scholarly journals Quantifying Recent Upsurge in Covid-19 Incidence and Related Fatalities: An Implication of Delayed Response or State of Delivery Health Care System?

2020 ◽  
Vol 16 ◽  
pp. 47-61
Author(s):  
Taofik Olatunji Bankole ◽  
Glory Urhere
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Growth Rates ◽  
Healthcare Delivery ◽  
Data Bank ◽  
Delayed Response ◽  
Series Method ◽  
Healthcare Delivery System ◽  
Cross Sectional ◽  
Times Series

Study Aim: To validate the recent upsurge in COVID-19 incidence and related fatalities in a retrospective to the state of the healthcare delivery system and delayed in response to the pandemic in Nigeria. Methods: The quantitative cross-sectional times series method was adopted. COVID-19 Data for Nigeria were extracted for reported cases and fatalities arising from COVID-19 complications from the WHO COVID-19 situational data bank between March 15 and July 15, 2020. The incidence and fatality growth rates were generated at intervals for four months. Data were analyzed with the Stata version 15. Results: Findings showed that the recent upsurge in COVID-19 accounted for 99.2%, 98.9%, 98.5%, 99.8%, 99.2%, 99.8%, and 97.3% complications that led to the death of infected patients in the Northcentral, Northeast, Northwest, Southeast, Southsouth. Southwest and the FCT. The results showed that there was a strong uphill linear (r = 0.991) and a significant association between COVID-19 incidence and fatalities arising from COVID-19 complications in Nigeria (ß = 0.022; t = 30.2; p<0.001).

A Multidisciplinary Remote Healthcare Delivery System to Increase Health Care Access, Pathology Screening, and Treatment in Developing Countries

2019 ◽  
pp. 1376-1409
Author(s):  
Thierry Oscar Edoh ◽  
Pravin Amrut Pawar ◽  
Bernd Brügge ◽  
Gunnar Teege
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Access ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Access To Healthcare ◽  
Healthcare Delivery System ◽  
Care Access ◽  
Traditional Practitioners ◽  
Remote Care

In this paper, the authors describe a case study of the poor access to healthcare in developing world, case of Benin, a West African developing country. The authors identify problems and the existing obstacles for applying standard Telemedicine and eHealth solutions. The authors particularly describe an adapted multidisciplinary remote care delivery system approach for improving and increasing the use of existing health services as well as the access to healthcare by overcoming some cultural, social, financial, and at least linguistic barriers. The multidisciplinary remote care delivery system integrates traditional practitioners, because most people are more confident with the traditional medicine. The authors further present a practical test which has shown that their approach has the potential to improve the quality and effectiveness of health care in rural and other concerned regions and also increase the accessibility to health care system.

Health Care from a Systems Thinking Perspective

2017 ◽  
Vol 2 (2) ◽  
Keyword(s):  
Health Care ◽  
Systems Thinking ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Delivery System ◽  
Quality Health Care ◽  
Healthcare Design ◽  
Design Structure ◽  
Quality Health

Highlight the systems thinking perspective inensuring quality health care. Transforming the healthcare delivery system, changing healthcare DESIGN, STRUCTURE AND processes to correct inherent structural deficiencies.

A Multidisciplinary Remote Healthcare Delivery System to Increase Health Care Access, Pathology Screening, and Treatment in Developing Countries

2017 ◽  
pp. 269-302
Author(s):  
Thierry Oscar Edoh ◽  
Pravin Amrut Pawar ◽  
Bernd Brügge ◽  
Gunnar Teege
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Access ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Access To Healthcare ◽  
Healthcare Delivery System ◽  
Care Access ◽  
Traditional Practitioners ◽  
Remote Care

In this paper, the authors describe a case study of the poor access to healthcare in developing world, case of Benin, a West African developing country. The authors identify problems and the existing obstacles for applying standard Telemedicine and eHealth solutions. The authors particularly describe an adapted multidisciplinary remote care delivery system approach for improving and increasing the use of existing health services as well as the access to healthcare by overcoming some cultural, social, financial, and at least linguistic barriers. The multidisciplinary remote care delivery system integrates traditional practitioners, because most people are more confident with the traditional medicine. The authors further present a practical test which has shown that their approach has the potential to improve the quality and effectiveness of health care in rural and other concerned regions and also increase the accessibility to health care system.

