Journal articles on the topic 'Health service evaluation'
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Murray, Ruth. "Mental Health Service Evaluation." Journal of Psychosocial Nursing and Mental Health Services 35, no. 3 (March 1997): 43. http://dx.doi.org/10.3928/0279-3695-19970301-28.
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Geller, Jeffrey L., and Barbara Dickey. "Mental Health Service Evaluation." Psychiatric Services 48, no. 9 (September 1997): 1207. http://dx.doi.org/10.1176/ps.48.9.1207.
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Geddes, John. "Mental health service evaluation." Journal of Psychosomatic Research 42, no. 3 (March 1997): 312–13. http://dx.doi.org/10.1016/s0022-3999(96)00193-6.
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Idrish, Sherina, Afrin Rifat, Mehree Iqbal, and Nabila Nisha. "Mobile Health Technology Evaluation." International Journal of Technology and Human Interaction 13, no. 2 (April 2017): 1–21. http://dx.doi.org/10.4018/ijthi.2017040101.
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Globally, the advancement of mobile technology and the growing number of mobile phone users has promoted the boom in mobile health services. The influence of mobile technology has, in fact, made healthcare delivery more accessible, affordable and effective today. Consumers are thus increasingly using mobile devices as health service delivery aids across various countries. However, questions remain as to how consumer traits like personal innovativeness and self-efficacy, financial costs related to the service delivery and demographics like age and gender may affect the usage and adoption of mobile health services, especially for emerging economies like Bangladesh. Conceptual model of the study identifies self-efficacy, facilitating conditions, effort expectancy and performance expectancy to be significant constructs that influences users' overall perceptions of mobile health services, along with moderating effects of both age and gender upon the selected factors. Finally, the study highlights managerial implications, future research directions and limitations.
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Wright, Michael, Aunty Getta, Aunty Green, Uncle Kickett, Aunty Kickett, Aunty McNamara, Uncle McNamara, et al. "Co-Designing Health Service Evaluation Tools That Foreground First Nation Worldviews for Better Mental Health and Wellbeing Outcomes." International Journal of Environmental Research and Public Health 18, no. 16 (August 13, 2021): 8555. http://dx.doi.org/10.3390/ijerph18168555.
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It is critical that health service evaluation frameworks include Aboriginal people and their cultural worldviews from design to implementation. During a large participatory action research study, Elders, service leaders and Aboriginal and non-Aboriginal researchers co-designed evaluation tools to test the efficacy of a previously co-designed engagement framework. Through a series of co-design workshops, tools were built using innovative collaborative processes that foregrounded Aboriginal worldviews. The workshops resulted in the development of a three-way survey that records the service experiences related to cultural safety from the perspective of Aboriginal clients, their carer/s, and the service staff with whom they work. The surveys centralise the role of relationships in client-service interactions, which strongly reflect their design from an Aboriginal worldview. This paper provides new insights into the reciprocal benefits of engaging community Elders and service leaders to work together to develop new and more meaningful ways of servicing Aboriginal families. Foregrounding relationships in service evaluations reinstates the value of human connection and people-centred engagement in service delivery which are central to rebuilding historically fractured relationships between mainstream services and Aboriginal communities. This benefits not only Aboriginal communities, but also other marginalised populations expanding the remit of mainstream services to be accessed by many.
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Allevi, Liliana, Giovanni Salvi, and Mirella Ruggeri. "Quality of mental health services: a self audit in the South Verona mental health service." Epidemiologia e Psichiatria Sociale 15, no. 2 (June 2006): 138–47. http://dx.doi.org/10.1017/s1121189x00004346.
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SUMMARYAims – To start a process of Continuous Quality Improvement (CQI) in an Italian Community Mental Health Service by using a quality assurance questionnaire in a self audit exercise. Methods – The questionnaire was administered to 14 key workers and clinical managers with different roles and seniority. One senior manager's evaluation was used as a benchmark for all the others. Changes were introduced in the service practice according to what emerged from the evaluation. Meetings were scheduled to monitor those changes and renew the CQI process. Results – There was a wide difference in the key workers' answers. Overall, the senior manager's evaluation was on the 60th percentile of the distribution of the other evaluations. Those areas that required prompt intervention were risk management, personnel development, and CQI. The CQI process was followed up for one year: some interventions were carried out to change the practice of the service. Conclusions – A self audit exercise in Community Mental Health Services was both feasible and useful. The CQI process was easier to start than to carry on over the long term.
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Lambrini Kourkouta, Christos Iliadis, Christos Sialakis, Theodoula Adamakidou, Petros Ouzounakis, and Christos Kleisiaris. "Quality of health services." World Journal of Advanced Research and Reviews 12, no. 1 (October 30, 2021): 498–502. http://dx.doi.org/10.30574/wjarr.2021.12.1.0555.
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Introduction: Health services are that part of the health system, which focuses specifically on the provision of health care services in the society. A health system includes a complex set of structural relationships between populations and institutions that have an impact on health. Purpose: This review aims to investigate the relationship between the quality of health services and health in general. Methodology: The study material consisted of recent articles on the subject found mainly in the Medline electronic database and the Hellenic Academic Libraries Association (HEAL- Link). Results: Certain dimensions of health service quality, such as consistency, completeness, and effectiveness, are also difficult to be measured, apart from the subjective evaluation by the client. But even subjective evaluation by the client can be difficult and the results will be different from the evaluation of services done by other parties, such as health professionals. While the latter evaluate the design and delivery of the service, the customers evaluate the service based on their overall perception of its provision. Conclusions: The continuous monitoring of health services for quality evaluation is very important, in such extent that the evaluation of patients' perceptions of the quality of health care, has received significant attention in recent years.
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Hill, Shane, Niall Turner, Siobhan Barry, and Eadbhard O'Callaghan. "Client satisfaction among outpatients attending an Irish community mental health service." Irish Journal of Psychological Medicine 26, no. 3 (September 2009): 127–30. http://dx.doi.org/10.1017/s0790966700000422.
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AbstractObjectives: To assess patient satisfaction with mental health services. Client satisfaction with mental health services is attracting increasing attention and is now considered a key outcome variable in evaluating mental health services. The Quality Framework (Mental Health Commission (MHC)), and Vision for Change (VFC) support such evaluation. However, there are no published quantitative data from Irish users of a community mental health service.Method: We invited outpatients attending a Dublin community mental health service to complete a standardised self-report instrument (Client Satisfaction Questionnaire, CSQ-8) and provide qualitative feedback.Results: Of the seventy-nine respondents, 80% report they were ‘satisfied’ or ‘very satisfied’ with the service. However, they were critical of; access to, operation of, and communication with the mental health services.Conclusions: Although satisfied, when given the opportunity to comment, service users can be critical of aspects of the service they receive. Only using quantitative evaluation of outpatient client satisfaction levels may fail to capture important consumer suggestions for service development. Recent recommendations and upcoming changes would address a number of the criticisms of mental health services identified in this study.
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Swerissen, Hal, John Stanton, Sandra Marshall, Chris Peterson, and Linda Tilgner. "An Evaluation of a Shared Care Diabetes Project." Australian Journal of Primary Health 6, no. 2 (2000): 30. http://dx.doi.org/10.1071/py00016.
