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Wait Time, Public and Private Hospitals

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https://www.readbyqxmd.com/read/29703855/public-performance-reporting-and-hospital-choice-a-cross-sectional-study-of-patients-undergoing-cancer-surgery-in-the-australian-private-healthcare-sector
#1
Khic-Houy Prang, Rachel Canaway, Marie Bismark, David Dunt, Julie A Miller, Margaret Kelaher
OBJECTIVES: National mandatory public performance reporting (PPR) for Australian public hospitals, including measures of cancer surgery waiting times, was introduced in 2011. PPR is voluntary for private hospitals. The aims of this study were to assess whether PPR of hospital data is used by patients with breast, bowel or lung cancer when selecting a hospital for elective surgery and how PPR could be improved to meet their information needs. DESIGN: A national cross-sectional postal questionnaire...
April 27, 2018: BMJ Open
https://www.readbyqxmd.com/read/29675867/patient-perspectives-of-cataract-surgery-protocol-and-baseline-findings-of-a-cohort-study
#2
Vu Quang Do, Peter McCluskey, Anna Palagyi, Andrew White, Fiona J Stapleton, Nicole Carnt, Lisa Keay
BACKGROUND: Patient-reported outcome measures (PROMs) are becoming increasingly recognised as a key component in assessing the relative effectiveness of cataract surgery. This manuscript presents the protocol methodology and baseline characteristics of a prospective cohort study investigating patient-centred predictors of cataract surgery outcomes. METHODS: Patients with bilateral cataract (aged ≥ 50 years) scheduled for their first eye cataract surgery were recruited at four public hospitals and three private ophthalmology clinics in Sydney, Australia...
April 19, 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29616654/evaluation-of-the-use-of-home-emergency-in-a-sub-sahara-african-hospital-example-of-the-hospital-principal-in-dakar
#3
K A Wade, S I Ndong, M B Kounta, D T Ngom, S OuldEthmane, A Gassama, F Y Bah, B Diatta
Overloaded emergency departments are common around the world. This prospective, descriptive, and analytical study evaluates the reasons for emergency room use and describes the severity of the patients' conditions and how they reach the emergency department. It took place at the emergency department of the principal hospital of Dakar (the Armed Forces Teaching Hospital) over a one-week period (from August 23 to August 30, 2016) and included a sample of 219 patients of both sexes aged 15 years and older. Data were collected about social and demographic characteristics, reasons for choosing the emergency department rather than other care, time of day, day of the week, accessibility, means of transport, diagnosis, and severity...
February 1, 2018: Médecine et Santé Tropicales
https://www.readbyqxmd.com/read/29590348/improving-quality-care-for-diabetes-in-the-community-what-do-cypriot-patients-want
#4
Michela Tinelli, Panagiotis Petrou, George Samoutis, George Olympios, Alistair McGuire
Objective: To measure patient preferences for their diabetic care in community setting. Design: Discrete-choice survey. Setting: Community setting (primary physician and hospital sites) in Cyprus. Participants: Diabetic patients attending community sites. Main Outcome Measure(s): Patient preferences, to estimate which components of quality healthcare service people value, their relative importance but also the potential shift to shared decision-making (SDM)...
July 1, 2018: International Journal for Quality in Health Care
https://www.readbyqxmd.com/read/29576023/a-successful-charter-challenge-to-medicare-policy-options-for-canadian-provincial-governments
#5
Colleen M Flood, Bryan Thomas
In September 2016, a case went to trial in British Columbia that seeks to test the constitutionality of provincial laws that (1) ban private health insurance for medically necessary hospital and physician services; (2) ban extra-billing (physicians cannot charge patients more than the public tariff); and (3) require physicians to work solely for the public system or 'opt-out' and practice privately. All provinces have similar laws that have been passed to meet the requirements of federal legislation, the Canada Health Act (and thus qualify for federal funds)...
July 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29457577/space-place-and-waiting-time-reflections-on-health-policy-and-politics
#6
Sally Sheard
Health systems have repeatedly addressed concerns about efficiency and equity by employing trans-national comparisons to draw out the strengths and weaknesses of specific policy initiatives. This paper demonstrates the potential for explicit historical analysis of waiting times for hospital treatment to add value to spatial comparative methodologies. Waiting times and the size of the lists of waiting patients have become key operational indicators. In the United Kingdom, as National Health Service (NHS) financial pressures intensified from the 1970s, waiting times have become a topic for regular public and political debate...
July 2018: Health Economics, Policy, and Law
https://www.readbyqxmd.com/read/29345003/investigation-of-attributes-which-guide-choice-in-cataract-surgery-services-in-urban-sydney-australia
#7
Celeste Gilbert, Lisa Keay, Anna Palagyi, Vu Quang Do, Peter McCluskey, Andrew White, Nicole Carnt, Fiona Stapleton, Tracey-Lea Laba
BACKGROUND: It is critical to consult patients to develop patient-centred cataract surgery care. We aimed to identify attributes patients consider when making decisions about cataract surgery in an Australian context, where both publicly and privately funded surgery are available. This is the first step in investigating how decisions are made about cataract surgery services. METHODS: This observational qualitative study was undertaken in two public hospitals and one private practice in Sydney, Australia...
