scholarly journals Utilization of health care services in rural and urban areas: A determinant factor in planning and managing health care delivery systems

2014 ◽  
Vol 14 (2) ◽  
pp. 322 ◽  
Author(s):  
JA Oladipo
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Urban Areas ◽  
Health Care Services ◽  
Care Delivery ◽  
Rural And Urban Areas ◽  
Care Services ◽  
Rural And Urban ◽  
Health Care Delivery Systems ◽  
Determinant Factor

Capturing modelled and perceived spatial access to ambulatory health care services in rural and urban areas in Germany

2020 ◽  
Vol 265 ◽  
pp. 113328
Author(s):  
Natalie Baier ◽  
Jonas Pieper ◽  
Jürgen Schweikart ◽  
Reinhard Busse ◽  
Verena Vogt
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
Health Care Services ◽  
Spatial Access ◽  
Rural And Urban Areas ◽  
Care Services ◽  
Rural And Urban ◽  
Ambulatory Health Care

Poliligotumo paplitimo dinamika ir ambulatorinių sveikatos priežiūros paslaugų suvartojimas klaipėdos apskrities kaimo ir miesto populiacijose

2013 ◽  
Vol 23 (1) ◽  
pp. 173-178
Author(s):  
Arnoldas Jurgutis ◽  
Laura Kubiliutė ◽  
Arvydas Martinkėnas ◽  
Jelena Filipova ◽  
Alfridas Bumblys
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
Health Care Services ◽  
Population Data ◽  
Rural And Urban Areas ◽  
Care Services ◽  
Rural And Urban ◽  
Co Morbidity ◽  
Patient Health ◽  
Research Population

The aim of the study: to evaluate multi-morbidity dynamics, and needs of out-patient health care services in rural and urban areas in Klaipeda region during years 2009-2011.An observational retrospective study was performed using non-personalized population data from the Klaipeda TerritorialSickness Fund database. The research population included approximately 410 000 patients, enlisted to 44 primary health care institutions in Klaipeda region during the years 2009-2011. Johns Hopkins ACG system was used to group the population into six Resource Utilization Bands (RUB) which range from non-users (RUB 0) to a very high co-morbidity group (RUB 5). The study revealed that during the investigation period (2009-2011) prevalence of multi-morbidity (RUB 5) increased from 9.5/1000 to 9.6/1000 patients (statistically insignificant). In year 2009 and 2010 more multi-morbid patients were in urban population (p<0.05), but the trend of multi-morbidity prevalence in rural and urban populations was statistically insignificant. Patients from urban areas used more specialist (secondary and tertiary health care) services when compared with rural population.

MULTI - DIMENSIONAL ROLE OF A PHARMACIST IN HOSPITAL: A HEALTH CARE PROVIDER

2018 ◽  
pp. 5-7
Author(s):  
Singh S ◽  
Virmani T ◽  
Virmani R ◽  
Geeta . ◽  
Gupta J
Keyword(s):  
Health Care ◽  
Urban Areas ◽  
Health Care Services ◽  
Drug Product ◽  
Hospital Pharmacist ◽  
Therapeutic Monitoring ◽  
Direct Patient Care ◽  
Rural And Urban Areas ◽  
Rural And Urban

The objective of this study was to point out multi-dimensional role of a pharmacist with a special emphasis on the hospital pharmacist. Apharmacist is a person who is involved in designing, creating or manufacturing of a drug product, dispensing of a drug, managing and planning ofa pharmaceutical care. They are experts on the action and uses of drugs, including their chemistry, pharmacology and formulation. Theprofessional life of a hospital pharmacist might seem insignificant as compared to that of doctors, but actually they are highly trained healthprofessionals who plays important role in patient safety, patient compliance, therapeutic monitoring and even in direct patient care. With thepassage of time and advancements in health care services and pharmaceuticals, the role of a hospital pharmacist has become more diversified. Toa career, a hospital pharmacist must possess a diploma/degree in pharmacy from an accredited pharmacy college and must be registered with thestate pharmacy council of their respective region. In this study, we have assessed the behavior, communication skills, qualifications of thepharmacist, prescription handling ability and other factors to evaluate the diversified role of hospital pharmacist and their comparison withpharmacists practicing in rural and urban areas. Current surveys show that the pharmacists are not practicing as per the standard due to lack ofproper guidelines and watch over their practicing sense. The rules and guidelines prescribed by the Food and drug administration (FDA) andIndian pharmacopeia commission (IPC) were not followed by the pharmacist.

