Journal articles on the topic 'Community health services – finance'
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1
Adams, Jennifer, and Emily Hannum. "Children's Social Welfare in China, 1989–1997: Access to Health Insurance and Education." China Quarterly 181 (March 2005): 100–121. http://dx.doi.org/10.1017/s0305741005000068.
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Fundamental changes in China's finance system for social services have decentralized responsibilities for provision to lower levels of government and increased costs to individuals. The more localized, market-oriented approaches to social service provision, together with rising economic inequalities, raise questions about access to social services among China's children. With a multivariate analysis of three waves of the China Health and Nutrition Survey (1989, 1993 and 1997), this article investigates two dimensions of children's social welfare: health care, operationalized as access to health insurance, and education, operationalized as enrolment in and progress through school. Three main results emerge. First, analyses do not suggest an across-the-board decline in access to these child welfare services during the period under consideration. Overall, insurance rates, enrolment rates and grade-for-age attainment improved. Secondly, while results underscore the considerable disadvantages in insurance and education experienced by poorer children in each wave of the survey, there is no evidence that household socio-economic disparities systematically widened. Finally, findings suggest that community resources conditioned the provision of social services, and that dimensions of community level of development and capacity to finance public welfare increasingly mattered for some social services.
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Arora, Manisha, George Koshy, and Vandana Gangadharan. "Determinants of utilization of health services." International Journal Of Community Medicine And Public Health 6, no. 12 (November 27, 2019): 5206. http://dx.doi.org/10.18203/2394-6040.ijcmph20195471.
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Background: Health care in India is a complex amalgam involving various stakeholders. For decades it has been a neglected area with reluctance in increasing the inputs such as finance or infrastructure required to drive this system. Utilization and access to this health system is a key indicator and major determinant of health seeking behaviour.Methods: This community based cross sectional study was conducted from January-February 2016 in, the urban slum located in a metro city using a pretested, semi-structured questionnaire. The data was analyzed using SPSS 22.Results: More than half of the participants preferred to seek treatment from a public health care facility compared to a private. One of the most predominant determining factors on choosing a particular health facility was affordability. Main barriers perceived in utilization of health services were long waiting time at the health facility and expenditure on treatment.Conclusions: The key for ensuring adequate and appropriate utilization of health care services is in having an efficient government health care delivery system which can offer quality and affordable medical care to one and all.
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Warner, Mildred E., Yuanshuo Xu, and Lydia J. Morken. "What Explains Differences in Availability of Community Health-Related Services for Seniors in the United States?" Journal of Aging and Health 29, no. 7 (June 21, 2016): 1160–81. http://dx.doi.org/10.1177/0898264316654675.
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Objective: This study analyzes the links between planning, the built environment, and availability of health-related community services across U.S. urban and rural communities. Method: We analyze the first national survey of health-related community services for seniors (2010 Maturing of America), covering 1,459 U.S. cities and counties. We tested the influence of morbidity (diabetes and obesity), city management, socioeconomic characteristics, planning and the built environment, metro status, and government finance. Results: Community health-related services are more common in places that plan for and involve seniors in planning processes. Places with higher need and government capacity also show higher levels. Service levels in rural communities are not lower after controlling for other population characteristics. Morbidity measures (diabetes and obesity) do not explain differences in service availability. Discussion: Policies promoting planning for aging and elder involvement in the planning process have the greatest impact on the level of community health-related services for seniors.
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Kahn, Linda S. "Community, Clinics, and Courts: An Applied Anthropology Journey." Practicing Anthropology 42, no. 1 (January 1, 2020): 17–20. http://dx.doi.org/10.17730/0888-4552.42.1.17.
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Abstract This article describes my non-linear path to becoming an applied medical anthropologist. After earning a Ph.D. in cultural anthropology (UC Berkeley), my career has spanned corporate finance, college teaching, psychiatry research, evaluation, health services research, and community-based research. Each career juncture provided opportunities to develop new skills and knowledge—with applications to medical anthropology.
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Wang, Xishi. "An Integrated System of Community Services for the Rehabilitation of Chronic Psychiatric Patients in Shenyang, China." British Journal of Psychiatry 165, S24 (August 1994): 80–88. http://dx.doi.org/10.1192/s0007125000293021.
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The evolution of the Zhengyang Community Mental Health Rehabilitation Centre described in this paper proves that community-based mental health services initiated and developed by enthusiastic and committed community members can be successful in the Chinese setting. The most important step is to utilise community resources to secure a stable source of income, preferably by establishing a profitable welfare enterprise that can both finance the provision of other services and provide work for mentally ill clients who cannot obtain regular employment. The ultimate goal is to reintroduce as many clients back into the community as possible, so a range of services is needed: supervision of medication, social skills training, occupational rehabilitation, and, most importantly, work placement. The vitality of the organisation depends on its flexibility and responsiveness to the changing needs of patients; it must use its experience to guide policy decisions about the development of new services and the alteration or termination of existing services.
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Nshakira-Rukundo, Emmanuel, Essa Chanie Mussa, Nathan Nshakira, Nicolas Gerber, and Joachim von Braun. "Impact of community-based health insurance on utilisation of preventive health services in rural Uganda: a propensity score matching approach." International Journal of Health Economics and Management 21, no. 2 (February 10, 2021): 203–27. http://dx.doi.org/10.1007/s10754-021-09294-6.
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AbstractThe effect of voluntary health insurance on preventive health has received limited research attention in developing countries, even when they suffer immensely from easily preventable illnesses. This paper surveys households in rural south-western Uganda, which are geographically serviced by a voluntary Community-based health insurance scheme, and applied propensity score matching to assess the effect of enrolment on using mosquito nets and deworming under-five children. We find that enrolment in the scheme increased the probability of using a mosquito net by 26% and deworming by 18%. We postulate that these findings are partly mediated by information diffusion and social networks, financial protection, which gives households the capacity to save and use service more, especially curative services that are delivered alongside preventive services. This paper provides more insight into the broader effects of health insurance in developing countries, beyond financial protection and utilisation of hospital-based services.
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Pang, A. H. T., L. C. W. Lam, and H. F. K. Chiu. "Developing psychogeriatric services in Hong Kong." Psychiatric Bulletin 19, no. 8 (August 1995): 506–8. http://dx.doi.org/10.1192/pb.19.8.506.
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Hong Kong is an international trade and finance centre situated on the southern coast of China, offering a unique blend of Western culture and Chinese tradition. With a largely private primary health care system, psychiatric services here have been predominately hospital centred. Following the 1992 Government Review of Rehabilitation Program Plan (Secretary of Health and Welfare, Hong Kong, 1992) development of community-based services has become the major local issue. Psychogeriatrics is the first sub-speciality to have achieved major progress in this area. Such a development illustrates how local psychiatrists faced the challenge of applying Western models to suit an Oriental population with a different socio-cultural value system.
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Suhadi, Nani Yuniar, Adrian Tawai, and Hasmirah. "The relationship of the quality of health services assurance dimensions with patient satisfaction in health services in Lepo-Lepo Health Centers Kendari City, Indonesia." GSC Advanced Research and Reviews 12, no. 1 (July 30, 2022): 148–54. http://dx.doi.org/10.30574/gscarr.2022.12.1.0196.
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Background: Currently, Public Health Center are faced with progress in human civilization which demands fast, quality and satisfying health services for customers. To deal with these demands, the Public Health Center should carry out service management engineering following developments in the community. Objective: The purpose of the study was to determine the relationship between the quality of health services on the assurance dimension and patient satisfaction at the Lepo-Lepo Public Health Center, Kendari City in 2021. Methods: The type of research used was an analytical survey research with a Cross Sectional Study approach. The study population was 448 patients. The research sample taken was 211 patients. Collecting data by using a questionnaire. Data analysis was performed by Univariate and Bivariate. Results: The results showed that there was a relationship between assurance and patient satisfaction in health services at the Lepo-Lepo Health Center, Kendari City, with a value of p=0.042 (p>0.05). Conclusion: There is a relationship between assurance and patient satisfaction in health services at the Lepo-Lepo Health Center, Kendari City.
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Prabowo, Purwoko Aji, Bambang Supriyono, M. R. Khairul Muluk, and Irwan Noor. "THE IMPLEMENTATION OF THE SPECIAL AUTONOMY OF PAPUA PROVINCE FROM THE ASPECT OF IMPROVING PUBLIC SERVICES." Jurnal Pertahanan: Media Informasi ttg Kajian & Strategi Pertahanan yang Mengedepankan Identity, Nasionalism & Integrity 6, no. 1 (April 4, 2020): 59. http://dx.doi.org/10.33172/jp.v6i1.591.
