Partnership in Healthcare System Sustainability and Resilience: Russian Healthcare System Analysis

2021 ◽  
Vol 76 (5S) ◽  
pp. 560-571
Author(s):  
Elena I. Aksenova ◽  
George Wharton ◽  
Nadezhda A. Vosheva ◽  
Dan Gocke ◽  
Natalya N. Kamynina
Keyword(s):  
Healthcare System ◽  
System Analysis ◽  
Medical Profession ◽  
Critical Evaluation ◽  
Building Blocks ◽  
Healthcare Systems ◽  
Current Crisis ◽  
Care Services ◽  
System Sustainability ◽  
The Impact

Background. In 2020 the global community faced a serious unexpected challenge COVID-19. Fighting the aggressive spread of the coronavirus required rapid reconfiguration of the Russian healthcare system, while exposing its weak spots and pressure points. Critical evaluation of the Russian healthcare systems resilience to crises offers new perspectives on the most effective management and organizational solutions for resolving this crisis. Research objective. The main goal of this study is to make a significant long-term contribution to the Russian healthcare system by developing a set of recommendations for increasing the systems sustainability and resilience to crises. Methods. For this study, specialists developed a framework that includes a set of questions in the 1) domains of governance, 2) financing, 3) workforce, 4) medicines and technology and 5) service delivery, which align closely with the well-recognised WHO health system building blocks. In each domain, a series of targeted questions concerned both sustainability and resilience. Findings. The main areas of work for increasing the Russian healthcare systems sustainability and resilience to crises include: adapting the existing legislative framework to the current crisis, and to prepare it for similar crises in the future; increasing healthcare funding; improving the image of the medical profession; promoting healthcare digitalization; reducing the pressure on the inpatient and emergency care services by strengthening preventive and rehabilitative care services. Conclusion. The synthesis and analysis of materials relevant to understanding the impact of the coronavirus pandemic on the Russian healthcare system, supplemented by expert assessments and examples drawn from practice, allowed the authors to compile a list of recommendations for ensuring the healthcare systems sustainability and resilience to future crises. This list offers potential for healthcare industry development.

The Dark Side of Medical Tourism?

Oncology ◽  
2017 ◽  
pp. 203-215
Author(s):  
Malcolm Cooper ◽  
Mayumi Hieda
Keyword(s):  
Decision Making ◽  
Medical Tourism ◽  
Medical Profession ◽  
Human Security ◽  
Healthcare Systems ◽  
Dark Side ◽  
Body Parts ◽  
Medical Problems ◽  
Cultural Behavior ◽  
The Impact

There are 4 principles that should govern the response of the healthcare system in its treatment of individual medical problems. These may be summarized as: 1. medical care should be accessible to all; 2. the principle of patient autonomy should govern decision-making; 3. medical treatment should be recognized as being part of cultural behavior; and, 4. the medical profession should support the benefit of the patient. However, the combination of these with the rising cost of healthcare and the impact of globalization, has led to a dark side for medical tourism. In this situation, both patients and physicians are faced with ethical, human security and sustainability issues. This chapter examines 3 major issues in medical tourism: end of life choice, trafficking in human bodies and body parts, and organ transplants. In the healthcare systems of many countries, these issues can also involve criminal activities.

scholarly journals Impact of COVID-19 Second Wave on Healthcare Networks in the United States

2020 ◽  
Author(s):  
Emad M. Hassan ◽  
Hussam Mahmoud
Keyword(s):  
United States ◽  
Healthcare System ◽  
The United States ◽  
Healthcare Systems ◽  
Mitigation Strategies ◽  
County Level ◽  
Protective Measures ◽  
The Impact ◽  
Second Wave ◽  
The U.S

The risk of overwhelming healthcare systems from a second wave of COVID-19 is yet to be quantified. Here, we investigate the impact of different reopening scenarios of states around the U.S. on COVID-19 hospitalized cases and the risk of overwhelming the healthcare system while considering resources at the county level. We show that the second wave might involve an unprecedented impact on the healthcare system if an increasing number of the population becomes susceptible and/or if the various protective measures are discontinued. Furthermore, we explore the ability of different mitigation strategies in providing considerable relief to the healthcare system. The results can aid healthcare planners, policymakers, and state officials in making decisions on additional resources required and on when to return to normalcy.

