scholarly journals Perspectives and Attitudes of Patients with COVID-19 toward a Telerehabilitation Programme: A Qualitative Study

2021 ◽  
Vol 18 (15) ◽  
pp. 7845
Author(s):  
Carlos Bernal-Utrera ◽  
Ernesto Anarte-Lazo ◽  
Elena De-La-Barrera-Aranda ◽  
Laura Fernandez-Bueno ◽  
Manuel Saavedra-Hernandez ◽  
...  
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Point Of View ◽  
Medical Assistance ◽  
Analysis Software ◽  
Structured Interviews ◽  
Technical Aspects ◽  
Face To Face ◽  
Public Health Systems ◽  
Objective Model

The total isolation of patients with coronavirus disease 2019 (COVID-19) requires non-face-to-face medical assistance. There is evidence of the efficacy of home treatments with exercises in patients with respiratory disorders which could become the therapeutic method of choice for the treatment and supervision of patients isolated due to infection during home confinement. This study’s objective was to analyse the experience and opinions of isolated patients with COVID-19 included in a programme of telerehabilitation exercises for 14 days and it is intended to reflect, from a qualitative point of view, the viability and usefulness of telerehabilitation tools in the management of these patients. Twenty-five participants of a telerehabilitation programme were interviewed by telephone through semi-structured interviews, following a positivist and objective model. The data were categorised and analysed through NVIVO qualitative analysis software. The information obtained was classified into four main topics (telerehabilitation programme, perception of clinical benefit, psychological aspects and level of health care) and six subtopics (technical aspects, communication, improvement aspects, exercise plan, motivation and applicability to public health systems). The telerehabilitation programme established in patients confined by COVID-19 is very well received, without considerable technical difficulties and generates physical and psychological improvements. Patients highlight the importance of applying this type of programme in public health systems.

scholarly journals Systems leadership in practice: thematic insights from three public health case studies

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Charlotte Bigland ◽  
David Evans ◽  
Richard Bolden ◽  
Maggie Rae
Keyword(s):  
Public Health ◽  
Case Studies ◽  
Health Systems ◽  
System Structure ◽  
Health Improvement ◽  
Global Public Health ◽  
Structured Interviews ◽  
Public Health Systems ◽  
Systems Leadership ◽  
Indicators Of Success

Abstract Background ‘Systems leadership’ has emerged as a key concept in global public health alongside such related concepts as ‘systems thinking’ and ‘whole systems approaches.’ It is an approach that is well suited to issues that require collective action, where no single organisation can control the outcomes. While there is a growing literature on the theory of systems leadership in a number of fields, there remains a lack of published empirical studies of public health systems leadership for professionals to learn from. The aim of the current project was to conduct cases studies in UK public health to provide empirical evidence on the nature of effective systems leadership practice. Methods Three system leadership case studies were identified in the key domains of public health: health protection, healthcare public health and health improvement. A total of 27 semi-structured interviews were conducted. Data were thematically analysed to identify the components of effective systems leadership in each case and its impact. Results The thematic analysis identified themes around ‘getting started,’ ‘maintaining momentum’ and ‘indicators of success’ in systems leadership. In terms of getting started, the analysis showed that both a compelling ‘call to action’ and assembling an effective ‘coalition of the willing’ are important. To maintain momentum, the analysis identified themes relating to system structure, culture and the people involved. Regarding culture, the main themes that emerged were the importance of nurturing strong relationships, curiosity and a desire to understand the system, and promoting resilience. The analysis identified three components that could be used as indicators of success; these were a sense of enjoyment from the work, resource gains to the system and shifts in data indicators at the population level. Conclusions This study has provided insight into the nature of systems leadership in public health settings in the UK. It has identified factors that contribute to effective public health systems leadership and offers a thematic model in terms of establishing a systems leadership approach, maintaining momentum and identifying key success indicators.

scholarly journals The Role of Telemedicine on Ecuador During COVID-19 Crisis: A Perspective from a Volunteer Physician

2020 ◽  
Author(s):  
Bryan Nicolalde
Keyword(s):  
Public Health ◽  
Health System ◽  
Health Systems ◽  
Latin American ◽  
Call Center ◽  
Point Of View ◽  
Public Health Systems ◽  
Psychological Point ◽  
The Government

Ecuador is one of the most affected countries of COVID-19 in Latin American. The government invited physicians to become a volunteer to attend call center and practice telemedicine in order to relief an oversaturated health system. Due lack of availability and digital illiteracy the government implement just standard calls. The difficulties that can be faced are secondary to establishing the severity of a patient only with subjective measures and to achieving effective coordination of telemedicine with public health systems. The role played by the doctor during this crisis is fundamental from the educational, preventive and psychological point of view.  

Maternal health services in China’s western rural areas: uptake and correlates

2016 ◽  
Vol 8 (2) ◽  
Author(s):  
Chengfang Liu ◽  
Linxiu Zhang ◽  
Yaojiang Shi ◽  
Huan ZHOU ◽  
Alexis Medina ◽  
...  
Keyword(s):  
Public Health ◽  
Maternal Health ◽  
Health Services ◽  
Health Systems ◽  
Uptake Rate ◽  
Rural Areas ◽  
Design Methodology ◽  
Maternal Health Services ◽  
Western China ◽  
Public Health Systems

Purpose Many public health systems have struggled with the dual questions of (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it. The objective of this study is to assess the uptake rate of a new set of maternal health services in poor rural areas of China. Design/methodology/approach The analysis is based on the survey responses of women’s representatives and village cadres from almost 1000 villages in June 2012 as part of a wide-scale public health survey in Sichuan, Gansu and Yunnan provinces in the western part of China. Findings We find that the uptake rate of maternal health services (including in-hospital delivery, antenatal care visits and post-partum care visits) in poor rural areas of western China are far below average in China, and that the rates vary across provinces and ethnic groups. Our analyses demonstrate that distance, income, ethnicity and availability appear to be systematically correlated with low uptake rates of all maternal health services. Demand-side factors seem to be by far the most important sources of the differences between subpopulations. We also find that there is potential for creating a Conditional Cash Transfer program to improve the usage of maternal health services. Originality/value We believe that our results will contribute positively to the exploration of answers to the dual questions that many public health systems have struggled with (1) why the uptake rate of maternal health services is low among some subpopulations; and (2) how to raise it.

scholarly journals Integrating oral health with public health systems under the framework of the Global Charter for the Public's Health

2018 ◽  
Vol 69 (3) ◽  
pp. 167-170
Author(s):  
Aimee Lee ◽  
Marta Lomazzi ◽  
Hyewon Lee ◽  
Raman Bedi
Keyword(s):  
Public Health ◽  
Oral Health ◽  
Health Systems ◽  
Public Health Systems

Using the Turning Point Model State Public Health Law

2003 ◽  
Vol 31 (S4) ◽  
pp. 88-89
Author(s):  
Lawrence O. Gostin ◽  
Glen Safford ◽  
Deborah Erickson
Keyword(s):  
Public Health ◽  
Health Systems ◽  
Turning Point ◽  
Planning Process ◽  
National Level ◽  
Health Law ◽  
Point Model ◽  
Public Health Systems ◽  
State And Local ◽  
Local Levels

The Turning Point Initiative is an initiative for which the Robert Wood Johnson (RWJ) and W.K. Kellogg foundations partnered in order to fund a group of states and a number of communities within each of those states to work through a planning process to look at ways to strengthen their public health systems at the state and local levels. Out of that process, the states and communities would come together at the national level to talk about what they had been learning and what the issues were. There were a number of issues that resonated with all of the states.

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