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Tien, James M., and Pascal J. Goldschmidt-Clermont. "Healthcare: A complex service system." Journal of Systems Science and Systems Engineering 18, no. 3 (July 17, 2009): 257–82. http://dx.doi.org/10.1007/s11518-009-5108-z.
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Sodhi, Chhavi, and Pushpendra Singh. "Health service system in transition." International Journal of Health Governance 21, no. 4 (December 5, 2016): 204–21. http://dx.doi.org/10.1108/ijhg-03-2016-0020.
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Purpose The purpose of this paper is to present a historical overview of the health service sector in India. The development in the healthcare sector from the late eighteenth century into current times is examined from the prism of the role played by British and US healthcare systems in influencing change in the Indian setup. Design/methodology/approach Online databases searched were PubMed and JSTOR, using the search terms, “Indian health service system in transition”, “British influence on the Indian healthcare setup” and “American neo-liberal influence on Indian healthcare sector”. The authors then examined titles and abstracts of selected articles for short-listing relevant articles. Reference lists of selected articles were examined for further locating related studies. While this constituted the secondary literature for the current paper, reports by governmental and non-governmental organisation reports on the Indian health service system too were utilised as primary data sources. Findings Influenced by the British and later by the American healthcare system, the Indian healthcare network has undergone numerous changes. In the present era, the Indian healthcare system is increasingly veering towards the American model of healthcare delivery. Health is increasingly being conceived of as a commodity to be traded in the market, with the state’s role curtailed towards provisioning for and facilitating access of the weakest sections of the society through a means-tested insurance system. This has happened without adequate checks and balances on the private sector to ensure that the needs of the people accessing the system are adequately met. Social implications By tracing the development of the health service sector in India and the motives that guide such change, the paper depicts how the thrust of the system has altered from one providing universal healthcare services to the people, irrespective of their ability to pay, at the time of independence to commercialisation in present times. With the marketisation of healthcare, the focus has shifted from serving people to profiting from the provisioning of healthcare. Originality/value The paper throws light on the underlying inadequacies of the Indian healthcare setup and the need for more active participation by the government in this sector in the future if it aims to make healthcare more equitably accessible to its vast population.
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Suriya, Dr S., and Nivetha S. "Design of UML Diagrams for WEBMED - Healthcare Service System Services." EAI Endorsed Transactions on e-Learning 8, no. 1 (February 1, 2023): e5. http://dx.doi.org/10.4108/eetel.v8i1.3015.
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Healthcare service has huge demand these days as it really helps in managing a hospital or a medical office. The scope of Healthcare service systems is increasing by each day and it is true for the entire world. Some of these solutions include improved awareness about Healthcare services and health policies. The objective of this system is to provide medical assistance to people instantly with the help of technology. This system eradicates the cultural sensitivity that prevails in many hospitals and improvises the quality of medical assistance. The captivating features of this system are online doctor, medicines at doorstep, bulletin of awareness. The users can also navigate and choose among various insurance schemes that are displayed.Unified Modeling language (UML) is a standardized modeling language enabling developers to specify, visualize, construct and document artifacts of a software system. It uses graphic notation to create visual models of software systems. This paper contains the UML diagrams for better understanding of the system with the help of Star UML tool.Usecase diagrams are used during the analysis phase of a project to identify system functionalities. Class diagram represents the static view of an application.The class diagrams are the only UML diagrams, which can be mapped directly with object-oriented languages.Activity diagram is an important behavioral diagram in UML diagram to describe dynamic aspects of the system. Activity diagram is essentially an advanced version of flow chart that modeling the flow from one activity to another activity.The state machine diagram shows the different states of an entity and focuses more on how it responds to various events by changing from one state to another. Statechart diagram is used to capture the dynamic aspect of a system. State machine diagrams are used to represent the behavior of an application. The sequence diagram focuses on the messages that are passed during an interaction in a time based perspective.A Communication diagram models the interactions between objects or parts in terms of sequenced messages. It describes both the static structure and dynamic behavior of a system. Component diagrams are used to model the physical aspects of a system. It does not describe the functionality of the system but it describes the components used to make those functionalities. Deployment Diagram is a type of diagram that specifies the physical hardware on which the software system will execute. It also determines how the software is deployed on the underlying hardware. UML is a modeling language used by software developers.UML can be used to develop diagrams and provide users with ready-to-use, expressive modeling examples. Some UML tools generate program language code from UML.UML can be used for modeling a system independent of a platform language. UML is a graphical language for visualizing, specifying, constructing, and documenting information about software-intensive systems.UML gives a standard way to write a system model, covering conceptual ideas.
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Tien, James M., and Pascal J. Goldschmidt-Clermont. "Engineering healthcare as a service system." Information Knowledge Systems Management 8, no. 1-4 (2009): 277–97. http://dx.doi.org/10.3233/iks-2009-0143.
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Raheja, Dev, and Maria Escano. "System Safety in Healthcare." Journal of System Safety 54, no. 1 (April 1, 2018): 13–15. http://dx.doi.org/10.56094/jss.v54i1.79.
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Six Sigma is defined as a limit of 3.4 defects per 1 million opportunities for defects in products or service processes. A defect is defined as any product or service that is not acceptable to the customer. It can take organizations many years to achieve Six Sigma status. To achieve the required defect rate, organizations must make many improvements throughout the process of striving for Six Sigma distinction.
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Alamri, Ahlam Mohammed, Dina Khaled Alharthi, Azrilah Abdulaziz, and Salha Abdullah. "Characterizing Healthcare Interaction System as a Service System." International Journal of Computer Trends and Technology 30, no. 2 (December 25, 2015): 98–103. http://dx.doi.org/10.14445/22312803/ijctt-v30p117.
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CHEN, YUH-JEN. "A MEDICAL KNOWLEDGE SERVICE SYSTEM FOR CROSS-ORGANIZATIONAL HEALTHCARE COLLABORATION." International Journal of Cooperative Information Systems 18, no. 01 (March 2009): 195–224. http://dx.doi.org/10.1142/s0218843009001963.
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Collaboration among healthcare organizations depends on coordination, communication and control among healthcare organizations and effective sharing of medical information and knowledge. Medical services are knowledge-intensive activities. All information, knowledge, techniques and experience should be integrated, managed and shared using the Internet and information technology. Overall medical service quality and efficiency would be improved markedly if medical professionals and staff at different healthcare organizations could use and share medical knowledge resources. Therefore, a collaborative medical knowledge service would promote medical service quality. This study presents a novel medical knowledge service system for cross-organizational healthcare collaboration such that all medical professionals and staff at different healthcare organizations could capture, store, manage, integrate and share medical knowledge. This system should improve medical service quality and efficiency, and promote competition in the healthcare industry. Thus, this study (i) proposes a collaborative medical knowledge service model, (ii) designs a collaborative medical knowledge service system framework, (iii) develops this proposed system, and (iv) evaluates the developed system based on user satisfaction.
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Pustika Sukma, Dara, Adi Sulistiyono, and Widodo Tresno Novianto. "Fraud in Healthcare Service." SHS Web of Conferences 54 (2018): 03015. http://dx.doi.org/10.1051/shsconf/20185403015.
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In Indonesia, the fraud of healthcare service implementation occurs widely in hospitals, thereby harming the participants of social insurance. The objectives of research were to find out, to analyze, and to give solution to the fraud in the healthcare service. This research was taken place in several hospitals in Central Java Indonesia using non-doctrinal or empirical method on stakeholders related to national health insurance. The result of research showed that the substance of the ratification of Health Minister’s Regulation Number 36 of 2015 about Fraud Prevention in National Health Insurance in National Social Insurance System becomes the government’s attempt in suppressing fraud in healthcare service. In its structure, healthcare service occurs due to the pressure of enacted costing system, limited supervision, and justification in committing fraud and the imbalance between health service system and burden among clinicians, service provider not giving adequate incentive, inadequate medical equipment supply, system inefficiency, less transparency in health facilities, and cultural factor. Those who are responsible for the attempt of eradicating fraud such as Health Ministry, Regency/City Health Service, Hospital’s Board of Directors, Hospital Supervision Agency and Council, Social Insurance Administration Organization, professional organization, and Social Insurance participants should walk in the cycle starting from building awareness, reporting, detecting, investigating, sanction imposing, to building awareness.
