scholarly journals Einkarekstur eða ríkisrekstur í heilsugæslu: Samanburður á kostnaði og ánægju með þjónustu

2018 ◽  
Vol 14 (2) ◽  
pp. 69-84
Author(s):  
Héðinn Sigurðsson ◽  
Sunna Gestsdóttir ◽  
Sigríður Halldórsdóttir ◽  
Kristjan G. Guðmundsson
Keyword(s):  
Health Care ◽  
Consumer Satisfaction ◽  
Low Cost ◽  
Safety Net ◽  
Community Services ◽  
Quality Of Services ◽  
Private Health Care ◽  
The Cost ◽  
Health Care Centers

The organization of health care is one of the most complex present day challenges. Like other countries that run socialized health care systems, Icelanders face the question of the role of private enterprise in health care. The objective of this study was two-fold: to compare the cost of 17 private and state-run health care centers in the metropolitan area, and to compare consumer satisfaction related to these. At the beginning of Icelandic settlement, there were statutory laws decreeing that community services should be provided for those in need. By the Health Care Act in 1973, the Icelandic health care system fell under the Nordic welfare society with equal access and a tight safety net. The results show that the private health care centers had a low cost per work unit, but not the lowest. Four to seven state run health care centers had less expenditure per patient than the private centers. The cost of each doctor’s position was highest in one of the private clinics. Patient satisfaction surveys showed that there is no difference in the quality of services between these two different operating modes. A conclusion can be drawn from this study that it is not clear whether private health care improves the use of public funds or increases the quality of services.

scholarly journals Consumer Satisfaction in Social Security Hospital: A Case Study of Punjab Employees Social Security Institution Hospital, Rawalpindi.

2009 ◽  
Vol 48 (4II) ◽  
pp. 675-699 ◽  
Author(s):  
Nasir Ayat ◽  
Mahmood Khalid
Keyword(s):  
Health Care ◽  
Customer Satisfaction ◽  
Social Security ◽  
Health Systems ◽  
Consumer Satisfaction ◽  
World Health ◽  
Quality Of Services ◽  
Security Institution ◽  
Care Assessment

In health care, consumer satisfaction is an important evaluation instrument to determine the quality of services. In recent years, the concept has assumed much greater significance particularly in market based health systems. Also, in World Health Organisation’s framework for health care assessment, the customer satisfaction is given due consideration. On the contrary, in developing countries particularly, the concept is one of the most ignored elements in evaluation of health care systems. Pakistan is also a case in point. Review of literature and general health management systems in the country suggests scarcity of information on consumer satisfaction as well as its neglect as a crucial element in health systems. This present study—which is cross-sectional—is designed on the ground that there is a need to incorporate consumer satisfaction in health care evaluation. This study, presents a scientific analysis of Punjab Employees Social Security Institution Hospital, Rawalpindi (PESSI) using the Patient Survey Questionnaire technique, the most universal approach used by international studies to evaluate consumer satisfaction with health services. Based on study results, generally, we conclude that consumers have expressed high level of satisfaction for various quality assessment scales. Despite these findings, it has also been noted that significant proportion of patients have also expressed medium as well as low satisfaction for certain scales. It tends to suggest that quality of services needs to be improved for specific items as well as certain scales including communication, general satisfaction, and interpersonal aspects for improvements in provision of certain services at the hospital. JEL classification: I11, I18, I38 Keywords: Customer Satisfaction, Quality, Healthcare, Evaluation

PP048 Quality Of Health Care Through Integration: Experience Of Cochlear Implantation

2017 ◽  
Vol 33 (S1) ◽  
pp. 93-94
Author(s):  
Lyazzat Kosherbayeva ◽  
Aigul Medeulova ◽  
Abdulla Alzhanov
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Cochlear Implantation ◽  
Cost Utility ◽  
Economic Research ◽  
Rehabilitation Programs ◽  
Life Years ◽  
The Republic ◽  
The Cost

