The Management of Chronic Diseases in the Netherlands and in Germany

2007 ◽  
Vol 9 (3) ◽  
pp. 243-275
Author(s):  
Markus Sichert ◽  
Christina Walser
Keyword(s):  
Health Care ◽  
The Netherlands ◽  
Chronic Diseases ◽  
Chronic Disease Management ◽  
Health Care Systems ◽  
Chronically Ill ◽  
The Other ◽  
Improve Quality ◽  
Care Systems ◽  
The One

Chronic diseases pose significant challenges to health insurance systems. On the one hand, the supply of medical care to patients suffering from chronic diseases is very costly; on the other hand, more and more people are becoming chronically ill, and many of them suffer from diabetes. Against this background, steering mechanisms that address chronic disease management are needed, not only to cope with cost containment, but also to improve quality and to overcome obstructive interfaces of supply structures. This article analyses how these challenges are being dealt with and how the respective chronic diseases – the focus will be on diabetes – are managed in the Netherlands and in Germany. The approaches taken in each of these countries present examples of how structures for political and legal steering have been established within health care systems that are subject to frequent reform. Each approach is assessed by analysing the priority given to either regulatory or competitive elements, and particular reference will be made to (subordinated) implementation structures, contracts or models.

scholarly journals The impact of chronic disease and disability on the elderly

1999 ◽  
Vol 55 (3) ◽  
pp. 9-14
Author(s):  
C. J. Eales
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Health Care Systems ◽  
The Elderly ◽  
Therapeutic Interventions ◽  
Elderly Persons ◽  
Care Systems ◽  
And Function ◽  
The Impact

Health care systems for elderly people should aim to delay the onset of illness, reducing the final period of infirmity and illness to the shortest possible time. The most effective way to achieve this is by health education and preventative medicine to maintain mobility and function. Changes in life style even in late life may result in improved health, effectively decreasing the incidence of chronic diseases associated with advancing age. This paper presents the problems experienced by elderly persons with chronic diseases and disabilities with indications for meaningful therapeutic interventions.

scholarly journals Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

2018 ◽  
Vol 10 (12) ◽  
pp. 4439 ◽  
Author(s):  
Elio Borgonovi ◽  
Paola Adinolfi ◽  
Rocco Palumbo ◽  
Gabriella Piscopo
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Financial Economic ◽  
Point Of View ◽  
Health Care Environment ◽  
Health Gains ◽  
Care Systems ◽  
The One ◽  
The Individual

Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

An Occupational Therapy Course on Community Practice

1995 ◽  
Vol 62 (2) ◽  
pp. 76-81 ◽  
Author(s):  
Constance Vanier ◽  
Michèle Hébert
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Health Care Systems ◽  
Skill Training ◽  
Community Services ◽  
The Other ◽  
Community Practice ◽  
Community Based ◽  
Care Systems ◽  
The University

This article outlines a course on occupational therapy community practice offered at the University of Ottawa and discusses its assets and limitations in terms of preparing students for the shift to community-based health services. The shift to community services in the health care systems of Ontario and Québec is described. Then the curricular components needed to prepare students for community practice are summarized. Finally, the community practice course at the University of Ottawa including its goal, objectives, class topics and evaluations is outlined. The strength of the community practice course described is that it includes many of the curricular components needed for community practice. On the other hand, limitations include the lack of skill training in some areas, its place in the last year of the programme, and its optional nature. Changes planned for the course and other recommendations for curricula are also discussed.

scholarly journals Privatisation and profitisation in health care. A comparative study of Sweden and the Netherlands

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ines Verspohl
Keyword(s):  
Health Care ◽  
Health Service ◽  
The Netherlands ◽  
Health Care Systems ◽  
Social Health ◽  
Internal Markets ◽  
Detailed Explanation ◽  
Care Systems ◽  
Technical Innovations ◽  
The Welfare State

