1. Architecture of the health system as an enabler of better wellbeingTimotej Jagrič, Štefan Bojnec, Christine Elisabeth Brown, Vita Jagrič, 2023, original scientific article Abstract: ntroduction: Health systems worldwide have heterogenous capacities and financing characteristics. No clear empirical evidence is available on the possible outcomes of these characteristics for population wellbeing.
Aim: The study aims to provide empirical insight into health policy alternatives to support the development of health system architecture to improve population wellbeing.
Method and results: We developed an unsupervised neural network model to cluster countries and used the Human Development Index to derive a wellbeing model. The results show that no single health system architecture is associated with a higher level of population wellbeing. Strikingly, high levels of health expenditure and physical health capacity do not guarantee a high level of population wellbeing and different health systems correspond to a certain wellbeing level.
Conclusions: Our analysis shows that alternative options exist for some health system characteristics. These can be considered by governments developing health policy priorities. Keywords: population wellbeing, health system capacity, public health system, health policy, neural network Published in DKUM: 19.07.2024; Views: 186; Downloads: 8
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2. Recommendations for wider adoption of clinical pharmacy in Central and Eastern Europe in order to optimise pharmacotherapy and improve patient outcomesKamila Urbańczyk, Sonja Guntschnig, Vasilis Antoniadis, Slaven Falamić, Tijana Kovacevic, Marta Kurczewska-Michalak, Branislava Miljković, Anna Olearova, Inese Sviestina, Attila Szucs, Matej Štuhec, 2023, review article Abstract: Clinical pharmacy as an area of practice, education and research started developing around the 1960s when pharmacists across the globe gradually identified the need to focus more on ensuring the appropriate use of medicines to improve patient outcomes rather than being engaged in manufacturing and supply. Since that time numerous studies have shown the positive impact of clinical pharmacy services (CPS). The need for wider adoption of CPS worldwide becomes urgent, as the global population ages, and the prevalence of polypharmacy as well as shortage of healthcare professionals is rising. At the same time, there is great pressure to provide both high-quality and cost-effective health services. All these challenges urgently require the adoption of a new paradigm of healthcare system architecture. One of the most appropriate answers to these challenges is to increase the utilization of the potential of highly educated and skilled professionals widely available in these countries, i.e., pharmacists, who are well positioned to prevent and manage drug-related problems together with ensuring safe and effective use of medications with further care relating to medication adherence. Unfortunately, CPS are still underdeveloped and underutilized in some parts of Europe, namely, in most of the Central and Eastern European (CEE) countries. This paper reviews current situation of CPS development in CEE countries and the prospects for the future of CPS in that region. Keywords: clinical pharmacy, cost-effective treatment, drug safety, drug utilization, health policy, medication adherence, medication errors, polypharmacy Published in DKUM: 27.05.2024; Views: 190; Downloads: 15
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