Partnership

2015 ◽  
Vol 47 (3) ◽  
pp. 532-549 ◽  
Author(s):  
Stella R. Quah
Keyword(s):  
Health Services ◽  
Family Caregiver ◽  
Health Care Services ◽  
Burden Of Care ◽  
Care Services ◽  
The Family ◽  
Care At Home ◽  
Demand For Health ◽  
Depth Interviews ◽  
Length Of Hospitalization

This study discusses the main barriers to partnership between family and health services in the context of schizophrenia and de-institutionalization (reduction of the length of hospitalization whenever possible and returning the patient to the community) addressed to deal with the increasing costs and demand for health care services. Thus, in de-institutionalization the burden of care is not resolved but shared with the family, under the assumption that the patient has someone—a family caregiver—who can take up the responsibility of care at home. Despite the high burden of care faced by the family caregiver in mental illness, the necessary systematic partnership between the medical team and the family caregiver is missing. Subjects were 47 family caregivers of persons living with schizophrenia. Data were collected using in-depth interviews, structured questionnaires and attitudinal scales. Data analysis included factor analysis and odds ratios. Two types of barriers to partnership are identified in the literature: health services barriers and barriers attributed to the family. The findings confirm the health services barriers but reject the assumed family barriers.

scholarly journals A Juridical Review on the Enforcement of Criminal Law to the Violations of Tender Conspiracy Practices in the Procurement of Government Goods/Services in Health Sector

2021 ◽  
Vol 04 (12) ◽  
Author(s):  
Retna K. Rachman ◽  
◽  
◽  
Keyword(s):  
Public Health ◽  
Health Services ◽  
Health Care Services ◽  
Health Sector ◽  
Government Procurement ◽  
Market Demand ◽  
Goods And Services ◽  
Care Services ◽  
The Government ◽  
Demand For Health

Due to the demand for health care services that is getting higher, making business actors engaged in the provision of health services/facilities also seek to further improve the services they have to meet market demand. Hospitals and health clinics are increasingly diverse in offering health services to potential consumers. So that people as consumers also have a variety of choices to fulfill their needs for health services. The health sector is one of the programs that has a fairly large budget item at this time, namely the health equipment procurement program. The large budget allocation from the government opens up opportunities to be misused if there is no strict supervision from the stakeholders themselves or from other institutions. The health budget that should be used to build public health is actually used to enrich oneself and others which can result in poor service and quality of public health. Meanwhile, one of the basic problems related to business competition in Indonesia is the process of procurement of government goods/services. In the process of procuring government goods and services, some believe that there are still many practices of conspiracy to determine the winner in a tender. This clearly contradicts the principles and mechanisms that have been regulated in Presidential Regulation No. 12 of 2021 concerning Government Procurement of Goods/Services and Law No. 5 of 1999 concerning Government Procurement. KPPU was formed based on the mandate of Law Number 5 of 1999. The purpose of this paper is to examine the extent to which the limitations and powers of the KPPU are related to the handling of cases of tender conspiracy which have implications for criminal acts.

scholarly journals Avaliação dos serviços de atenção primária à saúde na tuberculose

2019 ◽  
Vol 13 ◽  
Author(s):  
Tatiana Castro da Costa ◽  
Felipe Lima dos Santos ◽  
Alexandre Tadashi Inomata Bruce ◽  
Jaqueline Garcia de Almeida Ballestero ◽  
Mônica Cristina Ribeiro Alexandre d’Auria de Lima ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Care Services ◽  
Web Of Science ◽  
Care Services ◽  
Primary Health ◽  
Concept Of Health ◽  
Primary Health Care Services ◽  
The Family

