scholarly journals Introducing Patient Reported Measures (PRMs) Into Finnish Public Maternity Service: A Study on Professionals’ Views

2021 ◽  
Author(s):  
An Chen ◽  
Kirsi Väyrynen ◽  
Riikka-Leena Leskelä ◽  
Seppo Heinonen ◽  
Paul Lillrank ◽  
...  
Keyword(s):  
Maternity Care ◽  
Care Service ◽  
Health Care Service ◽  
Routine Practice ◽  
Successful Implementation ◽  
Maternity Service ◽  
Structured Interviews ◽  
Pregnancy And Childbirth ◽  
Patient Reported ◽  
Patient Reported Measures

Abstract Background: The importance and potential benefits of introducing patient reported measures (PRMs) into health care service have been widely acknowledged, yet the experience regarding their implementation into practice is limited. There is a considerable paucity of research in adopting PRMs in maternity care. This study, which utilizes the PRMs included in Pregnancy and Childbirth (PCB) outcome set developed by International Consortium for Health Outcomes Measurement (ICHOM) as sample measures, aims to elicit Finnish professionals’ views on PRMs and to explore the applicability of PRMs in Finnish public maternity care. Methods: This qualitative study, applying semi-structured interviews, is designed to describe the local professionals’ views towards the application of PRMs in Finnish public maternity care. Professionals were asked to assess the PRMs defined in ICHOM PCB set and provide their expectations and concerns on the implementation of PRMs in Finnish public maternity service. Results: Twenty professionals participated in the interviews. Participants agreed on the importance and relevance of the PRMs questions included in ICHOM PCB set for delivering and developing maternity care in Finland. However, they criticized the number and length of questions as well as the recommended time points of data collection. In addition, for a successful implementation, various steps like developing suitable questions, redesigning service pathway and protocols, and motivating patients were considered to be important. Also, some potential obstacles, difficulties and risks associated with the implementation were underlined. Conclusion: This study indicates that the implementation of PRMs into Finnish public maternity service is possible, highly relevant and important. However, the adoption of PRMs into routine practice may be challenging and will require a series of efforts. This study shows viewpoints from Finnish professionals who have not participated in developing the ICHOM PCB standard set and provides important insights on the development and implementation of PRMs.

scholarly journals A qualitative study on professionals’ attitudes and views towards the introduction of patient reported measures into public maternity care pathway

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
An Chen ◽  
Kirsi Väyrynen ◽  
Riikka-Leena Leskelä ◽  
Seppo Heinonen ◽  
Paul Lillrank ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Maternity Care ◽  
Care Pathway ◽  
Care Service ◽  
Health Care Service ◽  
Routine Practice ◽  
Successful Implementation ◽  
Maternity Service ◽  
Patient Reported ◽  
Patient Reported Measures

Abstract Background The importance and potential benefits of introducing patient reported measures (PRMs) into health care service have been widely acknowledged, yet the experience regarding their implementation into practice is limited. There is a considerable paucity of research in adopting PRMs in maternity care routine. This study, which utilizes the PRMs included in Pregnancy and Childbirth (PCB) outcome set developed by International Consortium for Health Outcomes Measurement (ICHOM) as sample measures, aims to elicit Finnish professionals’ views on PRMs and to explore the applicability of PRMs in Finnish public maternity care. Methods This qualitative study, applying semi-structured interviews, described the local professionals’ views towards the application of PRMs in Finnish public maternity care. Professionals were asked to assess the PRMs defined in ICHOM PCB set and provide their expectations and concerns on the implementation of PRMs in Finnish public maternity service. Results Twenty professionals participated in the interviews. Participants agreed on the importance and relevance of the PRMs questions included in ICHOM PCB set for delivering and developing maternity care in Finland. However, they criticized the number and length of questions as well as the recommended time points of data collection. In addition, for a successful implementation, various steps like developing suitable questions, redesigning service pathway and protocols, and motivating women to respond to PRMs questions were considered to be important. Also, some potential obstacles, difficulties and risks associated with the implementation were underlined. Conclusion This study indicates that the implementation of PRMs into Finnish public maternity service is possible, highly relevant and important. However, the adoption of PRMs into routine practice may be challenging and will require a series of efforts. This study shows viewpoints from Finnish professionals who have not participated in developing the ICHOM PCB standard set and provides important insights on the development and implementation of PRMs.

