scholarly journals Digitisation of Healthcare Products and the Democratization Continuum of the Healthcare System in China : A Systematic Review

2021 ◽  
pp. 266-283
Author(s):  
Henry Asante Antwi ◽  
Tamires Lizandra Andrade Paixao ◽  
Maxwell Opuni Antwi
Keyword(s):  
Healthcare System ◽  
Value Chain ◽  
Healthcare Delivery ◽  
Purchase Decision ◽  
Published Data ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
New Era ◽  
Goods And Services ◽  
Simple Search

Typical of most industries, digitisation of healthcare products, services and models of E-Commerce is democratizing the current healthcare system in China while unlocking new previously inaccessible healthcare segments. This monumental convergence of healthcare industry with IT is part of a larger evolution and growth of E-Commerce from simple search portals for purchasing goods and services to more integrated digital marketplace that incorporates personalized experience and informed purchase decision making into online behaviours. The result is the manifestation of a new era of healthcare consumerism, as healthcare customers demand retail-like buying experience. We performed a comprehensive systematic scoping review of published data to identify how E-Commerce is complementing the traditional healthcare delivery system in China. We note that healthcare E-Commerce is facilitating the reconstruction of the healthcare value chain in China and at the same time is helping health facilities to reengineer operations and service processes. Our study highlights the important role E-commerce is playing in the healthcare industry in China.

scholarly journals Telehealth transformation: COVID-19 and the rise of virtual care

2020 ◽  
Vol 27 (6) ◽  
pp. 957-962 ◽  
Author(s):  
Jedrek Wosik ◽  
Marat Fudim ◽  
Blake Cameron ◽  
Ziad F Gellad ◽  
Alex Cho ◽  
...  
Keyword(s):  
Healthcare System ◽  
Delivery System ◽  
Outpatient Care ◽  
Healthcare Delivery ◽  
The Novel ◽  
Healthcare Organizations ◽  
Healthcare Delivery System ◽  
Virtual Care ◽  
Novel Coronavirus ◽  
The U.S

Abstract The novel coronavirus disease-19 (COVID-19) pandemic has altered our economy, society, and healthcare system. While this crisis has presented the U.S. healthcare delivery system with unprecedented challenges, the pandemic has catalyzed rapid adoption of telehealth, or the entire spectrum of activities used to deliver care at a distance. Using examples reported by U.S. healthcare organizations, including ours, we describe the role that telehealth has played in transforming healthcare delivery during the 3 phases of the U.S. COVID-19 pandemic: (1) stay-at-home outpatient care, (2) initial COVID-19 hospital surge, and (3) postpandemic recovery. Within each of these 3 phases, we examine how people, process, and technology work together to support a successful telehealth transformation. Whether healthcare enterprises are ready or not, the new reality is that virtual care has arrived.

scholarly journals Implementation of a group-based diabetes prevention program within a healthcare delivery system

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kristen M. J. Azar ◽  
Catherine Nasrallah ◽  
Nina K. Szwerinski ◽  
John J. Petersen ◽  
Meghan C. Halley ◽  
...  
Keyword(s):  
Healthcare System ◽  
Delivery System ◽  
Diabetes Prevention ◽  
Program Effectiveness ◽  
Healthcare Delivery ◽  
Diabetes Prevention Program ◽  
Structured Interviews ◽  
Healthcare Delivery System ◽  
Eligibility Criteria ◽  
Regional Administration

