scholarly journals Private care and public waiting

2005 ◽  
Vol 29 (1) ◽  
pp. 87 ◽  
Author(s):  
Stephen J Duckett
Keyword(s):  
Private Sector ◽  
Waiting Time ◽  
Waiting Times ◽  
Secondary Analysis ◽  
Political Debate ◽  
Activity Data ◽  
Private Care ◽  
The Public ◽  
Political Response ◽  
Additional Support

Waiting time for public hospital care is a regular matter for political debate One political response has been to suggest that expanding private sector activity will reduce public waiting times. This paper tests the hypothesis that increased private activity in the health system is associated with reduced waiting times using secondary analysis of hospital activity data for 2001?02. Median waiting time is shown to be inversely related to the proportion of public patients. Policymakers should therefore be cautious about assuming that additional support for the private sector will take pressure off the public sector and reduce waiting times for public patients.

Availability, Price, and Affordability of Selected Essential Medicines for Chronic Diseases in 11 Countries of the Asia Pacific Region: A Secondary Analysis

2017 ◽  
Vol 29 (4) ◽  
pp. 268-277 ◽  
Author(s):  
Haipeng Wang ◽  
Qiang Sun ◽  
Agnes Vitry ◽  
Tuan Anh Nguyen
Keyword(s):  
Chronic Disease ◽  
Private Sector ◽  
Chronic Diseases ◽  
Secondary Analysis ◽  
Essential Medicines ◽  
Asia Pacific ◽  
Pacific Region ◽  
Asia Pacific Region ◽  
The Public ◽  
Health Action

Access to affordable essential medicines for noncommunicable, chronic diseases is critical in management of the diseases. This study aims to assess the availability, prices, and affordability of medicines for common chronic diseases in the Asia Pacific Region (APR). A secondary analysis of medicines price and availability data from the Health Action International’s (HAI) database was undertaken using the standardized WHO/HAI methodology. The median availability of any medicine in the public sector was 35.5% compared with 56.7% in the private sector. Countries paid 1.4 times the International Reference Price to procure lowest-priced generics (LPGs) and 9.1 times for innovator brands (IBs). Patients would have to spend 2.3 and 0.4 day’s wages to purchase one month’s treatment of a chronic disease for IBs and LPGs, respectively in the private sector. These findings highlight the need to increase availability, reduce prices, and improve affordability of the medicines.

scholarly journals Space, place and (waiting) time: reflections on health policy and politics

2018 ◽  
Vol 13 (3-4) ◽  
pp. 226-250 ◽  
Author(s):  
Sally Sheard
Keyword(s):  
Waiting Times ◽  
Historical Analysis ◽  
Medical Professional ◽  
Hospital Environment ◽  
Hospital Treatment ◽  
Political Debate ◽  
Public And Private ◽  
The Public ◽  
The United Kingdom ◽  
Managerial Strategies

AbstractHealth systems have repeatedly addressed concerns about efficiency and equity by employing trans-national comparisons to draw out the strengths and weaknesses of specific policy initiatives. This paper demonstrates the potential for explicit historical analysis of waiting times for hospital treatment to add value to spatial comparative methodologies. Waiting times and the size of the lists of waiting patients have become key operational indicators. In the United Kingdom, as National Health Service (NHS) financial pressures intensified from the 1970s, waiting times have become a topic for regular public and political debate. Various explanations for waiting times include the following: hospital consultants manipulate NHS waiting lists to maintain their private practice; there is under-investment in the NHS; and available (and adequate) resources are being used inefficiently. Other countries have also experienced ongoing tensions between the public and private delivery of universal health care in which national and trans-national comparisons of waiting times have been regularly used. The paper discusses the development of key UK policies, and provides a limited Canadian comparative perspective, to explore wider issues, including whether ‘waiting crises’ were consciously used by policymakers, especially those brought into government to implement new economic and managerial strategies, to diminish the autonomy and authority of the medical professional in the hospital environment.

scholarly journals Online Booking Systems for Managing Queues at The Road Transport Department

2019 ◽  
Vol 4 (1) ◽  
pp. 21
Author(s):  
E Mohamad ◽  
I Anak Jiga ◽  
R Rahmat ◽  
A Azlan ◽  
M.S Abd Rahman ◽  
...  
Keyword(s):  
Waiting Time ◽  
Waiting Times ◽  
Cold Fusion ◽  
Road Transport ◽  
Structure Interview ◽  
The Public ◽  
Online System ◽  
The Road ◽  
Semi Structure Interview ◽  
To Come

