scholarly journals Attitudes and perceptions of health service providers. Implications for implementation and delivery of community health services.

1974 ◽  
Vol 64 (12) ◽  
pp. 1123-1131 ◽  
Author(s):  
J T Gentry ◽  
J E Veney ◽  
A D Kaluzny ◽  
J B Sprague ◽  
E J Coulter
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Service Providers ◽  
Community Health Services ◽  
Health Service Providers ◽  
Attitudes And Perceptions

Access and attitudes to health care of Torres Strait Islanders living in mainland Australia

2004 ◽  
Vol 10 (2) ◽  
pp. 29 ◽  
Author(s):  
Paul Ban
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Medical Services ◽  
Outpatient Services ◽  
Health Service Provider ◽  
Hospital Outpatient ◽  
Health Service Providers ◽  
Torres Strait ◽  
High Level

Ninety-two mainland Torres Strait Islanders, across five communities on mainland Australia, were consulted in relation to their access to health service providers. Similar numbers were interviewed in different-sized locations encompassing urban, rural, and remote areas. This exploratory study was the first to consider the health access issues of mainland Torres Strait Islanders. Overall, community controlled health services were the most commonly used exclusive health service providers, followed by private medical services and hospital outpatient services. The two most common reasons for the choice of health service provider in each community were convenience of access and the quality of relationship and trust with the medical staff. In general, the Torres Strait Islanders interviewed stated they are not comfortable seeking medical treatment, and delay accessing any health services. There was a high level of satisfaction in all communities with private medical services. Concerns were raised regarding long waiting periods at community controlled health services and hospital outpatient services, along with lack of confidentiality at community controlled health services. People wanted to see Torres Strait Islander staff at community controlled health services and hospital outpatient services to help facilitate greater access.

Competency requirements for middle and senior managers in community health services

2013 ◽  
Vol 19 (3) ◽  
pp. 256 ◽  
Author(s):  
Zhanming Liang ◽  
Peter F. Howard ◽  
Lee C. Koh ◽  
Sandra Leggat
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Rural Areas ◽  
Online Survey ◽  
Service Management ◽  
Core Competencies ◽  
Community Health Services ◽  
Health Care Environment ◽  
Future Health

The Australian health system has been subjected to rapid changes in the last 20 years to meet increasingly unmet health needs. Improvement of the efficiency and comprehensiveness of community-based services is one of the solutions to reducing the increasing demand for hospital care. Competent managers are one of the key contributors to effective and efficient health service delivery. However, the understanding of what makes a competent manager, especially in the community health services (CHS), is limited. Using an exploratory and mixed-methods approach, including focus group discussions and an online survey, this study identified five key competencies required by senior and mid-level CHS managers in metropolitan, regional and rural areas of Victoria: Interpersonal, communication qualities and relationship management; Operations, administration and resource management; Knowledge of the health care environment; Leading and managing change; and Evidence-informed decision-making. This study confirms that core competencies do exist across different management levels and improves our understanding of managerial competency requirements for middle to senior CHS managers, with implications for current and future health service management workforce development.

Rural and regional community health service boards: perceptions of community health – a Delphi study

2017 ◽  
Vol 23 (6) ◽  
pp. 543 ◽  
Author(s):  
Diana Guzys ◽  
Guinever Threlkeld ◽  
Virginia Dickson-Swift ◽  
Amanda Kenny
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Delphi Study ◽  
Healthcare Services ◽  
Community Health Services ◽  
Health Improvement ◽  
Strategic Direction ◽  
Rural Community Health ◽  
Governance Training

Much has been written about the composition of health service boards and the importance of recruiting people with skills appropriate for effective and accountable governance of health services. Governance training aims to educate directors on their governance responsibilities; however, the way in which these responsibilities are discharged is informed by board members’ understanding of health within their communities. The aim of this study was to identify how those engaged in determining the strategic direction of local regional or rural community health services in Victoria, Australia, perceived the health and health improvement needs of their community. The Delphi technique was employed to facilitate communication between participants from difference geographic locations. The findings of the study highlight the different ways that participants view the health of their community. Participants prioritised indicators of community health that do not align with standard measures used by government to plan for, fund or report on health. Devolved governance of healthcare services aims to improve local healthcare responsiveness. Yet, if not accompanied with the redistribution of resources and power, policy claimed to promote localised decision-making is simply tokenistic.

scholarly journals What to do after a data breach? Examining apology and compensation as response strategies for health service providers

2021 ◽  
Author(s):  
Kristin Masuch ◽  
Maike Greve ◽  
Simon Trang
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Data Breach ◽  
Data Breaches ◽  
Response Strategies ◽  
Customer Information ◽  
Health Service Providers ◽  
Recovery Strategies ◽  
Fitness Tracker

