This is the product of compilation from various sources. I would like to acknowledge all direct and indirect sources although they have not been mentioned explicitly within the document.
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare.
This is the product of compilation from various sources. I would like to acknowledge all direct and indirect sources although they have not been mentioned explicitly within the document.
Health economics is a branch of economics concerned with issues related to efficiency, effectiveness, value and behavior in the production and consumption of health and healthcare.
Decentralization
Tools of Policy making
Financing Health care
Public-Private Partnership
Health Research
International Organizations
Equity
Health Reforms in Developing Countries
Stake Holders
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
Declaration: The materials incorporated in this document have come from variety of sources and compiler bears no responsibilities for any information contained herein. The compiler acknowledges all the sources although references have not been explicitly cited for all the contents in this document.
This is a deck I created to frame out my vision about healthcare and used in my job search. This is the exciting space in healthcare right now - communications, segmentation, data mining.
Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
Healthcare in future will not be like today. The changes are dramatic and paradigmatic. In this presentation we will see some the mega trends influencing this field. Future Trends, Population Increase, Aging, Urbanization, Individualization and health awareness, Consumerism, Shifting Economy, Technological Progress, Climate Change and Environmental Pollution, Shifting Disease Patterns, lifestyle diseases, high-calorie diet, physical inactivity and higher levels of stress, Decline in muscular, skeletal and infectious diseases, Better-informed Patients, Decline in information asymmetry, Internet, Social Networks, Self care, home care, self-medication, New Health Markets, Pharma, economy, pharmerging countries, Growing Competition, Brand, Generic, Innovative, HighTech, Increasing Cost Pressure, Aging, Better Access, Complex Supply Chains, R&D outsourcing, Complex Products, supply chains, Product Development, Innovation, Pharmacogenomics, Therapeutic Vaccines, Regenerative medicine, 3D Printing, Robot-assisted surgeries, Mobile health,Tele-medical applications, Direct-to-consumer (DTC ) distribution, Direct-to-consumer (DTC ) advertisement, OTC Growth, home delivery, prescription drugs,
Responsiveness is an important component of the dimension of quality health services. It addresses the non healthcare needs of the clients who visits to healthcare institutions
Decentralization
Tools of Policy making
Financing Health care
Public-Private Partnership
Health Research
International Organizations
Equity
Health Reforms in Developing Countries
Stake Holders
HEALTH SECTOR REFORMS- INDIA
Slides contain;
Reforms & Health System
Definition- HSR
Introduction
Financial reforms
Structural re-organization
Communication
Quality Assurance
Convergence
Public Private Partnership
Ways forward for effective HSR
Conclusion and points for Consideration
End
Declaration: The materials incorporated in this document have come from variety of sources and compiler bears no responsibilities for any information contained herein. The compiler acknowledges all the sources although references have not been explicitly cited for all the contents in this document.
This is a deck I created to frame out my vision about healthcare and used in my job search. This is the exciting space in healthcare right now - communications, segmentation, data mining.
Universal health coverage (UHC) means that all people and communities can use the promotive, preventive, curative, rehabilitative and palliative health services they need, of sufficient quality to be effective, while also ensuring that the use of these services does not expose the user to financial hardship.
