Trust in the healthcare system: review

2020 ◽  
Vol 1 (1) ◽  
pp. 87-95
Author(s):  
N.N. Kamynina ◽  
◽  
E.O. Korotkova ◽  
Yu.N. Skulkina ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Empirical Research ◽  
Health Care System ◽  
Healthcare Providers ◽  
Bibliographic Databases ◽  
Institutional Trust ◽  
System Review ◽  
Definition Of ◽  
The Impact ◽  
Care System

Purpose. Many aspects of the health care system effective functioning depend on the level of trust in it. The purpose of this work is to study and summarize the research of native and foreign scientists on the topic of trust in the health care system in order to identify the context and methodological approaches to the study of trust. Materials and methods. The author used in the review the method of systematic review of publications based on strict criteria for selecting publications of individual homogeneous original studies. The search was carried out in the bibliographic databases PubMed, Google Scholar. The author included in the review articles that mentioned trust in the health system as part of their research objectives or questions. No reports published in peer-reviewed literature were analyzed. Results and discussion. There are three positions to consider trust from: trust in the personality of a medical worker (interpersonal); institutional trust in medical organizations; trust in the health care system as a whole (systemic). Several studies have looked at trust in the context of public trust in health care. Within the health care system, there are processes of transfer of trust from an individual to an institution and back. Institutional trust has a significant impact on the formation of interpersonal trust. No causal relationship has been established about the impact of trust on treatment outcomes, and patient distrust of healthcare providers can have detrimental health consequences. The degree of trust in the health care system is different in various categories of citizens. Conclusion. The review revealed that there is no sufficiently accurate, theoretically substantiated and empirically verified definition of trust; trust studies are scattered and built around different definitions. The terms are used interchangeably between studies with the same focus and are not clearly defined and distinct. A variety of tools used to measure trust, the use of different concepts, a significant variation in the choice of the subject and object of empirical research, different methodological foundations of research make it difficult to compare and generalize research data, therefore, for further understanding, study, assessment and conduct of empirical research, a theoretical basis of trust is needed.

scholarly journals CHARACTERISTICS OF THE HEALTH CARE SYSTEM

2019 ◽  
Vol 31 (4) ◽  
pp. 1195-1198
Author(s):  
Wioletta Świeboda
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health System ◽  
Health Care System ◽  
World Health ◽  
Concept Of Health ◽  
The World ◽  
Definition Of ◽  
The Impact ◽  
Care System

The purpose of this paper is to present the main data about the health care sector depends on how it is financed and thus the choice of an appropriate model healthcare system. The article shows a comparative analysis of health care systems in European countries of the OECD. Based on the literature, the general characteristics of Beveridge and Bismarck systems are presented. The evolution of the health care system in the world arises from a different history, conditions for economic development, diversity, under State policy, geographical location and cultural. Every country in the world takes part in the financing of health care, which is 20-80% of the expenditure on health. According to t. Szumlicza you must distinguish between concepts: "model" and "standard". The "formula" is understood in the context of the broader concept of "model of the health system". As the author of finding "patterns express different real concept of health policy while the term" pattern "prejudge the specific choice of health policy, which is a reference to the health care system". The World Health Organisation defines the term "health system" as a system covering all organizations, investment and institutions whose concept is to create actions on improved health. According to the Organization's objectives is the basis for the operation of the system of health protection, which targets focus on: constant improving population health, meeting the demand needs of health services, where the recipient is you as a consumer. On the other hand, the term "health care" defined by the WHO as a program of benefits in accordance with medical knowledge necessary to promote and maintain health by sharing individuals and entire populations. C. Wlodarczyk stresses that for the proper definition of the concept of health system you must extract the three spheres of the impact of health policy: health, administrative institutions and finance health and traditional public health activities. Many definitions that appear in the literature points to the narrower scope of the definition of the concept of "health care system" than those WHO suggested.. Author B. McPake and colleagues present the thesis that the health system consists of payers, healthcare providers and regulatory bodies together with relationships that occur between them. These relationships are presented for four health system functions: regulatory, financial, allocation of resources and the provision of services. C. Bailey and S. Poździoch describe that the health system is a whole, consisting of a variety of elements, the associated affinity, between which there are relationships. S. Poździoch is used for the definition of the system: "organized and coordinated team actions, whose aim is the realization of benefits and services and awareness campaign-therapeutic and rehabilitation aimed at protection and improvement of the health status of the individual and the collective ". The fact is the large role played by the State in the health system.

scholarly journals The Impact of Increased Hydrocodone Regulation on Opioid Prescribing in an Urban Safety-Net Health Care System

2019 ◽  
Vol 32 (3) ◽  
pp. 362-374 ◽  
Author(s):  
Thomas F. Northrup ◽  
Kelley Carroll ◽  
Robert Suchting ◽  
Yolanda R. Villarreal ◽  
Mohammad Zare ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Safety Net ◽  
Opioid Prescribing ◽  
Urban Safety ◽  
The Impact ◽  
Care System

scholarly journals The impact of the 2006 Massachusetts health care reform law on spine surgery patient payer-mix status and age

2017 ◽  
Vol 27 (6) ◽  
pp. 694-699 ◽  
Author(s):  
Nicolas W. Villelli ◽  
Hong Yan ◽  
Jian Zou ◽  
Nicholas M. Barbaro
Keyword(s):  
Health Care ◽  
New York ◽  
Health Care Reform ◽  
Health Care System ◽  
Spine Surgery ◽  
Private Insurance ◽  
New York State ◽  
Before And After ◽  
The Impact ◽  
Care System

