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Artigos de revistas sobre o assunto "Historical healthcare"
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Maraqa, Shadi, Ghassan Al-Dweik, G. Van Moeseke e A. De Herde. "A Review to Innovative Ventilation Techniques Used in Historical Hospitals in Middle East and Europe". Resourceedings 1, n.º 2 (27 de novembro de 2018): 1. http://dx.doi.org/10.21625/resourceedings.v1i2.319.
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Historically, natural ventilation has been an important factor to achieve thermal comfort and reduce energy consumption in healthcare buildings. Since the recent century, there has been an increasing change and scientific advancement that led to the reliance of mechanical ventilation systems in commercial buildings and especially in hospitals and healthcare settings. However, the fully mechanical system approaches have changed gradually after global warming and the lack of energy sources. In this context, this study investigated systematically, passive ventilation techniques used in medieval near eastern hospitals ”Bimaristans” and historical hospitals in Europe. The study traced the roots of natural ventilation in a sample of historical healthcare buildings. It also investigated ventilation techniques used in historical hospitals in Middle East and Europe.
This study is looking forward to discover the architectural design parameters’ effects of historical hospitals on ventilation, to make a better environment for patients’ health by learning from past lessons in traditional architecture, and how could we adapt these techniques in our nowadays healthcare buildings. This step will allow further research on the adaption and integration of passive techniques inherited from the past in our contemporary hospital design.
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Cunha, Maria Nascimento. "In-depth Historical Analysis of Healthcare Screening Systems". European Journal of Management Issues 31, n.º 4 (13 de dezembro de 2023): 210–16. http://dx.doi.org/10.15421/192318.
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Purpose: The management facilitated by Triage Systems raises numerous inquiries for both healthcare professionals and users, rendering it an increasingly pertinent concern. In Portugal, emergency services cater to millions of individuals annually. The dynamic shifts in care are abundant and contingent on the specific nature of the healthcare required. Change, therefore, stands as a perpetual element in the realm of medicine, with alterations unfolding at an accelerating pace and growing complexity. Within the realm of emergency services, Triage serves as the inaugural stage in the healthcare delivery process. It necessitates a meticulous and rigorous approach, a task reserved for adept professionals who are adequately prepared for responsibility. The intricate nature of Triage underscores its pivotal role, setting the tone for the subsequent stages of healthcare provision. As the landscape of healthcare continues to evolve, the effectiveness and precision of Triage become even more crucial, emphasizing the need for ongoing training and adaptability among healthcare professionals.
Design/Method/Approach: The methodology of the research consists of a thorough literature review to compare different screening systems in healthcare, to better understand the current situation.
Findings: The findings indicate that the Screening System is both valid and beneficial. Nevertheless, ongoing adjustments in service management are required to enhance its effectiveness and alignment.
Theoretical Implications: This paper explores how healthcare screening systems have evolved over time, tracing their roots from historical practices to modern technologies. It identifies paradigm shifts in healthcare thinking, policy and technology that have influenced the development of screening systems.
Practical Implications: The screening system is a vital process mandated for all individuals seeking assistance in the emergency department, serving to ascertain the severity of their clinical condition. The primary goal of this assessment is to delve into the historical evolution of Screening Systems in Healthcare. Presently, in Portugal, the Manchester Sorting System stands out as the predominant and widely utilized approach.
Originality/Value: The study provides a comprehensive comparative analysis of healthcare screening systems.
Research Limitations/Future Research: Future studies could perform other types of analyses. Namely, qualitative ones in which health professionals gave opinions.
Paper Type: Conceptual
JEL Classification: I1, M1
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Moeke, Dennis, e Jeroen Van Andel. "Historical analysis of personal autonomy for prospective healthcare". International Journal of Person Centered Medicine 6, n.º 2 (13 de julho de 2016): 91–97. http://dx.doi.org/10.5750/ijpcm.v6i2.542.
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Background: Today most healthcare providers have embraced the principle of personal autonomy as central to their strategic aims and objectives. However, amongst healthcare providers there exist many different views on what personal autonomy is and how it should be facilitated. Objectives: This study aims to explore how personal autonomy and related concepts such as individual liberty and individualism have been interpreted over theages, what this means for our current understanding of personal autonomy in healthcare and how this may aid current policy discussions.Methods: Qualitative investigation of historical views related to this topic. Results: Three major traditions can be identified, each of which defines preconditions for autonomous behavior. These preconditions are: (1) rationality and rational faculties, (2) individual rights and legislation and (3) free property rights, free market and free trade. It was found that the three historical traditions still play a key role in current discussions on personal autonomy in healthcare. Conclusions: A thorough understanding of these traditions may be quite helpful for health stakeholders in planning health services and policies.
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Cadge, Wendy. "Healthcare Chaplaincy as a Companion Profession: Historical Developments". Journal of Health Care Chaplaincy 25, n.º 2 (13 de agosto de 2018): 45–60. http://dx.doi.org/10.1080/08854726.2018.1463617.
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Pearson, A. "Historical and changing epidemiology of healthcare-associated infections". Journal of Hospital Infection 73, n.º 4 (dezembro de 2009): 296–304. http://dx.doi.org/10.1016/j.jhin.2009.08.016.
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Kicha, Dmitry, Evgeny Komissarov, Oleg Rukodaynyy, Anna Fomina, Valentina Tsareva, Yury Samsonov, Dmitry Моrоgа e Мaria Mеdvedeva. "History of healthcare workers evaluation". OOO "Zhurnal "Voprosy Istorii" 2022, n.º 12-3 (1 de dezembro de 2022): 250–63. http://dx.doi.org/10.31166/voprosyistorii202212statyi101.
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Currently, in the course of domestic healthcare transformation, there is a need to focus on the experience and documents containing the principles of regular internal evaluation of the effectiveness and competencies of employees based on target indicators. The new evaluation model is focused on obtaining indicators in digital form and comparing them with target values. To improve and develop approaches to such an assessment, the study of historical experience, chronological analysis and historical comparisons is of great importance. The healthcare workers evaluation system has a centuries-old history, and a universal objective evaluation model has not been developed at present.
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Naidoo, Rennie. "Building a Critical Mass of Users for Digital Healthcare Promotion Programs". Journal of Cases on Information Technology 22, n.º 4 (outubro de 2020): 44–59. http://dx.doi.org/10.4018/jcit.2020100103.