Healthcare in future will not be like today. The changes are dramatic and paradigmatic. In this presentation we will see some the mega trends influencing this field. Future Trends, Population Increase, Aging, Urbanization, Individualization and health awareness, Consumerism, Shifting Economy, Technological Progress, Climate Change and Environmental Pollution, Shifting Disease Patterns, lifestyle diseases, high-calorie diet, physical inactivity and higher levels of stress, Decline in muscular, skeletal and infectious diseases, Better-informed Patients, Decline in information asymmetry, Internet, Social Networks, Self care, home care, self-medication, New Health Markets, Pharma, economy, pharmerging countries, Growing Competition, Brand, Generic, Innovative, HighTech, Increasing Cost Pressure, Aging, Better Access, Complex Supply Chains, R&D outsourcing, Complex Products, supply chains, Product Development, Innovation, Pharmacogenomics, Therapeutic Vaccines, Regenerative medicine, 3D Printing, Robot-assisted surgeries, Mobile health,Tele-medical applications, Direct-to-consumer (DTC ) distribution, Direct-to-consumer (DTC ) advertisement, OTC Growth, home delivery, prescription drugs,
Responsiveness is an important component of the dimension of quality health services. It addresses the non healthcare needs of the clients who visits to healthcare institutions
San Francisco Declaration On Research Assessment DORAAhmed-Refat Refat
Do not use journal-based metrics, such as Journal Impact Factors (JIFs), as surrogate measures of the quality of individual research articles, to assess an individual scientist’s contributions, or in hiring, promotion, or funding decisions
H1N1 Flu, Egypt, Dec 2009 الانفلونزا المستجدة ( انفلونزا الخنازير ) - مصر - ...Ahmed-Refat Refat
اهم محاور العرض
التعريف بالوضع الوبائي الراهن للمرض في مصر
استعراض اهم مصادر المعلومات الموثقة
عرض للعديد من الاسئلة المثارة حول المرض و اجاباتها
التعريف بمرحل المرض و كيفية تشخيصة
عرض لكيفية اتباع اجراءات الوقاية
ادآب العطس و الكحة
غسل الايدي
استعراض ما يجب اتباعة من اجراءات للحد من المرض فيي اماكن العمل
mHealth Israel conference, UnitedHealth Group, Dr. Pramod Gaur, VP TeleHealth...Levi Shapiro
Presentation by Dr. Pramod Gaur, VP TeleHealth, UnitedHealth Group at the mHealth Israel conference, October 7th, 2013 in Tel Aviv. Title of the presentation is "Trends & Opportunities in US TeleHealthcare"
Governance influences all other health system functions, thereby leading to improved performance of the health system and ultimately to better health outcomes.
Under the scrutiny of review, rehabilitation and nursing documentation must support skilled coverage criteria. This presentation covers skilled coverage criteria and documentation by rehabilitation professionals and nursing to support clinically appropriate levels of care.
1. Learn to define skilled coverage criteria.
2. Learn to define key elements of documentation.
3. Learn examples of rehabilitation and nursing documentation to support Medicare coverage criteria.
“Documentation not supportive of the RUG-IV classification billed…” is cited as the reason for multiple post-payment medical record review denials. Accurate and concise documentation to support the RUG-IV classification billed is a critical element in gaining accurate reimbursement, and supporting that reimbursement level during a medical review. This presentation covers the technical and clinical requirements for Medicare coverage, and requirements of skilled nursing documentation. The presentation identifies areas of the MDS 3.0 that are vulnerable to error and critical to accurate RUG-IV classification and identify strategies for better supporting these areas in medical record documentation. The correlation between the MDS 3.0 assessment and publicly reported information for the Quality Measures and 5 Star Quality Reporting are discussed.
1. Learn to describe the technical and clinical requirements for Medicare coverage.
2. Understand the goal of supportive skilled nursing documentation.
3. Develop a clear understanding of accurate coding in Section M.
4. Learn to identify sections of the MDS 3.0 assessment that are vulnerable to error and articulate strategies to support these areas in medical record documentation.
5. Learn to identify the correlation between medical record documentation, the MDS 3.0, and publicly reported information for the Quality Measures and 5 Star Quality Rating.
This presentation provides a comprehensive pro-active review of program development for long-term care patients in the SNF. The course outlines suggestions for how rehabilitation team members can strengthen the Medicare Part B programming in the nursing facility. An overview of the Medicare Part B Guidelines, Part B Caps, Functional Limitation G-Codes, and Manual Reviews is also provided. The presentation also discusses Medicare Part B documentation, goal writing and reasons for denied claims.
1. Gain an understanding of Proactive Medicare Part B Program Development and how to strengthen the program components.
2. Gain a better understanding of Medicare Part B documentation components, goal writing and potential risk for receiving denied claims.
3. Gain an understanding of Medicare Part B Guidelines, Medicare Part B Caps, Functional Limitation G-Codes and Medical Reviews.
