scholarly journals Coronavirus disease 2019 and its impact on psychosocial aspects amongst infertile couples: An overview

2021 ◽  
Vol 2 ◽  
pp. 72-76
Author(s):  
Neeta Singh ◽  
Garima Patel
Keyword(s):  
Health Care ◽  
Psychiatric Disorders ◽  
Emotional Disorders ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Time Lag ◽  
Dysthymic Disorder ◽  
Additional Stress ◽  
Current Time ◽  
Infertile Couples

Following the outbreak of the coronavirus pandemic, there has been an unforeseen pressure and stress to the already burdened health-care systems. This necessitated an urgent need to reallocate the health-care resources and prompted immediate suspension and postponement of non-emergent health-care services including infertility treatments. This pandemic brought additional stress to the couples seeking infertility treatment and resulted in an indefinite time lag to their treatment thereby adding to the psychological distress among this vulnerable population. The coronavirus disease 2019 (COVID-19) has also predisposed them to various psychiatric disorders by affecting their mental, reproductive, and relationship status. These included emotional disorders ranging from frustration, depression, anxiety, hopelessness, and guilt, feelings of worthlessness in life to psychiatric disorders such as generalized anxiety disorder, major depressive disorder, and dysthymic disorder. The social isolation imposed grave psychological consequences and lead to an unpredicted change in attitudes and beliefs of such infertile couples. The implication of the loss of employment has further dwelled on their financial constraints and made this population even more labile. Thus, the current time has brought forth some unique and unexpected challenges and emotional turmoil that needs due recognition and prompt professional support. Furthermore, it is high time to review our health-care policies and hence restart infertility services striking a balance between the safety of both patient and health-care professionals amidst this pandemic while helping these unfortunate couples achieve parenthood. The resumption of infertility services post-COVID-19 has challenges of its own. The clinician and the paramedical staff had to undergo specific training to adapt to the new norms of workplace while minimizing in person interactions and exposure risk.

Procedural Protections for Patients in Capitated Health Plans

1996 ◽  
Vol 22 (2-3) ◽  
pp. 301-330
Author(s):  
Eleanor D. Kinney
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Health Maintenance Organizations ◽  
Data Systems ◽  
American Health Care System ◽  
Health Maintenance ◽  
Integrated Delivery ◽  
Provider Organization ◽  
Delivery Networks

In the American health care system, payers are rapidly moving toward the use of capitation as the preferred method for paying for health care services for sponsored patients. n capitation, the payer pays a provider organization a set rate per patient to care for a group of patients. The provider organization assumes the risk of the actual costs of caring for these covered lives. The theory of capitation is that providers, by assuming risk, will have incentives to contain their costs.The provider entity that provides the care can take many corporate forms. A capitated provider can be a small group of physicians with admitting privileges at a single hospital or a complex integrated delivery network comprised of hospitals, physicians, and other health care professionals and institutions with integrated case management and data systems. Currently such integrated delivery networks assume a variety of organizational forms, ranging from traditional staff model health maintenance organizations (HMOs) in which physicians are employees of the health plan to physician hospital organizations (PHOs) in which physicians and hospitals join together for purposes of contracting with payers. Hospitals and physicians belonging to their medical staffs are motivated to form integrated delivery networks or other consolidated business organizations in order to contract with payers that seek providers willing to accept financial risk for the care of sponsored patients. Providers join such arrangements out of fear of losing patients if they do not.

scholarly journals Health-care Workforce Training to Effectively Support Family Caregivers of Seniors in Care

2020 ◽  
Vol 23 (2) ◽  
pp. 160-171
Author(s):  
Rachel Fisher ◽  
Jasneet Parmar ◽  
Wendy Duggleby ◽  
Peter George J. Tian ◽  
Wonita Janzen ◽  
...  
Keyword(s):  
Health Care ◽  
Family Caregivers ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Well Being ◽  
Workforce Training ◽  
Community Dwelling ◽  
Canadian Health Care System ◽  
Care Services ◽  
Qualitative Thematic Analysis

Introduction Family caregivers (FCGs) play an integral, yet often invisible, role in the Canadian health-care system. As the population ages, their presence will become even more essential as they help balance demands on the system and enable community dwelling seniors to remain so for as long as possible. To preserve their own well-being and capacity to provide ongoing care, FCGs require support to the meet the challenges of their daily caregiving responsibilities. Supporting FCGs results in better care provision to community-dwelling seniors receiving health-care services, as well as enhancing the quality of life for FCGs. Although FCGs rely upon health-care professionals (HCPs) to provide them with support and services, there is a paucity of research pertaining to the type of health workforce training (HWFT) that HCPs should receive to address FCG needs. Programs that train HCPs to engage with, empower, and support FCGs are required. Objective To describe and discuss key findings of a caregiver symposium focused on determining components of HWFT that might better enable HCPs to support FCGs. Methods A one-day symposium was held on February 22, 2018 in Edmonton, Alberta, to gather the perspectives of FCGs, HCPs, and stakeholders. Attendees participated in a series of working groups to discuss barriers, facilitators, and recommendations related to HWFT. Proceedings and working group discussions were transcribed, and a qualitative thematic analysis was conducted to identify key themes. Results Participants identified the following topic areas as being essential to training HCPs in the provision of support for FCGs: understanding the FCG role, communicating with FCGs, partnering with FCGs, fostering FCG resilience, navigating healthcare systems and accessing resources, and enhancing the culture and context of care. Conclusions FCGs require more support than is currently being provided by HCPs. Training programs need to specifically address topics identified by participants. These findings will be used to develop HWFT for HCPs.

