4 Consumer-Driven Health Care the First Time Around

2020 ◽  
pp. 42-53
Keyword(s):  
Health Care ◽  
First Time

Telemedicine (or Teleconsultation?) Practice Guidelines of India: A Game changer or a half-hearted attempt amid COVID-19? (Preprint)

2020 ◽  
Author(s):  
Venkatesh U ◽  
Aravind Gandhi P
Keyword(s):  
Health Care ◽  
Practice Guidelines ◽  
Health Care Workers ◽  
Data Security ◽  
Patient Relationship ◽  
Medical Practitioners ◽  
Care Workers ◽  
The Government ◽  
First Time ◽  
Game Changer

UNSTRUCTURED Telemedicine is where health care intersects with Information Technology. In India, there has been no statutory regulations or official guidelines, specific for Telemedicine practice and allied matters, so far. For the first time, Government of India has released Telemedicine Practice Guidelines for Registered Medical Practitioners on March 25, 2020, amid the COVID-19 outbreak. Through this paper, we would like to initiate the discussion on the features of the guidelines, limitations, and its significance in times of COVID-19 pandemic. The guidelines are with a restricted scope for providing medical consultation to patients, excluding other aspects of Telemedicine such as research and evaluation, and the continuing education of health-care workers. The guidelines have elaborated on the eligibility for practicing Telemedicine in India, the modes and types of Teleconsultation, delved into doctor-patient relationship, consent, & management protocols, touched upon the data security & privacy aspects of the Teleconsultation. After releasing the guidelines, Telescreening of public for COVID-19 symptoms is being advocated by the Government of India. COVID-19 National Teleconsultation Centre (CoNTeC) has been initiated, which connects the doctors across the India to AIIMS in real-time for accessing expert guidance on treatment of the COVID-19 patients.

scholarly journals Prioritization of public services for digitalization using fuzzy Z-AHP and fuzzy Z-WASPAS

2021 ◽  
Author(s):  
Duygu Sergi ◽  
Irem Ucal Sari
Keyword(s):  
Health Care ◽  
Public Transportation ◽  
Health Care Services ◽  
Public Services ◽  
Fast Response ◽  
Care Services ◽  
Citizen Complaints ◽  
Criteria Weights ◽  
Available Information ◽  
First Time

AbstractIn this paper, public services are analyzed for implementations of Industry 4.0 tools to satisfy citizen expectations. To be able to prioritize public services for digitalization, fuzzy Z-AHP and fuzzy Z-WASPAS are used in the analysis. The decision criteria are determined as reduced cost, fast response, ease of accessibility, reduced service times, increase in the available information and increased quality. After obtaining criteria weights using fuzzy Z-AHP, health care services, waste disposal department, public transportation, information services, social care services, and citizen complaints resolution centers are compared using fuzzy Z-WASPAS that is proposed for the first time in this paper. Results show that health care services have dominant importance for the digitalization among public services.

PREVENTION ISSUES OF OCCUPATIONAL AND PRODUCTION-RELATED DISEASES IN MINING INDUSTRY WORKERS

2021 ◽  
Author(s):  
G.S. Agzamova ◽  
◽  
N.U. Ibragimova ◽  
Yu.A. Abdieva ◽  
Keyword(s):  
Health Care ◽  
Metallurgical Plant ◽  
Occupational Diseases ◽  
Mining Industry ◽  
Production Environment ◽  
Cardiovascular Pathology ◽  
Dynamic Observation ◽  
High Level ◽  
Medical Examinations ◽  
First Time

Abstract: Protecting and promoting the health of workers in the mining industry is one of the most important problems of occupational pathology and health care. The structure and levels of prevention of occupational diseases are directly dependent on harmful and adverse factors of the production environment and labor process, adequately reflecting the state of production. Purpose: to study the issues of prevention of occupational and production-related diseases of mining and metallurgical plant workers. Research materials and methods: a dynamic observation of the health status of workers in the main industries of the mining and metallurgical plant (800 workers) was carried out. 92 patients with silicosis were examined. Results: Up to 92.8% of first-time occupational diseases are detected during periodic medical examinations. The prevailing sociomatic pathology is cardiovascular pathology, namely, arterial hypertension and diseases of the musculoskeletal system, mainly osteochondrosis of the spine. Prevalence of silicosis was observed in individuals with little professional experience (from 5 years old), young age and primary detection of patients in stage II silicosis, which was accompanied by respiratory failure. Conclusions: The prevention programme developed will ensure a high level of health care in terms of early diagnosis, rehabilitation and secondary prevention of both occupational and occupational diseases.

The right to choose treatment-without-treatment: respecting civil rights or an unprecedented manifestation of ‘reverse stigma’?

2018 ◽  
Vol 31 (1) ◽  
pp. 56-58
Author(s):  
Konstantinos N Fountoulakis ◽  
Kyriakos Souliotis
Keyword(s):  
Health Care ◽  
Civil Rights ◽  
Social Services ◽  
Treatment Options ◽  
Health Minister ◽  
Proper Treatment ◽  
Free Treatment ◽  
Efficacious Treatment ◽  
The Right ◽  
First Time

AbstractRecently the Norwegian Health Minister ordered the creation of medication-free treatment wards as a result of the lobbying by patients’ groups and activists. The idea behind this is that patients should have the right to choose their treatment, but for the first time, with this arrangement, the user/patient does not choose between treatment options; he literally determines by himself what efficacious treatment is. In our opinion this is another step towards a ‘reverse stigma’ which denies patients the right to be considered as such and eventually kicks them out of the health care system, deprives them of the right for proper treatment and care and instead puts them at the jurisdiction of the much cheaper and ineffective social services.

scholarly journals Does managed competition constrain hospitals' contract prices? Evidence from the Netherlands

