Factors Influencing Health Service Provision In Pastoral Communities In Kenya: A Case Study Of Wajir County

GIS Business ◽  
2019 ◽  
Vol 14 (4) ◽  
pp. 138-154
Author(s):  
AHMED ABDIKADIR ORE ◽  
DR. EMMANUEL AWUOR ◽  
JUSTER GATUMI NYAGA
Keyword(s):  
Health Service ◽  
Health Services ◽  
Human Resource ◽  
Service Provision ◽  
Research Study ◽  
Human Resource Practices ◽  
Health Service Provision ◽  
Pastoral Communities ◽  
Quality Of Health Services

The study seeks to find out factors affecting health service provision in pastoral communities, it                   is focusing Wajir County. The County Government is mandated to provide services including the                     health services which have been enabled by devolution functions such as transfer of funds.              However, Counties especially within the patrol communities have been faced with myriad of                       challenges in obtaining the standard services from the County offices such as medical and                         education services. Some of the mentioned causes of poor  services to the community from the                literature has been leaders  who are not objective in practicing the best human resource practices, poor communication facilities in the County thus community are not able to access the needed services in timely manner and lot of corruptions in the County offices. In addition, there is lack of proper structures or systems put in place to account for the resources allocated. From the past studies in the related fielded also present a methodological gap where most analysis is based on County reports lacking quantitative analysis while others uses only descriptive statistics to analyze the data.  This study thus, fills the gap by looking at broad construct which give a broader picture of the health service provision. In addition, this study combines both descriptive and inferential statistics to determine the relationships between the study variables.  The study therefore hypothesizes that: There is no relationship between devolved resource allocation and quality of health services provision (H01) and there is no relationship between human resource practices and quality of health services provision (H02); Research study was anchored on institutional theory. Descriptive survey was used; The findings of the research will be used by other researcher’s  as a reference to what they will do in future not forgetting that it was used as a source of literature review to their studies. 65 respondents were chosen through random sampling that was stratified. The research questionnaires were administered by the researcher himself to the respondents. Focus group discussion was also done to the community members. Data was analyzed through f(n) and descriptive statistics and presented using tables and graphs. The research study established that resource allocation and human resource practices have a great influence in the provision of health services. The study recommends that Governor   of Wajir County should develop and formulate guidelines, governing structure and strategic plans for effective implementation of county resources and revenue that will enable provision of quality healthcare.

School Settings

2018 ◽  
Author(s):  
Melissa K. Holt ◽  
Jennifer Greif Green ◽  
Javier Guzman
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Community Mental Health Service ◽  
Health Service Provision ◽  
School Settings ◽  
Mental Health Service Provision

Schools are a primary setting for mental health service provision to youth and are also main sources of referral to community mental health service providers. This chapter examines the school context and its key role in the child and adolescent mental health services system. The chapter first provides information about the association of emotional and behavioral disorders with school experiences, including academic performance. Next, the chapter presents a framework for mental health service provision and assessment in schools, including describing methods for identifying students who might need mental health services and tracking their progress. Further, several evidence-based interventions are highlighted as examples of effective practices in schools. The chapter concludes with recommendations for clinical practice in school settings.

scholarly journals Description Of Completeness Of Sheeting Assessment Sheet In Hospital Sumber Kasih Cirebon City

2021 ◽  
Vol 8 (1) ◽  
pp. 36-39
Author(s):  
Agista Putri Miranti ◽  
Sri Nurcahyati ◽  
Thia Oktiany
Keyword(s):  
Health Service ◽  
Health Services ◽  
Medical Record ◽  
Pain Assessment ◽  
City Hospital ◽  
Research Instrument ◽  
Assessment Sheet ◽  
Quality Of Health Services ◽  
Quantitative Descriptive

