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https://www.readbyqxmd.com/read/29664956/you-pray-to-your-god-a-qualitative-analysis-of-challenges-in-the-provision-of-safe-timely-and-affordable-surgical-care-in-uganda
#1
Katherine Albutt, Rachel R Yorlets, Maria Punchak, Peter Kayima, Didacus B Namanya, Geoffrey A Anderson, Mark G Shrime
BACKGROUND: Five billion people lack access to safe, affordable, and timely surgical and anesthesia care. Significant challenges remain in the provision of surgical care in low-resource settings. Uganda is no exception. METHODS: From September to November 2016, we conducted a mixed-methods countrywide surgical capacity assessment at 17 randomly selected public hospitals in Uganda. Researchers conducted 35 semi-structured interviews with key stakeholders to understand factors related to the provision of surgical care...
2018: PloS One
https://www.readbyqxmd.com/read/29657453/periprosthetic-hip-fractures-a-review-of-the-economic-burden-based-on-length-of-stay
#2
Rebecca F Lyons, Robert P Piggott, William Curtin, Colin G Murphy
Introduction: With the increasing rates of total hip replacements being performed worldwide, there is an increasing incidence of periprosthetic fractures. As our patients' demographics change to include older patients with multiple medical co-morbidities, there is a concurrent increase in morbidity and mortality rates. This leads to longer hospital stays and increasing hospital costs. In the current economic climate, the cost of treating periprosthetic fractures must be addressed and appropriate resource and funding allocation for future provision of services should be planned...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29650177/validity-and-reliability-of-the-comfort-assessment-breast-cancer-instrument-in-breast-cancer-palliative-care
#3
Tuti Nuraini, Dewi Gayatri, Dewi Irawaty
Indonesia is a developing country and most breast cancer patients present with terminal conditions, including discomfort. Comfort is a crucial component of nursing in palliative care, especially in breast cancer patients. However, this condition is difficult to assess and therefore assign as a diagnosis. Some comfort assessment tools have been developed in other countries are found not appropriate for an Indonesian context. This study is a sequence of prior qualitative research regarding a comfort assessment tool to be developed in Indonesia...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29622381/harnessing-the-private-health-sector-by-using-prices-as-a-policy-instrument-lessons-learned-from-south-africa
#4
Sarah L Barber, Ankit Kumar, Tomas Roubal, Francesca Colombo, Luca Lorenzoni
Governments frequently draw upon the private health care sector to promote sustainability, optimal use of resources, and increased choice. In doing so, policy-makers face the challenge of harnessing resources while grappling with the market failures and equity concerns associated with private financing of health care. The growth of the private health sector in South Africa has fundamentally changed the structure of health care delivery. A mutually reinforcing ecosystem of private health insurers, private hospitals and specialists has grown to account for almost half of the country's spending on health care, despite only serving 16% of the population with the capacity to pay...
March 29, 2018: Health Policy
https://www.readbyqxmd.com/read/29622004/redefining-diagnosis-related-groups-drgs-for-palliative-care-a-cross-sectional-study-in-two-german-centres
#5
Matthias Vogl, Eva Schildmann, Reiner Leidl, Farina Hodiamont, Helen Kalies, Bernd Oliver Maier, Marcus Schlemmer, Susanne Roller, Claudia Bausewein
BACKGROUND: Hospital costs and cost drivers in palliative care are poorly analysed. It remains unknown whether current German Diagnosis-Related Groups, mainly relying on main diagnosis or procedure, reproduce costs adequately. The aim of this study was therefore to analyse costs and reimbursement for inpatient palliative care and to identify relevant cost drivers. METHODS: Two-center, standardised micro-costing approach with patient-level cost calculations and analysis of the reimbursement situation for patients receiving palliative care at two German hospitals (7/2012-12/2013)...
