scholarly journals Deservingness: migration and health in social context

2021 ◽  
Vol 6 (Suppl 1) ◽  
pp. e005107
Author(s):  
Seth M Holmes ◽  
Ernesto Castañeda ◽  
Jeremy Geeraert ◽  
Heide Castaneda ◽  
Ursula Probst ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Global Health ◽  
Social Science ◽  
Professional Education ◽  
Health Professionals ◽  
Clinical Work ◽  
Health Clinic ◽  
Public Healthcare ◽  
Clinical Cases

This article brings the social science concept of ‘deservingness’ to bear on clinical cases of transnational migrant patients. Based on the authors’ medical social science research, health delivery practice and clinical work from multiple locations in Africa. Europe and the Americas, the article describes three clinical cases in which assumptions of deservingness have significant implications for the morbidity and mortality of migrant patients. The concept of deservingness allows us to maintain a critical awareness of the often unspoken presumptions of which categories of patients are more or less deserving of access to and quality of care, regardless of their formal legal eligibility. Many transnational migrants with ambiguous legal status who rely on public healthcare experience exclusion from care or poor treatment based on notions of deservingness held by health clinic staff, clinicians and health system planners. The article proposes several implications for clinicians, health professional education, policymaking and advocacy. A critical lens on deservingness can help global health professionals, systems and policymakers confront and change entrenched patterns of unequal access to and differential quality of care for migrant patients. In this way, health professionals can work more effectively for global health equity.

Policies on Telemedicine-Enhanced Hospital Services

2013 ◽  
pp. 1-14
Author(s):  
Angelo Rossi Mori ◽  
Mariangela Contenti ◽  
Rita Verbicaro
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Patient Engagement ◽  
Health Professionals ◽  
Evaluation Criteria ◽  
Comparative Assessment ◽  
Care Provision ◽  
Conceptual Frame ◽  
Care Processes

Modern telemedicine offers to hospitals a whole range of opportunities to improve the appropriateness of their care provision, to offer new services to primary care and to contribute to patient engagement. In this chapter, the authors briefly discuss their approach to facilitate the collaborative production of region-wide telemedicine roadmaps involving the hospitals, explicitly based on national and regional healthcare strategic priorities. In addition, as an operational contribution to support their approach, they introduce a conceptual frame for evaluating and prioritizing multiple ICT-enhanced innovation interventions, within an all-inclusive plan. The proposed frame captures relevant evaluation criteria belonging to four broad categories: the systemic benefits related to the quality of care; direct economic factors; the cultural viability; and the technological feasibility. As an example, the authors simulate an application of our conceptual frame to the comparative assessment of three kinds of telemedicine-enhanced interventions: (i) to improve the care processes driven by the hospital, (ii) to support health professionals, and (iii) to promote citizen’s engagement.

scholarly journals Beyond coverage: a qualitative study exploring the perceived impact of Gabon’s health insurance plan on access to and quality of prenatal care

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
N’doh Ashken Sanogo ◽  
Arone Wondwossen Fantaye ◽  
Sanni Yaya
Keyword(s):  
Quality Of Care ◽  
Health Insurance ◽  
Antenatal Care ◽  
Pregnant Women ◽  
Health Professionals ◽  
Supply Side ◽  
Demand Side ◽  
Structured Interviews ◽  
Compulsory Health Insurance

