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https://www.readbyqxmd.com/read/28089222/-etiology-and-prognosis-of-the-eye-traumas-by-war-weapons-in-the-senegalese-army
#1
S M Seck, M Diakhaté, M N Ndiaye Sow, M Dieng, G Agboton, N N Guèye
INTRODUCTION: The aim of this work is to identify the main weapons causing eye injuries during the campaigns of the Senegalese army in the south of the country, as well as the prognosis of these traumas. PATIENTS AND METHODS: This study is retrospective and concerns soldiers wounded by the weapons of war during the exercise of their mission within the Senegalese armed forces of 1991 in 2005. They are mainly soldiers affected in the south of the country during a war, clashes with the rebels or in Guinea-Bissau during operation Gabou in 1998...
January 11, 2017: Journal Français D'ophtalmologie
https://www.readbyqxmd.com/read/28088617/assessing-physician-productivity-following-norwegian-hospital-reform-a-panel-and-data-envelopment-analysis
#2
Karl Arne Johannessen, Sverre A C Kittelsen, Terje P Hagen
BACKGROUND: Although health care reforms may improve efficiency at the macro level, less is known regarding their effects on the utilization of health care personnel. Following the 2002 Norwegian hospital reform, we studied the productivity of the physician workforce and the effect of personnel mix on this measure in all nineteen Norwegian hospitals from 2001 to 2013. METHODS: We used panel analysis and non-parametric data envelopment analysis (DEA) to study physician productivity defined as patient treatments per full-time equivalent (FTE) physician...
January 6, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/28073998/recent-health-care-use-and-medicaid-entry-of-medicare-beneficiaries
#3
Laura M Keohane, Amal N Trivedi, Vincent Mor
PURPOSE OF THE STUDY: To examine the relationship between Medicaid entry and recent health care use among Medicare beneficiaries. DESIGN AND METHODS: We identified Medicare beneficiaries without full Medicaid or use of hospital or nursing home services in 2008 (N = 2,163,387). A discrete survival analysis estimated beneficiaries' monthly likelihood of entry into the full Medicaid program between January 2009 and June 2010. RESULTS: During the 18-month study period, Medicaid entry occurred for 1...
January 9, 2017: Gerontologist
https://www.readbyqxmd.com/read/28069851/less-intense-postacute-care-better-outcomes-for-enrollees-in-medicare-advantage-than-those-in-fee-for-service
#4
Peter J Huckfeldt, José J Escarce, Brendan Rabideau, Pinar Karaca-Mandic, Neeraj Sood
Traditional fee-for-service (FFS) Medicare's prospective payment systems for postacute care provide little incentive to coordinate care or control costs. In contrast, Medicare Advantage plans pay for postacute care out of monthly capitated payments and thus have stronger incentives to use it efficiently. We compared the use of postacute care in skilled nursing and inpatient rehabilitation facilities by enrollees in Medicare Advantage and FFS Medicare after hospital discharge for three high-volume conditions: lower extremity joint replacement, stroke, and heart failure...
January 1, 2017: Health Affairs
https://www.readbyqxmd.com/read/28061965/report-of-the-acr-s-economics-committee-on-value-based-payment-models
#5
Giles W Boland, Lucille Glenn, Shlomit Goldberg-Stein, Saurabh Jha, Mark Mangano, Samir Patel, Kurt A Schoppe, David Seidenwurm, John Lohnes, Ezequiel Silva, Richard Abramson, Daniel J Durand, Laura Pattie, Pamela Kassing, Richard E Heller
A major outcome of the current health care reform process is the move away from unrestricted fee-for-service payment models toward those that are based on the delivery of better patient value and outcomes. The authors' purpose, therefore, is to critically evaluate and define those components of the overall imaging enterprise that deliver meaningful value to both patients and referrers and to determine how these components might be measured and quantified. These metrics might then be used to lobby providers and payers for sustainable payment solutions for radiologists and radiology services...
January 2017: Journal of the American College of Radiology: JACR
https://www.readbyqxmd.com/read/28057203/expanding-public-health-in-china-an-empirical-analysis-of-healthcare-inputs-and-outputs
#6
F Deng, J H Lv, H L Wang, J M Gao, Z L Zhou
OBJECTIVES: The Chinese Government claims that China's health policy is primarily focused on prevention. However, this does not appear to be the case. Researchers with an interest in China's health policy may be aware that the Chinese Government launched a health reform in 2009 to improve the health status of the entire population by 2020.(1) This health reform has been in place for 7 years, and only 4 years now remain to achieve the overall objectives by 2020. This study analyzed the main inputs and outputs of China's health reform in order to identify the main problems and highlight the major challenges...
January 2017: Public Health
https://www.readbyqxmd.com/read/28035843/within-the-triangle-of-healthcare-legacies-comparing-the-performance-of-south-eastern-european-health-systems
#7
Mihajlo Michael Jakovljevic, Jelena Arsenijevic, Milena Pavlova, Nick Verhaeghe, Ulrich Laaser, Wim Groot
OBJECTIVE: Inter-regional comparison of health-reform outcomes in south-eastern Europe (SEE). METHODS: Macro-indicators were obtained from the WHO Health for All Database. Inter-regional comparison among post-Semashko, former Yugoslavia and prior-1989-free-market SEE economies was conducted. RESULTS: United Nations Development Program Human Development Index growth was strongest among prior-free-market SEE followed by former Yugoslavia and post-Semashko...
