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Journal articles on the topic 'Healthcare assessment'

Author: Grafiati

Published: 4 June 2021

Last updated: 16 February 2022

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1

Gilbert, Peter. "Spiritual Assessment in Healthcare PracticeSpiritual Assessment in Healthcare Practice." Nursing Standard 25, no. 26 (March 2, 2011): 30. http://dx.doi.org/10.7748/ns2011.03.25.26.30.b1173.

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2

Akindo, Prudence, M. ,. N. "An Assessment of Equity in the Brazilian Healthcare System: Redistribution of Healthcare Professionals to Address Inequities in Remote and Rural Healthcare." Clinical Social Work and Health Intervention 7, no. 4 (December 17, 2016): 25–32. http://dx.doi.org/10.22359/cswhi_7_4_04.

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3

Uwa, Clementina Ukamaka. "Assessment of Healthcare Waste Management Practices in Enugu Metropolis, Nigeria." International Journal of Environmental Science and Development 5, no. 4 (2014): 370–74. http://dx.doi.org/10.7763/ijesd.2014.v5.512.

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4

Nugent, Chris D., Dewar Finlay, Richard Davies, Mark Donnelly, Josef Hallberg, Norman D. Black, and David Craig. "Remote healthcare monitoring and assessment." Technology and Health Care 19, no. 4 (August 15, 2011): 295–306. http://dx.doi.org/10.3233/thc-2011-0626.

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5

Narayan, Mary Curry. "Cultural Assessment in Home Healthcare." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 15, no. 10 (October 1997): 663–70. http://dx.doi.org/10.1097/00004045-199710000-00005.

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6

Manser, Tanja. "Team Performance Assessment in Healthcare." Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 3, no. 1 (2008): 1–3. http://dx.doi.org/10.1097/sih.0b013e3181663592.

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7

Thornton-Jones, Helen, Susan Hampshaw, and Peter England. "Healthcare Needs Assessment in prison." British Journal of Healthcare Management 11, no. 4 (April 2005): 105–9. http://dx.doi.org/10.12968/bjhc.2005.11.4.18623.

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8

Harty, Mari Anne, Stuart Thomas, and Janet Parrott. "HM prison healthcare needs assessment." Journal of Forensic Psychiatry 12, no. 3 (December 1, 2001): 639–45. http://dx.doi.org/10.1080/09585180110092029.

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9

Anne Harty, Mari, Stuart Thomas, and Janet Parrott. "HM prison healthcare needs assessment." Journal of Forensic Psychiatry 12, no. 3 (January 2001): 639–45. http://dx.doi.org/10.1080/09585180127381.

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10

Herndon, James H., Raymond Hwang, and K. H. Bozic. "Healthcare technology and technology assessment." European Spine Journal 16, no. 8 (April 11, 2007): 1293–302. http://dx.doi.org/10.1007/s00586-007-0369-z.

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11

Herndon, James H., Raymond Hwang, and K. J. Bozic. "Healthcare technology and technology assessment." European Spine Journal 16, no. 8 (July 18, 2007): 1303. http://dx.doi.org/10.1007/s00586-007-0441-8.

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12

Cook, Evelyn, Julie Hernandez, Wanda Lamm, James Lewis, Amy Powell, Heather Ridge, David Jay Weber, and William Rutala. "Onsite-Assessment of Infection Prevention Preparedness in Community Healthcare Settings." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s335—s336. http://dx.doi.org/10.1017/ice.2020.942.