scholarly journals Obesity and health care interventions: Substantiating a multi-modal challenge through the lens of grounded theory

2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Ecological Factors ◽  
Service Provisioning ◽  
Structured Interviews ◽  
Health Care Intervention ◽  
Care Intervention

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.

scholarly journals Obesity and health care interventions: Substantiating a multi-modal challenge through the lens of grounded theory

2020 ◽  
Author(s):  
M Mandlik ◽  
JG Oetzel ◽  
Djavlonbek Kadirov
Keyword(s):  
Health Care ◽  
Grounded Theory ◽  
Intervention Program ◽  
Care Service ◽  
Health Care Service ◽  
Ecological Factors ◽  
Service Provisioning ◽  
Structured Interviews ◽  
Health Care Intervention ◽  
Care Intervention

© 2020 Australian Health Promotion Association Issue addressed: One of the biggest concerns for human health in the 21st century is the ever-increasing rate of obesity and its associated budgetary implications for publicly funded health care service provisioning. This study at the outset explores the multifaceted nature of food-related consumption choices and outcomes of obesity, and later offers suggestions to improve the existing interventional strategies to curtail the epidemic. Methods: A total of 24 participants were recruited through poster invitations placed around the greater metropolitan area of Auckland, New Zealand. Participants shared their health care intervention program experiences through in-depth, semi-structured interviews. Data were analysed in keeping with traditions of constructivist grounded theory. Findings: Analysis revealed various concurrent individually acting and ecologically mediated processes which led to obesogenic outcomes as a result of social actors’ (participants) engagement in acts of (food-related) consumption practices. Conclusions: This study helps to illustrate the underlying, multifaceted processes that lead to obese individuals feeling defeated or disempowered and categorically willing, yet unable to bring about healthy changes in their lives. We hope this study will prompt health care practitioners to take a holistic approach while conceiving and deploying health care intervention programs. So what?: Current health care interventional programs are not achieving optimum solutions for those in need. All future programs need to acknowledge the roles played by an individual, as well as ecological factors, while deploying client-centric intervention solutions. Perhaps these programs are in need of a team-based approach to offer a truly “wrap-around” service provisioning strategy, rather than the traditional one-on-one consultative approaches in use at current times.

scholarly journals Barriers to implementing guideline recommendations to improve childbirth care: a rapid review of evidence

2021 ◽  
Vol 45 ◽  
pp. 1
Author(s):  
Cintia de Freitas Oliveira ◽  
Aline Ângela Victoria Ribeiro ◽  
Cézar D. Luquine Jr. ◽  
Maritsa Carla de Bortoli ◽  
Tereza Setsuko Toma ◽  
...  
Keyword(s):  
Health Care ◽  
Service Management ◽  
Care Service ◽  
Health Care Service ◽  
Rapid Review ◽  
Gender Inequalities ◽  
Successful Implementation ◽  
Socioeconomic Conditions ◽  
Care Model ◽  
Childbirth Care

Objectives. To identify potential barriers to the implementation of the National Childbirth Guidelines in Brazil based on the best available global evidence. Methods. A rapid review of evidence was performed in six databases in March/April 2019. Secondary studies published in English, Spanish, or Portuguese with a focus on barriers of any nature relating to the implementation of the Guidelines were retrieved. Results. Twenty-three documents (21 reviews and two practice guides) were included in the review. The barriers identified were grouped into 52 meaning categories and then reorganized into nine thematic clusters: delivery and childbirth care model, human resource management, knowledge and beliefs, gender relations, health care service management, attitudes and behaviors, communication, socioeconomic conditions, and political interests. Conclusions. The results show that combined approaches may be required to address different barriers to the implementation of the Guidelines. For successful implementation, it is essential to engage health care leaders, professionals, and users in the effort to change the delivery and childbirth care model. Also necessary is the development of intersectoral initiatives to improve the socioeconomic conditions of women and families and to curtail gender inequalities.

