Service Providers’ Decision to Use Ethics Committees and Consultation in Complex Services

2020 ◽  
Vol 57 (2) ◽  
pp. 278-297 ◽  
Author(s):  
J. Daniel Zyung ◽  
Vikas Mittal ◽  
Sunder Kekre ◽  
Gajanan G. Hegde ◽  
Jennifer Shang ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ethical Decision Making ◽  
Service Providers ◽  
Ethical Dilemmas ◽  
Care Service ◽  
Health Care Service ◽  
Ethics Consultation ◽  
Ethics Committees ◽  
Care Providers

Ethics has long been, and continues to be, a central topic among marketing scholars and practitioners. When providing complex services—multiple interactions over time that are predicated on the evolving needs of customers—service providers face ethical dilemmas, which are often resolved by engaging an ethics committee (EC). Despite the prevalence of ECs, research on service providers’ preference to engage with an EC is sparse. This study examines whether the role that health care providers play, as either task manager or relationship manager, makes a difference in their preference for engaging with and utilizing an EC for resolving ethical dilemmas. Results based on 1,440 observations collected from health care service providers show that service providers’ task or relationship management role, as well as prior experience with an ethics consultation, influences their preference both for engaging an EC and for having the EC prescribe a specific outcome to resolve an ethical dilemma. This study extends prior work on conceptual models examining ethical decision-making processes in marketing.

An extensive review of patient health-care service satisfaction in Bangladesh

2020 ◽  
Vol 2 ◽  
pp. 5-16
Author(s):  
Abdul Kader Mohiuddin
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Service Providers ◽  
Care Service ◽  
Waiting Times ◽  
Health Care Service ◽  
Care Providers ◽  
Care Services

Patient satisfaction is a useful measure for providing quality indicators in health-care services. Concern over the quality of health-care services in Bangladesh has resulted in a loss of faith in health-care providers, low use of public health facilities, and increased outflows of patients from Bangladesh to hospitals abroad. The main barriers to accessing health services are inadequate services and poor quality of existing facilities, shortage of medicine supplies, busyness of doctors due to high patient load, long travel distance to facilities, and long waiting times once facilities were reached, very short consultation time, lack of empathy of the health professionals, their generally callous and casual attitude, aggressive pursuit of monetary gains, poor levels of competence and occasionally, disregard for the suffering that patients endure without being able to voice their concerns. All of these service failures are frequently reported in the print media. Such failures can play a powerful role in shaping patients’ negative attitudes and dissatisfaction with health-care service providers and health-care itself.

scholarly journals Simple and basic yet vital and essential health services: an exploration of perception of junior health care service providers regarding rural health services in India

2018 ◽  
Vol 5 (6) ◽  
pp. 2248
Author(s):  
Sudhir Chandra Joshi ◽  
Rita Joshi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Rural Health ◽  
Health Care Providers ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Facilities ◽  
Medical Community ◽  
Care Providers

Background: Health services should be scientifically reviewed and researched continuously.. In 2017, at the occasion of completion of seven decades of the India's Independence, a self-funded “doctors' perception study project” was launched. Present paper is an outcome of this project which will soon be followed by similar projects involving other stakeholders of health care as well.Methods: Fifteen individual face to face in depth interviews (FFIDIs) and ten focus group discussions (FGDs) were conducted during the year 2017 among the junior level health care providers working at a rural health training center. Thematic (content) analysis method was used.Results: A big gap exists between the concept and its implementation. Several ‘people factors’ and ‘system factors’ emerged besides quite a few ‘contradictions’, ‘malpractices’ and ‘deficiencies’. Perceptions regarding various ‘priority domains’ for improvement, ‘needs’ and ‘strategies’ were also explored. The emphasis was on improving peoples’ awareness action and access; staff recruitment, health care facilities and patient referral.Conclusions: Access barriers are disastrous and devastating for the poor and the disabled. There is a close mutual relation among the various issues. Chaos is being allowed to exist in which there are irrational use of drugs, mushrooming of ‘quacks’ and diversion of resources from public to private sector. Addressing all the issues requires peoples’ awareness and action along with political and administrative vision and will. A different politics is needed. Introspection, internal reforms and more community engagement is expected from the medical community.

scholarly journals Provision of Health-care Service over the Internet – the Legality of E-consultations in Estonia

2017 ◽  
Vol 26 ◽  
pp. 47
Author(s):  
Marika Žmenja
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Web Sites ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Legal Regulation ◽  
The Internet ◽  
Care Providers ◽  
Common Information

The number of Web sites providing medical consultations is growing constantly. They offer common information and advice, patient education, and general and individualised consulting. In certain cases wherein Web sites offer consultations, the service is subject to the same legal regulation as conventional health-care provision. The article discusses when consulting via the Internet (i.e., e-consulting) can be considered provision of health-care service and which requirements it has to meet if so. The author concludes that what matters here is not how service providers present their service but whether the essence of e-consultation corresponds to the definition of a health-care service – if it does, e-consultation has to be considered one. Among the obstacles in providing e-consultations is fulfilling the requirement of having consultation premises at the time of applying for the necessary permit. Health-care providers are required to have a physical location where they can provide the services.  Also addressed in the article is e-consultation as information-society service. It is concluded that if this is an intermediary service, then – if the design of the service so indicates – legal regulations applicable to health-care service provision do not apply. The author finds that, in general, e-consultations are possible and legitimate in the current legal framework.