2019 ◽  
Vol 15 (3) ◽  
pp. 341-354 ◽  
Author(s):  
Rudy Douven ◽  
Monique Burger ◽  
Frederik Schut
Keyword(s):  
Health Care ◽  
Managed Competition ◽  
Policy Options ◽  
Price Variation ◽  
Price Adjustments ◽  
Dutch Health ◽  
Dutch Health Care ◽  
Hospital Payment ◽  
First Time ◽  
Cross Subsidization

AbstractIn the Dutch health care system, health insurers negotiate with hospitals about the pricing of hospital products in a managed competition framework. In this paper, we study these contract prices that became for the first time publicly available in 2016. The data show substantive price variation between hospitals for the same products, and within a hospital for the same product across insurers. About 27% of the contract prices for a hospital product are at least 20% higher or lower than the average contract price in the market. For about half of the products, the highest and the lowest contract prices across hospitals differ by a factor of three or more. Moreover, hospital product prices do not follow a consistent ranking across hospitals, suggesting substantial cross-subsidization between hospital products. Potential explanations for the large and seemingly random price variation are: (i) different cost pricing methods used by hospitals, (ii) uncertainty due to frequent changes in the hospital payment system, (iii) price adjustments related to negotiated lumpsum payments and (iv) differences in hospital and insurer market power. Several policy options are discussed to reduce variation and increase transparency of hospital prices.

Co‐designing the InnoWell Platform to deliver the right mental health care first time to regional youth

2020 ◽  
Vol 28 (2) ◽  
pp. 190-194 ◽  
Author(s):  
Shelley C. Rowe ◽  
Tracey A. Davenport ◽  
Michael A. Easton ◽  
Tanya A. Jackson ◽  
Jennifer Melsness ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
The Right ◽  
First Time

Incidence and outcomes of bulimia nervosa: a nationwide population-based study

2008 ◽  
Vol 39 (5) ◽  
pp. 823-831 ◽  
Author(s):  
A. Keski-Rahkonen ◽  
H. W. Hoek ◽  
M. S. Linna ◽  
A. Raevuori ◽  
E. Sihvola ◽  
...  
Keyword(s):  
Health Care ◽  
Bulimia Nervosa ◽  
Health Care Professionals ◽  
Psychological Symptoms ◽  
Population Based ◽  
Clinical Settings ◽  
Birth Cohorts ◽  
Clinical Recovery ◽  
Dsm Iv ◽  
First Time

BackgroundLittle is known about the epidemiology of bulimia nervosa outside clinical settings. We report the incidence, prevalence and outcomes of bulimia nervosa using for the first time a nationwide study design.MethodTo assess the incidence and natural course and outcomes of DSM-IV bulimia nervosa among women from the general population, women (n=2881) from the 1975–79 birth cohorts of Finnish twins were screened for lifetime eating disorders using a two-stage procedure consisting of a questionnaire screen and the Structured Clinical Interview for DSM-IV (SCID). Clinical recovery was defined as 1-year abstinence from bingeing and purging combined with a body mass index (BMI) ⩾19 kg/m2.ResultsThe lifetime prevalence of DSM-IV bulimia nervosa was 2.3%; 76% of the women suffered from its purging subtype and 24% from the non-purging subtype. The incidence rate of bulimia nervosa was 300/100000 person-years at the peak age of incidence, 16–20 years, and 150/100000 at 10–24 years. The 5-year clinical recovery rate was 55.0%. Less than a third of the cases had been detected by health-care professionals; detection did not influence outcome. After clinical recovery from bulimia nervosa, the mean levels of residual psychological symptoms gradually decreased over time but many women continued to experience significantly more body image problems and psychosomatic symptoms than never-ill women.ConclusionsFew women with bulimia nervosa are recognized in health-care settings. Symptoms of bulimia are relatively long-standing, and recovery is gradual. Many clinically recovered women experience residual psychological symptoms after attaining abstinence from bingeing and purging.

scholarly journals The lived experiences and social support needs of first-time mothers at health care facilities in the City of Tshwane, South Africa

Curationis ◽  
2017 ◽  
Vol 40 (1) ◽  
Author(s):  
Mmajapi E.T. Masala-Chokwe ◽  
Tendani S. Ramukumba
Keyword(s):  
Social Support ◽  
Health Care ◽  
Lived Experiences ◽  
Early Discharge ◽  
Health Care Facilities ◽  
Support Needs ◽  
Care Facilities ◽  
First Time Mothers ◽  
First Time ◽  
The City

Background: Social support refers to the assistance people receive from others, and it is divided into four types of support. Given the increasing mortality and morbidity rates of mothers and neonates postpartum, this study intended to determine whether the social support needs of the first-time mothers were met after early discharge from health care facilities.Objectives: The objective of the study was to explore the lived experiences and social support needs of the first-time mothers after an early discharge from health care facilities in the City of Tshwane, Gauteng.Method: A qualitative explorative study was conducted to explore the lived experiences and social support needs of the first-time mothers. The population were first-time mothers who had a vaginal delivery and were discharged within 6–12 hours of delivery from health care facilities. Purposive sampling was performed and 14 semi-structured interviews were conducted, with those mothers who came for the prescribed three postnatal check-ups at the three health care facilities identified according to maternity services provided. Saturation of data for the three health care facilities was reached at the 14th interview. Data analysis was performed using the hermeneutic interpretive approach.Results: Almost all participants had completed grades 11 or 12, but most were unemployed. The needs identified included the need for social support, lack of confidence, knowledge and skill to care for themselves and their newborn babies after early discharge.Conclusion: There is need to identify alternative types of social support for the first-time mothers, to ensure a normal adjustment to motherhood.

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