Journal articles on the topic 'Health and community care system'

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1

Wang, Qi, and Pei Yuan Guo. "Design a Kind of Family Embedded Health Care System." Applied Mechanics and Materials 195-196 (August 2012): 1102–5. http://dx.doi.org/10.4028/www.scientific.net/amm.195-196.1102.

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This paper proposes an approach of Family-Embedded-Health-Care-System base on ARM core processor, mainly for the elderly in a community, but also applys to all residents in the community. The system consists of households composed of client and community health posts. Be connected via Internet or GPRS, it is very practical. To meet the daily needs of health monitoring, and also facilitate community health care workers to grasp the residents health status in the community instantly, so they can service better for the residents. When it is necessary, the physician could accessed the communitys computer serve system through Internet to got a patients daily health record as a diagnostic aid information. This system provided a route for remote medical services came into the ordinary families.
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Bártlová, Sylva. "Nursery in the community health care system." Kontakt 11, no. 1 (May 27, 2009): 109–14. http://dx.doi.org/10.32725/kont.2009.020.

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3

Hajizamani, Abolghasem, Tayebeh Malek Mohammadi, Ebadollah Hajmohammadi, and Shahin Shafiee. "Integrating Oral Health Care into Primary Health Care System." ISRN Dentistry 2012 (February 29, 2012): 1–7. http://dx.doi.org/10.5402/2012/657068.

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Introduction. Systematic evaluation is an integral part of the organization and delivery of community oral health care programmes, ensuring the effectiveness of these community-based interventions. This study aimed to assess the knowledge and practice of primary health care (PHC) personnel regarding their duties toward oral health. Methods and Material. A cross-sectional study was carried out among three groups of PHC personnel in the city of Kerman (Iran). Volunteer personnel completed a piloted questionnaire which included demographic data, some question regarding their knowledge about oral health, their duties and also their practice regarding public oral health. All data were analyzed using chi-square and Pearson correlation test. Results. One hundred and fifty-seven out of 225 eligible personnel participated in the study. Sixty percent were auxiliary health workers (Behvarz). All personnel had a good level of knowledge regarding oral health. Despite significant differences among the knowledge of the personnel toward oral health, there was no significant difference between their knowledge related to their duties regarding oral health. The auxiliary health worker group had a higher rate (45.6%) for better public oral health practice. Conclusion. The study showed the personnel have good knowledge of their duties regarding oral health. However, their practice is not in line with their knowledge and needs more attention.
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Kassai, Ryuki. "7. Primary Health Care and the Integrated Community Care System." Nihon Naika Gakkai Zasshi 109, no. 3 (March 10, 2020): 506–11. http://dx.doi.org/10.2169/naika.109.506.

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5

Stevermuer, Tara L., Alan Owen, Kathryn Williams, and Malcolm Masso. "Priority rating for community care." Australian Health Review 31, no. 4 (2007): 592. http://dx.doi.org/10.1071/ah070592.

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This paper, which is an additional nosokinetics paper to accompany those presented in Aust Health Rev 31(1), reports on priority rating through a standardised community care assessment system, based on screening for functional abilities and incorporating additional indicators of need and risk. Routinely collected measures used to generate a priority rating have proven useful in clinical decision making and active demand management at the service entry point. Priority rating is a step towards a more equitable and efficient assessment system. Three examples of priority rating systems are described. The first is a generalist application now implemented in routine practice across multiple service types in the Queensland community care and community health system. The second, narrower in scope, was designed for the NSW Home Care Service, and is also being routinely collected. The third was pilot tested in a state-wide program to supply aids and appliances to disabled people and introduced the additional concept of ?capacity to benefit?. The case studies show how a technical and datadriven approach can be useful in guiding policy in a complex health care sector.
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TAKATA, Tsutomu, B. UKON, S. TANAKA, Y. FUKUWATARI, and Y. KAWAGUCHI. "Activation of Occupational Health Services in Community Health Care System." Sangyo Igaku 28, no. 7 (1986): 530–32. http://dx.doi.org/10.1539/joh1959.28.530.

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7

Greiner, Mary V., and Sarah J. Beal. "Developing a Health Care System for Children in Foster Care." Health Promotion Practice 19, no. 4 (September 14, 2017): 621–28. http://dx.doi.org/10.1177/1524839917730045.

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In 2012, the Comprehensive Health Evaluations for Cincinnati’s Kids (CHECK) Center was launched at Cincinnati Children’s Hospital Medical Center to provide health care for over 1,000 children placed into foster care each year in the Cincinnati community. This consultation model clinical program was developed because children in foster care have been difficult to manage in the traditional health care setting due to unmet health needs, missing medical records, cumbersome state mandates, and transient and impoverished social settings. This case study describes the history and creation of the CHECK Center, demonstrating the development of a successful foster care health delivery system that is inclusive of all community partners, tailored for the needs and resources of the community, and able to adapt and respond to new information and changing systems.
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8

HOUKIN, Kiyohiro. "Super Aging Society and Community Health Care: Health Care Reform and Social System Transformation." TRENDS IN THE SCIENCES 20, no. 6 (2015): 6_59–6_62. http://dx.doi.org/10.5363/tits.20.6_59.

