scholarly journals A Critical Evaluation of Decentralised Radiological Services in Norway – a rural case study

2019 ◽  
Author(s):  
Aud Mette Myklebust ◽  
Hilde Eide ◽  
Brian Ellis ◽  
Rona Beattie
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Focus Groups ◽  
Rural Area ◽  
Rural Areas ◽  
Critical Evaluation ◽  
Primary Data ◽  
Health Care Professions

Abstract Background Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralise health care services from centralised hospitals to the local communities. Radiological services in Norway are mainly organised in hospitals, because of the significant financial and human resource demands engendered by the need for advanced technological equipment, and specialised staff. Some selected conventional x-ray services have been decentralised into rural communities. The purpose of this case study was to evaluate different stakeholders’ perceptions of organizing decentralised radiological services in a rural area in Norway. Methods Following an extensive policy and literature review and a survey of GPs in the rural area being investigated two focus groups were conducted to obtain stakeholder’s evaluation of the radiological services in both hospital and rural contexts. The key emergent themes from the literature - decentralization, quality, professional roles, organisation and economic consequences – were discussed with each focus group. Thematic analysis was used for analyzing the primary data collected. Results Four main themes emerged from the focus groups: organisation, quality, funding of radiological services and cooperation between health care professions and health care levels. The quality of service was found to be inadequate in some areas because of the superficial level of training given to non-radiographic staff. It was found that the organisation of decentralised radiological services to rural areas is challenging because of the way health services are structured in Norway. This structural framework increases the need for effective cooperation and responsibility between health care professions and levels. There needs to be improved co-working by clearly defining roles and responsibilities. Conclusions The stakeholders agreed that decentralized radiological services is important. Quality of the service could be improved and should be given priority. A key recommendation for the organisation of rural radiological service was the development of a satellite link with an acute hospital. Structural change to the financial system whereby money follows patients, might also facilitate more patient-centred services across healthcare levels. Improved mutual understanding between rural radiolog­ical services and hospital specialists and managers is important for a high quality and consistent radiological service to be delivered across Norway.

scholarly journals Experiences from Decentralised Radiological Services in Norway- a rural case study.

2019 ◽  
Author(s):  
Aud Mette Myklebust ◽  
Hilde Eide ◽  
Brian Ellis ◽  
Rona Beattie
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Rural Area ◽  
Single Case ◽  
Health Care Service ◽  
Primary Data ◽  
Single Case Study ◽  
Health Care Professions

Abstract Background Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralise health care services from centralised hospitals to local communities. Radiological services in Norway are mainly organised in hospitals, because of the significant financial and human resource demands engendered by the need for advanced technological equipment, and specialised staff. Some selected conventional x-ray services have been decentralised into rural communities. The purpose of this single case study was to highlight experiences from different stakeholders’ of organiseing decentralised radiological services in a rural area in Norway. Methods A qualitative single case study design was adopted, collected data using focus groups with healthcare professionals and managers to obtain stakeholder’s experiences of the radiological services in this rural area. The key emergent themes from the literature, decentralisation, quality, professional roles, organisation and economic consequences were discussed with each focus group. Thematic analysis was used for analyzing the primary data collected. Results Four main themes emerged from the focus groups: 1) organisation, 2) quality and safety, 3) funding of radiological services and 4) cooperation between health care professions and health care levels. It was found that the organisation of decentralised radiological services to rural areas is challenging because of the way health services are structured in Norway. The quality of service was found to be inadequate in some areas because of the superficial level of training given to non-radiographic staff. The experience is that the Norwegian funding system hinders an efficient decentralised health care service. Effective cooperation and responsibility between health care professions and levels was challenging. There needs to be improved co-working by clearly defining roles and responsibilities. Conclusions A key recommendation for the organisation of rural radiological service was the development of a satellite link with an acute hospital. Quality of the service could be improved and should be given priority. Structural change to the financial system whereby money follows patients, might also facilitate more patientcentred services across healthcare levels. Improved mutual understanding between rural radiological services and hospital specialists and managers is important for a high quality and consistent radiological service to be delivered across Norway.

scholarly journals Experiences from Decentralised Radiological Services in Norway – a rural case study

2019 ◽  
Author(s):  
Aud Mette Myklebust ◽  
Hilde Eide ◽  
Brian Ellis ◽  
Rona Beattie
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Rural Area ◽  
Single Case ◽  
Health Care Service ◽  
Primary Data ◽  
Single Case Study ◽  
Health Care Professions

