scholarly journals The Role of Clinical Governance in the Health Management Systems of Thailand

2013 ◽  
Vol 4 (10) ◽  
pp. 461-466
Author(s):  
John Walsh
Keyword(s):  
Health Care ◽  
Health Management ◽  
Labour Force ◽  
Low Cost ◽  
Clinical Governance ◽  
Social Solidarity ◽  
Easy Access ◽  
Public And Private ◽  
Middle Income ◽  
Asean Economic Community

The health industry in Thailand is changing as a result of several important changes in society and projected future changes. These include the need for political and social reasons to extend low cost and easy access health care further to every sector of society in all regions of the country, the continuing aspiration to become an international hub for health tourism, the need to adjust to the potential flow of professionals across Southeast Asia resulting from the projected 2015 ASEAN Economic Community and the restructuring of the labour force as part of the effort to exit from the Middle Income Trap. These changes are nation-wide and require cooperation from a range of ministries, as well as requiring the support of society as a whole; that support will result from fostering of social solidarity through, in part, better explanation of why policies are changing and what the objectives will be in the short, medium and long-terms. It is, of course, essential that proper management of quality and health care within involved organizations – i.e. clinical governance – is also fostered and maintained at the highest possible level in both the public and private sectors.

scholarly journals Neurosurgical digital teaching in low-middle income countries: beyond the frontiers of traditional education

2018 ◽  
Vol 45 (4) ◽  
pp. E17 ◽  
Author(s):  
Federico Nicolosi ◽  
Zefferino Rossini ◽  
Ismail Zaed ◽  
Angelos G. Kolias ◽  
Maurizio Fornari ◽  
...  
Keyword(s):  
Low Cost ◽  
Easy Access ◽  
Scientific Validity ◽  
Middle Income ◽  
Digital Platforms ◽  
Poor Countries ◽  
Middle Income Countries ◽  
Standard Education ◽  
Low Middle Income Countries ◽  
Learning Programs

OBJECTIVENeurosurgical training is usually based on traditional sources of education, such as papers, books, direct surgical experience, and cadaveric hands-on courses. In low-middle income countries, standard education programs are often unavailable, mainly owing to the lack of human and economic resources. Introducing digital platforms in these settings could be an alternative solution for bridging the gap between Western and poor countries in neurosurgical knowledge.METHODSThe authors identified from the Internet the main digital platforms that could easily be adopted in low-middle income countries. They selected free/low-cost mobile content with high educational impact.RESULTSThe platforms that were identified as fulfilling the characteristics described above are WFNS Young Neurosurgeons Forum Stream, Brainbook, NeuroMind, UpSurgeOn, The Neurosurgical Atlas, Touch surgery, The 100 UCLA Subjects in Neurosurgery, Neurosurgery Survival Guide, EANS (European Association of Neurosurgical Societies) Academy, Neurosurgical.TV, 3D Neuroanatomy, The Rhoton Collection, and Hinari. These platforms consist of webinars, 3D interactive neuroanatomy and neurosurgery content, videos, and e-learning programs supported by neurosurgical associations or journals.CONCLUSIONSDigital education is an emerging tool for contributing to the spread of information in the neurosurgical community. The continuous improvement in the quality of content will rapidly increase the scientific validity of digital programs. In conclusion, the fast and easy access to digital resources could contribute to promote neurosurgical education in countries with limited facilities.