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Fiaz, Muhammad, Amir Ikram, and Asad Ilyas. "Enterprise Resource Planning Systems: Digitization of Healthcare Service Quality." Administrative Sciences 8, no. 3 (July 27, 2018): 38. http://dx.doi.org/10.3390/admsci8030038.
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The purpose of this study is to evaluate the perception of healthcare professionals in improving the quality of services in healthcare centers by deploying the platform of Enterprise Resource Planning (ERP). Individual attributes, organizational impression, information, and the system quality of ERP have been used to evaluate the overall influence of integrated planning systems on health care service quality. A mixed methods approach is used to collect and examine data through triangulation. Data for the empirical study was collected from 279 medical professionals of five healthcare organizations operating in the city of Lahore, Pakistan, through a self-administered questionnaire. Descriptive statistics squared multiple correlations and reliability coefficients were used as data analysis tools. Moreover, the goodness of fit test of the structural model was conducted through AMOS 20. All given dimensions of ERP are postulated to have a positive effect on healthcare service quality. The results reveal that the use of an enterprise planning system has a positive impact on individuals, organizational information quality, and system quality in healthcare services. The study further concludes that a well implemented ‘Enterprise Resource Planning System’ results in better system output and enables healthcare professionals to provide better healthcare service quality.
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Xiao, Zheng Rong, Bang Guo Lv, Xin Wang, and You Jun Zhao. "A Healthcare Service System Based on Internet of Things." Advanced Materials Research 774-776 (September 2013): 1903–7. http://dx.doi.org/10.4028/www.scientific.net/amr.774-776.1903.
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With the development of networking technology and cloud computing technology, low-cost, high level of general practitioners of public health services and basic health service support, as well as the effective supervision of the centralized management and control of public health and primary health care can be achieved. A health cloud service system based on Internet of Things is provided, which is divided into six modules. The system can be used to subordinate all hospitals and medical institutions to provide hospital management and health of residents file management application services using a mobile terminal to collect community and clinical health data entry, upload the community, the region's public medical health data.
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Heaney, Clare, and Sharon Moreham. "Use of interpreter services in a metropolitan healthcare system." Australian Health Review 25, no. 3 (2002): 38. http://dx.doi.org/10.1071/ah020038a.
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The purpose of this study was to explore interpreter service utilisation in a Melbourne metropolitan healthcare system. 109 staff members working at the three campuses comprising this healthcare system completed questionnaires. Results reflected an under-usage of professional interpreters and an over-reliance on informal interpreters. A lack of knowledge about interpreter services was related to a lack of formal interpreter use and an increased use of informal interpreters. While the presence of an onsite interpreter coordination service at one of the campuses did not affect the level of familiarity or use of formal interpreters, it was related to a decreased use of informal interpreters. Further promotion and education regarding interpreter services is imperative to ensure that a safe, efficient and equitable service is being provided to all clients.
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Aksenova, Elena I., George Wharton, Nadezhda A. Vosheva, Dan Gocke, and Natalya N. Kamynina. "Partnership in Healthcare System Sustainability and Resilience: Russian Healthcare System Analysis." Annals of the Russian academy of medical sciences 76, no. 5S (December 4, 2021): 560–71. http://dx.doi.org/10.15690/vramn1622.
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Background. In 2020 the global community faced a serious unexpected challenge COVID-19. Fighting the aggressive spread of the coronavirus required rapid reconfiguration of the Russian healthcare system, while exposing its weak spots and pressure points. Critical evaluation of the Russian healthcare systems resilience to crises offers new perspectives on the most effective management and organizational solutions for resolving this crisis. Research objective. The main goal of this study is to make a significant long-term contribution to the Russian healthcare system by developing a set of recommendations for increasing the systems sustainability and resilience to crises. Methods. For this study, specialists developed a framework that includes a set of questions in the 1) domains of governance, 2) financing, 3) workforce, 4) medicines and technology and 5) service delivery, which align closely with the well-recognised WHO health system building blocks. In each domain, a series of targeted questions concerned both sustainability and resilience. Findings. The main areas of work for increasing the Russian healthcare systems sustainability and resilience to crises include: adapting the existing legislative framework to the current crisis, and to prepare it for similar crises in the future; increasing healthcare funding; improving the image of the medical profession; promoting healthcare digitalization; reducing the pressure on the inpatient and emergency care services by strengthening preventive and rehabilitative care services. Conclusion. The synthesis and analysis of materials relevant to understanding the impact of the coronavirus pandemic on the Russian healthcare system, supplemented by expert assessments and examples drawn from practice, allowed the authors to compile a list of recommendations for ensuring the healthcare systems sustainability and resilience to future crises. This list offers potential for healthcare industry development.
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Lane, Ginny, and Hassan Vatanparast. "Adjusting the Canadian Healthcare System to Meet Newcomer Needs." International Journal of Environmental Research and Public Health 19, no. 7 (March 22, 2022): 3752. http://dx.doi.org/10.3390/ijerph19073752.
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Newcomers’ ability to access healthcare can be impacted by cultural, religious, linguistic, and health status differences. A variety of options are available to support the development of healthcare systems to equitably accommodate newcomers, including the use of basic English and other languages in public health information, engagement with immigrant communities to advise on program development, offering culturally competent health services, interpretation services, and through creating space to collaborate with traditional practitioners. This study employed in-depth interviews with newcomer families from the Healthy Immigrant Children Study that had been living in Regina or Saskatoon, Saskatchewan, Canada, for less than 5 years, as well as with healthcare providers and immigrant service providers to understand how to improve healthcare services. Analysis of participant quotes related to accessible healthcare services revealed five main themes: (1) responsive, accessible services, (2) increasing cultural competence, (3) targeted newcomer health services, (4) increasing awareness of health services, and (5) newcomer engagement in planning and partnerships. An accessible healthcare system should include primary healthcare sites developed in partnership with newcomer service organizations that offer comprehensive care in a conveniently accessible and culturally responsive manner, with embedded interpretation services. The Saskatchewan healthcare system needs to reflect on its capacity to meet newcomer healthcare needs and strategically respond to the healthcare needs of an increasingly diverse population.
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Anusornteerakul, Sioy, Kimaporn Khamanarong, Suranart Khamanarong, and Jadsada Thinkhamrop. "The Influence Factors That Affect Thailands Management Of Youth Reproductive Health Service." Journal of Diversity Management (JDM) 3, no. 4 (October 1, 2008): 27–32. http://dx.doi.org/10.19030/jdm.v3i4.4999.
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The management of reproductive health service for youth has become an important issue during the recent year. However, management has no clear idea about the influential factors of concern to. In this paper, we will discuss these influence factors that affect the management of youth reproductive healthcare service. Mixed methods were used for data collection, including qualitative methods that were conducted by in-dept interview and analyzed by binary logistic regression. According to the analysis, we found six factors that affect the management of reproductive health service, including (1) personal expense, (2) communication within the family, (3) fear of parents reactions, (4) the bureaucratic process of healthcare services, (5) the limitation of healthcare services, and (6) healthcare providers. Then, we reduced the six factors into three group factors that we call three systems to explain these important factors that are of concern to management of reproductive health service. These include the personnel system, service system, and the family support system.
