scholarly journals Telemedicine During the COVID-19 Pandemic: Experiences From Western China

10.2196/19577 ◽  
2020 ◽  
Vol 22 (5) ◽  
pp. e19577 ◽  
Author(s):  
Zhen Hong ◽  
Nian Li ◽  
Dajiang Li ◽  
Junhua Li ◽  
Bing Li ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Western China ◽  
Smartphone App ◽  
Telemedicine System ◽  
Health Care Resources ◽  
Health Care Outcomes ◽  
The World ◽  
Care Outcomes

Disasters and pandemics pose unique challenges to health care delivery. As health care resources continue to be stretched due to the increasing burden of the coronavirus disease (COVID-19) pandemic, telemedicine, including tele-education, may be an effective way to rationally allocate medical resources. During the COVID-19 pandemic, a multimodal telemedicine network in Sichuan Province in Western China was activated immediately after the first outbreak in January 2020. The network synergizes a newly established 5G service, a smartphone app, and an existing telemedicine system. Telemedicine was demonstrated to be feasible, acceptable, and effective in Western China, and allowed for significant improvements in health care outcomes. The success of telemedicine here may be a useful reference for other parts of the world.

scholarly journals Telemedicine During the COVID-19 Pandemic: Experiences From Western China (Preprint)

2020 ◽  
Author(s):  
Zhen Hong ◽  
Nian Li ◽  
Dajiang Li ◽  
Junhua Li ◽  
Bing Li ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Western China ◽  
Smartphone App ◽  
Telemedicine System ◽  
Health Care Resources ◽  
Health Care Outcomes ◽  
The World ◽  
Care Outcomes

UNSTRUCTURED Disasters and pandemics pose unique challenges to health care delivery. As health care resources continue to be stretched due to the increasing burden of the coronavirus disease (COVID-19) pandemic, telemedicine, including tele-education, may be an effective way to rationally allocate medical resources. During the COVID-19 pandemic, a multimodal telemedicine network in Sichuan Province in Western China was activated immediately after the first outbreak in January 2020. The network synergizes a newly established 5G service, a smartphone app, and an existing telemedicine system. Telemedicine was demonstrated to be feasible, acceptable, and effective in Western China, and allowed for significant improvements in health care outcomes. The success of telemedicine here may be a useful reference for other parts of the world.

Avarice, Inefficiency, and Inequality: An International Health Care Tale

1977 ◽  
Vol 7 (2) ◽  
pp. 179-190
Author(s):  
Alan Maynard
Keyword(s):  
Health Care ◽  
Cost Effectiveness ◽  
Care Delivery ◽  
Medical Profession ◽  
International Health ◽  
West Germany ◽  
Health Care Outcomes ◽  
Care Outcomes ◽  
Health Care Delivery Systems ◽  
The Cost

The paper is concerned with impact of a medical profession, physicians, on the delivery of health care. The basic economic motivation of self-interest and avarice has led this profession to produce health care outcomes which are inequitable and inefficient. In the first section of the paper the regional geographical distribution of physicians in four disparate health systems—England, Ireland, France, and West Germany-is analyzed and found to be highly unequal. The next section is concerned with the efficacy of therapies and the cost-effectiveness of health care delivery systems in a variety of countries. The final section discusses how health care can be more equitably and more efficiently delivered. It is argued that both markets and bureaucracies are likely to be inadequate unless carefully monitored. In particular, there is a great need to investigate the cost-effectiveness of therapies and then persuade physicians, via pecuniary and nonpecuniary incentives, to behave in a manner which leads to more equitable and efficient health care outcomes.

Five focus strategies to organize health care delivery

2016 ◽  
Vol 29 (2) ◽  
pp. 177-191 ◽  
Author(s):  
Antti Peltokorpi ◽  
Miika Linna ◽  
Tomi Malmström ◽  
Paulus Torkki ◽  
Paul Martin Lillrank
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Management Practices ◽  
Care Delivery ◽  
System Level ◽  
Content Type ◽  
Requisite Variety ◽  
Care Outcomes ◽  
Definition Of ◽  
Focus Strategies

Purpose – The focused factory is one of the concepts that decision-makers have adopted for improving health care delivery. However, disorganized definitions of focus have led to findings that cannot be utilized systematically. The purpose of this paper is to discuss strategic options to focus health care operations. Design/methodology/approach – First the literature on focus in health care is reviewed revealing conceptual challenges. Second, a definition of focus in terms of demand and requisite variety is defined, and the mechanisms of focus are explicated. A classification of five focus strategies that follow the original idea to reduce variety in products and markets is presented. Finally, the paper examines managerial possibilities linked to the focus strategies. Findings – The paper proposes a framework of five customer-oriented focus strategies which aim at reducing variety in different characteristics of care pathways: population; urgency and severity; illnesses and symptoms; care practices and processes; and care outcomes. Research limitations/implications – Empirical research is needed to evaluate the costs and benefits of the five strategies and about system-level effects of focused units on competition and coordination. Practical implications – Focus is an enabling condition that needs to be exploited using specific demand and supply management practices. It is essential to understand how focus mechanisms differ between strategies, and to select focus that fits with organization’s strategy and key performance indicators. Originality/value – Compared to previous more resource-oriented approaches, this study provides theoretically solid and practically relevant customer-oriented framework for focusing in health care.

