The blind spot: value‐based health care in obstetrics and gynaecology

Author(s):  
Osama Naji ◽  
Vivienne Souter ◽  
Edward Mullins ◽  
Jonathan Gaughran ◽  
Yasser Diab ◽  
...  
2019 ◽  
Vol 6 (4) ◽  
pp. 283
Author(s):  
Benjamin Martin Janaway ◽  
Mukesh Kripalani

2016 ◽  
Vol 44 (2) ◽  
Author(s):  
Labaran Dayyabu Aliyu ◽  
Asim Kurjak ◽  
Tuangsit Wataganara ◽  
Renato Augusto Moreira de Sá ◽  
Ritsuko Pooh ◽  
...  

AbstractToday we are living in a globalized world in which information on what is happening in one part of the world is easily communicated to other parts of the world. This happens thanks to advancement in science and technology. One area where technology has made the greatest impact is heath care provision. Ultrasound technology is now playing a critical role in health care provision particularly in Obstetrics and Gynaecology. This has significantly assisted in provision of quality health care to pregnant women and their unborn infants and in reducing maternal and neonatal morbidity and mortality in the developed world. Africa the continent with greatest health care challenges and with the highest maternal and neonatal mortalities is yet to fully utilize this important technology. The need for this technology is great as the conditions requiring its application abound. The effective application of Ultrasound however faces serious challenges in Africa. To successfully entrench Ultrasound in quality Obstetrics and Gynaecology care various approaches must be adopted to overcome the challenges. The aim of this paper is to identify the benefits and the challenges inimical to the application Ultrasound in Obstetrics and Gynecology in Africa. It also examines what needs to be done to achieve better application of Ultrasound in Obstetrics and Gynecology.


Author(s):  
Jenny M. Luke

The epilogue brings hope of positive change as the American College of Nurse-Midwives and the American Congress of Obstetrics and Gynaecology work on common ground to solve the pressing issues of American maternity care. A reassessment of the essential inclusion of both macro-level and micro-level components of care leads to the conclusion that Dr. J. Edward Hill subscribes to: good health care is local and when community activism is supported by state and federal funding and integrated into the structures of medicine and politics change will happen.


2019 ◽  
Vol 13 (3) ◽  
pp. 1-11
Author(s):  
Ogechi H. Abazie ◽  
Aishat Yetunde Abdul-Kareem

Background Caesarean section is a surgical procedure in which one or more incisions are made through a mother's (laparotomy) and uterus (hysterotomy) to deliver babies. It is one of the most important operations performed in obstetrics and gynaecology. Aim To assess women's knowledge and perceptions of caesarean section in three selected primary health care centres in Mushin Local Government Area, Lagos. Method This was a non-experimental descriptive study. A simple random sampling technique was used to select 128 respondents in the three selected health care centres. Data were manually collected and analysed electronically with the use of SPSS version 20 computer software. Result Of the respondents, 41.9% were aged range of 30–34 years, while only 2.4% were aged 40 years and above. The majority of the respondents (79.8%) had a good knowledge of caesarean section although 68.5% had negative perceptions of caesarean section. There was a significant association between respondents' knowledge of caesarean section and their perception (P<0.05). Conclusions The majority of the women in this study had a good knowledge of caesarean section, although more than half of the respondents had negative perceptions of caesarean section. The majority of respondents were unwilling to undergo caesarean section even when it was indicated.


2020 ◽  
Vol 6 (2) ◽  
pp. 74
Author(s):  
Leonie M. S. Veltman ◽  
Diana M. J. Delnoij ◽  
Hans C. Ossebaard

This scoping review examines the conceptual relationship between the terms “environmental sustainability” and “quality of care” as used in academic studies on health care. We performed searches in Scopus and PubMed looking for potential semantic and practical associations between sustainability and quality of care, including potential conflicts. For the first part about associations, 11 search strings were used resulting in 1,488 studies of which 8 were eventually selected for analysis. For the latter part about conflicts, 4 search strings were used resulting in 45 studies of which 6 remained for analysis. Information about the following aspects was extracted from the studies that were included: interpretation and definition of sustainability, dimensions of quality of care, and tensions between quality and sustainability. Merely a few studies address a relationship betweenenvironmental sustainability and quality of care. Only “patient-centredness” and “safety” are associated with sustainability in academic literature. “Effectiveness” is rather interpreted as opposing it. “Efficiency” seems to be both associated and opposed to sustainability. The conceptual relationship between environmental sustainability and quality of care has not been thouroughly examined in academic studies which implies a blind spot in our knowledge. Only one study reports on conceptual and practical work for incorporating sustainability as a dimension of health care quality.


1986 ◽  
pp. 39-40
Author(s):  
S. Krajnc-Simoneti ◽  
K. Sonnenschein ◽  
M. Kus ◽  
E. Kosta

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