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Robards, Fiona, Melissa Kang, Kate Tolley, Catherine Hawke, Lena Sanci, and Tim Usherwood. "Marginalised young people’s healthcare journeys: Professionals’ perspectives." Health Education Journal 77, no. 6 (February 2, 2018): 692–704. http://dx.doi.org/10.1177/0017896917752965.
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Introduction: The pursuit of social justice includes a commitment to health equity for marginalised young people. Health professionals are central to marginalised young people’s engagement and access to health care and their navigation of health systems. They are also uniquely positioned to shed insight into structures and inefficiencies within the health system, including the role of technology, and to advocate for system change. Methods: This qualitative cross-sectional study employed in-depth semi-structured interviews with 22 health service managers and experienced clinicians to better understand service providers’ perspectives. The sampling frame comprised professionals from different sectors and levels of the health system. Analysis used Grounded Theory methods. Results: Three major themes were identified in the data: (1) intersectionalities – understanding the complexity of multiple disadvantage; (2) health system fragmentation – leading to inefficiencies, inertia and advocacy; and (3) services needing to be ‘turned on their head’ – rethinking service delivery and models of care. Conclusion: A better understanding of marginalised young people’s healthcare experiences, including the complexities of multiple disadvantage, and how this contributes to health inequalities could lead to more welcoming and respectful services. Services can reconceptualise their roles by reaching out to young people, both physically and online, to make the navigation of the health system easier. Marginalised young people’s healthcare journeys can be supported by advocates that help them navigate the health system.
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LEE, MALREY, and KEUN-KWANG LEE. "A DYNAMIC LOAD BALANCING MODEL FOR CONCURRENTLY CONNECTED USERS IN U-HEALTHCARE MONITORING SYSTEMS." International Journal of Pattern Recognition and Artificial Intelligence 24, no. 08 (December 2010): 1329–46. http://dx.doi.org/10.1142/s0218001410008378.
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U-healthcare systems are based on a ubiquitous and wireless computing and communication environment. They are comprised of the U-healthcare management center, electronic medical records (EMR) system, and the associated services for users and patients. The U-healthcare management center performs continuous monitoring and provides support services in multiple areas, requiring careful allocation of the limited service resources to provide customized healthcare services for users of the mobile distributed system. When the number of locally connected users increases rapidly, a mobile allocation and distribution server can be imbalanced by the load on service resources, resulting in delayed services. This study proposes a dynamic load balancing model for reducing the load of users on service resources and supporting efficient response services in a mobile distributed system. The proposed dynamic load balancing model clusters the system resources of servers dynamically, according to each users' movement and time. The dynamic clustering of system resources uses wFCM (weighted Fuzzy C-Means), which changes the cluster center by transforming existing FCM (Fuzzy C-Means) from a fixed weight to a dynamic one. Using wFCM, the load balance can be maintained, based on the usage rate of service resources, such as CPU, memory, and network. In addition, the balance between QoS (Quality of Service) requests and network response times can be maintained by adding an abstraction layer between application services and network infrastructure. Therefore, when the proposed model is applied to a U-healthcare monitoring system, the system can perform near real-time monitoring of service users in the mobile distributed environment, and effectively address emergent situations. This study evaluates the response time of the implemented model in relation to the number of concurrently connected users, and confirms that the proposed model is faster in response and service processing than existing WLC (Weighted Least-Connection Scheduling) and FCM (Fuzzy C-Means).
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Omelyanovskiy, V. V., N. N. Sisigina, V. K. Fedyaeva, and N. Z. Musina. "Evolution of healthcare provider payment mechanisms." FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology 12, no. 4 (February 18, 2020): 318–26. http://dx.doi.org/10.17749/2070-4909.2019.12.4.318-326.
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Methods of payment to care providers constitute an essential part of the healthcare financing system; these mechanisms determine the motivation of service providers. Throughout the history of public health care, the payment methods have been gradually improved so to stimulate the providers to best match the societal demands (greater access to health services, cost reduction, and better quality) and prevent “moral hazards”. As a result, the most advanced healthcare systems have stopped paying simply for service volume and rigorously restraining the costs. Instead, the updated system is based on the integrated payments combining the elements of cost control with the stimuli that promote a high quality and better access to healthcare service. At present, the new payment mechanisms aiming at improving the long-term treatment outcomes (life expectancy and quality of life) are available. The care provider payment system existing in Russia, by large, corresponds to the best international practices as far as the hospital care is concerned. However, the payment arrangements in the primary care network still lag behind the international standards. To improve the situation, quality indicators should be included in payments for primary care services.
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Laing, Angus. "Meeting patient expectations: healthcare professionals and service re-engineering." Health Services Management Research 15, no. 3 (August 1, 2002): 165–72. http://dx.doi.org/10.1258/095148402320176675.
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A central theme underpinning the reform of healthcare systems in western economies since the 1980s has been the emphasis on reorienting service provision around the patient. Healthcare organizations have been forced to re-appraise the design of the service delivery process, specifically the service encounter, to take account of these changing patient expectations. This reorientation of healthcare services around the patient has fundamental implications for healthcare professionals, specifically challenging the dominance of service professionals in the design and delivery of health services. Utilizing a qualitative methodological framework, this paper explores the responses of healthcare professionals to service redesign initiatives implemented in acute NHS hospitals in Scotland and considers the implications of such professional responses for the development of patient-focused service delivery. Within this, it specifically examines evolving professional perspectives on the place of a service user focus in a publicly funded healthcare system, professional attitudes towards private sector managerial practices, and the dynamics of changing professional behaviour.
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Pascual, Glenn D. "Nursing Communication Bundle: Behavior Standards Review Article Series: 1." International Journal of Nursing Sciences and Clinical Practices 2, no. 1 (November 11, 2021): 1–6. http://dx.doi.org/10.47890/ijnscp/glenndpascual/2021/10042116.
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Changing healthcare delivery systems demand greater accountability from hospital organizations and healthcare providers (Briggs et al., 2018). The radical restructuring of the healthcare system that is required to reduce spiraling healthcare costs and make healthcare accessible to all citizens will necessitate ongoing changes in healthcare organizations. The challenge for hospital organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring of systems and processes, and implementation of aligned service behaviors to increase patient satisfaction and enhance clinical outcomes (Figure 1.0). Patient satisfaction scores serve as system indicators for financial reimbursement from government and private insurance agencies and as impetus for hospital organizations to choose the functional system of delivering care to improve quality, achieve desired outcomes, and enhance the patient care experience. Given the macroeconomic nature of the impact of patient satisfaction scores on hospital reimbursement, the challenge for healthcare organizations is to improve quality and service delivery through an ongoing process of innovation, restructuring systems and processes, and implementation of aligned standardized service behaviors to increase patient satisfaction and enhance clinical outcomes. Hospitals under the current healthcare landscape are rewarded for the quality of care provided; thus, better outcomes indicate hospitals’ financial viability (Centers for Medicare and Medicaid Services, 2018).Managing service delivery across a highly divergent and fast-paced healthcare system requires sharp focus on execution and standardized operational excellence. Continuous quality improvement (CQI) has been shown to be a powerful tool to help make health care organizations more effective. CQI is a structured system for creating organization-wide participation and partnership in planning and implementing continuous improvement methods to understand, meet, or exceed patient needs and expectations. Developing a culture of excellence and quality in care can create an enthusiasm for change, passion for results, and drive for innovation equating to better service to healthcare consumers and better patient satisfaction scores.
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Wong, Bennie, G. T. S. Ho, and Eric Tsui. "Development of an intelligent e-healthcare system for the domestic care industry." Industrial Management & Data Systems 117, no. 7 (August 14, 2017): 1426–45. http://dx.doi.org/10.1108/imds-08-2016-0342.