April 5, 2018: BMC Palliative Care
https://www.readbyqxmd.com/read/29618962/development-of-hospital-based-data-sets-as-a-vehicle-for-implementation-of-a-national-electronic-health-record
#6
Leila Keikha, Seyede Sedigheh Seied Farajollah, Reza Safdari, Marjan Ghazisaeedi, Niloofar Mohammadzadeh
Background: In developing countries such as Iran, international standards offer good sources to survey and use for appropriate planning in the domain of electronic health records (EHRs). Therefore, in this study, HL7 and ASTM standards were considered as the main sources from which to extract EHR data. Objective: The objective of this study was to propose a hospital data set for a national EHR consisting of data classes and data elements by adjusting data sets extracted from the standards and paper-based records...
2018: Perspectives in Health Information Management
https://www.readbyqxmd.com/read/29617838/improving-immediate-newborn-care-practices-in-philippine-hospitals-impact-of-a-national-quality-of-care-initiative-2008-2015
#7
Maria Asuncion A Silvestre, Priya Mannava, Marie Ann Corsino, Donna S Capili, Anthony P Calibo, Cynthia Fernandez Tan, John C S Murray, Jacqueline Kitong, Howard L Sobel
Objective: To determine whether intrapartum and newborn care practices improved in 11 large hospitals between 2008 and 2015. Design: Secondary data analysis of observational assessments conducted in 11 hospitals in 2008 and 2015. Setting: Eleven large government hospitals from five regions in the Philippines. Participants: One hundred and seven randomly sampled postpartum mother-baby pairs in 2008 and 106 randomly sampled postpartum mothers prior to discharge from hospitals after delivery...
March 31, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29608371/assessing-the-value-of-40-years-of-local-public-expenditures-on-health
#8
Jonathon P Leider, Natalia Alfonso, Beth Resnick, Eoghan Brady, J Mac McCullough, David Bishai
The US public and private sectors now spend more than $3 trillion on health each year. While critical studies have examined the relationship between public spending on health and health outcomes, relatively little is known about the impact of broader public-sector spending on health. Using county-level public finance data for the period 1972-2012, we estimated the impact of local public hospital spending and nonhospital health spending on all-cause mortality in the county. Overall, a 10 percent increase in nonhospital health spending was associated with a 0...
April 2018: Health Affairs
https://www.readbyqxmd.com/read/29598769/revisiting-the-housing-health-relationship-for-hiv-positive-persons-qualitative-evidence-from-the-lower-manya-krobo-district-ghana
#9
Mabel Teye-Kau, Eric Y Tenkorang, Paul B Adjei
The relationship between housing and HIV infection is complex. On one hand, poor housing arrangements may affect the health of persons living with HIV/AIDS (PLWHAs). On the other hand, PLWHAs may be more likely to live in substandard homes because of their health. We used qualitative in-depth individual interviews of 38 PLWHAs attending voluntary counseling services at two government hospitals in the Lower Manya Krobo District (LMKD) in the Eastern region of Ghana to examine their housing and health outcomes...
March 1, 2018: Qualitative Health Research
https://www.readbyqxmd.com/read/29594486/perceptions-of-care-and-patient-reported-outcomes-in-people-living-with-neuroendocrine-tumours
#10
Vanessa L Beesley, Matthew Burge, Monica Dumbrava, Jack Callum, Rachel E Neale, David K Wyld
BACKGROUND: Neuroendocrine tumours (NETs) are rare, and when metastatic NETs are incurable, the tumours are frequently slowly growing. Patients may be confronted with disease-specific problems and distinct issues when accessing health-care. We aimed to assess perceptions of care coordination, identify unmet needs, and examine if these varied by whether patients received specialist oncology care in a single hospital or shared between that and another hospital. We also quantified anxiety, depression, and NET-related physical symptoms...
