Machine Learning Applied to the Measurement of Quality in Health Services in Mexico: The Case of the Social Protection in Health System

2018 ◽  
pp. 560-572
Author(s):  
Roman Rodriguez-Aguilar ◽  
Jose Antonio Marmolejo-Saucedo ◽  
Pandian Vasant
Keyword(s):  
Machine Learning ◽  
Health Services ◽  
Health System ◽  
Social Protection ◽  
The Social

scholarly journals Improving maternal health services through social accountability interventions in Nepal: an analytical review of existing literature

2020 ◽  
Vol 41 (1) ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health System ◽  
Maternal Health Services ◽  
Policy Formulation ◽  
Social Accountability ◽  
The Social ◽  
The Government ◽  
The Impact

Abstract Background The persistent quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. Accordingly, the Government of Nepal (GoN) has placed emphasis on responsive and accountable maternal health services and initiated social accountability interventions as a strategical approach simultaneously. This review critically explores the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute to the informed policy formulation process. Methods A literature review and desk study undertaken between December 2018 and May 2019. An adapted framework of social accountability by Lodenstein et al. was used for critical analysis of the existing literature between January 2000 and May 2019 from Nepal and other low-and-middle-income countries (LMICs) that have similar operational context to Nepal. The literature was searched and extracted from database such as PubMed and ScienceDirect, and web search engines such as Google Scholar using defined keywords. Results The study found various social accountability interventions that have been initiated by GoN and external development partners in maternal health services in Nepal. Evidence from Nepal and other LMICs showed that the social accountability interventions improved the quality of maternal health services by improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. Strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are found to be the major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions Social accountability interventions have potential to improve the quality of maternal health services in Nepal. The critical factor for successful outcomes in maternal health services is quality implementation of interventions. Similarly, continuous effort is needed from policymakers to strengthen monitoring and regulatory mechanism of the health system and decentralization process, to improve access to the information and to establish proper complaints and feedback system from the community to ensure the effectiveness and sustainability of the interventions. Furthermore, more study needs to be conducted to evaluate the impact of the existing social accountability interventions in improving maternal health services in Nepal.

scholarly journals Machine Learning for Healthcare

2019 ◽  
Vol 8 (6S2) ◽  
pp. 954-959
Keyword(s):  
Machine Learning ◽  
Social Protection ◽  
Clinical Parameters ◽  
Probabilistic Data ◽  
Complex Information ◽  
The Social

ML gives techniques, frameworks, and devices that can help dealing with demonstrative and prognostic issues in a collection of therapeutic domMLns.MI (ML) thinks about calculations which can gMIn from information to gMLn learning for a fact and to settle on choices and forecasts. Wellbeing Informatics (HI) examines the viable utilization of probabilistic data for basic leadership. The blend of the two can possibly rMIse quality, adequacy and proficiency of treatment and care. ML is being used for the assessment of the hugeness of clinical parameters and their blends for expectation, for instance desire for MIlment development, extraction of therapeutic learning for result investigate, treatment masterminding and support, and for the general patient organization.Wellbeing frameworks worldwide are gone up agMInst with "enormous information" in high measurements, where the incorporation of a human is unthinkable and programmed ML (aML) show amazing outcomes. Be that as it may, in some cases we are gone up agMInst with complex information, "little information", or uncommon occasions, where aMLapproaches endure of inadequate trMLning tests. It is fought that the productive execution of ML techniques can help the blend of PC based systems in the social protection condition offering opportunities to energize and overhaul made by therapeutic authorities and finally to improve the adequacy and nature of remedial thought. Underneath, we layout some genuine ML applications in drug.This paper additionally present medicinal services determination treatment and counteractive action of sickness, MIlment, damage in human.

scholarly journals Community Action Package in Iran's Comprehensive Mental and Social Health Services (the SERAJ Program)

2021 ◽  
Author(s):  
Behzad Damari ◽  
Vandad Sharifi ◽  
Mohammad Hossein Asgardoon ◽  
Ahmad Hajebi
Keyword(s):  
Mental Health ◽  
Mental Disorders ◽  
Health Services ◽  
Social Protection ◽  
Community Action ◽  
Intersectoral Collaboration ◽  
Support Unit ◽  
Social Component ◽  
The Social ◽  
Three Components