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Purpose In view of the elderly caregiving service being in high demand nowadays, the purpose of this paper is to develop an intelligent e-healthcare system for the domestic care industry by using the Internet of Things (IoTs) and Fuzzy Association Rule Mining (FARM) approach. Design/methodology/approach The IoTs connected with the e-healthcare system collect real-time vital sign monitoring data for the e-healthcare system. The FARM approach helps to identify the hidden relationships between the data records in the e-healthcare system to support the elderly care management tasks. Findings To evaluate the proposed system and approach, a case study was carried out to identify the association between the specific collected demographic data, behavior data and the health measurements data in the e-healthcare system. It is found that the discovered rules are useful for the care management tasks in the elderly healthcare service. Originality/value Knowledge discovery in databases uses various data mining techniques and rule-based artificial intelligence algorithms. This paper demonstrates complete processes on how an e-healthcare system connected with IoTs can support the elderly care services via a data collection phase, data analysis phase and data reporting phase by using the FARM to evaluate the fuzzy sets of the data attributes. The caregivers can use the discovered rules for proactive decision support of healthcare services and to improve the overall service quality by enhancing the elderly healthcare service responsiveness.
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Aly, Wael Omran. "Lean Six Sigma Methodology: The Nub to Boost the Public Healthcare System in Egypt." Journal of Public Administration and Governance 10, no. 1 (February 3, 2020): 67. http://dx.doi.org/10.5296/jpag.v10i1.16028.
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For many decades, the Egyptian people have suffered from deplorable public healthcare service featured by indolence, malfunction and traditionalism. Although, healthcare is a distinctive service industry concerning various complicated responsibilities; but the consecutive government of Egypt had badly handled such issue. Then, the apathetic performance of the public healthcare service becomes a dilemma for the people of Egypt; especially the poor among them. Therefore, the foundation of an adequate public healthcare service system, that respect the dignity of the people and respond to their arising health care needs; was frequently on the agenda priorities of the Egyptian governments after the 2011 and 2013 uprisings. Hence recently, the government -after reaching political and economic stability- seeks to build an ambitious newly public health care system to meet the expectation of the people to acquire high standard inexpensive and hasty public healthcare services. Consequently, in order to realize such aim; the Egyptian government had established the public agency for accreditation and quality control according to law no.2 of comprehensive healthcare insurance system issued at 2018. Then, it urges a national campaign to reform the public healthcare sector and to develop the efficacy and quality of its services. Hence, this paper aims to propose how the public healthcare organizations in Egypt can tackle various challenges and enhance adequately its capabilities; in order to be able to adopt the proposed Lean Six Sigma (LSS) methodology effectively; which can then provide an adequate framework for creating organized improvement exertions in healthcare; necessary to bestow guidelines on how to manage a quality service system to patient satisfaction by decreasing waste, variation and work disparity in the service processes.
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Hussain, Wajahat. "Healthcare Quality Management System in Pakistan." International Journal of Frontier Sciences 3, no. 2 (July 1, 2019): 74–77. http://dx.doi.org/10.37978/tijfs.v3i2.50.
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The competitive healthcare system and healthcare environment, modern hospitals with substantial investment, healthcare reforms, availability of specialized persons in hospital management, health services management, the success of quality management programs in developed nations and high interest of international health organizations like WHO has led the developing countries like Pakistan to pay due attention to quality in national healthcare system. Since the time of independence healthcare system in Pakistan is striving for improvements. Despite of the physical infrastructure and availability of qualified workforce for service delivery there are gaps in strategic and operational planning which resulted in poor quality health services. The leaders in healthcare has little awareness that the quality management is an organized specialty to improve the quality of healthcare. It is need of the hour that healthcare leaders in Pakistan must integrate quality improvement activities in strategic and operational planning process of healthcare system. This the only way to maximize the benefits of healthcare system and restore the rapidly deteriorating public trust.
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Sarwar, Kinza, and Munam Ali Shah. "Cost Effective Design of an RFID Based Healthcare Service System." International Journal of Privacy and Health Information Management 3, no. 2 (July 2015): 51–65. http://dx.doi.org/10.4018/ijphim.2015070103.
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Healthcare industry confronts many challenges in a pursuit to give safe, cost-effective and highly-valued healthcare services; Radio Frequency Identification (RFID) is considered as one of the rising mechanism which helps in addressing the challenges, currently faced by Mobile Healthcare Service System (MHS). This article focuses on the contribution of cost-effective RFID deployments in healthcare sector that broadly categorize tracking of items, patients and items associated to patient; providing solutions for improving the auditability and accountability, reducing human errors, eliminating the risks of misidentification, identifying treatment errors and keeping the inventory updated. It explores certain parameters that can play an important role for the cost effective deployment of an RFID system such as security and privacy concerns, social and ethical aspects. Moreover, the article analyses the main challenges faced and investigates how security threats and vulnerabilities are a red flag to RFID technology. Furthermore, different solutions are highlighted that can streamline the operation and can optimize the workflow services in healthcare system. RFID represents next-generation enhancement over bar-code technology. Based on performance evaluation and comparison, differences between the two technologies are identified. This article also provides an overview that how RFID is a key enabler to build-up the healthcare service system and an efficacious affirm in optimizing and transforming healthcare practices.
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Kuo, Nai Wen. "Healthcare Information System and Data Mining." Applied Mechanics and Materials 55-57 (May 2011): 561–66. http://dx.doi.org/10.4028/www.scientific.net/amm.55-57.561.
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This paper is to integrate information technology and medical-related technologies to develop a healthcare information system for comprehensive geriatric assessment. This system not only can process geriatric consultation services and ensure that all patient’s information are stored in standardized format , but also provide medical personnel for statistical analysis and processing purposes. This paper uses the Apriori algorithm of data mining for helping doctors to find out the relationship of geriatric syndrome. The systems of this paper can improve increase the timeliness and accuracy of patient care and administration information, increase service capacity, reduce personnel costs, and improve the quality of patient care in geriatric medicine. Furthermore, making the theories and applications of medical informatics will be more extensive and convenient for researcher and healthcare-related industry.
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Bordoloi, Dibyahash, Vijay Singh, Sumaya Sanober, Seyed Mohamed Buhari, Javed Ahmed Ujjan, and Rajasekhar Boddu. "Deep Learning in Healthcare System for Quality of Service." Journal of Healthcare Engineering 2022 (March 8, 2022): 1–11. http://dx.doi.org/10.1155/2022/8169203.
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Deep learning (DL) and machine learning (ML) have a pivotal role in logistic supply chain management and smart manufacturing with proven records. The ability to handle large complex data with minimal human intervention made DL and ML a success in the healthcare systems. In the present healthcare system, the implementation of ML and DL is extensive to achieve a higher quality of service and quality of health to patients, doctors, and healthcare professionals. ML and DL were found to be effective in disease diagnosis, acute disease detection, image analysis, drug discovery, drug delivery, and smart health monitoring. This work presents a state-of-the-art review on the recent advancements in ML and DL and their implementation in the healthcare systems for achieving multi-objective goals. A total of 10 papers have been thoroughly reviewed that presented novel works of ML and DL integration in the healthcare system for achieving various targets. This will help to create reference data that can be useful for future implementation of ML and DL in other sectors of healthcare system.
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Halilaj, G. "Developing Community Mental Healthcare: Kosovo Case." European Psychiatry 41, S1 (April 2017): S606. http://dx.doi.org/10.1016/j.eurpsy.2017.01.953.
