scholarly journals Development dynamics of outsourcing of auxiliary activities among Polish medical entities in the years 2012–2018

2019 ◽  
Vol 65 (2) ◽  
Author(s):  
Mariola Borowska ◽  
Anna Augustynowicz ◽  
Aleksandra Czerw
Keyword(s):  
Waste Treatment ◽  
Healthcare Providers ◽  
Financial Efficiency ◽  
Treatment Services ◽  
Economic Framework ◽  
Healthcare It ◽  
The Face ◽  
Financial Economy ◽  
Desirable Effect ◽  
Auxiliary Activities

Introduction: In the face of insufficient resources, healthcare providers are forced to constantly analyse and evaluate the financial economy and, within the economic framework, to rationally reduce the costs of their activities. Outsourcing is one of the ways to rationalise costs in healthcare. It concerns both core and ancillary activities. The aim of this study was to present the dynamics of outsourcing development of auxiliary activities of medical entities in Poland.Materials and methods: Analysis was based on the results of surveys conducted in 2012, 2014, and 2018. In 2012, 153 medical entities qualified for analysis, 156 in 2014, and 750 in 2018. The number of entities using outsourcing is presented, together with an indication of the type of services covered by outsourcing, reasons for outsourcing, benefits and drawbacks that the entities have noted, including measurement of financial effectiveness of outsourcing, and monitoring of the outsourcing partner.Results: Medical entities usually outsource waste treatment services, likely due to the difficulty for medical entities to meet the strict requirements set out in the law. The least frequently outsourced service is nutrition, which most likely results from the dissatisfaction of medical entities with the services provided by external companies.Conclusions: Excessive cost of maintaining employees was a common justification for outsourcing. Financial efficiency is the most desirable effect and the most frequent stimulus for medical entities undertaking various types of activities, including outsourcing in the field of auxiliary activities.

Parental Perceptions of Autism Spectrum Disorder in Latinx and Black Sociocultural Contexts: A Systematic Review

2022 ◽  
Vol 127 (1) ◽  
pp. 42-63
Author(s):  
Karla Rivera-Figueroa ◽  
Nana Yaa A. Marfo ◽  
Inge-Marie Eigsti
Keyword(s):  
Systematic Review ◽  
Autism Spectrum Disorder ◽  
Minority Groups ◽  
Healthcare Providers ◽  
Autism Spectrum ◽  
Parental Perceptions ◽  
Spectrum Disorder ◽  
White Families ◽  
Treatment Services ◽  
Related Stigma

Abstract Parents of children with autism spectrum disorder (ASD) face challenges in accessing diagnostic and treatment services; these challenges vary by race, ethnicity, and culture. This systematic review examines parental perceptions of ASD within Latinx and Black American communities. Findings indicate that interconnections with family and religious groups promoted positive coping and describe positive impacts of having a child with ASD. Relative to White families, community members reported reduced access to information and more inaccurate beliefs about ASD, higher levels of ASD-related stigma, and more negative experiences with healthcare providers, which serve to exacerbate healthcare disparities. Conclusions are limited by an underrepresentation of minority groups in research. We call for efforts to address the specific needs of racial and ethnic minorities.

Domesticating Foreign Intellectual Property Laws in the Digital Age

2018 ◽  
pp. 125-142
Author(s):  
Suzi Mirgani
Keyword(s):  
Intellectual Property ◽  
Traditional Knowledge ◽  
World Trade ◽  
International Markets ◽  
Economic Framework ◽  
Digital Era ◽  
Industrialized Nations ◽  
The Face ◽  
Knowledge Economies ◽  
The Many

This chapter examines some of the challenges faced by GCC nations as they attempt to modernize their economies in the digital era and in the face of substantial technological transformations. In order to fit within repositioned international markets geared towards knowledge economies, GCC states need to abide by the many rules and regulations in the area of intellectual property protection that have been developed and dictated by the World Trade Organization and the agreement on Trade Related Aspects of Intellectual Property Rights (TRIPS). Interestingly, even as Gulf governments introduce externally imposed legal systems, they attempt to “domesticate” foreign intellectual property laws to gain a competitive advantage by investing in the production of locally-produced content and promoting niche areas of intellectual property, including the protection of traditional knowledge rights. This is an area generally neglected by industrialized nations that tend to promote the concept of “innovation” rather than promoting and protecting collective knowledge. GCC states are attempting to use intellectual property laws to their own advantage with an emphasis on digital archiving and protection of traditional knowledge, heritage, and folklore. By promoting and protecting locally-produced content, GCC states can aspire to the globalized international economic framework as envisioned by the WTO.