AbstractInnovative IT-enabled health services promise tremendous benefits for customers and service providers alike. Simultaneously, health services by nature process sensitive customer information, and data breaches have become an everyday phenomenon. The challenge that health service providers face is to find effective recovery strategies after data breaches to retain customer trust and loyalty. We theorize and investigate how two widely applied recovery actions (namely apology and compensation) affect customer reactions after a data breach in the specific context of fitness trackers. Drawing on expectation confirmation theory, we argue that the recovery actions derived from practice, apology, and compensation address the assimilation-contrast model’s tolerance range and, thus, always lead to satisfaction with the recovery strategy, which positively influences customers’ behavior. We employ an experimental investigation and collect data from fitness tracker users during a running event. In the end, we found substantial support for our research model. Health service providers should determine specific customer expectations and align their data breach recovery strategies accordingly.

Issues in Service Delivery for Women Statewide: The Consumer Context

1998 ◽  
Vol 4 (3) ◽  
pp. 72
Author(s):  
Beth Wilson
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Women's Health ◽  
Service Providers ◽  
Public Hospitals ◽  
Health Complaints ◽  
Resolution Process ◽  
Health Service Providers ◽  
Information Program

This article presents data from two sources. The first set of data comes from complaints received by the Health Services Commissioner (Health Ombudsman) in Victoria from Consumers of Health Services about health service providers. The second set of data has been provided by 92 public hospitals using the health complaints information program. The Health Complaints Resolution Process is described and the data are presented in the hope that they may assist in formulating policies for women's health.

scholarly journals Prediction and Decomposition of Efficiency Differences in Chinese Provincial Community Health Services

2018 ◽  
Vol 15 (10) ◽  
pp. 2265 ◽  
Author(s):  
Qian Liu ◽  
Bo Li ◽  
Muhammad Mohiuddin
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Care Service ◽  
Health Care Service ◽  
Community Health Services ◽  
Community Health Service ◽  
Theil Index ◽  
Community Health Care ◽  
Chinese Community

The objective of this paper is to analyze the provincial efficiency of the Chinese community health care service and its differences. This study allows us to predict the provincial differences in the efficiency of the Chinese community health care service from 2017 to 2026. This study analyzes the contributions of inter-regional and intra-regional differences in the total efficiency difference. We use the Super-SBM (Slacks-based Model) data envelopment analysis (DEA) model, Grey Model GM (1,1) for grey prediction, and the group-based Theil index decomposition method to study Chinese provincial panel data from 2008 to 2016. Results show that a fluctuating trend existed in the average provincial efficiency of community health services from 2008 to 2016. The community health services in a considerable number of provincial areas were inefficient. This study also reveals that there existed apparent inter-provincial differences in efficiency in Chinese community health services. The inter-provincial differences of the efficiency of Chinese community health services revealed by the Theil index declined at a relatively slow pace. With regard to the provincial efficiency difference of the Chinese community health service, the intra-regional efficiency difference is the most important structural reason for the overall efficiency difference, which explains the overall difference to a large extent. The inter-regional efficiency difference among the eastern, central, and western regions becomes the secondary structural reason, which should not be ignored. In conclusion, focus should be put on restructuring the investments into medical resources for community health service in each Chinese province. More attentions should be put into narrowing the inter-regional efficiency differences of the Chinese provincial community health service. The strategies targeted at reducing the inter-regional efficiency differences should not be ignored, so as to facilitate the improvement of overall efficiency of the Chinese community health service.

scholarly journals Obstetric Fistula Orientation Program in Nepal

2018 ◽  
Vol 13 (2) ◽  
Author(s):  
Tara Shakya
Keyword(s):  
Health Service ◽  
Community Health ◽  
Service Providers ◽  
Obstetric Fistula ◽  
Health Concern ◽  
Orientation Program ◽  
Community Health Volunteers ◽  
Female Community ◽  
Health Service Providers ◽  
Female Community Health Volunteers

Aims: To find out the hidden cases by strengthening/upgrading the knowledge of the participants and also to refer the identified cases not only to the phect -NEPAL's fistula surgery center (Kathmandu Model Hospital/Kirtipur hospital) but also to the nearest fistula centers of the country. Methods: In 2018, phect-NEPAL has conducted orientation program in seven districts. During the orientations, pretest/posttest was done with health service providers, female community health volunteers, NGOs /teachers and school students to see their knowledge on obstetric fistula. Public Health Concern Trust (phect-NEPAL) is working in this area not only in curative part but also in preventive/awareness part since 2014. Till now, phect-NEAPAL has conducted orientations in more than 17 districts (one Municipality and one village Municipality in each district).  Results: Among the 370 health service providers who got orientation in 2018,  a total of 90% of health service providers know what is obstetric fistula, 55%  know about Pelvic organs involved in obstetric Fistula, 47 % HSP knows about the causes of obstetric fistula, 22% know about symptoms of obstetric fistula, only 37% know about diagnostic criteria for identifying obstetric fistula and  49% have confusing knowledge with other gynae problems like uterine prolapse. Among 660 FCHVs, almost 80 % of female community health volunteers did not heard about obstetric fistula. Those FCHVs who said they heard about obstetric fistula,  more than 80% have confused knowledge of prolapse uterus /piles, leaking urine while coughing/sneezing, etc. Almost 90% of teachers and 60% of NGOs do not know about obstetric fistula. Conclusion:  Awareness on obstetric fistula is a Key Component for successful implementation of Obstetric Fistula Program in Nepal.

