Administrators, health service providers, and consumers perspectives of functions of district health‐care systems in Oromia region, Ethiopia: A qualitative study

2019 ◽  
Vol 34 (2) ◽  
pp. 836-850
Author(s):  
Elias Ali Yesuf ◽  
Eva Grill ◽  
Günter Fröschl ◽  
Daniela Koller ◽  
Damen Haile‐Mariam
Keyword(s):  
Health Care ◽  
Health Service ◽  
Qualitative Study ◽  
Service Providers ◽  
Health Care Systems ◽  
District Health ◽  
Health Service Providers ◽  
Care Systems

Accountability for Rationing — Theory into Practice

2005 ◽  
Vol 33 (4) ◽  
pp. 660-668 ◽  
Author(s):  
Christopher Newdick
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Health Care Systems ◽  
The Public ◽  
Modern Health Care ◽  
Concept Of Health ◽  
Care Systems ◽  
Health Need

Most now recognize the inevitability of rationing in modern health care systems. The elastic nature of the concept of “health need,” our natural human sympathy for those in distress, the increased range of conditions for which treatment is available, the “greying” of the population; all expand demand for care in ways that exceed the supply of resources to provide it. UK governments, however, have found this truth difficult to present and have not encouraged open and candid public debate about choices in health care. Indeed, successive governments have presented the opposite view, that “if you are ill or injured there will be a national health service there to help; and access to it will be based on need and need alone.” And they have been rightly criticized for misleading the public and then blaming clinical and managerial staffin the National Health Service (NHS) when expectations have been disappointed.

scholarly journals Privatisation and profitisation in health care. A comparative study of Sweden and the Netherlands

2016 ◽  
Vol 7 (1) ◽  
Author(s):  
Ines Verspohl
Keyword(s):  
Health Care ◽  
Health Service ◽  
The Netherlands ◽  
Health Care Systems ◽  
Social Health ◽  
Internal Markets ◽  
Detailed Explanation ◽  
Care Systems ◽  
Technical Innovations ◽  
The Welfare State

<p>During the last 20 years, privatization<br />became an issue in health care. The neoliberal<br />market idea promised to increase<br />efficiency and responsiveness, while at the<br />same time relieving public budgets. European<br />countries have introduced all kind of market<br />instruments, reaching from internal markets,<br />over DRGs, to increased co-payments.<br />However, the welfare state literature<br />currently lacks a detailed explanation of<br />these different reforms.<br />All health care systems in the European<br />Union are affected by the same problem<br />pattern: demographic change, raising<br />demand, medical-technical innovations and<br />labour intensive services. Nonetheless, the<br />degree and form of privatization varies a lot.<br />This paper studies the power of ideas within<br />the framework of structural reform pressure<br />and institutional path-dependency. The<br />causes for privatization reforms are studied<br />in two countries representing the two ideal<br />types: the Netherlands for Social Health<br />Insurance and Sweden for the National<br />Health Service.</p>

scholarly journals Working on the Frontlines of the COVID-19 Pandemic: A Qualitative Study of Physical Therapists’ Experience in Spain

2021 ◽  
Author(s):  
Domingo Palacios-Ceña ◽  
César Fernández-de-las-Peñas ◽  
María Palacios-Ceña ◽  
Ana I de-la-Llave-Rincón ◽  
Lidiane L Florencio
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Professionals ◽  
Physical Therapists ◽  
Health Care Systems ◽  
Public Hospitals ◽  
Purposeful Sampling ◽  
Care Systems ◽  
Field Notes ◽  
Depth Interviews

