Primary Care through a Public-Private Partnership

2011 ◽  
pp. 127-153
Author(s):  
Sofi Bergkvist ◽  
Hanna Pernefeldt
Keyword(s):  
Primary Care ◽  
State Government ◽  
Health Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Public Private Partnership ◽  
Private Partnership ◽  
Clinical Procedures ◽  
Contextual Framework

The primary care delivery model developed by the Health Management and Research Institute (HMRI) in India, integrates innovative technical solutions and process-oriented operations for the provision of healthcare services, while supporting the public health system. Through a public-private partnership with the state government of Andhra Pradesh, HMRI has a unique base to pilot large scale health interventions. The HMRI Model includes components such as a medical helpline, rural outreach health services, a disease surveillance program, a blood bank application, and telemedicine projects. Both clinical and non-clinical procedures are strengthened by technology that enables research, tailored and evidence-based interventions, as well as improves efficiency and quality of healthcare delivery. Health management and decision-making is assisted by the organization’s large database of electronic medical records. Challenges to implementation include implications of large government contracts, funding issues, as well as technical constraints and human resources issues. This chapter describes the Model’s various components and its contextual framework with enabling and constraining factors. HMRI has developed a unique system for preventive and primary care that can serve as a model for low, middle, and high income countries, though external evaluations are critically needed for further assessment of best practices.

Primary Care through a Public-Private Partnership

2011 ◽  
pp. 1438-1460
Author(s):  
Sofi Bergkvist ◽  
Hanna Pernefeldt
Keyword(s):  
Primary Care ◽  
State Government ◽  
Health Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Public Private Partnership ◽  
Private Partnership ◽  
Clinical Procedures ◽  
Contextual Framework

The primary care delivery model developed by the Health Management and Research Institute (HMRI) in India, integrates innovative technical solutions and process-oriented operations for the provision of healthcare services, while supporting the public health system. Through a public-private partnership with the state government of Andhra Pradesh, HMRI has a unique base to pilot large scale health interventions. The HMRI Model includes components such as a medical helpline, rural outreach health services, a disease surveillance program, a blood bank application, and telemedicine projects. Both clinical and non-clinical procedures are strengthened by technology that enables research, tailored and evidence-based interventions, as well as improves efficiency and quality of healthcare delivery. Health management and decision-making is assisted by the organization’s large database of electronic medical records. Challenges to implementation include implications of large government contracts, funding issues, as well as technical constraints and human resources issues. This chapter describes the Model’s various components and its contextual framework with enabling and constraining factors. HMRI has developed a unique system for preventive and primary care that can serve as a model for low, middle, and high income countries, though external evaluations are critically needed for further assessment of best practices.

CAPACITY AND CONFIDENCE IN PERFORMING CLINICAL PROCEDURES AMONG PRIMARY CARE TEAMS IN THE CENTRAL REGION OF VIETNAM

2017 ◽  
pp. 77-83
Author(s):  
Duc Toan Vo ◽  
Minh Tam Nguyen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Care Team ◽  
Primary Care Team ◽  
Health Staff ◽  
Ministry Of Health ◽  
Clinical Procedures ◽  
The Government

Background and Aim: To develop primary care services is one of the top priorities of the health sector in Vietnam. In recent years, the Government and the Ministry of Health have made great efforts to strengthen and improve the quality of healthcare services at the grassroof level. However, several studies showed that the needs for healthcare remained unmet at primary care level. This study aimed to examine the gaps in competency and confidence of the primary care team in delivery of clinical procedures. Methods: A crosssectional descriptive study was conducted in 49 commune health centers (CHCs) of 3 provinces. The health care teams reported their ability and confidence to perform the list of clinical procedures based on the regulation on clinical procedures performed at the CHC issued by the Ministry of Health. Results: The average number of procedures performed by the CHCs was 46,4/109 procedures. There were 65.3% of CHCs performed less than 50% of assigned techniques, and only 28.6% CHCs performed 50-80% of assigned techniques. The confidence of CHC teams was high in performing procedures of Resuscitation, Internal Medicine, Pediatrics and OBGYN. Conclusion: There is a substantial gap in the capability to perform clinical procedures among CHC team. The confidence in performing essential procedural skills varied among procedures, depending on clinical experience and the types of procedure. Our results show a strong call to develop training programs that fit to the competency standards of primary care team in order to enhance the capacity and confidence of health staff in healthcare delivery at grassroots level. Key words: Health care, Thua Thien Hue, Quang Tri

Implementation of Electronic Health Record (EHR) System in the Healthcare Industry

