scholarly journals Digitalization as an Engine for Change? Building a Vision Pathway towards a Sustainable Health Care System by Using the MLP and Health Economic Decision Modelling

2021 ◽  
Vol 13 (23) ◽  
pp. 13007
Author(s):  
Johanna Leväsluoto ◽  
Johanna Kohl ◽  
Anton Sigfrids ◽  
Jussi Pihlajamäki ◽  
Janne Martikainen
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Care Service ◽  
Health Care Service ◽  
Cost Effective ◽  
Policy Action ◽  
Potential Health ◽  
Economic Decision ◽  
Decision Modelling ◽  
The Impact

Grand social challenges, such as type 2 diabetes (T2D), are increasing, which creates sustainability problems for health care service systems. To reduce socio-economic burdens, changes are required in the socio-technical system. However, there is an uncertainty of the most cost-effective policy action that can create sustainability while providing health benefits. To find potential solutions to these challenges, the multi-level perspective (MLP) and health economic decision modelling was used to study socio-technical change and project potential health economic consequences of different scenarios. The study focuses on creating a vision pathway for reducing T2D in Finland. In total, 23 interviews were carried out and the results were analyzed utilizing the MLP model. As a result, five themes towards prevention of T2D were identified. Digitalization was found to be a cross-cutting theme for preventing T2D and was thus taken as the object of study and the main focus of this paper. As a result, this paper reports on the opportunities and barriers for using digital tools in a transition towards T2D prevention. A health economic decision modelling revealed that the highest expected savings could be obtained by prioritizing prevention programs based on T2D risk. Finally, the model was converted into a web-based online tool by combining vision pathway, transition-focused storylines and forward-looking health economic scenario analysis to give the policy makers an overall picture of the needed societal changes and support the impact assessment of alternative policies in a case of T2D prevention in Finland.

scholarly journals Persepsi Komunitas Adat Terpencil Suku Anak Dalam (SAD) terhadap Pelayanan Kesehatan

2019 ◽  
Vol 19 (3) ◽  
pp. 602
Author(s):  
Mila Triana Sari ◽  
Hartati Sandora ◽  
Haflin Haflin
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Qualitative Research ◽  
Sampling Method ◽  
Care Service ◽  
Health Care Service ◽  
Purposive Sampling ◽  
Interview Guide ◽  
The Impact

The solitory custom community of Suku Anak Dalam (SAD) is one of group society whose life are depend to the natural researches in the forest. It is needed an effort to provide service in order to meet their needed, especially health care service for improving their quality of life in the solitary custom Community of Suku Anak Dalam.  This research was conducted in order to know about the persepsion of SAD society towards Health Care Service in the Working Area of Puskesmas Pematang Kabau. This research was conducted on Januari until February 2017 for the purpose of getting understanding about persepsion of solitary custom Community of Suku Anak Dalam towards health care service, the number of participants were 15 people. This is qualitative research with purposive sampling method. The research instruments were indepth interview and interview guide. The result of the research analyzed by using Colaizzi Technique. The finding of the research showed five themes:  the reason of SAD Society in terms of receiving care service. Secondly, the respond of SAD society, thirdly, about the changing and the impact of SAD society. Fourth, the meaning of health care service to SAD society. And fifth the experience of SAD society towards health and service.SAD society gave respond about perception or possitive support towards Health Care Service.

scholarly journals Impact of the Regional Network for AMI in the Management of STEMI on Care Processes, Outcomes and Health Inequities in the Veneto Region, Italy

2018 ◽  
Vol 15 (9) ◽  
pp. 1980
Author(s):  
Mario Saia ◽  
Domenico Mantoan ◽  
Marco Fonzo ◽  
Chiara Bertoncello ◽  
Marta Soattin ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Health Care Disparities ◽  
Care Service ◽  
Health Care Service ◽  
Health Inequities ◽  
Coronary Intervention ◽  
Care Process ◽  
Veneto Region ◽  
The Impact

