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https://www.readbyqxmd.com/read/29783253/planning-of-effective-evaluation-of-the-activities-of-hospital-district-at-the-example-of-poltava-region
#1
Vyacheslav M Zhdan, Valentyn M Dvornyk, Viktor P Lysak, Igor M Skrypnyk, Valeriy I Pokhylko, Iryna A Holovanova, Inna V Bielikova, Maxim V Khorosh, Ludmila M Shylkina, Mariya M Tovstiak
OBJECTIVE: Introduction: Increasing of the availability and quality of health care in rural areas is one of the priority directions of public health and regional development policy. The need for reforming of the network of secondary health care facilities is due to the fact, that they are unable to meet the needs of the population in this specialized type of medical care in the conditions of the existing structure and funding system. The aim: to analyze the existing legislation regulating the establishment and operation of hospital districts; to determine the methodology for monitoring and evaluating of the activity of the hospital district on the example of the Poltava region...
2018: Wiadomości Lekarskie: Organ Polskiego Towarzystwa Lekarskiego
https://www.readbyqxmd.com/read/29778934/spatial-accessibility-of-primary-health-care-in-china-a-case-study-in-sichuan-province
#2
Xiuli Wang, Huazhen Yang, Zhanqi Duan, Jay Pan
Access to primary health care is considered a fundamental right and an important facilitator of overall population health. Township health centers (THCs) and Community health centers (CHCs) serve as central hubs of China's primary health care system and have been emphasized during recent health care reforms. Accessibility of these hubs is poorly understood and a better understanding of the current situation is essential for proper decision making. This study assesses spatial access to health care provided by primary health care institutions (THCs/CHCs) in Sichuan Province as a microcosm in China...
May 10, 2018: Social Science & Medicine
https://www.readbyqxmd.com/read/29777842/nationally-representative-readmission-factors-in-patients-with-claudication-and-critical-limb-ischemia
#3
Rennier A Martinez, Michelle Shnayder, Joshua Parreco, Lukas Gaffney, Marcus Eby, Nicholas Cortolillo, Michael Lopez, Jack Zeltzer
INTRODUCTION: Hospital readmissions are not only associated with increased mortality, morbidity and costs but also, with current healthcare reform, tied to significant financial and administrative penalties. Some studies show that patients undergoing vascular surgery may have higher than average readmission rates. The recently released Nationwide Readmission Database (NRD) is the most comprehensive national source of readmission data, gathering discharge information from 22 geographically dispersed states, accounting for 51...
May 16, 2018: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/29776778/three-years-post-affordable-care-act-sexually-transmitted-disease-clinics-remain-critical-among-vulnerable-populations
#4
Nicky J Mehtani, Christina M Schumacher, Luke E Johnsen, Adena Greenbaum, C Patrick Chaulk, Khalil G Ghanem, Jacky M Jennings, Kathleen R Page
INTRODUCTION: The purpose of the study is to examine whether demand for publicly funded sexually transmitted disease clinics changed after Affordable Care Act implementation. METHODS: The percentages of total incident sexually transmitted infections in Baltimore City that occurred at publicly funded sexually transmitted disease clinics were compared between the 3 years prior to and following the 2014 Medicaid and private insurance expansions. Risk factors associated with diagnosis at sexually transmitted disease clinics were identified using log binomial regression...
May 15, 2018: American Journal of Preventive Medicine
https://www.readbyqxmd.com/read/29761755/a-deadly-wait-for-u-s-health-insurance-coverage-sitting-on-the-couch-with-malaria
#5
Jonathan S Schultz, Adam J Atherly, Andrés F Henao-Martínez
Uninsured and unprepared travelers to countries with endemic tropical diseases pose great health-care burdens and financial risks on returning to the United States. We discuss the delayed presentation of an uninsured U.S. traveler returning from West Africa with severe malaria who required intensive care measures to save his life. Despite being critically ill on his return, he sat rigoring on his couch taking antipyretics for 3 days, while he applied for insurance on the Affordable Care Act website and waited for approval because he was fearful of the costs of seeking care...
