scholarly journals How do immigrant women access the public healthcare services in the Basque Country (Spain)?

2017 ◽  
Vol 27 (suppl_3) ◽  
Author(s):  
I Perez-Urdiales ◽  
I Goicolea
Keyword(s):  
Immigrant Women ◽  
Basque Country ◽  
Healthcare Services ◽  
Public Healthcare ◽  
The Public

scholarly journals Intimate Labor at Biomedical Frontlines: Situated Knowledges of Female Community Health Workers in the Management of COVID-19 in India

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Sanghamitra Das ◽  
Samhita Das
Keyword(s):  
Community Health ◽  
Community Health Workers ◽  
Health Workers ◽  
Medical Knowledge ◽  
Healthcare Services ◽  
Care Work ◽  
Professional Status ◽  
Public Healthcare ◽  
The Public ◽  
Female Community

Media reports of the COVID-19 pandemic in India have highlighted the important role that India’s female community health workers, the Accredited Social Health Activists (ASHAs), have played in managing COVID infections in India. This paper explores the epistemic basis of ASHA work to understand the significance of their role. Through a discourse analysis of textual media articles, we show that the ASHAs’ routine and COVID-related caregiving practices are a form of embodied, intimate labor rooted in their situated, community-oriented knowledge. This labor is devalued as emotional and feminized care work, which denies the ASHAs professional status in the public healthcare system of India and, in turn, reflects a hierarchy among health practitioners that stems from the status of objectivity/disembodiment in biomedicine. We find that, despite their low status in the public health system, ASHA workers develop a self-concept that enables them to self-identify as healthcare professionals, motivating them to continue providing essential healthcare services during the pandemic. We argue that an official recognition of the epistemic value of ASHA work would help to overcome the age-old nature/culture dichotomy that informs what counts as valuable, legitimate, formal medical knowledge. Furthermore, our analysis provides a critique of the gendered devaluation of care work within a political economy of health increasingly dictated by a neoliberal logic.

Hierarchical Planning Models for Public Healthcare Supply Chains

2019 ◽  
pp. 86-122
Author(s):  
Hassan Yar Bareach ◽  
Wafa Malik ◽  
Rania Sohail ◽  
Areeb Javaid ◽  
Muhammad Naiman Jalil
Keyword(s):  
Supply Chain ◽  
Supply Chain Management ◽  
Supply Chains ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Hierarchical Planning ◽  
Chain Management ◽  
The Public ◽  
Services Delivery ◽  
Planning Models

This chapter focuses on the hierarchical planning and execution for supply chain management in public healthcare services. The authors first introduce tiered organizational and services delivery structure of public healthcare services followed by various supply chain issues that public healthcare services encounters. They then review hierarchical planning and execution discussions for the strategic, tactical, and operational decisions in supply chain literature. They continue the discussion with public healthcare services cases on medicine and equipment maintenance supply chains. They compare hierarchical planning execution discussions in supply chain management literature vis-a-vis healthcare services cases. Their main argument is that much can be gained by the public healthcare services by striving for reduced information asymmetry and employing appropriate functional aggregation at various levels of the hierarchically organized public healthcare supply chains.

scholarly journals ASSESSING THE LEVEL OF PATIENT SATISFACTION ON PUBLIC HEALTHCARE FACILITIES IN SOUTH AFRICAN

2020 ◽  
Vol 8 (4) ◽  
pp. 172-181
Author(s):  
Ephrem Habtemichael Redda ◽  
Jhalukpreya Surujlal
Keyword(s):  
South Africa ◽  
Patient Satisfaction ◽  
South African ◽  
Healthcare Service ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Healthcare Provision ◽  
Healthcare Facilities ◽  
The Public ◽  
Ethnic Grouping

Purpose of study: The purpose of this study was to assess patient satisfaction levels within South African public healthcare facilities. The influence of gender and ethnic grouping (race) perceptions of satisfaction of healthcare services was investigated. Methodology: The study followed a cross-sectional research design and a quantitative research method. The data was collected as part of the General Household Survey in 2018 by Statistics South Africa (the national statistics service of South Africa). Descriptive statistics and cross-tabulation were performed to address the research objectives of the study. Main findings: The results show that the majority of the patients who participated in the survey are satisfied with the public healthcare service they received. The leading provinces that achieved very satisfied patients are Limpopo, the Eastern Cape, Mpumalanga, KwaZulu-Natal, and Gauteng. Applications of the study: The study is important in many ways as it highlights the discrepancies of healthcare provision to the public health decision-makers. For example, the results show that generally, the male patients were slightly more satisfied with the healthcare services than their female counterparts. In terms of ethnic grouping, it appears that white patients are generally more satisfied with the public healthcare services they receive than other race groups. Novelty/originality of study: A study of this nature has not been conducted in South Africa apart from the anecdotal reports of the department of health and Statistics South Africa. The study delved to analyze the public healthcare service in all provinces of the republic and also provided insight into gender and racial perception of healthcare services in the country.

