scholarly journals Operationalizing Diversity: Population and Patient-Specific Competencies for Health Service Psychologists

2021 ◽  
Author(s):  
Morgan T. Sammons
Keyword(s):  
Health Service ◽  
Patient Specific

scholarly journals Evaluation of a PRImary-ORthopaedic (PRIOR) low back pain care model in Hong Kong: a pilot study

2020 ◽  
Author(s):  
Shirley Yue Kwan Choi ◽  
Sheung Wai Law ◽  
William WL Wong ◽  
Jamie Lau ◽  
Shaau Yiu Ko ◽  
...  
Keyword(s):  
Low Back Pain ◽  
Back Pain ◽  
Health Service ◽  
Waiting Time ◽  
Primary Care Physicians ◽  
Care Delivery ◽  
Discharge Rate ◽  
Patient Specific ◽  
Adherence Rate ◽  
Low Back

Abstract Introduction: Low back pain (LBP) is a common and disabling condition with significant socioeconomic burden. A LBP care delivery model with collaborative input from primary care physicians, orthopaedic surgeons and allied health professionals has been implemented in one of the local tertiary hospital to streamline LBP care.Objective: To evaluate the preliminary effectiveness of the primary-orthopaedic (PRIOR) LBP care model.Methods: This was a 6-month quasi-experimental study with pre and post assessment. Participants (N=30) with chronic LBP were recruited and stratified by physiotherapists at the triage station located at Orthopaedic Special Outpatient Clinic. Eligible participants were referred to attend primary physicians with trained musculoskeletal skills for risk-matched treatment at Family Medicine Clinic. Patient-specific outcomes included the acceptance rate, Roland Morris Disability (RMD) scores, the self-pain efficacy scores (PSE) scores and the Euro-Qol-5D. The health service outcomes included the waiting time, discharge rate, adherence rate and healthcare resources utilization. Results: Of the 33 participants screened, 30 were eligible and enrolled for the study, the recruitment rate was 91% (X2=0.569, p=0.451). At 6 months, participants reported overall improvement of the RMD scores (β coefficient -4.3, 95% confidence interval CI -5.9 to – 2.7, P<0.001) and PSEQ scores (β coefficient 7.3, 95% CI 3.0-12.0, P=0.002). The waiting time of the FM clinic was 11.6 ±1.6 weeks, the overall discharge rate was 73%, and the adherence rate was 87%.Conclusions: The study suggested that the PRIOR LBP model could potentially improve the clinical outcomes of LBP patients and enhance the overall LBP health service delivery.

Additively manufactured maxillofacial implants and guides – achieving routine use

2016 ◽  
Vol 22 (1) ◽  
pp. 189-199 ◽  
Author(s):  
Sean Peel ◽  
Dominic Eggbeer
Keyword(s):  
Health Service ◽  
Case Studies ◽  
Design Process ◽  
Implant Design ◽  
Commercial Application ◽  
Patient Specific ◽  
Design Tools ◽  
Content Type ◽  
Process Factor ◽  
Process Factors

Purpose – The purpose of this paper is to identify the key design process factors acting as drivers or barriers to routine health service adoption of additively manufactured (AM) patient-specific devices. The technical efficacy of, and clinical benefits from, using computer-aided design (CAD) and AM in the production of such devices (implants and guides) has been established. Despite this, they are still not commonplace. With AM equipment and CAD tool costs largely outside of the clinician’s or designer’s control, the opportunity exists to explore design process improvement routes to facilitate routine health service implementation. Design/methodology/approach – A literature review, new data from three separate clinical case studies and experience from an institute working on collaborative research and commercial application of CAD/AM in the maxillofacial specialty, were analysed to extract a list and formulate models of design process factors. Findings – A semi-digital design and fabrication process is currently the lowest cost and shortest duration for cranioplasty implant production. The key design process factor to address is the fidelity of the device design specification. Research limitations/implications – Further research into the relative values of, and best methods to address the key factors is required; to work towards the development of new design tools. A wider range of benchmarked case studies is required to assess costs and timings beyond one implant type. Originality/value – Design process factors are identified (building on previous work largely restricted to technical and clinical efficacy). Additionally, three implant design and fabrication workflows are directly compared for costs and time. Unusually, a design process failure is detailed. A new model is proposed – describing design process factor relationships and the desired impact of future design tools.

