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https://www.readbyqxmd.com/read/28918322/time-for-tiger-to-roar-technology-informatics-guiding-education-reform
#1
EDITORIAL
Siobhan O'Connor, Ursula Hubner, Toria Shaw, Rachelle Blake, Marion Ball
Information Technology (IT) continues to evolve and develop with electronic devices and systems becoming integral to healthcare in every country. This has led to an urgent need for all professions working in healthcare to be knowledgeable and skilled in informatics. The Technology Informatics Guiding Education Reform (TIGER) Initiative was established in 2006 in the United States to develop key areas of informatics in nursing. One of these was to integrate informatics competencies into nursing curricula and life-long learning...
August 19, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28914122/improving-health-in-prisons-from-evidence-to-policy-to-implementation-experiences-from-the-uk
#2
Jane Leaman, Anna Amelia Richards, Lynn Emslie, Eamonn Joseph O'Moore
Purpose The purpose of this paper is to understand the components of a high-quality prison healthcare system and the impact, ten-years on, of the transfer of accountability in England, from a justice ministry to a health ministry. Design/methodology/approach A rapid the evidence review was undertaken, which included a review of 82 papers and qualitative interviews with key informants. The concepts and themes identified were summarised and analysed through a framework analysis, designed to improve population outcomes and address health inequalities...
September 11, 2017: International Journal of Prisoner Health
https://www.readbyqxmd.com/read/28910495/nursing-service-innovation-a-case-study-examining-emergency-nurse-practitioner-service-sustainability
#3
Amanda Fox, Glenn Gardner, Sonya Osborne
AIM: This research aimed to explore factors that influence sustainability of health service innovation, specifically emergency nurse practitioner service. BACKGROUND: Planning for cost effective provision of healthcare services is a concern globally. Reform initiatives are implemented often incorporating expanding scope of practice for health professionals and innovative service delivery models. Introducing new models is costly in both human and financial resources and therefore understanding factors influencing sustainability is imperative to viable service provision...
September 14, 2017: Journal of Advanced Nursing
https://www.readbyqxmd.com/read/28910357/the-quality-of-invasive-breast-cancer-care-for-low-reimbursement-rate-patients-a-retrospective-study
#4
Shaofei Su, Han Bao, Xinyu Wang, Zhiqiang Wang, Xi Li, Meiqi Zhang, Jiaying Wang, Hao Jiang, Wenji Wang, Siyang Qu, Meina Liu
Though evidence-based treatments have been recommended for breast cancer, underuse of the treatments was still observed. To certain extent, patients' access to care, which can be enhanced by increasing the coverage of health insurance, could account for the current underuse in recommended care. This study aimed to examine the association between different proportions of reimbursement and quality of recommended breast cancer care, as well as length of hospital stay. In this retrospective study, 3669 patients diagnosed with invasive breast cancer between 1 June, 2011 and 30 June, 2013 were recruited...
2017: PloS One
https://www.readbyqxmd.com/read/28904325/new-medical-education-reform-in-china-towards-healthy-china-2030
#5
Peipei Song, Chunlin Jin, Wei Tang
On July 11, 2017, the State Council of China issued a bold plan to revolutionize medical education and promote collaboration between medical education and practice. The cornerstone of the plan is training more qualified medical professionals to improve public healthcare on the path to Healthy China 2030. According to this plan, a "5+3" training system will be instituted to train medical professionals in China, and top medical colleges will be encouraged to recruit more students. However, given the less-than-ideal professional status of Chinese doctors, the frequent incidents of violence against them, long working hours and a heavy workload, and an unsatisfactory income, attracting personnel to work in medicine and health care has become a challenge...
2017: Bioscience Trends
https://www.readbyqxmd.com/read/28901917/ensuring-proactive-regulatory-initiatives-align-with-the-public-interest
#6
Kathleen Leslie, Sioban Nelson
Regulation of health professions in Ontario has been under scrutiny in recent years with critical media attention and multiple legislative reform measures. The College of Medical Laboratory Technologists of Ontario's proactive regulatory initiative on steering professional culture, described by Wilkie and Tzountzouris (2017) in their discussion paper, is an example of a regulator evolving its role in the face of changing healthcare demands. In this response, we emphasize how regulators considering these types of initiatives need to ensure the focus remains on transparently carrying out their legislative duty of serving and protecting the public interest...
2017: HealthcarePapers
https://www.readbyqxmd.com/read/28901543/role-of-mhealth-in-overcoming-the-occurrence-of-post-stroke-depression
#7
REVIEW
J J Miranda, M G Moscoso, M Toyama, V Cavero, F Diez-Canseco, B Ovbiagele
Depression associated with stroke affects roughly one-third of stroke survivors. Post-stroke depression (PSD) is thought to adversely influence functional outcome by limiting participation in rehabilitation, decreasing physical, social, and cognitive function, and affecting neuroplasticity thereby placing stroke survivors at high risk for future vascular events. PSD has also been associated with higher mortality rates after stroke. In Peru, a country where there is no national stroke program and mental health disorders are largely underdiagnosed and untreated, people with PSD are likely to be further challenged by dependency and impoverished conditions that will limit their use of ambulatory services, leading to inadequate clinical follow-up...
