scholarly journals Does health service funding go where the need is? A prototype spatial access analysis for new urban contracts data

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Julia Koschinsky ◽  
Nicole P. Marwell ◽  
Raed Mansour
Keyword(s):  
Health Service ◽  
Health Department ◽  
Spatial Decision Support System ◽  
Network Access ◽  
Spatial Access ◽  
Service Contracts ◽  
Administrative Data Source ◽  
Data Source ◽  
The Government ◽  
Satellite Service

Abstract Background Much of spatial access research measures the proximity to health service locations. We advance this research by focusing on whether health service funding is within walkable reach of neighborhoods with high hardship. This is made possible by a new administrative data source: financial contracts data for those human services that are delivered by nonprofits under contract with the government. Methods In a prototypical spatial access study we apply a classic 2-step floating area catchment model for walkable network access to analyze 2018 data about contracted nonprofit health services funded by the Chicago Department of Public Health (CDPH). CDPH collected the data for the purpose of this study. Results We find that the common container approach of aggregating contract amounts by provider headquarter locations in a given area (ignoring satellite service sites) underestimates the share of funding that goes to Chicago neighborhoods with higher hardship. Once service sites and spatial access are taken into account, a larger share of CDPH funds was found to be within walkable reach of Chicago’s high hardship areas. This was followed by low hardship areas (which could be driven by more headquarter locations there that do serve areas throughout the city). Medium hardship areas trail both, perhaps warranting closer attention. We explore these results by program type and neighborhood with a spatial decision support system developed for the health department. Conclusions The typical approach for analyzing human service contracts based on headquarters is misleading -- in fact, we find that results are reversed when service sites and walkable access are taken into account. This prototype provides an alternative framework for avoiding these misleading results.

scholarly journals Does Health Service Funding Go Where the Need Is? A Prototype Spatial Access Analysis for New Urban Contracts Data

2021 ◽  
Author(s):  
Julia Koschinsky ◽  
Nicole Marwell ◽  
Raed Mansour
Keyword(s):  
Health Service ◽  
Health Department ◽  
Spatial Decision Support System ◽  
Network Access ◽  
Spatial Access ◽  
Service Contracts ◽  
Administrative Data Source ◽  
Data Source ◽  
The Government ◽  
Satellite Service

Abstract Background | Much of spatial access research measures the proximity to health service locations. We advance this research by focusing on whether health service funding is within walkable reach of neighborhoods with high hardship. This is made possible by a new administrative data source: financial contracts data for those human services that are delivered by nonprofits under contract with the government.Methods | In a prototypical spatial access study we apply a classic 2-step floating area catchment model for walkable network access to analyze 2018 data about contracted nonprofit health services funded by the Chicago Department of Public Health (CDPH). CDPH collected the data for the purpose of this study.Results | We find that the common container approach of aggregating contract amounts by provider headquarter locations in a given area (ignoring satellite service sites) underestimates the share of funding that goes to Chicago neighborhoods with higher hardship. Once service sites and spatial access are taken into account, a larger share of CDPH funds was found to be within walkable reach of Chicago’s high hardship areas. This was followed by low hardship areas (which could be driven by more headquarter locations there that do serve areas throughout thecity). Medium hardship areas trail both, perhaps warranting closer attention. We explore these results by program type and neighborhood with a spatial decision support system developed for the health department.Conclusions | The typical approach for analyzing human service contracts based on headquarters is misleading -- in fact, we find that results are reversed when service sites and walkable access are taken into account. This prototype provides an alternative framework for avoiding these misleading results.

scholarly journals Does Health Service Funding Go Where the Need Is? A Prototype Spatial Access Analysis for New Urban Contracts Data

2021 ◽  
Author(s):  
Julia Koschinsky ◽  
Nicole Marwell ◽  
Raed Mansour
Keyword(s):  
Health Service ◽  
Health Department ◽  
Spatial Decision Support System ◽  
Network Access ◽  
Spatial Access ◽  
Service Contracts ◽  
Administrative Data Source ◽  
Data Source ◽  
The Government ◽  
Satellite Service

Abstract Background Much of spatial access research measures the proximity to health service locations. We advance this research by focusing on whether health service funding is within walkable reach of neighborhoods with high hardship. This is made possible by a new administrative data source: financial contracts data for those human services that are delivered by nonprofits under contract with the government. Methods In a prototypical spatial access study we apply a classic 2-step floating area catchment model for walkable network access to analyze 2018 data about contracted nonprofit health services funded by the Chicago Department of Public Health (CDPH). CDPH collected the data for the purpose of this study. Results We find that the common container approach of aggregating contract amounts by provider headquarter locations in a given area (ignoring satellite service sites) underestimates the share of funding that goes to Chicago neighborhoods with higher hardship. Once service sites and spatial access are taken into account, a larger share of CDPH funds was found to be within walkable reach of Chicago’s high hardship areas. This was followed by low hardship areas (which could be driven by more headquarter locations there that do serve areas throughout the city). Medium hardship areas trail both, perhaps warranting closer attention. We explore these results by program type and neighborhood with a spatial decision support system developed for the health department. Conclusions The typical approach for analyzing human service contracts based on headquarters is misleading -- in fact, we find that results are reversed when service sites and walkable access are taken into account. This prototype provides an alternative framework for avoiding these misleading results

scholarly journals Utilization of Pre-travel Health Services Among Kenyan International Travelers in Jomo Kenyatta Airport Conducted From 2nd August to 30th September 2017

