scholarly journals The next Australian Health Care Agreements: what clinicians want

2002 ◽  
Vol 25 (6) ◽  
pp. 17 ◽  
Author(s):  
John M Dwyer
Keyword(s):  
Health Care ◽  
Healthcare Delivery ◽  
Cost Effective ◽  
Healthcare Services ◽  
Community Health Services ◽  
Care Physician ◽  
Public Hospitals ◽  
Allied Health Professionals ◽  
Australian Health ◽  
Health Care Governance

For the first time experienced clinicians are to be involved in the development of the Australian Health Care Agreements (AHCAs)(2003-2008). As a result doctors, nurses and allied health professionals are hoping that current impediments to necessary change will be removed. Numerous suggestions to improve the Agreement will come forward from the "front line". All clinicians will argue that the next Agreement must result in a marked increase in the funding available to public hospitals. The new Agreement must remove barriers hindering our capacity to integrate all of our healthcare services. Safe, appropriate and cost effective healthcare delivery must embrace a continuum of care involving patients and their primary care physician, community health services and hospitals. The Agreement must embody arrangements for markedly enhancing our public health efforts in the area of prevention of disease. Australia's clinicians are worried about inequity in terms of access and outcome for their patients and are willing to be partners in health care governance to improve the situation.

scholarly journals Expanding the breadth of Medicare: learning from Australia

2018 ◽  
Vol 13 (3-4) ◽  
pp. 344-368 ◽  
Author(s):  
Stephen Duckett
Keyword(s):  
Health Care ◽  
Universal Coverage ◽  
Allied Health Professionals ◽  
Australian Health ◽  
Division Of Powers ◽  
Medicare Programme ◽  
High Level ◽  
Very High ◽  
Health Programmes

AbstractThe design of Australia’s Medicare programme was based on the Canadian scheme, adapted somewhat to take account of differences in the constitutional division of powers in the two countries and differences in history. The key elements are very similar: access to hospital services without charge being the core similarity, universal coverage for necessary medical services, albeit with a variable co-payment in Australia, the other. But there are significant differences between the two countries in health programmes – whether or not they are labelled as ‘Medicare’. This paper discusses four areas where Canada could potentially learn from Australia in a positive way. First, Australia has had a national Pharmaceutical Benefits Scheme for almost 70 years. Second, there have been hesitant extensions to Australia’s Medicare to address the increasing prevalence of people with chronic conditions – extensions which include some payments for allied health professionals, ‘care coordination’ payments, and exploration of ‘health care homes’. Third, Australia has a much more extensive system of support for older people to live in their homes or to move into supported residential care. Fourth, Australia has gone further in driving efficiency in the hospital sector than has Canada. Finally, the paper examines aspects of the Australian health care system that Canada should avoid, including the very high level of out-of-pocket costs, and the role of private acute inpatient provision.

scholarly journals Health Care Governance: Introduction

2008 ◽  
Vol 32 (1) ◽  
pp. 7 ◽  
Author(s):  
Alison Choy Flannigan ◽  
Prue Power
Keyword(s):  
Public Health ◽  
Health Care ◽  
Corporate Governance ◽  
Health Sector ◽  
Health And Safety ◽  
Senior Managers ◽  
Chief Executives ◽  
Australian Health ◽  
Financial Governance ◽  
Health Care Governance

IN RECOGNITION OF the importance and the complexity of governance within the Australian health care sector, the Australian Healthcare and Hospitals Association has established a regular governance section in Australian Health Review. The aim of this new section is to provide relevant and up-to-date information on governance to assist those working at senior leadership and management levels in the industry. We plan to include perspectives on governance of interest to government Ministers and senior executives, chief executives, members of boards and advisory bodies, senior managers and senior clinicians. This section is produced with the assistance of Ebsworth & Ebsworth lawyers, who are pleased to team with the Australian Healthcare and Hospitals Association in this important area. We expect that further articles in this section will cover topics such as: � Principles of good corporate governance � Corporate governance structures in the public health sector in Australia � Legal responsibilities of public health managers � Governance and occupational health and safety � Financial governance and probity. We would be pleased to hear your suggestions for future governance topics.

Management of public healthcare facilities in the Philippines: issues and concerns

2019 ◽  
Vol 25 (10) ◽  
pp. 1-17 ◽  
Author(s):  
Ramiro Z Dela Cruz ◽  
Ruth A Ortega-Dela Cruz
Keyword(s):  
Healthcare Delivery ◽  
Healthcare Services ◽  
The Philippines ◽  
Public Hospitals ◽  
Public Health Care ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Descriptive Research ◽  
Primary Means ◽  
Insufficient Knowledge

