scholarly journals Guidelines for the empowerment of nurses in health services

1998 ◽  
Vol 3 (3) ◽  
pp. 24-30
Author(s):  
Karien Jooste ◽  
Susanne Booyens
Keyword(s):  
Decision Making ◽  
Problem Solving ◽  
Health Service ◽  
Health Services ◽  
Full Text ◽  
Management Approach ◽  
Service Organisation

The scenario that should exist in a modern health service organisation is that of rapid decision making and problem solving at the point nearest to the problem and a management approach of flexibility and conscious, calculated change. OpsommingDie scenario wat in 'n moderne gesondheidsdiensinstansie behoort te bestaan is die van vinnige besluitneming en probleemoplossing by die punt naaste aan die probleem en 'n bestuursbenadering van buigsaamheid en bewuste, berekende verandering. *Please note: This is a reduced version of the abstract. Please refer to PDF for full text.

Assessing Health Service Needs: Tools for Health Planning

1996 ◽  
Vol 9 (1) ◽  
pp. 22-27 ◽  
Author(s):  
Kevin Brazil ◽  
Malcolm Anderson
Keyword(s):  
Decision Making ◽  
Information Systems ◽  
Geographic Information Systems ◽  
Health Service ◽  
Health Services ◽  
Survey Methods ◽  
Health Planning ◽  
Service Needs ◽  
Needs Assessments ◽  
Structured Groups

As fiscal pressures mount, health-planning and decision-making at smaller geographics scales must be more effective. Involving local constituents in needs assessments, it is believed, would lead to better identification and serving of regional demands and needs for health services. This article examines needs assessment as a tool to determine a community's service needs and establish priorities for the creation of programs. Various approaches used in needs assessments are described, including survey methods, structured groups and geographic information systems.

Introduction

2020 ◽  
pp. 3-8
Author(s):  
Julie Sin
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Health Outcomes ◽  
Population Health ◽  
Practical Purpose ◽  
Health Gain ◽  
Real Life ◽  
Population Approach

This introductory chapter sets out the book’s practical purpose to be a useful and salient guide in the real life arena of commissioning and health services decision-making for better population health outcomes. The book is grounded in the experience of health services in England where the intention is to provide a comprehensive range of services on a whole population basis. The reader will be taken through the book using the main anchoring point of commissioning, the process of securing services for populations within finite resources. The book is structured in two parts. The first half (Part I) contains core topics to help build confidence about commissioning for health gain. It covers the purpose of commissioning, its health service context, and offers concepts that tangibly link commissioning actions with a population approach. Part II builds on that to cover more applied topics that commissioners will need to navigate in practice.

Influence of living arrangements on health services utilisation in Australia

2012 ◽  
Vol 36 (1) ◽  
pp. 34 ◽  
Author(s):  
M. Afzal Mahmood ◽  
Anna E. Bauze ◽  
Justin T. Lokhorst ◽  
Peng Bi ◽  
Arthur Saniotis
Keyword(s):  
Risk Factors ◽  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Informal Care ◽  
Living Arrangements ◽  
Service Use ◽  
Household Composition ◽  
Health Service Use ◽  
Use Of Health Services

Background. The number of people living alone is increasing markedly. Others live as couples only, couples with child(ren) and single adult with child(ren). Health service utilisation could differ for people in different living arrangements as a result of varying levels of risk factors, health status, access to informal care and decision-making for accessing care. Objective. To identify the association between living arrangements and health service use. Methods. The Australian Bureau of Statistics’ National Health Survey 2001 data for people 18–65 years old were analysed for household composition and service use. Results. People in various household types differ in terms of their overall use of health services and their use of services by general practitioners. Sex, rurality, socioeconomic status and status of heart condition significantly influenced the use of health services. Conclusion. There are implications for health services provision and planning within the context of rapid changes in living arrangements. Additional research is required to explore the reasons to such differences, level of access to informal care, healthcare decision-making processes and consequences of under- or over-utilisation of services. What is known about the topic? Health service use is influenced by the disease burden and pattern, demography, economic factors, access to social support, quality of care and satisfaction with standards of care. These factors may influence access to and use of care. What does this paper add? This research points to the potential role of living arrangements on health services use. Many people now live alone and may not have access to informal care, and access to health information and education. People in different living arrangements appear to have different health service use. What are the implications for practitioners? Practitioners, in both primary care and acute care sectors, need to consider that patients, including younger people, may not have access to informal care, may present with delays and may not have the needed adequate support during convalescence. Health education needs to consider that people in different living arrangements may be exposed to different levels of risk factors in terms of their healthcare use.

scholarly journals Connatural Management Approach to Preparation and Development of Individuals in the Business Environment

