scholarly journals COVID-19 and its impact on the cancer care in tertiary care centres in India

2021 ◽  
Vol 7 (2) ◽  
pp. 74-78
Keyword(s):  
Health Care Providers ◽  
Cancer Care ◽  
Primary Care Physicians ◽  
Radiation Treatment ◽  
Tertiary Care ◽  
Care Providers ◽  
Hub And Spoke ◽  
Care Services ◽  
Global Pandemic ◽  
High Risk Cancer

COVID-19 pandemic is an ongoing global pandemic which has resulted in significant morbidity and mortality. India has been one of the worst affected nations. The second wave has gripped the country in an unforeseen way. In an effort to contain the pandemic, the measures taken have led to all other health conditions taking a back seat. Patients of chronic diseases like cancer, marked by a continuity of care, have been bearing a major brunt. Access to cancer treatment has been disrupted as a result of COVID-19. This adversely affects the outcomes of the disease. This pandemic is here to stay, so cancer services should continue to be provided with due safeguarding of the health personnel and patients against the COVID-19 infections. Due modifications of the treatment schedules for systemic therapy, surgery and radiation treatment should be incorporated as per the guidelines. Vaccination of the immunocompromised, high risk, cancer patients on priority, besides that of the health care providers should be aimed at. In the long term, capacity of primary care physicians needs to be strengthened to provide basic cancer care services using a hub-and-spoke model with tertiary care centres.

scholarly journals Building an oncology community of practice to improve cancer care

2018 ◽  
Vol 25 (6) ◽  
Author(s):  
W. Fingrut ◽  
L. A. Beck ◽  
D. Lo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Cancer Care ◽  
Care Providers ◽  
Care Services ◽  
Standards Of Practice ◽  
Barriers To Access ◽  
Multidisciplinary Meetings ◽  
Knowledge Of Cancer ◽  
Effective Models

Background Communities of practice (cops) have been shown to be effective models for achieving quality outcomes in health care.Objective Here, we describe the application of the cop model to the Canadian oncology context.Methods We established an oncology cop at our urban community hospital and its networks. Goals were to decrease barriers to access, foster collaboration, and improve knowledge of guidelines in cancer care. We hosted 6 in-person multidisciplinary meetings, focusing on screening, diagnosis, and management of common solid tumours. Health care providers affiliated with our hospital were invited to attend and to complete post-meeting surveys. Likert scales assessed whether cop goals were realized.Results Meetings attracted a mean of 57 attendees (range: 48–65 attendees), with a mean of 84% completing the surveys and consenting to the analysis. Attendees included family physicians (mean: 41%), specialist physicians (mean: 24%), nurses (mean: 10%), and allied health care providers (mean: 22%). Repeat attendance increased during the series, with 85% of attendees at the final meeting having attended 1 or more prior meetings. Across the series, most participants agreed or strongly agreed that the cop reduced barriers (mean: 76.0% ± 7.9%) and improved access to cancer care services (mean: 82.4% ± 8.1%) and subject matter experts (mean: 91.7% ± 4.2%); fostered teamwork (mean: 84.5% ± 6.8%) and a culture of collaboration (mean: 94.8% ± 4.2%); improved knowledge of cancer care services (mean: 93.3% ± 4.8%), standards of practice (mean: 92.3% ± 3.1%), and quality indicators (mean: 77.5% ± 6.3%); and improved cancer-related practice (mean: 88.8% ± 4.6%) and satisfaction in caring for cancer patients (mean: 82.9% ± 6.8%). Participant feedback carried a potential for bias.Conclusions We demonstrated the feasibility of oncology cops and found that participants perceived their value in reducing barriers to access, fostering collaboration, and improving knowledge of guidelines in cancer care.

Delivering End-of-Life Cancer Care: Perspectives of Providers

2017 ◽  
Vol 35 (3) ◽  
pp. 497-504 ◽  
Author(s):  
Manali I. Patel ◽  
Vyjeyanthi S. Periyakoil ◽  
David Moore ◽  
Andrea Nevedal ◽  
Tumaini R. Coker
Keyword(s):  
End Of Life ◽  
Health Care Providers ◽  
Cancer Care ◽  
Care Delivery ◽  
Comparative Method ◽  
The United States ◽  
Home Delivery ◽  
Care Providers ◽  
Face To Face ◽  
Care Services

Objectives: Persistent gaps in end-of-life cancer care delivery and growing associated expenditures remain imminent US public health issues. The objective of this study was to understand clinical providers’ experiences delivering cancer care for patients at the end of life and their perspectives on potential solutions to improve quality of care. Methods: Semistructured interviews were conducted with 75 cancer care providers across the United States. The interviews were recorded, transcribed, and analyzed using constant comparative method of qualitative analysis. Results: Providers identified 3 major cancer care delivery challenges including lack of time to educate patients and caregivers due to clinical volume and administrative burdens, ambiguity in determining both prognosis and timing of palliative care at the end-of-life, and lack of adequate systems to support non-face-to-face communication with patients. To address these challenges, providers endorsed several options for clinical practice redesign in their settings. These include use of a lay health worker to assist in addressing early advance care planning, proactive non-face-to-face communication with patients specifically regarding symptom management, and community and in-home delivery of cancer care services. Discussion: Specific strategies for cancer care redesign endorsed by health-care providers may be used to create interventions that can more efficiently and effectively address gaps in end-of-life cancer care.

