Data for decision making in networked health

Bourret, Christian; Salzano, Gabriella

doi:10.2481/dsj.5.64

Cited by 3 publications

(2 citation statements)

References 19 publications

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“…It has extensive oversight over public hospitals, but few institutional tools in relation to the private sector. Consequently, it is sometimes accused of hospitalocentrism (Bourret & Salzano 2006), a pejorative term implying weak coordination between different components of the system; particularly between public and private branches (Delas 2011). This has made it difficult for regional authorities to effectively plan the supply of healthcare, particularly in terms of ensuring effective coordination between different actors within health systems who may be more apt to compete than cooperate.…”

Section: The French Hospital Systemmentioning

confidence: 99%

Marketisation and regional planning in neoliberal public services: Evidence from French hospitals

Umney

Coderre-LaPalme

2021

Capital & Class

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Marxist scholarship has documented the implications of ‘neoliberal’ reforms to public services. This scholarship often considers these reforms as class projects which have disciplined working populations and created new opportunities for capitalist profit-making. But in this article, we shift emphasis to the internal dysfunction that shapes states’ pursuit of market-oriented policy agendas. We place closer focus on the specific levers through which marketising reforms are implemented, noting the conflicting pressures they unleash, and the cracks this may open through which a more democratic agenda can be advanced. Taking the French hospital sector as an example, we show how attempts to expand and intensify competition in public services have coincided with attempts to decentralise governance to the regional level. While ostensibly part of the same ‘reforming’ policy agenda, marketising policies have a strongly centralising logic which has in practice undermined efforts to develop meaningful regional planning. These institutional tensions have catalysed new political currents, as the relationship between public authorities and private sector actors has become more overtly conflictual. We argue that Marxist theorists of the state need to pay closer attention to the often dysfunctional relationship between different branches of the state, and that in the context of neoliberal public service reform, the tensions between central and regional states are particularly salient. We conclude that opponents of the marketisation of public services need to pay attention to the contested and ambiguous nature of ‘decentralisation’: while it is often a rhetorical cover for marketisation, there are opportunities for the left in demanding more meaningful and authentic forms of regional planning.

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Section: The French Hospital Systemmentioning

confidence: 99%

Marketisation and regional planning in neoliberal public services: Evidence from French hospitals

Umney

Coderre-LaPalme

2021

Capital & Class

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“…2 Ultimately, these networks will be linked to a National Health Information Network (NHIN), known as a ''network of networks.'' 3 Privacy was emphasized as a crucial component of the NHIN by President Bush.…”

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confidence: 99%

Privacy Policy Analysis for Health Information Networks and Regional Health Information Organizations

Noblin¹

2007

The Health Care Manager

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Regional Health Information Organizations (RHIOs) are forming in response to President George W. Bush's 2004 mandate that medical information be made available electronically to facilitate continuity of care. Privacy concerns are a deterrent to widespread acceptance of RHIOs. The Health Information Portability and Accountability Act of 1996 provides some guidelines for privacy protection. However, most states have stricter guidelines, causing difficulty when RHIOs form across these jurisdictions. This article compares several RHIOs including their privacy policies where available. In addition, studies were reviewed considering privacy concerns of people in the United States and elsewhere. Surveys reveal that Americans are concerned about the privacy of their personal health information and ultimately feel it is the role of the government to provide protection. The purpose of this article is to look at the privacy issues and recommend a policy that may help to resolve some of the concerns of both providers and patients. Policy research and action are needed to move the National Health Information Network toward reality. Efforts to provide consistency in privacy laws are a necessary early step to facilitate the construction and maintenance of RHIOs and the National Health Information Network.

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Florida Health Information Exchange

Noblin

McLendon²,

Shim³

Cases on Healthcare Information Technology for Patient Care Management

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Florida began the journey to health information connectivity in 2004 under Governor Jeb Bush. Initially these efforts were funded by grants, but due to the downturn in the economy, the state was unable to support growth in 2008. The American Recovery and Reinvestment Act of 2009 provided funding to further expand health information exchange efforts across the country. As a result, Florida is now able to move forward and make progress in information sharing. Harris Corporation was contracted to provide some basic services to the health care industry in 2011. However, challenges remain as privacy and security regulations are put in place to protect patients’ information. With two seemingly opposing mandates, sharing the information versus protecting the information, challenges continue to impede progress.

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Data for decision making in networked health

Cited by 3 publications

References 19 publications

Marketisation and regional planning in neoliberal public services: Evidence from French hospitals

Marketisation and regional planning in neoliberal public services: Evidence from French hospitals

Privacy Policy Analysis for Health Information Networks and Regional Health Information Organizations

Florida Health Information Exchange

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