scholarly journals Inoculation of Safety in Healthcare

2017 ◽  
Vol 10 (1) ◽  
pp. 19-31
Author(s):  
Bojan Dobovšek ◽  
Boštjan Slak

The purpose of this paper is to analyse - through a prism of informal institutions - the role and importance of security in healthcare and the manner in which healthcare sector copes with security threats in postmodern society. We note that bad informal institutions are differently reflected in Slovenia. In the forefront are the problems of systemic corruption, various forms of clientelism and nepotism. This is (in)directly reflected in the (lack of) quality of Slovenian healthcare system. Inadequate public procurement system and conflicts of interest in healthcare sector are causing inferior quality of the healthcare system, while informal institutions in politics and economics are weakening Slovenian economy, consequently affecting the funding of Slovenian healthcare system which is also undermined by the financial crisis. Additionally, globalisation, which has a (negative) impact on human health, has caused the importation of improper business practices into healthcare system. It is therefore necessary to develop a preventive action that will inoculate the idea of a safe country for the benefit of people and not for the benefit of bad informal networks.

2017 ◽  
Vol 8 (3) ◽  
Author(s):  
Andrea Tkacova ◽  
Beata Gavurova ◽  
Jakub Danko ◽  
Martin Cepel

Research background: Public procurement is designed to efficiently spend public sector financial resources. This should lead to savings in public funds. Domestic and foreign studies point to the fact that sufficient competition on the supply side is the condition for achieving those savings. Slovakia currently belongs to a group of countries with low competition on the supply side of the tender. Every year, about 10,000 tenders will be made in Slovakia for 5 billion Eur. However, contracting authorities have difficulty with establishing the estimated contract value and defining non-discriminatory criteria. On the other hand, contractors lack the expertise to prepare tenders, specifications are often tailored to specific bidders or products, and the price criterion has a negative impact on the quality of the goods and services purchased. Purpose of the article: The aim of the study was to investigate the impact of selected efficiency determinants on savings in public procurement in Slovakia in 2010–2016. The number of bids, the subcontractor's participation, the narrower competition and the impact of the narrower competition and the expected price on the number of bids have been examined. Methods: The survey sample consisted of 800 randomly selected public procurement con-tracts from different sectors in 2010–2016. The contracts were split on the basis of the median estimate of the above-limit (409 contracts) and below-limit (391 contracts) contracts; the divestment value was the estimated price of 400,000 Euro (without the tax). Findings & Value added: The number of offers positively influences the creation of savings in public procurement, an average of 5-6%. The impact of a narrow competition was significant, which led to a decrease in savings of 3-4% compared to the open competition if the sample was 800 contracts and over 400,000 Euro (without the tax). For below-limit orders, this determinant was shown to be statistically insignificant. The size of the contract did not affect the number of successful candidates. Also, the negative impact of narrower competition on the number of tenders was demonstrated. These findings are in line with the presented research studies. In the future, we plan to perform sectoral analyses to verify the validity of the hypotheses under review based on the results of our research.


Subject Russia's healthcare system. Significance By the end of 2017, Moscow's authorities plan to fire an additional 14,000 workers as part of the government's health reform plan, according to leaked documents seen by Russian news outlet RBC. As budgets are squeezed by the huge rearmament programme and low oil prices, the Kremlin is striving to cut expenditure, attempting to disguise this as health optimisation. Discontent is rising among medical professionals who are being over-stretched; hospitals are closing, numbers of beds decreasing and waiting lists growing. The reform of the Russian national healthcare system, undertaken in adverse economic conditions, threatens to decrease the quality and accessibility of healthcare. Impacts The working population's poor health has a direct negative impact on the economy, increasing paid sick days and reducing productivity. Health reforms have reduced doctor-patient appointments to around 12-15 minutes. The population's distrust of doctors will need to be addressed to improve the quality of the healthcare.


2021 ◽  
Vol 6 ◽  
Author(s):  
Lara Carminati

This perspective article is grounded in a cognitive and context-dependent view on emotions. By considering emotions as socially embedded and constructed, the different but related concepts of Emotion Management and Emotional Intelligence can be introduced. Yet, research juxtaposing and applying them within the healthcare sector to explain healthcare professionals' multifaceted emotional experiences at work is still scarce. Hence, this article contributes to the literature on emotions by offering an overarching perspective on how the juxtaposition of Emotion Management and Emotional Intelligence may help healthcare professionals to bridge the developmental transition between these two crucial abilities which, in turn, can help them overcome emotional difficulties in complex situations. Such integration would positively influence individuals' behavioral and mental health, as well as the overall quality of the healthcare system.


2021 ◽  
pp. 102-115
Author(s):  
Beata GAVUROVA ◽  
Jaroslav BELAS ◽  
Zuzana ROWLAND ◽  
Matus KUBAK

The efficiency of the public finance system is conditioned also by the efficiency of public procurement processes. The Slovak healthcare system has been under pressure to increase long-term efficiency. With respect to achieve the efficiency in healthcare system, the efficient public procurement is necessary condition. It is important to examine the factors influencing the public procurement system in the health sector as well as the causal relationships that would provide a valuable platform for the evaluation mechanisms aimed at the effectiveness of the planned purchases. The healthcare sector is specific because it is difficult to consider the effectiveness of the medical equipment in public procurement as well as its long-term effects, the total cost of the treatment and the individual requirements of the patient. The aim of the study is to clarify, whether the use of GPA impact the occurrence of savings within the public procurement process and if application of GPA induces the competition among tenders, thus whether the use of GPA increase number of offers. We use data on public procurement in healthcare sector in Slovak republic in 2019. The focus of analysis is on the Agreement on Government Procurement use by Slovak public procurement bodies and its impact on competition and creation of savings in public procurement process. Our findings suggest that the use of Agreement on Government Procurement induce emergence of savings in public procurement and increases the level of competition. Analysis also indicates that there exists relatively tight correspondence between competition and emergence of savings within public procurement process. It holds that higher the number of offers is, the higher savings are.


