Health and Sustainability: New Gender Perspectives

European health systems face important challenges related to the sustainability of health care, both from an economic point of view and in relation to the quality of health services provided in terms of continuous improvement of effectiveness, safety, clinical and organisational appropriateness. The ability of EU Member States to continue to provide high quality care to all, whatever their biological and socio-cultural characteristics, depends on their health systems becoming more sustainable. Therefore, there is a need to strengthen health promotion and disease prevention, to invest in primary care systems, to move health care out of the hospital and into more accessible ambulatory and domestic care, and to develop integrated care practices. Starting from these premises, the aim of this paper is to present a narrative overview of the main aspects related to Gender Medicine and its evolution over time. Our critical overview is, therefore, aimed at providing a general picture of what has been developed by health systems on Gender Medicine, with a particular focus on the relationship between social sustainability and Gender Medicine. To achieve our goal, we carry out a systematic literature review in order to understand what has been developed so far in the area and to highlight the possible evolution of studies in the field and to strengthen the awareness of the importance of encouraging prevention, training and information programs shared with hospitals, institutions, health professionals and patient associations. To the best of the authors' knowledge, this is among the first studies that investigate through a systematic literature review the phenomenon of gender medicine, especially with reference to the sustainability of the health care system. Although our analysis needs further investigation, due to the fact that the topic is not yet fully mature, our initial and preliminary results underline the importance of further investigating gender diversity and assessing the possibility of promoting a clinical pathway to personalised treatment. In fact, only through a “gender medicine” approach it is possible to guarantee a real right to health and an effective personalisation of treatments, thus reinforcing the concept of patient focussed care and contributing to the sustainability of the whole health system.

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Remote Patient Monitoring and Telemedicine in Neonatal and Pediatric Settings: Scoping Literature Review (Preprint)

10.2196/preprints.9403 ◽

2017 ◽

Author(s):

Farzan Sasangohar ◽

Elise Davis ◽

Bita A Kash ◽

Sohail R Shah

Keyword(s):

Health Care ◽

Literature Review ◽

Health Systems ◽

Systematic Literature Review ◽

Patient Monitoring ◽

Small Sample ◽

Care Providers ◽

Remote Patient Monitoring ◽

Pediatric Populations ◽

Remote Patient

BACKGROUND Telemedicine and telehealth solutions are emerging rapidly in health care and have the potential to decrease costs for insurers, providers, and patients in various settings. Pediatric populations that require specialty care are disadvantaged socially or economically or have chronic health conditions that will greatly benefit from results of studies utilizing telemedicine technologies. This paper examines the emerging trends in pediatric populations as part of a systematic literature review and provides a scoping review of the type, extent, and quantity of research available. OBJECTIVE This paper aims to examine the role of remote patient monitoring (RPM) and telemedicine in neonatal and pediatric settings. Findings can be used to identify strengths, weaknesses, and gaps in the field. The identification of gaps will allow for interventions or research to improve health care quality and costs. METHODS A systematic literature review is being conducted to gather an adequate amount of relevant research for telehealth in pediatric populations. The fields of RPM and telemedicine are not yet very well established by the health care services sector, and definitions vary across health care systems; thus, the terms are not always defined similarly throughout the literature. Three databases were scoped for information for this specific review, and 56 papers were included for review. RESULTS Three major telemedicine trends emerged from the review of 45 relevant papers—RPM, teleconsultation, and monitoring patients within the hospital, but without contact—thus, decreasing the likelihood of infection or other adverse health effects. CONCLUSIONS While the current telemedicine approaches show promise, limited studied conditions and small sample sizes affect generalizability, therefore, warranting further research. The information presented can inform health care providers of the most widely implemented, studied, and effective forms of telemedicine for patients and their families and the telemedicine initiatives that are most cost efficient for health systems. While the focus of this review is to summarize some telehealth applications in pediatrics, we have also presented research studies that can inform providers about the importance of data sharing of remote monitoring data between hospitals. Further reports will be developed to inform health systems as the systematic literature review continues.

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Mental health care for rural veterans: A systematic literature review, descriptive analysis, and future directions.

Rural Mental Health ◽

10.1037/rmh0000078 ◽

2017 ◽

Vol 41 (3) ◽

pp. 222-233 ◽

Cited By ~ 2

Author(s):

David J. Bumgarner ◽

Elizabeth J. Polinsky ◽

Katharine G. Herman ◽

Joanne M. Fordiani ◽

Carmen P. Lewis ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Literature Review ◽

Mental Health Care ◽

Systematic Literature Review ◽

Descriptive Analysis ◽

Future Directions

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Sustainability of Biosimilars in Europe: A Delphi Panel Consensus with Systematic Literature Review

Pharmaceuticals ◽

10.3390/ph13110400 ◽

2020 ◽

Vol 13 (11) ◽

pp. 400

Author(s):

Arnold G. Vulto ◽

Jackie Vanderpuye-Orgle ◽

Martin van der Graaff ◽

Steven R. A. Simoens ◽

Lorenzo Dagna ◽

...