May 2018: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/29284758/barriers-and-explanatory-mechanisms-of-delays-in-the-patient-and-diagnosis-intervals-of-care-for-breast-cancer-in-mexico
#8
Karla Unger-Saldaña, Daniel Ventosa-Santaulària, Alfonso Miranda, Guillermo Verduzco-Bustos
BACKGROUND: Most breast cancer patients in low- and middle-income settings are diagnosed at advanced stages due to lengthy intervals of care. This study aimed to understand the mechanisms through which delays occur in the patient interval and diagnosis interval of care. MATERIALS AND METHODS: We conducted a cross-sectional survey including 886 patients referred to four major public cancer hospitals in Mexico City. Based in a conceptual model of help-seeking behavior, a path analysis strategy was used to identify the relationships between explanatory factors of patient delay and diagnosis delay...
April 2018: Oncologist
https://www.readbyqxmd.com/read/29190537/private-or-public-hospital-ownership-does-it-really-matter
#9
Afsaneh Bjorvatn
Incentives to improve hospital performance under prospective payments may come at a cost. First, there may be a strong incentive for hospitals to choose only low-severity patients. Second, hospitals may have an incentive to reduce the quality of care. I analyze the role of hospital ownership on patient selection and quality of care by comparing private nonprofit and public hospitals. The analysis is performed by using unique hospital admission data for cardiovascular procedures in Norway, covering the period from 1999 to 2006...
January 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29161947/associations-between-waiting-times-service-times-and-patient-satisfaction-in-an-endocrinology-outpatient-department-a-time-study-and-questionnaire-survey
#10
Zhenzhen Xie, Calvin Or
The issue of long patient waits has attracted increasing public attention due to the negative effects of waiting on patients' satisfaction with health care. The present study examined the associations between actual waiting time, perceived acceptability of waiting time, actual service time, perceived acceptability of service time, actual visit duration, and the level of patient satisfaction with care. We conducted a cross-sectional time study and questionnaire survey of endocrinology outpatients visiting a major teaching hospital in China...
January 2017: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/28929641/patients-choice-between-public-and-private-hospital-emergency-departments-a-cross-sectional-survey
#11
Jun He, Xiang-Yu Hou, Ghasem Sam Toloo, Gerry FitzGerald
OBJECTIVE: The aim of this study was to understand what factors influence patients' choice between public and private hospital ED and the relative weight of those factors among adult patients with private health insurance in Australia. METHODS: A survey of 280 patients was conducted in four public and private hospitals' EDs in Brisbane between May and August 2015. The survey included information about respondent's demographics, nature of illness, decision-making, attitudes and choice...
December 2017: Emergency Medicine Australasia: EMA
https://www.readbyqxmd.com/read/28836912/noise-pollution-in-the-hospital-environment-of-a-developing-country-a-case-study-of-lahore-pakistan
#12
Mujtaba Baqar, Muhammad Arslan, Saddam A Abbasi, Uzma Ashraf, Anam Khalid, Hina Zahid
The present study investigates the noise pollution levels in public and private sector hospitals of Lahore. The noise pollution parameters were investigated from 20 public and 10 private hospitals. We observed that the Leq values varied significantly in different departments of the hospitals as well as at different times of the day. The public sector hospitals had significantly higher noise pollution compared to the private sector hospitals. The Wilcoxon Mann-Whitney two-sample rank-sum test revealed significant difference between noise levels in intensive care unit (ICU) during morning, and in emergency, waiting area, ICU, and reception during daytimes...
August 24, 2017: Archives of Environmental & Occupational Health
https://www.readbyqxmd.com/read/28801763/a-situational-analysis-of-breast-cancer-early-detection-services-in-trinidad-and-tobago
#13
Kimberly Badal, Fidel Rampersad, Wayne A Warner, Adetunji T Toriola, Hamish Mohammed, Harold-Alexis Scheffel, Rehanna Ali, Murrie Moosoodeen, Siva Konduru, Adaila Russel, Rajini Haraksingh
PURPOSE: A situational analysis of breast cancer (BC) early detection services was carried out to investigate whether Trinidad and Tobago (T&T) has the framework for successful organized national screening. METHODS: An online survey was designed to assess the availability, accessibility, quality control and assurance (QC&A), and monitoring and evaluation (M&E) mechanisms for public and private BC early detection. A focus group with local radiologists (n = 3) was held to identify unaddressed challenges and make recommendations for improvement...
