scholarly journals Burden of Chronic Heart Failure in Romania

Healthcare ◽  
2022 ◽  
Vol 10 (1) ◽  
pp. 107
Author(s):  
László Lorenzovici ◽  
Andrea Bârzan-Székely ◽  
Szabolcs Farkas-Ráduly ◽  
Bogdan C. Pană ◽  
Marcell Csanádi ◽  
...  

Chronic heart failure (CHF) affects millions of people across the world, with increasing trends in prevalence, putting ever increasing pressure on the healthcare system. The aim of this study was to assess the financial burden of CHF hospital care on the public healthcare sector in Romania by estimating the number of inpatient episodes and the associated costs. Additionally, societal costs associated with missed work and premature death of CHF patients were also estimated. The national claims database was analyzed to estimate the number of CHF patients. Cost data was extracted from a pool of nine public hospitals in Romania. In 2019, 375,037 CHF patient episodes were identified on specific wards at the national level. The average cost calculated for the selected nine hospitals was EUR 996. The calculated weighted national average cost per patient episode was EUR 1002, resulting in a total cost of EUR 376 million at the national level. The cost of workdays missed summed up to EUR 122 million, while the annual costs associated with the premature death of CHF patients was EUR 230 million. In conclusion, the prevalence of CHF in Romania is high, accounting for a large proportion of hospitalizations, which translates into large costs for the national payer.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Enrique M Saldarriaga ◽  
Cesar P. Cárcamo ◽  
Joseph B. Babigumira ◽  
Patricia J. García

Abstract Objectives To estimate the cost of six different techniques used to treat Genital Warts and the annual average cost of treating a typical GW patient in Peru. To estimate the annual economic burden diagnosing and treating GW in the Peruvian public healthcare system. Methods We developed a prevalence-based, cost-of-illness study from the provider’s perspective, the healthcare facilities under the purview of Peruvian Ministry of Health. We used an activity-based costing approach. We conducted primary data collection in three regions in Peru and supplemented it with governmental data. Uncertainty of the costing estimates was assessed via Monte Carlo simulations. We estimated the average cost and associated confidence intervals for six treatment options – three topical and three surgical – and the overall cost per patient. Results The average treatment cost per patient was 59.9USD (95 %CI 45.5, 77.6). Given a population of 18.4 million adults between 18 and 60 years of age and a GW prevalence of 2.28 %, the annual cost of treating GW was 25.1 million USD (uncertainty interval 16.9, 36.6). Conclusions This study provides the first quantification of the economic burden of treating genital warts in Peru and one of the few in Latin America. The costing data did not include other healthcare providers or out-of-pocket expenditures, and hence we present a conservative estimate of the COI of GW in Peru. Our findings bring attention to the financial burden of treating GW, a vaccine-preventable disease.


2021 ◽  
pp. 127-145
Author(s):  
Elisabetta Gola ◽  
Fabrizio Meloni ◽  
Andrea Volterrani

In the mediated construction of social reality, public institutions need to in-crease digital communication and build trust through proximity and relationality. During the crisis generated by Covid-19 this has become even more evident. In this paper we will explore some case study of social media communication in ten Italian Health Public Hospitals and Authorities, exploring them in the light of some key perspectives related to four dimensions related to space, time, relational-ity, digital communities and two objectives of public institutions: inclusion and popularity.


2014 ◽  
Vol 12 (1) ◽  
pp. 490-501
Author(s):  
Georgios K. Papachristou ◽  
Michail K. Papachristou

The objective of this paper is to measure the worthiness which the compliance of governance norms will provide to public organizations. We introduce the principles of corporate governance that should characterize the function of public sector and our analysis focuses on public hospitals. Sending appropriate designed questionnaires to an adequate sample of Greek public hospitals, we measure and analyze the impact that the implementation of a corporate governance code would have to hospitals’ administration, control system and communication with stakeholders. According to research’s results the implementation of a corporate governance code by public hospitals could add value to the provided healthcare services.


Author(s):  
Nur Shawalliza Yusof Et.al

The aim of this study is to identify the level of readiness in the implementation of accrual-based accounting among Malaysian public healthcare sector and to examine the relationships between human resources competency, software and technology capability, accounting policies and standards suitability and the level of readiness in the implementation of accrual-based accounting. Data were collected using questionnaires from a sample of 200 administrative officers in the Finance Department at 20 public hospitals and State Health Departments.The finding showed that the level of readiness to implement accrual-based accounting in Malaysian public healthcare was moderately high. The results also revealed that there were significant relationships between human resources competency, software and technology capability and accounting policies and standards suitability and the level of readiness to implement accrual-based accounting. The results implicated that users of accounting system in Northern Malaysian public healthcare are ready to implement accrual-based accounting. However, improvement should be directed towards relevant areas as identified in the study to ensure a more successful and beneficial implementation of this new accounting system in Malaysian public sector.


