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Journal articles on the topic 'Health services regulation'
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Dalle, Ambo, Sri Purwantono, and Bahtiar Bahtiar. "Analysis of the Quality of Health Center Services Based on Public Service Regulation by the Government." Health Notions 4, no. 6 (June 30, 2020): 192–95. http://dx.doi.org/10.33846/hn40606.
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Health centers are expected to provide quality health services that meet the needs of the customers. Health centers need to improve services in order to be able to compete, develop, and grow. This study describe the satisfaction of the customers for services provided by Kendal Health Center, Ngawi, Indonesia. The population of this study were community who utilized health services at the Kendal Health Center in 2016. The sample were selected using quota sampling. Each unit of service given a quota of 20 respondents, while auxiliary health center were quota of 10 respondents, because the customer visit at a auxiliary health center were lower. The variable was the satisfaction with services provided by health center. Data were collected by filling out questionnaires, then analyzed descriptively using spiderweb diagram. In general, the results of the study indicate that the quality of health center services was in the good category, and all service units had succeeded in exceeding the predetermined targets.
Keywords: health center; service quality; public service
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Tasnim, S. "Menstrual Regulation Services and Post Menstrual Regulation Care in the Context of Bangladesh." Nepal Journal of Obstetrics and Gynaecology 6, no. 2 (September 2, 2012): 53–55. http://dx.doi.org/10.3126/njog.v6i2.6760.
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Menstrual regulation (MR) program is an important component of reproductive health services that had been introduced to prevent abortion related deaths in Bangladesh. The service is provided through a nationwide network of government and non government facilities. Proper selection of cases and maintenance of quality of services are essential to prevent any complication and optimize its use. NJOG 2011 Nov-Dec; 6 (2): 53-55 DOI: http://dx.doi.org/10.3126/njog.v6i2.6760
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Marinho da Silva, Márcia Elizabeth, Eduardo R. Santos, and Denis Borenstein. "Implementing Regulation Policy in Brazilian Health Care Regulation Centers." Medical Decision Making 30, no. 3 (December 29, 2009): 366–79. http://dx.doi.org/10.1177/0272989x09344748.
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The regulation of specialist medical appointments represents one of the problematic areas of the Brazilian Public Health System. In this regulation process, 2 issues stand out: 1) which patients should have the highest attendance priority, and 2) which service suppliers can best resolve the specific health problem of a patient? Based on the consideration of the existing Brazilian context in the field of medical assistance, this study proposes a model designed to aid regulation centers deal with the decisions related to the process of allocating specialist medical appointments. The model integrates multicriteria decision analysis and linear programming for the specialist medical appointment allocation, in which the allocation of patients is defined as a function of the relative significance of a set of criteria related to the notion of effectiveness of the specialist medical care and the capability of the accredited specialist health care units. The integrated model was implemented in a computer-based system and validated using cardiology and vein surgery data from the regulation center in Porto Alegre, Brazil. The validated computational system was applied to mammography services in another regulation center. The system successfully implemented a prioritization scheme, decreasing significantly the examination waiting time of severe cases.
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Kelsall, Afra, and John Devapriam. "Regulation of intellectual disability services." Advances in Mental Health and Intellectual Disabilities 9, no. 3 (May 5, 2015): 101–7. http://dx.doi.org/10.1108/amhid-01-2015-0005.
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Purpose – Winterbourne and Mid-Staffordshire scandals have had a significant impact on how Care Quality Commission inspects and regulates intellectual disability services (IDS). The purpose of this paper is to describe the changes and development of regulation of these services and future work. Design/methodology/approach – The paper is a descriptive paper. Findings – A new regulatory model is currently implemented for IDS. It has been developed in consultation with patients, carers, providers and other stakeholders. There will be ongoing development and refinement of the inspection methodology. Originality/value – This is an original descriptive paper which will provide useful information to readers on how the regulatory process works in IDS.
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Widi, Raharjo. "SJSN HEALTH REVIEW WITH FAMILY DOCTOR SERVICES." JURNAL BORNEO AKCAYA 1, no. 1 (June 30, 2014): 25–36. http://dx.doi.org/10.51266/borneoakcaya.v1i1.7.
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National Social Assurance System (NSAS) has been valid from January 1, 2014 , with PT.ASKES as the Health Social Assurance Agency. The Preparation to welcome the validity of the National Social Assurance System (NSAS) has been doing. Until now the regulation of laws has not come yet to the procedures and technical guidelines. The health services on NSAS primary physician that is comprehensive became a choice by applying the pattern of health care family physician. Based on the regulation of laws, reference books, seminar materials and especially experience as a general practice physician who served patients with pre-paid system for almost 15 years, providing input like problems that can arise and the alternative solutions in order to support NSAS work better, maintained the quality and continuity, seeking the least possible service problems especially on the family physician service
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Sukawinaca, I. Made, Komang Ayu Kartika Sari, and I. Made Ady Wirawan. "Perceptions of patients and providers on the use of acupressure services at Public Health Centres, Tabanan District, Bali." Public Health and Preventive Medicine Archive 5, no. 2 (December 1, 2017): 124. http://dx.doi.org/10.15562/phpma.v5i2.26.
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Background and purpose: Acupressure services are available at some public health centres (PHCs) in Bali, but the service utilisation remains low. The purpose of this study is to explore the perception of patients and service providers on the use of acupressure services at PHC in Tabanan.Methods: This study used a qualitative design based on observation and in-depth interviews with 13 informants consisting of patients, health service practitioners, head of PHC and program manager at Tabanan Health Office. The informants were chosen purposively and the data were analysed thematically.Results: There were different perceptions regarding the benefits of acupressure services between patients utilising the services and those who had not. Patients who had undergone acupressure demonstrated positive perception of the service. Acupressure services are considered to be effective in dealing with patient complaints, have no side effects, and patients reported being satisfied with the services provided by the PHC. Patients who did not utilise acupressure services, view acupressure as an ineffective therapy with potential side effects that may endanger their health. These patients experienced trauma from similar massage techniques. Service providers lamented the absence of government support in the form of local regulations that would enable them to access funding, increase human resources and facilitate promotion of the services.Conclusions: Patient perceptions of acupressure services still vary, with some contraints in the implementation that consist of local regulation, operational fund and human resources. Acupressure services still require synergy between central and local government policies to support its implementation.
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Turnbull, Catherine, Karen Grimmer-Somers, Saravana Kumar, Esther May, Deborah Law, and Elaine Ashworth. "Allied, scientific and complementary health professionals: a new model for Australian allied health." Australian Health Review 33, no. 1 (2009): 27. http://dx.doi.org/10.1071/ah090027.
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There is no standard or agreed definition of ?allied health? nationally or internationally. This paper reviews existing definitions of allied health, and considers aspects of allied health services and service delivery in order to produce a new model of allied health that will be flexible in a changing health service delivery workforce. We propose a comprehensive model of allied, scientific and complementary (ASC) health professionals. This model recognises tasks, training, organisation, health sectors and professional regulation. It incorporates traditional and new services which are congruent with allied health foci, allegiances, responsibilities and directions. Use of this model will allow individual organisations to describe their ASC health workforce, and plan for recruitment, staff training and remuneration.
