scholarly journals Care Starts at Home: Emotional State and Appeals to Altruism may Reduce Demand for Overused Health Services in the UK

2020 ◽  
Author(s):  
Philip A Powell ◽  
Jennifer Roberts ◽  
Mark Gabbay ◽  
Nathan S Consedine
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Emotional State ◽  
Low Cost ◽  
Health Care Systems ◽  
The Self ◽  
Screening Tests ◽  
The Uk ◽  
The Impact

Abstract Background Overuse of unnecessary services, screening tests, and treatments is an ongoing problem for national health care systems. Overuse is at least partly driven by patient demand. Purpose This study examined whether altering patients’ emotional state and appealing to patient altruism would reduce demand for three commonly overused UK health services. Methods In an online experiment, 1,267 UK volunteers were randomized to anxiety, compassion, or neutral conditions before viewing three overuse vignettes. In each vignette, use of the health service was recommended against by the doctor and participants were further randomized to one of three altruism frames, emphasizing the impact of overuse on the self, the self and others locally, or the self and others nationally. Participants rated the likelihood that they would pursue the health service and, assuming that they did not, how long they would be willing-to-wait for it. Results Altruism frame had a small effect on intentions to use the health service. Those in the local or national (vs. self) frame were 4.7 and 6.1 percentage points, respectively, less likely to ask for the service. Emotion induction had no direct effect on outcomes. However, self-reporting higher levels of anxiety or compassion post-induction was associated with a small, greater likelihood in intentions to ask for the health service or willingness-to-wait, respectively. No interactions between frame and emotion were observed. Conclusions As a low-cost initiative, emphasizing the benefits to the self and local or national communities could be embedded in appeals designed to appropriately reduce health care overuse in the UK.

Health Service Impact from Mass Gatherings: A Systematic Literature Review

2016 ◽  
Vol 32 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Jamie Ranse ◽  
Alison Hutton ◽  
Toby Keene ◽  
Shane Lenson ◽  
Matt Luther ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Ambulance Service ◽  
Local Health ◽  
Mass Gathering ◽  
Mass Gatherings ◽  
The Impact

AbstractBackgroundDuring a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review.AimThis literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services.MethodThis research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization.ResultsTwenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported.ConclusionsThere is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.RanseJ, HuttonA, KeeneT, LensonS, LutherM, BostN, JohnstonANB, CrillyJ, CannonM, JonesN, HayesC, BurkeB. Health service impact from mass gatherings: a systematic literature review. Prehosp Disaster Med. 2017;32(1):71–77.

scholarly journals The Impact of Transformational Leadership Style on Nurse’s Self-Esteem of Public Hospitals of Lahore Pakistan

2016 ◽  
Vol 3 (4) ◽  
pp. 287-293
Author(s):  
Muhammad Afzal ◽  
Ali Waqas ◽  
Amina Farooq ◽  
Muhammad Hussain
Keyword(s):  
Health Care ◽  
Transformational Leadership ◽  
Health Services ◽  
Leadership Style ◽  
Health Sector ◽  
Self Esteem ◽  
Public Hospitals ◽  
The Self ◽  
Transformational Leadership Style ◽  
The Impact

Efficient health services require the self-confident and capable medical staff. This milestone cannot be achieved without the flexible and supportive leadership. In the developing countries, health sector has been facing the critical issues like lack of staff, management focus, health facilities and other challenges. Therefore, it is the need of time that supportive and flexible environment should be provided to the nurses so that the self-esteem can be increased and efficient health services can be ensured. Moreover, leaders play a vital role to create the flexible environment that increases the nurse’s self-esteem. Thus, the current study investigates the influence of transformational leadership style on the nurse’s self-esteem of public hospitals of Lahore, Pakistan. The self-administered questionnaire was distributed to 200 nurses of two major public hospitals (Mayo hospital and Jinnah hospital) of Lahore, Pakistan through simple random sampling. The results of the current study reveal that transformational leadership style has significant and positive relationship with nurse’s self-esteem. Therefore, health care sector authorities should adopt the transformational leadership style to enhance the nurse’s self-esteem in their sector to ensure the efficient health care services. Furthermore, limitations and recommendations are given in the last chapter. Int. J. Soc. Sc. Manage. Vol. 3, Issue-4: 287-293