Author(s):  
Muhammad Syukri Imran ◽  
◽  
Noor Muhammad Abd Rahman ◽  
Roslan Mohamed ◽  
◽  
...  

Ministry of Health Malaysia (MOH) has integrated sustainability program in the management of its assets particularly hospital buildings in line with the national sustainability goals and the United Nation Sustainable Development Goals. The fundamental sustainability change is significant since 2015 in the public healthcare sector where green business practice is more appreciable through formation of policy and sustainability related programme. Public hospital in Malaysia are very high energy consumers, therefore various energy projects have been implemented through Energy Performance Contracting (EPC). EPC projects in MOH is intended to deliver energy expenditure savings as well as to offset hospital building carbon footprint. EPC practice in government hospitals have managed to offset about 15.7 ktonne carbon emission in 2019 or about 16% of Government building national emission reduction target. Energy project such as energy efficient chiller retrofit, LED lighting retrofit and solar thermal hot water are some of the EPC initiatives by MOH in public hospitals. The energy projects not only serve to meet the overall Hospital Facility Management Contract sustainability goals but also to complement the green building target for Malaysian Healthcare building by 2025. The aim of this paper is to review the development of the EPC projects in public healthcare sector and its impact on government energy spending as well as to the climate.


2018 ◽  
Vol 28 (suppl_4) ◽  
Author(s):  
M Šantric Milicevic ◽  
M Gacevic ◽  
N Milic ◽  
M Milicevic ◽  
M Vasic ◽  
...  

Author(s):  
Stephen Cantarutti ◽  
Emmanuel M. Pothos

Abstract Background According to recent polling, public trust in the healthcare sector remains low relative to other industries globally. The implications of low healthcare trust permeate throughout the industry in a number of ways, most visibly by discouraging therapy compliance. Methods This study investigated four putative determinants of trust in healthcare-related scenarios: individuals vs. collective groups as communicators of healthcare advice; expert vs. laypeople as providers of healthcare communication; public vs. private healthcare sector; and positive vs. negative information. Two hundred seventy-four participants were recruited via Prolific Academic and were presented with four statements in random order, related to a positive reflection of the public healthcare sector, a negative reflection of the public healthcare sector, a positive reflection of the private healthcare sector and a negative reflection of the private healthcare sector. According to these reflection, participants were repeatedly asked to rate the system on its trustworthiness. Trust outcomes were constructed using a four-dimension framework, consisting of benevolence, reliability, competence and predictability. Results Claims relating to the public sector had a significantly stronger impact on benevolence and reliability than claims relating to the private sector; claims from individuals had a significantly stronger impact on all trust variables than claims from collectives; and claims from laypeople had a significantly greater impact on reliability and competence ratings than claims from experts. Conclusions The findings in this study offer insight into the patterns with which trust decisions are made in healthcare contexts. More importantly, this research offers a novel perspective of how different factors interact to affect the various facets of trust. These results provide a foundation for future study in this evolving area, and offer insights into designing effective communication strategies that cultivate greater levels of individual trust in the healthcare sector.


2015 ◽  
Vol 5 (3) ◽  
pp. 23 ◽  
Author(s):  
Adebukola Esther Oyewunmi ◽  
Olabode Adeleke Oyewunmi ◽  
Ibiyinka Stella Ojo ◽  
Olumuyiwa Akinrole Oludayo

Undoubtedly, multiple competencies are essential for effective leadership and identifying specific competencies that will foster employees’ performance, is a veritable venture. This study explores the impact of leaders’ emotional intelligence on employees’ performance within Nigeria’s public healthcare sector and also provides perspective on the contextual underpinnings. It adopts the survey method and randomly samples leaders and employees within the sector. Data analyses using the t-test and hierarchical regression analytical tool, reveals a significant correlation between the emotional intelligence of leaders and the performance of employees. The study finds that the task of leadership, coupled with the multiple challenges within Nigeria’s public healthcare sector, requires a reasonable measure of emotional intelligence in order to facilitate employees’ performance.


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