scholarly journals Maternal perceptions of paediatric cancer and diabetes in Cameroon

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Wamba ◽  
M Matchika Mégaptché ◽  
J-P Mambou Nouemssi ◽  
P Koki Ndombo ◽  
A-H Pondy Ongotsoyi
Keyword(s):  
Health Care ◽  
Health Education ◽  
Health Care Providers ◽  
Care Service ◽  
Caregiver Training ◽  
Care Providers ◽  
Paediatric Cancer ◽  
Maternal Perceptions ◽  
Early Screening ◽  
Therapeutic Care

Abstract Background Maternal perceptions of paediatric cancer and diabetes are still poorly studied in Cameroon, while they are considered as an inevitable part of the chronic diseases. Little is known to what maternal representations of paediatric cancer or diabetes refer to. Their contents remain unknown; and they are rarely taken into account in training programs for health care providers and educators. Yet, when ignored, they can have consequences impacting the relational dimension of care, prevention of relapses, disease complications, health education and behaviour change. Methods Based on a critique of the psychosocial conceptual models used in prevention, this study combines a qualitative approach aimed at identifying and describing mothers’ perceptions about paediatric cancer and diabetes, transforming them into educational content that can be reused for the training of health care providers and educators; and a quantitative component, obtaining their impact on the therapeutic relationship and therapeutic compliance. Results The results show that caregivers (healers, physicians), children, mothers and their close family are involved in the relational component of care; the Cameroonian mother expects that the therapist consulted should be a psycho-oncologist or a psycho-diabetologist, who can (power) and knows (knowdlege). Maternal perceptions determine the techno-therapeutic dimension, and may, if ignored, threaten therapeutic adherence, leading to abandonment. Conclusions This study suggests integrating maternal perceptions of cancer and diabetes with the messages used to elaborate languages for health education and caregiver training, to associate the healers to the early screening of cancer and diabetes, and to their educational, preventive and therapeutic care. Also suggested by this research is consideration of the relational dimension as a care service, and maternal perceptions as an illness that will need to be treated like cancer and diabetes. Key messages Associate the healers to the early screening of cancer and diabetes, and to their educational, preventive and therapeutic care. Considering relational dimension as a care service, and maternal perceptions as an illness that will need to be treated like cancer and diabetes.

Nutrition in Primary Health Care: Using a Delphi Process To Design New Interdisciplinary Services

2006 ◽  
Vol 67 (S1) ◽  
pp. S14-S29 ◽  
Author(s):  
Paula Brauer ◽  
Linda Dietrich ◽  
Bridget Davidson ◽  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Health Care Providers ◽  
Administrative Support ◽  
Care Service ◽  
Delphi Process ◽  
Care Providers ◽  
Modified Delphi ◽  
Nutrition Services ◽  
Key Features

Purpose: A modified Delphi process was used to identify key features of interdisciplinary nutrition services, including provider roles and responsibilities for Ontario Family Health Networks (FHNs), a family physician-based type of primary care. Methods: Twenty-three representatives from interested professional organizations, including three FHN demonstration sites, completed a modified Delphi process. Participants reviewed evidence from a systematic literature review, a patient survey, a costing analysis, and key informant interview results before undertaking the Delphi process. Statements describing various options for services were developed at an in-person meeting, which was followed by two rounds of e-mail questionnaires. Teleconference discussions were held between rounds. Results: An interdisciplinary model with differing and complementary roles for health care providers emerged from the process. Additional key features addressing screening for nutrition problems, health promotion and disease prevention, team collaboration, planning and evaluation, administrative support, access to care, and medical directives/delegated acts were identified. Under the proposed model, the registered dietitian is the team member responsible for managing all aspects of nutrition services, from needs assessment to program delivery, as well as for supporting all providers’ nutrition services. Conclusions: The proposed interdisciplinary nutrition services model merits evaluation of cost, effectiveness, applicability, and sustainability in team-based primary care service settings.

scholarly journals Providing gender-affirming hormone therapy through primary care: Service users' and health professionals' experiences of a pilot clinic

