Indicating Fields of Inequalities Regarding the Access to Health Benefits

2014 ◽  
pp. 27-41
Author(s):  
Krzysztof Landa ◽  
Karolina Skora ◽  
Iwona Zaczyk
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Care Service ◽  
Health Care Service ◽  
Health Benefits ◽  
Access To Health Services ◽  
Web Portal ◽  
Access To Health ◽  
Care System

Restrictions to health services in Poland inspired the establishment of the Watch Health Care Foundation (WHC). The fundamental disease of the system is the disproportion between the amount of the funds and the contents of the package. It causes the same “symptoms” and leads to the same pathological phenomena everywhere: queues and other forms of rationing (“guaranteed”) health benefits, corruption, and making use of privileges. The foundation uses the potential of the information society and available infrastructure (Web portal, www.watchealthcare.eu), and all activities are presented on the Website with the aim of influencing the health care system. On the basis of reports of limited access to health services, a registry of patient problems was created in the WHC Web portal, which aims to show what the biggest gaps in access to health services are – this is a way of showing the patient and health care system the needs and also one possible approach to continuous education of the health care service consumers targeted at health care system improvement.

Indicating Fields of Inequalities Regarding the Access to Health Benefits

2012 ◽  
Vol 1 (2) ◽  
pp. 41-54 ◽  
Author(s):  
Krzysztof Landa ◽  
Karolina Skóra
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care System ◽  
Health Care Services ◽  
Health Care Systems ◽  
Health Benefits ◽  
Access To Health Services ◽  
Web Portal ◽  
Access To Health ◽  
Care System

Restrictions to health services in Poland have been an inspiration to establish Watch Health Care Foundation (WHC). The fundamental disease of the system is namely the disproportion between the amount of the funds and the contents of the package. It causes everywhere the same ’symptoms’ and leads to the same pathological phenomena: queues and other forms of rationing (’guaranteed’) health benefits, corruption, making use of privileges. Foundation uses the potential of information society and available infrastructure (web portal http://www.watchealthcare.eu) and all activities are presented on the website with the aim of influencing the health care system. On the basis of reports of limited access to health services, a ranking is created at WHC web portal, which aims to show what the biggest gaps in access to health services are - this is the way of showing the patient and health care system needs and also one possible approach of continuous education of the health care services consumers targeted at health care systems improvement.

Mohalla Clinics in Delhi: A Preliminary Assessment of their Functioning and Coverage

2019 ◽  
Vol 13 (2) ◽  
pp. 195-210 ◽  
Author(s):  
Taniya Sah ◽  
Rituparna Kaushik ◽  
Neha Bailwal ◽  
Neisetuonuo Tep
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Tertiary Care ◽  
Access To Health Services ◽  
Geographical Access ◽  
Access To Health ◽  
Minor Ailments ◽  
The Government ◽  
Major Section ◽  
Care System

The Government of Delhi introduced the policy of Mohalla Clinics in 2015 in order to improve its health care system. It was aimed at providing primary health care to people in their neighbourhood, with a particular focus on people residing in poor localities of Delhi. This article seeks to assess the role of Mohalla Clinics in the urban health care system. Based on a primary survey conducted in various areas of Delhi, we find that these clinics have helped in easing the pressure on tertiary care hospitals by providing treatment of minor ailments within the vicinity of neighbourhood. Overall, people positively endorse this initiative which contributed to a decline in out-of-pocket expenditure on medicines and tests. We find that Mohalla Clinics are ensuring better geographical access to health services by reducing time in commuting and waiting. Their scope, however, can be further broadened by introducing provisions for pregnant and lactating women, who constitute a major section of the patients visiting these clinics.

scholarly journals A review of the public-funded primary health care facilities for children in the pluralistic health care settings of Barbados, a Caribbean island

2015 ◽  
Vol 17 (02) ◽  
pp. 157-165
Author(s):  
Anders L. Nielsen ◽  
Alok Kumar
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Care Service ◽  
Health Care Service ◽  
Care Providers ◽  
Ministry Of Health ◽  
The Public ◽  
Primary Health ◽  
Care System

