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Cultural competence in healthcare has been defined in many ways; however, it generally refers to knowledge of social and cultural factors that influence illness and related behaviour, and actions taken to provide the best of quality care considering each patient's background [...]

Background Health care in many countries entails long waiting times. Avoidable healthcare visits by young adults have been identified as one probable cause. Objective The aim of this study was to explore healthcare providers experiences and opinions about young adults healthcare utilisation in the first line of care. Method This study used latent qualitative conventional content analysis with focus groups. Four healthcare units participated: two primary healthcare centres and two emergency departments. This study included 36 participants, with 4-7 participants in each group, and a total of 21 registered nurses and 15 doctors. All interviews followed an interview guide. Results Data were divided into eight categories, which all contained the implicit theme of distribution of responsibility between the healthcare provider and the healthcare user. Young adult healthcare consumers were considered to be highly influenced by external resources, often greatly concerned with small/vague symptoms they had difficulty explaining and unable to wait with. The healthcare providers role was much perceived as being part of a healthcare structure-a large organisation with multiple units-and having to meet different priorities while also considering ethical dilemmas, though feeling supported by experience. Conclusion Healthcare personnel view young adults as transferring too much of the responsibility of staying healthy to the healthcare system. The results of this study show that the discussion of young adults unnecessarily seeking health care includes an underlying discussion of scarcity of resources. Patient or Public Contribution The conduct of this study is based on interviews with young adult patients about their experiences of seeking healthcare. ; Funding Agencies|Region Ostergotland [LIO-720671]; Forskningsradet i Sydostra Sverige [FORSS-749601]

International audience ; This chapter addresses the increasing role of digital healthcare in the overall Chinese healthcare system. As described in previous chapters, the healthcare system faces many issues, such as the confrontational relationship between doctors and patients, the poor access for populations in rural areas, the significant mark-up throughout distribution channels, a financially heavy burden for chronic diseases, poor quality of healthcare supply and inefficient hospital operation except Level 3 hospitals that have to deal with an over-demand. Many solutions have been proposed, such as the multiplication of healthcare suppliers, the establishment of general practitioners as gatekeepers for hospital admissions, the implementation of public health insurance schemes or the government support for reforms in favour of private health insurance and private healthcare providers. However, they have not proven sufficient to solve all problems yet. Digital healthcare is likely to play an increasing part in addressing these issues. One of the strengths of e-health is the quick and widespread adoption of mobile platforms. This may help solve access challenges, through online appointment registration systems, models of online-offline services, two-communication platforms between patients and physicians, sharing information through the Electronic Health Record (EHR) and Electronic Medical Record (EMR) systems, the generalized implementation of a DRG-based payment system, making patients more increasingly active actors in maintaining the health status, and improving the online drug market. On the flip side, this also raises many concerns regarding the confidentiality of personal medical data and the monopoly situation of some internet companies.

International audience ; This chapter addresses the increasing role of digital healthcare in the overall Chinese healthcare system. As described in previous chapters, the healthcare system faces many issues, such as the confrontational relationship between doctors and patients, the poor access for populations in rural areas, the significant mark-up throughout distribution channels, a financially heavy burden for chronic diseases, poor quality of healthcare supply and inefficient hospital operation except Level 3 hospitals that have to deal with an over-demand. Many solutions have been proposed, such as the multiplication of healthcare suppliers, the establishment of general practitioners as gatekeepers for hospital admissions, the implementation of public health insurance schemes or the government support for reforms in favour of private health insurance and private healthcare providers. However, they have not proven sufficient to solve all problems yet. Digital healthcare is likely to play an increasing part in addressing these issues. One of the strengths of e-health is the quick and widespread adoption of mobile platforms. This may help solve access challenges, through online appointment registration systems, models of online-offline services, two-communication platforms between patients and physicians, sharing information through the Electronic Health Record (EHR) and Electronic Medical Record (EMR) systems, the generalized implementation of a DRG-based payment system, making patients more increasingly active actors in maintaining the health status, and improving the online drug market. On the flip side, this also raises many concerns regarding the confidentiality of personal medical data and the monopoly situation of some internet companies.

