scholarly journals Evaluation on public and private health care delivery in COVID19

2021 ◽  
Vol 5 (1) ◽  
pp. e14
Author(s):  
Sung-In Jang ◽  
Won-Jung Chae
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Public Hospitals ◽  
Cumulative Number ◽  
University Hospitals ◽  
Public And Private ◽  
Healthcare Facilities ◽  
Number Of Patients ◽  
National University

Background: In Korea, there are two healthcare delivery sectors: public and private. The purpose of this study is to compare public and private healthcare delivery in the context of COVID-19 and evaluate healthcare delivery to patients with medical benefits.Methods: Data from the Korea Centersfor Disease Control and Prevention (KCDC), the Health Insurance Reviewand Assessment Service claimdata, and the Ministry ofHealth andWelfarewere analyzed fromJanuary 2020 to February 2021.Results: During the observation period, the cumulative number of patients with the most severe cases was 1,566, and the proportion of inpatients with the most severe cases by healthcare facilities types were: 44.2% (692 patients) in regional public hospitals, 8.9% (140 patients) in national university hospitals, and 22.9% (358 patients) in other types of public hospitals, and 24.0% (376 patients) of private hospitals. The proportion of patients receiving medical benefits by health care institutions was 13.9% in regional public hospitals, 6.7% in national university hospitals, and 7.1% in other public hospitals.Conclusions: The debate about the roles and functions of public and private hospitalsis ongoing. Ratherthan classifying according to the establishment entity, it is necessary to seek ways to achieve the ultimate goal of the medical system, which isto protect people’slives and promote health.

Patient Response Toward a Change in the System of Health Care Delivery

PEDIATRICS ◽  
1973 ◽  
Vol 52 (2) ◽  
pp. 289-293
Author(s):  
Kathleen J. Motil ◽  
W. John Siar
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Poor Quality ◽  
Emergency Rooms ◽  
Patient Response ◽  
Number Of Patients ◽  
Comprehensive Health ◽  
Crisis Care

With the emphasis being placed on comprehensive health care, outpatient clinics in major city hospitals have found it necessary to reevaluate their methods of health care delivery. An increasing number of patients who fail to schedule or keep medical appointments appear for crisis care, resulting in a higher cost of hospital operation due to unnecessary utilization of emergency rooms and the wasting of time of clerical and professional personnel, as well as poor quality of health care due to See the Table in PDF File sporadic clinic attendance. When comparing behavior patterns and attitudes of clinic patients under different methods of health care delivery, patient preferences become apparent.

Healthcare Cost and Patient Satisfaction: A Comparative Analysis Between Public and Private Hospitals in Bangladesh

2021 ◽  
Author(s):  
Farhana Begum ◽  
Jamaliah Said ◽  
Syed Zabid Hossain ◽  
Mohammad Jahid Hasan ◽  
Normah Binti
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Comparative Analysis ◽  
Healthcare Cost ◽  
Health Care Facilities ◽  
Public Hospitals ◽  
Satisfaction Level ◽  
Private Hospitals ◽  
Public And Private ◽  
Female Ratio

Abstract Background and objective: Patient satisfaction and its relation with healthcare cost in Bangladesh remains unknown. The objective of the study was to perform a comparative analysis of satisfaction of patients in relation with healthcare cost in public and private healthcare settings in Bangladesh.Methods: This cross-sectional study was conducted at two public and two private hospitals in Dhaka city, Bangladesh. A total of 1120 respondents were included by purposive sampling. Data collection was performed with a semi-structured questionnaire. The level of satisfaction was assessed by a 5-point Likert scale. Expenditure details during hospital stay were also recorded. Informed consent was obtained, and study procedures were conducted according to the Declaration of Helsinki. SPSS 23 was used for statical test. Results: The mean age of the respondents was 50.10±21.13 (SD) years, with a male-female ratio of 1.14:1. The majority were from urban areas. The average health-care cost of patients in both the conservative and operative groups was statistically significantly higher in private hospitals than in public hospitals (p<0.001). The overall satisfaction level was higher among the patients who received care from private settings than the public (p<0.001). However, taking health care in private hospitals rather than public hospitals was independently associated with patient satisfaction when adjusted for other factors (age, sex, economic status, treatment type, duration of hospital stays, treatment outcome, and total expense).Conclusion: Despite higher expenses, the overall satisfaction level was significantly better in private health-care facilities. These findings need to be explored in further large multicenter studies.

