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Journal articles on the topic 'Coast care'

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Author: Grafiati

Published: 10 December 2022

Last updated: 28 January 2023

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1

Welk, Thomas A., Sandra L. Imes, Pam Burger, and Louise Marzyck. "Hospice care coast to coast." American Journal of Hospice and Palliative Medicine® 9, no. 5 (September 1992): 15–17. http://dx.doi.org/10.1177/104990919200900513.

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2

Ward, Lauren, Anne McMurray, Chi Kin Law, Gabor Mihala, Martin Connor, and Paul Scuffham. "The Cost Consequences of the Gold Coast Integrated Care Programme." International Journal of Integrated Care 21, no. 3 (September 15, 2021): 9. http://dx.doi.org/10.5334/ijic.5542.

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3

Duffett, Richard, and Claire Lawton. "Eastenders on the South Coast." Psychiatric Bulletin 17, no. 6 (June 1993): 344–46. http://dx.doi.org/10.1192/pb.17.6.344.

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In spite of the moves over the last 20 years towards community care, there remain substantial numbers of elderly people with both physical and mental illness who require residential, nursing home and hospital care. There is evidence to suggest that health service provision of long term care for the mentally ill has been, and continues to be, reduced. In addition there has been reduction in beds for long term care by geriatric physicians and while the nursing home and residential care sectors have expanded, this expansion has been entirely within the ‘independent’ private and voluntary sector, with considerable contraction of local authority provision. Representations have been made about this to the Old Age Section of the Royal College of Psychiatrists and they have reported on this (Benbow & Jolley, 1992). Concern has not been confined to the profession. Over the last year, there has been considerable media publicity about the long term care of elderly people in institutions. Some of this has been very critical [Panorama, 20.1.92] and has provoked debate on the pages of the national papers.

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4

Barrett, Bruce. "Health care behavior on Nicaragua's Atlantic coast." Social Science & Medicine 37, no. 3 (August 1993): 355–68. http://dx.doi.org/10.1016/0277-9536(93)90266-7.

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5

Aboh, Irene Korkoi, and Busisiwe Purity Ncama. "Caregiver’s Perceptions Regarding Assisted Care in the Cape Coast Metropolitan Area." World Family Medicine Journal/Middle East Journal of Family Medicine 17, no. 8 (August 2019): 25–36. http://dx.doi.org/10.5742/mewfm.2019.93671.

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6

McHenry Martin, Caren. "Senior Care Pharmacy Profile Jim Coast: Putting the Care in Senior Care Pharmacy Practice." Consultant Pharmacist 23, no. 1 (January 1, 2008): 32–35. http://dx.doi.org/10.4140/tcp.n.2008.32.

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7

Campbell, Don, and David Green. "Assault injuries in the Gold Coast region." Emergency Medicine 9, no. 2 (August 26, 2009): 97–99. http://dx.doi.org/10.1111/j.1442-2026.1997.tb00362.x.

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8

Miller, Robin, Hilary Brown, and Catherine Mangan. "Integrated care in action: A practical guide for health, social care and housing support." Aotearoa New Zealand Social Work 30, no. 2 (August 26, 2018): 84. http://dx.doi.org/10.11157/anzswj-vol30iss2id523.

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9

Huntzinger, Paul E. "Establishing an Ambulatory Care Clerkship at a Coast Guard Clinic." Journal of Pharmacy Practice 13, no. 5 (October 2000): 392–99. http://dx.doi.org/10.1106/mgd2-3lcu-bx8c-wlv8.

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This paper describes the experience and benefits of establishing a pharmacy student clerkship program with the University of California, San Francisco (UCSF) at a U.S. Coast Guard (USCG) ambulatory care clinic. The goal of the paper is to provide pharmacists with information that can be used to institute a clerkship program. The implementation of the clerkship at the Integrated Support Command Alameda (ISCA) pharmacy involved an uncomplicated, step-wise approach that can be readily emulated. The clerkship provided the ISCA pharmacy with several benefits, including the opportunity for the pharmacist to mentor, that clearly outweighed the challenges.

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10

Ocansey, Stephen, Samuel Kyei, Bismark Gyedu, and Agnes Awuah. "Eye care seeking behaviour: a study of the people of Cape Coast Metropolis of Ghana." Journal of Behavioral Health 3, no. 2 (2014): 101. http://dx.doi.org/10.5455/jbh.20140219014308.

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11

Aboh, Irene. "Perceptions of government stakeholders on ageing and assisted care in the Cape Coast Municipal Area." Advances in Social Sciences Research Journal 7, no. 4 (April 19, 2020): 71–86. http://dx.doi.org/10.14738/assrj.74.8013.

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Aim: To explore the perceptions of government stakeholders on assisted care for the aged in a Metropolis, in Ghana. Method: This is a qualitative sub-study of a larger study on developing a model for the care of the aged in the Cape Coast Metropolitan area. The following questions were put to the key informants: Have you noticed an increase in the number of the aged in the communities? What are government plans for the aged? How is the welfare and the caring from traditional attention, what is your view on the introduction of assisted care in Ghana? Data was collected through key-informant in-depth interviews with 10 government stakeholders directly in charge of policy implementation in the metropolis. Data collection took place over a period of four months from October 2016 to January 2107. The interviews were digitally recorded and transcribed verbatim, coded and analyzed. Findings: There were no preparations made for ageing, the government had plans and strategies for aged care. Traditional caring provision is inadequate and the concept of assisted living is regarded with mixed feelings. Some informant described assisted caring as an unaccepted practise that should not be encouraged. Conclusion: Those implementing the policies are not certain of the feasibility of the programme. Awareness of assisted living should be promoted so that the community can make their own decisions.