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Despite recent technological advancements, the slow adoption pattern of digital healthcare promotion programs continues to be a major problem plaguing many healthcare organizations today. The historical teaching case study is indispensable in improving our understanding of the complex and multifaceted nature of contemporary digital healthcare promotion programs. This historical teaching case presents information about e-health, the e-commerce unit of a large multinational healthcare insurance company. The teaching case shows how despite e-health's ability to persuade a large registered base of users to trial its healthcare promotion programs, over 90% of these registrants discontinued use after a short trial period of using the technology. This historical teaching case focuses on the social challenges involved in persuading users to adopt and continue using e-health's major healthcare promotion innovation: an online nutrition center. Despite extensive promotions and the use of incentives, less than 10% of the user base adopted and continued to use this healthcare promotion innovation. The case reports on the discontinuance among digital healthcare promotion users despite the intensive efforts to retain them. Students and practitioners will gain insight into the key social challenges involved in achieving a critical mass of users for digital healthcare promotion innovations. The teaching case requires important decisions to be made by students and practitioners about present digital healthcare promotion programs by drawing on inferences from past digital healthcare promotion programs. Finally, this historical teaching case study makes a convincing case for the value of historical insights in informing present day challenges facing contemporary digital healthcare promotion programs.
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Sharma, Ravi, e Nir Kshetri. "Digital healthcare: Historical development, applications, and future research directions". International Journal of Information Management 53 (agosto de 2020): 102105. http://dx.doi.org/10.1016/j.ijinfomgt.2020.102105.
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Yanovskiy, Konstantin. "The Health Cure: Historical Experience of Old Democracy and Lessons for Russia". Issues of Economic Theory 21, n.º 4 (7 de novembro de 2023): 22–40. http://dx.doi.org/10.52342/2587-7666vte_2023_4_22_40.
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Contrary to widespread belief government-run Healthcare was not the first mass affordable solution for medical problems. Governmental healthcare has not caused main breakthroughs in the mortality decrease and significant increase in average life expectancy. Safeguards for private property and ironclad protection of personal rights and liberties caused modern economic growth phenomena, a rise in wealth, and unleashed scientific and technical progress. The rise in wealth and scientific progress were the principal reasons behind progress in medicine. Nowadays huge government spending and poor efficiency make unclear the overall impact of government-run healthcare on public health. The government's Famous attempts to protect drug consumers caused huge costs possibly outweighing their benefits. The foremost public concern ought to be the numerous ethical challenges of the governmental rule in Healthcare, the power usurped by healthcare officials to decide for and instead the patient his fate.
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Adu-Gyamfi, Samuel, Prince Osei-Wusu Adjei, Richard Oware e Ernest Foley Okine. "Science, Technology and Healthcare Delivery in Ghana: A Historical Perspective". Kaleidoscope history 10, n.º 18 (2019): 94–115. http://dx.doi.org/10.17107/kh.2019.18.94-115.
Texto completo da fonteTeses / dissertações sobre o assunto "Historical healthcare"
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Kostera, Thomas. "When Europa meets Bismarck: cross-border healthcare and usages of Europe in the Austrian healthcare system". Doctoral thesis, Universite Libre de Bruxelles, 2014. http://hdl.handle.net/2013/ULB-DIPOT:oai:dipot.ulb.ac.be:2013/209268.
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In a series of landmark rulings on patient mobility and cross-border healthcare, the European Court of Justice (ECJ) has made clear that Member States’ healthcare systems have to comply with the rules of the EU’s Internal Market when it comes to individual patient rights and the non-discrimination of healthcare providers. The rulings increased the possibilities for EU Member State citizens to get medical treatment in another Member State (“cross-border healthcare”), yet providing that under certain conditions the home Member State has to pay for these treatments in the other country. After a decade of negotiations, these rulings have been codified in a European Directive. Assuming that European integration has an impact on national welfare states and taking the example of European rules on access to cross-border healthcare, this thesis suggests analyzes the domestic impact of European integration in terms of Europeanization of the Austrian healthcare system within the context of the interplay between actors’ interests and practices on the one hand, and institutional effects on the other. European cross-border healthcare in forms of regional projects and privately or publicly organized healthcare arrangements has already become a reality in many European countries, especially in border regions. The main research questions which guides this thesis can be be put as follows: How does European integration in healthcare impact on the interests, practices and strategies of national actors that operate between national institutional constraints and European opportunities? And if national actors’ interests and strategies change, does this in turn have repercussions on the national institutional rules of healthcare governance? Given that European integration in healthcare delivery is a rather a “recent” phenomenon, and based on the assumption that actors’ strategies change more easily than national institutions, the following hypothesis is tested: Even if national healthcare actors use Europe – and hence their practices and strategies change – their interests remain largely determined by the national institutional set-up of the healthcare system. The institutional boundaries of the national healthcare system may have become porous, but for the time being they remain intact. The main findings of this study confirm the hypothesis and can be summarized as follows: Austrian actors responsible for the delivery of healthcare actively integrate various usages Europe into their existing practices of healthcare governance. These usages of Europe are more frequent at European level than at national level. Those actors who have important legal competencies, financial resources, and hence power in healthcare governance at national level, are also in a better position to use Europe effectively than those actors who lack such national resources. Limited usages of Europe at national level by corporate actors can best be accounted for by practices of consensually governing a typically Bismarckian healthcare system. None of the actors analysed, no matter how critical their stance vis-à-vis their own healthcare system might be, puts into question the legitimacy of the national healthcare system in the light of increased European competencies in regulating cross-border healthcare. Advancing European integration, mainly through the ECJ’s rulings on cross-border healthcare, might have rendered national institutional boundaries porous, but national institutions retain – at least for the time being – their power of channelling actors’ interests and of influencing corresponding practices of healthcare governance. These results invite us to further investigate which kind of healthcare governance structures are being developed at European level in parallel to those existing at national level, and to what extent Bismarckian welfare regimes might be showing resistance to institutional change induced by European integration.Doctorat en Sciences politiques et sociales
info:eu-repo/semantics/nonPublished
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O'Hara, Lyndsay Michelle. "Incidence and determinants of tuberculosis among healthcare workers in Free State, South Africa : a historical prospective cohort study and evaluation of infection control". Thesis, University of British Columbia, 2016. http://hdl.handle.net/2429/57766.
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Healthcare workers (HCWs) are at high-risk of exposure to tuberculosis (TB) at work, yet the incidence rate of TB disease among HCWs in South Africa, and other high-burden countries, is unknown. The effectiveness of TB infection control (IC) measures in South African hospitals remains unclear and evidence examining the relationship between IC and TB among HCWs is lacking.
Objective 1: Estimate the incidence rate of TB among HCWs in Free State, South Africa from 2002-2012; and
Objective 2: Examine the association between TB IC scores in Free State hospitals and the incidence of TB among HCWs in 2012.
