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Journal of hospital management and health policy最新文献

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Professionalism and patient-centred care—patients’ views and experience 专业精神和以患者为中心的护理--患者的观点和体验
Pub Date : 2023-12-01 DOI: 10.21037/jhmhp-23-98
Zhanming Liang, P. Howard
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引用次数: 0
Federally Qualified Health Centers, Health Center Controlled Network affiliation and performance 联邦合格保健中心、保健中心控制网络的附属机构和业绩
Pub Date : 2023-12-01 DOI: 10.21037/jhmhp-23-90
Armika J Berkley, Monica Aswani, K. Hearld, Allyson G. Hall, Amy Landry, Nancy Borkowski
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引用次数: 0
Monitoring temperature variability inside a healthcare facility during an extreme heat event using low-cost sensors 使用低成本传感器监测极端高温事件期间医疗设施内的温度变化
Pub Date : 2023-12-01 DOI: 10.21037/jhmhp-23-81
James M. Dickson, M. J. Lee, Kori Jones, Ghazal Ebrahimi, Sarah B. Henderson
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引用次数: 0
Web-based calculator using machine learning to predict intracranial hematoma in geriatric traumatic brain injury 利用机器学习预测老年脑外伤颅内血肿的网络计算器
Pub Date : 2023-12-01 DOI: 10.21037/jhmhp-23-97
Thara Tunthanathip, N. Phuenpathom, Apisorn Jongjit
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引用次数: 0
Clinical practice review on population health management and promoting positive health outcomes 关于人口健康管理和促进积极健康结果的临床实践审查
Pub Date : 2023-12-01 DOI: 10.21037/jhmhp-23-106
Linda Collins, Levi Ross, Monday Ugiagbe
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引用次数: 0
Personal safety among doctors working in psychiatric services 精神科医生的人身安全
Pub Date : 2023-12-01 DOI: 10.21037/jhmhp-23-34
Verity Williams, Ruth Knight, M. Sarfraz
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引用次数: 0
Impact of acute-care pharmacy services on health system skilled nursing locations 急症护理药房服务对卫生系统熟练护理地点的影响
Pub Date : 2023-09-01 DOI: 10.21037/jhmhp-23-27
Alexis Vanderlee, John A. Armitstead, Joy Darnell, Yanela Lozano
Background: Skilled nursing locations embedded within a health system traditionally receive pharmacy services, including distribution and clinical care, from a third-party vendor. The provision of integrated services from the acute-care pharmacy locations can improve the quality of patient care delivery.
背景:嵌入卫生系统的熟练护理地点传统上接受来自第三方供应商的药学服务,包括分发和临床护理。从急症护理药房提供综合服务可以提高患者护理的质量。
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引用次数: 0
Development of the private hospitals in Singapore from 1983 to 2022 1983年至2022年新加坡私立医院的发展
Pub Date : 2023-09-01 DOI: 10.21037/jhmhp-23-62
Yee Gary Ang
: The global healthcare landscape has seen transformative changes, with the private hospital sector gaining importance in many countries due to constraints in public health expenditure. Singapore’s healthcare spending has risen sharply, overtaking defense spending, driven by policy changes and increased consumption taxes. Understanding the Ministry of Health’s (MOH’s) role in nurturing the private hospital sector holds implications for healthcare systems and economic development, domestically and globally. This study employs a qualitative approach combining document analysis and thematic synthesis. Data were sourced from governmental reports, academic studies, policy documents, and industry publications. Theoretical framework employs the Developmental State Theory. Data interpretation is guided by the roles of the state: custodian, demiurge, midwifery, and husbandry. Singapore’s private tertiary healthcare sector comprises 17 hospitals, predominantly capital-intensive and competing with public hospitals. The MOH’s roles are analyzed from various phases, including promoting private hospitals, regulating fees, facilitating foreign patient influx, and ensuring patient safety. Private sector roles encompass providers, insurers, and business associations, while the latter influence professional standards and workforce dynamics. Singapore’s shift towards prioritizing healthcare spending offers insights into resource allocation and economic implications. The public-private partnership model and MOH’s roles present a reference for balancing private sector efficiency with public healthcare access. Ethical considerations of medical tourism underscore the challenge of global reputation and domestic equity. Applying the Developmental State Theory to healthcare underscores government’s role in fostering innovation. Singapore’s approach to developing the private hospital sector demonstrates the importance of a well-calibrated public-private partnership in healthcare. The interplay between the government, private sector, and regulatory landscape provides valuable lessons for countries considering healthcare privatization. Challenges in equity, technology, and demographic shifts need continued attention. Singapore’s experience serves as a blueprint for navigating complex healthcare policy decisions and ensuring sustainable healthcare systems.
