SP0094 Rheumatology development: how to reach the equally and high standard educated and trained health professional throughout europe

THIS ISSUE CONTAINS papers that consider some of the complex issues within human resource management (HRM) in health care. In health systems the care provided has tended to be craftbased production ? a trained health professional provides his or her craft for individual patients, with little need for management. Influencing the relationship between practitioner and patient has been limited by professional autonomy and the different cultures that exist among the specialised health professional groups. These differences are illustrated by Perkins et al by the results of a survey of starting and finishing undergraduate medical, nursing and pharmacy students (page 252).

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Empirical Analysis of Socio-Economic Determinants of Maternal Health Services Utilisation in Burundi

10.21203/rs.3.rs-15579/v2 ◽

2021 ◽

Author(s):

Desire Habonimana ◽

Neha Batura

Keyword(s):

Maternal Health ◽

Health Services ◽

Health Professional ◽

Maternal Health Services ◽

Long Distance ◽

Economic Determinants ◽

Pregnancy And Childbirth ◽

Point Of Use ◽

Education Levels ◽

Trained Health Professional

Abstract BackgroundTimely and appropriate health care during pregnancy and childbirth are the pillars of better maternal health outcomes. However, factors such as poverty and low education levels, long distance to a health facility, and high costs of health services may present barriers to timely access and utilisation of maternal health services. Despite prenatal, childbirth and postanal care being free at the point of use in Burundi, utilisation of these services remains low: between 2011 and 2017, only 49% of pregnant women attended at least four antenatal care (ANC) visits. This study explores the socio-economic determinants that affect utilisation of maternal health services in Burundi.MethodsWe use data from the 2017 Burundian Demographic and Health Survey (DHS) collected from 8,941 women who reported a live birth in the five years preceding the survey. We use multiple regression analysis to explore the factors that determine the likelihood of seeking ANC services from a trained health professional, the number of ANC visits made and the choice of assisted childbirth. ResultsOccupation, marital status and wealth increase the likelihood of seeking ANC services from a trained health professional. The likelihood that a woman consults a trained health professional for ANC services is 18 times and 16 times more for married women and women living in partnership, respectively. More educated women and those who currently live a union or partnership attend more ANC visits than others. At higher birth orders, women tend to not attend ANC visits. The more ANC visits attended, and the wealthier women are; the more likely they are assisted during childbirth. Women who complete four or more ANC visits are 14 times more likely to have an assisted childbirth. ConclusionsIn Burundi, utilisation of maternal health services is low. There is inequality in services utilisation among women based on wealth, parity, religion, and occupation. ANC is an important determinant of subsequent delivery care. There is a gap between married and unmarried women. This has a strong health policy implication to improve access to maternal health services for unmarried women.

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Empirical analysis of socio-economic determinants of maternal health services utilisation in Burundi

BMC Pregnancy and Childbirth ◽

10.1186/s12884-021-04162-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Desire Habonimana ◽

Neha Batura

Keyword(s):

Maternal Health ◽

Health Services ◽

Health Professional ◽

Multivariate Regression Analysis ◽

Maternal Health Services ◽

Wealth Status ◽

Economic Determinants ◽

Pregnancy And Childbirth ◽

The Government ◽

Trained Health Professional

Abstract Background Timely and appropriate health care during pregnancy and childbirth are the pillars of better maternal health outcomes. However, factors such as poverty and low education levels, long distances to a health facility, and high costs of health services may present barriers to timely access and utilisation of maternal health services. Despite antenatal care (ANC), delivery and postnatal care being free at the point of use in Burundi, utilisation of these services remains low: between 2011 and 2017, only 49% of pregnant women attended at least four ANC visits. This study explores the socio-economic determinants that affect utilisation of maternal health services in Burundi. Methods We use data from the 2016–2017 Burundi Demographic and Health Survey (DHS) collected from 8941 women who reported a live birth in the five years that preceded the survey. We use multivariate regression analysis to explore which individual-, household-, and community-level factors determine the likelihood that women will seek ANC services from a trained health professional, the number of ANC visits they make, and the choice of assisted childbirth. Results Occupation, marital status, and wealth increase the likelihood that women will seek ANC services from a trained health professional. The likelihood that a woman consults a trained health professional for ANC services is 18 times and 16 times more for married women and women living in partnership, respectively. More educated women and those who currently live a union or partnership attend more ANC visits than non-educated women and women not in union. At higher birth orders, women tend to not attend ANC visits. The more ANC visits attended, and the wealthier women are; the more likely they are to have assisted childbirth. Women who complete four or more ANC visits are 14 times more likely to have an assisted childbirth. Conclusions In Burundi, utilisation of maternal health services is low and is mainly driven by legal union and wealth status. To improve equitable access to maternal health services for vulnerable population groups such as those with lower wealth status and unmarried women, the government should consider certain demand stimulating policy packages targeted at these groups.