A record linkage was conducted to identify HCWs who were registered as TB patients. A historical prospective cohort study was conducted to obtain incidence rate ratios (IRR) of TB among HCWs in Free State from 2002-2012 and to compare patient characteristics. A mixed-effects poisson regression was used to model the association between facility type, occupation, duration of employment, and the rate of TB. A TB IC workplace assessment tool was used in 28 public hospitals. A generalized linear mixed-effects regression was used to assess the association between TB IC scores and incidence of TB among HCWs in 2012.
There were 231,834 people diagnosed with TB in Free State from 2002-2012. Among HCWs, 2,677 cases of TB were diagnosed and 1,280 were expected. IRR ranged from 1.14 in 2012 to 3.12 in 2005. HCWs who were older, male, black, coloured and employed less than 20 years had higher risk of TB. There is a large variability in TB IC in Free State. As total IC score, environmental and personal protective equipment (PPE) score increased, the probability of TB among HCWs in that hospital decreased.
This study objectively estimates the rate of TB among HCWs in South Africa. The findings confirm that HCWs are at high risk of TB - as much as three-times higher than the population they serve. These findings re-affirm that overall IC and PPE are essential to prevent HCWs from acquiring TB. More attention to TB IC is warranted to protect HCWs and to stop the TB epidemic.Medicine, Faculty of
Population and Public Health (SPPH), School of
Graduate
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Bazile, Emmanuel Patrick. "Electronic Medical Records (EMR): An Empirical Testing of Factors Contributing to Healthcare Professionals’ Resistance to Use EMR Systems". NSUWorks, 2016. http://nsuworks.nova.edu/gscis_etd/964.
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The benefits of using electronic medical records (EMRs) have been well documented; however, despite numerous financial benefits and cost reductions being offered by the federal government, some healthcare professionals have been reluctant to implement EMR systems. In fact, prior research provides evidence of failed EMR implementations due to resistance on the part of physicians, nurses, and clinical administrators. In 2010, only 25% of office-based physicians have basic EMR systems and only 10% have fully functional systems. One of the hindrances believed to be responsible for the slow implementation rates of EMR systems is resistance from healthcare professionals not truly convinced that the system could be of substantive use to them.
This study used quantitative methods to measure the relationships between six constructs, namely computer self-efficacy (CSE), perceived complexity (PC), attitude toward EMR (ATE), peer pressure (PP), anxiety (AXY), and resistance to use of technology (RES), are predominantly found in the literature with mixed results. Moreover, they may play a significant role in exposing the source of resistance that exists amongst American healthcare professionals when using Electronic Medical Records (EMR) Systems. This study also measured four covariates: age, role in healthcare, years in healthcare, gender, and years of computer use. This study used Structural Equation Modeling (SEM) and an analysis of covariance (ANCOVA) to address the research hypotheses proposed. The survey instrument was based on existing construct measures that have been previously validated in literature, however, not in a single model. Thus, construct validity and reliability was done with the help of subject matter experts (SMEs) using the Delphi method. Moreover, a pilot study of 20 participants was conducted before the full data collection was done, where some minor adjustments to the instrument were made. The analysis consisted of SEM using the R software and programming language.
A Web-based survey instrument consisting of 45 items was used to assess the six constructs and demographics data. The data was collected from healthcare professionals across the United States. After data cleaning, 258 responses were found to be viable for further analysis. Resistance to EMR Systems amongst healthcare professionals was examined through the utilization of a quantitative methodology and a cross-sectional research measuring the self-report survey responses of medical professionals. The analysis found that the overall R2 after the SEM was performed, the model had an overall R2 of 0.78, which indicated that 78% variability in RES could be accounted by CSE, PC, ATE, PP, and AXY. The SEM analysis of AXY and RES illustrated a path that was highly significant (β= 0.87, p < .001), while the other constructs impact on RES were not significant. No covariates, besides years of computer use, were found to show any significance differences.
This research study has numerous implications for practice and research. The identification of significant predictors of resistance can assist healthcare administrators and EMR system vendors to develop ways to improve the design of the system. This study results also help identify other aspects of EMR system implementation and use that will reduce resistance by healthcare professionals. From a research perspective, the identification of specific attitudinal, demographic, professional, or knowledge-related predictors of reference through the SEM and ANCOVA could provide future researchers with an indication of where to focus additional research attention in order to obtain more precise knowledge about the roots of physician resistance to using EMR systems.
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Örnerheim, Mattias. "Mellan kunskap och politik : Kvalitetssystem och offentlig kunskapsstyrning i hälso- och sjukvården". Doctoral thesis, Linköpings universitet, Statsvetenskap, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:liu:diva-130924.
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Syftet med den här avhandlingen är att undersöka utvecklingen av kvalitetssystem i hälso- och sjukvården ur ett historiskt-institutionellt perspektiv utifrån fallstudier och konceptuella analyser. Särskilt analyseras implikationer av utvecklingen med avseende på relationen mellan den medicinska professionen och det politiskt administrativa systemet samt konsekvenser för den politiska styrningen av sjukvården. Studien visar att medicinska kvalitetssystem och därmed även den medicinska professionen bäddats in i den politiska styrningen i takt med att ambitionerna mot en offentlig kunskapsstyrning tilltagit. Den visar även att hälso- och sjukvårdens kvalitetsregister i olika faser av sin utveckling har påverkats av politiska ideologier, managementidéer och idéer om transparens. Öppna jämförelser som en oavsiktlig konsekvens av kvalitetsregisteranvändningen förstärker dessutom tendensen mot en offentlig kunskapsstyrning. Av studien framgår också att den offentliga kunskapsstyrningen utmanar föreställningen om demokratiidealet om upplyst förståelse. Den ökade fokuseringen på kunskapsstyrning inom hälso- och sjukvården gör det relevant att ställa frågan vem som styr vem i svensk hälso- och sjukvård, vilket i sig är en fråga om demokrati och legitimitet.The aim with this thesis is to describe the quality development in Swedish healthcare from an institutional perspective, analyse implications of the development concerning the relationship between the medical profession and the public administrative system and discuss consequences for political direction and welfare organization. The study is based on four case studies and one conceptual analysis. The main conclusion is that the medical quality systems have been imbedded in the political management alongside the development towards a public knowledge management. The analysis has more specifically uncovered that quality registries in healthcare have been influenced by political ideologies, management ideas and ideas of transparency. It is also clear that open comparisons were an ‘unintended consequence’ of the quality registry development that has enhanced the development towards a public knowledge management. The analysis also shows that public knowledge management challenges the ideal of democratic enlightened understanding. The development of public knowledge management in the healthcare sector raises the question of who is governing whom in Swedish healthcare.
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Sharma, Abhimanyu Kumar. "Language policies in the European Union and India : a comparative study". Thesis, University of Cambridge, 2019. https://www.repository.cam.ac.uk/handle/1810/287638.
