Changing Health Care from Inside Out

2013 ◽  
pp. 16-27
Author(s):  
Lauri Kokkinen ◽  
Juhani Lehto
Keyword(s):  
Health Care ◽  
Policy Making ◽  
Feasible Solution ◽  
Development Project ◽  
Policy Entrepreneur ◽  
Policy Alternative ◽  
Set Up ◽  
Inside Out

Finnish ophthalmology services have been criticized for being suboptimal and in this regard, the authors analyze a development project set up to reform these services. The project descended into crisis 18 months after its launch, when its actors mapped out two different ways in which they perceived the problems related to ophthalmology and came up with different solutions to these problems. This paper pays special attention to the events following the crisis, when an external policy entrepreneur was recruited to lead the project. This policy entrepreneur did not adhere to either of the realities mapped out in the earlier stages of the project, but created interpretation of the problems at hand and their solutions. This paper focuses on the process in which the policy entrepreneur strove to convince other actors of the validity perceived interpretations. According to the analyse, the implementation of the new policy alternative consisted not only of a technically and politically feasible solution, but it also involved skillful policy making and right timing.

Changing Health Care from Inside Out

2011 ◽  
Vol 1 (1) ◽  
pp. 16-27
Author(s):  
Lauri Kokkinen ◽  
Juhani Lehto
Keyword(s):  
Health Care ◽  
Policy Making ◽  
Feasible Solution ◽  
Development Project ◽  
Policy Entrepreneur ◽  
Policy Alternative ◽  
Set Up ◽  
Inside Out

Finnish ophthalmology services have been criticized for being suboptimal and in this regard, the authors analyze a development project set up to reform these services. The project descended into crisis 18 months after its launch, when its actors mapped out two different ways in which they perceived the problems related to ophthalmology and came up with different solutions to these problems. This paper pays special attention to the events following the crisis, when an external policy entrepreneur was recruited to lead the project. This policy entrepreneur did not adhere to either of the realities mapped out in the earlier stages of the project, but created interpretation of the problems at hand and their solutions. This paper focuses on the process in which the policy entrepreneur strove to convince other actors of the validity perceived interpretations. According to the analyse, the implementation of the new policy alternative consisted not only of a technically and politically feasible solution, but it also involved skillful policy making and right timing.

Covid-19 and its financial effects on the dental fraternity and health-care workers: A literature review

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 628-631
Author(s):  
Devangi Agrawal ◽  
Namisha Khara ◽  
Bhushan Mundada ◽  
Nitin Bhola ◽  
Rajiv Borle
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Workers ◽  
Care Providers ◽  
Dental Procedures ◽  
Care Workers ◽  
Dental Practices ◽  
Precautionary Measures ◽  
The Government ◽  
Set Up

In the wake of the current outbreak of novel Covid-19, which is now declared as a 'pandemic' by the WHO, people around the globe have been dealing with a lot of difficulties. This virus had come into light in December 2019 and since then has only grown exponentially. Amongst the most affected are the ones who have been working extremely hard to eradicate it, which includes the hospitals, dental fraternity and the health-care workers. These people are financially burdened due to limited practise. In the case of dentistry, to avoid the spread of the virus, only emergency treatments are being approved, and the rest of the standard procedures have been put on hold. In some cases, as the number of covid cases is rising, many countries are even trying to eliminate the emergency dental procedures to divert the finances towards the treatment of covid suffering patients. What we need to realise is that this is probably not the last time that we are facing such a situation. Instead of going down, we should set up guidelines with appropriate precautionary measures together with the use of standardised PPEs. The government should also establish specific policies to support dental practices and other health-care providers. Together, we can fight this pandemic and come out stronger.

scholarly journals EVALUATION OF HAZARDS OF WASTE MATERIALS IN CLINICS AND HOSPITALS: A RESEARCH

2014 ◽  
Vol 04 (03) ◽  
pp. 011-014
Author(s):  
Ram Kumar Srivastava ◽  
Iqbal Ali ◽  
Puneet Wadhawani ◽  
Anand Kumar ◽  
Praveen Awasthi
Keyword(s):  
Health Care ◽  
Health Risk ◽  
Human Activities ◽  
Development Project ◽  
Waste Materials ◽  
Residential Areas ◽  
Domestic Waste ◽  
Urban Waste ◽  
Rural And Urban ◽  
Health Care Waste

AbstractWastes from the cities and villages cannot be avoided from man's existence. It is essential to safely put these unwanted or discarded material away, in the interest of the community. During human activities a lot of waste matter is produced due to various development project, industrialization and modernization of the community. In this study waste materials were collected from various hospitals and rural and urban residential areas. These wastes were divided into two main categories- Health care waste and domestic waste. The survey indicated 80% solid waste deals with the domestic and urban waste while only 20% deals with the health care waste. The health care waste is regarded hazardous and may cause a variety of health risk.

