scholarly journals Creating or Destructing Value in Use? Handling Cognitive Impairments in Co-Creation with Serious and Chronically Ill Users

2021 ◽  
Vol 11 (1) ◽  
pp. 16
Author(s):  
Jim Broch Skarli
Keyword(s):  
Public Service ◽  
Value Creation ◽  
Health Care Services ◽  
Service Providers ◽  
Cognitive Impairments ◽  
Chronically Ill ◽  
Public Health Care ◽  
Willingness To Participate ◽  
Public Service Organizations ◽  
Cognitive Gaps

Theoretically based on public service logic (PSL), this article addresses how users’ cognitive impairments can affect co-creation processes and value outcomes in a public sector environment, and how the service providers can handle this issue. It directs attention to value creation in the context of vulnerable and unwilling service users and contributes to understanding how cognitive gaps between public health care services and users inhibit value co-creation. Based on qualitative interview data, findings substantiate that cognitive impairments reduce the users’ health literacy and therefore affect both their ability and willingness to participate in co-creation. The study recognizes that there is a built-in asymmetry between the involved actors and that failing to reduce this asymmetry through adequate facilitation by the service providers, can result in co-destruction of value in use. It is acknowledged that the users might not be cognitively able to determine whether they actually come better or worse off in the end. Therefore, it is suggested that the service provider might need to play a larger role in determining what is positive or negative value in use. Hence, this article adds to PSL by clearly emphasizing the key role played by public service organizations (PSOs) in facilitating the value creation process, which takes place during service delivery.

scholarly journals Patients’ Satisfaction with Public Health Care Services in Bangladesh: Some Critical Issues

2016 ◽  
Vol 3 (1) ◽  
pp. 51-62
Author(s):  
Muhammed Muazzam Hussain ◽  
Mohammed Mojammel Hussain Raihan
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Services ◽  
Large Scale ◽  
Service Providers ◽  
Group Discussion ◽  
Public Health Care ◽  
Care Services ◽  
Health Service Providers ◽  
Critical Issues

This paper attempts to explore the experiences of Bangladeshi patient with public health care services, clients self-perception of health, understanding their expectation and demands of health care towards government health practitioners and service providers. The study points out the issues and difficulties they faced in treatment or getting other services and presents some recommendations to improve the public hospital services.The study was undertaken using the interpretivist paradigm and based on qualitative research method with various data collection procedures, such as interview, focus group discussion (FGD), documentation survey, etc. were employed to collect necessary information. The data highlight a continuous cycle of marginalisation resulting from the interplay of health service providers and their business counter-parts e.g. private pharmaceutical companies, diagnostic centres which reduce the opportunity of protecting patients’ consumer rights at large scale. Therefore, the study suggests that policy makers and service providers should be more responsive to initiate effective policy measures and programmes to combat marginalisation and exclusion of that poor patient groups.  

scholarly journals Determinants of Willingness to pay for Employment-Based Health Insurance Among Governmental School Workers in Saudi Arabia

2021 ◽  
Vol 58 ◽  
pp. 004695802110607
Author(s):  
Nouf Sahal Alharbi
Keyword(s):  
Saudi Arabia ◽  
Health Insurance ◽  
Willingness To Pay ◽  
Health Care Services ◽  
Contingent Valuation Method ◽  
Insurance Premium ◽  
Public Health Care ◽  
Willingness To Participate ◽  
Chi Square ◽  
The Government

School workers constitute the bulk of public workers in Saudi Arabia. Most of these workers seek public health care services through the Ministry of Health, which is characterised by an overloaded service. Consequently, the government is planning to introduce employment-based health insurance. However, government employees’ willingness to pay (WTP) for health insurance was not investigated. This study explores the feasibility and acceptability of employment-based health insurance by examining public school workers’ WTP. Methods: six hundred and twenty-second number participants from Riyadh city were interviewed from September to October 2020 using an online structured questionnaire. The contingent valuation method with a payment card was used to assess WTP among the participants. This study also determined the association between the willingness to participate and WTP for health insurance respondents’ demographic and socio-economic characteristics. Chi-square and multiple linear regression analyses were used to analyse the data. The majority (76%) with an average monthly mean of 77.9 Saudi Riyal (SAR) ($20.7) per capita. Male, had higher educated, and those diagnosed with chronic disease were more likely to report a willingness to participate and/or pay for health insurance ( P > .005). This study demonstrates that WTP for employment-based health insurance depends on workers’ characteristics. The results of this study may be of use to policymakers to help with a set insurance premium, priority setting and fund allocation.

Health Care Services and EU Competition Law

2020 ◽  
Author(s):  
Okeoghene Odudu
Keyword(s):  
Market Power ◽  
Healthcare Service ◽  
Health Care Services ◽  
Service Providers ◽  
Competition Law ◽  
Healthcare Services ◽  
System Matrix ◽  
Member States ◽  
Eu Member States ◽  
Care Services

This chapter investigates how, within a number of European Union (EU) Member States, competition law has been used to address problems of market power in the healthcare services sector. It summarizes the relevant EU and national competition laws and considers the experience of applying those laws to providers of healthcare services. The chapter is chiefly concerned with healthcare services in England, although examples are drawn for other EU Member States. Examination of the English experience provides a view of the use of competition law to address market power problems in most elements of the health system matrix. The chapter then considers three challenges that emerge from that experience of using competition law to address problems of market power in healthcare service markets. The first challenges the applicability of competition law to healthcare service providers operating in each or every element of the healthcare system matrix. The second, accepting applicability, questions the appropriateness of the substantive rules to healthcare services. The third, a battle of authority and autonomy, considers whether decisions made by healthcare service providers should be subject to external review and the type of review that competition law offers.

