scholarly journals North Korea’s Trends on Healthcare System in Kim Jong Un Era : concentrated on Healthcare Delivery and Organizational System

2016 ◽  
Vol 8 (2) ◽  
pp. 181-211 ◽  
Author(s):  
신희영 ◽  
AN KYEONGSOO ◽  
전지은 ◽  
이혜원
Keyword(s):  
Healthcare System ◽  
Healthcare Delivery ◽  
Organizational System

scholarly journals Telehealth transformation: COVID-19 and the rise of virtual care

2020 ◽  
Vol 27 (6) ◽  
pp. 957-962 ◽  
Author(s):  
Jedrek Wosik ◽  
Marat Fudim ◽  
Blake Cameron ◽  
Ziad F Gellad ◽  
Alex Cho ◽  
...  
Keyword(s):  
Healthcare System ◽  
Delivery System ◽  
Outpatient Care ◽  
Healthcare Delivery ◽  
The Novel ◽  
Healthcare Organizations ◽  
Healthcare Delivery System ◽  
Virtual Care ◽  
Novel Coronavirus ◽  
The U.S

Abstract The novel coronavirus disease-19 (COVID-19) pandemic has altered our economy, society, and healthcare system. While this crisis has presented the U.S. healthcare delivery system with unprecedented challenges, the pandemic has catalyzed rapid adoption of telehealth, or the entire spectrum of activities used to deliver care at a distance. Using examples reported by U.S. healthcare organizations, including ours, we describe the role that telehealth has played in transforming healthcare delivery during the 3 phases of the U.S. COVID-19 pandemic: (1) stay-at-home outpatient care, (2) initial COVID-19 hospital surge, and (3) postpandemic recovery. Within each of these 3 phases, we examine how people, process, and technology work together to support a successful telehealth transformation. Whether healthcare enterprises are ready or not, the new reality is that virtual care has arrived.

The Ethical Neutrality of Prospective Payments: Justice Issues

1996 ◽  
Vol 5 (4) ◽  
pp. 570-578
Author(s):  
Jean McDowell
Keyword(s):  
United States ◽  
Healthcare System ◽  
West Coast ◽  
Healthcare Delivery ◽  
The United States ◽  
Fee For Service ◽  
Reimbursement Mechanisms ◽  
The West ◽  
The Past ◽  
The U.S

The U.S. healthcare system has been subject to unprecedented scrutiny over the past three years; one of the results of this scrutiny has been recognition of the serious problems that exist in both healthcare delivery and reimbursement mechanisms. While the verbal debate in Washington has essentially ceased, within the healthcare community a historic shift has taken place in the way healthcare reimbursement is structured: increasingly, traditional fee-for-service reimbursement methods are being replaced with capitation reimbursement methods. While this phenomenon originated on the West Coast, it has spread to all geographic sectors of the United States in varying degrees and can be expected to dominate the funding patterns of healthcare over the next decade.

scholarly journals Is the efficiency of the healthcare system linked to the country's economic performance? Beveridgeans versus Bismarckians

2020 ◽  
Vol 70 (1) ◽  
pp. 1-17
Author(s):  
GraŻyna Kozuń-Cieślak
Keyword(s):  
Healthcare System ◽  
Purchasing Power Parity ◽  
Healthcare Delivery ◽  
Years Of Life Lost ◽  
Power Parity ◽  
Economic Wealth ◽  
Developed Economies ◽  
Common Opinion ◽  
The Many ◽  
The Relationship

AbstractThis paper examines the Bismarckian and Beveridgean-style healthcare systems in 25 OECD countries to identify the relationship between the efficiency of the country's healthcare delivery arrangement and its economic wealth. The Data Envelopment Analysis (DEA) is applied as a quantitative tool. I examine three models using infant mortality and potential years of life lost as output indicators. These models differ only in the way of expressing healthcare inputs. The DEA computations show that neither the Bismarckian nor the Beveridgean healthcare system has a clear advantage over the other when inputs are expressed by health expenditure as a percentage of GDP. The model which uses USD per head expenditure data at purchasing power parity shows a slight advantage of the Beveridge-style systems. This confirms the common opinion that the Bismarck-style systems perform worse in controlling the costs. When inputs are expressed using physical units (medical staff and equipment), DEA shows that the Beveridge system is significantly more efficient than the Bismarckian ones. I analyse the relationship between the DEA scores and the country's GDP per capita, as well. This analysis shows that more developed economies are technically less efficient. These findings are consistent with the belief that technical efficiency is only one of the many criteria that determine the quality of the healthcare system and patient satisfaction.