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BackgroundCommunity mental healthcare in Kosovo is still in its developmental stage and thus pose an ongoing challenge for the health system and population.ObjectivesThe purpose of this study is to describe the processes of preparation, implementation, challenges and future of community mental health service in Kosovo as an economically struggling society with underdeveloped health care system.MethodsReview of the current state of community services provision for mentally ill peoples in Kosovo in the light of the objectives and targets of the WHO comprehensive mental health action plan 2013–2020.ResultsThe implementation of a new community mental health service in Kosovo still is characterized by considerable shortages, beside substantial effort on various levels. On the policy and financial level, it was made possible by a clear intent/initialization of international bodies and coordinated commitment of all responsible national stakeholders and authorities. Obstacles remain regarding improvements of service development indicators: financial and human resources; capacity building; stakeholder involvement and service availability. Lack of strategies for promotion and prevention in mental health and lack of information systems, evidences and research for mental health is vital need.ConclusionsCommunity mental healthcare in Kosovo despite struggles faced is successfully installed and represents one of Kosovo health system achievements. Comprehensive, integrated and responsive mental health services in community-based settings in line with international and regional human rights instruments is goal to be addressed.Disclosure of interestThe author has not supplied his/her declaration of competing interest.
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Karl, Yoki, Haeng Kon Kim, and Jong-Hak Lee. "Big Data Management System for U-Healthcare." International Journal of Software Innovation 9, no. 1 (January 2021): 1–11. http://dx.doi.org/10.4018/ijsi.2021010101.
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U-Healthcare monitoring module can sometimes be monitored by using downloadable tracking applications necessary for its services due to the popularity of the smart phone devices, thus continuing to provide new services and healthcare contents and information at a lower cost but the need to analyze larger collections of data continues to evolve as time progresses. As u-healthcare service is published as an alternative to addressing national issues such as aging population, solitary elderly people, or even the child care monitoring, the related monitoring care is expected to grow beyond the normal data that it caters resulting to tougher data management. In this paper, the authors proposed a system that could help handle certain issues in u-healthcare big data management.
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Yu, Weider D., Jatin Patel, Vishal Mehta, and Ashish Joshi. "An Approach to Design a SOA Services Governance Architecture for an u-Healthcare System with Mobility." International Journal of E-Health and Medical Communications 3, no. 2 (April 2012): 36–65. http://dx.doi.org/10.4018/jehmc.2012040103.
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Ubiquitous health (u-Health) system is focused on the concept of providing medical service and assistance to the patients “anywhere and anytime” regardless of their locations. Existing mobile u-Healthcare systems have problems in lacking one or the other S.C.A.L.E. (Scalability, Connectivity, Adaptability, Liability, and Ease-of-use) criterion that any ubiquitous system must support. They become expensive during set up, reconfiguration, and modification as no proper and efficient solution is available. Also, they lack security, privacy, and wireless accessibility features so all these problems can prevent the system from being expanded widely. The objective of this paper is to implement a u-Healthcare system based on wireless mobile technology using Service Oriented Architecture (SOA). Applying Service Governance of Service Oriented Architecture helps make all services more secure, reusable, interoperable, available, and imposes all the features a ubiquitous system should have. A prototype system uSG-Health was developed using the approach for demonstrating the functionality and ability of the proposed u-Healthcare system.
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Srivastava, Shefali, and Gyan Prakash. "Enhancing Modularity in Healthcare Services Through Integration." Asia-Pacific Journal of Management Research and Innovation 15, no. 3 (September 2019): 97–110. http://dx.doi.org/10.1177/2319510x19883077.
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The objective of this article is to identify and validate the theoretical relationships between facilitators of modular architecture in healthcare service delivery context. The relationships among heterogeneity in healthcare services, coordinated care pathways, organisational orientation, integrated supply chain performance and modularity in health service delivery were explored. A structural model was developed based on a literature review. A 35-item questionnaire was circulated among service providers in the healthcare system all over India. A cross-sectional research design was used to assess the framework of research. The random sampling method was adopted to collect data. A total of 127 valid responses were received. Data analysis was performed using partial least square structural equation modelling (PLS-SEM).Results reveal that modular architecture can be achieved by building an environment which has coordinated and integrated efforts of service providers incorporated with enhanced organisational orientation. The study added insights to the theory of modular systems. The authors recognise that modularity helps in enhancing the patient-centric orientation. The findings provide potentially important information to health service managers and providers, enabling them to understand the requisites of modular architecture. This is the first study exploring the relationships between facilitators of modularity in healthcare services. The study complements literature on service modularity with reference to specialised care unit of maternity services.
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Sok, Yun-Young, and Seok-Hun Kim. "Integrated Medical Information System Implementation for the u-Healthcare Service Environment." Journal of the Korea Contents Association 14, no. 5 (May 28, 2014): 1–7. http://dx.doi.org/10.5392/jkca.2014.14.05.001.
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Cho, Young-bok, Sung-Hee Woo, Sang-Ho Lee, and Min-Kang Kim. "A Secure Telemedicine System for Smart Healthcare Service." Journal of the Korea Institute of Information and Communication Engineering 21, no. 1 (January 31, 2017): 205–14. http://dx.doi.org/10.6109/jkiice.2017.21.1.205.
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Pandey, Neeraj, Sumi Jha, and Vaibhav Rai. "Ayushman Bharat: Service Adoption Challenges in Universal Healthcare System." South Asian Journal of Business and Management Cases 10, no. 1 (April 2021): 35–49. http://dx.doi.org/10.1177/2277977921991915.
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The Ayushman Bharat, the universal healthcare scheme in India, faced service adoption challenges after its launch in 2018. It was an enigma for the top management in Ayushman Bharat regarding slower service adoption of a free mass healthcare coverage scheme by the target population. The case focuses on the service adoption challenges from patient and physician perspectives while implementing a universal healthcare system. It provides insights to policymakers, physicians, service operations managers, and healthcare administrators regarding managing the universal healthcare system’s implementation challenges in a developing country context. Research questions/Objective: This study aims to understand service adoption challenges in a universal healthcare system setting. The study explores the following research questions: How is service adoption theory applied in a universal health coverage program? What should be the integrated marketing communication plan to improve the awareness about a universal healthcare program? Links to theory: The study uses service adoption theory. It analyzes service adoption challenges for the universal healthcare system in India called Ayushman Bharat. It also uses literature on the Unified Theory of Acceptance and Use of Technology (UTAUT) model. Phenomenon studied: The case study uses pan India patient and physician data to explore service adoption issues in Ayushman Bharat - a universal healthcare scheme in India. Case context: The primary data collected through the field (hospital) visits and interaction with patients and physicians of Ayushman Bharat form the basis of this case study. Findings: The study emphasizes on performance expectancy, ease in availing of the service, positive social influence, and facilitating conditions for service delivery of Ayushman Bharat. The Ayushman Bharat scheme’s performance expectancy means how being a healthy individual would contribute to better performance at the workplace. The effort expectancy is the level of ease an eligible Ayushman Bharat scheme can avail the service at the empanelled hospital. The social acceptance of the Ayushman Bharat scheme by friends, peers, and people in the vicinity would create a positive social influence. The facilitating conditions in the Ayushman Bharat scheme are the government’s capacity to provide organizational and technological infrastructure to support this universal healthcare program. Discussions: The use of service adoption theory and the UTAUT model to enhance the adoption of the universal healthcare system in India have been discussed in the case study.
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Suryawanshi, Prof Shubhangi. "Efficient Platform for Emergency Healthcare Services II." International Journal for Research in Applied Science and Engineering Technology 9, no. VI (July 15, 2021): 662–66. http://dx.doi.org/10.22214/ijraset.2021.36436.
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Emergency healthcare services are the most time crucial services in which people operate, as the survival of the patient depends on how the service is operated. As discussed in the previous paper, the weakest link of the healthcare emergency service is the initiation of the emergency services. We had discussed main methodologies in previous paper and a basic generalized system architecture. This paper discusses the core architecture of the sever and with the help of a sequence diagram we will depict how the server will process requests.
