The evidence-based approach in health policy and health care delivery

2000 ◽  
Vol 51 (6) ◽  
pp. 859-869 ◽  
Author(s):  
Louis W Niessen ◽  
Els W.M Grijseels ◽  
Frans F.H Rutten
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Evidence Based

The Expanding Role of Clinical Sociology in Australia

2009 ◽  
Vol 3 (2) ◽  
pp. 56-62
Author(s):  
Les Spencer
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Social Transformation ◽  
Care Delivery ◽  
The United States ◽  
Health Care Delivery System ◽  
Evidence Based ◽  
Australian Health

This paper introduces clinical sociology as a humanistic, multidisciplinary specialty seeking to improve the quality of people's lives. It traces the emergence of clinical sociology in the United States in 1931, and in Australia in the late 1950s in the context of the pioneering clinical sociology research into social transformation at Australian society's margins by Neville Yeomans. A contemporary illustration is given demonstrating how a biopyschosocial model of health is now being implemented as world best-evidence-based practice within the Australian health care delivery system. Further arguments, citing national and international evidence based on sociotherapeutic models of intervention, support a proposal for the Australian Sociology Association to engage in dialogues with health care agencies with the view of establishing clinical sociologists as an integral part of the Australian health-care delivery system.

Mobilizing Knowledge in Health Care

2016 ◽  
Author(s):  
Huw Davies ◽  
Alison Powell ◽  
Sandra Nutley
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Organizations ◽  
Care Delivery ◽  
Knowledge Flow ◽  
Evidence Based ◽  
Knowledge Mobilization ◽  
Policy And Practice ◽  
Per Se

This chapter uses “knowledge mobilization” as an umbrella term to cover activities aimed at collating and communicating research-based knowledge within the health care system and within health care organizations. It explores the nature, use and flow of knowledge, focusing in particular on the role of research-based knowledge and its interactions with other forms of knowing, and on the organizational and management arrangements for health care delivery rather than on evidence-based practice per se. The chapter is underpinned by the premise that knowledge flow in health care is often slow, intermittent and uncertain. Specific, active, knowledge mobilization strategies that take account of context, politics and the individuals and groups involved are therefore needed to help ensure that research-based knowledge informs policy and practice.

scholarly journals The engine or the caboose: health policy in developing countries

1990 ◽  
Vol 24 (6) ◽  
pp. 523-527
Author(s):  
Raymond L. Goldsteen ◽  
Julio Cesar R. Pereira ◽  
Karen Goldsteen
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Policy ◽  
Health System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Private Health Care ◽  
Public And Private ◽  
Tiered System ◽  
Effectiveness And Efficiency

A discussion of health policy in developing countries is presented. It argues that developing countries must adopt a progressive approach to health policy which rejects the two-tiered system of public and private health care. However, it also points out that ideology is not sufficient to maintain support. A progressive health system must utilize administrative and social and behavioral sciences to achieve effectiveness and efficiency in health care delivery. It cannot ignore these goals any more than a private health care system can.

scholarly journals “Scaling-out” evidence-based interventions to new populations or new health care delivery systems

2017 ◽  
Vol 12 (1) ◽  
Author(s):  
Gregory A. Aarons ◽  
Marisa Sklar ◽  
Brian Mustanski ◽  
Nanette Benbow ◽  
C. Hendricks Brown
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Delivery Systems ◽  
Evidence Based ◽  
Health Care Delivery Systems ◽  
Scaling Out

Improving Ghana's Mental Health Care Through Task Shifting – Psychiatrists and Health Policy Directors Views

2016 ◽  
Vol 33 (S1) ◽  
pp. S488-S488
Author(s):  
V. Agyapong ◽  
E. McAuliffe ◽  
C. Farren
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Health Care Delivery ◽  
Health Workers ◽  
Common Mental Disorders ◽  
Care Delivery ◽  
Task Shifting ◽  
Resource Base

BackgroundCurrently, Ghana has only twelfth psychiatrists in active service providing for the mental health needs of a population of nearly 25 million people. Ghana has therefore adopted a system of task-shifting to address the critical shortage of psychiatrists.AimTo examine the perception of psychiatrists and health policy directors about the government's policy to expand metal health care delivery in Ghana through a system of task-shifting from psychiatrists to community mental health workers (CMHWs).MethodsA self-administered semi-structured questionnaire was developed and administered to 11 psychiatrists and 29 health policy directors.ResultsOnly one psychiatrist and 3 (10.3%) health policy directors reported they were not aware of task-shifting within Ghana's mental health delivery system. Ten (91.1%) psychiatrists and 23 (79.3%) health policy directors were aware of a policy of the Government of Ghana to improve on the human resource base within mental health through a system task-shifting. Overall, 5 (45.5%) of the psychiatrists and 9 (31%) health policy directors perceived there are some resistance to the implementation of a policy of task shifting including resistance from traditional and spiritual healers, some psychiatrists, some community psychiatric nurses and psychologists. The majority of psychiatrists and health policy directors were of the view that CMHWs should be allowed to assess, diagnose and treat most of the common mental disorders.ConclusionPsychiatrists and health policy directors in Ghana support Governments policy to expand on mental health care delivery through a system of task-shifting despite their knowledge of resistance from certain professionals.Disclosure of interestThe authors have not supplied their declaration of competing interest.

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