Australian General Practitioners' Use of Health Information

2011 ◽  
pp. 65-69
Author(s):  
Daniel Carbone
Keyword(s):  
Health System ◽  
Health Information ◽  
General Practitioners ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Developed Countries ◽  
The Past ◽  
Productivity Commission

Over the past 30 years the health framework in which doctors and other healthcare professionals practise has changed relatively little in comparison with the enormous changes seen in transport, manufacturing, and telecommunications (Yellowlees & Brooks, 1999). In Australia, the health system, like others in developed countries worldwide, is deteriorating quickly. Productivity commission reports, parliamentary inquiries, and numerous academic papers describe the current waste and lack of focus on outcomes in our health system (Weyden & Armstrong, 2004), at a time when communities and dedicated health professionals are screaming for the resources to provide acceptable care for their communities (Jackson, 2005).

Cuba and the Covid-19 pandemic

2021 ◽  
Vol 122 (1) ◽  
pp. 118-131
Author(s):  
Bob Oram
Keyword(s):  
Public Health ◽  
United States ◽  
Health System ◽  
Health Professionals ◽  
The United States ◽  
The Past ◽  
The Uk ◽  
Universal Health

For the UK struggling to deal with the Covid-19 pandemic, the experience of Cuba’s Ministry of Public Health over the past six decades provides the clearest case for a single, universal health system constituting an underlying national grid dedicated to prevention and care; an abundance of health professionals, accessible everywhere; a world-renowned science and biotech capability; and an educated public schooled in public health. All this was achieved despite being under a vicious blockade by the United States for all of that time.

Interventions Aimed at Improving Knowledge, Detection Practices and Management of Dementia among Health Professionals.

2020 ◽  
Vol 11 ◽  
pp. 147-159
Author(s):  
Pushkar Singh Raikhola ◽  
Krishna Prasad Pathak ◽  
Tara Gaire
Keyword(s):  
Educational Intervention ◽  
Cultural Change ◽  
Behavioral Problems ◽  
Health Professionals ◽  
Best Practice ◽  
Intervention Program ◽  
Healthcare Professionals ◽  
Randomized Study ◽  
Developed Countries ◽  
Health Science

The aim of this review was to synthesize the aggregated studies aimed at improving health care knowledge, detection practices and management of dementia among healthcare professionals (HPs). Healthcare professionals play a key role in the detection and management of dementia. However, there is a gap in the literature as to what represents best practice with regard to educating HPs in this area. We searched citation index Google scholar, Scopus and Pub Med, Medline, were searched for relevant articles from 2000-2019 without data limit. Inclusion criteria were (1) intervention studies aimed at improving HPs practices concerning dementia care (2) the educational intervention focused on knowledge, detection practice and management of dementia, and (3) peer-reviewed and written in English. Of 4968 articles identified, only 13 articles (six GPs, two clinical/organization care based, one nurse, one physician and affiliated staff and one with physician, manager and therapists based studies) were suitable for inclusion and these all were from developed countries. Seven studies were randomized controlled trials (RCTs), 1 prospective, 2 GPs and supervisors intervention, 1 cohort study, and 2 clinical /organizational care services clustered randomized study. Overall, the methodological quality of these studies was poor, particularly with regard to the methods utilized and sample sizes however, combined programs of, practice based workshops with community and multi-faced educational program were the most effective. The continuous educational intervention program can improve the health professionals’ diagnosis and management knowledge, confidents and negative perception of dementia. HPs should be Interventions Aimed at Improving Knowledge, Detection Practices and Management of Dementia among Health Professionals. Dr. Pushkar Singh Raikhola1 Dr. Krishna Prasad Pathak2 Tara Gaire3 1 Monitoring Directorate, Tribhuban University, Nepal 2 Nepal Open University, Nepal. Alzheimer Related Dementia Society Nepal. 3 Department of Nursing, Innovative health science college THE SAPTAGANDAKI JOURNAL 2055 B.S. Review Article148 The Saptagandaki Journal / Vol.Xi / Issue 11/ November 2020 / ISSN 2594-3243 (Print) supported to improve their knowledge, tackle behavioral problems associated with dementia, be made aware of services and be enabled to engage in more early diagnosis in primary care. Further intervention program should address the cultural change to facilitate long term improvements. Educational intervention program is crucial to the health professionals to get close to the diagnostic confidence.

