Hospital Planning: The Risks of Basing the Future on Past Data

2008 ◽  
Vol 37 (3) ◽  
pp. 6-14 ◽  
Author(s):  
Sandra G Leggat
Keyword(s):  
Service Planning ◽  
Rate Of Change ◽  
Public Hospitals ◽  
Administrative Databases ◽  
Healthcare Sector ◽  
Service Utilisation ◽  
Hospital Planning ◽  
Multi Stage ◽  
The Future ◽  
Planning Processes

Planning for capital development of public hospitals in Victoria is guided by a multi-stage process with comprehensive data analysis and thorough approval processes at each of the stages. The long development timeframes and the limitations in the data available to project service utilisation may negatively impact upon the service planning processes, and in some cases newly developed hospitals have not been sufficiently planned to meet community needs. This paper suggests that service utilisation forecasts derived from administrative databases require a more detailed verification process than currently exists. The process requires consideration of the drivers of demand to document the core assumptions about the future drivers, benchmarks with other jurisdictions, epidemiological, comparative and corporate needs assessment to explain the differences in utilisation rates, and sensitivity analysis. Given the cost of hospital construction and the rate of change in the healthcare sector, it is important that future hospital planning processes do not accept current utilisation trends as valid for future planning without this level of verification.

Developing strategies for the future of academic public hospitals

1996 ◽  
Vol 101 (5) ◽  
pp. 449-454 ◽  
Author(s):  
James Scheuer ◽  
Jeanette Mladenovic ◽  
Laurence B. Gardner ◽  
Merle A. Sande ◽  
Charles P. Clayton
Keyword(s):  
Public Hospitals ◽  
The Future ◽  
Developing Strategies

A situation analysis of clinical psychology services in South Africa’s public rural primary care settings

2016 ◽  
Vol 47 (2) ◽  
pp. 260-270 ◽  
Author(s):  
Johannes H De Kock ◽  
Basil J Pillay
Keyword(s):  
Mental Health ◽  
Human Resources ◽  
Primary Healthcare ◽  
Clinical Psychology ◽  
Secondary Data ◽  
Clinical Psychologists ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Primary Data ◽  
Situation Analysis

The goal of our study was to provide a situation analysis of clinical psychology services in South Africa’s public rural primary healthcare sector. In this setting, the treatment gap between human resources for and the burden of disease for mental illness is as high as 85%. The majority of South Africa’s mental health specialists – clinical psychologists and psychiatrists – practice in the country’s urban and peri-urban private sector. At the advent of South Africa’s democracy, public clinical psychological services were negligible, and the country is still facing challenges in providing human resources. The study was based on the analysis of both primary and secondary data. Primary data were collected by interviewing the heads of 160 public hospitals classified as rural by the Department of Health, while secondary data comprised a literature review. The number of clinical psychologists working in the public sector indicated a substantial growth over the last 20 years, while the number employed and/or doing out-reach to public rural primary healthcare areas shows a shortfall. Clinical psychology’s numbers, however, compare favourably to that of other mental health specialists in public rural primary healthcare settings. Since the National Mental Health Summit of 2012, strategies have been implemented to improve access to mental health care. In clinical psychology’s case relating to human resources, these strategies have showed encouraging results with a substantial amount of participating institutions reporting that clinical psychologists form a part of their proposed future staff establishment.

Technology and Disabilities in the Century Ahead

2011 ◽  
pp. 2077-2081
Author(s):  
Ray Kurzweil
Keyword(s):  
20Th Century ◽  
21St Century ◽  
Current Level ◽  
Rate Of Change ◽  
The World ◽  
The Future ◽  
The Disabled ◽  
Speed Up ◽  
Technology Trends ◽  
Over Time