RESUMOObjetivo: analisar produções científicas sobre a avaliação dos serviços da Atenção Primária à Saúde no controle da tuberculose. Método: trata-se de estudo bibliográfico, tipo revisão integrativa, que incluiu artigos completos disponibilizados nas Bases de Dados LILACS, CINAHL, SCOPUS, Web of Science e MEDLINE,  publicados no Brasil entre janeiro de 2013 a setembro de 2017. Apresentaram-se os resultados em forma de figuras. Resultados: selecionaram-se e classificaram-se 12 artigos em duas categorias temáticas: “Avaliação dos serviços na perspectiva dos profissionais de saúde” e “Avaliação dos serviços na perspectiva dos usuários”. Conclusão: ratificam-se, pela síntese dos estudos, as fragilidades, sugerindo a formação complementar aos profissionais, além do resgate do conceito expandido de saúde, principalmente, com relação à família e à comunidade, contribuindo para o embasamento de condutas de gestão para a melhoria das intervenções em saúde. Descritores: Atenção Primária à Saúde; Tuberculose; Pesquisa sobre Serviços de Saúde; Enfermagem; Brasil; Serviços Básicos de Saúde. ABSTRACT Objective: to analyze scientific production on the evaluation of Primary Health Care services in the control of tuberculosis. Method: this is a bibliographical study, including an integrative review, which included complete articles available in the LILACS, CINAHL, SCOPUS, Web of Science and MEDLINE databases, "published in Brazil between January 2013 and September 2017. The results were presented in the form of figures. Results: 12 articles were selected and classified in two thematic categories: "Evaluation of services from the perspective of health professionals" and "Evaluation of services from the perspective of users". Conclusion: the synthesis of the studies confirms the weaknesses, suggesting the complementary training to the professionals, besides the rescue of the expanded concept of health, mainly, in relation to the family and the community, contributing to the base of management conduits for the improvement of health interventions. Descriptors: Primary health care; Tuberculosis; Research on Health Services; Nursing; Brazil; Basic Health Services. RESUMEN Objetivo: analizar producciones científicas sobre la evaluación de los servicios de la   Atención Primaria a la Salud en el control de la tuberculosis. Método: se trata de un estudio bibliográfico, tipo revisión integrativa, que incluyó artículos completos disponibles en las Bases de Datos LILACS, CINAHL, SCOPUS, Web of Science y MEDLINE, publicados en Brasil entre enero de 2013 a septiembre de 2017. Se presentaron los resultados en forma de figuras. Resultados: se seleccionaron y se clasificaron 12 artículos en dos categorías temáticas: "Evaluación de los servicios en la perspectiva de los profesionales de salud" y "Evaluación de los servicios en la perspectiva de los usuarios". Conclusión: se ratifican, por la síntesis de los estudios, las fragilidades, sugiriendo la formación complementaria a los profesionales, además del rescate del concepto ampliado de salud, principalmente, con relación a la familia y a la comunidad, contribuyendo para el basamento de conductas de gestión para la mejora de las intervenciones en salud. Descritores: Atención Primaria a la Salud; Tuberculosis; Investigación sobre Servicios de Salud; Enfermeira; Brasil; Servicios Básicos de Salud.

Needs assessment for gender sensitive reproductive health services for adolescents

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fatemeh Rahmanian ◽  
Soheila Nazarpour ◽  
Masoumeh Simbar ◽  
Ali Ramezankhani ◽  
Farid Zayeri
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Needs ◽  
Reproductive Health Care ◽  
Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

The validity of mobile applications to facilitate patient care provided to cancer patients: opportunities and limitations

2021 ◽  
Vol 16 ◽  
Author(s):  
Haneen Amawi ◽  
Sayer Alazzam ◽  
Tasnim Alzanati ◽  
Neveen Altamimi ◽  
Alaa Hammad ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Health Care Services ◽  
Rating Scale ◽  
Assessment Tools ◽  
Free Access ◽  
User Engagement ◽  
Care Services ◽  
Health Related ◽  
Detailed Assessment

