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Yuksel, M., G. L. Ertürkmen, Y. Kabak, T. Namli, M. H. Yıldız, Y. Ay, B. Ceyhan, et al. "Healthcare Information Technology Infrastructures in Turkey." Yearbook of Medical Informatics 23, no. 01 (August 2014): 228–34. http://dx.doi.org/10.15265/iy-2014-0001.
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Summary Objectives: The objective of this paper is to describe some of the major healthcare information technology (IT) infrastructures in Turkey, namely, Sağlık-Net (Turkish for “Health-Net”), the Centralized Hospital Appointment System, the Basic Health Statistics Module, the Core Resources Management System, and the e-prescription system of the Social Security Institution. International collaboration projects that are integrated with Sağlık-Net are also briefly summarized. Methods: The authors provide a survey of the some of the major healthcare IT infrastructures in Turkey. Results: Sağlık-Net has two main components: the National Health Information System (NHIS) and the Family Medicine Information System (FMIS). The NHIS is a nation-wide infrastructure for sharing patients’ Electronic Health Records (EHRs). So far, EHRs of 78.9 million people have been created in the NHIS. Similarly, family medicine is operational in the whole country via FMIS. Centralized Hospital Appointment System enables the citizens to easily make appointments in healthcare providers. Basic Health Statistics Module is used for collecting information about the health status, risks and indicators across the country. Core Resources Management System speeds up the flow of information between the headquarters and Provincial Health Directorates. The e-prescription system is linked with Sağlık-Net and seamlessly integrated with the healthcare provider information systems. Finally, Turkey is involved in several international projects for experience sharing and disseminating national developments. Conclusion: With the introduction of the “Health Transformation Program” in 2003, a number of successful healthcare IT infrastructures have been developed in Turkey. Currently, work is going on to enhance and further improve their functionality.
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Cuggia, Marc, and Stéphanie Combes. "The French Health Data Hub and the German Medical Informatics Initiatives: Two National Projects to Promote Data Sharing in Healthcare." Yearbook of Medical Informatics 28, no. 01 (August 2019): 195–202. http://dx.doi.org/10.1055/s-0039-1677917.
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Objective: The diversity and volume of health data have been rapidly increasing in recent years. While such big data hold significant promise for accelerating discovery, data use entails many challenges including the need for adequate computational infrastructure and secure processes for data sharing and access. In Europe, two nationwide projects have been launched recently to support these objectives. This paper compares the French Health Data Hub initiative (HDH) to the German Medical Informatics Initiatives (MII). Method: We analysed the projects according to the following criteria: (i) Global approach and ambitions, (ii) Use cases, (iii) Governance and organization, (iv) Technical aspects and interoperability, and (v) Data privacy access/data governance. Results: The French and German projects share the same objectives but are different in terms of methodologies. The HDH project is based on a top-down approach and focuses on a shared computational infrastructure, providing tools and services to speed projects between data producers and data users. The MII project is based on a bottom-up approach and relies on four consortia including academic hospitals, universities, and private partners. Conclusion: Both projects could benefit from each other. A Franco-German cooperation, extended to other countries of the European Union with similar initiatives, should allow sharing and strengthening efforts in a strategic area where competition from other countries has increased.
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Hall, Daniel M., and W. Richard Scott. "Early Stages in the Institutionalization of Integrated Project Delivery." Project Management Journal 50, no. 2 (January 28, 2019): 128–43. http://dx.doi.org/10.1177/8756972818819915.
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Integrated project delivery (IPD), an emerging form of project organization for North American construction projects, offers a compelling case study to understand how new innovative infrastructure project delivery models can emerge and institutionalize. This article frames the early stages of IPD through the actions of an institutional entrepreneur—Sutter Health—working to construct a new arrangement for the delivery of its large healthcare projects. The resulting account uses Suchman’s (1995) multistage model of institutionalization to understand the early-stage actors, processes, conditions, and actions present for creation of an innovative delivery model within a fragmented, project-based industry context.
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Ulriksen, Gro-Hilde, Rune Pedersen, and Gunnar Ellingsen. "The Politics of Establishing ICT Governance for Large-Scale Healthcare Information Infrastructures." International Journal of Social and Organizational Dynamics in IT 6, no. 1 (January 2017): 48–61. http://dx.doi.org/10.4018/ijsodit.2017010104.
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In Norway, the focus on interoperability and communication across healthcare practices has increased the need to connect ICT portfolios at different levels of healthcare, into large-scale information infrastructures (II). Governing healthcare practices is exceptionally complex, due to the diverging goals and policies of the heterogeneous actors involved. Establish well-functioning ICT governance organizations to handle these large infrastructures is therefore important. Using information infrastructure theory, and governance literature from the IS field, this paper contributes with empirical insight to the longitudinal and political process of establishing ICT governance in a healthcare context, reporting from one of Norway's largest health ICT projects, situated in the North Norway Regional Health Authority in 2012–2016. Our focus was on the following research questions: How does organizational politics shape the process of establishing an ICT governance organization in a heterogeneous healthcare environment, and what does it take to establish such ICT governance organization?
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Rozhmanov, Nikita V. "USING OF PUBLIC-PRIVATE PARTNERSHIP MECHANISMS TO MODERNIZE THE RUSSIAN HEALTH SPHERE IN THE CURRENT ECONOMIC CONDITIONS." EKONOMIKA I UPRAVLENIE: PROBLEMY, RESHENIYA 9/3, no. 129 (2022): 100–106. http://dx.doi.org/10.36871/ek.up.p.r.2022.09.03.013.
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The key feature of the infrastructure is its auxiliary nature in relation to the main activity, i.e. ensuring well-established production processes or providing socially important services to the population. The level of infrastructure development of any country is one of the fundamental factors affecting both the quality of life of its population and the indicators of economic activity that contribute to economic growth. That is why the quality of implemented infrastructure projects determines the attractiveness of investments in general in different countries and individual regions. The creation and modernization of infrastructure facilities is one of the most capital-intensive projects. In conditions of restrictions, both internal and external, the state is most interested in attracting additional funding to solve state tasks to provide the population with infrastructure. The most promising way to attract extra-budgetary financing to this day is the implementation of projects based on the principles of public-private partnership. In this article, the author examines the advantages and disadvantages of using public-private partnership mechanisms for the modernization of the Russian healthcare infrastructure in the conditions of current economic sanctions and limited budget resources of the regions of the Russian Federation to subsidize the creation of social infrastructure. Within the framework of this issue, the main features of each form of partnership were considered, factors hindering the wider use of public-private partnership mechanisms in the medical field were identified, and recommendations were proposed that could contribute to a more effective application of the mechanism in practice for the implementation of infrastructure projects in the field of healthcare and improving the quality of medical services provided to the population of Russia. Particular attention is paid to the analysis of the types of state support within the framework of infrastructure projects and possible proposals on how to optimize their structure from the public partner.
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Mittal, Yash Kumar, Virendra Kumar Paul, Ali Rostami, Michael Riley, and Anil Sawhney. "Delay factors in construction of healthcare infrastructure projects: a comparison amongst developing countries." Asian Journal of Civil Engineering 21, no. 4 (February 8, 2020): 649–61. http://dx.doi.org/10.1007/s42107-020-00227-1.
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Sidorenko, E. N., and V. A. Semiglazova. "Project infrastructure bonds as a tool for the PPP projects’ additional financing in the healthcare facilities’ construction." IOP Conference Series: Materials Science and Engineering 913 (September 12, 2020): 052012. http://dx.doi.org/10.1088/1757-899x/913/5/052012.
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Gundes, Selin. "Trends in Global Infrastructure Investment and Financial Consequences." European Journal of Sustainable Development 11, no. 1 (February 1, 2022): 66. http://dx.doi.org/10.14207/ejsd.2022.v11n1p66.
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Governments all around the world are faced with economic and social problems borne from the need for modern and reliable infrastructure. Rapid urbanization, increasing population size and economic growth are the main causes of increasing infrastructure investment needs in the world. While the need is growing, government budgets are increasingly squeezed by demands for healthcare improvements, defence, education and many others. The problems in the provision of finance for these investments are aggravated with the new Covid crisis, as the funds reserved for infrastructure investments are now likely to be allocated to urgent needs such as healthcare and unemployment benefits. In such a volatile environment, identifying future investment needs and discussing how these needs will be met is important and timely more than ever. This paper, introduces the global infrastructure investment trends in the future and discusses the use of public and private finance for infrastructure spending. In this concept, the following questions are explored, (1) What is the volume and trend of global infrastructure investment needs? (2) How do infrastructure investment needs differ among regions? (3) How will this infrastructure investment needs be financed?, and (4) What may be some of the future issues to be solved? To find out future infrastructure investment needs and trends, reports outlining the future prospects of the infrastructure sector are examined and trends are revealed. Then, a review of financing mechanisms is introduced in the light of the main procurement systems used by governments for realizing infrastructure projects. In this concept, design-bid-build, design-build and project finance models are explored in terms of their organizational and financial structure. Future issues to be solved are mainly derived from a cross examination of concerns raised in published infrastructure investment case studies and of future trends. Results reveal that the need for investment in infrastructure is growing steadily. As a response to this growth, the use of private finance is increasingly being encouraged by governments all over the world and a variety of international organizations. However, it appears that long-standing private finance issues predominantly observed in demand-based projects will continue to be discussed over the coming years by policymakers, scholars and communities. Indeed, many governments and organizations are already speeding up research efforts into ensuring the resilience of public private partnerships (PPP) in infrastructure projects. The insights from this research are expected to revive interest and research efforts into the potential future challenges for infrastructure financing and options available for governments.