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Shared care projects involve cooperation between general practitioners, specialist health professionals, and education and support services, to ensure clients receive optimal assessment, treatment and support. The Melbourne Division of General Practitioners Diabetes Service provided shared care to improve the care of patients with diabetes mellitus and reduce the incidence of complications. An evaluation of the Service was conducted using a database of 847 client records maintained by the Service and a survey of 35 GPs and 134 clients. Analysis of the client database indicated a positive trend for improved physical outcomes of clients attending the Service. Survey findings showed GPs and clients attributed improved patient attitude and knowledge of diabetes to the Service. Although GPs and clients were satisfied with the Service, GPs with more positive attitudes were more likely to be interested in placements and case discussions with other health professionals, and more often attributed an improved GP/patient relationship to the Service. The study highlights the need for integrated diabetes care to include partnerships between Divisions of General Practice, community health services, specialists and hospital service providers. It also shows the need to integrate referral and reporting systems, database management, GP services, diabetes education and allied health with hospital based services.
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Almeida, Karlo Jozefo Quadros de, Francis Nakle de Roure, Roberto José Bittencourt, Regina Maria Dias Buani dos Santos, Fernanda Viana Bittencourt, Leila Bernarda Bernarda Donato Gottems, and Fábio Ferreira Amorim. "Active health Ombudsman service." Revista de Saúde Pública 52 (August 6, 2018): 76. http://dx.doi.org/10.11606/s1518-8787.2018052017291.
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OBJECTIVE: To evaluate the active health Ombudsman service as an instrument to evaluate the quality of delivery and birth care in the Cegonha Network of the Federal District of Brazil. METHODS: This is a cross-sectional study of the telephone survey type carried out with 1,007 mothers with deliveries between October 15, 2013 and November 19, 2013 in the twelve public maternity hospitals that make up the Cegonha Network of the Federal District of Brazil. The instrument has 25 multiple choice or Likert scale questions, including sociodemographic data and acceptability evaluation in five domains: accessibility, relationship between the patient and health professionals, conditions of the structure of the service, information to the patient, and equity and opinion of the patient. We have studied qualitative or categorical variables according to the frequency and distribution of proportions. We have used the score transformed into a scale from zero to 100 for the analysis of the Likert-type scale questions. Results have been expressed as mean and standard deviation. RESULTS: Access to prenatal appointments was evaluated as good or excellent by 86.1% of the participants and laboratory tests was evaluated as good or excellent by 85.2% of them. The access to imaging tests was evaluations as good or excellent by 45.7% of the women; 79.5% of the interviewees had their delivery in the maternity hospital where they sought initial care and 18.3% received a home visit by a community health agent after discharge. Most women reported that newborns were placed skin-to-skin immediately after birth, 48.9% had a companion at the time of the delivery, 76.3% were advised about the first appointment of the newborn, and 94.8% were advised on breastfeeding in the maternity hospital. Regarding the evaluation of health professionals, 85.9% of the women considered reception and cordiality as good or excellent at the prenatal care and 94.8% considered it as good or excellent at the maternity hospital. CONCLUSIONS: The active health Ombudsman service has contributed to evaluate the quality of public management by allowing the incorporation of the perspective of users of the health service in the evaluation of the acceptability of the Cegonha Network in the Federal District of Brazil.
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Holehouse, Kelly, Karen Oliver, Gillian Rawlinson, and Hazel Roddam. "Collaborative service delivery to address public health issues within a musculoskeletal setting: evaluation of the Healthy Mind, Healthy Body project." International Journal of Therapy and Rehabilitation 26, no. 11 (November 2, 2019): 1–15. http://dx.doi.org/10.12968/ijtr.2018.00196.
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Background/Aims There is a need for greater focus on public health and its impact on musculoskeletal conditions within healthcare delivery. Physiotherapists are well positioned to support this. Outpatient physiotherapy musculoskeletal services traditionally focus on rehabilitation and physical exercise, yet many service users require support to improve both their mental and physical health. This innovative service improvement aimed to embed integrated health promotion within musculoskeletal physiotherapy service delivery. Methods A physiotherapy-led multidisciplinary team introduced patients to other community-based support services to address wider health needs. Results Service evaluation demonstrated a high uptake of self-referral to community services, validating the potential benefit for musculoskeletal condition management. Positive patient feedback indicates that patients valued the service and were well-supported to engage with health improvement. Conclusions Musculoskeletal physiotherapy services need to consider the wider aspects of health, putting public health at the heart of musculoskeletal service delivery.
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Kang, Doo Syen, and SYNG POM CHOY. "The layers of relational communication in evaluating health care services." International Journal of Pharmaceutical and Healthcare Marketing 9, no. 4 (November 2, 2015): 349–68. http://dx.doi.org/10.1108/ijphm-09-2014-0048.
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Purpose – This study aims to determine communication factors in various social settings that influence a comprehensive evaluation process ranging from information search before selecting a service organization to a service value assessment after using healthcare services. Design/methodology/approach – An empirical study using structural equation modeling tests the relationships among factors of the social environment in pre- and post-consumption evaluations with a sample of over 400 outpatients. Findings – The results indicate that service value evaluations are influenced by health-related communications with family before being diagnosed, opinions from family and friends in the decision-making process and interaction with other patients after choosing a hospital. The level of evaluation is mediated by how willing consumers are to exchange thoughts and ideas with others. Research limitations/implications – Future studies could consider the differences in gender and culture, and include more various resources such as patients from different hospitals and geographical areas for better generalizability. Practical implications – The paper identifies the importance of understanding how social relationships are involved in creating satisfied customers who will be loyal, generate good news and recommend services to others. The findings are conducive to planning and executing public relations strategies throughout the pre- and post-purchase process. Originality/value – Unlike the previous research that focused on service provider-oriented factors influencing customer satisfaction, the study investigates the effect of consumer-oriented social elements on service value evaluation to extend the horizon of public relations planning.
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McLauchlan, S. "The Health Advisory Service--an Evaluation." Journal of Epidemiology & Community Health 45, no. 1 (March 1, 1991): 87. http://dx.doi.org/10.1136/jech.45.1.87-c.
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Shepherd, Nicole, Thomas J. Meehan, Fiona Davidson, and Terry Stedman. "An evaluation of a benchmarking initiative in extended treatment mental health services." Australian Health Review 34, no. 3 (2010): 328. http://dx.doi.org/10.1071/ah09698.
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Aim.To evaluate the effectiveness of a benchmarking initiative in facilitating quality improvement and reform in extended care mental health services. Method.Individual interviews and focus group discussions were conducted with 84 staff in 22 extended care mental health services that had previously participated in a State-wide benchmarking exercise in Queensland, Australia. Results.Staff reported positive outcomes from participation in the benchmarking exercise. Information derived from benchmarking provided a different perspective on the strengths and weaknesses of individual services and an opportunity to learn from peer services. Staff in 86% of the services identified issues that needed to be addressed and 64% of services had implemented one or more service improvement projects in response to shortcomings identified through the benchmarking exercise. Conclusions.The collection and reporting of performance data through a process of benchmarking was successful in facilitating service improvement in most of the participating facilities. Engaging services in all stages of the process was considered useful in converting benchmarking data into knowledge that was able to be applied at the local service level. What is known about the topic?Implementing and maintaining service improvement initiatives in mental health services can be difficult, due to ongoing resource limitations in the sector. Although there is currently a drive to promote benchmarking for mental health services, to date, there has been limited evidence that it leads to sustained service improvements. What does this paper add?This paper reports on an evaluation of a benchmarking initiative in extended treatment mental health services in Queensland, Australia. Six months after implementation, staff reported positive outcomes from participation in the project, and 64% of services had implemented one or more service improvement projects. Engagement of service staff in the process of benchmarking is important to ensure success. What are the implications for practitioners?Benchmarking initiatives can lead to service improvement. It is important to involve staff in the process of benchmarking, from choosing performance indicators and collection of data, to interpretation of the results. Organising events where staff can present findings from the project to their peers provides the opportunity to reflect on the direction of their service and learn from others. In this way, information provided through benchmarking can be converted into knowledge that is applied at the service level.
