scholarly journals Studying the issues around the reporting of complete and quality data by private hospitals across New Zealand

2021 ◽  
Author(s):  
◽  
Urwashi Singh
Keyword(s):  
New Zealand ◽  
Service Providers ◽  
Health Sector ◽  
Clinical Information ◽  
Healthcare Sector ◽  
Quality Data ◽  
Health Improvement ◽  
Ministry Of Health ◽  
Private Hospitals ◽  
Improvement Programs

<p>The policies of the Ministry of Health (MOH) around information collection and reporting are mainly focused on DHBs, who are allocated more than three quarters of the health funding and are responsible for planning, purchasing and providing health services within their regions (Ministry of Health, 2014a). The focus of the national health collections therefore, has always been to collect information about publically funded hospital services. Due to this weighted focus on public health service providers, over four hundred private hospitals across New Zealand (NZ) are under-represented in the National Minimum Data Set (NMDS) (Ross, 2012). MOH has a strong focus on providing New Zealanders with better health care through improved health information (Ministry of Health, 2013b), thus discharge data is extensively used by them in a number of applications to achieve this goal. For optimal success, it is vital for MOH to improve their own datasets and to ensure that their data is put to its best use by researchers and analysts. Part of this improvement requires a push towards ensuring better data collection from the private healthcare sector of NZ.  This study explored the views of private hospitals staff on improving the quantity and quality of the data reported by private hospitals across NZ. Semi structured interviews with 12 participants covering 32 private hospitals across NZ were conducted to collect the data. The data was analysed using thematic framework analysis.  The participants acknowledged that reporting full clinical information around each patient’s condition, especially for surgeries, would involve a change in traditional ways of entering and coding the clinical information. This is because their work is influenced by the mode of funding they receive and the type of treatment they provide to their patients. Most of the participants supported the idea of having full patient clinical information in the National Collections; however, since full patient diagnosis information is only usually accessible by the GP, specialist or the surgeon, they questioned how easily they as private hospitals could access and enter this information into their system with their current resources. Added to this is the fact that they do not employ clinical coders. This is because hiring the coders to record information which is not required for their funding or operational purposes is of no value to their business.  Different options for motivating the hospitals to maintain a minimal level of reporting were discussed. Participants emphasised the need for an increased level of collaboration from the Ministry in terms of feedback to their data as well as consideration of private hospitals as part of healthcare community. There was also a strong emphasis on the need to unify private and public sectors in order to reach the full potential of the whole healthcare sector. The participants’ view on the change included a desire to better understand the benefits to them from reporting which they hoped would lead to an improved level of engagement between MOH and the private surgical sector. Above all they saw a need to implement new ideas and methods of collaboration with the health sector as a whole that take into account both the service providers and patients.  The reporting of full datasets is both an issue of information availability and cost for private hospitals. Policy initiatives which combine private hospitals with the rest of the health sector are likely to meet with the challenges posed by the health improvement programs required to achieve improved healthcare for the whole nation.</p>

scholarly journals Studying the issues around the reporting of complete and quality data by private hospitals across New Zealand

2021 ◽  
Author(s):  
◽  
Urwashi Singh
Keyword(s):  
New Zealand ◽  
Service Providers ◽  
Health Sector ◽  
Clinical Information ◽  
Healthcare Sector ◽  
Quality Data ◽  
Health Improvement ◽  
Ministry Of Health ◽  
Private Hospitals ◽  
Improvement Programs