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Nekhorosheva, Elena, Leonid Denisov, Elena Alekseycheva, and Daria Kasatkina. "Health literacy in the urban health infrastructure: who maintains healthcare and how." SHS Web of Conferences 98 (2021): 02007. http://dx.doi.org/10.1051/shsconf/20219802007.
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Today we may witness a dire need to research how the urban environment influences urban health, well-being, and sustainability of local communities. The issue of urban health is closely connected with disease prevention projects and the integration of new preventive medical approaches with educational technologies. Due to a large number of responsible parties for the development of health literacy under the authority of different establishments, there is a problem to coordinate aligned activities. Thus the research of the healthcare institutions actions in health literacy development is extremely relevant. The objective of this research is to carry out an integral assessment of the degree to which the functions of preventing non-communicable diseases and developing health literacy are fulfilled by the sectors responsible for urban healthcare. The methods used in this research include a two-phase expert survey: the first group of experts (n: 24) selected the key aspects of healthcare activities, and the second group of experts (n: 35) assessed the quality of implementation of tasks by institutions in charge of disease prevention. The major problem is the lack of effective communication mechanisms in the sphere of intersectoral cooperation, informing the key disease prevention bodies of distributed responsibility, as well as state and social control of execution of laws and regulations. According to the obtained results, the state healthcare system is an important component of the health infrastructure. The functions connected with meeting the vital needs of the city population received medium-high ratings. However, the implementation of disease prevention functions by the healthcare system in Moscow was rated by experts at a low level. Besides, the experts consistently assigned an extremely low rating to the development of health literacy as one of the areas of activity covered by all sectors. To reinforce their outreach and awareness-raising work in the sphere of healthcare, executors of federal projects have to incorporate educational activities into their daily work.
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Khalil I. Wali and Mahmood M. Mahdi. "Identification and Management of Major Risk Factors in Construction of Healthcare Centers Projects." Engineering and Technology Journal 38, no. 1A (January 25, 2020): 65–73. http://dx.doi.org/10.30684/etj.v38i1a.1599.
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More attention is needed for healthcare centers projects and its development to change and improve the health situation in Iraq. The study of risk in this type of projects is essential to avoid the problems encountered during the project life cycle. This paper aimed to identify risk factors facing the construction of an advanced healthcare centers and to enhance the possible solutions based on the opinion of experts. For data collection, fifty-five risk factors were presented in a questionnaire form. The result showed that the major risk factor was government corruption, which has a direct influence on the economy and a negative impact on the infrastructure in the country and its development. The analysis showed that financial problems represent the highest risk during the years in all construction projects. Other considerable risk factors were time overrun, labor safety, as well as environmental risks, which are related to waste treatment. Other important risk factors were related to the ventilation system and air conditioning, also risk in providing continuous electrical power during the day. In term of risk groups, the five most effective ones were political, Economic, Safety, Operation & Maintenance and Construction risks.
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Zhukovska, Alina. "Public-private partnerships in social services: foreign practices and prospects for implementation in Ukraine." Herald of Ternopil National Economic University, no. 3(85) (August 8, 2017): 21–37. http://dx.doi.org/10.35774/visnyk2017.03.021.
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The article outlines the issues of social infrastructure development in Ukraine. The need of addressing these issues through implementing public-private partnership projects is justified. Some priority areas for introducing public-private partnership in Ukraine are identified. The best foreign practices of attracting private sector to solving problems of social infrastructure development are considered. It is revealed that priority areas where public-private partnerships operate are dependent on the level of socio-economic development of the country. Some practices of public-private partnership projects in education in the UK, Australia, Germany, and Egypt are analyzed in detail and their common characteristics are systematized. Based on the analysis of best foreign practices applied in implementing public-private partnership projects in healthcare, the following key measures are formulated: direct provision of medical services, management of medical assets, development and production of pharmaceuticals, improvement of access to medical services and products. The performance of public-private partnership projects in the healthcare sector in the UK, France, Australia and Sweden is analyzed in detail. The paper describes both more and less successful examples of publicprivate partnership in this sector. The article defines the following reasons for low-level implementation of public-private partnership projects in healthcare: schedule delays in construction, operation-cost overruns, poor hospital and ward layout, use of low-cost medical equipment which requires regular renewal. The research also considers the best foreign practices of introducing public-private partnership projects in the field of culture. Some characteristic features of public-private partnership projects in social services in foreign countries are identified. The national practices of introducing public-private partnership projects are highlighted and priority areas of their operation are singled out. It is found out that the implementation of public-private partnership projects in social services is not popular among domestic investors. Some individual projects of public-private partnership in social services are considered. A particular attention is paid to both more and less successful ones. The main problems of the implementation of public-private partnership projects in the national education, healthcare, culture are outlined and ways for their solution are proposed.
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Towfighi, Amytis, Allison Z. Orechwa, Arleen F. Brown, Moira Inkelas, Stefanie Vassar, and Deborah K. Herman. "25475 Healthcare Delivery Science in LA: Addressing patient and health system priorities with cross-sector research infrastructure." Journal of Clinical and Translational Science 5, s1 (March 2021): 127. http://dx.doi.org/10.1017/cts.2021.724.
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ABSTRACT IMPACT: Effective healthcare interventions improve access, quality of care, and health outcomes for underserved, high-disparity populations of Los Angeles county and beyond. OBJECTIVES/GOALS: We will expand our successful, Los Angeles-based public-academic partnership to develop and evaluate health system interventions aimed at improving healthcare for underserved communities, as well as develop workforce skilled in healthcare delivery science. METHODS/STUDY POPULATION: Together with the LA County Department of Health Services, the two LA-based CTSA hubs at USC and UCLA have established critical infrastructure for effective cross-sector translational research: (1) New funding mechanisms to evaluate health system interventions in county hospitals and clinics in areas of mutual interest; (2) Specialized research service cores (Safety-net Health Innovation core, Clinical Research Informatics core, and Healthcare Delivery Science core), and (3) Training and mentorship programs tailored for healthcare delivery scientists. RESULTS/ANTICIPATED RESULTS: Outcomes from the first four years of the partnership include: (1) Significant impact on health outcomes from eight funded projects, e.g., lowered A1c levels by 0.9%; (2) Successful, coordinated service to dozens of research projects, e.g., a teleretinal screening program decreased ophthalmology visit wait times from 158 to 17 days; (3) New virtual coursework in seven domains (healthcare delivery science, dissemination and implementation science, systems engineering, behavioral economics, informatics, team science, and community engagement); (4) A published ‘synergy paper’ w/ CTSA hubs in three other urban cities examining common themes of academic-public partnerships; and (5) Rapid and streamlined COVID-19 research policy setting with county leadership. DISCUSSION/SIGNIFICANCE OF FINDINGS: Our sustainable infrastructure is effectively bridging research-policy-practice gaps in Los Angeles and addressing patients’ and the health system’s priorities.
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Protasov, M. V., and T. V. Morozova. "Risk accounting in public-private partnership for the creation of infrastructure facilities for healthcare organizations." Buhuchet v zdravoohranenii (Accounting in Healthcare), no. 6 (June 1, 2021): 40–46. http://dx.doi.org/10.33920/med-17-2106-04.
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The development of the region’s infrastructure is a significant task in managing competitiveness, ensuring employment and the necessary facilities that affect the quality of social life of the population, including healthcare facilities. As a rule, it is the public sector that finances the majority of infrastructure projects, such as highways, social facilities. However, it is necessary to consider alternative possibilities for the creation of infrastructure facilities on a mutually beneficial basis between the state and private business. One of these alternative options is the conclusion of a public-private partnership, which makes it possible to develop not only the infrastructure of the region, but also the social sphere, providing employment for the population. However, the creation of public private partnerships carries risks that must be considered when concluding a contract. The article identifies and classifies the potential risks of creating public private partnerships with the participation of government agencies and commercial businesses.
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Blythe, Robin, Shamesh Naidoo, Cameron Abbott, Geoffrey Bryant, Amanda Dines, and Nicholas Graves. "Development and pilot of a multicriteria decision analysis (MCDA) tool for health services administrators." BMJ Open 9, no. 4 (April 2019): e025752. http://dx.doi.org/10.1136/bmjopen-2018-025752.
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IntroductionHealth administration is complex and serves many masters. Value, quality, infrastructure and reimbursement are just a sample of the competing interests influencing executive decision-making. This creates a need for decision processes that are rational and holistic.MethodsWe created a multicriteria decision analysis tool to evaluate six fields of healthcare provision: return on investment, capacity, outcomes, safety, training and risk. The tool was designed for prospective use, at the beginning of each funding round for competing projects. Administrators were asked to rank their criteria in order of preference. Each field was assigned a representative weight determined from the rankings. Project data were then entered into the tool for each of the six fields. The score for each field was scaled as a proportion of the highest scoring project, then weighted by preference. We then plotted findings on a cost-effectiveness plane. The project was piloted and developed over successive uses by the hospital’s executive board.ResultsTwelve projects competing for funding at the Royal Brisbane and Women’s Hospital were scored by the tool. It created a priority ranking for each initiative based on the weights assigned to each field by the executive board. Projects were plotted on a cost-effectiveness plane with score as the x-axis and cost of implementation as the y-axis. Projects to the bottom right were considered dominant over projects above and to the left, indicating that they provided greater benefit at a lower cost. Projects below the x-axis were cost-saving and recommended provided they did not harm patients. All remaining projects above the x-axis were then recommended in order of lowest to highest cost-per-point scored.ConclusionThis tool provides a transparent, objective method of decision analysis using accessible software. It would serve health services delivery organisations that seek to achieve value in healthcare.