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Chen, Jingyuan, Yuqi Bai, Pei Zhang, Jingyuan Qiu, Yichun Hu, Tianhao Wang, Chengzhong Xu, and Peng Gong. "A Spatial Distribution Equilibrium Evaluation of Health Service Resources at Community Grid Scale in Yichang, China." Sustainability 12, no. 1 (December 19, 2019): 52. http://dx.doi.org/10.3390/su12010052.
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Whether the supplies of health services and related facilities meet the demand is a critical issue when developing healthy cities. The importance of health services and related facilities in public health promotion has been adequately proved. However, since the community population and resource data are usually available at the scale of an administrative region; it is very difficult to perform further fine-scaled spatial distribution equilibrium evaluation studies. Such kinds of activities are highly expected for precise urban planning and management. Yichang is located in Hubei province, the central part of China, along the Yangzi River. It is leading both of China’s smart cities demonstration project and China’s healthy cities pilot project. Yichang has defined 1271 community grids for urban management and service, where each grid consists of 200 households generally with its population distribution data routinely updated. The research set the 15-min walking distances of the residents as impedance factors, and the numbers and the types of health service resources as attractiveness factors for accessibility evaluation. The resource ratio, richness and per capita number of various health service resources that can be reached within 15 min from the community grid building is used as spatial distribution equilibrium evaluation indicators. The entropy weight method is used to assign the indicator weight value. The obtained fine-scale evaluation results were analyzed. In this way, a community grid-scale spatial distribution equilibrium evaluation of health service resources in Yichang was performed. The proposed research could be of value for rapid and precise evaluation of spatial distribution equilibrium evaluation of a variety of healthy city resources, to support healthy city planning and management.
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Ishara, Sergio, Marina Bandeira, and Antonio Waldo Zuardi. "Public psychiatric services: job satisfaction evaluation." Revista Brasileira de Psiquiatria 30, no. 1 (December 20, 2007): 38–41. http://dx.doi.org/10.1590/s1516-44462006005000064.
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OBJECTIVE: To investigate the satisfaction of health-care professionals in inpatient and outpatient psychiatric hospitals of a Brazilian medium-sized city. METHOD: The study evaluated 136 health-care professionals from six hospitals; of which two were outpatient hospitals, two general hospitals, and two psychiatric hospitals. All professionals answered the Brazilian Mental Health Services' Staff Satisfaction Scale. RESULTS: An average satisfaction score of 3.26 was observed, which is situated between indifference (level 3) and satisfaction (level 4). Factors "service quality" (3.48) and "relationships at work" (3.48) showed higher scores compared to "service participation" (3.20) and "work conditions" (2.97) (p < 0.001). The female patient unit in the psychiatric hospital presented lower satisfaction scores (p < 0.001). Satisfaction was higher in the category "technicians" compared to "physicians" and "nurses" (p = 0.004). Moreover, day workers reported higher satisfaction compared to night workers regarding "service quality" and "service participation" (Student's t, p = 0.01 and p = 0.007). DISCUSSION AND CONCLUSION: Results show an intermediate level between indifference and satisfaction with services, with higher scores regarding care provided to the patients. Comparisons among the studied facilities revealed the numerous factors involved in determining one's satisfaction. They suggest advancements and reform measures likely to occur in the region's psychiatric health-care services. Monitoring satisfaction proved useful in predicting service quality improvements.
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Sun, Jun, and Qiulan Luo. "Research on Application of Health Medical Information Science Data Sharing Standard System in Sports Rehabilitation." Journal of Medical Imaging and Health Informatics 11, no. 3 (March 1, 2021): 996–1003. http://dx.doi.org/10.1166/jmihi.2021.3352.
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The development of medical information technology has rapidly promoted the development of medical information technology towards intelligence. Health medical data provides basic data resource protection for intelligent medical services and smart medical services. This article abstracts the typical models of domestic and international health medical information management services, and provides theoretical basis and practical reference for the building of an evaluation index system for health management service capabilities. An system for health management service capabilities under a data sharing standard system was constructed, and the status and linkage of health management services were investigated and comprehensively evaluated to provide an index system and empirical data for evaluating hospital health management service capabilities. Finally, analyze the advantages and disadvantages of health management services under the medical consortium framework, propose countermeasures to improve the health management service system, provide decision-making references for units to improve their health management service capabilities, optimize health management service models, and formulate health management services for relevant government departments Provisional policies to promote the implementation of health management.
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Ayu, Dwie. "Evaluation of Participant Patient Satisfaction Evaluation in Childbirth Care at Independent Midwifery Practices." Jurnal Ners dan Kebidanan Indonesia 7, no. 3 (April 30, 2020): 186. http://dx.doi.org/10.21927/jnki.2019.7(3).186-191.
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<p><em>Patient satisfaction is a measure of the quality of care. One important problem that continues to be faced is the lack of good quality service and getting client satisfaction. The aim is to explore the satisfaction of maternity patients using BPJS guarantees for the services provided by midwives in the Midwife's Independent Practice. This research method uses qualitative short narrative or force. PubMed and Proquest searches were carried out systematically from 2008 to 2018. Quality articles were selected based on inclusion and Critical Assessment criteria. Based on the review found k Mothers' satisfaction with prenatal care can be said to be the experience that results from subjective judgments about what the mother expects and what actually happens related to labor. Factors that influence patient satisfaction in labor are environmental factors, technical and professional aspects of nursing, and aspects of care and communication. Quality of service is the dominant concept in quality assurance and quality improvement programs in the health sector. One method for determining quality is evaluating customer satisfaction. One tool for evaluating and analyzing service quality gaps is SERVQUAL to study the difference between customer expectations and perceptions in different dimensions including in five dimensions of service quality namely physical evidence, service reliability, responding, assurance and empathy. To get health services, you can use health insurance (BPJS). The benefits of health insurance are freeing participants from the difficulty of providing cash, health costs can be monitored, quality of service can be overcome and the availability of health data. </em></p>
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Данилина, Елена, Elena Danilina, Екатерина Яковлева, Ekaterina Yakovleva, Татьяна Бутова, Tatyana Butova, Алексей Белобородов, and Aleksey Beloborodov. "Service and quality of medical services." Services in Russia and abroad 8, no. 8 (December 15, 2014): 3–12. http://dx.doi.org/10.12737/8242.
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The article defines the scientific and terminological problems of researching services in the field of services, the basic problems of the evaluation of services in health care organizations. On the basis of a systematic approach to the category of quality of medical services the article investigates patient satisfaction with the perceived quality of service, shows the role of consumer expectations in the evaluation of the perceived quality of services and finds that the requirements for the service in medical institutions are underestimated. On the basis of studies the authors identify behaviors of consumers of budgetary medical services organizations, develop a model of consumer activities, which differs from the existing ones that along with the economic component the model is complemented with communication components. The approbation of the authors´ model for health care services shows a characteristic pattern of consumer activity of budgetary organizations. The article highlights the factors of subjective judgment of health care consumers in assessing perceived quality. Based on the study of patient satisfaction the authors develop a hierarchical model of the perceived quality of health services, as well as the place of services defined in the model.
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Tacchi, Mary Jane, Suresh Joseph, and Jan Scott. "Evaluation of an emergency response service." Psychiatric Bulletin 27, no. 4 (April 2003): 130–33. http://dx.doi.org/10.1192/pb.27.4.130.
