Desperation of Demographic Change in the Health Sector in Germany: Necessary Strategy Orientation for Medical Practices in the Countryside

2019 ◽  
Vol 10 (7) ◽  
pp. 667-675
Author(s):  
Sabine Abbasi ◽  
Keyword(s):  
Rural Areas ◽  
Health Sector ◽  
Healthcare Services ◽  
Skilled Workers ◽  
Demographic Development ◽  
Medical Practices ◽  
New Employees ◽  
Qualified Personnel ◽  
Shortage Of Doctors ◽  
High Degree

The demographic development in Germany affects the entire healthcare system. The fact is that more and more people are getting older and older and due to the increasing multimorbidity in old age more and more healthcare services are needed. But there are fewer and fewer professionals providing these services. This phenomenon can be observed both in the medical, nursing and social fields. The shortage of doctors and skilled workers that has become apparent in recent years — especially in rural areas — has led to hospitals, medical care centers (MVZ) and medical practices searching for qualified personnel to use the usual acquisition mechanisms (advertisements in daily and professional newspapers, recruiting staff) due to the unsatisfactory results. The alternatives require a high degree of pragmatism. This article demonstrates the importance of strategic alignment in HR marketing of rural medical practices and identifies concrete ways to retain existing employees and position them as an attractive employer for potential new employees.

Survival of Indigenous African Healing Systems in Post-Apartheid South Africa

2021 ◽  
pp. 1-20
Author(s):  
Ntokozo Mthembu
Keyword(s):  
South Africa ◽  
Social Order ◽  
Cultural Practices ◽  
Social Groups ◽  
Health Sector ◽  
Healthcare Services ◽  
Cultural Perspective ◽  
Medical Practices ◽  
Need To Evaluate ◽  
The Status

This chapter focuses on the revelation of the status of traditional medicine on which a high number of users depend, despite its historical negation in South Africa. This scenario suggests the need to evaluate the current narrow cultural perspective in the health sector and consider an intervention that will promote respect for diverse cultural practices that provide healthcare services to diverse social groups with their respective moral codes. In this chapter, the researcher argues that the notion of integration of diverse medical practices is a nonstarter and a subtle way of reinsertion of the status quo. In conclusion, this chapter argues that the historical experiences reveal that each medical practice is embedded in its social order; thus, the concept of a plural healthcare system becomes a viable intervention to put an end to the historical injustices against the izinyanga and their practice in this instance.

scholarly journals EVALUATION OF THE SOCIAL SPHERE MANAGEMENT SYSTEM AND IMPLEMENTATION OF PUBLIC-PRIVATE PARTNERSHIP PROJECTS IN THE DEVELOPMENT OF SOCIAL INFRASTRUCTURE OF THE REPUBLIC OF BASHKORTOSTAN

2019 ◽  
Author(s):  
А.И. Прокофьева
Keyword(s):  
Rural Areas ◽  
Health Sector ◽  
Highly Qualified ◽  
Social Infrastructure ◽  
Public Infrastructure ◽  
Social Sphere ◽  
Stage Of Development ◽  
Republic Of Bashkortostan ◽  
Qualified Personnel ◽  
The Republic

В условиях экономического кризиса и ухудшения макроэкономической ситуации возникают проблемы текущего финансирования социальной сферы и снижения уровня обеспеченности объектами общественной инфраструктуры. Приоритет отдается вводу в эксплуатацию дошкольных образовательных учреждений, в то время как вводу физкультурно-оздоровительных комплексов в РБ практически не уделяется внимание. Потребность в строительстве и вводе в эксплуатацию объектов социальной сферы растет, в то время как выделение финансовых средств на данные цели сокращается, что представляет собой большую проблему и требует привлечения дополнительных источников финансирования. Также ряд проблем имеется в сфере здравоохранения и в отношении развития инфраструктуры сельских территорий. Автор приходит к выводу, что институт ГЧП в Республике Башкортостан находится на стадии развития. Государство пока ориентируется на крупные проекты, а менее капиталоемким проектам не уделяется должного внимания. Подобная безынициативность говорит о необходимости притока высококвалифицированных кадров, понимания сущности и значимости партнерства. In the conditions of economic crisis and deterioration of macroeconomic situation, there are problems of current financing of social sphere and decrease in level of provision with objects of public infrastructure. Priority is given to the commissioning of pre-school educational institutions, while the commissioning of sports and recreation complexes in the Republic of Belarus is almost not paid attention. The need for construction and commissioning of social facilities is growing, while the allocation of funds for these purposes is reduced, which is a big problem and requires additional sources of funding. Also, there are a number of problems in the health sector and in relation to the development of infrastructure in rural areas. The author comes to the conclusion that the PPP Institute in the Republic of Bashkortostan is at the stage of development. The state is still focused on large projects, and less capital-intensive projects are not given due attention. Such lack of initiative indicates the need for an influx of highly qualified personnel, understanding the nature and importance of partnership.

