scholarly journals Legal Framework for the Training of Health Care Specialists in the Health Care System of Lithuania to Work with the Disabled

2020 ◽  
Vol 10 (2) ◽  
pp. 150-161
Author(s):  
Milda Ratkevičienė
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
People With Disabilities ◽  
Legal Framework ◽  
Equal Rights ◽  
Future Health ◽  
Global Trends ◽  
Care Services ◽  
The World ◽  
The Disabled

AbstractIntroduction:Health care is one of the most important fields not only in individual countries, but globally as well, yet it remains one of the most sensitive topics, too. Global organisations have calculated that one out of seven residents around the world has some sort of disability. It is very likely that due to various processes, the number of people with disabilities will increase. Therefore, the world in general and each country in particular, Lithuania included, faces a great challenge: to ensure suitable and high-quality accessibility to health care services for the disabled. Each country must have clear political guidelines and strategies how to ensure training of health care specialists qualified and able to carry out their tasks when working with the disabled. Therefore, this article analyses global trends of training specialists to work with the disabled and legal basis of such specialist training in Lithuania.Methods:This article features analysis of scientific literary sources and legal documents.Results:International and national Lithuanian documents have clearly established that people with disabilities have equal rights to health care services like the rest of the population without any reservations, so this norm must be established adhering to the principles of accessibility, suitability and universality, and which basically should be ensured by health care specialists. However, document analysis has revealed that documents governing the training of health care specialists in Lithuania and processes related to it pay little attention to the training of future health care specialists to work with the disabled, while descriptions of some specific areas of studies, e.g. dentistry, pharmacy, etc. designed to train health care specialists do no address the work with the disabled at all.Discussion and conclusions:Analysis has revealed that institutions of higher education in Lithuania that train health care specialists are not legally entitled to, other requirements aside, to focus the study process on the work with the disabled. Therefore, it begs the question whether such specialists are actually ready to implement the requirements guiding the provision of health care services and ensure top-quality and proper provision of services to all members of the society, irrespective of their special needs, disabilities, etc. Therefore, this article can serve as a basis for further research related to the training of health care specialists to work with the disabled in order to identify what practice is applied in this area in other countries, as well as to ensure it internationally, what are the options and means required to implement it and how to improve the training of health care specialists as much as possible to work with the disabled ensuring the quality of health care in particular and their life in general.

Measuring reopening readiness: a universal COVID-19 index for US states

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Eunju Suh ◽  
Mahdi Alhaery
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Future Health ◽  
Content Type ◽  
Counter Measures ◽  
Care Services ◽  
Future Health Care ◽  
Pandemic Severity ◽  
Occupancy Rates ◽  
Bed Occupancy Rates

PurposeWhile United States is among countries with the world’s highest coronavirus infections, its approaches and policies to reopen the economy vary by state. A lack of objective criteria and monitoring toward satisfying the criteria can lead to another COVID-19 outbreak and business closures. Considering the pressing need to return to normalcy without a rebound of COVID-19 infections and deaths, an index that provides a data-driven and objective insight is urgently needed. Hence, a method was devised to assess the severity of the COVID-19 pandemic and determine the degree of progress any state has made in containing the spread of COVID-19.Design/methodology/approachUsing measures such as the weekly averages of daily new deaths, ICU bed occupancy rates, positive cases and test positivity rates, two indexes were developed: COVID-19 reopening readiness and severity.FindingsA clear difference in the pandemic severity trends can be observed between states, which is possibly due to the disparity in the state’s response to coronavirus. A sharp upward trend in index values requires caution prior to moving to the next phase of reopening.Originality/valueThe composite indexes advanced in this study will provide a universal, standardized and unbiased view of each state’s readiness to reopen and allow comparisons between states. This in turn can help governments and health-care agencies take counter measures if needed as to the anticipated demand for future health-care services and minimize adverse consequences of opening.

scholarly journals Trudności w realizacji ról rodzicielskich rodziców dzieci z niepełnosprawnością intelektualną

