The impact of outsourcing bed-based aged care services on quality of care: A multisite observational study DOI Creative Commons

Anne Horne-Thompson,

Hanan Khalil, Katherine E. Harding

и другие.

International Journal for Quality in Health Care, Год журнала: 2022, Номер 34(4)

Опубликована: Окт. 1, 2022

Abstract Background Outsourcing health-care services has become popular globally, provided by both profit and non-for-profit organizations with varying degrees of quality. To date, few published studies have evaluated the quality care in health using outsourcing. Objective The purpose this study was to determine if there were differences (effectiveness, safety patient experience) for a Transition Care Program designed improve older people’s independence confidence after hospital stay, when within public network compared being outsourced private facilities. Methods For clients discharged residential operating across three sites from large service (n = 1546), an audit medical records completed. Site 1 remained (internally managed), whereas Sites 2 3 involved outsourcing aged main outcome measures discharge destination, length stay number falls. Client demographics analysed descriptively, inferential statistics continuous data negative binomial regression event used examine between sites. Results There internally managed One site smaller proportion rehabilitation (P 0.003) other two mean 4.8 days less at managed) (95% Confidence Interval (CI) 0.5 9.1) than 4.6 CI 1.2 8.1) 3. those permanent care, 9.4 internal 3.5 15.2) 7.0 1.9 12). Additionally, lower rate falls recorded (outsourced) (incidence ratio 0.44 0.32 0.60), P < 0.001). Conclusion An associated better outcomes services.

Язык: Английский

Multimodal Healthcare AI: Identifying and Designing Clinically Relevant Vision-Language Applications for Radiology DOI Creative Commons
Nur Yildirim, Hannah Richardson, Maria Wetscherek

и другие.

Опубликована: Май 11, 2024

Recent advances in AI combine large language models (LLMs) with vision encoders that bring forward unprecedented technical capabilities to leverage for a wide range of healthcare applications. Focusing on the domain radiology, vision-language (VLMs) achieve good performance results tasks such as generating radiology findings based patient's medical image, or answering visual questions (e.g., "Where are nodules this chest X-ray?"). However, clinical utility potential applications these is currently underexplored. We engaged an iterative, multidisciplinary design process envision clinically relevant VLM interactions, and co-designed four use concepts: Draft Report Generation, Augmented Review, Visual Search Querying, Patient Imaging History Highlights. studied concepts 13 radiologists clinicians who assessed valuable, yet articulated many considerations. Reflecting our findings, we discuss implications integrating more generally.

Язык: Английский

Процитировано

22
Outsourced eye care in the Finnish capital region: Switching from fee‐for‐service to bundled payment model DOI Creative Commons
Susanna Moisander, Jukka Moilanen,

Hans Henrik Konstantin Backström

и другие.

Acta Ophthalmologica, Год журнала: 2025, Номер unknown

Опубликована: Май 19, 2025

Abstract Purpose The demand for specialised eye care has quadrupled over the last two decades, driven by an aging population and advent of new treatments. This surge led to increased outsourcing Helsinki Uusimaa Hospital District (HUS) Eye Hospital, initially relying on a fee‐for‐service model. model, however, been marked excessive bureaucracy transaction costs. Between 2019 2021, HUS embarked comparative analysis models identify most cost‐effective, efficient suitable approach. Methods After review literature stakeholder interviews, three different were assessed: fee‐for‐service, capitation bundled payment. evaluated against each other insourcing using SWOT analysis, custom‐made evaluation matrices cost analysis. Results identified payments as promising model outsourcing. Under this patients diagnosed with or suspected having diseases are referred external service providers predetermined period, encompassing follow‐up treatment, receiving fixed payment assigned patient. Conclusion Determining optimal was complex process necessitated development quality control system. selection preferred method required adaptation it national requirements legislation. While have successfully implemented in medical specialties, their application ophthalmology is novel, forthcoming data from expected shed further light its effectiveness.

