Access and attitudes to health care of Torres Strait Islanders living in mainland Australia

2004 ◽  
Vol 10 (2) ◽  
pp. 29 ◽  
Author(s):  
Paul Ban

Ninety-two mainland Torres Strait Islanders, across five communities on mainland Australia, were consulted in relation to their access to health service providers. Similar numbers were interviewed in different-sized locations encompassing urban, rural, and remote areas. This exploratory study was the first to consider the health access issues of mainland Torres Strait Islanders. Overall, community controlled health services were the most commonly used exclusive health service providers, followed by private medical services and hospital outpatient services. The two most common reasons for the choice of health service provider in each community were convenience of access and the quality of relationship and trust with the medical staff. In general, the Torres Strait Islanders interviewed stated they are not comfortable seeking medical treatment, and delay accessing any health services. There was a high level of satisfaction in all communities with private medical services. Concerns were raised regarding long waiting periods at community controlled health services and hospital outpatient services, along with lack of confidentiality at community controlled health services. People wanted to see Torres Strait Islander staff at community controlled health services and hospital outpatient services to help facilitate greater access.

Author(s):  
Kristin Masuch ◽  
Maike Greve ◽  
Simon Trang

AbstractInnovative IT-enabled health services promise tremendous benefits for customers and service providers alike. Simultaneously, health services by nature process sensitive customer information, and data breaches have become an everyday phenomenon. The challenge that health service providers face is to find effective recovery strategies after data breaches to retain customer trust and loyalty. We theorize and investigate how two widely applied recovery actions (namely apology and compensation) affect customer reactions after a data breach in the specific context of fitness trackers. Drawing on expectation confirmation theory, we argue that the recovery actions derived from practice, apology, and compensation address the assimilation-contrast model’s tolerance range and, thus, always lead to satisfaction with the recovery strategy, which positively influences customers’ behavior. We employ an experimental investigation and collect data from fitness tracker users during a running event. In the end, we found substantial support for our research model. Health service providers should determine specific customer expectations and align their data breach recovery strategies accordingly.


Author(s):  
Aco Mursid ◽  
Elly L. Sjattar ◽  
Rosyidah Arafat

Reports of patient safety incidence at health service provider have yet been optimized. Report rates are still low and health service providers were facing obstacles in reporting incidents. Therefore, the purpose of this study was to identify obstacles in reporting patient safety incidents. A literature review was the method of choice in this study. Literature sources were obtained from the Pubmed and Ebsco Medline databases based on inclusion criteria. Based on the literature search results that have been done, we get as many as six (n = 6) articles. The obstacles that were found in reporting incidents are the negatif impact felt by the reporter, the lack of time in reporting incidents, lack of feedback, certain types of incidents reported, lack of knowledge, incidence reports were not considered as obligation, lack of clarity on who should report, lack of anonymity, and reporting system that has yet been optimized. Meanwhile, the ways to overcome these obstacles are improving and increasing report rates, giving feedback, increasing anonymity and secrecy, as well as giving the reward, education, and training for incident reports. As conclusion, obstacles in reporting incidence surely can hinder patient safety and therefore need to be resolved. Commitment from policy maker were necessary in improving patient’s safety incident reporting system. Keywords: obstacles; incidence report; patient safety ABSTRAK Pelaporan insiden keselamatan pasien di pelayanan kesehatan saat ini belum optimal. Tingkat pelaporan masih rendah, petugas kesehatan masih merasakan kendala dalam melaporkan kejadian. Oleh karena itu, tujuan dari penelitian ini adalah untuk mengidentifikasi hambatan dalam pelaporan insiden keselamatan pasien. Metode yang digunakan dalam studi ini adalah literature review. Sumber literatur didapatkan dari basis data Pubmed dan Ebsco Medline berdasarkan kriteria inklusi. Berdasarkan hasil pencarian literatur yang telah dilakukan, kami mendapatkan sebanyak enam (n=6) artikel. Hambatan pelaporan insiden yang ditemukan dalam penelitian ini adalah adanya dampak negatif yang dirasakan oleh pelapor, kurangnya waktu melaporkan insiden, kurangnya umpan balik, jenis insiden tertentu yang dilaporkan, kurangnya pengetahuan, pelaporan tidak dianggap sebagai kewajiban, kurangnya kejelasan tentang siapa yang harus melaporkan, kurangnya anonimitas, dan sistem pelaporan yang belum optimal. Sedangkan cara mengatasi hambatan atau fasilitator pelaporan insiden adalah mengembangkan dan meningkatkan sistem pelaporan, memberikan umpan balik, meningkatkan anonimitas dan kerahasiaan, serta memberikan penghargaan, pendidikan dan pelatihan tentang sistem pelaporan insiden. Sebagai kesimpulan, hambatan dalam melaporkan insiden tentunya menghambat peningkatan keselamatan pasien sehingga diperlukan upaya untuk mengatasinya. Komitmen para pembuat kebijakan memainkan peran penting dalam meningkatkan sistem pelaporan insiden keselamatan pasien. Kata kunci: hambatan; pelaporan insiden; keselamatan pasien


