scholarly journals Evaluation of Health Policy Governance in the Introduction of the New DRG-Based Hospital Payment System from Interviews with Policy Elites in South Korea

2020 ◽  
Vol 17 (11) ◽  
pp. 3757
Author(s):  
Changwoo Shon ◽  
Myoungsoon You
Keyword(s):  
Decision Making ◽  
Health Policy ◽  
Diagnosis Related Groups ◽  
Stakeholder Participation ◽  
Medical Personnel ◽  
Policy Formulation ◽  
Payment System ◽  
New Governance ◽  
The Government ◽  
Policy Elites

The study provides evidence of the governance and its context according to the introduction of the New Diagnosis-Related Groups (DRGs)-based payment system in Korea. In-depth interviews with 14 core policy elites from four health areas were conducted. As governance is a multidimensional concept, interviewees were asked to evaluate different dimensions based on the World Bank’s five elements (Coherent decision-making structures, Consistency and Stability, Stakeholder participation, Supervision and Regulation, and Transparency and Information). Overall, the new payment system was perceived as poorly governed. Since its introduction, it has not offered a new governance perspective because it used a conventional top-down approach, while political windows for cooperation were not wide open. Of the five governance dimensions, the scores were lowest in Stakeholder participation. There was a large perception gap between physicians and government officers here. Participants from academia perceived Consistency and Stability as ineffectively governed. In the meantime, the government has mainly created health policy in Korea. As a result, stakeholder participation, especially the participation of medical personnel, has been insufficient in the process of health policy formulation. The study suggests that the decision-making process in health policy needs to be more participatory and reliable, with governance regarded as a high priority.

scholarly journals The Role of Public Participation in Governance towards Achieving Sustainable Development. Part 1

2021 ◽  
Vol 8 (4) ◽  
pp. 395-404
Author(s):  
Maurice S. Nyarangaa ◽  
Chen Hao ◽  
Duncan O. Hongo
Keyword(s):  
Decision Making ◽  
Sustainable Development ◽  
Public Participation ◽  
Good Governance ◽  
Policy Formulation ◽  
Government Officials ◽  
Political Class ◽  
The Public ◽  
Decision Making Processes ◽  
The Government

Public participation aimed at improving the effectiveness of governance by involving citizens in governance policy formulation and decision-making processes. It was designed to promote transparency, accountability and effectiveness of any modern government. Although Kenya has legally adopted public participation in day-to-day government activities, challenges still cripple its effectiveness as documented by several scholars. Instead of reducing conflicts between the government and the public, it has heightened witnessing so many petitions of government missing on priorities in terms of development and government policies. Results show that participation weakly relates with governance hence frictions sustainable development. Theoretically, public participation influences governance efficiency and development, directly and indirectly, thus sustainable development policy and implementation depends on Public participation and good governance. However, an effective public participation in governance is has been fractioned by the government. Instead of being a promoter/sponsor of public participation, the government of Kenya has failed to put structures that would spur participation of citizens in policy making and other days to activities. This has brought about wrong priority setting and misappropriation of public resources; The government officials and political class interference ultimately limit public opinion and input effects on decision-making and policy formulation, which might be an inner factor determining the failure of public participation in Kenya. The study suggests the need for strengthening public participation by establishing an independent institution to preside over public participation processes.

scholarly journals Building the capacity of users and producers of evidence in health policy and systems research for better control of endemic diseases in Nigeria: a situational analysis

2019 ◽  
Vol 15 (1) ◽  
Author(s):  
Obinna Onwujekwe ◽  
Enyi Etiaba ◽  
Chinyere Mbachu ◽  
Uchenna Ezenwaka ◽  
Ifeanyi Chikezie ◽  
...  
Keyword(s):  
Decision Making ◽  
Health Policy ◽  
Health System ◽  
Policy Decision ◽  
Situational Analysis ◽  
Endemic Diseases ◽  
Systems Research ◽  
The Government ◽  
High Level ◽  
Health Policy And Systems

Abstract Background There is a current need to build the capacity of Health Policy and Systems Research + Analysis (HPSR+A) in low and middle-income countries (LMICs) as this enhances the processes of decision-making at all levels of the health system. This paper provides information on the HPSR+A knowledge and practice among producers and users of evidence in priority setting for HPSR+A regarding control of endemic diseases in two states in Nigeria. It also highlights the HPSR+A capacity building needs and interventions that will lead to increased HPSR+A and use for actual policy and decision making by the government and other policy actors. Methods Data was collected from 96 purposively selected respondents who are either researchers/ academia (producers of evidence) and policy/decision-makers, programme/project managers (users of evidence) in Enugu and Anambra states, southeast Nigeria. A pre-tested questionnaire was the data collection tool. Analysis was by univariate and bivariate analyses. Results The knowledge on HPSR+A was moderate and many respondents understood the importance of evidence-based decision making. Majority of researcher stated their preferred channel of dissemination of research finding to be journal publication. The mean percentage of using HPSR evidence for programme design & implementation of endemic disease among users of evidence was poor (18.8%) in both states. There is a high level of awareness of the use of evidence to inform policy across the two states and some of the respondents have used some evidence in their work. Conclusion The high level of awareness of the use of HPSR+A evidence for decision making did not translate to the significant actual use of evidence for policy making. The major reasons bordered on lack of autonomy in decision making. Hence, the existing yawning gap in use of evidence has to be bridged for a strengthening of the health system with evidence.

