INFORMATIZATION OF HEALTH CARE ON THE EXAMPLE OF A UTILITY COMPANY

The aim to provide valid, relevant, permanent, timely information to all health care institutions, as well as citizens of Ukraine in the framework of public health management processes for quality medical care. Sociological method - allows you to study the social structure and its impact on health. Systems analysis as a scientific method of cognition, which makes it possible to establish structural connections between system elements. Medical information system is a type of information system that differs in a set of methodological techniques, techniques and management algorithms designed to collect, store, process and transmit information in health care facilities. An single information system ensures the provision of reliable information in the right amount, in the right place, at the right time for members of the health care system. One of the important factors in the implementation of health care reform is the electronic health care system (E-Health). E-Health consists of two interconnected parts, one of which - the central database - will be controlled by the state. Institutions will have access to it through the second part, which is called privately developed medical information systems. The National Health Service of Ukraine ensures the functioning of the electronic health care system and awebsite containing information on the electronic health care system. Health care informatization today is an integral, perhaps the main, component of any health care reform in today’s world. Creating a single information space has many advantages.

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Organizational and legal basis of formation of the electronic system of healthcare in the conditions of medical reform

Science, technologies, innovation ◽

10.35668/2520-6524-2020-2-08 ◽

2020 ◽

pp. 67-73

Author(s):

O.O. Punda ◽

D.A. Arziantseva ◽

N.P. Zakharkevych

Keyword(s):

Health Care ◽

Health Care System ◽

Medical Information ◽

Electronic System ◽

Information Policy ◽

Cloud Services ◽

Free Access ◽

Medical Reform ◽

Electronic Health ◽

Care System

The article is devoted to the issues of informatization of health care in the context of medical reform in Ukraine. It was emphasized that the service component of health care reform should open free access to information for patients, in connection with which the eHealth system (electronic health care system) is being introduced in Ukraine. eHealth provides the exchange of medical information and the implementation of the program of medical guarantees of the population. It is substantiated that in order to effectively implement the state information policy in the medical field it is necessary to develop and adopt a legal act at the level of law, for example, the Law of Ukraine “On the functioning of the electronic health care system in Ukraine”. The task of such an act should be to determine the subjects of information policy in this area, the powers of individual bodies and non-governmental organizations or economic entities involved in the development and operation of electronic health care system. An important element of regulation should be to address the issue of cybersecurity when using eHealth and to determine the responsibility of specific entities for possible violations or threats to the system. It is determined that eHealth should cover all areas of medical services, including “military” and “departmental medicine”. It is emphasized that an important element of the reliable functioning of eHealth should be the training of medical staff to work with databases. At the same time, the provision on the possibility of providing “cloud” services related to the functioning of the electronic health care system should be taken into account during the creation of the draft law “On cloud services”. The possibility of using “cloud” storage of medical data and requirements for the use of “cloud” information services provided from territories of a jurisdiction other than the national one requires is assessment.

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Post-Fordism's Contradictory Trends: The Case of the Israeli Health Care System

Journal of Social Policy ◽

10.1017/s0047279404007755 ◽

2004 ◽

Vol 33 (3) ◽

pp. 417-436 ◽

Cited By ~ 6

Author(s):

DANI FILC

Keyword(s):

Health Care ◽

Health Care System ◽

Health Care Services ◽

Health Care Facilities ◽

Public Health Care ◽

Political Struggle ◽

Care Services ◽

National Health Insurance Law ◽

The Right ◽

Care System

The transition from the Fordist hegemonic model to post-Fordism is a complex process. It is not the unavoidable result of technological changes, but the contingent consequence of a hegemonic, political, struggle taking place at the different spheres of the social. This article studies the transformations that took place in the Israeli health care system during the last two decades in order to exemplify the political and contradictory character of the transition to post-Fordism. The article emphasises the contradiction between the partial commodification of financing and the privatisation of certain health care facilities, and the legislation of the National Health Insurance Law, which guaranteed the right to access to public health care services.

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Electronic health care system (e-Health): implementation mechanism and stages of development

Problems of Legality ◽

10.21564/2414-990x.154.236921 ◽

2021 ◽

Author(s):

N. V. Korobtsova

Keyword(s):

Health Care ◽

Health Care System ◽

Medical Services ◽

Fourth Generation ◽

Family Doctors ◽

Electronic Form ◽

Material Interest ◽

Electronic Health ◽

The Right ◽

Care System

The article analyzes issues related to one of the types of Internet technologies in the field of health care, electronic health care system (e-Health) in Ukraine, components and mechanism of its implementation. Information rights, the right to access the Internet and the use of innovative technologies in medicine have traditionally been referred to as the "fourth generation of human rights", the emergence of which is due to the realities of the XXI century. The medical reform introduced in Ukraine has focused on the patient in the field of health care. The purpose was to bring medical services closer to the patient, simplify the procedure for their provision (use of telemedicine), "material interest" of doctors in providing services (payment for each patient), which should improve the quality and availability of relevant services. The concept and content of the electronic health care system as an integral part of health care reform are analyzed. The purpose of which is to assist in establishing a relationship between doctor and patient regarding the proper quality of available (receiving) medical services. The functional capabilities of e-Health, positive aspects and certain "weaknesses" in the mechanism of its implementation are identified. Some components of the e-Health implementation mechanism are considered, which are: introduction of an electronic form of declarations between patients and family doctors, therapists, pediatricians; translation into electronic form of prescriptions under the program "Available Medicines"; introduction of electronic referrals, which is a part of the program "Free diagnostics"; introduction of electronic hospitals; creation of an electronic patient cabinet.

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Tracking the Workforce: The American Society of Clinical Oncology Workforce Information System

Journal of Oncology Practice ◽

10.1200/jop.2012.000827 ◽

2013 ◽

Vol 9 (1) ◽

pp. 3-8 ◽

Cited By ~ 28

Author(s):

M. Kelsey Kirkwood ◽

Michael P. Kosty ◽

Dean F. Bajorin ◽

Suanna S. Bruinooge ◽

Michael A. Goldstein

Keyword(s):

Health Care ◽

Information System ◽

Clinical Oncology ◽

Health Care System ◽

Policy Changes ◽

Workforce Shortages ◽

American Society ◽

Care System

Reports generated by the workforce information system can be used by ASCO and others in the oncology community to advocate for needed health care system and policy changes to help offset future workforce shortages.

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The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age

Journal of Neurosurgery Spine ◽

10.3171/2017.4.spine161141 ◽

2017 ◽

Vol 27 (6) ◽

pp. 694-699 ◽

Cited By ~ 2

Author(s):

Nicolas W. Villelli ◽

Hong Yan ◽

Jian Zou ◽

Nicholas M. Barbaro

Keyword(s):

Health Care ◽

New York ◽

Health Care Reform ◽

Health Care System ◽

Spine Surgery ◽

Private Insurance ◽

New York State ◽

Before And After ◽

The Impact ◽

Care System

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.

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