scholarly journals Interdisciplinary partnerships for rural older adults’ transitions of care

2018 ◽  
Vol 19 (4) ◽  
pp. 232-241
Author(s):  
Joyce Weil ◽  
Gwyneth Milbrath ◽  
Teresa Sharp ◽  
Jeanette McNeill ◽  
Elizabeth Gilbert ◽  
...  
Keyword(s):  
Public Health ◽  
Rural Areas ◽  
Older Persons ◽  
Health Care Services ◽  
Team Building ◽  
Knowledge Exchange ◽  
Care Transitions ◽  
Transitions Of Care ◽  
Content Type ◽  
The Creation

Purpose Integrated transitions of care for rural older persons are key issues in policy and practice. Interdisciplinary partnerships are suggested as ways to improve rural-care transitions by blending complementary skills of disciplines to increase care’s holistic nature. Yet, only multidisciplinary efforts are frequently used in practice and often lack synergy and collaboration. The purpose of this paper is to present a case of a partnership model using nursing, gerontology and public health integration to support rural-residing elders as a part of building an Adult-Gerontology Acute Care Nurse Practitioner program. Design/methodology/approach This paper uses the Centre for Ageing Research and Development in Ireland/O’Sullivan framework to examine the creation of an interdisciplinary team. Two examples of interdisciplinary work are discussed. They are the creation of an interdisciplinary public health course and its team-based on-campus live simulations with a panel and site visit. Findings With team-building successes and challenges, outcomes show the need for knowledge exchange among practitioners to enhance population-centered and person-centered care to improve health care services to older persons in rural areas. Practical implications There is a need to educate providers about the importance of developing interdisciplinary partnerships. Educational programming illustrates ways to move team building through the interdisciplinary continuum. Dependent upon the needs of the community, other similarly integrated partnership models can be developed. Originality/value Transitions of care work for older people tends to be multi- or cross-disciplinary. A model for interdisciplinary training of gerontological practitioners in rural and frontier settings broadens the scope of care and improves the health of the rural older persons served.

Outcomes of public health reform – service availability in rural areas

2015 ◽  
Vol 28 (1) ◽  
pp. 42-56 ◽  
Author(s):  
Mika Immonen ◽  
Jyri Vilko ◽  
Jouni Koivuniemi ◽  
Kaisu Laasonen
Keyword(s):  
Rural Areas ◽  
Health Care Services ◽  
Public Services ◽  
Economies Of Scale ◽  
Mail Survey ◽  
Service Availability ◽  
Residential Areas ◽  
Subjective Experiences ◽  
Content Type ◽  
Care Services

Purpose – The purpose of this paper is to focus on the availability and demanded locations of health care services in a rural context. The authors analyse subjective experiences because mobility and other individual factors influence the availability of public services. Design/methodology/approach – Results from a mail survey in southeastern Finland are presented. Data collection was conducted using a random sample of 3,000 people from age 60 to 90 years. A total of 1,121 valid responses were received. Findings – The acceptable distance to service sites depends on learned behaviour where differences exist between suburban and rural residents. The authors found that service networks can be sparser in rural areas if the service sites are located in the daily activity space of the residents and travel burdens caused by distance and time are adequately solved. However, continuous downscaling of the provision may lead to the loss of health benefits which is harmful for individuals and expensive for society. Research limitations/implications – Further research should assess a broader variety of residential areas from the perspective of service availability. The results presented do not enable a direct comparison of the service availability between cities and sparsely populated rural areas. Originality/value – The paper contributes to the debate on access barriers to public service in rural regions. The question of availability of public services is topical because increasing overall demand requires urgent productivity improvements in public services. Currently this is solved by centralisation to search economies of scale.

scholarly journals The new frontier of public health education

2017 ◽  
Vol 30 (1) ◽  
pp. 2-7 ◽  
Author(s):  
David Birnbaum ◽  
Kathryn Gretsinger ◽  
Ursula Ellis
Keyword(s):  
Public Health ◽  
Health Education ◽  
Professional Education ◽  
Team Building ◽  
Real Life ◽  
Health Agency ◽  
Public Health Education ◽  
Content Type ◽  
Wide Range ◽  
Undergraduate Public Health