Abstract Background Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralise health care services from centralised hospitals to local communities. Radiological services in Norway are mainly organised in hospitals, because of the significant financial and human resource demands engendered by the need for advanced technological equipment, and specialised staff. Some selected conventional x-ray services have been decentralised into rural communities. The purpose of this single case study was to highlight experiences from different stakeholders’ of organiseing decentralised radiological services in a rural area in Norway. Methods A qualitative single case study design was adopted, collected data using focus groups with healthcare professionals and managers to obtain stakeholder’s experiences of the radiological services in this rural area. The key emergent themes from the literature, decentralisation, quality, professional roles, organisation and economic consequences – were discussed with each focus group. Thematic analysis was used for analyzing the primary data collected. Results Four main themes emerged from the focus groups: 1)organisation, 2)quality and safety, 3)funding of radiological services and 4) cooperation between health care professions and health care levels. It was found that the organisation of decentralised radiological services to rural areas is challenging because of the way health services are structured in Norway. The quality of service was found to be inadequate in some areas because of the superficial level of training given to non-radiographic staff. The experience is that the Norwegian funding system hinders an efficient decentralised health care service. Effective cooperation and responsibility between health care professions and levels was challenging. There needs to be improved co-working by clearly defining roles and responsibilities. Conclusions A key recommendation for the organisation of rural radiological service was the development of a satellite link with an acute hospital. Quality of the service could be improved and should be given priority. Structural change to the financial system whereby money follows patients, might also facilitate more patient-centred services across healthcare levels. Improved mutual understanding between rural radiological services and hospital specialists and managers is important for a high quality and consistent radiological service to be delivered across Norway.

scholarly journals Experiences from Decentralised Radiological Services in Norway – a rural case study

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Aud Mette Myklebust ◽  
Hilde Eide ◽  
Brian Ellis ◽  
Rona Beattie
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Rural Area ◽  
Single Case ◽  
Health Care Service ◽  
Primary Data ◽  
Single Case Study ◽  
Health Care Professions

Abstract Background Implementation of the Norwegian government’s Coordination Reform (2012) aims to decentralise health care services from centralised hospitals to local communities. Radiological services in Norway are mainly organised in hospitals, because of the significant financial and human resource demands engendered by the need for advanced technological equipment, and specialised staff. Some selected conventional x-ray services have been decentralised into rural communities. The purpose of this single case study was to highlight experiences from different stakeholders’ of organising decentralised radiological services in a rural area in Norway. Methods A qualitative single case study design was adopted, collected data using focus groups with healthcare professionals and managers to obtain stakeholder’s experiences of the radiological services in this rural area. The key emergent themes from the literature, decentralisation, quality, professional roles, organisation and economic consequences were discussed with each focus group. Thematic analysis was used for analyzing the primary data collected. Results Four main themes emerged from the focus groups: 1) organisation, 2) quality and safety, 3) funding of radiological services and 4) cooperation between health care professions and health care levels. It was found that the organisation of decentralised radiological services to rural areas is challenging because of the way health services are structured in Norway. The quality of service was found to be inadequate in some areas because of the superficial level of training given to non-radiographic staff. The experience is that the Norwegian funding system hinders an efficient decentralised health care service. Effective cooperation and responsibility between health care professions and levels was challenging. There needs to be improved co-working by clearly defining roles and responsibilities. Conclusions A key recommendation for the organisation of rural radiological service was the development of a satellite link with an acute hospital. Quality of the service could be improved and should be given priority. Structural change to the financial system whereby money follows patients, might also facilitate more patientcentred services across healthcare levels. Improved mutual understanding between rural radiological services and hospital specialists and managers is important for a high quality and consistent radiological service to be delivered across Norway.

scholarly journals Maternal Health Care Providers and the Challenges of Quality Services in Rural Communities of Kaduna State, Nigeria

2012 ◽  
Vol 10 (1) ◽  
Author(s):  
Godswill James ◽  
Ada Helen Ochi
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Maternal Health ◽  
Health Care Providers ◽  
Rural Areas ◽  
Maternal Health Care ◽  
Care Providers ◽  
Quality Health Care ◽  
Cross Sectional

It is widely assumed by maternal health care programmers and policy makers that expanding coverage of maternal health care services will improve reproductive health indices such as maternal mortality; this is without taking into account the quality of care especially in rural areas. Despite various attempts by Governments to increase the utilization of maternity service and improve maternal health, the progress made so far remains little in rural areas. This study examines the challenges faced by maternal health care providers in providing quality services in rural communities of Kaduna State. A community-based cross-sectional research design was adopted and data were obtained using both quantitative and qualitative methods. A survey of 300 women aged 15-49 years was carried out, using multi-stage sampling techniques involving Local Government Areas, wards, main streets, houses, households and individuals. Focus group discussions were conducted among women who delivered three months before the survey, and those who experienced acute morbidity and complications. In-depth interviews were conducted with maternal health care providers in the study communities. The study reveals inadequacy in equipment, number and quality of staff in the rural health facilities; younger women were more likely to have positive experience of care than older women. Care was discontinued if health care providers were perceived as unqualified, neglectful or too young. Many pregnant women were discouraged from taking their drugs due to the perception that the drugs increased the baby’s weight which makes delivery difficult. Engagement with political, religious leaders and community groups needs to be fostered through sensitization and sustained advocacy to remove constraints to accessibility of quality health care in rural areas.

