Journal articles: 'Health service provision'

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Winter, Vera, Mette Kjærgaard Thomsen, Jonas Schreyögg, Katharina Blankart, Lize Duminy, Lukas Schoenenberger, John P. Ansah, et al. "Improving Service Provision - The Health Care Services' Perspective." Journal of Service Management Research 3, no. 4 (2019): 163–83. http://dx.doi.org/10.15358/2511-8676-2019-4-163.

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How to improve service provision in the health care sector is a question of high economic and social relevance, as the health service industry represents a major part of developed nations’ economy and health care is a service virtually everyone is touched by in their life. The topic embraces different perspectives or levers, including the (re)organization of service provision, a stronger focus on the patient in the service delivery process, and the crucial role of employees in health service provision. We invited a group of well-renown scholars from different academic fields to share with us personal observations, empirical evidence, and interpretations of how to improve service provision in health care in the form of individual commentaries that cover the different perspectives. The resulting special research article includes motivations on why changes in the health care sector make service management research (smr) more relevant, it depicts implications (of smr) for health care organizations, and it outlines suggestions for future research. This article is designed to offer avenues for further service research on different perspectives for the improvement and professionalization of health care – a discipline in which joint efforts of service and health care researchers can have great societal impact.

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Houghton, Frank. "Inequalities in health service provision: the CIPC Service." Irish Journal of Psychological Medicine 31, no. 1 (October 14, 2013): 69. http://dx.doi.org/10.1017/ipm.2013.53.

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Sawyer, Donald A., and David J. Woodlock. "Children's mental health services: Interactive planning and service provision." Administration and Policy in Mental Health 21, no. 3 (January 1994): 239–45. http://dx.doi.org/10.1007/bf00707489.

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Johnson, S., M. Zinkler, and S. Priebe. "Mental health service provision in England." Acta Psychiatrica Scandinavica 104, s410 (December 2001): 47–55. http://dx.doi.org/10.1034/j.1600-0447.2001.1040s2047.x.

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Muñoz, Sarah-Anne. "Health Service Provision through Social Enterprise." International Journal of Entrepreneurship and Innovation 12, no. 1 (February 2011): 39–53. http://dx.doi.org/10.5367/ijei.2011.0014.

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This paper discusses the role of social enterprise (SE) – the use of business practice to achieve a social goal – in UK health services delivery. Such SE activity has increased in recent years along with the rise in public sector commissioning of health and care services. SE has been identified as an organizational model with the potential to deliver socially and economically sustainable health and social care services. This paper presents evidence from workshops held with SE practitioners and public sector procurement professionals, during which they discussed the current and potential role of SE in health services delivery. The paper reflects on the opportunities for, but also the potential pitfalls of, greater SE involvement in the health and social care sector from the point of view of both SE practitioners and public sector procurement professionals. It demonstrates that SE-type businesses are viewed by both SE practitioners and public sector professionals as suited to working in certain areas of health and social care provision, but as falling short of what is needed in others, particularly in terms of capacity and expertise.

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White, Elizabeth, and Bill Lemmer. "Effectiveness in Wheelchair Service Provision." British Journal of Occupational Therapy 61, no. 7 (July 1998): 301–5. http://dx.doi.org/10.1177/030802269806100702.

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Services that provide wheelchairs to permanently disabled people have undergone fundamental changes following the recommendations of the McColl report in 1986. The devolution of centralised wheelchair services to the National Health Service (NHS) health districts in 1991 coincided with the implementation of the government's proposals for NHS reforms and community care initiatives. This paper describes a four-part research study, undertaken to identify and investigate key factors which propose effectiveness in the post-devolution wheelchair service. The sample comprised 125 wheelchair therapists as service providers and a total of 130 service users. The user sample consisted of 84 people issued with NHS manual wheelchairs, 27 indoor powered wheelchair users and 19 special seating users. An integrated methodology was employed, including questionnaires, interviews, participant observation and case studies. The research identified the development of client-centred referral and assessment procedures for wheelchairs and seating, and highlighted the need for increased therapist training. Close links between wheelchair services and local therapists were found, providing greater access to assessment for wheelchair users. An increased demand for wheelchairs outside the NHS range and a rising number of referrals for elderly people were recorded, although the management of finite resources resulted in eligibility criteria designed to control supply and provision variations between districts.

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Lang, F. H., E. C. Johnstone, G. D. Murray, and J. F. Forbes. "Service provision for people with schizophrenia." British Journal of Psychiatry 171, no. 2 (August 1997): 159–64. http://dx.doi.org/10.1192/bjp.171.2.159.

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BackgroundThe aim of this study was to provide information on patients' current service use which could inform future decisions on service planning and resource allocation.MethodIndividuals with a diagnosis of schizophrenia, who had received in-patient care in the previous five years, were identified from the Lothian Case Register. Information was obtained from 193 subjects. Patients' service use over a six-month period was examined. The costs incurred in service provision were determined.ResultsPatients differed markedly in their use of services. This was not found to be related to their mental state. Average care costs were high. In-patient care accounted for most of the overall expenditure.ConclusionsThere is considerable variation in the services used by patients with schizophrenia and in the costs incurred in service provision. When planning services it is therefore important that detailed information on the patient population is available if resources are to be allocated cost-effectively.

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ELLAWAY, A. "Contrasts in service provision." Journal of Epidemiology & Community Health 55, no. 11 (November 1, 2001): 769a—769. http://dx.doi.org/10.1136/jech.55.11.769a.

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Tumanggor, Roxsana Devi. "Psychosocial Care Service in the Mental Health Provision." Caring: Indonesian Journal of Nursing Science 2, no. 1 (July 21, 2020): 37–42. http://dx.doi.org/10.32734/ijns.v2i1.4081.

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The approach of health service can be divided into a medical term and psychosocial term that are applied by the mental health professional. The mental heath services help their clients with mental illness by giving a specific treatments particularly from psychological view. The information in this essay were collected from two databases that are CINAHL and Health Science. It also included the University of Wollongong e-journal database for nursing program. Based on the internet research, it is imperative that the intervention can be delivered in the form of case management. This paper therefore will discuss the psychosocial care for mentally ill clients in terms of concept, components, interventions and benefit in the practical area. The strategies to develop the treatment more effective are also discussed in depth. Keywords. psychosocial care, medical care, mental health.

