scholarly journals Evolution-revolution-devolution

2021 ◽  
Vol 42 (2) ◽  
Author(s):  
Ada Ducas ◽  
Tania Gottschalk ◽  
Analyn Cohen-Baker
Keyword(s):  
Information Access ◽  
Health Department ◽  
Regional Health ◽  
Knowledge Based ◽  
Health Authorities ◽  
University Of Manitoba ◽  
Manitoba Health ◽  
Regional Health Authorities ◽  
Access To Knowledge ◽  
The University

From 1993 to 2009 the University of Manitoba (UM), the Regional Health Authorities of Manitoba (RHAM), and the Manitoba Health Department signed affiliation agreements that changed the access to knowledge-based information for health professionals. These agreements transferred the management and delivery of library service from the home organizations to the UM Libraries. This three-part paper describes the events that led to the evolution of change in health information access in Winnipeg, subsequent revolutionary changes in the nature of the services, and their eventual devolution due to a significant array of unexpected challenges.

The Research Unit of the Servizio di Psicologia Medica at the Institute of Psychiatry of the University of Verona, 1980–1991

1993 ◽  
Vol 23 (1) ◽  
pp. 239-247 ◽  
Author(s):  
M. Tansella
Keyword(s):  
Clinical Work ◽  
Health Department ◽  
Epidemiological Studies ◽  
Research Unit ◽  
Medical Psychology ◽  
Regional Health ◽  
Teaching Activities ◽  
Health Authorities ◽  
Adult Psychiatry ◽  
The University

SynopsisThere has been an adult psychiatry research group within the Institute of Psychiatry of the University of Verona since 1970. However, in 1980, the University of Verona established a Chair in Medical Psychology and since that time a separate department gradually developed. This department, primarily devoted to epidemiological studies in mental health and to teaching activities, was later involved also in clinical work and was officially recognized by the Regional Health Department and by the Local Socio Health authorities (ULSS No. 25, Verona), as Servizio di Psicologia Medica. They provided additional financial support and new infrastructures not only for its clinical activities but also for research carried out in its Research Unit.

scholarly journals Beyond traditional library spaces: the practicalities of closing hospital libraries and opening a virtual library

2021 ◽  
Vol 42 (1) ◽  
Author(s):  
Carol Cooke
Keyword(s):  
Health Centre ◽  
Health Sciences ◽  
Lessons Learned ◽  
Virtual Library ◽  
Regional Health ◽  
University Of Manitoba ◽  
Manitoba Health ◽  
Winnipeg Regional Health Authority ◽  
The University ◽  
The City

The formation of the University of Manitoba Health Sciences Libraries (UMHSL) was the result of signing consecutive agreements over a period of 24 years between the University of Manitoba (UM) and Winnipeg area hospitals, now collectively known as the Winnipeg Regional Health Authority (WRHA). In 2017, the UMHSL included the UM's Neil John Maclean Health Sciences Library (NJMHSL) and eight hospital and health centre libraries located in the city of Winnipeg. In 2018, all the hospital and health centre libraries closed and the UML opened the rebranded WRHA Virtual Library. This article describes the complications and lessons learned while closing the hospital libraries and opening a virtual library service to a distributed health care system with diverse clinical and educational needs.

scholarly journals Recruitment into psychiatry

1996 ◽  
Vol 20 (3) ◽  
pp. 177-177 ◽  
Author(s):  
David Storer
Keyword(s):  
Advisory Committee ◽  
Manpower Planning ◽  
Regional Health ◽  
Senior Registrar ◽  
Adequate Supply ◽  
Health Authorities ◽  
Joint Planning ◽  
Regional Health Authorities

The major problem of manpower planning in psychiatry has until fairly recently been one of securing enough posts in the training grades to place doctors wishing to train in psychiatry and to ensure an adequate supply of applicants for consultant posts. Numerous consultant vacancies and a ‘bottleneck’ between registrar and senior registrar grades was the frustrating combination largely consequent upon the failure of some regional health authorities to fund the posts which Joint Planning Advisory Committee (JPAC) had approved.

scholarly journals Smart Management of Healthcare Professionals Involved in COVID-19 Contrast With SWAPS