May 14, 2018: American Journal of Tropical Medicine and Hygiene
https://www.readbyqxmd.com/read/29759085/telepathology-consultation-for-frozen-section-diagnosis-in-china
#6
Yingxin Huang, Yan Lei, Qi Wang, Dazhou Li, Lili Ma, Lili Guo, Minshan Tang, Guanglong Liu, Qianwen Yan, Lan Shen, Guihui Tong, Zhiliang Jing, Yan Zhang, Yongjian Deng
BACKGROUND: Telepathology (TP) provides remote pathology services for primary diagnosis practices, including intraoperative consultation of surgical pathology; it has not been widely implemented in China. In this study, the results of an implementation were reported, which lasted for two and a half years, and demonstrated the experience of the diagnosis of the intraoperative frozen sections by using TP consultation platform of Southern Medical University and Guangzhou Huayin Medical Laboratory Center (SMU-HUAYIN TP) in China...
May 14, 2018: Diagnostic Pathology
https://www.readbyqxmd.com/read/29754969/pathways-to-drg-based-hospital-payment-systems-in-japan-korea-and-thailand
#7
Peter Leslie Annear, Soonman Kwon, Luca Lorenzoni, Stephen Duckett, Dale Huntington, John C Langenbrunner, Yuki Murakami, Changwoo Shon, Ke Xu
Countries in Asia are working towards achieving universal health coverage while ensuring improved quality of care. One element is controlling hospital costs through payment reforms. In this paper we review experiences in using Diagnosis Related Groups (DRG) based hospital payments in three Asian countries and ask if there is an "Asian way to DRGs". We focus first on technical issues and follow with a discussion of implementation challenges and policy questions. We reviewed the literature and worked as an expert team to investigate existing documentation from Japan, Republic of Korea, and Thailand...
May 7, 2018: Health Policy
https://www.readbyqxmd.com/read/29747854/-the-french-health-care-funding-system-for-research-and-innovation-in-oncology
#8
REVIEW
Harvey Wiernik, Gregory Katz, Hélène Coulonjou, André Salagnac, Frédéric Kletz, Juliette Thariat
INTRODUCTION: This article provides an overview of the French health system with respect to allocation of public resources to hospitals, to encourage research and innovation, particularly in the field of oncology. It is explained in a historical, economic and scientific perspective. RESULTS: Important structural and conceptual reforms (T2A, HPST law, etc.) have been carried out. These have significantly impacted the way public funding is allocated. Funding of innovation and research has been modified into a more incentive logic, aimed at strengthening competitiveness between all health care actors...
May 7, 2018: Bulletin du Cancer
https://www.readbyqxmd.com/read/29741534/a-brief-look-at-the-history-of-the-deaconess-hospital-edinburgh-1894-1990
#9
E R McNeill, D Wright, A K Demetriades
The Deaconess Hospital, Edinburgh, opened in 1894 and was the first establishment of its kind in the UK, maintained and wholly funded as it was by the Reformed Church. Through its 96-year lifetime it changed and evolved to time and circumstance. It was a school: for the training of nurses and deaconesses who took their practical skills all over the world. It was a sanctum: for the sick-poor before the NHS. It was a subsidiary: for the bigger hospitals of Edinburgh after amalgamation into the NHS. It was a specialised centre: as the Urology Department in Edinburgh and the Scottish Lithotripter centre...
March 2018: Journal of the Royal College of Physicians of Edinburgh
https://www.readbyqxmd.com/read/29719311/registry-data-coordinator-rdc-a-proper-accessible-strategy-for-improving-road-traffic-injury-rti-hospital-based-trauma-registry-systems-in-developing-countries-and-low-income-countries
#10
Zahra Meidani, Mehrdad Mahdian, Atefe Ayan, Mahdi Mohammadzade, Alimohammad Nickfarjam, Gholam Abbas Moosavi
Introduction: Evidence suggested that a significant level of trauma mortality can be prevented using registry system. Aim: This study aimed to improve Kashan Hospital Based Trauma Registry System (KHBTRS) for Road Traffic Injury (RTI). Material and methods: After conducting focus group discussion absence of minimum data set (MDS) and poor data collection process (DCP) were identified as main problems for KHBTRS- RTI. Proposed MDS were surveyed by 20 experts of trauma research center of throughout the Iran...
