scholarly journals Facilitation of free residential training inside the country – The fundamental health service responsibility of the Government and its regulatory body

2015 ◽  
Vol 53 (197) ◽  
pp. 40-69 ◽  
Author(s):  
Madhur Dev Bhattarai
Keyword(s):  
Public Health ◽  
General Practice ◽  
Health Service ◽  
Health Services ◽  
Health Management ◽  
Health Service Delivery ◽  
Regulatory Body ◽  
Medical Council ◽  
Public Health Programme ◽  
The Government

For optimum Peripheral Health Service and implementation of various Vertical Public Health Programme Services, network of public Rural and Urban Health Centers with trained Specialists in General Practice (GP) is essential. Later such Specialist GPs will thus fulfill both comprehensive training and experience required for Health Management and Planning Service in the centre.  About 40%-50% of all Residential Trainings and Specialists are required in GP. There are further up to 100 to 150 possible specialties in which remaining doctors can be trained for Specialty Health Services. Though free Residential Training has numerous advantages, its shortage inside country is the bottleneck to provide above mentioned Health Services. Planning for health service delivery by at least trainee residents under supervision or appropriately trained specialists guides Residential Training’s regulations. Fulfillment of objective training criteria as its core focus is the concept now with the major role of Faculty as supervising residents to provide required service in the specialty and simultaneously updating themselves and their team for Evidence-Based Medicine practice. Similarly the need of Ambulatory Health Service and joint management of in-patients by specialists in hospitals has changed unit and bed divisions and requirements for Residential Training. Residents, already the licensed doctors, are thus providing required hospital service as indispensable part of its functional hierarchy for which they need to be paid. With such changing concepts and trends, there are some essential points in existing situation to facilitate free Residential Training inside country. For Government doctors, relevant amendment in their regulation is accordingly required. Keywords: ambulatory care; general practice; health service; hospitalist; medical council; medical education; public health; regulatory body; research; residential training.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

Collaboration and Cooperation of Public Health Service Management in China

2020 ◽  
pp. 1-7
Author(s):  
Wuqi Qiu ◽  
Cordia Chu ◽  
Kun Wang ◽  
Yueli Meng ◽  
Yujie Yang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Service Management ◽  
Public Health Service ◽  
Health Management ◽  
Public Information ◽  
Public Health Services ◽  
Health Service Management ◽  
Public Health Management

ABSTRACT Objectives: Collaboration and cooperation are critical for public health management. Nevertheless, collaboration and cooperation between government departments, as well as other entities, are still in a weak condition in China. This article analyzes the status of collaboration and cooperation in the management of public health services in China and explores the problems and gives strategic suggestions for strengthening collaboration and cooperation in the development of public health service systems in China, in order to provide a reference for improvement of public health management in the future. Methods: This study uses a qualitative case study approach, including documents review, in-depth interview, and focus group. Results: The main problems of collaboration and cooperation in public health service management in China include problems of effective collaboration and cooperation between institutions and relevant departments, public information platform, and implementation of public health and health promotion. On this basis, several relevant policy recommendations are put forward. Conclusions: Collaboration and cooperation are critical for the overall coordination and sustainable development of public health in China, and there is still work to be done in order to achieve appropriate cooperation and collaboration between different entities in the provision of public health services.

scholarly journals KUALITAS PELAYANAN BADAN PENYELENGGARA JAMINAN SOSIAL (BPJS) KESEHATAN DI PUSKESMAS WONOAYU KABUPATEN SIDOARJO

2017 ◽  
Vol 3 (1) ◽  
Author(s):  
Fatkhul Rosyadi
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Public Service ◽  
Direct Evidence ◽  
Health Service Quality ◽  
Additional Costs ◽  
The Government

