scholarly journals Russian healthcare system digitalization: Opportunities and contradictions

2021 ◽  
Vol 2 (4) ◽  
pp. 20-39
Author(s):  
A. I. Afyan ◽  
D. V. Polozova ◽  
A. A. Gordeeva
Keyword(s):  
Healthcare System ◽  
Goal Setting ◽  
Health Information System ◽  
Digital Circuit ◽  
Practical Significance ◽  
Practical Implementation ◽  
Project Implementation ◽  
Healthcare Organizations ◽  
Russian State ◽  
To Come

The article is devoted to the opportunities and key contradictions of the Russian state healthcare system digitalization project implementation. The authors analyze various aspects of the system digitalization algorithms in light of the federal project “Creation of the Single Digital Circuit in Healthcare based on the Unified State Health Information System”. The aim of the article was to identify problems within goal-setting, documentation development, and practical implementation of the healthcare system digitalization project, as well as to come up with proposals for eliminating these issues. The analysis showed the inefficiency of the expensive healthcare system digitalization project, which has both objective and subjective reasons for its low effectiveness. The authors come to the conclusion that it is necessary to eliminate a number of contradictions and barriers in the framework of the project implementation in order to increase the efficiency of both the healthcare system itself and the high budget federal project of the economy digitalization as a whole. The practical significance of the article consists in the applicability of proposed approach to making the necessary amendments to the current federal project documentation, which will ensure a focus on real needs within the framework of the initiative implementation. The work may be of interest to civil servants, initiators of projects on the healthcare system digital transformation, governmental bodies, healthcare organizations managers, students, and practitioners.

Model of educational personality profile for learning management and development of personal potential

2021 ◽  
pp. 23-31
Author(s):  
M. E. Kushnir ◽  
P. D. Rabinovich ◽  
K. E. Zavedenskiy ◽  
G. T. Bazarova ◽  
I. S. Tsarkov
Keyword(s):  
Goal Setting ◽  
Educational Activity ◽  
Practical Significance ◽  
Practical Implementation ◽  
Personality Profile ◽  
Educational Strategies ◽  
Suggested Approach ◽  
Management And Development ◽  
Main Activity ◽  
Educational Agency

The article describes the logic of the development of the model SKQIiSPEC (“Personality diamond”), including basis of its construction and approach to practical implementation.The relevance of the article is based on the problem of reveal and support of the development of educational agency, the formation of system competencies of self-determination, goal setting, productive action and reflection.The purpose of the research described in the article is to develop a model of the educational personality profile for managing educational activity and the development of personal potential, adequate for supporting educational agency.Novelty of the suggested approach is represented by developed structure of educational profile of a student SKQIiSPEC and its specially selected elements. The model is synthesized on the basis of the following key ideas: (1) model of personality competence iSPEC, (2) model of “education” via semiotic systems, (3) distinguishing of competences via types of solved tasks and (4) distinguishing of main activity type. The model integrates selected ideas with qualitative differences opposite to comparing evaluations. Therefore, “Personality dimond” provides sufficient depth and conciseness for monitoring of navigation of a student on its individual/collectively-individual educational track as well as for creation of possibility to be used in various systems for assessing educational results.Practical significance of model SKQIiSPEC is based on potential usage for mapping of educational ambitions and demands of personality, creation of educational strategies for collective-individual and individual tracks, organization of personal educational logistic. The usage of digital technologies enables automatisation of educational profile model for educational activities’ management.