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Background: Well-designed infection prevention programs include basic elements aimed at reducing the risk of transmission of infectious agents in healthcare settings. Although most acute-care facilities have robust infection prevention programs, data are sporadic and often lacking in other healthcare settings. Infection control assessment tools were developed by the CDC to assist health departments in assessing infection prevention preparedness across a wide spectrum of health care including acute care, long-term care, outpatient care, and hemodialysis. Methods: The North Carolina Division of Public Health collaborated with the North Carolina Statewide Program for Infection Control and Epidemiology (SPICE) to conduct a targeted number of on-site assessments for each healthcare setting. Three experienced infection preventionists recruited facilities, conducted on-site assessments, provided detailed assessment findings, and developed educational resources. Results: The goal of 250 assessments was exceeded, with 277 on-site assessments completed across 75% of North Carolina counties (Table 1). Compliance with key observations varied by domain and type of care setting (Table 2). Conclusions: Comprehensive on-site assessments of infection prevention programs are an effective way to identify gaps or breaches in infection prevention practices. Gaps identified in acute care primarily related to competency validation: however, gaps presenting a threat to patient safety (ie, reuse of single dose vials, noncompliance with sterilization and/or high-level disinfection processes) were identified in other care settings. Infection control assessment and response findings underscore the need for ongoing assessment, education, and collaboration among all healthcare settings.Funding: NoneDisclosures: None

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13

Cooper, Todd, and Ken Fuchs. "Technology Risk Assessment In Healthcare Facilities." Biomedical Instrumentation & Technology 47, no. 3 (May 1, 2013): 202–7. http://dx.doi.org/10.2345/0899-8205-47.3.202.

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14

Korpman, Ralph A., and Gary L. Dickinson. "Critical assessment of healthcare informatics standards." International Journal of Medical Informatics 48, no. 1-3 (February 1998): 125–32. http://dx.doi.org/10.1016/s1386-5056(97)00117-2.

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15

Tiwari, Sanju, and Ajith Abraham. "Semantic assessment of smart healthcare ontology." International Journal of Web Information Systems 16, no. 4 (July 31, 2020): 475–91. http://dx.doi.org/10.1108/ijwis-05-2020-0027.

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Purpose Health-care ontologies and their terminologies play a vital role in knowledge representation and data integration for health information. In health-care systems, Internet of Technology (IoT) technologies provide data exchange among various entities and ontologies offer a formal description to present the knowledge of health-care domains. These ontologies are advised to assure the quality of their adoption and applicability in the real world. Design/methodology/approach Ontology assessment is an integral part of ontology construction and maintenance. It is always performed to identify inconsistencies and modeling errors by the experts during the ontology development. A smart health-care ontology (SHCO) has been designed to deal with health-care information and IoT devices. In this paper, an integrated approach has been proposed to assess the SHCO on different assessment tools such as Themis, Test-Driven Development (TDD)onto, Protégé and OOPs! Several test cases are framed to assess the ontology on these tools, in this research, Themis and TDDonto tools provide the verification for the test cases while Protégé and OOPs! provides validation of modeled knowledge in the ontology. Findings As of the best knowledge, no other study has been presented earlier to conduct the integrated assessment on different tools. All test cases are successfully analyzed on these tools and results are drawn and compared with other ontologies. Originality/value The developed ontology is analyzed on different verification and validation tools to assure the quality of ontologies.

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16

Barach, Paul, Usha Satish, and Siegfried Streufert. "Healthcare Assessment and Performance: Using Simulation." Simulation & Gaming 32, no. 2 (June 2001): 147–55. http://dx.doi.org/10.1177/104687810103200203.

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17

LUDWIG, LUCINDA M. "CARDIOVASCULAR ASSESSMENT FOR HOME HEALTHCARE NURSES." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 16, no. 7 (July 1998): 450–56. http://dx.doi.org/10.1097/00004045-199807000-00007.

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18

LUDWIG, LUCINDA M. "CARDIOVASCULAR ASSESSMENT FOR HOME HEALTHCARE NURSES." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 16, no. 8 (August 1998): 547–54. http://dx.doi.org/10.1097/00004045-199808000-00007.

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19

Palmer, Barton W., and Alexandrea L. Harmell. "Assessment of Healthcare Decision-making Capacity." Archives of Clinical Neuropsychology 31, no. 6 (August 22, 2016): 530–40. http://dx.doi.org/10.1093/arclin/acw051.

