scholarly journals “Will you hear my voice?”: to engage older patients online, listen to them about their lives offline

2020 ◽  
Vol 9 (1) ◽  
Author(s):  
Michael L. Millenson
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Full Range ◽  
Real Life ◽  
Health Resources ◽  
Voluntary Organizations ◽  
Care Services ◽  
Internet Users ◽  
Effective Manner

AbstractThe scope of health information and health care services available online is rapidly expanding. At the same time, COVID-19 is causing vulnerable elders to reconsider in-person provider visits. In that context, recently published research by Y. Mizrachi et al. examining obstacles to the use of online health services (OHS) among adults age 50 and up takes on new importance. An iconic Israeli song begins, “Will you hear my voice?” (Hebrew Songs. Zemer Nugeh (Hatishmah Koli), 2020). What makes Mizrachi et al.’s findings particularly intriguing, despite several caveats, is the manner in which they demonstrated a commitment to genuinely listen to individual voices. The researchers spoke “openly and bluntly” with interviewees as peers and were rewarded with “specific, well-defined and applicable answers with the potential to be used.” The most striking findings came in candid answers that went beyond the factors intrinsic to the online offerings and addressed important factors in what regular Internet users often refer to as IRL (“in real life”), such as support from family. The necessity of avoiding preconceptions about the most effective manner to engage patients underscores the importance of patient and family advisory councils (PFACs). PFACs, increasingly being adopted by health care organizations globally, provide an ongoing ability to listen and respond to the “patient voice.” Effectively addressing obstacles to older adults’ use of the full range of online health resources will require the involvement not just of health plans and government, but also of voluntary organizations, providers, families and others integral to users’ offline “real lives.” Sustained, focused listening must be a central part of that effort.

Using Employer Purchasing Power to Improve the Quality of Perinatal Care

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 248-254 ◽  
Author(s):  
Anne G. Castles ◽  
Arnold Milstein ◽  
Cheryl L. Damberg
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perinatal Care ◽  
Quality Measurement ◽  
Quality Data ◽  
Purchasing Power ◽  
Care Services

Large employers have become increasingly involved in helping to set the agenda for quality measurement and improvement. Moreover, they are beginning to hold health care organizations accountable for their performance through marketplace incentives, including the public reporting of comparative quality data and the linkage of reimbursement to performance on quality measures. The Pacific Business Group on Health (PBGH) is an employer coalition that has been prominent in establishing models for collaborative quality measurement and improvement in the California marketplace. PBGH's involvement in quality stems from an environment in which purchasers were faced with high health care costs, yet virtually no information with which to assess the value their employees received from that care. Research indicating widespread variation in performance across health care organizations and seemingly limited oversight for quality of care within the industry has further motivated purchasers' efforts to better understand the quality of care being delivered to their em-ployees. Using the purchasing power of employers representing 2.5-million covered lives, PBGH endeavors to encourage the transition of the health care marketplace from one that competes solely on price to one that competes on price and quality. This entails collaborating with the health care industry to develop and publicly report valid performance data for use by both large employers and consumers of health care services. It also includes communicating to the marketplace purchasers' commitment to making purchasing decisions based on quality as well as cost. PBGH efforts to measure, report, and improve quality have been demonstrated by several undertakings in the perinatal care arena, including research to assess cesarean section rates and newborn readmission rates across California hospitals. employer coalition, purchaser, quality measurement, quality improvement, report cards, perinatal quality of care.

Service and quality of medical services

10.12737/8242 ◽  
2014 ◽  
Vol 8 (8) ◽  
pp. 3-12
Author(s):  
Елена Данилина ◽  
Elena Danilina ◽  
Екатерина Яковлева ◽  
Ekaterina Yakovleva ◽  
Татьяна Бутова ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perceived Quality ◽  
Medical Services ◽  
Care Services ◽  
Medical Institutions

The article defines the scientific and terminological problems of researching services in the field of services, the basic problems of the evaluation of services in health care organizations. On the basis of a systematic approach to the category of quality of medical services the article investigates patient satisfaction with the perceived quality of service, shows the role of consumer expectations in the evaluation of the perceived quality of services and finds that the requirements for the service in medical institutions are underestimated. On the basis of studies the authors identify behaviors of consumers of budgetary medical services organizations, develop a model of consumer activities, which differs from the existing ones that along with the economic component the model is complemented with communication components. The approbation of the authors´ model for health care services shows a characteristic pattern of consumer activity of budgetary organizations. The article highlights the factors of subjective judgment of health care consumers in assessing perceived quality. Based on the study of patient satisfaction the authors develop a hierarchical model of the perceived quality of health services, as well as the place of services defined in the model.

