scholarly journals Refund Methods and Diagnosis-Related Groups Made to Health Institutions in Turkey

2021 ◽  
Vol 8 (2) ◽  
pp. 287-302
Author(s):  
Emine Kızılkaya ◽  
Elif MALTAŞ ◽  
Sibel ORHAN ◽  
Muhammet GÜMÜŞ
Keyword(s):  
Diagnosis Related Groups ◽  
Health Institutions

Geri ödeme yöntemlerinin uygulanmasında birçok zorluk vardır. Sağlık hizmeti sunucularına yapılan geri ödeme yöntemleri, sağlık hizmetlerinin sunumunda önemli bir kalite belirlemektedir. Yapılan geri ödeme yöntemlerinin türleri, hastaların alması gereken bakım hizmetlerini ve yapılan harcamaları önemli ölçüde etkilemektedir. Geri ödeme yöntemleri, mevcut kıt kaynaklarla ortaya konmaya çalışılan kaliteli hizmet kullanımı, hizmet sağlayıcılar ile ödeme yapan kurumlar arasında bir köprü görevi görmektedir. Bu faydasından dolayı yaygınlaştırılmaya çalışılan Teşhis İlişkili Gruplar ve diğer ödeme yöntemlerinin sağlık kuruluşlarında kullanımı etkin hale getirilmeye çalışılmaktadır. Çalışmada özellikle Türkiye'deki sağlık kurumlarına yapılan geri ödeme yöntemleri üzerinde durulmuştur. Ek olarak, Türkiye'de Teşhis İlişkili Grupların oluşumuna ve Türkiye'de Teşhis İlişkili Gruplara dayalı geri ödeme yöntemlerine değinildi. Çalışmanın sonunda, yapılmaya çalışılan geri ödemelerin sağlık kuruluşları arasındaki finansal kaynak dağılımını nasıl etkilediği ve Teşhis İlişkili Grupların ödeme yöntemleriyle ilgilenmede ne kadar önemli olduğu görülmüştür. Yapılan çalışmanın literatürdeki boşluğu dolduracağı ve ileride yapılacak araştırmalara öncülük edeceği düşünülmektedir.

Quality of care in longer term mental health institutions in Portugal

2011 ◽  
Vol 38 (S 01) ◽  
Author(s):  
G Cardoso ◽  
C Pacheco ◽  
J Caldas-de-Almeida
Keyword(s):  
Mental Health ◽  
Quality Of Care ◽  
Health Institutions ◽  
Mental Health Institutions

Klinikeinkauf in der Schweiz: Besser werden unter veränderten Rahmenbedingungen

2019 ◽  
Vol 01 (04) ◽  
pp. 22-23
Author(s):  
Sabine Rößing
Keyword(s):  
Diagnosis Related Groups

In der Schweiz steigen die Kosten für den medizinischen Sachmittelbedarf, während sich Erlöse und Rahmenbedingungen ändern – etwa mit den Swiss Diagnosis Related Groups (SwissDRG). Um Wirtschaftlichkeit bei höchster medizinischer Qualität zu erzielen, ist in den Spitälern ein Paradigmenwechsel nötig.

Violencia en la formación médica

2020 ◽  
Vol 63 (2) ◽  
pp. 46-55
Author(s):  
Héctor García Hernández ◽  
Guadalupe Alvear Galindo
Keyword(s):  
Medical Practice ◽  
Medical Training ◽  
Structural Violence ◽  
Medical Model ◽  
Medical Personnel ◽  
Medical Culture ◽  
Cultural Violence ◽  
Direct Violence ◽  
Health Institutions ◽  
And Function

The purpose of this work is to provide elements to understand, in a broad way, the violence within medical training, since most of the work on the subject focuses on its consequences: for example, the physical and psychological conditions of violent acts in the medical training. The article begins with the concept of violence proposed by Galtung, that points out direct violence, structural violence and cultural violence. Then, it describes the hegemonic medical model as a sculptor of medical culture and its effect on medical practice and medical education. Afterwards, it describes the medical habitus and the hidden curriculum, two elements of the medical culture. The first one refers to how the medical personnel justifies the use of violence, the second one refers to what is taught about the structure, organization and function of the health institutions. Then, the article reviews the characteristics of the health institutions as spaces where an organized medical practice is crystallized in a rigid, hierarchical and vertical manner. We then focus on the worker/student conflict. These conditions are necessary for the appearance of direct violence in the medical training. Key words: Cultural violence; structural violence; direct violence; medical training; hegemonic medical model.

