scholarly journals Ayushman Bharat: An Ethical Analysis of the World’s Biggest Health Scheme

2021 ◽  
pp. 82-88
Author(s):  
Rajesh Kumar Bhola ◽  
B. B. Pradhan
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Indian Government ◽  
Private Hospitals ◽  
Indian People ◽  
Quality Healthcare ◽  
The People ◽  
Health Related ◽  
Care Systems

An affordable health scheme has been always required by the Indian people. Even after passing74 years of Indian independence, quality healthcare has not been accessible to the Indian people. The data have shown out of the vast population of India only 25 percent of people are insured under the private and government insurance scheme. To overcome this problem Indian government has launched the Ayushman Bharat scheme on 25 December 2018 on the occasion of the birth anniversary of Pt. Deen Dayal Upadhyaya. The Ayushman Bharat is the Hindi translation of “India blessed with long life”. This scheme is the biggest health care scheme in the world which covers the huge population of India and the covered population under this scheme is more than 100 million. The scheme has categories into the primary, secondary, and tertiary care domain to address the health-related problems of the people and the most important and fascinating feature of the scheme is that a beneficiary avails the facilities in government hospital along with private hospitals. The present study reviews different aspects of the scheme in relevance to the helath sector to provide better perpective towards Indian health care systems.

Abstract WP64: City-wide Stroke Team in the U.S. Delivers the Highest Intravenous Thrombolysis Treatment Rate

Stroke ◽  
2017 ◽  
Vol 48 (suppl_1) ◽  
Author(s):  
Andrei V Alexandrov ◽  
Georgios Tsivgoulis ◽  
Katherine Nearing ◽  
Marc Malkoff ◽  
Odysseas Kargiotis ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Intravenous Thrombolysis ◽  
Population Based ◽  
Treatment Rate ◽  
Practice Plan ◽  
Care Systems ◽  
Tertiary Care Centers ◽  
The U.S

Background: An increasing shortage of vascular neurologists forced an academic provider to find a city-wide solution to offer 24x7 access to intravenous thrombolysis (IVT) across independent and competing health care systems in the area. We sought to prospectively evaluate the annual IVT treatment delivery in our population and compare it to leading stroke centers worldwide. Methods: The largest single ER system and 3 other independent hospital providers in the area agreed to work with a single practice plan vascular neurology team (catchment area of 1,344,127 individuals). All acute ischemic stroke patients that were treated with IVT across all primary or tertiary care centers in our area were prospectively documented over a 12-month period (January-December 2015). A literature search was performed using narrative review methodology to document similar population-based treatment rates across leading stroke centers in North America, Europe and Australasia. Results: A total of 552 patients received IVT with tissue plasminogen activator (tPA) in 2015. Single ER system delivered 433 IV tPA treatments and 119 more patients were treated in the remaining hospitals. The annual tPA treatment rate was 41 per 100.000 individuals (95%CI: 38-44) favorably comparable to published annual treatment rates from leading international stroke centers (Table, 1998 thru 2015). Conclusions: A city-wide vascular neurology team can attend to patient populations across competing health care systems in the U.S. and deliver IVT at volumes and rates above those reported by leading treatment centers worldwide. Communities with competing systems can improve tPA delivery by sharing vascular neurology resources.

scholarly journals Big data modeling to predict platelet usage and minimize wastage in a tertiary care system

2017 ◽  
Vol 114 (43) ◽  
pp. 11368-11373 ◽  
Author(s):  
Leying Guan ◽  
Xiaoying Tian ◽  
Saurabh Gombar ◽  
Allison J. Zemek ◽  
Gomathi Krishnan ◽  
...  
Keyword(s):  
Health Care ◽  
Census Data ◽  
Blood Product ◽  
Complete Blood Count ◽  
Health Care Systems ◽  
Tertiary Care ◽  
The United States ◽  
Number Of Patients ◽  
Usage Patterns ◽  
Care Systems

Maintaining a robust blood product supply is an essential requirement to guarantee optimal patient care in modern health care systems. However, daily blood product use is difficult to anticipate. Platelet products are the most variable in daily usage, have short shelf lives, and are also the most expensive to produce, test, and store. Due to the combination of absolute need, uncertain daily demand, and short shelf life, platelet products are frequently wasted due to expiration. Our aim is to build and validate a statistical model to forecast future platelet demand and thereby reduce wastage. We have investigated platelet usage patterns at our institution, and specifically interrogated the relationship between platelet usage and aggregated hospital-wide patient data over a recent consecutive 29-mo period. Using a convex statistical formulation, we have found that platelet usage is highly dependent on weekday/weekend pattern, number of patients with various abnormal complete blood count measurements, and location-specific hospital census data. We incorporated these relationships in a mathematical model to guide collection and ordering strategy. This model minimizes waste due to expiration while avoiding shortages; the number of remaining platelet units at the end of any day stays above 10 in our model during the same period. Compared with historical expiration rates during the same period, our model reduces the expiration rate from 10.5 to 3.2%. Extrapolating our results to the ∼2 million units of platelets transfused annually within the United States, if implemented successfully, our model can potentially save ∼80 million dollars in health care costs.

