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https://www.readbyqxmd.com/read/29165160/a-review-of-vietnam-s-healthcare-reform-through-the-direction-of-healthcare-activities-doha
#1
REVIEW
Kyoko Takashima, Koji Wada, Ton Thanh Tra, Derek R Smith
OBJECTIVE: This article provides a comprehensive review of the healthcare reform process driven by the Vietnamese Ministry of Health's Direction of Healthcare Activities (DOHA) scheme. METHODS: We reviewed policy documents relating to DOHA, along with historical literature and background information describing its formation. RESULTS: DOHA (Chỉ đạo tuyến in Vietnamese) literally means guidance line or level in English. It requires healthcare facilities at higher government administration levels to support those at lower levels (the four levels being central, provincial, district, and commune), to help lower level hospitals to provide medical services for local communities in primary care settings and reduce the number of patients in higher level (central and provincial) hospitals...
October 30, 2017: Environmental Health and Preventive Medicine
https://www.readbyqxmd.com/read/29161393/quality-safety-and-outcomes-in-anaesthesia-what-s-to-be-done-an-international-perspective
#2
C J Peden, M Campbell, G Aggarwal
This article reviews of some of the key topics and challenges in quality, safety, and the measurement and improvement of outcomes in anaesthesia. The topics were selected based on the perspective of an individual with quality and safety expertise and recent experience of the specialty in both the UK and USA. The review does not seek to be exhaustive or systematic, but to highlight current areas of concern and potential solutions. The topic is subdivided into sections where the system of health care is viewed from different levels...
December 1, 2017: British Journal of Anaesthesia
https://www.readbyqxmd.com/read/29158421/urban-rural-comparisons-in-hospital-admission-treatments-and-outcomes-for-st-segment-elevation-myocardial-infarction-in-china-from-2001-to-2011-a-retrospective-analysis-from-the-china-peace-study-patient-centered-evaluative-assessment-of-cardiac-events
#3
Xi Li, Karthik Murugiah, Jing Li, Frederick A Masoudi, Paul S Chan, Shuang Hu, John A Spertus, Yongfei Wang, Nicholas S Downing, Harlan M Krumholz, Lixin Jiang
BACKGROUND: In response to urban-rural disparities in healthcare resources, China recently launched a healthcare reform with a focus on improving rural care during the past decade. However, nationally representative studies comparing medical care and patient outcomes between urban and rural areas in China during this period are not available. METHODS AND RESULTS: We created a nationally representative sample of patients in China admitted for ST-segment-elevation myocardial infarction in 2001, 2006, and 2011, using a 2-stage random sampling design in 2 urban and 3 rural strata...
November 2017: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29157566/is-health-care-payment-reform-impacting-nurses-work-settings-roles-and-education-preparation
#4
Mary Val Palumbo, Betty Rambur, Vicki Hart
This study explores nurses' work settings and educational preparation in the five years before passage of the Affordable Care Act (ACA) and five years after ACA passage, with the aim of identifying areas for nurse educators' attention. The study setting was one small state undergoing rapid transition away from fee-for-service service and thus provided the ideal laboratory to assess the impact of health reform on the nursing workforce. A secondary analysis of data gathered during relicensure compared the nursing workforce at an interval of one decade, with surveys in 2005 (n=4075; 65% response rate) and in 2015 (n=6723; 97% response rate)...
November 2017: Journal of Professional Nursing: Official Journal of the American Association of Colleges of Nursing
https://www.readbyqxmd.com/read/29157512/the-closing-of-forensic-psychiatric-hospitals-in-italy-determinants-current-status-and-future-perspectives-a-scoping-review
#5
REVIEW
Claudio Di Lorito, Luca Castelletti, Ilaria Lega, Barbara Gualco, Franco Scarpa, Birgit Vӧllm
INTRODUCTION: Italy is the only country in the world to have closed forensic psychiatric hospitals and converted to fully-residential services. The international interest around this reform has not been matched by research. This scoping review aims to report the determinants of the reform, the most updated information on how the system operates, its benefits and its challenges. We further aim to discuss the implications for policy, research and practice. METHODS: 1...
November 2017: International Journal of Law and Psychiatry
https://www.readbyqxmd.com/read/29155612/health-reform-and-utilization-of-high-volume-hospitals-for-complex-cancer-operations
#6
Andrew P Loehrer, David C Chang, Zirui Song, George J Chang
PURPOSE: Underinsured patients are less likely to receive complex cancer operations at hospitals with high surgical volumes (high-volume hospitals, or HVHs), which contributes to disparities in care. To date, the impact of insurance coverage expansion on site of complex cancer surgery remains unknown. METHODS: Using the 2006 Massachusetts coverage expansion as a natural experiment, we searched the Hospital Cost and Utilization Project state inpatient databases for Massachusetts and control states (New York, New Jersey, and Florida) between 2001 and 2011 to evaluate changes in the utilization of HVHs for resections of bladder, esophageal, stomach, pancreatic, rectal, or lung cancer after the expansion of insurance coverage...
