Health Service Provision for Community-Dwelling People Suffering Urinary Incontinence: A Case Study of Neglect

2001 ◽  
Vol 7 (3) ◽  
pp. 31 ◽  
Author(s):  
Winsome St John ◽  
Heather James ◽  
Shona McKenzie
Keyword(s):  
Health Professionals ◽  
Service Provision ◽  
Home Visiting ◽  
Clinical Pathways ◽  
Community Dwelling ◽  
Urinary Continence ◽  
Health Service Provision ◽  
Medical Practitioners ◽  
Health Practitioners

Access to health services for common health problems is a fundamental principle of primary health care. Although there have been few Australian prevalence studies, it is estimated that about 900,000 adult Australians suffer from incontinence (National Health and Medical Research Council, 1994). The purpose of this study was to investigate urinary continence services for community-dwelling people in the Gold Coast region of Australia, prior to implementing new services. A case study design was used, including: a survey of general medical practitioners, specialist medical practitioners, physiotherapists, hospitals, and home visiting agencies in the region; a focus group with key stakeholders; and a critical review of the literature in relation to prevalence, treatment-seeking behaviour and service provision. Health practitioners were asked about services provided, policies, clinical pathways, referrals, and their views on what services they would like to see offered in the region. Results showed that while there were some existing continence-specific services in the region, they were inadequate to provide for the numbers of people in need. Many generalist health practitioners demonstrated a lack of interest in and knowledge of the plight of those suffering from incontinence. Links between services were found to be ad hoc, with inconsistent referral patterns between health professionals. These findings are consistent with international studies. It was concluded that, in general, community-dwelling people suffering incontinence were poorly served by health professionals due an inability of available services to meet demand, and a lack of knowledge and/or interest by many generalist health practitioners.

scholarly journals Co-Produced Care in Veterinary Services: A Qualitative Study of UK Stakeholders’ Perspectives

2020 ◽  
Vol 7 (4) ◽  
pp. 149
Author(s):  
Alison Z. Pyatt ◽  
Keith Walley ◽  
Gillian H. Wright ◽  
Emma C. L. Bleach
Keyword(s):  
Service Provision ◽  
Animal Health ◽  
Complex Nature ◽  
Veterinary Services ◽  
Structured Interviews ◽  
Health Service Provision ◽  
Services Sector ◽  
Health Practitioners ◽  
Prior Experiences

Changes in client behaviour and expectations, and a dynamic business landscape, amplify the already complex nature of veterinary and animal health service provision. Drawing on prior experiences, veterinary clients increasingly pursue enhanced involvement in services and have expectations of relationship-centred care. Co-production as a conceptualisation of reciprocity in service provision is a fundamental offering in the services sector, including human medicine, yet the role of co-production in veterinary services has been minimally explored. Utilising a service satisfaction framework, semi-structured interviews (n = 13) were completed with three veterinary stakeholder groups, veterinarians, allied animal health practitioners, and veterinary clients. Interview transcript data were subject to the qualitative data analysis techniques, thematic analysis and grounded theory, to explore relationship-centred care and subsequently conceptualise co-production service for the sector. Six latent dimensions of service were emergent, defined as: empathy, bespoke care, professional integrity, value for money, confident relationships, and accessibility. The dimensions strongly advocate wider sector adoption of a co-produced service, and a contextualised co-production framework is presented. Pragmatic challenges associated with integration of active veterinary clients in a practitioner–client partnership are evident. However, adopting a people-centric approach to veterinary services and partnerships with clients can confer the advantages of improved client satisfaction, enhanced treatment adherence and outcomes, and business sustainability.

scholarly journals Learning alliance methodology: Contributions and challenges for multicultural planning in health service provision: A case study in Kent, UK

2015 ◽  
Vol 16 (1) ◽  
pp. 79-96 ◽  
Author(s):  
Carlos Moreno-Leguizamon ◽  
Marcela Tovar-Restrepo ◽  
Clara Irazábal ◽  
Christine Locke
Keyword(s):  
Health Service ◽  
Service Provision ◽  
Health Service Provision ◽  
Learning Alliance

scholarly journals Features of Mental Health Service Provision During the COVID-19 Pandemic in Specialists Who Work with Suicide Prevention in Rural Areas

