scholarly journals HB-HTA as an implementation problem in Polish health policy

PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257451
Author(s):  
Małgorzata Gałązka-Sobotka ◽  
Aldona Frączkiewicz-Wronka ◽  
Iwona Kowalska-Bobko ◽  
Hanna Kelm ◽  
Karolina Szymaniec-Mlicka
Keyword(s):  
Health Care ◽  
Public Management ◽  
Health Care Services ◽  
Health Technology ◽  
Management Theory ◽  
Healthcare Sector ◽  
Medical Procedures ◽  
Care Services ◽  
Implementation Problem ◽  
Polish Society

Hospital Based Health Technology Assessment (HB-HTA) is a new policy implemented in Poland to allow for a more practical and contextualized assessment related to the use of specific medical procedures, devices, or equipment. It requires changes in governance relating to the healthcare sector. One of the forms of governance improvement is to involve society in the process of creating public services. This can be implemented, e.g., by applying the pragmatic model of public responsiveness. The aim of this research was to identify and analyze forces which will shape a dynamic process in determining the implementation of HB-HTA. The results obtained in the Gioia analysis led to the identification of the main forces driving and restraining the implementation of HB-HTA. The grouping and interpretation allowed for the twelve most important dimensions to be distinguished, which were recognized as conceptual categories necessary to build theories that describe the studied phenomenon. This study contributes to the development of the idea of responsiveness in public management theory and in health care services, and ultimately helps to better enable the adjustment of health services to the dynamically changing needs of Polish society.

Have the poor been considered in the Health Sector Evolution Plan? A qualitative study of the Iranian health system

2019 ◽  
Vol 13 (1) ◽  
pp. 45-57
Author(s):  
Manal Etemadi ◽  
Kioomars Ashtarian ◽  
Nader Ganji ◽  
Hannaneh Mohammadi Kangarani ◽  
Hasan Abolghasem Gorji
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Services ◽  
Healthcare Sector ◽  
Poor People ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Content Type ◽  
Care Services ◽  
The Poor

Purpose Reducing health inequalities between the poor and the rich is one of the challenges that the Iranian healthcare sector is facing. One of the goals of the Iranian Government in the Healthcare Sector Evolution Plan (HSEP) is claimed to be creating an opportunity for the poor to use inexpensive services. The purpose of this paper is to provide an analysis of the status of the poor in the HSEP. Based on this evaluation, the authors will provide policy recommendations to improve the benefits of the HSEP for the poor people. Design/methodology/approach This paper is based on a qualitative study conducted in 2017. The research sample includes policymakers, experts and scholars at the macro-level of the Iranian healthcare system who were well-aware of the financial support for the poor. Overall, 35 semi-structured interviews were carried out. Data were analyzed based on the thematic analysis method. Findings The effects of the HSEP on the poor were studied in terms of their positive outcomes and challenges. Despite the achievements of the HSEP for all people, the most important challenge was the lack of targeted state subsidies for the poor. These subsidies should have included free insurance coverage, reducing inpatient payment and allocation of a separate budget for the poor. Originality/value Adopting some policies to target public health subsidies toward the poor such as free insurance specific for the poor (based on means testing), as well as user fee exemption and waivers could improve access to health services for them in Iran. In addition, separate funding for such policies, strengthening health prevention and health care services for marginalized populations, and improving their health literacy could help ensure the poor’s benefiting more from the health care services.

REPORTS FROM THE SPANISH AGENCY FOR HEALTH TECHNOLOGY ASSESSMENT (AETS)

1999 ◽  
Vol 15 (4) ◽  
pp. 773-777 ◽  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Diagnostic Tool ◽  
Health Care Services ◽  
Health Technology ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Purpose of assessment: To assess the usefulness and convenience of including ultrasonography as a diagnostic tool in primary health care services provided by the Spanish National Institute of Health.

Reinventing Privatization: A Political Economic Analysis of the Social Health Organizations in Brazil

2020 ◽  
Vol 51 (1) ◽  
pp. 90-100
Author(s):  
Fabiana Turino ◽  
Jonathan Filippon ◽  
Francis Sodré ◽  
Carlos Eduardo Siqueira
Keyword(s):  
Health Care ◽  
Public Management ◽  
Health Care Services ◽  
New Public Management ◽  
Public Health Care ◽  
Social Health ◽  
Health Organizations ◽  
Non Profit ◽  
Care Services ◽  
National Constitution

The Brazilian state apparatus was reformed throughout the 1990s, influenced by New Public Management (NPM). NPM was embodied in the health care sector by the creation of Social Health Organizations ( Organizações Sociais de Saúde or OSS), private non-profit entities to provide welfare services. We performed a systematic review of the literature outlining the origins and role of OSS in Brazil. Our selected articles (peer-reviewed) cover the origins/performance of OSS and their services provision between 1998 and 2018, in English or Portuguese. Databases used were Lilacs, Bireme, Medline, Pubmed, and SciELO. We identified 4,732 articles applying a pre-defined set of descriptors, from which we selected 49 for analysis. The main findings reveal that NPM is the central theme of most articles about OSS in Brazil (n = 26). There is evidence corroborating our hypothesis that transferring management of public health care services to private non-profit organizations is a softer version of privatization as, although financing is kept public, the rationale and ethos of OSS services institutionally and operationally mimic the private sector. The practical consequence is that attainment of health care in Brazil ends up being neither fully commodified (based on ability to pay) nor fulfilled as a citizen’s right following its national constitution.