November 20, 2017: Journal of Oncology Practice
https://www.readbyqxmd.com/read/29154182/impact-of-ill-health-on-household-consumption-in-sri-lanka-evidence-from-household-survey-data
#7
Ajantha Sisira Kumara, Ramanie Samaratunge
With significant increases in chronic non-communicable diseases (NCDs) in recent years, Sri Lanka has witnessed a growing trend of increased out-of-pocket payments for healthcare, imposing a severe burden on household budgets. This is exacerbated by limited government health funding and inadequate financial security from formal social security. We examine the association of NCD-prevalence and healthcare utilization with household consumption, using the most recent Sri Lanka Household Income and Expenditure Survey 2012/2013...
November 11, 2017: Social Science & Medicine
https://www.readbyqxmd.com/read/29153922/e-health-in-switzerland-the-laborious-adoption-of-the-federal-law-on-electronic-health-records-ehr-and-health-information-exchange-hie-networks
#8
Carlo De Pietro, Igor Francetic
Within the framework of a broader e-health strategy launched a decade ago, in 2015 Switzerland passed a new federal law on patients' electronic health records (EHR). The reform requires hospitals to adopt interoperable EHRs to facilitate data sharing and cooperation among healthcare providers, ultimately contributing to improvements in quality of care and efficiency in the health system. Adoption is voluntary for ambulatories and private practices, that may however be pushed towards EHRs by patients. The latter have complete discretion in the choice of the health information to share...
November 10, 2017: Health Policy
https://www.readbyqxmd.com/read/29139303/effects-of-chinese-urban-public-hospitals-reform-on-revenue-and-compensation-after-removing-drug-markups-case-of-nanjing
#9
Wenxi Tang, Jing Xie, Yijuan Lu, Qizhi Liu, Daniel Malone, Aixia Ma
AIMS: The State Council of China requires that all urban public hospitals must eliminate drug markups by September 2017, and that hospital drugs must be sold at the purchase price. Nanjing-the first city to implement the reform-is studied to evaluate the effects of the comprehensive reform on drug prices in public hospitals and to explore differential compensation plans. METHODS: Sixteen hospitals were selected and financial data were collected over the 48-month period before the reform and for 12 months after the reform...
November 15, 2017: Journal of Medical Economics
https://www.readbyqxmd.com/read/29135978/association-between-the-2012-health-and-social-care-act-and-specialist-visits-and-hospitalisations-in-england-a-controlled-interrupted-time-series-analysis
#10
James A Lopez Bernal, Christine Y Lu, Antonio Gasparrini, Steven Cummins, J Frank Wharham, Steven B Soumerai
BACKGROUND: The 2012 Health and Social Care Act (HSCA) in England led to among the largest healthcare reforms in the history of the National Health Service (NHS). It gave control of £67 billion of the NHS budget for secondary care to general practitioner (GP) led Clinical Commissioning Groups (CCGs). An expected outcome was that patient care would shift away from expensive hospital and specialist settings, towards less expensive community-based models. However, there is little evidence for the effectiveness of this approach...
November 2017: PLoS Medicine
https://www.readbyqxmd.com/read/29132634/a-model-to-determine-payments-associated-with-radiology-procedures
#11
Thusitha Mabotuwana, Christopher S Hall, Shiby Thomas, Christoph Wald
OBJECTIVE: Across the United States, there is a growing number of patients in Accountable Care Organizations and under risk contracts with commercial insurance. This is due to proliferation of new value-based payment models and care delivery reform efforts. In this context, the business model of radiology within a hospital or health system context is shifting from a primary profit-center to a cost-center with a goal of cost savings. Radiology departments need to increasingly understand how the transactional nature of the business relates to financial rewards...
December 2017: International Journal of Medical Informatics
https://www.readbyqxmd.com/read/29123878/investigation-of-japan-disaster-medical-assistance-team-response-guidelines-assuming-catastrophic-damage-from-a-nankai-trough-earthquake
#12
Hideaki Anan, Hisayoshi Kondo, Osamu Akasaka, Kenichi Oshiro, Mitsunobu Nakamura, Tetsuro Kiyozumi, Norihiko Yamada, Masato Homma, Kazuma Morino, Shinichi Nakayama, Yasuhiro Otomo, Yuichi Koido
Aim: Transporting critically ill patients outside of disaster-affected areas for treatment is an important activity of Japan Disaster Medical Assistance Teams (DMATs). We investigated whether this activity is possible after possible catastrophic damage from a Nankai Trough earthquake. Methods: Japan was divided into three areas based on the level of predicted damage (definitely, possibly, and non-affected areas). A survey of DMATs and the locations of emergency base hospitals and intensive care units (ICUs) in each area was carried out, and the ability to support disaster areas was investigated...
July 2017: Acute Medicine & Surgery
https://www.readbyqxmd.com/read/29117426/get-on-board-realizing-full-partnerships-in-health-care
#13
Jake Creviston, Michael Polacek
Psychiatric-mental health nurses (PMHNs) have a strong leadership history, but challenges (e.g., subordinate roles to physicians) to presenting a professional persona have made it difficult to actualize nursing leadership and realize full partnership in health care reform. Physicians outnumber nurses approximately four to one on hospital and other boards, and data suggest this gap is widening. Time, preparation, desire to serve, lack of a unified voice, and being viewed as employees versus professionals are barriers to optimal nursing leadership...
