scholarly journals Family Members’ Perspectives on Family and Social Support Available to Suicidal Patients, and Health Systems’ Interactions and Responses to Suicide Cases in Alberta: Protocol for a Quantitative Research Study

10.2196/19112 ◽  
2020 ◽  
Vol 9 (11) ◽  
pp. e19112
Author(s):  
Rabab M Abou El-Magd ◽  
Liana Urichuk ◽  
Shireen Surood ◽  
Daniel Li ◽  
Andrew Greenshaw ◽  
...  

Background Suicide is a major cause of preventable death globally and a leading cause of death by injury in Canada. To support people who experience suicidal thoughts and behaviors and to ultimately prevent people from dying by suicide, it is important to understand individual and familial experiences with the health care system. Objective We present the protocol for a study, the objective of which is to explore how people who died by suicide, and their family members, interacted with the health care system. Methods This is a quantitative research study. Data will be collected through a self-administered paper-based or online survey of the family member of patients who died by suicide. The sample size was calculated to be 385 (margin of error ±3%). Results Data collection will start in October 2020 and results will be available by March 2021. We expect the results to shed light on the experiences of individuals who died by suicide and their family members with the health care system. The study has received ethical clearance from the Health Ethics Research Board of the University of Alberta (Pro00096342). Conclusions Our study may inform practice, policy, and future research. The findings may shape how members of the health care system respond to people who are at risk of suicide and their families. International Registered Report Identifier (IRRID) PRR1-10.2196/19112

2020 ◽  
Author(s):  
Rabab M Abou El-Magd ◽  
Liana Urichuk ◽  
Shireen Surood ◽  
Daniel Li ◽  
Andrew Greenshaw ◽  
...  

BACKGROUND Suicide is a major cause of preventable death globally and a leading cause of death by injury in Canada. To support people who experience suicidal thoughts and behaviors and to ultimately prevent people from dying by suicide, it is important to understand individual and familial experiences with the health care system. OBJECTIVE We present the protocol for a study, the objective of which is to explore how people who died by suicide, and their family members, interacted with the health care system. METHODS This is a quantitative research study. Data will be collected through a self-administered paper-based or online survey of the family member of patients who died by suicide. The sample size was calculated to be 385 (margin of error ±3%). RESULTS Data collection will start in October 2020 and results will be available by March 2021. We expect the results to shed light on the experiences of individuals who died by suicide and their family members with the health care system. The study has received ethical clearance from the Health Ethics Research Board of the University of Alberta (Pro00096342). CONCLUSIONS Our study may inform practice, policy, and future research. The findings may shape how members of the health care system respond to people who are at risk of suicide and their families. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/19112


2019 ◽  
Author(s):  
Erin Bryksa ◽  
Reham Shalaby ◽  
Laura Friesen ◽  
Kirsten Klingle ◽  
Graham Gaine ◽  
...  

BACKGROUND Suicide is a major cause of preventable death globally and a leading cause of death by injury in Canada. To support people who experience suicidal thoughts and behaviors and ultimately prevent people from dying by suicide, it is important to understand the individual and familial experiences with the health care system. OBJECTIVE This study aims to explore how suicide victims, and their family members, interacted with the health care system. METHODS We will invite family members of 6 to 8 suicide victims to participate in the study by sharing their perspectives on both their relative’s as well as their own interactions with the health care system. Interviews will take place in-person and will be audio recorded, transcribed, and analyzed thematically. RESULTS The results of the study are expected to be available in 12 months. We expect the results to shed light on the experiences of suicide victims and their family members with the health care system. CONCLUSIONS Our study results may inform practice, policy, and further research. They may shape how members of the health care system respond to people who are at risk of suicide and their families. INTERNATIONAL REGISTERED REPOR PRR1-10.2196/13797


10.2196/13797 ◽  
2019 ◽  
Vol 8 (8) ◽  
pp. e13797
Author(s):  
Erin Bryksa ◽  
Reham Shalaby ◽  
Laura Friesen ◽  
Kirsten Klingle ◽  
Graham Gaine ◽  
...  