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Suminah, Suminah, and Nasser Kelly. "Implementation minimal service standards in outpatients hospital district Bogor." SOEPRA 5, no. 1 (August 2, 2019): 77. http://dx.doi.org/10.24167/shk.v5i1.1633.
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Minimum Service Standards were made to serve as guidance for regions in organizing hospitals. The standards were then used as working indicators by the hospital management. In the field of health, the Minimum Service Standards were regulated by Health Minister’s Decree Nr. 43 of 2016. It was used as a tool to ensure even basic services access and quality to the community that was established and accountable to the Central Government. The Minimum Health Service Standards were very important for hospital’s outpatients in relation with the services provided and were closely related to the outpatient’s protection. This research applied socio-legal approach having analytical-descriptive specification. The data were gathered by having interviews to some resources, namely Head of Health Office of Bogor District, Director of Mary Hospital of Cileungsi Hijau, Unit Head of Sentosa Hospital of Parung.The results of the research showed that the Health Minister’s Decree Nr. 43 of 2016 on Minimum Service Standards in Health Field had not well implemented. The absence of minimun service standards setting issued by the Local Government, namely Bogor District, had made the health services run the minimum service standards in accordance with the existing regulations that referred to Health Office’s Strategic Planning (Renstra) and Health Minister’s Regulation on Hospital Classification and Permit. Bogor District should refer to the Health Minister’s Decree Nr. 43 of 2016 on Minimum Service Standards in Health Field so that the implementation of minimum services standards to outpatients could be well performed.
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Moore, Jean. "Health professions regulation in the United States." Revista de Direito Sanitário 19, no. 2 (December 11, 2018): 131–55. http://dx.doi.org/10.11606/issn.2316-9044.v19i2p131-155.
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The regulation of health professions in the United States is a primary responsibility of states. The structure and content of the specific regulations of each state impact the provision of health services, affecting costs, quality and access. There is concern that current state-based and profession-specific regulatory structures cannot serve as a basis for the innovations the health workforce needs for health reform. This paper reviews aspects of state-based health professions regulations that limit the effective use of health workers and also one of its key advantages: their ability to provide local solutions to address access problems. The paper describes elements that generate changes in the demand for health services and health care providers. Finally, strategies are recommended to improve decision-making related to practice including: standardization of practice scopes between different states; permanent updating of specific acts of professional practice in each state, in accordance with the evolution of professional competencies; use of the best evidence to authorize new professions or expand the scope of practice of the existing ones and, when this evidence does not exist, to promote programs to test new modalities of work. Taking into account the pace of changes in the health system in the United States, there is a growing urgency for reforms to ensure adequate size and training of the workforce for the future.
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Yerdavletova, Farida, and Temirkhan Mukhambetov. "Quality of medical services: problems, evaluation and regulation." Verslas: Teorija ir Praktika 16, no. 3 (October 1, 2015): 243–51. http://dx.doi.org/10.3846/btp.2015.487.
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One of the most acute problems in the healthcare industry – the problem of the quality of medical services. In this area, there is no established definition of medical services or approaches to quality management. The aim of the article is to analyze the existing definitions of “quality of medical services,” as well as development approach to managing medical organization. At the same time the management of the medical organization should be focused on ensuring the quality as the most important criterion for the organization. Methodology of the study is based on analysis and grouping of existing definitions of medical services, the factorial approach to evaluating the quality and organization of the process approach to management of the medical organization. Noting the versatility and diversity concepts of quality of care the authors suggest grouping of direct and indirect factors affecting the quality of medical services. However, it is important, according to the authors, to move from functional management to management based on the process approach, which provides better control over the processes of customer service. Is given process model of quality management of health services and highlights the main groups of processes in the medical organization.
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Shevchuk, Oleksandr, Volodymyr Maryniv, Yuliia Mekh, Oleksandra Shovkoplias, and Oksana Saichuk. "Aspects of legal regulation of the provision of medical services." Revista Amazonia Investiga 9, no. 27 (March 21, 2020): 357–66. http://dx.doi.org/10.34069/ai/2020.27.03.39.
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The article focuses on the need to respect human rights in the provision of medical services in Ukraine. It is strictly unacceptable to restrict citizens of Ukraine in receiving free medical services, since such a right is provided for by Art. 49 of the Constitution of Ukraine. It is proposed to consider that a medical service includes all types of medical care and is a special activity in relation to human health. The concept and main signs of medical services are revealed, it is established that the state, local governments, legal entities and individuals, including the patient, can be the customer of medical services. Ukrainian legislation governing the provision of medical services does not meet international standards. The positive experience of the EU countries (France, Denmark, Slovakia) and the world (Australia, Canada) shows that access to medical services is provided within the framework of medical insurance, in most cases free of charge, and is controlled by authorized state organizations. The purpose of the article is to determine the content, signs of medical services, classification criteria for their subjects, disclose the features of their legal regulation, clarify the problems of legalization of medical services and improve legislation taking into account foreign experience. The research methodology is based on a systematic approach, which is determined by the specifics of the topic of the article, and is also associated with the use of general and special research methods. The comparative legal method and the method of legal analysis were used in the study of legislative rules governing the provision of medical services. Using the method of legal analysis, groups of subjects of medical legal relations in the field of medical services are determined and their powers are analyzed. The formal logical method was used to differentiate the criteria for distinguishing between the legal structures “medical care” and “medical service”. The results of the study contributed to the identification of certain legal problems that arise when citizens receive medical services and require immediate resolution. It is also advisable to introduce compulsory state health insurance.
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Yustina, Endang Wahyati, and Anggraeni Endah Kusumaningrum. "THE PRINCIPLE OF NON-DISCRIMINATION IN HEALTH SERVICES IN THE PERSPECTIVE OF GOVERNMENT RESPONSIBILITY." UNTAG Law Review 3, no. 2 (November 29, 2019): 188. http://dx.doi.org/10.36356/ulrev.v3i2.1419.
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<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p><span>Everyone has the right to receive health services. This is guaranteed in the 1945 Constitution. The government is responsible for making this happen through various health service efforts which include individual health service efforts and public health service efforts. The principle of non-discrimination in health services is a principle that originates from Human Rights. This principle must become the foundation in the implementation of health services, so that everyone must be treated equally and humanely and not discriminatory. Health services that are based on the principle of non-discrimination are the responsibility of the government through the implementation of government functions, in the form of regulation, implementation and supervision of the administration of health services. public services and general principles of good governance, one of which is the principle of non-discrimination. Therefore everyone has the right to get the same treatment to get the right to health services. </span></p></div></div></div>
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Shen, Jay J., Linda F. Samson, Elmer L. Washington, Phyllis Johnson, Constance Edwards, and Amy Malone. "Barriers of HIPAA Regulation to Implementation of Health Services Research." Journal of Medical Systems 30, no. 1 (February 2006): 65–69. http://dx.doi.org/10.1007/s10916-006-7406-z.
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Bos, Michael. "HEALTH TECHNOLOGY ASSESSMENT IN THE NETHERLANDS." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 485–519. http://dx.doi.org/10.1017/s0266462300101126.
