PSYCHOLOGICAL WELL-BEING AND HEALTH CARE SYSTEM: LITHUANIAN SAMPLE OF THREE ADULT GENERATIONS AND TRAUMATIZED GROUPS

2015 ◽  
Author(s):  
Neringa Grigutyte
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Well Being ◽  
Psychological Well Being ◽  
Care System

scholarly journals Rural Michigan Farmers’ Health Concerns and Experiences: A Focus Group Study

2021 ◽  
Vol 12 ◽  
pp. 215013272110535
Author(s):  
Nathan Wright ◽  
Marylee Scherdt ◽  
Michelle L. Aebersold ◽  
Marjorie C. McCullagh ◽  
Barbara R. Medvec ◽  
...  
Keyword(s):  
Health Care ◽  
Focus Groups ◽  
Health Care System ◽  
Health Care Services ◽  
Well Being ◽  
The United States ◽  
Full Time ◽  
Rural Residents ◽  
Care Services ◽  
Care System

Objectives: Rural residents comprise approximately 15% of the United States population. They face challenges in accessing and using a health care system that is not structured to meet their unique needs. It is important to understand rural residents’ perceptions of health and experiences interacting with the health care system to identify gaps in care. Methods: Our team conducted focus groups with members of the Michigan Farm Bureau during their 2019 Annual Meeting. Topics explored included resources to manage health, barriers to virtual health care services, and desired changes to localized healthcare delivery. Surveys were used to capture demographic and internet access information. Conclusion: Analysis included data from 2 focus groups (n = 14). Participants represented a wide age range and a variety of Michigan counties. The majority were full-time farm owners with most—93% (n = 13)—reporting they had access to the internet in their homes and 86% (n = 12) reporting that their cellphones had internet capabilities. Participants identified challenges and opportunities in 4 categories: formal health care; health and well-being supports; health insurance experiences; and virtual health care. Conclusion: The findings from this study provide a useful framework for developing interventions to address the specific needs of rural farming residents. Despite the expressed challenges in access and use of health care services and resources, participants remained hopeful that innovative approaches, such as virtual health platforms, can address existing gaps in care. The study findings should inform the design and evaluation of interventions to address rural health disparities.

scholarly journals Integrating staff well-being into the Primary Health Care system: a case study in post-conflict Kosovo

2015 ◽  
Vol 9 (1) ◽  
Author(s):  
Albertien van der Veen ◽  
Tineke van Pietersom ◽  
Barbara Lopes Cardozo ◽  
Feride Rushiti ◽  
Genc Ymerhalili ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care System ◽  
Well Being ◽  
Primary Health Care System ◽  
System A ◽  
Post Conflict ◽  
Primary Health ◽  
Care System

scholarly journals Governance of health care systems in an ageing world – the case of Australia

2015 ◽  
Vol 13 (1) ◽  
pp. 729-735 ◽  
Author(s):  
Ewa Banasik
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Health Care Systems ◽  
Well Being ◽  
World Health ◽  
The Political ◽  
Central Component ◽  
Australian Health ◽  
Care Systems ◽  
Care System

The main argument of this paper is that because the burden of diseases increases with age, a greater numbers of older individuals will increase the demand for health care, and whether this demand will be met very much depends on how health care systems are governed. This task is particularly complex in jurisdictions with multi-layer governing systems such as the Australian health care system. Governance, described in terms of stewardship of the well-being of the population and as a central component for building effective health care systems, is increasingly considered to be very important for a well performing health care system (World Health Organization, 2000, 2007). Governance is, however, the least studied function in a health care system (Alliance 2009). Furthermore, the limited governance frameworks and assessments that have been developed thus far fail to include the political context in which health care systems operate (Baez-Camargo and Jacobs, 2011). This paper intends to fill this knowledge gap by exploring the political dynamics of the Australian health care system’s governance and its accountability. Furthering the discourse on governance is especially important in times when health care systems are confronted with the challenges of ageing populations

scholarly journals Whither economic evaluation in the case of COVID-19: What can the field of mental health economics contribute within the Australian context?

2020 ◽  
Vol 54 (12) ◽  
pp. 1157-1161
Author(s):  
Cathrine Mihalopoulos ◽  
Mary Lou Chatterton ◽  
Lidia Engel ◽  
Long Khanh-Dao Le ◽  
Yong Yi Lee
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Decision Making ◽  
Health Care System ◽  
Disease Outbreaks ◽  
Well Being ◽  
Australian Health ◽  
Life Years ◽  
Mental Health Economics ◽  
Care System

COVID-19 has resulted in broad impacts on the economy and aspects of daily life including our collective mental health and well-being. The Australian health care system already faces limitations in its ability to treat people with mental health diagnoses. Australia has responded to the COVID-19 outbreak by, among other initiatives, providing reimbursement for telehealth services. However, it is unclear if these measures will be enough to manage the psychological distress, depression, anxiety and post-traumatic distress shown to accompany infectious disease outbreaks and economic shocks. Decision making has focused on the physical health ramifications of COVID-19, the avoidance of over-burdening the health care system and saving lives. We propose an alternative framework for decision making that combines life years saved with impacts on quality of life. A framework that simultaneously includes mental health and broader economic impacts into a single decision-making process would facilitate transparent and accountable decision making that can improve the overall welfare of Australian society as we continue to address the considerable challenges that the COVID-19 pandemic is creating.

scholarly journals The “little big things”: A qualitative study of ovarian cancer survivors and their experiences with the health care system.

