scholarly journals Conflicting demands on a modern healthcare service: Can Rawlsian justice provide a guiding philosophy for the NHS and other socialized health services?

Bioethics ◽  
2019 ◽  
Vol 33 (5) ◽  
pp. 609-616 ◽  
Author(s):  
Zoë Fritz ◽  
Caitríona Cox
Keyword(s):  
Health Services ◽  
Healthcare Service ◽  
Conflicting Demands ◽  
Rawlsian Justice

Towards a Customer-Centric Framework for Evaluation of E-Health Service Quality

2018 ◽  
pp. 199-218
Author(s):  
Michael Mutingi
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Healthcare Service ◽  
Quality Evaluation ◽  
Service Providers ◽  
Customer Experience ◽  
Evaluation Framework ◽  
Service Quality Evaluation ◽  
Health Service Quality

As the awareness of the importance of healthcare service quality and pressures from stakeholders continue to grow, healthcare service providers have no option except to develop appropriate service quality evaluation procedures. Patient satisfaction is imperative, and has become a critical issue especially in e-health services. Although healthcare service providers have become aware of the need for improving customer experience through provision of customer-centric services, virtually none of the existing e-health quality evaluation frameworks are grounded on customer-centric metrics. In this chapter, a critical analysis of existing evaluation initiatives is presented from the context of e-health services. Critical areas of e-health service are investigated to determine quality dimensions that influence customer experience. From this analysis, a customer-centric evaluation framework is proposed, comprising four e-health service quality scales. The framework provides a platform for continuous improvement in e-health service.

E-Healthcare Disparities Across Cultures

2017 ◽  
pp. 1365-1381
Author(s):  
Seema Biswas ◽  
Keren Mazuz ◽  
Rui Amaral Mendes
Keyword(s):  
Information Technology ◽  
Health Services ◽  
Healthcare Service ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
The World ◽  
Effective Delivery ◽  
Improve Access ◽  
Actual Health

As e-healthcare becomes a reality for healthcare service provision across the world, challenges in acceptance, implementation, usage and effectiveness have begun to emerge. The infrastructure, readiness and literacy levels required for the effective delivery of e-healthcare services may be prohibitive in providing access to those most in need. As research brings to light the real effectiveness of e-healthcare programmes across the globe, this paper explores how e-healthcare has been implemented worldwide and how populations have been served by an innovation in Information Technology and healthcare that has sought to bring health services to remote areas, improve access to healthcare and narrow the divide between healthcare providers and patients. While notable achievements have seen real time clinical data captured and medical records digitalised, the very determinants responsible for actual health and social disparities are equally responsible for disparities is access to e-healthcare.

Managing Public Healthcare Services in an International Economy

2021 ◽  
pp. 353-377
Author(s):  
Louise Dalingwater
Keyword(s):  
Health Services ◽  
Healthcare Service ◽  
Healthcare Services ◽  
International Exchange ◽  
Public Healthcare ◽  
British Government ◽  
Future Challenges ◽  
Full Picture ◽  
The Uk ◽  
National Framework

This chapter differs somewhat in its approach to governance issues compared with the previous chapters as it goes beyond the national framework. In essence, the national and sub-national issues at stake do not quite capture the full picture when considering the future challenges of the provision of public healthcare services in the UK. This chapter looks at healthcare service exchanges across borders. Indeed, there has been a significant expansion of services trade, and in particular health services, which have grown not only thanks to a number of institutional frameworks but also to the support of the British government and health stakeholders. However, there are also a number of risks involved in the international exchange of health services, which can have a significant impact on public healthcare systems.

scholarly journals The Association Between Institutional Primary Healthcare Service Quality and Patients’ Experiences with Community Health Centres: Results from the Greater Bay Area Study, China

