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Comparative Analysis of the Key Factors Influencing Healthcare Systems of OECD Countries

-150. Drennan, R.D. (2010). Statistics for Archeologists. A Common Scene Approach. (pp. 309-320). United States: Springer. Everitt, B.S., et al. (2011). Cluster Analysis (5th ed.). (pp. 1-110). United Kingdom: Wiley. Gatignon, H. (2010). Statistical Analysis of Management Data. (pp. 295-322). United States: Springer. Hadad, S.H., Hadad, Y., Simon-Tuval, T. (2013). Determinants of Healthcare System’s Efficiency in OECD Countries. European Journal of Health Economics, (14), 253-265. Hair, J.F., et al. (2010). Multivariate Data Analysis a Global

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Performance Through Efficiency in the Public Healthcare System – A DEA Approach in an Emergent Country

Abstract

Aiming to analyze the efficiency of the public sector, this paper enriches the literature by providing insights of the healthcare system for an emergent country - Romania. The empirical findings reached by applying the input orientated-variable return to scale (VRS) model of Data Envelopment Analysis (DEA) and Tobit regression method are determined on two key levels of the study. The Data Envelopment Analysis technique quantifies the efficiency within 20 representative hospitals located in the four administrative macro-regions, highlighting the ways of increasing efficiency, while the Tobit regression identifies the factors that influence the efficiency level. The results of the investigation allow for comparisons with other emerging countries, as efficiency has become an increasingly significant factor for public sector evolution.

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Meeting the Bulletin and healthcare system upgrade

Biltenu in nadgradnji zdravstvenega sistema na pot

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Patient satisfaction with the level of being informed about the changes in Slovenian healthcare system

13. Al-Refaie A. A structural model to investigate factors affect patient satisfaction and revisit intention in Jordanian hospitals. International Journal of Artificial Life Research. 2011; 2(4): 43–56. https://doi.org/10.4018/jalr.2011100105 14. Xesfingi S, Vozikis A. Patient satisfaction with the healthcare system: assessing the impact of socio-economic and healthcare provision factors. BMC Health Services Research. 2016; 16: 94. https://doi.org/10.1186/s12913-016-1327-4 15. Sofaer S, Firminger K. Patient perceptions of the quality of health

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Assessment of Development and Role of One Day Surgery in Slovak Healthcare System

Assessment of Development and Role of One Day Surgery in Slovak Healthcare System

The aim of this article is to describe the development of one day surgery (ODS) and assess its role within the Slovak healthcare system.

ODS is a surgical healthcare system based on single treatment of a patient or single diagnostic procedure when performing this healthcare intervention enables dismission of patient in stabilized state in 24 hours.

During 1997-1999 the first healthcare facilities of ODS were established in the Slovak Republic. Since then the number of ODS centers has grown to 54. Currently, some 8% of all operations in Slovakia, mainly surgical and ophtalmological, are done via ODS.

The authors suggest that, if possible, ODS is an economic option regardless of medical specialty. They expect an increase of facilities performing ODS within existing health structures, establishment of new facilities for ODS and a overall increase in number of ODS interventions in Slovakia in near future.

As a conclusion, the authors highlight a possibility of pregradual experience of medical students with ODS and its benefit in dissemination of understanding and positive attitude towards the ODS methods.

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Original article. Cost-effectiveness of annual microalbuminuria screening in Thai diabetics

Abstract

Background: Diabetes is a leading cause of end stage renal disease (ESRD), which impacts on treatment costs and patients’ quality of life. Microalbuminuria screening in patients with diabetes as an early intervention is beneficial in slowing the progression of diabetic nephropathy.

Objectives: We aimed to assess the cost-effectiveness of annual microalbuminuria screening in type 2 diabetic patients.

Methods: We compared screening by urine dipsticks with a “do nothing” scenario. To replicate the natural history of diabetic nephropathy, a Markov model based on a simulated cohort of 10,000 45-year-old normotensive diabetic patients was utilized. We calculated the cost and quality of life gathered from a cross-sectional survey. The costs of dialysis were derived from The National Health Security Office (NHSO). We also calculated the incremental cost-effectiveness ratio (ICER) for lifetime with a future discount rate of 3%.