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Savage, Sally, Susan Bailey, David Wellman, and Sharon Brady. "Service Provision Factors that Affect the Health and Wellbeing of People Living in a Lower SES Environment: The Perspective of Service Providers." Australian Journal of Primary Health 11, no. 3 (2005): 11. http://dx.doi.org/10.1071/py05037.

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Inequalities in health and wellbeing within low socioeconomic (SES) environments are well documented. Factors inherent to the health care system itself, such as inaccessible, inflexible or inappropriate service provision, contribute to the poorer health status of residents of low SES areas. This paper explores the issues of service provision in low SES areas, documenting the perceptions of service providers about the service needs of residents, in order to understand the systemic factors that negatively impact on health and wellbeing. A total of 54 health and welfare service providers from two adjacent low SES suburbs within regional Victoria were interviewed using qualitative research methods. Key findings indicate that successful navigation of health care services by residents within these low SES environments is being impeded by issues of access, a lack of appropriate early intervention options or measures, and general resident disempowerment. Central to the improvement of service provision is the need for services to become economically, geographically and culturally accessible. In particular, the importance of community involvement in health planning and health promoting services must be reflected in the ethos of service provision.

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Naidu, Smitha, Jim Bolton, and Jared Smith. "London's liaison psychiatry services: survey of service provision." BJPsych Bulletin 39, no. 2 (April 2015): 65–69. http://dx.doi.org/10.1192/pb.bp.114.046862.

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Aims and methodTo describe the liaison psychiatry services of all 30 general hospitals in Greater London and to determine whether services met national recommendations. The results were compared with a similar survey conducted 8 years previously to determine whether there had been significant service development.ResultsWe identified wide variations in service provision across London. Fifteen hospitals (50%) had 24-hour services and one had no service. There had been a significant increase in services that assessed older adults. Increases in the size of teams and consultant psychiatry staff were not significant.Clinical implicationsDespite an increasing emphasis on the effectiveness of liaison psychiatry services, no London hospital had staffing levels consistent with national recommendations. Recent evidence for the cost-effectiveness of liaison psychiatry and an emphasis on parity between physical and mental health in National Health Service policy may provide further impetus for growth.

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Prakash, Satyam. "Increasing Trends in Unhealthy Practices of Clinical Laboratory Medicine Service in Nepal." Janaki Medical College Journal of Medical Science 5, no. 1 (August 9, 2017): 33–48. http://dx.doi.org/10.3126/jmcjms.v5i1.17985.

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The medical laboratories are increasing significantly with striking challenges in ensuring praiseworthy public health service in Nepal. Quality medical laboratory service provision is important in order to enhance diagnostic value and save lives. Poverty, poor infrastructure, unskilled manpower and incompetency are major contributing factors leading to inefficient provision of health services in developing countries. Nepal has been increasing its network of clinical health laboratories in the Government and private sectors that are scattered in various geographical regions. The quality of service remains a growing concern even as medical diagnostic laboratories are undergoing the process of accreditation for quality services in line with WHO standards. But, still the status of clinical laboratory practice regarding quality assurance, skilled manpower, standard labs and cost effective quality service remains challenging due to different loopholes in policy making. The regulatory bodies and legal provisions seem to be in non-functional state. The malpractices in clinical laboratory medicine service are increasing exponentially. Therefore, this review draws attention towards unhealthy practices in clinical laboratory services and critically examines different factors affecting the healthy practice in medical laboratory science. Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(1): 33-48

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Hargraves, Jenny, Narelle Grayson, and Ian Titulaer. "Trends in hospital service provision." Australian Health Review 25, no. 5 (2002): 2. http://dx.doi.org/10.1071/ah020002.

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In this paper,trends in hospital service provision are measured using data on the numbers and nature of hospitals,on hospital expenditure and on hospital activity over recent years.The number of public acute care hospitals was fairly stable,however,bed numbers decreased.Hospital numbers rose for private hospitals,as did numbers of beds,particularly for group for-profit private hospitals.Recurrent health expenditure on hospitals as a proportion of all recurrent health expenditure fell,although it rose for private hospitals, and real increases in expenditure occurred for both public acute and private hospitals.Population rates for separations and patient days rose for private hospitals and were stable and fell, respectively,for public acute hospitals. Average length of stay decreased for both public acute and private hospitals, with increasing numbers of separations occurring on a same day basis.Increasing proportions of procedures were undertaken during same day stays,and in private hospitals.Separation rates varied geographically, with highest rates overall,and for public hospitals and overnight separations,for patients resident in remote centres and other remote areas.Highest rates for private hospitals were for patients resident in capital cities,other metropolitan centres and large rural centres.

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Gorton, H. C., L. Riste, C. J. Armitage, and D. M. Ashcroft. "Advancing Mental Health Provision in Pharmacy (AMPLIPHY)." International Journal of Pharmacy Practice 29, Supplement_1 (March 26, 2021): i43—i44. http://dx.doi.org/10.1093/ijpp/riab015.053.