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Aims and MethodAn emergency response service (ERS) was introduced to streamline the assessment of individuals presenting in a crisis in one sector of a large provincial city. Data on service activity, clinical details and outcome were recorded on consecutive referrals to the service over the first 6 months of operation, and all patients were offered the opportunity to complete the Client Satisfaction Questionnaire.ResultsSeventy-five per cent of those referred accepted the offer of assessment, and the majority were seen in their own home within 2 hours. One in ten individuals were not offered any further mental health input and 17% were hospitalised. The number of admissions via primary care fell by 60% after the introduction of this service. However, at its peak of activity the service received an average of only two referrals per day and three each weekend. Only 30% of referrals were received outside of normal office hours. Service users and general practitioners were found to be more satisfied with the service than the staff that provided it.Clinical ImplicationsThe introduction of the ERS led to a faster, more consistent process of assessment of crisis referrals and assessment undertakings in the community, and appeared to increase the use of alternative treatments for individuals in crisis before resorting to admission. Funding opportunities are restricted for the development of crisis services. The development of emergency response services for the use of current staff from a number of community mental health teams is an option worth considering.
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Liang, Rizhong. "URBAN SPORTS SERVICE STRUCTURE FROM THE PUBLIC HEALTH CONTEXT." Revista Brasileira de Medicina do Esporte 27, spe (March 2021): 108–10. http://dx.doi.org/10.1590/1517-8692202127012020_0114.
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ABSTRACT With the improvement of the quality of life, the residents’ requirements for the construction of urban public sports services have gradually improved. In order to improve the current urban public sports service system, this study analyzes the existing public sports service through the construction of public sports service model. The results show that the current construction of public sports service has some defects, such as single construction subject, unbalanced regional development of sports service, lack of perfect performance evaluation mechanism of sports public service, and so on. Therefore, in the process of public sports service construction, we need to pay attention to the diversification of construction subjects, the cultivation of residents’ awareness of physical exercise, the improvement of performance evaluation mechanisms of sports public services, and the broadening of investment channels. These measures can improve the urban public sports service system from the perspective of public health, and create better quality public sports services. This study analyzes the problems existing in the construction of public sports service by building a model, and puts forward some suggestions for improvement, hoping to provide ideas for scholars who study related experiments.
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Mothi, M., K. Nijabat, and O. Mason. "Use of mental health services amongst ethnic groups - a service evaluation." European Psychiatry 26, S2 (March 2011): 470. http://dx.doi.org/10.1016/s0924-9338(11)72177-0.
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IntroductionLondon Borough of Waltham Forest is composed of an ethnically diverse population. In some ethnic groups, mental illness may prevent access, or influence non-attendance when referred to Mental Health Services.ObjectivesTo examine referrals received by our service and first appointment attendance with respect to gender and ethnicity.AimsTo assess the characteristics of referrals and first appointment attendance when accessing mental health services during August 2009 and compare with ethnic demographics of the borough.MethodsWe retrospectively analysed psychiatric referrals received. Data was collected from electronic patient record.ResultsOf the 159 referrals evaluated, 39% referrals were White, 13% Asian, 13% Black, 3% mixed and 4% other. Majority of referrals were from general practitioners. In 28%, ethnicity was not recorded. 60% were female and 38% male. 52% were referred for mood symptoms. 24% Whites attended their first appointment as opposed to 9% of Asians and 8% Blacks. While referrals reflected the wider population, there was a higher rate of non attendance amongst ethnic minority groups than Whites. Interestingly a higher number of females attended their first appointment compared to males. This may explain for lower number of female admissions compared to males.ConclusionWe found several possible explanations for the above findings from literature which highlighted stigma as a major determining factor. Our trust has an Equality and Diversity Work plan to promote engagement of minority ethnic groups. However there seems to be a relative poverty in accessing services in our Borough.
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de Andrade, Fábia Barbosa, Iris do Ceu Clara Costa, Tainara Lôrena dos Santos Ferreira, Dayane Caroliny Pereira Justino, Luanni Rayssa de Medeiros Souza, Cláudia Janiele Batista Fonsêca, Paula Thayse Costa Fernandes, and Andréia Geíse Gomes de Araújo. "Quality of Service to Users of Primary Health Care: A Study of Evaluation." Health 07, no. 02 (2015): 201–6. http://dx.doi.org/10.4236/health.2015.72023.
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Furler, Elizabeth. "AGAINST HEGEMONY IN HEALTH CARE SERVICE EVALUATION." Community Health Studies 3, no. 1 (February 12, 2010): 32–41. http://dx.doi.org/10.1111/j.1753-6405.1979.tb00228.x.
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Johnson, Paul L. "Evaluation of U.S. Public Health Service Programs." Evaluation & the Health Professions 19, no. 3 (September 1996): 311–24. http://dx.doi.org/10.1177/016327879601900305.
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Krupa, Terry, Heather Stuart, Alan Mathany, Jennifer Smart, and Shu Ping Chen. "An Evaluation of a Community-Based, Integrated Crisis-Case Management Service." Canadian Journal of Community Mental Health 29, S5 (January 1, 2010): 125–37. http://dx.doi.org/10.7870/cjcmh-2010-0039.
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This study presents findings of an evaluation of a community-based crisis service that used systems enhancement funding to modify services. In addition to developing timelier crisis services and increasing mobile capacity, the service adaptations focused on broadening the scope of the crisis service and addressing the follow-up needs of individuals served. While service development was guided by the research and best practice literature, there was little guidance available on how to address the latter two goals. The development of a transitional case management model integrated with crisis services was an innovation in service delivery. The evaluation used existing databases to compare crisis service delivery between two distinct periods (i.e., “old model” vs. “new model”). Study findings suggest that the new model did lead to the expected changes in service utilization patterns, specifically to increased service capacity, greater access to mobile crisis services, improved access to a broader community population, and more appropriate patterns of service delivery with respect to fewer days of crisis service and exit dispositions more consistent with crisis resolution. Rankings of acceptance of the new crisis service by the local service network varied greatly across service sectors, suggesting the need for more strategic community outreach efforts. The findings indicate that policy and funding opportunities within the mental health system need to be flexible and sensitive enough to address emerging issues in the field and to facilitate service innovations.
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McKenzie, A., R. Allister, D. Humphrey, K. Moore, K. Greenberg, and N. Greenberg. "An evaluation of a veterinary-specific mental health service." Occupational Medicine 70, no. 3 (February 12, 2020): 169–75. http://dx.doi.org/10.1093/occmed/kqaa017.
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Abstract Background Veterinary professionals are at increased risk of suicide and mental health difficulties compared to the general population. Vetlife Health Support (VHS) is a mental health case management service for veterinarians with mental health difficulties. Aims To evaluate the VHS case management service from the service user’s perspective. Methods Service users (n = 98) completed questionnaires assessing their experience with VHS and current mental health status using the Kessler-6 Scale. A sub-sample was interviewed and the data qualitatively analysed (n = 14). Results The results show that 97% (n = 95) reported a positive experience with VHS and 98% (n = 96) reported VHS staff respected and listened to them. Participants reported significant improvements in relationships with others after VHS (P < 0.001) and were significantly more likely to be in receipt of formal mental health care after VHS than before (P < 0.01). The main emergent themes from the qualitative interviews were (i) positive communication between clinician and service users, (ii) veterinary-specific mental health services were regarded as important to understanding service users’ circumstances, (iii) knowing someone is supporting them positively impacted wellbeing and (iv) confusion with discharge status. Conclusions Most participants reported positive experiences with VHS. Quantitatively, data showed that participants reported significant improvements in relationships and access to formal mental health care after contact with VHS. Interviews with service users revealed that they felt speaking to a mental health professional with veterinary-specific knowledge was beneficial for their wellbeing. Further evaluation assessing whether VHS leads to a measurable impact on psychological wellbeing is recommended.
