Cyber Security, a Rocketing Challenge

2021 ◽  
pp. 479-480
Author(s):  
Anu Sween Thomas
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Cyber Security ◽  
Third Party ◽  
The Third ◽  
The Third Party ◽  
Care System

One of the major concerns of this electronic world is the need to develop innovations in the field of health care cybersecurity. Data reveals that the first ransom attack was reported to be in the year 1989, which was quickly mitigated because of its simplicity1. But 2020 ransomware attacks appear to be more complicated with the sophisticated tool that helps the third-party or cyber attackers to hide from undetected breach detectors. Here arises the need to be aware on the topic and measures to prevent it. This article shall provide a brief knowledge regarding cybersecurity in health care system, threats and pointout some measures to prevent it.

The Irreplaceable Program in an Era of Uncertainty

2018 ◽  
Vol 46 (4) ◽  
pp. 883-886 ◽  
Author(s):  
Sara Rosenbaum ◽  
Elizabeth Taylor
Keyword(s):  
Health Care ◽  
Population Health ◽  
Health Care System ◽  
Health Needs ◽  
The Third ◽  
Death Experience ◽  
Care System ◽  
Near Death Experience

In 2017, Medicaid faced a near-death experience, the third of its 53-year history. Its survival and resilience is a testament not just to its size but to the multiple, vital roles Medicaid plays in the health care system, and its ability to adapt to emerging population health needs. It can take an existential threat to make these indispensable qualities clear.

Differential Pricing of Pharmaceuticals and Retail Competition Under the Robinson-Patman Act

1985 ◽  
Vol 11 (3) ◽  
pp. 293-317
Author(s):  
Richard R. Abood
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Prescription Drugs ◽  
Third Party ◽  
Retail Competition ◽  
Economic Competition ◽  
Direct Competition ◽  
State And Local ◽  
Alternative Delivery ◽  
Care System

AbstractEmphasis on cost containment by third-party payors has intensified economic competition within the health care system, creating powerful market forces which retail pharmacists had not envisioned a few years ago. Hospitals and alternative delivery systems now sell prescription drugs in direct competition with retail pharmacists. These entities are able to purchase their pharmaceuticals from manufacturers at prices far below those of the retailers. Retail pharmacist plaintiffs allege that such activities violate the Robinson-Patman Act which prohibits price discrimination. Retail pharmacists have achieved landmark victories in decisions establishing that nonprofit, state and local governmental hospitals reselling pharmaceuticals in competition with retail pharmacies are not exempt from the Act. This Article demonstrates that despite these victories, plaintiffs will have difficulty proving an actual violation of the Act by manufacturers and hospitals. Plaintiffs must establish competitive injury as well as refute the meeting competition defense. Retail pharmacists might discover that the Robinson-Patman Act is not the ally they had hoped for; instead, they should concentrate on innovative alternatives which will allow them to compete in an evolving health care system.

Features of Chinese health care system

2020 ◽  
pp. 71-77
Author(s):  
Elena Frolova
Keyword(s):  
United States ◽  
Health Care ◽  
Health Care System ◽  
The United States ◽  
Global Business ◽  
Third Place ◽  
The Third ◽  
The Past ◽  
Economics And Politics ◽  
Care System

Not so long ago, one well-known title published a rating of countries according to the degree of their influence on geopolitics. The United States, which took the first place, entered the top three with Russia, which was ranked the second, and the third place in the rating was confidently taken by China. The Chinese have made a huge breakthrough in the field of economics and politics over the past 20 years, they have been able to successfully take strong positions in global business and entrepreneurship, and in many areas of life they dictate their own rules. If we take into account the fact that almost every fifth inhabitant of the planet is Chinese, it becomes clear that this country forms certain trends in the medical sphere.

scholarly journals Consumers’ Intentions to Adopt Blockchain-Based Personal Health Records and Data Sharing: Focus Group Study (Preprint)

2020 ◽  
Author(s):  
Chang Lu ◽  
Danielle Batista ◽  
Hoda Hamouda ◽  
Victoria Lemieux
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Data Sharing ◽  
Health Data ◽  
Personal Health Records ◽  
Third Party ◽  
Personal Health ◽  
Health Records ◽  
The Third ◽  
The Third Party