Abstract Background Access to affordable and adequate healthcare in a health system determines the universal health coverage achievement for all residents in a country. Achieving access to healthcare requires the availability of a financing system that ensures access to and provision of adequate care, regardless of the ability to pay. In sub-Saharan Africa, accessibility, use and coverage of prenatal visits are very low and poor, which reduces the quality of care. This paper explored the impact of a social health insurance scheme on the quality of antenatal care in Gabon. Methods This qualitative study involved the analysis of data collected from semi-structured interviews and non-participant observations to assess the quality of antenatal care. The study elicited perceptions on the demand side (pregnant women) and the supply side (health professionals) in health facilities. Fifteen semi-structured interviews were conducted with pregnant women (aged between 15 and 49) and 5 with health professionals, who each had a seniority of at least 10 years, at different levels of care. Nine non-participant observations were also conducted. Coded transcripts were reviewed and analyzed using the Canadian Institute for Public Administration of Citizen-Centered Services model as an analytical guide. Results On the demand side, women were generally satisfied with the prenatal services they receive in health facilities. However, complaints were made about the rudeness of some nurses, the high price of the delivery kit (50,000 XAF), and the fact that some essential medicines for maternity are not covered. On the supply side, participants agreed that compulsory health insurance is important in providing antenatal care access to those who need it the most. However, some problems remain. The participants outlined some logistical problems and a lack of medical equipment, including the stock of drugs, disinfectants, and the absence of clean water. Conclusion Understanding the perceptions of pregnant women and health professionals regarding the quality of antenatal care can help to inform refinements to methods through which the services can be better provided. In addition, the study findings are vital to increasing the use of care, as well as combating high maternal mortality rates. Compulsory health insurance has improved the accessibility and utilization of healthcare services and has contributed to improved quality of care.

Designing, implementing and evaluating an educational intervention targeting weight bias and fat stereotyping

2020 ◽  
pp. 135910531990131
Author(s):  
Thea Werkhoven
Keyword(s):  
Higher Education ◽  
Quality Of Care ◽  
Health Professionals ◽  
Intervention Study ◽  
Course Design ◽  
Nutrition Knowledge ◽  
Weight Bias ◽  
Post Intervention ◽  
Or Education

Weight bias directed at individuals at a higher weight leaves them feeling victimised and judged. When possessed by health professionals, stigmatising attitudes may compromise professionalism and quality of care or education provided. An intervention study was conducted in the higher education setting ( n = 124), through tailored course design and delivery. The intervention was embedded into a health elective that pre-service health professionals were enrolled in. Attitudes to weight and knowledge of nutrition were targeted simultaneously. Surveys conducted pre- and post-intervention revealed moderate success in achieving study aims of improving nutrition knowledge and decreasing bias. Focus group analyses supported the quantitative findings.

The Italian Rare Cancer Network.

2012 ◽  
Vol 30 (15_suppl) ◽  
pp. 10053-10053 ◽  
Author(s):  
Roberta Sanfilippo ◽  
Marco Tricomi ◽  
Federica Grosso ◽  
Giacomo Baldi ◽  
Beatrice De Troia ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Clinical Research ◽  
Observational Studies ◽  
Specific Treatment ◽  
Rare Cancer ◽  
Web Resource ◽  
Rare Cancers ◽  
Cancer Network ◽  
Clinical Cases

10053 Background: Rare cancers (RC) are a challenge in terms of quality of care, access to health resources and clinical research. The Italian Rare Cancer Network (RTR: “Rete Tumori Rari”) is a clinical collaborative effort to improve quality of care in adult rare solid cancers in Italy. RTR enables institutions to share clinical cases and to rationalize access to distant reference centers minimizing patient migration. It indirectly promotes collaborative clinical research by encouraging accrual into clinical trials and supporting observational studies. Methods: RTR includes 150 oncology institutions across Italy. Clinical cases are shared asynchronously over a secure Web resource. Data, images and transactions are stored in an online clinical record. Patients are shared: 1. "logically”, when they are dealt with following common clinical practice guidelines; 2. "virtually”, when they are discussed over the network between two or more centers; 3: "physically", when they are referred to an excellence center for a specific treatment modality. Pathology review is arranged through transferal of paraffin-embedded specimens and upload of consultations. While it was chosen not to implement telepathology facilities, a teleradiology resource is now available. Results: From 2003 to 2011, more than 5,000 rare cancers cases (mostly sarcomas) have been uploaded. More than 1,300 teleconsultations have been delivered, while more than 1,000 patients moved across the network during their experience of disease. 700 cases were reviewed pathologically: amongst 365 cases originally diagnosed as soft tissues sarcomas up to 2010, treatment-relevant discordances were recorded in more than one third. An observational prospective study on gastrointestinal stromal tumors was done, enrolling 800 patients. An original paper documenting the activity of a drug in a highly specific sarcoma subgroup was published. Conclusions: Clinical asynchronous online collaboration on RC is feasible through a Web-based secure environment and proved the most practical way of clinical distant sharing. Pathologic review was a crucial network service, with a special added value in RC. Retrospective and prospective observational studies, and unplanned observations in very rare cases, were an interesting by-product.

