Health Care Market Research Articles

The disease burden of paroxysmal nocturnal hemoglobinuria in Denmark: Epidemiology, survival, healthcare resource utilization, costs, treatment gaps, and labor market attachment.

To establish epidemiology, healthcare costs, and labor market attachment in patients with paroxysmal nocturnal hemoglobinuria (Pt-PNH) in Denmark. Data were from Statistics Denmark and the Danish Health Data Authority national population registers (2005-2021). Descriptive baseline statistics characterized the Pt-PNH analytic population; ordinary least squares and adjusted Cox proportional hazards regressions measured outcomes in the Pt-PNH versus Danish general population matched comparators. Overall PNH incidence in Denmark was n = 11 during 2007-2009, n = 25 during 2016-2018 and n = 7 during 2019-2020; prevalence increased from n = 13 in 2006 to n = 62 in 2021. Of the overall n = 85 Pt-PNH; n = 24 were treated with complement-5 inhibitors (Pt-C5i) and n = 61 not treated with C5i (Pt-nC5i). Versus respective comparators, all patients had significantly greater annual per-patient costs (from inpatient hospital admissions, outpatient contacts, PNH treatments; indirect costs from lost earnings + transfer payments; post-diagnosis for Pt-PNH and Pt-nC5i, post-treatment initiation for Pt-C5i). The Pt-C5i incurred the greatest healthcare and indirect cost differences (€709 119; €152 832, respectively) followed by the Pt-PNH (€189 323; €29 159, respectively) and Pt-nC5i (€95 548; €4713, respectively). The Pt-PNH versus comparators also had an increased hazard of death (2.71 [95% CI, 1.63 - 4.51]). Although a rare disease, PNH is associated with significant patient, healthcare system, and societal burdens in Denmark.

Welfare state regimes and social policy resistance to fiscal consolidations

AbstractWe study how welfare states regimes influence the effect of episodes of fiscal consolidations on the four main components of the welfare state: social investment, pensions, healthcare and labour market insurance. Welfare state regimes are associated with distinct social policy legacies that feedback into political competition by shaping the size and influence of different coalitions of constituents. Using data from 1980 to 2014 in 16 OECD countries, we find that labour market insurance is more vulnerable to consolidations in Liberal regimes, while social investments are more resistant to consolidations in Nordic regimes. In the Continental regime, which overlaps with Social Health Insurance systems, healthcare is more resistant to consolidations. Finally, pensions are more resistant to consolidations in the Southern regime. These findings contribute to the study of the comparative political economy of welfare state retrenchment.

Deciphering the mechanisms, hormonal signaling, and potential applications of endophytic microbes to mediate stress tolerance in medicinal plants.

The global healthcare market in the post-pandemic era emphasizes a constant pursuit of therapeutic, adaptogenic, and immune booster drugs. Medicinal plants are the only natural resource to meet this by supplying an array of bioactive secondary metabolites in an economic, greener and sustainable manner. Driven by the thrust in demand for natural immunity imparting nutraceutical and life-saving plant-derived drugs, the acreage for commercial cultivation of medicinal plants has dramatically increased in recent years. Limited resources of land and water, low productivity, poor soil fertility coupled with climate change, and biotic (bacteria, fungi, insects, viruses, nematodes) and abiotic (temperature, drought, salinity, waterlogging, and metal toxicity) stress necessitate medicinal plant productivity enhancement through sustainable strategies. Plants evolved intricate physiological (membrane integrity, organelle structural changes, osmotic adjustments, cell and tissue survival, reclamation, increased root-shoot ratio, antibiosis, hypersensitivity, etc.), biochemical (phytohormones synthesis, proline, protein levels, antioxidant enzymes accumulation, ion exclusion, generation of heat-shock proteins, synthesis of allelochemicals. etc.), and cellular (sensing of stress signals, signaling pathways, modulating expression of stress-responsive genes and proteins, etc.) mechanisms to combat stresses. Endophytes, colonizing in different plant tissues, synthesize novel bioactive compounds that medicinal plants can harness to mitigate environmental cues, thus making the agroecosystems self-sufficient toward green and sustainable approaches. Medicinal plants with a host set of metabolites and endophytes with another set of secondary metabolites interact in a highly complex manner involving adaptive mechanisms, including appropriate cellular responses triggered by stimuli received from the sensors situated on the cytoplasm and transmitting signals to the transcriptional machinery in the nucleus to withstand a stressful environment effectively. Signaling pathways serve as a crucial nexus for sensing stress and establishing plants' proper molecular and cellular responses. However, the underlying mechanisms and critical signaling pathways triggered by endophytic microbes are meager. This review comprehends the diversity of endophytes in medicinal plants and endophyte-mediated plant-microbe interactions for biotic and abiotic stress tolerance in medicinal plants by understanding complex adaptive physiological mechanisms and signaling cascades involving defined molecular and cellular responses. Leveraging this knowledge, researchers can design specific microbial formulations that optimize plant health, increase nutrient uptake, boost crop yields, and support a resilient, sustainable agricultural system.