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9

Bonter, Michael P., Beata Domagala, Karen McAllen, Don Scott, and Jeffrey Barletta. "CANDIDA SURVEILLANCE IN A COMMUNITY TEACHING HEALTH-CARE SYSTEM." Critical Care Medicine 34 (December 2006): A139. http://dx.doi.org/10.1097/00003246-200612002-00482.

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10

Tervo-Pellikka, Raija. "The community social and health care system in Finland." International Journal of Bio-Medical Computing 39, no. 1 (April 1995): 181–86. http://dx.doi.org/10.1016/0020-7101(94)01099-m.

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11

Walker, Rae, and Sally Mitchell. "Community-based health care:a different approach to health outcomes." Australian Health Review 18, no. 4 (1995): 2. http://dx.doi.org/10.1071/ah950002.

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Health sector organisations are undergoing a period of fundamental change. Oneset of changes is about increasing the capacity of the system to provide integratedclient care. This paper discusses the practices that community health care workershave used to approach some basic issues of service integration. Although thediscussion is about practices in community health, the issues are important for healthcare providers, managers and policy-makers throughout the health care system.
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12

Rudd, Cobie. "Primary Health Care in Queensland." Australian Journal of Primary Health 1, no. 1 (1995): 17. http://dx.doi.org/10.1071/py95004.

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In 1993, the Queensland government responded to the challenges facing the Queensland health system when it released the Queensland Primary Health Care Policy. In the Policy, the public sector involvement in health system reform is outlined, and the vital role played by the non-government and private sectors are supported. The direction for the future delivery of health services clearly entails meeting the needs of local populations through an emphasis on community participation and development, intersectoral collaboration and co-ordination of health services. The Policy supports an improved balance between tertiary, high cost institutional care and community-based primary health care. The development and extension of community health services is recognised in the Plan as an important strategy in achieving a more balanced health system.
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13

Swerissen, Hal. "Toward greater integration of the health system." Australian Health Review 25, no. 5 (2002): 88. http://dx.doi.org/10.1071/ah020088.

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As demand for hospital and emergency services grows there will be pressure to improve the integration of primary, acute and continuing care services. Research on ambulatory sensitive care conditions suggests that a significant proportion of hospital use is potentially preventable by primary health and community care services. The desire for better health outcomes and reduced use of acute care suggests a greater focus on primary health and community care. Reforms have generally emphasised planning, funding and regulatory mechanisms including brokered management of services for an enrolled population, capitation payments and pooled funding across primary,acute and continuing care, the development of coordinated service pathways and the consolidation of responsibility for costs and outcomes. Australia's division of funding, regulatory and planning responsibilities across jurisdictions introduces a unique set of challenges to address these issues. Nevertheless, there are a number of options better aligning Commonwealth and State initiatives through the Australian Health Agreements and funding for range of primary health and community care funding programs.
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Moyegbone, John. "Integration of eye care into primary healthcare tier in Nigeria health system: A case for Delta State." Clinical Medical Reviews and Reports 2, no. 6 (September 9, 2020): 01–06. http://dx.doi.org/10.31579/2690-8794/038.

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Primary Eye Care (PEC) provides the essential cares of the eyes and visual pathways at the Primary Health Care (PHC) level in order to prevent avoidable visual impairment and blindness. The aim of this study is to review the need for integration of PEC services into PHC in Nigeria healthcare system – with focus oF Delta State. A narrative review approach was used in evaluation of community needs, government and PHC facilities. Published literatures from around the world including in Sub-Saharan Africa and Nigeria was done through web search and Mendeley reference library. The evaluations show that there is ability and willingness to integrate PEC into PHC. Yet, there is observable mismatch in capacity vs. opportunity or a knowledge and attitude gap. In Delta State on Nigeria, there appears to be specialist Eye-care providers located in just 24% of the local government areas and absolutely none (zero %) at any PHC facility. In the rural communities, there is the barrier of affordances including problem of access, but the PHC staff can be equipped to provide basic services such as educational, preventive and referral services that non-governmental organisations have done. Therefore, integration of PEC into PHC at the community level is possible.
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15

Lear, Julia Graham, Elizabeth A. Barnwell, and Donna Behrens. "Health-Care Reform and School-Based Health Care." Public Health Reports 123, no. 6 (November 2008): 704–8. http://dx.doi.org/10.1177/003335490812300606.