scholarly journals A COMPARATIVE STUDY OF THE PERCEPTIONS OF RURAL DWELLERS TOWARDS HEALTH CARE DELIVERY

2021 ◽  
Vol 9 (04) ◽  
pp. 451-454
Author(s):  
Felix a ◽  
◽  
J. Ugwu ◽  
Clara Okenyi ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Significant Relationship ◽  
Survey Design ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Test Analysis ◽  
Rural Dwellers

The present study aimed to comparatively analyze healthcare delivery perception among rural dwellers based on education (formal/informal) and gender. The study adopted a cross-sectional survey design. A total of two hundred rural dwellers comprising males and females participated in the study. Perception towards health care delivery was measured with a self-developed instrument with demographic information. An independent t-test analysis found no statistically significant relationship between education and perception towards health care delivery. However, the result revealed a significant relationship between gender and perception towards health care delivery. Females were found to show a more positive attitude towards health care delivery than their male counterparts. The findings and conclusions are discussed.

scholarly journals PERANAN SERVICE QUALITY TERHADAP PATIENT REVISIT INTENTION MELALUI PATIENT SATISFACTION PADA RUMAH SAKIT UMUM DAN RUMAH SAKIT SWASTA TIPE B

2008 ◽  
Vol 1 (1) ◽  
pp. 49
Author(s):  
Febry Adhiana
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Health Care Professionals ◽  
Public Hospitals ◽  
Human Beings ◽  
Private Hospitals ◽  
Public And Private ◽  
Revisit Intention ◽  
Public And Private Hospitals

<p>Backg of nd: the increasing of awareness in health care by Indonesian people especially in Jakart Healthcare that health care professionals are highly dependent on each other to provide and coordi ate services of high value for human beings. Patients usually prefer to go to private hospitals hoping tc receive high service quality. But in fact, public hospitals have a good quality service also becau e ft is supported by the government.<br />Object ve to compare service quality, patient satisfaction and patient revisit intention of public and privatE hospitals.<br />Resea h design: this research applies to public and private hospitals in Jakarta and questionnaires were s read away to 97 respondents or patients from some public and private hospitals in Jakarta by usi g purpose sampling.<br />Findin s: There are no differences between private and public hospitals in service quality, patient satisf Um and patient revisit intention. Finally the implications of the results are highlighted for health :are managers.</p>

scholarly journals Efforts and Challenges to Ensure Continuity of Mental Healthcare Service Delivery in a Low Resource Settings During COVID-19 Pandemic—A Case of a Kenyan Referral Hospital

2021 ◽  
Vol 11 ◽  
Author(s):  
Edith Kwobah ◽  
Florence Jaguga ◽  
Kiptoo Robert ◽  
Elias Ndolo ◽  
Jane Kariuki
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Service Delivery ◽  
Mental Health Care ◽  
Healthcare Service ◽  
Healthcare Delivery ◽  
Mental Healthcare ◽  
Referral Hospital ◽  
Number Of Patients

The rising number of patients with Covid-19 as well as the infection control measures have affected healthcare service delivery, including mental healthcare. Mental healthcare delivery in low and middle income countries where resources were already limited are likely to be affected more during this pandemic. This paper describes the efforts of ensuring mental healthcare delivery is continued in a referral hospital in Kenya, Moi Teaching and Referral hospital, as well as the challenges faced. These efforts are guided by the interim guidelines developed by the Kenyan ministry of health. Some of the adjustments described includes reducing number of patients admitted, shortening the stay in the inpatient setting, using outdoors for therapy to promote physical distancing, utilization of electronic platforms for family therapy sessions, strengthening outpatient services, and supporting primary care workers to deliver mental health care services. Some of the challenges include limited ability to move about, declining ability for patients to pay out of pocket due to the economic challenges brought about by measures to control Covid-19, limited drug supplies in primary care facilities, inability to fully implement telehealth due to connectivity issues and stigma for mental health which results in poor social support for the mentally ill patients. It is clear that current pandemic has jeopardized the continuity of usual mental healthcare in many settings. This has brought to sharp focus the need to decentralize mental health care and promote community based services. Meanwhile, there is need to explore feasible alternatives to ensure continuity of care.

