Global e-health policy: From concept to strategy
Richard Wootton, Nivritti G. Patil, Richard E. Scott, Kendall Ho in Telehealth in the Developing World, 2019
Both clinicians are agreeable and local chief information officers are approached to arrange the logistics of the consultation. Having been alerted, senior administrators in the relevant health region in Canada ask questions. Who is this specialist in Durban, and what training or certification does she have? Is her expertise recognized in Canada? Is this within her scope of practice? Will she expect remuneration? Will this open the flood gate to many similar requests? Since diagnosis and treatment are needed, will she be considered to be practising in Canada? What are the licensing issues? Who will have clinical accountability? What about liability to the hospital and health region? Will there be any ethical, confidentiality or privacy complications? For clinical continuity and appropriate care, will the consultant need to review the patient’s electronic health record, or need to enter her opinion in the record after remote patient examination? If so, what about security, and how will access and authorization be achieved since she is not an employee and does not currently have approval? Is any diagnostic equipment licensed and approved for use - and where? How much does this matter?
Replacing fear: funding British health care
Oliver Morgan in Who Cares? The Great British Health Debate, 2018
The report also recommended that the public be made more aware of the likelihood of premiums rising at the outset of their policies. Research by the OFT showed that, in recent years, PMI premiums have risen by between 6% and 12% per year above the retail price index. It says: ‘Over the long term, increases at these levels, even allowing for some trading down, appear unsustainable’ The insurers argue that several reasons lie behind the inflation: increased incidence of claims and increased costs. Increased claims were due to GP fundholders steering patients towards the private sector because they could then shift them off their own budgets, eagerness among policy holders to get a return on their premiums and a greater awareness of the medical treatments on offer. Costs were rising, according to the insurers, because of medical technologies, fee rises for specialists and use of more sophisticated diagnostic equipment.
Equity lessons learned from pharmerging countries
Songül Çınaroğlu in Equity and Healthcare Reform in Developing Economies, 2020
Healthcare programs were devised to improve healthcare coverage. State-financed healthcare was increased significantly by the Program of State Guarantees for Medical Care (PSG). The PSG is a universal program developed to provide benefits by creating a single national pool. PSG is designed as a multilevel service delivery system with increased tertiary care, improved diagnostic capability in medical facilities, and reduced geographic variations in funding and services (Somanathan et al., 2018). In Russia, health is improved by PSG investments and reforms. Redistribution of fiscal resources help increase resource allocation to vulnerable groups (Vlassov, 2016; Somanathan et al., 2018). High public spending for hospital services improves access to inpatient care for poor patients, especially those who are elderly. Greater availability of diagnostic equipment at outpatient facilities is associated with increased access to tests and services. Healthcare spending directed toward primary care improved access to physicians and services in rural areas of Russia. Despite these improvements, limited PSG coverage for outpatient drug purchases means that OOP drug payments are among the biggest threats to financial risk protection (Somanathan et al., 2018).
The Time is Here! What You Need to Know for AUC Consultation
Published in Oncology Issues, 2019
This AUC was created in response to the requirements of the Protecting Access to Medicare Act of 2014 (PAMA). The Act specifically requires CMS to establish a program to promote the ordering provider's utilization of AUC for advanced diagnostic imaging services. Advanced imaging services include diagnostic computed tomography, magnetic resonance imaging, and nuclear medicine exams, including positron emission tomography. Ordering physicians and practitioners (“ordering professionals”) will be required to consult AUC for all advanced imaging studies billed under the Medicare Physician Fee Schedule, the Outpatient Prospective Payment System, and the Ambulatory Surgical Center Payment System, including those performed in a physician office, hospital outpatient department (including emergency department), independent diagnostic testing facility, or ambulatory surgery center. This means that if your organization owns any advanced diagnostic equipment that is utilized for diagnostic studies, then the consultation and reporting requirements will apply.
The Efficacy of Cognitive Videogame Training for ADHD and What FDA Clearance Means for Clinicians
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2021
Steven W. Evans, Theodore P. Beauchaine, Andrea Chronis-Tuscano, Stephen P. Becker, Anil Chacko, Richard Gallagher, Cynthia M. Hartung, Michael J. Kofler, Brandon K. Schultz, Leanne Tamm, Eric A. Youngstrom
The FDA approval process for studying and marketing medical devices is described on the FDA website (www.fda.gov) and summarized here. The first step is to register the product as a medical device. A medical device is an instrument, apparatus, machine, or other similar article that is (1) recognized in the National Formulary or U.S. Pharmacopoeia; (2) intended for use in diagnosis or treatment of a disease or other condition; or (3) intended to affect functioning without involving chemical action or metabolization (i.e., it is non-pharmacologic). Medical devices are further classified into three classes. Class I presents minimal potential for harm to the user (e.g., elastic bandages). Class II presents moderate risk of harm to the user (e.g., videogame treatments such as EndeavorRXTM). Class III sustains or supports life, is implanted, or presents potential high risk of illness or injury (e.g., implantable pacemakers). Device classification depends on the intended use of the device, but also on indications for use. For example, the intended use of EndeavorRXTM is to improve attention via a digital therapy device, and indications for use include children diagnosed with ADHD.
Inflammatory bowel disease in Nigerian children: case series and management challenges
Published in Paediatrics and International Child Health, 2020
Idowu Senbanjo, Ayodeji Akinola, Tolulope Kumolu-Johnson, Olayinka Igbekoyi, Kazeem Oshikoya
Abdominal pain and chronic and bloody diarrhoea were the most frequent presenting symptoms, all of which are common in LMIC [17]. In LMIC where infectious diseases are very common, it is important that children with suspected IBD be screened for an infectious aetiology, and prolonged gastrointestinal symptoms should prompt consideration of IBD. Being a tertiary health facility, the availability of specialists and diagnostic equipment was invaluable in diagnosing the reported cases. Despite that, two of the five cases had surgical intervention with bowel resection for an ileocaecal and a caecal pole mass which were later confirmed to be owing to Crohn disease with no evidence of malignancy on histopathological examination. Awareness of IBD and recognition at an early stage of the disease could have prevented late presentation and the surgery.
Related Knowledge Centers
- Biomedical Engineering
- Prosthesis
- Federal Food, Drug, & Cosmetic Act
- Tongue Depressor
- Medical Thermometer
- Medical Glove
- Bedpan
- Artificial Cardiac Pacemaker
- Medical Test
- Implant