AimThe major objectives of this study were to evaluate the existing pediatrics health care service provisions and utilizations of the public polyclinics in Barbados. Furthermore, the aim was to assess if the existing manpower resources were adequate.BackgroundBarbados has a mixed health care system consisting of both a socialized and a private health care system. The Ministry of Health commissioned a needs assessment survey of the pediatrics primary health care at the public polyclinics.MethodsPrimary data were collected through interviews with the public primary health care providers. Secondary data were collected from the Barbados Census Data and Ministry of Health statistics. Data were analyzed to assess the pediatrics primary health care service utilization and adequacy of existing resources at the polyclinics.FindingsIn 2012, there were 62 934 visits from children <16 years of age to the public polyclinics in Barbados and this accounted for 39.1% of all visits (both adults and children) to the polyclinics. An overall 16.7% of the visits were from children less than five years old to the Well Child Clinic for immunization and for growth and development monitoring; 32% of all physician consultations at the polyclinics were for children <16 years. Utilization of health services by children at the polyclinics was 5245 visits/month. Given an expected monthly demand for 10 822 visits from children, the polyclinics serve 48.5% of the primary health care demand for children in Barbados.ConclusionsThe public polyclinics play a pivotal role in the pluralistic primary health care system in Barbados. They fulfill nearly half of all the primary care demand and more importantly provides for almost the entire immunization demand, and thereby ensuring high coverage.The existing resources, if used optimally, would reduce the long consultation time observed in this setting, and thereby increase the capacity considerably.

scholarly journals Delivery of Health Care Service in the Organization of Islamic Cooperation (OIC) Member States and Regional Diversity: A Bootstrap Dea Analysis

2019 ◽  
Vol 5 (1) ◽  
pp. 59-66
Author(s):  
Nabila Asghar ◽  
Majid Ali ◽  
Fatima Farooq ◽  
Urooj Talpur
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care System ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Allocative Efficiency ◽  
Truncated Regression ◽  
Regression Approach ◽  
Care System

For the last few decades, demographic changes require new and expensive medical innovations, which ultimately put the health care system under financial pressure. Therefore, provision of efficient services for the sustainability in health care system is mandatory. The objective of this study is to explore the performance of health care services provided in 55 OIC member countries during 2011 and 2015.The bootstrap Data Envelopment Analysis and Truncated regression approach have been applied to observe the health system and estimate the efficiency score  in 55 OIC member countries. The findings of DEA show that cost efficiency (CE), technical efficiency (TE) and allocative efficiency (AE) of health care system of OIC member countries on average are 0.52, 0.72, and 0.70, respectively. It indicates that OIC countries are not good at selecting cost efficient input mix. The results of truncated regression approach indicate that out-pocket health expenditures is the most important determinant relative to other indicators. It is suggested that it is hard to improve the overall health system at most efficient level. For this purpose there is a need to educate the mass and provide the better opportunities so that people can earn handsome amount, through which they may have better health care.

scholarly journals From Their Perspective: The Connection between Life Stressors and Health Care Service Use Patterns of Homeless Frequent Users of the Emergency Department

2019 ◽  
Vol 44 (2) ◽  
pp. 113-122 ◽  
Author(s):  
Megan Moore ◽  
Kelsey M Conrick ◽  
Ashok Reddy ◽  
Ann Allen ◽  
Craig Jaffe
Keyword(s):  
Health Care ◽  
Emergency Department ◽  
Service Utilization ◽  
Health Care System ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
Frequent Users ◽  
Medical Needs ◽  
Care System

Abstract The perspective of homeless adults on their health care service utilization is not well studied. This article describes a study that used in-depth, semistructured interviews with 18 individuals to highlight the viewpoints of homeless people who are frequent users of the emergency department (ED) about the influence of life events on service utilization. Participants reported high levels of pain and comorbid psychiatric, substance use, and medical conditions. They also reported an identifiable pattern of health care utilization, often centered on a crisis event, influenced by high perceived medical needs, inability to cope after crisis, predisposing vulnerability from social determinants of health, and health care system factors. A social work case management intervention often led to a period of stability and use of ED alternatives. Modifiable targets for intervention at the health care system and local levels include improving trust and convenience of ED alternatives, enhancing consistency of care at ED-alternative sites, and educating those at risk of frequent ED use about community alternatives.