Incompleteness in filling out the inpatient pain assessment sheet will have an impact on the discontinuity of information and will affect the quality of health service facilities. The purpose of this study was conducted to determine the completeness of the Inpatient Pain Assessment Sheet at Sumber Kasih Hospital, Cirebon City.This type of research is quantitative descriptive. The population is the entire medical record document from January to March in 2020 with a sample of 99 medical record documents. This research instrument uses observation sheets. The results of this study indicate that there are 1 (1%) medical record documents that are completely filled and 98 (99%) incomplete medical record documents on the pain assessment sheet form. As for the conclusion in this research the completeness of the study sheet of pain in Sumber Kasih Cirebon City Hospital 1 while the incomplete study sheet of 99. And also the advice in this research is advice for hospitals should be evaluated to maintain the quality of health services improve the performance of medical record officers in the Sumber Kasih Cirebon City Hospital.

The Excess Cost of Depression in South Australia: A Population-Based Study

2003 ◽  
Vol 37 (3) ◽  
pp. 362-373 ◽  
Author(s):  
Graeme Hawthorne ◽  
Frida Cheok ◽  
Robert Goldney ◽  
Laura Fisher
Keyword(s):  
Quality Of Life ◽  
Major Depression ◽  
Health Service ◽  
Service Provision ◽  
South Australia ◽  
Excess Cost ◽  
Health Service Provision ◽  
Major Health Problem ◽  
Excess Costs

Objective: To establish excess costs associated with depression in South Australia, based on the prevalence of depression (from the Primary Care Evaluation of Mental Disorders (PRIME-MD)) and associated excess burden of depression (BoD) costs. Method: Using data from the 1988 South Australian (SA) Health Omnibus Survey, a properly weighted cross-sectional survey of SA adults, we calculated excess costs using two methods. First, we estimated the excess cost based on health service provision and loss of productivity. Second, we estimated it from loss of utility. Results: We found symptoms of major depression in 7% of the SA population, and 11% for other depression. Those with major depression reported worse health status, took more time off work, reported more work performance limitations, made greater use of health services and reported poorer health-related quality-of-life. Using the service provision perspective excess BoD costs were AUD$1921 million per annum. Importantly, this excluded non-health service and other social costs (e.g. family breakdown, legal costs). With the utility approach, using the Assessment of Quality of Life (AQoL) instrument and a very modest life-value (AUD$50 000), the estimate was AUD$2800 million. This reflects a societal perspective of the value of illness, hence there is no particular reason the two different methods should agree as they provide different kinds of information. Both methods suggest estimating the excess BoD from the direct service provision perspective is too restrictive, and that indirect and societal costs ought be taken into account. Conclusions: Despite the high ranking of depression as a major health problem, it is often unrecognized and undertreated. The findings mandate action to explore ways of reducing the BoD borne by individuals, those affected by their illness, the health system and society generally. Given the limited information on the cost-effectiveness of different treatments, it would seem important that resources be allocated to evaluating alternative depression treatments.

scholarly journals MUTU PELAYANAN KESEHATAN TERHADAP KEPUASAN PASIEN DI PUSAT KESEHATAN ANGKATAN DARAT (PUSKESAD) POLKES KABUPATEN TAKALAR

2018 ◽  
Vol 3 (2) ◽  
pp. 102
Author(s):  
Ali Imran Thamrin ◽  
Andi Alim Bagu ◽  
Yuliana Baharuddin
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Service Providers ◽  
Bivariate Analysis ◽  
P Value ◽  
Cross Sectional ◽  
Quality Of Health Services

