scholarly journals Assessment of the e-health system in the Kaunas City Outpatient Clinic

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
S Kaseliene ◽  
L Blazeviciute ◽  
O Mesceriakova-Veliuliene
Keyword(s):  
Health Services ◽  
Health System ◽  
Outpatient Clinic ◽  
Medical Staff ◽  
Wide Spectrum ◽  
High Quality ◽  
Electronic Prescription ◽  
Quality Health Care ◽  
Staff Members ◽  
Structural Funds

Abstract Background The Lithuanian National Electronic Health (e-health) System was only launched in 2015. The aim of this study is to evaluate the e-health system in the Kaunas City Outpatient Clinic using a system of balanced performance indicators. Methodology The survey was carried out from October until December, 2018, at the Kaunas City Outpatient Clinic (Lithuania). The study included 264 medical staff members and 384 patients. Results 62% of the patients and 100% medical staff of the clinic used various e-health system services. The most often used services by the patients were SMS reminder (75.5%), online registration (70.8%) and electronic prescription (59.3%). The physicians took the most advantage of assigning electronic prescriptions (88.2%), filling the sickness certificates (78.9%), booking laboratory tests and receiving their results electronically (63.9%). Majority of the medical staff and patients stated that the e-health services are of high quality (77.6 and 89.5%, respectively), reliable (86 and 90.8%) and have a wide spectrum of services (75.3 and 93.7%). The most common problems that patients faced when using the e-health system services were the malfunctions and failures of the system (68.9%) or missing health data of the patient (59.7%). According to the medical staff, e-health system technologies do not cover the needs of employees in full extent (95.1%), also, the e-health system is still not completely reliable (97.7%). Only 56.7% specialists stated, that they have enough skills to work with the e-health system, 77.7% would like to improve their professional qualifications in this field. The Clinic used the funds of the institution, municipality or EU structural funds to develop the e-health system, update the computer equipment and software, and acquire licenses. Conclusions More efficient and effective e-health services and developing the capacity of the e-health usage are required to promote high-quality health care in Lithuania. Key messages Although majority of the patients and medical staff members use various e-health system services and are satisfied with their quality, there still are problems with the operation of the system. Specialists feel the lack of skills to work with the e-health system.

scholarly journals Identifying Service Gaps Between Patients and Providers in a Native American Outpatient Clinic

2021 ◽  
Author(s):  
Robert Dorsey ◽  
David Claudio ◽  
Maria A. Velazquez ◽  
Polly Petersen
Keyword(s):  
Native American ◽  
Health Services ◽  
Outpatient Clinic ◽  
Healthcare Services ◽  
Patient Expectations ◽  
Indian Reservation ◽  
Staff Members ◽  
Patient Interviews ◽  
Service Expectations ◽  
Level Satisfaction

Abstract Background: Native American communities in Montana reservations have reported low-level satisfaction in health services. This research explored if the services provided at a Blackfeet Indian Reservation outpatient clinic were designed to meet patient expectations. Methods: Staff and patient interviews and surveys allowed service expectations to be assessed according to the clinic’s ability to meet those expectations. A total of 48 patients and ten staff members (83% of the staff at this clinic) participated in the study voluntarily. Results: We found a disconnect between what patients anticipate for care and what staff think they are anticipating. We also found a discontent between what staff believes patients need versus what the patients feel is needed. Conclusions: These gaps combine to increase the breach between patient expectations and perceptions of their healthcare services. With better insight that captures what patients are looking for from a service, the potential to meet those needs increases and patients feel that their voice is respected and that they are valued.

Telemonitoring Healthcare System-Based Mobile Agent Technology

2019 ◽  
pp. 198-205
Author(s):  
Nardjes Bouchemal ◽  
Ramdane Maamri ◽  
Naila Bouchemal
Keyword(s):  
Health Services ◽  
Healthcare System ◽  
Mobile Agent ◽  
Mobile Device ◽  
Medical Staff ◽  
Healthcare Providers ◽  
Agent Technology ◽  
Staff Members ◽  
Emergency Workers ◽  
New System

Generally, distributed computing through a handheld/mobile device has to be considered with care because of the limited capabilities on these devices. Especially in ubiquitous telemonitoring healthcare, which refers to the disposition of any type of health services, such that medical staff members (physicians, emergency workers, other healthcare providers, etc.) through mobile computing devices can access them and expect data to be made available. In this chapter, the authors present a new system based on ubiquitous agents to assist telemonitoring employees, not only anytime and anywhere but also on any device.