Dysphagia Services in Schools: Applying Special Education Requirements to a Health Service

2009 ◽  
Vol 18 (3) ◽  
pp. 86-90 ◽  
Author(s):  
Lissa Power-deFur
Keyword(s):  
Special Education ◽  
Health Service ◽  
Due Process ◽  
Due Process Hearings ◽  
Related Services ◽  
Eligibility Determination ◽  
Legal Provisions ◽  
Provision Of Services ◽  
Related Service ◽  
Specially Designed Instruction

Abstract School speech-language pathologists and districts frequently need guidance regarding how the legal provisions of special education affect the needs of children with dysphagia. This article reviews key principles of special education that guide eligibility determination and provision of services to all children. In the eligibility process, the school team would determine if the child's disability has an adverse effect on his/her education program and if the child needed special education (specially designed instruction) and related services. Dysphagia services would be considered a related service, a health service needed for the child to benefit from specially designed instruction. The article concludes with recommendations for practice that stem from a review of due process hearings and court cases for children with disabilities that include swallowing.

Advanced Nursing Practice in Großbritannien – eine persönliche Schilderung

Pflege ◽  
2010 ◽  
Vol 23 (6) ◽  
pp. 417-423
Author(s):  
Elke Keinath
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Nurse Practitioner ◽  
Nursing Practice ◽  
Advanced Nursing Practice

Im Artikel werden persönliche Erfahrungen als Advanced Nurse Practitioner (ANP) in der Thoraxchirurgie im National Health Service (NHS) in Großbritannien geschildert. Die tägliche Routine wurde von sieben Kompetenzdomänen bestimmt, nämlich: Management des Gesundheits- und Krankheitszustandes des Patienten, Beziehungen zwischen Pflegeperson und Patient, Lehren und Unterrichten, professionelle Rolle, Leitung und Führung innerhalb der Patientenversorgung, Qualitätsmanagement sowie kulturelle und spirituelle Kompetenzen. Diese Elemente wurden durch die Zusatzqualifikation, selbstständig Medikamente verschreiben und verordnen zu dürfen, erweitert, was dazu beitrug, eine nahtlose Erbringung von Pflege- und Serviceleistungen zu gewähren. Die Position wurde zur zentralen Anlaufstelle im multi-professionellen Team und stellte eine kontinuierliche Weiterführung der Pflege von Patienten und ihren Familien sicher – auch über Krankenhausgrenzen hinweg.

Suicide Ideation and Attempt in a Community Cohort of Urban Aboriginal Youth: A Cross-Sectional Study

Crisis ◽  
2013 ◽  
Vol 34 (4) ◽  
pp. 251-261 ◽  
Author(s):  
Joanne N. Luke ◽  
Ian P. Anderson ◽  
Graham J. Gee ◽  
Reg Thorpe ◽  
Kevin G. Rowley ◽  
...  
Keyword(s):  
Health Service ◽  
Indigenous People ◽  
Suicide Ideation ◽  
Aboriginal Health ◽  
Cross Sectional ◽  
Data Set ◽  
Indigenous Youth ◽  
Aboriginal Youth ◽  
Social Distress ◽  
Suicide Behavior