Quality of Social Service Health Service In Puskesmas In Puskesmas Wonoayu District Sidoarjo. One form of public service organized by the government is the fulfillment of public health needs through the National Health Insurance Program, the Social Security Administering Agency (BPJS) of Health. But in the service delivery, there are still problems that often occur such as, there are always long queues, inpatient rooms are often full, drugs are limited and there are usually additional costs. Puskesmas Wonoayu is one of the faskes that serves BPJS Health participants. Therefore the quality of health services is very important in serving patients BPJS Health. In general, this study aims to measure the quality of service BPJS Health Center at Wonoayu Sidoarjo. This research uses descriptive qualitative approach. The data collection method used is observation, interview, and documentation study conducted in approximately three months. The results showed that BPJS Health Service Quality at Wonoayu Public Health Center of Sidoarjo Regency measured using Lupioadi indicator which consist of direct evidence, reliability, responsiveness, assurance, and empathy is good. But in direct evidence indicator there are facilities that are still in the process of revamping and there are also equipment officers are still lacking.Keyword: Indicators of Quality of Public Service, Health Services

scholarly journals Decentralised clinical training in optometry: a developmental strategy for eye health in KwaZulu Natal?

2018 ◽  
Vol 20 ◽  
Author(s):  
Diane van Staden
Keyword(s):  
Public Health ◽  
South Africa ◽  
Public Sector ◽  
Health Service ◽  
Health Services ◽  
Clinical Training ◽  
Health Service Delivery ◽  
The Public ◽  
Eye Health ◽  
Kwazulu Natal

AbstractBackgroundDecentralised clinical training (DCT) in optometry is an emerging concept in South Africa. In 2016, the University of KwaZulu Natal (UKZN) implemented this adaptive model of clinical training for undergraduate health professions. The initiative, which emanated through an agreement between UKZN’s College of Health Sciences and the KwaZulu Natal Department of Health, centres on the placement of undergraduate optometry students within public health facilities for clinical training purposes. Optometry services in South Africa have, however, had a historical bias towards a private sector model of training and a curative practice approach resulting in access barriers for the rural poor and high levels of unmet need. It has further contributed to a general state of underdevelopment of eye health services within the public sector.DiscussionDCT challenges historical undergraduate programme structures and modes of teaching and learning in optometry. It is largely underpinned by a need to strengthen health service delivery through a primary health care-centred, community-based training approach and produce ‘fit-for-purpose’ graduates who have contextually appropriate competencies for effective, local health service delivery. The historical absence of optometry services within the public sector has, however, contributed to limited planning for, and development of eye health services in this sector. This has inadvertently contributed to the burden of avoidable vision impairment in the country. The public health system in South Africa, therefore, faces various developmental challenges which impact eye health services and student clinical training.ConclusionWhile the model is still in a developmental state and resourcing challenges potentially affecting DCT are noted, early experiences of the Discipline of Optometry at the UKZN are that DCT shows promise in terms of its potential contribution towards the development of eye health services within the public health sector from graduate readiness, resource strengthening, access improvement and health service development perspectives.

scholarly journals Legal Protection Against Health Workers in Taking First Aid Medical Measures

2018 ◽  
Vol 1 (1) ◽  
pp. 40-52
Author(s):  
Julianto Jover Jotam Kalalo ◽  
Chyntia Novita Kalalo
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Health Workers ◽  
Code Of Ethics ◽  
Legal Protection ◽  
First Aid ◽  
Regional Government ◽  
Legal Rules ◽  
The Government

Health workers are a noble job, this is because they are the foremost fighters in terms of health services. Health workers are part of a health service that needs legal protection in carrying out their duties and responsibilities as public health servants. In carrying out its duties, health workers are given the authority to carry out health service efforts in accordance with applicable regulations. This authority in the form of legal rules that can be used as a guideline or basis for health workers to carry out a medical action in a case of health they face. Health workers in taking first aid medical actions must obtain a protection in carrying out their performance as health workers in accordance with Tupoksi and oaths of appointment as health workers. In the oath of appointment as a health worker in taking the first action is regulated in the rules of the code of ethics and hospital regulations and others. Efforts that can be made by the government in this case the Health Office, Hospital and Regional Government are making a rule that can regulate the implementation of the first level medical action in dealing with patients inside the hospital or in an accident. Keywords: Legal protection; Health workers; Medical treatment.

scholarly journals Association between Medical Resource Allocation and Satisfaction with Services of Public Health Management: Evidence from China

2020 ◽  
Author(s):  
Shangren Qin ◽  
Xiaohe Wang
Keyword(s):  
Public Health ◽  
Resource Allocation ◽  
Health Service ◽  
Health Services ◽  
Medical Service ◽  
Health Management ◽  
Medical Resource ◽  
Public Health Services ◽  
Satisfaction With Services ◽  
Public Health Management