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Abstract Introduction Improvement of mental health is a priority in the NHS Long Term Plan (1), and pharmacists and their teams could provide enhanced support for people who take medicines for anxiety or depression, two of the most common mental health problems in the UK. However, a recent Cochrane review (2) identified no community pharmacy services focused on mental health. Aim We aimed to pilot a mental health support service, in community pharmacy: Advancing Mental Health Provision in Pharmacy (AMPLIPHY) to assess its feasibility and potential benefit Methods The AMPLIPHY service was codesigned through a workshop involving people with lived experience, pharmacists and researchers. The resultant programme is a series of consultations, beginning at the presentation of the qualifying prescription for an antidepressant, after a further 1–2 weeks and then as further prescriptions are presented, up to 3 months. People are eligible to enter the service if they are newly prescribed antidepressants for depression or anxiety, or have a change in medication, dose or quantity. Pharmacists and their teams identified people who met this criterion and invited them to participate. The service was intended to be patient-led, with the pharmacist helping the patient to define tangible aims and/or outcomes that they wanted to focus on, and providing sign-posting where required. Following brief one-day training, the pilot ran across ten pharmacies in Greater Manchester from November 2019 through March 2020. We triangulated results from: a) quantitative analysis of consultation data; b) content analysis of consultation records; and c) template analysis of semi-structured interviews with participating pharmacists at the start and end of the service. We aimed to obtain feedback from people on exit from the AMPLIPHY service, but this was curtailed due to the coronavirus pandemic. Consultations were recorded via the Pharmoutcomes system (a,b) and interviews were recorded and transcribed, with NVivo used to manage the interview dataset (c). Results Seventy-six patients participated in the service, across 9 of the 10 pharmacies. Seventy-five percent of patients had just one consultation. The median age was 39 (IQR 28–47) and 62% of patients were women. Most patients entered the service due to new prescription of antidepressant (74%), 17% due to a change in dose and the remainder due to change in medication or quantity. Sertraline was the most commonly prescribed medication (46%). The content analysis is indicating that consultations centred around one of five areas: health (n=31), lifestyle (n=62), medication (n=45), support (n=37) and patient’s descriptions of their feelings (n=31). Conclusion AMPLIPHY was accessed by a range of people, mainly on initiation of a new antidepressant. Parallels might be drawn with the New Medicines Service in England, but this does not currently extend to antidepressants. Consultations were not restricted to health and medication, but extended to other social and lifestyle aspects thus indicated that participants felt comfortable to disclose their personal situations to the pharmacist. This could support tailored interactions. However, more work is warranted to understand why most patients did not attend multiple consultations, and the immediate/ long-term impact from the patient’s perspective. References 1. NHS. NHS Long Term Plan [online]. 2019 [cited 09 October 2020]. Available at: https://www.england.nhs.uk/long-term-plan/ 2. de Barra M, Scott CL, Scott NW, Johnston M, de Bruin M, Nkansah N, Bond CM, Matheson CI, Rackow P, Williams AJ, Watson MC. Pharmacist services for non-hospitalised patients. Cochrane Database of Systematic Reviews 2018, Issue 9. Art. No.: CD013102. DOI: 10.1002/14651858.CD013102.

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Bell, Sue Anne, Jennifer Horowitz, and Theodore Iwashyna. "Home Health Service Provision After Hurricane Harvey." Disaster Medicine and Public Health Preparedness 14, no. 1 (June 20, 2019): 56–62. http://dx.doi.org/10.1017/dmp.2019.27.

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ABSTRACTObjective:To determine the extent of service disruption among home health agencies impacted by Hurricane Harvey.Methods:Structured interviews with optional open-ended questions were conducted with home health agencies in and around Houston, Texas. A random sample of 277 agencies was selected and contacted via telephone during the study period, from February to May of 2018.Results:Only 45% of 122 participating agencies indicated that their offices were open during Hurricane Harvey, and three-fourths reported that home visits were disrupted. The length of disruption varied: 7% reported a disruption of 1 day or less and 46% indicated a disruption of 1 week or longer. Disruption occurred even though nearly all (99%) of the agencies had—and close to all (92%) of them activated—an emergency preparedness plan.Conclusions:Although most of the participating home health agencies activated their emergency preparedness plan, significant disruption in home health services occurred. While agencies are required to have clear, detailed plans in place, gaps in effective implementation of emergency preparedness plans remain.

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Melville, Catriona R. S., Alison Bigrigg, and Rak Nandwani. "Client perspectives on sexual health service provision." International Journal of STD & AIDS 15, no. 6 (June 2004): 380–83. http://dx.doi.org/10.1258/095646204774195227.

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Peate, Ian. "Unwarranted variation in health visiting service provision." Journal of Health Visiting 6, no. 2 (February 2, 2018): 64–65. http://dx.doi.org/10.12968/johv.2018.6.2.64.

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Collins, Rebecca, Caitlin Notley, Tim Clarke, Jon Wilson, and David Fowler. "Participation in developing youth mental health services: “Cinderella service” to service re-design." Journal of Public Mental Health 16, no. 4 (December 18, 2017): 159–68. http://dx.doi.org/10.1108/jpmh-04-2017-0016.

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Purpose Whilst there are pockets of excellence in the provision of Child and Adolescent Mental Health Services (CAMHS), many services fail to meet young people’s needs. Considering this, the purpose of this paper is to ascertain perceptions of CAMHS provision in a rural county of the UK to inform re-design of youth mental health services. Design/methodology/approach The study comprised of two phases: phase one involved analysis of questionnaire data of youth views of CAMHS. Phase two involved analysis of the “Have Your Say” event data which explored perceptions of CAMHS and future service re-design. Data were thematically analysed. Findings Knowledge of the existence and purpose of CAMHS was variable. Participants wanted accessible information about services, rights, confidentiality and for this to be provided in multiple media. Young people wanted staff who were easy to talk to, genuine, understanding and who valued their insights. Participants wanted to be offered choice about appointments, location and timing. An ideal mental health service was described as a “one-stop-shop” of co-locality and multi-agency collaboration. Young people clearly expressed a desire to influence the design and delivery of the radical service re-design and to be embedded in its development. Practical implications The results highlighted multiple problems with CAMHS provision and provided a clear justification for the re-design of services. Originality/value This was a novel approach demonstrating the importance, utility and power of effective participatory practices for informing the re-design of services.

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Mitchell, Penny, Abd Malak, and David Small. "Bilingual Professionals in Community Mental Health Services." Australian & New Zealand Journal of Psychiatry 32, no. 3 (June 1998): 424–33. http://dx.doi.org/10.3109/00048679809065537.

