4^th World Congress on Health Economics, Health Policy and Healthcare Management September 13-14, 2018 Zurich, Switzerland

Biography:

Lobel Lurie is a Board-Certified Nursing Professional Development Specialist. She received her BSN degree in the Philippines in 1989 and achieved Master in Nursing Executive Leadership at Columbia University, and completed Doctor of Nursing Practice, from American Sentinel University. She was recognized as one of the best orthopaedic nurses in the U.S in 2000. She holds Best Practice in Nursing Professional Development for the Nurse Extern program. In 2016, she was honored as North Carolina Great 100 for nursing excellence and advancing nursing practice. She is the Manager for Clinical Value Analysis and advances nursing knowledge in Supply Chain Management

Abstract:

The escalating increase in the futuristic demand for healthcare workers link international workforce migration to fill the need. Cyclic in nature, the global migration of nurses is a major avenue to recruit and retain qualified nursing staff outside the country. The literature in transitioning foreign-educated nurses (FEN) into the workforce has been numerous in the past, however, there is little documentation in the transition utilizing standardized on-boarding competencies based on nursing professional development standards, incorporation of lived experiences from current FENs, and on-boarding best practices. Guided by Meleis’ Transitions Theory, the three developed on-boarding competencies were focused on FEN, Leadership, and Organizational competencies. A qualitative descriptive phenomenological design using semi-structured interview guide utilizes the intentional process of knowing and understanding of integration process by seeking to understand the phenomena and find meaning. The promoted targeted educational investment in foreign-educated nurses could be instrumental in the successful transition to practice for safe, effective, and efficient delivery of care within the U.S. healthcare.

Recent Publications

1. Adeniran, R., Rich, V., Gonzalez, E., Peterson, C., Jost, S., & Gabriel, M. (2008, May 31). Transitioning internationally educated nurses for success: A model program. OJIN: The Online Journal of Issues in Nursing, 13(2). http://dx.doi.org/10.3912/OJIN.Vol13No02Man03

2. Aiken, L., Buchan, J., Sochalski, B., Nichols, B., & Powell, M. (2004). Trends in international nurse migration: The world’s wealthy countries must be aware of how the “pull” of nurses from developing countries affect global health. Health Affairs, 23(3), 69-77. Retrieved from http://search.ebscohost.com/login.aspx?direct=true&AuthType=url,cookie,ip,uid&db=c8h&AN=2004192520&site=ehost-live&scope=site

3. Nichols, B. L., Davis, C. R., Richardson, & D. R., (2010). International models of nursing. In The future of nursing: Leading change, advancing health (pp. 565-642). Washington, D.C.: The National Academies Press.

4. Cortes, P., & Pan, J. (2012, December). Relative quality of foreign nurses in the United States. In Fifth International Conference on Migration and Development, 28-29.

365: 519-530.

5. Lurie, L. (2016). Strategic planning for future delivery of care: Onboarding foreign-educated nurses. Nurse Leader, 14(6), 427-432

Biography:

Soon Chan Kwon has graduated from Hanyang University as Medical Doctor, with the specialties including Occupational and Environmental Medicine Diploma in Occupational and Environmental Medicine from Hanyang University. He started working at the Hanyang University Hospital and later on he started working at the Soonchunhyang University and Soonchunhyang University Hospital in Cheonan-si, Chungcheongnam-do. He has continued his research about occupational accidents and work-related diseases.

Abstract:

Statement of the Problem: For countries with socioeconomic stratification, it is critical to provide people of low socioeconomic status (SES) with access to essential health care services at an affordable cost. South Korea is trying to accomplish this with a mandatory national healthcare system covering the entire citizenship, consisting of the National Health Insurance System (NHIS) and Medical Aid Program (MAP), which respectively represent individuals with non-low and low SES. In this paper, we investigate and compare medical expenses per claim in South Korea according to SES, in order to predict health care expenditure and provide fundamental data regarding care for individuals with limited finances.

Methodology & Theoretical Orientation: The inpatient data on NHIS and MAP beneficiaries were derived from the National Health Insurance Statistical Annual Report of South Korea from 2011 to 2015. Medical expenses per claim of NHIS and MAP by gender and age were investigated and their ratios were calculated.

Findings: The ratios of medical expense per claim of MAP to NHIS from 2011 to 2015 were always larger than 1 and increased at an inconsistent rate with consecutive age group until 30~39, and decreased thereafter (Male: 1.09-3.47, Female: 1.07-1.95). The ratios of medical expenses per day of each claim were lower than that of medical expenses per claim for both genders (Male: 0.99-1.73, Female: 0.98-1.47).

Conclusion & Significance: High medical expenditure and longer duration of claim in the low SES group could become obstacles to developing a sustainable health care system.

Figure 1: Medical expense ratio per claim by age of MAP to NHIS, Korea (Male).

Biography:

Yannick Pots, LLM, has been Graduated from the State(Lib.&Soc.)Univ. of Ghent as Jurist, has been Graduated in Complementary Studies of Corporate Law at (Cat.)Univ. of Brussels, with specialities including (Inter)National Financial-, Stock- &Stock-Exchange-, Securities- and Bank-Law. Later on he obtained his post-graduation Business Economics (Great Distinct.) from (Plural.)(Univ.)Antwerp Management School. He also obtained his post-graduation Financial Management of Enterprises (Distinction) from (U)AMS with subjects Corporate Finance, Financial Management, Capital Budgeting and Value-Based Management. He finished in Dec 2017 his Pre-PhD Health-Economics at UGhent (Promotor Prof. L. Annemans, HE). Presently he has been working at preparing the start of Research in Joint and Interdisciplinary PhD Studies Laws and Social Health Sciences [Aspects Fiscal Law, Social Security Law, and Health Organization] (at VUB, Brussels, Main Institute), and Health Sciences, Philosophy, and Moral Sciences [Aspects Health Economics, Philosophy, and Ethical Principles] (at UGhent, Ghent, Partner Institute).