scholarly journals National Health Reforms in Georgia during 1994-2021 and their Success

2021 ◽  
Vol 12 (2) ◽  
pp. 102-108
Author(s):  
Iza Gigauri ◽  
Kakhaber Djakeli
Keyword(s):  
Health Care ◽  
Health Reform ◽  
Health Care Systems ◽  
Universal Coverage ◽  
Health Care Reforms ◽  
Health Reforms ◽  
Health Related ◽  
Care Systems ◽  
Cost Efficient ◽  
Health Model

Abstract The Health Reform of the country is a very difficult burden for two reasons: firstly, we need an appropriate economy level in the country, that can bear the new health model, established through reform, and secondly, the country needs a health system that is appropriate either for its economic system or for its tradition and history. Health reformers need to match all the points of the health reform concept, its implementation, and the systems of the country. Due to its Soviet past, Georgia struggled in the last twenty years to find an effective and cost efficient health model for its citizens. Starting from the 90s, Georgia instituted three health reforms and finally found some sustainable measures. The present article explores the three waves of the Georgian Health Care reforms, and analyses the factors of their success and the reasons for their failures. The importance of studying the Health Care systems is derived from Sustainable Development Goals targeting Health issues including health-related topics to improve the population’s health and wellbeing as well as achieve universal coverage of health services. The research contributes to the knowledge regarding the Health Care Reforms, and their practical implications on a country.

scholarly journals Structured Q1 headache services as the solution to the ill-health burden of headache: 1. Rationale and description

2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Timothy J. Steiner ◽  
Rigmor Jensen ◽  
Zaza Katsarava ◽  
Lars Jacob Stovner ◽  
Derya Uluduz ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Cost Effective ◽  
High Demand ◽  
Patient Journey ◽  
Global Campaign ◽  
Care Systems ◽  
Economic Analyses

AbstractIn countries where headache services exist at all, their focus is usually on specialist (tertiary) care. This is clinically and economically inappropriate: most headache disorders can effectively and more efficiently (and at lower cost) be treated in educationally supported primary care. At the same time, compartmentalizing divisions between primary, secondary and tertiary care in many health-care systems create multiple inefficiencies, confronting patients attempting to navigate these levels (the “patient journey”) with perplexing obstacles.High demand for headache care, estimated here in a needs-assessment exercise, is the biggest of the challenges to reform. It is also the principal reason why reform is necessary.The structured headache services model presented here by experts from all world regions on behalf of the Global Campaign against Headache is the suggested health-care solution to headache. It develops and refines previous proposals, responding to the challenge of high demand by basing headache services in primary care, with two supporting arguments. First, only primary care can deliver headache services equitably to the large numbers of people needing it. Second, with educational supports, they can do so effectively to most of these people. The model calls for vertical integration between care levels (primary, secondary and tertiary), and protection of the more advanced levels for the minority of patients who need them. At the same time, it is amenable to horizontal integration with other care services. It is adaptable according to the broader national or regional health services in which headache services should be embedded.It is, according to evidence and argument presented, an efficient and cost-effective model, but these are claims to be tested in formal economic analyses.

Who Tweets About Diabetic Foot on Twitter and Which Tweets Are More Attractive?

2020 ◽  
Vol 19 (3) ◽  
pp. 251-254 ◽  
Author(s):  
İrfan Karahan ◽  
Aybüke Yürekli ◽  
Ömer Recep Özcömert ◽  
Birhan Oktaş ◽  
Aydın Çifci
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Diabetic Foot ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Accurate Information ◽  
Care Providers ◽  
The People ◽  
Patients With Diabetes ◽  
Care Systems

Diabetic foot is a serious problem for health care systems. Twitter can provide communication between people and it might be an informative tool for health care management. The purpose of this study is detecting the people or organizations that tweet about diabetic foot and analyze the interactions of these tweets on Twitter. All tweets containing the keyword “diabetic foot” in April 2019 were collected. The users were separated into 7 groups: patients with diabetes, health care providers, nongovernmental organizations, information sites and communication media, private companies, medical students, and others. Health care professionals and nonprofessionals were evaluated in likes, mentions, and retweets. The major group was health care providers. By 2-group comparisons of professionals and nonprofessionals, all likes, mentions, and retweets were significantly different ( P = .02, P = .04, P < .001, respectively). We concluded that the tweets of health care professionals get more interaction than others. Twitter might be a useful tool to distinguish accurate information about diabetic foot. Also, health care professionals should use for making people aware of the diabetic foot and shed light on society.

scholarly journals Oncology Drug Shortages—What We Have Versus What We Expect to Have? A Critical Scenario of Pakistan

