Digital Economy and Health: A Case Study of a Leading Enterprise's Value Mining Mode in the Global Big Health Market.

Coronavirus disease 2019 (COVID-19) swept across the world and posed a serious threat to human health. Health and elderly care enterprises are committed to continuously improving people's health. With the rapid development of the digital economy, many enterprises have established digital product-service ecosystems after combining "Internet +," big data, cloud computing, and the big health industry. This paper uses the case study method to analyze the overseas market value mining mode of health and elderly care enterprises through in-depth research on leading health and elderly care enterprises. This study explores the value mining mode of the leading enterprise's global big health market using a cluster analysis and Bayesian model with the support of data on geographical characteristics, users' sleep habits, and national big health. This paper theoretically summarizes the successful cases of health and elderly care enterprises through digital transformation, which provides a useful reference for the intelligent transformation of the health and elderly care industry.

Short and long term impacts of COVID-19 on the pharmaceutical sector.

BACKGROUND: The novel coronavirus disease 2019 (COVID-19) was characterized as a global pandemic by the WHO on March 11th, 2020. This pandemic had major effects on the health market, the pharmaceutical sector, and was associated with considerable impacts; which may appear in short and long-term time-horizon and need identification and appropriate planning to reduce their socio-economic burden. OBJECTIVES: Current short communication study assessed pharmaceutical market crisis during the COVID-19 era; discussing short- and long-term impacts of the pandemic on the pharmaceutical sector. RESULTS: Short-term impacts of COVID-19 pandemic includes demand changes, regulation revisions, research and development process changes and the shift towards tele-communication and tele-medicine. In addition, industry growth slow-down, approval delays, moving towards self-sufficiency in pharm-production supply chain and trend changes in consumption of health-market products along with ethical dilemma could be anticipated as long-term impacts of COVID-19 pandemic on pharmaceutical sector in both global and local levels. CONCLUSION: The pandemic of COVID-19 poses considerable crisis on the health markets, including the pharmaceutical sector; and identification of these effects, may guide policy-makers towards more evidence-informed planning to overcome accompanying challenges. Graphical abstract .

Reducing cost drivers in total joint arthroplasty: understanding patient readmission risk and supply cost.

Introduction: Understanding and planning for the factors that impact supply cost and unplanned readmission risk for total joint arthroplasty (TJA) patients is helpful for hospitals at financial risk under bundled payments. Readmission and operating room supply costs are two of the biggest expenses. Methods: Logistic and linear regressions are used to measure the impacts of TJA patient attributes on readmission risk and supply costs, respectively. Results: Patients' health market segment and the number/type of comorbidity impacts 30/90-day readmission rates. Surgeon implant preference and type of surgery impact supply costs. Discharge location and two of the five health market segments increase the odds of 30-day readmission. Arrhythmia and lymphoma are the primary comorbidities that impact the odds of readmission at 90 days. Conclusions: Preoperatively identifying TJA patients likely to have large supply costs and higher readmission risk allows hospitals to invest in low-cost interventions to reduce risk and improve healthcare value.

South Africa's universal health coverage reforms in the post-apartheid period.

In 2011, the South African government published a Green Paper outlining proposals for a single-payer National Health Insurance arrangement as a means to achieve universal health coverage (UHC), followed by a White Paper in 2015. This follows over two decades of health reform proposals and reforms aimed at deepening UHC. The most recent reform departure aims to address pooling and purchasing weaknesses in the health system by internalising both functions within a single scheme. This contrasts with the post-apartheid period from 1994 to 2008 where pooling weaknesses were to be addressed using pooling schemes, in the form of government subsidies and risk-equalisation arrangements, external to the public and private purchasers. This article reviews both reform paths and attempts to reconcile what may appear to be very different approaches. The scale of the more recent set of proposals requires a very long reform path because in the mid-term (the next 25 years) no single scheme will be able to raise sufficient revenue to provide a universal package for the entire population. In the interim, reforms that maintain and improve existing forms of coverage are required. The earlier reform framework (1994-2008) largely addressed this concern while leaving open the final form of the system. Both reform approaches are therefore compatible: the earlier reforms addressed medium- to long-term coverage concerns, while the more recent define the long-term institutional goal.

