Improving the efficacy of healthcare services for Aboriginal Australians

2019 ◽  
Vol 43 (3) ◽  
pp. 314 ◽  
Author(s):  
Kylie Gwynne ◽  
Thomas Jeffries Jr ◽  
Michelle Lincoln
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Care Services ◽  
Aboriginal People ◽  
Healthcare Services ◽  
Aboriginal Australians ◽  
Australian Aboriginal ◽  
Care Services

Objective The aim of the present systematic review was to examine the enablers for effective health service delivery for Aboriginal Australians. Methods This systematic review was undertaken in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. Papers were included if they had data related to health services for Australian Aboriginal people and were published between 2000 and 2015. The 21 papers that met the inclusion criteria were assessed using the Effective Public Health Practice Project Quality Assessment Tool for Quantitative Studies. Seven papers were subsequently excluded due to weak methodological approaches. Results There were two findings in the present study: (1) that Aboriginal people fare worse than non-Aboriginal people when accessing usual healthcare services; and (2) there are five enablers for effective health care services for Australian Aboriginal people: cultural competence, participation rates, organisational, clinical governance and compliance, and availability of services. Conclusions Health services for Australian Aboriginal people must be tailored and implementation of the five enablers is likely to affect the effectiveness of health services for Aboriginal people. The findings of the present study have significant implications in directing the future design, funding, delivery and evaluation of health care services for Aboriginal Australians. What is known about the topic? There is significant evidence about poor health outcomes and the 10-year gap in life expectancy between Aboriginal and non-Aboriginal people, and limited evidence about improving health service efficacy. What does this paper add? This systematic review found that with usual health care delivery, Aboriginal people experience worse health outcomes. This paper identifies five strategies in the literature that improve the effectiveness of health care services intended for Aboriginal people. What are the implications for practitioners? Aboriginal people fare worse in both experience and outcomes when they access usual care services. Health services intended for Aboriginal people should be tailored using the five enablers to provide timely, culturally safe and high-quality care.

Beyond Four Walls: Ideas and Applications on Regional Planning of Health Care Services

1992 ◽  
Vol 5 (4) ◽  
pp. 48-53 ◽  
Author(s):  
Jeffrey L. Weatherill
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Regional Planning ◽  
Health Care Services ◽  
Current Issue ◽  
Care Services ◽  
A Current

This paper received the 1992 Agnew Peckham Literary Prize of the Canadian College of Health Service Executives in recognition of excellence in content and presentation of ideas related to a current issue in the management of health services.

scholarly journals The Implementation of Tele-Health Physiotherapy Services for Musculoskeletal Conditions: A Systematic Review

2021 ◽  
Vol 17 (09) ◽  
pp. 70
Author(s):  
Fadheela S. Husaain ◽  
Sobia Irum ◽  
Mohamed Merza Khalil Al.Rayes ◽  
Zahra Isa Abdulla Jasim ◽  
Muhammad Ashfaq
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Recent Period ◽  
Musculoskeletal Conditions ◽  
Care Services ◽  
Current Review ◽  
Current Systematic Review ◽  
Implementation Guidelines

<p class="0abstract">It is obvious how the COVID-19 pandemic changed the whole aspects of our lives in the recent period. The health services are one of the most affected services during this pandemic. However, these services are vital and cannot be over missed in any context or situation. One of the most recent terms or services which has been used to overcome the challenges of the current pandemic is the " Tele-Health' or "Tele- Medicine" or "Tele-Rehabilitation" which refer in all cases to the using of technology such as video calls or smart applications to provide the health care services to the patients distally. The main goal of the current systematic review is to study the implementation of the Tele-health services in physiotherapy specifically for the musculoskeletal cases in terms of its effectiveness, challenges and barriers, and the implementation guidelines. Review of 32 articles from different databases (Springer, Scopus, and PMC) in the last ten years period (2011-2021) revealed that this topic is dramatically increased in the literature last year with the rise of COVID-19 pandemic. The current review is showing the methodology, theories, results, in addition to the details of countries and journals in which the articles were published. The current study could help in providing the guidelines to implement the Tele-health services in physiotherapy for musculoskeletal conditions, with concentrating on the effectiveness and challenges.</p>

scholarly journals Access to primary and community health-care services for people 16 years and over with intellectual disabilities: a mapping and targeted systematic review

