The Impact of a Merit-Based Incentive Payment System on Quality of Healthcare: A Framed Field Experiment

2017 ◽  
Author(s):  
Ellen P Green ◽  
Katherine S Peterson ◽  
Katherine Markiewicz ◽  
Janet OOBrien ◽  
Nool M Arring
Keyword(s):  
Field Experiment ◽  
Quality Of Healthcare ◽  
Payment System ◽  
Incentive Payment ◽  
Framed Field Experiment ◽  
The Impact

Impact of Health Information Technologies on the Quality of Healthcare Deliveries

2021 ◽  
Vol 6 (1) ◽  
pp. 30-44
Author(s):  
Patricia Whitley ◽  
Hossain Shahriar ◽  
Sweta Sneha
Keyword(s):  
Patient Care ◽  
Health Information ◽  
Medical Errors ◽  
Information Technologies ◽  
Healthcare Delivery ◽  
Well Being ◽  
Quality Of Healthcare ◽  
Quality Healthcare ◽  
The Impact

Through a literary review of recent research, this paper examines the mixed impact of health information technology (HIT) on patient care, medical errors, and the quality of healthcare delivery in selected hospital settings such as emergency departments. Specific technologies examined include the electronic health record (EHR), medical devices, artificial intelligence, and robotics. The paper identifies that some healthcare technologies are increasingly valuable in reducing medical errors, improving healthcare quality, and in producing better patient-centered outcomes. It also determines that technologies have complicated the delivery of quality patient care, increased the incidences of clinician burnout, and made receiving quality healthcare in America's hospital systems possibly less sure. The paper concludes with some suggestions for improving HIT's implementations and confirms the need for further evaluation of the impact of HIT in increasing patient safety and clinician well-being.

scholarly journals Assessing women's satisfaction with family planning services in Mozambique

2016 ◽  
Vol 43 (3) ◽  
pp. 222-228 ◽  
Author(s):  
Leonardo Chavane ◽  
Martinho Dgedge ◽  
Patricia Bailey ◽  
Osvaldo Loquiha ◽  
Marc Aerts ◽  
...  
Keyword(s):  
Family Planning ◽  
Rural Areas ◽  
User Satisfaction ◽  
National Level ◽  
Quality Of Healthcare ◽  
Family Planning Services ◽  
Health Service Provision ◽  
Urban And Rural Areas ◽  
The Impact

BackgroundThe contraceptive prevalence rate in Mozambique was estimated as 11.3% in the last Demographic and Health Survey. The impact of family planning (FP) on women's health and on the reduction of maternal mortality is well known.MethodsAcknowledging the importance of user satisfaction in the utilisation of health services, exit interviews were used to assess women's satisfaction with FP services in Mozambique. The survey, conducted in 174 health facilities, was representative at the national level, covered all provinces, and both urban and rural areas.ResultsOverall, 86% of respondents were satisfied with FP services, but issues such as insufficient supplies of oral contraceptives and the low quality of healthcare provider/client interactions were given as reasons for women's dissatisfaction.ConclusionDefined actions at the level of health service provision are needed to tackle the identified issues and ensure improved satisfaction with, and better utilisation of, FP services in Mozambique.

scholarly journals Using the CTC tool in establishing Mid-Levels of Expanded Outcomes Framework - A CME Provider Perspective

2015 ◽  
Author(s):  
Farhan Vakani, MCPS-HPE, MSc, BDS ◽  
W. Daniel Cogan, EdD, FAODME
Keyword(s):  
Medical Education ◽  
Continuing Medical Education ◽  
Quality Of Healthcare ◽  
Practice Change ◽  
Educational Activity ◽  
Physician Competence ◽  
Provider Perspective ◽  
And Performance ◽  
The Impact

Existing gaps in the quality of healthcare have led to calls for change by Continuing Medical Education (CME) providers around the world to plan and implement continuing medical education activities based on improving physician competence and performance. This article offers the use of the commitment to practice change (CTC) tool at mid-levels of the expanded outcomes framework using post-only design, for inquiring and promoting physicians’ commitment to practice change, and for assessing the impact of the educational activity.

scholarly journals The impact of changes in the milk payment system and season on the hygienic quality of milk

2016 ◽  
Vol 17 (3) ◽  
pp. 629-639
Author(s):  
Vedat PA�IC ◽  
Milna TUDOR KALIT ◽  
Kre�imir SALAJPAL ◽  
Dubravka SAMAR�IJA ◽  
Jasmina HAVRANEK ◽  
...  
Keyword(s):  
Payment System ◽  
Hygienic Quality ◽  
Quality Of Milk ◽  
The Impact

scholarly journals Impact of Infection Control Training Program in Improving the Quality of Healthcare