scholarly journals Impact of Telemedicine on Hospitalisation and Mortality Rates in Community-Based Haemodialysis Centres in Singapore During the COVID-19 Pandemic

2020 ◽  
Vol 49 (10) ◽  
pp. 756-763
Author(s):  
Tripti Singh ◽  
Clara LY Ngoh ◽  
Weng Kin Wong ◽  
Behram Ali Khan
Keyword(s):  
Healthcare System ◽  
Healthcare Delivery ◽  
Movement Control ◽  
Mortality Rates ◽  
Control Measures ◽  
Healthcare Outcomes ◽  
National Kidney Foundation ◽  
Movement Restriction ◽  
Community Based ◽  
Healthcare Facilities

Introduction: With the unprecedented challenges imposed on the modern healthcare system due to the COVID-19 pandemic, innovative solutions needed to be swiftly implemented to maintain clinical oversight on patient care. Telemedicine was introduced in Singapore in community-based haemodialysis (HD) centres to comply with the Ministry of Health’s directives on movement restriction of healthcare workers and related measures to minimise the spread of SARS-CoV-2 in healthcare facilities. Methods: We describe here our experience of 26 community haemodialysis centres in Singapore, analysing clinical audit data, as well as comparing hospitalisation and mortality rates as outcomes in the time frames of pre- and post-introduction of telemedicine. Results: We found that the hospitalisation rate was 13.9% (95% CI: 5.6%–21.5%, P<0.001) lower in the period after telemedicine rounds were introduced. The mortality rates per 100 person-years (95% CI) were 11.04 versus 7.99 in the compared groups, respectively, with no significant increase in mortality during the months when telemedicine was performed. Conclusion: Patients received appropriate care in a timely manner, with telemedicine implementation, and such measures did not lead to suboptimal healthcare outcomes. Telemedicine was a successful tool for physician oversight under movement control measures implemented during the COVID-19 pandemic and may continue to prove useful in the ‘new normal’ era of healthcare delivery for HD patients in community-based dialysis centres, operated by the National Kidney Foundation in Singapore. Keywords: Healthcare outcomes healthcare system, National Kidney Foundation, SARS-CoV2, telemedicine rounds

scholarly journals Implementation of a group-based diabetes prevention program within a healthcare delivery system

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristen M. J. Azar ◽  
Catherine Nasrallah ◽  
Nina K. Szwerinski ◽  
John J. Petersen ◽  
Meghan C. Halley ◽  
...  
Keyword(s):  
Healthcare System ◽  
Delivery System ◽  
Diabetes Prevention ◽  
Program Effectiveness ◽  
Healthcare Delivery ◽  
Diabetes Prevention Program ◽  
Structured Interviews ◽  
Healthcare Delivery System ◽  
Eligibility Criteria ◽  
Regional Administration

Abstract Background Group-based Diabetes Prevention Programs (DPP), aligned with recommendations from the Centers for Disease Control and Prevention, promote clinically significant weight loss and reduce cardio-metabolic risks. Studies have examined implementation of the DPP in community settings, but less is known about its integration in healthcare systems. In 2010, a group-based DPP known as the Group Lifestyle Balance (GLB) was implemented within a large healthcare delivery system in Northern California, across three geographically distinct regional administration divisions of the organization within 12 state counties, with varying underlying socio-demographics. The regional divisions implemented the program independently, allowing for natural variation in its real-world integration. We leveraged this natural experiment to qualitatively assess the implementation of a DPP in this healthcare system and, especially, its fidelity to the original GLB curriculum and potential heterogeneity in implementation across clinics and regional divisions. Methods Using purposive sampling, we conducted semi-structured interviews with DPP lifestyle coaches. Data were analyzed using mixed-method techniques, guided by an implementation outcomes framework consisting of eight constructs: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability. Results We conducted 33 interviews at 20 clinics across the three regional administrative divisions. Consistencies in implementation of the program were found across regions in terms of satisfaction with the evidence base (acceptability), referral methods (adoption), eligibility criteria (fidelity), and strategies to increase retention and effectiveness (sustainability). Heterogeneity in implementation across regions were found in all categories, including: the number and frequency of sessions (fidelity); program branding (adoption); lifestyle coach training (adoption), and patient-facing cost (cost). Lifestyle coaches expressed differing attitudes about curriculum content (acceptability) and suitability of educational level (appropriateness). While difficulties with recruitment were common across regions (feasibility), strategies used to address these challenges differed (sustainability). Conclusions Variation exists in the implementation of the DPP within a large multi-site healthcare system, revealing a dynamic and important tension between retaining fidelity to the original program and tailoring the program to meet the local needs. Moreover, certain challenges across sites may represent opportunities for considering alternative implementation to anticipate these barriers. Further research is needed to explore how differences in implementation domains impact program effectiveness.

