scholarly journals Geographical and Temporal Distribution of Radiologists, Computed Tomography and Magnetic Resonance Scanners in Croatia

2021 ◽  
Vol 58 ◽  
pp. 004695802110602
Author(s):  
Zrinka Biloglav ◽  
Petar Medaković ◽  
Dina Vrkić ◽  
Boris Brkljačić ◽  
Ivan Padjen ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Health Care ◽  
Magnetic Resonance ◽  
Supply And Demand ◽  
Temporal Distribution ◽  
Similar Distribution ◽  
The Public ◽  
System A ◽  
Private And Public ◽  
Ct Scanners

The aim of the study was to analyse the temporal and geographic distribution of radiologists, computed tomography and magnetic resonance scanners in Croatia. In this observational study we estimated radiologists’ number per 100,000 population for 1997, 2006, and 2017 and compared private and public CT and MR scanners between 2011 and 2018. We analyzed the availability of radiologists and scanners, and the relationship between the radiological workforce and economic strength among counties. The workforce increased significantly from 1997 to 2017 and was associated with economic strength categories in 2017. In 2018, there were more CT scanners in the public sector, while MR scanners were distributed evenly. In 2011, there was similar distribution of CT and MR between sectors, while in 2018 there were significantly more public CT scanners. Counties with a medical school had significantly more radiologists and MR scanners. The high-to-low ratios per CT and MR were 11 and 8.2, suggesting inequality of health care. Croatia significantly increased its radiological workforce; however, cross-county inequality remained. Counties with higher economic strength and medical schools have better availability of radiologists and equipment. To ensure the sustainable activity of the health care system, a precise estimate of supply and demand of radiology services is needed.

scholarly journals GP access to MRI: the Australian reality

2009 ◽  
Vol 33 (2) ◽  
pp. 311 ◽  
Author(s):  
Owen M Bradfield
Keyword(s):  
Magnetic Resonance Imaging ◽  
Computed Tomography ◽  
Health Care ◽  
Magnetic Resonance ◽  
Ct Scans ◽  
Resonance Imaging ◽  
Key Stakeholders ◽  
Mri Scans ◽  
Magnetic Resonance Imaging Mri ◽  
Ongoing Dialogue

Twelve months ago, the Australian Medical Association (AMA) called upon the Federal Labor Government to implement a previous coalition policy allowing general practitioners to directly refer patients for magnetic resonance imaging (MRI) scans of the knee and brain. To support their position, the AMA commissioned a University of Sydney report evaluating the health care and economic outcomes of the policy. The AMA reported that the results supported the policy and would result in a $42 million saving from fewer computed tomography (CT) scans and fewer specialist referrals and consultations. Arguably, this was not an accurate portrayal of the results. Further research is needed, and ongoing dialogue with radiologists and other key stakeholders is urged, to ensure that access to MRI facilities will continue to meet future demand and that GPs will be adequately trained in utilising MRI services.

The Diffusion of Magnetic Resonance Imagers in the United States and Worldwide

1985 ◽  
Vol 1 (3) ◽  
pp. 499-514 ◽  
Author(s):  
Earl P. Steinberg ◽  
Jane E. Sisk ◽  
Katherine E. Locke
Keyword(s):  
United States ◽  
Computed Tomography ◽  
Magnetic Resonance ◽  
Mr Imaging ◽  
Medical Profession ◽  
The United States ◽  
Diagnostic Modality ◽  
X Ray ◽  
X Ray Computed ◽  
Ct Scanners

Magnetic resonance (MR) imaging is an exciting new diagnostic modality that has created tremendous interest in the medical profession. Although not unparalleled, the excitement engendered by MR imaging conjures up memories of the “CAT fever” induced by introduction of X-ray computed tomography (CT) scanners in 1973 (19).

scholarly journals The Implementation of Mindfulness-Based Programs in the Swedish Healthcare System—A Qualitative Study

2021 ◽  
Vol 10 ◽  
pp. 216495612110586
Author(s):  
Susanne Andermo ◽  
Rebecca Crane ◽  
Maria Niemi
Keyword(s):  
Health Care ◽  
Teacher Training ◽  
Structural Changes ◽  
Patient Characteristics ◽  
Stepped Care ◽  
Successful Implementation ◽  
National Guidelines ◽  
Health Care Settings ◽  
The Public ◽  
System A