Abstract:

Background: Payment systems based on fee-for-service (FFS) are focused on health care in-comes, which primarily create incentives for acute treatment. Linked with the fact that the 60-109yrs old are responsible for 78.66% on pharmaceutical expenditures, we can deduct from the OECD data¹ why expenditures on health are unsustainable and untenable.

The aim of this study is to describe how payment systems based on pay-for-performance (P4P) linked to health status out-comes, are creating sustainable health services and health care.

Methods & Results: Performance has to be focused on health related quality of life (HR-QOL), functional ability (FA), intrinsic capacity (IC), resp. health-related life years gained (HR-LYG) value added (VA) during the full life care circle, i.e. from primary, preventive, screening and condition/disease/urgent care management, going on to ageing and long-term (ALT)/end-of-life (EOL) care management. According to the Pareto-principle, 80% of the wages should be paid immediately. Only when HR-QOL-, FA-, IC-, HR-LYG-VA’s are achieved/obtained, as condition sine qua non, supplementary performance has to be paid (from 0% up to 20%), according to corporate, hospital, (information) technology and health & well-being governance.

Conclusions & Significance: Payment systems based on pay-for-performance focused/linked to health status outcomes, which primarily creates incentives for primary and preventive care/management and screening, will create fair and sustainable health services & health care.

Biography:

Flecha-García is full professor of sociology at the University of Barcelona and Doctor Honoris Causa from West University of TimiÅŸoara. She has been the main researcher for three research projects funded by the EC under the European Research Frammework Progamme, achieving all of them high scientific, social, and political impact. One of these projects, INCLUD-ED, was the only study in SSHH which was included in the list of the ten success stories of the European Research Frammework Programme. She has published his research in numerous journals in the fields of research methodology, health, and social sciences among others.

Abstract:

Statement of the Problem: When human relationships are characterized by violence, negative mental health outcomes are particularly prevalent. Contrarily, quality human relationships can be lifesaving. Interventions that support critical reflection upon memories of violent sexual-affective relationships to reconstruct their associated emotions, as well as programs in mental health care that foster positive social relations between patients can be successful to prevent future victimization in the case of gender violence and promote emotional wellbeing in patients with serious mental disorders.

Methodology & Theoretical Orientation: In study 1, we examined among a sample of young females (n = 32) whether reading a scientific text about love modified autobiographical memories of violent sexual-affective relationships and increased the rejection of such relationships. This group was compared with a control group (n = 31). Memory reports and Memory Quality Questionnaires were employed. In study 2, we investigated with interviews and focus groups the mental health benefits in 15 patients of participating in a program that fosters positive social relations.

Findings:

Study 1: Compared with controls, the experimental group in the study of gender violence had significantly stronger critical memories and an improvement in emotions that supported rejecting violent relationships.

Study 2: Patients with mental health disorders reported that friendships created in the community program helped them with feeling better emotionally. Conclusion & Significance: Programs that enhance critical reflection about violent sexual-affective relationships, as well as a community approach in mental health care that supports friendship can improve the emotional wellbeing of participants.

Figure 1. Emotions induced by recall. From study 1

Recent Publications

1. Flecha, R., Soler, M., & Sordé, T. (2015). Europe must fund social sciences. Nature, 520(7581), 193-193.

2. Flecha, R., Puigvert, L., & Rios, O. (2013). The New Alternative Masculinities and the Overcoming of Gender Violence. International and Multidisciplinary Journal of Social Sciences, 2(1), 88–113.

3. Racionero-Plaza, S. (2015). Reconstructing Autobiographical Memories and Crafting a New Self Through Dialogic Literary Gatherings. Qualitative Inquiry, 21(10), 920–926.

4. Racionero-Plaza, S. (2018). Quality human relationships as a context for freedom and health. Revista de Fomento Social, 289, 43-63.

5. Valls, R., Puigvert, L., Melgar, P., & García-Yeste, C. (2016). Breaking the silence at the Spanish universities: the first research about violence against women. Violence Against Women, 22(13), 1519-1539.

Biography:

Saumya Shukla has been completed her Phd from Dr Shakuntala Misra National Rehabilitation University, India and has been awarded for her research at the university

Abstract:

Maternal mortality in India accounts for about twenty per cent of overall global maternal deaths and could range from 50000-56000 per annum. As per WHO findings about 800 women die every day due causes relating to pregnancy and child birth in most of the developing countries. The state of Uttar Pradesh has highest maternal mortality as compared to other states of the country. This alarming magnitude attracts concern of policy makers, professionals and Government officials to identify the causative factors and leash out a road map for effective and urgent control and reduction in maternal mortality and morbidity rates.

The present paper therefore addresses the issues and perspectives associated with maternal death after child birth, family planning, access to post partum care, social determinants including early marriage tradition and low social status of women causing malnutrition and poor access to health care etc. An in depth analysis of listed matrix of determinants was undertaken and a composite and conclusive findings tend to suggest following course corrective actions for consideration

• Women empowerment
• Social Education and  enforcement of maternal health care programs
• Improving nutritional status of women and infants
• Prioritization of maternal health in national and state run health programs
• Integration of HIV/AIDS with maternal health

In view of pivotal role played by women in agriculture, all industries, commerce, planning and execution, education, research etc, it would be prudent to expand the scope of opportunities apart from course corrective actions to effectively and substantially reduce both maternal mortality and morbidity.