scholarly journals Can Integrated Care Help in Meeting the Challenges Posed on Our Health Care Systems by COVID-19? Some Preliminary Lessons Learned from the European VIGOUR Project

2020 ◽  
Vol 20 (4) ◽  
Author(s):  
Sonja Lindner ◽  
Lutz Kubitschke ◽  
Christos Lionis ◽  
Marilena Anastasaki ◽  
Ursula Kirchmayer ◽  
...  
Keyword(s):  
Health Care ◽  
Integrated Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Care Systems

scholarly journals Back to the Future: Principles on Resuming Outpatient Services in the COVID-19 Era

2020 ◽  
Vol 163 (4) ◽  
pp. 705-706 ◽  
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings
Keyword(s):  
Health Care ◽  
Outpatient Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Outpatient Services ◽  
Drastic Reduction ◽  
The Public ◽  
Outpatient Visits ◽  
The Future ◽  
Care Systems

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to outpatient care.

scholarly journals Return to Normalcy? Principles on Resuming Surgical Services in the COVID-19 Era

OTO Open ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 2473974X2093665
Author(s):  
Taher S. Valika ◽  
Kathleen R. Billings
Keyword(s):  
Health Care ◽  
Patient Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Drastic Reduction ◽  
The Public ◽  
Surgical Services ◽  
Outpatient Visits ◽  
Care Systems ◽  
Full Capacity

The rapidly changing health care climate related to coronavirus disease 2019 (COVID-19) has resulted in numerous changes to health care systems and in practices that protect both the public and the workers who serve in hospitals around the country. As a result, these past few months have seen a drastic reduction in outpatient visits and surgical volumes. With phased reopening and appropriate guidance, health care systems are attempting to return to normal. Our institution has had the unique opportunity to already return operations back to full capacity. The experiences and lessons learned are described, and we provide guiding principles to allow for a safe and effective return to patient care.

scholarly journals Australia’s Two-Tier Health Care System United Against COVID-19

2020 ◽  
Vol 1 (1) ◽  
pp. 4-5
Author(s):  
Bishoy Hanna ◽  
Amanda Chung
Keyword(s):  
Health Care ◽  
Health Care Systems ◽  
Lessons Learned ◽  
Infection Rates ◽  
Health Measures ◽  
Acute Health Care ◽  
Health Care Structure ◽  
Care Structure ◽  
The Face ◽  
Care Systems

The coronavirus disease 2019 (COVID-19) pandemic has had and continues to have an unprecedented impact on health care systems worldwide. The Australian system has yet to be truly tested by the pandemic, as rapid implementation of public health measures has curbed infection rates. Australia’s 2-tier health care has allowed sufficient staffing, equipment, and beds to continue providing acute health care in the face of an exceptional and extreme demand. No health system is perfect and, although Australia’s has some wonderful attributes that make it the envy of many other countries, it faces a number of important challenges. This paper describes how Australia’s health care structure has adapted to respond to the COVID-19 crisis, examines the challenges involved and the lessons learned, and explores how this environmental pressure could lead to systemic adaptations.

Financing Integrated Care Models

2017 ◽  
Author(s):  
Bruce J. Schwartz ◽  
Gillian Stein ◽  
Scott Wetzler
Keyword(s):  
Health Care ◽  
Behavioral Health ◽  
Integrated Care ◽  
Health Care Systems ◽  
Cost Savings ◽  
Behavioral Health Care ◽  
Fee For Service ◽  
Cost Offset ◽  
Medical Sector ◽  
Care Systems

The idea that addressing behavioral health issues will generate sufficient cost savings in the general medical sector to reduce overall health care spending is a poignant argument for integrating primary care and behavioral health care programs. The enactment of recent health care legislation, particularly the Mental Health Parity and Addiction Equity Act (2008) and the Affordable Care Act (2010), affords a unique opportunity to transform the way in which care is funded. This transformation is vital to the integrated care project. This chapter outlines the history of integrated care financing and the separation of mental and physical health care systems and discusses reimbursement strategies that have been suggested to replace fee-for-service models. The authors argue that the success of the medical cost offset hypothesis depends on targeting high-cost patients, as well as moving away from siloed reimbursement toward global budgeting.

Re-establishment of medical and healthcare systems for nuclear emergency workers based on the lessons learned from the 2011 Fukushima nuclear accident

2019 ◽  
Vol 54 (4) ◽  
pp. 283-288
Author(s):  
S. Yasui
Keyword(s):  
Health Care ◽  
Health Risks ◽  
Health Care Systems ◽  
Healthcare Systems ◽  
Lessons Learned ◽  
Nuclear Accident ◽  
Fukushima Nuclear Accident ◽  
Emergency Workers ◽  
Care Systems ◽  
Medical And Healthcare

In response to the Fukushima nuclear accident in 2011, the Ministry of Health, Labour and Welfare (MHLW) temporarily increased emergency dose limits from 100 to 250 mSv from March 14 to December 16, 2011, but there were many problems in medical and health care systems. Based on the lessons learned, in 2015, the MHLW deliberated for radiation protection and medical and health care systems to prepare for future nuclear emergencies. The paper aims to describe and share the experience gained in the process of setting medical and healthcare systems. The paper outlines the issues of: (a) on-site medical and health care systems; (b) health care during emergency work and; (c) long-term health care. For the deliberation, the MHLW had to find the way to keep a balance between the protection of the emergency workers and the prompt implementation of crisis response. The MHLW built a consensus among stakeholders by providing lifetime healthcare systems as compensation for the radiation health risks and by enhancing preparedness to eliminate confusion and disorder and improve the level of protection against health risks. The experience gained shows that acceptance of the health risks due to radiation exposure needs not only a scientific basis, but also social acceptance.

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