scholarly journals COMMENT ON: Hospital care in Departments defined as COVID-free: A proposal for a safe hospitalization protecting healthcare professionals and patients not affected by COVID-19

2020 ◽  
Vol 92 (2) ◽  
Author(s):  
Alessandro Tafuri ◽  
Andrea Minervini ◽  
Antonio Celia ◽  
Luca Cindolo ◽  
Riccardo Schiavina ◽  
...  
Keyword(s):  
Health Care ◽  
Hospital Care ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Point Of View ◽  
Routine Activity ◽  
Phase 2 ◽  
Paper Report ◽  
Practical Point ◽  
Set Up

The COVID-19 outbreak dramatically changed hospital everyday life, impairing the course of previous routine activity, also in urology. In the next months, together with keeping the focus on the prevention of contagion recrudescence, the health care system will face another stringent issue, i.e. to restore all the services not COVID-related. Leonardi et al. in their paper report an equilibrate overview on the incoming “Phase 2”, in order to set up so-called COVID-free hospitals and departments. The authors offer an insight from a practical point of view, detailing protocols for any of the steps of the path of care, from the outpatient visit to surgery

scholarly journals Comparison of health care utilization among patients affiliated and not affiliated with healthcare professionals in China

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Quality Health

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals. Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22,788 patients not affiliated with healthcare professionals. The main outcomes were outpatient proportion and expenditure as well as inpatient proportion and expenditure. Results The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (P = 0.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (P = 0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P < 0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885–1368] vs. 446 CNY [95% CI 248–643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P = 0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052–19115] vs. 17645 CNY [95% CI 4884–30406]). Conclusion Our results lend support to the SID hypothesis and highlight the need for policies to address the large outpatient care expenses among patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decline sharply due to the weakened SID. To address misbehaviors and contain health care costs, it is important to realign provider incentives.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using the cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. The main outcomes were outpatient proportion and expenditure as well as inpatient proportion and expenditure.Results The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]).Conclusion Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decrease sharply due to the decline in supplier-induced demand. As significant misbehaviors performed by providers, it’s important to create right incentives to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals. Methods Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) implemented in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. We used the coarsened exact matching method to control for confounding factors. The main outcomes were outpatient rate and expenditure as well as inpatient rate and expenditure. Results The matched outpatient rate of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient rate was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]). Conclusion Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decrease sharply due to the decline in supplier-induced demand. As significant misbehaviors performed by providers, it’s important to create right incentives to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

scholarly journals Preventive and responsive plans to COVID-19 epidemic in a leading teaching hospital in Milan, Italy

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
L Bellini ◽  
E Bossi ◽  
D Bucci ◽  
M Capraro ◽  
F Chiappa ◽  
...  
Keyword(s):  
Health Care ◽  
Emergency Management ◽  
Online Survey ◽  
Healthcare Professionals ◽  
Task Force ◽  
Facilities Management ◽  
First Case ◽  
Management Area ◽  
Set Up ◽  
And Control

Abstract Issue Following the SARS-Cov-2 outbreak in Wuhan, China, the first case of COVID-19 was reported in Codogno, Lombardy, Italy, on 20 February 2020. The ongoing epidemic has exposed the health care system to a severe stress. San Raffaele Hospital (OSR) in Milan, Italy - a leader in the emergency management, may provide a benchmarking experience useful for other countries. Description of the Problem OSR has established a task force including the health care director, the Infections Prevention and Control Committee (IPCC) and the head of ward and outpatients' facilities management area in order to assess the situation and to define a multi-step strategy. The management process has been divided in two steps. Firstly, a preventive phase was devised, in a preparedness perspective, to avoid the spread of the infection to the Healthcare Professionals (HCP). Secondly, a reorganizational phase was implemented to guarantee assistance to infected patients, especially the critical ones. Results Before the outbreak, the IPCC updated OSR's procedures, based on the WHO's, national and regional guidance, planned a lectures series and an online survey to train healthcare professionals and proposed to stack Personal Protective Equipment (PPE) to face the expected shortage. The Head of the facilities management area defined separate pathways in the Emergency Department in order to isolate patients with respiratory symptoms, set up a new ward, with 26 beds and dedicated personnel, as well as two Intensive Care Units, with 13 beds, Some wards were merged and more healthcare workers were moved to the COVID-19 units. Lessons The coordination between task force members has been crucial for translating the multi-step strategy in a quick reorganization of the whole hospital. Despite early preparations, we could not anticipate the evolution of the outbreak and its logistic impact, especially on the PPE procurement. Key messages A major Hospital was proved to be capable to respond to the changing healthcare requests. Organizational flexibility is crucial for proper emergency management.

