scholarly journals Characteristics of the ideal hospitalist inpatient care program: perceptions of Canadian health system leaders

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Vandad Yousefi ◽  
Elayne McIvor
Keyword(s):  
Health System ◽  
Inpatient Care ◽  
Care Service ◽  
Care Program ◽  
Structured Interviews ◽  
Wide Range ◽  
System Leaders ◽  
Important Challenge ◽  
Healthcare Administrators ◽  
The Ideal

Abstract Background Despite the growing prevalence of hospitalist programs in Canada, it is not clear what program features are deemed desirable by administrative and medical leaders who oversee them. We aimed to understand perceptions of a wide range of healthcare administrators and frontline providers about the implementation and necessary characteristics of a hospitalist service. Methods We conducted semi-structured interviews with a range of administrators, medical leaders and frontline providers across three hospital sites operated by an integrated health system in British Columbia, Canada. Results Most interviewees identified the hospitalist model as the ideal inpatient care service line, but identified a number of challenges. Interviewees identified the necessary features of an ideal hospitalist service to include considerations for program design, care and non-clinical processes, and alignment between workload and physician staffing. They also identified continuity of care as an important challenge, and underlined the importance of communication as an important enabler of implementation of a new hospitalist service. Conclusions Most hospital administrators and frontline providers in our study believed the hospitalist model resulted in improvements in clinical processes and work environment.

scholarly journals Characteristics of the ideal hospitalist inpatient care program: perceptions of Canadian health system leaders

2021 ◽  
Author(s):  
Vandad Yousefi ◽  
Elayne McIvor
Keyword(s):  
Health System ◽  
Inpatient Care ◽  
Care Service ◽  
Care Program ◽  
Structured Interviews ◽  
Physician Staffing ◽  
Wide Range ◽  
System Leaders ◽  
Healthcare Administrators ◽  
The Ideal

Abstract Background: Despite the growing prevalence of hospitalist programs in Canada, it is not clear what program features are deemed desirable by administrative and medical leaders who oversee them. We aimed to understand perceptions of a wide range of healthcare administrators and frontline providers about the necessary characteristics of a hospitalist service. Methods: We conducted semi-structured interviews with a range of administrators, medical leaders and frontline providers across three hospital sites in an integrated health system in Western Canada. Results: Most interviewees identified the hospitalist model as the ideal inpatient care service line, but identified a number of challenges. Interviewees identified the necessary features of an ideal hospitalist service to include considerations for program design, care and non-clinical processes, and alignment between workload and physician staffing. Conclusions: Most hospital administrators and frontline providers in our study believed the hospitalist model resulted in improvements in clinical processes and work environment.

scholarly journals A qualitative study to conceptualize levels of awareness, acceptance and expectations in parents of children with cerebral palsy in Gujarat, India

2018 ◽  
Vol 5 (2) ◽  
pp. 442
Author(s):  
Vivek H. Ramanandi ◽  
Maitry D. Jayswal ◽  
Dhara N. Panchal
Keyword(s):  
Cerebral Palsy ◽  
Care Program ◽  
Family Centered Care ◽  
Structured Interviews ◽  
Rehabilitation Team ◽  
Wide Range ◽  
Children With Cerebral Palsy ◽  
Centered Care ◽  
Family Centered

Background: Caring for a child with a disability presents a multifaceted challenge for managing and coping with the child’s functional limitations and possible long term dependence to the caregiver and family. A wide range of psychosocial problems are experienced by the parents of children with CP. As an important member of the rehabilitation team, Physiotherapists comes in regular and long term contact with family and care givers of the CP child. This increase responsibilities of a physiotherapist from more than just dealing with sensory-motor rehabilitation of a CP child to understand need and expectations and guide/counsel the caregiver, parents or family as and when needed. Studies like this can provide valuable information for designing a family centered care program for children with CP. Objective of present study was to identify the main concepts which represent levels of awareness, acceptance and their expectations in parents of children with cerebral palsy in Gujarat.Methods: Qualitative research design using in-depth semi structured interviews was used for the study. Total 21 parents were selected using purposive sampling and were interviewed till data saturation was achieved. The main descriptive elements regarding their levels of awareness, acceptance and expectations were extracted using content analysis method.Results: Common themes such as disturbed social relationships, health problems, financial problems, worries about future of the child, need for more support services, and lack of adequate number of trained physiotherapists were experienced by the parents.Conclusions: A wide range of experiences were described by the parents of children with CP. Studies like this can provide valuable information for improving depth and quality of rehabilitation services by a physiotherapist through a family centered care program for children with CP. 