Abstract Background Group-based Diabetes Prevention Programs (DPP), aligned with recommendations from the Centers for Disease Control and Prevention, promote clinically significant weight loss and reduce cardio-metabolic risks. Studies have examined implementation of the DPP in community settings, but less is known about its integration in healthcare systems. In 2010, a group-based DPP known as the Group Lifestyle Balance (GLB) was implemented within a large healthcare delivery system in Northern California, across three geographically distinct regional administration divisions of the organization within 12 state counties, with varying underlying socio-demographics. The regional divisions implemented the program independently, allowing for natural variation in its real-world integration. We leveraged this natural experiment to qualitatively assess the implementation of a DPP in this healthcare system and, especially, its fidelity to the original GLB curriculum and potential heterogeneity in implementation across clinics and regional divisions. Methods Using purposive sampling, we conducted semi-structured interviews with DPP lifestyle coaches. Data were analyzed using mixed-method techniques, guided by an implementation outcomes framework consisting of eight constructs: acceptability, adoption, appropriateness, cost, feasibility, fidelity, penetration, and sustainability. Results We conducted 33 interviews at 20 clinics across the three regional administrative divisions. Consistencies in implementation of the program were found across regions in terms of satisfaction with the evidence base (acceptability), referral methods (adoption), eligibility criteria (fidelity), and strategies to increase retention and effectiveness (sustainability). Heterogeneity in implementation across regions were found in all categories, including: the number and frequency of sessions (fidelity); program branding (adoption); lifestyle coach training (adoption), and patient-facing cost (cost). Lifestyle coaches expressed differing attitudes about curriculum content (acceptability) and suitability of educational level (appropriateness). While difficulties with recruitment were common across regions (feasibility), strategies used to address these challenges differed (sustainability). Conclusions Variation exists in the implementation of the DPP within a large multi-site healthcare system, revealing a dynamic and important tension between retaining fidelity to the original program and tailoring the program to meet the local needs. Moreover, certain challenges across sites may represent opportunities for considering alternative implementation to anticipate these barriers. Further research is needed to explore how differences in implementation domains impact program effectiveness.

Healthcare in the United States

2018 ◽  
pp. 73-85
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Healthcare in the United States

2021 ◽  
pp. 480-491
Author(s):  
Hillary Knepper
Keyword(s):  
United States ◽  
Healthcare Delivery ◽  
Basic Structure ◽  
The United States ◽  
Healthcare Industry ◽  
Healthcare Delivery System ◽  
Patient Protection ◽  
Public Revenue ◽  
The Impact ◽  
The U.S

Healthcare in the United States is a dynamic mix of public and marketplace solutions to the challenge of achieving the maximum public good for the greatest number of people. Indeed, in the U.S. the healthcare industry generates over $3 trillion in the economy. This creates a uniquely American paradox that is examined here. The basic structure of the U.S. public-private healthcare delivery system is explored. The dynamics of public sector involvement in healthcare delivery is reviewed, with particular emphasis on the impact of the Patient Protection and Affordable Care Act. Economic impact, employment indicators, and recent cost estimates of public revenue investment will be considered. Finally, a discussion about the future implications of healthcare for public administration in the 21st century is presented. Eight tables and figures present a visual and detailed explanation to accompany the narrative.

Review and analysis of incremental approaches to meeting the needs of the uninsured and under-insured

2003 ◽  
Vol 16 (2) ◽  
pp. 116-126
Author(s):  
Patrick A. Rivers
Keyword(s):  
Healthcare System ◽  
Insurance Coverage ◽  
Healthcare Delivery ◽  
Health Insurance Coverage ◽  
Superior Performance ◽  
Successful Implementation ◽  
Healthcare Delivery System ◽  
The Us ◽  
The World ◽  
Clinical Advances

The US healthcare delivery system, by all accounts, is the most advanced and sophisticated healthcare system in the world. Clinical advances in diagnostic and therapeutic regimens, superior performance in biomedical research, and the development and use of the latest management and medical technologies are all hallmarks of the system. While the US healthcare system has been extremely successful, concerns remain about access to care for a large segment of the population. This article examined the various approaches that have been adopted and those that are being proposed to bridge the existing gap in health insurance coverage. The underlying assumptions of the proposed strategies were examined, and the conditions necessary for the successful implementation of these strategies were also discussed.