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The Dutch healthcare system is not a single overall plan, but has evolved from a constantly changing mix of institutions, regulations, and responsibilities. The resulting system provides high-quality care with reasonable efficiency and equal distribution over the population. Every Dutch citizen is entitled to health care. Health insurance is provided by a mix of compulsory national insurance and public and private insurance schemes. Hospitals generally have a private legal basis but are heavily regulated. Supraregional planning of high-tech medical services is also regulated. Hospitals function under fixed, prospective budgets with regulation of capital investments. Independent general practitioners serve a gatekeeper role for specialist and hospital services and are paid by capitation or fee for service. Specialists are paid by fee for service. All physicians' fees are controlled by the Ministry of Economic Affairs. Coverage of benefits is an important method of controlling the cost of services. There is increasing concern about health care quality. Health technology assessment (HTA) has become increasingly visible during the last 15 years. A special national fund for HTA, set up in 1988, has led to many formal and informal changes. HTA has evolved from a research activity into policy research for improving health care on the national level. In 1993 the government stated formally that enhancing effectiveness in health care was one of its prime targets and that HTA would be a prime tool for this purpose. The most important current issue is coordination of HTA activities, which is now undertaken by a new platform representing the important actors in health care and HTA.
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O’Farrell, Lisa, Michael Byrne, and Linda Moore. "National standards: improving patient rights and safety of health services." Clinical Governance: An International Journal 19, no. 3 (July 1, 2014): 194–206. http://dx.doi.org/10.1108/cgij-02-2014-0006.
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Purpose – Regulation is increasingly being used in healthcare to influence the behaviour of healthcare organisations. Since 2006, a key change in Ireland has been the introduction of national regulatory standards in mental health services under new legislation. Little empirical evidence, however, exists on the effects of regulation. The purpose of this paper is to examine the perceived impact of standards at patient level as well as on professional and organisational practice in services. Design/methodology/approach – An anonymous online survey methodology using a self-devised questionnaire instrument was employed. A national cohort of service managers and multi-disciplinary mental health professionals were asked their views on the introduction of standards. Findings – A total of 185 individuals responded to the survey, yielding a response rate of 38 per cent. Substantial improvements were reported to have taken place across services with the most notable changes being improved safeguarding of patients’ rights and increased safety of care. Additionally, major changes were reported in professional working with new topics being discussed at management meetings and new functions being incorporated into certain professionals’ roles. Practical implications – Standards can change behaviour at several levels across healthcare organisations, although professional groups differ in their views on the degree of this impact. Originality value – To the authors’ knowledge, this is the first evaluation of the impact of national regulatory standards in healthcare in Ireland. This study lends support to the use of standards to enhance patient rights and the safety of services. The results provide useful direction for policy makers, regulators, and service providers.
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Maghfiroh, Wilda. "PERSEPSI KLIEN TERHADAP FAKTOR-FAKTOR YANG MEMPENGARUHI PEMANFAATAN LAYANAN RAWAT JALAN DI PUSKESMAS KLABANG KABUPATEN BONDOWOSO." Jurnal Keperawatan Profesional 8, no. 2 (October 6, 2020): 53–68. http://dx.doi.org/10.33650/jkp.v8i2.1432.
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Health services is most closely related to when someone needs health services and how far the effectiveness of these services. This study aims to analyze the factors that influence clients in utilizing outpatient services at Klabang Community Health Center, Bondowoso District. Quantitative research design with a Cross. With a sample of 245 respondents taken with accidental sampling technique. The tool used was a questionnaire, which then carried out a bivariate and multivariate analysis to determine the factors that influence the client in the use of outpatient services at the Klabang Community Health Center in Bondowoso district. The results of the statistic test found that service facilities, nurse or midwife services, service fees, doctor services, ease of information and health insurance regulation systems significantly affected the utilization of outpatient services. Community perceptions of good service from the community health center give a deep impression and cause motivation to be able to take advantage of the health services provided. If the public knows that service delivery is by what is expected, trust and satisfaction will increase. The Public Health Center as one type of first-level health service facility has an important role in the national health system, specifically the health efforts subsystem.
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Katzman, Mitchell. "Freestanding Emergency Centers: Regulation and Reimbursement." American Journal of Law & Medicine 11, no. 1 (1985): 105–29. http://dx.doi.org/10.1017/s009885880000914x.
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AbstractThe freestanding emergency center, which combines the functions of a doctor's office and a hospital emergency room, has emerged as a new provider of health care. These centers have generated considerable controversy over their role in the health care market. Proponents argue that freestanding emergency centers reduce costs by providing care in a more efficient manner and cause other health care providers such as hospital emergency rooms to reduce costs and improve service. Opponents argue that the centers create an additional layer of health care which duplicates existing services and increases total health care costs. This Note examines the controversial issues of licensure, regulation and reimbursement. The Note concludes that freestanding emergency centers can help to reduce health care costs and discusses the steps that should be taken to aid centers in achieving this goal.
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Palley, Howard A. "Canadian Federalism and the Canadian Health Care Program: A Comparison of Ontario and Quebec." International Journal of Health Services 17, no. 4 (October 1987): 595–616. http://dx.doi.org/10.2190/1x9f-4q4h-fe89-5mue.
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The Quebec and Ontario health insurance and health service delivery systems, developed within the parameters of federal regulations and national financial subsidies, provide generally universal and comprehensive basic hospital and medical benefits and increasingly provide for the delivery of long-term care services. Within a framework of cooperative federalism, the health care systems of Ontario and Quebec have developed uniquely. In terms of vital statistics, the health of Ontario and Quebec residents generally is comparable. In viewing expenditures, Quebec has a more clearly articulated plan for providing accessible services to low-income persons and for integrating health and social services, although it has faced some difficulties in seeking to achieve the latter goal. Its plans for decentralized services are counterbalanced by a strong provincial role in health policy decision-making. Quebec's political culture also allows the province to play a stronger role in hospital planning and in the regulation of physician income than one finds in Ontario. These political dynamics allow Quebec an advantage in control of costs. In Ontario, in spite of some recent setbacks, physician interests and hospital sector interests play a more active role in health system bargaining and are usually able to influence remuneration and resource allocation decisions more than physician interests and hospital sector interests in Quebec.
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Purwalaksana, Ida Bagus, Sumartono, Bambang Santoso Haryono, Wike, and Bambang Slamet Riyadi. "Implications of Social Inequality for Soldiers in Health Services of the Indonesian National Armed Forces Managed by the Social Security Agency." Journal of Southwest Jiaotong University 56, no. 3 (June 30, 2021): 307–17. http://dx.doi.org/10.35741/issn.0258-2724.56.3.26.
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This scientific journal research analyzes Law No. 24 of 2011 on health services for the Indonesian National Armed Forces (TNI) sector along with their families included in the national health insurance managed by the Healthcare and Social Security Agency (BPJS) and its implementation regulated in the Presidential Regulation and Health Minister Regulation. However, the implementation of the BPJS health insurance at the TNI institutions does not show effective results, and it tends to decline. Therefore, it is necessary to interpret various factual factors affecting the success of the implementation process of health service delivery policies, which will be useful for finding synergies in the implementation of health services in the TNI. This research on the implementation of policies in the TNI health services was a scientific activity prepared using certain types and strategies and at the same time viewed from certain aspects which had several types and strategies. Therefore, this research used the descriptive qualitative method. Six factors should be interpreted to know the implementation of the TNI health service policy under Law No. 24 of 2011, namely; 1) policy standards and objectives, 2) resources, 3) characteristics of the implementing organization, 4) attitudes of the implementers, 5) communication among organizations related to implementation activities, 6) social, economic and political environments. All these factors synergize with each other and affect health services to TNI, which are administered by BPJS.
