Considering voluntary contribution of medical students to tackle COVID-19 crisis at hospitals in Bangladesh & similar settings

2020 ◽  
Author(s):  
M Tasdik Hasan
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Healthcare System ◽  
Health Systems ◽  
Developed Countries ◽  
Developing Nations ◽  
Health Care Resources ◽  
Positive Correlation ◽  
Voluntary Contribution ◽  
Related Mortality

We read with interest the correspondence by Representatives of the STARSurg Collaborative, EuroSurg Collaborative, and TASMAN Collaborative1 about the involvement of medical students in response to worldwide COVID-19 crisis. There is a positive correlation between inadequate health-care resources and COVID-19 related mortality.2 As this pandemic is ravaging through countries worldwide, even the most competent health systems are facing a dire need of workforce demand,3 likes of which have never been seen before. While developed countries are still skirmishing to get to grip with this crisis, developing nations like Bangladesh with comparatively incapacitated healthcare system is of no exception, and is in urgent need of innovative and outrageous ideas to tackle.

scholarly journals The Cuban Healthcare System: An Insight

2021 ◽  
pp. 63-69
Author(s):  
Nisha Zahid ◽  
Farah Ahmed ◽  
Noor Israr ◽  
Akhtar Ali ◽  
Sidra Farooq ◽  
...  
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Health Care System ◽  
Swot Analysis ◽  
Healthcare Services ◽  
Developed Countries ◽  
Primary Health Care System ◽  
Public Health Policies ◽  
The World ◽  
Care System

All the countries in the world are struggling to improve their healthcare systems regardless of being rich or poor. Talking about Cuba, it represents an example of well-developed healthcare system and policies which is comparable to developed countries of the world. The success of Cuban healthcare system largely depends upon its strong primary health care system, proper immunization, robust public health policies, treating all the population classes equally providing them with free healthcare services. The control of infection spread and non-communicable diseases also contributes to the success of Cuban Healthcare system. We have discussed the Cuban health care system from start till the current situation and also, we performed SWOT analysis to bring the clearer depiction of the Cuban Healthcare System as it highlights the key internal and external issues which are further discussed in detail.

Can the health care system be effective? - The research results

2020 ◽  
Vol 3 (14) ◽  
pp. 01-06
Author(s):  
Joanna Jasińska
Keyword(s):  
Health Care ◽  
Personalized Medicine ◽  
Healthcare System ◽  
Health Systems ◽  
Basic Problem ◽  
Economic Value ◽  
Healthcare Systems ◽  
Scientific Databases ◽  
Concepts Of Health

The different definitions of efficiency (in their medical meanings) are presented as the result of meta-reviews found in scientific databases. Efficacy and efficiency are often mismatched with effectiveness in the research of healthcare systems in different countries. In addition to the classic Bismarck’s and Beveridge’s models the modern concepts of health systems include personalized medicine, recognition of health as economic value. However, the basic problem in the Polish healthcare system is the low quality of overly specific and often changed legislation.

scholarly journals Lymphedema in Endometrial Cancer Survivor: A Nationwide Cohort Study

2021 ◽  
Vol 10 (20) ◽  
pp. 4647
Author(s):  
Su-Jeong Lee ◽  
Jun-Pyo Myong ◽  
Yun-Hee Lee ◽  
Eui-Jin Cho ◽  
Sung-Jong Lee ◽  
...  
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Endometrial Cancer ◽  
Cohort Study ◽  
Proportional Hazards ◽  
Gynecological Cancer ◽  
Risk Groups ◽  
Developed Countries ◽  
Cox Proportional Hazards ◽  
Health Care Resources

Background: Endometrial cancer is the most common gynecological cancer in developed countries. Treatment-related lymphedema negatively affects the quality of life and function of patients. This study investigated the cumulative incidence and risk factors of, and utilization of health care resources for, lymphedema in patients with endometrial cancer. Methods: We conducted a nationwide, retrospective cohort study of women with endometrial cancer who underwent cancer-direct treatment using the Korean National Health Insurance Service (NHIS) database. Patients were categorized by age, region, income, and treatment modality. Cox proportional hazards regression models were used to analyze the incidence and risk factors of lymphedema. We also analyzed utilization of health care resources for lymphedema using diagnostic and treatment claim codes. Results: A total of 19,027 patients with endometrial cancer were evaluated between January 2004 and December 2017. Among them, 2493 (13.1%) developed lymphedema. Age (<40 years, adjusted odds ratio [aOR] = 1 vs. 40–59 years, aOR = 1.413; 95% confidence interval (CI) 1.203–1.66 vs. 60+ years, aOR = 1.472; 95% CI 1.239–1.748) and multimodal treatment (surgery only, aOR = 1 vs. surgery + radiation + chemotherapy, aOR = 2.571; 95% CI 2.27–2.912) are considered to be possible risk factors for lymphedema in patients with endometrial cancer (p < 0.001). The utilization of health care resources for the treatment of lymphedema has increased over the years. Conclusions: Lymphedema is a common complication affecting women with endometrial cancer and leads to an increase in national healthcare costs. Post-treatment surveillance of lymphedema, especially in high-risk groups, is needed.