March 29, 2018: Supportive Care in Cancer: Official Journal of the Multinational Association of Supportive Care in Cancer
https://www.readbyqxmd.com/read/29573461/health-system-organizational-reform-in-governing-iranian-public-hospitals-a-content-analysis-to-comprehend-the-barriers-in-board-of-trustees-hospitals
#11
Mehdi Jafari, Amin Habibirad, Arefeh Pourtaleb, Mohammad Hossein Salarianzadeh
BACKGROUND: Since the early 1990s, Iran has initiated structural and decentralization reforms in the hospital system. This policy led to the formation of a Board of Trustees (BOTs) for the governing of public educational hospitals and making important modifications in hospitals' financing. This study was conducted to identify the barriers in implementing this policy. METHODS: All the Iranian Medical Sciences Universities and hospitals involved in the policy implementation were included in this qualitative study...
March 24, 2018: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/29572288/incidence-and-costs-of-neonatal-abstinence-syndrome-among-infants-with-medicaid-2004-2014
#12
Tyler N A Winkelman, Nicole Villapiano, Katy B Kozhimannil, Matthew M Davis, Stephen W Patrick
OBJECTIVES: To describe incidence, health care use, and cost trends for infants with neonatal abstinence syndrome (NAS) who are covered by Medicaid compared with other infants. METHODS: We used 2004-2014 hospital birth data from the National Inpatient Sample, a nationally representative sample of hospital discharges in the United States ( N = 13 102 793). Characteristics and trends among births impacted by NAS were examined by using univariate statistics and logistic regression...
March 23, 2018: Pediatrics
https://www.readbyqxmd.com/read/29564086/who-is-bearing-the-financial-burden-of-non-communicable-diseases-in-mongolia
#13
Otgontuya Dugee, Enkhtuya Palam, Bayarsaikhan Dorjsuren, Ajay Mahal
Background: Non-communicable diseases (NCDs) pose a formidable health and development challenge for low- and middle-income countries (LMICs). However, translating this challenge into resource allocation is seriously constrained by a lack of country specific evidence on NCD financing and its distributional implications. This study estimated expenditures associated with NCDs in Mongolia and their distributions across socioeconomic groups, focusing especially on private out-of-pocket (OOP) spending on the major NCDs...
June 2018: Journal of Global Health
https://www.readbyqxmd.com/read/29557933/perspectives-on-patient-safety-and-medical-malpractice-a-comparison-of-medical-and-legal-systems-in-italy-and-the-united-states
#14
Alessandro di Luca, Giuseppe Vetrugno, Vincenzo Lorenzo Pascali, Antonio Oliva, Al Ozonoff
OBJECTIVES: Italy is experiencing a crisis of malpractice litigation with important repercussions on the insurance industry (e.g., lower profits), physicians (e.g., defensive medicine), and the courts (e.g., work backlog, lengthy proceedings). We searched for common ground between legal systems in Italy and the United States and considered the implications for international collaborations in patient safety. METHODS: We examined the judicial frameworks of medical malpractice litigation in two countries with different legal foundations: the United States (a public-private system governed by common law) and Italy (a publicly financed healthcare system governed by civil law)...
March 19, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29557313/-coercive-measures-in-child-and-adolescent-psychiatry-in-post-war-germany-using-the-example-of-the-pflege-und-beobachtungsstation-in-the-state-psychiatric-hospital-weissenau-1951-1966
#15
Sima Afschar-Hamdi, Klaus Schepker
Coercive Measures in Child and Adolescent Psychiatry in Post-war Germany, Using the Example of the "Pflege- und Beobachtungsstation" in the State Psychiatric Hospital Weissenau (1951-1966) The patient admissions at the children's ward of the State Psychiatric Hospital Weissenau in the years 1951, 1956, 1961 and 1966 were analyzed regarding documented coercive measures. Shortage of staff, mainly inadequately skilled personnel, a mixing of age groups in the patient cohort, neurological and psychiatric disorders and of patients who were in need of nursing and of those who needed treatment constituted the general work environment...