Quality Issues in Personalized E-Health, Mobile Health and E-Health Grids

2011 ◽  
pp. 118-131 ◽  
Author(s):  
Anastasia N. Kastania ◽  
Sophia Kossida
Keyword(s):  
Health Care ◽  
Integrated Circuits ◽  
Health Management ◽  
Low Cost ◽  
Modern Society ◽  
Public Health Care ◽  
Smart Sensors ◽  
Grid Middleware ◽  
Rigorous Testing ◽  
Personalized Health

The electronic healthcare in the modern society has the possibility of converting the practice of delivery of health care. Currently, chaos of information is characterizing the public health care, which leads to inferior decision-making, increasing expenses and even loss of lives. Technological progress in the sensors, integrated circuits, and the wireless communications have allowed designing low cost, microscopic, light, and smart sensors. These smart sensors are able to feel, transport one or more vital signals, and they can be incorporated in wireless personal or body networks for remote health monitoring. Sensor networks promise to drive innovation in health care allowing cheap, continuous, mobile and personalized health management of electronic health records with the Internet. The e-health applications imply an exciting set of requirements for Grid middleware and provide a rigorous testing ground for Grid. In the chapter, the authors present an overview of the current technological achievements in the electronic healthcare world combined with an outline of the quality dimensions in healthcare.

Social Housing and Redevelopment of Building Complexes on Brownfield Sites: The Financial Sustainability of Residential Projects for Vulnerable Social Groups

2013 ◽  
Vol 869-870 ◽  
pp. 3-13 ◽  
Author(s):  
Maria Rosaria Guarini ◽  
Fabrizio Battisti
Keyword(s):  
Social Housing ◽  
Low Cost ◽  
Methodological Approach ◽  
Residential Building ◽  
Financial Sustainability ◽  
Property Market ◽  
Public And Private ◽  
Middle Income ◽  
Brownfield Sites ◽  
Range Of Functions

The global economic crisis has caused a sharp contraction in many Italian productive sectors, with the construction industry experiencing a decline of about 22% over the last few years (2009-2013). In the residential property market, sale prices for houses have fallen by 40% and rental prices by 30% [. Despite a greater supply of housing at lower prices, there remains a significant demand for low-cost housing from lower-middle-income families, young couples, single-parent families and from non-resident and foreign university students. This is also due to the lack of public resources to create substantial policies to support social housing construction. Social Housing (SH) programmes, with joint financial support from public and private stakeholders, are aimed at responding to the demand for accommodation for rent at social rates, for sale at concessionary prices and/or for rent (with or without redemption) at controlled rates. At the same time, especially in large cities, there is a continuing need to initiate processes for the redevelopment of numerous public and private residential building complexes in brownfield sites that have become functionally obsolete and dilapidated. The implementation of urban and building redevelopment programmes in this situation requires the definition of management models and methods for assessing the financial sustainability of such programmes. This article, based on a contextual analysis of these market segments, outlines a methodological approach, tested on a restructuring proposal for the Corviale (Rome) building-city housing development, to assess the financial sustainability of redevelopment projects on brownfield sites, providing a new range of functions that include housing, student residences and services.

scholarly journals An Empirical Analysis of Export-Led Growth of Vietnam: Trade in Value Added (TiVA) Approach

2018 ◽  
Vol 5 ◽  
pp. 1-15
Author(s):  
Nguyen Viet Khoi ◽  
Shashi Kant Chaudhary
Keyword(s):  
Labour Force ◽  
Low Cost ◽  
Value Added ◽  
Substantial Contribution ◽  
Annual Data ◽  
Middle Income ◽  
Cheap Labour ◽  
Long Run ◽  
Bounds Test ◽  
Industrial Capacity

This paper examines the long-run relationship between domestic value added exports and economic growth of Vietnam using ARDL bounds test of cointegration on annual data covering the period of 1995-2014.The bounds test establishes existence of both short-run and long-run relationship between exports and GDP of Vietnam and shows a substantial contribution of exports in the real GDP (0.73 percent for one percent changes in the domestic value added exports). The exports pattern of Vietnam portrays it following the footsteps of export-led growth model of Mexico, whereby it has turned itself into export production platforms for MNCs by suppressing the wages, rather than developing own indigenous industrial capacity. In such scenario, it seems challenging for Vietnam to sustain its export-led growth which it has achieved so far based on its cheap labour. With the rising living standards, ultimately the comparative advantages of cheap labour force would vanish in the future, which will cause a wave of assembly jobs to flow out of Vietnam. Moreover, two other low-cost countries in the region, Cambodia and Myanmar are likely to rise as close competitors of Vietnam in the low-cost assembly works in the near future. By that time, in case Vietnam fails to enter into higher value added activities, it will drag itself into the ‘middle income trap’. Therefore, the ‘assembly strategy’ shall be bonded with strategy to develop own indigenous industrial capacity, and national technological base. These will help Vietnam to upgrade its activities along value chains in forms of product upgrading, process upgrading, functional upgrading, and sectoral upgrading so that it can switch its role of ‘assembling agent’ to ‘indigenous producer’.