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Dodd, P. "Mental Health and Social Care Regulation in Ireland: New Ethical Perspectives." European Psychiatry 41, S1 (April 2017): S21. http://dx.doi.org/10.1016/j.eurpsy.2017.01.118.
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This talk will outline the regulatory framework (both mental health and social care) currently in place in Ireland for people with intellectual disability (I.D.) and mental health problems, in the context of the varied nature of available mental health services. As not all aspects of service are currently under the regulatory system, potential ethical issues arise, and will be discussed.In addition new legislation regarding the support of people with vulnerable decision making capacity will be outlined (Assisted Decision Making (Capacity) Act, 2015); potential ethical issues that are currently arising from this legislation will be explored and discussed.Disclosure of interestThe author has not supplied his declaration of competing interest.
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Rob, Ubaidur, Nancy Piet-Pelon, and Marium Ul Mutahara. "When Family Planning Services Fail: Experience from Bangladesh." International Quarterly of Community Health Education 23, no. 2 (June 2003): 151–67. http://dx.doi.org/10.2190/kfnb-l6x2-agt5-q11h.
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Unwanted pregnancy continues to be a major problem in Bangladesh, despite a steady increase in contraceptive use over the last two decades. Abortion is illegal in Bangladesh but menstrual regulation (MR) is routinely provided through health services. The 1999–2000 Bangladesh Demographic and Health Survey (BDHS) data indicate that approximately 5% of currently married women had ever received MR services. Service statistics suggest a rising trend in MR and induced abortion, which is expected to decline as contraceptive use rate increases. It is observed that knowledge of MR had not significantly increased over time and women did not differentiate between MR and abortion. Findings from case studies suggest that in most cases husbands have supported decisions regarding both contraception and pregnancy termination. Understanding the experiences of MR users will help service providers to identify problems faced by a particular group of women who desperately need quality reproductive health services.
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Goes, PSA, RP Cavalcanti, DF Cruz, LFD Almeida, and WWN Padilha. "The Regulation of Services in Secondary Oral Health Care in Brazil." Pesquisa Brasileira em Odontopediatria e Clínica Integrada 18, no. 1 (2018): 1–10. http://dx.doi.org/10.4034/pboci.2018.181.61.
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Griffith, Richard. "Regulation of midwifery services: The Health and Social Care Act 2008." British Journal of Midwifery 19, no. 8 (August 2011): 536–37. http://dx.doi.org/10.12968/bjom.2011.19.8.536.
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Bhattarai, Madhur Dev. "Facilitation of free residential training inside the country – The fundamental health service responsibility of the Government and its regulatory body." Journal of Nepal Medical Association 53, no. 197 (March 31, 2015): 40–69. http://dx.doi.org/10.31729/jnma.2704.
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For optimum Peripheral Health Service and implementation of various Vertical Public Health Programme Services, network of public Rural and Urban Health Centers with trained Specialists in General Practice (GP) is essential. Later such Specialist GPs will thus fulfill both comprehensive training and experience required for Health Management and Planning Service in the centre. About 40%-50% of all Residential Trainings and Specialists are required in GP. There are further up to 100 to 150 possible specialties in which remaining doctors can be trained for Specialty Health Services. Though free Residential Training has numerous advantages, its shortage inside country is the bottleneck to provide above mentioned Health Services. Planning for health service delivery by at least trainee residents under supervision or appropriately trained specialists guides Residential Training’s regulations. Fulfillment of objective training criteria as its core focus is the concept now with the major role of Faculty as supervising residents to provide required service in the specialty and simultaneously updating themselves and their team for Evidence-Based Medicine practice. Similarly the need of Ambulatory Health Service and joint management of in-patients by specialists in hospitals has changed unit and bed divisions and requirements for Residential Training. Residents, already the licensed doctors, are thus providing required hospital service as indispensable part of its functional hierarchy for which they need to be paid. With such changing concepts and trends, there are some essential points in existing situation to facilitate free Residential Training inside country. For Government doctors, relevant amendment in their regulation is accordingly required.
Keywords: ambulatory care; general practice; health service; hospitalist; medical council; medical
education; public health; regulatory body; research; residential training.
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Hirshfeld, Edward B. "Provider Sponsored Organizations and Provider Service Networks—Rationale and Regulation." American Journal of Law & Medicine 22, no. 2-3 (1996): 263–300. http://dx.doi.org/10.1017/s009885880000784x.
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When a provider accepts capitation from a health plan for a pool of patients, it assumes risk from the plan. The risk is that the cost of furnishing health care needed by the patients may exceed the funds paid to the provider by the health plan. There are several levels of risk. The first level is capitation arrangements for services rendered by the provider. The next level is capitation arrangements where the provider assumes risk not only for its own services, but also the services of other providers. As the number of services of other providers for which risk is assumed increases, the risk-taking provider comes closer and closer to assuming risk for the entire benefits package. At some point, it makes sense for the risk-taking provider to become a licensed health plan. As providers become more capable in managing large amounts of risk, they become more interested in organizing health plans.
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Van Broeck, Nady, and Germain Lietaer. "Psychology and Psychotherapy in Health Care." European Psychologist 13, no. 1 (January 2008): 53–63. http://dx.doi.org/10.1027/1016-9040.13.1.53.
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During the last 20 years, psychological interventions and psychotherapy have acquired a modest but significant place in health care. The lack of a uniform legal definition of these professional activities in the domain of health care hampers quality control of training programs and delivered services and complicates coordination of care. Training requirements are not always made explicit, and often there are no mechanisms for quality control or for monitoring compliance with ethical codes of conduct. In this review, the legal regulation of the professional activity of psychologists in health care and of psychotherapists in 17 European countries is examined. Eleven of these have adopted a legal regulation the title and the professional activities of psychologists in health care. Seven have an additional law regulating the title and the professional activities of psychotherapists. In five countries, professionals other than psychologists and medical doctors can obtain a legally protected title and license to practice as a psychotherapist. Conclusions are drawn concerning the available models of regulation of psychotherapy and their respective consequences.
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O'Neil, Kate, Leslie LaBelle, and Caryn M. Bing. "An Overview of Home Health Care Programs." Journal of Pharmacy Practice 3, no. 1 (February 1990): 4–10. http://dx.doi.org/10.1177/089719009000300102.
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Home-care services have expanded greatly over the past several decades. Many pharmacy practitioners have little or no exposure to the vast majority of home-care programs. This article provides an overview of home health care services, traces the evolution of these programs and the public policy that has directed that change, and outlines the regulation governing the home-care industry. A synopsis of traditional and nontraditional home-care services precedes a brief review of other specialty services. A summary of the impact of quality management programs and some future trends for home care are presented.
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Holcombe, Randall G. "Eliminating Scope of Practice and Licensing Laws to Improve Health Care." Journal of Law, Medicine & Ethics 31, no. 2 (2003): 236–46. http://dx.doi.org/10.1111/j.1748-720x.2003.tb00084.x.
