Emerging Public and Private Health Sector Partnerships: Selected U.S. Experiences

Author(s):  
Lee Kingsbury
2015 ◽  
Vol 21 (1) ◽  
pp. 106 ◽  
Author(s):  
Geraldine Largey ◽  
Samantha Chakraborty ◽  
Tracey Tobias ◽  
Peter Briggs ◽  
Danielle Mazza

This pilot study sought to describe the diagnostic pathways for patients with lung cancer and explore the feasibility of a medical record audit for this purpose. An audit of 25 medical records of patients with a confirmed diagnosis of lung cancer was conducted, at a single outer metropolitan hospital in Victoria. Patients were presented to secondary care from general practice (n = 17, 68%), the emergency department (n = 3, 12%) or specialist rooms (n = 1, 4%). Those who journeyed through general practice experienced the longest median intervals to diagnosis (20 days, interquartile range 7–47). The majority of patients (n = 15, 60%) were referred by a specialist to a multidisciplinary team after a diagnosis had been confirmed but before treatment commenced. These patients waited a median of 20 days from their first specialist appointment to a multidisciplinary team appointment. This research illustrated that a variety of pathways to diagnosis exist. Critically, it requires patient data and additional auditing of primary, public and private health sector records to determine generalisability of findings and the effectiveness of a medical record audit as a data collection tool.


Author(s):  
Oleynik A.V. ◽  
Mushnikov D.L. ◽  
Sadovnikova N.A.

The relevance of the research topic is determined by the high prevalence of diseases of the upper respiratory tract in children. The purpose of the study: to assess the effectiveness of the prevention of upper respiratory diseases in children in the public and private health sector. The analysis of morbidity by circulation and primary morbidity of children in the Moscow region and the city of Ramenskoye as a whole and by class "Respiratory diseases" is carried out. The material of the study is based on the analysis of the primary documentation of the children's polyclinic and the private children's medical center in Ramenskoye, Moscow region. Differences between public and private medical organizations were established: the number of episodes of upper respiratory tract diseases in the observation of children in a state medical organization is 1.4 times higher than in a private medical organization (3.8, against 2.8); the duration of episodes of diseases of the upper respiratory tract per 1 observed child per year in a state medical organization is 39.0% higher than in a private medical organization; the average duration (exacerbation) of the case of diseases of the upper respiratory tract in children in the state medical organization is 2 times higher than when observed in a private medical organization, which is associated with the use of modern treatment technologies and an individual approach. When analyzing the preventive work of children's polyclinics, it was revealed that in the context of the region there are significant fluctuations in the volume of visits made for the purpose of rehabilitation. At the same time, the share of those in need of rehabilitation from the number of those examined in the order of planned rehabilitation amounted to 65.7% in the region, in the city of Ramenskoye 65.4%. Satisfaction of this need was noted at the level of 60.6% in the region, in the city of Ramenskoye 72.3%. The results of the study showed the need to study the factors that determine the high incidence of children with diseases of the upper respiratory tract.


2014 ◽  
Vol 3 (5) ◽  
pp. 144
Author(s):  
Syed Muhammad Mustahsan ◽  
Rehan Shamim ◽  
Mustafa Mushtaq ◽  
Khalil Farooque ◽  
Rabeeya Razzaque ◽  
...  

Objective: This study aimed to find out the existing differences in anxiety and depression among patient’s family care providers in public and private health sectors of Karachi. Background: For family care givers, care-giving is extremely rewarding it makes a bond between patient and a care-giver. It makes a union which is indispensable for patient welfare. The wellness of caregiver depends on patient’s condition and level of satisfaction with the circumstances associated with care-giving, undeniably care-giving constitute myriad of stresses, like depression, anxiety, frustration which if not addressed can have serious impact on caregivers health and can even make them resentful of their role as well. The present study was conducted to investigate the major mood changes among patients’ family care givers in public and private health sectors. Method: A cross-sectional study was carried at Jinnah Postgraduate Medical Centre (Public Health Sector) and Liaquat National Hospital (Private Sector) from 1st March till 1st August, 2013. The study was conducted on the family care givers of the patients residing with them at the hospitals. Hospital Anxiety and Depression Scale (HADS) was completed by 288 participants out of 290 caregivers who enrolled in the study. The HADS was used to evaluate the factors and symptoms of mood disorder (anxiety and depression) in the caregivers of patients. Results: Out of 288 participants who completed the HADS, 223 showed a high rate of psychological disturbed state which was more prevalent in the females (79.8%) than males (75.1%). The HADS was equally filled by the caregivers at public health sector (n = 145) and private health sector (n = 145). The total cases of mood disorder is relatively high in the caregiver population and most of the cases were found in public health sector (n = 134) as compared with private health sector (n = 89). Conclusion: Anxiety and depression among the patients family care providers was very appreciable especially in Public Health Sector as compared to Private Health Sector perhaps due to economic burden, doctor-family caregiver relationship and negligence of concerned authorities. We strongly suggest and request concerned authorities to reduce stress and enhance the quality of life of family care-provider.