Abstract Objective Knowledge of the experiences of health care professionals who have actively worked on the first line of the COVID-19 pandemic could help in identifying specific professional duties focused on health assistance objectives. No qualitative study has yet been published describing the experience of physical therapists during the COVID-19 pandemic. The purpose of this study was to describe and explore the experiences and perspectives of physical therapists working in public hospitals in Madrid, Spain, during the COVID-19 pandemic. Methods A qualitative exploratory study was conducted based on an interpretive framework. Thirty physical therapists working at 11 national public hospitals during the COVID-19 outbreak were recruited by purposeful sampling and snowball techniques. In-depth interviews and researchers’ field notes were used to collect data. Interviews were transcribed verbatim. Inductive thematic analysis was used to identify emerging themes. Results After identifying 3912 codes and 13 categories, 3 themes emerged. First theme was “Call of Duty,” COVID-19 infection dramatically spread, the hospitals were contaminated and overwhelmed, and all floors were converted into COVID-19 wards. Second theme was “Working in War Time.” Every day, therapists were given “the war report,” receiving their orders, meeting protective personal equipment requirements, and doing a job with fear. Third theme was “When I Arrive at Home.” Working during the pandemic had an impact on the therapists’ families and the information shared with them. Conclusions Physical therapists described the COVID-19 outbreak as an apocalyptic and unexpected war. Comprehensive support is needed for all frontline health care professionals. The COVID-19 outbreak revealed that health care systems were not prepared for a pandemic. Impact This is the first qualitative study to be published describing the experience of physical therapists during the COVID-19 pandemic.

scholarly journals Perception and Practice among Community People and Health Service Providers on Care and Management of Burn Injuries in Nepal: A Qualitative Study

2019 ◽  
Vol 17 (3) ◽  
pp. 315-319
Author(s):  
Santosh Bikram Bhandari ◽  
Sujit Kumar Sah ◽  
Khakindra Bahadur Bhandari ◽  
Jaswan Sakya ◽  
Laxmi Raj Pathak ◽  
...  
Keyword(s):  
Health Service ◽  
Qualitative Study ◽  
Service Providers ◽  
Burn Injury ◽  
Good Practice ◽  
First Aid ◽  
Burn Injuries ◽  
Burn Care ◽  
Health Service Providers ◽  
Community People

Background: According to WHO, burns are a serious public health problem and the second most common cause for injury in rural Nepal, accounting for 5% of disabilities. The overall objective of the study is to assess the prevailing perception and practice among community people and health service providers on care and management of burn injuries in Nepal. Methods: This was a qualitative study conducted in 2016 representing all eco-development regions. A total of 40 key informants interviews with health personnel and 18 focus group discussions with the community people were conducted.Results: There are very limited dedicated burn care facilities in Nepal. During discussion, the service providers and community people mentioned that a burn injury can affect any one irrespective of their age and socioeconomic status. The study showed that females are at higher risk for burn injury which is associated mostly with wood fire cooking.The burn cases in the hospitals were more during winter than insummer season. Among all the ethnic groups, Dalit and indigenous population were found more vulnerable towards burn injuries. Intentional burn injuries such as self-inflicted burns/suicidal attemptwere found to occur more in females.The community people had a good practice of taking the majority ofpatients having burn injury immediately to the hospital,if not, they at least provided them with a first aid treatment. Conclusions: Majority of burn injured cases are getting first aid treatment at the incident places and taking hospital immediately. Main reasons, who reached late, are unaware about seeking services and financial constraint. Overall, the community people are partially aware about the burn injury.Keywords: Burn injuries; community practice; hospitals; incident and types.

scholarly journals Healthcare Systems and Variation in Healthcare Utilization at the End of Life Across Countries

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 560-560
Author(s):  
Jennifer Ailshire ◽  
Cristian Herrar ◽  
Margarita Maria Osuna
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Service ◽  
End Of Life ◽  
Low Income ◽  
Health Care Systems ◽  
Social Health Insurance ◽  
Social Health ◽  
Care Utilization ◽  
Care Systems

Abstract With rapid population ageing, providing better end-of-life care (EOLC) is becoming a source of social demand and financial pressure for public and private budgets in many countries. This paper uses data from harmonized end-of-life interviews in the HRS family of studies to assesses variation in health care utilization across different income groups and how they differ across different health care systems. Hospital stay did not vary across health care systems, but nursing home stays were lower in countries with either national or statist social health insurance systems. Hospice use was low in all countries, but particularly in national and social health insurance systems. Lower income was associated with greater use of nursing homes in both the private and social health care systems. Low income was also associated with greater use of hospice in national health service, but lower use in social health service.