When Clock Time Governs Interaction: How Time Influences Health Professionals’ Intersectoral Collaboration

2018 ◽  
Vol 28 (13) ◽  
pp. 2059-2070 ◽  
Author(s):  
Anne Bendix Andersen ◽  
Kirsten Beedholm ◽  
Raymond Kolbæk ◽  
Kirsten Frederiksen
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Services ◽  
Care Delivery ◽  
Intersectoral Collaboration ◽  
Clock Time ◽  
Care Services ◽  
Patient Pathways

When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

Specialty Care Programme for Autism Spectrum Disorders in an Urban Population: A Case-Management Model for Health Care Delivery in an asd Population

2011 ◽  
Vol 28 (2) ◽  
pp. 102-109 ◽  
Author(s):  
M. Parellada ◽  
L. Boada ◽  
C. Moreno ◽  
C. Llorente ◽  
J. Romo ◽  
...  
Keyword(s):  
Health Care ◽  
Autism Spectrum Disorders ◽  
Case Management ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Autism Spectrum ◽  
Care Programme ◽  
Care Services ◽  
Spectrum Disorders

AbstractSubjects with autism spectrum disorders (ASD) have more medical needs and more difficulties accessing health care services than the general population. Their verbal and non-verbal communication difficulties and particular behaviors, along with lack of expertise on the part of physicians and failure of the services to make adjustments, make it difficult for them to obtain an appropriate health care.PurposeTo describe a model for health care delivery in an ASD population.MethodReview of relevant literature and a discussion process with stakeholders leading to the design of a service to meet the specialty health needs of subjects of all ages with ASD for a region with a population of 6,000,000.ResultsA service was designed centred around the concepts of case management, individualization, facilitation, accompaniment, continuous training and updating, and quality management. Five hundred and thirteen patients with ASD have been seen over a period of 18 months. The programme generated 1566 psychiatric visits and 1052 visits to other specialties (mainly Nutrition, Stomatology, Neurology, and Gastroenterology) in the same period.ConclusionPersons with ASD may benefit from adjustments of health care services in order to improve their access to adequate health care at the quality level of the rest of the population.

Social enterprises, health-care provision and ethical capital

2014 ◽  
Vol 10 (2) ◽  
pp. 105-120 ◽  
Author(s):  
Lucy Frith
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Social Enterprises ◽  
Ethical Perspective ◽  
Content Type ◽  
Care Services ◽  
The Relationship

Purpose – The aim of this paper is to advance a conceptual understanding of the role of social enterprises in health care by developing the concept of ethical capital. Social enterprises have been an important part of both the coalition and the previous government’s vision for improving health-care delivery. One of the central arguments for increasing the role of social enterprises in health care is they can provide the benefits of a public service ethos with the efficiencies and innovatory strategies of a business. Social enterprises are well placed to promote the type of values that should underpin health care delivery. Design/methodology/approach – This paper explores the conceptual issues raised by using social enterprises to provide health-care services that were previously provided by the National Health Service (NHS) from an ethical perspective. Findings – It will be argued that conceptualising social enterprises as organisations that can and should produce ethical capital could be a useful way of developing the debate over social enterprises in health care. Practical implications – The paper provides suggestions on how ethical capital might be produced and monitored in social enterprises. Originality/value – This paper advances the debate over the use of the concept of ethical capital in social enterprises and explores the relationship between ethical and social capital – both under researched areas. It also contributes to the emerging discussions of social enterprises in current health policy and their role in the radically reformed English NHS.

scholarly journals Barriers to the Accessibility and Continuity of Health-Care Services in People with Multiple Sclerosis

