Pub Date : 2018-01-01DOI: 10.1504/IJHTM.2018.098389
Fadhel Alshqaqeeq, J. Twomey, M. Overcash
Uneaten food, whether by patients or unserved, is considered food waste. Plate waste is the remaining, uneaten food after being served to patients in the hospital. The uneaten food has a cascading environmental impact on increasing the amount of food grown or raised, energy in transport of food to hospitals, and impact of methane and carbon dioxide from landfilling the uneaten food. Food waste has been measured either by weight or visual estimation. About 500 hospitals worldwide have had food waste studies and about half are in Europe. This study is the first to quantify the limited data on different strategies for improving food waste results. There were 92 studies that documented improvement of food waste, with the single biggest change being tailoring the food choice to the individual patient's desire for food. Unserved food waste was not considered in this review.
{"title":"Food waste in hospitals: review","authors":"Fadhel Alshqaqeeq, J. Twomey, M. Overcash","doi":"10.1504/IJHTM.2018.098389","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.098389","url":null,"abstract":"Uneaten food, whether by patients or unserved, is considered food waste. Plate waste is the remaining, uneaten food after being served to patients in the hospital. The uneaten food has a cascading environmental impact on increasing the amount of food grown or raised, energy in transport of food to hospitals, and impact of methane and carbon dioxide from landfilling the uneaten food. Food waste has been measured either by weight or visual estimation. About 500 hospitals worldwide have had food waste studies and about half are in Europe. This study is the first to quantify the limited data on different strategies for improving food waste results. There were 92 studies that documented improvement of food waste, with the single biggest change being tailoring the food choice to the individual patient's desire for food. Unserved food waste was not considered in this review.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"186"},"PeriodicalIF":1.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2018.098389","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66972668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.1504/IJHTM.2018.10019836
N. Wickramasinghe, J. Schaffer
Healthcare is one of the most data rich and data generating industries. Yet, these data tend to be discontinuous, incomplete, lacking standardisation, or even erroneous and unusable. Pressure is increasing for healthcare organisations to provide increased value by improving health outcomes at a lower cost. In order to address these challenges, business analytics and intelligence (BA/BI) are critical strategic tools used to methodically analyse the wealth of seemingly disparate healthcare data sets and provide enhancement of healthcare's overall performance through data driven decision making. For acute and chronic oncology care processes, these pressures are mounting given the rising costs and increasingly complicated processes under the rising numbers and ages of the population. Given these pressures to improve healthcare value, this study proposes a systematic framework for the application of business analytics at one of the largest tertiary hospitals in Melbourne, Australia, in the quest for optimising healthcare.
{"title":"Enhancing healthcare value by applying proactive measures: the role for business analytics and intelligence","authors":"N. Wickramasinghe, J. Schaffer","doi":"10.1504/IJHTM.2018.10019836","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10019836","url":null,"abstract":"Healthcare is one of the most data rich and data generating industries. Yet, these data tend to be discontinuous, incomplete, lacking standardisation, or even erroneous and unusable. Pressure is increasing for healthcare organisations to provide increased value by improving health outcomes at a lower cost. In order to address these challenges, business analytics and intelligence (BA/BI) are critical strategic tools used to methodically analyse the wealth of seemingly disparate healthcare data sets and provide enhancement of healthcare's overall performance through data driven decision making. For acute and chronic oncology care processes, these pressures are mounting given the rising costs and increasingly complicated processes under the rising numbers and ages of the population. Given these pressures to improve healthcare value, this study proposes a systematic framework for the application of business analytics at one of the largest tertiary hospitals in Melbourne, Australia, in the quest for optimising healthcare.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"128"},"PeriodicalIF":1.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66972727","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.1504/IJHTM.2018.098367
T. Harrington, J. Srai, Ismail Najim
The emergence of more targeted molecular therapies has contributed to accelerated growth within the oncology market, with forecast spends expected to be circa $74-84 billion by 2018. Coupled with its many specificities around pricing, insurance implications and ethics, we argue that the segment may best inform future pharmaceutical value network design characteristics. Through exploration of future state scenarios and opportunity areas, driven by the adoption of emerging process and digital technologies, a base framework is extended to enable a systematic assessment of candidates that are representative of the wider oncology market. These include niche, low volume drugs on-patent, through to higher volume generics with a history of supply shortages. Oncology 'archetypes' are proposed - classified as 'new niche', 'old niche' and 'established generics' - and applied to develop associated models for reconfiguration, through matching emerging process capabilities to future adaptive supply requirements, and informing the potential for economies of drug 'repurposing'.