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20

Joshi, S. D., and Kalpana Panday. "Healthcare assessment methodology in developing country." World Allergy Organization Journal &NA; (November 2007): S159. http://dx.doi.org/10.1097/01.wox.0000301767.91910.01.

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21

Brett-Fleegler, Marisa, Jenny Rudolph, Walter Eppich, Michael Monuteaux, Eric Fleegler, Adam Cheng, and Robert Simon. "Debriefing Assessment for Simulation in Healthcare." Simulation in Healthcare: The Journal of the Society for Simulation in Healthcare 7, no. 5 (October 2012): 288–94. http://dx.doi.org/10.1097/sih.0b013e3182620228.

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22

Asher, Gillian. "An assessment of the introduction of healthcare assistants into primary healthcare." Clinical Risk 13, no. 2 (March 2007): 67–70. http://dx.doi.org/10.1177/135626220701300207.

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23

&NA;. "Healthcare." Nursing 44, no. 1 (January 2014): 6. http://dx.doi.org/10.1097/01.nurse.0000438715.43216.e2.

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24

Powell, Suzanne K., and Jo Ann Precup. "Healthcare Encounters." Professional Case Management 15, no. 3 (May 2010): 119–20. http://dx.doi.org/10.1097/ncm.0b013e3181e128eb.

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25

Zhang, Xin Hua, Oladele A. Ogunseitan, Ming Jiang Xu, and Meng Jun Chen. "Healthcare Waste Management Policy Assessment in China." Advanced Materials Research 878 (January 2014): 594–99. http://dx.doi.org/10.4028/www.scientific.net/amr.878.594.

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Healthcare waste management represents a challenge in China due to insufficient legislation and financial investment, lack of awareness and effective regulations, lack of trained clinical staffs in the waste management framework etc. This study considered the issues of existing healthcare waste management practice and put forward the policy suggestions.

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26

Gulati, Alka. "ASSESSMENT OF HEALTHCARE WITH USE CASE POINT." International Journal of Advanced Research in Computer Science 9, no. 2 (April 20, 2018): 217–21. http://dx.doi.org/10.26483/ijarcs.v9i2.5515.

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27

Mullersdorf, Maria, and Ingrid Soderback. "Needs Assessment Methods in Healthcare and Rehabilitation." Critical Reviews in Physical and Rehabilitation Medicine 10, no. 1 (1998): 57–73. http://dx.doi.org/10.1615/critrevphysrehabilmed.v10.i1.40.

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28

Hisashige, Akinori. "History of healthcare technology assessment in Japan." International Journal of Technology Assessment in Health Care 25, S1 (July 2009): 210–18. http://dx.doi.org/10.1017/s0266462309090655.

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There has been a rapid growth of healthcare technology assessment (HTA) activities among health service researchers and physicians in Japan in the younger generation since the mid-1980s. HTA has become visible since the Ministry of Health, Labor, and Welfare (MHLW) set up the several committees related to HTA in the late 1990s. The MHLW had to participate in regulatory and administrative reform, coping with the serious economic stagnation since 1991, following the economic recession in the 1980s. However, HTA has not been developed as expected. The most important failure is that the application of HTA to health policy has been neglected by the MHLW. Only application to clinical practice has been implemented by developing evidence-based clinical practice guidelines. The MHLW had the main aim of containing costs by reducing excess or useless healthcare services through guidelines, rather than to implement a radical reform. Without a central organization for HTA, several researchers have still continued to do HTA studies, but most researchers and physicians promoting HTA have been moved into diverse related areas. Ultimately, increasing efficiency may be the only way of reconciling rising demands for health care with public financing constraints. Therefore, the reconsideration and reorganization of HTA, which covers not only healthcare services but also the healthcare system as a whole, is becoming an urgent matter for healthcare reform.

