MO771A DEDICATED INTERVENTIONAL NEPHROLOGY SERVICE LEADS TO BETTER RENAL SERVICE PROVISION

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
Rauri Clark ◽  
Saeed Ahmed ◽  
James Andrews ◽  
Shalabh Srivastava
Keyword(s):  
Interventional Radiology ◽  
Service Provision ◽  
Dialysis Access ◽  
Fluoroscopic Guidance ◽  
Day Case ◽  
Haemodialysis Catheter ◽  
One Stop ◽  
Efficient Care

Abstract Background and Aims Interventional Nephrology is a renal procedural sub-speciality that provides procedures the following procedures necessary for the maintenance of dialysis access and renal diagnostics: In most centres regionally and nationally, these procedures are performed by a mix of nephrologists, radiologists and surgeons. In many centres haemodialysis catheter procedures are performed by nephrologists but without fluoroscopic guidance, with only those procedures which fail to be completed being escalated to interventional radiology. Access to real time imaging improves safety and quality of patient experience by reducing the rate of procedural failure and can the rate of serious complications. The Sunderland Diagnostic and Interventional Nephrology (SDIN) service was launched in 2018. Briefly, this is a ‘one stop shop’ for all of the above procedures with pre-procedural assessment and post-procedural recovery provided in a dedicated renal day-case area. Procedure lists run Monday to Friday, 52 weeks per year, and are provided by four interventional nephrologists. Method Data was collected retrospectively on all activity under the Sunderland Diagnostic and Interventional Nephrology service. Results The service has delivered the following benefits: Conclusion A dedicated interventional Nephrology service leads to significant benefits for the providing unit and leads to efficiency savings. Most importantly, patients receive safe and efficient care leading to improved experience and in the long term improved clinical outcomes.

Special Bulletin: NDC Invest: Supporting Transformational Climate Policy and Finance in Latin American and the Caribbean

2021 ◽  
Author(s):  
Keyword(s):  
Sustainable Development ◽  
Latin American ◽  
Scale Up ◽  
Net Zero ◽  
One Stop ◽  
Nationally Determined Contributions ◽  
The Caribbean ◽  
The One

NDC Invest was created as the one-stop-shop of the IDB Group providing technical and financial support for countries in Latin American and the Caribbean (LAC) in their efforts to achieve the climate objectives under the Paris Agreement, seeking to transition to a net-zero, resilient, and sustainable development pathway that improves the quality of life and prosperity in LAC. We have recently published a paper that describes three NDC Invest products to support Governments to tackle challenges and scale up action towards a climate-aligned and sustainable development path. In this Special Bulletin, we provide a snapshot of our thee products: i) the design of Long-Term Strategies (LTS) for net-zero emissions and resilience; ii) design of ambitious Nationally Determined Contributions (NDCs), aligned to LTS; and iii) design of investment plans and finance strategies.

scholarly journals Views from Below: Inspectors’ Coping with Hybrid Accountabilities

2020 ◽  
Vol 691 (1) ◽  
pp. 138-152
Author(s):  
Tanja Klenk
Keyword(s):  
Service Provision ◽  
Long Term Care ◽  
Negative Impact ◽  
Care Service ◽  
Term Care ◽  
Institutional Settings ◽  
Regulatory Culture ◽  
Care Regulation

Regulation of long-term care service provision is a case of hybrid accountabilities. How do inspectors who are responsible for the implementation of regulations handle the uncertainties arising from hybrid accountabilities? While the prevailing scholarly consensus is that hybridity creates tensions that have a negative impact on the quality of regulation, this article shows that different accountabilities can reinforce each other. However, situations in which inspectors can develop a positive stance toward hybridity and integrate competing logics are rare. Hybrid professionalism among inspectors requires training, education, and resources as well as a joint regulatory culture with inspectees—preconditions that are hardly present in recent institutional settings of long-term care regulation.

scholarly journals Investigating factors influencing quality-of-life effects of home care services in Austria, England and Finland: A comparative analysis

2021 ◽  
pp. 095892872097418
Author(s):  
Birgit Trukeschitz ◽  
Assma Hajji ◽  
Judith Kieninger ◽  
Juliette Malley ◽  
Ismo Linnosmaa ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Home Care ◽  
Service Provision ◽  
Care Service ◽  
Home Care Services ◽  
Home Care Service ◽  
Term Care ◽  
Care Services

