Adapt and adopt: Remote delivery of healthcare in neurosurgical practice

2021 ◽  
Vol 9 (1) ◽  
pp. 1
Author(s):  
JaspreetSingh Dil
Keyword(s):  
Delivery Of Healthcare

The Impact of Mobile Phone Technology in Bridging the Gaps in The Health Care Service Delivery in Kenya: A Case of Nairobi County. (Preprint)

2019 ◽  
Author(s):  
Alice Ndwiga
Keyword(s):  
Service Delivery ◽  
Mobile Phone ◽  
Care Service ◽  
Health Care Service ◽  
Informal Settlements ◽  
Healthcare Services ◽  
P Value ◽  
Delivery Of Healthcare ◽  
Mobile Phone Technology ◽  
The Impact

BACKGROUND INTRODUCTION: The Kenyan constitution seeks to guarantee every citizen the right to quality healthcare services. Quite often this delivery is hampered by geographical location, socio-economic statuses among other factors. The country has a high mobile phone penetration rate. Digitalization of the healthcare sector is a vital aspect that contributes to effective delivery of care services. This study set out to assess the impact of mobile technology in closing the gaps within the health care service delivery. The objective of the study was to investigate the impact of mobile phone technology in bridging the gap in healthcare service delivery in Kenya with a focus on Nairobi, Kibera informal settlements. Hypothesis testing using P-value of 0.05 also showed that use of mobile phone technology positively impacted the delivery of healthcare services. OBJECTIVE The objective of the study was to investigate the impact of mobile phone technology in bridging the gap in healthcare service delivery in Kenya with a focus on Nairobi, Kibera informal settlements. Hypothesis testing using P-value of 0.05 also showed that use of mobile phone technology positively impacted the delivery of healthcare services. METHODS The target population were patients visiting Médecins Sans Frontières (MSF) clinic in Kibera informal settlements. A cross-sectional study design was employed. Purposive and simple random sampling method was used to select the study sample of 210 participants and 3 healthcare providers. Data were collected using survey questionnaire that was provider-administered and Data were analyzed using SPSS version. RESULTS The characteristics of the respondents were general (mean age, education level, social economic status) to only patients who visited the clinics for HIV tests and other related services such as going for ARVs. The main findings showed that 66.12% of the respondents (14.29% strongly agreed + 55.24% agreed) that the use of mobile phone technology improved their access to healthcare services. Using chi square, there was a statistical difference due to the positive impact of mobile technology on healthcare delivery (p=0.05). CONCLUSIONS The study findings showed that 66.12% of the respondents agreed that the use of mobile phone technology and SMS improved their access to healthcare services. The results hypothesis also proved that use of mobile phone technology positively impacts the delivery of healthcare services.

scholarly journals Building trust and enhancing localization to improve access to women’s health services in Afghanistan

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
F R Rab ◽  
S S Stranges ◽  
A D Thind ◽  
S S Sohani
Keyword(s):  
Health Care ◽  
Health Services ◽  
Vulnerable Populations ◽  
Time Trend ◽  
Health Workers ◽  
Healthcare Services ◽  
Delivery Of Healthcare ◽  
Care Services ◽  
Women And Children ◽  
Delivery Of Health Services