September 13, 2017: Acta Neurologica Scandinavica
https://www.readbyqxmd.com/read/28893261/a-tale-of-two-systems-practice-patterns-of-a-single-group-of-emergency-medical-physicians-in-taiwan-and-china
#8
I-Anne Huang, Tang-Her Jaing, Chang-Teng Wu, Chee-Jen Chang, Shan-Hsuan Hsia, Nicole Huang
BACKGROUND: The quality of pediatric emergency care has been a major concern in health care. Following a series of health system reforms in China, it is important to do this assessment of pediatric emergency care, and to explore potential influences of health care system. This study aimed to compare practice differences in treating children with respiratory illnesses in two emergency department (ED) settings within different health care systems: China and Taiwan. METHODS: A pooled cross-sectional hospital-based study was conducted in two tertiary teaching hospitals in Xiamen, China and Keelung, Taiwan belong to the same hospital chain group...
September 11, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28890597/women-s-land-tenure-security-and-household-human-capital-evidence-from-ethiopia-s-land-certification
#9
Felix M Muchomba
This paper examines the impact of Ethiopia's gendered land certification programs on household consumption of healthcare, food, education, and clothing. Ethiopia embarked on a land tenure reform program in 1998, after years of communism during which all land was nationalized. The reform began in Tigray region where land certificates were issued to household heads, who were primarily male. In a second phase carried out in 2003-2005, three other regions issued land certificates jointly to household heads and spouses, presenting variation in land tenure security by gender...
October 2017: World Development
https://www.readbyqxmd.com/read/28882522/hospital-competitive-intensity-and-perioperative-outcomes-following-lumbar-spinal-fusion
#10
Wesley M Durand, Joseph R Johnson, Neill Y Li, JaeWon Yang, Adam E M Eltorai, J Mason DePasse, Alan H Daniels
BACKGROUND CONTEXT: Inter-hospital competition has been shown to influence adoption of surgical techniques and approaches, clinical patient outcomes, and healthcare resource utilization for select surgical procedures. However, little is known regarding these dynamics as they relate to spine surgery. PURPOSE: This investigation sought to examine the relationship between inter-hospital competitive intensity and perioperative outcomes following lumbar spinal fusion...
September 4, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28877624/work-motivation-among-healthcare-professionals
#11
Sofia Kjellström, Gunilla Avby, Kristina Areskoug-Josefsson, Boel Andersson Gäre, Monica Andersson Bäck
Purpose The purpose of this paper is to explore work motivation among professionals at well-functioning primary healthcare centers subject to a national healthcare reform which include financial incentives. Design/methodology/approach Five primary healthcare centers in Sweden were purposively selected for being well-operated and representing public/private and small/large units. In total, 43 interviews were completed with different medical professions and qualitative deductive content analysis was conducted...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877623/management-challenges-in-british-columbia-s-healthcare-system
#12
Howard Peter Greenwald
Purpose The purpose of this paper is to identify the operational and management challenges in a globally budgeted, regionalized healthcare system and their implications for public service. Design/methodology/approach Concentrating on British Columbia's regional health authorities (RHAs) and hospitals, this study utilized data from interviews of key informants, documents (histories, legislation, agreements between RHAs and provincial government, and RHA organizational charts), news reports, and participant observation at board meetings...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877617/workforce-flexibility-in-defence-of-professional-healthcare-work
#13
Sarah Wise, Christine Duffield, Margaret Fry, Michael Roche
Purpose The desirability of having a more flexible workforce is emphasised across many health systems yet this goal is as ambiguous as it is ubiquitous. In the absence of empirical studies in healthcare that have defined flexibility as an outcome, the purpose of this paper is to draw on classic management and sociological theory to reduce this ambiguity. Design/methodology/approach The paper uses the Weberian tool of "ideal types". Key workforce reforms are held against Atkinson's model of functional flexibility which aims to increase responsiveness and adaptability through multiskilling, autonomy and teams; and Taylorism which seeks stability and reduced costs through specialisation, fragmentation and management control...
June 19, 2017: Journal of Health Organization and Management
https://www.readbyqxmd.com/read/28877588/what-do-evaluations-tell-us-about-implementing-new-models-in-rural-and-remote-primary-health-care-findings-from-a-narrative-analysis-of-seven-service-evaluations-conducted-by-an-australian-centre-of-research-excellence
#14
David Lyle, Emily Saurman, Sue Kirby, Debra Jones, John Humphreys, John Wakerman
INTRODUCTION: A Centre of Research Excellence (CRE) in Rural and Remote Primary Healthcare was established in 2012 with the goal of providing evidence to inform policy development to increase equity of access to quality health care and the identification of services that should be available to the diverse communities characterising Australia. This article reports on the key findings from seven CRE service evaluations to better understand what made these primary health care (PHC) models work where they worked, and why...
