scholarly journals Implementing COVID-19 Surveillance Through Inter-Organizational Coordination: A Qualitative Study of Three Cities in Colombia

2021 ◽  
Author(s):  
Simon Turner ◽  
Carolina Segura ◽  
Natalia Niño
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Disease Surveillance ◽  
Service Providers ◽  
Health Planning ◽  
Insurance Companies ◽  
Health Providers ◽  
Structured Interviews ◽  
Coordination Strategies

Abstract Introducing comprehensive surveillance is recommended as an urgent public health measure to control and mitigate the spread of COVID-19 worldwide. However, its implementation has proven challenging as it requires inter-organizational coordination among multiple health care stakeholders. The purpose of this study was to examine the role of soft and hard mechanisms in the implementation of inter-organizational coordination strategies for COVID-19 surveillance within Colombia, drawing on evidence from the cities of Bogotá, Cali and Cartagena. The study used a case study approach to understand the perspectives of local and national authorities, insurance companies and health providers in the implementation of inter-organizational coordination strategies for COVID-19 surveillance. 81 semi-structured interviews were conducted between June and November 2020. The data was analysed by codes and categorized using New NVivo software. The study identified inter-organizational coordination strategies that were implemented to provide COVID-19 surveillance in the three cities. Both soft (e.g. trust and shared purpose) and hard mechanisms (e.g. formal agreements and regulations) acted as mediators for collaboration and helped to address existing structural barriers in the provision of health services. The findings suggest that soft and hard mechanisms contributed to promoting change among health care system stakeholders and improved inter-organizational coordination for disease surveillance. The findings contribute to evidence regarding practices to improve coordinated surveillance of disease, including the roles of new forms of financing and contracting between insurers and public and private health service providers, logistics regarding early diagnosis in infectious disease, and the provision of health services at the community level regardless of insurance affiliation. Our research provides evidence to improve disease surveillance frameworks in fragmented health systems contributing to public health planning and health system improvement.

scholarly journals Upaya Pengobatan Promotif, Preventif, Kuratif, dan Rehabilitatif Demam Berdarah di Kecamatan Bulukerto, Wonogiri

2019 ◽  
Author(s):  
Aldona Akhira Susanto
Keyword(s):  
Public Health ◽  
Health Care ◽  
Qualitative Research ◽  
Mortality Rate ◽  
Health Services ◽  
Dengue Fever ◽  
Local Health ◽  
Health Providers ◽  
Public Health Services ◽  
Local Health Care

Background and Objective: Dengue fever is a disease caused by infection from a virus carried by Aedes (Ae.). In Indonesia, dengue fever has high mortality rate. To reduce the risk of dengue fever there are four stages of public health services. These services include promotive, preventive, curative, and rehabilitative efforts. The purpose of this study was to determine the implementation of health services for dengue fever in Bulukerto. Method: This study use qualitative research with data in the form of descriptions. Result: Bulukerto has carried out four stages of health services. These efforts include counseling, GERMAS programs, outpatient or hospitalization, and education to patients. Conclusion: There are still rooms for improvement in local health care to minimalize the risk of dengue fever. Local health providers are expected to be more aware and active in preventing dengue feve. Aside from that, people in this society need more education concerning the risk and steps to prevent dengue fever.

scholarly journals Factors Affecting Interests of Adolescent Visit in Poly PKPR (Health Care Service) Public Health Gondang Legi Malang District

2020 ◽  
Vol 4 (1) ◽  
pp. 78-85
Author(s):  
Evi Kurniawati ◽  
Nurwijayanti Nurwijayanti ◽  
Agusta Dian Ellina
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Health Center ◽  
Service Providers ◽  
Health Workers ◽  
Youth Care ◽  
Care Health ◽  
Return Visits