Abstract Background Over 34 million people in Afghanistan have suffered from death and devastation for the last four decades as a result of conflict. Women and children have borne the brunt of this devastation. Afghanistan has some of the poorest health indicators in the world for women and children. In the midst of armed conflict, providing essential healthcare in remote regions in the throws of conflict remains a challenge, which is being addressed the Mobile Health Teams through Afghan Red Crescent (ARCS). To overcome socio-cultural barriers, ARCS MHTs have used local knowledge to hire female staff as part of the MHTs along with their male relatives as part of MHT staff. The present study was conducted to explore the impact of engaging female health workers as part of MHTs in conflict zones within Afghanistan on access, availability and utilization of maternal and child health care. Methods Quantitative descriptive and time-trend analysis were used to evaluate impact of introduction of female health workers. Qualitative data is being analyzed to assess the possibilities and implications of engaging female health workers in the delivery of health services. Results Preliminary results show a 96% increase in uptake of services for expectant mothers over the last four years. Average of 18 thousand services provided each month by MHTs, 70% for women and children. Service delivery for women and children significantly increased over time (p < 0.05) after inclusion of female health workers in MHTs. Delivery of maternity care services showed a more significant increase (p < 0.001). Time trend and qualitative analyses is ongoing. Conclusions Introduction of female health workers significantly improved uptake of health care services for women and children especially in extremely isolated areas controlled by armed groups in Afghanistan. Engaging with local stakeholders is essential for delivery of health services for vulnerable populations in fragile settings like Afghanistan. Key messages Understanding cultural norms results in socially acceptable solutions to barriers in delivery of healthcare services and leads to improvements in access for women and children in fragile settings. Building local partnerships and capacities and using local resources result in safe, efficient and sustainable delivery of healthcare services for vulnerable populations in fragile settings.

scholarly journals Problems experienced by role players within the managed healthcare context in Gauteng

Curationis ◽  
2000 ◽  
Vol 23 (2) ◽  
Author(s):  
S Mahlo ◽  
M Muller
Keyword(s):  
Quality Care ◽  
Working Relationships ◽  
Delivery Of Healthcare ◽  
Medical Practitioners ◽  
Replication Studies ◽  
Role Players ◽  
Group Interviews ◽  
Contextual Study ◽  
General Medical Practitioners

Role players within the context of managed healthcare in Gauteng experience problems in the delivery of healthcare, which negatively affect their working relationships. This in turn, affects the quality of care provided to patients. The purpose of this study is to explore and describe the problem experienced by different role players within the context of managed healthcare in Gauteng, as well as the suggested solutions to counteract these problems. These results will be utilised as the basis of a conceptual framework to formulate a strategy to enhance the working relationships amongst these role players. The strategy will not be discussed in this article as the focus is on the problems experienced by the role players in the delivery of healthcare, as well as suggested solutions in the counteraction thereof. A qualitative, exploratory, descriptive and contextual study was followed to explore and describe the problems, as well as the suggested solutions to counteract these problems. Focus group interviews were conducted to collect data from three private hospitals, three managed care organisations and four general medical practitioners in Gauteng. The participants were purposively and conveniently selected. Content analysis as described by Tesch (1990) was followed to analyse the data. The main problems experienced were related to inadequate communication, inadequate staff competence, cost saving versus quality care, procedural complexity, perceived loss of power by doctors and patients and the system of accounts payment. The suggested solutions focused mainly on empowerment and standardisation of procedures. It is recommended that replication studies of this nature be conducted in other provinces and that ethical standards are formulated within the managed healthcare context.

scholarly journals Assessing the Impacts of Hierarchical Healthcare System on the Accessibility and Spatial Equality of Healthcare Services in Shenzhen, China

2021 ◽  
Vol 10 (9) ◽  
pp. 615
Author(s):  
Zhuolin Tao ◽  
Wenchao Han
Keyword(s):  
Healthcare System ◽  
Catchment Area ◽  
Healthcare Services ◽  
Utilization Efficiency ◽  
Delivery Of Healthcare ◽  
Healthcare Accessibility ◽  
Set Up ◽  
Different Levels