<p>The policies of the Ministry of Health (MOH) around information collection and reporting are mainly focused on DHBs, who are allocated more than three quarters of the health funding and are responsible for planning, purchasing and providing health services within their regions (Ministry of Health, 2014a). The focus of the national health collections therefore, has always been to collect information about publically funded hospital services. Due to this weighted focus on public health service providers, over four hundred private hospitals across New Zealand (NZ) are under-represented in the National Minimum Data Set (NMDS) (Ross, 2012). MOH has a strong focus on providing New Zealanders with better health care through improved health information (Ministry of Health, 2013b), thus discharge data is extensively used by them in a number of applications to achieve this goal. For optimal success, it is vital for MOH to improve their own datasets and to ensure that their data is put to its best use by researchers and analysts. Part of this improvement requires a push towards ensuring better data collection from the private healthcare sector of NZ.  This study explored the views of private hospitals staff on improving the quantity and quality of the data reported by private hospitals across NZ. Semi structured interviews with 12 participants covering 32 private hospitals across NZ were conducted to collect the data. The data was analysed using thematic framework analysis.  The participants acknowledged that reporting full clinical information around each patient’s condition, especially for surgeries, would involve a change in traditional ways of entering and coding the clinical information. This is because their work is influenced by the mode of funding they receive and the type of treatment they provide to their patients. Most of the participants supported the idea of having full patient clinical information in the National Collections; however, since full patient diagnosis information is only usually accessible by the GP, specialist or the surgeon, they questioned how easily they as private hospitals could access and enter this information into their system with their current resources. Added to this is the fact that they do not employ clinical coders. This is because hiring the coders to record information which is not required for their funding or operational purposes is of no value to their business.  Different options for motivating the hospitals to maintain a minimal level of reporting were discussed. Participants emphasised the need for an increased level of collaboration from the Ministry in terms of feedback to their data as well as consideration of private hospitals as part of healthcare community. There was also a strong emphasis on the need to unify private and public sectors in order to reach the full potential of the whole healthcare sector. The participants’ view on the change included a desire to better understand the benefits to them from reporting which they hoped would lead to an improved level of engagement between MOH and the private surgical sector. Above all they saw a need to implement new ideas and methods of collaboration with the health sector as a whole that take into account both the service providers and patients.  The reporting of full datasets is both an issue of information availability and cost for private hospitals. Policy initiatives which combine private hospitals with the rest of the health sector are likely to meet with the challenges posed by the health improvement programs required to achieve improved healthcare for the whole nation.</p>

scholarly journals Stakeholder views on factors influencing the wellbeing and health sector engagement of young Asian New Zealanders

2016 ◽  
Vol 8 (1) ◽  
pp. 35 ◽  
Author(s):  
Roshini Peiris-John ◽  
Agnes Wong ◽  
Amritha Sobrun-Maharaj ◽  
Shanthi Ameratunga
Keyword(s):  
New Zealand ◽  
Health Research ◽  
Help Seeking ◽  
Health Care Services ◽  
Parental Influence ◽  
Service Providers ◽  
Health Sector ◽  
Stakeholder Views ◽  
Professional Activities ◽  
Asian Youth

ABSTRACT INTRODUCTION In New Zealand, while the term ‘Asians’ in popular discourse means East and South-east Asian peoples, Statistics New Zealand’s definition includes people of many nationalities from East, South and South-east Asia, all with quite different cultural norms, taboos and degrees of conservatism. In a context where ‘Asian’ youth data are typically presented in aggregate form, there are notable gaps in knowledge regarding the contextual determinants of health in this highly heterogeneous group. This qualitative study explored key stakeholder views on issues that would be most useful to explore on the health and wellbeing of Asian youth and processes that would foster engagement of Asian youth in health research. METHODS Interviews were conducted with six key stakeholders whose professional activities were largely focused on the wellbeing of Asian people. The general inductive approach was used to identify and analyse themes in the qualitative text data. FINDINGS Six broad themes were identified from the key stakeholder interviews framed as priority areas that need further exploration: cultural identity, integration and acculturation; barriers to help-seeking; aspects to consider when engaging Asian youth in research (youth voice, empowerment and participatory approach to research); parental influence and involvement in health research; confidentiality and anonymity; and capacity building and informing policy. CONCLUSION With stakeholders strongly advocating the engagement of Asian youth in the health research agenda this study highlights the importance of engaging youth alongside service providers to collaborate on research and co-design responsive primary health care services in a multicultural setting. KEYWORDS Asian youth; New Zealand; health research; minority health; Community and social participation

NEW ZEALAND FORMULARY FOR CHILDREN–A CASE STUDY OF NATIONAL PAEDIATRIC FORMULARY DEVELOPMENT

2015 ◽  
Vol 101 (1) ◽  
pp. e1.18-e1
Author(s):  
Bryan Simpson ◽  
David Reith ◽  
Natalie Medlicott ◽  
Alesha Smith ◽  
Murray Tilyard
Keyword(s):  
New Zealand ◽  
Healthcare Professionals ◽  
Health Sector ◽  
Clinical Information ◽  
Off Label ◽  
Medical Specialists ◽  
Medicines Use ◽  
Initial Release ◽  
On Line