Background/Aims Public hospitals are the primary means of healthcare delivery in developing countries. Given the pressing need for efficient health services, it is imperative to know the extent to which a country's public healthcare institutions meet an ever increasing public demand. This study aimed to assess the state of hospital facilities among public health care institutions in a developing country. Methods Descriptive research methods were used, including needs analysis along with management and client satisfaction surveys, in order to analyse information on issues that related to the management of hospital facilities in the Philippines. Various members of the hospital community were selected to assess different aspects of hospital management. Results The results of this study show that most concerns stemmed from the lack of financial resources, materials, equipment and technological innovations; insufficient knowledge, skills and human resources; and problems that related to processes and methodologies. Conclusions Public hospitals are in dire need of facility upkeep to maintain their operations. This has become a more pressing concern because of the very limited resources at the disposal of public hospitals. This study also highlighted the crucial role played by the national government in finding effective and efficient ways to address these issues and concerns to ensure successful delivery of healthcare services in the country.

scholarly journals Evaluating Health Literacy Environments in Australian Health Services

2018 ◽  
Vol 13 (2) ◽  
pp. ii35
Author(s):  
Sarah Neil ◽  
Kylie Murphy ◽  
Glenda Chapman
Keyword(s):  
Health Literacy ◽  
Health Services ◽  
Cost Effective ◽  
Healthcare Services ◽  
Healthcare Organisation ◽  
Literacy Environment ◽  
Financial Investment ◽  
Australian Health ◽  
Published Evidence ◽  
Literacy Environments

The term ‘health literacy’ refers to the knowledge and skills used by an individual to make decisions about his or her own health. However, the environment in which health decisions are made is increasingly recognised as a critical component of health literacy. The health literacy environment can help to moderate the typical relationship between low individual health literacy and poor health. Becoming a more health literate healthcare organisation may require only meager financial investment for relatively large effectiveness gains. In this article, a review of Australian government health policies identifies three major foci relevant to the health literacy environment: the complexity of health services, the content of health information, and the physical environment. An overarching theme identified in this review is the importance of consumer input in evaluating all aspects of the health literacy environment. Despite major policy imperatives and the ongoing need to ensure health investments are socially equitable and cost-effective, there is little published evidence of Australian healthcare services evaluating their own health literacy environment. This article establishes the importance of evaluating the health literacy of Australian healthcare services and reviews four potentially useful evaluation tools.

Reform and counter reform: How sustainable is New Zealand&s latest health system restructuring?

2002 ◽  
Vol 7 (1_suppl) ◽  
pp. 46-55 ◽  
Author(s):  
Jackie Cumming ◽  
Nicholas Mays
Keyword(s):  
Primary Care ◽  
Health Care ◽  
New Zealand ◽  
Health Services ◽  
Community Health Services ◽  
Public Hospitals ◽  
District Health ◽  
Potential Conflict ◽  
Feasible Option ◽  
New System

New Zealand's health care sector has undergone almost continual restructuring since the early 1980s. In the latest set of reforms, 21 district health boards (DHBs) have been established with responsibility for promoting health, purchasing services for their populations and delivering publicly owned health services. Boards will be governed by a mix of elected and appointed members, will be responsible for arranging the delivery of primary and community health services, and will own and run public hospitals and related facilities. We clarify the differences and continuities between earlier reforms and the 2000/01 structures, as well as the current reforms’ potential strengths and weaknesses. The paper discusses whether the DHB model was the only feasible option for restructuring and whether the dynamics of the new system may lead to further changes, particularly on the purchaser side of the system. Given that DHBs face potential conflict between their purchasing and provision roles, and given the potential advantages that primary care organisations may have as purchasers, we conclude that it is possible that all or part of the purchasing function of DHBs might eventually shift to primary care organisations, leaving the DHBs as hospital-based provider organisations.

scholarly journals Editorial

1995 ◽  
Vol 1 (1) ◽  
pp. 2
Author(s):  
Heather Gardner
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Continuity Of Care ◽  
Health Sector ◽  
Community Health Services ◽  
Continuing Care ◽  
Australian Health ◽  
Primary Health

The advent of the Australian Journal of Primary Health - Interchange reflects the changes which are taking place in the Australian health sector and the increased and increasing importance of primary health care and community health services. The significant role of primary care in maintaining health and enhancing wellbeing is at last being recognised, and the relationships between primary care, continuing care, and acute care are being redefined and the connections made, so that improvement in continuity of care can be achieved.

Automation in Healthcare Services

2022 ◽  
pp. 285-303
Author(s):  
Vijay Prakash Gupta ◽  
Amit Kumar Arora
Keyword(s):  
Health Care ◽  
Service Industry ◽  
Care Service ◽  
Health Care Service ◽  
Cost Effective ◽  
Healthcare Services ◽  
Revolutionary Change ◽  
Patient Health ◽  
Human Fatigue ◽  
Day To Day Operations

The health care service industry (also known as a medical industry) is an industry that is comprised of the services related to the safeguarding or enhancement of patient health or provides services to treat patients with medicinal, protective, rehabilitative, and analgesic care. For the last two decades, it has been seen that there are drastic changes in healthcare services through automation, digitalization, technological innovation, and communication. Automation has made a revolutionary change in the healthcare industry and allowed for it to be more cost-effective for the industry to run day-to-day operations. Automation-driven health care activities are free from human fatigue and error, so they can help out to provide consistency, accuracy, and potentially lead to a reduction in patient complications, infections, and deaths. Besides, automation can help hospitals, professionals, and doctors for cost-reduction measures and increased efficiency as part of their monetary benefits.