Corrupt Practices in the Public Health Sector: A Focus on Metropolitan Local Government Areas of Kano State, Nigeria

2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi
Keyword(s):  
Public Health ◽  
Local Government ◽  
Health Sector ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Healthcare Provision ◽  
The Public ◽  
Public Health Sector ◽  
The Government

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.

Effect of education on migration decisions in Ghana: a rural-urban perspective

2016 ◽  
Vol 43 (2) ◽  
pp. 336-356 ◽  
Author(s):  
Franklin Amuakwa-Mensah ◽  
Louis Boakye-Yiadom ◽  
William Baah-Boateng
Keyword(s):  
Educational Attainment ◽  
Rural Areas ◽  
Migration Decision ◽  
Skilled Workers ◽  
Mixed Effect ◽  
Content Type ◽  
Rural And Urban ◽  
Migration Decisions ◽  
Negative Effect ◽  
The Impact

Purpose – The purpose of this paper is to investigate the effect of education on migration decisions focusing on rural and urban in-migrants by comparing the 2005/2006 and 2012/2013 rounds of the Ghana Living Standards Survey (GLSS5 and GLSS6). After correcting for selectivity bias, the authors observed that anticipated welfare gain and socio-economic variables such as sector of employment, sex, experience, age, educational level and marital status significantly affect an individual’s migration decision. Design/methodology/approach – The authors made use of Sjaastad’s (1962) human capital framework as a basis for examining the impact of education on migration. The migration decision equation was based on the Heckman two stage procedure. Findings – While educational attainment is observed to have a positive effect on migration decision in the period 2005/2006, the authors find a negative effect of educational attainment on migration decision in the period 2012/2013. The effect of educational attainment on migration decision in 2005/2006 for urban in-migrant is higher than the effect for rural in-migrant, with its significance varying for the different stages of educational attainment. In absolute terms, whereas the effect of secondary educational attainment on migration decisions for urban in-migrant is higher than that of rural in-migrant, the reverse holds for higher educational attainment during the period 2012/2013. Social implications – Based on the mixed effect of education on migration decision as evident from the study, policies to enhance the educational system in Ghana should be complemented with job creations in the entire country. Moreover, special attention should be given to the rural sector in such a way that the jobs to be created in the sector do not require skilled workers. With quality education and job creation, the welfare of individuals living in urban and rural areas will be enhanced. Originality/value – In spite of the importance of education in migration decisions, there is scanty literature on the rural-urban dimension. To the best of the author’s knowledge there is no literature in the Ghanaian context which examines the rural and urban perspective of the impact of education on migration with a much recent data. Further, the author consider how the determinants of migration decision have changed over time focusing on rural and urban perspectives.

scholarly journals Social Gender Perceptions of Women Working in the Healthcare Sector in Turkey

2021 ◽  
Keyword(s):  
Demographic Data ◽  
Health Sector ◽  
Female Gender ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Gender Perceptions ◽  
The Family ◽  
Health Institutions ◽  
Questionnaire Method ◽  
One Way Anova

The aim of this study is to evaluate the gender perceptions of women working in the health sector. The study was conducted questionnaire method in private health institutions determined by researchers in Istanbul and Ankara. Demographic data were obtained by means of a questionnaire, t-Test and One-Way ANOVA tests were performed. As a result of the research, it was determined that the opinions of the women working in the health sector were not only in the decision of the men in the decisions taken in the family; there is no discrimination between men, girls, and boys. Keywords: Female, Gender, Healthcare Services, Social Gender, Healthcare Workers

scholarly journals ICT Framework to Support a Patient-Centric approach in Public Healthcare

2020 ◽  
Vol 16 ◽  
pp. 45-76
Author(s):  
Richard Pankomera ◽  
Darelle Van Greunen
Keyword(s):  
Public Health ◽  
Information And Communication Technologies ◽  
Health Sector ◽  
Cost Effective ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Structured Interviews ◽  
Poor Countries ◽  
Patient Centric

Although Information and Communication Technologies (ICTs) in the healthcare sector are extensively deployed globally, they are not used effectively in developing countries. Many resource poor countries face numerous challenges in implementing the ICT interventions. For instance, many health applications that have been deployed are not user-centric. As a result, such ICT interventions do not benefit many health consumers. The lack of an ICT framework to support patient-centric healthcare services in Malawi renders the e-health and mhealth interventions less sustainable and less cost effective. The aim of the study was therefore to develop an ICT Framework that could support patient-centric healthcare services in the public health sector in Malawi. The comprehensive literature review and semi-structured interviews highlighted many challenges underlying ICT development in Malawi. An ICT framework for patient-centric healthcare services is therefore proposed to ensure that eHealth and mobile health interventions are more sustainable and cost effective. The framework was validated by five experts selected from different areas of expertise including mhealth application developers, ICT policy makers and public health practitioners. Results show that the framework is relevant, useful and applicable within the setting of Malawi. The framework can also be implemented in various countries with similar settings.

