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At least 919 records · Page 51Linked to original sources
PubMed1996

Why will physicians in this new environment replace MHAs?

The competitive forces of managed care, capitated payment, cost constraints, and the formation of health networks are among the major precipitating factors leading to the employment of additional executives and middle managers with clinical backgrounds. These factors will require our health leaders to know how to cut costs without seriously impinging on the accessibility and quality of patient care. Physicians with leadership and management skills, and with prior hands-on patient care expertise, will continue to be sought after in the foreseeable future by various types of health organizations. With this scenario, health services management generalists are predicted to experience increasing difficulties to secure senior positions in the health industry,

Canada↗
PubMed2001

[Health care supply regulation].

In the current context of health systems' reforms, the regulation would have to occupy a major place in the new role of the State concerning health in order that the system could reach the essential objective to control the quantity and the distribution of health services and to insure an optimal, efficient and equitable coverage of the population's needs. Authors pass in review, in a first part, current regulation means of health care supply, public and private, put in place in Tunisia and suggest their development in areas not covered yet; notably these in relation with the quality and the cost-containment of health care. The current regulation is interested especially in areas of the infrastructure, equipment, medicines and pharmaceutical products and financial and human resources of the sector. In a second part, means of regulation of health care supply are exposed and could serve as basis to the reform of the current health system. It is thus the mastery of the medical demography, incentives for health care providers, payment systems, fees and rates of professionals and the free choice and the managed competition between providers. Authors conclude by the necessity to promote patients' rights in the health system and to valorise its human resources, through the development of information on performances of providers and the continuous training of professionals.

Cost Control↗
PubMed2002

[Current knowledge among students of the Silesian Medical Academy about the importance and role of medical care funds].

The purpose of this research was verification and comparison of the present state of knowledge among the students of different departments and years of study. The questions concerned the role of Medical Care Funds in the up-to-now healthcare system and the patient's rights as far as the students' future professions as doctors, dentists, healthcare managers and medical rescuers is concerned. The questionnaire included 15 questions referring to the problem of functioning of the medical care institutions after the reform of healthcare services introduced in 1999. Distinct from most of the published works of this kind, the authors adopted a uniform "assessment" method following the principles of didactic measurement. The researchers calculated: Range, Modal, Mediana, Arithmetic Average, Variance, Standard Deviation, Easiness of the Task, Difficulty of the Task, Skip Fraction, the Task's Differentiating Power, Reliability Coefficient of the Test. The calculation was conducted with the use of the Excel programme modified by the researchers to suit the needs of didactic measurement. The survey included 104 students of the 3rd year of Dental Department, 116 of the students 4th year of Dental Department, 31 students of Bachelor's Medical Rescue Studies by the Medical Department in Zabrze, 18 students of Post-Graduate Management and Administration in Healthcare by the Medical Department in Zabrze and Silesian Technical University, 151 4th year students of the Medical Department in Zabrze and 121 6th year students of the Medical Department in Zabrze. It has been proved that between the particular groups there are significant differences as far as the students' knowledge is concerned ("the healthcare managers" demonstrated quite a high knowledge ratio). And that the questions were at different difficulty levels depending on the branch and year of study represented by the respondents.

Adult↗
PubMed1995

[What is "quality management"?].

According to the EN DIN ISO norms measures of quality planning, quality control, quality assurance and quality improvement define a comprehensive quality management. These international norms may solve the recent confusion of terms in Germany. The trend in quality assuring measures clearly shows in the direction of quality audits, but we believe that too much control is contra-productive. Benefits may be expected by the implementation of comprehensive quality management systems, appropriate techniques of benchmarking, practical guidelines and certifications of surgical departments with good quality management systems.

Forecasting↗
PubMed1997

[Managed care--chances for health care in Germany?].

The incentives offered by the German health insurance make it rational for doctors and patients to adopt uneconomical attitudes that militate against the objective of providing economical health care tailored to individual needs. Managed care systems are a means of correcting this undesirable state of affairs. Implementation of managed care in Germany would however, appear to make good sense only when it is offered as a competitive alternative that guarantees the freedom of action and choice of all those involved.

Cost Control↗
PubMed1996

NHS reforms reduce length of waiting lists but create widespread unease.

Reforms involving the National Health Service (NHS) have greatly reduced the length of waiting lists in the United Kingdom. The key to the reductions was additional funding from the government, the chief executive of the NHS said during a recent visit to Ottawa. Decreasing the size of the waiting lists created intense stress for NHS personnel, who had to work longer hours, and it also lowered demand for private-sector care.

Canada↗
PubMed2006

Nationwide hepatitis B vaccination program in Taiwan: effectiveness in the 20 years after it was launched.

The national hepatitis B vaccination program in Taiwan is considered one of the most successful and effective public health programs to control chronic hepatitis B infection in the past 20 years. This review illustrates how to implement a successful hepatitis B vaccination program based on Taiwan's experience. Several important controlled randomized clinical trials on hepatitis B immunoglobulin and vaccine in Taiwan demonstrated an 80-90% protective effect among infants of mothers who were positive for either hepatitis B envelope antigen or hepatitis B surface antigen. A series of prevalence surveys on children born before and after the national vaccination program began disclosed a steady decrease in seroprevalence of hepatitis B surface antigen in Taiwan, with 78-87% effectiveness after the national vaccination program was launched. Studies on the secular trend of liver disease risk also documented a 68% decline in mortality from fulminant hepatitis in infants and a 75% decrease in the incidence of hepatocellular carcinoma in children 6-9 years of age after the national vaccination program began. In conclusion, since 1984, the national hepatitis B vaccination program has been successful in preventing acute and chronic liver diseases in Taiwan.

Child↗
PubMed1991

The human costs of cancer and the response of the National Cancer Program.

The three foundations of the National Cancer Program are basic research, clinical trials (in prevention and treatment), and cancer centers. These foundations have supported a great deal of progress against cancer over the past 20 years. Nevertheless, a number of challenges remain, and continued progress will depend on the speed with which research advances can be translated into practical realities. Poverty is a risk factor for cancer incidence and mortality. Thus, a lack of access to the technologies generated by the National Cancer Program can be a force for bringing about differential burdens of cancer in underserved populations.

Humans↗