scholarly journals FRONTLINE HEALTH PROVIDER'S PERSPECTIVE IN REDUCING CHILD DEATHS DUE TO MALNUTRITION IN A TRIBAL DISTRICT OF MAHARASHTRA: A QUALITATIVE STUDY

2021 ◽  
pp. 246-249
Author(s):  
Lalit Sankhe ◽  
Chhaya Rajguru ◽  
Monali Kadam
Keyword(s):  
Health Care ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Service Providers ◽  
Health Workers ◽  
Health Care Service ◽  
Care Providers ◽  
Child Deaths ◽  
Primary Health ◽  
Refresher Training

Background: Malnutrition is a complex problem with double burden of undernutrition and overweight. India is no exception to it but there is a higher level of malnutrition in tribal blocks and to curb this situation,various activities have been undertaken but the slow pace of decline in malnutrition is a concern.The role of frontline health workers is crucial in strengthening primary health care.They serve as the bridge between the formal government health-care system and the community.The present study helps to seek the perception of primary health care service providers and challenges faced by them in reducing child deaths due to malnutrition. Method: A descriptive cross sectional qualitative study was conducted during August 2019 - February 2020 in three talukas of a tribal district. Focus group discussions (FGD) for each service providers Auxiliary Nurse midwife (ANM), Anganwadi worker (AWW) and Accredited Social Health activist (ASHA) were conducted. All the FGDs were audio recorded and transcripts were prepared,a thematic analysis framework was used for doing the analysis. Results: Most of the service providers were aware regarding their roles and responsibilities in implementation of schemes/ services related to malnutrition. The important factors influencing their performance were superstitions, more reliance on health seeking from unqualified health care providers and faith healers, poor road connectivity, network issues,lack of refresher training,overburdening with work,poor incentives. Conclusion: Specific training programs to tackle malnutrition along with frequent refresher training of the service providers,better infrastructure and human resources will help in achieving the desired results in future in dealing with child malnutrition.

Teaching ethics that honor the patient’s and the provider’s voice: The role of clinical integrity

2018 ◽  
Vol 53 (5-6) ◽  
pp. 445-454
Author(s):  
Aaron J Grace ◽  
Heather A Kirkpatrick
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Ethical Decision ◽  
Ethical Decision Making ◽  
Ethical Dilemmas ◽  
Ethics Training ◽  
Teaching Ethics ◽  
Care Providers ◽  
Educational Module

Medical ethics training is as variable as it is widespread. Previous research has indicated that medical learners find systematic approaches to ethical dilemmas to be helpful. This article describes a bioethics educational module. It includes an overview of common bioethical principles and presents a tool for organizing health-care providers’ thinking and discussions about challenging ethical dilemmas. We discuss an area of bioethics that is often neglected, clinical integrity, and the role that a health-care provider’s clinical integrity plays in ethical decision-making. We provide several hypothetical ethical vignettes for practice and discussion using the clinical integrity tool. The article also describes how this module has been implemented in one medical education setting and provides suggestions for educators.

Exploring the market to establish an advanced surgical community eye hospital

2020 ◽  
pp. 147078532097005
Author(s):  
Ishaana Sood ◽  
Shalinder Sabherwal ◽  
Shantanu DasGupta ◽  
Naval Chauhan ◽  
Anand Chinnakaran ◽  
...  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Health Care Providers ◽  
Care Service ◽  
Health Care Service ◽  
Uttar Pradesh ◽  
Field Research ◽  
Building Blocks ◽  
Care Providers ◽  
Resource Limited

Developing countries often cite shortage of human resource, limited accessibility, low affordability, and asymmetric availability of health care resources as the provider end barriers to health care service utilization. Using the example of a market research project undertaken to establish an advanced surgical eye hospital in the Indian state of Uttar Pradesh, a decision-grid is constructed whereby health care providers’ can make informed decisions regarding expansion and service delivery. The comparative and interpretive logic-based approach utilizes public domain data coupled with field research and is apt for those working in developing countries and/or resource-crunch settings. The paradigms laid out and discussed, provide building blocks for decision-making, which if harnessed effectively, have broad applicability in terms of reaching the previously unreached and ultimately in improving health outcomes.

scholarly journals Delivery of Preconception Counselling Services: The Snags of Health Care Service Providers.