November 8, 2017: Journal of Psychosocial Nursing and Mental Health Services
https://www.readbyqxmd.com/read/29115771/an-advanced-nurse-practitioner-service-for-neonates-children-and-young-people
#14
Robin Hyde
The NHS continues to face unprecedented demands and reform which necessitates a move away from traditional modes of delivery. Over the past ten years economic austerity, changes to legislation and professional career developments have led to healthcare service redesign and innovations in nursing roles, including the development of the advanced nurse practitioner (ANP) role. This article explores how one organisation created an ANP service for out-of-hours neonatal and paediatric care in a district general hospital setting...
October 10, 2017: Nursing Children and Young People
https://www.readbyqxmd.com/read/29114434/usability-evaluation-of-laboratory-information-systems
#15
Althea Mathews, David Marc
Background: Numerous studies have revealed widespread clinician frustration with the usability of electronic health records (EHRs) that is counterproductive to adoption of EHR systems to meet the aims of health-care reform. With poor system usability comes increased risk of negative unintended consequences. Usability issues could lead to user error and workarounds that have the potential to compromise patient safety and negatively impact the quality of care.[1] While there is ample research on EHR usability, there is little information on the usability of laboratory information systems (LISs)...
2017: Journal of Pathology Informatics
https://www.readbyqxmd.com/read/29110045/-the-hessian-landgrave-philipp-the-magnanimous-1504-1567-his-diseases-and-their-political-consequences
#16
REVIEW
Gerhard Aumüller
Landgrave Philipp of Hesse was one of the leading figures of the reformation period. His morganatic marriage to a young Saxonian lady resulted in a massive impairment of his importance and initiated the division of his territory among his four legitimate sons. Triorchidism ascribed to him was more likely a misdiagnosed spermatozele, and also, there is no reliable account for his syphilis infection. The foundation of the Hessian Grand Hospitals, housing the poor, sick and disabled from the countryside, was his major social-medical achievement...
November 6, 2017: Der Urologe. Ausg. A
https://www.readbyqxmd.com/read/29109667/health-system-reform-plan-and-performance-of-hospitals-an-iranian-case-study
#17
Yusefzadeh Hasan, Salem Safi Parviz, Nabilou Bahram
Background: Health system reform is essential to make desired Changes. In Iran, first phase of Health Reform Plan (HRP) was implemented in hospitals affiliated with Ministry of Health and Medical Education (MHME) in 2014. Aim: The present study was carried out to evaluate the performance of hospitals affiliated with Urmia University of Medical Sciences at the time of the implementation of HRP. Methods: This cross-sectional study carried out in two stages, before (2012- 2013) and during (2014- 2015) implementation of the HRP in district and teaching hospitals...
September 2017: Materia Socio-medica
https://www.readbyqxmd.com/read/29108131/moving-from-place-to-place-in-the-last-year-of-life-a-qualitative-study-identifying-care-setting-transition-issues-and-solutions-in-ontario
#18
Donna M Wilson, Stephen Birch
Moving from one care setting to another is common as death nears. Many concerns exist over these end-of-life (EOL) care setting transitions, including low-quality moves as mistakes and other mishaps can occur. Delayed or denied moves are also problematic, such as a move out of hospital for dying inpatients who want to spend their last hours or days at home. The aim of the study was to identify current issues or problems with care setting transitions during the last year of life as well as potential or actual solutions for these problems...
November 6, 2017: Health & Social Care in the Community
https://www.readbyqxmd.com/read/29104703/the-case-of-the-suzhou-hospital-of-national-medicine-1939-41-war-medicine-and-eastern-civilization
#19
Keiko Daidoji, Eric I Karchmer
This article explores the founding of the Suzhou Hospital of National Medicine in 1939 during the Japanese occupation of Suzhou. We argue that the hospital was the culmination of a period of rich intellectual exchange between traditional Chinese and Japanese physicians in the early twentieth century and provides important insights into the modern development of medicine in both countries. The founding of this hospital was followed closely by leading Japanese Kampo physicians. As the Japanese empire expanded into East Asia, they hoped that they could revitalize their profession at home by disseminating their unique interpretations of the famous Treatise on Cold Damage abroad...
June 2017: East Asian Science, Technology and Society
https://www.readbyqxmd.com/read/29101139/public-views-towards-community-health-and-hospital-based-outpatient-services-and-their-utilisation-in-zhejiang-china-a-mixed-methods-study
#20
Dan Wu, Tai Pong Lam, Kwok Fai Lam, Xu Dong Zhou, Kai Sing Sun
OBJECTIVE: China is engaged in promoting community health services (CHS) nationwide. This study examines the public's views towards CHS and their utilisation of community-based and hospital-based outpatient services. DESIGN: A mixed methods study using qualitative interviews and a cross-sectional survey. STUDY SETTING AND PARTICIPANTS: The study was conducted among the public between September 2014 and September 2015 in Zhejiang province, China...
November 3, 2017: BMJ Open
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