scholarly journals Health care leadership, quality and safety

2009 ◽  
Vol 33 (3) ◽  
pp. 355 ◽  
Author(s):  
Stephen Duckett
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Leadership ◽  
The Public ◽  
Australian Health ◽  
Leadership Quality ◽  
Queensland Health ◽  
Health Quality ◽  
The University

THIS ISSUE OF Australian Health Review started as part of a Festschrift to celebrate the work and leadership of Professor Mike Ward, currently Commissioner of the Health Quality and Complaints Commission in Queensland but previously inaugural Senior Director of the Clinical Practice Improvement Centre in Queensland Health and a Professor of Medicine at the University of Queensland, as well as Commissioner of the Australian Commission on Safety and Quality in Health Care. During his time at Queensland Health and in clinical practice, Mike made an outstanding contribution to health care in Queensland, recognised by the award of the Public Service Medal. Initially trained as a gastroenterologist, Professor Ward?s interest broadened to include organisational issues such as communication among teams, and how to measure and improve quality of care. He was particularly interested in methods of displaying data to highlight the underlying patterns in the information presented. Mike, not surprisingly for someone who occupied a professorial role, was also interested in the development of health professionals and played a key role in the creation and shaping of Queensland Health?s world renowned Skills Development Centre.

scholarly journals Clinical Practice Guidelines andHelicobacter pyloriInfection in Children

1999 ◽  
Vol 13 (7) ◽  
pp. 560-562 ◽  
Author(s):  
Colin Macarthur ◽  
Liisa Jaakkimainen
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Guideline Development ◽  
Guideline Implementation ◽  
Key Steps ◽  
Evidence Based Guidelines ◽  
Care Costs

The objective of this paper is to review the principles, methods and issues behind the development of clinical practice guidelines. Practice guidelines have been defined as “systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances”. The ultimate goal of guidelines is to improve patient outcomes; however, they may also be used as tools to decrease health care costs, improve medical education and enhance quality assurance. Evidence-based guidelines use explicit methods to link recommendations to the quality of the underlying research. Following development of the guideline, implementation and evaluation are key steps. The ultimate aim of guideline development is to influence physician knowledge, attitudes and behaviour.

scholarly journals ANALISIS AKTIVITAS HUBUNGAN MEDIA DALAM MANAJEMEN KRISIS DI PERGURUAN TINGGI

2018 ◽  
Vol 11 (1) ◽  
pp. 86
Author(s):  
Narayana Mahendra Prastya
Keyword(s):  
Mass Media ◽  
Public Relations ◽  
Public Perception ◽  
Media Relations ◽  
The Public ◽  
News Sources ◽  
The Media ◽  
The University ◽  
Information Subsidies

Tulisan ini bertujuan untuk menganalisis aktivitas hubungan media yang dilakukan oleh Universitas Islam Indonesia, saat kejadian Tragedi Diksar Mapala UII. Kejadian tersebut merupakan krisis karena tidak diduga, terjadi secara mendadak, dan menimbulkan gangguan pada aktivitas dan citra organisasi. Hubungan media adalah salah satu aktivitas yang penting dalam manajemen krisis, karena media massa mampu mempengaruhi persepsi masyarakat terhadap satu organisasi dalam krisis. Dalam situasi krisis sendiri, persepsi dapat menjadi lebih kuat daripada fakta. Batasan hubungan media dalam tulisan ini adalah dalam aspek penyediaan informasi yang terdiri dari : (1) kualitas narasumber organisasi dan (2) cara organisasi dalam membantu liputan media. Data penelitian ini diperoleh dengan mewawancarai wartawan dari media di Yogyakarta yang meliput Diksar Mapala UII. Hasilnya menunjukkan bahwa media membutuhkan narasumber pimpinan tertinggi universitas. Informasi yang diperoleh dari humas universitas dirasa masih kurang cukup. Dalam hal upaya organisasi membantu aktivitas liputan, UII dinilai masih kurang cepat dan kurang terbuka dalam memberikan informasi. The purpose of this article is to analyse the media relations activities by Islamic University of Indonesia (UII), related to crisis "Tragedi Diksar Mapala UII". This incident lead to crisis because it is unpredictable, happen suddenly, disturb the organizational activities, and make the organization's image being at risk. Media relations is one important activites in crisis management. It is because mass media could affect the public perception toward an organization. In crisis situation, perception could be stronger than the fact. The limitation of media relations in this article are information subsidies. Information subsidies consist of : (1) the quality of news sources that provided by the organization, and (2) how organization facilitate the news gathering process by the media. The data for this article is being collected from interview with journalist from the mass media in Yogyakarta. The results are media want the top management of the universities as the news sources. The information that being provided by public relations is not enough. The university also lack of quickness and lack of openess.

