Search results for "Health service"
showing 10 items of 689 documents
INTERNAL AND EXTERNAL AUDITORS AS A TEAM-WORK
2012
The paper concerns about the relationship between internal and external audit.Auditing activity is known as an activity which brings plus value, an activity with a short history, raised from our need of a high level of performance regarding all the activities developed in a company, especially in now-a-days economy when the word quality gains a much higher value. So, the auditing activity takes her well-earned place on the market, were we meet two concepts of auditing, such as internal auditing and financial (external) auditing. A company is a multitude of activities and departments. In the rush of business, companies need also external partners for the proper performance of their activitie…
Additional file 4 of Sepsis at ICU admission does not decrease 30-day survival in very old patients: a post-hoc analysis of the VIP1 multinational co…
2020
Additional file 4: Figure S2. Inverse probability weighted survival curves for quartiles of the SOFA SCORE.
Additional file 2 of The assessment of risk factors for long-term survival outcome in ypN0 patients with rectal cancer after neoadjuvant therapy and …
2021
Additional file 2. Charlson comorbidity index
Additional file 2 of The assessment of risk factors for long-term survival outcome in ypN0 patients with rectal cancer after neoadjuvant therapy and …
2021
Additional file 2. Charlson comorbidity index
Administration of care to older patients in transition from hospital to home care services: Home nursing leaders' experiences
2013
Published version of an article in the journal: Journal of Multidisciplinary Healthcare. Also available from the Publisher at: http://dx.doi.org/10.2147/JMDH.S51947 Open access Background: Older persons in transition between hospital and home care services are in a particularly vulnerable situation and risk unfortunate consequences caused by organizational inefficiency. The purpose of the study reported here was to elucidate how home nursing leaders experience the administration of care to older people in transition from hospital to their own homes. Methods: A qualitative study design was used. Ten home nursing leaders in two municipalities in southern Norway participated in individual inte…
Unmet needs in emergency department patients as an important aspect of the increasing number of hospitalizations
2017
Background. Unmet needs in the medical care of high-need patients may increase costs due to the use of emergency departments (EDs) instead of primary care. Objectives. To establish the possible correlation between the unmet needs of patients and the number of hospitalizations, and the probability of influence of the former aspect on the latter, and to analyze the level of satisfied needs of ED patients in relation to sociodemographic data. Material and methods. An original questionnaire and a modified version of the Camberwell Assessment of Need Short Appraisal Schedule (CANSAS) were used to assess the level of satisfaction of the social, medical, psychological and environmental needs of 15…
Modeling of medical activity heterogenity to improve the hospital management by diagnosis-related groups
1998
Since the early 1980s healthcare systems in the industrialized nations have been undergoing radical reform aimed at curbing overspending of hospital expenditure. After a discussion of the limits of a prospective payment due to heterogeneity of costs within DRGs, we demonstrate the ability of anovel statistical model to identify high cost patients. We derive from this statistical model an economic heuristic in order to account for high cost patients in budget allocation and a Structural and Contingent method is proposed as a budgeting tool. Economic analysis based on this modeling of DRG heterogeneity further reveals the potential for improving the equity and the efficiency of the prospectiv…
Strategical behaviours in French ambulatory care (a theoretical and empirical study)
1991
Specifying agency relationships between the different actors in ambulatory care - the patient, the physician, the insurance and public authorities - allows to render an account of the complexity and the specificity of the health system. After a presentation of the normative approach of the agency theory, we will focus on two agency relationships : the Relationship between the insurance and insured people and the relationship between the patient and the physician. The driving part of supply appears through the analysis of the relationship between the physician and the others : he is the agent of both the patient and public authorities. The issue is then the hypothesis of supplier induced dem…
A scoping review exploration of the intended and unintended consequences of eHeath on older people : a health equity impact assessment
2018
eHealth is one perceived mechanism to extend the range and reach of limited health-care resources for older adults. A decade-scoping review (2007–2017) was conducted to systematically search and synthesize evidence to understand the intended and unintended consequences of eHealth initiatives, informed by a health equity impact assessment framework. Scoping review sources included international academic and grey literature on eHealth initiatives (e.g., eHealth records, telemedicine/telecare, and mobile eHealth application) focused on the varying needs of older adults (aged 60+), particularly individuals experiencing sociocultural and economic difficulties. Findings suggest that eHealth has s…
Public health strategies adopted to manage the increase of accesses to vaccination services, as a result of the application of the law 119/2017.
2020
Background and aim of the work: In response to the alarming reduction of vaccination coverage rates, Italian Ministry of Health approved the law number 119/2017, which has extended the number of mandatory vaccinations, for school attendance, from four to ten. The present study aims to evaluate accesses to the vaccination services of the Palermo Local Health Unit (LHU) and the variation of the vaccination coverage rates for hexavalent and measles, mumps, rubella and varicella (MMRV) vaccines, after the implementation of the law 119/2017. Methods: An extent of opening hours and an involvement of other health-care professionals in the vaccination services of the Palermo LHU have been adopted t…