scholarly journals Principal-agent problems in implementation of Ghana’s health insurance scheme

2018 ◽  
Vol 11 (2) ◽  
pp. 59 ◽  
Author(s):  
Daniel Dramani Kipo-Sunyehzi
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
Health Services ◽  
Service Providers ◽  
Diagnosis Related Groups ◽  
Principal Agent ◽  
Fee For Service ◽  
The Public ◽  
Health Service Providers ◽  
Profit Maximisation

<p>Principal-agent relationship exists between health service providers and their authority and clients. It asserts that health service providers as ‘imperfect agents’ of the authority and clients will take actions that aim to maximise profits at the expense of authority and clients (principal). The situation is possible when reimbursement is based on fee-for-service or a diagnosis-related groups. It looks at relationships between health service providers as agents and health insurance authority, and clients as principals in areas of provision of health services, supply of drugs, medicines and reimbursement. Results showed the private health service providers prescribed more drugs and medicines for clients towards profit maximisation (agency) than their public counterparts. Also, it was found that the public health service providers continued to provide health services and drugs despite health insurance authority indebtedness to them exhibiting more stewardship towards health insurance authority. It recommends strict regulations in tariffs/vetting claims and prompt reimbursement.</p>

Obtaining and Using Client Feedback in Community Health Services

1998 ◽  
Vol 4 (4) ◽  
pp. 105
Author(s):  
Gwyneth Jolley ◽  
Libby Kalucy ◽  
Joanne McNamara
Keyword(s):  
Health Care ◽  
Health Services ◽  
Community Health ◽  
Service Providers ◽  
South Australia ◽  
Organisational Change ◽  
Community Health Services ◽  
Service Planning ◽  
Power Sharing ◽  
Client Feedback

Client feedback is an important component of two primary health care strategies: participation and evaluation. Workers need feedback from clients to ensure that their practice meets the criterion of providing affordable, accessible and appropriate services to enhance the health of their communities. Telephone interviews were conducted with thirty staff and thirty clients from women's and community health services in South Australia, to identify current practice in obtaining and using feedback from users of one-to-one services and group health promotion and community development activities. Factors which encourage feedback to be given and used include: trust and effective communications between all stakeholders; and supportive organisational philosophies, culture and practices. Client feedback is more likely to be used when given in written form. Collection and use of feedback are discouraged by inappropriate methods and timing, rapid organisational change, and clients' lack of awareness of, or confidence in, giving feedback about the services they receive. Verbal feedback, although preferred by many clients, is less likely to be recorded and used in service planning and evaluation. Client feedback is a valuable tool to reinforce the notion of partnership and power sharing between clients and health care workers. Staff at all levels should be engaged in obtaining feedback and the information gained should be disseminated throughout the agency in order to improve the quality and effectiveness of services. The challenge is now for service providers and users to adopt new, and support currently successful, ways of obtaining and using feedback so that service providers and users are engaged in working in partnership to ensure the needs of the community are best met.

Service planning in the Victorian community health sector

2015 ◽  
Vol 21 (3) ◽  
pp. 268 ◽  
Author(s):  
Véronique Roussy ◽  
Charles Livingstone
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Local Population ◽  
Health Sector ◽  
Community Health Services ◽  
Community Health Service ◽  
Service Planning ◽  
Health Service Planning ◽  
Comprehensive Service

Until now, comprehensive service planning has been uncommon in the Victorian community health sector. Where it has occurred, it has primarily been undertaken by community health services embedded within larger, hospital-based health services. Reflections on the utility and efficacy of community health service planning are largely absent from the Australian peer-reviewed literature. Using a case study focussed on a specific centre in Melbourne’s outer suburbs, this paper explores how community health service planning is shaped by the current policy context, the legal status of registered community health services, and the data and methodologies available to inform planning. It argues that regular and systematic service planning could support registered community health centres to better understand their unique position within the primary health-care landscape, having regard to their inherent opportunities and vulnerabilities. Furthermore, consistent and effective service planning is proposed to benefit agencies in establishing themselves as critical players in promoting local population health initiatives and driving improved health outcomes.

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