scholarly journals Neonatal innovations in resource-limited settings

2021 ◽  
Vol 36 ◽  
pp. 82-86
Author(s):  
Neha Agarwal ◽  
Rakesh Kumar ◽  
Girish Gupta
Keyword(s):  
Health Care ◽  
Neonatal Mortality ◽  
Low Cost ◽  
Cost Effective ◽  
Middle Income ◽  
Development Goal ◽  
The Sustainable Development ◽  
Resource Limited ◽  
Care Technology ◽  
Year 2000

In the year 2000, Millennium Declaration was signed by the world leaders to reduce the under-5 mortality rate by two-thirds from the baseline figure in 1990. Millennium Development Goal 4 was replaced by the Sustainable Development Goal (SDG) in 2015. Reduction in the neonatal mortality, which accounts for majority of the deaths in children under the age of 5 years, was an imminent goal of SDG. Despite these initiatives, the current trends in neonatal mortality are far away from the expected targets. To curb the rate of neonatal mortality, the neonatal services are expanding in India at a rapid pace. To bridge the gap between the availability and accessibility to the health care technology between the developed and developing countries, the current focus is toward the development of low-cost and effective technological innovations in neonatal care and ensuring their patenting and effective publicity. This should facilitate the translation of innovations into mass production and availability for practice with significant effect in low- and middle-income countries. Generation of evidence will increase the acceptability of these innovations by demonstrating their benefit over the currently available technologies. Fortuitously, India has developed many innovations in the neonatal health care. However, majority of the neonatologists are still unaware of the existing technological solutions, and the ways to optimally utilize them. This review is, therefore, an attempt to recognize such low-cost, effective, and sustainable innovations done in the field of neonatology, over the past few decades.

scholarly journals Equity and accessibility in health? Out-of-pocket expenditures on health care in middle income countries: evidence from Mexico

2008 ◽  
Vol 24 (12) ◽  
pp. 2819-2826 ◽  
Author(s):  
Armando Arredondo ◽  
Patricia Nájera
Keyword(s):  
Health Care ◽  
National Health Survey ◽  
Private Institutions ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Public And Private ◽  
Middle Income ◽  
Middle Income Countries ◽  
Study Population ◽  
Type Of Institution

This study analyzes the results of a cross-sectional survey which set out to determine the costs to patients of searching for and receiving health care in public and private institutions. The information analyzed was obtained from the study population of the Mexican National Health Survey. The dependent variable was the out-of-pocket users' costs and the independent variables were the insurance conditions, type of institution and income. The empirical findings suggest that there is a need for a more detailed analysis of user costs in middle income countries in general, where the health system is based on social security, public assistance and private institutions. This study shows that the out of pocket costs faced by users are inequitable and fall disproportionately upon socially and economically marginalized populations.