scholarly journals Patient Choice and Willingness Toward Gatekeepers as First-Contact Medical Institutions in Chinese Tiered Healthcare Delivery System: A Cross-Sectional Study

2021 ◽  
Vol 9 ◽  
Author(s):  
Xia Li ◽  
Liang Zhang ◽  
Zhong Li ◽  
Wenxi Tang
Keyword(s):  
Delivery System ◽  
Family Income ◽  
Healthcare Delivery ◽  
Binary Logistic Regression ◽  
Cross Sectional Study ◽  
Patient Choice ◽  
Healthcare Delivery System ◽  
Cross Sectional ◽  
Primary Care Institutions ◽  
First Contact

Introduction: Gatekeeping mechanism of primary care institutions (PCIs) is essential in promoting tiered healthcare delivery system in China. However, patients seeking for higher-level institutions instead of gatekeepers as their first contact has persisted in the past decade. This study aims to explain patients' choice and willingness and to provide potential solutions.Methods: A survey was conducted among residents who had received medical care within the previous 14 days. Patients' choice and willingness of PCIs for first contact together with influencing factors were analyzed using binary logistic regression.Results: Of 728 sampled patients in Hubei, 55.22% chose PCIs for first contact. Patients who are older, less educated, with lower family income, not living near non-PCIs, with better self-perceived health status, only buying medicines, and living in rural instead of urban area had significantly higher probability of choosing PCIs. As of willingness, over 90% of the patients inclined to have the same choice for their first contact under similar health conditions. Service capability was the primary reason limiting patients' choice of PCIs.Conclusions: The gatekeeper system did not achieve its goal which was 70% of PCIs among all kinds of institutions for first contact. Future measures should aim to improve gate-keepers' capability.

scholarly journals HOW TELEMEDICINE HAS CHANGED SURGICAL PRACTICE IN COVID PANDEMIC

2020 ◽  
pp. 7-10
Author(s):  
Praveen Kumar ◽  
Farhanul Huda ◽  
Somprakas Basu
Keyword(s):  
Health Care ◽  
Medical Education ◽  
Information And Communication Technologies ◽  
Delivery System ◽  
Healthcare Delivery ◽  
National Health System ◽  
Current Status ◽  
Free Text ◽  
Healthcare Delivery System ◽  
History Of

Background—The history of telemedicine parallels the history of communication and information technologies. With the advancement in information and communication technologies, telemedicine has also progressed. Still, it could not gain a respectable place in the healthcare delivery system due to lack of clear guidelines, lack of multidisciplinary approach to patient management, onerous privacy regulations, lack of reimbursement, lack of human touch in teleconsultations, and lack of integration with the national health system. There is a need to promote telemedicine services by looking into the current framework and bringing necessary changes to ease the delivery of services. Also, proper training of health care professionals about digital communication to improve patient outcome, and the introduction of telemedicine in medical education so that medical students do not suffer in the present scenario of COVID-19. Methods- We searched MEDLINE, Embase, PubMed, and PubMed Central. We used free-text terms and MeSH terms such as telemedicine, telemedicine, and COVID 19 pandemic, telemedicine and medical education, telemedicine pitfalls. Data regarding the guidelines of telemedicine and waivers during the pandemic, the current status of telemedicine in the healthcare delivery system, and its promotion during the epidemic were extracted. Finally,43 articles were found suitable to be considered for writing this evidence-based review. Results—Telemedicine has proven to be an important tool to reduce the risk of transmission of COVID 19 without hampering patient care,medical education and research. With relaxation of existing guidelines in most of the countries and training of healthcare professionals to introduce digital empathy it can be closer to a usual patient-provider encounter. Conclusion—Telemedicine cannot replace regular face to face patient-provider encounters, but it can be helpful, especially during the times of pandemics as happening during current circumstances. It should be included in the health care delivery infrastructure with all guidelines and legality to help the existing system during normal conditions and take over in need of time.

