scholarly journals Effective health service planning and delivery: A qualitative case study exploring health service users perspectives

2021 ◽  
Author(s):  
Gigil Marme
Keyword(s):  
Health Service ◽  
Health Services ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Service Users ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Delivery Of Health Services

Abstract Introduction: Healthcare service is an essential determinant to population health. This qualitative case study aims to explore health service users’ perspective of effective health services delivery and the current challenges affecting the management and delivery of health services at a primary healthcare facility in Madang Province, Papua New Guinea (PNG). Methods: Qualitative data were collected using semi-structured interviews with key informants (KI) representing academics, undergraduate students, administration staff, patients and healthcare workers. The interviews covered three main areas: users’ views of effective health services, current challenges affecting effective planning and management of primary healthcare services, and interventions to improve health services planning and delivery. Results: The services users associated effective health services delivery with increased availability, accessibility, acceptability, and quality healthcare. Many factors exist to influence the effective planning and delivery of health services. The results show that health systems and personal factors have a major influence on the planning and health services delivery. Conclusion: The findings from this study call for an evaluation of the current healthcare system, particularly at the primary healthcare level, as the primary point of contact to the formal healthcare system, and the need for developing a contextual model of healthcare that meet the needs of the service users. We concluded that if health services users’ perspectives are considered in health policy, the local community may experience significant improvement in health status.

scholarly journals Effective health service planning and delivery: A qualitative case study exploring health service users perspectives

2021 ◽  
Author(s):  
Gigil Marme
Keyword(s):  
Health Service ◽  
Health Services ◽  
Healthcare System ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Service Users ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Delivery Of Health Services

Abstract IntroductionHealthcare service is an essential determinant to population health. This qualitative case study aims to explore health service users’ perspective of effective health services delivery and the current challenges affecting the management and delivery of health services at a primary healthcare facility in Madang Province, Papua New Guinea (PNG).MethodsQualitative data were collected using semi-structured interviews with key informants (KI) representing academics, undergraduate students, administration staff, patients and healthcare workers. The interviews covered three main areas: users’ views of effective health services, current challenges affecting effective planning and management of primary healthcare services, and interventions to improve health services planning and delivery.ResultsThe services users associated effective health services delivery with increased availability, accessibility, acceptability, and quality healthcare. Many factors exist to influence the effective planning and delivery of health services. The results show that health systems and personal factors have a major influence on the planning and health services delivery.ConclusionThe findings from this study call for an evaluation of the current healthcare system, particularly at the primary healthcare level, as the primary point of contact to the formal healthcare system, and the need for developing a contextual model of healthcare that meet the needs of the service users. We concluded that if health services users’ perspectives are considered in health policy, the local community may experience significant improvement in health status.

scholarly journals Effective Health Services Planning and Delivery: A Qualitative Case Study Exploring Health Services Users’ Perspectives

2021 ◽  
Vol 6 (3) ◽  
Author(s):  
Marme G
Keyword(s):  
Health Services ◽  
Papua New Guinea ◽  
Qualitative Case Study ◽  
Healthcare Facility ◽  
Service Users ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Health Services Planning ◽  
Delivery Of Health Services

Introduction: Healthcare service is an essential determinant of population health. This qualitative case study aims to explore health service users’ perspectives of effective health services delivery and the current challenges affecting the management and delivery of health services at a primary healthcare facility in Madang Province, Papua New Guinea (PNG).

scholarly journals Effective health services planning and management: a qualitative case study exploring health services users perspectives

2020 ◽  
Author(s):  
Gigil Marme
Keyword(s):  
Health Services ◽  
Health Systems ◽  
Management Practices ◽  
Major Influence ◽  
Personal Factors ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Planning And Management ◽  
Health Services Planning

Abstract Background: Planning and management of effective primary health services is a major problem for both the developing and developed countries. The aim of this case study is to explore health services users’ perspective of effective health services delivery and understand the current challenges affecting the management of health services at the health facility. Methods: Qualitative data were collected using semi-structured interviews with key informants representing academics, undergraduate students, administration staff and healthcare workers. The interviews covered three main areas: users’ views of effective health services, current challenges affecting effective planning and management of primary healthcare services, and interventions to improve health services planning and management.Results: Many factors exist to influence the effective delivery of health services. Patients experienced several factors that affected their abilities to access to health services. The results show that health systems and personal factors have a major influence on the management and health services delivery. Conclusion: Poor management of health systems context has a major influence on health services delivery. This has led to poor population health outcomes especially in developing countries. Improved management and planning of health systems including infrastructures, medical supplies, healthcare workforce, medical equipment and leadership and governance and collaboration with key stakeholders’ may result in improved health services management practices. If the health systems are adequately supported, the local community may experience significant improvement in health status.

