scholarly journals Region and Networks: multidimensional and multilevel approaches to analyze the health regionalization process in Brazil

2017 ◽  
Vol 17 (suppl 1) ◽  
pp. S7-S16 ◽  
Author(s):  
Ana Luiza d'Ávila Viana ◽  
Aylene Bousquat ◽  
Maria Paula Ferreira ◽  
Maria Alice Bezerra Cutrim ◽  
Liza Yurie Teruya Uchimura ◽  
...  
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Secondary Data ◽  
Policy Planning ◽  
Management Research ◽  
Health Care Networks ◽  
Policy Structure ◽  
Analytical Scheme ◽  
Health Policy Analysis ◽  
The City

Abstract Objectives: to present a methodology used by the Policy, Planning and Region Management research and the Health Care Networks in Brazil - the Regions and Networks research. Methods: description of the analytical scheme in the process of choosing health regions and criteria to select cities and health units, instruments for collecting primary and secondary data and the indicators database, besides the regional typology elaborated for data analysis. Results: the analytical scheme is based on the health policy analysis; policy, structure and organization were defined as the macro dimensions. For each one of these, sub-dimensions were defined. The questionnaire was elaborated by variables that were possible to analyze the regionalization process determinants. Five health regions were selected from the previously defined criteria. Conclusions: the method allowed to establish attributes in the regionalization, constructed by specific components - integration, coordination and regulation. The multilevel approach was important because it portrayed different perceptions from the stakeholder managers and providers according to their bonds in the city, regional and state scenarios.

scholarly journals Death in hospital and at home: population and health policy influences in Londrina, State of Paraná, Brazil (1996-2010)

2015 ◽  
Vol 20 (3) ◽  
pp. 833-840 ◽  
Author(s):  
Fernando Cesar Iwamoto Marcucci ◽  
Marcos Aparecido Sarria Cabrera
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Policy ◽  
Health Policies ◽  
Epidemiological Transition ◽  
Policy Changes ◽  
Hospital Deaths ◽  
End Stage ◽  
The City ◽  
At Home

An aging population and epidemiological transition involves prolonged terminal illnesses and an increased demand for end-stage support in health services, mainly in hospitals. Changes in health care and government health policies may influence the death locations, making it possible to remain at home or in an institution. The scope of this article is to analyze death locations in the city of Londrina, State of Paraná, from 1996 to 2010, and to verify the influence of population and health policy changes on these statistics. An analysis was conducted into death locations in Londrina in Mortality Information System (SIM) considering the main causes and locations of death. There was an increase of 28% in deaths among the population in general, though 48% for the population over 60 years of age. There was an increase of deaths in hospitals, which were responsible for 70% of the occurrences, though death frequencies in others locations did not increase, and deaths in the home remained at about 18%. The locations of death did not change during this period, even with health policies that broadened care in other locations, such as the patient´s home. The predominance of hospital deaths was similar to other Brazilian cities, albeit higher than in other countries.

scholarly journals The Implementation of Immunization Cold Chain Management in Surabaya City

2021 ◽  
Vol 9 (1) ◽  
pp. 62
Author(s):  
Alfilia Lusita ◽  
Fariani Syahrul ◽  
Ponconugroho Ponconugroho
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Secondary Data ◽  
Cold Chain ◽  
Success Rates ◽  
Cross Sectional ◽  
Chain Management ◽  
Primary Health ◽  
The City

Background: Immunization success rates can be determined by several factors. The factors that can cause occurrences of immunization preventable disease (PD3I) cases include the quality of the cold chain and invalid doses of immunization medicines. Purpose: The aim of this research was to analyze the implementation of cold chain management in the city of Surabaya. Methods: This research was conducted as a descriptive study with a cross-sectional research design. The population consisted of all primary health care centers in the city of Surabaya, and the data used were secondary data, guided by interviews with informants. Results: The majority of cold chain management personnel were found to have a medical education background of 98.42%, and primary health care workers have received cold chain-related training (100%). All primary health care equipment has a 100% cold chain. The completeness of cold chain reporting was 93.51%, and the accuracy of the cold chain reporting was 71.52%. Regarding the quality of the equipment, some vaccine refrigerators were found 12% of vaccine refrigerators were found not to be in optimal condition, and 14% of temperature monitoring devices was not activated. Conclusion: The implementation of cold chain management in public health center and the availability of equipment in the Surabaya City are going well, although there are still some problems such as undisciplined reporting and inadequate quality of tools for cold chain implementation as well as the discovery of vaccine refrigerators easily leaks, and their temperature can rise easily.

