scholarly journals Lean Six Sigma Methodology: The Nub to Boost the Public Healthcare System in Egypt

2020 ◽  
Vol 10 (1) ◽  
pp. 67
Author(s):  
Wael Omran Aly
Keyword(s):  
Health Care ◽  
Six Sigma ◽  
Healthcare Service ◽  
Service System ◽  
Lean Six Sigma ◽  
Public Health Care ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
The People

For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.

scholarly journals An exploratory study into the use of Lean Six Sigma to reduce medication errors in the Norwegian public healthcare context

2019 ◽  
Vol 32 (4) ◽  
pp. 509-524 ◽  
Author(s):  
Jiju Antony ◽  
Shirin Charlotte Forthun ◽  
Yaifa Trakulsunti ◽  
Thomas Farrington ◽  
Julie McFarlane ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medication Errors ◽  
Six Sigma ◽  
Lean Six Sigma ◽  
Public Health Care ◽  
Public Healthcare ◽  
Content Type ◽  
Health Care Practitioners ◽  
Health Care Context

Purpose Medication errors are a significant cause of injury in Norwegian hospitals. The purpose of this study is to explore how Lean Six Sigma (LSS) has been used in the Norwegian public health-care context to reduce medication errors. Design/methodology/approach A mixed method approach was used to gather data from participants working in the four regions served by the Norway health authorities. A survey questionnaire was distributed to 38 health-care practitioners and semi-structured interviews were conducted with 12 health-care practitioners. Findings The study finds that the implementation of LSS in the Norwegian public health-care context is still in its infancy. This is amidst several challenges faced by Norwegian hospitals such as the lack of top-management support, lack of LSS training and coaching and a lack of awareness around the benefits of LSS in health care. Research limitations/implications Because of the large geographical area, it was difficult to reach participants from all health regions in Norway. However, the study managed to assess the current status of LSS implementation through the participants’ perspectives. This is a fruitful area for future research whereby an action research methodology could be used. Originality/value To the best of the authors’ knowledge, this is the first empirical study into the use of LSS methodology in reducing medication errors. In addition, this study is valuable for health-care practitioners and professionals as a guideline to achieve the optimal benefit of LSS implementation to reduce medication errors.

scholarly journals The Efficiency of Government Control and Civil Service in the Public Health Service

2018 ◽  
Vol 8 (2) ◽  
pp. 64-75
Author(s):  
G.  A. Borshchevskiy
Keyword(s):  
Public Service ◽  
Civil Service ◽  
Service System ◽  
Health Management ◽  
Healthcare Management ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Development Index ◽  
The Public ◽  
Public Healthcare Sector

The purpose of the article is to assess the effectiveness of public policy implementation in the public healthcare sector in comparison to the civil service system development in the health management body. The hypothesis supposes logical compliance of processes in the development of the public healthcare sector and civil service management body, which administers the given sector. The key methodology used is factor analysis, connected with reference to statistic indices, which characterize the sector development and determine the degree of influence on the general development tendency. The article offers integral indices for the effectiveness evaluation of the healthcare management system. It is revealed that the growth of healthcare development indices took place simultaneously with a similar increase in the index values in the system of public service. All the indices used are independent, so the simultaneous index growth and decline reflect the existence of an objective empirical pattern. The lowest values of the healthcare development index were marked in 1999–2003, the same index values were noted in 1991 and 2014, 1985 and 2016. It was proved that during post-Soviet years the real development in healthcare did not occur. For all the years analysed the value of public service development index in health management bodies decreased by 6%. The civil service system evolved unstably and generally functions today at a level comparable to the early 1990s, but worse than the mid — 1980s. It can be concluded that the healthcare sector is currently developing at a faster pace than the civil healthcare management body. 

Telemedicine and Development

2012 ◽  
pp. 132-145
Author(s):  
Gianluca Miscione
Keyword(s):  
Health Care ◽  
Health Care Organization ◽  
Public Health Care ◽  
Care Practice ◽  
Public Healthcare ◽  
Care Organization ◽  
Telemedicine System ◽  
The Public ◽  
Time Required ◽  
The Right

This study is based on an ethnographic study of a telemedicine system implemented in Northeastern Peru. This system connects a hospital in the Upper Amazon with health care facilities scattered throughout that area of the jungle. Patients’ transport through the physical nodes of the public health care system relied on rivers and wooden boats, but voice and data can now flow directly through channels apart from the existing health care organization. The time required to reach a doctor might previously have been the travel distance for different medicines served as a justification for people not to follow new ways to recovery. After the implementation of telemedicine, the effectiveness of medical talks depends on the ability to understand each other. Locally there is no single health care practice that is believed to be the right one: patients follow different paths for recovery through traditional and biomedical treatments. Thus, the diverse social environment affects both directly and indirectly the use of the telemedicine system, which evolves accordingly with how public healthcare service is perceived and used.

scholarly journals Study of Psychological Satisfaction of Population with Services of the Primary Health Care Integrated into Public Health

2020 ◽  
Vol 8 (4) ◽  
pp. 662-672
Author(s):  
Nabi Yessimov ◽  
◽  
Nailya Izmailova ◽  
Dauletkhan Yessimov
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Public Health Care ◽  
Primary Health Care System ◽  
The Public ◽  
Primary Health ◽  
The People ◽  
Spatially Distributed ◽  
The Republic