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Objective: This paper presents results from research that explored the roles of bilingual professionals in community mental health services in the Sydney metropolitan area of New South Wales. There were two main objectives to the research: (i) to identify and describe the roles of bilingual professionals that are important in improving the quality of community mental health services for clients from non-English-speaking backgrounds (NESB); and (ii) to identify and describe the factors that facilitate and inhibit the conduct of these roles. Method: Data collection involved indepth interviews with bilingual professionals and team leaders in community mental health services and various other community health services; and various staff responsible for policy and service development with regard to cultural diversity. Results: Bilingual mental health workers were found to have at least four critical roles. These were (i) direct clinical service provision to NESB clients; (ii) mental health promotion and community development; (iii) cultural consultancy; and (iv) service development. Respondents reported that the latter three roles were seriously underdeveloped compared to the clinical service provision role. Conclusions: It is critical that service managers implement strategies to make better use of the linguistic and cultural skills of bilingual professionals. In addition to their role in clinical service provision ways must be found to facilitate the community-focused, cultural consultancy and service development roles of bilingual professionals employed in mental health services.

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Mehrara, Lydia, and Susan Young. "Health Equity and Universal Provision in Norway: A Case Study." Nordic Journal of Social Research 11, no. 1 (March 24, 2020): 39–65. http://dx.doi.org/10.7577/njsr.2638.

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This article reports on a qualitative study undertaken to explore the policy-practice nexus of health policy in Norway in relation to the provision and delivery of maternal health services to migrant women. The research used a case study approach focusing on a particular programme which provided maternal health services to migrant women and collected data through review and analysis of policy documentation, observation of this programme, and discussions with people responsible for implementing health policy. While Norway is well known for its universal policy principles, which in the main enable good access to services, the case study indicated that there are some limitations in policy and practice. We use the principle of proportionate universalism to comment on and make recommendations for policy makers and practitioners in this area, to better attend to the principle of equity in service access and usage. The article provides an overview of the Norwegian health policy systems, structures and provisions; describes the service provision from a specific programme providing maternal health services to migrant women in Stavanger, Norway; and concludes with some recommendations which emerge from the findings.

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Spinks, Jean, Stephen Birch, Amanda J. Wheeler, Lisa Nissen, Christopher Freeman, Thao Thai, and Joshua Byrnes. "Provision of home medicines reviews in Australia: linking population need with service provision and available pharmacist workforce." Australian Health Review 44, no. 6 (2020): 973. http://dx.doi.org/10.1071/ah19207.

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ObjectiveIdentifying and quantifying the health needs of a population are the basis of evidence-based health policy and workforce planning. The motivation for undertaking the present study was to evaluate whether the current level of medication review services corresponds to population need, as proxied by the rate of polypharmacy, and to undertake a preliminary analysis of the sufficiency of the current workforce. This paper: (1) estimates the age- and sex-standardised rates of polypharmacy as a proxy for population need for home medicines review; (2) compares the rate of polypharmacy with current service provision of home medicines reviews; and (3) links the estimated need for services with the current number and location of pharmacist providers. MethodsAge- and sex-adjusted polypharmacy rates, by state, were estimated from the National Health Survey of Australia (2017–18), service levels were estimated from national-level administrative claims data (2017–18) and the current workforce was estimated from the Australian Association of Consultant Pharmacists (2018). The current level of service provision was compared to the estimated population need for services, alongside the size of the pharmacy workforce required if need was met. ResultsThe adjusted rate of polypharmacy in Australia, using the strictest definition of ≥10 medications and ≥3 current chronic illnesses, was 1389 per 100000 population. The illustrative needs-based analysis suggests that there may be a disconnect between the current level of service provision and population health needs. ConclusionGiven that polypharmacy is a risk factor for medication-related problems, and that medication review is one of the few targeted strategies currently available to address medication-related problems in the population, service provision may be inadequate. Policy options to improve service provision could include interventions to increase workforce productivity and relaxing the current eligibility criteria for review, especially in rural and remote areas. What is known about the topic?Polypharmacy is a risk factor for medication-related problems, which can cause increased morbidity and mortality in the population. What does this paper add?This paper provides representative, population-based rates of polypharmacy in Australia and uses these rates in a needs-based analysis of service provision and workforce adequacy to provide home medicines review services. What are the implications for practitioners?Several policy options are available for consideration, including interventions to increase workforce productivity and relaxation of the current eligibility criteria for medicines review, especially in rural and remote areas.

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Rolls, Liz, and Sheila Payne. "Childhood bereavement services: Issues in UK service provision." Mortality 9, no. 4 (November 2004): 300–328. http://dx.doi.org/10.1080/13576270412331329821.

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Agrawal, Niruj, Rahul Bhattacharya, and Hugh Rickards. "Provision of neuropsychiatry services: variability and unmet need." BJPsych Bulletin 39, no. 6 (December 2015): 297–301. http://dx.doi.org/10.1192/pb.bp.114.047324.

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Aims and methodNeuropsychiatry services remain underdeveloped and underprovided. Previous studies have shown variability in service provision in the UK. In this survey we approached all mental health and neuropsychiatric service providers within London to map current neuropsychiatric service provision and explore perceived barriers.ResultsAll the specialist mental health service providers responded. There was huge variability in neuropsychiatric service provision within different parts of London. There was evidence of significant unmet need and variability in service pathways. Lack of earmarked funds for neuropsychiatry and disjointed funding stream for such services were identified by providers as a barrier.Clinical implicationsThis study provides further evidence of an ongoing lack of adequate neuropsychiatric service provision. Reasons for variability and unmet need are discussed. Adoption of a previously proposed hub-and-spoke model of service provision and the removal of commissioning barriers through uniform national commissioning may help deal with this problem.

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Singh, Yolisha, John Kasinathan, and Andrew Kennedy. "Incarcerated youth mental and physical health: parity of esteem." International Journal of Human Rights in Healthcare 10, no. 3 (July 10, 2017): 203–12. http://dx.doi.org/10.1108/ijhrh-03-2017-0011.

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Purpose The purpose of this paper is to describe physical and mental health characteristics of incarcerated youth both internationally and in New South Wales (NSW) Australia. To outline current practices in the provision of mental and physical healthcare for incarcerated youth internationally and in NSW. Design/methodology/approach Population relevant literature will be outlined as applicable. Health service delivery will be discussed, with an emphasis on the experiences of NSW physical and mental health service provision for incarcerated youth. Findings This paper illustrates that in NSW there was a parity of provision between physical and mental healthcare, though there were deficits in what should ideally be provided. Internationally there was clear evidence that current minimum standards of healthcare in both physical and mental healthcare domains remain unmet. Practical implications Provision of physical and mental healthcare for incarcerated youth warrants global improvement. Further research into current provisions, across jurisdictions and subsequent standardisation of practice, will improve health outcomes for this vulnerable group. Originality/value This is the first paper to describe mental and physical healthcare provision in NSW for incarcerated youth framed within the broader context of international health service provision for similar populations.

