scholarly journals The impact of internal markets on health care efficiency: evidence from health care reforms in Sweden

1999 ◽  
Vol 31 (8) ◽  
pp. 935-945 ◽  
Author(s):  
U.-G. GERDTHAM ◽  
C. REHNBERG ◽  
M. TAMBOUR
Keyword(s):  
Health Care ◽  
Health Care Reforms ◽  
Internal Markets ◽  
The Impact ◽  
Health Care Efficiency

A Case Study of the Emergence of Data Analytics in Health Care

2012 ◽  
Vol 14 (4) ◽  
pp. 56-62 ◽  
Author(s):  
Au Vo ◽  
Rahul Bhaskar
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Technology Implementation ◽  
Data Analytics ◽  
Health Care Reforms ◽  
Profound Impact ◽  
Almost All ◽  
The Impact ◽  
Rapid Transformation

In the era of health care reforms, the executives and CEO of the SBC Company are faced with many questions. They wonder about the impact of these changes on their market share. They also wanted to determine the impact on prices they can charge for their services. The changes in the ways the health care will be bought were causing a rapid transformation in the behavior of the consumers. The executives determined that they need to focus on specific areas to keep abreast of all the changes. These will have a profound impact on the information technology implementation across the company. For example, the need for analyzing a large amount of data and data in real time was becoming acute among many departments; there was a need for different skillsets in the employees in almost all the departments across the company. These changes across the industry were presenting new and unique challenges to the executive team.

Competition and Containment in Health Care

2000 ◽  
Vol 30 (2) ◽  
pp. 257-284 ◽  
Author(s):  
Ben Griffith
Keyword(s):  
Health Care ◽  
United Kingdom ◽  
Cost Effectiveness ◽  
Transaction Costs ◽  
Health Care Services ◽  
Internal Markets ◽  
Care Services ◽  
The United Kingdom ◽  
Additional Funding ◽  
The Impact

In the United Kingdom and elsewhere, the preconditions for well-functioning internal markets (in relation to market structure, transaction costs, and information) may not exist in health care. Similar doubts exist about the impact of internal markets on cost-effectiveness. While the quantity of health care has increased, the effects on quality are ambiguous and costs have not been successfully restrained. With respect to equity of health care, fears have been raised that sections of the population may be discriminated against. In the United Kingdom, resources have been shifted away from deprived areas and toward the more affluent. Health care services are once again being reformed, by New Labour in the United Kingdom and similar administrations elsewhere. The rhetoric of competition has given way to talk of partnership. The imposition of new forms of rationing has been reshaped, not abandoned. Additional funding is required, along with an effective commitment to the pursuit of equity and quality in health care.

A Systematic Review of the Impact of Healthcare Reforms on Access to Emergency Department and Elective Surgery Services

2017 ◽  
Vol 48 (1) ◽  
pp. 81-105 ◽  
Author(s):  
Sandeep Reddy ◽  
Peter Jones ◽  
Harsha Shanthanna ◽  
Raechel Damarell ◽  
John Wakerman
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Emergency Department ◽  
United Kingdom ◽  
Elective Surgery ◽  
Grey Literature ◽  
Unintended Consequences ◽  
Health Care Reforms ◽  
The United Kingdom ◽  
The Impact

This systematic review sought to identify whether health care reforms led to improvement in the emergency department (ED) length of stay (LOS) and elective surgery (ES) access in Australia, Canada, New Zealand, and the United Kingdom. The review was registered in the PROSPERO database (CRD42015016343), and nine databases were searched for peer-reviewed, English-language reports published between 1994 and 2014. We also searched relevant “grey” literature and websites. Included studies were checked for cited and citing papers. Primary studies corresponding to national and provincial ED and ES reforms in the four countries were considered. Only studies from Australia and the United Kingdom were eventually included, as no studies from the other two countries met the inclusion criteria. The reviewers involved in the study extracted the data independently using standardized forms. Studies were assessed for quality, and a narrative synthesis approach was taken to analyze the extracted data. The introduction of health care reforms in the form of time-based ED and ES targets led to improvement in ED LOS and ES access. However, the introduction of targets resulted in unintended consequences, such as increased pressure on clinicians and, in certain instances, manipulation of performance data.

scholarly journals The impact of hospital competition and insurer concentration on health care volume and cost in Dutch hospitals

2019 ◽  
Vol 93 (7/8) ◽  
pp. 203-213
Author(s):  
Yvonne Krabbe-Alkemade ◽  
Tom Groot ◽  
Jaap Boter
Keyword(s):  
Health Care ◽  
Hospital Competition ◽  
Production Volume ◽  
Managed Competition ◽  
Spatial Concentration ◽  
Hospital Data ◽  
Health Care Reforms ◽  
Hospital Markets ◽  
The Impact ◽  
Health Care Production

This study analyses the effect of spatial concentration of general hospitals, the appearance of independent treatment centers (in Dutch: Zelfstandige Behandelcentra: ZBCs) and the concentration of health insurers on production volume and costs since the introduction of market-oriented health care reforms in the Netherlands. We use regression analyses of 1,345,144 patient-level hospital data for fifteen major diagnosis treatment combinations (in Dutch: Diagnose Behandeling Combinaties: DBCs), representing 70% of the managed competition segment (the so-called B-segment). We find that spatial concentration of hospitals and concentration of insurers do not affect health care production volume. More competitive hospital markets are associated with higher cost of most DBCs studied. Surprisingly, hospitals operating under insurers with high monopsonic power incur higher average DBC-cost than hospitals operating under insurers with more dispersed power. The number of independent treatment centers in the hospital’s vicinity is positively related to health care volume and average cost.

