scholarly journals Principles of condom provision programs in prisons from the standpoint of European prison health experts: a qualitative study

2021 ◽  
Vol 18 (1) ◽  
Author(s):  
Babak Moazen ◽  
Joy Mauti ◽  
Paula Meireles ◽  
Tereza Černíková ◽  
Florian Neuhann ◽  
...  
Keyword(s):  
Harm Reduction ◽  
Healthcare Services ◽  
High Quality ◽  
The Sustainable Development ◽  
Quality Healthcare ◽  
Sexually Transmitted ◽  
Prison Health ◽  
European Public ◽  
The Right ◽  
Health Experts

Abstract Background Condom provision is one of the most effective harm reduction interventions to control sexually transmitted infections (STIs) including HIV/AIDS and viral hepatitis in prisons. Yet, very few countries around the world provide prisoners with condoms. The present study aimed to elucidate principles of effective prison-based condom programs from the perspective of European public health and prison health experts. Methods As a part of the “Joint Action on HIV and Co-infection Prevention and Harm Reduction (HA-REACT)” twenty-one experts from the field of prison health from eight European countries were invited to discuss the principles of condom provision programs in prisons within two focus groups. The audio records were transcribed verbatim, coded, categorized, and analyzed using thematic analysis method. Results Six components emerged from the analysis as essential for successful condom programs in prisons: (1) highlighting the necessity of condom provision in prisons, (2) engagement of internal and external beneficiaries in all stages of designing and implementing the program, (3) conducting a pilot phase, (4) condom program in a comprehensive package of harm reduction interventions, (5) vending machine as the best method of condom distribution in prisons and (6) assuring the sustainability and quality of the intervention. Conclusion Results of the present study can help prison health policy makers to design and conduct acceptable, accessible and high-quality prison-based condom provision programs, and consequently to mitigate the burden of STIs in prisons. Having access to high-quality healthcare services including condom provision programs is not only the right of prisoners to health, but also is a move towards achieving the sustainable development goal 3 of “leaving no one behind.”

Models of Service Development and Delivery for People with Intellectual Disability

2020 ◽  
pp. 289-296
Author(s):  
Sujeet Jaydeokar ◽  
John Devapriam ◽  
Jane McCarthy ◽  
Chaya Kapugama ◽  
Sabyasachi Bhaumik
Keyword(s):  
Intellectual Disability ◽  
Service Delivery ◽  
Healthcare Services ◽  
Service Development ◽  
High Quality ◽  
Quality Healthcare ◽  
Advantages And Disadvantages ◽  
Service Delivery Models ◽  
Specialist Services ◽  
Delivery Models

It is important to ensure that people with intellectual disability (ID) have access to high quality healthcare services. There is a wide variation in the availability of services and service delivery models globally for people with ID. Reasons for these variations are examined including availability of workforce resources and the development and availability of specialist resources. Tracing the development of services across the world, the chapter goes on to review the ongoing debate on access to generalized healthcare services versus the role of specialist services. We review advantages and disadvantages of different service delivery models. While these models have evolved in response to the political, cultural, and economic environment, it is important that any development of service delivery model signs up to basic underlying principles of person-centred, right-based, and outcome-focused approach. This should be undertaken in partnership with service users and carers in the spirit of co-production and with the underlying principles of choice, inclusion, rights, and independence. Any service development should also ensure that it would meet the complex health needs of people with ID as described in the tiered model of services with an efficient use of available resources. It should be sustainable through development of skills, competencies, and capabilities of the workforce and agencies that work with people with ID. There are number of examples across countries of innovative service provisions by public, private, and voluntary sectors as described in the chapter and it is important that we learn from those models. Advocating should be an integral aspect of any service delivery; we should be constantly advocating globally for high quality healthcare based on the best available evidence for people with ID.

Critical Incident Analysis in An Accident and Emergency Department

2003 ◽  
Vol 13 (6) ◽  
pp. 243-248
Author(s):  
Joanna Connor
Keyword(s):  
Emergency Department ◽  
Critical Incident ◽  
Critical Incidents ◽  
Healthcare Services ◽  
High Quality ◽  
Quality Healthcare ◽  
Normal Field ◽  
Accident And Emergency ◽  
Accident And Emergency Department ◽  
Incident Analysis

The analysis of critical incidents is crucial to the provision of safe, high quality healthcare services to patients. It is essential to analyse the incident and make decisions about how future similar incidents should be dealt with. This article is a reflection on a critical incident involving a theatre practitioner working outside her normal field of responsibility which was used to change practice.

Access Control for Healthcare

2011 ◽  
pp. 7-14
Author(s):  
Yifeng Shen
Keyword(s):  
Information Technology ◽  
Information Systems ◽  
Medical Information ◽  
Rapid Development ◽  
Healthcare Providers ◽  
Healthcare Services ◽  
Test Results ◽  
High Quality ◽  
Quality Healthcare ◽  
Administrative Services

Thanks to the rapid development in the field of information technology, healthcare providers rely more and more on information systems to deliver professional and administrative services. There are high demands for those information systems that provide timely and accurate patient medical information. High-quality healthcare services depend on the ability of the healthcare provider to readily access the information such as a patient’s test results and treatment notes. Failure to access this information may delay diagnosis, resulting in improper treatment and rising costs (Rind et al., 1997).

