Market of Resources for Health Care Teleservices Management

Author(s):  
Maria Manuela Cunha ◽  
Goran D. Putnik ◽  
Ricardo Simões

According to a report on e-marketplaces for the health sector (Kuller, 2005), the European Health and Social Services sector is a complex web of “businesses” and “customers,” characterized by a combination of public and private providers who control the strategic direction and finances. The services are delivered by microbusinesses, that is, hospitals, clinics, general practitioners, and specialists, and delivered through government, public, or nonprofit bodies, not the private sector (although this is slowly changing in some countries) (Kuller, 2005). The resulting absence of the profit goal means that the motivation for changing business processes and implementing tools is driven by a need to improve “patient care,” and not a desire to make or save money. This partly explains why the Health and Social Services sector lags behind others with regard to IT infrastructure in place and e-business usage.

2020 ◽  
Vol 33 (13) ◽  
Author(s):  
Cátia Luz Pires ◽  
Natália Duarte ◽  
Constança Paúl ◽  
Oscar Ribeiro

Introduction: From a perspective that considers the costs borne by the informal caregiver and the care-recipient, this study quantifies and values the use of health and social services, and the time dedicated to caregiving in dementia situations.Material and Methods: Sociodemographic information and use of services was obtained from 123 caregiving dyads. Costs with informal care were evaluated and valued considering the Health Sector (health services), Patient/Family Sector (time of caregiving) and Other Sectors (social services, continuous care, other private services). Costs with health and social services considered the paying person; the Patient/Family Sector was valued through the proxy-good method. The costs were calculated per month and the value for 100 dyads.Results: The total cost of informal care was €61 982.2/month per 100 dyads. The Patient/Family Sector value (€44 030.0/month) contributed with 71.0% of the total costs, Other Sectors with 20.8% (€12 887.4/month), and the Health Sector with 8.2% (€5064.8/month).Discussion: The obtained value per dyad (€619.8/month) represents 77.5% of their monthly income (median = €800.0; interquartile range = 679.0), which can limit the decision of continuing the care provision at home. Considering the values presented for this specific sample, it is estimated that the exemption of fees in the Health Sector and/or benefits in social services may contribute to a downward estimate of the costs.Conclusion: Regardless of the complexity in estimating the costs associated with informal caregiving in dementia, this paper provides some insights on the burden they can represent for the family income.


2015 ◽  

Climate Change Adaptation for Health and Social Services addresses concerns from the health and community services sector, including local government, about how to respond to climate change and its impacts on communities. What should an intervention framework for the community-based health and social services sector contain and how can it complement an organisation's core values, role and work programs? What current direct and indirect impacts of climate change are most relevant to organisations and the communities they serve? Which population groups are most vulnerable to climate change and what are the impacts on them? Above all, what can be done to reduce the current risks from climate change to clients, communities and organisations? Written by expert researchers and practitioners, this book presents existing research, innovative practice and useful tools to support organisations taking practical steps towards adaptation to the impacts of climate change on people. It examines the evidence of climate change impacts on six of the most vulnerable population groups – people with disability; older people; women and children; Aboriginal people; rural people; and people from culturally and linguistically diverse backgrounds – as well as discussing effective interventions. Other key issues covered include health and social impacts of climate change, adaptation, mitigation, climate change communication, organisational adaptation and a case study of innovation illustrating some of the book’s themes. Accessible, informative and incorporating extensive evidence and experience, Climate Change Adaptation for Health and Social Services is relevant for anyone within the health and community services sector concerned about climate change and its impacts on their community.


2018 ◽  
Vol 50 (1) ◽  
pp. 129-140 ◽  
Author(s):  
Saija Katila

Abstraction of the narrative The paper aims to evoke readers’ reflective and affective capacities and thereby facilitate understanding of the multisensorial, affective, and relational nature of knowing and becoming. It highlights the role of embodied knowing in becoming by following the journey of an individual faced with sudden trauma. It describes the affective energies crossing time and space in the continuously changing sociomaterial networks of relationships encountered in different organizational settings, be they in academia, health and social services, family, or otherwise. The paper is based on an auto-ethnographic narrative of becoming a mother that connects individual experiences with cultural understandings. The narrative is an outcome of a diffractive analysis of becoming; knowing emerges during the course of a writing process in which theoretical understandings, emotions, concepts, discourses, embodied experiences, and affects come together. The paper brings out the multiplicity of contradictory discourses involved in knowing and becoming. In so doing, it highlights the entangled coexistence of body and mind, reality and imagination, public and private, reason and emotion, as well as past, present, and future.


2009 ◽  
pp. 47-72
Author(s):  
Achille Orsenigo

- the author - organisational consultant and trainer for public and private health and social services - examines the connections between work environment and mental health: the current fragile and dynamic work identity and its relation with personal identity. He underlines how organisations when trying to bring around change have to face serious difficulties arising from a world that involves flexibility and job insecurity, at times to an extent considered unacceptable. Moreover, work as a system has often to meet contradictory requests of different groups of citizens: clients asking for services, employees for economic protection, containment, reassurance, and other citizen for profits from their financial investments (now and then the same person might be client, employee and investor). The author analyses psychiatric services as working organisations reproducing the same problems as society, yet sometimes, offering a richer organisation, based on relational systems.Keywords: identity, flexibility, job insecurity, health services, psychiatry.Parole Chiave: identitŕ, flessibilitŕ, precarietŕ, servizi, psichiatria.


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