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The thesis offers a comparative analysis of language policies in the EU and India. Specifically, it examines the role of power and ideology in the formulation and implementation of language policies. The need for this thesis emerged in view of the lack of comprehensive comparative analyses of language policies which leads to epistemological gaps, including one-dimensional narratives of language policies, and theories which are lacking in precision. In light of these gaps, the thesis undertakes a comprehensive investigation of policies in eight policy domains (administration, legal safeguards for minority languages, law, education, media, healthcare, business, and social welfare) in the EU and India and in two case studies each from the EU (Luxembourg, Wales), and India (Manipur, Tamil Nadu), chosen on the basis of maximum and minimum deviation from the EU's and Indian policies. The study examines policy texts (statutes on language use in these polities), and contexts which concern the historical and socio-political factors underpinning language policies. The thesis makes three important contributions. First, it marks a break from the prevalent understanding of power in macro-level policymaking. Research to date has tended to view power as a monolithic entity, while this thesis offers evidence that power and ideology are not uniform across policy domains. Second, it bridges the text-context divide of language policy research by conducting an investigation of policy-related legislation, and highlighting the importance of texts in understanding language policies, as they reflect the changes in power structures through time. Third, the thesis proposes a new analytical concept for investigating language policies, Categories of Differentiation (COD). Categories of Differentiation refer to the sets of binaries which underpin language policies in the aforementioned case studies. These binaries include the hills-valley divide (Manipur), the Dravidian-Aryan divide (Tamil Nadu), and the autochthonous-allochthonous divide (EU) among others. Language policies have often been described as 'multilayered', and COD offer a systematic approach to exploring these multiple layers. Overall, the thesis demonstrates how comparative research aids understanding of language policies, and sets out a possible theoretical framework for conducting it.
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Fernandez, Nevado Rajhut Ricardo, e Loayza Alex Gabriel Yovera. "Modelo Tecnológico para la Gestión de la Historia Clínica entre Entidades Privadas de Salud". Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/654602.
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El presente proyecto propone un Modelo Tecnológico para la Gestión de la Historia clínica entre Entidades Privadas de Salud, soportada por la tecnología blockchain como servicio a través de un proveedor de nube, de modo que se garantiza la seguridad de la información en todo el proceso, con el propósito de mejorar la toma de decisiones en el acto médico. Esto surge debido a que las Entidades de Salud presentan dificultades en integrar la información de historias clínicas de sus pacientes, debido a que cada centro maneja sus propias políticas y estándares de registro. Además, presentan distintos sistemas de información que no se comunican entre sí. Las historias al no ser únicas, no se puede obtener la trazabilidad de la información del paciente, siendo esta vital para el diagnóstico y tratamiento médico adecuado.
Las tecnologías de cadena de bloques descentralizan la información de manera segura en una red que puede ser privada, pública o híbrida, almacenan la información de manera cifrada y esta se replica en todos sus pares por lo que es inmutable e incorruptible. De igual manera el uso de la Computación en la Nube refuerza el alcance en la disponibilidad y escalabilidad de recursos a demanda, ofreciendo disponibilidad en cómputo a medida que se requiera. El beneficio de usar estas dos tecnologías en conjunto nos da características adecuadas para el cumplir con los objetivos propuestos del proyecto.
Los resultados del proyecto se validaron mediante una prueba de concepto donde se desarrolló un sistema web replicando el proceso de gestión de la historia clínica basada en el modelo tecnológico. Dentro de las pruebas realizadas, se incluyeron factores de éxito para verificar que se cumplan los principios de la seguridad de la información, dentro de estos factores se obtuvo como mínimo un 95% de éxito con respecto a la integridad, confidencialidad y disponibilidad de las historias clínicas. Además, se entrevistó a un experto médico, quien es Director del Centro Médico Naval y Jefe de Departamento de Medicina, quien afirma que el modelo propuesto genera valor al gestionar la historia clínica y respetar las normas técnicas, mejorando notablemente la toma de decisiones médicas.This project proposes a Technological Model for the Management of the Medical Record between Private Health Entities, supported by blockchain technology as a service through a cloud provider, so that information security is guaranteed throughout the process, with the purpose of improving decision-making in the medical act. This arises because Health Entities have difficulties in integrating the information from their patients' medical records, because each center manages its own registration policies and standards. In addition, present different information systems that do not communicate with each other. The stories not being unique, cannot get the traceability of patient information, this being vital for proper medical diagnosis and treatment. Blockchain technologies decentralize information in a secure way in a network that can be private, public or hybrid, they store the information in an encrypted way and it is replicated in all its peers so it is immutable and incorruptible. In the same way, the use of Cloud Computing reinforces the scope in the availability and scalability of resources on demand, offering availability in computing as required. The benefit of using these two technologies together gives us characteristics suitable for meeting the objectives of the proposed project. The results of the project were validated by a proof of concept where it developed a web system management process replicating the medical history based on technological model. Among the tests performed, success factors were included to ensure that the principles of information security are met within these factors was obtained at least 95% success rate with respect to the integrity, confidentiality and availability of the stories clinics. In addition, a medical expert was interviewed, who is Director of the Naval Medical Center and Head of the Department of Medicine, who affirms that the proposed model generates value by managing the medical history and respecting technical standards, notably improving medical decision-making.
Tesis
Livros sobre o assunto "Historical healthcare"
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Center for Hospital and Healthcar Administration History. e Hospital Research and Educational Trust., eds. Guide to historical collections in hospital healthcare administration. Chicago, Ill. (840 North Lake Shore Drive, Chicago 60611): American Hospital Association Resource Center, 1990.
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Center for Hospital and Healthcare Administration History. e American Hospital Association. Resource Center., eds. Guide to historical collections in hospital and healthcare administration. Chicago, Illinois: American Hospital Association Resource Center, 1990.
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Beck, M., e S. Melo. Quality Management and Managerialism in Healthcare: A Critical Historical Survey. Palgrave Macmillan Limited, 2014.
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Beck, Matthias, e Sara Melo. Quality Management and Managerialism in Healthcare: A Critical Historical Survey. Palgrave Macmillan Limited, 2014.
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Beck, Matthias, e Sara Melo. Quality Management and Managerialism in Healthcare: A Critical Historical Survey. Palgrave Macmillan, 2014.
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Myers, Bill. Eli (Interpretive Studies in Healthcare and the Human Sciences). Zondervan Publishing Company, 2000.
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Lipscomb, Jane A. Hazards for Healthcare Workers. Oxford University Press, 2017. http://dx.doi.org/10.1093/oso/9780190662677.003.0037.