scholarly journals Mapping of Education Information Networks in Community of Cintaratu Village Pangandaran

2020 ◽  
Vol 4 (2) ◽  
pp. 279
Author(s):  
Evie Ariadne Shinta Dewi ◽  
Nindi Aristi ◽  
Rachmaniar Rachmaniar
Keyword(s):  
Information Dissemination ◽  
Information Networks ◽  
Quality Of Education ◽  
Information Network ◽  
The Public ◽  
The University ◽  
The Village ◽  
Depth Interviews ◽  
Educational Information

This article is based on the results of research which the aim is to find out how is mapping of the education information dissemination network in the community of Cintaratu village, Pangandaran district. The reason for choosing the topic was that Padjadjaran University (Unpad) campus is in the village and it is assumed that the presence of the university in the village could improve the quality of education of its people. To confirm this assumption, it is necessary to map the education sector information network. We use qualitative methods which approach is a descriptive study, the researchers conducted a mapping of educational information dissemination. The main informants of this study are the community and village officials. Data were collected through in-depth interviews, passive participatory observation, and literature studies. The finding of the research are as follows, 1) the initial mapping of educational information dissemination to the community was carried out through direct communication, namely through two major activities - recitation and celebration; 2) recitation and celebration are two activities that are susceptible to physical noise-causing information related to education not conveyed properly to the public. Effective communication does not occur in these two activities. 

scholarly journals Differences in Perceptions of Health Information Between the Public and Health Care Professionals: Nonprobability Sampling Questionnaire Survey (Preprint)

2019 ◽  
Author(s):  
Anat Gesser-Edelsburg ◽  
Nour Abed Elhadi Shahbari ◽  
Ricky Cohen ◽  
Adva Mir Halavi ◽  
Rana Hijazi ◽  
...  
Keyword(s):  
Health Care ◽  
Social Networks ◽  
New Media ◽  
Health Information ◽  
Health Care Professionals ◽  
Questionnaire Survey ◽  
General Public ◽  
The Public ◽  
Search For Information

BACKGROUND In the new media age, the public searches for information both online and offline. Many studies have examined how the public reads and understands this information but very few investigate how people assess the quality of journalistic articles as opposed to information generated by health professionals. OBJECTIVE The aim of this study was to examine how public health care workers (HCWs) and the general public seek, read, and understand health information and to investigate the criteria by which they assess the quality of journalistic articles. METHODS A Web-based nonprobability sampling questionnaire survey was distributed to Israeli HCWs and members of the public via 3 social media outlets: Facebook, WhatsApp, and Instagram. A total of 979 respondents participated in the online survey via the Qualtrics XM platform. RESULTS The findings indicate that HCWs find academic articles more reliable than do members of the general public (44.4% and 28.4%, respectively, P<.001). Within each group, we found disparities between the places where people search for information and the sources they consider reliable. HCWs consider academic articles to be the most reliable, yet these are not their main information sources. In addition, HCWs often use social networks to search for information (18.2%, P<.001), despite considering them very unreliable (only 2.2% found them reliable, P<.001). The same paradoxes were found among the general public, where 37.5% (P<.001) seek information via social networks yet only 8.4% (P<.001) find them reliable. Out of 6 quality criteria, 4 were important both to HCWs and to the general public. CONCLUSIONS In the new media age where information is accessible to all, the quality of articles about health is of critical importance. It is important that the criteria examined in this research become the norm in health writing for all stakeholders who write about health, whether they are professional journalists or citizen journalists writing in the new media.

