scholarly journals Unlearning and public services —A case study with a Vygotskian approach

2018 ◽  
Vol 24 (2) ◽  
pp. 188-207 ◽  
Author(s):  
Jari Stenvall ◽  
Tony Kinder ◽  
Paivikki Kuoppakangas ◽  
Ilpo Laitinen
Keyword(s):  
Health Care ◽  
Single Case ◽  
Care Service ◽  
Health Care Service ◽  
Transition Process ◽  
Radical Change ◽  
Public Health Care ◽  
University Hospital ◽  
Product Logic

All successful public service innovations require learning and just as importantly and often more deeply, unlearning. This research investigates the unlearning of health professionals focusing on the issue of why and how unlearning happens at an individual level for health care professions in the transition from product logic to service-dominant logic at Tampere University Hospital in Finland. We applied a qualitative single case study method, a problem-centred unlearning framework with a narrative approach, which facilitates understanding of how the informants perceived the service transition process. We identified three distinct unlearning narratives, and we recognised barriers and enablers to unlearning in the health care service culture and context and suggest ways in which these might be overcome. Results of the study shows that deep and radical change in public health care services is possible, by applying distributed leadership and allowing individual actors time for reflections, mind-wandering, listening and learning from users and discourse between professionals.

Adapting services to the needs of children and families with complex migration experiences: The Toulouse University Hospital’s intercultural consultation

2017 ◽  
Vol 54 (4) ◽  
pp. 445-465 ◽  
Author(s):  
Gesine Sturm ◽  
Zohra Guerraoui ◽  
Sylvie Bonnet ◽  
Françoise Gouzvinski ◽  
Jean-Philippe Raynaud
Keyword(s):  
Health Care ◽  
Psychological Health ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
University Hospital ◽  
Local Context ◽  
Children And Families ◽  
The University ◽  
Migration Experiences

This article presents the recently created intercultural consultation at the Medical and Psychological Health Care Service (CMP) of the University Hospital la Grave at Toulouse. The approach of the intercultural consultation was elaborated in response to the increasing diversity of children and families using the service in Toulouse. It is also based on local research that indicates the difficulties service providers encounter when trying to establish a solid therapeutic alliance with families with complex migration backgrounds who accumulate different disadvantaging factors. The intercultural consultation adapts existing models of culture-sensitive consultations in child mental health care in France and Canada to the local context in Toulouse. We describe the underlying principles of the intercultural consultation work, the therapeutic and mediation techniques used, and the way the work is integrated into the global service provision of the CMP. The process is illustrated with a case study followed by a discussion of the innovations.

scholarly journals Challenges and opportunities for the future Clinical Nutrition Committee in Tartu University Hospitals

2020 ◽  
Vol 28 (2) ◽  
Author(s):  
Liidia Kiisk
Keyword(s):  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Clinical Nutrition ◽  
University Hospital ◽  
Hospital Treatment ◽  
University Hospitals ◽  
Chronic Patients ◽  
Welfare Institutions ◽  
Nutrition Committee

Patients of health care and welfare institutions have several accompanying diseases; therefore, the nutritional counsellors’ or dietary nurses’ competence is often insufficient for administering a special diet, but the help of clinical dietologists and physicians of different specialities is necessary. In elaboration of clinical nutrition therapy strategies, their consistent development and coordination, an interdisciplinary clinical nutrition team can be helpful. Raising the nutritional awareness of the staff of structural units of medical and welfare institutions in helps them make rational choices in different disease cases, guaranteeing the patient’s wellbeing and a health care service with maximum benefit and minimum risk for the patient’s health. Physicians and other specialists of Tartu University Hospital (nurses, speech therapists, pharmacists, nutrition counsellors, diabetes nurses) have contributed comprehensively to chronic patients’ individual counselling during hospital treatment and supporting of outpatients’ nutritional treatment. In 2018, an initiative group of physicians of the hospital presented to the hospital’s Executive Board the need for establishing a broad-based expert group of clinical nutrition. With the Executive Board’s decision, a clinical nutrition committee was founded for rendering the nutrition treatment service.

Best Practices for Basic and Advanced Skills in Health Care Service Recovery: A Case Study of a Re-admitted Patient

2010 ◽  
Vol 36 (7) ◽  
pp. 310-318 ◽  
Author(s):  
Anna C. Hayden ◽  
James W. Pichert ◽  
Jodi Fawcett ◽  
Ilene N. Moore ◽  
Gerald B. Hickson
Keyword(s):  
Health Care ◽  
Best Practices ◽  
Care Service ◽  
Health Care Service ◽  
Service Recovery ◽  
Advanced Skills

Variability of adverse events in the public health-care service of the Tuscany region

2017 ◽  
Vol 12 (7) ◽  
pp. 1033-1042 ◽  
Author(s):  
Sara Albolino ◽  
Riccardo Tartaglia ◽  
Tommaso Bellandi ◽  
Elisa Bianchini ◽  
Giancarlo Fabbro ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Adverse Events ◽  
Care Service ◽  
Health Care Service ◽  
Public Health Care ◽  
The Public

scholarly journals Gaps in oral health-care service provision systems for children in Nigeria: A case study of a tertiary health institution