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This chapter describes occupational hazards for healthcare workers. The chapter focuses on biological hazards, chemical hazards, physical hazards, safety and ergonomic hazards, violence, psychosocial and organizational factors, and health consequences associated with changes in the organization and financing of healthcare. The nature and magnitude of various problems is described. The chapter includes specific prevention and control measures for addressing biological hazards, chemical hazards, ionizing radiation, safety hazards, ergonomic hazards, musculoskeletal disorders, violence, and psychosocial hazards. Finally, the chapter provides a summary of historical and recent policy initiatives, including federal and state laws, regulations and guidelines, developed and implemented to protect healthcare workers from recognized hazards.
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Stacy, Meaghan, e Charlie A. Davidson, eds. Recovering the US Mental Healthcare System. Cambridge University Press, 2022. http://dx.doi.org/10.1017/9781108951760.
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Decades of research show that psychosocial treatments are effective for psychosis, yet they remain unimplemented as the American healthcare system relies primarily on pharmacological solutions instead. This book reviews the history and current state of research to provide a more nuanced understanding of the evidence for and barriers to psychosocial care for psychosis. It addresses a wide range of mental health research and multi-professional practice domains from historical, personal, societal, professional, and systems perspectives. The varied perspectives presented illustrate factors that limit support for recovery in SMI and psychosis as well as real hope for recovering the US mental healthcare system. With contributions of experts by training and by experience, this book represents an essential resource for students, practitioners and researchers.
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Shorter, Edward, e Susan E. Bélanger. Teaching History of Medicine/Healthcare in Residency. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780190849900.003.0009.
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The history of medicine has an important role to play in a medical humanities program. Those who lead the history portion of such programs should see their role as building bridges from history to medical practice. One often distinguishes between the “art” and the “science” of medicine. Both are important today, and the art of medicine comes into play in particular in managing patients who have symptoms without lesions. Here there are clear historical lessons, and such greats as William Osler at Johns Hopkins University thought of history as providing guidance in the therapeutic use of the doctor-patient relationship. These lessons are still relevant today: History can open the eyes of medical students and residents to ways of interacting with patients that they do not otherwise learn about.
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Healthcare in Wales: An historical miscellany : a collection of papers in celebration of the National Health Service in the new millennium. [Cardiff]: University Hospital of Wales, League of Friends, 2000.
Encontre o texto completo da fonteCapítulos de livros sobre o assunto "Historical healthcare"
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Hananel, David Marko. "Historical Perspective". In Comprehensive Healthcare Simulation: Surgery and Surgical Subspecialties, 3–11. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-98276-2_1.
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Starkey, Pat. "Historical Research". In Key Concepts in Nursing and Healthcare Research, 101–5. 1 Oliver's Yard, 55 City Road London EC1Y 1SP: SAGE Publications Ltd, 2014. http://dx.doi.org/10.4135/9781529681369.n20.
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Willis, Evan. "The historical sociology of healthcare". In Health Research in Practice, 97–111. Boston, MA: Springer US, 1993. http://dx.doi.org/10.1007/978-1-4899-4497-9_7.
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Mallinson, Sara, Jennie Popay, Eva Elliott, Sharon Bennett, Lisa Bostock, Anthony Gatrell, Carol Thomas e Gareth Williams. "Historical Data for Health Inequalities". In The Sociology of Healthcare, 66–75. London: Macmillan Education UK, 2008. http://dx.doi.org/10.1007/978-1-137-26654-5_7.
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Goodwin, Scott. "The Historical Epochs of American Healthcare". In Meaningful Healthcare Experience Design, 165–220. Boca Raton : Routledge, 2020. |: Productivity Press, 2020. http://dx.doi.org/10.4324/9781315120317-23.
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Edmonstone, John. "The Historical Development of Early OD". In Organisation Development in Healthcare, 27–34. New York: Productivity Press, 2021. http://dx.doi.org/10.4324/9781003167310-2.
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Melo, Sara, e Matthias Beck. "Managerialism: A Historical Overview". In Quality Management and Managerialism in Healthcare, 1–31. London: Palgrave Macmillan UK, 2014. http://dx.doi.org/10.1057/9781137351999_1.
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Hariri, Omid R., Ariel Takayanagi, T. J. Florence e Arvin R. Wali. "Historical Aspects of Quality in Healthcare". In Quality Spine Care, 3–13. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-97990-8_1.
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Nguyen, Hanh thi. "Historical Background and Impact on Healthcare". In Developing Interactional Competence, 17–19. London: Palgrave Macmillan UK, 2012. http://dx.doi.org/10.1057/9780230319660_2.
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Williams, Richard Allen. "Historical Perspectives of Healthcare Disparities: Is the Past Prologue?" In Healthcare Disparities at the Crossroads with Healthcare Reform, 7–21. Boston, MA: Springer US, 2011. http://dx.doi.org/10.1007/978-1-4419-7136-4_2.
Texto completo da fonteTrabalhos de conferências sobre o assunto "Historical healthcare"
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Ye, Shan, e Mei Wang. "Historical Report Assist Medical Report Generation". In CAIH2020: 2020 Conference on Artificial Intelligence and Healthcare. New York, NY, USA: ACM, 2020. http://dx.doi.org/10.1145/3433996.3434047.
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Kudlacova, Blanka. "HISTORY, PRESENT AND PERSPECTIVES IN HISTORICAL-EDUCATIONAL RESEARCH". In SGEM 2014 Scientific SubConference on PSYCHOLOGY AND PSYCHIATRY, SOCIOLOGY AND HEALTHCARE, EDUCATION. Stef92 Technology, 2014. http://dx.doi.org/10.5593/sgemsocial2014/b13/s3.048.
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Chen, Meng, Qilong Ren, Yilin Li e Wei-Ling Hsu. "Analytic Hierarchy Process to Establish Criteria for Design Planning of Historical Sites". In 2020 IEEE 2nd Eurasia Conference on Biomedical Engineering, Healthcare and Sustainability (ECBIOS). IEEE, 2020. http://dx.doi.org/10.1109/ecbios50299.2020.9203732.
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Anghelache, Florian, Dan Alexandru Mitrea, Nicolae Goga, Andrei Vasilateanu, Vladut Radulescu, Diana Scurtu e Dan Musat. "Adaptive Route Planning Algorithm based on Historical Executions for Commercial Vehicle Fleets". In 2022 IEEE International Conference on Blockchain, Smart Healthcare and Emerging Technologies (SmartBlock4Health). IEEE, 2022. http://dx.doi.org/10.1109/smartblock4health56071.2022.10034647.
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Lee, Kyu Chul, e Jong Oh Lee. "Pursuit of sustainable tourism policy by connecting historical sites and ancient conventions in Seoul". In 2019 IEEE Eurasia Conference on Biomedical Engineering, Healthcare and Sustainability (ECBIOS). IEEE, 2019. http://dx.doi.org/10.1109/ecbios.2019.8807825.