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12

McGehrin, Kevin, Ilana Spokoyny, Brett C. Meyer, and Kunal Agrawal. "The COAST stroke advance directive." Neurology: Clinical Practice 8, no. 6 (October 15, 2018): 521–26. http://dx.doi.org/10.1212/cpj.0000000000000549.

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Within the field of neurology, there has been limited discussion of how to best respect patient autonomy in patients presenting with an acute stroke, who often have impairments in language and cognition. In addition to performing a detailed neurologic examination and providing a thorough timeline of their current presentation and medical history, these patients and their families are then asked to quickly make critical medical decisions regarding acute stroke therapies (thrombolysis and endovascular therapy). These discussions are often limited by time constraints and inadequate opportunities for patient education regarding acute stroke care. This article discusses some of the challenges of preserving patient autonomy in patients presenting with acute stroke and the advent of a stroke advance directive (Coordinating Options for Acute Stroke Therapy [COAST]) aimed to overcome these obstacles.

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13

Raymont, Antony, Mary-Anne Boyd, Timothy Malloy, and Nancy Malloy. "Rural health care in New Zealand: the case of Coast to Coast Health Centre, Wellsford, an early Integrated Family Health Centre." Journal of Primary Health Care 7, no. 4 (2015): 309. http://dx.doi.org/10.1071/hc15309.

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INTRODUCTION: Primary health care is critical, particularly in rural areas distant from secondary care services. AIM: To describe the development of Coast to Coast Health Centre (CTCHC) at Wellsford, north of Auckland, New Zealand and reflect on its achievements and ongoing challenges. METHODS: Interviews were conducted with staff and management of CTCHC and with other health service providers. Surveys of staff and a sample of enrolled patients were undertaken. Numerical data on service utilisation were obtained from the practice and from national datasets. RESULTS: The CTCHC provides a wide range of services, including after-hours care, maternity and radiology, across a network of electronically connected sites, as well as interdisciplinary training for a range of health students. General practitioner (GP) recruitment is problematic and nursing roles have been expanded. Staff report positively on the work environment. Consultation rates are higher than in comparable practices, especially consultations with nurses. Rates of hospital admission are relatively low. The development of the CTCHC was assisted by formation of a local primary health organisation (PHO) and by recognition by the local district health board (DHB). Issues with poor coordination of local services, and less service provision than is characteristic in urban areas, remain. Contracting processes with the DHB were complex and time-consuming. The merging of the local PHO into a larger PHO within the Waitemata DHB catchment inhibited progression towards more complete locality planning. DISCUSSION: A dedicated and locally controlled provider was able to generate a more than usually complete community health service for Wellsford and area. KEYWORDS: Interdisciplinary; New Zealand; primary health care; rural health services

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14

Tomberlin, Constance Hilory. "Teletinnitus Program at the VA Gulf Coast Veterans Health Care System." Perspectives on Telepractice 4, no. 1 (March 2014): 23–29. http://dx.doi.org/10.1044/teles4.1.23.

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There are a multitude of reasons that a teletinnitus program can be beneficial, not only to the patients, but also within the hospital and audiology department. The ability to use technology for the purpose of tinnitus management allows for improved appointment access for all patients, especially those who live at a distance, has been shown to be more cost effective when the patients travel is otherwise monetarily compensated, and allows for multiple patient's to be seen in the same time slots, allowing for greater access to the clinic for the patients wishing to be seen in-house. There is also the patient's excitement in being part of a new technology-based program. The Gulf Coast Veterans Health Care System (GCVHCS) saw the potential benefits of incorporating a teletinnitus program and began implementation in 2013. There were a few hurdles to work through during the beginning organizational process and the initial execution of the program. Since the establishment of the Teletinnitus program, the GCVHCS has seen an enhancement in patient care, reduction in travel compensation, improvement in clinic utilization, clinic availability, the genuine excitement of the use of a new healthcare media amongst staff and patients, and overall patient satisfaction.

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15

Addo-Nkrumah, Betty K. "Perception of Postgraduate Students on Customer Service at the School of Graduate Studies, University of Cape Coast." Journal of Business and Enterprise Development VOLUME 8, no. 2019 (October 30, 2019): 177–205. http://dx.doi.org/10.47963/jobed.2019.06.

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The aim of this study was to examine the quality of service provided by the School of Graduate Studies, University of Cape Coast to its students (customers). This study employed a descriptive survey design. A questionnaire designed by the researchers was used to obtain data from 400 postgraduate students (customers), using the stratified sampling technique. Data were presented and analyzed using descriptive statistics which included frequencies, percentages, means and standard deviation. The study found that staff members at the School of Graduate Studies, University of Cape Coast provide quality services to postgraduate students at different dimensions when they seek assistance. It was therefore recommended that the Directorate of Human Resource in collaboration with Training and Development Section of the University of Cape Coast should include aspect of customer care topics in the training programmes for all categories of staff in order to improve professionalism in tangibility dimension of service delivery.

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16

Thorn, Sophie, Martin Tonglet, Marc Maegele, Russell Gruen, and Biswadev Mitra. "Validation of the COAST score for predicting acute traumatic coagulopathy: A retrospective single-centre cohort study." Trauma 22, no. 2 (April 8, 2019): 112–17. http://dx.doi.org/10.1177/1460408619838187.