scholarly journals From hostile worlds to multiple spheres: towards a normative pragmatics of justice for the Googlization of health

2021 ◽  
Author(s):  
Tamar Sharon
Keyword(s):  
Public Health ◽  
Market Value ◽  
Theory Of Justice ◽  
Alternative Framework ◽  
Orders Of Worth ◽  
Public Health Institutions ◽  
Health Institutions ◽  
Normative Pragmatics ◽  
The Many ◽  
Critical Perspectives

AbstractThe datafication and digitalization of health and medicine has engendered a proliferation of new collaborations between public health institutions and data corporations like Google, Apple, Microsoft and Amazon. Critical perspectives on these new partnerships tend to frame them as an instance of market transgressions by tech giants into the sphere of health and medicine, in line with a “hostile worlds” doctrine that upholds that the borders between market and non-market spheres should be carefully policed. This article seeks to outline the limitations of this common framing for critically understanding the phenomenon of the Googlization of health. In particular, the mobilization of a diversity of non-market value statements in the justification work carried out by actors involved in the Googlization of health indicates the co-presence of additional worlds or spheres in this context, which are not captured by the market vs. non-market dichotomy. It then advances an alternative framework, based on a multiple-sphere ontology that draws on Boltanski and Thevenot’s orders of worth and Michael Walzer’s theory of justice, which I call a normative pragmatics of justice. This framework addresses both the normative deficit in Boltanski and Thevenot’s work and provides an important emphasis on the empirical workings of justice. Finally, I discuss why this framework is better equipped to identify and to address the many risks raised by the Googlization of health and possibly other dimensions of the digitalization and datafication of society.

scholarly journals Mothers had inadequate knowledge towards key essential nutrition action messages in mainly rural Northeast Ethiopia

2021 ◽  
Vol 10 ◽  
Author(s):  
Bereket Gebremichael ◽  
Biruk Beletew Abate ◽  
Tewodros Tesfaye
Keyword(s):  
Multivariable Analysis ◽  
Good Knowledge ◽  
Knowledge And Attitudes ◽  
Related Information ◽  
Preventive Actions ◽  
Inadequate Knowledge ◽  
Level Of Knowledge ◽  
Health Institutions ◽  
Knowledge And Attitude ◽  
Good Attitude

Abstract Essential nutrition action (ENA) is one of the most effective preventive actions for combating nutritional problems in young children. There is, however, a paucity of evidence about mother's knowledge and attitude regarding key ENA messages. The objective of the present study was to assess the knowledge and attitude of mothers towards key ENA messages and associated factors. A representative sample of 563 mothers of children from birth up to 24 months in mainly rural North Ethiopia was included in the study. The findings showed that 66⋅4 % of the mothers have a good knowledge and 68⋅9 % have a good attitude. In the multivariable analysis using logistic regression, mothers who attended secondary school or higher education were six times more likely to have a good knowledge (AOR 6⋅1; CI 2⋅945, 12⋅719) compared with those who are illiterate. Besides, women who resided in an urban area (AOR 2⋅2; CI 1⋅14, 4⋅25), attended antenatal care (ANC) visits (AOR 3⋅7; CI 2⋅421, 5⋅742), attended postnatal care (PNC) visits (AOR 2⋅2; CI 1⋅37, 3⋅4) and heard nutritional-related information (AOR 1⋅9; CI 1⋅14, 3⋅49) were found to have a good knowledge. On the other hand, mothers who attended ANC visits were almost four times (AOR 3⋅9; CI 2⋅7, 5⋅8) more likely to have a good attitude towards key ENA. Mothers who delivered at health institutions and who attended PNC visits were also more likely to have a good attitude. In conclusion, the present study determined the level of knowledge and attitudes of mothers about ENA and several factors that influence mother's knowledge and attitude regarding ENA.

scholarly journals Engaging patients: how to speak so patients want to listen

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Rubinelli
Keyword(s):  
Health Professional ◽  
Lived Experience ◽  
Health Information ◽  
Health Professionals ◽  
Health Condition ◽  
Public Health Institutions ◽  
Health Institutions ◽  
Basic Approaches ◽  
The Impact