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There is growing recognition that health and health care at school can significantly impact children's health. From childhood obesity interventions to new immunization mandates, schools are at the forefront of child health discussions. The 2008 presidential campaign and the renewed focus on health-care reform raise the possibility that in 2009 school health will play a larger role in health policy conversations than previously. This article explores the proposition that both school health and national health policy will benefit from closer attention to the role of school health within the U.S. health system. It offers a Maryland case study to suggest both the opportunities and operational challenges of linking school health to the larger community health system.
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16

Harris, Madeline G., Rebecca M. Di Piazza, Alia Tunagur, Susan E. Sellers, Kristen G. Noles, and John T. Carpenter. "Community and health system partnership." Journal of Clinical Oncology 35, no. 5_suppl (February 10, 2017): 190. http://dx.doi.org/10.1200/jco.2017.35.5_suppl.190.

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190 Background: Breast cancer survivors face physical, psychological, medical, social, cultural and spiritual challenges. Services to address these needs are frequently not available or if available unknown. We sought to determine whether formation of a community-based comprehensive breast cancer survivorship program was feasible. Methods: After months of relationship building, the Women’s Breast Health Fund of the Community Foundation of Greater Birmingham (CFGB), awarded funding to support a systematic assessment of available services in the region. Survivors, their loved ones, providers and other national models of care were surveyed and interviewed. Focus groups including a Lesbian, Bisexual, Gay, Transgender, Queer (LGBTQ) group were held. Aggregated results were presented in monthly meetings to executive level hospital administrators from all health systems in the area, the UAB School of Nursing and CFGB. Results: Survivors seek advice from other survivors more than any other source. Gaps in services exist. Breast cancer survivors were often unaware of existing services. Services were not available to some cultural/ethnic groups or loved ones; staff of some services were not culturally sensitive to the needs of survivors. Some services were available to all, while others require payment. There was no source of authoritative, evidence-based information on breast cancer survivorship except for a few providers. After 12 months the group of executives from all health systems committed to support the formation of a community-based comprehensive breast cancer survivorship program designed to assist breast cancer survivors, their loved ones and institutions by providing reliable information about services. Conclusions: Breast cancer survivors, providers, and local health systems all support the development of a comprehensive breast cancer survivorship program. We feel that it will address unmet needs of breast cancer survivors, allowing each institution to address needs for individual patients. By using the breast cancer survivorship program to assess individual needs and to provide information about services for identified needs, we expect repetitive services will be reduced and quality of life for breast cancer survivors will improve.
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17

McBride, Tony, and Viola Korczak. "Community consultation and engagement in health care reform." Australian Health Review 31, no. 5 (2007): 13. http://dx.doi.org/10.1071/ah070s13.

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In advocating for significant reform of the health care system, the Australian Health Care Reform Alliance (AHCRA) supports a process of citizen engagement that will allow the wider community to have a say in the future direction of their health care system. Models that have engaged community opinions have been successful overseas, and this article calls for similar processes in Australia.
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18

McCarville, Erin E., Molly A. Martin, Preethi Lakshmi Pratap, Eve Pinkser, Steven M. Seweryn, and Karen E. Peters. "Framing the Integration of Community Health Workers Into Health Care Systems Along Health Care and Community Spectrums." Journal of Ambulatory Care Management 44, no. 4 (August 3, 2021): 271–80. http://dx.doi.org/10.1097/jac.0000000000000396.

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19

Baptiste, Solange, Alain Manouan, Pedro Garcia, Helen Etya’ale, Tracy Swan, and Wame Jallow. "Community-Led Monitoring: When Community Data Drives Implementation Strategies." Current HIV/AIDS Reports 17, no. 5 (July 31, 2020): 415–21. http://dx.doi.org/10.1007/s11904-020-00521-2.

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Abstract Purpose of Review Communities occupy a central position in effective health systems, notably through monitoring of health service quality and by giving recipients of care a voice. Our review identifies community-led monitoring mechanisms and best practices. Recent Findings Implementation of community-led monitoring mechanisms improved service delivery at facility-level, health system-wide infrastructure and health outcomes among recipients of care. Successful models were community-led, collaborative, continuous and systematic, and incorporated advocacy and community education. Summary Identifying and replicating successful community-led monitoring practices is a key pathway to equitable access to HIV and health services overall.
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Sturmberg, Joachim. "IF YOU WANT HEALTH, HAVE A HEALTH SYSTEM: CHANGING THE AGENDUM." European Journal for Person Centered Healthcare 3, no. 2 (June 3, 2015): 175. http://dx.doi.org/10.5750/ejpch.v3i2.910.

