Open Information Management in User-driven Health Care

2011 ◽  
pp. 480-488
Author(s):  
Rakesh Biswas ◽  
Kevin Smith ◽  
Carmel M. Martin ◽  
Joachim P. Sturmberg ◽  
Ankur Joshi
Keyword(s):  
Health Care ◽  
Health Professional ◽  
Health Information ◽  
Information Management ◽  
Support Services ◽  
Health Care Services ◽  
Pilot Project ◽  
Care Services ◽  
Pre Treatment

This chapter discusses the role of open health information management in the the development of a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their dayto- day health information requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model and a pilot project in order to begin to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, and helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute to improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.

Open Information Management in User-driven Health Care

2009 ◽  
pp. 397-405 ◽  
Author(s):  
Rakesh Biswas ◽  
Kevin Smith ◽  
Carmel M. Martin ◽  
Joachim P. Sturmberg ◽  
Ankur Joshi
Keyword(s):  
Health Care ◽  
Health Professional ◽  
Health Information ◽  
Information Management ◽  
Support Services ◽  
Health Care Services ◽  
Pilot Project ◽  
Care Services ◽  
Pre Treatment

This chapter discusses the role of open health information management in the the development of a novel, adaptable mixed-platform for supporting health care informational needs. This platform enables clients (patient users) requiring healthcare to enter an unstructured but detailed account of their dayto- day health information requirements that may be structured into a lifetime electronic health record. It illustrates the discussion with an operational model and a pilot project in order to begin to explore the potential of a collaborative network of patient and health professional users to support the provision of health care services, and helping to effectively engage patient users with their own healthcare. Such a solution has the potential to allow both patient and health professional users to produce useful materials, to contribute to improved social health outcomes in terms of health education and primary disease prevention, and to address both pre-treatment and post-treatment phases of illness that are often neglected in the context of overburdened support services.

Implications of Hospital Deinstitutionalisation for Primary Health and Community Support Services

2002 ◽  
Vol 8 (1) ◽  
pp. 9 ◽  
Author(s):  
Hal Swerissen
Keyword(s):  
Health Care ◽  
Support Services ◽  
Health Care Services ◽  
Community Support ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
Community Support Services ◽  
Residential Institutions

Interest in expanding and reforming the role of primary health and community support services is increasing. In part this reflects the steadily building evidence that stronger primary health care services lead to better health outcomes. But probably more importantly substitution, prevention and diversion through primary health and community support are seen as a way of reducing the pressure and costs of expensive secondary and tertiary services in hospitals and residential institutions. There is considerable interest in limiting growth in demand and expenditure for hospital and residential care services.

scholarly journals Portugal's primary health care human resources assessment

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Oliveira Miranda ◽  
P Santos Luis ◽  
M Sarmento
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Medicine ◽  
Human Resources ◽  
Health Professional ◽  
Health Care Services ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services ◽  
The Mean

Abstract Background Primary health care services are the cornerstone of all health systems. Having clear data on allocated human resources is essential for planning. This work intended to map and compare the primary health care human resources of the five administrative regions (ARS) of the Portuguese public health system, so that better human resources management can be implemented. Methods The chosen design was a descriptive cross sectional study. Each of the five ARS were divided into primary health care clusters, which included several primary health care units. All of these units periodically sign a “commitment letter”, where they stand their service commitments to the covered population. This includes allocated health professionals (doctors, nurses), and the information is publicly accessible at www.bicsp.min-saude.pt. Data was collected for 2017, the year for which more commitment letters were available. Several ratios were calculated: patients/health professional; patients/doctor (family medicine specialists and residents); patients/nurse and patients/family medicine specialist. Mean, standard deviation, minimum and maximum values were calculated. Results National patients/health professional ratio was 702 with the mean of the 5 ARS calculated at 674+-7.15% (min 619, max 734) whilst the national patients/doctor ratio was 1247 with the mean of the 5 ARS calculated at 1217+-7.17% (min 1074, max 1290). National patients/nurse ratio was 1607 with the mean of the 5 ARS calculated at 1529+-13.08% (min 1199, max 1701). Finally, national patients/family medicine specialist ratio was 1711 with the mean of the 5 ARS calculated at 1650+-6,36% (min 1551, max 1795). Conclusions Human resources were differently spread across Portugal, with variations between the five ARS in all ratios. The largest differences occur between nursing staff, and may translate into inequities of access, with impact on health results. A more homogeneous human resources allocation should be implemented. Key messages Human resources in the Portuguese primary health care services are not homogeneously allocated. A better and more homogeneous allocation of human resources should be implemented to reduce access health inequities.

