scholarly journals Best Practices for Building Interprofessional Telehealth: Report of a Conference

2021 ◽  
Vol 13 (2) ◽  
Author(s):  
Lynda B. Ransdell ◽  
M. Elizabeth Greenberg ◽  
Emi Isaki ◽  
Alan Lee ◽  
Janet P. Bettger ◽  
...  

The Arizona Biomedical Research Centre (ABRC) has funded a series of workshops and conferences since 2016 to build the capacity of local, tribal, and state agencies, healthcare delivery organizations, and non-governmental organizations to engage in meaningful research related to health disparities. With the COVID-19 pandemic, the use of telehealth has dramatically increased, particularly in nursing, occupational therapy (OT), physical therapy (PT), and speech-language pathology (SLP). The purpose of this paper is to summarize the presentations and discussion from the conference titled “Telerehabilitation and Telepractice: An Interprofessional Conference to Build Connections and Best Practices,” held remotely on March 4-5, 2021. Terminology and concepts from the conference were debated, modified, and refined, based on an interprofessional audience. Presenters at the conference, all leaders in their field, discussed the current status of telehealth in their professions, including best practices, challenges, future trends, and research needs.

2017 ◽  
Vol 2 (17) ◽  
pp. 104-113 ◽  
Author(s):  
Claire Salter ◽  
Weh Yeoh

This paper provides a contemporary overview of speech language pathology services and professional training in Cambodia. The unique national context, including Cambodia's conflict-ridden past, its resource-poor and underdeveloped health sector institutions, and the proliferation of many international non-governmental organizations (NGOs) operating in the country, all serve to make the delivery of speech-language pathology services and establishment of a local speech-language pathology profession challenging and complex. The increasing numbers of international speech-language pathology professionals volunteering their services on a short-term basis in Cambodia is given focus, and the subsequent impact on establishing sustainable local services. We profile the efforts of one NGO, OIC Cambodia, and its “Exit Strategy,” aimed at developing a local speech-language pathology professional infrastructure through local training, a more robust Cambodian government policy framework, establishing local career pathways and professional network, and public awareness raising of speech-language pathology needs and services. The paper concludes that there will be more significant and ongoing benefits for the Cambodian health and education sectors and general population by focussing efforts on establishing a local speech-language pathology profession and institutional presence.


Author(s):  
Sue Ann S. Lee

Purpose: This article addresses my experience as a speech-language pathologist in a cultural exchange and global outreach program in Vietnam. The importance and various types of cultural exchange and global outreach programs available through the U.S. Department of State, the current status of educational speech-language pathology programs in Vietnam, and a brief introduction of the country as well as its unique cultural characteristics are also discussed. Conclusions: As a Fulbright U.S. scholar, I resided 6 months in Hue, Vietnam, to provide education and consultation services to children who needed speech-language pathology services and their families. The speech pathology profession in Vietnam is significantly underdeveloped. However, several international nongovernmental organizations and foreign universities have assisted Vietnam in developing speech pathology and audiology professions. Among many opportunities to serve the needs of speech pathology and audiology preprofessional education and service delivery in Vietnam, one of the most prestigious opportunities is the Fulbright U.S. Scholar Program. It is my hope that my personal and professional experiences can encourage fellow speech-language pathology and audiology professors and practitioners to apply for a Fulbright scholarship to pursue a rich volunteer experience in a foreign country as well as to improve their cultural competency upon return to their own academic institutions.


2020 ◽  
Vol 66 (2) ◽  
pp. 28-41
Author(s):  
Nina Baković

AbstractAn approach to sustainable tourism through clusters is considered an appropriate strategy in less-developed rural areas of tourist-oriented countries, such as Croatia. This paper clarifies the key challenges of the development of tourism clusters in the region of Gorska Hrvatska and provides new data for an approach to sustainable rural tourism development. Using available secondary data from governmental bodies, non-governmental organizations, protected areas of Gorska Hrvatska, and primary data of the Lika Destination Cluster, the paper explores the key challenges of developing a cluster of tourism and selective forms of tourism. Most tourism clusters in Croatia have remained in the first phase of development for years, even though this approach has failed to to achieve significant results. The key benefits of networking and branding in rural areas are identified and defined, but these potentials are still largely underutilized. The objective of this study is to provide practical recommendations to the Croatian tourism industry on how to learn from the suggested best practices and how to implement them effectively. For that purpose, the case of sustainable tourism located in the Gorska Hrvatska region, called the Lika Destination Cluster is analyzed.


