scholarly journals A qualitative exploration of behavioral factors affecting mothers of malnourished children under 5 years old in Kiribati

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 83
Author(s):  
Antje Reiher ◽  
Masoud Mohammadnezhad
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Policy Implications ◽  
Behavioral Factors ◽  
Group Discussions ◽  
Factors Affecting ◽  
Malnourished Children ◽  
Delivery Planning ◽  
Qualitative Exploration ◽  
Children Under 5

Background: In Kiribati, malnutrition is the leading cause of death for children aged less than 5 years. The purpose of this study was to explore contributing behavioral factors among mothers of malnourished children under 5 years old in Kiribati. Methods: This qualitative study was conducted in an urban area of South Tarawa among mothers of malnourished children aged less than 5 years in 11 public health centers in 2016. The study included 9 focus group discussions, with a sub sample of 3 to 4 in each group, having a total of 35 participants. Using a semi-structured questionnaire, data was collected and thematic analysis was applied to analysis the data.  Results: Seven main themes were identified including; knowledge, behaviors, perceived severity, perceived benefits to action, perceived barriers and cultural related issues. These encompassed a variety of reasons which could explain the malnutrition in children of those particular mothers. Conclusion: In order to tackle malnutrition in Kiribati, it is crucial to identify the main factors that are hindering this preventable disease. This study provides information essential to enhanced decision making, health care delivery planning and has policy implications for the improvement of quality of health care in Kiribati.

scholarly journals A qualitative exploration of factors affecting mothers of malnourished children under 5 years old in Kiribati

F1000Research ◽  
2019 ◽  
Vol 8 ◽  
pp. 83
Author(s):  
Antje Reiher ◽  
Masoud Mohammadnezhad
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Policy Implications ◽  
Contributing Factors ◽  
Group Discussions ◽  
Factors Affecting ◽  
Malnourished Children ◽  
Delivery Planning ◽  
Qualitative Exploration ◽  
Children Under 5

Background: In Kiribati, malnutrition is the leading cause of death for children aged less than 5 years. The purpose of this study was to explore contributing factors among mothers of malnourished children under 5 years old in Kiribati. Methods: This qualitative study was conducted in an urban area of South Tarawa among mothers of malnourished children aged less than 5 years in 11 public health centers in 2016. The study included 9 focus group discussions, with a sub sample of 3 to 4 in each group, having a total of 35 participants. Using a semi-structured questionnaire, data was collected and thematic analysis was applied to analysis the data.  Results: Seven main themes were identified including; knowledge, behaviors, perceived severity, perceived benefits to action, perceived barriers and cultural related issues. These encompassed a variety of reasons which could explain the malnutrition in children of those particular mothers. Conclusion: In order to tackle malnutrition in Kiribati, it is crucial to identify the main factors that are hindering this preventable disease. This study provides information essential to enhanced decision making, health care delivery planning and has policy implications for the improvement of quality of health care in Kiribati.

scholarly journals Perceptions of professional nurses regarding introduction of the Batho Pele principles in State hospitals

Curationis ◽  
2015 ◽  
Vol 38 (1) ◽  
Author(s):  
Sindiwe James ◽  
Thenjiwe M. Miza
Keyword(s):  
Health Care ◽  
Data Analysis ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Group Discussions ◽  
State Hospitals ◽  
African Health ◽  
Outpatient Departments ◽  
Field Notes ◽  
Professional Nurses

Background: The South African health care delivery system has shifted focus to primary health care since 1994. For this purpose the Batho Pele principles were introduced. Nurses claim, however, that since the introduction of these principles patients and their families have been making unnecessary and sometimes impossible demands of nursing staff. This article presents the perceptions of the professional nurses regarding the introduction of the Batho Pele principles in their workplace.Objectives: To describe the perceptions of professional nurses regarding introduction of the Batho Pele principles and to recommend guidelines to facilitate measures to realise the objects of these principles.Method: A qualitative, exploratory, descriptive and contexual research design was used. Six audio-taped focus group discussions and field notes were used to collect data from purposively sampled participants who have worked in the outpatient departments of hospitals in thePort Elizabeth Hospital Complex. Guba’s model of trustworthiness was used to confirm integrity of the study, whilst the participants were kept anonymous, protected from harm and participated voluntarily. Data analysis was done using Tesch’s data analysis spiral and with the involvement of an independent-coder.Results: Three themes emerged, revealing that the professional nurses perceived the objectives of the Batho Pele principles as difficult to uphold due to the inadequate planning prior to their implementation. Inadequacy of human and material resources aggravated this perception.Conclusion: Professional nurses are not happy with how things are in terms of introduction of the Batho Pele principles, but are optimistic of a positive change in the near future.