{"title":"Emerging product-process archetypes in oncology: informing the sustainable provision of next-generation medicines","authors":"T. Harrington, J. Srai, Ismail Najim","doi":"10.1504/IJHTM.2018.098367","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.098367","url":null,"abstract":"The emergence of more targeted molecular therapies has contributed to accelerated growth within the oncology market, with forecast spends expected to be circa $74-84 billion by 2018. Coupled with its many specificities around pricing, insurance implications and ethics, we argue that the segment may best inform future pharmaceutical value network design characteristics. Through exploration of future state scenarios and opportunity areas, driven by the adoption of emerging process and digital technologies, a base framework is extended to enable a systematic assessment of candidates that are representative of the wider oncology market. These include niche, low volume drugs on-patent, through to higher volume generics with a history of supply shortages. Oncology 'archetypes' are proposed - classified as 'new niche', 'old niche' and 'established generics' - and applied to develop associated models for reconfiguration, through matching emerging process capabilities to future adaptive supply requirements, and informing the potential for economies of drug 'repurposing'.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"97"},"PeriodicalIF":1.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2018.098367","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973070","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.1504/IJHTM.2018.10019843
A. Bán, Viktor Pál, György Vida, Gábor Dudás
E-health plays an increasingly important role in healthcare since it can improve the access to health information. In this article, we are seeking to answer the following questions with respect to online health services: To what extent can they reduce the workload of healthcare professionals in the healthcare system? What kind of health benefits can e-health produce for patients? In our study, we conducted a content analysis based on 'the doctor answers' columns of a Hungarian online health portal. We examined the direct and indirect references to two indicators (seeing the doctor, therapeutic advice) in the responses in relation to ten disease groups. Our results suggest that online health portals can moderately reduce the workload of healthcare professionals and at the same time they can produce considerable health gain for patients.
{"title":"The role of internet-based healthcare services in the healthcare process: the example of a Hungarian health portal","authors":"A. Bán, Viktor Pál, György Vida, Gábor Dudás","doi":"10.1504/IJHTM.2018.10019843","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10019843","url":null,"abstract":"E-health plays an increasingly important role in healthcare since it can improve the access to health information. In this article, we are seeking to answer the following questions with respect to online health services: To what extent can they reduce the workload of healthcare professionals in the healthcare system? What kind of health benefits can e-health produce for patients? In our study, we conducted a content analysis based on 'the doctor answers' columns of a Hungarian online health portal. We examined the direct and indirect references to two indicators (seeing the doctor, therapeutic advice) in the responses in relation to ten disease groups. Our results suggest that online health portals can moderately reduce the workload of healthcare professionals and at the same time they can produce considerable health gain for patients.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"1 1","pages":"168"},"PeriodicalIF":1.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973459","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-01-01DOI: 10.1504/IJHTM.2018.10019849
Shahid Hamid Raina, R. Bhat, K. Dar
The growing middle class, increased health consciousness and inadequate public health facilities have led to an enormous growth of the private healthcare sector in India. The aim of the present study is to evaluate the service quality of private hospitals in Srinagar District of India from the perspective of outpatients. The study used SERVQUAL model to determine the overall service quality and gaps between perceptions and expectations of outpatients regarding service quality attributes in sample private hospitals. The results revealed that there existed a statistically significant difference between total mean perceptions and total mean expectations of patients across all the dimensions and variables of healthcare service quality (p < 0.05) except for three variables (hospital being visually appealing; floor being clean; and, hospital having regular water supply). The overall service quality of −1.22 implies that the private hospitals in Srinagar District are far from meeting the expectations of patients.
