The Ethics of End-of-Trial Obligations in a Pediatric Malaria Vaccine Trial: The Perspectives of Stakeholders From Ghana and Tanzania

2018 ◽  
Vol 13 (3) ◽  
pp. 258-269 ◽  
Author(s):  
Claire Leonie Ward ◽  
David Shaw ◽  
Evelyn Anane-Sarpong ◽  
Osman Sankoh ◽  
Marcel Tanner ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Malaria Vaccine ◽  
Care Service ◽  
Health Care Service ◽  
Vaccine Trial ◽  
Health Indicators ◽  
Treatment Access ◽  
Post Trial ◽  
The Impact

This study explores stakeholder experiences and perspectives on end-of-trial obligations at the close of a phase II/III Pediatric Malaria Vaccine Trial (PMVT) [GSK/PATH-MVI RTS, S) (NCT00866619]. We conducted 52 key informant interviews with major stakeholders of an international multicentre PMVT in Ghana and Tanzania. The responses fell into four main themes: (a) Communicating End-of-Trial, (b) Maintaining Health Care Services, (c) Dissemination of Results, and (d) Post-Trial Access. Interviewee responses shared important practical experiences and insights that complement current thinking in the literature on research ethics guidance: (a) accompany end-of-trial communication with information on personal and family health care responsibilities, (b) establish public health indicators to measure the impact of research on a health care system, (c) design a gradual exit strategy with opportunities to address unplanned events, (d) endorse a principled approach of continuity of care when designing a health care service handover, and (e) devise an actionable post-trial treatment access pathway with diverse stakeholder representatives.

Assessing Pharmacists’ Views and Barriers to Providing and Billing for Pharmacist-Provided Health Care Services

2021 ◽  
pp. 875512252110211
Author(s):  
Michael A. Biddle ◽  
Kailyn K. Cleveland ◽  
Shanna K. O’Connor ◽  
Hayli Hruza ◽  
Madeline Foster ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Pharmacy Practice ◽  
Community Pharmacists ◽  
Community Pharmacies ◽  
Power Calculation ◽  
Care Services ◽  
The Impact

Background: The role of Idaho and Alaska pharmacists in providing health care services has steadily broadened over recent years. With many new pharmacist-provided health care service possibilities, this study assessed the impact of these advancements on community pharmacies. Objective: The objective of this study was to identify current pharmacist-provided health care services and pharmacist-perceived barriers to providing and billing for these services in Idaho and Alaska community pharmacies. Methods: A questionnaire was developed focusing on 2 areas: providing services and billing for services. Pharmacy students on experiential rotations administered the questionnaires to pharmacists at their rotation sites. Pharmacists at community pharmacy practice sites in Idaho and Alaska completed the questionnaire in an interview format conducted by students. Likert-type scale data were analyzed using descriptive statistics. Because the study did not include a comparator group, no power calculation was conducted. All open-response answers were analyzed independently by 2 researchers and discrepancies in coding open-ended questions were resolved by discussion with a group of 4 researchers. Results: Most pharmacists reported that they already provide non-dispensing services, desired to implement new services, and had confidence in their team’s ability to handle new services. Time and resources were the most cited barriers to providing new services; compensation, company support, and education were the most cited barriers to billing for services. Conclusions: Community pharmacists already provide non-dispensing services and many are looking to provide more services, but barriers of time, resources, compensation, company support, and education will need to be overcome to move forward.

Impact of communication dyads on health-care service experience in Ayurveda

2020 ◽  
Vol 14 (4) ◽  
pp. 607-621 ◽  
Author(s):  
P. Suhail ◽  
Y. Srinivasulu
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Health Care Sector ◽  
Dyadic Relationship ◽  
Service Experience ◽  
Content Type ◽  
The Impact

Purpose This paper aims to understand whether the perceptions of the patient’s in the health-care service experience differs in the Ayurveda, and to examine the impact of three critical communication dyads on the patient service experiences in Ayurveda health-care sector. Design/methodology/approach The study consists of 436 participants, recruited directly from the inpatients of Ayurveda establishments/hospitals/clinics in Northern Kerala, India. Data was collected through a structured questionnaire. An independent sample t-test was used to find out the differences in the perceptions of Ayurveda health-care consumers towards their health-care service experience. Multiple regression analysis is used to explain the dyadic relationship of patient–firm (PFR), patient–employee (PER) and employee–firm relation (EFR) on the health-care service experience (SE) in the Ayurveda sector. Findings The study highlights that the perception of patients on Ayurveda health-care service experience varies according to their socio-economic statuses such as age, gender, annual income and the number of inpatient days. Among the service communication dyads, PFR is the most effective dyadic phase that contributes significantly more towards an improved Ayurveda health-care SE, followed by the PER and EFR. Research limitations/implications The findings of the study will be more applicable to the Ayurveda health-care sector, where the doctors and the management have more role in the servicescape. Practical implications Health managers have to consider three stakeholders (customers, employees and firm) and the relationship between them. It is valued the PFR more, followed by the PER and EFR. Social implications Proper implementation of the suggestions given by the study can improve overall service communications of the different service providers of Ayurveda with good interpersonal manner to achieve better relationships among the three mentioned parties. Originality/value The empirical evidence from the study is relevant and timely to the health-care service providers of the country to aid them in providing a better health-care service experience. The study adds value given the increasing trend of lifestyle diseases and subsequent demand in health-care services, especially in the Ayurveda sector.

