scholarly journals How Can Policy Interventions Encourage Pro-Social Behaviours in the Health System?

2021 ◽  
Vol 1 (3) ◽  
Author(s):  
Joan Costa-Font ◽  
Sara Machado
Keyword(s):  
Health System ◽  
Policy Interventions ◽  
Social Behaviours

scholarly journals Deploying Patient-Facing Application Programming Interfaces: Thematic Analysis of Health System Experiences (Preprint)

2019 ◽  
Author(s):  
Aaron Neinstein ◽  
Crishyashi Thao ◽  
Mark Savage ◽  
Julia Adler-Milstein
Keyword(s):  
Health System ◽  
Health Systems ◽  
Health Record ◽  
Convenience Sample ◽  
Application Programming Interfaces ◽  
Organizational Infrastructure ◽  
Policy Interventions ◽  
National Implementation ◽  
Application Programming ◽  
Programming Interfaces

BACKGROUND Health systems have recently started to activate patient-facing application programming interfaces (APIs) to facilitate patient access to health data and other interactions. OBJECTIVE This study sought to ascertain health systems’ understanding, strategies, governance, and organizational infrastructure around patient-facing APIs, as well as their business drivers and barriers, to facilitate national learning, policy, and progress toward adoption. METHODS We performed a content analysis of semistructured interviews with a convenience sample of 10 health systems known to be leading adopters of health technology, having either implemented or planning to implement patient-facing APIs. RESULTS Of the 10 health systems, eight had operational patient-facing APIs, with organizational strategy driven most by federal policy, the emergence of Health Records on iPhone, and feelings of ethical obligation. The two priority use cases identified were enablement of a patient’s longitudinal health record and digital interactions with the health system. The themes most frequently cited as barriers to the increased use of patient-facing APIs were security concerns, an immature app ecosystem that does not currently offer superior functionality compared with widely adopted electronic health record (EHR)–tethered portals, a lack of business drivers, EHR vendor hesitation toward data sharing, and immature technology and standards. CONCLUSIONS Our findings reveal heterogeneity in health system understanding and approaches to the implementation and use of patient-facing APIs. Ongoing study, targeted policy interventions, and sharing of best practices appear necessary to achieve successful national implementation.

scholarly journals Projecting health labor market dynamics for a health system in transition: planning for a resilient health workforce in Saudi Arabia

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Tracy Kuo Lin ◽  
Tim A. Bruckner ◽  
Taghred Alghaith ◽  
Mariam M. Hamza ◽  
Mohammed Alluhidan ◽  
...  
Keyword(s):  
Saudi Arabia ◽  
Labor Market ◽  
Public Sector ◽  
Health System ◽  
Health Workforce ◽  
Health Workers ◽  
Supply And Demand ◽  
The Public ◽  
Policy Interventions ◽  
Policy Scenarios

Abstract Background Health workforce planning is critical for health systems to safeguard the ability to afford, train, recruit, and retain the appropriate number and mix of health workers. This balance is especially important when macroeconomic structures are also reforming. The Kingdom of Saudi Arabia is moving toward greater diversification, privatization, and resiliency; health sectorreform is a key pillar of this transition. Methods We used the Ministry of Health Yearbook data on the number of workers and health expenditures from 2007 to 2018 and projected health labor market supply and demand of workers through 2030, evaluated the potential shortages and surpluses, and simulated different policy scenarios to identify relevant interventions. We further focused on projections for health workers who are Saudi nationals and health worker demand within the public sector (versus the private sector) to inform national objectives of reducing dependency on foreign workers and better deploying public sector resources. Results We projected the overall health labor market to demand 9.07 physicians and nurses per 1,000 population (356,514) in 2030; the public sector will account for approximately 67% of this overall demand. Compared to a projected supply of 10.16 physicians and nurses per 1,000 population (399,354), we estimated an overall modest surplus of about 42,840 physicians and nurses in 2030. However, only about 17% of these workers are estimated to be Saudi nationals, for whom there will be a demand shortage of 287,895 workers. Among policy scenarios considered, increasing work hours had the largest effect on reducing shortages of Saudi workers, followed by bridge programs for training more nurses. Government resources can also be redirected to supporting more Saudi nurses while still ensuring adequate numbers of physicians to meet service delivery goals in 2030. Conclusion Despite projected overall balance in the labor market for health workers in 2030, without policy interventions, severe gaps in the Saudi workforce will persist and limit progress toward health system resiliency in Saudi Arabia. Both supply- and demand-side policy interventions should be considered, prioritizing those that increase productivity among Saudi health workers, enhance training for nurses, and strategically redeploy financial resources toward employing these workers.

