Patterns in the Delivery of Psychiatric Care in Saskatchewan 1971–1972: Part III: Patient Socio-Demographic and Medical Characteristics

1977 ◽  
Vol 22 (5) ◽  
pp. 215-223 ◽  
Author(s):  
Carl D'Arcy
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Delivery System ◽  
Urban Areas ◽  
Psychiatric Care ◽  
Care Delivery ◽  
Psychiatric Inpatient ◽  
The Public ◽  
Private And Public

This paper is one of several examining he variety of patterns in the delivery of psychiatric health care in the Province of Saskatchewan during 1971 and 1972. Previous papers dealt with an overview of service sectors, patient volumes, types of contacts and some patients career characteristics. This paper deals with sociodemographic and medical characteristics of patients treated in the various sectors of the psychiatric care delivery system in Saskatchewan. The private and public psychiatric care delivery systems deal with essentially separate psychiatric populations. These differ in volume, in type of psychiatric disorder, in socio-demographic characteristics and in patient career characteristics. The “private” sector saw proportionately more females in the 20-39 year age group, whereas the public sector saw proportionately more males and females in the 0-19 year age category. The “private” sector also treated more people in rural, village and town areas whereas the public sector appeared to be more city-based. General practitioners were more active in rural and small towns, while psychiatrists tended to be more active in the larger urban areas. This reflects the general practitioner's role as a primary health care source. The vast majority of private sector patients were seen for neurotic and psychosomatic disorders. The public sector patients included those treated for the more intractable schizophrenic, organic, affective, and neurotic depression diagnoses. Comparative data on both the private and public sectors show considerable increases in the volume of services being delivered. Previous data demonstrate a relatively strong relationship between availability of psychiatric services and utilization rates within a region. It would appear that the presence of a psychiatric inpatient facility serves an educative function and increases the volume of general practitioner treatment for psychiatric problems. The present data indicate that the majority of persons seen for psychiatric reasons by medical practitioners in Saskatchewan suffer from relatively minor psychiatric ailments. Therefore, we must question the suitability of the present service delivery system. Is there a need to screen out “medical problems” from “problems of living” which may be better treated by non-medically-oriented counselling services, thus freeing some of the medically-skilled manpower to focus on better and more comprehensive care for the more intractable mental disorders?

scholarly journals Universities as ‘Drivers’ of Local and Regional Development

2021 ◽  
pp. 134-152
Author(s):  
Marius Constantin PROFIROIU ◽  
Maria-Roxana BRIȘCARIU
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Legal Framework ◽  
North West ◽  
The Public ◽  
The North ◽  
Innovation And Technology ◽  
Private And Public ◽  
The University

"The society based on knowledge and innovation brings to the fore the role of universities as research and learning spaces, with the purpose for sustainable development, at local, regional, national and global levels. Following this approach, we explore the capacity of spreading the knowledge and innovation capital in the North-West region of Romania between universities, the private sector and the public sector. Also, the study explores the role taken by the university system in Romania, locally and regionally, emphasizing what type of relationship defines the exchange of outputs and what are the most useful know-how transfer mechanisms from universities to the private and public sectors. The empirical research in this paper has shown that there is a growing relationship between universities – private sector – public sector, which is characterized as ‘in an incipient phase’, ‘based on urgent needs of the parties’. All of the actors involved in this triad want to develop the links between universities – private sector – public sector in communication, research, innovation and technology, and they suggest standardization and regulation of this interaction and developing a legal framework to correspond to the actual needs at local and regional levels."

scholarly journals The Effects Of Unions On Wages By Occupation In The Public Sector

2010 ◽  
Vol 9 (7) ◽  
Author(s):  
John D. Bitzan ◽  
Bahman Bahrami
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
The Public ◽  
Sector Union ◽  
Private Sector Union ◽  
Wage Premiums ◽  
Administrative Assistants ◽  
Private And Public ◽  
Public Sectors ◽  
Public Workers

This study examines union wage premiums by occupation in the public sector in the U.S. for the 2000-2004 period.  In examining union-nonunion wage differences for public sector workers in occupations accounting for 66 percent of all public workers in the 2000-2004 Current Population Survey, we find positive and statistically significant union premiums for 27 out of 41 occupations examined.  We also find large differences among occupations, with miscellaneous teachers and instructors receiving a 61 percent premium, secretaries and administrative assistants receiving a 5 percent premium, and 14 occupations receiving no statistically significant premium.  In comparing union premiums by occupation between the private and public sectors, we find, in most cases, that private sector premiums are larger than public sector premiums.  Finally, an Oaxaca decomposition shows that the majority of the differential between private sector union premiums and public sector union premiums appears to be due to differences in the way unions reward workers in the private and public sectors, not because of differences in the types of workers in the private and public sectors.

scholarly journals Tuberculosis control activities in the private and public health sectors of Kenya from 2013 to 2017: how do they compare?

