Structuring of assistance service to leprosy patient in primary health care unit: experience report

2011 ◽  
Vol 5 (9) ◽  
pp. 2317
Author(s):  
Paula Sacha Frota Nogueira ◽  
Roberta Rodrigues Teixeira de Castro
Keyword(s):  
Health Care ◽  
Health Management ◽  
Care Service ◽  
Action Plan ◽  
Management Plan ◽  
Experience Report ◽  
Management Tool ◽  
Health Care Unit ◽  
Assistance Service

ABSTRACTObjective: to propose the planning for structuring and assessing the quality of an assistance service to patient with leprosy. Method: experience report type study, based on research-action of interventionist nature, carried out in the Basic Health Unit (BHU) in the city of Fortaleza (CE, Brazil), which involved 27 professionals of the unity from different categories, from November 2010 to February 2011. As management tool for structuring a care service to people with leprosy was used the PDCA cycle, including the following steps: planning, implementation, verification and action. Results: the critical causes found that deserved immediate action plan were: insufficient knowledge recognized by some professionals and inadequate assistance structure for people with leprosy. Conclusion: we emphasize the use of management plan appropriate to the reality experienced by professionals as an ideal way for achieving goals that contribute to improve the quality of health care. Descriptors: leprosy; health management; nursing.RESUMOObjetivo: propor planejamento para estruturação e avaliação da qualidade de um serviço de atendimento ao paciente com hanseníase. Método: estudo do tipo relato de experiência, ancorado na pesquisa-ação, de caráter intervencionista, desenvolvido em Unidade Básica de Saúde (UBS) pertencente ao município de Fortaleza (CE), que envolveu 27 profissionais da unidade de diferentes categorias, no período de novembro de 2010 a fevereiro de 2011. Como ferramenta gerencial para a estruturação de um serviço de atendimento ao portador de hanseníase utilizou-se o ciclo PDCA, que abrange as seguintes etapas: planejamento, execução, verificação, e ação. Resultados: As causas críticas encontradas que mereceram plano de ação imediato foram o conhecimento insuficiente reconhecido por alguns profissionais e a inadequação de estrutura assistencial de seguimento para portadores de hanseníase. Conclusão: Destaca-se a utilização de plano gerencial condizente à realidade vivenciada pelos profissionais, como meio ideal para o alcance de metas, que contribuem para a melhoria da qualidade da assistência em saúde. Descritores: hanseníase; gestão em saúde; enfermagem. RESUMENObjetivo: proponer planificación para estructuración y evaluación de la calidad de servicio de atención al paciente con lepra. Método: relato de experiencia, basado en la investigación-acción, de carácter intervencionista, desarrollado en Unidad Básica de Salud de Fortaleza-CE, con 27 profesionales de la unidad de diferentes categorías, de noviembre de 2010 a febrero de 2011. Como herramienta gerencial para la estructuración de un servicio de atención a personas con lepra se utilizó el ciclo PDCA, que comprende las etapas: planificación, ejecución, verificación y acción. Resultados: Las causas críticas encontradas que requirieron plan de acción inmediato fueron conocimiento insuficiente reconocido por algunos profesionales e inadecuación de estructura de seguimiento de atención a personas con lepra. Conclusión: Se señala en el uso del plan de gestión coherente a la realidad vivida por los profesionales, como un medio ideal para lograr los objetivos que contribuyan para mejorar la calidad de la atención en salud. Descriptores: lepra; gestión en salud; enfermería.

scholarly journals Patient’s Utility for Various Attributes of Diabetes Care Services

2018 ◽  
Vol 8 (1) ◽  
pp. 1-9 ◽  
Author(s):  
Vinaytosh Mishra ◽  
Cherian Samuel ◽  
S. K. Sharma
Keyword(s):  
Health Care ◽  
Waiting Time ◽  
Diabetes Care ◽  
Care Service ◽  
Group Discussion ◽  
Health Care Service ◽  
Diabetic Patients ◽  
Relative Importance ◽  
Care Services

Diabetes is rising like an epidemic in India. The prevalence of diabetes in India has reached an alarming level of 72.95 millions. The purpose of this article is to assess the relative importance of various health care service attributes in diabetes care. Our study uses secondary research and focus group discussion to identify the attributes of a diabetes specialty clinic. The attributes included in the questionnaire were the quality of the care provide by the health care givers, spend per visit, hospitalization expense, waiting time and the distance to the hospital. Conjoint analysis was used to assess the relative importance of the attributes. It was found that the hospital’s quality was the most important attribute while the distance to the hospital was the attribute with the least importance. Although the quality of the hospital is the most important criterion in selecting a hospital in diabetes care, factors like waiting time, spend per visit, and hospitalization expense play an important role in the selection. We assess the relative importance of these factors for the diabetic patients in India. The study is first of its kind and could help policy makers in designing better health care services in diabetes care.