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Khinkanina, Alla. "PERSONALITYS SELF-RESTRICTION PHENIMENON IN COMPLICATED SITUATIONS CONCERNING CULTURAL AND HISTORICAL VALUES BEARING". In SGEM 2014 Scientific Conference on PSYCHOLOGY AND PSYCHIATRY, SOCIOLOGY AND HEALTHCARE, EDUCATION. Stef92 Technology, 2014. http://dx.doi.org/10.5593/sgemsocial2014/b11/s1.036.
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Wang, Min, e Shuangnan Liao. "Investigation of Sustainable Development Mode of Buildings in Historical Site based on AHP and ArcGIS". In 2019 IEEE Eurasia Conference on Biomedical Engineering, Healthcare and Sustainability (ECBIOS). IEEE, 2019. http://dx.doi.org/10.1109/ecbios.2019.8807817.
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de Souza, Mizael Vieira, e Izabel Cristina Zattar. "Project management office in healthcare: A literature review". In VI Seven International Multidisciplinary Congress. Seven Congress, 2024. http://dx.doi.org/10.56238/sevenvimulti2024-001.
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This article aims to present a literature review on the importance of project management in the health area, especially in philanthropic hospitals, highlighting the transition of hospitals from entities focused exclusively on health care to comprehensive organizations that also seek excellence in administrative management, aiming at the growing need for effective management practices to ensure the quality and sustainability of hospital services. It describes the different types of project management offices - PMOs and highlights their importance in standardizing methodologies, reducing risks and establishing clear metrics. First, the historical context on the evolution of hospitals is presented, highlighting the growing importance of project management in this environment, as well as the need for improvements in administrative and financial management, especially in philanthropic hospitals, where financial sustainability is a constant challenge. Next, the implementation of Project Management Offices (PMOs) is discussed as an effective practice to improve the efficiency and effectiveness of hospital operations, presenting the different types of PMOs and highlighting their importance in standardizing methodologies, reducing risks and establishing clear metrics. Finally, the challenges faced during the implementation of EGPs are discussed, such as resistance to change and lack of understanding of project management techniques by health professionals.
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Budai, Istvan, Balázs Kocsi e László Pusztai. "New approach for resource allocation in digital healthcare 4.0". In CARPE Conference 2019: Horizon Europe and beyond. Valencia: Universitat Politècnica València, 2019. http://dx.doi.org/10.4995/carpe2019.2019.10280.
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The examination and automation opportunities in healthcare processes, which aims at reducing patient journey and their waiting time, while increasing the utilization of medical equipment as well as monitoring patients. Waiting times are playing a significant role in the total process time of patient care. One of the main reasons is the insufficient resource allocation. This research presents a methodological improvement which supports decision making in digital health processes. The current research provides a methodology that makes weekly human resource scheduling more efficient than before. With the combination of process mining and operations research, we developed a weighted forecast for the probable number of patients. During the research we processed historical data as well as we identified the bottlenecks in the examined health process. Furthermore, we took the causality into account. In today’s fast-paced societies, IT-based solutions are more and more frequently used in healthcare, with the aim of reducing risks and increase patient satisfaction. The method created by us offers a fast, precise and efficient solution to decision making in digital health processes.
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JESKU, Franklind. "The Architecture of Hospitals. Learning From the Past". In ISSUES OF HOUSING, PLANNING, AND RESILIENT DEVELOPMENT OF THE TERRITORY Towards Euro-Mediterranean Perspectives. POLIS PRESS, 2023. http://dx.doi.org/10.37199/c41000110.
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Reading architecture through resilient witnesses like hospitals or healthcare facilities offers a tool for unlocking the elemental and generative principles of architecture and how architecture builds societies and vice versa. Every social class is treated by hospitals in that specific historical time. Medicine, healthcare, and habitations are interrelated keys to exploring how this infrastructure can help to heal and the con- tribution of resilience in the architecture’s role in shaping our society and its health. In this light health is considered a human right. Consequently, hospitals influence individual behaviors in advancing human rights. This paper is part of a theoretical framework over the archetype and organization form of the hospital architec- ture. For many years, the issue of form composition in architecture has been overridden in favor of a series of studies on phenomenology or information, ignoring the fundamental issue of the disci- pline of architecture, which is precisely related to the organization of form. Nowadays, the essence of composition in architecture often dominates our profession's fundamental principles. The subject of this paper is a historical excursus of hospital and their relation to the specific context and historical period. the formal organization of hospital architecture is analyzed and studied in the functional, tectonic, and compositional plans. This research tries to find the balanced con- nections between form, function, and composition in hospital design, considering their context and history. Beyond technicalities, this study focuses on understanding how the organization of a hospital can impact the function of a hospital, healing, and well-being. The investigation starts with a historical overview: how have hospitals changed and evolved over time, and what can we learn from the most important examples of each era in the past?
Relatórios de organizações sobre o assunto "Historical healthcare"
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Savedoff, William, Pedro Bernal, Marcella Distrutti, Laura Goyoneche e Carolina Bernal. Open configuration options Going Beyond Normal Challenges for Health and Healthcare in Latin America and the Caribbean Exposed by Covid-19. Inter-American Development Bank, maio de 2022. http://dx.doi.org/10.18235/0004242.
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This technical note describes how the COVID-19 pandemic has affected Latin America and the Caribbean, and considers the implications for future population health, health spending, healthcare service reforms, and investments to prepare for future health emergencies. It provides a summary of the few existing empirical studies and then contributes original analysis using administrative data from hospitals and vital registration systems in five countries. It shows substantial declines in health and healthcare delivery during the first year of the pandemic, especially for preventive and elective care. Some countries were able to return healthcare to historical levels, while others were still below average in 2021. The study concludes with reflections on how the pandemic has altered health policy recommendations for the region, generating a greater sense of urgency to make progress on long-standing agendas such as eliminating fragmentation, integrating care, and pursuing digital transformation while reordering priorities toward investments in emergency preparedness, disease surveillance, resilience, and self-sufficiency. In other words, going beyond normal.
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Cothron, Annaliese, Don Clermont, Amber Shaver, Elizabeth Alpert e Chukwuebuka Ogwo. Improving Knowledge, Comfort, and Attitudes for LGBTQIA+ Clinical Care and Dental Education. American Institute of Dental Public Health, 2023. http://dx.doi.org/10.58677/tvin3595.
