Health$en$eTM: Developing a Board Game on Value-based Healthcare Financing

Background. With rising healthcare costs, there is a need to transform healthcare financing to provide better care value and sustainability. Healthcare providers and consumers need to be educated about value-based care and financing. This can be done through games. Intervention & Methods. We describe the design of our board game Health$en$eTM which aims to let players simulate the role of funding patients’ care as the patients move across the care value chain. In the game, players will learn how certain care funding innovations help to optimize healthcare expenditure for better value. Discussion & Conclusion. We envisage that some game elements of Health$en$eTM may motivate players to transform healthcare financing systems in the real world. We formulate a matrix to predict the possible associations between game elements and psychological core drives relevant to Health$en$eTM. Further analysis of the game’s potential impact and validation of the matrix could be conducted in due course after the game is launched in a workshop.

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Telehealth Facilitates Value-Based Care in Emergency Department Settings

10.1093/med/9780190066475.003.0022 ◽

2021 ◽

pp. 256-261

Author(s):

Deborah Ann Mulligan ◽

Krista Drobac ◽

Robert Shesser

Keyword(s):

Value Chain ◽

Hospital Admissions ◽

Leadership Role ◽

Emergency Physicians ◽

Coordinated Care ◽

Care Needs ◽

Unscheduled Care ◽

Value Based Care

Spurred by the COVID-19 pandemic, the health care industry is increasingly aware of benefits emergency physicians could contribute to value-based care. The use of emergency telehealth—to reduce the number of hospital admissions, readmissions, and missed outpatient follow-up appointments—will play an increasing role in the shift to value-based care paradigms. Although certain legal, regulatory, and reimbursement challenges remain, the COVID-19 outbreak should stimulate lawmakers and regulatory agencies to promulgate further measures that facilitate widespread adoption of telemedicine, which will inevitably extend into emergency care. Emergency physicians should play a leadership role in the development and implementation of coordinated care before, during, and after acute unscheduled care needs of patients. Coordinated care is a recognized role of emergency telehealth in the value chain. For emergency telehealth to be effective, it must be appropriately integrated into standard practice of emergency medicine.

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Extracellular matrix: the gatekeeper of tumor angiogenesis

Biochemical Society Transactions ◽

10.1042/bst20190653 ◽

2019 ◽

Vol 47 (5) ◽

pp. 1543-1555 ◽

Cited By ~ 10

Author(s):

Maurizio Mongiat ◽

Simone Buraschi ◽

Eva Andreuzzi ◽

Thomas Neill ◽

Renato V. Iozzo

Keyword(s):

Extracellular Matrix ◽

Tumor Angiogenesis ◽

Signaling Cascades ◽

Cancer Growth ◽

Cell Behavior ◽

Metastatic Progression ◽

Surface Receptors ◽

The Matrix ◽

Multiple Signaling

Abstract The extracellular matrix is a network of secreted macromolecules that provides a harmonious meshwork for the growth and homeostatic development of organisms. It conveys multiple signaling cascades affecting specific surface receptors that impact cell behavior. During cancer growth, this bioactive meshwork is remodeled and enriched in newly formed blood vessels, which provide nutrients and oxygen to the growing tumor cells. Remodeling of the tumor microenvironment leads to the formation of bioactive fragments that may have a distinct function from their parent molecules, and the balance among these factors directly influence cell viability and metastatic progression. Indeed, the matrix acts as a gatekeeper by regulating the access of cancer cells to nutrients. Here, we will critically evaluate the role of selected matrix constituents in regulating tumor angiogenesis and provide up-to-date information concerning their primary mechanisms of action.

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Theoretical and Empirical Research in Modern Economics: Problems of Communication

Voprosy Ekonomiki ◽

10.32609/0042-8736-2008-6-4-19 ◽

2008 ◽

pp. 4-19 ◽

Cited By ~ 1

Author(s):

A. Libman

Keyword(s):

Empirical Research ◽

Econometric Methods ◽

Potential Impact ◽

Empirical Turn

The last decades witnessed the increasing importance of econometric methods and empirical research in economics. The success of the empirical turn in economics depends on the formats and problems of communication between theory and empirics. The paper considers potential difficulties in communication "from the theory to empirical research" and "from empirical research to theory". It analyzes the role of informal consensus as an instrument facilitating such communication and potential impact of this consensus on the direction of research.

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Enhancing the Role of Healthcare Providers to Manage the Outpatient Department of Public Private Hospitals

MERI-Journal of Management & IT ◽

10.25089/meri/2017/v11/i1/164136 ◽

2017 ◽

Vol 11 (1) ◽

pp. 118

Author(s):

Sandesh Kumar Sharma

Keyword(s):

Healthcare Providers ◽

Outpatient Department ◽

Private Hospitals

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The Interactions between Polyphenols and Microorganisms, Especially Gut Microbiota

Antioxidants ◽

10.3390/antiox10020188 ◽

2021 ◽

Vol 10 (2) ◽

pp. 188

Author(s):

Małgorzata Makarewicz ◽

Iwona Drożdż ◽

Tomasz Tarko ◽

Aleksandra Duda-Chodak

Keyword(s):

Intestinal Bacteria ◽

Research Data ◽

Bioactive Metabolites ◽

Human Organism ◽

Comprehensive Knowledge ◽

Bidirectional Relationship ◽

The Matrix ◽

Intestinal Pathogens ◽

The Impact

This review presents the comprehensive knowledge about the bidirectional relationship between polyphenols and the gut microbiome. The first part is related to polyphenols’ impacts on various microorganisms, especially bacteria, and their influence on intestinal pathogens. The research data on the mechanisms of polyphenol action were collected together and organized. The impact of various polyphenols groups on intestinal bacteria both on the whole “microbiota” and on particular species, including probiotics, are presented. Moreover, the impact of polyphenols present in food (bound to the matrix) was compared with the purified polyphenols (such as in dietary supplements) as well as polyphenols in the form of derivatives (such as glycosides) with those in the form of aglycones. The second part of the paper discusses in detail the mechanisms (pathways) and the role of bacterial biotransformation of the most important groups of polyphenols, including the production of bioactive metabolites with a significant impact on the human organism (both positive and negative).