scholarly journals A Shared Information Technology-Business-Health Model: Lessons for Healthcare Leaders on Integrating Technology from Investment

2021 ◽  
Vol 7 (1) ◽  
pp. 1-18
Author(s):  
Donald M. Hilty ◽  
◽  
John Luo ◽  
Evangelina Giron ◽  
Dong-Gil Ko ◽  
...  
Keyword(s):  
Health Care ◽  
Information Technology ◽  
Service Delivery ◽  
Behavioral Health ◽  
Full Text ◽  
Care Service ◽  
Health Care Service ◽  
Successful Implementation ◽  
Manual Search ◽  
Full Text Review

Objective: Technology is rapidly shifting our day-to-day existence, education, social relationships, health care and business. Psychiatric leaders have slowly explored telepsychiatric services – but few have an approach to technology in general–due to competing clinical, educational and research demands. Technology has typically been added on, rather than integrated, to institutional functions. Method: This narrative review used a literature search of Medline, PsycNET, PsycINFO, Embase, Cochrane, SpringerLink, Scopus, ABI/Inform, Business Source Complete, and Web of Science, using subject headings and keywords along with a manual search of reference lists of articles published by November 2020. The keywords explored four areas: 1) business; 2) service delivery; 3) system change; and 4) technology. Articles were reviewed by title/abstract, full text review and review of references. They were included if they discussed integration of technology into health care and compared literature from medicine/health, psychiatry/behavioral health, business, technology, leadership and health care administration. The goal was to explore how medicine/psychiatry has integrated technology compared to business, and apply business approaches to health care and training. Results: From a total of 2,710 potential references, two authors found 327 eligible for full text review and found 69 papers directly relevant to the concepts. Business and medicine/psychiatry have similarities/differences from both historical and contemporary views. Many health care systems and companies lack a strategic plan for technology and focus only on short-term due to administrative demands. Clinical informatics is a rapidly expanding area and would be central to this process. It has started to facilitate patient-centered care as defined by quality, affordable, and timely health care. While in principle information systems use integrative approaches, electronic health records, electronic means of communications with patients and staff, behavioral health indicators and related digital advances are often added to existing systems rather than integrated. Effective businesses use integrative approaches to share domain knowledge and streamline practices to link information technology (IT) with research and development, production, financing and marketing management. A case example highlights the IT strategy and business leaders’ comments in shifting to straight through processing (STP) from the banking industry for investments. It also exemplifies a model of shared IT-business understanding, which improves performance via efficiency, quality of data/information processing/integration and managerial teamwork. Conclusion: When it is integrated into health care service delivery workflow, evaluated and quality improved, IT facilitates the translation of strategic planning into organizational change. Incremental versus strategically innovative approaches to technological integration for care, education and administration are considered. Successful implementation requires a needs and impact assessment for patients, staff, clinicians and leaders across all levels of the organization. Benefits to the mission, limited disruptions of core operational workflow and reasonable costs reduce the likelihood of failure.

scholarly journals Herbalists and their Mode of Health Care Service Delivery in Debre Markos Town, Northwest Ethiopia

2019 ◽  
Vol 6 (1) ◽  
pp. 122-137
Author(s):  
Eliyas Taha ◽  
Mindaye Shimekit Woldeyohannes
Keyword(s):  
Herbal Medicine ◽  
Medicinal Plants ◽  
Care Service ◽  
Health Care Service ◽  
Modern Medicine ◽  
Northwest Ethiopia ◽  
Primary Data ◽  
Drug Preparation ◽  
Structured Interviews ◽  
Secondary Sources