Evaluating Elders' Bio-Psycho-Social Health Dimensions Using Their Smartphones

2020 ◽  
pp. 166-177
Author(s):  
Enrique Moguel ◽  
José García-Alonso ◽  
Javier Berrocal ◽  
Juan M. Murillo
Keyword(s):  
Health System ◽  
Functional Status ◽  
Chronic Diseases ◽  
Health Professionals ◽  
The Elderly ◽  
Developed Countries ◽  
Mobile Technologies ◽  
Social Health ◽  
Coordinated Care ◽  
Elder People

The percentage of elder people in developed countries is increasing rapidly. A high percentage of them usually present multiple and chronic diseases. A patient with several diseases requires specific and coordinated care that is difficult to configure. Different frameworks can evaluate their functional status and identify the required care, together with the associated cost to the health system. Nevertheless, these frameworks are usually questionnaires that have to be periodically performed by the patients with the assistance of already overloaded professionals. In this chapter, the authors make use of mobile technologies to build a system capable of monitoring the activities of the elderly and analysing these data to assess their bio-psycho-social status. The experiments carried out show us that it correctly evaluates these patients and reduces the effort required by health professionals.

scholarly journals Experiences of primary healthcare professionals and patients from an area of urban disadvantage: a qualitative study.

BJGP Open ◽  
2019 ◽  
Vol 3 (4) ◽  
pp. bjgpopen19X101676
Author(s):  
Jennifer Reath ◽  
Marlee King ◽  
Walter Kmet ◽  
Diana O'Halloran ◽  
Ronald Brooker ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health System ◽  
Health Professionals ◽  
Urban Areas ◽  
Healthcare Professionals ◽  
Reference Group ◽  
Specialist Care ◽  
Primary Health ◽  
General Practices

BackgroundThe health disadvantage in socioeconomically marginalised urban settings can be challenging for health professionals, but strong primary health care improves health equity and outcomes.AimTo understand challenges and identify needs in general practices in a socioeconomically marginalised Australian setting.Design & settingQualitative methodology with general practices in a disadvantaged area of western Sydney.MethodSemi-structured interviews with healthcare professionals and their patients were transcribed and analysed thematically under the guidance of a reference group of stakeholder representatives.ResultsA total of 57 participants from 17 practices (comprising 16 GPs, five GP registrars [GPRs], 15 practice staff, 10 patients, and 11 allied health professionals [AHPs]), provided a rich description of local communities and patients, and highlighted areas of satisfaction and challenges of providing high quality health care in this setting. Interviewees identified issues with health systems impacting on patients and healthcare professionals, and recommended healthcare reform. Team-based, patient-centred models of primary health care with remuneration for quality of care rather than patient throughput were strongly advocated, along with strategies to improve patient access to specialist care.ConclusionThe needs of healthcare professionals and patients working and living in urban areas of disadvantage are not adequately addressed by the Australian health system. The authors recommend the implementation of local trials aimed at improving primary health care in areas of need, and wider health system reform in order to improve the health of those at socioeconomic and health disadvantage.

scholarly journals Mediate evaluation of replicating a Training Program in Nonverbal Communication in Gerontology

2015 ◽  
Vol 49 (2) ◽  
pp. 0309-0316 ◽  
Author(s):  
Teresa Cristina Gioia Schimidt ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Maria Julia Paes da Silva
Keyword(s):  
Health System ◽  
Training Program ◽  
Interpersonal Communication ◽  
Nonverbal Communication ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Active Aging ◽  
Hospital Services ◽  
Unified Health System ◽  
Direct Administration

OBJECTIVE Replicating the training program in non-verbal communication based on the theoretical framework of interpersonal communication; non-verbal coding, valuing the aging aspects in the perspective of active aging, checking its current relevance through the content assimilation index after 90 days (mediate) of its application. METHOD A descriptive and exploratory field study was conducted in three hospitals under direct administration of the state of São Paulo that caters exclusively to Unified Health System (SUS) patients. The training lasted 12 hours divided in three meetings, applied to 102 health professionals. RESULTS Revealed very satisfactory and satisfactory mediate content assimilation index in 82.9%. CONCLUSION The program replication proved to be relevant and updated the setting of hospital services, while remaining efficient for healthcare professionals.

