Evaluation in healthcare organizations: a literature review about innovation assessment

Objective: This article identifies and provides the reader with the basis for evaluating the innovations proposed in healthcare organizations and highlights determinants to consider when implementing them. Bibliographic review: There is no complete, exhaustive, and absolute definition of health evaluation. Several evaluative approaches and tools were identified. They can be adapted and used according to the evaluator's evaluative objectives, paradigms, and theoretical influences. Moreover, essential concepts regarding the implementation of innovations were considered and synthesized, allowing the reader to understand the complexity of this phase and its impact on the success of innovations. Final considerations: Although the evaluative field is broad and has several distinct concepts, this article presents a synthesis of concepts that would support decision-makers in evaluating their organization's innovation process. Furthermore, the present paper enables a better understanding of the risks of success or failure of interventions (or innovation) from a comprehensive perspective of the critical determinants in the implementation phase.

In a World of Paradoxes, Conflicts and Contradictions the Need for Disambiguation

Today we begin to have the knowledge that allows us to face man in a dynamic and dialectic perspective, as we have long desired (see, for example, the definition of health by the World Health Organization, 1948, as a state of equilibrium – therefore dynamic). However, an intention is not enough. We have to better understand the phenomena, of course. And differently. There is a need for a rupture in strategies, methodologies, instruments (conceptual and material), an adequate conception and with the appropriate degrees of freedom. This work intends to be as a contribution to this rupture (see Thomas Kuhn). Not only in health, but in general, because man is always, (as a phenomenon, as a sign or as the observer), a fundamental part of our visions. In this article we propose two conceptual tools: ARAT (aggression / reaction / adaptation / transformation - as a factor of transformation) and Mental Schemes (as a factor of stability - which, therefore, goes beyond a centralization in the nervous system). Tools that allow us to access causalities (not only in their consequences, which are the facts, events, where we often focus our attention), because they guide and justify (substantiate the functionality) the action of man in every field (in education, health, sport, leisure, politics, economics, tourism, etc.) showing how and why man works.

Health Ownership: A Concept Analysis

Health ownership has been discussed by authors in many disciplines, but a definition does not currently exist for this concept. The purpose of this concept analysis was to explore health ownership in the context of healthcare delivery in the United States. Walker and Avant’s method was used to identify the defining attributes, antecedents, consequences, and empirical referents. Cases are provided to show a conceptual definition of health ownership. This concept analysis allows healthcare professionals to improve health outcomes by guiding individuals to take accountability, control, and accept responsibility for their health.

Human Nature

The research-based Danish therapy garden Nacadia, which opened in 2011, can be viewed as a holistically oriented realization of the World Health Organization’s (WHO) broad definition of health from 1948: health is not just the absence of disease, but a state of both physical, mental and social well-being in which individuals may develop their abilities, deal with everyday challenges and stress, as well as socialize with other people. Nacadia’s raison d’être and relevance are indisputable. But the questions this article addresses are what perception of nature the therapy forest garden promotes and what social diagnosis it springs from and reproduces. Nacadia’s interdisciplinary research team provides no explanation, but these questions inform my analysis. Based on Nacadia’s concept manual and the therapy garden itself, as well as some literary accounts of engaging with nature, I develop two answers: First, that the researchers behind Nacadia operate with both a discourse and a physical-aesthetic presentation of nature as a peaceful and accessible place for both self-immersion and connection with ‘something greater’. Secondly, the implementation of such a sanctuary encourages romantically tinted modes of experience which certainly seem invigorating but may also evoke an element of alienation for people in a modern society.

A Comparative Study of Durvadi Tailaand PanchvalkalOintment in Post Operative Wound Healing

A healthy lifetime of 100 years has been the cherished wish of humanity from antiquity. This has been considered essential to realize the four principal instincts of life namely Dharma,Artha, Kama and Moksha.Only the absence of illness isn’t defined as health. Today it’s defined as comprehensive state of well being which refers to physical, mental, spiritual and social well beingof a person (W.H.O.’s definition of health), which is extremely almost like definition of Swastha-healthy person given by Acharya Sushruta.One of the most important branches of Ayurvedais Shalya Tantra in which various surgical and para-surgical procedures have been described. Vranais one among of them. The main aim of this paper is to assess the efficacy of the trail drugs i.e. Durvadi Tailaand Panchvalkal Ointmenton post-operative wounds. The most widely and vitally explained chapter of Shalya Tantrais vrana. Classification of Vrana, Nadi Vrana, Shuddha Vrana, Dagdha Vrana, Sadhya Vrana etc., their prognostic evaluation and management with Shasthi Upkrama i.e. from Aptarpana to Rakshavidhana, continuous suturing in clean wounds (Shuddha Vrana), avoidance of sepsis (Dushta Vrana) and excision (Chhedana) of expelled out omentum and careful suturing of perforation of intestine within the management of perforating wounds of abdomen, etc. are remarkable for their modern outlook.

