Outsourced Health Care Services

2013 ◽  
pp. 78-92
Author(s):  
Tiina Tiilikka
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Recent Change ◽  
Medical Doctors ◽  
Work Processes ◽  
Care Services ◽  
Group Interviews ◽  
Private Actors ◽  
Doctors And Nurses

This paper provides answers to the question of how medical doctors and nurses at health centres narrate their experiences of outsourced health care services and make sense of their position in the new organization. The article contributes to the debate on the recent change in the marketization and transformation of health care organizations. The research material consists of seven group interviews with medical doctors and nurses. The method makes use of viewpoints from the narrative approach. The results of the analysis indicate that the workers interviewed are primarily rational professional actors. They do not actively take an emotional position. The short contracts between public or private actors mean that work processes in the outsourced health care organizations are intermittent. It may be necessary for the workers to adopt a strong professional identity without strong mental ties to the employer.

Outsourced Health Care Services

2011 ◽  
Vol 1 (2) ◽  
pp. 26-39
Author(s):  
Tiina Tiilikka
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Recent Change ◽  
Medical Doctors ◽  
Work Processes ◽  
Care Services ◽  
Group Interviews ◽  
Private Actors ◽  
Doctors And Nurses

This paper provides answers to the question of how medical doctors and nurses at health centres narrate their experiences of outsourced health care services and make sense of their position in the new organization. The article contributes to the debate on the recent change in the marketization and transformation of health care organizations. The research material consists of seven group interviews with medical doctors and nurses. The method makes use of viewpoints from the narrative approach. The results of the analysis indicate that the workers interviewed are primarily rational professional actors. They do not actively take an emotional position. The short contracts between public or private actors mean that work processes in the outsourced health care organizations are intermittent. It may be necessary for the workers to adopt a strong professional identity without strong mental ties to the employer.

Using Employer Purchasing Power to Improve the Quality of Perinatal Care

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 248-254 ◽  
Author(s):  
Anne G. Castles ◽  
Arnold Milstein ◽  
Cheryl L. Damberg
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perinatal Care ◽  
Quality Measurement ◽  
Quality Data ◽  
Purchasing Power ◽  
Care Services

Large employers have become increasingly involved in helping to set the agenda for quality measurement and improvement. Moreover, they are beginning to hold health care organizations accountable for their performance through marketplace incentives, including the public reporting of comparative quality data and the linkage of reimbursement to performance on quality measures. The Pacific Business Group on Health (PBGH) is an employer coalition that has been prominent in establishing models for collaborative quality measurement and improvement in the California marketplace. PBGH's involvement in quality stems from an environment in which purchasers were faced with high health care costs, yet virtually no information with which to assess the value their employees received from that care. Research indicating widespread variation in performance across health care organizations and seemingly limited oversight for quality of care within the industry has further motivated purchasers' efforts to better understand the quality of care being delivered to their em-ployees. Using the purchasing power of employers representing 2.5-million covered lives, PBGH endeavors to encourage the transition of the health care marketplace from one that competes solely on price to one that competes on price and quality. This entails collaborating with the health care industry to develop and publicly report valid performance data for use by both large employers and consumers of health care services. It also includes communicating to the marketplace purchasers' commitment to making purchasing decisions based on quality as well as cost. PBGH efforts to measure, report, and improve quality have been demonstrated by several undertakings in the perinatal care arena, including research to assess cesarean section rates and newborn readmission rates across California hospitals. employer coalition, purchaser, quality measurement, quality improvement, report cards, perinatal quality of care.

Service and quality of medical services

10.12737/8242 ◽  
2014 ◽  
Vol 8 (8) ◽  
pp. 3-12
Author(s):  
Елена Данилина ◽  
Elena Danilina ◽  
Екатерина Яковлева ◽  
Ekaterina Yakovleva ◽  
Татьяна Бутова ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perceived Quality ◽  
Medical Services ◽  
Care Services ◽  
Medical Institutions

The article defines the scientific and terminological problems of researching services in the field of services, the basic problems of the evaluation of services in health care organizations. On the basis of a systematic approach to the category of quality of medical services the article investigates patient satisfaction with the perceived quality of service, shows the role of consumer expectations in the evaluation of the perceived quality of services and finds that the requirements for the service in medical institutions are underestimated. On the basis of studies the authors identify behaviors of consumers of budgetary medical services organizations, develop a model of consumer activities, which differs from the existing ones that along with the economic component the model is complemented with communication components. The approbation of the authors´ model for health care services shows a characteristic pattern of consumer activity of budgetary organizations. The article highlights the factors of subjective judgment of health care consumers in assessing perceived quality. Based on the study of patient satisfaction the authors develop a hierarchical model of the perceived quality of health services, as well as the place of services defined in the model.