The journey of Indonesian nurse migration: a scoping review

The migration of nurses from Indonesia to other foreign countries is an inevitable part of the global mobility of the nurse profession. This phenomenon requires investigation to understand the current trajectories of Indonesian nurses in the global market. This scoping review aimed to investigate the Indonesian nurses' mobility to the international healthcare market. A scoping review of primary research addressing Indonesian nurses migration journey overseas. A range of databases were searched, including Scopus, Web of Science Clarivate Analytics, Cumulative Index to Nursing and Allied Health Literature (CINAHL), and PubMed. A systematic process was performed guided by the work of Arksey and O'Malley. Four databases were searched, and 68 articles were retrieved. After screening articles and abstracts, 19 full texts were assessed for eligibility, and finally, 17 studies were further analyzed and synthesized. Eleven qualitative studies, five quantitative study and one literature review study met inclusion criteria, emphasizing the three phases of migration: pre-migration, migration and post-migration. The destination countries of Indonesian nurses including Japan, Kuwait, Saudi Arabia and Taiwan. At the pre-migration stage there are several aspects that must be considered, there were: language, understanding of the job position, reason to work and comprehensive understanding of the destination countries. Migration stage include issues language, deskilling, mental health, unclear career path, cultural adaptation, lack of religious services and homesickness. At the post-migration stage includes deskilling, brain waste and re-integration with brain circulation platform. The comprehensive approach of Indonesian nurses migration from pre-migration, migration and post-migration has shown us the trajectory of Indonesian nurses in international migration. Understanding the bottle neck of each stage with improve policy support is needed to create safe and sound migration channel for Indonesian nurses. This review highlighted to the need for future research in key areas such as the impact of nurse migration on Indonesia's health systems.

On the Path to Decolonizing Health Care Services: The Role of Marketing

Despite considerable investment, health outcomes for First Nations people are well below those of the rest of the population in several countries, including Canada, the United States, and Australia. In this article, the authors draw on actor-network theory and the case of Birthing on Country, a successful policy initiative led by First Nations Australians, to explore the decolonization of health services. Using publicly available archival data and the theoretical guidance of actor-network theory, the analysis offers insight into how marketing techniques and technologies can be deployed to achieve improved health outcomes and implement decolonized approaches. The insights provided have theoretical implications for marketing scholarship, social implications for understanding and implementing an agenda of decolonization, and practical implications for health care marketing.

The promulgation of group purchasing organizations into the healthcare sector in India

PurposeThe promulgation of group purchasing organizations (GPOs) into the healthcare (HC) sector is an invaluable procurement strategy to manage the suppliers effectively. This study aims to identify and prioritize the factors of integrating GPOs into the HC sector on the perspectives of the developing countries such as India.Design/methodology/approachThe factors are identified from current literature exploration, experts’ support and experience surveys. The factors are scrutinized and shortlisted using the Delphi technique and analysed further using the best-worst model method.FindingsThe findings of the study highlight the cost reduction, fair distribution of savings and healthcare supply chain (HCSC) data standardization among others to be the most prioritized drivers. The consulting services provided by GPOs including training and development as a result of high competitiveness in the HC market has been prioritized the least.Practical implicationsThe study bears some important implications for decision and policymakers. The managers should consider factors, namely, cost reduction, fair distribution of savings and HCSC data standardization on a priority basis that acts as motivation for the HC providers to join the GPOs.Originality/valueThe study provides valuable insights for HC providers to participate in the GPOs for cost savings and enhance the performances.

Artificial intelligence in health care: should it replace physicians?

The global Artificial Intelligence (AI) in health care market was worth $7.4 billion in 2021 and is expected to reach $48.77 billion by 2027.1 Although theoretical, recent reports estimate that AI has the potential to improve up to 40% of patient care, diagnostics, research, and administrative tasks.2 Are current AI solutions ready to replace physicians?