2018 ◽  
Vol 35 (1) ◽  
pp. 41-42 ◽  
Author(s):  
Ehsan Elahi ◽  
Sidrah Andleeb
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Quality Care ◽  
Tertiary Care ◽  
High Quality ◽  
Drug Shortages ◽  
Regulatory Authorities ◽  
Care Systems ◽  
Provide Quality Care ◽  
Tertiary Care Hospitals

Drug shortages in tertiary care hospitals always limit the health system’s ability to provide quality care to the patients. Immediately following the existing shortage of 5 different oncology drugs in Pakistan, numerous patients are finding themselves in a desperate state of no cure for their illness. Cardinal factors responsible for this unfortunate situation include interruption in vendor supplies and regulatory authorities’ issues related to approval and pricing. Effective review of policies by regulatory authorities for availability of drugs will certainly avoid this miserable condition in the future and ensure continuation of high-quality care to patients by health care systems.

scholarly journals What services should be guaranteed in universal health-care systems?

2020 ◽  
Vol 12 (3) ◽  
pp. 193
Author(s):  
Kadjo Yves Cedric Adja ◽  
Davide Golinelli
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Systems ◽  
Models Of Care ◽  
Equal Access ◽  
Universal Health Care ◽  
New Models ◽  
Health Related ◽  
Care Systems ◽  
Universal Health

Abstract COVID-19 pandemic highlighted the importance of public, universal and equal access health-care, and reminded us that challenges are always incumbent for health-care systems. Because accessible and universal health-care systems will be critical into the future, it will be crucial to earmark adequate resources, fostering the financing of sectors that for many years have been neglected such as primary care and public health, and investments in new models of care and in health-related workforce.

scholarly journals An analysis of seriousness, predictability and preventability of adverse drug reactions reported at a tertiary care teaching hospital in Kerala, India: a retrospective observational record based study

2018 ◽  
Vol 7 (12) ◽  
pp. 2433
Author(s):  
Jihana Shajahan ◽  
Abdul Aslam Parathoduvil ◽  
Sangeetha Purushothaman
Keyword(s):  
Health Care ◽  
Adverse Drug Reactions ◽  
Health Care Professionals ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Drug Reactions ◽  
Mortality And Morbidity ◽  
Monitoring Centre ◽  
Care Systems ◽  
The Impact

Background: Adverse drug reactions (ADR) are the leading cause of mortality and morbidity in all health care systems. Hospital based ADR monitoring and reporting programmes can throw some light upon the profile of ADRs and ways to prevent them, facilitating rational drug use. An attempt has been made in this study to analyse the seriousness, predictability, preventability, severity and outcome of ADRs occurring in a tertiary care hospital.Methods: This was a retrospective observational study based on the data collected from ADRs reported to an approved ADR monitoring centre (AMC). Data collected was evaluated for seriousness, predictability, preventability, severity and outcome using appropriate scales. Simple descriptive statistics was used for analysis.Results: The total number of ADRs reported was 300. Among this 39% reactions were serious. The commonest reason for considering as serious reaction was prolongation of hospitalization. The overall predictability was 40.4%. Total preventability was found to be 18.3%. Assessment of severity showed 55.3 %, 41.7%, 3% reactions in mild, moderate and severe grades respectively. 64.3% patients had recovered from the reaction and 30% were recovering at the time of reporting ADR. Only 0.3% ADRs caused death.Conclusions: Authors hope this study will foster the culture of reporting and analysing ADRs among health care professionals and students. The findings from the study can create awareness among health care professionals regarding the impact of ADRs on the treatment course.

scholarly journals Telemonitoring for Patients With COVID-19: Recommendations for Design and Implementation (Preprint)

2020 ◽  
Author(s):  
Anna V Silven ◽  
Annelieke H J Petrus ◽  
María Villalobos-Quesada ◽  
Ebru Dirikgil ◽  
Carlijn R Oerlemans ◽  
...  
Keyword(s):  
Health Care ◽  
Care Pathway ◽  
Health Care Systems ◽  
Tertiary Care ◽  
Suspected Case ◽  
Care Hospital ◽  
Scarce Resources ◽  
Design And Implementation ◽  
Care Systems ◽  
Care Capacity

UNSTRUCTURED Despite significant efforts, the COVID-19 pandemic has put enormous pressure on health care systems around the world, threatening the quality of patient care. Telemonitoring offers the opportunity to carefully monitor patients with a confirmed or suspected case of COVID-19 from home and allows for the timely identification of worsening symptoms. Additionally, it may decrease the number of hospital visits and admissions, thereby reducing the use of scarce resources, optimizing health care capacity, and minimizing the risk of viral transmission. In this paper, we present a COVID-19 telemonitoring care pathway developed at a tertiary care hospital in the Netherlands, which combined the monitoring of vital parameters with video consultations for adequate clinical assessment. Additionally, we report a series of medical, scientific, organizational, and ethical recommendations that may be used as a guide for the design and implementation of telemonitoring pathways for COVID-19 and other diseases worldwide.

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