scholarly journals What is the Impact of Ante Natal Care (ANC) Attendance on the Subsequent Maternal Health Care Services Utilization in Conflict Affected Area

2021 ◽  
Author(s):  
Temesgen Bocher ◽  
Adam A Abdulkadir ◽  
Mashaka Lewela ◽  
Judy Korir ◽  
Ali Mohamed Magan
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Skilled Birth Attendance ◽  
Maternal Health Care ◽  
Care Services ◽  
Birth Attendance ◽  
The Impact

Abstract Background: Somalia has registered 732 maternal mortality every 100,000 live birth; the uptake of maternal health care service is lowest in the world. The purpose of study is to understand social and economic factors that hinder or facilitate the uptake of maternal health care service during the pregnancy in Somalia. Methods: Cross-sectional data was collected from 642 mothers of reproductive age in Mogadishu town through a community survey in November 2020. Descriptive data analysis and propensity score matching models were employed to measure association between the determinants of the uptake of required ANC, Skilled birth attendance and confounding factors. In addition, the impact of minimum ANC attendance on the uptake of mother health care services was evaluated Results: The study indicated that ANC is at its lowest level, only 10% women reported attending 4-ANC[1], 23% didn’t attend any ANC, and 61% attending 1 to 3 ANC; moreover, skilled birth attendance is low rate at 30%, against 67% average in Africa; 78% of women are unable to make decision to visit health clinic or hospital autonomously, rather the decision is made by other people, 44% decision is made by the husband and only 30% jointly by the woman and her husband. Contrary to the data on attendance, about 70% of the surveyed women were aware of health benefits of attending ANC. The cost associated with accessing health service at 31%, distance to health centers, 12%, and perception (ANC is not needed), 23% were the major reasons of not delivering at health institutions.Conclusions: Thus, the number of ANC visits has an incremental positive effect on the probability utilization of skilled birth attendance and delivery at health facility. Access related factors are the most hindering barriers for the poor utilization of health care service as evidently indicated by the negative correlation of distance from health center. Improving access to health education, interventions targeting improved income and women empowerment lead to better maternal health outcome.

scholarly journals Persepsi Komunitas Adat Terpencil Suku Anak Dalam (SAD) terhadap Pelayanan Kesehatan

2019 ◽  
Vol 19 (3) ◽  
pp. 602
Author(s):  
Mila Triana Sari ◽  
Hartati Sandora ◽  
Haflin Haflin
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Qualitative Research ◽  
Sampling Method ◽  
Care Service ◽  
Health Care Service ◽  
Purposive Sampling ◽  
Interview Guide ◽  
The Impact

The solitory custom community of Suku Anak Dalam (SAD) is one of group society whose life are depend to the natural researches in the forest. It is needed an effort to provide service in order to meet their needed, especially health care service for improving their quality of life in the solitary custom Community of Suku Anak Dalam.  This research was conducted in order to know about the persepsion of SAD society towards Health Care Service in the Working Area of Puskesmas Pematang Kabau. This research was conducted on Januari until February 2017 for the purpose of getting understanding about persepsion of solitary custom Community of Suku Anak Dalam towards health care service, the number of participants were 15 people. This is qualitative research with purposive sampling method. The research instruments were indepth interview and interview guide. The result of the research analyzed by using Colaizzi Technique. The finding of the research showed five themes:  the reason of SAD Society in terms of receiving care service. Secondly, the respond of SAD society, thirdly, about the changing and the impact of SAD society. Fourth, the meaning of health care service to SAD society. And fifth the experience of SAD society towards health and service.SAD society gave respond about perception or possitive support towards Health Care Service.

scholarly journals Impact of the Regional Network for AMI in the Management of STEMI on Care Processes, Outcomes and Health Inequities in the Veneto Region, Italy