Quality, which is much more complex and comprehensive than what we understand, can be defined and described in many ways by taking account of what we produce and serve and also what our customers experience. Service Quality is multidimensional and depends not only technical quality but also in a greater way on functional quality. Health Service is a complex subject depending on fulfilling medical and health related non-medical needs
Can Health Data Technology be Empathetic? Person-centric Data PracticesODH, Inc.
Can Technology be Empathetic? Designing Person-Centric Data Practices
Originally presented by ODH, Inc. CEO at AHIP June, 2018
Updated by Adam Johnson, Vice President, Product Development & Operations, ODH, Inc.
Empathy in Healthcare Technology can help tackle big challenges:
• Reducing costs
• Improving outcomes
• Increased satisfaction
• Fewer errors
Data technology's strength has been its ability to distill insights from mountains of data, but what’s missing?
What forms does Empathetic Technology take?
Health data can add Social Determinants of Health, besides clinical and other info, but to what end? Will the analyses result in actionable insights? What might be done differently? Better?
Ashfield Head of Clinical – Europe, Nagore Fernandez, presented at eyeforpharma 2017, sharing learnings from Ashfield’s 15 years of experience delivering patient support services. The presentation covers how to design, deliver and measure a truly differentiated patient support programme, as well as practical do’s and don’ts for success.
#e4pbarca #unitepharma, adherence, behaviour change, eyeforpharma 2017, patient enrolment, patient outcomes, patient support programmes, psp,
Building Consumer-Facing Health Devices and Apps and Doing it RightKent State University
Presentation to the Medical Capital Innovation Competition in Cleveland 4/23/18 including the regulatory pathway, importance of evidence and data integration.
Coding of activities of daily living (ADLs) on the MDS is complex and often misunderstood by those engaged in completing the assessment. In addition to affecting care, public information and survey, this area of the MDS has a tremendous financial impact. During this session, the speaker will define the late loss ADLs and provide insights aimed at helping facility staff document resident status accurately. Calculating the ADL score for the RUG-IV system will be reviewed and implications of inappropriate coding will be demonstrated. Using dollar-impact case studies, the attendee will learn why this section is critical for the facility’s financial success.
Landmark Review of Population Health ManagementHealth Catalyst
Population health management (PHM) is in its early stages of maturity, suffering from inconsistent definitions and understanding, overhyped by vendors and ill-defined by the industry. Healthcare IT vendors are labeling themselves with this new and popular term, quite often simply re-branding their old-school, fee-for-service, and encounter-based analytic solutions. Even the analysts —KLAS, Chilmark, IDC, and others—are also having a difficult time classifying the market. In this paper, I identify and define 12 criteria that any health system will want to consider in evaluating population health management companies. The reality of the market is that there is no single vendor that can provide a complete PHM solution today. However there are a group of vendors that provide a subset of capabilities that are certainly useful for the next three years. In this paper, I discuss the criteria and try my best to share an unbiased evaluation of sample of the PHM companies in this space.
Workplace wellbeing relates to all aspects of working life, from the quality and safety of the physical environment, to how workers feel about their work, their working environment, the climate at work and work organization.
Workers wellbeing is a key factor in determining an organization’s longterm effectiveness
law is a body of norms
(or rules of conduct) of binding force and effect, specified
and enforced by a recognised authority. Law is used to
create rights and duties, which should be applied fairly
and consistently throughout society
PUBLIC HEALTH POLICY & LEGISLATIONS Health is the right of all persons and the duty of the State and is guaranteed by means of social and economic policies aimed at reducing the risk of illness and other hazards and at universal and equal access to all actions and services for the promotion, protection and recovery of health.
After completing this module you will able to..
1. Describe the access tools available to you for finding information
2. Identify effective search techniques
3. Describe the characteristics of Internet search engines , subject directory and databases.
4. Identify a range of information sources
5. Consider which sources are most likely to be useful for your search question
6. Understand why some information sources may be more helpful than others in the context of a particular information need.
After completing this module you will able to..
1. Analyze a research topic
2. Develop appropriate search strategies and conduct a search
3. Refine search results
1. Health System Responsiveness Dr. Ahmed-Refat AG Refat
www.SlideShare.Net/AhmedRefat 18-12-2012
Health System
Responsiveness
االستجابة كمؤشر اداء النظام الصحي
""اإلعزاز و اإلحسان
Dr.