Cardiovascular diseases are a leading cause of death in Europe. Outcomes in terms of mortality and health equity in the management of patients with ST-Elevation Myocardial Infarction (STEMI) are influenced by health care service organization. The main aim of the present study was to examine the impact of the new organizational model of the Veneto Region’s network for Acute Myocardial Infarction (AMI) to facilitate primary percutaneous coronary intervention (PCI) on STEMI, and its efficacy in reducing health inequities. A retrospective cohort study was conducted on HDRs in the Veneto Region for the period 2007–2016, analyzing 65,261 hospitalizations for AMI. The proportion of patients with STEMI treated with PCI within 24 h increased significantly for men and women, and was statistically much higher for patients over 75 years of age (APC, 75–84: 9.8; >85: 12.5) than for younger patients (APC, <45: 3.3; 45–64: 4.9), with no difference relating to citizenship. The reduction in in-hospital, STEMI-related mortality was only statistically significant for patients aged 75–84 (APC: −3.0 [−4.5;−1.6]), and for Italians (APC: −1.9 [−3.2;−0.6]). Multivariate analyses confirmed a reduction in the disparities between socio-demographic categories. Although the new network improved the care process and reduced health care disparities in all subgroups, these efforts did not result in the expected survival benefit in all patient subgroups.

scholarly journals Improving Patient behavioral Consent through Different Service Quality Dimensions: Assessing the Mediating Role of Patient Satisfaction

2019 ◽  
Vol 16 (23) ◽  
pp. 4736 ◽  
Author(s):  
Arif Jameel ◽  
Muhammad Asif ◽  
Abid Hussain ◽  
Jinsoo Hwang ◽  
Mussawar Hussain Bukhari ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Structural Equation ◽  
Care Service ◽  
Health Care Service ◽  
Equation Modeling ◽  
Mediating Role ◽  
The Impact

This study aimed to examine the impact of the five-dimensional health care service quality (SQ) on patient behavioral consent (PBC). This study further explored the mediating role of patient satisfaction (PS) on the SQ–PBC relationship. A survey questionnaire was used to collect the data from public sector hospitals situated in Bahawalpur division, Punjab, Pakistan. We used confirmatory factor analysis (CFA) and structural equation modeling (SEM) to test the hypotheses. This study found positive and significant relationships between SQ and PBC, SQ and PS, and PS and PBC. Our results further revealed that PS partially mediates the relationship between SQ and PBC. Our study offers a comprehensive theoretical framework of several service quality attributes (SQs) affecting patient behavioral consent (PBC) and patient satisfaction (PS) in health care institutions. Testing these above relationships via a mediation approach is novel and contributed to the current study on service quality.

Disruptive Innovation in Dentistry: What It Is and What Could Be Next

2020 ◽  
pp. 002203452097877
Author(s):  
T. Joda ◽  
A.W.K. Yeung ◽  
K. Hung ◽  
N.U. Zitzmann ◽  
M.M. Bornstein
Keyword(s):  
Health Care ◽  
Care Service ◽  
Scientific Evidence ◽  
Health Care Service ◽  
Treatment Strategies ◽  
Cost Benefit ◽  
Cost Effective ◽  
Disruptive Innovation ◽  
Novel Technologies ◽  
Ethical Implications

Dentistry is a technically oriented profession, and the health care sector is significantly influenced by the ubiquitous trend of digitalization. Some of these digital developments have the potential to result in disruptive changes for dental practice, while others may turn out to be just a pipedream. This Discovery! essay focuses on innovations built on artificial intelligence (AI) as the center-technology influencing 1) dental eHealth data management, 2) clinical and technical health care applications, and 3) services and operations. AI systems enable personalized dental medicine workflows by analyzing all eHealth data gathered from an individual patient. Besides dental-specific data, this also includes genomic, proteomic, and metabolomic information and therefore facilitates optimized and personalized treatment strategies and risk management. Based on the power of AI, the triangular frame of “data”/“health care”/“service” is supplemented by technological advancements in the field of social media, Internet of things, augmented and virtual reality, rapid prototyping, and intraoral optical scanning as well as teledentistry. Innovation continues to be critical to tackle dental problems until its routine implementation based on sound scientific evidence. Novel technologies must be viewed critically in relation to the cost-benefit ratio and the ethical implications of a misleading diagnosis or treatment produced by AI algorithms. Highly sensitive eHealth data must be handled responsibly to enable the immense benefits of these technologies to be realized for society. The focus on patient-centered research and the development of personalized dental medicine have the potential to improve individual and public health, as well as clarify the interconnectivity of disease in a more cost-effective way.