scholarly journals The IDEAL household energy dataset, electricity, gas, contextual sensor data and survey data for 255 UK homes

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Martin Pullinger ◽  
Jonathan Kilgour ◽  
Nigel Goddard ◽  
Niklas Berliner ◽  
Lynda Webb ◽  
...  
Keyword(s):  
Survey Data ◽  
Energy Demand ◽  
Secondary Data ◽  
Hot Water ◽  
Power Measurement ◽  
Sensor Data ◽  
Energy Awareness ◽  
Household Energy ◽  
Wide Range ◽  
The Ideal

AbstractThe IDEAL household energy dataset described here comprises electricity, gas and contextual data from 255 UK homes over a 23-month period ending in June 2018, with a mean participation duration of 286 days. Sensors gathered 1-second electricity data, pulse-level gas data, 12-second temperature, humidity and light data for each room, and 12-second temperature data from boiler pipes for central heating and hot water. 39 homes also included plug-level monitoring of selected electrical appliances, real-power measurement of mains electricity and key sub-circuits, and more detailed temperature monitoring of gas- and heat-using equipment, including radiators and taps. Survey data included occupant demographics, values, attitudes and self-reported energy awareness, household income, energy tariffs, and building, room and appliance characteristics. Linked secondary data comprises weather and level of urbanisation. The data is provided in comma-separated format with a custom-built API to facilitate usage, and has been cleaned and documented. The data has a wide range of applications, including investigating energy demand patterns and drivers, modelling building performance, and undertaking Non-Intrusive Load Monitoring research.

Therapy discontinuation in a primary care psychological service: why patients drop out

2020 ◽  
Vol 13 ◽  
Author(s):  
Aisan Ghaemian ◽  
Mahdi Ghomi ◽  
Miles Wrightman ◽  
Colm Ellis-Nee
Keyword(s):  
Drop Out ◽  
Treatment Withdrawal ◽  
List Type ◽  
Structured Interviews ◽  
Group Settings ◽  
Psychological Therapies ◽  
Psychological Service ◽  
Wide Range ◽  
Key Factor ◽  
Therapy Services

Abstract The present study aimed to explore patients’ experience with an Improving Access to Psychological Therapies (IAPT) service, and to investigate the reasons for discontinuing their treatment. A qualitative approach was adopted using thematic analysis of semi-structured interviews carried out with 818 patients attending for treatment in Talking Change from November 2015 to January 2019, retrospectively. The five main themes that emerged from the study were: ‘Felt better’, ‘Issues with group settings’, ‘Therapeutic alliance breakdown’, ‘Miscommunication’ and ‘Impracticalities’. The qualitative study uncovered a wide range of reasons for people who had dropped out from their treatment. The findings mainly emphasised general dissatisfaction and inconvenient appointments. However, improvement in symptoms of depression and anxiety was also identified as a key factor among patients who discontinued their treatment. This recovery is known as ‘progress withdrawal’ in which patients withdraw from treatment early due to good therapeutic progress. We present clinical and procedural implications arising from these themes. Key learning aims (1) To explore what can cause discontinuation of therapy. (2) To obtain the experience of people who have received treatment and dropped out from Talking Change Psychological Therapy services. (3) To explore whether people recovered as part of the treatment withdrawal and what may have helped towards that recovery.

scholarly journals Culturally competent, safe and equitable clinical care for Ma¯ori with bipolar disorder in New Zealand: The expert critique of Ma¯ori patients and Wha¯nau

2021 ◽  
pp. 000486742110314
Author(s):  
Tracy Haitana ◽  
Suzanne Pitama ◽  
Donna Cormack ◽  
Mau Te Rangimarie Clark ◽  
Cameron Lacey
Keyword(s):  
Bipolar Disorder ◽  
New Zealand ◽  
Cultural Competence ◽  
Health System ◽  
Clinical Care ◽  
Clinical Work ◽  
Culturally Competent ◽  
Structured Interviews ◽  
Clinical Culture ◽  
Competence Framework

