scholarly journals Scenario Modeling in Health System Management Perm Region (Part 1)

2021 ◽  
pp. 110-126
Author(s):  
Alexander N. Tsatsulin ◽  
Boris A. Tsatsulin
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Economic Indicator ◽  
System Management ◽  
National Goal ◽  
Scenario Modeling ◽  
Effective Life ◽  
Scenario Approach ◽  
Care System

The article is devoted to the problems of scenario modeling in relation to solving a number of problems of managing the health care system of the Perm Territory, which in recent years has attracted attention by the development of a number of promising projects to develop this industry, to expand the availability of medical services and to improve the level of medical care for the population. Since any good-quality project must be directly linked not only to the future periods of its implementation, but also be scientifically justified in terms of insuring all kinds of risks and threats that will stand in the way of the successful completion of the project, recently all kinds of projects, programs and plans are often developed are created using the so-called scenario approach. Several options for the development of events with this approach are offered to the appropriate circle of leaders or the power structure for the subsequent adoption of an appropriate management decision.The authors of the article consider the main provisions and principles of the scenario approach using the example of the development of the health care system of a particular subject of the federation, which makes the material proposed for consideration very relevant. The authors also define, as they see it, the main result of improving the industry in the form of a target and a national goal — the expected (upcoming) life expectancy of the population of the study area. This socio-economic indicator, which has all the signs of fatefulness, is considered by the authors to be a priority analytical indicator of the level and quality of an effective life of a Russian. The latter determines the purpose of this study.The authors consider the construction of dynamic multivariate models of industry development options for a period of up to three years to be an efficient tool for analyzing and forecasting this indicator, which is presented in the article in the form of five simultaneous equations of multiple regressions. The results of this construction are continued by discussion, and the article ends with the list of the conclusions. The authors also inform the reader about the further direction of their scientific research.

scholarly journals SCENARIO APPROACH TO BUILDING PREDICTIVE MODELS FOR THE DEVELOPMENT OF REGIONAL HEALTH SYSTEMS

2021 ◽  
Vol 1 (24) ◽  
pp. 161-180
Author(s):  
A.N. Tsatsulin ◽  
◽  
B.A. Tsatsulin ◽  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Economic Indicator ◽  
Management Decision ◽  
National Goal ◽  
Scenario Modeling ◽  
Regional Health Systems ◽  
Scenario Approach ◽  
Care System

The article is devoted to the problems of scenario modeling in relation to solving a number of problems of managing the health care system of the Perm Territory, which in recent years has attracted attention by the development of a number of promising pro-jects to develop this industry, to expand the availability of medical services and to im-prove the level of medical care for the popu-lation. Since any good-quality project must be directly linked not only to the future peri-ods of its implementation, but also be scien-tifically justified in terms of insuring all kinds of risks and threats that will stand in the way of the successful completion of the project, recently all kinds of projects, programs and plans are often developed are created using the so-called scenario approach. Several options for the development of events with this approach are offered to the appropriate circle of leaders or the power structure for the subsequent adoption of an appropriate management decision. The authors of the article consider the main provisions and principles of the scenario ap-proach using the example of the develop-ment of the health care system of a particu-lar subject of the federation, which makes the material proposed for consideration very relevant. The authors also define, as they see it, the main result of improving the indus-try in the form of a target and a national goal - the expected (upcoming) life expectancy of the population of the study area. This socio-economic indicator, which has all the signs of fatefulness, is considered by the authors to be a priority analytical indicator of the lev-el and quality of an effective life of a Russian. The latter determines the purpose of this study. The authors consider the construction of dy-namic multivariate models of industry devel-opment options for a period of up to three years to be an efficient tool for analyzing and forecasting this indicator, which is presented in the article in the form of five simultaneous equations of multiple regressions. The re-sults of this construction are continued by discussion, and the article ends with conclu-sions.

