scholarly journals Enveiskjørt samarbeid? En studie av kommunale ledere og legers erfaringer fra samarbeid med helseforetak om kommunale akutte døgnenheter

2015 ◽  
Vol 11 (2) ◽  
pp. 97
Author(s):  
Marianne Sundlisæter Skinner
Keyword(s):  
Health Service ◽  
Primary Healthcare ◽  
Healthcare Service ◽  
Qualitative Interviews ◽  
Service Level ◽  
The State ◽  
Emergency Units

The Norwegian Coordination Reform of 2012 transferred responsibilities from the state-run specialist health service to the municipality-run primary healthcare service, simultaneously aiming to improve coordination and cooperation between the two levels. This article investigates how managers and doctors in the municipalities have experienced cooperation with the hospitals on the service level since the reform was implemented. The study focuses on municipal emergency bed units, which are to be introduced in all 428 Norwegian municipalities by 2016. Qualitative interviews with representatives from eight emergency units were conducted in order to identify routines for hospital-municipality cooperation on the service level. The study indicates that there is a majority of cooperation-passive municipality/hospital constellations and a minority of cooperation-active constellations. Furthermore, it is unclear who has the responsibility for initiating and maintaining cooperation. It is argued that both parties have to be active to establish effective cooperation structures on the service level.

scholarly journals Qualitative perspectives of the North Carolina healthy food small retailer program among customers in participating stores located in food deserts

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Lindsey Haynes-Maslow ◽  
Stephanie B. Jilcott Pitts ◽  
Kathryn A. Boys ◽  
Jared T. McGuirt ◽  
Sheila Fleischhacker ◽  
...  
Keyword(s):  
North Carolina ◽  
Low Income ◽  
Rural Areas ◽  
Food Access ◽  
Qualitative Interviews ◽  
Food Deserts ◽  
State Legislature ◽  
Healthy Food ◽  
The State ◽  
The North

Abstract Background The North Carolina Healthy Food Small Retailer Program (NC HFSRP) was established through a policy passed by the state legislature to provide funding for small food retailers located in food deserts with the goal of increasing access to and sales of healthy foods and beverages among local residents. The purpose of this study was to qualitatively examine perceptions of the NC HFSRP among store customers. Methods Qualitative interviews were conducted with 29 customers from five NC HFSRP stores in food deserts across eastern NC. Interview questions were related to shoppers’ food and beverage purchases at NC HFSRP stores, whether they had noticed any in-store efforts to promote healthier foods and beverages, their suggestions for promoting healthier foods and beverages, their familiarity with and support of the NC HFSRP, and how their shopping and consumption habits had changed since implementation of the NC HFSRP. A codebook was developed based on deductive (from the interview guide questions) and inductive (emerged from the data) codes and operational definitions. Verbatim transcripts were double-coded and a thematic analysis was conducted based on code frequency, and depth of participant responses for each code. Results Although very few participants were aware of the NC HFSRP legislation, they recognized changes within the store. Customers noted that the provision of healthier foods and beverages in the store had encouraged them to make healthier purchase and consumption choices. When a description of the NC HFSRP was provided to them, all participants were supportive of the state-funded program. Participants discussed program benefits including improving food access in low-income and/or rural areas and making healthy choices easier for youth and for those most at risk of diet-related chronic diseases. Conclusions Findings can inform future healthy corner store initiatives in terms of framing a rationale for funding or policies by focusing on increased food access among vulnerable populations.

When elites polarize over polarization: Framing the polarization debate in Turkey – RETRACTED

2018 ◽  
Vol 59 ◽  
pp. 109-133
Author(s):  
Senem Aydın-Düzgit ◽  
Evren Balta
Keyword(s):  
Civil Society ◽  
Qualitative Interviews ◽  
Radical Change ◽  
The State ◽  
Considerable Degree ◽  
Institutional Factors ◽  
Degree Of Polarization ◽  
State Of Polarization ◽  
The Government ◽  
Near Future

AbstractThis article aims to explore the views of the Turkish elite on the state of polarization in Turkey. By identifying four political frames—namely, harmony, continuity/decline, conspiracy, and conflict—that selected Turkish political and civil society elites use in discussing the phenomenon of polarization in the country through their contributions to a workshop and in-depth qualitative interviews, the article finds that there is a considerable degree of polarization among the Turkish elite regarding their views on the presence of polarization in Turkey. Moreover, this overlaps with the divide between the government and the opposition in the country. An analysis of the justificatory arguments employed in constituting the aforementioned frames shows that, while those elites who deny the existence of polarization seek its absence in essentialist characteristics of society, in reductionist comparisons with history, or in internal/external enemies, those who acknowledge polarization’s presence look for its roots in political and institutional factors and processes. The article highlights how, given the denial of polarization by the pro-government elite and the substantial gap between the two camps’ justificatory narratives, the currently reported high rates of polarization in Turkey can, at best, be expected to remain as is in the near future, barring a radical change in political constellations.