2020 ◽  
Author(s):  
A Ker ◽  
Gloria Fraser ◽  
Antonia Lyons ◽  
C Stephenson ◽  
T Fleming
Keyword(s):  
Primary Care ◽  
Health Care ◽  
New Zealand ◽  
Hormone Therapy ◽  
Health Care Providers ◽  
Health Professionals ◽  
Care Service ◽  
Gender Diversity ◽  
Service Users ◽  
Care Providers

© 2020 CSIRO Publishing Journal Compilation © Royal New Zealand College of General Practitioners 2020 This is an open access article licensed under a. INTRODUCTION: Primary health care providers are playing an increasingly important role in providing gender-affirming health care for gender diverse people. This article explores the experiences of a primary care-based pilot clinic providing gender-affirming hormone therapy in Wellington, New Zealand. AIM: To evaluate service users' and health professionals' experiences of a pilot clinic at Mauri Ora (Victoria University of Wellington's Student Health and Counselling Service) that provided gender-affirming hormones through primary care. METHODS: In-depth interviews were conducted with four (out of six) service users and four health professionals about their perspectives on the clinic. Interviews were transcribed verbatim and analysed using thematic analysis. RESULTS: Three themes were identified in service users' interviews, who discussed receiving affirming care due to the clinic's accessibility, relationship-centred care and timeliness. Three themes were identified in the health professionals' interviews, who described how the clinic involves partnership, affirms users' gender and agency, and is adaptable to other primary care settings. Both service users and health professionals discussed concerns about the lack of adequate funding for primary care services and the tensions between addressing mental health needs and accessing timely care. DISCUSSION: The experiences of service users and health professionals confirm the value of providing gender-affirming hormone therapy in primary care. Models based in primary care are likely to increase accessibility, depathologise gender diversity and reduce wait times.

Exploring the market to establish an advanced surgical community eye hospital

2020 ◽  
pp. 147078532097005
Author(s):  
Ishaana Sood ◽  
Shalinder Sabherwal ◽  
Shantanu DasGupta ◽  
Naval Chauhan ◽  
Anand Chinnakaran ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Providers ◽  
Care Service ◽  
Health Care Service ◽  
Uttar Pradesh ◽  
Field Research ◽  
Building Blocks ◽  
Care Providers ◽  
Resource Limited

Developing countries often cite shortage of human resource, limited accessibility, low affordability, and asymmetric availability of health care resources as the provider end barriers to health care service utilization. Using the example of a market research project undertaken to establish an advanced surgical eye hospital in the Indian state of Uttar Pradesh, a decision-grid is constructed whereby health care providers’ can make informed decisions regarding expansion and service delivery. The comparative and interpretive logic-based approach utilizes public domain data coupled with field research and is apt for those working in developing countries and/or resource-crunch settings. The paradigms laid out and discussed, provide building blocks for decision-making, which if harnessed effectively, have broad applicability in terms of reaching the previously unreached and ultimately in improving health outcomes.

scholarly journals A Needs Assessment of Latino Men’s Health Concerns

2008 ◽  
Vol 4 (1) ◽  
pp. 22-32 ◽  
Author(s):  
Terry Peak ◽  
Julie Gast ◽  
Denice Ahlstrom
Keyword(s):  
Health Care ◽  
Health Education ◽  
Health Information ◽  
Health Care Providers ◽  
Low Cost ◽  
Care Providers ◽  
Latino Men ◽  
Health Concerns ◽  
Traditional Health ◽  
The Impact

Historically, Latino men are an understudied group. Researchers know little about the impact of culture or gender on health concerns. In this study, focus groups with Latino men were held that investigated their health concerns, barriers, motivators, and access to health information and health services. Additionally, the researchers wished to determine if a church-based design might help reach men who might not be responsive to more traditional health education or public health routes. Results included that the Latino male participants in this study wanted health information but wanted it to be more specific and in an accessible format. They also desired more Spanish-speaking health care providers and were acutely interested in low-cost health care. Prevention was not of much interest to these participants. Church-attending participants were interested in church-based health education.

scholarly journals Health Education Serious Games Targeting Health Care Providers, Patients, and Public Health Users: Scoping Review (Preprint)