A Multidisciplinary Remote Healthcare Delivery System to Increase Health Care Access, Pathology Screening, and Treatment in Developing Countries

2016 ◽  
Vol 11 (4) ◽  
pp. 1-31 ◽  
Author(s):  
Thierry Oscar Edoh ◽  
Pravin Amrut Pawar ◽  
Bernd Brügge ◽  
Gunnar Teege
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Access ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Access To Healthcare ◽  
Healthcare Delivery System ◽  
Remote Healthcare ◽  
Traditional Practitioners ◽  
Remote Care

In this paper, the authors describe a case study of the poor access to healthcare in developing world, case of Benin, a West African developing country. The authors identify problems and the existing obstacles for applying standard Telemedicine and eHealth solutions. The authors particularly describe an adapted multidisciplinary remote care delivery system approach for improving and increasing the use of existing health services as well as the access to healthcare by overcoming some cultural, social, financial, and at least linguistic barriers. The multidisciplinary remote care delivery system integrates traditional practitioners, because most people are more confident with the traditional medicine. The authors further present a practical test which has shown that their approach has the potential to improve the quality and effectiveness of health care in rural and other concerned regions and also increase the accessibility to health care system.

The healthcare delivery system: an overview

2017 ◽  
Author(s):  
Jan Abel Olsen
Keyword(s):  
Delivery System ◽  
Chronic Care ◽  
Tertiary Care ◽  
Healthcare Delivery ◽  
Healthcare Delivery System ◽  
Care Level ◽  
Primary Care Level ◽  
Internal Markets ◽  
System A ◽  
Policy Challenge

This chapter provides an overview of the healthcare delivery system. A figure illustrates how six different parts of the system relate to each other. The primary care level plays a key role in many countries by representing the gate, in which referrals to secondary care are being made. Tertiary care is principally of two types depending on patients’ prognosis: chronic care or rehabilitation. In addition to the three care levels, there are two parts with quite different roles: pharmacies provide pharmaceuticals, and sickness benefit schemes compensate the sick for their income losses. A recurrent policy challenge is to make each provider level take into account the resource implications of their isolated decisions outside of their own budgets. A brief discussion is included on the scope for ‘internal markets’.

scholarly journals Seroprevalence of antibodies to SARS-CoV-2 in healthcare workers: a cross-sectional study

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e043584 ◽  
Author(s):  
Joseph E Ebinger ◽  
Gregory J Botwin ◽  
Christine M Albert ◽  
Mona Alotaibi ◽  
Moshe Arditi ◽  
...  
Keyword(s):  
African American ◽  
Los Angeles ◽  
Delivery System ◽  
Healthcare Workers ◽  
Los Angeles County ◽  
Healthcare Delivery ◽  
Healthcare Delivery System ◽  
Hispanic Ethnicity ◽  
Factors Associated ◽  
African American Race

ObjectiveWe sought to determine the extent of SARS-CoV-2 seroprevalence and the factors associated with seroprevalence across a diverse cohort of healthcare workers.DesignObservational cohort study of healthcare workers, including SARS-CoV-2 serology testing and participant questionnaires.SettingsA multisite healthcare delivery system located in Los Angeles County.ParticipantsA diverse and unselected population of adults (n=6062) employed in a multisite healthcare delivery system located in Los Angeles County, including individuals with direct patient contact and others with non-patient-oriented work functions.Main outcomesUsing Bayesian and multivariate analyses, we estimated seroprevalence and factors associated with seropositivity and antibody levels, including pre-existing demographic and clinical characteristics; potential COVID-19 illness-related exposures; and symptoms consistent with COVID-19 infection.ResultsWe observed a seroprevalence rate of 4.1%, with anosmia as the most prominently associated self-reported symptom (OR 11.04, p<0.001) in addition to fever (OR 2.02, p=0.002) and myalgias (OR 1.65, p=0.035). After adjusting for potential confounders, seroprevalence was also associated with Hispanic ethnicity (OR 1.98, p=0.001) and African-American race (OR 2.02, p=0.027) as well as contact with a COVID-19-diagnosed individual in the household (OR 5.73, p<0.001) or clinical work setting (OR 1.76, p=0.002). Importantly, African-American race and Hispanic ethnicity were associated with antibody positivity even after adjusting for personal COVID-19 diagnosis status, suggesting the contribution of unmeasured structural or societal factors.Conclusion and relevanceThe demographic factors associated with SARS-CoV-2 seroprevalence among our healthcare workers underscore the importance of exposure sources beyond the workplace. The size and diversity of our study population, combined with robust survey and modelling techniques, provide a vibrant picture of the demographic factors, exposures and symptoms that can identify individuals with susceptibility as well as potential to mount an immune response to COVID-19.

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