China
Africa
Explore chapters and articles related to this topic
Effectiveness of Aarogya Setu Mobile Application During COVID-19 Healthcare Management: A Technology Acceptance Model-Based Approach
Published in Adarsh Garg, D. P. Goyal, Global Healthcare Disasters, 2023
Developments in information technology and system have facilitated immensely toward the health care industry. It has not only helped practitioners, health care leaders, and government health care agencies, but also contributed in improvement of health care delivery services and health care economics. Use of information systems in for of health care information systems (HIS) can be seen as a key enabler for effective implementation of facilities and improving health care quality along with the cost management. HIS are being used for various applications including, patient management, medical research, decision support, predictive analysis, etc.
Public Health and Free Markets
Published in Ruth E. Groenhout, Care Ethics and Social Structures in Medicine, 2018
However, in looking at even the range of possibilities offered in this chapter, we can draw some conclusions about how economics affects care, and the first thing we need to recognize is that there is no perfect system. Regardless of the economic structure a society adopts, there will be trade-offs, and because we are talking about health care, those trade-offs will take a toll on people in terms of pain and suffering, in terms of their inability to get care that would be of real benefit to them, and in terms of whether or not they continue to live. The most frustrating part of thinking about health care economics is the way it brings home our finitude. We cannot provide everything to everyone without bankrupting the system, and if the system goes bankrupt, then care will truly become a scarce commodity. Our only options are to choose among the various systems (or variants thereof) and try to mitigate the drawbacks of each as best we can.
The Transplant Experience of Liver Recipients: Ethical Issues and Practice Implications
Published in Gary Rosenberg, Andrew Weissman, Behavioral Social Work in Health Care Settings, 2016
The experiences of both patients and professionals in health care settings are currently influenced by several interacting trends. These trends include advances in medical technology, changing health care economics, and a shift in the locus of health care delivery from inpatient institutional to outpatient community care. When the influences of these trends converge in one health care setting, ethical and practice conflicts for patients and health care providers may result. This article discusses the ethical and practice issues revealed in a study of liver transplant recipients in one such setting. In the shifting context of these influences, social workers’involvement in comprehensive patient care planning, participation in multidisciplinary health care teams, and in particular, advocating for equitable patient access to health care are increasingly important (Abramson & Mizrahi, 1996; Berkman, 1996; Dhoop-er, 1997; Herbert & Levin, 1996). However, the professional staff caring for the liver transplant patients in this study did not include social workers. Thus, these patients’narratives illustrate the psychosocial needs, and the related ethical issues, they and their families experienced in the absence of professional social work. One purpose of this study, therefore, was to demonstrate the need for active social work participation in transplant settings and on transplant and ethical decision-making teams. A second purpose was to gather knowledge from the standpoint of transplant patients themselves (Swigon-ski, 1994) in order to improve social services in transplant settings.
Fecal microbiota transplantation: a review on current formulations in Clostridioides difficile infection and future outlooks
Published in Expert Opinion on Biological Therapy, 2022
Adèle Rakotonirina, Tatiana Galperine, Eric Allémann
Symptoms of CDI appear when C. difficile secretes exotoxins that will disturb the epithelial cell cytoskeleton. This disruption leads to intestinal cell apoptosis and an inflammatory response, which then leads to disease manifestation. The main symptom is abundant diarrhea, defined as more than three liquid (Bristol 6–7) stools lost per day. However, the disease could lead to more severe symptoms, such as hemodynamic instability, signs and symptoms of peritonitis, signs and symptoms of colonic ileus, colon distension, colonic wall thickening, pseudomembranous colitis or even toxic megacolon [19,20]. Thus, all forms of CDIs place a heavy burden on health care economics [21]. Furthermore, CDI patients have a higher mortality rate than non-CDI patients with the same comorbidity factors [22].
Exposed: Why Health Insurance Is Incomplete and What Can Be Done about It
Published in Journal of Legal Medicine, 2020
In the book, Robertson persuasively argues that the reliance on various tools of cost exposure to prevent overutilization and waste in the system is built on a faulty assumption. To make his point, Robertson relies on hundreds of wide-ranging sources with engaging prose and reviews studies on behavioral responses to cost exposure, insurance types and rates, and medical bankruptcy in America. Robertson is at his best when taking apart the theoretical underpinnings of moral hazard, the theory that “complete” (no cost exposure) health insurance leads to unnecessary care and overutilization, largely because the insureds are not footing bills for their extravagant health care choices. Instead of relying on the common comparison seen in health care economics between those insured and those uninsured in determining which type of care can fairly be categorized as waste, Robertson substitutes a different thought experiment. He poses a hypothetical in which the insured person is compared against another insured individual, but the insurance plan for the new insured does not pay for care directly to the provider. Instead, the plan pays the insurance benefit in cash to the insured patient herself. It is in this comparison that the reader can clearly see what type of care could fairly be deemed wasteful, because observations on what type of care would lead an insured individual to pocket the cash and forego care could go a long way to providing a more realistic standard of medical necessity.
Use of prucalopride in adults with chronic idiopathic constipation
Published in Expert Review of Clinical Pharmacology, 2019
Priya Vijayvargiya, Michael Camilleri
Such considerations would provide important information for treatment guidelines, approval of different classes of drugs for specific patient subgroups, and ultimately match mechanisms and phenotypes in order to enhance drug utilization and health-care economics. Until such information becomes available, the formularies of health-care organizations or insurance companies will continue to utilize the new classes of drugs in an uninformed manner, and patients requiring such new treatments may be denied opportunities to benefit from them.