scholarly journals Investigating the process of evidence-informed health policymaking in Bangladesh: a systematic review

2019 ◽  
Vol 34 (6) ◽  
pp. 469-478
Author(s):  
Madeleine Dodd ◽  
Rebecca Ivers ◽  
Anthony B Zwi ◽  
Aminur Rahman ◽  
Jagnoor Jagnoor
Keyword(s):  
Systematic Review ◽  
Health Policy ◽  
Policy Formulation ◽  
Civil Society Organizations ◽  
Policy Framework ◽  
Policy Network ◽  
Eligibility Criteria ◽  
The Government ◽  
The Impact ◽  
Health Policymaking

Abstract Over the last four decades, Bangladesh has made considerable improvements in population health, this is in part due to the use of evidence to inform policymaking. This systematic review aims to better understand critical factors that have facilitated the diffusion of scientific evidence into multiple phases of health policymaking in Bangladesh. To do this an existing policy framework designed by Shiffman and Smith in 2007, was used to extract and synthesize data from selected policy analyses. This framework was used to ensure the content, context and actors involved with evidence-informed policymaking were considered in each case where research had helped shape a health policy. The ‘PRISMA Checklist’ was employed to design pre-specified eligibility criteria for the selection of information sources, search strategy, inclusion and exclusion criteria, and process of data extraction and synthesis. Through our systematic search conducted from February to May 2017, we initially identified 1859 articles; after removal of duplicates, followed by the screening of titles, abstracts and full-texts, 24 articles were included in the analysis. Health policy issues included the following topics: maternal and child health, tobacco control, reproductive health, infectious disease control and the impact and sustainability of knowledge translation platforms. Findings suggested that research evidence that could be used to meet key targets associated with the Millennium Development Goals (MDGs) were more likely to be considered as a political (and therefore policy) priority. Furthermore, avenues of engagement between research organizations and the government as well as collective action from civil-society organizations were important for the diffusion of evidence into policies. Through this article, it is apparent that the interface between evidence and policy formulation occurs when evidence is, disseminated by a cohesive policy-network with strong leadership and framed to deliver solutions for problems on both the domestic and global development agenda.

scholarly journals Temporal Analysis of COVID-19 Peak Outbreak

2020 ◽  
Author(s):  
Amit Tewari
Keyword(s):  
Decision Making ◽  
Health Policy ◽  
Medical Personnel ◽  
Temporal Analysis ◽  
Decision Making Process ◽  
Specific Class ◽  
Infected Person ◽  
Policy Makers ◽  
The World ◽  
Respiratory Droplets

Intent of this research is to explore how a specific class of mathematical models namely Susceptible-Infected-Removed model can be utilized to forecast peak outbreak timelines of COVID-19 epidemic amongst a population of interest starting from the date of first reported case. Till the time of this research, there was no effective and universally accepted vaccine to control transmission and spread of this infection. COVID-19 primarily spreads in population through respiratory droplets from an infected person cough and sneeze which infects people who are in proximity. COVID-19 is spreading contagiously across the world. If health policy makers and medical experts could get early and timely insights into when peak infection rate would occur after first reported case, they could plan and optimize medical personnel, ventilators supply, and other medical resources without over-taxing the infrastructure. The predictions may also help policymakers devise strategies to control the epidemic, potentially saving many lives. Thus, it can aid in critical decision-making process by providing actionable insights into COVID-19 outbreak by leveraging available data.

scholarly journals Changes in Public Hospital Employees’ Perceptions Following the Introduction of the New Diagnosis-Related Groups (DRG)-Based Payment System in the Republic of Korea

2021 ◽  
Vol 27 (2) ◽  
pp. 30-44
Author(s):  
Hyun Joo Kim ◽  
Jin Yong Lee
Keyword(s):  
Public Hospital ◽  
Healthcare Professionals ◽  
Diagnosis Related Groups ◽  
Pilot Project ◽  
Payment System ◽  
Unintended Consequences ◽  
Before And After ◽  
The Republic ◽  
The Government ◽  
New Diagnosis

