scholarly journals Reshaping the Regional Order of Health Care Resources in China: The Institutional Participants in an Inter-City Integrated Delivery System

2021 ◽  
Vol 18 (17) ◽  
pp. 9176
Author(s):  
Xuanyi (Maxwell) Nie ◽  
Haobin (Bruce) Fan
Keyword(s):  
Health Care ◽  
Local Government ◽  
Local Governments ◽  
Health Care Services ◽  
Health Care Resources ◽  
Care Services ◽  
Integrated Delivery System ◽  
Regional Health Care ◽  
Integrated Delivery ◽  
Local Government Level

Over the past decades, pro-growth policies in China led to rapid economic development but overlooked the provision of health care services. Recently, increasing attention is paid to the emergence of integrated delivery systems (IDS) in China, which is envisioned to consolidate regional health care resources more effectively by facilitating patient referral among hospitals. IDS at an inter-city scale is particularly interesting because it involves both the local governments and the hospitals. Incentives among them will affect the development of an inter-city IDS. This paper thereby builds an economic model to examine both the inter-local government and inter-hospital incentives when participating in an inter-city IDS in China. The findings suggest that while inter-hospital incentives matter, inter-local government incentives should also be considered because the missing incentives at the local government level may oppose the development of inter-city IDSs.

Glosa do Wyroku Trybunału Konstytucyjnego z dnia 20 listopada 2019 r., sygn. akt K 4/17

2021 ◽  
Vol 2(163) ◽  
pp. 267-279
Author(s):  
Zbigniew Gromek
Keyword(s):  
Health Care ◽  
Local Government ◽  
Local Governments ◽  
Health Care Services ◽  
Public Health Care ◽  
Constitutional Court ◽  
Care Services ◽  
Constitutional Tribunal ◽  
The Subject ◽  
The Republic

In the judgment of 20 November 2019 (Case K 4/17), the Constitutional Tribunal assessed the compatibility with the Constitution of the Republic of Poland of provisions imposing on local government units the obligation to cover financial losses of independent public health care institutions run by local governments. The negative financial result of local government healthcare institutions resulted from insufficient financing of medical services by the National Health Fund. The Tribunal found that local government units were thus obliged to partially finance health care services, despite the fact that this is a task of government administration. The issue of providing local government units with adequate financial resources has repeatedly been the subject of rulings by the Constitutional Court. Jurisprudence to date has been based on a restrictive interpretation of Article 167(1) and (4) of the Constitution of the Republic of Poland. As a result, the aforementioned provisions ceased to fulfill the guarantee function in relation to local government. The judgment under review constitutes a departure from the above line. The position adopted therein deserves to be endorsed and continued in future jurisprudence.

scholarly journals Regional health care services and rates of lower extremity amputation related to diabetes and peripheral artery disease: an ecological study

CMAJ Open ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. E659-E666
Author(s):  
Charles de Mestral ◽  
Mohamad A. Hussain ◽  
Peter C. Austin ◽  
Thomas L. Forbes ◽  
Atul Sivaswamy ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Ecological Study ◽  
Lower Extremity Amputation ◽  
Peripheral Artery ◽  
Regional Health ◽  
Care Services ◽  
Regional Health Care ◽  
Artery Disease ◽  
Extremity Amputation

Spatial Aspects of Epidemiological Phenomena and of the Provision and Utilization of Health Care Services in Australia: A Review of Methodological Problems and Empirical Analyses

1980 ◽  
Vol 12 (8) ◽  
pp. 881-907 ◽  
Author(s):  
R J Stimson
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Medical Geography ◽  
Health Care Resources ◽  
Care Services ◽  
Access To Health ◽  
Data Source ◽  
Methodological Problems ◽  
Use Of Health Care

This paper reviews data source problems faced by researchers in Australia in investigating a variety of aspects of medical geography. It describes the nature of health care services organization in Australia, and reports on the recent contributions geographers have made to investigating the spatial characteristics of epidemiological phenomena, questions of equity in the provision of and access to health care services, and behavioural analyses of consumer use of health care resources.

