Implementing E-Health

2016 ◽  
Author(s):  
Bill Doolin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Point Of Care ◽  
Health Care Organization ◽  
Technical Problem ◽  
Local Health ◽  
Care Organization ◽  
Care Providers ◽  
Health Care Information ◽  
Local Health Care

The application of information and communication technology to support health care organization, management, and delivery is high on the health policy agenda in many countries, and its implementation has become a significant issue. Despite optimistic expectations and increasing investment in e-health, the anticipated benefits are often elusive. This chapter reviews the factors driving the development of e-health before introducing a conceptualization of e-health focused on the management and use of health care information at the point of care, between health care providers and, ultimately, by health care consumers. The chapter then explores a range of issues that render e-health implementation problematic. In particular, implementing e-health is both a complex and emergent process that requires consideration of local health care contexts, and a socio-technical problem involving changes in work processes, interactions, and behaviors.

Creating Academic and Health Care Partnerships that Impact Public Health

2015 ◽  
Vol 4 (4) ◽  
pp. 378-384
Author(s):  
Peter W. Grandjean ◽  
Burritt W. Hess ◽  
Nicholas Schwedock ◽  
Jackson O. Griggs ◽  
Paul M. Gordon
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Professional Training ◽  
Local Health ◽  
Care Providers ◽  
Research Partnerships ◽  
Local Health Care ◽  
Training Community ◽  
The University

Kinesiology programs are well positioned to create and develop partnerships within the university, with local health care providers, and with the community to integrate and enhance the activities of professional training, community service, public health outreach, and collaborative research. Partnerships with medical and health care organizations may be structured to fulfill accreditation standards and the objectives of the “Exercise is Medicine®” initiative to improve public health through primary prevention. Barriers of scale, location, time, human resources, and funding can be overcome so all stakeholder benefits are much greater than the costs.

The determination of data collection tools that can measure and document the cooperation of local health care providers

2020 ◽  
Author(s):  
Beáta Erika Nagy ◽  
Róza Oláh ◽  
Erika Zombor ◽  
Péter Boris ◽  
Anna Szabina Szele
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Care Providers ◽  
Health Improvement ◽  
Local Health ◽  
Care Providers ◽  
Structured Interviews ◽  
Daily Work ◽  
Local Health Care ◽  
Institutional Relations

Abstract Background The overall objective of the study is to improve the mental health of the age group below 18 years through the investigation of the intra-and inter-sectoral cooperation between local suppliers and to make the intensity and quality of collaborations measurable. In this paper, based on Hungarian and international literature, we aim at describing the current and future optimal cooperation between the members of the mental health care system and examine the possibilities for documenting and measuring cooperation. Methods Semi-structured interviews were recorded with the leaders or representatives of 12 public educational institutions, six social and six health institutions involvement of the relevant experts (N = 24). Results The function of the institutions belonging to these systems, as well as the daily work of the professionals working there, have a significant impact on the mental health of children in either positive or negative directions. After exploring the current situation, the cooperation of local suppliers and inter-institutional relations can highly increase the mental health improvement of the youth. Conclusion According to the results, the developing progress can be more effective through organising the different forms of care, sectors and professionals together to achieve a common goal.

scholarly journals Surgical education at Weill Bugando Medical Centre: supplementing surgical training and investing in local health care providers

2013 ◽  
Vol 56 (3) ◽  
pp. 199-203 ◽  
Author(s):  
Katrina Mitchell ◽  
Geofrey Giiti ◽  
Vihar Kotecha ◽  
Alphonce Chandika ◽  
Kane Pryor ◽  
...  
Keyword(s):  
Health Care ◽  
Surgical Training ◽  
Health Care Providers ◽  
Surgical Education ◽  
Medical Centre ◽  
Local Health ◽  
Care Providers ◽  
Bugando Medical ◽  
Local Health Care ◽  
Bugando Medical Centre

scholarly journals Do Health Care Providers Respond to Demand-Side Incentives? Evidence from Indonesia

2016 ◽  
Vol 8 (4) ◽  
pp. 255-288 ◽  
Author(s):  
Margaret Triyana
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Conditional Cash Transfer ◽  
Cash Transfer ◽  
Local Health ◽  
Health Care Market ◽  
Care Providers ◽  
Percent Increase ◽  
Local Health Care