scholarly journals Eye Protection in ENT Practice During the COVID-19 Pandemic

OTO Open ◽  
2021 ◽  
Vol 5 (2) ◽  
pp. 2473974X2110104
Author(s):  
Jia Hui Ng ◽  
Dan Daniel ◽  
Anton Sadovoy ◽  
Constance Ee Hoon Teo
Keyword(s):  
Health Care ◽  
Protective Equipment ◽  
Evidence Based ◽  
Clinical Scenario ◽  
Degree Of Contamination ◽  
Eye Protection ◽  
Fluorescent Microscope ◽  
Set Up ◽  
Evidence Based Guidelines ◽  
Care Worker

Objectives There is a lack of evidence-based guidelines with regard to eye protection for aerosol-generating procedures in otolaryngology practice. In addition, some recommended personal protective equipment (PPE) is not compatible with commonly used ENT equipment. This study aims to investigate the degree of eye protection that commonly used PPE gives. Study Design Simulation model. Setting Simulation laboratory. Methods A custom-built setup was utilized to simulate the clinical scenario of a patient cough in proximity of a health care worker. A system that sprays a xanthan-fluorescein mixture was set up and calibrated to simulate a human cough. A mannequin with cellulose paper placed on its forehead, eyes, and mouth was fitted with various PPE combinations and exposed to the simulated cough. The degree of contamination on the cellulose papers was quantified with a fluorescent microscope able to detect aerosols ≥10 µm. Results When no eye protection was worn, 278 droplets/aerosols reached the eye area. The use of the surgical mask with an attached upward-facing shield alone resulted in only 2 droplets/aerosols reaching the eye area. In this experiment, safety glasses and goggles performed equally, as the addition of either brought the number of droplets/aerosols reaching the eye down to 0. Conclusion When used with an upward-facing face shield, there was no difference in the eye protection rendered by safety goggles or glasses in this study. Safety glasses may be considered a viable alternative to safety goggles in aerosol-generating procedures.

scholarly journals Innovation Pathways in the NHS: An Introductory Review

2021 ◽  
Author(s):  
Anmol Arora ◽  
Andrew Wright ◽  
Mark Cheng ◽  
Zahra Khwaja ◽  
Matthew Seah
Keyword(s):  
Health Care ◽  
National Health ◽  
Health Care Professionals ◽  
New Technologies ◽  
Care Delivery ◽  
Cost Effective ◽  
Care Models ◽  
Set Up ◽  
The Uk ◽  
Introductory Review

AbstractHealthcare as an industry is recognised as one of the most innovative. Despite heavy regulation, there is substantial scope for new technologies and care models to not only boost patient outcomes but to do so at reduced cost to healthcare systems and consumers. Promoting innovation within national health systems such as the National Health Service (NHS) in the United Kingdom (UK) has been set as a key target for health care professionals and policy makers. However, while the UK has a world-class biomedical research industry, several reports in the last twenty years have highlighted the difficulties faced by the NHS in encouraging and adopting innovations, with the journey from idea to implementation of health technology often taking years and being very expensive, with a high failure rate. This has led to the establishment of several innovation pathways within and around the NHS, to encourage the invention, development and implementation of cost-effective technologies that improve health care delivery. These pathways span local, regional and national health infrastructure. They operate at different stages of the innovation pipeline, with their scope and work defined by location, technology area or industry sector, based on the specific problem identified when they were set up. In this introductory review, we outline each of the major innovation pathways operating at local, regional and national levels across the NHS, including their history, governance, operating procedures and areas of expertise. The extent to which innovation pathways address current challenges faced by innovators is discussed, as well as areas for improvement and future study.

Towards systematic reviews that inform health care management and policy-making

2005 ◽  
Vol 10 (1_suppl) ◽  
pp. 35-48 ◽  
Author(s):  
John Lavis ◽  
Huw Davies ◽  
Andy Oxman ◽  
Jean-Louis Denis ◽  
Karen Golden-Biddle ◽  
...  
Keyword(s):  
Health Care ◽  
Systematic Reviews ◽  
Policy Making ◽  
Care Management ◽  
Contextual Factors ◽  
Health Care Management ◽  
Health Care Managers ◽  
Executive Summary ◽  
Policy Makers ◽  
Care Managers

Objectives To identify ways to improve the usefulness of systematic reviews for health care managers and policy-makers that could then be evaluated prospectively. Methods We systematically reviewed studies of decision-making by health care managers and policy-makers, conducted interviews with a purposive sample of them in Canada and the United Kingdom (n=29), and reviewed the websites of research funders, producers/purveyors of research, and journals that include them among their target audiences (n=45). Results Our systematic review identified that factors such as interactions between researchers and health care policy-makers and timing/timeliness appear to increase the prospects for research use among policy-makers. Our interviews with health care managers and policy-makers suggest that they would benefit from having information that is relevant for decisions highlighted for them (e.g. contextual factors that affect a review's local applicability and information about the benefits, harms/risks and costs of interventions) and having reviews presented in a way that allows for rapid scanning for relevance and then graded entry (such as one page of take-home messages, a three-page executive summary and a 25-page report). Managers and policy-makers have mixed views about the helpfulness of recommendations. Our analysis of websites found that contextual factors were rarely highlighted, recommendations were often provided and graded entry formats were rarely used. Conclusions Researchers could help to ensure that the future flow of systematic reviews will better inform health care management and policy-making by involving health care managers and policy-makers in their production and better highlighting information that is relevant for decisions. Research funders could help to ensure that the global stock of systematic reviews will better inform health care management and policy-making by supporting and evaluating local adaptation processes such as developing and making available online more user-friendly ‘front ends’ for potentially relevant systematic reviews.