scholarly journals DEMAND AND TYPE OF CARE PROVIDED IN EMERGENCY SERVICES IN THE CITY OF FLORIANÓPOLIS, BRAZIL

2017 ◽  
Vol 26 (1) ◽  
Author(s):  
Sonia da Silva Reis Cassettari ◽  
Ana Lúcia Schaefer Ferreira de Mello
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Emergency Services ◽  
Secondary Data ◽  
Emergency Situations ◽  
Department Of Health ◽  
Primary Health ◽  
The City ◽  
The Coordinator

ABSTRACT Objective: this study's aim was to characterize the demand of patients and the type of care provided in 2013, in emergency services, in the city of Florianópolis, SC, Brazil Method: this is a descriptive and analytical study with a quantitative approach. Secondary data were collected from general and managerial reports provided by the information system used by the city's department of health. Results: patients seek the emergency services nearest to their homes for situations not characterized as emergencies and that could be taken care of by primary health care units Conclusion: most patients originate from the same health district in which the emergency service is located and their reasons for seeking care could not be characterized as urgent or emergency situations. There is a need to qualify primary health care as the coordinator of care and instruct the population regarding the role of each service in the network

scholarly journals Psychosocial Healthcare Centres (CAPS) in Brazilian Mental Health Policy, 2008-2017

2020 ◽  
Author(s):  
Rafael da Silva Barbosa ◽  
Maria Lucia Teixeira Garcia ◽  
Gary C Spolander ◽  
Edineia Figueira dos Anjos Oliveira
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Mental Health Policy ◽  
Secondary Data ◽  
Community Services ◽  
Health Coverage ◽  
Ministry Of Health ◽  
Using Data

Abstract Psychosocial Healthcare Centres have been promoted by Brazilian mental health policy along with a guaranteed financing from the Ministry of Health. This paper used Strata 2014 data to analyse the extent of Psychosocial Healthcare Centres care capacity available for user as the central driver of mental health care in Brazil. Retrospective, descriptive study with secondary data analysis of services was undertaken using data from Brazilian federal government databases. Brazil does not have 100% mental health care coverage and our analysis, using the Brazilian Health Ministry criteria, identified only 36% (842) municipalities have been adequately resourced. Our analysis identified that while the number of CAPS units increased around 100%, due to increased extra-hospital and community services in the period, effective cover reduced due to budget cuts and increases as a result of rights to access. The Ministry of Health identified coverage in the ratio of 1 CAPS / 100 thousand inhabitants, although CAPS availability is not the only parameter for assessing mental health coverage. Within municipalities, the mental health network is not synonymous with CAPS nor its quality. We believe that the priority given to investing in CAPS, without guaranteeing resources for other mental health intervention, may negate the efforts of building of a network of new de-institutionalising services which replaced traditional models.

Editors’ Introduction

2016 ◽  
Author(s):  
Ewan Ferlie ◽  
Kathleen Montgomery ◽  
Anne Reff Pederson
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Social Science ◽  
Current Literature ◽  
Care Management ◽  
Health Management ◽  
International Literature ◽  
Management Research ◽  
Literature Base

