Management and Development of Human Resources to Improve The Quality of X Hospital Services in Universal Health Coverage Era

2017 ◽  
Author(s):  
Christyana Sandra
Keyword(s):  
Human Resources ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Hospital Services ◽  
Management And Development ◽  
Universal Health

scholarly journals The Path to Universal Health Coverage in Bangladesh: Bridging the Gap of Human Resources for Health

2015 ◽  
Author(s):  
Sameh El-Saharty ◽  
Susan Powers Sparkes ◽  
Helene Barroy ◽  
Karar Zunaid Ahsan ◽  
Syed Masud Ahmed
Keyword(s):  
Human Resources ◽  
Universal Health Coverage ◽  
Human Resources For Health ◽  
Health Coverage ◽  
Universal Health

scholarly journals Access to and Quality of Primary Healthcare: a Multi-Country Qualitative Case Study in West and East Africa

2020 ◽  
Author(s):  
Soter Ameh ◽  
Bolarinwa Oladimeji Akeem ◽  
Caleb Ochimana ◽  
Abayomi Olabayo Oluwasanu ◽  
Shukri F Mohamed ◽  
...  
Keyword(s):  
East Africa ◽  
Universal Health Coverage ◽  
Primary Healthcare ◽  
Qualitative Case Study ◽  
Financial Burden ◽  
Cost Of Care ◽  
Health Coverage ◽  
Universal Health

Abstract Background: Universal health coverage is one of the Sustainable Development Goal targets known to improve population health and reduce financial burden. There is little qualitative data on access to and quality of primary healthcare in West and East Africa. We elicited in-depth viewpoints of healthcare users and providers, and other stakeholders regarding access to and quality of healthcare.Methods: A qualitative case study was conducted in four communities in Nigeria, and one community each in Kenya, Uganda and Tanzania in 2018. Purposive sampling was used to recruit 155 participants for 24 focus group discussions, 24 in-depth interviews, and 12 key informant interviews. The conceptual framework in this study combined elements of the Health Belief Model, Health Care Utilisation Model, four ‘As’ of access to care, and pathway model to better understand health-seeking behaviours of the study participants. The data were analysed with MAXQDA 2018 qualitative software to identify three themes identified a priori and one emerging theme.Results: Access to primary healthcare in the seven communities was limited. Quality of care was perceived to be unacceptable in public facilities whereas cost of care was unaffordable in private facilities. Patients and health providers and stakeholders highlighted shortage of equipment, frequent drug stock-outs and long waiting times as major issues, but had varying opinions on satisfaction with care. Use of herbal medicines and other traditional treatments delayed or deterred seeking modern healthcare in Nigerian sites. Conclusions: There was a substantial gap in primary healthcare coverage and quality in the selected communities in rural and urban East and West Africa. Alternative models of healthcare delivery should be used to fill this gap and facilitate achieving universal health coverage.

scholarly journals Nursing challenges for universal health coverage: a systematic review

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Mariana Cabral Schveitzer ◽  
Elma Lourdes Campos Pavone Zoboli ◽  
Margarida Maria da Silva Vieira
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Community Empowerment ◽  
Holistic Care ◽  
Health Coverage ◽  
Primary Health ◽  
Universal Health

Objectives to identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care. Method systematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel. Results thirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage. Conclusions nursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.

scholarly journals Human resources for universal health coverage: a call for papers

2013 ◽  
Vol 91 (2) ◽  
pp. 84-84A ◽  
Author(s):  
Mubashar Sheikh ◽  
Ties Boerma ◽  
Giorgio Cometto ◽  
Robbert Duvivier
Keyword(s):  
Human Resources ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Universal Health

scholarly journals Universal Health Coverage

2020 ◽  
Vol 7 (4) ◽  
pp. p14
Author(s):  
Alfred A. Osoro ◽  
Edwine B. Atitwa ◽  
John K. Moturi
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Health Systems ◽  
Universal Health Coverage ◽  
Health Coverage ◽  
Political Commitment ◽  
Equipment And Supplies ◽  
Health Technologies ◽  
Financial Allocation ◽  
Universal Health

Universal Health Coverage has attracted global attention as an ideal vehicle that will drive health care services to the individuals, families, and communities globally. Good health systems are capable of serving the needs of entire populations, including the availability of infrastructure, human resources, health technologies, and medicines. This study seeks to identify the barriers and challenges which have hindered the provision of basic health care to communities and suggest ways of addressing some of them. Literature search reviewed 40 materials which were more relevant. Results revealed that there have been disparities in the provision of healthcare. Challenges in service provision include; lack of political commitment, weak health system resulting from limited financial allocation and poor leadership, lack of adequate number of skilled human resources, equipment and supplies and poor infrastructures. For UHC to be successful, an effective and well-functioning Primary Health Care (PHC) system is essential. Thus health systems can be strengthened through financial allocation; training of skilled and well-motivated healthcare workers. Also provision of right equipment and supplies, equity in resource distribution, improvement of infrastructures to meet the needs of the people is fundamental.

scholarly journals Factors associated with high Cesarean deliveries in China and Brazil - A Call for reducing elective surgeries in moving towards Universal Health Coverage

2014 ◽  
Vol 3 (5) ◽  
pp. 67 ◽  
Author(s):  
Xiaohui Hou ◽  
Noor Sabah Rakhshani ◽  
Roberto Iunes
Keyword(s):  
Quality Of Care ◽  
Health Care Providers ◽  
Universal Health Coverage ◽  
Financial Burden ◽  
Labor Pain ◽  
Health Coverage ◽  
Care Providers ◽  
Cesarean Deliveries ◽  
Universal Health

Background: Annually 6.2 million unnecessary Cesarean Deliveries (CD) are performed globally. Such high unnecessary CD rate is a concern not only due to the additional financial burden it places on the health system but also because the quality of care could be compromised. There is an even more imperative need to reduce elective surgeries in moving towards the Universal Health Coverage (UHC), to ensure the ever stretched resources are effectively channeled for the best health outcomes. Methods: The paper uses a case study method. China and Brazil were selected primarily due to their alarmingly high number and percentage of the CD rate. Systematic literature review was conducted and the analyses were structured based on the framework “Determinants of High Cesarean Delivery Rates”, developed by the authors. Results: In China and Brazil, cultural belief, fear of labor pain and patient’s perception regarding quality of care may play a role in the patient’s preference for CD but these perceptions are shaped by their health care providers as well. The principal-agent relation comes into play as the health professionals can modify perceived needs of their patients. Availability of health insurance to mothers, physicians’ preference for convenient working hours, and payment incentives for performing higher yielding Cesarean procedures are driving the high CD rate phenomena in China and Brazil. Understand the social determinants of CD and using various instruments to change women’s perceptions of birthing options and physicians’ behaviors are critical in managing the CD rate. Conclusion: In the context of the rapid movement towards UHC, the evidence presented in this paper supports the call for implementing complementary policy interventions and regulation to ensure minimal efficiency loss due to resources being diverted to unnecessary procedures or hospital stays. 

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