Chain Of Healthcare Research Articles

La contribution des fournisseurs à la résilience de la chaîne logistique d'équipements de protection individuelle

AbstractThe disruptions experienced by the healthcare supply chain of personal protective equipment (PPE) during the COVID‐19 pandemic highlighted the importance of initiatives aimed at strengthening the resilience of this chain. This research takes the point of view of suppliers who were involved in the first months of the pandemic to fully understand their reading of events and thus be able to identify resilience initiatives to face future crises. The case under study is that of the PPE supply chain of the public healthcare and social services sector in the province of Quebec. Interviews with 23 suppliers were the main source of data, which was analyzed through the lens of social capital theory. This case study demonstrates that traditional resiliency initiatives such as safety stock or excess production capacity at suppliers would be better calibrated if buyers conducted a supplier market watch to anticipate major turbulence that could impact the supply chain.

Drug Traceability in Supply Chain of Healthcare using Blockchain-Based Approach

The supplychain for healthcare is an intricate web of inter connected businesses that includes manufacturers, distributors, pharmacies, hospitals, patients, and suppliersofrawmaterials.Duetoanumberofissues,suchascentralisedcontrol,conflictingstakeholder conduct, and a lack of information, tracking supply across this network is difficult. In additiontocreatinginefficiencieslikethosebroughttolightbytheCOVID-19pandemic[1], this complexity can make it more difficult to mitigate the problem of counterfeit pharmaceuticalsbecausetheycanquicklyinfiltratethehealthcaresupplychain.Drugsthat are intentionally manufactured fraudulently and/or mislabeled with regard to identity and/or source in order to pass for authentic goods are known as counterfeit drugs[2][3]. These prescriptions may include those with no active pharmaceutical ingredient (API), the wrong dosage, the wrong kind of API, a pollutants, or repackaged goods that have expired. It is possible forcertainfake drugs to be manufactured under unsatisfactory circumstances and with improper formulations[4].

Network visualization to interpret which healthcare services are central to people living with HIV.

To employ network analysis to identify the central healthcare service needs of people living with HIV (PLWH) for integrated care. Cross-sectional survey. A list of healthcare services was identified through literature reviews, expert workshops and validity evaluations by PLWH. A total of 243 PLWH participated at five hospitals and self-reported their need for healthcare services on a four-point Likert scale. Centrality of healthcare service needs was analysed using network analysis. The mean score for 20 healthcare service needs was 3.53 out of 4. The highest scoring need, "Precaution for interaction between antiretroviral therapy and other drugs," received a rating of 3.73 but had a centrality of only 0.31. The most central node in the network of healthcare service needs, "Information and coping with opportunistic infections," had a strength centrality of 1.63 and showed significant relationships with "non-HIV-related medical services (e.g., health check-ups)" and "Regular dental services." The correlation stability coefficient, which quantifies the stability of centrality, was 0.44 with an acceptable value. The most central need was information on opportunistic infections that had connections with many nodes in network analysis. By interpreting the relationships between needs, healthcare providers can design interventions with an integrative perspective. Network visualization provides dynamic relationships between needs that are unknown from the score scale by presenting them graphically and qualitatively. Using network analysis to interpret need assessment offers an integrated nursing perspective. Coping with opportunistic infection is central to connecting the chain of healthcare. This study highlights the multifaceted understanding of patients' needs that nurses gain when they conduct network analysis. We adhered to the STROBE checklist. No patient or public contribution.

Enfermedades cerebrovasculares

Cerebrovascular disease is one of the main causes of mortality and disability worldwide. Knowing its etiology and risk factors is important in order to provide an adequate diagnosis and treatment. Given that «time is brain» when a stroke occurs, a chain of healthcare is needed that guarantees rapid care, allows patients to access care in stroke units, and permits patients with cerebral infarction to receive reperfusion treatment.

Malnutrition risk screening: New insights in a new era

Twenty years ago, ESPEN published its "Guidelines for nutritional screening 2002", with the note that these guidelines were based on the evidence available until 2002, and that they needed to be updated and adapted to current state of knowledge in the future. Twenty years have passed, and tremendous progress has been made in the field of malnutrition risk screening. Many screening tools have been developed and validated for different patient groups and different health care settings. Some countries even have introduced mandatory screening for malnutrition at admission to hospital. Yet, changes in society and healthcare require a reflection on current practice and policies regarding malnutrition risk screening. In this opinion paper, we share our perspectives on malnutrition risk screening in the twenty-twenties, addressing the changing and varying profile of the malnourished individual, the goals of screening and screening tools (i.e., preventive or reactive), the construct of malnutrition risk (i.e., screening for risk factors or screening for existing malnutrition), and screening alongside a patient's journey.