Framework of Indian Healthcare System and its Challenges

2017 ◽  
pp. 247-271 ◽  
Author(s):  
Prashant Mehta
Keyword(s):  
Healthcare System ◽  
Healthcare Delivery ◽  
Policy Framework ◽  
Public Healthcare ◽  
System State ◽  
Service Delivery System ◽  
Law And Policy ◽  
Healthcare Reforms ◽  
Lifestyle Diseases ◽  
Populous Country

India, one of the oldest civilizations and second most populous country is ethnically, linguistically, geographically, religious, and demographically diverse is poorly ranked due to complex public healthcare system, which suffers from insufficient funding, poor management. Poor health intertwined with poverty, affordability, accessibility, burden of infectious and non-communicable affecting lives of most Indians. Healthcare ecosystems are complex and still evolving, investments in service delivery system, infrastructure, and technology, are still being experimented and explored. India's booming population; increasing purchasing power; rising awareness of personal health and hygiene; and significant growth in infectious, chronic degenerative, and lifestyle diseases are driving the growing market. In this chapter we will explore accessible and affordable healthcare system, state of public healthcare, healthcare reforms, governance (Constitutional Provisions, Law, and Policy framework) in healthcare delivery, and Opportunity offered by market drivers.

Finland

2021 ◽  
pp. 226-246
Author(s):  
Liina-Kaisa Tynkkynen ◽  
Meri Koivusalo ◽  
Ilmo Keskimäki
Keyword(s):  
Health Services ◽  
Healthcare System ◽  
Large Scale ◽  
Universal Access ◽  
Healthcare Delivery ◽  
Healthcare Provision ◽  
Political Debate ◽  
Municipal Governments ◽  
Universal Healthcare ◽  
Sharing Responsibility

This chapter offers an in-depth look at health politics and the health system in Finland, which combines universal tax-financed health services provided by municipalities, national health insurance coverage for private provision, and an occupational healthcare system for those in employment. The chapter traces the development of the Finnish healthcare system, characterized by a long history of state and municipal governments sharing responsibility for organizing health services and multichannel healthcare delivery. The need to control costs, maintain financial sustainability, and ensure equitable access has underpinned political debate, but large-scale structural reform has been impeded. As the chapter shows, reform priorities have been advanced under the guise of more technical issues, such as public sector and administrative reform or, increasingly, choice, competition, and engagement with the private sector as means for change. Furthermore, via local measures such as cooperation among municipalities the system is gradually moving towards a more centralized organization without major reform. Widespread support for universal healthcare provision means that politics have focused to a large extent on how universal access is to be achieved, rather than whether the system should be universal.

Addressing Systemic Causes of Physician Burnout: Improving Joy in Work

2021 ◽  
Vol 73 ◽  
Author(s):  
Katherine Lincoln ◽  
Jamie Lopez ◽  
Michele McGowan
Keyword(s):  
Healthcare System ◽  
Well Being ◽  
Physician Burnout ◽  
Healthcare Leadership ◽  
Organizational System ◽  
Lower Productivity ◽  
Workplace Accidents ◽  
Joy In Work ◽  
Endpoint Data ◽  
Staff Engagement

Healthcare provider burnout has been shown to result in lower staff engagement levels and reduced work satisfaction, which correlates with lower patient experience scores, lower productivity, and increased workplace accidents. By making work engaging and restoring joy, healthcare leadership can reframe barriers to reduce burnout. This paper presents the results of an organizational system-wide intervention designed to rethink the approach to lowering burnout by improving joy in work to address provider well-being at the Guthrie healthcare system. System wide and targeted area strategies were used to create change over a 1-year interval of intervention. After endpoint data was collected, eight power items had positive change for this healthcare system. Scheduling and recognition emerged as system wide areas in need of reform.

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