OBJECTIVESeveral similarities exist between the Massachusetts health care reform law of 2006 and the Affordable Care Act (ACA). The authors’ prior neurosurgical research showed a decrease in uninsured surgeries without a significant change in surgical volume after the Massachusetts reform. An analysis of the payer-mix status and the age of spine surgery patients, before and after the policy, should provide insight into the future impact of the ACA on spine surgery in the US.METHODSUsing the Massachusetts State Inpatient Database and spine ICD-9-CM procedure codes, the authors obtained demographic information on patients undergoing spine surgery between 2001 and 2012. Payer-mix status was assigned as Medicare, Medicaid, private insurance, uninsured, or other, which included government-funded programs and workers’ compensation. A comparison of the payer-mix status and patient age, both before and after the policy, was performed. The New York State data were used as a control.RESULTSThe authors analyzed 81,821 spine surgeries performed in Massachusetts and 248,757 in New York. After 2008, there was a decrease in uninsured and private insurance spine surgeries, with a subsequent increase in the Medicare and “other” categories for Massachusetts. Medicaid case numbers did not change. This correlated to an increase in surgeries performed in the age group of patients 65–84 years old, with a decrease in surgeries for those 18–44 years old. New York showed an increase in all insurance categories and all adult age groups.CONCLUSIONSAfter the Massachusetts reform, spine surgery decreased in private insurance and uninsured categories, with the majority of these surgeries transitioning to Medicare. Moreover, individuals who were younger than 65 years did not show an increase in spine surgeries, despite having greater access to health insurance. In a health care system that requires insurance, the decrease in private insurance is primarily due to an increasing elderly population. The Massachusetts model continues to show that this type of policy is not causing extreme shifts in the payer mix, and suggests that spine surgery will continue to thrive in the current US health care system.

The Impact of Age on Colorectal Cancer Incidence, Treatment, and Outcomes in an Equal-Access Health Care System

2014 ◽  
Vol 57 (3) ◽  
pp. 303-310 ◽  
Author(s):  
Scott R. Steele ◽  
Grace E. Park ◽  
Eric K. Johnson ◽  
Matthew J. Martin ◽  
Alexander Stojadinovic ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Health Care ◽  
Health Care System ◽  
Cancer Incidence ◽  
Equal Access ◽  
Colorectal Cancer Incidence ◽  
The Impact ◽  
Care System

scholarly journals NURSE IN THE POLISH HEALTH CARE SYSTEM

2020 ◽  
Vol 73 (8) ◽  
pp. 1771-1779
Author(s):  
Małgorzata Paszkowska
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Staff ◽  
Medical Profession ◽  
Legal Norms ◽  
The Status ◽  
Medical Order ◽  
Definition Of ◽  
Care System

Nurses are the largest group of Polish medical staff. There are currently approximately 230,000 nurses employed in Poland. There is a statutory profession for many years. Nurses provide health services on the basis of a medical order or on their own. As a result of changes in the law, the scope of their professional competences has been increasing for several years, including to independently administer medicines and issue prescriptions. The purpose of the article is to present and analyze legal norms determining the status of a nurse in the Polish health care system. In addition, the definition of the statutory principles of cooperation between doctors and nurses. The analysis shows that changes in law in recent years have significantly influenced the increase in the role of nurses in the health care system and they are also relevant to the practice of the medical profession.

scholarly journals Modeling of Food and Nutrition Surveillance in Primary Health Care

2017 ◽  
Vol 30 (1) ◽  
pp. 109-126 ◽  
Author(s):  
Santuzza Arreguy Silva VITORINO ◽  
Marly Marques da CRUZ ◽  
Denise Cavalcante de BARROS
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Document Analysis ◽  
Logic Model ◽  
Structured Interviews ◽  
Primary Health ◽  
Food And Nutrition ◽  
Definition Of ◽  
Care System

ABSTRACT Objective: To describe the modeling stages of food and nutrition surveillance in the Primary Health Care of the Unified Health Care System, considering its activities, objectives, and goals Methods: Document analysis and semi-structured interviews were used for identifying the components, describe the intervention, and identify potential assessment users. Results: The results include identification of the objectives and goals of the intervention, the required inputs, activities, and expected effects. The intervention was then modeled based on these data. The use of the theoretical logic model optimizes times, resources, definition of the indicators that require monitoring, and the aspects that require assessment, identifying more clearly the contribution of the intervention to the results Conclusion: Modeling enabled the description of food and nutrition surveillance based on its components and may guide the development of viable plans to monitor food and nutrition surveillance actions so that modeling can be established as a local intersectoral planning instrument.

Novel Use of a Nurse-Led Telemedicine Team in Acute Stroke: A Retrospective Review of the Impact on a Regional Health Care System

2019 ◽  
Vol 45 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Susan B. Fowler ◽  
Christian A. Rosado ◽  
Jennifer Jones ◽  
Suzanne Ashworth ◽  
Darlene Adams
Keyword(s):  
Health Care ◽  
Acute Stroke ◽  
Health Care System ◽  
Retrospective Review ◽  
Regional Health ◽  
Regional Health Care ◽  
The Impact ◽  
Care System
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