scholarly journals Prioritizing Parents

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Moti Gorin
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Primary Caregivers ◽  
Social Value ◽  
Policy Makers ◽  
Health Care Resources ◽  
Dependent Children

Should parents or other primary caregivers of dependent children receive some priority when health care resources are scarce? This paper argues they should. The COVID-19 pandemic has given new urgency to discussions about resource allocation and yet there has been little to no discussion of the important role parents play in protecting and promoting the health of their dependent children. Historically, priority for parents was justified on questionable grounds of social value and this may have led bioethicists and policy makers to overlook more plausible justifications for prioritizing parents. After discussing and criticizing several such justifications for their violation of principles of pluralism and neutrality, a new justification is offered and defended from objections. The reason we should grant some priority to primary caregivers of dependent children is that research shows that doing so would protect and promote the health and lives of children.

scholarly journals Protocol for Investigating the Technical Efficiency of District Hospitals in the Public Health Sector of KwaZulu-Natal, South Africa (Preprint)

2018 ◽  
Author(s):  
Tesleem K Babalola ◽  
Indres Moodley
Keyword(s):  
South Africa ◽  
Health Care ◽  
Resource Allocation ◽  
Technical Efficiency ◽  
Policy Formulation ◽  
Data Availability ◽  
Research Approach ◽  
Policy Makers ◽  
District Hospitals ◽  
Kwazulu Natal

BACKGROUND The central objective of policy makers and health managers is efficiency in the delivery of health care. With frequent reports of global economic crises, there is a need to continuously measure the performance of various sectors of the health care system. This can inform the decision-making process toward allocating scarce resources with the aim of maximizing output. OBJECTIVE The aim of this study is to determine the technical efficiency (TE) of public sector district hospitals in the province of KwaZulu-Natal, South Africa to provide information that will assist in policy formulation that may further assist in more efficient resource allocation decisions. METHODS This is a health system research based on a quantitative research approach. All 38 public district hospitals in the 11 municipalities of the province will be included in this study. The data for the study will include inputs from hospitals’ operations that contribute toward subsequent outputs. The input data will include information such as the number of health professionals (doctors, nurses, and other personnel) and number of hospital beds, whereas the output data will include information such as outpatient visits and number of admissions or discharge. Other data categories to be included will be determined by data availability and will be uniform for all facilities. Data for each facility for a 3-year period from 2014 to 2017 will be obtained from databases of the district health information, basic accounting, and personnel salary systems. On the basis of the data obtained, a model will be developed that can be used to assess how TE of public districts hospitals may be improved. TE will be determined using Data Envelopment Analysis, and factors influencing efficiency will be computed using StataCorp statistical package. RESULTS As of February 2019, the study is at the data collection, data input, and analysis stages. The results are expected to be available from the second quarter of 2019. CONCLUSIONS Findings from this study can add to tools available to policy makers, health planners, and managers in making decisions about resource allocation in health care systems. Moreover, these findings will be disseminated electronically and in print. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/12037

scholarly journals Differences in regional distribution and inequality in health-resource allocation on institutions, beds, and workforce: a longitudinal study in China

2021 ◽  
Vol 79 (1) ◽  
Author(s):  
Enhong Dong ◽  
Jie Xu ◽  
Xiaoting Sun ◽  
Ting Xu ◽  
Lufa Zhang ◽  
...  
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Time Trends ◽  
Regional Distribution ◽  
Health Care Resource ◽  
Theil Index ◽  
Health Resource ◽  
Health Care Resources ◽  
Health Resource Allocation ◽  
Inequality In Health

