An Epidemiologic Framework for the Delivery of Health Care Services

2009 ◽  
pp. 3-30 ◽  
Author(s):  
Denise M. Oleske
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
Health Care Services ◽  
Care Services

scholarly journals Foreign nursing students: Their profile and perceptions of nursing care in Namibia

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Louis Small ◽  
Louise Pretorius
Keyword(s):  
Health Care ◽  
Nursing Students ◽  
Cultural Competence ◽  
Nursing Care ◽  
Delivery Of Health Care ◽  
Cultural Awareness ◽  
Health Care Services ◽  
Profile Information ◽  
Care Services ◽  
Biographical Profile

A survey was conducted using open and close-ended questions to determine how visiting nursing students in Namibia could be assisted during their visits (cultural encounters). Many students decide to complete their clinical exposure in a foreign country, either for personal reasons or in order to meet the course requirements for transcultural nursing. Since 1998, Namibia has received a number of these students. In discussion and from passing remarks from the students themselves, the question has arisen as to how an optimum placement for each student might be achieved. Aspects of the Campina–Bacote model and The Process of Cultural Competence in the Delivery of Health Care Services were used to answer this question. It was decided to gather both biographical (profile) information and information on perceptions of nursing care in Namibia from such foreign nursing students.The biographical (profile) information collected indicates a prevalence of certain shared biographical characteristics among international students. Such students tend to be adventurous, caring and sensitive to human rights issues. This finding correlates with the constructs of cultural desire and cultural awareness as described in the model of Campina–Bacote. Based on this finding, specific recommendations were made for clinical allocations.From the data gathered from the open-ended questions, three themes emerged: firstly, nursing in Namibia has identifiable characteristics; secondly, there is a paternalistic and one-sided communication style among nursing caregivers in Namibia; and finally, nursing care delivery in this country is often characterised by a detached attitude. It was concluded that these themes correlated with a cultural awareness and cultural knowledge among the nursing students. The discovery of these themes was useful for making recommendations for clinical guidelines to help these students adapt, as well as for providing a foundation and substantiation for clinical placement.Opsomming’n Opname bestaande uit oop en geslote vrae is uitgevoer om te bepaal hoe besoekende verpleegstudente aan Namibië ondersteun kan word (kulturele ervarings). Baie studente besluit om hulle kliniese praktika in die buiteland te voltooi, óf om persoonlike redes óf om aan kursusvereistes in transkulturele verpleging te voldoen. Sedert 1998 het Namibië ’n aantal van hierdie studente ontvang. Uit gesprekke met sowel as spontane kommentaar deur hierdie studente het die vraag ontstaan hoe hulle optimum plasing verseker kan word. Aspekte van die model van Campina–Bacote, naamlik The process of cultural competence in the delivery of health care services , is benut om hierdie vraag te beantwoord. Daarom is besluit om biografiese inligting sowel as inligting oor die studente se persepsies van verpleging in Namibië in te samel. Die biografiese inligting (profiel) het die voorkoms van sekere biografiese kenmerke onder die internasionale studente getoon: Hulle neig daartoe om avontuurlik, deernisvol en sensitief vir menseregte te wees. Dié bevinding korreleer met die konstrukte van kulturele begeertes en kulturele bewustheid soos beskryf in die model van Campina–Bacote. Op grond van hierdie bevindinge is bepaalde aanbevelings aangaande hulle kliniese plasings gemaak. Die data deur die oop vrae verkry het drie temas gegenereer, naamlik dat verpleging in Namibië bepaalde identifiseerbare kenmerke openbaar, dat ’n paternalistiese en eensydige kommunikasiestyl onder verpleegkundiges in Namibië voorkom en dat verpleegsorg deur ’n onbetrokke houding gekenmerk word. Die gevolgtrekking was dat hierdie temas met ’n kulturele bewustheid en kulturele kennis onder die verpleegstudente korreleer. Die identifisering van hierdie temas was bruikbaar as basis vir die motivering van kliniese plasings en in die maak van aanbevelings ten opsigte van kliniese riglyne om die studente te help om aan te pas.

Anthropology and Informatics in Health Care

2020 ◽  
Author(s):  
Laurie Novak ◽  
Joyce Harris
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
Health Informatics ◽  
Health Care Services ◽  
Collaborative Work ◽  
Health Records ◽  
Care Services ◽  
Care Workers ◽  
Health And Illness ◽  
Using Data

Information technology increasingly figures into the activities of health-care workers, patients, and their informal caregivers. The growing intersection of anthropology and health informatics is reviewed, a field dedicated to the science of using data, information, and knowledge to improve human health and the delivery of health-care services. Health informatics as a discipline wrestles with complex issues of information collection, classification, and presentation to patients and working clinical personnel. Anthropologists are well-suited as collaborators in this work. Topics of collaborative work include the construction of health and illness, patient-focused research, the organization and delivery of health-care services, the design and implementation of electronic health records, and ethics, power, and surveillance. The application of technology to social roles, practices, and power relations that is inherent in health informatics provides a rich source of empirical data to advance anthropological theory and methods.

scholarly journals Chronic Health Conditions: Changing Prevalence in an Aging Population and Some Implications for the Delivery of Health Care Services

2010 ◽  
Vol 29 (1) ◽  
pp. 11-21 ◽  
Author(s):  
Frank T. Denton ◽  
Byron G. Spencer
Keyword(s):  
Health Care ◽  
Delivery Of Health Care ◽  
Health Care Services ◽  
Aging Population ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Care Services ◽  
Maladies Chroniques ◽  
Pour Cent ◽  
Vieillissement De La Population

RÉSUMÉParce que la prévalence de nombreuses conditions de santé chroniques augmente avec l’âge, nous pourrions anticiper que la proportion montrant une ou plusieurs de ces conditions, ainsi que les frais de traitement, augmenterait comme le vieillissement de la population. Combien la prévalence globale des affections chroniques augmenteraient en un quart de siècle si l’âge spécifiques des taux de prévalence n’ont pas changé? Les taux de prévalence globaux pour presque toutes les conditions qui découlent principalement de la vieillesse augmenteraient de plus de 25 pour cent, et les exigences en matière de santé auraient cru plus rapidement que la population – plus de deux fois plus rapidement dans le cas des séjours hospitaliers – si les taux pour chaque groupe d’âge sont restés constants. Combien serait requise pour l’augmentation des ressources de santé? Quelle différence rendrait-il à ces exigences si les gens avaient moins de maladies chroniques? Même de réductions modestes dans le nombre moyen de conditions à chaque âge pourraient entraîner des économies importantes.

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