scholarly journals A protocol study of participatory action research: integrated care pathway for pregnant women with heart disease in Indonesia

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Suryani Yuliyanti ◽  
Adi Utarini ◽  
Laksono Trisnantoro
Keyword(s):  
Health Care ◽  
Heart Disease ◽  
Maternal Mortality ◽  
Pregnant Women ◽  
Integrated Care ◽  
Health Care Services ◽  
Heart Diseases ◽  
Service Planning ◽  
Participatory Action ◽  
Care Services

Abstract Background Heart diseases are increasingly identified as an important indirect cause of maternal mortality in several cities in Indonesia. The management of pregnancy with heart diseases requires a multidisciplinary approach, and interprofessional collaboration practice (IPCP) is critical to improving the quality of patient care. To enable the effective implementation of IPCP, integrated care pathways (ICPs) are needed to define the roles and responsibilities of the health professionals involved. This study aims to examine the obstacles and enabling factors of IPCP, to develop and use ICPs in the implementation of IPCP in health care services for pregnant women with heart diseases. Methods A participatory action study consisting of four stages (diagnostic, planning, implementation, and evaluation) will take approximately 2 years after consensus of ICPs are made. The primary data collection process will employ consensus, observations, focus group discussions, and in-depth interviews throughout the four stages, while secondary data from referral documents and medical records will be collected mainly during the diagnostic and evaluation stages. The findings are being analysed and will then be used to develop an ICPs through consensus building at the planning stage to be applied in the implementation stage. Finally, the implementation outcome, including acceptability, adoption, appropriateness, and feasibility of IPCP, will be assessed in the evaluation stage. All qualitative data will be analysed thematically by two coders using NVIVO 12 software. Discussion This research aims to assess the needs of IPCP, develop and use the ICPs in the implementation of IPCP in health care services for pregnant women with heart diseases. Findings from this study will be used for health service planning and policy making to strengthen practice of IPCP during the referral process. As a result, pregnant women with heart disease will have better access to high-quality services at every health care facility to reduce maternal mortality. Trial registration Retrospectively registered in the ISRCTN registry with study ID ISRCTN82300061 on Feb 6, 2019.

A Survey on Health Care Services Using Wireless Sensor Networks

2015 ◽  
pp. 132-151
Author(s):  
Sunilkumar S. Manvi ◽  
Manjula R. B.
Keyword(s):  
Health Care ◽  
Heart Disease ◽  
Health Care Services ◽  
Health Centre ◽  
Ambient Assisted Living ◽  
Well Being ◽  
Wireless Sensor ◽  
Future Research ◽  
Care Services ◽  
The Individual

Although the present technology has aided in development of high-technology-based disease detection machines, potential medicines and devices, the well-being of the individual remains a challenge. Human beings are struggling to control diseases such as Parkinson's disease, Alzheimer's disease, asthma, hypertension, insomnia, heart disease, and diabetes due to non-availability of patient's real-time data for comprehensive study and analysis. Smart health centre environments represent the evolutionary developmental step towards intelligent health care. The Wireless Sensor Network (WSN) with pervasive and ubiquitous computing may be a solution for this predicament. WSNs are a key technology for ambient assisted living. The concept of WSN is used to measure the various health parameters like blood pressure, blood clot, allergy, ECG, cholesterol, RBCs, etc. In this chapter, the authors highlight the importance of WSNs with respect to health care services and discuss some of its challenging applications for diseases like Parkinson's, Alzheimer's, asthma, and heart disease. They delineate the challenges that researchers face in this area that may lead to future research.

Confined to Obscurity: Health Challenges of Pregnant Women in Jail

2020 ◽  
Vol 45 (3) ◽  
pp. 177-185
Author(s):  
Susan J Rose ◽  
Thomas P LeBel
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Substance Use ◽  
Physical Health ◽  
Pregnant Women ◽  
Mental Health Treatment ◽  
Health Care Services ◽  
Background Characteristics ◽  
Policy And Practice ◽  
Care Services

Abstract Research about pregnant women in jail is scant. This exploratory study begins to fill this gap by examining the demographics; background characteristics; and self-reported physical health, mental health, and substance use challenges reported by 27 pregnant women incarcerated in a large midwestern county jail. It further reports on the prenatal care before and during their incarceration, plans of these pregnant women for delivery of their child, caring for their infant after their release from jail, and their expectations of paternal or family support post-release. Among the sample, 66.7 percent reported a physical health care problem, 48.2 percent had received mental health treatment, and 18.5 percent had substance use treatment in the previous year, but only 51.9 percent had seen a health care professional before their incarceration. All women expected the father of their child to provide financial support, but only 76.9 percent expected the father to be involved with the child. The authors also discuss implications of the findings for jail health care services and reintegration policy and practice for pregnant women.