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Nguyen, Phuong H., Shivani Kachwaha, Anjali Pant, Lan M. Tran, Monika Walia, Sebanti Ghosh, Praveen K. Sharma, et al. "COVID-19 Disrupted Provision and Utilization of Health and Nutrition Services in Uttar Pradesh, India: Insights from Service Providers, Household Phone Surveys, and Administrative Data." Journal of Nutrition 151, no. 8 (June 3, 2021): 2305–16. http://dx.doi.org/10.1093/jn/nxab135.

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ABSTRACT Background The coronavirus (COVID-19) pandemic may substantially affect health systems, but little primary evidence is available on disruption of health and nutrition services. Objectives This study aimed to 1) determine the extent of disruption in provision and utilization of health and nutrition services induced by the pandemic in Uttar Pradesh, India; and 2) identify how adaptations were made to restore service provision in response to the pandemic. Methods We conducted longitudinal surveys with frontline workers (FLWs, n = 313) and mothers of children <2 y old (n = 659) in December 2019 (in-person) and July 2020 (by phone). We also interviewed block-level managers and obtained administrative data. We examined changes in service provision and utilization using Wilcoxon matched-pairs signed-rank tests. Results Compared with prepandemic, service provision reduced substantially during lockdown (83–98 percentage points, pp), except for home visits and take-home rations (∼30%). Most FLWs (68%–90%) restored service provision in July 2020, except for immunization and hot cooked meals (<10%). Administrative data showed similar patterns of disruption and restoration. FLW fears, increased workload, inadequate personal protective equipment (PPE), and manpower shortages challenged service provision. Key adaptations made to provide services were delivering services to beneficiary homes (∼40%–90%), social distancing (80%), and using PPE (40%–50%) and telephones for communication (∼20%). On the demand side, service utilization reduced substantially (40–80 pp) during the lockdown, but about half of mothers received home visits and food supplementation. Utilization for most services did not improve after the lockdown, bearing the challenges of limited travel (30%), nonavailability of services (26%), and fear of catching the virus when leaving the house (22%) or meeting service providers (14%). Conclusions COVID-19 disrupted the provision and use of health and nutrition services in Uttar Pradesh, India, despite adaptations to restore services. Strengthening logistical support, capacity enhancement, performance management, and demand creation are needed to improve service provision and utilization during and post-COVID-19.

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McCloud, Annie. "Service provision for gender dysphoria." Psychiatric Bulletin 27, no. 2 (February 2003): 77. http://dx.doi.org/10.1192/pb.27.2.77-a.

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Williams, Victoria. "Service provision for gender dysphoria." Psychiatric Bulletin 27, no. 2 (February 2003): 77–78. http://dx.doi.org/10.1192/pb.27.2.77-b.

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Zhou, Liangjun, Jerred Junqi Wang, Xiaoying Chen, Beth Cianfrone, and Nathan David Pifer. "Community-sport service provision, participant satisfaction, and participation." International Journal of Sports Marketing and Sponsorship 21, no. 1 (October 18, 2019): 127–47. http://dx.doi.org/10.1108/ijsms-05-2019-0048.

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Purpose Since 2014, “sport for all” has been promoted as a new national strategy in China, which injects powerful dynamism and vitality for its development in numerous aspects. However, there has been very little feedback on sport service provision in community, and the satisfaction level of community participants is largely unmeasured. To promote physical and mental health of residents and form a stronger foundation of sport culture, more attention should be directed to community sports. The purpose of this paper is to examine the impact of community-sport service provisions on participants’ satisfaction and, in turn, on their sport participation behavior. Design/methodology/approach Community-sport program participants in China (n=576) responded to a survey measuring the proposed concepts. Findings Structural equation modeling analyses revealed that community-sport services in the areas of sport facility, grassroots sport organizations and sport activity programs had strong influences on participant satisfaction and, in turn, their desire for participation, which highlighted the demand for high-quality sport service provision by community. Originality/value The study contributed to the literature by proposing two clear dimensions (core sport service and peripheral sport service) for the measurement of public sport service provision in community sports. A second theoretical contribution of the study relates to the clarification of the relationship between the two dimensions of community-sport service provision (both core and peripheral services) and community participants’ satisfaction levels.

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Narasimhan, Manjulaa, and Mukesh Kapila. "Implications of self-care for health service provision." Bulletin of the World Health Organization 97, no. 2 (February 1, 2019): 76–76. http://dx.doi.org/10.2471/blt.18.228890.

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Clark, Christine. "Trusts cannot win on mental health service provision." Nursing Standard 29, no. 15 (December 10, 2014): 34. http://dx.doi.org/10.7748/ns.29.15.34.s43.

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Harper, PeterS. "Genetic testing, common diseases, and health service provision." Lancet 346, no. 8991-8992 (December 1995): 1645–46. http://dx.doi.org/10.1016/s0140-6736(95)92835-9.

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Nabors, Laura A., Mark D. Weist, E. Wayne Holden, and Nancy A. Tashman. "Quality Service Provision in Children's Mental Health Care." Children's Services 2, no. 2 (June 1999): 57–79. http://dx.doi.org/10.1207/s15326918cs0202_1.

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Dehn, Tom. "Private Provision in the UK National Health Service." Annals of The Royal College of Surgeons of England 89, no. 4 (May 2007): 337. http://dx.doi.org/10.1308/003588407x183454.

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van Beek, Ingrid, and Karen J. Chronister. "Needs-based public health service provision ensures equity." International Journal of Drug Policy 31 (May 2016): 201–2. http://dx.doi.org/10.1016/j.drugpo.2016.02.014.