2020 ◽  
Vol 8 (5) ◽  
pp. 1-142 ◽  
Author(s):  
Anna Cantrell ◽  
Elizabeth Croot ◽  
Maxine Johnson ◽  
Ruth Wong ◽  
Duncan Chambers ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Health Services ◽  
Intellectual Disabilities ◽  
Community Health ◽  
Health Care Services ◽  
Community Health Care ◽  
Care Services ◽  
Mapping Review ◽  
Adults With Intellectual Disabilities

Background In 2015, approximately 2.16% of adults were recorded as having intellectual disabilities. UK government policy is that adults with intellectual disabilities should access mainstream health services. However, people with intellectual disabilities experience challenges when accessing primary and community health services that can lead to inequalities and shorter life expectancy. Objectives To map and review the evidence on access to primary and community health-care services for adults with intellectual disabilities and their carers. To identify influencing factors for gaining access to primary and community health-care services. To determine which actions, interventions or models of service provision improve entry access to these services for people with intellectual disabilities and their carers. Finally, to identify the gaps in evidence and provide implications for health care and recommendations for research. Data sources MEDLINE, The Cochrane Library, Web of Science, Cumulative Index of Nursing and Allied Health Literature (CINAHL), Applied Social Sciences Index and Abstracts (ASSIA) and Education Resources Information Center (ERIC) were searched from 2002 to 2018. Review methods The mapping review methodology included an extensive literature search, article selection and data extraction of relevant abstracts. Findings from the mapping review informed the scope of the targeted systematic review. Methodology for the targeted systematic review included an extensive literature search informed by the mapping review, article selection, data extraction, quality appraisal and narrative synthesis. Results The mapping review included 413 studies with data extraction completed on abstracts. The targeted systematic review synthesised the evidence from 80 studies reported in 82 publications. During the review process, the team identified three key points at which people with intellectual disabilities potentially interacted with primary and community health-care services: identifying needs, accessing services and interaction during a consultation. In addition, there were a number of papers about interventions or innovations to improve access. Evidence from the studies was synthesised within the four clusters. Influencing factors were identified: staff knowledge/skills, joint working with learning disability services, service delivery model, uptake, appointment making, carer/support role, relationship with staff, time, accessible information and communication. The influencing factors were cross-cutting through the literature, with certain factors having more importance in certain clusters. Limitations The main limitation was the weak evidence base. The studies generally had small samples, had study designs that were open to potential biases and measured only short-term outcomes. Conclusions Health checks were found to help identify health needs and improve the care of long-term conditions. Important factors for accessing health services for adults with intellectual disabilities were consistency of care and support, staff training, communication skills and time to communicate, and provision of accessible information. Health professionals need to ensure that there is joint working between different services, clear communication and accurate record-keeping. Future research questions centre on the need to develop and value creative study designs capable of addressing the complex issues identified in the findings of the review for this complex population. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 5. See the NIHR Journals Library website for further project information.

Health Service Regionalization in New Brunswick, Canada: A Bold Move

1995 ◽  
Vol 25 (2) ◽  
pp. 271-282 ◽  
Author(s):  
Jack Reamy
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
New Brunswick ◽  
Health Care Services ◽  
Community Health Services ◽  
Hospital Services ◽  
Physician Services ◽  
Care Services

New Brunswick moved swiftly in 1992 to regionalize hospital and physician services along with the reform and expansion of other health care services. The dissolution of 51 hospital and community health services center boards and the establishment of eight region hospital corporations to oversee services in the seven health regions set the tone for regionalization in the province. The plan provides the flexibility to meet specific regional needs. The initial regionalization of hospital services was followed by the determination of the appropriate number, mix, and distribution of physician resources for each region, also to be managed by the region hospital corporation. The provincial government's central role not only guides the regions, but also uses incentives and disincentives to ensure that regional goals are met. While regionalization is not new and some components of the New Brunswick plan have been used elsewhere, the effort offers an integrated model for the regionalization of hospital and physician services, with the expansion of complementary services.

scholarly journals Investigating the Factors Affecting Health Services Utilization in Hepatitis B Patients of Yazd City in 2017

2019 ◽  
Author(s):  
Raziyeh Montazeralfaraj ◽  
Mohsen Pakdaman ◽  
Hossein Fallahzad ◽  
Masoudeh Mojahed ◽  
Mahdi Ghadiri Atabak
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Hepatitis B ◽  
Health Services ◽  
Health Care Services ◽  
Service Providers ◽  
Statistical Tests ◽  
Healthcare Services ◽  
Counseling Services ◽  
Care Services