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Oral health does not exist in a silo. The mouth-body connection is a biological aspect of physical wellbeing that exists alongside the social and political drivers of whole-person health. Lesbian, gay, bisexual, transgender, queer, intersex, and agender/ asexual people, and people of other marginalized gender or sexual identities (LGBTQIA+), have experienced historical exclusion from healthcare systems perpetuated by chronic stigma. Ongoing discrimination, cultural insensitivity, and blatant homophobia/transphobia among healthcare staff results in poor health outcomes, including oral health. These exchanges either facilitate or inhibit respectful, high-quality, patient-centered care cognizant of intersectionality. In 2022, the American Institute of Dental Public Health (AIDPH) disseminated a mixed-methods survey to just over 200 oral health professionals to assess knowledge, attitudes, and practices regarding LGBTQIA+ oral health.
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Adams, Alexandra, Robert Byron, Bruce Maxwell, Susan Higgins, Margaret Eggers, Lori Byron e Cathy Whitlock. Climate change and human health in Montana: a special report of the Montana Climate Assessment. Montana State University, dezembro de 2020. http://dx.doi.org/10.15788/c2h22021.
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The purpose of this assessment is to a) present understandable, science-based, Montana-specific information about the impacts of climate change on the health of Montanans; and b) describe how our healthcare providers, state leaders, communities, and individuals can best prepare for and reduce those impacts in the coming decades. This assessment draws from, and is an extension to, the 2017 Montana Climate Assessment (MCA1) (Whitlock et al. 2017), which provides the first detailed analysis of expected impacts to Montana’s water, forests, and agriculture from climate change. MCA explains historical, current, and prospective climate trends for the state based on the best-available science. The 2017 Montana Climate Assessment did not address the impact of climate change on the health of Montanans. This special report of the MCA fills that important knowledge gap; it represents a collaboration between climate scientists and Montana’s healthcare community and is intended to help Montanans minimize the impacts of climate on their health.
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Apiyo, Eric, Zita Ekeocha, Stephen Robert Byrn e Kari L. Clase. Improving Pharmacovigilliance Quality Management System in the Pharmacy and Poisions Board of Kenya. Purdue University, dezembro de 2021. http://dx.doi.org/10.5703/1288284317444.
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The purpose of this study was to explore ways of improving the pharmacovigilance quality system employed by the Pharmacy and Poisons Board of Kenya. The Pharmacy and Poisons Board of Kenya employs a hybrid system of pharmacovigilance that utilizes an online system of reporting pharmacovigilance incidences and a physical system, where a yellow book is physically filled by the healthcare worker and sent to the Pharmacy and Poisons Board for onward processing. This system, even though it has been relatively effective compared to other systems employed in Africa, has one major flaw. It is a slow and delayed system that captures the data much later after the fact and the agency will always be behind the curve in controlling the adverse incidents and events. This means that the incidences might continue to arise or go out of control. This project attempts to develop a system that would be more proactive in the collection of pharmacovigilance data and more predictive of pharmacovigilance incidences. The pharmacovigilance system should have the capacity to detect and analyze subtle changes in reporting frequencies and in patterns of clinical symptoms and signs that are reported as suspected adverse drug reactions. The method involved carrying out a thorough literature review of the latest trends in pharmacovigilance employed by different regulatory agencies across the world, especially the more stringent regulatory authorities. A review of the system employed by the Pharmacy and Poisons Board of Kenya was also done. Pharmacovigilance data, both primary and secondary, were collected and reviewed. Media reports on adverse drug reactions and poor-quality medicines over the period were also collected and reviewed. An appropriate predictive pharmacovigilance tool was also researched and identified. It was found that the Pharmacy and Poisons Board had a robust system of collecting historical pharmacovigilance data both from the healthcare workers and the general public. However, a more responsive data collection and evaluation system is proposed that will help the agency achieve its pharmacovigilance objectives. On analysis of the data it was found that just above half of all the product complaints, about 55%, involved poor quality medicines; 15% poor performance, 13% presentation, 8% adverse drug reactions, 7% market authorization, 2% expired drugs and 1% adulteration complaints. A regulatory pharmacovigilance prioritization tool was identified, employing a risk impact analysis was proposed for regulatory action.
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Tipton, Kelley, Brian F. Leas, Emilia Flores, Christopher Jepson, Jaya Aysola, Jordana Cohen, Michael Harhay et al. Impact of Healthcare Algorithms on Racial and Ethnic Disparities in Health and Healthcare. Agency for Healthcare Research and Quality (AHRQ), dezembro de 2023. http://dx.doi.org/10.23970/ahrqepccer268.
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Objectives. To examine the evidence on whether and how healthcare algorithms (including algorithm-informed decision tools) exacerbate, perpetuate, or reduce racial and ethnic disparities in access to healthcare, quality of care, and health outcomes, and examine strategies that mitigate racial and ethnic bias in the development and use of algorithms. Data sources. We searched published and grey literature for relevant studies published between January 2011 and February 2023. Based on expert guidance, we determined that earlier articles are unlikely to reflect current algorithms. We also hand-searched reference lists of relevant studies and reviewed suggestions from experts and stakeholders. Review methods. Searches identified 11,500 unique records. Using predefined criteria and dual review, we screened and selected studies to assess one or both Key Questions (KQs): (1) the effect of algorithms on racial and ethnic disparities in health and healthcare outcomes and (2) the effect of strategies or approaches to mitigate racial and ethnic bias in the development, validation, dissemination, and implementation of algorithms. Outcomes of interest included access to healthcare, quality of care, and health outcomes. We assessed studies’ methodologic risk of bias (ROB) using the ROBINS-I tool and piloted an appraisal supplement to assess racial and ethnic equity-related ROB. We completed a narrative synthesis and cataloged study characteristics and outcome data. We also examined four Contextual Questions (CQs) designed to explore the context and capture insights on practical aspects of potential algorithmic bias. CQ 1 examines the problem’s scope within healthcare. CQ 2 describes recently emerging standards and guidance on how racial and ethnic bias can be prevented or mitigated during algorithm development and deployment. CQ 3 explores stakeholder awareness and perspectives about the interaction of algorithms and racial and ethnic disparities in health and healthcare. We addressed these CQs through supplemental literature reviews and conversations with experts and key stakeholders. For CQ 4, we conducted an in-depth analysis of a sample of six algorithms that have not been widely evaluated before in the published literature to better understand how their design and implementation might contribute to disparities. Results. Fifty-eight studies met inclusion criteria, of which three were included for both KQs. One study was a randomized controlled trial, and all others used cohort, pre-post, or modeling approaches. The studies included numerous types of clinical assessments: need for intensive care or high-risk care management; measurement of kidney or lung function; suitability for kidney or lung transplant; risk of cardiovascular disease, stroke, lung cancer, prostate cancer, postpartum depression, or opioid misuse; and warfarin dosing. We found evidence suggesting that algorithms may: (a) reduce disparities (i.e., revised Kidney Allocation System, prostate cancer screening tools); (b) perpetuate or exacerbate disparities (e.g., estimated glomerular filtration rate [eGFR] for