Medical pluralism for community health in Thammasen sub-district, Photharam district, Ratchaburi province, Thailand

Purpose When reviewing Community Health Development, it is necessary to understand the community context, including community health and details of medical pluralism (MP). The purpose of this paper is to correlate and predict between community health and related factors and delineate phenomenon of MP in Thammasen, Ratchaburi province, Thailand. Design/methodology/approach A mixed-methods sequential explanatory design was applied in this research. The quantitative survey was conducted by using an interview questionnaire. The 400 respondents were selected by simple random sampling from 11 villages. For the qualitative study, in-depth interviews were conducted with 37 key informants from selected health professionals, folk healers and local leaders. Findings The respondents were 56.5 percent female with a mean age of 53.8 years. The factors relating to community health included: health care behaviors, perceived health status, attitudes toward health care and access to health services. Considering the four predictive variables as a group revealed a 26.2 percent variation in community health. The phenomenon of MP was covered by the following three main aspects: self-health care (SHC)—healthy people pay attention to self-care and used herbal remedies to reduce early symptoms; folk medicine (FM)—some folk healers provide holistic healing, use herbal remedies and transfer knowledge to people who are interested and professional medicine (PM)—some health professionals adopt the concept of integrated medicines such as recommending that patients practice SHC and promote the use of Thai traditional medicine (TTM) and complementary and alternative medicine (CAM). Originality/value Health professionals, folk healers and local leaders should provide effective action domains that focus on the following four factors of community health: effective health care behavior, concern for health status, positive attitudes toward health care and accessibility to health services. Regarding MP, integrated medical and health care models should be developed to link SHC, FM and PM (including TTM/CAM).

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Quality of health and health services in people with fragile X syndrome: perspective of their parents

Advances in Autism ◽

10.1108/aia-03-2017-0008 ◽

2017 ◽

Vol 3 (3) ◽

pp. 125-130

Author(s):

Michael Seidel

Keyword(s):

Health Care ◽

Health Status ◽

Health Services ◽

Fragile X Syndrome ◽

Access To Health Care ◽

Fragile X ◽

Autism Spectrum ◽

Content Type ◽

Family Doctors ◽

Health Related

Purpose People with fragile X syndrome (FXS), a monogenetic disorder with frequent autism spectrum disorder symptoms, are confronted with many health-related needs, especially concerning behavioural and mental problems. The number of publications about health inequalities or the usage of health services in persons with FXS is scarce in general. There is no information about the situation in Germany. The paper aims to discuss this issue. Design/methodology/approach Assessment of health status, access to, and satisfaction with health care in people with fragile X by a questionnaire completed by their parents. Findings A total of 74 questionnaires were included in the assessment. While children and adolescents with FXS often (40 per cent) utilised specialised services for the coordination of health-related services, adults most often made use of family doctors. Most parents described the health status of their relatives as good to excellent (89 per cent). However, the satisfaction with health care-related demands by family doctors, medical specialists, and psychotherapists was rated in the average to above average range. Research limitations/implications This paper is of special value as it gives insight into the perspective of parents concerning access to health care of FXS in Germany. Originality/value This paper gives a first insight concerning access of people with FXS to the German health care system.

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Patient experience surveys for children’s community health services: A scoping review

Journal of Child Health Care ◽

10.1177/13674935211005874 ◽

2021 ◽

pp. 136749352110058

Author(s):

Helen J Nelson ◽

Catherine Pienaar ◽

Anne M Williams ◽

Ailsa Munns ◽

Katie McKenzie ◽

...

Keyword(s):

Health Care ◽

Health Services ◽

Community Health ◽

Patient Experience ◽

Scoping Review ◽

Emotional Support ◽

Community Health Services ◽

Experience Of Care ◽

Healthcare Experience

Patient experience surveys have a user focus and measure the quality of person-centered health care for hospital inpatients and consumers of community health services, providing a governance process to evaluate the quality of care and to action improvement. Experience of care has been described as effective communication, respect and dignity, and emotional support. Measurement criteria for these domains are not standardized, leading to inconsistent reporting of patient experience. The objective of this scoping review was to synthesize evidence for measuring experience of care in children’s community health services using the Joanna Briggs Institute framework for scoping review method. Three parent-reported surveys met the inclusion criteria, and 50 survey items were assessed by expert reviewers for fit to domains of healthcare experience. Conceptual domains of parent experience in children’s community health services included respect and dignity, effective communication, and emotional support. A gap was identified, in that few items in identified surveys measured emotional support. This contribution will promote consistent reporting of healthcare experience, informing policy and practice for person-centered health care.

