Telenotarzt

2021 ◽  
Author(s):  
Christian Katzenmeier ◽  
Stefania Schrag-Slavu
Keyword(s):  
Emergency Care ◽  
Medical Product ◽  
Decision Makers ◽  
Healthcare Sector ◽  
Medical Law ◽  
Liability Law ◽  
Professional Law ◽  
Data Protection Law ◽  
Emergency Doctor ◽  
Legal Opinion

As part of the digitization of the healthcare system, tele emergency doctor systems are being established. The aim of these systems is to improve emergency care. This book analyzes the issues raised by professional law, liability law, medical product law and data protection law. It is based on a legal opinion commissioned by the state of North Rhine-Westphalia and is aimed at decision-makers in the healthcare sector. The authors are proven experts in medical law and liability law.

scholarly journals Associative classification of the Jordanian hospitals efficiency based on DEA

2018 ◽  
Vol 8 (3) ◽  
pp. 120-125
Author(s):  
Ahmad Alaiad ◽  
Hassan Najadat ◽  
Nusaiba Al-Mnayyis ◽  
Ashwaq Khalil
Keyword(s):  
Data Mining ◽  
Decision Makers ◽  
Healthcare Sector ◽  
Data Envelopment ◽  
Associative Classification ◽  
Dea Model ◽  
Knowledge Analysis ◽  
Minimum Number ◽  
And Performance

Data envelopment analysis (DEA) has been widely used in many fields. Recently, it has been adopted by the healthcare sector to improve efficiency and performance of the healthcare organisations, and thus, reducing overall costs and increasing productivity. In this paper, we demonstrate the results of applying the DEA model in Jordanian hospitals. The dataset consists of 28 hospitals and is classified into two groups: efficient and non-efficient hospitals. We applied different association classification data mining techniques (JCBA, WeightedClassifier and J48) to generate strong rules using the Waikato Environment for Knowledge Analysis. We also applied the open source DEA software and MaxDEA software to manipulate the DEA model. The results showed that JCBA has the highest accuracy. However, WeightedClassifier method achieves the highest number of generated rules, while the JCBA method has the minimum number of generated rules. The results have several implications for practice in the healthcare sector and decision makers. Keywords: Component, DEA, DMU, output-oriented model, health care system.

State of Sharing Clinical Information in a Healthcare System in the Gulf

2012 ◽  
Vol 1 (3) ◽  
pp. 27-42
Author(s):  
Khaled M. Khan
Keyword(s):  
Best Practices ◽  
Clinical Data ◽  
Clinical Information ◽  
Healthcare Services ◽  
Decision Makers ◽  
Health Centers ◽  
Healthcare Sector ◽  
Healthcare Decision ◽  
Primary Health ◽  
Gulf Country

The main objectives of this paper are to study the extent of automation and the state of sharing of clinical data in out-patient services of a healthcare sector in the Gulf. Based on the findings, it proposes a framework to improve the current automation process further. The paper focuses mainly on how the patients’ clinical data in the local primary health centers (PHCs) and the main hospitals in a Gulf country are stored electronically, and how the clinical data are shared among all major stakeholders. It is anticipated that the proposed framework will significantly reduce the duplication of data and services as well as reduce the use of paper files significantly. The healthcare decision makers will be able to access the relevant data in order to provide best practices and decision supports. It also promotes data sharing among all stakeholders, hence improve healthcare services.

Health Technology Assessment in Health Economics

2011 ◽  
pp. 69-86
Author(s):  
Steven Simoens
Keyword(s):  
Health Economics ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Expenditure ◽  
Health Technology ◽  
Decision Makers ◽  
Added Value ◽  
Healthcare Sector ◽  
Scarce Resources ◽  
Health Technologies

This chapter introduces health technology assessment and health economics as tools for decision makers to allocate scarce resources in the healthcare sector. It argues that information about the safety, efficacy and effectiveness, organizational implications, social and ethical consequences, legal considerations, and health economic aspects of the application of a health technology needs to be taken into account with a view to informing decisions about the registration and reimbursement of a health technology. Also, the author hopes that understanding the methodology and use of health technology assessment and health economics will persuade the reader of the added value of such studies and promote the application of health technologies that support further health improvements, whilst containing health expenditure.

Environmentally sustainable emergency medicine

2021 ◽  
pp. emermed-2020-210421
Author(s):  
Timothy Spruell ◽  
Hannah Webb ◽  
Zoe Steley ◽  
James Chan ◽  
Alexander Robertson
Keyword(s):  
Climate Change ◽  
Emergency Medicine ◽  
Clinical Practice ◽  
Emergency Care ◽  
Carbon Emissions ◽  
Environmental Sustainability ◽  
Emergency Departments ◽  
Global Economy ◽  
Healthcare Sector ◽  
Environmentally Sustainable

Emergency clinicians worldwide are demonstrating increasing concern about the effect of climate change on the health of the populations they serve. The movement for sustainable healthcare is being driven by the need to address the climate emergency. Globally, healthcare contributes significantly to carbon emissions, and the healthcare sector has an important role to play in contributing to decarbonisation of the global economy. In this article, we consider the implications for emergency medicine of climate change, and suggest ways to improve environmental sustainability within emergency departments. We identify examples of sustainable clinical practice, as well as outlining research proposals to address the knowledge gap that currently exists in the area of provision of environmentally sustainable emergency care.