scholarly journals Ricoeur’s hermeneutic arc and the “narrative turn” in the ethics of care

2021 ◽  
Author(s):  
Maria Teresa Russo
Keyword(s):  
Social Sciences ◽  
Health Care ◽  
Therapeutic Relationship ◽  
Healthcare Professionals ◽  
Life Experiences ◽  
Scientific Data ◽  
Point Of View ◽  
Narrative Approach ◽  
The Social

Abstract“Patient-centred care” is the recent response to the malaise produced in the field of health care from the point of view both of a technical mentality and the paternalistic model. The interest in the story-telling approach shown by both the humanities and the social sciences has favoured a “narrative turn” in medicine too, where the new ethics of therapeutic relationship consider the hermeneutic method a means by which to integrate evidence and subjectivity, scientific data and patient experience. The aim of this paper is to show how Ricoeur’s theory of “threefold mimesis” makes a conceptual contribution to the use of narrative interviews in nursing and also be successfully transferred into and applied in the field of healthcare in general. First, the paper examines how this narrative approach might open up new possibilities for the acquisition of in-depth knowledge of patients’ life experiences, a condition indispensable for the improvement of the quality of care. Secondly, it highlights how this Ricoeurian method seems capable of provide an opportunity for healthcare professionals to review their own understanding of the caregiver-patient therapeutic relationship, beginning with their confrontation with the patient’s world as revealed by the narrative they provide.

Factors Affecting IT-Based Knowledge Management Strategy in UK Healthcare System

2004 ◽  
Vol 03 (04) ◽  
pp. 279-289 ◽  
Author(s):  
Matthew W. Guah ◽  
Wendy L. Currie
Keyword(s):  
Web Sites ◽  
Management Strategy ◽  
Healthcare Professionals ◽  
Technological Development ◽  
Medical Knowledge ◽  
Point Of View ◽  
Efficacy And Safety ◽  
Healthcare Organizations ◽  
Factors Affecting ◽  
Set Up

The technological development by the beginning of the 21st century is making it humanly impossible for unaided healthcare professionals to possess all the knowledge needed to deliver medical care with the efficacy and safety made possible by current scientific knowledge. Several healthcare organizations are adopting rigorous methods and technologies for KM as a potential solution to the knowledge predicament. However, awareness and understanding of such methods are not widespread with critics claiming that these technologies are not designed to be compatible with others neither are they interoperable. This paper describes an effort by the NHS for individuals, organizations and partners (commercial companies supplying services to the NHS) to demonstrate their belief in the importance of improving KM in medicine and show that this can be best achieved through collaboration and consensus. It looks at National Knowledge Service, set up to provide a range of services, through one or more open-access web sites. There is an asymmetry in most of the discussion of the field. KM, in this paper, is primarily discussed from the point of view of the user of medical knowledge. The motivation is seen to be the enhancement capabilities, and the utilization of knowledge to increase healthcare effectiveness.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Induced Demand

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using the cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. The main outcomes were outpatient rate and expenditure as well as inpatient rate and expenditure.Results The matched outpatient rate of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient rate was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]).Conclusion Our results lend support on supplier-induced demand hypothesis and highlight the need for policies to address the large outpatient care expenses of patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decrease sharply due to the decline in supplier-induced demand. As significant misbehaviors performed by providers, it’s important to create right incentives to offer less avoidable healthcare service during outpatient visits may work to reduce healthcare costs.

