improving patient report system new drugs pubmed

Does the national drug formulary system improve patient access to new drugs?

This study reviews and evaluates the national drug formulary system used to improve patient access to new drugs by making reimbursement decisions for new drugs as part of the South Korean national health insurance system.

How does the National Health Insurance Program improve patient access to drugs?

The national health insurance utilizes three methods for improving patient access to costly drugs: risk-sharing agreements, designation of essential drugs, and a waiver of cost-effectiveness analysis.

Do patient portals improve clinical outcomes?

Patient portal interventions were overall effective in improving a few psychological outcomes, medication adherence, and preventive service use. There was insufficient evidence to support the use of patient portals to improve clinical outcomes.

Do electronic health record systems facilitate patient portal interventions and outcomes?

With the advent of electronic health record (EHR) systems, there is increasing attention on the EHR system with regard to its use in facilitating patients to play active roles in their care via secure patient portals. However, there is no systematic review to comprehensively address patient portal interventions and patient outcomes. Objective

When should a clinical management plan be developed for each patient?

A clinical management plan should be developed for each patient within 24 h of admission, with an expected date of discharge within 24–48 h of admission.

What is improving the patient discharge process?

Improving the patient discharge process: implementing actions derived from a soft systems methodology study

How many delays were reported on each sit rep?

The average number of delays reported on each Sit Rep was 18. With no clear benchmark to define when a delay had occurred, there was a degree of subjectivity in this reporting. Pro-active work to address the identified delays was hampered by the lack of an internal escalation process within the hospital and by a lack of knowledge of what resources were available to help.

What are the problems encountered in the discharge process?

Through a series of 20 structured interviews, problems encountered in the discharge process were found to include “ineffective communication, slow processing of paperwork, limited forward planning, no clear ownership of the process and delays in finding care in the community” (Emes et al., 2017). The study identified two worldviews – health professionals’ natural inclination to care for the patients in front of them, and the need for operational efficiency and responsibility to the wider community – to offer beds and treatment when they are needed. Following the normal SSM process (Checkland, 1981; Wilson, 2001), the essence of the discharge process from each worldview was formally defined using a root definition in the form “a system to do P by Q in order to achieve R”, elaborated by identifying the Customer, Actor, Transformation, Worldview, Owner and Environmental Constraints. Each root definition was then developed into a distinct conceptual model, showing the sequence of logical steps that needed to occur to enable the transformation at the heart of the discharge process. The two conceptual models were named “Care” and “Flow”, and the transformation and worldview associated with each model are given in Table 3.