Organisational Change and Occupational Therapy

2002 ◽  
Vol 65 (12) ◽  
pp. 536-542 ◽  
Author(s):  
Chris Lloyd ◽  
Robert King
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Service Delivery ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Organisational Change ◽  
Health Care Environment ◽  
Care Environment ◽  
Organisational Values ◽  
And Function

Major restructuring of health care services has meant changes in service delivery, organisational structures and work practices. There has been a significant impact on the roles and responsibilities required of health care professionals in the current health care environment. The literature reveals that this often brings about conflict between professional values and organisational values. Although many of the current changes in health care are compatible with the philosophy of occupational therapy, there are policy and organisational factors that have an impact on occupational therapy practice and service delivery. In this article, the emerging characteristics of the contemporary health care environment are identified and the strengths and weaknesses of the profession in adapting to this environment are discussed. It is argued that the survival and growth of the profession are dependent on the extent to which it is able to capitalise on strengths, overcome weaknesses, articulate its overall purpose and function and redefine its role and scope of practice in order to meet changed societal and organisational demands.

scholarly journals The Experience of Providing Physical Therapy in a Changing Health Care Environment

2002 ◽  
Vol 82 (7) ◽  
pp. 648-657 ◽  
Author(s):  
Rosemary Blau ◽  
Sarah Bolus ◽  
Terrence Carolan ◽  
Daniel Kramer ◽  
Elizabeth Mahoney ◽  
...  
Keyword(s):  
Health Care ◽  
Work Environment ◽  
Health Care Professionals ◽  
Phenomenological Study ◽  
Physical Therapists ◽  
Medical Center ◽  
Systemic Change ◽  
Academic Medical Center ◽  
Health Care Environment ◽  
Care Environment

Abstract Background and Purpose. The changes in the health care environment during the last decade have had an impact on the roles and responsibilities of all health care professionals. The purpose of this phenomenological study was to describe the experience of staff physical therapists during a time of systemic change within a large urban academic medical center. Subjects and Methods. Participants were 5 physical therapists working in various clinical settings within the medical center. The participants were interviewed and asked the question “Over the past 4 years, there have been major changes in your work environment. What has it been like for you working as a clinician during this time of change?” Interviews were recorded, transcribed, and analyzed to find thematic patterns of responses. Results. Four common themes emerged in which participants described experiencing loss of control, stress, discontent, and disheartenment. A fifth theme showed that despite these negative feelings, participants were able to “find the silver lining” in their daily work lives (ie, they were able to find positive aspects of their professional lives despite the perceived unpleasant changes with which they had to cope). Discussion and Conclusion. This study provides insight into the experiences of a group of staff physical therapists during a time of systemic change in their work environment. Although the themes reflect largely unsettling and negative experiences, there seems to be an underlying ability to find affirmative aspects of work.

scholarly journals Diagnostic maging in an Outpatient Center

1997 ◽  
Vol 13 (5_suppl) ◽  
pp. 35S-38S
Author(s):  
Keith Marchand
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Low Cost ◽  
Ultrasound Contrast Agents ◽  
Health Care Environment ◽  
Integration Model ◽  
Care Environment ◽  
Environment Quality ◽  
Care Services ◽  
Outpatient Center

In the current health care environment, outpatient diagnostic imaging centers face intense competition for the declining health care dollar. One approach to providing health care services at low cost is to provide as many services as possible in the outpatient environment. Quality control and patient satisfaction are issues of major importance. The “vertical integration” model is becoming more prevalent, and the author contends that cooperative networking among outpatient centers may be a key to successful survival. The role of the sonographer in the changing health care environment is described. The increasing importance of accreditation and the emergence of a growing number of accrediting bodies, as well as the potential impact of the new ultrasound contrast agents, are discussed.