INTRODUCTION:The State Program for Health Development of the Republic of Kazakhstan (RK) “Densaulyk” for 2016–2019 initiated the modernization of primary health care with the introduction of family practice in order to ensure the availability, completeness and quality of health services on the basis of an integrated healthcare system focused on the needs of the population. The aim of this study was to determine the effectiveness of the cochlear implantation (CI) programs.METHODS:A literature search was conducted for all clinical trials, randomized controlled trials, and reviews in the PubMed, Cochrane, and Center for Reviews and Dissemination databases. Two reviewers independently evaluated all publications for selection. The analysis included the cost-effectiveness and benefit from the CI program.RESULTS:We analyzed the effectiveness of the services for CI in the RK and other countries (1). In our analysis, we identified that there is no research on Quality-adjusted Life Years (QALYs) and Cost-Utility Analysis (CUA) in RK. We found that, in general, the cost of CI and pre-surgical procedures are comparable with other countries. The length of stay in Kazakhstan was much higher (an average of 8 days) compared with other countries (3 days). Also in RK, there were significantly lower prices per hospital day and cost of various consultations. Postoperative costs of other countries consisted of one-third to two-thirds of the total costs for preoperative and implantation stages (2, 3). There was a little information on the effectiveness of rehabilitation programs in RK.CONCLUSIONS:Economic research like QALYs and CUA are new directions in the healthcare system in the RK. Lack of integration between primary care, rehabilitation and other services leads to difficulties in assessing the effectiveness of CI programs (for example, in our case, there was the restriction of assessment in only postoperative costs).

Workplace-based clinical leadership training increases willingness to lead

2015 ◽  
Vol 28 (2) ◽  
pp. 100-118 ◽  
Author(s):  
Aleece MacPhail ◽  
Carmel Young ◽  
Joseph Elias Ibrahim
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Leadership Training ◽  
Low Cost ◽  
Leadership Role ◽  
Leadership Roles ◽  
Senior Executive ◽  
Clinical Leadership ◽  
Content Type

Purpose – The purpose of this paper is to reflect upon a workplace-based, interdisciplinary clinical leadership training programme (CLP) to increase willingness to take on leadership roles in a large regional health-care centre in Victoria, Australia. Strengthening the leadership capacity of clinical staff is an advocated strategy for improving patient safety and quality of care. An interdisciplinary approach to leadership is increasingly emphasised in the literature; however, externally sourced training programmes are expensive and tend to target a single discipline. Design/methodology/approach – Appraisal of the first two years of CLP using multiple sourced feedback. A structured survey questionnaire with closed-ended questions graded using a five-point Likert scale was completed by participants of the 2012 programme. Participants from the 2011 programme were followed up for 18 months after completion of the programme to identify the uptake of new leadership roles. A reflective session was also completed by a senior executive staff that supported the implementation of the programme. Findings – Workplace-based CLP is a low-cost and multidisciplinary alternative to externally sourced leadership courses. The CLP significantly increased willingness to take on leadership roles. Most participants (93 per cent) reported that they were more willing to take on a leadership role within their team. Fewer were willing to lead at the level of department (79 per cent) or organisation (64 per cent). Five of the 11 participants from the 2011 programme had taken on a new leadership role 18 months later. Senior executive feedback was positive especially around the engagement and building of staff confidence. They considered that the CLP had sufficient merit to support continuation for at least another two years. Originality/value – Integrating health-care professionals into formal and informal leadership roles is essential to implement organisational change as part of the drive to improve the safety and quality of care for patients and service users. This is the first interdisciplinary, workplace-based leadership programme to be described in the literature, and demonstrates that it is possible to deliver low-cost, sustainable and productive training that increases the willingness to take on leadership roles.