Home Care in Ontario: Perspectives on Equity

2018 ◽  
Vol 49 (2) ◽  
pp. 260-272 ◽  
Author(s):  
Alla Yakerson
Keyword(s):  
Health Care ◽  
Home Care ◽  
Home Care Services ◽  
Services Research ◽  
Health Care Reforms ◽  
Staff Members ◽  
Canadian Health Care System ◽  
Care Services ◽  
The Impact ◽  
Care System

Home care is an integral aspect of the Canadian health care system. Services provided to individuals allow them to live with independence and dignity within the comfort of their own residences. This article examines the historical evolution of Ontario’s home care reform and the current challenges faced by staff members, patients, and their caregivers in reference to health equity. Political economy and feminist lenses are used to highlight the impact of market-based health care reforms on gendered experiences and access to home care services. Research and reports are used to critique the development of the home care system to date. Findings suggest that the current home care system is underfunded, understaffed, and inequitable in access to care. At this time, policies strategically remain blinded to the harsh realities of the home care sector in order to justify cost cutting, deregulation, and privatization of services.

scholarly journals The Impact of Health Care Reforms on Improving the Quality of Medical Services: International Experience

2021 ◽  
Vol 11 (4) ◽  
pp. 2915-2925
Author(s):  
Evgeniy V. Kirichenko ◽  
Elman Said-Mokhmadovich Akhyadov ◽  
Oksana Sertakova
Keyword(s):  
Health Care ◽  
Medical Industry ◽  
International Experience ◽  
Rural Populations ◽  
Medical Services ◽  
Present Stage ◽  
Health Care Reforms ◽  
Primary Health ◽  
The Impact

The study of foreign experience in the field of reforming the medical industry is relevant at the present stage. Therefore, the purpose of the article is to summarize the experience of countries that have successfully implemented the reform of the health system, to identify mechanisms and tools for improving the quality of medical services. The article examines the concept of "quality of medical services". Based on the expert survey, the directions of improving the quality of medical services in the process of implementing health care reforms have been identified. Following these directions, the international experience of reforming the health care system to improve the efficiency of the use of budget funds for the provision of medical services, ensuring equal access to medical services for urban and rural populations, and the development of primary health care has been considered. The study concludes that improving the quality of medical services in the process of health care reforms is possible with the implementation of specific activities based on the use of international experience in health care reform.

scholarly journals The Impact of Digital Patient Portals on Health Outcomes, System Efficiency, and Patient Attitudes: Updated Systematic Literature Review

10.2196/26189 ◽  
2021 ◽  
Vol 23 (9) ◽  
pp. e26189
Author(s):  
Elettra Carini ◽  
Leonardo Villani ◽  
Angelo Maria Pezzullo ◽  
Andrea Gentili ◽  
Andrea Barbara ◽  
...  
Keyword(s):  
Health Care ◽  
Health Status ◽  
Health Outcomes ◽  
Utilization Rate ◽  
Patient Portal ◽  
System Efficiency ◽  
Patient Attitudes ◽  
Patient Portals ◽  
The Impact ◽  
Health Care Efficiency

Background Patient portals are becoming increasingly popular worldwide even though their impact on individual health and health system efficiency is still unclear. Objective The aim of this systematic review was to summarize evidence on the impact of patient portals on health outcomes and health care efficiency, and to examine user characteristics, attitudes, and satisfaction. Methods We searched the PubMed and Web of Science databases for articles published from January 1, 2013, to October 31, 2019. Eligible studies were primary studies reporting on the impact of patient portal adoption in relation to health outcomes, health care efficiency, and patient attitudes and satisfaction. We excluded studies where portals were not accessible for patients and pilot studies, with the exception of articles evaluating patient attitudes. Results Overall, 3456 records were screened, and 47 articles were included. Among them, 11 studies addressed health outcomes reporting positive results, such as better monitoring of health status, improved patient-doctor interaction, and improved quality of care. Fifteen studies evaluated the impact of digital patient portals on the utilization of health services with mixed results. Patient characteristics were described in 32 studies, and it was reported that the utilization rate usually increases with age and female gender. Finally, 30 studies described attitudes and defined the main barriers (concerns about privacy and data security, and lack of time) and facilitators (access to clinical data and laboratory results) to the use of a portal. Conclusions Evidence regarding health outcomes is generally favorable, and patient portals have the potential to enhance the doctor-patient relationship, improve health status awareness, and increase adherence to therapy. It is still unclear whether the use of patient portals improves health service utilization and efficiency.

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