthcare Providers ◽

Public Healthcare ◽

Public And Private ◽

Private Healthcare ◽

Private Expenditure ◽

European Healthcare ◽

The Uk ◽

Organisation Management

This paper focuses improving the Slovenian healthcare system by comparing it with the systems in place in the UK, Denmark, and France. The aim of the paper is to find and present the solutions required if the healthcare system in Slovenia is to be improved. Changes need to be made to the organisation, management, and financing of the Slovenian healthcare system in response to demographic changes and changes to the age structure of the population, the rapid development of new medical technologies, drugs, treatments, and globalisation. The paper outlines the main features of the Slovenian healthcare system and compares the structure of public and private expenditure and resources with the structures in place in the UK, Denmark, and France. Public and private healthcare providers and public-private partnerships in Slovenian healthcare are also presented and compared. An insight is given at the end of the paper into the current state of the Slovenian healthcare system and the required changes, with solutions proposed for improvements and reform. The proposed solutions include redefinition of an insured person’s status, changes to the insurance basis and rates, a redefinition of the basic basket of healthcare rights, the integration and networking of public healthcare institutions, and the separation of public and private healthcare providers.

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