‘Having the card makes us feel worthless’: the negative value of government-funded health insurance in India

Since the 2000s, hundreds of government-funded health insurance (GFHI) schemes were introduced in India. These schemes are meant to prevent poorer households from incurring catastrophic health expenditures. Through GFHIs, policy-makers want to mobilize the decision-making powers of private consumers in a liberalized healthcare market. Patients are called upon to act as ‘co-creators’ of healthcare value by optimizing supply through demand. Based on long-term ethnographic fieldwork with insurance users in South India, we argue that GFHIs fail because people experience the value of insurance in drastically different ways that only partly overlap with how the policy assumes they value insurance. In addition, the hollow promises of health coverage can be experienced as so frustrating that signing up for health insurance actually makes people feel devalued.

Strategic decisions in healthcare: Impact on goals and enhancing service quality for organizational success

This study underscores the crucial imperatives of governments aiming to establish effective social protection systems: prioritizing human capital development, reinforcing social protection mechanisms, and improving the populace's standard of living. The primary objective is to conduct a comprehensive analysis of central healthcare issues and propose strategic solutions for the advancement of healthcare services. The methodology involves a detailed examination and segmentation of the healthcare sector, tailoring enhancements to specific segments. The article critically examines strategic management nuances within the healthcare sector, offering detailed segmentations and proposals for potential improvements. It extends its focus to advanced healthcare systems worldwide, providing valuable insights for assimilating foreign experiences. The study systematically explores the intricacies of strategic action planning and management in both public and corporate healthcare sectors, including transnational corporations. Findings underscore the imperative of continual development and improvement in healthcare service quality, emphasizing the necessity for judicious strategic decisions to sustain the healthcare market's functionality and vitality. This study is relevant for administrative institutions, organizations, governmental bodies, and corporate entities aiming to enhance decision-making processes and operational aspects while prioritizing healthcare quality.

Current State of Brazilian Neurosurgery: Evaluation of Burden of Care and Case Volume

Low- and middle-income countries (LMICs) bear a heavier burden of neurosurgical diseases than high-income countries. Brazil, a growing middle-income country, holds promise as a health care market. However, there exists a lack of information to characterize the state of neurosurgical practice and access to care in Brazil. This study aimed to characterize neurosurgical practice in Brazil and identify barriers to care. A collaborative survey was developed with Brazilian neurosurgeons and distributed by the Brazilian Society of Neurosurgery. The survey gathered demographic information, practice characteristics, case volume, referral patterns, income sources, and assessed barriers using a Likert scale. Descriptive statistics were employed for data analysis. One-hundred and forty-nine neurosurgeons participated (response rate: 17.5%), representing various states in Brazil. Neurosurgeons practiced in more than 4 different hospital systems on average, with most consultations and procedures occurring in public hospitals. Common procedures included tumor surgeries, general neurosurgery, spine surgeries, trauma surgeries, and hydrocephalus management. Equipment shortage and systemic issues were identified as major barriers to care. Neurosurgical practice in Brazil exhibits diverse age distribution, widespread distribution across states, and involvement in both public and private hospitals. Survey insights shed light on neurosurgical workload and neurosurgical practice characterization. Lack of equipment and inadequate postoperative resources pose significant barriers to care. The findings highlight the need for investments in equipment, critical care facilities, and improved health care system coordination to enhance access to neurosurgical care in Brazil.

Research on Investment Value in the Heath-care Stock Market

The healthcare industry is one of the most valuable industries in the world, mainly because of the increasing demand for healthcare every day. Healthcare is a basic need, and one cannot live without it, which means it is a never-ending industry. Its value continues to rise every day as people seek out such services. Therefore, this paper chooses McKesson, an excellent enterprise in the healthcare industry, as the research object. An introduction to the topic is provided first, providing a brief overview of the healthcare stock market. A literature review is also provided to provide details of other studies on the same topic. It also determines the methods used to obtain and analyze data; and then specifically analyzes McKesson's cash flow, operating profit, profitability, and other data indicators to judge McKesson's overall operating conditions comprehensively. Finally, McKesson has a steady income stream and strong financials among its healthcare stocks for investors looking for the long term.

Changing Health Care Markets Have the Potential to Undermine Stroke Systems of Care

This Viewpoint discusses the importance of prioritizing quality of care for patients with stroke in a changing health care environment.