3rd Annual International Pharmacoeconomic Forum Highlights.

3rd Annual International Pharmacoeconomic Forum Highlights.

Application of Radio frequency identification technique in Developing Countries

Radio frequency identification (RFID) technique is a practice for managing the supply Chain of healthcare. Technique of Radio Frequency Identification (RFID) not just offers following ability of different resources continuously, yet in addition gives productive and exact access to healthcare information for specialists and other experts of healthcare sector. The primary challenge faced by RFID is its acceptance and utilization by doctors and medical attendants only. This paper utilizes semi-organized questionnaires on RFID advisors, scientists, and medical hospitals directors/doctors. Information was gathered from 150 doctors and attendants/nurses. The development of RFID adoption in the developing countries is still in the initial phase. The significant barriers, advantages, application and critical success factors of RFID have been recognized in this paper. This study adds to the developing interest for understanding the RFID adoption in the healthcare services industry. The motivation behind this research is to understand the current opportunities, potential advantages of RFID adoption in Indian healthcare industry.

Trust in the early chain of healthcare: lifeworld hermeneutics from the patient’s perspective

ABSTRACTPurpose: Patients must be able to feel as much trust for caregivers and the healthcare system at the healthcare centre as at the emergency department. The aim of this study is to explain and understand the phenomenon of trust in the early chain of healthcare, when a patient has called an ambulance for a non-urgent condition and been referred to the healthcare centre.Method: A lifeworld hermeneutic approach from the perspective of caring science was used. Ten patients participated: seven female and three male. The setting is the early chain of healthcare in south-western Sweden.Results: The findings show that the phenomenon of trust does not automatically involve medical care. However, attention to the patient’s lifeworld in a professional caring relationship enables the patient to trust the caregiver and the healthcare environment. It is clear that the “voice of the lifeworld” enables the patient to feel trust.Conclusion: Trust in the early chain of healthcare entails caregivers’ ability to pay attention to both medical and existential issues in compliance with the patient’s information and questions. Thus, the patient must be invited to participate in assessments and decisions concerning his or her own healthcare, in a credible manner and using everyday language.

Oefening Baart Kunst—“Exercise Bears (Gives Birth To) Art”: Symposium for and by the Allied Health Professions of the NVDMG, Medisch Centrum Haaglanden, Den Haag, February 5, 2011

On Saturday, February 5th, 2011, the Dutch Performing Arts Medicine Association (Nederlandse Vereniging voor Dans- en MuziekGeneeskunde, NVDMG) organized a Symposium for and by allied health care professionals, held in the Medisch Centrum Haaglanden (MCH, Medical Centre of The Hague). Allied health care professionals, such as physiotherapists, manual therapists, Mensendieck therapists, speech therapists, and foot therapists, form a vital and indispensable link in the chain of healthcare and cure for dancers, musicians, and singers. The intention of the symposium was to highlight the practical and experience-related approach of allied health care providers, both in the presentations and in the artistic intermezzi. Apart from the exchange of knowledge and experience, there was ample opportunity for informal contact, facilitating and stimulating the formation of an interdependent network of allied health care providers specialized and/or interested in dance, music, and singing in The Netherlands.

Emergency department radiology: Reality or luxury? An international comparison

Changes in society and developments within emergency care affect imaging in the emergency department. It is clear that radiologists have to be pro-active to even survive. High quality service is the goal, and if we are to add value to the diagnostic (and therapeutic) chain of healthcare, sub-specialization is the key, and, although specifically patient-oriented and not organ-based, emergency and trauma imaging is well suited for that. The development of emergency radiology in Europe and the United States is compared with emphasis on how different healthcare systems and medical cultures affect the utilization of Acute Care imaging.

USE IT to Create Patient-Relation Management for Multiple Sclerosis Patients

Patients with multiple sclerosis (MS) visit various healthcare providers during the course of their disease. It was suggested that information and communication technology might help to orchestrate their care provision. We have applied the USE IT tool to get insight in the relevant problems, solutions, and constraints of MS care both in the organizational and the information-technological area. There is hardly a chain of healthcare, but rather, a network in which informal communication plays an important role. This informal network worked reasonably effective, but it was inefficient and slow. The MS patient count is small for most care providers. Patients thought that a lack of experience caused their major problems: insufficient and inadequate care. To improve care, we proposed a solution that combines an MS protocol, the introduction of a central coordinator of care and a patient-relation management (PRM) system. This is a simple Web-based application based on an agreement by the caregivers that supports routing, tracking, and tracing for an MS patient and supplies the caregivers with professional guidelines. It is likely that we would have suggested a far more complicated ICT solution if we had only analyzed the MS care process as such without specific consideration of the dimensions in the USE IT tool.