The impact of medical cyber–physical systems on healthcare service delivery

The TQM Journal, Journal Year: 2022, Volume and Issue: 34(7), P. 73 - 93

Published: April 12, 2022

Purpose The pandemic has reinforced the need for revamping healthcare service delivery systems around world to meet increased challenges of modern-day illnesses. use medical cyber–physical system (MCPS) in is one means transforming landscape traditional system. purpose this study critically examine impact MCPS on quality delivery. Design/methodology/approach This paper uses an evidence-based approach, authors have conducted a systematic literature review Fifty-four articles were thematically examined eight characteristics proposed by health organisation. Findings proposes support that will positively (1) comprehensiveness, (2) accessibility, (3) coverage, (4) continuity, (5) quality, (6) person-centredness, (7) coordination, (8) accountability and (9) efficiency dimension further draws nine propositions Practical implications can be used stakeholders as guide point while using systems. Besides, managers understand performance their designing effective strategies deploying efficient each dimensions Originality/value previous studies focussed technology aspects none them analysed first carried out WHO. provides improved thematic awareness resulting body knowledge, allowing field progress more informed multidisciplinary manner.

Language: Английский

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Elderly Health in Different States of India: Learnings from 75th Round National Sample Survey, 2017–2018

Journal of Health Management, Journal Year: 2025, Volume and Issue: unknown

Published: April 3, 2025

This study aims to assess healthcare utilisation and financial protection among the elderly in different states of India, which are at demographic epidemiological transition levels (ETLs). Unit-level data from India’s 75th Round National Sample Survey, 2017–2018, was used study. In 27.7% reported acute or chronic ailments last 15 days, whereas 8.5% had been hospitalised 365 days. Unmet needs were lower urban (OR: 0.49 (95% CI: 0.41–0.59); p < .001) areas compared rural areas. Disease burden higher high ETL India low states. The private sector major service provider for outpatient inpatient care. However, public southern northeastern union territories as other parts India. Out-of-pocket catastrophic health expenditures significantly than sector. overall disease unmet vary There is an urgent need government-led efforts improve systems social care policies, should be state-appropriate.

Language: Английский

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Real‐world data on Empagliflozin and Dapagliflozin use in patients with HEART failure: The RED–HEART study

ESC Heart Failure, Journal Year: 2024, Volume and Issue: unknown

Published: Sept. 28, 2024

Abstract Aims We aimed to determine the use of sodium–glucose cotransporter 2 inhibitors (SGLT2is) and identify clinical factors associated with their in patients heart failure (HF) a real‐life setting. Methods Real‐world data on Empagliflozin Dapagliflozin HEART failure: The RED–HEART study is multicentre, cross‐sectional observational that included HF outpatient setting regardless ejection fraction from 19 cardiology centres between August 2023 December 2023. Results population consisted 1923 HF, predominantly men (61.2%), median age 66 (range: 19–101) years. Overall, 925 (48.1%) were receiving SGLT2is. Among population, 22.1% had preserved fraction, 21.5% mildly reduced 56.4% SGLT2is was 42.0%, 47.9% 50.6% each group, respectively ( P = 0.012). 76.6% diabetes, 19.8% chronic kidney disease 26.8% without diabetes < 0.001). Higher education level [odds ratio (OR): 1.80; 95% confidence interval (CI): 1.06–3.05; 0.027], higher household income (OR: 3.46; CI: 1.27–9.42; 0.015), New York Heart Association functional class IV 2.72; 1.16–6.35; 0.021), 9.42; 6.72–13.20; 0.001), angiotensin receptor–neprilysin (ARNis) 4.09; 2.39–7.01; mineralocorticoid receptor antagonists (MRAs) 2.02; 1.49–2.75; loop diuretics 1.62; 1.18–2.22; 0.003) thiazide 1.72; 1.30–2.29; 0.001) independently Conversely, atrial fibrillation 0.63; 0.45–0.88; 0.008), 0.53; 0.37–0.76; dihydropyridine calcium channel blockers 0.68; 0.48–0.98; 0.042) statins 0.67; 0.49–0.91; 0.010) non‐use Conclusions provided comprehensive real‐world about implementing HF. These results suggest there need for organized action close collaboration healthcare providers improve implementation SGLT2is, especially disease.

Language: Английский

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Factors influencing patient delay in individuals with obstructive sleep apnoea: a study based on an integrated model

Annals of Medicine, Journal Year: 2022, Volume and Issue: 54(1), P. 2816 - 2828

Published: Oct. 19, 2022

Obstructive sleep apnoea (OSA) is the most common sleep-related breathing disorder, yet it remains undiagnosed in a large proportion of adults. This study aims to investigate status patient delay and provider OSA patients examine related factors affecting individuals China. A cross-sectional design was conducted on sample 309 (aged from 18 76, median age 47 years, 84.8% male) Northeast Participants were required complete sociodemographic questionnaire, symptom characteristics help-seeking attitude scale (HSAS), social support rating chronic disease self-efficacy scales (CDSES) test hypothesis. Binary logistic regression analysis explore that account for delay. The among OAS this 22 months, one month, total 26 months. As shown by multivariate results, who have snored over 6 years (OR = 3.377, 95%CI: 1.175-9.702) more likely experience prolonged delays. Per capita monthly family income above 3000 RMB 0.172, 0.052-0.571), taking up residence cities or towns 0.484, 0.248-0.946), higher self-recognition 0.793, 0.647-0.972), objective 0.825, 0.739-0.921) stronger 0.674, 0.525-0.867) significantly associated with shorter Patient Chinese patients. upstream include income, place residence, support; midstream self-efficacy; downstream snoring.KEY MESSAGESDespite being high-prevalence disease, many obstructive are not clearly diagnosed treated.The seeking medical treatment included support, snoring.Investigations into patients' care-seeking behaviours can better reflect secondary prevention OSA, crucial pay attention delayed phase