Background: As the provision of Mindfulness-Based Programs (MBPs) in health care settings progresses, more research is needed to develop guidelines and structures for implementation in various contexts. This study is part of a larger project were MBP provision in Sweden is explored. Objective: The objective is to provide knowledge for the next steps of MBP implementation both in Sweden and internationally. The specific aim of the study is to explore how MBP teachers and other relevant stakeholders experience the implementation of MBP. Methods: Qualitative in-depth interviews were conducted with 15 MBP providers and 2 other stakeholders from a range of health care settings in Sweden. Results: The results, presented in 3 themes, provide insights into the factors that are crucial for facilitating or hindering MBP implementation; (1) MBP teachers and their training, including the importance of champion individuals and the benefit and shortcomings of various forms of MBP; (2) Patients and patient referrals, including patient characteristics and referral pathways; (3) Organizational prerequisites to successful implementation, highlighting the importance of financial factors and managers’ and colleagues’ knowledge and acceptance of MBP; and (4) the need for structural changes, including future recommendations on quality assessment and guidelines. Conclusion: This study highlights the need for national guidelines for MBP provision and teacher training pathways, as well as improved availability of teacher training. Also, the benefit of a stepped-care model of MBP provision is indicated by the findings. Finally, increasing awareness of MBPs among referrers, managers, and the public may enable successful implementation.

Patterns in the Delivery of Psychiatric Care in Saskatchewan 1971–1972: Part III: Patient Socio-Demographic and Medical Characteristics

1977 ◽  
Vol 22 (5) ◽  
pp. 215-223 ◽  
Author(s):  
Carl D'Arcy
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Delivery System ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Care Delivery ◽  
Psychiatric Inpatient ◽  
The Public ◽  
Private And Public

This paper is one of several examining he variety of patterns in the delivery of psychiatric health care in the Province of Saskatchewan during 1971 and 1972. Previous papers dealt with an overview of service sectors, patient volumes, types of contacts and some patients career characteristics. This paper deals with sociodemographic and medical characteristics of patients treated in the various sectors of the psychiatric care delivery system in Saskatchewan. The private and public psychiatric care delivery systems deal with essentially separate psychiatric populations. These differ in volume, in type of psychiatric disorder, in socio-demographic characteristics and in patient career characteristics. The “private” sector saw proportionately more females in the 20-39 year age group, whereas the public sector saw proportionately more males and females in the 0-19 year age category. The “private” sector also treated more people in rural, village and town areas whereas the public sector appeared to be more city-based. General practitioners were more active in rural and small towns, while psychiatrists tended to be more active in the larger urban areas. This reflects the general practitioner's role as a primary health care source. The vast majority of private sector patients were seen for neurotic and psychosomatic disorders. The public sector patients included those treated for the more intractable schizophrenic, organic, affective, and neurotic depression diagnoses. Comparative data on both the private and public sectors show considerable increases in the volume of services being delivered. Previous data demonstrate a relatively strong relationship between availability of psychiatric services and utilization rates within a region. It would appear that the presence of a psychiatric inpatient facility serves an educative function and increases the volume of general practitioner treatment for psychiatric problems. The present data indicate that the majority of persons seen for psychiatric reasons by medical practitioners in Saskatchewan suffer from relatively minor psychiatric ailments. Therefore, we must question the suitability of the present service delivery system. Is there a need to screen out “medical problems” from “problems of living” which may be better treated by non-medically-oriented counselling services, thus freeing some of the medically-skilled manpower to focus on better and more comprehensive care for the more intractable mental disorders?

scholarly journals Problems of formation of public management mechanisms: health system: a discussion of the discussion field

2019 ◽  
Vol 7 (12) ◽  
pp. 16-27
Author(s):  
М. В. Долгіх
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Public Management ◽  
Health Management ◽  
Medical System ◽  
Governance Mechanisms ◽  
Public And Private ◽  
The Public ◽  
System A ◽  
Care System

The article substantiates that the country's health care system is in a state of constant transformation. Being a multi-level and branching structure, the system is evolving into complex approaches to defining governance mechanisms in the public and private healthcare sectors. It is in them that the state reproduces a new system of governance mechanisms, which need to be considered in the aggregate of the effects of meso, macro and microfactors with the use of new forms of government at all levels.According to the National Strategy for the Reform of the Medical System of Ukraine for the period 2015-2020, key problems, potential directions and ways of their solution for the formation of a new state policy in the field, including deep regulatory transformations and introduction of new financial mechanisms for ensuring human rights in the field of protection, have been identified health. In such circumstances, the country's medical system must be based on three fundamental principles: human-centered, result-oriented, best-in-class, and best practices in healthcare delivery.A review of historical and scientific sources shows that the management of the health care system requires systematic changes and qualitatively new approaches, finding alternative ways of reforming the organizational and economic mechanism of the medical industry, developing new models of interaction of public administration mechanisms to preserve the able-bodied population. We also believe that the mechanisms of public health management currently in place in our country do not correspond to its current changes.

scholarly journals PATTERN OF HEALTH CARE EXPENDITURE OF PRIVATE AND PUBLIC: A CASE STUDY OF HOSPITAL PATIENTS IN KANNUR DISTRICT, KERALA, INDIA