The administration of medicinal plants for treating human ailments is an age-old practice. Although several studies have been conducted, most of them focused on documentation of the medicinal plants and herbal knowledge. This study investigated why people use herbal medicine, from what conviction, and explains how the plants are collected, prepared and put to purpose. In order to get deeper information about the issue, both primary and secondary sources are consulted. Observation, semi structured interviews, and key informant interviews were used to collect the primary data.15 herbalists were used as informants to obtain information on knowledge acquisition, plant collection, drug preparation, preservation and administration. The study found that healers got the wisdom of herbal medicine from family; friends or relatives; as gift of God; and religious books. The study also uncovered that people visit herbal healers because of cost, cultural acceptability, easy accessibility, and dissatisfaction with modern medicine. Herbal healers are providing health services for a huge segment of the populations’ in spite of several challenges. Dominance of biomedicine, proliferation of quack healers, inheritance problems, absence of support from government authorities, and deforestation stand out as the major challenges for the progress and the very existence of indigenous medicine in general and herbal healers in particular.

scholarly journals NETWORK ACTION FOR THE CARE OF ADOLESCENT VICTIMS OF VIOLENCE: CHALLENGES AND POSSIBILITIES

2015 ◽  
Vol 24 (4) ◽  
pp. 976-983 ◽  
Author(s):  
Cláudia Fabiane Gomes Gonçalves ◽  
Lygia Maria Pereira da Silva ◽  
Ana Carolina Rodarti Pitangui ◽  
Cintia Cibele da Silva ◽  
Marcela Virgínia de Santana
Keyword(s):  
Health Care ◽  
Care Service ◽  
Quality Care ◽  
Health Care Service ◽  
Structured Interviews ◽  
Technical Standards ◽  
Victims Of Violence ◽  
Perception Of Health ◽  
Adolescent Victims ◽  
Service Managers

The aim of the present study was to investigate the perception of health care service managers about the network action for the care of adolescent victims of violence. A qualitative, exploratory, descriptive study conducted from May to July of 2013. The subjects were 15 managers of a hospital that is a referral center for cases of violence in the Brazilian State of Pernambuco. Data were collected through semi-structured interviews and explored using content analysis. The results indicate that social work plays an aggregating and interconnecting role as required by the network action. The health care network is appreciated, but regarded as providing insufficient actions, with lack of standardization of care and service flow. We conclude that the subjects show a positive perception of the role of the studied service, but they point out a lack of specific technical standards in the health care sector aimed at high quality care for adolescents.

scholarly journals Experiences of health care providers on pregnancy and childbirth care during the COVID-19 pandemic in Iran: a phenomenological study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sedigheh Hantoushzadeh ◽  
Maryam Bagheri ◽  
Marjan Akhavan Amjadi ◽  
Maryam Farmahini Farahani ◽  
Fedyeh Haghollahi
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Maternity Care ◽  
Phenomenological Study ◽  
Lessons Learned ◽  
Care Providers ◽  
Physical And Mental Health ◽  
Structured Interviews ◽  
Pregnancy And Childbirth ◽  
Childbirth Care