A person's interest in services is related to the ability of these service providers to provide care. Interest in adolescents to take advantage of adolescent health care services is influenced by several factors, including perceptions, peers and the role of health workers in the service at puskesmas. The purpose of this study was to analyze the factors that influence the interest of teenage return visits at the PKPR (Youth Caring Health Services) Gondang Legi Health Center in Malang Regency. The design of this study was an observational quantitative study with a cross sectional approach with the focus of the research directed to be analyzing perceptions, the role of peers and the role of health workers on the interest of teenage return visits at the PKPR (Youth Care Health Services) Gondang Legi Public Health Center Malang Regency with a population of 167 respondents and a sample of 113 respondents taken by accidental sampling technique. The findings found that the majority of respondents had less categories of perception as many as 57 respondents (50.4%). In addition, the majority of respondents had the role of less peer categories of 45 respondents (51.3%). In addition, most respondents had the role of health workers in the good category of 59 respondents (52.2%). While the majority of respondents had a high interest category of 62 respondents (54.9%). The results of the study using the Logistic Regression Test showed that a p-value of 0,000 <0.05 then H1 was accepted so it was concluded that there was simultaneously the influence of perception, the role of peers and the role of health workers on the interest of teenage returnees in the PKPR (Youth Care Health Services) ) Gondang Legi Health Center in Malang Regency. The perspective of the patient regarding the available health services raises their perceptions. All friends will make an impact on individuals. And the provision of special services to adolescents through special treatment tailored to the desires, tastes and needs of adolescents has not been implemented

scholarly journals Telemedicine: Bridging the Gap between Refugee Health and Health Services Accessibility in Hamilton, Ontario

Refuge ◽  
2016 ◽  
Vol 32 (3) ◽  
pp. 108-118 ◽  
Author(s):  
Anthony Robert Sandre ◽  
K. Bruce Newbold
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Service Providers ◽  
Health Services Accessibility ◽  
Refugee Health ◽  
Cultural Barriers ◽  
Structured Interviews ◽  
Care Services ◽  
Specialist Health Care

Refugees face considerable challenges upon seeking asylum in Canada, and accessing health care services remains a prominent issue. Recurrent themes in the literature outlining barriers to health-services accessibility include geographic, economic, and cultural barriers. Drawing on the experiences of service providers in Hamilton, Ontario, we explored the efficacy of telemedicine services in bridging the gap between refugee health and health services accessibility. Research methodology included structured interviews with clinicians who provide health-care services to refugees, complemented by a scoping literature review. The results of this exploratory study demonstrate the efficacy of telemedicine in encouraging dialogue and policy change in the greater health-care setting, and its potential to increase access to specialist health-care services.

Epidemiology and Primary Health Care

2021 ◽  
pp. 1-19
Author(s):  
J Patrick Vaughan ◽  
Cesar Victora ◽  
A Mushtaque R Chowdhury
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Systems Approach ◽  
Health Planning ◽  
District Health ◽  
The Sustainable Development ◽  
Primary Health ◽  
Local Decision Making

This chapter introduces the Sustainable Development Goals (SDGs) and Universal Health Coverage (UHC) and the central role of epidemiological concepts, knowledge, and skills in planning, management, and evaluation of district health systems in support of primary health care. It focuses on interventions to improve the health status of whole populations and shows how epidemiology is essential to support local decision-making for improvements in the population’s health. Health planning is outlined using a systems approach for high-priority health services and public health programmes delivered by district health services and programmes. The differences between interventions for clinical medicine and public health are explained. The systems approach to district planning are also explained.

scholarly journals 30.G. Round table: Health planning In Europe: preparing for the expected and the unexpected

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Disease Burden ◽  
Health Planning ◽  
Round Table ◽  
Care Planning ◽  
Health Care Needs ◽  
Health Care Planning ◽  
Care Needs