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<p>This research is motivated by the implementation of special autonomy in Papua Province to overcome the unequal welfare problems compared to other provinces in Indonesia. The welfare issues raised in this study cover the fields of education, health, finance, and infrastructure. This research views the special autonomy policy of Papua Province as the formation of institutions, the transfer of authority, and financial management to improve the welfare of the community. Therefore, this study aims to explain the facts related to institutions, authority, and financial management in Special Autonomy in Papua Province to improve the welfare of the community. This research was conducted an assessment program activities approach and data collection through in-depth interviews and documents. Institutions and powers to make welfare include institutions and authorities in terms of education, health, finance, and infrastructure, each of which is carried out by the education office, health office, special autonomy bureau of the regional secretariat and regional financial and asset management agencies, and public works services. Meanwhile, financial arrangements in terms of education are carried out with formal and non-formal PAUD financial allocations (5%), 6-year compulsory basic education in elementary school (35%), 3 years of junior high school (25%), high school (10%), Vocational High Schools (5%), Non-formal and Informal Education (10%), other relevant Higher Education and Education (10%), health is carried out with a 15% fund allocation, the finance is carried out with a 25% fund allocation, and infrastructure is allocated funds of 20%.</p>
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Brooker, Charles, and Paul Beard. "Psychiatric Nursing — Quo Vadis?" Bulletin of the Royal College of Psychiatrists 9, no. 4 (April 1985): 70–72. http://dx.doi.org/10.1192/s0140078900001668.
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In the last year or so the future of mental health services in this country has been intensively discussed. COHSE, MIND, and the Richmond Fellowship have produced their ‘blueprints', outlining details of the way they see services being organized. All variety of professional organizations have been busy presenting evidence to the House of Commons Social Services Committee which is specifically examining community care. The DHSS has committed more joint finance to ‘care in the community’ projects and Regional Health Authorities are examining the strategies to close large psychiatric hospitals. Consequently, District Health Authorities, in many cases, are planning the shape of a new mental health service which places increasingly less reliance on the large institution. The phrase ‘community care’ has now become so hackneyed in planning circles that for many it has lost whatever meaning it may have once had. However, despite all the rhetoric, and indeed all the planning activity, psychiatric nurses themselves have still to voice coherently their thoughts and fears about the shape of things to come.
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Lopes, Phillip M., and Andrew W. Nichols. "Community Financed and Operated Health Services: The Case of the Ajo-Lukeville Health Service District." Journal of Rural Health 6, no. 3 (July 1990): 273–85. http://dx.doi.org/10.1111/j.1748-0361.1990.tb00667.x.
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Molla, Aashagre, and Netsanet Fentahun. "Predictors of Willingness to Participate in Health Insurance Services among the Community of Jimma Town, Southwest Ethiopia." Health Services Insights 7 (January 2014): HSI.S18046. http://dx.doi.org/10.4137/hsi.s18046.
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Health insurance schemes are increasingly recognized as tools to finance health care provision in low-income countries. The main objective of this study was to find out the awareness of and demand for health insurance and to identify those reasons that influence the demand in Jimma town, southwest Ethiopia. We conducted a community-based cross-sectional quantitative study on 741 households from December 1 to December 31, 2012. Data were analyzed using Statistical Package for Social Sciences (SPSS) version 16. Presence of chronic illness in the family was the predictor of the willingness to take part in health insurance. Most of the participants have awareness about insurance, but they did little and/or gave unrelated explanation about health insurance. Only half of the participants (51.5%) wanted to have health insurance. Major reasons for not being willing to participate in health insurance were religious values and beliefs, ability to pay for their health-care cost, and feeling of being unable to pay the premium because of low income.
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Mahmud Hakim and Dety Mulyanti. "Peranan Dan Fungsi Sistem Informasi Manajemen Rumah Sakit (SIMRS): Tinjauan Teoritis." Journal Clinical Pharmacy and Pharmaceutical Science 2, no. 1 (April 26, 2023): 42–49. http://dx.doi.org/10.61740/jcp2s.v2i1.20.
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The hospital is a health service institution that provides comprehensive individual and group health services that provide inpatient, outpatient and emergency services. Hospital services cannot be separated from the hospital management information system (HMIS). HMIS is part of a health information system in the form of a network of coordination, reporting and administrative procedures to obtain precise and accurate information. The purpose of this theoretical review is to find out how the role and function of the hospital information management system are. The method used is a theoretical review by analyzing and comparing existing theories. The results of this theoretical review are to support community management in order to improve health services for the whole community whose role is to improve service efficiency, finance, health facilities, inventory, staff, information and data integration. It can be concluded that HIMS is an important instrument in the operation of a hospital in modern times. So that the process of collecting, processing, and presenting data about hospitals can be done much easier. In its role and function, HIMS is integrated and systematic and improves service quality, maintains good and correct standards of medical practice and becomes a very effective coordinating tool.
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Glover, Gyles. "How much English health authorities are allocated for mental health care." British Journal of Psychiatry 175, no. 5 (November 1999): 402–6. http://dx.doi.org/10.1192/bjp.175.5.402.
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The authors of the King's Fund report on London's mental health services (Johnson et al, 1997) argued that the formula used by the Department of Health to allocate resources to health authorities fails to meet the needs of inner cities. It is difficult to explore this issue because the principal allocation to district health authorities is set out as a single figure, with no subdivisions for separate clinical areas. This differs from local government finance, where annual allocations are itemised in a report detailing both major components (education, social services and road maintenance), and subdivisions of these (House of Commons, 1998). However, in the process used by the Department of Health to calculate health service allocations, several areas of clinical work, including the care of the mentally ill and learning disabled, receive distinct consideration. An annual publication sets out the detail (NHS Executive, 1998). Slight reworking allows the identification of implied allocations for the following clinical areas: general and acute; mental illness and learning disability; and other community care. This paper outlines the methodology and shows the allocations to health authorities in England for 1990–2000.
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Khasbulloh, Muhammad Nabil, Titis Thoriquttyas, and Sukron Syaham. "Pemetaan Pelayanan Kesehatan Dasar Masyarakat Desa Tanggaran, Kabupaten Trenggalek: Studi Pendahuluan." PERDIKAN (Journal of Community Engagement) 2, no. 2 (December 29, 2020): 66–76. http://dx.doi.org/10.19105/pjce.v2i2.3953.
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Health is one of the factors that make progress in an area. Handling a health problem in the form of basic health services in each area, as implemented in the Tanggaran village, is one of the village government's actualizations and responsibilities to deal with health problems, such as stunting and sanitation. This study focuses on examining basic health services in Tanggaran Village, Trenggalek Regency. Researchers used the PRA (participatory rural appraisal) method. Besides, data was obtained from a survey on community-related to basic health services with approximately 242 respondents from 3 hamlets. The survey results prove that there are still people in the Tanggaran village who have basic health services problems. The problems that occur do not only come from the village government, but people who are less aware of the importance of a healthy environment. For example, public access to information on health insurance is still limited at health service locations, minimal public service complaints, and community participation in a clean and healthy environment is still low.(Kesehatan termasuk salah satu faktor yang menjadikan kemajuan di suatu daerah. Penanganan terhadap suatu masalah kesehatan berbentuk pelayanan kesehatan dasar pada setiap daerah, seperti yang terlaksana pada Desa Tanggaran merupakan salah satu aktualisasi dan tanggung jawab pemerintah desa untuk menangani masalah kesehatan, seperti stunting dan sanitasi. Penelitian ini berfokus mengkaji tentang pelayanan kesehatan dasar di Desa Tanggaran, Kabupaten Trenggalek. Peneliti menggunakan metode PRA (participatory rural appraisal) atau pemahaman partisipasi kondisi pedesaan. Selain itu data diperoleh dari hasil survei pada layanan kesehatan dasar masyarakat dengan kurang lebih 242 responden dari 3 dusun yang dijadikan fokus. Dari hasil survei membuktikan bahwa masih ada warga masyarakat di Desa Tanggaran yang memiliki masalah layanan kesehatan dasar. Masalah yang terjadi tersebut tidak hanya berasal dari pemerintah desa, akan tetapi masyarakat yang kurang menyadari tentang pentingnya lingkungan sehat. Seperti, akses masyarakat terhadap informasi jaminan kesehatan masih terbatas di lokasi layanan kesehatan, minimnya pengaduan pelayanan publik, dan partisipasi masyarakat terhadap lingkungan hidup bersih dan sehat masih rendah).
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Fadli and Paidi. "Empowering Community Workhsop to Improve Social Welfare through Innovation in Dolok Merawan." ABDIMAS TALENTA: Jurnal Pengabdian Kepada Masyarakat 8, no. 1 (June 26, 2023): 581–90. http://dx.doi.org/10.32734/abdimastalenta.v8i1.10354.
