scholarly journals Charity vs. government health care

2018 ◽  
Vol 6 (26) ◽  
pp. 51-57
Author(s):  
Gilbert Berdine
Keyword(s):  
Public Health ◽  
Health Care ◽  
Lower Cost ◽  
Marginal Utility ◽  
Public Health Care ◽  
Government Health ◽  
Relief Of Suffering ◽  
Sustainable Health ◽  
Over Time

Part 3 of this series on sustainable health care discusses charity as a market phenomenon. Charity is explained as a result of the Law of Marginal Utility and the limitation of scare resources. Charity is contrasted with government health care or public health care. Charity and government health care are driven by different incentives. Charities compete for limited donations leading to improved relief of suffering at lower cost over time. Government health care acts like all monopolies and delivers a declining quality of output at ever increasing cost.

scholarly journals Managerial role in enhancing employee motivation in public health care

2011 ◽  
Vol 8 (4) ◽  
pp. 401-410
Author(s):  
Ghamiet Aysen ◽  
Sanjana Brijball Parumasur
Keyword(s):  
Public Health ◽  
Health Care ◽  
Working Conditions ◽  
Care Management ◽  
Employee Motivation ◽  
Public Health Care ◽  
Intrinsic Factors ◽  
Managerial Role ◽  
Public Sector Employees ◽  
Sustainable Health

Engulfed by numerous setbacks pronounced by huge manpower crises, work overload and poor working conditions, public sector employees find it increasingly difficult to ensure a more patient-focused, results-driven and sustainable health care system. Whilst extrinsic rewards are almost non-existent, managers in public health care can play a pivotal role in enhancing employee motivation through intrinsic factors. This study aims to assess managerial characteristics for public health care (management of attention, meaning, self, trust, risk, feelings) and employee motivation (achievement, power, affiliation) and, the relationships between these. A sample of 338 employees (stratified random sampling) and 18 managers (consensus sampling) were drawn. Descriptive and inferential statistics were used to analyse the data. Based on the results, the study provides guidance for enhancing employee motivation and consequently, service delivery in public health care.

scholarly journals Moving equilibria in the public health care sector: A low-quality trap and a resolution

2006 ◽  
Vol 2006 ◽  
pp. 1-11 ◽  
Author(s):  
Ahmet Kara
Keyword(s):  
Public Health ◽  
Health Care ◽  
Policy Option ◽  
Health Care Sector ◽  
Public Health Care ◽  
High Quality ◽  
The Public ◽  
Health Care Institutions ◽  
High Welfare ◽  
Over Time

This paper demonstrates the existence, in a particular subset of the Turkish public health care sector, of equilibria moving towards a low-quality trap over time. The dynamics of the movement in question hinges, in part, on the socially necessary but demographically asymmetric burden, on some public health care institutions, of providing affordable health care to certain sections of the population. The paper formulates a policy option that could help the sector to escape the trap, moving the sector towards high quality-high welfare equilibria.

scholarly journals Policy Effects on the Quality of Public Health Care: Evaluating Portuguese Public Hospitals’ Quality through Customers’ Views

2015 ◽  
Vol 9 (2) ◽  
pp. 122-131
Author(s):  
Jaime R. S. Fonseca ◽  
Rosária M. P. Ramos ◽  
Ana M. P. Santos ◽  
Ana P. S. S. Fonseca
Keyword(s):  
Public Health ◽  
Health Care ◽  
Customer Satisfaction ◽  
Customer Service ◽  
Latent Variable ◽  
Public Hospitals ◽  
Public Health Care ◽  
Aged Patients ◽  
Hospital Patients

AbstractIn this paper, public health care administration issues are reviewed and public hospital patients’ views on quality of health care are empirically tested. The purpose is to support the recommendation of new public policies that lead to better performance, if necessary. Hospital patients’ views on service quality were assessed through a questionnaire to estimate a global customer satisfaction measure. We argue that customer satisfaction should be measured through multiple indicators, as a latent variable. Thus, we considered the latent segment models (LSM) approach to assess customer service satisfaction. We found a twosegment latent structure: segment 1, the satisfied, with 48 percent of patients, mostly male and middle-aged patients; and segment 2, the unsatisfied, with 52 percent of patients, mostly female and youngest/oldest patients.

scholarly journals Willingness to pay for improved public health care services in Saudi Arabia: a contingent valuation study among heads of Saudi households

2018 ◽  
Vol 15 (1) ◽  
pp. 72-93 ◽  
Author(s):  
Mohammed K. Al-Hanawi ◽  
Omar Alsharqi ◽  
Kirit Vaidya
Keyword(s):  
Public Health ◽  
Health Care ◽  
Saudi Arabia ◽  
Contingent Valuation ◽  
Health Care Services ◽  
Public Health Care ◽  
Quality Improvements ◽  
The Public ◽  
Care Services