The Impact of Global Economic Crises on the Development of the Automotive Industry in Russia

REGIONOLOGY ◽  
2021 ◽  
Vol 29 (3) ◽  
pp. 541-561
Author(s):  
Lyudmila I. Zhurova ◽  
Irina N. Krakovskaya
Keyword(s):  
Automotive Industry ◽  
System Analysis ◽  
State Regulation ◽  
Motor Vehicles ◽  
Economic Crises ◽  
Economic Sectors ◽  
Current Crisis ◽  
Research Issues ◽  
Highly Sensitive ◽  
The Impact

Introduction. The cyclical nature of the development of the market economy causes the periodic occurrence of crisis phenomena that negatively affect the socio-economic situation in the country and the development of economic sectors. The modern automotive industry, composed of global supply chains, is highly sensitive to the impact of economic crises. Based on the research conducted, the article assesses the impact of the global economic crises of the 21st century on the development of the automotive industry in Russia and identifies the problems and risks of the development of this sector of the economy. Materials and Methods. The study used official national statistics, statistical data from international organizations, data from analytical agencies, public reporting by automotive corporations, as well as regulations governing the development of the Russian automotive industry. The use of the techniques of monographic description, of the abstract and logical approach, system analysis, methods of economic and statistical, comparative analysis made it possible to characterize the dynamics and identify the main trends in the development of the Russian automotive industry under the impact of the global crises of 2008‒2009 and 2020, as well as to identify the key problems and risks of the development of the sector in terms of the impact of the COVID-19 pandemic, which are to be taken into account when elaborating and adjusting strategic programs and plans for the development of the sector. Results. The impact of the global crises of 2008‒2009 and 2020 on the Russian automotive industry has been analyzed. The dynamics and structure of production and sales of motor vehicles in Russia have been studied; the cause-and-effect relationships of changes in the performance of the automotive industry under the impact of economic crises have been revealed; an assessment of the measures of state support for the industry in the crisis periods has been given. Discussion and Conclusion. The current global economic crisis caused by the COVID-19 pandemic has posed new threats to the development of the automotive industry and has made topical the research issues related to the transformations taking place in the sector under the impact of the crisis. The identified imbalances and negative trends in the development of the automotive industry require improving state regulation of its development, as well as implementing effective measures not only to overcome the consequences of the current crisis, but also to counter possible crises in the future.

scholarly journals CLASSIFICATION OF FINANCIAL MECHANISMS OF HEALTHCARE SYSTEMS IN THE COUNTRIES OF EUROPEAN UNION

2020 ◽  
Author(s):  
Nadiya Dubrovina ◽  
◽  
Stanislav Filip ◽  
Vira Dubrovina ◽  
◽  
...  
Keyword(s):  
Cluster Analysis ◽  
Healthcare System ◽  
Quantitative Methods ◽  
System Analysis ◽  
Healthcare Systems ◽  
New Classification ◽  
Eu Countries ◽  
The Eu

In the article the problems of the classification of financial mechanisms of healthcare systems were considered. The well-known types of the financial mechanisms of healthcare systems were described and the authors argued the importance of the development of new classification of financial mechanism of healthcare systems in the EU, which will be based on the application of quantitative methods. The purpose of the research is cluster (or regimes of funding healthcare system) analysis and development for EU countries over long-term period of 2000-2017.The authors used k-means method for the cluster analysis and revealed 5 clusters (groups) for the characteristics of the different regimes of funding healthcare system in the EU countries.

The Dark Side of Medical Tourism?

2015 ◽  
pp. 232-244 ◽  
Author(s):  
Malcolm Cooper ◽  
Mayumi Hieda
Keyword(s):  
Decision Making ◽  
Medical Tourism ◽  
Medical Profession ◽  
Human Security ◽  
Healthcare Systems ◽  
Dark Side ◽  
Body Parts ◽  
Medical Problems ◽  
Cultural Behavior ◽  
The Impact

There are 4 principles that should govern the response of the healthcare system in its treatment of individual medical problems. These may be summarized as: 1. medical care should be accessible to all; 2. the principle of patient autonomy should govern decision-making; 3. medical treatment should be recognized as being part of cultural behavior; and, 4. the medical profession should support the benefit of the patient. However, the combination of these with the rising cost of healthcare and the impact of globalization, has led to a dark side for medical tourism. In this situation, both patients and physicians are faced with ethical, human security and sustainability issues. This chapter examines 3 major issues in medical tourism: end of life choice, trafficking in human bodies and body parts, and organ transplants. In the healthcare systems of many countries, these issues can also involve criminal activities.