BackgroundThe New Zealand Formulary for Children (NZFc) was developed to build on the New Zealand Universal List of Medicines through the addition of clinical information about medicines use in paediatrics. The structure and content of the NZFc is based on the British National Formulary for Children (BNFc) but is adapted for New Zealand practice.AimsTo adapt the BNFc to provide New Zealand healthcare professionals with information about the selection, prescribing, dispensing, and administration of medicines; to link the clinical information with subsidy and registration status of medicines; to incorporate additional resources according to local requirements.MethodsThe initial release (November, 2013) of the NZFc was adapted from the latest version of the BNFc focusing on relevance to NZ practice. The BNFc prescribing notes were reviewed by medical specialists and clinical pharmacists before review and approval by an editorial advisory board. The BNFc drug monographs were compared to New Zealand approved Medicine Datasheets (NZAMD) and tailored to reflect New Zealand approved indications and doses. The NZFc is an on-line publication provided as open access within New Zealand. When off-label uses were identified, validation was undertaken using appropriate alternate resources.ResultsThe NZFc was successfully developed and user statistics indicate that it is being utilised by the New Zealand health sector with 172796 visitors (February 2015). Also, monthly page views have steadily increased from 35944 (November 2013) to 216064 (February 2105).ConclusionThe project demonstrated that it is possible to adapt the BNFc for application in other countries.

scholarly journals Use of ICT in Health Care for Rural India: The scenario with Software & Embedded system: the eMedicine way

2013 ◽  
pp. 163-168
Author(s):  
Onkar S Kemkar ◽  
Dr. P.B. Dahikar
Keyword(s):  
Health Care ◽  
Embedded System ◽  
Rural Areas ◽  
Service Providers ◽  
Health Sector ◽  
Public Hospitals ◽  
Healthcare Sector ◽  
The People ◽  
Ict Infrastructure ◽  
The Government

Health Care sector in India has witnessed significant growth during the last few years, both in quality and capacity. In spite of such developments, heath care facilities in the country remain inadequate to meet the needs of the citizens, particularly in rural areas, where approximately 70% of the people live. To address this problem, the government has launched major national initiatives such as National Rural Health Mission, establishment of six new AIIMS like institutions, up gradation of existing public hospitals and labs, etc. As the health sector is poised for major growth in next decade, the sheer size of healthcare sector in the country will necessitate extensive use of information and communication technology (ICT) infrastructure, services and databases for policy planning and implementation. Such a framework would require services based on inter-operable and sharable technology, connecting various institutions and service providers. This paper states our vision & proposed solution for rural populace of India.

scholarly journals Work-related factors affecting the retention of medical officers in the preventive healthcare sector of Sri Lanka

2020 ◽  
Author(s):  
Mahendra Arnold ◽  
Dinusha Fernando ◽  
Kapila Wickramanayake ◽  
Palitha Karunapema ◽  
Sepali Wickramatilake ◽  
...  
Keyword(s):  
Regression Analysis ◽  
Sri Lanka ◽  
Health Services ◽  
Service Providers ◽  
Preventive Health Services ◽  
Health Sector ◽  
Preventive Health ◽  
Healthcare Sector ◽  
Work Schedule ◽  
Factors Affecting

Abstract Background: Human resources are the livelihood of all types of organizations. The biggest challenge that organizations are facing today is not only managing these resources but also retaining them. Preventive health sector plays a vital role in the healthcare system. Medical Officers of Health (MOH) are the Medical Officers providing preventive health services in Sri Lanka. This study was carried out to explore the factors affecting retention of Medical Officers of Health in the preventive health sector in Sri Lanka.Methods: A descriptive cross sectional study was carried out among Medical Officers of Health in the Colombo district which has 18 MOH Offices with 64 Medical Officers. A pre-tested self-administered questionnaire was used as the study instrument. Data were analyzed using descriptive analysis, correlation and regression analysis. Results: Regression analysis showed that all four variables; recognition, work schedule, remuneration and responsibility are positively and significantly correlated with retention of Medical Officers of Health in the preventive health sector. The variable ‘work schedule’ showed the highest impact to the retention of Medical Officers of Health.Conclusions: In order to retain trained Medical Officers of Health in the Sri Lankan preventive health sector, health authorities should address the factors that influence retention. If policy makers fail to address these factors the preventive health services will be negative impact due to shortage of key service providers.

