scholarly journals A Model of Midwifery Care as an Integral Component of a Multidisciplnary Primary Health Care Service

2021 ◽  
Author(s):  
◽  
Siobhan Mary Connor
Keyword(s):  
New Zealand ◽  
Low Income ◽  
Multidisciplinary Team ◽  
Care Service ◽  
Health Care Service ◽  
Case Study Research ◽  
Midwifery Care ◽  
Unsuccessful Attempt ◽  
Team Members ◽  
Set Up

<p>This research describes the model of midwifery care embedded in Newtown Union Health Service (NUHS). This model of care is different from the way most midwifery services in New Zealand are organised. The main New Zealand midwifery services are provided by self-employed midwives and hospital midwives. NUHS was set up to provide accessible health services to a low income population. Pivotal to the service is the employment of a multidisciplinary team which aims to meet most of the health needs of its registered population. As the NUHS midwifery service was set within the larger organisation the case study research method was chosen as it is a method which stresses the importance of understanding the context of a case. It permits the use of several sets of data to capture the complexity of a case. Data collection included interviews with five midwives and seven multidisciplinary team members including managers working at NUHS. An unsuccessful attempt was made to gain access to and interview pregnant women who had used this service. Other data came from several documents about the Newtown community and the service. Data analysis revealed that the NUHS model of midwifery care was made up of five interrelated and interacting components: the community, NUHS, the midwives as integral to the multidisciplinary team, the midwives and the women in the care of the midwives. A discussion of the model includes what was extrapolated as three distinctive features of the model: their philosophy, the union influence and the midwives in the multi disciplinary team. The NUHS model of midwifery care is then related to other national and international models where its distinctiveness is supported.</p>

scholarly journals A Model of Midwifery Care as an Integral Component of a Multidisciplnary Primary Health Care Service

2021 ◽  
Author(s):  
◽  
Siobhan Mary Connor
Keyword(s):  
New Zealand ◽  
Low Income ◽  
Multidisciplinary Team ◽  
Care Service ◽  
Health Care Service ◽  
Case Study Research ◽  
Midwifery Care ◽  
Unsuccessful Attempt ◽  
Team Members ◽  
Set Up

<p>This research describes the model of midwifery care embedded in Newtown Union Health Service (NUHS). This model of care is different from the way most midwifery services in New Zealand are organised. The main New Zealand midwifery services are provided by self-employed midwives and hospital midwives. NUHS was set up to provide accessible health services to a low income population. Pivotal to the service is the employment of a multidisciplinary team which aims to meet most of the health needs of its registered population. As the NUHS midwifery service was set within the larger organisation the case study research method was chosen as it is a method which stresses the importance of understanding the context of a case. It permits the use of several sets of data to capture the complexity of a case. Data collection included interviews with five midwives and seven multidisciplinary team members including managers working at NUHS. An unsuccessful attempt was made to gain access to and interview pregnant women who had used this service. Other data came from several documents about the Newtown community and the service. Data analysis revealed that the NUHS model of midwifery care was made up of five interrelated and interacting components: the community, NUHS, the midwives as integral to the multidisciplinary team, the midwives and the women in the care of the midwives. A discussion of the model includes what was extrapolated as three distinctive features of the model: their philosophy, the union influence and the midwives in the multi disciplinary team. The NUHS model of midwifery care is then related to other national and international models where its distinctiveness is supported.</p>

scholarly journals A hermeneutic framework for responsible technical interventions in low-income households – mobile phones for improved managed health care as test case

2015 ◽  
Vol 11 (4) ◽  
Author(s):  
Montagu Murray ◽  
Ernst Wolff
Keyword(s):  
Health Care ◽  
Mobile Phone ◽  
South African ◽  
Low Income ◽  
Care Service ◽  
Health Care Service ◽  
Test Case ◽  
South African Context ◽  
Managed Health Care ◽  
African Context

In this article the authors, a philosopher and a social development practitioner, formulate recommendations for responsible planning of technical interventions in health care relations under circumstances of uncertainty and moral risk. It is proposed that the hermeneutic approach followed in this article could serve as a heuristic guide to research and development teams in the planning phase of similar projects to proceed in a responsible manner. The introduction of mobile phone technology by a managed health care service provider to clients from a low-income South African context is used as a test case to illustrate the value of the proposed heuristic approach. The strength of this approach is situated in its coordination of general anthropological considerations, with interpretative attention to particularities. The test case is a relevant to the problem since it cannot be assumed that the same habitus of acquaintance with the mobile phone apparatus has been formed in the low-income South African context as in contexts or societies where people have been using telephones for decades.

scholarly journals NHS Direct – a telephone helpline for England and Wales

2002 ◽  
Vol 26 (2) ◽  
pp. 42-44 ◽  
Author(s):  
Jed Boardman ◽  
Carolyn Steele
Keyword(s):  
Emergency Services ◽  
Care Service ◽  
Health Care Service ◽  
White Paper ◽  
Similar System ◽  
England And Wales ◽  
Department Of Health ◽  
Telephone Helpline ◽  
Set Up ◽  
Nhs Direct