Objective: The social component of health plays a significant role in improving the mental health of the people of a district. A national program on providing comprehensive social and mental health services, entitled “SERAJ”, was developed and piloted in three districts of Iran. The present study aims to determine its model for improving the indicators of the social component of mental health. Method: This study is a system design for which a literature review, interviews with experts, and focused group discussions with stakeholders were used. Results: Community action in promoting the mental health of the districts has three main components: strengthening intersectoral collaboration through the memorandum of understandings (MoU), increasing people's participation by establishing People’s Participation House (PPH) with the presence of the representative of current People’s network, and social protection of people suffering from mental disorders by establishing the Social Support Unit (SSU) for self-reliance activity. All three components are controlled by the governor and with supervision and technical consult of the health network of the district and stakeholder participation Conclusion: The model uses the inner capacities of the city instead of creating new structures. The prerequisites for the effective function of the main three components are educating departments, educating members of the PPH, and hiring a social worker at the SSU. The effective measures taken by the departments to reduce the risk factors for mental disorders are dependent on the technical and financial support of relevant organizations at the provincial and national levels.

scholarly journals When Multiple Implications of Non-Take-Up to Healthcare Catalyze a Critique of the Health and Social System

2021 ◽  
Vol 47 (2) ◽  
pp. 221-239
Author(s):  
Héléna Revil
Keyword(s):  
Health System ◽  
Social System ◽  
Social Protection ◽  
Paradoxical Situation ◽  
The People ◽  
The Social

Abstract This article shows that “not chosen” experiences of non-take up to healthcare, having multiple implications for people and remaining unanswered from the social protection and health system, create a paradoxical situation. The result, among the people concerned, is a destabilization of representations of system, conducive to the construction of criticisms and reactions leading people to keep, voluntarily and by different means, at a distance from certain health and social offers.

INTERGENERATIONAL ATTITUDES AND SOCIAL PERCEPTIONS OF E-HEALTH SERVICES

2020 ◽  
Author(s):  
Solveiga Blumberga ◽  
Gundega Tirzīte
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health System ◽  
Positive Emotions ◽  
Consumer Attitudes ◽  
Social Perceptions ◽  
Health It ◽  
The Social ◽  
To Receive ◽  
Key Questions

Health care is important and necessary for all humankind on all generations, so, it is of most importance to understand the situation and possibilities. This is where understanding consumer attitudes and perceptions can help to improve for equal possibilities to all generations and social groups. Consumer attitudes and social perceptions give us the information to help advance processes and detect problems that are not obvious and are often mistaken as too insignificant for attention. Since 2007, e-health has been introduced in Latvia as a big change towards digitalization, simplicity and more efficient health care all over the country. Officially, doctors and patients are using the e-health system to store and receive information related to a person’s health care since the year 2018. The topic of the research is of great importance, and it aims to ensure those people who do not have access to a computer or who cannot work with it are able to receive the same level of health care as those who are active and can easily navigate and use platforms such as e-health in the e-environment. The key questions of the research are as follows: what are the attitudes of consumers from different generations on e-health, what are the social perceptions of consumers from different generations on e-health, are there statistically significant differences in consumer attitudes of different generations are there statistically significant differences in the social perceptions of consumers of different generations about e-health, are there statistically significant relations between different generations of consumers on consumer attitudes and social perceptions about e-health? Methods used in the study are two surveys created by authors on social attitudes towards e-health services, and on social perceptions towards e-health services. The results of e-health services that are related to its integration do not reflect promises of dwindling waiting lines and state-paid services. The results also show that older users are more interested in e-health, as they face health problems more frequently than younger consumers daily, but their possibilities are limited by the technology that has created a very long bridge between patients, and the possibility to interact in the newly integrated e-health system. Younger potential users of e-health have important modernity where the older e-health users are viewing this differently, for which modernity is not current. Social perceptions that affect awareness and emotion are linked and do not differ significantly between generations, which show’s that if consumers had a chance to improve their social expectations about e-health, it would affect users and potential users alike, creating positive emotions and would improve attitudes on e-health, in general.

scholarly journals Improving maternal health services through social accountability interventions in Nepal:  An analytical review of existing literature

2019 ◽  
Author(s):  
Adweeti Nepal ◽  
Santa Kumar Dangol ◽  
Anke van der Kwaak
Keyword(s):  
Maternal Health ◽  
Health Services ◽  
Health System ◽  
Grey Literature ◽  
Maternal Health Services ◽  
Social Accountability ◽  
The Social ◽  
The Government ◽  
The Impact