European countries have developed a range of long-term care (LTC) policy responses to support the increasing share of older people. However, little is known about the effectiveness of LTC services and benefits, particularly their impact on older peoples’ quality of life (QoL). This paper investigates the role of personal, care service and environmental characteristics on the effects of home care services on QoL across England, Finland and Austria. We used data from surveys conducted in England, Finland and Austria. In total, 811 older adults were included in the analysis. OLS regression including main effects and country-specific interactions was used to explore variation in gains in long-term care service-related quality-of-life (LTC-QoL). Explanatory variables were derived from the production of welfare framework and comprised home care service user socio-demographics, needs indicators, social support and environmental variables and characteristics of home care service provision. In all three countries, LTC-QoL gains increased with needs, indicating that home care services perform well, with additional gains declining the higher the needs. Also, better process quality contributed to LTC-QoL improvements in all three countries. In addition, the availability of informal care, social contact, financial household situation and living alone, were associated with changes in LTC-QoL only in one or two of the countries. Home care services increased service users’ QoL in all three European countries. The increase in QoL, however, varied across the countries. The results also provide insights into the benefits and limits of home care service provision and areas for future improvements. JEL: I31, I38, J14

scholarly journals Profesionalisme Pegawai Ditinjau Dari Aspek Pengorganisasian Dalam Pelayanan Publik

2020 ◽  
Vol 9 (1) ◽  
pp. 55
Author(s):  
Abdul Wahab Podungge ◽  
Asna Aneta
Keyword(s):  
Organizational Performance ◽  
Policy Making ◽  
Qualitative Method ◽  
Medium Term ◽  
Short Term ◽  
One Stop ◽  
Leader Role ◽  
Investment Service

This article aims to analyze: Employee professionalism in terms of organizational aspects in publik services. The method used in this article is a qualitative method. The results of the article show that the tendency of apparatus to be less professional in carrying out their duties and functions is partly due to the low motivation to make changes and innovate. The apparatus tends to be reluctant to make changes due to a lack of encouragement from the leadership. In realizing a professional, accountable, and transparent apparatus, it requires a leader role as a guide and has a visionary spirit and vision in the Gorontalo City One Stop Integrated Services and Investment Service. Concrete steps for leaders in creating a democratic climate where subordinates are included in every policy making related to improving organizational performance and building two-way communication in every activity will make subordinates feel that they are an important part of the organization. The attitude of the leader to foster a responsive spirit in every employee can improve the quality of licensing and non-licensing services in Gorontalo City. Efforts that can be made to foster the professionalism of the personnel are by making long-term, medium-term and short-term work programs and setting priority scales in every activity aimed at improving the quality of publik services.Artikel ini bertujuan untuk menganalisis tentang profesionalisme pegawai ditinjau dari aspek pengorganisasian dalam pelayanan publik. Metode yang digunakan dalam artikel ini yakni metode kualitatif. Hasil artikel menunjukan bahwa kecenderungan aparat kurang profesional dalam menjalankan tugas dan fungsinya antara lain disebabkan oleh rendahnya motivasi untuk melakukan perubahan dan berinovasi. Aparat cenderung enggan melakukan perubahan dikenakan kurangnya dorongan dari pimpinan. Dalam mewujudkan aparat yang profesional, akuntabel, dan transparan maka dibutuhkan peran pemimpin sebagai pengarah dan memiliki jiwa dan pandangan yang visioner pada Dinas Penanaman Modal Dan Pelayanan Terpadu Satu Pintu Kota Gorontalo. Langkah-langkah konkrit pemimpin dalam menciptakan iklim demokrasi dimana bawahan disertakan dalam setiap pengambilan kebijakan yang berkaitan dengan peningkatan kinerja organisasi serta membangun komunikasi dua arah dalam setiap kegiatan akan membuat bawahan merasa dirinya adalah bagian penting dalam organisasi. Sikap pemimpin untuk menumbuhkan jiwa responsif pada setiap pegawai dapat meningkatan kualitas pelayanan perizinan dan non perizinan di Kota Gorontalo. Upaya yang dapat dilakukan untuk menumbuhkan profesionalisme aparatur adalah dengan membuat program kerja jangka Panjang, jangka menengah, dan jangka pendek serta menetapkan skala prioritas dalam setiap kegiatan yang bertujuan meningkatkan kualitas pelayanan publik.

scholarly journals Consequences of prioritisation within long-term care in Denmark, England and Norway: towards increasing inequalities and poorer quality of care?

2020 ◽  
Author(s):  
Rune Ervik ◽  
Tord Skogedal Lindén
Keyword(s):  
Service Quality ◽  
Service Provision ◽  
Long Term Care ◽  
Central Control ◽  
Term Care ◽  
Policy Documents ◽  
Care Workers ◽  
State Context

Prioritisation concerns choosing something before something else, and in a welfare state context, this is about decisions on distribution, redistribution and rationing. This article investigates consequences of prioritisation within long-term care in Denmark, England and Norway. Analysing interviews with policy actors and policy documents, we find that prioritising home care, combined with increasing targeting of help and restricting institutionalised care towards those with the most severe needs, may reduce both service quality and equality for those not being prioritised. Moreover, monitoring and central control of service provision restrict individual discretion of care workers, with implications for service quality.