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Purpose Early identification of trauma patients at risk of developing acute traumatic coagulopathy is important in initiating appropriate, coagulopathy-focused treatment. A clinical acute traumatic coagulopathy prediction tool is a quick, simple method to evaluate risk. The COAST score was developed in Australia and we hypothesised that it could predict coagulopathy and bleeding-related adverse outcomes in other advanced trauma systems. We validated COAST on a single-centre cohort of trauma patients from a trauma centre in Belgium. Methods The COAST score was modified to suit available data; we used entrapment, blood pressure, temperature, major chest injury and abdominal injury to calculate the score. Acute traumatic coagulopathy was defined as international normalised ratio >1.5 or activated partial thromboplastin time >60 s upon arrival of the patient to the hospital. Data were extracted from the local trauma registry on patients that presented between 1 January and 31 December 2015. Results In all, 133 patients met the inclusion criteria (>16 years old, available COAST and outcome data) for analysis. The COAST score had an area under the receiver operating characteristics curve of 0.941 (95% CI: 0.884–0.999) and at COAST ≥3, it had 80% sensitivity and 96% specificity. The score also identified patients with higher rates of mortality, blood transfusion and emergent surgery. Conclusion This retrospective cohort study demonstrated the utility of the COAST score in identifying trauma patients who are likely to have bleeding-related poor outcomes. The early identification of these patients will facilitate timely, appropriate treatment for acute traumatic coagulopathy and minimise the risk of over-treatment. It can also be used to select patients with acute traumatic coagulopathy for trials involving therapeutic agents targeted at acute traumatic coagulopathy.

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17

N’goran Kone, Lucie Florence, Félix Anon N’Dia, and Akissi Géneviève N’Goran. "Determinants of Therapeutic Routes for Malaria Patients in Ivory Coast." Utafiti 14, no. 1 (December 10, 2019): 75–91. http://dx.doi.org/10.1163/26836408-14010004.

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Abstract Malaria patients in Ivory Coast pursue a wide variety of treatment routes, depending upon how they understand the aetiology of their illness, their association of illness with supernatural causes, their ability to afford standard consultation fees, their access to conventional health care facilities, and their confidence in traditional African therapies. This research took place in the context of the government’s policy of providing free management of ‘simple malaria’ for all. Working with four conventional doctors and four traditional African medical practitioners, treatment choices of 161 malaria patients were analysed at Kennedy-Clouétcha, a busy urban health care centre in Abidjan. Almost half (77) of the patients in the study cited mosquito bites, general poor health, and stagnant water sources as the causes of their malaria. A greater number of patients (84) indicated fatigue, sun exposure, mysticism, and diet as the cause. The scope of therapies sought by these patients covered conventional biomedical treatment, traditional African medicine, and prayer. When patients were not cured through methods of their first resort, they pursued second options for care. Despite the availability of free care in centrally located public health systems, the therapeutic trajectory of many patients diverted away from conventional treatment. The data suggests that a patient’s orientation away from the conventional biomedical model may be best explained by confusions surrounding the diagnostic label ‘simple malaria’.

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18

Stroh, Lincoln D. "Synfuel: A Marine Transportation Risk Assessment." International Oil Spill Conference Proceedings 2003, no. 1 (April 1, 2003): 69–74. http://dx.doi.org/10.7901/2169-3358-2003-1-69.

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ABSTRACT Coal synthetic fuels have attractive tax incentives. The primary consumers of the coal synthetic fuels (synfuel) are power plants and coke plants. Some of these synfuels consist of approximately 99% coal and 1% oil emulsion. Unfortunately, these synfuels produce sheens in the marine environment when accidentally released. The sheens prompt a Coast Guard response with pollution fines and costly mitigation efforts. There are no current regulatory requirements for the marine transportation of synfuel. Treating the synfuels as an oil product from a marine transportation perspective would be cost prohibitive; treating the synfuels as coal may not be conducive to the marine environment; somewhere between the two extremes lies an economically, environment-friendly solution. In the absence of regulatory guidance, the Coast Guard initiated a twoday risk assessment to evaluate the risks of synfuel to the marine environment. The risk assessment focused on the marine transportation related (MTR) processes of loading, unloading, fleeting and transporting synfuel. Standards of Care were developed by a 25-member workgroup of industry representatives and regulators. The Standards of Care will be voluntarily selfimposed by industry to prevent and respond to releases of synfuels, which sheen in the marine environment. Those companies not adhering to the Standards of Care will receive little or no consideration from Coast Guard Captains Of The Port when violations of the Clean Water Act are investigated.

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19

Hendricks, M., J. Beardsley, L. Bourne, B. Mzamo, and B. Golden. "Are opportunities for vitamin A supplementation being utilised at primary health-care clinics in the Western Cape Province of South Africa?" Public Health Nutrition 10, no. 10 (October 2007): 1082–88. http://dx.doi.org/10.1017/s1368980007699522.

