scholarly journals The Functionalization of Law and Criminal Procedures to Confront Health Care Fraud in Hospitals

2021 ◽  
Vol 8 (3) ◽  
pp. 332-355
Author(s):  
Musa Pane ◽  
Diah Pudjiastuti
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Legal System ◽  
Descriptive Study ◽  
Literature Study ◽  
Proper Place ◽  
Health Care Fraud ◽  
Service Institution ◽  
The Law

Fraud is a systematic crime that has a very broad impact. It can happen in any fields, including in hospitals. Fraud is a form of corruption. Hospital is a health service institution. Corruption in hospitals has the potential to lead to ineffective health services for people. The phenomenon of health care fraud in hospital is an indication the law does not function in accordance with the objective. This study aims to determine the functionalization of law and sentence for fraudulent acts as a form of corruption in hospitals based on justice values. This study is a descriptive study with normative juridical method that employed statutory and conceptual approaches. The data were collected through a literature study. It was subsequently analyzed qualitatively. This study is of the position to view that prosecution of criminal acts of corruption requires functionalization of law. The functionalization of law must be interpreted as positioning everything in its proper place. It is the synergy of the legal system, which consists of formulative, judicial, and executive policies. The criminal procedures can apply the punishment system for perpetrators of fraudulent acts in hospitals that includes extended alternative punishment.

scholarly journals ASURANSI KESEHATAN BERDASARKAN UNDANG-UNDANG NOMOR 3 TAHUN 1992

2009 ◽  
Vol 9 (3) ◽  
Author(s):  
Arief Suryono
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Service Provider ◽  
Social Insurance ◽  
Health Care Insurance ◽  
Health Service Provider ◽  
The Social ◽  
The Law ◽  
Employment Guarantee

Health insurance according to the Law No. 3/1992 obout the social employment guarantee which consist of responsiver and the addressee and health service provider is the health social insurance which is aimed to give the health care guarantee toward the addressee that is enterprenaur and worker.  The law relationship which is consisted between: Responssiver-Addressee is the insurance relationship; Responssiver-Health services provider is the user of health service belong to the health service provider toward to the addressee; Health services provider-Addressee is gives the health service to the addresse is patient.  The responsibility of the responssiver toward the addressee is to give the health care insurance to the addressee gives the health service provider for the importance of the addressee. Kata Kunci:  Asuransi Kesehatan

scholarly journals Die funksie van die gemeenskapsverpleegkundige in kuratiewe distriksgesondheidsdienste

Curationis ◽  
2000 ◽  
Vol 23 (2) ◽  
Author(s):  
H P SMIT ◽  
Dr S D Roos
Keyword(s):  
South Africa ◽  
Health Service ◽  
Health Services ◽  
Descriptive Study ◽  
Community Nurse ◽  
Literature Study ◽  
District Health ◽  
Nursing Services ◽  
Hospital Beds ◽  
At Home

In South Africa patients are discharged sooner from hospitals, because of a shortage in hospital beds, thus more patients are nursed at home. More prominence should be given to the function of the community nurse in these mainly curative health services. An explorative and descriptive study was performed in order to explore and describe the functions of the community nurse in the context of the district health service in South Africa. These functions described in this article were determined by means of an analysis of duty sheets as well as the use of questionnaires which was based on a literature study. Some conclusions and recommendations were made on which the community nurse can base these nursing services.

scholarly journals Descriptive Study of Physiotherapy Services Used in the South Kalimantan Region in 2020

2021 ◽  
Vol 6 (2) ◽  
Author(s):  
Maulida Wijaya Putri
Keyword(s):  
Health Care ◽  
Health Services ◽  
Descriptive Study ◽  
Health Care Facilities ◽  
Health Centers ◽  
The South ◽  
Care Facilities ◽  
Descriptive Approach ◽  
Almost All ◽  
Therapy Manual

Health services, including physiotherapy services, are carried out in almost all health care facilities such as clinics, health centers, and hospitals. Physiotherapy services are one form of health services needed by the community. In order to provide physiotherapy services, physiotherapists can provide various types of modalities or physiotherapy services in the form of electro therapy, actino therapy, hydro therapy, manual therapy or exercise therapy. Almost all health care facilities in South Kalimantan have physiotherapy services, but there is no data on the number and types of physiotherapy services used by health care facilities in the South Kalimantan region. This study aims to determine the types of physiotherapy services that are widely used by health care facilities in South Kalimantan. This study uses a descriptive approach. Based on the results of the study, it was found that 35 respondents (67.3%) used electrotherapy very often and 30 respondents (57.7%) used actino therapy very often. These two types of physiotherapy services are the most widely used by health care facilities in the South Kalimantan region in 2020

scholarly journals Converging perspectives of providers and student users on extending a patient portal into a university-based mental health service: A qualitative study

2020 ◽  
Author(s):  
N Gasteiger ◽  
Theresa Fleming ◽  
K Day
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Qualitative Study ◽  
Health Services ◽  
Mental Health Care ◽  
Patient Portal ◽  
Patient Portals

© 2020 The Authors Background: Patient portals have the potential to increase access to mental health services. However, a lack of research is available to guide practices on extending patient portals into mental health services. This study explored stakeholder (student service users' and health providers') expectations and perceptions of extending patient portals into a New Zealand university-based mental health service. Materials and methods: This qualitative study explored the perspectives of 17 students and staff members at a university-based health and counselling service on an Internet-based patient portal through a software demonstration, two focus groups and 13 interviews. Data were analyzed thematically. Results: Staff and students perceived the patient portal as useful, easy to use and expected it to help make mental health care more accessible. Staff were most concerned with the portal's ability to support their triage processes and that it might enable students to ‘counselor hop’ (see multiple counselors). Staff recommended extension into services that do not require triage. Most students expected the portal to enhance patient-counselor contact and rapport, through continuity of care. Students were concerned with appointment waiting times, the stigmatization of poor mental health and their capacity to seek help. They considered the portal might assist with this. Students recommended extension into all services, including urgent appointments. After viewing findings from initial student and staff groups, staff concluded that extending a patient portal into their counseling services should be prioritized. Conclusion: This research suggests that there is value in extending patient portals into mental health care, especially into low-risk services. Future research should explore opportunities to support triage and appointment-making processes for mental health services, via patient portals.

