Applying Research to Health Care Policy and Practice: Medical and Managerial Views on Effectiveness and the Role of Research

2000 ◽  
Vol 5 (2) ◽  
pp. 103-108 ◽  
Author(s):  
Rebecca Rosen
Keyword(s):  
Health Care ◽  
Health Care Policy ◽  
Well Being ◽  
Decision Makers ◽  
Policy And Practice ◽  
Managerial Decision ◽  
Health Authorities ◽  
Wide Range ◽  
Patient Health

Objectives: This study explores the way in which doctors and managers think about the effectiveness of health care interventions and how this shapes the evidence they use to support decision-making. Methods: Case studies of the introduction of three new medical technologies in nine National Health Service (NHS) hospitals and health authorities. Results: Effectiveness research provides essential evidence on clinical and cost-effectiveness and is used primarily by clinicians and public health doctors for this purpose. However, research fails to provide the ‘evidence’ required by managerial decision-makers, whose objectives relate as much to the effect of a technology on organisational performance as on patient health and well-being. The evidence used to inform technology adoption decisions reflects the professional role and objectives of different decision-makers. Conclusions: The assumed relationship between ‘research’ and ‘evidence’ for the purpose of promoting effective health care does not take account of the wide range of objectives pursued by different health care decision-makers and the varied sources of ‘evidence’ they use to support their decisions.

Support Workers and the Health Professions

2020 ◽  
Keyword(s):  
Health Care ◽  
Health Professions ◽  
Well Being ◽  
Division Of Labour ◽  
Modern World ◽  
Ageing Population ◽  
Wide Range ◽  
Health Support ◽  
Sociology Of Health

This edited text is the second in the series entitled the Sociology of Health Professions: Future International Directions, published by Policy Press. It consists of eleven chapters covering several different aspects of support work and its relationship to the health professions, illustrated with reference to a wide range of different countries. Its importance is underlined by the relative lack of attention given to date to the diverse span of health support workers, in light of their growing significance in harness with the health professions in providing care to an increasingly ageing population in the modern world. The special significance of this collection, introduced by Mike Saks as editor, is that the various expert international contributions are brought together in the first social science book produced on the part played by support workers in conjunction with health professions in providing health care to users and their carers. This has crucial ramifications for well being in all modern societies. The support workforce and its place in the health care division of labour have too often been invisible in the past. However, this book, written from a neo-Weberian perspective, enhances our academic understanding of the role of support workers and helps to inform policy making in this critical field.

scholarly journals COVID-19 and the Dreads of Hospitalization: Connecting With a Recollection of Memories As a Patient of Dengue Fever

2021 ◽  
Vol 8 ◽  
pp. 237437352198991
Author(s):  
Saad Arslan Iqbal
Keyword(s):  
Health Care ◽  
Dengue Fever ◽  
Health Care Policy ◽  
Well Being ◽  
Design Quality ◽  
Policy Makers ◽  
Outdoor Spaces ◽  
The One

I have spent a considerable time in visiting and even staying at various hospitals since my childhood. With many of the memories still intact, the one encounter whose mark is an enduring one in my mind is when I caught dengue fever and was admitted to a public hospital. During this stay, I remember largely being restless inside my room. However, visiting an outdoor ground near my ward was always a rejuvenating experience and made me feel stronger and better. It was during that time when I truly realized the significance of indoor as well as outdoor design quality of health care buildings and how they impact the well-being of their users. To say the least, that short stay at the hospital was one of the major reasons that why for my graduate and undergraduate theses, I chose to explore the role of well-designed and accessible outdoor spaces especially gardens in health care buildings for promoting mental as well as physical health and well-being among users. Presently, as we steer through a deadly pandemic, my own experiences from this hospital stay makes me want to reflect back and reemphasize on why there is a need for health care policy makers and relevant governmental bodies to strategize and prioritize long-term goals for implementing measures such as evidence-based design considerations of hospitals, especially in developing countries, and to promote accessible, inclusive, and safe healing spaces where patients may leave with positive experiences instead of negative reminiscences and where the staff can also use these spaces for respite.