Assisting People With Their Living, Not Their Dying: Health Professionals’ Perspectives of Palliative Care and Opioids in ILD

2021 ◽  
pp. 104990912110186
Author(s):  
Lauren Russo ◽  
Karen Willis ◽  
Natasha Smallwood
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Palliative Care ◽  
Health Care System ◽  
Therapeutic Relationships ◽  
Specialist Palliative Care ◽  
Cross Sectional ◽  
Symptom Palliation ◽  
Care System

Objectives: Interstitial lung disease (ILD) is a debilitating and life-limiting condition, requiring multi-disciplinary care. While guidelines recommend early specialist palliative care referral to improve symptoms and quality of life, few patients access such care towards the end-of-life. This study aimed to explore clinicians’ perspectives regarding specialist palliative care and opioids to understand barriers to optimal care and guide clinical practice improvement initiatives. Methods: A cross-sectional, exploratory, qualitative study was undertaken with Australian respiratory clinicians caring for people with ILD (n = 17). In-depth, semi-structured interviews were audio-recorded, transcribed verbatim and coded. Thematic analysis was undertaken to extrapolate recurring ideas from the data. Results: Four themes were identified: 1) understanding how to improve patient care and support, 2) the need to dispel stigmatized beliefs and misconceptions, 3) the importance of trusted relationships and good communication and 4) the challenges of navigating the health-care system. Participants discussed the need to implement early specialist palliative care and symptom palliation to alleviate symptoms, provide emotional support and augment quality of life. Participants described challenges accessing palliative care and opioids due to stigmatized beliefs amongst patients and clinicians and difficulties navigating the health-care system. Trusted therapeutic relationships with patients and strong inter-disciplinary partnerships with collaborative education and communication were perceived to improve patients’ access to symptom palliation. Conclusion: Specialist palliative care and opioids were believed to improve patients’ quality of life, however, many barriers can make accessing such care challenging. To address these issues, multi-disciplinary collaboration, high-quality communication and trusted therapeutic relationships are crucial throughout the ILD illness journey.

The role of transformative healthcare technology on quality of life during the COVID-19 pandemic

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Mohammad Asif Salam ◽  
Saleh Bajaba
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Saudi Arabia ◽  
Service Delivery ◽  
Health Care System ◽  
Service System ◽  
Content Type ◽  
Care System

Purpose The purpose of this study is to investigate the role of the COVID-19 health-care system quality (HSQ) and its impact on the individual (satisfaction) and social (quality of life [QOL]) outcomes in the context of a transformative health-care delivery system using service-dominant logic (SDL). Design/methodology/approach A sample consisting of 1,008 individuals who have experienced the COVID-19 health-care system was drawn from four different regions of Saudi Arabia using the simple random sampling technique. The survey was conducted using an online survey and 1,008 respondents answered, based on their experience and knowledge of the COVID-19 health-care system. Partial least squares structural equation modeling was applied to test the proposed research model. Findings The study findings suggest that service system satisfaction (SAT) significantly mediates the role of the HSQ in delivering and enhancing the QOL. HSQ also has a significant role to play on the SAT as well as the QOL. These findings contribute to the body of knowledge on SDL in the context of HSQ in understanding the significant role of technologies can play in enhancing service satisfaction and better QOL during a crisis such as COVID-19. This study also improves the understanding of the importance of customer-centricity, real-time visibility through tracking and tracing of service flow, agile decision-making, fewer but better-defined service objectives, and finally shaping mindsets and behaviors of all the relevant parties involved in the HSQ service delivery process. Research limitations/implications One of the major limitations of this study is that, although COVID-19 is an ongoing global pandemic, cross-sectional data were collected in only one country. The findings may not be generalizable across subsequent waves of the pandemic. The best practices of HSQ could be studied around the globe and the results used to support continuous improvement. Originality/value This study advances the understanding of the SDL in the context of a transformative health-care system for a transitional economy by focusing on individual and social well-being during an unexpected crisis such as the COVID-19 pandemic. This study also contributes toward the understanding of the roles of enabling technologies to improve the service delivery system which results in an improved SAT, as well as better QOL for the society at large. Based on SDL this research validates the HSQ model, relevant measures and its overall impact on SAT and QOL in the context of a transformative health-care service system in Saudi Arabia.

