Qualitative Perspectives on a Facilitated Change in Provincial Pharmacare Coverage

2005 ◽  
Vol 138 (2) ◽  
pp. 30-34
Author(s):  
Peter L. Twohig ◽  
Wayne Putnam ◽  
Dawn Frail
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Educational Interventions ◽  
Delivery Systems ◽  
Computer Assisted ◽  
Theory Approach ◽  
Policy Changes ◽  
Department Of Health ◽  
Provider Perspectives ◽  
Future Policy

Background: During 2000, Nova Scotia's Department of Health implemented policy changes and educational interventions to encourage a switch from wet nebulization therapy to dry-dose delivery systems. The policy changes applied to beneficiaries of the Nova Scotia Pharmacare Programs, while the educational interventions had a broader provincial perspective. Methods: Researchers from Dalhousie University's Department of Family Medicine subsequently interviewed family physicians, pharmacists, and other health professionals to gather their views on the initiative. A single researcher (PLT) conducted interviews in the summer of 2001 in two settings. Interviews were audiotaped and transcribed. Analysis was guided by a grounded theory approach and facilitated by the use of QSR N5, a software program designed for computer-assisted qualitative data analysis. Results: The results are discussed in several categories, including the role of evidence, change strategies, user devotion to older delivery systems, and health care provider perspectives on policy change. Conclusion: Health care professionals interviewed agreed that this was a well-designed initiative in many respects. Participants identified several key elements that offer insights for future policy-implementation design, execution, and evaluation.

scholarly journals Knowledge, attitudes and behaviours towards vaccination: a survey of university students in Europe

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A Callegaro ◽  
L Chinenye Ilogu ◽  
O Lugovska ◽  
S Mazzilli ◽  
A Prugnola ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Students ◽  
Health Care Professionals ◽  
Online Survey ◽  
Educational Interventions ◽  
Cross Sectional ◽  
High Level ◽  
Coverage Rates ◽  
The University ◽  
Vaccination Knowledge

Abstract Background Immunisation programs are still facing substantial challenges in achieving target coverage rates. This has been attributed to the growing negative individual vaccination attitudes and behaviours. Most of the current studies assessing vaccination knowledge, attitude and beliefs targets adults. However, young people represent future parents and health care professionals. The objective of this study was to investigate vaccination knowledge attitudes and behaviours among university medical and non-medical students in Europe. Methods We performed a cross-sectional online survey between April and July 2018. The study participants were students attending different faculties at the University of Antwerp, Belgium and the University of Pisa, Italy. We described sample characteristics. The effect of risk factors was tested with univariate and multivariate logistic regressions. Results A total of 2079 participants completed the survey including 873 medical students and 1206 from other faculties. The average of vaccination knowledge, attitudes, and confidence was respectively 5.51 (SD: 1.41), 4.66 (SD: 0.14) and 5.28 (SD: 0.57) on the 6-points scale. Our respondents demonstrated a high level of awareness with respect to their vaccination history. In total, 67.7% (n = 1407) reported to have received at least one vaccine in the previous five years; only 6.0% (n = 35) did not receive any vaccine in the previous 10 years. According to logistic regression analysis Italian students had significantly higher knowledge, attitude and confidence scores than Belgium respondents. Students of medicine scored significantly higher compared to non-medical students. Conclusions In order to reduce the gaps in vaccinations knowledge between non-medical and medical students we should plan educational interventions. In this way the number of future sceptical parents could be decreased. Further studies are required to explain the differences between countries. Key messages Young adults are the parents and the health care professionals of the future, for this reason their vaccination knowledge attitudes and behaviours should be carefully monitored. European non-medical students have lower vaccinations knowledge, attitudes and confidence compared with medical student. In order to fill these gaps, we should plan educational interventions.

scholarly journals Effect of Educational Interventions on Adverse Drug Reaction Reporting in a Cancer Institute in Japan: A Questionnaire Study

2018 ◽  
Vol 54 (2) ◽  
pp. 93-99 ◽  
Author(s):  
Masami Tsuchiya ◽  
Akihisa Esashi ◽  
Taku Obara ◽  
Kyoko Inooka ◽  
Nariyasu Mano ◽  
...  
Keyword(s):  
Health Care ◽  
Adverse Drug Reaction ◽  
Health Care Professionals ◽  
Reporting System ◽  
Multivariate Logistic Regression Analysis ◽  
Educational Interventions ◽  
Practical Experience ◽  
Multivariate Logistic Regression ◽  
Educational Meeting ◽  
Adr Reporting