scholarly journals COVID-19 and the Digital Transformation of Health Care

2021 ◽  
Author(s):  
Tory Cenaj
Keyword(s):  
Health Care ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Optimal Care ◽  
Health Technologies ◽  
Effective Delivery ◽  
Major Transformation ◽  
The Many ◽  
Healthcare Transformation

The global COVID-19 pandemic demonstrated the vulnerability of healthcare delivery to patients worldwide and challenged healthcare providers—not only in treating patients with coronavirus but also in trying to maintain optimal care for non-COVID patients at the same time. But challenging times often provide a fertile environment for innovation, and we have certainly seen major transformation in health care this year, via technology and global models, with the goal to democratize health care and provide greater access and more efficient and effective delivery of healthcare services to patients, regardless of their income or geography. Some of the world’s top leaders and influencers in healthcare delivery transformation and health technologies, including blockchain and telehealth, converged at the 4th Annual CONV2X 2020 Symposium held virtually from November 10 to 12, to talk about healthcare transformation. By far, one of the most widely discussed topics in the many sessions that took place over the 2-day event was virtual health.

CAPACITY AND CONFIDENCE IN PERFORMING CLINICAL PROCEDURES AMONG PRIMARY CARE TEAMS IN THE CENTRAL REGION OF VIETNAM

2017 ◽  
pp. 77-83
Author(s):  
Duc Toan Vo ◽  
Minh Tam Nguyen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Care Team ◽  
Primary Care Team ◽  
Health Staff ◽  
Ministry Of Health ◽  
Clinical Procedures ◽  
The Government

Background and Aim: To develop primary care services is one of the top priorities of the health sector in Vietnam. In recent years, the Government and the Ministry of Health have made great efforts to strengthen and improve the quality of healthcare services at the grassroof level. However, several studies showed that the needs for healthcare remained unmet at primary care level. This study aimed to examine the gaps in competency and confidence of the primary care team in delivery of clinical procedures. Methods: A crosssectional descriptive study was conducted in 49 commune health centers (CHCs) of 3 provinces. The health care teams reported their ability and confidence to perform the list of clinical procedures based on the regulation on clinical procedures performed at the CHC issued by the Ministry of Health. Results: The average number of procedures performed by the CHCs was 46,4/109 procedures. There were 65.3% of CHCs performed less than 50% of assigned techniques, and only 28.6% CHCs performed 50-80% of assigned techniques. The confidence of CHC teams was high in performing procedures of Resuscitation, Internal Medicine, Pediatrics and OBGYN. Conclusion: There is a substantial gap in the capability to perform clinical procedures among CHC team. The confidence in performing essential procedural skills varied among procedures, depending on clinical experience and the types of procedure. Our results show a strong call to develop training programs that fit to the competency standards of primary care team in order to enhance the capacity and confidence of health staff in healthcare delivery at grassroots level. Key words: Health care, Thua Thien Hue, Quang Tri

scholarly journals THE FUTURE OF TELEMEDICINE IN MODERN HEALTHCARE

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Mrs. Merlin Samuel John john ◽  
Mrs. Merlin Samuel John john
Keyword(s):  
Patient Engagement ◽  
Hospital Admissions ◽  
Healthcare Delivery ◽  
Cost Effective ◽  
Communication Technologies ◽  
Healthcare Services ◽  
Primary Care Visit ◽  
Online Mode ◽  
The Future ◽  
Key Words Telemedicine

ABSTRACT The COVID-19 has brought a tremulous shift in healthcare delivery. Since February 2020, telemedicine grew from 1% of the primary care visit to nearly 43.5% in April 2020. The report published in 2020 by Telemedicon, revealed that non-metro cities recorded a growth of 7X in online consultations as compared to last year and started adopting an online mode of consultations amid the pandemic in metro to non-metro is 60:40 in 2020, as compared to 75:25 in 2019. This rapid growth presents telemedicine as the next frontier in healthcare. Digital and communication technologies have revolutionized the delivery of healthcare services. Telehealth is set to change the future of healthcare and remove many of the obstacles and challenges the patients and the industry face. Patients are rapidly transitioning to telehealth, 76% responded to the survey that they want to use telehealth going forward. Benefits of Telemedicine include convenience, access to care, better patient outcomes, a more efficient healthcare system, fewer hospital admissions, and fewer hospital re-admissions. With telemedicine’s current trajectory and rapid adoption rate, it has the potential to disrupt and redefine the way health systems operate, deliver care, manage costs, setting the stage for a vastly different healthcare experience in the future. The widespread use of telemedicine helps to push the industry to make better platforms that can cooperate and communicate. Telemedicine is an effective way to alleviate the congestion of hospitals, improve the utilization of medical resources, and also a powerful tool that makes healthcare accessible, cost-effective, and significantly enhances patient engagement. Key Words: Telemedicine, Telemedicine, healthcare, patient engagement.

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