scholarly journals Rural emergency care 360°: mobilising healthcare professionals, decision-makers, patients and citizens to improve rural emergency care in the province of Quebec, Canada: a qualitative study protocol

BMJ Open ◽  
2017 ◽  
Vol 7 (8) ◽  
pp. e016039 ◽  
Author(s):  
Richard Fleet ◽  
Gilles Dupuis ◽  
Jean-Paul Fortin ◽  
Jocelyn Gravel ◽  
Mathieu Ouimet ◽  
...  
Keyword(s):  
Action Research ◽  
Participatory Action Research ◽  
Emergency Care ◽  
Governance Structure ◽  
Safety Net ◽  
Decision Makers ◽  
Research Approach ◽  
Participatory Action ◽  
Geographical Variations ◽  
Action Research Approach

IntroductionEmergency departments (EDs) are an important safety net for rural populations. Results of our earlier studies suggest that rural Canadian hospitals have limited access to advanced imaging services and intensive care units and that patients are transferred over large distances. They also revealed significant geographical variations in rural services. In the absence of national standards, our studies raise questions about inequities in rural access to emergency services and the risks for citizens. Our goal is to build recommendations for improving services by mobilising stakeholders interested in rural emergency care. With help and full engagement of stakeholders, we will (1) identify solutions for improving quality and performance in rural EDs; (2) formulate and prioritise recommendations; (3) transfer knowledge of the recommendations to rural EDs and support operationalisation and (4) assess knowledge transfer and explore further impacts of this participatory action research project.MethodologyWe will use a participatory action research approach. We will plan for a governance structure that includes all stakeholders’ representatives, so throughout this project, stakeholders are fully engaged at every step. Our sample will be 26 EDs in rural Quebec. We will conduct semistructured individual and focus group interviews with relevant and representative participants, including patients and citizens (estimated n=200). Interviews will be thematically analysed to extract potential solutions and other qualitative information.An expert panel (±15) will use an analysis grid to develop consensus recommendations from solutions suggested and will evaluate feasibility, impacts, costs, conditions for implementation and establish monitoring indicators. Recommendations will be transferred to stakeholders using tailored knowledge translation strategies (web platform, meetings and so on).Discussion and expected resultsThis study will result in a comprehensive consensus list of feasible and high-priority recommendations enabling decision-makers in emergency care to implement improvements in rural emergency care in Quebec.Ethics and disseminationThis protocol has been approved by the CSSS Alphonse-Desjardins research ethics committee (Project number: MP 2017-009). The qualitative material will be kept confidential and the data will be presented in a way that respects confidentiality. The dissemination plan for the study includes publications in scientific and professional journals. We will also use social media to disseminate our findings and activities such as communications in public conferences.

scholarly journals Telehealth to the Rescue During COVID-19: A Convergent Mixed Methods Study Investigating Patients' Perception

2021 ◽  
Vol 9 ◽  
Author(s):  
Ghadah A. Al-Sharif ◽  
Alia A. Almulla ◽  
Eman AlMerashi ◽  
Reem Alqutami ◽  
Mohammad Almoosa ◽  
...  
Keyword(s):  
Mixed Methods ◽  
United Arab Emirates ◽  
Qualitative Data ◽  
Principal Component ◽  
Decision Makers ◽  
Healthcare Sector ◽  
Mixed Methods Design ◽  
Qualitative And Quantitative ◽  
Selection Of

Background: The onset of the pandemic necessitated abrupt transition to telehealth consultations. Although there is a few tools that gauge the patients' perception about their experiences, none of them are contextualized to an emergency in the Middle East and North Africa region. Accordingly, this study aims at developing and validating a tool to address this gap, and deploying it to assess the patients' perception of telehealth services during COVID-19 in Dubai, United Arab Emirates (UAE).Methods: A convergent mixed methods design was adapted. A random selection of 100 patients from Dubai, UAE were invited to participate. Qualitative and quantitative datasets were collected using a tailor-made survey. The qualitative data, collected through open-ended questions, was analyzed using multi-staged thematic analysis. As for the quantitative data, it captured the patients' extent of satisfaction, and was assessed using SPSS (with a series of descriptive and inferential analyses). The qualitative and quantitative findings were then merged via joint display analysis.Results: Out of the 100 patients that were randomly selected, 94 patients participated in this study. The reliability score of Cronbach's Alpha for the instrument was 98.9%. The percentage of the total average of satisfaction was 80.67%. The Principal Component Analysis showed that 88.1% of the variance can be explained by the instrument (p < 0.001). The qualitative data analysis expanded upon the quantitative findings enabling a better understanding of the patients' perception. Three themes, revolving around the quality of the patient telehealth experiences, surfaced: “Factors that worked to the benefit of the patients,” “Factors that the patients were not in favor of,” and “Opportunities for improvements as perceived by the patients.”Discussion: This study introduced a novel patient satisfaction with telehealth consultation survey contextualized to the COVID-19 times in Dubai, UAE. The participants were quite satisfied with the quality of their experience, however they suggested areas for improvement. Regional healthcare decision-makers can leverage the identified advantages and opportunities for improvement of telehealth. This will enable making informed decisions regarding the continuity of telehealth irrespective of how matters unfold in relation to the pandemic. It will also better prepare the healthcare sector for potential resurgence(s) of COVID-19 and/or the occurrence of other similar emergencies.