Deploying unqualified personnel in health records practice: Role substitution or quackery? Implications for health services delivery in Nigeria

2018 ◽  
Vol 48 (3) ◽  
pp. 152-156 ◽  
Author(s):  
Ibrahim Taiwo Adeleke ◽  
Qudrotullaah Bolanle Suleiman-Abdul ◽  
Amina Aliyu ◽  
Ismaeel A Ishaq ◽  
Razzaq A Adio
Keyword(s):  
Health Services ◽  
Health Information ◽  
Information Management ◽  
Healthcare Professionals ◽  
Standard Of Care ◽  
Health Information Management ◽  
Health Records ◽  
Health Services Delivery ◽  
Services Delivery ◽  
Delivery Of Health Services

Healthcare professionals are obliged to work collaboratively regardless of their professional differences in order to provide the highest possible standard of care to patients. However, this type of collaboration can also lead to role substitution and, in effect, engagement of unqualified personnel in all health professions, including the health information management profession. This is a particular problem in developing nations such as Nigeria, where this trend has the potential to undermine the delivery of health services, the quality and the confidentiality of health information and trust between patients and healthcare professionals. To clarify and protect the professional identity of qualified health information management professionals in Nigeria and to prevent other experts who also work in health facilities (e.g. IT specialists, librarians) from claiming membership of the profession, the nomenclature for the health information management profession has been changed to health records and information management profession.

scholarly journals How to increase the value of self-reported health service data by using data linkage: a case study

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
W Peng ◽  
J Maguire ◽  
A Hayen ◽  
J Adams ◽  
D Sibbritt
Keyword(s):  
Data Collection ◽  
Health Service ◽  
Health Services ◽  
Stroke Prevention ◽  
Data Linkage ◽  
Recurrent Stroke ◽  
Service Planning ◽  
Stroke Survivors ◽  
Reported Data

Abstract Background This is a case study for recurrent stroke prevention. Lifestyle factors account for about 80% of the risk of recurrent stroke. Most health services studies examining stroke prevention rely on stroke survivors' self-reported lifestyle behaviour data. How can researchers increase the value of collected self-reported data to provide additional information for more comprehensive assessments? Methods 45 and Up Study is the largest ongoing study in the Southern Hemisphere focusing on the health of people aged 45 years and older living in NSW, Australia. This case study linked self-reported longitudinal lifestyle data in the 45 and Up Study, with corresponding mortality data (i.e. NSW Registry of Births, Deaths and Marriages & NSW Cause of Death Unit Record File) and hospital data (i.e. NSW Admitted Patient Data Collection) via the Centre for Health Record Linkage (CHeReL). The main outcome measures are health services, clinical outcomes, and mortality rates for stroke care. The analyses will include descriptive analysis, multivariate regression analysis, and survival analysis. Results A total of 8410 stroke survivors who participated in the 45 and Up Study were included in this data linkage study. From January 2006 to December 2015, 99249 hospital claims (mean: 13 times admission to hospital per person) and 2656 death registration records have been linked to these participants. The mean age of the stroke survivors was 72 (SD = 11) years, with 56% being males. These results are preliminary and more analyses will be conducted by using quality of life status, clinical diagnosis, comorbidities, and procedures. Conclusions Data linkage enables researchers to generate comprehensive findings on health services studies and gain a more holistic understanding of the determinants and outcomes of stroke prevention with lower data collection costs and less burden on participants. Key messages Data linkage brings about a new opportunity for self-reported data on health services utilisation. It is a cost-effective way to enhance existing self-reported data via the data linkage approach to increase its usefulness for informing health service planning.

scholarly journals Remote care for mental health: qualitative study with service users, carers and staff during the COVID-19 pandemic

BMJ Open ◽  
2021 ◽  
Vol 11 (4) ◽  
pp. e049210
Author(s):  
Elisa Liberati ◽  
Natalie Richards ◽  
Jennie Parker ◽  
Janet Willars ◽  
David Scott ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Mental Healthcare ◽  
Well Being ◽  
Comparison Method ◽  
Service Users ◽  
Qualitative Interview Study ◽  
Remote Care

ObjectivesTo explore the experiences of service users, carers and staff seeking or providing secondary mental health services during the COVID-19 pandemic.DesignQualitative interview study, codesigned with mental health service users and carers.MethodsWe conducted semistructured, telephone or online interviews with a purposively constructed sample; a lived experience researcher conducted and analysed interviews with service users. Analysis was based on the constant comparison method.SettingNational Health Service (NHS) secondary mental health services in England between June and August 2020.ParticipantsOf 65 participants, 20 had either accessed or needed to access English secondary mental healthcare during the pandemic; 10 were carers of people with mental health difficulties; 35 were members of staff working in NHS secondary mental health services during the pandemic.ResultsExperiences of remote care were mixed. Some service users valued the convenience of remote methods in the context of maintaining contact with familiar clinicians. Most participants commented that a lack of non-verbal cues and the loss of a therapeutic ‘safe space’ challenged therapeutic relationship building, assessments and identification of deteriorating mental well-being. Some carers felt excluded from remote meetings and concerned that assessments were incomplete without their input. Like service users, remote methods posed challenges for clinicians who reported uncertainty about technical options and a lack of training. All groups expressed concern about intersectionality exacerbating inequalities and the exclusion of some service user groups if alternatives to remote care are lost.ConclusionsThough remote mental healthcare is likely to become increasingly widespread in secondary mental health services, our findings highlight the continued importance of a tailored, personal approach to decision making in this area. Further research should focus on which types of consultations best suit face-to-face interaction, and for whom and why, and which can be provided remotely and by which medium.

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