The Role of Health Inequalities and Assessing Impacts on Population Health

2015 ◽  
Vol 5 (1) ◽  
pp. 68-74
Author(s):  
Shahid Muhammad
Keyword(s):  
Population Health ◽  
Health Inequalities ◽  
Social Care ◽  
Health In All Policies ◽  
Missed Opportunities ◽  
Department Of Health ◽  
Health And Social Care ◽  
Average Health ◽  
Missed Opportunity

In ‘today's' world, technology advances are pacing and surrounding all areas of health and social care. Whilst the ‘age of technology' has its certainties, health professionals are still identifying missed opportunities in diagnosis for specific diseases and this has its own burden and impact on over budgeting and healthcare. There now seems to be charade in allocating the appropriate funds in those sectors that require more man-power than technology. In turn health has now become more about through-put then compassion (Barnett et al. 2012; Department of Health 2012; Luxford and Sutton 2014; Muhammad et al. 2015). Here, the author briefly explores the role of average health status – Health Inequalities (or Panayotov Matrix) for Assessing Impacts on Population Health and Health in All Policies (HiAP) in the ‘age of technology' and missed opportunity in diagnoses, providing a Chronic Kidney Disease (CKD) example.

scholarly journals The Role of Average Health Status - Health Inequalities Matrix for Assessing Impacts on Population Health in Health in All Policies

2015 ◽  
Vol 5 (1) ◽  
pp. 1-15
Author(s):  
Jordan Panayotov
Keyword(s):  
Health Status ◽  
Population Health ◽  
Health Inequalities ◽  
Gold Standard ◽  
Local Context ◽  
Health In All Policies ◽  
Policy Options ◽  
Causal Pathways ◽  
The Matrix ◽  
Average Health

Economic, social and environmental policies, programs and projects have impact on health. Health in All Policies (HiAP) aims to improve population health by taking into account these impacts. HiAP needs appropriate tools for assessing impacts on population health. When making choices between policy options, decision-makers rely on predictions from Health Impact Assessment. Currently there is no gold standard for establishing and assessing validity of predictions. This paper distinguishes between two levels of causal pathways regarding health impacts – specific and conditional, and proposes the Average Health Status – Health Inequalities Matrix as gold standard. The Matrix facilitates making the right choices at any level and local context, thus is useful for researchers, policy-makers and practitioners for designing, analysing and evaluating all kinds of policies. By allowing quick, reliable and inexpensive appraisal of different policy options the matrix makes feasible taking into account the impacts on population health and paves the way for institutionalizing of HiAP.

scholarly journals McKinsey and the ‘Tripartite Monster’: The Role of Management Consultants in the 1974 NHS Reorganisation

2019 ◽  
Vol 63 (4) ◽  
pp. 390-410 ◽  
Author(s):  
Philip Begley ◽  
Sally Sheard
Keyword(s):  
Social Care ◽  
Policy Actors ◽  
Management Consultants ◽  
Explanatory Factors ◽  
Department Of Health ◽  
Health And Social Care ◽  
Run Up ◽  
First Time ◽  
Practical Constraints

The first major reorganisation of the National Health Service took place in 1974, twenty-six years after the service had been established. It has long been perceived as a failure. This article draws on archival records and a witness seminar held in November 2016 to provide a more nuanced assessment of the 1974 reorganisation and understand more fully why it took the form that it did. In particular it identifies the reorganisation as an important moment in the ongoing story of management consultants engaging with health policymakers, and explores the role of McKinsey and Co. in detail for the first time. Key explanatory factors for their involvement are identified, including the perceived lack of expertise and manpower inside the civil service and the NHS, and perceptions of their impact and effectiveness are discussed. Many debates about the use of management consultants today were directly foreshadowed during the early 1970s. Alongside this, the role of other groups of policy actors, including civil servants, politicians and medical professionals, are established and the extent to which British health policymakers have had to work within existing cultural, political, legislative and practical constraints when trying to initiate change is demonstrated. The fact that many of the ‘mistakes’ that were made have been repeated in the course of subsequent reforms, speaks to the poor institutional memory of Whitehall, and the Department of Health and Social Care in particular. In the run up to 1974 management consultants could make only a limited contribution to an imperfect compromise.