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Adhikari, Shiva Raj, Diksha Sapkota, Arjun Thapa, and Achyut Raj Pandey. "Evaluation of Nepal’s Free Health Care Scheme from Health System Perspective: A Qualitative Analysis." Journal of Nepal Health Research Council 16, no. 41 (January 28, 2019): 372–77. http://dx.doi.org/10.33314/jnhrc.v16i41.1584.
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Background: Access to high quality medicines is often considered as one of the main obstacle in achieving health for all. With the objective of increasing access to health services of poor segment of population, government of Nepal has implemented free health care program. However, there is strong need for evaluating the performance and coverage of free health Care scheme. In this context, this study aims to provide better understanding on the implementation status of free health care scheme in context of Nepal.Methods: It is a qualitative study conducted in 7 districts of Nepal. Total of 14 focused group discussion were conducted among service providers and service users. All the discussions were carried in neutral and natural setting making sure that each of participants feels free to express their opinion. Focused group discussions were transcribed, translated into English, coded and analyzed manually.Results: Participants shared that free health care has contributed positively in making essential health services reachable, affordable and accessible to all specially benefiting poor segment of population. However, multitude of factors like geographical access, perception of community people towards health services, availability of medicines, laboratory services and human resources come into play determining the utilization of health services. Service providers recommended that there need to be improvements in procurement and supply system for uninterrupted supply of services.Conclusions: Despite having some problems in availability of medicines, human resource and diagnostic services, free health care has improved access to health services specially for poor population. Decentralizing the procurement process can be one promising option to overcome the inappropriate supply of medicines.Keywords: Access to medicine; financial risk; free health care; Nepal; poor.
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Ameryoun, Ahmad, Seyedvahid Najafi, Bayram Nejati-Zarnaqi, Seyed Omid Khalilifar, Mahdi Ajam, and Ahmad Ansarimoghadam. "Factor selection for service quality evaluation: a hospital case study." International Journal of Health Care Quality Assurance 30, no. 1 (February 13, 2017): 58–66. http://dx.doi.org/10.1108/ijhcqa-05-2016-0070.
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Purpose The purpose of this paper is to develop a systematic approach to predict service quality dimension’s influence on service quality using a novel analysis based on data envelopment and SERVQUAL. Design/methodology/approach To assess hospital service quality in Tehran, expectation and perception of those who received the services were evaluated using SERVQUAL. The hospital service quality dimensions were found by exploratory factor analysis (EFA). To compare customer expectation and perception, perceived service quality index (PSQI) was measured using a new method based on common weights. A novel sensitivity approach was used to test the service quality factor’s impact on the PSQI. Findings A new service quality dimension named “trust in services” was found using EFA, which is not an original SERVQUAL factor. The approach was applied to assess the hospital’s service quality. Since the PSQI value was 0.76 it showed that improvements are needed to meet customer expectations. The results showed the factor order that affect PSQI. “Trust in services” has the strongest influence on PSQI followed by “tangibles,” “assurance,” “empathy,” and “responsiveness,” respectively. Practical implications This work gives managers insight into service quality by following a systematic method; i.e., measuring perceived service quality from the customer viewpoint and service factors’ impact on customer perception. Originality/value The procedure helps managers to select the required service quality dimensions which need improvement and predict their effects on customer perception.
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Howard, Patricia Byrd, Peggy El-Mallakh, Mary Kay Rayens, and James J. Clark. "Patient satisfaction and treatment outcomes as quality indicators for mental health services." International Psychiatry 1, no. 5 (July 2004): 5–6. http://dx.doi.org/10.1192/s1749367600006810.
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In the United States, the patient has emerged as the central focus in evaluations of mental health services (Buckley, 1993). Whereas evaluation research in the 1980s emphasised the structure and process of mental health care, current evaluation research incorporates client-based measurements of treatment outcomes, such as symptom reduction, functional status and quality of life (Chisholm et al, 1997; Campbell, 1998). In addition, patient satisfaction with mental health services is increasingly used as an outcome dimension and an indicator of service quality (Center for Mental Health Services, 1996; Teague et al, 1997; Howard et al, 2003).
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Macpherson, Rob, Praveen Thyarappa, Genevieve Riley, Hannah Steer, Mike Blackburn, and Chris Foy. "Evaluation of three assertive outreach teams." Psychiatrist 37, no. 7 (July 2013): 228–31. http://dx.doi.org/10.1192/pb.bp.112.040147.
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Aims and methodTo evaluate outcomes for service users during their first year of treatment in three English assertive outreach teams. Changes in health and social functioning, engagement with services, service use and need (rated by staff and service users) were evaluated.ResultsIn 49 service users we found a significant increase in mean staff-rated met needs up to 6 months of treatment. There were no significant changes in ratings of engagement or Health of the Nation Outcome Scales (HoNOS) scores at 6 and 12 months. Unmet needs rated by service users and staff showed a non-significant trend for improvement across a range of individual health and social domains. Duration of hospital admission reduced significantly between the 12 months before the evaluation and the 12 months of the evaluation. Formal and informal admission and levels of contact with crisis teams reduced over the study period.Clinical implicationsAlthough these results offer some support to the assertive outreach approach, further research in larger samples is needed to identify which changes in health and social functioning are associated with transfer to assertive outreach teams.
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Costello, Michelle, Jane Taylor, and Lily O'Hara. "Impact evaluation of a health promotion-focused organisational development strategy on a health service." Australian Journal of Primary Health 21, no. 4 (2015): 444. http://dx.doi.org/10.1071/py14107.
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A comprehensive primary health care approach is required to address complex health issues and reduce inequities. However, there has been limited uptake of this approach by health services nationally or internationally. Reorienting health services towards becoming more health promoting provides a mechanism to support the delivery of comprehensive primary health care. The aim of this study was to determine the impact of a health promotion-focused organisational development strategy on the capacity of a primary health care service to deliver comprehensive primary health care. A questionnaire and semistructured individual interviews were used to collect quantitative and qualitative impact evaluation data, respectively, from 13 health service staff across three time points with regard to 37 indicators of organisational capacity. There were significant increases in mean scores for 31 indicators, with effect sizes ranging from moderate to nearly perfect. A range of key enablers and barriers to support the delivery of comprehensive primary health care was identified. In conclusion, an organisational development strategy to reorient health services towards becoming more health promoting may increase the capacity to deliver comprehensive primary health care.
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Meeprom, Supawat, and Surachai Chancharat. "Building Health and Wellness Service Experience Extension: A Case Study of Bangkok, Thailand." Sustainability 14, no. 18 (September 17, 2022): 11691. http://dx.doi.org/10.3390/su141811691.
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This study examines the relationship between customer engagement, customer evaluation of service offerings, trust in health and wellness services, quality of life, and experience extension based on usable data obtained from 360 international customers via a self-administration approach to health and wellness service providers in Thailand. A two-step approach was employed to evaluate the relationship between the proposed relationship. AMOS software was used. The results found that customer engagement affected service evaluation of health and wellness providers and customers’ quality of life, but customer engagement had no significance in predicting trust and experience extension. Furthermore, the results revealed that service evaluation increased trust in the health and wellness services, quality of life, and experience extension. In addition, customers’ quality of life affected experience extension, but trust had no significant impact on experience extension. The mediating role of trust and quality of life mediates the relationship between customer engagement and experience extension. These findings can provide a deeper understanding of customer engagement and service evaluation of health and wellness for increasing customer experience extension.