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29

Hayes, Tamara, Misha Pavel, Nicole Larimer, Ishan Tsay, John Nutt, and Andre Adami. "Distributed Healthcare: Simultaneous Assessment of Multiple Individuals." IEEE Pervasive Computing 6, no. 1 (January 2007): 36–43. http://dx.doi.org/10.1109/mprv.2007.9.

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30

Hassan, Z. M., M. A. Wahsheh, K. R. Shishani, and E. R. Pryor. "Hepatitis needs assessment among Jordanian healthcare workers." International Nursing Review 55, no. 2 (June 2008): 142–47. http://dx.doi.org/10.1111/j.1466-7657.2007.00583.x.

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31

LlNDELL, DEBORAH F. "COMMUNITY ASSESSMENT FOR THE HOME HEALTHCARE NURSE." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 15, no. 9 (September 1997): 618–26. http://dx.doi.org/10.1097/00004045-199709000-00006.

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32

Agbata, Eric Nwachukwu, Paulina Fuentes Padilla, Ifeoma Nwando Agbata, Laura Hidalgo Armas, Ivan Solà, Kevin Pottie, and Pablo Alonso-Coello. "Migrant Healthcare Guidelines: A Systematic Quality Assessment." Journal of Immigrant and Minority Health 21, no. 2 (May 21, 2018): 401–13. http://dx.doi.org/10.1007/s10903-018-0759-9.

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33

Hossain, M. Shamim, and Ghulam Muhammad. "Healthcare Big Data Voice Pathology Assessment Framework." IEEE Access 4 (2016): 7806–15. http://dx.doi.org/10.1109/access.2016.2626316.

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34

Nagai, Kei, Hiroaki Suzuki, Atsushi Ueda, John W. M. Agar, and Norihiro Itsubo. "Assessment of environmental sustainability in renal healthcare." Journal of Rural Medicine 16, no. 3 (2021): 132–38. http://dx.doi.org/10.2185/jrm.2020-049.

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35

Parretti, C., E. Pourabbas, F. Rolli, F. Pecoraro, and P. Citti. "Robust Privacy Assessment in Transnational Healthcare Systems." IOP Conference Series: Materials Science and Engineering 1174, no. 1 (August 1, 2021): 012015. http://dx.doi.org/10.1088/1757-899x/1174/1/012015.

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36

B, Tambe Sagar, Patil Kunal A, Bhavare Pankaj C, and Kendre Govind L. "Critical Healthcare Assessment using WBAN and SVM." International Journal of Innovative Technology and Exploring Engineering 10, no. 9 (July 30, 2021): 84–86. http://dx.doi.org/10.35940/ijitee.i9362.0710921.

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Today good healthcare facilities and awareness of need of good healthcare is increasing in India. But as awareness increases it also strains the current healthcare infrastructure as patient expects more secured treatment round the clock. So there arises a need of remote assessment of patient health all the time using IoT devices. But these devices also need to be monitored by health worker in a hospital. Due to human interaction with theses IoT devices it may give rise to errors as human decisions can be late as a human health worker cannot look at the devices 24X7. So, to remove dependence of human decision-making technologies such as WBAN, cloud and machine learning has to be utilized together to make heath decision of a patient with less human interaction. So, we are designing a project where healthcare of a patient can be monitored extensively using WBAN. In first part of our project, we design a IoT device using Arduino and ESP8266 Wi-Fi module. The sensors connected to the Arduino will be pulse sensor, temperature sensor etc. The sensors will transfer data from patient to a server using ESP8266 and Wi-Fi called as WBAN network. The server will then apply SVM machine learning algorithm on the sensor readings and classify in two categories safe and unsafe. Custom made training dataset will be used to train the SVM. If unsafe readings are found the sensor will send a message to concerned doctor and upload readings to the cloud. The doctor on receiving alert can see the readings on the android app designed for the project and take a decision on the condition of the patient. For the project we are using Google Cloud Platform as our cloud provider which is free for use. Thus, by using our project a doctor can monitor his patient remotely from anywhere and the system will help in making decisions on the behalf of the doctor.