Background Suicide is a major cause of preventable death globally and a leading cause of death by injury in Canada. To support people who experience suicidal thoughts and behaviors and ultimately prevent people from dying by suicide, it is important to understand the individual and familial experiences with the health care system. Objective This study aims to explore how suicide victims, and their family members, interacted with the health care system. Methods We will invite family members of 6 to 8 suicide victims to participate in the study by sharing their perspectives on both their relative’s as well as their own interactions with the health care system. Interviews will take place in-person and will be audio recorded, transcribed, and analyzed thematically. Results The results of the study are expected to be available in 12 months. We expect the results to shed light on the experiences of suicide victims and their family members with the health care system. Conclusions Our study results may inform practice, policy, and further research. They may shape how members of the health care system respond to people who are at risk of suicide and their families. International Registered Report Identifier (IRRID) PRR1-10.2196/13797


2021 ◽  
Author(s):  
Maja Bertram ◽  
Urs Steiner Brandt ◽  
Rikke Klitten Hansen ◽  
Gert Tinggaard Svendsen

Abstract Background: Does higher health literacy lead to higher trust in public hospitals? Existing literature suggests that this is the case since a positive association between the level of health literacy and the level of trust in physicians and the health care system has been shown. This study aims to challenge this assumption. Methods: Based on theoretical arguments from game theory and analysis of empirical data, we argue that the association is better described as an inversely u-shaped curve, suggesting that low and high levels of health literacy lead to a lower level of trust than a medium level of health literacy does. The empirical analysis is based on a study of the Danes’ relationship to the overall health care system. More than 6,000 Danes have been asked about their overall expectations of the health service, their concrete experiences and their attitudes to a number of change initiatives. Results: Game theory analysis show that the combined perceived cooperation and benefit effects can explain an inversely u-shaped relationship between social groups and trust in the health care system. Based on quantitative, binary regression analyses of empirical data, the lowest degree of trust is found among patients from the lowest and highest social groups, while the highest degree of trust is found in the middle group. The main driver for this result is that while patients having low health literacy perceive that the health care system is not cooperative, patients with a high level of health literacy have high expectations about the quality, which the health care system might not be able to provide. This reduces the perceived benefit from their encounter with the health care system. Conclusion: It is important that health care professionals understand that some patient groups have a higher chance of cooperation (e.g., agreeing on the choice of treatment) or defection (e.g. passing a complaint) than others. In perspective, future research should undertake further qualitative examinations of possible patient types and their demands in relation to different health care sectors, focusing specifically on the opportunities to improve the handling of different patient types.


2019 ◽  
Vol 5 (15) ◽  
pp. 1251-1258
Author(s):  
Venelin Terziev ◽  
Stoyanka Petkova ◽  
GEORGİEVA GEORGİEVA

One of the most significant characteristics on which the Bulgarian social health care system competitiveness depends is the level of decentralization. In this study the authors explain a methodology for estimating the level of decentralization by using the knowledge of the so-called performance measurement system (PMS). The established theoretical model is tested among health care managers in 78 sub-divisional units randomly chosen among the Bulgarian health care system – facilities and hospitals. There have been made several conclusions that could be a base for future research and discussion. Keywords: competitiveness, impact, level of decentralization, Bulgarian health care system.


2012 ◽  
Vol 2 (1) ◽  
pp. 5-11 ◽  
Author(s):  
Caroline S. E. Homer ◽  
Tauaitala Lees ◽  
Pelenatete Stowers ◽  
Fulisia Aiavao ◽  
Annabel Sheehy ◽  
...  