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Engineering Solutions to COVID-19 and Racial and Ethnic Health Disparities

Journal of Racial and Ethnic Health Disparities ◽

10.1007/s40615-020-00953-x ◽

2021 ◽

Author(s):

Gilda A. Barabino

Keyword(s):

Health Disparities ◽

Black Community ◽

Systems Approach ◽

Healthcare Providers ◽

Structural Racism ◽

Communities Of Color ◽

Collective Response ◽

Design Skills

AbstractThe role of engineers in response to the COVID-19 pandemic and in the elimination of health disparities, while not always visible, has important implications for the attainment of impactful solutions. The design skills, systems approach, and innovative mindset that engineers bring all have the potential to combat crises in novel and impactful ways. When a disparities lens is applied, a lens that views gaps in access, resources, and care, the engineering solutions are bound to be more robust and equitable. The disproportionate impact of COVID-19 on the Black community and other communities of color is linked to inequities in health rooted in a centuries long structural racism. Engineers working collaboratively with physicians and healthcare providers are poised to close equity gaps and strengthen the collective response to COVID-19 and future pandemics.

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Discussing reproductive goals with healthcare providers among women living with HIV in Canada: the role of provider gender and patient comfort

Sexual and Reproductive Health Matters ◽

10.1080/26410397.2021.1932702 ◽

2021 ◽

Vol 29 (1) ◽

pp. 1932702

Author(s):

Lashanda Skerritt ◽

Alexandra de Pokomandy ◽

Nadia O’Brien ◽

Nadia Sourial ◽

Ann N Burchell ◽

...

Keyword(s):

Healthcare Providers ◽

Patient Comfort ◽

Women Living With Hiv ◽

Living With Hiv

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What is beyond the edges? Gated communities and their role in China’s desire for harmonious cities

City Territory and Architecture ◽

10.1186/s40410-020-00122-x ◽

2020 ◽

Vol 7 (1) ◽

Author(s):

Badiaa Hamama ◽

Jian Liu

Keyword(s):

Economic Growth ◽

Real Estate ◽

Urban Form ◽

Gated Communities ◽

Urban Fabric ◽

Chinese Cities ◽

The Matrix ◽

Process Of Urbanization ◽

New Urbanization

Abstract During the rapid process of urbanization in post-reform China, cities assumed the role of a catalyst for economic growth and quantitative construction. In this context, territorially bounded and well delimited urban cells, globally known as ‘gated communities’, xiaoqu, continued to define the very essence of Chinese cities becoming the most attractive urban form for city planners, real estate developers, and citizens alike. Considering the guidelines in China’s National New Urbanization Plan (2014–2020), focusing on the promotion of humanistic and harmonious cities, in addition to the directive of 2016 by China’s Central Urban Work Conference to open up the gates and ban the construction of new enclosed residential compounds, this paper raises the following questions: As the matrix of the Chinese urban fabric, what would be the role of the gated communities in China’s desire for a human-qualitative urbanism? And How to rethink the gated communities to meet the new urban challenges? Seeking alternative perspectives, this paper looks at the gated communities beyond the apparent limits they seem to represent, considering them not simply as the ‘cancer’ of Chinese cities, rather the container of the primary ingredients to reshape the urban fabric dominated by the gate.

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Circular Agreements—Exploring the Role of Agreements and Deals as a Political Tool for a Circular Economy

Circular Economy and Sustainability ◽

10.1007/s43615-021-00004-5 ◽

2021 ◽

Author(s):

Nils Johansson

Keyword(s):

Value Chain ◽

Circular Economy ◽

Policy Instruments ◽

Alternative Form ◽

Advantages And Disadvantages ◽

Free Rider Problem ◽

Political Governance ◽

The Eu

AbstractA problem for a circular economy, embedded in its policies, tools, technologies and models, is that it is driven by the interests and needs of producers, rather than customers and users. This opinion paper focuses on an alternative form of governance—agreements, which thanks to their bargaining approach brings actors from across the value chain into the policy process. The purpose of this opinion paper is to uncover and analyse the potential of such agreements for a circular economy. Circular agreements aim at increasing the circulation of materials and are an emerging form of political governance within the EU. These agreements have different names, involve different actors and govern in different ways. However, circular agreements seem to work when other types of regulations fail to establish circulation. These agreements bring actors together and offer a platform for negotiating how advantages and disadvantages can be redistributed between actors in a way that is more suitable for a circular economy. However, circular agreements are dependent on other policy instruments to work and can generate a free-rider problem with uninvolved actors. The agreements may also become too detailed and long term, which leads to problem shifting and lock-ins, respectively.

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