Quality of hypertension care: An improvement initiative in two outpatient health care centers

2018 ◽  
Vol 25 (3) ◽  
pp. 463-468
Author(s):  
Eleanor Yusupov ◽  
Bhuma Krishnamachari ◽  
Sarah Rand ◽  
Mirette Abdalla ◽  
Hallie Zwibel
Keyword(s):  
Health Care ◽  
Health Care Centers

scholarly journals BUDGET UAV SYSTEMS FOR THE PROSPECTION OF SMALL- AND MEDIUM-SCALE ARCHAEOLOGICAL SITES

2016 ◽  
Vol XLI-B1 ◽  
pp. 971-977 ◽  
Author(s):  
W. Ostrowski ◽  
K. Hanus
Keyword(s):  
Low Cost ◽  
Planning System ◽  
Archaeological Sites ◽  
Quality Of Data ◽  
Computing Power ◽  
Medium Scale ◽  
The Cost ◽  
User Friendly ◽  
Operational Range

One of the popular uses of UAVs in photogrammetry is providing an archaeological documentation. A wide offer of low-cost (consumer) grade UAVs, as well as the popularity of user-friendly photogrammetric software allowing obtaining satisfying results, contribute to facilitating the process of preparing documentation for small archaeological sites. However, using solutions of this kind is much more problematic for larger areas. The limited possibilities of autonomous flight makes it significantly harder to obtain data for areas too large to be covered during a single mission. Moreover, sometimes the platforms used are not equipped with telemetry systems, which makes navigating and guaranteeing a similar quality of data during separate flights difficult. The simplest solution is using a better UAV, however the cost of devices of such type often exceeds the financial capabilities of archaeological expeditions. <br><br> The aim of this article is to present methodology allowing obtaining data for medium scale areas using only a basic UAV. The proposed methodology assumes using a simple multirotor, not equipped with any flight planning system or telemetry. Navigating of the platform is based solely on live-view images sent from the camera attached to the UAV. The presented survey was carried out using a simple GoPro camera which, from the perspective of photogrammetric use, was not the optimal configuration due to the fish eye geometry of the camera. Another limitation is the actual operational range of UAVs which in the case of cheaper systems, rarely exceeds 1 kilometre and is in fact often much smaller. Therefore the surveyed area must be divided into sub-blocks which correspond to the range of the drone. It is inconvenient since the blocks must overlap, so that they will later be merged during their processing. This increases the length of required flights as well as the computing power necessary to process a greater number of images. <br><br> These issues make prospection highly inconvenient, but not impossible. Our paper presents our experiences through two case studies: surveys conducted in Nepal under the aegis of UNESCO, and works carried out as a part of a Polish archaeological expedition in Cyprus, which both prove that the proposed methodology allows obtaining satisfying results. The article is an important voice in the ongoing debate between commercial and academic archaeologists who discuss the balance between the required standards of conducting archaeological works and economic capabilities of archaeological missions.

scholarly journals Evaluation of quality of TB control services by private health care providers in Plateau state, Nigeria; 2012

2014 ◽  
Vol 17 ◽  
Author(s):  
Luka Mangveep Ibrahim ◽  
Obinna O Oleribe ◽  
Patrick Nguku ◽  
Gabriel Chukwak Tongwong ◽  
Lakda Gonen Mato ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Private Health Care ◽  
Care Providers ◽  
Tb Control ◽  
Plateau State

Intellectual Capital Report in the Healthcare Sector

2017 ◽  
pp. 272-285
Author(s):  
Giovanni Bronzetti ◽  
Maria Assunta Baldini ◽  
Graziella Sicoli
Keyword(s):  
Health Care ◽  
Intellectual Capital ◽  
Exploratory Study ◽  
Health Care Organizations ◽  
Healthcare Sector ◽  
Quality Of Services ◽  
Structure Knowledge

In the healthcare sector the growing interest in intellectual capital begins with the understanding that the ability to maintain and develop knowledge within it is one of a major reason for the success of the structure. Knowledge presents in health care organizations is a valuable asset, essential to ensure a good quality of services, which has been not only enhanced but also continuously developed. In this sense, analyzing the intellectual capital in healthcare means put at the centre of attention knowledge, the processes that make it possible. This exploratory study aims to investigate the importance of intellectual capital in the healthcare sector, thorough the examination and interpretation of Intellectual Capital Report in a specific realty: the hospital in Udine, which systematically by few years prepares this report.

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