scholarly journals The state of UK pediatric anesthesia: a survey of National Health Service activity

2015 ◽  
Vol 25 (11) ◽  
pp. 1085-1092 ◽  
Author(s):  
Michael R. J. Sury ◽  
Renuka Arumainathan ◽  
Alla M. Belhaj ◽  
James H. MacG Palmer ◽  
Tim M. Cook ◽  
...  
Keyword(s):  
National Health Service ◽  
Health Service ◽  
National Health ◽  
Pediatric Anesthesia ◽  
The State ◽  
Service Activity

scholarly journals Routes to the top: the developmental journeys of medical, clinical and managerial NHS chief executives

BMJ Leader ◽  
2020 ◽  
Vol 4 (2) ◽  
pp. 64-68 ◽  
Author(s):  
Alex Till ◽  
Gerry McGivern
Keyword(s):  
Leadership Development ◽  
Health Service ◽  
Development Strategy ◽  
Quality Care ◽  
Qualitative Interviews ◽  
Chief Executive ◽  
High Quality ◽  
Cross Sectional ◽  
Chief Executives ◽  
Formal Leadership

IntroductionLeadership, and the role of a Chief Executive in healthcare organisations, has never been more important. This review provides one of the first retrospective cross-sectional analyses of the developmental journeys of chief executives within the National Health Service (NHS).MethodsTwenty-eight semi-structured qualitative interviews were conducted with medical, clinical and non-clinical NHS chief executives from the Health Service Journal’s list of ‘Top Chief Executives’ 2014–2018. Through a thematic analysis of their narratives, lessons for the development of aspiring NHS chief executives emerge.ResultsFew proactively sought leadership opportunities and there was a lack of an active leadership development strategy. Yet the ‘seeds of leadership development’ took root early. Combined with a blended approach of formal leadership development and ‘on-the-job’ informal leadership development, emerging NHS chief executives were exposed to multiple ‘crucible moments’ that helped them develop into and excel at the top of their field.DiscussionTop NHS chief executives possess inherent values and a strong sense of social responsibility that underpin their developmental journeys, guide their behaviour, and strengthen their resilience. Capable, high quality leaders are needed from all professional backgrounds to support high quality care and much more needs to be done, particularly for medical and clinical professionals but for non-clinicians too, to maximise leadership potential within the NHS and develop a pipeline of aspiring NHS chief executives.

scholarly journals Determinants of food and nutrition actions in primary healthcare clinics in the State of São Paulo, Brazil

2019 ◽  
Vol 46 (5) ◽  
pp. 518-526
Author(s):  
Mayara Evangelista ◽  
Sinara Rossato ◽  
Milena Ferreira ◽  
Flávia Negri ◽  
Maria Rita de Oliveira
Keyword(s):  
Primary Healthcare ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
Food And Nutrition ◽  
Primary Healthcare Clinics

scholarly journals Stigma, housing and identity after prison

2018 ◽  
Vol 66 (4) ◽  
pp. 799-815 ◽  
Author(s):  
Danya E. Keene ◽  
Amy B. Smoyer ◽  
Kim M. Blankenship
Keyword(s):  
Qualitative Interviews ◽  
The State ◽  
Formerly Incarcerated ◽  
Symbolic Resource

Existing research suggests that individuals who are released from prison face considerable challenges in obtaining access to safe, stable, and affordable places to live and call home. This article draws on repeated qualitative interviews (conducted every 6 months over a period of 3 years) with 44 formerly incarcerated individuals, to understand how these individuals experience the search for a home after their prison release. The interviews show that the quest for a home is central to participants’ reintegration projects as they seek to establish themselves as ‘decent’ and economically self-sufficient citizens, and shed stigmatized identities associated with incarceration, poverty, homelessness, and place. Interviews also suggest that their quest for a home is an arduous one as they encounter numerous barriers to housing arising from both structural and interpersonal forms of incarceration stigma. Somewhat paradoxically, the challenges that they face in accessing housing seem to hinder their ability to shed the stigmatized identities associated with their incarceration. Ultimately, the narratives presented here show how stigma can restrict access to a valuable material and symbolic resource (housing), resulting in ongoing stigmatization, and contributing to the enduring and discrediting mark of incarceration. In this way, the study illustrates how stigma that is enacted by both individuals and the state, that is embodied in place, and that is internalized and managed by stigmatized individuals themselves, can work to reproduce power and serve as justification for inequality.