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As previously described health is an experiential state resulting from the dynamic interactions between the somatic, psychological, social and semiotic or cognitive domains that characterize a person’s integrity. Contrast that with the prevailing discrete disease and economic rationalist approaches to managing the healthcare, or should one better say disease management, system. The epidemiology of health in the community indicates that 96% of the community does require something other than those highly specific and successful discrete disease interventions offered in the secondary and tertiary care environment. A healthcare system build around the experience of health of the community will organise care in a much broader though highly sophisticated way. It will in particular include a focus on health promoting/destroying local community circumstances. Such a systemic approach is illustrated by the healthcare vortex model.
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21

Cordero Oropeza, Martha, Shoshana Berenzon, Rebeca Robles, Tania Real, and María Elena Medina Mora. "Community-Based Mental Health Services in Mexico." Consortium Psychiatricum 2, no. 3 (November 5, 2021): 53–62. http://dx.doi.org/10.17816/cp86.

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AIM: This article describes the general characteristics of community-based mental healthcare in Mexico. METHODS: Data from national surveys, special studies and statistics from the national information system during the period 20012017 are used. Available information on health systems, new regulations and the innovations implemented are reviewed, as well as research on psychosocial interventions conducted within the country. RESULTS: Data show a fragmented health system with services for workers and those without social security or private care. This is a treatment system essentially based on tertiary healthcare and not integrated into the general health system, with a significant treatment gap and delay in relation to the first treatment. At the same time, a slow but steady increase in the level of care provided at primary healthcare level and in specialized community services has been observed. This trend has been accompanied by an increase in the number of medical doctors, psychologists and, to a lesser extent, psychiatrists, incorporated into the primary healthcare services. At the same time, no new psychiatric hospitals have been built; there has been a proportional reduction in psychiatric beds but no increase in mental health services or beds allocated to first contact hospitals. Research initiatives have analysed the barriers to reform, and efficient interventions have been developed and tested for the community and for primary healthcare; special interventions are available for the most vulnerable but no formal efforts have been to facilitate their implementation. CONCLUSIONS: Evidence is available regarding the implementation of the transition from reliance on tertiary healthcare to reinforced primary care. At the same time, parity, financial protection, quality and continuity of care remain major challenges.
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Elaydi, Hatem A. "Personal Health Care System Using IOT." International Journal of Online and Biomedical Engineering (iJOE) 15, no. 07 (April 15, 2019): 16. http://dx.doi.org/10.3991/ijoe.v15i07.10265.

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Designing a device to manage the medical doses for elderly people is essential in terms of the patient safety and well-being. The device is created in order to regulate medication schedules and deliver doses of medication according to a prescribed time and dose by alerting patients of the scheduled dose through communication means such as mobile phones. The device utilizes mobile technology and communication such as Android and Wi-Fi. This device consists of six basic elements: Arduino Uno board, ESP8266 Wi-Fi module that connects the phone with the device, RTC module (Real Time Clock), GSM module for alarming when the time of medication is reached, Drivers for motors to release the prescribed doses of the medication and Smartphone for control purposes. The device was built and tested and showed promise to be used for serving the local community.<strong> </strong>
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Biller-Andorno, Nikola, and Thomas Zeltner. "Individual Responsibility and Community Solidarity — The Swiss Health Care System." New England Journal of Medicine 373, no. 23 (December 3, 2015): 2193–97. http://dx.doi.org/10.1056/nejmp1508256.

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24

Hasman, A., D. Wiersma, R. Halfens, and J. T. Algera-Osinga. "Evaluation of a patient classification system for community health care." International Journal of Bio-Medical Computing 33, no. 2 (September 1993): 109–18. http://dx.doi.org/10.1016/0020-7101(93)90028-5.

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Casebeer, Ann, Cathie Scot, and Kathryn Hannah. "Transforming a Health Care System: Managing Change for Community Gain." Canadian Journal of Public Health 91, no. 2 (March 2000): 89–93. http://dx.doi.org/10.1007/bf03404917.

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Felix, Michael R. J., James N. Burdine, Monica L. Wendel, and Angie Alaniz. "Community Health Development: A Strategy for Reinventing America’s Health Care System One Community at a Time." Journal of Primary Prevention 31, no. 1-2 (February 5, 2010): 9–19. http://dx.doi.org/10.1007/s10935-010-0206-8.

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Sampogna, Gaia, Valeria Del Vecchio, Corrado De Rosa, Vincenzo Giallonardo, Mario Luciano, Carmela Palummo, Matteo Di Vincenzo, and Andrea Fiorillo. "Community Mental Health Services in Italy." Consortium Psychiatricum 2, no. 2 (May 25, 2021): 86–92. http://dx.doi.org/10.17816/cp76.