scholarly journals Prioritized list of health services in the Islamic Republic of Iran

2000 ◽  
Vol 6 (2-3) ◽  
pp. 367-371
Author(s):  
B. Larijani ◽  
O. Ameli ◽  
K. Alizadeh ◽  
S. R. Mirsharifi
Keyword(s):  
Health Care ◽  
United States Of America ◽  
Policy Making ◽  
Cost Benefit Analysis ◽  
Cost Benefit ◽  
Benefit Analysis ◽  
Islamic Republic ◽  
Therapeutic Procedures ◽  
Islamic Republic Of Iran ◽  
The Government

We aimed to provide a prioritized list of preventive, diagnostic and therapeutic procedures and their appropriate classification based on a cost-benefit analysis. Functional benchmarking was used to select a rationing model. Teams of qualified specialists working in community hospitals scored procedures from CPTTM according to their cost and benefit elements. The prioritized list of services model of Oregon, United States of America was selected as the functional benchmark. In contrast to its benchmark, our country’s prioritized list of services is primarily designed to help the government in policy-making with the rationing of health care resources, especially for hospitals

scholarly journals The Latest Progress and Development Trend in the Research of Ballistocardiography (BCG) and Seismocardiogram (SCG) in the Field of Health Care

2021 ◽  
Vol 11 (19) ◽  
pp. 8896
Author(s):  
Xiuping Han ◽  
Xiaofei Wu ◽  
Jiadong Wang ◽  
Hongwen Li ◽  
Kaimin Cao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Assessment ◽  
Development Trend ◽  
Developed Countries ◽  
Current Status ◽  
Research Subjects ◽  
Leading Position ◽  
Important Direction ◽  
Set Up ◽  
The Developed Countries

The current status of the research of Ballistocardiography (BCG) and Seismocardiogram (SCG) in the field of medical treatment, health care and nursing was analyzed systematically, and the important direction in the research was explored, to provide reference for the relevant researches. This study, based on two large databases, CNKI and PubMed, used the bibliometric analysis method to review the existing documents in the past 20 years, and made analyses on the literature of BCG and SCG for their annual changes, main countries/regions, types of research, frequently-used subject words, and important research subjects. The results show that the developed countries have taken a leading position in the researches in this field, and have made breakthroughs in some subjects, but their research results have been mainly gained in the area of research and development of the technologies, and very few have been actually industrialized into commodities. This means that in the future the researchers should focus on the transformation of BCG and SCG technologies into commercialized products, and set up quantitative health assessment models, so as to become the daily tools for people to monitor their health status and manage their own health, and as the main approaches of improving the quality of life and preventing diseases for individuals.

scholarly journals Assessment of maternal birth satisfaction and intra-partum experiences among the women of rural areas of Tamil Nadu- a cross sectional study

2021 ◽  
Vol 8 (12) ◽  
pp. 6006
Author(s):  
Janakiram Marimuthu ◽  
A. Arul Murugan
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Tamil Nadu ◽  
Post Partum ◽  
Cross Sectional Study ◽  
Maternal Satisfaction ◽  
Sectional Study ◽  
Cross Sectional ◽  
Birth Satisfaction ◽  
Set Up

Background: Childbirth, though a physiological process, has been associated with multiple risks and stress on the women, even before the time of conception till the post-partum. Every woman around the world has a right to receive respectful maternity care. Birth satisfaction and respectful maternal care has direct impact on percentage of institutional deliveries. There is paucity of studies conducted among the women of rural Tamil Nadu regarding birth satisfaction and intrapartum experiences.Methods: A cross-sectional study was conducted in primary health center area, red hills among the post-partum women attending the immunization OPD at 6, 10 and 14th week after delivery during the months of March to June 2018. By simple random sampling technique 195 subjects were included. A semi-structured questionnaire was administered to collect the data. Ethical clearance was obtained from our Institutional Ethics Committee. Data was entered in MS Excel and analysis was done using SPSS Software version 23.Results: The study shows the importance of maternal satisfaction and intrapartum experiences of women in rural areas. It concluded that the overall satisfaction was 85.5%. The transport facility available at the health care set up which satisfied the mothers was around 91.4%. The interaction of health care providers with mothers during delivery was around 64.5%. Cleanliness and comfort of the delivery area was around 64%. Equality of care provided at the health care set up was around 83%.Conclusions: Reasons for delivery visit, duration of labour, and mode of delivery are independent predictors of maternal satisfaction.

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