2016 ◽  
pp. 1001-1016
Author(s):  
Robert P Schumaker ◽  
Kavya P. Reganti
Keyword(s):  
Electronic Health Record ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Health Record ◽  
Healthcare Industry ◽  
Efficient Delivery ◽  
Electronic Health

The purpose of this research is to demonstrate the efficiency of the Electronic Health Record (EHR) software that is adopted in the healthcare industry to provide better patient care. The authors examine the impact of EHRs on the efficient delivery of healthcare services. More specifically, they detail the origin of EHR, its significance in modern healthcare delivery along with the selection and implementation criteria for EHR software. They present a survey on the extent of adoption of EHR by clinicians. They also highlight the challenges and barriers faced by organizations in adopting EHR software such as cost, workflow impact and data security. Finally, the authors contemplate the future of EHR, its role in the implementation of health information exchange and its implementation in the cloud. They conclude that the implementation of EHR in the cloud is an important step towards better health management across the population with the end-goal of better health outcomes.

Systematic review of barriers and enablers to the delivery of palliative care by primary care practitioners

2019 ◽  
Vol 33 (9) ◽  
pp. 1131-1145 ◽  
Author(s):  
Mariko L Carey ◽  
Alison C Zucca ◽  
Megan AG Freund ◽  
Jamie Bryant ◽  
Anne Herrmann ◽  
...  
Keyword(s):  
Systematic Review ◽  
Primary Care ◽  
Palliative Care ◽  
Care Delivery ◽  
Primary Care Providers ◽  
Healthcare Services ◽  
Care Providers ◽  
Eligibility Criteria ◽  
Barriers And Enablers ◽  
Primary Care Practitioners

Background: There is increasing demand for primary care practitioners to play a key role in palliative care delivery. Given this, it is important to understand their perceptions of the barriers and enablers to optimal palliative care, and how commonly these are experienced. Aim: To explore the type and prevalence of barriers and enablers to palliative care provision reported by primary care practitioners. Design: A systematic review of quantitative data-based articles was conducted. Data sources: Medline, Embase and PsychINFO databases were searched for articles published between January 2007 and March 2019. Data synthesis: Abstracts were assessed against the eligibility criteria by one reviewer and a random sample of 80 articles were blind coded by a second author. Data were extracted from eligible full-texts by one author and checked by a second. Given the heterogeneity in the included studies’ methods and outcomes, a narrative synthesis was undertaken. Results: Twenty-one studies met the inclusion criteria. The most common barriers related to bureaucratic procedures, communication between healthcare professionals, primary care practitioners’ personal commitments, and their skills or confidence. The most common enablers related to education, nurses and trained respite staff to assist with care delivery, better communication between professionals, and templates to facilitate referral to out-of-hours services. Conclusion: A holistic approach addressing the range of barriers reported in this review is needed to support primary care providers to deliver palliative care. This includes better training and addressing barriers related to the interface between healthcare services.

Implementation of Electronic Health Record (EHR) System in the Healthcare Industry

2014 ◽  
Vol 2 (2) ◽  
pp. 57-71 ◽  
Author(s):  
Robert P Schumaker ◽  
Kavya P. Reganti
Keyword(s):  
Electronic Health Record ◽  
Information Exchange ◽  
Health Information Exchange ◽  
Health Management ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Health Record ◽  
Healthcare Industry ◽  
Electronic Health ◽  
The Impact

The purpose of this research is to demonstrate the efficiency of the Electronic Health Record (EHR) software that is adopted in the healthcare industry to provide better patient care. The authors examine the impact of EHRs on the efficient delivery of healthcare services. More specifically, they detail the origin of EHR, its significance in modern healthcare delivery along with the selection and implementation criteria for EHR software. They present a survey on the extent of adoption of EHR by clinicians. They also highlight the challenges and barriers faced by organizations in adopting EHR software such as cost, workflow impact and data security. Finally, the authors contemplate the future of EHR, its role in the implementation of health information exchange and its implementation in the cloud. They conclude that the implementation of EHR in the cloud is an important step towards better health management across the population with the end-goal of better health outcomes.