scholarly journals Counteracting criminality in the area of information and communication technologies in the conditions of quarantine measures

2020 ◽  
pp. 52-61
Author(s):  
Mikhail Vladimirovich Ul'yanov
Keyword(s):  
Information And Communication Technologies ◽  
System Analysis ◽  
Personal Data ◽  
Communication Technologies ◽  
Telecommunication Networks ◽  
Current Crisis ◽  
Private Companies ◽  
The Social ◽  
Information And Communication ◽  
The Impact

This article examines the correlation of processes pertaining to the spread of the Coronavirus infection (COVID-19), as well as various elements of the of national security system. Analysis is conducted on the impact of the set of quarantine measures upon the increase in digitalization; use of personal data, prospects of correction of international approaches in the sphere of information security; development of legal instruments aimed at counteracting criminal use of information and telecommunication networks, including restriction of access to resources spreading banned information; expansion of the scale of cybercrime. The study of this topic is based on the general dialectic method of cognition of the phenomena, as well as systemic approach towards research of the social legal issues. The author comes to the conclusion that in the conditions of present threats regarding the expansion of the capabilities of organized crime within the information sphere, the measures aimed at controlling the Internet by states and private companies is also expanding. Global contradictions in the information sphere stemming from the current crisis are likely to be resolved, particularly through negotiation of international documents.

scholarly journals The Macro- System Analysis of Social Care Services in Albania, According to An Ecological Perspective

2017 ◽  
Vol 5 (1) ◽  
pp. 494
Author(s):  
Phd Cand.Entela Avdulaj
Keyword(s):  
Social Policy ◽  
System Analysis ◽  
Social Care ◽  
Ecological Perspective ◽  
Social Policies ◽  
Old People ◽  
Care Services ◽  
Starting Point ◽  
The Social ◽  
The Impact

This paper, takes in consideration the most important components of the macro system, of social care services in Albania, according to an ecological perspective. It analyzes the impact and the implementation of national legislation, social policy, national strategies, and different models of interventions in the social care services. The ecological model of Bronfenbrenner (1979, 2000), reveals that the devlopment is result of interaction between the person and its environment and varies according to social context. The macro system, one of the component of this context is defined as the set of attitudes, values and social rules imposed by the other subsystems of other levels. Considering the institution as a whole, we identify its macro- system as a set of legislation, social policies and different models. The macro system analysis serves as a starting point for a depth assessment of the social care programs, based on the eco-systemic perspective. There are 24 public residential centers in Albania, which have dual dependence between the central government (State Social Service) and local governments (municipalities). These centers treat and support with services 6 social categories of people in need: children (orphans, abandoned, in vulnerability situation); people with disabilities (children, young and old people); old people; victims of trafficking; victims of domestic violence; families in need. Their establishment and functioning is regulated according to the Albanian legislation, social policies, strategies and standards. Through the study of law, social policies, strategies and standards set, that exist in Albania for social care services and through the interviews with leaders and services specialists, as well, have been identified the models used in the design of legislation and social policies and theirs impact in the development of social care services in Albania. The results showed that despite the changes in legislation and social policy based in a social inclusion perspective, the programs of social care services are not fulfilling this perspective.

‘Sometimes you just need someone to guide you through the maze’ – Improving cardiac care services in the North of England: suggestions from a patient-led project

2020 ◽  
Vol 15 (2) ◽  
pp. 1-12
Author(s):  
Julie Goodfellow ◽  
Cathy Stark ◽  
Ian Mackersie ◽  
Vera Mackersie
Keyword(s):  
Healthcare System ◽  
Good Practice ◽  
Service Improvement ◽  
Improvement Project ◽  
Care Services ◽  
The North ◽  
Lack Of Information ◽  
The Uk ◽  
Discharge From Hospital ◽  
The Impact