Abstract Background: The persistent equity and quality gap in maternal health services in Nepal has resulted in poor maternal health outcomes. The Government of Nepal has emphasized on responsive and accountable maternal health services since 2005, while social accountability interventions have been commenced as a strategical approach. This review is an attempt to critically explore the social accountability interventions in maternal health services in Nepal and its outcomes by analyzing existing evidence to contribute informed policy. Methods: A literature review and desk study were done between December 2018 to May 2019. An adapted framework of social accountability by Lodenstein et al. 2013 was used for critical analysis and synthesis of the existing literature from Nepal and other low- and middle-income countries (LMICs). The literature was searched and extracted from the search engines i.e. google and google scholar using keywords. The searched includes both published and grey literature. Results: The review found different social accountability interventions initiated by the government and external development partners in maternal health services in Nepal. The evidence from Nepal and other LMICs showed that the social accountability interventions improve the quality of maternal health services through improving health system responsiveness, enhancing community ownership, addressing inequalities and enabling the community to influence the policy decision-making process. The strong gender norms, caste-hierarchy system, socio-political and economic context and weak enforceability mechanism in the health system are major contextual factors influencing community engagement in social accountability interventions in Nepal. Conclusions: The evidence show that social accountability interventions have the potential to improve the quality of maternal health services in Nepal. Critical factors of successful outcomes in maternal health services include quality implementation of the interventions. Similarly, continuous effort is needed from policymaker to strengthen monitoring and regulatory mechanism of the health system and decentralization, improve access to the information and establishment of proper channels to capture complaints and feedback from the community to ensure the effectiveness of the interventions for the long run. Furthermore, research is needed to evaluate the impact of the existing social accountability interventions in the reduction of maternal mortality in Nepal.

scholarly journals The Albanian Social Security System and the Institutions of Social Protection in Albania

2015 ◽  
Vol 3 (2) ◽  
pp. 18
Author(s):  
Laureta Mano ◽  
Mirela Selita
Keyword(s):  
Health Care ◽  
Health Services ◽  
Social Security ◽  
Social Services ◽  
Social Insurance ◽  
Social Protection ◽  
Disabled Persons ◽  
Health Care Insurance ◽  
The Social ◽  
The Right

The social security system in Albania consists of social assistance and social services, health services and health care insurance and social insurance schemes. In the social objectives of the constitution are declared that the State within the constitutional competencies and the probable means as well as in the fulfillment of private initiatives and responsibilities, aims to higher possible standards of health, physical and mental; social care and services of elderly, orphan and invalids; medical rehabilitation, special education and integration in the community, of disabled persons. The Constitution foreseen that everyone has the right of social insurance when retired or in case of incapacity of work under a certain system established by a law. Everyone, when is unemployed for any reasons independent on individual will and when there is no living means, has the right of need under the conditions foreseen by law. Social insurance is a scheme protecting by benefits persons in respect of temporary incapacity due to sickness, maternity, old-age, disability and loss of breadwinner, employment accidents/occupational diseases, unemployment. Social Services are benefits in kind for disabled persons or vulnerable persons. Social Assistances are cash benefits given to families in need, that means families with lower incomes comparable with minimum standard of living or families without incomes. Health services consist of public health, primary health care, hospitalization services nurse's service, dental and pharmaceutical net. The Institutions of Social Protection in Albania are Social Insurance Institute, National Social Services and Health Care Insurance Fund.

scholarly journals Akses Pelayanan Kesehatan yang Tersedia pada Penduduk Lanjut Usia Wilayah Perkotaan di Indonesia

2019 ◽  
pp. 46-56
Author(s):  
Roy Glenn Albert Massie
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Corporate Social Responsibility ◽  
Health Service ◽  
Health Services ◽  
Social Responsibility ◽  
Social Protection ◽  
The Elderly ◽  
The Social ◽  
Corporate Social