The Brave New World of Medical Standards of Care

2001 ◽  
Vol 29 (3-4) ◽  
pp. 323-334 ◽  
Author(s):  
Eleanor D. Kinney
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Standards Of Care ◽  
Delivery Of Care ◽  
Care Plans ◽  
Care Services ◽  
Medical Standards ◽  
American Health Care ◽  
Integrated Delivery

There have always been medical standards of care in the American health-care sector. However, never before have they been so deeply incorporated in the delivery of health care as they are today. With the increased delivery of care through integrated delivery systems, as well as the development of the computerized patient record, medical standards of care are now used in innovative ways by providers and health plans in delivering health care to individual patients. There is great potential for even more innovative uses of medical standards of care in the future.This article first presents a taxonomy of the medical standards of care that are involved in health-care delivery today Next, the article traces the historical evolution of medical standards of care since the early 1980s. Included in this discussion are the origins of the standard-setting movement as well as the developments that led to the way standards of care are currently used by large institutional providers and managed care plans to improve the quality of their health-care services. The article concludes with a brief analysis of the key legal issues that affect how standards of care can be used to improve the health care of patients.

scholarly journals Trend of Inequality in the Distribution of Health Care Resources in Iran

2016 ◽  
Vol 5 (3) ◽  
pp. 122-30
Author(s):  
Sajad Darzi Ramandi ◽  
Leili Niakan ◽  
Mina Aboutorabi ◽  
Javad Javan Noghabi ◽  
Mohammad Khammarnia ◽  
...  
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Health Care Services ◽  
Unequal Distribution ◽  
Equal Distribution ◽  
Health Care Resources ◽  
Gini Coefficients ◽  
Care Services ◽  
Hospital Beds ◽  
Equity Of Access

Background: Equity of access to health care services is one of the main goals of health system. Equity in resource distribution in health section constitutes one of the main dimensions of the equity. The aim of the study is determining how doctors, paramedics and hospital beds are distributed in Iran.Materials and Methods: This analytical study was conducted in Iran. Data on 2006-2013 were collected from Statistics Center of Iran and Iran Ministry of Health and Medical Education. After determining the population of 31 provinces and number of physician, paramedics and hospital beds in them, the equal distribution of these facilities and personnel were analyzed using Lorenz curve and Gini coefficient. Stata 12 and DASP2.2 were used for analyzing Gini index. Results: The total number of physicians, paramedics and hospital beds were 37,000, 217,000 and 138,000, respectively in 2013. Tehran as the capital of Iran had the highest percentage of beds among all provinces. The number of physicians, paramedics and hospital beds per 10,000 population of the country were 5.6, 31.3 and 18.5, respectively for 2013. The calculated Gini coefficients for each of them were 0.47, 0.39 and 0.58, respectively.Conclusion: According to Gini coefficients, physicians, paramedics and hospital beds have an unequal distribution throughout the country. However, these distributions are different in different provinces. We recommend creating a comprehensive and continuous monitoring system for equitable allocation of health care resources.[GMJ.2016;5(3):122-130]

scholarly journals Using Health Care Resources Wisely During and Following the COVID-19 Pandemic

2021 ◽  
Vol 1 (5) ◽  
Author(s):  
Karen B. Born ◽  
Wendy Levinson
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Services ◽  
Choosing Wisely ◽  
Evidence Based ◽  
Care Needs ◽  
Health Care Resources ◽  
Care Services ◽  
New Meanings ◽  
Care System

In the pandemic era, the Choosing Wisely Canada campaign has taken on new meanings and urgency. There are drops in utilization for necessary health care services and procedures during the pandemic; however, there is growing literature suggesting that some decreases in utilization have been driven by declines in low-value tests and treatments. As resources have shifted to pandemic priorities and essential care needs, these unnecessary tests and treatments have also declined. Choosing Wisely Canada and CADTH are proactively working to highlight key recommendations from evidence-based lists of recommendations to inform priorities for rebuilding, which include avoiding low-value care. Rebuilding the health care system in the post-pandemic era needs to take into account a diversity of perspectives on how to prioritize high-value care for those who need it most, including clinician, patient, and policy expert perspectives.

Sign in / Sign up

Export Citation Format

Share Document