Hospital mergers, acquisitions and regulatory policy implications

2019 ◽  
Vol 45 (10/11) ◽  
pp. 1354-1362
Author(s):  
Bhavneet Walia ◽  
Christopher John Boudreaux
Keyword(s):  
Health Care ◽  
Industrial Organization ◽  
Organization Theory ◽  
Care Delivery ◽  
Regulatory Policy ◽  
Policy Implications ◽  
Power Cost ◽  
Hospital Mergers ◽  
Content Type ◽  
Industrial Organization Theory

Purpose The purpose of this paper is to review the literature on hospital mergers and acquisitions (M&As). Design/methodology/approach The authors conduct a systematic review of the literature on hospital M&As to summarize their effects upon cost of health care delivery (access), efficiency, market power, cost and price. Implications for health care industry policy are provided. Findings A significant majority of results conclude lower costs, increased efficiency, but higher prices (due to a market concentration effect) following hospital merger or acquisition. These results are consistent with industrial organization theory and suggest that regulatory policy (e.g. price cap regulation) will raise allocative efficiency, consumer surplus and overall market surplus within markets for hospital services. Originality/value This is the first study to review the price, cost and efficiency effects of M&As with respect to industrial organization theory in the context of hospitals. This study also provides regulatory policy implications.

scholarly journals ‘People have started to deliver in the facility these days’: a qualitative exploration of factors affecting facility delivery in Ethiopia

BMJ Open ◽  
2019 ◽  
Vol 9 (6) ◽  
pp. e025516 ◽  
Author(s):  
Zelee Hill ◽  
Yared Amare ◽  
Pauline Scheelbeek ◽  
Joanna Schellenberg
Keyword(s):  
Rural Communities ◽  
Focus Group ◽  
Health Workers ◽  
Facility Delivery ◽  
Focus Group Discussions ◽  
Group Discussions ◽  
Factors Affecting ◽  
Positive Experiences ◽  
Qualitative Exploration ◽  
Push And Pull

ObjectivesTo understand the recent rise in facility deliveries in Ethiopia.DesignA qualitative study.SettingFour rural communities in two regions of Ethiopia.Participants12 narrative, 12 in-depth interviews and four focus group discussions with recently delivered women; and four focus group discussions with each of grandmothers, fathers and community health workers.ResultsWe found that several interwoven factors led to the increase in facility deliveries, and that respondents reported that the importance of these factors varied over time. The initial catalysts were a saturation of messages around facility delivery, improved accessibility of facilities, the prohibition of traditional birth attendants, and elders having less influence on deciding the place of delivery. Once women started to deliver in facilities, the drivers of the behaviour changed as women had positive experiences. As more women began delivering in facilities, families shared positive experiences of the facilities, leading to others deciding to deliver in a facility.ConclusionOur findings highlight the need to employ strategies that act at multiple levels, and that both push and pull families to health facilities.

scholarly journals Removing Some Impediments to Development of America's Third- and Fourth-Generation Health Care Delivery Systems: Legal Aspects of Computer Medicine

1981 ◽  
Vol 7 (2) ◽  
pp. iii-viii
Author(s):  
John A. Norris ◽  
David S. Szabo
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Legal Aspects ◽  
Delivery Systems ◽  
Policy Implications ◽  
Fourth Generation ◽  
Rational Allocation ◽  
Medical Computer ◽  
Health Care Delivery Systems

AbstractIn this full-length Foreword, John Norris and David Szabo discuss the trend towards the development of substantially integrated and automated multi-institutional health care delivery systems. The authors then address the legal, economic, and policy implications of regulating medical computer systems. They conclude by noting that the rational allocation of costs and risks is a necessary step in developing new systems for health care delivery.

scholarly journals The qualitative experience of telehealth access and clinical encounters in Australian health care during COVID-19: Implications for policy

2021 ◽  
Author(s):  
Jennifer White ◽  
Julie Byles ◽  
Tom Walley
Keyword(s):  
Health Care ◽  
General Practitioners ◽  
Health Care Services ◽  
Care Delivery ◽  
Tertiary Hospital ◽  
Policy Implications ◽  
Australian Health ◽  
Care Services ◽  
Adaptive Models ◽  
Hunter Region