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AbstractObjectivesTo determine missed opportunities and problems relating to implementation of the Vitamin A Supplementation Programme in urban and rural regions of the Western Cape Province of South Africa.MethodA cross-sectional survey was conducted at primary health-care (PHC) clinics in Cape Metropole, an urban region, and West Coast Winelands, a rural region, of the Western Cape. A purposive sample of clinics where more than 30 children were seen per day was drawn from 10 of the 11 districts in the Cape Metropole region and the two districts of the West Coast Winelands region. The number of children selected from each district was weighted in terms of population size for the two regions. At each clinic visited, the first five to 10 children seen on a day, and meeting the inclusion criteria for vitamin A supplementation (VAS) based on the vitamin A provincial policy guidelines, were selected. These included children with low birth weight (LBW), growth faltering, underweight and severe undernutrition, recurrent diarrhoea and lower respiratory tract infection (LRTI), tuberculosis, measles, HIV/AIDS and eye signs of vitamin A deficiency. Clinic records were reviewed following consultation with the PHC nurse to identify if the child required vitamin A, exit interviews were conducted with mothers/caregivers, and Road to Health Charts (RTHCs) were reviewed. At the end of the study, PHC managers were interviewed to determine if problems could be identified with the Programme.ResultsForty-three of 123 (35%) and 13 of 40 (33%) of the fixed PHC clinics in the Cape Metropole and West Coast Winelands regions were visited, and a total of 300 children (234 from Cape Metropole, 66 from West Coast Winelands) with a mean (standard deviation) age of 24.3 (16.3) months and who met the inclusion criteria for VAS were selected. Of the total sample of children, 198 (66%) had multiple (i.e. more than one) indication and 102 (34%) had a single indication for VAS. There were a total of 617 indications for VAS in the two regions; 238 (39%) for growth faltering, 119 (19%) for underweight, 98 (16%) for LBW, 70 (11%) for LRTI, 51 (8%) for diarrhoea, 21 (3%) for HIV/AIDS and 20 (3%) for tuberculosis. A total of 102 (34%) of the children in the two regions received vitamin A supplements (Cape Metropole 29%; West Coast Winelands 52%). A record was made on the RTHC of 79 (77%) of the children who received VAS (Cape Metropole 76%; West Coast Winelands 79%). Twenty-four per cent of the mothers knew why their child had been given vitamin A (Cape Metropole 29%; West Coast Winelands 12%). Eleven per cent of the mothers had previously heard about the Vitamin A Supplementation Programme (Cape Metropole 12%; West Coast Winelands 6%). More than 81% of PHC managers indicated that health staff had been trained to implement the Vitamin A Supplementation Programme. The main problems identified by health staff in the two regions were lack of vitamin A capsules, inadequate training and difficulties in implementing the Programme.ConclusionsOpportunities to administer vitamin A were underutilised in both regions. Recommendations such as improving mothers' awareness of the benefits of vitamin A and training of PHC nurses were made to the provincial Department of Health and are being implemented to improve the effectiveness of the Programme.

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20

Addo-Nkrumah, Betty K. "Perception of Postgraduate Students on Customer Service at the School of Graduate Studies, University of Cape Coast." Journal of Business and Enterprise Development (JOBED) 8 (February 24, 2021): 177–205. http://dx.doi.org/10.47963/jobed.v8i0.122.

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The aim of this study was to examine the quality of service provided by the School of Graduate Studies, University of Cape Coast to its students (customers). This study employed a descriptive survey design. A questionnaire designed by the researchers was used to obtain data from 400 postgraduate students (customers), using the stratified sampling technique. Data were presented and analyzed using descriptive statistics which included frequencies, percentages, means and standard deviation. The study found that staff members at the School of Graduate Studies, University of Cape Coast provide quality services to postgraduate students at different dimensions when they seek assistance. It was therefore recommended that the Directorate of Human Resource in collaboration with Training and Development Section of the University of Cape Coast should include aspect of customer care topics in the training programmes for all categories of staff in order to improve professionalism in tangibility dimension of service delivery.

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21

Teo, Stephen SS, Arjun Rao, and Jason Acworth. "Paediatric acute care: Highlights from the Paediatric Acute Care-Advanced Paediatric Life Support Conference, Gold Coast, 2017." Emergency Medicine Australasia 30, no. 4 (April 25, 2018): 581–84. http://dx.doi.org/10.1111/1742-6723.12983.

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22

Retsas, Andrew. "Directions in critical care nursing education at Griffith University, Gold Coast campus." Australian Critical Care 6, no. 3 (September 1993): 17. http://dx.doi.org/10.1016/s1036-7314(93)70133-2.

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23

Harrison, Robin. "Unit Profile: Central Coast Area Health Service – Gosford Hospital Intensive Care Unit." Australian Critical Care 9, no. 1 (March 1996): 9. http://dx.doi.org/10.1016/s1036-7314(96)70303-x.

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24

Abdul Ghani, Radiah, and Saezah Salehudin. "Traditional Belief and Practice on Postpartum Recovery among Mothers in East Coast of Peninsular Malaysia." MATEC Web of Conferences 150 (2018): 05067. http://dx.doi.org/10.1051/matecconf/201815005067.

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Postpartum care is highly important to prevent maternal and infant morbidity. In Malaysia, there are several traditional postpartum care practices by mothers. Different states adopted different ways to perform those practices. In spite of long and established practices in Malaysia, its effect and safety profile is not well understood. This study aims to gain an understanding of the traditional practices that Malay women follow in relation to postpartum care and the rationales underpinning such practices. A cross sectional study (n=100) was conducted using self-administered questionnaire consists of demographic information, practice of postpartum care and knowledge of postpartum care. Data was analyzed using Statistical Package Social Software (2.0). The findings shown that, there was no significant association of socio-demographic data with confinement period (p>0.05). For postpartum dietary practice, there were only association between age and encourage more water intake (p=0.047, p<0.05) and also between number of children and prohibit greasy food (p=0.032, p<0.05). For association between socio-demographic data and postpartum physical practice, there was only association between age and body scrub (p=0.046, p<0.05). The most significant factor that influenced postpartum care practice and its knowledge was family tradition with 83% and 97%, respectively. Traditional postpartum care practice is still significant and dominant among mothers in Kuantan, Pahang. This information is important for health care professional to educate women and provide strategies to help them to integrate their beliefs and the practices recommended in contemporary health care practice.