Medical standard as a historical component on the way of clinical audit

2020 ◽  
Vol 26 (4) ◽  
pp. 108-115
Author(s):  
А.B. Zimenkovsky ◽  
◽  
T.G. Gutor ◽  
Keyword(s):  
Health Care ◽  
Great Britain ◽  
Health Care System ◽  
Clinical Audit ◽  
Medical Aid ◽  
The World ◽  
The Usa ◽  
Medical Standard ◽  
Care System

Aim - the search, analysis and systematization of historical facts concerning the formation and evo-lution of the world medical standartization; severance of its certain long-standing models for the optimization of settling and introduction of the existing, and future analogs, particularly, in the clinical audit format. Material and Methods. In order to study the medical standard as a historical component the fol-lowing methods were used: bibliographic, historical, analytical and methods of systematization and comparison. Results and Discussion. As a result of the conducted research the main historical events in the world development of the medical standartization starting from 1500 up till nowadays were col-lected. In order to study the evolution of the medical standartization, the analysis of the normative documents that have regulated the process of standartization, especially the Doctor's statute(s) in Russia, Minimal standard of the medical equipment and works of the American college of surgeons, was carried out. The scientific works that initiated the introduction of the clinical audit in the Health Care system in Ukraine, Turkey, the USA and Great Britain were throroughly analyzed. Conclusions. The improvement of quality as to rendering the medical aid is a job priority in the health care systems in many countries. For that reason, the search for its optimization was and is still retrieved for many centuries. The territorial formation of medical standartization is associated with England, Russia and the USA, but the occurrence of clinical audit is connected with Ukraine, Turkey, the USA and Great Britain. The foundations of the medical standardization was lauched in 1500 year, while the clinical audit - in 1854 year. The medical standartization is a reflection of the history of development of the organization of health care system, that's why the expertness (knowl-edge) of historical stages concerning the setting and the introduction of medical standartization may give a new impulse in its improvement and development under present-day conditions of reforma-tion in the medical sphere in Ukraine. The earlier beginning of implementation of the medical stan-dartization in the health care system in different countries makes it possible to actualize its introduc-tion into the clinical audit format, that, in its turn, allows to improve the quality of rendering the medical aid. Key words: medical standartization, clinical audit, quality of medical aid

scholarly journals Scenario Modeling in Health System Management Perm Region (Part 2)

2021 ◽  
pp. 98-109
Author(s):  
A. N. Tsatsulin ◽  
B. A. Tsatsulin
Keyword(s):  
Least Squares Method ◽  
Economic Indicator ◽  
Simultaneous Equations ◽  
Likelihood Method ◽  
Reduced Form ◽  
System Management ◽  
National Goal ◽  
Scenario Modeling ◽  
Management And Development ◽  
Independent Variable

In continuation of the article, the authors of the study devoted to the problems of scenario modeling and solving specific problems of management and development of the health care system of the Perm Territory, built the author’s dynamic multivariate model, which was based on an authoritative approach and consists of a set of five structural simultaneous equations. As a result, each equation of the system is a linear form of recursive regression, where the independent variable as a factor-factor taken into account in one equation becomes a depend- ent variable as an effective factor-factor. In order to eliminate the phenomenon of autocor- relation of residual values, the method of time lagging was used. To estimate the parameters of the reduced form of structural simultaneous equations, the two-step least squares method was used as a special case of the maximum likelihood method. The obtained parameter esti- mates on the whole turned out to be effective with moderate consistency and satisfactory bias. The constructed model made it possible to carry out a short-term forecast of the most important target socio-economic indicator of the success of healthcare development in the region until 2023. The authors considered the national goal as such a priority indicator — the expected (future) life expectancy of the population of the study area. At the end of the article, conclusions were drawn and the prospects for further scientific research of the authors were outlined.

The essence, content and characteristics of medical services’ quality

2021 ◽  
pp. 40-43
Author(s):  
Constantin Etco ◽  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health Care System ◽  
Health Care Quality ◽  
Services Quality ◽  
Care Quality ◽  
Medical Services ◽  
Total Quality ◽  
Care System

One of the priorities of the health care system in Moldova is the medical services’ quality improvement. Th is article presents various defi nitions for health care quality and the principles connected with quality improvement. An important part in this article is allocated to the structure and main principles of total quality management in the health care system. Th is part reveals the problems of the commissions that are studying the quality of medical services in healthcare establishments.

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