Journal articles on the topic 'Health Services Research Centre'
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Matshonisa Seeletse, Solly, and Katlego Thabang Mokgwabone. "Effecting effective and efficient research service strategy for statistical support in Sefako Makgatho Health Sciences University." Environmental Economics 7, no. 2 (June 3, 2016): 115–21. http://dx.doi.org/10.21511/ee.07(2).2016.12.
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The focus of this paper was to determine research support benchmarks from higher education institutions (HEIs) in South Africa for application in the Sefako Makgatho Health Sciences University (SMU). These benchmarks were sought from networked international HEIs and leading research HEIs in the country. Other benchmarks were sourced from cost-effective models of deployment from other service departments within SMU. The study involved nine HEIs and SMU human resources (HR) department for benchmarking. The study found that the statistics departments were used in these HEIs for major research support. These statistics departments operated from statistics support centres, were supported holistically by their institutions, and were allowed qualified autonomy in their functions. The SMU HR department was assigning individual HR experts to various academic departments for full-time support. The paper combines the models of statistics centres and of assigning HR experts to departments for a new one in SMU. It proposes establishment of a statistical services centre in SMU, in the Department of Statistics and Operations Research (SOR). The centre could be used for statistical training and for fundraising as well. However, the core activities of the centre should be to support research on SMU campus. The centre should operate by dedicating statistics experts to various departments. That model also requires an adequate academic staffing of SOR, as well as initial funding for the entire plans and initial operations of the centre
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Yarrow, Elizabeth. "Access to sexual health services." Children and Young People Now 2014, no. 5 (March 4, 2014): 27. http://dx.doi.org/10.12968/cypn.2014.5.27.
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Elizabeth Yarrow, senior researcher at Coram Children's Legal Centre, summarises recent research that explores the impact of the law on young people's access to sexual and reproductive health services
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Soesanto, Edy, and Naufal Najib Abdurrahman. "The Role of Volunteers in Improving Services in Elderly Integrated Service Centers." South East Asia Nursing Research 2, no. 1 (March 31, 2020): 22. http://dx.doi.org/10.26714/seanr.2.1.2020.22-26.
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The elderly attendance rate at the elderly integrated service centre for healthy sources of kangkung village is only 14.31%, this is far from the national coverage rate of 80%. The role of the volunteer is one of the factors supporting the presence of the elderly, through increasing the role of volunteer it is expected to be able to increase elderly visits. The Objective of this research to describe the role of the volunteer in the elderly integrated service centre in the village of kangkung. This research used descriptive research with cross-sectional approach. The study population was a cadre of healthy elderly integrated service centre sources kangkung village mranggen district. The research sample uses a total sampling technique. Data analysis in this study used univariate. As many as 12 people (60%) volunteer played a good role as coordinators, as many as 12 people (60%) played a good role as community mobilizers, as many as 10 people (50%) played a good role as providers of health promotion, as many as 15 people (75 %) played a good role in terms of basic aid providers, as many as 16 people (80%) played a good role in the documentation. The role of coordinator, community mobilizer, basic assistance provider and documentation has been going well, the role as health promotion provider is still poor. The volunteer is expected to be more active in playing roles in improving the services of elderly integrated service centre.
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Eaton, Kenneth A., and Nigel B. Pitts. "Dental Health Services Research Unit Celebrates 30 Years." Primary Dental Care os16, no. 2 (April 2009): 51–54. http://dx.doi.org/10.1308/135576109787909445.
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Over the years, several members of the staff of the Dental Health Services Research Unit (DHSRU) at Dundee have published papers in Primary Dental Care. Furthermore, its Director, Professor Nigel Pitts, together with Drs Jan Clarkson and Gail Topping have co-edited a number of the Faculty of General Dental Practice (UK)'s standards manuals and contributed to others. It had been suggested to the Unit by several parties that, having been in funded existence for some 30 years, it would be appropriate to mark this anniversary with a conference to explore ‘Dental Health Services Research: After 30 years, what was the impact, what have we learned and where are we going?’ So, following a range of consultations, the conference was convened at the West Park Conference Centre in Dundee with a mixed audience representing both dental research and dental practice.
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Peel, V. J. "Management-Focused Health Informatics Research and Education at the University of Manchester." Methods of Information in Medicine 33, no. 03 (1994): 273–77. http://dx.doi.org/10.1055/s-0038-1635027.
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Abstract:The Health Services Management Unit was established in 1956 and the Centre for Health Informatics in 1988 as one of eight new centres of research and professional practice. New programmes of informatics education have been created to integrate many of the areas of social and management sciences with clinical work. The model, of a multi-disciplinary higher education department based at a University with very substantial departments of Bio-Medicine and Computation, enables the Centre to reflect an alternative paradigm of health informatics. Informatics practitioners from many disciplines are taught a combination of knowledge and skills through a range of educational methods. A classification scheme for educational work is offered.
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Dr. Kavita A. Jain and Savita. "Service Quality in Community Health Centre." International Journal of Engineering and Management Research 12, no. 4 (August 31, 2022): 174–77. http://dx.doi.org/10.31033/ijemr.12.4.21.
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The present study has been conducted to understand the level of awareness of people toward quality of services available at CHC level. In order to achieve the objective of this research work, the researcher applied SERVQUAL model through five factors such as Tangibility, Assurance, Responsiveness, Reliability and Empathy. In this way, primary data have been collected from 25 patients at Madina CHC. Further, the collected data have been analysed with the help of Likert five point scale and other statistical tools and techniques. The results of this study suggested that CHC administration should make some more efforts to improve the service quality in terms of Empathy and Reliability.
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Hall, Jane. "Health services research in Australia." Australian Health Review 24, no. 3 (2001): 35. http://dx.doi.org/10.1071/ah010035.
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The long-awaited Wills Implementation Committee Report (CoA 2000), which was completed by Novemberlast year, has now been released. Wills' earlier Report (CoA 1998) identified the need for the development ofhealth services research capacity in Australia, and this new Report recommends how this should be done,through the establishment and support of several large multi-disciplinary centres. These should be based aroundhealth services, health policy, health economics, public health and clinical practice and these are required to givescientific leadership to Australia's efforts in priority-driven research. They are to be funded through NHMRC,with funds rising to $10m per annum.