Ahmed-Refat AG Refat
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2. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Contents
Dimension and objectives of health system
Definition of responsiveness
Legitimate expectation
Patients vs customer
Elements of responsiveness
Dignity
Autonomy
Confidentiality
Prompt attention
Quality of amnesties
Access to social support
Choice of Care Provider
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3. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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The World Health Organisation’s new
framework for health system
performance assessment has
health improvement, responsiveness
and fairness of financing
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as the three goals of the health
system
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Functional Form for Overall Health
System Attainment
The general form of the overall
measure of health system attainment
is simply:
Composite = f (H,HI,R, RI,FF)
Health system attainment is simply:
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7. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Composite = f (H,HI,R, RI,FF)
Where
H is the level of health,
HI is health inequality,
R is responsiveness,
RI is responsiveness inequality
and FF is fairness of financial contribution.
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8. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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What is
Responsiveness
Response to individuals’ legitimate
expectations regarding the non-health
enhancing aspects of the health
system.
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Why Responsiveness
Patient satisfaction with non-medical
aspects of care, is often associated
with better compliance with
treatment instructions, prompt
seeking of care and a better
understanding and retention of
medical information .
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WHAT IS Health System
RESPONSIVENESS?
Responsiveness in the context of a system can be
defined as:
the outcome that can be achieved when
institutions and institutional relationships are
designed in such a way that they are respond
appropriately to the universally legitimate
expectations of individuals.
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11. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Responsiveness can be viewed from two angles.
Firstly
The user of the health care system is often
portrayed as a consumer, with greater
responsiveness being perceived as a means of
attracting consumers.
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Secondly,
Responsiveness is related to the safeguarding of
rights of patients to adequate and timely
care.
“treat those who use health services as
consumers within a market
based and people centred system”.
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Patient
or
Client /Customer/Consumer ???
Patient Vs Customer
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The use of the word patients is considered to
underrate the status of the individual, as it crates
a hierarchy.
The patient should be defined as a consumer, a
rationale that originates from the emphasis on
the market mechanism.
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15. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Patient Vs Customer
The term consumer dignifies the
professional/patient relationship in a way that the
traditional term patient with its association of
powerlessness against the medical
establishment does not.
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Patient Vs Customer
Using the word client, customer or service user
similarly moves away from the idea of the user of
medical services being passive and dependent.
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17. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Patient Vs Customer
The seven principles should relate to consumers:
1. access,
2. choice,
3. information,
4. redress,
5. safety,
6. value for money
7. and equity
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18. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Responsiveness Vs SATISFACTION
(1) Scope: patient satisfaction focuses on clinical
interaction in specific health care settings whereas
responsiveness evaluates the health system as a whole;
(2) Range: patient satisfaction generally covers both
medical and non-medical aspects of care while responsiveness
focuses only on the non-health enhancing aspects of the health
system;
(3) Rationale: patient satisfaction represents a
complex mixture of perceived need, individually determined
expectations and experience of care.
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Legitimate EXPECTATIONS
a- Expectations
Expectations are often simply defined
as individual’s beliefs regarding
desired outcomes.
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Four types of expectations:
- Ideal:
similar to aspirations, desires or preferred
outcomes
- Predicted
realistic, practical or anticipated outcomes that
result from personal experiences, reported
experiences of others and sources
of knowledge such as the media
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21. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Four types of expectations:
- Normative
expectations that are based on what should or ought to happen
- Unformed
– the situation that occurs when individuals are unable or
unwilling for various reasons to articulate their expectations,
which may either be because they do not have expectations,
have difficulty expressing their expectations or do not wish to
reveal their expectations due to fear, anxiety or conforming to
social norms.
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22. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Legitimate EXPECTATIONS
b- Legitimate
can be defined as conforming to
recognised principles or accepted
rules and standards.
