Rural and regional community health service boards: perceptions of community health – a Delphi study

2017 ◽  
Vol 23 (6) ◽  
pp. 543 ◽  
Author(s):  
Diana Guzys ◽  
Guinever Threlkeld ◽  
Virginia Dickson-Swift ◽  
Amanda Kenny
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Delphi Study ◽  
Healthcare Services ◽  
Community Health Services ◽  
Health Improvement ◽  
Strategic Direction ◽  
Rural Community Health ◽  
Governance Training

Much has been written about the composition of health service boards and the importance of recruiting people with skills appropriate for effective and accountable governance of health services. Governance training aims to educate directors on their governance responsibilities; however, the way in which these responsibilities are discharged is informed by board members’ understanding of health within their communities. The aim of this study was to identify how those engaged in determining the strategic direction of local regional or rural community health services in Victoria, Australia, perceived the health and health improvement needs of their community. The Delphi technique was employed to facilitate communication between participants from difference geographic locations. The findings of the study highlight the different ways that participants view the health of their community. Participants prioritised indicators of community health that do not align with standard measures used by government to plan for, fund or report on health. Devolved governance of healthcare services aims to improve local healthcare responsiveness. Yet, if not accompanied with the redistribution of resources and power, policy claimed to promote localised decision-making is simply tokenistic.

Rural and Metropolitan Community Health: Celebrating the Strengths

1999 ◽  
Vol 5 (3) ◽  
pp. 60
Author(s):  
Angela Littleford ◽  
Debbie Martin ◽  
Lee Martinez ◽  
Angela May
Keyword(s):  
Health Services ◽  
Community Health ◽  
Case Studies ◽  
Rural Community ◽  
South Australia ◽  
Community Health Services ◽  
Current Status ◽  
Future Directions ◽  
History Of ◽  
Rural Community Health

The paper outlines the strengths, similarities and differences of metropolitan and rural community health sectors. Case studies are used to look at the history of community health in South Australia, its current status is described and some future directions are proposed. Perspectives are drawn from the authors' collective experiences. Rural and metropolitan community health services in South Australia have developed from different models since they were established in the 1970s. Rural community health services have invariably been established as entities within hospitals and health services, although metropolitan community health services have generally been established as stand alone facilities independent of the acute sector. To illustrate this, two case studies are used to demonstrate the evolution of metropolitan and rural community health services.

Competency requirements for middle and senior managers in community health services

2013 ◽  
Vol 19 (3) ◽  
pp. 256 ◽  
Author(s):  
Zhanming Liang ◽  
Peter F. Howard ◽  
Lee C. Koh ◽  
Sandra Leggat
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Rural Areas ◽  
Online Survey ◽  
Service Management ◽  
Core Competencies ◽  
Community Health Services ◽  
Health Care Environment ◽  
Future Health

The Australian health system has been subjected to rapid changes in the last 20 years to meet increasingly unmet health needs. Improvement of the efficiency and comprehensiveness of community-based services is one of the solutions to reducing the increasing demand for hospital care. Competent managers are one of the key contributors to effective and efficient health service delivery. However, the understanding of what makes a competent manager, especially in the community health services (CHS), is limited. Using an exploratory and mixed-methods approach, including focus group discussions and an online survey, this study identified five key competencies required by senior and mid-level CHS managers in metropolitan, regional and rural areas of Victoria: Interpersonal, communication qualities and relationship management; Operations, administration and resource management; Knowledge of the health care environment; Leading and managing change; and Evidence-informed decision-making. This study confirms that core competencies do exist across different management levels and improves our understanding of managerial competency requirements for middle to senior CHS managers, with implications for current and future health service management workforce development.

scholarly journals Prediction and Decomposition of Efficiency Differences in Chinese Provincial Community Health Services

2018 ◽  
Vol 15 (10) ◽  
pp. 2265 ◽  
Author(s):  
Qian Liu ◽  
Bo Li ◽  
Muhammad Mohiuddin
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Care Service ◽  
Health Care Service ◽  
Community Health Services ◽  
Community Health Service ◽  
Theil Index ◽  
Community Health Care ◽  
Chinese Community