International audience ; This chapter addresses the increasing role of digital healthcare in the overall Chinese healthcare system. As described in previous chapters, the healthcare system faces many issues, such as the confrontational relationship between doctors and patients, the poor access for populations in rural areas, the significant mark-up throughout distribution channels, a financially heavy burden for chronic diseases, poor quality of healthcare supply and inefficient hospital operation except Level 3 hospitals that have to deal with an over-demand. Many solutions have been proposed, such as the multiplication of healthcare suppliers, the establishment of general practitioners as gatekeepers for hospital admissions, the implementation of public health insurance schemes or the government support for reforms in favour of private health insurance and private healthcare providers. However, they have not proven sufficient to solve all problems yet. Digital healthcare is likely to play an increasing part in addressing these issues. One of the strengths of e-health is the quick and widespread adoption of mobile platforms. This may help solve access challenges, through online appointment registration systems, models of online-offline services, two-communication platforms between patients and physicians, sharing information through the Electronic Health Record (EHR) and Electronic Medical Record (EMR) systems, the generalized implementation of a DRG-based payment system, making patients more increasingly active actors in maintaining the health status, and improving the online drug market. On the flip side, this also raises many concerns regarding the confidentiality of personal medical data and the monopoly situation of some internet companies.

International audience ; This chapter addresses the increasing role of digital healthcare in the overall Chinese healthcare system. As described in previous chapters, the healthcare system faces many issues, such as the confrontational relationship between doctors and patients, the poor access for populations in rural areas, the significant mark-up throughout distribution channels, a financially heavy burden for chronic diseases, poor quality of healthcare supply and inefficient hospital operation except Level 3 hospitals that have to deal with an over-demand. Many solutions have been proposed, such as the multiplication of healthcare suppliers, the establishment of general practitioners as gatekeepers for hospital admissions, the implementation of public health insurance schemes or the government support for reforms in favour of private health insurance and private healthcare providers. However, they have not proven sufficient to solve all problems yet. Digital healthcare is likely to play an increasing part in addressing these issues. One of the strengths of e-health is the quick and widespread adoption of mobile platforms. This may help solve access challenges, through online appointment registration systems, models of online-offline services, two-communication platforms between patients and physicians, sharing information through the Electronic Health Record (EHR) and Electronic Medical Record (EMR) systems, the generalized implementation of a DRG-based payment system, making patients more increasingly active actors in maintaining the health status, and improving the online drug market. On the flip side, this also raises many concerns regarding the confidentiality of personal medical data and the monopoly situation of some internet companies.

Now in its fourth edition, Ethics in Healthcare 4e approaches the topic of ethics from the perspective of the nurse and offers a viewpoint on the many ethical questions he or she has to deal with every day. This established and accessible text takes a fresh look at the question of cultural diversity and explains why the profession of nursing has to adhere to a common value system.

Entrepreneurship in healthcare : past contributions and future opportunities -- Delivering value in the healthcare sector through the lens of hybrid organizing -- Competition and institutional forces in healthcare : the case of the Netherlands -- Beyond competition : exploring collaboration for entrepreneurship in healthcare organizations -- The role of incubators and accelerators in healthcare innovation -- Understanding healthcare innovation through a dynamic capabilities lens -- Open service innovation for healthcare organizations -- How corporate entrepreneurs use interfirm collaboration in the search for emerging knowledge in biotech innovation -- Entrepreneurial opportunities in healthcare : a cognitive perspective -- The antecedents of healthcare social entrepreneurship