2018 ◽  
Vol 15 (9) ◽  
pp. 1980
Author(s):  
Mario Saia ◽  
Domenico Mantoan ◽  
Marco Fonzo ◽  
Chiara Bertoncello ◽  
Marta Soattin ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Health Care ◽  
Health Care Disparities ◽  
Care Service ◽  
Health Care Service ◽  
Health Inequities ◽  
Coronary Intervention ◽  
Care Process ◽  
Veneto Region ◽  
The Impact

Cardiovascular diseases are a leading cause of death in Europe. Outcomes in terms of mortality and health equity in the management of patients with ST-Elevation Myocardial Infarction (STEMI) are influenced by health care service organization. The main aim of the present study was to examine the impact of the new organizational model of the Veneto Region’s network for Acute Myocardial Infarction (AMI) to facilitate primary percutaneous coronary intervention (PCI) on STEMI, and its efficacy in reducing health inequities. A retrospective cohort study was conducted on HDRs in the Veneto Region for the period 2007–2016, analyzing 65,261 hospitalizations for AMI. The proportion of patients with STEMI treated with PCI within 24 h increased significantly for men and women, and was statistically much higher for patients over 75 years of age (APC, 75–84: 9.8; >85: 12.5) than for younger patients (APC, <45: 3.3; 45–64: 4.9), with no difference relating to citizenship. The reduction in in-hospital, STEMI-related mortality was only statistically significant for patients aged 75–84 (APC: −3.0 [−4.5;−1.6]), and for Italians (APC: −1.9 [−3.2;−0.6]). Multivariate analyses confirmed a reduction in the disparities between socio-demographic categories. Although the new network improved the care process and reduced health care disparities in all subgroups, these efforts did not result in the expected survival benefit in all patient subgroups.

scholarly journals Improving Patient behavioral Consent through Different Service Quality Dimensions: Assessing the Mediating Role of Patient Satisfaction

2019 ◽  
Vol 16 (23) ◽  
pp. 4736 ◽  
Author(s):  
Arif Jameel ◽  
Muhammad Asif ◽  
Abid Hussain ◽  
Jinsoo Hwang ◽  
Mussawar Hussain Bukhari ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Service Quality ◽  
Structural Equation ◽  
Care Service ◽  
Health Care Service ◽  
Equation Modeling ◽  
Mediating Role ◽  
The Impact

This study aimed to examine the impact of the five-dimensional health care service quality (SQ) on patient behavioral consent (PBC). This study further explored the mediating role of patient satisfaction (PS) on the SQ–PBC relationship. A survey questionnaire was used to collect the data from public sector hospitals situated in Bahawalpur division, Punjab, Pakistan. We used confirmatory factor analysis (CFA) and structural equation modeling (SEM) to test the hypotheses. This study found positive and significant relationships between SQ and PBC, SQ and PS, and PS and PBC. Our results further revealed that PS partially mediates the relationship between SQ and PBC. Our study offers a comprehensive theoretical framework of several service quality attributes (SQs) affecting patient behavioral consent (PBC) and patient satisfaction (PS) in health care institutions. Testing these above relationships via a mediation approach is novel and contributed to the current study on service quality.

The Perceptions and Usage Intention of a Telecare System: An Empirical Study in Taiwan

2011 ◽  
Vol 467-469 ◽  
pp. 1056-1065
Author(s):  
Hui Lung Hsieh ◽  
Chung Hung Tsai ◽  
Bi Kun Chuang
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Comprehensive Evaluation ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Individual Privacy ◽  
Telemedicine Technology ◽  
Patient Health ◽  
Biomedical Technologies

With the growing number of aging population and chronic illnesses, how to help elderly residents access the health care service timely is a challenge for health care institutions in Taiwan. Recent advances in information, communication and biomedical technologies have combined to allow the development of various types of telemedicine technology designed to enhance or expand the health care services of elderly residents. However, most telecare studies focused only on medical care or development of technology rather than on comprehensive evaluation of residents’ (or patients’) perception about service processes. The purpose of this study was to explore rural residents’ perceptions and usage intention of a telecare system after they have used it. Results from this exploratory study showed that most elderly people have never heard or touched telecare systems before the study was conducted. However, the general perceptions of such systems included improvement of interacting with medical staffs, safety protection, convenient care, and one needed item of services in daily life. Especially, the mostly risk perception was privacy risk, that is, data confidentiality and individual privacy. Generally, most elderly residents evaluated their telecare experiences and perceptions as being positive. Besides, most elderly resident were willing to use the telecare system without fees. However, they felt risky about confidentiality and privacy toward this technology. To improve trustworthy perception of this novel technology, telecare providers should implement appropriate safeguards to protect patient health information exchanged in a telecare setting. Also, the physicians/nurses should take the time to communicate with the residents, especially in the form of education, about the benefits of technology. To optimize the effectiveness of this promising technique, more research on the relationship between residents’ (or patients’) perceptions and influences of technology will need to be conducted continually in future.