July 2017: Rural and Remote Health
https://www.readbyqxmd.com/read/28877361/-enticing-case-study-or-celebrated-anomaly-policy-learning-from-the-cuban-health-system
#15
Rob Baggott, George Lambie
Cuba is regarded as having achieved very good health outcomes for its level of economic development. It has adopted policies and programs that focus on prevention, universal access to healthcare, a strong primary care system, the integration of health in all policies, and public participation in health. It has also established a strong and accessible system of medical education and provides substantial medical aid and support to other countries. Why then, it may be asked, has the Cuban experience not had greater influence on health policies and reforms elsewhere? This article, based on a literature review and new primary sources, analyzes various factors highlighted in the policy transfer literature to explain this...
September 6, 2017: International Journal of Health Planning and Management
https://www.readbyqxmd.com/read/28874198/who-pays-for-healthcare-in-bangladesh-an-analysis-of-progressivity-in-health-systems-financing
#16
Azaher Ali Molla, Chunhuei Chi
BACKGROUND: The relationship between payments towards healthcare and ability to pay is a measure of financial fairness. Analysis of progressivity is important from an equity perspective as well as for macroeconomic and political analysis of healthcare systems. Bangladesh health systems financing is characterized by high out-of-pocket payments (63.3%), which is increasing. Hence, we aimed to see who pays what part of this high out-of-pocket expenditure. To our knowledge, this was the first progressivity analysis of health systems financing in Bangladesh...
September 6, 2017: International Journal for Equity in Health
https://www.readbyqxmd.com/read/28874176/evaluative-reports-on-medical-malpractice-policies-in-obstetrics-a-rapid-scoping-review
#17
Roberta Cardoso, Wasifa Zarin, Vera Nincic, Sarah Louise Barber, Ahmet Metin Gulmezoglu, Charlotte Wilson, Katherine Wilson, Heather McDonald, Meghan Kenny, Rachel Warren, Sharon E Straus, Andrea C Tricco
BACKGROUND: The clinical specialty of obstetrics is under particular scrutiny with increasing litigation costs and unnecessary tests and procedures done in attempts to prevent litigation. We aimed to identify reports evaluating or comparing the effectiveness of medical liability reforms and quality improvement strategies in improving litigation-related outcomes in obstetrics. METHODS: We conducted a rapid scoping review with a 6-week timeline. MEDLINE, EMBASE, LexisNexis Academic, the Legal Scholarship Network, Justis, LegalTrac, QuickLaw, and HeinOnline were searched for publications in English from 2004 until June 2015...
September 6, 2017: Systematic Reviews
https://www.readbyqxmd.com/read/28869571/value-based-pricing-and-reimbursement-in-personalised-healthcare-introduction-to-the-basic-health-economics
#18
REVIEW
Louis P Garrison, Adrian Towse
'Value-based' outcomes, pricing, and reimbursement are widely discussed as health sector reforms these days. In this paper, we discuss their meaning and relationship in the context of personalized healthcare, defined as receipt of care conditional on the results of a biomarker-based diagnostic test. We address the question: "What kinds of pricing and reimbursement models should be applied in personalized healthcare?" The simple answer is that competing innovators and technology adopters should have incentives that promote long-term dynamic efficiency...
September 4, 2017: Journal of Personalized Medicine
https://www.readbyqxmd.com/read/28865987/-the-german-statutory-accident-insurance-a-successful-example-of-a-value-based-healthcare-structure
#19
Michael Wich, Thomas Auhuber, Dirk Scholtysik, Axel Ekkernkamp
In the mid-1920s Porter and others developed a reform approach for existing health care systems, aiming at a patient-focused, value-based orientation. Improving patient outcomes by attaining, preserving and restoring good health is inherently less costly than dealing with poor health. The authors of the present article will outline that the German statutory accident insurance system, which was already introduced in1884 and is of an evolving nature, reflects key elements of Porter's efficient value-based health care system...
August 30, 2017: Zeitschrift Für Evidenz, Fortbildung und Qualität Im Gesundheitswesen
https://www.readbyqxmd.com/read/28862012/-american-healthcare-system-and-the-uncertain-future-of-the-obamas-reform
#20
Helena Hnilicová
The United States differs from other developed countries in health care system which does not guarantee health care for the entire population. The right to health care is not considered a part of the basic human rights. There is much more emphasis on individual responsibility in insurance of health services that are essentially commercial in nature. The aim of this article is to inform on US health system and the measures underlying the recently introduced health reform, whose future development cannot be predicted at present...
2017: Casopís Lékar̆ů C̆eských
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