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Power-deFur, Lissa. "Dysphagia Services in Schools: Applying Special Education Requirements to a Health Service." Perspectives on Swallowing and Swallowing Disorders (Dysphagia) 18, no. 3 (October 2009): 86–90. http://dx.doi.org/10.1044/sasd18.3.86.

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Abstract School speech-language pathologists and districts frequently need guidance regarding how the legal provisions of special education affect the needs of children with dysphagia. This article reviews key principles of special education that guide eligibility determination and provision of services to all children. In the eligibility process, the school team would determine if the child's disability has an adverse effect on his/her education program and if the child needed special education (specially designed instruction) and related services. Dysphagia services would be considered a related service, a health service needed for the child to benefit from specially designed instruction. The article concludes with recommendations for practice that stem from a review of due process hearings and court cases for children with disabilities that include swallowing.

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Wanke, Margaret, L. Duncan Saunders, Steve Hrudey, and Tee L. Guidotti. "Considerations for Regional Health Authorities in the Provision of Environmental Health Services." Healthcare Management Forum 9, no. 2 (July 1996): 5–14. http://dx.doi.org/10.1016/s0840-4704(10)60847-2.

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As population health programs, environmental health services differ fundamentally from other forms of health service delivery. At a time when the health sector is striving for integration, the incorporation of these unique services into the delivery system presents a unique challenge to policy makers and administrators across the country. The University of Alberta recently completed a comprehensive review and redesign of locally governed and delivered environmental health protection services in Alberta. This paper outlines the key issues and unique features surrounding the delivery of environmental health services and presents the study team's suggested approach to addressing these issues.

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Onyett, Steve, Frankie Pidd, Alan Cohen, and Edward Peck. "Mental Health Service Provision and the Primary Health Care Team." Mental Health Review Journal 1, no. 3 (September 1996): 8–16. http://dx.doi.org/10.1108/13619322199600025.

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Barrett, Barbara, Sarah Byford, Prathiba Chitsabesan, and Cassandra Kenning. "Mental health provision for young offenders: service use and cost." British Journal of Psychiatry 188, no. 6 (June 2006): 541–46. http://dx.doi.org/10.1192/bjp.bp.105.010108.

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BackgroundThe full costs of accommodating and supporting young people in the criminal justice system are unknown. There is also concern about the level of mental health needs among young offenders and the provision of appropriate mental health services.AimsTo estimate the full cost of supporting young people in the criminal justice system in England and Wales and to examine the relationship between needs, service use and cost.MethodCross-sectional survey of 301 young offenders, 151 in custody and 150 in the community, conducted in six geographically representative areas of England and Wales.ResultsMental health service use was low despite high levels of need, particularly in the community Monthly costs were significantly higher among young people interviewed in secure facilities than in the community ($4645 v. $ 1863; P < 0.001). Younger age and a depressed mood were associated with greater costs.ConclusionsYoung people in the criminal justice system are a significant financial burden not only on that system but also on social services, health and education. The relationship between cost and depressed mood indicates a role for mental health services in supporting young offenders, particularly those in the community.

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Ijaz, Atif, Helen Killaspy, Frank Holloway, Fiona Keogh, and Ena Lavelle. "Mental health rehabilitation services in Ireland: vision and reality." Irish Journal of Psychological Medicine 28, no. 2 (June 2011): 69–75. http://dx.doi.org/10.1017/s0790966700011460.

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AbstractObjectives: The Irish national mental health policy document, A Vision for Change, included recommendations to develop specialist rehabilitation mental health services. This survey was conducted as part of a multicentre study to investigate current provision of mental health rehabilitation services in Ireland and factors associated with better clinical outcomes for users of these services. The aim was to carry out a detailed national survey of specialist rehabilitation services in order to describe current service provision.Method: A structured questionnaire was sent to consultant rehabilitation psychiatrists in all mental health catchment areas of Ireland that had any rehabilitation services to gather data on various aspects of service provision.Results: Twenty-six of the 31 mental health areas of Ireland had some form of rehabilitation service. Sixteen teams working in 15 of these areas fulfilled A Vision for Change criteria to be defined as specialist rehabilitation services and all 16 responded to the survey. The overall response rate was 73% (19/26). Most services lacked a full multidisciplinary team. Only one service had an assertive outreach team with acceptable fidelity to the assertive outreach model. Urban services were less well resourced than rural services.Conclusion: This is the first national survey to describe the provision of mental health rehabilitation services in Ireland. Although there has been an increase in the provision of consultant-led specialist rehabilitation services nationally, these services lack multidisciplinary input. There also appears to be a lack of planned provision of the facilities required to provide comprehensive rehabilitation services with unequal distribution of resources between urban and rural areas. This has potential cost implications for local mental health services in relation to ‘out of area treatment’ placements and perhaps more importantly to the overall quality of patient care.

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Ahmed, Mohamed Ali, and Suhaila Ali Ghuloum. "Qatar Community Mental Health Care: Achievements and Challenges." Consortium Psychiatricum 2, no. 2 (May 25, 2021): 76–80. http://dx.doi.org/10.17816/cp78.

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Guided by international best practice and evidence-based medicine, the Qatar mental health service has undergone a major transformation in the last two decades, replacing the institution-based service with an accessible multidisciplinary community-based service. In this paper, we provide a brief historical background to mental health services in Qatar, and the progress and development towards community-based mental health-care provision. We also explore the challenges facing this new model of care in Qatar including social and cultural sensitivities, and the various solutions adopted to overcome these challenges. We outline the comprehensive plans envisaged to further develop Qatar community mental health services, including the provision of accessible, integrated and multimodal mental health care within primary care settings.

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North, Carol S., David E. Pollio, Brian Perron, Karin M. Eyrich, and Edward L. Spitznagel. "The Role of Organizational Characteristics in Determining Patterns of Utilization of Services for Substance Abuse, Mental Health, and Shelter by Homeless People." Journal of Drug Issues 35, no. 3 (July 2005): 575–91. http://dx.doi.org/10.1177/002204260503500309.