scholarly journals Assessment of facility-based emergency care services for road traffic injuries in tertiary care hospital, Larkana

2020 ◽  
Vol 3 (1) ◽  
pp. 16-26
Author(s):  
Mansoor Ahmed Qazi ◽  
Saima Rafi
Keyword(s):  
Health Care Providers ◽  
Emergency Care ◽  
Road Traffic ◽  
Tertiary Care ◽  
Care Hospital ◽  
Care Providers ◽  
Road Traffic Injuries ◽  
Record Keeping ◽  
Care Services ◽  
Emergency Care Services

Background: Road traffic injuries are considered as main public health problem; strenuous efforts are required for its prevention. Facility based emergency care for road traffic injuries is considered as an important but challenging component of post-crash care response. It demands healthcare providers to make quick life-and-death decisions based on minimal information.  The objective of our study was to explore the challenges for emergency services for road traffic injuries within Tertiary care hospital. Methodology: Qualitative methods were used including 15 interviews and 02 focus group discussions. Topic guide was developed for all the participant’s interviews, in order to explore the challenges for effective emergency care services at tertiary care level in Larkana city, Sindh. Topic guide was developed for all the participant’s interviews. Results: After making the transcripts of qualitative data, thematic analysis framework was used to analyze the transcripts, by which two main themes; recognition of causes and adverse consequences of road traffic accidents and health system challenges for delivering emergency care were extracted. Results suggest that improvement in documentation and record keeping system, security for health care providers, provision of timely interventions and proper training for health professionals at hospital level can be helpful for the provision of effective emergency care services. Conclusion: An integrated trauma care system along with the improvement in documentation, efficient record keeping system, security for health care providers, provision of timely interventions and training for health professionals is needed for effective post-crash care management at the hospital level.

scholarly journals MULTIDISCIPLINARY APPRAOACH OF HEALTH CARE PROFESSIONALS IN PROVIDING PREEMINENT TREATMENT TO PATIENTS

2014 ◽  
Vol 3 (2) ◽  
pp. 2
Author(s):  
Shamma Tabassum
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Coordination ◽  
Health Care Professionals ◽  
Primary Care Physicians ◽  
Health Care Services ◽  
Service Providers ◽  
Health Care Service ◽  
Care Providers ◽  
Care Services

A strong communication and efficient coordination is required among various health care service providers, working together to provide appropriate delivery of health care services. In case, various stake holders in the network of health care providers fail to exercise such competent organization and management, patients will have to bear undesirable consequences1. This situation can lead to amplified costs and decreased quality of health care services. Studies have shown that the communication gaps between health care providers escort towards the reduction of care coordination and readmissions2. It has been originated that both hospitals and primary care physicians experiences parallel challenges like lack of time and difficulty in reaching other practitioners resulting in scant information evaluation, medication list inconsistencies and a lack of certainty with respect to liabilities for impending tests and home health2.The communication between patients and relevant medical staff is also very crucial, particularly at the time of admission and discharge. This emphasizes that there are numerous challenges in care coordination, information dealing, follow-up care and treatment management.

Methods and Measurement of Primary, Secondary and Tertiary Healthcare Expenditures in India During 2013–2014 to 2016–2017

2021 ◽  
pp. 097370302110470
Author(s):  
Charu C. Garg ◽  
Pratheeba John ◽  
Tushar Mokashi
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Private Sector ◽  
Health Care Providers ◽  
National Health ◽  
Tertiary Care ◽  
Health Coverage ◽  
Care Providers ◽  
Care Services ◽  
The Government

Improving investments in primary health care has become a mounting priority in the context of Universal Health Coverage and India’s National Health Policy 2017 goal to provide cost-effective care. The paper uses the India National Health Accounts, health care providers and health care functions classifications, to allocate current health expenditures (CHE) to primary, secondary and tertiary (PST) care and analyse the trends and composition of PST expenditures between 2013–2014 and 2016–2017. Findings reveal that 45.2% of CHE was spent on primary care in 2016–2017. The government spends 52% of its CHE for primary care. Private spending on primary care has declined from 44% to 41% during the study period. Disaggregate analysis shows that 41% of primary care expenditures were on medicines, 29% on curative care and 15% on preventive care services. About 32% of primary care expenditures were spent at government facilities/providers as compared to 10% at private facilities/doctors. Private sector share of secondary care (38%) and tertiary care (75%) reinforces the role of private sector in providing secondary and tertiary care services. In cognisance of national and international goals, an additional investment of 0.7% of gross domestic product or additional US$11 (₹754) per capita would be required in primary care.

