scholarly journals Healthcare Evidence-Based Management: Towards Overcoming its Barriers in Uganda’s Local Government Healthcare System

2018 ◽  
Vol 6 (3) ◽  
pp. 65-78
Author(s):  
Stanley T Asaku
Keyword(s):  
Local Government ◽  
Healthcare System ◽  
Evidence Based

scholarly journals A Survey Based Feedback Analysis of the Current Medical Teaching Methodology and Trends in Medical Research Practice in a South Indian Medical Institute

2018 ◽  
Vol 6 (1) ◽  
pp. 6-17
Author(s):  
Supreeth Nekkanti ◽  
Sagarika Manjunath ◽  
Arun Mahtani ◽  
Archana Meka ◽  
Tanushree Rao
Keyword(s):  
Medical Education ◽  
Healthcare System ◽  
Education System ◽  
Evidence Based Medicine ◽  
Skills Training ◽  
Current Medical ◽  
Medical Institute ◽  
Teaching Methodology ◽  
Evidence Based ◽  
Based Medicine

Background: The spine of a good healthcare system is the medical education received by its doctors. As medicine is evolving, the same can be inferred regarding the delivery of medical education. This study was conducted among 541 students in a prestigious medical college in India. The aim of the study was to find out lapses in our current medical education system and steps to improve it.  Methods: A total of 541 medical students were included in this study. The only inclusion criteria being that they should be in their 2nd year MBBS or above. A questionnaire of 20 questions was given to each student and they were asked to mark the answers they felt was most appropriate. The questionnaire dealt with issues faced in our current education system regarding teaching methodology, clinical postings, research, evidence based medicine and steps to improve the healthcare system. Data was collected, analysed and statistically evaluated using Microsoft Excel and SPS version 21.0.  Results: Majority of the students felt that classroom strength should not be more than a hundred students. They felt that more innovative teaching methods and discussions should be included. Students laid emphasis on research, clinical skills training and evidence based medicine. They felt that the healthcare system also needs tweaking in terms of funding and practicing evidence based medicine to be on par with healthcare systems across the world.  Conclusion: The results in this study, resonates with the results of various other studies regarding delivery of medical education. It also takes into account the holistic approach of improving medical education and healthcare rather than focusing on one single aspect.

NATIONAL GUIDELINES FOR HIGH-COST DRUGS IN BRAZIL: ACHIEVEMENTS AND CONSTRAINTS OF AN INNOVATIVE NATIONAL EVIDENCE-BASED PUBLIC HEALTH POLICY

2013 ◽  
Vol 29 (2) ◽  
pp. 198-206 ◽  
Author(s):  
Paulo D. Picon ◽  
Alberto Beltrame ◽  
David Banta
Keyword(s):  
Public Health ◽  
Health Policy ◽  
Healthcare System ◽  
Public Health Policy ◽  
Policy Making ◽  
Social Inequalities ◽  
Critical Issue ◽  
Public Healthcare ◽  
Evidence Based ◽  
National Guidelines

Introduction: The translation of best evidence into practice has become an important purpose of policy making in health care. In Brazil, a country of continental dimensions with widespread regional and social inequalities, the dissemination and use of the best-evidence in policy making is a critical issue for the healthcare system.Objectives: The main purpose of this study is to describe an evidence-based public health policy with special emphasis on guidelines creation for high-cost medicines. We also describe how that strategy was diffused to the judiciary system and to other parts of the healthcare system.Results: We present an 11-year follow-up of a national project for creating and updating guidelines for high-cost medicines in Brazil. A total of 109 national guidelines were published (new or updated versions) for 66 selected diseases, the first such effort in Brazilian history. The project influenced the Brazilian legislature, which has recently established a Federal Law requiring national guidelines for any new technology listed for payment by the Brazilian public healthcare system.Conclusion: We were able to involve many different stakeholders in a partnership between academia and policy makers, which made possible the widespread dissemination of the clinical practice guidelines. Problems and constraints were also encountered. This evolving public health strategy might be useful for other developing countries.