Collaborative Environments for the Health Monitoring of Chronically Ill Children

2011 ◽  
pp. 246-254 ◽  
Author(s):  
G. Caniatsas ◽  
K. Starida ◽  
Dimitrios I. Fotiadis
Keyword(s):  
Home Care ◽  
Information Technologies ◽  
Medical Information ◽  
Health Management ◽  
Healthcare Delivery ◽  
Information Provision ◽  
Healthcare Services ◽  
Management Tools ◽  
Asynchronous Collaboration ◽  
Care Systems

A revolution is taking place in the healthcare field with information technology (IT) playing an increasingly important role in its delivery. Healthcare providers are exploring IT opportunities in reducing the overall costs of healthcare delivery while improving the quality of its provision to citizens. Healthcare services have accumulated great benefits from the application of information technologies, telecommunications and management tools. Internet, wireless, and handheld technologies have the capability to affect healthcare by improving quality, efficiency, and cost-effectiveness of work. Healthcare information systems include a wide range of applications ranging from diagnostic tools to health management applications and from inpatient to outpatient monitoring services. Home-care systems address patients and their families and provide the means to manage their health status related to a specific health problem. Home-care systems include a wide variety of offered services such as: (a) directory services (hospital location, doctor specialties), (b) computer patient records (CPR) along with interfaces for interoperability, (c) certified medical information provision, (d) interfacing to specialized medical monitoring devices, and (e) synchronous and asynchronous collaboration services. All these services are offered, most of the time, through secure and seamless networks.

A Context-Aware Authorization Model for Process-Oriented Personal Health Record Systems

2011 ◽  
pp. 46-65
Author(s):  
Eleni Mytilinaiou ◽  
Vassiliki Koufi ◽  
Flora Matamateniou ◽  
George Vassilacopoulos
Keyword(s):  
Care Delivery ◽  
Personal Health Record ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Information Support ◽  
Personal Health ◽  
Health Record ◽  
Healthcare Organizations ◽  
Process Oriented

Healthcare delivery is a highly complex process involving a broad range of healthcare services, typically performed by a number of geographically distributed and organizationally disparate healthcare providers requiring increased collaboration and coordination of their activities in order to provide shared and integrated care. Under an IT-enabled, patient-centric model, health systems can integrate care delivery across the continuum of services, from prevention to follow-up, and also coordinate care across all settings. In particular, much potential can be realized if cooperation among disparate healthcare organizations is expressed in terms of cross-organizational healthcare processes, where information support is provided by means of Personal Health Record (PHR) systems. This chapter assumes a process-oriented PHR system and presents a security framework that addresses the authorization and access control issues arisen in these systems. The proposed framework ensures provision of tight, just-in-time permissions so that authorized users get access to specific objects according to the current context. These permissions are subject to continuous adjustments triggered by the changing context. Thus, the risk of compromising information integrity during task executions is reduced.

A Multi-Tiered Perspective on Healthcare Interoperability

2013 ◽  
pp. 1-18 ◽  
Author(s):  
Craig Kuziemsky
Keyword(s):  
Collaborative Care ◽  
Clinical Management ◽  
Care Delivery ◽  
Healthcare Delivery ◽  
Systems Design ◽  
Healthcare Services ◽  
Integrative Care ◽  
Multiple Perspectives ◽  
Integrated Healthcare

The current healthcare delivery paradigm is defined by integrative care delivery across disparate providers and services. Therefore the ability to deliver efficient and effective healthcare services is dependent on designing and implementing interoperable systems. However, the notion of interoperability is multifaceted and complex. Although the exchange of data is often described as analogous with interoperability it must be remembered that healthcare is a process oriented domain and clinical, management, organizational and other processes must be considered as part of interoperability. This chapter discusses healthcare delivery and the role interoperability plays in supporting its delivery. First, the chapter provides a background on healthcare interoperability from multiple perspectives. Then it presents a case study of collaborative care delivery and uses it to outline specific interoperability requirements. The chapter then uses these requirements to develop a multi-tiered framework of healthcare interoperability, concluding with a discussion of the implications of the framework for interoperability research and for systems design to support integrated healthcare delivery.

Public-Private Partnership for Healthcare in China

2022 ◽  
pp. 328-348
Author(s):  
Poshan Yu ◽  
Yifei Xu
Keyword(s):  
Performance Evaluation ◽  
Healthcare Delivery ◽  
Public Private Partnership ◽  
Regional Government ◽  
Private Partnership ◽  
The Sustainable Development ◽  
Budgetary Control ◽  
Health Project ◽  
Important Means ◽  
And Performance

In order to ensure the sustainable development of public private partnership (PPP) model and make the PPP health project ultimately meet the public expectation, the budgetary control and performance evaluation for PPP project is an important research topic. Budgetary control and performance evaluation is not only an important basis for project performance improvement, but also an important means for public departments to monitor and manage PPP health projects. This chapter aims to examine the effectiveness of PPP projects on the healthcare service provision in China. By analyzing the regional government finance and performances, this chapter attempts to elaborate the current dynamic of Chinese healthcare resources allocation by using PPP, and how this dynamic could be associated with the changing landscape of local economic conditions, in particular whether the application of PPP would help those regions with poor economic performance to close a gap in healthcare delivery.

Sign in / Sign up

Export Citation Format

Share Document