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The transition between mental health services in Scotland

Mental Health Review Journal ◽

10.1108/mhrj-05-2017-0020 ◽

2018 ◽

Vol 23 (1) ◽

pp. 12-24 ◽

Cited By ~ 5

Author(s):

Juliette van der Kamp

Keyword(s):

Mental Health ◽

Mental Health Services ◽

Health Services ◽

Mental Health Professionals ◽

Health Professionals ◽

Transition Period ◽

Organisational Development ◽

Structured Interviews ◽

Content Type ◽

Experience Difficulty

Purpose The purpose of this paper is to describe the barriers and facilitators to an effective transition from Child and Adolescent Mental Health Services (CAMHS) to Adult Mental Health Services (AMHS). It also presents a new entry into considering how the transition can be improved. Design/methodology/approach Insights into the transition from CAMHS to AMHS were gathered through eight semi-structured interviews with mental health professionals. Two methods of data analysis were employed to explore the emerging themes in the data and the observed deficit approach to organisational development. Findings The findings identified a vast volume of barriers in comparison to facilitators to the transition. Adolescents who transition from CAMHS to AMHS initially experience difficulty adapting to the differences in the services due to the short duration of the transition period. However, despite the established barriers to the transition, adolescents tend to adapt to the differences between the services. Findings also showed a negative framing towards the transition amongst the mental health professionals which resembles a deficit approach to organisational development. Originality/value This paper explores mental health professionals’ perspectives regarding the transition in Dumfries and Galloway, Scotland. The transition is increasingly recognised as an area in health care that requires improvement. This research provides a new way to consider the transition by exploring the perceived deficit approach to organisational development in the services.

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Activation of Occupational Health Services in Community Health Care System

Sangyo Igaku ◽

10.1539/joh1959.28.530 ◽

1986 ◽

Vol 28 (7) ◽

pp. 530-532

Author(s):

Tsutomu TAKATA ◽

B. UKON ◽

S. TANAKA ◽

Y. FUKUWATARI ◽

Y. KAWAGUCHI

Keyword(s):

Health Care ◽

Occupational Health ◽

Health Services ◽

Community Health ◽

Health Care System ◽

Occupational Health Services ◽

Community Health Care ◽

Community Health Care System ◽

Care System

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The Gouverneur Health Services Program: An experiment in ecosystemic community health care delivery.

Family Systems Medicine ◽

10.1037/h0090087 ◽

1983 ◽

Vol 1 (3) ◽

pp. 5-24 ◽

Cited By ~ 10

Author(s):

E. H. Auerswald

Keyword(s):

Health Care ◽

Health Services ◽

Community Health ◽

Health Care Delivery ◽

Care Delivery ◽

Community Health Care

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Harmonization of European and Russian standards of evaluation of the quality of delivery of health care in educational organizations

Российский педиатрический журнал ◽

10.18821/1560-9561-2016-19-3-157-162 ◽

2019 ◽

Vol 19 (3) ◽

pp. 157-162

Author(s):

V. R. Kuchma ◽

Svetlana B. Sokolova

Keyword(s):

Health Care ◽

Health Services ◽

Medical Care ◽

Health Care Workers ◽

Health Professionals ◽

School Health ◽

Educational Institutions ◽

Medical Aid ◽

Care Workers

Harmonization of European and Russian standards of the quality of the delivery of school health services and competencies for school health professionals allowed to justify the concept of the evaluation of the quality of the delivery of medical help to students in educational institutions. The concept does not prescribe a concrete methodfor the organizing school health services, unified process of the activity of health professionals. The concept consists of 7 groups of indices of quality and competences of health care workers. Quality criteria include the presence of a regulatory framework, indices of benevolence towards children, social equity and access to health care for students, requirements for premises, equipment of medical rooms in schools, cooperation with the administration and teachers of schools, parents and children, the medical community, the requirements for health care workers, a minimum list of services, covering both population and individual needs of students, the secure storage, the management and use ofpersonal medical data of children and adolescents. The competences of the staff of medical units are determined by provided medical services and technologies of the work. Properly medical competences of workers of medical care units for the delivery of medical aid to students are contributed by willingness to ensure the rights of children in the process of health care delivery in the educational organization, skills in the field of communication, sharing of information with children, parents and teachers, cooperation with colleagues, planning and coordination of the organization of medical care, the provision of sanitary epidemiological well-being of students, informational-elucidative activity for shaping of healthy lifestyle, research activity. Concept is the basis of the algorithm of the evaluation of the quality of the delivery of medical aid to students and quality assessment technology as well by medical organizations and institutions, as in the form of an independent audit of the quality of the delivery of medical aid to students in educational institutions.