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Innovation plays an important role in realizing the ninth goal of sustainable development growths (SDGs), which focuses on increasing industrial capacity and industrial inclusiveness. Partners in this community service program are business actors in the welding workshop sector who have been running their business since 2007. Our Partners still unable to manage their finance. The failures in financial management make it difficult for partners to renew existing equipment. This condition causes the work environment to be not conducive. In addition, the lack of marketing activities means that partners have never received orders from outside their region. This community services want to solve these problems by transferring science and technology as well as additional assistance and capital provided to business actors. The involvement of students in this service program will encourage the implementation of their knowledge by carrying out learning activities outside the campus in the business world. This dedication shows a change in the behavior of business actors, especially in the field of occupational health and safety. Partners have started to separate business and household finances. Unfortunately, the optimization of business digitalization is still not optimal.
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Booth, Caroline S., Paige Dunlap, and Yudan Wang. "Aggie Disaster Response Mental Health Recovery Network: Hurricane Disaster Recovery in North Carolina." International Journal of Social Science Studies 10, no. 4 (June 23, 2022): 29. http://dx.doi.org/10.11114/ijsss.v10i4.5562.
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As the number of natural disasters and the population of the world continues to increase, it is extremely important that new models of community response and recovery are developed, particularly related to longer-term mental health recovery. To that end and given the need to address behavioral health concerns within North Carolina (NC) for those impacted by Hurricanes Florence and Michael, the Aggie Disaster Response Mental Health Recovery Network (ADRMHRN) was created to support those in post-disaster mental health distress. This network sought to connect clients to services through the creation of an extensive community resource network along with robust mental health service provider partnerships to treat those experiencing longer-term behavioral health recovery challenges. Disaster behavioral health, mental health first responder, clinical best practice trainings for community members, current service providers, and the future behavioral health workforce were additional project components with the ultimate goal to increase quality client care in the community. Preliminary results and implications for future effective disaster response are also shared.
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Dias, Rita, Ana Mafalda Lourenço, Berta São Braz, and Afonso Cavaco. "Reaching for veterinary pharmacy services: an overlooked routine by community pharmacists?" Journal of Pharmaceutical Health Services Research 12, no. 3 (July 28, 2021): 390–96. http://dx.doi.org/10.1093/jphsr/rmab041.
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Abstract Objectives Community pharmacists claim veterinary pharmacy as an integral part of their duties. There a paucity of studies investigating medication and health products’ dispensation for veterinary purposes. This study aimed to probe the Portuguese community pharmacists’ knowledge and behaviour towards veterinary pharmacy practice. Methods A cross-sectional exploratory survey, using an online questionnaire, was sent to a sample of academic-related community pharmacists in greater Lisbon, Portugal (N = 349). The questionnaire addressed participants’ specific education and training, counselling of products, and attitudes towards veterinary prescriptions. Logistic regression was used to estimated participants’ propensity for changing veterinary prescriptions independently. Everyday case scenarios were used to ascertain veterinary pharmacotherapy knowledge. Key Findings Participation reached 57.6% (N = 201), pointing to the theme’s relevance, with 83.6% females and a mean age of 36 years (SD =10.1). A large proportion (71.6%) declared to have received veterinary pharmacy education, although virtually all pharmacists (99.0%) perceived a skills deficit. The overall level of correct decisions regarding case scenarios reached 54%, although most professionals counsel pets’ treatments (85.6%). 18% of the sample declared to have changed a prescription without contacting the veterinarian. The propensity to independent medication changes was associated with being a male pharmacist, having one to two decades of professional experience, and working in community pharmacies with a permanent supply of prescribed veterinary pharmaceuticals. Conclusions Although recognizing limitations in veterinary pharmacy competencies, not all community pharmacists decide to minimize potential hazards to animals’ health as with human health. Present findings reinforce the urgency of further formal education and interprofessional collaboration.
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Usandari, Uli. "Pendistribusian Dana Zakat Untuk Pelayanan Kesehatan Pada LAZ Ibbadurrahman Kota Duri." ZAWA: Management of Zakat and Waqf Journal 3, no. 2 (December 31, 2023): 67. http://dx.doi.org/10.31958/zawa.v3i2.11147.
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The main problem in this thesis is the distribution of zakat funds with the problem ofwhat are the procedures for health services at LAZ Ibbadurrahman Duri City and what are the obstacles encountered in distributing zakat funds for health services at LAZ Ibbadurrahman Duri City. The purpose of this discussion is to identify and explain the procedures for distributing zakat funds for health services at LAZ Ibbadurrahman Duri City and the obstacles encountered in distributing zakat funds for health services at LAZ Ibbadurrahman Duri City. The type of research that the authors use is a type of field research (Field Research), namely obtaining data for the problems studied. The data collection technique that the writer uses is through interviews and documentation. Data analysis techniques in the following ways: data reduction, data presentation, and drawing conclusions. From the research conducted by the authors in the field, it can be concluded that the procedure for distributing zakat funds for health services at LAZ Ibbadurrahman City of Duri, namely: LAZ Ibbadurrahman introduced its program on health to the dhuafa community as well as with conditions, the dhuafa brought LAZ Ibbadurrahman/LAZ Ibbadurrahman Primary Clinic to bring condition. While the obstacle is the limited funds that cannot finance all the needs of the community because it is still lacking, there is insufficient infrastructure at the LAZ Ibbadurrahman Primary Clinic, so LAZ Ibbadurrahman refers patients to Pekanbaru-Dumai.
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Heriyadi, Heriyadi, Irwan Muryanto, Arnawilis Arnawilis, Mitra Mitra, and Mishbahuddin Mishbahuddin. "Analysis of The Readiness of The Technical Unit (UPT) Health Laboratory of Pekanbaru City in Implementing the Policy of The Regional Public Service Agency(BLUD) in Pekanbaru CityIn 2020." Jurnal Kesehatan Komunitas 6, no. 3 (February 26, 2021): 328–34. http://dx.doi.org/10.25311/keskom.vol6.iss3.615.
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The health laboratory is a public service institution that has an important role in improving public health status. With the increasing demands for health laboratories in improving services, many problems have arisen related to the lack of human resources, budgeting, long bureaucratic flows of disbursement of funds, long process of procuring facilities and infrastructure, and financial management regulations that hinder the smooth running of services. Through the Regional Public Service Agency (BLUD), the technical unit (UPT) health laboratory of Pekanbaru city is expected to have flexibility in managing finances independently, increasing professionalism, entrepreneurship, transparency, and accountability that can improve services to the community. The purpose of this study was to analyze the readiness of UPT health laboratory of Pekanbaru city in the Implementation of BLUD policy in Pekanbaru city in 2020. The study was qualitative. 6 informants were consisting of 5 main informants and 1 supporting informant. The triangulation used were the source, method, and data triangulation. The results showed that readiness in terms of input was still lacking in human resources in finance and administration. From a process point of view, the UPT health laboratory of Pekanbaru city has completed all the substantive, technical, and administrative requirements. And in terms of output, the UPT health laboratory of Pekanbaru city is ready to implement the BLUD policy. It is hoped that the UPT health laboratory of Pekanbaru city will immediately submit an assessment of the implementation of BLUD policies. Becoming a BLUD can fulfill their needs independently with a faster process.
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Victor Thompson, J., and M. Jean McFarland. "Agency Participation and Problem Occurrence Among the Elderly." Canadian Journal on Aging / La Revue canadienne du vieillissement 8, no. 3 (1989): 209–21. http://dx.doi.org/10.1017/s0714980800008849.
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ABSTRACTSix hundred and forty two randomly selected elderly living in the various communities which make up the Capital Regional District of British Columbia were interviewed during the summer of 1984. This secondary analysis of those data focuses on the respondents' perceptions of problems they were having such as transportation, health, finances and also on their awareness of, or involvement with, a range of community services including recreation, health, social and transportation. Data revealed that the elderly were very aware of most of the services in the community but that involvement with services was related to health status, age, gender, marital status and income.
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DeGennaro, Jennifer, Lisa Bodenheimer, Elyse Perweiler, Margaret Avallone, Marilyn Mock, and Sreelekha Prakash. "FOSTERING PRACTICE CHANGE BY INTEGRATING INTERPROFESSIONAL EDUCATION IN A COMMUNITY HEALTH COLLABORATION." Innovation in Aging 7, Supplement_1 (December 1, 2023): 739. http://dx.doi.org/10.1093/geroni/igad104.2393.