Abstract Background: People’s satisfaction has been one important indicator to measure the health care quality in health systems. Medial resource allocation issues have also become an important concern affecting the equity and satisfaction of health service. This study aimed to study the factors affecting people's satisfaction with the services of public health management in China. Specifically, we examine the association between medical resource allocation and satisfaction with the services of public health management.Methods: To explore the associations between medical resource allocation and satisfaction with services of public health management in China, we derived data from the 2013 wave of the Chinese General Social Survey (CGSS). Models were estimated using multivariable logistic regression analysis.Results: Among factors of evaluation of medical resource allocation, adequacy of medical service resources, market-oriented and insufficiently public of public health services, and convenience of access to public health services were all significantly associated with satisfaction with services of public health management except the balance of medical service resources' distribution. Also, for different service projects and areas, the link between satisfaction with health service and residents’ characteristics also depends on specific service content.Conclusions: There is a link between medical resource allocation and satisfaction with the services of public health management. Medical resource allocation does affect satisfaction with services of public health management. It is necessary to improve the adequacy, publicity of medical services, and convenience of access to public health services in China.

scholarly journals Drivers of ‘clinically unnecessary’ use of emergency and urgent care: the DEUCE mixed-methods study

2020 ◽  
Vol 8 (15) ◽  
pp. 1-256
Author(s):  
Alicia O’Cathain ◽  
Emma Knowles ◽  
Jaqui Long ◽  
Janice Connell ◽  
Lindsey Bishop-Edwards ◽  
...  
Keyword(s):  
General Practice ◽  
Mixed Methods ◽  
General Practitioner ◽  
Health Service ◽  
Health Services ◽  
Focus Groups ◽  
Emergency Departments ◽  
Help Seeking ◽  
Mixed Methods Study ◽  
Coping Capacity

Background There is widespread concern about the pressure on emergency and urgent services in the UK, particularly emergency ambulances, emergency departments and same-day general practitioner appointments. A mismatch between supply and demand has led to interest in what can be termed ‘clinically unnecessary’ use of services. This is defined by the research team in this study as ‘patients attending services with problems that are classified as suitable for treatment by a lower urgency service or self-care’. This is a challenging issue to consider because patients may face difficulties when deciding the best action to take, and different staff may make different judgements about what constitutes a legitimate reason for service use. Objectives To identify the drivers of ‘clinically unnecessary’ use of emergency ambulances, emergency departments and same-day general practitioner appointments from patient and population perspectives. Design This was a sequential mixed-methods study with three components: a realist review; qualitative interviews (n = 48) and focus groups (n = 3) with patients considered ‘clinically unnecessary’ users of these services, focusing on parents of young children, young adults and people in areas of social deprivation; and a population survey (n = 2906) to explore attitudes towards seeking care for unexpected, non-life-threatening health problems and to identify the characteristics of someone with a tendency for ‘clinically unnecessary’ help-seeking. Results From the results of the three study components, we found that multiple, interacting drivers influenced individuals’ decision-making. Drivers could be grouped into symptom related, patient related and health service related. Symptom-related drivers were anxiety or need for reassurance, which were caused by uncertainty about the meaning or seriousness of symptoms; concern about the impact of symptoms on daily activities/functioning; and a need for immediate relief of intolerable symptoms, particularly pain. Patient-related drivers were reduced coping capacity as a result of illness, stress or limited resources; fear of consequences when responsible for another person’s health, particularly a child; and the influence of social networks. Health service-related drivers were perceptions or previous experiences of services, particularly the attractions of emergency departments; a lack of timely access to an appropriate general practitioner appointment; and compliance with health service staff’s advice. Limitations Difficulty recruiting patients who had used the ambulance service to the interviews and focus groups meant that we were not able to add as much as we had anticipated to the limited evidence base regarding this service. Conclusions Patients use emergency ambulances, emergency departments and same-day general practitioner appointments when they may not need the level of clinical care provided by these services for a multitude of inter-related reasons that sometimes differ by population subgroup. Some of these reasons relate to health services, in terms of difficulty accessing general practice leading to use of emergency departments, and to population-learnt behaviour concerning the positive attributes of emergency departments, rather than to patient characteristics. Social circumstances, such as complex and stressful lives, influence help-seeking for all three services. Demand may be ‘clinically unnecessary’ but completely understandable when service accessibility and patients’ social circumstances are considered. Future work There is a need to evaluate interventions, including changing service configuration, strengthening general practice and addressing the stressors that have an impact on people’s coping capacity. Different subgroups may require different interventions. Study registration This study is registered as PROSPERO CRD42017056273. Funding This project was funded by the National Institute for Health Research (NIHR) Health Services and Delivery Research programme and will be published in full in Health Services and Delivery Research; Vol. 8, No. 15. See the NIHR Journals Library website for further project information.