scholarly journals Effects of Health Sector Information Asymmetry on Patient Satisfaction: An Appilication on Yalova Oral and Dental Care Centre

2013 ◽  
Author(s):  
Selami Özcan ◽  
Kerim Baş ◽  
H. Yunus Taş
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Information Asymmetry ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Health Sector ◽  
Practical Applications ◽  
Information Level ◽  
Level Difference

Effects of excessive information level difference between providers and receivers of health care services on patients will be presented with this work. Fundamental concepts like health care service, information asymmetry and it’s effects will be explained. Information levels of attempts and treatments that were put in practice to the patients, surgical operations and billing will be studied and the outputs of the information level difference between the provider and the receiver will be determined. In this research, it will be revealed if the practical applications and the concepts in the literature overlap each other and developing a new method towards evaluating the information level difference will be attempted. Patients who received a certain number of treatments will be targeted. Survey questions that will be asked to the patients will try to reveal the amount of information on the procedure they have undertaken and the between this level of information and the their satisfaction. SPSS software is used for the analysis of the data. Resolving of the relation between patient satisfaction themeasured percentage of level of information about the procedure the subject have undertaken will be attempted during the evaluation of the survey results. The effects of gender, age and education on level of information-customer satisfaction will also be investigated while determining the patients level of information with this survey.

scholarly journals Exploration of an Intelligent and Secure Wireless Body Area Networks for Health Monitoring

2019 ◽  
Vol 8 (2S3) ◽  
pp. 681-685
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Elderly Care ◽  
Health Care Service ◽  
Body Area Networks ◽  
Wireless Body Area Networks ◽  
Security And Privacy ◽  
Body Area ◽  
Internet Service

Today’s Wireless Body Area Networks technology augmented the wireless sensors communication more smart in the e-health line. With this sensors deployment prominent body parameters simply monitored remotely and the corresponding data is stored and transmitted the same for treatment purpose to the e-healthcare destination. Primarily Wireless Body Area Networks health care service is deliberately used in telemedicine, mobile health, elderly care, to monitor the chronic diseases and in emergency cases- the medical rehabilitations provided immediately without delay to the respective patient by the medical professional through internet service. As the demand of Wireless Body Area Networks e-health service increases, its ability is further enhanced once it is provided with more security and privacy to the enabled user’s data with more integrity, confidentiality, availability features. Wireless Body Area Networks makes the people to improve their quality of life provided with affordable cost and flexibility in usage having minimum operation of events. Researcher’s shows an interest over the past years in e-health care services adaptability and concerns more on real-world complications. This survey paper mainly focuses on the conceptual structure of Wireless Body Area Networks communication, security and privacy issues, and allocated frequency bands.

scholarly journals Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis

2017 ◽  
Vol 18 (4) ◽  
pp. 330-336 ◽  
Author(s):  
Dulce O Almeida ◽  
Sônia CL Chaves ◽  
Ronaldo A Souza ◽  
Felipe F Soares
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Randomized Clinical Trials ◽  
Therapy Group ◽  
Care Service ◽  
Meta Analysis ◽  
Health Care Service ◽  
Single Visit ◽  
Multiple Visit ◽  
Microbiological Control

ABSTRACT Introduction Endodontic therapy is a specialized procedure more demanded by patients within public oral health care in the country. Then, single-visit endodontic therapy may offer advantages to the health care services, to the professionals, and to the patients by reducing access barriers. Materials and methods A meta-analysis was done and the variables evaluated were periapical repair, microbiological control, and postobturation pain in randomized clinical trials (RCTs) involving endodontic treatment of nonvital teeth at single- or multiple visits. Results About 17 RCTs were included. There were no differences found in periapical repair or microbiological control in single- and multiple-visit therapy. Single-visit endodontic therapy resulted in 21% less postobturation pain (relative risks = 0.79; 95%, confidence interval: 0.66-0.94). Conclusion There was less postobturation pain in the single-visit endodontic therapy group. In the public dental care, this analysis favors the adoption of this one therapy because it will be possible to increase the patient access and the supply of this therapy. Clinical significance It is possible to get a better cost-effectiveness for the patients and the health care service. This is very important because the reduction of the cost to the patient allows it to become a complete treatment. The health service, in turn, is able to be better used, with a greater supply of this service. How to cite this article Almeida DO, Chaves SCL, Souza RA, Soares FF. Outcome of Single- vs Multiple-visit Endodontic Therapy of Nonvital Teeth: A Meta-analysis. J Contemp Dent Pract 2017;18(4):330-336.

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