Just in time elements extraction and prioritization for health care unit using decision making approach

2019 ◽  
Vol 36 (7) ◽  
pp. 1243-1263 ◽  
Author(s):  
Mahender Singh Kaswan ◽  
Rajeev Rathi ◽  
Mahipal Singh
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Services ◽  
Healthcare Delivery ◽  
Deep Understanding ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Just In Time ◽  
Content Type ◽  
Care Services

Purpose The purpose of this paper is to identify and prioritize prime just-in-time (JIT) elements in Indian healthcare sector based on the degree of importance and difficulty. This facilitates the implementation of JIT philosophy in healthcare services without any failure as well as provides quality services to patients at low cost. Design/methodology/approach JIT elements related to health care services have been sorted out from comprehensive literature survey. Moreover, important and difficult JIT elements have been ranked on the basis of score obtained by the quantitative method using statistical tools. Furthermore, validation and prioritization of important JIT elements based on the degree of importance have been computed using the analytical hierarchy process (AHP) and best worst method (BWM). Findings The present work provides important, difficult and easy to implement JIT elements in healthcare services. Besides, this work justifies the application of decision-making tool (AHP, BWM) for the prioritization of JIT elements in the health care sector. Practical implications The present study develops a deep understanding of JIT concepts in health care services. Furthermore, it motivates professionals for implementing JIT in healthcare services with healthy situation for both hospital and supplier. Social implications The present work is beneficial for all the dimensions of sustainable development (social, economic and environmental). The implementation of JIT with a proper understanding of its elements results in an improved patient care, lesser cost of healthcare delivery, time and better management of associated medical items. This work also facilitates the proper management of inventory items together with the reduction in various Lean wastes with the proper implementation of JIT in healthcare. The reduction in various associated wastes leads to cleaner surrounding and lesser environmental degradation. Originality/value This paper outlines the need of a robust JIT approach in the healthcare sector for quality services. The efficacy of JIT, AHP and BWM has been explored to find out critical elements for successful JIT implementation in health care.

scholarly journals Challenges of Applying AI in Healthcare in India

2021 ◽  
pp. 203-209
Author(s):  
Verda Nizam ◽  
Avinash Aslekar
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Rural Communities ◽  
Health Care Services ◽  
Clinical Decision ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Care Services ◽  
Massive Change ◽  
Front Line Workers

With the advent of digitalization, upcoming technologies like Artificial Intelligence (AI) are being utilized by healthcare services to manage various healthcare services to mimic human cognitive functions. This technology is expected to bring about a massive change in healthcare. Patient management, clinical decision support, patient tracking, and health care services are the four main AI-enabled fields of the healthcare industry. The method carrying out the study was based on secondary research by the themes of the studies performed earlier using Artificial intelligence in healthcare sector, through observations, interviews and valid documentations from prominent databases, by means of challenges and its analysis and the last by the issues associated with the study and the target groups are the front line workers in healthcare sectors. The AI applications in health care have gathered much attention, but AI's adoption issues have not been significantly tended. There are several challenges of its implementation, such as resolving the unequal relationship between trained physicians and patients and increasing physicians' efficiency to be more effective in their work; providing AI-enabled healthcare equipment in rural communities; and educating physicians or doctors in handling it. AI technologies have the potential to enhance patient outcomes. Still, they may also pose significant risks in terms of inadequate patient risk assessment, medical error, and suggestions for treatment, privacy violations, and others.

scholarly journals COMPARATIVE STUDY OF HOME CARE DIGITALIZATION FOR ELDERLY PEOPLE IN BRAZIL AND FINLAND

2019 ◽  
Vol 3 ◽  
pp. 52
Author(s):  
Minna Korpela ◽  
Piia Holmström
Keyword(s):  
Health Care ◽  
Health Services ◽  
Elderly People ◽  
Health Care Services ◽  
Digital Health ◽  
The Elderly ◽  
Health Technology ◽  
Care Services ◽  
Digital Services ◽  
Home Living