Cardiomyopathy is a disease of the heart muscle, thought to affect around 160 000 people in the UK. It is often inherited and can be life-changing, with symptoms including tiredness, breathlessness and palpitations. The role of the patient in NHS care is no longer that of a passive recipient of care. There is an expectation that patients will be engaged in their own health, care and treatment. Initiatives exist where patients are encouraged to become involved in the design, planning and delivery of services. A patient-led service improvement project was designed and carried out by members of a local Cardiomyopathy UK support group, in order to capture the experiences of people affected by cardiomyopathy as they journeyed through the healthcare system in the North of England. This has enabled an evaluation of service provision, highlighting examples of good practice and areas for improvement. A total of 21 people, both patients and family members, shared their story through in-depth interviews. The overall picture that emerged was of a group of people deeply affected by a diagnosis of cardiomyopathy, who had experienced both positive and negative aspects of a healthcare system that does not appear to fully understand cardiomyopathy or the impact the condition has on the lives of patients and carers. The project highlighted a need for information and support at key times on a patient's journey through cardiomyopathy—at diagnosis, on discharge from hospital, when dealing with a device, when issues around family screening arise, or when the condition changes in some way. Many respondents had experienced a lack of information and support at these key times and communication between patients and health professionals was sometimes inadequate.

scholarly journals Estimating the Impact of the COVID-19 Pandemic on Maternal and Perinatal Health Care Services in Italy: Results of a Self-Administered Survey

2021 ◽  
Vol 9 ◽  
Author(s):  
Loredana Cena ◽  
Matteo Rota ◽  
Stefano Calza ◽  
Barbara Massardi ◽  
Alice Trainini ◽  
...  
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Care Services ◽  
Healthcare Systems ◽  
Perinatal Health ◽  
Healthcare Facilities ◽  
Care Services ◽  
Italian Regions ◽  
Perinatal Health Care ◽  
The Impact

The coronavirus disease 2019 (COVID-19) pandemic is strongly changing the way most people live their lives, and disrupting specialist healthcare systems. Such public health disruptions have resulted in significant collateral damage with particular implications for vulnerable populations, including the perinatal population. This Study aims to estimate the impact of the COVID-19 pandemic on Italian maternal and perinatal health care services. A questionnaire was designed to evaluate the COVID-19 impact on Italian maternal and perinatal healthcare facilities and their activities and provision of services from March to May 2020. The survey was completed by hospital-based and community-based Italian maternal and perinatal healthcare facilities. Most of these were located in Lombardy or Veneto (the most affected Italian regions). 70% of all facilities reported that the first wave of the COVID-19 pandemic negatively influenced the functioning of one or more aspects of the perinatal service; only 28.4% of facilities all over the country continued to provide outpatient routine visits and examinations as usual; 23.4% of facilities became understaffed during the index period due to various reasons such as ward transfer and sick leave. This is the first Italian study, and among very few international studies that describe the effects of the COVID-19 pandemic on antenatal and postnatal healthcare facilities and their provision of activities and services. Our findings confirm that healthcare systems even in high-income countries were not entirely prepared to handle such a global health emergency; indeed, specialized maternal and perinatal healthcare services have been disrupted by this global health emergency.

scholarly journals What Makes for a Successful Digital Health Integrated Program of Work? Lessons Learnt and Recommendations From the Melbourne Children's Campus

2021 ◽  
Vol 3 ◽  
Author(s):  
Danah Hourani ◽  
Simone Darling ◽  
Eloise Cameron ◽  
James Dromey ◽  
Louise Crossley ◽  
...  
Keyword(s):  
Healthcare System ◽  
Digital Health ◽  
Healthcare Systems ◽  
Successful Implementation ◽  
Team Members ◽  
Implementation Program ◽  
Development Evaluation ◽  
The Impact ◽  
Integrated Program ◽  
Health Experts

Embedding digital technologies in healthcare has the potential to streamline and personalize medical care. However, healthcare systems are often fragmented, and therefore achieving a truly integrated digital health program can be challenging. To promote a streamlined, evidence-based approach to implementing digital health solutions in a healthcare system, the Murdoch Children's Research Institute (MCRI) established the Digital Health Translation and Implementation Program (DHTI) bringing together clinicians, researchers and digital health experts. From the program commencement, frontline clinical innovators have collaborated with DHTI team members to develop and implement digital solutions to address pain-points in the healthcare system. Throughout this program, important lessons have been learnt relating to the development, evaluation and implementation of digital solutions in the healthcare system. This paper explores these lessons and makes recommendations for the successful implementation of digital health solutions in healthcare systems under five main categories: (1) design and usability, (2) stakeholder engagement and uptake, (3) project management and resourcing, (4) process and implementation, and (5) evaluation. Recommendations suggested here are designed to support future healthcare-based digital health programs to maximize the impact digital solutions can have on the healthcare system and patients.

Sign in / Sign up

Export Citation Format

Share Document