Indian Health Services, Continued

PEDIATRICS ◽  
1973 ◽  
Vol 52 (5) ◽  
pp. 756-756
Author(s):  
Daniel P. Kohen ◽  
Gerald Yost ◽  
Jerry Lyle
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Service ◽  
Health Services ◽  
American Indian ◽  
Indian Population ◽  
Health Needs ◽  
Indian Health Service ◽  
American Indian Population ◽  
Indian Health

We applaud Dr. Edward Mortimer's Commentary on the health status of the American Indian population (Pediatrics, 51:1065, 1973). Public statements that "Indian health care is inadequate because it is inadequately funded" and ". . . less than the minimum (money) is provided" are long overdue, and we concur completely with the necessity for us all to help Indians express and fulfill their health needs. We wish, however, to take issue with several remarks regarding the quality and scope of care provided in and through the Indian Health Service.

Barriers to and facilitators of health services utilisation by refugees in resettlement countries: an overview of systematic reviews

2020 ◽  
Vol 44 (1) ◽  
pp. 132 ◽  
Author(s):  
Jamuna Parajuli ◽  
Dell Horey
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Systematic Reviews ◽  
Health Professionals ◽  
Health Service Utilisation ◽  
Barriers And Facilitators ◽  
Service Utilisation ◽  
Knowledge And Skills ◽  
Overview Of Systematic Reviews

Objective The aim of this study was to provide an overview of the previously reviewed research literature to identify barriers and facilitators to health service utilisation by refugees in resettlement countries. Methods An overview of systematic reviews was conducted. Seven electronic databases (Medline, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, ProQuest Central, Scopus, EBSCO and Google Scholar) were searched for systematic reviews of barriers and facilitators to health-seeking behaviour and utilisation of health services by refugees following resettlement. The two authors independently undertook data selection, data extraction and quality assessment using a validated tool. Results Nine systematic reviews covered a range of study areas and refugee populations. Barriers to health service utilisation fell into three broad areas: (1) issues related to refugees, including refugee characteristics, sociocultural factors and the effects of previous experiences; (2) issues related to health services, including practice issues and the knowledge and skills of health professionals; and (3) issues related to the resettlement context, including policies and practical issues. Few facilitators were identified or evaluated, but these included approaches to care, health service responses and behaviours of health professionals. Conclusions Barriers to accessing health care include refugee characteristics, practice issues in health services, including the knowledge and skills of health professionals, and the resettlement context. Health services need to identify barriers to culturally sensitive care. Improvements in service delivery are needed that meet the needs of refugees. More research is needed to evaluate facilitators to improving health care accessibility for these vulnerable groups. What is known about the topic? Refugee health after resettlement is poor, yet health service use is low. What does this paper add? Barriers to accessing health services in resettlement countries are related not only to refugees, but also to issues regarding health service practices and health professionals’ knowledge and skill, as well as the context of resettlement. Few facilitators to improving refugee access to health services have been identified. What are the implications for practitioners? The barriers associated with health professionals and health services have been linked to trust building, and these need to be addressed to improve accessibility of care for refugees.

The use of the Legal System as a Mental Health Service for Children

1979 ◽  
Vol 7 (1) ◽  
pp. 7-48 ◽  
Author(s):  
Lee H. Haller ◽  
Lawrence A. Dubin ◽  
Martin Buxton
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Legal System ◽  
Emotionally Disturbed ◽  
Court Decisions ◽  
The Past ◽  
The Law ◽  
Emotionally Disturbed Children

The interface of mental health and the law has been rapidly expanding over the past several years, as more and more cases of various sorts are being heard by the courts and new laws are passed. Although court decisions and laws may be viewed as an intrusion by the psychiatrists who work with emotionally disturbed children, the authors suggest that the effect is to present the professional with new alternatives for helping the patient. A number of these situations where the legal system can be utilized are presented.

Examining Models of Mental Health Service Delivery in the Emergency Department

2007 ◽  
Vol 41 (10) ◽  
pp. 784-791 ◽  
Author(s):  
Timothy Wand ◽  
Kathryn White
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Emergency Department ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Health Service Delivery ◽  
Mental Health Service Delivery

The purpose of the present paper was to review the current models of mental health service delivery used in the emergency department (ED) setting. A search was conducted of the nursing and medical literature from 1990 to 2007 for relevant articles and reports. Consideration was also given to the global and local context influencing contemporary mental health services. Wider sociopolitical and socioeconomic influences and systemic changes in health-care delivery have dictated a considerable shift in attention for mental health services worldwide. The ED is a topical location that has attracted interest and necessitated a response. The mental health liaison nurse (MHLN) role embedded within the ED structure has demonstrated the most positive outcomes to date. This model aims to raise mental health awareness and address concerns over patient-focused outcomes such as reduced waiting times, therapeutic intervention and more efficient coordination of care and follow up for individuals presenting to the ED in psychological distress. Further research is required into all methods of mental health service delivery to the ED. The MHLN role is a cost-effective approach that has gained widespread approval from ED staff and mental health patients and is consistent with national and international expectations for mental health services to become fully integrated within general health care. The mental health nurse practitioner role situated within the ED represents a potentially promising alternative for enhanced public access to specialized mental health care.

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