2016 ◽  
Vol 34 (3_suppl) ◽  
pp. 252-252
Author(s):  
Ana Isabel Tergas ◽  
Ana Angarita ◽  
Angelica Cristello ◽  
Melissa Lippitt ◽  
Amanda Nickles Fader ◽  
...  
Keyword(s):  
Ovarian Cancer ◽  
Health Care ◽  
Cancer Survivors ◽  
Health Care System ◽  
Well Being ◽  
Care Team ◽  
Cancer Center ◽  
Team Approach ◽  
Efficient Delivery ◽  
Care System

252 Background: Navigating a complex and ever-changing health care system can be stressful and detrimental to psychosocial well-being for patients with serious illness. This study explored women’s experiences navigating the health care system during treatment of ovarian cancer. Methods: Focus groups moderated by trained investigators were conducted with ovarian cancer survivors at an academic cancer center. Personal experiences with cancer treatment, provider relationships, barriers to care, and the health care system were explored. Sessions were audiotaped, transcribed, and coded using grounded theory. Subsequent one-on-one interviews were conducted to further evaluate common themes. Results: Sixteen ovarian cancer survivors with a median age of 59 years participated in the focus group study.Provider consistency, personal touch, and patient advocacy positively impacted care experience.Treatment with a known provider, who was well acquainted with the individual’s medical history, was deemed an invaluable aspect of care. Negative experiences that burdened patients, referred to as the “Little Big Things”, included systems-based challenges: scheduling, wait times, pharmacy, transportation, parking, financial, insurance and discharge. Consistency, a “care-team” approach, effective communication, and efficient connection to resources were suggested as ways to improve patients’ experiences. Conclusions: Systems-based challenges were perceived as burdens to ovarian cancer survivors. The role of a consistent, accessible care team and efficient delivery of resources in the care of women with ovarian cancer should be explored further.

scholarly journals Expanding Telemonitoring in a Virtual World: A Case Study of the Expansion of a Heart Failure Telemonitoring Program During the COVID-19 Pandemic

10.2196/26165 ◽  
2021 ◽  
Vol 23 (1) ◽  
pp. e26165
Author(s):  
Sahr Wali ◽  
Milena Guessi Margarido ◽  
Amika Shah ◽  
Patrick Ware ◽  
Michael McDonald ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care System ◽  
System Integration ◽  
Heart Function ◽  
Single Case ◽  
Well Being ◽  
Rapid Expansion ◽  
Comprehensive Picture ◽  
Virtual Visits ◽  
Care System

Background To minimize the spread and risk of a COVID-19 outbreak, societal norms have been challenged with respect to how essential services are delivered. With pressures to reduce the number of in-person ambulatory visits, innovative models of telemonitoring have been used during the pandemic as a necessary alternative to support access to care for patients with chronic conditions. The pandemic has led health care organizations to consider the adoption of telemonitoring interventions for the first time, while others have seen existing programs rapidly expand. Objective At the Toronto General Hospital in Ontario, Canada, the rapid expansion of a telemonitoring program began on March 9, 2020, in response to COVID-19. The objective of this study was to understand the experiences related to the expanded role of a telemonitoring program under the changing conditions of the pandemic. Methods A single-case qualitative study was conducted with 3 embedded units of analysis. Semistructured interviews probed the experiences of patients, clinicians, and program staff from the Medly telemonitoring program at a heart function clinic in Toronto, Canada. Data were analyzed using inductive thematic analysis as well as Eakin and Gladstone’s value-adding approach to enhance the analytic interpretation of the study findings. Results A total of 29 participants were interviewed, including patients (n=16), clinicians (n=9), and operational staff (n=4). Four themes were identified: (1) providing care continuity through telemonitoring; (2) adapting telemonitoring operations for a more virtual health care system; (3) confronting virtual workflow challenges; and (4) fostering a meaningful patient-provider relationship. Beyond supporting virtual visits, the program’s ability to provide a more comprehensive picture of the patient’s health was valued. However, issues relating to the lack of system integration and alert-driven interactions jeopardized the perceived sustainability of the program. Conclusions With the reduction of in-person visits during the pandemic, virtual services such as telemonitoring have demonstrated significant value. Based on our study findings, we offer recommendations to proactively adapt and scale telemonitoring programs under the changing conditions of an increasingly virtual health care system. These include revisiting the scope and expectations of telemedicine interventions, streamlining virtual patient onboarding processes, and personalizing the collection of patient information to build a stronger virtual relationship and a more holistic assessment of patient well-being.

scholarly journals The health care system: an overview

2020 ◽  
pp. 25-33
Author(s):  
O.I. Kyselova ◽  
K.O. Nadtochiy
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Social Institutions ◽  
Well Being ◽  
The State ◽  
Main Element ◽  
Physical And Mental Health ◽  
Care System