2021 ◽  
Author(s):  
RuQing Liu ◽  
YiFan Meng ◽  
Ning He ◽  
JingLan Wu ◽  
XinWen Yan ◽  
...  
Keyword(s):  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Dose Effect ◽  
Community Health Centres ◽  
Bay Area ◽  
Health Centres

Abstract Background: To explore the association between the service quality of community health centres (CHCs) as the supplier evaluation and patients’ experiences of health services as the demand-side evaluation.Methods: This study was conducted at six CHCs in the Greater Bay area of China. During August–October 2019, 1568 patients were recruited (55.8% women and 44.2% men). We evaluated the service quality of CHCs using the National Committee for Quality Assurance Patient-Centered Medical Home (NCQA-PCMH) recognition questionnaire. We assessed patients’ experiences with medical and health services using the Primary Care Assessment Tools (PCAT). Results: The global PCAT score was higher at the CHCs with higher NCQA-PCMH levels, showing positive dose-effect trends. This was similar for the PCAT sub-dimensions. For example, the scores of each PCAT sub-dimension of NCQA-PCMH Level 3 were significantly higher than those of Levels 2 and 1. Except for D and F dimensions, the scores of other sub-dimensions of Level 2 were significantly higher than those of Level 1.Conclusions: Our results indicated that better institutional service quality evaluation determined by the NCQA-PCMH led to better patients’ experiences as determined by the PCAT. Our findings added new evidence in support of better institutional primary healthcare service quality leading to better experiences among patients, and would help further improve the patient-centred primary healthcare service policy and management.

scholarly journals The Association Between NCQA-PCMH Evaluation and Patients’ Experiences with Community Health Centres: Results from the Greater Bay Area Study, China

2020 ◽  
Author(s):  
RuQing Liu ◽  
YiFan Meng ◽  
Ning He ◽  
JingLan Wu ◽  
XinWen Yan ◽  
...  
Keyword(s):  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Dose Effect ◽  
Community Health Centres ◽  
Bay Area ◽  
Health Centres

Abstract Background To explore the association between the service quality of community health centres (CHCs) as the supplier evaluation and patients’ experiences of health services as the demand-side evaluation. Methods This study was conducted at six CHCs in the Greater Bay area of China. During August–October 2019, 1568 patients were recruited (55.8% women and 44.2% men). We evaluated the service quality of CHCs using the National Committee for Quality Assurance Patient-Centered Medical Home (NCQA-PCMH) recognition questionnaire. We assessed patients’ experiences with medical and health services using the Primary Care Assessment Tools (PCAT). Results The global PCAT score was higher at the CHCs with higher NCQA-PCMH levels, showing positive dose-effect trends. This was similar for the PCAT sub-dimensions. For example, the scores of each PCAT sub-dimension of NCQA-PCMH Level 3 were significantly higher than those of Levels 2 and 1. Except for D and F dimensions, the scores of other sub-dimensions of Level 2 were significantly higher than those of Level 1. Conclusions Our results indicated that better institutional service quality evaluation determined by the NCQA-PCMH led to better patients’ experiences as determined by the PCAT. Our findings added new evidence in support of better institutional primary healthcare service quality leading to better experiences among patients, and would help further improve the patient-centred primary healthcare service policy and management.

scholarly journals Ethnic Variations in Healthcare Service Utilization and Access in Vietnamese Mountainous Setting

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Tuan Le Anh ◽  
Ha Vu Ngoc ◽  
Dua Nguyen Nhu ◽  
Anh Truong Thi Mai ◽  
Tam Ngo Thi ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Policy Development ◽  
Healthcare Service ◽  
Service Use ◽  
Outpatient Service ◽  
Health Service Use ◽  
Inpatient Service ◽  
Healthcare Service Use ◽  
Ethnic Variations

