Exploring the market to establish an advanced surgical community eye hospital

2020 ◽  
pp. 147078532097005
Author(s):  
Ishaana Sood ◽  
Shalinder Sabherwal ◽  
Shantanu DasGupta ◽  
Naval Chauhan ◽  
Anand Chinnakaran ◽  
...  

Developing countries often cite shortage of human resource, limited accessibility, low affordability, and asymmetric availability of health care resources as the provider end barriers to health care service utilization. Using the example of a market research project undertaken to establish an advanced surgical eye hospital in the Indian state of Uttar Pradesh, a decision-grid is constructed whereby health care providers’ can make informed decisions regarding expansion and service delivery. The comparative and interpretive logic-based approach utilizes public domain data coupled with field research and is apt for those working in developing countries and/or resource-crunch settings. The paradigms laid out and discussed, provide building blocks for decision-making, which if harnessed effectively, have broad applicability in terms of reaching the previously unreached and ultimately in improving health outcomes.

Author(s):  
Michaela Hesse ◽  
Lukas Radbruch

German hospice care developed as a civil society movement in which volunteers were essential from the beginning. Palliative care was, however, led by a few pioneer physicians and started independently from hospices. This separate development is still visible with a clear distinction between palliative care units and inpatient hospices. Over the last two decades these two areas of care have moved more into the regular health care service. As a result volunteer services are increasingly subject to regulations. This also means that there is an increasing amount of competition and economic pressure. Developing trust and high transparency in the local and regional palliative care networks, and open and bilateral collaboration of specialist services with general practitioners (GPs) and other health care providers on the basic palliative care level are prerequisites of integrated palliative care. Ongoing development leads to changes in the patient groups that receive palliative care.


2020 ◽  
Vol 57 (2) ◽  
pp. 278-297 ◽  
Author(s):  
J. Daniel Zyung ◽  
Vikas Mittal ◽  
Sunder Kekre ◽  
Gajanan G. Hegde ◽  
Jennifer Shang ◽  
...  

Ethics has long been, and continues to be, a central topic among marketing scholars and practitioners. When providing complex services—multiple interactions over time that are predicated on the evolving needs of customers—service providers face ethical dilemmas, which are often resolved by engaging an ethics committee (EC). Despite the prevalence of ECs, research on service providers’ preference to engage with an EC is sparse. This study examines whether the role that health care providers play, as either task manager or relationship manager, makes a difference in their preference for engaging with and utilizing an EC for resolving ethical dilemmas. Results based on 1,440 observations collected from health care service providers show that service providers’ task or relationship management role, as well as prior experience with an ethics consultation, influences their preference both for engaging an EC and for having the EC prescribe a specific outcome to resolve an ethical dilemma. This study extends prior work on conceptual models examining ethical decision-making processes in marketing.


2020 ◽  
Vol 2 ◽  
pp. 5-16
Author(s):  
Abdul Kader Mohiuddin

Patient satisfaction is a useful measure for providing quality indicators in health-care services. Concern over the quality of health-care services in Bangladesh has resulted in a loss of faith in health-care providers, low use of public health facilities, and increased outflows of patients from Bangladesh to hospitals abroad. The main barriers to accessing health services are inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached, very short consultation time, lack of empathy of the health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and occasionally, disregard for the suffering that patients endure without being able to voice their concerns. All of these service failures are frequently reported in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with health-care service providers and health-care itself.


Autism ◽  
2011 ◽  
Vol 16 (4) ◽  
pp. 337-339 ◽  
Author(s):  
Adel M Zeglam ◽  
Ameena Maouna

Background Autism is a global disorder, but relatively little is known about its presentation and occurrence in many developing countries, including Libya. Aims To estimate the prevalence of autistic spectrum disorders in children referred to Al-Khadra hospital (KH). To increase the awareness among pediatrician and primary health care providers of the importance of considering autism in children presenting with speech and language disorders. Methods Prospective hospital-based study of all children referred to a neurodevelopment clinic between 2005 and 2009 with the diagnosis of either speech and language difficulties or behavioral difficulties. Results A total of 38,508 children were seen in the pediatric outpatient clinics of KH, Tripoli, between 2005 and 2009. Of these, 180 children were referred to the neurodevelopment clinic with history of delayed speech and language and or behavioral difficulties. A diagnosis of autism was made in 128 children, which gives a prevalence of approximately 1 in 300. Conclusion The prevalence of autism in Libya is probably similar to that seen in the USA and the UK. No data were available for comparison from either Arab or other developing countries. Autism is an important differential diagnosis of any language disorder ‘and behavioral difficulties’.


BioMedica ◽  
2020 ◽  
Vol 36 (2S) ◽  
pp. 81-83
Author(s):  
Muhammad Imran Khan Niazi ◽  
Sarah Ghafoor

<p>The use of technology to facilitate communication and care between patients and dental health care providers at different locations is referred as tele dentistry. It utilises different electronic modalities thus increasing the efficacy of dental clinics by converting traditional paper patient&rsquo;s records to Electronic Health Records (EHR). These EHR can help in increasing inter-professional communication between clinicians and multidisciplinary management of complex cases. Tele dentistry is a unique way to overcome the geographical barriers by delivering long distance treatment, providing Continuing Education (CE) and training opportunities for dental and non-dental providers. It also has the potential to reduce or eliminate oral health care disparities between different communities. During current COVID-19 pandemic tele dentistry is an effective way to triage high risk patients needing urgent or emergency care thus mitigatingthe risk of the spread of the Coronavirus. Tele dentistry is yet to become integral part of Pakistan dental health care service but it is imperative that dental health care providers actively promote and support the use of tele dentistry</p>