Modeling And Analyzing Cloud Auto-Scaling Mechanism Using Stochastic Well-Formed Coloured Nets

2021 ◽  
Author(s):  
Mohamed M. Ould Deye ◽  
Mamadou Thiongane ◽  
Mbaye Sene
Keyword(s):  
Cloud Computing ◽  
Quality Of Service ◽  
Service Level ◽  
The State ◽  
Service Level Agreements ◽  
Auto Scaling

Auto-scaling is one of the most important features in Cloud computing. This feature promises cloud computing customers the ability to best adapt the capacity of their systems to the load they are facing while maintaining the Quality of Service (QoS). This adaptation will be done automatically by increasing or decreasing the amount of resources being leveraged against the workload’s resource demands. There are two types and several techniques of auto-scaling proposed in the literature. However, regardless the type or technique of auto-scaling used, over-provisioning or under-provisioning problem is often observed. In this paper, we model the auto-scaling mechanism with the Stochastic Well-formed coloured Nets (SWN). The simulation of the SWN model allows us to find the state of the system (the number of requests to be dispatched, the idle times of the started resources) from which the auto-scaling mechanism must be operated in order to minimize the amount of used resources without violating the service-level agreements (SLA).

Towards a Customer-Centric Framework for Evaluation of E-Health Service Quality

2018 ◽  
pp. 199-218
Author(s):  
Michael Mutingi
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Quality ◽  
Healthcare Service ◽  
Quality Evaluation ◽  
Service Providers ◽  
Customer Experience ◽  
Evaluation Framework ◽  
Service Quality Evaluation ◽  
Health Service Quality

As the awareness of the importance of healthcare service quality and pressures from stakeholders continue to grow, healthcare service providers have no option except to develop appropriate service quality evaluation procedures. Patient satisfaction is imperative, and has become a critical issue especially in e-health services. Although healthcare service providers have become aware of the need for improving customer experience through provision of customer-centric services, virtually none of the existing e-health quality evaluation frameworks are grounded on customer-centric metrics. In this chapter, a critical analysis of existing evaluation initiatives is presented from the context of e-health services. Critical areas of e-health service are investigated to determine quality dimensions that influence customer experience. From this analysis, a customer-centric evaluation framework is proposed, comprising four e-health service quality scales. The framework provides a platform for continuous improvement in e-health service.

scholarly journals Fraud in Healthcare Service

2018 ◽  
Vol 54 ◽  
pp. 03015
Author(s):  
Dara Pustika Sukma ◽  
Adi Sulistiyono ◽  
Widodo Tresno Novianto
Keyword(s):  
Health Insurance ◽  
Health Service ◽  
National Health Insurance ◽  
National Health ◽  
Healthcare Service ◽  
Social Insurance ◽  
Empirical Method ◽  
Professional Organization ◽  
Social Insurance System ◽  
Central Java

In Indonesia, the fraud of healthcare service implementation occurs widely in hospitals, thereby harming the participants of social insurance. The objectives of research were to find out, to analyze, and to give solution to the fraud in the healthcare service. This research was taken place in several hospitals in Central Java Indonesia using non-doctrinal or empirical method on stakeholders related to national health insurance. The result of research showed that the substance of the ratification of Health Minister’s Regulation Number 36 of 2015 about Fraud Prevention in National Health Insurance in National Social Insurance System becomes the government’s attempt in suppressing fraud in healthcare service. In its structure, healthcare service occurs due to the pressure of enacted costing system, limited supervision, and justification in committing fraud and the imbalance between health service system and burden among clinicians, service provider not giving adequate incentive, inadequate medical equipment supply, system inefficiency, less transparency in health facilities, and cultural factor. Those who are responsible for the attempt of eradicating fraud such as Health Ministry, Regency/City Health Service, Hospital’s Board of Directors, Hospital Supervision Agency and Council, Social Insurance Administration Organization, professional organization, and Social Insurance participants should walk in the cycle starting from building awareness, reporting, detecting, investigating, sanction imposing, to building awareness.

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