scholarly journals Effects of results based financing models on the performance of exposed health zones in Benin

2018 ◽  
Vol 5 (10) ◽  
pp. 4188
Author(s):  
Lamidhi Salami ◽  
Edgard-Marius Ouendo ◽  
Benjamin Fayomi
Keyword(s):  
Health Services ◽  
Health System ◽  
System Performance ◽  
Health Care Services ◽  
Child Health Services ◽  
Double Difference ◽  
Health System Performance ◽  
Care Services ◽  
Curative Care ◽  
Results Based Financing

Background: Since 2011, Benin adhered to results-based financing (RBF), with the implementation of RBF_PRPSS model by Health System Performance Strengthening Project (PRPSS) and RBF_PASS model by health system support project (PASS). Notwithstanding the lack of evidence on this experimental phase, the Ministry of Health initiated the extension of the RBF_PRPSS model to uncovered areas. This comparative study was led to evaluate the health system performance in RBF zones.Methods: The study examined data from sixty-seven health facilities in six health zones offering maternal and child health services, using the double difference, the Student's test and the variance comparison, with 5% significance level.Results: The study found that between 2011 and 2014, staff numbers remained stable in the RBF strata (p>0.05). The cumulative duration over a six-month period of stock-outs of five key drugs (paracetamol, amoxicillin, oxytocin, iron, sulfadoxine pyrimetamine) decreased from 51 days to 29 days (p<0.05). Direct revenues per health facility increased more in the RBF strata (p<0.05). Financial viability increased in RBF_PRPSS stratum. Health services utilization improved significantly for institutional delivery, tetanus toxoid immunization, DTP (Hib) HepB 3 and MCV immunization and curative care. Decreasing of maternal and neonatal mortalities in RBF strata were not significant.Conclusions: In sum, the RBF implementation has not yet generated a significant effect on the overall performance of the health system in exposed areas, although it is already accompanied by a significant improvement in the utilization of certain health care services. 

scholarly journals Utilization of maternal and child health services in Enugu, South East, Nigeria

2019 ◽  
Vol 6 (8) ◽  
pp. 3228
Author(s):  
Pat U. Okpala ◽  
Chinwendu L. Okoye ◽  
Florence O. Adeyemo ◽  
Peace N. Iheanacho ◽  
Anthonia C. Emesonwu ◽  
...  
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Services ◽  
Maternal And Child Health ◽  
Postnatal Care ◽  
Health Care Services ◽  
Antenatal Clinic ◽  
Child Health Services ◽  
Care Services ◽  
And Child Health

Background: Nigeria continues to have one of the highest rates of maternal mortality in the world at 814 deaths per 100,000 live births despite several efforts. Various factors can influence appropriate utilization of services during pregnancy, childbirth and postpartum. This study examined the perceived factors that influence the utilization of maternal and child-health services among mothers in Enugu, South-East Nigeria.Methods: A descriptive survey design was adopted for the study. The study population of 323 pregnant women was determined using the Power Analysis formula. The instrument used for data collection was a self-developed questionnaire. Demographic information of the women was also obtained for the study. The analysis was done with the software statistical package for Social Sciences (SPSS) Version 16.0. Study period was from April 2016 to August 2016.Results: There was high antenatal clinic attendance (93.1%) and utilization of postnatal care services (93.1%). Also, the major factors that influenced the utilization of maternal and child health services were professionally defined needs, accessibility of health care services and economic status.Conclusions: There was high utilization of maternal and child health care services which was influenced by some factors. There is a need for nurses and other health workers to be actively engaged in educating mothers during antenatal visits. Sustainable financial subsidies and community-based initiatives should be developed to encourage early antenatal clinic visits and to provide the necessary information on the importance of facility-based antenatal and postnatal care.

scholarly journals Understanding quality of care and analyzing different strategies to assure and improve it

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Busse ◽  
D Panteli ◽  
W Quentin
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Services ◽  
Health System ◽  
System Performance ◽  
Health System Performance ◽  
Patient Centeredness ◽  
Definition Of ◽  
Comprehensive Framework