scholarly journals A Context-Aware Machine-to-Machine-Enabled Pervasive Cardiac Telemetry for Personalizing Health Care Delivery

2019 ◽  
Author(s):  
Thierry Oscar Dr. Edoh ◽  
Aude-Elvis ODELOUI
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Heart Diseases ◽  
Remote Communication ◽  
Machine To Machine ◽  
Personalized Care ◽  
Care Services ◽  
Services Delivery ◽  
Access To Health

Personalized health care in coming and shows promise to improve the health care services delivery.Internet of Things (IoT) enabled personalized care enables patient-centric care delivery wheremedical doctors provide care based on data emanated from the patient and on the patientmedical/health record.Cardiovascular diseases, known as non-communicable diseases, are a leading death causeworldwide. Developing countries are bearing the heaviest heart diseases burden. Additionally,these countries are facing numerous challenges such as poor access to health care services delivery,lack of adequate medicine, lack of health insurance that aggravate the poor care accessibility issues.Several outpatients living in rural are severely facing the accessibility issues due to the remoteresidence. They are living very far from specialized hospitals or clinics.This paper aims at presenting a novel cardiac telemetry approach combining the paradigm ofcontext awareness and the IoT Technology to provide personalized care to remote outpatient and,thus, improve on one hand the patient monitoring and on other increase access to health careservices as well as provide personalized care, which shows promise to improve the quality of thecare.Regarding the telecommunication issues facing most developing, especially the rural regions, storeand forward approach is adopted for data exchanges and machine-to-machine (M2M)communication is selected to support communication in the entire system since M2Mcommunication is technology independent, interoperable, and enable remote communication.

Utilization of Health Care Services of Pregnant Women Complicated by Preeclampsia in Ontario

2009 ◽  
Vol 28 (1) ◽  
pp. 76-84 ◽  
Author(s):  
Aizhong Liu ◽  
Shi Wu Wen ◽  
Jim Bottomley ◽  
Mark C. Walker ◽  
Graeme Smith
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Care Services

Effectiveness of Health Care Services for Pregnant Women and Infants

1992 ◽  
Vol 2 (2) ◽  
pp. 40 ◽  
Author(s):  
Andrew D. Racine ◽  
Theodore J. Joyce ◽  
Michael Grossman
Keyword(s):  
Health Care ◽  
Pregnant Women ◽  
Health Care Services ◽  
Care Services

scholarly journals Utilization of maternal health care services in slum areas of Dhaka city, Bangladesh

1970 ◽  
Vol 4 (2) ◽  
pp. 44-48
Author(s):  
Housne Ara Begum ◽  
Nilufar Yeasmin Nili ◽  
Amir Mohammad Sayem
Keyword(s):  
Health Care ◽  
Maternal Health ◽  
Maternal Mortality ◽  
Health Care Services ◽  
Maternal Health Care ◽  
Dhaka City ◽  
Care Services ◽  
Maternal Health Care Services ◽  
Socio Economic Variables ◽  
Slum Areas

Bangladesh has one of the highest maternal mortality rates (MMR) in the world. The estimated lifetime risk of dying from pregnancy and childbirth related causes in Bangladesh is about 100 times higher compare to developed countries. However, utilization of maternal health care services (MHCS) is notably low. This study examines the socio-economic determinants of utilization of MHCS in some slum areas of Dhaka city. The overall utilization was 86.3% of women; however, utilization of different sorts of MHCS was very low, i.e., the mean utilization was found to be 2.25 out of 5 MHCS. Indicator wise, ANC, TT, institutional delivery, delivery assistance by health professional and PNC were received by 61.3%, 80.4%, 12.6%, 33.2% and 55.4% of women respectively. Variation was observed with different socio-economic variables. Multiple regression model could explain 38% of variance (P<0.001). Among the significant determinants, order of last birth negatively explained the most variance (15.2%). Similarly, distance between home and clinic was found to affect the utilization negatively. Besides, some respondents’ socio economic variables had a significant positive effect on MHCS utilization. To reduce maternal mortality in disadvantaged women in slum areas, this study might suggest a few pointers while considering formulation of policies and planning. Keywords: determinants; utilization; maternal health care; service; slum areas DOI: 10.3329/imcj.v4i2.6495Ibrahim Med. Coll. J. 2010; 4(2): 44-48

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