scholarly journals Reduction of Neonatal Mortality Requires Strengthening of the Health System: A Situational Analysis of Neonatal Care Services in Ballabgarh

2017 ◽  
pp. fmw098
Author(s):  
Mudita Gosain ◽  
Akhil D. Goel ◽  
Pradeep Kharya ◽  
Ramesh Agarwal ◽  
Ritvik Amarchand ◽  
...  
Keyword(s):  
Health System ◽  
Neonatal Mortality ◽  
Neonatal Care ◽  
Situational Analysis ◽  
Care Services ◽  
System A

Clinical governance in the Irish health system – a review of progress

2014 ◽  
Vol 19 (4) ◽  
pp. 296-313 ◽  
Author(s):  
Eilish McAuliffe
Keyword(s):  
Health System ◽  
Clinical Governance ◽  
Healthcare Management ◽  
Reform Process ◽  
Content Type ◽  
Care Services ◽  
System A ◽  
Primary Care Services ◽  
Patient Groups ◽  
Why Questions

Purpose – The purpose of this paper is to explain the path that the Irish health system has taken towards achieving good clinical governance, exploring the historical influences on its’ development, some of the major initiatives that have been implemented and the obstacles that have been encountered. Design/methodology/approach – The paper draws on the author's experience researching and teaching in health systems and healthcare management. Findings – The paper offers some explanations for why earlier attempts failed to change the system as well as why recent attempts have met with more success. Greater efforts need to be made to progress clinical governance in the primary care services. In addition it is argued that there is a need to institute systems that enable learning form errors, to involve the public and patient groups and to invest in research that enables answers to the how and why questions that are so often neglected in the reform process. Originality/value – The paper discusses clinical governance in the Irish Health system and identifies some of the challenges yet to be addressed, many of which are common to clinical governance efforts in other jurisdictions.

scholarly journals Critical Care in the Military Health System: A Survey-Based Summary of Critical Care Services

2018 ◽  
Vol 183 (11-12) ◽  
pp. e471-e477 ◽  
Author(s):  
Jason J Nam ◽  
Christopher J Colombo ◽  
Cristin A Mount ◽  
Elizabeth A Mann-Salinas ◽  
Ferdinand Bacomo ◽  
...  
Keyword(s):  
Critical Care ◽  
Health System ◽  
Military Health System ◽  
Military Health ◽  
Care Services ◽  
System A ◽  
The Military

Completing the Health System through Personal Care Benefits

1973 ◽  
Vol 4 (2) ◽  
pp. 157-165 ◽  
Author(s):  
Robert Morris
Keyword(s):  
Health System ◽  
The Elderly ◽  
Personal Care ◽  
Care Services ◽  
System A ◽  
Incomplete System ◽  
Disabled Elderly ◽  
The Disabled ◽  
Adequate Provision ◽  
Expenditure Pattern

Discussion about policy and programming for the elderly and disabled is frequently built around the cycle of prevention, treatment, and rehabilitation which leads to an incomplete system of health care for this population. Lack of adequate provision for the special maintenance required for the disabled elderly produces undesirable consequences in the prevailing medical system. A system of personal care benefits and personal care services is proposed as a means for completing the health system for more effective functioning. Approaches for structure and for stable, assured funding for such personal care support services are proposed which draw upon the principles of capitation prepayment. A change in the expenditure pattern of present appropriations is suggested as an alternative to additional expenditures.

ADVANCING PALLIATIVE CARE IN THE UGANDA HEALTH SYSTEM: AN EVIDENCE-BASED POLICY BRIEF

2014 ◽  
Vol 30 (6) ◽  
pp. 621-625 ◽  
Author(s):  
Harriet Nabudere ◽  
Ekwaro Obuku ◽  
Mohammed Lamorde
Keyword(s):  
Palliative Care ◽  
Health System ◽  
Discharge Planning ◽  
Scale Up ◽  
National Health System ◽  
Care Services ◽  
System A ◽  
Home Based ◽  
Government Documents ◽  
Acute Care Services

Objectives: This paper describes the development and findings for a policy brief on “Advancing the Integration of Palliative Care into the National Health System” and the subsequent use of this report.Methods: Key stakeholders involved with palliative care helped identify the problem and potential policy solutions to scale up these services within the health system. A working group of national stakeholder representatives and external reviewers commented on and contributed to successive drafts of the report. Research describing the problem, policy options and implementation considerations was identified by reviewing government documents, routinely collected data, electronic literature searches, contact with key informants, and reviewing the reference lists of relevant documents that were retrieved.Results: The palliative burden is not only high but increasing due to the rise in population and life expectancy. A few options for holistic, supportive care include: Home-based care increases chances of a peaceful death for the terminally ill surrounded by their loved ones; supporting informal caregivers improves their quality of life and discharge planning reduces unscheduled admissions and has the potential to free up capacity for acute care services. A combination of strategies is needed to effectively implement the proposed options as discussed further in this article.Conclusions: The policy brief report was used as a background document for two stakeholder dialogues whose main outcome was that a comprehensive national palliative care policy should be instituted to include all the options, which need to be integrated within the public health system. A draft policy is now in process.

scholarly journals Effectiveness of Task Shifting In The Delivery of Health Care Services at Kasama, Lukupa and Milima Health Centresin Zambia