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Mansfield, Elizabeth, Onil Bhattacharyya, Jennifer Christian, Gary Naglie, Vicky Steriopoulos, and Fiona Webster. "Physicians’ accounts of frontline tensions when implementing pilot projects to improve primary care." Journal of Health Organization and Management 32, no. 1 (March 19, 2018): 39–55. http://dx.doi.org/10.1108/jhom-01-2017-0013.
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Purpose Canada’s primary care system has been described as “a culture of pilot projects” with little evidence of converting successful initiatives into funded, permanent programs or sharing project outcomes and insights across jurisdictions. Health services pilot projects are advocated as an effective strategy for identifying promising models of care and building integrated care partnerships in local settings. In the qualitative study reported here, the purpose of this paper is to investigate the strengths and challenges of this approach. Design/methodology/approach Semi-structured interviews were conducted with 34 primary care physicians who discussed their experiences as pilot project leads. Following thematic analysis methods, broad system issues were captured as well as individual project information. Findings While participants often portrayed themselves as advocates for vulnerable patients, mobilizing healthcare organizations and providers to support new models of care was discussed as challenging. Competition between local healthcare providers and initiatives could impact pilot project success. Participants also reported tensions between their clinical, project management and research roles with additional time demands and skill requirements interfering with the work of implementing and evaluating service innovations. Originality/value Study findings highlight the complexity of pilot project implementation, which encompasses physician commitment to addressing care for vulnerable populations through to the need for additional skill set requirements and the impact of local project environments. The current pilot project approach could be strengthened by including more multidisciplinary collaboration and providing infrastructure supports to enhance the design, implementation and evaluation of health services improvement initiatives.
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Paula, Ana Patrícia de, Silvana Pereira Giozza, Michelle Zanon Pereira, Patrícia Souza Boaventura, Leonor Maria Pacheco Santos, Camile Giaretta Sachetti, César Omar Carranza Tamayo, et al. "Clinical investigations for SUS, the Brazilian public health system." Sao Paulo Medical Journal 130, no. 3 (2012): 179–86. http://dx.doi.org/10.1590/s1516-31802012000300008.
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CONTEXT AND OBJECTIVE: Scientific and technological development is crucial for advancing the Brazilian health system and for promoting quality of life. The way in which the Brazilian Ministry of Health has supported clinical research to provide autonomy, self-sufficiency, competitiveness and innovation for the healthcare industrial production complex, in accordance with the National Policy on Science, Technology and Innovation in Healthcare, was analyzed. DESIGN AND SETTING: Descriptive investigation, based on secondary data, conducted at the Department of Science and Technology, Ministry of Health. METHODS: The Ministry of Health's research management database, PesquisaSaúde, was analyzed from 2002 to 2009, using the key word "clinical research" in the fields "primary sub-agenda" or "secondary sub-agenda". The 368 projects retrieved were sorted into six categories: basic biomedical research, preclinical studies, expanded clinical research, clinical trials, infrastructure support and health technology assessment. From a structured review on "clinical research funding", results from selected countries are presented and discussed. RESULTS: The amount invested was R$ 140 million. The largest number of projects supported "basic biomedical research", while the highest amounts invested were in "clinical trials" and "infrastructure support". The southeastern region had the greatest proportion of projects and financial resources. In some respects, Brazil is ahead of other BRICS countries (Russia, India, China and South Africa), especially with regard to establishing a National Clinical Research Network. CONCLUSION: The Ministry of Health ensured investments to encourage clinical research in Brazil and contributed towards promoting cohesion between investigators, health policies and the healthcare industrial production complex.
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Lugard, Sunday Bontur. "Risks and Challenges in Public-Private Partnership Projects in Nigeria: A Case Study of the Concession of Murtala Mohammed Airport 2 Terminal (Lagos) to Bi-Courtney Nigeria Ltd." KAS African Law Study Library - Librairie Africaine d’Etudes Juridiques 6, no. 4 (2019): 563–76. http://dx.doi.org/10.5771/2363-6262-2019-4-563.
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Public-private partnership (PPP) has gained global recognition as the key vehicle for the provision of necessary public projects due to the continual inability of governments to fund infrastructural needs of their people - Nigeria is not different as the governments at national and sub-national levels have adopted this model of infrastructural development as a means of addressing this challenge. The Federal government of Nigeria has also keyed into the opportunity of exploiting the financial muscle and management capabilities/expertise of the private sector to the PPP as a platform for the funding and execution of public projects, especially commercial infrastructure like roads, ports, airports, rail system, and public services in the area of healthcare. It was on this premise that the federal government, through the Federal Aviation Authority of Nigeria (FAAN), entered into concession agreement over the building and operations of MM2 airport with Bi-Courtney Aviation Services Ltd, which agreement has been the subject of disputes that have not been fully addressed yet. The goal of this research is to espouse the continuous use of PPP as a medium for the provision of critical infrastructure to the Nigerian populace, while not being oblivious of the need to ameliorate the business environment in the country through the rejigging of the legal and regulatory framework in order to guarantee transparent transactions through public disclosures, timely disputes resolutions framework, among others.
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Littman-Quinn, Ryan, Chikoti Mibenge, Cynthia Antwi, Amit Chandra, and Carrie L. Kovarik. "Implementation of m-health applications in botswana: telemedicine and education on mobile devices in a low resource setting." Journal of Telemedicine and Telecare 19, no. 2 (February 2013): 120–25. http://dx.doi.org/10.1177/1357633x12474746.
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Although Botswana has recently been categorised as an upper middle income country, it is burdened by a scarcity of resources, both human and technological. There are barriers to patients’ access to specialized care and healthcare providers’ access to medical knowledge. Over the past three years, the Botswana-University of Pennsylvania Partnership (BUP) has piloted four mobile telemedicine projects in the specialties of women's health (cervical cancer screening utilizing visual inspection with acetic acid), radiology, oral medicine and dermatology. Mobile telemedicine has been used in 11 locations in Botswana, training a total of 24 clinicians and successfully contributing to the management of 643 cases. In addition to mobile telemedicine, BUP has initiated an m-learning programme with the University of Botswana School of Medicine. While successfully providing patients and providers with improved access to healthcare resources, the m-health projects have faced numerous technical and social challenges. These include malfunctioning mobile devices, unreliable IT infrastructure, accidental damage to mobile devices, and cultural misalignment between IT and healthcare providers. BUP has worked with its local partners to develop solutions to these problems. To ensure sustainability, m-health programmes must have strategic goals that are aligned with those of the national health and education system, and the initiatives must be owned and led by local stakeholders. Whenever possible, open source technology and local IT expertise and infrastructure should be employed.
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Oktavianus, Adrianto, Iris Mahani, and Meifrinaldi. "A Global Review of Public Private Partnerships Trends and Challenges for Social Infrastructure." MATEC Web of Conferences 147 (2018): 06001. http://dx.doi.org/10.1051/matecconf/201814706001.
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In developing countries, the government which has limited budget for public infrastructure development should choose which infrastructure should be developed. Most countries decided to build more economic infrastructure than social infrastructure because former have direct economic impact for society. The involvement of private sector in public infrastructure financing has been accomplished for decades in the form of Public Private Partnership (PPP). However, the implementation is also more often for economic infrastructure, but some countries have started to implement PPP for social infrastructure (education, healthcare, care of the elderly, etc.) when they think to add human capital and improve quality of life. This study attempts to review a set of public private partnership implementation models relevant for social infrastructure development in some countries. Moreover, this study also more explores to the challenges and issues in different areas of social infrastructure. The outcome is to show a trend public-private partnership for social infrastructure in some successful projects from different countries. The challenges and issues about implementation public-private partnership for social infrastructure also be a part of the results from this study. Finally, the study has a valuable input for implementation of PPP on social infrastructure in Indonesia.
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Trotsenko, Oksana, Oleksandr Batanov, and Natalia Simachkova. "Public-private partnership (PPP): legal regulation, techniques and practice in the context of industrialization." E3S Web of Conferences 208 (2020): 06003. http://dx.doi.org/10.1051/e3sconf/202020806003.
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In the article, public-private partnership (hereinafter - PPP) is analyzed as one of the ways to implement infrastructure projects. This form of cooperation arises primarily in those areas for which the state bears responsibility (for ex-ample, road construction, housing and communal services, healthcare, con-struction of social infrastructure facilities, etc.). Due to the strategic importance of the above spheres of the economy, the state can not completely abandon control over their functioning. At the same time, there is a need to maintain the operability of the objects included in them, as well as to attract additional (in addition to budget) funding. Based on foreign experience, the most optimal form of cooperation in this case is PPP.
