scholarly journals ANALYSIS OF PROVISION OF MEDICAL SERVICES TO THE POPULATION BY PRIMARY MEDICAL CARE DOCTORS IN THE CONDITIONS OF HEALTH SYSTEM REFORM: REGIONAL LEVEL

2020 ◽  
Author(s):  
Vasyl Matviyiv ◽  
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
National Health ◽  
Primary Care Physicians ◽  
Free Choice ◽  
Medical Services ◽  
Primary Medical Care ◽  
Family Doctors

An important component of the development of the domestic medical system has been the reform of the primary level of health care facilities. The impetus for this was the adoption of the main draft laws, which significantly changed the distribution of funds for the financing of the medical sector in Ukraine. The article describes the percentage of the population that chose their primary care physician, analyzes the distribution of declarations by the number and structure of primary medical care providers who have concluded an agreement with the National Health Service of Ukraine in Ukraine and the Carpathian region. It was cleared up that both in Ukraine and in its regions the population had the right to choose primary care physicians among such specialties as family doctors, therapists and pediatricians, where as a result of compiling declarations the largest population in Ukraine chose family doctors in Transcarpathian, Lviv and Chernivtsi regionss, and the share of family doctors in these regions significantly exceeds the Ukrainian average in the country. It has been determined that an important factor is public awareness about the importance and necessity of electronic declarations. The study concludes that this, in its turn, has provided the population with a free choice of a therapist in urban areas or a family general practitioner in rural areas. It has been investigated that the population has a free choice to sign declarations with primary care doctors, and this allows each citizen to choose a doctor at his discretion, who, in turn, having the opportunity to provide services and receive a slightly higher fee according to the coefficients approved by the National Health Service of Ukraine. It has been concluded that patients have the opportunity to receive medical services from primary care physicians, as a result of which they can receive qualified medical care. Under conditions when in patients’ opinions medical care or services are not provided at the appropriate level, they can change doctors and automatically sign a declaration with another doctor.

The Informal Rationing of Primary Medical Care

1979 ◽  
Vol 8 (4) ◽  
pp. 489-508 ◽  
Author(s):  
Peggy Foster
Keyword(s):  
Primary Care ◽  
General Practice ◽  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
Social Services ◽  
Primary Medical Care ◽  
Wide Range ◽  
Primary Care Sector ◽  
Welfare Agencies

ABSTRACTAll social services are rationed, yet the effects of such rationing on the client are rarely fully explored. This article reviews the evidence on the existence of informal rationing devices in general practice. It examines the effects on patients of a wide range of informal rationing devices now used by individual general practitioners. Various suggestions for reforming the present rationing of primary medical care are evaluated and the likelihood of any reform being carried out is assessed. Although this article concentrates solely on rationing in the primary care sector of the National Health Service, the issues discussed are relevant to most welfare agencies as they are presently organized.

scholarly journals Postcode lottery? Hospital transfers from one London prison and responsible catchment area

2010 ◽  
Vol 34 (4) ◽  
pp. 140-142 ◽  
Author(s):  
Simon Wilson ◽  
Katrina Chiu ◽  
Janet Parrott ◽  
Andrew Forrester
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Catchment Area ◽  
Clinical Implications ◽  
Hospital Unit ◽  
Transfer Data ◽  
Hospital Transfer

Aims and methodTo consider the link between responsible commissioner and delayed prison transfers. All hospital transfers from one London prison in 2006 were audited and reviewed by the prisoner's borough of origin.ResultsOverall, 80 prisoners were transferred from the audited prison to a National Health Service (NHS) facility in 2006: 26% had to wait for more than 1 month for assessment by the receiving hospital unit and 24% had to wait longer than 3 months to be transferred. These 80 individuals were the responsibility of 16 different primary care trusts. Of the delayed transfer cases (n=19), the services commissioned by three primary care trusts were responsible for the delays.Clinical implicationsThere are significant differences in performance between different primary care trusts related to hospital transfers of prisoners, with most hospitals able to admit urgent cases within 3 months. This suggests that a postcode lottery operates for prisoners requiring hospital transfer. Data from prison services may be useful in monitoring and improving the performance of local NHS services.

scholarly journals The BBC’s Children in Need Telethon: The Currencies of Compassion

2020 ◽  
Author(s):  
Karen Lury
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Medical Care ◽  
National Health ◽  
Public Service ◽  
Textual Analysis ◽  
Contemporary Society ◽  
Close Textual Analysis

This chapter illustrates how the BBC’s Children in Need telethon is informed and legitimated by different currency models as part of its aesthetic strategy. It demonstrates how these televisual currencies may be directly aligned with other kinds of medical currency models emerging within the economy of the UK’s National Health Service. Through close textual analysis of the programme and a related analysis of medical currency models proposed and piloted in relation to the NHS, it is argued that the ‘aestheticization’ of currency models provided by the programme reflects an ideological shift in the representation of medical care on public service television, in line with the ideology of neoliberalism and the incremental colonization of ‘financialization’ into all aspects of contemporary society.