I have been involved in inventing since I was five, and I quickly realized that for an invention to succeed, you have to target the world of the future. But what would the future be like? To find out, I became a student of technology trends and began to develop mathematical models of different technologies: computation, miniaturization, evolution over time. I have been doing that for 25 years, and it has been remarkable to me how powerful and predictive these models are. Now, before I show you some of these models and then try to build with you some of the scenarios for the future—and, in particular, focus on how these will benefit technology for the disabled—I would like to share one trend that I think is particularly profound and that many people fail to take into consideration. It is this: the rate of progress—what I call the “paradigmshift rate”—is itself accelerating. We are doubling this paradigm-shift rate every decade. The whole 20th century was not 100 years of progress as we know it today, because it has taken us a while to speed up to the current level of progress. The 20t h century represented about 20 years of progress in terms of today’s rate. And at today’s rate of change, we will achieve an amount of progress equivalent to that of the whole 20th century in 14 years, then as the acceleration continues, in 7 years. The progress in the 21st century will be about 1,000 times greater than that in the 20th century, which was no slouch in terms of change.

scholarly journals A comparison of individual and ecological indicators of social deprivation and their association with hospital efficiency in the context of infectious diseases in two French general paediatric departments

2020 ◽  
Author(s):  
Aphaia Roussel ◽  
Albert Faye ◽  
Alain Lefevre-Utile ◽  
Loic De Pontual ◽  
Karine Chevreul ◽  
...  
Keyword(s):  
Infectious Diseases ◽  
Geographical Area ◽  
Ecological Indicators ◽  
Hospital Efficiency ◽  
Public Hospitals ◽  
Administrative Databases ◽  
Ecological Indicator ◽  
Health Examination ◽  
The Impact ◽  
Zip Code

Abstract Background To identify deprivation indicators usable in everyday practice and included in medico-administrative databases, particularly with infectious diseases, which represent the greatest proportion of hospitalizations. Our objective was to compare ecological indicators to individual questionnaires and apply both types to the study of the impact of deprivation on hospital efficiency. Methods We conducted an epidemiological observational prospective multicentre study in two French public hospitals between 20 October 2016 and 20 March 2017. Children hospitalized for one of the four most common infectious diseases were included and their parents were asked to answer the Evaluation of Precarity and Inequalities in Health Examination Centers (EPICES) questionnaire. The ecological indicator French DEPrivation index (FDep) was derived from patients’ address, both at the zip code and at a smaller geographical area (IRIS [ilôts de regroupement pour l'information statistique]) level. Correlation and concordance between the three indicators were assessed. The endpoint used to assess the impact on hospital efficiency was the ratio between patients’ length of stay (LOS) and the national LOS of their disease-related group. Results Data were available for 540 patients with a mean age of 9 mo. A total of 56.1% of patients were considered deprived with EPICES, 50.4% with zip code FDep and 45.7% with IRIS FDep. Concordance between EPICES and either type of FDep was <0.1. There was no increase in LOS compared with national LOS with any of the indicators. Conclusions Individual and ecological indicators do not measure the same aspects of deprivation. The decision to use one or the other must be carefully weighed when studying the impact of deprivation on the healthcare system.

scholarly journals Employee Appraisal as the Tool of the Pro-innovative Organizational Culture Formation in Hospitals

2015 ◽  
Vol 7 (2) ◽  
pp. 135-150 ◽  
Author(s):  
Joanna Jończyk ◽  
Beata Buchelt
Keyword(s):  
Organizational Culture ◽  
Quantitative Data ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Appraisal System ◽  
Knowledge Based ◽  
Culture Formation ◽  
Survival And Growth ◽  
Innovative Culture ◽  
Culture Creation

Abstract Healthcare sector is considered as the knowledge-based sector and because of this innovation and creativity should be regarded as prerequisite for the survival and growth of the organizations which perform their activities within the sector. In this context development of pro-innovative culture within hospitals becomes crucial. In search for tools allowing to create the culture employees appraisal becomes an interesting tool to be further investigated. Due to the fact the main aim of the paper is to investigate the relationships between the employee appraisal system and innovation in the context of the organizational culture in the hospitals. Study was carried in eight public hospitals located in two voivodships in Poland. Not only qualitative but also quantitative data was analyzed in order to identify usefulness of employees appraisal as the tool of pro-innovative culture creation.

Do patents impede the provision of genetic tests in Australia?