Quality Issues in Personalized E-Health, Mobile Health and E-Health Grids

2010 ◽  
pp. 278-290
Author(s):  
Anastasia N. Kastania ◽  
Sophia Kossida
Keyword(s):  
Health Care ◽  
Integrated Circuits ◽  
Health Management ◽  
Low Cost ◽  
Modern Society ◽  
Public Health Care ◽  
Smart Sensors ◽  
Grid Middleware ◽  
Rigorous Testing ◽  
Personalized Health

The electronic healthcare in the modern society has the possibility of converting the practice of delivery of health care. Currently, chaos of information is characterizing the public health care, which leads to inferior decision-making, increasing expenses and even loss of lives. Technological progress in the sensors, integrated circuits, and the wireless communications have allowed designing low cost, microscopic, light, and smart sensors. These smart sensors are able to feel, transport one or more vital signals, and they can be incorporated in wireless personal or body networks for remote health monitoring. Sensor networks promise to drive innovation in health care allowing cheap, continuous, mobile and personalized health management of electronic health records with the Internet. The e-health applications imply an exciting set of requirements for Grid middleware and provide a rigorous testing ground for Grid. In the chapter, the authors present an overview of the current technological achievements in the electronic healthcare world combined with an outline of the quality dimensions in healthcare.

scholarly journals Problems of formation of public management mechanisms: health system: a discussion of the discussion field

2019 ◽  
Vol 7 (12) ◽  
pp. 16-27
Author(s):  
М. В. Долгіх
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Public Management ◽  
Health Management ◽  
Medical System ◽  
Governance Mechanisms ◽  
Public And Private ◽  
The Public ◽  
System A ◽  
Care System

The article substantiates that the country's health care system is in a state of constant transformation. Being a multi-level and branching structure, the system is evolving into complex approaches to defining governance mechanisms in the public and private healthcare sectors. It is in them that the state reproduces a new system of governance mechanisms, which need to be considered in the aggregate of the effects of meso, macro and microfactors with the use of new forms of government at all levels.According to the National Strategy for the Reform of the Medical System of Ukraine for the period 2015-2020, key problems, potential directions and ways of their solution for the formation of a new state policy in the field, including deep regulatory transformations and introduction of new financial mechanisms for ensuring human rights in the field of protection, have been identified health. In such circumstances, the country's medical system must be based on three fundamental principles: human-centered, result-oriented, best-in-class, and best practices in healthcare delivery.A review of historical and scientific sources shows that the management of the health care system requires systematic changes and qualitatively new approaches, finding alternative ways of reforming the organizational and economic mechanism of the medical industry, developing new models of interaction of public administration mechanisms to preserve the able-bodied population. We also believe that the mechanisms of public health management currently in place in our country do not correspond to its current changes.

scholarly journals La gestión sanitaria en España: necesidad de un nuevo modelo de financiación y provisión de las prestaciones sanitarias

2019 ◽  
pp. 391
Author(s):  
José Jerez Iglesias
Keyword(s):  
Health Care ◽  
Health System ◽  
National Health ◽  
Health Management ◽  
Health Benefits ◽  
National Health System ◽  
Right To Health ◽  
Public And Private ◽  
Right To Health Care ◽  
The Right

La cuestión de la gestión sanitaria en España planteainterrogantes sobre cómo abordar las causas que inciden en sussíntomas de falta de sostenibilidad y como resolver sus ineficienciasmás significativas, es decir, cómo encontrar modelos más eficientesde gestión de las prestaciones sanitarias para hacer sostenible el derechoa la prestación sanitaria de los ciudadanos.Se propone una reforma del Sistema Nacional de Salud (SNS)con un modelo alternativo de financiación y provisión de las prestacionessanitarias, basado en los principios de competencia, eficacia,eficiencia y libre elección de los asegurados entre centros concertadospúblicos y privados.The issue of health management in Spain raises questionsabout how to address the causes that affect its symptoms oflack of sustainability and how to solve its most significant inefficiencies,that is, how to find more efficient models of health benefitsmanagement to make sustainable the right to health care for citizens.A reform of the National Health System is proposed with an alternativemodel of financing and provision of health benefits, basedon the principles of competence, effectiveness, efficiency and freechoice of insured persons between public and private contractedcenters.

Sign in / Sign up

Export Citation Format

Share Document