scholarly journals The Determinants of Telehealth Provision: Empirical Evidence from OECD Countries

Author(s):  
Fuhmei Wang ◽  
Jung-Der Wang

Health services provided through the telecommunications system aim to improve the population’s health and well-being. This research aims to explore what digital, economic, and health factors are associated with the provision of telehealth services, especially in ageing communities. Applying Organization for Economic Cooperation and Development (OECD) countries’ experiences, this research tries to construct a logistic regression model between adopting a telehealth system or not, a binary outcome variable, and a group of potentially explanatory variables. Estimation results showed that there were thresholds for telehealth provision: The demand for telehealth service usually began when the provision of telecommunication accessibility reached 50%, the proportion of elders exceeded 10%, or the proportion of health spending occupied more than 3–5% of the gross domestic product (GDP); the slope of each variable seemed to correspond with an increase in demand for such a provision. A growing number of individuals in OECD countries are now readily served by telehealth systems under the COVID-19 pandemic. These findings could be regarded as a model for other countries for implementing the necessary infrastructure early on when any of these parameters reaches its threshold. Moreover, telehealth applied in developing countries could be elevated for wider populations to access basic health services and for the remote delivery of health care. A rational decision could be made to appropriately use additional resources in telehealth provision. With accessible e-health services, the population’s health could be improved, which in turn would possibly increase productivity and social welfare.

Author(s):  
Jane Wilcock ◽  
Jill Manthorpe ◽  
Jo Moriarty ◽  
Steve Iliffe

Little is known of the experiences of directly employed care workers communicating with healthcare providers about the situations of their employers. We report findings from 30 in-depth semi-structured interviews with directly employed care workers in England undertaken in 2018–19. Findings relate to role content, communication with healthcare professionals and their own well-being. Directly employed care workers need to be flexible about the tasks they perform and the changing needs of those whom they support. Having to take on health liaison roles can be problematic, and the impact of care work on directly employed workers’ own health and well-being needs further investigation.


2022 ◽  
pp. 569-579
Author(s):  
Jacek Hochwälder

AbstractIn this chapter, the author discusses theoretical issues, including the dimensionality of the sense of coherence (SOC) scale, questioning whether the three components of comprehensibility, manageability and meaningfulness can be measured separately or not; a plea for longitudinal data to study SOC as the causal variable; whether SOC can be strengthened and thus function as an outcome variable or not; the concept of domain-specific SOC; the concept of a boundary in the measurement of SOC; the dichotomization and trichotomization of SOC to investigate more thoroughly if a weak SOC or a strong SOC is crucial for health and well-being; the importance of relating SOC to salutogenic outcome measures such as perceived wellness or a healthy lifestyle; and additional issues such as the collective SOC, measuring other central constructs in the salutogenic model and the importance of literature reviews and meta-studies. Excellent recommendations are given for ways forward.


2018 ◽  
Vol 9 (1) ◽  
pp. 109-118
Author(s):  
Vasiliki Kremastioti ◽  
Athanasios Anastasiou ◽  
Panagiotis Liargovas ◽  
Dimitrios Komninos ◽  
Zacharias Dermatis

Abstract Health Care is a sensitive issue that concerns not only the individual but also society in general. Health economics are a specialization of the economists in the health sector who aim for the proper function of hospital administration. It deals with issues related to the financing and delivery of health services and the role of such services and other personal decisions in contributing to personal health. Many researches refer to the problems that each health unit faces, emphasizing on the resources, programs and health expenditure. Some of these programs, especially the most effective, are mentioned in this research. Their creation was based on the best quality of health services in all OECD countries. With this research, we aim to develop a methodological framework for evaluating the total health expenditure (consists of all expenditures or outlays for medical care, prevention, promotion, rehabilitation, community health activities, health administration and regulation and capital formation with the predominant objective of improving health) in the 23 OECD countries, by creating a panel data regression and analyzing the results, from 2000 to 2014. For this reason, some of the most important variables (macroeconomic and related to the health sector), were used as tools to assess the performance of each country, as far as the resources and the expenditure for the health care are concerned. Every explanatory variable that was used in this sample, but also the combination of a number of these explanatory variables showed a positive correlation with total expenditures as a percentage of GDP in the majority of the equations. Some variables showed a negative correlation with total health expenditures, which doesn’t fit with the economic theory. Financial crisis is the reason for this.


2009 ◽  
Vol 15 (2) ◽  
pp. 39-47 ◽  
Author(s):  
Amanda Burton ◽  
Matthew Atherton ◽  
Anna Nygaard

In 2008, NHS Halton & St Helens in the United Kingdom launched a Men's Health program pilot focusing on encouraging men to take better care of their health and to make more use of available health services. Targeting men living in the most deprived wards in Halton, the Men's Health program offers a wide variety of activities just for men, all designed to support and enable equal and convenient access to lifestyle and general health services. The pilot program draws upon best practice by developing a social marketing approach that supports men to choose from a range of tailored activities designed to improve their health and well-being. The Men's Health program is part of the wider Health Improvement Team's program and has demonstrated a range of quantitative and qualitative successes in engaging men living in the most deprived wards. A key element to the design and development of the Men's Health program is the continuous dialogue and refining activities to ensure that men are encouraged to contribute in the shaping of such activities and wider delivery of the program.


