scholarly journals Tuberculosis and Diabetes in India: Stakeholder Perspectives on Health System Challenges and Opportunities for Integrated Care

2022 ◽  
Author(s):  
Shaffi Fazaludeen Koya ◽  
Jinbert Lordson ◽  
Salman Khan ◽  
Binod Kumar ◽  
Chitra Grace ◽  
...  
Keyword(s):  
Health System ◽  
Integrated Care ◽  
Integrated Management ◽  
Laboratory Diagnosis ◽  
Substantial Improvement ◽  
Indian States ◽  
Data Infrastructure ◽  
Study Approach ◽  
Stakeholder Perspectives ◽  
Challenges And Opportunities

Abstract Background India has a dual burden of tuberculosis (TB) and diabetes mellitus (DM). Integrated care for TB/DM is still in the early phase in the country and can be considerably enhanced by understanding and addressing the challenges identified from stakeholders’ perspectives. This study explored the challenges and opportunities at individual, health system and policy level for integrated care of TB/DM comorbidities in India. Methods We used an outlier case study approach and conducted stakeholder interviews and focus group discussions with relevant program personnel including field staff and program managers of TB and DM control programs as well as officials of partners in Indian states, Kerala and Bihar. Results The integrated management requires strengthening the laboratory diagnosis and drug management components of the two individual programs for TB and DM. Focused training and sensitization of healthcare workers in public and private sector across all levels is essential. A district level management unit that coordinates the two vertical programs with a horizontal integration at the primary care level is the way forward. Substantial improvement in data infrastructure is essential to improve decision-making process. Conclusion Bi-directional screening and management of TB/DM comorbidities in India requires substantial investment in human resources, infrastructure, drug availability, and data infrastructure.

scholarly journals Formative and Summative Validation of Building Information Model-Based Cadastral Data

Land ◽  
2021 ◽  
Vol 10 (8) ◽  
pp. 822
Author(s):  
Ali Asghari ◽  
Mohsen Kalantari ◽  
Abbas Rajabifard
Keyword(s):  
Integrated Management ◽  
Summative Assessment ◽  
3D Models ◽  
Legal Aspects ◽  
Data Validation ◽  
Data Generation ◽  
Study Approach ◽  
Spatial Consistency ◽  
Information Models ◽  
Building Information

Among 3D models, Building Information Models (BIM) can potentially support the integrated management of buildings’ physical and legal aspects in cadastres. However, there is not a systematic approach to author the cadastral information into the BIM models. Moreover, the common approaches for data validation only check the final cadastral output, and they ignore the data generation steps as potential avenues for validation. Therefore, this study aims to develop the criteria and standards to check the spatial consistency and integrity of BIM-based cadastral data in the process of generating the data. The paper utilises a case study approach as its methodology to investigate the requirements of generating a BIM-based cadastral model and identify the issues within the process. The results include a formative assessment (i.e., multistep validation approach during the data generation) alongside a summative assessment (i.e., one-step validation approach at the end of data generation). This study found the summative assessment alone insufficient for 3D cadastral data validation. The paper concludes that a formative and summative assessment together can improve the validity of the data. The results will potentially bring more efficiency to modern land administration processes by avoiding the accumulation of errors in 3D cadastral data generation.

Inter-state Disparities of Efficiency in Foreshortening Under-five Mortality Rate in Rural India

2021 ◽  
pp. 097300522110515
Author(s):  
Shrabanti Maity ◽  
Ummey Rummana Barlaskar
Keyword(s):  
Mortality Rate ◽  
Health System ◽  
Rural Health ◽  
Health Sector ◽  
State Level ◽  
Health Indicators ◽  
Health System Performance ◽  
Indian States ◽  
Under Five ◽  
Efficient Management

The present study aims to assess the efficiency of the rural health system to foreshorten the under-five (U5) mortality rates across Indian states. The study further attempts to pinpoint the factors responsible for state-level inefficiency of the rural health system performance. The empirical results reveal that among the Indian states, Kerala is the most-efficient in foreshortening the U5 mortality rate. The results convey that the states with better health indicators may not have efficient health systems. The study concludes that along with investment in the health sector, efficient management of the investment is intrinsic to better health outcomes.