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Wang, Xianyi, Xiaofang Wang, and Hui He. "Contracts to Coordinate Healthcare Providers in the Telemedicine Referral System." Sustainability 13, no. 18 (September 15, 2021): 10299. http://dx.doi.org/10.3390/su131810299.
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With the help of telemedicine, healthcare providers can increase patients’ access to high-quality services while reducing the medical expenditure, especially for patients in remote areas. Once advanced care is needed, local patients will first be referred to an online health service and then be referred to the offline hospital if the online healthcare fails. In practice, local community hospitals and the advanced tertiary hospitals generally lack financial incentives to exert costly, but non-reimbursable, effort to avoid poor patient outcomes. Therefore, we build a new model to analyze the interaction between these two service providers, promoting them to exert the right effort by designing payment contracts. Our results show that neither fee-for-service nor bundled payment contracts can achieve the social optimum. Tertiary hospitals always exert less effort than the socially-optimal effort while the community hospital may exert less or more effort depending on the online treatment cost. Then, we propose a performance-based bundled payment contract that can coordinate both hospitals’ decisions to achieve socially optimal outcomes. Finally, we numerically show the impact of the referral service fee and the online treatment cost on the efficiency of these contracts.
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Lin, Shu Ping, Chia Yen Hsieh, and Thao Minh Ho. "Innovative Healthcare Cloud Service Model." Applied Mechanics and Materials 543-547 (March 2014): 4511–13. http://dx.doi.org/10.4028/www.scientific.net/amm.543-547.4511.
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This study aims to discuss the determinants influencing users intention behavior toward Healthcare Cloud Services (HCS) by integrating Health Belief Model (HBF), Technology Acceptance Model (TAM), Innovation Diffusion Theory (IDT), and Information System Success (ISS). Structural Equation Model is used for data analysis. The results reveal that perceived ease of use plays the most critical role on users intention behavior, followed by pleasure and perceived barriers, implying it is essential for medical institutions to strengthen users intention behavior by advocating the cloud service benefits and operating convenience. The findings hope to provide future research and managers with helpful references of customer needs and guidelines for enhancing healthcare quality in order to achieve better development and competitiveness.
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Alruways, Naif Hezam Fahad, Geza Abdulah AlAlwey, Ahmad Rayan Alfuraydi, Suliman Ali Alhussain, Nasser Ibrahim Aleidi, Adel Abdulah Aldukhil, Mohammed Nasser algdairy, Talal Saad Almutoua, Moteb Khaled Aldhwyan, and Satam awed al harbi. "The Future of Healthcare Quality and Safety." International Journal Of Pharmaceutical And Bio-Medical Science 02, no. 12 (December 16, 2022): 646–51. http://dx.doi.org/10.47191/ijpbms/v2-i12-11.
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A Health Care Organization (HCO) is by definition a complex organization due to the intangible outcome of service and a mix of diverse professional personnel. Healthcare quality management is a critical requirement in the health sector. Quality principles have always been present in health care. However, quality is not a physical characteristic of a service. The use of the term "Health Care Service" rather than "Medical Care" further defines the field and positions it as an entity that can be assessed, monitored, and improved. A quality healthcare system is "accessible, appropriate, available, affordable, effective, efficient, integrated, safe, and patient-centered." Practitioners in allied health services, dentistry, midwifery, obstetrics, medicine, nursing, optometry, pharmacy, psychology, and other care providers provide health care. Quality management in health care is a broad concept. It was initially perceived as directing healthcare personnel on what to do. However, its current meaning is to manage the care process. It refers to viewing organizational functions as a jumble of procedures and processes that can be addressed both individually and collectively. Despite the fact that various models have been proposed, Donabedian's concept of the triad of structure, process, and outcome remains the foundation of quality assessment today. Quality management has emerged as a more pressing need than ever before, owing to the new definition of quality, which includes patient satisfaction as an outcome of service. The quality of services provided to patients is critical. The traditional view of quality control focused on defect detection, whereas the current concept focuses on defect prevention, continuous process improvement, and an outcome-driven system guided by the needs of the patients. As a result, there is an urgent need to effect a paradigm shift in the quality of health care delivery. The authorities must take the initiative to become involved in quality. Currently, quality is being addressed more in the medical field than in allied fields such as dentistry and nursing, as well as in developing countries.
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Zeigler, Bernard P. "Discrete Event System Specification Framework for Self-Improving Healthcare Service Systems." IEEE Systems Journal 12, no. 1 (March 2018): 196–207. http://dx.doi.org/10.1109/jsyst.2016.2514414.
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Wan, HC, and KS Chin. "Exploring internet of healthcare things for establishing an integrated care link system in the healthcare industry." International Journal of Engineering Business Management 13 (January 1, 2021): 184797902110195. http://dx.doi.org/10.1177/18479790211019526.
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With the ageing population all over the world, long-term care services, such as nursing care, are essential to provide care and treatments to elderly patients in the community. During the nursing care services, elderly patients who live in the nursing homes require to be treated and consulted in a number of healthcare organisations, for example hospitals, mental health centres and rehabilitation centres. Currently, the data management for the elderly is relatively centralised to establish their own electronic medical records and protected health information without decision support functionalities. The community and healthcare industry are eager to develop a safe and comprehensive system to provide adequate healthcare services and monitoring to the elderly. In this study, an internet of healthcare things (IoHT)-based care link system (IoHT-CLS) is proposed, which provides a structured framework on integrating IoHT and artificial intelligence (AI) to generate a one-stop solution for managing elderly’s healthcare facilities. The elderly can be effectively linked into the integrated IoHT system by using various sensing and data collection technologies. The collected data are further processed by means of the adaptive neuro-fuzzy inference system and case-based reasoning to provide the functionalities of risk management and customised elderly service programmes for the elderly care institutions. Consequently, this study contributes to the healthcare management through the enhancement of service quality in the community.
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Borshchevskiy, G. A. "The Efficiency of Government Control and Civil Service in the Public Health Service." Management Science 8, no. 2 (August 11, 2018): 64–75. http://dx.doi.org/10.26794/2404-022x-2018-8-2-64-75.
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The purpose of the article is to assess the effectiveness of public policy implementation in the public healthcare sector in comparison to the civil service system development in the health management body. The hypothesis supposes logical compliance of processes in the development of the public healthcare sector and civil service management body, which administers the given sector. The key methodology used is factor analysis, connected with reference to statistic indices, which characterize the sector development and determine the degree of influence on the general development tendency. The article offers integral indices for the effectiveness evaluation of the healthcare management system. It is revealed that the growth of healthcare development indices took place simultaneously with a similar increase in the index values in the system of public service. All the indices used are independent, so the simultaneous index growth and decline reflect the existence of an objective empirical pattern. The lowest values of the healthcare development index were marked in 1999–2003, the same index values were noted in 1991 and 2014, 1985 and 2016. It was proved that during post-Soviet years the real development in healthcare did not occur. For all the years analysed the value of public service development index in health management bodies decreased by 6%. The civil service system evolved unstably and generally functions today at a level comparable to the early 1990s, but worse than the mid — 1980s. It can be concluded that the healthcare sector is currently developing at a faster pace than the civil healthcare management body.
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Savory, Clive, and Joyce Fortune. "An emergent sectoral innovation system for healthcare services." International Journal of Public Sector Management 27, no. 6 (August 5, 2014): 512–29. http://dx.doi.org/10.1108/ijpsm-03-2014-0036.