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In 1978, in Italy, approval of Basaglias reform law marked a shift from an asylum-based to a community-based mental health system. The main aim of the reform was to treat patients in the community and no longer in psychiatric hospitals. Following the Italian model, similar reforms of mental health care have been approved worldwide. The community-based model aims to promote integration and human rights for people with mental disorders on the basis of their freedom to choose treatment options. By 2000, all psychiatric hospitals had been closed and all patients discharged. Mental health care is organized through the Department of Mental Health, which is the umbrella organization responsible for specialist mental health care in the community; this includes psychiatric wards located in general hospitals, residential facilities, mental health centres, and day-hospital and day-care units. Approval of Law 180 led to a practical and ideological shift in the provision of care to patients with mental disorders. In particular, the reform highlighted the need to treat patients in the same way as any other patient, and mental health care moved from a custodialistic to a therapeutic model. Progressive consolidation of the community-based system of mental health care in Italy has been observed in the past 40 years. However, some reasons for concern still exist, including low staffing levels, potential use of community residential facilities as long-stay residential services, and a heterogeneity in the availability of resources for mental health throughout the country.
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Hawks, Laura C., Nadine Horton, and Emily A. Wang. "The Health and Health Needs of People under Community Supervision." ANNALS of the American Academy of Political and Social Science 701, no. 1 (May 2022): 172–90. http://dx.doi.org/10.1177/00027162221119661.

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Americans under community supervision experience high rates of chronic disease, mental illness, and substance use disorders but have poor access to high-quality preventive care and treatment. Pervasive barriers to healthcare and health insurance reinforce poor health, as do restrictions to evidence-based addiction treatment. We propose that community supervision agencies transfer management of the health of supervised individuals to an expanded community-based healthcare system and that they abandon practices at odds with the science of addiction medicine (e.g. prohibitions on medications to treat addiction, and revocation of community release for addiction relapse). Further, we argue that correctional systems should prioritize health of those under supervision by standardizing health-related protocols, including basic needs resources in discharge planning, and leveraging the skills of individuals with lived experiences in the correctional system. If implemented, the success of our recommendations would require expansion of community-based primary care, mental health, and addiction treatment centers.
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Schofield, Ruth, Rebecca Ganann, Sandy Brooks, Jennifer McGugan, Kim Dalla Bona, Claire Betker, Katie Dilworth, et al. "Community Health Nursing Vision for 2020." Western Journal of Nursing Research 33, no. 8 (July 26, 2010): 1047–68. http://dx.doi.org/10.1177/0193945910375819.

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As health care is shifting from hospital to community, community health nurses (CHNs) are directly affected. This descriptive qualitative study sought to understand priority issues currently facing CHNs, explore development of a national vision for community health nursing, and develop recommendations to shape the future of the profession moving toward the year 2020. Focus groups and key informant interviews were conducted across Canada. Five key themes were identified: community health nursing in crisis now, a flawed health care system, responding to the public, vision for the future, and CHNs as solution makers. Key recommendations include developing a common definition and vision of community health nursing, collaborating on an aggressive plan to shift to a primary health care system, developing a comprehensive social marketing strategy, refocusing basic baccalaureate education, enhancing the capacity of community health researchers and knowledge in community health nursing, and establishing a community health nursing center of excellence.
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TAYA, Toshimitsu. "Health, Medical Care and Welfare for the Elderly. An Experiment of Community Home Health Care System." JOURNAL OF THE JAPANESE ASSOCIATION OF RURAL MEDICINE 42, no. 5 (1994): 1072–79. http://dx.doi.org/10.2185/jjrm.42.1072.

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Novello, Antonia C. "The Role of the Public Health System in Child Day-Care Health." Pediatrics 94, no. 6 (December 1, 1994): 1114–16. http://dx.doi.org/10.1542/peds.94.6.1114.

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Why have we not convinced our citizens that day-care for children warrants greater attention, given the demonstrated needs in day care and the importance of this issue for the future of the world? Some reasons are obvious; other issues compete for our attention. Still, our children are our future, and we increasingly depend on day-care providers to nurture and protect this investment. If that is the case, then we must empower them for the benefit of the children. Yet, before high-quality day care can even be considered for the nation's children, before appropriate resources can be brought to bear on this issue, our society must first recognize that there is a problem—the solution for which requires collective involvement of the people in your community, your state, and in your country. Researchers must continue to do excellent science. Clinicians must continue to provide the best-quality patient care. Day-care providers must seek to continue giving the best possible care to the children entrusted to them. At the same time, if we focus only on what directly relates to our immediate responsibilities, many years will pass before high-quality day care for children becomes an integral part of our global society. The consequences of such inaction are frightening; the children deserve better. The time has come to move forward. I challenge the CDC to convene a workshop that includes the cosponsors of this conference to begin establishing a global agenda for preventing disease and injury and promoting health in child day-care settings. All of us are eager to work with other members of the global community to continue this critical effort on behalf of our children. When all of us go back to our states, to our communities, to other countries, to our families, our impressions will be that we came together because we had a purpose, because we had a mission, but most importantly, because we care for our children.
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32

Gaddini, A., M. Ascoli, and L. Biscaglia. "Mental health care in Rome." European Psychiatry 20, S2 (October 2005): s294—s297. http://dx.doi.org/10.1016/s0924-9338(05)80177-4.