PrioritÀ cliniche in sanitÀ: governare la domanda con il coinvolgimento dei professionisti

2009 ◽  
pp. 166-177
Author(s):  
Giuliano Mariotti
Keyword(s):  
Waiting Times ◽  
Family Doctor ◽  
Diagnostic Procedures ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Management Technique ◽  
Specific Patient ◽  
Family Doctors ◽  
The Public

- Creating order: this is the first step needed to prevent the collapse of the public healthcare system. Clinical priority for the healthcare services is a model to create an explicit order based on patients' needs, to guarantee timely referrals. This supports the idea that, despite the general perception that health care is difficult to access, availability of out-patient diagnostic procedures may be sufficient to meet the requirements of patients with major diagnostic needs. In Italy, the Homogeneous Waiting Groups (Raggruppamenti di attesa omogenei, RAO) model is being applied. It involves all those who are part of the process of providing a referral: the family doctor, the booking service (Cup) and the specialist. The model is based on identifying categories for the access to referrals. These allow the prescribers to establish in advance the length of wait considered adequate for a specific patient. To manage a system as complex as this one, it may be useful the socalled "facilitation" management technique. The aim is to guarantee the ongoing improvement of the quality of services, to make waiting times adequate to the clinical needs of citizens and the patients themselves more satisfied. Our experience encourages us to organise educational initiatives and joint courses for family doctors and specialists to reinforce the former's ability to increase their knowledge of appropriateness. At the same time, the involvement of family doctors and specialists may increase the level of concordance regarding the attribution of priority levels and adherence to guidelines' keywords. This will need to be evaluated as such schemes are adopted more widely.Keywords: appropriateness; clinical priority; primary care; waiting lists; clinical needs.

scholarly journals Public Healthcare: Citizen’s Preferences in Spain

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 467
Author(s):  
Silvia Prieto-Herraez ◽  
Teresa González-Arteaga ◽  
Rocío de Andrés Calle
Keyword(s):  
Healthcare System ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Public Healthcare ◽  
Private Hospitals ◽  
The Public ◽  
The Stability ◽  
Spanish Health ◽  
Rapid Emergence ◽  
Over Time

This paper analyzes the stability of citizens’ preferences on public healthcare services in Spain. Nowadays, the increasing privatization of some healthcare services and the rapid emergence of private hospitals have caused changes in people’s preferences on public healthcare systems. This paper focuses on analyzing the preferences of Spaniards on their healthcare system over time under the assumption that citizens’ preferences are represented by complete pre-orders. Data for this study were collected from the Spanish Health Barometer survey, and they were searched from 1995 until 2018. The results show that preferences on the public healthcare system are very stable along time.

Facilitating nursing students’ acquisition of knowledge about the public health perspective in nursing: Experiences from a pilot project

2017 ◽  
Vol 38 (2) ◽  
pp. 77-86
Author(s):  
Elsebeth Krøger ◽  
Hans Inge Sævareid ◽  
Åshild Slettebø
Keyword(s):  
Public Health ◽  
Nursing Students ◽  
Pilot Project ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Future Health ◽  
Public Health Perspective ◽  
The Public ◽  
Group Interviews ◽  
Questionnaire Surveys

Knowledge about public health and public health work is important for meeting current and future health challenges. A group of nursing students in a cohort participated in a practicum programme pertaining to the study of the academic subject ‘Nursing and Society’. The municipality’s public healthcare services were the learning arena. The purpose of this pilot project was to explore whether participation in the municipality’s public healthcare services is a pedagogical approach that enhances nursing students’ acquisition of knowledge about the public health perspective in nursing. Combined methods were used in the evaluation. Data were collected through focus-group interviews and questionnaire surveys. The results reveal that participation in the municipality’s public healthcare services while studying the subject contributed towards enabling the students enrolled in the practical study to visualize the public health perspective in nursing.

scholarly journals Positioning Malaysia in Medical Tourism: Implication on Economic Growth in ASEAN Integration

2018 ◽  
Vol 1 (1) ◽  
Author(s):  
Au Yong Hui Nee
Keyword(s):  
Economic Growth ◽  
Medical Tourism ◽  
Healthcare Services ◽  
Public Healthcare ◽  
Health Tourism ◽  
The Public ◽  
Tourism Marketing ◽  
Limited Length ◽  
Asean Countries ◽  
Asean Economic Community