Application of Technology in Healthcare

2021 ◽  
pp. 194-217
Author(s):  
Andreia Robert Lopes ◽  
Ana Sofia Dias ◽  
Bebiana Sá-Moura
Keyword(s):  
Healthcare Services ◽  
Healthcare Systems ◽  
Digital Transformation ◽  
Healthcare Organizations ◽  
High Quality ◽  
Quality Healthcare ◽  
Healthcare Technologies

The COVID-19 pandemic has disrupted healthcare worldwide and laid several fundamental problems that will have to be tackled to ensure high-quality healthcare services. This pandemic has represented an unparalleled challenge for healthcare systems and poses an opportunity to innovate and implement new solutions. Digital transformation within healthcare organizations has started and is reshaping healthcare. Technologies such as blockchain and IoT can bring about a revolution in healthcare and help solve many of the problems associated with healthcare systems that the COVID-19 crisis has exacerbated. In this chapter, IoT and blockchain technologies were discussed, focusing on their main characteristics, integration benefits, and limitations, identifying the challenges to be addressed soon. The authors further explored its potential in describing concrete cases and possible applications for healthcare in general and specifically for COVID-19.

Displacement and Trauma

2022 ◽  
pp. 244-272
Author(s):  
M. Mahruf C. Shohel ◽  
Md. Ashrafuzzaman ◽  
Farhan Azim ◽  
Tahmina Akter ◽  
Shamima Ferdous Tanny
Keyword(s):  
Healthcare Services ◽  
Refugee Camps ◽  
Gender Based Violence ◽  
Childhood Experiences ◽  
The Sustainable Development ◽  
Education And Health ◽  
Basic Sanitation ◽  
Gender Based ◽  
The Right ◽  
Poor Children

Rohingya children have become victims of mass displacement, with some of them being internally or externally displaced because of long-standing violence and prejudice in their own country. Currently, a substantial number of them are residing in refugee camps in Bangladesh. They lost all their rights, including the right to retain their native country's nationality. Their basic human rights are violated when they become stateless refugees in the era of the Sustainable Development Goals (SDGs), which emphasize equality, equity, and social justice. Rohingya children in refugee camps face adversity and have limited access to informal education and health services. Due to a lack of nutritious food, healthcare services, medicines, and basic sanitation, the health conditions for some of them are exceedingly poor. Children, particularly young girls, are vulnerable to gender-based violence, child marriage, and human trafficking, both for sex and manual labor. This chapter investigates the childhood experiences of displaced Rohingya children living in Bangladeshi refugee camps.

Commissioning high quality healthcare services

2012 ◽  
Vol 15 (7) ◽  
pp. 33-33
Author(s):  
Sue Turner ◽  
Matt Houghton
Keyword(s):  
Healthcare Services ◽  
High Quality ◽  
Quality Healthcare

scholarly journals Use of the Smart Lean Method to Conduct High-Quality Integrated Perioperative Management Prior to Hospitalization

2021 ◽  
Vol 18 (24) ◽  
pp. 13391
Author(s):  
Hung-Wen Tsai ◽  
Su-Wen Huang ◽  
Yin-Lurn Hung ◽  
Yu-Shan Hsu ◽  
Chien-Chung Huang
Keyword(s):  
Hospital Admission ◽  
Perioperative Management ◽  
Waiting Times ◽  
Value Added ◽  
Healthcare Services ◽  
Surgical Patients ◽  
Patient Centered ◽  
High Quality ◽  
Admission Process ◽  
Quality Healthcare

Background: competition in the healthcare market is becoming increasingly intense. Health technology continues to evolve, so hospitals and clinics need to strengthen hospital management techniques and also adopt a more patient-centered approach in order to provide high-quality healthcare services, including a more simplified process and shorter waiting times for examinations. The Lean and Six Sigma methodologies and smart technology were introduced and implemented into the integrated perioperative management (PERIO) processes for the purpose of decreasing pre-admission management waiting time, as well as increasing the completion rate and quality of pre-admission management for surgical patients in a 1576-bed medical center in central Taiwan. Methods: in order to improve hospital admission procedures for surgical patients by shortening process waiting times, simplifying admission processes, emphasizing a patient-centered approach, and providing the most efficient service process, the present study applied the DMAIC architecture of the Lean Six Sigma. This approach allowed the patients to save time on the hospital admission process. The current workflow used value flow mapping to identify wasted time caused by unnecessary walking and waiting during the hospital admission process. Therefore, we improved the process cycle for each patient by simultaneously selecting and controlling the process for the purpose of saving time. Results: the experimental results show that the percentage of Process Cycle Efficiency (PCE) increased from 35.42% to 42.47%, Value Added was reduced from 34 to 31 min, and Non-Value Added was reduced from 62 to 42 min. The satisfaction score of the 97 pre-implementation patients was 4.29 compared with 4.40 among the 328 post-implementation patients (p < 0.05). The LOS (Length of Stay) of 2660 pre-implementation patients was 2.49~3.31 days and for 304 after-implementation patients it was 1.16~1.57 days. Conclusions: by integrating different units and establishing standard perioperative management (PERIO) procedures, together with the support of the information systems, the time spent by patients on hospital admission procedures was shortened. These changes also improved the comprehensiveness of the preoperative preparations and the surgical safety of patients, thereby facilitating the provisions necessary for high-quality healthcare services. This in turn reduced the average length of hospital stays and increased the turnover of patients, benefiting the overall operations of the hospital.

