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[About reorganization of ambulatory polyclinic care of population in Moscow].

https://arctichealth.org/en/permalink/ahliterature106411
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2013 Jul-Aug;(4):36-8
Publication Type
Article
Author
O V Gridnev
A A Zagoruichenko
Source
Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2013 Jul-Aug;(4):36-8
Language
Russian
Publication Type
Article
Keywords
Ambulatory Care - organization & administration
Delivery of Health Care - organization & administration
Efficiency, Organizational
Humans
Moscow
Retrospective Studies
Urban Population
Abstract
The article presents main characteristics of development of ambulatory polyclinic care to population exemplified by North East administrative okrug of Moscow under implementation of three-level system according program of modernization of metropolitan health care.
PubMed ID
24175387 View in PubMed
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[Activities performed by general practitioners before and after the introduction of an inter-municipal emergency service and the list patient system].

https://arctichealth.org/en/permalink/ahliterature181382
Source
Tidsskr Nor Laegeforen. 2004 Feb 19;124(4):506-7
Publication Type
Article
Date
Feb-19-2004
Author
Ola Jøsendal
Solfrid Aase
Author Affiliation
Radøy legesenter, 5936 Manger. ola.josendal@psyhp.uib.no
Source
Tidsskr Nor Laegeforen. 2004 Feb 19;124(4):506-7
Date
Feb-19-2004
Language
Norwegian
Publication Type
Article
Keywords
After-Hours Care - economics - organization & administration - utilization
Cost Savings
Efficiency, Organizational
Emergency Medical Services - economics - organization & administration - utilization
Family Practice - economics - organization & administration - statistics & numerical data
Health Care Reform - economics - organization & administration - statistics & numerical data
House Calls - economics - statistics & numerical data
Humans
Norway
Referral and Consultation - economics - organization & administration - utilization
Registries
Abstract
Over a span of four years we studied the number and type of patient contacts with the off-hour emergency service in a municipality in Western Norway. At the start of the period, the service was organised by each municipality, later more municipalities formed a regional service. At the end of the period, a list patient system was introduced.
All contacts from patients as well as activities performed by general practitioners on off-hour emergency duty were registered in four separate periods, from 1999 to 2002.
Simultaneously with shift from a local to a regional system, the proportion of home calls fell from 18% to less than 1%. The implementation of a list patient system combined with a regional system reduced the total number of contacts by 30%. Public expenditure was reduced by 66%.
The combination of a regional off-hour service and a list patient system gives an efficient organisation. The total work-load for doctors is significantly reduced and the quality of medical services improve; financial considerations also support a shift in off-hour emergency service towards regional organisation.
PubMed ID
14983200 View in PubMed
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[Activity-based financing in psychiatry, too?].

https://arctichealth.org/en/permalink/ahliterature178070
Source
Tidsskr Nor Laegeforen. 2004 Sep 23;124(18):2379-81
Publication Type
Article
Date
Sep-23-2004
Author
Anne Line Bretteville-Jensen
Oddvar Kaarbøe
Author Affiliation
Program for helseøkonomi i Bergen (HEB) og Statens institutt for rusmiddelforskning (SIRUS), Postboks 565 Sentrum, 0105 Oslo.
Source
Tidsskr Nor Laegeforen. 2004 Sep 23;124(18):2379-81
Date
Sep-23-2004
Language
Norwegian
Publication Type
Article
Keywords
Efficiency, Organizational - economics
Financing, Government
Health Policy - economics
Hospitals, Psychiatric - economics
Humans
Insurance, Health - economics
Mental Health Services - economics
Norway
Psychiatry - economics
Notes
Comment In: Tidsskr Nor Laegeforen. 2004 Nov 18;124(22):2943-4; author reply 294415550979
PubMed ID
15467806 View in PubMed
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Adding value while saving dollars: unleashing the potential of a national, integrated approach to home and community care.

