scholarly journals Using the fractal dimension to generate parametric Islamic patterns

2019 ◽  
Author(s):  
Mai Abdelsalam ◽  
Hassan Abdelsalam
Keyword(s):  
Home Care ◽  
Tertiary Care ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Communicable Diseases ◽  
Tertiary Level ◽  
Patient Centered ◽  
Non Communicable Diseases ◽  
Centered Care ◽  
Physical Spaces

Non-communicable diseases (NCDs) are the cause for over 70% of global deaths. Various levels of healthcare delivery from home-care to tertiary care exist for patients where patients with NCDs are treated. Demand for services provided by tertiary level institutions has increased tremendously along with the growth and prevalence of chronic diseases. Few of the other reasons include co-morbidities, greater complexities of diseases, greater public expectations, higher life expectancy, an aging baby-boomer population, identification of diseases at later stages of life and deferral of care among many other complex scenarios. Globally, rising demand for healthcare services presently sets challenges of under-capacity and under-staffed healthcare infrastructure. With the advent of technology in healthcare and by providing tools in the hands of patients, a shift in healthcare delivery is evidenced towards early detection of diseases and prevention as a means of patient-care and for tackling non-communicable diseases. Evidence based delivery models tend to focus on patient experience in the course of treatment. This has consequences on the physical spaces where care is delivered, as the focus shifts from the space to the patient. This paper explores how greater demand to address prevalence of non-communicable diseases and the advent of technology can create opportunities for development of healing spaces. For patient-centric care, this would entail from inclusion of technologically driven healthcare environment within a home-care setting to improving the functional efficiencies within existing and proposed tertiary level hospitals for patient-centered care. The notion of bringing hospital (healthcare) to the patient is becoming a necessity to create a future where patients would depend less on the model of in-efficiently functioning tertiary level hospitals and a greater effort will be required towards home-settings, applying the adage 'prevention is better than cure.'

scholarly journals Ayushman Bharat Yojana: a memorable health initiative for Indians

2018 ◽  
Vol 5 (8) ◽  
pp. 3152 ◽  
Author(s):  
Rohit Dhaka ◽  
Ramesh Verma ◽  
Ginni Agrawal ◽  
Gopal Kumar
Keyword(s):  
Health Centre ◽  
Tertiary Care ◽  
Poverty Line ◽  
Healthcare Services ◽  
Communicable Diseases ◽  
Health And Wellness ◽  
Non Communicable Diseases ◽  
Protection Scheme ◽  
Insurance Cover ◽  
The Government

India in a state of epidemiological health transition i.e shifting from communicable to non-communicable diseases. The annually 3.2% Indians falling below the poverty line and three forth Indians spending their entire income on health care and purchasing drugs. The government of India announced a Ayushman Bharat Yojana- National Health Protection Scheme (AB-NHPM) in the year 2018.  The aim of this programme is to providing a service to create a healthy, capable and content new India and two goals are to creating a network of health and wellness infrastructure across the nation to deliver comprehensive primary healthcare services and to provide health insurance cover to at least 40% of India's population which is deprived of secondary and tertiary care services. This Yojana will be implemented through Health and Wellness Centres that are to be developed in the primary health centre or sub-centre in the village and that will provide preventive, promotive, and curative care for non-communicable diseases, dental, mental, geriatric care, palliative care, etc. These centres would be equipped with basic medical tests for hypertension, diabetic and cancer and they are connected to the district hospital for advanced tele-medical consultations. The government has aims to set up 1,50,000 health and wellness centres across the country by the year 2022.

scholarly journals Scaling-up an integrated care for patients with non-communicable diseases: An analysis of healthcare barriers and facilitators in Slovenia and Belgium

2021 ◽  
Vol 60 (3) ◽  
pp. 158-166
Author(s):  
Črt Zavrnik ◽  
Katrien Danhieux ◽  
Miriam Hurtado Monarres ◽  
Nataša Stojnić ◽  
Majda Mori Lukančič ◽  
...  
Keyword(s):  
Integrated Care ◽  
Primary Healthcare ◽  
Patient Centered Care ◽  
Communicable Diseases ◽  
Study Patient ◽  
Coordination Of Care ◽  
Patient Centered ◽  
Non Communicable Diseases ◽  
Task Delegation ◽  
Centered Care