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Purpose – The purpose of this paper is to explore, through a case study, and using Pawson and Tilley's notion of context-mechanism-outcome configurations, how a sectoral innovation system (SIS) for health technologies has developed. Design/methodology/approach – The case study data were collected as part of a large study that looked at technology innovation and adoption in the UK's National Health Service and were collected using an interpretive case study methodology. Primary data came from interviews and secondary data from published sources, including articles authored by members of the innovation team. Findings – The paper identifies three specific configurations of context, mechanism and outcome that were important in the case and discusses how these contribute to a broader understanding of a healthcare services SIS. Research limitations/implications – Research conducted through a single case study is open to the criticism that its findings are not generalisable but it has offered an economical way of gaining a deep description of a situation and an understanding of the contextual factors affecting a phenomenon. The paper presents a refined model for understanding SISs that though primarily rooted within the healthcare care sector has potential for application in other sectors, especially those that encompass a significant public-sector component. Practical implications – The paper's findings and conclusions have relevance to healthcare service innovation policy development. The findings will also be useful to professionals responsible for innovation projects and their support within the sector. Originality/value – The paper makes an important contribution to the understanding of a SIS for healthcare services as well as refining a general model of SISs.
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Osborn, Eloise, Marida Ritha, Rona Macniven, Tim Agius, Vita Christie, Heather Finlayson, Josephine Gwynn, et al. "“No One Manages It; We Just Sign Them Up and Do It”: A Whole System Analysis of Access to Healthcare in One Remote Australian Community." International Journal of Environmental Research and Public Health 19, no. 5 (March 3, 2022): 2939. http://dx.doi.org/10.3390/ijerph19052939.
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Objective: To assess the accessibility, availability and utilisation of a comprehensive range of community-based healthcare services for Aboriginal people and describe contributing factors to providing effective healthcare services from the provider perspective. Setting: A remote community in New South Wales, Australia. Participants: Aboriginal and non-Aboriginal health and education professionals performing various roles in healthcare provision in the community. Design: Case study. Methodology: The study was co-designed with the community. A mixed-methods methodology was utilised. Data were gathered through structured interviews. Descriptive statistics were used to analyse the availability of 40 health services in the community, whilst quotations from the qualitative research were used to provide context for the quantitative findings. Results: Service availability was mapped for 40 primary, specialised, and allied health services. Three key themes emerged from the analysis: (1) there are instances of both underservicing and overservicing which give insight into systemic barriers to interagency cooperation; (2) nurses, community health workers, Aboriginal health workers, teachers, and administration staff have an invaluable role in healthcare and improving patient access to health services and could be better supported through further funding and opportunities for specialised training; and (3) visiting and telehealth services are critical components of the system that must be linked to existing community-led primary care services. Conclusion: The study identified factors influencing service availability, accessibility and interagency cooperation in remote healthcare services and systems that can be used to guide future service and system planning and resourcing.
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Srivastava, Shefali, and Gyan Prakash. "Internal Service Quality: Insights from Healthcare Sector." Journal of Health Management 21, no. 2 (April 23, 2019): 294–312. http://dx.doi.org/10.1177/0972063419835127.
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This article aims to identify dimensions of internal service quality (ISQ) which can be operationalized to deliver healthcare services. This article conceptualizes and assesses the relationship among ISQ, internal customer satisfaction and organizational performance. A 41-item questionnaire has been circulated among the Indian healthcare service providers including doctors, nurses and system staff and 237 valid responses had been received. Structural equation modelling (SEM) has been used to assess the interrelationship among constructs. Results show that high performance work environment, professionalism and collaboration, accountability and commitment and knowledge and competence are the specific dimensions that affect the ISQ. Among these dimensions, high performance work environment comes out to be the most important. It is inferred that ISQ influences organizational performance with the mediating role of internal customer satisfaction. The article highlights the autopoietic nature of the system where knowledge dissemination becomes the most relevant prerequisite for delivering quality care.
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Adedokun, Ayoade, Oladipo Idris, and Tolulope Odujoko. "Patients’ willingness to utilize a SMS-based appointment scheduling system at a family practice unit in a developing country." Primary Health Care Research & Development 17, no. 02 (April 8, 2015): 149–56. http://dx.doi.org/10.1017/s1463423615000213.
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AimThe investigators aimed to assess the willingness of patients to utilize and pay for a proposed short message service- (SMS) based appointment scheduling service.BackgroundTelecommunication applications have been introduced to improve the delivery of healthcare services in developed countries; however, public-funded healthcare systems in developing countries like Nigeria are mostly unfamiliar with the use of such technologies for improving healthcare access.MethodsWe proposed a SMS-based (text message) appointment scheduling system to consenting subjects at an outpatients’ clinic and explored their willingness to utilize and pay for the service. Using semi-structured interview schedules, we collected information on: estimated arrival time, most important worry when seeking for healthcare services at public hospitals in the study setting, ownership of a mobile phone, willingness to utilize a SMS-based appointment for clinic visits and willingness to pay for the service. In addition, respondents were asked to suggest a tariff for the proposed system.FindingsA total of 500 consecutively recruited patients aged 16–86 (42.1±15.4) years participated; 54% (n=270) were females. Waiting time ranged from 1–7.5 h (3.9±1.1). Two overlapping themes emerged as most important worries: crowded waiting rooms and long waiting time. Ownership of mobile phones was reported by 96.4% (n=482) of subjects. Nearly all favoured the proposed appointment scheduling system (n=486, 97.2%). Majority of patients who favoured the system were willing to pay for the service (n=484, 99.6%). Suggested tariff ranged from 0.03 to 20.83 (1.53±2.11) US dollars; 89.8% (n=349) of the subjects suggested tariffs that were greater than the prevailing retail cost of the proposed service. In sum, our findings indicate that patients in this study were willing to utilize and pay for a proposed SMS-based appointment scheduling system. The findings have implications for policies aimed at improving healthcare access and delivery of healthcare services at the primary care level in developing countries like Nigeria.
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Sony, Michael, Jiju Antony, and Olivia McDermott. "The impact of medical cyber–physical systems on healthcare service delivery." TQM Journal 34, no. 7 (April 12, 2022): 73–94. http://dx.doi.org/10.1108/tqm-01-2022-0005.
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PurposeThe pandemic has reinforced the need for revamping the healthcare service delivery systems around the world to meet the increased challenges of modern-day illnesses. The use of medical cyber–physical system (MCPS) in the healthcare is one of the means of transforming the landscape of the traditional healthcare service delivery system. The purpose of this study is to critically examine the impact of MCPS on the quality of healthcare service delivery.Design/methodology/approachThis paper uses an evidence-based approach, the authors have conducted a systematic literature review to study the impact of MCPS on healthcare service delivery. Fifty-four articles were thematically examined to study the impact of MCPS on eight characteristics of the healthcare service delivery proposed by the world health organisation.FindingsThe study proposes support that MCPS will positively impact (1) comprehensiveness, (2) accessibility, (3) coverage, (4) continuity, (5) quality, (6) person-centredness, (7) coordination, (8) accountability and (9) efficiency dimension of the healthcare service delivery. The study further draws nine propositions to support the impact of MCPS on the healthcare service delivery.Practical implicationsThis study can be used by stakeholders as a guide point while using MCPS in healthcare service delivery systems. Besides, healthcare managers can use this study to understand the performance of their healthcare system. This study can further be used for designing effective strategies for deploying MCPS to be effective and efficient in each of the dimensions of healthcare service delivery.Originality/valueThe previous studies have focussed on technology aspects of MCPS and none of them critically analysed the impact on healthcare service delivery. This is the first literature review carried out to understand the impact of MCPS on the nine dimensions of healthcare service delivery proposed by WHO. This study provides improved thematic awareness of the resulting body of knowledge, allowing the field of MCPS and healthcare service delivery to progress in a more informed and multidisciplinary manner.
