scholarly journals BlockPres: A Novel Blockchain-Based Incentive Mechanism to Mitigate Inequalities for Prescription Management System

Sensors ◽  
2021 ◽  
Vol 21 (15) ◽  
pp. 5035
Author(s):  
Alan Litchfield ◽  
Arshad Khan
Keyword(s):  
Healthcare System ◽  
Management System ◽  
Incentive Mechanism ◽  
Healthcare Providers ◽  
Modern Society ◽  
Healthcare Services ◽  
Underserved Communities ◽  
Smart Healthcare ◽  
Unequal Access ◽  
Initial Results

The study presents a blockchain-based incentive mechanism intended to encourage those in underserved communities to engage with healthcare services. The smart healthcare system, which is the result of the amalgamation of advanced technologies, has emerged recently and is increasingly seen as essential to meet the needs of modern society. An important part of the healthcare system is the prescription management system, but studies show that prescription affordability and accessibility play a part in creating unequal access for underserved communities. This is a form of unequal access that results in those living in underserved communities to become disengaged from accessing healthcare services. In New Zealand, the prescription management system plays a crucial role and this study seeks to address the issue by presenting the BlockPres framework, which uses a novel incentive mechanism to encourage patients to participate and engage with services in order to be rewarded. The blockchain attribute of immutability in BlockPres enhances equality and participation by providing sophisticated authorisation and authentication capabilities for healthcare providers and patients. BlockPres empowers the patient by assigning ownership or control of some patient information to the patient. A simulation is carried out using the Ethereum blockchain and the evaluation of successful transaction completion and superficial performance assessment demonstrates that the blockchain would be sufficient to cope with the needs of a prescription management system. Furthermore, for the simulation, a BlockPres Smart Contract is developed using solidity and implemented in Remix. The Ropsten network is used as the simulation environment and the initial results show that the proposed incentive mechanism mitigates unequal access.

IOT-Based Smart Healthcare System: A Review on Constituent Technologies

2021 ◽  
pp. 2130008
Author(s):  
Manju Lata Sahu ◽  
Mithilesh Atulkar ◽  
Mitul Kumar Ahirwal
Keyword(s):  
Healthcare System ◽  
Service Providers ◽  
Data Communication ◽  
Healthcare Services ◽  
Vital Role ◽  
Medical Practitioners ◽  
Smart Healthcare ◽  
Rural And Remote Areas ◽  
Medical Infrastructure ◽  
Physiological Sensing

The revolution in the Internet of Things (IoT) is redesigning and reshaping the healthcare system technologically, economically and socially. The emerging and rapidly growing IoT-based Smart Healthcare System (SHCS) is seen as a sustainable solution to reduce the burden on the existing healthcare system due to increasing diseases and limited medical infrastructure. IoT-based SHCS plays a vital role in delivery of healthcare services in rural and remote areas where the essential medical amenities, necessary infrastructures and qualified medical practitioners are not available. Therefore, in this paper, a comprehensive investigation of futuristic IoT-based SHCS and its constituents is presented. This paper provides exhaustive review on different techniques and technologies dealing with smart healthcare framework, physiological sensing, signal processing, data communication, cloud computing and data analytics used in IoT-based SHCS. A comparative analysis of existing literature has been carried out to identify the recent trends and advancements in this very dynamic field of global importance. In addition to this, it highlights different issues and challenges, along with the recommendation for further research in the field. The prime objective of this paper is to deliver the state-of-the-art understanding and update about IoT-based SHCS and its constituents by providing a good source of information to the researchers, service providers, technologists, medical practitioners and the general population.

