Developing and Launching the Government Social Franchise Model of Reproductive Health Care Service Delivery in Vietnam

2009 ◽  
Vol 15 (1) ◽  
pp. 71-89 ◽  
Author(s):  
Anh D. Ngo ◽  
Dana L. Alden ◽  
Nguyen Hang ◽  
Nhuan Dinh
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Social Franchise ◽  
The Social ◽  
The Government

Social franchising, an effective social marketing business model, has increased the quality of health care services in developing and developed countries. Typically, private sector physicians and pharmacies are recruited by local or international nonprofit organizations into branded networks of clinics that benefit from economies of scale, a standardized business model, higher quality services, and sophisticated social marketing. While generally effective in the private sector, social franchising of public government operated clinics is very limited. As a result, the social franchise model is relatively untested as a means of enhancing the capacity and quality of public health care services for individuals with limited financial resources. Addressing the need for additional study, this case analysis traces development and launch of a social franchise network of reproductive health services through community public health clinics in two provinces in central Vietnam. Improvement of the clinic infrastructure, increased standardization of quality services, staff instruction on proactive relationship management, and promotion of a culturally relevant brand all appear to have contributed to the successful launch of the network in this case study. The decision to implement a standardized schedule of affordable service fees in one of the two provinces also appears to have improved perceived service quality. Implementation of planned staff incentives has proven to be the most challenging aspect of what is referred to as the government social franchise (GSF) model. Overall, initial evaluation suggests that significant improvement in reproductive health care service quality can be achieved through adaptation of the social franchise model to public sector context.

Quality Assurance and Evaluation of Healthcare Reform Initiatives

2011 ◽  
Vol 3 (3) ◽  
pp. 42-53 ◽  
Author(s):  
Anna Beata Rosiek ◽  
Krzysztof Leksowski
Keyword(s):  
Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Health Care Quality ◽  
Care Service ◽  
Health Care Service ◽  
Care Quality ◽  
High Quality ◽  
Care Services

This article describes a model of health-care services that ensure the high quality of health-care service and effective brand creation for a hospital. The problems described here that are connected to improving the quality of health care in Poland indicates that high quality of health care builds a positive and strong image of a health-care unit on the medical market. The contents of this article involve basic definitions of quality in health care and also the way the quality is understood and perceived from patient’s and hospital’s point of view. The article also describes a health care quality model, to which health care units should aspire in order to create a positive picture of said units, simultaneously improving and maintaining high quality of health care services. The article investigates the quality factors of health care services, which influence the healthcare units’ brand, its functioning on the market and patient-perceived quality of services. The described management model, which ensures efficient brand-building of healthcare units through services’ quality, takes into account changes in healthcare system and does so in order to ensure the improvement in healthcare units’ functioning.

An extensive review of patient health-care service satisfaction in Bangladesh

2020 ◽  
Vol 2 ◽  
pp. 5-16
Author(s):  
Abdul Kader Mohiuddin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Service Providers ◽  
Care Service ◽  
Waiting Times ◽  
Health Care Service ◽  
Care Providers ◽  
Care Services

Patient satisfaction is a useful measure for providing quality indicators in health-care services. Concern over the quality of health-care services in Bangladesh has resulted in a loss of faith in health-care providers, low use of public health facilities, and increased outflows of patients from Bangladesh to hospitals abroad. The main barriers to accessing health services are inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached, very short consultation time, lack of empathy of the health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and occasionally, disregard for the suffering that patients endure without being able to voice their concerns. All of these service failures are frequently reported in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with health-care service providers and health-care itself.