A traditional birth attendant (TBA) is a person who assists the mother during childbirth and who initially acquired her skills by delivering babies herself or through apprenticeship to other TBAs. In many parts of the world, TBAs continue to provide a significant proportion of maternity care during pregnancy, birth, and the postpartum period. In Samoa, TBAs are recognized part of both the formal and informal health care system. The aim of this research was to examine the contribution that TBAs made in the provision of maternity care in Samoa. A descriptive study was undertaken, and 100 TBAs who had attended more than 400 births a year were interviewed as part of a broader Safe Motherhood Needs Assessment.The findings highlighted that although TBAs can work in collaboration with individual health providers or facilities or be integrated into the health system, TBAs were often practicing autonomously within their communities, independent of collaborative links. This study showed that formal recognition and registration of TBAs would improve the recording of births and augment their partnership to the formal health care system. This formal registration process has since been implemented to improve monitoring and evaluation and assist future research with this important group.


Author(s):  
Donald W. M. Juzwishin

Web 2.0 and Web 3.0 emerge at a time when health care reforms are stymied. Current barriers to an effectively functioning health care system are linked to the historical, political and social institutions and processes that are preventing health system interoperability causing issues with access (to service and information), continuity of care, safety and the assessment of program delivery. An interoperability framework, identifying citizens, providers, policy makers and researchers is developed and related to the improvement of understanding, access, trust, discourse, and practice for the purpose of moving toward a high performing health care system. Web 2.0 and Web 3.0 offer great promise as an eHealth platform to synergistically catalyze significant improvements to health care delivery, however, caution is advised about uncritical adoption. Barriers to progress and opportunities for advancement are identified and questions for future research are posited.


2015 ◽  
Vol 1 (5) ◽  
pp. 221
Author(s):  
Gulbadan Bekembayeva ◽  
Vitalii Koikov ◽  
Aigul Mergentay ◽  
Galia Mussina ◽  
Makar Solodovnikov

Context: Under these conditions innovative focus of the national health care system at all levels and new approaches to encourage innovation in medical organizations, taking into account the characteristics of their activities and needs of the population, become the urgent tasksAims: to study the factors constraining the introduction of new medical technologies in the health care system of Kazakhstan, and to find ways of improving innovation activity in Kazakhstan.Settings and Design: The article presents the results of the reasons that restrain the activity of development and implementation of innovation, the types of innovative technologies and their demand in the Republic of Kazakhstan.Methods and Material: online survey of health professionals on innovation in the Republic of KazakhstanStatistical analysis used: statistical analysis using the SPSS 16. In the analysis we have used descriptive statistics, factor analysis, correlation and multivariate analysis of variance.Results: It was found that in the majority of cases (62.4%), innovations were borrowed (imported from abroad), and they have mostly (63.3%) been introduced into clinical medicine by health care practitioners (66.9%), while the lowest percentage of innovative activity in the country (22.8%) was found among the specialists holding scientific and academic degrees, as well as their participation in the research.Conclusions: The factor analysis or principal components analysis suggests that the main reasons for the low innovation activity in the Republic of Kazakhstan is a lack of awareness of experts about the latest achievements of science, lack of trained personnel and insufficient target financing of innovation in health care.


2017 ◽  
Vol 12 (3) ◽  
pp. 345-362 ◽  
Author(s):  
Romy E. Bes ◽  
Emile C. Curfs ◽  
Peter P. Groenewegen ◽  
Judith D. de Jong

AbstractIn a health care system based on managed competition, health insurers negotiate on quality and price with care providers and are allowed to offer restrictive health plans. It is crucial that enrolees who need care choose restrictive health plans, as otherwise health insurers cannot channel patients to contracted providers and they will lose their bargaining power in negotiations with providers. We aim to explain enrolees’ choice of a restrictive health plan in exchange for a lower premium. In 2014 an online survey with an experimental design was conducted on members of an access panel (response 78%;n=3,417). Results showed 37.4% of respondents willing to choose a restrictive health plan in exchange for a lower premium. This fell to 22% when the restrictive health plan also included a longer travelling time. Enrolees who choose a restrictive health plan are younger and healthier, or on lower incomes, than those preferring a non-restrictive one. This means that enrolees who use care will be unlikely to choose a restrictive health plan and, therefore, health insurers will not be able to channel them to contracted care providers. This undermines the goals of the health care system based on managed competition.


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