This introductory chapter offers an overview of the purpose and structure of the Handbook. It begins by explaining why the health care management field is a worthy object of academic study. Next, it offers a reasoned critique of two main streams of current literature in the field and then articulates three propositions that guided the Handbook structure: (i) both classic and emerging social science perspectives and theories can add analytical richness and variety to health management research today; (ii) an expanding range of health policy-related phenomena can and should be explored academically; and (iii) building a wider international literature base is a valuable endeavor. The second half of the introduction reviews the main themes of each chapter and the four Parts of the book. Finally, it discusses the extent to which the original three propositions have been fully worked out in the Handbook and where further work should take place.

scholarly journals The city as a healthy lifestyle cluster: connection of public health policy and health culture formation

2020 ◽  
Author(s):  
O. Demikhov ◽  
І. Dehtyarova
Keyword(s):  
Public Health ◽  
Health Care ◽  
Public Policy ◽  
Health Policy ◽  
Public Health Policy ◽  
Public Health System ◽  
Health Culture ◽  
The Public ◽  
The City ◽  
Public Health Development

Problem setting. The city is always a group identity, including a culture of health. Health is related to education, living conditions, work, leisure, and many other factors. Global megatrends confirm the relevance of public health development. At present, the public health structure in the field of domestic medicine is forming in Ukraine. A pandemic and a financial crisis are pushing the state and local communities more actively to build an appropriate system to protect the population.Recent research and publications analysis. Foreign authors focus on the effectiveness of community-based health care spending, especially for the poorest. At the same time, analysts argue that mortality among children under the age of five is significantly decreasing in urban areas and, on the contrary, and is increasing among adult men. Other studies provide a robust, flexible forecasting platform for community management systems. Therefore, foreign authors point to the need for active involvement of municipalities in the field of public health. This is necessary to preserve lives and to inculcate all levels of urban governance and citizens of the health culture. At the same time, the tools of this managerial influence in cities are not yet fully disclosed in researchers' publications.Highlighting previously unsettled parts of the general problem. Studying foreign experience of health care development in the context of forming a health culture in the city, as well as exploring the possibilities of implementing effective decision-making technologies in this field in Ukraine.Paper main body. The experience of World Health Organization projects in the context of urban public health development is considered. In particular, one of WHO's Healthy Cities initiatives is interesting. The following six theses of the Copenhagen Consensus of Mayors underpin the priority directions of Stage VII: investing in people; urban environment design, support for active participation and partnerships in the interests of health and well-being; promoting the development of local communities and access to public goods and services; promoting peace and security through the formation of inclusive communities; protecting the planet from degradation, including through sustainable consumption and production.Cities need to ensure that public policy, economic investment programs are interconnected, and make every effort to equitably distribute resources. In this way, public health policy tools will shape the city’s health culture as a multifaceted concept. The process of implementation of public health system in the regions of Ukraine, in particular in Sumy region is also considered on a specific example. So, Sumy Regional Center for Public Health was created as part of the All-Ukrainian Medical Reform in 2018. Regional program of public health support for 2020 – 2021 is approved.The total amount of indicative financing under this program for the years 2020 – 2021 is 63 mln. UAH. The main activities and activities of the program for two years are: improvement of the material and technical base of health-care establishments involved in the public health system and provision of services related to HIV/AIDS, tuberculosis, drug addiction. However, due to the lack of implementation of the regional budget and the deterioration of the socio-economic situation in the region, the Sumy Regional Public Health Center has been reorganized recently to optimize the structures of the region council. This fact points to the actual phasing-out in the area of public health health reform. Only the coronavirus pandemic, which began in 2020 both in the world and in Ukraine, has intensified the activities of the state and regional authorities to partially strengthen and restore the public health system.Conclusions of the research and prospects for further studies. Therefore, the impact of public policy in cities on the development of a health culture becomes an urgent task. Using this strategic thinking in European cities will give Ukraine the opportunity to develop its own public health policy. Therefore, further research in this area is extremely promising. Cities need to ensure that public policy, economic investment programs are interconnected, and make every effort to equitably distribute resources. In this way, public health policy tools will shape the city’s health culture as a multifaceted concept.