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Ridley, Julie, Karen Newbigging, and Cathy Street. "Mental health advocacy outcomes from service user perspectives." Mental Health Review Journal 23, no. 4 (December 10, 2018): 280–92. http://dx.doi.org/10.1108/mhrj-10-2017-0049.
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Purpose The purpose of this paper is to address a knowledge gap on advocacy outcomes from mental health service users’ perspective, and the implications for evaluating advocacy impact. The studies discussed highlight challenges for measuring the outcomes of advocacy, but underline the importance of doing so, and of involving service users alongside other stakeholders in co-designing evaluation systems. Design/methodology/approach The paper uses findings from three qualitative studies of independent advocacy involving focus groups and interviews with: 30 African and African Caribbean men who were mental health service users; 90 “qualifying patients” in a study of Independent Mental Health Advocate services; and nine young women in children and adolescent mental health services (CAMHS). Findings A comparative analysis and synthesis of findings from three studies identifies four common dimensions: how mental health advocacy is conceptualised and understood; how service users define advocacy outcomes; wider impacts; and, user involvement in evaluating advocacy outcomes. Advocacy outcomes were conceptualised as increasing involvement, changing care and treatment and supporting personal development. There was evidence of advocacy acting to empower mental health service users, and of broader impacts on service regimes and policies. However, there was limited evidence of transformational impact. Evaluating advocacy outcomes is increasingly seen as important. Originality/value Few researchers have focused primarily on the perspectives of people using independent mental health advocacy, or on the experience of “advocacy as empowerment”, and none have done so across diverse groups. This analysis adds insight into the impact of independent advocacy. Data from empirical studies attest to the important role independent advocacy plays in modern mental health systems.
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Timor-Shlevin, Shachar, Yuval Saar-Heiman, and Michal Krumer-Nevo. "Poverty-Aware Programs in Social Service Departments in Israel: A Rapid Evidence Review of Outcomes for Service Users and Social Work Practice." International Journal of Environmental Research and Public Health 20, no. 1 (January 3, 2023): 889. http://dx.doi.org/10.3390/ijerph20010889.
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Critical perspectives and practices are fundamental to social work, yet there are only scarce examples of direct critical practice in public social services, and even fewer empirical evaluations of their outcomes for service users and social workers. This article presents a rapid evidence review of 25 evaluation studies of five programs that operate in the social services departments in Israel according to the principles of the Poverty-Aware Paradigm (PAP). The PAP is a critical paradigm for direct social work practice with people living in poverty that was implemented in the welfare services by the Ministry of Welfare, targeting over 14,000 service users. The evaluation studies we reviewed encompass an overall quantitative sample of 4612 service users and 1363 professionals, and a qualitative sample of 420 service users and 424 professionals. The findings present: (1) the program’s outcomes for service users in terms of relationship with social workers, financial circumstances, family relations, and children’s safety; and (2) the program’s impact on social workers’ attitudes and practices. Finally, we discuss the lessons learned regarding social workers’ role in combatting poverty, the construction of success in interventions with people in poverty, and the article’s limitations.
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Jensen, Elsabeth, Patty Chapman, Amy Davis, Cheryl Forchuk, Bill Seymour, Penny Witcher, and Denise Armstrong. "An Evaluation of Community-Based Discharge Planning in Acute Mental Health Care." Canadian Journal of Community Mental Health 29, S5 (January 1, 2010): 111–24. http://dx.doi.org/10.7870/cjcmh-2010-0038.
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This study assessed the effectiveness of a discharge planning service that was remodelled and relocated from a hospital to community-based setting. The study used a single group program evaluation strategy. In this “in-reach” model, the discharge planner is based with the community service, and visits the hospital daily to meet with all admitted clients to offer discharge services. Through analyses of administrative data and interviews with clients, the study found that readmission rates were 40% lower in the year following the change in service delivery model. This change was statistically significant. Agency partners used the findings to modify their program during the course of the evaluation. Findings will be helpful for other acute care mental health services.
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Anderson, Daniel, Howard Cattell, and Elaine Bentley. "Nurse-led liaison psychiatry service for older adults: service evaluation." Psychiatric Bulletin 32, no. 8 (August 2008): 298–302. http://dx.doi.org/10.1192/pb.bp.107.016725.
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Aims and MethodTo comprehensively describe a nurse-led consultation liaison service for older adults by retrospectively reviewing all referrals received in 2006 and comparing them against other services and benchmark reports.ResultsOf the 298 individuals referred to psychiatric services from other hospital wards, 120 were aged 85–94 years old (40%), 193 were male (65%) and 152 were referred from geriatrics (51%). A majority of 204 have not had previous contact with psychiatric services (69%). the most common diagnosis was dementia (33%, n=88), with 27% individuals (n=65) being referred onwards to secondary care.Clinical ImplicationsThis nurse-led service, using a novel approach of a support worker providing further community support, functions well compared with traditional consultation models. It helps identify many individuals with dementia and engages them into community psychiatric services.
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Haryanto, Haryanto, Indra Supradewi, and Hot Rohaida. "Library Service Program Evaluation Web-Based Online Public Access Catalog (OPAC) at Polytechnic of Health Ministry of Health Jakarta III." International Journal of Multicultural and Multireligious Understanding 9, no. 2 (February 7, 2022): 485. http://dx.doi.org/10.18415/ijmmu.v9i2.3423.
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This research is about evaluating the Online Public Access Catalog (OPAC) web service program at Poltekkes Kemenkes Jakarta III. The implementation of the OPAC web has been implemented since 2007 to provide easy, fast, and accurate information retrieval system services for users. The problem is how are the achievement, benefit, and impact of the OPAC service program? Evaluative qualitative research method using the Context Input Process Product (CIPP) model. The number of informants is 15 people consisting of elements of leadership, lecturers, students, and education staff. Data collection with interviews, observations, and document studies. Data analysis by triangulation is linking the three sources of information with a careful test of the validity of the data. The results of the study are as follows; 1) evaluation of context: 70% is achieved with a match between policies and leadership support in developing ICT-based library service programs. Meanwhile, 30% has not been achieved, because there is no written policy. 2) evaluation of inputs; includes the availability of collections, facilities, infrastructure, and library human resources. Achievement of 80% with adequate collections and adequate computer facilities. While the shortage of 20% is a shortage of librarians who have not met the National Library Standards. 3) the evaluation process can run quite well, the users do not experience problems, which means that 100% is achieved. 4) Product evaluation was achieved quite well 100%. Users feel the benefits of the OPAC web service in disbursing information to optimize the utilization of the Poltekkes Library of the Ministry of Health Jakarta III.
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Taylor, Amber, Gemma Dorer, and Kate Gleeson. "Evaluation of a peer support specialist led group." Mental Health and Social Inclusion 22, no. 3 (June 11, 2018): 141–48. http://dx.doi.org/10.1108/mhsi-03-2018-0012.
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PurposeThe purpose of this paper is to evaluate a Peer Support Specialist (PSS) and NHS practitioner co-produced “Enabling Recovery” group that supports service-users’ recovery whilst providing pathways for appropriate transition from mental health teams.Design/methodology/approachThe sample included 23 service-users (f=10,m=13) with a range of mental health conditions. The evaluation set out to assess how the attendees experienced the group and the impact of the group on subsequent contact with services. The design involved a content analysis of focus groups and group evaluation forms; an assessment of direct and indirect contacts made in the three months prior, and following, the group; and a record of the number of discharges and referrals made following the group.FindingsGroup content and social contact were rated as most helpful and cognitive demands and paperwork as least helpful. Number of direct and indirect contacts significantly reduced, four attendees were discharged due to improved mental health and 17 began accessing third-sector/community organisations.Research limitations/implicationsFuture evaluations could seek feedback from service-users who disengaged from the group and indirect contacts could be broadened to include service initiated contacts.Practical implicationsFindings suggest that PSS and NHS Practitioner co-produced group interventions are effective in reducing service demand and increasing service-user satisfaction.Originality/valueThis paper adds a novel contribution to the PSS literature offering support to the utility of co-produced PSS interventions in an NHS setting.