scholarly journals Dietary health and CVD: implications for dietary policy in England

2019 ◽  
Vol 79 (1) ◽  
pp. 95-102 ◽  
Author(s):  
A. Tedstone ◽  
D. Duval ◽  
E. Peacock
Keyword(s):  
Health System ◽  
Saturated Fat ◽  
Fruit And Vegetables ◽  
Obesity Prevalence ◽  
Dietary Recommendations ◽  
Inequalities In Health ◽  
Policy Interventions ◽  
The Uk

CVD is a major burden on the health system in the UK. On average, diets are not aligned with current dietary recommendations, including those for salt, saturated fat, fibre, fruit and vegetables. Obesity prevalence is high and the majority of the population is consuming more energy than required. Addressing these issues would reduce the burden of CVD and help reduce inequalities in health. There is currently a range of policy interventions in place in England designed to help improve diets and reduce obesity, which in turn should help reduce the risk of CVD. Further actions may be needed in the long term to deliver sustained improvements to diet and health.

scholarly journals Deploying Patient-Facing Application Programming Interfaces: Thematic Analysis of Health System Experiences

10.2196/16813 ◽  
2020 ◽  
Vol 22 (4) ◽  
pp. e16813 ◽  
Author(s):  
Aaron Neinstein ◽  
Crishyashi Thao ◽  
Mark Savage ◽  
Julia Adler-Milstein
Keyword(s):  
Health System ◽  
Health Systems ◽  
Health Record ◽  
Convenience Sample ◽  
Application Programming Interfaces ◽  
Organizational Infrastructure ◽  
Policy Interventions ◽  
National Implementation ◽  
Application Programming ◽  
Programming Interfaces

Background Health systems have recently started to activate patient-facing application programming interfaces (APIs) to facilitate patient access to health data and other interactions. Objective This study sought to ascertain health systems’ understanding, strategies, governance, and organizational infrastructure around patient-facing APIs, as well as their business drivers and barriers, to facilitate national learning, policy, and progress toward adoption. Methods We performed a content analysis of semistructured interviews with a convenience sample of 10 health systems known to be leading adopters of health technology, having either implemented or planning to implement patient-facing APIs. Results Of the 10 health systems, eight had operational patient-facing APIs, with organizational strategy driven most by federal policy, the emergence of Health Records on iPhone, and feelings of ethical obligation. The two priority use cases identified were enablement of a patient’s longitudinal health record and digital interactions with the health system. The themes most frequently cited as barriers to the increased use of patient-facing APIs were security concerns, an immature app ecosystem that does not currently offer superior functionality compared with widely adopted electronic health record (EHR)–tethered portals, a lack of business drivers, EHR vendor hesitation toward data sharing, and immature technology and standards. Conclusions Our findings reveal heterogeneity in health system understanding and approaches to the implementation and use of patient-facing APIs. Ongoing study, targeted policy interventions, and sharing of best practices appear necessary to achieve successful national implementation.

Tu1703 DIAGNOSIS OF HEPATOPULMONARY SYNDROME IN A LARGE INTEGRATED HEALTH SYSTEM

2020 ◽  
Vol 158 (6) ◽  
pp. S-1460-S-1461
Author(s):  
Shoma Bommena ◽  
Nael Haddad ◽  
Sumit Agarwal ◽  
Sarabdeep Mann ◽  
Layth AL-Jashaami ◽  
...  
Keyword(s):  
Health System ◽  
Hepatopulmonary Syndrome ◽  
Integrated Health

University-based continuing education and mental health system change.

1982 ◽  
Vol 37 (8) ◽  
pp. 966-970 ◽  
Author(s):  
George H. Wolkon ◽  
Carolyn L. Peterson ◽  
Patricia Gongla
Keyword(s):  
Mental Health ◽  
Health System ◽  
Continuing Education ◽  
Mental Health System ◽  
System Change ◽  
Health System Change
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