https://arctichealth.org/en/permalink/ahliterature146214
Source
Healthc Pap. 2009;9(4):41-6; discussion 52-5
Publication Type
Article
Date
2009
Author
Teresa Petch
Judith Shamian
Author Affiliation
Victorian Order of Nurses (VON) Canada.
Source
Healthc Pap. 2009;9(4):41-6; discussion 52-5
Date
2009
Language
English
Publication Type
Article
Keywords
Canada
Community Health Services - economics - organization & administration
Delivery of Health Care - economics - organization & administration
Delivery of Health Care, Integrated - economics - organization & administration
Efficiency, Organizational - economics
Health Services Accessibility
Health services needs and demand
Home Care Services - economics - organization & administration
Humans
Abstract
This commentary by Victorian Order of Nurses Canada, written in response to "Getting What We Pay For? The Value-for-Money Challenge," by McGrail, Zierler and Ip, answers four key questions about Canada's home and community care sector: (1) What are our objectives? (2) Where do we achieve good value now? (3) Where and why are we failing? and (4) What will help us do better? We conclude that although the home and community care sector offers great promise in meeting the evolving health and social needs of Canadians, it is not living up to its potential. We propose the development of a national, integrated approach to home and community care to help Canadians remain healthy and independent in their homes. This would represent a wise financial investment for governments and would contribute to the long-term health of Canadians.
Notes
Comment On: Healthc Pap. 2009;9(4):8-2220057203
PubMed ID
20057208 View in PubMed
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Source
CMAJ. 2002 Feb 5;166(3):299-300
Publication Type
Article
Date
Feb-5-2002
Author
Dalia L Rotstein
David A Alter
Dalis L Rotstein
Source
CMAJ. 2002 Feb 5;166(3):299-300
Date
Feb-5-2002
Language
English
Publication Type
Article
Keywords
Adult
Aged
Breast Neoplasms - diagnosis - prevention & control
Canada
Efficiency, Organizational
Female
Humans
Mass Screening - organization & administration
Middle Aged
Time and Motion Studies
Notes
Cites: Health Policy. 1996 Apr;36(1):17-3510172629
Cites: CMAJ. 2001 Aug 7;165(3):277-8311517642
Cites: CMAJ. 1998 May 5;158(9):1151-39597966
Cites: Health Policy. 2000 May;52(1):15-3210899642
Cites: Br J Surg. 2000 Aug;87(8):1082-610931055
Erratum In: CMAJ 2002 Apr 30;166(9):1135Rotstein Dalis L [corrected to Rotstein Dalia L]
PubMed ID
11868633 View in PubMed
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Adopting new medical technologies in Russian hospitals: what causes inefficiency? (qualitative study).

https://arctichealth.org/en/permalink/ahliterature294591
Source
Health Econ Policy Law. 2018 Jan; 13(1):33-49
Publication Type
Journal Article
Date
Jan-2018
Author
Sergey Shishkin
Liudmila Zasimova
Author Affiliation
1Director,Center for Health Policy,National Research University Higher School of Economics,Moscow,Russia.
Source
Health Econ Policy Law. 2018 Jan; 13(1):33-49
Date
Jan-2018
Language
English
Publication Type
Journal Article
Keywords
Biomedical Technology
Decision Making
Diffusion of Innovation
Efficiency, Organizational
Faculty, Medical
Hospital Administrators
Hospitals
Humans
Russia
Abstract
The adoption of new medical technologies often generates losses in efficiency associated with the excess or insufficient acquisition of new equipment, an inappropriate choice (in terms of economic and clinical parameters) of medical equipment, and its poor use. Russia is a good example for exploring the problem of the ineffective adoption of new medical technologies due to the massive public investment in new equipment for medical institutions in 2006-2013. This study examines the procurement of new technologies in Russian hospitals to find the main causes of inefficiency. The research strategy was based on in-depth semistructured interviews with representatives of prominent actors (regional health care authorities, hospital executives, senior physicians). The main result is that inefficiencies arise from the contradiction between hospitals' and authorities' motivation for acquiring new technologies: hospitals tend to adopt technologies which bring benefits to their department heads and physicians and minimize maintenance and servicing costs, while the authorities' main concern is the initial cost of the technology.
PubMed ID
28249636 View in PubMed
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[ADP-based records in primary health care. Rationalization or reorganization?].

https://arctichealth.org/en/permalink/ahliterature211894
Source
Tidsskr Nor Laegeforen. 1996 May 10;116(12):1470-3
Publication Type
Article
Date
May-10-1996
Author
B. Hofmann
J. Tørstad
Author Affiliation
Telenor Forskning og Utvikling, Tromsø
Source
Tidsskr Nor Laegeforen. 1996 May 10;116(12):1470-3
Date
May-10-1996
Language
Norwegian
Publication Type
Article
Keywords
Efficiency, Organizational
Humans
Medical Records Systems, Computerized
Norway
Primary Health Care - organization & administration - standards
Abstract
Computer-based patient record systems have become very common in the primary health service, but their effects have seldom been documented. Three surveys were carried out in the municipality of Sør-Varanger, in 1993, 1994 and 1995, to discover how such a system has affected the running of the municipal medical centres. The most significant changes were organisational. Certain tasks changed hands, others were dispensed with, and new ones were added. Information on patients became more readily available, and services to the public were improved. Many more patients received an answer to questions concerning information in the case record, and far fewer forms had to be filled in manually. Despite this, computerisation had seemingly led to little change in effectiveness, and the total load of work remained the same. The survey also showed that simple extensions to the system could produce marked improvements.
PubMed ID
8650636 View in PubMed
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Advancing nursing leadership in long-term care.

