Excess capacity and expense preference behaviour in National Health Systems: an application to the Spanish public hospitals

2004 ◽  
Vol 13 (2) ◽  
pp. 157-169 ◽  
Author(s):  
Ana Rodríguez-Álvarez ◽  
C. A. Knox Lovell
Keyword(s):  
Health Systems ◽  
National Health ◽  
Public Hospitals ◽  
Excess Capacity ◽  
Preference Behaviour ◽  
Expense Preference

scholarly journals Health system gaps in cardiovascular disease prevention and management in Nepal

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Archana Shrestha ◽  
Rashmi Maharjan ◽  
Biraj Man Karmacharya ◽  
Swornim Bajracharya ◽  
Niharika Jha ◽  
...  
Keyword(s):  
Human Resources ◽  
Health System ◽  
Health Systems ◽  
National Health ◽  
Task Force ◽  
Health Spending ◽  
Building Blocks ◽  
Critical System ◽  
Government Organizations ◽  
The Government

Abstract Background Cardiovascular diseases (CVDs) are the leading cause of deaths and disability in Nepal. Health systems can improve CVD health outcomes even in resource-limited settings by directing efforts to meet critical system gaps. This study aimed to identify Nepal’s health systems gaps to prevent and manage CVDs. Methods We formed a task force composed of the government and non-government representatives and assessed health system performance across six building blocks: governance, service delivery, human resources, medical products, information system, and financing in terms of equity, access, coverage, efficiency, quality, safety and sustainability. We reviewed 125 national health policies, plans, strategies, guidelines, reports and websites and conducted 52 key informant interviews. We grouped notes from desk review and transcripts’ codes into equity, access, coverage, efficiency, quality, safety and sustainability of the health system. Results National health insurance covers less than 10% of the population; and more than 50% of the health spending is out of pocket. The efficiency of CVDs prevention and management programs in Nepal is affected by the shortage of human resources, weak monitoring and supervision, and inadequate engagement of stakeholders. There are policies and strategies in place to ensure quality of care, however their implementation and supervision is weak. The total budget on health has been increasing over the past five years. However, the funding on CVDs is negligible. Conclusion Governments at the federal, provincial and local levels should prioritize CVDs care and partner with non-government organizations to improve preventive and curative CVDs services.

Competition and R&D in retail banking under expense preference behaviour

2006 ◽  
Vol 13 (1) ◽  
pp. 47-50
Author(s):  
Luis M. Granero ◽  
Juan Carlos Reboredo
Keyword(s):  
Retail Banking ◽  
Preference Behaviour ◽  
Expense Preference

scholarly journals Treatment Interest of Badan Penyelenggara Jaminan Sosial (Social Security Organizing Agency) Patients in Balowerti Public Health Center Kediri City

2019 ◽  
Vol 11 (11) ◽  
pp. 149
Author(s):  
Sandu Siyoto ◽  
Albert Ronald Tule
Keyword(s):  
Social Security ◽  
Service Quality ◽  
Health Center ◽  
National Health ◽  
Public Hospitals ◽  
Patient Dissatisfaction ◽  
Lack Of Information ◽  
Financial Flow ◽  
Long Time ◽  
The Government

The Social Security Organizing Agency (BPJS) which was established in 2014, implements the National Health Insurance Program (JKN). While JKN positively affects national health and increases the financial flow of private hospitals, there is a significant financial deficit, which can be covered by the involvement of informal private-sector workers, whose loyalty to the hospital is mainly influenced by hospital’s environment, communication with staff, and service quality. Previous studies indicate that in Indonesia loyalty to the public hospitals can have no relationships with service quality, to test this assumption, a sample of 126 subjects was recruited at the Balowerti City Health Center, Kediri City. All participants of the study received premium assistance beneficiaries (PBI) of BPJS insurance, which is fully subsidized by the government. Despite this, the main part of the sample evaluated their perception of the Balowerti City Health Center and the quality of its service as average or poor. Ordinal regression confirmed the existence of the influence of service quality and perception of the hospital on the behavioral intention of patients. Refers to perception of low service quality is the main reason for insufficient involvement if JKN. According to the previous studies, a lack of time for communication with the patient, long time of waiting, and a lack of information of BPJS are main reasons of patient dissatisfaction and low enrollment in JKN.

scholarly journals Changing Emergency Department and hospital organization in response to a changing epidemic

2020 ◽  
Vol 16 (1) ◽  
Author(s):  
Daniele Coen ◽  
Ciro Paolillo ◽  
Mario Cavazza ◽  
Gianfranco Cervellin ◽  
Andrea Bellone ◽  
...  
Keyword(s):  
Emergency Department ◽  
Health Systems ◽  
National Health ◽  
Hospital Organization ◽  
The World

The world is facing a new pandemic that sets the national health systems, their structures and professionals in a crisis never experienced before. (...)

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