Abstract BackgroundAdaptive models of health care delivery, such as telehealth consultations, have rapidly been adopted to ensure ongoing delivery of essential health care services during COVID-19. However there remain gaps in our understanding of how clinicians have adapted to telehealth. This study aims to explore the telehealth experiences or specialists, based at tertiary hospital in the Hunter Region, and General Practitioners (GP) including barriers, enables and opportunities. Methods In-depth interviews explored the telehealth experiences of specialists, based at tertiary hospital in the Hunter Region of Australia, and General Practitioners (GP) including barriers, enablers and opportunities. Data were analyzed using an inductive thematic approach with constant comparison.ResultsIndividual interviews were conducted with 10 specialist and 5 GPs. Key themes were identified: (1) Transition to telehealth has been valuable but challenging; (2) Persisting telehealth process barriers need addressing; (3) Establishing when face-to-face consults are essential; (4) Changes in workload pressures and potential for double up; (5) Essential modification of work practices and (6) Exploring what is needed going forwardDiscussionWhile there is a need to rationalise and optimise health access during a pandemic, we suggest that more needs to be done improve telehealth going forward. Our results have important policy implications. Specifically, there is a specific need to effectively train clinicians to competently utilize and be confident using this telehealth and to educate patients on necessary skills and etiquette.

scholarly journals Reflections on the Experience of Community Health Nurses in Palliative Care: A Qualitative Approach

2021 ◽  
Vol 27 ◽  
pp. 330-335
Author(s):  
R. Siva ◽  
V. Sadan ◽  
G. Alexander ◽  
S. Immanuel ◽  
Priyadharishini Joy
Keyword(s):  
Health Care ◽  
Palliative Care ◽  
Focus Group ◽  
Community Health ◽  
Care Setting ◽  
Care Delivery ◽  
Group Discussions ◽  
Community Health Nurses ◽  
Health Nursing ◽  
Depth Interviews

There is a major demographic shift with increase in non-communicable diseases even in low- and middle-income countries. Many self-limiting illnesses are burdensome to people when they have limited access to health care system and poor family support. The aim of the study explores experiences of community health nurses in palliative care delivery in a primary health care setting. The study was conducted in Community Health Nursing Department, College of Nursing, CMC, Vellore. A qualitative research using a grounded theory approach was done which included in-depth interviews and focus group discussions from community health nursing faculty. This study used a deductive and inductive approach that stressed the process rather than the meaning of the studied phenomenon. The in-depth interviews lasted for 45 min–1 ½ h for each participant; focus group discussions were held in two sessions lasting for 2 ½ h. The group interviews were transcribed to verbatim. All transcripts were read multiple times to ensure correctness of the transcription by the authors to get an overall impression of the material before the initial coding. Authenticity, credibility, critical appraisal and integrity were demonstrated throughout the study. This study enlightens the experiences of the health care providers on palliative care delivery at the primary care setting and explores barriers, challenges and facilitators for delivery of good palliative home care. Totally, 15 subthemes were grouped under five major themes; community support, family support, acceptance of services, barriers and gaps in care. The in-depth interviews provided an insight into the experiences of the participants on successful collaborative services, caregivers fatigue and the barriers in providing services in the home care setting. Focus group discussion showed that a holistic approach to patient care in primary care setting is possible by community health nurses and a collaborative care from the secondary and tertiary care settings will bring down the non-compliance to the therapeutic regimen.

scholarly journals Factors affecting the performance of professional nurses in Namibia

Curationis ◽  
2013 ◽  
Vol 36 (1) ◽  
Author(s):  
Magdalene H. Awases ◽  
Marthie C. Bezuidenhout ◽  
Janetta H. Roos
Keyword(s):  
Health Care ◽  
Performance Appraisal ◽  
Care Delivery ◽  
Performance Outcomes ◽  
Vital Role ◽  
Appraisal System ◽  
Factors Affecting ◽  
Professional Nurses ◽  
Quantitative Descriptive

Background: Professional nurses play a vital role in the provision of health care globally. The performance of health care workers, including professional nurses, link closely to the productivity and quality of care provision within health care organisations. It was important to identify factors influencing the performance of professional nurses if the quality of health care delivery was to improved.Objectives: The aim of the present study was to identify factors affecting the performance of professional nurses in Namibia.Method: A quantitative, descriptive survey was used to collect data by means of a questionnaire. A random sample of 180 professional nurses was selected from six hospitals in three regions of Namibia.Results: Factors affecting the performance of nurses negatively were identified such as: lack of recognition of employees who are performing well, quality performance outcomes and an absence of a formal performance appraisal system and poor working conditions. Various factors contribute to both the positive and negative performance of professional nurses in Namibia. Strategies were developed for addressing the negative factors that could positively affect the performance of professional nurses in Namibia.Conclusions: This study emphasises the importance of developing strategies to promote the performance of nurses; build knowledge and expertise; develop mechanisms for improving the performance of nurses; expand leadership and management capacity; and generate information and knowledge through research.

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