Purpose The aim of this paper is to describe the experience and educational benefits of a course that has several unique educational design features. Design/methodology/approach This includes narrative description of faculty and student experience from participants in a flipped-instructional-design inter-professional education course. Findings “Improving Public Health – An Interprofessional Approach to Designing and Implementing Effective Interventions” is an undergraduate public health course open to students regardless of background. Its student activities mirror the real-life tasks and challenges of working in a public health agency, including team-building and leadership; problem and project definition and prioritization; evidence-finding and critical appraisal; written and oral presentation; and press interviews. Students successfully developed project proposals to address real problems in a wide range of communities and settings and refined those proposals through interaction with professionals from population and public health, journalism and library sciences. Practical implications Undergraduate public health education is a relatively new endeavor, and experience with this new approach may be of value to other educators. Originality/value Students in this course, journalism graduate students who conducted mock interviews with them and instructors who oversaw the course all describe unique aspects and related personal benefit from this novel approach.

‘It really saves us’versus‘it doesn't cover everything’: the benefits and limitations of a non-contributory pension in the Bolivian Altiplano

2017 ◽  
Vol 39 (1) ◽  
pp. 17-44
Author(s):  
RACHEL GODFREY-WOOD ◽  
GRACIELA MAMANI-VARGAS
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
Older Persons ◽  
Health Care Services ◽  
Participant Observation ◽  
Integral Approach ◽  
Structured Interviews ◽  
Access To Credit ◽  
Ethnographic Methodology

ABSTRACTNon-contributory pensions have become extremely popular in the last decade, with 78 developing countries currently distributing money in this way, and their acclaimed impacts are increasingly celebrated. Studies have found them to contribute not only to ‘obvious’ needs such as increased consumption and income security but also to investments in productivity, social relationships, health, increased access to credit and savings, while it has become common to claim that they contribute to intangible goals such as dignity and citizenship. The danger of some of these claims is that they assume that wellbeing is heavily responsive to monetary wealth, rather than other areas. To study this, an ethnographic methodology, based on participant observation and semi-structured interviews, was employed in two rural communities located in the La Paz department in the highland Altiplano region of Bolivia close to Lake Titicaca. Our analysis shows that while the Renta Dignidad increases older persons’ livelihood security, its contributions to other areas where non-contributory pensions are claimed to have major impacts, such as productive investment, health care and relational wellbeing, are actually relatively limited. The policy implication of this is that a more integral approach needs to be adopted to older persons' wellbeing, going beyond cash transfers to greater efforts to bring health-care services to older people in remote rural areas.

Right to health and access to health-care services for refugees in Turkey

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
N. Ela Gokalp Aras ◽  
Sertan Kabadayi ◽  
Emir Ozeren ◽  
Erhan Aydin
Keyword(s):  
Public Health ◽  
Health Care ◽  
Institutional Theory ◽  
Access To Health Care ◽  
Health Care Services ◽  
Public Health Care ◽  
Content Type ◽  
Care Services ◽  
Access To Health ◽  
The Impact

Purpose This paper aims to provide a comprehensive understanding of factors that contribute to refugees’ exclusion from health-care services. More specifically, using institutional theory, this paper identifies regulative pillar-, normative pillar- and cultural/cognitive pillar-related challenges that result in refugees having limited or no access to health-care services. Design/methodology/approach The paper draws on both secondary research and empirical insights from two qualitative fieldwork studies totaling 37 semi-structured meso-level interviews, observations and focus groups in three Turkish cities (Izmir, Ankara and Edirne), as well as a total of 42 micro-level, semi-structured interviews with refugees and migrants in one large city (Izmir) in Turkey. Findings This study reveals that systematically stratified legal statuses result in different levels of access to public health-care services for migrants, asylum seekers or refugees based on their fragmented protection statuses. The findings suggest access to health-care is differentiated not only between local citizens and refugees but also among the refugees and migrants based on their legal status as shaped by their country of origin. Originality/value While the role of macro challenges such as laws and government regulations in shaping policies about refugees have been examined in other fields, the impact of such factors on refugee services and well-being has been largely ignored in service literature in general, as well as transformative service research literature in particular. This study is one of the first attempts by explicitly including macro-level factors to contribute to the discussion on the refugees’ access to public health-care services in a host country by relying on the institutional theory by providing a holistic understanding of cognitive, normative and regulative factors in understanding service exclusion problem.