scholarly journals Influence of Feedback Mechanism on Health Care Services in Health Care Setting and Barriers to Their Use in Pakistan

2021 ◽  
pp. 54-59
Author(s):  
Nisha Zahid ◽  
Rehana Shinwari ◽  
Humam Dawood
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Healthcare System ◽  
Poor Country ◽  
Feedback System ◽  
Developed Countries ◽  
Feedback Mechanism ◽  
Positive Effects ◽  
Healthcare Settings ◽  
Resource Poor

Introduction: Healthcare settings in resource limited countries such as Pakistan needs to be improved in terms of services and all other aspects, for that quality improvement tools must be implemented. It is pertinent that continuous measures should be taken for the upgradation of our healthcare system. For this purpose, feedback mechanism is an essential tool which has to be applied at all levels to get better results and patient centric delivery of services. Patient opinions have always been an integral part for the betterment of services as it will help in enhancement of the facilities according to the requirement and will of patients. Methodology: This is review article for which the literature research has been conducted through various electronic databases including PUBMED, MEDLINE, SCIENCE DIRECT and search engines such as Google Scholar. The keywords used were related to the use and influence of feedback mechanism in healthcare settings of resource poor countries. A QI Solution: In the developed countries, feedback system as the tool for quality improvement has long been used and it has impacted positive effects on healthcare system [1]. Therefore, we can use feedback system from patients to the hospital professionals and with that also can introduce 360 feedback mechanism for better effect. Conclusion: The concept of feedback needs to be willingly encompassed and supported by clinical leadership and other participants and it will definitely bring about a positive change. As Pakistan is a resource poor country, this QI initiative would help in improving the facility for both patients and employees.

Development of Health Care in Lithuania and Estonia: Similar Conditions, Different Results

2014 ◽  
Vol 9 (1) ◽  
pp. 385-406
Author(s):  
Liutauras Gudžinskas
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Systems ◽  
Historical Context ◽  
Early Period ◽  
Health Care Resources ◽  
Baltic Countries ◽  
The Baltic

AbstractThe article deals with the health systems of Lithuania and Estonia by evaluating their historical context, describing their development after regaining independence, presenting data on how the health care resources are distributed and what are the results of these systems. Although health care in these countries is financed at a similar level, the Estonian health system exceeds its Lithuanian (and Latvian) counterparts in many important aspects. It is argued that an essential impact on the differences in health care of the Baltic countries has been exerted by decisions regarding the financing and governance of the health system at the early period of the post-communist transformation.

scholarly journals Smartphone and Surgery, Reality or Gadget?

2021 ◽  
Author(s):  
Sassi Boughizane ◽  
Badra Bannour ◽  
Imen Bannour ◽  
Faten Hacheni ◽  
Imen Bannour ◽  
...  
Keyword(s):  
Health Care ◽  
Health Systems ◽  
Digital Health ◽  
Surgical Care ◽  
Developed Countries ◽  
Care Quality ◽  
Mobile Systems ◽  
Poor Countries ◽  
Cost Of Health Care ◽  
The Cost

Surgical care is an essential component of health care. This basic universal right is not available to everyone. Indeed, countries with low economic resources suffer from a lack of access to surgical care and the most developed countries will have to reduce the cost of health care to ensure the sustainability of provided care quality. New communication technologies have invaded the field of health and have led to the development of a new concept of mobile health. The purpose of this paper is to answer the following question: Can these new tools, and in particular the Smartphone, remedy, even partially, the lack of health care in poor countries and reduce the cost of health care in rich countries? New communication tools, led by the Smartphone, have the capacity to capture, store, retrieve and transmit data to provide instant and personalized information to individuals. This information could be a key element in health systems and can contribute to monitoring health status and improving patient safety and care quality. Mobile telephony via applications and connected objects can facilitate the pre-, intra- and post-operative management of patients. These mobile systems also facilitate the collection and transmission of data. This will allow better analysis of this data and will greatly pave the way to the introduction of artificial intelligence in medicine and surgery. The Smartphone can be used as an important tool for both, diagnosis care and surgical training. Surgeons must adapt their equipment to local resources while respecting safety standards. Covid-19 has put health systems around the world under severe strain. Decision-makers are being forced to make adjustments. The long-vaunted digital health is becoming a reality and a necessity. Healthcare authorities and strategy specialists face challenges in terms of disease prevention and therapy, as well as in terms of health economics and management.