2017 ◽  
Vol 19 (6) ◽  
pp. 313-321 ◽  
Author(s):  
Chungyi Chiu ◽  
Malachy Bishop ◽  
J.J. Pionke ◽  
David Strauser ◽  
Ryan L. Santens
Keyword(s):  
Multiple Sclerosis ◽  
Health Care ◽  
Health Care Delivery ◽  
Health Care Access ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Major Barrier ◽  
Care Services ◽  
Full Text Review

Background: Individuals with multiple sclerosis (MS) face a range of barriers to accessing and using health-care services. The aim of this review was to identify specific barriers to accessing and using health-care services based on a continuum of the health-care delivery system. Methods: Literature searches were conducted in the PubMed, PsycINFO, CINAHL, and Web of Science databases. The following terms were searched as subject headings, key words, or abstracts: health care, access, barriers, physical disability, and multiple sclerosis. The literature search produced 361 potentially relevant citations. After screening titles, abstracts, and citations, eight citations were selected for full-text review. Results: Health-care barriers were divided into three continuous phases of receiving health care. In the before-visit phase, the most commonly identified barrier was transportation. In the during-visit phase, communication quality was the major concern. In the after-visit phase, discontinued referral was the major barrier encountered. Conclusions: There are multiple interrelated barriers to accessing and using health-care services along the health-care delivery continuum for people with MS and its associated physical disabilities, ranging from complex and long-recognized barriers that will likely require extended advocacy to create policy changes to issues that can and should be addressed through relatively minor changes in health-care delivery practices, improved care coordination, and increased provider awareness, education, and responsiveness to patients' needs.

The Health Care Delivery System in Libya with Special Emphasis on Public Health Care Services in Benghazi

1996 ◽  
Vol 27 ◽  
pp. 99-123
Author(s):  
Salem F. Salem
Keyword(s):  
Health Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Health Care Services ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Health Care Facilities ◽  
Primary Health Care System ◽  
Care Services ◽  
Developed World

AbstractThis paper outlines the main features of the Libyan health care delivery system in general and the development of the primary health care system in particular. In spite of achieving tremendous success for extending health care coverage to meet continuous and mounting demand for health care services all over the country, health status levels in the country as a whole have not yet reached the required target that should make them comparable with the developed world. Three major reasons are thought to be responsible for this deficiency — the lack of appointment systems, a proper referral system and reliable health care information centres both locally and nationally. Moreover, despite the fact that a hierarchy of health care delivery system exists in the country, it is not well-defined with a fixed division of functions and strict referral routes between health care facilities as conceptualised in most parts of the developed world.

scholarly journals Rural and urban general practice: a comparison in 34 countries

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
P Groenewegen ◽  
M Bosmans ◽  
W Boerma
Keyword(s):  
Primary Care ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Care Services ◽  
Multilevel Regression ◽  
Rural And Urban Areas ◽  
Care Services ◽  
Rural And Urban ◽  
Care Practices ◽  
Primary Care Practices

Abstract Background Rural areas have problems in attracting and retaining primary care workforce. Comparable problems but with a different background occur in deprived urban areas. Here we focus on primary care practices that do work in rural areas and not on the shortage or lack of access for the rural population. We answer the question whether these practices have a different organisation, lack resources and have different service profiles, compared to practices in semi-rural and urban areas. Methods We used data from the QUALICOPC study, conducted among approximately 7,000 GPs in 34 (mainly European) countries, on the organisation of practices, their human resources and equipment and their service profiles. Data were analysed using multilevel regression analysis, with countries and GPs as levels. Results In general the practices in rural areas are more often single-handed and have less other primary care workers available. In most countries they have more equipment and their service profiles are broader, in particular as compared to inner-city urban practices. Conclusions The combination of increasing demand for care and undersupply of health care services can lead to a primary care shortage in rural areas. However, the practices that are currently located in rural area in most countries seem to be able to cope with the situation by providing a broader range of services, compared to service-rich urban areas. Against growing health needs of an ageing and often poorer population, there is a risk of lack of facilities and equipment and ageing staff. Until now this is not manifest in the primary care practices in most countries.

Sign in / Sign up

Export Citation Format

Share Document