Results: The ICER was 3,035 THB per quality-adjusted life year (QALY) gained. One-way and probabilistic sensitivity analyses showed that all ICERs were less than the Thai Gross Domestic Product (GDP) per capita (150,000 THB in 2011) based on World Health Organization’s suggested criteria.

Conclusions: Annual microalbuminuria screening using urine dipsticks in type 2 diabetic patients is very costeffective in Thailand based on World Health Organization’s recommendations. This finding has corroborated the benefit of this screening in the public health benefit package.

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Healthcare Policy in Romania. Frameworks and Challenges

Abstract

The objective of the paper is to review some of the healthcare policy issues of Romania and identify those challenges which may be addressed through social intervention. Based on statistical data, documents, reports and applicable laws one will review the health condition of Romanian population and the state of the national health system, and will examine the broad strategies and policies currently under the scrutiny of appropriate ministries. The findings of the study suggest looking at health policies also through the lens of social inclusion.

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Health Education as an Important Tool in the Healthcare System

Abstract

Health education is the main, and at the same time, integral part of complementary health promotion. The main assumption underlying the essence of health education is an assertion that the health of individuals and, consequently, of communities they belong to is significantly conditioned by the behaviour of inter-subject variability, which can be pro-healthily shaped by the educational impact. Thanks to transferred knowledge, shaping attitudes and the acquisition of certain skills, patients receive help in coping with health problems which improves their well-being, satisfaction, and the process of recovery. The education of a patient has advantages either in the clinical or social field, hence, it is perceived as an inseparable part of a high-quality healthcare. The importance of health education has been also recognized as one of the main factors that determine the long-term health policy, which indirectly may be reflected in the reduction of costs in the healthcare. In the recent years, more and more emphasis has been placed on preventive and educational aspects of the healthcare. Family medicine, as the source of the initiation of shaping health-oriented attitudes, has a prominent place in the system organized in such a way. In patients' opinion, medical staff is the best and most reliable source of knowledge on health. Such expectations increase the importance of primary care physicians in preventing diseases and shaping health-oriented attitudes in a given society. The main task of a modern health education is primarily to support the creation of conditions for change, the growth competence of individuals and groups in the sphere of independent action for health at different levels of the organization of social life.

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Does the configuration of a primary care system impact on care quality - an exploratory assessment

Does the configuration of a primary care system impact on care quality - an exploratory assessment

Primary health care systems (PHCS) can be highly effective at meeting the healthcare needs of people with chronic or multiple morbidity. Under the right conditions it is also the best setting to assess health more generally and to intervene when health risks are identified. For people with an established chronic disease, primary care is also the natural setting to coordinate care and to ensure that patients receive the right balance of specialist vs. generalist input - care that is effectively coordinated can improve the overall quality of care by minimising the need for unnecessary and costly acute care, and by improving patient satisfaction. But how is it possible to measure the configuration of a health system and how do the essential features of health systems relate to quality of care? This paper provides an overview of how this might be approached and discusses the challenges therein.

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The legal status of physiotherapists’ profession

Abstract

Physiotherapy is a discipline of clinical medicine, using its own diagnostic and therapeutic methods, including the treatment of movement and physical stimuli. The new legal regulations resulting from the Act of 25 September 2015 on the Profession of Physiotherapy have granted a special professional status to this group of specialists, what results from the fact that it is recognized as an independent medical profession. It should be noted, however, that the introduced law, although expected for many years, did not stabilize the legal situation of this professional group until the end. There are still doubts of a juridical nature which make it difficult to provide unambiguous answers to the basic questions regarding the legal status of physiotherapists as persons performing an independent medical profession. This publication, referring to the applicable statutory regulations and views presented in the legal doctrine, analyzes the current legal status, indicates the weaknesses of the adopted legislative solutions and avoids the changes.

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