Abstract Assessing and improving quality of care presupposes an understanding of what it does and does not entail. Different definitions often specify relatively long lists of various attributes that they recognize as part of quality. Effectiveness, patient safety, and responsiveness/patient-centeredness seem to have become universally accepted as core dimensions of quality of care. The inclusion of a list of additional elements is confusing and often blurs the line between quality of care and overall health system performance. This presentation provides an in-depth look at this interplay, recognizing that the definition of quality changes depending on the level at which it is assessed. At the level of health services, there seems to be an emerging consensus that quality of care is the degree to which health services for individuals and populations are effective, safe, and people-centered. On the other hand, a health care system as a whole is of high quality when it achieves the overall goals of improved health, responsiveness, financial protection, and efficiency; here, there seems to be an international trend towards using the term health system performance. The workshop looks at different strategies to assure or improve the quality of health care. To understand, analyze, compare and ultimately prioritize or align different quality strategies, this presentation will introduce a comprehensive framework, which includes the following lenses: i) the three core dimensions of quality: safety, effectiveness, and patient-centeredness; ii) the four functions of health care: primary prevention, acute care, chronic care, and palliative care; iii) the three main activities of quality strategies: setting standards, monitoring, and assuring improvements; iv) Donabedian’s triad: structures, processes, and outcomes; v) the five main targets of quality strategies: health professionals, technologies, provider organizations, patients, and payers.

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

scholarly journals An evaluation of the global health security agenda steering group governance interventions

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
N E DeShore ◽  
J A Johnson ◽  
P Malone ◽  
R Greenhill ◽  
W Wuenstal
Keyword(s):  
Global Health ◽  
Health System ◽  
System Performance ◽  
Health System Performance ◽  
Global Health Security ◽  
Member States ◽  
Health Security ◽  
Governance Indicators ◽  
Positive Effect ◽  
Global Health Security Agenda

Abstract Background Member States lack of compliance with 2005 IHR implementation led to the launched of the Global Health Security Agenda. This research will provide an understanding of how the Global Health Security Agenda Steering Group (GHSA SG) governance interventions impact health system performance and global health security. This will enhance the understanding of a Steering Group's governance interventions in complex Global Health initiatives. Research questions: To what extent have GHSA SG governance interventions contributed towards enabling health system performance of WHO Member States? To what extent have GHSA SG governance interventions contributed towards the implementation of global health security among WHO Member States? Methods Correlational analysis using Spearman's rho examined the relationship between governance, health system performance and global health security variables at one point in time. A convenience non-probability sample consisting of eight WHO Member States was used. SPSS Statistics generated the bivariate correlation analyzes. Results Governance and health system performance analysis indicated a statistically significant strong positive effect size in 11 out of 18 and moderate positive effect size in the remaining seven out of 18 health system performance indicators. Governance and global health security analysis concluded three of the governance indicators had strong and moderate positive coefficients. Global health security variables demonstrated weak effects in the remaining three governance indicators. Conclusions This study presents a case for health systems embedding in global health security. Health system performance is only as effective at protecting populations when countries achieve core capacities of preparedness and response to global health threats. The associations provide stakeholders information about key characteristics of governance that influence health system performance and global health security implementation. Key messages This study provides an argument for the continued support of the GHSA 2024 Framework with implementation of global health security capabilities and meeting 2005 IHR requirements. The GHSA SG governance role remains profoundly important in establishing sustainable efforts internationally towards achieving the objectives of the GHSA in support of the 2005 IHR standards.

Needs assessment for gender sensitive reproductive health services for adolescents

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Fatemeh Rahmanian ◽  
Soheila Nazarpour ◽  
Masoumeh Simbar ◽  
Ali Ramezankhani ◽  
Farid Zayeri
Keyword(s):  
Health Care ◽  
Reproductive Health ◽  
Health Services ◽  
Health Care Providers ◽  
Health Care Services ◽  
Care Providers ◽  
Reproductive Health Services ◽  
Care Needs ◽  
Reproductive Health Care ◽  
Care Services

AbstractBackgroundA dimension of reproductive health services that should be gender sensitive is reproductive health services for adolescents.ObjectiveThis study aims to assess needs for gender sensitive reproductive health care services for adolescents.MethodsThis was a descriptive cross-sectional study on 341 of health care providers for adolescents in health centers and hospitals affiliated to Shiraz University of Medical Sciences in Iran in 2016. The subjects of the study were recruited using a convenience sampling method. The tools for data collection were: (1) a demographic information questionnaire and; (2) a valid and reliable questionnaire to Assess the Needs of Gender-Sensitive Adolescents Reproductive Health Care Services (ANQ-GSARHS) including three sections; process, structure and policy making for the services. Data were analyzed using SPSS 21.ResultsThree hundred and forty-one health providers with an average working experience of 8.77 ± 5.39 [mean ± standard deviation (SD)] years participated in the study. The results demonstrated the highest scores for educational needs (92.96% ± 11.49%), supportive policies (92.71% ± 11.70%) and then care needs (92.37% ± 14.34%) of the services.ConclusionsProviding gender sensitive reproductive health care services for adolescents needs to be reformed as regards processes, structure and policies of the services. However, the gender appropriate educational and care needs as well as supportive policies are the priorities for reform of the services.