Monitoring Quality in a Federal State with Shared Powers in Healthcare: The Case of Belgium

2011 ◽  
Vol 18 (4) ◽  
pp. 413-422 ◽  
Author(s):  
Diego Fornaciari ◽  
Arthur Vleugels ◽  
Stefaan Callens ◽  
Kristof Eeckloo
Keyword(s):  
Healthcare System ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Federal State ◽  
Flemish Community ◽  
The Government ◽  
Regulatory Powers ◽  
Monitoring Quality

AbstractThe Belgian healthcare system consists of a complex of more or less autonomous groups of healthcare providers. It is the responsibility of the government to ensure that the fundamental right to qualitative healthcare is secured through the services they provide. In Belgium, the regulatory powers in healthcare are divided between the federal state and the three communities. Both levels, within their area of competence, monitor the quality of healthcare services. Unique to the Belgian healthcare system is that the government that providers are accountable to is not always the same as the government that is competent to set the criteria. The goal of this article is to provide an overview of the main mechanisms that are used by the federal government and the government of the Flemish community to monitor healthcare quality in hospitals. The Flemish community is Belgian’s largest community (6.2 million inhabitants). The overview is followed by a critical analysis of the dual system of quality monitoring.

scholarly journals Mobile Health Technology and Healthcare Providers: Systemic Barriers to Adoption

2021 ◽  
Vol 27 (4) ◽  
pp. 267-278
Author(s):  
Somayyeh Zakerabasali ◽  
Seyed Mohammad Ayyoubzadeh ◽  
Tayebeh Baniasadi ◽  
Azita Yazdani ◽  
Shahabeddin Abhari
Keyword(s):  
Systematic Review ◽  
Healthcare System ◽  
Mobile Health ◽  
Group Discussion ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Security And Privacy ◽  
Adoption Process ◽  
Barriers To Adoption ◽  
Privacy Concerns

Objectives: Despite the growing use of mobile health (mHealth), certain barriers seem to be hindering the use of mHealth applications in healthcare. This article presents a systematic review of the literature on barriers associated with mHealth reported by healthcare professionals.Methods: This systematic review was carried out to identify studies published from January 2015 to December 2019 by searching four electronic databases (PubMed/MEDLINE, Web of Science, Embase, and Google Scholar). Studies were included if they reported perceived barriers to the adoption of mHealth from healthcare providers’ perspectives. Content analysis and categorization of barriers were performed based on a focus group discussion that explored researchers’ knowledge and experiences.Results: Among the 273 papers retrieved through the search strategy, 18 works were selected and 18 barriers were identified. The relevant barriers were categorized into three main groups: technical, individual, and healthcare system. Security and privacy concerns from the category of technical barriers, knowledge and limited literacy from the category of individual barriers, and economic and financial factors from the category of healthcare system barriers were chosen as three of the most important challenges related to the adoption of mHealth described in the included publications.Conclusions: mHealth adoption is a complex and multi-dimensional process that is widely implemented to increase access to healthcare services. However, it is influenced by various factors and barriers. Understanding the barriers to adoption of mHealth applications among providers, and engaging them in the adoption process will be important for the successful deployment of these applications.

scholarly journals Health Monitoring using Edge Cognitive Computing Based Smart Health Care

2019 ◽  
Vol 9 (1) ◽  
pp. 5356-5361
Keyword(s):  
Healthcare System ◽  
Healthcare Services ◽  
Current Status ◽  
Cognitive Computing ◽  
Smart Healthcare ◽  
The People ◽  
Remote Healthcare ◽  
Health Progress ◽  
Remote Viewing

With an enhancement in technology and development of sensors, they have decided to concern the latest technology in particular areas to increases the Quality of their life. One of the important section of research that has seen an agreement of the latest technology is the healthcare. the people who need healthcare services they have to suffer for long process, to reduce the problem As a result, basically this complete technology would try to resole the healthcare issues. The main goal of the project is to develop a remote healthcare system. It have three main parts. The first and most important section in this process is to detecting the patient current health status using this sensors. second important thing is sending data to cloud storage and the last section is to get the detected data for remote viewing. Remote viewing of the data provided to the doctor will able to monitor a patients health progress aboard from hospital places. The Edge-Cognitive- Computing-based (ECC-based) smart healthcare system. This technology is able to check also distinguish and detect the current status of patient using this sensors. It also accommodate the computing resource appropriation of the complete edge computing network expansive to the health different percentage of each user. The experiments show that the ECC-based healthcare system provide a exceed user background and try to improvement the computing resources moderately, as well as consequentially improving in the durability rates of patients in emergency

scholarly journals Public health consequences after ten years of the Syrian crisis: a literature review