Image quality in telehealth: challenges in developing countries

2019 ◽  
Author(s):  
Avijit Chowdhury ◽  
Abdul Hafeez-Baig ◽  
Raj Gururajan ◽  
Amanda McCubbin ◽  
Mirza Akmal Sharif
Keyword(s):  
Health Care ◽  
Image Quality ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Structured Interviews ◽  
High Quality ◽  
Cross Sectional ◽  
Urban Rural ◽  
Ict Infrastructure ◽  
Set Up

Abstract The purpose of this paper is to explore the underlying challenges in the telehealth environment in India and Pakistan that impede the delivery of high-quality images between a patient and health care professional. An exploratory study was conducted among healthcare professionals in India and Pakistan to assess their perceptions regarding image quality, which is used for the diagnosis and treatment. This cross-sectional qualitative study used semi-structured interviews with healthcare professionals in both India and Pakistan. The interviews were analyzed using a thematic analysis, which revealed three major themes. These themes being: ICT infrastructure and connectivity, high-quality images were produced by trained technicians in an organized telemedicine set-up; and image quality can be degraded by multiple transmissions. Findings indicate that in both countries the main underlying challenge is the lack of consistency in the network infrastructure between urban, rural and remote areas. Additionally, training patients to use hand-held devices to take high-quality images future could hold the key to improving the reliability and consequently the quality of images transmitted between patients and health care professionals.

scholarly journals Comparison of Health Care Utilization Among Patients Affiliated and Not Affiliated with Healthcare Professionals in China

2020 ◽  
Author(s):  
Yafei Si ◽  
Zhongliang Zhou ◽  
Min Su ◽  
Han Hu ◽  
Zesen Yang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Utilization ◽  
Healthcare Professionals ◽  
Outpatient Visit ◽  
Labour Force ◽  
Care Utilization ◽  
Exact Matching ◽  
Quality Health Care ◽  
Cross Sectional ◽  
Quality Health

Abstract Background Doing “more” in healthcare can be a major threat to the delivery of high-quality health care. It is important to identify the supplier-induced demand (SID) of health care. This study aims to test SID hypothesis by comparing health care utilization among patients affiliated with healthcare professionals and their counterpart patients not affiliated with healthcare professionals.Methods We used coarsened exact matching to compare the health care utilization and expenditure between patients affiliated and not affiliated with healthcare professionals. Using cross-sectional data of the China Labour-force Dynamics Survey (CLDS) in 2014, we identified 806 patients affiliated with healthcare professionals and 22788 patients not affiliated with healthcare professionals. The main outcomes were outpatient proportion and expenditure as well as inpatient proportion and expenditure.Results The matched outpatient proportion of patients not affiliated with healthcare professionals was 0.6% higher (P=0.754) than that of their counterparts, and the matched inpatient proportion was 1.1% lower (P=0.167). Patients not affiliated with healthcare professionals paid significantly more (680 CNY or 111 USD, P<0.001) than their counterparts did per outpatient visit (1126 CNY [95% CI 885-1368] vs. 446 CNY [95% CI 248-643]), while patients not affiliated with healthcare professionals paid insignificantly less (2061 CNY or 336 USD, P=0.751) than their counterparts did per inpatient visit (15583 CNY [95% CI 12052-19115] vs. 17645 CNY [95% CI 4884-30406]).Conclusion Our results lend support to the SID hypothesis and highlight the need for policies to address the large outpatient care expenses among patients not affiliated with healthcare professionals. Our study also suggests that as the public becomes more informed, the demand of health care may persist while heath care expenditure per outpatient visit may decline sharply due to the weakened SID. To address misbehaviors and contain health care costs, it is important to realign provider incentives.

The Preschool Stuttering Screen for Health Care Professionals

2011 ◽  
Vol 21 (2) ◽  
pp. 59-62
Author(s):  
Joseph Donaher ◽  
Christina Deery ◽  
Sarah Vogel
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Differential Diagnosis ◽  
Preschool Children ◽  
Health Care Professionals ◽  
Healthcare Professionals ◽  
Evidence Based ◽  
Developmental Profile

Healthcare professionals require a thorough understanding of stuttering since they frequently play an important role in the identification and differential diagnosis of stuttering for preschool children. This paper introduces The Preschool Stuttering Screen for Healthcare Professionals (PSSHP) which highlights risk factors identified in the literature as being associated with persistent stuttering. By integrating the results of the checklist with a child’s developmental profile, healthcare professionals can make better-informed, evidence-based decisions for their patients.

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