With a rapid growth of medical tourism in the country, the Malaysian Government is under pressure to make the sector of benefit to the public healthcare services. Purpose: This paper attempts to deepen the understanding of the development of medical tourism on destination countries� healthcare systems and the effect toward economy growth. Methodology: Mix methods were applied in the paper with data for the duration of 2000 � 2015 obtained from sources including Malaysia Health Tourism Council (MHTC) and World Bank Indicators. Analysis of the paper includes t-test of gross national products and medical tourism receipts. The paper also shares strategies needed for effective promotion of medical tourism in a medical tourism decision model. Findings: The result shows that ASEAN Economic Community is likely to bring in higher trade volumes in health services. This paper concludes that medical tourism plays an important role in economy by tripling medical tourism receipts to RM900 million in tandem with the economic growth. Limitations: The findings should be interpreted with caution. Practical implications: Upcoming opportunities are potential medical travellers from less advanced ASEAN countries. Social implications: Growth of medical tourism should not lead to �brain drain�. Originality: The study is one of its kinds as it highlights by the use of mix mode in analysing the sector�s economic contribution in a trans-boundary tourism context in a modified medical tourism model. Limitations: For the qualitative analysis of this paper on top of limited length of data for quantitative analysis, the findings should be interpreted with caution.Keywords: Decision Process, Economic Integration, Healthcare, Education & Welfare, Health Tourism, Marketing Strategy, Medical Tourism

scholarly journals Access to healthcare for children with Congenital Zika Syndrome in Brazil: perspectives of mothers and health professionals

2019 ◽  
Vol 34 (7) ◽  
pp. 499-507 ◽  
Author(s):  
Maria S V Albuquerque ◽  
Tereza M Lyra ◽  
Ana P L Melo ◽  
Sandra A Valongueiro ◽  
Thalia V B Araújo ◽  
...  
Keyword(s):  
Health System ◽  
Health Professionals ◽  
Healthcare Services ◽  
Access To Healthcare ◽  
Public Healthcare ◽  
Gender Inequalities ◽  
Structured Interviews ◽  
Healthcare Provision ◽  
The Public ◽  
Congenital Zika Syndrome

Abstract The Congenital Zika Syndrome (CZS) epidemic took place in Brazil between 2015 and 2017 and led to the emergence of at least 3194 children born with CZS. We explored access to healthcare services and activities in the Unified Health Service (Sistema Único de Saúde: SUS) from the perspective of mothers of children with CZS and professionals in the Public Healthcare Network. We carried out a qualitative, exploratory study, using semi-structured interviews, in two Brazilian states—Pernambuco, which was the epicentre of the epidemic in Brazil, and Rio de Janeiro, where the epidemic was less intense. The mothers and health professionals reported that healthcare provision was insufficient and fragmented and there were problems with follow-up care. There was a lack of co-ordination and an absence of communication between the various specialized services and between different levels of the health system. We also noted a public–private mixture in access to healthcare services, resulting from a segmented system and related to inequality of access. High reported household expenditure is an expression of the phenomenon of underfunding of the public system. The challenges that mothers and health professionals reported exposes contradictions in the health system which, although universal, does not guarantee equitable and comprehensive care. Other gaps were revealed through the outbreak. The epidemic provided visibility regarding difficulties of access for other children with disabilities determined by other causes. It also made explicit the gender inequalities that had an impact on the lives of mothers and other female caregivers, as well as an absence of the provision of care for these groups. In the face of an epidemic, the Brazilian State reproduced old fashioned forms of action—activities related to the transmitting mosquito and to prevention with an emphasis on the individual and no action related to social determinants.

scholarly journals Professional profile, well-being and job satisfaction among psychologists working in public healthcare services

2015 ◽  
Vol 32 (2) ◽  
pp. 249-258 ◽  
Author(s):  
Alline Alves de Sousa ◽  
Marilia Ferreira Dela Coleta
Keyword(s):  
Job Satisfaction ◽  
Analysis Of Variance ◽  
Working Conditions ◽  
Well Being ◽  
Healthcare Services ◽  
Work Environments ◽  
Public Healthcare ◽  
The Public ◽  
Professional Profile ◽  
Negative Factors

Different work environments and working conditions can affect or influence levels of well-being and job satisfaction. This study's aim was to analyze the well-being and job satisfaction of 66 psychologists working in the public healthcare services of two municipal healthcare centers and a federal university. Data were submitted to descriptive, variance and correlation analyses. The results revealed general averages with values close to the scales' midpoints. The analysis of variance among the groups of psychologists working in the three different facilities showed significant differences in levels of satisfaction regarding working conditions and the perception of accomplishment/expressiveness. The satisfaction scales were significantly correlated with the well-being scales. The conclusion is that the results show possible interventions designed to reduce or eliminate negative factors and increase well-being and job satisfaction.

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