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
M. H. D. Bahaa Aldin Alhaffar ◽  
Sandor Janos
Keyword(s):  
Public Health ◽  
Health Status ◽  
Healthcare System ◽  
Healthcare Providers ◽  
Health Sector ◽  
Health Indicators ◽  
Healthcare Services ◽  
Seeking Safety ◽  
Syrian Crisis ◽  
Syrian Population

AbstractTen years of the Syrian war had a devastating effect on Syrian lives, including millions of refugees and displaced people, enormous destruction in the infrastructure, and the worst economic crisis Syria has ever faced. The health sector was hit hard by this war, up to 50% of the health facilities have been destroyed and up to 70% of the healthcare providers fled the country seeking safety, which increased the workload and mental pressure for the remaining medical staff. Five databases were searched and 438 articles were included according to the inclusion criteria, the articles were divided into categories according to the topic of the article.Through this review, the current health status of the Syrian population living inside Syria, whether under governmental or opposition control, was reviewed, and also, the health status of the Syrian refugees was examined according to each host country. Public health indicators were used to summarize and categorize the information. This research reviewed mental health, children and maternal health, oral health, non-communicable diseases, infectious diseases, occupational health, and the effect of the COVID − 19 pandemic on the Syrian healthcare system. The results of the review are irritating, as still after ten years of war and millions of refugees there is an enormous need for healthcare services, and international organization has failed to respond to those needs. The review ended with the current and future challenges facing the healthcare system, and suggestions about rebuilding the healthcare system.Through this review, the major consequences of the Syrian war on the health of the Syrian population have been reviewed and highlighted. Considerable challenges will face the future of health in Syria which require the collaboration of the health authorities to respond to the growing needs of the Syrian population. This article draws an overview about how the Syrian war affected health sector for Syrian population inside and outside Syria after ten years of war which makes it an important reference for future researchers to get the main highlight of the health sector during the Syrian crisis.

scholarly journals Disabled and immigrant, a double minority challenge. A qualitative study about the experiences of immigrant families raising a child with a disability and navigating the Norwegian healthcare system.

2019 ◽  
Author(s):  
Shahrzad Arfa ◽  
Per Koren Solvang ◽  
Berit Berg ◽  
Reidun Jahnsen
Keyword(s):  
Healthcare System ◽  
Communication Skills ◽  
Children With Disabilities ◽  
Healthcare Providers ◽  
Immigrant Families ◽  
Healthcare Services ◽  
Entire Population ◽  
Information Support ◽  
International Studies ◽  
Parents Experiences