Critical Analysis of Patient and Family Rights in JCI Accreditation and Cbahi Standards for Hospitals

2018 ◽  
Vol 6 (7) ◽  
pp. 324
Author(s):  
Zuber Mujeeb Shaikh
Keyword(s):  
Health Care ◽  
Saudi Arabia ◽  
Critical Analysis ◽  
Secondary Data ◽  
Joint Commission ◽  
Primary Data ◽  
Kingdom Of Saudi Arabia ◽  
Accreditation Standards ◽  
Joint Commission International ◽  
Central Board

Patient and Family Rights (PFR) is a common chapter available in the Joint Commission International (JCI) Accreditation[i] (fifth edition) and Central Board for Accreditation of Healthcare Institutions (CBAHI) Standards for hospitals (second edition)[ii]. JCI Accreditation is a USA based international healthcare accrediting organization, whereas CBAHI is the Kingdom of Saudi Arabia based national health care accrediting organization. However, both these standards are accredited by Ireland based International Society for Quality in Health Care (ISQua), which is the only accrediting organization who “accredit the accreditors' in the world. In Patient and Family Rights (PFR) chapter of JCI Accreditation for hospitals, there are nineteen (19) standards and seventy-seven (77) measurable elements (ME) whereas in CBAHI Accreditation there are thirty one (31) standards, ninety nine (99) sub-standards and fifty (50) evidence(s) of compliance (EC). The scoring mechanism is totally different in both these accrediting organizations. The researcher has identified thirty two (32) common parameters from JCI Accreditation and CBAHI standards, intent statement, measurable elements, sub-standard and evidence of compliance. On the basis of these identified common parameters, the researcher has compared the Patient and Family Rights chapter in JCI Accreditation and CBAHI Standards. Methods: This is a comparison study (normative comparison) in which the researcher has critically analyzed and compared the Patient and Family Rights (PFR) standards of JCI (Joint Commission International) Accreditation of USA (United States of America) and CBAHI (Central Board for Accreditation of Healthcare Institutions) of the Kingdom of Saudi Arabia. Data Collection: Primary data are collected from the JCI Accreditation Standards for hospitals, fifth edition, 2013 and CBAHI Standards for hospitals of Kingdom of Saudi Arabia, second edition, 2011. Secondary data are collected from relevant published journals, articles, research papers, academic literature and web portals. Objectives of the Study: The aim of this study is to analyze critically Patient and Family Rights (PFR) Standards in JCI Accreditation and CBAHI Standards to point out the best in among both these standards. Conclusion: This critical analysis of Patient and Family Rights (PFR) Standards in JCI Accreditation and CBAHI Standards for hospitals clearly show that the PFR Standards in CBAHI Standards are very comprehensive than the JCI Accreditation standards.

An Alternative Approach To User Fee Policy In The Primary Health Care Setting Of Bangladesh.

2020 ◽  
Author(s):  
Nazneen Akhter
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Complex Dynamics ◽  
Quality Care ◽  
Secondary Data ◽  
User Fees ◽  
Primary Health ◽  
Alternative Approach ◽  
Benefit Principle ◽  
User Fee

The concept of ascribing user fee in health care settings always remained a policy struggle and countries experienced different learning in this regards while implementing user fee at different tiers of health settings. The most exquisite learning among the many country specific evidences related to user fee are the match and mismatch between the equity principle and benefit principle while considering the client perspective. There is an added dimension of quality care which also add more complex dynamics into this concept since the quality care consideration has a double edged perspective both for clients and providers, where which one will get superiority over whom is a great question in health care, especially in the Primary Health care (PHC) of the country. In this reality the appropriate implementation guideline, followed by an appropriate practice of the administrative and management both service oriented and financial are of great importance in this user fee implementation consideration which always remained a challenge in the health care specially in remote care of PHC. This paper attempted a secondary data searching and scoping the available documents of Bangladesh and across the world to find an alternative approach to user fees policy where equity and benefit principle and quality - these three have to be placed in a well-constructed triad in PHC implementation which has been recommended as an alternative policy imperative in approaching user fees for Bangladesh PHC settings.

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