Balancing Changing Health Care Needs with the Shortage of Quality Health Care Professionals: Implications for Therapeutic Recreation

Curationis ◽  
1982 ◽  
Vol 5 (4) ◽  
Author(s):  
R.A.E. Thompson

Nursing has been greatly influenced by developments within the health services in general. Factors effecting these changes include increased scientific knowledge, increased demand for quality health care, and the concept of the hospital being a social institution that provides services to all community members. Because hospitals are becoming increasingly complex, and because nursing is a key department in any facility that aims to meet the health care needs of the population, it is essential that nursing administrative staff be competent managers.


Author(s):  
Blánaid Daly ◽  
Paul Batchelor ◽  
Elizabeth Treasure ◽  
Richard Watt

Earlier chapters have highlighted the influence the medical model of health has had on both the philosophy of health care and the structures devised to deliver health care including dental care. The overriding influences of the medical model are the downstream focus on treatment of disease and the communication gap caused by differing concepts of health and need held by lay people and health professionals. Problems with health care delivery operate at a macro level (i.e. overall policy for and structure of health care) and at a micro level (how health care is delivered, one-to-one communication, and interaction with the patient and members of the dental team). Chapter 18 has described some of the specific problems with health care at the macro level. In this chapter we shall also look at some of the problems with how health care is delivered and problems with health services at the level of the user and the provider of health care. What should good health care look like? Maxwell (1984) defined six characteristics of a high-quality health care. Services should to be equitable (fair), accessible, relevant to health care needs, effective, efficient, and socially acceptable. There are recognized inequities in how health care is distributed; urban areas are often better provided for compared to rural areas, and hospital-based health care consumes more resources than community-based care. Not everyone has equal access to health care; for example, people living in deprived communities with greater health need have fewer doctors and dentists compared to richer areas with fewer health care needs. This phenomenon has been described as the inverse care law (Tudor Hart 1971). Uncomfortable choices and rationing have to take place in allocating health care resources. Ideally, these decisions should be based on the greatest health need (and the capacity to benefit) rather than who has the loudest voice. The focus on treatment inherent in the medical model of health means that resources are spent on high-technology medicine and hospitals, while programmes to prevent disease are poorly supported and resourced. There is an expectation that there will be a magic bullet for every health problem, yet most chronic diseases have no cure. People learn to adapt and cope with their chronic illness rather than recover.


2007 ◽  
Vol 93 (3) ◽  
pp. 13-19
Author(s):  
Randall G. Holcombe

ABSTRACT If government licensing of health care professionals were eliminated, a wide range of private sector alternatives would emerge to replace current licensing systems. Some of those systems, such as private sector regulatory agencies and brand names, could play a large role in ensuring high-quality health care, and other mechanisms, such as board certification and hospital practicing privileges, already are in place. Non-governmental mechanisms to ensure high-quality health care would work better if all government restrictions on health care professionals were eliminated.


2020 ◽  
Vol 20 (2) ◽  
pp. 121-128
Author(s):  
Cyrille Kossigan KOKOU-KPOLOU ◽  
Jude Mary CENAT ◽  
María Nieves PEREZ-MARFIL ◽  
Manuel FERNANDEZ-ALCANTARA

The COVID-19 pandemic is causing unprecedented cumulative deaths and leaving behind millions of bereaved families and individuals. Moreover, the pandemic is disrupting social fabrics in the conventional way we mourn our deads. In this context therefore, how can psychologists, psychiatrists and other health care professionals help bereaved families and individuals more effectively? This opinion paper proposed five recommendations that cover mental health care needs and challenges which may emerge from the management of these traumatic deaths. In all, efforts to comply with either DSM-5 or ICD-11 PGD guidelines could help COVID-19 bereaved persons with overwhelming distress, as they ensure therapists' use of appropriate terminologies in therapeutic alliances. However, clinicians need to have a global perspective of COVID-19 bereavement courses, political and public health measures due to the pandemic, and flexible attitudes about the ICD-11 and of DSM-5 time-criterion for diagnosis. This paper emphasizes the importance of social and collective recognition of COVID-19 deaths through various symbolic and materialized forms to free up collective and individual capacities for resilience. The necessity of individual and group interventions through online platforms is underscored, however these modes of therapies may not reinforce social inequalities by excluding bereaved individuals who really need them.