scholarly journals Persepsi Komunitas Adat Terpencil Suku Anak Dalam (SAD) terhadap Pelayanan Kesehatan

2019 ◽  
Vol 19 (3) ◽  
pp. 602
Author(s):  
Mila Triana Sari ◽  
Hartati Sandora ◽  
Haflin Haflin
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Qualitative Research ◽  
Sampling Method ◽  
Care Service ◽  
Health Care Service ◽  
Purposive Sampling ◽  
Interview Guide ◽  
The Impact

The solitory custom community of Suku Anak Dalam (SAD) is one of group society whose life are depend to the natural researches in the forest. It is needed an effort to provide service in order to meet their needed, especially health care service for improving their quality of life in the solitary custom Community of Suku Anak Dalam.  This research was conducted in order to know about the persepsion of SAD society towards Health Care Service in the Working Area of Puskesmas Pematang Kabau. This research was conducted on Januari until February 2017 for the purpose of getting understanding about persepsion of solitary custom Community of Suku Anak Dalam towards health care service, the number of participants were 15 people. This is qualitative research with purposive sampling method. The research instruments were indepth interview and interview guide. The result of the research analyzed by using Colaizzi Technique. The finding of the research showed five themes:  the reason of SAD Society in terms of receiving care service. Secondly, the respond of SAD society, thirdly, about the changing and the impact of SAD society. Fourth, the meaning of health care service to SAD society. And fifth the experience of SAD society towards health and service.SAD society gave respond about perception or possitive support towards Health Care Service.

scholarly journals Health Planning and Forecasting

2020 ◽  
Vol 6 (5) ◽  
pp. 195-202
Author(s):  
N. Kasiev ◽  
G. Kanatbekova
Keyword(s):  
Health Care ◽  
Market Economy ◽  
Health Management ◽  
Health Planning ◽  
State Regulation ◽  
Distribution Functions ◽  
Long Term Results ◽  
System Reform ◽  
Health Development

In modern conditions, the most important tools of state regulation in carrying out evaluations of the effectiveness of the reforms carried out are forecasting and planning of long-term results taking into account the level of influence of socio-economic and other factors. This is due to the market economy’s inability to regulate itself, especially in crisis situations. Forecasting is closely linked to planning and is the necessary methodological and information basis for the development of plans and programs. Health system reform should be based on addressing systemic health challenges, taking into account socio–economic, demographic and technological trends, and assessment of the effectiveness of reform should capture changes in dynamics. Integrated program and targeted planning provides for the development of medical and social programs, taking into account certain priorities of public health, which makes it possible to concentrate resources on priority areas of health development on the basis of an integrated inter-agency approach to achieving the goals set. With the transition to a market economy, there are signs of indicative planning in health care as a way of consciously, purposefully managing health and economic processes, both in the public, municipal and private health sectors. Indicative planning has proved to be highly effective as a means of public regulation of a market economy. A characteristic feature of indicative planning is the rejection of directionality, command and distribution functions in favor of indicative. Targeted Health Development Programs should use as achievements indicators of resource provision and efficiency of its use, indicators of availability and quality of health care, its safety, timeliness and efficiency, continuity in its provision, satisfaction of consumers, quality of document circulation, etc., which may be influenced by the health management system.

scholarly journals Quality assurance of health management information system in Kayunga district, Uganda

2018 ◽  
Vol 6 (2) ◽  
Author(s):  
Harriet R. Kagoya ◽  
Dan Kibuule
Keyword(s):  
Health Care ◽  
Information System ◽  
Quality Assurance ◽  
Management Information System ◽  
Health Management ◽  
Care Delivery ◽  
Public Health Care ◽  
Health Management Information System ◽  
Management Information