Background: Limited data regarding knowledge and factors related to understanding the adverse drug reaction (ADR) reporting system of health care professionals are available in Japan. Objective: The objective of this study was to identify factors related to understanding the ADR reporting system in Miyagi Cancer Center and to find ways to increase the number and quality of ADR reports. Methods: Self-administered questionnaire surveys were administered before and after the educational meeting among health care professionals who were working in our hospital during the study period. Subanalyses restricted to nurses were also performed. Main Outcome Measure: Understanding ADR reporting system among healthcare professionals. Results: The percentage of respondents who understood the ADR reporting system in the questionnaire after the educational meeting was significantly higher than that in the questionnaire before the educational meeting. In the questionnaire after the educational meeting, multivariate logistic regression analysis found that having over 30 years of practical experience (odds ratio [OR], 3.852; 95% confidence interval [CI], 1.228-12.081 for 20-29 years, 7.695; 1.650-35.881 for over 30 years), being a physician (8.071; 1.923-33.878), being a pharmacist (18.357; 3.847-87.585), and participating in the educational meeting (5.111; 1.700-15.365) were factors associated with understanding the ADR reporting system. Multivariate logistic regression analysis of the questionnaire results before the educational meeting among nurses showed that working at outpatient departments (8.330; 3.008-23.069) was significantly and independently associated with understanding the ADR reporting system. Conclusions: The present study demonstrated that many years of practical experience, profession (physicians, pharmacists), and educational interventions were associated with good understanding of the ADR reporting system among health care professionals.

scholarly journals A review on health-care acquired infections of the hospital staff during routine patient’s delivery service

2021 ◽  
Vol 25 (9) ◽  
pp. 1581-1586
Author(s):  
A.A. Enaigbe ◽  
C.C. Irodi
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Adverse Drug Events ◽  
Care Delivery ◽  
Educational Interventions ◽  
World Health ◽  
Infection Prevention And Control ◽  
Medical Attention ◽  
And Control ◽  
The Impact

The health-care acquired infections (HCAIs) occur world-wide among persons undergoing medical attention in health institutions and result in unexpected long-term stay, disability and financial loses. The most predominant infections are catheter associated urinary tract, central line associated, surgical site and ventilator associated pneumonia infections. The patients are prone to infections during hospitalization from varied environmental sources, hands of health-care professionals, medical equipment and other infected patients. The frequent factors affecting patients on admission are improper hand hygiene, contact with infected patients, adverse drug events and surgical complications. Patients under health-care delivery can acquire infection disseminated from food, water, aerosols and hospital wastes. The application of personal protective equipment, routine educational interventions are common approaches that can help stop HCAIs and save lives, decrease death rate and health delivery expenses. In buttressing this, the World Health Organization (WHO) enunciated guidelines to enhance hand washing practices, infection prevention and control programme, monitored use of antibiotics and its resistance. The other measures included global adoption of efficient surveillance system and the impact of relevant stakeholders in health sectors needed to prevent and control hospital acquired infections.

scholarly journals Atuação dos profissionais de educação física na atenção primária à saúde

2017 ◽  
Vol 15 (2) ◽  
pp. 105-113
Author(s):  
Joel Carlos Valcanaia Ferreira ◽  
Joel Saraiva Ferreira
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Physical Education ◽  
Health Care Professionals ◽  
Private Higher Education ◽  
Education Professionals ◽  
Department Of Health ◽  
Primary Health ◽  
Intervention Context

O objetivo do estudo foi analisar as características sociodemográficas e econômicas dos profissionais de Educação Física atuantes na Atenção Primária à Saúde no município de Campo Grande - MS. A distribuição dos profissionais na rede municipal de saúde foi fornecida pela Secretaria Municipal de Saúde. Para obter as informações junto aos profissionais, utilizou-se de questionário autoaplicável elaborado especificamente para o presente estudo. Os resultados indicaram que 61% dos profissionais de Educação Física com vínculo funcional com a Secretaria Municipal de Saúde Pública de Campo Grande - MS atuavam na Atenção Primária. Os profissionais são maioria do sexo masculino (54%), predominância de casados (82%), faixa etária de 30 a 39 anos (73%), renda mensal de até três salários mínimos (73%), formação em Educação Física (Licenciatura Plena) (54%), concluída há mais de 10 anos (82%), majoritariamente em instituições privadas de ensino superior (73%), concursados no serviço público (91%), com jornada de serviço semanal de 40 horas (91%), atuantes há mais de três anos da Atenção Primária à Saúde (82%). Concluiu-se que as características sociodemográficas e econômicas revelaram que os PEF detém estabilidade funcional, com experiência na área de atuação e formação condizente com o contexto de intervenção.ABSTRACT. The work of physical education professionals on primary health care. The goal of this study was to analyze the sociodemographic and economical characteristics of the physical education professionals working with Primary Health Care in the municipality of Campo Grande - MS. The data were initially collected with the management of municipal department of health, in order to identify the distribution of professionals in the municipal health network and, later, with the Primary Health Care professionals themselves. In order to obtain the information from the professionals, it was used a self-applicable questionnaire devised specifically for this study. The results showed that 61% of the physical education professionals functionally linked to the municipal department of public health of Campo Grande-MS worked with primary care, which represented a coverage of approximately 30% of supply of physical activities on that level of health care. The evaluated professionals presented a sociodemographic profile with a majority of males (54%), prevalently married (82%), in the age group between 30 and 39 years old (73%), with a monthly income of up to three minimum wages (73%), with a full licentiateship in Physical Education (54%), concluded over 10 years ago (82%), mostly in private higher education institutions (73%), with public service tender (91%), with a 40-hour workweek (91%), working with primary care for over three years (82%). It was concluded that the sociodemographic and economical characteristics showed that the Physical Education professionals have functional tenure, with experience in the area of work and training in line with the intervention context.