BACKGROUND Although researchers are giving increased attention to blockchain-based personal health records (PHRs) and data sharing, the majority of research focuses on technical design. Very little is known about health care consumers’ intentions to adopt the applications. OBJECTIVE This study aims to explore the intentions and concerns of health care consumers regarding the adoption of blockchain-based personal health records and data sharing. METHODS Three focus groups were conducted, in which 26 participants were shown a prototype of a user interface for a self-sovereign blockchain-based PHR system (ie, a system in which the individual owns, has custody of, and controls access to their personal health information) to be used for privacy and secure health data sharing. A microinterlocutor analysis of focus group transcriptions was performed to show a descriptive overview of participant responses. NVivo 12.0 was used to code the categories of the responses. RESULTS Participants did not exhibit a substantial increase in their willingness to become owners of health data and share the data with third parties after the blockchain solution was introduced. Participants were concerned about the risks of losing private keys, the resulting difficulty in accessing care, and the irrevocability of data access on blockchain. They did, however, favor a blockchain-based PHR that incorporates a private key recovery system and offers a health wallet hosted by government or other positively perceived organizations. They were more inclined to share data via blockchain if the third party used the data for collective good and offered participants nonmonetary forms of compensation and if the access could be revoked from the third party. CONCLUSIONS Health care consumers were not strongly inclined to adopt blockchain-based PHRs and health data sharing. However, their intentions may increase when the concerns and recommendations demonstrated in this study are considered in application design.

scholarly journals Consumers’ Intentions to Adopt Blockchain-Based Personal Health Records and Data Sharing: Focus Group Study

10.2196/21995 ◽  
2020 ◽  
Vol 4 (11) ◽  
pp. e21995
Author(s):  
Chang Lu ◽  
Danielle Batista ◽  
Hoda Hamouda ◽  
Victoria Lemieux
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Data Sharing ◽  
Health Data ◽  
Personal Health Records ◽  
Third Party ◽  
Personal Health ◽  
Health Records ◽  
The Third ◽  
The Third Party

Background Although researchers are giving increased attention to blockchain-based personal health records (PHRs) and data sharing, the majority of research focuses on technical design. Very little is known about health care consumers’ intentions to adopt the applications. Objective This study aims to explore the intentions and concerns of health care consumers regarding the adoption of blockchain-based personal health records and data sharing. Methods Three focus groups were conducted, in which 26 participants were shown a prototype of a user interface for a self-sovereign blockchain-based PHR system (ie, a system in which the individual owns, has custody of, and controls access to their personal health information) to be used for privacy and secure health data sharing. A microinterlocutor analysis of focus group transcriptions was performed to show a descriptive overview of participant responses. NVivo 12.0 was used to code the categories of the responses. Results Participants did not exhibit a substantial increase in their willingness to become owners of health data and share the data with third parties after the blockchain solution was introduced. Participants were concerned about the risks of losing private keys, the resulting difficulty in accessing care, and the irrevocability of data access on blockchain. They did, however, favor a blockchain-based PHR that incorporates a private key recovery system and offers a health wallet hosted by government or other positively perceived organizations. They were more inclined to share data via blockchain if the third party used the data for collective good and offered participants nonmonetary forms of compensation and if the access could be revoked from the third party. Conclusions Health care consumers were not strongly inclined to adopt blockchain-based PHRs and health data sharing. However, their intentions may increase when the concerns and recommendations demonstrated in this study are considered in application design.

scholarly journals Medical reform in ukraine: assessments of ukrainians and regional research experience

2019 ◽  
Vol 22 (4) ◽  
pp. 54-63
Author(s):  
O. І. Зубарєва
Keyword(s):  
Health Care ◽  
Health Care System ◽  
The State ◽  
Subjective Perception ◽  
Sociological Study ◽  
Medical Reform ◽  
The Third ◽  
Civic Activity ◽  
Ukrainian Society ◽  
Care System

