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Innovative Development of the Health Care Sector of the Future in the Conditions of Modern Challenges of the Covid-19 Coronavirus Infection in Ukraine 在乌克兰Covid-19冠状病毒感染的现代挑战条件下,未来卫生保健部门的创新发展
Pub Date : 2022-03-30 DOI: 10.57125/fem.2022.03.25.01
Dmytro Maltsev, Svitlana Bokova
This article focuses on innovative development of Health Care Sector of the future in terms of modern challenges of the Covid-19 Coronavirus Infection in UkraineAims: To identify innovative healthcare delivery models that have been implemented in Ukraine as well as to evaluate their effectiveness in healthcare improvement of the access and delivery, availability and distribution of medical equipment and PPE, healthcare infrastructure, healthcare workforce development and retention, and development of healthcare information systems in Ukraine.Study design: In this study a mixed-approach strategy that combines quantitative and qualitative research methodologies was utilised.Place and Duration of Study: The study was conducted on patients, professionals’ healthcare establishment and policy maker stakeholders in Ukraine. It is a mix of different evaluations on the topic.Methodology: Surveys, interviews, and questionnaires were examples of data collecting tools. The research was conducted online, offline, or both means. Data analysis processes included both quantitative and qualitative methods.Results: Most countries adopted Beveridge principle-based health care system, which were 90% efficient and 98% pandemic resistant. Masks, gloves, and PPE were globally limited, and hospitals had 73, 35% medical equipment and 57% personal protective equipment in April 2020, but 32, 9% and 67,5% in December 2020 due to COVID-19 instances. In December 2020, hospital personnel rose from 85, 56% (Chernihiv region) to 94% to serve new COVID-19 patients (Kherson area). Technology, data analytics, AI, and the block chain may fix the coronavirus. Facebook is the finest example of using digital technology. Another example is to produce digital maps of population. Government efficiency and resources have powered pandemic responses.Conclusion:Ukraine must adopt new healthcare delivery methods and must stock and use medical and PPE. A strong, patient-centered healthcare system requires effective health finance. Healthcare professionals need ongoing training to stay. A hospital IT development initiative is needed to improve efficiency as Ukraine struggled with healthcare information systems during this pandemic.
本文重点关注在乌克兰Covid-19冠状病毒感染的现代挑战下,未来卫生保健部门的创新发展。确定在乌克兰实施的创新医疗服务模式,并评估其在医疗保健改善方面的有效性,包括医疗设备和个人防护装备的获取和交付、可用性和分配、医疗基础设施、医疗工作者的发展和保留,以及乌克兰医疗信息系统的发展。研究设计:本研究采用了定量和定性研究相结合的混合方法。研究地点和持续时间:研究对象为乌克兰的患者、专业医疗机构和政策制定者利益相关者。它是对该主题的不同评估的混合。方法:调查、访谈和问卷是数据收集工具的例子。该研究通过在线、离线或两种方式进行。数据分析过程包括定量和定性两种方法。结果:大多数国家采用贝弗里奇原则为基础的卫生保健制度,有效率达90%,抗流行病率达98%。口罩、手套和个人防护装备在全球范围内有限,2020年4月,医院的医疗设备和个人防护装备分别为73.5%和57%,但由于COVID-19病例,2020年12月分别为32.9%和67.5%。2020年12月,服务新冠肺炎患者的医院人员从85.56%(切尔尼耶夫地区)增加到94%(赫尔森地区)。技术、数据分析、人工智能和区块链可能会解决冠状病毒。Facebook是使用数字技术的最好例子。另一个例子是制作数字人口地图。政府的效率和资源为应对大流行提供了动力。结论:乌克兰必须采用新的卫生保健提供方法,必须储备和使用医疗和个人防护装备。一个强大的、以患者为中心的卫生保健系统需要有效的卫生财政。医疗保健专业人员需要持续的培训才能留下来。由于乌克兰在这次大流行期间与医疗保健信息系统作斗争,因此需要一项医院IT开发计划来提高效率。
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引用次数: 1
Innovative activities in healthcare institutions of the future: models for overcoming dilemmas 未来医疗机构的创新活动:克服困境的模式
Pub Date : 2022-03-30 DOI: 10.57125/fem.2022.03.25.02
Valery Kaminskyy, Olena Viesova
Purpose: The Ukrainian population's insufficient protection from the prospect of high medical costs and the system's structural inefficiency, which is aggravated by an ineffective means of financing healthcare, continue to be the main problems facing the Ukrainian healthcare system. Rising rates of preventable mortality also highlight the shortcomings in the health system. Patients and medical professionals in Ukraine concur that the healthcare system needs significant reform; nevertheless, the current government's reform measures are not well embraced, and there is disturbingly high public mistrust of medical experts. Thus, in order to enable healthcare reformation, new methods, models, and activities need to be developed. However, it is not yet clear how well or how widely these initiatives have been initiated into practice.Methodology: A literature search concerning articles looking at innovative health activities in Ukraine was conducted.Results: In this aspect, only nine research papers were concerned with the topic. There were few studies that examined innovative practices at the institutional and governmental levels. Despite this, there were more innovative initiatives conducted on a national scale than at an institutional level. The implementation of several unique concepts has not yet been fully realised.Implications: Ukraine is currently engaged in a number of innovative healthcare initiatives, especially at the national level. The quality of healthcare in the nation could be greatly improved by engaging in these activities. But there are still many obstacles that must be overcome. Despite these difficulties, several of the suggested models are not only original but also useful, and they might be adopted by other countries as models. Additional investigation is required to reveal all the varieties of innovative healthcare operations in Ukraine.