Power, Rhetoric, and Partnership: Primary Health Care and Pie in the Sky

1999 ◽  
Vol 58 (1) ◽  
pp. 94-104 ◽  
Author(s):  
Delamie Thompson ◽  
Ann Smith ◽  
Terry Hallom ◽  
E. Durrenberger
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Students ◽  
Health Care Professionals ◽  
Human Services ◽  
School Of Nursing ◽  
Department Of Health ◽  
Primary Health ◽  
Selling Point ◽  
The University

Talk of "partnerships" between communities and primary health care professionals is widely recognized as a valuable selling point of programs competing for grant dollars and community sites. How the partnership manifests itself varies. Funded by a grant from the U.S. Department of Health and Human Services to a school of nursing, one such program was presented to a Chicago community as having two equal goals: delivery of primary health care to the community; and the education of nursing students. Community Health Advocates were hired to work in the center with a registered nurse to facilitate access to the local neighborhood. This core group maintains the daily functions of the center and are the first three authors of this paper. Nursing students and faculty from the university provide services at the site on the university's schedule to meet the university's goals. In this paper the core staff reflects on the experience and discusses the clash of professional and community standards, objectives, and perspectives, which results in fragmented service

scholarly journals Designing an online resource for people with low back pain: health-care provider perspectives

2016 ◽  
Vol 22 (2) ◽  
pp. 159 ◽  
Author(s):  
Mandy Nielsen ◽  
Gwendolen Jull ◽  
Paul W. Hodges
Keyword(s):  
Health Care ◽  
Low Back Pain ◽  
Back Pain ◽  
Health Care Provider ◽  
Care Provider ◽  
Health Care Professionals ◽  
Low Back ◽  
Care Providers ◽  
Management Options ◽  
Provider Perspectives

People with low back pain (LBP) seek education and information from the Internet. Existing LBP websites are often of poor quality, and disparities have been identified between patient and health-care provider evaluations of LBP websites. This study aimed to identify health-care provider perspectives on desirable content for a proposed LBP website and how this information should be presented. It complements an earlier study of LBP patient (consumer) perspectives. A qualitative descriptive study, encompassing focus groups and telephone interviews, was conducted with 42 health-care professionals practising in the LBP field. Four categories of information were identified: explaining LBP; treatment and management options; myth-busting information; and communication with health-care professionals. Presentation preferences included: use of visual media; interactivity; and useability and readability. Comparison with the consumer study identified differences with regard to: depth and breadth of diagnostic and treatment information; provision of lay person experiences and stories; and capacity for consumer-to-consumer interaction online. Views of both consumers and health-care providers are critical when developing an online LBP resource. Failure to address the needs of both stakeholder groups diminishes the potential of the resource to improve consumer outcomes.

scholarly journals Postpartum brief educational interventions for women who have had gestational diabetes: a qualitative study of of health care professionals’ views

2021 ◽  
Author(s):  
Josie MM Evans ◽  
Aileen V Ireland ◽  
Dawn M Cameron ◽  
Kate M Clarke ◽  
Claire E Eades
Keyword(s):  
Health Care ◽  
Gestational Diabetes ◽  
Health Care Professionals ◽  
Educational Interventions ◽  
Diabetes Risk ◽  
Optimal Timing ◽  
Practice Nurses ◽  
Face To Face ◽  
Women Health ◽  
Health Visitors

