Integrating Health Services in Ontario Through Mergers and Centralization

2020 ◽  
Vol 8 (2) ◽  
Author(s):  
Krithika Ragupathi ◽  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Local Health ◽  
Common Theme ◽  
Model Of Care ◽  
The Public ◽  
Care Services ◽  
Health Agencies ◽  
Insight Into ◽  
Roll Out

On 18 April 2019, the Legislative Assembly of Ontario passed Bill 74, The People’s Health Care Act, which provided new authorities to the Ministry of Health and a newly createdOntario Health super agency to facilitate the integration of health care services across Ontario. This reform represents a shift away from the previous regionalized system of Local Health Integration Networks (LHINs). While centralization is intended to improve efficiency within the system and create a patient-centred model of care, it also equips the Ministry and Ontario Health with greater authority over health agencies. Ontario’s reform represents another move towards centralization in a wave of regionalization reversal that has swept across the country. Implementation of this reform will take several years to roll out. An analysis of centralization reforms in other jurisdictions can provide insight into Ontario’s decision to reform. Though this bill was presented as a modernization of Ontario’s health system to meet people’s needs, a common theme in stakeholders’ opinions is the lack of consultation with the public.

What do malaysian think of the quality of healthcare delivered?: a qualitative analysis of written impression (Preprint)

2021 ◽  
Author(s):  
Nur Wahida Zulkifli
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Waiting Time ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Opinion Poll ◽  
Healthcare Facilities ◽  
The Public ◽  
Care Services

BACKGROUND The public opinion and experience on the health care services are crucial to provide valuable insight towards improving and strengthening the health care systems. OBJECTIVE This study aims to explore the public perspective regarding the quality of health care services rendered by the health care facilities in Malaysia. METHODS The snowballing strategy was used to reach the target through an online opinion poll with three open-ended questions on the strengths of the healthcare facilities, their expectation and suggestion for improvement along with the sociodemographic characteristic. Data were analysed using a thematic approach. RESULTS A total of 800 participants (68% of females and 32% of males) participated. Their responses were grouped into 5 main themes namely: (1) system; (2) input; (3) service delivery; (4) outputs; (5) outcomes. Public feel that they are respected and treated with care by the healthcare providers. However, most of the participants highlighted the issue of long waiting time when they visited healthcare facilities. In relation to this issue, they suggested the facilities to have more staff especially doctors to improve current service. CONCLUSIONS In conclusion, enhancing service delivery by reducing the waiting time, should be the main focus as viewed by the public. The quality of services provided would certainly be improved by having sufficient resources including healthcare workers.

Case Study E-Tailing Health Services in India

2016 ◽  
pp. 292-308
Author(s):  
Bobby Kurian
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Information Dissemination ◽  
Health Providers ◽  
The Public ◽  
Care Services ◽  
The World

This case study has been developed to promote understanding the e-tailing of health services. E-health web portal provides a new medium for information dissemination, interaction and collaboration among institutions, health professionals, health providers and the public. This case study provides a founders perspective in setting up and running a medical website that offers online health care services to customers across the world. The case study discusses the challenges and issues faced by the founders and also the promoter's perspective on the lucrativeness of offering e-tailing services. Using this case study an attempt is made to stress the importance of a flexible e-tailing business model specific to the services offered and need of periodic assessments to ensure that the business runs profitable.

scholarly journals An estimation of willingness to pay for secondary health care services in Tamil Nadu, India

2016 ◽  
Vol 5 (1) ◽  
pp. 12
Author(s):  
K Ramu
Keyword(s):  
Public Health ◽  
Health Care ◽  
Willingness To Pay ◽  
Tamil Nadu ◽  
Health Care Services ◽  
Public Health Care ◽  
The Public ◽  
Care Services ◽  
Secondary Health Care ◽  
User Fee