2016 ◽  
Vol 17 (2) ◽  
pp. 81-88 ◽  
Author(s):  
Eva Ambrozová ◽  
Jiří Koleňák ◽  
Vratislav Pokorný
Keyword(s):  
Decision Making ◽  
Critical Thinking ◽  
Problem Solving ◽  
Business Environment ◽  
Mental Condition ◽  
Management Approach ◽  
Managerial Training ◽  
Diagnostic Research ◽  
The Relationship ◽  
Behavioural Sciences

Article develops modern trends in management, using knowledge of cognitive and behavioural sciences. It presents the concept of subtle skills and a connatural management approach. It presents the results of research on the relationship between stress, mental condition and the level of critical thinking, problem solving and decision making. To achieve these goals we have used results of a psycho-diagnostic research which all participants of managerial training X-tream Management were subjected to.

scholarly journals Reproductive intentions and choices among HIV-infected individuals in Cape Town, South Africa: Lessons for reproductive policy and service provision from a qualitative study

2005 ◽  
Keyword(s):  
South Africa ◽  
Decision Making ◽  
Reproductive Health ◽  
Health Service ◽  
Qualitative Study ◽  
Health Services ◽  
Service Provision ◽  
Cape Town ◽  
Reproductive Health Services ◽  
Reproductive Intentions

While many HIV-infected individuals do not wish to have children, others want children despite their infected status. The desire and intent to have children among HIV-infected individuals may increase because of improved quality of life and survival following commencement of antiretroviral treatment. In developing countries such as South Africa, where the largest number of people living with HIV/AIDS worldwide reside, specific government reproductive health policy and service provision for HIV-infected individuals is underdeveloped. This policy brief presents findings from a qualitative study that explored HIV-infected individuals’ reproductive intentions, decision-making, and need for reproductive health services. The study also assessed the opinions of health-service providers, policymakers, and influential figures within nongovernmental organizations who are likely to play important roles in the shaping and delivery of reproductive health services. Conducted at two health centers in the Cape Town metropolitan area in South Africa from May 2004 to January 2005, the study focused on issues that impact reproductive choice and decision-making and identified critical policy, health service, and research-related matters to be addressed.

Evaluating Health Information Services

2011 ◽  
pp. 1-13 ◽  
Author(s):  
Umit Topacan ◽  
Nuri Basoglu ◽  
Tugrul U. Daim
Keyword(s):  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Health Information ◽  
Analytical Hierarchy Process ◽  
Selection Process ◽  
Service Selection ◽  
Information Services ◽  
Hierarchy Process

The objective of the chapter is to explore the factors that affect users’ preferences in the health service selection process. In the study, 4 hypothetical health services were designed by randomly selecting levels of 16 attributes and these services was evaluated by the potential users. Analytical Hierarchy Process (AHP), one of the decision making methods, was used to assess and select the best alternative.

scholarly journals Major health service transformation and the public voice: conflict, challenge or complicity?

2017 ◽  
Vol 23 (1) ◽  
pp. 28-35 ◽  
Author(s):  
Graham P Martin ◽  
Pam Carter ◽  
Mike Dent
Keyword(s):  
Public Health ◽  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Qualitative Data ◽  
Public Involvement ◽  
Public Health Care ◽  
Major Health ◽  
The Public ◽  
And Function

Objectives Calls for major reconfigurations of health services have been accompanied by recommendations that wide ranging stakeholders be involved. In particular, patients and the wider public are seen as critical contributors as both funders and beneficiaries of public health care. But public involvement is fraught with challenges, and little research has focused on involvement in the health service transformation initiatives. This paper examines the design and function of public involvement in reconfiguration of health services within the English NHS. Methods Qualitative data including interviews, observation and documents were collected in two health service ‘transformation’ programmes; interviews include involved public and professional participants. Data were analysed using parallel deductive and inductive approaches. Results Public involvement in the programmes was extensive but its terms of reference, and the individuals involved, were restricted by policy pressures and programme objectives. The degree to which participants descriptively or substantively represented the wider public was limited; participants sought to ‘speak for’ this public but their views on what was ‘acceptable’ and likely to influence decision-making led them to constrain their contributions. Conclusions Public involvement in two major service reconfiguration programmes in England was seen as important and functional, and could not be characterized as tokenistic. Yet involvement in these programmes fell short of normative ideals, and could inadvertently reduce, rather than enlarge, public influence on health service reconfiguration decisions.

scholarly journals Health service capacity modelling

2002 ◽  
Vol 25 (4) ◽  
pp. 159 ◽  
Author(s):  
Peter Trye ◽  
Nigel Murray ◽  
Ian wolstencroft ◽  
Alistair Stewart
Keyword(s):  
Mathematical Model ◽  
Decision Making ◽  
Health Service ◽  
Health Services ◽  
Decision Making Process ◽  
Hospital Services ◽  
Service Capacity ◽  
The Future ◽  
Bed Days