Язык: Английский

Процитировано

0
Outsourcing in the automotive industry of the Kyrgyz Republic: Development prospects DOI Creative Commons
Kanash Abilpeissov,

Ainura Adieva

Scientific Bulletin of Mukachevo State University Series “Economics”, Год журнала: 2024, Номер 11(3), С. 9 - 20

Опубликована: Авг. 13, 2024

The study was conducted to assess the prospects for development of outsourcing in automotive industry Kyrgyz Republic and its impact on productivity, economic efficiency, innovation industry. used statistical analysis methods process data production employment from official sources, a comparative successful examples international cooperation, assessing risks associated with outsourcing. As result study, it established that helps reduce operating costs increase efficiency. It also determined transfer non-core functions external contractors allows companies focus key processes, which accelerates introduction innovations. confirmed attract companies, stimulating growth, creating new jobs. However, risk loss control over quality timing tasks, requires effective mechanisms interaction minimise possible negative consequences, is identified. showed implementation active participation government agencies create supportive regulatory framework incentives investment. results demonstrated contributes related industries such as auto parts manufacturing IT services, turn stimulates growth local labour market. In long term, use can become factor increasing competitiveness country's arena. provided valuable efficiency innovative industry, serve basis developing strategies optimise processes improve performance this

Язык: Английский

Процитировано

1
Remote asthma monitoring: How and why? DOI Open Access

Anisha Bhole,

D. Mercado,

Priya Bansal

и другие.

Journal of Precision Respiratory Medicine, Год журнала: 2024, Номер 7(1), С. 18 - 23

Опубликована: Окт. 1, 2024

Background: The coronavirus disease 2019 pandemic contributed to substantial advancement in digital technologies health care. Health-care professionals involved respiratory care can now tailor their therapy for patients with asthma, who still account >1 million emergency department visits annually, remote monitoring services. Remote patient (RPM) and therapeutic (RTM) are both ways help chronic asthma other need pulmonary allergy immunology clinics. RPM RTM allow clinicians gain further understanding as what is going on the patient’s home a regular basis. Objectives: To ensure that populations monitor correctly identified, privacy security measures place, staffing resources sufficient, billing practices understood before initiating RTM. Methods: A review of current literature (2019‐2023) from PubMed, National Center Biotechnical Information, American College Allergy, Asthma Immunology U.S. Centers Disease Control Prevention well practical experiences outlined provide an easy-to-follow guide implementation practice. Results: services identify address gaps such uncontrolled assist underserved, elderly, rural populations. Conclusion: As artificial intelligence continue grow healthcare space, expected transform health-care delivery new heights yet be seen.

Язык: Английский

Процитировано

1
The Pigeons Coming Home to Roost: The Continuing Perils of Contracting Out in Canada DOI Creative Commons
Andrea Migone, Michael Howlett

Canadian Public Administration, Год журнала: 2024, Номер unknown

Опубликована: Дек. 26, 2024

Abstract This article explores the growing trend of contracting‐out public services in Canada, highlighting its increasing impact on government activities as governments have expanded outsourcing from traditional goods like office supplies to complex infrastructure management and professional services. Recent cases, including federal spending consulting high‐profile failures Public Private Partnership (P3) projects, underscore need for critical reassessment. Two major areas—professional large‐scale through P3s—are analyzed understand challenges consequences contracting out. The discussion highlights issues inefficiencies, governance challenges, risks associated with outsourcing, emphasizing blurred lines complications often existing between public, private, non‐profit sectors service delivery. calls reforms enhance accountability, transparency, efficiency, while also reconsidering role private actors delivery if sustainable effective outcomes are be achieved.

Язык: Английский

Процитировано

1
Evaluation of outstanding theories in outsourcing with practices in the public health sector: The case of Türkiye DOI Creative Commons
Burhanettin Uysal, Mehmet Yorulmaz, Mustafa DEMİRKIRAN

и другие.