Author(s):  
Sudhir Chandra Joshi ◽  
Rita Joshi

Background: Health services should be scientifically reviewed and researched continuously.. In 2017, at the occasion of completion of seven decades of the India's Independence, a self-funded “doctors' perception study project” was launched. Present paper is an outcome of this project which will soon be followed by similar projects involving other stakeholders of health care as well.Methods: Fifteen individual face to face in depth interviews (FFIDIs) and ten focus group discussions (FGDs) were conducted during the year 2017 among the junior level health care providers working at a rural health training center. Thematic (content) analysis method was used.Results: A big gap exists between the concept and its implementation. Several ‘people factors’ and ‘system factors’ emerged besides quite a few ‘contradictions’, ‘malpractices’ and ‘deficiencies’. Perceptions regarding various ‘priority domains’ for improvement, ‘needs’ and ‘strategies’ were also explored. The emphasis was on improving peoples’ awareness action and access; staff recruitment, health care facilities and patient referral.Conclusions: Access barriers are disastrous and devastating for the poor and the disabled. There is a close mutual relation among the various issues. Chaos is being allowed to exist in which there are irrational use of drugs, mushrooming of ‘quacks’ and diversion of resources from public to private sector. Addressing all the issues requires peoples’ awareness and action along with political and administrative vision and will. A different politics is needed. Introspection, internal reforms and more community engagement is expected from the medical community.


2017 ◽  
Vol 26 ◽  
pp. 47
Author(s):  
Marika Žmenja

The number of Web sites providing medical consultations is growing constantly. They offer common information and advice, patient education, and general and individualised consulting. In certain cases wherein Web sites offer consultations, the service is subject to the same legal regulation as conventional health-care provision. The article discusses when consulting via the Internet (i.e., e-consulting) can be considered provision of health-care service and which requirements it has to meet if so. The author concludes that what matters here is not how service providers present their service but whether the essence of e-consultation corresponds to the definition of a health-care service – if it does, e-consultation has to be considered one. Among the obstacles in providing e-consultations is fulfilling the requirement of having consultation premises at the time of applying for the necessary permit. Health-care providers are required to have a physical location where they can provide the services.  Also addressed in the article is e-consultation as information-society service. It is concluded that if this is an intermediary service, then – if the design of the service so indicates – legal regulations applicable to health-care service provision do not apply. The author finds that, in general, e-consultations are possible and legitimate in the current legal framework.


Author(s):  
Kee-Jiar Yeo ◽  
Lina Handayani ◽  
Haikal Satria ◽  
Shih-Hui Lee ◽  
Chia-Keat Yap

<p>Mainly in infrastructure deficient communities, telecardiology is considered as a complement to insufficient cardiac care. Telecardiology can reduce travelling and waiting time, enables information sharing in shorter time and facilitate care in rural and remote areas. A qualitative study examined the perspectives of health care providers: cardiologist and general physician and health care service receivers: patient and public towards telecardiology adoption. The barriers in telecardiology adoption were identified in this paper. It includes practicality of telecardiology, the need of education for staffs and administrators, ease of use, preferred face-to-face consultation, cost and confidentiality. Improvements can be done by the implementers based on this study in order to promote telecardiology successfully in Malaysia. </p>


2001 ◽  
Vol 7 (1) ◽  
pp. 120
Author(s):  
Shirley Firebrace ◽  
Melinda Hammond ◽  
Barbara Bell ◽  
Peggy Mathison ◽  
Anne Watson ◽  
...  

While Koori Liaison positions have existed in tertiary health settings in Victoria for some time, the employment of a Koori worker in a broad-based primary health care service is a relatively new initiative. The advantages of locating a Koori access worker in a community health service are numerous: the worker is well positioned to work very closely with the local Koori community at a grass-roots level, with multi-disciplinary health professionals within the organisation, and also with external agencies, both Aboriginal and non-Aboriginal. The role of the access worker is to advocate for improved Koori access to Darebin Community Health services, local health and welfare agencies and local general practitioners. An early emphasis of the position was to establish a strong relationship with the local Koori community and to build effective working relationships with and referral pathways to health care providers.


2006 ◽  
Vol 67 (S1) ◽  
pp. S14-S29 ◽  
Author(s):  
Paula Brauer ◽  
Linda Dietrich ◽  
Bridget Davidson ◽  

Purpose: A modified Delphi process was used to identify key features of interdisciplinary nutrition services, including provider roles and responsibilities for Ontario Family Health Networks (FHNs), a family physician-based type of primary care. Methods: Twenty-three representatives from interested professional organizations, including three FHN demonstration sites, completed a modified Delphi process. Participants reviewed evidence from a systematic literature review, a patient survey, a costing analysis, and key informant interview results before undertaking the Delphi process. Statements describing various options for services were developed at an in-person meeting, which was followed by two rounds of e-mail questionnaires. Teleconference discussions were held between rounds. Results: An interdisciplinary model with differing and complementary roles for health care providers emerged from the process. Additional key features addressing screening for nutrition problems, health promotion and disease prevention, team collaboration, planning and evaluation, administrative support, access to care, and medical directives/delegated acts were identified. Under the proposed model, the registered dietitian is the team member responsible for managing all aspects of nutrition services, from needs assessment to program delivery, as well as for supporting all providers’ nutrition services. Conclusions: The proposed interdisciplinary nutrition services model merits evaluation of cost, effectiveness, applicability, and sustainability in team-based primary care service settings.


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