This paper aims to describe a modelling tool that gives a framework for the estimation of future bed demand for hospital services. It also outlines some issues regarding the application of the model. A quantitative mathematical model was constructed that was based on two years of seasonally adjusted inpatient data. To calculate the number of beds required five years into the future, ten factors were applied to the number of bed-days used for each service. In the example given (Figure 1), 7,924 bed-days used in 1998-99 translated into a requirement for twenty-six beds in 2004. The value of this approach lies in the ability to describe and delineate each of the varying factors, and thus allowing clinicians, healthcare managers, the purchasers of health services and other stakeholders to be involved in a clear and explicit decision-making process.

scholarly journals Mengkaji Faktor yang Mempengaruhi Kinerja Pelayanan Organisasi RSUD Kota Tangerang

2021 ◽  
Author(s):  
Alan Budi Nugroho
Keyword(s):  
Quality Improvement ◽  
Health Service ◽  
Health Services ◽  
Quantitative Research ◽  
Service Organization ◽  
Organization Performance ◽  
Service Organisation ◽  
Or Organization ◽  
Research Show ◽  
Variable Measurement

Due to importance of the health service, therefore is needed quality improvement and health services, so there are many factors affected. In this research the factors that affected in health service is an activity results as an individual or organization who have the same goals to fullfill necessary by means of others person activity. The Purpose : (1) to determine the affect between Proffesionalism and service organization performance in RSUD Tangerang city. (2) to determine the affects between leadership and service organization performance RSUD Tangerang city. (3) to determine the affects between an authority of management and service organization performance in RSUD Tangerang city. This research is quantitative research. In this research there are four variables, Proffesionalism (X1), Leadersip (X2), an authority of managements (X3) and service organisation performance (Y). Variable measurement in this research is using ordinal scala. Data were collected through questionnaire. The result of this research show that (1) Proffesionalism variable affets to service organization performance in RSUD Tangerang city with probability value 0,0002, (2) Leadership variable affects to service organization performance in year 2016 with probability value 0,0018, (3) An authority management variable doesn’t affect to service organization performance in year 2016 with probability value 0,204.

scholarly journals Exploring the use of emergency health services for stroke: what is known about when to seek emergency help and how transport decisions impact in-hospital emergency care

2021 ◽  
Author(s):  
◽  
Damanpreet Kandola
Keyword(s):  
Decision Making ◽  
British Columbia ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Service Use ◽  
Stroke Care ◽  
Health Service Delivery ◽  
Health Service Use ◽  
Emergency Health Services

Transport practices for seeking emergency stroke care remain largely underresearched and poorly understood, particularly for individuals living in small urban, rural, and remote regions. This multi-method study aims to address this knowledge gap and explores the impact of mode of transport on in-hospital stroke care and the decision-making process of seeking emergency medical attention for patients and their caregivers. Data from the Discharge Abstract Database provide information on stroke-related use of emergency health services across British Columbia. Data from the Canadian Institutes for Health Information Special Project 340 provide information on if calling emergency health services impacts the delivery of care, including the completion of neuroimaging, the administration of acute thrombolysis, and the prescription of antithrombotics upon discharge across a northern health region. Focused, semi-structured interviews provide contextual insight into the decision-making processes for seeking emergency stroke care among patient and caregiver participants in a northern health region. Stroke-related emergency health service use across British Columbia from January 2015 to March 2018 was 67.9% (N=19,849), ranging from 58.8% in Northern Health to 70.2% in Fraser Health. In Northern Health (N=784), there were differences between health service delivery areas for stroke-related emergency health service use ranging from 53.7% in the Northwest to 64.8% in the Northern Interior from January 2015 to March 2018. Similar differences in thrombolytic therapy administration and the prescription of antithrombotics were noted. The odds of emergency health service use were greater for those 65 years of age and older than those younger than 65 and lower for those in the Northwest health service delivery area than those in the Northern Interior health service delivery area. Differences were found for the completion of neuroimaging between males and females. Interviews for patient (n=12) and caregiver (n=7) participants provide complementary contextual insights and yielded three key themes, including the decision-making process following a stroke, experiences of care, and perceived gaps and areas in need of further support. This integrated knowledge translation-informed and practice-driven research addresses health services and policy priorities. Findings are anticipated to help inform the development and refinement of emergency health services in British Columbia by highlighting differences in emergency health services use across geographies and identifying factors that inform patient decisionmaking when seeking emergency medical attention.

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