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McAdam, Joanna J., Michael J. Leathley, Margaret S. Crichton, Julie Dickens, Cathy I. A. Jack, and Caroline L. Watkins. "Evaluation of a rehabilitation support service after acute stroke: Feasibility and patient/carer benefit." Health 05, no. 07 (2013): 1124–31. http://dx.doi.org/10.4236/health.2013.57152.
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Maddox, Raglan, Genevieve Blais, Angela Mashford-Pringle, Renée Monchalin, Michelle Firestone, Carolyn Ziegler, Melody Morton Ninomiya, and Janet Smylie. "Reviewing Health Service and Program Evaluations in Indigenous Contexts: A Systematic Review." American Journal of Evaluation 42, no. 3 (July 13, 2021): 332–53. http://dx.doi.org/10.1177/1098214020940409.
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This study systematically reviewed evidence regarding health program and service evaluations in Indigenous contexts. Following the PRISMA guidelines and combining terms for ‘Indigenous populations’ and ‘health programs and services’. Eight principles emerged: Principle 1: Adopting Indigenous led or co-led approaches is vital to balance power relationships by prioritizing self-determination, Principle 2: Evaluation team should include local Indigenous community members, Principle 3: Indigenous community knowledge and practice should be foundational, Principle 4: Evaluations must be responsive and flexible to meet the needs of the local community, Principle 5: Evaluations should respect and adhere to local Indigenous protocols, culture, wisdom and language, Principle 6: Evaluations should emphasize reciprocity, shared learnings and capacity building, Principle 7: It is important to build strong relationships and trust between and within researcher teams, evaluators and communities, and Principle 8: The evaluation team must acknowledge community capacity and resources by investing in time and relationships.
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Yoon, Kichan, and Munjae Lee. "Comparative Analysis of Factors Affecting Quality of Community-Based Care Services in Korea." International Journal of Environmental Research and Public Health 19, no. 8 (April 12, 2022): 4641. http://dx.doi.org/10.3390/ijerph19084641.
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Aging societies have an increased need for care services. To solve the problem of care, we suggest community care, through which medical services are provided that meet individual needs. Korea provides care services in advance of the community care project and implements quality control to improve the quality of these social services. Therefore, this study aims to compare and analyze the factors affecting user satisfaction in care services in both 2013 and 2016. We analyzed secondary data from 2013 and 2016 collected by the Social Security Information Service. These data include standardized metrics for the quality of care. Based on the evaluation indexes for care service in 2013 and 2016, we used commonly used indexes for analysis. Specifically, non-profit organizations were influenced by sales, accounting management, lifetime tenure rate, etc., while for-profit organizations were affected by number of users, contract termination, etc. In addition, on-site evaluation had a negative effect on the change rate of user satisfaction. Therefore, in order to increase satisfaction with care services, evaluation indexes by service type should be diversified and differentiated. In addition, field evaluations related to user satisfaction should be performed in order to provide care services appropriate for local characteristics.
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Ainsworth, Frank. "Program evaluation for child and family services: What can be done?" Children Australia 23, no. 2 (1998): 39–43. http://dx.doi.org/10.1017/s1035077200008622.
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This article is about program evaluation for child and family services. It sets out to offer some basic frameworks for thinking about program evaluation and about the issue of program effectiveness. A rationale for the emphasis on effectiveness is identified and then linked to three areas of possible measurement. These areas, changes in user/client condition, quality of services provided and user/client satisfaction, are then considered in more detail. Finally, it is argued that service users/clients will gain from program evaluation exercises. The evaluation of services contributes potentially to an improvement in the effectiveness of child and family services so service users/clients obtain benefit from such evaluations.
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Karpathakis, Kassandra, Gene Libow, Henry W. W. Potts, Simon Dixon, Felix Greaves, and Elizabeth Murray. "An Evaluation Service for Digital Public Health Interventions: User-Centered Design Approach." Journal of Medical Internet Research 23, no. 9 (September 8, 2021): e28356. http://dx.doi.org/10.2196/28356.
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Background Digital health interventions (DHIs) have the potential to improve public health by combining effective interventions and population reach. However, what biomedical researchers and digital developers consider an effective intervention differs, thereby creating an ongoing challenge to integrating their respective approaches when evaluating DHIs. Objective This study aims to report on the Public Health England (PHE) initiative set out to operationalize an evaluation framework that combines biomedical and digital approaches and demonstrates the impact, cost-effectiveness, and benefit of DHIs on public health. Methods We comprised a multidisciplinary project team including service designers, academics, and public health professionals and used user-centered design methods, such as qualitative research, engagement with end users and stakeholders, and iterative learning. The iterative approach enabled the team to sequentially define the problem, understand user needs, identify opportunity areas, develop concepts, test prototypes, and plan service implementation. Stakeholders, senior leaders from PHE, and a working group critiqued the outputs. Results We identified 26 themes and 82 user needs from semistructured interviews (N=15), expressed as 46 Jobs To Be Done, which were then validated across the journey of evaluation design for a DHI. We identified seven essential concepts for evaluating DHIs: evaluation thinking, evaluation canvas, contract assistant, testing toolkit, development history, data hub, and publish health outcomes. Of these, three concepts were prioritized for further testing and development, and subsequently refined into the proposed PHE Evaluation Service for public health DHIs. Testing with PHE’s Couch-to-5K app digital team confirmed the viability, desirability, and feasibility of both the evaluation approach and the Evaluation Service. Conclusions An iterative, user-centered design approach enabled PHE to combine the strengths of academic and biomedical disciplines with the expertise of nonacademic and digital developers for evaluating DHIs. Design-led methodologies can add value to public health settings. The subsequent service, now known as Evaluating Digital Health Products, is currently in use by health bodies in the United Kingdom and is available to others for tackling the problem of evaluating DHIs pragmatically and responsively.
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LaMonica, Haley M., Alyssa Milton, Katharine Braunstein, Shelley C. Rowe, Antonia Ottavio, Tanya Jackson, Michael A. Easton, Ashlea Hambleton, Ian B. Hickie, and Tracey A. Davenport. "Technology-Enabled Solutions for Australian Mental Health Services Reform: Impact Evaluation." JMIR Formative Research 4, no. 11 (November 19, 2020): e18759. http://dx.doi.org/10.2196/18759.