The hierarchical healthcare system is widely considered to be a desirable mode of the delivery of healthcare services. It is expected that the establishment of a hierarchical healthcare system can help provide better and more equal healthcare accessibility. However, limited evidence has been provided on the impacts of a hierarchical healthcare system on healthcare accessibility. This study develops an improved Hierarchical two-step floating catchment area (2SFCA) method, which incorporates variable catchment area sizes, distance friction effects and utilization efficiency for facilities at different levels. Leveraging the Hierarchical 2SFCA method, various scenarios are set up to assess the accessibility impacts of a hierarchical healthcare system. The methods are applied in a case study of Shenzhen. The results reveal significant disparity and inequality in healthcare accessibility and also differences between various facility levels in Shenzhen. The overall healthcare accessibility and its equality can be significantly improved by fully utilizing existing facilities. It is also demonstrated that allocating additional supply to lower-level facilities can generate larger accessibility gains. Furthermore, allocating new supply to primary facilities would mitigate the inequality in healthcare accessibility, whereas inequality tends to be aggravated with new supply allocated to tertiary facilities. These impacts cannot be captured by traditional accessibility measures. This study demonstrates the pivotal role of primary facilities in the hierarchical healthcare system. It can contribute to the literature by providing transferable methods and procedures for measuring hierarchical healthcare accessibility and assessing accessibility impacts of a hierarchical healthcare system in developing countries.

ASPiH Conference 2019 keynote paper. Quality improvement through simulation: a missed opportunity?

2020 ◽  
Vol 6 (4) ◽  
pp. 193-195
Author(s):  
Paul O’Connor
Keyword(s):  
Quality Improvement ◽  
Education And Training ◽  
Working Environment ◽  
Delivery Of Healthcare ◽  
Simulation Research ◽  
Emergency Procedures ◽  
Use Of Technology ◽  
Simulation Based ◽  
Improving Patient Care ◽  
And Training

As the use of simulation has become more established in the delivery of healthcare education and training, there has been a corresponding increase in healthcare simulation research. Simulation-based research can be divided into research about simulation (answers research questions in which the focus is on simulation itself) and research through simulation (simulation as a method/tool for research). However, there are barriers, particularly for smaller less well-resourced simulation centres, that may prohibit participation in research. Therefore, it is suggested that quality improvement (QI) through simulation may be a pragmatic way in which simulation centres of all sizes can contribute to improving patient care beyond education and training. QI is defined as systematic, data-guided activities designed to bring about immediate, positive changes in the delivery of healthcare. Although not the case in healthcare, other industries routinely used simulation to support QI. For example, in aviation simulation is used to inform the design of the working environment, the appropriate use of technology, to exercise emergency procedures and to ‘re-fly’ flights following an adverse event as part of the mishap investigation. Integrating simulation within healthcare QI can support the development of novel interventions as well helping to address heretofore intractable issues.

A Clinician's Perspective on Anywhere Working and Telehealth

2021 ◽  
pp. 87-112
Author(s):  
Yvette Blount ◽  
Marianne Gloet
Keyword(s):  
Conceptual Model ◽  
General Practitioners ◽  
Health Professionals ◽  
Financial Incentives ◽  
Business Processes ◽  
Multiple Stakeholders ◽  
Delivery Of Healthcare ◽  
Allied Health Professionals ◽  
Telehealth Service ◽  
Depth Interviews

Clinicians (general practitioners, specialists, allied health professionals) are experts in medicine, not technology. The delivery of healthcare using technology includes changes to the way the clinician works; in effect, they work from anywhere. This study examined telehealth adoption from the perspective of clinicians. Data was collected from 44 in-depth interviews undertaken with a variety of Australian clinicians. The findings show that telehealth is a complex endeavor involving multiple stakeholders. While the potential of telehealth service provision is significant, the realities of delivering telehealth services involve many challenges. These include technology-related issues, lack of funding and financial incentives for telehealth, the changing skills and capabilities required by clinicians who engage in telehealth consultations, as well as changes to business processes resulting from the introduction of telehealth in a complex environment. A conceptual model for the adoption of sustainable telehealth is proposed for a better understanding of these complexities.

Mandatory HIV testing in critical care/emergency patients

1990 ◽  
Vol 10 (10) ◽  
pp. 22-25
Author(s):  
DW Unkle
Keyword(s):  
Human Immunodeficiency Virus ◽  
Critical Care ◽  
Hiv Testing ◽  
Healthcare Services ◽  
Hiv Positive ◽  
Controversial Issues ◽  
Seropositive Patient ◽  
Delivery Of Healthcare ◽  
Immunodeficiency Virus ◽  
Social Ostracism

Testing for the presence of the human immunodeficiency virus (HIV) remains one of the most controversial issues of this decade. Among persons diagnosed to be HIV positive, social ostracism and exaggerated atypical behavior are common. The resulting impact on the delivery of healthcare services to the seropositive patient has raised many ethical and professional dilemmas. Discussion of HIV testing and the subsequent effects of seropositivity on the delivery of healthcare will be emphasized.