January 2018: Cancer Causes & Control: CCC
https://www.readbyqxmd.com/read/28761028/variation-in-access-to-pediatric-surgical-care-among-coexisting-public-and-private-providers-inguinal-hernia-as-a-model
#14
COMPARATIVE STUDY
Ayman Al-Jazaeri, Lama Alshwairikh, Manar A Aljebreen, Nourah AlSwaidan, Tarfah Al-Obaidan, Abdulrahman Alzahem
BACKGROUND: Faced with growing healthcare demand, the Saudi government is increasingly relying on privatization as a tool to improve patient access to care. Variation in children's access to surgical care between public (PB) and private providers (PV) has not been previously analyzed. OBJECTIVES: To compare access to pediatric surgical services between two coexisting PB and PV. DESIGN: Retrospective comparative study. SETTINGS: A major teaching hospital and the largest PV group in Saudi Arabia...
July 2017: Annals of Saudi Medicine
https://www.readbyqxmd.com/read/28476130/-waiting-for-and-waiting-in-public-and-private-hospitals-a-qualitative-study-of-patient-trust-in-south-australia
#15
Paul R Ward, Philippa Rokkas, Clinton Cenko, Mariastella Pulvirenti, Nicola Dean, A Simon Carney, Samantha Meyer
BACKGROUND: Waiting times for hospital appointments, treatment and/or surgery have become a major political and health service problem, leading to national maximum waiting times and policies to reduce waiting times. Quantitative studies have documented waiting times for various types of surgery and longer waiting times in public vs private hospitals. However, very little qualitative research has explored patient experiences of waiting, how this compares between public and private hospitals, and the implications for trust in hospitals and healthcare professionals...
May 5, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28239601/public-versus-private-drug-insurance-and-outcomes-of-patients-requiring-biologic-therapies-for-inflammatory-bowel-disease
#16
COMPARATIVE STUDY
Amir Rumman, Roberto Candia, Justina J Sam, Kenneth Croitoru, Mark S Silverberg, A Hillary Steinhart, Geoffrey C Nguyen
Background . Antitumor necrosis factor (anti-TNF) therapy is a highly effective but costly treatment for inflammatory bowel disease (IBD). Methods . We conducted a retrospective cohort study of IBD patients who were prescribed anti-TNF therapy (2007-2014) in Ontario. We assessed if the insurance type was a predictor of timely access to anti-TNF therapy and nonroutine health utilization (emergency department visits and hospitalizations). Results . There were 268 patients with IBD who were prescribed anti-TNF therapy...
2017: Canadian Journal of Gastroenterology & Hepatology
https://www.readbyqxmd.com/read/28094051/competition-policy-for-health-care-provision-in-portugal
#17
Pedro Pita Barros
We review the role of competition among healthcare providers in Portugal, which has a public National Health Service (NHS) at the core of the health system. There is little competition among healthcare providers within the NHS. Competition among NHS primary care providers is hindered by excess demand (many residents in Portugal do not have a designated family doctor). Competition among NHS hospitals has been traditionally limited to cases of maximum guaranteed waiting time for surgery being exceeded. The Portuguese Competition Authority enforces competition law...
February 2017: Health Policy
https://www.readbyqxmd.com/read/27825619/sick-of-waiting-does-waiting-for-elective-treatment-cause-sickness-absence
#18
Karin Dyrstad, Thomas Halvorsen, Karl-Gerhard Hem, Tarald Rohde
Sickness absence represents a substantial cost in most of Western Europe, whether the insurance scheme is public or private. The objective of this study was to analyse whether waiting time for elective treatment in specialist health care is associated with the length of individual sickness absence in Norway. To estimate the association between waiting time and the duration of sick leave, we used data from the working population aged 18-67 years in 2010-2012. The files combined register data from The Norwegian Patient Registry with individual characteristics and sickness absence data from Statistics Norway, and was analysed using zero-truncated negative binomial regression...
December 2016: Health Policy
https://www.readbyqxmd.com/read/27820153/the-experience-and-effectiveness-of-nurse-practitioners-in-orthopaedic-settings-a-comprehensive-systematic-review
#19
Anita Taylor, Lynda Staruchowicz
REVIEW QUESTION/OBJECTIVE: This review asks "What is the experience and effectiveness of nurse practitioners in orthopaedic settings"?The objective of the quantitative component of this review is to synthesise the best available evidence on effectiveness of orthopaedic nurse practitioner specific care on patient outcomes and process indicators.The objective of the qualitative component of this review is to synthesise the best available evidence on the experience of becoming or being an orthopaedic nurse practitioner in relation to role development, role implementation and (ongoing) role evaluation...
2012: JBI Library of Systematic Reviews
https://www.readbyqxmd.com/read/27757362/what-would-women-choose-when-given-a-choice-in-breast-reconstruction
#20
Thomas C Lam, Caleb J Winch
Reconstruction after mastectomy is an important milestone for many women treated for breast cancer. However, because many surgeons only offer their preferred method of reconstruction, it is not clear which approach women would choose if offered a genuine choice. METHODS: Between 1998 and 2010, the breast reconstruction service at a major Australian teaching hospital was staffed by a single plastic surgeon trained in both prosthetic and autologous breast reconstruction techniques. The choices of all 837 women who underwent reconstruction were compared across time for publicly and privately funded patients using binary logistic regression...
September 2016: Plastic and Reconstructive Surgery. Global Open
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