scholarly journals Assessment of the spatial accessibility to health professionals at French census block level

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
F Gao ◽  
S Deguen
Keyword(s):  
Population Size ◽  
Healthcare Provider ◽  
General Practitioners ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Healthcare Providers ◽  
Spatial Accessibility ◽  
Residential Areas ◽  
Critical Areas ◽  
Healthcare Accessibility

Abstract Background The evaluation of geographical healthcare accessibility in residential areas provides crucial information to public policy. This work developed an improved indicator: the Index of Spatial Accessibility (ISA) to measure geographical healthcare accessibility at the smallest available infra-urban level, that is, the Îlot Regroupé pour des Indicateurs Statistiques. Methods This study was carried out in the department of Nord, France. Healthcare professionals are geolocalized using postal addresses available on the French state health insurance website. ISA is derived from Enhanced Two-Step Floating Catchment Area (E2FCA) algorithm. We have constructed a catchment for each healthcare provider, by taking into account residential building centroids, car travel time as calculated by Google Maps and the edge effect. Principal Component Analyses (PCA) were used to build a composite ISA to describe the global accessibility of different kinds of health professionals. Results We applied our method to studying geographical healthcare accessibility for pregnant women, by selecting three types of healthcare provider: general practitioners, gynecologists and midwives. A total of 3587 healthcare providers are potentially able to provide care for inhabitants of the department of Nord. On average there are 92 general practitioners, 22 midwives and 21 gynecologists per 100,000 residents. The composite ISA for the three types of healthcare provider is 39 per 100,000 residents. Conclusions ISA is a multidimensional and improved measure, which combines the volume of services relative to population size with the proximity of services relative to the population’s location, available at the smallest feasible geographical scale. It could guide policy makers towards highlighting critical areas in need of more healthcare providers, and these areas should be earmarked for further knowledge-based policy making. Key messages Indicator of healthcare access at fine spatial scale allows us to identify precisely critical areas where healthcare professionals need to be allocated. ISA is a multidimensional measure, which combines the volume of services relative to population size with the proximity of services relative to the population’s location.

Clinicians’ perceptions of the Australian Paediatric Mental Health Service System: Problems and solutions

2021 ◽  
pp. 000486742098424
Author(s):  
Kate Paton ◽  
Lynn Gillam ◽  
Hayley Warren ◽  
Melissa Mulraney ◽  
David Coghill ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Health System ◽  
General Practitioners ◽  
Child And Adolescent ◽  
Developed Countries ◽  
Optimal System ◽  
Wait Times ◽  
High Quality

Objectives: Despite substantial investment by governments, the prevalence of mental health disorders in developed countries remains unchanged over the past 20 years. As 50% of mental health conditions present before 14 years of age, access to high-quality mental health care for children is crucial. Barriers to access identified by parents include high costs and long wait times, difficulty navigating the health system, and a lack of recognition of the existence and/or severity of the child’s mental health disorder. Often neglected, but equally important, are clinician views about the barriers to and enablers of access to high-quality mental health care. We aimed to determine perspectives of Australian clinicians including child and adolescent psychiatrists, paediatricians, psychologists and general practitioners, on barriers and enablers within the current system and components of an optimal system. Methods: A total of 143 clinicians (approximately 35 each of child and adolescent psychiatrists, paediatricians, child psychologists and general practitioners) from Victoria and South Australia participated in semi-structured phone interviews between March 2018 and February 2019. Inductive content analysis was applied to address the broad study aims. Findings: Clinician-identified barriers included multi-dimensional family factors, service fragmentation, long wait times and inadequate training for paediatricians and general practitioners. Rural and regional locations provided additional challenges but a greater sense of collaboration resulting from the proximity of clinicians in rural areas, creating an opportunity to develop support networks. Suggestions for an optimal system included novel ways to improve access to child psychiatry expertise, training for paediatricians and general practitioners, and co-located multidisciplinary services. Conclusion: Within the current mental health system for children, structural, training and workforce barriers prevent optimal access to care. Clinicians identified many practical and systemic ideas to improve the system. Implementation and evaluation of effectiveness and cost effectiveness of these ideas is the next challenge for Australia’s children’s mental health.