Background: There has been increasing attention over the last decade on the issue of indigenous youth suicide. A number of studies have documented the high prevalence of suicide behavior and mortality in Australia and internationally. However, no studies have focused on documenting the correlates of suicide behavior for indigenous youth in Australia. Aims: To examine the prevalence of suicide ideation and attempt and the associated factors for a community 1 The term ”community” refers specifically to Koori people affiliated with the Victorian Aboriginal Health Service. cohort of Koori 2 The term ”Koori” refers to indigenous people from the south-eastern region of Australia, including Melbourne. The term ”Aboriginal” has been used when referring to indigenous people from Australia. The term ”indigenous” has been used throughout this article when referring to the first people of a nation within an international context. (Aboriginal) youth. Method: Data were obtained from the Victorian Aboriginal Health Service (VAHS) Young People’s Project (YPP), a community initiated cross-sectional data set. In 1997/1998, self-reported data were collected for 172 Koori youth aged 12–26 years living in Melbourne, Australia. The data were analyzed to assess the prevalence of current suicide ideation and lifetime suicide attempt. Principal components analysis (PCA) was used to identify closely associated social, emotional, behavioral, and cultural variables at baseline and Cox regression modeling was then used to identify associations between PCA components and suicide ideation and attempt. Results: Ideation and attempt were reported at 23.3% and 24.4%, respectively. PCA yielded five components: (1) emotional distress, (2) social distress A, (3) social distress B, (4) cultural connection, (5) behavioral. All were positively and independently associated with suicide ideation and attempt, while cultural connection showed a negative association. Conclusions: Suicide ideation and attempt were common in this cross-section of indigenous youth with an unfavorable profile for the emotional, social, cultural, and behavioral factors.

Fatality of Suicide Attempts in Amsterdam 1996–2005

Crisis ◽  
2009 ◽  
Vol 30 (4) ◽  
pp. 180-185 ◽  
Author(s):  
Evertjan Jansen ◽  
Marcel C.A. Buster ◽  
Annemarie L. Zuur ◽  
Cees Das
Keyword(s):  
Health Service ◽  
Time Trends ◽  
Suicide Attempts ◽  
Preventive Measures ◽  
Case Fatality ◽  
Absolute Number ◽  
Demographic Differences ◽  
Demographic Groups ◽  
Wish To Die ◽  
Municipal Health

Background: According to recent figures, Amsterdam is the municipality with the highest absolute number of suicides and the second highest suicide rate in the Netherlands. Aims: The aim of the study was to identify time trends and demographic differences in the occurrence of nonfatal suicide attempts versus suicides. Methods: We used registrations of forensic physicians and ambulance services of the Municipal Health Service of Amsterdam to study 1,004 suicides and 6,166 nonfatal attempts occurring in Amsterdam over the period 1996–2005. Results: The number of nonfatal attempts declined from 1996 to 2005, but the number of completed suicides remained relatively stable. Although case fatality was strongly associated with method used, we also found higher case fatalities for men and older people independent of method. Conclusions: The case fatality results suggest differences in motive among different demographic groups: possibly the wish to die is stronger among men and elderly. This finding had implications for the success to be expected from different preventive measures.

Health service providers in psychology: Results of the 1978 APA Human Resources Survey.

1981 ◽  
Vol 36 (11) ◽  
pp. 1395-1418 ◽  
Author(s):  
Gary R. VandenBos ◽  
Joy Stapp ◽  
Richard R. Kilburg
Keyword(s):  
Health Service ◽  
Human Resources ◽  
Service Providers ◽  
Health Service Providers

Barriers to mental health service use in Asian American and European American college students.

2020 ◽  
Vol 11 (2) ◽  
pp. 98-107 ◽  
Author(s):  
Christina B. Gee ◽  
Gagan S. Khera ◽  
Alyssa T. Poblete ◽  
Barunie Kim ◽  
Syeda Y. Buchwach
Keyword(s):  
Mental Health ◽  
College Students ◽  
Mental Health Service ◽  
Health Service ◽  
Asian American ◽  
Service Use ◽  
Mental Health Service Use ◽  
Health Service Use ◽  
European American
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