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AbstractAimTo describe principles and characteristics of mental health care in Rome.MethodBased on existing data, service provision, number of professionals working in services, funding arrangements, pathways tocare, user/carer involvement and specific issues are reported.ResultsAfter the Italian psychiatric reform of 1978, an extensive network of community-based services has been set up in Romeproviding prevention, care and rehabilitation in mental health. A number of small public acute/emergency inpatient units inside general hospitals was created (median length of stay in 2002 = 8 days) to accomplish the shift from a hospital-based to a community-based psychiatric system of care. Some private structures provide inpatient assistance for less acute conditions (median length of stay in 2002 = 28 days), whilst the large Roman psychiatric hospital was closed in 1999.DiscussionWhilst various issues of mental health care in Rome overlap with those in other European capitals, there also are some specific problems and features. During the last two decades, the mental health system in Rome has been successfully converted to a community-based one. Present issues concern a qualitative approach, with an increasing need to foresee adequate evaluation, especially considering mental health patients' satisfaction with services and economic outcomes.
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Mapanga, Kudakwashe G., and Margo B. Mapanga. "A Community Health Nursing Perspective of Home Health Care Management and Practice within the Zimbabwean Health Care System." Home Health Care Management & Practice 15, no. 5 (August 2003): 429–35. http://dx.doi.org/10.1177/1084822303252416.

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34

Cunha, Carmen Maria Santos Lopes Monteiro, Andreia Cátia Jorge Silva Costa, and Maria Adriana Pereira Henriques. "Community health and public health nursing." Revista Gestão & Saúde 11, no. 2 (August 27, 2020): 80–96. http://dx.doi.org/10.26512/gs.v11i2.29414.

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Community health and public health nursing is a relevant issue in the context of the Portuguese National Health System reforms. International organizations, such as the World Health Organization, have emphasized the importance of nurses in community and public health care, and international studies report ongoing changes in this area in many countries. Through a Systematic Literature Review, conducted in early 2019, following an Equator Network protocol, Systematic Reviews, CRD's guidance for undertaking reviews in health care, prepared by York University, we addressed the research issue: what has been published about community health and public health nurse competencies and interventions. The inclusion of articles followed PRISMA 2009 and 36 of the total number of publications were selected. The contributions refer to the expansion of nurses’ competences, events such as health fairs, nutrition, and caries assessments, performance in contexts of natural disasters, development of management skills, understanding and influencing the making of public health policies. With the ongoing public health reform taking place in Portugal, it is also a good opportunity for nursing to investigate, produce, innovate, and recreate itself.
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35

Anderson, Kathryn Hoehn. "The Family Health System Approach to Family Systems Nursing." Journal of Family Nursing 6, no. 2 (May 2000): 103–19. http://dx.doi.org/10.1177/107484070000600202.

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36

Sered, Susan, and Maureen Norton-Hawk. "Criminalized Women and the Health Care System." Journal of Correctional Health Care 19, no. 3 (July 1, 2013): 164–77. http://dx.doi.org/10.1177/1078345813486323.

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37

Siejko, Krzysztof, Aneta Tylec, Halina Dubas-Ślemp, Piotr Książek, Bartłomiej Drop, Artur Kochański, and Katarzyna Kucharska. "The role of long term care centers in the Polish system of mental health care." Current Problems of Psychiatry 19, no. 1 (March 1, 2018): 30–40. http://dx.doi.org/10.1515/cpp-2018-0004.

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Abstract Objective: The aim of this work is to review the role of mental health care center and treatment center specialized in psychiatry in the Polish system of mental health care as a whole. Review: For many years in Poland, the process of transformation of psychiatric care model from the institutional (inpatient setting, most expensive) to community care model (personalized, much cheaper), has been taking place. The effective - coordinated system of community care should significantly improve cooperation in the treatment, while the community forms of health care should ensure full availability, complexity, and continuity of care provision. In many cases, the community support is inadequate and cannot provide patient with care at his home environment. For mentally ill, there may be a need for the use of the long term health care centers specialized in psychiatry. Conclusions: A long term mental health care center specialised in mental health plays an important role in long-term care for the mentally ill. As far as a mental health service user’s perspective is concerned, the continuity of care and treatment in the long term health care center (as a health care unit) appears to be more useful and satisfying compared to a residential home for people with chronic mental illnesses. There is a need for broad discussion on the special place of the long term health care center specialized in psychiatry in the present Polish system of mental health care and on the improving of care pathways between inpatient-, day care-and, community care package.
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38

Ntizimira, Christian, Osee Sebatunzi, Olive Mukeshimana, Viviane Umutesi, and Scholastique Ngizwenayo. "OA55 Impact of community health workers for continuum care of palliative care at community level integrated in rwanda public health system." BMJ Supportive & Palliative Care 5, Suppl 1 (April 2015): A17.3—A17. http://dx.doi.org/10.1136/bmjspcare-2015-000906.55.

