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Despite that in general health spending is growing slowly, according to a recent OECD report European countries lag behind. Balancing the service demands against available resources is a key function of management. With increasing demand and reduction in resources it is meanwhile a real challenge for most of our European health colleagues to fill vacancies...
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Education and Training in Affidea – Developing a New Generation of Leaders
Affidea is known for clinical excellence and operational efficiency, but at Healthmanagement.org we are most interested in exploring what Affidea is doing with training and education. We spoke to Dr Rowland Illing, Affidea Chief Medical Officer, about this topic both in the clinical domain and in the more challenging area of leadership. ...
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Resuscitation in Resource-Poor Settings – A Southern Africa Experience
Worldwide, there are over 17 million cardiovascular deaths each year, and the prevalence of cardiovascular disease is increasing. Many regions in the world have seen mortality rates level off or improve; this is not the case for Sub-Saharan Africa (SSA). With only modest reductions in age-adjusted cardiovascular mortality, overshadowed by a blossoming...
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Why You Should Always Debrief Your Resuscitations
Everyone who is active in resuscitation teams will admit: treating a patient in cardiac arrest is a challenge and often things will not go as you would like them to. This can lead to negative feelings when the resuscitation attempt has ended, either because the patient did not regain return of spontaneous circulation (ROSC) or the patient is transported...
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High Altitude Research and its Relevance to Critical Illness
Critical illness can be considered as the body’s failure to compensate for severe pathophysiological ‘stress’. The result is a vicious circle of damage that ultimately ends in organ failure, permanent harm and, unfortunately for many, death. Fortunately, the human body is remarkably resilient. It has the ability to tolerate changes to its internal...
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How to Run Successful Rounds in the Intensive Care Unit
Rounds in the intensive care unit (ICU) allow for scheduled discussions in which healthcare providers review clinical information and develop care plans for critically ill patients. Despite this straightforward concept, there is widespread variability in numerous components of rounds. While some of these differences are culturally rooted and, as such,...
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Five Reasons Why Value-Based Healthcare is Beneficial
Patient-centered care is becoming a major topic in healthcare. Many initiatives have begun focusing their care around patients and their medical conditions. This requires focusing on patient value (Porter and Teisberg 2006). When focusing on value for patients, a few challenges may arise. Firstly, the meaning of value for patients varies widely among...
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Reaching the Heights of Respiratory Physiology
Professor John B. West is a renowned respiratory physiologist and researcher. He joined the faculty of the University of California San Diego in 1969, where he is Distinguished Professor of Medicine and Physiology in the School of Medicine, where he still teaches first-year medical students. He is author of Respiratory physiology - the essentials, which...
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Evidenced-based ICU Organisation: Interview with Professor Jeremy Kahn
Jeremy Kahn is Professor of Critical Care, Medicine and Health Policy in the University of Pittsburgh School of Medicine and Graduate School of Public Health. As a core faculty member in the CRISMA Center in the Department of Critical Care Medicine, he directs the CRISMA Program on Critical Care Health Policy & Management. His research focuses on...
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