scholarly journals Telemedicine: an ICT based healthcare approach to ensure health service for all

2019 ◽  
Vol 6 (9) ◽  
pp. 3732 ◽  
Author(s):  
Rasheda Akhtar ◽  
Sazzadul Alam ◽  
Noor Kutubul Alam Siddiquee
Keyword(s):  
Rural Areas ◽  
Healthcare Services ◽  
Cost Of Treatment ◽  
Telemedicine Service ◽  
The People ◽  
Depth Interview ◽  
Daunting Challenge ◽  
Challenge Area

Background: Despite enormous efforts, healthcare service is still a daunting challenge area of Bangladesh healthcare systems. Bangladesh suffers from both a shortage of and geographic mal-distribution of human resource for health, as well as inadequate resources. Considering the challenges, telemedicine can be a blessing especially to the people living in hard-to-reach and rural areas. The current study was conducted on to measure the outcomes of providing telemedicine service at the field level.Methods: The study was conducted in Nagarkanda Upazilla of Faridpur district. Mixed method approaches including user experience and perception survey, case study and in-depth interview were adopted in order to bring a comprehensive scenario.Results: Around 50% of the users used to visit telemedicine center frequently. For quality of service provided from telemedicine service point, there were few benchmarks like service provider’s behavior, waiting time, accessibility, distance, cost of treatment, willingness to pay and referral mechanism. Telemedicine service centers were found situated within the reach of people (within 1-2 km of 83.30% km). 97% participants rated service provider’s behavior as good. Cost of treatment including diagnosis, prescription and medication was found within 501-3000 BDT for 60% of participants.Conclusions: Although the studied telemedicine service was not comprehensive in nature, it still helped to save time, reduce cost and most of all increased access to healthcare services.

scholarly journals Quality Assessment of the Services Delivered by a Court, Based on the Perceptions of Users, Magistrates, and Court Officials

2021 ◽  
Vol 13 (2) ◽  
pp. 504
Author(s):  
Patrícia Moura e Sá ◽  
Maria João Rosa ◽  
Gonçalo Santinha ◽  
Cátia Valente
Keyword(s):  
Service Quality ◽  
Service Providers ◽  
Service Performance ◽  
Technological Equipment ◽  
Perceived Service Quality ◽  
Positive View ◽  
Depth Interview

This paper aims to measure the quality of the services delivered by a court by assessing the satisfaction of court users and service providers, i.e., magistrates and court officials. For that purpose, a case study was carried out and data were collected by means of a questionnaire based on the SERVPERF instrument, in which perceived service quality is measured, considering court users, magistrates, and court officials’ perceptions of post-service performance. One hundred and fifty-eight questionnaires were successfully returned. An in-depth interview was later conducted to the court administrator to gain a richer understanding of the results achieved and ask follow-up questions. Overall, findings revealed that court users, magistrates, and court officials clearly have a positive view of the services provided, although improvement is needed, particularly in the court’s facilities and technological equipment. The current research sheds some light on the potentialities and difficulties of assessing service quality in the judiciary and contributes to the validation of the SERVPERF instrument in this context.

The Environmental Impact on Human Wellbeing: A Case Study on Residences in Quarry Area

2021 ◽  
Vol 12 (1) ◽  
Author(s):  
Emma Marinie Ahmad Zawawi ◽  
◽  
Wan Hasmirah Wan Ibrahim ◽  
Keyword(s):  
Quality Of Life ◽  
Environmental Impact ◽  
Biological Diversity ◽  
Local Population ◽  
Health Conditions ◽  
Human Wellbeing ◽  
The People ◽  
New Development

An Environmental Impact Assessment (EIA) is compulsory in all types of new development. EIA is important to ensure that biological diversity is maintained and that development will not have any affect on the people and other species in that area. The aim of this study is to investigate the environmental impact on human wellbeing in the vicinity of quarrying. It will increase the awareness of the local population of the important factors that might affect the quality of their lives. A set of questionnaires was distributed to the community at Bandar Saujana Putra and Taman Kajang Perdana, in Selangor. A total of 60 residents were involved in the study. The results reveal that the community was concerned about health conditions and safety. However, there is still a lack of strategies to mitigate the problem. This study provides suggestions for mitigation that could be considered by the residents to reduce the effect of poor air quality caused by incorrect control and monitoring of activities in the area. It is anticipated that this study could assist both residents and authorities in improving the quality of the air as well as the residents’ quality of life.