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39

Famuyiwa, O. O. "Mental health in primary care." Psychiatric Bulletin 13, no. 1 (January 1989): 20–24. http://dx.doi.org/10.1192/pb.13.1.20.

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The expression primary health care (PHC) gives the impression of an ensemble of control of communicable diseases, infant care, avoidance of insanitary personal habits and curbing environmental pollution. These indeed constitute the main elements of the scheme but are not exclusive to it. An integral but often ignored aspect is the community dimension of mental health whose importance is underscored by the fact that a significant majority of people in the third world live in rural areas with minimal or no access to formal psychiatric facilities. In this paper, I shall review the conceptual framework and practicality of primary health care with special reference to community mental health, highlight some notable limitations to policy execution and finally propose an organisational model structure for the community mental health services within the primary health care system.
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40

Neves, Eloita Pereira, and Gertrudes Teixeira Lopes. "Home Care and Family Health Care Programs: A Reality in the Brazilian Health Care System." Home Health Care Management & Practice 15, no. 5 (August 2003): 375–81. http://dx.doi.org/10.1177/1084822303252399.

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41

Aljeesh, Yousef, and Mohammed AlKhaldi. "Institutionalising community health programmes into the Palestinian health-care system: a qualitative study." Lancet 391 (February 2018): S36. http://dx.doi.org/10.1016/s0140-6736(18)30361-1.

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42

Arevian, Armen C., Felica Jones, Elizabeth M. Moore, Nichole Goodsmith, Sergio Aguilar-Gaxiola, Toby Ewing, Hafifa Siddiq, et al. "Mental Health Community and Health System Issues in COVID-19: Lessons from Academic, Community, Provider and Policy Stakeholders." Ethnicity & Disease 30, no. 4 (September 24, 2020): 695–700. http://dx.doi.org/10.18865/ed.30.4.695.

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The coronavirus pandemic of 2019 (COVID-19) has created unprecedented changes to everyday life for millions of Americans due to job loss, school clo­sures, stay-at-home orders and health and mortality consequences. In turn, physicians, academics, and policymakers have turned their attention to the public mental health toll of COVID-19.This commentary reporting from the field integrates perceptions of academic, com­munity, health system, and policy leaders from state, county, and local levels in com­menting on community mental health needs in the COVID-19 pandemic. Stakeholders noted the broad public health scope of mental health challenges while express­ing concern about exacerbation of existing disparities in access and adverse social determinants, including for communities with high COVID-19 infection rates, such as African Americans and Latinos. They noted rapid changes toward telehealth and remote care, and the importance of understand­ing impacts of changes, including who may benefit or have limited access, with implica­tions for future services delivery. Needs for expanded workforce and training in mental health were noted, as well as potential public health value of expanding digital resources tailored to local populations for enhancing resilience to stressors.The COVID-19 pandemic has led to changes in delivery of health care services across populations and systems. Concerns over the mental health impact of COVID-19 has enhanced interest in remote mental care delivery and preventive services, while being mindful of potential for enhanced disparities and needs to address social determinants of health. Ongoing quality improvement across systems can integrate lessons learned to enhance a public mental well-being.Ethn Dis. 2020;30(4):695-700; doi:10.18865/ed.30.4.695
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43

Chakraborty, Manali. "The Influences of Community Health Resources in Lower Income Countries and Responsibilities of Community Health Nurses." International Journal of Research and Review 9, no. 12 (December 29, 2022): 545–48. http://dx.doi.org/10.52403/ijrr.20221260.

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Community refers to the geographical area where every people share the same geographical region, same facilities and same health care facilities. Community health refers to the in total health of the whole community people. Community health nurse are the one who is the part of community health team and played a vital role in the public health care. Who is consider as human resources for health care system. Without human resources providing health care is not possible so sufficient amount of human resources is most important as well as material resources. Health resources includes several things like drug, equipment, diagnostic tool etc. But lower income countries are having the problem of low health budget which is directly effecting the health resources and health facilities. When facilities are less, resources are minimal community health care need will be not fulfilling. It will increase morbidity and mortality ratios in the country. So, Health resources is vital for every health care which should be in a sufficient amount to promote patient condition and prevention of several communicable diseases in the low income countries. Keywords: Community, Community health, Community health nurse, Prevention, Promotion.
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Lundy, Janice. "BUILDING AN AGE-FRIENDLY HEALTH CARE SYSTEM." Innovation in Aging 3, Supplement_1 (November 2019): S186. http://dx.doi.org/10.1093/geroni/igz038.666.

