Knowledge and Attitude of Health Care Providers for Korean National Health Examination

Health promotion activities are actively encouraged in most countries, including the UK. Meanwhile many health care providers and health experts are becoming increasingly concerned about the growing evidence of significant health inequalities between social groups in the UK, and in particular the strong association between relative deprivation and poor health. In 1995, a report for the British government entitled ‘Variations in health: What can the Department of Health and the NHS do?’, identified the need for the Department of Health and the NHS to play a key role in coordinating and implementing public health programmes intended to reduce inequalities in health. Examination of existing evidence on the effectiveness of health promotion and prevention programmes designed to improve the health status of the most vulnerable groups in society reveals very little evidence to support current enthusiasm for adopting public health strategies in order to reduce variations in health status between the affluent and the poor. Alternative and potentially more effective health care responses to inequalities in health status need to be considered.

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Towards Universal Quality Health Care through an Independent Accreditation Agency: A Review

Acta Medica Philippina ◽

10.47895/amp.v54i6.2620 ◽

2020 ◽

Vol 54 (6) ◽

Author(s):

Gabriel R. Borlongan ◽

Ma-Ann M. Zarsuelo ◽

Michael Antonio F. Mendoza ◽

Ma. Esmeralda C. Silva ◽

Leonardo R. Estacio Jr.

Keyword(s):

Health Care ◽

Health Insurance ◽

Health Care Providers ◽

National Health ◽

Technical Assistance ◽

Development Program ◽

Health Facilities ◽

Third Party ◽

Care Providers ◽

Accreditation System

Background. Guaranteeing quality of health care services is part of the objectives of Republic Act No. 11223 or the Universal Health Care (UHC) Act of 2019. In assuring that quality services are delivered by health care providers, they must be accredited to participate in the National Health Insurance Program. The UHC Act mandates the Philippine Health Insurance Corporation (PhilHealth) to recognize third party mechanisms as basis of granting incentives for health facilities that deliver services of higher quality. This review aimed to identify lessons and experiences from literature that can be adopted and contextualized in the Philippine setting, for strategic policies on strengthening the national health facility accreditation system. Methods. A systematic review of literature was conducted to generate evidence-based recommendations from discussions on cross country experiences and local government initiatives towards improved accreditation system. Results. By virtue of the UHC Act, a form of strategic purchasing is further institutionalized through a rating system that incentivizes health facilities that provide better services in terms of quality, efficiency, and equity. It is imperative to consider the country’s previous and current gaps and challenges in accreditation and adopt the best practices of other countries, as appropriate to Philippine's local settings. A tool is proposed in creating a national hospital accreditation system using the domains of leadership and governance, financing and sustainability, standards development, program management, and continuing quality improvement. Conclusion and Recommendations. With the legitimacy of third party accreditation body mandated by the UHC Act, operationalization of the prescribed mechanisms and organizational structure must enjoin all pertinent stakeholders and be supported by sustainable funds and technical assistance by the government.

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Patient Use and Experience With Online Access to Electronic Health Records in Norway: Results From an Online Survey (Preprint)

10.2196/preprints.16144 ◽

2019 ◽

Cited By ~ 1

Author(s):

Paolo Zanaboni ◽

Per Egil Kummervold ◽

Tove Sørensen ◽

Monika Alise Johansen

Keyword(s):