Quality of Care: Performance Measurement and Quality Improvement in Clinical Practice

2021 ◽  
Author(s):  
Sonali P. Desai ◽  
Allen Kachalia
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Quality Of Care ◽  
Clinical Practice ◽  
Performance Measurement ◽  
Clinical Performance ◽  
The United States ◽  
Performance Measure ◽  
Care Performance

Attention to the quality of care within the United States health care system has grown tremendously over the past decade. We have witnessed a significant change in how quality improvement and clinical performance measurement are approached. The current focus on quality and safety stems in part from the increasingly clear realization that more services and technological advancement are not automatically equivalent to high-quality care. Much of the discussion about cost and quality in health care is shifting towards the concept of value. Value is defined as health outcomes achieved per dollar spent (in other words, an assessment of the quality of care per cost). This chapter reviews the current state of quality improvement in health care and, because improvement cannot be determined without measurement, reviews several aspects of effective clinical performance measurement. Since many measures are already in place, the chapter describes some of the organizations involved in quality measurement and improvement, as well the approaches they utilize. It looks at the multiple strategies in place to improve quality, from process management to collaboration, from financial incentives to transparency, and reviews newer models of care delivery that may materialize in the near future. Tables list types of quality measures, characteristics to consider when developing a quality measure, and organizations involved in quality improvement and performance measurement. A figure shows strategies used by the federal government to spur performance measurement and quality improvement. This review contains 1 figure, 3 tables, and 56 references Keywords: Quality of care, performance measure, quality improvement, clinical practice, sigma six, transparency

What do malaysian think of the quality of healthcare delivered?: a qualitative analysis of written impression (Preprint)

2021 ◽  
Author(s):  
Nur Wahida Zulkifli
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Waiting Time ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Opinion Poll ◽  
Healthcare Facilities ◽  
The Public ◽  
Care Services

BACKGROUND The public opinion and experience on the health care services are crucial to provide valuable insight towards improving and strengthening the health care systems. OBJECTIVE This study aims to explore the public perspective regarding the quality of health care services rendered by the health care facilities in Malaysia. METHODS The snowballing strategy was used to reach the target through an online opinion poll with three open-ended questions on the strengths of the healthcare facilities, their expectation and suggestion for improvement along with the sociodemographic characteristic. Data were analysed using a thematic approach. RESULTS A total of 800 participants (68% of females and 32% of males) participated. Their responses were grouped into 5 main themes namely: (1) system; (2) input; (3) service delivery; (4) outputs; (5) outcomes. Public feel that they are respected and treated with care by the healthcare providers. However, most of the participants highlighted the issue of long waiting time when they visited healthcare facilities. In relation to this issue, they suggested the facilities to have more staff especially doctors to improve current service. CONCLUSIONS In conclusion, enhancing service delivery by reducing the waiting time, should be the main focus as viewed by the public. The quality of services provided would certainly be improved by having sufficient resources including healthcare workers.

The Basis and the Quality of Relationships between the Police and the Public

1976 ◽  
Vol 49 (4) ◽  
pp. 285-289
Author(s):  
A. O. Higgins
Keyword(s):  
International Competition ◽  
The Public ◽  
Chief Officer ◽  
Quality Of Relationships ◽  
University Of Bristol ◽  
The University

The International Police Association recently conducted an international competition for essays on the theme of “THE POLICE AND THE COMMUNITY”. The panel of judges consisted of Professor Michael Banton of the Department of Sociology at the University of Bristol; General Dr. Francesco Andreotti, the chief Officer of the Police of Rome, and Dr. Emanuel Yedidda of Israel. Mr. Higgins' essay was adjudged the winner of the competition and other prizes went to Jean-Pierre Rebeyrol of France and Fabrizio Lecher of Italy.

scholarly journals Overpriced? Are Hospital Prices Associated with the Quality of Care?