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37

Van Hala, Sonja, Susan Cochella, Rachel Jaggi, Caren J. Frost, Bernadette Kiraly, Susan Pohl, and Lisa Gren. "Development and Validation of the Foundational Healthcare Leadership Self-assessment." Family Medicine 50, no. 4 (April 6, 2018): 262–68. http://dx.doi.org/10.22454/fammed.2018.835145.

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Background and Objectives: We sought to develop and validate a self-assessment of foundational leadership skills for early-career physicians. Methods: We developed a leadership self-assessment from a compilation of materials on health care leadership skills. A sequential exploratory study was conducted using qualitative and quantitative analysis for face, content, and construct validity of the self-assessment. First, two focus groups were conducted with leaders in medicine and family medicine residents, to refine the pilot self-assessment. The self-assessment pilot was then tested with family medicine residents across the country, and the results were quantitatively evaluated with principal component analysis. This data was used to reduce and group the statements into leadership domains for the final self-assessment. Results: Twenty-two invited family medicine residency programs agreed to distribute the survey. A total of 163 family medicine residents completed the survey, representing 16 to 20 residency programs from 12 states (response rate 28.9% to 34.8%). Analysis showed important differences by residency year, with more advanced residents scoring higher. The analysis reduced the number of items from 33 on the pilot assessment to 21 on the final assessment, which the authors titled the Foundational Healthcare Leadership Self-assessment (FHLS). The 21 items were grouped into five leadership domains: accountability, collaboration, communication, team management, and self-management. Conclusions: The FHLS is a validated 21-item self-assessment of foundational leadership skills for early career physicians. It takes less than 5 minutes to complete, and quantifies skill within five domains of foundational leadership. The FHLS is a first step in developing educational and evaluative assessments for training medical residents as clinician leaders.

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38

Cleemput, Irina, and Katrien Kesteloot. "HEALTH TECHNOLOGY ASSESSMENT IN BELGIUM." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 325–46. http://dx.doi.org/10.1017/s0266462300101035.

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The Belgian healthcare system has a Bismarck-type compulsory health insurance, covering almost the entire population, combined with private provision of care. Providers are public health services, independent pharmacists, independent ambulatory care professionals, and hospitals and geriatric care facilities. Healthcare responsibilities are shared between the national Ministries of Public Health and Social Affairs, and the Dutch-, French-, and German-speaking Community Ministries of Health. The national ministries are responsible for sickness and disability insurance, financing, determination of accreditation criteria for hospitals and heavy medical care units, and construction of new hospitals. The six sickness and disability insurance funds are responsible for reimbursing health service benefits and paying disability benefits. The system's strength is that care is highly accessible and responsive to patients. However, the healthcare system's size remained relatively uncontrolled until recently, there is an excess supply of certain types of care, and there is a large number of small hospitals. The national government created a legal framework to modernize the insurance system to control budgetary deficits. Measures for reducing healthcare expenditures include regulating healthcare supply, healthcare evaluation, medical practice organization, and hospital budgets. The need to control healthcare facilities and quality of care in hospitals led to formal procedures for opening hospitals, acquiring expensive medical equipment, and developing highly specialized services. Reforms in payment and regulation are being considered. Health technology assessment (HTA) has played little part in the reforms so far. Belgium has no formal national program for HTA. The future of HTA in Belgium depends on a changing perception by providers and policy makers that health care needs a stronger scientific base.

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39

Hardman-Smith, Jill. "Spiritual assessment in healthcare practice Wilfred McSherry and LindaRoss Spiritual assessment in healthcare practiceM&K Publishing£27190pp97819055392771905539274." Cancer Nursing Practice 10, no. 2 (March 9, 2011): 8. http://dx.doi.org/10.7748/cnp.10.2.8.s9.

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40

Kahveci, Rabia, Esra Meltem Koç, and Emine Özer Küçük. "HEALTH TECHNOLOGY ASSESSMENT IN TURKEY." International Journal of Technology Assessment in Health Care 33, no. 3 (2017): 402–8. http://dx.doi.org/10.1017/s0266462317000289.