2009 ◽  
Vol 24 (6) ◽  
pp. 518-524 ◽  
Author(s):  
Matthew R. Hunt

AbstractIntroduction:Expatriate healthcare professionals frequently participate in international relief operations that are initiated in response to disasters due to natural hazards or humanitarian emergencies in low resource settings. This practice environment is significantly different from the healthcare delivery environment in the home countries of expatriate healthcare professionals. Human rights, public health, medicine, and ethics intersect in distinct ways as healthcare professionals provide care and services in communities affected by crisis.Purpose:The purpose of this study was to explore the moral experience of Canadian healthcare professionals during humanitarian relief work.Methods:This is a qualitative study with 18 semi-structured individual interviews based on Interpretive Description methodology. There are two groups of participants: (1) 15 healthcare professionals (nine doctors, five nurses, and one midwife) with more than three months experience in humanitarian work; and (2) three individuals who have experience as human resource or field coordination officers for humanitarian, non-governmental organizations. Participants were recruited by contacting non-governmental organizations, advertisement at the global health interest group of a national medical society, word of mouth, and a snowball sampling approach in which participants identified healthcare professionals with experience practicing in humanitarian settings who might be interested in the research.Results:Five central themes were identified during the analysis: (1) examination of motivations and expectations; (2) the relational nature of humanitarian work; (3) attending to steep power imbalances; (4) acknowledging and confronting the limits of what is possible in a particular setting; and (5) recognition of how organizational forms and structures shape everyday moral experience.Discussion:Humanitarian relief work is a morally complex activity. Healthcare professionals who participate in humanitarian relief activities, or who are contemplating embarking on a humanitarian project, will benefit from carefully considering the moral dimensions of this work. Humanitarian organizations should address the moral experiences of healthcare professionals in staff recruitment, as they implement training prior to departure, and in supporting healthcare professionals in the field.


2006 ◽  
Vol 11 (1) ◽  
pp. 163-183 ◽  
Author(s):  
Melanie Greenberg

AbstractCollaboration at many levels – between governments, non-governmental organizations, regional groups, and academic disciplines – will create the fabric from which a durable peace can be established in the post-9/11 era. Private foundations, even without the vast resources of government agencies, can play an important catalytic role in encouraging collaboration across the spectrum of peacebuilding. Transaction costs and barriers to negotiation can make collaboration difficult for foundations and grantees, but the potential gains from collaboration overcome the costs of time and the risks of uncertainty inherent in collaborative ventures. Foundations can be especially helpful in establishing collaborations linking theory and practice (especially in the area of evaluation); in bringing together grantees in particular geographical areas; and in helping disseminate best practices and lessons learned from peacebuilding experiences. Foundations can create an even stronger voice for peacebuilding if foundation leaders are willing to join together as effectively in the peace and security area as they do in areas such as the environment and public health.


2021 ◽  
Vol 4 (1) ◽  
pp. 8-16

Introduction: The complexity of ever-changing health standards, new health policies, changes in the healthcare environment, necessitates an advanced level of professional expertise in Medical Speech-Language Pathology (MSLP). Objective: This study presents the current status, opportunities, and perspectives for the development of MSLP in Bulgaria. Method Theoretical overview and comparative analysis of the data and literature on MSLP as it exists in the USA and is developing in Bulgaria, where it is most often referred to as Clinical Logopedics. In this article, we present: (i) a comparative analysis of the development of this dynamic, expanding, and continuously developing health profession in the USA (the country with the most innovative and highly evolved practice of MSLP) and Bulgaria; (ii) brief historical notes related to the development of Speech-Language Pathology in the United States and Bulgaria; (iii) the scope of practice of MSLP in the USA and Bulgaria, which is a key problem for the prospects for the development of this specialty in Bulgaria, and (iv) the problems associated with establishing a master’s degree program in MSLP. Conclusion: MSLP has perspective for development in Bulgaria only if it is studied as a health specialty within medical or health faculties, but necessarily housed within a medical university. A clear understanding of the scope of practice is fundamental for the development of MSLP, but it should not overlap the purview of other professions. The MSLP master’s program should be innovative, manageable, and comprehensive, providing for a wide range of specialized clinical experiences that prepare students to practice effectively in a medical environment.