Healthcare ◽  
2020 ◽  
Vol 8 (2) ◽  
pp. 135
Author(s):  
Brad Beauvais ◽  
Glen Gilson ◽  
Steve Schwab ◽  
Brittany Jaccaud ◽  
Taylor Pearce ◽  
...  
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Clinical Care ◽  
Healthcare Services ◽  
Cost Ratio ◽  
Performance Score ◽  
Significant Positive Association ◽  
The Public ◽  
Total Performance

In most consumer markets, higher prices generally imply increased quality. For example, in the automobile, restaurant, hospitality, and airline industries, higher pricing generally conveys a signal of complexity and superiority of a service or product. However, in the healthcare industry, there is room to challenge the price-quality connection as both health prices and health quality can be difficult to interpret. In the best of circumstances, health care costs, prices, and quality can often be difficult to isolate and measure. Recent efforts by the Trump Administration and the Center for Medicare and Medicaid Services (CMS) have required the pricing of hospital services to be more transparent. Specifically, hospital chargemaster (retail) prices must now be available to the public. However, many continue to question if the pricing of health care services reflects the quality of service delivery. This research focuses on investigating the prices hospitals charge for their services in relation to the costs incurred and the association with the quality of care provided. By analyzing data from a nationwide sample of U.S. hospitals, this study considers the relationship between hospital pricing (as measured by the charge-to-cost ratio) and hospital quality performance as measured by the Value Based Purchasing Total Performance Score (TPS) and its associated sub-domains. Results of the study indicate that hospital prices, as measured by our primary independent variable of interest, the charge-to-cost ratio, are significantly and negatively associated with Total Performance Score, Patient Experience, and the Efficiency and Cost Reduction domains. A marginal statistically significant positive association is shown in the Clinical Care domain. The findings indicate that unlike most other industries, in medicine, higher pricing compared to cost does not necessarily associate with higher quality and, in fact, might indicate the opposite. The results of this study suggest that purchasers of healthcare, at all levels, have justification in challenging the pricing of healthcare services considering the quality scores available in the public domain.

scholarly journals Pain neuroscience education and physical exercise for patients with chronic spinal pain in primary healthcare: a randomised trial protocol

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Miguel A. Galán-Martín ◽  
Federico Montero-Cuadrado ◽  
Enrique Lluch-Girbes ◽  
M. Carmen Coca-López ◽  
Agustín Mayo-Iscar ◽  
...  
Keyword(s):  
Public Health ◽  
Quality Of Life ◽  
Primary Care ◽  
Chronic Pain ◽  
Clinical Practice ◽  
Physical Exercise ◽  
Public Health System ◽  
The Public ◽  
Neuroscience Education

Abstract Background Chronic musculoskeletal pain affects more than 20% of the population, and the prevalence is increasing, causing suffering, loss of quality of life, disability, and an enormous expenditure on healthcare resources. The most common location for chronic pain is the spine. Many of the treatments used are mainly passive (pharmacological and invasive) and poor outcomes. The treatments currently applied in the public health system do not comply with the recommendations of the main clinical practice guidelines, which suggest the use of educational measures and physical exercise as the first-line treatment. A protocol based on active coping strategies is described, which will be evaluated through a clinical trial and which could facilitate the transfer of the recommendations of the clinical practice guidelines to a primary care setting. Methods Randomised and multicentre clinical trials, which will be carried out in 10 Primary Care centres. The trial will compare the effect of a Pain Neuroscience Education program (six sessions, 10 h) and group physical exercise (18 sessions program carried out in six weeks, 18 h), with usual care physiotherapy treatment. Group physical exercise incorporates dual tasks, gaming, and reinforcement of contents of the educational program. The aim is to assess the effect of the intervention on quality of life, as well as on pain, disability, catastrophism, kinesiophobia, central sensitisation, and drug use. The outcome variables will be measured at the beginning of the intervention, after the intervention (week 11), at six months, and a year. Discussion Therapeutic interventions based on active coping strategies are essential for the treatment of chronic pain and the sustainability of the Public Health System. Demonstrating whether group interventions have an effect size is essential for optimising resources in such a prevalent problem. Trial registration NCT03654235 “Retrospectively registered” 31 August 2018.

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