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Background Health information technologies (HITs) are becoming increasingly recognized for their potential to provide innovative solutions to improve the delivery of mental health services and drive system reforms for better outcomes. Objective This paper describes the baseline results of a study designed to systematically monitor and evaluate the impact of implementing an HIT, namely the InnoWell Platform, into Australian mental health services to facilitate the iterative refinement of the HIT and the service model in which it is embedded to meet the needs of consumers and their supportive others as well as health professionals and service providers. Methods Data were collected via web-based surveys, semistructured interviews, and a workshop with staff from the mental health services implementing the InnoWell Platform to systematically monitor and evaluate its impact. Descriptive statistics, Fisher exact tests, and a reliability analysis were used to characterize the findings from the web-based surveys, including variability in the results between the services. Semistructured interviews were coded using a thematic analysis, and workshop data were coded using a basic content analysis. Results Baseline data were collected from the staff of 3 primary youth mental health services (n=18), a counseling service for veterans and their families (n=23), and a helpline for consumers affected by eating disorders and negative body image issues (n=6). As reported via web-based surveys, staff members across the services consistently agreed or strongly agreed that there was benefit associated with using technology as part of their work (38/47, 81%) and that the InnoWell Platform had the potential to improve outcomes for consumers (27/45, 60%); however, there was less certainty as to whether their consumers’ capability to use technology aligned with how the InnoWell Platform would be used as part of their mental health care (11/45, 24% of the participants strongly disagreed or disagreed; 15/45, 33% were neutral; and 19/45, 42% strongly agreed or agreed). During the semistructured interviews (n=3) and workshop, participants consistently indicated that the InnoWell Platform was appropriate for their respective services; however, they questioned whether the services’ respective consumers had the digital literacy required to use the technology. Additional potential barriers to implementation included health professionals’ digital literacy and service readiness for change. Conclusions Despite agreement among participants that HITs have the potential to result in improved outcomes for consumers and services, service readiness for change (eg, existing technology infrastructure and the digital literacy of staff and consumers) was noted to potentially impact the success of implementation, with less than half (20/45, 44%) of the participants indicating that their service was ready to implement new technologies to enhance mental health care. Furthermore, participants reported mixed opinions as to whether it was their responsibility to recommend technology as part of standard care.
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Tacchi, Mary Jane, Suresh Joseph, and Jan Scott. "Evaluation of an emergency response service." Psychiatric Bulletin 27, no. 04 (April 2003): 130–33. http://dx.doi.org/10.1192/s0955603600001811.
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Aims and Method An emergency response service (ERS) was introduced to streamline the assessment of individuals presenting in a crisis in one sector of a large provincial city. Data on service activity, clinical details and outcome were recorded on consecutive referrals to the service over the first 6 months of operation, and all patients were offered the opportunity to complete the Client Satisfaction Questionnaire. Results Seventy-five per cent of those referred accepted the offer of assessment, and the majority were seen in their own home within 2 hours. One in ten individuals were not offered any further mental health input and 17% were hospitalised. The number of admissions via primary care fell by 60% after the introduction of this service. However, at its peak of activity the service received an average of only two referrals per day and three each weekend. Only 30% of referrals were received outside of normal office hours. Service users and general practitioners were found to be more satisfied with the service than the staff that provided it. Clinical Implications The introduction of the ERS led to a faster, more consistent process of assessment of crisis referrals and assessment undertakings in the community, and appeared to increase the use of alternative treatments for individuals in crisis before resorting to admission. Funding opportunities are restricted for the development of crisis services. The development of emergency response services for the use of current staff from a number of community mental health teams is an option worth considering.
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He, Qiong, Qixiao Li, and Jindong Chen. "Study on the improvement of medical service quality in Beijing’s Tianqiao Community Health Service Centre." Engineering Management in Production and Services 14, no. 4 (December 1, 2022): 61–76. http://dx.doi.org/10.2478/emj-2022-0031.
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Abstract Within the context of the COVID-19 pandemic, community-level medical institutions as health service centres have been gaining importance in the medical reform expansion. As prior research has not fully addressed how to index and evaluate the quality of medical service, this article proposes a framework based on the service quality gap theory and the three-faceted “structure–process–outcome” quality evaluation theory. The study took the medical services at Beijing’s Tianqiao Community Health Service Centre as an example to construct an index system for medical service quality evaluations. Data was collected from 211 people, and SPSS software was used for data processing and analysis. Due to the COVID-19 pandemic, patients without serious diseases tend to choose community hospitals to reduce their infection risk. As a result, they have growing requirements for clinics to have more departments and specialists. The studied community health service centre has encountered difficulties connected to low patient expectations, a poor medical environment, outdated hardware and equipment, and a low level of medical services. Some suggestions have been made to add specialised departments and consider the convenience of medical treatment for the elderly.
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Merkes, Monika. "Examples of Exemplary Practice in Adolescent Primary Health Care." Australian Journal of Primary Health 4, no. 1 (1998): 37. http://dx.doi.org/10.1071/py98004.
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As one of seven projects funded by the Victorian Government Department of Human Services to investigate exemplary practice in adolescent health, a study was undertaken in the Department's office in the Northern Metropolitan Region that examined two existing primary health projects: the Keeping in Touch with Schools (KITS) Project, auspiced by the Eltham Community Health Centre and Diamond Valley Secondary College in the City of Nillumbik, and the Youth Counselling Awareness and Support (YCAS) Project, auspiced by Kildonan Family Services in the City of Whittlesea. Proiect features that were explored included elements and type of service, referral pathways and linkages, consumer satisfaction and other service outcomes, elements critical to success, obstacles, supervision and staff training, standards and guidelines, planning and evaluation, promotion of the service, and organisational structure. The study found that a combination of characteristics contributed to the success of the two projects that were examined. These pertain to skills and expertise of staff, flexibility of the service, cost, the type of service model, co-location with other services, linkages and partnerships, outputs and outcomes, feedback, management structure, standards and guidelines, planning processes, and evaluation.
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Fulford, Casey, and Virginie Cobigo. "Service Provider Perspectives Regarding Knowledge Sharing Activities in Community-Based Services." Canadian Journal of Community Mental Health 39, no. 2 (July 1, 2020): 25–39. http://dx.doi.org/10.7870/cjcmh-2020-012.
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Evaluation of knowledge mobilization (KM) activities in community-based mental health and social service organizations is needed. Our objective was to understand how service providers want to access and share knowledge, in order to improve KM practices to better support adults with intellectual disabilities. We distributed information about five strategies for supporting friendships; this included strategy descriptions, outcomes of strategy evaluations, and practical implementation considerations. We distributed information through a conference presentation, online presentations, and online modules. Service providers completed questionnaires and phone interviews. We present findings on their perspectives regarding the format and content of the material, which can inform future KM efforts.
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Brown, Helen, and Fiona Howlett. "A critical evaluation of the “short stay project” – service users’ perspectives." Housing, Care and Support 20, no. 2 (June 5, 2017): 71–84. http://dx.doi.org/10.1108/hcs-02-2017-0002.
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Purpose The purpose of this paper is to critically evaluate an innovative collaboration between health, housing and social care by exploring the “short stay project” apartments from service users’ perspectives and considering the effectiveness of this service model as part of enabling provision locally. Design/methodology/approach The qualitative methodology for this evaluation was interpretative phenomenological analysis (Smith, 2011), critically exploring service users’ personal lived experience of the “short stay project”. Three service users (n=3) participated in semi-structured interviews. Findings This study has identified the “short stay project” can prevent admission into and facilitate discharge from care and health services by offering a temporary stay in self-contained, adapted accommodation. Service users found value in staying at the apartments for differing reasons. However, practitioners must address service users’ emotional and social needs as well as physical needs to reduce the risk of occupational deprivation. Research limitations/implications Sample size is not fully representative of the total population making transferability limited. Practical implications This research found there is demand for temporary housing provision for service users with health, housing and/or social care needs. Social implications Key drivers of demand for the service are social inequalities relating to homelessness, poverty and gender-based violence rather than the health-related issues that could have been expected. Further research into the development of effective integrated services which maximise service users’ wellbeing and occupational performance is recommended. Originality/value Service models which integrate health, housing and social care can be innovative and maintain service users’ independence and wellbeing in the community. Commissioners across health, housing and social care could utilise the Better Care Fund to deliver integrated services to meet rising demands.