Patient Monitoring in Diverse Environments

2010 ◽  
pp. 129-142 ◽  
Author(s):  
Yousef Jasemian
Keyword(s):  
Heart Failure ◽  
Chronic Pain ◽  
Health System ◽  
Mobile Health ◽  
Health Care Services ◽  
Real Life ◽  
Vital Signs ◽  
Care Services ◽  
Research Activities ◽  
Chronic Disorders

Recording of physiological vital signs in patients’ real-life environment could be especially useful in management of chronic disorders; for example for heart failure, hypertension, diabetes, anorexia nervosa, chronic pain, or severe obesity. Thus, monitoring patients in diverse environments, by a mobile health system, is one of the major benefits of this approach, however at the same time the demands and challenges for improving safety, security and integrity increase. Top priorities for patients under recovery of health and elderly under care are the feeling of being cared securely and safely in there home and its surroundings. Solving these issues will elevate users’ compliance and trust to mobile health services. Most research activities have been focused on achieving common platform for medical records, monitoring health status of the patients in a real-time manner, improving the concept of online diagnosis, developing or enhancing telemedicine solutions, which deals with remote delivery of health care services applying telecommunications, etc.This chapter intends to explore the issues and limitations concerning application of mobile health system in diverse environments, trying to emphasize the advantages and drawbacks, data security and integrity suggesting approaches for enhancements. These issues will be explored in successive subsections by introducing two studies which were undertaken by the author.

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

The Management of Idiopathic Chronic Pain: A Holistic Approach

1981 ◽  
Vol 26 (6) ◽  
pp. 429-431
Author(s):  
H. Brent Richard ◽  
Gerald H. Flamm
Keyword(s):  
Health Care ◽  
Chronic Pain ◽  
Psychosomatic Medicine ◽  
Health Care Services ◽  
Holistic Approach ◽  
Secondary Gain ◽  
Biopsychosocial Approach ◽  
Care Services ◽  
Recent Developments ◽  
Symptom Formation

The evaluation and treatment of the patient with idiopathic chronic pain traditionally has involved a sequence of studies first by the internist, then the neurologist, and finally the psychiatrist. This has resulted in an overutilization of costly health care services and may paradoxically have helped to promote symptom chronicity. In keeping with recent developments in the field of psychosomatic medicine, a coordinated biopsychosocial approach is advocated with the identification and amelioration of the multiple determinants of symptom formation in each of these interrelated sub-systems. A case is presented in which the application of this holistic approach appeared to help curtail the overuse of health care services and at the same time helped to diminish psychosocial reinforcers in the form of secondary gain.

scholarly journals Effects of results based financing models on the performance of exposed health zones in Benin

2018 ◽  
Vol 5 (10) ◽  
pp. 4188
Author(s):  
Lamidhi Salami ◽  
Edgard-Marius Ouendo ◽  
Benjamin Fayomi
Keyword(s):  
Health Services ◽  
Health System ◽  
System Performance ◽  
Health Care Services ◽  
Child Health Services ◽  
Double Difference ◽  
Health System Performance ◽  
Care Services ◽  
Curative Care ◽  
Results Based Financing

Background: Since 2011, Benin adhered to results-based financing (RBF), with the implementation of RBF_PRPSS model by Health System Performance Strengthening Project (PRPSS) and RBF_PASS model by health system support project (PASS). Notwithstanding the lack of evidence on this experimental phase, the Ministry of Health initiated the extension of the RBF_PRPSS model to uncovered areas. This comparative study was led to evaluate the health system performance in RBF zones.Methods: The study examined data from sixty-seven health facilities in six health zones offering maternal and child health services, using the double difference, the Student's test and the variance comparison, with 5% significance level.Results: The study found that between 2011 and 2014, staff numbers remained stable in the RBF strata (p>0.05). The cumulative duration over a six-month period of stock-outs of five key drugs (paracetamol, amoxicillin, oxytocin, iron, sulfadoxine pyrimetamine) decreased from 51 days to 29 days (p<0.05). Direct revenues per health facility increased more in the RBF strata (p<0.05). Financial viability increased in RBF_PRPSS stratum. Health services utilization improved significantly for institutional delivery, tetanus toxoid immunization, DTP (Hib) HepB 3 and MCV immunization and curative care. Decreasing of maternal and neonatal mortalities in RBF strata were not significant.Conclusions: In sum, the RBF implementation has not yet generated a significant effect on the overall performance of the health system in exposed areas, although it is already accompanied by a significant improvement in the utilization of certain health care services. 

scholarly journals In defense of undeservedly accused and offended medical doctors: “Medical Doctor’s Rights”, а 3rd edition review

2020 ◽  
Vol 14 (3) ◽  
pp. 395-399
Author(s):  
A. S. Shkoda ◽  
D. V. Blinov ◽  
A. D. Makatsariya
Keyword(s):  
Health Care Services ◽  
Real Life ◽  
Law Enforcement Officers ◽  
Careful Examination ◽  
Medical Doctors ◽  
Wide Audience ◽  
Care Services ◽  
Book Medical ◽  
Public Debates ◽  
Mean Time