Abstract Background: Immigrants and their Norwegian-born children make up approximately 18% of the total population in Norway. The legitimacy of the healthcare system is a product of its ability to provide timely and appropriate services to the entire population. While several studies have been conducted on migrants’ utilization of healthcare services, immigrant families are systematically underrepresented in international studies of children with disabilities. This study, by focusing on experiences of immigrant families of children with disabilities who are navigating the Norwegian healthcare system, will generate knowledge of how accessible and tailored the services are from their point of view. Methods: This study took a qualitative approach, using semistructured interviews to explore the experiences of immigrant parents of children with disabilities from non-Western countries. The interviews were transcribed, coded, and analyzed via an inductive thematic analytic approach. Results: The findings show how the “immigrant experience” influenced the way the parents looked at, experienced, and even praised the services. The parents appreciated the follow-up services provided by the pediatric rehabilitation centers, which they experienced as predictable and well-organized. While navigating the services, they experienced several challenges, including the need for information, support, and timely help. They felt exhausted because of the years of struggle in the healthcare system to gain access to the help and services they needed. The feeling of being treated differently from the majority was another challenge they experienced while navigating the services. The findings also show how the parents’ experiences of communication with healthcare providers were influenced not only by their own language and communication skills but also by the healthcare providers’ intercultural communication skills and dominant organizational culture. Conclusions: The parents’ experiences show that there is still a gap between the public ideal of equal healthcare services and the reality of the everyday lives of immigrant families of children with disabilities. By exploring immigrant families’ experiences, this study highlights the importance of mobilization at both the individual and system levels to fill the current gap and provide tailored and accessible services to the entire population. Keywords: Immigrant families, Children with disabilities, Healthcare system.

scholarly journals Smart Healthcare Management Evaluation using Fuzzy Decision Making Method

2021 ◽  
Author(s):  
Mohammad Tabrez Quasim ◽  
Asadullah Shaikh ◽  
Mohammed Shuaib ◽  
Adel Sulaiman ◽  
Shadab Alam ◽  
...  
Keyword(s):  
Decision Making ◽  
Management System ◽  
Fuzzy Ahp ◽  
Healthcare Services ◽  
Healthcare Management ◽  
Fuzzy Decision Making ◽  
Fuzzy Decision ◽  
Management Evaluation ◽  
Smart Healthcare ◽  
Healthcare Management System

Abstract Smart healthcare has become a health policy services that utilize technologies including wearables, the Internet of things, smartphones, etc., to access information continuously and to link patients, equipment and medical facilities, and then effectively handles and responds in an intelligent way to the needs of medical ecosystems. The smart healthcare management system digitally helps the patient to have used medical assistance and services like emergency response, diagnostic service, and surveillance services at any time and in any location. The evaluation of such a management system must be studied for innovative ideas similar to direct healthcare services. Therefore, this study proposes a Smart Healthcare Management Evaluation using Fuzzy Decision Making (SHME-FDM) method to assess the technological integration efficiency. This study thus evaluates the privacy protection of healthcare data of the smart healthcare management system using the Fuzzy Analytical Hierarchy Process- Technique for Order of Preference by Similarity to Ideal Solution (Fuzzy AHP-TOPSIS). Here, this study uses the fuzzy-based neural network for healthcare predictions. The experimental analysis evaluates the accuracy, reliability and error rate of the fuzzy results. The security risk analysis findings show that the proposed fuzzy model can give the highest risk evaluation performance compared to existing models.

Outsourcing of Medical Surgery and the Evolution of Medical Telesurgery

2011 ◽  
pp. 2455-2464
Author(s):  
Shawna Sando
Keyword(s):  
Healthcare System ◽  
Medical Tourism ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Medical Professionals ◽  
Best Interest ◽  
Negative Effects ◽  
Foreign Institution ◽  
To Receive ◽  
The U.S

With rising and often unreasonable costs in the U.S. healthcare system, Americans are becoming more inclined to seek cheaper alternatives. In some cases, Americans do not have to search for such alternatives on their own because their employers are offering them incentives to receive care from a foreign institution. Employees can go abroad to countries, such as India, in order to receive medical services for prices that are at least half of what the procedure would cost in the U.S. This emerging market seems to be beneficial to all involved except U.S. healthcare providers; however, this outsourcing of healthcare services sends a powerful international message. It seems that the U.S. has a healthcare system that cannot adequately serve all economic classes of the American public. In contrast, though India has the proper facilities and professionals, there are concerns regarding malpractice litigation, postoperative care, and possible negative effects on the Indian public. Having given consideration to all affected constituencies, it seems that the outsourcing of medical procedures is in the best interest of lower- and middle-class Americans as well as medical professionals in India. In reality, though medical tourism is receiving much attention, it will most likely not be a pressing concern for the American market in the near future. A widening discrepancy in the Indian public may, however, be cause for nearer concern. This new trend does foreshadow a push for more preventative changes in the business of U.S. healthcare, such as the development of information technology specific to the growing international healthcare market. Whereas, it will initially be beneficial to send patients abroad, with the evolution of technology, the latter ideal will instead be to have medical professionals abroad that care for patients located in the U.S.