Background: We can achieve a clear picture of the demands for services and the ways to respond to them by examining the status of health care services in patients with hepatitis B. In this way, we can minimize the gap between the promotion and improvement of the performance of service providers. Therefore, the aim of this study was to evaluate the utilization of healthcare services in patients with hepatitis B. Methods: This cross-sectional study was conducted among 464 patients with hepatitis B who were selected by simple random sampling using a researcher-made questionnaire containing 20 items, according to the study variables. We entered the data into the Excel software and analyzed them by STATA 13 software using descriptive statistical tests and linear regression. Results: There was a significance association between the utilization of education and counseling services, specialist visits, clinical services, and the place of provision of services. In addition, the utilization of education and counseling services had a significant association with the supplemental insurance and the incidence of hepatitis B in the family. A significance relationship was also observed between the number of visits to the specialist and the type of occupation, educational level, and duration of diagnosis. Utilization of inpatient cares had a significant relationship with the place of residence and the basic insurance status. Conclusion: Generally, the rate of visits to access the healthcare services is low among patients with hepatitis B. Considering the fact that this disease is special, we suggest the authorities to provide health care services in three preventive levels free of charge (by providing a health insurance card for the patients). Furthermore, the government needs to implement the national health insurance (NHI) and therefore does not receive the franchise. Patients should refer to specialist according to the general practitioner's opinion. They also should have access to the services during the evening.   Key words: Utilization of health services, Hepatitis B, Specific Patients

scholarly journals The Influence of Israel Health Insurance Law on the Negev Bedouin Population — A Survey Study

2006 ◽  
Vol 6 ◽  
pp. 81-95 ◽  
Author(s):  
Mohammed Morad ◽  
Shifra Shvarts ◽  
Joav Merrick ◽  
Jeffrey Borkan
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Service ◽  
Health Services ◽  
National Health ◽  
Health Care Services ◽  
Insurance Law ◽  
Care Services ◽  
Interview Survey ◽  
Universal Health

The extension of universal health service insurance to national populations is a relatively new phenomenon. Since 1995, the Israeli National Health Insurance Law (NHIL) has provided universal health services to every resident, but the effect of this law on health and health services among minorities has not been examined sufficiently. The goals of this study were to track some of the first changes engendered by the NHIL among the Negev Bedouin Arabs to examine the effects of universal health care services. Methods included analysis of historical and health policy documents, three field appraisals of health care services (1994, 1995, 1999), a region-wide interview survey of Negev Bedouins (1997), and key informant interviews. For the interview survey, a sample of 515 households was chosen from different Bedouin localities representing major sedentarization stages. Results showed that prior to the NHIL, a substantial proportion of the Negev Bedouins were uninsured with limited, locally available health service. Since 1995, health services, particularly primary care clinics and health manpower, have dramatically expanded. The initial expansion appears to have been a marketing ploy, but real improvements have occurred. There was a high level of health service utilization among the Bedouins in the Negev, especially private medical services, hospitals, and night ambulatory medical services. The NHIL brought change to the structure of health services in Israel, namely the institution of a national health system based on proportional allocation of resources (based on size and age) and open competition in the provision of quality health care. The expansion of the pool of potential members engendered by the new universal coverage had profound effects on the Health Funds' attitudes towards Negev Bedouins. In addition, real consumer choice was introduced for the first time. Although all the health care needs of this rapidly growing population have yet to be met fully, the assurances under the Law and the new level of competition promise a higher level of service in the future.

Building Health Services For A Post-Apartheid Era

1990 ◽  
Vol 18 (2) ◽  
pp. 24-28
Author(s):  
Michael Savage
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Medical Care ◽  
Health Care Services ◽  
Care Services ◽  
Racial Lines ◽  
The Many ◽  
Basic Medical

Health care services in South Africa are in decline. Inadequate resources, the fragmentation of services along racial lines, their division between a confused jumble of authorities together with a growing privatization of medical care are among the many factors having grave effects on an already poorly constructed health service. The persistence of high levels of infant mortality and the widespread nature of preventable disease provide clear measures indicating that existing health services have failed to meet the needs of the majority of the population for basic medical care. The changes that are currently underway in health services are making it less likely that they can adequately contribute to providing health for all.

