Home Health Care and National Health Policy

1981 ◽  
Vol 7 (8) ◽  
pp. 494-495
Author(s):  
Pauline F Brimmer
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Home Health Care ◽  
National Health ◽  
Home Health ◽  
National Health Policy

Introduction

2019 ◽  
pp. 1-5
Author(s):  
Alex Rajczi
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Insurance ◽  
National Health ◽  
National Health Policy ◽  
Universal Health Insurance ◽  
Insurance System ◽  
Access To Health ◽  
Fiscal Risk ◽  
Universal Health

Most Americans see the need for a national health policy that guarantees reasonable access to health insurance for all citizens, but some worry that a universal health insurance system would be inefficient, create excessive fiscal risk, or demand too much of them, either by increasing their taxes or by rendering their own health insurance unaffordable. After describing these three objections and the role they play in health care debates, the introduction outlines the contents of each chapter. It concludes with some remarks about how data will be handled in the book’s later chapters.

scholarly journals DEVELOPMENT OF THEORETICAL APPROACHES TO PHARMACEUTICAL CARE IMPROVEMENT CONSIDERING THE MODERN REQUIREMENTS OF HEALTH-CARE SYSTEM IN UKRAINE

2018 ◽  
Vol 11 (8) ◽  
pp. 356 ◽  
Author(s):  
Igor A Zupanets ◽  
Victoriia Ye Dobrova ◽  
Olena O Shilkina
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health System ◽  
Pharmaceutical Care ◽  
National Health ◽  
Care Process ◽  
National Health Policy ◽  
Care Policy ◽  
Structural Element ◽  
Theoretical Approaches

Objective: The objective of this research was to formulate the theoretical approaches to the improvement of pharmaceutical care considering the modern requirements of the public health system in Ukraine.Methods: The analysis of pharmaceutical care has been performed using “policy triangle” model. The pharmaceutical care policy model has been developed by applying the process approach.Results: The model of pharmaceutical care as a structural element of the national health policy has been developed. This model describes mechanisms by which the content, context, and process of the pharmaceutical care policy are influenced by the content, context, and process of the national health policy. Furthermore, we have defined the actors of the pharmaceutical care policy which are groups and organizations of various levels involved in the formation and development of the pharmaceutical care policy. Then, the structure of the pharmaceutical care policy has been elaborated. This policy is integrated into the national health-care system and is adapted to the good pharmacy practice requirements. The center of the policy is a process of pharmaceutical care delivering. The inputs, outcomes, management, and resources that are required for the pharmaceutical care process and provided by the actors have been identified. The data streams within this structure demonstrate implementation of the key elements of the pharmaceutical care process: Patient involvement, patient counseling and education, interprofessional collaboration, documentation of interaction, and follow-up. Furthermore, the mechanism of continual education and increasing of the professional level has been described in this structure.Conclusion: Proposed framework provides a comprehensive view of pharmaceutical care as a structural element of the national health policy considering new trends of the Ukrainian health system. The proposed model of the pharmaceutical care policy allows policy-makers to address all critical-to-quality aspects and stakeholders’ needs.

scholarly journals Social Vulnerability and Medical Complexity Among Medicare Beneficiaries Receiving Home Health Without Prior Hospitalization

2020 ◽  
Vol 4 (6) ◽  
Author(s):  
Julia G Burgdorf ◽  
Tracy M Mroz ◽  
Jennifer L Wolff
Keyword(s):  
Health Care ◽  
Home Health Care ◽  
National Health ◽  
Social Vulnerability ◽  
Home Health ◽  
Clinical Severity ◽  
Referral Source ◽  
Care Needs ◽  
Medical Complexity ◽  
Multiple Episodes