Creating a competence profile of a new profession: social service agents in welfare centers

2018 ◽  
Vol 40 (2) ◽  
pp. 362-380
Author(s):  
Riitta Forsten-Astikainen ◽  
Pia Heilmann
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Practical Knowledge ◽  
Pilot Project ◽  
Small Scale ◽  
Content Type ◽  
Care Services ◽  
The Future ◽  
To Come ◽  
Context Specific

Purpose This study examines in detail how a new occupational group in a field creates and defines its professional competences. The background of the study refers to a new way of organizing social and health care services that requires new type of expertise. The authors examine the professionals of this new sector – service agents and the competences – they need in a multi-professional networking organization. The goal of this organizational pilot project is to gather both experience and practical knowledge of how the “gatekeeper” model can work between the customer and the service provider. The purpose of this paper is to learn the service agents’ perspective on their own work, namely, how they create their work, what their visions of the future are, and what can be learned from the new organizing model. Design/methodology/approach Qualitative data collection and small-scale exploratory study of a new profession: eight service agents and their two supervisors were interviewed to raise awareness of what professional competences these new job contents require, how service agents can influence the content of their work, and what competence needs will emerge in the future. Findings The key findings indicate that service agents lack the courage to modify their own mission. When a new profession is created, they are uncertain about how to create self-content on their own terms. They assume they need a certain degree and to know something more than they already know. They do not dare define their own new professional territory, but rather wait for that definition to come from their organization or society. However, the results also show that some service agents have a hidden willingness to be creative even when there is a lack of courage. There is a need to take more initiative and for agents to think freely outside the box in this new situation. Research limitations/implications The number of interviewees is small and the context specific. However, the study gives an indication of the factors that need to be taken into account when the dissemination of the model starts. Originality/value The paper describes the results of the pilot project of a new profession and a customer-oriented model in the social and health care sector.

Transnational Diffusion of Health Policy Ideas in Uruguay in the Early Twentieth Century

2021 ◽  
Vol 33 (3) ◽  
pp. 317-343
Author(s):  
CECILIA ROSSEL ◽  
FELIPE MONESTIER
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Public Assistance ◽  
Care Services ◽  
Policy Ideas ◽  
The Poor ◽  
Role Of The State ◽  
Parliamentary Debate ◽  
The Law

AbstractThis article analyzes how policy ideas already adopted in Europe, particularly in France, were taken into consideration for the design of Uruguay’s National Public Assistance (NPA) policy. Established in 1910, the NPA was a pioneering government social policy for the time and for the region.Some have argued that the design of the NPA law followed the secular and republican model instituted in France at the end of the nineteenth century when France established the Assistance Publique, particularly regarding the extent of public assistance to the poor, the role of the state in the provision of health care (as opposed to charity-based provision) and the centralization of health-care services (as opposed to a decentralized health-care system).We analyze how these revolutionary ideas were discussed by the technicians and politicians who participated in the process that culminated in the approval of the law in Uruguay discussed these revolutionary ideas. We explore the factors that motivated the creation of the commission that developed the law. We also review available documentation on the drafting of the bill and the parliamentary debate that culminated in its approval. We find that the design of the NPA included many ideas diffused mainly from France. The French model was not simply emulated, however. Rather, the authors of the NPA thoroughly analyzed and considered the features and main consequences of the Assistance Publique, suggesting that diffusion in this case was more a process of learning than of simple mimicry.

A Follow up to Semi-Automatic Systems for Exchanging Health Information

2016 ◽  
pp. 1316-1334
Author(s):  
Dimitrios Emmanouil ◽  
Antonia Mourtzikou
Keyword(s):  
Health Care ◽  
Health Information ◽  
Mobile Devices ◽  
Automatic System ◽  
Health Care Services ◽  
Care Services ◽  
Fully Automatic ◽  
Citizen Service ◽  
Automatic Systems

The present research is an attempt to explore the applicability of the best possible service in the area of organized health care services, at fixed predefined points of service. The suggestion is that there should be a system that will receive and provide information about health matters of general public concern. Thus following the lead of Citizen Service Centers in Greece, it can be extended conveniently to mobile devices. The main survey was conducted on a sample of Municipalities and Citizens in the year 2013. The results indicate that the new proposed system could be more secure for citizens for future use, based on supervising procedure by proper employee who will provide more help to the users, instead of a fully automatic system.

Persistent Clinical Encounters in User Driven E-Health Care

2011 ◽  
pp. 1030-1046
Author(s):  
Rakesh Biswas ◽  
Joachim Sturmberg ◽  
Carmel M. Martin ◽  
A. U. Jai Ganesh ◽  
Shashikiran Umakanth ◽  
...  
Keyword(s):  
Health Care ◽  
Electronic Health Records ◽  
Health Professional ◽  
Social Networking ◽  
Health Information ◽  
Health Information Systems ◽  
Clinical Encounters ◽  
Social Networking Technology ◽  
Networking Technology

This chapter discusses the role of e-health in creating persistent clinical encounters to extend the scope of health care beyond its conventional boundaries utilizing social networking technology to create what the authors’ term ‘user driven health care’. It points out the necessity to direct the development of health information systems such that they serve as important vehicles between patient and health professional users in communicating and sharing information other than their role in automated alerts and responses. A project is described that plans to create a system of online sharing of health information in a user driven manner that necessarily becomes persistent due to being stored in electronic health records.

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