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Lawrence, Glenda, Isa Dinh, and Lee Taylor. "The Centre for Health Record Linkage: A New Resource for Health Services Research and Evaluation." Health Information Management Journal 37, no. 2 (June 2008): 60–62. http://dx.doi.org/10.1177/183335830803700208.
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Gaudet, Janice Cindy, and Carmen Chilton. "Milo Pimatisiwin Project." International Journal of Indigenous Health 13, no. 1 (August 23, 2018): 20–40. http://dx.doi.org/10.32799/ijih.v13i1.30264.
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The Milo Pimatisiwin Project is a community-centred initiative of John Delaney Youth Centre in the Moose Cree First Nation community in the James Bay region, Ontario, Canada. This article describes the creation of this collaborative youth-centred project and how it re-centres Indigenous values and conception of health and wellbeing. The article begins with an overview of the Cree philosophy of milo pimatisiwin, “good and healthy living.” This sets the background for the focus of the article, namely the significance of sharing pimatisiwin teachings over the local youth radio station and within land-based initiatives. The study includes the project results and feedback from the youth engaged in the project. It also describes the Youth Services Director’s vision and leadership efforts to enhance culturally relevant programming at the Youth Centre. Finally, it discusses lessons learned in the project and suggests best ways to enhance wellbeing in community-engaged research initiatives. The aim is to privilege Indigenous people, their knowledge and experiences, and their critical role in decolonizing notions of health and wellbeing within research practices and community-centred initiatives.
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Proctor, E. K., C. McMillen, S. Haywood, and P. Dore. "Advancing Mental Health Research: Washington University's Center for Mental Health Services Research." Social Work Research 32, no. 4 (December 1, 2008): 249–59. http://dx.doi.org/10.1093/swr/32.4.249.
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Ardah, Fauzah, Razia Begum Suroyo, Razia Begum Suroyo, Mangatas Silaen, and Lucia Lastiur. "Analysis of Antenatal Care by Maternal to Health Services Utilization in Working Area of Cot Girek Health Centre." Journal La Medihealtico 2, no. 3 (April 27, 2021): 17–29. http://dx.doi.org/10.37899/journallamedihealtico.v2i3.344.
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According to Minister of Health Regulation (Permenkes) No. 43 of 2016 every maternal must get antenatal services according to the standard which provided to pregnant women at least 4 times during pregnancy with a schedule of one first trimester, one second trimester and two-third trimesters. The purpose of this study was to determine and analyze the influence of knowledge, attitudes, education, parity, income, support of health workers, a distance of health services and maternal health to the utilization of health services in the working area of the Cot Girek health centre, a population of this study amounted 512 people and 83 respondents were taken as the sample of this study. The research was Quantitative research used Mixed Method. The results showed of knowledge p = 0.000, education p = 0.000, income p = 0.000, support of health workers p = 0.000 shows a relationship to the utilization of health services. While attitudes p = .609, parity p = .823, distance of health services p = .167, maternal health p = .386 showed no relationship to the utilization of health services. The conclusion in this study is the influence of knowledge, education, income and support of health workers on the utilization of health services found, while the attitudes, parity, distance of health services and maternal health have no found about relationship to the utilization of health services. This research can be used as information for health workers to be more active in promoting antenatal care programs.
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Pong, RW, M. DesMeules, D. Heng, C. Lagacé, JR Guernsey, A. Kazanjian, D. Manuel, et al. "Patterns of Health Services Utilization in Rural Canada." Chronic Diseases and Injuries in Canada 31, supplement 1 (September 2011): 1–36. http://dx.doi.org/10.24095/hpcdp.31.s1.01.
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Canadians value ease of access to their health services. Although many studies have focused on accessibility to health services in Canada, few have examined rural-urban differences in this aspect, particularly from a national perspective. Yet disparities in access to health services exist between rural and urban populations, as do the challenges of delivering health care to more remote areas or to those with small populations. “Canada’s Rural Communities: Understanding Rural Health and Its Determinants” is a three-year research project co-funded by the Canadian Population Health Initiative (CPHI) of the Canadian Institute for Health Information (CIHI) and the Public Health Agency of Canada (PHAC). It involves investigators from the Public Health Agency of Canada, the Centre for Rural and Northern Health Research (CRaNHR) at Laurentian University, and other researchers. The first publication of the research project was How Healthy Are Rural Canadians? An Assessment of Their Health Status and Health Determinants;Footnote 1a1a this, the second publication, is a descriptive analysis of the utilization patterns of a broad range of health services by rural residents compared to their urban counterparts.
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Desimawati, Dian Wahyuni. "RELATIONSHIP OF NURSING SERVICES WITH THE LEVEL OF PATIENT SATISFACTION." Jurnal EduHealth 12, no. 1 (September 30, 2021): 27–35. http://dx.doi.org/10.54209/jurnaleduhealth.v12i1.22.
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The purpose of this research was intended to identify the correlation between nursing services and patient satisfaction in Sumbersari Health Center Jember Regency. The sampling technique used purposive sampling and the number of sample were 44 patients in Sumbersari Health Centre. Data analysis technique used chi square test, with significance level of p value = 0.018 (α=0. 05) and OR 10,667. It means that there was a significant correlation between nursing service and patient satisfaction level in Sumbersari Health Center Jember Regency and good nursing service has a chance 10,667 times more in getting higher patient satisfaction.
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Korachais, Catherine, Por Ir, Elodie Macouillard, and Bruno Meessen. "The impact of reimbursed user fee exemption of health centre outpatient consultations for the poor in pluralistic health systems: lessons from a quasi-experiment in two rural health districts in Cambodia." Health Policy and Planning 34, no. 10 (October 3, 2019): 740–51. http://dx.doi.org/10.1093/heapol/czz095.