{"title":"Service quality in private hospitals of Jammu and Kashmir - an empirical assessment from District Srinagar","authors":"Shahid Hamid Raina, R. Bhat, K. Dar","doi":"10.1504/IJHTM.2018.10019849","DOIUrl":"https://doi.org/10.1504/IJHTM.2018.10019849","url":null,"abstract":"The growing middle class, increased health consciousness and inadequate public health facilities have led to an enormous growth of the private healthcare sector in India. The aim of the present study is to evaluate the service quality of private hospitals in Srinagar District of India from the perspective of outpatients. The study used SERVQUAL model to determine the overall service quality and gaps between perceptions and expectations of outpatients regarding service quality attributes in sample private hospitals. The results revealed that there existed a statistically significant difference between total mean perceptions and total mean expectations of patients across all the dimensions and variables of healthcare service quality (p < 0.05) except for three variables (hospital being visually appealing; floor being clean; and, hospital having regular water supply). The overall service quality of −1.22 implies that the private hospitals in Srinagar District are far from meeting the expectations of patients.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"17 1","pages":"197"},"PeriodicalIF":1.0,"publicationDate":"2018-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"66973123","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-23DOI: 10.1504/IJHTM.2017.088870
M. Brady, Vikas Kumar, P. J. Byrne, G. Conyngham, P. Liston, P. Gilligan
The purpose of this paper is to examine the flow of patients through the emergency department of a large suburban acute general hospital and the factors that influence overcrowding and congestion. The paper broadly draws on the input-process-output systems paradigm as a basis for examining emergency department patient throughput. A data set of all attendances at the emergency department of a large suburban acute general hospital during the course of a full calendar year was examined using statistical tools. The analysis found that the major influencers of length of stay were patient-related factors such as age, severity of ailment (triage category), and whether or not the patient was admitted into the main hospital. Patients admitted into the hospital had significantly longer length of stay in emergency than those who were not admitted. The main influencers of patient arrivals were temporal factors such as time of day and day of arrival. These influencing factors are formed into a tentative model of emergency department congestion.
{"title":"Towards a model of emergency department congestion","authors":"M. Brady, Vikas Kumar, P. J. Byrne, G. Conyngham, P. Liston, P. Gilligan","doi":"10.1504/IJHTM.2017.088870","DOIUrl":"https://doi.org/10.1504/IJHTM.2017.088870","url":null,"abstract":"The purpose of this paper is to examine the flow of patients through the emergency department of a large suburban acute general hospital and the factors that influence overcrowding and congestion. The paper broadly draws on the input-process-output systems paradigm as a basis for examining emergency department patient throughput. A data set of all attendances at the emergency department of a large suburban acute general hospital during the course of a full calendar year was examined using statistical tools. The analysis found that the major influencers of length of stay were patient-related factors such as age, severity of ailment (triage category), and whether or not the patient was admitted into the main hospital. Patients admitted into the hospital had significantly longer length of stay in emergency than those who were not admitted. The main influencers of patient arrivals were temporal factors such as time of day and day of arrival. These influencing factors are formed into a tentative model of emergency department congestion.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"16 1","pages":"303"},"PeriodicalIF":1.0,"publicationDate":"2017-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2017.088870","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47932124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-23DOI: 10.1504/IJHTM.2017.088861
S. D. Rosis, S. Barsanti
The routine deployment of tele-healthcare solutions in healthcare systems and at the system-level is challenging and often problematic. This article reports the results of a case study in Tuscany (Italy), aimed at investigating the factors that may affect these processes. A multi-level and multi-stakeholder sample of 32 informants were interviewed in-depth about topics based on a previous literature analysis. Crucial determinant factors in the management of tele-healthcare services were identified in relation to technological, individual, organisational and contextual aspects. A reorganisation of healthcare in line with more participatory dynamics of teamwork, and more collaborative relationships within and among healthcare organisations, as well as with other stakeholders could contribute to integrate tele-healthcare into practice. Leadership and a strategic vision could also strongly influence the implementation and deployment of tele-healthcare.