Prisoners’ experience and perceptions of health care in Australian prisons: a qualitative study

2020 ◽  
Vol 16 (3) ◽  
pp. 249-262
Author(s):  
Adam Capon ◽  
Lien McGowan ◽  
Julia Bowman
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Access To Health Care ◽  
Prison Population ◽  
Health Care Service ◽  
Personal Factors ◽  
Content Type ◽  
Core Category ◽  
Access To Health ◽  
Care System

Purpose Patient-centred care is a key approach used in Australia for the delivery of quality health care, and understanding experiences and perceptions is a key part to this. This paper aims to explore prisoners’ experiences and perceptions of health-care service provision in New South Wales, Australia. Design/methodology/approach In February and March 2017, 24 focus groups, consisting of 128 participants, were undertaken using semi-structured interviews that explored experiences of health care in prison. Findings A conceptualisation of the prisoners’ health-care experience around the core category of access to health care emerged from the data. Enablers or barriers to this access were driven by three categories: a prison construct – how the prisoners “see” the prison system influencing access to health care; a health-care system construct – how the prisoners “see” the prison health-care system and the pathways to navigate it; and personal factors. Communication was the category with the greatest number of relational connections. Research limitations/implications This study takes a pragmatic approach to the analysis of data, the findings forming the basis for a future quantitative study. The findings identify communication as a key issue for access to health care. Originality/value This study provides first-hand accounts of enablers and barriers to accessing health-care services in the prison environment. To the best of the authors’ knowledge, this study is the first of its kind to identify access to health care as a core category and is of value to health workers and researchers that work with the prison population.

scholarly journals Defining Health Service Eco-System “Infection”: A Critical Analysis of Patient Surveys

2018 ◽  
Vol 13 (9) ◽  
pp. 118 ◽  
Author(s):  
Maria V. Ciasullo ◽  
Orlando Troisi ◽  
Silvia Cosimato ◽  
Alex Douglas
Keyword(s):  
Health Care ◽  
Health Service ◽  
Literature Review ◽  
Health Care System ◽  
Care Service ◽  
Health Care Service ◽  
Assessment Tools ◽  
System Perspective ◽  
Patient Surveys ◽  
Care System

Purpose – This paper focuses on the analysis of the most common tools that health care organizations use to assess the quality of the delivered services, the patient surveys. In line with the results of a systematic literature review on the issue, the study embraces service ecosystem perspective to understand why these surveys are unable to grasp actors’ disposition to co-create value for the health care system. Methodology – An in-depth literature review based on PRISMA framework explored 34 works on the topic of patient surveys in order to trace the evolution of the relationship users/providers and to highlight the criticalities related to the adoption of patient surveys in service-oriented era. The study discusses critically their efficacy to understand how they can affect (positively or negatively) the viability of a health care service eco-system. Findings – The literature review highlights patient surveys inability in grasping the real perception that patients have of experienced services and in involving them in value co-creation, through their engagement in service design and delivery. Moreover, the results reveal the need to adopt Service Dominant (S-D) Logic and service eco-system perspective to reread the traditional tools to measure quality in healthcare. For this reason, the metaphor of health service eco-system “infection” is launched, depicting the negative influence of patient satisfaction surveys on value co-creation and the subsequent service eco-system viability. Practical implications – The study shows that assuming a service eco-system perspective based on S-D logic, health care system should boost and preserve value co-creation processes. Moreover, institutions should foster those “rules of the game” that institutionalize the contribution of health providers to value co-creation, defining specific strategies to avoid the “infections” of health care service eco-system, e.g. investing and promoting non-detrimental tools.Originality – This study represents one of the first attempts to reread the tools used to assess patient embracing a service eco-system perspective. Interesting implications have been presented in terms of the negative effect that traditional assessment tools have on providers, patients and the whole society.

scholarly journals Human Resource Audit-A Driver for Sustainability in the Health Care System. An Evidence from Romania

2021 ◽  
Author(s):  
Razvan Mihai Dobrescu ◽  
Corina Ionela Dumitrescu ◽  
Nicoleta Niculescu ◽  
Carmen Luiza Costuleanu
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Human Resource ◽  
Health Care System ◽  
Composite Index ◽  
Access To Health Services ◽  
Long Run ◽  
Access To Health ◽  
Sustainable Services ◽  
Care System

Abstract The paper aimed a complex audit of human resources effectiveness in the Romanian health care system. People inside the system and the whole Romanian society have realized the importance of providing sustainable services in order to improve the performance indicators in the long run, for the benefit of both employees and patients. As we acknowledge that in developing countries the lack of skilled human resource both in respect to quantity and quality is a major problem, the paper constructs an composite index of sustainability to audit the human resources in the health care system from the perspective of quantity and efficiency in order to improve the access to health services and to ameliorate the quality and safety of medical act. Within the paper, the authors perform an objective audit of human resources emphasizing that a sustainable medical system not only supports expenditures, but also improves quality in the long run. Besides, we consider that sustainable strategy for retaining medical staff, especially in deficient medical specializations, good collaboration between hospitals and higher education institutions regarding training and development of human resources in this field are important factors in achieving sustainability of the health care system.

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