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Abstract NJGWEP undertook an interprofessional community/public health initiative collaborating with Rutgers University School of Nursing-Camden, Stockton University, NJ Housing and Mortgage Finance Agency, and four affordable housing sites located in underserved communities, with a potential to reach approximately 600 older residents. An IPE curriculum delivered to faculty, students, and staff from multiple health professions disciplines prepares them for assessing residents with chronic health problems using the 4Ms framework (What Matters, Mind, Medications, Mobility), adding the Geriatric 5th M for multi-complexity. Using a Resident Health Risk Assessment (RHRA) to assess residents’ health/biopsychosocial needs by capturing critical information needed to support “aging in place,” students and staff develop person-centered plans of care that address maintenance of independence, health, and referral to needed services/supports to delay or prevent institutional placement. From 2019-2022, 84 students from multiple disciplines (i.e., nursing, social work, counseling, OT) participated in community-based rotations, completed 279 RHRAs, and developed 101 IPE case reviews and person-centered plans of care. Evaluating residents’ co-morbid conditions (Hypertension 46%, Diabetes Mellitus 42%, Mental Health 40%; 8.6 medications per/resident, 44% Mini-Cog < 3; 19% PHQ+, 51% + Falls Screen; 48% TUG>12; 58% ADL/IADL deficits) highlighted the 5th M, Multi-Complexity. IPE is a sustainable venue for training a health care workforce that acknowledges/values the person-centered approach and encourages learning the roles and responsibilities of other disciplines. Implementation of a customized database in 2022 facilitates longitudinal tracking of outcomes related to resident needs, referrals, interventions, access to services to support aging in place, and informs policy and practice change.
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Mote, Balu Natha. "Effectiveness of Community Based Health Finance on Utilization of Health Care Services and Out of Pocket Expenditure among Women in Rural Pune Maharashtra." Indian Journal of Public Health Research & Development 6, no. 3 (2015): 132. http://dx.doi.org/10.5958/0976-5506.2015.00153.9.
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Nyqvist, Martina Björkman, Andrea Guariso, Jakob Svensson, and David Yanagizawa-Drott. "Reducing Child Mortality in the Last Mile: Experimental Evidence on Community Health Promoters in Uganda." American Economic Journal: Applied Economics 11, no. 3 (July 1, 2019): 155–92. http://dx.doi.org/10.1257/app.20170201.
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The delivery of basic health products and services remains abysmal in many parts of the world where child mortality is high. This paper shows the results from a large-scale randomized evaluation of a novel approach to health care delivery. In randomly selected villages, a sales agent was locally recruited and incentivized to conduct home visits, educate households on essential health behaviors, provide medical advice and referrals, and sell preventive and curative health products. Results after 3 years show substantial health impact: under 5-years child mortality was reduced by 27 percent at an estimated average cost of $68 per life-year saved. (JEL I12, I18, J13, O15, O18)
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Indah Rosita, Ni Putu, I. Wayan Septa Wijaya, and Ni Luh Ayu Citra Mutiarahati. "Analysis of Factors and the Role of Posyandu Elderly in Influencing the Elderly to Come to Health Services." PROMOTOR 6, no. 5 (October 5, 2023): 500–504. http://dx.doi.org/10.32832/pro.v6i5.416.
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The increase in the elderly population presents many challenges in the field of health services. The elderly population influences so many aspects of people's lives, one of which is the need for acute and long-term health care. Posyandu for the elderly is a forum for activities from the community and for the community which is supported by cross-sectoral collaboration, and the community health center provides technical support and guidance. Activities at the posyandu include preventive, promotive, curative, and rehabilitative activities. The success of health services for the elderly in the form of promotive, preventive, and curative efforts through means and facilities such as posyandu for the elderly and community health centers is determined to a large extent by the behavior and perspective of the elderly themselves which shape their attitudes and actions in selecting services. So there will be many factors that influence elderly people coming to health services. This research aims to obtain information about the factors and role of elderly posyandu in influencing elderly visits to health service centers. This article method uses a literature review design, namely the researcher reviews, summarizes, and writes down thoughts on several pieces of literature such as articles. The results of this literature review show that factors such as elderly posyandu, finances, social support, knowledge, and physical accessibility influence elderly visits to health services. Understanding these factors can help in designing interventions aimed at improving older adults' access to necessary health services.
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Spiers, Gemma, Victoria Allgar, Gerry Richardson, Kate Thurland, Sebastian Hinde, Yvonne Birks, Kate Gridley, et al. "Transforming community health services for children and young people who are ill: a quasi-experimental evaluation." Health Services and Delivery Research 4, no. 25 (September 2016): 1–222. http://dx.doi.org/10.3310/hsdr04250.
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BackgroundChildren’s community nursing (CCN) services support children with acute, chronic, complex and end-of-life care needs in the community.ObjectivesThis research examined the impact of introducing and expanding CCN services on quality, acute care and costs.MethodsA longitudinal, mixed-methods, case study design in three parts. The case studies were in five localities introducing or expanding services. Part 1: an interrupted time series (ITS) analysis of Hospital Episode Statistics on acute hospital admission for common childhood illness, and bed-days and length of stay for all conditions, including a subset for complex conditions. The ITS used between 60 and 84 time points (monthly data) depending on the case site. Part 2: a cost–consequence analysis using activity data from CCN services and resource-use data from a subset of families (n = 32). Part 3: in-depth interviews with 31 parents of children with complex conditions using services in the case sites and a process evaluation of service change with 41 NHS commissioners, managers and practitioners, using longitudinal in-depth interviews, focus groups and documentary data.FindingsPart 1: the ITS analysis showed a mixed pattern of impact on acute activity, with the greatest reductions in areas that had rates above the national average before CCN services were introduced and significant reductions in some teams in acute activity for children with complex conditions. Some models of CCN appear to have more potential for impact than others. Part 2: the cost–consequence analysis covered only part of the CCN teams’ activity. It showed some potential savings from reduced admissions and bed-days, but none that was greater than the total cost of the services. Part 3: three localities implemented services as planned, one achieved partial service change and one was not able to achieve any service change. Organisational stability, finance, medical stakeholder support, competition, integration with primary care and visibility influenced the planning and implementation of new and expanded CCN services. Feeling supported to manage their ill child at home was a key outcome of using services for parents. Various service features contributed to this and were important in different ways at different times. Other outcomes included being able to avoid hospital care, enabling the child to stay in school, and getting respite. Although parents judged that care was of high quality when teams enabled them to feel supported, reassured and secure in managing their ill child at home, this did not depend on a constant level of contact from teams.LimitationsDelays in service reconfigurations required adaptation of research activity across sites. Use of administrative data, such as Hospital Episode Statistics, for research purposes is technically difficult and imposed some limitations on both the ITS and the cost–consequence analyses.ConclusionsLarge, generic CCN teams that integrate acute admission avoidance for all children with support for children with complex conditions and highly targeted teams for children with complex conditions offer the possibility of supporting children more appropriately at home while also making some difference to acute activity. This possibility remains to be tested further.Future workFurther work should refine the evidence on outcomes of services by looking at outcomes in promising models, value for money and measuring quality-based outcomes.FundingThe National Institute for Health Research Health Services and Delivery Research Programme.
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Abbott-Enz, Pamela. "Addressing the California Master Plan on Aging Through Innovative Gerontology Specializations." Innovation in Aging 5, Supplement_1 (December 1, 2021): 145. http://dx.doi.org/10.1093/geroni/igab046.562.
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Abstract The 2021 Master Plan for Aging outlines five bold goals to pursue over the next ten years, including addressing the issues of housing, health, and quality of life, finance, and caregiving, the plan also addresses public safety and emergency services, community programs and public spaces, access, inclusion, and equity. In order to prepare the workforce to meet these goals, California Community Colleges have the unique opportunity to collaborate and develop Aging Specialists in fields not traditionally age-focused. This presentation explores the possible scope and path toward curriculum development of five innovative collaborations that will prepare Gerontology specialists for the workforce that will be created through the execution of the California Master Plan.
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Razy, Fakhruddin, and Malisa Ariani. "Analysis of the Juridical Protection of the Most Traditional Health Laws in the Perspective of the Law of the Republic of Indonesia Number 36 of 2009 Concerning Health." International Journal of Law and Public Policy 4, no. 1 (March 28, 2022): 10–15. http://dx.doi.org/10.36079/lamintang.ijlapp-0401.276.
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Abstract: In accordance with the ideals of the Indonesian people as referred to in Pancasila and the Preamble of the 1945 Constitution of the Republic of Indonesia that health is a human right and one of the elements of welfare that the state must realize. The government as the holder of the highest power has the authority to achieve the highest possible health status for the community by carrying out comprehensive integrated health efforts. The results showed that Law Number 36 Year 2009 concerning Health has not fully provided legal protection for traditional health service business actors, namely traditional health workers and for traditional health service consumers, namely patients / clients. The hope is that the government should does special legislation regulating traditional health services specifically because traditional health services are currently increasingly diverse in treatment techniques and the more trusted by the Indonesian people.