Abstract Background The distribution of health-care resources is foundational to achieving fairness and having access to health service. China and its local Shanghai’s government have implemented measures to allocate health-care resources with the equity as one of the major goals since 2009-health-care reform. The aim of this study was to analyze differences in regional distribution and inequality in health-resource allocation on institutions, beds, and workforce in Shanghai over 7 years. Methods The study was conducted using 2010–2016 data to analyze health-resource allocation on institutions, beds, and workforce in Shanghai, China. The annual growth rate (AGR) was used to evaluate the time trends of health-care resource from 2010 to 2016, and Theil index was calculated to measure inequality of five indicators of health-care resource allocation during this study period. Results All quantities of health-care resources per 1000 people increased across Shanghai districts from 2010 to 2016. Compared with suburban districts, the central districts had higher ratios on five health-care resource indicators, and faster average growth in the bed and nurse indicator. The Theil of the indicators, except for doctors in hospitals, all exhibited downward time trends. Conclusions Regional difference between urban and rural areas and inequality between institution and workforce, especially for doctors, still existed. Some targeted measures including but not limited to income raising, facilitation of transportation conditions, investment of more fiscal funds, enhancement of health-care service provision for rural residents should be fully considered to narrow resource distribution gap between urban and rural districts and mitigate the inequality of health-care resource allocation.

scholarly journals Differences in Regional Distribution and Inequality in Health-Resource Allocation on Institutions, Beds, and Workforce: A Longitudinal Study in Shanghai, China

2020 ◽  
Author(s):  
Enhong Dong ◽  
Xiaoting Sun ◽  
Lufa Zhang ◽  
Minjie Chen ◽  
Hongmei Wang ◽  
...  
Keyword(s):  
Health Care ◽  
Resource Allocation ◽  
Rural Areas ◽  
Regional Distribution ◽  
Theil Index ◽  
Health Resource ◽  
Average Growth ◽  
Health Care Resources ◽  
Health Resource Allocation ◽  
Inequality In Health

Abstract Background: The distribution of health-care resources is a critical component of health-care access, and equity is a basic principle of health-resource allocation, and foundational to achieving fairness in the provision of health services. China and its local Shanghai’s government has implemented measures to allocate health-care resources with the equity as one of the major goals since 2009.The aim of this study was to analyze differences in regional distribution and inequality in health-resource allocation on institutions, beds, and workforce in Shanghai over 7 years.Methods: A longitudinal survey using 2010–2016 data, which were collected for analysis. The study was conducted health-resource allocation on institutions, beds, and workforce in Shanghai, China. Five health-resource indicators were used to measure health-resource distribution at the city and district levels. Furthermore, the Theil index was calculated to measure inequality of health-resource allocation.Results: All quantities of health-care resources per 1000 people increased across Shanghai districts from 2010 to 2016. Compared with suburban districts, the central districts had higher ratios on five health-care resource indicators, and faster average growth in the bed and nurse indicator, and slower growth in the institution, technician and doctor indicator. The Theil indices of the technicians, doctors, nurses and beds had higher values than that of institutions every year from 2010 to 2016; furthermore, the Theil indices of the indicators, except for doctors in hospitals, all exhibited downward time trends.Conclusions: Increased health-care resources and reduced inequality of health-resource allocation in Shanghai during the 7 years indicated that the measures taken by the Shanghai government in the new round of healthcare reform in China since 2009 had been successful. Meanwhile there still existed regional difference between urban and rural areas and inequality between institution and workforce, especially doctors.

scholarly journals COVID-19 mortality and health-care resources: Organization

2021 ◽  
Vol 45 (6) ◽  
pp. 383-384
Author(s):  
P. Immovilli ◽  
N. Morelli ◽  
E. Rota ◽  
D. Guidetti
Keyword(s):  
Health Care ◽  
Health Care Resources

Towards an AIDS-free generation by 2030: how are South African children, adolescents, caregivers and health care workers coping with HIV?

2021 ◽  
pp. 008124632199217
Author(s):  
Yogan Pillay
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
South African ◽  
Health Care Workers ◽  
Policy Makers ◽  
Number Of Children ◽  
Key Stakeholders ◽  
Care Workers ◽  
Free Generation ◽  
Living With Hiv

We are committed to an AIDS free generation by 2030 – nine short years away. This article reflects on the global and South African data on new infections, total number of children and adolescents living with HIV as well as data on vertical transmission. The article includes the voices of key stakeholders in the quest to end HIV in children so that lessons from their experiences can be used by policy makers in strengthening services.