An Antiwindup Approach to Power Controller Switching in an Ambient Healthcare Network

2011 ◽  
Vol 3 (2) ◽  
pp. 35-55 ◽  
Author(s):  
Michael J. Walsh ◽  
John Barton ◽  
Brendan O’Flynn ◽  
Martin J. Hayes ◽  
Cian O’Mathuna ◽  
...  
Keyword(s):  
Healthcare Providers ◽  
Typical Feature ◽  
Base Station ◽  
Biometric Data ◽  
Power Controller ◽  
Healthcare Environment ◽  
Healthcare Network ◽  
Bumpless Transfer ◽  
The Face

This paper proposes a methodology for improved power controller switching in mobile Body Area Networks operating within the ambient healthcare environment. The work extends Anti-windup and Bumpless transfer results to provide a solution to the ambulatory networking problem that ensures sufficient biometric data can always be regenerated at the base station. The solution thereby guarantees satisfactory quality of service for healthcare providers. Compensation is provided for the nonlinear hardware constraints that are a typical feature of the type of network under consideration and graceful performance degradation in the face of hardware output power saturation is demonstrated, thus conserving network energy in an optimal fashion.

scholarly journals Development and Psychometric Properties of The Delayed Childbearing Questionnaire (DCBQ-55)

Healthcare ◽  
2018 ◽  
Vol 6 (4) ◽  
pp. 120 ◽  
Author(s):  
Samira Behboudi-Gandevani ◽  
Saeideh Ziaei ◽  
Anoshirvan Kazemnejad ◽  
Farideh Khalajabadi Farahani ◽  
Mojtaba Vaismoradi
Keyword(s):  
Psychometric Properties ◽  
Content Validity ◽  
Healthcare Providers ◽  
Correlation Coefficients ◽  
Internal Consistency Reliability ◽  
Adverse Outcomes ◽  
Delayed Childbearing ◽  
Factors Influencing ◽  
Reliable Instrument ◽  
The Face

The comprehensive assessment of delayed childbearing needs a valid and reliable instrument. Therefore, the aim of the present study was to develop an instrument to evaluate factors influencing delayed childbearing among women and to assess its psychometric properties. The current methodological study was performed in two phases of (i) qualitative instrument development, and (ii) quantitative psychometric assessment of the developed instrument. Face and content validity of the instrument was assessed by eligible women and a panel of experts. Construct validity was assessed using the exploratory factor analysis (EFA). For reliability, internal consistency reliability and intra-rater reliability analysis were used. The initial instrument developed from the qualitative phase consisted of 60 items, which were reduced to 55 items after the face and content validity processes. EFA (n = 300) using the Kaiser criteria (Eigenvalues > 1) and the scree plot led to a six-factor solution accounting for 61.24% of the observed variance. The Cronbach’s alpha coefficient, Spearman’s correlation, test–retest and intra-class correlation coefficients for the whole instrument were reported as 0.83, 0.86 and 0.81, respectively. The final instrument entitled the delayed childbearing questionnaire (DCBQ-55) included 50 items with six domains of ‘readiness for childbearing’, ‘stability in the partner relationship’, ‘awareness about the adverse outcomes of pregnancy in advanced maternal age’, ‘attitude toward delayed childbearing’, ‘family support’, and ‘social support’ on a five-point Likert scale. The DCBQ-55 as a simple, valid and reliable instrument can assess factors influencing delayed childbearing. It can be used by reproductive healthcare providers and policy makers to understand factors influencing delayed childbearing and devise appropriate strategies.

scholarly journals Behavioral Healthcare Providers’ Experiences Related to use of Telehealth as a Result of the COVID-19 Pandemic: An Exploratory Study