2018: Acta Informatica Medica: AIM
https://www.readbyqxmd.com/read/29704683/rates-of-hospital-readmission-among-medicare-beneficiaries-with-gastrointestinal-bleeding-vary-based-on-etiology-and-comorbidities
#11
Shazia Mehmood Siddique, Shivan J Mehta, James Lewis, Mark D Neuman, Rachel M Werner
BACKGROUND & AIMS: Gastrointestinal bleeding results in significant morbidity, mortality, and healthcare costs in the United States. The Center for Medicare and Medicaid Services' payment reform programs assess quality and value based on rates of hospital readmission for patients with gastrointestinal bleeding, but they identify these patients using Medicare Severity Diagnosis Related Groups (MS-DRGs), which include many types of gastrointestinal bleeding and do not account for the clinical heterogeneity among these patients...
April 25, 2018: Clinical Gastroenterology and Hepatology
https://www.readbyqxmd.com/read/29697433/ensuring-access-to-quality-health-care-in-vulnerable-communities
#12
Jay Bhatt, Priya Bathija
For millions of Americans living in vulnerable rural and urban communities, their hospital is an important, and often their only, source of health care. As transformation in the hospital and health care field continues, some communities may be at risk of losing access to health care services and the opportunities and resources they need to improve and maintain their health. Integrated, comprehensive strategies to reform health care delivery and payment, within which vulnerable communities can make individual choices based on their needs, support structures, and preferences, are needed...
April 24, 2018: Academic Medicine: Journal of the Association of American Medical Colleges
https://www.readbyqxmd.com/read/29694514/-between-military-engineering-and-medical-architecture-representations-by-alexandre-rodrigues-ferreira-about-the-city-of-bel%C3%A3-m-in-the-late-eighteenth-century
#13
Ermelinda Moutinho Pataca
This paper discusses Alexandre Rodrigues Ferreira's conceptions about the urbanization of Belém, rooted in natural history and social medicine, as expressed in the work of Antônio Nunes Ribeiro Sanches. The influence of military engineering on its constitution in the 1600s and the spread of this fortress town are investigated, emphasizing Ferreira's criticisms of the geostrategic centrality in the development of the city. The urban reforms of the 1700s under the precepts of medical architecture are then presented, such as the building of the Royal Military Hospital and the water supply system...
March 2018: História, Ciências, Saúde—Manguinhos
https://www.readbyqxmd.com/read/29688522/uninformed-reform-the-attempt-to-abolish-the-hospital-managers-section-23-discharge-power-under-the-mental-health-act-1983
#14
Thomas E Webb
Under section 23 of the Mental Health Act 1983 a person can be discharged by the managers of the hospital from compulsory care. The limited evidence indicates that the section 23 power is normally delegated to a specially appointed panel who hold a hearing. Unfortunately, notwithstanding the implications for the liberty, autonomy, and dignity of the compelled person, very little is known about how this process operates. Nonetheless, since 1996 there has been a sustained effort to abolish the power. In view of this, the proposal to reform the 1983 Act contained in the Queen's Speech January 2017, and the subsequent establishment of the Independent Review of the Mental Health Act in October 2017, I critique the claims made in the abolition debate, and establish the conceptual gaps therein...
April 20, 2018: Medical Law Review
https://www.readbyqxmd.com/read/29687481/midwifery-and-obstetrics-factors-influencing-mothers-satisfaction-with-the-birth-experience
#15
Cristina A Mattison, Michelle L Dion, John N Lavis, Eileen K Hutton, Michael G Wilson
BACKGROUND: Satisfaction is a key component of the care experience and part of the health system "triple aim," along with improving population health and reducing per capita health care costs, the other two parts of the "triple aim." The objectives of the study were to examine birth-experience satisfaction among women in Ontario, Canada, who received care from midwives, family physicians, and obstetricians. METHODS: We used Statistics Canada's 2006 national Maternity Experiences Survey...
