scholarly journals Cross-Border Health Care Services as Inward Internationalization

Internext ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. 306-323
Author(s):  
Renato Cotta de Mello ◽  
Angela Da Rocha ◽  
Henrique F. Pacheco

Purpose: The research aimed at investigating the pre-conditions and the decision-making process by which physician-entrepreneurs adopt CBHCS as part of their business. Method: The study uses the case method of investigation. Main results: Results showed that, in the cases studied, international experience and international networking are relevant characteristics of the physician-entrepreneur, besides country reputation, cultural and language similarities, and physician reputation. In addition, the decision processes of the physician-entrepreneurs in these organizations are based on an effectual logic. The offer of cross-border health care services was a combination of given means and contingencies, which helped the entrepreneurs to discover, or to create, the opportunity, and then develop it. Relevance/originality: The research combines the literatures on effectuation and inward internationalization to study the decision-making process of adopting CBHCS by medical clinics. Theoretical contributions: The study contributes to the literature by identifying certain pre-conditions and providing an in-depth analysis of the use of effectual logic by physician-entrepreneurs in their decision-making process of adopting CBHCS.

Author(s):  
VB Akponah Chinomona ◽  
Emeritus NE Mazibuko ◽  
J Kruger

The impact of the health care sector and economic vitality plays a major role in the upliftment of the welfare of the society. A country's stability and sustainability will depend on how healthy its population is (Patry, Morris & Leatherman, 2010). Therefore, the reduction in mortality rate and an increase in healthy work force that performs work duties are likely to promote economic activities which will in turn increase the country's wealth. Clients seek health care services that can improve the state of their well-being. Since health care services are needed to promote well-being, clients are particular about how and where they purchase health care services from (Akponah, Mazibuko & Krüger, 2015:153). Numerous researchers have studied the factors that determine clients' decision-making in the utilization of health care services. Andersen and Newman (2005:14) put forward that predisposing, enabling and illness level influence the clients' decision to utilize health care services. Mekonnen and Mekonnen (2002:2) report that gender as a demographic factor influences the decision-making of clients regarding the utilization of health care services. However, Williams (2005:35) maintains that client attitudes regarding their decisions to utilize and access health care services from private health care institutions are influenced by their social structure, occupation, education, ethnicity, cultural, attitudes and beliefs relating to values, knowledge and attitudes from past experience. This study investigates and answers the following questions: What factors influences clients' decision-making regarding the utilization of private health care institutions? Keywords: Health care services; decision-making process; health care institutions; health insurance; clients.


2017 ◽  
Vol 48 (3) ◽  
pp. 276-283
Author(s):  
Víctor Huízar-Hernández ◽  
Armando Arredondo ◽  
Marta Caballero ◽  
Angélica Castro-Ríos ◽  
Sergio Flores-Hernández ◽  
...  

2014 ◽  
Vol 8 (5) ◽  
pp. 665-672 ◽  
Author(s):  
Suwaree Charoenmukayananta ◽  
Jiruth Sriratanaban ◽  
Sarunya Hengpraprom ◽  
Chanvit Trarathep

Abstract Background: Thailand has been facing a gradual increase in use of cross-border health care. Nevertheless, no evidence regarding factors influencing cross-border use of health care by Laotian patients in public Thai hospitals among this group has been established. Objectives: To assess the use of cross-border health care by Laotian patients, and factors that may influence health services in public Thai hospitals along the border. Methods: This study consisted of two parts. (1) Site-visits to 53 Thai public hospitals along the Thai-Laos border during May to July 2011 and collection of data regarding the use of health care services by Laotian patients. (2) A structured questionnaire survey was conducted via face interviews by trained researchers. Findings were analyzed using descriptive statistics and multiple logistic regression. Results: The most common conditions for which treatment was sought were common diseases and basic operative procedures. All hospitals had been facing substantial financial burden, particularly for inpatient care. The analysis of use indicated that a perception of differences in the quality of health services, ability to pay for treatment anywhere, and distance to health services were three major factors affecting the decision of Laotian patients to cross the border to obtain health care in Thailand. Interviews with hospital directors and staff revealed that more financial support and a clear policy for care of Laotian patients was needed. Conclusions: The perception of better quality of health care in Thailand by Laotian patients was the major factor affecting cross-border use of health care services. Assistance to improve healthcare in Laos and financial support for subsidizing care for the indigent Laotian patients is needed.


Author(s):  
Pasquale De Meo

In this chapter we present an information system conceived for supporting managers of Public Health Care Agencies to decide the new health care services to propose. Our system is HL7-aware; in fact, it uses the HL7 (Health Level Seven) standard (Health Level Seven [HL7], 2007) to effectively handle the interoperability among different Public Health Care Agencies. HL7 provides several functionalities for the exchange, the management and the integration of data concerning both patients and health care services. Our system appears particularly suited for supporting a rigorous and scientific decision making activity, taking a large variety of factors and a great amount of heterogeneous information into account.


In health care service the treatment recommendation system is plays very important role. In health care services for decision making the Treatment Recommender Systems (TRS) presented as a complementary tools. In current process the Treatment Recommender Systems increase the technology usability and reduce overloading of information


Author(s):  
Vahé A. Kazandjian

Uncertainty in clinical decision-making is integral to the pathways chosen while applying available knowledge to a patient’s care process. This chapter explores the ways in which uncertainty can be incorporated into the understanding of better performance approaches, and is thus proposed as an enabling dimension of performance. Tracing the keystone definitions of uncertainty from Hippocrates to Osler, the discussion addresses the dimensions of decision - making appropriateness, its timeliness, the expected and actual value of the care services, and the role of systematic communication between providers of care as well as with patients. The crucial role of Health Information Technology is emphasized, and a unifying model is proposed where the inclusion of uncertainty as a dimension of performance promotes an encompassing evaluation of the quality of health care services.


2012 ◽  
Vol 11 (1) ◽  
pp. 30 ◽  
Author(s):  
Elizabeth H Shayo ◽  
Ole F Norheim ◽  
Leonard E G Mboera ◽  
Jens Byskov ◽  
Stephen Maluka ◽  
...  

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