scholarly journals Fighting the Enemy Within? Challenging Minor Principles of Professionalism in Care and Welfare

2018 ◽  
Vol 8 (2) ◽  
pp. e2265 ◽  
Author(s):  
Margo Trappenburg ◽  
Mirko Noordegraaf
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Social Care ◽  
Population Ageing ◽  
Mental Disabilities ◽  
Specialized Knowledge ◽  
Widespread Application ◽  
Professional Ideology ◽  
Professional Characteristics ◽  
Seminal Article

Wilensky’s seminal article on professionals mentions three identifying characteristics besides the familiar specialized knowledge, autonomy and professional ideology. These are the referral principle, which states that professionals should refer clients to a colleague with a different specialty if necessary, the principle of sloughing off, which dictates that professionals allocate less rewarding parts of their job to lesser paid assistants, and the principle of impersonal service delivery, which admonishes professionals to treat clients equally. A changing clientele in health care and social care warrants a reappraisal of these three principles. Population ageing necessitates a reappraisal in health care. The deinstitutionalization of people with psychiatric or mental disabilities necessitates a reappraisal in social care. Referral, sloughing off and impersonal service delivery are professional characteristics that concur with managerial or political objectives. Managers and politicians are partly responsible for their widespread application. Hence, professionals need their help to fight this “enemy within professionalism.”

scholarly journals Changing practices in mental health care: a lesson from America

1990 ◽  
Vol 14 (12) ◽  
pp. 730-732
Author(s):  
Tom Butler ◽  
Philip Thomas
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Service Delivery ◽  
Mental Health Care ◽  
Social Care ◽  
The Political ◽  
Rehabilitation Services ◽  
Health And Social Care ◽  
The Usa ◽  
Changing Practices

Health and social care in Britain is undergoing the most profound changes in its structure and organisation since its inception (Griffiths, 1988); indeed, some would argue that it is about to change beyond recognition. The purpose of this article is to describe contemporary developments in the delivery of such services in the USA. Given that many of the political changes here have been directly influenced by thinking and practice in that country, it is argued that there are two important lessons to be learnt. The first concerns the coordination of service delivery between different agencies, the second involves an emphasis on the delivery of acute and rehabilitation services in the community. In short the traditional distinctions between the two would be blurred.

Principles for telemedicine and telecare: The perspective of a citizens’ panel

2005 ◽  
Vol 11 (1_suppl) ◽  
pp. 66-68 ◽  
Author(s):  
Maggie Mort ◽  
Tracy Finch
Keyword(s):  
Health Care ◽  
National Health Service ◽  
Health Service ◽  
Service Delivery ◽  
National Health ◽  
Social Care ◽  
Policy And Practice ◽  
Health Technologies ◽  
Political Relations ◽  
Health And Social Care

Ten delegates at the conference Voluntarism, Health and Social Care were recruited to form a panel of citizens to debate and offer direction for the future of technologically mediated health care. The panel suggested various principles for the development of telemedicine and telecare, concerning: patients, users and carers, approach to service delivery, research and knowledge, and conditions of use. Many of the principles echoed the founding values of the National Health Service, yet have arguably been absent from both policy pronouncements and the telemedicine literature, which largely views new health technologies themselves as ‘value free’, i.e. developed untouched by social and political relations. A programme of citizens’ panels should be developed so that an informed debate can take place about the development of telemedicine and telecare, to underpin policy and practice.

Autism Spectrum Disorder: Essentials for a Dental Expert

2020 ◽  
Author(s):  
Reddy V
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Clinical History ◽  
Oral Health Care ◽  
Autism Spectrum ◽  
Patient Support ◽  
Specialized Knowledge ◽  
Support Strategies ◽  
Important Concern ◽  
The Cost

Unique is a method that could help diagnosing a psychiatry condition, such as autism, by properly completing a patient's clinical history, with a comprehensive physical examination. It is important to diagnose individuals with autism spectrum, since providing a good oral health care to these people requires that the dentist has specialized knowledge, an increased awareness and care while performing the treatment, and even patient support strategies which must be adapted to each case. Every patient with autism is different to the rest, which makes their diagnosis and treatment difficult. Likewise, not all dentists are qualified to provide a good oral health care to patients diagnosed with autism spectrum, so many families must fight with that barrier every day. Finally, not every person with autism, or their families, are able to afford the cost of dental care with a qualified dentist, which is an important concern for them.

scholarly journals A narrative review of literature on the use of health and social care by older trans adults: what can United Kingdom services learn?

