Skip to main content Accessibility help

We use cookies to distinguish you from other users and to provide you with a better experience on our websites. Close this message to accept cookies or find out how to manage your cookie settings.

Close cookie message
×
  1. Home
  2. Search

Refine search

Refine search

Access:
Content type:
Publication date:
Apply   From and To filters
Subject: Show more
Journals Show more
Publishers: Show more
Societies Show more
Series: Show more
Collections: Show more

Actions for selected content:

Select all | Deselect all
  • View selected items
  • Export citations
  • Download PDF (zip)
  • Save to Kindle
  • Save to Dropbox
  • Save to Google Drive

Save Search

You can save your searches here and later view and run them again in "My saved searches".

Please provide a title, maximum of 40 characters.
Cancel
×

4 results

  • Inverting the healthcare pyramid: building synergies between outpatient care and inpatient hospitalisation

  • Shreya Bagrodia, Sushant Mallya
  • Journal:
    British Actuarial Journal / Volume 30 / 2025
    Published online by Cambridge University Press:
    13 June 2025, e17
    • Article
      • You have access
      • Open access
    • PDF
    • HTML
    • Export citation

  • The efficient integration of outpatient (OPD) and inpatient (IPD) care is a critical challenge in modern healthcare, essential for maximising patient-centred care and resource utilisation. OPD, encompassing preventive services, routine check-ups, and chronic disease management, aims to minimise the need for hospitalisations. Conversely, IPD remains crucial for acute interventions and complex medical needs. This paper investigates the nuanced relationship between OPD and IPD: specifically, we seek to determine if increased OPD utilisation while improving overall health, leads to a reduction or increase in subsequent IPD utilisation, duration, and associated costs. We analyse anonymised data from Indian organisations providing company-sponsored OPD and IPD insurance to their employees between 2021 and 2024. By examining the correlation between OPD utilisation patterns and IPD outcomes, we aim to provide data-driven insights for effective healthcare integration strategies. Furthermore, we explore the feasibility of developing a personalised “Wellbeing Rating” derived from longitudinal OPD insurance utilisation data. This automated methodology aims to provide a continuous, dynamic health assessment, moving beyond the limitations of traditional, sporadic medical examinations by leveraging the comprehensive data inherent within insured OPD coverage.

  • 2 - Nowhere to Go?

  • Isabel M. Perera, Cornell University, New York
  • Book:
    The Welfare Workforce
    Published online:
    02 January 2025
    Print publication:
    16 January 2025, pp 29-54
    • Chapter
      • You have access
      • Open access
    • PDF
    • HTML
    • Export citation

  • Summary

    A popular refrain in many countries is that people with mental illnesses have “nowhere to go” for care. But that is not universally true. Previously unexplored international data shows that some countries provide much higher levels of public mental health care than others. This puzzling variation does not align with existing scholarly typologies of social or health policy systems. Furthermore, these cross-national differences are present despite all countries’ shared history of psychiatric deinstitutionalization, a process that I conceptualize and document using an original historical data set. I propose an explanation for countries’ varying policy outcomes and discuss an empirical strategy to assess it. The research design focuses on the cases of the United States and France, along with Norway and Sweden, in order to control for a range of case-specific alternative hypotheses. The chapter ends with brief descriptions of contemporary mental health care policy in each of the four countries examined in this book.

  • Telephone consultation for two-week-wait ENT and head and neck cancer referrals: initial evaluation including patient satisfaction

  • A Rovira, S Brar, T Munroe-Gray, E Ofo, C Rodriguez, D Kim
  • Journal:
    The Journal of Laryngology & Otology / Volume 136 / Issue 7 / July 2022
    Published online by Cambridge University Press:
    26 October 2021, pp. 615-621
    Print publication:
    July 2022
  • Objective

    To analyse the outcomes of telephone consultation, including patient satisfaction, for two-week-wait head and neck cancer referrals.

    Methods

    Analysis of the data of this prospective study was centred on outcomes of the consultation, patient satisfaction and preference for telephone consultation.

    Results

    Patient satisfaction and preference for telephone consultation were influenced by patient awareness of cancer referral. When comparing the three most common presenting symptoms, patients with sore throat were more satisfied than those with neck mass. Regarding telephone consultation outcomes, patients with neck mass were less likely to be discharged and more likely to require investigations than those with sore throat or hoarseness. Patients with hoarseness more often required a face-to-face appointment.

    Conclusion

    Telephone consultation might be a valid initial encounter for the majority of two-week-wait head and neck cancer referrals, especially when the referral symptoms are considered. This work shows the validity and safety of telephone consultation for two-week-wait head and neck cancer referrals.

  • Collaboration amongst general practitioners and gynaecologists working in primary health care in Germany: a cross-sectional study

  • Barbara Trusch, Christoph Heintze, Elena Petelos, Lorena Dini
  • Journal:
    Primary Health Care Research & Development / Volume 22 / 2021
    Published online by Cambridge University Press:
    15 September 2021, e42
    • Article
      • You have access
      • Open access
    • PDF
    • HTML
    • Export citation
  • Aim:

    This cross-sectional study is the first one to explore the collaboration of the influencing factors thereof amongst general practitioners (GPs) and gynaecologists (Gyns) working in primary care in urban and rural settings in Germany.

    Background:

    The number of women aged ≥ 50 years is predicted to increase in the next years in Germany. This coincides with the ageing of primary care specialists providing outpatient care. Whereas delegation of tasks to nurses as a form of interprofessional collaboration has been the target of recent studies, there is no data regarding collaboration amongst physicians in different specialisations working in primary care. We explored collaboration amongst GPs and Gyn regarding the healthcare provision to women aged ≥ 50 years.

    Methods:

    A quantitative postal survey was administered to GPs and Gyns in three federal states in Germany, focusing on care provision to women aged ≥ 50 years. A total of 4545 physicians, comprising 3514 GPs (67% of the total GP population) randomly selected, and all 1031 Gyns practicing in these states received the postal survey in March 2018. A single reminder was sent in April 2018 with data collection ending in June 2018. Multiple logistic regressions were performed for collaboration, adjusted by age and sex, alongside descriptive methods.

    Findings:

    The overall response rate was 31% (1389 respondents): 861 GPs (25%) and 528 Gyns (51%), with the mean respondent age being 54.4 years. Seventy-two per cent were female. Key competencies of collaboration are associated with working in rural federal states and with network participation. Physicians from rural states [odds ratio (OR) = 1.5, 95% confidence interval (CI) = 1.2, 1.9] and physicians in networks (OR = 3.0, CI = 2.3, 3.9) were more satisfied with collaboration. Collaboration to deliver services for women aged ≥ 50 years is more systematic amongst GPs and Gyns who are members of a network; increased networking could improve collaboration, and ultimately, outcomes too.