scholarly journals Value based healthcare – principles and recommendations for organizational solutions in Poland

2020 ◽  
pp. 707-715
Keyword(s):  
Healthcare System ◽  
Quality Care ◽  
Healthcare Providers ◽  
Health Indicators ◽  
Quality Of Services ◽  
System Solution ◽  
Financing Model ◽  
The Cost ◽  
Healthcare Expenses

OBJECTIVE. The aim of this paper is is to present the assumptions of the Value Based Healthcare concept, the related benefits and examples of countries in which the concept is implemented. The article also proposes solutions based on the VBHC model that could be implemented in the Polish healthcare system. MATERIALS AND METHODS. A literature search was conducted using the PubMed via Ovid database using the following keywords: Gray literature items were also analyzed using the Google Scholar tool and other documents, eg of the European Commission. Then the work was divided into the following thematic areas: definitions and principles of VBHC, benefits and challenges related to the implementation of the model, VBHC in Europe, recommendations for solutions in Poland based on VBHC. Value Based Healthcare (VBHC) is a healthcare financing model developed by M. Porter and E. Teisberg. It is based on the assumptions of financing healthcare providers based on treatment outcomes, that is, values. This concept was created in connection with the constantly growing costs in the American healthcare system, which, however, did not translate into health indicators in the population. The aim of VBHC is to minimize the cost of the system while achieving the best result for the patient. In this model of healthcare organization, it is assumed that those healthcare providers who provide the best quality care should be best financed, thus contributing to cure or significantly improving the quality of life of patients. CONCLUSIONS. Value Based Healthcare is the recommended method of financing due to the optimization of healthcare expenses while maintaining the appropriate quality of services provided to patients. Currently, many countries in Europe and around the world have started implementing this system solution. However, the transition from a service charge to value for money model is a complex process. In the authors’ opinion, the longterm benefits of such a financing model bring a significant improvement in the quality of services and patient satisfaction.

PP048 Quality Of Health Care Through Integration: Experience Of Cochlear Implantation

2017 ◽  
Vol 33 (S1) ◽  
pp. 93-94
Author(s):  
Lyazzat Kosherbayeva ◽  
Aigul Medeulova ◽  
Abdulla Alzhanov
Keyword(s):  
Health Care ◽  
Healthcare System ◽  
Cochlear Implantation ◽  
Cost Utility ◽  
Economic Research ◽  
Rehabilitation Programs ◽  
Life Years ◽  
The Republic ◽  
The Cost

INTRODUCTION:The State Program for Health Development of the Republic of Kazakhstan (RK) “Densaulyk” for 2016–2019 initiated the modernization of primary health care with the introduction of family practice in order to ensure the availability, completeness and quality of health services on the basis of an integrated healthcare system focused on the needs of the population. The aim of this study was to determine the effectiveness of the cochlear implantation (CI) programs.METHODS:A literature search was conducted for all clinical trials, randomized controlled trials, and reviews in the PubMed, Cochrane, and Center for Reviews and Dissemination databases. Two reviewers independently evaluated all publications for selection. The analysis included the cost-effectiveness and benefit from the CI program.RESULTS:We analyzed the effectiveness of the services for CI in the RK and other countries (1). In our analysis, we identified that there is no research on Quality-adjusted Life Years (QALYs) and Cost-Utility Analysis (CUA) in RK. We found that, in general, the cost of CI and pre-surgical procedures are comparable with other countries. The length of stay in Kazakhstan was much higher (an average of 8 days) compared with other countries (3 days). Also in RK, there were significantly lower prices per hospital day and cost of various consultations. Postoperative costs of other countries consisted of one-third to two-thirds of the total costs for preoperative and implantation stages (2, 3). There was a little information on the effectiveness of rehabilitation programs in RK.CONCLUSIONS:Economic research like QALYs and CUA are new directions in the healthcare system in the RK. Lack of integration between primary care, rehabilitation and other services leads to difficulties in assessing the effectiveness of CI programs (for example, in our case, there was the restriction of assessment in only postoperative costs).

