scholarly journals Achieving change in the Healthcare Sector

2020 ◽  
Vol 13 (3) ◽  
pp. 6-14
Author(s):  
Alessandra Vlassi ◽  
Nikolaos Chamalidis ◽  
Dimitrios Palitzikas
Keyword(s):  
Healthcare System ◽  
Balance Of Power ◽  
Basic Function ◽  
Healthcare Sector ◽  
Patient Centered ◽  
Integration Of Services ◽  
Final Steady State ◽  
Essential Prerequisite

Individual health is an essential prerequisite for achieving quality of life. Healthcare is a basic function of a well-functioning social system. Contemporary changes at economic, social and demographic level require healthcare to show a high adaptive capacity to adapt to the inevitable change. Healthcare change processes need to involve different professional sectors and create an active commitment while avoiding competition and conflicts between the parties involved. In order to ensure long-term sustainability in change, inertia must be overcome. Integration of services is also an important element of sustainability and integration of functions. A service that can be more easily integrated into wider clinical systems seems to have a higher probability of sustainability, partly due to easier support from the stakeholders. It also makes it more difficult to remove these services without having a significant impact on the rest of the system. One of the dangers is that the change can become a part of the system and it is considered for granted and not as a project that requires constant development. Therefore, sustainability should be considered as a constantly evolving rather than a final steady state. In Greece, the goal today is to have a patient-centered health care system with a shifted balance of power from the healthcare provider to the consumer. In order to achieve this, it is important to improve the coordination throughout the healthcare system. Effective co-operation between providers is essential to transform the healthcare system in Greece.

Quality of life and patient-centered outcomes following atrial fibrillation ablation: short- and long-term perspectives to improving care

2012 ◽  
Vol 10 (7) ◽  
pp. 889-900 ◽  
Author(s):  
Sanghamitra Mohanty ◽  
Luigi Di Biase ◽  
Rong Bai ◽  
Pasquale Santangeli ◽  
Agnes Pump ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Atrial Fibrillation ◽  
Atrial Fibrillation Ablation ◽  
Patient Centered ◽  
Short And Long Term

OP16 A Patient-centered Value Framework For Healthcare In Hemophilia

2017 ◽  
Vol 33 (S1) ◽  
pp. 8-9 ◽  
Author(s):  
Brian O'Mahony ◽  
Gerard Dolan ◽  
Diane Nugent ◽  
Clifford Goodman
Keyword(s):  
Quality Of Life ◽  
Healthcare Delivery ◽  
Joint Damage ◽  
Developed Countries ◽  
Pathogen Transmission ◽  
Patient Centered ◽  
Access To Treatment ◽  
Age Related

INTRODUCTION:Hemophilia is a rare, inherited bleeding disorder affecting an estimated 400,000 people worldwide (1). Characterized by spontaneous bleeding and long-term, irreversible joint damage, persons with hemophilia are often limited in normal day-to-day activities, including work/school, and require comprehensive care at specialized treatment centers. With replacement therapies extending survival by decades and vastly improving quality of life (QoL), routine prophylaxis is considered the standard-of-care in developed countries. However, due to the cost of replacement factor, access to treatment remains a challenge, and increased scrutiny over funding has been augmented by growing demands on healthcare budgets (2). Thus, the hemophilia community shares a unified goal of objectively defining patient-centered value in hemophilia care.METHODS:Using a three-tiered outcomes hierarchy model initially described by Porter (3), an international, multidisciplinary panel of health economics outcomes researchers and hemophilia experts developed a value framework for decision makers to assess value of various healthcare interventions in hemophilia.RESULTS:The three tiers for assessing value are: (i) Health status achieved/retained; (ii) Process of recovery; and (iii) Sustainability of health. Tier one measures survival, quality of life (QoL), and hemophilia-specific outcomes of bleeding frequency, musculoskeletal complications, and severe bleeds, as well as function/activity (that is, lifestyle impairment). Tier two measures time to initial treatment or recovery and time missed at education/work, as well as disutility of care (that is, inhibitor development, pathogen transmission/infections, orthopedic intervention, and venous access). Tier three measures avoidance of bleeds, maintenance of productive lives, and long-term health, while capturing long-term consequences of insufficient therapy or age-related complications. Applicability of the framework can be demonstrated in areas of healthcare delivery, treatment regimen, and innovation for new therapies.CONCLUSIONS:This value framework represents an initial collaboration with stakeholders to define and organize an array of patient-centric outcomes of importance in hemophilia into a practical tool that can influence treatment and funding decisions in hemophilia care.

scholarly journals Providing care to long-term mechanically ventilated patients in Germany – Current situation and needs for action from the perspective of health professionals / Die Versorgung langzeitbeatmeter Patienten in Deutschland – Aktuelle Situation und Handlungsbedarfe aus der Sicht von Gesundheitsberufsangehörigen