2021 ◽  
Vol 3 ◽  
Author(s):  
Paolo Bellavista ◽  
Marco Torello ◽  
Antonio Corradi ◽  
Luca Foschini
Keyword(s):  
Health Department ◽  
Contact Tracing ◽  
Healthcare Personnel ◽  
High Concentration ◽  
Regional Health ◽  
Positive Health ◽  
Risk Area ◽  
Healthcare Facilities ◽  
Infected People ◽  
The University

The recent COVID-19 pandemic in Italy has highlighted several critical issues in the management process of infected people. At the health level, the management of the COVID-19 positive was mainly delegated to the regional authorities and centrally monitored by the State. Despite requested common activities (such as diagnosis of virus positivity, active surveillance of infected people and contact tracing), Regional Health Departments were able to issue specific directives in their territories and establish priority levels for each activity according to the specific needs related to the emergency in their area. The development of novel digital tools for the management of infected people become an urgent necessity to foster more organized and integrated solutions, able to quickly process large amounts of data. Mobile Crowdsensing methodologies could effectively facilitate needed lateral interviewing activities as well as the monitoring of crowds in environments with a high concentration of virus-positive subjects (such are hospital wards but also other locations), facilitating the tracing of possible outbreaks of contagion due to advanced geolocation techniques and big data analysis methods. This paper analyzes the functionality of SWAPS (Supporting Workflows for Healthcare Personnel management), a modular and scalable web platform which facilitate and reduces the management time of COVID positive health personnel within healthcare facilities. It also analyzes the possible integrations between SWAPS and ParticipACT, an advanced MCS platform developed by the University of Bologna that can help set up the alert notification in case of entry into a COVID risk area. This article surveys the current literature on software platforms to address COVID-19 and related tracing issues and presents the practical issues and on-the-field results obtained from the research developed by the University of Bologna by assisting the deployment of the proposed solution for a big Regional Health Department in the city of Bologna.

scholarly journals Discrepancies and inaccuracies in statistics for detained patients

1995 ◽  
Vol 19 (1) ◽  
pp. 28-32 ◽  
Author(s):  
Teresa Nemitz ◽  
Philip Bean
Keyword(s):  
Mental Health ◽  
Mental Hospital ◽  
Regional Health ◽  
Mental Hospitals ◽  
Mental Health Act ◽  
Health Authorities ◽  
Government Planning ◽  
Regional Health Authorities

While conducting a study on the nature and extent of compulsory admissions to mental hospitals within the four London regional health authorities, discrepancies and inaccuracies were revealed in many of those mental hospital in-patient statistics. The nature and extent of some of these are examined. It is suggested that the value of such statistics for government planning must be questioned as is their value for research. It is recommended that a centralised system of collecting and collating such data be introduced as a matter of priority and that such a system be operated by the Mental Health Act Commission.

scholarly journals Formal priority setting in health care: the Swedish experience

2016 ◽  
Vol 30 (6) ◽  
pp. 891-907 ◽  
Author(s):  
Peter Garpenby ◽  
Karin Bäckman
Keyword(s):  
Health Care ◽  
Priority Setting ◽  
National Level ◽  
Regional Health ◽  
Bottom Up ◽  
Content Type ◽  
Political Conflicts ◽  
Health Authorities ◽  
Financial Pressure ◽  
Regional Health Authorities

Purpose From the late 1980s and onwards health care in Sweden has come under increasing financial pressure, forcing policy makers to consider restrictions. The purpose of this paper is to review experiences and to establish lessons of formal priority setting in four Swedish regional health authorities during the period 2003-2012. Design/methodology/approach This paper draws on a variety of sources, and evidence is organised according to three broad aspects: design and implementation of models and processes, application of evidence and decision analysis tools and decision making and implementation of decisions. Findings The processes accounted for here have resulted in useful experiences concerning technical arrangements as well as political and public strategies. All four sites used a particular model for priority setting that combined top-down- and bottom-up-driven elements. Although the process was authorised from the top it was clearly bottom-up driven and the template followed a professional rationale. New meeting grounds were introduced between politicians and clinical leaders. Overall a limited group of stakeholders were involved. By defusing political conflicts the likelihood that clinical leaders would regard this undertaking as important increased. Originality/value One tendency today is to unburden regional authorities of the hard decisions by introducing arrangements at national level. This study suggests that regional health authorities, in spite of being politically governed organisations, have the potential to execute a formal priority-setting process. Still, to make priority-setting processes more robust to internal as well as external threat remains a challenge.

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