In Malaysia, the Road Transport Department (RTD) is one of the public sectors facing the issue of having excessive waiting times at their service counter. Various alternatives have been proposed to address this problem, such as implementing an e-government service via the official RTD portal and creating other units so that the demand can be segregated, which also involves the creation of other agencies including myEG and UTC. However, the problem has persisted and has even become one of the most urgent policy issues that plague the RTD. Thus, this study aims to propose an online system that will help manage queue during the service and therefore optimise the waiting time. Several methods were employed to achieve the objectives, including conducting semi-structure interview, observation, and time study at RTD Bukit Katil, Melaka, developing the online system with Adobe Dream Weaver, Oracle SQL Developer software, and Adobe Cold Fusion, and validating and verifying the system using usability studies and questionnaires. The first online system involves an online queue number booking system. With this developed system, clients can use an online system to book their queue number. Furthermore, this system provides clients with the duration of the waiting time so that they can be present at the counter in time before their assigned service. The second proposal involves utilising an online queue booking system. With this system, clients can book their appointment according to the specific time with the RTD staff. This system also makes it possible for the client to come and to be serviced on time. This system aims to optimise the waiting time at the RTD, improve customer satisfaction, and serve as a reference for other government agencies so that their services can be improved

scholarly journals Queue analysis of public healthcare system to reduce waiting time using flexsim 6.0

2020 ◽  
Vol 1 (2) ◽  
pp. 101
Author(s):  
Putri Amalia ◽  
Nur Cahyati
Keyword(s):  
Health Service ◽  
Healthcare System ◽  
Waiting Time ◽  
Low Cost ◽  
Waiting Times ◽  
Simulation Method ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public ◽  
The Government

Public healthcare is a health service facility from the government at a low cost. The problem is the long queue, which makes long patients’ waiting times. The patients are waiting for a maximum of more than 3 hours in the general polyclinic. Besides, the registration counter is almost busy all the time. The utilization is about 96.96%. Therefore, the objective of this research is to reduce the patients’ waiting time using the simulation method. Flexsim 6.0 software is employed to develop the public healthcare system and also develop some alternatives to improve the problem. The simulation model has been verified and validated. The result shows the waiting time is decreased by more than 80% by adding the resource in the registration counter. For managerial insight, this research could help the public healthcare system in satisfying the patients.

Constraints in implementing Public Private Partnership (PPP) in Malaysia

2014 ◽  
Vol 4 (3) ◽  
pp. 238-250 ◽  
Author(s):  
Suhaiza Ismail ◽  
Fatimah Azzahra Haris
Keyword(s):  
Private Sector ◽  
Evaluation Criteria ◽  
Public Private Partnership ◽  
Political Debate ◽  
Public And Private ◽  
Private Partnership ◽  
Content Type ◽  
The Public ◽  
The Government ◽  
Public And Private Sector

Purpose – The purpose of this paper is to study two objectives. First, it intends to scrutinize the challenges in implementing Public Private Partnership (PPP) by examining the factors that hinder the successful adoption of PPP in Malaysia. Second, it aims to investigate the differences in the perceptions of the government and the private sector pertaining to the hindrance factors. Design/methodology/approach – A questionnaire survey was used to elicit the perceptions of the public and private sectors concerning the constraints of PPP implementation in Malaysia. A total of 122 usable responses were obtained, which were analysed using Statistical Package for Social Sciences software. The mean score and mean score ranking were used to examine the importance of the hindrance factors based on the overall responses as well as on the respective responses of the public and the private sectors. An independent sample t-test was used to examine the differences in the perceptions between the two sectors. Findings – The overall results show that “lengthy delays in negotiation”, “lack of government guidelines and procedures on PPP”, “higher charge to direct users”, “lengthy delays because of political debate” and “confusion over government objectives and evaluation criteria” are the top five constraints for adopting PPP in Malaysia. In terms of the differences in the perceptions between the public and private sector groups, the statistical test results indicate that there are only significant differences in the perceptions for two hindrance factors. Originality/value – The paper contributes to the existing literature on PPP, which is currently limited, by focusing on the challenges of implementing PPP in a developing country (i.e. Malaysia). More importantly, this paper provides evidence concerning the differences in the opinion of two key players (i.e. the government and the private sector) on the PPP hindrance factors.