2020 ◽  
Author(s):  
Sarah Louise Fraser ◽  
Louise Moulin ◽  
Dominique Gaulin ◽  
Jennifer Thompson

Abstract BackgroundLiterature on participation in health and social services suggests that youth are difficult to engage within health and social services. Indigenous youth are less likely to access services or to actively participate in decision-making regarding their personal care. This article analyzes health and social service providers’ perspectives, experiences and expectations regarding the roles of a particular group of Indigenous youth, families and community in care settings in Nunavik, Quebec.MethodsA snowball sampling method was used to recruit participants. A total of 58 participants were interviewed including psychiatrists, general practitioners, nurses, social workers, school principals, teachers, student counsellors, representatives of local committees (education committee, health committee), and police officers. Of the 58 participants, 39 were non-Inuit and 19 were Inuit. The interviews focused on three broad themes: 1) participants’ current and past positions/roles; 2) participants’ perceptions of the clientele (youth and their families) they work with; and 3) participants’ understanding of collaborations taking place within and between services (who works with whom) and community. Applied thematic analyses were conducted. The model that we present allows us to describe health service provider expectations and experiences regarding patient and community participation. ResultsWe organize findings around three themes: I) The most commonly described interventions, II) different types of challenges to and within participation; and III) what successful participation can look like according to service providers. Participants speak of the challenges for families to go towards services as well as the challenges for services providers to go towards youth and families, including personal, organisational and historical factors. ConclusionWe adopt a critical lens to reflect on the key findings in order to tease out points of tension and paradoxes that might hinder the participation of youth and families. We then use a constructive lens to amalgamate and build on service providers’ descriptions of challenges and successes to identify promising approaches that seem to encourage participation of youth and families.


1998 ◽  
Vol 4 (3) ◽  
pp. 72
Author(s):  
Beth Wilson

This article presents data from two sources. The first set of data comes from complaints received by the Health Services Commissioner (Health Ombudsman) in Victoria from Consumers of Health Services about health service providers. The second set of data has been provided by 92 public hospitals using the health complaints information program. The Health Complaints Resolution Process is described and the data are presented in the hope that they may assist in formulating policies for women's health.


Author(s):  
Okky Haidar Yahya Irawansa ◽  
Yudha Bhaskoro ◽  
Ahmad Rizki Maulana ◽  
Febri Endra Budi Setyawan

Introduction: Tuberculosis is a highly contagious disease and requires long-term treatment and large amounts of medication. This can affect the high risk of Multidrug-Resistant Tuberculosis (MDR-TB). A health service approach in providing comprehensive management including promotive, preventive, curative, and rehabilitative is very necessary to overcome these cases. Aim of study: This article aims to determine interventions that can be carried out by health services in preventing the occurrence of multidrug-resistant tuberculosis (MDR-TB). Method: The method used is a literature review through national to international journals that examine the interventions that can be carried out by health services in preventing MDR-TB. The articles or data sources that have been obtained will be compared with one another so that the factors that most influence the occurrence of MDR-TB can be found. Results and Discussion: The literature search results show that health workers, especially doctors, have an important role in managing MDR-TB cases. Management of MDR-TB in a comprehensive manner is carried out through promotive, preventive, curative, and rehabilitative programs through a health service provider approach. Educational activities regarding TB, MDR-TB, or the possibility of drug resistance are important to do to prevent new cases of MDR-TB. Curative treatment is carried out to improve mental and social health. Furthermore, rehabilitative efforts are carried out as a means to improve health status recovery for MDR-TB sufferers. Conclusion: Health service providers can improve facilities, they can carry out promotive, curative rehabilitative management to reduce the incidence of MDR-TB.


