scholarly journals A hermeneutic framework for responsible technical interventions in low-income households – mobile phones for improved managed health care as test case

2015 ◽  
Vol 11 (4) ◽  
Author(s):  
Montagu Murray ◽  
Ernst Wolff
Keyword(s):  
Health Care ◽  
Mobile Phone ◽  
South African ◽  
Low Income ◽  
Care Service ◽  
Health Care Service ◽  
Test Case ◽  
South African Context ◽  
Managed Health Care ◽  
African Context

In this article the authors, a philosopher and a social development practitioner, formulate recommendations for responsible planning of technical interventions in health care relations under circumstances of uncertainty and moral risk. It is proposed that the hermeneutic approach followed in this article could serve as a heuristic guide to research and development teams in the planning phase of similar projects to proceed in a responsible manner. The introduction of mobile phone technology by a managed health care service provider to clients from a low-income South African context is used as a test case to illustrate the value of the proposed heuristic approach. The strength of this approach is situated in its coordination of general anthropological considerations, with interpretative attention to particularities. The test case is a relevant to the problem since it cannot be assumed that the same habitus of acquaintance with the mobile phone apparatus has been formed in the low-income South African context as in contexts or societies where people have been using telephones for decades.

scholarly journals Adaptation of the Rapid Estimate of Adult Litera cy in Medicine Revised (REALM -R) to the South African context: Part 1

2010 ◽  
Vol 15 (1) ◽  
Author(s):  
Zelda Wasserman ◽  
Susanna C.D. Wright ◽  
Todd Mavis Maja
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
South African ◽  
Care Setting ◽  
Health Care Setting ◽  
South African Context ◽  
The South ◽  
Primary Health Care Setting ◽  
Primary Health ◽  
African Context

Literacy levels are increasingly important in health care because professional nurses and other health care professionals often use written health education materials as a major component in patient education. In South Africa, no current instrument is available to assess the literacy levels of patients in the primary health care setting, though several instruments have been developed and validated internationally. The purpose of this paper was to adapt and validate the Rapid Estimate of Adult Literacy in Medicine Revised (REALM-R) to the South African context. The REALM-R is a short instrument that is designed to rapidly screen clients in the primary health care setting for low health literacy. A modified Delphi-technique was used to measure the judgement of a group of experts for the purpose of making a decision. Eight experts in the field of Nursing Science were selected purposively to obtain the most reliable consensus. Data was collected by means of a selfreport whereby participants responded to a series of questions posed by the researcher. Descriptive statistics was used for analysing data. The REALM-R was adapted to the South African context to ensure that the literacy level of South African clients is measured with an appropriate instrument.OpsommingGeletterdheidsvlakke word toenemend belangrik in gesondheidsorg aangesien geregistreerde verpleegkundiges en ander gesondheidswerkers dikwels geskrewe gesondheidopvoedkundige materiaal gebruik. Op die oomblik in Suid-Afrika is daar geen geletterdheidsvlaksinstrument beskikbaar om pasiënte in primêre gesondheidsorg se geletterdheid te toets nie. Daar bestaan wel gevalideerde internasionale instrumente. Die doel van die studie was om die REALM-R, ‘n internasionaal gevalideerde mediese geletterdheidsinstrument, aan te pas en te valideer om in die Suid-Afrikaanse konteks gebruik te kan word. Die REALM-R is ‘n kort geletterdheidsinstrument wat ontwikkel was om primêre sorg pasiênte wat moontlik lae geletterdheidsvaardigheid het, te kansif. ‘n Aangepasde Delphi-tegniek is gebruik om die oordeel van ‘n groep kundiges in te win. Agt kundiges in verpleegwetenskappe is doelgerig gekies ten einde ‘n betroubare ooreenkoms te verkry.Data is deur middel van self-raportering ingewin deurdat die deelnemers op vrae, gestel deur die navorser, geantwoord het. Beskrywende statistiek is gebruik om die data te ontleed. Die REALM-R is aangepas vir die Suid-Afrikaanse konteks ten einde ‘n geskikte instrument beskikbaar te stel om die geletterdheidsvaardigheid van primêre sorg pasiente vinnig en akkuraat te kan meet.

scholarly journals Telepsychology and the COVID-19 pandemic: the experiences of psychologists in South Africa

2021 ◽  
pp. 008124632199328
Author(s):  
Lynne Goldschmidt ◽  
Malose Langa ◽  
Bafana Masilela ◽  
Lesego M Ndhlovu ◽  
Buyisile Mncina ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
South African ◽  
South African Context ◽  
Health Care Needs ◽  
Care Needs ◽  
Therapeutic Modalities ◽  
The Core ◽  
African Context ◽  
Confidentiality And Privacy