The article aims to examine public opinion to achieve a synergistic effect and thereby integrate primary patient feedback in the organization of the promotion of primary care and public health. The leading method to the study of this problem is the questionnaire survey that has afforded revealing issues of regulation of primary and public health care, and in particular, the state of the psychological attitude of patients to primary health care integrated into the public health system of the Republic of Kazakhstan. In order to study the organization of the Primary Health Care System integrated into Public Health Service, 400 healthcare workers were questioned. The authors also analyzed socio-psychological factors that affect the quality of the provision of qualified primary health care. The practical novelty of the study is that the organization of the synergic system of primary health care and public health is implemented based on the public administration system and local systems of public health evaluation. It was concluded that it is more expedient to build a system of integration of primary health care and public health based on feedback from the people and a formation of a spatially distributed network of public medical organizations, which will reduce the burden on, particularly busy areas.

Pelaksanaan Jaminan Kesehatan Oleh BPJS Kesehatan Dalam Perspektif Syariah

Liquidity ◽  
2017 ◽  
Vol 6 (2) ◽  
pp. 110-118
Author(s):  
Iwan Subandi ◽  
Fathurrahman Djamil
Keyword(s):  
Health Care ◽  
Financial Institution ◽  
Social Supports ◽  
Religious Leaders ◽  
The Public ◽  
The People ◽  
The Social ◽  
Ministry Of Finance ◽  
Health Support ◽  
The Government

Health is the basic right for everybody, therefore every citizen is entitled to get the health care. In enforcing the regulation for Jaringan Kesehatan Nasional (National Health Supports), it is heavily influenced by the foreign interests. Economically, this program does not reduce the people’s burdens, on the contrary, it will increase them. This means the health supports in which should place the government as the guarantor of the public health, but the people themselves that should pay for the health care. In the realization of the health support the are elements against the Syariah principles. Indonesian Muslim Religious Leaders (MUI) only say that the BPJS Kesehatan (Sosial Support Institution for Health) does not conform with the syariah. The society is asked to register and continue the participation in the program of Social Supports Institution for Health. The best solution is to enforce the mechanism which is in accordance with the syariah principles. The establishment of BPJS based on syariah has to be carried out in cooperation from the elements of Social Supports Institution (BPJS), Indonesian Muslim Religious (MUI), Financial Institution Authorities, National Social Supports Council, Ministry of Health, and Ministry of Finance. Accordingly, the Social Supports Institution for Helath (BPJS Kesehatan) based on syariah principles could be obtained and could became the solution of the polemics in the society.

Health Care

2018 ◽  
Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre
Keyword(s):  
Health Care ◽  
Technological Progress ◽  
Health Care Systems ◽  
Third Party ◽  
Medical Expenditure ◽  
Public Health Care ◽  
The Public ◽  
Common Features ◽  
Care Systems

This chapter reviews the public health care systems as well as their challenges. It first shows how expenditure on health care has evolved in previous decades and deals with the reasons for the growth observed in almost every European country. It emphasizes the role of technological progress as a main explanatory factor of the increase in medical expenditure but also points to the challenges facing cost-containment policies. Especially, the main common features of health care systems in Europe, such as third-party payment, single provider approach and cost-based reimbursement are discussed. Finally the chapter shows that although inequalities in health exist in the population, health care systems are redistributive. Reforms are thus needed but the trade-off between budgetary efficiency and equity is difficult.

scholarly journals How healthcare structures and communication delivery influence trust: a parallel-group randomized controlled trial

2021 ◽  
Author(s):  
Stephen Cantarutti ◽  
Emmanuel M. Pothos
Keyword(s):  
Controlled Trial ◽  
Random Order ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
The Public ◽  
Private Healthcare ◽  
Public Healthcare Sector ◽  
Parallel Group ◽  
Therapy Compliance ◽  
Study Offer

Abstract Background According to recent polling, public trust in the healthcare sector remains low relative to other industries globally. The implications of low healthcare trust permeate throughout the industry in a number of ways, most visibly by discouraging therapy compliance. Methods This study investigated four putative determinants of trust in healthcare-related scenarios: individuals vs. collective groups as communicators of healthcare advice; expert vs. laypeople as providers of healthcare communication; public vs. private healthcare sector; and positive vs. negative information. Two hundred seventy-four participants were recruited via Prolific Academic and were presented with four statements in random order, related to a positive reflection of the public healthcare sector, a negative reflection of the public healthcare sector, a positive reflection of the private healthcare sector and a negative reflection of the private healthcare sector. According to these reflection, participants were repeatedly asked to rate the system on its trustworthiness. Trust outcomes were constructed using a four-dimension framework, consisting of benevolence, reliability, competence and predictability. Results Claims relating to the public sector had a significantly stronger impact on benevolence and reliability than claims relating to the private sector; claims from individuals had a significantly stronger impact on all trust variables than claims from collectives; and claims from laypeople had a significantly greater impact on reliability and competence ratings than claims from experts. Conclusions The findings in this study offer insight into the patterns with which trust decisions are made in healthcare contexts. More importantly, this research offers a novel perspective of how different factors interact to affect the various facets of trust. These results provide a foundation for future study in this evolving area, and offer insights into designing effective communication strategies that cultivate greater levels of individual trust in the healthcare sector.

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