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Danielle da Costa Leite Borges and Caterina Francesca Guidi
The purpose of this paper is to analyse the levels of access to healthcare available to undocumented migrants in the Italian and British health systems through a comparative…
Abstract
Purpose
The purpose of this paper is to analyse the levels of access to healthcare available to undocumented migrants in the Italian and British health systems through a comparative analysis of health policies for this population in these two national health systems.
Design/methodology/approach
It builds on textual and legal analysis to explore the different meanings that the principle of universal access to healthcare might have according to literature and legal documents in the field, especially those from the human rights domain. Then, the concept of universal access, in theory, is contrasted with actual health policies in each of the selected countries to establish its meaning in practice and according to the social context. The analysis relies on policy papers, data on health expenditure, legal statutes and administrative regulations and is informed by one research question: What background conditions better explain more universal and comprehensive health systems for undocumented migrants?
Findings
By answering this research question the paper concludes that the Italian health system is more comprehensive than the British health system insofar it guarantees access free of charge to different levels of care, including primary, emergency, preventive and maternity care, while the rule in the British health system is the recovering of charges for the provision of services, with few exceptions. One possible legal explanation for the differences in access between Italy and UK is the fact that the right to health is not recognised as a fundamental constitutional right in the latter as it is in the former.
Originality/value
The paper contributes to ongoing debates on Universal Health Coverage and migration, and dialogues with recent discussions on social justice and welfare state typologies.
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Sulistyowati, Raditya Sukmana, Ririn Tri Ratnasari, Ascarya and Tika Widiastuti
This paper attempts to rejuvenate waqf in the health sector by identifying and elaborating on its issues and challenges. The government budget for this sector is significant;…
Abstract
Purpose
This paper attempts to rejuvenate waqf in the health sector by identifying and elaborating on its issues and challenges. The government budget for this sector is significant; thus, the present paper aims to provide a nongovernment budget to lessen the government's burden
Design/methodology/approach
This qualitative study uses structured in-depth interviews with 12 respondents to generate valuable insights and thoughts in order to frame recommendations.
Findings
The findings highlight the key themes: human resources, finance, collaboration and coordination, legal issues, basic healthcare insufficiency, data and digitalization, accountability and sustainability and infrastructure. The following are the proposed solutions: capacity building program (CBP), hybrid waqf scheme, big data connectivity, specific legal framework, refocusing and reallocating of resources for the health sector during and after the pandemic
Research limitations/implications
This study focuses on Indonesia and Malaysia as the authors believe that these two countries have a lot of practice in the field. Further studies may focus on other countries, such as Pakistan.
Practical implications
This paper proposes potential ways to embrace government policy consideration, optimize the elaboration among productive waqf with other kinds, improve governance of and coordination among waqf institutions and increase the awareness to improve significant development.
Social implications
By considering this paper's recommendations, waqf stakeholders in the healthcare system can improve the social benefits for poor and needy patients.
Originality/value
This study presents the latest strategic analysis of waqf, which is important for the government policy in developing waqf.
Nataliia A. Lytvyn, Anatolii I. Berlach, Nataliia M. Kovalko, Alla A. Melnyk and Hanna V. Berlach
The research topicality is stipulated by the need to study the legal regulation problems of the state financial guarantees of medical services for the population in Ukraine and to…
Abstract
Purpose
The research topicality is stipulated by the need to study the legal regulation problems of the state financial guarantees of medical services for the population in Ukraine and to consider positive experience of the developed countries in this area. The aim of the article is to define the main trends in the legal regulation of healthcare in Ukraine; analyze the state financial guarantees of medical services for the population, and positive and negative aspects of the healthcare reform; to explore the international experience in medical services for its implementation to national law enforcement in the sphere of healthcare.
Design/methodology/approach
During the research, systematization and generalization of the positive international experience in the legal regulation of the state financial guarantees of medical services for the population were realized.