The quality of  health services is one of main focus for community. Awareness of the quality of health services is increasing with the demand for improving the quality from service providers and  community as a service user. The quality of health services greatly affects patient satisfaction. The design of this study is analytic survey research with cross sectional approach. The purpose of this study  is to know the relation of quality of health service to patient satisfaction at Army Health Center (PUSKESAD) POLKES of Takalar Regency in 2017. The research is conducted at Army Health Center (PUSKESAD) POLKES Takalar District. The sample in this study are patients who treated at the Army Health Center (PUSKESAD) POLKES Takalar District in June of 2017 as many as 94 people using a simple random sampling technique. Data analysis in this research is univariate and bivariate analysis using chi square test. The results showed that there was a significant correlation between health service quality based on indicator physical appearance, reliability, responsiveness, assurance, and empathy with patient satisfaction with each p value = 0,000. It is hoped  that the Army Health Center (PUSKESAD) POLKES can improve the quality of health services and the confidence of patients in utilizing health services more increase.

scholarly journals Technology push without a patient pull

2019 ◽  
Vol 53 (9) ◽  
pp. 1701-1732 ◽  
Author(s):  
Debbie Isobel Keeling ◽  
Ko de Ruyter ◽  
Sahar Mousavi ◽  
Angus Laing
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Survey Methodology ◽  
Social Issues ◽  
Building Blocks ◽  
Online Services ◽  
Health Service Provision ◽  
Content Type ◽  
Services Delivery

PurposePolicymakers push online health services delivery, relying on consumers to independently engage with online services. Yet, a growing cluster of vulnerable patients do not engage with or disengage from these innovative services. There is a need to understand how to resolve the tension between the push of online health service provision and unengagement by a contingent of health-care consumers. Thus, this study aims to explore the issue of digital unengagement (DU) (i.e. the active or passive choice to engage or disengage) with online health services to better inform service design aligned to actual consumer need.Design/methodology/approachAdopting a survey methodology, a group of 486 health services consumers with a self-declared (acute or chronic) condition were identified. Of this group, 110 consumers were classified as digitally unengaged and invited to write open-ended narratives about their unengagement with online health services. As a robustness check, these drivers were contrasted with the drivers identified by a group of digitally engaged consumers with a self-declared condition (n= 376).FindingsDU is conceptualized, and four levels of DU drivers are identified. These levels represent families of interrelated drivers that in combination shape DU: subjective incompatibility (misalignment of online services with need, lifestyle and alternative services); enactment vulnerability (personal vulnerabilities around control, comprehension and emotional management of online services); sharing essentiality (centrality of face-to-face co-creation opportunities plus conflicting social dependencies); and strategic scepticism (scepticism of the strategic value of online services). Identified challenges at each level are the mechanisms through which drivers impact on DU. These DU drivers are distinct from those of the digitally engaged group.Research limitations/implicationsAdding to a nascent but growing literature on consumer unengagement, and complementing the engagement literature, the authors conceptualize DU, positioning it as distinct from, not simply a lack of, consumer engagement. The authors explore the drivers of DU to provide insight into how DU occurs. Encapsulating the dynamic nature of DU, these drivers map the building blocks that could help to address the issue of aligning the push of online service provision with the pull from consumers.Practical implicationsThis paper offers insights on how to encourage consumers to engage with online health services by uncovering the drivers of DU that, typically, are hidden from service designers and providers impacting provision and uptake.Social implicationsThere is a concern that there will be an unintentional disenfranchisement of vulnerable segments of society with a generic policy emphasis on pushing online services. The paper sheds light on the unforeseen personal and social issues that lead to disenfranchisement by giving voice to digitally unengaged consumers with online health services.Originality/valueOffering a novel view from a hard-to-reach digitally unengaged group, the conceptualization of DU, identified drivers and challenges inform policymakers and practitioners on how to facilitate online health service (re)engagement and prevent marginalization of segments of society.

scholarly journals Sosialisasi Manajemen Klinis untuk peningkatan mutu pelayanan kesehatan bagi Profesional Perekam Medis

2021 ◽  
Vol 1 (2) ◽  
pp. 147-158
Author(s):  
Rahmi Septia Sari ◽  
Yanti Desnita Tasri ◽  
Rindy Shakila
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health Care Facilities ◽  
Care Providers ◽  
Clinical Quality ◽  
Management Concepts ◽  
Quality Health ◽  
Quality Of Health Services

