scholarly journals Comprehensive Treatment of Women with Postpartum Psychosis across Health Care Systems from Swedish Psychiatrists' Perspectives

2014 ◽  
Author(s):  
Inger Engqvist ◽  
Arne Åhlin ◽  
Ginette Ferszt ◽  
Kerstin Nilsson
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Psychiatric Hospitals ◽  
Postpartum Psychosis ◽  
Comprehensive Treatment ◽  
Structured Interviews ◽  
Peer Supervision ◽  
Care Systems

Studies concerning the psychiatrist's experiences of treating women with postpartum psychosis (PPP) or how they react to these women are limited in the literature. In this study a qualitative design is used. Data collection includes semi-structured interviews with nine Swedish psychiatrists working in psychiatric hospitals. The audio-taped interviews are transcribed verbatim and analyzed using content analysis. The findings consist of the categories: Protection, Treatment, Care, and Reactions. The psychiatrists describe emotions such as compassion, empathy and distress. A conclusion is that the psychiatrists focus on protecting the women from suicide and/or infanticide. Given the degree of stress the psychiatrists can experience caring for high risk challenging patients, health care organizations need to provide support and/or opportunities for peer supervision.

scholarly journals The future of health economics: The potential of behavioral and experimental economics

2015 ◽  
Vol 3 (1) ◽  
pp. 68-86 ◽  
Author(s):  
Fredrik Hansen ◽  
Anders Anell ◽  
Ulf-G Gerdtham ◽  
Carl Hampus Lyttkens
Keyword(s):  
Health Care ◽  
Health Economics ◽  
Experimental Economics ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Income Levels ◽  
Care Systems ◽  
Changing Demographics ◽  
Demand For Health ◽  
Economics Research

Health care systems around the globe are facing great challenges. The demand for health care is increasing due to the continuous development of new medical technologies, changing demographics, increasing income levels, and greater expectations from patients. The possibilities and willingness to expand health care resources, however, are limited. Consequently, health care organizations are increasingly required to take economic restrictions into account, and there is an urgent need for improved efficiency. It is reasonable to ask whether the health economics field of today is prepared and equipped to help us meet these challenges. Our aim with this article is twofold: to introduce the fields of behavioral and experimental economics and to then identify and characterize health economics areas where these two fields have a promising potential. We also discuss the advantages of a pluralistic view in health economics research, and we anticipate a dynamic future for health economics.Published: Online May 2015. In print December 2015.

The making and sustaining of leaders in health care

2019 ◽  
Vol 33 (2) ◽  
pp. 241-262 ◽  
Author(s):  
Terry J. Boyle ◽  
Kieran Mervyn
Keyword(s):  
Health Care ◽  
Community Health ◽  
Health Care Services ◽  
Health Care Systems ◽  
Structured Interviews ◽  
Healthcare Provision ◽  
Triple Aim ◽  
Content Type ◽  
Care Services ◽  
Care Systems

Purpose Many nations are focussing on health care’s Triple Aim (quality, overall community health and reduced cost) with only moderate success. Traditional leadership learning programmes have been based on a taught curriculum, but the purpose of this paper is to demonstrate more modern approaches through procedures and tools. Design/methodology/approach This study evolved from grounded and activity theory foundations (using semi-structured interviews with ten senior healthcare executives and qualitative analysis) which describe obstructions to progress. The study began with the premise that quality and affordable health care are dependent upon collaborative innovation. The growth of new leaders goes from skills to procedures and tools, and from training to development. Findings This paper makes “frugal innovation” recommendations which while not costly in a financial sense, do have practical and social implications relating to the Triple Aim. The research also revealed largely externally driven health care systems under duress suffering from leadership shortages. Research limitations/implications The study centred primarily on one Canadian community health care services’ organisation. Since healthcare provision is place-based (contextual), the findings may not be universally applicable, maybe not even to an adjacent community. Practical implications The paper dismisses outdated views of the synonymity of leadership and management, while encouraging clinicians to assume leadership roles. Originality/value This paper demonstrates how health care leadership can be developed and sustained.

scholarly journals Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

2018 ◽  
Vol 10 (12) ◽  
pp. 4439 ◽  
Author(s):  
Elio Borgonovi ◽  
Paola Adinolfi ◽  
Rocco Palumbo ◽  
Gabriella Piscopo
Keyword(s):  
Health Care ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Financial Economic ◽  
Point Of View ◽  
Health Care Environment ◽  
Health Gains ◽  
Care Systems ◽  
The One ◽  
The Individual

Sustainability is momentous for the appropriate functioning of health care systems. In fact, health and sustainability are two strictly related values, which could not be separately sought. While studies discussing the contextualization of this issue with respect to the distinguishing attributes of health care systems are rapidly blooming, there is still little agreement about what is ultimately meant by sustainability in the health care arena. On the one hand, attention is primarily focused on the proper use of available financial resources; on the other hand, people engagement and empowerment are gradually arising as a crucial step to enhance the viability of the health care system. This paper tries to identify, from a conceptual point of view inspired by the European integrative movement, the different shades of sustainability in health care and proposes a recipe to strengthen the long-term viability of health care organizations. The balanced mix of financial, economic, political, and social sustainability is compelling to increase the ability of health care organizations to create meaningful value for the population served. However, the focus on a single dimension of sustainability is thought to engender several side effects, which compromise the capability of health care organizations to guarantee health gains at the individual and collective levels. From this standpoint, further conceptual and practical developments are envisioned, paving the way for a full-fledged understanding of sustainability in the health care environment.

