scholarly journals Health Policy Analysis: Antitrust Law and Regulation on Health Care Providers

2018 ◽  
Vol 2 (1) ◽  
Author(s):  
Henry O’Lawrence ◽  
Lisa Saunders ◽  
Mei Li ◽  
Martha Kelly
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Policy Analysis ◽  
Health Care Providers ◽  
Antitrust Law ◽  
Care Providers ◽  
Health Policy Analysis

scholarly journals Conducting health policy analysis in primary care research: turning clinical ideas into action

2019 ◽  
Vol 7 (2) ◽  
pp. e000076 ◽  
Author(s):  
Alina Engelman ◽  
Ben Case ◽  
Lisa Meeks ◽  
Michael D Fetters
Keyword(s):  
Primary Care ◽  
Health Policy ◽  
Policy Analysis ◽  
Pap Smear ◽  
Policy Research ◽  
Primary Care Providers ◽  
Care Providers ◽  
Total Hysterectomy ◽  
Health Policy Analysis ◽  
Pap Smear Screening

Healthcare guidelines play a prominent role in the day-to-day practice of primary care providers, and health policy research leads to the formation of these guidelines. Health policy research is the multidisciplinary approach to public policy explaining the interaction between health institutions, special interests and theoretical constructs. In this article, we demonstrate how primary care providers can conduct high-impact health policy research using Eugene Bardach’s eightfold policy analysis framework in a primary care context. In a medical case, a woman with a history of total hysterectomy had scheduled a visit for a Papanicolaou (Pap) smear screening test as part of a well-woman health check-up with a family medicine resident. Conflicting recommendations on Pap smear screening after total hysterectomy sparked an investigation using the US Preventive Services Task Force criteria for conducting a health policy analysis. We illustrate broadly how clinical care dilemmas can be examined by using Bardach’s broadly applicable health policy framework in order to inform meaningful policy change. Bardach’s framework includes (1) defining the problem, (2) assembling evidence, (3) constructing alternatives, (4) selecting criteria, (5) projecting outcomes, (6) confronting trade-offs, (7) decision-making and (8) sharing the results of the process. The policy analysis demonstrated insufficient evidence to recommend Pap test screening after hysterectomy and the findings contributed to national recommendations. By following Bardach’s steps, primary care researchers have a feasible and powerful tool for conducting meaningful health policy research and analysis that can influence clinical practice.

INTERACTION OF HEALTH CARE PROVIDERS: PHYSICIANS’ SURVEY OUTCOMES

2021 ◽  
Vol 67 (1) ◽  
pp. 4-4
Author(s):  
S.V. Sazhina ◽  
◽  
V.I. Shevsky ◽  
I.M. Sheiman ◽  
S.V. Shishkin ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Social Services ◽  
Health Care Providers ◽  
Hospital Admissions ◽  
Health Indicators ◽  
Policy Decision ◽  
Health Providers ◽  
Care Providers ◽  
Health Managers

Significance. Strengthening providers integration to improve health indicators is an important direction of healthcare development. Purpose. To evaluate the degree of providers interaction and continuity of health care. Material and methods. Forms of interaction between health services, medical organizations and social services have been determined, its prevalence is considered as a characteristic of the level of interaction. The sociological survey of physicians was conducted in October 2020 to identify their opinion about the interaction forms. The responses were compared with the results of a similar survey in 2012. Results. Comparison of the 2012 survey and 2020 survey suggests some improvements in interaction between district physicians and outpatient specialists, however its level is hardly adequate. Interaction between district physicians and emergency care providers in polyclinics has improved. Interaction between polyclinic and hospital physicians before and after hospital admission is very limited and has deteriorated over the period under study. The level of outpatient physicians’ awareness of emergency calls and hospital admissions of their patients is low. Interaction between polyclinics and hospitals on the one hand, and rehabilitation units and social care providers on the other hand, is also low. Information on the location and volumes of care provided to patients is still inaccessible for most physicians. This limits continuity of care. Conclusion. The study shows that the Russian healthcare system remains fragmental. This is the result of low priority of integrative activities, as well as low involvement of health managers in these activities. Scope of application. The need for specifying activities aimed at improving health providers integration as a special subject of health policy has been substantiated. The results can be used by health policy decision-makers, health managers and health professionals.