Health care is the most important social sphere of society, on the state of which depends not only the health of the population, but also the political stability of the state. The health of the population is the basis of its well-being, the development of society in its social and economic expression. Recently, the health problems of the population have been repeatedly considered in connection with strengthening the security of the country, the development of urgent measures to maintain the health of less vulnerable groups in difficult conditions of socio-economic transformation. Healthcare is an integral part of international development. An effective health care system can make a significant contribution to the country's economy, its development and industrialization. Health care is an important factor that determines the general physical and mental health, well-being of people not only in one country but also around the world. Health care as the leading branch of activity of the country, the purpose is the organization and maintenance of accessible medical care of the population. It is the main element of national security. Is a set of measures of economic, political, social, legal, scientific, medical, sanitary, anti-epidemic and cultural nature, aimed at preserving and strengthening the physical and mental health of each person, maintaining a healthy life and, in this case, deteriorating health I, then - the provision of medical care. Special social institutions are created for this purpose. This article analyzes the relevance of health care and examines that these issues are major and health care is a leading sector of Ukraine, which aims to organize and provide affordable health care.

Abgewickelte Gesundheitsinstitutionen als (Quasi-)Innovationen

2020 ◽  
Vol 69 (6-7) ◽  
pp. 467-487
Author(s):  
Marlene Haupt ◽  
Christian Römhild ◽  
Charlotte Fechter
Keyword(s):  
Health Care ◽  
Disease Management ◽  
Health Care System ◽  
Profit Maximization ◽  
Well Being ◽  
Consumer Sovereignty ◽  
Prävention Und Gesundheitsförderung ◽  
German Healthcare System ◽  
Prevention And Health Promotion ◽  
Care System

Zusammenfassung Zum Abbau von Ineffizienzen im deutschen Gesundheitssystem wurden Institutionen wieder eingeführt, welche in ähnlicher Form bereits im Gesundheitssystem der DDR existiert haben. Drei Beispiele wurden ausgewählt: Die heutigen Medizinischen Versorgungszentren ähneln den Polikliniken der DDR, die Disease-Management-Programme sind mit der Dispensaire-Versorgung der DDR vergleichbar und die Bereiche Prävention und Gesundheitsförderung gab es in der DDR in Form der Gesundheitserziehung. Diese heutigen Institutionen werden dahingehend untersucht, inwiefern sie dazu beitragen, Ineffizienzen abzubauen und vor dem Hintergrund der Ökonomisierung im deutschen Gesundheitswesen zur Steigerung des Patientenwohls beitragen. Dabei wird betrachtet, wie sie hinsichtlich der Dimensionen Gewinnmaximierung, Wettbewerb, Preisbildung und Kundensouveränität wirken. Abstract: Liquidated Healthcare Institutions as (Quasi-)innovations To reduce inefficiencies in the German health care system, institutions have been reintroduced that have already existed in a similar form in the health care system of the GDR. Three examples have been selected: Today’s medical care centers (MVZ) are similar to the GDR’s so called „Polikliniken“, the disease management programs are comparable to the GDR’s dispensaire care, and the prevention and health promotion today were called health education („Gesundheitserziehung“) in the GDR. These institutions are being examined to what extent they serve to reduce inefficiencies and, regarding the economization in the German healthcare system, contribute to increasing patient well-being. In detail, this analysis uses the dimensions of profit maximization, competition, pricing and consumer sovereignty.

Evaluation of the state of the health system in Ukraine in the context of the quality of provision of medical aid

2020 ◽  
pp. 37-41
Author(s):  
Lyubov Kvasniy ◽  
Oresta Shcherban ◽  
Taras Khoma
Keyword(s):  
Health Care ◽  
Life Expectancy ◽  
Health System ◽  
Health Care System ◽  
Well Being ◽  
The State ◽  
Average Life Expectancy ◽  
Standards Of Living ◽  
Care System

In the process of implementation of the reform of the health care system and implementation of priority directions of socio-economic development of Ukraine, which is closely intertwined with the requirements of the time regarding the preservation and improvement of the health of population, attention was paid to the quality management of health care. The purpose of the article is to study the indicators of health care in the dynamics, which determine the state of health system and characterize the quality of medical and service provision. The article outlines the peculiarities of the concept of health protection in Ukraine. It proves that the domestic health care system is outdated, since it is based on the Soviet model of Semashko against the backdrop of high levels of corruption, the lack of proper modernization, non-compliance with the needs of the population, which in general have led to its ineffectiveness. The main indicators of the health system in dynamics are estimated and the periods of expected life expectancy are highlighted. The low average life expectancy in Ukraine is established to be caused mainly by the fundamental difference between the European and Ukrainian standards of living, the level of well-being of the population and the quality of medical services. In order to improve the quality of the provision of medical care in health care institutions in the current conditions of medical reform, it is proposed to transfer to the financing of medicine on an insurance basis, which will allow distributing the risks of illness and expenses for treatment between insured persons, and direct the collected funds to pay for the insured event in case of illness. This can be considered the only way to provide high-quality medical protection without financial stress for Ukrainian citizens.

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