How can we use discrete event simulation to improve access to health care: an assessment of increasing access to care for children with medically refractory epilepsy

Important initiatives in health care include (a) improving access to services for disadvantaged populations, (b) providing equal access for individuals with limited or non-English proficiency, and (c) ensuring cultural competence of health-care providers to facilitate effective services for individuals from diverse racial and ethnic backgrounds (U.S. Department of Health and Human Services, Office of Minority Health, 2001). This article provides a brief overview of the use of technology by speech-language pathologists and audiologists to extend their services to underserved populations who live in remote geographic areas, or when cultural and linguistic differences impact service delivery.

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Don't abandon Labour's initiative to improve access to health care for world's poor people, charities urge

BMJ ◽

10.1136/bmj.c3153 ◽

2010 ◽

Vol 340 (jun14 2) ◽

pp. c3153-c3153 ◽

Cited By ~ 1

Author(s):

P. Moszynski

Keyword(s):

Health Care ◽

Access To Health Care ◽

Poor People ◽

Access To Health ◽

Improve Access

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Telemedicine Basics

10.1093/med/9780190066475.003.0001 ◽

2021 ◽

pp. 3-11

Author(s):

Guenevere Burke ◽

Jared Lucas

Keyword(s):

Health Care ◽

Emergency Medicine ◽

Access To Health Care ◽

Electronic Information ◽

Remote Areas ◽

Access To Health ◽

History Of ◽

Key Terms ◽

Improve Access

Telemedicine is a rapidly growing field in health care and emergency medicine. Telemedicine, telehealth, and virtual health refer to the use of telecommunications technology and electronic information to support health and provide care over distance. It has been used to improve access to health care in geographically remote areas for decades, but its use and recognized benefits have expanded considerably over the years, accelerated by the COVID-19 pandemic. This chapter provides a brief overview of the history of telemedicine, introduces key terms, and reviews basic definitions that are foundational to telemedicine practice. Finally, it summarizes a wide array of telehealth applications in emergency medicine, which are detailed further in later chapters.

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Discrete Event Simulation and Real Time Locating Systems

International Journal of E-Adoption ◽

10.4018/jea.2012100102 ◽

2012 ◽

Vol 4 (4) ◽

pp. 16-28

Author(s):

T. Eugene Day ◽

Ajit N. Babu ◽

Steven M. Kymes ◽

Nathan Ravi

Keyword(s):

Health Care ◽

Real Time ◽

Discrete Event Simulation ◽

Medical Center ◽

Discrete Event ◽

Healthcare Delivery ◽

The United States ◽

Careful Consideration ◽

Health Administration ◽

Event Simulation

The Veteran’s Health Administration (VHA) is the largest integrated health care system in the United States, forming the arm of the Department of Veterans Affairs (VA) that delivers medical services. From a troubled past, the VHA today is regarded as a model for healthcare transformation. The VA has evaluated and adopted a variety of cutting-edge approaches to foster greater efficiency and effectiveness in healthcare delivery as part of their systems redesign initiative. This paper discusses the integration of two health care analysis platforms: Discrete Event Simulation (DES), and Real Time Locating systems (RTLS) presenting examples of work done at the St. Louis VA Medical Center. Use of RTLS data for generation and validation of DES models is detailed, with prescriptive discussion of methodologies. The authors recommend the careful consideration of these relatively new approaches which show promise in assisting systems redesign initiatives across the health care spectrum.

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Participation as Inclusion and Exclusion: Policing the Boundaries of “Citizenship” in Roma Health Mediation

Sociological Research Online ◽

10.1177/1360780419837233 ◽

2019 ◽

Vol 24 (3) ◽

pp. 430-443

Author(s):

Charlotte Kühlbrandt

Keyword(s):

Health Care ◽

Access To Health Care ◽

Social Inclusion ◽

Participant Observation ◽

Community Members ◽

Access To Health ◽

The Social ◽

Roma Health ◽

Governing Institutions ◽

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Participatory health interventions have long been advocated as an approach to help marginalised community members exercise their rights as citizens, including access to health care. More than two decades ago, the Roma health mediation programme was established in Romania as a participatory community health intervention. Mediators are employed specifically to act as intermediaries between ‘Roma patients’ and local authorities or health professionals, with the overall aim to increase trust and improve access to health care. Based on data gathered during a year of ethnographic fieldwork with Roma health mediators in Romania, including participant observation and interviews, this article analyses the social processes by which participatory approaches produce both social inclusion and exclusion. It illustrates how mediators exceeded their remit of health and attempted to discipline communities into forms of neoliberal citizenship. Mediators reframed access to health care not as a right that community members already have, but as a benefit that must be individually ‘earned’ through the fulfilment of neoliberal citizenship. The article argues that far from being an ‘empowering tool’, community participation can extend the power of governing institutions and thereby may in fact contribute to the maintenance of a political status quo that perpetuates the precarisation of marginalised communities.

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