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Stevenson, Clifford, Juliet R. H. Wakefield, Blerina Kellezi, Rebecca J. Stack, and Saskia Dogra. "Families as support and burden: A mixed methods exploration of the extent to which family identification and support predicts reductions in stress among disadvantaged neighbourhood residents." Journal of Social and Personal Relationships 39, no. 4 (October 12, 2021): 886–907. http://dx.doi.org/10.1177/02654075211050071.
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Stronger family relationships predict positive health outcomes: a relationship that is partially due to the range of emotional, practical and informational support that families can provide. Yet not all families possess these resources. A survey study in a disadvantaged community in Nottingham, UK ( N = 142) demonstrated that family identification positively predicts ability to cope with financial stress, but that this relationship is moderated by whether family support is present or absent. Semi-structured interviews with 10 members of different families from the same community shed further light upon the nature of this relationship: individuals report that they tend to turn to their family rather than friends or community services in times of financial hardship, even though their family are unlikely to be able to support them effectively, and that this is often due to feelings of embarrassment or finance-related stigma. Our findings highlight the complex role that families can play in finance-related issues, as well as the need to encourage individuals to seek financial support from sources which provide effective (rather than emotionally comfortable) assistance.
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Ado Shehu, Salihu Abubakar Dauda, Bar. Baffa Alasan, Attahir Sa’ad Ayuba, Ummukulsum Mustapha, Muftahu Sa’adu, Emmanuel Ejambe Anyebe, et al. "Level of community contribution toward the financing of health care services in Jigawa state." World Journal of Advanced Research and Reviews 19, no. 3 (September 30, 2023): 767–80. http://dx.doi.org/10.30574/wjarr.2023.19.3.1832.
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Community involvement in health related activities is generally acknowledged by international and national health planners to be the key to the successful organization of primary health care, comparatively little is known about its potential and limitations. Drawing on the experiences of Jigawa State, this paper reports on research undertaken to compare and contrast the scope and Extent of community participation in the delivery of primary health care in a community run and financed health post and a state run and financed health post. Unlike many other health posts in Jigawa these facilities do provide effective curative services, and neither of them suffers from chronic shortage of drugs. However, community-financing did not appear to widen the scope and the extent of participation. Villagers in both communities relied on the health post for the treatment of less than one-third of symptoms, and despite the planners' intentions, community involvement outside participation in benefits was found to be very limited. Aim: This study assess the level of community contribution toward the financing of health care services in Jigawa state, Nigeria Methodology: A cross-sectional descriptive research was conducted on the respondents. The study population comprised the entire eligible respondent in a case study of government hospitals in Jigawa state Nigeria within the study area, who were selected and agreed to participate in the study. Sample sizes of One Hundred (100), respondents were recruited using a multistage sampling technique. Data was collected using Questionnaire Data collected was coded, entered, and analyzed using the Statistical Package for the Social Sciences (SPSS) version 24. Result: The cooperation within department and with other departments in cooperation with equals was very good were 65(68.4%), good were 17(17.9%), Ok were 10(10.5%), not so good were 3(3.2%) and bad were 0(0.0%) respectively. The cooperation within department and with other departments in cooperation with PWD was Very good were 50(52.6%), good were 25(26.3%), Ok were 12(12.6%), not so good were 5(5.3%) and bad were 3(3.2%) respectively. In this studied many of the respondents has Diploma with 38.9% as their highest education qualification working with the Jigawa State Healthcare. Therefore, there is need for the continuous education programme of the health workers in the facility for proper and effective conduct of operations. Conclusions: The findings from this study will help to develop programs that can improve knowledge of community Health Financing and services provided by the health-care system and can reduce burden on government by providing other alternative.
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Suryawati, Chriswardani, Nurhasmadiar Nandini, and Novia Handayani. "Kepuasan Pasien Terhadap Layanan Puskesmas BLUD di Kota Semarang." Jurnal Manajemen Kesehatan Indonesia 7, no. 1 (April 30, 2019): 39–45. http://dx.doi.org/10.14710/jmki.7.1.2019.39-45.
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Primary Health Centre (PHC) is one of the public institution which have important role to provide health care services to the community. According to Regulation of Semarang Major no. 13 year 2016 about Governance Pattern of Local Public Service Institution (BLUD) of Puskesmas, since 2017 PHC in Semarang transformed into BLUD PHC which enable PHC to be more flexible, productive, efficient, and effective on managing their resources and finance. This research objective was to identify patient satisfaction of BLUD PHC in Semarang. This was quantitative research with cross-sectional design and research variables are tangible, reliability, responsiveness, assurance, empaty, dan patient’s satisfaction. Respondents were 140 patients of BLUD PHC in Semarang City: Bulu Lor, Gayamsari, Pudakpayung, Bangetayu, Halmahera, Kedungmundu, dan Mangkang. Result showed that most of the patient satisfied with the health care services in PHC. From all of the indicators, more than 80% respondents stated that they were satisfied with the services in PHC. The highest score was on responsiveness aspect, which 95.0% patient scored high on the PHC responsiveness. It could be because PHC already maximize their resources to provide high quality health care services.
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Gordon, Aliza S., Allison H. Oakes, Rebeca Allender, Lucida Vang, Beau Hennemann, and Winnie C. Chi. "Observational Analysis of a Generalized, Health Plan-led Community Health Worker Intervention in Medicaid." Journal of Primary Care & Community Health 14 (January 2023): 215013192311536. http://dx.doi.org/10.1177/21501319231153602.
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Introduction/Objectives: In 2018, a Medicaid managed care plan launched a new community health worker (CHW) initiative in several counties within a state, designed to improve the health and quality of life of members who could benefit from additional services. The CHW program involved telephonic and face-to-face visits from CHWs who provided support, empowerment, and education to members, while identifying and addressing health and social issues. The primary objective of this study was to evaluate the impact of a generalized (not disease-specific), health plan-led CHW program on overall healthcare use and spending. Methods: This retrospective cohort study used data from adult members who received the CHW intervention (N = 538 participants) compared to those who were identified for participation but were unable to be reached (N = 435 nonparticipants). Outcomes measures included healthcare utilization, including scheduled and emergency inpatient admissions, emergency department (ED) visits, and outpatient visits; and healthcare spending. The follow-up period for all outcome measures was 6 months. Using generalized linear models, 6-month change scores were regressed on baseline characteristics to adjust for between-group differences (eg, age, sex, comorbidities) and an indicator for group. Results: Program participants experienced a greater increase in outpatient evaluation and management visits (0.09 per member per month [PMPM]) than the comparison group during the first 6 months of the program. This greater increase was observed across in-person (0.07 PMPM), telehealth (0.03 PMPM), and primary care (0.06 PMPM) visits. There was no observed difference in inpatient admissions, ED utilization or allowed medical spending and pharmacy spending. Conclusions: A health plan-led CHW program successfully increased multiple forms of outpatient utilization in a historically disadvantaged population of patients. Health plans may be particularly well positioned to finance, sustain, and scale programs that address social drivers of health.
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Godfrey, Christine. "‘The development of alcohol strategies in England and Wales’: a review." Psychiatric Bulletin 17, no. 12 (December 1993): 726. http://dx.doi.org/10.1192/pb.17.12.726.
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The misuse of alcohol causes a range of health, legal, social and employment problems for the individual and the rest of society. Many agencies are involved in dealing with the consequences of alcohol misuse and providing services to those with problems. Sources of funds to finance interventions for drinkers whether from health authorities, social services, probation or other sources are very limited. Without some coordination there will be a tendency for each funder to shift responsibility and costs. These difficulties have been recognised and in 1989 a government health circular was issued emphasising the need for the development of local multi-agency alcohol misuse prevention strategies. Implementing policies such as community care and Health of the Nation also require multi-agency co-operation if they are to fulfil their aims. The survey of the development of local alcohol strategies reported in this paper (Wallace et al, 1993) is therefore of great interest.
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Hopley, Michelle, Margaret Horsburgh, and Kathy Peri. "Barriers to accessing specialist care for older people with chronic obstructive pulmonary disease in rural New Zealand." Journal of Primary Health Care 1, no. 3 (2009): 207. http://dx.doi.org/10.1071/hc09207.