{"title":"Multi-level determinants of tele-healthcare: a case study in Italy","authors":"S. D. Rosis, S. Barsanti","doi":"10.1504/IJHTM.2017.088861","DOIUrl":"https://doi.org/10.1504/IJHTM.2017.088861","url":null,"abstract":"The routine deployment of tele-healthcare solutions in healthcare systems and at the system-level is challenging and often problematic. This article reports the results of a case study in Tuscany (Italy), aimed at investigating the factors that may affect these processes. A multi-level and multi-stakeholder sample of 32 informants were interviewed in-depth about topics based on a previous literature analysis. Crucial determinant factors in the management of tele-healthcare services were identified in relation to technological, individual, organisational and contextual aspects. A reorganisation of healthcare in line with more participatory dynamics of teamwork, and more collaborative relationships within and among healthcare organisations, as well as with other stakeholders could contribute to integrate tele-healthcare into practice. Leadership and a strategic vision could also strongly influence the implementation and deployment of tele-healthcare.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"16 1","pages":"227"},"PeriodicalIF":1.0,"publicationDate":"2017-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1504/IJHTM.2017.088861","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42800780","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-23DOI: 10.1504/IJHTM.2017.10009752
R. Patriarca, G. D. Gravio, F. Costantino, M. Tronci, A. Severoni, A. Vernile, F. Bilotta
This review analyses the contributions about resilience engineering as an emerging topic in healthcare literature. Owing to the cross-disciplinarity of the theme, this review takes into account PubMed and Scopus databases through March 2017 as well as other not-indexed papers from the Resilience Engineering Association (REA) symposia and other books in the field. After removing duplicates and screening full-texts, we analysed 63 studies that were categorised into four groups that describe the current research state of resilience engineering in healthcare. This scoping review demonstrates the relevance of resilience in complex healthcare activities, exploring the potential benefits to engineer it. The theoretical background and the preliminary applications confirm the potential of this paradigm shift for safety management to cope with current and future healthcare system needs.
{"title":"A paradigm shift to enhance patient safety in healthcare, a resilience engineering approach: scoping review of available evidence","authors":"R. Patriarca, G. D. Gravio, F. Costantino, M. Tronci, A. Severoni, A. Vernile, F. Bilotta","doi":"10.1504/IJHTM.2017.10009752","DOIUrl":"https://doi.org/10.1504/IJHTM.2017.10009752","url":null,"abstract":"This review analyses the contributions about resilience engineering as an emerging topic in healthcare literature. Owing to the cross-disciplinarity of the theme, this review takes into account PubMed and Scopus databases through March 2017 as well as other not-indexed papers from the Resilience Engineering Association (REA) symposia and other books in the field. After removing duplicates and screening full-texts, we analysed 63 studies that were categorised into four groups that describe the current research state of resilience engineering in healthcare. This scoping review demonstrates the relevance of resilience in complex healthcare activities, exploring the potential benefits to engineer it. The theoretical background and the preliminary applications confirm the potential of this paradigm shift for safety management to cope with current and future healthcare system needs.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"16 1","pages":"319"},"PeriodicalIF":1.0,"publicationDate":"2017-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47310373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-23DOI: 10.1504/IJHTM.2017.10009743
F. Hooshmand, S. A. MirHassani, A. Akhavein
This study develops a cyclic allocation table in which operating room blocks are allocated to surgeons under the assumption that the hospital authority has already chosen the share of operating room time to be made available for each surgeon. The aim is to minimise the expected bed shortage in the intensive care unit and wards where the number of patients operated by each surgeon, the length of stay of patients, and the number of available beds in hospitalisation units are uncertain. Thus, a scenario-based, two-stage, stochastic model on a large scenario space is proposed. Then, the sample average approximation method is employed to solve the model for a set of randomly sampled scenarios. Numerical experiments demonstrate that by using a moderate sample size, solutions obtained by this method converge to a real optimum in a reasonable time. Moreover, the proposed method outperforms other methods such as expected value approach.