scholarly journals National Cancer Control Programme in India: Proposal for Organization of Chemotherapy and Systemic Therapy Services

2017 ◽  
Vol 3 (3) ◽  
pp. 271-274 ◽  
Author(s):  
Seema Gulia ◽  
Manju Sengar ◽  
Rajendra Badwe ◽  
Sudeep Gupta
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Medical Oncology ◽  
Anticancer Therapy ◽  
Developed Countries ◽  
Control Programme ◽  
Major Health Problem ◽  
Health Care Resources ◽  
Patients With Cancer ◽  
District Hospitals

Cancer is a major health problem in India, with an estimated incidence of 1 million cases in 2012 that is likely to double in 2035 to approximately 1.7 million. The majority of cases are diagnosed in advanced stages, and approximately two thirds of patients die as a result of their disease. The mortality-to-incidence ratio is 0.68 in India, which is far higher than that in developed countries (approximately 0.38). One of the important reasons for this discrepancy is inequitable distribution and inaccessibility of health care resources in India. One component of scarce health care resources is the low ratio of oncologists to patients with cancer (1:2,000), which leads to delivery of systemic anticancer therapy in many hospitals by health care professionals who do not have required training. Given these facts, there is a need to focus on organization of medical oncology services in terms of manpower and infrastructure to standardize the delivery of systemic anticancer therapy. Redistribution of resources can streamline the delivery of cancer care, preferably close to the patient’s home. This article describes the blueprint for organization of medical oncology services and delivery of chemotherapy and other systemic therapies to Indian patients. The model uses existing health care services in the country and is a four-tiered system of increasing sophistication: District Hospitals, Medical College Hospitals, Regional Cancer Centres, and Apex Cancer Centres. Delivery of quality care to patients with cancer through standardized protocols is crucial in improving cancer outcomes in India.

scholarly journals Putting a Number on the Harm of Death

2019 ◽  
pp. 61-75
Author(s):  
Joseph Millum
Keyword(s):  
Health Care ◽  
Global Health ◽  
Health Systems ◽  
National Health ◽  
Health Interventions ◽  
Health Programs ◽  
Health Care Resources ◽  
Different Ages ◽  
The Face ◽  
Harm Of Death

Donors to global health programs and policymakers within national health systems have to make difficult decisions about how to allocate scarce health care resources. Principled ways to make these decisions all make some use of summary measures of health, which provide a common measure of the value (or disvalue) of morbidity and mortality. They thereby allow comparisons between health interventions with different effects on the patterns of death and ill health within a population. The construction of a summary measure of health requires that a number be assigned to the harm of death. But the harm of death is currently a matter of debate: different philosophical theories assign very different values to the harm of death at different ages. This chapter considers how we should assign numbers to the harm of deaths at different ages in the face of uncertainty and disagreement.

Optimization of the care model for elderly in Poland

Physiotherapy ◽  
2013 ◽  
Vol 21 (4) ◽  
Author(s):  
Felicja Lwow ◽  
Małgorzata Korzeniowska ◽  
Joanna Dadacz ◽  
Ewa Hladik ◽  
Agata Łukojko ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Conditions ◽  
Institutional Care ◽  
Developed Countries ◽  
Social Aspect ◽  
Age Group ◽  
Care Needs ◽  
Optimal Health ◽  
Health Care Models ◽  
The Individual

AbstractThe demographic situation of Poland as well as other developed countries shows a growing number of people at retirement age. According to the data from GUS (Central Statistical Office), their number reached 6.5 mln in Poland in 2011, and the prognosis for shows 8,3 mln by the year 2035. The consequence of this fact is a necessity of including the specificity of this age group in the functioning of Polish health care as well as in preventive medicine and health promotion. Unifying the health needs of this age group would be disadvantageous due to the diversification of physical efficiency level in the psychosomatic and social aspect. Nevertheless, the key problem is to distinguish the optimal health care models which include not only chronic conditions and dysfunctions but also the quality of life and socially independent life style that guarantee the lack of isolation and social exclusion. Distinguishing the four action models, namely people considered as healthy by the system, autonomously functioning people with chronic conditions, and people who need other people or institutional care to function in a society, seems to cover the individual needs of this group. Concluding, the National Health Care needs to work out some proceeding algorithms for these models. The optimal program adjustment for the needs of the target group would most certainly improve the effectiveness of the Health Care.

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