Abstrak Penelitian tentang akses lanjut usia (lansia) terhadap pelayanan kesehatan telah banyak dilakukan dengan menggunakan metode yang sama maupun berbeda. Diperlukan suatu hasil gabungan analisis penelitian dan dapat dijadikan inferensi pada parameter yang dapat diinterpretasi. Dalam kajian ini dilakukan meta-analisis akses kesehatan publik bagi lansia di wilayah perkotaan yang tersedia pada tingkat fasilitas kesehatan tingkat pertama. Diidentifikasi kata kunci dari topik yang ada pada kepustakaan melalui pembacaaan abstrak secara berulang kali. Dilakukan pencatatan hasil inferensi, kemudian dipilah sub-topik yang dipikirkan penting dan berhubungan. Ringkasan kepustakaan dibuat sesuai dengan urutan dan relevansi topik masing-masing variabel, yang disesuaikan dengan sub-topik terkait. Akses pelayanan kesehatan terhadap lansia sangat tergantung pada ketersediaan sumber daya kesehatan, peralatan yang memadai dan program yang sesuai. Lansia kurang memanfaatkan pelayanan kesehatan disebabkan oleh jarak fasilitas kesehatan yang cukup jauh dari tempat tinggalnya dan tidak ada yang mengantarnya. Masih ada lanjut usia yang tidak pernah memanfaatkan pelayanan kesehatan dasar gratis. Sebagian kecil lansia mengakses informasi promosi kesehatan melalui media sosial. Fasilitas umum yang sangat dibutuhkan oleh kelompok lansia namun masih kurang terkait ketersediaan tenaga, alat medis, obat, laboratorium dan kondisi fisik serta dana operasional puskesmas. Perlindungan terhadap sosial bagi lansia juga dilakukan oleh organisasi masyarakat dan keagamaan (misal kerjasama gereja dan kelurahan) dan bantuan program Corporate Social Responsibility (CSR) perusahaan. Kebijakan pemerintah dan sumber daya di fasilitas kesehatan mempengaruhi akses pelayanan kesehatan terhadap lansia. Perlindungan sosial dan pemberdayaan ekonomi beperan dalam peningkatan kualitas hidup lansia. Komunikasi, Informasi dan Edukasi Kemitraan Pemerintah dan swasta, termasuk LSM perlu dilakukan terus menerus. Dukungan dan bimbingan oleh Pemerintah Daerah melalui berbagai kegiatan promosi dan proteksi kesehatan pemenuhan akses pelayanan kesehatan bagi lansia melalui kerjasama lintas program dengan sektor terkait perlu tingkatkan. Kata kunci: Lansia, Akses Pelayanan Kesehatan Abstract Researches on the access of the elderly to health services have been carried out by using the same or different methods. Therefore, a combined result of research analysis is needed and can be used as an inference and it can be interpreted. The objectives are to study through a meta-analysis of public health service for elderly through assess the available at the puskesmas level; to identify where the information and knowledge of health obtained by elderly; the decision making of elderly when they are suffering from illness, and the availability of health services for elderly at puskesmas, and the social empowerment and economic support. In the literatures and documents the keywords were identified and inferenced the results by creating sub-topics. The summary of the literature review was made and consented to the order and relevance of the topic in each variable, which is adjusted to the related sub-topics. Access to health care for the elderly is highly dependent on the availability of health resources, adequate equipment in the appropriate program. There are elderly who do not use the health services available at health facilities due to the distance of the health facilities that are quite far from where they live and there was no one drives them to health facility. Therefore, even the health service was free for charge, the elderly had not used it. Many elderly obtained a benefit of health promotion through the social media. In puskesmas there were lacks of availability of medical devices, drugs and medical supplies, laboratories, including the operational cost for eldery’s health services. Public – private collaboration on social protection for elderly was existed such as from churches support including other social supports namely Corporate Social Responsibility program from private sector. The policies, infrastructures, and resources in the health facility were affected to the access of elderly. Social protection and economic empowerment have a potential role in improving the quality of life for the elderly. Improving the health service for elderly at puskesmas are urgently needed. Health services quality for elderly provided by public health institutions should be fulfilled particularly on the human resources capacity. Support and guidance by the local government through various health promotion and prevention activities and cross-program collaboration with related sectors should be boosted. Keywords: Elderly, Health Services Access

scholarly journals Editorial

1996 ◽  
Vol 2 (2) ◽  
pp. 2
Author(s):  
Heather Gardner
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health System ◽  
Health Sector ◽  
Primary Health ◽  
The Social ◽  
Improve Health ◽  
Meaningful Communication

Much of the material in this issue is concerned with communication, but communication is much more than simply a means whereby information and knowledge is transferred between people. It is influenced by culture and by the social and policy contexts in which it takes place. In the primary health care area, meaningful communication is possibly even more important and more difficult than in any other area of the health system. It is more difficult, for example, because of the principles of primary health care to which practitioners subscribe, including the empowerment of those who would seek access to the system, re-orienting the health sector, and intersectoral co-operation in attempting to improve health and health services. The contributors demonstrate that in primary health care and in thinking about what is health, what influences it, how is it perceived, and how is it to be improved, there are theoretical and practical ways of and approaching such issues.

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