This paper exploits the subdistrict randomization of Indonesia's household Conditional Cash Transfer (CCT) program to analyze how the program affects the local health care market. The CCT program is associated with increased use of midwives as the main delivery attendants. The program is also associated with a 10 percent increase in both the number of midwives and the delivery fees charged by midwives in treated communities. Program participants report receiving a higher quality of prenatal care. This is due, however, not to improvements in quality of care in the market, but to increased utilization among program participants. (JEL H51, I13, I18, I32, I38, O15)

‘Have you ever traded sex for money or drugs?’ Health care providers’ perspectives on sex trafficking risk assessments in clinics

2021 ◽  
pp. 135581962199747
Author(s):  
Lara Gerassi ◽  
Anna Pederson
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Nurse Practitioners ◽  
Sex Trafficking ◽  
Health Care Organization ◽  
The United States ◽  
Care Staff ◽  
Risk Assessments ◽  
Care Organization ◽  
Care Providers

Objective The United States’ Institute of Medicine recommends that health care providers be aware of sex trafficking (ST) indicators and conduct risk assessments to identify people at risk. However, the challenges among those who conduct such assessments remain largely understudied. The aim of this study was to understand the perceived barriers to ST risk assessment among health care providers in a large health care organization. Methods This study used a collective case study approach in five sites of a large health care organization that serves high-risk populations in a Midwestern state. Twenty-three in-depth, semi-structured interviews were conducted with health care staff (e.g. medical assistants, nurse practitioners). Two research team members conducted independent deductive coding (e.g. knowledge of ST), and inductive coding to analyse emerging themes (e.g. responses to ST risk or commercial sex disclosures, provider role ambiguity). Results Although staff routinely screened by asking ‘Have you ever traded sex for money or drugs?’, participants primarily described avoiding further discussions of ST with adult patients because they (1) aimed to be non-judgmental, (2) viewed following up as someone else’s job, and/or (3) lacked confidence to address ST concerns themselves, particularly when differentiating sex work from ST. Differences all emerged based on clinical context (e.g. urban location). Conclusions There may be missed opportunities to assess patients for ST risk and use harm-reduction strategies or safety plan to address patients’ needs. Implications for practice, policy, and future research are discussed.

scholarly journals Contemplating remote presence technology for culturally safe health care for rural indigenous children

2018 ◽  
Vol 15 (1) ◽  
pp. 31-33 ◽  
Author(s):  
Tanya Holt ◽  
Gregory Hansen ◽  
Veronica McKinney ◽  
Ivar Mendez
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Access ◽  
Access To Health Care ◽  
High Rate ◽  
Local Health ◽  
Care Providers ◽  
Indigenous Children ◽  
Timely Access ◽  
Local Health Care

Indigenous children living in rural and remote Canada have limited access to paediatric specialty services. As such, they experience a high rate of medical transport out of their home communities. The Truth and Reconciliation Commission’s calls to action has prioritized access to health care that is culturally safe and community directed. Remote presence robotic technology—a novel form of telemedicine—seeks to overcome the barriers of distance and time to improve health care access. The robot allows for direct patient visualization, examination, and communication with local health care providers and family members. This intervention may reduce unnecessary paediatric transfers, and enhance culturally safe care in the child’s home community through timely access to paediatric subspecialty care.

scholarly journals Effectiveness of an educational intervention on complementary feeding practices and growth in rural China: a cluster randomised controlled trial

2009 ◽  
Vol 13 (4) ◽  
pp. 556-565 ◽  
Author(s):  
Ling Shi ◽  
Jingxu Zhang ◽  
Yan Wang ◽  
Laura E Caulfield ◽  
Bernard Guyer
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Educational Intervention ◽  
Complementary Feeding ◽  
Intervention Group ◽  
Feeding Practices ◽  
Control Group ◽  
Local Health ◽  
Care Providers ◽  
Local Health Care