The Corporatization of Health Care: An Evaluation and An Alternative

1996 ◽  
Vol 9 (2) ◽  
pp. 107-114 ◽  
Author(s):  
K. Jacobs ◽  
V. Nilakant
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Work Organization ◽  
Corporate Form ◽  
Care Systems ◽  
The Usa ◽  
The Impact ◽  
Medical Task

The corporatization of health care organizations has become a significant international trend. This paper examines that trend, comparing the development of corporate health care in the USA with the impact of the New Zealand health reforms. The paper traces the evolution of the organizations of health care systems and explains the emergence of the corporate form. We argue that the corporate model of work organization is unsuited to the complex and ambiguous nature of the medical task as it ignores inherent interdependencies. An alternative is needed which addresses work practices rather than just participation in decision making and is based on a concept of mutual interdependence and support in the execution of work.

A predictive model of pcsk-9 inhibitors eligibility in coronary and dyslipidemic patients

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
I Dima ◽  
D Soulis ◽  
D Terentes-Printzios ◽  
I Skoumas ◽  
K Aznaouridis ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiovascular Risk ◽  
High Risk ◽  
Predictive Model ◽  
Health Care Systems ◽  
Clinical Status ◽  
Risk Groups ◽  
Funding Source ◽  
Private Company ◽  
Care Systems

Abstract Purpose Dyslipidemia is a major cardiovascular risk factor and treatment is mostly based on statins and ezetimibe. PCSK-9 inhibitors are monoclonal antibodies that reduce LDL-c levels and have shown significant reduction of cardiovascular risk in high risk patients. Data regarding potential eligibility for PCSK-9, is limited especially when referring to the recent guidelines. Methods Eligibility was calculated using a proprietary adjustable software, which stores data and patient information and thus by using different criteria it can determine potential candidates for PCSK-9 inhibitors. For this purpose, 2000 patients were enrolled prospectively. Our study population was comprised of inpatients diagnosed either with acute coronary syndromes (ACS) or with chronic coronary disease (cCAD) and outpatients from Lipids' Clinic (OLC) (n=407, n=1087, n=506, respectively). In order to test eligibility, three different LDL thresholds were used in our model for high and very high risk groups: a) 70mg/dl and 55mg/dl, respectively, as recommended by the recently updated 2019 ESC/EAS Guidelines for Dyslipidaemia b) 100mg/dl and 70mg/dl, respectively, as recommended by the 2016 ESC/EAS Guidelines for Dyslipidaemias and c) 130mg/dl and 100mg/dl respectively, as mandated by our National Health Care system but also applicable in other countries. Results The eligible percentages for the three thresholds were 18.85%, 9.75% and 2.15%, in the total population (TP) respectively and it varied according to clinical status. Subgroup analysis of eligible population revealed the trends in each group (Figure 1). The increase toward more recent guidelines was mostly attributed to the increasing number of coronary patients who become eligible as our criteria become stricter. Conclusions Our predictive model provides a realistic estimation of PCSK-9 inhibitors potential eligibility in coronary and dyslipidaemic patients and thus it can become a useful tool for the use of PCSK-9 in health care systems. Figure 1 Funding Acknowledgement Type of funding source: Private company. Main funding source(s): Amgen Hellas LTD

scholarly journals Physician perceptions of the types of roles interpreters play in limited English proficient pediatric encounters and how they evaluate the quality of interpretation

2019 ◽  
Vol 20 ◽  
Author(s):  
Rebecca J. Schwei ◽  
Natalie Guerrero ◽  
Alissa L. Small ◽  
Elizabeth A. Jacobs
Keyword(s):  
Health Care ◽  
Limited English Proficient ◽  
Health Care Systems ◽  
Care Staff ◽  
Health Care Staff ◽  
Structured Interviews ◽  
Team Members ◽  
Medical Interpreters ◽  
Care Systems