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Korkoi Aboh, Irene. "Development Of A Model For The Care Of The Aged In The Cape Coast Metropolitan Area, Ghana." Gerontology and Geriatric Medicine 6, no. 3 (June 30, 2020): 1–10. http://dx.doi.org/10.24966/ggm-8662/100055.

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26

Obiri-Yeboah, Dorcas, Yaw Asante Awuku, George Adjei, Obed Cudjoe, Anna Hayfron Benjamin, Evans Obboh, and Daniel Amoako-Sakyi. "Post Hepatitis B vaccination sero-conversion among health care workers in the Cape Coast Metropolis of Ghana." PLOS ONE 14, no. 6 (June 28, 2019): e0219148. http://dx.doi.org/10.1371/journal.pone.0219148.

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27

Carrodus, Matt, and Marcia Dwonczyk. "Gold Coast Primary Care Partnership Council: partnership and innovation that makes a difference." Australian Journal of Primary Health 15, no. 3 (2009): 194. http://dx.doi.org/10.1071/py09016.

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The Gold Coast Primary Care Partnership Council is bringing together diverse stakeholders to improve the health and wellbeing of their community. The inaugural chairperson and coordinator reflect on the high level of enthusiasm to work together as a promising start to building sustainable partnerships.

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Lee, Sung-Ae, and Seok-Heon Jang. "The Research on Improving Mental Health Care for Officials in Korea Coast Guard." Korean Association of Maritime Police Science 9, no. 3 (August 31, 2019): 223–47. http://dx.doi.org/10.30887/jkmps.2019.9.3.223.

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Neilson, Claire, and Leanne Roberts. "Sharing the Caring - Reinvigorating GP Ante-natal Share Care on the Central Coast." International Journal of Integrated Care 18, s1 (March 12, 2018): 76. http://dx.doi.org/10.5334/ijic.s1076.

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30

Bowling, Ann. "Priority Setting: The Health Care Debate, Joanna Coast, Jenny Donovan and Stephen Frankel." Health & Place 4, no. 1 (March 1998): 99. http://dx.doi.org/10.1016/s1353-8292(97)00031-2.

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31

Southard, Samuel. "Pastoral Care and Counseling North and South: After an Evangelical West Coast Exposure." Review & Expositor 92, no. 3 (August 1995): 337–45. http://dx.doi.org/10.1177/003463739509200305.

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32

Hemson, David. "The Burden of Care: Water, Health and Gender in the Dolphin Coast Concession." Urban Forum 18, no. 3 (October 5, 2007): 211–25. http://dx.doi.org/10.1007/s12132-007-9013-6.

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33

D. Meek, Paul. "Eucalypt decline and dead trees: if it's not sexy few seem to care." Pacific Conservation Biology 14, no. 4 (2008): 240. http://dx.doi.org/10.1071/pc080240.

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Whether its Bell Miner Associated Dieback (BMAD), Eucalypt Decline or as the wording of the Key Threatening Process nomination states "Forest eucalypt dieback associated with over-abundant Bell Miners Manorina melanophrys, and psyllids, the phenomena of eucalypt decline on the east coast of Australia is serious. Approximately 781,000 hectares of east coast forests are currently predisposed to decline (Vic Jurskis unpub. data 2008). Among all the forms of dieback affecting east coast forest types, BMAD is one of the most serious and over $700,000 has been spent in the last few years trying to work out the what, why and where of managing this threat to forest ecosystems. Despite a 'task force' (the BMAD Working Group) having been set up to report on Bell Miner Associated Dieback, to the majority of Australian's, it either doesn't exist, they cannot agree on an acceptable term to describe it or it is not on their "peril radar". Substantial effort has been invested trying to unravel the mystery of BMAD and mitigating its impacts. Yet, to some decision makers, BMAD is not important and they see little association between this phenomena and drought, poor land management, weeds, fire and climate change; issues which do seem to capture their attention.

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Wicker, Christina, and Rachael Smithson. "Integrated Care on the Gold Coast: How design thinking supported the development of people-centred integrated models of care." International Journal of Integrated Care 19, no. 4 (August 8, 2019): 202. http://dx.doi.org/10.5334/ijic.s3202.

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35

Landers, Amanda, Danielle Dawson, and Fiona Doolan-Noble. "Evaluating a model of delivering specialist palliative care services in rural New Zealand." Journal of Primary Health Care 10, no. 2 (2018): 125. http://dx.doi.org/10.1071/hc18004.

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ABSTRACT INTRODUCTIONVarious methods of delivering specialist palliative care to rural areas have been discussed in the literature, but published evaluations of these models are sparse. This study surveyed the stakeholders of a rural specialist palliative care service (SPCS) to help identify potential gaps and inform planning regarding the future vision. METHODSA survey was sent to all relevant stakeholders across the West Coast of New Zealand, including staff in primary care, aged residential care and the hospital. It focused on understanding the local model of palliative care, the quality of the current service and perceived gaps. RESULTSThirty-three per cent of the surveys were returned, from a cross-section of health-care providers. The medical respondents rated the quality of the service higher than nursing and allied health participants. All of the groups reported feeling the specialist palliative care team (SPCT) was under-resourced. Additional educational opportunities were considered essential. DISCUSSIONStakeholders found the service easy to access, but improvements in communication, educational opportunities and forward planning were identified as being needed. This information helps the West Coast SPCT plan its future direction and develop a higher-quality service that meets the needs of all stakeholders.

