scholarly journals HEALTH CARE AND PHARMACEUTICALS 2020: KEY FACTORS, EXPECTED TRENDS AND WAY AHEAD

Author(s):  
DR VARSHA NARAYANAN
Keyword(s):  
2015 ◽  
Vol 7 (2) ◽  
pp. 51-56

ABSTRACT Introduction Acquired benign laryngotracheal stenosis is often preventable. A majority of such patients have a history of some airway intervention, ranging from a planned endotracheal intubation for the purpose of anesthesia, to an emergency tracheotomy in the setting of stridor. The primary aim of the first treating clinician is to secure the airway, and often these patients already have a tracheotomy at the time of initial presentation. Materials and methods We analyzed 80 patients that have been managed for varying grades and locations of acquired benign laryngotracheal stenosis presenting to a tertiary healthcare centre, and analyzed the impact of tracheotomy on the eventual outcome. Summary and conclusion Tracheotomies performed in patients suffering from stenosis in the airway pose technical challenges. If planned even in the most urgent situations, they can play a vital role in determining the eventual outcome of the definitive treatment. The site, technique and care of the tracheotomy are key factors in determining the eventual outcome. How to cite this article Hathiram BT, Khattar VS. The Impact of Tracheotomy on the Eventual Outcome of Surgery for Benign Laryngotracheal Stenosis in a Tertiary Health Care Setup. Int J Otorhinolaryngol Clin 2015;7(2):51-56.


2021 ◽  
Author(s):  
Maryam Hedayati ◽  
Iravan Masoudi Asl ◽  
Mohammad Reza Maleki ◽  
Salime Goharinezhad ◽  
Ali Akbar Fazaeli

BACKGROUND Health expenditure is a vital issue for policymakers not as it were due to the health outcome significance, but moreover since of the gradual total health expenditure rises that has ended up a major concern. To survey the financial related burden due to out-of-pocket payments, two commonly elite approaches have been utilized: catastrophic and impoverishing health expenditures. Catastrophic healthcare expenditures and impoverishment both can prevent individuals from accessing effective healthcare services. In Iran, the high out-of-pocket and increase in the share of the population experiencing catastrophic healthcare expenditures and poor financial protection of households against catastrophic healthcare expenditures are among the major public health concerns. To identify the drivers, key factors, and the trends of catastrophic and impoverishing healthcare expenditures among Iranian households, this study will be conducted by futures studies approach. OBJECTIVE - To identify the key drivers affecting the future of catastrophic and impoverishing healthcare expenditure in Iran. - To assess the trend in the incidence and intensity of CHE in Iran. - To categorize the key drivers - To prioritize main promoter factors in terms of importance, effectiveness and lack of uncertainty. METHODS This study will conduct in four steps. The drivers of the future of Exposure Households with Catastrophic and Impoverishing Health Expenditure will be listed by analyzing the results of a scoping review and then semi-structured interviews with health financial experts. Afterward, key drivers will be categorized using Porter's five forces (social, technical, economic, environmental, and political) for the macro environment and prioritized using the Fuzzy Analytical Hierarchy Process (FAHP) formulated in excel software. Further, cross-impact analysis of promoter factors and analytic hierarchy process will be used to determine main promoter factors in terms of importance, effectiveness, and lack of uncertainty. RESULTS We anticipate that the results of this protocol study will provide a comprehensive overview of the evidence on the determinants of unfairness and payments that expose the Iranian households to catastrophic and impoverishing health care expenditures and identify research gaps. CONCLUSIONS In our study, we will examine the rates of catastrophic health expenditure and impoverishment from medical expenses and its drivers in Iran. This will provide insight into the level of financial protection that a healthcare financing system provides for its citizens. It reflects the financial burden shouldered by families and the financial barriers that reduce their access to health care.


The purpose of this chapter is to explore one of the key factors for the deficiencies in the modern health care system: the supposed unprofessional behavior of doctors. This could take several forms ranging from clinical detachment at its mildest to criminal negligence at it severest. By studying the reasons for the lack of professionalism, one could devise ways to rectify the situation and make health care truly patient centered.