Language: Английский

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Unmet medical needs and influencing factors among Korean police officers: a cross-sectional survey

BMJ Open, Journal Year: 2024, Volume and Issue: 14(8), P. e080494 - e080494

Published: Aug. 1, 2024

South Korea grapples with a disproportionately high incidence of unmet medical needs, concern that is particularly acute among police officers, who are exposed to significant occupational risks. Given the pivotal role officers in upholding democratic values and public safety, their well-being holds critical societal implications. This study aims determine needs identify influencing factors.

Language: Английский

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Inequalities in Unmet Needs for Healthcare Services Among Middle-Aged and Older Adults in China

Journal of Aging & Social Policy, Journal Year: 2024, Volume and Issue: unknown, P. 1 - 18

Published: Nov. 10, 2024

Unmet needs for healthcare services are widely recognized as an indicator of inequalities in access and utilization. This study estimated unmet well their contributing factors reasons among middle-aged older adults China. Results indicated that 30.47% 5.69% the population China reported outpatient inpatient services, respectively. Mostly pro-poor concerned both rural urban residents. The coverage public health insurance individuals' status contributed most to identified. prevalent reason was affordability, especially poor or respondents. Despite rapid development universal healthcare, still existed remained high people living areas with low incomes Policy interventions should focus on improving system targeting financial barriers obtaining care, particularly vulnerable populations

Language: Английский

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The availability of emergency contraception from family health centers in Turkey

Health Policy, Journal Year: 2022, Volume and Issue: 126(7), P. 715 - 721

Published: April 20, 2022

Language: Английский

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THE EFFECT OF PARTICIPATION IN JKN ON UNMET NEEDS FOR HEALTHCARE SERVICES

Jurnal Administrasi Kesehatan Indonesia, Journal Year: 2023, Volume and Issue: 11(2), P. 186 - 195

Published: Oct. 25, 2023

Background: The National Health Insurance or Jaminan Kesehatan Nasional (JKN) program is one of the steps taken by Indonesian government in developing Universal Coverage (UHC). However, increased participation not followed an increase met needs for healthcare services. Aims: This study aimed to examine effect on unmet services poor and non-poor population groups. Methods: used data from 2018 Socio-Economic Survey/ Survei Sosial Ekonomi (SUSENAS) Village Potential Potensi Desa (PODES). Data were processed using binary logistic model analysis identify Results: Participation Insurance, including beneficiary groups could reduce risks 7.7%, while non-beneficiary health 10.4%. Conclusion: Both beneficiaries non-beneficiaries affect both more elastic than fulfill sample Keywords: Healthcare services, national insurance, logit, need

Language: Английский

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Unmet Health Care Needs of the Older Population in European Countries Based on Indicators Available in the Eurostat Database

Healthcare, Journal Year: 2023, Volume and Issue: 11(19), P. 2692 - 2692

Published: Oct. 8, 2023

Access to healthcare may affect the health of population, especially older people. The aim this study is analyze reasons and factors influencing unmet needs (UHCN) population in context differences between age groups for 28 European countries. A self-reported UHCN indicator obtained from Eurostat database was used. share people with reporting distance/transportation issues significantly different younger groups, as well within population. other were not so considerable. Problems observed more often lower rather than higher income severe activity limitations none/moderate (differences statistically significant, except 75+). In most countries, dependence on income/activity limitation group 15–64 To plan/introduce/monitor appropriate, tailored actions improving access a detailed analysis prevalence, reasons, determinants needed; it insufficient only whole. Additionally, homogeneous terms UHCN.

Language: Английский

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Trust in the Healthcare System and Social Coronavirus Anxiety; A Study in the Turkish Society

Journal of Basic and Clinical Health Sciences, Journal Year: 2022, Volume and Issue: 6(2), P. 528 - 538

Published: April 27, 2022

Purpose: The aim of this research is to determine the level trust in healthcare system and coronavirus anxiety Turkish society during COVID-19 pandemic. Methods: To obtain data; "Multidimensional Trust Health-Care Systems Scale (MTHCSS)" "Coronavirus Anxiety (CAS)" were used. was carried out using online questionnaire between August-September 2020, with participation 1185 people. Two-Sample Independent T-Test, One-Way Analysis Variance (ANOVA) correlation analysis used data. Results: It determined that mean scale scores participants MTHCSS high (59.06±13.76) score CAS (1.86±3.30) low. Analyses out; showed there are significant statistical differences gender, presence chronic disease, working status compliance measures taken, (p&lt; 0.05). In Addition, performed a weak negative relationship social Coronavirus anxiety. Conclusion: results trusts their system. This makes think struggle given under pandemic conditions well managed by

Language: Английский

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