2021 ◽  
pp. 1-22
Author(s):  
Susan Mary Benbow ◽  
Charlotte Eost-Telling ◽  
Paul Kingston
Keyword(s):  
Health Care ◽  
Social Care ◽  
The United States ◽  
Narrative Review ◽  
Cultural Humility ◽  
Service Improvement ◽  
Service Users ◽  
Strong Argument ◽  
Health And Social Care ◽  
Economic Inequalities

Abstract We carried out a narrative review and thematic analysis of literature on the physical health care, mental health care and social care of trans older adults to ascertain what is known about older trans adults’ contacts with and use of health and social care. Thirty papers were found: a majority originated in the United States of America. Five themes were identified: experience of discrimination/prejudice and disrespect; health inequalities; socio-economic inequalities; positive practice; and staff training and education. The first three themes present challenges for providers and service users. Experiences of discrimination/prejudice and disrespect over the course of their lives powerfully influence how older trans adults engage with care services and practitioners. Health and socio-economic inequalities suggest that older trans adults are likely to have greater need of services and care. The remaining two themes offer opportunities for service improvement. We conclude that more research is needed, that there is a strong argument for taking a lifecourse perspective in a spirit of cultural humility, and that contextual societal factors influence service users and providers. We identify positive trans-inclusive practices which we commend to services. More needs to be done now to make older adult services appropriate and welcoming for trans service users.

Patient satisfaction with the quality of care in Ghana’s health-care institutions

2019 ◽  
Vol 13 (2) ◽  
pp. 160-170 ◽  
Author(s):  
Aaron Asibi Abuosi ◽  
Mahama Braimah
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Quality Of Care ◽  
Service Delivery ◽  
National Survey ◽  
Health Care Facilities ◽  
Health Facilities ◽  
Content Type ◽  
Care Facilities

Purpose The purpose of this study was to examine patient satisfaction with the quality of care in Ghana’s health-care facilities using a disaggregated approach. Design/methodology/approach The study was a cross-sectional national survey. A sample of 4,079 males and females in the age group of 15-49 years were interviewed. Descriptive statistics, principal component analysis and t-tests were used in statistical analysis. Findings About 70 per cent of patients were satisfied with the quality of care provided in health-care facilities in Ghana, whereas about 30 per cent of patients were fairly satisfied. Females and insured patients were more likely to be satisfied with the quality of care, compared with males and uninsured patients. Research limitations/implications Because data were obtained from a national survey, the questionnaire did not include the type of facility patients attended to find out whether satisfaction with the quality of care varied by the type of health facility. Future studies may, therefore, include this. Practical implications The study contributes to the literature on patient satisfaction with the quality of care. It highlights that long waiting time remains an intractable problem at various service delivery units of health facilities and constitutes a major source of patient dissatisfaction with the quality of care. Innovative measures must, therefore, be adopted to address the problem. Originality/value There is a paucity of research that uses a disaggregated approach to examine patient satisfaction with the quality of care at various service delivery units of health facilities. This study is a modest contribution to this research gap.

scholarly journals The race to the top initiative: towards excellence in health-care service delivery

2015 ◽  
Vol 3 ◽  
pp. S16
Author(s):  
E Nahimana ◽  
H Iyer ◽  
A Manzi ◽  
A Uwingabiye ◽  
N Gupta ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Race To The Top ◽  
Health Care Service Delivery

Increasing Pediatric Audiology Services via Telehealth

2021 ◽  
Vol 42 (02) ◽  
pp. 136-151
Author(s):  
Tommy Evans ◽  
Timothy Nejman ◽  
Erin Stewart ◽  
Ian Windmill
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Case Studies ◽  
Health Care Services ◽  
Medical Center ◽  
Access To Healthcare ◽  
Hospital Medical ◽  
Care Services ◽  
Telehealth Service ◽  
Pediatric Audiology

AbstractTelehealth as a means to deliver health care services has been used by physicians for many years, but the use of telehealth in audiology, specifically in pediatrics, has been minimal. Barriers such as licensure, reimbursement, technology, and equipment have been cited as reasons for audiologists not participating in telehealth. However, the COVID-19 pandemic created the need for telehealth services to be widely used to safely increase access to healthcare, and emergent orders helped reduce previous barriers so that audiologists could participate in telehealth service delivery. This article details three cases where audiologists delivered telehealth services to children. These case studies demonstrate portions of the Division of Audiology Telehealth Program of the Cincinnati Children's Hospital Medical Center and how they increased access to hearing healthcare in response to the COVID-19 pandemic.

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