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Entry into the practice of medicine is heavily regulated through scope of practice and licensing laws that make it illegal for nonlicensed individuals to perform many medical services. As institutions are structured at the beginning of the twenty-first century, most regulation takes place at the state level, through state departments of health that establish criteria for performing different types of medical activities, and that restrict allowable activities for various types of health care professionals. The regulations over the activities of physicians are more uniform across states than for other health care professionals because, although the regulation is done by individual state governments, the standards for physicians are set by the National Board of Medical Examiners, a group controlled by physicians themselves. The justification for this regulation is that it produces higher quality health care. Some would make an even stronger argument that regulation is necessary because patients do not have sufficient knowledge to distinguish effective practitioners from ineffective ones.
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Radwan, G., and A. Adawy. "Egyptian Health Map: A Road for Evidence-Based Decision Making." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 161s. http://dx.doi.org/10.1200/jgo.18.17900.
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Background and context: Egyptian health system is characterized by the multiple entities in charge of service regulation, financing and provision. In addition, health outcomes in Egypt mirror epidemiologic transition; with increasing prevalence of noncommunicable diseases (NCDs) and persistent high levels of selected communicable diseases (CDs), which put a huge financial burden on the health system's limited resources. This together with financial inefficiencies aggravates inequality in health services coverage and health outcomes. Aim: We aimed to map and link health services with key health outcomes to support efficient utilization of scarce resources and achieving Universal Health Coverage (UHC). Program/Policy process: Data on health services and health outcomes were obtained from Ministry of Health and Population (MOHP) and key national surveys. Data on health services' availability and coverage were compared in the different geographical regions. Correlation analysis was used to test “the relation” between selected service availability indicators and mortality rates from key NCDs and MMR. Outcomes: There was generally poor achievement of service availability national targets with wide geographical disparities. Cardiovascular diseases and cancers were the leading causes of death. There was a significant correlation between mortality from key NCDs and service availability indicators. Key risk factors such as tobacco use, obesity and high blood pressure are on the rise which was particularly evident among women. What was learned: Wide geographical disparities and increased burden of NCDs and their risk factors are identified as key challenges facing the health care system in Egypt. Priority setting in the light of these findings is crucial to support national efforts to attain health equity and UHC.
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Miraldo, Claudio, Sonia Francisca Monken, Lara Motta, and Ana Freitas Ribeiro. "Innovation in health-care companies: a strategy to increase customer service productivity." Innovation & Management Review 16, no. 4 (October 21, 2019): 357–74. http://dx.doi.org/10.1108/inmr-04-2019-0041.
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Purpose To promote access to their services, health-care companies provide various communication channels to their customers (beneficiaries) to enable the receipt of requests, such as authorization for examinations, procedures and hospitalizations. Under the approach of innovation studies, the management of customer relationship channels for health-care companies is characterized as a knowledge-intensive business service (KIBS). The purpose of this study is presenting innovation as a strategy to increase customer service productivity, as well as the monitoring of the quality of the service, the generation of health information for beneficiaries and compliance with the regulation set by the Brazilian National Health Agency (ANS). Design/methodology/approach The study is characterized as an applied research, as it proposes solutions to problems faced by supplemental health-care companies using the strategy of action research, i.e. an independent, social research with an empirical basis. Findings The result of this study shows that a computerized health-care system can increase productivity by 21.96%, and it presents an innovative solution for health-care companies to guarantee the process of meeting the demands and requests of their beneficiaries, ensuring the compliance with ANS regulations. Practical implications These results can be replicated to other healthcare companies and contribute to those seeking innovation, increased productivity and quality improvements in their services. Originality/value This work was also motivated by the lack of lstudies in the areas of health-care companies in Brazil.
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Perwira, Yudha. "LEGAL RESPONSIBILITY ANESTHESIA ADMINISTRATOR IN THE HEALTH SERVICE." Indonesia Private Law Review 2, no. 1 (March 24, 2021): 25–36. http://dx.doi.org/10.25041/iplr.v2i1.2218.
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Good, quality and quality health services are one of the basic needs that everyone needs. Therefore, in the health world, the authority of anesthetist administrators within the scope of anesthesia services is direct, mandated, and collaborative where the mandate obtained from anesthetist administrators is not only from specialist doctors but also from the Government, as regulated in Article 14 Paragraph (1) and Paragraph (2) Ministry of Health Regulation No. 18 of 2016 concerning Licensing and Implementation of Anesthesia Administrator Practices. Now the delegation based on government assignments is carried out if there is no anesthetist in an area. The authority falls to the anesthetist in that area who has received training. This study aims to determine how the legal responsibility of anesthesia administrators in health services. The method used in this research is juridical normative, which examines legislation (statute approach) by examining all relevant regulations or statutory regulations and looking at the facts in the field. The research approach used is qualitative. This study's results indicate that anaesthesia services' general responsibility lies with anaesthetists in the practice of anesthesia services. What needs to be considered in the delegation of tasks from doctors to nurses is that the primary responsibility remains with the doctor who gives the assignment, nurses also have executive responsibility, delegation can only be carried out after the nurse has received sufficient education and competence to receive the delegation, delegation for the long term or continuously given to health nurses with special skills (specialist nurses), which are regulated by separate rules (standing orders). Anaesthetist administrators' role when carrying out health services to delegate authority according to these norms can only be performed by anaesthetist administrators who have received training.
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Ostry, Aleck S. "International Trade Regulation and Publicly Funded Health Care in Canada." International Journal of Health Services 31, no. 3 (July 2001): 475–80. http://dx.doi.org/10.2190/mt8d-h4ec-jkme-3kd3.
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The World Trade Organization (WTO) creates new challenges for the Canadian health care system, arguably one of the most “socialized” systems in the world today. In particular, the WTO's enhanced trade dispute resolution powers, enforceable with sanctions, may make Canadian health care vulnerable to corporate penetration, particularly in the pharmaceutical and private health services delivery sectors. The Free Trade Agreement and its extension, the North American Free Trade Agreement, gave multinational pharmaceutical companies greater freedom in Canada at the expense of the Canadian generic drug industry. Recent challenges by the WTO have continued this process, which will limit the health care system's ability to control drug costs. And pressure is growing, through WTO's General Agreement on Trade in Services and moves by the Alberta provincial government to privatize health care delivery, to open up the Canadian system to corporate penetration. New WTO agreements will bring increasing pressure to privatize Canada's public health care system and limit government's ability to control pharmaceutical costs.
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Loginov, S. I., and M. A. Riasnianskiy. "Legal standards for veterinary activities aimed at antiepizootic and preventive measures." Bulletin of NSAU (Novosibirsk State Agrarian University), no. 4 (December 23, 2018): 133–39. http://dx.doi.org/10.31677/2072-6724-2018-49-4-133-139.