The Ethics of End-of-Trial Obligations in a Pediatric Malaria Vaccine Trial: The Perspectives of Stakeholders From Ghana and Tanzania

2018 ◽  
Vol 13 (3) ◽  
pp. 258-269 ◽  
Author(s):  
Claire Leonie Ward ◽  
David Shaw ◽  
Evelyn Anane-Sarpong ◽  
Osman Sankoh ◽  
Marcel Tanner ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Malaria Vaccine ◽  
Care Service ◽  
Health Care Service ◽  
Vaccine Trial ◽  
Health Indicators ◽  
Treatment Access ◽  
Post Trial ◽  
The Impact

This study explores stakeholder experiences and perspectives on end-of-trial obligations at the close of a phase II/III Pediatric Malaria Vaccine Trial (PMVT) [GSK/PATH-MVI RTS, S) (NCT00866619]. We conducted 52 key informant interviews with major stakeholders of an international multicentre PMVT in Ghana and Tanzania. The responses fell into four main themes: (a) Communicating End-of-Trial, (b) Maintaining Health Care Services, (c) Dissemination of Results, and (d) Post-Trial Access. Interviewee responses shared important practical experiences and insights that complement current thinking in the literature on research ethics guidance: (a) accompany end-of-trial communication with information on personal and family health care responsibilities, (b) establish public health indicators to measure the impact of research on a health care system, (c) design a gradual exit strategy with opportunities to address unplanned events, (d) endorse a principled approach of continuity of care when designing a health care service handover, and (e) devise an actionable post-trial treatment access pathway with diverse stakeholder representatives.

scholarly journals Value-Added Tax and its implication for the provision of private health services in Botswana

2003 ◽  
Vol 6 (1) ◽  
pp. 118-125
Author(s):  
Zein Kebonang
Keyword(s):  
Health Care ◽  
Private Sector ◽  
Care Service ◽  
Health Care Service ◽  
Value Added ◽  
Health Facilities ◽  
Private Health Care ◽  
Value Added Tax ◽  
Number Of Patients ◽  
The Impact

This paper examines the impact of Value Added Tax on the provision of private health care in Botswana and argues that government cannot succeed in the discharge of its social obligations unless the private sector is also taken on board. The introduction of Value Added Taxation has led to an over-whelming demand for and constraint on government health facilities and a decline in the number of patients seeking private health care service. The government’s success in providing health facilities must be complimented by private sector participation and this can be achieved by providing certain incentives such as zero rating and exempting the provision of certain health care services.

Transforming technology-mediated health-care services through strategic sense-giving

2020 ◽  
Vol 34 (7) ◽  
pp. 909-920
Author(s):  
Athanasia Daskalopoulou ◽  
Josephine Go Jefferies ◽  
Alexandros Skandalis
Keyword(s):  
Health Care ◽  
Organizational Context ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Content Type ◽  
Emotional Ambivalence ◽  
Health Care Service Providers ◽  
The Impact

Purpose Service research has previously documented service providers’ role in addressing the barriers of technology mediation, mostly at the service delivery level. The purpose of this study is to enhance our understanding about the role of service providers who hold strategic and operational roles, as well as investigate the impact of coordinated, organization-wide initiatives in dealing with the demands and associated emotional ambivalence of technology-mediated services. Design/methodology/approach This qualitative study draws from a series of in-depth interviews with health-care service providers who hold strategic and operational roles in health-care organizations along with participant observation to develop an understanding of the broader organizational context of telehealth services. Findings This paper outlines the strategic sense-giving process and highlights how health-care service providers who hold strategic and operational roles enact the sense-giver role. This study illustrates that strategic sense-giving involves the recognition of sense-making gaps; identification of sense-giving opportunities; and provision of templates of action. Originality/value This study illustrates that sense-giving can be performed by a number of organizational members in a more formalized way which extends informal sense-giving efforts at the peer-to-peer level. The importance of strategic sense-giving in providing templates of action for service providers and consumers is highlighted. This study also shows how strategic sense-giving safeguards against confusion and errors by communicating appropriate ways of using technology. Finally, the role of strategic sense-giving in helping service providers and consumers cope with the emotional ambivalence of technology-mediated service interactions are demonstarted.