Purpose: The aim of this study was to investigate the changes in perception of the New Diagnosis-Related Group (DRG)- based payment system, make overall evaluation after participation, and examine opinions on further policy improvement among employees of a public hospital participating in the pilot project in Korea.Methods: We investigated changes in perception of the New DRG-based payment system before and after participation in the pilot project using a qualitative research method. We conducted individual in-depth interviews with the management and healthcare professionals and Focus Group Interviews (FGIs) with the staff in the nursing and administrative departments.Results: Before implementing the pilot project of the New DRG-based payment system, the management was in favor of participating in the pilot project, whereas the healthcare professionals were strongly opposed to participation in the pilot project, and the staff in the nursing and administrative departments were slightly opposed to participation. After implementing the pilot project, there were remarkable changes in the perception of the New DRG-based payment system among healthcare professionals and the administrative staff. Healthcare professionals’ perception was altered in a positive way, while the administrative staff’s perception of the system became negative.Conclusion: There were no restrictions on clinical practice or deterioration of quality of care observed in association with the participation in the New DRG-based payment system. However, certain unintended consequences of the New DRG-based payment system may arise as well. Therefore, the government needs to examine the problems identified in this study to reflect on and improve the New DRG-based payment system for stable expansion.

scholarly journals Does the reform of public hospitals' payment system increase the pay of medical personnel? A nationwide cross-sectional study

2021 ◽  
Author(s):  
Yong Dang ◽  
Yaxin Zhao ◽  
Hong Yan ◽  
Zhichao Wang ◽  
Zhongliang Zhou
Keyword(s):  
Scale Up ◽  
Control Level ◽  
Medical Personnel ◽  
Performance Pay ◽  
Payment System ◽  
Public Hospitals ◽  
Control Group ◽  
Cross Sectional ◽  
Study Results ◽  
The Government

Abstract Background The reform of public hospitals' payment system (RPHPS) is the focus of medical reform in China. The current medical personnel payment system was formulated under a framework including the whole public sector, and this cannot meet the demands of necessary reform. In 2017, the government piloted the RPHPS to raise the pay of medical personnel and mobilize their work enthusiasm. Here, we examine whether the RPHPS provides a way to influence the pay of medical personnel and examine the factors determining this pay. Methods This study used data from a cross-sectional survey of 699 public hospitals across 21 provinces of China in 2017, the China Public Hospitals Pay Reform Survey. We used a coarsened exact matching method and hierarchical linear analysis to enhance the comparability between groups. A total of 178,622 medical personnel were included in our study. Results We found that the RPHPS was significantly associated with total annual pay and annual performance pay. Those who worked in the treatment group had significantly higher total annual pay and annual performance pay than those in the control group. The pay of medical personnel was strongly associated with the average salary of an urban worker and the hospital type, and their gender, age, education status, work characteristics, position, professional titles, seniority in years and departments. Conclusion There was a strong relationship between the implementation of the RPHPS and the pay of medical personnel. From a policymaker perspective, this shows that there may be value in further promoting the development of the payment system in public hospitals. The government should scale up the piloted areas for RPHPS and increase the total salary and the total performance-based wage-control level of public hospitals to reflect the value of the technical and labor services provided by medical personnel.

Peranan KPPU Bagi Pemangku Kepentingan Dalam Menegakkan Undang-Undang Larangan Praktik Monopoli Di Indonesia

Liquidity ◽  
2018 ◽  
Vol 3 (2) ◽  
pp. 190-200
Author(s):  
Muchtar Riva’i ◽  
Darwin Erhandy
Keyword(s):  
Stakeholder Participation ◽  
The People ◽  
The Law ◽  
The Government ◽  
Law Commission

The establishment of the KPPU is to control the implementation of the Act. No. 5/1999 on Concerning the Ban on Monopolistic Practices and Unfair Business Competition in Indonesia. Various duties and authority of the KPPU contained in Article 35 and Article 36 of the Act. But in reality, KPPU does not have executorial rights so that the various decisions of the commission often could not be implemented. Therefore internally strengthening of institutional existence by way of amending the Law Commission is very appropriate to be used by the government and parliament agenda. Externally, stakeholder participation is something very urgent and that the KPPU’s strategic optimally capable of performing their duties according to its motto: “Healthy competition Welfare of the people”.