Investigating the Efficacy and Cost-Effectiveness of a Web-based Self-help Program for People With Adjustment Problems After an Accident (SelFIT): Protocol for a Randomized Controlled Trial (Preprint)

2020 ◽  
Author(s):  
Julia Hegy ◽  
Noemi Anja Brog ◽  
Thomas Berger ◽  
Hansjoerg Znoj
Keyword(s):  
Health Care ◽  
Psychological Distress ◽  
Cost Effectiveness ◽  
Well Being ◽  
User Friendliness ◽  
Adjustment Problems ◽  
Health Care Consumption ◽  
Web Based ◽  
Self Help ◽  
Wide Range

BACKGROUND Accidents and the resulting injuries are one of the world’s biggest health care issues often causing long-term effects on psychological and physical health. With regard to psychological consequences, accidents can cause a wide range of burdens including adjustment problems. Although adjustment problems are among the most frequent mental health problems, there are few specific interventions available. The newly developed program SelFIT aims to remedy this situation by offering a low-threshold web-based self-help intervention for psychological distress after an accident. OBJECTIVE The overall aim is to evaluate the efficacy and cost-effectiveness of the SelFIT program plus care as usual (CAU) compared to only care as usual. Furthermore, the program’s user friendliness, acceptance and adherence are assessed. We expect that the use of SelFIT is associated with a greater reduction in psychological distress, greater improvement in mental and physical well-being, and greater cost-effectiveness compared to CAU. METHODS Adults (n=240) showing adjustment problems due to an accident they experienced between 2 weeks and 2 years before entering the study will be randomized. Participants in the intervention group receive direct access to SelFIT. The control group receives access to the program after 12 weeks. There are 6 measurement points for both groups (baseline as well as after 4, 8, 12, 24 and 36 weeks). The main outcome is a reduction in anxiety, depression and stress symptoms that indicate adjustment problems. Secondary outcomes include well-being, optimism, embitterment, self-esteem, self-efficacy, emotion regulation, pain, costs of health care consumption and productivity loss as well as the program’s adherence, acceptance and user-friendliness. RESULTS Recruitment started in December 2019 and is ongoing. CONCLUSIONS To the best of our knowledge, this is the first study examining a web-based self-help program designed to treat adjustment problems resulting from an accident. If effective, the program could complement the still limited offer of secondary and tertiary psychological prevention after an accident. CLINICALTRIAL ClinicalTrials.gov NCT03785912; https://clinicaltrials.gov/ct2/show/NCT03785912?cond=NCT03785912&draw=2&rank=1

Health care Online

2000 ◽  
Vol 1 (2) ◽  
pp. 24-25
Keyword(s):  
Health Care ◽  
Health Care Policy ◽  
Central Government ◽  
Medical Profession ◽  
Medical Opinion ◽  
Proactive Approach ◽  
The United Kingdom ◽  
Wide Range ◽  
On Line ◽  
The Subject

The BMJ has always been recognised as a leading medical journal for a wide range of subjects, and has always been useful for nurses to access for up to date and current medical opinion. Recently the BMJ has diversified to take on a more political nature, with its content reflecting a more proactive approach to influencing health care policy in the United Kingdom by the medical profession. As such the BMJ has become extremely useful for identifying opinions of current ‘hot topics’ for nurses that are headline news such as nurse consultants, hospital administration and central government policy. However, one problem remains, trying to find the original copy in the library will remain difficult. After spending the best part of an hour to suddenly realise that ‘how silly you are for not realising that BMJ March 1997 is filed in the British Journal of Nursing section 1998!!’ is often a frustrating and demoralising experience - particularly if after finding the article you find it has nothing to do with the subject that you are researching. This problem is to be banished forever with the BMJ website. The full BMJ is available free on line. The excellent search engine is particularly useful and is accurate when matching target articles. All articles are available for ‘full text’ downloads free of charge.

scholarly journals Editorial

2005 ◽  
Vol 4 (2) ◽  
pp. v-vi
Author(s):  
Executive Editor
Keyword(s):  
Health Care ◽  
Sustainable Development ◽  
Mainland China ◽  
Work Life ◽  
Quality Of Work Life ◽  
School Dropouts ◽  
Managerial Decision ◽  
Organisational Effectiveness ◽  
Depth Study