AbstractThe bulk of health care service provision in Saudi Arabia is undertaken by the public health care sector through the Ministry of Health, which is funded annually by the total government budget, which, in turn, is derived primarily from oil revenue. Public health care services in Saudi Arabia are characterised by an overload, overuse, and shortage of medical personnel, which can result in dissatisfaction with the quality of the current public health care services. This study uses a contingent valuation method to investigate the willingness of Saudi people to pay for improvements to the quality of public health care services. This study also determines the association between the willingness to pay for quality improvements and respondents’ demographic and socioeconomic characteristics. A pre-tested interviewer-administered questionnaire was used to collect data from 1187 heads of household in Jeddah Province over a five-month period. Multi-stage sampling was employed to recruit participants. Partial Tobit regression and corresponding marginal effects analyses were used to analyse the data. These empirical analyses show that the majority of the sample was willing to pay for quality improvements in the public health care services. The results of this study might be of use to policymakers to help with both priority setting and fund allocation.

scholarly journals A CASE STUDY OF THE HEALTH STATUS OF THE THREE DISTRICTS OF ANDAMAN AND NICOBAR ISLANDS A UNION TERRITORY OF INDIA

2019 ◽  
Vol 7 (6) ◽  
pp. 911-920
Author(s):  
Salma Begum
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Status ◽  
Multiple Regression ◽  
Public Health Care ◽  
Annual Income ◽  
Tribal Population ◽  
Andaman And Nicobar Islands ◽  
Nicobar Islands

The objective of the study: To assess the burden of disease on the tribal and non-tribal population of Andaman and Nicobar Islands. Methodology: The study focuses on the health status of the tribal and non-tribal population of the Islands and measures theirs out of pocket expenditure on health for 12 months in the year 2016. Primary data has been collected to conduct the study from all three districts of the islands using a random sampling method, and the same has been analyzed using a descriptive-analytical technique and multiple regression models.  Results: Standard multiple regression analysis provides a significant result. The result shows as Annual income increase, the out of pocket expenditure will increase by 0.727 rupees. When the age of the people increases, out of pocket expenditure will increase at a rate of 0.782, and as the quality of public health care services improves out of pocket expenditure will increase to 0.533, which is lower than the other two variables. The annual income age and quality of public health care all have a statistically significant impact on the outcome variable or out of pocket expenditure as the p-value is less than 0.05; therefore, the model is a good fit. Conclusion: Most households in all three districts do not have proper toilet facility and latrine, which lead them to suffer communicable disease such as diarrhea. Also, the majority of them do not treat drinking water, which again causes their illness. The scattered and isolated location of the Andaman and Nicobar Islands and non-availability of the specialist doctors, surgeons, and well equipped curative health centers or hospitals are the crucial reasons for the huge out of pocket expenditure incurred by the islanders while taking treatment at the mainland. Implication: This study provides insights on the health status of the tribal and non-tribal population of Andaman and Nicobar Islands. It will be helpful to develop better policies for improving the current healthcare scenario. Originality and Novelty of the study: There was no earlier study done on the tribal of Andaman and Nicobar Islands.

scholarly journals An Econometric Analysis Of Health Care Utilization In Kenya

2016 ◽  
Vol 12 (16) ◽  
pp. 443 ◽  
Author(s):  
Diana N. Kimani ◽  
Mercy G. Mugo ◽  
Urbanus M. Kioko
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Utilization ◽  
Household Head ◽  
Econometric Analysis ◽  
Health Facilities ◽  
Public Health Care ◽  
Care Utilization

Background: Increasing access to health care has been a policy concern for many governments, Kenya included. The Kenyan government introduced and implemented a number of initiatives in a bid to address the healthcare utilization challenge. These initiatives include 10/20 policy, exemptions for user fees for some specific health services (treatment of children less than five years, maternity services in dispensaries and health centers, Tuberculosis treatment in public health facilities), and increase in the number of health facilities and health workforce. These initiatives notwithstanding, healthcare utilization in Kenya remains a challenge. The Kenya Household Health Expenditure and Utilization Survey of 2007 found that 17 percent of those who needed health care services could not access the services from both government and private health facilities largely due to financial constraints. This paper employed econometric analysis to examine what could be constraining health care utilization in Kenya despite all the efforts employed. Methods: Using the 2007 Kenya Household Health Expenditures and Utilization Survey (KHHEUS) data (n = 8414), this paper investigates the factors that affect health care utilization in Kenya by estimating a count data negative binomial model. The model was also applied to public and private health facilities to better understand the specificities of poverty in these two facility types. Common estimation problems of endogeneity, heterogeneity, multicollinearity and heteroskedasticity are addressed. Findings: The econometric analysis reveals that out-of-pocket expenditures, waiting time, distance, household size, income, chronic illness area of residence and working status of the household head are significant factors affecting health care utilization in Kenya. While income and distance are significant factors affecting public health care utilization they are not significant in explaining healthcare utilization in private facilities. In addition, working status of the household head, insurance cover and education are significant in explaining private and not public health care utilization. A striking finding is the positive relationship between distance and health care utilization implying that people will travel long distances to obtain treatment. This is perhaps associated with expectations of higher quality of care at far away higher level facilities, especially in rural areas. Conclusion: The paper confirms the existing evidence of the negative effects of Out-of-Pocket (OOP) expenditures and other determinants of health care utilization. With a better understanding of why people use or do not use health services, health care organizations can seek to improve the quality of human life. The bypassing of health facilities for higher level far away facilities implies that it is not so much about availing health facilities, but the quality of the services offered in those facilities. The government should therefore assure quality to increase utilization of the lower level facilities, especially in the rural areas.

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