Intro -- Title Page -- Copyright Page -- Contents -- Foreword -- Preface -- Acknowledgments -- Part I: Introduction -- 1: The Rationale for Philanthropy -- Part II: Key Partners in the Philanthropy Endeavor -- 2: Leveraging the Healthcare CEO in Philanthropy -- 3: Positioning Board Members to Fulfill their Purpose as Powerful Advocates -- 4: Honoring the Expertise of Physician Leaders -- 5: Empowering the Chief Development Officer -- Part III: Levers that Inspire Philanthropy -- 6: Nurturing a Culture of Philanthropy -- 7: Aligning Project Selection -- 8: Supporting Vibrant Giving through Excellent Service -- 9: Making a Compelling Case for Support through Storytelling -- 10: Gaining Insights about Donors -- 11: Inviting Donors to become Partners -- 12: Driving Excellence through Evaluation -- References -- Index -- About the Author -- Back Cover.

Cover -- Contents -- Preface -- Chapter 1 - Basic Responsibilities of a Board and Its Members -- Chapter 2 - How to Operate Your Board -- Chapter 3 - How to Build Your Board -- Chapter 4 - How to Work with the CEO -- Chapter 5 - How to Ensure Quality Care -- Chapter 6 - How to Provide Fiscal Oversight -- Chapter 7 - How to Work with the Community -- Chapter 8 - The Board and Nonconventional Medicine -- Epilogue -- Appendix 1 - Sample Conflict of Interest Policy -- Appendix 2 - Sample Conflict of Interest Disclosure Statement -- Appendix 3 - Sample Board Member Performance Appraisal, Short Version -- Appendix 4 -Sample Board Member Performance Appraisal, Long Version -- Appendix 5 - Sample CEO Employment Contract -- Appendix 6 - CEO Separation Agreement -- Appendix 7 - Common Healthcare Abbreviations and Definitions -- Index -- About the Author.

Intro -- Brief Contents -- Detailed Contents -- Preface -- Part I The Healthcare Enviroment -- Chapter 1 Healthcare Finance Basis -- Chapter 1 Supplement- Health Services Settings -- Chapter 2 Healthcare Insurance and Reimbursement Methodologies -- Chapter 2 Supplement- Additional Medicare Payment Methods -- Part II Financial Accounting -- Chapter 3 The Income Statement and Statement of Changes in Equity -- Chapter 4 The Balance Sheet of Statement of Cash Flows -- Part III Managerial Accounting -- Chapter 5 Organizational Costing and Profit Analysis -- Chapter Supplement 5 Semi-Fixed Costs and Operating Leverage -- Chapter 6 Departmental Costing and Cost Allocation -- Chapter Supplement 6 Step-Down Method Illustration -- Chapter 7 Service Line Costing and Pricing -- Chapter Supplement 7 Making Service Decisions -- Chapter 8 Financial Planning and Budgeting -- Part IV Basic Financial Management Concepts -- Chapter 9 Time Value Analysis -- Chapter Supplement 9 Interest Rate and Time Calculations and Amortization -- Chapter 10 Financial Risk and Required Return -- Part V Long-Term Financing -- Chapter 11 Long-Term Debt Financing -- Chapter Supplement 11- Credit Enhancement, Term Structure of Interest Rates, and Economic Factors That Influence Interest Rate Levels -- Chapter 12 Equity Financing and Securities Markets -- Chapter Supplement 12 The Market for Common Stock, Securities Markets Regulation, And The Investment Banking Process -- Chapter 13 Capital Structure and the Cost of Capital -- Part VI Capital Investment Decisions -- Chapter 14 The Basics of Capital Budgeting -- Chapter 15 Project Risk Analysis -- Part VII Other Topics -- Chapter 16 Revenue Cycle And Current Accounts Management -- Chapter 17 Financial Conditions Analysis.

Continual pressures on healthcare budgets coupled with increasing demands and evidence of poor performance have led national and local healthcare organizations to look for methods to improve quality, safety and value in health service delivery. Increasingly this search for solutions has extended beyond the boundaries of healthcare practice to investigate successfully employed methods from other industries. Lean Systems Thinking and continuous improvement activities have come to the attention of healthcare administrators looking for ways to improve organizational performance. Originating in the