Active and Healthy Aging

2017 ◽

pp. 384-406

Author(s):

Emine Özmete

Keyword(s):

Qualitative Research ◽

Delivery System ◽

Healthy Aging ◽

Healthcare Delivery ◽

Healthcare Services ◽

Capital City ◽

Elderly Persons ◽

Healthcare Delivery System ◽

Care And Support ◽

Depth Interviews

This study aims to investigate the difficulties experienced by elderly persons in accessing healthcare services and their satisfaction with issues as regards the healthcare system. In this study, qualitative research was carried out to assess the difficulties regarding the healthcare delivery system and satisfaction with the healthcare services. This qualitative research was performed through in-depth interviews with 6 men and 4 women aged 65+ years, in Ankara, the capital city of Turkey. It was discovered that elderly persons required the support of others to access a doctor, a health institution or hospital and the care and support of others for the regular intake of their drugs with increasing age. They were satisfied with the current family physician program. The most significant challenges experienced by elderly persons regarding the healthcare delivery system included crowded hospitals, difficulty walking, the unavailability of wheel chairs, and inadequate assistance from support staff.

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Trauma care strategies for changing economic forces

Critical Care Nurse ◽

10.4037/ccn1997.17.6.81 ◽

1997 ◽

Vol 17 (6) ◽

pp. 81-89 ◽

Cited By ~ 1

Author(s):

MB Flynn ◽

J Luchsinger

Keyword(s):

Delivery System ◽

Trauma Care ◽

Healthcare Delivery ◽

Healthcare Services ◽

Healthcare Delivery System ◽

Optimal Position ◽

Traumatic Injuries ◽

Optimal Outcomes ◽

Care Services ◽

Economic Forces

Nurses have expertise in wellness, health promotion, delivery of acute care, and rehabilitation. As the venture into healthcare reform deepens, nurses must take a more proactive role in redirecting the delivery of trauma care in such a way that optimal provision of healthcare services is maintained while costs of providing care are reduced across the continuum of care. Efforts must focus on preventing traumatic injuries, restructuring healthcare delivery systems to meet the needs of patients with traumatic injuries, and reducing healthcare expenditures. Table 3 outlines strategies used by our facility to decrease cost without compromising patients' care. The current era is fraught with rapid changes that necessitate a creative, rational, and organized approach to making decisions about the delivery system for patient-focused care. Nurses are in an optimal position to develop and implement interdisciplinary, creative strategies that will maximize the delivery of trauma care services to the community. Each institution must evaluate the processes involved in its delivery of trauma care services. Strategies to contain costs must focus on processes implemented to achieve optimal outcomes of patients' care. The economic marketplace will evaluate care on the basis of outcome statistics and cost analysis. Thus, nurses must continue to be critical evaluators of nursing practice, always striving for the best healthcare delivery system possible during these turbulent economic times.

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Grants to Spur Investment in Healthcare Delivery System IT

PsycEXTRA Dataset ◽

10.1037/e361722004-007 ◽

2003 ◽

Author(s):

Keyword(s):

Delivery System ◽

Healthcare Delivery ◽

Healthcare Delivery System

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The healthcare delivery system: an overview

10.1093/oso/9780198794837.003.0013 ◽

2017 ◽

Author(s):

Jan Abel Olsen

Keyword(s):

Delivery System ◽

Chronic Care ◽

Tertiary Care ◽

Healthcare Delivery ◽

Healthcare Delivery System ◽

Care Level ◽

Primary Care Level ◽

Internal Markets ◽

System A ◽

Policy Challenge

This chapter provides an overview of the healthcare delivery system. A figure illustrates how six different parts of the system relate to each other. The primary care level plays a key role in many countries by representing the gate, in which referrals to secondary care are being made. Tertiary care is principally of two types depending on patients’ prognosis: chronic care or rehabilitation. In addition to the three care levels, there are two parts with quite different roles: pharmacies provide pharmaceuticals, and sickness benefit schemes compensate the sick for their income losses. A recurrent policy challenge is to make each provider level take into account the resource implications of their isolated decisions outside of their own budgets. A brief discussion is included on the scope for ‘internal markets’.

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Seroprevalence of antibodies to SARS-CoV-2 in healthcare workers: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2020-043584 ◽

2021 ◽

Vol 11 (2) ◽

pp. e043584 ◽

Cited By ~ 1

Author(s):

Joseph E Ebinger ◽

Gregory J Botwin ◽

Christine M Albert ◽

Mona Alotaibi ◽

Moshe Arditi ◽

...

Keyword(s):

African American ◽

Los Angeles ◽

Delivery System ◽

Healthcare Workers ◽

Los Angeles County ◽

Healthcare Delivery ◽

Healthcare Delivery System ◽

Hispanic Ethnicity ◽

Factors Associated ◽

African American Race

ObjectiveWe sought to determine the extent of SARS-CoV-2 seroprevalence and the factors associated with seroprevalence across a diverse cohort of healthcare workers.DesignObservational cohort study of healthcare workers, including SARS-CoV-2 serology testing and participant questionnaires.SettingsA multisite healthcare delivery system located in Los Angeles County.ParticipantsA diverse and unselected population of adults (n=6062) employed in a multisite healthcare delivery system located in Los Angeles County, including individuals with direct patient contact and others with non-patient-oriented work functions.Main outcomesUsing Bayesian and multivariate analyses, we estimated seroprevalence and factors associated with seropositivity and antibody levels, including pre-existing demographic and clinical characteristics; potential COVID-19 illness-related exposures; and symptoms consistent with COVID-19 infection.ResultsWe observed a seroprevalence rate of 4.1%, with anosmia as the most prominently associated self-reported symptom (OR 11.04, p<0.001) in addition to fever (OR 2.02, p=0.002) and myalgias (OR 1.65, p=0.035). After adjusting for potential confounders, seroprevalence was also associated with Hispanic ethnicity (OR 1.98, p=0.001) and African-American race (OR 2.02, p=0.027) as well as contact with a COVID-19-diagnosed individual in the household (OR 5.73, p<0.001) or clinical work setting (OR 1.76, p=0.002). Importantly, African-American race and Hispanic ethnicity were associated with antibody positivity even after adjusting for personal COVID-19 diagnosis status, suggesting the contribution of unmeasured structural or societal factors.Conclusion and relevanceThe demographic factors associated with SARS-CoV-2 seroprevalence among our healthcare workers underscore the importance of exposure sources beyond the workplace. The size and diversity of our study population, combined with robust survey and modelling techniques, provide a vibrant picture of the demographic factors, exposures and symptoms that can identify individuals with susceptibility as well as potential to mount an immune response to COVID-19.

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