Sustainable life cycle offers through cooperation

2015 ◽  
Vol 4 (1) ◽  
pp. 4-24 ◽  
Author(s):  
Julia Selberherr
Keyword(s):  
Sustainable Development ◽  
Life Cycle ◽  
Business Model ◽  
Value Creation ◽  
Business Models ◽  
Service Providers ◽  
Construction Sector ◽  
Content Type ◽  
New Business ◽  
Societal Level

Purpose – Sustainable buildings bear enormous potential benefits for clients, service providers, and our society. To release this potential a change in business models is required. The purpose of this paper is to develop a new business model with the objective of proactively contributing to sustainable development on the societal level and thereby improving the economic position of the service providers in the construction sector. Design/methodology/approach – The modeling process comprises two steps, the formal structuring and the contextual configuration. In the formal structuring systems theory is used and two levels are analytically separated. The outside view concerns the business model’s interaction with the environment and its impact on sustainability. The inside view focusses on efficient value creation for securing sustainability. The logically deductively developed business model is subsequently theory-led substantiated with Giddens’ structuration theory. Findings – The relevant mechanisms for the development of a new service offer, which creates a perceivable surplus value to the client and contributes to sustainable development on the societal level, are identified. The requirements for an efficient value creation process with the objective of optimizing the service providers’ competitive position are outlined. Research limitations/implications – The model is developed logically deductively based on literature and embedded in a theoretical framework. It has not yet been empirically tested. Practical implications – Guidelines for the practical implementation of more sustainable business models for the provision of life cycle service offers are developed. Social implications – The construction industry’s impact requires it to contribute proactively to a more sustainable development of the society. Originality/value – This paper analyzes the role for the players in the construction sector in proactively contributing to sustainable development on the societal level. One feasible strategy is proposed with a new business model, which aims at cooperatively optimizing buildings and infrastructures and taking the responsibility for the operating phase via guarantees.

Abstract 434: Exposure To Air Pollutants And Mortality In Hypertensive Patients According To Demography: A 10 Year Case-crossover Study

Hypertension ◽  
2014 ◽  
Vol 64 (suppl_1) ◽  
Author(s):  
Martin C Wong ◽  
Wilson W Tam ◽  
Harry H Wang ◽  
Xiang Qian Lao ◽  
Mandy W Kwan ◽  
...  
Keyword(s):  
Air Pollution ◽  
Respiratory Disease ◽  
Air Pollutants ◽  
Health Care Services ◽  
Public Health Care ◽  
Cold Weather ◽  
Susceptible Population ◽  
Hypertensive Patients ◽  
Care Services ◽  
Case Crossover

Background: Relatively few studies have explored the relationship between air pollution and cause-specific mortality among hypertensive patients. This study evaluated whether short term exposures to nitrogen dioxide (NO2), ozone (O3), particulate matter <10 mm in diameter (PM10) were associated with higher risk of mortality among a large hypertensive patients. Methods: A total of 223,287 hypertensive patients who attended any public health-care services in Hong Kong and prescribed at least 1 antihypertensive agent for the first time between 2001 and 2005 were followed up until 2010. A time-stratified, bi-directional case-crossover design was adopted to study the association between environmental exposures and mortality outcomes. Results: For all-cause mortality, significant positive associations were observed for NO2 and PM10 at lag 0 to 3 days per 10 MIUg/m3 increase in concentration and the excess risks ranged from 1.187%- 2.501%. Significant positive associations were found for O3 at lag 1 and 2 days and the excess risks were 1.654% (95% C.I. 0.469%, 2.852%) and 1.207% (95% C.I. 0.025%, 2.404%), respectively. We found similarly positive associations between NO2 (excess risks: 1.786%-2.798%), PM10 (1.126%-1.847%), O3 (3.035%-3.355%) and mortality due to respiratory disease. In stratified analysis, these significant results were observed amongst those aged >65 years and in cold seasons only. Conclusions: Older hypertensive patients are susceptible to all-cause and respiratory disease-specific deaths from these air pollutants in cold weather. This implies urgent need for protective air pollution standards for this susceptible population.

Perceptions of Health Education of Selected Health and Social Service Providers in the Bahamas

1982 ◽  
Vol 3 (3) ◽  
pp. 279-290
Author(s):  
Audrey Marie Deveaux ◽  
William A. Darity
Keyword(s):  
Health Care ◽  
Health Education ◽  
Social Service ◽  
Health Care Services ◽  
Service Providers ◽  
Care Delivery ◽  
Future Research ◽  
The Bahamas ◽  
Social Service Providers ◽  
Education And Health

Health education is a new component of the health care delivery system in the Bahamas. In the past, confusion and uncertainty was expressed regarding the contribution of health education to the health care services. The intention of this study was to investigate the perceptions of selected health and social service providers to health problems, their most likely solutions, and to health education and health education related issues in the Bahamas. A questionnaire was either mailed or hand delivered to 412 selected health and social service providers in New Providence and the Family Islands in the Bahamas. Of these 127 (31%) usable questionnaires were returned. A discussion of the study findings, study limitations, implications for health education and suggestions for future research are presented. The survey results showed that a majority of respondents indicated consistent support for health education and health education related issues. This support was evident even when responses were crosstabulated with such variables as age, profession, and years of experience in present occupation.

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