2019 ◽  
Author(s):  
Nahid Sharifzadeh ◽  
Hadi Kharrazi ◽  
Elham Nazari ◽  
Hamed Tabesh ◽  
Maryam Edalati Khodabandeh ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Education ◽  
Health Care Providers ◽  
Scoping Review ◽  
Serious Games ◽  
Educational Games ◽  
Care Providers ◽  
Serious Educational Games

BACKGROUND Serious educational games have shown effectiveness in improving various health outcomes. Previous reviews of health education games have focused on specific diseases, certain medical subjects, fixed target groups, or limited outcomes of interest. Given the recent surge in health game studies, a scoping review of health education games is needed to provide an updated overview of various aspects of such serious games. OBJECTIVE This study aimed to conduct a scoping review of the design and evaluation of serious educational games for health targeting health care providers, patients, and public (health) users. METHODS We identified 2313 studies using a unique combination of keywords in the PubMed and ScienceDirect databases. A total of 161 studies were included in this review after removing duplicates (n=55) and excluding studies not meeting our inclusion criteria (1917 based on title and abstract and 180 after reviewing the full text). The results were stratified based on games targeting health care providers, patients, and public users. RESULTS Most health education games were developed and evaluated in America (82/161, 50.9%) and Europe (64/161, 39.8%), with a considerable number of studies published after 2012. We discovered 58.4% (94/161) of studies aiming to improve knowledge learning and 41.6% (67/161) to enhance skill development. The studies targeted various categories of end users: health care providers (42/161, 26.1%), patients (38/161, 23.6%), public users (75/161, 46.6%), and a mix of users (6/161, 3.7%). Among games targeting patients, only 13% (6/44) targeted a specific disease, whereas a growing majority targeted lifestyle behaviors, social interactions, cognition, and generic health issues (eg, safety and nutrition). Among 101 studies reporting gameplay specifications, the most common gameplay duration was 30 to 45 min. Of the 61 studies reporting game repetition, only 14% (9/61) of the games allowed the users to play the game with unlimited repetitions. From 32 studies that measured follow-up duration after the game intervention, only 1 study reported a 2-year postintervention follow-up. More than 57.7% (93/161) of the games did not have a multidisciplinary team to design, develop, or assess the game. CONCLUSIONS Serious games are increasingly used for health education targeting a variety of end users. This study offers an updated scoping review of the studies assessing the value of serious games in improving health education. The results showed a promising trend in diversifying the application of health education games that go beyond a specific medical condition. However, our findings indicate the need for health education game development and adoption in developing countries and the need to focus on multidisciplinary teamwork in designing effective health education games. Furthermore, future health games should expand the duration and repetition of games and increase the length of the follow-up assessments to provide evidence on long-term effectiveness.

scholarly journals Assessment of Availability and Quality of Emergency Obstetric and Newborn Care Service in Southwestern Oromia, Ethiopia, 2017

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Dejene Edosa
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Service ◽  
Newborn Care ◽  
Neonatal Morbidity ◽  
Categorical Variables ◽  
Care Providers ◽  
Cross Sectional ◽  
Signal Functions

Background. Emergency obstetrics and newborn care (EmONC) is an important lifesaving function which can avert the death of women facing obstetrics-related complications. It is a cost-effective, significant intervention to decrease maternal and neonatal morbidity and mortality in poor resource settings, including Ethiopia. Objective. The aim of this study was to assess the availability and quality of the EmONC services in southwestern Oromia, Ethiopia, in 2017. Methods. An institutional-based cross-sectional study was implemented from April to May 2017. Data were collected using checklists and questionnaires developed from different studies. Data were analyzed using EPI-info and exported to SPSS version 20 for further analysis. Each descriptive statistic was summarized using frequency, percentage, and tables for categorical variables. Results. Despite the fact that the overall coverage of fully functioning basic emergency obstetric and newborn care (BEmONC) facilities was greater than 5 per 500,000 people, nearly one-fourth (25.64%) provided less than expected signal functions, indicating that these facilities were nonfunctional. There were only 0.24 comprehensive emergency obstetric and newborn care (CEmONC) facilities per 500,000 people. The result of this study also revealed that the quality of EmONC facilities in all health-care settings was poor. Conclusion and Recommendation. There were gaps in performance signal functions as well as the availability and quality of EmONC in the study area. Availability and quality of EmONC necessitate improvements through enhancing health-care providers’ skills by training and mentoring as well as enabling facilities accessible for utilization of EmONC. Further research is needed to identify factors that could be barriers to the performance quality and coverage of EmONC services.