AbstractObjectiveInappropriate complementary feeding is one of the major causes of malnutrition in young children in developing countries. We developed an educational intervention, delivered by local health-care providers, aimed at improving complementary feeding practices and child nutrition.DesignEight townships in Laishui, a rural area in China, were randomly assigned to the educational intervention or control group. A total of 599 healthy infants were enrolled at age 2–4 months and followed up until 1 year of age. In the intervention group, educational messages and enhanced home-prepared recipes were disseminated to caregivers through group trainings and home visits. Questionnaire surveys and anthropometric measurements were taken at baseline and ages 6, 9 and 12 months. Analysis was by intention to treat.ResultsIt was found that food diversity, meal frequency and hygiene practices were improved in the intervention group. Infants in the intervention group gained 0·22 kg more weight (95 % CI 0·003, 0·45 kg, P = 0·047) and gained 0·66 cm more length (95 % CI 0·03, 1·29 cm, P = 0·04) than did controls over the study period.ConclusionsFindings from the study suggest that an educational intervention delivered through local health-care providers can lead to substantial behavioural changes of caregivers and improve infant growth.

scholarly journals Emergency staffers could guide local health-care providers constructing a team of mass CPR instructors: a survey report of knowledge and attitudes from Shenzhen City, China.

2020 ◽  
Author(s):  
Jinle Lin ◽  
Conghua wang ◽  
Yi Luo ◽  
Wenwu Zhang ◽  
Qingli Dou ◽  
...  
Keyword(s):  
Health Care ◽  
Cardiac Arrest ◽  
Health Care Providers ◽  
Local Health ◽  
Care Providers ◽  
Knowledge And Attitudes ◽  
Local Health Care ◽  
Emergency Group ◽  
Cpr Training ◽  
Hospital Cardiac Arrest

Abstract Background Few investigations concern about why the local health-care providers participate in mass Cardiopulmonary Resuscitation (CPR) training in developing countries. This study aimed to survey knowledge and attitudes of local health-care providers who candidate to be mass CPR instructors in China. Method This was a retrospective survey study. Data were obtained from candidates being mass CPR instructors (n=496) between March 2018 and December 2018. Whether they belonged to the emergency group or non-emergency group was based on their service department. The outcome was passed in the final examination. Binary logistic regression was performed to analysis. Result Passed rate in emergency group is higher than non-emergency groups (90.7%, 175/194 vs. 83.8%, 253/302, P =0.042).Consisting with higher frequency on receiving CPR training, emergency staffers were richer in dealing emergency situation such as out-of-hospital cardiac arrest (58.2%), In-of-hospital cardiac arrest (95.4%), use of an automatic external defibrillator (AED) (96.4%), traumatic hemorrhage (83.5%), suffocation(74.2%), syncope (53.1%) and epilepsy (79.4%). In despite, younger group ( OR : 0.957, 95% CI [0.925-0.990]), previous training of AED ( OR : 2.698, 95% CI [1.441-5.050]) and pecuniary motivation (OR : 3.176, 95% CI [1.231-8.191]) independently affects being mass CPR instructors among health-care provider. Conclusion Because of better knowledge and skill, emergency staffers have ability to lead local health-care providers to build a team of mass CPR instructors. Our findings can be used to conduct public emergency education for health policy design in China.

Partnerships in primary care: What we can learn from the experience of Scottish local health care co-operatives

2004 ◽  
Vol 10 (1) ◽  
pp. 38
Author(s):  
Steven Simeons
Keyword(s):  
Primary Care ◽  
Health Care ◽  
General Practitioners ◽  
Health Care Providers ◽  
Quality Care ◽  
Organisational Change ◽  
Nationwide Survey ◽  
Local Health ◽  
Care Providers ◽  
Local Health Care

A number of countries are introducing partnerships in primary care that promote collaboration within the primary health care sector in order to provide seamless and high-quality care to patients, whilst containing costs. This paper reports on a nationwide survey of Scottish local health care co-operatives to illustrate how partnerships in primary care manage the process of organisational change and start tackling their core functions. During their first year of operation, local health care co-operatives have put an organisational structure in place to start developing primary care services in collaboration with other health care providers. Strong management has been fundamental to the success of local health care co-operatives in stimulating collaboration between health care providers and in developing services. However, a lack of time of general practitioners to participate in the activities of the co-operative, inadequate representation of stakeholders in management bodies, constraints on management budgets, and reluctance by general practitioners to embrace clinical governance may inhibit the further development of local health care co-operatives. Although local health care co-operatives have made considerable progress, they still need to demonstrate whether they are able to deliver tangible benefits to patients.

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