2021 ◽  
pp. 097206342110352
Author(s):  
Shalini Srivastava ◽  
Richa Misra ◽  
Deepti Pathak ◽  
Poonam Sharma

Emotional intelligence (EI) is possibly one of the most studied psychological factors of the twenty-first century. EI is very much relevant in service industry particularly in management, academics, life sciences or psychology. The purpose of the empirical study is to test the relationship between the defined constructs of EI and job satisfaction ( JS) amongst health care professionals of Delhi NCR region of India. It further tried to understand whether gender moderates the EI and JS relationship. Structured survey was used to solicit response from 260 health care professionals comprising doctors and nurses belonging to different hospitals of Delhi NCR region. Standardised instruments were used to assess the data. Linear and moderated regression were used to test hypotheses developed. The findings suggest that EI constructs significantly impact the level of JS among health care professionals. The result of moderated regression suggested that the relationship of EI and JS is significantly moderated by gender. The construct of EI is relevant in providing high quality health care service delivery to the patients.


2013 ◽  
Vol 2013 ◽  
pp. 1-11 ◽  
Author(s):  
Mary Kay Kenney ◽  
Marie Mann

Background. The proportion of US children with special health care needs (CSHCN) with epilepsy/seizure disorder who receive care in high-quality health service systems was examined. Methodology. We analyzed data for 40,242 CSHCN from the 2009-2010 National Survey of CSHCN and compared CSHCN with epilepsy/seizure disorder to CSHCN without epilepsy/seizure disorder. Measures included attainment rates for 6 federal quality indicators with comparisons conducted using chi square and logistic regression methods. In addition, CSHCN with epilepsy/seizure disorder were compared to CSHCN without epilepsy/seizure disorder on the basis of 14 unmet health care needs. Results. Lower attainment rates for receiving comprehensive care in a medical home and easily accessible community-based services were found for CSHCN with epilepsy/seizure disorder versus CSHCN without epilepsy/seizure disorder (medical home: 32% versus 43%; accessible community-based services: 50% versus 66%, resp.) in unadjusted analyses. Lower adjusted odds for these indicators as well as greater unmet need for specialists, dentistry, prescriptions, therapies, and mental health care were also found for CSHCN with epilepsy/seizure disorder. Conclusions. Further efforts are needed to improve attainment of high-quality health care services for CSHCN with epilepsy/seizure disorders.


2003 ◽  
Vol 26 (2) ◽  
pp. 78 ◽  
Author(s):  
Bev O'Connell ◽  
Susan Bailey ◽  
Arlene Walker

Research has indicated that carers are concerned about their ageing status, their deteriorating health and their abilityto continue to care for their dependants. Given that the health care system will become increasingly reliant on carersthe health care needs of carers should be a concern for all health care professionals. This paper describes the first stageof a project designed to enhance older carers health promotion knowledge and skills and improve their healthpromoting behaviors. This stage investigated the mental and physical health status of older carers. It also soughtinformation on older carers' levels of participation in health related and social activities and identification of barriersto participation in these types of activities. The results highlighted that carers responding to the survey experiencedcompromised physical and mental health. Many carers reported being unable to participate in social and health-typeactivities as they were unable to leave the care recipient. Of note, is that carers identified their own mental fragilityand felt they needed further emotional support.


2004 ◽  
Vol 6 (1) ◽  
pp. 26-31 ◽  
Author(s):  
Sherrilene Classen ◽  
Jennie Q. Lou

Multiple sclerosis is a neurological disorder with an unpredictable course that affects each person uniquely. Health care professionals must understand the illness experiences of clients with MS and their health care needs before planning interventions. This study illustrates the process of exploring the rehabilitation and wellness needs of people with MS through a qualitative research design utilizing a focus group. Through content analysis we established three central themes from the data: client experience, client perceived concerns and needs, and client expectations. The self-reflections of people with MS in South Florida enhanced our understanding of their illness experiences and health care needs.


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