September 2017: Praxis der Kinderpsychologie und Kinderpsychiatrie
https://www.readbyqxmd.com/read/29534704/the-effect-of-contextual-factors-on-unintentional-injury-hospitalization-from-the-korea-national-hospital-discharge-survey
#16
Hye Ah Lee, Hyejin Han, Seonhwa Lee, Bomi Park, Bo Hyun Park, Won Kyung Lee, Ju Ok Park, Sungok Hong, Young Taek Kim, Hyesook Park
BACKGROUND: It has been suggested that health risks are affected by geographical area, but there are few studies on contextual effects using multilevel analysis, especially regarding unintentional injury. This study investigated trends in unintentional injury hospitalization rates over the past decade in Korea, and also examined community-level risk factors while controlling for individual-level factors. METHODS: Using data from the 2004 to 2013 Korea National Hospital Discharge Survey (KNHDS), trends in age-adjusted injury hospitalization rate were conducted using the Joinpoint Regression Program...
March 13, 2018: BMC Public Health
https://www.readbyqxmd.com/read/29530441/-an-assessment-of-the-direct-costs-of-healthcare-for-victims-of-sexual-assaults-in-hospital-emergency-units
#17
J Hiquet, E Christin, F Tovagliaro, J Fougas, O Dubourg, C Chevalier, F Abel, M Ebouat, M-E Ploquin, M Malo, S Gromb-Monnoyeur
BACKGROUND: The Forensic medicine reform in 2011 enabled the development of forensic units specialized in multidisciplinary care of victims of criminal offences. Thanks to an annual budgetary allocation, the Ministry of Justice handles the financing of judicial acts, while the health care facilities assume the medical, psychological and social aspects. The objective of this study was to determine the direct costs of medical care provided to rape victims (such as defined in the article 222-23 of the Penal Code) in order to see how its funding could be reconsidered to prevent any additional cost that could be caused by non-sufficient medical, psychological and social care...
March 9, 2018: Revue D'épidémiologie et de Santé Publique
https://www.readbyqxmd.com/read/29529444/drug-policy-in-estonia
#18
Kadri Mägi, Marika Lepaste, Monika Szkultecka-Dębek
The aim of this article was to present a general overview of the health care system as well as pricing and reimbursement environment in Estonia. In Estonia the main stakeholders in the pharmaceutical sector are the Ministry of Social Affairs, the State Agency of Medicine, and the Estonian Health Insurance Fund. The national health insurance scheme is public, and approximately 95% of the population is covered by it. It is a social insurance, and universal and equal access to health care based on national health insurance is granted...
March 9, 2018: Value in Health Regional Issues
https://www.readbyqxmd.com/read/29518580/inequity-in-out-of-pocket-payments-for-hospitalisation-in-india-evidence-from-the-national-sample-surveys-1995-2014
#19
Anamika Pandey, Lynda Clarke, Lalit Dandona, George B Ploubidis
OBJECTIVE: We report inequity in out-of-pocket payments (OOPP) for hospitalisation in India between 1995 and 2014 contrasting older population (60 years or more) with a population under 60 years (younger population). METHODS: We used data from nationwide healthcare surveys conducted in India by the National Sample Survey Organisation in 1995-96, 2004 and 2014 with the sample sizes ranging from 333,104 to 629,888. We used generalised linear and fractional response models to study the determinants of OOPP and their burden (share of OOPP in household consumption expenditure) at a constant price...
February 6, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29517891/trusts-forward-thinking-approach-recognised
#20
Phillip Herring
It is often said that the quality of the parking experience at a hospital or other healthcare facility makes one of the most lasting impressions on visitors. HEJ editor, Jonathan Baillie, spoke to Phillip Herring, managing director at Indigo, the UK arm of one of Europe's leading 'bespoke parking solution' providers, to discover how, harnessing first-class customer service, the latest technology, and the ability to offer anything from simple car park management to 30-year Design Build Finance Operate (DBFO) packages, the company is looking to extend a UK healthcare parking contract portfolio which already sees it work with 11 NHS Trusts across England, Scotland, and Wales...
May 2017: Health Estate
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