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Abstract Fees charged at the point of use are a barrier to the health services’ users, especially for the poorest. Two decades ago, Cambodia introduced the so-called health equity fund (HEF) strategy, a waiver scheme which enhances access to public health services for the poor without undermining the economic situation of facilities. Evidence suggests that hospital-based HEF effectively removed financial barriers and reduced out-of-pocket expenditures. There is less evidence on the effectiveness of the HEF when assistance is extended to the primary level of healthcare. This research explores the impact of a HEF extended to health centres in two rural health districts. Two household surveys and 16-month diary data allowed to assess the impact of the intervention on health-seeking behaviours and expenditure of poor households. Though HEF effectively removed user fees at public health facilities, health centre utilization of sick and poor people did not budge much in the intervention district; self-medication and private provider consultations remained the preferred health-seeking behaviours, by far, even if more expensive. Difference-in-difference estimates confirmed that HEF had a slight impact on health-seeking behaviours, but only for the subgroups of HEF beneficiaries living close to the health centre and ready to test their new entitlement. This research reminds on the importance of the context for the effectiveness of any policy: in a highly pluralistic health sector, waiving already low-user fees in public health centres may be insufficient to increase rapidly the use of those facilities and reduce catastrophic spending. In such context, apart from distance to health centres, perceived quality of services at the health centres, which was relatively low compared with other providers, also matters. Although the HEF scheme plays a role in improving perceived and objective quality of care, complementary means are to be deployed.
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Taylor, Rachel M., Lorna A. Fern, Julie Barber, Faith Gibson, Sarah Lea, Nishma Patel, Stephen Morris, et al. "Specialist cancer services for teenagers and young adults in England: BRIGHTLIGHT research programme." Programme Grants for Applied Research 9, no. 12 (November 2021): 1–82. http://dx.doi.org/10.3310/pgfar09120.
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Background When cancer occurs in teenagers and young adults, the impact is far beyond the physical disease and treatment burden. The effect on psychological, social, educational and other normal development can be profound. In addition, outcomes including improvements in survival and participation in clinical trials are poorer than in younger children and older adults with similar cancers. These unique circumstances have driven the development of care models specifically for teenagers and young adults with cancer, often focused on a dedicated purpose-designed patient environments supported by a multidisciplinary team with expertise in the needs of teenagers and young adults. In England, this is commissioned by NHS England and delivered through 13 principal treatment centres. There is a lack of evaluation that identifies the key components of specialist care for teenagers and young adults, and any improvement in outcomes and costs associated with it. Objective To determine whether or not specialist services for teenagers and young adults with cancer add value. Design A series of multiple-methods studies centred on a prospective longitudinal cohort of teenagers and young adults who were newly diagnosed with cancer. Settings Multiple settings, including an international Delphi study of health-care professionals, qualitative observation in specialist services for teenagers and young adults, and NHS trusts. Participants A total of 158 international teenage and young adult experts, 42 health-care professionals from across England, 1143 teenagers and young adults, and 518 caregivers. Main outcome measures The main outcomes were specific to each project: key areas of competence for the Delphi survey; culture of teenagers and young adults care in the case study; and unmet needs from the caregiver survey. The primary outcome for the cohort participants was quality of life and the cost to the NHS and patients in the health economic evaluation. Data sources Multiple sources were used, including responses from health-care professionals through a Delphi survey and face-to-face interviews, interview data from teenagers and young adults, the BRIGHTLIGHT survey to collect patient-reported data, patient-completed cost records, hospital clinical records, routinely collected NHS data and responses from primary caregivers. Results Competencies associated with specialist care for teenagers and young adults were identified from a Delphi study. The key to developing a culture of teenage and young adult care was time and commitment. An exposure variable, the teenagers and young adults Cancer Specialism Scale, was derived, allowing categorisation of patients to three groups, which were defined by the time spent in a principal treatment centre: SOME (some care in a principal treatment centre for teenagers and young adults, and the rest of their care in either a children’s or an adult cancer unit), ALL (all care in a principal treatment centre for teenagers and young adults) or NONE (no care in a principal treatment centre for teenagers and young adults). The cohort study showed that the NONE group was associated with superior quality of life, survival and health status from 6 months to 3 years after diagnosis. The ALL group was associated with faster rates of quality-of-life improvement from 6 months to 3 years after diagnosis. The SOME group was associated with poorer quality of life and slower improvement in quality of life over time. Economic analysis revealed that NHS costs and travel costs were similar between the NONE and ALL groups. The ALL group had greater out-of-pocket expenses, and the SOME group was associated with greater NHS costs and greater expense for patients. However, if caregivers had access to a principal treatment centre for teenagers and young adults (i.e. in the ALL or SOME groups), then they had fewer unmet support and information needs. Limitations Our definition of exposure to specialist care using Hospital Episode Statistics-determined time spent in hospital was insufficient to capture the detail of episodes or account for the variation in specialist services. Quality of life was measured first at 6 months, but an earlier measure may have shown different baselines. Conclusions We could not determine the added value of specialist cancer care for teenagers and young adults as defined using the teenage and young adult Cancer Specialism Scale and using quality of life as a primary end point. A group of patients (i.e. those defined as the SOME group) appeared to be less advantaged across a range of outcomes. There was variation in the extent to which principal treatment centres for teenagers and young adults were established, and the case study indicated that the culture of teenagers and young adults care required time to develop and embed. It will therefore be important to establish whether or not the evolution in services since 2012–14, when the cohort was recruited, improves quality of life and other patient-reported and clinical outcomes. Future work A determination of whether or not the SOME group has similar or improved quality of life and other patient-reported and clinical outcomes in current teenage and young adult service delivery is essential if principal treatment centres for teenagers and young adults are being commissioned to provide ‘joint care’ models with other providers. Funding This project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full in Programme Grants for Applied Research; Vol. 9, No. 12. See the NIHR Journals Library website for further project information.
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Anggraini, Ade. "The Effect Of Implementation Of Permenkes No 46 Of 2015 Regarding Accreditation Of Puskesmas, Primary Clinics, Places Of Mandiri Doctor Practices, And Mandiri Medical Practices On The Performance Of Human Resources And The Effectiveness Of Using The Use O." Science Midwifery 10, no. 2 (April 30, 2022): 1952–58. http://dx.doi.org/10.35335/midwifery.v10i2.589.