Competencies for Diabetes Care and Education Specialists

2020 ◽  
Vol 46 (4) ◽  
pp. 384-397
Author(s):  
Donna Ryan ◽  
Sandra Drozdz Burke ◽  
Michelle L. Litchman ◽  
Lauren Bronich-Hall ◽  
Leslie Kolb ◽  
...  
Keyword(s):  
Health Care ◽  
Mental Health Professionals ◽  
Diabetes Care ◽  
Health Care Professionals ◽  
Health Care Environment ◽  
Individual Study ◽  
Care Environment ◽  
Body Of Knowledge ◽  
Centered Care ◽  
Core Body

Purpose Diabetes care and education specialists provide collaborative, comprehensive, and person-centered care and education to people with diabetes and cardiometabolic conditions. The implementation of the vision for the specialty has prompted the need to reexamine the knowledge, skills, and abilities necessary for diabetes care and education specialists in today’s dynamic health care environment. The purpose of this article is to introduce an updated set of competencies reflective of the profession in this dynamic health care environment. Diabetes care and education specialists are health care professionals who have achieved a core body of knowledge and skills in the biological and social sciences, communication, counseling, and education and who have experience in the care of people with diabetes and related conditions. Members of this specialty encompass a diverse set of health disciplines, including nurses, dietitians, pharmacists, physicians, mental health professionals, podiatrists, optometrists, exercise physiologists, physicians, and others. The competencies are intended to guide practice regardless of discipline and encourage mastery through continuing education, individual study, and mentorship. Conclusion This document articulates the competencies required for diabetes care and education specialists in today’s dynamic health care environment as they pursue excellence in the specialty.

Extending the Role of the Occupational Therapist in the Promotion of Collaborative Medication Management to Facilitate Occupation

2011 ◽  
Vol 74 (11) ◽  
pp. 540-542 ◽  
Author(s):  
Julie Cole
Keyword(s):  
Health Care ◽  
Medication Adherence ◽  
Occupational Therapy ◽  
Medication Management ◽  
Occupational Therapists ◽  
Occupational Therapist ◽  
Health Care Environment ◽  
Care Environment ◽  
Professional Perspectives

Although falling outside its traditional domain of concern, medication management merits consideration by occupational therapists owing to both the beneficial and the detrimental effects of pharmacology on occupation. However, a lack of clarity about the profession's role in promoting this activity has important consequences from legal and professional perspectives. In a health care environment, where a client-centred approach to medication adherence is currently advocated, there is scope to use the profession's models to explore this topic from an occupational viewpoint. This could enhance effective collaboration between prescribers and patients and enable the use of occupational therapy to augment, support or replace pharmacological approaches.

Strategic Planning: Positioning Occupational Therapy to Be Proactive in the New Health Care Paradigm

1995 ◽  
Vol 62 (4) ◽  
pp. 188-196 ◽  
Author(s):  
Teri L. Shackleton ◽  
Marie Gage
Keyword(s):  
Health Care ◽  
Strategic Planning ◽  
Occupational Therapy ◽  
Acute Care ◽  
Planning Process ◽  
Occupational Therapists ◽  
Health Care Institution ◽  
Health Care Environment ◽  
Care Environment ◽  
Strategic Planning Process

Strategic planning can be a powerful tool for occupational therapists seeking to position themselves to be leaders in the rapidly changing health care environment. The philosophical base and values of occupational therapy are consistent with those embraced by the emerging health care paradigm. However, occupational therapy staff at Victoria Hospital, an acute care university-affiliated health care institution, identified obstacles to seizing the opportunities offered by this shift in health care. In reviewing the literature, it was discovered that these obstacles were not unique to one particular facility, but were in fact common issues faced by the profession. The strategic planning process described in this paper provided a framework for addressing the identified barriers and positioning occupational therapists to play a proactive role in the evolving health care paradigm.