Keyword(s):

Health Care ◽

Literature Review ◽

Systematic Literature Review ◽

Health Care Systems ◽

Delphi Panel ◽

The European Union ◽

Modified Delphi ◽

Care Systems ◽

Supply Risks ◽

The Impact

Introduction: Biosimilars have the potential to enhance the sustainability of evolving health care systems. A sustainable biosimilars market requires all stakeholders to balance competition and supply chain security. However, there is significant variation in the policies for pricing, procurement, and use of biosimilars in the European Union. A modified Delphi process was conducted to achieve expert consensus on biosimilar market sustainability in Europe. Methods: The priorities of 11 stakeholders were explored in three stages: a brainstorming stage supported by a systematic literature review (SLR) and key materials identified by the participants; development and review of statements derived during brainstorming; and a facilitated roundtable discussion. Results: Participants argued that a sustainable biosimilar market must deliver tangible and transparent benefits to the health care system, while meeting the needs of all stakeholders. Key drivers of biosimilar market sustainability included: (i) competition is more effective than regulation; (ii) there should be incentives to ensure industry investment in biosimilar development and innovation; (iii) procurement processes must avoid monopolies and minimize market disruption; and (iv) principles for procurement should be defined by all stakeholders. However, findings from the SLR were limited, with significant gaps on the impact of different tender models on supply risks, savings, and sustainability. Conclusions: A sustainable biosimilar market means that all stakeholders benefit from appropriate and reliable access to biological therapies. Failure to care for biosimilar market sustainability may impoverish biosimilar development and offerings, eventually leading to increased cost for health care systems and patients, with fewer resources for innovation.

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Strategic issues of big data analytics applications for managing health-care sector: a systematic literature review and future research agenda

The TQM Journal ◽

10.1108/tqm-02-2021-0051 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Rajesh Kumar Singh ◽

Saurabh Agrawal ◽

Abhishek Sahu ◽

Yigit Kazancoglu

Keyword(s):

Health Care ◽

Big Data ◽

Literature Review ◽

Systematic Literature Review ◽

Data Analytics ◽

Big Data Analytics ◽

Health Care Sector ◽

Future Research ◽

Research Gaps ◽

Content Type

PurposeThe proposed article is aimed at exploring the opportunities, challenges and possible outcomes of incorporating big data analytics (BDA) into health-care sector. The purpose of this study is to find the research gaps in the literature and to investigate the scope of incorporating new strategies in the health-care sector for increasing the efficiency of the system.Design/methodology/approachFora state-of-the-art literature review, a systematic literature review has been carried out to find out research gaps in the field of healthcare using big data (BD) applications. A detailed research methodology including material collection, descriptive analysis and categorization is utilized to carry out the literature review.FindingsBD analysis is rapidly being adopted in health-care sector for utilizing precious information available in terms of BD. However, it puts forth certain challenges that need to be focused upon. The article identifies and explains the challenges thoroughly.Research limitations/implicationsThe proposed study will provide useful guidance to the health-care sector professionals for managing health-care system. It will help academicians and physicians for evaluating, improving and benchmarking the health-care strategies through BDA in the health-care sector. One of the limitations of the study is that it is based on literature review and more in-depth studies may be carried out for the generalization of results.Originality/valueThere are certain effective tools available in the market today that are currently being used by both small and large businesses and corporations. One of them is BD, which may be very useful for health-care sector. A comprehensive literature review is carried out for research papers published between 1974 and 2021.

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On the Road to SME Sector Development in Bangladesh

Socio-Economic Development ◽

10.4018/978-1-5225-7311-1.ch025 ◽

2019 ◽

pp. 480-499

Author(s):

Syed Abidur Rahman ◽

Noor Hazlina Ahmad ◽

Seyedeh Khadijeh Taghizadeh

Keyword(s):

Economic Development ◽

Literature Review ◽

Secondary Data ◽

Point Of View ◽

Policy Makers ◽

Economic Point ◽

The Road ◽

Multidisciplinary Study ◽

The Social ◽

On The Road

Entrepreneurship has been deliberated as multidimensional and multidisciplinary study. From the economic point of view entrepreneurship is the central force for economic development for any nation. Scholars and policy makers now have started to see entrepreneurship as panacea for inclusive growth. Entrepreneurships are most widely popular and discussed area. Study on small and medium sized enterprises (SMEs) has been maturing for the last decade as it has been regarded as significant player for the social development along with the economic development. In Bangladesh, SMEs account for a large proportion of the total establishments in various sectors. Considering the importance of the SME sector in Bangladesh, this study intends to explore and sketch-out the landscape of current SME setting in Bangladesh. With this aim the study has extensively carried out literature review, observed and understood the secondary data obtained from various organizations, and finally presented a policy driven recommendation (micro and macro level) which would enable to develop the SME sector in a developing country like Bangladesh.

