Costs and New Technologies in Healthcare Delivery

Author(s):  
Marie-Christine Thaize Challier

Reducing medical costs is one of the major policy questions. A well understanding of this issue requires specific insight into some domains. The three main points which must be clarified relate to: (1) the nature of the costs (production costs and transaction costs), (2) the nature of new healthcare technologies (the biotechnology and biomedical engineering vs. the e-healthcare system, the face-to-face communications between the primary care physicians or other providers and the patients vs. the non face-to-face communications), and (3) the nature of information (which can be asymmetric, incomplete, or imperfect). This article studies what differences there are when considerations about informational issues and types of medicine are taken into account in the modern health economy characterized by the generation and the implementation of new healthcare technologies. To do this, this article first clarifies and presents some concepts in the framework of the health economy. Then, from these issues, it discusses the cost containment in the current case of the development and adoption of new technologies, and contrasts the opinions and perspectives.

Author(s):  
Juan de Lucas Osorio

This article aims to show how the pandemic situation has given rise to the digital exodus of activities that were originally designed to be carried out in person, organized by public bodies (town councils, county council and the Andalusian Ministry of Employment, Training and Autonomous Work) and non-governmental organizations (associations, foundations of Andalusia), raising the following questions: Are face-to-face activities transferred to the digital sphere without adapting? Are there triggers to encourage participation? Do you offer a solution in terms of technological tools or digital literacy to access the activity? To give answers to these questions, between April and September 2020 we have analyzed 233 activities, 91 activities of public organizations and 142 of social entities: training course, informative workshops, conferences, orientation, and presentation of resources. In these activities the main areas covered were: employment, social revitalization, new technologies, gender equality, health, entrepreneurship and resources for youth. With these questions, necessary and current, we obtain answers that lead to a lack of transformation of face-to-face activities towards the digital field, which does not take advantage of the benefits of digital tools; Institutions and organizations do not take into account the degree of knowledge of the public with respect to communication channels and that they require them to know how to use, without forgetting the economic circumstance and assuming that each person has the necessary software and hardware to be a connected citizen. In parallel, we have discovered that this acceleration of the digital transformation of face-to-face activities has found social entities devoid of knowledge and materials. On the one hand, it does not have the materials to carry out the subsidized programs, but the administration requires it to develop them, and on the other hand, it does not have the resources to offer citizens quality technological services, since its mission was based on in the face-to-face field, for which they demand training for their workers and collaborators, as well as computer equipment not only so that citizens can participate but also so that the organization itself can develop its relationship with the administrations.


Author(s):  
Aleksandra Tłuściak-Deliowska

This paper explores the possibilities created by modern technologies to prevent bullying and antisocial behaviors. The live of modern generations is inseparable from the mass media and advanced ICT. In this context, anti-social and pro-social behavior of young people was shown and defined. Then, a review was made how new technologies can be used in (cyber)bullying prevention and interventions strategies. Technology-based solutions were divided into two groups: (1) preventative solutions and therefore applicable before bullying occurs and (2) reactive solutions, which are aimed at helping victim, bystanders and others to deal with bullying. Some of presented activities are an extension of the activities already known in the field of peer violence prevention from the face to face context to the online environment. The examples of technology-based solutions presented in the text have a different degree of complexity. In some cases, they boil down to one simple operation, in another they mean long-term conduct. Based on the information presented in this article, the conclusion is that new technologies may be used in raising awareness about bullying phenomenon, for developing socio-emotional skills and some bullying preventative and reactive solutions. However, these strategies need to be combined with others in a way to build a thoughtful and comprehensive program, as well as more research is needed in this area to verify their real effects


BMJ Open ◽  
2021 ◽  
Vol 11 (7) ◽  
pp. e049148
Author(s):  
Hsien-Liang Huang ◽  
Chyi-Feng Jeff Jan ◽  
Brian Bih-Jeng Chang ◽  
Tai-Yuan Chiu

ObjectivesThe COVID-19 pandemic continues to advance worldwide with tremendous impact on public health, economy and society. Primary healthcare is crucial in every country during the pandemic for an integrated and coordinated healthcare delivery system; hence, it is of paramount importance to maintain a sufficient frontline workforce. This study aimed to identify factors influencing the willingness of primary care physicians to provide care during the COVID-19 pandemic.DesignCross sectional study.SettingNationwide surveyParticipantsPrimary care physicians working in the community in Taiwan were selected using a cluster sampling method based on practice region from May to June 2020.Outcome measuresThe willingness of primary care physicians to provide care during the COVID-19 pandemic.ResultsThis study surveyed 1000 primary care physicians nationwide, and 625 valid questionnaires were received and included in the final analysis, with an effective response rate of 62.5%. Factors significantly associated with physicians willingness to provide care during COVID-19 were ‘joining the Community Healthcare Group (CHCG)’ (p<0.001), ‘perceived more overall benefits for providing care’ (p<0.001) ‘perceived less overall barriers to providing care’ (p<0.001), ‘higher knowledge scores about COVID-19’ (p=0.049) and ‘physician’s major specialties’ (p=0.009) in the multivariate logistic regression model.ConclusionsBuilding a comprehensive primary care system such as Taiwan’s CHCG, training of more family physicians or general practitioners, and protecting and supporting primary care physicians were important in response to infectious disease pandemics. The findings of this study inform the development of guidelines to support and maintain the primary healthcare workforces during the COVID-19 pandemic and for future events.