scholarly journals Transforming future public health professionals through open and distance learning (ODeL)

2016 ◽  
Vol 11 (2) ◽  
pp. 149-165
Author(s):  
Satwinder Rehal
Keyword(s):  
Global Health ◽  
Transformative Learning ◽  
Professional Education ◽  
Health Professionals ◽  
International Health ◽  
Education And Training ◽  
The Philippines ◽  
Transformative Education ◽  
Content Type ◽  
And Training

Purpose Open and distance e-learning (ODeL) practices have substantial contributions to make in achieving societal development goals. The challenge however remains with enhancing skilling, training and educating professionals who will contribute to this progress. The purpose of this paper is to illustrate how transformative education and training in global health can be undertaken through ODeL in increasing the quality, quantity and relevance of health professional education and training. Design/methodology/approach This paper is based on a descriptive qualitative case study of the International Health and Development Course offered by the University of the Philippines Open University and is thus limited in its scope from other courses in the program. Findings Transformative education and training through ODeL has the potential of increasing the quality, quantity and relevance of health professionals training. However more critical assessment of transformative learning outcomes is needed via rigorous methods of objectifying such outcomes. Achieving transformative health education and training requires rigorous engagement in constructivist-oriented experiential learning that allow learners to be accustomed to significant interactions achieved by involvement in problem-based methods accomplished through small group e-tivities in order to demonstrate applicability in the real work context. Originality/value The outcome of this paper is relevant to institutions in Asia that offer ODeL-based global health programs through open knowledge systems in order to produce graduates who are more responsive to the evolving health needs amid twenty-first century global health challenges.

scholarly journals Disruptive Behavior at Hospitals and Factors Associated to Safer Care: A Systematic Review

Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 19
Author(s):  
Pedro Moreno-Leal ◽  
César Leal-Costa ◽  
José Luis Díaz-Agea ◽  
Ismael Jiménez-Ruiz ◽  
Antonio Jesús Ramos-Morcillo ◽  
...  
Keyword(s):  
Quality Of Care ◽  
Adverse Effects ◽  
Disruptive Behavior ◽  
Health Professionals ◽  
Negative Impact ◽  
Data Extraction ◽  
Scientific Evidence ◽  
Disruptive Behaviors ◽  
Physical And Mental Health

Disruptive behavior creates a dysfunctional culture that has a negative impact on work relations and influences the quality of care and safety of the patient. The objective of the present work is to provide the best methodological quality scientific evidence available on disruptive behavior at a hospital, the aspect associated with the safety of the patient, and its impact on quality of care. For this, we included studies that addressed the prevalence of disruptive behaviors observed in the area of hospital health and its professionals. The selection, eligibility, data extraction and evaluation of the risk of bias stages were conducted by two researchers, and any discrepancies were solved by a third researcher. The data presented show that disruptive behaviors are frequently observed in the daily life of health professionals, and compromise the quality of care, the safety of the patient, and can lead to adverse effects. The results presented indicate that the appearance of disruptive behaviors compromises the quality of care, the safety of the patient, and the appearance of adverse effects, and can also affect the physical and mental health of the health professionals. PROSPERO registration number: CRD42021248798.

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