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Abstract Gateway GWEP has partnered with a rural Missouri critical access hospital to establish an age-friendly health system in their community. Program innovations include development and training of: 1) electronic health records integration of the Rapid Geriatric Assessment (RGA) for all patients 65+ years old; 2) RGA-based protocol for Medicare Annual Wellness Visits (MAWV); 3) Multidisciplinary health care assessment team 4) Evidence-based or Evidence Informed treatment interventions, including Cognitive Stimulation Therapy (CST), exercise and strengthening program for persons participating in CST, Care of Persons with Dementia in their Environments (COPE) and caregiver support. Since 2015, 1,200 RGAs, 338 MAWVs have been completed; 165 persons with dementia participated in CST; and 74 have participated in exercise and strengthening. Data supports positive outcomes in functional independence, cognitive status, and care-giver dementia management skills and well-being. Successes and lessons learned regarding strategies to develop an age-friendly health systems will be discussed.
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45

Lee, Kunsei. "Implications of community integrated health and social care system in Japan." Public Health Affairs 3, no. 1 (December 31, 2019): 9–26. http://dx.doi.org/10.29339/pha.3.1.9.

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46

Baker, S. S. "Teamwork between the Health Care Community and the Blind Rehabilitation System." Journal of Visual Impairment & Blindness 87, no. 9 (November 1993): 349–51. http://dx.doi.org/10.1177/0145482x9308700911.

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Despite preventive efforts, 8,000 persons with diabetes lose their vision each year. The medical community does not often address the needs of people with diabetes who become visually impaired, and rehabilitation services for visually impaired people often do not incorporate sufficient diabetes education. This article describes a program in which teamwork and communication between both systems of care provide an optimum environment for successful rehabilitation.
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Armold, Sarah. "Utilization of the Health Care System of Community Case Management Patients." Professional Case Management 22, no. 4 (2017): 155–62. http://dx.doi.org/10.1097/ncm.0000000000000197.

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48

Wiley, Lindsay F., and Gene W. Matthews. "Health Care System Transformation and Integration: A Call to Action for Public Health." Journal of Law, Medicine & Ethics 45, S1 (2017): 94–97. http://dx.doi.org/10.1177/1073110517703335.

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Restructured health care reimbursement systems and new requirements for nonprofit hospitals are transforming the U.S. health system, creating opportunities for enhanced integration of public health and health care goals. This article explores the role of public health practitioners and lawyers in this moment of transformation. We argue that the population perspective and structural strategies that characterize public health can add value to the health care system but could get lost in translation as changes to tax requirements and payment systems are rapidly implemented. We urge public health leaders to take a more active role in hospital assessments of community health needs and evaluation of the patient outcomes for which providers are accountable.
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Peyton, Liam, Jaspreet Bindra, Aladdin Baarah, Austin Chamney, and Craig Kuziemsky. "A Bounded Health Information Technology System Design Approach to Support Community-Based Care Delivery." International Journal of Cloud Applications and Computing 5, no. 1 (January 2015): 32–45. http://dx.doi.org/10.4018/ijcac.2015010103.

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Health information technology (HIT) offers great potential for supporting healthcare delivery, particularly collaborative care delivery that is provided across multiple settings and providers. To date much of HIT design has focused on digitizing data or processes on a departmental or healthcare provider basis. However, this bounded approach has not scaled well for supporting community based care across disparate providers or settings because of the lack of boundaries (e.g. disprate data and processes) that exist in community based care. Cloud computing approaches that leverage mobile form applications for developing integrated HIT solutions have the potential to support collaborative healthcare delivery in the community. However, to date there is a shortage of methods that describe how to develop integrated cloud computing solutions to support community based care delivery. In particular there is a need for methods that identify how to incorporate boundaries into cloud computing systems design. This paper uses a three year case study of the design of the Palliative Care Information System (PAL-IS) to provide system design insight on cloud computing approaches that leverage mobile forms applications to support community care management.
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Anargyros, Konstantinos Panagiotis, Andreas Spyridon Lappas, and Nikolaos G. Christodoulou. "Community Mental Health Services in Greece: Development, Challenges and Future Directions." Consortium Psychiatricum 2, no. 4 (December 31, 2021): 62–67. http://dx.doi.org/10.17816/cp111.

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The current system of mental health care in Greece was created in accordance with the European Union and other international principles for mental health care provisions. Whereas Greece has been reforming its system of mental health care since at least the 1980s, the main recent Greek effort has been Psychargos, a program which began in 2000 and is still in effect. During the last two decades the Greek mental health system has been gradually shifting to a community-based system of care. Various services with unique, yet intertwined, responsibilities have been introduced. The Greek system of mental health care still faces challenges, and the mental health reform is ongoing. Future goals should be to improve the current framework of care and access to care by establishing community mental health services across the country that are fit for purpose, enhancing multidisciplinary collaboration and patient involvement, integrating community mental health care with physical and social care services, and ensuring that service development is driven by need. Crucially, such aims demand the adoption of a culture of clinical governance and a consistent shift from traditional therapeutic care to person-centred psychiatry and preventive psychiatry.
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