scholarly journals KONSEP KAMPUNG PENDIDIKAN DAN PELATIHAN KERJA

Vitruvian ◽  
2019 ◽  
Vol 8 (2) ◽  
pp. 67
Author(s):  
La Ode Abdul Rachmad Sabdin Andisiri ◽  
Ishak Kadir ◽  
Muhammad Zakaria Umar
Keyword(s):  
Rural Communities ◽  
Human Resources ◽  
Rural Community ◽  
Rural Areas ◽  
Job Creation ◽  
Community Resources ◽  
Case Study Method ◽  
The Village

Pembangunan perdesaan adalah bagian integral dari pembangunan Indonesia, hakekat pembangunan adalah pembangunan manusia dan sumber daya manusia di perdesaan masih sangat rendah sehingga, arah pembangunan desa sebaiknya mengutamakan manusia dan penciptaan lapangan kerja. Penelitian ini bertujuan (1)  mengetahui fasilitas yang dibutuhkan oleh masyarakat perdesaan sebagai prasarana belajar, (2) menemukan rumusan kawasan binaan kampung kerja sebagai kawasan aglomerasii pendidikan sebagai upaya peningkatan kualitas sumber daya masyarakat desa. Penelitian ini diselenggarakan di Kabupaten Muna dan metode penelitian ini berlandaskan pada paradigma post-positivisme yakni metode studi kasus pendekatan kualitatif dimana aspek – aspek yang dianalisis adalah angkatan kerja, sektor ekonomi, kebutuhan bangunan, infrastruktur, dan zonasi keruangan. Penelitian ini menemukan dua temuan (1) kebutuhan akan fasilitas yang dibutuhkan untuk peningkatan kualitas angkatan kerja, (2) rumusan model kawasan binaan kampung pendidikan dan pelatihan kerja sebagai kawasan aglomerasi peningkatan sumber daya manusia perdesaan.Rural development is an integral part of Indonesia's development, the essence of development is human development and human resources in rural areas are still very low so that the direction of rural development should prioritize humans and job creation. The objetives of this research are (1) find out the facilities needed by rural communities as learning infrastructure, (2) find the formulation of the working area of the working village as an educational agglomeration area as an effort to improve the quality of rural community resources. This research was conducted in Muna Regency and this research method was based on the post-positivism paradigm, a case study method of qualitative approach where the aspects analyzed were labor force, economic sector, building needs, infrastructure, and spatial zoning. This study found two findings (1) the need for facilities needed to improve the quality of the workforce, (2) the formulation of the model of the village built area of education and job training as an agglomeration area to increase rural human resources.  

Case Study: State Innovations in Rural Training

2019 ◽  
pp. 471-482
Author(s):  
Kristi Martinsen ◽  
Michelle Goodman
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Rural Areas ◽  
The United States ◽  
Community Needs ◽  
Provider Shortages ◽  
Rural Training ◽  
Health Care Innovation ◽  
Care Innovation

This chapter's focus is on the development and implementation of innovative health care solutions in rural communities in the United States. It looks at the challenges for finding the most appropriate health care innovation in a rural community. The chapter gives a number of examples in order to provide a glimpse into initiatives and programs that assess community needs, address provider shortages in rural areas, and continue to bring a population health focus to the system of care in rural areas, given provider shortages.

scholarly journals Social Entrepreneurship in the Leadership of Grassroots Innovation Movement: A Case Study of Joglo Tani in Yogyakarta

2020 ◽  
Vol 32 (3) ◽  
pp. 259
Author(s):  
Setiadi Setiadi
Keyword(s):  
Rural Areas ◽  
Social Transformation ◽  
Media Analysis ◽  
Primary Data ◽  
Literature Study ◽  
Social Entrepreneurs ◽  
Bottom Up ◽  
Grassroots Innovation

This article is based on a case study in Joglo Tani, a local organization that focuses its programs on promoting new agricultural technology and urban farming while promoting food security for local people. It represents what characterizes the grassroots movement while destroying negative opinion about grassroots innovation. The success of Joglo Tani is influenced by the quality of leadership as social entrepreneurs as well as the quality of the network of activists and an organization that produce new, bottom-up solutions, and the ability of the solutions they produce to address local situations, concerning individual and social problems. The organizing of Joglo Tani innovations in the local realm has brought about a process of social transformation in rural areas, particularly in resource management and the system for organizing agricultural work. Through a voluntary movement, informal networks, and the ability to manage the potential of the environment, leadership is able to carry out the transformation process on an increasingly massive scale. This study proves that leadership in a bottom-up movement of ‘activist and organizational networks’ has succeeded in responding to the challenges of food supply limitations, moving towards sustainable food through instilling fundamental values of organizational life and technological breakthroughs as well as local institutions. Methodologically, the research was conducted through a comprehensive literature study stage related to grassroots innovation movements, while primary data collection was carried out through participatory observation, in-depth interviews, social and conventional media analysis, and interviews with community figures.