2020 ◽  
Vol 1 (1) ◽  
pp. 100
Author(s):  
Panagiotis Karkatsoulis

The outbreak of the Covid-19 has had a negative impact on Governance systems. According to the recent literature, the pandemic should be understood as one more step towards Autocracy. Governance systems have reacted to the coronavirus pandemic through a series of decisions, which suffer both in terms of their issuing significant faults as far as it concerns both their process of issuing and their content. The vast majority of the commented decisions are violating the legality principle and have been issued on a “state of emergency” basis.In fact, what has been happening during the pandemic, is a systematic cancellation of the Better Regulation Agenda. Recent surveys have shown that the poorest the quality of Governance, the heaviest (negative) impact of the coronavirus on regulatory policies. In Greece there was an intensification of corporatistic regulation and decisions during the crisis. Covid-19 has functioned as an alibi: Many agencies and public organizations followed an extralegal procedure, when it came to the recruitment of personnel as well as public procurement. What does change during a crisis like the pandemic, is the people’s attitude towards government, which offers an opportunity to push some reforms forward. But as long as the governance system remains unchanged those reforms are bound to fade out soon after the crisis is over.


Author(s):  
Nouf S. Al Saied ◽  
Musaed S. Al Ali

Background: The quality of healthcare system in any country is essential for the wellbeing of its population. Improving the quality of the healthcare sector would lead to a healthier population and thus more productive nation and stronger economy. The level of healthcare quality depends on both economic and non-economic factors. Addressing the level of effect these factors on healthcare quality would facilitate policy makers’ tasks in achieving that goal.Method: This study is based on the 2019 data of 29 countries that adapt single-payer healthcare system. Pearson correlation matrix is used to examine the relation of a number of variables with healthcare quality, measured by life expectancy, in these countries.Results: The results from this research showed that literacy rate, digital adaptation, pollution level, corruption level, healthcare expenditure (HE) per capita, GDP per capita, healthcare expenditure as a percentage of GDP all showed a strong relation at the 99% confidence level while the number of physicians per 1000 showed statistically significant relation with healthcare quality at the 95% confidence level. While all factors showed direct relation, pollution and corruption showed an inverse relation.Conclusions: Improving the quality of the healthcare sector is the goal of any government since it would lead to better and stronger economy. While economic factors play a role in achieving that goal, other non-economic factors can also have the same effect in achieving that goal. 


2020 ◽  
Vol 13 (3) ◽  
pp. 6-14
Author(s):  
Alessandra Vlassi ◽  
Nikolaos Chamalidis ◽  
Dimitrios Palitzikas

Individual health is an essential prerequisite for achieving quality of life. Healthcare is a basic function of a well-functioning social system. Contemporary changes at economic, social and demographic level require healthcare to show a high adaptive capacity to adapt to the inevitable change. Healthcare change processes need to involve different professional sectors and create an active commitment while avoiding competition and conflicts between the parties involved. In order to ensure long-term sustainability in change, inertia must be overcome. Integration of services is also an important element of sustainability and integration of functions. A service that can be more easily integrated into wider clinical systems seems to have a higher probability of sustainability, partly due to easier support from the stakeholders. It also makes it more difficult to remove these services without having a significant impact on the rest of the system. One of the dangers is that the change can become a part of the system and it is considered for granted and not as a project that requires constant development. Therefore, sustainability should be considered as a constantly evolving rather than a final steady state. In Greece, the goal today is to have a patient-centered health care system with a shifted balance of power from the healthcare provider to the consumer. In order to achieve this, it is important to improve the coordination throughout the healthcare system. Effective co-operation between providers is essential to transform the healthcare system in Greece.


2010 ◽  
pp. 108-117 ◽  
Author(s):  
I. Smotritskaya ◽  
S. Chernykh

The article analyzes the conceptual framework of public procurement system as an integral part of public regulation to ensure effective management of public resources. The authors consider the problems of transition to a new "quality" of the procurement system, increasing its innovative activity. They put forward proposals for institutional framework and mechanisms of regulating procurement, meeting the needs in innovative upgrading and modernization of the Russian economy.


Author(s):  
Ajeng Embri Legawati ◽  
Nur Azizah ◽  
Achmad Ramadhan

Green beans cultivation technology using mice pets control has been implemented in the Gluranploso village, Benjeng Gresik. The implementation of the technology performed for 2.5 months from August to October 2017. The purpose of the implementation is aimed to reduce the dependence of farmers on the use of chemical pesticides so that the farmers are aware of the negative impact of chemical pesticides. Assessing the impact of the utilization of Bintaro fruit and fruit extracts to explore ways of making Bintaro as a natural biopesticide to overcome rat attack on green bean plants in the Gluranploso village. Pest control mice can reduce the rate of loss of the crops more effectively and efficiently. Finally, with the use of those natural resources as a biopesticide material can also maintain the environmental balance


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