Background: An efficient health management information system (HMIS) improves health care delivery and outcomes. However, in most rural settings in Uganda, paper-based HMIS are widely used to monitor public health care services. Moreover, there are limited capabilities and capacity for quality HMIS in remote settings such as Kayunga district.Objectives: The quality assurance practices of HMIS in health centres (HCs) in Kayunga district were evaluated.Method: A cross-sectional descriptive study design was used to assess the quality of HMIS at 21 HCs in Kayunga district. Data were collected through in-depth interviews of HMIS focal persons as well as document analysis of HMIS records and guidelines between 15 June 2010 and 15 July 2010. The main outcomes were quality assurance practices, the HMIS programmatic challenges and opportunities. The practice of HMIS was assessed against a scale for good quality assurance practices. Qualitative data were coded and thematically analysed, whereas quantitative data were analysed by descriptive statistics using SPSS v22 software.Results: All the 21 HCs had manual paper-based HMIS. Less than 25% of HCs practised quality assurance measures during collection, compilation, analysis and dissemination of HMIS data. More than 50% of HCs were not practising any type of quality assurance during analysis and dissemination of data. The main challenges of the HMIS were the laborious and tedious manual system, the difficulty to archive and retrieve records, insufficient HMIS forms and difficulty in delivering hard copies of reports to relevant stakeholders influenced quality of data. Human resource challenges included understaffing where 43% of participating HCs did not have a designated HMIS staff.Conclusion: The HMIS quality assurance practices in Kayunga were suboptimal. Training and support supervision of HMIS focal persons is required to strengthen quality assurance of HMIS. Implementation of electronic HMIS dashboards with data quality checks should be integrated alongside the manual system.

scholarly journals Assessment of Availability and Quality of Emergency Obstetric and Newborn Care Service in Southwestern Oromia, Ethiopia, 2017

2021 ◽  
Vol 2021 ◽  
pp. 1-8
Author(s):  
Dejene Edosa
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Care Service ◽  
Newborn Care ◽  
Neonatal Morbidity ◽  
Categorical Variables ◽  
Care Providers ◽  
Cross Sectional ◽  
Signal Functions

Background. Emergency obstetrics and newborn care (EmONC) is an important lifesaving function which can avert the death of women facing obstetrics-related complications. It is a cost-effective, significant intervention to decrease maternal and neonatal morbidity and mortality in poor resource settings, including Ethiopia. Objective. The aim of this study was to assess the availability and quality of the EmONC services in southwestern Oromia, Ethiopia, in 2017. Methods. An institutional-based cross-sectional study was implemented from April to May 2017. Data were collected using checklists and questionnaires developed from different studies. Data were analyzed using EPI-info and exported to SPSS version 20 for further analysis. Each descriptive statistic was summarized using frequency, percentage, and tables for categorical variables. Results. Despite the fact that the overall coverage of fully functioning basic emergency obstetric and newborn care (BEmONC) facilities was greater than 5 per 500,000 people, nearly one-fourth (25.64%) provided less than expected signal functions, indicating that these facilities were nonfunctional. There were only 0.24 comprehensive emergency obstetric and newborn care (CEmONC) facilities per 500,000 people. The result of this study also revealed that the quality of EmONC facilities in all health-care settings was poor. Conclusion and Recommendation. There were gaps in performance signal functions as well as the availability and quality of EmONC in the study area. Availability and quality of EmONC necessitate improvements through enhancing health-care providers’ skills by training and mentoring as well as enabling facilities accessible for utilization of EmONC. Further research is needed to identify factors that could be barriers to the performance quality and coverage of EmONC services.

Care or Cash: Assessing Quality of Care Provided by Drug Retailers in Nepal

1993 ◽  
Vol 13 (4) ◽  
pp. 317-328 ◽  
Author(s):  
Biaksoubo Paswa ◽  
Liz Barnett
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
General Public ◽  
Care Service ◽  
Further Training ◽  
Adequate Treatment ◽  
Additional Information ◽  
Financial Interests ◽  
And Control

Staff in the pharmacies of urban Lalitpur, Nepal, were interviewed, observed in their work, and tested through the use of a researcher posing as a client to assess the quality of care they provide, and their potential as health informants to the general public. Note was made of advice given to clients describing cough symptoms and diarrhoea, symptoms underlying two major causes of morbidity and mortality in Nepal. Data were also collected on the uses made of pharmacies by the general public, in terms of the provision of health care. Results show that people do indeed frequently use pharmacies as a primary care service. However, staff have minimal training. The quality of the advice they provide is varied, but many ask for no additional information on symptoms, and give average or poor advice on the use of the drugs they recommend. Drug retailers are particularly weak on giving explanations to clients about possible side effects and contraindications and rarely refer clients to health professionals. Most “consultations” last less than two minutes. Drug retail staff perceive the provision of health information to be an important and necessary part of their work, and many express a desire for further training. One obvious constraint to developing their health care role, however, would be the undoubted conflict between the financial interests of the drug retailer and the importance for the vast majority of clients of receiving adequate treatment but at limited cost. An important question is whether much higher priority is to provide the drug retailer with more training on drug use and control.

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