Challenges and Opportunities for Person Centered Integrated Care Through the Life Course

2016 ◽  
Vol 6 (2) ◽  
pp. 79-82
Author(s):  
C. Ruth Wilson ◽  
James Appleyard ◽  
Juan E. Mezzich ◽  
Mohammed Abou-Saleh ◽  
Cal Gutkin ◽  
...  
Keyword(s):  
Health Services ◽  
Health Professional ◽  
Life Course ◽  
Integrated Care ◽  
Professional Education ◽  
Transitions Of Care ◽  
World Health ◽  
Health Coverage ◽  
Challenges And Opportunities ◽  
The Life Course

 Objective: To examine the opportunities and challenges in achieving person centered integrated care through the life course.  Methods: Critical literature review and evidence based analysis of person-centered integrated care through the life course, combined with expert consultation. The World Health Organization’s “Global Framework on Integrated People-Centred Health Services” is used as a basis.  Results: Using the approach of the life cycle allows connection of persons’ current health status to their sociocultural, biological, and psychological context. Person centered medicine has as its central precept the relationship between the health professional and person seeking care. This principle is the link to primary health care, which is built on a lasting relationship with individuals and populations in their social context.  The patient’s medical home provides one promising model of how health services can be organized to support the full achievement of person centered integrated care. Re-orientation of the health professional education towards generalism, and the development of metrics for measurement of person centered integrated care are required. In 2016 the global crisis in refugees is a particularly prominent challenge for the delivery of person centered integrated care.  Conclusion: Universal health coverage can provide equitable access to person centered integrated care throughout the life course. Specialized expertise and skills are important for caring for persons with specific conditions at particular times in the life course. When care is well-integrated, transitions of care are smooth and the critical paradigm of person-centeredness is retained.  

scholarly journals Empirically evaluating the impact of adjudicative tribunals in the health sector: context, challenges and opportunities

2011 ◽  
Vol 7 (2) ◽  
pp. 147-174
Author(s):  
Steven J. Hoffman ◽  
Lorne Sossin
Keyword(s):  
Health System ◽  
Health Sector ◽  
Cost Effective ◽  
System Level ◽  
Challenges And Opportunities ◽  
External Impact ◽  
Health System Governance ◽  
Evaluation Matrix ◽  
The Impact ◽  
Methodological Difficulties

AbstractAdjudicative tribunals are an integral part of health system governance, yet their real-world impact remains largely unknown. Most assessments focus on internal accountability and use anecdotal methodologies; few, studies if any, empirically evaluate their external impact and use these data to test effectiveness, track performance, inform service improvements and ultimately strengthen health systems. Given that such assessments would yield important benefits and have been conducted successfully in similar settings (e.g. specialist courts), their absence is likely attributable to complexity in the health system, methodological difficulties and the legal environment within which tribunals operate. We suggest practical steps for potential evaluators to conduct empirical impact evaluations along with an evaluation matrix template featuring possible target outcomes and corresponding surrogate endpoints, performance indicators and empirical methodologies. Several system-level strategies for supporting such assessments have also been suggested for academics, health system institutions, health planners and research funders. Action is necessary to ensure that policymakers do not continue operating without evidence but can rather pursue data-driven strategies that are more likely to achieve their health system goals in a cost-effective way.

New Urban Layers and Spaces

2019 ◽  
pp. 72-103
Keyword(s):  
Information And Communication Technologies ◽  
Smart Cities ◽  
Communication Technologies ◽  
Research Literature ◽  
The Internet ◽  
Study Approach ◽  
Challenges And Opportunities ◽  
Information And Communication ◽  
Multiple Domains

This chapter explores infrastructures, experiences, and interactions in relation to emerging urban layers and spaces for engagement in the city. The purpose of this chapter is to shed light on the digital layers enabled by information and communication technologies, the internet of things, the internet of people, and other emerging technologies to complement and extend existing urban infrastructural layers. The research literature for infrastructures, experiences, and interactions is explored in this chapter in the context of smart cities, enabling identification of issues, controversies, and problems. Using an exploratory case study approach, solutions and recommendations are advanced. This chapter makes a contribution to 1) the research literature across multiple domains, 2) the identification of challenges and opportunities for research and practice relating to emerging urban layers and spaces going forward, and 3) the extending of existing understandings of urbanity to incorporate digital layers and spaces enabling connected, contextual, and continuous engagement.

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