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INTRODUCTION: Access to health care for people living in rural areas presents many challenges. For people who live with chronic obstructive pulmonary disease (COPD), the ability to access specialist health services facilitates improved health outcomes, however many barriers to accessing specialist health care have been identified. This paper reports on the challenges people living with COPD in rural New Zealand (NZ) face in accessing specialist health care services. METHODS: Nine people living with COPD in a small NZ rural town were interviewed in 2007. FINDINGS: Data analysis, using a general inductive approach found that difficulties with transportation, physical access, communication and finances collectively added up to significant barriers to accessing specialist care for this group of people. CONCLUSION: The findings raise questions about the model of care needed to improve health care for rural people with COPD. Collaborative multidisciplinary teams with specialist respiratory nurses working in the community are proposed to improve care coordination and improve communication for this group of people. KEYWORDS: Rural health services; health services accessibility; pulmonary disease; chronic obstructive; community health nursing
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Tukino, Agustia Hananto, Rizki Aulia Nanda, Elfina Novalia, Eko Sediyono, and Jabar Sanjaya. "LSTM and Word Embedding: Classification and Prediction of Puskesmas Reviews Via Twitter." E3S Web of Conferences 500 (2024): 01018. http://dx.doi.org/10.1051/e3sconf/202450001018.
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Puskesmas is a location for top-notch volunteer work that benefits the village and city governments alike. Therefore, patient feedback regarding the kinds of services offered by the community health center is required in an attempt to improve the quality service performance. Patient opinions can be expressed through reviews or opinions about the quality of patient care on social media sites like Facebook, Instagram, Twitter, WhatsApp, and Instagram. On the other hand, thoughts shared on social media are lengthy, unstructured texts. This complicates text analysis and makes it impossible to compare the caliber of services offered by Puskesmas managers. Furthermore, a number of Community Health Centers lack websites that allow users to rank Community Health Centers according to user interest and visual appeal and efficiency in operations. Thus, the purpose of this study is to classify and present sentiment analysis from Twitter about community health centers' health services. The scope focuses on five factors: administrative services, finances, mechanisms, health worker friendliness and skills, and administrative services. The LSTM word embedding model and the adadelta and adamax optimizers are used in word embedding for text mining. A confusion matrix was used to evaluate the developed model's degree of accuracy in categorizing and forecasting patient reviews. Results from the LSTM and Adamax models with a precision level of 76%, Recall 69% and Accuracy 71%. The results of this research show that the LSTM method and Adamax optimizer can classify and predict public opinion data about Puskesmas services via Twitter quite well. A high level of accuracy is very important to ensure that community opinions can be properly identified by the model, so that it can support the decision-making process in improving the type of Puskesmas services. To improve the model, further studies can be conducted on how to select parameters, select features, and create a quality dataset.
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Reifel, N. M., P. L. Davidson, H. Rana, and T. T. Nakazono. "ICS-II USA Research Locations: Environmental, Dental Care Delivery System, and Population Sociodemographic Characteristics." Advances in Dental Research 11, no. 2 (May 1997): 210–16. http://dx.doi.org/10.1177/08959374970110020301.
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Secondary data sources are used to describe the ICS-II USA research locations in terms of external environment, dental care delivery system, and population sociodemographics. The Native American reservations located in Arizona, New Mexico, and South Dakota were rural, while the other research locations were primarily urban. Baltimore, Maryland, and the Native American communities had fluoridated water, but San Antonio did not. Dental services in Baltimore and San Antonio were predominantly financed by private sources, with a small public health component. Dental care services in Native American communities were largely Indian Health Services (IHS) financed by the US Government. Each geographical area exhibited diverse characteristics indicating unique challenges for the delivery of community and clinical dental services.
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LIGON, JAN, and BRUCE A. THYER. "CLIENT AND FAMILY SATISFACTION WITH BRIEF COMMUNITY MENTAL HEALTH, SUBSTANCE ABUSE, AND MOBILE CRISIS SERVICES IN AN URBAN SETTING." Crisis Intervention and Time-Limited Treatment 6, no. 2 (January 2000): 93–99. http://dx.doi.org/10.1080/10645130008951135.
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Zhou, Liangjun, Jerred Junqi Wang, Xiaoying Chen, Beth Cianfrone, and Nathan David Pifer. "Community-sport service provision, participant satisfaction, and participation." International Journal of Sports Marketing and Sponsorship 21, no. 1 (October 18, 2019): 127–47. http://dx.doi.org/10.1108/ijsms-05-2019-0048.
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Purpose Since 2014, “sport for all” has been promoted as a new national strategy in China, which injects powerful dynamism and vitality for its development in numerous aspects. However, there has been very little feedback on sport service provision in community, and the satisfaction level of community participants is largely unmeasured. To promote physical and mental health of residents and form a stronger foundation of sport culture, more attention should be directed to community sports. The purpose of this paper is to examine the impact of community-sport service provisions on participants’ satisfaction and, in turn, on their sport participation behavior. Design/methodology/approach Community-sport program participants in China (n=576) responded to a survey measuring the proposed concepts. Findings Structural equation modeling analyses revealed that community-sport services in the areas of sport facility, grassroots sport organizations and sport activity programs had strong influences on participant satisfaction and, in turn, their desire for participation, which highlighted the demand for high-quality sport service provision by community. Originality/value The study contributed to the literature by proposing two clear dimensions (core sport service and peripheral sport service) for the measurement of public sport service provision in community sports. A second theoretical contribution of the study relates to the clarification of the relationship between the two dimensions of community-sport service provision (both core and peripheral services) and community participants’ satisfaction levels.
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Asif, Omaima. "Role of Rawalpindi Medical University Students in Perspective of Public Health." Journal of Rawalpindi Medical College 25, no. 1 (July 15, 2021): 1–2. http://dx.doi.org/10.37939/jrmc.v25i1.1735.
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What role do medical students have in global health activities? On one hand, students have much to offer, such as innovative ideas, the latest knowledge and perspective, and inspiring energy. On the other hand, Medical students lack technical credentials and may drain resources from host communities. Here, we need to examine the dynamics, contemporary roles of medical students in global health activities, especially in healthcare delivery services. Therefore students will have to focus on 3 themes that guide engagement: 1. Fostering an enabling policy environment (e.g., toward greater health equity).2. Understanding and working within the local context and governments' needs.3. Leading bidirectional partnerships.We have to study the implications of short-term exposure and long-term engagement programs and find out 4 recommendations on how to better equip students to engage in the next frontier of global health education and future action.1Pakistan for the past 73 years is pushing hard for a well-established public health system. Over the past 7 decades, the focus of medical schools was more towards the clinical fields. The concept of primary and secondary health care provision remained compromised. Community medicine remained dormant and was merely considered as subject to passing the exams. Inculcating the insight of public health and the real essence of its valued worth could not be evolved beyond a few community visits and documentation. The community-oriented, fieldwork, and project-based study needs to be evolved. Over past years the role of a primary and secondary grade teacher in public health also remained meager, which could be one of the reasons for the slow progression of public health association among students and the community. “Public health is defined as the science and art of preventive health, prolonging life and promoting health through organized efforts of society”.2The science of public health is to identify public health problems and establish their determinants and intervening accordingly. The art of public health is to devise methods and to deliver services for health care. The medical Profession has to look beyond curing an illness. It has to find ways to prevent illnesses.“The aim of medicine is to prevent diseases and prolong life; the idea of medicine is to eliminate the need of a physician” William J Mayo (1861-1939).Proceeding of national education association promoting a healthy lifestyle, conducting research on preventing diseases and detecting, reporting to identify diseases, etc.The three domains where medical students can play a role 1. Health and social services improvement. 2. Health Prevention3. Health Improvement and advancing health inequalitiesThe university can guide the students to work in small groups and involved in project work and gain practical experience. Attachments /visits to individual families, primary care centres, school health clinics, prisons, Darulaman, etc can help in elevating student’s enthusiasm and participation in health care delivery.Most of the medical students are going through the phase of immaturity and have limited experience with very minimal career counseling and guidance. There is a shortage of staff in rural health centers and basic health units; these provide 80% of preventive and 20% curative health services, which decrease the workload of tertiary health care units. Many Northern areas of Pakistan like Balochistan, Gilgit-Baltistan, Federally Administered Tribal Area, Swat, and other conflicted zones in the country also have a severe shortage of medical professionals. According to the projected survey, still, there is a very large number of populations which is covered by a small number of health professionals”.3When a student reaches a medical school level he focuses on passing the exams rather than realizing his potential and core value as a public health medical doctor.In a study conducted at Rawalpindi medical University regarding specialty choices among future doctors of Rawalpindi Medical University in perspective of public health; only 2 students out of 250 desired to proceed public health and this has opted as the second choice if they failed to proceed in clinical fields. The choice of being a medical doctor and the specialty chosen by Medical students as a future career has always remained an area of interest for medical educators and state departments for health manpower planning”.4 “Most of the students while at time of entering in medical college are already clear and decisive about future specialty”.5 But most of them prefer to choose clinical specialty rather than towards preventive and public health field. The students’ need to understand the value of public health, the demand and requirements of the community from them as being health care providers; they have more to be delivered to uplift the quality of human life by creating awareness, health education, and priority towards lifestyle modifications and informed decision.6 There is a strong need to educate the community for correction of their attitudes and believes on a priority basis. Rawalpindi medical university was the pioneer to establish its student research forum in 2015. Students' conferences are continuously been organized to acknowledge their work. But the researches are even more towards clinical-oriented researches. Twenty years back there was only one society for first aid and blood collection and there has been a huge gap afterward. For the work-related health promotion and education for the general public and for health professionals a platform was required which has now been established and available at RMU. The medical students are honored for being a part of this awareness program. To begin with the promotion of a culture of preventive fields; community-oriented programs have been started, where students will learn the practical and fieldwork to serve humanity and save lives.Students need support and leadership to guide them for such activities. Students follow the directions of seniors and seek inspiration from them. To facilitate, encourage, and for their capacity building, RMU carries a huge responsibility to create the difference for generations ahead.