The objective of this paper is to analyze the provincial efficiency of the Chinese community health care service and its differences. This study allows us to predict the provincial differences in the efficiency of the Chinese community health care service from 2017 to 2026. This study analyzes the contributions of inter-regional and intra-regional differences in the total efficiency difference. We use the Super-SBM (Slacks-based Model) data envelopment analysis (DEA) model, Grey Model GM (1,1) for grey prediction, and the group-based Theil index decomposition method to study Chinese provincial panel data from 2008 to 2016. Results show that a fluctuating trend existed in the average provincial efficiency of community health services from 2008 to 2016. The community health services in a considerable number of provincial areas were inefficient. This study also reveals that there existed apparent inter-provincial differences in efficiency in Chinese community health services. The inter-provincial differences of the efficiency of Chinese community health services revealed by the Theil index declined at a relatively slow pace. With regard to the provincial efficiency difference of the Chinese community health service, the intra-regional efficiency difference is the most important structural reason for the overall efficiency difference, which explains the overall difference to a large extent. The inter-regional efficiency difference among the eastern, central, and western regions becomes the secondary structural reason, which should not be ignored. In conclusion, focus should be put on restructuring the investments into medical resources for community health service in each Chinese province. More attentions should be put into narrowing the inter-regional efficiency differences of the Chinese provincial community health service. The strategies targeted at reducing the inter-regional efficiency differences should not be ignored, so as to facilitate the improvement of overall efficiency of the Chinese community health service.

Service planning in the Victorian community health sector

2015 ◽  
Vol 21 (3) ◽  
pp. 268 ◽  
Author(s):  
Véronique Roussy ◽  
Charles Livingstone
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Local Population ◽  
Health Sector ◽  
Community Health Services ◽  
Community Health Service ◽  
Service Planning ◽  
Health Service Planning ◽  
Comprehensive Service

Until now, comprehensive service planning has been uncommon in the Victorian community health sector. Where it has occurred, it has primarily been undertaken by community health services embedded within larger, hospital-based health services. Reflections on the utility and efficacy of community health service planning are largely absent from the Australian peer-reviewed literature. Using a case study focussed on a specific centre in Melbourne’s outer suburbs, this paper explores how community health service planning is shaped by the current policy context, the legal status of registered community health services, and the data and methodologies available to inform planning. It argues that regular and systematic service planning could support registered community health centres to better understand their unique position within the primary health-care landscape, having regard to their inherent opportunities and vulnerabilities. Furthermore, consistent and effective service planning is proposed to benefit agencies in establishing themselves as critical players in promoting local population health initiatives and driving improved health outcomes.

scholarly journals General practitioner fundholding and psychiatric practice

1993 ◽  
Vol 17 (4) ◽  
pp. 193-195 ◽  
Author(s):  
Andrew Sims
Keyword(s):  
Mental Health ◽  
General Practitioner ◽  
National Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Service Management ◽  
Community Health Services ◽  
Personal View

This is a personal view on the implications for mental health services of the Executive Letter of the National Health Service Management Executive (NHSME), published in July 1992 (EL (92) 48): ‘Guidance on the extension of the Hospital and Community Health Services elements of the GP Fundholding Scheme from 1st April, 1993’.

scholarly journals A decade of change in a community health service: a shift to acute and short-term care

2002 ◽  
Vol 25 (6) ◽  
pp. 148 ◽  
Author(s):  
Lynn Kemp ◽  
Elizabeth Comino ◽  
Elizabeth Harris ◽  
Debbie Killian
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Early Discharge ◽  
Community Health Services ◽  
Term Care ◽  
Service Community ◽  
Treatment Services ◽  
Physical Health Problems ◽  
Clear Shift

There have been major policy changes impacting on community health services such as early discharge and hospital in the home initiatives. The effects of such policies on the client profile of community health services are not well known. Administrative data was used to explore a decade of changes in South Western Sydney Area Health Service community health services. There is a clear shift from a service primarily focussed on child health screening to one that is increasingly providing acute and shorter-term care to adults with physical health problems. The changes are reflective of policies that are moving acute treatment services into the community.

scholarly journals HEALTH SERVICES QUALITY BETWEEN HYPERTENSION AND DIABETES MELLITUS PATIENTS IN COMMUNITY HEALTH SERVICES IN THE SLEMAN DISTRICT, YOGYAKARTA, INDONESIA