https://arctichealth.org/en/permalink/ahliterature143603
Source
Nurs Leadersh (Tor Ont). 2010 May;23 Spec No 2010:75-89
Publication Type
Article
Date
May-2010
Author
Jennifer O'Brien
Margaret Ringland
Susan Wilson
Author Affiliation
Human Resources and Support Services, St. Joseph's Health Centre Guelph. jobrien@sjhcg.ca
Source
Nurs Leadersh (Tor Ont). 2010 May;23 Spec No 2010:75-89
Date
May-2010
Language
English
Publication Type
Article
Keywords
Clinical Competence
Curriculum
Data Collection
Efficiency, Organizational
Ethics, Nursing
Focus Groups
Homes for the Aged
Humans
Leadership
Long-Term Care
Mentors
Nurse Administrators
Nurses
Nursing Evaluation Research
Nursing Research
Ontario
Organizational Culture
Personnel Turnover
Skilled Nursing Facilities
Abstract
Nurses working in the long-term care (LTC) sector face unique workplace stresses, demands and circumstances. Designing approaches to leadership training and other supportive human-resource strategies that reflect the demands of the LTC setting fosters a positive work life for nurses by providing them with the skills and knowledge necessary to lead the care team and to address resident and family issues. Through the St. Joseph's Health Centre Guelph demonstration site project, funded by the Nursing Secretariat of Ontario's Ministry of Health and Long-Term Care, the Excelling as a Nurse Leader in Long Term Care training program and the Mentor Team program were developed to address these needs. Evaluation results show that not only have individual nurses benefitted from taking part in these programs, but also that the positive effects were felt in other parts of the LTC home (as reported by Directors of Care). By creating a generally healthier work environment, it is anticipated that these programs will also have a positive effect on recruitment and retention.
PubMed ID
20463447 View in PubMed
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After-hours radiology consultation in an academic setting, 2005-2009.

https://arctichealth.org/en/permalink/ahliterature131828
Source
Can Assoc Radiol J. 2012 Aug;63(3):165-9
Publication Type
Article
Date
Aug-2012
Author
Faisal S Raja
Justin Amann
Author Affiliation
Diagnostic Radiology, Schulich School of Medicine and Dentistry, University of Western Ontario, London, Ontario, Canada.
Source
Can Assoc Radiol J. 2012 Aug;63(3):165-9
Date
Aug-2012
Language
English
Publication Type
Article
Keywords
Academic Medical Centers - organization & administration
After-Hours Care - organization & administration
Analysis of Variance
Efficiency, Organizational
Humans
Internet
Ontario
Radiology - organization & administration
Retrospective Studies
Workload
PubMed ID
21873025 View in PubMed
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Agreement between referral information and discharge diagnoses according to Norwegian elective treatment guidelines - a cross-sectional study.

https://arctichealth.org/en/permalink/ahliterature264629
Source
BMC Health Serv Res. 2014;14:493
Publication Type
Article
Date
2014
Author
Lise Lund Håheim
Jon Helgeland
Source
BMC Health Serv Res. 2014;14:493
Date
2014
Language
English
Publication Type
Article
Keywords
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Cross-Sectional Studies
Diagnosis, Differential
Efficiency, Organizational
Female
Guideline Adherence
Health Priorities
Health Services Accessibility
Health Services Research
Hospitals - standards
Humans
Infant
Infant, Newborn
Male
Middle Aged
Norway
Practice Guidelines as Topic
Referral and Consultation
Registries
Abstract
Norway introduced 32 priority guidelines for elective health treatment in the specialist health service in the period 2008-9. The guidelines were intended to reduce large differences in waiting times among hospitals, streamline referrals and ensure that patients accessed the necessary healthcare to which they were entitled for certain conditions. Referral information guided the priorities. As the referral information was key to future evaluation of the guidelines, this study validates the referral information in hospital patient records against discharge diagnoses, because only the discharge diagnosis is recorded in the Norwegian Patient Register (NPR) database, which is used in the main evaluation.
Of the specific conditions from 10 priority guidelines, 20 were selected for review for the period 2008-9 at 4 hospitals in Norway. The ICD-10 diagnoses per disease or condition were given in retrospect by clinicians who participated in the expert groups developing the priority guidelines. Reasons for deviations between referral information and discharge diagnoses were coded into four categories, according to the degree of precision of the former compared with the latter.
In all, 1854 medical records were available for review. The diagnostic precision of the referrals differed significantly between hospitals, and across the 2 years 2008 and 2009. The overall sensitivity was 0.93 (95% confidence interval 0.92-0.94). For the separate conditions, sensitivity was in the range 0.60-1.00. Experience showed that it was necessary to pay careful attention to the selection of ICD-10 diagnoses for identifying patients. The medical records of psychiatry patients were unavailable in some cases and for certain conditions some were unavailable after use of our record extraction algorithm.
The sensitivity of the referral information on diagnosis or condition was high compared with the discharge diagnosis for the 20 selected conditions from the 10 priority guidelines. Although the review assessed a limited number of the total, we consider the results sufficiently representative and, hence, they will allow use of the NPR data for analyses of the introduction and follow-up of the 32 priority guidelines.
Notes
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PubMed ID
25359085 View in PubMed
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540 records – page 1 of 54.