scholarly journals What motivates physicians to propose private services in a mixed private-public healthcare system? A mixed methods study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Tal Michael ◽  
Dani Filc ◽  
Nadav Davidovitch
Keyword(s):  
Healthcare System ◽  
Private Insurance ◽  
Public Healthcare ◽  
Dual Practice ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
Daily Experience ◽  
Logistic Regression Models ◽  
Pocket Money ◽  
Role Players

Abstract Background Implementation of private elements, including private insurances, in public healthcare system is now common in many countries, and its impacts have been well studied. Little, however, is known about the motives leading physicians, major role players in the system, to promote the usage of private services. The aim of this study was to explore the various motives leading physicians within public systems to propose private services to their patients, while examining the possible associations to their specialty and level of commitment. Methods A total of 197 physicians from specialisms loaded more to private/public sectors participated in a cross-sectional telephone survey regarding their attitudes on their practices, private insurances, access to healthcare, and job satisfaction. The association between the likert scale questions to their recommendation to purchase private insurance, and the commitment they felt towards patients were analyzed using Generalized Estimating Equations (GEE) as well as logistic regression models. Results Our findings suggest physicians engaged in dual practice are less likely to promote private insurances among their patients if they are satisfied with their public job (OR = 0.92, 95%CI 0.89,0.94). Physicians perceived private insurances as beneficial for patients, were found likely to promote them (OR = 1.65, %95CI 1.16, 2.35). The commitment physicians felt toward patients who paid out-of-pocket money was associated to their sense of being trusted and valued (OR = 1.99, 95%CI 1.33, 2.88; OR = 1.5, 95%CI 1.05, 2.13 respectively). Conclusion This study suggests a deeper understanding of physicians’ daily experience of the private-public mix and it’s consequences, and could provide a platform for future studies. Further studies on physician’s role in health privatization processes are needed, and could aid policymakers in their efforts to strengthen healthcare systems around the world.

scholarly journals Characterization of care provided at a Speech Therapy School Clinic affiliated with the Brazilian public healthcare system

Revista CEFAC ◽  
2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Isadora Katariny Monteiro de Sousa Farias ◽  
Ana Nery Barbosa de Araújo ◽  
Cynthia Maria Barboza do Nascimento ◽  
Ivana Arrais de Lavor Navarro Xavier ◽  
Mirella Bezerra Rodrigues Vilela
Keyword(s):  
Healthcare System ◽  
Motor Function ◽  
Waiting Time ◽  
Speech Therapy ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
Mean Waiting Time ◽  
The Mean

ABSTRACT Objective: to characterize the care provided at a Speech Therapy School Clinic affiliated with the Brazilian public healthcare system, in 2016. Methods: a cross-sectional study was conducted with data from screening, discharge, discontinuation and medical records. Sociodemographic and clinical variables were assessed, by measuring waiting time and specialty. The reasons for treatment discontinuation were also investigated. The data were presented in tables and expressed as absolute and relative frequencies. Results: one hundred-seven individuals were screened, among whom 53.3% were children, 58.9% were males, 41.1% had language complaints and 35.5% had complaints regarding orofacial motor function. The mean waiting time to begin treatment was 6.6 months. Among all individuals screened, 80.3% began treatment. The treatment, more frequently, addressed orofacial motor function (39.1%) and language (37.9%). Discharge from treatment occurred in 28.6% of cases. Among the 37 individuals whose treatment was discontinued prior to completion, the main reason was abandonment/absences on the part of the patient (71.4%). Conclusion: the speech therapy care profile revealed a greater frequency of children, males and needs regarding language and orofacial motor function. The mean waiting time was 6.6 months and 20% of the individuals screened did not initiate treatment. A high frequency of discontinuation prior to completing treatment was found, due, mainly, to failure on the part of the patients to attend the sessions.

scholarly journals Inpatients’ Perception of Patient-Centered Care in Guangdong Province, China: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110594
Author(s):  
Ling-ming Zhou ◽  
Richard Huan Xu ◽  
Yan-hua Xu ◽  
Jing-hui Chang ◽  
Dong Wang
Keyword(s):  
Healthcare System ◽  
Rural Areas ◽  
Guangdong Province ◽  
Patient Centered Care ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
Centered Care

This study aimed to investigate the perceptions of patient-centered care (PCC) among inpatients in Guangdong Province (GD), China. Based on these perspectives, we sought to understand existing PCC practices in medical institutions and identify the impacts of inpatients’ sociodemographic status on their perceived PCC. A self-developed PCC questionnaire was used to investigate inpatients’ perceptions of PCC. A cross-sectional survey was conducted in nine tertiary-level hospitals across five cities in GD. Descriptive statistics was used to describe the levels of PCC in GD. The differences in PCC levels across different sociodemographic groups were assessed using analysis of variance and multivariate linear regression. Valid responses were provided by 1863 inpatients. The mean overall PCC score was 8.58 (standard deviation [SD] = 1.36); inpatients from the Pearl River Delta and eastern GD area reported significantly higher scores than those from western and northern GD area ( P<.01). Inpatients from rural areas tended to report lower PCC scores than their urban counterparts. Among the PCC questionnaire sub-domains, inpatients scored highest and lowest in “patient experience” (mean = 8.96, SD = 1.34) and “medical insurance” (mean = 7.93, SD = 2.05), respectively. This study provided a comprehensive overview of inpatients’ perceptions of PCC in the public healthcare system in GD, China. Our findings highlighted that a majority of inpatients were satisfied with the PCC in public healthcare system; however, a significant discrepancy between inpatients with different sociodemographic status remained.

Integrating a Pilot Newborn Screening for Spinal Muscular Atrophy Into the Australian Public Healthcare System

2021 ◽  
Author(s):  
Arlene M. D'Silva ◽  
Hugo Sampaio ◽  
Didu Sanduni Thamarasa Kariyawasam ◽  
David Mowat ◽  
Jacqui Russell ◽  
...  
Keyword(s):  
Spinal Muscular Atrophy ◽  
Newborn Screening ◽  
Healthcare System ◽  
Muscular Atrophy ◽  
Public Healthcare ◽  
Public Healthcare System

scholarly journals CRISPR, μια νέα τεχνολογία γενετικής παρέμβασης: Πρόταση αξιοποίησης σε ένα δημόσιο σύστημα υγείας

Bioethica ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. 30
Author(s):  
Nikolaos Kolisis (Νικόλαος Κολίσης)
Keyword(s):  
Human Genome ◽  
Healthcare System ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
Current Discussion ◽  
Potential Applications

The invention of CRISPR technology and its current and potential applications have been a subject of controversy among scientists, philosophers and legal theorists. After taking under consideration the current discussion concerning the use of CRISPR for editing human genome the article treats the question of a wider offer of CRISPR-based therapies from a Public Healthcare system and proposes method for a fair and financially sustainable way for adopting the new possibilities this new tool has to offer.

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