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Effect of implementation of Permenkes no. 46 of 2015 concerning the accreditation of Health Centre, pratama clinics, independent doctor's practice, and independent dentist’s practice on the performance of human resources and the effectiveness of the use of funds and their impact on the quality of services at health centre. This study aims to determine whether there is an influence on the implementation of Permenkes no. 46 of 2015 concerning the accreditation of health centre, pratama clinics, independent doctor's practice, and independent dentist’s practice on the performance of human resources and the effectiveness of the use of funds and their impact on the quality of services at health centre in bekasi. This research was conducted based on purposive sampling, the aim of which was targeted at respondents of the head of health centre, administrative coordinator, treasurer Jaminan Kesehatan Nasional, treasurer bantuan operasional Kesehatan, treasurer Anggaran Pendapatan Belanja Daerah, so that sample of 100 respondents was obtained sufficiently and represented the population in the city of Bekasi. This study used a research questionnaire that was distributed to 20 health centre units. The method used is SEMPLS (partial least square structural equation modeling) which is based on an evaluation of the interdependence relationship between variables. From the results of the study it was found that there was a significant positive strong relationship between the implementation of Permenkes no. 46 of 2015 concerning the accreditation of health centre, pratama clinics, independent doctor's practice, and independent dentist’s practice on human resource performance. There was no significant relationship between the implementation of Permenkes no. 46 of 2015 concerning the accreditation of health centre, pratama clinics, independent doctor's practice, and independent dentist’s practice to the effectiveness of the use of funds shows a significant positive relationship between Permenkes no. 46 of 2015 concerning the accreditation of health centre, pratama clinics, independent doctor's practice places, and independent dentist’s practice places on the quality of services at healt centre in Kota Bekasi. Permenkes no. 46 of 2015 on the performance of human resources and the effectiveness of the use of funds and their impact on the quality of services at the puskesmas.
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Dewi, Yusni, La Ode Saafi, and Yunita Amraini. "RELATIONSHIP BETWEEN AVAILABILITY OF FACILITIES AND INFRASTRUCTURE WITH REFERRAL SYSTEM IN KONAWE DISTRICT PUBLIC HEALTH CENTER." INDONESIAN JOURNAL OF HEALTH SCIENCES RESEARCH AND DEVELOPMENT (IJHSRD) 3, no. 2 (June 19, 2022): 190–96. http://dx.doi.org/10.36566/ijhsrd/vol3.iss3/113.
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Background: Increasing the ratio of referral systems and referral systems Online referral systems for outpatients are still a problem in the work area of the Konawe District Health Center, Southeast Sulawesi Province. This study aims to determine the relationship between the availability of facilities and infrastructure with the referral system for the Healthy Indonesia Card Guarantee in Konawe Regency. Methods: This type of research is a quantitative research with a cross sectional study design. The population is all public health centre that have health workers who have KIP and outpatients with Healthy Indonesia Cards in Konawe Regency who carry out examinations and outpatients as many as 87 people. The sample size in this study was 46 respondents, which were taken by simple random sampling. This research instrument uses a questionnaire that has been tested for validity and reliability. The data that has been collected, then analyzed using the chi square test and the test of the closeness of the relationship (phi coefficient). Results: The results of this study indicate that there is a strong relationship between the availability of facilities and infrastructure and the referral system for the Healthy Indonesia Card Guarantee in Konawe Regency, where X² count > X² count (31.843>3.841). Conclusion: Rehabilitative services have not been implemented properly at the public health center in Konawe Regency, because the facilities and infrastructure are not yet available to carry out these services. Therefore, it is necessary to procure facilities and infrastructure to support medical services at the public health center.
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Asrida, Wan, and Rafni Puspita Pohan. "Pelayanan Publik Pada Pusat Kesehatan Masyarakat Kecamatan Marpoyan Damai Pekanbaru Tahun 2013." Nakhoda: Jurnal Ilmu Pemerintahan 13, no. 1 (February 23, 2016): 22. http://dx.doi.org/10.35967/jipn.v13i1.3218.
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Public Services of Public Health Centers at the Sub District MarpoyanDamai in the City of Pekanbaru year 2013-2014. Purpose of this study was todetermine the Public Services in Public Health Centers at the District MarpoyanDamai in City of Pekanbaru and what are the factors that obstruct the services. Thisresearch used qualitative methods, research that provides an explanation of data isdone through the process of preparation, presentation of data, observation, interviewtechniques, and Documentation. The result of this research. concluded that the PublicService is still not optimal given employee health centers. Can be seen from thestandard indicators of public services according to kepmenpan No. 63 of 2003,service procedures are difficult, long turnaround time of service, limited serviceproducts, facilities and infrastructure is not yet complete, and then the employeecompetence of Health Centre, who do not show a friendly attitude to patients.Keywords : Public Services, Obstruction Factors, Public Health Center (PHC)
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Hayes, R. P., J. W. Eley, R. S. Greenberg, and D. J. Ballard. "Linking health services research to education at an academic health center." Academic Medicine 71, no. 9 (September 1996): 957–62. http://dx.doi.org/10.1097/00001888-199609000-00009.
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Briggs, Hannah, Stephen Clarke, and Nigel Rees. "Mental health assessment and triage in an ambulance clinical contact centre." Journal of Paramedic Practice 13, no. 5 (May 2, 2021): 196–203. http://dx.doi.org/10.12968/jpar.2021.13.5.196.
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Background: With increasing numbers of emergency calls to ambulance services, exploration of the triage and management of mental health calls is valuable, given their volume and duration. Studies have explored these calls from patient and practitioner perspectives, but few have considered the perspective of the practitioners assessing patients over the phone in terms of clinical capability. Aim: This study aimed to explore the thoughts, feelings and educational requirements of paramedics and nurses working on emergency medical services clinical desks, focusing on mental health-related calls and the triage tools used. Methods: A service evaluation was conducted. A questionnaire was developed and distributed to 41 staff on clinical desks at the Welsh Ambulance Service Trust's (WAST) clinical contact centres in June 2019. Quantitative data was analysed using descriptive statistics and qualitative data by thematic analysis. Findings: Out of the 41 employees, 26 (63%) responded. Low levels of confidence were reported in managing mental health calls, along with inadequate detail in the mental health elements of their triage algorithm and deficiencies in referral pathways. Conclusion: Given the volume and complexity of mental health calls to ambulance services, more attention should be paid to the education and training of clinical desk professionals and the decision support tools available in WAST and other ambulance services. Further research is required with a larger sample size over multiple ambulance services.