Harmonisasi terhadap Peraturan Daerah No. 14 Tahun 2006 tentang Pengelolaan Pelestarian Kawasan Konservasi Laut Daerah dalam Perlindungan Pulau Pariwisata Kabupaten Indramayu

2019 ◽  
Vol 1 (2) ◽  
pp. 142
Author(s):  
Saiful Kholik ◽  
Imas Khaeriyah
Keyword(s):  
Rule Of Law ◽  
Local Governments ◽  
Environmental Law ◽  
Policy Formulation ◽  
Marine Conservation ◽  
Environmental Damage ◽  
Conservation Area ◽  
The Rule Of Law ◽  
The Government ◽  
The Impact

Inconsistency Regional Regulation No.14 of 2006 about marine conservation area of the island of Biawak, Gososng, which Cendekian provides protection but in fact failed to provide protection as evidenced by dredging island sandbar and cendekian conducted PT.Pertamina UP VI Balongan INDRAMAYU. The problem in this research How Formulation Policy Act No. 10 Year 2009 on the Indonesian Tourism with the Indramayu Regional Regulation No. 14 of 2006 regarding marine conservation area of the island of Biawak, Gososng, Cendekian And How Harmonization Act No. 10 of 2009 with the Indramayu Regional Regulation No. 14 of 2006 regarding formulation Act No. 10 Year 2009 on the Indonesian Tourism with the Indramayu Regional Regulation No. 14 of 2006 about marine conservation area of the island of Biawak, Gososng, Cendekian, the purpose of this research to understand and analyze the extent to which policy The findings of the community or field of law local governments about the environmental damage done by companies or individuals are not equal accordance with regional regulations in force, nor the Law in force so that the function of law in society indramayu not fit the mandate to establish a change and justice based Formulation public corporate criminal liability.Inskonsitensi happens to local regulation No.14 of 2006 makes no harmonized with the regulations of each other so that the impact of this inskonsistensi makes the sector particularly environmental law enforcement get uncertainties that result in coastal communities Indramayau.Conclusion Harmonization of regulations of the center and regions delivering the policy formulation of the rule of law area to comply with the regulations above in order to avoid inconsistency, the occurrence of this inconsistency resulted in the rule of law and justice for the indramayu, suggestion that the government should was nearly revise regulations related area, especially the government must dare to take action to give effect to the perpetrator deterrent effect rule-based running as well as possible.

Data Visualization Indicator Disease (Malaria, Dengue Fever, and Measles) in The Year 2012-2015

2017 ◽  
Vol 4 (2) ◽  
pp. 87-93
Author(s):  
Immanuel Luigi Da Gusta ◽  
Johan Setiawan
Keyword(s):  
Data Mining ◽  
Human Resources ◽  
Data Visualization ◽  
Health Sector ◽  
Medical Personnel ◽  
Database Systems ◽  
Process Time ◽  
Acceptance Test ◽  
Visual Data Mining ◽  
The Government

The aim of this paper are: to create a data visualization that can assist the Government in evaluating the return on the development of health facilities in the region and province area in term of human resources for medical personnel, to help community knowing the amount of distribution of hospitals with medical personnel in the regional area and to map disease indicator in Indonesia. The issue of tackling health is still a major problem that is not resolved by the Government of Indonesia. There are three big things that become problems in the health sector in Indonesia: infrastructure has not been evenly distributed and less adequate, the lack of human resources professional health workforce, there is still a high number of deaths in the outbreak of infectious diseases. Data for the research are taken from BPS, in total 10,600 records after the Extract, Transform and Loading process. Time needed to convert several publications from PDF, to convert to CSV and then to MS Excel 3 weeks. The method used is Eight-step Data Visualization and Data Mining methodology. Tableau is chosen as a tool to create the data visualization because it can combine each dasboard inside a story interactive, easier for the user to analyze the data. The result is a story with 3 dashboards that can fulfill the requirement from BPS staff and has been tested with a satisfied result in the UAT (User Acceptance Test). Index Terms—Dashboard, data visualization, disease, malaria, Tableau REFERENCES [1] S. Arianto, Understanding of learning and others, 2008. [2] Rainer; Turban, Introduction to Information Systems, Danvers: John Wiley & Sons, Inc, 2007. [3] V. Friedman, Data Visualization Infographics, Monday Inspirition, 2008. [4] D. A. Keim, "Information Visualization and Visual Data Mining," IEEE Transactions on Visualization and Computer Graphics 8.1, pp. 1-8, 2002. [5] Connolly and Begg, Database Systems, Boston: Pearson Education, Inc, 2010. [6] E. Hariyanti, "Pengembangan Metodologi Pembangunan Information Dashboard Untuk Monitoring kinerja Organisasi," Konferensi dan Temu Nasional Teknologi Informasi dan Komunikasi untuk Indonesia, p. 1, 2008. [7] S. Darudiato, "Perancangan Data Warehouse Penjualan Untuk Mendukung Kebutuhan Informasi Eksekutif Cemerlang Skin Care," Seminar Nasional Informatika 2010, pp. E-353, 2010.

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