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Objectives: The healthcare transformation program in Turkey has shown its success with improvements in important health indicators, increased access to healthcare services and expansion of coverage to all citizens. Turkey has been relatively able to bear the burdens associated with this due to rapid economic growth. The need for health technology assessment (HTA) was believed as a result of the expansion of coverage, pressure of new technologies, and increased expenditures. This study outlines the background and current formalization of HTA and shares the current use of HTA in decision making, while summarizing the transformation of the Turkish healthcare system for developing a high-quality, equal, and accessible care system.Methods: We reviewed and analyzed policy changes in the Turkish healthcare system, universal health coverage, healthcare expenditures, and pricing and reimbursement policies to identify the changes leading to HTA. We reviewed existing HTA functions in Turkey and outlined their activities. Finally, we outlined a set of major challenges for HTA in Turkey over the next decade.Results: HTA was formalized in Turkey in 2012–2013 with three national HTA structures and one hospital-based HTA unit. These functions currently run independent from each other. There are three major challenges in this country for HTA in the next decade: clarification of the assessment scope and methods, building a strong supporting system for HTA, and defining the role of HTA in the future vision of Turkish healthcare policy.Conclusion: HTA, despite challenges, has a good opportunity to develop further with clear action plans and strong political will.

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41

Davies, Elin, and Ebrahim Mulla. "The sexual health assessment." InnovAiT: Education and inspiration for general practice 13, no. 4 (February 12, 2020): 227–34. http://dx.doi.org/10.1177/1755738019900369.

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Primary care plays an important role in sexual healthcare, not least because of rising rates of sexually transmitted infections and a wide variation in local funding for sexual and reproductive healthcare. Sexual health assessment brings some unique challenges. Embarrassment and stigma can hinder assessment. In this article, we provide the basic structure of the sexual history, while reinforcing the skills needed for a sensitive, yet effective, consultation.

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42

Mmereki, Daniel, Baizhan Li, and Liu Meng. "Assessment of the Status of Healthcare Waste Management in Healthcare Facilities in Botswana." Journal of Solid Waste Technology and Management 41, no. 4 (November 1, 2015): 366–79. http://dx.doi.org/10.5276/jswtm.2015.366.

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43

Law, Monica L. "Recommendations For Prevention Of Medical Errors Through An Empirical Investigation Of The Error Reporting Systems Within Acute Care Hospitals In Pennsylvania." American Journal of Health Sciences (AJHS) 4, no. 4 (December 28, 2013): 173–78. http://dx.doi.org/10.19030/ajhs.v4i4.8270.

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The researcher investigated the procedures taken by healthcare administrators within twenty-two Pennsylvania acute care hospitals with respect to the prevention of medical errors. Structured interview questions provided relevant data in relation to how healthcare administrators could structure the workplace environment in hopes to prevent the number of medical errors that occur in acute care hospitals in Pennsylvania. Recommendations for prevention include conducting needs assessments the areas of cultural assessment, error reporting system assessment, workplace environment assessment, corrective action procedures assessment, and policies and procedures assessment. Recommendations and implications for conducting the needs assessments are provided in this paper in an effort to bring attention to actions that may be taken by hospital administrators in hopes of reducing the number of medical errors that occur within acute care hospitals in Pennsylvania.

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44

Shirey, Maria R. "Ethical Healthcare." Clinical Nurse Specialist 20, no. 5 (September 2006): 256–57. http://dx.doi.org/10.1097/00002800-200609000-00016.

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45

Miller, Elaine Hogan, D. A. Nordquist, Karen A. Doran, Cathleen K. Ahern, and Yvonne Marie Cariveau Karsten. "Interregional Healthcare." Clinical Nurse Specialist 12, no. 1 (January 1998): 15–21. http://dx.doi.org/10.1097/00002800-199801000-00008.