2016 ◽  
pp. 231-248
Author(s):  
Dorota Tomczyszyn
Keyword(s):  
Health Care ◽  
Intellectual Disabilities ◽  
Health Care Services ◽  
Parental Roles ◽  
Care Services ◽  
The Disabled ◽  
Child With A Disability ◽  
The Way

The paper presents the results of research on difficulties in realization of parental roles of parents of children with intellectual disabilities. The au­thor has surveyed 222 parents of chil­dren with intellectual disabilities, includ­ing 111 mothers and 111 fathers. The re­search was completed in 2013 and 2014 in the Lublin Province. On the basis of parents’ declarations it can be seen that most respondents did not encounter dif­ficulties in the professional sphere or the sphere of marriage, but in tasks connect­ed with raising a child with a disability. Problems that appear in parenting chil­dren with disabilities concern most of­ten health care services, rehabilitation and the way the disabled are treated by others.

Case Study E-Tailing Health Services in India

2016 ◽  
pp. 292-308
Author(s):  
Bobby Kurian
Keyword(s):  
Health Care ◽  
Health Services ◽  
Health Professionals ◽  
Health Care Services ◽  
Information Dissemination ◽  
Health Providers ◽  
The Public ◽  
Care Services ◽  
The World

This case study has been developed to promote understanding the e-tailing of health services. E-health web portal provides a new medium for information dissemination, interaction and collaboration among institutions, health professionals, health providers and the public. This case study provides a founders perspective in setting up and running a medical website that offers online health care services to customers across the world. The case study discusses the challenges and issues faced by the founders and also the promoter's perspective on the lucrativeness of offering e-tailing services. Using this case study an attempt is made to stress the importance of a flexible e-tailing business model specific to the services offered and need of periodic assessments to ensure that the business runs profitable.

scholarly journals Health and healthcare in the year 2040 – Facts for planning a complex and uncertain future

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
T Funk ◽  
B Forsberg
Keyword(s):  
Health Care ◽  
Burden Of Disease ◽  
Health Care Services ◽  
Disease Burden ◽  
Health Planning ◽  
Health Care Planning ◽  
Care Needs ◽  
Future Health ◽  
Care Services ◽  
Future Health Care

Abstract Background In the Stockholm region, a regional political assembly is responsible for health care services for a population of 2.3 million. In November 2017, the political leadership decided on a programme to project health and healthcare developments in the Stockholm region until 2040 as a basis for a longterm health plan. This presentation aims to describe the methodology used, share some results and raise some questions for further work. Through the presentation we also seek collaboration with European partners involved in similar health planning work. Methodology Six perspectives for analysis were defined and under each a set of areas for deeper analysis identified. It was agreed that the planning should be fact-driven. Under the constraint of availability, data covering the period 2000 to 2017 was collected for around 90 variables. Data was gathered from various publicly available databases and was analysed in Microsoft Excel. Results Stockholm’s population increased continuously since the millennial shift and could increase by another 28% until 2040. Since 2000, life expectancy increased by 2 years for women and 3 years for men. More than 85% of the burden of disease is caused by chronic diseases. However, the overall disease burden per 100 000 population has been decreasing over the years. In 2017, more than 21 million outpatient care visits were done. Extrapolations of these trends show that the disease burden per capita will continue to decrease, but the total burden of disease as well as demand for health care will continue to increase. Discussion A fact-based analysis of future health and healthcare proved to be an efficient base for planning and discussions of future health care services. Results confirmed some well-established perceptions of developments but also pointed to some misconceptions and established “facts” that proved to be false. New digital services make prediction of the future health service mix dynamic and challenging. Key messages To meet future health care needs, future health and health care trends should be planned for and considered in decision making processes. Forecasts and health care planning should be fact-based to have an as accurate picture of future health and health care trends as possible.

scholarly journals COVID-19 and/with dengue infection: A curse in an overburdened healthcare system