Contemporary Challenges to Providing Confidential Reproductive Healthcare to Minors

2021 ◽  
pp. 44-61
Author(s):  
Amber Truehart ◽  
Lee Hasselbacher ◽  
Julie Chor
Keyword(s):  
Healthcare Services ◽  
Reproductive Health Services ◽  
Transmitted Infection ◽  
Sexually Transmitted ◽  
The Public ◽  
Pregnancy Care ◽  
The Third ◽  
The Right ◽  
Reproductive Healthcare ◽  
Electronic Prescriptions

Minors in most states have a legal right to consent for reproductive health services, including contraception, pregnancy care, sexually transmitted infection testing and treatment, and (to varying degrees) abortion care. The right to consent usually corresponds with a right to confidentiality, but clinicians struggle to ensure minor confidentiality. This chapter reviews contemporary policies and laws that impact consent and confidentiality for minors seeking reproductive healthcare services. The authors also provide context on the public health framework for laws pertaining to adolescent consent and confidentiality. In the third section, they explore ethical considerations regarding the provision of confidential reproductive healthcare to minors. Last, the authors explore how contemporary medical practice can undermine legal protections afforded to minors, specifically focusing on electronic medical records, electronic prescriptions, and insurance. The authors give providers practical advice on how to optimize minor patients’ access to needed services while maintaining a trusting patient–provider relationship.

The Involvement of the Patient and his Perspective Evaluation of the Quality of Healthcare

2018 ◽  
pp. 121-144
Author(s):  
Aleksandra Rosiek-Kryszewska ◽  
Anna Rosiek
Keyword(s):  
Quality Assessment ◽  
Patient Engagement ◽  
Quality Of Healthcare ◽  
High Quality ◽  
Quality Healthcare ◽  
Healthcare Market ◽  
Safety And Health ◽  
The Right

This chapter describes how the complexity of the process of satisfying health needs is in providing different type of services at the same time. It is associated with both the qualifications of the staff and the complexity of the procedures. High-quality healthcare is a priority, because it provides trust, safety and health of patients. Engaging a patient in assessing the quality of healthcare contributes to the change in the way people think about healthcare system. In the chapter, the authors point out the role of patient engagement in the quality assessment of healthcare. The quality of medical services is one of the fundamental problems of healthcare. Providing good quality services at the right price - this is the challenge healthcare institutions are facing to stay ahead of the increasingly competitive healthcare market. The hard market demands healthcare units pay attention to the quality of healthcare, seeing the patient's perspective, and gaining greater credibility in the healthcare market.

scholarly journals Identifying and encouraging high-quality healthcare: an analysis of the content and aims of patient letters of compliment

2020 ◽  
pp. bmjqs-2019-010077
Author(s):  
Alex Gillespie ◽  
Tom W Reader
Keyword(s):  
Healthcare Services ◽  
National Sample ◽  
Social Recognition ◽  
Senior Management ◽  
Front Line ◽  
High Quality ◽  
Quality Healthcare ◽  
Line Staff ◽  
To Receive ◽  
The Relationship

BackgroundAlthough healthcare institutions receive many unsolicited compliment letters, these are not systematically conceptualised or analysed. We conceptualise compliment letters as simultaneously identifying and encouraging high-quality healthcare. We sought to identify the practices being complimented and the aims of writing these letters, and we test whether the aims vary when addressing front-line staff compared with senior management.MethodsA national sample of 1267 compliment letters was obtained from 54 English hospitals. Manual classification examined the practices reported as praiseworthy, the aims being pursued and who the letter was addressed to.ResultsThe practices being complimented were in the relationship (77% of letters), clinical (50%) and management (30%) domains. Across these domains, 39% of compliments focused on voluntary non-routine extra-role behaviours (eg, extra-emotional support, staying late to run an extra test). The aims of expressing gratitude were to acknowledge (80%), reward (44%) and promote (59%) the desired behaviour. Front-line staff tended to receive compliments acknowledging behaviour, while senior management received compliments asking them to reward individual staff and promoting the importance of relationship behaviours.ConclusionsCompliment letters reveal that patients value extra-role behaviour in clinical, management and especially relationship domains. However, compliment letters do more than merely identify desirable healthcare practices. By acknowledging, rewarding and promoting these practices, compliment letters can potentially contribute to healthcare services through promoting desirable behaviours and giving staff social recognition.

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