Technology and Health Care Improvement

2021 ◽  
pp. 125-147
Author(s):  
Jessica Herstek ◽  
Eric Shelov
Keyword(s):  
Health Care ◽  
Health Care Improvement ◽  
Care Improvement

Direct Support Professionals' Perspectives on Ambulatory Health Care Processes and Quality

2019 ◽  
Vol 57 (3) ◽  
pp. 188-197
Author(s):  
Carl V. Tyler ◽  
Michael D. Wells ◽  
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Improvement ◽  
Direct Support ◽  
Direct Support Professionals ◽  
Health Care Encounters ◽  
Competency Based ◽  
Care Improvement ◽  
Ambulatory Health Care

Abstract Direct support professionals (DSPs) frequently accompany persons with intellectual and other developmental disabilities (IDD) to their health care appointments and could offer valuable insights into potential target areas for health-care improvement. DSPs completed surveys assessing healthcare processes and quality immediately following 118 ambulatory health care encounters involving their patients with IDD. Although DSPs generally judged the quality of health care as good (44%) or excellent (52%), they also observed that physicians directed questions to the DSP that the patient could have answered in 22% of encounters, and noted that physicians failed to ask critical psychosocial information in 24% of encounters. Competency-based training of DSPs around health-care advocacy could significantly improve the quality of health care provided to persons with IDD.

scholarly journals Contemporary requirements for organization ofclinical trials in health care system

2011 ◽  
Vol 14 (1) ◽  
pp. 3-7
Author(s):  
N. V. Vartapetova ◽  
A. V. Karpushkina ◽  
N. V. Vartepova ◽  
A. V. Karpushkina
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Practice ◽  
Research Agenda ◽  
Ethical Issues ◽  
Health Care Research ◽  
Design Quality ◽  
Population Research ◽  
Health Care Improvement ◽  
Care Improvement

Clinical and population research is an important part of health care improvement and development. Quality and coordination as well as integration in medical practice are among priorities in modern research agenda. The article discusses modern approaches to design, quality and ethical issues in health care research.

A complexity perspective on health care improvement and reform in general practice and primary health care

2010 ◽  
Vol 16 (1) ◽  
pp. 29 ◽  
Author(s):  
Barbara J. Booth ◽  
Nicholas Zwar ◽  
Mark Harris
Keyword(s):  
Health Care ◽  
General Practice ◽  
Primary Health Care ◽  
Organisational Change ◽  
Alternative View ◽  
Policy Makers ◽  
Complex Processes ◽  
Primary Health ◽  
Health Care Improvement ◽  
Care Improvement

Health care improvement is always on the planning agenda but can prove frustrating when ‘the system’ seems to have a life of its own and responds in unpredictable ways to reform initiatives. Looking back over 20 years of general practice and primary health care in Australia, there has been plenty of planning and plenty of change, but not always a direct cause and effect relationship between the two. This article explores in detail an alternative view to the current orthodoxy of design, control and predictability in organisational change. The language of complexity is increasingly fashionable in talking about the dynamics of organisational behaviour and health care improvement, but its popular use often ignores challenging implications. However, when interpreted through human sociology and psychology, a complexity perspective offers a better match with everyday human experience of change. As such, it offers some suggestions for leaders, policy makers and managers in health care: that uncertainty and paradox are inherent in organisational change; that health care reform must pay attention to the constraints and politics of the everyday; and that change in health systems results from the complex processes of relating among those involved and that neither ‘the system’ nor a few individuals can be accountable for overall performance and outcomes.

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