scholarly journals Models of maternal and child healthcare for African refugees: protocol for an exploratory, mixed-methods study

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e038162
Author(s):  
Carolyne Njue ◽  
Andrew Hayen ◽  
Angela J Dawson
Keyword(s):  
Mixed Methods ◽  
Health Service ◽  
Service Providers ◽  
Readiness To Change ◽  
Healthcare Services ◽  
Models Of Care ◽  
Nominal Group ◽  
High Quality ◽  
African Refugees ◽  
Service Managers

IntroductionThere is a paucity of research examining models of maternal and child health (MCH) care for refugees in high-income countries. Attention has focused on tailoring existing healthcare services to meet the needs of this population and ensure accessible high-quality patient-centred care. This protocol reports the methodology of a study designed to identify models of care for African refugees in New South Wales (NSW), Australia, to determine the evidence for these models and the improvements necessary to best meet service needs that can be delivered in line with available resources, organisational readiness and capacity to implement.Methods and analysisThis multiphased, participatory research project will employ an exploratory, mixed-methods design. Preparatory activities involve a situational analysis of current MCH services for African refugees and associated policies and guidelines in NSW. We will consult key health service providers and analyse Australian census and settlement data to identify refugee communities and their relation to healthcare services. Phase 1 will ascertain the MCH care needs of African refugees and appropriate service models using: a Delphi survey with health service managers and providers, a nominal group process with African women refugees and; key informant interviews with senior health service managers. This data will be synthesised to provide insight into appropriate models-of-care that could be implemented. These will be discussed in a stakeholder workshop. Phase 2 will comprise a readiness-to-change survey with a selection of providers to explore the willingness, commitment and efficacy of staff members to adopt such models-of-care.Ethics and disseminationEthical approval was granted by NSW Health. Findings will be disseminated to all stakeholders at a knowledge exchange forum to inform the development of a high-quality MCH service delivery model that can be feasibly implemented specifically for African refugee communities.PROSPERO registration numberCRD42018095564.

The Development of National Health Service Social Enterprises in England

2019 ◽  
pp. 95-108 ◽  
Author(s):  
Sebrene Margaret Maher
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Service Providers ◽  
Healthcare Services ◽  
Social Enterprises ◽  
Policy Framework ◽  
Public Healthcare ◽  
Health Service Providers ◽  
The Government

The purpose of this chapter is to examine government policy framework relating to the development of social enterprise within National Health Service providers. The number of social enterprises delivering public healthcare services is continually growing. This chapter discusses challenges and benefits for the government. Potential barriers to achieving this development are also evaluated. Although the focus is primarily upon the policy agenda in England, the chapter makes a useful contribution to the ongoing international debate on the development of social enterprises in primary and secondary care. This review identifies that National Health Service social enterprises responds to local needs, bring innovative, effective ways of managing heathcare in the community. It is clear from reviewing the literature that healthcare services are changing and being continually shaped by social enterprises providers.

Enhancing Modularity in Healthcare Services Through Integration

2019 ◽  
Vol 15 (3) ◽  
pp. 97-110
Author(s):  
Shefali Srivastava ◽  
Gyan Prakash
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Structural Equation ◽  
Structural Model ◽  
Service Providers ◽  
Healthcare Services ◽  
Partial Least Square ◽  
Least Square ◽  
Modular Architecture ◽  
Modular Systems

The objective of this article is to identify and validate the theoretical relationships between facilitators of modular architecture in healthcare service delivery context. The relationships among heterogeneity in healthcare services, coordinated care pathways, organisational orientation, integrated supply chain performance and modularity in health service delivery were explored. A structural model was developed based on a literature review. A 35-item questionnaire was circulated among service providers in the healthcare system all over India. A cross-sectional research design was used to assess the framework of research. The random sampling method was adopted to collect data. A total of 127 valid responses were received. Data analysis was performed using partial least square structural equation modelling (PLS-SEM).Results reveal that modular architecture can be achieved by building an environment which has coordinated and integrated efforts of service providers incorporated with enhanced organisational orientation. The study added insights to the theory of modular systems. The authors recognise that modularity helps in enhancing the patient-centric orientation. The findings provide potentially important information to health service managers and providers, enabling them to understand the requisites of modular architecture. This is the first study exploring the relationships between facilitators of modularity in healthcare services. The study complements literature on service modularity with reference to specialised care unit of maternity services.

A Strategic Approach for Patient-Centric E-Healthcare Development

2019 ◽  
pp. 211-237
Author(s):  
Abdallah Qusef ◽  
Mohammad Daradkeh ◽  
Sharefa Murad
Keyword(s):  
Health Service ◽  
Service Providers ◽  
Cloud Model ◽  
Healthcare Providers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Health Service Providers ◽  
Strategic Approach ◽  
Proposed Model ◽  
Healthcare It

Different types of industries, strategic thinking, planning, and management in healthcare have become cornerstones of providing high quality of healthcare services among the rapidly changing competitive environment and the emerging technologies, which is pushing health service providers to adopt the eHealth solutions to automate the treatment workflows during health service. This chapter introduces a new healthcare IT cloud model called HealthGate Cloud (HGC), which is specially designed as a central repository for patients' EHRs. The proposed model provides a technical and business framework for a centralized enterprise healthcare information system and data sharing between all participated healthcare providers in the country or region, which makes them all as if they are one big hospital having one single repository and database for all patients' medical records. It can be used by any HA in any country or region to provide this solution for HSPs through subscriptions business model.

scholarly journals No observed reduction of non-attendance rate in telehealth models of care