Background: The use of health-related applications (apps) on smartphones has become widespread. This is especially of value during the ongoing SAR-COV-2 pandemic, where the accessibility for health care services has been greatly limited. Patients with free access to apps can obtain information to improve their understanding and management of health issues. Currently, there are cancer-related apps available on iPhones and androids. However, there are no guidelines to control these apps and ensure their quality. Furthermore, these apps may significantly modify the patients’ perception and knowledge toward drug-related health services. Objective: The aim of this study was to assess the convenience, quality, safety and efficacy of apps for cancer patient care. Methods: The study was conducted by searching all apps related to cancer care on both Google Play Store and Apple iTunes Store. A detailed assessment was then performed using the mobile application rating scale (MARS) and risk assessment tools. Results: The results indicated that on a scale from 1-5, 47% of the apps were rated ≥ 4. The MARS assessment of the apps indicated an overall quality rating of 3.38 ± 0.9 (mean ± SD). The visual appeal of the app was found to have a significant effect on app functionality and user engagement. The potential benefits of these apps come with challenges and limitations. Patents related to smartphone applications targeting patients were also discussed. Conclusion: We recommend a greater emphasis toward producing evidence-based apps. These apps should be rigorously tested, evaluated and updated by experts, particularly clinical pharmacists. Also, these may alter patient attitudes toward services provided by physicians and pharmacists. Finally, these apps should not replace in-person interactive health services.

scholarly journals Helsepersonells erfaringer med pasientforløp i kommuner i Vest-Norge

2017 ◽  
Vol 13 (2) ◽  
Author(s):  
Torill Aarskog Skorpen ◽  
Marit Kvangarsnes ◽  
Torstein Hole
Keyword(s):  
Health Services ◽  
Health Personnel ◽  
Health Care Services ◽  
User Participation ◽  
Local Health ◽  
Care Services ◽  
Western Norway ◽  
Patient Pathways ◽  
Specialist Health Care ◽  
Group Interviews

Health services in Norway have been described as fragmented with weak coordination between different care levels with respect to patient pathways. The Coordination Reform’s aim was to improve patient pathways and strengthen user participation. The aim of this study was to investigate health personnel ́s experiences with patient pathways in municipalities in Western Norway. A qualitative design was chosen. Six focus group interviews with health personnel working in municipalities in Western Norway were conducted in 2013 and 2014. The interviews revealed that health personnel experienced that local health services gave cohesive patient pathways and strengthened user participation. Cohesive patient pathways and locally adapted pathways were considered important. Coordination and electronic communication between primary and specialist health care services were seen as inadequate. Trust, teamwork, competence and necessary resources were considered vital. Health personnel ́s experiences indicated that the intended aim of cohesive patient pathways near the patient was met. 

scholarly journals Effects of results based financing models on the performance of exposed health zones in Benin

2018 ◽  
Vol 5 (10) ◽  
pp. 4188
Author(s):  
Lamidhi Salami ◽  
Edgard-Marius Ouendo ◽  
Benjamin Fayomi
Keyword(s):  
Health Services ◽  
Health System ◽  
System Performance ◽  
Health Care Services ◽  
Child Health Services ◽  
Double Difference ◽  
Health System Performance ◽  
Care Services ◽  
Curative Care ◽  
Results Based Financing

Background: Since 2011, Benin adhered to results-based financing (RBF), with the implementation of RBF_PRPSS model by Health System Performance Strengthening Project (PRPSS) and RBF_PASS model by health system support project (PASS). Notwithstanding the lack of evidence on this experimental phase, the Ministry of Health initiated the extension of the RBF_PRPSS model to uncovered areas. This comparative study was led to evaluate the health system performance in RBF zones.Methods: The study examined data from sixty-seven health facilities in six health zones offering maternal and child health services, using the double difference, the Student's test and the variance comparison, with 5% significance level.Results: The study found that between 2011 and 2014, staff numbers remained stable in the RBF strata (p>0.05). The cumulative duration over a six-month period of stock-outs of five key drugs (paracetamol, amoxicillin, oxytocin, iron, sulfadoxine pyrimetamine) decreased from 51 days to 29 days (p<0.05). Direct revenues per health facility increased more in the RBF strata (p<0.05). Financial viability increased in RBF_PRPSS stratum. Health services utilization improved significantly for institutional delivery, tetanus toxoid immunization, DTP (Hib) HepB 3 and MCV immunization and curative care. Decreasing of maternal and neonatal mortalities in RBF strata were not significant.Conclusions: In sum, the RBF implementation has not yet generated a significant effect on the overall performance of the health system in exposed areas, although it is already accompanied by a significant improvement in the utilization of certain health care services. 