2021 ◽  
Author(s):  
Abby Kisicki ◽  
Sara Becker ◽  
Michael Chaple ◽  
David H. Gustafson ◽  
Bryan Hartzler ◽  
...  
Keyword(s):  
Behavioral Health ◽  
Large Scale ◽  
Qualitative Data ◽  
Longitudinal Research ◽  
Healthcare Providers ◽  
Care Providers ◽  
Web Surveys ◽  
Behavioral Healthcare ◽  
Treatment Services ◽  
Behavioral Health Workforce

Abstract Background: Due to the COVID-19 pandemic, healthcare providers were forced to shift many services quickly from in-person to virtual, including substance use disorder (SUD) and mental health (MH) treatment services. This led to a sharp increase in use of telehealth services, with health systems seeing patients virtually at hundreds of times the rate as before the onset of the COVID-19 pandemic.By analyzing qualitative data about SUD and MH care providers’ experiences using telehealth, this study aims to elucidate emergent themes related to telehealth use by the front-line behavioral health workforce.Methods: This study uses qualitative data from large-scale web surveys distributed to SUD and MH providers between May and August 2020. At the end of these surveys, the following question was posed in free-response form: “Is there anything else you would like to say about use of telehealth during or after the COVID-19 pandemic?” The 391 responses to this question were analyzed for emergent themes using a conventional approach to content analysis.Results: Three major themes emerged in the data: COVID-specific experiences with telehealth, general experiences with telehealth, and recommendations to continue telehealth delivery. Convenience, access to new populations, and lack of commute were frequently cited advantages, while perceived ineffectiveness of and limited access to technology were frequently cited disadvantages. Also commonly mentioned was the relaxation of reimbursement regulations. Providers supported continuation of relaxed regulations, increased institutional support, and using a combination of telehealth and in-person care in their practices. Conclusions: This study advanced our knowledge of how the behavioral health workforce experiences telehealth delivery. Further longitudinal research comparing treatment outcomes of those receiving in-person and virtual services will be necessary to undergird organizations’ financial support, and perhaps also legislative support, of virtual SUD and MH services.

scholarly journals Voluntary and Involuntary Nonadherence: Terminology for Labeling Patient Participation

2021 ◽  
Vol 7 (3) ◽  
pp. 1-7
Author(s):  
Ryan Pferdehirt
Keyword(s):  
Patient Participation ◽  
Patient Adherence ◽  
Healthcare Providers ◽  
Schedule Flexibility ◽  
Healthcare It ◽  
Refusal To Participate ◽  
Detrimental Impact ◽  
Current Standards ◽  
Do So

The descriptions and labels healthcare providers place upon patients can greatly determine the quality and availability of the healthcare they receive. When that patient is given the label nonadherent or noncompliant within healthcare, it can have a detrimental impact on the patient. But patient adherence is a more complicated issue than can be express with a binary determination; is or is not, yes or no. Therefore, additional terminology should be utilized to properly convey the patient’s participation status when the patient does not fully engage in care. This paper proposes the implementation of additional qualifying language: involuntary nonadherence and voluntary nonadherence. Involuntary nonadherence is defined as when the patient desires to participate in care but is unable to do so because of factors outside of his/her control. These could involve inadequate means of transportation, difficulties with schedule flexibility, etc. These patients are demonstrating nonadherence by current standards but would participate if circumstances allowed – outside pressures are influencing the decision to be nonadherent. Contrast that with voluntary nonadherence, defined as when the patient gives informed refusal to participate, and the patient is fully able to participate but actively chooses not to. This additional qualifying language could ensure protection for patients from being labeled and potentially dismissed due to circumstances outside of their control.

scholarly journals Artificial intelligence: future impacts, challenges and recommendations on healthcare services

2020 ◽  
Vol 7 (4) ◽  
pp. 1596
Author(s):  
Deepkumar Patel ◽  
Shruti Ashok Kore
Keyword(s):  
Artificial Intelligence ◽  
Healthcare Professional ◽  
Healthcare Providers ◽  
Relevant Information ◽  
Healthcare Services ◽  
On Demand ◽  
Healthcare It ◽  
Healthcare Executives ◽  
Legal Challenges ◽  
Clinical Confidence

In this report, we review the market impact of artificial intelligence (AI) in healthcare and future predictions. AI is a rapidly advancing technology in healthcare. It provides rich and relevant information to patients and healthcare providers with on-demand medical and clinical confidence, AI can greatly advance healthcare professional and patient communications. Interest and investment in artificial intelligence continues to grow. At the same time there exists some practical challenges that will determine the course of this market trend. We will discuss the macroeconomic, ethical and legal challenges that pertain to this industry and make recommendations to the healthcare executives.