Healthcare Delivery as a Service System

2011 ◽  
pp. 191-214 ◽  
Author(s):  
Arjun Parasher ◽  
Pascal J. Goldschmidt-Clermont ◽  
James M. Tien
Keyword(s):  
Healthcare System ◽  
Systems Engineering ◽  
Service System ◽  
Healthcare Delivery ◽  
Future Research ◽  
New Paradigm ◽  
Healthcare Delivery System ◽  
Optimal Health ◽  
Care Systems ◽  
The U.S

Both during and after the recent reform efforts, healthcare delivery has been identified as the key to transforming the U.S. healthcare system. In light of this background, we borrow from systems engineering and business management to present the concept of service co-production as a new paradigm for healthcare delivery and, using the foresight afforded by this model, to systematically identify the barriers to healthcare delivery functioning as a service system. The service co-production model requires for patient, provider, insurer, administrator, and all the related healthcare individuals to collaborate at all stages – prevention, triage, diagnosis, treatment, and follow-up – of the healthcare delivery system in order to produce optimal health outcomes. Our analysis reveals that the barriers to co-production – the misalignment of financial and legal incentives, limited incorporation of collaborative point of care systems, and poor access to care – also serve as the source of many of the systemic failings of the U.S. healthcare system. The Patient Protection and Affordable Care Act takes steps to reduce these barriers, but leaves work to be done. Future research and policy reform is needed to enable effective and efficient co-production in the twenty-first century. With this review, we assess the state of service co-production in the U.S. healthcare system, and propose solutions for improvement.

An Enhanced Healthcare Delivery System Model for the US

2020 ◽  
pp. 1-20
Author(s):  
Raj Selladurai ◽  
Roshini Isabell Selladurai
Keyword(s):  
Healthcare System ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
System Model ◽  
Healthcare Delivery System ◽  
The Us ◽  
The World ◽  
The Uk ◽  
Global Systems

This chapter focuses on developing an enhanced US healthcare delivery system model by learning from the “best” healthcare systems in the world and adapting some of their best working principles to the existing US healthcare system. These global systems include the Swiss healthcare system, which is considered one of the best in the world, and some of the other leading healthcare systems such as the German, the UK, French, Italian, and Singaporean. It would also explore, among a few alternatives, the state innovation-based approach to healthcare reform. Major concerns such as cost containment, affordability, flexibility, accessibility, feasibility, and implementation-related issues have been addressed.

scholarly journals Improving US Virgin Islands’ heath system: “You get more benefits with your insurance in the States than you get here”

2020 ◽  
Author(s):  
Karen H. Wang ◽  
Zoé M. Hendrickson ◽  
Hannah R. Friedman ◽  
Maxine A. Nunez ◽  
Marcella Nunez-Smith
Keyword(s):  
Healthcare System ◽  
Delivery System ◽  
Healthcare Delivery ◽  
Virgin Islands ◽  
System Level ◽  
Care Seeking ◽  
Healthcare Delivery System ◽  
Us Virgin Islands ◽  
The Us ◽  
Constant Comparative Analysis

AbstractBackgroundThe US Virgin Islands (USVI) are actively rebuilding their healthcare delivery system following destruction by Hurricanes Irma and Maria in 2017.MethodsIn 2013, we conducted a qualitative study in the US Virgin Islands using semi-structured one-on-one interviews to explore individuals’ decision-making regarding healthcare-seeking off-island. The coding team analyzed the transcripts using a constant comparative analysis, and Atlas.ti to organize our emerging thematic analysis.ResultsFive themes emerged from 19 interviews that illustrate healthcare system level factors that influence participants’ decisions about seeking healthcare off-island: 1) limited availability of services and desire for options, 2) limited accessibility of services, 3) healthcare system interactions and experiences, 4) healthcare system policies, and 5) trust in healthcare systems.ConclusionsThe experiences of care seeking off-island for our sample highlight several mechanisms through which the USVI healthcare delivery system could improve, including the adoption of telemedicine, changes in insurance, and healthcare workforce policies.