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Following Russian classification of economic activities, veterinary activities are divided into the following types: activities related to treatment and health control of farm animals; activities related to treatment and health control of domestic animals; activities of veterinary assistants and other personnel; clinical and pathological and other types of diagnostic work in relation to animals; activities of emergency veterinary care for animals. The authors speak about legal regulations in Russia for providers of veterinary services, anti-epizootic and preventive measures. These regulations are fixed at the national level and allow to evaluate the procedures of any veterinary service institution engaged in dealing with veterinary services. According to GOST R 55634-2013 “Services for non-productive animals”. General requirements to the objects of veterinary activity is to “distinguish three types of objects of veterinary activity: veterinary office, veterinary clinic, veterinary hospital (with a hospital for temporary stay of an animal more than a day). The laws regulate the requirements for veterinary facilities, special requirements for engineering systems and equipment, microclimate, minimum requirements for premises and equipment. The legislation provides voluntary certification of veterinary facilities, confirming their compliance with a certain regulation, the validity of the location of the facility and the list of veterinary services provided therein.
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Lewis, Lydia. "User Involvement in Mental Health Services: A Case of Power over Discourse." Sociological Research Online 19, no. 1 (February 2014): 1–15. http://dx.doi.org/10.5153/sro.3265.
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Public participation in planning and implementing health care has become a government mandate in many states. In UK mental health services, this ‘user involvement’ policy dates back nearly three decades and has now become enshrined in policy. However, an implementation gap in terms of achieving meaningful involvement and influence for service users persists. This paper aims to illuminate some of the political discursive processes through which this gap emerges and to educe implications for the policy initiative and for effective approaches to service user involvement. It presents findings from a qualitative, localised UK-based study of user involvement in mental health services, conducted from a critical discourse analytic perspective, according to one emergent feature - power over discourse. Three themes relating to this discursive regulation are discussed: the rules of the game, the rules of engagement and agenda-setting. The article shows how although the policy initiative was providing opportunities for discursive contestation in local arenas surrounding mental health service development, these were pre-dominantly characterized by containment and control and by silences. Consequently, the discursive processes of user involvement worked to nullify its potentially transformative influence and to further marginalize women service users and other groups. Implications for the development of user involvement in service commissioning are provided.
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Behmane, Daiga, and Didzis Rutitis. "INTERNATIONAL HEALTH CARE REGULATION AT NATIONAL AND INSTITUTIONAL LEVELS IN LATVIA." Management Theory and Studies for Rural Business and Infrastructure Development 40, no. 4 (December 21, 2018): 442–54. http://dx.doi.org/10.15544/mts.2018.41.
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The number of foreign patients who use medical services in Latvia increases every year and health care institutions have to provide quality services. The research problem is related to lack of a unified quality system in Latvian healthcare industry. The aim of the study is to introduce suggestions regarding the implementation of the international requirements to health systems outlined by the Directive 2011/24/EU. Research method is a focus group discussion with 8 Latvian health care experts and executives. Research results indicate that health care provider measures are introduced to a higher grade than national level measures reflecting the need for more comprehensive systemic changes in the governance of the system. Main improvements should be made regarding e-health system on national level, and medical follow-ups on institutional level.
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Brodie, Pat, and Lesley Barclay. "Contemporary issues in Australian midwifery regulation." Australian Health Review 24, no. 4 (2001): 103. http://dx.doi.org/10.1071/ah010103.
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This paper reports on research that examined the Nurses' Acts, regulations and current policies of each state and territory in Australia, in order to determine their adequacy in regulating the education and practice of midwifery. This is part of a three-year study (Australian Midwifery Action Project) set up to identify and investigate barriers to midwifery within the provision of mainstream maternity services in Australia. Through an in-depth examination and comparison of key factors in the various statutes, the paper identifies their effect on contemporary midwifery roles and practices. The work assessed whether the current regulatory system that subsumes midwifery into nursing is adequate in protecting the public appropriately and ensuring that minimum professional standards are met. This is of particular importance in Australia, where many maternity health care services are seeking to maximise midwives' contributions through the development of new models of care that increase midwives' autonomy and level of accountability.
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Milevska, Alona O., Alexander A. Lyubchik, Alina N. Chorna, Olha M. Khimich, and Roman M. Opatskyi. "INTERNATIONAL EXPERIENCE OF LEGAL REGULATION OF THE PROCEDURE OF TATTOOING SERVICES’ PROVISION AND ITS IMPLEMENTATION IN UKRAINE." Wiadomości Lekarskie 72, no. 5 (2019): 933–37. http://dx.doi.org/10.36740/wlek201905138.
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Introduction: The fashion for tattoos in Ukraine and in the world is becoming massive among young people and middle-aged people. The existence of a great demand and the lack of standards that would establish a procedure for the provision of such services in Ukraine lead to the realization of such activities by persons who are not sufficiently knowledgeable about the safety, contraindications and risks of such activities for the health of a client. The realities of the present time indicate that the unregulated tattoo services can trigger the outbreak and spread of dangerous infectious diseases, and also pose a threat to public health. The aim: The objective of this article is to comprehensively analyze and study the main tendencies in the legal regulation of the provision of tattoo services in the EU countries and the US. The main task of the paper is to distinguish and generalize the positive experience of legal regulation of the provision of tattooing services, to formulate propositionsfor their implementation in Ukraine. Materials and methods: The authors during the research have used theoretical methods (analysis, synthesis, generalization, systematization, etc.) and empirical methods (observation, classification, etc.). The systematization and analysis of national and international legislation in the field of regulation of tattooing services has been carried out. Review: The authors of the article have analyzed the tendencies of legal regulation of the provision of tattooing services in the EU countries and the US. Analysis, systematization and generalization of legal regulation of tattooing in these countries made it possible to find out that the safety of the provision of such services for public health can only be achieved through comprehensive legal regulation that combines sanitary requirements, vocational training and licensing requirements, infection control and control of chemical composition of paints for tattoos. Conclusions: The necessity of introduction of positive experience in legal regulation of tattooing services in Ukraine has been established. It will protect the population from the spread of dangerous infectious diseases and will promote the health of the youth who massively address for such services.
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OSADCHUK, M. A., A. M. OSADCHUK, and M. V. TRUSHIN. "Medical Tourism in the Context of National Health Systems` Institutional Characteristics." Journal of Environmental Management and Tourism 11, no. 2 (April 27, 2020): 229. http://dx.doi.org/10.14505//jemt.v11.2(42).01.
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Medical tourism (MT) is a modern type of medical services outside the state of residence. It links medicine and tourism. Moreover, its availability combined with economic feasibility is the main incentive for seeking medical care outside the place of residence and is an important issue for national health systems. A noticeable MT contribution to the country`s economy is possible if there is a well-thought-out infrastructure with introduction of certification procedure, a universal service and marketing system, an adequate response to the offer of additional tourism services and regulation of conditions for systematic cooperation with private intermediaries. However, the absence of interstate standards for this type of medical care leads to significant ethical, political, epidemiological and economic problems and makes it difficult to assess its professional quality. This necessitates the creation of a legal framework that takes into account the rights and responsibilities of both the medical services consumer and the host country.
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Reibling, Nadine, and Claus Wendt. "Regulating Patients’ Access to Healthcare Services." International Journal of Public and Private Healthcare Management and Economics 1, no. 2 (April 2011): 1–16. http://dx.doi.org/10.4018/ijpphme.2011040101.