Quality

2020 ◽  
pp. 166-183
Author(s):  
Julie Sin
Keyword(s):  
Health Services ◽  
Health System ◽  
Services Quality ◽  
Quality Care ◽  
System Level ◽  
Quality Of Services ◽  
Provider Perspective ◽  
Multidimensional Concept

This chapter looks at the topic of health services quality from a commissioning and whole population perspective. Quality is noted to be a multidimensional concept and dimensions of quality are considered. The role of the commissioner in maintaining and improving quality of services is explored, and this is seen within a wider backdrop of a health system with commissioner and provider functions (if there are such distinctions in the system). Commissioners need to know whether they are securing quality care for their population for the money spent. They also need an understanding of how this dovetails with the provider perspective on this topic. Commissioners also need to be able to articulate what they wish to assess in practice under the guise of quality. Finally, at a system level there are also bearings on how to compile and interpret a picture of a population’s health if needed.

scholarly journals Why the book “More than Medicine: the Broken Promise of American Health” is important to the future of behavioral medicine, health psychology, and public health

2019 ◽  
Author(s):  
Dawn K Wilson
Keyword(s):  
Public Health ◽  
Behavioral Interventions ◽  
Healthcare Providers ◽  
Cost Utility ◽  
National Institutes Of Health ◽  
Independent Evaluation ◽  
Environmental Determinants Of Health ◽  
The Usa ◽  
The Cost

Abstract In his book, “More than Medicine: The Broken Promise of American Health,” Robert Kaplan brings together extensive data to make the case that healthcare priorities in the USA need to place greater emphasis on behavioral, social and environmental determinants of health. Kaplan argues that the effect sizes for health outcomes resulting from environmental exposures, stress, and socioeconomic status are all much larger than are many traditional biological risk factors. There are discrepancies between estimates of how much the National Institutes of Health spends on behavioral and social sciences research, but an independent evaluation suggests it is <5% of the entire budget. Addressing this neglect requires advocacy and bringing together of like-minded organizations to promote more funding for behavioral interventions, health promotion and public health policies to address important contextual factors such as poverty, lack of education, and poor environmental conditions. Importantly, Kaplan argues that several metrics to integrate life expectancy and quality of life have been proposed and allow healthcare providers to prioritize the value of health over the volume of healthcare delivered. Although standards exist, there are still a limited number of studies on the cost-effectiveness and cost-utility of behavioral and public health interventions.

Monitoring Quality in a Federal State with Shared Powers in Healthcare: The Case of Belgium

2011 ◽  
Vol 18 (4) ◽  
pp. 413-422 ◽  
Author(s):  
Diego Fornaciari ◽  
Arthur Vleugels ◽  
Stefaan Callens ◽  
Kristof Eeckloo
Keyword(s):  
Healthcare System ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Federal State ◽  
Flemish Community ◽  
The Government ◽  
Regulatory Powers ◽  
Monitoring Quality

AbstractThe Belgian healthcare system consists of a complex of more or less autonomous groups of healthcare providers. It is the responsibility of the government to ensure that the fundamental right to qualitative healthcare is secured through the services they provide. In Belgium, the regulatory powers in healthcare are divided between the federal state and the three communities. Both levels, within their area of competence, monitor the quality of healthcare services. Unique to the Belgian healthcare system is that the government that providers are accountable to is not always the same as the government that is competent to set the criteria. The goal of this article is to provide an overview of the main mechanisms that are used by the federal government and the government of the Flemish community to monitor healthcare quality in hospitals. The Flemish community is Belgian’s largest community (6.2 million inhabitants). The overview is followed by a critical analysis of the dual system of quality monitoring.

scholarly journals Informal caregivers’ views on the quality of healthcare services provided to older patients aged 80 or more in the hospital and 30 days after discharge

2020 ◽  
Author(s):  
Ingvild Lilleheie ◽  
Jonas Debesay ◽  
Asta Bye ◽  
Astrid Bergland
Keyword(s):  
Health Services ◽  
Social Services ◽  
Healthcare System ◽  
Older Patients ◽  
Informal Caregivers ◽  
Healthcare Providers ◽  
The European Union ◽  
Professional Care ◽  
The Impact

