Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

Borgonovi, Elio; Adinolfi, Paola; Palumbo, Rocco; Piscopo, Gabriella

doi:10.3390/su10124439

Cited by 42 publications

(35 citation statements)

References 102 publications

(94 reference statements)

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“…According to the WHO, sustainability implies the ability to meet the needs of the present without compromising the ability to meet future needs. This perspective implies the capacity of health services to use resources effectively to optimize the provision of health services, which includes guaranteeing the effective use and benefit of citizens [14].…”

Section: Introductionmentioning

confidence: 99%

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IC-Health Project: Development of MOOCs to Promote Digital Health Literacy: First Results and Future Challenges

et al. 2020

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Digital health literacy (DHL) is the ability to search, understand and evaluate information from digital media and apply that knowledge to solve health problems. However, currently many citizens have not developed these skills, and this compromises not only the self-management of their health, but the possibility that health services are socially sustainable. The objective of this article was to present the objectives, activities and results of the IC-Health project whose objective was to develop a series of massive open online courses (MOOCs) to improve the DHL skills of European citizens. An exploratory report on DHL’s current evidence was developed. Furthermore, a survey, focus groups and group interviews were conducted to determine DHL levels and the needs of population cohorts (children; adolescents; pregnant and lactating women; the elderly; and people affected by type 1 and type 2 diabetes). A participation strategy with end users was designed through a community of practice for the creation of MOOCs with the seven European countries that participated in the consortium. Thirty-five MOOCs were developed in eight different languages and a descriptive and exploratory assessment of MOOCs was conducted with new participants. This first evaluation indicated that MOOCs can be an effective educational resource for DHL and a facilitator of shared decision-making processes. The process of co-creation of MOOCs, the components, the challenges and the opportunities identified in this European project could be useful for other developers of MOOCs who want to co-create interventions with beneficiaries in similar settings. Further longer-term actions are still needed to improve citizens’ DHL.

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Section: Introductionmentioning

confidence: 99%

“…3. Health and the Internet: in this case, the 8 items of the eHeaLS scale [23] were used (questions [10][11][12][13][14][15][16][17]. This scale was complemented by additional ad hoc questions aimed at investigating the participants' frequency, motivations, feelings and habits in using the Internet for health-related purposes.…”

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confidence: 99%

IC-Health Project: Development of MOOCs to Promote Digital Health Literacy: First Results and Future Challenges

et al. 2020

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“…In addition to, sustainability is momentous for the appropriate functioning of health care systems. (Borgonovi et al, 2018).…”

Section: Resultsmentioning

confidence: 99%

“…Sustainability express the capability of health organizations to effectively use available resources to optimize health services' provision and improve achievable health outcomes. (Borgonovi et al, 2018). The create of a sustainable health system depends on the access to durable and non-durable goods related to health, access to capital and adequate resource allocation for such inputs (Uğurluoğlu and Özgen, 2008).…”

Section: Resultsmentioning

confidence: 99%

Investigation of Sustainabity and Financial Sustainability Concepts in the Health System

Özer

Yıldırım

2019

bmij

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The fundamental element of sustainability in the health system is the financial sustainability that is at the heart of the health policy debate. Factors such as the aging of the world population, the emergence of new technological developments, increasing expectation and demand from the health system, increasing access to health services, and seeking quality health care services have begun to create significant pressures on health systems and threaten the financial sustainability of health systems. Sustainability and financial sustainability are very important concepts in evaluating countries’ health systems. However, there are no consensus definitions on these concepts in the literature. The aim of this study is to give information about the concepts of sustainability and financial sustainability, which have become an important topic of discussion in the health systems of the world countries in recent years, and to evaluate these concepts in terms of the health system.

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“…The reason for the attention on new forms of integration between producer and user of technologies is due to two fundamental reasons. The first is the few resources availabled to the national health systems, particularly for investments and for capital grants [2]; this condition induces Local and National Health Authorities to look for a collaboration with the suppliers, which can guarantee the availability of machines and sustainable modalities of financing to purchase technologies with scarce budgets [3]. The situation results are also aggravated by a second problem: the demonstrated inability of a lot of Health Authorities and Hospitals to manage adequately the system of investments' plans, which doesn't provide the requirements of technological equipment's renewal considering the obsolescence and the continuous innovation of technology [4; 5; 6].…”

Section: Introductionmentioning

confidence: 99%

Planning and Managing of Diagnostic Imaging Technologies in Healthcare: The Introduction of Managed Equipment Service (MES) for the System’s Sustainability

Giusti¹,

Persiani²,

Fissi³

et al. 2020

KSS

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The lack of resources has driven healthcare management studies to recognise Private and Public Partnerships (PPP) as the solution in managing efficiency, effectiveness and profitability of technological innovation. Recent researchers have identified the buying model called Managed Equipment Service (MES), in which purchaser and seller share the risks of technology’s management and use, as an optimal problem-solving method. The aim of this research is to analyse the potential economic-financial and organizational benefits of MES introduction in healthcare, in particular for the acquisition of the diagnostic imaging technologies. The research applies the case study method. We have examined a representative Italian Local Health Authority for its dimensions, managerial characteristics and case-mix offered but, especially, for its high health standards. In the study we have involved the strategic figure of radiographer in diagnostic imaging. The data has been elaborated through statistical analysis to observe the correlations. Evidence demonstrates that MES costs are lower than all the other planning and purchasing methods analysed (between 11% - 239%). When correlations between age of facilities and effectiveness of provided services is strong, MES grants the maintenance of a lower average age of technologies and a more efficient use of resources and significant margins of profitability. The emerging model of PPP is a possible solution to the current issues surrounding economic and financial sustainability of healthcare systems, considered the fewer resources and the technological progress. MES in healthcare appears to be a highly efficient way of managing innovation, in particular for diagnostic imaging technologies. Keywords: Public Private Partnership (PPP), Managed Equipment Service (MES), middle-high technologies, diagnostic imaging.

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Framing the Shades of Sustainability in Health Care: Pitfalls and Perspectives from Western EU Countries

Cited by 42 publications

References 102 publications

IC-Health Project: Development of MOOCs to Promote Digital Health Literacy: First Results and Future Challenges

IC-Health Project: Development of MOOCs to Promote Digital Health Literacy: First Results and Future Challenges

Investigation of Sustainabity and Financial Sustainability Concepts in the Health System

Planning and Managing of Diagnostic Imaging Technologies in Healthcare: The Introduction of Managed Equipment Service (MES) for the System’s Sustainability

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