2021 ◽  
Vol 6 (5) ◽  
pp. 10-24
Author(s):  
Zakariah Hikimatu ◽  
Alhasan Mustafa ◽  
William Agoke
Keyword(s):  
Health Care ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Care Providers ◽  
Childbearing Age ◽  
Intensive Training ◽  
Counselling Services ◽  
Preconception Counselling ◽  
Health Care Service Providers

Purpose: This study investigates the difficulties the health care service providers encounter in the quest of rendering preconception counselling services in Ghana. Methodology: The study employed descriptive survey design with the use of both qualitative and quantitative research approaches using questionnaire as the main tool. The study employed simple random sampling to sampled 135 out of 675 health care service providers from 23 health facilities in the Bole District of the Savanna Region in Ghana. The quantitative data obtained for the study was analysed using Statistical Package for Social Solution (SPSS) whilst the qualitative data were subjected to descriptive and narrative discussion. Findings: The study revealed that, health care practitioners need continuous training programme. It also became clear that, there no any clear national guideline or policy on preconception counselling in Ghana. It came to light that, the healthcare service providers face a lot of difficulties to capture women of child bearing age to offer them the services. Inadequate knowledge and expertise to effectively offer the preconception counselling services was also identified as a challenge. Recommendations: The study therefore recommend that the Ministry of Health and Ghana Health Service should come out with a clear policy guideline on preconception counselling and also provide an intensive training for the health care professionals. The health care providers should also be provided with the needed resources to embark on sensitisation and advocacy campaigns to create the awareness for women of childbearing age to appreciate the need for preconception and genetic carrier risk counselling.

Volunteering in hospice and palliative care in Germany

2018 ◽  
Author(s):  
Michaela Hesse ◽  
Lukas Radbruch
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Health Care Providers ◽  
Hospice Care ◽  
Care Service ◽  
Health Care Service ◽  
Care Providers ◽  
Specialist Services ◽  
Patient Groups ◽  
Hospice And Palliative Care

German hospice care developed as a civil society movement in which volunteers were essential from the beginning. Palliative care was, however, led by a few pioneer physicians and started independently from hospices. This separate development is still visible with a clear distinction between palliative care units and inpatient hospices. Over the last two decades these two areas of care have moved more into the regular health care service. As a result volunteer services are increasingly subject to regulations. This also means that there is an increasing amount of competition and economic pressure. Developing trust and high transparency in the local and regional palliative care networks, and open and bilateral collaboration of specialist services with general practitioners (GPs) and other health care providers on the basic palliative care level are prerequisites of integrated palliative care. Ongoing development leads to changes in the patient groups that receive palliative care.

scholarly journals MULTIDISCIPLINARY APPRAOACH OF HEALTH CARE PROFESSIONALS IN PROVIDING PREEMINENT TREATMENT TO PATIENTS

2014 ◽  
Vol 3 (2) ◽  
pp. 2
Author(s):  
Shamma Tabassum
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Coordination ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Health Care Services ◽  
Service Providers ◽  
Health Care Service ◽  
Care Providers ◽  
Care Services

A strong communication and efficient coordination is required among various health care service providers, working together to provide appropriate delivery of health care services. In case, various stake holders in the network of health care providers fail to exercise such competent organization and management, patients will have to bear undesirable consequences1. This situation can lead to amplified costs and decreased quality of health care services. Studies have shown that the communication gaps between health care providers escort towards the reduction of care coordination and readmissions2. It has been originated that both hospitals and primary care physicians experiences parallel challenges like lack of time and difficulty in reaching other practitioners resulting in scant information evaluation, medication list inconsistencies and a lack of certainty with respect to liabilities for impending tests and home health2.The communication between patients and relevant medical staff is also very crucial, particularly at the time of admission and discharge. This emphasizes that there are numerous challenges in care coordination, information dealing, follow-up care and treatment management.

scholarly journals Teledentistry and COVID-19: Today and Tomorrow

BioMedica ◽  
2020 ◽  
Vol 36 (2S) ◽  
pp. 81-83
Author(s):  
Muhammad Imran Khan Niazi ◽  
Sarah Ghafoor
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Disparities ◽  
Care Service ◽  
Dental Health ◽  
Health Care Service ◽  
Care Providers ◽  
Long Distance ◽  
Dental Health Care ◽  
Use Of Technology

<p>The use of technology to facilitate communication and care between patients and dental health care providers at different locations is referred as tele dentistry. It utilises different electronic modalities thus increasing the efficacy of dental clinics by converting traditional paper patient&rsquo;s records to Electronic Health Records (EHR). These EHR can help in increasing inter-professional communication between clinicians and multidisciplinary management of complex cases. Tele dentistry is a unique way to overcome the geographical barriers by delivering long distance treatment, providing Continuing Education (CE) and training opportunities for dental and non-dental providers. It also has the potential to reduce or eliminate oral health care disparities between different communities. During current COVID-19 pandemic tele dentistry is an effective way to triage high risk patients needing urgent or emergency care thus mitigatingthe risk of the spread of the Coronavirus. Tele dentistry is yet to become integral part of Pakistan dental health care service but it is imperative that dental health care providers actively promote and support the use of tele dentistry</p>

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