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MARKEY, CAROLYN. "VNAA CHAMP: Nation???s First Geriatric Practice Improvement Program Enrolls HHAs From Coast to Coast." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 24, no. 4 (April 2006): 261. http://dx.doi.org/10.1097/00004045-200604000-00016.

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37

Senyametor, Felix, Emmanuel Kofi Gyimah, and Vincent Mensah Minadzi. "Factors Affecting Pupils’ Absenteeism at Felicormfort Junior High School (JHS) in Cape Coast, Ghana." Journal of Education and Learning 7, no. 6 (September 27, 2018): 138. http://dx.doi.org/10.5539/jel.v7n6p138.

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This study aimed at finding out factors affecting pupils’ absenteeism at Felicomfort JHS at Amamoma within the University of Cape Coast, Ghana. The total population was 145 covering the JHS1, JHS2, JHS3 pupils and teachers of the school. Purposive sampling technique was used to select 34 respondents. These were made up of 10 out of 15 teachers, 10 parents out of 53 and 14 pupils out of their accessible population of 56. Pretest, posttest, questionnaires and interviews were used to collect data from respondents. Case study design was used for the study and data analysis was done, using mean values, frequency and percentage counts with the Predictive Analytical Software (PASW) version 21. Key findings of the study indicated that 71.4 percent of absenteeism was due to teachers’ inability to care and find out from pupils the cause of their absenteeism, while 70 percent of respondents indicated that parental lack of care was the major cause of their absenteeism. However, majority (10) of respondents (71%) disagreed that pupils’ attitudes were part of the contributory factors to their habitual absenteeism. The overall percentage mean (58%) representing 8 of the pupils discounted teacher factor as responsible for their absenteeism. It was recommended that government through the District Assemblies offer some financial assistance to poor and single parents to enable them to adequately cater for their wards at school.

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Landeg, Owen, Geoff Whitman, Kate Walker-Springett, Catherine Butler, Angie Bone, and Sari Kovats. "Coastal flooding and frontline health care services: challenges for flood risk resilience in the English health care system." Journal of Health Services Research & Policy 24, no. 4 (July 23, 2019): 219–28. http://dx.doi.org/10.1177/1355819619840672.

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Objectives Our objective was to assess the health care system impacts associated with the December 2013 east coast flooding in Boston, Lincolnshire, in order to gain an insight into the capacity of the health care sector to respond to high-impact weather. Methods Semistructured interviews were held with regional strategic decision makers and local service managers within 1 km of the recorded flood outline to ascertain their experiences, views and reflections concerning the event and its associated health impacts and disruption to health care services. A snowballing sampling technique was used to ensure the study had participants across a broad range of expertise. Interviews were recorded and transcribed verbatim, and data analysis was preformed using NVivo (v10) to apply a thematic coding and develop a framework of ideas. Results The results of this case study provide a vital insight into the health care disruption caused by flooding. All sectors of the health care system suffered disruption, which placed a strain on the whole system and reduced the capacity of the sector to respond to the health consequences of flooding and delivering routine health care. The formal recovery phase in Lincolnshire was stood-down on 4th February 2014. The results of this work indicate limitations in preparedness of the health care system for the reasonable worse-case scenario for an east coast surge event. Conclusions The health care sector appears to have limited capacity to respond to weather-related impacts and is therefore unprepared for the risks associated with a future changing climate. Further work is required to ensure that the health care system continues to review and learn from such events to increase climate resilience.

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Stuart, Gina M., and Helen L. Kale. "Fall prevention in central coast community pharmacies." Health Promotion Journal of Australia 29, no. 2 (May 15, 2018): 204–7. http://dx.doi.org/10.1002/hpja.167.

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Chege, Njeri. "Children’s Personal Data: Discursive Legitimation Strategies of Private Residential Care Institutions on the Kenyan Coast." Social Sciences 7, no. 7 (July 13, 2018): 114. http://dx.doi.org/10.3390/socsci7070114.

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This article looks at how charity organizations running private residential child care institutions on the Kenyan coast make use of the personal data of children in their care, as a means of securing and maintaining the support of donors from the global North. The strategy involves the online showcasing of children’s profiles—individual children’s photos, accompanied by their names, birth dates, annual development, and their emotion-inducing personal and/or family histories are posted on the respective organizations’ websites, making them accessible to the global public. I analyze and problematize this practice, positing that while it explicitly serves fund-raising purposes and is motivated by the search for cost-effective fund-raising-oriented communication, at a more implicit level, it is equally a strategy used to discursively legitimize the organizations and their child ‘rescue’ activities, within the contemporary climate of deinstitutionalization. This strategy results in a violation of children’s rights; has ethical implications; and is not without consequences for the concerned children’s well-being.

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LAPORTE-PINFILDI, Anna Sylvia de Campos, and Maria Angélica Tavares de MEDEIROS. "Nutritional care during prenatal and postpartum periods: A report of experiences in a city on São Paulo's coast." Revista de Nutrição 29, no. 6 (December 2016): 947–61. http://dx.doi.org/10.1590/1678-98652016000600016.