THE NATURE OF LEGAL RESTRICTIONS IN ENVIRONMENTAL LAW

2019 ◽  
pp. 142-150
Author(s):  
Galyna Moroz
Keyword(s):  
Environmental Law ◽  
Functional Results ◽  
Environmental Safety ◽  
Educational Process ◽  
Practical Significance ◽  
Practical Implementation ◽  
The Status ◽  
Environmental Requirements ◽  
Content System ◽  
Legal Restrictions

Purpose. The article is aimed at analyzing the general theoretical principles and the essential characteristics of legal restrictions in environmental law; defining category of “environmental legal restrictions”, their content, system and the status of the respective legislation. Methodology. The methodology consists in carrying out a comprehensive analysis of the provisions of environmental legislation and formulating relevant conclusions on this basis. During the research, the following methods of scientific research were used: terminological, systemic and structural, comparative legal, structural and functional. Results. The objectively determined necessity of unconditional adherence to the legally established environmental requirements, prohibitions and restrictions as well as their potential scientifically substantiated enhancement in order to achieve environmentally significant goals oriented towards the priorities of sustainable development is substantiated. Restrictive mechanisms are scattered across statutory and regulatory acts of different legal force and even different branches of law, therefore, the need for their systematization and unification as well as generalization of the experience of their practical implementation in order to establish a comprehensive system of environmental restrictions is discussed. In our opinion, the conceptual basis and general essential characteristics of public environmental requirements and restrictions should be reflected in the future Environmental Code of Ukraine. Scientific novelty. In the course of the research, the author defines restrictions in environmental law as a specific sectoral imperative mechanism for regulating relations in the field of environmental safety, which consists in systematically introducing legislation on imperative provisions of environmental law as well as establishing specific legal regimes and mechanisms for their application and implementation. Practical significance. The main conclusions can be used in law-making and law-enforcing activities, as well as in further theoretical and legal research and in the educational process.

scholarly journals La quinta disciplina e le organizzazioni che apprendono nel Management sanitario

2013 ◽  
Vol 62 (6) ◽  
Author(s):  
Claudio Pensieri ◽  
Maddalena Pennacchini
Keyword(s):  
Healthcare System ◽  
Theoretical Basis ◽  
Unintended Consequences ◽  
Economic Organization ◽  
Healthcare Organizations ◽  
Business World ◽  
New Situation

Cultura del presente, della fretta, unitamente al fatto che le aziende, comprese le aziende sanitarie, si sono trasformate da complicate in complesse rende difficile gestire le conseguenze impreviste e dare significato a una nuova situazione economico-organizzativa. La Quinta Disciplina della Sloan School of Management del MIT è una strada percorsa da anni nel mondo del business ma inesplorata nel mondo della Sanità Italiana. In questo articolo vogliamo esporre le basi teoriche del funzionamento della “Quinta Disciplina” con particolare attenzione a: “Le sette incapacità di apprendere”, riservandoci l’opportunità di approfondire l’argomento de: “Le cinque leggi” e de: “I sei archetipi sistemici” in altre occasioni. ---------- Culture of “now”, of “hurry”, with the fact that companies, including healthcare organizations, turned from complicated to complex, makes it difficult to manage the unintended consequences and to give meaning to a new situation and economic organization. The Fifth Discipline of the MIT Sloan School of Management is a road traveled for years in the business world but it is unexplored in the Italian Healthcare System. In this article we explain the theoretical basis of the functioning of the “Fifth Discipline” with particular attention to: “The seven inability to learn”, reserving the opportunity to deepen the topic of: “The Five Laws” and the “Six systemic archetypes” in other papers.

scholarly journals Complexity to downplay complexity: Implications of ERM logics for the Italian NHS

2020 ◽  
Vol 17 (4, Special Issue) ◽  
pp. 369-376
Author(s):  
Raffaela Casciello ◽  
Fiorenza Meucci
Keyword(s):  
Risk Management ◽  
Healthcare System ◽  
Ad Hoc ◽  
Healthcare Organizations ◽  
Top Down ◽  
Welfare Services ◽  
Holistic Analysis ◽  
The Right

The aim of the paper is to investigate COVID-19-related issues currently affecting the Italian Healthcare System and offer causes for reflection on how to deal efficiently with risk management criticalities. Through the lenses of the Quality in Extreme Adversity (QEA) action framework, such reflections benefit from a greater depth of holistic analysis on risk management opportunities and threats towards both renewing and protecting the welfare services of the Italian Healthcare System. The complexity and urgency to overcome the multitude of risks require healthcare organizations to intervene immediately with integrated top-down enterprise-wide approaches of risk management. In such conditions, the adoption of ad hoc shaped ERM models could be the right solution for facing adequately the inefficiencies in pandemic management.