2021 ◽  
Author(s):  
◽  
Shih Min Loo

<p>With the recent shift of emphasis to social learning and the proliferation of new technologies, collaborative writing and computer-mediated collaborative writing are gaining prominence in the second language learning context. Research has shown that collaborative writing leads to improved written outcomes as well as opportunities for language learning. However, few studies have investigated how learners collaborate and what the factors that foster effective collaboration are. These aspects of collaboration are especially important for longer-term tasks carried out in out-of-class contexts, where the instructor’s supervision is minimal. Similarly, research on the process of, and factors affecting, computer-mediated collaborative writing is still scarce.  Using a qualitative approach, this study closely examines the process of face-to-face and computer-mediated out-of-class collaboration to identify both the features present in different modes of collaboration and the factors that affect the learners’ collaboration. Over the course of a 14-week semester, in the context of an English for technical writing course, two groups of learners collaborated in the face-to-face mode while another two groups of learners collaborated in the computer-mediated mode to complete an out-of-class writing task. Data were collected from multiple sources, including for the face-to-face groups: the groups’ self-recorded meetings, their numerous drafts of the task, and multiple interviews with individual group members; for the computer-mediated groups: the groups’ detailed ‘revision history’ of Google Docs, the chat histories of their synchronous interactions’ applications, Google Hangout and WhatsApp, as well as individual interviews with the group members about their experiences.  The findings provide comprehensive insights into the intricate process of collaboration among the learners in both modes, specifically the interplay of different features and factors in shaping the collaboration of each group in each mode. In particular, although the groups in both modes of collaboration shared a number of common collaborative features, such as co-construction of task and peer assistance, a side-by-side examination revealed subtle but significant differences in the details and depth of the features of both modes. This leads to a clearer distillation of the affordances and constraints of each mode on out-of-class collaboration. The immediacy and physical presence of the face-to-face mode were found to encourage greater depth in discussion and peer support.  On the other hand, the computer-mediated mode promoted peer editing and cultivated a stronger sense of joint ownership among the learners. Further, the findings also show the varying influences of other factors, such as the learners’ attitudes, their proficiency, and the role played by each group member in influencing the collaboration process.  This study provides further understanding of the underexplored area of out-of-class collaboration, and the emerging area of computer-mediated collaborative writing. In addition, the findings of the study have many pedagogical implications for educators, especially in terms of preparation for learners, and consideration of other factors such as context and assessment, if they are looking to implement the collaboration approach beyond the confines of the classroom or in a computer-mediated mode.</p>


2021 ◽  
Author(s):  
◽  
Shih Min Loo

<p>With the recent shift of emphasis to social learning and the proliferation of new technologies, collaborative writing and computer-mediated collaborative writing are gaining prominence in the second language learning context. Research has shown that collaborative writing leads to improved written outcomes as well as opportunities for language learning. However, few studies have investigated how learners collaborate and what the factors that foster effective collaboration are. These aspects of collaboration are especially important for longer-term tasks carried out in out-of-class contexts, where the instructor’s supervision is minimal. Similarly, research on the process of, and factors affecting, computer-mediated collaborative writing is still scarce.  Using a qualitative approach, this study closely examines the process of face-to-face and computer-mediated out-of-class collaboration to identify both the features present in different modes of collaboration and the factors that affect the learners’ collaboration. Over the course of a 14-week semester, in the context of an English for technical writing course, two groups of learners collaborated in the face-to-face mode while another two groups of learners collaborated in the computer-mediated mode to complete an out-of-class writing task. Data were collected from multiple sources, including for the face-to-face groups: the groups’ self-recorded meetings, their numerous drafts of the task, and multiple interviews with individual group members; for the computer-mediated groups: the groups’ detailed ‘revision history’ of Google Docs, the chat histories of their synchronous interactions’ applications, Google Hangout and WhatsApp, as well as individual interviews with the group members about their experiences.  The findings provide comprehensive insights into the intricate process of collaboration among the learners in both modes, specifically the interplay of different features and factors in shaping the collaboration of each group in each mode. In particular, although the groups in both modes of collaboration shared a number of common collaborative features, such as co-construction of task and peer assistance, a side-by-side examination revealed subtle but significant differences in the details and depth of the features of both modes. This leads to a clearer distillation of the affordances and constraints of each mode on out-of-class collaboration. The immediacy and physical presence of the face-to-face mode were found to encourage greater depth in discussion and peer support.  On the other hand, the computer-mediated mode promoted peer editing and cultivated a stronger sense of joint ownership among the learners. Further, the findings also show the varying influences of other factors, such as the learners’ attitudes, their proficiency, and the role played by each group member in influencing the collaboration process.  This study provides further understanding of the underexplored area of out-of-class collaboration, and the emerging area of computer-mediated collaborative writing. In addition, the findings of the study have many pedagogical implications for educators, especially in terms of preparation for learners, and consideration of other factors such as context and assessment, if they are looking to implement the collaboration approach beyond the confines of the classroom or in a computer-mediated mode.</p>