Evidence of health service use and access across different target groups is essential for policy development, health promotion, and promotion of equity in healthcare. This study aims to look at ethnic variations in health service use and access among residents in mountainous areas of Vietnam. A cross-sectional descriptive study was conducted on 321 adults from two mountainous communes in Bac Kan province. Healthcare service use and access were evaluated by using a structured questionnaire. Zero-inflated Poisson regression was used to examine the ethnic variations in the healthcare service use and access. Of 321 mountainous residents, 63.6% used health services in the previous 12 months, of which 24.9% respondents used inpatient services and 47.9% used outpatient services. The number of outpatient medical services used by the Tay participant was higher than that of the Kinh and other ethnic groups ( p < 0.05 ). Multivariate regression results showed that compared to Kinh people, Tay people had a higher number of outpatient service use (Coef. = 0.25, p = 0.04 ), while people in other ethnicities had a lower number of service use (Coef. = −0.64, p = 0.01 ). Meanwhile, no difference was found among groups regarding the number of inpatient service use ( p > 0.05 ). This study showed the ethnic differences in outpatient use of health services among communities living in the northern mountainous setting of Vietnam.

Managing Public Healthcare Services in an International Economy

2020 ◽  
pp. 217-252
Keyword(s):  
Health Services ◽  
Healthcare Service ◽  
Healthcare Services ◽  
International Exchange ◽  
Public Healthcare ◽  
British Government ◽  
Future Challenges ◽  
Full Picture ◽  
The Uk ◽  
National Framework

This chapter differs somewhat in its approach to governance issues compared with the previous chapters as it goes beyond the national framework. In essence, the national and sub-national issues at stake do not quite capture the full picture when considering the future challenges of the provision of public healthcare services in the UK. This chapter looks at healthcare service exchanges across borders. Indeed, there has been a significant expansion of services trade, and in particular health services, which have grown not only thanks to a number of institutional frameworks but also to the support of the British government and health stakeholders. However, there are also a number of risks involved in the international exchange of health services, which can have a significant impact on public healthcare systems.

Assessing a Vulnerability Index for Healthcare Service Facilities

2019 ◽  
pp. 347-359
Author(s):  
Alvaro Talavera ◽  
Michelle Rodríguez ◽  
Andrés Regal
Keyword(s):  
Population Density ◽  
Health Services ◽  
Healthcare Service ◽  
Fuzzy Inference ◽  
Multicriteria Analysis ◽  
Analytical Framework ◽  
Vulnerability Index ◽  
Road Congestion ◽  
Inference Systems ◽  
Injured Patients

The rapid growth of cities in the 21st century along with the congestion of road infrastructure and high population density makes urban spaces highly vulnerable to disasters. After a disaster occurs, health services infrastructure is critical to support medical operations for injured patients. This chapter presents a methodology for evaluating the vulnerability of health services infrastructure from a logistics perspective, based on several layers of information such as population density, road congestion, and hospital location. The methodology uses computational and business intelligence techniques such as fuzzy inference systems, geographic information systems, graph theory, and visualization. The purpose of this methodology is to generate a unique score of vulnerability that identifies each health services facility, providing decision makers with the analytical framework of a spatial multicriteria analysis to evaluate their options for facing a disaster.

Measuring the Quality of Health Services Using SERVQUAL

2018 ◽  
pp. 300-318 ◽  
Author(s):  
Ana I. Melo ◽  
Gonçalo Santinha ◽  
Rita Lima
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Service Quality ◽  
Healthcare Service ◽  
Service Performance ◽  
Women And Children ◽  
Quality Of Health Services ◽  
Physical Elements

This chapter discusses the quality of health services in a Portuguese hospital by assessing the level of patient satisfaction, according to several features, using SERVQUAL. Results from a questionnaire, based on SERVQUAL, indicate that perceived healthcare service performance generally falls short of expectations except in the physical elements of service quality (“tangibility”), as opposed to “empathy” and “assurance.” In addition, patients who are more satisfied are females, patients over 65 years old, and those who attended the specialty anesthesiology. The least satisfied are patients aged between 18 and 34 years old and those who attended the specialty women and children.

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