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ABSTRACT The purpose of this study is to present a report of the experiences of the adoption of the Approach to Nutritional Care during Prenatal and Postpartum Periods, resulting from a partnership between the university and the municipal primary health care system of Santos, SP, Brazil. This approach was developed through joint work plans based on the need to incorporate nutritional care into the prenatal and postpartum care. All stages of design and implementation and the results of this strategy were documented in a field diary. This approach was adopted in two basic health units between 2010 and 2014. The stages of this process were planned in conjunction with health care teams and consisted of putting together interdisciplinary groups for nutrition education during the prenatal period. Interdisciplinary educational group meetings were held focusing on listening to the needs of pregnant women, the provision of prenatal nutritional care, and on the project to monitor the nutritional status of newborns through home visits up to the 15 days of postpartum. The interdisciplinary activities strengthened the bond between the users and the health care team members, contributing to the provision of effective care and promoting integrality. Home visiting contributed to encourage exclusive breastfeeding.

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Amankwah, Oti, Choong Weng-Wai, and Abdul Hakim Mohammed. "Modelling the Mediating Effect of Health Care Healing Environment on Core Health Care Delivery and Patient Satisfaction in Ghana." Environmental Health Insights 13 (January 2019): 117863021985211. http://dx.doi.org/10.1177/1178630219852115.

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Objective: The multifaceted nature of health care delivery has led to the need to incorporate strategies that will help to enhance performance and maintain the quality of the health care environment. However, even though dedicated health care staffs contribute to patients’ satisfaction of health care delivery, the health care environment must ensure the safety and well-being of patients. Like most developing countries, many public hospitals in Ghana are faced with challenges in the area of health care healing environment. Therefore, this article investigates the mediating effect of health care healing environment between health care core business and patients’ satisfaction. Method: This is a cross-sectional study involving adult patients of Komfo Anokye Teaching Hospital, Tamale Teaching Hospital, and Cape Coast Teaching Hospital in Ghana. A questionnaire survey based on the ‘A Staff and Patient Environment Calibration Toolkit (ASPECT)’ dimensions and health care core service dimensions was used to collect data from 622 patients. SmartPLS was used to analyse the data collected. Results: The findings of the study show that the quality of health care healing environment mediates the relationship between patients’ satisfaction and all of the constructs under the core health care delivery. Conclusion: Stakeholders of the Ghanaian health care sector should take initiatives to constantly improve the quality of health care healing environment as it has an influence on patient satisfaction of the overall core health care delivery.

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Pitt, Lesley. "Woolsheds, wet weather gear and the West Coast: Social work practice in Taranaki." Aotearoa New Zealand Social Work 22, no. 3 (July 8, 2016): 39–47. http://dx.doi.org/10.11157/anzswj-vol22iss3id182.

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Foster, L., T. Clark, T. Patrick, M. Foster, and G. Comadira. "Central line associated bloodstream infection (CLABSI) at gold coast hospital (GCH) intensive care unit." Australian Critical Care 25, no. 2 (May 2012): 120–21. http://dx.doi.org/10.1016/j.aucc.2011.12.005.

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Walters, Richard Sarfo. "Knowledge, Attitudes and Practices of Postoperative Pain Assessment and Management among Health Care Practitioners in Cape Coast Metropolis, Ghana." TEXILA INTERNATIONAL JOURNAL OF NURSING 6, no. 1 (April 30, 2020): 1–13. http://dx.doi.org/10.21522/tijnr.2015.06.01.art001.

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Foster, Lynelle, and Anne McMurray. "Community Parenteral Therapy Project: A pilot study." Australian Health Review 21, no. 1 (1998): 98. http://dx.doi.org/10.1071/ah980098.

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The pilot study reported in this paper was devised to develop and compare servicedelivery models that would achieve the provision of high quality parenteral therapycare to patients in the Gold Coast District Health Service community. All data werecollected on 113 patients for a 12-month period, January to December 1996. Thestudy compared the provision of outreach nursing services and contracted nursingservices on measures of satisfaction and cost.The study showed that patient and carers indicated a preference for community care,medical officers advocated the benefits of administering parenteral therapies in thecommunity, general practitioners were interested in managing future communityparenteral therapies, and contracted (nurse) service providers endorsed the developmentof a parenteral therapy resource centre. The findings also revealed considerablepotential cost savings in community-based care.

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Adelson, Kerin B., Salimah Velji, Kavita Patel, Basit Chaudhry, Sonia Grizzle, Catherine A. Lyons, and Rogerio Lilenbaum. "Understanding total cost of cancer care to determine strategic interventions to improve value." Journal of Clinical Oncology 34, no. 7_suppl (March 1, 2016): 4. http://dx.doi.org/10.1200/jco.2016.34.7_suppl.4.

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3 Background: Cancer centers across the country are largely unprepared to move toward value-based payment. Total cost of care data is not readily available and centers do not know how much of their patients’ care is received at other hospitals, when in the trajectory of illness greatest cost is incurred, or the elements of care that present the greatest opportunity for savings. A previous examination of practice patterns Smilow Cancer Hospital (SCH) demonstrated that our patients had high rates of ED visits, hospital admissions and ICU use in their last month of life. While this data is consistent with other large academic cancer centers (AMCs), there is a clear opportunity to improve our end-of-life planning and reduce futile care. Cost data supplemented the overutilization analysis, informing the infrastructure investments to prepare us for value-based payment models. Methods: We accessed the 5% Medicare Limited Dataset (2012-2013) to map out cost of care in 6-month episodes for all Medicare patients receiving chemotherapy. Patients who had received chemotherapy at a SCH site were flagged and the analysis included all cost of care, regardless of the site of service or type of professional delivering the service. Results: On average, a first episode of care at SCH cost $26,500, a second episode $38,000 and a third $45,600. Our analysis demonstrated important associations between increases in spending and ED utilization. Patients who had 1 or fewer ED visits during an episode, averaged $21,000 vs. $49,000 for those with 2 or more. Patients who died during an episode cost $53,000 compared to $25,600 for patients who lived. SCH episodes were significantly more expensive than CT, and slightly more than a comparable east coast Academic Medical Center. Conclusions: The above demonstrates that aggressive treatments, ED visits and hospital admissions at the end-of-life are major cost drivers. We used the analysis to target infrastructure investments in Urgent Care to reduce ED utilization, Care Management to prevent hospital admissions/readmissions and early referral to Palliative Care for clarification of goals of care. We believe these investments will lead to significant cost reductions.

