China
Africa
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Working with an older client group
Published in Rebecca Allwood, Working with Communication and Swallowing Difficulties in Older Adults, 2022
The ability to tailor a clinical service to each client’s individual needs is desirable but often needs to be balanced with the constraints of the service provision and organisational demands. There are, however, several ways in which the clinician can use their knowledge to work flexibly in these contexts in order optimise the experience of each client and, ultimately, the outcome of their work together.
Opening the Door to Efficientcare
Published in David B. Friend, HealthCare.com, 2020
Only when the information is assembled properly can it be synthesized and processed. Once the stage is set, the doctor can then think about the information and combine it with previous experience and knowledge, with the goal of rendering a useful decision or judgment that can be acted upon. The act of rendering judgment and advice represents the bulk of the value-added activity that the doctor or provider is actually trained to perform. Whether influenced by algorithms or managed care constraints, this phase is where clinical resource management decisions are ultimately made.
In vivo testing
Published in Richard F. Lockey, Dennis K. Ledford, Allergens and Allergen Immunotherapy, 2020
There is no consensus on the appropriate number of skin tests, either prick or intracutaneous, needed for the evaluation of uncomplicated allergic rhinitis. Constraints, however, may be placed by governmental regulatory agencies and by private medical insurance payers. The availability of specific allergen extracts for diagnosis and/or treatment may also be affected by the balance between production costs and clinical need. A report from Central China in 2017 suggested that testing with eight allergens (Dermatophagoides pteronyssinus, D. farinae, Platanus, Artemisia, Cryptomeria, Blatella germanica, Humulus, and Alternaria) was sufficient in identifying over 99% of sensitized patients [46]. A position paper from EAACI in 2018 recommended that in order to ensure the availability of high-quality allergen extracts, it would be necessary to establish active partnerships between manufacturers, appropriate scientific societies, consumer groups, and governmental authorities [47].
The impact of transparency constraints on the efficiency of the Russian healthcare system: systematic literature review
Published in Journal of Medical Economics, 2023
Yuriy Timofeyev, Oksana Dremova, Mihajlo Jakovljevic
Chinese27 and Japanese28 medical systems are moving towards organizational transparency which leads to patient well-being and quality enhancement29–31. A number of initiatives were introduced: information disclosure of medical management, treatment, healthcare quality, finances, medical errors, and patient satisfaction surveys29–31. Despite all the benefits of transparency in healthcare, such as the improvement of patient awareness, safety, and satisfaction, several studies point out a number of constraints. Firstly, error reporting may be highly subjective, biased, and incomparable among different medical institutions31. Secondly, the higher the transparency, the higher the patients’ expectations about healthcare services, which diminishes the positive effects of medical treatment quality and perceived value on patients’ level of satisfaction30. Thirdly, the interpretation of the data may be difficult to understand for people outside the healthcare industry29.
“You have to believe the patient”: What do people with fibromyalgia find helpful (and hindering) when accessing health care?
Published in Canadian Journal of Pain, 2023
Ria K. Nishikawara, Izabela Z. Schultz, Lee D. Butterfield, John W. Murray
Though participants acknowledged systemic barriers, they also had much to say about receptivity from individual practitioners. Many of our findings are consistent with the literature on patient-centered care: patients desire to feel connected, cared for, and listened to by health care providers.19,32 Participants in this study further echoed findings on the impacts of financial barriers and the importance of accounting for accessibility in FM treatment.33 Though individual care providers might have limited options to change systemic constraints, they can take a collaborative, patient-centered approach, clearly outlining appointment parameters, informing patients of their clinical role, clarifying patient goals, and keeping affordable options and appropriate medical and nonmedical referrals in mind.34 Providing accessibility options such as telehealth appointments and modularizing educational programs were also suggested.
A multi-objective home healthcare routing problem
Published in International Journal of Healthcare Management, 2023
Sudhan Bhattarai, Yaneth Correa-Martinez, Leonardo Bedoya-Valencia
Constraints (4) and (5) define the objective corresponding to the patients. In this research, the difference between the service starting times among different visits is used as the patients’ satisfaction criteria. All patients have a specific time window for their visits. Beyond that time window, a visit cannot be made. But even if the starting times for the visits are within the time window, visits starting at different times can create dissatisfaction for the patients. Visiting consistently at the same time during all the visits scheduled increases the patients’ satisfaction. Moreover, maximum satisfaction is reached when visiting each patient at the same time every day they need a visit. The constraints (4) and (5) make sure that the difference between service start times on different days for all patients cannot exceed the predefined time tolerance. This time tolerance (T) is the maximum difference allowed between the service starting times on different days for each patient.