Psichologija ◽  
2021 ◽  
Vol 64 ◽  
pp. 23-37
Author(s):  
Austėja Agnietė Čepulienė ◽  
Said Dadašev ◽  
Dovilė Grigienė ◽  
Miglė Marcinkevičiūtė ◽  
Greta Uržaitė ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Rural Areas ◽  
Service Provision ◽  
Help Seeking ◽  
Health Service Provision ◽  
Mental Health Service Provision

The COVID-19 pandemic can influence the situation of suicide rates and mental health in rural regions even more than in major cities. The aim of the current study was to explore the functioning of mental health service provision during the COVID-19 pandemic through interviews with mental health professionals and other specialists who work with suicide prevention in rural areas. Thirty specialists were interviewed using a semi-structured interview format. The following codes were identified during the thematic analysis: providing help during the pandemic (mental health professionals and institutions adapted to the conditions of the pandemic, remote counselling makes providing help more difficult, the help is less reachable); help-seeking during the pandemic (people seek less help because of the pandemic, seeking remote help is easier, the frequency of help seeking didn’t change); the effects and governing of the pandemic situation (the pandemic can have negative effects on mental health; after the pandemic mental health might get worse; the governing of the pandemic situation in Lithuania could be more fluent). The current study reveals positive aspects of mental health professionals’ adaptivity during the pandemic, as well as severe problems which are related to the access to the mental health services during the COVID-19 pandemic.

scholarly journals A home-based smart health model

2020 ◽  
Vol 12 (6) ◽  
pp. 168781402093528
Author(s):  
John Bedón-Molina ◽  
Mario J Lopez ◽  
Ivan S Derpich
Keyword(s):  
Internet Of Things ◽  
Service Provision ◽  
Health Impacts ◽  
Health Service Provision ◽  
Software Model ◽  
Home Based ◽  
Smart Health ◽  
Health Model ◽  
Health Applications

This article is about an architectural hardware-software model creation—home-based smart health model—to boost healthcare to a higher position within society. As an emerging field, smart health modeling is still insufficient. Current smart health services are hospital centered, data are scattered and application dependent, and health service provision presents attention delays. Analyses of Internet of things, Internet of medical things, and smart health applications potentials are the bases for the proposed home-based smart health model. The model aims to facilitate the smart health development and strengthening. To evaluate whether the model does what it must do, first, check lists on how the model complies with current and future devices and applications, smart health impacts and smart health potentialities, and second, a case study analyses the model conformity through an Internet of things sophisticated cloud app.

scholarly journals Health service provision and the use of pressure-redistributing devices: mixed methods study of community dwelling individuals with pressure injuries

2017 ◽  
Vol 53 (3) ◽  
pp. 378-389 ◽  
Author(s):  
Debra Jackson ◽  
Lisa Durrant ◽  
Emily Bishop ◽  
Helen Walthall ◽  
Ria Betteridge ◽  
...  
Keyword(s):  
Mixed Methods ◽  
Health Service ◽  
Service Provision ◽  
Community Dwelling ◽  
Mixed Methods Study ◽  
Health Service Provision

scholarly journals Supported Decision-Making: The Expectations Held by People With Experience of Mental Illness

2018 ◽  
Vol 28 (6) ◽  
pp. 1002-1015 ◽  
Author(s):  
Fauzia Knight ◽  
Renata Kokanović ◽  
Damien Ridge ◽  
Lisa Brophy ◽  
Nicholas Hill ◽  
...  
Keyword(s):  
Mental Health ◽  
Decision Making ◽  
Mental Illness ◽  
Service Provision ◽  
Mental Health Practitioners ◽  
Health Service Provision ◽  
The Social ◽  
Health Practitioners ◽  
Diverse Individual ◽  
Mental Health Service Provision

Supported decision-making (SDM) is a principle guiding mental health service provision, which aims to improve people’s ability to make informed decisions about their care. Understanding diverse individual needs is vital to its success. Based on 29 narrative interviews with people diagnosed with mental illness in Australia, we examine how participants reflected on their own experiences of SDM. We find that participants’ conceptualization of mental health expertise, their own experiences and sense of agency, and their varying needs for dependence and independence influenced their relationships with mental health practitioners. These factors in turn shaped their expectations about SDM. Four narrative positions emerged: the “Inward Expert,” the “Outward Entrustor,” the “Self-Aware Observer,” and the “Social Integrator.” These positionings influenced the type or style of support that participants expected and considered most useful. Our findings are relevant to developing effective approaches to SDM that take into account service users’ needs and preferences.

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