2021 ◽  
Vol 3 (1) ◽  
pp. 73-78
Author(s):  
Manfred M. Kapeso ◽  
◽  
Fredrick Mulenga Chitangala
Keyword(s):  
Health System ◽  
Health Care Services ◽  
Healthcare Services ◽  
Task Shifting ◽  
Policy Framework ◽  
Quality Cost ◽  
Care Services ◽  
System A ◽  
Increase Productivity ◽  
The Cost

Task shifting is a viable option to respond rapidly to a health workforce’s crisis and could be clinically effective for the management of health system. A study to determine the cost effectiveness of task-shifting to the healthcare system in the service delivery was done. The study revealed that effective task shifting can increase productivity, efficiency, that is, to increase the number of healthcare services provided at a given quality cost or to produce the same level of healthcare service at less cost and more effectively and efficiently. However, task shifting alone will not address the problems. In order for task shifting models to function effectively, they should be combined with the strengthening and reorganization of the health services, adequate training and an enabling health policy framework. Task shifting with health system supports in place could ensure the equivalent care for diabetes patients as patients treated by physicians.

On the Concept of a Socialist Health System: A Question of Marxist Epistemology

1983 ◽  
Vol 13 (2) ◽  
pp. 221-225 ◽  
Author(s):  
Malcolm Segall
Keyword(s):  
Health System ◽  
Social Practice ◽  
Health Care Services ◽  
Care Services ◽  
System A ◽  
The Social ◽  
Social Entity ◽  
Health Related ◽  
Necessary And Sufficient ◽  
Health Theory

This paper concerns the best approach to the concept of a socialist health system. It first criticizes a narrow empiricism, which reduces the subject to a phenomenalistic study of existing health systems in socialist countries, paying insufficient attention to historical contexts and developments and to the worldwide evolution of socialist ideas. Such a rightist empiricism, separating practice from theory, is then contrasted with a leftist idealism, which separates theory from practice. The latter approach entails abstract models of an ideal socialist health system with many characteristics, without specifying which are the necessary and sufficient ones for applying the global designation “socialist.” This leads to epistemological confusion and a deterministic view of the relation of the social formation to the health system, which is in fact complex. A socialist health system is best seen as an aspect of socialist theory rather than as an actual social entity. Viewed this way, it can act as a continuing guide to social practice and be enriched by that practice. Taking an appropriate class standpoint, socialist health theory should relate to social factors in the causation of disease and in the capacity of peoples to undertake health-related activities and to the social control of health care services and related industries.

scholarly journals The impact of the COVID-19 pandemic on the provision of dental procedures performed by the Brazilian Unified Health System: a syndemic perspective

2021 ◽  
Vol 24 ◽  
Author(s):  
Amanda Ramos da Cunha ◽  
Sofia Rafaela Maito Velasco ◽  
Fernando Neves Hugo ◽  
José Leopoldo Ferreira Antunes
Keyword(s):  
Health System ◽  
Dental Care ◽  
Oral Disease ◽  
Care Services ◽  
The North ◽  
Unified Health System ◽  
System A ◽  
Dental Procedures ◽  
The Impact ◽  
Study Hypothesis

ABSTRACT: Objectives: This study investigated the impact of the COVID-19 pandemic on the provision of dental care procedures performed by the Brazilian Unified Health System (SUS) nationally and by regions. Considering that the most underprivileged population disproportionately suffers with the reduction in dental care provision, the study hypothesis suggests the presence of a syndemic nature. Methodology: The SUS Outpatient Information System (SIA-SUS) was assessed to gather data on dental care activities and procedures performed between April and July 2018, 2019, and 2020 by dentists registered in the SUS. The 30 most frequent activities and procedures performed by dentists were selected and classified into three categories (urgent dental care, nonemergency dental care, and case-dependent urgency procedures), based on the guidance for dental care during the pandemic published by the American Dental Association. Results: Results demonstrated a reduction in the provision of dental care of all categories during the pandemic. Urgency dental consultations and procedures in primary and specialized dental care services decreased by 42.5 and 44.1%, respectively, between 2020 and 2019. Non-urgent procedures decreased by 92.3%. Although decreases in dental care activities and procedures were reported in all Brazilian regions, the largest relative decreases in urgent procedures – that should have been maintained during the pandemic – occurred in the North and Northeast regions, which are the poorest regions of the country. Conclusions: These results suggest that the COVID-19 pandemic has a syndemic behavior. Further investigation into the pandemic-syndemic impacts on oral disease burden is necessary.

Governance

2017 ◽  
Author(s):  
Joia S. Mukherjee
Keyword(s):  
Global Health ◽  
Health System ◽  
Global Governance ◽  
Health Sector ◽  
Nation State ◽  
System A ◽  
Health Strategy ◽  
External Forces ◽  
Globalized World ◽  
Global Governance For Health

This chapter focuses on governance, a key building block of a health system. A government is responsible for the health of its people. It sets the health strategy and oversees the implementation of health programs. External forces and actors influence the governance of the health sector. This chapter explores governance of health from the perspective of the nation-state coordinating its own health system (sometimes called governance for global health). The chapter examines the internal and external forces that influence national governance for global health. The chapter also looks beyond the level of the nation-state to explore the concept of global governance for health. In the interconnected and globalized world, global governance for health is needed to coordinate the geopolitical forces that impact health and its social determinants.

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

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