Getting Creative in Health Care

2009 ◽  
Vol 132 (1) ◽  
pp. 78-92 ◽  
Author(s):  
Janet Pagan ◽  
Stuart Cunningham ◽  
Peter Higgs

Health care accounts for a substantial and growing share of national expenditures, and Australia's health-care system faces some unprecedented pressures. This paper examines the contribution of creative expertise and services to Australian health care. They are found to be making a range of contributions to the development and delivery of health-care goods and services, the initial training and ongoing professionalism of doctors and nurses, and the effective functioning of health-care buildings. Creative activities within health-care services are also undertaken by medical professionals and patients. Key functions that creative activities address are innovation and service delivery in information management and analysis, and making complex information comprehensible or more useful, assisting communication and reducing psycho-social and distance-mediated barriers, and improving the efficiency and effectiveness of services.

1977 ◽  
Vol 2 (2) ◽  
pp. 257-262
Author(s):  
Theodore Cooper

In this Article, Theodore Cooper, M.D., Assistant Secretary for Health at HEW, contends that the crush of lawsuits brought by aggrieved health care consumers against medical professionals and institutions, and drug and medical equipment manufacturers, may be the result, in large part, of a widely held impression—often encouraged by members of the health professions and industries themselves—that medicine has unlimited powers to heal. Dr. Cooper suggests that those involved in providing health care services and products—and members of the legal profession—have a responsibility to inform the public that this expectation is unrealistic and that everyone suffers when the number of such lawsuits and the size of damage awards are excessive.


The purpose of this chapter is to explore why juggling all the different and demanding roles of a medical professional is by no means an easy task. Perhaps the biggest challenge for doctors is time management and multitasking. Much of this is part and parcel of an ordinary doctor's life, but due to the peculiar nature and complex paradigms of modern health care services, special emphasis must be put on empowering fledgling medical professionals with such managerial skills. Resident medical physicians and surgeons should at least be aware of the countless opportunities available as well as how to get the best out of them.


1992 ◽  
Vol 22 (2) ◽  
pp. 51-55 ◽  
Author(s):  
Simon Barraclough ◽  
Carol McBain

Very little is known about the usage of Australian health care services by overseas visitors. This is despite the fact that may visitors are entitled to treatment under Medicare due to the Federal government's policy of encouraging reciprocal health care agreements with a number of countries and the increased promotion of health care as an export commodity. It is therefore difficult to develop an overall picture of both the current level of use of Australian health care services by foreigners or to estimate projections of future demand. The absence of such data also means that it is not possible to be sure of the consequences of policies such as the easing of restrictions on medical visas and the promotion by the Australian government of a network of bilateral reciprocal health care agreements. In this article, federal government policy on the access of non-citizen visitors to Australian health care services is examined, various categories of visitors eligible for treatment under the Medicare scheme identified, and current methods of collecting data on visitors using Australian health services critically examined.


2011 ◽  
Vol 20 (1) ◽  
pp. 130-138 ◽  
Author(s):  
MARK R. WICCLAIR

Hospitals sometimes refuse to provide goods and services or honor patients’ decisions to forgo life-sustaining treatment for reasons that appear to resemble appeals to conscience. For example, based on the Ethical and Religious Directives for Catholic Health Care Services (ERD), Catholic hospitals have refused to forgo medically provided nutrition and hydration (MPNH), and Catholic hospitals have refused to provide emergency contraception (EC) and perform abortions or sterilization procedures. I consider whether it is justified to refuse to offer EC to victims of sexual assault who present at the emergency department (ED). A preliminary question, however, is whether a hospital’s refusal to provide services can be conceptualized as conscience based.


2005 ◽  
Vol 29 (2) ◽  
pp. 156 ◽  
Author(s):  
Elizabeth J Halcomb ◽  
Patricia M Davidson ◽  
John P Daly ◽  
Rhonda Griffiths ◽  
Julie Yallop ◽  
...  

Primary health care services, such as general practices, are the first point of contact for many Australian health care consumers. Until recently, the role of nursing in Australian primary care was poorly defined and described in the literature. Changes in policy and funding have given rise to an expansion of the nursing role in primary care. This paper provides a review of the literature and seeks to identify the barriers and facilitators to implementation of the practice nurse role in Australia and identifies strategic directions for future research and policy development.


2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Paa Kobina Turkson

The study used logistic regression modelling to determine predictors of satisfaction with delivery of animal health care services for 889 clients (livestock and poultry keepers) in periurban Ghana. Of the 15 indicators tested as predictors of satisfaction in this study, 8 were included in the best fit model. These were accessibility, availability of services, service charge, effectiveness, efficiency, quality of services, meeting client needs, and getting help. Efficiency and effectiveness were perceived by the respondents to be synonymous, as were service quality and effectiveness, as suggested by when cross tabulated. Therefore, one or the other could be used in future studies but not both to avoid collinearity. The identified predictors could be targeted for improvement in quality of service delivery to livestock and poultry keepers in Ghana.


2009 ◽  
pp. 397-405 ◽  
Author(s):  
Rakesh Biswas ◽  
Kevin Smith ◽  
Carmel M. Martin ◽  
Joachim P. Sturmberg ◽  
Ankur Joshi

This chapter discusses the role of open health information management in the the development of a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their dayto- day health information requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model and a pilot project in order to begin to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, and helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute to improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.


2021 ◽  
Author(s):  
Jennifer White ◽  
Julie Byles ◽  
Tom Walley

Abstract BackgroundAdaptive models of health care delivery, such as telehealth consultations, have rapidly been adopted to ensure ongoing delivery of essential health care services during COVID-19. However there remain gaps in our understanding of how clinicians have adapted to telehealth. This study aims to explore the telehealth experiences or specialists, based at tertiary hospital in the Hunter Region, and General Practitioners (GP) including barriers, enables and opportunities. Methods In-depth interviews explored the telehealth experiences of specialists, based at tertiary hospital in the Hunter Region of Australia, and General Practitioners (GP) including barriers, enablers and opportunities. Data were analyzed using an inductive thematic approach with constant comparison.ResultsIndividual interviews were conducted with 10 specialist and 5 GPs. Key themes were identified: (1) Transition to telehealth has been valuable but challenging; (2) Persisting telehealth process barriers need addressing; (3) Establishing when face-to-face consults are essential; (4) Changes in workload pressures and potential for double up; (5) Essential modification of work practices and (6) Exploring what is needed going forwardDiscussionWhile there is a need to rationalise and optimise health access during a pandemic, we suggest that more needs to be done improve telehealth going forward. Our results have important policy implications. Specifically, there is a specific need to effectively train clinicians to competently utilize and be confident using this telehealth and to educate patients on necessary skills and etiquette.


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