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.

scholarly journals Modelling the impact of COVID-19 in Australia to inform transmission reducing measures and health system preparedness

2020 ◽  
Author(s):  
R Moss ◽  
J Wood ◽  
D Brown ◽  
F Shearer ◽  
AJ Black ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health System ◽  
Clinical Care ◽  
Health Sector ◽  
Transmission Model ◽  
Australian Government ◽  
Australian Health ◽  
Health Measures ◽  
The Impact

ABSTRACTBackgroundThe ability of global health systems to cope with increasing numbers of COVID-19 cases is of major concern. In readiness for this challenge, Australia has drawn on clinical pathway models developed over many years in preparation for influenza pandemics. These models have been used to estimate health care requirements for COVID-19 patients, in the context of broader public health measures.MethodsAn age and risk stratified transmission model of COVID-19 infection was used to simulate an unmitigated epidemic with parameter ranges reflecting uncertainty in current estimates of transmissibility and severity. Overlaid public health measures included case isolation and quarantine of contacts, and broadly applied social distancing. Clinical presentations and patient flows through the Australian health care system were simulated, including expansion of available intensive care capacity and alternative clinical assessment pathways.FindingsAn unmitigated COVID-19 epidemic would dramatically exceed the capacity of the Australian health system, over a prolonged period. Case isolation and contact quarantine alone will be insufficient to constrain case presentations within a feasible level of expansion of health sector capacity. Overlaid social restrictions will need to be applied at some level over the course of the epidemic to ensure that systems do not become overwhelmed, and that essential health sector functions, including care of COVID-19 patients, can be maintained. Attention to the full pathway of clinical care is needed to ensure access to critical care.InterpretationReducing COVID-19 morbidity and mortality will rely on a combination of measures to strengthen and extend public health and clinical capacity, along with reduction of overall infection transmission in the community. Ongoing attention to maintaining and strengthening the capacity of health care systems and workers to manage cases is needed.FundingAustralian Government Department of Health Office of Health Protection, Australian Government National Health and Medical Research Council

Introduction: Health Inequities in India—The Larger Dimensions

2018 ◽  
pp. 1-22
Author(s):  
Purendra Prasad
Keyword(s):  
Public Health ◽  
Health Care ◽  
Medical Anthropology ◽  
Medical Sociology ◽  
Health Sector ◽  
Health Inequities ◽  
Global Market ◽  
New Paradigm ◽  
Health Inequities In India ◽  
Epidemiology And Public Health

This chapter provides a narrative that explains the politics of access (distribution, utilization, outcomes) as well as the context in which health inequalities are produced in India. While fields such as medical sociology, medical anthropology, health economics, community health, social medicine, epidemiology, and public health, among others, with their own theories, methods, and approaches are able to contribute distinctive dimensions, it becomes essential to engage across the boundaries in a collective manner to understand the complexity of health care that is increasingly shaped by the global market forces and ideologies. This volume thus opens up the possibility of constructing a new paradigm for understanding health sector as well as signalling a new field ‘health care studies’.

Broadband for Health in Developing Countries

2011 ◽  
pp. 581-592 ◽  
Author(s):  
Aradhana Srivastava
Keyword(s):  
Public Health ◽  
Health Care ◽  
Developing Countries ◽  
Information And Communication Technologies ◽  
Information Dissemination ◽  
Care Delivery ◽  
Health Sector ◽  
Health Providers ◽  
Policy Direction ◽  
Immense Potential

This chapter highlights the major issues in the use of broadband technologies in health care in developing countries. The use of Internet technologies in the health sector has immense potential in developing countries, especially in the context of public health programs. Some of the main uses of information and communication technologies (ICT) in health include remote consultations and diagnosis, information dissemination and networking between health providers, user groups, and forums, Internet-based disease surveillance and identification of target groups for health interventions, facilitation of health research and support to health care delivery, and administration. The technology has immense potential, but is also constrained by lack of policy direction, problems with access to technology, and lack of suitable infrastructure in developing nations. However, given its crucial role in public health, comprehensive efforts are required from all concerned stakeholders if universal e-health is to become a reality.

scholarly journals IMPLEMENTASI KEBIJAKAN JAMINAN KESEHATAN DAERAH DI KABUPATEN PURBALINGGA PROVINSI JAWA TENGAH

2020 ◽  
Vol 24 (1) ◽  
pp. 463
Author(s):  
Hari Walujo Sedjati
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Service ◽  
Policy Implementation ◽  
Health Sector ◽  
The Public ◽  
Central Java ◽  
Health Goals ◽  
Efficiency And Effectiveness ◽  
The Government

The research aimed to know problems policy health on Purbalingga district; province Central Java. Health planners have been more effective largely because of a policy regionalizing responsibility for the public health pure delivery assurance systems. Several kinds of health service provider’s hospital recommended by government for pure society in Purbalingga district. The Government as certain the efficiency and effectiveness of health services in public actors, these goals and options which frame a actor government Purbalingga district, choice in the health sector, are complicated by agreement over the criteria that determinant which patients are getting too much for pure society to health care. The policy Implementation goals to minimize mortalities and Invalid body for pure society in Purbalingga and policy health goals and standards are reached.

Re-placing Care

2016 ◽  
Author(s):  
Lieke Oldenhof ◽  
Jeroen Postma ◽  
Roland Bal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Hospital Care ◽  
The Political ◽  
Context Variable ◽  
Invisible Work ◽  
Health Studies ◽  
Health Care Governance ◽  
The Invisible

This chapter explores the meaning of place for health care governance. Although place is gaining importance in public health studies, it remains under theorized as an analytical concept. As a consequence, place is merely viewed as a context variable or a neutral backdrop for policymaking. This chapter provides a more dynamic reconceptualization of place by looking at the activity of replacing as a means to govern health care. Three different cases of re-placement of care are discussed that show how re-placements work out in practice: e-health, concentration of hospital care and neighbourhood care. The cases reveal not only the invisible work that is necessary to establish and maintain re-placements, but also demonstrate the political and symbolic uses of place for health care governance.