Introducing physician associates

2017 ◽  
Vol 10 (12) ◽  
pp. 746-753
Author(s):  
Susan Denton ◽  
Krishni Manorajan ◽  
Pahim Miah
Keyword(s):  
Medical Profession ◽  
Healthcare Delivery ◽  
Health Needs ◽  
Delivery Of Healthcare ◽  
The Public ◽  
Health Delivery ◽  
Care Models ◽  
The Uk ◽  
Multi Disciplinary Team

Physician associate (PA) is a new profession that has the potential to change healthcare delivery in the UK. However, it is poorly understood by both the medical profession and the public. Evolving health needs, patient expectations, treatment and delivery of healthcare have led to proposed new care models that require a different skill mix to underpin health delivery. We explore the role of PAs, who as part of a multi-disciplinary team while being supervised by doctors, can help support a sustainable future for primary care.

scholarly journals A laboratorian’s perspective on evaluation and implementation of new laboratory tests

1997 ◽  
Vol 43 (9) ◽  
pp. 1771-1780 ◽  
Author(s):  
Dennis J O’Kane ◽  
Thomas A Ebert ◽  
Brenda J Hallaway ◽  
Steven G Roberts ◽  
Abul K M J Bhuiyan ◽  
...  
Keyword(s):  
Laboratory Tests ◽  
Clinical Performance ◽  
Cost Savings ◽  
Cost Effective ◽  
Assay Development ◽  
Development Projects ◽  
Clinical Testing ◽  
Delivery Of Healthcare ◽  
Future Value ◽  
Clinical Questions

Abstract New assay development should be directed toward answering fundamental clinical questions. Caveats that must be considered before initiating assay development projects are: New assays should allow the clinician to interact with and treat a patient more effectively, thereby improving medical outcome; and new assays should facilitate recapture of system resources, enabling cost savings or reinvestment of resources. Defining the clinical questions and consideration of the caveats permit a means of prioritizing assay development activities. Laboratorians are faced with evaluating several types of development activities that lead to assay implementation in routine clinical testing. Assays can be prioritized for up-grading to newer cost-effective technologies, provided the changes maintain or improve analytical and clinical performance. Predicting which research assay will have future value is difficult when clinical performance is not fully validated. However, such assay development has the greatest potential for changing the delivery of healthcare by a clinician.

scholarly journals Lessons from Healthcare PPP’s in India

2020 ◽  
Vol 16 (1) ◽  
pp. 7-12
Author(s):  
Subramania Raju Rajasulochana ◽  
Dayashankar Maurya
Keyword(s):  
Performance Management ◽  
Healthcare Services ◽  
Evidence Based ◽  
Delivery Of Healthcare ◽  
Management Tools ◽  
Private Partnership ◽  
The Public ◽  
Design And Implementation ◽  
Public Resources ◽  
Selection Of

The NITI Aayog is working to develop and conduct pilot public–private partnership (PPP) projects to improve the delivery of healthcare services. The last two decades saw a rise in discussions and debates on the varied PPP models, as an opportunity to harness the private sector efficiencies and to supplement the public resources. However, the enthusiasm for experimenting with the PPP models fall short of the learnings from it. The limited but growing evidence based on PPPs in healthcare suggests that even the basic tenets of design and implementation of the PPP model have not been met, such as selection of qualified providers\contractors, designing contracts that align incentives, appropriately allocate risks and managing contracts using appropriate performance management tools. In general, the PPP models involve considerable risks and more so in healthcare given its unique characteristics, therefore if not designed and implemented with care, PPP’s in healthcare would prove to be wasteful and burdensome on the public exchequer.

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