MEASURING SPATIAL HEALTHCARE FACILITIES ACCESSIBILITY USING TWO-STEP FLOATING CATCHMENT ANALYSIS (2SFCA) (Case Study: Cianjur Regency, Indonesia)

2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami
Keyword(s):  
Travel Time ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Spatial Disparities ◽  
Time Threshold

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.

scholarly journals Deliberative Debates in Investors Penetration Area: A Case Study of Village Deliberation by Village Consultative Board (BPD) in Caturtunggal Village, Yogyakarta

2018 ◽  
Vol 3 (1) ◽  
pp. 49
Author(s):  
Husen Wijaya Abd. Hamid
Keyword(s):  
Deliberative Democracy ◽  
Data Gathering ◽  
Elite Capture ◽  
Study Approach ◽  
Depth Interview ◽  
Qualitative Descriptive ◽  
Democracy Theory ◽  
Descriptive Method

<div class="page" title="Page 1"><div class="layoutArea"><div class="column"><p>This study focuses on deliberative democracy practices in Caturtunggal village, specifically in the sub-village (<em>dusun</em>) of Seturan, Karangwuni, and Ambarukmo. The study assesses the quality of deliberation in these dusun by applying the three out of  five indicators of deliberative democracy theory by Fishkin (2009), namely information, subtantantive balance, and equal consideration. This study deploys qualitative descriptive method and case-study approach with in-depth interview as the main data gathering technique. This deliberation has put Village Consultative Board (BPD) period of 2013-2019 as a mediator and to consider arguments and deliberative results. Based on the indicators which proposed by Fishkin, Seturan and Ambarukmo are categorized for having semi-ideal deliberation, meanwhile Karangwuni is categorized as not ideal. The study also finds elite capture practices in Seturan and Karangwuni, but they do not impact significantly. </p></div></div></div>

scholarly journals Consequences of Promoting Less-Populated Rural Areas to Urban Areas: A Case Study, Bushehr Province

2015 ◽  
Vol 10 (1) ◽  
pp. 91-100
Author(s):  
Ali Bastin
Keyword(s):  
Rural Areas ◽  
Urban Areas ◽  
Residential Buildings ◽  
Urban System ◽  
Population Data ◽  
Target Population ◽  
Positive Outcomes ◽  
Negative Consequences

The modified law of Iranian Administrative divisions has greatly altered the pattern of settlement in recent decades. The promotion of rural areas to urban areas has shifted from mere population standard to combined population-administrative standards. However, all censuses suggest that many rural areas reported as smaller than the minimum population standard have been promoted to urban areas. In the last two decades, this is a clearly prominent phenomenon in the urban system of Iran. This paper evaluates the effects and consequences of promoting small and sparsely populated rural areas to urban areas in the Bushehr province. The used methodology is analytic-descriptive using a questionnaire distributed among 380 members of the target population. Data analysis is conducted in physical, economic, social and urban servicing domains using one-sample T-test and the utility range. The results show that promotion of rural areas to urban areas has positive outcomes such as improved waste disposal system, improved quality of residential buildings, increased monitoring of the construction, increased income, prevented migration and improved health services. However, the results of utility range show that the negative consequences of this policy are more than its positive outcomes, which have been studied in detail.

Visitor Centres as a Contribution to Improving Urban-Rural Relations

2020 ◽  
pp. 193-214
Author(s):  
Aleksandar Videnovic ◽  
Milos Arandjelovic
Keyword(s):  
Quality Of Life ◽  
Cultural Heritage ◽  
Natural Environment ◽  
Rural Areas ◽  
Main Task ◽  
Public Buildings ◽  
The Third ◽  
Urban Rural

The architecture of public buildings in rural areas, through the advancement of skills, knowledge, technologies, and materials, has become increasingly representative in recent decades, especially considering tourism as a global theme. The work is related to the planning of visitor centers in rural areas and the main task is defined by the effort to improve the quality of life in such areas, that is, highlight the major advantages in space, such as the natural environment. The aim of the research is defined by establishing certain elements in the planning of the visitor centers within the idea of promoting local values and cultural heritage. The first part of the chapter has been defined as an analysis of the theoretical views. The second part of the study has been defined as an analysis of the visitor centers. Through a case study, in the third part of the chapter, the work presents a comparative overview of the process to achieve two individual similar investments in Serbia and Bosnia-Herzegovina.