Empiricism and Rights Justify the Allocation of Health Care Resources to Persons with Disorders of Consciousness

2021 ◽  
Vol 12 (2-3) ◽  
pp. 169-171
Author(s):  
Joseph T. Giacino ◽  
Yelena G. Bodien ◽  
David Zuckerman ◽  
Jaimie Henderson ◽  
Nicholas D. Schiff ◽  
...  
Keyword(s):  
Health Care ◽  
Disorders Of Consciousness ◽  
Health Care Resources

scholarly journals Optimizing Scarce Resource Allocation During COVID-19: Rapid Creation of a Regional Health-Care Coalition and Triage Teams in San Diego County, California

2020 ◽  
pp. 1-7
Author(s):  
Asha Devereaux ◽  
Holly Yang ◽  
Gilbert Seda ◽  
Viji Sankar ◽  
Ryan C. Maves ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Resource Allocation ◽  
San Diego ◽  
Scarce Resource ◽  
Successful Implementation ◽  
Regional Health ◽  
Incident Command ◽  
Regional Health Care ◽  
Crisis Care

ABSTRACT Successful management of an event where health-care needs exceed regional health-care capacity requires coordinated strategies for scarce resource allocation. Publications for rapid development, training, and coordination of regional hospital triage teams to manage the allocation of scarce resources during coronavirus disease 2019 (COVID-19) are lacking. Over a period of 3 weeks, over 100 clinicians, ethicists, leaders, and public health authorities convened virtually to achieve consensus on how best to save the most lives possible and share resources. This is referred to as population-based crisis management. The rapid regionalization of 22 acute care hospitals across 4500 square miles in the midst of a pandemic with a shifting regulatory landscape was challenging, but overcome by mutual trust, transparency, and confidence in the public health authority. Because many cities are facing COVID-19 surges, we share a process for successful rapid formation of health-care care coalitions, Crisis Standard of Care, and training of Triage Teams. Incorporation of continuous process improvement and methods for communication is essential for successful implementation. Use of our regional health-care coalition communications, incident command system, and the crisis care committee helped mitigate crisis care in the San Diego and Imperial County region as COVID-19 cases surged and scarce resource collaborative decisions were required.

scholarly journals Looking into the life of technology-dependent children and their caregivers in Korea: lifting the burden of too many responsibilities

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yu Hyeon Choi ◽  
Min Sun Kim ◽  
Cho Hee Kim ◽  
In Gyu Song ◽  
June Dong Park ◽  
...  
Keyword(s):  
South Korea ◽  
Home Care ◽  
Time Pressure ◽  
Economic Status ◽  
Financial Burden ◽  
Primary Caregivers ◽  
Healthcare Services ◽  
Tertiary Hospital ◽  
Cross Sectional ◽  
Dependent Children

Abstract Background The number of technology-dependent children (TDC) is increasing in South Korea, but available healthcare services after their discharge are poor. This study aimed to examine how TDC and caregivers live at home and identify their difficulties and needs regarding home care with few services to support them. Methods This cross-sectional study was conducted in a tertiary hospital for children in South Korea. A self-reported questionnaire was completed by primary caregivers of TDC who were younger than 19 years and had been dependent on medical devices for more than 3 months. Technologies included home mechanical ventilation, oxygen supplementation, suction equipment, enteral feeding tube, and home total parenteral nutrition. Patterns of healthcare use and home care of TDC and caregivers’ perception toward child were assessed. Results A total of 74 primary caregivers of TDC completed a self-reported questionnaire. About 60% children were aged under 5 years. There were 31.1% children who required both respiratory and nutritional support. On average, caregivers took care of a child for 14.4 (±6.1) hours, slept for 5.6 (±1.6) hours, and spent 2.4 h per day on personal activities. Children used hospital services for 41.3 (±45.6) days in 6 months, and most (78.1%) were transported through private car/ambulance. Participants (75.6%) reported taking more than an hour to get to the hospital. More than 80% of caregivers responded that child care is physically very burdensome. The only statistically significant relationships was between economic status and financial burden (p = 0.026). Conclusions Caregivers of TDC reported having significant time pressure regarding childcare-related tasks, insufficient time for personal activities, and inefficient hospital use because of inadequate medical services to support them in South Korea. Thus, it is necessary to support caregivers and develop a home care model based on current medical environment.

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