ABSTRACTThis thesis describes health care services for elderly people in Finland and Brazil, as well as health technology in both countries. The aim of the thesis is to provide information on the health technology for the elderly and to bring out their opinion about the need for digital services and what kind of digital solutions they would find useful as they get older. Our thesis is a qualitative research in which the observation material is in form of a questionnaire. The material is compared between the target countries. The target group is people who are over 75 years old in Finland and over 65 years old in Brazil and who are still living at home. The main objective is to identify the need for digital health services and solutions expressed by elderly citizens living in Brazil and Finland. Our research tasks: What kind of digital services home living elderly over 75 years old in Finland and over 65 years old in Brazil think it might be useful in connection with their health care? What kind of health services and digital solutions have an offer in Brazil and Finland? How is customer- oriented service implemented with digital solutions? According to the results, both in Finland and Brazil, elderly people felt that technology could be useful in terms of access to information and security and they were looking for ways to get help in everyday activities. In Finland, more technological solutions were available than in Brazil for healthcare.Keywords: Digitalization. Ethics. Succesful aging. RESUMOEsta tese descreve os serviços de saúde para idosos na Finlândia e no Brasil, bem como a tecnologia em saúde nos dois países. O objetivo da tese é fornecer informações sobre a tecnologia de saúde para idosos e expor suas opiniões sobre a necessidade de serviços digitais e que tipo de soluções digitais eles acham úteis à medida que envelhecem. Nossa tese é uma pesquisa qualitativa na qual o material de observação é em forma de questionário. O material é comparado entre os países-alvo. O público-alvo são pessoas com mais de 75 anos na Finlândia e com mais de 65 anos no Brasil e que ainda moram em casa. O objetivo principal é identificar a necessidade de soluções e serviços digitais de saúde expressos por idosos residentes no Brasil e na Finlândia. Nossas tarefas de pesquisa: Que tipo de serviços digitais para idosos que têm mais de 75 anos na Finlândia e mais de 65 anos no Brasil acham que pode ser útil em conexão com seus cuidados de saúde? Que tipo de serviços de saúde e soluções digitais oferecem no Brasil e na Finlândia? Como o serviço orientado ao cliente é implementado com soluções digitais? De acordo com os resultados, tanto na Finlândia quanto no Brasil, os idosos sentiram que a tecnologia poderia ser útil em termos de acesso à informação e segurança e estavam procurando maneiras de obter ajuda nas atividades cotidianas. Na Finlândia, mais soluções tecnológicas estavam disponíveis do que no Brasil para a saúde.Palavras-chave: Digitalização. Ética. Envelhecimento bem-sucedido.

scholarly journals Miejsce i znaczenie AOTMiT w polskim systemie ochrony zdrowia

2019 ◽  
Vol 17 (4) ◽  
pp. 183-193
Author(s):  
Aneta Lipińska ◽  
Tomasz Nawrocki ◽  
Monika Patyna ◽  
Aneta Płusa ◽  
Maciej Pomorski ◽  
...  
Keyword(s):  
Health Care ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Care Services ◽  
New Technologies ◽  
Health Technology ◽  
Government Agency ◽  
Care Services ◽  
Therapeutic Guidelines ◽  
Tariff System

Agency for Health Technology Assessment and Tariff System in health care system in Poland The Agency for Health Technology Assessment and Tariff System is national institution supervised by Minister of Health and funded by government. Agency is an advisory body in the reimbursement process. Agency has an impact on content of benefit basket, not only by evaluating new technologies but also re-evaluating benefit basket. Main goal of Agency is to provide patients access to the most effective and safe technologies. The most important Agency statements concern medical technologies and its modifications, qualification, removal in reference to guaranteed medical services. The Minister of Health, taking decisions about which health technology should be financed by public found, takes into account: recommendations and opinions of President of Agency, opinions and statements of the Transparency Council and the Council for Tariffs Affairs. The Agency’s task is also: setting tariffs for health care services; evaluating diagnostic and therapeutic guidelines prepared by medical societies; preparing opinions about national and local government health care programs.

Pandemics and Physiotherapy: An overview of the role of the Physiotherapists in restoring functions and quality of life

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1898-1901
Author(s):  
Vaishnavi Yadav ◽  
Waqar M. Naqvi ◽  
Tasneem Burhani
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Healthcare Sector ◽  
Allied Health Care ◽  
Care Services ◽  
Care Workers ◽  
Essential Services

Pandemic is an epidemic that has becomes very widespread and affects the entire vicinity, a continent, and the world because of the vulnerable population. Management of pandemic consequence puts a great load on the healthcare sector. It demands great manpower from every sector for the smooth run of the daily essential services. Health care workers play a crucial role in delivering health care services during such pandemics. Physiotherapists are the allied health care professionals which provide primary, secondary, and tertiary level of health care services. The report provides a brief idea about the different roles played by physiotherapists for restoring ability and better functioning of an individual and society as a whole during various epidemics and pandemics.

Health technology assessment and priority setting for health policy in Sweden

2004 ◽  
Vol 20 (1) ◽  
pp. 44-54 ◽  
Author(s):  
Per Carlsson
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Technology Assessment ◽  
Priority Setting ◽  
Technology Assessment ◽  
Health Care Services ◽  
Public Involvement ◽  
Health Technology ◽  
Patient And Public Involvement ◽  
Care Services

This article describes the development of health technology assessment (HTA) in Sweden, its influence on decision making, and its link with priority setting. Sweden has a well established governmental HTA body, the Swedish Council on Technology Assessment in Health Care (SBU), and an increasing number of regional/local HTA organizations. HTA has had an impact on clinical practice and is used to some extent in policy decisions. Several initiatives have now been taken to develop processes for open priority setting of health-care services. With the establishment of a new agency to undertake reimbursement decisions on pharmaceuticals, and greater patient and public involvement in decision making, it seems inevitable that HTA will play a more important role in priority setting in the near future.

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