The importance of environment: Neighborhood characteristics and parent perceptions of child health

2018 ◽  
Vol 22 (4) ◽  
pp. 658-669 ◽  
Author(s):  
Cory E Cronin ◽  
Brian K Gran
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Behavioral Model ◽  
Children's Health ◽  
Children’S Health ◽  
Neighborhood Characteristics ◽  
Health Services Use ◽  
Health Concerns ◽  
Care Services

Andersen’s Behavioral Model of Health Services Use acknowledges the importance of community and environment in how individuals utilize health-care services. This article questions whether and how environment influences perceptions of health, specifically parents’ perceptions of their children’s health. Based on data from the 2011–2012 US National Survey of Children’s Health, this study investigates how parents’ views of their neighborhoods (such as safety, social support, amenities, and detracting elements) shape perceptions of their child’s health. Furthermore, the analysis considers how these relationships are similar or different for minority populations. Using ordinal logistic regression, this study demonstrates that neighborhood characteristics influence parents’ perceptions of their children’s health. Parents who report their neighborhoods as safe, supportive, and having desirable amenities perceive their children to be healthier. Parents living in neighborhoods possessing detracting elements report their children’s health as worse. These findings are largely consistent for minority and nonminority neighborhoods. The findings of this study convey the importance of environments to how parents view the health of their children. Improving safety and strengthening social supports within neighborhoods could help to address health concerns. As well, health-care organizations and public health offices should launch initiatives in disadvantaged neighborhoods to address health concerns and disparities.

scholarly journals Informing the Children When a Parent Is Diagnosed as Having Multiple Sclerosis

2015 ◽  
Vol 17 (1) ◽  
pp. 42-48 ◽  
Author(s):  
Ylva Nilsagård ◽  
Katrin Boström
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Focus Group ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Disease Course ◽  
Focus Group Interviews ◽  
Care Services ◽  
Disease Information ◽  
Group Interviews

Background: The aim of this study was to gain an understanding of how health-care services can support the empowerment of children when a parent is diagnosed as having multiple sclerosis (MS). The study focuses on what information parents with MS, their partners, and their children desire from health-care professionals. Methods: Focus group interviews were conducted with nine adolescents, nine parents with diagnosed MS, and five partners representing members of ten families. Results: The main finding was that parents with MS, their partners, and the adolescents stressed their need to be well informed about the disease. Information should be provided at the time of diagnosis and then offered regularly throughout the disease course. The information should be suited to the recipient's level of maturity and individualized to reflect the parent's clinical picture. Conclusions: It is usually beneficial for children if their parents feel informed about the illness and encourage their children to ask questions and discuss the situation. This knowledge, gained from several sources, is likely to be of value for health-care professionals and their ongoing efforts to improve services for parents with MS, their partners, and their children.

Business Process Reengineering: A Remedy for Health Care

1994 ◽  
Vol 7 (4) ◽  
pp. 44-50 ◽  
Author(s):  
B. Donald Carmichael
Keyword(s):  
Health Care ◽  
Business Process ◽  
Health Care Services ◽  
Business Process Reengineering ◽  
Health Care Organizations ◽  
Process Reengineering ◽  
Care Providers ◽  
Productivity Improvement ◽  
Care Services ◽  
Continuous Quality

Health care organizations are facing significant economic constraints that threaten to dismantle core services. The perceived need for reform is great. Business process reengineering may be the strong medicine required to achieve dramatic productivity improvement without jeopardizing the quality and scope of core health care services. Reengineering challenges health care organizations to eliminate functions that do not contribute to a flattened organization structure in which fewer care providers deliver a wider range of health care services. Information technology is used to displace manual checks and controls. Reengineering may facilitate the implementation of contemporary management models, such as patient-focused care, case management and product or program management. The product of reengineering can be enhanced over time by Continuous Quality Improvement.

scholarly journals EKSPANSI REZIM MEDIS, MEDIKALISASI KEHIDUPAN, DAN PEMBERDAYAAN MASYARAKAT

Populasi ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Heru Nugroho
Keyword(s):  
Health Care ◽  
Political Economy ◽  
Access To Health Care ◽  
Health Care Services ◽  
Equal Access ◽  
The Political ◽  
Medical Doctors ◽  
Critical Awareness ◽  
Care Services ◽  
Access To Health

Medicalization of life as applied in a depoliticized society would be extremely dangeroussince it tends to create potential medical mal practice in the part of medical doctors towards their patients. To avoid this, repolitization of the society should be created to raise community's critical awareness in understanding the political economy of the medical world in the society. In order to provide equal access to health care, repolitization is a prerequisite in response to medical industrialization and privatization of health care services.