Ethical norms can be set in most instances without
much debate
as to the optimal desired behavioural process
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23. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Elements of
Responsiveness
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24. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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1 Dignity
The right of a care seeker to be
treated as a person in their own right
rather than merely as a patient
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25. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Dignity includes:
♦ the safeguarding of human rights
such as the liberty to free movement
even for individuals who have
leprosy, tuberculosis or are HIV+
♦ treatment with respect by health
care staff;
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♦ the right to ask questions and
provide information during
consultations and treatment;
♦ privacy during examination and
treatment
Patients satisfaction levels are increased by doctors
taking time to make conversation with the patient, such
as make comments that are not related to health or
crack a joke.
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Assessment of dignity
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2-Autonomy
Autonomy is self-directing freedom.
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The Four rights of individual
♦ The right of an individual to
information on his/her disease and
alternative treatment options (this
facilitates informed choice)
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30. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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The Four rights of individual
♦ The right to be consulted about
treatment
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31. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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The Four rights of individual
♦ Informed consent in the context of
testing and treatment
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32. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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The Four rights of individual
♦ The right of patients of sound mind
to refuse treatment
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33. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Models of Autonomy.
1- The first the paternalistic model
has the health care provider making
all
decisions on behalf of the patient,
since the provider is considered to be
better informed this is considered to
be optimal.
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34. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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2- The second model termed the
informed decision making model,
imposes the need for information
dissemination on the
provider and the responsibility of
decision making on the patient.
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3- The professional agent model,
has the patient willingly foregoing
the right to decision making, though
well informed, through voluntarily
and explicitly transferring the
decision making
task to the provider.
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4- The final model termed the shared
decision making model
focuses on the sharing of both
information and decision making
between the patient
and the provider, including the
determination of preferences.
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Assessment of Autonomy
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3- Confidentiality
Information relating to the patient
and his illness should not be divulged
during the course of care, except in
specific contexts, without the prior
permission of the patient.
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Assessment of Confidentiality
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4- Prompt
Attention
Prompt attention is consist of three
characteristics:
♦ Patients should be entitled to rapid
care in emergencies, and
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41. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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♦ Patients should be entitled to care
within reasonable time periods
even in the case of non-emergency
health care problems or surgery..
♦ Patients seeking care at healthcare
units should not face long
waiting times for consultations and
treatment.
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Assessment of Prompt attention
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43. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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5- Qualities of
clean amenities
This aspect relates to the provision of
physical infrastructure and a
conducive care environment. The
study defines basic amenities in the
following manner:
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44. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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♦ clean surroundings
♦ regular procedures for cleaning and
maintenance of hospital buildings .
♦ adequate furniture
♦ sufficient ventilation
♦ clean water
♦ clean toilets
♦ clean linen
♦ healthy and edible food
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45. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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Assessment of the qualities of clean amenities
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46. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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6 -Access to social
support networks
during care
The patient welfare is best served if
the individual has access to support
networks during care.
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47. Health System Responsiveness Dr. Ahmed-Refat AG Refat
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The procedures in the provision of
inpatient health care should allow
♦ regular visits by relatives and friends
♦ provision of food and other consumables
by relatives and friends, if not provided by
the hospital
♦ religious practices that do not prove a
hindrance to hospital activities or hurt the
sensibilities of other individuals
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Assessment of Social Support Network
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7- Choice of Care
Provider
The ability to choose between care
providers .
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Cited References
Amala de Silva. A FRAMEWORK FOR MEASURING RESPONSIVENESS .GPE Discussion Paper Series: No. 32
EIP/GPE/EBD. World Health Organization
Christopher JL Murray,Jeremy Lauer,Ajay Tandon,Julio Frenk. OVERALL HEALTH SYSTEM
ACHIEVEMENT FOR 191 COUNTRIES Discussion Paper Series: No. 28 EIP/GPE
World Health Organization
Ana-Lucia Ristea1, Ion Steg_roiu2, Valeriu Ioan-Franc3 and Vasile Dinu4 Responsiveness of Health Systems: a
Barometer of the Quality of Health Services. Amfiteatru Economic Vol XI • Nr. 26 • June 2009
WHO- World Health report 2000. http://www.who.int/whr/2000/en/whr00_en.pdf
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