December 30, 2016: Journal of Medical Economics
https://www.readbyqxmd.com/read/28029417/paying-for-volume-british-columbia-s-experiment-with-funding-hospitals-based-on-activity
#8
Jason M Sutherland, Guiping Liu, R Trafford Crump, Michael Law
INTRODUCTION: For decades, Canadian hospitals have been funded using global budgets, a lump sum for providing care irrespective of the volume or mix of patients. In 2010, British Columbia (BC) introduced a controversial, but limited, form of activity-based funding (ABF) for hospitals. This study uses a quasi-experimental design to evaluate the impact of the introduction of ABF funding in the province. METHODS: Our analysis used the population of patient-level acute hospitalization and day surgery discharge summaries from BC's acute hospitals from April 1, 2008 to March 31, 2013...
September 24, 2016: Health Policy
https://www.readbyqxmd.com/read/28028274/-integrated-community-care-from-the-perspective-of-patients-receiving-end-of-life-treatment
#9
Toshiaki Ichihara, Kazuya Goto
I studied patients who had received end-of-life care at our clinic and investigated integrated community care based on these experiences. Atotal of 543 patients received end-of-life care at our clinic from October of 2007 to December of 2012. The number of those who received such care at home showed a growing trend while the number of patients receiving such care at hospitals tended to decrease. This was believed to be the effect of the aging population rate continuing to increase each year in Akita City. Understanding of home healthcare is still insufficient not only among patients' families but even among healthcare professionals as well...
December 2016: Gan to Kagaku Ryoho. Cancer & Chemotherapy
https://www.readbyqxmd.com/read/28017813/association-between-state-medical-malpractice-environment-and-postoperative-outcomes-in-the-united-states
#10
Christina A Minami, Catherine R Sheils, Emily Pavey, Jeanette W Chung, Jonah J Stulberg, David D Odell, Anthony D Yang, David J Bentrem, Karl Y Bilimoria
BACKGROUND: The U.S. medical malpractice system assumes that the threat of liability should deter negligence but it is unclear whether malpractice environment impacts healthcare quality. We thus sought to explore the association between state malpractice environment and post-operative complication rates. STUDY DESIGN: This observational study included Medicare fee-for-service beneficiaries undergoing one of the following surgeries in 2010: colorectal, lung, esophageal, or pancreatic resection, total knee arthroplasty, craniotomy, gastric bypass, abdominal aortic aneurysm repair, coronary artery bypass grafting, or cystectomy...
December 22, 2016: Journal of the American College of Surgeons
https://www.readbyqxmd.com/read/28005542/governance-must-dive-into-organizations-to-make-a-real-difference-comment-on-governance-government-and-the-search-for-new-provider-models
#11
Jean-Louis Denis, Susan Usher
In their 2016 article, Saltman and Duran provide a thoughtful examination of the governance challenges involved in different care delivery models adopted in primary care and hospitals in two European countries. This commentary examines the limited potential of structural changes to achieve real reform and considers that, unless governance arrangements actually succeed in penetrating organizations, they are unlikely to improve care. It proposes three sets of levers influenced by governance that have potential to influence what happens at the point of care: harnessing the autonomy and expertise of professionals at a collective level to work towards better safety and quality; creating enabling contexts for cross-fertilization of clinical and organizational expertise, notably through teamwork; and patient and public engagement to achieve greater agreement on improvement priorities and overcome provider/manager tensions...
July 3, 2016: International Journal of Health Policy and Management
https://www.readbyqxmd.com/read/28004380/impact-of-health-system-affiliation-on-hospital-resource-use-intensity-and-quality-of-care
#12
Rachel Mosher Henke, Zeynal Karaca, Brian Moore, Eli Cutler, Hangsheng Liu, William D Marder, Herbert S Wong
OBJECTIVE: To assess the impact of hospital affiliation, centralization, and managed care plan ownership on inpatient cost and quality. DATA SOURCES: Inpatient discharges from 3,957 community hospitals in 44 states and American Hospital Association Annual Survey data from 2010 to 2012. STUDY DESIGN: We conducted a retrospective longitudinal regression analysis using hierarchical modeling of discharges clustered within hospitals. DATA COLLECTION: Detailed discharge data including costs, length of stay, and patient characteristics from the Healthcare Cost and Utilization Project State Inpatient Databases were merged with hospital survey data from the American Hospital Association...
December 22, 2016: Health Services Research
https://www.readbyqxmd.com/read/28000231/duty-hour-restrictions-and-surgical-complications-for-head-and-neck-key-indicator-procedures
#13
Aaron Smith, Nikhita Jain, Jim Wan, Lei Wang, Merry Sebelik
OBJECTIVES/HYPOTHESIS: Graduate medical education has traditionally required long work hours, allowing trainees little time for adequate rest. Based on concerns over performance deterioration with sleep deprivation and its effect on patient outcomes, duty hour restrictions have been mandated. We sought to characterize complications from otolaryngology key indicator procedures performed before and after duty hour reform. STUDY DESIGN: Retrospective cross-sectional analysis of National Inpatient Sample (NIS)...
