Healthcare problem: Delivery

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Literature Review: Delivery problem for Healthcare

This “Ten Problems for Healthcare in the 2020s” booklet identifies ten relevant areas from very recent contributions put forward at academic level in the form journal articles, conference proceedings and students’ theses. Ten freely accessible internet references have been selected for each area and direct links are provided at the end of each chapter for own consultation. Our selected references do not intend to mirror ranking indexes nor establish novel classifications. On the contrary, they are meant to represent peer-reviewed, diverse and scientifically-sound case studies for vertical dissemination aimed at non-specialist readers. They will also be able to scoop even more references through the bibliography that is reported at the end of each selected reference.

Without further ado, these are the ten problems that we are going to introduce in this booklet:

  1. delivery,
  2. access,
  3. economics,
  4. digital,
  5. artificial intelligence,
  6. pharma,
  7. regulation,
  8. special needs,
  9. wellbeing,
  10. workforce.

Each problem has its own dedicated chapter made of an introductory section, a short presentation of the ten selected references and a conclusions section.

The final chapter of this booklet will report the conclusions from each chapter again in order to provide a complete executive summary.

1 Delivery

THE PROBLEM — Research has generated valuable knowledge in identifying, understanding, and intervening to address inequities in the delivery of healthcare, yet these inequities persist. Synergies between education, practice, technology and other components of the healthcare system must be explored, with the current pandemic already accelerating change widely in high-income countries.

CASE STUDIES — … buy this booklet from Amazon

CONCLUSIONS — Inequities in the delivery of healthcare are a global issue. Forms of large-scale change, such as the regional re-distribution of clinical services, are an enduring reform orthodoxy in health systems of high-income countries despite limited evidence of either clinical or financial benefits. A clinical learning environment framing could introduce the additional perspective of outcomes and implications for the clinical service. The greatest challenge for healthcare education and delivery systems is the choice of appropriate performance metrics and data as indicators of core values. Most people do not have access to or opt out of the seasonal influenza virus vaccine, although influenza virus kills more than half a million people per year globally. The use of mobile applications for healthcare has become a focal point of innovation that could aid patients in their everyday healthcare management. The current health care crisis and need for social distancing is accelerating telemedicine. The prevalence of malingering or a factitious disorder in patients presenting to the hospital is about 1.3%. The current COVID-19 pandemic challenges oncologists to profoundly re-organize oncological care in order to dramatically reduce hospital visits and admissions and therapy-induced immune-related complications without compromising cancer outcomes. In the midst of the unprecedented coronavirus disease pandemic, healthcare communities, despite insufficient resources, have scrambled to provide appropriate patient care to both infected and non-infected patients while also protecting healthcare personnel. Rural providers face challenges in the provision of evidence-based care, including the use of guidelines.

TEN FREE REFERENCES FROM THE INTERNET — … buy this booklet from Amazon

“Ten Problems for Healthcare in the 2020s” booklet for Amazon Kindle, 2020; click on the cover to go to the dedicated Amazon listing page

By TenProblems

Literature Reviews for Inquisitive Minds