Intensive Care Unit Operational Modeling and Analysis

2011 ◽  
pp. 132-147
Author(s):  
Yue Dong ◽  
Huitian Lu ◽  
Ognjen Gajic ◽  
Brian Pickering
Keyword(s):  
Health Care ◽  
Critical Care ◽  
Health Care Providers ◽  
Systems Engineering ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Organizational Factors ◽  
Modeling And Analysis ◽  
Novel Approach ◽  
Life Threatening

The outcome of critical illness depends not only on life threatening pathophysiologic disturbances, but also on several complex “system” dimensions: health care providers’ performance, organizational factors, environmental factors, family preferences and the interactions between each component. Systems engineering tools offer a novel approach which can facilitate a “systems understanding” of patient-environment interactions enabling advances in the science of healthcare delivery. Due to the complexity of operations in critical care medicine, certain assumptions are needed in order to understand system behavior. Patient variation and uncertainties underlying these assumptions present a challenge to investigators wishing to model and improve health care delivery processes. In this chapter we present a systems engineering approach to modeling critical care delivery using sepsis resuscitation as an example condition.

Management of public healthcare facilities in the Philippines: issues and concerns

2019 ◽  
Vol 25 (10) ◽  
pp. 1-17 ◽  
Author(s):  
Ramiro Z Dela Cruz ◽  
Ruth A Ortega-Dela Cruz
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Services ◽  
The Philippines ◽  
Public Hospitals ◽  
Public Health Care ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Descriptive Research ◽  
Primary Means ◽  
Insufficient Knowledge

Background/Aims Public hospitals are the primary means of healthcare delivery in developing countries. Given the pressing need for efficient health services, it is imperative to know the extent to which a country's public healthcare institutions meet an ever increasing public demand. This study aimed to assess the state of hospital facilities among public health care institutions in a developing country. Methods Descriptive research methods were used, including needs analysis along with management and client satisfaction surveys, in order to analyse information on issues that related to the management of hospital facilities in the Philippines. Various members of the hospital community were selected to assess different aspects of hospital management. Results The results of this study show that most concerns stemmed from the lack of financial resources, materials, equipment and technological innovations; insufficient knowledge, skills and human resources; and problems that related to processes and methodologies. Conclusions Public hospitals are in dire need of facility upkeep to maintain their operations. This has become a more pressing concern because of the very limited resources at the disposal of public hospitals. This study also highlighted the crucial role played by the national government in finding effective and efficient ways to address these issues and concerns to ensure successful delivery of healthcare services in the country.

scholarly journals Prevalence of HIV and Treponema pallidum infections in pregnant women in Campinas and their association with socio-demographic factors

1996 ◽  
Vol 114 (2) ◽  
pp. 1108-1116 ◽  
Author(s):  
Eliana Amaral ◽  
Anibal Faúndes ◽  
Neiva Sellan Lopes Gonçales ◽  
Jordão Pellegrino Jr. ◽  
Carmino Antonio de Souza ◽  
...  
Keyword(s):  
Social Security ◽  
Private Insurance ◽  
Treponema Pallidum ◽  
Public Hospitals ◽  
Private Institutions ◽  
University Hospitals ◽  
Private Hospitals ◽  
Public And Private ◽  
Public And Private Hospitals ◽  
Socio Demographic Factors

The anonymous seroprevalence of HIV and syphilis was studied by collecting umbilical cord blood samples from 5,815 women who gave birth in Campinas' hospitals throughout a six-month period. ELISA and Western blot were used for HIV, and VDRL and TPHA for Treponema pallidum screening. While maintaining the anonymity of the women, information was recorded on the hospital of origin, divided into university (public) and private hospitals, as well as on the form of payment (social security, private insurance or direct payment), age, marital status, education, employment and place of residence. Seroprevalence was 0.42 percent for HIV and 1.16 percent for syphilis. There was a significant correlation between a positive reaction to the two infections (p=0.02). After univariate and logistic regression analysis, only university hospitals were shown to be associated with seropositivity for HIV, whereas the same variable and an older age were associated with syphilis. All positive reactions were found either in public hospitals or among social security patients treated at private institutions. The conclusion was that HIV infection is becoming almost as prevalent as syphilis among this population, and affects primarily the lower socio-economic strata. This suggests that routine, voluntary HIV serology should be considered and discussed with patients during prenatal or delivery care whenever a population shows a seroprevalence close to or greater than 1 percent.