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This study aims to advance understanding of service provision to the homeless population through investigation of the effects of organizational characteristics. A longitudinal study of homelessness obtained structured psychiatric interview data from 400 participants and these individuals' service use and organizational data from 23 organizations over the next 12 months. Substance abuse service use was associated with organizational funding diversity, professionalism, and focus of services on substance abuse service provision. Other mental health service use was associated with small organizational size, professionalism, and simplicity of organizational funding diversity. Shelter service use was associated with complexity of services and small organizational size and inversely related to professionalism of staff. Results suggest relevance of organizational characteristics to understanding service access and use, controlling for individual need factors. Only by examining interactions among individual and organizational characteristics across sectors of care can the complexity of service provision to this multifaceted population be approached.

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Nguyen, Phuong, Shivani Kachwaha, Anjali Pant, Lan Mai Tran, Monika Walia, Sebanti Ghosh, Praveen Kumar Sharma, Jessica Escobar-Alegria, Purnima Menon, and Rasmi Avula. "Impacts of COVID-19 on Provision and Utilization of Health and Nutrition Services in Uttar Pradesh, India: Insights From Phone Surveys and Administrative Data." Current Developments in Nutrition 5, Supplement_2 (June 2021): 672. http://dx.doi.org/10.1093/cdn/nzab045_054.

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Abstract Objectives The COVID-19 pandemic has significant potential implications for health systems, but little primary evidence is available on effects on health and nutrition services. We aimed to examine changes in service provision and utilization during the pandemic in Uttar Pradesh, India and identify positive adaptations to service delivery. Methods We conducted longitudinal surveys with frontline workers (FLW, n = 313) and mothers of children < 2 years (n = 659) in December 2019 (in-person) and July 2020 (by phone). We also interviewed block-level managers and obtained administrative data. We examined changes in service provision and utilization using Wilcoxon matched-pairs signed-rank tests. Results Compared to pre-pandemic, service provision reduced substantially during lockdown (83–98 percentage points, pp), except for home visits and take-home-rations (∼30%). Most FLWs (68–90%) resumed service provision in July 2020, except for immunization and hot-cooked meals (< 10%). Administrative data showed similar patterns of disruption and resumption. FLW fears, increased workload, inadequate personal protective equipment (PPE), and manpower shortages challenged service delivery. Key adaptations made to provide services included: delivering services to beneficiary homes (∼40–90%), social distancing (80%), using PPE (40–50%), and telephones for communication (∼20%). On the demand side, service utilization also reduced substantially (40–80pp) during the lockdown, but about half of mothers received home visits and food supplementation. Utilization for most services did not improve after the lockdown, bearing challenges of limited travel (30%), non-availability of services (26%), fear of catching virus when leaving the house (22%) or meeting service providers (14%). Conclusions COVID-19 affected the provision and use of health and nutrition services despite efforts at service restoration and adaptations. Strengthening logistics support, capacity enhancement, performance management, and demand creation are needed to improve service provision and utilization during and post-COVID-19. Funding Sources Bill & Melinda Gates Foundation through POSHAN, led by International Food Policy Research Institute; and Alive & Thrive, led by FHI Solutions.

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Shole, Robert Ngelela. "The Impacts of Cost Sharing in Health Services in Geita Distrct, Tanzania." Malaysian Journal of Medical and Biological Research 4, no. 1 (June 30, 2017): 15–24. http://dx.doi.org/10.18034/mjmbr.v4i1.419.

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A study on the impact of cost sharing in health services was carried out in Geita District focussing on health service provision. A sample size of 96 respondents includes 24 health workers and 72 households’ heads. Household heads were chosen to represent the community receiving health services. Health workers were chosen to represent health service providers who are providing health services in the study area. A cross sectional research design was adopted involving administration of structured questionnaires to both primary and secondary partners, complemented by relevant documentation. Statistical Package for Social services (SPSS) software was employed in data coding and analysis. The study revealed that the aim of cost sharing on health service is good. But the nature of the Tanzanians of being poor among the poorer and poor government procedure for sensitizing its policies before implementation impend the target and objectives of cost sharing on health service. More than 67% people earn less than 50,000 per month and more than 10% do not attend hospital services if they become sick. Also, more than 58% of people are not aware about cost sharing on health service. The study makes the following recommendations to improve health service provision under cost sharing policy. The spirit of working very hard in production activities should be done by all Tanzanians to reduce poverty. The government should educate its people at all levels such as villages, wards, division, district, region and national to make them aware on any policy like cost sharing on health service. Capacity building should be done to health workers to follow all the guidelines and conditions of cost sharing on health service provision.

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Eldergill, Anselm. "The Legal Structure of Mental Health Services." International Journal of Mental Health and Capacity Law, no. 7 (September 8, 2014): 139. http://dx.doi.org/10.19164/ijmhcl.v0i7.354.

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The way in which mental health services are organised, delivered and regulated has been reorganised many times in recent years. The purpose of this article is to summarise the present position, and it is informative, rather than analytical. The service changes are dealt with in the following order: A The National Health Service B The Provision of Social Care C The Provision of Independent Healthcare D Maintaining Quality Standards

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Sununtnasuk, Celeste, Phuong Nguyen, Anjali Pant, Lan Mai Tran, Shivani Kachwaha, Deborah Ash, Mohsin Ali, et al. "Provision and Utilization of Health and Nutrition Services During the COVID-19 Pandemic in Urban Bangladesh." Current Developments in Nutrition 5, Supplement_2 (June 2021): 690. http://dx.doi.org/10.1093/cdn/nzab045_072.