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Although some healthcare systems have introduced gatekeeping that forces patients to choose a general practitioner for a longer period, other systems rely on a free choice of doctors. This paper analyzes how these instruments affect differences in healthcare utilization in European countries. Using data from the first wave of the Survey of Health, Aging and Retirement, the authors investigate how access regulations affect a) the overall level of ambulatory healthcare usage, and b) disparities in utilization among groups with different educational and income levels. The data show that access regulation affects patients’ decisions to see a doctor and reduces the extent of specialist healthcare used. Cost sharing could not be related to inequities among income groups; however, gatekeeping has favorable effects on reducing inequality, and the respective healthcare systems show lower levels of inequality among groups with different levels of education.
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Keating, T. P., and L. Sherida n. "Capacity Building and the Inter-organisational Field: The Rural Health Promotions Development Program." Australian Journal of Primary Health 8, no. 1 (2002): 14. http://dx.doi.org/10.1071/py02003.
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In the Australian context, inter-organisational collaboration is complex because the Health and Welfare service delivery structure is fragmented and diffuse. Capacity building offers a way forward that values the diversity of organisations involved in the delivery of programs and services. The experience of attempting to build capacity in the inter-organisational field through the Rural Health Promotions Development Program, is examined with particular reference to issues of context, regulation, leadership, governance and sustainability.
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Sawyer, Anne-Maree, and David Green. "Social Inclusion and Individualised Service Provision in High Risk Community Care: Balancing Regulation, Judgment and Discretion." Social Policy and Society 12, no. 2 (November 30, 2012): 299–308. http://dx.doi.org/10.1017/s1474746412000590.
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Since the late twentieth century, health and welfare policy in Australia and the UK has focused on enhancing the freedom, life choices and participation of service users. Public policy, based on the construct of social inclusion, requires greater individualisation of services, active engagement with service users, and innovative partnerships between different providers. At the same time, however, the management of risk through a range of compliance procedures can discourage the exercise of discretion by workers, limit the participation of their clients and reduce incentives for innovative cooperation between services. Drawing on in-depth interviews with community care professionals and their managers engaged in high risk social care in Australia, this article gives particular attention to the relevance of risk to social inclusion and individualised service provision.
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Мограбян, Армине, and Armine Mograbyan. "Civil law aspects of the regulation of cosmetology services." Advances in Law Studies 6, no. 1 (May 24, 2018): 1. http://dx.doi.org/10.29039/article_5b06941aaec8c9.29946498.
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In the current legislation there is no concept of cosmetology services, in science there is also no consensus on their content. In connection with this, the author sets the goal to investigate this concept as a private-law category, to determine its content and specifics. The main methods of the study were a comparative legal method and a method of system analysis. Results of the study. A complex analysis of private legal acts containing norms regulating cosmetology services as well as relations arising in the course of their provision is carried out. Various scientific positions in the field under study are examined, and as a result, the content of cosmetological services is determined, and their classification is carried out. Based on the analysis of the current legislation in the field of health, the specificity and correlation of such categories as "cosmetology services" and "cosmetic services" are defined. The main feature of cosmetic services is revealed, which is connected not with violation of the integrity of the human skin, but only with hygienic care of the external appearance. As a result of the study, it was concluded that the object of regulation of both cosmetological and cosmetic services is the appearance of a person. But, despite the general object of regulation, these are different concepts, because cosmetology services, unlike cosmetic services, are a kind of medical. In addition, the author carried out a classification of cosmetology services, which include therapeutic (curative) and surgical (operational) services. Surgical services, in turn, are divided into the following varieties: mandatory, at the request of the patient, rehabilitation and reconstructive. Scope of the results obtained. The results of the research can be applied for the purposes of private legal regulation of relations that arise in the process of providing cosmetology services, when lecturing, developing educational and methodological aids in civil and medical law, teaching legal disciplines related to the activities of medical organizations, as well as in lawmaking when making changes in the current legislation.
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Žmenja, Marika. "Provision of Health-care Service over the Internet – the Legality of E-consultations in Estonia." Juridica International 26 (November 13, 2017): 47. http://dx.doi.org/10.12697/ji.2017.26.05.
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The number of Web sites providing medical consultations is growing constantly. They offer common information and advice, patient education, and general and individualised consulting. In certain cases wherein Web sites offer consultations, the service is subject to the same legal regulation as conventional health-care provision. The article discusses when consulting via the Internet (i.e., e-consulting) can be considered provision of health-care service and which requirements it has to meet if so. The author concludes that what matters here is not how service providers present their service but whether the essence of e-consultation corresponds to the definition of a health-care service – if it does, e-consultation has to be considered one. Among the obstacles in providing e-consultations is fulfilling the requirement of having consultation premises at the time of applying for the necessary permit. Health-care providers are required to have a physical location where they can provide the services. Also addressed in the article is e-consultation as information-society service. It is concluded that if this is an intermediary service, then – if the design of the service so indicates – legal regulations applicable to health-care service provision do not apply. The author finds that, in general, e-consultations are possible and legitimate in the current legal framework.
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Wahidin, Mugi, Syarifah Nuraini, and Ady Iswadhy Thomas. "Kesiapan Fasilitas Pelayanan Kesehatan Indonesia Dalam Perdagangan Bebas Masyarakat Ekonomi ASEAN." Buletin Penelitian Sistem Kesehatan 22, no. 2 (August 6, 2019): 117–25. http://dx.doi.org/10.22435/hsr.v22i2.965.
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The ASEAN Economic Community (MEA) is a form of ASEAN economic integration, including the free trade of goods and services in health sector, which one of them is health services facilities. The study aimed to determine the readiness of health service facilities in Indonesia in dealing with free trade in health goods and services within the framework of the ASEAN Economic Community (MEA). This was qualitative study with descriptive analysis. The data used was secondary data from the Ministry of Health, health professionals, health-related associations, research reports and other data sources. The steps of the study were data searches, in-depth interviews and Focus Group Discussion with related parties. The facilities were specialist hospitals, specialistic clinics (medical specialist, dentistry specialist, medical and ambulatory evacuation clinics, specialist nursing clinics), acupuncture service facilities and primary clinics. Readiness was justifi ed by the availability of the health services facilities and supported regulation. The results of the study indicated that health service facilities in Indonesia are quite ready to face the free trade in health-related goods and services, except residential health facility. This study recommended the preparation of related regulation, fulfi llment of health service equipments, providing data of spscialistic clinic, collaboration with Capital investment coordination board (BKPM), promortion and advocacy of foreign investment, acreditation for all health services fasilites, and monitoring and evaluation for health services.