NHS Direct is a nurse-led telephone helpline covering England and Wales. The intention to develop this helpline was announced in December 1997 in a White Paper, The New NHS, Modern and Dependable (Department of Health, 1997), following recommendations in the Chief Medical Officers' report, Developing Emergency Services in the Community (Caiman, 1997). Three initial pilot sites were set up in Lancashire, Milton Keynes and Northumbria and began taking calls in March 1998. The project was extended in April 1999 to cover 40% of the population of England and by November 2000 was available throughout the whole of England and Wales. NHS Direct provides 24-hour advice and information via 22 call centres and is the largest telephone health care service in the world. A similar system is planned in Scotland, NHS 24.

scholarly journals General practitioner opinion of weight management interventions in New Zealand

2014 ◽  
Vol 6 (3) ◽  
pp. 212 ◽  
Author(s):  
Rosemary Claridge ◽  
Lesley Gray ◽  
Maria Stubbe ◽  
Lindsay Macdonald ◽  
Rachel Tester ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Health Care ◽  
New Zealand ◽  
General Practitioner ◽  
Weight Management ◽  
Service Providers ◽  
Care Service ◽  
Health Care Service ◽  
Service Development ◽  
Management Interventions

INTRODUCTION: Internationally, a number of studies have investigated general practitioner (GP) opinion of weight management interventions. To date there have been no similar studies carried out in New Zealand. This study aimed to explore GP opinion of weight management interventions in one region of New Zealand. Understanding GP opinion is important, as rates of obesity are increasing and GPs are front-line health care service providers. The data collected could be used to guide health service development in New Zealand, and to inform training and support of GPs in obesity management. METHODS: A qualitative study using inductive thematic analysis of a series of 12 semi-structured interviews with GPs in the Wellington region of New Zealand. FINDINGS: Five key themes were identified: 1) GP perceptions of what the GP can do; 2) the roots of the obesity problem; 3) why the GP doesn’t succeed; 4) current primary care interventions; and 5) bariatric surgery. CONCLUSION: The GPs interviewed felt responsible for treatment of obesity in their patients. They expressed a sense of disempowerment regarding their ability to carry this out, identifying multiple barriers. These included: a society where overweight is seen as normal; complex situations in which weight management is rooted in personal issues; stigma associated with overweight and its management; lack of efficacious interventions; and low resource availability. Bariatric surgery was viewed cautiously in general, though some examples of positive results were reported, as well as a desire for increased access to this treatment option. KEYWORDS: Body weight change; general practice; obesity; primary health care; therapy

scholarly journals Association Between Medicaid Coverage and Income Status on Health Care Use and Costs Among Hypertensive Adults After Enactment of the Affordable Care Act

2019 ◽  
Vol 32 (10) ◽  
pp. 1030-1038 ◽  
Author(s):  
Donglan Zhang ◽  
Matthew R Ritchey ◽  
Chanhyun Park ◽  
Jason Li ◽  
John Chapel ◽  
...  
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Low Income ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
Medical Expenditure ◽  
Medicaid Coverage ◽  
Income Status ◽  
Health Care Service Use

Abstract Background Hypertension is highly prevalent among the low-income population in the United States. This study assessed the association between Medicaid coverage and health care service use and costs among hypertensive adults following the enactment of the Patient Protection and Affordable Care Act (ACA), by income status level. Methods A nationally representative sample of 2,866 nonpregnant hypertensive individuals aged 18–64 years with income up to 138% of the federal poverty level (FPL) were selected from the 2014 and 2015 Medical Expenditure Panel Survey. Regression analyses were performed to examine the association of Medicaid coverage with outpatient (outpatient visits and prescription medication fills), emergency, and acute health care service use and costs among those potentially eligible for Medicaid by income status—the very low-income (FPL ≤ 100%) and the moderately low-income (100% > FPL ≤ 138%). Results Among the study population, 70.1% were very low-income and 29.9% were moderately low-income. Full-year Medicaid coverage was higher among the very low-income group (41.0%) compared with those moderately low-income (29.1%). For both income groups, having full-year Medicaid coverage was associated with increased health care service use and higher overall annual medical costs ($13,085 compared with $7,582 without Medicaid); costs were highest among moderately low-income patients ($17,639). Conclusion Low-income individuals with hypertension, who were potentially newly eligible for Medicaid under the ACA may benefit from expanded Medicaid coverage by improving their access to outpatient services that can support chronic disease management. However, to realize decreases in medical expenditures, efforts to decrease their use of emergency and acute care services are likely needed.

scholarly journals Housing status and health care service utilization among low-income persons with HIV/AIDS

2000 ◽  
Vol 15 (10) ◽  
pp. 731-738 ◽  
Author(s):  
Meredith Y. Smith ◽  
Bruce D. Rapkin ◽  
Gary Winkel ◽  
Carolyn Springer ◽  
Rosy Chhabra ◽  
...  
Keyword(s):  
Health Care ◽  
Service Utilization ◽  
Low Income ◽  
Care Service ◽  
Health Care Service ◽  
Housing Status ◽  
Health Care Service Utilization ◽  
Hiv Aids

scholarly journals Detection of HIV-1 and -2 Antibodies among Children and Knowledge, Attitude, Perceptions and Practices (KAPP) of Their Parents in Port Harcourt, Nigeria