scholarly journals The Future of Health Care: Protocol for Measuring the Potential of Task Automation Grounded in the National Health Service Primary Care System (Preprint)

2018 ◽  
Author(s):  
Matthew Willis ◽  
Paul Duckworth ◽  
Angela Coulter ◽  
Eric T Meyer ◽  
Michael Osborne
Keyword(s):  
Machine Learning ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Care Staff ◽  
Primary Health ◽  
The Future

BACKGROUND Recent advances in technology have reopened an old debate on which sectors will be most affected by automation. This debate is ill served by the current lack of detailed data on the exact capabilities of new machines and how they are influencing work. Although recent debates about the future of jobs have focused on whether they are at risk of automation, our research focuses on a more fine-grained and transparent method to model task automation and specifically focus on the domain of primary health care. OBJECTIVE This protocol describes a new wave of intelligent automation, focusing on the specific pressures faced by primary care within the National Health Service (NHS) in England. These pressures include staff shortages, increased service demand, and reduced budgets. A critical part of the problem we propose to address is a formal framework for measuring automation, which is lacking in the literature. The health care domain offers a further challenge in measuring automation because of a general lack of detailed, health care–specific occupation and task observational data to provide good insights on this misunderstood topic. METHODS This project utilizes a multimethod research design comprising two phases: a qualitative observational phase and a quantitative data analysis phase; each phase addresses one of the two project aims. Our first aim is to address the lack of task data by collecting high-quality, detailed task-specific data from UK primary health care practices. This phase employs ethnography, observation, interviews, document collection, and focus groups. The second aim is to propose a formal machine learning approach for probabilistic inference of task- and occupation-level automation to gain valuable insights. Sensitivity analysis is then used to present the occupational attributes that increase/decrease automatability most, which is vital for establishing effective training and staffing policy. RESULTS Our detailed fieldwork includes observing and documenting 16 unique occupations and performing over 130 tasks across six primary care centers. Preliminary results on the current state of automation and the potential for further automation in primary care are discussed. Our initial findings are that tasks are often shared amongst staff and can include convoluted workflows that often vary between practices. The single most used technology in primary health care is the desktop computer. In addition, we have conducted a large-scale survey of over 156 machine learning and robotics experts to assess what tasks are susceptible to automation, given the state-of-the-art technology available today. Further results and detailed analysis will be published toward the end of the project in early 2019. CONCLUSIONS We believe our analysis will identify many tasks currently performed manually within primary care that can be automated using currently available technology. Given the proper implementation of such automating technologies, we expect considerable staff resources to be saved, alleviating some pressures on the NHS primary care staff. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11232

“Nutrition in the Promotion of your Health” Pride, Prejudice and Propaganda

1987 ◽  
Vol 5 (1-2) ◽  
pp. 45-52
Author(s):  
Walter Yellowlees
Keyword(s):  
Coronary Heart Disease ◽  
Heart Disease ◽  
National Health Service ◽  
Health Service ◽  
Alternative Medicine ◽  
Medical Care ◽  
National Health ◽  
Food Supply ◽  
Organic Movement

The association between the organic movement and ‘alternative medicine’ may have been one reason for the failure of the McCarrison Society in Britain to appeal to many National Health Service doctors and dentists. This is unfortunate because the aims of the McCarrison Society have nothing to do with any system of medical care. Our hope is to prevent disease by promoting McCarrison's teaching that man is perfectly adapted to his food supply as it occurs in nature and that the greatest single cause of the diseases of industrial peoples is their dependence on foods made worthless or harmful by processing and refining. This teaching applies to the modern epidemic of coronary heart disease. The evidence incriminating natural unprocessed fat as a cause of this disease is unconvincing.

Obstacles on the path to a primary-care led National Health Service: complexities of outpatient care

1999 ◽  
Vol 48 (2) ◽  
pp. 213-225 ◽  
Author(s):  
Maggie Somerset ◽  
Alex Faulkner ◽  
Alison Shaw ◽  
Liz Dunn ◽  
Deborah J Sharp
Keyword(s):  
Primary Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Outpatient Care

Introduzione: Introduction

1995 ◽  
Vol 62 (2) ◽  
pp. 273-274
Author(s):  
S. Guazzieri
Keyword(s):  
National Health Service ◽  
Health Service ◽  
Early Diagnosis ◽  
Secondary Prevention ◽  
National Health ◽  
The Other ◽  
Primary And Secondary Prevention ◽  
Family Doctors ◽  
The Military ◽  
Urological Diseases

The importance of early diagnosis is by now accepted. As urological pathologies predominantly involve men, it is natural for the urologist to seek co-operation regarding primary and secondary prevention with the Medical Corps. Paediatricians and family doctors are the other professional figures who play a fundamental role in this field. The records are given of the congress “Prevention and early diagnosis of urological diseases” between the Military Corps and the National Health Service, held at Belluno in June 1994.

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