scholarly journals Public psychiatric services: job satisfaction evaluation

2007 ◽  
Vol 30 (1) ◽  
pp. 38-41 ◽  
Author(s):  
Sergio Ishara ◽  
Marina Bandeira ◽  
Antonio Waldo Zuardi
Keyword(s):  
Health Care ◽  
Service Quality ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Psychiatric Hospitals ◽  
Work Conditions ◽  
Satisfaction Scale ◽  
Care Services ◽  
Satisfaction Evaluation ◽  
Student’S T

OBJECTIVE: To investigate the satisfaction of health-care professionals in inpatient and outpatient psychiatric hospitals of a Brazilian medium-sized city. METHOD: The study evaluated 136 health-care professionals from six hospitals; of which two were outpatient hospitals, two general hospitals, and two psychiatric hospitals. All professionals answered the Brazilian Mental Health Services' Staff Satisfaction Scale. RESULTS: An average satisfaction score of 3.26 was observed, which is situated between indifference (level 3) and satisfaction (level 4). Factors "service quality" (3.48) and "relationships at work" (3.48) showed higher scores compared to "service participation" (3.20) and "work conditions" (2.97) (p < 0.001). The female patient unit in the psychiatric hospital presented lower satisfaction scores (p < 0.001). Satisfaction was higher in the category "technicians" compared to "physicians" and "nurses" (p = 0.004). Moreover, day workers reported higher satisfaction compared to night workers regarding "service quality" and "service participation" (Student's t, p = 0.01 and p = 0.007). DISCUSSION AND CONCLUSION: Results show an intermediate level between indifference and satisfaction with services, with higher scores regarding care provided to the patients. Comparisons among the studied facilities revealed the numerous factors involved in determining one's satisfaction. They suggest advancements and reform measures likely to occur in the region's psychiatric health-care services. Monitoring satisfaction proved useful in predicting service quality improvements.

Understanding the Current Procedural Terminology Process

2019 ◽  
Vol 1 (2) ◽  
pp. 127-130
Author(s):  
Dana H Smetherman
Keyword(s):  
Health Care ◽  
Breast Imaging ◽  
Health Care Services ◽  
Medical Specialty ◽  
Current Procedural Terminology ◽  
Current Time ◽  
Payment Policy ◽  
Care Services ◽  
The Usa ◽  
Future Direction

Abstract This article describes the method by which U.S. health care services are valued and reimbursed, and the essential role practicing physicians, including breast imaging radiologists, and medical specialty societies play in this process. The American Medical Association has described the method for developing new and revised Current Procedural Terminology (CPT) codes as a 3-legged stool, with patient care as the seat supported by its legs: the CPT process (where the work is described), the Relative Value Scale Update Committee (RUC) process (where the work is valued), and coverage by Medicare (where the work is paid). Although the future direction of health care payment policy in the USA is uncertain and difficult to predict, CPT codes remain the foundation for the reimbursement of physician services. A working knowledge of the CPT process can be valuable to breast imaging radiologists, both for managing their practices at the current time and preparing them for future changes in payment policy.

scholarly journals Being Heard, Exerting Influence, or Knowing How to Play the Game? Expectations of Client Involvement among Social and Health Care Professionals and Clients

2020 ◽  
Vol 17 (16) ◽  
pp. 5653
Author(s):  
Elina Weiste ◽  
Sari Käpykangas ◽  
Lise-Lotte Uusitalo ◽  
Melisa Stevanovic
Keyword(s):  
Health Care ◽  
Conversation Analysis ◽  
Cultural Change ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Focus Group Research ◽  
Care Services ◽  
Significant Movement ◽  
Client Involvement ◽  
Actual Decision

Contemporary social and health care services exhibit a significant movement toward increasing client involvement in their own care and in the development of services. This major cultural change represents a marked shift in the client’s role from a passive patient to an active empowered agent. We draw on interaction-oriented focus group research and conversation analysis to study workshop conversations in which social and health care clients and professionals discussed “client involvement”. Our analysis focuses on the participants’ mutually congruent or discrepant views on the topic. The professionals and clients both saw client involvement as an ideal that should be promoted. Although both participant groups considered the clients’ experience of being heard a prerequisite of client involvement, the clients deviated from the professionals in that they also highlighted the need for actual decision-making power. However, when the professionals invoked the clients’ responsibility for their own treatment, the clients were not eager to agree with their view. In addition, in analyzing problems of client involvement during the clients’ and professionals’ meta-talk about client involvement, the paper also shows how the “client involvement” rhetoric itself may, paradoxically, sometimes serve to hinder here-and-now client involvement.

