The Study of Public Reporting in Healthcare

2016 ◽  
pp. 115-136 ◽  
Author(s):  
Ubaldo Comite
Keyword(s):  
Quality Of Care ◽  
Healthcare Services ◽  
Considerable Change ◽  
Public Reporting ◽  
Healthcare Sector ◽  
The Public ◽  
Reporting Systems ◽  
Comparative Information ◽  
The Way

Public reporting, intended as the public disclosure of information on healthcare performance, is linked to the improvement of the quality of care through the incentives of selection and change, which are in turn determined by the availability of comparative information that is used by those outside the system (citizens) and those from within (organizations and professionals). In the last few decades, the healthcare sector, have undergone considerable change. This change is inevitably destined to modify the way in which citizens turn to healthcare services, and the way in which hospitals are called upon to be transparent and accountable in how they provide services. It is within this context that public reporting became widespread, as a strategy geared towards promoting informed choices to consumers and stimulating the improvement of quality of care. The aim of this paper is to highlight how public reporting systems have the potential to not only support healthcare users in making informed choices, but to also foster healthcare structures in the improvement of their services.

A Managerial Approach in the Study of Public Reporting in Healthcare

2016 ◽  
pp. 323-338
Author(s):  
Ubaldo Comite
Keyword(s):  
Quality Of Care ◽  
Healthcare Services ◽  
Considerable Change ◽  
Public Reporting ◽  
Healthcare Sector ◽  
The Public ◽  
Reporting Systems ◽  
Comparative Information ◽  
The Way

Public reporting, intended as the public disclosure of information on healthcare performance, is linked to the improvement of the quality of care through the incentives of selection and change, which are in turn determined by the availability of comparative information that is used by those outside the system (citizens) and those from within (organizations and professionals). In the last few decades, the healthcare sector, have undergone considerable change. This change is inevitably destined to modify the way in which citizens turn to healthcare services, and the way in which hospitals are called upon to be transparent and accountable in how they provide services. It is within this context that public reporting became widespread, as a strategy geared towards promoting informed choices to consumers and stimulating the improvement of quality of care. The aim of this paper is to highlight how public reporting systems have the potential to not only support healthcare users in making informed choices, but to also foster healthcare structures in the improvement of their services.

scholarly journals Overpriced? Are Hospital Prices Associated with the Quality of Care?

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 135
Author(s):  
Brad Beauvais ◽  
Glen Gilson ◽  
Steve Schwab ◽  
Brittany Jaccaud ◽  
Taylor Pearce ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Clinical Care ◽  
Healthcare Services ◽  
Cost Ratio ◽  
Performance Score ◽  
Significant Positive Association ◽  
The Public ◽  
Total Performance

In most consumer markets, higher prices generally imply increased quality. For example, in the automobile, restaurant, hospitality, and airline industries, higher pricing generally conveys a signal of complexity and superiority of a service or product. However, in the healthcare industry, there is room to challenge the price-quality connection as both health prices and health quality can be difficult to interpret. In the best of circumstances, health care costs, prices, and quality can often be difficult to isolate and measure. Recent efforts by the Trump Administration and the Center for Medicare and Medicaid Services (CMS) have required the pricing of hospital services to be more transparent. Specifically, hospital chargemaster (retail) prices must now be available to the public. However, many continue to question if the pricing of health care services reflects the quality of service delivery. This research focuses on investigating the prices hospitals charge for their services in relation to the costs incurred and the association with the quality of care provided. By analyzing data from a nationwide sample of U.S. hospitals, this study considers the relationship between hospital pricing (as measured by the charge-to-cost ratio) and hospital quality performance as measured by the Value Based Purchasing Total Performance Score (TPS) and its associated sub-domains. Results of the study indicate that hospital prices, as measured by our primary independent variable of interest, the charge-to-cost ratio, are significantly and negatively associated with Total Performance Score, Patient Experience, and the Efficiency and Cost Reduction domains. A marginal statistically significant positive association is shown in the Clinical Care domain. The findings indicate that unlike most other industries, in medicine, higher pricing compared to cost does not necessarily associate with higher quality and, in fact, might indicate the opposite. The results of this study suggest that purchasers of healthcare, at all levels, have justification in challenging the pricing of healthcare services considering the quality scores available in the public domain.

scholarly journals The Effect of Public Reporting of Acute Myocardial Infarction on the Choice of Hospital

2021 ◽  
Author(s):  
Kyunghee Chae ◽  
Mira Kim ◽  
Chai-Young Jung ◽  
Sangmin Lee ◽  
Hude Quan ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Quality Of Care ◽  
Public Reporting ◽  
The Public ◽  
Occupation Group ◽  
Before And After ◽  
Health Related ◽  
Related Occupation