2013 ◽  
Vol 29 (2) ◽  
pp. 207-211 ◽  
Author(s):  
Harriet Nabudere ◽  
Delius Asiimwe ◽  
Jacinto Amandua

Objective: This study describes the process of production, findings for a policy brief on Increasing Access to Skilled Birth Attendance, and subsequent use of the report by policy makers and others from the health sector in Uganda.Methods: The methods used to prepare the policy brief use the SUPPORT Tools for evidence-informed health policy making. The problem that this evidence brief addresses was identified through an explicit priority setting process involving policy makers and other stakeholders, further clarification with key informant interviews of relevant policy makers, and review of relevant documents. A working group of national stakeholder representatives and external reviewers commented on and contributed to successive drafts of the report. Research describing the problem, policy options, and implementation considerations was identified by reviewing government documents, routinely collected data, electronic literature searches, contact with key informants, and reviewing the reference lists of relevant documents that were retrieved.Results: The proportion of pregnant women delivering from public and private non-profit facilities was low at 34 percent in 2008/09. The three policy options discussed in the report could be adopted independently or complementary to the other to increase access to skilled care. The Ministry of Health in deliberating to provide intrapartum care at first level health facilities from the second level of care, requested for research evidence to support these decisions. Maternal waiting shelters and working with the private-for-profit sector to facilitate deliveries in health facilities are promising complementary interventions that have been piloted in both the public and private health sector. A combination of strategies is needed to effectively implement the proposed options as discussed further in this article.Conclusions: The policy brief report was used as a background document for two stakeholder dialogue meetings involving members of parliament, policy makers, health managers, researchers, civil society, professional organizations, and the media.


Author(s):  
Müjgan Hacıoğlu Deniz ◽  
Elif Haykır Hobikoğlu

As a result of the fast and radical changes in Turkish health sector during the last ten years, a dual structure has emerged in Turkey. In this study we have tried to point out basic variables on which patient preferences towards getting health care from public or private sector depends, and also by what percentage these variables provide satisfaction to patients in the context of value-based health care system. By taking a poll we have measured the magnitude of health expenditures goes to public and private hospitals and in return of these expenditures, the level of satisfaction people get in the context of value-based health system. We have also tried to compare these two different kinds of hospitals by considering service quality and different prices. In health sector which is one of the biggest and basic sectors of Turkey, in order to achieve efficiency in using resources, we can benefit from the "value-based healthsystem" which will pave the way for optimum allocation of resources. Around the globe and especially in developed and rich countries like UK and USA, the "value-based health system" is getting more and more importance and having a crucial role in optimising resources in health industry. Considering the dual structure of health sector, people’s satisfaction level in comparison with their health expenditures was searched and end up with a conclusion about the satisfaction level according to prices charged by different hospitals.


Author(s):  
Jeff Barnes ◽  
Barbar O'Hanlon ◽  
Frank Feeley ◽  
McKeon Kimberly ◽  
Gitonga Nelson ◽  
...  

BMJ ◽  
2015 ◽  
Vol 351 (nov17 15) ◽  
pp. h6201-h6201
Author(s):  
G. Iacobucci

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Katiuska Cabrera Suarez ◽  
Elena Rivo-López ◽  
Santiago Lago-Peñas ◽  
Santiago Lago-Peñas