Abstract                Health facilities are very important services for the community. The most important health service is to produce beneficial outcomes for patients, users and society. Achieving this outcome is highly dependent on the quality of health services. Improving the quality of clinical services is one of the efforts to manage the quality of health services. Information about health services from all users of medical services and all individuals is needed as a source of data to answer questions about the quality of health services. So that accurate information is obtained. The purpose of this activity is to provide information and knowledge to medical recorders about the quality of health services related to clinical quality management in improving performance and implementing clinical management concepts. There are several perspectives regarding the quality of health services, including according to consumers of health services as a service that can meet the needs of the community, according to quality health service providers, namely the availability of equipment, work procedures, professional freedom in performing health services, according to funders of health services as a health service. In an effective and efficient manner, according to the owner of health care facilities, quality health services can generate income that is able to cover operational costs, while according to health service administrators, it can provide for the needs of patients and health care providers. The method used is by providing information directly through virtual media to medical recorders. Keywords: Management, Clinical, Quality, Service, Medical Record     Abstrak Fasilitas kesehatan merupakan pelayanan yang sangat penting bagi masyaraka. Pelayanan kesehatan yang paling utama adalah menghasilkan outcome yang menguntungkan bagi pasien, pengguna dan masyarakat. Pencapaian outcome ini sangat tergantung pada mutu pelayanan kesehatan. Peningkatan mutu pelayanan klinis merupakan salah satu upaya manajemen mutu pelayanan kesehatan. Informasi mengenai pelayanan kesehatan dari seluruh pengguna jasa pelayanan medis maupun seluruh individu diperlukan sebagai sumber data untuk menjawab pertanyaan mengenai mutu pelayanan kesehatan. Sehingga diperoleh informasi yang akurat. Tujuan kegiatan adalah untuk memberikan informasi dan pengetahuan kepada para perekam medis tentang mutu pelayanan kesehatan terkait manajemen mutu klinis dalam peningkatan kinerja serta mengimplementasikan konsep manajemen klinis. Terdapat beberapa perspektif mengenai mutu pelayanan kesehatan diantaranya menurut konsumen layanan kesehatan sebagai suatu layanan yang dapat memenuhi kebutuhan masyarakat, menurut provider layanan kesehatan yang bermutu yaitu tersedianya peralatan, prosedur kerja, kebebasan profesi dalam melakukan layanan kesehatan, menurut penyandang dana layanan kesehatan sebagai suatu layanan kesehatan yang efektif dan efisien, menurut pemilik sarana layanan kesehatan bahwa layanan kesehatan yang bermutu dapat menghasilkan pendapatan yang mampu menutupi biaya operasional sedangkan menurut administrator layanan kesehatan dapat menyediakan kebutuhan pasien serta pemberi layanan kesehatan. Adapun metode yang dilakukan adalah dengan cara memberikan informasi langsung melalui media virtual kepada perekam medis. Kata kunci: Manajemen, Klinis, Mutu, Pelayanan, Perekam Medis

scholarly journals ANALISIS PENGARUH FAKTOR ORGANISASI DAN FAKTOR INDIVIDU TERHADAP KUALITAS PELAYANAN PUSKESMAS STUDI PADA PUSKESMAS KECAMATAN KEDAWUNG KABUPATEN SRAGEN - PROVINSI JAWA TENGAH

2018 ◽  
Vol 18 (1) ◽  
Author(s):  
Karno . ◽  
Isbandi Rukminto Adi ◽  
Bambang Shergi Laksmono
Keyword(s):  
Health Service ◽  
Health Services ◽  
Community Health ◽  
Health Center ◽  
Central Government ◽  
Health Centre ◽  
Individual Factor ◽  
Public Health Centre ◽  
Quality Of Health Services