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Khasanah, Uswatun. "The Relationship Between Midwife Performance and the Level of Maternal Statisfaction at the Puskesmas of Sarwodadi Kabupaten Pemalang." Journal of Midwifery Science: Basic and Applied Research 2, no. 1 (July 13, 2020): 1–7. http://dx.doi.org/10.31983/jomisbar.v2i1.5929.
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This research aimed to determine correlation between midwife performance and maternal sastisfaction in Sarwodadi Public Health Centre Pemalang Regency. The corresponding research design used descriptive correlative with cross sectional approach. Sample of research were maternal labor in Sarwodadi Public Health Centre Pemalang Regency as many as 32 people. The sampling technique used accidental sampling. The data collecting instrument used questionnaire. The result showed that 50% respondents said that good midwifes performance and 50% respondents said that it was lacking. There were 68,8% respondents were dissatisfied, but 31,3% respondents were satisfied. There correlation between midwife performance and maternal sastisfaction in Sarwodadi Public Health Centre Pemalang Regency (ρ value: 0,008). Recommendations are given to health workers to improve the quality of delivery services and the provision of midwifery services by considering psychological aspects
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Smith, David Anthony, Tingyan Wang, Oliver Freeman, Charles Crichton, Hizni Salih, Philippa Clare Matthews, Jim Davies, et al. "National Institute for Health Research Health Informatics Collaborative: development of a pipeline to collate electronic clinical data for viral hepatitis research." BMJ Health & Care Informatics 27, no. 3 (November 2020): e100145. http://dx.doi.org/10.1136/bmjhci-2020-100145.
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ObjectiveThe National Institute for Health Research (NIHR) Health Informatics Collaborative (HIC) is a programme of infrastructure development across NIHR Biomedical Research Centres. The aim of the NIHR HIC is to improve the quality and availability of routinely collected data for collaborative, cross-centre research. This is demonstrated through research collaborations in selected therapeutic areas, one of which is viral hepatitis.DesignThe collaboration in viral hepatitis identified a rich set of datapoints, including information on clinical assessment, antiviral treatment, laboratory test results and health outcomes. Clinical data from different centres were standardised and combined to produce a research-ready dataset; this was used to generate insights regarding disease prevalence and treatment response.ResultsA comprehensive database has been developed for potential viral hepatitis research interests, with a corresponding data dictionary for researchers across the centres. An initial cohort of 960 patients with chronic hepatitis B infections and 1404 patients with chronic hepatitis C infections has been collected.ConclusionFor the first time, large prospective cohorts are being formed within National Health Service (NHS) secondary care services that will allow research questions to be rapidly addressed using real-world data. Interactions with industry partners will help to shape future research and will inform patient-stratified clinical practice. An emphasis on NHS-wide systems interoperability, and the increased utilisation of structured data solutions for electronic patient records, is improving access to data for research, service improvement and the reduction of clinical data gaps.
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Clayton, Julie. "MRC research centre under threat from London health service plans." Nature 365, no. 6446 (October 1993): 477. http://dx.doi.org/10.1038/365477a0.
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Ivan Armawan. "Analysis Impact of Increase in Participants BPJS Class Iii on Quality of Health Services." Jurnal Indonesia Sosial Sains 2, no. 5 (May 21, 2021): 792–801. http://dx.doi.org/10.36418/jiss.v2i5.280.
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Abstract: The type of this research is a quantitative research design case study. Analysis was done on the participants BPJS've been me at the health centre and hospital in the city of Balikpapan. Subjects were Participants of BPJS Health Class III have been using BPJS card class III at the service of health centres and hospitals in the City of Balikpapan. Data collection techniques using a questionnaire with a sample data of 114 people. The results were analyzed using the app statistic SPSS version 22.0. The study results showed that 58% of the Quality of health services in hospitals and community health centres in the City of Balikpapan effect on increasing the number of participants BPJS Health Class III. And variables are the most influential is the Responsiveness or responsiveness officer of 47.2%; this is a positive response so that in the future, the Quality of health services can be improved to be better so that the benefits can be felt directly by the participants of BPJS Health, especially in class III.
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Topmiller, Michael, Jessica McCann, Jennifer Rankin, Hank Hoang, Joshua Bolton, and Alek Sripipatana. "Exploring the association of social determinants of health and clinical quality measures and performance in HRSA-funded health centres." Family Medicine and Community Health 9, no. 3 (July 2021): e000853. http://dx.doi.org/10.1136/fmch-2020-000853.
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ObjectiveThis paper explores the impact of service area-level social deprivation on health centre clinical quality measures.DesignCross-sectional data analysis of Health Resources and Services Administration (HRSA)-funded health centres. We created a weighted service area social deprivation score for HRSA-funded health centres as a proxy measure for social determinants of health, and then explored adjusted and unadjusted clinical quality measures by weighted service area Social Deprivation Index quartiles for health centres.SettingsHRSA-funded health centres in the USA.ParticipantsOur analysis included a subset of 1161 HRSA-funded health centres serving more than 22 million mostly low-income patients across the country.ResultsHigher levels of social deprivation are associated with statistically significant poorer outcomes for all clinical quality outcome measures (both unadjusted and adjusted), including rates of blood pressure control, uncontrolled diabetes and low birth weight. The adjusted and unadjusted results are mixed for clinical quality process measures as higher levels of social deprivation are associated with better quality for some measures including cervical cancer screening and child immunisation status but worse quality for other such as colorectal cancer screening and early entry into prenatal care.ConclusionsThis research highlights the importance of incorporating community characteristics when evaluating clinical outcomes. We also present an innovative method for capturing health centre service area-level social deprivation and exploring its relationship to health centre clinical quality measures.
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Usman, Usman, Andi Nuddin, and Sahabuddin Toaha. "Analisis Layanan Callnak Centre Dalam Pengembangan Usaha Ternak Sapi Potong di Kota Parepare." Forum Agribisnis 11, no. 2 (September 22, 2021): 101–8. http://dx.doi.org/10.29244/fagb.11.2.101-108.