Heliyon, Год журнала: 2024, Номер 10(7), С. e28773 - e28773

Опубликована: Март 27, 2024

Outsourcing is an essential tool in supply management. This study examines the current outsourcing application areas of public health sector Türkiye. Application examples are presented, together with prominent theories (Transaction Cost Economics Theory (

Язык: Английский

Процитировано

0
THE OUTSOURCING MODEL FOR THE MEDICAL SERVICE MANAGEMENT OF A SANATORIUM-RESORT ORGANIZATION DOI

S. V. Mironov

Laboratornaya i klinicheskaya meditsina Farmatsiya, Год журнала: 2024, Номер 11, С. 4 - 10

Опубликована: Янв. 1, 2024

Organizations providing sanatorium and resort treatment often face a shortage of highly qualified health care professionals. Outsourcing the medical service causes number new difficulties is impossible. At request practical healthcare, author conducted search for best practices to solve these problems. It turned out that alternative management models are absent both in open literature sources among well-known organizations sanatorium-resort profile. As result, has developed implemented model which general organization line staff remain on customer's staff, transferred an outsourcer contractor with appropriate personnel expertise. The advantages this are: 1) flexible contract management; 2) cost optimization; 3) elimination excessive time money expenses; 4) expansion competencies; 5) risk minimization; 6) reduction non-income-generating workspaces. Optimization about 25 % direct costs managing service, as well indirect costs, been achieved. same time, it was possible avoid problems caused by outsourcing service. limitations proposed revealed: suitable only small service; does not provide sales services customers; include research work. Thus, can be applied treatment, taking into account existing limitations.

Язык: Английский

Процитировано

0
Commentary on: a bump in the night: a 15-year retrospective analysis of urgent inpatient and emergency CT reporting out of hours in a tertiary referral centre DOI
Christopher Clarke

Clinical Radiology, Год журнала: 2022, Номер 77(11), С. 823 - 824

Опубликована: Авг. 26, 2022

Язык: Английский

Процитировано

1
Exposure of Public Sector with the Quasi-market Through Outsourcing: A Case Study in Iran DOI Open Access
Habib Omranikhoo, Sanaz Zargar Balaye Jame, Farhad Lotfi

и другие.

Thrita, Год журнала: 2022, Номер 11(2)

Опубликована: Окт. 24, 2022

Background: Outsourcing as an efficiency-oriented approach was introduced to elevate productivity in the public sector. This strategy a public-private partnership (PPP) arrangement coined increase efficiency and quality organizations. Objectives: In this study, we aimed investigate quantity of applying common outsourcing models at Bushehr University Medical Sciences (BUMS). Methods: descriptive cross-sectional study conducted 2020 BUMS. The research population all BUMS deputies, hospitals, health networks. carried out three stages, including literature review, construction checklist finally assurance gathered data. Descriptive indices were calculated using excel software version 2016. Results: Results showed total seven various on which 189 cases services had been outsourced. Of cases, 108 clinical, rest non-clinical. Among models, service purchasing model most typically used, leases divestitures two least used models. Conclusions: Although are available, they have disproportionately utilized, showing that spread domain penetration strategy, need tackle obstacles ahead its successful implementation. Increasing knowledge managers could be effective solution. Furthermore, capacity–building toward raising number private healthcare providers facilitate implementation policy.

Язык: Английский

Процитировано

1
Operations Management, and Quality Control in the U.S. Medical Device Industry DOI Open Access

Magdy Hussein,

Maamoun Taha Elmelhy,

Aaliyah Mohammad Salia

и другие.

Global Academic Journal of Economics and Business, Год журнала: 2023, Номер 5(01), С. 7 - 15

Опубликована: Фев. 15, 2023

This abstract discusses various aspects of the medical device industry, including need for efficient supply chain management, importance partnerships between suppliers and manufacturers, critical role specific parts electronic boards in design devices. The paper also addresses concept outsourcing electronics highlighting hesitation industry leaders to trust outside firms with production proprietary products. It emphasizes that is at core decisions companies business have opportunity create a model deserves trust. research highlights development confidence quality delivery needs are being met, regulatory procedures agencies such as Food Drug Administration efficiently managed.

Язык: Английский

Процитировано

0