Intercapitalist Maneuvers and the ICD-10 Transition: The Instrumental Role of the State in the Corporate Governance of U.S. Health Care

2019 ◽  
Vol 49 (3) ◽  
pp. 457-475 ◽  
Author(s):  
Mary Bugbee
Keyword(s):  
Health Care ◽  
Corporate Governance ◽  
Financial Burden ◽  
Health Sector ◽  
The United States ◽  
The State ◽  
Coding System ◽  
Role Of The State ◽  
Icd 10

In 2015, the United States transitioned to the ICD-10-CM/PCS, a comprehensive updated coding system for medical reimbursement. This transition was part of a larger move toward value-based reimbursement in U.S. health care and required nearly 2 decades of planning. As an unfunded mandate from Congress, it created a substantial financial burden for many groups within the health sector. This article traces the ICD-10 transition using the concept of the corporate governance of health care, attending to the role the state plays in mediating intercapitalist maneuvers. The ICD-10 was not a simple top-down declaration originating in a neutral state. Rather, it was produced and modified through lobbying efforts on the part of various stakeholders who, along with their competitors, would be affected by the transition in differential ways. The health information technology industry, in particular, stood to gain the most from this transition, at the expense of other capitalist players. An examination of the intercapitalist maneuevers behind the ICD-10 transition demonstrates that even when corporate powers govern U.S. health care, the role of the state should not be written off as inconsequential but rather interrogated and analyzed in relation to the corporate interests with which it is entangled.

What is the healthcare carbon footprint? A collaborative analysis of current literature

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Di Fonzo ◽  
S Rivolta ◽  
E Mazzolai ◽  
F Turatto ◽  
L Mammana ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Carbon Footprint ◽  
Health Care Systems ◽  
Health Sector ◽  
Current Data ◽  
Universal Healthcare ◽  
Operating Theatres ◽  
Care Systems ◽  
Universal Health

Abstract Background Climate change (CC) is a public health (PH) issue of growing concern. Health care systems in every country have a significant impact in terms of greenhouse gas emissions (GHGE) causing global warming, but there seems to be a general lack of knowledge about this. As members of the junior study group on CC and PH of the Italian Society of Hygiene (SItI), we launched a project of shared education and literature research about the carbon footprint of healthcare (HCCF). We believe such an effort to be useful in spreading awareness and promoting change both in clinical practice, health care management and at policymaking level. Objectives To answer these questions: What is the estimated national and global HCCF? Which activities contribute to HCCF? What are the possible actions and policies to reduce HCCF while providing universal health care of good quality in all countries? From Dec 2019 to Feb 2020 we used databases and backward citation searching to retrieve references which we split among individuals to process, then we shared summaries of the material with the group. Results HCCF makes about 4.4% of all GHGE, with important variations among countries. We found estimates on emissions for various activities (e.g. operating theatres) and items (e.g. inhalers), as well as proposed solutions for practitioners, managers, manufacturers and policymakers (e.g. low-impact technologies, advocacy, health promotion to reduce healthcare volumes). Conclusions HCCF is complex, attributable to many components and amenable to mitigation through actions at all levels, with additional benefits for efficiency and public health. These conclusions are relevant for all countries as they imply joint international and transversal efforts throughout the world's health care sector. Key messages Current data and analysis, available for several services and in many countries, show healthcare carbon footprint is significant. Emissions from health sector can be reduced while granting universal healthcare globally.

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.

scholarly journals Analysis of Health Sector Budget of Nepal

1970 ◽  
Vol 52 (194) ◽  
pp. 811-821 ◽  
Author(s):  
Ram Krishna Dulal ◽  
Angel Magar ◽  
Shreejana Dulal Karki ◽  
Dipendra Khatiwada ◽  
Pawan Kumar Hamal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Fiscal Federalism ◽  
Health Care Services ◽  
Central Government ◽  
Health Sector ◽  
Health Financing ◽  
Political Commitment ◽  
Financing Policy ◽  
Health Budget

Introduction: Primarily, health sector connects two segments - medicine and public health, where medicine deals with individual patients and public health with the population health. Budget enables both the disciplines to function effectively. The Interim Constitution of Nepal, 2007 has adapted the inspiration of federalism and declared the provision of basic health care services free of cost as a fundamental right, which needs strengthening under foreseen federalism. Methods: An observational retrospective cohort study, aiming at examining the health sector budget allocation and outcome, was done. Authors gathered health budget figures (2001 to 2013) and facts published from authentic sources. Googling was done for further information. The keywords for search used were: fiscal federalism, health care, public health, health budget, health financing, external development partner, bilateral and multilateral partners and healthcare accessibility. The search was limited to English and Nepali-language report, articles and news published. Results: Budget required to meet the population's need is still limited in Nepal. The health sector budget could not achieve even gainful results due to mismatch in policy and policy implementation despite of political commitment. Conclusions: Since Nepal is transforming towards federalism, an increased complexity under federated system is foreseeable, particularly in the face of changed political scenario and its players. It should have clear goals, financing policy and strict implementation plans for budget execution, task performance and achieving results as per planning. Additionally, collection of revenue, risk pooling and purchasing of services should be better integrated between central government and federated states to horn effectiveness and efficiency.  Keywords: health care; budget; financing; unitary system; federalism.

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