Construction of Essential Care Service Package for People Living with Dementia in Smoke-free Environment under Disease Pandemic in China

2021 ◽  
Vol 7 (4) ◽  
pp. 308-325
Author(s):  
Tongda Sun ◽  
Hongdao Meng ◽  
Mingze Zhu ◽  
Xiaoxin Dong ◽  
Naidan Tu ◽  
...  
Keyword(s):  
Large Scale ◽  
Care Service ◽  
Cluster Sampling ◽  
Service Needs ◽  
Public Attention ◽  
Term Care ◽  
Service Package ◽  
Care Services ◽  
Free Environment ◽  
Different Levels

Objectives: In recent years, the harm of smoking has attracted more and more public attention. Creating a healthy smoke-free environment has been widely favored and supported by the public. Smokeless environment has a certain positive effect on the rehabilitation of dementia patients. Sustained smoking cessation is associated with significantly decreased the future prevalence of dementia. Therefore, hospitals often establish a special organizational structure and management model for tobacco control, and carry out training and assessment for all staff. The nursing group also took it as the basic nursing standard. The 2019 disease pandemic has posed unique health threats to people living with dementia (PLWD). Therefore, a strict smoke-free environment is more necessary for the nursing group. One of the key challenges is scaling up long-term care services to meet the needs of the rapidly growing population of PLWD in developing countries. The aim of the study is to explore the care service needs, utilization and build an essential care service package (ECSP) for PLWD under the disease pandemic in China. Methods: From July 2018 to October 2019, a total of 1255 elderly with dementia in six cities in China by a cluster sampling were investigated with the self-designed questionnaire. Care service needs and utilization for PLWD with different levels of cognitive impairment were summarized. Results: The ECSP for PLWD was composed of 30 service items (7 for core care) in order to guarantee that all PLWD enjoy equal care services, basing on public financing and implementing strategies and taking China's situations into account. The selection plan for ECSP at different levels is designed as 'General Care Services + Selective Care Services ', in which respective service items for low, mid, and high-level care for PLWD are 7+3, 7+6, and 7+10, and requires 151.41 hours, 201.88 hours, and 252.35 hours per month, respectively. Conclusion: The present study provides the first large-scale data on care service needs and utilization for PLWD in mainland China. The ECSP for PLWD based on the needs advanced in the paper was a practicable and effective quantitative management means that deserves a large-scale application. Some safeguard mechanisms and operational implementing pathways of ECSP for PLWD during and after the disease pandemic in China are proposed.

scholarly journals The values of being small and nimble

2004 ◽  
Vol 7 (2) ◽  
pp. 11-13
Author(s):  
Peter Christian Murphy
Keyword(s):  
Food Chain ◽  
Vice President ◽  
South Florida ◽  
Communications Technology ◽  
Entrepreneurial Opportunity ◽  
Service Package

Peter Christian (Chris) Murphy had worked his way up the “food chain” at AT&T for 19 years, culminating in his position as Sales Center Vice President for South Florida. When he and a coworker realized there was an opportunity in the marketplace for a small, nimble company to take advantage of emerging communications technology that a stodgy, lumbering corporation would have trouble integrating into its service package, Chris decided to jump into an entrepreneurial opportunity.

scholarly journals A revised design and implementation of the ATLAS Log Service package

2011 ◽  
Vol 331 (4) ◽  
pp. 042037 ◽  
Author(s):  
Raul Murillo Garcia ◽  
Giovanna Lehamnn Miotto ◽  
Keyword(s):  
Design And Implementation ◽  
Service Package

The Impact of Timing and Bundling Flexibility on Affect‐Based Service Package Design

2019 ◽  
Vol 50 (5) ◽  
pp. 948-984
Author(s):  
Michael J. Dixon ◽  
Gary M. Thompson
Keyword(s):  
Package Design ◽  
Service Package ◽  
The Impact

scholarly journals An overview of the sexual and reproductive health status and service delivery among Syrian refugees in Jordan, nine years since the crisis: a systematic literature review

2020 ◽  
Vol 17 (1) ◽  
Author(s):  
Mirwais Amiri ◽  
Ieman M. El-Mowafi ◽  
Tala Chahien ◽  
Hind Yousef ◽  
Loulou Hassan Kobeissi
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Grey Literature ◽  
Free Text ◽  
Syrian Refugees ◽  
Humanitarian Crisis ◽  
Service Package ◽  
Syrian Refugee ◽  
Services Delivery ◽  
Gender Based

Abstract Background The Syrian refugee crisis has led to massive displacement into neighboring countries including Jordan. This crisis has caused a significant strain on the sexual and reproductive health (SRH) services to the host communities and Syrian refugees. The Minimum Initial Service Package (MISP) is a standard package of services that should be implemented at the onset of an emergency. Due to their importance in protracted humanitarian crisis, this systematic review aimed to assess the utilization of SRH and MISP after 9 years of the crisis. Methods We searched PubMed, Medline/Ovid and Scopus for both quantitative and qualitative studies from 1 January 2011 to 30 November 2019. Our search included both free text key words and Medical Subject Headings (MeSH) for various forms and acronmym of the following terms: (Sexual and) Reproductive Health, Sexual/Gender-based/Family/Intimate partner violence, Minimum Initial Service Package, MISP, Women, Girls, Adolescents, Syrian, Refugee, Jordan, Humanitarian crisis, War, (armed) conflict, and Disaster. Boolean operators and star truncation (*) were used as needed. We further conducted an in-depth review of the available grey literature published during the same timeframe. Using a narrative synthesis approach, two authors independently extracted and analyzed data from published papers. After removal of duplicates, screening, and assessing for eligibility of 161 initially identified citations, 19 papers were selected for review. Results Findings from this review indicated a number of barriers to access, utilization, and implementation of SRH services, including lack of reliable information on sexual and gender-based violence (SGBV), aggravation of early marriages by crisis setting, gaps in the knowledge and use of family planning services, inadequate STIs and HIV coverage, and some issues around the provision of maternal health services. Conclusion The findings from this review are suggestive of a number of barriers pertaining to access, utilization, and implementation of SRH services. This is especially true for transitioning from MISP to comprehensive SRH services, and particularly for refugees outside camps. Following are needed to address identified barriers: improved inter-agency coordination, better inclusion/engagement of local initiatives and civil societies in SRH services delivery, improved quality of SRH services, adequate and regular training of healthcare providers, and increased awareness of Syrian women and adolescent girls. Also, more implementing research is required to identify ways to transition SRH provision from the MISP to comprehensive care for the Syrian refugee population in Jordan.

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