Currently, a number of court hearings regarding potential crimes in delivering health-care services have been exponentially increased. Some of them receive publicity and launch public debates, but many more of those stay beyond the information field. A number of medical doctors are targeted in the investigation as defendants and sentence to actual jail time. Numerous medical workers envisioning a threat to their professional carrier, and even freedom, may now avoid of risky manipulations and interventions, which may eventually negatively affect patient’s prognosis. In such situation, increasing awareness about rights of medical workers acquires special relevance. In the mean time, professional publications dedicated to this topic are sharply demanded that might be useful and written in plain Russian. Among them, it may be highlighted a book “Medical Doctor’s Rights”, by A.A. Ponkina and I.V. Ponkin thoroughly elucidating professional rights and providing tools necessary for their defense. Although we believe that it’s scarcely describes causes, real-life cases it is excusable for this otherwise brilliant book. We recommend it for careful examination both for law enforcement officers involved in such lawsuits and a wide audience of healthcare workers as well as medical students.

scholarly journals Health mediator model as a way to access to care and health information for Syrian refugees in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Kayi ◽  
Z Şimşek2 ◽  
G Yıldırımkaya
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Access ◽  
Syrian Refugees ◽  
Care Services ◽  
Access To Health ◽  
The City

Abstract The number of Syrian refugees residing in Turkey has increased over 200 times since 2012 reaching to 3,621,330 (April 2019). Turkey has granted temporary protection status, including access healthcare in the city of registration. Ministry of Health provides on-site health service in temporary shelters, however more than 90% of the Syrian refugees choose to stay in community settings, which along with language barriers limits their ability to access health care and information. With UNFPA we have designed a health mediator model to improve access to health care and awareness on priority concerns such as mental health, reproductive health, child health, health system in Turkey and legal status provided to Syrian refugees. This study is a participatory operational research to test the health mediator model. Operationalization took place in 3 phases: (1) selection and training of Syrian health mediators and provincial coordinators; (2) household visits and data collection; (3) evaluation and supervision. So far, we have trained 174 health mediators from 24 different Turkish cities. Training took 5 days with up to 30 participants each. UNFPA collaborated with NGOs that work with Syrian refugees for coordination purposes. Health mediators made household visits to reach out to Syrian families, gave health education and where necessary support for access to health care services, and conducted a needs assessment. Data collected has been the subject to weekly supervision meetings by local NGOs, health mediators and coordinators to set priorities for the upcoming week. Health mediator model was effective in reaching out to hard-to-reach groups among Syrian refugees, increased health system and legal awareness, contribute to improved healthcare access and prevention of negative health outcomes such as teenage marriages and pregnancies. Inclusion of refugees in decision-making and guidance during the implementation of the project was key for project success.

Assessing Low-Value Health Care Services In The Military Health System

2019 ◽  
Vol 38 (8) ◽  
pp. 1351-1357 ◽  
Author(s):  
Tracey Pérez Koehlmoos ◽  
Cathaleen King Madsen ◽  
Amanda Banaag ◽  
Adil H. Haider ◽  
Andrew J. Schoenfeld ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Military Health System ◽  
Military Health ◽  
Care Services ◽  
The Military

Exploring Business Models: A Case Study of the Commercialization of a Mobile Health Unit

2015 ◽  
Vol 4 (2) ◽  
pp. 159-168
Author(s):  
Päivi Eriksson ◽  
Juha Vilhunen ◽  
Kalevi Voutilainen
Keyword(s):  
Mobile Health ◽  
Dental Care ◽  
Health Care Services ◽  
Business Models ◽  
Mobile Health Care ◽  
Care Services ◽  
New Ideas ◽  
Mobile Health Unit ◽  
And Training

The case study examines how commercial value for new ideas is created through business model design. More specifically, the study is concerned with the commercialization process of a ‘dental care on wheels’ prototype called Suupirssi, which was originally manufactured for teaching and training purposes. It was later considered that mobile dental care services, and perhaps other types of mobile health care services, could have a wider business potential in both domestic and global markets. The case study elaborates on the process of designing and testing multiple business models that could be used either separately or simultaneously.

Gender Differences in Psychosocial Adjustment to Chronic Pain and Expenditures for Health Care Services Used

1996 ◽  
Vol 12 (4) ◽  
pp. 277-290 ◽  
Author(s):  
Robin Weir ◽  
Gina Browne ◽  
Eldon Tunks ◽  
Amiram Gafni ◽  
Jackie Roberts
Keyword(s):  
Health Care ◽  
Gender Differences ◽  
Chronic Pain ◽  
Psychosocial Adjustment ◽  
Health Care Services ◽  
Care Services
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