2006 ◽  
Vol 45 (01) ◽  
pp. 10-18 ◽  
Author(s):  
A. C. Wolff ◽  
U. Kutscha ◽  
T. Wetter ◽  
P. Knaup ◽  
S. Garde

Summary Objectives: The introduction of information system components (ISCs) usually leads to a change in existing processes, e.g. processes of patient care. These processes might become even more complex and variable than before. An early participation of end users and a better understanding of human factors during design and introduction of ISCs are key factors for a successful introduction of ISCs in health care. Nonetheless no specialized methods have been developed until now to systematically support the integration of ISCs in existing processes of patient care while taking into account these requirements. In this paper, therefore, we introduce a procedure model to implement Concepts for Smooth Integration of ISCs (CSI-ISC). Methods: Established theories from economics and social sciences have been applied in our model, among them the stress-strain-concept, the contrastive task analysis (KABA), and the phase model for the management of information systems. Results: CSI-ISC is based on the fact that while introducing new information system components, users experience additional workload. One essential aim during the introduction process therefore should be to systematically identify, prioritize and ameliorate workloads that are being imposed on human beings by information technology in health care. To support this, CSI-ISC consists of a static part (workload framework) and a dynamic part (guideline for the introduction of information system components into existing processes of patient care). Conclusions: The application of CSI-ISC offers the potential to minimize additional workload caused by information system components systematically. CSI-ISC rationalizes decisions and supports the integration of the information system component into existing processes of patient care.


Author(s):  
Bonita Beulah Beatty ◽  
Loleen Berdahl

Canadian researchers and policymakers have paid limited attention to the health care needs of Aboriginal seniors. This lack of attention is problematic, as the situation of Aboriginal seniors – including both status and non-status First Nations, Métis and Inuit – is particularly bleak. Using Winnipeg, Regina and Saskatoon as examples, this paper analyses the health care challenges facing Aboriginal seniors in urban Canada. We ask, what policy approaches are needed to improve the health and wellbeing of urban Aboriginal seniors so that they can have good quality living reflective of their needs and culture? We suggest that, in thinking through present and future health services for urban Aboriginal seniors, policymakers should consider four key factors: socioeconomic conditions; underutilization of urban health services; jurisdiction; and elder abuse.


2021 ◽  
Vol 12 ◽  
Author(s):  
Megan Woods ◽  
Mandy L. Matthewson

Each year thousands of workers experience a serious illness or injury that necessitates time off work and a subsequent re-engagement with the work environment. In Australia, workers’ compensation legislation mandates the return-to-work (RTW) process is formal, structured, and negotiated between the worker, their employer, health care professionals and their RTW coordinator. How this is executed by those parties directly influences whether the RTW process is supportive and successful, or exacerbates the suffering of returning workers by causing them to feel ostracised, exposed, and vulnerable in their workplace. In this article, we examine how the RTW process can cause physical, emotional, social, and existential suffering for returning workers. We then discuss how the suffering that workers experience can be mitigated by five key factors: clarity of roles in the RTW process, alignment of worker and employer expectations, the advocacy provided by the RTW coordinator, the support provided for the worker’s psychological wellbeing, and the RTW literacy of supervisors and colleagues.


2008 ◽  
Vol 17 (2) ◽  
pp. 67-73
Author(s):  
Paul Cooke

Abstract This article highlights key factors individuals with dysphagia face on a daily basis and discusses ways in which speech-language pathologists, other health care professionals, and family members can encourage these individuals to eat and drink. The present focus is on those patients who are partially or totally eating and drinking orally. They may or may not be feeding themselves and may reside in a variety of settings, including: their home, with family members, at various levels within the hospital system, in a rehabilitation facility, and/or in a nursing home. Various proactive strategies are provided that will benefit caregivers assisting individuals with dysphagia.


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