Abstract Background Women who have had gestational diabetes during pregnancy are at very high risk of developing type 2 diabetes later in life, but their understanding of the risks is often limited. In this study we explored the views of health care professionals regarding offering brief opportunistic advice to women after their pregnancy, during unrelated consultations in primary care, relating to reducing diabetes risk. Methods The study took place in three Health Boards in Scotland. We conducted semi-structured one-to-one interviews (either face-to-face or telephone) with three health visitors, three practice nurses, two GPs, two diabetes consultant and two obstetricians. A focus group with five health visitors was also held. A topic guide was followed, covering the feasibility and acceptability of delivering a brief educational intervention during a routine consultation, the optimal way to identify and recall women with previous gestational diabetes, and the possible content and timing of the intervention. A thematic approach was used to analyse the qualitative data generated. Results The interviews/discussion lasted from 15 to 66 minutes. There was widespread support for such an intervention from all participants and general consensus that health visitors would be best placed to offer educational advice and support as part of the Health Visiting Pathway in Scotland. Thematic analysis generated three significant points of discussion: implications for training of health visitors, the need for a systematic approach to identifying women with gestational diabetes, and the optimal timing of delivery. Despite an already demanding schedule of providing advice and education to women, health visitors were confident that they could offer educational advice, provided that they received appropriate training to do so. However, there would need to be a watertight system for identifying women in their care who had had gestational diabetes. In terms of timing, later visits around 6–8 months after delivery were considered most suitable. Conclusions There is support from health care professionals, and most pertinently from health visitors, that the frequency of routine visits with women during the Health Visiting Pathway programme in Scotland provides potential opportunities for education around future diabetes risk to women who have had gestational diabetes.

scholarly journals Opening government health data to the public: benefits, challenges, and lessons learned from early innovators

2016 ◽  
Vol 24 (2) ◽  
pp. 345-351 ◽  
Author(s):  
Erika G Martin ◽  
Grace M Begany
Keyword(s):  
Health Care ◽  
Data Quality ◽  
New York State ◽  
Open Data ◽  
Health Data ◽  
Community Empowerment ◽  
Theory Approach ◽  
Data Movement ◽  
Department Of Health ◽  
Open Data Movement

Objective: Government agencies are rapidly developing web portals to proactively publish “open” data that are searchable, available in nonproprietary formats, and with unlimited use and distribution rights. In this dynamic environment, we aimed to understand the experiences of 2 early leaders in open health data, the US Department of Health and Human Services and the New York State Department of Health. Materials and Methods: Semistructured interviews with 40 practitioners and policymakers elicited value propositions, capabilities required for successful open data programs, and strategies for improving impact and sustainability. Transcripts were analyzed using a grounded theory approach to identify common perspectives and divergent viewpoints. Results: Respondents were optimistic about the value of open data, reporting numerous opportunities to advance the triple aim of lower costs, improved health care quality, and better population health. Benefits to agencies include enhanced data quality and more efficient operations. External benefits include improved health literacy, data-driven changes in health care delivery, consumer engagement, and community empowerment. Key challenges are resources, cultural resistance, navigating legal and regulatory issues, and data quality. Discussion: The open data movement will likely continue, but success requires sustained leadership, resources, organizational cultural change, promotion of data use, and governance. Jurisdictions that are initiating open data programs can incorporate these lessons from early innovators. Conclusions: The open data movement has a bright future but unknown long-term impact. To maintain momentum, important directions for the field include reconsidering legal guidance on protecting health data in the open data era and quantifying the return on investment.

scholarly journals Barriers to monitoring and management of cardiovascular and metabolic health of patients prescribed antipsychotic drugs: a systematic review

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Ruba Azfr Ali ◽  
Zahraa Jalal ◽  
Vibhu Paudyal
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Health Care ◽  
Physical Health ◽  
Health Care Professionals ◽  
Educational Interventions ◽  
Metabolic Health ◽  
Health Conditions ◽  
Related Factors ◽  
Mental Health Conditions

Abstract Background The use of atypical antipsychotics which currently form the primary choice pharmacotherapy for several mental health conditions have been linked to cardiovascular and metabolic side effects. This systematic review aimed to investigate the barriers to monitoring and management of cardiovascular co-morbidities in patients prescribed antipsychotic medicines. Methods A protocol-led (CRD-42018106002) systematic literature review was conducted by searching Medline, Embase, and PsycINFO databases 2003 until October 2019. Cochrane, Centre for Review and Dissemination (CRD) and PRISMA guidelines were followed. Studies investigating barriers to monitoring and management of cardiovascular co-morbidities in patients prescribed antipsychotic medicines were included. Results A total of 23 records were included. Key barriers included a) health-care system-related factors such as lack of knowledge and expertise amongst care providers, available resources, confusion around remit and roles, fragmentation of care such as across general practitioners and psychiatrists, and time constraints and b) patient-related factors such as disability resulting from mental health conditions, knowledge and skills of the patients. Conclusion Barriers to monitoring and management of cardiovascular and metabolic health of patients taking antipsychotic medicines are multidimensional. Apart from educational interventions directed to both patients and health-care professionals, the results suggest a need for the improvement of wider system-related factors to improve physical health of patients prescribed antipsychotic medicines. Clearer guidelines, clarity of remit and roles amongst service providers are necessary in addition to educational interventions directed at patients and health-care professionals in improving physical health monitoring, counselling and management of patients prescribed antipsychotic medicines. Trial registration A protocol was developed and registered with PROSPERO as per PRISMA-P guidelines (CRD 42018106002).

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