Using Computer and Internet-based Resources to Teach Health Care Planning and Administration in an Undergraduate Medical Program

2006 ◽  
Vol 45 (03) ◽  
pp. 316-320
Author(s):  
R. Bordin ◽  
P. D. Fisher ◽  
M. M. Klück ◽  
R. S. Rosa
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Health Care Systems ◽  
Opportunity To Learn ◽  
Public Health Care ◽  
University Hospital ◽  
System Modelling ◽  
Health Care Planning ◽  
Medical Program

Summary Objective: We describe the teaching methods, involving computer and Internet-based resources, used in the “Administration and Planning in Health Care” course of the undergraduate medical program at the Federal University of Rio Grande do Sul. Method: Description on how the curriculum guidelines for the undergraduate medical education in Brazil have been implemented at this university. The guidelines specify that graduates should be skilled and knowledgeable in health care administration and management, understand the market dynamics of health care services, and be prepared to contribute to the development of health policy. Results: A required 60-hour course provides students with an opportunity to learn about the structure, planning and administration of the Brazilian and of other health care systems, and their roles, as health care professionals, within those systems. The course is also intended to allow students to develop the minimal skill set required for manipulation of health care data available from national and international databases, and to use the Internet as a source of information in health care. The curriculum includes: Module 1 – basic computer skills, an introduction to networks as an infrastructure for management, the use of spreadsheets and databases for data processing and system modelling, retrieval of Internet-based health data and on-line bibliographic searches; Module 2 – health system financing and service quality management, using a university hospital as a case study; and Module 3 – a comparison of the Brazilian public health care system (SUS) with other national health systems resulting in a term paper formatted for journal submission and presented at a simulated conference at the end of the course. Conclusion: Progressive shift in emphasis from theory to practice in this course has resulted in better development of the skill set required for the students.

Videoconferencing and Dietitian Services: In Rural Ontario Communities

2012 ◽  
Vol 73 (4) ◽  
pp. 176-180
Author(s):  
Diana Stenlund
Keyword(s):  
Health Care ◽  
Rural Communities ◽  
Health Care Professionals ◽  
Access To Health Care ◽  
Health Care Services ◽  
Future Research ◽  
Short Supply ◽  
Care Services ◽  
Alternative Approach ◽  
Access To Health

Registered dietitians (RDs) are regulated health professionals in short supply in Ontario and throughout Canada. Projected workforce studies indicate the situation will likely worsen. Accessing these nutrition specialists is an even greater concern for residents living in rural or remote regions of the province. Smaller communities are increasingly using telehealth as a way to deliver health care services and to improve access to health care professionals. The adoption of interactive videoconferencing as a telehealth application is examined as an alternative approach for accessing RDs in rural communities. While valid reasons exist for implementing videoconferencing, other issues must be considered. These include costs, technological requirements, organizational readiness, and legal and ethical concerns. Future research must fully address the concept of videoconferencing in relation to the Canadian dietetic workforce and practice requirements.

Addressing inequities in access to primary health care: lessons for the training of health care professionals from a regional medical school

2011 ◽  
Vol 17 (4) ◽  
pp. 362 ◽  
Author(s):  
Sarah Larkins ◽  
Tarun Sen Gupta ◽  
Rebecca Evans ◽  
Richard Murray ◽  
Robyn Preston
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Professional Education ◽  
Health Care Professionals ◽  
Health Care Services ◽  
Underserved Populations ◽  
Health Sector ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Attention to the inequitable distribution and limited access to primary health care resources is key to addressing the priority health needs of underserved populations in rural, remote and outer metropolitan areas. There is little high-quality evidence about improving access to quality primary health care services for underserved groups, particularly in relation to geographic barriers, and limited discussion about the training implications of reforms to improve access. To progress equity in access to primary health care services, health professional education institutions need to work with both the health sector and policy makers to address issues of workforce mix, recruitment and retention, and new models of primary health care delivery. This requires a fundamental shift in focus from these institutions and the health sector, to each view themselves as partners in an integrated teaching, research and service-oriented health system. This paper discusses the challenges and opportunities for primary health care professionals, educators and the health sector in providing quality teaching and clinical experiences for increasing numbers of health professionals as a result of the reform agenda. It then outlines some practical strategies based on theory and evolving experience for dealing with some of these challenges and capitalising on opportunities.

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