Nowadays, family businesses, the predominant form of business worldwide, face an increasingly changing environment boosted by megatrends such as globalization, digitalization, artificial intelligence, climate change and sustainability. Along with this, are factors that play at a firm level such as stricter rules concerning transparency and compliance or the increasing importance of Corporate Social Responsibil- ity (CSR). Therefore, new strategies and organizational changes are necessary to allow for greater adaptation to the new context. This special issue provides insights on these questions from a variety of perspectives.                                           The work of Hernández-Linares and López-Fernán- dez expands the current thinking on this process of adaptation by exploring the combined effects of three strategic orientations (entrepreneurial, learning, and market orientations) on the family firm ́s performance. The authors provide interesting contributions in terms of highlighting the importance of strategic orientations for value creation in enterprise organizations. They also provide empirical evidence that the family char- acter of the firm determines the relationship between strategic orientations and business performance, and offer some results on the effect of market orientation on firm performance in family firms versus non-family firms.                                                                                                 Those differences in strategies are further ana- lysed within the setting of the business dimension in which financial and economic decisions are made. The contribution by Terrón-Ibáñez, Gómez-Miranda and Rodríguez-Ariza, discusses the influence of that di- mension in their performance, comparing family and non-family firms. This interesting analysis of financial performance provides useful results. The study showsthat, unlike non-family firms, there is an inverted U- shaped relationship between the size of family SMEs and the value of certain economic–financial indicators, such as the return on assets, operating margin and employee productivity. This means that although the increase in the dimension of the family organizations is positively related to its performance, there are lim- its from which the value of certain economic–financial indicators can be negatively affected.                                                                                                                                                           The next paper contributes to the discussion of the family business’s role in the private health sector. Reyes-Santías, Rivo-López and Villanueva-Villar, set out to identify the historical evolution of the family business in this sector, attempting to determine the variation and its contribution to the private health sector during the 1995-2010 period. The findings of this discussion provide family firms with an almost 60% survival level in this sector. Along with this, the au- thors provide some guidelines for future research con- cerning this higher degree of survival, why family firms are leading the concentration process taking place in the sector, as well as their strategies for super-spe- cialization in the services offered especially by family businesses in healthcare.         The effect of family ownership and the character- istics of the board of directors on the implementation level of Enterprise Risk Management is an important topic. The article by Otero-González, Rodríguez-Gil, Durán-Santomil and Tamayo-Herrera certainly adds to the discussion. In particular, their research shows that family businesses are less interested in implementing ERM, except when shareholders have greater control of the company and when professional investors are present in the company. Besides, the importance of a board of directors’ characteristics of in terms of risk taking is confirmed by observing that larger boards en- courage risk managers to be hired.                                                                                                                                                           The paper by Lorenzo-Gómez looks at the barriers to change that are specific to the characteristics of family business, considering both the barriers that af- fect the perception of the need to undertake changes and the availability of resources to face those chang- es, and the barriers to implementing these changes within already consolidated organizations, where new routines are created to replace the existing ones. Thefindings suggest that the factors affecting these barri- ers include the generation at the head of the family business; the influence of interest groups, particularly in terms of the duality between the company and the family; and the participation level of professionals from outside the family.                                                                                         The final contribution by Aragon-Amonarriz and Iturrioz-Landart offers an interesting discussion on how family-responsible ownership practices enhance social responsibility in small and medium family firms. Their results reveal the positive relationships between the elements of family-responsible ownership in terms of succession management, financial resource allocation, professionalism and social responsibility, and ultimate- ly with the socially responsible behaviour of family SMEs.                                                                                                                 The challenges surrounding family business owners and the nuances around strategic and organizational decision making are together an area ripe for future research. The editors look forward to seeing future de- velopments on these topics that pay special attention to the influence of family characteristics and dynamics on the strategic and organizational change of family firms, and that draw on both quantitative and quali- tative research methodologies for the wider develop- ment of the field. Acknowledgements. The papers published in this issue were presented at the “II Workshop of Family Business: Strategic and Organizational Change” at Ourense, Galicia, Spain, June, 13-14, 2019. The conference was organized by GEN group research (http:// infogen.webs.uvigo.es/) and the Chair of Family Business of the University of Vigo, and was sponsored by the AGEF (Galician Family Business Association), Inditex Group, IEF (Spanish Family Firm Institute), and with ECOBAS group as collaborator. Thanks for their invaluable support. We are also very thankful of all other participants at the conference.   Katiuska Cabrera Suárez,  University of Las Palmas Elena Rivo-López, co-director of the Chair of Family Business, University of Vigo Santiago Lago-Peñas, co-director of the Chair of Family Business, University of Vigo    


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