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Beef Cattle is one of the meat-producing resources that have great benefits for the fulfilment and improvement of community nutrition. The low population of Beef Cows is because most of the livestock are kept on a small scale with limited land and capital. In addition, the weather does not threaten animal health. To carry out preventive activities against outbreaks of disease in livestock, the government program CallNak Center. The research objective was to analyze the effect of animal health services, health status checks, and artificial insemination on the development of Beef Cattle. The research method used quantitative research with a cross-sectional study approach. The research was conducted in Parepare City from August 2020 to April 2021. The sampling technique used non-probability sampling with purposive sampling with a total sample of 73 breeders. The data analysis used in this study is the Chi-Square Test. The results showed that the majority of respondents (76,71%) felt the benefits of animal health services, and health status checks and respondents considered beneficial were 78,08%. Meanwhile, respondents who felt the benefits of Artificial Insemination (IB) services were 50,68% or only a difference of 1,36% were considered less useful. Respondents who stated that they had experienced the development of beef cattle since the CallNak Center was 82,19%, while only 17,81% had ever developed. The results of the analysis show that animal health services and health status checks and those which significantly affect Artificial Insemination do not significantly affect the development of cattle in Parepare City.
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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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Woolf, Steven H., and Chris Henshall. "HEALTH TECHNOLOGY ASSESSMENT IN THE UNITED KINGDOM." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 591–625. http://dx.doi.org/10.1017/s0266462300101175.
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The National Health Service (NHS) provides universal health coverage for all British citizens. Most services are free of charge, although modest copayments are sometimes applied. About 11% of the population also has private insurance. General practitioners, generally the first point of contact for accessing the system, are independent contractors who serve as gatekeepers for specialist and hospital services and enjoy substantial clinical autonomy. Hospitals are public and are regionalized, but the 1990 reforms made them self-governing trusts that contract with local purchasers (health authorities and general practitioner fundholders). Reforms beginning in 1990 moved the NHS away from a centralized administrative structure to more pluralistic arrangements in which competition, as well as management, influences how services develop. Health technology and health technology assessment (HTA) have gained increasing attention in the NHS during this period, as part of a wider NHS Research and Development (R&D) Strategy. The strategy promotes a knowledge-based health service with a strong research infrastructure and the capacity to critically review its own needs. HTA is the largest and most developed of the programs within the strategy. It has a formal system for setting assessment priorities involving widespread consultation within the NHS, and a National Co-ordinating Centre for Health Technology Assessment. The stategy supports related centers such as the U.K. Cochrane Centre and the NHS Centre for Reviews and Dissemination. A hallmark of the HTA program is strong public participation. The United Kingdom has made a major commitment to HTA and to seeking effective means of reviewing and disseminating evidence.
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Nguyen, Thi Hoai Thu, Fiona McDonald, and Andrew Wilson. "Health Workers’ Perspectives on Infrastructure to Support Maternal Health Services in Rural Areas of Vietnam." Asia Pacific Journal of Health Management 12, no. 2 (July 25, 2017): 55–61. http://dx.doi.org/10.24083/apjhm.v12i2.81.
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Background: One common governance issue faced by developing countries is the establishment and maintenance of infrastructure to support the delivery of primary health services. This qualitative study explores the perspective of maternal health workers on how infrastructure impacts the provision of maternity services in rural areas in Vietnam.
Methods: Forty-one health workers and health managers at the commune, district and provincial levels of the Vietnamese public health system were interviewed. Questions focused on the impact of various organisational factors, including the impact of infrastructure on the performance of the health workforce, which provides publicly funded primary care. All interviews were recorded, transcribed and coded for thematic analysis.
Findings: Participants noted that infrastructure directly affected their ability to perform certain tasks and could both directly and indirectly negatively impact their motivation. In general, participants noted a lack of investment in infrastructure for the provision of primary care services in rural areas. They identified that there were deficits in the availability of utilities and the adequacy of facilities.
Conclusion: This research contributes to understanding the barriers to the provision of primary care in developing countries and in particular. The current inadequacy of facility buildings and inadequacy of clean water supply are issues for health workers in meeting the technical requirements of the standards as set out in the National Guidelines on reproductive health, and lead to safety concerns for the quality of maternal health services provided in commune health centres and District Health Centres.
Abbreviations: CHC – Commune Health Centres; DHC – District Health Centre; HW – Health Worker.
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Masita, Andriana, Martha Irene Kartasurya, and Ani Margawati. "Analysis of Neonatal Service Management in the Community Health Center in Central Buton Regency." International Journal of Multicultural and Multireligious Understanding 7, no. 2 (March 10, 2020): 146. http://dx.doi.org/10.18415/ijmmu.v7i2.1467.
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The coverage of Complete Neonatal Visits (KN) in Central Buton Regency in 2016 was 94.1% and in 2017 increased to 98.8% but the coverage of neonatal complications handled in 2016 was only 10.4% and in 2017 only 18.8% and still below the SPM target (90%). The purpose of this study was to analyze the management of neonatal services at Community Health centers with the highest and lowest coverage of neonatal complications handled in Central Buton Regency. This research method is qualitative research conducted through in-depth interviews. Main informants: 10 health workers involved in neonatal services (5 from each Community Health Centre). Triangulation informant: Head of the family health section of Central Buton Regency and 8 mothers who have babies aged 1-3 months (4 people from each Community Health Centre). Data analysis with content analysis. The results of the study showed that high coverage public health centers had low quantity but good quality human resources, low coverage health centers had good quantity human resources but lacked quality. High coverage Community Health Centre has a target set, the Community Health Centre head and the coordinating midwife are always active and cohesive in motivating village midwives, directing and conducting supervision, while low coverage Community Health Centre does not exist. Organizing has been going well at both health centers.
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Shobarina, Agiesta Sephya, Aat Sriati, and Iwan Shalahuddin. "HEALTH PROBLEMS AMONG THE ELDERLY AT MAJALAYA PUBLIC HEALTH CENTERS (PUSKESMAS) WEST JAVA-INDONESIA." Malahayati International Journal of Nursing and Health Science 2, no. 1 (April 11, 2019): 6–13. http://dx.doi.org/10.33024/minh.v2i1.1164.