Objective: Research designed to increase knowledge about Māori with bipolar disorder is required to understand how health services support wellbeing and respond to identified levels of community need. This paper synthesises the expert critique of Māori patients with bipolar disorder and their whānau regarding the nuances of cultural competence and safety in clinical encounters with the health system. Methods: A qualitative Kaupapa Māori Research methodology was used. A total of 24 semi-structured interviews were completed with Māori patients with bipolar disorder and members of their whānau. Structural, descriptive and pattern coding was completed using an adapted cultural competence framework to organise and analyse the data. Results: Three themes were evident from participants’ critique of clinical components of the health system. Theme 1 established that the efficacy of clinical care for bipolar disorder was dependent on Māori patients and whānau having clear pathways through care, and being able to access timely, consistent care from clinically and culturally competent staff. Theme 2 identified the influence of clinical culture in bipolar disorder services, embedded into care settings, expressed by staff, affecting the safety of clinical care for Māori. Theme 3 focused on the need for bipolar disorder services to prioritise clinical work with whānau, equip staff with skills to facilitate engagement and tailor care with resources to enhance whānau as well as patient wellbeing. Conclusion: The standard of clinical care for Māori with bipolar disorder in New Zealand does not align with practice guidelines, Māori models of health or clinical frameworks designed to inform treatment and address systemic barriers to equity. Research also needs to explore the role of structural and organisational features of the health system on Māori patient and whānau experiences of care.

scholarly journals 29.F. Workshop: The Health Systems and Policy Monitor network: reforms and health system changes in the spotlight

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Health Policy ◽  
Knowledge Transfer ◽  
Health System ◽  
Health Systems ◽  
Comparative Research ◽  
World Health ◽  
State Of Health ◽  
Wide Range ◽  
Cross Country ◽  
The Eu

Abstract The European Observatory established the Health Systems and Policy Monitor (HSPM) network in 2008, bringing together an international group of high-profile institutions from Europe and beyond with high academic standing in health systems and policy analysis. An important step was taken in 2011, when the Bertelsmann Health Policy Monitor, a 20-country-project with already significant overlap with the current HSPM network, merged with the Observatory's network of national lead institutions. Today, the network includes 40 institutions from 31 countries, with members participating in a wide range of activities and collaborations, such as writing the Observatory's flagship health system reports (HiTs), keeping the health policy community up-to-date on health system developments via the HSPM web platform, and contributing their expertise to reports, studies and knowledge transfer exercises co-ordinated by the Observatory for a variety of audiences, including ministries of health and international organisations such as the World Health Organization and the European Commission. In addition, network members participate in an annual meeting, hosted in a different member country every year, coming together over two days to exchange knowledge and experiences about the various health system reforms happening in their countries. The aim of these meetings is to present, discuss and start comparative research collaborations of the members that can inform policymaking. As part of a collaboration with the journal Health Policy, researchers of the HSPM network have published more than 100 articles on cross-country comparisons of policies or on ongoing nation health reforms in a special section - the Health Reform Monitor - of the journal. This workshop aims to provide the audience with an overview of the network and its expanding range of activities. An introductory presentation will briefly introduce the origins of the network and discuss its current line of work. The second presentation will provide an overview of reform trends that are routinely collected during the annual meetings as part of the “reform roundup”. The third presentation will give an example of how the network has contributed to the European Commission's State of Health in the EU initiative, by performing a 'rapid response” that informed the companion report to the State of Health in the EU country health profiles 2019. The fourth presentation is a typical example of the kind of collaborative work that the network is undertaking, i.e. involving multiple countries on a topic of shared interest. The workshop will conclude with a debate with the audience about the conceptual and methodological challenges as well as opportunities and future directions of cross-country comparative research and the HSPM network in particular. Key messages The Health Systems and Policy Monitor Network provides detailed descriptions of health systems and provides up to date information on reforms and changes that are particularly policy relevant. The Health Systems and Policy Monitor Network increasingly engages in comparative health systems research and knowledge transfer activities.

scholarly journals Social work support for employment of people with learning disabilities: Findings from the English Jobs First demonstration sites

2016 ◽  
Vol 17 (2) ◽  
pp. 167-185 ◽  
Author(s):  
Martin Stevens ◽  
Jess Harris
Keyword(s):  
Learning Disabilities ◽  
Social Work ◽  
Social Workers ◽  
Social Inclusion ◽  
Secondary Analysis ◽  
Social Work Practice ◽  
Structured Interviews ◽  
Active Labour Market Policy ◽  
Case Record ◽  
Wide Range