<p>The research object is the quality of health service organized by Public Health Centre (PHC) in Kedawung District, Sragen Regency, Central of Java Province. Based on the discussion of the results obtained by the conclusion, that there is a positive and significant influence between Organization Factors and Individual Factor toward Quality of Health Services organized by Kedawung PHC. Thus the hypothesis being tested eight acceptable. Thus it can be stated that the Organization Factors and Individual Factor are factors that determine the quality of health services organized by kedawung Community Health Center in Sragen regency.The research finding is a new model of health service with the title “ Health Service Assurance Model”. The model was developed from a new concept and construction with 13 factors, namely (1) Resources Services, (2) Accountability Services Fund, (3) Organization Skills Service, (4) Demotivator Services, (5) Extroversion Services, (6) Orientation Task Leadership services, (7) Orientation Relationship Leadership services, (8) Orientation Changes Leadership Services, (9) Human Resources Information Services, (10) Information Technology Services, (11) Relations Information Service, (12) Procedures Service, and (13) Technical Services.Research conclusion, the overall hypothesis is accepted and its relations positive and significant. Finally found is Model of Health Services Assurance . Performance of health services PHC Kedawung very good. Suggestions for Central Government, Local Government, and Management Health Center Kedawung that 13 factors can be used as norms, standards, procedures and criteria in the community health services.</p>

scholarly journals Health service provision for disease control among prisoners: a conceptual note

2020 ◽  
Vol 34 (4) ◽  
pp. 353-358
Author(s):  
Behnam Farhoudi ◽  
SeyedAhmad SeyedAlinaghi ◽  
Omid Dadras ◽  
Mehrzad Tashakoriyan ◽  
Mohammad Nazari Pouya ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Provision ◽  
Healthcare Providers ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Noncommunicable Diseases ◽  
Health Service Provision ◽  
Chronic Health ◽  
Content Type

PurposeThe aim of present study was to integrate vital noncommunicable diseases (coronary artery disease, hypertension, diabetes mellitus and mental health disorders) into Prison-Based Active Health Services Provision (PAHSP).Design/methodology/approachOn Jan 1, 2018, there were 230,000 prisoners in Iran. Timely and systematic detection and diagnosis of chronic health conditions among this population are imperative. The collaboration between healthcare providers in prison and members of the multidisciplinary team of the healthcare community outside prison initiated an active health service provision approach for HIV and tuberculosis (TB). Guidelines for the control of HIV and TB in prison were piloted, and the finalized version was named “Prison-based Active Health Services Provision” (PAHSP), which has been scaled up in 16 of 260 Iranian prisons.FindingThe PAHSP approach emphasizes the importance of early identification of key symptoms and risk factors. This approach provides an opportunity for improved prevention and treatment, enabling prisoners identified at risk or those who have been diagnosed with a target disease to be followed up and receive the appropriate health care.Originality/valueInitiatives such as screening for chronic health conditions coupled with treatment will reduce the burden of chronic illness among prisoners and the broader community, thereby saving on healthcare costs and lives.

Multidisciplinary Quality Assessment: The Case of a Child Development Team, Part 3

1994 ◽  
Vol 57 (11) ◽  
pp. 437-440
Author(s):  
Lynne M Howard
Keyword(s):  
Child Development ◽  
Health Service ◽  
Quality Assessment ◽  
Service Provision ◽  
Health Service Provision ◽  
Development Team ◽  
The Third ◽  
Outcome Framework ◽  
Child Development Centre

This to the third and final part of a series of articles reporting research which focused on the increasing attention being paid to measuring the quality of health service provision. The series addresses the problem of how quality can be measured across a multidisciplinary service and uses a district child development team as an example of such a service. In part 3, the findings of the interviews with a range of carers of children with varying diagnoses attending the child development centre are explored in detail, again using the structure-process-outcome framework suggested by Donabedian and outlined in the first article of the series. Conclusions are drawn from the research and suggestions made for areas requiring further investigation.

Sign in / Sign up

Export Citation Format

Share Document