December 21, 2016: Laryngoscope
https://www.readbyqxmd.com/read/27997409/8-leadership-emergency-codes-worth-calling
#14
David H Freed
Hospitals have a contemporary opportunity to change themselves before attempting to transform the larger US health care system. However, actually implementing change is much more easily described than accomplished in practice. This article calls out 8 dysfunctional behaviors that compromise professional standards at the ground level of the hospital. The construct of calling a code when one witnesses such behaviors is intended to make it safe for leaders to "See something, say something" and confront them in real time...
December 17, 2016: Health Care Manager
https://www.readbyqxmd.com/read/27993960/patterns-of-informal-patient-payments-in-bulgaria-hungary-and-ukraine-a-comparison-across-countries-years-and-type-of-services
#15
Tetiana Stepurko, Milena Pavlova, Irena Gryga, Péter Gaál, Wim Groot
Informal payments for health care are a well-known phenomenon in many health care systems around the world. While informal payments could be an important source of health care financing, they have an adverse impact on efficiency and access to care, and are a major impediment to ongoing health care reforms. This paper aims to study the scale and patterns of informal patient payments for out-patient and in-patient services in three former-socialist countries: Bulgaria, Hungary and Ukraine. The data are collected in 2010 and 2011 based on national representative samples and are analysed in pooled models to explain variations in payments...
December 19, 2016: Health Policy and Planning
https://www.readbyqxmd.com/read/27993434/competition-policy-for-health-care-provision-in-france
#16
Philippe Choné
There are more than two thousand hospitals in France, about equally divided between government-owned and privately-owned hospitals. Activity-based payment, which has been generalized in 2008 for acute care hospitals, has raised competition issues as DRG tariffs differ according to ownership status. Furthermore, the payment rule has been criticized for preventing the realization of potential hospital synergies, and as a result a recent reform has mandated close cooperation between public hospitals. The physician market is dual, with most GPs being subject to fee regulation and many self-employed, private-practice, specialist doctors being allowed to set their prices freely...
November 24, 2016: Health Policy
https://www.readbyqxmd.com/read/27991989/-resource-allocation-in-the-seguro-popular-program-analysis-and-recommendations
#17
Gabriel Martínez
Objective: To describe the mechanisms of allocation and purchase of the Seguro Popular program, the way they operate and how are controls applied.To discuss incentive schemes that can improve performance in general, strengthen primary care and improve access to specialty hospitals. Materials and methods: The 2014 reforms to the General Health Law are evaluated to understand their intent, which is to strengthen State systems and the relationship with the Federal authority...
September 2016: Salud Pública de México
https://www.readbyqxmd.com/read/27982673/us-hospital-engagement-in-core-domains-of-interoperability
#18
A Jay Holmgren, Vaishali Patel, Dustin Charles, Julia Adler-Milstein
OBJECTIVES: To assess US hospital engagement in the 4 core domains of interoperability (find, send, receive, integrate) and whether engaging in these domains is associated with electronic availability of clinical data from outside providers. STUDY DESIGN: Retrospective analysis of survey data. METHODS: Analysis of the American Hospital Association (AHA) Annual Survey of Hospitals and the American Hospital Association (AHA) Annual Survey of Hospitals - IT Supplement datasets for 2014...
December 1, 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27982667/accountable-care-organization-hospitals-differ-in-health-it-capabilities
#19
Daniel M Walker, Arthur M Mora, Ann Scheck McAlearney
OBJECTIVES: The aim of this study was to evaluate health information technology (IT) adoption in hospitals participating in accountable care organizations (ACOs) and compare this adoption to non-ACO hospitals. STUDY DESIGN: A cross-sectional sample of US nonfederal, acute care hospitals with data from 3 matched sources: the 2013 American Hospital Association (AHA) Annual Survey, the 2013 AHA Survey of Care Systems and Payments (CSP), and the 2014 AHA Information Technology Supplement...
December 2016: American Journal of Managed Care
https://www.readbyqxmd.com/read/27974913/product-policy-the-main-component-of-the-marketing-mix-in-the-romanian-health-services
#20
EDITORIAL
B I Coculescu, V L Purcarea, E C Coculescu
The objectives of the reforms in the EU healthcare systems are based on the implementation of the marketing concept in the health systems, which are, among other things: • efficient management of the financial resources and control costs of the rendered health services; • increased satisfaction of the clients of health care services; • broad accessibility to health services; • effective implementation of modern technologies; • rational stimulation of medical services consumption; • achievement of a fair and neutral competition between the public/ private providers and health insurance companies; • introduction of performance criteria in order to increase the incomes of the medical staff and hierarchy in hospitals; • implementation of modern management methods in health services management; • decentralization of the public healthcare system...
January 2016: Journal of Medicine and Life
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