scholarly journals Does Fiscal Transfer Improve the Equalization of Regional Public Health Service Evidence from a Spatial Panel-Data Analysis in China

2021 ◽  
Vol 235 ◽  
pp. 03001
Author(s):  
Youwen Jin ◽  
Guoping Nong
Keyword(s):  
Public Health ◽  
Health Service ◽  
Central Government ◽  
Public Health Service ◽  
Panel Data Analysis ◽  
Service Development ◽  
Spatial Panel ◽  
Fiscal Transfer ◽  
Spatial Panel Data ◽  
The Government

Public health service is regarded a key social resource contributing to the national health and sustainable development. Its development gap, however, exists among regions in China due to the unbalanced regional economy, and is also affected by financial distribution. With the effect of tax reform, central fiscal transfer has become a strategic approach to narrow the regional gap of public health service and improve the regional development. This paper aims to evaluate provincial public health service levels in China by applying entropy method and shows that obvious spatial imbalance of public health service level exists in Chinese provinces and such imbalance is also consistent with that of average fiscal transfer from the central government to the regional ones. The current research also looks at, by adopting spatial panel model, a model developed from economic convergence model, whether central fiscal transfer effectively helps to lower the level of public health service difference in regions and the outcome depicts that central fiscal transfer, particularly fiscal transfer for specific purposes, accelerates Chinese public health service development especially in eastern, middle and western regions. From the perspective of spatial effect, neighborhood imitation effect exists to allow completion among neighboring regional governments and therefore more investment to public health service. Compared with the pace of economic development, central fiscal transfer’s limited effect is still seen in less developed regions particularly some midland and western areas, due to the inadequate investment rooted in government’s structured expenditure plan. The implication of this research is that, apart from the attention to economic growth, the government should, with the effort of fiscal transfer, financially focus more on the area of public health service.

scholarly journals Government Immunity and Liability in Tort: The Case of Covid-19 Pandemic’s Management in Indonesia

2021 ◽  
Vol 43 (2) ◽  
pp. 123
Author(s):  
Laras Susanti
Keyword(s):  
Public Health ◽  
Dispute Settlement ◽  
Health Management ◽  
The State ◽  
Dispute Settlement Mechanism ◽  
Concrete Action ◽  
The Government ◽  
Administrative Governance ◽  
Legal Frameworks ◽  
Laws And Regulations

The Covid-19 pandemic has cost human lives and threaten the world’s economy. Responding to this unprecedented history, governments are expected to take both public health and economic recovery actions. This article conveys analysis on how Indonesian courts might examine government tort cases on the government’s liability in handling the pandemic. A normative juridical method is used to analyze primary and secondary legal sources. The writer finds that with the enactment of Law Number 30 of 2014 on Government Administration, a government concrete action is also an object to suing government before the state administrative court. Furthermore, the recent Supreme Court Regulation Number 2 of 2019 on Guidance Dispute Settlement Mechanism of Government Action and Competence to Adjudicate Government Tort governs that the state administrative court is the only court that has competence over government tort. As a result, claims of government tort submitted to the general court must be dismissed. In fact, this recent development created confusion on the side of justice seekers and judges as well that might affect the outcome of Covid-19 government tort claims. Studying previous government tort cases and focusing its exploration on the development of government immunity and liability, this article finds that Indonesian courts use Article 1365 Civil Code equipped with laws and regulations in administrative governance and specific fields legal frameworks to examine government tort cases. Even though such laws may state that the government may not be sued, the courts may use the Constitution of 1945 to establish a right to sue. During the Covid-19 pandemic, laws and regulations related to disaster and public health management along with the public interest principle must be examined to determine government tort.

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