目的:乌克兰人口在高昂医疗费用的前景下得不到充分保护,医疗保健系统的结构性效率低下,而医疗保健筹资手段无效又加剧了这种情况,这仍然是乌克兰医疗保健系统面临的主要问题。可预防死亡率的上升也凸显了卫生系统的缺陷。乌克兰的患者和医疗专业人员一致认为,医疗保健系统需要进行重大改革;然而,当前政府的改革措施并没有得到很好的接受,公众对医学专家的不信任程度之高令人不安。因此,为了实现医疗改革,需要开发新的方法、模式和活动。然而,目前尚不清楚这些倡议付诸实践的程度和范围。方法:对有关乌克兰创新卫生活动的文章进行了文献检索。结果:在这方面,仅有9篇研究论文涉及该主题。很少有研究审查机构和政府一级的创新做法。尽管如此,在国家范围内开展的创新活动比在机构一级开展的要多。一些独特概念的实施尚未充分实现。影响:乌克兰目前正在开展一些创新的保健举措,特别是在国家一级。通过参与这些活动,可以大大提高国家的医疗保健质量。但仍有许多障碍需要克服。尽管有这些困难,所建议的一些模式不仅是原创的,而且是有用的,它们可能被其他国家采纳为模式。需要进行进一步调查,以揭示乌克兰所有种类的创新医疗保健业务。
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引用次数: 2
Practical aspects of the electronic system functioning in the field of medicine of the future (Pakistan) 未来医学领域电子系统功能的实际方面(巴基斯坦)
Pub Date : 2022-03-30 DOI: 10.57125/fem.2022.03.25.05
This article focused on “Practical aspects of the electronic system functioning in the field of medicine of the future in Pakistan”Aims: To explore the practical aspects of the electronic systems functioning in the field of medicine of the future, the challenges and opportunities of implementing these systems, and the potential solutions for optimising and enhancing their impact on outcomes in Pakistan.Methodology: A descriptive cross-sectional study design was used. A sample of 323 was selected through non-random convenient method. Data collected through interview. Chi square test was applied.Results: The results on telemedicine showed, out of 323 participants who practiced telemedicine, 52% had 19-24 months of medical practice experience. Among the doctors, 19.3% used laptops, 22.7% used mobile phones to search information online, while 41.1% connected with their patients through WhatsApp and 16.9% through Facebook. 80% of the doctors agreed that telemedicine was beneficial for saving money, time, effort, and for the patients. Among the group with experience above 24 months, 59% were practicing EHR systems and 41% were not utilising them. When it came to CDS Systems, 64.2% of the more experienced group were using the system, while 35.8% were not. In addition, 71.2% of the more experienced group were practicing Digital Medical Imaging. During the COVID-19 pandemic, all medical institutes taught, assigned tasks, and evaluated students through online mechanisms. However, after the pandemic, 100% of the institutes returned to traditional teaching methods. Interestingly, 60% of the participants favoured online education, considering it an easier, more effective and efficient way of learning.Scientific Novelty: Examines Pakistan's computerised healthcare system and its impacts.Conclusion: Improved infrastructure, healthcare education, patient computer literacy, privacy and data security rules may have the largest impact on healthcare outcomes. An international help is needed to reach global electronic health care standards.Note: Review paper may have different types of subsections.
这篇文章的重点是“巴基斯坦未来医学领域电子系统功能的实际方面”,目的:探索未来医学领域电子系统功能的实际方面,实施这些系统的挑战和机遇,以及优化和增强其对巴基斯坦结果影响的潜在解决方案。方法:采用描述性横断面研究设计。采用非随机方便法抽取样本323人。通过访谈收集的数据。采用卡方检验。结果:323名远程医疗从业人员中,有19-24个月医疗实践经验的占52%。19.3%的医生使用笔记本电脑,22.7%的医生使用手机上网搜索信息,41.1%的医生通过WhatsApp与患者联系,16.9%的医生通过Facebook与患者联系。80%的医生认为远程医疗有利于节省金钱、时间、精力和患者。在工作经验超过24个月的小组中,59%的人在使用电子病历系统,41%的人没有使用。至于CDS系统,64.2%的经验更丰富的人在使用该系统,而35.8%的人没有。此外,71.2%的经验更丰富的群体正在实践数字医学成像。在新冠肺炎疫情期间,所有医疗机构都通过在线机制对学生进行教学、分配任务和评估。然而,在大流行之后,100%的学院恢复了传统的教学方法。有趣的是,60%的参与者喜欢在线教育,认为这是一种更容易、更有效和高效的学习方式。科学新颖性:考察巴基斯坦的计算机化医疗保健系统及其影响。结论:改善基础设施、医疗保健教育、患者计算机素养、隐私和数据安全规则可能对医疗保健结果产生最大影响。要达到全球电子保健标准,需要国际上的帮助。注意:综述论文可能有不同类型的小节。
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引用次数: 1
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Futurity Medicine
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