CHANT: In tune with clinical outcome guidelines

2016 ◽  
Vol 7 (1) ◽  
pp. 46-51
Author(s):  
Ming Wei Tang ◽  
Samantha Tordesillas ◽  
Joanne Jefford ◽  
Jenny Gallagher
Keyword(s):  
Service Provision ◽  
Health Related Quality ◽  
Specialist Care ◽  
Nice Guidelines ◽  
Life Issues ◽  
Related Quality ◽  
Health Related ◽  
Set Up

Head and neck cancer (HNC) patients face a number of ongoing health-related quality-of-life issues, even five years after treatment. NICE guidelines stipulate that long-term support and rehabilitation should be provided in the community, working closely with primary and specialist care. The first funded team to provided dedicated care to HNC patients, known as CHANT, was set up in South East London. Here we report trends in service provision over the first two years, and the views of patients.

scholarly journals PELAYANAN PUBLIK BERBASIS ELEKTRONIK DAN PERILAKU ANTI KORUPSI

2019 ◽  
Vol 5 (2) ◽  
pp. 399-420
Author(s):  
Elsa Debora Manurung ◽  
Shafira Nadya Rahmayani Sembiring ◽  
Wanodyo Sulistyani
Keyword(s):  
Information And Communication Technology ◽  
Communication Technology ◽  
Public Service ◽  
Service Provision ◽  
Public Services ◽  
Public Officials ◽  
Public Service Provision ◽  
Information And Communication ◽  
One Stop

Advancement in the information and communication technology make possible the development of e-government. The Indonesian government already grasped the opportunity to develop its own e-government system in providing public services. The obvious intent is to increase the quality of public service provision by the bureaucracy. This is hoped to be achieved by securing transparency and accountability of public officials. It is also to be expected that e-governance will be able to eradicate or at least decrease the possibility of corruptive behaviour.  Unfortunately, fact speaks differently. Cases to be analysed here are: corruption committed by public officials working at the Investment and One Stop Service Office of the Bandung Municipality and those performed by public officials managing e-procurement services. In particular, this article shall discuss the issue how to develop e-government as to better at eradicating and preventing corruption by public officials.

Thinking Beyond Language: Intervention for Severe Aphasia

2009 ◽  
Vol 19 (1) ◽  
pp. 15-22 ◽  
Author(s):  
Nina Simmons-Mackie
Keyword(s):  
Quality Of Life ◽  
Communication Training ◽  
Language Intervention ◽  
Specific Training ◽  
Environmental Support ◽  
Total Communication ◽  
Communication Partners

Abstract Purpose: This article addresses several intervention approaches that aim to improve life for individuals with severe aphasia. Because severe aphasia significantly compromises language, often for the long term, recommended approaches focus on additional domains that affect quality of life. Treatments are discussed that involve increasing participation in personally relevant life situations, enhancing environmental support for communication and participation, and improving communicative confidence. Methods: Interventions that have been suggested in the aphasia literature as particularly appropriate for people with severe aphasia include training in total communication, training of communication partners, and activity specific training. Conclusion: Several intervention approaches can be implemented to enhance life with severe aphasia.

Communication Disordered: Program Implementation in Long-Term Care

2016 ◽  
Vol 1 (15) ◽  
pp. 64-67
Author(s):  
George Barnes ◽  
Joseph Salemi
Keyword(s):  
Program Implementation ◽  
Long Term Care ◽  
Family Satisfaction ◽  
Regulatory Compliance ◽  
Care Staff ◽  
Term Care ◽  
Staff Members ◽  
Change Policy

The organizational structure of long-term care (LTC) facilities often removes the rehab department from the interdisciplinary work culture, inhibiting the speech-language pathologist's (SLP's) communication with the facility administration and limiting the SLP's influence when implementing clinical programs. The SLP then is unable to change policy or monitor the actions of the care staff. When the SLP asks staff members to follow protocols not yet accepted by facility policy, staff may be unable to respond due to confusing or conflicting protocol. The SLP needs to involve members of the facility administration in the policy-making process in order to create successful clinical programs. The SLP must overcome communication barriers by understanding the needs of the administration to explain how staff compliance with clinical goals improves quality of care, regulatory compliance, and patient-family satisfaction, and has the potential to enhance revenue for the facility. By taking this approach, the SLP has a greater opportunity to increase safety, independence, and quality of life for patients who otherwise may not receive access to the appropriate services.

Sign in / Sign up

Export Citation Format

Share Document