全球卫生保健格局发生了变革性变化,由于公共卫生支出的限制,私营医院部门在许多国家变得越来越重要。在政策变化和消费税增加的推动下,新加坡的医疗支出大幅上升,超过了国防支出。了解卫生部在培育私立医院部门方面的作用,对国内和全球的卫生保健系统和经济发展具有重要意义。本研究采用文献分析与专题综合相结合的定性研究方法。数据来源于政府报告、学术研究、政策文件和行业出版物。理论框架采用发展状态理论。数据解释是由国家的角色引导的:监护人、造物主、助产士和饲养员。新加坡的私立三级医疗保健部门包括17家医院,主要是资本密集型医院,与公立医院竞争。从促进民营医院、规范费用、促进外国患者流入、确保患者安全等各个阶段分析了卫生部的作用。私营部门的角色包括供应商、保险公司和商业协会,而后者影响专业标准和劳动力动态。新加坡向优先考虑医疗支出的转变,提供了对资源分配和经济影响的见解。公私伙伴关系模式和卫生部的作用为平衡私营部门的效率与公共医疗保健的可及性提供了参考。医疗旅游的伦理考虑强调了全球声誉和国内公平的挑战。将发展国家理论应用于医疗保健,强调了政府在促进创新方面的作用。新加坡发展私立医院部门的做法表明,在医疗保健领域建立一种校准良好的公私伙伴关系十分重要。政府、私营部门和监管环境之间的相互作用为考虑医疗保健私有化的国家提供了宝贵的经验。需要继续关注公平、技术和人口变化方面的挑战。新加坡的经验可作为指导复杂医疗保健政策决策和确保可持续医疗保健系统的蓝图。
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引用次数: 0
Financial performance of rural hospitals persistently lacking or having telehealth technology 农村医院的财务业绩长期缺乏或拥有远程保健技术
Pub Date : 2023-09-01 DOI: 10.21037/jhmhp-22-85
Saleema A. Karim, J. Mick Tilford, Cari A. Bogulski, Maysam Rabbani, Corey J. Hayes, Hari Eswaran
Background: Rural hospitals experience financial pressures that threaten their ability to continue operations and provide accessible quality healthcare services. To ensure the delivery of patient care to rural residents some rural hospitals have adopted telehealth technology. Although telehealth has been cited to have several positive outcomes, there is variation in telehealth adoption by rural hospitals. The purpose of this study is to determine the factors associated with telehealth adoption and to compare the financial condition of rural hospital telehealth adopters and non-adopters.
背景:农村医院面临财政压力,威胁其继续运营和提供优质保健服务的能力。为确保向农村居民提供医疗服务,一些农村医院采用了远程医疗技术。尽管有人指出远程保健有若干积极成果,但农村医院采用远程保健的情况各不相同。本研究的目的是确定与远程医疗采用相关的因素,并比较农村医院远程医疗采用者和非采用者的财务状况。
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引用次数: 0
Patient decision aid for chemotherapy or exclusion in cisplatin-intolerant patients with locally-advanced cervical cancer (CECIL): protocol for development, validation and clinical testing 局部晚期宫颈癌(CECIL)顺铂不耐受患者化疗或排除患者决策辅助:开发、验证和临床试验方案
Pub Date : 2023-09-01 DOI: 10.21037/jhmhp-23-9
Warren Bacorro, Kathleen Baldivia, Jocelyn Mariano, Evelyn Dancel, Linda Antonio, Gil Gonzalez, Teresa Sy Ortin, Rodel Canlas
Background: In locally-advanced cervical cancer (LACC), adding chemotherapy (ChT) to radiotherapy (RT) improves survival at the cost of increased toxicity. Among patients with cisplatin contraindications, compliance to RT may be compromised. Shared decision-making (SDM) allows for more patient engagement in the decision-making process and decision implementation planning. In cancer-related decision-making, patient decision aids (PtDA) facilitate the SDM process and have increased patient knowledge and satisfaction and decreased decisional conflict and attitudinal barriers improved patient satisfaction and treatment compliance.
背景:在局部晚期宫颈癌(LACC)中,化疗(ChT)加放疗(RT)可提高生存率,但代价是毒性增加。在有顺铂禁忌症的患者中,对RT的依从性可能会受到损害。共享决策(SDM)允许更多的患者参与决策过程和决策实施计划。在癌症相关决策中,患者决策辅助(PtDA)促进了SDM过程,增加了患者的知识和满意度,减少了决策冲突和态度障碍,提高了患者满意度和治疗依从性。
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引用次数: 1
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Journal of hospital management and health policy
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