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Buckner, Ayanna V., Leslie M. Beitsch, and Bernard D. Goldstein. "The Gulf Region Health Outreach Program – An integrated public health response to the Deepwater Horizon Oil Spill." International Oil Spill Conference Proceedings 2014, no. 1 (May 1, 2014): 215–24. http://dx.doi.org/10.7901/2169-3358-2014.1.215.
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ABSTRACT We describe the Gulf Region Health Outreach Program (GRHOP), a series of four integrated community-based projects designed to be embedded in and to complement the existing efforts undertaken by the public health community along the Gulf Coast. Funded from the Deepwater Horizon Medical Settlement, the GRHOP target beneficiaries are residents of 17 coastal counties and parishes in Louisiana, Mississippi, Alabama, and the Florida Panhandle. The GRHOP is unique in that it integrates projects focused on primary care, mental and behavioral health, environmental and occupational medicine, and training community health workers to help residents navigate the healthcare system and access needed care. We explore the evolution of the program, integration and collaboration among GRHOP projects, sustainability, and lessons learned. We also discuss how health professionals, public health organizations, and community groups, have come together, with lawyers from both the Plaintiff's Steering Committee and BP, to integrate their efforts toward the ultimate goal of bolstering evidence-based services and community resilience by increasing sustainable access to high-quality medical and mental and behavioral healthcare, increasing health knowledge among individuals, communities, and providers, and strengthening public health research infrastructure within an integrated public health program.
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Baru, Chaitanya, Michael Pozmantier, Ilkay Altintas, Stephen Baek, Jonathan Cohen, Laura Condon, Giulia Fanti, et al. "Enabling AI Innovation via Data and Model Sharing: An Overview of the Nsf Convergence Accelerator Track D." AI Magazine 43, no. 1 (March 31, 2022): 93–104. http://dx.doi.org/10.1609/aimag.v43i1.19130.
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This article provides a brief overview of 18 projects funded in Track D—Data and Model Sharing to Enable AI Innovation—of the 2020 Cohort of the National Science Foundation's (NSF) Convergence Accelerator (CA) program. The NSF CA is focused on transitioning research to practice for societal impact. The projects described here were funded for one year in phase I of the program, beginning September 2020. Their focus is on delivering tools, technologies, and techniques to assist in sharing data as well as data-driven models to enable AI innovation. A broad range of domain areas is covered by the funded efforts, spanning across healthcare and medicine, to climate change and disaster, and civil/built infrastructure. The projects are addressing sharing of open as well as sensitive/private data. In September 2021, six of the eighteen projects described here were selected for phase II of the program, as noted in this article.
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Gusev, A. V., A. V. Vladzimirskii, N. A. Golubev, and T. V. Zarubina. "Informatization of healthcare in the Russian Federation: history and results of development." National Health Care (Russia) 2, no. 3 (August 17, 2022): 5–17. http://dx.doi.org/10.47093/2713-069x.2021.2.3.5-17.
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The first studies and publications devoted to the use of information technologies in the health care of the USSR appeared in the 60s of the last century. Since that time, our country has formed its own scientific school and a market for a wide variety of software products intended for use in medicine and healthcare. Since 2011, a number of major federal projects in the field of healthcare informatization have been implemented, which, in general, made it possible to provide infrastructure and basic equipment, communication channels and software for the lion’s share of medical organizations, connect them into a single secure information network and ensure the exchange and accumulation of data on the work of the health care system of the Russian Federation. The article presents a description of the history of the development of these processes, as well as the current results of informatization of the healthcare industry in Russia.
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Natsiavas, Pantelis, Giovanni Mazzeo, Giuliana Faiella, Paolo Campegiani, Jos Dumortier, Oana Stan, Marco Nalin, et al. "Developing an infrastructure for secure patient summary exchange in the EU context: Lessons learned from the KONFIDO project." Health Informatics Journal 27, no. 2 (April 2021): 146045822110214. http://dx.doi.org/10.1177/14604582211021459.
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Background: The increase of healthcare digitalization comes along with potential information security risks. Thus, the EU H2020 KONFIDO project aimed to provide a toolkit supporting secure cross-border health data exchange. Methods: KONFIDO focused on the so-called “User Goals”, while also identifying barriers and facilitators regarding eHealth acceptance. Key user scenarios were elaborated both in terms of threat analysis and legal challenges. Moreover, KONFIDO developed a toolkit aiming to enhance the security of OpenNCP, the reference implementation framework. Results: The main project outcomes are highlighted and the “Lessons Learned,” the technical challenges and the EU context are detailed. Conclusions: The main “Lessons Learned” are summarized and a set of recommendations is provided, presenting the position of the KONFIDO consortium toward a robust EU-wide health data exchange infrastructure. To this end, the lack of infrastructure and technical capacity is highlighted, legal and policy challenges are identified and the need to focus on usability and semantic interoperability is emphasized. Regarding technical issues, an emphasis on transparent and standards-based development processes is recommended, especially for landmark software projects. Finally, promoting mentality change and knowledge dissemination is also identified as key step toward the development of secure cross-border health data exchange services.
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Kotelnikov, GP P., and AV V. Kolsanov. "INNOVATION IN SSMU: INFRASTRUCTURE, TRAINING, DEVELOPMENT OF BREAKTHROUGH PROJECTS, TRANSFER OF TECHNOLOGIES INTO PRACTICE, PUBLIC PARTICIPATION IN RUSSIAN AND REGIONAL INNOVATION ECOSYSTEM." Science and Innovations in Medicine 1, no. 1 (March 15, 2016): 8–13. http://dx.doi.org/10.35693/2500-1388-2016-0-1-8-13.
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The article focuses on the role of Samara State Medical University in the development of innovative capacity of the Samara region in the sphere of healthcare and medical education. Special attention is given to the multilevel innovative infrastructure of SSMU, which includes such unique departments as the Center for groundbreaking research “IT in medicine”, the scientific and production technology park, scientific-educational centers, small innovative enterprises and others. In particular, this infrastructure is an integrative platform not only for own innovation process at the university, but also for the development of current medical science prospects, for the formation of unique competences in interdisciplinary spheres, for the realization of science-based business, for the organization of innovative educational process (especially in the sphere of simulation technologies), for implementation into clinical practice, and also for successful incorporation into international cooperation.
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Dunn, Ashley, Linda Lucian, Gordon Saul, Paul Yock, and Mark Cullen. "3432 Stanford MedTech: An Innovative CTSA-Supported Pilot Program." Journal of Clinical and Translational Science 3, s1 (March 2019): 126–27. http://dx.doi.org/10.1017/cts.2019.287.
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OBJECTIVES/SPECIFIC AIMS: Helping researchers assess and effectively translate innovations into healthcare improvements is a complex process (Terry et. al., 2013). The Clinical Translational Science Awards (CTSA)—supported by the National Institute of Health (NIH) under the auspices of the National Center for Advancing Translational Sciences (NCATS)— provide the resources and support needed to strengthen our nation’s clinical and translational research (CTR) enterprise. In 2008, Stanford University was awarded a CTSA from the NIH, establishing Spectrum (the Stanford Center for Clinical and Translational Research and Education). Under the Spectrum umbrella, the Byers Center for Biodesign manages the MedTech Pilot Program with the goal of translating discoveries into novel health technologies that address important unmet health needs. The MedTech Pilot Program is an innovative funding mechanism that seeks to (1) stimulate clinical translational research, (2) help promising projects bridge the gap between the bench and the patients’ bedside, and (3) encourage collaborative, transdisciplinary work. Specifically, the Pilot Program offers up to $50,000 to support projects involving medical devices and mobile technologies used for (1) therapeutic applications and (2) device-based patient-specific (or POC) diagnostic applications. This analysis of the MedTech Pilot Program will: 1) describe the Program’s structure and process; 2) highlight the intensive, hands-on mentorship and practical guidance awardees receive that enables them to more efficiently and effectively advance their projects toward patient care; and 3) characterize the progress of the 36 funded projects. METHODS/STUDY POPULATION: Key elements of the Pilot Program’s infrastructure and mentoring processes as they relate to project outcomes were identified. Additionally, outcomes data were collected from two sources: (1) annual survey of Pilot Awardees and (2) publicly available information relevant to the pilot projects. RESULTS/ANTICIPATED RESULTS: The Pilot Program’s framework and infrastructure has supported a diverse group of transdisciplinary projects. These projects were evaluated using both traditional and non-traditional metrics (e.g., patents, startups, publications). The initial investment of $1.5 million to fund 36 projects has led to over $88 million dollars in additional funding. Additionally, taking full advantage of the expertise in Silicon Valley, strong mentorship has helped advance projects along the clinical and translational path. DISCUSSION/SIGNIFICANCE OF IMPACT: The Pilot Program has benefited Stanford innovators and researchers by providing seed funding to help promising projects bridge the gap between the bench and the bedside. The intensive, hands-on mentorship, early pilot funding, and practical guidance pilot awardees receive effectively help translate their technologies into patient care.
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Nakayasu, K., Y. Ohshima, N. Fujita, N. Nakashima, H. Jozaki, T. Numano, T. Shimizu, et al. "SS-MIX: A Ministry Project to Promote Standardized Healthcare Information Exchange." Methods of Information in Medicine 50, no. 02 (2011): 131–39. http://dx.doi.org/10.3414/me10-01-0015.