scholarly journals Factors for Late Initiation of Antenatal Care in Kahama Municipal, Tanzania

2022 ◽  
Vol 3 (1) ◽  
pp. 1-10
Author(s):  
Hamis Bakari ◽  
Gladys Reuben Mahiti
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Facility ◽  
Health Care Providers ◽  
Unplanned Pregnancy ◽  
Care Providers ◽  
Care Services ◽  
Late Initiation

Background: Maternal mortality is a major public health issue in developing countries due to its shocking magnitude and lower declining pattern, 295 000 women died of pregnancy or childbirth related complications in 2017. Late initiation of Antenatal Care (ANC) services in most low-income countries like Tanzania has been reported as a major problem which increase maternal mortality rate (MMR). However, different factors for late initiation of antenatal care are not well identified. Therefore, this study aimed to identify factors for late initiation of antenatal care both individual factors and health policy factors as per pregnant women and health care providers opinions in Kahama Municipal, Tanzania. Broad Objective: The study focused on assessment of factors for late initiation of Antenatal Care (ANC) in Kahama Municipal, Tanzania. Materials and Methods: This study was conducted using a qualitative method with exploratory approach which was carried out to explore factors for late initiation of antenatal care in Kahama Municipal. An in-depth interview (IDI) and Focus Group Discussion (FGD) were methods used to collect data. The study comprised of 14 in-depth interviews (IDIs) with pregnant women with age range of 18 years to 49 years attending antenatal care clinics in two health facilities and 4 in-depth interviews (IDIs) with health care providers attending pregnant women during antenatal care clinic visit. Furthermore, two Focus Group Discussions (FGDs), one from each health facility with pregnant women were conducted. Data Analysis: Thematic analysis was conducted through use of inductive approach. The audio recordings were conducted using the Swahili language then transcribed and translated into the English language where themes were obtained after translation. Results: Findings obtained from this study were factors for late initiation of antenatal care as reported by both pregnant women and health care providers. Factors for late initiation of antenatal care were under guidance of Health Behavioral Modal (HBM): Factors mentioned by pregnant women included pregnant women education level, negligence of pregnant women to attend clinic, unplanned pregnancy among couples, distance from pregnant women settlement to the facility, pregnant women misconceptions related to antenatal care services, use of local herbs, pregnancy complications, , unfriendly services and unequal gender power relation within a family. Factors mentioned by health care providers based on health policy and managerial factors such as Partner accompanying policy, distant allocation of health facility from people’s settlement and unfriendly services provided by health care providers. Conclusion: This study focused on assessing factors for late initiation of antenatal care in Kahama municipal council in Shinyanga, Tanzania. Different factors for late initiation of antenatal care were reported which included pregnant women and health care providers. Pregnant women education level, negligence of pregnant women to attend clinic, unplanned pregnancy among couples, and distance from pregnant women settlement to the facility, pregnant women misconceptions related to antenatal care services, use of local herbs, pregnancy complications. Health policy and managerial related factors were partner accompanying policy, unfriendly services, and allocation of health facility. Recommendation: However different improvement made on maternal health services in Tanzania but still some of pregnant women are not utilizing it efficiently because of different obstacles like distance from people’s settlement to the health facility, Partner accompanying policy and unfriendly services provided by health care providers. Through such obstacles as a policy maker, I would like to advice Government through Ministry of Health to allocate health facility nearby people’s settlement, providing outreach program to educate the community about antenatal care rather than relying on partner accompanying policy and lastly is provision of refresher training related to client’s rights during health care services provision to all staff.