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Satisfaction of clients with disabilities with services offered at primary health care centres in Ndola, Zambia

South African Journal of Physiotherapy ◽

10.4102/sajp.v68i2.9 ◽

2012 ◽

Vol 68 (2) ◽

Cited By ~ 1

Author(s):

N. Mlenzana ◽

R. Mwansa

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Services ◽

Health Professionals ◽

Health Care Services ◽

Waiting Times ◽

Care Providers ◽

Persons With Disabilities ◽

Care Services ◽

Primary Health

To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54%) were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.

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Mental health in primary health care: professionals’ perceptions and patients’ levels of depression, anxiety and stress

The Psychologist: Practice & Research Journal ◽

10.33525/pprj.v3i1.44 ◽

2020 ◽

Vol 3 (1) ◽

Author(s):

Tatiana Varela Madureira ◽

Maria Cristina Quintas Antunes

Keyword(s):

Mental Health ◽

Health Care ◽

Primary Health Care ◽

Health Services ◽

Mental Health Care ◽

Health Professionals ◽

Mental Health Problems ◽

Anxiety And Depression ◽

Self Administration ◽

Primary Health

Background: The integration of mental health in primary health care, throughout its various functional units and with effective articulation between primary health care and mental health services, has been considered an essential objective of the legislative documents produced in the last three decades in Portugal, among them the National Health Plan 2011-2016.Goals: This study aimed to inquire health professionals’ perceptions about mental health care provided by public primary health care units, namely their perceptions about the mental health of their patients. It also intended to explore the difficulties perceived by the health professionals in their daily activity about the mental health problems of their patients and about the need of clinical psychologists’ activity in the public primary health care.Methods: This is an observational cross-sectional study with two non-probabilistic samples: health professionals (doctors, nurses and psychologists) and patients from two public health care units. Health professionals were interviewed (individual structured face-to-face interviews) about their perceptions of needs for improving their capacity to provide mental healthcare and about patients’ mental health conditions. Patients responded (by self-administration) to the Depression, Anxiety and Stress Scale (DASS-21), providing a characterization of patients’ stress, anxiety and symptoms of depression.Results: Health professionals in their daily practice often identify in their patients symptoms of stress, anxiety and depression (most particularly in adults),. Several issues were identified as problematic, such as: poor access of the referral system for psychiatric and clinical psychological specialized care, insufficient number of health professionals, particularly of psychologists, and lack of appropriate mental health care specialization. The results also revealed relevant levels of stress, anxiety and depression in primary health care patients (both genders), which seem to increase with age. Discussion: Difficulties identified by health professionals may relate to the centralisation of resources, resistance to change from human resources management, lack of consensus among the various decision groups linked to mental health and, at institutional level, insufficient and inadequate funding. These factors may contribute to a failure in early diagnosis of symptoms of depression, anxiety and stress. It is expected that articulation between primary health services and differentiated health services will improve, with improvement in teamwork among professionals and increase of the quality of life of users, satisfaction with work, from health professionals, and reduction of health costs.

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The Finnish healthcare services lean management

Leadership in Health Services ◽

10.1108/lhs-03-2017-0020 ◽

2018 ◽

Vol 31 (1) ◽

pp. 17-32 ◽

Cited By ~ 3

Author(s):

Susanna Hihnala ◽

Lilja Kettunen ◽

Marjo Suhonen ◽

Hanna Tiirinki

Keyword(s):

Health Care ◽

Health Services ◽

Health Care Services ◽

Point Of View ◽

Lean Management ◽

Management Skills ◽

Content Type ◽

Care Services ◽

Development Processes ◽

Specialized Health Care

Purpose The purpose of this paper is to discuss health services managers’ experiences of management in a special health-care unit and development efforts from the point of view of the Lean method. Additionally, the aim is to deepen the knowledge of the managers’ work and nature of the Lean method development processes in the workplace. The research focuses on those aspects and results of Lean method that are currently being used in health-care environments. Design/methodology/approach These data were collected through a number of thematic interviews. The participants were nurse managers (n = 7) and medical managers (n = 7) who applied Lean management in their work at the University Hospital in the Northern Ostrobothnia Health Care District. The data were analysed with a qualitative content analysis. Findings A common set of values in specialized health-care services, development of activities and challenges for management in the use of the Lean manager development model to improve personal management skills. Practical implications Managers in specialized health-care services can develop and systematically manage with the help of the Lean method. This emphasizes assumptions, from the point of view of management, about systems development when the organization uses the Lean method. The research outcomes originate from specialized health-care settings in Finland in which the Lean method and its associated management principles have been implemented and applied to the delivery of health care. Originality/value The study shows that the research results and in-depth knowledge on Lean method principles can be applied to health-care management and development processes. The research also describes health services managers’ experiences of using the Lean method. In the future, these results can be used to improve Lean management skills, identify personal professional competencies and develop skills required in development processes. Also, the research findings can be used in the training of health services managers in the health-care industry worldwide and to help them survive the pressure to change repeatedly.

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