Perspective of Marketing Mix Elements in Health Care Services – A Review

The success of healthcare services and diagnostic laboratories depends on their use of the marketing mix.Price optimization, service expansion, better health education, and more funding are also crucial. Clinical decisions depend onlaboratory diagnosis and test results, helping customize medication for a particular patient. Diagnostic labs are considered a "cashcow" for healthcare organizations. Marketing mix has been considered critical in the success of any service organization, and thesame applies to Healthcare too. A modern and valuable marketing tool in healthcare services is the marketing mix. Patientsatisfaction has been the goal of any healthcare organization's marketing activity, which is significantly influenced by the 7Ps of theservice marketing mix. Hospitals have been using the 7Ps of the marketing mix for a long time, and a lot of literature is available.At the same time, the literature on the applicability of marketing mix tools in the diagnostic industry is limited. Doctors andpatients disagree on what variables should be considered when picking a lab. This study seeks to review the marketing mix ofhospitals and their applicability in the diagnostic industry. A systematic review of relevant websites, articles, periodicals, and peerreviewedjournals on google scholar, the Internet, EBSCO host, and ProQuest was done. The paper enriches the literature onmarketing characteristics of health services from a diagnostic lab perspective. This study will be helpful for professionals inlaboratory business and count on their theoretical knowledge. Moreover, this article paves the way to further research in this fieldto find an appropriate marketing mix for the diagnostic industry.

Assessing the impact of hospital marketing in attracting the patient for service consumption in tertiary care hospital in central India.

Background: Hospital service is a field that is constantly changing, with the availability of creativity, opportunities motivating passion, and allowing experts to thrive. Healthcare marketing is a scientific discipline since it uses concepts, plans, and methods that are exclusive to both conventional and social marketing. The importance of this study is to build up the bridge and relationship between the hospital and the patient. To introduce the healthcare services to the patient to let them know what services the hospital provides and what advantages they will receive for their health betterment. With the help of this study, we can track the flow of the patient from which median they are coming, for example, traditional marketing or digital marketing. This study will promote and analyse where the marketing strategies are lacking and where they need to be improved with the help of recommendations of this study. The objectives of this study to bridge the gap by providing the corrective information and developing the relationship between patient and hospital, to create a leadership position and differentiate from competitors. Methods: A retrospective study approach will be adopted in the study. It includes a collection of data and information direct from the marketing department. Study will be conducted in the tertiary care hospital of central India. Secondary type of data will be collected from the Hospital Management Information system. Expected Result: The expected result of the study will be to bridge the gap by providing the corrective information and developing the relationship between patient and hospital, to create a leadership position and differentiate from competitors to know where the institute is standing in the market.

Free Flap Reconstruction in the Era of Commercial Price Transparency: What Are We Paying For?

Commercial rates for free flap reconstruction were not known publicly before the 2021 Hospital Price Transparency Final Rule. The purpose of this study was to examine commercial facility payments to characterize nationwide variation for microsurgical operations and identify opportunities to improve market effectiveness. A cross-sectional study was performed using 2022 commercial insurance pricing merged with hospital performance data. Facility payment rates were extracted for nine CPT codes for free flap operations. Price variation was quantified by means of across-hospital ratios and within-hospital ratios. Mixed effects linear models evaluated commercial rates relative to value, outcomes, and equity performance metrics, in addition to facility-level factors that included health care market concentration. A total of 20,528 commercial rates across 675 hospitals were compiled. Across-hospital ratios ranged from 5.85 to 7.95, whereas within-hospital ratios ranged from 1.00 to 1.71. Compared with the lowest scoring hospitals (grade D), hospitals with an outcome grade of A and equity grades of B or C were associated with higher commercial rates ( P < 0.04); there were no significant differences in rate based on value. Higher commercial rates were also associated with nonprofit status and more concentrated markets ( P < 0.006). Lower commercial rates were correlated with safety-net and teaching hospitals ( P < 0.001). Commercial rates for free flaps varied substantially both across and within hospitals. Associations of higher commercial rates with less competitive markets, and the lack of consistent association with value and equity, identify market failures. Additional work is needed to improve market efficiency for free flap operations.

Analysis of factors inhibiting the customer engagement of eHealth in India: Modeling the barriers using ISM-Fuzzy MICMAC analysis

IntroductionThe current study aims to evaluate and measure the relationship between the customer engagement barriers influencing the adoption of eHealth in India. Previous studies have shown that low levels of engagement can lead to worse health outcomes, so this study is an expanded version of those findings to highlight those challenges. MethodologyFor this, the study followed three phases of research: factor identification through a review of the literature; expert opinion for selecting key and pertinent factors for the study; and application of interpretive structural modelling approach to capture the proper association between various factors. Using fuzzy-MICMAC analysis, the factors were divided into independent, dependent, autonomous and linkage categories. ResultsA model is created in this study that shows the relationship between different barriers that aid the Indian healthcare industry in better implementation and also Indian citizens in better adoption of eHealth services. According to the research and derived model, some of the biggest obstacles in the eHealth are need of product portfolio, Lack of Customer support and Low first call resolution rate. ConclusionThis study contributes to the body of knowledge by offering novel perspective into the types of hierarchical relationships that exist among barriers. These insights will be valuable to academicians and practitioners interested in India's healthcare market and its strategic expansion.