scholarly journals Organizational guidance for the care of patients with head-and-neck cancer in Ontario

2019 ◽  
Vol 27 (2) ◽  
Author(s):  
J. Irish ◽  
J. Kim ◽  
J. Waldron ◽  
A.C. Wei ◽  
E. Winquist ◽  
...  
Keyword(s):  
Health Care ◽  
Head And Neck Cancer ◽  
Head And Neck ◽  
Health Care Providers ◽  
Neck Cancer ◽  
Cancer Care ◽  
Delivery Of Health Care ◽  
Health Care Services ◽  
Care Providers ◽  
Care Services

Background At the request of the Head and Neck Cancers Advisory Committee of Ontario Health (Cancer Care Ontario), a working group and expert panel of clinicians with expertise in the management of head-and-neck cancer developed the present guideline. The purpose of the guideline is to provide advice about the organization and delivery of health care services for adult patients with head-and-neck cancer. Methods This document updates the recommendations published in the Ontario Health (Cancer Care Ontario) 2009 organizational guideline The Management of Head and Neck Cancer in Ontario. The guideline development methods included an updated literature search, internal review by content and methodology experts, and external review by relevant health care providers and potential users. Results To ensure that all patients have access to the highest standard of care available in Ontario, the guideline establishes the minimum requirements to maintain a head-and-neck disease site program. Recommendations are made about the membership of core and extended provider teams, minimum skill sets and experience of practitioners, cancer centre–specific and practitioner-specific volumes, multidisciplinary care requirements, and unique infrastructure demands. Conclusions The recommendations contained in this document offer guidance for clinicians and institutions providing care for patients with head-and-neck cancer in Ontario, and for policymakers and other stakeholders involved in the delivery of health care services for head-and-neck cancer.    

Multiple Sclerosis Patients' Interest in and Likelihood of Using Online Health-Care Services

2009 ◽  
Vol 11 (2) ◽  
pp. 79-89 ◽  
Author(s):  
Lucy Wardell ◽  
Stanley Hum ◽  
Andréa Maria Laizner ◽  
Yves Lapierre
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Providers ◽  
Health Care Services ◽  
Tertiary Care ◽  
Self Report ◽  
Care Providers ◽  
Care Services ◽  
Online Communications ◽  
Multiple Sclerosis Patients

Multiple sclerosis (MS) patients are known to have high rates of Internet use. Thus they are likely to be receptive to and benefit from online communications with health-care providers. Although a few well-known MS clinics have implemented online health-care services for this patient group, little is known about the types of online communications that would be most beneficial to patients and the likelihood that patients would actually use these services. The aim of this study was to explore MS patients' satisfaction with traditional modes of communication with health-care providers, their interest in having access to different types of online health-care services, and their likelihood of using such services. A self-report questionnaire was developed and distributed to 263 MS patients diagnosed with clinically definite MS at our tertiary-care center. Although the vast majority of patients were satisfied with the frequency of their clinic visits, patients who called the clinic more frequently reported lower levels of satisfaction with clinic access than those who called less often. Over 73% of patients reported a high level of interest in having access to online health-care services, and over 80% of patients surveyed reported a high likelihood of using these services. Patients who reported the greatest likelihood of using online health-care services included those who surf the Internet more than 5 hours per week, who have sought health information online in the past year, and who perceive themselves as having high Internet navigational skills. The study findings highlight the importance of developing online health-care services for this cohort of patients.

scholarly journals Improving Communications With Patients and Families in Geriatric Care. The How, When, and What

2021 ◽  
Vol 8 ◽  
pp. 237437352110340
Author(s):  
Shirley Chien-Chieh Huang ◽  
Alden Morgan ◽  
Vanessa Peck ◽  
Lara Khoury
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Family Caregivers ◽  
Health Care Providers ◽  
Tertiary Care ◽  
Care Providers ◽  
Telephone Interviews ◽  
Written Information ◽  
Geriatric Unit ◽  
Patient Health

There has been little published literature examining the unique communication challenges older adults pose for health care providers. Using an explanatory mixed-methods design, this study explored patients’ and their family/caregivers’ experiences communicating with health care providers on a Canadian tertiary care, inpatient Geriatric unit between March and September 2018. In part 1, the modified patient–health care provider communication scale was used and responses scored using a 5-point scale. In part 2, one-on-one telephone interviews were conducted and responses transcribed, coded, and thematically analyzed. Thirteen patients and 7 family/caregivers completed part 1. Both groups scored items pertaining to adequacy of information sharing and involvement in decision-making in the lowest 25th percentile. Two patients and 4 family/caregivers participated in telephone interviews in part 2. Interview transcript analysis resulted in key themes that fit into the “How, When, and What” framework outlining the aspects of communication most important to the participants. Patients and family/caregivers identified strategic use of written information and predischarge family meetings as potentially valuable tools to improve communication and shared decision-making.

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.

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