Abstract The paternalistic approach to health professional-patient communication is often no longer successful. The main reasons for this include the fact that trust in medicine and health professionals is no longer taken for granted. In many domains, the concepts of 'expert' and 'science' are in shadow. Moreover, patients can access all sorts of health information, including information that is or seems inconsistent with the advice given by their health professionals. This talk aims to illustrate some basic approaches to communication that can enhance health professional-patient interaction. First, health professionals should consider their communication with patients as a form of persuasion. Persuasion, that does not equal manipulation, is a way to communicate that takes into consideration the knowledge, beliefs, and attitudes of interlocutors. By adopting a person-centered style, health professionals should present their advice by contextualizing it into the emotional and cognitive setting of the patients. Second, communication should consider the lived experience of patients, that is the impact that a health condition or a preventive behavior has on their quality of life and their experience of pleasure. Indeed, managing health conditions is not just applying health advice: it often demands a change in lifestyles that can negatively impact how patients live their lives. Third, health professionals should develop clear strategies to engage with information that patients find from other sources. Health professionals must ask patients if they disagree with them, and to clarify any eventual difference of opinion. The information age has positively favored a democratization of health information. Yet, it imposes that health systems care for their communication. This talk concludes by presenting main evidence from on how to reinforce hospitals, public health institutions, and health services in communication so that patients want to listen.

scholarly journals Crohn’s disease: a population-based study of surgery in the age of biological therapy

2021 ◽  
Author(s):  
Christian Stöss ◽  
Maximilian Berlet ◽  
Stefan Reischl ◽  
Ulrich Nitsche ◽  
Marie-Christin Weber ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Minimally Invasive ◽  
Biological Therapy ◽  
Hospital Admissions ◽  
Diagnosis Related Groups ◽  
Age Distribution ◽  
Considerable Proportion ◽  
Discharge Data ◽  
Number Of Patients

Abstract Purpose Despite primary conservative therapy for Crohn’s disease, a considerable proportion of patients ultimately needs to undergo surgery. Presumably, due to the increased use of biologics, the number of surgeries might have decreased. This study aimed to delineate current case numbers and trends in surgery in the era of biological therapy for Crohn’s disease. Methods Nationwide standardized hospital discharge data (diagnosis-related groups statistics) from 2010 to 2017 were used. All patients who were admitted as inpatient Crohn’s disease cases in Germany were included. Time-related development of admission numbers, rate of surgery, morbidity, and mortality of inpatient Crohn’s disease cases were analyzed. Results A total number of 201,165 Crohn’s disease cases were included. Within the analyzed time period, the total number of hospital admissions increased by 10.6% (n = 23,301 vs. 26,069). While gender and age distribution remained comparable, patients with comorbidities such as stenosis formation (2010: 10.1%, 2017: 13.4%) or malnutrition (2010: 0.8%, 2017: 3.2%) were increasingly admitted. The total number of all analyzed operations for Crohn’s disease increased by 7.5% (2010: n = 1567; 2017: n = 1694). On average, 6.8 ± 0.2% of all inpatient patients received ileocolonic resections. Procedures have increasingly been performed minimally invasive (2010: n = 353; 2017: n = 687). The number of postoperative complications remained low. Conclusion Despite the development of novel immunotherapeutics, the number of patients requiring surgery for Crohn’s disease remains stable. Interestingly, patients have been increasingly hospitalized with stenosis and malnutrition. The trend towards more minimally invasive operations has not relevantly changed the rate of overall complications.

Interest on the internet for systemic lupus erythematosus: Analysis of Google Trends in Latin American countries

Lupus ◽  
2021 ◽  
pp. 096120332110103
Author(s):  
Paul J Tejada-Llacsa ◽  
Pamela Villacorta-Landeo ◽  
Eder Aguilar-Buitrón ◽  
Graciela S Alarcón ◽  
Manuel F Ugarte-Gil
Keyword(s):  
Systemic Lupus Erythematosus ◽  
Latin American ◽  
Lupus Erythematosus ◽  
Google Trends ◽  
The Internet ◽  
Systemic Lupus ◽  
Web Based ◽  
Pan American ◽  
Health Institutions ◽  
Latin American Countries

Background/Objective Information available on the internet about Systemic Lupus Erythematosus (SLE) can influence the doctor-patient relationship. Therefore, the aim of this study was to identify the terms used for SLE on the internet. Methods We analyzed the data downloaded from Google Trends, considering the term “Lupus” in a six-year web-based research. The frequency of the terms for each Pan-American country was obtained automatically from Google Trends, which reports relative search volumes or RSV (on a scale from 0 to 100) across regions. Results We obtained a total of 67 registered terms in 18 countries. The terms were distributed into five categories. The categories with interest in all countries were “definition” and “symptoms”. Conclusions Google Trends allows us to find useful information about SLE on the internet; once the accuracy of this information is validated, it can be used by patients, health institutions, rheumatologists and other health professionals.

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