kidney function measurement, cardiovascular disease risk assessments); and/or (c) have no effect on racial or ethnic disparities. Algorithms for which mitigation strategies were identified are included in KQ 2. We identified six types of strategies often used to mitigate the potential of algorithms to contribute to disparities: removing an input variable; replacing a variable; adding one or more variables; changing or diversifying the racial and ethnic composition of the patient population used to train or validate a model; creating separate algorithms or thresholds for different populations; and modifying the statistical or analytic techniques used by an algorithm. Most mitigation efforts improved proximal outcomes (e.g., algorithmic calibration) for targeted populations, but it is more challenging to infer or extrapolate effects on longer term outcomes, such as racial and ethnic disparities. The scope of racial and ethnic bias related to algorithms and their application is difficult to quantify, but it clearly extends across the spectrum of medicine. Regulatory, professional, and corporate stakeholders are undertaking numerous efforts to develop standards for algorithms, often emphasizing the need for transparency, accountability, and representativeness. Conclusions. Algorithms have been shown to potentially perpetuate, exacerbate, and sometimes reduce racial and ethnic disparities. Disparities were reduced when race and ethnicity were incorporated into an algorithm to intentionally tackle known racial and ethnic disparities in resource allocation (e.g., kidney transplant allocation) or disparities in care (e.g., prostate cancer screening that historically led to Black men receiving more low-yield biopsies). It is important to note that in such cases the rationale for using race and ethnicity was clearly delineated and did not conflate race and ethnicity with ancestry and/or genetic predisposition. However, when algorithms include race and ethnicity without clear rationale, they may perpetuate the incorrect notion that race is a biologic construct and contribute to disparities. Finally, some algorithms may reduce or perpetuate disparities without containing race and ethnicity as an input. Several modeling studies showed that applying algorithms out of context of original development (e.g., illness severity scores used for crisis standards of care) could perpetuate or exacerbate disparities. On the other hand, algorithms may also reduce disparities by standardizing care and reducing opportunities for implicit bias (e.g., Lung Allocation Score for lung transplantation). Several mitigation strategies have been shown to potentially reduce the contribution of algorithms to racial and ethnic disparities. Results of mitigation efforts are highly context specific, relating to unique combinations of algorithm, clinical condition, population, setting, and outcomes. Important future steps include increasing transparency in algorithm development and implementation, increasing diversity of research and leadership teams, engaging diverse patient and community groups in the development to implementation lifecycle, promoting stakeholder awareness (including patients) of potential algorithmic risk, and investing in further research to assess the real-world effect of algorithms on racial and ethnic disparities before widespread implementation.
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Edmiston, Kelly, e Jordan AlZuBi. Trends in telehealth and its implications for health disparities. Center for Insurance Policy and Research, março de 2022. http://dx.doi.org/10.52227/25241.2022.
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The intersection of race and insurance is one of the four regulatory priorities of the National Association of Insurance Commissioners (NAIC) for 2022 and has been a key initiative of the NAIC since 2020. One workstream of the initiative is devoted to measures to advance health equity through lowering the cost of healthcare and promoting access to care and insurance coverage for historically disadvantaged and marginalized groups. A charge from the workstream to the NAIC’s Health Innovations Working Group (HIWG) is to examine the potential for telehealth to ameliorate (or exacerbate) health disparities, particularly for racial and ethnic minorities, but also the LGBT+ community and across the urban-rural continuum. This review engages with the HIWG on that directive by documenting recent developments and trends in telehealth and implications for regulators and addressing implications for disparities in health and healthcare.
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Busso, Matías, María P. González e Carlos Scartascini. On the Demand for Telemedicine: Evidence from the Covid-19 Pandemic. Inter-American Development Bank, abril de 2021. http://dx.doi.org/10.18235/0003225.
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Telemedicine can expand access to health care at relatively low cost. Historically, however, demand for telemedicine has remained low. Using administrative records and a difference-in-differences methodology, we estimate the change in demand for telemedicine experienced after the onset of the COVID-19 epidemic and the imposition of mobility restrictions. We find a 233 percent increase in the number of telemedicine calls and a 342 percent increase in calls resulting in a medication being prescribed. The effects were mostly driven by older individuals with pre-existing conditions who used the service for internal medicine consultations. The demand for telemedicine remains high even after mobility restrictions were relaxed, which is consistent with telemedicine being an experience good. These results are a proof of concept for policymakers willing to expand access to healthcare using advances in technology.
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Tull, Kerina. Social Inclusion and Immunisation. Institute of Development Studies (IDS), fevereiro de 2021. http://dx.doi.org/10.19088/k4d.2021.025.
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The current COVID-19 epidemic is both a health and societal issue; therefore, groups historically excluded and marginalised in terms of healthcare will suffer if COVID-19 vaccines, tests, and treatments are to be delivered equitably. This rapid review is exploring the social and cultural challenges related to the roll-out, distribution, and access of COVID-19 vaccines, tests, and treatments. It highlights how these challenges impact certain marginalised groups. Case studies are taken from sub-Saharan Africa (the Democratic Republic of Congo, South Africa), with some focus on South East Asia (Indonesia, India) as they have different at-risk groups. Lessons on this issue can be learned from previous pandemics and vaccine roll-out in low- and mid-income countries (LMICs). Key points to highlight include successful COVID-19 vaccine roll-out will only be achieved by ensuring effective community engagement, building local vaccine acceptability and confidence, and overcoming cultural, socio-economic, and political barriers that lead to mistrust and hinder uptake of vaccines. However, the literature notes that a lot of lessons learned about roll-out involve communication - including that the government should under-promise what it can do and then over-deliver. Any campaign must aim to create trust, and involve local communities in planning processes.
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Health Innovation & Technology in Latin America & the Caribbean. Inter-American Development Bank, abril de 2024. http://dx.doi.org/10.18235/0012923.
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The report offers a comprehensive analysis of health startups in Latin America and the Caribbean (LAC), delving into the challenges, trends, and investments in the region. It identifies major health challenges faced by LAC populations alongside issues of access, funding, data, workforce, technology, and regulation. Additionally, it outlines 50 health innovation and technology trends shaping the future of healthcare in LAC, with 15 strategic shifts indicating fundamental transformations. The report maps the landscape of health startups, analyzing their distribution by country, sub-sector, and cluster, while also highlighting key venture capital investors and funding activities. Furthermore, it examines IDB Lab's role in the sector and its portfolio of health innovation projects, offering insights into funding types, regions, sub-sectors, and ecosystem players in LAC, both historically and post-pandemic. The report is accompanied by a compendium of health innovation startups in the region, available at: https://publications.iadb.org/en/health-innovation-technology-latin-america-caribbean-market-landscape-and-compendium-companies.