scholarly journals TULA ARMS FACTORY WORKERS TECHNICAL TRAINING ON A PART-TIME BASIS IN THE 1920S

2020 ◽  
pp. 38-42
Author(s):  
Mariya B. Krapiventseva
Keyword(s):  
Technical Training ◽  
Plant Management ◽  
Advanced Training ◽  
Skilled Workers ◽  
New Employees ◽  
Part Time ◽  
Time Basis ◽  
Education Network ◽  
Vocational Courses

The article, using the historical experience of Tula Arms Factory as an example, examines the problem of training workers on the job in the 1920s, insuffi ciently covered in historical science. Based on a review of a signifi cant amount of archival sources, a detailed description of various forms of technical training at the enterprise is given, supported by statistical data. The dependence of the activities of the plant management on training workers on specifi c production needs is noted. The author also pays attention to the problems of material, technical, personnel and organisational order, which reduced the quality of training. It was noted that due to staff turnover in the fi rst years of its existence, technical studies and advanced training were inextricably linked with the training of new employees. As a result, it is concluded that the technical education network at Tula Arms Factory had been successfully established by the end of the specifi ed period, the main channels of which included advanced training circles, vocational courses, individual and brigade apprenticeships. This provision is confi rmed by consideration of the private aspects of the training process, by identifying the role of graduates in the recruitment of the Tula Arms Factory by skilled workers. The materials of this study are intended to supplement the picture of the positive experience of training personnel for the Russian arms factories

scholarly journals Survei IoT Healthcare Device

2020 ◽  
Vol 3 (2) ◽  
pp. 153-164
Author(s):  
Yulia Suryandari
Keyword(s):  
Health Sector ◽  
Healthcare Services ◽  
Value Of Life ◽  
Healthcare Sector ◽  
Health Care Technology ◽  
Iot Devices ◽  
Care Technology ◽  
Industry Trends ◽  
The Internet Of Things

The Internet of Things (IoT) has enormous potential in creating the value of life related to technology. IoT has various application domains, including in the health sector. IoT-based healthcare services are expected to reduce costs, improve quality of life, and enrich user experience. The presence of IoT devices for healthcare services can also avoid unnecessary hospitalization and ensure that patients who need health services get it quickly. This paper surveys advances in IoT-based health care technology and reviews the latest architectures / platforms, platforms, applications and industry trends in IoT-based healthcare solutions. Some IoT devices and prototypes in the healthcare field are also discussed in this paper. Through this paper, it is expected that readers can be known and discuss IoT devices in the healthcare sector.

scholarly journals [South] Africa's Health System and Human Rights: A Critical African Perspective

2018 ◽  
Vol 10 (1(J)) ◽  
pp. 69-77
Author(s):  
Kgothatso Brucely Shai ◽  
Olusola Ogunnubi
Keyword(s):  
Human Rights ◽  
Health System ◽  
Critical Discourse Analysis ◽  
South African ◽  
Health Sector ◽  
Popular Literature ◽  
Healthcare Services ◽  
African National Congress ◽  
South Africans ◽  
Health Rights

For more than two decades, 21st March has been canonised and celebrated among South Africans as Human Rights Day. Earmarked by the newly democratic and inclusive South Africa, it commemorates the Sharpeville and Langa massacres. As history recorded, on the 21st March 1960, residents of Sharpeville and subsequently, Langa embarked on a peaceful anti-pass campaign led by the African National Congress (ANC) breakaway party, the Pan Africanist Congress of Azania (PAC). The pass (also known as dompas) was one of the most despised symbols of apartheid; a system declared internationally as a crime against humanity. In the post-apartheid era, it is expectedthat all South Africans enjoy and celebrate the full extent of their human rights. However, it appears that the envisaged rights are not equally enjoyed by all. This is because widening inequalities in the health-care system, in schooling, and in the lucrative sporting arena have not been amicably and irrevocably resolved. Furthermore, it is still the norm that the most vulnerable of South Africans, especially rural Africans, find it difficult, and sometimes, impossible to access adequate and even essential healthcare services. Central to the possible questions to emerge from this discourse are the following(i) What is the current state of South Africa’s health system at the turn of 23 years of its majority rule? (ii) Why is the South African health system still unable to sufficiently deliver the socioeconomic health rights of most South African people? It is against this background that this article uses a critical discourse analysis approach in its broadest form to provide a nuanced Afrocentric assessment of South Africa’s human rights record in the health sector since the year 1994. Data for this article is generated through the review of the cauldron of published and unpublished academic, official and popular literature. 

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