Findings
The analysis of the population's perception of healthcare innovations was carried out. The level of medical service was assessed. The results showed that in order to improve Ukrainian legislation on healthcare, it is necessary to remove absolute conflicts of normative legal acts; to establish public confidence in innovations and changes; to take into account international experience adapting it to specific features of Ukrainian legislation.
Originality/value
The defined theoretical and applied provisions constitute the practical significance for scholars and practicians, who deal with the legal regulation problems of the state financial guarantees of medical services for the population, university professors training highly qualified personnel, and all interested people concerned with healthcare.
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Thespina J. Yamanis, Ana María del Río-González, Laura Rapoport, Christopher Norton, Cristiana Little, Suyanna Linhales Barker and India J. Ornelas
Purpose: Fear of deportation and its relationship to healthcare access has been less studied among immigrant Latinx men who have sex with men (MSM), a population at risk for HIV…
Abstract
Purpose: Fear of deportation and its relationship to healthcare access has been less studied among immigrant Latinx men who have sex with men (MSM), a population at risk for HIV and characterized by their multiple minority statuses. The first step is to accurately measure their fear of deportation.
Approach: We used an exploratory sequential mixed methods design. Eligibility criteria were that research participants be ages 18–34 years; Latinx; cisgender male; having had sex with another male; residing in the District of Columbia metro area; and not a US citizen or legal permanent resident. In Study 1, we used in-depth interviews and thematic analysis. Using participants' interview responses, we inductively generated 15 items for a fear of deportation scale. In Study 2, we used survey data to assess the scale's psychometric properties. We conducted independent samples t-test on the associations between scale scores and barriers to healthcare access.
Findings: For the 20 participants in Study 1, fear of deportation resulted in chronic anxiety. Participants managed their fear through vigilance, and behaviors restricting their movement and social network engagement. In Study 2, we used data from 86 mostly undocumented participants. The scale was internally consistent (α = 0.89) and had a single factor. Those with higher fear of deportation scores were significantly more likely to report avoiding healthcare because they were worried about their immigration status (p = 0.007).
Originality: We described how fear of deportation limits healthcare access for immigrant Latinx MSM.
Research implications: Future research should examine fear of deportation and HIV risk among immigrant Latinx MSM.
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Mateusz Lichon, Matic Kavcic and Daniel Masterson
The purpose of this paper is to explore how healthcare-users’ engagement is perceived, how it occurs and how these perceptions differ between three European countries: England…
Abstract
Purpose
The purpose of this paper is to explore how healthcare-users’ engagement is perceived, how it occurs and how these perceptions differ between three European countries: England, Poland and Slovenia, using the concepts of voice, choice and coproduction.
Design/methodology/approach
This comparative, qualitative study is based on a review of legal documents, academic literature and semi-structured interviews conducted in October and November 2011. A research sample consisted of 21 interviewees representing various stakeholders including healthcare-users, doctors and managers. Primary and secondary data were analysed using theoretical thematic analysis. Emerging themes were identified from the interviews and related to the indicators describing healthcare-users’ involvement in the voice, choice and coproduction model.
Findings
Results of the comparative qualitative research suggest that the healthcare-users’ influence is strongly grounded in England where the healthcare system and professionals are prepared to include healthcare-users in the decision-making process. In Slovenia, cultural development of healthcare-users’ involvement seems to proceed the institutional development. In Poland, institutions are ready to involve healthcare-users in decision-making process although the cultural desirability of involving users among doctors and patients is lacking.
Originality/value
The notion of user involvement is increasingly gaining importance and research attention, yet there is still little known about the way cultural, political, historical differences between various European countries influence it. This paper explores this little known area using the original approach of user involvement (Dent et al., 2011) with input from various stakeholders including patients, healthcare representatives and academics.
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Chokri Kooli and Hend Al Muftah
Nowadays, the digitized economy and technological advancements are increasing at a faster pace. One such technology that is gaining popularity in the healthcare sector is…
Abstract
Purpose
Nowadays, the digitized economy and technological advancements are increasing at a faster pace. One such technology that is gaining popularity in the healthcare sector is Artificial Intelligence (AI). AI has been debated much, searched so well due to the implications, issues and for its benefits in terms of ease, it will offer. The following research has focused on examining the ethical dilemmas associated with AI when it will be introduced in the healthcare sector.