scholarly journals Audit of Non-financial Information

2020 ◽  
Vol 7 (4) ◽  
pp. 71-80
Author(s):  
R. G. Kaspina ◽  
N. O. Samoilova
Keyword(s):  
Research Problem ◽  
Practical Experience ◽  
Financial Information ◽  
Practical Significance ◽  
Practical Implementation ◽  
Problem Analysis ◽  
Nonfinancial Information ◽  
Current Trends ◽  
Financial Audit ◽  
Definition Of

The article is devoted to the practical implementation of auditing tasks in relation to non-financial information in Russia. The increased need to develop this area of auditing services is related to both the increased interest of users in the nonfinancial information in itself, and the need to improve its reliability. The methodological base of the research includes a set of scientific techniques and research methods such as theoretical analysis of the literature on the research problem, analysis of regulatory sources, a method of comparison, as well as the use of practical experience in providing auditing services in relation to non-financial information. The study of current trends in the publication and certification of nonfinancial statements in Russia and abroad, considers the main approaches to the definition of “non-financial audit” and the most widespread methodological approaches to its implementation, as well as reviews the practice of performing tasks to confirm non-financial information and identifies the main problems of their implementation. The theoretical and practical significance of the research is to justify the need to develop tools for providing auditing services in relation to non-financial information, as well as the proposed solutions to the identified problems of practical implementation of tasks.

Using Case Technology and Project Method in the Process of Studying Professionally Oriented Disciplines

2021 ◽  
pp. 67-77
Author(s):  
Madina T. Bekoeva
Keyword(s):  
Educational Process ◽  
Practical Significance ◽  
Professional Activity ◽  
Practical Implementation ◽  
Case Method ◽  
University Teachers ◽  
Professional Activities ◽  
Project Method ◽  
Latent Potential ◽  
The University

The article presents a lapidary analysis of possibilities of using the case method and the project method in the formation of professional thinking of students studying philology and journalism. We also consider the possibilities of using case technology and project method in the process of studying professionally oriented disciplines. The practical significance of the work comes down to disclosing the effectiveness of the case method and the method of projects in the process of forming professional skills. The relevance of this article is determined by modern realities of educational process at the university. The case method and the method of projects make it possible to increase the motivational component of learning and contribute to the development of teachers’ progressive thinking and students’ creative potential, both of which are necessary for professional activities. In this article we also made an attempt at revealing the essence of these methods in the educational process at bachelor’s level. They turned out to be the main methods for the formation of students’ universal and professional competencies. The project method and case method act as an integral factor in the gamification of educational process contributing to the formation of skills of expedient action, activation of thinking, instilling the skills of independent search for solutions in standard and non-standard situations that may come up in the course of professional activity. Students actively and productively master the necessary competencies while revealing their latent potential. The case method and the project method demonstrate great efficiency in improving the quality of personnel training; the specific types of their practical implementation are developed jointly during classes by university teachers and employers’ representatives. The purpose of the article is to determine the methodological potential of the case method and the method of projects in the formation of professional thinking of future philologists and journalists and to consider the possibilities of using case technology and the project method in the process of studying professionally oriented disciplines. The project method is a relevant and effective technology that significantly increases the level of mastery of educational material, the internal motivation of students and their independence. The case method initiates the development of professional thinking, independence, unconventional thinking and creativity. When faced with a formulated problem, students concentrate on finding a solution to the problem and the teacher’s skillful interpretation of the problem directs students to search for non-standard ways. Everything mentioned above leads to the development of integrative thinking and significantly expands students’ capabilities. The practice of working with the case method and the project method in the classroom confirms their effectiveness in the professional development of university students, expanding their professional horizons and the formation of professional thinking.