An Examination of the Meikirch Model’s Multidimensional Definition of Health and Aging

The present study used the CDC’s 2017 Behavioral Risk Factor Surveillance System and Structural Equation Modeling (SEM) to test the Meikirch model’s theoretical definition of health and aging. This biopsychosocial and ecological framework considers the dynamic interplay between an individual’s biology, health behavior and health potential, social surroundings, physical environment, and demands of living on both mental and physical health outcomes. A total sample of 96,568 adults were included with a mean age of 66.05 years (SD = 9.91). Individuals were classified in the following age groups: 43% middle-aged (45-64 years), 33% young-old (65-74 years), and 25% old-old adults (75+ years). The sample was largely female (61%), Non-Hispanic White (86%), and urban (67%). A CFA and WLSMV estimation was used to assess each latent construct. The overall SEM model was found to be a good fit (RMSEA=0.05, CFI=0.94, TLI=0.90), explained a significant portion of the variance in the health outcome (65%), and appeared to mimic prior literature on health variable relationships. An important finding within this study suggests the significant relationship between education, personally acquired potential, and health outcome variables. Underscoring health education and health literacy interventions may positively promote a person’s health behavior, resource access, and health outcomes across the lifespan. The Meikirch model can be used as a framework in public health interventions to better understand health adaptation, as well as behavioral risks and systematic hurdles. Overall, the study emphasizes how understanding health is not exclusively an individual hurdle to tackle, but a communal goal.

Meikirch model: new definition of health as hypothesis to fundamentally improve healthcare delivery

The unrelenting rise in healthcare costs over the past 50 years has caused policymakers to respond. Their reactions have led to a gradual economic transformation of medicine. As a result, detailed billing, quality controls, financial incentives, savings targets and digitalisation are now putting increasing pressures on the nursing and medical staff. In addition, the humanity of care of the patient–doctor and/or patient–nurse interactions has been cast aside to a great extent. Therefore, the immaterial side of care has been neglected or even removed from these relationships. These changes are now perceived as intolerable by most health workers and patients. Yet healthcare costs are still rising. This paper presents a hypothesis that should enable healthcare systems to respond more effectively. It proposes the introduction of the Meikirch model, a new comprehensive definition of health. The Meikirch model takes human nature fully into account, including health and disease. The inclusion of the individual potentials, the social surroundings and the natural environment leads to the concept of health as a complex adaptive system (CAS). Care for such a definition of health requires medical organisations to change from top–down management to bottom–up leadership. Such innovations are now mature and ready for implementation. They require a long-term investment, a comprehensive approach to patient care and new qualifications for leadership. The Meikirch model reads: ‘To be healthy a human individual must be able to satisfy the demands of life. For this purpose, each person disposes of a biologically given and a personally acquired potential, both of which are closely related to the social surroundings and the natural environment. The resulting CAS enables the individual to unfold a personal identity and to develop it further until death. Healthcare has the purpose to empower each individual to fully realize optimal health’.This hypothesis postulates that the new definition of health will further develop healthcare systems in such a way that better health results at lower costs.

Problems of valeological education in the framework of the systemic approach

The main reason for the inefficiency of the system of valeological training of specialists in higher education institutions is that a set of its components isn‟t defined today (structure, content, form, term of study, blocks of disciplines, etc.), mutual relations aren‟t built between them, which ensure integrity, consistency and development. One of the greatest achievements of humanities and natural sciences of the end of the ХХ century and the beginning of the ХХІ century is the adoption of a humanitarian paradigm that includes a multidimensional definition of health as physical, social, economic and creative well-being. At the same time, a key role in its creation is assigned, firstly, to the person himself, secondly, near medical fields: professional activity, recreation, education, etc. Teachers should recognize: although educational activity is the main one in childhood and early youth, nevertheless other areas of life should be under the control of parents, teachers and, most importantly, young people themselves, not forcibly, but consciously and naturally.