Practices of inclusion for carers who are higher education students

2020 ◽  
Author(s):  
Jordan Taylor ◽  
Paula Gleeson ◽  
Tania Teague ◽  
Michelle DiGiacomo
Keyword(s):  
Higher Education ◽  
Social Care ◽  
Higher Education Institutions ◽  
Education Students ◽  
Institutional Settings ◽  
Policies And Procedures ◽  
Health And Social Care ◽  
Students With A Disability ◽  
Crucial Part

The role of unpaid and informal care is a crucial part of the health and social care system in Australia and internationally. As carers in Australia have received statutory recognition, concerted efforts to foster engagement in carer participation in work and education has followed. However, little is known about the strategies and policies that higher education institutions have implemented to support the inclusion of carers. This study has three components: first, it employs a review of evidence for interventions to support to support carers; second, it reviews existing higher education institutions’ policies to gauge the extent of inclusive support made available to student carers, and; third it conducts interviews with staff from five higher education institutions with concerted carer policies in Australia were held to discuss their institutions’ policies, and experiences as practitioners of carer inclusion and support. Results indicate difficulty in identifying carers to offer support services, the relatively recent measures taken to accommodate carers in higher education, extending similar measures which are in place for students with a disability, and difficulties accommodating flexibility in rigid institutional settings. A synthesis of these findings were used to produce a framework of strategies, policies and procedures of inclusion to support carers in higher education.

scholarly journals The value of psychiatrists in leadership and management

2016 ◽  
Vol 22 (4) ◽  
pp. 263-268 ◽  
Author(s):  
Jennifer Perry ◽  
Fiona L. Mason
Keyword(s):  
Social Care ◽  
Self Awareness ◽  
Management Styles ◽  
Leadership And Management ◽  
Health And Social Care ◽  
The Uk ◽  
Medical Leadership ◽  
The Impact ◽  
Organisational Level

SummaryThe health and social care landscape in the UK is changing, and there is now, more than ever, a real need for doctors to embrace leadership and management. Evidence shows that medical leadership is associated with better outcomes for patients. Psychiatrists are particularly well suited to such roles, given the interpersonal skills and self-awareness that they develop in their training. In this article, we examine the role of the psychiatrist in leading at a patient, team and organisational level and the impact this has. We also discuss different leadership and management styles.

scholarly journals Introducing the Care Certificate Evaluation: Innovative practice

Dementia ◽  
2017 ◽  
Vol 19 (2) ◽  
pp. 512-517
Author(s):  
Elaine Argyle ◽  
Louise Thomson ◽  
Antony Arthur ◽  
Jill Maben ◽  
Justine Schneider ◽  
...  
Keyword(s):  
Staff Development ◽  
Social Care ◽  
Policy Research ◽  
Research Programme ◽  
Direct Care ◽  
Care Staff ◽  
Care Provision ◽  
Front Line ◽  
Department Of Health ◽  
Health And Social Care

Although investment in staff development is a prerequisite for high-quality and innovative care, the training needs of front line care staff involved in direct care have often been neglected, particularly within dementia care provision. The Care Certificate, which was fully launched in England in April 2015, has aimed to redress this neglect by providing a consistent and transferable approach to the training of the front line health and social care workforce. This article describes the early stages of an 18-month evaluation of the Care Certificate and its implementation funded by the Department of Health Policy Research Programme.

scholarly journals The Role of Information and Communication Technology (ICT) for Older Adults’ Decision-Making Related to Health, and Health and Social Care Services in Daily Life—A Scoping Review

2021 ◽  
Vol 19 (1) ◽  
pp. 151
Author(s):  
Susanna Nordin ◽  
Jodi Sturge ◽  
Maria Ayoub ◽  
Allyson Jones ◽  
Kevin McKee ◽  
...  
Keyword(s):  
Older Adults ◽  
Decision Making ◽  
Information And Communication Technology ◽  
Communication Technology ◽  
Scoping Review ◽  
Social Care ◽  
Care Services ◽  
Health And Social Care ◽  
Information And Communication

Information and communication technology (ICT) can potentially support older adults in making decisions and increase their involvement in decision-making processes. Although the range of technical products has expanded in various areas of society, knowledge is lacking on the influence that ICT has on older adults’ decision-making in everyday situations. Based on the literature, we aimed to provide an overview of the role of ICT in home-dwelling older adults’ decision-making in relation to health, and health and social care services. A scoping review of articles published between 2010 and 2020 was undertaken by searching five electronic databases. Finally, 12 articles using qualitative, quantitative, and mixed-method designs were included. The articles were published in journals representing biology and medicine, nursing, informatics, and computer science. A majority of the articles were published in the last five years, and most articles came from European countries. The results are presented in three categories: (i) form and function of ICT for decision-making, (ii) perceived value and effect of ICT for decision-making, and (iii) factors influencing ICT use for decision-making. According to our findings, ICT for decision-making in relation to health, and health and social care services was more implicitly described than explicitly described, and we conclude that more research on this topic is needed. Future research should engage older adults and health professionals in developing technology based on their needs. Further, factors that influence older adults’ use of ICT should be evaluated to ensure that it is successfully integrated into their daily lives.