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A systematic literature review of reported challenges in health care delivery to migrants and refugees in high-income countries - the 3C model

BMC Public Health ◽

10.1186/s12889-019-7049-x ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 18

Author(s):

Julia Brandenberger ◽

Thorkild Tylleskär ◽

Katrin Sontag ◽

Bernadette Peterhans ◽

Nicole Ritz

Keyword(s):

Health Care ◽

Literature Review ◽

Health Care Delivery ◽

Systematic Literature Review ◽

Care Delivery ◽

High Income ◽

3C Model

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Prevalence of Fistulizing Crohn’s Disease in the United States: Estimate From a Systematic Literature Review Attempt and Population-Based Database Analysis

Inflammatory Bowel Diseases ◽

10.1093/ibd/izz056 ◽

2019 ◽

Vol 25 (11) ◽

pp. 1773-1779 ◽

Cited By ~ 8

Author(s):

David A Schwartz ◽

Ignacio Tagarro ◽

Mary Carmen Díez ◽

William J Sandborn

Keyword(s):

United States ◽

Health Care ◽

Crohn’S Disease ◽

Crohn's Disease ◽

Literature Review ◽

Systematic Literature Review ◽

The United States ◽

Population Based ◽

Number Of Patients ◽

Reported Data

Abstract Background Fistulas may arise as a relevant complication of Crohn’s disease (CD). Despite their clinical significance and the substantial burden imposed on patients, limited data are available on the epidemiology of fistulizing CD in the United States. Methods A systematic literature review was conducted to identify data published between 1970 and 2017 on the epidemiology of fistulas in patients with CD, with the aim to estimate the number of prevalent cases in the United States. Retrieved titles and abstracts were screened by 2 independent researchers for inclusion criteria (US population-based studies reporting data on the epidemiology of fistulizing CD). To validate the literature-based estimate, data from a US claims database (Truven Health MarketScan database) were analyzed. This database has broad geographic coverage, with health care data for >60 million patients during the period of the analysis. Results The literature search retrieved 7 articles for full-text review, and only 1 met the criteria for inclusion. This study described the cumulative incidence of fistulas in a CD population from Minnesota over 20 years. From the reported data, the estimated number of prevalent cases with fistulizing CD in the United States was ~76,600 in 2017 (~52,900 anal, ~7400 rectovaginal, ~2300 enterocutaneous, and ~14,100 internal). Analysis from the US health care database resulted in an estimated number of ~75,700 patients, confirming the robustness of the original estimate from the literature. Conclusions Based on 2 separate analyses, the estimated number of patients with fistulizing CD in the United States is ~77,000 patients.

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Debunking the myth of industry 4.0 in health care: insights from a systematic literature review

The TQM Journal ◽

10.1108/tqm-10-2019-0245 ◽

2020 ◽

Vol 32 (4) ◽

pp. 849-868 ◽

Cited By ~ 1

Author(s):

Mauro Cavallone ◽

Rocco Palumbo

Keyword(s):

Artificial Intelligence ◽

Health Care ◽

Health Services ◽

Literature Review ◽

Systematic Literature Review ◽

Industry 4.0 ◽

Services Quality ◽

State Of The Art ◽

The State ◽

Content Type

PurposeIndustry 4.0, artificial intelligence and digitalization have got a momentum in health care. However, scholars and practitioners do not agree on their implications on health services' quality and effectiveness. The article aims at shedding light on the applications, aftermaths and drawbacks of industry 4.0 in health care, summarizing the state of the art.Design/methodology/approachA systematic literature review was undertaken. We arranged an ad hoc research design, which was tailored to the study purposes. Three citation databases were queried. We collected 1,194 scientific papers which were carefully considered for inclusion in this systematic literature review. After three rounds of analysis, 40 papers were taken into consideration.FindingsIndustry 4.0, artificial intelligence and digitalization are revolutionizing the design and the delivery of care. They are expected to enhance health services' quality and effectiveness, paving the way for more direct patient–provider relationships. In addition, they have been argued to allow a more appropriate use of available resources. There is a dark side of health care 4.0 involving both management and ethical issues.Research limitations/implicationsIndustry 4.0 in health care should not be conceived as a self-nourishing innovation; rather, it needs to be carefully steered at both the policy and management levels. On the one hand, comprehensive governance models are required to realize the full potential of health 4.0. On the other hand, the drawbacks of industry 4.0 should be timely recognized and thoroughly addressed.Originality/valueThe article contextualizes the state of the art of industry 4.0 in the health care context, providing some insights for further conceptual and empirical developments.

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