Value that matters: intellectual capital and big data to assess performance in healthcare. An empirical analysis on the European context

2020 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Ginevra Gravili ◽  
Francesco Manta ◽  
Concetta Lucia Cristofaro ◽  
Rocco Reina ◽  
Pierluigi Toma
Keyword(s):  
Big Data ◽  
Organizational Performance ◽  
Healthcare System ◽  
Healthcare Sector ◽  
Healthcare Organizations ◽  
Content Type ◽  
Structural Capital ◽  
And Performance ◽  
The Relationship

PurposeThe aim of this paper is to analyze and measure the effects of intellectual capital (IC), i.e. human capital (HC), relational capital (RC) and structural capital (SC), on healthcare industry organizational performance and understanding the role of data analytics and big data (BD) in healthcare value creation (Wang et al., 2018). Through the assessment of determined variables specific for each component of IC, the paper identifies the guidelines and suggests propositions for a more efficient response in terms of services provided to citizens and, specifically, patients, as well as predicting effective strategies to improve the care management efficiency in terms of cost reduction.Design/methodology/approachThe study has a twofold approach: in the first part, the authors operated a systematic review of the academic literature aiming to enquire the relationship between IC, big data analytics (BDA) and healthcare system, which were also the descriptors employed. In the second part, the authors built an econometric model analyzed through panel data analysis, studying the relationship between IC, namely human, relational and structural capital indicators, and the performance of healthcare system in terms of performance. The study has been conducted on a sample of 28 European countries, notwithstanding the belonging to specific international or supranational bodies, between 2011 and 2016.FindingsThe paper proposes a data-driven model that presents new approach to IC assessment, extendable to other economic sectors beyond healthcare. It shows the existence of a positive impact (turning into a mathematical inverse relationship) of the human, relational and structural capital on the performance indicator, while the physical assets (i.e. the available beds in hospitals on total population) positively mediates the relationship, turning into a negative impact of non-IC related inputs on healthcare performance. The result is relevant in terms of managerial implications, enhancing the opportunity to highlight the crucial role of IC in the healthcare sector.Research limitations/implicationsThe relationship between IC indicators and performance could be employed in other sectors, disseminating new approaches in academic research. Through the establishment of a relationship between IC factors and performance, the authors implemented an approach in which healthcare organizations are active participants in their economic and social value creation. This challenges the views of knowledge sharing deeply held inside organizations by creating “new value” developed through a more collaborative and permeated approach in terms of knowledge spillovers. A limitation is given by a fragmented policymaking process which carries out different results in each country.Practical implicationsThe analysis provides interesting implications on multiple perspectives. The novelty of the study provides interesting implications for managers, practitioners and governmental bodies. A more efficient healthcare system could provide better results in terms of cost minimization and reduction of hospitalization period. Moreover, dissemination of new scientific knowledge and drivers of specialization enhances best practices sharing in the healthcare sector. On the other hand, an improvement in preventive medicine practices could help in reducing the overload of demand for curative treatments, on the perspective of sharply decreasing the avoidable deaths rate and improving societal standards.Originality/valueThe authors provide a new holistic framework on the relationship between IC, BDA and organizational performance in healthcare organizations through a systematic review approach and an empirical panel analysis at a multinational level, which is quite a novelty regarding the healthcare. There is little research focussed on healthcare industries' organizational performance, and, specifically, most of the research on IC in healthcare delivered results in terms of theoretical contribution and qualitative analyzes. The authors even contributed to analyze the healthcare industry in the light of the possible existence of synergies and networks among countries.

scholarly journals Health Care System in Sudan: Review and Analysis of Strength, Weakness, Opportunity, and Threats (SWOT Analysis)

2017 ◽  
Vol 12 (3) ◽  
pp. 133 ◽  
Author(s):  
Ebrahim Mohammed Abdullah Ebrahim ◽  
Luam Ghebrehiwot ◽  
Tasneem Abdalgfar ◽  
Muhammad Hanafiah Juni
Keyword(s):  
Health Care ◽  
Health Service ◽  
Healthcare System ◽  
Health Care System ◽  
Swot Analysis ◽  
Service System ◽  
Health Information System ◽  
Health Service System ◽  
Care System

