scholarly journals Association between trust in the public healthcare system and selecting a surgeon in public hospitals in Israel: a cross-sectional population study

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Adi Niv-Yagoda
Keyword(s):  
Healthcare System ◽  
Population Study ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
The Public

scholarly journals Breaking the breach in Latin America. A pilot study of mechanical thrombectomy in the public healthcare system in Chile

2020 ◽  
pp. 159101992096537
Author(s):  
Luis A Lemme Plaghos
Keyword(s):  
Latin America ◽  
Pilot Study ◽  
Healthcare System ◽  
Mechanical Thrombectomy ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public

Brief commentary about implications of the Pilot Study of Mechanical Thrombectomy in the Public Healthcare System of Chile.

Health Policy

2020 ◽  
pp. 591-608
Author(s):  
Lars Thorup Larsen
Keyword(s):  
Health Policy ◽  
Healthcare System ◽  
Primary Care Physicians ◽  
Political Conflict ◽  
Patient Rights ◽  
Party Competition ◽  
Public Hospitals ◽  
Public Healthcare ◽  
Ageing Population ◽  
The Public

Danish health policy is dominated by a national health service that combines a tax-financed universal health insurance with healthcare delivery through public hospitals and primary care physicians operating in private practices. This basic structure has been stable for almost half a century and is likely to remain so due to a strong consensus among voters and the political parties about the public system. Underneath the wide consensus, however, there is a ‘submerged’ political conflict and party competition between the left and the right about the degree to which the public healthcare system should use private providers and marketized patient rights. In part because of party competition and strong patient rights, there has been a significant drive towards higher total health costs over the past two decades. The Danish healthcare system is thus hardly challenged from political contestation since few politicians would dare to propose a real alternative. Nonetheless, the healthcare system is challenged by structural factors similar to what other countries face, such as an ageing population, as well as difficulties in controlling costs related to both pharmaceuticals and a scarce supply of healthcare professionals.

scholarly journals Telerehabilitation program for older adults on a waiting list for physical therapy after hospital discharge: study protocol for a pragmatic randomized trial protocol

2021 ◽  
Author(s):  
Pollyana Ruggio Tristao Borges ◽  
Renan Resende ◽  
Jane Fonseca Dias ◽  
Marisa Cotta Mancini ◽  
Rosana Ferreira Sampaio
Keyword(s):  
Older Adults ◽  
Clinical Trial ◽  
Cost Effectiveness ◽  
Physical Therapy ◽  
Hospital Discharge ◽  
Healthcare System ◽  
Economic Evaluations ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public

Abstract Background: Delays in starting physical therapy after hospital discharge worsen deconditioning in older adults. Intervening quickly can minimize the negative effects of deconditioning. Telerehabilitation is a strategy that increases access to rehabilitation, improves clinical outcomes, and reduces costs. This paper presents the protocol for a pragmatic clinical trial that aims to determine the effectiveness and cost-effectiveness of a multi-component intervention offered by telerehabilitation for discharged older adults awaiting physical therapy for any specific medical condition.Methods: This is a pragmatic randomized controlled clinical trial with two groups: telerehabilitation and control. Participants (n=230) will be recruited among individuals discharged from hospitals who are in the public healthcare system physical therapy waiting lists. The telerehabilitation group will receive a smartphone app with a personalized program (based on individual’s functional ability) of resistance, balance, and daily activity training exercises. The intervention will be implemented at the individuals’ homes. This group will be monitored weekly by phone and monthly through a face-to-face meeting until they start physical therapy. The control group will adhere to the public healthcare system usual flow and will be monitored weekly by telephone until they start physical therapy. The primary outcome will be physical function (Timed Up and Go and 30-second Chair Stand Test). The measurements will take place in baseline, start, and discharge of outpatient physical therapy. The economic evaluations will be performed from the perspective of society and the Brazilian public healthcare system.Discussion: The study will produce evidence on the effectiveness and cost-effectiveness of multi-component telerehabilitation intervention for discharged older adult patients awaiting physical therapy, providing input that can aid implementation of similar proposals in other patient groups. Trial registration: Brazilian Clinical Trials Registry, RBR-9243v7. Registered on 24 August 2020.

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