The seven papers published in this edition of Ushus have a wide ranging scope by various academicians, professionals and researchers with varying areas of interest. The first paper is on the 'Health Care System in Goa: Analysis of Role in Sustainable Development' by Anna Rovina Ferrao e Fernandes. It offers an in-depth study of a unique approach of Health Care in aiding sustainable development. The second paper by Triveni S. and Vijayalaxmi A. Amminabhavi is 'A Study of Quality of Work Life of Nationalised and Non Nationalised Bank Employees'. It is relevant and contemporary as it highlights the shifted focus of work-life balance and issues relating to job satisfaction. Rev. S. Peter, K.J. Raman and R Ravilochanan have drafted a detailed analysis of 'The Role of Non-governmental Organisations in Minimising School Dropouts'. Further, A. Abdulraheem and A. Raman's study of the 'Descriptive Model of Community Participation: Delivering Urban Service' is extremely exhausting in terms of coverage. Given the same, both these papers tackle new-age issues in a rapidly changing socio-economy driven by concerns from the local to the global level and influenced by numerous factors of modernisation. 'Dynamics of Rupee Convertibility' by V.K. Xavier and 'Employee Attitude Surveys: A Powerful Tool for Enhancing Organisational Effectiveness' by Rashmi Nakra deal with conventional subjects of study in the domain of International Finance/Forex and statistical value in managerial decision making. The last paper by P.A. Mathew deals with 'Diaspora to Transnational Networks: The Case of Chinese Diaspora in the Mainland China'. It stands out as a subject of modern interest given the role of diaspora in third world and developed economies, especially the Asian continent.

scholarly journals Delayed Discharges: Does Staff Well-Being Matter?

2020 ◽  
Author(s):  
Manhal Ali ◽  
Reza Salehnejad
Keyword(s):  
Well Being ◽  
Alternative Methods ◽  
Hospital Treatment ◽  
Count Data Models ◽  
Term Care ◽  
Management Quality ◽  
Patient Health ◽  
Delayed Discharges

AbstractDelayed discharges of patients from hospitals, also known as “bed–blocking” is a long standing policy concern. Such delays can increase hospital treatment costs and may also lead to poorer patient health and experience. Prior research indicates that external factors, such as, greater availability and better affordability of long term care associated with lower delays. Using theories from Economics, this study examines the role of within–hospital factors, namely, staff well–being in alleviating hospital delayed days. We use a new panel database of delays in all English hospital trusts from 2011/12 to 2014/15. Employing longitudinal count data models, the paper finds that staff well–being is associated with lower hospital delayed discharges controlling for long–term factors and management quality. The findings are robust to alternative methods and measures of delayed discharges.

Virtual Team Performance and Wellbeing for Event Management

2021 ◽  
Author(s):  
Mohamed Salama ◽  
Cakil Angew ◽  
Gregory Fantham
Keyword(s):  
Performance Management ◽  
Virtual Teams ◽  
Team Performance ◽  
Well Being ◽  
Digital Transformation ◽  
Event Management ◽  
Cultural Variations ◽  
Wide Range ◽  
Compare And Contrast

This chapter falls in two parts. Part 1 discusses team issues with emphasis on virtual teams. The first few sections briefly compare and contrast the different types of team and how team performance should be planned and managed, in line with set goals and detailed deliverables. This will cover a wide range of concepts that come into play under performance management and measurement. The following sections focus on the challenges that virtual teams face amid the prevailing digital transformation and suggest effective measures to address those challenges. The presented concepts are generic, thus can be readily applied to the context of event management. Part 2 comprises two sections; the first discusses well-being and cross-cultural variations in relation to event management, while the second section is focused on the role of social psychology in devising event experiences.

Health, sustainability, and climate change

2013 ◽  
pp. 548-555
Author(s):  
David Pencheon ◽  
Sonia Roschnik ◽  
Paul Cosford
Keyword(s):  
Public Health ◽  
Climate Change ◽  
Health Care ◽  
Public Health Practice ◽  
Climate Science ◽  
Diverse Group ◽  
Policy And Practice ◽  
Carbon Reduction ◽  
Wide Range ◽  
Good For

This chapter will help you understand the relationships between health, health care, sustainability, climate change, and carbon reduction, locally and globally. The specific objectives of the chapter are to help you make the case for action by showing how health, health care, sustainable development, and climate change are linked positively such that what is good for mitigating climate change is also good for health and health care today, translate science into policy and practice and help move research and action about climate science into policy and practice, and engage a wide range of stakeholders and appreciate that, as in much public health practice, appropriate action comes from involving a diverse group of people through genuine engagement.

Sign in / Sign up

Export Citation Format

Share Document