scholarly journals Accessibility of Primary, Specialist, and Allied Health Services for Aboriginal People Living in Rural and Remote Communities: Protocol for a Mixed-Methods Study (Preprint)

2018 ◽  
Author(s):  
Rona Macniven ◽  
Kate Hunter ◽  
Michelle Lincoln ◽  
Ciaran O’Brien ◽  
Thomas Lee Jeffries Jr ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Allied Health ◽  
Service Providers ◽  
Aboriginal People ◽  
Mixed Methods Study ◽  
Snowball Sampling ◽  
Rural And Remote ◽  
Care Services

BACKGROUND Primary, specialist, and allied health services can assist in providing equitable access in rural and remote areas, where higher proportions of Aboriginal and Torres Strait Islander people (Aboriginal Australians) reside, to overcome the high rates of chronic diseases experienced by this population group. Little is currently known about the location and frequency of services and the extent to which providers believe delivery is occurring in a sustained and coordinated manner. OBJECTIVE The objective of this study will be to determine the availability, accessibility, and level of coordination of a range of community-based health care services to Aboriginal people and identify potential barriers in accessing health care services from the perspectives of the health service providers. METHODS This mixed-methods study will take place in 3 deidentified communities in New South Wales selected for their high population of Aboriginal people and geographical representation of location type (coastal, rural, and border). The study is designed and will be conducted in collaboration with the communities, Aboriginal Community Controlled Health Services (ACCHSs), and other local health services. Data collection will involve face-to-face and telephone interviews with participants who are health and community professionals and stakeholders. Participants will be recruited through snowball sampling and will answer structured, quantitative questions about the availability and accessibility of primary health care, specialist medical and allied health services and qualitative questions about accessing services. Quantitative data analysis will determine the frequency and accessibility of specific services across each community. Thematic and content analysis will identify issues relating to availability, accessibility, and coordination arising from the qualitative data. We will then combine the quantitative and qualitative data using a health ecosystems approach. RESULTS We identified 28 stakeholder participants across the ACCHSs for recruitment through snowball sampling (coastal, n=4; rural, n=12; and border, n=12) for data collection. The project was funded in 2017, and enrolment was completed in 2017. Data analysis is currently under way, and the first results are expected to be submitted for publication in 2019. CONCLUSIONS The study will give an indication of the scope and level of coordination of primary, specialist, and allied health services in rural communities with high Aboriginal populations from the perspectives of service providers from those communities. Identification of factors affecting the availability, accessibility, and coordination of services can assist ways of developing and implementing culturally sensitive service delivery. These findings could inform recommendations for the provision of health services for Aboriginal people in rural and remote settings. The study will also contribute to the broader literature of rural and remote health service provision. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11471

scholarly journals The health service contacts of 87 suicides

1994 ◽  
Vol 18 (9) ◽  
pp. 548-550 ◽  
Author(s):  
Josie Evans
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Suicide Rate ◽  
Health Authority ◽  
Health Care Services ◽  
District Health ◽  
Care Services ◽  
The Impact ◽  
Age And Sex

The Health of the Nation asserts that the suicide rate in England and Wales can be reduced by the provision of better health care services. In a sample of suicides in one district health authority, 61% had had contact with health services during the year prior to death, suggesting that improvements in these services could have an impact on the overall suicide rate. However, the proportion who had had prior contact varied between different age and sex groups and individuals in groups with the higher suicide rates tended to have the least contact. Therefore, the impact of health service improvements on the overall suicide rate may be limited.

Building Health Services For A Post-Apartheid Era

1990 ◽  
Vol 18 (2) ◽  
pp. 24-28
Author(s):  
Michael Savage
Keyword(s):  
South Africa ◽  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Medical Care ◽  
Health Care Services ◽  
Care Services ◽  
Racial Lines ◽  
The Many ◽  
Basic Medical

Health care services in South Africa are in decline. Inadequate resources, the fragmentation of services along racial lines, their division between a confused jumble of authorities together with a growing privatization of medical care are among the many factors having grave effects on an already poorly constructed health service. The persistence of high levels of infant mortality and the widespread nature of preventable disease provide clear measures indicating that existing health services have failed to meet the needs of the majority of the population for basic medical care. The changes that are currently underway in health services are making it less likely that they can adequately contribute to providing health for all.

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