2018 ◽  
Vol 6 (3) ◽  
pp. 110-120
Author(s):  
Grace Wacuka Kihika ◽  
Eddy Okoth Odari ◽  
Joseph Mutai ◽  
Augustine Gatimu Njuguna
Keyword(s):  
Health Service ◽  
Health Services ◽  
Disease Transmission ◽  
Health Department ◽  
Systematic Sampling ◽  
Cross Sectional ◽  
Travel Health ◽  
The Government ◽  
Set Up ◽  
Systematic Sampling Method

Introduction: The geographical movement of people from one area to another poses the threat of transmission of infectious diseases. Kenya is among the vulnerable countries when it comes to disease transmission, because it is a major transport hub in East Africa, yet data on the availability and uptake of pre-travel health services is limited. Methods: A cross-sectional descriptive study was conducted to determine the uptake of pre-travel health services. The systematic sampling method was used to obtain a sample size of 384 travelers among those in the waiting lounge prior to departure; four key informants were chosen purposively. A self-administered questionnaire was used for data collection. The results of data analysis are presented in the form of tables, graphs, charts, and text. Results: The majority of respondents (70.6%) knew of at least one health service offered to international travelers in Kenya. The most sought-after pre-travel health service was vaccination (70.97%), but very few (13.93%) travelers sought pre-travel health advice on how to stay healthy while abroad. The majority of travelers were positive about pre-travel health services. The Port Health Department focuses more on the health of international arrivals as opposed to departures; there are no functional travel health clinics. Conclusion: The results indicated that the government pays little attention to departing international travelers. Therefore, it is important for the government to develop policies, guidelines, and structures that will ensure that pre-travel health services are received by travelers prior to departure. Travel clinics need to be set up to increase the uptake of pre-travel health services. Moreover, further research should be conducted.

Dame Muriel Powell (1914–1978): Role Model of a Hospital Matron and Leader of Nursing

2003 ◽  
Vol 11 (1) ◽  
pp. 3-9
Author(s):  
Elizabeth J C Scott
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Role Model ◽  
Health Department ◽  
Historical Background ◽  
Chief Nursing Officer ◽  
The Government

Muriel Powell was for 22 years matron of St George's Hospital, London, and for a brief period Chief Nursing Officer in the Scottish Home and Health Department in Edinburgh. She was an influential role model, an influential leader of and spokesperson for her profession, and a member of the government committee that recommended the removal of the title “matron” from the National Health Service in 1968. The title is now being reintroduced and one of the purposes of this paper is to highlight the lack of any consideration having been given to the historical background of the title and the reasons why it was removed.

Managing mental health service contracts

1992 ◽  
Vol 20 (2) ◽  
pp. 87-99 ◽  
Author(s):  
Joseph Gauntner ◽  
James Dacek ◽  
Mark A. Jones ◽  
Barbara A. Karbler ◽  
Thomas Katoch ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Contracts

scholarly journals Penerapan Data Mining Dalam Clustering Produksi Daging Sapi Di Indonesia Menggunakan Algoritma K-Means

2019 ◽  
Vol 1 (2) ◽  
pp. 37-44
Author(s):  
Henri Pandiangan
Keyword(s):  
Data Mining ◽  
Animal Protein ◽  
Beef Production ◽  
High Group ◽  
High Animal ◽  
Middle Group ◽  
National Statistics ◽  
Group 3 ◽  
Data Source ◽  
The Government

Cows are animals that are found in Indonesia, cattle provide many benefits for humans ranging from milk that is rich in nutrients to meat as a source of high animal protein for humans. Beef production in Indonesia is not sufficient to meet domestic needs, so the government needs to ask for other meat and most still need beef to meet the daily protein needs of the community. The discussion of this study about the Application of Data Mining in the Cluster of Beef Production in Indonesia Using the K-Means Algorithm. The data source of this study was collected based on documents about beef production produced by the National Statistics Agency. The data used in this study are data from 2009-2016 consisting of 34 provinces. This study clustered in 3 groups, namely medium and low. The results of this study were 9 provinces included in the high group, 3 provinces included in the middle group and 22 provinces entered the low group.

scholarly journals Return of Corruption Assets toward Criminal Actions of Office Abuse

2021 ◽  
Vol 4 (2) ◽  
pp. 2114-2120
Author(s):  
Rahmayanti Rahmayanti
Keyword(s):  
Political Development ◽  
Secondary Data ◽  
Social Institutions ◽  
Public Official ◽  
State Institutions ◽  
Data Source ◽  
The Government ◽  
Important Position ◽  
The Stability ◽  
The Right

Corruption is a serious problem because it can endanger the stability and security of society, destroy democratic values and morality, and endanger economic, socio-political development, and create massive poverty so that it needs attention from the government and society and social institutions. The purpose of this study is to determine and analyze the sanctions arrangements for corruption in the abuse of office and the return of assets resulting from corruption against criminal acts of abuse of office based on Law Number 31 of 1999 in conjunction with Law Number 20 of 2001 concerning Corruption Eradication. The research that was conducted was juridical normative, the data source used to support this research was secondary data sources. The return of assets from corruption has occupied an important position in eradicating corruption. a criminal act of corruption is an act directly related to the authority (bevoegheid), the right to rule or act as the power of a public official to comply with the rule of law in the scope of carrying out public obligations. The return of assets is based on the principles of social justice which gives the ability, duty and responsibility to state institutions and legal institutions to provide protection and opportunities for individuals in society to achieve prosperity, so that this is in line with the objectives of the State as specified in UUD 1945. 

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

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