Health Services, User Participation in

2014 ◽  
pp. 1-3
Author(s):  
Graham P. Martin
Keyword(s):  
Health Services ◽  
User Participation

scholarly journals Helsepersonells erfaringer med pasientforløp i kommuner i Vest-Norge

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Torill Aarskog Skorpen ◽  
Marit Kvangarsnes ◽  
Torstein Hole
Keyword(s):  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
User Participation ◽  
Local Health ◽  
Care Services ◽  
Western Norway ◽  
Patient Pathways ◽  
Specialist Health Care ◽  
Group Interviews

Health services in Norway have been described as fragmented with weak coordination between different care levels with respect to patient pathways. The Coordination Reform’s aim was to improve patient pathways and strengthen user participation. The aim of this study was to investigate health personnel ́s experiences with patient pathways in municipalities in Western Norway. A qualitative design was chosen. Six focus group interviews with health personnel working in municipalities in Western Norway were conducted in 2013 and 2014. The interviews revealed that health personnel experienced that local health services gave cohesive patient pathways and strengthened user participation. Cohesive patient pathways and locally adapted pathways were considered important. Coordination and electronic communication between primary and specialist health care services were seen as inadequate. Trust, teamwork, competence and necessary resources were considered vital. Health personnel ́s experiences indicated that the intended aim of cohesive patient pathways near the patient was met. 

Recovery in Hong Kong: Service user participation in mental health services

2012 ◽  
Vol 24 (1) ◽  
pp. 40-47 ◽  
Author(s):  
Samson Tse ◽  
Eric Cheung ◽  
Alice Kan ◽  
Roger Ng ◽  
Sania Yau
Keyword(s):  
Mental Health ◽  
Hong Kong ◽  
Mental Health Services ◽  
Health Services ◽  
Service User ◽  
User Participation

The big picture unfolds: Using photovoice to study user participation in mental health services

2016 ◽  
Vol 62 (8) ◽  
pp. 696-707 ◽  
Author(s):  
Jessica Pui-Shan Tang ◽  
Samson Tse ◽  
Larry Davidson
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Services ◽  
Social Inclusion ◽  
Local Community ◽  
Expert Knowledge ◽  
User Participation ◽  
Qualitative Inquiry ◽  
Design Data ◽  
Gradual Process

Background: User participation is advocated on the basis that consumers know their own needs better than anyone else. Photovoice is a participatory research method that empowers the grass-root population to give voice on concerned issues for eliciting social change. Aim: This study explores the experience and impact of user participation in mental health services (MHS) in Hong Kong through photovoice. It also examines the effects of this method in studying user participation. Method: In this qualitative inquiry, authors, two peer researchers and three participants were involved in the various stages of research design, data collection and data analysis. Participants took photos showing their perception and experiences of being involved in different MHS systems. They shared their narratives through these images and reflected on the participatory experience of photovoice. Results: User participation was experienced as a gradual process of assuming control that involved personal responsibility, connection with peers, collaboration with staff, redefinition of boundaries and social inclusion. Meaningful participation gave rise to a sense of contribution, interpersonal connection and self-worth and transformed one’s identity. Participants enjoyed the mutual interaction and derived benefit from the photovoice process. Issues such as consent and confidentiality arose in implementation. Conclusion: Participation entails partnership among service users, providers and peers. Photovoice opens up new space for unfolding expert knowledge. Further application of this participatory approach with the local community is suggested in order to develop person-centered care.

scholarly journals Trust in pathways? Professionals’ sensemaking of patient pathways in Norwegian mental health services

2021 ◽  
Author(s):  
Tine Nesbø Tørseth ◽  
Marian Ådnanes
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Services ◽  
Health Services ◽  
Health Professionals ◽  
Patient Flow ◽  
Geographic Location ◽  
User Participation ◽  
Patient Pathway ◽  
Patient Pathways

Abstract Background: In January 2019, the official launch of new guidelines within specialist mental health services and substance abuse treatment in Norway took place, with treatment organized according to structured patient pathways. The pathway system introduced maximum lengths for assessment, treatment, and evaluation and the coding of the different steps. The system was based on overall goals to improve services by focusing on user participation, coordinated patient flow, avoidance of unnecessary waiting time, more equal services independent of geographic location, and greater emphasis on somatic health and lifestyle. The purpose of our study was to examine the implementation of patient pathways within mental health services, and more specifically how trust emerges and influences the final outcome. Methods: Our study included four outpatient clinics for adults in four community health centres in different parts of Norway. The informants consisted of treatment personnel, leaders, and pathway coordinators, and data were collected through qualitative group and individual interviews. Results: The results indicated four distinct themes or reactions towards the patient pathway system. These themes were unclarity regarding the overall goals and content of the patient pathway; increased coding, registration and administrative work, which professionals experienced as stressors; an IT and journal system that did not correspond with the coding of the patient pathway; and an unrealistic distinction between assessment and treatment. All of the above encouraged health professionals to reduce the importance of patient pathways, as well as increase their resistance towards health authorities. Conclusions: To understand how and why health professionals made sense of the patient pathway, theory on trust can be used to show how professionals within health care interpret the implementation of patient pathways as a desire to control more areas and work practices within mental health care, leading to their distrust towards the new system Trial registration: Not neccessary

scholarly journals Effects of User Participation in the Development of Health Information Systems on Their Evaluation Within Occupational Health Services

2020 ◽  
Author(s):  
Anna Vahteristo ◽  
Virpi Jylhä
Keyword(s):  
Information Systems ◽  
Occupational Health ◽  
Health Services ◽  
Development Process ◽  
Health Information Systems ◽  
User Participation ◽  
Occupational Health Services ◽  
Is Success ◽  
Delone And Mclean ◽  
Success Model

Information management and the usability of health information systems (HIS) are important for the development of HIS in occupational health services. User participation in the HIS development process has been shown to contribute to the success of an HIS. The purpose of this study was to analyze how user participation in HIS development affected evaluation of the success of HIS. The success was assessed on the basis of the DeLone and McLean Information Systems (IS) Success Model. The study was conducted within occupational health services and the data (n=210) was analyzed with quantitative methods. The results showed that users participating in the HIS development process assessed the success of the HIS as better than those that had not taken part in the development. This difference could be seen in all seven dimensions of the DeLone and McLean IS success model but was statistically significant only for System Quality and Intention to Use. The results also showed that the users that had participated in the HIS development process also used the HIS more often and more extensively than those that had not participated in the development. The results indicate that user participation in the development process positively influences their assessment of the HIS and increases their active use of the IS. However, more research is needed to determine the long-term effects of using participatory design in HIS development.

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