scholarly journals Bringing the Nurse Back to the Bedside

2021 ◽  
Author(s):  
Gordon Bingham ◽  
Paul Ross ◽  
Susan Poole ◽  
Naomi Dobroff ◽  
Larnie Wright ◽  
...  
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Care Delivery ◽  
Nursing Profession ◽  
Australian Health ◽  
Care Outcomes ◽  
The Way

As digitisation continues to increase across Australian health services, the nursing profession has focused on analysing and measuring the way care is provided to the patients. Focus on optimising nursing workflows and improved care delivery has presented challenges but this is now demonstrating improvements in patient care outcomes and time for care.

scholarly journals An overview of the role of government in the organisation and provision of health services in Japan

1996 ◽  
Vol 19 (2) ◽  
pp. 75 ◽  
Author(s):  
Christopher Walker
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Health Services ◽  
Private Sector ◽  
Service Providers ◽  
Care Delivery ◽  
Insurance Coverage ◽  
Role Of Government ◽  
Australian Health

This article is illustrated with reference to health services in the Tokyo Prefecture.It seeks to describe the role of government in the organisation and provision of healthservices in Japan. It is based on experiences gained from a three-month placementat the Tokyo Metropolitan Government Bureau of Public Health in late 1994.Wherever possible the article identifies similarities and differences between theJapanese and Australian health care systems. Part of the analysis has been to identifyareas where opportunities exist for Australian health service providers to developfurther cooperation with particular sectors of the Japanese health system and alsowhere the potential for the export of health services may exist.The health systems of Australia and Japan have points of similarity anddifference. Essentially both systems operate within the context of a compulsoryuniversal health insurance system. However, unlike Australia, the bulk of serviceprovision in Japan is left to the private sector, while government retains the primaryrole of regulator. It is interesting to observe that while the Australian health caresystem is currently exploring options to expand the service range and level ofparticipation of private sector services in health care delivery (within the context ofuniversal health insurance), the Japanese health care system appears to be examiningoptions through which further government intervention can improve service accessand service efficiency. Japan presents opportunities to observe the benefits anddisadvantages of predominantly private sector provision within the context ofuniversal health insurance coverage.

scholarly journals Use of the SONET Score to Evaluate High Volume Emergency Department Overcrowding: A Prospective Derivation and Validation Study

2015 ◽  
Vol 2015 ◽  
pp. 1-11 ◽  
Author(s):  
Hao Wang ◽  
Richard D. Robinson ◽  
John S. Garrett ◽  
Kellie Bunch ◽  
Charles A. Huggins ◽  
...  
Keyword(s):  
Emergency Department ◽  
Patient Care ◽  
Care Delivery ◽  
Average Length ◽  
High Volume ◽  
Patient Acuity ◽  
Factors Affecting ◽  
Left Without Being Seen ◽  
Ed Overcrowding ◽  
Care Outcomes

Background. The accuracy and utility of current Emergency Department (ED) crowding estimation tools remain uncertain in EDs with high annual volumes. We aimed at deriving a more accurate tool to evaluate overcrowding in a high volume ED setting and determine the association between ED overcrowding and patient care outcomes.Methods. A novel scoring tool (SONET: Severely overcrowded-Overcrowded-Not overcrowded Estimation Tool) was developed and validated in two EDs with both annual volumes exceeding 100,000. Patient care outcomes including the number of left without being seen (LWBS) patients, average length of ED stay, ED 72-hour returns, and mortality were compared under the different crowding statuses.Results. The total number of ED patients, the number of mechanically ventilated patients, and patient acuity levels were independent risk factors affecting ED overcrowding. SONET was derived and found to better differentiate severely overcrowded, overcrowded, and not overcrowded statuses with similar results validated externally. In addition, SONET scores correlated with increased length of ED stay, number of LWBS patients, and ED 72-hour returns.Conclusions. SONET might be a better fit to determine high volume ED overcrowding. ED overcrowding negatively impacts patient care operations and often produces poor patient perceptions of standardized care delivery.

Slaying the Dragon of Protectionism: Lessons Learned on the Journey to Health Services Integration

2002 ◽  
Vol 15 (1) ◽  
pp. 8-12
Author(s):  
Steve Elson
Keyword(s):  
Health Services ◽  
Patient Care ◽  
Applied Research ◽  
Care Delivery ◽  
Lessons Learned ◽  
Leadership Education ◽  
Integrated Service Delivery ◽  
Process And Outcome ◽  
Services Integration ◽  
Network Project

This article describes what the Queen's University Care Delivery Network project, a multidisciplinary, applied research project, learned about facilitating clinically focused integrated service delivery. Lessons learned include the importance of teamwork, resources, skills, planning, communication, leadership, education and ongoing commitment to ensure successful outcomes. It was also learned that people are prepared to change and collaborate to improve the process and outcome of patient care.