Abstrak
Masyarakat Ekonomi ASEAN (MEA) merupakan sebuah bentuk integrasi ekonomi ASEAN, termasuk dalam halperdagangan bebas barang jasa di bidang kesehatan, dan salah satunya adalah fasilitas pelayanan kesehatan. Kajian bertujuan untuk mengetahui kesiapan fasilitas pelayanan kesehatan di Indonesia dalam menghadapi perdagangan bebas barang dan jasa kesehatan dalam kerangka Masyarakat Ekonomi ASEAN (MEA). Kajian ini adalah kajian kualitatif dengan analisis deskriptif. Data yang dikumpulkan adalah data sekunder yang bersumber dari Kementerian Kesehatan, profesi, asosiasi yang berkaitan, hasil penelitian maupun sumber data lainnya. Langkah kegiatan adalah melakukan penelusuran data, wawancara mendalam dan focus group discussion (FGD) dengan pihak yang berkaitan. Fasilitas pelayanan kesehatan meliputi rumah sakit spesialistik, klinik utama (kedokteran spesialis, kedokteran gigi spesialis, klinik evakuasi medik dan ambulatory, klinik keperawatan spesialis), fasilitas pelayanan akupunktur dan klinik pratama. Kesiapan dilihat dari ketersediaan fasyankes dan peraturan yang mendukung. Hasil kajian menunjukkan bahwa fasilitas pelayanan kesehatan Indonesia cukup siap dalam menghadapi perdagangan bebas barang dan jasa kesehatan, kecuali fasilitas kesehatan jasa pemukiman. Saran yang diberikan adalah penyiapan regulasi terkait, pemenuhan sarana danprasarana, pendataan klinik utama, kerja sama dengan Badan Koordinasi Penanaman Modal, sosialisasi dan advokasi tentang investasi asing, akreditasi seluruh fasyankes, dan monitoring dan evaluasi pelayanan kesehatan
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Sotivoldievich, Boltaev Mansurjon. "Legal Issues Of Improving Health Insurance In The Republic Of Uzbekistan." American Journal of Political Science Law and Criminology 03, no. 02 (February 28, 2021): 50–58. http://dx.doi.org/10.37547/tajpslc/volume03issue02-07.
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In the field of human health, it is important to make medical services affordable in all respects, high quality and financially affordable for the population. In the provision of medical services, the organization of the relationship between the medical institution, the doctor and the patient, the creation of the necessary conditions for the treatment of patients in the medical institution is organized in different ways. One of the most effective of these methods in modern medicine today is health insurance. Through health insurance, the insurance company takes all organizational (financially hospitalized, highly qualified doctors) financial measures related to the treatment of the insured person (patient) in the event of an insured event, and as a result the insured person has access to qualified and quality medical care. Today, there are no clear approaches to the role of health insurance in legal regulation and jurisprudence, which area of insurance it is: life insurance and general insurance. This at the same time creates a number of problems and gaps in the legal regulation of the interpretation of the essence of the health insurance contract and its application. Therefore, it is important to determine the essence of health insurance, its content and specifics as a legal relationship, and thus create a legal basis for health insurance.
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Ershova, I. V. "Health Resorts: A Unique Phenomenon in the Tourist Market." Lex Russica, no. 10 (October 24, 2019): 16–29. http://dx.doi.org/10.17803/1729-5920.2019.155.10.016-029.
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The article provides a brief insight into the history and reviews the current state of the health camps and health resorts in Russia. The conclusion is drawn that over the centuries Russia has developed traditions of health and resort recreation. The author suggests that some elements of the Soviet model of the relationship between the State and health resorts be extrapolated to the modern legal ground. The paper expresses the opinion about the possibility of using the legal mechanism of health resorts self-regulation. The legal status of health resorts is considered, the spectrum of functions and services performed by them is described. The author has classified services provided into basic (medical, temporary accommodation, nutrition) and supplementary (tourist, household, entertainment, sports and recreational, trade services) services. It has been proved that the specificity of the sanatorium-resort tourist product involves the complexity of the services it includes. Their integration and merger gives a synergistic effect, which leads to an increase in the efficiency of recreation and recovery as the main goal of tourism. The paper describes the system of requirements applied to regulate the work of health camps and health resorts. The paper demonstrates the importance of health resorts, determines their place in the tourist market, dwells on the specifics of health resorts in the sphere of tourism. The author focuses on the problems and contradictions of the legal regulation of activities of health resorts, ways of their minimization. Empirically, the research is founded on statistical data and the results of the author’s questionnaires used to question different parties involved . Analysis of the results of the survey showed that most respondents do not associate health resorts with tourism. However, under Russian and international regulations, health camps and health resorts are referred to medical tourism, the main specificity of which is that it involves medical treatment. The author provides arguments in favor of the necessity of systematic work aimed to explain obvious advantages of health tourism. Attention is drawn to the role of health camps and resorts in achieving the program goals of the State.
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Cleemput, Irina, and Katrien Kesteloot. "HEALTH TECHNOLOGY ASSESSMENT IN BELGIUM." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 325–46. http://dx.doi.org/10.1017/s0266462300101035.
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The Belgian healthcare system has a Bismarck-type compulsory health insurance, covering almost the entire population, combined with private provision of care. Providers are public health services, independent pharmacists, independent ambulatory care professionals, and hospitals and geriatric care facilities. Healthcare responsibilities are shared between the national Ministries of Public Health and Social Affairs, and the Dutch-, French-, and German-speaking Community Ministries of Health. The national ministries are responsible for sickness and disability insurance, financing, determination of accreditation criteria for hospitals and heavy medical care units, and construction of new hospitals. The six sickness and disability insurance funds are responsible for reimbursing health service benefits and paying disability benefits. The system's strength is that care is highly accessible and responsive to patients. However, the healthcare system's size remained relatively uncontrolled until recently, there is an excess supply of certain types of care, and there is a large number of small hospitals. The national government created a legal framework to modernize the insurance system to control budgetary deficits. Measures for reducing healthcare expenditures include regulating healthcare supply, healthcare evaluation, medical practice organization, and hospital budgets. The need to control healthcare facilities and quality of care in hospitals led to formal procedures for opening hospitals, acquiring expensive medical equipment, and developing highly specialized services. Reforms in payment and regulation are being considered. Health technology assessment (HTA) has played little part in the reforms so far. Belgium has no formal national program for HTA. The future of HTA in Belgium depends on a changing perception by providers and policy makers that health care needs a stronger scientific base.
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Grieshaber-Otto, Jim, and Noel Schacter. "The GATS: Impacts of the international “services” treaty on health-based alcohol regulation." Nordic Studies on Alcohol and Drugs 18, no. 3 (June 2001): 227–44. http://dx.doi.org/10.1177/145507250101800305.
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Hernawati, Lucia, and Paraharesty Eriany. "The Effect of Self Regulation-Based Holistic Health Counseling Services in Improving Students'." PSIKODIMENSIA 19, no. 2 (December 13, 2020): 184. http://dx.doi.org/10.24167/psidim.v19i2.2765.
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The objective of this study was to determine the effect of self-regulation-based holistic health counseling in improving university students’ psychological wellbeing. Thirty students in Semarang who had low scores on Ryff's Psychological Wellbeing Scale participated as subjects in this study. An experiment was conducted with randomized pretest-post-test comparison group design for a total of 41 days. The experimental group was given a self-regulation-based holistic health counseling intervention. Meanwhile, students in the control group were given physical health interventions and effective study habits. Mann-Whitney U test was conducted to compare the effectiveness of the intervention in the experimental and control groups. The results of the research showed that compared to the control group, the intervention in the experimental group was more effective in increasing the students’ psychological wellbeing. The results of this study are useful as an alternative in helping students in Semarang to improve their psychological wellbeing.
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Stirton, Lindsay. "Back to the Future? Lessons on the Pro-Competitive Regulation of Health Services." Medical Law Review 22, no. 2 (June 2014): 180–99. http://dx.doi.org/10.1093/medlaw/fwu006.
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