Specialty Care Programme for Autism Spectrum Disorders in an Urban Population: A Case-Management Model for Health Care Delivery in an asd Population

2011 ◽  
Vol 28 (2) ◽  
pp. 102-109 ◽  
Author(s):  
M. Parellada ◽  
L. Boada ◽  
C. Moreno ◽  
C. Llorente ◽  
J. Romo ◽  
...  
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Case Management ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Autism Spectrum ◽  
Care Programme ◽  
Care Services ◽  
Spectrum Disorders

AbstractSubjects with autism spectrum disorders (ASD) have more medical needs and more difficulties accessing health care services than the general population. Their verbal and non-verbal communication difficulties and particular behaviors, along with lack of expertise on the part of physicians and failure of the services to make adjustments, make it difficult for them to obtain an appropriate health care.PurposeTo describe a model for health care delivery in an ASD population.MethodReview of relevant literature and a discussion process with stakeholders leading to the design of a service to meet the specialty health needs of subjects of all ages with ASD for a region with a population of 6,000,000.ResultsA service was designed centred around the concepts of case management, individualization, facilitation, accompaniment, continuous training and updating, and quality management. Five hundred and thirteen patients with ASD have been seen over a period of 18 months. The programme generated 1566 psychiatric visits and 1052 visits to other specialties (mainly Nutrition, Stomatology, Neurology, and Gastroenterology) in the same period.ConclusionPersons with ASD may benefit from adjustments of health care services in order to improve their access to adequate health care at the quality level of the rest of the population.

scholarly journals Raising Awareness About Autism and Empowering Individuals with Autism

2020 ◽  
pp. 25-38
Author(s):  
Shemaila Saleem ◽  
Foyasal Khan
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Autism Spectrum ◽  
Autism Research ◽  
Government Organizations ◽  
Care Services ◽  
Raising Awareness ◽  
Spectrum Disorders ◽  
Middle Class Families

Purpose – This paper aims to study whether Muslim philanthropy is Autism Aware. The purpose of this paper is to assess the potentials of Zakat Funds in the provision of health care services of autistic children and funding autism research.  Design/methodology/approach – This is mainly a desk review of academic, peer-reviewed literature as well as reports published by international organizations and information provided online by governments and non-government organizations. Findings – A family with Autism Spectrum Disorders (ASD) needs to deploy human and financial resources for the remaining lifetime of the child. Many poor and middle-class families are unable to meet such huge economic burden. Also, ASD research is lacking due to the dearth of research funds. As philanthropic institution, zakat institutions can potentially respond to the autism issue in terms of funding autism research as well as health care delivery to autistic individuals. Originality/value – In recent years, in the discourse of Muslim value-based public and social policy, Zakat has emerged as one of the important topics. However, no research has been produced on the potentials of zakat in solving autism issue to the best of the researchers’ knowledge.

When Clock Time Governs Interaction: How Time Influences Health Professionals’ Intersectoral Collaboration

2018 ◽  
Vol 28 (13) ◽  
pp. 2059-2070 ◽  
Author(s):  
Anne Bendix Andersen ◽  
Kirsten Beedholm ◽  
Raymond Kolbæk ◽  
Kirsten Frederiksen
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Services ◽  
Care Delivery ◽  
Intersectoral Collaboration ◽  
Clock Time ◽  
Care Services ◽  
Patient Pathways

When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

Social enterprises, health-care provision and ethical capital

2014 ◽  
Vol 10 (2) ◽  
pp. 105-120 ◽  
Author(s):  
Lucy Frith
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Social Enterprises ◽  
Ethical Perspective ◽  
Content Type ◽  
Care Services ◽  
The Relationship

Purpose – The aim of this paper is to advance a conceptual understanding of the role of social enterprises in health care by developing the concept of ethical capital. Social enterprises have been an important part of both the coalition and the previous government’s vision for improving health-care delivery. One of the central arguments for increasing the role of social enterprises in health care is they can provide the benefits of a public service ethos with the efficiencies and innovatory strategies of a business. Social enterprises are well placed to promote the type of values that should underpin health care delivery. Design/methodology/approach – This paper explores the conceptual issues raised by using social enterprises to provide health-care services that were previously provided by the National Health Service (NHS) from an ethical perspective. Findings – It will be argued that conceptualising social enterprises as organisations that can and should produce ethical capital could be a useful way of developing the debate over social enterprises in health care. Practical implications – The paper provides suggestions on how ethical capital might be produced and monitored in social enterprises. Originality/value – This paper advances the debate over the use of the concept of ethical capital in social enterprises and explores the relationship between ethical and social capital – both under researched areas. It also contributes to the emerging discussions of social enterprises in current health policy and their role in the radically reformed English NHS.

scholarly journals Barriers to the Accessibility and Continuity of Health-Care Services in People with Multiple Sclerosis