Summary This article brings together two key themes in recent public policy in England affecting social work practice: the value of having a paid job for social inclusion and increasing self-worth, and the personalisation of public services. The article draws on a mixed method evaluation of Jobs First, which was a government-funded demonstration site project that aimed to show how personal budgets (a key mechanism for personalisation) could be used by people with learning disabilities, often with their families, to purchase employment support. The evaluation involved secondary analysis of case record data and 142 semi-structured interviews with a wide range of participants (we mainly draw on 79 interviews with professionals for this article). Jobs First is placed within the frame of Active Labour Market Policy. Findings The attitudes of social workers to Jobs First were broadly positive, which was an important factor supporting employment outcomes. However, social workers’ involvement was often limited to a coordinating role, undertaking basic assessments linked to resource allocation and ensuring that support plans, which had often been developed by non-social work practitioners, were ‘signed off’ or agreed by the local authority. Applications The study points to important elements of the role of social workers in this new field of practice and explores potential tensions that might emerge. It highlights a continuing theme that social workers are playing more of a coordinating, managing role, rather than working directly with individuals to support their choices.

scholarly journals Older Adults’ Perception of Their Needs in Tehran: A Cry for Emotional and Social Support

2016 ◽  
Vol 9 (2) ◽  
pp. 134
Author(s):  
Sima Ghasemi ◽  
Nastaran Keshavarz Mohammadi ◽  
Farahnaz Mohammadi Shahboulaghi ◽  
Ali Ramezankhani
Keyword(s):  
Social Support ◽  
Older Adult ◽  
Meaning In Life ◽  
Healthy Lifestyle ◽  
Social Needs ◽  
Health Needs ◽  
Social Health ◽  
Structured Interviews ◽  
Instrumental Social Support ◽  
Wide Range

<p><strong>INTRODUCTION: </strong>Background and purpose: Human’s longevity has increased with advances in health and better management of communicable diseases. Therefore, the number of older adult is increasing in developed and developing countries. A glimpse at studies reveals that identifying elderly’s health needs has been mainly based on the experts’ understanding, while older adult themselves have rarely expressed their own opinions. This study aimed to better understand Tehran, Iran elderly’s perception of their own health needs.</p><p><strong>METHODS: </strong>In this qualitative study, with purposeful sampling, data was collected by conducting deep semi-structured interviews with elderlies aged 60-84 years, residing at their private houses. After 19 interviews, the data achieved saturation. The content of the interviews was analyzed through content-analysis approach.<strong></strong></p><p><strong>RESULTS: </strong>Data analyses led to extracting main categories of needs in different domains. The main health needs in physical health domain included: having a healthy lifestyle, independence and safety. Regarding elders’ mental health, coping with their aging, inner tranquility; regarding their spiritual health, the need to have a meaning in life and faithfulness in religion were identified as main groups of needs. And the most important among their main social health needs were the needs for emotional and social support, social involvement and instrumental social support. <strong></strong></p><p><strong>CONCLUSION: </strong>Although, a wide range of physical, mental and social needs were raised, some were more important. Fulfilling the emotional needs in social health had the highest frequency among the needs expressed by the contributors. Following that with a notable difference were the frequencies of having a healthy lifestyle, independence and inner tranquility. This means that attempts to address elderly health needs should avoid focusing mainly or even only on disease related needs and serious attention should be paid to their emotional and social needs.</p>

scholarly journals Multiellipsoidal Mapping Algorithm

2018 ◽  
Vol 8 (8) ◽  
pp. 1239 ◽  
Author(s):  
Carlos Villaseñor ◽  
Nancy Arana-Daniel ◽  
Alma Alanis ◽  
Carlos Lopez-Franco ◽  
Javier Gomez-Avila
Keyword(s):  
Point Clouds ◽  
Mapping Algorithm ◽  
Robotic Mapping ◽  
Wide Range ◽  
Important Challenge ◽  
Memory Cost ◽  
Environmental Representation ◽  
Object Shapes ◽  
Quadratic Surfaces ◽  
Object Mapping

The robotic mapping problem, which consists in providing a spatial model of the environment to a robot, is a research topic with a wide range of applications. One important challenge of this problem is to obtain a map that is information-rich (i.e., a map that preserves main structures of the environment and object shapes) yet still has a low memory cost. Point clouds offer a highly descriptive and information-rich environmental representation; accordingly, many algorithms have been developed to approximate point clouds and lower the memory cost. In recent years, approaches using basic and “simple” (i.e., using only planes or spheres) geometric entities for approximating point clouds have been shown to provide accurate representations at low memory cost. However, a better approximation can be implemented if more complex geometric entities are used. In the present paper, a new object-mapping algorithm is introduced for approximating point clouds with multiple ellipsoids and other quadratic surfaces. We show that this algorithm creates maps that are rich in information yet low in memory cost and have features suitable for other robotics problems such as navigation and pose estimation.

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