Integrated Health Care and Value Co-Creation: A Beneficial Fusion to Improve Patient Outcomes and Service Efficacy

2021 ◽  
pp. 183933492110307
Author(s):  
Janet Davey ◽  
Jayne Krisjanous
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Integrated Care ◽  
Health Care Services ◽  
Interdisciplinary Approach ◽  
Health Care Outcomes ◽  
Care Services ◽  
Conceptual Clarity ◽  
Patient Health ◽  
Care Models

This conceptual article integrates value co-creation concepts with dimensions of integrated care demonstrating how a marketing framework and a framework originated in health can achieve a beneficial fusion to enhance health outcomes. Using midwifery health care services as the context, we contend that integrated care models focus only on co-production overlooking the complex, value co-creation potential of value-in-use for improved health outcomes. We add four new dimensions of value-in-use: client–provider shared principles, client agency, empowerment, and relationship equality. Adopting an interdisciplinary approach, a value co-creation perspective advances our understanding of the activities and processes of integrated care at the various levels in the patient’s lifeworld beyond the patient–carer interface. We argue that adding value-in-use dimensions to health care’s integrated care model adds conceptual clarity and will improve service delivery and patient health care outcomes.

Light Still Shines in the Darkness

2010 ◽  
Vol 28 (4) ◽  
pp. 266-274 ◽  
Author(s):  
Ted Karpf ◽  
J. Todd Ferguson ◽  
Robin Y. Swift
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Care Services ◽  
Care Giving ◽  
Basic Care ◽  
The People ◽  
British Military ◽  
Health Care Models ◽  
Care Models

Health care is in crisis at the global, national, and local levels, with hundreds of millions living without basic care, or with insufficient care. Current health care models seem to have ignored, muted, or excluded the voices of the people they were intended to serve, resulting in health systems and care delivery models that do not respond to the needs of the people. This article describes a values-based approach to health and health care services in which the voices of the people are heard and listened to, and in which individuals and communities are informed participants in their own care. We draw parallels between contemporary concerns for decency in care giving to Florence Nightingale’s path-breaking work, first with the British military medical system and then Great Britain as a whole.

The Perceptions and Usage Intention of a Telecare System: An Empirical Study in Taiwan

2011 ◽  
Vol 467-469 ◽  
pp. 1056-1065
Author(s):  
Hui Lung Hsieh ◽  
Chung Hung Tsai ◽  
Bi Kun Chuang
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Comprehensive Evaluation ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Individual Privacy ◽  
Telemedicine Technology ◽  
Patient Health ◽  
Biomedical Technologies

With the growing number of aging population and chronic illnesses, how to help elderly residents access the health care service timely is a challenge for health care institutions in Taiwan. Recent advances in information, communication and biomedical technologies have combined to allow the development of various types of telemedicine technology designed to enhance or expand the health care services of elderly residents. However, most telecare studies focused only on medical care or development of technology rather than on comprehensive evaluation of residents’ (or patients’) perception about service processes. The purpose of this study was to explore rural residents’ perceptions and usage intention of a telecare system after they have used it. Results from this exploratory study showed that most elderly people have never heard or touched telecare systems before the study was conducted. However, the general perceptions of such systems included improvement of interacting with medical staffs, safety protection, convenient care, and one needed item of services in daily life. Especially, the mostly risk perception was privacy risk, that is, data confidentiality and individual privacy. Generally, most elderly residents evaluated their telecare experiences and perceptions as being positive. Besides, most elderly resident were willing to use the telecare system without fees. However, they felt risky about confidentiality and privacy toward this technology. To improve trustworthy perception of this novel technology, telecare providers should implement appropriate safeguards to protect patient health information exchanged in a telecare setting. Also, the physicians/nurses should take the time to communicate with the residents, especially in the form of education, about the benefits of technology. To optimize the effectiveness of this promising technique, more research on the relationship between residents’ (or patients’) perceptions and influences of technology will need to be conducted continually in future.

scholarly journals Transportation barriers to care among frequent health care users during the COVID pandemic

2021 ◽  
Author(s):  
Abigail L. Cochran ◽  
Noreen McDonald ◽  
Lauren Prunkl ◽  
Emma Vinella-Brusher ◽  
Jueyu Wang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Web Based ◽  
Health Care Outcomes ◽  
Response Data ◽  
Care Services ◽  
Transportation Barriers ◽  
Text Response ◽  
Care Outcomes ◽  
Barriers To Health