AbstractPurposeThe purpose of this study is to understand different roles that interpreters play in a pediatric, limited English proficient (LEP) health care encounter and to describe what factors within each role inform physicians’ assessment of the overall quality of interpretation.BackgroundLanguage barriers contribute to lower quality of care in LEP pediatric patients compared to their English-speaking counterparts. Use of professional medical interpreters has been shown to improve communication and decrease medical errors in pediatric LEP patients. In addition, in many pediatric encounters, interpreters take on roles beyond that of a pure language conduit.MethodsWe conducted 11 semi-structured interviews with pediatricians and family medicine physicians in one health system. Transcripts were audio-recorded and transcribed verbatim. We analyzed our data using directed content analysis. Two study team members coded all transcripts, reviewed agreement, and resolved discrepancies.FindingsPhysicians described four different interpreter roles: language conduit, flow manager, relationship builder, and cultural insider. Within each role, physicians described components of quality that informed their assessment of the overall quality of interpretation during a pediatric encounter. We found that for many physicians, a high-quality interpreted encounter involves multiple roles beyond language transmission. It is important for health care systems to understand how health care staff conceptualize these relationships so that they can develop appropriate expectations and trainings for medical interpreters in order to improve health outcomes in pediatric LEP patients.

scholarly journals Artificial Intelligence in the Fight Against COVID-19 in the Banking Sector

2020 ◽  
Vol 1 (1) ◽  
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Decision Making ◽  
High Risk ◽  
Health Care System ◽  
Banking Sector ◽  
Health Care Systems ◽  
Use Cases ◽  
Care Systems ◽  
Human Thinking

The COVID-19 pandemic has been causing a massive strain in different sectors around the globe, especially in the health care systems in many countries. Artificial Intelligence has found its way in the health care system in helping to find a cure or vaccine by screening out medicines that could be promising for cure. Not only that but by containing the virus and predicting highly effected areas and limiting the spread of the virus. Many use cases based on AI was successful to monitor the spread and lock areas that were predicted by AI algorithms to be at high risk. Broadly speaking, AI involves ‘the ability of machines to emulate human thinking, reasoning and decision - making.

scholarly journals Covid-19 Detection Using AI

2021 ◽  
pp. 561-566
Author(s):  
Shashank Mishra ◽  
Himanshu Kumar Shukla ◽  
Rajiv Singh ◽  
Vivek Pandey ◽  
Shubham Sagar ◽  
...  
Keyword(s):  
Health Care ◽  
High Risk ◽  
Health Care Systems ◽  
Hospital Setting ◽  
Sudden Increase ◽  
Repeated Testing ◽  
Rt Pcr ◽  
X Ray ◽  
Care Systems ◽  
Chest X Ray

The sudden increase in COVID-19 patients is a major shock to our global health care systems. With limited availability of test kits, it is not possible for all patients with respiratory infections to be tested using RT-PCR. Testing also takes a long time, with limited sensitivity. The detection of COVID-19 infections on Chest X-Ray can help isolate patients at high risk while awaiting test results. X-Ray machines are already available in many health care systems, and with many modern X-Ray systems already installed on the computer, there is no travel time involved in the samples. In this work we propose the use of chest X-Ray to prioritize the selection of patients for further RT-PCR testing. This can be useful in a hospital setting where current systems have difficulty deciding whether to keep the patient in the ward with other patients or isolate them from COVID-19 areas. It may also be helpful in identifying patients with high risk of COVID with false positive RT-PCR that will require repeated testing. In addition, we recommend the use of modern AI techniques to detect COVID-19 patients who use X-Ray imaging in an automated manner, especially in areas where radiologists are not available, and help make the proposed diagnostic technology easier. Introducing the CovidAID: COVID-19 AI Detector, a model based on a deep neural network of screening patients for proper diagnosis. In a publicly available covid-chest x-ray-dataset [2], our model provides 90.5% accuracy with 100% sensitivity (remember) to COVID-19 infection. We are greatly improving the results of Covid-Net [10] on the same database.

Examining the Influence of Information Technology on Modern Health Care

2016 ◽  
pp. 110-136 ◽  
Author(s):  
Edward T. Chen
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Health Care Organizations ◽  
Health Care Systems ◽  
Medical Personnel ◽  
Bundled Payments ◽  
Modern Health Care ◽  
Designed Environment ◽  
Care Systems ◽  
Care Costs

Health care costs continue to rise at a level that far exceeds the rate of inflation. IT will be necessary in the computation and organization of complex algorithms presented in bundled payments and other initiatives. Currently in health care, a patient's medical history is not easily accessible by physicians and other medical personnel. IT can play the pivotal role in rectifying this problem in tracking the record in a universally designed environment. Advanced databases are needed to integrate facilities within health care systems. This chapter is to explore the current framework of Information Technology in the U.S. health care industry and to examine the topic covering the following areas: (a) IT's influence on the Affordable Care Act, (b) the emergence of the Electronic Health Record (EHR), also known as the Electronic Medical Record (EMR), and (c) the integration of databases across health care organizations through advanced systems like Epic.

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