2020 ◽  
Vol 7 (1) ◽  
pp. 53-65
Author(s):  
Yvonne Lehmann ◽  
Susanne Stark ◽  
Michael Ewers
Keyword(s):  
Health Professionals ◽  
Invasive Mechanical Ventilation ◽  
Life Quality ◽  
Control Mechanisms ◽  
Health Providers ◽  
Patient Centered ◽  
Patient Pathways ◽  
Number Of Patients

AbstractBackgroundThe number of patients depending on long-term invasive mechanical ventilation (IMV) has been increasing for several years. Anecdotal reports indicate heterogeneous health structures, opaque patient pathways, nontransparent and sometimes questionable practices in individual areas of care, inadequate quality standards and control mechanisms in Germany. However, there is hardly any empirical data on this topic.AimTo report findings from a qualitative study conducted as part of a complex research project to assess the appropriateness of care provided to IMV patients in Germany.MethodsThirteen semi-structured expert interviews were conducted with 22 health professionals providing care for IMV patients. The data analysis was conducted with MAXQDA according to the framework by Meuser and Nagel.ResultsInterviewees emphasized similar healthcare deficits. They considered health providers to be nontransparent and influenced by secondary interests. Quality of care is reported to be jeopardized by shortage of trained staff. Warranty of self-determination and participatory decision-making is not a matter of fact. Clarifying issues of sustaining life, quality of life and shaping the end of life is often ignored. The professionals are familiar with the patient pathways, allocation processes and responsibilities described in existing guidelines, but criticize the fact that they are not sufficiently binding. Accordingly, patient pathways are frequently individual results of experience-based, informal networking, and often left to chance.ConclusionsThe results point to a considerable need for action to reach an appropriate, integrated, patient-centered level of care for long-term IMV patients and ensure its quality.

Psoriasis Care: New and Emerging Pharmacologic Trends

2010 ◽  
Vol 14 (3) ◽  
pp. 119-129 ◽  
Author(s):  
Kim A. Papp ◽  
Wayne Carey
Keyword(s):  
Treatment Options ◽  
Evidence Based ◽  
Patient Centered ◽  
Published Evidence ◽  
Therapeutic Landscape ◽  
Emerging Therapies ◽  
Canadian Market ◽  
Centered Care

Background: The first Canadian Guidelines for the Management of Plaque Psoriasis were recently published, reflecting an evidence-based analysis of psoriasis therapies available in Canada. The guidelines advocate patient-centered psoriasis care in which physicians explore appropriate options to find safe therapies that patients will adhere to and be satisfied with over the long term. Objective: To update the discussion in the guidelines regarding new and emerging therapies and trends in psoriasis clinical research. Methods: Searches of Medline and clinicaltrials.gov were undertaken to identify new and emerging psoriasis therapies as of March 2009. Results: Since May 2008, when published evidence was evaluated for the guidelines, one new drug, ustekinumab, has been approved for moderate to severe psoriasis. New formulations and combinations of existing drugs are expected to reach the Canadian market shortly. Novel agents continue to move through clinical development. Conclusion: With the introduction and removal of antipsoriatic therapies from the Canadian market, the therapeutic landscape continues to shift. An increasing number of head-to-head comparisons and the reporting of ambitious treatment outcomes will simplify physicians' evaluation of treatment options. Recognition of quality of life as a key goal of psoriasis treatment is another hopeful trend, consistent with the principles of patient-centered care.

Building a Quality System in Medical Institutions. International and Russian Experience

2020 ◽  
Vol 144 ◽  
pp. 56-65
Author(s):  
Leonid M. Pechatnikov ◽  
◽  
Natal’ya V. Petrova ◽  
Artem V. Emanuel’ ◽  
Inna O. Churekova ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Management ◽  
Infectious Diseases ◽  
Medical Care ◽  
Quality Management System ◽  
Healthcare Sector ◽  
Medical Institutions ◽  
Force Majeure

The coronavirus pandemic, which covered a variety of countries with different health systems in terms of organization and development in 2020, brought to the fore not only the issues of predicting and treating mass infectious diseases, but also the problems of assessing the quality of both medical care and its effectiveness. Accordingly, building a quality management system in the healthcare sector as a whole is of paramount importance as well as the introduction of quality management in medical organizations in the new environment. In addition to solving the acute problems, which public health faced with in the fight against COVID-19, it is necessary to build long-term strategies for its functioning and development in order to avoid such force majeure in the future.

scholarly journals Emotions, Emotion Management and Emotional Intelligence in the Workplace: Healthcare Professionals' Experience in Emotionally-Charged Situations

2021 ◽  
Vol 6 ◽  
Author(s):  
Lara Carminati
Keyword(s):  
Mental Health ◽  
Emotional Intelligence ◽  
Healthcare System ◽  
Healthcare Professionals ◽  
Emotion Management ◽  
Healthcare Sector ◽  
Emotional Difficulties ◽  
Emotional Experiences ◽  
Context Dependent