Health Care ◽

Electronic Health Records ◽

Health Care Providers ◽

National Health ◽

Chronic Conditions ◽

Online Survey ◽

Health Condition ◽

Care Providers ◽

Health Records ◽

Electronic Health

BACKGROUND The electronic health record (EHR) has been fully established in all Norwegian hospitals. Patient-accessible electronic health records (PAEHRs) are available to citizens aged 16 years and older through the national health portal Helsenorge. OBJECTIVE This study aimed at understanding how patients use PAEHRs. Three research questions were addressed in order to explore (1) characteristics of users, (2) patients’ use of the service, and (3) patient experience with the service. METHODS We conducted an online survey of users who had accessed their EHR online at least once through the national health portal. Patients from two of the four health regions in Norway were invited to participate. Quantitative data were supplemented by qualitative information. RESULTS A total of 1037 respondents participated in the survey, most of whom used the PAEHR regularly (305/1037, 29.4%) or when necessary (303/1037, 29.2%). Service utilization was associated with self-reported health, age, gender, education, and health care professional background. Patients found the service useful to look up health information (687/778, 88.3%), keep track of their treatment (684/778, 87.9%), prepare for a hospital appointment (498/778, 64.0%), and share documents with their general practitioner (292/778, 37.5%) or family (194/778, 24.9%). Most users found it easy to access their EHR online (965/1037, 93.1%) and did not encounter technical challenges. The vast majority of respondents (643/755, 85.2%) understood the content, despite over half of them acknowledging some difficulties with medical terms or phrases. The overall satisfaction with the service was very high (700/755, 92.7%). Clinical advantages to the patients included enhanced knowledge of their health condition (565/691, 81.8%), easier control over their health status (685/740, 92.6%), better self-care (571/653, 87.4%), greater empowerment (493/674, 73.1%), easier communication with health care providers (493/618, 79.8%), and increased security (655/730, 89.7%). Patients with complex, long-term or chronic conditions seemed to benefit the most. PAEHRs were described as useful, informative, effective, helpful, easy, practical, and safe. CONCLUSIONS PAEHRs in Norway are becoming a mature service and are perceived as useful by patients. Future studies should include experimental designs focused on specific populations or chronic conditions that are more likely to achieve clinically meaningful benefits. Continuous evaluation programs should be conducted to assess implementation and changes of wide-scale routine services over time.

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Correction: Provider preference for payment method under a national health insurance scheme: A survey of health insurance-credentialed health care providers in Ghana

PLoS ONE ◽

10.1371/journal.pone.0223157 ◽

2019 ◽

Vol 14 (9) ◽

pp. e0223157

Author(s):

Francis-Xavier Andoh-Adjei ◽

Eric Nsiah-Boateng ◽

Felix Ankomah Asante ◽

Koos van der Velden ◽

Ernst Spaan

Keyword(s):

Health Care ◽

Health Insurance ◽

Health Care Providers ◽

National Health Insurance ◽

National Health ◽

National Health Insurance Scheme ◽

Health Insurance Scheme ◽

Care Providers ◽

Payment Method ◽

Insurance Scheme

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Provider preference for payment method under a national health insurance scheme: A survey of health insurance-credentialed health care providers in Ghana

PLoS ONE ◽

10.1371/journal.pone.0221195 ◽

2019 ◽

Vol 14 (8) ◽

pp. e0221195 ◽

Cited By ~ 1

Author(s):

Francis-Xavier Andoh-Adjei ◽

Eric Nsiah-Boateng ◽

Felix Ankomah Asante ◽

Koos van der Velden ◽

Ernst Spaan

Keyword(s):

Health Care ◽

Health Insurance ◽

Health Care Providers ◽

National Health Insurance ◽

National Health ◽

National Health Insurance Scheme ◽

Health Insurance Scheme ◽

Care Providers ◽

Payment Method ◽

Insurance Scheme

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The efficiency of the local health systems: investigating the roles of health administrations and health care providers

Health Economics Policy and Law ◽

10.1017/s1744133117000068 ◽

2017 ◽

Vol 13 (1) ◽

pp. 10-32 ◽

Cited By ~ 3

Author(s):

Laura Anselmi ◽

Mylène Lagarde ◽

Kara Hanson

Keyword(s):

Health Care ◽

Decision Making ◽

Health Systems ◽

Health Care Providers ◽

National Health ◽

Local Level ◽

Local Health ◽

Care Providers ◽

Frontier Analysis ◽

Decision Making Unit

AbstractThe analysis of efficiency in health care has largely focussed either on individual health care providers, or on sub-national health systems conceived as a unique decision-making unit. However, in hierarchically organized national health services, two separate entities are responsible for turning financial resources into services at the local level: health administrations and health care providers. Their separate roles and the one of health administrations in particular have not been explicitly considered in efficiency analysis. We applied stochastic frontier analysis to district-level panel data from Mozambique (2008-2011) to assess district efficiency in delivering outpatient care. We first assessed the efficiency of the whole district considered as an individual decision-making unit, and then we assessed separately the efficiency of health administrations and health care providers within the same district. We found that on average only 73% of the outpatient consultations deliverable using available inputs were realized, with large differences in performance across districts. Individual districts performed differently in administrative or health care delivery functions. On average, a reduction of administrative inefficiency by 10 percentage points, for a given expenditure would increase by 0.2% the volume of services delivered per thousand population per year. Identifying and targeting the specific drivers of administrative inefficiencies can contribute to increase service.

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