2013 ◽  
Vol 37 (3) ◽  
pp. 281 ◽  
Author(s):  
Dianne Nicol ◽  
John Liddicoat
Keyword(s):  
Breast Cancer ◽  
Health Policy ◽  
Genetic Testing ◽  
Evidence Base ◽  
Public Hospitals ◽  
Law Reform ◽  
Genetic Tests ◽  
The Future ◽  
Patent Enforcement ◽  
The Impact

Objective. Health policy and law reform agencies lack a sound evidence base of the impacts of patents on innovation and access to healthcare to assist them in their deliberations. This paper reports the results of a survey of managers of Australian genetic testing laboratories that asked a series of questions relating to the tests they perform, whether they pay to access patented inventions and whether they have received notifications from patent holders about patents associated with particular tests. Results. Some diagnostics facilities are exposed to patent costs, but they are all located in the private sector. No public hospitals reported paying licence fees or royalties beyond those included in the price of commercial test kits. Some respondents reported having received enforcement notices from patent holders, but almost all related to the widely known breast cancer-associated patents. Respondents were also asked for their views on the most effective mechanisms to protect their ability to provide genetic tests now and in the future. Going to the media, paying licence fees, ignoring patent rights and relying on the government to take action were widely seen as most effective. Litigation and applications for compulsory licences were seen as some of the least effective mechanisms. Conclusion. These results provide an evidence base for development of health policy and law reform. What is known about the topic? The impact of patents on the delivery of genetic testing services remains unclear in Australia. What does this paper add? The survey reported in this paper suggests that, aside from well-known enforcement actions relating to the breast cancer associated patents, there is little evidence that providers of genetic testing services are being exposed to aggressive patent-enforcement practices. What are the implications for practitioners? Although patent-enforcement actions may increase in the future, a range of strategies are available to providers of testing services to protect them against adverse consequences of such actions. There are ongoing law reform activities aimed at improving these strategies.

Rate of Change and Stress: A Test of the "Future Shock" Thesis

Social Forces ◽  
1974 ◽  
Vol 52 (4) ◽  
pp. 510-516 ◽  
Author(s):  
R. H. Lauer
Keyword(s):  
Rate Of Change ◽  
The Future

scholarly journals Integrated medicine management system for malaysian healthcare sector

2019 ◽  
Vol 10 (4) ◽  
pp. 3346-3355
Author(s):  
Rabbia Alamdar ◽  
Allan Mathews ◽  
Sharanjit Kaur ◽  
Khairulanwar Husain
Keyword(s):  
Management System ◽  
Clinical Decision ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
Current Evidence ◽  
Integrated Medicine ◽  
Medicine Management ◽  
Treatment Benefits ◽  
Patient Health ◽  
Pharmacy System

Medicine management is an approach supported by evidence to prescribe and manage the patient’s medicines to protect the safety, tolerability, and potency of the medication. It helps practitioners to achieve the optimum use of medicines for a patient, optimizes the treatment benefits and accomplishes the best results for each patient. The three components of the Medicine Management System (MMS), which are Electronic Health Record (EHR), e-prescription, and Clinical Decision Support System (CDSS) are vastly used. Despite the values of MMS, only 15.2% of public hospitals in Malaysia utilize the system using different features. This paper reviewed the components of the current MMS, the utilization and challenges of MMS implementation in the Malaysian context, and proposed a new integrated MMS. The proposed MMS is grounded on three theories, namely System Theory, Utilization Theory, and Evidence-Based Theory. The main aspects of the integrated MMS are e-prescription, appropriateness of dosage regimen, covering best current evidence, show alerts of any medicine-related issues, and centralization of patient data that will be designed for all healthcare centers. If any issues arise in the prescribed medicine, an alert will be supported by the current foremost evidence that shows on the prescriber’s system. However, if no issue is detected, the prescription will be saved in the patient’s record and will show on the pharmacy system with direction and cautions related to the medicines. The proposed MMS is postulated to increase the productivity of the healthcare system by reducing medicine-related issues, improve communication among healthcare professionals, enhance patient health, and enhance practitioner operations.

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