Patient registries from the view of health policy

2014 ◽  
Vol 155 (19) ◽  
pp. 729-731 ◽  
Author(s):  
Ildikó Kissné Horváth
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Policy ◽  
Health Care Providers ◽  
Health Care Quality ◽  
Health Data ◽  
Care Quality ◽  
Care Providers ◽  
Critical Importance ◽  
Disease Registries

Integrated health data management and disease registries which are able to support evidence-based decision making are of critical importance for health policy. Data provided by disease registries are used for the development of health strategy, planning of preventive activities, capacity-building in health care provision, improving health care quality, and planning clinical trials. Disease registries monitoring epidemiology, natural history of diseases, treatment outcomes and the detection of adverse reactions are requested not only by policy-makers, but public health authorities and health care providers, too. Registries for rare diseases are of critical importance for developing network between reference centres and developing and evaluating new drugs. Data and information need for decision-making in public services and the protection of health data of individuals require a careful balance that needs to be taken into account when considering disease registries. Orv. Hetil., 2014, 155(19), 729–731.

Malpractice & Negligence: Cal. Supreme Court Clarifies Negligence Provisions under State’s Elder Abuse Act

1999 ◽  
Vol 27 (2) ◽  
pp. 203-203
Author(s):  
Kendra Carlson
Keyword(s):  
Health Care ◽  
Supreme Court ◽  
Health Care Providers ◽  
Elder Abuse ◽  
Skilled Nursing Facility ◽  
Pressure Sores ◽  
Care Providers ◽  
Nursing Facility ◽  
Skilled Nursing ◽  
The Supreme Court

The Supreme Court of California held, in Delaney v. Baker, 82 Cal. Rptr. 2d 610 (1999), that the heightened remedies available under the Elder Abuse Act (Act), Cal. Welf. & Inst. Code, §§ 15657,15657.2 (West 1998), apply to health care providers who engage in reckless neglect of an elder adult. The court interpreted two sections of the Act: (1) section 15657, which provides for enhanced remedies for reckless neglect; and (2) section 15657.2, which limits recovery for actions based on “professional negligence.” The court held that reckless neglect is distinct from professional negligence and therefore the restrictions on remedies against health care providers for professional negligence are inapplicable.Kay Delaney sued Meadowood, a skilled nursing facility (SNF), after a resident, her mother, died. Evidence at trial indicated that Rose Wallien, the decedent, was left lying in her own urine and feces for extended periods of time and had stage I11 and IV pressure sores on her ankles, feet, and buttocks at the time of her death.

Using Technology to Improve Access to Health Care for Culturally and Linguistically Diverse Populations

2012 ◽  
Vol 19 (3) ◽  
pp. 71-76 ◽  
Author(s):  
Pauline A. Mashima
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Access To Health Care ◽  
Underserved Populations ◽  
Linguistically Diverse ◽  
Care Providers ◽  
Department Of Health ◽  
Use Of Technology ◽  
Access To Health ◽  
Improve Access

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

Interdisciplinary Therapy Assessments for the Older Adult

2012 ◽  
Vol 17 (1) ◽  
pp. 11-16
Author(s):  
Lynn Chatfield ◽  
Sandra Christos ◽  
Michael McGregor
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Standardized Testing ◽  
Health Care Providers ◽  
Outcome Measurement ◽  
Care Providers ◽  
Patient Centered ◽  
Screening Process ◽  
Evidenced Based ◽  
Changing Economy

In a changing economy and a changing industry, health care providers need to complete thorough, comprehensive, and efficient assessments that provide both an accurate depiction of the patient's deficits and a blueprint to the path of treatment for older adults. Through standardized testing and observations as well as the goals and evidenced-based treatment plans we have devised, health care providers can maximize outcomes and the functional levels of patients. In this article, we review an interdisciplinary assessment that involves speech-language pathology, occupational therapy, physical therapy, and respiratory therapy to work with older adults in health care settings. Using the approach, we will examine the benefits of collaboration between disciplines, an interdisciplinary screening process, and the importance of sharing information from comprehensive discipline-specific evaluations. We also will discuss the importance of having an understanding of the varied scopes of practice, the utilization of outcome measurement tools, and a patient-centered assessment approach to care.

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