scholarly journals Management effectiveness and efficiency of healthcare delivery system at ophthalmology outpatient department (OPD) in the Sadar Hospital, Chuadanga, Bangladesh

KYAMC Journal ◽  
2018 ◽  
Vol 9 (2) ◽  
pp. 76-80
Author(s):  
M Idris Ali ◽  
Monira Khatun ◽  
Abdullah Al Mamun ◽  
Md Mofazzal Sharif ◽  
AKM Enamul Haque
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Care Delivery ◽  
Health Care Service ◽  
Healthcare Delivery ◽  
Outpatient Department ◽  
Management Effectiveness ◽  
Hospital District ◽  
Department Of Ophthalmology ◽  
Effectiveness And Efficiency

Background: This present study was carried out in the Outpatient Department of Ophthalmology in Chuadanga Sadar hospital, Bangladesh with the general objective to observe the management effectiveness and efficiency of health service provided in Outpatient Department at Sadar hospital (District level) in Bangladesh and ultimately reveal the need of a managerial personnel in health management other than doctor.Objectives: The objective of the study was to find out management effectiveness, efficiency of health care service at OPD and ultimately reveal need for a managerial personnel for management other than doctor.Materials & Methods: This cross-sectional study was carried out among 450 respondents by using a pre-tested questionnaire over a period of six months.Results: Regarding health care delivery system at outpatient in Bangladesh it was found that before appointment, majority of the respondent (94.44%) were referred to the OPD by local village doctor. After arrival at OPD, majority (29.56%) respondents experienced poor courtesy of the attending personnel. Consultation started between 16-30 minutes after appointment. During consultation with the doctor 66.22% respondents had enough time to consult to a doctor but to some extent. In most (50%) of the cases, consultation time was less than 5 minutes. Most of the respondents (48.88%) were not satisfied with the existing health care. Management effectiveness and efficiency of the existing healthcare service rated as fair (28.44%), poor (24.22%), good (21.57%), very good (13.77%) according to the opinion of the respondents. Ultimately 65.12% respondents sought for a need managerial personnel other than doctor.Conclusion: This study finding concluded need for managerial personnel for hospital management other than doctor himself.KYAMC Journal Vol. 9, No.-2, July 2018, Page 76-80

scholarly journals Evaluating usability, effectiveness, and usage of telehealth technologies

2014 ◽  
Author(s):  
◽  
Mirna Becevic
Keyword(s):  
Health Care ◽  
Access To Care ◽  
Health Care Providers ◽  
New Technologies ◽  
Care Delivery ◽  
Traditional Approach ◽  
Additional Stress ◽  
Care Providers ◽  
Medical Specialties ◽  
Number Of Patients

Affordable Care Act (ACA) has allowed more patients that did not previously have health care insurance to have coverage and access to care. This increase in the number of patients seeking medical care will only add additional stress to the existing disproportion of supply and demand for health care providers. In addition, rising health care costs have major effect on how, where, and even if consumers will get needed care. This study examined three different telehealth platforms in three different medical specialties in order to evaluate the perception that they would be appropriate vehicles for increasing access to care. I also wanted to find out what the users' perceptions of these technologies are, as that can be a driving factor in adoption of new technologies. The first study examined the usability and acceptance of new mobile application in teledermatology clinic. The second study focused on usability and acceptance of ICU Robots in a medical ICU. Finally, the third study evaluated if children and youth currently using telepsychiatry as a care delivery method would have other in-person options if telehealth was not available. The results of these three studies point at the complexity and richness of telehealth. The adoption and acceptance of mHealth was very fast and streamlined. In the same fashion, children might not have other appropriate options for care if telepsychiatry was not available in rural Missouri. Interestingly, though, the provider acceptance of ICU Robots was slow, with some provider disengagements observed. This research contributes to the field of health informatics and medical informatics by evaluating adoption and usability of technologies from the provider perspective, vs. the more traditional approach of examining patient satisfaction, or even provider satisfaction without fully understanding the implications of attitudes on the adoption itself. This study has focused purposefully on different groups of providers using different types of telehealth technologies so we could try to see the bigger picture of how telehealth actually contributes to the health care organizational structure.

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