Potential of GIS and Spatial Knowledge in Health Care and Public Safety

2013 ◽  
pp. 734-749 ◽  
Author(s):  
Eilon Blanc ◽  
Iris Reychav
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Geographical Information Systems ◽  
Health Care Services ◽  
Decision Support Tool ◽  
Future Research ◽  
Spatial Simulation ◽  
Health Care Environment ◽  
Support Tool ◽  
Care Services

Geographical Information Systems (GIS) are a relatively new tool in health care services and organizations. However, health-care professionals who know how to utilize GIS and other spatial tools get a powerful decision support tool. This chapter presents an overview of the GIS and spatial simulation in the health care environment. In the first section, an introduction to the situation is provided. Then, in the second section, the key terms are introduced: access in health care, GIS, and spatial simulation. In the third section, different cases where GIS supports decision making in the health care services are shown. In the fourth section, two examples of spatial simulation are shown. Finally, future research directions and conclusions are discussed.

Muriel Driver Memorial Lecture Discours Commémoratif Muriel Driver

1987 ◽  
Vol 54 (4) ◽  
pp. 165-172 ◽  
Author(s):  
L. Joanne Stan
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Occupational Therapists ◽  
Memorial Lecture ◽  
Health Care Environment ◽  
Care Environment ◽  
Organization Management ◽  
Therapy Services ◽  
Political Economic ◽  
The Impact

This paper explores the impact of a changing health care environment on the organization, management, and delivery of occupational therapy services in Canada. Political, economic, and other societal forces are having a profound effect on the demand for and the practice of occupational therapy. The influence of such forces on occupational therapy is discussed within the context of the profession's internal organization, external image, educational continuum, and practice directions. The paper reviews the profession's past response to such forces and develops approaches that occupational therapists individually and collectively can pursue to be more strategically positioned within the changing health care scene.

A Critical Review of Interventions Addressing Ageist Attitudes in Healthcare Professional Education

2011 ◽  
Vol 78 (5) ◽  
pp. 282-293 ◽  
Author(s):  
Cary A. Brown ◽  
Diane J. Kother ◽  
Trish M. Wielandt
Keyword(s):  
Health Care ◽  
Occupational Therapy ◽  
Professional Education ◽  
Health Care Professionals ◽  
Critical Review ◽  
Health Care Services ◽  
Theoretical Models ◽  
Educational Interventions ◽  
Occupational Therapy Students ◽  
Values And Beliefs

Background. As the population ages, the demand for health care services will increase. Evidence suggests that the pervasive negative societal beliefs regarding aging and older persons are also found among occupational therapy students and practitioners. These attitudes can negatively affect healthcare service provision. Purpose. To determine the strength of the evidence regarding educational interventions used to modify ageist values and beliefs of health care professionals. Methods. A critical review of the literature was undertaken to evaluate methodological quality of relevant outcome studies. Findings. Of the fifteen studies meeting the inclusion criteria one was rated as “strong” evidence, and the remainder lacked methodological rigour. Such results make it difficult to decide the usefulness of including educational interventions in health care curricula to negate ageism. Implications. Research specific to occupational therapy is required as our unique frames of reference and theoretical models to guide practice may preclude generalizability of research from other professional groups.

Improving Communication Skills in Health Care

2013 ◽  
Vol 20 (3) ◽  
pp. 109-117
Author(s):  
Lynda Katz Wilner ◽  
Marjorie Feinstein-Whittaker
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Communication Skills ◽  
Health Care Professionals ◽  
Skills Training ◽  
International Medical Graduate ◽  
Medical Graduate ◽  
Health Care Environment ◽  
Medical Interpreters ◽  
Accent Modification

Hospital reimbursements are linked to patient satisfaction surveys, which are directly related to interpersonal communication between provider and patient. In today’s health care environment, interactions are challenged by diversity — Limited English proficient (LEP) patients, medical interpreters, International Medical Graduate (IMG) physicians, nurses, and support staff. Accent modification training for health care professionals can improve patient satisfaction and reduce adverse events. Surveys were conducted with medical interpreters and trainers of medical interpreting programs to determine the existence and support for communication skills training, particularly accent modification, for interpreters and non-native English speaking medical professionals. Results of preliminary surveys suggest the need for these comprehensive services. 60.8% believed a heavy accent, poor diction, or a different dialect contributed to medical errors or miscommunication by a moderate to significant degree. Communication programs should also include cultural competency training to optimize patient care outcomes. Examples of strategies for training are included.

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