The Future is Now: The IMPACT of Regulatory and Health Care Reform on Speech-Language Pathology Practice - Part One

2016 ◽  
Vol 1 (15) ◽  
pp. 84-92
Author(s):  
Erin Knoepfel ◽  
Joanne Wisely
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Team ◽  
Motor Speech ◽  
The Future ◽  
Language Pathology ◽  
Key Events ◽  
The Impact

Throughout Parts 1 and 2 of this article, we will provide the knowledge and insight we have gained over the years, specific to this ever-changing health care arena. We will highlight key events that have shaped the American care delivery system and discuss current actions that lay the foundation for the future of the health care service environment. As professional members of the health care team, our goal is to ensure that we continue to provide high-quality services to those with communication, cognitive-communication, motor speech, voice, and swallowing impairments.

Assessing Pharmacists’ Views and Barriers to Providing and Billing for Pharmacist-Provided Health Care Services

2021 ◽  
pp. 875512252110211
Author(s):  
Michael A. Biddle ◽  
Kailyn K. Cleveland ◽  
Shanna K. O’Connor ◽  
Hayli Hruza ◽  
Madeline Foster ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Power Calculation ◽  
Care Services ◽  
The Impact

Background: The role of Idaho and Alaska pharmacists in providing health care services has steadily broadened over recent years. With many new pharmacist-provided health care service possibilities, this study assessed the impact of these advancements on community pharmacies. Objective: The objective of this study was to identify current pharmacist-provided health care services and pharmacist-perceived barriers to providing and billing for these services in Idaho and Alaska community pharmacies. Methods: A questionnaire was developed focusing on 2 areas: providing services and billing for services. Pharmacy students on experiential rotations administered the questionnaires to pharmacists at their rotation sites. Pharmacists at community pharmacy practice sites in Idaho and Alaska completed the questionnaire in an interview format conducted by students. Likert-type scale data were analyzed using descriptive statistics. Because the study did not include a comparator group, no power calculation was conducted. All open-response answers were analyzed independently by 2 researchers and discrepancies in coding open-ended questions were resolved by discussion with a group of 4 researchers. Results: Most pharmacists reported that they already provide non-dispensing services, desired to implement new services, and had confidence in their team’s ability to handle new services. Time and resources were the most cited barriers to providing new services; compensation, company support, and education were the most cited barriers to billing for services. Conclusions: Community pharmacists already provide non-dispensing services and many are looking to provide more services, but barriers of time, resources, compensation, company support, and education will need to be overcome to move forward.

scholarly journals Nursing Facility and Health Care Service Use and Costs Under the CMS Financial Alignment Initiative

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 334-334
Author(s):  
Lauren Palmer ◽  
Matt Toth ◽  
Joyce Wang ◽  
Emily Schneider ◽  
Allison Dorneo ◽  
...  
Keyword(s):  
Health Care ◽  
Service Utilization ◽  
Care Coordination ◽  
Care Service ◽  
Health Care Service ◽  
Nursing Facility ◽  
Data Set ◽  
Ed Visits ◽  
Medicare Costs ◽  
The Impact

Abstract The Centers for Medicare & Medicaid Services created the Financial Alignment Initiative (FAI) to test the impact of integrated care and financing models for dually eligible Medicare-Medicaid beneficiaries. Using Medicare claims, the Minimum Data Set 3.0, and state-provided enrollment files, we evaluated demonstration impacts on long-stay nursing facility (NF) use, other health care service utilization, and costs for the overall eligible population in two FAI demonstration States with managed fee-for-service models, Colorado and Washington. We used quasi-experimental, difference-in-differences regression models for the impact analyses. In Colorado, there was a 7.2 percent decrease (p&lt;0.001) in long-stay NF use, relative to the comparison group. Otherwise, the demonstration showed unfavorable service utilization results—increases in preventable emergency department (ED) visits and declines in 30-day follow-up after mental health discharge (MHFU)—and no impact on Medicare costs. In Washington, there was also a decrease in long-stay NF use (12.4 percent, p&lt;0.001) and skilled NF admissions (21.7 percent, p&lt;0.001). However, the demonstration resulted in decreases in physician visits and 30-day MHFU. There was a favorable decrease in Medicare costs. The impact of the FAI demonstrations on NF use was favorable for both States, while the impact on service utilization and Medicare costs was mixed and more favorable in Washington. Washington’s care coordination model was intensive and targeted to high-cost individuals while Colorado provided minimal care coordination. Coordinated care and integrated long-term services and support may help postpone NF institutionalization, but there is no evidence these activities reduced preventable hospitalizations or ED visits.

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