Opportunities and Challenges in an Ever Generic World

2009 ◽  
Vol 6 (4) ◽  
pp. 303-313 ◽  
Author(s):  
Alan Sheppard
Keyword(s):  
Health Care ◽  
Economic Crisis ◽  
Low Cost ◽  
Health Care Systems ◽  
Pharmaceutical Market ◽  
Care Systems ◽  
Low Cost Manufacturing ◽  
The Impact

The global generics industry is about to embark on a decade of seismic change, and the impact to both patients and health-care systems cannot be overstated. This paper provides an overview of the global pharmaceutical market in the context of today's economic crisis, and a corresponding outline of key trends shaping the global generics market. It then focuses-in on an examination of the trend toward centralized contracting and how it will benefit those generics manufacturers with a broad portfolio and low-cost manufacturing base.

Partnerships in Purchasing: Development of Consortium-Based Purchasing among GP Fundholders

1997 ◽  
Vol 10 (4) ◽  
pp. 245-254 ◽  
Author(s):  
A. Laing ◽  
S. Cotton
Keyword(s):  
Health Care ◽  
General Practice ◽  
National Health Service ◽  
Health Service ◽  
Organizational Structure ◽  
National Health ◽  
Depth Study ◽  
Managerial Implications ◽  
The Uk ◽  
The Impact

In the last few years there have been considerable changes in the National Health Service (NHS) in the UK. Arguably the most significant of these has been the introduction of competition. Central to this development has been the introduction of general practice (GP) fundholding, whereby practices purchase health care for their patients directly from competing suppliers. Those practices which have become fundholders have faced considerable challenges in developing their purchasing function, given the complexities of contracting within the context of the NHS internal market. Although one of the original aims of GP fundholding was to facilitate locally responsive purchasing, such have been the complexities of contracting that many fundholding practices have attempted to reduce the managerial demands of purchasing through membership of purchasing consortia. Based on an in-depth study of GP fundholders across Scotland, this paper explores the development of consortium-based purchasing. Specifically, this paper seeks to address three issues central to the evolution of such consortium-based purchasing. Firstly, the patterns of organizational structure and the operational dynamics of such consortia. Secondly, the impact of such consortia on the process of fundholder purchasing. Thirdly, the managerial implications of purchasing through such consortia for the participating practices. In addressing these issues, it will examine whether such patterns of purchaser development have impacted on the evolution of locally responsive purchasing.

Emergence of Coproduction and Participatory Care in European Clinical Practice

2016 ◽  
Vol 6 (3) ◽  
pp. 155-161
Author(s):  
Dawid Szescilo
Keyword(s):  
Health Care ◽  
Health Services ◽  
Early Stage ◽  
Health Care Systems ◽  
Stage Of Development ◽  
Services Delivery ◽  
European Experience ◽  
Care Systems ◽  
European Health ◽  
The Uk

Coproduction as a participatory and collaborative innovation in public service delivery might be particularly useful as a tool for improving quality, efficiency and patient satisfaction in the course of health services provision. This article reviews the practices of coproduction identified in European health care systems. This aims at exploring if the coproduction has already gained a status of significant trend in health services provision and what are the outcomes of coproductive arrangements implemented. In the first part, drawing from the literature review, major types of coproduction in health care have been identified, including shared decision making, self management and expert patient initiatives, and peer support networks. In the second part the existing evidence on European experience with coproduction in health care has been analysed in terms of scale and outcomes. This review demonstrates that while coproduction might be promising addition to institutional mix in health services delivery, it is still at early stage of development. The number and scope of coproductive arrangements is rather low and most of them could be identified in the UK health care system. Possible reasons for limited dissemination of coproduction in the European health care systems are discussed in the last part of the article.