Social media – Changing the face of knowledge management

2019 ◽  
Vol 34 (1) ◽  
pp. 5-7
Author(s):  
Ayesha Irum ◽  
Agrata Pandey
Keyword(s):  
Social Media ◽  
Knowledge Management ◽  
Knowledge Exchange ◽  
Third Party ◽  
Content Type ◽  
Digital Platforms ◽  
The Face ◽  
The Creation ◽  
Available Information ◽  
Retention Of Knowledge

Purpose Social media (SM) is amongst the latest techniques employed by organizations in their knowledge management endeavors. The paper provides a brief overview of how SM platforms are utilized for the creation, dissemination, and retention of knowledge. The various stages of knowledge management as supported by social media, is mapped through a framework. Design/methodology/approach A list of research articles on “social media and knowledge management” have been read and reviewed. The insights are summarized and a framework is proposed. Findings The framework demonstrates how SM tools aid in the creation of new knowledge, knowledge exchange and storage of the knowledge footprint. They help to generate varied forms of knowledge from different stakeholders. The freely available information acts as a knowledge source for the third party. The virtual nature of digital platforms motivates employees to share knowledge more openly, leaving a digital trace that can be accessed anytime, thereby building on to the knowledge base. Originality/value The article highlights how SM can be essential in the knowledge management processes in the organization. It showcases the prominence of everyday organizational interactions and experiences which together build a knowledge-rich culture.

Framework contracts for medicine inventory management in public healthcare

2019 ◽  
Vol 9 (1) ◽  
pp. 1-21
Author(s):  
Muhammad Naiman Jalil ◽  
Wafa Malik ◽  
Areeb Javaid ◽  
Ali Jan Khan
Keyword(s):  
Public Health ◽  
Inventory Management ◽  
Health Care Services ◽  
Public Procurement ◽  
Public Health Care ◽  
Procurement Management ◽  
Content Type ◽  
Procurement Process ◽  
Care Services ◽  
Procurement Contract

Learning outcomes This paper aims to highlight the implications of financial planning for public procurement process for medicine purchase. The purpose of this case is also to understand how the choice of contract type in public procurement impacts medicine inventory levels and availability. It finally highlights the appropriate configuration of framework procurement contract for procurement of discrete goods in the context of public sector procurement. Case overview/synopsis Primary and Secondary Healthcare Department (P&SHD), Government of the Punjab provides free public health-care services in the Punjab province. Public health-care services of P&SHD are organised in a tiered manner with almost 3,000 primary and secondary medical facilities dispersed throughout the Punjab province. P&SHD maintains inventories of approximately 300 medicines to support medical service provision. Complexity academic level This case can be taught in procurement and inventory management module of MBA level operations management course. It can also be used in executive course on public sector procurement management. The case aims to highlight the interrelation between inventory planning and procurement management process. Hence, it should be used after participants have understood inventory models, procurement process and procurement contract types. Standard readings or cases on inventory and procurement management that cover topics such economic order quantity, procurement process steps and procurement contracts can be used to develop this understanding. Supplementary materials Teaching Notes are available for educators only. Please contact your library to gain login details or email [email protected] to request teaching notes. Subject code CSS 9: Operations and logistics.

scholarly journals Determinanți ai excluziunii sociale în rândul persoanelor vârstnice

2021 ◽  
Vol 19 (1) ◽  
pp. 87-97
Author(s):  
Mihaela Ghenţa ◽  
Elen-Silvana Bobârnat
Keyword(s):  
Health Care ◽  
Social Exclusion ◽  
Rural Areas ◽  
Urban Areas ◽  
Older Persons ◽  
Health Care Services ◽  
Social Inclusion ◽  
The Elderly ◽  
Care Services ◽  
The Social

The paper presents the results of a qualitative research conducted among providers of social and socio-medical services for older persons. The research objectives were to collect opinions with regard to the societal transformations that constitute risk factors for the social inclusion of the elderly; to identify the dimensions of social inclusion of the elderly in Romania most impacted by the societal transformations, as well as measures and actions that could counter acting the negative effects of social exclusion of the elderly. Data collection included semi-structured interviews with experts from social and health care services providers. Technological transformations, the ageing phenomenon, the migration, the negative perceptions regarding the elderly population; the uneven development of urban areas compared to rural areas, are most likely to influence the social exclusion of older persons. Participation in cultural, sports, and voluntary activities, access to appropriate social and health care services and housing conditions may lead to a better social inclusion.