2020 ◽  
Vol 2 (5) ◽  
Author(s):  
Aeshah N. Alqahtani ◽  
Rana H. Almaghrabi ◽  
Mohammed M. Albaadani ◽  
Khalid Almossa
Keyword(s):  
Hand Hygiene ◽  
Training Program ◽  
Hand Hygiene Compliance ◽  
Training Programs ◽  
Financial Burden ◽  
Quality Of Healthcare ◽  
Healthcare Associated Infection ◽  
Hygiene Compliance ◽  
The Impact

The purpose of this study was to explore the impact of various training programs and guidelines on improving the healthcare quality and patient. The training programs that we have explained in this study are related to Hand Hygiene compliance, Improving clinical outcomes and reducing financial burden and Preventing healthcare associated infection, This study Applied to many health institutions and healthcare employees in the Kingdom of Saudi Arabia, It is from this analysis that improve quality of healthcare through control training program, IPC training program improve hand hygiene compliance and reduces the HAIs prevalence, improves patient outcomes and reduces healthcare costs, training of all the persons involved in primary healthcare may fill the IPC gaps.

scholarly journals Perceived Consequences of Healthcare Service Decentralization on Access, Affordability and Quality of Care in Khartoum Locality, Sudan

2020 ◽  
Author(s):  
Bandar Noory ◽  
Sara Hassanein ◽  
Jeffrey Edwards ◽  
Benedikte Victoria Lindskog
Keyword(s):  
Quality Of Care ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
System Capacity ◽  
Cross Sectional ◽  
Study Results ◽  
Catchment Areas ◽  
The Impact

Abstract Background: Decentralization of healthcare services have been widely utilized, especially in developing countries, to improve the performance of healthcare systems by increasing the access and efficiency of service delivery. Experiences have been variable secondary to disparities in financial and human resources, system capacity and community engagement. Sudan is no exception and understanding the perceived effect of decentralization on access, affordability, and quality of care among stakeholders is crucial.Methods: This was a mixed method, cross-sectional, explorative study that involved 418 household members among catchment areas and 40 healthcare providers of Ibrahim Malik Hospital (IBMH) and Khartoum Teaching Hospital (KTH). Data were collected through a structured survey and in-depth interviews from July-December 2015.Results: Access, affordability and quality of healthcare services were all perceived as worse, compared to before decentralization was implemented. Reported affordability was found to be 53% and 55% before decentralization compared to 24% to 16% after decentralization, within KTH and IBMH catchment areas respectively, (p= 0.01). The quality of healthcare services were reported to have declined from 47% and 38% before decentralization to 38% and 28% after, in KTH and IBMH respectively (p=0.02). Accessibility was found to be more limited, with services being accessible before decentralization approximately 59% and 52% of the time, compared to 41% and 30% after, in KTH and IBMH catchment areas respectively, (p=0.01).Accessibility to healthcare was reported to have decreased secondary to facility closures, reverse transference of services, and low capacity of devolved facilities. Lastly, privatized services were reported as strengthened in response to this decentralization of healthcare. Conclusions: The deterioration of access, affordability and quality of health services was experienced as the predominant perception among stakeholders after decentralization implementation. Our study results suggest there is an urgent need for a review of the current healthcare policies, structure and management within Sudan in order to provide evidence and insights regarding the impact of decentralization.

Nutritional and economic impact of five alternative front-of-pack nutritional labels: experimental evidence

2019 ◽  
Author(s):  
Paolo Crosetto ◽  
Anne Lacroix ◽  
Laurent Muller ◽  
Bernard Ruffieux
Keyword(s):  
Field Experiment ◽  
Experimental Evidence ◽  
Economic Impact ◽  
Nutritional Quality ◽  
Extreme Values ◽  
Traffic Lights ◽  
Food Shopping ◽  
Framed Field Experiment ◽  
Nutritional Score ◽  
The Impact

AbstractAn incentivised laboratory framed field experiment with 691 subjects examined the impact of five front-of-pack labels (Multiple Traffic Lights; Reference Intakes; HealthStarRating; NutriScore and Système d’Etiquetage Nutritionnel Simplifié) on food shopping within a catalogue of 290 products. Using difference-in-difference, we estimate the between-label variability of within-subject changes in the shopping’s Food and Standards Agency aggregated nutritional score. All labels improve the nutritional quality (−1.56 FSA points on average). NutriScore is the most effective (−2.65), followed by HealthStarRating (−1.86). Behaviourally, subjects react mostly to the extreme values of the labels and not to intermediate values. Nutritional gains are not correlated with higher expenditure.

Perceptions and experiences regarding the impact of race on the quality of healthcare in Southeast Brazil: a qualitative study

2018 ◽  
Vol 25 (3) ◽  
pp. 436-452 ◽  
Author(s):  
Aneela Chauhan ◽  
Gilles de Wildt ◽  
Marcos da Cunha Lopes Virmond ◽  
Derek Kyte ◽  
Noemi Garcia de Almeida Galan ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Quality Of Healthcare ◽  
Southeast Brazil ◽  
The Impact
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