Abstract Introduction Although the concept of integrated care for non-communicable diseases was introduced at the primary level to move from disease-centered to patient-centered care, it has only been partially implemented in European countries. The aim of this study was to identify and compare identified facilitators and barriers to scale-up this concept between Slovenia and Belgium. Methods This was a qualitative study. Fifteen focus groups and fifty-one semi-structured interviews were conducted with stakeholders at the micro, meso and macro levels. In addition, data from two previously published studies were used for the analysis. Data collection and analysis was initially conducted at country level. Finally, the data was evaluated by a cross-country team to assess similarities and differences between countries. Results Four topics were identified in the study: patient-centered care, teamwork, coordination of care and task delegation. Despite the different contexts, true teamwork and patient-centered care are limited in both countries by hierarchies and a very heavily skewed medical approach. The organization of primary healthcare in Slovenia probably facilitates the coordination of care, which is not the case in Belgium. The financing and organization of primary practices in Belgium was identified as a barrier to the implementation of task delegation between health professionals. Conclusions This study allowed formulating some important concepts for future healthcare for non-communicable diseases at the level of primary healthcare. The results could provide useful insights for other countries with similar health systems.

scholarly journals Benchmarking European Home Care Models for Older Persons on Societal Costs: The IBenC Study

2021 ◽  
Vol 14 ◽  
pp. 117863292110224
Author(s):  
Lisanne I van Lier ◽  
Henriëtte G van der Roest ◽  
Vjenka Garms-Homolová ◽  
Graziano Onder ◽  
Pálmi V Jónsson ◽  
...  
Keyword(s):  
Home Care ◽  
Patient Centered Care ◽  
Mean Difference ◽  
Care Model ◽  
Patient Centered ◽  
Societal Costs ◽  
Centered Care ◽  
Care Models ◽  
Prospective Longitudinal ◽  
Care Performance

This study aims to benchmark mean societal costs per client in different home care models and to describe characteristics of home care models with the lowest societal costs. In this prospective longitudinal study in 6 European countries, 6-month societal costs of resource utilization of 2060 older home care clients were estimated. Three care models were identified and compared based on level of patient-centered care (PCC), availability of specialized professionals (ASP) and level of monitoring of care performance (MCP). Differences in costs between care models were analyzed using linear regression while adjusting for case mix differences. Societal costs incurred in care model 2 (low ASP; high PCC & MCP) were significantly higher than in care model 1 (high ASP, PCC & MCP, mean difference €2230 (10%)) and in care model 3 (low ASP & PCC; high MCP, mean difference €2552 (12%)). Organizations within both models with the lowest societal costs, systematically monitor their care performance. However, organizations within one model arranged their care with a low focus on patient-centered care, and employed mainly generalist care professionals, while organizations in the other model arranged their care delivery with a strong focus on patient-centered care combined with a high availability of specialized care professionals.

scholarly journals Quality and safety by design

2006 ◽  
Vol 15 (suppl 1) ◽  
pp. i1-i3 ◽  
Author(s):  
J B Battles
Keyword(s):  
Healthcare Delivery ◽  
Clinical Work ◽  
Design Methods ◽  
Quality And Safety ◽  
Healthcare Organizations ◽  
Patient Centered ◽  
Framework Design ◽  
Design Attributes ◽  
Centered Care

Rather than continuing to try to measure the width and depths of the quality chasm, a legitimate question is how does one actually begin to close the quality chasm? One way to think about the problem is as a design challenge rather than as a quality improvement challenge. It is time to move from reactive measurement to a more proactive use of proven design methods, and to involve a number of professions outside health care so that we can design out system failure and design in quality of care. Is it possible to actually design in quality and design out failure? A three level conceptual framework design would use the six quality aims laid out in Crossing the quality chasm. The first or core level of the framework would be designing for patient centered care, with safety as the second level. The third design attributes would be efficiency, effectiveness, timeliness, and equity. Design methods and approaches are available that can be used for the design of healthcare organizations and facilities, learning systems to train and maintain competency of health professionals, clinical systems, clinical work, and information technology systems. In order to bring about major improvements in quality and safety, these design methods can and should be used to redesign healthcare delivery systems.

Providing Patient Centered Care for Adolescents with Chronic Conditions

2016 ◽  
Vol 6 (1) ◽  
pp. 22-29
Author(s):  
Nabeel Al-Yateem
Keyword(s):  
Young Adults ◽  
Healthcare Professionals ◽  
Transition Process ◽  
Healthcare Services ◽  
Adolescents And Young Adults ◽  
Study Phase ◽  
Patient Centered ◽  
Centered Care ◽  
Group Interviews ◽  
Depth Interviews

Background: It is well acknowledged that clear, structured healthcare services that are mutually developed between the patient and the healthcare professionals are likely to be of high quality, desirable, and effective. Such service should address the complexity of the illness-health experience in terms of the factors that influence it as well as the physical and psychosocial consequences on the patient. The required focus should be on treating the patient rather than just treating the disease.Objectives: To develop relevant and feasible care guidelines that may inform more competent and patient centered services for adolescents and young adults with chronic conditions.Methodology: A sequential exploratory mixed method design guided this study. The first qualitative phase employed in-depth interviews to explore the experiences of adolescents and young adults about the health services they were receiving. This was followed by focus group interviews with healthcare professionals to discuss the patients’ reported needs and to suggest interventions that would address them. Finally, a second quantitative phase was carried out through a survey to explore the views of a larger sample of service stakeholders about the relevance and feasibility of the suggested guidelines for clinical practice.Results: The in-depth interviews revealed four main themes, as follows: a current amorphous service, sharing knowledge, the need to be at the center of service, and easing the transition process to adulthood. The second study phase yielded 32 proposed guidelines that may contribute to more competent and patient centered health care.