The main objective of the article was to determine the peculiarities of the Ukrainian attitude towards the reform of the health system taking into account regional peculiarities. For this purpose, an author’s sociological study was conducted, using a focused interview. The purpose of the study was to analyze the level of support provided by active public organizations of those reforms that are being implemented in the modern Ukrainian society, including the medical ones. The research data «Health Index» are of great value. Ukraine». The research is conducted for the third year in a row and allows us to trace the dynamics of the evaluation of Ukrainian components of medical reform and has the following benefits: large sample size; representativeness of the survey results for each individual region of Ukraine. The latter can stimulate interregional exchange of positive practices. It is revealed that today the highest level of concern among Ukrainians is caused by high drug costs, corruption in the Ministry of Health, lack of modern equipment, informal payments by patients. According to expert estimates in Ukrainian society, reforms are mostly caused by a negative assessment in the public consciousness. In our view, such a reaction is the result of processes of inorganic modernization, which manifests itself in the cultural inertia, duality of the institutional environment and the opposition to radical structural changes. Accordingly, the success of reforming the health care system in Ukraine depends on the subjective perception of Ukrainians of the changes expected to be introduced by 2020. As a result of the study, it was possible to identify potential groups of Ukrainians in relation to medical reform. The first group is formed by those who can be conventionally called «optimists», or those who support the reform «from below». They are distinguished by a positive assessment of the changes introduced, moderate institutional trust in the state, high civic activity and conviction. The second group is «Neutral». They are characterized by cautious attitude to change, moderate civic activity, and trust in state institutions. And the third group form «pessimists.» They are united by a critical attitude to the reform. They are cautious about changes, characterized by low trust in the state, relatively low civic activity. It is determined that regional differences in the attitude and perception of medical reform can be explained by the difference in financing of provision of medical services in the regions and uneven information provision by the regional mass media of those reforms implemented in the health care system.

CONCEPTUAL APPROACHES TO BUILDING A COMPETITIVE METROPOLITAN AREA AND ITS HEALTH CARE SYSTEM

2021 ◽  
pp. 98-104
Author(s):  
Oleksandr Korniychuk
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Public Involvement ◽  
Tertiary Care ◽  
Metropolitan Region ◽  
National Academy Of Sciences ◽  
Hospital District ◽  
The Third ◽  
The Creation ◽  
Care System

Based on the generalization of France’s successful experience in metropolitan development, conceptual approaches to building a competitive metropolitan space in Ukraine and the health care system in three areas of attraction based on mutually agreed organizational, managerial and legal relations between metropolitan communities are substantiated. The metropolises of Ukraine include the cities of Kyiv, Dnipro, Odesa, Kharkiv, Lviv, and after the deoccupation - the city of Donetsk. A key problem in Ukraine is the lack of discussion of the institutional framework for the creation of metropolises according to EU standards for their integration into the European space on the basis of Ukraine's national interests. Such approaches should correspond to the fourth stage of reforming the administrative-territorial system at the regional level. This should apply to the formation of 13 metropolises in 25 regions on the basis of candidate cities - Zaporizhia, Vinnytsia, Kryvyi Rih, Sumy, Khmelnytsky, Uzhhorod, Cherkasy, Zhytomyr, Chernivtsi, Mykolaiv, Poltava, Chernihiv and Mariupol. It should be noted that the viability of metropolises is calculated by experts from the administrative, economic and social components. The strategy of the metropolitan health care system should include harmonization of prospects for the development of communities, districts and regions in the creation of an optimal system of primary health care, coordination of medical institutions in the hospital district and in the provision of tertiary care. It should be borne in mind that the metropolis forms 3 zones of influence: the first - within a radius of 15 km, the second up to 60 km, the third – up to 300 km. Each community provides primary care and is part of a hospital district that specializes in providing secondary care. In the third zone, the metropolis provides tertiary care with coverage of neighboring areas using the above approaches. The dynamics of morbidity of the population of the metropolis of Lviv and its metropolitan region has been studied. Promising actions of the Cabinet of Ministers of Ukraine and the National Academy of Sciences of Ukraine include preparation and holding of scientific-expert discussion of the draft law of Ukraine "On the formation of metropolises" with preliminary professional discussion and public involvement.

Teletinnitus Program at the VA Gulf Coast Veterans Health Care System

2014 ◽  
Vol 4 (1) ◽  
pp. 23-29
Author(s):  
Constance Hilory Tomberlin
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Patient Care ◽  
Health Care System ◽  
Gulf Coast ◽  
New Technology ◽  
Cost Effective ◽  
Veterans Health ◽  
Potential Benefits ◽  
Care System

There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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