Hospital Administration and Medical Practices

Distributed leadership: A new perspective on leadership in driving innovation and transformation in healthcare?

Mapani A — 2023-02-27

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A new challenge for Italy’s National Healthcare System

Angelo Tanese — 2023-01-18

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The management of orphan drugs in Italy - Focus on haemophilia in the region of Umbria

Alessandro D’Arpino — 2023-04-06

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The “binocular model” of hospital planning for quality improvement

Alexander Carter — 2023-05-01

Development status, influencing factors, and prospects for internet hospitals

Juan He — 2023-02-27

In this paper, the development history and status, operation mode, existing problems, and other aspects relating to Internet hospitals in China are studied through relevant research literature, government documents, and platform data information released by Internet hospitals. The strengths, weaknesses, opportunities, and challenges of Internet hospitals are sorted, summarized, and compared, considering institutional, economic, social, and technological factors using the strengths, weaknesses, opportunities, challenges and politics, economic, society, technology (SWOT-PEST) matrix analysis method. The competitive strength of Internet hospitals is also analyzed using Porter’s five forces analysis mode. Future development strategies and ideas are explored, and Internet hospitals are promoted as an innovative way to optimize the allocation of medical resources, so that patients can enjoy high-quality and convenient medical services.

The “Scope” of moonlighting during gastroenterology fellowship

Zachary Field — 2023-05-01

Moonlighting during medical training remains a polarizing and controversial topic. While some contend that moonlighting affords trainees an opportunity to supplement their income and grants valuable educational opportunities, others argue that moonlighting interferes with the objectives needed to achieve during training. Gastroenterology fellowship programs must carefully balance the financial needs and autonomy that accompanies being a board-certified internist with the educational objectives of fellowship program. While post-graduate program policies vary widely, a paucity of data exists on the effects of moonlighting on medical trainees. In this article, we examine the pros and cons of moonlighting during gastroenterology fellowship.

Respiratory and other systemic complications of coronavirus disease 2019 in adults: A narrative review

Kiran S. Mahapure — 2023-03-30

To review and summarize the health complications known to be caused by the coronavirus disease 2019 (COVID-19) and their
pathophysiology. A thorough search was conducted for articles on the complications of COVID-19 from December 30th, 2019
through November 20th, 2020. August using the PubMed, Google Scholar, and World Health Organization (WHO) databases.
and it was supplemented with inclusion of pertinent articles till May 30th, 2021 Articles that did not have patient data, those
which included data of patients < 18 years of age, studies limited to pregnant patients, and studies limited to only specific
co-morbidities and organ dysfunctions were excluded to avoid selection bias and heterogeneity in study population. A total of
108 studies were included in the narrative review. These studies reported numerous complications of COVID-19 with the most
common being acute respiratory acute respiratory distress syndrome (ARDS) (19.5%–72%), myocardial injury (13.6%–36%),
cytokine storm (5%–10%), acute kidney injury (AKI) (4%–54.7%), acute liver injury (14%–62.4%), and venous thromboembolism
(VTE) (4%–20%). Our review extensively illustrates the incidence, predictors, and pathophysiology of respiratory, cardiovascular,
immunological, hepatobiliary, coagulative, neurological, and renal complications of COVID-19. Enhancing the host immune
responses against viral infection and modulating the inflammatory responses, along with appropriate support of respiratory
function; as well as the management of complications involving multiple organ systems potential leading to multi-organ failure,
are all important aspects to be considered for the recovery of critically ill patients with COVID-19.