scholarly journals Family Caregiver Training During Medicare Home Health Care: Clinician Perspectives

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 535-535
Author(s):  
Julia Burgdorf ◽  
Alicia Arbaje
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Home Health Care ◽  
Family Caregiver ◽  
Home Health ◽  
Assessment Tools ◽  
Caregiver Training ◽  
Cyclic Process ◽  
Care Providers

Abstract During Medicare home health care, providers often rely on family caregivers to help meet patients’ care needs. Beginning in 2018, CMS requires home health agencies to provide training to family caregivers. This qualitative study is the first research to examine current patterns of family caregiver training, and related facilitators and barriers, during Medicare-funded home health care. We conducted semi-structured key informant interviews with home health nurses and physical therapists (n=19) from 4 diverse agencies, then performed thematic analysis of interview transcripts using a hybrid inductive and deductive coding approach. Clinicians described family caregiver education as a dynamic and cyclical process: simultaneously providing patient care, training family caregivers, and gathering additional information about patient needs and caregiver capabilities, then adjusting the care plan accordingly. We present a model of this cyclic process and describe its four major stages: Initial Assessment, Education, Reassessment, and Adjustment. Additionally, clinicians identified a range of structural, individual, and interpersonal factors which impact their ability to successfully train family caregivers. We define each factor and, using illustrative quotes from our interviews, elucidate its role as a facilitator and/or barrier to clinicians’ educational efforts. Findings provide the first model of caregiver training during home health care and highlight policy and practice changes to better support clinicians in these efforts; including greater visit flexibility, access to more experienced clinical mentors, and standardized caregiver assessment tools designed for this unique care setting.

Volunteering in hospice and palliative care in Germany

2018 ◽  
Author(s):  
Michaela Hesse ◽  
Lukas Radbruch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Hospice Care ◽  
Care Service ◽  
Health Care Service ◽  
Care Providers ◽  
Specialist Services ◽  
Patient Groups ◽  
Hospice And Palliative Care

German hospice care developed as a civil society movement in which volunteers were essential from the beginning. Palliative care was, however, led by a few pioneer physicians and started independently from hospices. This separate development is still visible with a clear distinction between palliative care units and inpatient hospices. Over the last two decades these two areas of care have moved more into the regular health care service. As a result volunteer services are increasingly subject to regulations. This also means that there is an increasing amount of competition and economic pressure. Developing trust and high transparency in the local and regional palliative care networks, and open and bilateral collaboration of specialist services with general practitioners (GPs) and other health care providers on the basic palliative care level are prerequisites of integrated palliative care. Ongoing development leads to changes in the patient groups that receive palliative care.

Service Providers’ Decision to Use Ethics Committees and Consultation in Complex Services

2020 ◽  
Vol 57 (2) ◽  
pp. 278-297 ◽  
Author(s):  
J. Daniel Zyung ◽  
Vikas Mittal ◽  
Sunder Kekre ◽  
Gajanan G. Hegde ◽  
Jennifer Shang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ethical Decision Making ◽  
Service Providers ◽  
Ethical Dilemmas ◽  
Care Service ◽  
Health Care Service ◽  
Ethics Consultation ◽  
Ethics Committees ◽  
Care Providers

Ethics has long been, and continues to be, a central topic among marketing scholars and practitioners. When providing complex services—multiple interactions over time that are predicated on the evolving needs of customers—service providers face ethical dilemmas, which are often resolved by engaging an ethics committee (EC). Despite the prevalence of ECs, research on service providers’ preference to engage with an EC is sparse. This study examines whether the role that health care providers play, as either task manager or relationship manager, makes a difference in their preference for engaging with and utilizing an EC for resolving ethical dilemmas. Results based on 1,440 observations collected from health care service providers show that service providers’ task or relationship management role, as well as prior experience with an ethics consultation, influences their preference both for engaging an EC and for having the EC prescribe a specific outcome to resolve an ethical dilemma. This study extends prior work on conceptual models examining ethical decision-making processes in marketing.

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