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Summary Objectives: To promote healthcare information exchange between providers and to allow hospital information systems (HIS) export information in standardized format (HL7 and DICOM) in an environment of widespread legacy systems, which only can export data in proprietary format. Methods: Through the Shizuoka prefecture EMR project in 2004–2005, followed by the ministry’s SS-MIX project, many software products have been provided, which consist of 1) a standardized storage to receive HL7 v2.5 mes sages of patient demographics, prescription orders, laboratory results, and diagnostic disease in ICD-10, 2) a referral letter creation system, 3) a formatted document creation system, 4) a progress note/nursing record system, and 5) an archive/viewer to incorporate incoming healthcare data CD and allow users to view on HIS terminal. Meanwhile, other useful applications have been produced, such as adverse event reporting and clinical information retrieval. To achieve the above-mentioned objectives, these software products were created and propagated, because users can use these software products, provided that their HIS can export the above information to the standardized storage in HL7 v2.5 format. Results: In 20 hospitals of Japan, the standardized storage has been installed and some applications have been used. As major HIS vendors are shipping HIS with HL7 export function since 2007, HIS of 594 hospitals in Japan became capable of exporting data in HL7 v2.5 format (as of March 2010). Conclusions: In high CPOE installation rate (85% in 400+ bed hospitals), though most of them only capable of exporting data in proprietary format, prefecture and ministry projects were effective to promote healthcare information exchange between providers. The standardized storage became an infrastructure for many useful applications, and many hospitals started using them. Ministry designation of proposed healthcare standards was effective so as to allow vendors to conform their products, and users to install them.
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Kim, Seung-Chul, Paul Hong, Taewon Lee, Ayeon Lee, and So-Hyun Park. "Determining Strategic Priorities for Smart City Development: Case Studies of South Korean and International Smart Cities." Sustainability 14, no. 16 (August 12, 2022): 10001. http://dx.doi.org/10.3390/su141610001.
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Increasingly, nations are engaging in smart city development projects. Smart city development aims to build urban areas with a wholesome quality of life with modern infrastructure capabilities (e.g., economic opportunities, cultural richness, and demographic-geographical balance), technological benefits (e.g., healthcare, education, government) and sustainability goals (e.g., clean, green, safe, and secure environments). This requires huge investments of resources and participation of diverse stakeholders, whose goals are often ambiguous and conflicting. It is not unusual that many of these projects are delayed because of a lack of consensus, which further adds unnecessary social costs and a waste of time and efforts. In this sense, determining strategic priorities for smart city development is crucial for achieving a set of integrative purposes in terms of resource allocation and social benefits goals. This paper aims to determine strategic priorities by examining multiple cases of smart city projects in Korea, Europe, and the U.S. A hierarchical strategic framework, which shows the vision, core values and strategic goals, is developed and proposed from the case studies. Lessons and practical implications are discussed for future study.
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Akola, Juliet, James Chakwizira, Emaculate Ingwani, and Peter Bikam. "An AHP-TOWS Analysis of Options for Promoting Disaster Risk Reduction Infrastructure in Informal Settlements of Greater Giyani Local Municipality, South Africa." Sustainability 15, no. 1 (December 23, 2022): 267. http://dx.doi.org/10.3390/su15010267.
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In the face of unstoppable urbanisation, disaster risks are projected to increase, mainly in unplanned areas that usually lack disaster risk reducing infrastructure. In Africa, including South Africa, limited resources and capacity hinder the provision of such infrastructure. The objective of this study was to determine options for promoting disaster risk reducing infrastructure in informal settlements in Giyani Municipality, Limpopo Province, South Africa, a disaster risk-prone area. A case study was conducted to collect primary data from purposively selected experts and the SWOT factors from the Integrated Development Plan Report of 2019/2020. A TOWS analytical hierarchical process was applied to pairwise comparisons of factors to prioritize them using eigenvalues and generate strategic options for promoting disaster risk reduction infrastructure in the informal settlements of Giyani Local Municipality. In the TOWS results, the experts suggested integrating traditional authorities into the municipal development processes, implementing an environmental framework that includes disaster management policies and an integrated waste management plan, and developing innovative technological projects that provide up-to-date spatial planning data to provide disaster risk reducing infrastructure in informal areas. This study concludes that the provision of affordable housing, clean regular piped water, storm and sewer drainage systems, street lighting, accessible routes, solid waste collection, electricity, and healthcare services would reduce a range of disaster risks.
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Konev, Ivan, and Denis Maslennikov. "RESULTS OF SOCIOLOGICAL SURVEYS AMONG LOCAL POPULATION FOCUSING ON SPECIFIC PRESERVATION AND DEVELOPMENT OF HUMAN CAPITAL IN ARCTIC KARELIA (BASED ON THE MATERIALS OF THE EXPEDITION IN JUNE 2021)." Studia Humanitatis 21, no. 4 (December 2021): 42–53. http://dx.doi.org/10.15393/j12.art.2021.3787.
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The article examines the results of the sociological surveys among the local population of the Kalevala National District aimed at assessing the current understanding of trends in the preservation and development of human capital. The need to update these concepts is directly related to the continuation of the state social policy in the field of education, healthcare, demography, social infrastructure, and high-performance jobs based on the mass digitalization of the Russian economy within the framework of national projects between 2019 and 2024. Some of the results are included in the context of the article as the examples of the author’s point of view.
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Shablii, O., L. Zastavetska, K. Dudarchuk, I. Illiash, and N. Smochko. "The main problems of healthcare and wellness tourism in Ukraine." Journal of Geology, Geography and Geoecology 27, no. 2 (November 2, 2018): 337–45. http://dx.doi.org/10.15421/111858.
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The data of the conducted research testify to the high potential of Ukraine, taking into account factors such as favourable climate, location near two seas and rich natural resources for healthcare and wellness tourism. Significant weaknesses have been identified, which consist of an outdated infrastructure of healthcare and wellness enter- prises and the narrow range of services provided by them. Only 67% of the total number of establishments of the sanatorium and resort complex have service departments inside, but even if they are available, most of the health-improvement facilities according to the requirements of the National Standard for Accommodation do not even correspond to category 1. In the course of the conducted research, methods of statistical analysis were applied to study the dynamics of the number of sanatoria and health facilities in Ukraine and the number of tourists. Methods for diagnosing the state of development and modeling (including SWOT analysis, cluster approach) were used to study the functioning of tourist territories of different taxonomic ranks. It was found on the basis of study that although Ukraine has all the resources for the development of healthcare tourism, it is still a depressed industry owing to numerous problems. The materials of this research can become a practical basis for the development of this kind of tourism. The main problems of development of tourist infrastructure of healthcare tourism are described. The directions of its development are proposed: construction of new hotels, recreation centers, shelters, hotels, camping sites, etc. and reconstruction of available accommodation facilities. It was found that a similar situation is observed in the places of public catering (their significant insufficiency negatively affects the development of this sphere of tourism ). It is proposed to create an innovative cluster of health-improving type on mono-territories, which will allow the best possible social and economic development projects to be designed and implemented, as well as helping to effectively build and implement a strategy for long-term development of the territory, which has favourable conditions for sanatorium and resort treatment
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Delaney, Brendan C., Vasa Curcin, Anna Andreasson, Theodoros N. Arvanitis, Hilde Bastiaens, Derek Corrigan, Jean-Francois Ethier, et al. "Translational Medicine and Patient Safety in Europe: TRANSFoRm—Architecture for the Learning Health System in Europe." BioMed Research International 2015 (2015): 1–8. http://dx.doi.org/10.1155/2015/961526.
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The Learning Health System (LHS) describes linking routine healthcare systems directly with both research translation and knowledge translation as an extension of the evidence-based medicine paradigm, taking advantage of the ubiquitous use of electronic health record (EHR) systems. TRANSFoRm is an EU FP7 project that seeks to develop an infrastructure for the LHS in European primary care.Methods. The project is based on three clinical use cases, a genotype-phenotype study in diabetes, a randomised controlled trial with gastroesophageal reflux disease, and a diagnostic decision support system for chest pain, abdominal pain, and shortness of breath.Results. Four models were developed (clinical research, clinical data, provenance, and diagnosis) that form the basis of the projects approach to interoperability. These models are maintained as ontologies with binding of terms to define precise data elements. CDISC ODM and SDM standards are extended using an archetype approach to enable a two-level model of individual data elements, representing both research content and clinical content. Separate configurations of the TRANSFoRm tools serve each use case.Conclusions.The project has been successful in using ontologies and archetypes to develop a highly flexible solution to the problem of heterogeneity of data sources presented by the LHS.
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Alzghaibi, Haitham, Ali H. Alharbi, Yasir H. Mughal, Mohammed H. Alwheeb, and Adel S. Alhlayl. "Assessing primary health care readiness for large-scale electronic health record system implementation: Project team perspective." Health Informatics Journal 29, no. 1 (January 2023): 146045822311527. http://dx.doi.org/10.1177/14604582231152790.
