Przekształcenie samodzielnego publicznego zespołu opieki zdrowotnej jako proces decyzyjny organów powiatu jeleniogórskiego / Conversion of a public, independent health care complex as a decision-making process of Jelenia Góra district’s authorities

Author(s):  
Ewa Gralik-Żmudzińska
2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Timen ◽  
R Eilers ◽  
S Lockhart ◽  
R Gavioli ◽  
S Paul ◽  
...  

Abstract Prevention of infectious diseases in elderly by immunization is a prerequisite to ensuring healthy ageing. However, in order for the vaccine programs to be effective, these need to be provided by health care professionals who have up-to-date knowledge and high motivation. Furthermore, the knowledge and attitudes towards vaccination in the targeted age groups needs to be fully understood. When focusing on the information provision, it is important to know from whom or which institution older adults and elderly would like to receive and in which form. In January 2019, an international project called the VITAL (The Vaccines and InfecTious diseases in the Ageing population) project was started, within the framework of IMI (Innovative Medicines Initiatives). One of the goals of the VITAL project is to develop strategies to educate and train health care professionals (HCPs) and to promote awareness among stakeholders involved in elderly care management. We briefly focus on the results of studies undertaken in four European countries (Italy, France, The Netherlands and Hungary), which reveal the perspective of older adults and elderly regarding influenza, pneumococcal, herpes zoster vaccination and respiratory syncytial virus (RSV) as well as generic characteristics of the vaccines and diseases. We will show how attitudes towards vaccination are represented in our study population and which determinants influence the decision-making process of accepting vaccination. Furthermore, we shall elaborate on how the decision-making process towards vaccination takes place and which additional information is needed. In the second part of the session, we shall invite the audience to reflect on the findings and identify the factors they consider most important for setting up a training and education programme on vaccination.


Author(s):  
Jennifer Wolak

This chapter reports a set of experiments that consider people’s appraisals of specific policy compromises in Congress, focusing on whether people like compromises less once they understand what types of policy concessions they entail. Drawing on recent congressional compromises on domestic violence legislation, education reform, and health-care policy, the experiments test whether people evaluate Congress and its policy outcomes differently when bills are represented as compromises where both sides made concessions in order to achieve policy gains. The results show that people are disappointed when they learn that a bill failed to pass due to members of Congress refusing to compromise. Members of Congress do not seem to be penalized for their support of compromise legislation. Policy compromises serve to boost the perceived legitimacy of the decision-making process, particularly among those who are ideologically opposed to the outcome.


2019 ◽  
Vol 13 (1) ◽  
pp. 61
Author(s):  
Sindi Paratika

Dupak primary health care is one of health care which have complete HIV and Acquired Immuno Deficiency Syndrom (AIDS) prevention program. The number of HIV-AIDS sufferers increasing every year, but the number of new HIV positive cases taking Anti Retroviral Virus(ARV) treatment at Dupak primary health care are low. The purpose of this research was analyzed the HIV treatment decision making process of patients at Dupak primary health care. The method in this research was descriptive quantitive research through questionnaires. Variables of this study are individual characteristics include age, level of education, knowledges, status of severity with decision making process of treatment. The results of this study indicate that most respondents (50%) have a high knowledge of HIV treatment. Decision-making process of HIV positive patient treatment have 2 stages that most respondents didn’t do. There are stage of the information search (75%) and stage of alternative evaluation (56.25%). The conclusion of this research are most respondents didn’t do information searching and alternative evaluation in decision making process at Dupak primary health care. According suggested from this study are to improve HIV related socialization programs through promotional activities and discussions related to HIV treatment services to improve knowledge and activeness of seeking information through print and electronic media.


2020 ◽  
Vol 75 (3) ◽  
pp. 559-574 ◽  
Author(s):  
Ahmed Kamassi ◽  
Noor Hazilah Abd Manaf ◽  
Azura Omar

Purpose This paper aims to address and identify the major stakeholders in the medical tourism industry, based on their participation in medical tourism activities and their support for medical tourism development. Design/methodology/approach This paper systematically reviews the content of medical tourism studies from literature to identify key stakeholders and address the roles they play in the medical tourism industry. Findings This study shows that the key stakeholders in the medical tourism industry are eight, namely, medical tourists, health-care providers, government agencies, facilitators, accreditation and credentialing bodies, health-care marketers, insurance providers and infrastructure and facilities. These stakeholders strongly influence medical tourists’ decision-making process in seeking medical treatment abroad. Besides, a successful medical tourism development depends greatly on the excellent partnership between all stakeholders. Practical implications This paper sheds light on the crucial role of these stakeholders that can be an important consideration in medical tourists’ decision-making process and industry growth. The study can facilitate policymakers in designing and developing policies to improve medical tourism practices. Originality/value This paper expands the knowledge about medical tourism literature by identifying and explaining the significant role of each stakeholder in the industry. The results of this paper are quite revealing to all practitioners in terms of the potential strategies and medical tourism growth. The study establishes a foundation for future medical tourism research in the rapidly growing industry.


2017 ◽  
Vol 45 (2) ◽  
pp. 182-192 ◽  
Author(s):  
L. Martina Munden

The practice of covertly administering medications to patients without their consent is often discussed in the framework of legal questions around the right of patients to consent and refuse medical treatment. However, this practice also raises significant questions surrounding the professional duties and obligations of health care professionals as it relates to the decision-making process of whether to engage in the covert administration of medications. In this paper, I present an overview of the origin of those duties and obligations, and discuss how those duties and obligations when seen from different perspectives may either justify or prohibit the practice. Further, I discuss whether the duties and obligations of health care professionals as they are currently framed are suited to address the complexities of this issue both from the health care professional and patient perspectives. This analysis is conducted in the context of duties and obligations that arise from not only legal framework but also from the ethical requirements from professional codes of ethics.


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