Abstract Background: In the European Union (EU), informal caregivers provide 60% of all care. Informal caregiving ranges from assistance with daily activities and provision of direct care to helping care recipients to navigate within complex healthcare and social services systems. While recent caregiver surveys document the impact of informal caregivers, systematic reviews show that they have unmet needs. Because of the political desire to reduce the length of hospital stays, older patients are discharged from the hospital ‘quicker and sicker’ than before. The transition between different levels of the healthcare system and the period after hospital discharge is critical for elderly patients.Caregivers’ perspectives on the quality of older patients’ care journeys between levels of the healthcare system may provide valuable information for healthcare providers and policymakers. This study aims to explore older patient’s informal caregivers’ views on healthcare quality in the hospital and in the first 30 days after hospitalisation. Method: We conducted semi-structured individual interviews with 12 participants to explore and describe informal caregivers’ subjective experiences of providing care to older relatives. The interviews were then transcribed and analysed thematically.Results: The analysis yielded the overarching theme ‘Informal caregivers – a health service alliance – quality contributor’, which was divided into four main themes: ‘Fast in, fast out’, ‘Scant information’, ‘Disclaimer of responsibility’ and ‘A struggle to secure professional care’. The healthcare system seemed to pay little attention to ensuring mutual understandings between those involved in discharge, treatment and coordination. The participants experienced that the healthcare providers’ main focus was on the patients’ diseases, although the health services are supposed to view patients holistically.Conclusion: Based on the information given by informal caregivers, health services must take into account each person’s needs and preferences. To deliver quality healthcare, better coordination between inter-professional care teams and the persons they serve is necessary. Health professionals must strengthen the involvement of caregivers in transitions between care and healthcare. Future work should evaluate targeted strategies for formal caregivers to cooperate, support and empower family members as informal caregivers.

scholarly journals Conditions for the functioning of regulated competition on the public urban transport market in Poland

2018 ◽  
Vol 80 ◽  
pp. 119-127
Author(s):  
Grzegorz Krawczyk
Keyword(s):  
Large Volume ◽  
Public Transport ◽  
Natural Monopoly ◽  
Urban Transport ◽  
Quality Of Services ◽  
The Public ◽  
Transport Organization ◽  
The Cost ◽  
Regulated Competition

The public urban transport market takes the form of a natural monopoly. In some cases, especially in the situation of supply of a relatively large volume of operation work, the implementation of competitive solutions may result in: improving the quality of services or reducing the cost of vehicle-kilometers. The purpose of the article is to present the determinants of functioning of regulated competition on the public urban transport market in Poland. The conducted analysis focuses on the issue of market openness and access to participation in competitive procedures of private operators. The research covered urban transport markets in cities over 200.000 inhabitants and their characteristics in the scope of: the model of public transport organization (with particular emphasis on the level of opening of markets), the level of competition on the operator market and the method of selecting operators. On the basis of the conducted research, the scope of applying pro-competitive solutions in the scope of contracting services by the largest organizers of public urban transport in Poland was characterized.

scholarly journals Public health consequences after ten years of the Syrian crisis: a literature review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
M. H. D. Bahaa Aldin Alhaffar ◽  
Sandor Janos
Keyword(s):  
Public Health ◽  
Health Status ◽  
Healthcare System ◽  
Healthcare Providers ◽  
Health Sector ◽  
Health Indicators ◽  
Healthcare Services ◽  
Seeking Safety ◽  
Syrian Crisis ◽  
Syrian Population

AbstractTen years of the Syrian war had a devastating effect on Syrian lives, including millions of refugees and displaced people, enormous destruction in the infrastructure, and the worst economic crisis Syria has ever faced. The health sector was hit hard by this war, up to 50% of the health facilities have been destroyed and up to 70% of the healthcare providers fled the country seeking safety, which increased the workload and mental pressure for the remaining medical staff. Five databases were searched and 438 articles were included according to the inclusion criteria, the articles were divided into categories according to the topic of the article.Through this review, the current health status of the Syrian population living inside Syria, whether under governmental or opposition control, was reviewed, and also, the health status of the Syrian refugees was examined according to each host country. Public health indicators were used to summarize and categorize the information. This research reviewed mental health, children and maternal health, oral health, non-communicable diseases, infectious diseases, occupational health, and the effect of the COVID − 19 pandemic on the Syrian healthcare system. The results of the review are irritating, as still after ten years of war and millions of refugees there is an enormous need for healthcare services, and international organization has failed to respond to those needs. The review ended with the current and future challenges facing the healthcare system, and suggestions about rebuilding the healthcare system.Through this review, the major consequences of the Syrian war on the health of the Syrian population have been reviewed and highlighted. Considerable challenges will face the future of health in Syria which require the collaboration of the health authorities to respond to the growing needs of the Syrian population. This article draws an overview about how the Syrian war affected health sector for Syrian population inside and outside Syria after ten years of war which makes it an important reference for future researchers to get the main highlight of the health sector during the Syrian crisis.