Finnish Rehabilitation Counselors Assessing Their Interaction With Clients and Their Clients’ Interaction With Other Professionals and the Family

2014 ◽  
Vol 58 (2) ◽  
pp. 105-112 ◽  
Author(s):  
Tiina S. T. Notko ◽  
Marianne Silén
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Rehabilitation Counselors ◽  
Survey Tool ◽  
Care Services ◽  
The Social ◽  
The Family ◽  
Health Districts

The empowerment process of rehabilitation clients is mediated through empowering and disempowering experiences in the social interactions of various areas of life. We examine the perceptions of Finnish rehabilitation counselors (RC) of the position of their clients interacting with (a) the rehabilitation counselors themselves, (b) other professionals in social and health care services, and (c) their family members. The data were collected using the Webropol 1.0 survey tool from 148 RCs employed in Finnish Central Health Districts. Most of the respondents perceived their clients to be well supported in all three relationships. However, unequal power relations were reported to exist in interaction with social and health care service professionals and disempowering acts were found in family environments. More information on disempowering acts and mistreatment is needed. Reducing disempowering acts is possible only if they are noticed and admitted by professionals in social and health care services.

scholarly journals Patient’s Utility for Various Attributes of Diabetes Care Services

2018 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Vinaytosh Mishra ◽  
Cherian Samuel ◽  
S. K. Sharma
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Diabetes Care ◽  
Care Service ◽  
Group Discussion ◽  
Health Care Service ◽  
Diabetic Patients ◽  
Relative Importance ◽  
Care Services

Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.

The Perceptions and Usage Intention of a Telecare System: An Empirical Study in Taiwan

2011 ◽  
Vol 467-469 ◽  
pp. 1056-1065
Author(s):  
Hui Lung Hsieh ◽  
Chung Hung Tsai ◽  
Bi Kun Chuang
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Comprehensive Evaluation ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Individual Privacy ◽  
Telemedicine Technology ◽  
Patient Health ◽  
Biomedical Technologies

With the growing number of aging population and chronic illnesses, how to help elderly residents access the health care service timely is a challenge for health care institutions in Taiwan. Recent advances in information, communication and biomedical technologies have combined to allow the development of various types of telemedicine technology designed to enhance or expand the health care services of elderly residents. However, most telecare studies focused only on medical care or development of technology rather than on comprehensive evaluation of residents’ (or patients’) perception about service processes. The purpose of this study was to explore rural residents’ perceptions and usage intention of a telecare system after they have used it. Results from this exploratory study showed that most elderly people have never heard or touched telecare systems before the study was conducted. However, the general perceptions of such systems included improvement of interacting with medical staffs, safety protection, convenient care, and one needed item of services in daily life. Especially, the mostly risk perception was privacy risk, that is, data confidentiality and individual privacy. Generally, most elderly residents evaluated their telecare experiences and perceptions as being positive. Besides, most elderly resident were willing to use the telecare system without fees. However, they felt risky about confidentiality and privacy toward this technology. To improve trustworthy perception of this novel technology, telecare providers should implement appropriate safeguards to protect patient health information exchanged in a telecare setting. Also, the physicians/nurses should take the time to communicate with the residents, especially in the form of education, about the benefits of technology. To optimize the effectiveness of this promising technique, more research on the relationship between residents’ (or patients’) perceptions and influences of technology will need to be conducted continually in future.

scholarly journals Use of health care services 6 months following major trauma

2007 ◽  
Vol 31 (4) ◽  
pp. 628 ◽  
Author(s):  
Belinda J Gabbe ◽  
Ann M Sutherland ◽  
Owen D Williamson ◽  
Peter A Cameron
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Service Use ◽  
Major Trauma ◽  
Injury Severity ◽  
Care Service ◽  
Health Care Service ◽  
Trauma Patients ◽  
Care Services ◽  
Use Of Health Care

To establish the use of health care services 6 months following major trauma, 243 blunt major trauma patients were recruited during their acute hospital stay and followed up by telephone interview at 6 months post-injury. Data collected at 6 months included health care service usage and their level of disability according to the Glasgow Outcome Scale ? Extended (GOSE). Ninety-four percent of patients were living in the community at 6 months, and most (69%) reported continued use of health care services. Of those with ongoing disability, non-compensable patients were significantly more likely (OR 3.7; 95% CI, 1.6?8.6) to have ceased health care service use than compensable patients, independent of injury severity.

