Healthcare policy and healthcare utilization behavior to improve hospital infection control after the Middle East respiratory syndrome outbreak
Journal of the Korean Medical Association
; : 598-605, 2015.
Artigo
em Coreano
| WPRIM (Pacífico Ocidental)
| ID: wpr-70177
Biblioteca responsável:
WPRO
ABSTRACT
The recent outbreak of Middle East respiratory syndrome coronavirus (MERS-CoV) infections in South Korea in May 2015 revealed that the Korean healthcare system and hospitals are highly vulnerable to hospital-spread infections. In a short period of time, MERS-CoV infection spread widely across Korea due to the unique characteristics of the Korean healthcare system including 1) hospitals with limited infection control capabilities, 2) a heavy dependency on private caregivers due to a nursing shortage, 3) emergency department overcrowding, and 4) healthcare-related patient behaviour such as hospital shopping. To prevent future outbreaks of emerging infectious diseases similar to MERS-CoV, the Korean healthcare system should be reformed and healthcare-related patient behaviour must change. To improve the performance of hospital infection control, the National Health Insurance service should pay more for hospital infection control services and cover private patient rooms when medically necessary, including for infectious disease patients. To reduce risks of hospital infection related to private caregiving, the nurse staffing level should be increased and hospitals should take full responsibility for inpatient nursing care. To reduce hospital shopping, the National Health Insurance service should introduce a differential fee schedule which pays more when primary care providers care for patients with common conditions and tertiary care providers care for patients with severe conditions. To incentivize patients for appropriate health care use, lower patient out-of-pocket payments should be combined with a differential provider fee schedule.
Texto completo:
Disponível
Contexto em Saúde:
ODS3 - Meta 3.8 Atingir a cobertura universal de saúde
/
ODS3 - Meta 3C Aumentar o financiamento da saúde e o recrutamento, desenvolvimento, formação e retenção da força de trabalho da saúde
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Agenda de Saúde Sustentável para as Américas
/
ODS3 - Saúde e Bem-Estar
Problema de saúde:
Arranjos de Entrega
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Arranjos de Governança
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Estratégias de Implementação para Profissionais de Saúde
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Objetivo 9: Redução de doenças não transmissíveis
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Objetivo 10: Doenças transmissíveis
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Objetivo 8: Surtos, emergências e desastres
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Meta 3.3: Acabar com as doenças tropicais negligenciadas e combater as doenças transmissíveis
/
Meta 3.4: Reduzir as mortes prematuras devido doenças não transmissíveis
Base de dados:
WPRIM (Pacífico Ocidental)
Assunto principal:
Atenção Primária à Saúde
/
Atenção Terciária à Saúde
/
Quartos de Pacientes
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Infecção Hospitalar
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Doenças Transmissíveis
/
Surtos de Doenças
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Enfermagem
/
Controle de Infecções
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Cuidadores
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Coronavirus
Aspecto:
Determinantes sociais da saúde
/
Pesquisa de implementação
Limite:
Humanos
País/Região como assunto:
Ásia
Idioma:
Coreano
Revista:
Journal of the Korean Medical Association
Ano de publicação:
2015
Tipo de documento:
Artigo