Search results for "Healthcare system"
showing 8 items of 48 documents
Medical Records: A Historical Narrative
2022
The history of medical records is thousand-year-long, with earlier roots in ancient civilizations. Until the 19th century, medical records mainly served educational purposes, later assuming other roles such as in insurance or legal procedures. This article comprehensively describes and reviews the development of medical records from ancient to modern times in Europe and North America, reflecting alterations and adaptations compliant with the mental and technological capabilities of a given period. We searched PubMed and Google Scholar databases to collect pertinent articles. English articles or those having English abstracts were considered. The search terms included “Medical Records,” “Hea…
The Impact of Prescribed Dosage Assumptions on the Evaluation of Adherence and Persistence to Medication in Patients After Acute Myocardial Infarction
2021
Medication adherence is a significant problem in public health. Prescription-level pharmacy databases have great potential for monitoring actual drug adherence patterns at the healthcare system level. Many research papers have reported adherence estimates in different settings and populations. However, comparison between studies is not always straightforward due to different approaches taken when computing adherence. A crucial component to accurately estimate adherence is the availability of days’ supply information for each dispensing event. Reasonable assumptions regarding medication dosage have to be made, when this information is not available. In this study, we evaluate adherence and p…
Effectiveness and efficiency of a special program to reduce the bariatric surgery waiting list at a tertiary hospital
2021
Graphical abstract
Adaptation and Refinement of Validated Risk Screening Tools in the Spanish Healthcare System
2013
Abstract The aim of this study is to develop a tool to screen elders at risk of hospital readmissions adapted to Spanish target population. The development of this new tool is based on the validated instrument The Community Assessment Risk Screen – CARS –, which is being applied in a sample of 1.000 older patients. The adaptation and refinement of CARS is being carried out through the compilation of new potential variables from primary care clinicians to predict patients at risk of readmissions. The introduction of this new instrument adapted to Spanish target population will provide a potential tool to identify prematurel y patients at risk of hospital readmissions.
Patients Suffering from a Chronic, Irreversible Illness: A Novel Study on the Psychological Intervention out of the Hospital
2020
Objective: Patients with chronic, untreatable diseases have emotional needs that are often unaddressed by conventional care services within the healthcare systems. The situation of patients with idiopathic pulmonary fibrosis (IPF) is paradigmatic as there are few, if any, studies focusing on psychological interventions for these patients. This chapter describes a study that identifies and quantifies emotional distress, quality of life, spirituality, and key dimensions of health-related well-being after brief psychotherapy treatments at an outpatient clinic.
Addressing Patients Mobility through a Dynamic Performance Management perspective: the case of Sicily
Al giorno d'oggi molte regioni italiane sperimentano il fenomeno della mobilità sanitaria passiva, consistente nella tendenza dei loro residenti a rivolgersi ad altri sistemi sanitari regionali, spesso caratterizzati da miglior reputazione, per ricevere assistenza sanitaria. Poiché il Servizio Sanitario Italiano (SSN) è pubblico e regionalizzato, ogni governo regionale ha la responsabilità di prestare assistenza sanitaria ai propri residenti, garantendo al contempo ad ogni cittadino la libertà di essere curato fuori dalla propria giurisdizione, e compensando le regioni di destinazione per i servizi sanitari resi ai non residenti. Nonostante tale diritto di scelta sia un punto di forza del S…
Towards the cyber security paradigm of ehealth: Resilience and design aspects
2017
Digital technologies have significantly changed the role of healthcare clients in seeking and receiving medical help, as well as brought up more cooperative policy issues in healthcare cross-border services. Citizens continue to take a more co-creative role in decisions about their own healthcare, and new technologies can enable and facilitate this emergent trend. In this study, healthcare services have been intended as a critical societal sector and therefore healthcare systems are focused on as critical infrastructures that ought to be protected from all types of fears, including cyber security threats and attacks. Despite continual progress in the systemic risk management of cyber domain…
E-health systems in digital environments
2019
As we live in the digital world, people can be provided with more effective treatment methods that allow them to live longer in their home and to live there better. People can be provided with better home care and preventive health care. People can easily carry portable sensors and intelligent devices in their bodies and wrists that relay their vital information to hospital systems in real time, from which healthcare staff can track human vitality even in real time. Although the digital world offers good opportunities to improve healthcare systems and make disease analyses more effective, we must look deeper about that issue. Devices and systems may not work well together. Almost every manu…