scholarly journals Fibromyalgia in Health Care Worker During COVID-19 Outbreak in Saudi Arabia

2021 ◽  
Vol 9 ◽  
Author(s):  
Fahidah AlEnzi ◽  
Sara Alhamal ◽  
Maryam Alramadhan ◽  
Ahmed Altaroti ◽  
Intisar Siddiqui ◽  
...  
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Health Service ◽  
Service Providers ◽  
Health Workers ◽  
Rapid Screening ◽  
Cross Sectional ◽  
Health Service Providers ◽  
The Face ◽  
Care Worker

Background: In the face of the contemporary COVID-19 pandemic, health service providers have emerged as the most at-risk individuals who are likely to contract the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2).Aim: To measure the prevalence of fibromyalgia (FM) during COVID outbreak among health workers in Saudi Arabia using FiRST and LFESSQ tool.Methods: The study employed a cross-sectional methodology to explore the prevalence of Fibromyalgia among health workers at different health care settings in Saudi Arabia. The assessment of the prevalence of fibromyalgia among health worker was determined by using the Fibromyalgia Rapid Screening Tool (FiRST) and London Fibromyalgia Epidemiological Study Screening Questionnaire (LFESSQ) questionnaires. Descriptive statistics were used to summarize the data.Results: The sample size included 992 participants. The prevalence of fibromyalgia using FiRST and LFESSQ was 12.6 and 19.8%, respectively. In this study, the prevalence of fibromyalgia was higher in females when compared to males. Most of the respondents have Vitamin D deficiency. The relationship of fibromyalgia was significantly associated with the participants who worked during an outbreak, who covered COVID-19 inpatient, covered in-hospital on call and in area quarantine.Conclusion: The study's findings demonstrate that the prevalence of Fibromyalgia among health service providers during the current COVID-19 pandemic is considerably higher and that there are potential interventions that may be employed to mitigate the prevalence of the infection during the COVID-19 crisis.

scholarly journals Health care funding in New South Wales: from health care needs to hospital outputs

2002 ◽  
Vol 25 (1) ◽  
pp. 40 ◽  
Author(s):  
Don Hindle
Keyword(s):  
Health Care ◽  
Health Services ◽  
Best Practice ◽  
Service Providers ◽  
Health Care Systems ◽  
Care Needs ◽  
South Wales ◽  
Care Systems ◽  
Common Framework ◽  
Area Health

This paper summarises the structure of the State's health care system, and then focuses on the main processes of resource allocation: needs-based funding of 17 Area Health Services, and output-based funding of specific service providers. The general model is widely accepted by informed observers to be fundamentally sound. In particular, the resource distribution formula whereby needs-based allocations are made is a largely valid model that has been progressively refined over fifteen years and is probably as good as any in the world. I conclude that the recent decision to require Area Health Services to use a common framework for out-put-based funding was long overdue, and that many of its features represent best practice. However, I argue that more shouldbe done to refine some of the details and that NSW Health might need to give more consideration to ideas that have been tested and evaluated in other health care systems.

scholarly journals Understanding Postpartum Healthcare Services and Exploring the Challenges and Motivations of Maternal Health Service Providers in the Philippines: a Qualitative Study

2015 ◽  
Vol 43 (2) ◽  
pp. 123-130 ◽  
Author(s):  
Tadashi Yamashita ◽  
Sherri Ann Suplido ◽  
Cecilia Llave ◽  
Maria Teresa R. Tuliao ◽  
Yuko Tanaka ◽  
...  
Keyword(s):  
Maternal Health ◽  
Health Service ◽  
Qualitative Study ◽  
Service Providers ◽  
Healthcare Services ◽  
The Philippines ◽  
Maternal Health Service ◽  
Health Service Providers
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