Service quality and satisfaction in healthcare sector of Pakistan— the patients’ expectations

2018 ◽  
Vol 31 (6) ◽  
pp. 489-501 ◽  
Author(s):  
Saad Ahmed Javed ◽  
Fatima Ilyas
Keyword(s):  
Patient Satisfaction ◽  
Public Sector ◽  
Service Quality ◽  
Private Sector ◽  
Healthcare Service ◽  
Service Providers ◽  
Healthcare Sector ◽  
Private Hospitals ◽  
Policy Makers ◽  
Content Type

Purpose The purpose of this paper is to assess the influence of patients’ expectations from healthcare service quality on their satisfaction with nursing in public and private hospitals of Pakistan. Design/methodology/approach Data (n=456) were collected from three public sector hospitals and three private sector hospitals of Lahore, the capital of Pakistan’s most populous province. Male and female patients who have experience of both sectors were surveyed using a self-administered questionnaire developed using the original SERVQUAL approach. Data were analyzed using the statistical techniques and the Laplace criterion. Findings This paper attempts to explain degree of influences of five service quality constructs (empathy, responsiveness, tangibility, reliability and assurance) on Pakistani patients’ expectations from the private and public sector hospitals and thus patient satisfaction. Further, this work can offer several intuitions into the effect of five constructs of service quality on patients’ expectations of healthcare service quality and patient satisfaction with the service providers/nursing. The results reveal that the patient satisfaction is most strongly related to empathy in public sector and to responsiveness in private sector. Research limitations/implications In light of the previous studies and the current research findings, the study anticipates no apparently significant improvement in healthcare sector of Pakistan in near future considering various factors discussed in the study. The study will also help the service providers and the policy makers in understanding the deteriorating situation of the Pakistani healthcare sector and will guide them in identifying the areas by improving which not only the healthcare service quality in the country can be improved but also the image of healthcare sector among the masses and competitiveness of the healthcare sector can be enhanced. Originality/value The value of the study rests in its critical analysis of the current status of the healthcare sector of Pakistan with a view to suggest the areas that need to be worked on by the service providers and policy makers. Also, the study tries to settle a controversy within Pakistani healthcare literature concerning the question that who is producing more satisfied patients: private hospitals or their public counterparts?

Pathways ahead for New Zealand hill country farming

2016 ◽  
Vol 78 ◽  
pp. 73-82 ◽  
Author(s):  
F.G. Scrimgeour
Keyword(s):  
New Zealand ◽  
Rural Communities ◽  
New Technologies ◽  
Service Providers ◽  
Farming Systems ◽  
Hill Country ◽  
The Status ◽  
And Performance ◽  
Hill Farming ◽  
The Hill

This paper provides a stocktake of the status of hill country farming in New Zealand and addresses the challenges which will determine its future state and performance. It arises out of the Hill Country Symposium, held in Rotorua, New Zealand, 12-13 April 2016. This paper surveys people, policy, business and change, farming systems for hill country, soil nutrients and the environment, plants for hill country, animals, animal feeding and productivity, and strategies for achieving sustainable outcomes in the hill country. This paper concludes by identifying approaches to: support current and future hill country farmers and service providers, to effectively and efficiently deal with change; link hill farming businesses to effective value chains and new markets to achieve sufficient and stable profitability; reward farmers for the careful management of natural resources on their farm; ensure that new technologies which improve the efficient use of input resources are developed; and strategies to achieve vibrant rural communities which strengthen hill country farming businesses and their service providers. Keywords: farming systems, hill country, people, policy, productivity, profitability, sustainability

Skills Gap among Sexual and Reproductive Healthcare Professionals in Cameroon

2019 ◽  
Vol 21 (1) ◽  
Author(s):  
Michael N. Nkwenti ◽  
Ishan Sudeera Abeywardena
Keyword(s):  
Reproductive Health ◽  
Sexual And Reproductive Health ◽  
Critical Role ◽  
Health Sector ◽  
Healthcare Sector ◽  
High Fertility ◽  
Skills Gap ◽  
North West ◽  
Health Practitioners ◽  
Reproductive Healthcare

Over the last 10 years, the state of sexual and reproductive health in Cameroon has been challenging with rising levels of sexually transmitted diseases, the high fertility rate, and high infant and maternal mortality rates. Some researchers attributed these challenges to the limited number and quality of sexual and reproductive health personnel working in health facilities across the country. The North West Region of Cameroon was taken as a unit of study to probe into the skills gap among sexual and reproductive health practitioners. A total of n = 302 participants at a confidence interval of 95 per cent were selected using a stratified random sampling technique to take part in the study. The results indicated that a good number of them have no prior experience in the field of sexual and reproductive health. On the other hand, most of the practitioners’ skills level is situated between intermediate and competent with very few of them being at the expert skills level. It was therefore recommended that most of the participants needs improvement in (i) computer or information technology skills; (ii) research skills; and (iii) leadership development of the specialty. These areas need to be dealt with, as a matter of priority, through training and professional development to enable these professionals to deliver better service in the sexual and reproductive healthcare sector. It was also recommended that, in line with the critical role that sexual and reproductive health practitioners play in Cameroon’s health system, the Ministry of Public Health and other role players in the health sector make sufficient investments in the improvement of the health workforce’s accessibility to information and communication technology.