Background: The Republic of the Sudan located in north-east of Africa and is considered to be a lower-middle income country. The country has well established healthcare system with many drawbacks mainly due to economic and managerial reasons followed by prolonged political instability and sanctions.Objective: The aim of this study is to give an insight over the health services system in Sudan and to analyze the strength, weakness, opportunities, and threats (SWOT).Materials and Methods: The search was done from two electronic databases: MEDLINE/Pubmed and from public search engines: Google Scholar and Google with key Search words used mainly as “Healthcare system in Sudan “. Additionally, SWOT analysis of healthcare system in Sudan was carried out based on the Roemer’s model of health service system. Results: The Sudanese healthcare system was analyzed for different components of the system: The system in Sudan has full package of strategic plans and policies be it in a long term or short. Despite this there is poor implementation and organization along with frail health information system. The main external factors that drawback the system is the overall economic instability which resulted in cutting of the health expenditure.Conclusion: The Sudan is a rich country in terms of natural resources and population. Its health service system has strengths and weaknesses. It needs to build on its qualified human work force, stress on its well-designed short and long-term strategies on health care system and the partnership with external funding institutions, while overcoming the challenges on creating the proper health information system, economic support system and centralization of health service and professionals. Keywords: Health Care System, Sudan, SWOT analysis

scholarly journals 1623. Implementation of Electronic Readmission Alert for Discharged Patients Reduces Risk of Secondary Measles Exposure Events

2019 ◽  
Vol 6 (Supplement_2) ◽  
pp. S592-S592
Author(s):  
Kelley M Boston ◽  
Luis Ostrosky-Zeichner ◽  
Misti G Ellsworth ◽  
Tawanna A McInnis-Cole
Keyword(s):  
Healthcare System ◽  
Rapid Development ◽  
The United States ◽  
Infectious Period ◽  
Inpatient Setting ◽  
Healthcare Organizations ◽  
Case Identification ◽  
Secondary Exposure ◽  
Subsequent Exposure ◽  
Discharged Patients

Abstract Background Measles is a highly infectious illness that is causing increased numbers of outbreaks in the United States. Patients involved in a healthcare measles exposure and who have been discharged before identification of exposure are at risk of becoming infectious in the community, and may seek healthcare within their infectious window, creating a secondary exposure risk for healthcare systems. A measles exposure in an integrated healthcare system occurred, resulting in patient exposures in multiple locations at three campuses, including two community-based emergency departments and three inpatient units. There were 159 patients who were included in the exposure group; 123 were exposed in an ED, and 36 were exposed in an inpatient setting. Ninety-four percent (149/159) of the patients had been discharged at the time of measles case identification and were in the pre-infectious phase of illness. Of those, 36 percent (54/149) presented back to the healthcare system within the potentially infectious window; these 54 patients had 97 individual healthcare contacts in the potentially infectious period following the exposure event. Sixty-one of the 97 return visits (63%) were within the window in which the exposed patients were potentially infectious. Return locations included the three exposure facilities and inpatient and outpatient locations at 10 other system campuses. Methods An alert system was developed within the electronic medical record that identified patients that were involved in the exposure, and guided clinicians to mask and place in airborne isolation until measles immunity was verified. Results The alert activated 13 days after the exposure was identified, and identified 100% of returns to healthcare at all sites within the system, representing 48% of all potential secondary exposure events (29 /61). No secondary exposures or transmission occurred. Conclusion Measles exposures are an enormous burden on healthcare organizations and public health systems. When exposures occur, healthcare organizations need systems to rapidly identify discharged patients who may return within the potentially infectious window. Rapid development of electronic readmission alerts can help standardize identification and reduce the risk of subsequent exposure. Disclosures All authors: No reported disclosures.

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.

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