scholarly journals Hospital management strategy in the aspect of visualization of the pandemic COVID-19

2021 ◽  
Vol 11 (11) ◽  
pp. 143-156
Author(s):  
Greta Kanownik

The article addresses an important issue regarding the impact of the coronavirus pandemic on the operation of hospitals and the use of management strategies at the present time and in reality after the pandemic. Based on the analysis performed, the article indicates four key areas that require immediate action to improve the functioning of the health care system and maintain the public health of the population. Based on the analysis of 9 crisis levers of the business model of A. Osterwalder, Y. Pigneur, four main areas requiring immediate intervention were identified, namely: development of medical personnel, development of computerization and digital competences, optimization of revenues and costs, identification of decision-making centers - appropriate division of tasks and responsibility. In these areas, the Polish health care system has failed, they require urgent strengthening and strategic long-term solutions, which will translate into optimization of activities aimed at securing the health of the society. It turns out that during the pandemic, it was not costs that turned out to be the biggest problem, but above all staff shortages, lack of access to health services, or equipment and organizational shortages. The time of the pandemic has shown that the researchers' theories that quality and not cost are the most important have proved successful. According to M.E. Porter and E. Teisberg, despite the limitations, the health care system can achieve excellent results in terms of both quality and effectiveness, which, however, often requires transformation and implementation of new competition rules aimed at increasing the value created.

Author(s):  
Nguyen Van Phuong

This paper aim to build a theory model to generalize the health care market and find the solution for the hospitalization issues in the public health care system in Vietnam. Specifically, the results indicate that increased quality improvement and reduced waiting time for patients within a hospital are able to solve if two-price tariffs are allowed to implement in the state hospitals. Additionally, by exploring the two-wave Vietnamese Household Living Standard Survey conducted in 2004 and 2006, this paper also investigates the impact of the new health insurance policy on a number of hospital visits.


2019 ◽  
Vol 32 (3) ◽  
pp. 362-374 ◽  
Author(s):  
Thomas F. Northrup ◽  
Kelley Carroll ◽  
Robert Suchting ◽  
Yolanda R. Villarreal ◽  
Mohammad Zare ◽  
...  

2017 ◽  
Vol 27 (6) ◽  
pp. 694-699 ◽  
Author(s):  
Nicolas W. Villelli ◽  
Hong Yan ◽  
Jian Zou ◽  
Nicholas M. Barbaro

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.


Health Policy ◽  
2011 ◽  
Vol 99 (3) ◽  
pp. 261-266 ◽  
Author(s):  
Susan Cleary ◽  
Sheetal Silal ◽  
Stephen Birch ◽  
Henri Carrara ◽  
Victoria Pillay-van Wyk ◽  
...  

2014 ◽  
Vol 57 (3) ◽  
pp. 303-310 ◽  
Author(s):  
Scott R. Steele ◽  
Grace E. Park ◽  
Eric K. Johnson ◽  
Matthew J. Martin ◽  
Alexander Stojadinovic ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document