Slaugos kokybės gerinimo galimybės miesto ligoninėje

2013 ◽  
Vol 23 (1) ◽  
pp. 149-154 ◽  
Author(s):  
Geriuldas Žiliukas ◽  
Danguolė Drungilienė ◽  
Rima Užkurėlytė ◽  
Ligija Švedienė
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Care Quality ◽  
Care Services ◽  
Microsoft Office ◽  
Health Situation ◽  
Clear Information

As the quality of health care is getting better, patients’ demands for medics and health care organizations are getting higher. The permanent growth of costs and limited resources force to look for new possibilities of problem solving. Insufficient capacity of the leaders of a health care institution in matters of health care management and low motivation of the personnel leads to dissatisfaction by the provided services to patients and personnel. There was a patient opinion research made, a Picker Institute Europe questionnaire was used for the survey. 138 patients were interviewed, who, by their characteristics, represented all patients, treated in Hospital X all year round. Microsoft Office Excel 2010 and SPSS Statistics version 17.0 programs were used for the analysis of research data. During the research, it emerged that the majority of patients (78,7 percent) rated the conditions of care in the hospital as very good or good. Most of patients are satisfied with provided services of the hospital. Positive opinion of the patients on the care quality in the hospital was influenced by close communication with medics, providing clear information about their health situation and treatment, the respect shown by the personnel determined the trust in medics. Although, patients were actively involved in the treatment process, about one third of them did not participate in making decisions about their health situation or treatment; every fifth hospitalized patient by a planned order did not have an ability to choose a treatment institution. More than a half of patients, who participated in the research, did not have an opportunity to choose their doctor, or did not know about this opportunity. The development of patient’s and juridical knowledge creates preconditions to improve the quality of health care services.

Patient Perspectives of Diabetes and Diabetic Retinopathy Services in Kiribati: A Qualitative Study

2020 ◽  
pp. 101053952097731
Author(s):  
Malakai ‘Ofanoa ◽  
Rabebe Tekeraoi ◽  
Prarthana Dalmia ◽  
Komal Ram ◽  
Moneeta Pal ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Development Program ◽  
Integrated Approach ◽  
Lifestyle Changes ◽  
Patient Perspectives ◽  
Care Needs ◽  
Care Services ◽  
The Republic ◽  
Group Interviews

Diabetes mellitus is an increasing global health problem affecting millions of people worldwide, especially true in the Republic of Kiribati, with >20% of adults suffering from type 2 diabetes, and the prevalence is rising. Information on I-Kiribati patients’ understanding of diabetes and perception of access to relevant services is sparse. This study explores patient perspectives on their condition and its management using Talanga and Kakala Pacific research methodologies. Data were collected from Kiribati patients in 4 focus group interviews. Key themes to emerge were knowledge about diabetes, understanding and accessing the health care system, making lifestyle changes, and suggestions for improvement. Health system failures to meet the complex health care needs of these patients and health care services gaps are apparent. Improvements suggested include a comprehensive village-based health promotion and community development program focusing on youth and schools from early childhood and onward, increase in the skilled workforce, and an integrated approach to service delivery.

scholarly journals Assessing the vulnerability of women to sexually transmitted diseases STDS/ HIV: construction and validation of markers

2014 ◽  
Vol 48 (spe) ◽  
pp. 152-159 ◽  
Author(s):  
Mónica Cecilia De la Torre Ugarte Guanilo ◽  
Renata Ferreira Takahashi ◽  
Maria Rita Bertolozzi
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Work Processes ◽  
Sexually Transmitted ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Relationship ◽  
Selection Of

Objective To construct and validate markers of vulnerability of women to STDs/HIV, taking into consideration the importance of STDs/HIV. Method Methodological study carried out in three stages: 1) systematic review and identification of elements of vulnerability in the scientific production; 2) selection of elements of vulnerability, and development of markers; 3) establishment of the expert group and validation of the markers (content validity). Results Five markers were validated: no openness in the relationship to discuss aspects related to prevention of STDs/HIV; no perception of vulnerability to STDs/HIV; disregard of vulnerability to STDs/ HIV; not recognizing herself as the subject of sexual and reproductive rights; actions of health professionals that limit women’s access to prevention of STDs/HIV. Each marker contains three to eleven components. Conclusion The construction of such markers constituted an instrument, presented in another publication, which can contribute to support the identification of vulnerabilities of women in relation to STDs/HIV in the context of primary health care services. The markers constitute an important tool for the operationalization of the concept of vulnerability in primary health care and to promote inter/multidisciplinary and inter/multi-sectoral work processes.


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