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Omona, Kizito, Leticia Nakandi, Annet Beatrice Nambi, Fatuma Mayanja Nakayiza, Margaret Nanozi, Mary Matilda Namuli, and Richard Zimbe. "Factors Associated with Patient Satisfaction to Healthcare at Mpigi Health Centre IV, Mpigi District-Uganda." Cognizance Journal of Multidisciplinary Studies 1, no. 4 (April 30, 2021): 1–12. http://dx.doi.org/10.47760/cognizance.2021.v01i04.001.
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Patient satisfaction is important for measuring health service delivery, utilization and thus improving quality of care provided. Worldwide, patients are increasingly dissatisfied with the commercialization of medical services, bureaucratic healthcare system, poor quality of healthcare and rotting patient- healthcare provider relationships. Satisfaction is an expression of the gap between the expected and perceived characteristics of service.
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Oliver, Brant J., Paul B. Batalden, Peter Rocco DiMilia, Rachel C. Forcino, Tina C. Foster, Eugene C. Nelson, and Boel Anderson Garre. "COproduction VALUE creation in healthcare service (CO-VALUE): an international multicentre protocol to describe the application of a model of value creation for use in systems of coproduced healthcare services and to evaluate the initial feasibility, utility and acceptability of associated system-level value creation assessment approaches." BMJ Open 10, no. 10 (October 2020): e037578. http://dx.doi.org/10.1136/bmjopen-2020-037578.
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IntroductionCoproduction introduces a fundamental shift in how healthcare service is conceptualised. The mechanistic idea of healthcare being a ‘product’ generated by the healthcare system and delivered to patients is replaced by that of a service co-created by the healthcare system and the users of healthcare services. Fjeldstad et al offer an approach for conceptualising value creation in complex service contexts that we believe is applicable to coproduction of healthcare service. We have adapted Fjeldstad’s value creation model based on a detailed case study of a renal haemodialysis service in Jonkoping, Sweden, which demonstrates coproduction characteristics and key elements of Fjeldstad’s model.Methods and analysisWe propose a five-part coproduction value creation model for healthcare service: (1) value chain, characterised by a standardised set of processes that serve a commonly occurring need; (2) value shop, which offers a customised response for unique cases; (3) a facilitated value network, which involves groups of individuals struggling with similar challenges; (4) interconnection between shop, chain and network elements and (5) leadership. We will seek to articulate and assess the value creation model through the work of a community of practice comprised of a diverse international workgroup with representation from executive, financial and clinical leaders as well as other key stakeholders from multiple health systems. We then will conduct pilot studies of a qualitative self-assessment process in participating health systems, and ultimately develop and test quantitative measures for assessing coproduction value creation.Ethics and disseminationThis study has been approved by the Dartmouth-Hitchcock Health Institutional Review Board (D-HH IRB) as a minimal risk research study. Findings and scholarship will be disseminated broadly through continuous engagement with health system stakeholders, national and international academic presentations and publications and an internet-based electronic platform for publicly accessible study information.
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Mucharom, Rully Syahrul, and Rilla Kusumaningsih. "THE HEALTHCARE SERVICE SYSTEM OF BPJS PARTICIPANTS IN TANGERANG REGENCY." Legal Standing : Jurnal Ilmu Hukum 3, no. 1 (May 20, 2019): 39. http://dx.doi.org/10.24269/ls.v3i1.1713.
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Healthcare service has become the main priority of executors as it is one of the basic rights of the people, and that its service must be established by the government. As mentioned in the Republic of Indonesia’s 1945 Constitution Article 28H paragraph (1) and Article 34 paragraph (3), the government has the obligation to provide proper and worthy healthcare services which suit the needs of the people. A state is an instrument which may give protection for all its citizens through a system built by that state. Economic gaps tend to bring out problems such as poverty and social gaps. Both of them are the central issues of social policies and of the welfare development. In early 2014, right on January 1 st the government of Indonesia through the Ministry of Health has operated the National Healthcare Security Program (Program Jaminan Kesehatan Nasional/JKN). The JKN program has also been applied in Tangerang. One of the focuses of the regional government and the BPJS (Badan Penyelenggara Jaminan Sosial/Social Security Administering Body) in Tangerang Regency is establishing social welfare for its citizens and to start a system of Healthcare Social Security.
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Di, Xiaodong, Lijian Wang, Xiuliang Dai, and Liu Yang. "Assessing the Accessibility of Home-Based Healthcare Services for the Elderly: A Case from Shaanxi Province, China." International Journal of Environmental Research and Public Health 17, no. 19 (September 30, 2020): 7168. http://dx.doi.org/10.3390/ijerph17197168.
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With the rapid increase of the elderly population in China, healthcare services for the elderly have gradually become an important welfare resource. However, the healthcare service for the elderly still has problems such as mismatched supply and demand and unbalanced resources. In order to effectively eliminate the path barriers to match supply and demand, and improve the accessibility of healthcare services, this paper introduces the sustainability of the healthcare service based on the accessibility theory, and constructs an index system from the three dimensions of potential accessibility, realized accessibility, and sustainable accessibility of healthcare services for the elderly. Then, the paper makes a practice application of the index system based on survey data of healthcare services from Shaanxi province, China. Finally, the paper finds that the total accessibility and sustainable accessibility of healthcare services for the elderly in Shaanxi Province are at an average level. The score of potential accessibility is high, indicating that elderly people have greater opportunities to use healthcare services. The realized accessibility score is low, which indicates that the actual use of healthcare services for the elderly presents low satisfaction.
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Lane, Ginny, Mayari Hengstermann, Judy White, and Hassan Vatanparast. "Newcomer challenges with accessing healthcare services in Saskatchewan, Canada." Border Crossing 11, no. 2 (September 21, 2021): 157–74. http://dx.doi.org/10.33182/bc.v11i2.1222.
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Newcomers experience a variety of barriers to healthcare services. The study objective is to identify newcomers’ healthcare barriers. During 2014-2015, we conducted in-depth interviews with service providers, and newcomer parents who had been in Saskatchewan for under 5 years. Primary themes include: 1) navigation difficulty, 2) limited awareness, 3) language, 4) interpretation and translation, 5) health benefits, 6) service limitations and stigma, 7) gender and cultural concerns, 8) health attitudes and beliefs, and 9) work demands. The results exposed service gaps and suggest options to improve access to healthcare. Consideration should be given to the development of formal processes to ensure the provision of information concerning healthcare and health benefit programs, as well as responsive healthcare services, including convenient primary healthcare sites that offer comprehensive care in a culturally responsive manner with embedded interpretation services to ensure that the Saskatchewan healthcare system does not perpetuate or create health disparities.
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Prakash, Gyan. "Steering healthcare service delivery: a regulatory perspective." International Journal of Health Care Quality Assurance 28, no. 2 (March 9, 2015): 173–92. http://dx.doi.org/10.1108/ijhcqa-03-2014-0036.
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Purpose – The purpose of this paper is to explore regulation in India’s healthcare sector and makes recommendations needed for enhancing the healthcare service. Design/methodology/approach – The literature was reviewed to understand healthcare’s regulatory context. To understand the current healthcare system, qualitative data were collected from state-level officials, public and private hospital staff. A patient survey was performed to assess service quality (QoS). Findings – Regulation plays a central role in driving healthcare QoS. India needs to strengthen market and institutional co-production based approaches for steering its healthcare in which delivery processes are complex and pose different challenges. Research limitations/implications – This study assesses current healthcare regulation in an Indian state and presents a framework for studying and strengthening regulation. Agile regulation should be based on service delivery issues (pull approach) rather than monitoring and sanctions based regulatory environment (push approach). Practical implications – Healthcare pitfalls across the world seem to follow similar follies. India’s complexity and experience is useful for emerging and developed economies. Originality/value – The author reviewed around 70 publications and synthesised them in healthcare regulatory contexts. Patient’s perception of private providers could be a key input towards steering regulation. Identifying gaps across QoS dimensions would be useful in taking corrective measures.