Telepsychiatry Use in Rural Areas in the United States

2020 ◽  
Vol 13 (4) ◽  
pp. 1-13
Author(s):  
Alberto Coustasse ◽  
Morgan Ruley ◽  
Tonnie C. Mike ◽  
Briana M. Washington ◽  
Anna Robinson
Keyword(s):  
Mental Health ◽  
United States ◽  
Quality Of Care ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Access And Quality

Rural areas have experienced a higher than average shortage of healthcare professionals. Numerous challenges have limited access to mental health services. Some of these barriers have included transportation, number of providers, poverty, and lack of insurance. Recently, the utilization of telepsychiatry has increased in rural areas. The purpose of this review was to identify and coalesce the benefits of telepsychiatry for adults living in rural communities in the United States to determine if telepsychiatry has improved access and quality of care. The methodology for this study was a literature review that followed a systematic approach. References and sources were written in English and were taken from studies in the United States between 2004 and 2018 to keep this review current. Fifty-nine references were selected from five databases. It was found that several studies supported that telepsychiatry has improved access and quality of care available in rural environments. At the same time, telepsychiatry in mental healthcare has not been utilized as it should in rural adult populations due to lack of access, an overall shortage of providers, and poor distribution of psychiatrists. There are numerous benefits to implementing telepsychiatry in rural areas. While there are still barriers that prevent widespread utilization, telepsychiatry can improve mental health outcomes by linking rural patients to high-quality mental healthcare services that follow evidence-based care and best practices. Telepsychiatry utilization in rural areas in the United States has demonstrated to have a significant ability to transform mental health care delivery and clinician productivity. As technology continues to advance access, telepsychiatry will also advance, making access more readily available.

The Process of Strategic, Agile, Innovation Development

2020 ◽  
pp. 370-394
Author(s):  
Say Yen Teoh ◽  
Shun Cai
Keyword(s):  
Process Model ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Innovation Strategy ◽  
Healthcare Industry ◽  
Innovation Development ◽  
Healthcare Information ◽  
Medical Practitioners

Despite many attempts to introduce computerization in the healthcare industry, the majority of the current healthcare information systems still fail to meet the rising expectations of patients for service. This study aims to understand how agility and innovation capabilities can be strategically nurtured, developed, and managed to upgrade the quality of healthcare services. Based on a case study, a process model is developed to explain that an agile innovation strategy is a complex helix process involving a firm's sensitivity and responsiveness to integrating and reconfiguring its resources to cope with innovative change. Three key managerial contributions for IT and medical practitioners are presented.

scholarly journals Towards Inclusive Healthcare Delivery: Potentials and Challenges of Human-Centred Design in Health Innovation Processes to Increase Healthy Aging

2020 ◽  
Vol 17 (12) ◽  
pp. 4551
Author(s):  
Catharina Thiel Sandholdt ◽  
Jason Cunningham ◽  
Rudi G.J. Westendorp ◽  
Maria Kristiansen
Keyword(s):  
Quality Of Life ◽  
Older Adults ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Small Scale ◽  
Successful Implementation ◽  
Innovation Processes ◽  
Human Centred Design

National healthcare systems need to adjust services and operations to accommodate the needs of complex, aging populations living with multimorbidity and polypharmacy. This paper suggests the use of a human-centred design as a method to engage older adults and key professionals in innovation processes aiming to design person-centred healthcare services and improve quality of life in older adults. We outline three innovation phases and highlight how such processes can create engagement and new insights on how life experiences of older adult’s shape preferences, beliefs, and habits. It is important to incorporate these insights into the design of successful strategies for ensuring age-friendly healthcare services. Our viewpoint is contextualised through a small-scale case study focusing on polypharmacy in older adults. From this case study, we extracted three challenges to producing co-designed health research: recruitment, time and resources, and funding. We discuss how to address these challenges. We argue for the involvement of older adults and professional stakeholders at an early stage in the design process to align expectations and to increase the likelihood of successful implementation of healthcare innovations that improve the quality of life for older adults.

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