scholarly journals Involving communities in health service planning in primary care

1997 ◽  
Vol 5 (6) ◽  
pp. 398-407 ◽  
Author(s):  
Sue Kirk ◽  
Jackie Bailey ◽  
Yvonne Burkey
Keyword(s):  
Primary Care ◽  
Health Service ◽  
Service Planning ◽  
Health Service Planning

scholarly journals Using administrative health data to inform health service planning for specialist cancer care in Nova Scotia, Canada

2018 ◽  
Vol 3 (4) ◽  
Author(s):  
Robin Urquhart ◽  
Lynn Lethbridge
Keyword(s):  
Primary Care ◽  
Nova Scotia ◽  
Health Service ◽  
Service Planning ◽  
Decision Makers ◽  
Health Service Planning ◽  
Cancer Centre ◽  
Follow Up Care ◽  
Over Time

IntroductionResearch has demonstrated that primary care providers can safely and effectively provide follow-up care after a person has received treatment for cancer. Yet, discharge to primary care after cancer treatment is variable, despite the fact that cancer systems are challenged to provide follow-up care given constrained cancer specialist resources. Objectives and ApproachTo inform cancer system planning, we examined (1) cancer centre routine follow-up (CC-FUP) care for prevalent cancer types and (2) changes in CC-FUP over time. From the Nova Scotia Cancer Registry, we identified all persons diagnosed in Nova Scotia, Canada, with an invasive breast, colorectal, gynecological, or prostate cancer between 01/01/2006 and 31/12/2013. We linked this dataset to cancer centre/clinic data and identified a non-metastatic cancer survivor cohort (n=12,267). Descriptive statistics were computed to describe patterns of care. Negative binomial regression was used to examine changes over time for both CC-FUP and all cancer centre visits, adjusting for other covariates. ResultsNearly half of survivors (48.4\%) had at least one CC-FUP visit, which varied by disease site (range: 30.2-62.4\%). Variation existed across providers, with six oncologists providing 34.7\% of the CC-FUP visits to the study population. Year of diagnosis was associated with receipt of CC-FUP care, with each successive calendar year associated with an 8\% increase in CC-FUP visits (IRR=1.08, 95\%CI=1.07-1.10). Similarly, each successive calendar year was associated with a 14\% increase in all cancer centre visits (IRR=1.14, 95\%CI=1.13-1.15). Results were shared with cancer system decision-makers at regular intervals to inform ongoing analyses. Conclusion/ImplicationsBoth the number of CC-FUP visits and all visits increased over time, with the latter at a greater rate. The increases were much higher than assumed by cancer system decision makers (2\% increase per year) for resource planning, demonstrating the value of population-based administrative data to informing health service planning.

scholarly journals Health service planning and medical education.

BMJ ◽  
1978 ◽  
Vol 2 (6135) ◽  
pp. 498-498
Author(s):  
D R Wood ◽  
D Ranger
Keyword(s):  
Medical Education ◽  
Health Service ◽  
Service Planning ◽  
Health Service Planning

Planning health services

2020 ◽  
pp. 402-411
Author(s):  
David Lawrence
Keyword(s):  
Health Service ◽  
Health Services ◽  
Conceptual Framework ◽  
Service Planning ◽  
Health Service Planning ◽  
Soft Systems ◽  
Successes And Failures

This chapter shows you how to contribute to planning health services successfully at strategic and operational levels. It first explains what health service planning is and the nature of health services as mainly ‘soft’ systems. It provides a conceptual framework for planning and then goes through steps and tasks in planning. It then suggests some ways of overcoming pitfalls, notes some common fallacies about planning, and provides a real planning case study with its successes and failures. Finally, it notes ways to assess how well you are doing

scholarly journals Qualitative analysis of the coordination of major system change within the Colombian health system in response to COVID-19: study protocol

2020 ◽  
Vol 1 (1) ◽  
Author(s):  
Simon Turner ◽  
Natalia Niño
Keyword(s):  
Health Service ◽  
Health Services ◽  
Health System ◽  
Case Studies ◽  
Health Systems ◽  
National Level ◽  
System Change ◽  
Service Planning ◽  
Local Health ◽  
Health Service Planning

Abstract Background Coronavirus (COVID-19) is posing a major and unprecedented challenge to health service planning and delivery across health systems internationally. This nationally funded study is analysing the response of the Colombian health system to the COVID-19 pandemic, drawing on qualitative case studies of three local health systems within the country. The approach will be informed by the concept of ‘major system change’—or coordinated change among a variety of healthcare organizations and other relevant stakeholders— to identify processes that both enable and inhibit adaptation of health services to the challenges presented by COVID-19. The study will collect information on capacity ‘bottlenecks’ as well as successful practices and forms of innovation that have emerged locally, which have the potential for being ‘scaled up’ across Colombia’s health services. Methods/design This qualitative study will be undertaken in two phases. In the first, up to 30 stakeholder interviews will be conducted to ascertain immediate challenges and opportunities for improvement in response to COVID-19 that can be shared in a timely way with health service leaders to inform health service planning. The stakeholders will include planning, provider and intermediary organizations within the health system at the national level. In the second, up to 60 further interviews will be conducted to develop in-depth case studies of three local health systems at the metropolitan area level within Colombia. The interview data will be supplemented with documentary analysis and, where feasible, non-participant observation of planning meetings. Discussion The study’s findings will aid evaluation of the relevance of the concept of major system change in a context of ‘crisis’ decision-making and contribute to international lessons on improving health systems’ capacity to respond to COVID-19 and future pandemics. Study findings will be shared among various stakeholders in the Colombian healthcare system in a formative and timely way in order to inform healthcare planning in response to COVID-19 and future pandemics. Conducting the study at a time of COVID-19 raises a number of practical issues (including physical distancing and pressure on health services) which have been anticipated in the study design and research team’s ways of working.

Health service engagement with consumers and community in Australia for issue

2019 ◽  
Vol 24 (4) ◽  
pp. 274-283 ◽  
Author(s):  
Shane Rendalls ◽  
Allan D. Spigelman ◽  
Catherine Goodwin ◽  
Nataliya Daniel
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Community Engagement ◽  
Service Planning ◽  
Programme Evaluation ◽  
Consumer Engagement ◽  
Health Service Planning ◽  
Content Type ◽  
Service Engagement ◽  
Practical Implications

Purpose The purpose of this paper is to provide an overview of consumer and community engagement in health service planning, quality improvement and programme evaluation in Australia, and key components and importance of a strong suite of tools for achieving effective outcomes. Design/methodology/approach This paper is a non-systematic review of Australian national, state and territory websites in relation to policy commitment to consumer engagement, best practice framework for consumer engagement and recent project example. Findings Consumer engagement is a recognised component of the Australian health system. It is reflected in the national and state health policy and is a mandatory requirement of hospital accreditation. The application of co-design principles is gaining increasing popularity in health service planning and programme evaluation. Co-design is an important enabler of patient/community-centred service planning and evaluation; however, on its own it may lead to poorer outcomes. Co-design must occur within a broader systemic framework. Practical implications The research identifies a conceptual framework, approaches and tools of value to health service management and planners. Originality/value Consumer and community engagements are critical to the development of consumer-centric services. However, this should complement and add value to, not divert attention away from established principles of service planning, continuous quality improvement and programme evaluation. To do so may result in poorer quality health and well-being outcomes, reduced efficiency and ultimately reduced consumer and community satisfaction with services. This paper examines consumer and community engagement within the broader planning and quality improvement framework and practical implications for keeping planning, research and evaluation on track.

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