Cross-border Healthcare: Directive 2011/24 and the Greek Law

2014 ◽  
Vol 21 (1) ◽  
pp. 33-45 ◽  
Author(s):  
Takis Vidalis ◽  
Irini Kyriakaki
Keyword(s):  
Contact Point ◽  
Healthcare Providers ◽  
National Health System ◽  
Legal Framework ◽  
Quality And Safety ◽  
Safety Standards ◽  
Cross Border ◽  
Explicit Reference ◽  
The Face ◽  
National Organisation

Abstract The Greek legal framework on healthcare is characterized by the complexity of an immense number of laws and regulatory acts, particularly regarding the national health system. In the face front of that problem, the Directive stands as an effort (and an opportunity) to achieve a regulatory rationalization. The Law 3918/2011 established the National Organisation for Healthcare (eopyy). eopyy is the unique national contact point in the country for the purposes of the Directive, having a responsibility to ensure that the services provided by its affiliated healthcare providers meet certain quality and safety standards. Furthermore, the Greek legal system encompasses an integrated body of legislation on informed consent, privacy, and data protection, as well as an explicit reference to the ‘quality, safety and efficiency’ of medical services, and provisions related to reimbursement issues that need further regulatory specification.

scholarly journals Workflow Solutions with Healthcare IT

2007 ◽  
Vol 16 (01) ◽  
pp. XI-XIII
Author(s):  
Erich. R. Reinhardt
Keyword(s):  
Information Technology ◽  
Healthcare Providers ◽  
Care Process ◽  
It Adoption ◽  
Process Systems ◽  
Complex Processes ◽  
It Systems ◽  
Healthcare It ◽  
Electronic Storage ◽  
Care Outcomes

SummaryTo discuss trends in information technology (IT) for the future of healthcare.To report from the viewpoint of a global healthcare IT enterprise.Healthcare IT consists of far more than electronic storage of information and automation of existing manual processes. It is the linchpin in an effective care process. Systems are available today that coordinate the complex processes across healthcare enterprises – providing alerts and reminders that can help healthcare providers not only operate more effectively but protect patient safety. The next revolution in healthcare information technology – personalized, evidence-based medicine, with information technology at the hub – is on the horizon.Although the healthcare industry has lagged behind many other industries in the adoption of sophisticated IT systems, perhaps no other industry can benefit as much from its use. Medical informatics subject matter experts must continue to advocate and support IT adoption for both the effects of process improvement and cost containment and for its potential to impact care outcomes.

scholarly journals A Comprehensive Guide to Virtual Care (Preprint)

2020 ◽  
Author(s):  
Andy Wong ◽  
Rashaad Bhyat ◽  
Siddhartha Srivastava ◽  
Lysa Lomax ◽  
Simon Hagens ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Nurse Practitioners ◽  
Video Conferencing ◽  
Healthcare Providers ◽  
Continuing Care ◽  
Care Providers ◽  
Virtual Care ◽  
Regulatory Standards ◽  
Healthcare It

UNSTRUCTURED Virtual Care, using video conferencing technology to connect with patients, has become critical in providing continuing care for patients in the contemporary COVID-19 pandemic. Virtual care is now adopted by healthcare providers across the spectrum, including physicians, residents, nurse practitioners, nurses, and allied health. Virtual care is novel and nuanced when compared to in-person care. Most of the health care providers that are delivering or expected to deliver virtual care have little to no prior experience. The nuances with virtual care involve regulatory standards, platforms, technology and troubleshooting, patient selection, etiquette, and workflow that all comprise critical points to the provision of healthcare. It is important that high quality and professional virtual care is delivered consistently to give patients the trust they need to continue following up in these trying times. We have adopted virtual care in our clinical practice for over two years now. In partnership with Canada Health Infoway, we have put together a primer for virtual care that can serve as a guide for any health care provider in Canada and globally, with the goal of providing seamless transitions between in-person and virtual care.

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