GOOD GOVERNANCE, AKUNTANSI PEMERINTAHAN DAN EKONOMI KERAKYATAN

2007 ◽  
Author(s):  
Yuskar Yuskar
Keyword(s):  
Private Sector ◽  
Social Welfare ◽  
Natural Resources ◽  
Good Governance ◽  
Financial Economic ◽  
Strong Impact ◽  
Governance Mechanism ◽  
Literature Study ◽  
The Public ◽  
The Government

Good governance is a ware to create an efficient, effective and accountable government by keeping a balanced interaction well between government, private sector and society role. The implementation of a good governance is aimed to recover the public trust for the government that has been lost for the last several years because of financial, economic and trust crisis further multidimensional crisis. The Misunderstanding concept and unconcerned manner of government in implementing a good governance lately have caused unstability, deviation and injustice for Indonesia society. This paper is a literature study explaining a concept, principles and characteristics of a good governance. Furthermore, it explains the definition, development and utility of an efficient, effective and accountable government in creating a good governance mechanism having a strong impact to the democratic economy and social welfare. It also analyzes the importance of government concern for improving democratic economy suitable with human and natural resources and the culture values of Indonesia.

Adjusting to Financial Instability in the Interwar Period

2018 ◽  
Author(s):  
Giandomenico Piluso
Keyword(s):  
Private Sector ◽  
Adaptive Strategy ◽  
World War ◽  
The Public ◽  
International Environment ◽  
The First World War ◽  
Monetary Authorities ◽  
The Public Sphere ◽  
Special Committees ◽  
First World

The chapter provides a reconstruction and analysis of adjustment processes in the Italian financial system after the major cleavage of the First World War. It considers how pressures exerted by external factors entailed a progressive adaptive strategy to a changing international environment. Financial and monetary instability called for a more intensive regulation reallocating responsibilities and powers from the private sector to the public sphere. Accordingly, financial elites changed their contours and boundaries. As the demand for technical competences and bargaining abilities rose, Italian governments and central monetary authorities tended to co-opt competent representatives from the private sector onto special committees at home, at international conferences, or in bilateral negotiations. A telling tale of such processes is represented by changes within the composition of the Italian delegations at major international economic and financial conferences from the Brussels Conference in 1920 to the London Economic and Monetary Conference in 1933.

scholarly journals Interhospital referral of colorectal cancer patients: a Dutch population-based study

2021 ◽  
Author(s):  
A. K. Warps ◽  
◽  
M. P. M. de Neree tot Babberich ◽  
E. Dekker ◽  
M. W. J. M. Wouters ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Cancer Patients ◽  
Waiting Time ◽  
Secondary Care ◽  
Advanced Disease ◽  
Waiting Times ◽  
Tertiary Care ◽  
Disease Stage ◽  
Colorectal Cancer Patients ◽  
Tertiary Care Hospitals

Abstract Purpose Interhospital referral is a consequence of centralization of complex oncological care but might negatively impact waiting time, a quality indicator in the Netherlands. This study aims to evaluate characteristics and waiting times of patients with primary colorectal cancer who are referred between hospitals. Methods Data were extracted from the Dutch ColoRectal Audit (2015-2019). Waiting time between first tumor-positive biopsy until first treatment was compared between subgroups stratified for referral status, disease stage, and type of hospital. Results In total, 46,561 patients were included. Patients treated for colon or rectal cancer in secondary care hospitals were referred in 12.2% and 14.7%, respectively. In tertiary care hospitals, corresponding referral rates were 43.8% and 66.4%. Referred patients in tertiary care hospitals were younger, but had a more advanced disease stage, and underwent more often multivisceral resection and simultaneous metastasectomy than non-referred patients in secondary care hospitals (p<0.001). Referred patients were more often treated within national quality standards for waiting time compared to non-referred patients (p<0.001). For referred patients, longer waiting times prior to MDT were observed compared to non-referred patients within each hospital type, although most time was spent post-MDT. Conclusion A large proportion of colorectal cancer patients that are treated in tertiary care hospitals are referred from another hospital but mostly treated within standards for waiting time. These patients are younger but often have a more advanced disease. This suggests that these patients are willing to travel more but also reflects successful centralization of complex oncological patients in the Netherlands.

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