Ethnic origin and access to electronic health services

2016 ◽  
Vol 22 (4) ◽  
pp. 791-803 ◽  
Author(s):  
Gustavo S Mesch
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Medical Information ◽  
Minority Groups ◽  
Ethnic Origin ◽  
Disadvantaged Groups ◽  
Care Services ◽  
Internet Users ◽  
Diversification Hypothesis

E-health holds the promise of changing the delivery of health care by extending and enhancing its reach, and democratizing and improving the access of disadvantaged groups to health care services. This study investigated ethnic inequalities in access to e-health information, communication and electronic services in Israel. Based on the diversification hypothesis, we expected that disadvantaged ethnic groups would be more likely to use e-health services to compensate for their lack of social capital. Data gathered from a representative sample of Internet users in Israel (n=1371) provided partial support for the hypothesis, indicating that in multicultural societies, disadvantaged groups are more motivated than the majority group to use the Internet to access medical information. However, despite expectations, minority groups were less likely to access e-health services. Implications of the findings are discussed.

The importance of environment: Neighborhood characteristics and parent perceptions of child health

2018 ◽  
Vol 22 (4) ◽  
pp. 658-669 ◽  
Author(s):  
Cory E Cronin ◽  
Brian K Gran
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Behavioral Model ◽  
Children's Health ◽  
Children’S Health ◽  
Neighborhood Characteristics ◽  
Health Services Use ◽  
Health Concerns ◽  
Care Services

Andersen’s Behavioral Model of Health Services Use acknowledges the importance of community and environment in how individuals utilize health-care services. This article questions whether and how environment influences perceptions of health, specifically parents’ perceptions of their children’s health. Based on data from the 2011–2012 US National Survey of Children’s Health, this study investigates how parents’ views of their neighborhoods (such as safety, social support, amenities, and detracting elements) shape perceptions of their child’s health. Furthermore, the analysis considers how these relationships are similar or different for minority populations. Using ordinal logistic regression, this study demonstrates that neighborhood characteristics influence parents’ perceptions of their children’s health. Parents who report their neighborhoods as safe, supportive, and having desirable amenities perceive their children to be healthier. Parents living in neighborhoods possessing detracting elements report their children’s health as worse. These findings are largely consistent for minority and nonminority neighborhoods. The findings of this study convey the importance of environments to how parents view the health of their children. Improving safety and strengthening social supports within neighborhoods could help to address health concerns. As well, health-care organizations and public health offices should launch initiatives in disadvantaged neighborhoods to address health concerns and disparities.

Outsourced Health Care Services

2013 ◽  
pp. 78-92
Author(s):  
Tiina Tiilikka
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Recent Change ◽  
Medical Doctors ◽  
Work Processes ◽  
Care Services ◽  
Group Interviews ◽  
Private Actors ◽  
Doctors And Nurses

This paper provides answers to the question of how medical doctors and nurses at health centres narrate their experiences of outsourced health care services and make sense of their position in the new organization. The article contributes to the debate on the recent change in the marketization and transformation of health care organizations. The research material consists of seven group interviews with medical doctors and nurses. The method makes use of viewpoints from the narrative approach. The results of the analysis indicate that the workers interviewed are primarily rational professional actors. They do not actively take an emotional position. The short contracts between public or private actors mean that work processes in the outsourced health care organizations are intermittent. It may be necessary for the workers to adopt a strong professional identity without strong mental ties to the employer.

Business Process Reengineering: A Remedy for Health Care

1994 ◽  
Vol 7 (4) ◽  
pp. 44-50 ◽  
Author(s):  
B. Donald Carmichael
Keyword(s):  
Health Care ◽  
Business Process ◽  
Health Care Services ◽  
Business Process Reengineering ◽  
Health Care Organizations ◽  
Process Reengineering ◽  
Care Providers ◽  
Productivity Improvement ◽  
Care Services ◽  
Continuous Quality

Health care organizations are facing significant economic constraints that threaten to dismantle core services. The perceived need for reform is great. Business process reengineering may be the strong medicine required to achieve dramatic productivity improvement without jeopardizing the quality and scope of core health care services. Reengineering challenges health care organizations to eliminate functions that do not contribute to a flattened organization structure in which fewer care providers deliver a wider range of health care services. Information technology is used to displace manual checks and controls. Reengineering may facilitate the implementation of contemporary management models, such as patient-focused care, case management and product or program management. The product of reengineering can be enhanced over time by Continuous Quality Improvement.

scholarly journals Will Dutch-style managed competition work in the Irish health system?