2017 ◽  
Vol 19 (6) ◽  
pp. 313-321 ◽  
Author(s):  
Chungyi Chiu ◽  
Malachy Bishop ◽  
J.J. Pionke ◽  
David Strauser ◽  
Ryan L. Santens
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Delivery ◽  
Health Care Access ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Major Barrier ◽  
Care Services ◽  
Full Text Review

Background: Individuals with multiple sclerosis (MS) face a range of barriers to accessing and using health-care services. The aim of this review was to identify specific barriers to accessing and using health-care services based on a continuum of the health-care delivery system. Methods: Literature searches were conducted in the PubMed, PsycINFO, CINAHL, and Web of Science databases. The following terms were searched as subject headings, key words, or abstracts: health care, access, barriers, physical disability, and multiple sclerosis. The literature search produced 361 potentially relevant citations. After screening titles, abstracts, and citations, eight citations were selected for full-text review. Results: Health-care barriers were divided into three continuous phases of receiving health care. In the before-visit phase, the most commonly identified barrier was transportation. In the during-visit phase, communication quality was the major concern. In the after-visit phase, discontinued referral was the major barrier encountered. Conclusions: There are multiple interrelated barriers to accessing and using health-care services along the health-care delivery continuum for people with MS and its associated physical disabilities, ranging from complex and long-recognized barriers that will likely require extended advocacy to create policy changes to issues that can and should be addressed through relatively minor changes in health-care delivery practices, improved care coordination, and increased provider awareness, education, and responsiveness to patients' needs.

The Health Care Delivery System in Libya with Special Emphasis on Public Health Care Services in Benghazi

1996 ◽  
Vol 27 ◽  
pp. 99-123
Author(s):  
Salem F. Salem
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Health Care Facilities ◽  
Primary Health Care System ◽  
Care Services ◽  
Developed World

AbstractThis paper outlines the main features of the Libyan health care delivery system in general and the development of the primary health care system in particular. In spite of achieving tremendous success for extending health care coverage to meet continuous and mounting demand for health care services all over the country, health status levels in the country as a whole have not yet reached the required target that should make them comparable with the developed world. Three major reasons are thought to be responsible for this deficiency — the lack of appointment systems, a proper referral system and reliable health care information centres both locally and nationally. Moreover, despite the fact that a hierarchy of health care delivery system exists in the country, it is not well-defined with a fixed division of functions and strict referral routes between health care facilities as conceptualised in most parts of the developed world.

Nurse professionalisation and traditional values in Poland and Greece

2003 ◽  
Vol 16 (2) ◽  
pp. 153-162 ◽  
Author(s):  
Mike Dent
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Work Organisation ◽  
Traditional Values ◽  
Care Services ◽  
The Family

This paper examines the similarities and variations in the professional and work organisation of nursing in Greece and Poland. It evaluates the evidence of “convergence” as opposed to “embeddedness” in the professional and gendered organisation of nursing in these two countries. The feminised character of nursing is discussed, in relation to the family within the configuration of health‐care services. This issue also relates to the clientelistic relations and familialism that pervade health‐care delivery in both countries – although for different historical and cultural reasons – and which reflect and reinforce patriarchical relations within these societies.

Aging and Autism

2012 ◽  
Vol 17 (2) ◽  
pp. 69-75 ◽  
Author(s):  
Pamela A. Smith
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Patient Group ◽  
Older Patients ◽  
Geriatric Patients ◽  
Recent Literature ◽  
Communication Disorders ◽  
Autism Spectrum ◽  
Need For Support ◽  
Spectrum Disorders

In this article, I will review the available recent literature about the aging population with autism, a patient group that researchers know little about and a group that is experiencing a growing need for support from communication disorders professionals. Speech-language pathologists working with geriatric patients should become familiar with this issue, as the numbers of older patients with autism spectrum disorders is likely to increase. Our profession and our health care system must prepare to meet the challenge these patients and residents will present as they age.

A Scoping Review of Telehealth-Assisted Case Management for Chronic Illnesses

2021 ◽  
pp. 019394592110089
Author(s):  
Jee Young Joo ◽  
Megan F. Liu
Keyword(s):  
Health Care ◽  
Case Management ◽  
Scoping Review ◽  
Access To Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Management Practice ◽  
Empirical Studies ◽  
Chronic Illnesses ◽  
Future Research

This scoping review aimed to examine telehealth-assisted case management for chronic illnesses and assess its overall impact on health care delivery. Guided by the PRISMA statement, this review included 36 empirical studies published between 2011 and 2020. This study identified three weaknesses and four strengths of telehealth-assisted case management. While the weaknesses were negative feelings about telehealth, challenges faced by patients in learning and using telehealth devices, and increased workload for case managers, the strengths included efficient and timely care, increased access to health care services, support for patients’ satisfaction, and cost savings. Future research can be designed and conducted for overcoming the weaknesses of telehealth-assisted case management. Additionally, the strengths identified by this review need to be translated from research into case management practice for chronic illness care. This review not only describes the value of such care strategy, but also provides implications for future nursing practice and research.

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