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Introduction: The introduction of information technology was one of the key priorities for policymakers in healthcare organisations over the last two decades, due to the potential benefits of this technology to improve healthcare services and quality. However, about 50% of those projects failed to achieve their intended aims. This was as a result of several factors and included the level of readiness to the new IT projects. Aim: The aim of the study was to assess the readiness of Saudi primary health care centres (PHCCs) readiness for the implementation of an electronic health record system (EHRS) from the project team perspective. Methods: Explanatory mixed methods design was used with both qualitative and quantitative methods. Thirty-one members of project team at the ministry of health (MOH) participated in the online-based questionnaire, while 13 participants from the same population took part in the semi-structure interviews. Eight different readiness scales were quantitatively examined. These scales include resources, Knowledge, process, management structure and administrative support, end user, technology and values and goals. Result: Although, very high level of readiness has been recorded at the process, management structure and administrative support levels, readiness was average at the end user, technology and values and goals levels. Moreover, the study findings revealed that primary health care centres readiness for an electronic health record system must be considered in the early stages of implementation (pre-implementation phase), particularly readiness at a technical level, such as preparedness of the infrastructure. A positive significant correlation has been recorded between all readiness scales with centralization of management system and financial resources. Conclusion: Overall, the level of primary health care centres readiness recorded to be high, which indicates that primary health care centres are ready for implementation of the electronic health record system, and in this context, management structure, organizational process, financial recourses and administrative support play significant roles to increase the project success rate.
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Shenoy, Amrita Gopinath. "DSRIP’s innovation and collaboration in population health management: A cross-sectional segmented time series model." Health Services Management Research 33, no. 1 (September 25, 2019): 2–12. http://dx.doi.org/10.1177/0951484819868679.
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Texas Medicaid Section 1115 waiver approved Delivery System Reform Incentive Payment (DSRIP) program has four categories, namely infrastructure development, program innovation and redesign, reporting of quality improvement outcomes, and population health improvement. A metric of the fourth category, preventable hospitalization rate, was analyzed for a set of eight diagnostic conditions to assess the impact of DSRIP on participating- and non-participating hospitals over two time periods, pre-DSRIP and post-DSRIP, with the help of a cross-sectional segmented time series regression model. Texas Healthcare Information Collection database was leveraged to obtain preventable hospitalization rate data. The dependent variables were preventable hospitalization rates of eight program-specified conditions and the independent variables were time, intervention, and post-implementation intervention. The overall combined preventable hospitalization rate for DSRIP hospitals was observed to decrease by 25.73%, whereas the overall combined preventable hospitalization rate for non-DSRIP hospitals was observed to increase by 37.57%. DSRIP hospitals had invested in coordinating healthcare projects and were subsequently reimbursed by the state for healthcare improvements. The implementation of DSRIP may have had the capacity to decrease preventable hospitalization rates in regions wherein its adoption may have improved the health of the population.
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Raharjo, Aris Wahyu, Sudarso Kaderi Wiryono, and Raden Aswin Rahadi. "Indonesia Evolving Sovereign Wealth Fund: A Literature Review." 13th GLOBAL CONFERENCE ON BUSINESS AND SOCIAL SCIENCES 13, no. 1 (June 16, 2022): 1. http://dx.doi.org/10.35609/gcbssproceeding.2022.1(18).
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Indonesian Investment Authority (INA) which is considered as the Indonesia's sovereign wealth fund was established under government regulation (PP) No.74/2020. This regulation is derived from Act No.11/2020 regarding the employment creation. INA is formed to build wealth for future generations and contribute to Indonesia's sustainable economic development. The objective of INA is to support national economic recovery by attracting foreign investment in providing funding for various key sector projects. INA offers 8 key investment sectors, namely: Infrastructure, Supply Chain and Logistic, Digital Infrastructure, Green Investing, Healthcare, Financial Service, Consumer and Technology, Tourism. The capital sources of INA are formed from state budget (APBN) in 2020 as much as Rp. 15 Trillion (US$ 1.05 billion), from state-owned enterprises (BRI and Mandiri Bank) as much as Rp. 60 trillion (US$ 4.5 billion). It is expected that INA will continue its growth through investor partnership to reach agreement of additional US$ 20 billion fund in the near future (http://www.ina.go.id). Prior to establishing Indonesian Investment Authority (INA), Government of Indonesia has formed various different kind of investment agencies, namely: Pengelola Investasi Pemerintah (PIP) established in 2007, PT. Sarana Multi Infrastruktur (Persero) established in 2009, Indonesia Infrastructure Finance (IIF) established in 2010. They were primarily devoted to foster infrastructure development in Indonesia. The development of infrastructure in Indonesia is aiming to improve the standard of living as stipulated by social development goal (SDG), to improve infrastructure competitiveness as one of main component for national competitiveness and also to promote national economic growth. Currently, infrastructure development is challenged by global funding scarcity. There is increasing gap in between funding requirement and available fund at global level Keywords: Indonesia Sovereign Wealth Fund; Firm Value; Infrastructure Development; Structured Literature Review
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Breusov, Aleksei V., Eduardo A. Rios, and Dmitrii A. Breusov. "Main areas of development of public-private partnership in providing cancer care." Science and Innovations in Medicine 6, no. 3 (September 30, 2021): 46–50. http://dx.doi.org/10.35693/2500-1388-2021-6-3-46-50.
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Objectives to substantiate and define the main directions of the development of public-private cooperation in the provision of specialized oncological care to patients.
Material and methods.The research was based on the data of official statistics, scientific and methodological literature presented in the eLibrary, Publons, Scopus, the Cochrane Library databases. Research methods included bibliographic, descriptive and analytical, content analysis method, mathematical and statistical (calculation of relative indicators, mean values, methods of aligning the interval time series).
Results. Reducing morbidity and mortality from oncopathology is a state-scale problem that can only be solved comprehensively by attracting private investors when implementing innovative public-private partnership projects in healthcare. One of the modern models of interaction between state and business is the construction of public-private partnerships for new medical infrastructure.
Conclusion. The Center for Nuclear Medicine for the treatment of cancer is an innovative project, the implementation of which will help to reduce mortality from malignant neoplasms, increase the availability of specialized care and the quality of life of patients.
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Зайнашева, З. Г., and Д. Ф. Агзамова. "MODERNIZATION OF THE HEALTHCARE SYSTEM OF THE REPUBLIC OF BASHKORTOSTAN ON THE PRINCIPLES OF PUBLIC-PRIVATE PARTNERSHIP." Вестник ГГНТУ. Гуманитарные и социально-экономические науки, no. 1(19) (June 14, 2020): 5–12. http://dx.doi.org/10.34708/gstou.2020.19.1.011.
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В статье отражены имеющиеся в системе здравоохранения проблемы, в частности - низкое качество медицинских услуг, дефицит бюджетных средств, рост платности медицинских услуг, низкий уровень материально-технической базы сферы здравоохранения, и отмечено, что одной из перспективных мер решения указанных проблем является внедрение механизмов государственно-частного партнерства и муниципально-частного партнерства. Авторы рассмотрели реализацию проектов государственно-частного партнерства и муниципально-частного партнерства в Республике Башкортостан, отметили успехи и существующие проблемы, на основании чего сделали вывод о том, что модернизация государственного сектора системы здравоохранения в области управления и администрирования инфраструктуры возможна лишь при условии участия бизнеса. В статье авторы предложили пути и способы повышения инвестиционной привлекательности медицинской сферы, а также возможные способы повышения эффективности реализации проектов государственно-частного партнерства в системе здравоохранения, отметив при этом, что потребуется активизация усилий и государства, и участников рынка. The article reflects the problems existing in the health care system, in particular, the poor quality of medical services, budget deficits, the increase in the cost of medical services, the low level of material and technical base of the healthcare sector, and it is noted that one of the promising measures to solve these problems is the introduction of mechanisms of state private partnerships and municipal-private partnerships. The authors reviewed the implementation of public-private partnership and municipal- private partnership projects in the Republic of Bashkortostan, noted the successes and existing problems, on the basis of which they concluded that the modernization of the public sector of the healthcare system in the field of infrastructure management and administration is possible only with the participation of business. In the article, the authors proposed ways and means to increase the investment attractiveness of the medical sector, as well as possible ways to increase the efficiency of public-private partnership projects in the healthcare system, while noting that intensification of efforts by both the state and market participants will be required.
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Kerr, Katie, Caoimhe McKenna, Shirley Heggarty, Caitlin Bailie, Julie McMullan, Ashleen Crowe, Jill Kilner, et al. "A Formative Study of the Implementation of Whole Genome Sequencing in Northern Ireland." Genes 13, no. 7 (June 21, 2022): 1104. http://dx.doi.org/10.3390/genes13071104.
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Background: The UK 100,000 Genomes Project was a transformational research project which facilitated whole genome sequencing (WGS) diagnostics for rare diseases. We evaluated experiences of introducing WGS in Northern Ireland, providing recommendations for future projects. Methods: This formative evaluation included (1) an appraisal of the logistics of implementing and delivering WGS, (2) a survey of participant self-reported views and experiences, (3) semi-structured interviews with healthcare staff as key informants who were involved in the delivery of WGS and (4) a workshop discussion about interprofessional collaboration with respect to molecular diagnostics. Results: We engaged with >400 participants, with detailed reflections obtained from 74 participants including patients, caregivers, key National Health Service (NHS) informants, and researchers (patient survey n = 42; semi-structured interviews n = 19; attendees of the discussion workshop n = 13). Overarching themes included the need to improve rare disease awareness, education, and support services, as well as interprofessional collaboration being central to an effective, mainstreamed molecular diagnostic service. Conclusions: Recommendations for streamlining precision medicine for patients with rare diseases include administrative improvements (e.g., streamlining of the consent process), educational improvements (e.g., rare disease training provided from undergraduate to postgraduate education alongside genomics training for non-genetic specialists) and analytical improvements (e.g., multidisciplinary collaboration and improved computational infrastructure).