2020 ◽  
Vol 44 (5) ◽  
pp. 657 ◽  
Author(s):  
E. P. Greenup ◽  
D. Best ◽  
M. Page ◽  
B. Potts
Keyword(s):  
Relative Risk ◽  
Health Service ◽  
No Reduction ◽  
Service Providers ◽  
Models Of Care ◽  
Attendance Rate ◽  
Delivery Methods ◽  
Public And Private ◽  
Private Providers ◽  
Health Service Providers

Objective This study investigated the provision of public specialist out-patient services in Queensland delivered in traditional hospital settings (in person) or through a two-way synchronous videoconferencing session (telehealth). Rates of attendance between these delivery methods were compared to detect any difference in rates of non-attendance among patients. Methods An extract of all specialist out-patient appointments reported in Queensland Health’s corporate patient administration systems between 1 July 2017 and 30 June 2018 was obtained (n = 2921702). Variables including how the service was delivered and whether the patient attended were captured for each event. Results No reduction in non-attendance was observed in the telehealth patient group (9.1%) compared with in-person service delivery (9.1% vs 7.9% respectively; = 113.56, P < 0.001, relative risk = 1.15). Discussion The study found no evidence that telehealth is effective at reducing rates of non-attendance in a specialist out-patient setting. This supports existing findings that most non-attendance is the result of forgetfulness or confusion with appointment details, to which telehealth appointments are also vulnerable. What is known about the topic? Non-attendance of out-patient appointments remains a persistent and costly problem for public and private providers of health services. Forgetting or being confused about appointment details are the most commonly reported reasons for patient non-attendance. What does this paper add? Telehealth models of care are increasingly being offered by health service providers, reducing travel requirements to all patients, particularly those in regional and remote settings. However, telehealth models of care do not address the most common reasons for patient non-attendance and telehealth patients are not less likely to miss their appointments. What are the implications for practitioners? Suggestions that telehealth models of care can reduce rates of non-attendance should be treated with caution by health service administrators and clinicians. More timely appointment reminders and easier processes to cancel or reschedule appointments remain the most effective techniques for reducing non-attendance.

scholarly journals Achieving high-quality universal health coverage: a perspective from the National Health Service in England

2018 ◽  
Vol 3 (6) ◽  
pp. e000944 ◽  
Author(s):  
Rocco Friebel ◽  
Aoife Molloy ◽  
Sheila Leatherman ◽  
Jennifer Dixon ◽  
Sebastian Bauhoff ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Universal Health Coverage ◽  
Low Income ◽  
Healthcare Services ◽  
Staff Retention ◽  
Health Coverage ◽  
High Quality ◽  
Universal Health

Governments across low-income and middle-income countries have pledged to achieve universal health coverage by 2030, which comes at a time where healthcare systems are subjected to multiple and persistent pressures, such as poor access to care services and insufficient medical supplies. While the political willingness to provide universal health coverage is a step into the right direction, the benefits of it will depend on the quality of healthcare services provided. In this analysis paper, we ask whether there are any lessons that could be learnt from the English National Health Service, a healthcare system that has been providing comprehensive and high-quality universal health coverage for over 70 years. The key areas identified relate to the development of a coherent strategy to improve quality, to boost public health as a measure to reduce disease burden, to adopt evidence-based priority setting methods that ensure efficient spending of financial resources, to introduce an independent way of inspecting and regulating providers, and to allow for task-shifting, specifically in regions where staff retention is low.

scholarly journals Factors Influencing Patient Satisfaction with Healthcare Services Offered in Selected Public Hospitals in Bulawayo, Zimbabwe

2021 ◽  
Vol 14 (1) ◽  
pp. 181-188
Author(s):  
Content P. Nyakutombwa ◽  
Wilfred N. Nunu ◽  
Nicholas Mudonhi ◽  
Nomathemba Sibanda
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Service Providers ◽  
Waiting Times ◽  
Healthcare Services ◽  
Public Hospitals ◽  
Outpatient Services ◽  
Cross Sectional Survey ◽  
Health Service Provider ◽  
Cross Sectional

Introduction: Patient satisfaction with health care services is vital in establishing gaps to be improved, notably in public health facilities utilised by the majority in Low and Middle-Income Countries. This study assessed factors that influenced patient satisfaction with United Bulawayo Hospitals and Mpilo Hospital services in Bulawayo in Zimbabwe. Methods: A cross-sectional survey was conducted on 99 randomly selected respondents in two tertiary hospitals in Bulawayo. Chi-squared tests were employed to determine associations between different demographic characteristics and patient satisfaction with various services they received. Multiple Stepwise Linear regression was conducted to assess the strength of the association between different variables. Results: Most of the participants who took part in the study were males in both selected hospitals. It was generally observed that patients were satisfied with these facilities' services, symbolised by over 50% satisfaction. However, patients at Mpilo were overall more satisfied than those at United Bulawayo Hospitals. Variables “received speciality services,” “average waiting times,” and “drugs being issued on time” were significant contributors to different levels of satisfaction observed between Mpilo and United Bulawayo Hospitals. Conclusion: Generally, patients are satisfied with the services and interactions with the health service providers at United Bulawayo Hospitals and Mpilo Hospitals. However, patients at Mpilo were more satisfied than those at United Bulawayo Hospitals. There is generally a need to improve pharmaceutical services, outpatient services, and interaction with health service provider services to attain the highest levels of patient satisfaction.

Health service providers in psychology: Results of the 1978 APA Human Resources Survey.

1981 ◽  
Vol 36 (11) ◽  
pp. 1395-1418 ◽  
Author(s):  
Gary R. VandenBos ◽  
Joy Stapp ◽  
Richard R. Kilburg
Keyword(s):  
Health Service ◽  
Human Resources ◽  
Service Providers ◽  
Health Service Providers
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