2018 ◽  
Vol 29 (5) ◽  
pp. 622
Author(s):  
OlawunmiAdedoyin Fatusi ◽  
Eyitope Ogunbodede ◽  
ChristianaAyomide Sowole ◽  
MorenikeOluwatoyin Folayan
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Service Provision ◽  
Care Service ◽  
Health Care Service ◽  
Oral Health Care ◽  
Health Institution

scholarly journals History of dermatology and venereology in Serbia - part III/1: Dermatovenereology in Serbia from 1881 - 1918

2009 ◽  
Vol 1 (3) ◽  
pp. 123-127
Author(s):  
Bosiljka M. Lalević-Vasić
Keyword(s):  
Public Health ◽  
Health Care ◽  
Care Service ◽  
Health Care Service ◽  
Public Health Care ◽  
Military Hospital ◽  
Venereal Diseases ◽  
History Of Dermatology ◽  
History Of ◽  
The Military

Abstract This paper deals with the period from 1881 to 1918, when the following Sanitary Laws were passed: Law on the Organization of the Sanitary Profession and Public Health Care (1881), which implemented measures for protection from venereal diseases, as well as restriction of prostitution; Public Sanitary Fund (1881), with independent budget for health care; Announcement on Free of Charge Treatment of Syphilis (1887). Dermatovenereological Departments were also founded: in the General Public Hospital in Belgrade (1881), and in the General Military Hospital (1909). The Hospital in Knjaževac for Syphilis was reopened (1881), as well as mobile and temporary hospitals for syphilis, and a network of County and Municipality hospitals. The first Serbian dermatovenereologist was Dr. Jevrem Žujović (1860 - 1944), and then Dr. Milorad Savićević (1877 - 1915). Skin and venereal diseases were treated by general practitioners, surgeons, internists and neurologists. Although Dr. Laza Lazarević (1851 - 1890) was not a dermatologist, but a physician and a writer, he published three papers on dermatovenereology, whereas Dr. Milorad Godjevac (1860 - 1933) wrote an important study on endemic syphilis. From 1885 to 1912, organization of dermatovenereology service has significantly improved. Considering the fact that archive documents are often missing, only approximate structure of diseases is specified: in certain monthly reports in Zaječar, out of all the diseased persons, 45% had skin or venereal diseases, while in Užice the number was 10.5%, which points to different distribution of these diseases. High percentage of dermatovenereology diseases was caused by high frequency of venereal diseases and syphilis. During the war: 1912 - 1918, the military medical service dominated, and in 1917 Prince Alexander Serbian Reserve Hospital was founded in Thessaloniki with a Department for Skin and Venereal Diseases. During this period, work of the Civilian Health Care Service was interrupted, consequently leading to a considerable aggravation of public health.

scholarly journals Experiences from Decentralised Radiological Services in Norway- a rural case study.

2019 ◽  
Author(s):  
Aud Mette Myklebust ◽  
Hilde Eide ◽  
Brian Ellis ◽  
Rona Beattie
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Rural Area ◽  
Single Case ◽  
Health Care Service ◽  
Primary Data ◽  
Single Case Study ◽  
Health Care Professions

Abstract Background Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralise health care services from centralised hospitals to local communities. Radiological services in Norway are mainly organised in hospitals, because of the significant financial and human resource demands engendered by the need for advanced technological equipment, and specialised staff. Some selected conventional x-ray services have been decentralised into rural communities. The purpose of this single case study was to highlight experiences from different stakeholders’ of organiseing decentralised radiological services in a rural area in Norway. Methods A qualitative single case study design was adopted, collected data using focus groups with healthcare professionals and managers to obtain stakeholder’s experiences of the radiological services in this rural area. The key emergent themes from the literature, decentralisation, quality, professional roles, organisation and economic consequences were discussed with each focus group. Thematic analysis was used for analyzing the primary data collected. Results Four main themes emerged from the focus groups: 1) organisation, 2) quality and safety, 3) funding of radiological services and 4) cooperation between health care professions and health care levels. It was found that the organisation of decentralised radiological services to rural areas is challenging because of the way health services are structured in Norway. The quality of service was found to be inadequate in some areas because of the superficial level of training given to non-radiographic staff. The experience is that the Norwegian funding system hinders an efficient decentralised health care service. Effective cooperation and responsibility between health care professions and levels was challenging. There needs to be improved co-working by clearly defining roles and responsibilities. Conclusions A key recommendation for the organisation of rural radiological service was the development of a satellite link with an acute hospital. Quality of the service could be improved and should be given priority. Structural change to the financial system whereby money follows patients, might also facilitate more patientcentred services across healthcare levels. Improved mutual understanding between rural radiological services and hospital specialists and managers is important for a high quality and consistent radiological service to be delivered across Norway.

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