This perspective article is grounded in a cognitive and context-dependent view on emotions. By considering emotions as socially embedded and constructed, the different but related concepts of Emotion Management and Emotional Intelligence can be introduced. Yet, research juxtaposing and applying them within the healthcare sector to explain healthcare professionals' multifaceted emotional experiences at work is still scarce. Hence, this article contributes to the literature on emotions by offering an overarching perspective on how the juxtaposition of Emotion Management and Emotional Intelligence may help healthcare professionals to bridge the developmental transition between these two crucial abilities which, in turn, can help them overcome emotional difficulties in complex situations. Such integration would positively influence individuals' behavioral and mental health, as well as the overall quality of the healthcare system.

scholarly journals The impact of agreement on government procurement use on the competition in Slovak healthcare sector

2021 ◽  
pp. 102-115
Author(s):  
Beata GAVUROVA ◽  
Jaroslav BELAS ◽  
Zuzana ROWLAND ◽  
Matus KUBAK
Keyword(s):  
Healthcare System ◽  
Slovak Republic ◽  
Public Procurement ◽  
Government Procurement ◽  
Healthcare Sector ◽  
Necessary Condition ◽  
Procurement Process ◽  
The Public ◽  
The Impact

The efficiency of the public finance system is conditioned also by the efficiency of public procurement processes. The Slovak healthcare system has been under pressure to increase long-term efficiency. With respect to achieve the efficiency in healthcare system, the efficient public procurement is necessary condition. It is important to examine the factors influencing the public procurement system in the health sector as well as the causal relationships that would provide a valuable platform for the evaluation mechanisms aimed at the effectiveness of the planned purchases. The healthcare sector is specific because it is difficult to consider the effectiveness of the medical equipment in public procurement as well as its long-term effects, the total cost of the treatment and the individual requirements of the patient. The aim of the study is to clarify, whether the use of GPA impact the occurrence of savings within the public procurement process and if application of GPA induces the competition among tenders, thus whether the use of GPA increase number of offers. We use data on public procurement in healthcare sector in Slovak republic in 2019. The focus of analysis is on the Agreement on Government Procurement use by Slovak public procurement bodies and its impact on competition and creation of savings in public procurement process. Our findings suggest that the use of Agreement on Government Procurement induce emergence of savings in public procurement and increases the level of competition. Analysis also indicates that there exists relatively tight correspondence between competition and emergence of savings within public procurement process. It holds that higher the number of offers is, the higher savings are.

scholarly journals The Impact of a Global Pandemic on People Living with Dementia and Their Care Partners: Analysis of 417 Lived Experience Reports

2021 ◽  
pp. 1-11
Author(s):  
Mallorie T. Tam ◽  
Jill A. Dosso ◽  
Julie M. Robillard
Keyword(s):  
Lived Experience ◽  
Task Force ◽  
Emotional Health ◽  
Patient Centered ◽  
Use Of Technology ◽  
Global Pandemic ◽  
Care Partners ◽  
The Impact

Background: The COVID-19 pandemic is impacting the physical and emotional health of older adults living with dementia and their care partners. Objective: Using a patient-centered approach, we explored the experiences and needs of people living with dementia and their care partners during the COVID-19 pandemic as part of an ongoing evaluation of dementia support services in British Columbia, Canada. Methods: A survey instrument was developed around the priorities identified in the context of the COVID-19 and Dementia Task Force convened by the Alzheimer Society of Canada. Results: A total of 417 surveys were analyzed. Overall, respondents were able to access information that was helpful for maintaining their own health and a period of social distancing. Care partners reported a number of serious concerns, including the inability to visit the person that they care for in long-term or palliative care. Participants also reported that the pandemic increased their levels of stress overall and that they felt lonelier and more isolated than they did before the pandemic. The use of technology was reported as a way to connect socially with their loved ones, with the majority of participants connecting with others at least twice per week. Conclusion: Looking at the complex effects of a global pandemic through the experiences of people living with dementia and their care partners is vital to inform healthcare priorities to restore their quality of life and health and better prepare for the future.

Quality End-of-Life CarePatients’ Perspectives (DRAFT)

2018 ◽  
Author(s):  
Jesse A. Soodalter ◽  
Yael Schenker
Keyword(s):  
End Of Life ◽  
End Of Life Care ◽  
Long Term Care ◽  
Sense Of Control ◽  
Life Care ◽  
Patient Centered ◽  
Term Care ◽  
Eol Care

This chapter summarizes Singer and colleagues’ 1999 “Quality End-of-Life Care: Patients’ Perspectives,” which investigates elements of quality end-of-life (EOL) care from patients’ perspectives. The study uses content analysis of previously conducted interviews with 126 dialysis and HIV patients and long-term care residents to identify five domains of quality EOL care: receiving adequate pain and symptom management, avoiding inappropriate prolongation of dying, achieving a sense of control, relieving burden, and strengthening relationships with loved ones. The authors compare these with three other, non-patient-derived taxonomies, finding the study’s domains to be simpler and more specific, less conceptually driven (e.g., “processes of care”), and more outcome-focused. This study pioneered patient-centered research into quality of EOL care, which has since expanded to many other populations

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