Primary Care in Australia

1986 ◽  
Vol 16 (2) ◽  
pp. 199-212
Author(s):  
N. A. Andersen
Keyword(s):  
General Practitioners ◽  
Care Delivery ◽  
The Elderly ◽  
Health Care Delivery System ◽  
Continuing Care ◽  
New Developments ◽  
Australian Health ◽  
The Family ◽  
Royal Australian College ◽  
The Way

The Australian health care delivery system is reviewed in this article, with special comment on the implications of the financial components of the system and government concerns regarding costs and over-servicing. General practitioners' perception of their role is not significantly different from the expectation of patients, yet the reality may not match the idealized view. There are problems related to availability and there are developments which seem to pose some threat to the continuing care of patients. New developments have occurred in the way in which practice is organized which give an emphasis to continual availability over 24 hour periods, and these developments pose a challenge to the way in which doctors have organized their practices. Population features-Aborigines, migrants, and the elderly-present significant problems that are not always well met, and the concept of total patient care thereby suffers. The general practitioner's apparent failure to fill the expected role in co-ordination of services is discussed, as is the need for general practitioners to become more actively involved in health education and promotion. The hope for the future lies in the Family Medicine Programme of The Royal Australian College of General Practitioners, which represents a major attempt to provide appropriate vocational training for general practice.

Innovations in Human Service Technologies: Strengthening Health Care Delivery Systems

1994 ◽  
Vol 10 (2) ◽  
pp. 214-226 ◽  
Author(s):  
Susan Hoefflinger Taft ◽  
Pauline Seitz
Keyword(s):  
Health Care ◽  
Health Services ◽  
Patient Care ◽  
Health Care Delivery ◽  
Human Service ◽  
Care Delivery ◽  
Delivery Systems ◽  
Subsequent Trial ◽  
Hospital Networks ◽  
Health Care Delivery Systems

AbstractThe authors report on innovative approaches to the organization of health services and the delivery of patient care in 19 U.S. hospitals and hospital networks. Strengthening patient care is the focus of this initiative. Hospital-wide interdisciplinary planning and the subsequent trial of new human service technologies are explored.

COVID 19 and Special Care Dentistry: A Narrative Review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1473-1476
Author(s):  
Ashwika Datey ◽  
Soumya Singhai ◽  
Gargi Nimbulkar ◽  
Kumar Gaurav Chhabra ◽  
Amit Reche
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Health Services ◽  
Care Delivery ◽  
Special Care ◽  
World Health ◽  
Healthcare Sector ◽  
Health Care Needs ◽  
Oral Diseases ◽  
Care Needs

The COVID 19 outbreak has been declared a pandemic by the world health organisation. The healthcare sector was overburdened and overstretched with the number of patient increasing and requiring health services. The worst-hit population always are the people with special needs, whether it is children, pregnant females or the geriatric population. The need for the emergency kind of health services was so inflated that the other special population which required them equally as those patients with the COVID 19 suffered a lot. Dentistry was not an exception, and even that is also one of the important components of the health care delivery system and people requiring oral health care needs were also more. Those undergoing dental treatments would not have completed the treatment, and this would have resulted in various complications. In this situation, some dental emergency guidelines have been released by Centres for Disease Control (CDC) for the urgent dental care those requiring special care dentistry during the COVID 19 pandemic. Children with special care needs were considered more vulnerable to oral diseases; hence priority should have been given to them for dental treatments moreover in the future also more aggressive preventive measures should be taken in order to maintain oral hygiene and prevent many oral diseases. Guardians/caregivers should be made aware and motivated to maintain the oral health of children with special health care needs. This review mainly focuses on the prevention and management of oral diseases in children's with special care needs.

scholarly journals Pediatric Endocrinology in the Time of COVID-19: Considerations for the Rapid Implementation of Telemedicine and Management of Pediatric Endocrine Conditions

2020 ◽  
Vol 93 (6) ◽  
pp. 343-350
Author(s):  
Molly O. Regelmann ◽  
Rushika Conroy ◽  
Evgenia Gourgari ◽  
Anshu Gupta ◽  
Ines Guttmann-Bauman ◽  
...  
Keyword(s):  
Patient Care ◽  
Care Patient ◽  
The Novel ◽  
Patient Privacy ◽  
Pediatric Endocrinology ◽  
Quality Of Patient Care ◽  
Care Outcomes ◽  
Novel Coronavirus ◽  
The Impact

<b><i>Background:</i></b> Pediatric endocrine practices had to rapidly transition to telemedicine care at the onset of the novel coronavirus disease 2019 (COVID-19) pandemic. For many, it was an abrupt introduction to providing virtual healthcare, with concerns related to quality of patient care, patient privacy, productivity, and compensation, as workflows had to change. <b><i>Summary:</i></b> The review summarizes the common adaptations for telemedicine during the pandemic with respect to the practice of pediatric endocrinology and discusses the benefits and potential barriers to telemedicine. <b><i>Key Messages:</i></b> With adjustments to practice, telemedicine has allowed providers to deliver care to their patients during the COVID-19 pandemic. The broader implementation of telemedicine in pediatric endocrinology practice has the potential for expanding patient access. Research assessing the impact of telemedicine on patient care outcomes in those with pediatric endocrinology conditions will be necessary to justify its continued use beyond the COVID-19 pandemic.

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