Sustainable Health Care Provision Worldwide: Is There a Necessary Trade-Off between Cost and Quality?

Ranabhat, Chhabi Lal; Jakovljević, Mihajlo

doi:10.3390/su15021372

Cited by 16 publications

(9 citation statements)

References 75 publications

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“…During a hospital stay, there may be advanced services for those Vol 4 who can afford them. These menus are mostly in private health care facilities (Ranabhat, 2022).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Quality of Inpatient Health Services at Medan Haji General Hospital

Lubis

Setiawan²,

Saragih³

et al. 2022

Contagion

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Currently the hospital is innovating to increase the level of patient satisfaction indicators which are still a problem in the quality of health services. The purpose of this research is to raise issues related to the quality of inpatient services at RSU Haji Medan. The method used is descriptive analytic with a cross-sectional study design, namely through a sample of 189 people taken from 9818 populations through calculations using a categorical descriptive formula and drawn by purposive sampling, data collection is carried out based on direct interviews using a questionnaire instrument adopted from RISKESNAS Ministry of Health of the Republic Indonesia, after the survey was conducted, the data were analyzed by means of frequency and central distribution, statistical tests using the Spearman rho correlation, multiple linear regression. The results showed that the average patient was still in the dissatisfied category (mean = 150.79), the Spearman rho test stated that there was a relationship of all variables with the quality of inpatient health services p <0.05 with the highest correlation direction of 0.540 in the fairly strong category , Partially patient satisfaction has a value of t = 3.442 and has a coefficient value of 0.201, if there is an increase in patient satisfaction of 0.1%, the quality of inpatient health services will improve by 20.1%. This study concludes that constantly at 13.6% and simultaneously (F=34.835) influences the quality of inpatient health services, leaders and health human resources work together to build even better health services to improve service quality. Keywords: Correlation, Hospital, Linear, Quality, Service

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“…During a hospital stay, there may be advanced services for those Vol 4 who can afford them. These menus are mostly in private health care facilities (Ranabhat, 2022).…”

Section: Discussionmentioning

confidence: 99%

Analysis of the Quality of Inpatient Health Services at Medan Haji General Hospital

Lubis

Setiawan²,

Saragih³

et al. 2022

Contagion

View full text Add to dashboard Cite

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“…Proper recruitment (South et al., 2008) and appropriate upskilling of SP personnel are required to ensure collaboration and sustainability among relevant SP stakeholders (Polley, 2016; Simpson et al., 2021). Sustainable and equitable high‐quality healthcare service relies on publicly funded resources that are allocated in alignment with the needs and preferences of the service user now and in the future (Kieny et al., 2018; Ranabhat & Jakovljevic, 2023). Community‐based approaches are effective mechanisms to target difficult to reach individuals in need (Bader et al., 2023; Birch & Chambers, 1993), but it has been recommended that commissioning models move away from payment by activity reimbursements and concentrate more on outcomes‐based payments, leading to more sustainable healthcare models targeting illness prevention (Dunbar‐Rees, 2018).…”

Section: Factors Influencing the Proliferation Of Social Prescribingmentioning

confidence: 99%

Can social prescribing put the ‘social’ into the biopsychosocial management of people with long‐term musculoskeletal disorders?

O’Sullivan,

Bearne,

Harrington

et al. 2023

Musculoskeletal Care

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BackgroundChronic musculoskeletal disorders (MSD) are a significant burden on individuals' quality of life and society and are made more complex by the presence of multimorbidity. It is recommended that interventions targeting MSD be sustainable, equitable and incorporate the biopsychosocial model of care (BPS).AimsA criticism of the BPS approach is that the social component of this model is not addressed adequately during the management of people with long‐term MSD and that a gap exists between theory and implementation. The use of social prescribing (SP) as an intervention to bridge this gap is discussed.Results and DiscussionSocial prescribing is a holistic non‐medical person‐centered approach to well‐being that utilizes link workers (LW) to support individuals with long‐term conditions (LTC) in the community. Social prescribing referrals are received from primary healthcare practitioners to LW and range from light touch signposting for employment or financial advice to more intensive support for LTC such as obesity, decreased physical activity and mental health needs.ConclusionThere is evidence to suggest that SP interventions are effective in the management of LTC; however, due to the paucity of high‐quality evidence, it is difficult to be conclusive. Large‐scale randomised controlled trials are recommended to support the use of SP interventions in the management of LTC.

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“…Since that time, there has been historic progress toward the tuberculosis control program in Nepal. Primary health care to UN sustainable development goal, tuberculosis control is one of the important target and quality service is still challenge in Nepal ( 4 , 5 ). Only state approach is not sufficient and utilization of private sector and community participation is essential to control TB control program ( 6 ).…”

Section: Introductionmentioning

confidence: 99%

Feasibility of implementing public-private mix approach for tuberculosis case management in Pokhara Metropolitan City of western Nepal: a qualitative study

Baral,

Yadav,

Yadav

et al. 2023

Front. Public Health

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BackgroundThe Public-Private Mix (PPM) approach is a strategic initiative that involves engaging all private and public health care providers in the fight against tuberculosis using international health care standards. For tuberculosis control in Nepal, the PPM approach could be a milestone. This study aimed to explore the barriers to a public-private mix approach in the management of tuberculosis cases in Nepal.MethodsWe conducted key informant interviews with 20 participants, 14 of whom were from private clinics, polyclinics, and hospitals where the PPM approach was used, two from government hospitals, and four from policymakers. All data were audio-recorded, transcribed, and translated into English. The transcripts of the interviews were manually organized, and themes were generated and categorized into 1. TB case detection, 2. patient-related barriers, and 3. health-system-related barriers.ResultsA total of 20 respondents participated in the study. Barriers to PPM were identified into following three themes: (1) Obstacles related to TB case detection, (2) Obstacles related to patients, and (3) Obstacles related to health-care system. PPM implementation was challenged by following sub-themes that included staff turnover, low private sector participation in workshops, a lack of trainings, poor recording and reporting, insufficient joint monitoring and supervision, poor financial benefit, lack of coordination and collaboration, and non-supportive TB-related policies and strategies.ConclusionGovernment stakeholders can significantly benefit by applying a proactive role working with the private in monitoring and supervision. The joint efforts with private sector can then enable all stakeholders to follow the government policy, practice and protocols in case finding, holding and other preventive approaches. Future research are essential in exploring how PPM could be optimized.

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Sustainable Health Care Provision Worldwide: Is There a Necessary Trade-Off between Cost and Quality?

Cited by 16 publications

References 75 publications

Analysis of the Quality of Inpatient Health Services at Medan Haji General Hospital

Analysis of the Quality of Inpatient Health Services at Medan Haji General Hospital

Can social prescribing put the ‘social’ into the biopsychosocial management of people with long‐term musculoskeletal disorders?

Feasibility of implementing public-private mix approach for tuberculosis case management in Pokhara Metropolitan City of western Nepal: a qualitative study

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