scholarly journals Re-orientation of Health Services towards Health Promotion: An Australian Case Study of Aborted Health Service Reform

2006 ◽  
Vol 12 (2) ◽  
pp. 24 ◽  
Author(s):  
Fran Baum ◽  
Helen van Eyk ◽  
Catherine Hurley
Keyword(s):  
Health Care ◽  
Health Promotion ◽  
Health Service ◽  
Health Services ◽  
Health Care Reform ◽  
Health Systems ◽  
Local Health ◽  
Continuous Change ◽  
The Impact

This paper examines a case study of local health care reform in Australia that had as one of its aims the desire to increase the health promotion and partnership work of the region. The case study highlights the pressures contemporary health systems are facing and the challenge of re-orientating health services towards health promotion in this environment. Qualitative research, including interviews, focus groups, a staff survey and policy analysis were used to identify health system professionals? perceptions of the impact of health care reform. The case study portrays a complex system that is subject to frequent change but little reform. Our case study indicates that features of health systems that encourage collaborative partnerships are those where there is: an environment that encourages trust; a common purpose among the key players; a supportive external environment; practical projects to work on; organisational stability; commitment from staff throughout organisations; willingness to commit resources; evidence that change is likely to improve outcomes for users; and an organisational environment in which learning from past experience is encouraged. A number of constraints and tensions that work against introducing a greater emphasis on health promotion and collaboration within the system studied are discussed, including tensions between central funding bureaucracies and health care agencies and the reform fatigue and increasing cynicism among staff resulting from continuous change. The paper concludes that against the chaotic background of contemporary health service reform it is very difficult to bring about genuine reform to achieve a shift to more emphasis on health promotion and partnerships.

Ambulatory Payment Classes: Obstacle or Opportunity for Health Care Systems?

2000 ◽  
Vol 35 (2) ◽  
pp. 114-119
Author(s):  
C. Nick Wilson
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Services ◽  
Health Care Systems ◽  
Quality Health Care ◽  
Managed Health Care ◽  
Quality Health ◽  
Care Systems ◽  
The Many ◽  
The Impact

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.

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.

THE UK NHS EXPERIENCE OF BURNOUT: TIME FOR ACTION

2021 ◽  
Vol 9 (3) ◽  
pp. 7-18
Author(s):  
Helen L. Millar
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Patient Care ◽  
National Health ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Work Place ◽  
The Uk ◽  
The Impact

Background: Burnout, as a global phenomenon, has probably always existed and been present in all cultures but more recently has been increasingly identified in the public health sector work place. The UK National Health Service (NHS) is the largest employer in Europe with over 1.3 million workers. It therefore reflects many of the challenges common to global health care systems. The escalation of burnout in the UK NHS (National Health Service) is now recognized given the impact on workforce sustainability and the health care delivery. Objectives: This article aims to highlight the current epidemic of burnout in the UK NHS, its causes, and impact on the workforce and quality of care provided. Strategies developed to improve the health of the NHS workforce will be reviewed and appraised in terms of their impact and limitations to date. Methods: The methodology includes a broad overview of selected articles/publications focusing on the concept of burnout and the impact on the workforce and patient care and is not intended to be a systematic review. Publications include peer reviewed articles, governmental strategic documents, recent surveys, and relevant responses by health care professionals and other relevant independent bodies. Results: The current literature highlights that burnout in the NHS is a major concern. It is clear that recognition of the extent of the problem and its impact are crucial for the sustainability of the NHS. The alarming rate of work force attrition is evident and unless immediate drastic steps are taken to address the root causes, the pressure on remaining staff will escalate to breaking point resulting in an inability to sustain services due to further staff losses. Evidence demonstrates that staff burnout adversely affects patient care and increases errors. Conclusion: It is vital that burnout is addressed as a matter of urgency in order to ensure a healthy and productive workforce and to ensure patients are treated safely and effectively. The NHS’s very survival depends on direct and urgent action to remedy this situation.

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