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ABSTRACT Background: Elderly Health problems can lead to decline in elderly body functions and become a factor that improves health problems. As a result, many elderly people come to public health services every day with the same complaints and different complaints.Purpose: to recognize the description of health problems among the elderly at Majalaya public health centers (Puskesmas) West Java-IndonesiaMethods: A descriptive research with documentation study. The object of research is medical records of elderly who went to public health center during the last 1 year from April 2017 until March 2018. The number of samples is 3899 elderly based on elderly visit number gained by total sampling technique. The technique of data collection is through elderly medical records at Majalaya Public Health Centre during the last 1 year. This research uses frequency distribution and proportion analysis.Results: Showed that almost all elderly came independently without being escorted by their families and hypertension was the highest-ranking health problems experienced by elderly (40,9%) others were rheumatoid atritis (14,9%), cough and flu (8.2%) , gastritis (7,9%) and chepalgia (7.6%) , they were the 5th highest health problems experienced by the elderly at Majalaya Public Health center during the last 1 year.Conclusion: Among 22 health problems that are experienced by elderly, hypertension is the most common problem complained by elderly. It is recommended that health care workers optimize services regarding the handling and treatment of chronic health problems among elderly.
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Thomas, Susan, Sharmada Sivaram, Zubin Shroff, Ajay Mahal, and Sapna Desai. "‘We are the bridge’: an implementation research study of SEWA Shakti Kendras to improve community engagement in publicly funded health insurance in Gujarat, India." BMJ Global Health 7, Suppl 6 (September 2022): e008888. http://dx.doi.org/10.1136/bmjgh-2022-008888.
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IntroductionIndia’s efforts towards universal health coverage include a national health insurance scheme that aims to protect the most vulnerable from catastrophic health expenditure. However, emerging evidence on publicly funded health insurance, as well as experience from community-based schemes, indicates that women face specific barriers to access and utilisation. Community engagement interventions have been shown to improve equitable utilisation of public health services, but there is limited research specific to health insurance. We examined how existing community-based resource centres implemented by a women’s organisation could improve women’s access to, and utilisation of, health insurance.MethodsWe conducted an implementation research study in Gujarat, India to examine how SEWA Shakti Kendras, established by the Self-Employed Women’s Association, worked to improve community engagement in health insurance. SEWA organises women in the informal sector and provides social protection through health, insurance and childcare services. We examined administrative data, programme reports and conducted 30 in-depth qualitative interviews with users and staff. Data were analysed thematically to examine intervention content, context, and implementation processes and to identify enablers and barriers to improving women’s access to health insurance through SEWA’s community engagement approach.ResultsThe centres worked through multiple channels—doorstep services, centre-based support and health system navigation—to strengthen women’s capability to access health insurance. Each centre’s approach varied by contextual factors, such as women’s digital literacy levels and rural–urban settings. Effective community engagement required local leadership, strong government partnerships and the flexibility to address a range of public services, with implementation by trusted local health workers.ConclusionSEWA Shakti Kendras demonstrate how a local, flexible and community-based model can serve as a bridge to improve utilisation of health insurance, by engaging women and their households through multiple channels. Scaling up this approach will require investing in partnerships with community-based organisations as part of strategies towards universal health coverage.
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Hakkennes, Sharon, Ross Arblaster, and Kim Lim. "Improving the accuracy of admitted subacute clinical costing: an action research approach." Australian Health Review 41, no. 4 (2017): 443. http://dx.doi.org/10.1071/ah15063.
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Objective The aim of the present study was to determine whether action research could be used to improve the breadth and accuracy of clinical costing data in an admitted subacute setting Methods The setting was a 100-bed in-patient rehabilitation centre. Using a pre-post study design all admitted subacute separations during the 2011–12 financial year were eligible for inclusion. An action research framework aimed at improving clinical costing methodology was developed and implemented. Results In all, 1499 separations were included in the study. A medical record audit of a random selection of 80 separations demonstrated that the use of an action research framework was effective in improving the breadth and accuracy of the costing data. This was evidenced by a significant increase in the average number of activities costed, a reduction in the average number of activities incorrectly costed and a reduction in the average number of activities missing from the costing, per episode of care. Conclusions Engaging clinicians and cost centre managers was effective in facilitating the development of robust clinical costing data in an admitted subacute setting. Further investigation into the value of this approach across other care types and healthcare services is warranted. What is known about this topic? Accurate clinical costing data is essential for informing price models used in activity-based funding. In Australia, there is currently a lack of robust admitted subacute cost data to inform the price model for this care type. What does this paper add? The action research framework presented in this study was effective in improving the breadth and accuracy of clinical costing data in an admitted subacute setting. What are the implications for practitioners? To improve clinical costing practices, health services should consider engaging key stakeholders, including clinicians and cost centre managers, in reviewing clinical costing methodology. Robust clinical costing data has the potential to be used beyond mandatory reporting requirements; however, health services need to balance the cost of improving their costing data with the additional value obtained from that data.
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Ramanathan, Shanthi Ann, Sarah Larkins, Karen Carlisle, Nalita Turner, Ross Stewart Bailie, Sandra Thompson, Roxanne Bainbridge, Simon Deeming, and Andrew Searles. "What was the impact of a participatory research project in Australian Indigenous primary healthcare services? Applying a comprehensive framework for assessing translational health research to Lessons for the Best." BMJ Open 11, no. 2 (February 2021): e040749. http://dx.doi.org/10.1136/bmjopen-2020-040749.
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ObjectivesTo (1) apply the Framework to Assess the Impact from Translational health research (FAIT) to Lessons from the Best to Better the Rest (LFTB), (2) report on impacts from LFTB and (3) assess the feasibility and outcomes from a retrospective application of FAIT.SettingThree Indigenous primary healthcare (PHC) centres in the Northern Territory, Australia; project coordinating centre distributed between Townsville, Darwin and Cairns and the broader LFTB learning community across Australia.ParticipantsLFTB research team and one representative from each PHC centre.Primary and secondary outcome measuresImpact reported as (1) quantitative metrics within domains of benefit using a modified Payback Framework, (2) a cost-consequence analysis given a return on investment was not appropriate and (3) a narrative incorporating qualitative evidence of impact. Data were gathered through in-depth stakeholder interviews and a review of project documentation, outputs and relevant websites.ResultsLFTB contributed to knowledge advancement in Indigenous PHC service delivery; enhanced existing capacity of health centre staff, researchers and health service users; enhanced supportive networks for quality improvement; and used a strengths-based approach highly valued by health centres. LFTB also leveraged between $A1.4 and $A1.6 million for the subsequent Leveraging Effective Ambulatory Practice (LEAP) Project to apply LFTB learnings to resource development and creation of a learning community to empower striving PHC centres.ConclusionRetrospective application of FAIT to LFTB, although not ideal, was feasible. Prospective application would have allowed Indigenous community perspectives to be included. Greater appreciation of the full benefit of LFTB including a measure of return on investment will be possible when LEAP is complete. Future assessments of impact need to account for the limitations of fully capturing impact when intermediate/final impacts have not yet been realised and captured.