scholarly journals The assessment of the knowledge and awareness about glaucoma in glaucoma patients and general population: a sample from Turkey

2017 ◽  
Vol 6 (1) ◽  
pp. 35 ◽  
Author(s):  
Gökçe Dağtekin ◽  
Zeynep Demirtaş ◽  
Aziz Soysal ◽  
Nilgün Yildirim ◽  
Fatih M. Önsüz ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Preventive Health Care ◽  
Population Based ◽  
Healthy People ◽  
Care Services ◽  
Level Of Knowledge ◽  
Age Range

Background: The study aimed to evaluate the level of knowledge and awareness of glaucoma and their possible determinants in a group of people diagnosed with glaucoma and in a population based group without glaucoma.Methods: The study included people with an age range of 40 to 80years; 410 patients without glaucoma who admitted to primary health care service and 113 patients who admitted to hospitals with diagnosis of glaucoma. In addition to Glaucoma Knowledge Level Questionnaire (GKLQ), participants were asked about their socio-demographic characteristics, level of awareness and resources of the information about glaucoma. Multivariate logistic regression and multiple linear regression analyses were used to assess the variants which have impact on the level of the awareness about glaucoma and to evaluate the factors effective on the score of GKLQ, respectively.Results: The ratio of awareness about glaucoma was found to be 64.1% in people without glaucoma. The knowledge and awareness about glaucoma were found to be higher in glaucoma patients compared to healthy people but not at a desired level. The education level was the only factor effecting both awareness and knowledge about glaucoma.Conclusions: As awareness about glaucoma can lead to early detection, the assessment of the knowledge and awareness about glaucoma is very important in terms of disease prevention. Health education and preventive health care services should be programmed including for both glaucoma patients and healthy people based on the level of their education.

scholarly journals Experience and overall satisfaction of foreign patients with the health care services received in Latvia

2020 ◽  
Vol 85 ◽  
pp. 02009
Author(s):  
Daiga Behmane ◽  
Anda Batraga ◽  
Mara Greve ◽  
Didzis Rutitis
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Service Evaluation ◽  
Care Services ◽  
The Difference ◽  
High Level ◽  
Patients Experience

The study evaluates foreign patients' experience and satisfaction in relation to the health care received in Latvia. By applying the gap model of service evaluation, the study reveals the difference between expected and received service outcome in Latvia, and draws conclusions about the importance of individual and patient experience factors related to the overall patient satisfaction. The study concludes that in all groups of factors matrix proposed in the study: (1) general travel or destination factors; (2) communication factors; (3) factors related to the choice of service and (4) factors related to the choice of health care institution, patients evaluated the perceived health care outcome higher than the expected outcome. The results of the study lead to the conclusion that there is a significant gap in foreign patients' knowledge regarding the possibilities of receiving a high-level health care service in Latvia. The results also reveal the most important determinants of patient experience and related satisfaction.

Financial Affordability, Health Insurance, and Use of Health Care Services by the Elderly: Findings From the China Health and Retirement Longitudinal Study

2019 ◽  
Vol 31 (6) ◽  
pp. 510-521 ◽  
Author(s):  
Jiaojiao Ren ◽  
Ding Ding ◽  
Qunhong Wu ◽  
Chaojie Liu ◽  
Yanhua Hao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Longitudinal Study ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
The Elderly ◽  
Cluster Sampling ◽  
Service Usage ◽  
Care Services

The rapidly growing aging population has attracted global attention. This study explores the associations between 3 basic health insurances, and it identifies factors associated with health care services among the elderly populations. This study is based on multistage stratified cluster sampling method from the 2013 China Health and Retirement Longitudinal Study (CHARLS) resulting in 7589 participants. Medical Insurance for Urban Employees (MIUE) members were more likely to use inpatient health care services. Health insurance programs were associated with inpatient services usage but not outpatient services usage. There are significant disparities in medical costs and health care service usage among the 3 insurance programs. Health insurance program is only associated with inpatient care. These findings may provide some suggestions to support improvements to the Chinese health care system.

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