Abstract Background and Objectives Recent Medicare home health payment changes reduce reimbursement for care provided to patients without a preceding hospitalization. Beneficiaries may enter home health without a preceding hospitalization via referral from a community provider or through incurring multiple episodes of home health care. We assess potential implications of this change by examining the characteristics of patients accessing Medicare home health through each of these pathways. Research Design and Methods Nationally representative retrospective cohort study of 1,224 (weighted n = 5,913,080) older adults who participated in the National Health and Aging Trends Study between 2011 and 2015 and received Medicare-funded home health within 1 year of interview. Patient characteristics before home health were drawn from the National Health and Aging Trends Study, while characteristics during home health, referral source, and number of episodes incurred were drawn from linked Outcomes and Assessment Information Set and Medicare claims. We tested for differences in characteristics by referral source and number of episodes using weighted chi-square tests and t tests. Results Patients referred to home health from the community were more than twice as likely to be Medicaid-enrolled (24.0% vs 12.5%, p < .001), have dementia (29.5% vs 12.4%, p < .001), and have received 80 or more hours/month of family caregiver assistance (20.7% vs 10.1%, p < .001) prior to home health entry compared to those referred from a hospital or skilled nursing facility. Patients who incurred multiple episodes in a spell of home health care were more likely to have high clinical severity during home health (48.3% vs 28.1%, p < .001), compared to those with a single episode. Discussion and Implications Greater social vulnerability and care needs before home health were associated with community referral, while greater clinical severity during home health was associated with incurring multiple episodes of care. Findings suggest that recent payment changes may threaten home health access among beneficiaries with greater social vulnerability and/or medical complexity.

Analysis of Regional Health Plans as Enactments of National Health Policy

2019 ◽  
Vol 17 (3) ◽  
pp. 659-677
Author(s):  
Jana Rozmarinová
Keyword(s):  
Health Care ◽  
Health Policy ◽  
National Health ◽  
Regional Policy ◽  
Healthcare Services ◽  
National Health Policy ◽  
Health Plans ◽  
Development Programs ◽  
Policy Objectives ◽  
Access To Primary Care

The article deals with strategic documents created at the regional level in the context of their relevance to the implementation of the national health policy and their relevance to the solution of the inequalities among regions in access to primary care. The aim of this contribution is to map and evaluate the activity of regions in terms of their conceptual activities related to the establishment of regional policy objectives for the 2010-2015 period. The implementation of the national health policy (i.e. the “Health 21” and “Health 2020” programs) is examined in the context of the regional conceptual activities. The obtained results show that the conceptual activities of regions in the area related to health care differ significantly. While some regional development programs devote only a few pages to healthcare issues, other regions create comprehensive concepts of health care. With the measurement of inequalities, we indicate the regions that are underserved with healthcare services, of which only the Ústí nad Labem region shows the plan to dealt with this disadvantage in its strategic health plan. 

Persons Caring For Persons: A Public Health Policy Architecturally Presented

2015 ◽  
Vol 5 (3) ◽  
pp. 101-104
Author(s):  
Fernando Carbone-Campoverde
Keyword(s):  
Health Care ◽  
Health Policy ◽  
National Health ◽  
Service Providers ◽  
National Health System ◽  
World Health ◽  
Policy Statement ◽  
National Health Policy ◽  
Policy Changes ◽  
The Impact

Background: In 2001 a number of limitations and inconsistencies were noted in the Peruvian national health system. In addition to long-standing structural issues, challenges emerged related to social determinants of health as well as health workers’ attitudes and skills. Objectives: The purpose of this paper is to describe some of the national health policy changes that the Ministry of Health of Peru considered necessary in 2002 to address the prevailing challenges and the particular implementation of such policies. Methods: The formulation of the desired national health policy changes were based on critical readings of the pertinent scientific literature, the collation of national health policy experience, and consultations with Ministry officers and recognized national experts. Results:  The thrust of the national health policy changes, involving the crucial relationship between service providers and users resulting from such process was summarized by the dictum “Persons Caring for Persons” (In Spanish, “Personas que Atendemos Personas”). In order to extend the impact of this policy dictum, it was decided to inscribe it right under the Ministry’s name on the façade or frontispiece of the Ministry’s central building in Lima, the capital of Peru. Discussion: The focus of health care on persons was based on well considered Peruvian and international experience, particularly those maturing at the World Health Organization since the Alma Ata Declaration. The dictum “Persons Caring for Persons” has remained present in national health discussions as well as on the frontispiece of the Ministry’s central building across several changes in national political leadership over the past 13 years. Conclusions: The policy statement “Persons Caring for Persons”, reflects well considered national experience and wisdom, consistent with growing international aspirations. Its endurance over many years calls for renewed efforts to deepen such perspectives towards greater respect for human rights and the full humanization of health care and social life.

Sign in / Sign up

Export Citation Format

Share Document