Relatório de estágio em gestão e logística hospitalar / Internship report in hospital management and logistics

Na atualidade, impõe-se às empresas ou instituições garantir ao cliente um serviço com diferencial competitivo, assegurando a disponibilidade de tudo aquilo que necessitam para poderem laborar. Num sector com escassos recursos, grandes expectativas por parte dos utentes, e níveis de despesa cada vez maiores, a abordagem para a realização dos cuidados de saúde através da redução dos custos assume grande relevo, e é igualmente neste sentido que a logística é um importante instrumento de gestão, de que cada vez mais instituições hospitalares procuram tirar partido. Assiste-se assim, na saúde em Portugal, a uma mudança significativa na gestão orientada para modelos empresariais, que procuram reduzir os custos e melhorar a qualidade dos cuidados de saúde prestados. É neste pressuposto que surgem as parcerias público-privadas, constituindo uma abordagem inovadora de gestão pública que visa a realização de infraestruturas e a prestação de serviços públicos, numa lógica de otimização das performances dos sectores público e privado. Com o intuito de aprofundar os conhecimentos teóricos adquiridos ao longo do percurso académico, foi realizado um estágio curricular no departamento de gestão de logística de uma instituição hospitalar público-privada. Em conjunto com a equipa e com o apoio próximo do diretor de departamento, foi realizado o diagnóstico de necessidades, sendo traçadas as atividades que melhor se enquadravam com os objetivos do estágio e com as necessidades da instituição. Ao longo do relatório de estágio é apresentado detalhadamente todo o processo de acordo com os pressupostos teóricos apresentados, desde o planeamento à ação assim como os resultados que lhe são inerentes. Os desenvolvimentos foram de relevância inquestionável para a aquisição de novas competências, no âmbito da gestão de stocks, nomeadamente em termos da análise de consumos, verificação e aquisição de material, organização de informação relativa aos materiais e aplicação de métodos de gestão.

Nowadays, it is imperative to companies or institutions to ensure customer service with competitive advantage, ensuring the availability of all that they need in order to laboring. In a sector with scarce resources, high expectations on the part of users, and expense levels increasing, the approach to achieving health care by reducing costs assumes great importance, and is also in this sense that logistics is an important management tool that more and more hospitals seek to exploit. There has thus health in Portugal, a significant change in the management-oriented business models, which seek to reduce costs and improve the quality of care provided. It is this assumption that arise public-private partnerships, providing an innovative approach to public management aimed at the realization of infrastructure and public services, a logic optimization of the performance of public and private sectors. In order to deepen the theoretical knowledge acquired during the academic path, we performed a traineeship in the department of logistics management of a public-private hospital. In conjunction with the department director, was performed the diagnosis of needs, and outlines the activities that would fit best with the objectives of the internship and the needs of the institution. Throughout the internship report is presented in detail the whole process according to the theoretical assumptions presented, from planning to action as well as the results that are inherent. The developments were undoubtedly important for the acquisition of new skills in the management of stocks, particularly in terms of consumption analysis, verification and acquisition of material, organization of information on materials and application of management methods.

Analysis of medical service market structure in Suining county / 中华医学教育探索杂志

Objective To analyze the medical service market structure and the competitive status and in Suining county to make recommendations in accordance with the existing problems . Methods Data of annual business income,number of bed and health personnel in 14 hospitals of the third class and above were collected to do market concentration analysis and Herfindahl-Hirschman index(HHI)analy-sis. Results Market concentration degrees of three indicators were above 60.0%and the HHI score were all above 1700,which demonstrated that hospitals in Suining county was highly concentrated and the market structure of oligopoly was high. Conclusions Medical service market competition environment in Suining county is bad,therefore,it is necessary to introduce competition mechanism,optimize resource allocation,carry out open information thus to improve the service level of the township hospitals.