Drivers of Patients' Behavioral Intention toward Public and Private Clinics' Services.

In an era of growing competition in the healthcare market, adopting a patient-centered approach is mandatory for the survival and growth of any public or private hospital. This requires a better understanding of patients' behavior and an increased focus on satisfying their needs and expectations. This paper was developed in this context and aims to study the main drivers of patients' behavioral intentions. A conceptual model was proposed, highlighting the linkages between service quality, doctors' reputation, patients' trust, service value, and patients' behavioral intentions. To examine the different research hypotheses, a quantitative study including 242 patients was conducted in Saudi Arabia using the convenience sampling method. The smart PLS approach was used to test the measurement and structural models. The findings indicated that trust and service value positively affected patients' behavioral intentions. Trust in the healthcare provider was positively affected by two dimensions of service quality: healthcare provider concern and physician concern. Trust in doctors was found to be positively related to the reputation of the doctor. Service value was positively influenced by the convenience of the healthcare process, healthcare provider concerns, and doctors' reputations. This study is original because it is among the few studies that investigate patients' behavioral intentions toward healthcare services in a developing country (Saudi Arabia). Furthermore, it is among the rare studies to examine the role of doctors' reputations in service values. The findings would offer meaningful implications for practitioners in the healthcare market for maintaining relationships with their patients.

Leadership in ophthalmology by humanity and competence

Leadership in healthcare institutions has adirect impact on the practice of the medical and nursing professions. The respective leadership style that is cultivated in amedical institution therefore has adirect impact on the personnel and thus adirect impact on the treatment of patients, in both senses of the word. Leadership in healthcare should therefore inspire, motivate, and guide healthcare workers to use their individual and collective skills as well as the available resources in the best possible way for the benefit of patients. This is the task and obligation of all those working in the healthcare system. The German Society of Ophthalmology (DOG) has established aleadership academy for ophthalmologists to meet the requirements of the modern healthcare market for leadership qualifications.

Differential effects of physical and financial threats in weight loss advertising: a case of uncertainty

PurposeAdvertisements often use fear appeals to encourage prevention focused behaviors. This approach has been somewhat successful in changing attitudes and behaviors, often encouraging consumers to secede from behaviors such as smoking or to adopt preventative behaviors such as engaging in health screenings. However, health-care marketers have been less successful in efforts to reduce obesity. The obesity crisis has led to an abundance of marketing communications designed to influence weight loss. Many of these focus on fear of physical health risks associated with being overweight which have a certain degree of uncertainty surrounding them. This study aims to examine financial threats that have lower perceptions of uncertainty, and the differential impact this type of threat has on elements of the Extended Parallel Process Model (EPPM).Design/methodology/approachA 2 × 2 experimental design is used to examine the differential impact of messages communicating threat of financial and physical risk on evoked fear, perceived uncertainty, perceived susceptibility, efficacy and intention to lose weight.FindingsOverall results indicate that response to weight loss advertising varies given the type of threat presented. Results indicate that there is a greater level of uncertainty associated with physical health threats than that with financial threats. Moreover, even though individuals were more fearful of and felt more susceptible to physical threats, when they believed that the recommended behavior was feasible, financial threat was more influential.Originality/valueTo encourage weight loss and intentions to lose weight advertising in practice and advertising research primarily focus on the physical health risks associated with being overweight as a motivating factor. Current research explores the impact of financial threats on attitudes and behavioral intention and finds that financial threats are perceived as more certain than physical threats, and the communication of financial threats is more salient in its effect on weight loss intentions. An opportunity for future research is to further explore the impact of uncertainty in relation to components of EPPM and how threats varying in degrees of uncertainty may impact weight loss intentions.

Unifying India’s Healthcare Markets

&#x0D; This paper delves into the structure of the healthcare market in India, contending the existence of three distinct markets: the government monopsony market, the institutional market, and the retail market. Each of these markets has unique characteristics in terms of healthcare service provisioning, pricing, and accessibility. We underscore systemic failures resulting from a lack of clarity about the structure of these markets, including disparities in service provision, lack of awareness about available services, and skewed incentives favouring private sector provisioning. We suggest unification of India's disparate healthcare markets, advocating for a more prominent role for the government. The proposed unification is a modification of the school voucher program, aimed at ensuring competitiveness on the supply side, and thereby improving service quality. While acknowledging the challenges of scale and state capacity, we argue that the proposal is worthy of further discussion and research, given its potential to harness the government's purchasing power to improve accessibility, affordability, and promote a competitive landscape that encourages innovation and quality in healthcare services.&#x0D;