Case study: USAID promotes co‑ordinated investments in digital systems for better health outcomes

Author(s):  
Adele Waugaman
Author(s):  
Richard Y. Bourhis ◽  
Annie Montreuil

This chapter provides a conceptual framework for examining the delivery of bilingual healthcare for linguistic minorities in Canada’s Bilingual Belt. First, the chapter provides an overview of the ethnolinguistic vitality framework accounting for the sociostructural factors affecting the strength of minority and majority language communities within multilingual countries. Second, the interactive acculturation model (IAM) helps account for relations between high- and low-vitality group speakers whose intercultural relations may be harmonious, problematic, or conflictual. Third, the chapter provides a case study of a pluralist setting that offers three distinct bilingual healthcare systems for French and English communities in Canada’s Bilingual Belt. While the delivery of bilingual healthcare is cost neutral relative to unilingual healthcare systems, at issue is whether minority language patients achieve better health outcomes when they are cared for in their own language than in the language of the dominant majority.


2013 ◽  
Vol 31 (15_suppl) ◽  
pp. e19104-e19104
Author(s):  
Tom Bregartner

e19104 Background: The Validation Model is an educational series built on the concept of strengthening education by incorporating the patient perspective. After conducting two iterations of the Validation Model to educate oncologists in the treatment of NSCLC, Quintiles Medical Education was able to demonstrate that CME can lead to improved patient health outcomes by changing physician behaviors in practice. Educational measurement tools, including chart audits, revealed an increase in tumor histology and EGFR mutation testing. Histologic and molecular marker testing leads to optimization of treatment based on tumor pathology and genotype, respectively, as per NCCN guidelines. Personalization of treatment according to guidelines results in improved health outcomes. Methods: The Validation Model consisted of 6 educational activities for which efficacy was measured by conducting pre- and post-tests of knowledge and clinical competence among participants. Participants were then asked to complete a follow-up survey which was designed to determine if specific practices had been implemented since participation. The self-self reported behavioral data was validated by the distribution of patient surveys, designed to measure patient satisfaction and expectation with care, and chart audits, designed to determine the actual practice habits of the participating practitioners. Results: More than 500 participants have completed all 6 of the educational activities. The activities have demonstrated improved knowledge and competence in the educational setting and changes to clinical practice and, as a result, patient health outcomes. Conclusions: CME can be used as an effective tool to improve patient health outcomes in the treatment of NSCLC.


2008 ◽  
Vol 39 (1) ◽  
pp. 23-32 ◽  
Author(s):  
Terry A. Badger ◽  
Cheryl McNiece ◽  
Elizabeth Bonham ◽  
Jennifer Jacobson ◽  
Alan J. Gelenberg

Author(s):  
Shruthi J. ◽  
Suma Swamy

In the present state of digital world, computer machine do not understand the human’s ordinary language. This is the great barrier between humans and digital systems. Hence, researchers found an advanced technology that provides information to the users from the digital machine. However, natural language processing (i.e. NLP) is a branch of AI that has significant implication on the ways that computer machine and humans can interact. NLP has become an essential technology in bridging the communication gap between humans and digital data. Thus, this study provides the necessity of the NLP in the current computing world along with different approaches and their applications. It also, highlights the key challenges in the development of new NLP model.


2001 ◽  
Vol 7 (2) ◽  
pp. 75 ◽  
Author(s):  
John McDonald ◽  
Angela Murphy ◽  
Warren Payne

Intersectoral partnerships in health have a central role in current policy and programs. Partnerships are seen to be an effective strategy for maximising health outcomes. However, theoretical models of health partnerships are underdeveloped. Moreover, the research literature contains inconsistent findings about their effectiveness, and there has been very little evaluative research on health partnerships in this country. This paper reports on a case study of an intersectoral consortium using a health promotion approach to cardiovascular disease. A model of partnership formation and development is presented. From this, a research strategy was devised and carried out. Results indicate that the health consortium was formed in response to a critical health issue, and as a separate legal entity without recurrent funding, it has been sustained through the commitment of individual members. Project funding has, in large part, dictated its operations. The case study reveals the strengths, vulnerabilities and achievements of this consortium over five years. To produce sustainable health outcomes, the researchers conclude, partnerships require strategic management to capitalise on individual endeavours, organisational alignments, and government or funder priorities. Ideological zeal for intersectoral health partnerships must be balanced by rigorous evaluation; together with more sophisticated indicators for measuring success in partnerships in health promotion. Theoretical development of models of health partnerships will also contribute to their enhanced effectiveness.


2018 ◽  
Vol 17 (4) ◽  
pp. 224-227
Author(s):  
Jan Cassidy ◽  
Woody Caan

Purpose This study of HMP Birmingham was part of a much larger investigation of health needs assessment (HNA), in the context of a new “HNA Toolkit” developed by Public Health England for use in the prison service. The paper aims to discuss this issue. Design/methodology/approach In 2015, details of prison healthcare in HMP Birmingham had figured in the authors’ analysis of documents. In 2018, a crisis in Birmingham typified problems developing more widely in England and Wales. Was the crisis predictable from the initial HNA? Findings Recommendations embodied in the 2015 HNA were not acted upon; the eventual problems that combined to overwhelm the running of HMP Birmingham were predictable. Originality/value Lessons from this case study could inform more coherent commissioning of prison health services. This in turn could promote timely developments for improved health and morale in the prison, amongst prisoners and staff. Longer term, this might help to avoid future crises.


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