The present study has estimated the willingness to pay (WTP) for secondary health care services (SHCS) in rural and urban environment of three districts in the state of Tamil Nadu during 2009-2011. Since the governments are struggling to mobilise additional financial        resources to provide essential health care services to the deprived population in the country, assessing the WTP for utilising the public health care services are realised as very important at this juncture. In realizing the importance of augmentation of resources, it has been decided to introduce contingent valuation method (CVM) for WTP of SHCS. A disproportionate systematic random sampling method has been adopted for the selection of 720 households; representing 240 respondents from each of the three districts represent 120 from rural and 120 from urban. A major portion (92%) of the surveyed respondents’ gender was male, literacy was high (90%) and they belonged to productive age group. They generally involve themselves in the farm and non - farm activities and avail employment. Their per capita income is Rs.17871, and it is lower than the India’s PCI. The SHCS are classified into 26 categories as per the guidelines provided by public health medical officers in the state of Tamil Nadu. The different health care services started with entry fee to dental problem. The 98.6 per cent of the total surveyed respondents are ready to pay for SHCS in a public hospital and the remaining 2.4 per cent of them are not willing to pay for the same. The range of WTP for 26 SHCS is Rs. 2 - 7000; the range of mean value is Rs. 6 - 5008 and the range of SD is 2 - 2854. Considering the view of majority of the respondents, this study prescribes to introduce the range of user fee for the identified major public health care services. Since the range is differed significantly, it is suggested to follow the minimum amount initially and in a phased manner, the policy makers may prescribe to enhance the user fee after assessing the ground realities and loopholes. The estimated R2 value for SHCS is 20 per cent, which indicates that the selected 12 independent variables have low influence on WTP for SHCS. The study reports that the other exogenous factors like intensity of disease, accessibility of services, quality, urgency, need and perception are the predominant determinants of WTP for SHCS. The present research contends that constitution of district level co-ordination committee for fixing and implementing user fee for SHCS. Introduction of nominal fee (user fee) for SHCS may be fixed for affordable population, free services for BPL population and it would improve the efficiency and equity of the public health care services for the marginalised population. Finally, it is of utmost importance for health professionals to follow ethics in their profession.

scholarly journals Public involvement policies in health: exploring their conceptual basis

2006 ◽  
Vol 1 (2) ◽  
pp. 149-162 ◽  
Author(s):  
Suzanne Wait ◽  
Ellen Nolte
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Systems ◽  
Policy Process ◽  
Health Care Services ◽  
Public Involvement ◽  
Conceptual Basis ◽  
The Public ◽  
Current Health ◽  
Care Services

Despite its obvious appeal, the concept of public involvement is poorly defined and its rationale and objectives are rarely specified when applied to current health policy contexts. This paper explores some of the underlying concepts, definitions, and issues underpinning public involvement policies and proposes a set of criteria and questions that need to be addressed to allow for the evaluation of public involvement strategies and their impact on the health policy process. It aims to further our understanding of the role that public involvement may play in contributing to health systems that are responsive to the needs and priorities of the public, and, ultimately, providing better health and health care services to the community at large.

scholarly journals To market, to market: Corporatisation, privatisation and hospital costs

1997 ◽  
Vol 20 (2) ◽  
pp. 13 ◽  
Author(s):  
Kevin White ◽  
Fran Collyer
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care Services ◽  
Hospital Costs ◽  
The United States ◽  
Political Arena ◽  
The Public ◽  
Care Services ◽  
Health Strategy ◽  
Australian Hospital

The Australian political arena echoes with calls for the privatisation of health careinstitutions, the contracting-out of health care services and the introduction of variousmarketing strategies into hospital management. These calls are justified by assertingthat the market, rather than the public sector, can provide better services, greaterproductivity and increased efficiency. The National Health Strategy (1991, p 17)provides a good example. Noting that Australia is copying American investment trendsfor hospital ?chains? rather than for independent small establishments, the strategydismisses any concern over changes in ownership, pointing instead to a ?process ofrationalisation? that is to be ?welcomed?. Using evidence from the United States,United Kingdom and Australian hospital sectors, this paper examines claims for thegreater efficiency of market processes.

scholarly journals Nothing but Trouble: Studies on the Effects of Reforms in Elderly Care in Sweden and Poland

2013 ◽  
Vol 6 (1) ◽  
pp. 31-60 ◽  
Author(s):  
Iwona Sobis
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Practical Implication ◽  
Elderly Care ◽  
The Elderly ◽  
Negative Effects ◽  
The Public ◽  
Care Services ◽  
Care For The Elderly ◽  
The Future