{"title":"A scenario-based approach for master surgery scheduling under uncertainty","authors":"F. Hooshmand, S. A. MirHassani, A. Akhavein","doi":"10.1504/IJHTM.2017.10009743","DOIUrl":"https://doi.org/10.1504/IJHTM.2017.10009743","url":null,"abstract":"This study develops a cyclic allocation table in which operating room blocks are allocated to surgeons under the assumption that the hospital authority has already chosen the share of operating room time to be made available for each surgeon. The aim is to minimise the expected bed shortage in the intensive care unit and wards where the number of patients operated by each surgeon, the length of stay of patients, and the number of available beds in hospitalisation units are uncertain. Thus, a scenario-based, two-stage, stochastic model on a large scenario space is proposed. Then, the sample average approximation method is employed to solve the model for a set of randomly sampled scenarios. Numerical experiments demonstrate that by using a moderate sample size, solutions obtained by this method converge to a real optimum in a reasonable time. Moreover, the proposed method outperforms other methods such as expected value approach.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"16 1","pages":"177"},"PeriodicalIF":1.0,"publicationDate":"2017-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45603612","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2017-12-23DOI: 10.1504/IJHTM.2017.10009745
Georgios N. Chatzipoulidis, Georgios N. Aretoulis, Glykeria P. Kalfakakou
The need for reengineering the National Health Service of Greece is undeniable. Public private partnerships are examined as a possible funding tool. The research focus was on the social reaction of Greek society towards implementation of PPPs in the public health sector. Previous attempts to implement PPPs failed as a result of intense opposition from the citizens. A structured questionnaire survey took place. There were 500 recorded responses. Descriptive statistics and correlation analysis focusing on place of residence, age, and gender, were implemented, using SPSS. Both approaches appear to lead to the same conclusions. Respondents indicated that a positive social reaction was found towards the involvement of the private sector in providing specific support services during the contract. On the other hand, there is a great reluctance to involve the private sector in any service related to the direct provision of curative care to the patients in public hospitals.
{"title":"The attitude of Greek society to public-private partnerships in the public health sector","authors":"Georgios N. Chatzipoulidis, Georgios N. Aretoulis, Glykeria P. Kalfakakou","doi":"10.1504/IJHTM.2017.10009745","DOIUrl":"https://doi.org/10.1504/IJHTM.2017.10009745","url":null,"abstract":"The need for reengineering the National Health Service of Greece is undeniable. Public private partnerships are examined as a possible funding tool. The research focus was on the social reaction of Greek society towards implementation of PPPs in the public health sector. Previous attempts to implement PPPs failed as a result of intense opposition from the citizens. A structured questionnaire survey took place. There were 500 recorded responses. Descriptive statistics and correlation analysis focusing on place of residence, age, and gender, were implemented, using SPSS. Both approaches appear to lead to the same conclusions. Respondents indicated that a positive social reaction was found towards the involvement of the private sector in providing specific support services during the contract. On the other hand, there is a great reluctance to involve the private sector in any service related to the direct provision of curative care to the patients in public hospitals.","PeriodicalId":51933,"journal":{"name":"International Journal of Healthcare Technology and Management","volume":"16 1","pages":"204"},"PeriodicalIF":1.0,"publicationDate":"2017-12-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44415895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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