2016 ◽  
pp. 621-635
Author(s):  
Hayriye Işik ◽  
Yaşar Akdağ

Health is described not only as the absence of disease and disability but also as physically, psychologically, and socially general well-being of people. Best practices of individuals and the society from the health services depend on taking the correct decisions on health policies. In addition, the thought that a country spending much on health services must have a perfect status of health should not be perceived as right. Effectiveness of the spending result in the efficient practices of these services. Although there have been many institutions carrying out the health services, it has been observed that the share separated for the health from the gross domestic product in Turkey increased until 2009 but decreased as of the mentioned year and it has been stated as low compared with the other countries. In this chapter the effectiveness of Turkey's health spending between 1999 and 2012 has been analysed from this view.


2006 ◽  
Vol 30 (2) ◽  
pp. 87-99 ◽  
Author(s):  
Scott Forrester ◽  
Christopher Arterberry ◽  
Bob Barcelona

Colleges and universities have generally been seen as environments where physical activity can be facilitated and promoted. Most colleges and universities offer programs and facilities that promote participation in recreational sports, physical activity, and overall physical health. This study was designed to examine the relationship between recreational sports involvement, satisfaction, interpersonal and group, physical health and well-being, and academic benefits of involvement and the importance of sports and fitness activities after graduation. Surveys were randomly distributed to students ( N = 718) participating in a variety of recreational sports programs. Multiple regression was used to analyze the relationship between the predictor variables (involvement, satisfaction, and benefits of involvement) and the outcome variable (importance of sports and fitness activities after graduation). Only physical health and well-being benefits and the combined measure of recreational sports involvement were significant predictor variables in the regression equation. Understanding the impact of campus programs devoted to influencing positive health behavior, including physical activity, is a critical component in understanding the benefits of recreational sports involvement. Suggestions for future research are made in the context of the limitations of the study.


Author(s):  
Hayriye Işik ◽  
Yaşar Akdağ

Health is described not only as the absence of disease and disability but also as physically, psychologically, and socially general well-being of people. Best practices of individuals and the society from the health services depend on taking the correct decisions on health policies. In addition, the thought that a country spending much on health services must have a perfect status of health should not be perceived as right. Effectiveness of the spending result in the efficient practices of these services. Although there have been many institutions carrying out the health services, it has been observed that the share separated for the health from the gross domestic product in Turkey increased until 2009 but decreased as of the mentioned year and it has been stated as low compared with the other countries. In this chapter the effectiveness of Turkey's health spending between 1999 and 2012 has been analysed from this view.


BMJ Open ◽  
2019 ◽  
Vol 9 (3) ◽  
pp. e028734 ◽  
Author(s):  
Lina Gubhaju ◽  
Emily Banks ◽  
James Ward ◽  
Catherine D’Este ◽  
Rebecca Ivers ◽  
...  

IntroductionAustralian Aboriginal and/or Torres Strait Islander (hereafter referred to as ‘Aboriginal’) adolescents (10–24 years) experience multiple challenges to their health and well-being. However, limited evidence is available on factors influencing their health trajectories. Given the needs of this group, the young age profile of the Aboriginal population and the long-term implications of issues during adolescence, reliable longitudinal data are needed.Methods and analysisThe ‘Next Generation: Youth Well-being Study’ is a mixed-methods cohort study aiming to recruit 2250 Aboriginal adolescents aged 10–24 years from rural, remote and urban communities in Central Australia, Western Australia and New South Wales. The study assesses overall health and well-being and consists of two phases. During phase 1, we qualitatively explored the meaning of health and well-being for adolescents and accessibility of health services. During phase 2, participants are being recruited into a longitudinal cohort. Recruitment is occurring mainly through community networks and connections. At baseline, participants complete a comprehensive survey and undertake an extensive age relevant clinical assessment. Survey and clinical data will be linked to various databases including those relating to health services; medication; immunisation; hospitalisations and emergency department presentations; death registrations; education; child protection and corrective services. Participants will receive follow-up surveys approximately 2 years after their baseline visit. The ‘Next Generation’ study will fill important evidence gaps by providing longitudinal data on the health and social well-being of Aboriginal adolescents supplemented with narratives from participants to provide context.Ethics and disseminationEthics approvals have been sought and granted. Along with peer-reviewed publications and policy briefs, research findings will be disseminated via reports, booklets and other formats that will be most useful and informative to the participants and community organisations.


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