2018 ◽  
Vol 11 (2) ◽  
pp. 59 ◽  
Author(s):  
Daniel Dramani Kipo-Sunyehzi

<p>Principal-agent relationship exists between health service providers and their authority and clients. It asserts that health service providers as ‘imperfect agents’ of the authority and clients will take actions that aim to maximise profits at the expense of authority and clients (principal). The situation is possible when reimbursement is based on fee-for-service or a diagnosis-related groups. It looks at relationships between health service providers as agents and health insurance authority, and clients as principals in areas of provision of health services, supply of drugs, medicines and reimbursement. Results showed the private health service providers prescribed more drugs and medicines for clients towards profit maximisation (agency) than their public counterparts. Also, it was found that the public health service providers continued to provide health services and drugs despite health insurance authority indebtedness to them exhibiting more stewardship towards health insurance authority. It recommends strict regulations in tariffs/vetting claims and prompt reimbursement.</p>


Author(s):  
Blessing M. Maumbe ◽  
Meke I. Shivute ◽  
Vesper T. Owei

The article examines ICT use in health service provision in Namibia. The patterns of ICT use for health services by patients, public and private health service providers are not yet fully understood. This study describes ICT applications in health service delivery to patients in the Khomas and Oshana regions of Namibia. The study interviewed 134 patients and 21 health service providers. Factor analysis on ICT use identified three main factor groupings namely, ‘high technology’, ’mobile technology’ and ‘traditional technology’. Multinomial regression results showed the major factors affecting multiple ICT awareness in the two regions as functional literacy, diverse sources of health information services, age and educational level of the patients. Logistic regression results on individual ICT use identified functional literacy, personal privacy, cost of ICT, age, education, and positive perceptions about ICT applications in improving health services as statistically significant factors influencing adoption by both rural and urban patients in Namibia.


2017 ◽  
Vol 9 (1) ◽  
pp. 129
Author(s):  
Ala’Eddin Mohammad Khalaf Ahmad

The current research investigates the stakeholders influencing health services development at King Fahd General Hospital KFGH in Jeddah city, Saudi Arabia. This study proposes and tests a six factors model that influences health services development. These factors include government regulations, competitors, suppliers, patients, public, and health service providers as independent variables; the dependent variable is health services development. In order to explore this issue, a quantitative method was used to collect primary data through a questionnaire, which was administered in KFGH in Jeddah city in Kingdom of Saudi Arabia. The researches targeted 141 surgeons in this research as a sample because of the small population. A purposive sample was used to choose the participants in this research. The research retrieves 130 valid questionnaires; representing 92%.The results confirm significant differences in the influence of these factors on health service development. The research concludes that there is a significant influence of governmental regulations, competitors, suppliers, patients, public, and health service providers on health services development. The research recommends enhancing the awareness of stakeholder factors by studying the effects of governmental regulations, competitors, suppliers, patients, public, and health service providers. The last is adopting and updating medical and non-medical technology to maintain health service development.


2020 ◽  
Author(s):  
Muhammad Adnan Zahid Chudhery ◽  
Sarah Safdar ◽  
Fenggang Li ◽  
Hakeem-Ur Rehman ◽  
Raza Rafique ◽  
...  

Abstract Background: This study is to investigate the acceptance of a public-private joint venture, which is formed in-between public-sector community health centers (PCHC) and private-sector m-health service providers and can be a potential solution for two practical problems. The first problem is about PCHCs, which are operating about forty-one percent underutilization rates. The second problem is the lack of a revenue-generating business model for m-health service providers' while having a surprising number of registered users with daily health-care consultation queries. This joint venture will help to bridge the strengths of the public-sector health-care system (e.g., highly qualified doctors, offline health-care facilities) with the strengths of private-sector m-health service providers (e.g., a dramatic number of registered users, daily health-care consultation queries) resulting in a win-win situation for both parties. Methods: The data collected from doctors associated with a territory hospital in Hefei, China, and analyzed using partial least squares, a structural equation modeling technique. Results: This study extended the unified theory of acceptance and use of technology with the channel expansion theory. We explored that perceived media richness, government support, effort, and performance expectancies positively influence behavioral intention to deliver health-care consultation using m-health services that are equipped with PCHCs. Surprisingly, social influence and facilitating conditions found insignificant in the Chinese context. Conclusion: It can help the government healthcare authorities, and policymakers to build confidence in PCHCs, and to improve PCHC resource utilization. It can help m-health service providers to build confidence in m-health services resulting in a revenue-generating business model.


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