2019 ◽  
Vol 113 (12) ◽  
pp. 740-748
Author(s):  
Eunice W Mailu ◽  
Philip Owiti ◽  
Serge Ade ◽  
Anthony D Harries ◽  
Marcel Manzi ◽  
...  
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Nutritional Assessment ◽  
Treatment Success ◽  
Cross Sectional Study ◽  
Sputum Smear ◽  
Cross Sectional ◽  
The Public ◽  
For Profit ◽  
Private And Public

Abstract Background Large numbers of tuberculosis (TB) patients seek care from private for-profit providers. This study aimed to assess and compare TB control activities in the private for-profit and public sectors in Kenya between 2013 and 2017. Methods We conducted a retrospective cross-sectional study using routinely collected data from the National Tuberculosis, Leprosy and Lung Disease Program. Results Of 421 409 patients registered and treated between 2013 and 2017, 86 894 (21%) were from the private sector. Data collection was less complete in the private sector for nutritional assessment and follow-up sputum smear examinations (p<0.001). The private sector notified less bacteriologically confirmed TB (43.1% vs 52.6%; p<0.001) and had less malnutrition (body mass index <18.5 kg/m2; 36.4% vs 43.3%; p<0.001) than the public sector. Rates of human immunodeficiency virus (HIV) testing and antiretroviral therapy initiation were >95% and >90%, respectively, in both sectors, but more patients were HIV positive in the private sector (39.6% vs 31.6%; p<0.001). For bacteriologically confirmed pulmonary TB, cure rates were lower in the private sector, especially for HIV-negative patients (p<0.001). The private sector had an overall treatment success of 86.3% as compared with the public sector at 85.7% (p<0.001). Conclusions The private sector is performing well in Kenya although there are programmatic challenges that need to be addressed.

Delivery of rural and remote health care via a broadband Internet Protocol network – views of potential users

2005 ◽  
Vol 11 (8) ◽  
pp. 419-424 ◽  
Author(s):  
P Jennett ◽  
M Yeo ◽  
R Scott ◽  
M Hebert ◽  
W Teo
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Rural Communities ◽  
Private Sector ◽  
Internet Protocol ◽  
Health Sector ◽  
Health Service Delivery ◽  
Broadband Internet ◽  
The Public ◽  
User Groups

summary We asked the views of potential users of a proposed Canadian broadband Internet Protocol (IP) network for health, the Alberta SuperNet. The three user groups were drawn from the public, provider and private sectors. In all, 35 health-sector participants were selected (17 government, nine health-care organizations, five providers/ practitioners and four private sector). The questionnaire was Web-based, semistructured and self-administered. It consisted of four major areas: value, readiness, effect on usual care and limitations. A total of 28 (80%) individuals responded to the questionnaire: 21 (81%) were from the public sector (three provincial, nine regional and nine organizational), three (60%) were from the provider sector and four (100%) were from the private sector. Overall, the items related to health services and health human resources were considered to be the most valuable to rural communities. Respondents identified the expansion of telehealth services as the most important, except those from the private sector, who ranked this a close second. The health system's move to the use of electronic health records was ranked second in importance by all respondents. The private-sector respondents viewed all user groups to be generally less ready (mean score 2.5 on a seven-point scale from 1 = not ready to 7 = ready), while the public-sector respondents were the most optimistic (mean score 4.0). Specific socioeconomic impact data were limited. The top-ranked disadvantage of the 10 suggested was that ‘Changes in health-service delivery practices and/or processes will be required’.

scholarly journals The contribution of CSR during the covid-19 period in Greece: A step forward

2020 ◽  
Vol 1 (1) ◽  
pp. 238
Author(s):  
Dimitrios Kritas ◽  
Stylianos - Ioannis Tzagkarakis ◽  
Zoi Atsipoulianaki ◽  
Symeon Sidiropoulos
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Health Care Services ◽  
Scientific Research ◽  
Critical Position ◽  
The Public ◽  
Global Institutions ◽  
Care Services ◽  
The Social

The spread of the Covid-19 brought global institutions, societies, states and economies in a critical position as they encounter a new worldwide multilevel crisis. At the same time, states have had to handle this crisis acquiring an interventionist role, protecting the social and economic cohesion, providing better health care services for their citizens and investing in scientific research, as a means to restrict this new pandemic. In order to handle that situation and its consequences, the use of all the available resources became necessary as well as the improvement of the cooperation between the private and the public sector. In Greece private sector has shown an unprecedented willingness for Greece’s CSR tradition, to contribute government’s efforts.