Design/methodology/approach
A narrative review method focusing on content analysis has been used in the research. The authors have employed a deductive approach to determine the ethical facets of adopting AI in the healthcare sector. The current study is complemented by a review of related studies. The secondary data have been collected from authentic resources available on the Internet.
Findings
Patient privacy, biased results, patient safety and Human errors are some major ethical dilemmas that are likely to be faced once AI will be introduced in healthcare. The impact of ethical dilemmas can be minimized by continuous monitoring but cannot be eliminated in full if AI is introduced in healthcare. AI overall will increase the performance of the healthcare sector. However, we need to address some recommendations to mitigate the ethical potential issues that we could observe using AI. Technological change and AI can mimic the overall intellectual process of humans, which increases its credibility and also offers harm to humans.
Originality/value
Patient safety is the most crucial ethical concern because AI is a new technology and technology can lead to failure. Thus, we need to be certain that these new technological developments are ethically applied. The authors need to evaluate and assess the organizational and legal progress associated with the emergence of AI in the healthcare sector. It also highlights the importance of covering and protecting medical practitioners regarding the different secondary effects of this artificial medical progress. The research stresses the need of establishing partnerships between computer scientists and clinicians to effectively implement AI. Lastly, the research highly recommends training of IT specialists, healthcare and medical staff about healthcare ethics.
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The purpose of this paper is to show that in the presence of the marketing concept something is fundamentally wrong in our national health care system where patients are denied…
Abstract
Purpose
The purpose of this paper is to show that in the presence of the marketing concept something is fundamentally wrong in our national health care system where patients are denied emergency medical treatment or are prematurely transferred from one hospital to another because they cannot guarantee payment.
Design/methodology/approach
A viewpoint is discussed citing supporting literature.
Findings
The literature suggests an adverse relationship between the marketing concept and the Emergency Medical Treatment and Active Labor Act (EMTALA) and further suggests that the two are failing indigent patients. The marketing concept as a driving business philosophy is too simplistic and commercially oriented to befit an emergency setting. At the same time, EMTALA suffers from serious shortcomings, shackles hospitals' freedom of contract and threatens the economics of health care.
Research limitations/implications
The paper lacks quantitative research to back its position.
Practical implications
It is not enough to coin positively sounding theories within healthcare marketing when these theories are inadequate in addressing the stark realities behind supply and demand. EMTALA as a remedial measure falls short in correcting the situation and a fresh outlook at the problem is warranted.
Originality/value
The paper taps into marketing and legal expertise in bringing together the marketing concept and EMTALA, two subjects that have never been twinned before in the literature. The subjects are of special interest in understanding the treatment of indigent patients.
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The purpose of this paper is to examine and explicate the concept of poor care by exploring what it is and what contributes to its occurrence in practice with a particular focus…
Abstract
Purpose
The purpose of this paper is to examine and explicate the concept of poor care by exploring what it is and what contributes to its occurrence in practice with a particular focus on the care of older people.
Design/methodology/approach
The results of systematically searched published literature were analysed using an inductive, descriptive, thematic approach as part of Rodgers’ evolutionary concept analysis method.
Findings
The concept of poor care is understood in the context of the antecedents of vulnerability, use of healthcare services and interaction with healthcare personnel. Its defining characteristics involve individual’s personal traits, interpersonal dynamics, an endangered self, misconceptions or organisational constraints.
Research limitations/implications
Further research is needed to explore the recognition of poor care and reporting thresholds. In addition, the role of the “zone of tolerance” of expectations in the delivery and receipt of interpersonal care and attention for older people needs to be better understood.
Originality/value
Understanding the continuum and mapping the structures of poor care in contemporary UK healthcare practice can help sensitise practitioners to the widespread range and potential for instances of poor care. This concept analysis uniquely demonstrates consequences not only for the patient but also for healthcare staff and other individuals.
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