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Issahaku, Gyesi, Franklin Asiedu-Bekoe, Samuel Kwashie, Francis Broni, Paul Boateng, Holy Alomatu, Ekua Houphouet, Afua Asante, Donne Ameme, and Ernest Kenu. "Protracted cholera outbreak in the Central Region, Ghana, 2016." Ghana Medical Journal 54, no. 2 (August 31, 2020): 45–52. http://dx.doi.org/10.4314/gmj.v54i2s.8.

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Objective: On 24th October 2016, the Central Regional Health Directorate received report of a suspected cholera outbreak in the Cape Coast Metropolis (CCM). We investigated to confirm the diagnosis, identify risk factors and implement control measures.Design: We used a descriptive study followed by 1:2 unmatched case-control study.Data source: We reviewed medical records, conducted active case search and contact tracing, interviewed case-patients and their contacts and conducted environmental assessment. Case-patients' stool samples were tested with point of care test kits (SD Bioline Cholera Ag 01/0139) and sent to the Cape Coast Teaching Hospital Laboratory for confirmation.Main outcomes: Cause of outbreak, risk factors associated with spread of outbreakResults: Vibrio cholerae serotype Ogawa caused the outbreak. There was no mortality. Of 704 case-patients, 371(52.7%) were males and 55(7.8%) were aged under-five years. The median age was 23 years (interquartile range: 16-32 years). About a third 248(35.2%) of the case patients were aged 15-24 years. The University of Cape Coast subdistrict was the epicenter with 341(48.44%) cases. Compared to controls, cholera case-patients were more likely to have visited Cholera Treatment Centers (CTC) (aOR=12.1, 95%CI: 1.5-101.3), drank pipe-borne water (aOR=11.7, 95%CI: 3.3-41.8), or drank street-vended sachet water (aOR=11.0, 95%CI: 3.7-32.9). Open defecation and broken sewage pipes were observed in the epicenter.Conclusion: Vibrio cholerae serotype Ogawa caused the CCM cholera outbreak mostly affecting the youth. Visiting CTC was a major risk factor. Prompt case-management, contact tracing, health education, restricting access to CTC and implementing water sanitation and hygiene activities helped in the control.Keywords: Cholera outbreak, Vibrio cholerae serotype Ogawa, Cholera treatment center, Water sanitation and hygiene, Cape Coast MetropolisFunding: This work was supported by Ghana Field Epidemiology and Laboratory Training Program (GFELTP), University of Ghana

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Kunu, Etornam Kwame, and Agbede Philip Sunday. "Statistical Analysis of Patients Waiting Time in Accessing Health Care Services in Ghana: A Case Study of University of Cape Coast Hospital." International Journal of Technology and Management Research 6, no. 1 (May 5, 2021): 14–27. http://dx.doi.org/10.47127/ijtmr.v6i1.113.

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Delayed access to health care in terms of diagnosis and treatment has unforeseen health and cost implications on the patients and the public health system in general. Thus, the study examines patients’ waiting time in accessing health care services. The study employs a convenience sampling technique in collecting data from a sample of 350 Outpatients using a questionnaire. The main analytic tools used in the study are the paired sample t-test, binary logistic regression and SmartPLS structural equation modelling. Results from the study show that the actual waiting times of patients are generally higher than the expected times. Furthermore, the probability of a patient’s waiting time being rated as unacceptable is affected by the Day of attendance, Arrival time of patients, Large number of patients or long queue, Long registration time, Type of diagnosis, and Type of treatment sought. Finally, the study also establishes that there is no relationship between socio-demographic characteristics and unacceptable waiting time, as well as no relationship between hospital factors and unacceptable waiting time. Additionally, the study shows that unacceptable waiting time does not have any influence on overall patients’ satisfaction. However, a strong positive relationship between process factors and unacceptable waiting time was established. The study recommends that there is the need for health care policy formulators to adopt more efficient strategies, like use of computer modelling to help assign appointment time to patients, so as to significantly reduce the time patients spend waiting at the hospitals. Citation: Kunu, E. K. and Agbede, P. S. (2021). Statistical Analysis of Patients Waiting Time in Accessing Health Care Services in Ghana: A Case Study of University of Cape Coast Hospital. International Journal of Technology and Management Research. Vol. 6, Issue 1: 14－27. Received: October 23, 2020Accepted: March 30, 2021

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Herrera Fontana, M. E., A. M. Chisaguano, V. Villagomez, M. Villar, N. Castro, L. Pozo, and P. Beltrán. "Food insecurity and diet diversity in vulnerable households of the ecuadorian coast: Post-earthquake analysis." Clinical Nutrition 37 (September 2018): S126—S127. http://dx.doi.org/10.1016/j.clnu.2018.06.1475.

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