Outsourcing of Medical Surgery and the Evolution of Medical Telesurgery

2008 ◽  
pp. 157-166 ◽  
Author(s):  
Shawna Sando
Keyword(s):  
Healthcare System ◽  
Medical Tourism ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Medical Professionals ◽  
Best Interest ◽  
Negative Effects ◽  
Foreign Institution ◽  
To Receive ◽  
The U.S

With rising and often unreasonable costs in the U.S. healthcare system, Americans are becoming more inclined to seek cheaper alternatives. In some cases, Americans do not have to search for such alternatives on their own because their employers are offering them incentives to receive care from a foreign institution. Employees can go abroad to countries, such as India, in order to receive medical services for prices that are at least half of what the procedure would cost in the U.S. This emerging market seems to be beneficial to all involved except U.S. healthcare providers; however, this outsourcing of healthcare services sends a powerful international message. It seems that the U.S. has a healthcare system that cannot adequately serve all economic classes of the American public. In contrast, though India has the proper facilities and professionals, there are concerns regarding malpractice litigation, postoperative care, and possible negative effects on the Indian public. Having given consideration to all affected constituencies, it seems that the outsourcing of medical procedures is in the best interest of lower- and middle-class Americans as well as medical professionals in India. In reality, though medical tourism is receiving much attention, it will most likely not be a pressing concern for the American market in the near future. A widening discrepancy in the Indian public may, however, be cause for nearer concern. This new trend does foreshadow a push for more preventative changes in the business of U.S. healthcare, such as the development of information technology specific to the growing international healthcare market. Whereas, it will initially be beneficial to send patients abroad, with the evolution of technology, the latter ideal will instead be to have medical professionals abroad that care for patients located in the U.S.

scholarly journals The Challenge of Introducing New Public Management to Kosovo’s Healthcare Sector

2017 ◽  
Vol 17 (1) ◽  
pp. 7-28
Author(s):  
Robert Muharremi
Keyword(s):  
Public Administration ◽  
Healthcare System ◽  
Public Management ◽  
New Public Management ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Reform Process ◽  
Insurance Fund ◽  
Successful Implementation

The paper outlines the current healthcare sector reform process in Kosovo and the challenges to its implementation. The reform attempts to introduce modern public management principles into Kosovo’s healthcare sector, including a purchaser–provider split, performance incentives, and performance-based contracting, as well as a reorganisation of healthcare service delivery with a view to improving effectiveness and efficiency. This is the first major reform of the healthcare sector since Kosovo declared independence in 2008, and it intends to replace the healthcare system established by the United Nations between 1999 and 2008. Kosovo’s earlier healthcare system had been characterised by decentralised decision-making, but was re-established by the UN in the form of an emergency healthcare system after the UN was deployed to administer Kosovo in 1999. The reform envisages separating healthcare regulators from healthcare providers and healthcare purchasers. Kosovo Hospital and University Clinical Services is established as a new entity providing healthcare services, and a new Health Insurance Fund will become the healthcare purchaser. The Ministry of Health will be restricted to the functions of a regulator, divested of all administrative functions in favour of healthcare providers and purchasers. A major challenge lies in the limited capacities of the Kosovo Government to implement such an ambitious reform. This is also an attempt to introduce modern public management principles into a public administration which is dominated by traditional public administration principles. Lack of implementation capacities and contradictory public administration principles are the most important factors that may endanger the successful implementation of the reform.

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