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Abrekov, Magomed, and Andrey Vlasov. "ICO and IPO Markets: An Overview and Prospects." Spatial Economics 18, no. 4 (2022): 36–67. http://dx.doi.org/10.14530/se.2022.4.036-067.
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The purpose of this work is to study the investment capital markets by analysing the IPO and ICO procedures, identifying the main trends, leading sectors and comparing their volumes. The methodological basis was a retrospective analysis of the development of various forms of investment attraction (IPO and ICO). The main research methods were deduction, induction, synthesis and logical analysis. This article examined the main trends taking place in the IPO and ICO markets; key types of used blockchain platforms were identified; the leading countries and sectors in terms of the amount of funds raised are presented. The ICO market showed high growth rates in 2013–2018, but did not reach volumes comparable to the IPO market. Most of the projects that used the ICO (digital token issuance) procedures chose the Ethereum blockchain system as a platform, implemented projects in the fintech and IT industries, infrastructure development and decentralized applications (DApps). The leading states, residents, which have carried out the largest number of ICO procedures, are the USA, Singapore, United Kingdom and Hong Kong. In the IPO market, the largest volume of funds was attracted by projects from such sectors as finance, consumer services, oil and gas, industry and healthcare. The US remains the main platform chosen by companies for IPOs. The US is followed by the UK, China and Hong Kong
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Fenner, J. W., B. Brook, G. Clapworthy, P. V. Coveney, V. Feipel, H. Gregersen, D. R. Hose, et al. "The EuroPhysiome, STEP and a roadmap for the virtual physiological human." Philosophical Transactions of the Royal Society A: Mathematical, Physical and Engineering Sciences 366, no. 1878 (June 17, 2008): 2979–99. http://dx.doi.org/10.1098/rsta.2008.0089.
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Biomedical science and its allied disciplines are entering a new era in which computational methods and technologies are poised to play a prevalent role in supporting collaborative investigation of the human body. Within Europe, this has its focus in the virtual physiological human (VPH), which is an evolving entity that has emerged from the EuroPhysiome initiative and the strategy for the EuroPhysiome (STEP) consortium. The VPH is intended to be a solution to common infrastructure needs for physiome projects across the globe, providing a unifying architecture that facilitates integration and prediction, ultimately creating a framework capable of describing Homo sapiens in silico . The routine reliance of the biomedical industry, biomedical research and clinical practice on information technology (IT) highlights the importance of a tailor-made and robust IT infrastructure, but numerous challenges need to be addressed if the VPH is to become a mature technological reality. Appropriate investment will reap considerable rewards, since it is anticipated that the VPH will influence all sectors of society, with implications predominantly for improved healthcare, improved competitiveness in industry and greater understanding of (patho)physiological processes. This paper considers issues pertinent to the development of the VPH, highlighted by the work of the STEP consortium.
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Homan, Fay F., Cristina S. Hammond, Ellen F. Thompson, Donald O. Kollisch, and James C. Strickler. "Post-Conflict Transition and Sustainability in Kosovo: Establishing Primary Healthcare-Based Antenatal Care." Prehospital and Disaster Medicine 25, no. 1 (February 2010): 28–33. http://dx.doi.org/10.1017/s1049023x00007627.
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AbstractIntroduction:Kosovo is a post-conflict nation with an extensively damaged infrastructure, a weak primary care base, and poor maternal-child health outcomes. The Kosovo-Dartmouth Alliance for Healthy Newborns (the Alliance) sought to improve maternal and neonatal health in Kosovo by providing family medicine-based antenatal care (ANC).Methods:The ANC Program used a modification of the World Health Organization's four-visit, prenatal care model. The program is based in family medicine and requires minimal medical equipment, such as a blood pressure cuff, fetal doppler, measuring tape, urine dipstick, and charting materials. Patient education and counseling are stressed. Women are taught about danger signs in pregnancy and establishing an emergency plan, so that they can respond promptly if complications occur. Antenatal care doctors and nurses are trained to refer women to obstetricians for deviations from normal pregnancy. The providers are taught using a “Training of Trainers” approach, building on an existing system of family medicine trainers. In order to address challenges in implementation and sustainability, microsystems methodology is used to focus on implementing change and assuring quality improvement through shared decision-making and the study of outcomes.Results:Based on chart reviews and direct observation, ANC providers showed mastery of the components of ANC, including physical examination, recognition and referral of high-risk pregnancies, and patient education. After an initial pilot project, Kosovo's Ministry of Health recommended this program for dissemination throughout the country. During the next year, ANC was implemented at 27 Family Medicine Centers in nine municipalities; 1,671 women were seen for a total of 3,399 visits. Currently, the Alliance's model of ANC is offered in 30% of Kosovo's municipalities.Discussion:International aid projects often lack attention to long-term sustainability. Microsystems training gives participants the tools and framework to implement and sustain change, even after international support is withdrawn.Conclusions:The Alliance's model of family medicine-based ANC is simple to teach and emphasizes sustainability. It may be modified for use in different cultures and healthcare systems and offers the opportunity to improve maternal and infant health by providing low cost antenatal care, available in a woman's own community.
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Jamil, Muhammad, Haseeb Yaqoob, Muhammad Farooq, Yew Teoh, Ben Xu, Khamid Mahkamov, Muhammad Sultan, Kim Ng, and Muhammad Shahzad. "Experimental Investigations of a Solar Water Treatment System for Remote Desert Areas of Pakistan." Water 13, no. 8 (April 13, 2021): 1070. http://dx.doi.org/10.3390/w13081070.
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Pakistan is among the countries that have already crossed the water scarcity line, and the situation is worsened due to the recent pandemic. This is because the major budget of the country is shifted to primary healthcare activities from other development projects that included water treatment and transportation infrastructure. Consequently, water-borne diseases have increased drastically in the past few months. Therefore, there is a dire need to address this issue on a priority basis to ameliorate the worsening situation. One possible solution is to shift the focus/load from mega-projects that require a plethora of resources, money, and time to small domestic-scale systems for water treatment. For this purpose, domestic-scale solar stills are designed, fabricated, and tested in one of the harshest climatic condition areas of Pakistan, Rahim Yar Khan. A comprehensive overview of the regional climatology, including wind speed, solar potential, and ambient temperature is presented for the whole year. The analysis shows that the proposed system can adequately resolve the drinking water problems of deprived areas of Pakistan. The average water productivity of 1.5 L/d/m2 is achieved with a total investment of PKR 3000 (<$20). This real site testing data will serve as a guideline for similar system design in other arid areas globally.
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McConalogue, Eoghan, Paul Davis, and Regina Connolly. "Health Technology Assessment: The Role of Total Cost of Ownership." Business Systems Research Journal 10, no. 1 (April 1, 2019): 180–87. http://dx.doi.org/10.2478/bsrj-2019-0013.
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Abstract Background: Recently the European Union, through its Horizon 2020 fund has awarded numerous research projects tasked with the development of cloud-based health technology solutions. A number of these projects have a specific focus on ambient assisted living (AAL) technologies; solutions that offer a unique opportunity to improve the quality of life of persons with mild cognitive impairments. The diffusion of these solutions across a European wide cloud infrastructure presents a novel opportunity to reduce economic pressures currently experienced by European health systems. However, no route to market framework currently exists for a European wide healthcare delivery system. Objectives: The goal of the paper is to conduct the review and develop the literature around technology assessment for AAL technologies and route to market frameworks. Methods/Approach: We highlight the role of Total Cost of Ownership (TCO) when conducting a technology assessment by reviewing existent literature. Results: We discuss three TCO models that can support the assessment of AAL technologies. Conclusions: There is a gap in the analysis of TCO models in the context of AAL technologies particularly in public and private sector collaborations. TCO process should be developed into a key award criterion when conducting AAL technology assessment and procurements, thus aiding long term strategic decision making.
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Mayan, J. C., M. J. García, A. A. Almerares, M. Househ, and D. R. Luna. "Challenges and Potential Solutions for Big Data Implementations in Developing Countries." Yearbook of Medical Informatics 23, no. 01 (August 2014): 36–41. http://dx.doi.org/10.15265/iy-2014-0012.
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Summary Background: The volume of data, the velocity with which they are generated, and their variety and lack of structure hinder their use. This creates the need to change the way information is captured, stored, processed, and analyzed, leading to the paradigm shift called Big Data. Objectives: To describe the challenges and possible solutions for developing countries when implementing Big Data projects in the health sector. Methods: A non-systematic review of the literature was performed in PubMed and Google Scholar. The following keywords were used: “big data”, “developing countries”, “data mining”, “health information systems”, and “computing methodologies”. A thematic review of selected articles was performed. Results: There are challenges when implementing any Big Data program including exponential growth of data, special infrastructure needs, need for a trained workforce, need to agree on interoperability standards, privacy and security issues, and the need to include people, processes, and policies to ensure their adoption. Developing countries have particular characteristics that hinder further development of these projects. Conclusions: The advent of Big Data promises great opportunities for the healthcare field. In this article, we attempt to describe the challenges developing countries would face and enumerate the options to be used to achieve successful implementations of Big Data programs.