2014 ◽  
Vol 23 (3) ◽  
pp. 132-139 ◽  
Author(s):  
Lauren Zubow ◽  
Richard Hurtig

Children with Rett Syndrome (RS) are reported to use multiple modalities to communicate although their intentionality is often questioned (Bartolotta, Zipp, Simpkins, & Glazewski, 2011; Hetzroni & Rubin, 2006; Sigafoos et al., 2000; Sigafoos, Woodyatt, Tuckeer, Roberts-Pennell, & Pittendreigh, 2000). This paper will present results of a study analyzing the unconventional vocalizations of a child with RS. The primary research question addresses the ability of familiar and unfamiliar listeners to interpret unconventional vocalizations as “yes” or “no” responses. This paper will also address the acoustic analysis and perceptual judgments of these vocalizations. Pre-recorded isolated vocalizations of “yes” and “no” were presented to 5 listeners (mother, father, 1 unfamiliar, and 2 familiar clinicians) and the listeners were asked to rate the vocalizations as either “yes” or “no.” The ratings were compared to the original identification made by the child's mother during the face-to-face interaction from which the samples were drawn. Findings of this study suggest, in this case, the child's vocalizations were intentional and could be interpreted by familiar and unfamiliar listeners as either “yes” or “no” without contextual or visual cues. The results suggest that communication partners should be trained to attend to eye-gaze and vocalizations to ensure the child's intended choice is accurately understood.


2014 ◽  
Vol 1 (3) ◽  
pp. 249
Author(s):  
Ramazan Aksoy ◽  
Canan Yıldıran

In this study, it is subjected to define what kind of export problems come up for the company exporting in Zonguldak. It is interviewed with 35 exporter companies recorded in Turkey Exporters Assembly and Chamber of Commerce and Industry. Prepared questionnaire form’s data are analyzed with SPSS 15 statistical program as the results of the activity which is performed through face to face meetings with company’s executives. As the result of the analysis, it is defined that exporter companies face big problems in production costs as for carrying, storing and distribution and international competition conditions. As the result of the activities, we see that there is a relevance regarding whether there is an exporter department in the companies and regarding being a proactive and reactive exporter.


2013 ◽  
Vol 14 (3) ◽  
pp. 115-133
Author(s):  
조현 ◽  
Jaeshin Park ◽  
ki-jin jang

2008 ◽  
Vol 11 (4) ◽  
Author(s):  
Katrina A. Meyer

Thirteen students in a graduate-level course on Historical and Policy Perspectives in Higher Education held face-to-face and online discussions on five controversial topics: Diversity, Academic Freedom, Political Tolerance, Affirmative Action, and Gender. Students read materials on each topic and generated questions for discussion that were categorized by Bloom’s taxonomy so that the level of questions in the two discussion settings would be closely parallel. Upon completion of each discussion, they answered questions that addressed depth and length of the discussion, ability to remember, and a self-assessment of how the student learned. Students’ assessments show a consistent preference for the face-to-face discussion but a small number of students preferred the online setting. However, what is perhaps more interesting is a minority of approximately one-third of the students who perceived no difference between the settings, or that the two settings were perhaps complementary.


Trictrac ◽  
2018 ◽  
Vol 10 ◽  
Author(s):  
Petru Adrian Danciu

Starting from the cry of the seraphim in Isaiahʹ s prophecy, this article aims to follow the rhythm of the sacred harmony, transcending the symbols of the angelic world and of the divine names, to get to the face to face meeting between man and God, just as the seraphim, reflecting their existence, stand face to face. The finality of the sacred harmony is that, during the search for God inside the human being, He reveals Himself, which is the reason for the affirmation of “I Am that I Am.” Through its hypnotic cyclicality, the profane temporality has its own musicality. Its purpose is to incubate the unsuspected potencies of the beings “caught” in the material world. Due to the fact that it belongs to the aeonic time, the divine music will exceed in harmony the mechanical musicality of profane time, dilating and temporarily cancelling it. Isaiah is witness to such revelation offering access to the heavenly concert. He is witness to divine harmonies produced by two divine singers, whose musical history is presented in our article. The seraphim accompanied the chosen people after their exodus from Egypt. The cultic use of the trumpet is related to the characteristics and behaviour of the seraphim. The seraphic music does not belong to the Creator, but its lyrics speak about the presence of the Creator in two realities, a spiritual and a material one. Only the transcendence of the divine names that are sung/cried affirms a unique reality: God. The chant-cry is a divine invocation with a double aim. On the one hand, the angels and the people affirm God’s presence and call His name and, on the other, the Creator affirms His presence through the angels or in man, the one who is His image and His likeness. The divine music does not only create, it is also a means of communion, implementing the relation of man to God and, thus, God’s connection with man. It is a relation in which both filiation and paternity disappear inside the harmony of the mutual recognition produced by music, a reality much older than Adam’s language.


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