Nurse practitioner locums: a plausible solution for augmenting health care access for rural communities

2021 ◽  
Vol 27 (1) ◽  
pp. 1
Author(s):  
Natasha Jennings ◽  
Grainne Lowe ◽  
Kathleen Tori
Keyword(s):  
Health Care ◽  
Health Services ◽  
Urgent Care ◽  
Rural And Remote ◽  
Remote Communities ◽  
High Quality ◽  
Quality Health Care ◽  
Quality Health ◽  
After Hours ◽  
High Quality Health Care

With 2020 being designated the Year of the Nurse and Midwife, it is opportune to acknowledge and recognise the role that nurses undertake in primary care environments. Nurses and midwives play a pivotal role in the delivery of high-quality health care, particularly in geographically challenged areas of Australia, where they may be the only provider of care within their communities. Rural and remote health services require strategic planning to develop and implement solutions responsive to the challenges of rural and remote communities. Maintenance of health services in rural and remote areas is a challenge, crucial to the equity of health outcomes for these communities. Many small communities rely on visiting medical officers to provide the on-call care to facility services, including emergency departments, urgent care centres, acute wards and aged care facilities. It is increasingly difficult to maintain the current rural workforce models, particularly the provision of after-hours ‘on-call’ care necessary in these communities. An alternative model of health care service delivery staffed by nurse practitioners (NP) is one proposed solution. NPs are educated, skilled and proven in their ability to provide an after-hours or on-call service to meet the expectations of rural and remote communities. Achievement of high-quality health care that is cost-efficient, safe and demonstrates improved patient outcomes has been reported in NP-led health care delivery impact evaluations. The value of an NP locum service model is the provision of a transparent, reliable service delivering consistent, equitable and efficient health care to rural and remote communities.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Making Movies and Community of Talent

2019 ◽  
Vol 10 (11) ◽  
pp. 1057-1064
Author(s):  
Katsuhiko Hirasawa ◽  
Keyword(s):  
Shop Floor ◽  
High Quality ◽  
Democratic Leadership ◽  
Staff Members

Staff members at a movie company Daiei, known for presumably the world’s best film technology, continued to produce movies for several months even after the company went bankrupt. It was because they desired to make outstanding films. A director can create a high-quality film by combining the skills and ideas of such staff. Akira Kurosawa named the group that could produce excellent works the “Community of Talents”. By using research on a community as a clue, this paper aims to highlight how the “Community of Talents” is organized. First I point out that a “Community of Talents” is formulated primarily by the labor of the staff based on Kumazawa’s “Community on the Shop Floor”. The paper subsequently refers to research by Heinrich Nicklish, a representative researcher on the study of community in Germany, in an attempt to verify that the community is a group of people established on functions. Lastly, the paper explores Guido Fisher’s research to reveal the role of democratic leadership centered on the director who transforms the objectified staff in the organization into an independently-minded presence and help them prove their abilities. The paper continues to emphasize the significance of leadership in the formation of the “Community of Talents”.

Multi-level Barriers for Utilization of Youth Friendly Reproductive Health Services (YFRHS) among Youths

2020 ◽  
Vol 8 ◽  
pp. 95-108
Author(s):  
Shanti Prasad Khanal
Keyword(s):  
Reproductive Health ◽  
Health Services ◽  
Health System ◽  
System Level ◽  
Mixed Method Research ◽  
Reproductive Health Services ◽  
Group Discussions ◽  
Personal Level ◽  
Multi Level ◽  
Youth Friendly

 The present study aims to examine the multi-level barriers to utilize by the youth-friendly reproductive health services (YFRHS) among the school-going youths of the Surkhet valley of Nepal. This study is based on the sequential explanatory research design under mixed-method research. The quantitative data were collected using the self- administered questionnaire from the 249 youths, aged between the 15-24 years, those selected by using random sampling. The qualitative data were collected using the Focus Group Discussions (FGDs) from the 12 participants who were selected purposively. The study confirmed that school-going youths do not have appropriate utilization of YFHS due to multi-layered barriers. However, the utilization of the service was higher among females, those the older age group, studying in the upper classes, the upper castes, and married youths. The key findings and themes are recognized as multi-layered barriers including personal-level, health system-level, community-level, and policy-level on the entire socio-ecological field. Among them, the existing health system is the foremost barrier. Multi-level interventions are, therefore, required to increase the YFRHS utilization and improve concerns for school-going-youths.  

Issues of co-financing of drug provision for the population: international and Russian practice

2020 ◽  
pp. 49-56
Author(s):  
Vasiliy Ryazhenov ◽  
Victoriya Andreyeva ◽  
Elena Zakharochkina
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Health System ◽  
Health Care System ◽  
Russian Federation ◽  
High Quality ◽  
Russian President ◽  
The Russian Federation ◽  
Vladimir Putin ◽  
Drug Provision

Russian President Vladimir Putin defined increase in life expectancy from 72.7 to 78 years by 2024 as a national aim in the Decree № 204 of May 7, 2018. Achievement of this aim depends on drug provision system among other factors. Strategy of drug provision for the population of the Russian Federation for the period until 2025 sets the goal of increasing availability of high quality, effective and safe medicines to meet needs of the population and the health system based on the formation of a rational and balanced system of drug provision for the population of the country with available resources. The health care system should expand the possibilities of using modern and effective mechanisms to ensure the financing of drug provision for the population.

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