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Kamal, Arif, Jonathan Nicolla, Fred Friedman, Charles S. Stinson, Laura Patel, Keith Mark Swetz, Jacob Strand, et al. "Formation of an international quality improvement collaborative for palliative care: The Global Palliative Care Quality Alliance (GPCQA)." Journal of Clinical Oncology 32, no. 31_suppl (November 1, 2014): 91. http://dx.doi.org/10.1200/jco.2014.32.31_suppl.91.
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91 Background: Formal mechanisms to share data on quality remain immature in specialty palliative care. As the field grows, infrastructure that promotes collaboration among academic and community-based practice will be required to foster comparisons and benchmarking of data to inform areas for quality improvement. Further, such relationships will create a palliative care “quality improvement laboratory”, where proposed guidelines and best practices can be developed, implemented, and tested. Methods: We set out to bring together specialty palliative care practices with a shared vision for collaborative quality improvement. We modeled our approach after the Institute for Healthcare Improvement Breakthrough Series alongside our Rapid Learning Quality Improvement paradigm. We use a set of common data collection procedures, across an electronic point-of-care platform called Quality Data Collection Tool (QDACT), alongside a centralized data registry. Further, we meet and discuss challenges and issues, compare best practices, and brainstorm new projects through biweekly conference calls. Results: We have created a multi-institutional collaboration for quality assessment and improvement in specialty palliative care. Termed the Global Palliative Care Quality Alliance, we have brought together 11 academic and community organizations, both general and oncology-specific, across six states to study various areas of quality practice. Short-term, we will conduct rapid-cycling quality improvement projects addressing National Quality Forum domains for quality palliative care, including documentation of spiritual assessment and timely advance care planning. Long-term, we aim to study the link between quality measure adherence and outcomes and further align our initiatives with those of other large consortia, like the Palliative Care Research Cooperative and Palliative Care Quality Network. Conclusions: Collaborative quality improvement is needed in specialty palliative care across a national platform. Developing the infrastructure to perform standardized quality improvement is achievable across multiple palliative care settings.
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Zayas-Cabán, Teresa, Kevin J. Chaney, Courtney C. Rogers, Joshua C. Denny, and P. Jon White. "Meeting the challenge: Health information technology’s essential role in achieving precision medicine." Journal of the American Medical Informatics Association 28, no. 6 (March 22, 2021): 1345–52. http://dx.doi.org/10.1093/jamia/ocab032.
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Abstract Precision medicine can revolutionize health care by tailoring treatments to individual patient needs. Advancing precision medicine requires evidence development through research that combines needed data, including clinical data, at an unprecedented scale. Widespread adoption of health information technology (IT) has made digital clinical data broadly available. These data and information systems must evolve to support precision medicine research and delivery. Specifically, relevant health IT data, infrastructure, clinical integration, and policy needs must be addressed. This article outlines those needs and describes work the Office of the National Coordinator for Health Information Technology is leading to improve health IT through pilot projects and standards and policy development. The Office of the National Coordinator for Health Information Technology will build on these efforts and continue to coordinate with other key stakeholders to achieve the vision of precision medicine. Advancement of precision medicine will require ongoing, collaborative health IT policy and technical initiatives that advance discovery and transform healthcare delivery.
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Sharov, Sergey Yu. "Resources for rural settlement development in modern Russia." POPULATION 23, no. 3 (2020): 109–18. http://dx.doi.org/10.19181/population.2020.23.3.10.
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In the 21st century, rural population in Russia as a whole continues to decline. However, different levels of urbanization and different rates of its change across regions indicate the heterogeneity of processes and the influence of many factors. The main trends are completion of the withering away of the traditional rural lifestyle, mixing urban and rural lifestyles in the suburbs with predominance of the former (summer cottages, cottages), gravitation of rural economic activity towards the zones of influence of agglomerations, development of an economic base not related to agriculture: seasonal work, tourism and recreation, traditional crafts, remote work, creative projects. Technological progress, development of means of online dissemination of technologies and know-how, withdrawal of industrial production from large cities and their miniaturization allow us to discuss the prospects for development of industries in rural areas that satisfy a significant part of the local demand for consumer goods and the need for certain types of equipment. The course towards a reasonable regional economic autonomy will allow increasing the proportion of local agricultural products in the regional diet, which also requires development of cooperation of small agricultural producers and diversification of sales channels. To ensure competitiveness of rural areas as a habitat in relation to cities, it is necessary to ensure connectivity of those areas with central localities and provision of modern infrastructure, amenities, access to education, healthcare and high culture. This can be facilitated by modern solutions that are currently at varying degrees of implementation in different countries of the world (such as distance forms of education, healthcare, exhibitions, performances; crowdfunding projects) and by the solutions from the recent past that have not found sufficient implementation (for example, local aviation, regional tours of artists and performers).
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Bos, Frits, and Arjan Ruijs. "Quantifying the Non-Use Value of Biodiversity in Cost–Benefit Analysis: The Dutch Biodiversity Points." Journal of Benefit-Cost Analysis 12, no. 2 (2021): 287–312. http://dx.doi.org/10.1017/bca.2020.27.
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AbstractBiodiversity points are a quantitative measure for biodiversity. For over a decade, biodiversity points are being applied in the Netherlands for measuring the impact of roads, enclosure dams, and other water management projects on the non-use value of biodiversity. Biodiversity points are quite similar to the quality-adjusted life years used for cost-effectiveness analysis of healthcare treatments. Biodiversity points can be calculated by multiplying the size of the ecotope (e.g., number of hectare), the ecological quality of the ecotope (0–100 %), and the ecological scarcity of each type of ecotope. For many infrastructure projects, the impact on the non-use value of biodiversity can be a principal purpose or a major co-benefit or trade-off, for example, for a park, a fish sluice, a road, an ecoduct, an enclosure dam, or a marine protected area. Biodiversity points are a simple, transparent, and standardized way to aggregate and quantify the qualitative or ordinal assessments by ecological experts. For measuring the non-use value of biodiversity, they are also more informative than valuation by revealed or stated preferences methods. This paper provides the first overview of the application of this method in the Dutch practice of cost–benefit analysis. It also discusses its merits and limitations. The calculation and use of biodiversity points are illustrated by four case studies.
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Chu, Annie T. W., Jasmine L. F. Fung, Amy H. Y. Tong, Sin Man Chow, Kelvin Y. K. Chan, Kit San Yeung, Hei Man Lo, and Brian H. Y. Chung. "Potentials and challenges of launching the pilot phase of Hong Kong Genome Project." Journal of Translational Genetics and Genomics 6 (2022): 290–303. http://dx.doi.org/10.20517/jtgg.2022.02.
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Genomic medicine and precision medicine initiatives have taken centre stage in scientific, clinical, as well as health economics and utility research on the global scene for the past decade. It is clear the important role genomic advancement has played in enhancing diagnostic rate, streamlining personalised treatment, and improving efficacy of the overall clinical management of undiagnosed, rare, and common diseases for humankind. The Hong Kong Genome Institute (HKGI) was established in May 2020 within the Food and Health Bureau, Hong Kong Special Administrative Region, to integrate genomic medicine into mainstream healthcare. The main goals of setting up HKGI are to (1) improve the diagnostic rate and future care for individuals affected by undiagnosed diseases and hereditary cancers using whole genome sequencing; (2) advance research in genomic science; (3) nurture talents in genomic medicine; and (4) enhance public genomic literacy and overall engagement through the launching of the Hong Kong Genome Project (HKGP). In this paper, we review the current landscape and specific challenges encountered during the construction of the infrastructure and implementation of the pilot phase of HKGP. Through reviewing what has been achieved and established to date, and the potentials and prospects that have emerged in the process, this paper will provide insights into planning the main phase of HKGP, and considerations for our international counterparts when building similar projects.
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Mainzer, Klaus. "Technology Foresight and Sustainable Innovation Development in the Complex Dynamical Systems View." Foresight and STI Governance 14, no. 4 (December 15, 2020): 10–19. http://dx.doi.org/10.17323/2500-2597.2020.4.10.19.
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Information and communication technologies (ICT) which are transforming most areas develop non-linearly. Failure to take into account the nonlinear principles of complex dynamic systems hinders development of balanced innovation strategies. Companies and governments lose the ability to effectively respond to “grand challenges”. The linear approach does not allow covering a wide range of critical areas simultaneously in the scope of Foresight projects, prevents from applying an interdisciplinary approach to developing innovation strategies, correct risks assessment, and making informed decisions. The paper proposes a solution: management based on “cyber-physical systems” (CPS) built on dynamic complexity and nonlinearity principles. Such systems not only integrate computing and physical action but are embedded in everyday environment; they are more than the sum of multiple intelligent computing devices. CPS transforms into collective social systems, integrate information, energy, and material flows, and adapt to physical processes. Cyber-physical systems can offer a sustainable information infrastructure which serves as a prerequisite for building up the innovation potential of a company, region, or country. They make it possible to analyse all stages of an innovation project from the technical and organisational points of view simultaneously, cover all possible social consequences and challenges, and identify unexpected promising developments. CPS have a decentralised structure which allows to solve complex problems and manage large and complex structures in real time, such as an energy grid, transport, smart city, healthcare, etc.