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Chabot, Denis, Céline Mercier, and Jérome Guay. "Une Approche Pro-Active D'intervention Communautaire en Milieu Rural." Canadian Journal of Community Mental Health 12, no. 1 (April 1, 1993): 177–200. http://dx.doi.org/10.7870/cjcmh-1993-0010.
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This paper reports an evaluation study of a pilot project held in a “CLSC” (Local Community Health Centre) located in a rural community. The intervention design is based on multidisciplinary teams created to meet specific local community needs. Mental health intervention is part of community-based approach open to all kinds of requests for support. Practitioners in the field give support not only to the individual with a mental health problem, but also to existing self-help networks in the community. The intervention is also designed to change the relationship between a professional, seen as the one who provides services, and a client, defined as a consumer. The term “client” gains a wider meaning, and collaborative work with informal self-help networks induces a closer relationship between the community and the practitioner. The practitioner is more open to local community values and adjusts his or her practice to match variable contexts. The evaluation study has expanded knowledge on this type of intervention design, on its impact upon service demand, intervention modalities, and service management and organization. This project was coupled with a similar project in an urban environment and was financed by the Health and Social Services Ministry in Québec.
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Kellett, Kathy, Kaleigh Ligus, Kristin Baker, and Julie Robison. "Social Determinants of Health for People With Serious Mental Illness After Transitioning to the Community." Innovation in Aging 4, Supplement_1 (December 1, 2020): 32–33. http://dx.doi.org/10.1093/geroni/igaa057.105.
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Abstract Approximately 10 million, or 6 percent, of the U.S. population experience serious mental illness (SMI) (NAMI, 2019). Social determinants of health (SDOH) associated with this population can provide important information for targeted innovations with the potential to reduce disease burden and improve quality of life. Using secondary data from Connecticut’s Money Follows the Person Rebalancing Demonstration, this research compares people age 50+ who transitioned out of an institution onto the Medicaid HCBS Mental Health Waiver (MHW) (n= 271) to those receiving Mental Health services through the Medicaid State Plan (MHSP) (n=278). Analyses examine SDOH in both groups and are organized around five broad domains: Finances; education; social/community context, health/health care, and neighborhood/built environment. MHSP participants were significantly more likely to report not having enough money at the end of the month at 6 (42% vs. 21%), 12 (37% vs. 20%), and 24 (37% vs. 17%) months. Significantly more MHSP than MHW participants did not like where they lived at 6 (12% vs. 1%) and 24 (24% vs. 5%) months. Significantly more MHSP than MHW participants were unhappy with the help they received in the community at 6 (22% vs. 8%), 12 (23% vs. 7%), and 24 (19% vs. 5%) months. Groups did not differ by education, social/community context, health/health care, feelings of safety where they live, or on post-transition hospitalizations, ED use or reinstitutionalization. To improve quality of life in the community, MHSP participants could benefit from greater assistance with finances, housing, and community services.
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Melissa, Hilda, and Masyitoh Basabih. "Analysis of Hospital Emergency Department Performance Measurement with Balanced Scorecard." Jurnal Health Sains 4, no. 7 (July 26, 2023): 34–40. http://dx.doi.org/10.46799/jhs.v4i7.1021.
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Emergency Department (IGD) is the face of a hospital (RS). Good hospital emergency room services will result in patient satisfaction and the community around the hospital, so that the hospital becomes an option as a health facility. The performance of a hospital emergency room needs to be assessed objectively so that continuous efforts can be made to improve services. Balanced Scorecard (BSC) assessment can be used in service assessment in organizations such as hospitals or parts of organizations such as emergency room hospitals. This study aims to determine the components in emergency room services that play the most role in achieving the performance of emergency room services that support hospital performance. This research method is a scoping review using literature studies using keywords from the Balanced Scorecard AND Hospital AND Emergency with literature search strategies from the databases Ebsco Host, Embase, Scopus, Pubmed, Proquest, and Google Scholar. The results of the study contained 6 (six) appropriate articles after screening using PRISMA 2020 Flow Diagram. BSC either independently or combined with other methods can be used as performance monitoring in the health sector both in hospitals and in one of the units such as the Emergency Installation. There are 4 perspectives, namely: finance, customers, internal business processes and growth learning, where it is found that the education factor of staff training is the most widely intervened approach that results in improving the performance of emergency rooms and hospital finances. Further research suggestion is that further research is needed to assess the other three factors in the Balanced Scorecard that will effectively improve performance in other units of RS.
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Ward, Rebecca E., I. Made Agus Setiawan, Eleanor Quinby, Melva Fair, Zara Ambadar, Bambang Parmanto, and Brad E. Dicianno. "Mobile Health to Support Community-Integration of Individuals With Disabilities Using iMHere 2.0: Focus Group Study." JMIR Human Factors 9, no. 1 (March 4, 2022): e31376. http://dx.doi.org/10.2196/31376.
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Background Mobile health (mHealth) systems that support self-management can improve medical, functional, and psychosocial outcomes for individuals with disabilities and chronic conditions. The mHealth systems can potentially be expanded to support community integration. Objective The purposes of this study were to (1) partner with a community-based organization that supports community integration of individuals with disabilities; (2) identify software requirements needed to support community participation; and (3) iteratively refine an existing mHealth application to include new requirements. Methods Community Living and Support Services (CLASS), a nonprofit organization that serves individuals with disabilities in Pittsburgh, Pennsylvania, was identified as the focus group for this study. Key stakeholders within the Community Partners Program at CLASS proposed design requirements for an existing mHealth application, Interactive Mobile Health and Rehabilitation (iMHere) 2.0, that has been used to support self-management. Results We gathered qualitative data from a focus group composed of CLASS members to develop and iteratively revise iMHere 2.0 to include new modules and features to support community integration. A caregiver app was also developed. The new system contains features to support finance, transportation, client and caregiver communication, calendar and checklist management, upcoming medical and nonmedical appointments, social engagement, pain management, and access to a personal profile. Modifications were made to the following existing modules: education, mood, personal health record, goals, medications, and nutrition. Conclusions A successful partnership with a community-based organization that supports individuals with disabilities resulted in a newly designed mHealth system with features to support community integration.
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Suryadinata, Ningrum, and Nava Rindi. "Analysis Of Financial Performance Health." PROCEEDING INTERNATIONAL CONFERENCE ON ECONOMICS, BUSINESS AND INFORMATION TECHNOLOGY (ICEBIT) 4 (July 14, 2023): 424–29. http://dx.doi.org/10.31967/prmandala.v4i0.775.
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Bank institution came for transaction distribution activity to push the effective and efficient money circulation in society. Generally, the types of banks that exist are divided into three forms of the banks are Central Banks, Commercial Banks, and Rural Banks. Urgency of this study, the bank needs to do inspection the financial performance on its financial statement report based on appropriated calculation by BI DIR 30/12/30 April 1997. It is important evaluation sector performance banking especially BPR to be encourage for themselves to increase the competition to the other banks and it will be the challenge for BPR to distribute credit with good performance. It is because People's Credit Bank has remote capacity more narrow compared to other commercial banks. In principle, financial soundness assessment is the interest of owners and managers of banks, the community users of banking services, or bank supervisors. So that the subject for this research is BPR ADY Jember. The purpose of this research is to know the financial health of BPR ADY Jember finance and measure it with CAMEL method. While, the operational definition of CAMEL method refers to performance financial concept. They are valuation Capital, Assets, Management, Earnings, Liquidity.