Abstract Reforms of the public sector, conducted in the spirit of NPM since the 1990s, are frequently studied by Western and Eastern scholars. The research shows national variations in how the NPM idea was translated and adapted into a country’s context and regulations. Care for the elderly is an interesting example of reforms conducted in the spirit of NPM, because it relates to welfare and health care and to the competences of provincial and local authorities in most European countries. This paper addresses the following questions: What do we know about the reforms conducted in the spirit of NPM and its practical implication within the field of care for the elderly during 1990 - 2010? What kind of knowledge about care for the elderly is still missing and should be developed in the future ? Th is paper conducts comparative research on what is known about the effects of the Swedish and the Polish reforms regarding care for the elderly. It argues that most literature points to negative effects, but also to the fact that there are still gaps in our knowledge about the effects of reforms concerning elderly care, especially regarding its organization. Hence, despite all the research done, we do not know what kind of social and health-care services for seniors represent the best practices for the future.

scholarly journals Coastal flooding and frontline health care services: challenges for flood risk resilience in the English health care system

2019 ◽  
Vol 24 (4) ◽  
pp. 219-228 ◽  
Author(s):  
Owen Landeg ◽  
Geoff Whitman ◽  
Kate Walker-Springett ◽  
Catherine Butler ◽  
Angie Bone ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
East Coast ◽  
Health Care Sector ◽  
Strategic Decision ◽  
Case Scenario ◽  
Care Services ◽  
Insight Into ◽  
Care System

Objectives Our objective was to assess the health care system impacts associated with the December 2013 east coast flooding in Boston, Lincolnshire, in order to gain an insight into the capacity of the health care sector to respond to high-impact weather. Methods Semistructured interviews were held with regional strategic decision makers and local service managers within 1 km of the recorded flood outline to ascertain their experiences, views and reflections concerning the event and its associated health impacts and disruption to health care services. A snowballing sampling technique was used to ensure the study had participants across a broad range of expertise. Interviews were recorded and transcribed verbatim, and data analysis was preformed using NVivo (v10) to apply a thematic coding and develop a framework of ideas. Results The results of this case study provide a vital insight into the health care disruption caused by flooding. All sectors of the health care system suffered disruption, which placed a strain on the whole system and reduced the capacity of the sector to respond to the health consequences of flooding and delivering routine health care. The formal recovery phase in Lincolnshire was stood-down on 4th February 2014. The results of this work indicate limitations in preparedness of the health care system for the reasonable worse-case scenario for an east coast surge event. Conclusions The health care sector appears to have limited capacity to respond to weather-related impacts and is therefore unprepared for the risks associated with a future changing climate. Further work is required to ensure that the health care system continues to review and learn from such events to increase climate resilience.

Challenges in implementing models of coordinated care

2018 ◽  
Vol 20 (3) ◽  
pp. 365-382 ◽  
Author(s):  
Nicole K Janich ◽  
Michael S Shafer
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Care Coordination ◽  
Health Care Policy ◽  
Coordinated Care ◽  
Model Of Care ◽  
Implementation Challenges ◽  
Care Services ◽  
Primary Care Services ◽  
Health Agencies

Summary The purpose of this study is to explore implementation challenges behavioral health agencies have faced in moving toward new models of care coordination which have been mandated by health care policy. Specifically, this study looks at six behavioral health agencies in a rural region of a southwestern state. Three agencies had adopted a colocated model of care coordination which involved partnering with a local Federally Qualified Health Center to provide primary care services at the behavioral health agency facilities. Three other agencies included in the study had adopted a fully integrated model of care coordination which involved hiring their own practitioners to provide primary care services at their facilities. Findings Results from this qualitative study identified seven areas of implementation challenges experienced by agencies including financial mechanisms, regulation, electronic health records, role clarification, information sharing, medical provider stigma, and staff training on coordinated care. Some of the most common challenges for all agencies regardless of the model being implemented were funding mechanisms, information sharing, and regulation. Application Findings from this study indicate that although health care policy has moved toward a more progressive form of health care, challenges still remain that threaten the sustainability of such care. Improvements at the policy level are needed to reform payment mechanisms and regulatory burden, in addition to making improvements at the local level to train practitioners.

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