Abstract The objective of this round table discussion is to highlight the need for careful and systematic health planning of health systems in Europe, illustrate how health planning can be used for policy and management and provide some useful tools for participants to bring home and apply in their own contexts. Participants will acquire knowledge on current health care planning in some leading international organisations, with examples from some countries and region Health in Europe is facing challenges and threats of both immediate and longer term character. In recent years, discussions on health care in the future has focussed on pressures coming from the increase in chronic diseases and demographic changes, such as the growing number of older people. Recently, the covid-19 outbreak has shown that newly emerging diseases can cause massive challenges to public health and health services. Both developments illustrate the need of health systems to be prepared for both expected and unexpected developments and to engage in careful planning of resource needs to ensure good health services to all. This session seeks to present approaches to health planning and discuss with the audience different methods for simulation and analysis of future health care needs and the resulting requirements for financial and human resources. The session will contribute to the development of health services and public health in Europe by highlighting the necessity to establish structures for comprehensive health planning and to seek ways to meet future challenges well in time. The round-table will have four participants, each of them giving an initial brief on some essential elements of health planning: projections of disease burden and health care needs,forecasting of health care costs and funding sources,health workforce needs in relation to disease burden projections, andplanning for unexpected events such as pandemics and climate threats Each brief will be given a short comment by one of the other participants. After all four briefs, panel members will give general or specific comments on the topic and subsequently, the audience will be invited to provide input and pose questions to the panel members. Based on the presentations given and the information provided in the discussions, a report on the session will be compiled and made available to participants and the wider public electronically. Key messages Health care planning is important for emergency preparedness and long term sustainable delivery of health services. The best available estimates of population health developments and the resulting needs for prevention and health care should be the basis for health services planning.

Health Care for South Lebanon's Civilian Population Following the June 1982 War

1985 ◽  
Vol 1 (1) ◽  
pp. 50-54
Author(s):  
T.H. Tulchinsky ◽  
Yakov Adler
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Child Nutrition ◽  
Renal Dialysis ◽  
Nutrition Status ◽  
Local Health ◽  
Dialysis Unit ◽  
Medical Needs ◽  
South Lebanon

AbstractFollowing the June 1982 war in South Lebanon, the Israel Ministry of Health sent a medical team to assess health conditions in the area, to assist in the restoration of local health services, and to provide additional medical assistance as needed in public health and specialized medical services. For the approximately 600,000 population of the area, public health sanitary conditions were restored by local authorities, with some external assistance. Sanitation and housing for the refugee camp populations were difficult to solve because of extensive damage in the camps; but United Nations activities, supported by international and Israeli sources, were effective. Epidemic conditions did not occur. Monitoring for specific infectious diseases showed increases not exceeding usual summer conditions. Child nutrition status was satisfactory. Medical needs for specialty services, not available in South Lebanon, were arranged through screening and referral to Israeli hospitals. Renal dialysis needs were met by establishing a dialysis unit using local personnel in a damaged and non-functioning government hospital. Private medical and hospital services, the bulk of health care in the area, functioned except for minor dislocations throughout the war and post-war period. Israeli medical aid, managed by a small multidisciplinary team, was designed to assist and, where necessary, augment rather than replace local health services.

scholarly journals Community pharmacy as a setting for public health nutrition action: Australian nutritionists’ perspectives

2014 ◽  
Vol 18 (10) ◽  
pp. 1864-1872 ◽  
Author(s):  
Judith H Maher ◽  
John Lowe ◽  
Roger Hughes
Keyword(s):  
Public Health ◽  
Health Care ◽  
Community Pharmacy ◽  
Qualitative Data ◽  
Infant Nutrition ◽  
Public Health Nutrition ◽  
Structured Interviews ◽  
Nutrient Supplementation ◽  
Practice Experience ◽  
In Pregnancy