Assesing the usage of Youtube as a health information source about mitral valve prolapse. (Preprint)

2020 ◽  
Author(s):  
Onur Aslan ◽  
Sinan Yildirim
Keyword(s):  
Mitral Valve ◽  
Health Information ◽  
Health Problem ◽  
Health Professionals ◽  
Mitral Valve Prolapse ◽  
Mitral Valve Disease ◽  
Healthcare Professionals ◽  
Information Source ◽  
Youtube Videos ◽  
Educational Videos

BACKGROUND Youtube is the largest media sharing site with more than a billion active users monthly. Youtube videos are using for many subjects and health information is popular one of these subjects. OBJECTIVE In this study, we aim to examine and analyse a common mitral valve disease such as mitral valve prolapse videos on Youtube, which can be used on researching health problem, can contribute how and in what extend to inform patients and healthcare professionals. METHODS All cookies on the computer were cleared and the term "mitral valve prolapse" was entered in YouTube's search bar on 26/04/2020 (YouTube, www.youtube.com YouTube LLC, San Bruno, CA, USA). Search was made by selecting sorting criteria "number of views", type "general", loading date "any time" and time "all" among filter options. İrrelevant (n:68), two or more repeated videos (n:3), non-English (n:1) were excluded from study. 40 videos were watched by two independent observers. The number of views, duration, who uploaded, like and dislike numbers of the videos were recorded in the form that prepared beforehand. GQS (table 1), JAMA (table 2), Discern (table 3) and VPI scores were calculated. The averages of the values recorded by the two observers were recorded on the form. RESULTS Of the 40 videos included in the study, 23 (57.5%) were informative and 17 (42.5%) were educational. 21 (52.5%) of these videos were targeted to patients and 19 (47.5%) to health professionals. 26 (65%) videos were created by healthcare professionals (figure 1). When the features of the 40 videos included in the study were examined, one video has the JAMA score of 4 and five video has the GQS score of 5. The average scores of all videos on the quality scales are given in table 4. The VPI average of the videos included in the study was found to be 0.91 ± 0.11. CONCLUSIONS Although it was not statistically significant, the number of views and likes of the informative videos were higher than educational videos, but the average of the GQS, JAMA, DISCERN, and VPI scores of the educational videos were higher in our study. Although the number of views and likes of the videos for patients were higher, this difference was not statistically significant. The VPI average was statistically significantly higher in the videos targeting to patients than the videos targeting to health professionals.

scholarly journals Mandatory COVID-19 vaccination for oral health professionals (OHPs) - Ethical appraisal

2021 ◽  
Vol 76 (1) ◽  
pp. 42-45
Author(s):  
Thembelihle M Mtolo ◽  
Pagollang D Motloba ◽  
Neil H Wood
Keyword(s):  
Oral Health ◽  
South African ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Herd Immunity ◽  
Developed Countries ◽  
Hippocratic Oath ◽  
Ethical Framework ◽  
Vaccine Hesitancy ◽  
Vaccination Programs

The recently detected South African variant, Covid-19, 501Y.V2 is more transmissible, though not virulent as the initial strain.1 The morbidity and mortality rates due to this variant have risen exponentially, putting huge pressure on the healthcare system, locally and globally. As a consequence the South African government imposed hard lockdown measures (level 3) as a means to curb the pandemic. Governments around the world are scrambling to obtain and roll-out Covid-19 vaccination programs to save lives and livelihoods. Most developed countries have initiated inoculations, amid widespread misinformation and hesitancy. Literature indicate that healthcare professionals (HCPs) are generally complacent and hesitant about vaccination. The COVID-19 uptake is likely to be suboptimal among HCPs and the general populations. The voluntary immunization program will commence in February 2021, and the Healthcare professionals will be among the first to be vaccinated. It remains to be seen if this cohort will achieve the desired vaccinations rates. Failure for this influential group to vaccinate could derail the program and lead to failure to achieve herd immunity. In the face of emerging vaccine hesitancy among HCPs, should oral health professionals be compelled to vaccinate? Will any refusal by OHPs to be immunized be morally justified? Oral health professionals in this context of this paper, represent all oral health professionals involved in the management dental patients. No singular ethical framework is held as sufficient to resolve these questions. This paper interrogates aspect of clinical ethics, including the Hippocratic Oath, principilism, public health ethics (Utilitarianism) and Kantian deontology, to tackle the questions raised. We conclude that OHPs have a moral duty to be vaccinated against Covid-19.

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