French-Language Health Care Services in Ontario

1994 ◽  
Vol 7 (2) ◽  
pp. 5-11 ◽  
Author(s):  
Francine C.M. Deroche
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health Care Services ◽  
French Language ◽  
The Political ◽  
Quality Service ◽  
High Quality ◽  
Language Services ◽  
Care Services ◽  
High Quality Service

The French Language Services Act, 1986 has had an impact on the provision of health care services in Ontario. The Ontario Ministry of Health's implementation of French-language services is examined in light of three criteria: permanency, quality and accessibility of services. Issues are raised around the measurement and creation of demand for services; the health human resources shortage; health care priorities; what constitutes a high quality service; and the influence of the political and economic climates. The continuing challenge is to provide permanent and accessible high quality French-language health care services within an ailing health care system.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

scholarly journals Chronic Kidney Disease Diagnosis Model Based on Case Based Reasoning

2019 ◽  
Vol 9 (2) ◽  
pp. 2738-2743
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health Care Services ◽  
Kidney Diseases ◽  
Disease Diagnosis ◽  
Case Based Reasoning ◽  
Highly Qualified ◽  
Care Services ◽  
Healthcare Needs ◽  
The One

Provision of health care services is still a major challenge for developing countries. To mention some of the challenges: Lack of highly qualified medical human resources, financial as well as the ability of manage and transform scare resources to meet healthcare needs. In particular, In Ethiopia health care management related to the kidney disorder suffers from the following challenges: lack of highly qualified medical human resources, financial as well as the ability to manage and transform scarce resources to meet healthcare needs.On the one hand, Artificial Intelligence (AI) helps the medical sciences. Hence, in this paper we proposed a framework for CBR system to facilitate and support the diagnosis of chronic kidney diseases with domain expert’s advice. Interview and techniques have been employed on this study to acquire the necessary information required to develop intended CBR system. Finally, we evaluate the performance of the developed framework using recall and precision.

scholarly journals The Impact of Linguistic Concordance and the Active Offer of French Language Services on Patient Satisfaction

2022 ◽  
Vol 5 (2) ◽  
Author(s):  
Patrick Timony, MA, PhD (c) ◽  
Alain Gauthier, PhD ◽  
Elizabeth Wenghofer, PhD ◽  
Amelie Hien, PhD
Keyword(s):  
Patient Satisfaction ◽  
Family Physician ◽  
Health Care Services ◽  
Family Physicians ◽  
French Language ◽  
Language Services ◽  
Care Services ◽  
French Speaking ◽  
The Impact ◽  
Consistent Tendency

Communication is essential to providing quality primary care. Linguistic concordance between patients and physicians has been linked to improved health outcomes and greater patient satisfaction. Although Canadian Francophones often struggle to access linguistics concordant health services, the concept of the active offer of French Language Services (FLS) has emerged as a means of ensuring the availability of such services and improving the francophone patient experience.  However, the impact of language concordance and the active offer of FLS on patient satisfaction among Ontario Francophones remain largely unknown. Patient satisfaction surveys were collected as part of a continuing education program targeted at family physicians in Northeastern Ontario.  Participating physicians distributed patient surveys consisting of select patient satisfaction questions from the Physicians Achievement Review (PAR) and select questions from the Active Offer of French Language Services in Minority Context Measure. Valid surveys were received from 235 patients. Just under half of these (44%) identified as Francophones, 62.6% had a French-speaking family physician; however, only 17.2% reported regularly speaking in French with their family physician.  As hypothesized, there was a consistent tendency for Francophones who experience stronger linguistic concordance with their family physician to report higher satisfaction scores. Francophones who regularly speak French with their family physicians were more satisfied ( = 4.63) than those who rarely/never speak French ( = 4.29, F(1; 83) = 4.852; p < 0.05).   There was also a statistically significant interaction between the patients' language of preference and the service language. Francophones who prefer French and regularly speak it with their family physician (linguistic concordance; adj= 4.82) were significantly more satisfied than those who prefer French yet rarely/never speak it (linguistic discordance; adj= 4.06, F(1; 75) = 11.950; p < 0.001). Furthermore, a positive correlation between patient satisfaction and the active offer was observed in Francophones (r = 0.49, p<0.001). The present findings provide evidence of the impact of linguistically adapted health care services on the satisfaction of Ontario Francophones and suggest that patient satisfaction may be improved through the active offer of FLS. A larger and more diverse sample is required to confirm these findings.

scholarly journals The provision of Primary Health Care in two rural districts of the Eastern Cape Province with particular reference to human resources and accessibility

Curationis ◽  
1998 ◽  
Vol 21 (2) ◽  
Author(s):  
M. Thipanyana ◽  
T.R. Mavundla
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Human Resources ◽  
Quantitative Research ◽  
Health Care Services ◽  
Eastern Cape Province ◽  
Eastern Cape ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