From services dealers to innovation brokers

2014 ◽  
Vol 15 (4) ◽  
pp. 554-575 ◽  
Author(s):  
Marika Macchi ◽  
Ugo Rizzo ◽  
Laura Ramaciotti
Keyword(s):  
Knowledge Exchange ◽  
Case Study Research ◽  
Secondary Data ◽  
Policy Implications ◽  
Content Type ◽  
Knowledge Based ◽  
Structural Capital ◽  
Heterogeneous Processes ◽  
Multiple Case ◽  
The Creation

Purpose – The purpose of this paper is to investigate the strategies business incubators (BI) adopt in respect to the creation of incubatee intellectual capital, and it focuses in particular on links between BI structural capital and the creation of incubatee relational capital (RC). By crossing IC literature with the open innovation paradigm the authors consider the incubator as an innovation intermediary and the authors investigate how different incubator strategies of knowledge exchange take place within and across incubator boundaries. The main issues the authors seek to explore regard the mechanisms by which incubators shape the exchange of knowledge within and across their boundaries and the rationale underlying such an approach. Design/methodology/approach – The analysis is based on a multiple case study research involving five Italian incubators. Primary and secondary data were gathered through interviews with each incubator managing director and with relevant actors. Findings – The analysis allows us to propose a theoretical framework and to highlight how different structural capital shape heterogeneous processes by which incubatees build their RC. The authors find that important differences in RC formation are present both at an exchange of knowledge level within the incubator, and across incubator boundaries. Research limitations/implications – The main limitations of this study regard the generalizability of results. This is mostly an exploratory work and further research based on quantitative rather than qualitative analysis, would provide stronger evidence in order to validate the results with respect to the population of incubators and consequently lead to more precise policy implications. Originality/value – The analysis points to the importance of recognizing different BI approaches regarding the mechanisms by which incubatees develop their RC, and allows us to gain a knowledge-based conceptualization of incubators. This definition moves beyond the more diffuse classification based on public vs private and sectoral specificities, and introduces some new insights for further research.

The Experience in Organizing and Conducting the Analysis of Data on Nutrition of School-Aged Children in the Sverdlovsk Region within the Federal Public Health Promotion Project

2020 ◽  
pp. 10-17
Author(s):  
NA Moiseeva ◽  
IL Kholstinina ◽  
MF Knyazeva ◽  
TV Mazhaeva ◽  
OL Malykh ◽  
...  
Keyword(s):  
Public Health ◽  
Health Promotion ◽  
Rural Areas ◽  
Nutritional Value ◽  
School Meals ◽  
School Aged Children ◽  
Healthy Nutrition ◽  
Urban And Rural Areas ◽  
The Cost ◽  
Public Health Promotion

Introduction: Implementation of the Federal Public Health Promotion Project should raise awareness and develop skills of healthy nutrition in children, thus contributing to disease prevention. Our objective was to evaluate the results of pilot nutrition monitoring in school-aged children of the Sverdlovsk Region as part of the Federal Public Health Promotion Project and the National Demography Project. Results: We established that school meals were generally satisfactory: the rations complied with physiological needs of children in terms of their nutritional value, basic nutrients, energy, and distribution of calories by main meals. We noted differences in the cost and nutritional value of meals and the variety of dishes and foodstuffs used between urban and rural areas. As a rule, pupils have one or two school meals a day. Outside of school, their consumption of dairy products and fruit is limited. Conclusions: Our findings may promote the elaboration of municipal programs aimed, inter alia, at changing the amount of sugar and salt used in the manufacture of public catering products, the cost of dishes with a high content of sugar, saturated fats, and salt, and subsidies on healthy nutrition.

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