Expanding Role of Telephone Systems in Healthcare

2017 ◽  
pp. 564-598
Author(s):  
Jing Shi ◽  
Ergin Erdem ◽  
Heping Liu
Keyword(s):  
Performance Metrics ◽  
Healthcare Delivery ◽  
Patient Acceptance ◽  
Patient Centered ◽  
Healthcare Settings ◽  
Challenges And Opportunities ◽  
Centered Care ◽  
The Cost ◽  
Telephone Systems

The telephone systems in healthcare settings serve as a viable tool for improving the quality of service provided to patients, decreasing the cost, and improving the patient satisfaction. It can play a pivotal role for transformation of the healthcare delivery for embracing personalized and patient centered care. This chapter presents a systematic review of new developments of healthcare telephone system operations in various areas such as tele-health. Current research on topics such as tele-diagnosis, tele-nursing, tele-consultation is outlined. Specific issues associated with the emerging applications such as underreferral, legal issues, patient acceptance, on-call physician are discussed. Meanwhile, the architecture and underlying technologies for healthcare telephone systems are introduced, and the performance metrics for measuring the system operations are provided. In addition, challenges and opportunities related with improving the healthcare telephone systems are identified, and the potential opportunities of optimizing these systems are pointed out.

A Computational Perspective of Knowledge Empowerment for Healthcare Decision Making

2017 ◽  
pp. 134-155
Author(s):  
Timothy Jay Carney
Keyword(s):  
Public Health ◽  
Computational Models ◽  
Healthcare Delivery ◽  
Research Literature ◽  
Healthcare Decision ◽  
Patient Centered ◽  
Healthcare Decision Making ◽  
Computational Perspective ◽  
Centered Care ◽  
The Relationship

People in a variety of settings can be heard uttering the phrase that “knowledge is power” or the relatively equivalent concept that “information is power.” However, the research literature in particular lacks a simple and standardized way to examine the relationship between knowledge and power. There is a lack operational quantitative definitions of this relationship to adequately support the building of complex computational models used in addressing some longstanding public health and healthcare delivery issues like differential access to care, inequitable care and treatment, institutional bias, disparities in health outcomes, and eliminating barriers to patient-centered care. The objective of this discussion is to present a relational algorithm that can be used in both conceptual discussions on knowledge empowerment modeling, as well as in the building of computational models that want to explore the variable of knowledge empowerment within computer simulation experiments.

scholarly journals Towards a Shariah Compliance Model for Healthcare Centres with reference to Spiritual Healers: Issues and Challenges

2018 ◽  
Vol 17 (1) ◽  
Author(s):  
Ramizah Wan Muhammad
Keyword(s):  
Public Health ◽  
Tertiary Care ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Healthcare Delivery System ◽  
Factors Affecting ◽  
Healthcare Centre ◽  
The Public ◽  
The People ◽  
Spiritual Healers

Generally, a good healthcare centre comprises of qualified manpower, right policies and right procedures in providing primary care, secondary care and tertiary care for the patients as well as in public health. Other than manpower, healthcare centres must also look at social, religious and cultural factors affecting the recipients of the healthcare services given by the healthcare centres. In this paper, the author will look at some pertinent issues such as the need to have spiritual healers in any healthcare centre to help the patients in dealing with fatal illness. The spiritual healer is to help the patient and give him motivation so that he could have a positive mind throughout his journey in battling with his illness. Sometimes we have patients who refused to listen to the doctor's advice. Thus, the role of the spiritual healer would be important in assisting the healthcare centres and its management to convince him. Another issue is the privacy, respect and trust between patients and doctors as well as with the management of the healthcare centres. One of the duties of the healthcare centres’ management and doctors is, to respect the patient's religion and his faith. These three issues are amongst the important issues which every healthcare centre must look upon. Definitely there are a lot of challenges in addressing the above mentioned issues such as the procedures, methods on how to execute these issues and most importantly the perception of the public. In Islam, health care is one of the five important elements in which the Prophet SAW has mentioned in one hadith to be taken care of. A study has shown that a nation-building efforts has no meaningwithout the best public health and healthcare delivery system to the people.

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