Objective: To investigate transportation barriers to accessing health care services during the COVID-19 pandemic among high-frequency health care users.Data Sources: Between June 21 and July 23, 2021, primary survey data were collected for a sample of patients in North Carolina.Study Design: The study analyzed the prevalence of arriving late to, delaying, or missing medical care and examined how transportation barriers contributed to negative health care outcomes. Data Collection Methods: A web-based survey was administered to North Carolina residents aged 18 and older in the UNC Health system who were enrolled in Medicaid or Medicare and had at least six outpatient medical appointments in the past year. 323 complete responses were analyzed to investigate the prevalence of reporting transportation barriers that resulted in having arrived late to, delayed, or missed care, as well as relationships between demographic and other independent variables and transportation barriers. Qualitative analyses were performed on text response data to explain transportation barriers.Principal Findings: Approximately 1 in 3 respondents experienced transportation barriers to health care between June 2020 and June 2021. Multivariate logistic regressions indicate individuals aged 18–64 were significantly more likely to encounter transportation barriers. Costs of traveling for medical appointments and a lack of driver or car availability emerged as major transportation barriers; however, respondents explained that barriers were often complex, involving circumstantial problems related to one’s ability to access and pay for transportation as well as to personal health.Conclusions: To address transportation barriers, we recommend more coordination between transportation and health professionals and the implementation of programs that expand access to and improve patient awareness of health care mobility services. We also recommend transportation and health entities direct resources to address transportation barriers equitably, as barriers disproportionately burden younger adults under age 65 enrolled in public insurance programs.

Health Behaviors, Physical Health, and Health Care Utilization in Children With ADHD

2018 ◽  
Vol 24 (7) ◽  
pp. 1011-1019 ◽  
Author(s):  
Se Jin Park ◽  
Hyesue Jang ◽  
Yeeun Lee ◽  
Chul Eung Kim ◽  
Subin Park
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Health Behaviors ◽  
Health Outcomes ◽  
Physical Health ◽  
Health Care Services ◽  
Care Utilization ◽  
Care Needs ◽  
Children With Adhd ◽  
Care Services

Objective: To compare health behaviors, physical health outcomes, and health care utilization between children with and without ADHD. Method: In this cross-sectional study, we obtained data for children with and without ADHD from the Korean National Health and Nutrition Examination Survey. To investigate the association between ADHD and health outcomes, we estimated the adjusted prevalence ratios (APRs) in these groups. Results: Among 10,838 children aged 7 to 18 years with and without ADHD, those with ADHD had significantly higher APRs for overall health problems, physical illness, and injuries than those without ADHD. Despite having health care needs, children with ADHD were less likely than those without ADHD to use health care services. However, there were no significant associations between most health behaviors and ADHD. Conclusion: Increased efforts are needed to provide quality health care services to address the medical conditions of children with ADHD and to enhance their health care utilization when needed.

The effects of payments for pharmaceuticals: a systematic literature review

2017 ◽  
Vol 14 (03) ◽  
pp. 337-354 ◽  
Author(s):  
Katarzyna Kolasa ◽  
Marta Kowalczyk
Keyword(s):  
Health Care ◽  
Literature Review ◽  
Health Outcomes ◽  
Health Care Costs ◽  
Drug Cost ◽  
Systematic Literature Review ◽  
Cost Sharing ◽  
Health Care Services ◽  
Care Services ◽  
Care Costs

AbstractThe existence of different forms of out-of-pocket payments (OOPs) for pharmaceuticals across the globe provokes the question whether they can achieve more negative or positive consequences. A systematic literature review was conducted to assess the association between drug cost sharing and health care services utilization, health care costs as well as health outcomes. Studies published in The Cochrane Library, PubMed, Embase were searched with such keywords as: drug, pharmaceutical, cost sharing, out of pocket, co-payments paired with the following: impact, health outcomes, health care costs and utilization. The final review included 18 articles. A total of 11 publications reported the association between drug cost sharing and health care utilization patterns, of which nine found a statistically significant direct relationship. In all 10 publications concerned the association between drug copayments and health care costs. Majority were limited to the impact on the drug budget. Seven studies looked into the link between drug cost sharing and health outcomes, of which five reported statistically significant inverse relationship. There is some evidence for the association between drug copayments, health outcomes and health care services consumption. The optimal system of OOPs’ payments for pharmaceuticals needs to prevent drugs’ overconsumption and mitigate the risks of excessive cost sharing’s burden.

scholarly journals Importance of learning Global Health in strengthening Primary Health Care: an experience from Nepal

2019 ◽  
Vol 18 (1) ◽  
pp. 21-24
Author(s):  
Randhir Sagar Yadav ◽  
Shumneva Shrestha
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Care Services ◽  
Quality Care ◽  
Interdisciplinary Approach ◽  
Institute Of Medicine ◽  
Care Services ◽  
Primary Health ◽  
Health Course ◽  
Public Health Practitioners

Global health is a multidisciplinary and interdisciplinary approach of dealing transnational determinants of health. Strengthening health care institutions is vital for achieving universal health care. It also favors global health outcomes as it bridges gaps of health inequalities and saves numerous lives. In Nepal, the Institute of Medicine, Tribhuvan University is offering global health course since 2013. This paper discusses practical application of the learnings from the global health course to make commendable achievements at a primary health center. The global health course can be the foundation for transforming clinicians and public health practitioners into promising global health leaders. This will contribute to improve basic health care services, quality care, and vaccination program to improve the health of population. Therefore, global health course should be an imperative of medical education to capacitate doctors working in these settings to better understand the social determinants of disease prevention, care and rehabilitation.

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