scholarly journals Health in Brazil: examples for the world

2013 ◽  
Vol 13 (1) ◽  
pp. 51-54 ◽  
Author(s):  
Malaquias Batista Filho ◽  
Anete Rissin
Keyword(s):  
Urban Areas ◽  
Health Care Services ◽  
Supply And Demand ◽  
Rural Families ◽  
Health Sector ◽  
Care Services ◽  
Intervention Models ◽  
History Of ◽  
Demand For Health ◽  
Information Framework

In the year 2012, for the first time in the history of humanity, the urban population has exceeded the rural population. This change has been conditioned, in large part, by migratory flows in the direction of the field to the cities, singularizing the importance of the situation according to epidemiological, ecological, political, and social aspects. These issues are highlighted by the United Nations (UNICEF and WHO) especially considering the remarkable and growing relevance that the poverty condition of rural families exercises in this displacement, creating a remarkable adverse and conflictive environment, mainly in the health sector. This fact occurs because the infrastructure of urban services is not keeping up with the sprawls in the outskirts of the cities of medium and large sizes. These arguments, of universal character, assume a crucial importance in developing countries, as in the case of Brazil, Latin America, an Asian subcontinent and the greater part of Africa. It is a context that justifies the I Brazilian Workshop on the Health of Subnormal Urban Clusters (old slums) to be held in Recife, as a strategy to consolidate a basic information framework about the epidemiological scenario, the supply and demand for health care services in urban areas of poverty. With an propositional objective: establish an agenda for research and intervention models having as focus the priorities of health of these urban spaces submitted to socio-economic conditions of recognized vulnerability.

scholarly journals Research on the Path of China Cities Service Consumption Upgrading

2021 ◽  
Vol 236 ◽  
pp. 03021
Author(s):  
Chen Fan ◽  
Wang Shengjin
Keyword(s):  
Health Services ◽  
Health Care Services ◽  
Income Elasticity ◽  
Empirical Test ◽  
First Line ◽  
Communication Services ◽  
Education Services ◽  
Care Services ◽  
Marginal Propensity ◽  
Expenditure System

Based on the panel data of “first-line cities” and “new first-line” cities from 2006 to 2018, this paper constructs an extended linear expenditure system model (ELES) to empirically study the path law of service sub-consumption upgrade. Based on the full-sample OLS estimation, it is found that the overall marginal propensity for service consumption in the sample cities is 0.418, of which the sub-consumption propensity for cultural, entertainment and education services is the most obvious, followed by medical and health services, and transportation and communication services are the lowest. Based on service subconsumption, the research on price and income elasticity found that the expenditure and income elasticity of cultural entertainment and education, which has the most significant marginal propensity to consume, is the largest, while the price and income elasticity of health care services is the smallest. An empirical test based on sub-samples found that the marginal service consumption propensity of “first-line cities” and “new firstline cities” are 0.558 and 0.379, respectively; in terms of service breakdown, “first-line cities” have propensity to consume cultural entertainment and education services Significantly higher than the “new first-line cities”, the sub-item propensity to consume in medical and health services is slightly higher, and the sub-item propensity to consume in transportation and communication services is slightly lower.

scholarly journals Satisfaction of clients with disabilities with services offered at primary health care centres in Ndola, Zambia

2012 ◽  
Vol 68 (2) ◽  
Author(s):  
N. Mlenzana ◽  
R. Mwansa
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Waiting Times ◽  
Care Providers ◽  
Persons With Disabilities ◽  
Care Services ◽  
Primary Health

To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54%) were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.

Sign in / Sign up

Export Citation Format

Share Document