The Impact of Secondary Environmental Variables on OECD Healthcare Efficiency: A Robust Conditional Approach

2019 ◽  
Vol 19 (2) ◽  
Author(s):  
Richard Gearhart
Keyword(s):  
Health Insurance ◽  
Healthcare System ◽  
Delivery System ◽  
Environmental Variables ◽  
Social Protection ◽  
Healthcare Delivery ◽  
Substantial Part ◽  
Healthcare Delivery System ◽  
Healthcare Efficiency ◽  
The Impact

AbstractIn this paper, I estimate country-level efficiency using a newer order-mestimator where I condition efficiency estimates on secondary environmental variables. This allows me to identify which variables influence the effectiveness of a healthcare delivery system. I find that not controlling for secondary environmental variables leads to the average OECD country being 11% inefficient; after controlling for demographics and economic (social protection) environmental variables, inefficiency reduces to 7% (5%). This provides evidence that a substantial part of the inefficiencies of a healthcare system is related to demographics, socioeconomics, and the structure of the healthcare delivery system. Using the second-stage results, I find lower healthcare spending, both as a percent of GDP and total out-of-pocket, as well as more of the population covered by public health insurance, is related to better efficiency. Lower fertility rates, lower immigration rates, higher incomes, and lower pharmaceutical doses are also consistent with better healthcare efficiency. Lastly, a healthcare system that provides a basic benefits package but allows for purchase of private health insurance, with moderate gatekeeping and flexibility to increase the budget for healthcare through public and private financing, are the most efficient healthcare systems.

scholarly journals Towards sustainable healthcare system performance in the 21st century in high-income countries: a protocol for a systematic review of the grey literature

BMJ Open ◽  
2019 ◽  
Vol 9 (1) ◽  
pp. e025892 ◽  
Author(s):  
Jeffrey Braithwaite ◽  
Yvonne Zurynski ◽  
Kristiana Ludlow ◽  
Joanna Holt ◽  
Hanna Augustsson ◽  
...  
Keyword(s):  
Systematic Review ◽  
Healthcare System ◽  
English Language ◽  
Grey Literature ◽  
Healthcare Delivery ◽  
Healthcare Systems ◽  
High Income ◽  
Primary Data ◽  
Healthcare Delivery System ◽  
Policy Makers

IntroductionThere is wide recognition that, if healthcare systems continue along current trajectories, they will become harder to sustain. Ageing populations, accelerating rates of chronic disease, increasing costs, inefficiencies, wasteful spending and low-value care pose significant challenges to healthcare system durability. Sustainable healthcare systems are important to patients, society, policy-makers, public and private funders, the healthcare workforce and researchers. To capture current thinking about improving healthcare system sustainability, we present a protocol for the systematic review of grey literature to capture the current state-of-knowledge and to compliment a review of peer-reviewed literature.Methods and analysisThe proposed search strategy, based on the Preferred Reporting Items for Systematic Review and Meta-Analyses guidelines, includes Google Advanced Search, snowballing techniques and targeted hand searching of websites of lead organisations such as WHO, Organisation for Economic Cooperation and Development, governments, public policy institutes, universities and non-government organisations. Documents will be selected after reviewing document summaries. Included documents will undergo full-text review. The following criteria will be used: grey literature document; English language; published January 2013–March 2018; relevant to the healthcare delivery system; the content has international or national scope in high-income countries. Documents will be assessed for quality, credibility and objectivity using validated checklists. Descriptive data elements will be extracted: identified sustainability threats, definitions of sustainability, attributes of sustainable healthcare systems, solutions for improvement and outcome measures of sustainability. Data will be analysed using novel text-mining methods to identify common concept themes and meanings. This will be triangulated with the more traditional analysis and concept theming by the researchers.Ethics and disseminationNo primary data will be collected, therefore ethical approval will not be sought. The results will be disseminated in peer-reviewed literature, as conference presentations and as condensed summaries for policy-makers and health system partners.PROSPERO registration numberCRD42018103076.

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