2012 ◽  
Vol 4 (1) ◽  
pp. 40-40
Author(s):  
Kieke GH Okma
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Health Resources ◽  
Managed Competition ◽  
Care Providers ◽  
Role Of Government ◽  
Insurance Reform ◽  
Care Services ◽  
Health Insurers

In early 2011 the new Irish government announced its intention to implement a model of "managed competition" inspired by the Dutch insurance reform of 2006 (Ryan and Mikkers 2011). This is to replace the central role of government in financing and providing health care services with a system of competing health insurers who are to contract health care services on behalf of their insured. The assumptions of "managed competition" (or “consumer-driven health care“) are fourfold: that health insurers are willing and able to selectively contract and pay hospitals and other health care providers; that providers are keen to offer better and cheaper care than their competitors; and that insured and patients will act as well-informed and critical consumers in selecting the insurance plan that best fits their needs; and that governments will (mostly) keep their hands off and let the market do the work in allocating scare health resources efficiently (see Enthoven and Van de Ven 2007; Bernstein 2011). Full Opinion piece pending final approval

Slaugos kokybės gerinimo galimybės miesto ligoninėje

2013 ◽  
Vol 23 (1) ◽  
pp. 149-154 ◽  
Author(s):  
Geriuldas Žiliukas ◽  
Danguolė Drungilienė ◽  
Rima Užkurėlytė ◽  
Ligija Švedienė
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Care Quality ◽  
Care Services ◽  
Microsoft Office ◽  
Health Situation ◽  
Clear Information

As the quality of health care is getting better, patients’ demands for medics and health care organizations are getting higher. The permanent growth of costs and limited resources force to look for new possibilities of problem solving. Insufficient capacity of the leaders of a health care institution in matters of health care management and low motivation of the personnel leads to dissatisfaction by the provided services to patients and personnel. There was a patient opinion research made, a Picker Institute Europe questionnaire was used for the survey. 138 patients were interviewed, who, by their characteristics, represented all patients, treated in Hospital X all year round. Microsoft Office Excel 2010 and SPSS Statistics version 17.0 programs were used for the analysis of research data. During the research, it emerged that the majority of patients (78,7 percent) rated the conditions of care in the hospital as very good or good. Most of patients are satisfied with provided services of the hospital. Positive opinion of the patients on the care quality in the hospital was influenced by close communication with medics, providing clear information about their health situation and treatment, the respect shown by the personnel determined the trust in medics. Although, patients were actively involved in the treatment process, about one third of them did not participate in making decisions about their health situation or treatment; every fifth hospitalized patient by a planned order did not have an ability to choose a treatment institution. More than a half of patients, who participated in the research, did not have an opportunity to choose their doctor, or did not know about this opportunity. The development of patient’s and juridical knowledge creates preconditions to improve the quality of health care services.

Outsourced Health Care Services

2011 ◽  
Vol 1 (2) ◽  
pp. 26-39
Author(s):  
Tiina Tiilikka
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Recent Change ◽  
Medical Doctors ◽  
Work Processes ◽  
Care Services ◽  
Group Interviews ◽  
Private Actors ◽  
Doctors And Nurses

This paper provides answers to the question of how medical doctors and nurses at health centres narrate their experiences of outsourced health care services and make sense of their position in the new organization. The article contributes to the debate on the recent change in the marketization and transformation of health care organizations. The research material consists of seven group interviews with medical doctors and nurses. The method makes use of viewpoints from the narrative approach. The results of the analysis indicate that the workers interviewed are primarily rational professional actors. They do not actively take an emotional position. The short contracts between public or private actors mean that work processes in the outsourced health care organizations are intermittent. It may be necessary for the workers to adopt a strong professional identity without strong mental ties to the employer.

scholarly journals Will better performing health-care services have higher profiles and be more active on social media? A comparative study between hospitals from Colombia and Spain

2021 ◽  
Vol 34 (1) ◽  
pp. 93-108
Author(s):  
Lorena Busto-Salinas
Keyword(s):  
Health Care ◽  
Social Media ◽  
Health Care Services ◽  
Economic Resources ◽  
The Public ◽  
Care Services ◽  
Internet Users ◽  
Social Media Presence ◽  
Use Of Social Media ◽  
Basic Hypothesis

Hospitals make increasingly more use of social media. The basic hypothesis of this study is that the more developed the health care services of a country are, the higher the communicative activity of its hospitals will be on social media. Moreover, the highest presence and activity on social media will be associated with the most prestigious hospitals in countries with fewer economic resources. The presence of the most prestigious hospitals in both Colombia and Spain on Facebook, Twitter, YouTube and Instagram are analyzed in this paper to either refute or to accept these hypotheses. Both countries have similar populations, but their economic and health care services differ greatly. The degree of activity on these platforms, the participation of Internet users, and the reputation of the hospitals are also studied. In total, 165 profiles are analyzed. The results are processed in a statistical software program and various tests establish whether there are significant relations. It was observed that the level of health-care services of the country was not correlated with the presence and activity of the hospitals on social media, nor with the interaction of Internet users. In addition, a correlation between social-media presence and reputation was detected in the country with the most developed health-care services (Spain). In conclusion, the fact that a country has more health-care resources neither implies that its hospitals have either a greater presence or are more active on social media, nor that the public interact more with those hospitals.

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