scholarly journals Using Higher-Order Constructs to Estimate Health-Disease Status: The Effect of Health System Performance and Sustainability

Mathematics ◽  
2021 ◽  
Vol 9 (11) ◽  
pp. 1228
Author(s):  
Alicia Ramírez-Orellana ◽  
María del Carmen Valls Martínez ◽  
Mayra Soledad Grasso
Keyword(s):  
Health System ◽  
Social Services ◽  
System Performance ◽  
Structural Equation ◽  
Disease Incidence ◽  
Disease Status ◽  
Well Being ◽  
Equation Modeling ◽  
Health System Performance ◽  
The Relationship

This article aims to provide information to public agencies and policymakers on the determinants of health systems and their relationships that influence citizens’ health–disease status. A total of 61 indicators for each of 17 Spanish autonomous communities were collected from the Spanish Ministry of Health, Social Services, and Equality between 2008 and 2017. The applied technique was partial least squares structural equation modeling (PLS-SEM). Concerning health–disease status, an influence of sustainability and performance on the health system was hypothesized. The findings revealed that health system sustainability had a negative effect on health–disease status, measured in terms of disease incidence. However, the relationship between health system performance and health–disease status is positive. Furthermore, health system performance mediates the relationship between sustainability and health–disease status. According to our study, if we consider the opposite poles that make up the definition of health–disease status (well-being and disease), this concept is defined more by the incidence of the negative aspect.

The validity of mobile applications to facilitate patient care provided to cancer patients: opportunities and limitations

2021 ◽  
Vol 16 ◽  
Author(s):  
Haneen Amawi ◽  
Sayer Alazzam ◽  
Tasnim Alzanati ◽  
Neveen Altamimi ◽  
Alaa Hammad ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Health Care Services ◽  
Rating Scale ◽  
Assessment Tools ◽  
Free Access ◽  
User Engagement ◽  
Care Services ◽  
Health Related ◽  
Detailed Assessment

Background: The use of health-related applications (apps) on smartphones has become widespread. This is especially of value during the ongoing SAR-COV-2 pandemic, where the accessibility for health care services has been greatly limited. Patients with free access to apps can obtain information to improve their understanding and management of health issues. Currently, there are cancer-related apps available on iPhones and androids. However, there are no guidelines to control these apps and ensure their quality. Furthermore, these apps may significantly modify the patients’ perception and knowledge toward drug-related health services. Objective: The aim of this study was to assess the convenience, quality, safety and efficacy of apps for cancer patient care. Methods: The study was conducted by searching all apps related to cancer care on both Google Play Store and Apple iTunes Store. A detailed assessment was then performed using the mobile application rating scale (MARS) and risk assessment tools. Results: The results indicated that on a scale from 1-5, 47% of the apps were rated ≥ 4. The MARS assessment of the apps indicated an overall quality rating of 3.38 ± 0.9 (mean ± SD). The visual appeal of the app was found to have a significant effect on app functionality and user engagement. The potential benefits of these apps come with challenges and limitations. Patents related to smartphone applications targeting patients were also discussed. Conclusion: We recommend a greater emphasis toward producing evidence-based apps. These apps should be rigorously tested, evaluated and updated by experts, particularly clinical pharmacists. Also, these may alter patient attitudes toward services provided by physicians and pharmacists. Finally, these apps should not replace in-person interactive health services.

Does health system performance reporting stimulate change?

2018 ◽  
Vol 31 (6) ◽  
pp. 235-238 ◽  
Author(s):  
Kira Leeb
Keyword(s):  
Health System ◽  
System Performance ◽  
International Health ◽  
Health System Performance ◽  
Making Sense ◽  
Performance Reporting ◽  
Canadian Institute ◽  
National Organizations ◽  
Health Quality ◽  
Key Aspects

For numerous countries, including Canada, regular health system performance reporting has become increasingly routine if not mandated by legislation. In Canada, the health system performance reporting agenda includes multiple players at all levels from national organizations to provincial health (quality) councils and others. Canada, like many other countries, also participates in international health system performance reporting initiatives. Making sense of what all of these reporting initiatives are telling us about health system performance both within Canada and compared to other countries is becoming increasingly more challenging. For almost 20 years, the Canadian Institute for Health Information has worked with provinces, territories, and other key partners to develop comparable, standardized pan-Canadian performance indicators. Throughout this process, many lessons have been identified including the actionability one can reasonably expect from public reporting initiatives. This article outlines some of the key aspects of these lessons.

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