Role of the Single Assessment Process in the Care of Older People. How Will Primary Dental Care Practitioners be Involved?

2006 ◽  
Vol os13 (4) ◽  
pp. 130-134 ◽  
Author(s):  
Elizabeth A Lane ◽  
Jennifer E Gallagher
Keyword(s):  
Older People ◽  
Dental Care ◽  
Social Care ◽  
Assessment Process ◽  
Care Needs ◽  
National Service Framework ◽  
Health And Social Care ◽  
Dental Practitioners ◽  
One Stop

Following the publication of the National Service Framework for Older People, there have been developments across health and social care to facilitate holistic assessment of older people's needs, through what is called a ‘single assessment process’ or ‘SAP’. In this paper, readers are introduced to the SAP. The process can be seen as a ‘one-stop’ approach to the assessment of vulnerable older people that facilitates cross-referral between the agencies involved and triggers access to dental care. The paper explores the benefits of this new way of working in support of older people and how it will provide an opportunity for innovative dental practitioners to integrate oral healthcare for people with complex health and social care needs into the SAP. In concludes that as local commissioning evolves, opportunities for practitioners to develop targeted services for this important patient group should be expanded to improve the uptake of healthcare and oral healthcare.

An insight into the work of sexual assault referral centres and the role of the forensic nurse examiner

2021 ◽  
Vol 30 (22) ◽  
pp. 1296-1302
Author(s):  
Helen Hand-Oades
Keyword(s):  
Sexual Assault ◽  
Social Care ◽  
Criminal Offence ◽  
Healthcare Staff ◽  
Referral Centre ◽  
Know How ◽  
Care Workers ◽  
Health And Social Care ◽  
Insight Into

It is more likely than ever that healthcare staff of all grades and in all settings will encounter cases of sexual assault, so it is crucial that they know how to respond appropriately to support survivors. Health and social care workers engage with clients in a range of situations, which means that they are well placed for such disclosure. In some cases, particularly if the assault is a recent incident, time is of the essence to ensure that there is no loss of evidence that could be crucial in gaining a conviction. This article explores the role of a sexual assault referral centre (SARC), a service that few people know about or think they will ever need. The type of sexual activity that constitutes a criminal offence will be discussed and information presented that offers direction for those who want to involve the police, and for those who do not. Links to a range of organisations are also included that survivors of recent or historic sexual assault can access for support and advice.

scholarly journals The Role of Empathy in Health and Social Care Professionals

Healthcare ◽  
2020 ◽  
Vol 8 (1) ◽  
pp. 26 ◽  
Author(s):  
Maria Moudatsou ◽  
Areti Stavropoulou ◽  
Anastas Philalithis ◽  
Sofia Koukouli
Keyword(s):  
Undergraduate Students ◽  
Health Professionals ◽  
Social Care ◽  
Academic Culture ◽  
Three Dimensions ◽  
Number Of Patients ◽  
Health And Social Care ◽  
Current Article ◽  
The Subject

The current article is an integrative and analytical literature review on the concept and meaning of empathy in health and social care professionals. Empathy, i.e., the ability to understand the personal experience of the patient without bonding with them, constitutes an important communication skill for a health professional, one that includes three dimensions: the emotional, cognitive, and behavioral. It has been proven that health professionals with high levels of empathy operate more efficiently as to the fulfillment of their role in eliciting therapeutic change. The empathetic professional comprehends the needs of the health care users, as the latter feel safe to express the thoughts and problems that concern them. Although the importance of empathy is undeniable, a significantly high percentage of health professionals seem to find it difficult to adopt a model of empathetic communication in their everyday practice. Some of the factors that negatively influence the development of empathy are the high number of patients that professionals have to manage, the lack of adequate time, the focus on therapy within the existing academic culture, but also the lack of education in empathy. Developing empathetic skills should not only be the underlying objective in the teaching process of health and social care undergraduate students, but also the subject of the lifelong and continuous education of professionals.

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