The provision of Primary Health Care Services (PHC) is still a problem in developing countries like South Africa. In other countries, one finds enough human resources whilst in other countries there may be enough material resources. A both qualitative and quantitative research was conducted at Mqanduli and part of the Eastern Elliotdale districts in the Eastern Cape Province with the aim of investigating the provision of Primary health Care Services, reference was made to the availability of human resources and accessibility of PHC services.

scholarly journals Validity and reliability of a health care service evaluation instrument for tuberculosis

2015 ◽  
Vol 49 (0) ◽  
Author(s):  
Lucia Marina Scatena ◽  
Anneliese Domingues Wysocki ◽  
Aline Ale Beraldo ◽  
Gabriela Tavares Magnabosco ◽  
Maria Eugênia Firmino Brunello ◽  
...  
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health Care Services ◽  
Validity And Reliability ◽  
Validation Process ◽  
Levels Of Care ◽  
Care Services ◽  
Primary Health ◽  
Confirmatory Factor ◽  
Structural Indicators

OBJECTIVE To evaluate the validity and reliability of an instrument that evaluates the structure of primary health care units for the treatment of tuberculosis.METHODS This cross-sectional study used simple random sampling and evaluated 1,037 health care professionals from five Brazilian municipalities (Natal, state of Rio Grande do Norte; Cabedelo, state of Paraíba; Foz do Iguaçu, state of Parana; Sao José do Rio Preto, state of Sao Paulo, and Uberaba, state of Minas Gerais) in 2011. Structural indicators were identified and validated, considering different methods of organization of the health care system in the municipalities of different population sizes. Each structure represented the organization of health care services and contained the resources available for the execution of health care services: physical resources (equipment, consumables, and facilities); human resources (number and qualification); and resources for maintenance of the existing infrastructure and technology (deemed as the organization of health care services). The statistical analyses used in the validation process included reliability analysis, exploratory factor analysis, and confirmatory factor analysis.RESULTS The validation process indicated the retention of five factors, with 85.9% of the total variance explained, internal consistency between 0.6460 and 0.7802, and quality of fit of the confirmatory factor analysis of 0.995 using the goodness-of-fit index. The retained factors comprised five structural indicators: professionals involved in the care of tuberculosis patients, training, access to recording instruments, availability of supplies, and coordination of health care services with other levels of care. Availability of supplies had the best performance and the lowest coefficient of variation among the services evaluated. The indicators of assessment of human resources and coordination with other levels of care had satisfactory performance, but the latter showed the highest coefficient of variation. The performance of the indicators “training” and “access to recording instruments” was inferior to that of other indicators.CONCLUSIONS The instrument showed feasibility of application and potential to assess the structure of primary health care units for the treatment of tuberculosis.

scholarly journals EKSPANSI REZIM MEDIS, MEDIKALISASI KEHIDUPAN, DAN PEMBERDAYAAN MASYARAKAT

Populasi ◽  
2016 ◽  
Vol 4 (2) ◽  
Author(s):  
Heru Nugroho
Keyword(s):  
Health Care ◽  
Political Economy ◽  
Access To Health Care ◽  
Health Care Services ◽  
Equal Access ◽  
The Political ◽  
Medical Doctors ◽  
Critical Awareness ◽  
Care Services ◽  
Access To Health

Medicalization of life as applied in a depoliticized society would be extremely dangeroussince it tends to create potential medical mal practice in the part of medical doctors towards their patients. To avoid this, repolitization of the society should be created to raise community's critical awareness in understanding the political economy of the medical world in the society. In order to provide equal access to health care, repolitization is a prerequisite in response to medical industrialization and privatization of health care services.

Quality Assurance and Evaluation of Healthcare Reform Initiatives

2011 ◽  
Vol 3 (3) ◽  
pp. 42-53 ◽  
Author(s):  
Anna Beata Rosiek ◽  
Krzysztof Leksowski
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Quality ◽  
Care Service ◽  
Health Care Service ◽  
Care Quality ◽  
High Quality ◽  
Care Services

This article describes a model of health-care services that ensure the high quality of health-care service and effective brand creation for a hospital. The problems described here that are connected to improving the quality of health care in Poland indicates that high quality of health care builds a positive and strong image of a health-care unit on the medical market. The contents of this article involve basic definitions of quality in health care and also the way the quality is understood and perceived from patient’s and hospital’s point of view. The article also describes a health care quality model, to which health care units should aspire in order to create a positive picture of said units, simultaneously improving and maintaining high quality of health care services. The article investigates the quality factors of health care services, which influence the healthcare units’ brand, its functioning on the market and patient-perceived quality of services. The described management model, which ensures efficient brand-building of healthcare units through services’ quality, takes into account changes in healthcare system and does so in order to ensure the improvement in healthcare units’ functioning.

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