Factors associated with completing evidence-based psychotherapy for PTSD among veterans in a national healthcare system

2019 ◽  
Vol 274 ◽  
pp. 112-128 ◽  
Author(s):  
Shira Maguen ◽  
Yongmei Li ◽  
Erin Madden ◽  
Karen H. Seal ◽  
Thomas C. Neylan ◽  
...  
Keyword(s):  
Healthcare System ◽  
Evidence Based ◽  
Factors Associated ◽  
National Healthcare ◽  
National Healthcare System ◽  
Evidence Based Psychotherapy

scholarly journals Connecting community‐delivered evidence‐based programs and the healthcare system: Piloting a learning “wellcare” system

2020 ◽  
Author(s):  
Sarah Redmond ◽  
Aaron L. Leppin ◽  
Karen Fischer ◽  
Gregory Hanson ◽  
Chyke Doubeni ◽  
...  
Keyword(s):  
Healthcare System ◽  
Evidence Based ◽  
Evidence Based Programs

Disseminating, Teaching, and Implementing Evidence-Based Practices

2016 ◽  
pp. 247-266
Author(s):  
John C. Norcross ◽  
Thomas P. Hogan ◽  
Gerald P. Koocher ◽  
Lauren A. Maggio
Keyword(s):  
Implementation Science ◽  
Empirical Research ◽  
Healthcare System ◽  
Research Evidence ◽  
Evidence Based ◽  
Clinical Expertise ◽  
Evidence Based Practices ◽  
What Works ◽  
System P

Moving research evidence from science to service, from the lab bench to the bedside, poses a challenge for evidence-based practices (EBPs). Translation(al) research inclusively refers to the process of successfully moving research-supported discoveries into established practice and policy. This chapter begins with synopses of the empirical research on predicting adoption of EBP and the barriers to its implementation. The chapter then reviews effective methods for disseminating, teaching, and implementing EBPs. Like EBP itself, the new field of implementation science sensitively integrates the best research evidence, clinical expertise, and staff characteristics and preferences into deciding what works in each unique healthcare system.

scholarly journals How health systems approached respiratory viral pandemics over time: a systematic review

2020 ◽  
Vol 5 (12) ◽  
pp. e003677
Author(s):  
Fidelia Cascini ◽  
Ilda Hoxhaj ◽  
Drieda Zaçe ◽  
Margherita Ferranti ◽  
Maria Luisa Di Pietro ◽  
...  
Keyword(s):  
Public Health ◽  
Systematic Review ◽  
Healthcare System ◽  
Viral Infections ◽  
Healthcare Systems ◽  
Evidence Based ◽  
Effective Response ◽  
Influenza A H1n1 ◽  
Pertinent Data ◽  
Respiratory Viral Infections

BackgroundSeveral healthcare systems facing respiratory viral infections outbreaks, like COVID-19, have not been prepared to manage them. Public health mitigation solutions ranging from isolation of infected or suspected cases to implementation of national lockdowns have proven their effectiveness for the outbreak’s control. However, the adjustment of public health measures is crucial during transition phases to avoid new outbreaks. To address the need for designing evidence-based strategies, we performed a systematic review to identify healthcare systems interventions, experiences and recommendations that have been used to manage different respiratory viral infections outbreaks in the past.MethodsPubMed, Web of Science, Scopus and Cochrane were searched to retrieve eligible studies of any study design, published in English until 17 April 2020. Double-blinded screening process was conducted by titles/abstracts and subsequently eligible full texts were read and pertinent data were extracted. When applicable, quality assessment was conducted for the included articles. We performed a narrative synthesis of each implemented public health approaches.ResultsWe included a total of 24 articles addressing the public health approaches implemented for respiratory viral infections outbreaks for COVID-19, influenza A H1N1, MERS and severe acute respiratory syndrome . The identified approaches are ascribable to two main categories: healthcare system strategies and healthcare provider interventions. The key components of an effective response on respiratory viral outbreaks included the implementation of evidence-based contextual policies, intrahospital management actions, community healthcare facilities, non-pharmaceutical interventions, enhanced surveillance, workplace preventive measures, mental health interventions and communication plans.ConclusionThe identified healthcare system strategies applied worldwide to face epidemics or pandemics are a useful knowledge base to inform decision-makers about control measures to be used in the transition phases of COVID-19 and beyond.

scholarly journals Źródła finansowania ochrony zdrowia w Polsce i w Wielkiej Brytanii

2018 ◽  
Vol 23 ◽  
pp. 49-62
Author(s):  
Paweł Lenio
Keyword(s):  
Health Insurance ◽  
Great Britain ◽  
Local Government ◽  
Health System ◽  
Healthcare System ◽  
National Health ◽  
Healthcare Financing ◽  
State Budget ◽  
Health Fund ◽  
Insurance Contribution

The sources of the health system funding in Poland and Great BritainThe subject of this paper are sources of healthcare financing in Poland and Great Britain. Healthcare system in Great Britain is based on the local government units and it is financed by the budgets of these units. Health insurance contribution does not exist in Great Britain. The financing model currently in place is based primarily on the proceeds of the National Health Fund which are ensured through collection of health insurance contributions. Public sources of healthcare financing also include the state budget and the budgets of local government units. Author have identified differences and similarities in the examined healthcare financing systems and sources. This paper also includes conclusions with a view of the future law in Poland.

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