The emergence of the COVID-19 pandemic has drawn renewed attention to telepsychology. This study reports on the experiences of psychologists in response to the implications of the COVID-19 pandemic pertaining to the provision, application, and accessibility of telepsychology services in the South African context. The findings highlight the direct and indirect implications of the pandemic and its impact on both practitioners and clients. The core themes comprise an increase in mental health care needs, challenges pertaining to therapeutic modalities in response to crises, as well as contextual considerations. The latter include barriers to telepsychology, such as the costs of data, as well as limitations to confidentiality and privacy.

scholarly journals Essential managerial attributes of the nowadays nursing service manager in the South African context

Curationis ◽  
2003 ◽  
Vol 26 (2) ◽  
Author(s):  
K Jooste
Keyword(s):  
Health Care ◽  
Human Resources ◽  
South African ◽  
Quality Care ◽  
South African Context ◽  
Effective Management ◽  
Nursing Service ◽  
African Context ◽  
Service Managers ◽  
Service Manager

Nursing service managers need certain essential managerialattributes in taking the lead in effective management ofthe nowadays health care organisations in South Africa.Major changes in restructuring and human resources planningare taking place through transformation of health servicesand specific managerial attributes are needed in thisscenario. Without nursing service managers with the necessarymanagerial attributes, change in the health care environmentwill be hampered and planning, organising, directingand control of the delivering of quality care will benegatively influenced.

scholarly journals The Perception of South African Adolescents Regarding Primary Health Care Services

2006 ◽  
Vol 6 ◽  
pp. 737-744 ◽  
Author(s):  
Magdalena S. Richter ◽  
Vivian Mfolo
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
South African ◽  
Health Care Services ◽  
Care Service ◽  
Health Care Service ◽  
Care Services ◽  
Primary Health ◽  
Primary Health Care Services

Most of the South African public health facilities fail to provide adolescent-friendly health services. A quantitative, descriptive research study was conducted at Stinkwater, a rural area in Hammanskraal, South Africa. The objective of the study was to describe the adolescent's preferences regarding primary health care services. A survey was conducted among 119 adolescents. It was found that adolescents wished to be involved in the planning of the activities of the adolescent health service, and that friendliness and respect for adolescents were seen as desirable characteristics of an adolescent-friendly health care service. Adolescents preferred services to be available throughout the week and to be located at the school, youth center, community center, hospital, or clinic. Health education was indicated as a priority and the health care team should include different members of a multidisciplinary team. Adolescents preferred that their health services be separated from adult services and that a male nurse be employed in the adolescent service in order to create a less feminine image. It was also recommended that all adolescents be educated about the types of services available. Understanding health care service preferences of adolescents is needed in order to deliver optimal health care to this group.

scholarly journals Association Between Medicaid Coverage and Income Status on Health Care Use and Costs Among Hypertensive Adults After Enactment of the Affordable Care Act

2019 ◽  
Vol 32 (10) ◽  
pp. 1030-1038 ◽  
Author(s):  
Donglan Zhang ◽  
Matthew R Ritchey ◽  
Chanhyun Park ◽  
Jason Li ◽  
John Chapel ◽  
...  
Keyword(s):  
Health Care ◽  
Affordable Care Act ◽  
Low Income ◽  
Service Use ◽  
Care Service ◽  
Health Care Service ◽  
Medical Expenditure ◽  
Medicaid Coverage ◽  
Income Status ◽  
Health Care Service Use

Abstract Background Hypertension is highly prevalent among the low-income population in the United States. This study assessed the association between Medicaid coverage and health care service use and costs among hypertensive adults following the enactment of the Patient Protection and Affordable Care Act (ACA), by income status level. Methods A nationally representative sample of 2,866 nonpregnant hypertensive individuals aged 18–64 years with income up to 138% of the federal poverty level (FPL) were selected from the 2014 and 2015 Medical Expenditure Panel Survey. Regression analyses were performed to examine the association of Medicaid coverage with outpatient (outpatient visits and prescription medication fills), emergency, and acute health care service use and costs among those potentially eligible for Medicaid by income status—the very low-income (FPL ≤ 100%) and the moderately low-income (100% > FPL ≤ 138%). Results Among the study population, 70.1% were very low-income and 29.9% were moderately low-income. Full-year Medicaid coverage was higher among the very low-income group (41.0%) compared with those moderately low-income (29.1%). For both income groups, having full-year Medicaid coverage was associated with increased health care service use and higher overall annual medical costs ($13,085 compared with $7,582 without Medicaid); costs were highest among moderately low-income patients ($17,639). Conclusion Low-income individuals with hypertension, who were potentially newly eligible for Medicaid under the ACA may benefit from expanded Medicaid coverage by improving their access to outpatient services that can support chronic disease management. However, to realize decreases in medical expenditures, efforts to decrease their use of emergency and acute care services are likely needed.

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