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46

Heitman, Linda. "HealthCare Advocate." Clinical Nurse Specialist 22, no. 2 (March 2008): 93. http://dx.doi.org/10.1097/01.nur.0000311768.80671.01.

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47

Craig, Kathy, and Lisa Beichl. "Globalization of Healthcare." Professional Case Management 14, no. 5 (September 2009): 235–46. http://dx.doi.org/10.1097/ncm.0b013e3181badd06.

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48

Morgan, Matt, Valerie Dory, Stuart Lubarsky, and Kieran Walsh. "What steps are necessary to create written or web-based selected-response assessments?" Journal of Educational Evaluation for Health Professions 11 (November 8, 2014): 28. http://dx.doi.org/10.3352/jeehp.2014.11.28.

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Before we work out what constitutes an assessment’s value for a given cost in medical education, we must first outline the steps necessary to create an assessment, and then assign a cost to each step. In this study we undertook the first phase of this process: we sought to work out all the steps necessary to create written selected-response assessments. First, the lead author created an initial list of potential steps for developing written assessments. This was then distributed to the other three authors. These authors independently added further steps to the list. The lead author incorporated the contributions of these others and created a second draft. This process was repeated until consensus was achieved amongst the study’s authors. Next, the list was shared by means of an online questionnaire with 100 healthcare professionals with experience in medical education. The results of the authors’ and healthcare professionals’ thoughts and feedback on the steps, needed to create written assessment, are outlined below in full. We outlined the steps that are necessary to create written or web-based selected-response assessments.

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49

Wild, Claudia. "HEALTH TECHNOLOGY ASSESSMENT IN AUSTRIA." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 303–24. http://dx.doi.org/10.1017/s0266462300101023.

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The Austrian healthcare system relies mainly on physicians in private practice and on various services provided by hospitals. The social health insurance scheme is compulsory, covering 99% of the population. The system is very decentralized. While the federal state provides the framework, the nine autonomous provinces are responsible for administering health and social services. There is ongoing public discussion about centralizing the healthcare system to make it more efficient and to enforce structural reforms. Because of concerns about healthcare expenditures, in 1997 the Performance-Related Hospital Financing System (LKF), a system similar to the diagnosis-related group system, was introduced for hospitals, including a plan for large medical devices. It is too early to evaluate the success of this new system, although some effects of the LKF system that could have been anticipated, such as shortened lengths of stay and more hospitalizations, have been seen. Previously, health technologies have been almost uncontrolled in Austria. The evaluation of health technologies as an instrument to support or to control their dissemination and use or to help define policies is not institutionalized or systematically used. It seems clear that structural reforms of the Austrian healthcare system are needed. Health technology assessment should be part of such reforms.

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50

Pwee, Keng Ho. "Health technology assessment in Singapore." International Journal of Technology Assessment in Health Care 25, S1 (July 2009): 234–40. http://dx.doi.org/10.1017/s0266462309090692.

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The Republic of Singapore is an island city-state in Southeast Asia. Its population enjoys good health and the Singapore Ministry of Health's mission is to promote good health and reduce illness, ensure access to good and affordable health care, and pursue medical excellence. This is achieved through a healthcare system that includes both private and public sector elements. The financing philosophy of Singapore's healthcare delivery system is based on individual responsibility and community support. Health care in Singapore is financed by a combination of taxes, employee medical benefits, compulsory health savings, insurance, and out-of-pocket payment. The capability for health technology assessment in Singapore was developed concurrently with its medical device regulation system in the 1990s. The first formal unit with health technology assessment (HTA) functions was established in September 1995. Today, HTA features in decision making for the Standard Drug List, licensing of medical clinics, the Health Service Development Programme, healthcare subsidies, and policy development. The public sector healthcare delivery clusters have also recently started health services research units with HTA functions. Singapore is organizing the 6th Health Technology Assessment International (HTAi) Annual Meeting in June 2009. Bringing this prestigious international conference to Asia for the first time will help raise awareness of HTA in the region.

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