AbstractObjectiveTo explore public health nutritionists’ perceptions of nutrition and its place in community pharmacy (CP) presently and into the future; and to explore perceived opportunities, feasibility and scope of public health nutrition (PHN) interventions in CP, with a focus on maternal and infant nutrition.DesignQualitative data were gathered through semi-structured interviews and drew on hermeneutics as the theoretical framework for analysis and interpretation.SettingQueensland, Australia.SubjectsPublic health nutritionists, identified through purposive, criterion sampling, were chosen due to (i) their role as potential stakeholders, (ii) their knowledge and emphasis on nutrition and (iii) their practice experience.ResultsOpportunities for PHN action focused primarily on actions relating to early nutrient supplementation in pregnancy and breast-feeding protection and promotion. Opportunities in CP were constrained by practitioners’ perception of (i) conflict between health care and commercial interests in CP, (ii) problematic practices in CP and (iii) values and motivations of practitioners and other stakeholders in the CP sector. Strategies were suggested to improve practices and enhance the setting from a PHN perspective. Participants suggested both collaborative and regulatory approaches to achieve settings-based changes, identifying the need for these to coexist for effective outcomes.ConclusionsPublic health nutritionists suggest that opportunities for PHN action are constrained by perceived conflicted interests and that consumers need to be adequately protected from the influence of commercial interests. PHN action in this setting needs adequate reflection on evidence as well as ethics ensuring that practices are ‘for the good’ of mothers and infants.

scholarly journals The therapeutic journey of families of children with respiratory diseases in the public health service

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Respiratory Diseases ◽  
Health Issues ◽  
Public Health Services ◽  
The Public ◽  
Primary Health ◽  
Therapeutic Encounters ◽  
Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

scholarly journals ‘By the way….how’s your sex life?’ – A descriptive study reporting primary health care registered nurses engagement with youth about sexual health

2017 ◽  
Vol 9 (1) ◽  
pp. 22 ◽  
Author(s):  
Rhiannon Martel ◽  
Ruth Crawford ◽  
Helen Riden
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Sexual Health ◽  
Registered Nurses ◽  
Online Survey ◽  
Ethical Issues ◽  
Descriptive Study ◽  
Health Providers ◽  
Cultural Issues ◽  
Structured Interviews

ABSTRACT INTRODUCTION Youth rates of sexually transmitted infections in New Zealand are among the highest in the Organisation for Economic Cooperation and Development. Registered nurses employed in primary healthcare settings (PHC RNs) may lack confidence engaging with youth about their sexual health. AIM To identify what facilitates PHC RNs to discuss sexual health with youth. METHODS This descriptive study was undertaken in two phases. In phase one, 23 PHC RNs completed an online survey. Phase two followed up the survey with semi-structured interviews with seven PHC RNs. RESULTS Most PHC RNs are female, aged between 40 and 60 years old and identify with New Zealand or other European ethnicity. Participants identified specific educational needs relating to youth sexual health that are not being met: legal and ethical issues (65%); cultural issues (65%); youth sexual (44%) and psychological (52%) development; and working with gay, lesbian, bisexual or transsexual youth (48%). Lack of time was cited as a barrier to engaging with youth about sexual health by 30% of the participants. Ongoing support practices such as regular debriefing, reflections of practice and case reviews with colleagues (74%); support from other sexual health providers (87%); and access to educational materials about youth sexual health aimed at health professionals (100%) were perceived to be useful to increase confidence in discussing sexual health with youth. DISCUSSION The PHC RNs lacked knowledge and confidence engaging with youth about sexual health. PHC RNs need resourcing to provide culturally safe, effective sexual health care to youth.

Case Study E-Tailing Health Services in India

2016 ◽  
pp. 292-308
Author(s):  
Bobby Kurian
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Information Dissemination ◽  
Health Providers ◽  
The Public ◽  
Care Services ◽  
The World

This case study has been developed to promote understanding the e-tailing of health services. E-health web portal provides a new medium for information dissemination, interaction and collaboration among institutions, health professionals, health providers and the public. This case study provides a founders perspective in setting up and running a medical website that offers online health care services to customers across the world. The case study discusses the challenges and issues faced by the founders and also the promoter's perspective on the lucrativeness of offering e-tailing services. Using this case study an attempt is made to stress the importance of a flexible e-tailing business model specific to the services offered and need of periodic assessments to ensure that the business runs profitable.

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