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Dangers and Unreliability of Mammography: Breast Examination is a Safe, Effective, and Practical Alternative

International Journal of Health Services ◽

10.2190/2rhd-05t6-bry0-1cex ◽

2001 ◽

Vol 31 (3) ◽

pp. 605-615 ◽

Cited By ~ 13

Author(s):

Samuel S. Epstein ◽

Rosalie Bertell ◽

Barbara Seaman

Keyword(s):

Health Professional ◽

Mammography Screening ◽

Clinical Breast Examination ◽

International Programs ◽

Breast Self Examination ◽

Breast Examination ◽

Clinical Breast ◽

Self Examination ◽

Trained Health Professional ◽

Striking Contrast

Mammography screening is a profit-driven technology posing risks compounded by unreliability. In striking contrast, annual clinical breast examination (CBE) by a trained health professional, together with monthly breast self-examination (BSE), is safe, at least as effective, and low in cost. International programs for training nurses how to perform CBE and teach BSE are critical and overdue.

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Empirical analysis of socio-economic determinants of maternal health services utilisation in Burundi

10.21203/rs.3.rs-15579/v1 ◽

2020 ◽

Author(s):

Desire Habonimana ◽

Neha Batura

Keyword(s):

Maternal Health ◽

Health Services ◽

Health Professional ◽

Maternal Health Services ◽

Long Distance ◽

Economic Determinants ◽

Pregnancy And Childbirth ◽

Point Of Use ◽

Education Levels ◽

Trained Health Professional

Abstract Background Timely and appropriate health care during pregnancy and childbirth are the pillars of better maternal health outcomes. However, factors such as poverty and low education levels, long distance to a health facility, and high costs of health services may present barriers to timely access and utilisation of maternal health services. Despite prenatal, childbirth and postanal care being free at the point of use in Burundi, utilisation of these services remains low: between 2011 and 2017, only 49% of pregnant women attended at least four antenatal care (ANC) visits. This study explores the socio-economic determinants that affect utilisation of maternal health services in Burundi.Methods We use data from the 2017 Burundian Demographic and Health Survey (DHS) collected from 8,941 women who reported a live birth in the five years preceding the survey. We use multiple regression analysis to explore the factors that determine the likelihood of seeking ANC services from a trained health professional, the number of ANC visits made and the choice of assisted childbirth.Results Occupation, marital status and wealth increase the likelihood of seeking ANC services from a trained health professional. The likelihood that a woman consults a trained health professional for ANC services is 18 times and 16 times more for married women and women living in partnership, respectively. More educated women and those who currently live a union or partnership attend more ANC visits than others. At higher birth orders, women tend to not attend ANC visits. The more ANC visits attended, and the wealthier women are; the more likely they are assisted during childbirth. Women who complete four or more ANC visits are 14 times more likely to have an assisted childbirth.Conclusions In Burundi, utilisation of maternal health services is low. There is inequality in services utilisation among women based on wealth, parity, religion, and occupation. ANC is an important determinant of subsequent delivery care. There is a gap between married and unmarried women. This has a strong health policy implication to improve access to maternal health services for unmarried women.

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Multiclinician involvement in protocol-driven management of early breast cancer patients in Australia: High standard and excellent outcomes can be maintained

European Journal of Cancer ◽

10.1016/s0959-8049(02)80510-x ◽

2002 ◽

Vol 38 (11) ◽

pp. S152

Author(s):

K Taylor

Keyword(s):

Breast Cancer ◽

Cancer Patients ◽

Early Breast Cancer ◽

High Standard ◽

Breast Cancer Patients

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Assessing Social Skills in Health Professional Services

European Journal of Psychological Assessment ◽

10.1027/1015-5759.21.3.173 ◽

2005 ◽

Vol 21 (3) ◽

pp. 173-181

Author(s):

Francisco Gil ◽

Jesús Sanz ◽

María Paz García-Vera ◽

José M. León ◽

Silvia Medina ◽

...

Keyword(s):

Social Skills ◽

Health Services ◽

Health Professional ◽

Aggressive Behavior ◽

Psychometric Properties ◽

Internal Consistency ◽

Intervention Program ◽

Professional Services ◽

Quality Of Health Services

Abstract. The quality of health services depends on the contribution of all the professionals involved in the system, including certain groups, usually forgotten and underrated, such as the health-transport technicians (HTT). With the aim of improving this group's performance, an intervention program, focusing on the development of the workers' technical and social skills, was designed in a collective of enterprises. Information about the first stage of this program, consisting of the assessment of these workers' social skills, is offered in this study. A specific questionnaire was developed: The Health-Transport Technicians Social Skills Questionnaire (HTT-SSQ), made up of three scales (assertive, passive, and aggressive behavior). It was administered to a large sample (N = 530) from the above-mentioned association. The psychometric properties of the questionnaire were analyzed, with quite satisfactory indexes of internal consistency and factor validity, and the group's deficiencies (excess or deficit) were evaluated.

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