2020 ◽  
pp. 004947552097594
Author(s):  
Prateek Kumar Panda ◽  
Indar Kumar Sharawat
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Emergency Services ◽  
Dengue Infection ◽  
History Taking ◽  
Asian Countries ◽  
Hospital Emergency ◽  
Care Services ◽  
The World ◽  
The Impact

While the world battles to wrestle with the impact of the COVID-19 pandemic, regions with endemic dengue fever are confronting the possibility of a double pandemic that could completely overpower health care services administrations. Simultaneous outbreaks of dengue and COVID-19, as well as probable cases of overlapping infections, have already started in Latin America and certain Asian countries. There, the healthcare framework is already overburdened and such a deadly duo may completely overwhelm hospital emergency services quite apart from a country’s economy. Precise epidemiological and contact history-taking joined with due attention to false-positive dengue serology and the chance of co-infections are key devices for frontline doctors to overcome this seemingly insurmountable challenge.

scholarly journals Assessment of Staff Intercultural Competences in Health Care Organisations

2017 ◽  
Vol 64 (3) ◽  
pp. 379-394
Author(s):  
Rimantas Stašys ◽  
Ligita Šimanskienė ◽  
Jurgita Paužuolienė
Keyword(s):  
Health Care ◽  
Cultural Diversity ◽  
Health Care Services ◽  
Scientific Literature ◽  
Important Research ◽  
Poor Knowledge ◽  
Care Services ◽  
The World ◽  
Organisation Management ◽  
The Cost

Abstract As a consequence of globalisation, people’s mobility has been increasing, which brought cultural diversity to a number of countries of the world, therefore intercultural competences became a particularly important research object in organisation management. Scientific literature is rich in publications on the topic, however, the latter problem and its specificity has been insufficiently studied in health care organisations whose performance is especially important for each patient and the cost of errors, possibly caused also by insufficient intercultural competences, may be very great. The conducted research justifies the meaning and significance of intercultural competences in health care organisations and identifies the principal problems in organisations faced when communicating in an intercultural environment. The development of intercultural competences was not sufficiently promoted in health care organisations, leaving that to the staff’s responsibility. Quite a few of health care services providers had a poor knowledge of etiquette and did not know much about the customs and traditions of other countries.

scholarly journals The Patient’s Will – Why and for Whom? Forms, Formalisation, and Implementation Issues

2018 ◽  
Vol 27 ◽  
pp. 158-169
Author(s):  
Maret Kruus ◽  
Rainis Int ◽  
Ants Nõmper
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Personal Autonomy ◽  
Effective Means ◽  
Living Will ◽  
Living Wills ◽  
Future Health ◽  
Care Services ◽  
Patient’S Will ◽  
To Receive

If a patient decides they do not wish to receive health care services and would prefer to die, the healthcare service provider is not allowed to provide health care services to the patient under the principle of personal autonomy. In this case, the patient’s will needs to be taken into consideration even when they are currently unable to express it themselves, for instance when the patient is unconscious. In the situations where the patient is unable to express their will on their own, many countries have introduced the use of living wills that are also often called advance directives. A living will is a declaration (usually in writing) on what kind of treatment a person wishes or does not wish to receive in a situation in which they are unable to make decisions on their own, for instance, in the case of unconsciousness or dementia. In addition to preparing a living will, people can also provide future health care directives by assigning a substitute decision maker who can express the person’s presumed will in case of the person being unable to express their decision. The most effective means for ensuring one’s personal autonomy is using a living will, since it is compiled by the person themselves. Although living wills are not common in Estonia, the legislation of the country makes no obstacles for its use. The people of Estonia are also becoming increasingly aware of their rights. People have already turned to notaries with a wish of providing notarial future directives on the provision of health care services or maintenance of their property in the case that they no longer have the capacity to exercise their will themselves. The article discusses the role of a living will near the end of life and also discusses the issues related to its formation and implementation. The last part of the article briefly addresses the instructions related to maintenance of the patient’s assets in the case of incapacity to exercise the will. 