scholarly journals Developing a Decision-Making Framework to Improve Healthcare Service Quality during a Pandemic

2021 ◽  
Vol 5 (1) ◽  
pp. 3
Author(s):  
Gowthaman Sivakumar ◽  
Eman Almehdawe ◽  
Golam Kabir
Keyword(s):  
Decision Making ◽  
Service Quality ◽  
Decision Makers ◽  
Healthcare Sector ◽  
Multiple Stakeholders ◽  
Effective Strategies ◽  
Part Time ◽  
Decision Making Framework ◽  
Improving Patient Care ◽  
Collaborative Decision

The COVID-19 pandemic has significantly impacted almost every sector. This impact has been especially felt in the healthcare sector, as the pandemic has affected its stability, which has highlighted the need for improvements in service. As such, we propose a collaborative decision-making framework that is capable of accounting for the goals of multiple stakeholders, which consequently enables an optimal, consensus decision to be identified. The proposed framework utilizes the best–worst method (BWM) and the Multi-Actor Multi-Criteria Analysis (MAMCA) methodology to capture and rank each stakeholder’s preferences, followed by the application of a Multi-Objective Linear Programming (MOLP) model to identify the consensus solution. To demonstrate the applicability of the framework, two hypothetical scenarios involving improving patient care in an intensive care unit (ICU) are considered. Scenario 1 reflects all selected criteria under each stakeholder, whereas in Scenario 2, every stakeholder identifies their preferred set of criteria based on their experience and work background. The results for both scenarios indicate that hiring part-time physicians and medical staff can be the effective solution for improving service quality in the ICU. The developed integrated framework will help the decision makers to identify optimal courses of action in real-time and to select sustainable and effective strategies for improving service quality in the healthcare sector.

scholarly journals Treating sepsis in the emergency prehospital setting with IV antibiotics

2020 ◽  
Vol 12 (7) ◽  
pp. 277-285
Author(s):  
Patryk Jadzinski ◽  
Chris Markham
Keyword(s):  
Emergency Care ◽  
Qualitative Methodology ◽  
Strong Support ◽  
Decision Makers ◽  
Early Warning Score ◽  
Primary Data ◽  
Prehospital Emergency Care ◽  
Suspected Sepsis ◽  
Prehospital Emergency ◽  
Early Sepsis

Background: The effectiveness of intravenous (IV) antibiotics for the treatment of sepsis in UK prehospital emergency care is not fully understood. In addition, the views of the key clinical decision-makers in ambulance services have not been documented. Aims: This study aimed to provide contemporary, primary data on the opinions of medical directors from across the UK on the use of IV antibiotics to treat sepsis in prehospital emergency care. Methods: A qualitative methodology was used. During semi-structured telephone interviews, participants were encouraged to share their personal and professional views on the use of IV antibiotics to treat sepsis in ambulance services. The interviews were recorded and transcribed, and a thematic content analysis using the principles of grounded theory was carried out. Findings: Five themes emerged: barriers and enablers; early sepsis recognition; accurate and consistent National Early Warning Score (NEWS) scoring; the need for primary evidence; and standardisation of equipment and protocols. A range of opinions were suggested, with an emphasis on rapid transfers and the need for further evidence. Conclusion: There is a drive for early sepsis diagnosis and pre-alerting the receiving hospital. However, there are potential barriers to standardising the approach if paramedics were to collect blood samples and administer IV antibiotics. Additionally, in the absence of UK data on the effectiveness of this treatment, many key decision-makers are reluctant to consider it as a standard approach. Despite this, there is some strong support for using benzylpenicillin for the treatment of suspected sepsis.

Health Technology Assessment in Health Economics

2011 ◽  
pp. 297-314 ◽  
Author(s):  
Steven Simoens
Keyword(s):  
Health Economics ◽  
Health Technology Assessment ◽  
Technology Assessment ◽  
Health Expenditure ◽  
Health Technology ◽  
Decision Makers ◽  
Added Value ◽  
Healthcare Sector ◽  
Scarce Resources ◽  
Health Technologies

This chapter introduces health technology assessment and health economics as tools for decision makers to allocate scarce resources in the healthcare sector. It argues that information about the safety, efficacy and effectiveness, organizational implications, social and ethical consequences, legal considerations, and health economic aspects of the application of a health technology needs to be taken into account with a view to informing decisions about the registration and reimbursement of a health technology. Also, the author hopes that understanding the methodology and use of health technology assessment and health economics will persuade the reader of the added value of such studies and promote the application of health technologies that support further health improvements, whilst containing health expenditure.

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