Abstract BackgroundPublic reporting of the quality of care delivered in hospitals is thought to improve patients’ choice and quality of care. When information about hospital rating is available, consumers may choose good-rated hospitals. To investigate the effect of public reporting of acute myocardial infarction (AMI) care on the people’s choice of hospitals. MethodsWe conducted a cross-sectional study using an online questionnaire. The survey questions include the awareness and usage of public reporting, and the impact of the public reporting on the choice of hospitals. The difference in responses before and after acquiring information about public reporting was compared using Wilcoxon Signed Rank test.ResultsThe final survey data set includes 740 respondents after a rigorous validity check (response rate: 66.7%). Before providing information about public reporting of AMI care, 62.8% of respondents selected ‘nearby hospitals’ as the best option for AMI patients, followed by ‘famous hospitals’ (14.4%), ‘usual hospitals’ (10.5%) and ‘hospitals with good rates’ (9.9%). However, after acquiring information about the public reporting of AMI care, 10.3% of respondents changed their original responses to ‘hospitals with good rates’. Among the factors of hospital choice that differ before and after obtaining public reporting information, 'nearby hospitals' and 'hospitals with good rates' increased, while 'usual hospitals’ and 'famous hospitals' decreased. Compared to the health-related occupation group, the non-health related occupation group showed a significant difference between 'famous hospitals', and 'hospitals with good rates' before and after obtaining information (Famous hospitals p=0.003, Hospitals with good rates p=0.002).ConclusionsThe publicly available hospital quality ratings influence people’s choice of hospital, increasing the risk of selecting a hospital with a good rating than the nearest hospital, which is recommended for AMI patients. Policy-makers need to stress the importance of choosing the nearest hospital when AMI symptoms occur, in addition to hospital ratings, in the public reporting.

Corrupt Practices in the Public Health Sector: A Focus on Metropolitan Local Government Areas of Kano State, Nigeria

2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi
Keyword(s):  
Public Health ◽  
Local Government ◽  
Health Sector ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Healthcare Provision ◽  
The Public ◽  
Public Health Sector ◽  
The Government

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.

scholarly journals Survei IoT Healthcare Device

2020 ◽  
Vol 3 (2) ◽  
pp. 153-164
Author(s):  
Yulia Suryandari
Keyword(s):  
Health Sector ◽  
Healthcare Services ◽  
Value Of Life ◽  
Healthcare Sector ◽  
Health Care Technology ◽  
Iot Devices ◽  
Care Technology ◽  
Industry Trends ◽  
The Internet Of Things

The Internet of Things (IoT) has enormous potential in creating the value of life related to technology. IoT has various application domains, including in the health sector. IoT-based healthcare services are expected to reduce costs, improve quality of life, and enrich user experience. The presence of IoT devices for healthcare services can also avoid unnecessary hospitalization and ensure that patients who need health services get it quickly. This paper surveys advances in IoT-based health care technology and reviews the latest architectures / platforms, platforms, applications and industry trends in IoT-based healthcare solutions. Some IoT devices and prototypes in the healthcare field are also discussed in this paper. Through this paper, it is expected that readers can be known and discuss IoT devices in the healthcare sector.

scholarly journals Marginal cost of contextualizing stigma of zoonotic diseases

2021 ◽  
Author(s):  
Zhiwen Hu ◽  
Zhangqiu Huang
Keyword(s):  
Marginal Cost ◽  
Proper Names ◽  
Zoonotic Diseases ◽  
The Public ◽  
Wrong Side ◽  
The Cost ◽  
Leading Journals ◽  
The Way

In the scientific sphere, understanding the way naming rules strengthen the integrity and quality of naming zoonotic diseases and viruses remains nominal rather than substantial. Arguably, the looming worry is that the public is susceptible to the stigmatized proper names like German measles in the leading journals. Our survey indicates that some stigmatizing names have always come at the cost of unintentional sociocultural impacts, despite their seemingly harmless origins. This study first unveils that terminological evolution of German measles is on the wrong side of history.

Accuracy of commercial reporting systems to monitor quality of care in burns

Burns ◽  
2014 ◽  
Vol 40 (2) ◽  
pp. 251-256 ◽  
Author(s):  
Amer Hussain ◽  
Ken W. Dunn
Keyword(s):  
Quality Of Care ◽  
Reporting Systems

scholarly journals Quality of Service as a Predictor of Customer Satisfaction in Healthcare Sector

2020 ◽  
Vol 16 (1) ◽  
pp. 71-87
Author(s):  
Muzna Ashfaq ◽  
Keyword(s):  
Quality Of Service ◽  
Customer Satisfaction ◽  
Pearson Correlation ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Quality Healthcare ◽  
Effective Strategies ◽  
Regression Techniques

This study examines role of quality of service as a predictor of customer satisfaction in private hospitals. Using a sample of customers of selected private hospitals in Karachi, this study used reliability statistics, Pearson correlation analysis, and OLS regression techniques to analyse the data. The results show that private hospitals are trying to deliver healthcare service that is at par with the expected standards set by their customers. The findings of this study will help management of these hospitals to develop and implement appropriate and effective strategies that would be helpful in delivering quality healthcare services to the patients.

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

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