scholarly journals Patterns in the Delivery of Psychiatric Care in Saskatchewan 1971–1972 (II): Types of Contacts and Some Patient Career Characteristics

1977 ◽  
Vol 22 (1) ◽  
pp. 31-36 ◽  
Author(s):  
Carl D'arcy
Keyword(s):  
Public Sector ◽  
Private Sector ◽  
Psychiatric Care ◽  
Average Length ◽  
Average Rate ◽  
University Hospital ◽  
Care Utilization ◽  
Chronic Patients ◽  
The Public ◽  
Number Of Patients

A previous paper dealt with an overview of service sectors and patient volumes (2), whereas this one concentrates on types of contacts and some patient career characteristics. Analysis of a comprehensive psychiatric care utilization data file for Saskatchewan for the 1971–1972 period shows that ‘public’ sector patients were hospitalized for a greater average length of time than were ‘private’ sector patients. This may reflect differences in the styles of practice, exigencies of the demand for hospital beds in the ‘private’ as opposed to the ‘public’ sector and/or intrinsic differences in the nature of the problem treated in each sector. Some interesting facts regarding patterns of contact were uncovered. The bimodal nature of the ‘psychiatric population’ was further evident from the data which show that the majority of patients used relatively few services whereas a few used a large number of services. This suggests that the majority of the people seen for psychiatric reasons by medical practitioners were suffering from relatively minor psychiatric disorders. Heavy users of services were much more likely to have had some ‘public’ or University Hospital-based contact. Conversely, light users were predominantly private sector patients. In the ‘public’ sector, those who had had some inpatient treatment were consistently higher users of all services. It is evident that psychiatrists held a dominant position in this community-oriented public sector, having seen a large number of patients, but having had a low average rate of services per patient. In contrast, community nurses saw relatively few patients but saw them very often. This no doubt reflects their role in providing ‘maintenance’ services to chronic patients in approved homes in the community. In the ‘private’ sector, 69 percent of the services were delivered by GPs and 23 percent by psychiatrists. Patients seen by psychiatrists were more likely to have had ‘public’ sector activity than were those seen only by GPs; also once in the ‘public’ sector, they were likelier to have had inpatient as well as outpatient treatment. This suggests a ‘sifting’ of the more ‘difficult’ patients through the private specialist sector into the public sector.

scholarly journals Private and public schools: A spatial analysis of social segregation in France

Urban Studies ◽  
2019 ◽  
Vol 57 (4) ◽  
pp. 865-882 ◽  
Author(s):  
Pierre Courtioux ◽  
Tristan-Pierre Maury
Keyword(s):  
Public Schools ◽  
Private Sector ◽  
Urban Areas ◽  
Local Level ◽  
Public And Private ◽  
Large Cities ◽  
The Public ◽  
Information Index ◽  
Social Segregation ◽  
Private And Public

This article shifts our understanding of the geographies of education away from large cities. It provides a geographical and urban analysis of the contribution of differences in enrolment between the public and private sectors to social segregation in French middle schools. Using the mutual information index, we show that the contribution of public/private divergences is rising and is higher in middle-sized urban areas and central municipalities. These geographical areas, however, are not those where social segregation is highest, nor those where the private sector is commonly regarded as the main cause of segregation. Moreover, the gaps between the public and the private sectors are stronger at the local level. This confirms the idea that the private sector is indeed a tool for circumventing France’s School Map ( la Carte scolaire) for allocating places to pupils and that private schools create additional social differences locally.

scholarly journals Os Hospitais e a Combinação Público-Privado no Sistema de Saúde Português

2016 ◽  
Vol 29 (3) ◽  
pp. 217 ◽  
Author(s):  
Adalberto Campos Fernandes ◽  
Alexandre Morais Nunes
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Private Sector ◽  
Legal Framework ◽  
Public And Private ◽  
The Public ◽  
Dynamic Relationship ◽  
Financing Health Care ◽  
Public And Private Sector ◽  
The Relationship

The Portuguese health system has been characterized by the existence of a constant relationship between public and private sector, both in providing and financing health care. In recent decades, the private sector increased their responsiveness of care, extending the engagement in the relationship with the public sector. This relationship stems from the legal framework set out in the law, developing agreements, conventions and more recently through the model of public-private partnerships. In hospital network, this new dynamic relationship contributed, in the last two decades, to accentuate the mixed characteristics of the system, through a clear strengthening of the private component in the hospital network, particularly by investing in differentiated units.

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