<p>During the last 20 years, privatization<br />became an issue in health care. The neoliberal<br />market idea promised to increase<br />efficiency and responsiveness, while at the<br />same time relieving public budgets. European<br />countries have introduced all kind of market<br />instruments, reaching from internal markets,<br />over DRGs, to increased co-payments.<br />However, the welfare state literature<br />currently lacks a detailed explanation of<br />these different reforms.<br />All health care systems in the European<br />Union are affected by the same problem<br />pattern: demographic change, raising<br />demand, medical-technical innovations and<br />labour intensive services. Nonetheless, the<br />degree and form of privatization varies a lot.<br />This paper studies the power of ideas within<br />the framework of structural reform pressure<br />and institutional path-dependency. The<br />causes for privatization reforms are studied<br />in two countries representing the two ideal<br />types: the Netherlands for Social Health<br />Insurance and Sweden for the National<br />Health Service.</p>

scholarly journals Social distancing and dangers of access block to health care services during COVID-19 pandemic

2020 ◽  
Vol 16 (2) ◽  
Author(s):  
Mor Saban ◽  
Tal Shachar
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Systems ◽  
Chronically Ill ◽  
Access To Health Services ◽  
Isolated Populations ◽  
Social Distancing ◽  
Care Services ◽  
Care Systems ◽  
Novel Coronavirus

An outbreak of the novel coronavirus (COVID-19) that started in Wuhan, China, has spread quickly, with cases confirmed in 180 countries with broad impact on all health care systems. Currently, the absence of a COVID-19 vaccine or any definitive medication has led to increased use of non-pharmaceutical interventions, aimed at reducing contact rates in the population and thereby transmission of the virus, especially social distancing. These social distancing guidelines indirectly create two isolated populations at high-risk: the chronically ill and voluntary isolated persons who had contact with a verified patient or person returning from abroad. In this concept paper we describe the potential risk of these populations leading to an 80% reduction in total Emergency Department (ED) visits, including patients with an acute condition. In conclusion, alternative medical examination solutions so far do not provide adequate response to the at-risk population. The healthcare system must develop and offer complementary solutions that will enable access to health services even during these difficult times.

Gamification as an Enabler of Mutual Learning in Complex Health Care Systems

2016 ◽  
Vol 8 (4) ◽  
pp. 35-47
Author(s):  
Johanna Leväsluoto ◽  
Jouko Heikkilä ◽  
Joona Tuovinen ◽  
Kaupo Viitanen
Keyword(s):  
Health Care ◽  
Complex Systems ◽  
Change Process ◽  
Information Exchange ◽  
Health Care Systems ◽  
The Other ◽  
Mutual Learning ◽  
Care Systems ◽  
Switching Method ◽  
Systemic Understanding

In this paper, the authors present a gamified role switching method to promote dialogue and mutual learning in health care organisations facing changes in complex systems. Their research is based on two case studies in which the information exchange between the actors is crucial. 25 stakeholders were interviewed and four workshops were arranged. This study indicates that the gamified role switching method inspired and gave means for the participants to enhance systemic understanding of their organization and to improve dialogue. The role switching method also made the participants to see the situation from the other perspectives and thus promoted collaboration and the change process.

scholarly journals A Modelization of the Propagation of COVID-19 in Regions of Spain and Italy with Evaluation of the Transmission Rates Related to the Intervention Measures

Biology ◽  
2021 ◽  
Vol 10 (2) ◽  
pp. 121
Author(s):  
Raul Nistal ◽  
Manuel de la Sen ◽  
Jon Gabirondo ◽  
Santiago Alonso-Quesada ◽  
Aitor J. Garrido ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
The Other ◽  
Transmission Rates ◽  
Minimum Value ◽  
Intervention Measures ◽  
Infectivity Rate ◽  
Care Systems

Two discrete mathematical SIR models (Susceptible-Infectious-Recovered) are proposed for modelling the propagation of the SARS-CoV-2 (COVID-19) through Spain and Italy. One of the proposed models is delay-free while the other one considers a delay in the propagation of the infection. The objective is to estimate the transmission, also known as infectivity rate, through time taking into account the infection evolution data supplied by the official health care systems in both countries. Such a parameter is estimated through time at different regional levels and it is seen to be strongly dependent on the intervention measures such as the total (except essential activities) or partial levels of lockdown. Typically, the infectivity rate evolves towards a minimum value under total lockdown and it increases again when the confinement measures are partially or totally removed.

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