April 24, 2018: Birth
https://www.readbyqxmd.com/read/29683738/apprenticeship-reforms-extend-career-options-for-new-and-experienced-staff
#16
Sam Foster
New standards for technical education, with a focus on high-quality learning, offer opportunities to expand the professional and support healthcare workforce, says Sam Foster, Chief Nurse, Oxford University Hospitals.
April 26, 2018: British Journal of Nursing: BJN
https://www.readbyqxmd.com/read/29677929/openehr-based-systems-and-the-general-data-protection-regulation-gdpr
#17
Mariana Sousa, Duarte Ferreira, Cátia Santos-Pereira, Gustavo Bacelar, Samuel Frade, Olívia Pestana, Ricardo Cruz-Correia
The concerns about privacy and personal data protection resulted in reforms of the existing legislation in European Union (EU). The General Data Protection Regulation (GDPR) aims to reform the existing measures on the topic of personal data protection of the European Union citizens, with a strong input on the rights and freedoms of people and in the establishment of rules for the processing of personal data. OpenEHR is a standard that embodies many principles of interoperable and secure software for electronic health records...
2018: Studies in Health Technology and Informatics
https://www.readbyqxmd.com/read/29673803/paying-hospital-specialists-experiences-and-lessons-from-eight-high-income-countries
#18
Wilm Quentin, Alexander Geissler, Friedrich Wittenbecher, Geoff Ballinger, Robert Berenson, Karen Bloor, Dana A Forgione, Peer Köpf, Madelon Kroneman, Lisbeth Serden, Raúl Suarez, Johan W van Manen, Reinhard Busse
Payment systems for specialists in hospitals can have far reaching consequences for the efficiency and quality of care. This article presents a comparative analysis of payment systems for specialists in hospitals of eight high-income countries (Canada, England, France, Germany, Sweden, Switzerland, the Netherlands, and the USA/Medicare system). A theoretical framework highlighting the incentives of different payment systems is used to identify potentially interesting reform approaches. In five countries,most specialists work as employees - but in Canada, the Netherlands and the USA, a majority of specialists are self-employed...
March 23, 2018: Health Policy
https://www.readbyqxmd.com/read/29671132/effects-of-county-public-hospital-reform-on-procurement-costs-and-volume-of-antibiotics-a-quasi-natural-experiment-in-hubei-province-china
#19
Yuqing Tang, Chaojie Liu, Junjie Liu, Xinping Zhang, Keyuan Zuo
BACKGROUND: The overuse of antibiotics has become a major public health challenge worldwide, especially in low- and middle-income countries, including China. In 2009, the Chinese government launched a series of measures to de-incentivise over-prescription in public health facilities, including decoupling the link between facility income and the sale of medicines. OBJECTIVES: We evaluated the effects of these measures on procurement costs and the volume of antibiotics in county public hospitals...
April 18, 2018: PharmacoEconomics
https://www.readbyqxmd.com/read/29660766/disparities-in-out-of-pocket-inpatient-expenditures-in-rural-shaanxi-province-western-china-from-2011-to-2014-a-time-series-analysis
#20
Caijun Yang, Wenfang Cai, Zongjie Li, Yu Fang
OBJECTIVES: To investigate the long-term trend of disparity of monthly average out-of-pocket inpatient expenditures (OOP) between areas with different developing levels since the new health care reform. METHODS: Time series regression was used to assess the trend of disparities of OOP and monthly average inpatient expenditures (AIE) between areas with different developing levels in rural Shaanxi Province, western China. The data of OOP and AIE in primary health institutions, secondary hospitals, tertiary hospitals and also all levels of the hospital were analyzed separately covering the period 2011 through to 2014...
April 16, 2018: Tropical Medicine & International Health: TM & IH
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