Effectivness of Health Information System Applications: Clinical Information and Diagnosis-Treatment Systems in Turkey

2017 ◽  
Vol 5 (1) ◽  
pp. 122
Author(s):  
Assist. Prof. Dr. Demokaan DEMİREL
Keyword(s):  
Decision Making ◽  
Information System ◽  
Information Systems ◽  
Management Information System ◽  
Health Sector ◽  
Health Information System ◽  
Clinical Information ◽  
Clinical Decision ◽  
Clinical Information Systems ◽  
Management Information

The distinctive quality of the new social structure is that information becomes the only factor of production. In today's organizations, public administrators are directly responsible for applying information to administrative processes. In addition to his managerial responsibilities, a knowledge based organization requires every employee to take responsibility for achieving efficiency. This has increased the importance of information systems in the decision-making process. Information systems consist of computer and communication technology, data base management and model management and include activity processing system, management information system, decision support systems, senior management information system, expert systems and office automation systems. Information systems in the health sector aim at the management and provision of preventive and curative health services. The use of information systems in healthcare has the benefits of increasing service quality, shortening treatment processes, maximizing efficiency of the time, labour and medical devices. The use of information systems for clinical decision making and reducing medical errors in the healthcare industry dates back to the 1960s. Clinical information systems involve processing, storing and re-accessing information that supports patient care in a hospital. Clinical information systems are systems that are directly or indirectly related to patient care. These systems include electronic health/patient records, clinical decision support systems, nurse information systems, patient tracking systems, tele-medicine, case mix and smart card applications. Diagnosis-treatment systems are information-based systems used in the diagnosis and treatment of diseases. It consists of laboratory information systems, picture archiving and communication system, pharmacy information system, radiology information system, nuclear medicine information system. This study aims to evaluate the effectiveness of health information system applications in Turkey. The first part of the study focuses on the concept of information systems and the types of information systems in organization structures. In the second part, clinical information systems and applications for diagnosis-treatment systems in Turkey are examined. Finally, the study evaluates applications in the health sector qualitatively from the new organizational structure, which is formed by information systems.

Information-seeking to Support Personal and Community Wellbeing: Report of a study of New Zealand Men Using Focus Groups

2016 ◽  
Author(s):  
Peta Wellstead
Keyword(s):  
New Zealand ◽  
Focus Groups ◽  
Support Services ◽  
Information Seeking ◽  
Service Providers ◽  
Structural Constraints ◽  
Health And Wellbeing ◽  
Study Results ◽  
Groupes De Discussion

This paper reports part of an ongoing study exploring the information behaviour of New Zealand men during periods of diminished health and wellbeing. Focus groups were used for this iteration of the study. Results indicate that New Zealand men face both personal and structural constraints to their information-seeking during periods when their health and wellbeing may be compromised. This study highlights that service providers need to develop more effective information delivery mechanisms and support services for men. These services need to be appealing to men and reflect men’s information seeking preferences. The role of LIS professionals in supporting this endeavour is discussed. Cet article présente une étude en cours explorant le comportement informationnel d’ hommes néo-zélandais durant des périodes où leur état de santé et de bien-être est amoindri. Des groupes de discussion ont été utilisés pour cette itération de l'étude. Les résultats indiquent que les hommes en Nouvelle-Zélande font face à des contraintes à la fois  personnelles et structurelles dans leur recherche d'information pendant les périodes où leur santé et leur bien-être peuvent être affaiblis. Cette étude met en évidence le besoin pour les fournisseurs de services de développer des mécanismes de diffusion de l'information plus efficaces et des services de soutien pour les hommes. Ces services doivent être attrayants et refléter les préférences des hommes dans leurs recherches d’information. Le rôle des professionnels de l'information dans le soutien à cette entreprise est discuté.

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