scholarly journals PEMETAAN QOS DENGAN METODE INTRINSIK BERBASIS STANDAR HATTINGH PADA JARINGAN WERELLESS UGM-HOSTPOT PPTIK UGM

Respati ◽  
2017 ◽  
Vol 8 (24) ◽  
Author(s):  
M. Agung Nugroho ◽  
Emma Utami ◽  
Sudarmawan Sudarmawan
Keyword(s):  
Wireless Network ◽  
Quality Of Services ◽  
Limited Capacity ◽  
Quality Service ◽  
Data Traffic ◽  
Monitoring Method ◽  
Network Quality ◽  
End To End ◽  
The Cost

The high usage of wireless network will affect the level of data traffic. if there are multiple users to request a connection with the limited capacity of the connection between the user simultaneously then it will wait for their turn in the connect. The simple solution for institutions by adding capacity or bandwidth. But by adding bandwidth, the cost is also quite large. End-to-end monitoring method allows a provider to determine the quality of service QoS using actual data from the availability of services. This information in turn can be useful to know the characteristics of the use of the service, so that the results of monitoring in the form of hotspot service profile may be a reference to determine the user's perception. The final results of this research is profile of network quality service of UGM-Hotspot on PPTIK UGM. It could be a reference to improve QoS, and reference for making policy-based network management. Keyword : QoS, hattingh standard, end-to-end monitoring, wireless network, quality of services

scholarly journals Einkarekstur eða ríkisrekstur í heilsugæslu: Samanburður á kostnaði og ánægju með þjónustu

2018 ◽  
Vol 14 (2) ◽  
pp. 69-84
Author(s):  
Héðinn Sigurðsson ◽  
Sunna Gestsdóttir ◽  
Sigríður Halldórsdóttir ◽  
Kristjan G. Guðmundsson
Keyword(s):  
Health Care ◽  
Consumer Satisfaction ◽  
Low Cost ◽  
Safety Net ◽  
Community Services ◽  
Quality Of Services ◽  
Private Health Care ◽  
The Cost ◽  
Health Care Centers

The organization of health care is one of the most complex present day challenges. Like other countries that run socialized health care systems, Icelanders face the question of the role of private enterprise in health care. The objective of this study was two-fold: to compare the cost of 17 private and state-run health care centers in the metropolitan area, and to compare consumer satisfaction related to these. At the beginning of Icelandic settlement, there were statutory laws decreeing that community services should be provided for those in need. By the Health Care Act in 1973, the Icelandic health care system fell under the Nordic welfare society with equal access and a tight safety net. The results show that the private health care centers had a low cost per work unit, but not the lowest. Four to seven state run health care centers had less expenditure per patient than the private centers. The cost of each doctor’s position was highest in one of the private clinics. Patient satisfaction surveys showed that there is no difference in the quality of services between these two different operating modes. A conclusion can be drawn from this study that it is not clear whether private health care improves the use of public funds or increases the quality of services.

scholarly journals PUBLIC EXPENDITURE ON HEALTHCARE IN POLAND (2010-2020)

2021 ◽  
pp. 33-41
Author(s):  
Anna Owczarczyk
Keyword(s):  
Healthcare System ◽  
Health Expenditure ◽  
Public Expenditure ◽  
Statistical Data ◽  
Quality Of Services ◽  
International Currencies ◽  
Tabular Method ◽  
Considerable Controversy ◽  
The Media

Both expenditure on healthcare and the functioning of the entire healthcare system in Poland stir up considerable controversy and are often discussed in the media. Hospital debts, the low quality of services, and the low availability of specialist medical services form the basis for the discussion of the effectiveness of the healthcare system. Statistical data are also bleak. Total health expenditure in Poland in 2019 amounted to 6.3% of GDP (estimated expenditure), whereas the average for health expenditure in the OECD countries was 8.8%. Therefore, Poland is below the average, and is placed last but four in the ranking (stat.oecd.org). The aim of this article is the presentation of public expenditure on healthcare in Poland from 2010 to 2020. In order to achieve this, the following research methods were used: a critical analysis of the literature, an analysis of statistical data, and - to make the research more transparent and the research results clearer - a tabular method was used. Also, widely accepted measurements were used, such as absolute values in domestic and international currencies, values per capita, and values in relation to the Gross Domestic Product (GDP).oduct (GDP).

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