Better Accounting Transforms Health Care Delivery

2014 ◽  
Vol 28 (2) ◽  
pp. 365-383 ◽  
Author(s):  
Robert S. Kaplan ◽  
Mary L. Witkowski
Keyword(s):  
Health Care ◽  
Medical Condition ◽  
Care Delivery ◽  
Value Added ◽  
Activity Based Costing ◽  
Cost Information ◽  
Process Step ◽  
Health Care Outcomes ◽  
Bundled Payments ◽  
Care Outcomes

SYNOPSIS The paper describes the theory and preliminary results for an action research program that explores the implications from better measurements of health care outcomes and costs. After summarizing Porter's outcome taxonomy (Porter 2010), we illustrate how to use process mapping and time-driven activity-based costing to measure the costs of treating patients over a complete cycle of care for a specific medical condition. With valid outcome and cost information, managers and clinicians can standardize clinical and administrative processes, eliminate non-value added and redundant steps, improve resource utilization, and redesign care so that appropriate medical resources perform each process step. These actions enable costs to be reduced while maintaining or improving medical outcomes. Better measurements also allow payers to offer bundled payments, based on the costs of using efficient processes and contingent on achieving superior outcomes. The end result will be a more effective and more productive health care sector. The paper concludes with suggestions for accounting research opportunities in the sector.

scholarly journals Coronavirus Disease (COVID-19) Pandemic: Common Challenges and Recommendations

2020 ◽  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Disease Outbreak ◽  
Delivery Systems ◽  
The World ◽  
Common Problems ◽  
Health Care Delivery Systems

There are a number of challenges in response to Coronavirus (COVID-19) disease outbreak. The authors discuss common problems related to this outbreak which are encountered by most of the countries in the world. They were divided in those encountered by (health) care delivery systems and those encountered by affected communities and countries. The information presented here was collected from relevant national and global sources. The authors support and recommend practical solutions to overcome difficulties and challenges related to COVID-19 outbreak.

scholarly journals TO ASSESS THE OUTCOME OF PATIENTS FOR DAY CARE SURGERY

2020 ◽  
Vol 4 (3) ◽  
Author(s):  
Vishal Prashar ◽  
Shamsher Singh
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Delivery ◽  
Day Care ◽  
Operative Time ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Day Care Surgery ◽  
The World ◽  
Care Surgery

Background: Day care surgery offers advantages for health care delivery system around the world and so rates have steadily increased in both developed and developing countries. Methods: Day care surgery offers advantages for health care delivery system around the world and so rates have steadily increased in both developed and developing countries. Results: Out of 155 patients 89 (57.4%) had an operative time of 00-30 minutes, 64 (41.3%) had an operative time of 30- 60 minutes, 2 (1.3%) had an operative time of 60-90 minutes and none took more than 90 minutes. Two Patients having an operative time period of 60-90 minutes included laparoscopic procedures converted to open cholecystectomies. Conclusion: This study clearly shows that day care surgery is feasible and safe. Keywords: Outcome, day care surgery, Post-operative

scholarly journals Could Interventional Radiological Therapies Offer a Safer Alternative as We Emerge from COVID-19 Pandemic?

2020 ◽  
Vol 4 (03) ◽  
pp. 184-188
Author(s):  
Shuvro H. Roy-Choudhury ◽  
Gireesh Warawdekar
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Surgical Procedures ◽  
Health Care Workers ◽  
Care Delivery ◽  
Current Opinion ◽  
The Public ◽  
Care Workers ◽  
The World ◽  
Interventional Therapies

AbstractThe ongoing SARS-CoV-2 (COVID-19) pandemic poses a major risk to health care delivery all around the world and also poses significant risks to the public and health care workers (HCWs). Surgical procedures, particularly elective procedures, have been cancelled or deferred due to increased risks associated with surgery and anesthesia both to the patient and the HCWs as well as to allocate resources to treat infected patients. This is particularly true for patients with comorbidities and cancer. As countries emerge from this pandemic, a phased return to conventional surgical procedures is being proposed, with emphasis on procedures performed in ambulatory settings and avoiding endotracheal intubation, where possible. Interventional radiological (IR) procedures offer a unique advantage in this setting, as these procedures are often performed with local or regional anesthesia with shorter hospital stay. In this brief communication, we outline the current opinion on surgical risks and guidelines and suggest areas where interventional therapies may offer an advantage to the multidisciplinary team and patient.

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