scholarly journals The Quality Mental Health Care Network: A roadmap to improving quality mental healthcare in Canada

2021 ◽  
Vol 34 (2) ◽  
pp. 100-106
Author(s):  
Emily J. Follwell ◽  
Siri Chunduri ◽  
Claire Samuelson-Kiraly ◽  
Nicholas Watters ◽  
Jonathan I. Mitchell
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Focus Groups ◽  
Lived Experiences ◽  
Mental Healthcare ◽  
Care Network ◽  
Key Informant ◽  
Health Care Network

Although there are numerous quality of care frameworks, little attention has been given to the essential concepts that encompass quality mental healthcare. HealthCare CAN and the Mental Health Commission of Canada co-lead the Quality Mental Health Care Network (QMHCN), which has developed a quality mental healthcare framework, building on existing provincial, national, and international frameworks. HealthCare CAN conducted an environmental scan, key informant interviews, and focus groups with individuals with lived experiences to develop the framework. This article outlines the findings from this scan, interviews and focus groups.

scholarly journals Building Bio-Districts or Eco-Regions: Participative Processes Supported by Focal Groups

Agriculture ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. 511
Author(s):  
Raquel S. Dias ◽  
Daniela V.T.A. Costa ◽  
Helena E. Correia ◽  
Cristina A. Costa
Keyword(s):  
Focus Groups ◽  
Organic Farming ◽  
Rural Areas ◽  
Food System ◽  
Social Economic ◽  
Agricultural Activities ◽  
Family Farmers ◽  
Governance Model ◽  
Environmental Component

Over the years, rural areas have faced a number of problems and difficulties, such as an increase in the average age of the population, desertification, loss of employment and the abandonment of rural and agricultural activities, which have led to the emergence of new initiatives aimed at revitalizing these territories from a social, economic and environmental perspective, such as the successful Bio-districts or Eco-regions (e.g., Bio-district of Cilento). Understanding and establishing a proper framework for each territory based on agroecology and participatory methodologies is still a challenge. In this sense, based on the analysis of two European examples—Cilento, Italy and São Pedro do Sul, Portugal—we described each of the building processes and defined a set of drivers that might constitute guiding principles to serve as a basis for the creation of Bio-districts or Eco-regions. The drivers’ matrix identified was discussed in three focus groups carried out in Portugal in 2020. Such drivers included a technical and environmental component (the quality of the environment and landscape, the food system and the implementation of organic farming and agroecological practices), a social and economic component (valorization of the farmers, products and territories and a set of different stakeholders—farmers, consumers, schools, tourism entities and restaurants, local authorities) and a political component (the governance model). Most participants agreed that the recognition of a Bio-district or Eco-region should be informal, bottom-up, with farmers as the main pillar, with a fair and representative participation, namely family farmers.

scholarly journals What Are the Impacts of Social Innovation? A Synthetic Review and Case Study of Community Forestry in the Scottish Highlands

2021 ◽  
Vol 13 (8) ◽  
pp. 4359
Author(s):  
Carla Barlagne ◽  
Mariana Melnykovych ◽  
David Miller ◽  
Richard J. Hewitt ◽  
Laura Secco ◽  
...  
Keyword(s):  
Rural Communities ◽  
Rural Areas ◽  
Community Forestry ◽  
Social Innovation ◽  
Local Development ◽  
Evidence Base ◽  
Social Dimension ◽  
Vulnerable Groups ◽  
Study Approach

In a context of political and economic austerity, social innovation has been presented as a solution to many social challenges, old and new. It aims to support the introduction of new ideas in response to the current urgent needs and challenges of vulnerable groups and seems to offer promising solutions to the challenges faced by rural areas. Yet the evidence base of the impacts on the sustainable development of rural communities remains scarce. In this paper, we explore social innovation in the context of community forestry and provide a brief synthetic review of key themes linking the two concepts. We examine a case of social innovation in the context of community forestry and analyse its type, extent, and scale of impact in a marginalized rural area of Scotland. Using an in-depth case study approach, we apply a mixed research methodology using quantitative indicators of impact as well as qualitative data. Our results show that social innovation reinforces the social dimension of community forestry. Impacts are highlighted across domains (environmental, social, economic, and institutional/governance) but are mainly limited to local territory. We discuss the significance of those results in the context of community forestry as well as for local development. We formulate policy recommendations to foster and sustain social innovation in rural areas.

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