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Alwan, Ala, Reza Majdzadeh, Gavin Yamey, Karl Blanchet, Alemayehu Hailu, Mohamed Jama, Kjell Arne Johansson, et al. "Country readiness and prerequisites for successful design and transition to implementation of essential packages of health services: experience from six countries." BMJ Global Health 8, Suppl 1 (January 2023): e010720. http://dx.doi.org/10.1136/bmjgh-2022-010720.
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This paper reviews the experience of six low-income and lower middle-income countries in setting their own essential packages of health services (EPHS), with the purpose of identifying the key requirements for the successful design and transition to implementation of the packages in the context of accelerating progress towards universal health coverage (UHC). The analysis is based on input from three meetings of a knowledge network established by the Disease Control Priorities 3 Country Translation Project and working groups, supplemented by a survey of participating countries.All countries endorsed the Sustainable Development Goals target 3.8 on UHC for achievement by 2030. The assessment of country experiences found that health system strengthening and mobilising and sustaining health financing are major challenges. EPHS implementation is more likely when health system gaps are addressed and when there are realistic and sustainable financing prospects. However, health system assessments were inadequate and the government planning and finance sectors were not consistently engaged in setting the EPHS in most of the countries studied. There was also a need for greater engagement with community and civil society representatives, academia and the private sector in package design. Leadership and reinforcement of technical and managerial capacity are critical in the transition from EPHS design to sustained implementation, as are strong human resources and country ownership of the process. Political commitment beyond the health sector is key, particularly commitment from parliamentarians and policymakers in the planning and finance sectors. National ownership, institutionalisation of technical and managerial capacity and reinforcing human resources are critical for success.The review concludes that four prerequisites are crucial for a successful EPHS: (1) sustained high-level commitment, (2) sustainable financing, (3) health system readiness, and (4) institutionalisation.
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Noprianty, Richa, Fikri Mourly Wahyudi, Wahyu Wahdana, and Tata Juarta. "Quality Assurance in The Surgical Ward of Hospital X in Bandung During the Covid- 19 Pandemic." International Journal of Quantitative Research and Modeling 4, no. 1 (March 5, 2023): 37–42. http://dx.doi.org/10.46336/ijqrm.v4i1.416.
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Health services are organised to meet the needs and demands of the community. If fulfilled, it will lead to client satisfaction. Hospital X in Bandung had a BOR of 91,67% in 2021 during the Covid-19 era. This BOR surpasses the WHO standard. Thus the quality of service needs to be assessed. The research was conducted to get an overview of the level of patient satisfaction with inpatient services at the surgical ward of Hospital X in Bandung. The study was conducted using an exploratory, descriptive approach to obtain an objective picture. Data was collected by filling out questionnaires to patients and families of 90 people. Samples were selected purposively with inclusion criteria: respondents must be treated for at least three days. The instrument was prepared concerning the “Hospital Service Quality Assurance” guidelines. The results showed that 53.4% of respondents stated that the quality of inpatient services at Hospital X in Bandung was in an outstanding category starting from the aspect of registration, nurse services, medical services, food and menus, comfort and cleanliness, medical facilities to administration, and finance. Health services carried out by hospitals are constantly changing along with the development of science and technology, and hospitals are preparing for hospital accreditation. It is recommended that hospitals continue to improve the quality of their services so that patient satisfaction with the services received can be maintained.
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Liza Syahputri, Dwi Noerjoedianto, and Adila Solida. "The Relationship between Family Socio-economic Status and Health Financing Practices at Abdul Manap Hospital, Jambi City." International Journal Of Health Science 2, no. 2 (July 5, 2022): 40–45. http://dx.doi.org/10.55606/ijhs.v2i2.209.
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The provision of health services is one way to meet the needs and demands of the community for health, in the process including health financing. There are six financing patterns applied, one of which is out of pocket financing and Social Health Insurance Administration Body. The ability to buy health services depends on the readiness of the family to finance the household, so socioeconomic status influences the use of health financing patterns. This study uses quantitative methods with a cross-sectional research design. The population is the head of the family who seeks treatment at Abdul Manap Hospital, with as many as 89 respondents. Data collection using a questionnaire and data analysis using chi-square. Based on the analysis, the variables that have a relationship with the pattern of Social Health Insurance Administration Body financing are income (p-value 0.000), occupation (p-value 0.003), number of family members (0.028), and asset ownership (0.000). Meanwhile, the one that does not have a relationship is education (0.276). The conclusion of this study is that income, occupation, the number of family members, and asset ownership have a relationship with the use of financing patterns, while education has no effect.
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Degenholtz, Howard. "MEDICAID MANAGED LONG-TERM SERVICES AND SUPPORTS: POLICY INNOVATION AND EVIDENCE GENERATION." Innovation in Aging 3, Supplement_1 (November 2019): S548. http://dx.doi.org/10.1093/geroni/igz038.2018.
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Abstract Twenty-two states have turned to managed care organizations to finance and deliver long-term services and supports (LTSS) as a way to control costs, improve quality and shift the locus of care away from institutional settings. These programs, referred to as Managed Long-Term Services and Supports (MLTSS) have been undertaken under several CMS authorities, and vary in terms of the program design and populations covered. Some programs such as the financial alignment demonstration, have integrated Medicaid and Medicare financing, while others have used waiver authority and three-party agreements to achieve coordination. However, all efforts share the same goal of improving the linkage between LTSS and both physical and behavioral health care. This presentation will provide conceptual framework for understanding and assessing program impact using the example of the multi-method evaluation of the $4 billion Pennsylvania Community HealthChoices program, one of the largest transitions in Medicaid policy to date.
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Lee, Jaewon, and Boyoung Kim. "Social impacts of the continuous usage of digital healthcare service: A case of South Korea." Innovative Marketing 17, no. 2 (May 24, 2021): 79–89. http://dx.doi.org/10.21511/im.17(2).2021.08.
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As untact communication is promoted in the era of the COVID-19 pandemic, special attention is paid to remote medical examination and customized healthcare trends. General digital healthcare services among social community members positively affect individuals’ healthcare and reduce medical social services’ burden, contributing to the development of society. Accordingly, it is necessary to induce healthcare behaviors through the continuous usage of digital healthcare services among social community members and to examine significant social impact factors in this regard. This study empirically analyzes the impact of three social impact factors – social capital, social support, and social value – on the continuous usage of digital healthcare service with healthcare behaviors and e-health literacy as media. To this end, a survey was conducted among 363 individuals who had used digital healthcare services in Korea, and the statistical data were analyzed. Social capital and social value were found to affect healthcare behaviors, e-health literacy, and continuous usage intentions, but social support did not. Based on this result, it was confirmed that the factors regarded by digital healthcare service users as necessary were the values and perceptions shared in society and the group, information and active communication rather than direct public support.
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Nongdrenkhomba, Heikrujam Nongyai, Banuru Muralidhara Prasad, Achyut Chandra Baishya, and Biraj Kanti Shome. "Local governance system for management of public health facilities: Functioning of Rogi Kalyan Samiti in North Eastern States of India." South East Asia Journal of Public Health 4, no. 2 (July 6, 2015): 16–22. http://dx.doi.org/10.3329/seajph.v4i2.23690.
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In India, the National Rural Health Mission envisaged of having committees with civil society representation at all publicly financed hospitals known as Rogi Kalyan Samiti (RKS), with mandate to enhance governance in hospitals. There are limited evidences about functioning of these committees in many states, especially in North Eastern (NE) states. This paper analyses the perspective of RKS members and relate to changing community- health system structure for improved governance. The study was conducted in three states Manipur, Meghalaya, and Tripura of NE Region of India. Using stratified sampling design, 14 RKS/facilities were selected from Manipur, 15 from Meghalaya and 11 from Tripura. Two key informants (mainly, president/secretary of RKS) were interviewed using a semi-structured pre-tested questionnaire in local language. The major areas of RKS operationalization identified include; constitution, finance management and activities related to health systems strengthening. RKS was constituted during 2006-07 with governing body following issuance of government of India guidelines. The funds (grants and User Fee) were utilized for purchase of furniture, bio-medical waste management etc. The governing body meetings focused mainly on ensuring services; in Tripura 72% of RKS had regular meetings and have shown improvement in functioning of facilities.Formation of RKS model paved way to a new beginning for strengthening health system with involvement of local leaders, civil society to improve governance. The functioning is derived by availability of resources, capacity of committee members and the bureaucratic process. Revision in functioning of RKS model is essential towards self-sustainability and bridge between community-health systems.South East Asia Journal of Public Health Vol.4(2) 2014: 16-22