2020 ◽  
Vol 3 (3) ◽  
pp. 481-502
Author(s):  
Laura Lucia Nieto ◽  
Cristiano Morini

En este artículo se presenta el estado actual de las cuestiones relacionadas con la producción, comercialización y consumo de cocaína en el panorama americano. Según las cifras publicada por organizaciones internacionales gubernamentales y no gubernamentales,  la producción total de cocaína no ha disminuido significativamente en los últimos 4 décadas, las tasas de homicidio y de violencia vinculados al crimen organizado aumentaron en los países con mayor flujo de cocaína y, en la última década, ha incrementado el porcentaje de consumidores en América Latina. Existe un interés creciente de los Estados Americanos en la evaluación de las estrategias de la lucha contra las drogas y en discutir nuevas estrategias que se aparten o sean alternativa al discurso de criminalización que ha caracterizado hasta ahora la guerra contra las drogas y que no ha lograr un cambio significativo. Basándose en un estudio exploratorio del informe presentado por la OEA en mayo de 2013, y en un análisis de los posicionamientos de los gobernantes del continente acerca de las drogas, se sugiere que las organizaciones gubernamentales regionales, como UNASUR son el lugar ideal para proponer, debatir e implementar nuevas estrategias que corresponden a los problemas sociales del contexto regional.Abstract: This article describes the current status of issues related to production, marketing and consumption of cocaine in the Americas. According to figures published by international governmental and non-governmental organizations, the total cocaine production has not decreased significantly over the last four decades, rates of homicide and violence linked to organized crime have increased in countries with greater flow of cocaine, and in the last decade the percentage of consumers in Latin America has increased. There is a growing interest of American States in assessing strategies to combat drugs and to discuss new strategies that depart or become an alternative to the discourse of criminalization that has characterized the war on drugs and without achieving a significant change. Based on an exploratory study of the report of the OAS in May 2013, and on the analysis of the positions of the rulers of the continent about drugs, this paper suggests that regional governmental organizations such as UNASUR are the ideal locus to propose, debate and implement new strategies to respond the production, commercialization and use of drugs, linked to social, politic and economic problems of the regional context.


Author(s):  
Valdir Eduardo Olivo ◽  
Pedro Domingos Marques Prietto ◽  
Eduardo Pavan Korf

Current integrated management systems involve several dimensions since sustainability has amongst its fundamental principles the protection of the public health and the minimization of environmental, social, and economic impacts. This work aimed to present a review of guidelines for achieving integrated sustainable waste management presenting a selected best practice in Brazilian cities. A systematic literature review was undertaken to identify the current systems and best practices in waste management. The results evidenced the significant role played by all the actors involved (population, private sector, authorities, non-governmental organizations). Political, legal, and institutional guidelines ensure adequate management planning through technical studies, drafting of legislation, and technical and operational structure for the provision of services. The economic aspects guarantee the financial sustainability of the system. The socio-environmental guidelines provide for the minimization of environmental impacts through the reduction of waste generation and social inclusion. The best practices in Brazil showed that municipalities that adopt sustainable integrated management have higher rates of recycling, social engagement, social inclusion, economic sustainability, and reduced impacts on the environment. These guidelines serve as a planning tool for any local government to structure an integrated sustainable waste management system.


2020 ◽  
pp. 0920203X2094209
Author(s):  
Qing Liu ◽  
David A. Palmer

The relations between society and non-governmental organizations (NGOs) have been relatively neglected in the field of China NGO studies, which remains largely wedded to a state–NGO problematic within a state–society framework. In this anthropological study of an NGO’s post-Wenchuan earthquake recovery programme, we adopt an actor-oriented approach to identify the main lines of tension between the strategies, rationalities, and techniques deployed by the different actors in the field. Focusing on NGO–society relations, we take the NGO not as an incarnation of society vis-a-vis the state, nor as an incarnation of the state vis-a-vis society, but as a key link in a shifting chain of state and non-state actors that aims to introduce to local society an assemblage of techniques, discourses, and values for the promotion of self-government. This ‘international development package’ is a specific form of what social scientists have theorized as ‘governmentality’. In this case study, the modalities of participation and cooperative self-government promoted within this development package are in tension with local values, social relations, and political structures. The case shows that dynamic tensions between the actors are mediated by the deployment of practices of governance that circulate between international institutions and networks, state agencies, NGOs, and local authorities and actors.


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