2018 ◽  
Vol 6 (5) ◽  
pp. 431-449
Author(s):  
Maneesh P ◽  
Aicha EL ALAOUI
Keyword(s):  
Health Care ◽  
Health Care Cost ◽  
Health Care Expenditure ◽  
Public Health Care ◽  
Public Health Care System ◽  
Private Hospitals ◽  
The Public ◽  
Government Hospitals ◽  
Private And Public ◽  
The Government

In Kerala, the disturbing trend is that the public health care system is getting alienated from the people since 1980’s. About 30% of the lower income families seeks medical service from the government hospitals. This is because of the fall in the quality of the services of the government hospitals. In the present situation, the rate of utilization of the private sector can be increased drastically pointing to the poor performance of the public health care system. The government hospital has some problems like poor physical or infrastructure facilities, ineffective leadership and unsatisfactory supply of drugs and medical supplies faculty of staffing procedure. These above stated problems do not exist in private hospitals. Therefore, the present study carried out to assess the healthcare expenditure of government and private hospitals patients in Kannur district. The study was conducted during 2015-16. The sample size of the survey contains a total of 120 respondents from Kannur district. The study analyses the interrelationship between health care expenditure and major socioeconomic factors such as monthly income, age, gender, marital status and occupation. The health care expenditure divided into two-direct and indirect health care cost. The direct health care cost includes- user fee charge, medical charge, diagnostic charge and surgical cost. The indirect health care cost comprises of transportation charge, food and bevarages charge and accommodation charges. The study found that the direct cost of health care is high in both private and public sector hospitals. Finally, the study suggests that an initiative along the role of government is requested to secure the health demands of poor as health care costs are growing over time.

Commentary

1997 ◽  
Vol 13 (3) ◽  
pp. 458-459 ◽  
Author(s):  
Barbara Stocking
Keyword(s):  
Computed Tomography ◽  
Health Care ◽  
Technology Assessment ◽  
The World ◽  
Office Of Technology Assessment ◽  
Ct Scanners ◽  
The U.S

There is no doubt that the U.S. Office of Technology Assessment was the leading body in getting technology assessment (TA) into health care. But it was an idea whose time had come. Several people around the world had all begun to look at the same issues, particularly focusing on the introduction of computed tomography (CT) scanners. I sometimes wonder what would have happened to TA if CT scanners had not appeared just at that time!

scholarly journals Assessment of the Economic and Health-Care Impact of COVID-19 (SARS-CoV-2) on Public and Private Dental Surgeries in Spain: A Pilot Study

2020 ◽  
Vol 17 (14) ◽  
pp. 5139 ◽  
Author(s):  
Cintia Chamorro-Petronacci ◽  
Carmen Martin Carreras-Presas ◽  
Adriana Sanz-Marchena ◽  
María A Rodríguez-Fernández ◽  
José María Suárez-Quintanilla ◽  
...  
Keyword(s):  
Health Care ◽  
Private Practice ◽  
The State ◽  
Insurance Companies ◽  
Economic Losses ◽  
Protective Equipment ◽  
Public And Private ◽  
The Public ◽  
Private And Public ◽  
Public Health Challenge

Objectives: The COVID-19 (SARS-CoV-2) pandemic is an ongoing public health challenge, also for the dentistry community. The main objective of this paper was to determine the economic and health-care impact of COVID-19 on dentists in the Autonomous Region of Galicia (Spain). Methods: This was a descriptive observational study in which the data was collected by means of a self-administered survey (from 1 April 2020 to 30 April 2020). Results: A total of 400 dentists from Galicia responded to the survey. Only 12.3% of the participants could obtain personal protective equipment (PPE) including FFP2 masks. Of the male respondents, 33.1% suffered losses >€15,000 compared to 19.4% of female respondents (OR = 3.121, p < 0.001). Economic losses seem to have contributed to the applications for economic help as 29.5% of the respondents who applied for this measure recorded losses in excess of €15,000 (p = 0.03). Patients complained more about the fact that only emergency care was available during the State of Alarm, in dental surgeries that do not work with insurance companies or franchises. Only 4 professionals tested positive, 50% of whom worked exclusively in private practice and the other 50% who practised in both private and public surgeries. Dentists who practise in the public sector saw more urgent patients per week than those practising in private surgeries (p = 0.013). Conclusions: The COVID-19 pandemic has had economic repercussions in dentistry as only urgent treatment was available during the State of Alarm. These repercussions seem to be higher in male participants, as the majority of the participants have revealed higher economic losses than females. The level of assistance has also been affected, reducing the number of treated patients, although this quantity has been different in private and public surgeries. By presenting these findings we look to highlight the role that dentists play in society in treating dental emergencies in our surgeries, and this must be recognised and addressed by the relevant authorities, who must provide PPEs as a priority to this group as well as providing special economic aid in accordance with the losses incurred by the sector.

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