Psychiatric coercion: some sociological perspectives

2016 ◽  
Author(s):  
David Pilgrim
Keyword(s):  
Health Care ◽  
Mental Illness ◽  
Health Care Services ◽  
Health Care Systems ◽  
Local Variation ◽  
Legal Framework ◽  
Care Services ◽  
Care Systems ◽  
The Many ◽  
Health Laws

The way in which mental illness is conceptualized varies significantly across cultures. This chapter will discuss how mental illness is understood in different cultural contexts, focusing on local perspectives of the need for coercive interactions with the person who is identified as ill. It will also consider how such coercion takes place. Despite local variation, many coercive practices (at least those occurring in health-care systems) will take place within the context of a legal framework. Because of this, developments in mental health laws will be described in broad terms, considering both the evolution of such legislation and its application. This chapter will focus both on health-care services and on the many coercive practices that are deemed socially legitimate that occur outside the remit of services and legal regimes. The latter may indeed be where coercive practices vary the most.

Following the Money

2020 ◽  
Vol 48 (3) ◽  
pp. 434-442 ◽  
Author(s):  
William M. Sage ◽  
Timothy M. Westmoreland
Keyword(s):  
Health Care ◽  
Health Policy ◽  
Health Insurance ◽  
Affordable Care Act ◽  
Health Care Services ◽  
Future Health ◽  
Care Services ◽  
Policies And Procedures ◽  
Future Health Care ◽  
Health Returns

It is no exaggeration to say that American health policy is frequently subordinated to budgetary policies and procedures. The Affordable Care Act (ACA) was undeniably ambitious, reaching health care services and underlying health as well as health insurance. Yet fiscal politics determined the ACA’s design and guided its implementation, as well as sometimes assisting and sometimes constraining efforts to repeal or replace it. In particular, the ACA’s vulnerability to litigation has been the price its drafters paid in exchange for fiscal-political acceptability. Future health care reformers should consider whether the nation is well served by perpetuating such an artificial relationship between financial commitments and health returns.

Keselamatan Pemberian Medikasi

2010 ◽  
Vol 13 (2) ◽  
pp. 105-111
Author(s):  
Agustin Indracahyani
Keyword(s):  
Health Care ◽  
Patient Safety ◽  
Medication Errors ◽  
Health Care Services ◽  
Medication Management ◽  
Medication Administration ◽  
Process Approach ◽  
Nursing Process ◽  
Care Services ◽  
The World

AbstrakKesalahan medikasi merupakan masalah yang sangat serius di pelayanan kesehatan di seluruh dunia. Masalah tersebut mengakibatkan cedera dan kematian bagi pasien, serta meningkatkan biaya yang harus dikeluarkan oleh rumah sakit. Kesalahan medikasi dapat terjadi di setiap tahapan proses manajemen dan penggunaan medikasi dan berakibat pada keselamatan pasien. Kesalahan medikasi dapat terjadi akibat kondisi laten, kondisi yang menyebabkan kesalahan, dan kegagalan aktif. Perawat sebagai pihak yang paling banyak terlibat dalam proses pemberian medikasi memiliki peran penting dalam mencegah, mengenali, dan mengatasi terjadinya kesalahan untuk meningkatkan keselamatan pemberian medikasi. Upaya meningkatkan keselamatan pemberian medikasi dilakukan melalui pendekatan proses keperawatan sejak pengkajian hingga evaluasi dan dokumentasi. AbstractMedication errors are a very serious problem in health care services around the world. These problems lead to morbidity and mortality for patients, as well as increase the costs to be incurred by the hospital. Medication errors may occur at any stages of medication management and use process and result in patient safety. These may occur due to latent conditions, error producing conditions, and active failures. Nurses who are primarily involved in the process of medication administration have important role in preventing, recognizing, and addressing errors in order to enhance safety medication administration. Efforts to enhance safety medication administration may be done through nursing process approach from assessment to evaluation and documentation.

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