2021 ◽  
pp. 6-12
Author(s):  
Iheanyi O. Okonko ◽  
Tochi I. Cookey ◽  
Ifeyinwa N. Chijioke-Nwauche ◽  
Sofiat Adewuyi-Oseni ◽  
Charles C. Onoh
Keyword(s):  
Infection Rate ◽  
Teaching Hospital ◽  
Low Income ◽  
Care Service ◽  
Health Care Service ◽  
Age Groups ◽  
Port Harcourt ◽  
Test Kit ◽  
Hiv 1 ◽  
Hiv Aids

Aim: Paediatric testing for HIV in low-income and middle-income countries is poor and must be raved up as this is important for treatment and survival among this disease-prone demographic area. This study was carried out to detect the presence of HIV-1 and -2 antibodies among children receiving health care service in the University of Port Harcourt Teaching Hospital (UPTH), Port Harcourt, Rivers State, Nigeria. It also aimed to assess the knowledge, attitude, perceptions and practices of their parents on HIV/AIDS in Port Harcourt, Nigeria. Study Design: Cross-sectional study. Place and Duration of Study: University of Port Harcourt Teaching Hospital (UPTH) in Port Harcourt, Nigeria, between August 2012 and July 2015. Methods: One hundred subjects (58 males and 42 females) were used in this study. Blood samples were collected randomly from children in the outpatient department of the hospital. HIV-1/2 was detected using Gen ScreenTM ULTRA HIV Ag-Ab Kit (BIO-RAD), an ELISA based test kit following the manufacturer's instructions. Results: The overall prevalence was found to be 5.0%. The gender-specific infection rate shows that males had a higher infection rate (5.2%) for HIV infection than their female counterparts (4.8%). The age-specific prevalence showed that the children in age groups 8-10 years had a higher prevalence (6.7%) than those 2-4 years (4.5%) and 5-7 years (4.2%). None appeared to be significantly associated (P>0.05) with HIV-1/2 antibodies prevalence among the children population. The knowledge, attitude, perceptions and practices of parents of the children indicate that 100.0% of them believed HIV/AIDS is real and children live with it; 62.0% have been screened for HIV before while 38.0% have not; 77.0% believe HIV cannot be cured while 19.0% believe it can; 66.0% know that it can be transmitted from mother to child whereas 16.0% believe it cannot and 70.0% confirmed they share sharp objects. Conclusion: This study however further confirmed the presence of HIV-1 and 2 antibodies among Children in Port Harcourt, Nigeria. HIV can affect all age groups, both males and females. Health education campaigns and training on HIV prevention and control is recommended.

Food for Thought

2012 ◽  
Vol 21 (2) ◽  
pp. 68-72 ◽  
Author(s):  
Caryn Easterling
Keyword(s):  
Multidisciplinary Team ◽  
Clinical History ◽  
Team Members ◽  
Speech Language Pathologist ◽  
Expected Outcome

Our professional American Speech-Language-Hearing Association (ASHA) guidelines state, if a speech-language pathologist suspects on the basis of the clinical history that there may be an esophageal disorder contributing to the patient's dysphagia, then “An esophageal screening can be incorporated into most [videofluoroscopic swallowing studies, or] VFSS” (ASHA, 2004). However, the esophageal screen has not been defined by ASHA or by the American College of Radiology. This “Food for Thought” column suggests deglutologists work together to determine the procedure and expected outcome for the esophageal screen so that there is acceptance and consensus among the multidisciplinary team members who evaluate patients with dysphagia.

Charles Francis Adams: diary of a young American taxidermist visiting New Zealand, 1884–1887

2014 ◽  
Vol 41 (1) ◽  
pp. 1-16 ◽  
Author(s):  
B. J. Gill
Keyword(s):  
New Zealand ◽  
San Francisco ◽  
Marine Invertebrates ◽  
Working Life ◽  
Early Years ◽  
Detailed Account ◽  
East Indies ◽  
The Pacific ◽  
Set Up ◽  
White Island

In December 1884 Charles Francis Adams (1857–1893) left Illinois, USA, by train for San Francisco and crossed the Pacific by ship to work as taxidermist at Auckland Museum, New Zealand, until February 1887. He then went to Borneo via several New Zealand ports, Melbourne and Batavia (Jakarta). This paper concerns a diary by Adams that gives a daily account of his trip to Auckland and the first six months of his employment (from January to July 1885). In this period Adams set up a workshop and diligently prepared specimens (at least 124 birds, fish, reptiles and marine invertebrates). The diary continues with three reports of trips Adams made from Auckland to Cuvier Island (November 1886), Karewa Island (December 1886) and White Island (date not stated), which are important early descriptive accounts of these small offshore islands. Events after leaving Auckland are covered discontinuously and the diary ends with part of the ship's passage through the Dutch East Indies (Indonesia), apparently in April 1887. Adams's diary is important in giving a detailed account of a taxidermist's working life, and in helping to document the early years of Auckland Museum's occupation of the Princes Street building.

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