2020 ◽  
Vol 20 (2) ◽  
pp. 141-148
Author(s):  
Sani Rachman Soleman ◽  
Aqmarina Firda ◽  
Teguh Sulistiyanto ◽  
Refa Nabila
Keyword(s):  
Diabetes Mellitus ◽  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Community Health ◽  
Gap Analysis ◽  
Services Quality ◽  
Community Health Services ◽  
Five Dimensions ◽  
Health Service Quality

The implementation of the Chronic Disease Management Program or PROLANIS has been adopted in Indonesia by National Social Security Implementation on Health Agency (BPJS-K) since 2015. The program focuses on hypertension (HT) and diabetes mellitus (DM). However, since the first time the program was implemented, there was no comprehensive evaluation of it. The aim of this study was to analyze health service quality among HT and DM patients based on five dimensions of quality in 25 community health services (CHSs) in the Sleman district, Yogyakarta, Indonesia. This is a cross-sectional study with a simple random sampling technique that included 230 respondents from 25 CHSs. The instrument was SERVQUAL that consisted of 35 items of a questionnaire. The data were analyzed by a gap analysis, Customer Satisfaction Index (CSI) and Importance Performance Analysis (IPA); meanwhile, a Man–Whitney test was proposed to determine differences in health services quality in the PROLANIS program. Based on the gap analysis, it was found that whole dimensions were below 0-point; the CSI analysis obtained 74.45 for HT and 75.15 for DM; and the IPA analysis found that the distribution of respondents’ answers in the questionnaire were in quadrants 1 and 2. The Man–Whitney analysis was used to get the assurance aspect correlated with health service quality in DM and HT patients (p = 0.001). Health service quality in the PROLANIS program was based on five dimensions of quality was low, unless assurance dimension. The government should improve health services quality in aspects of tangibility, responsiveness, empathy, and reliability to get satisfaction among HT and DM patients in the PROLANIS program.

scholarly journals Gaining knowledge of Ontario’s community mental health and addictions system: linking community-based health services data with administrative health data in Toronto, Ontario, Canada

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Paul Kurdyak ◽  
Abigail Amartey ◽  
Julie Yang ◽  
Daniel Liadsky ◽  
Rachel Solomon ◽  
...  
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Community Health Services ◽  
Health Data ◽  
Local Health ◽  
Community Based ◽  
Administrative Health Data

IntroductionIn most developed countries, a significant amount of mental health and addictions care occurs in community settings. Data reflecting populations served by community-based mental health and addictions providers and the types of services provided are not available, resulting in an incomplete reflection of the entire mental health and addictions system within existing administrative data. Objectives and ApproachThe Community Business Intelligence (CBI) initiative is a data collection project that captures information on adults receiving community-based mental health, addictions, and support services in Toronto Central Local Health Integration Network (LHIN), located in Ontario, Canada. Leveraging administrative health data and data linkage capacity at the Institute for Clinical Evaluative Sciences (ICES), along with engagement of external stakeholders knowledgeable of CBI and the community health sector, we linked the 2015/16 CBI dataset to administrative health data. Demographic characteristics, health-service utilization, primary care attachment, and 30-day emergency department (ED) revisits were calculated for individuals accessing community health services. ResultsThere was an 80.8% linkage rate, of which 36.9% linked deterministically via health card number, while 43.9% linked probabilistically. After study exclusions, 37,688 individuals in the CBI dataset used community health services between April 2015 and March 2016. Compared to Toronto Central LHIN, a greater proportion in the CBI dataset were female, older than 65 years of age, and living in a low income neighbourhood. Furthermore, 95.5%of individuals had at least one outpatient physician visit, 51.3%had at least one ED visit, and 21.7%had at least one hospitalization in the past year. Few individuals in the CBI dataset were without primary care attachment (4.5%); however, a larger proportion had a 30-day ED revisit, particularly those receiving community addictions services (19%). Conclusion/ImplicationsThe availability of community health services data in the CBI dataset and its successful linkage to the administrative health data held at ICES identified health service intersections and outcomes that were previously unknown. This linkage project demonstrates a successful framework for sector-wide performance measurement to address a critical infrastructure gap.

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