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Abstract Objectives The COVID-19 pandemic is expected to have extensive effects on healthcare systems. The Government of Bangladesh has concerns about diminished coverage and quality of maternal and child health services, but little published information exists on service provision, utilization, and adaptations. We examined changes to maternal and child health and nutrition service delivery and utilization in urban Bangladesh during and after the enforcement of COVID-19 restrictions and identified adaptations and potential solutions to strengthen service delivery and uptake. Methods We conducted longitudinal surveys with health care providers (n = 45), pregnant women (n = 40), and mothers of children < 2 years (n = 387) in February 2020 (in-person) and September 2020 (by phone). We used Wilcoxon matched-pairs signed-rank tests to compare the changes before and during the pandemic. Results Most services for pregnant women remained available during COVID-19 restrictions, with the provision of antenatal care (ANC) services falling by 6.6 percentage points (pp). Services for women and children which require proximity, however, were more severely affected; weight and height measurements fell by 20–29pp for pregnant women and 37–57pp for children, and child immunizations fell by 38pp. Declines in service utilization were large, including drops in facility visitations (35pp among pregnant women and 67pp among mothers), health and nutrition counseling (up to 73pp), child weight measurements (50pp), and immunizations (61pp). The primary method of adaptation was provision of services over phone (37% for ANC services and 44–49% for counselling of pregnant women or mothers with young children). Conclusions Despite adaptations to service provisions, continued availability of routine maternal and child health services did not translate into service utilization. Further investments are needed to provide timely and accurate information on COVID-19 to the public, improve COVID-19 training and provide incentives for health care providers, and ensure availability of personal protective equipment for both providers and beneficiaries. Funding Sources Bill & Melinda Gates Foundation through POSHAN, led by International Food Policy Research Institute; and Bill & Melinda Gates Foundation, through Alive & Thrive, managed by FHI Solutions.

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Hunter, Stewart. "Provision of care for congenital heart disease in the United Kingdom." Cardiology in the Young 4, no. 3 (July 1994): 231–34. http://dx.doi.org/10.1017/s1047951100011100.

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The organization of the national health service in the United Kingdom has been under constant review and revision since its inception after the Second World War. Central government spends £35,894 million each year on the Health Service and it is the country's largest employer. Total health expenditure in the United Kingdom accounts for 6.1% of the Gross Domestic Product. This apparently compares unfavorably with 12.4% total health expenditure in the United States.States. However the public health expenditure is identical in the two countries, 5.2%, and this figure is similar in most developed countries including Australia, Denmark, Spain and Switzerland. The overall regional administration of the Health Service in England (Scotland, Wales and Northern Ireland have slightly different organizations) is well established, although the names of the different strata of administration change from time to time. The Secretary of State for Health oversees the Department of Health including the National Health Service Management Executive. Under this Management Executive are 14 Regional Health Authorities covering 100% of the total population.There are within the London area several Special Health Authorities set up in the past because of the particular expertise which they provided. These are under review and will almost certainly lose their special status in the future because of the improvements and increase in services nationwide. The Regional Health Authorities have under their care 177 District Health Authorities and 90 Family Health Service Authorities.They do not manage the National Health Service Trusts—a new development which allows hospitals and other organizations within the Health Service to work autonomously to provide NHS services.

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Lang, F. H., E. C. Johnstone, and G. D. Murray. "Service provision for people with schizophrenia." British Journal of Psychiatry 171, no. 2 (August 1997): 165–68. http://dx.doi.org/10.1192/bjp.171.2.165.

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BackgroundThis second report of a study of service provision for patients with schizophrenia describes patients' contact with general practice and general practitioners' (GPs’) views of the mental health services.MethodA postal questionnaire was sent to the GPs, and patients' primary care records were examined.ResultsData were collected on 131 subjects. The majority of patients (96) (73%) were in regular contact with their GP and were consulting for many different reasons; 27 (21%) were posing particular difficulties for the primary care team. GPs reported that 27 (21%) patients required additional support and that the care arrangements for 50 (38%) patients could be improved if alterations were made to the roles of the professionals already involved.ConclusionsGPs are central to service provision for patients with schizophrenia. Both additional resources and changes in working practices are required to improve patient care. The service implications of these findings are discussed.

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Kranz, Ashley M., Ammarah Mahmud, Denis Agniel, Cheryl Damberg, and Justin W. Timbie. "Provision of Social Services and Health Care Quality in US Community Health Centers, 2017." American Journal of Public Health 110, no. 4 (April 2020): 567–73. http://dx.doi.org/10.2105/ajph.2019.305519.

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Objectives. To describe the types of social services provided at community health centers (CHCs), characteristics of CHCs providing these services, and the association between on-site provision and health care quality. Methods. We surveyed CHCs in 12 US states and the District of Columbia during summer 2017 (n = 208) to identify referral to and provision of services to address 8 social needs. Regression models estimated factors associated with the provision of social services by CHCs and the association between providing services and health care quality (an 8-item composite). Results. CHCs most often offered on-site assistance for needs related to food or nutrition (43%), interpersonal violence (32%), and housing (30%). Participation in projects with community-based organizations was associated with providing services on-site (odds ratio = 2.48; P = .018). On-site provision was associated with better performance on measures of health care quality (e.g., each additional social service was associated with a 4.3 percentage point increase in colorectal cancer screenings). Conclusions. Some CHCs provide social services on-site, and this was associated with better performance on measures of health care quality. Public Health Implications. Health care providers are increasingly seeking to identify and address patients’ unmet social needs, and on-site provision of services is 1 strategy to consider.

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Agrawal, Niruj, Simon Fleminger, Howard Ring, and Shoumitro Deb. "Neuropsychiatry in the UK: national survey of existing service provision." Psychiatric Bulletin 32, no. 8 (August 2008): 288–91. http://dx.doi.org/10.1192/pb.bp.107.018424.

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Aims and MethodTo elucidate and describe current neuropsychiatry service provision in the UK. A questionnaire was developed and posted to members of the Royal College of Psychiatrists who had expressed an interest in neuropsychiatry. the responses were tabulated and analysed using descriptive statistics and SPSS version 11.0 for Windows. the neuropsychiatry services provided, sources of referrals, setting of the services and funding streams are described.ResultsOut of 251 respondents, 70 reported providing a neuropsychiatry service, 21 having been principally appointed as neuropsychiatrists.Clinical ImplicationsNeuropsychiatry services in the UK are currently based in a few regional centres, representing a patchy and inadequate service provision.

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HELGØY, INGRID, BODIL RAVNEBERG, and PER SOLVANG. "Service Provision for an Independent Life." Disability & Society 18, no. 4 (June 2003): 471–87. http://dx.doi.org/10.1080/0968759032000081011.

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Journal articles on the topic 'Health service provision'

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