Abstract Background Coronavirus currently cause a lot of pressure on the health system. Accordingly, many changes occurred in the way of providing health care, including pregnancy and childbirth care. To our knowledge, no studies on experiences of maternity care Providers during the COVID-19 Pandemic have been published in Iran. We aimed to discover their experiences on pregnancy and childbirth care during the current COVID-19 pandemic. Methods This study was a qualitative research performed with a descriptive phenomenological approach. The used sampling method was purposive sampling by taking the maximum variation possible into account, which continued until data saturation. Accordingly, in-depth and semi-structured interviews were conducted by including 12 participants, as 4 gynecologists, 6 midwives working in the hospitals and private offices, and 2 midwives working in the health centers. Data were analyzed using Colaizzi’s seven stage method with MAXQDA10 software. Results Data analysis led to the extraction of 3 themes, 9 categories, and 25 subcategories. The themes were as follows: “Fear of Disease”, “Burnout”, and “Lessons Learned from the COVID-19 Pandemic”, respectively. Conclusions Maternal health care providers experience emotional and psychological stress and work challenges during the current COVID-19 pandemic. Therefore, comprehensive support should be provided for the protection of their physical and mental health statuses. By working as a team, utilizing the capacity of telemedicine to care and follow up mothers, and providing maternity care at home, some emerged challenges to maternal care services can be overcome.

General health care service utilisation: where, when and by whom in a socioeconomically disadvantaged population

2010 ◽  
Vol 16 (2) ◽  
pp. 132 ◽  
Author(s):  
Helen M. Achat ◽  
Paul Thomas ◽  
Glenn R. Close ◽  
Leendert R. Moerkerken ◽  
Mark F. Harris
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Median Number ◽  
Service Utilisation ◽  
Structured Interviews ◽  
Chi Square ◽  
Disadvantaged Area ◽  
Disadvantaged Population

This paper aimed to examine the utilisation of and preferences related to health care services by residents of a disadvantaged area and to identify factors associated with levels of current and future use. Data were collected from face-to-face structured interviews of randomly selected residents of a disadvantaged local government area in 2003–04. Information about respondents’ health and socioeconomic status and patterns of use and preferred features of health care was analysed in PASW Statistic 17. Chi-square statistics were used to examine differences in utilisation by sex and simple logistic regression provided sex specific age-adjusted odds ratios about frequent visits. Most respondents (95%) attended a ‘usual’ general practitioner (GP) service and about two-fifths had obtained other health care in the last 12 months. The median number of visits was four and most providers offered bulk billing (83%). Less common were visits to the dentist (32%), emergency department (14%), specialists (29%) and the hospital (5%). Providers’ skills and traits, physical access and bulk billing were key considerations for men and women when choosing a health care provider. Disadvantaged communities want skilled practitioners who reflect their demographic mix and are located at convenient and accessible clinics, which preferably bulk bill. Apart from GP visits, this group appears to make only moderate use of specialists and emergency departments, and little routine use of other primary health services.

scholarly journals Article Commentary: Patient-Reported Outcomes (PROs) and Patient-Reported Outcome Measures (PROMs)

2013 ◽  
Vol 6 ◽  
pp. HSI.S11093 ◽  
Author(s):  
Theresa Weldring ◽  
Sheree M.S. Smith
Keyword(s):  
Health Care ◽  
Health Service ◽  
Outcome Measures ◽  
Patient Reported Outcomes ◽  
Care Service ◽  
Clinical Care ◽  
Health Care Service ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Patient Reported

In recent years, there has been an increased focus on placing patients at the center of health care research and evaluating clinical care in order to improve their experience and ensure that research is both robust and of maximum value for the use of medicinal products, therapy, or health services. This paper provides an overview of patients’ involvement in clinical research and service evaluation along with its benefits and limitations. We describe and discuss patient-reported outcomes (PROs) and patient-reported outcome measures (PROMs), including the trends in current research. Both the patient-reported experiences measures (PREMs) and patient and public involvement (PPI) initiative for including patients in the research processes are also outlined. PROs provide reports from patients about their own health, quality of life, or functional status associated with the health care or treatment they have received. PROMs are tools and/or instruments used to report PROs. Patient report experiences through the use of PREMs, such as satisfaction scales, providing insight into the patients’ experience with their care or a health service. There is increasing international attention regarding the use of PREMS as a quality indicator of patient care and safety. This reflects the ongoing health service commitment of involving patients and the public within the wider context of the development and evaluation of health care service delivery and quality improvement.

Sign in / Sign up

Export Citation Format

Share Document