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Altunina, Varvara, Liubov Shcherbinina, and Natalia Lukyanova. "An innovation ecosystem for for-profit medical services at a university medical centre: research and sustainable development." E3S Web of Conferences 291 (2021): 03001. http://dx.doi.org/10.1051/e3sconf/202129103001.
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This article presents the results of research and development of an innovation ecosystem for for-profit medical services provided to residents of the Kaliningrad region at the medical centre of the Immanuel Kant Baltic Federal University. These services contribute to the sustainable development of regional healthcare in line with the current green growth trends. A universal model of an ecosystem for providing medical services to residents of a region is proposed, along with a model for a platform ecosystem of a university medical centre. The desk and field marketing research enabled the first stage of ecosystem creation – the formation of the value proposition, which is the provision of “complex case” medical services. This approach to medical care will preserve regional human resources and encourage residents to pay more attention to their health, the environment, and natural resources. Another positive result will be harmonising the environmental needs of society with global trends in sustainability and green growth.
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Manek, Oktaviana. "Analysis Of Hospital Health Care, Health Facilities Level I Of BPJS Patients Satisfaction In Sikumana Public Health Centre Kupang." Journal for Quality in Public Health 3, no. 2 (May 12, 2020): 544–52. http://dx.doi.org/10.30994/jqph.v3i2.104.
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Good health care is a community need and is often a measure of development success. The purpose of this study was to analyze inpatient health care service level I to the satisfaction of BPJS patients in the Sikumana Health Center in Kupang City. The study was conducted at the Sikumana Community Health Center in Kupang City from 15 October to 10 November 2019. The research design used was a qualitative study using a cross sectional approach. The independent variable is health service and the dependent variable is patient satisfaction. The population of all BPJS patients in the Sikumana Kupang health center in the January-August period was 230 respondents. The sampling technique used was Simple Random Sampling with a sample of 146 respondents data analysis techniques using the Logistic regression test. The results of the study of 146 respondents the majority (56.2%) of respondents were very satisfied with the service of nurses, there were 82 research subjects, the majority (58.9%) of respondents were very satisfied with the service of doctors namely there were 86 research subjects and the majority (56, 2%) respondents are very Satisfied with Nurse services, there are 82 research subjects, almost half (45.9%) respondents get good service based on Tangibels, almost half (43.2%) respondents get good service based on reliability, most ( 54.1%) respondents get good service based on Responsiveness, almost half (46.6%) respondents get good service based on Assurance and almost half (44.5%) respondents get good service based on Empathy. Logistic regression data analysis concluded that BPJS patient satisfaction based on health services at the Community Health Center in Sikumana, Kupang, obtained a p value of 0.002 because p value <α (0.05) It is expected that research sites will improve the cleanliness of the ward each morning before the examination and in the afternoon, especially the bathroom of the patient and the staff must be diligent in controlling hygiene
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Amarnath, Vaishnavi Devi Moola, Anitha Rani Jeyaraju, Ramesh Harihara Iyer, and Ramesh Harihara Iyer. "The role of women self-help groups in reproductive health: an operational research." International Journal Of Community Medicine And Public Health 7, no. 1 (December 25, 2019): 333. http://dx.doi.org/10.18203/2394-6040.ijcmph20195877.
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Background: In India, women in the reproductive age group (15-44 years) comprise 53% of women population (according to 2011 census). In spite of continuous evolution to improve reproductive health services in India, there is insufficient progress in decline of maternal mortality rate at 2 percent per annuum. One of the innovative strategies identified in reproductive and child health (RCH) II program and UN millennium declaration was establishment of women self-help groups (SHG’s) particularly in rural regions with high levels of poverty. So this study is aimed to assess the current role of women SHG’s in, maternal health, Family welfare and associated maternity benefit schemes. And also, to find out the constraints in involvement of women SHG’s and to assess the feasibility of enhancing their role in reproductive health services.Methods: It is a population based cross sectional study carried out at Nemam sub centre area of Nemam primary health care centre under Thiruvallur housing and urban development. Women who have been a SHG member for more than 6 months were assessed quantitatively and qualitatively after obtaining informed consent which was approved by institutional ethics committee. Data was compiled and analyzed using SPSS 15.0. Qualitative data was analyzed using coding techniques.Results: A total of 56 self-help groups from 10 villages resulted in a total study population of 392 individuals. Before identifying their role, their awareness was also evaluated. Ninety percent of the SHG women were aware of most of the components of maternal health services. But the role was good among 58% of the SHG women. This study brings forth the gap in knowledge and their role which is because they were not confident of their knowledge.Conclusions: In a developing country like India, involving the well organized and available grass root volunteers like women SHG’s in reproductive health services will have a great bearing on the maternal health and consequently on health of children and community at large.
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Wootton, Richard, Laurel S. Jebamani, and Shannon A. Dow. "E-health and the Universitas 21 organization: 2. Telemedicine and underserved populations." Journal of Telemedicine and Telecare 11, no. 5 (July 1, 2005): 221–24. http://dx.doi.org/10.1258/1357633054471812.
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Telemedicine activities in underserved communities were reviewed as part of the Universitas 21 (U21) e-health project. A SWOT analysis (strengths, weaknesses, opportunities, threats) was conducted on 12 articles identified in a literature review, supplemented by expertise from U21 members. The analysis showed that threats include the reluctance of populations to use telemedicine services, and a general absence of infrastructure and resources to sustain them. Opportunities centre around potential research, including cost-effectiveness analyses and quantitative assessments of existing telemedicine services. The great strength of telemedicine is that it can improve access to health services among those most in need. However, its greatest weakness is the lack of evidence supporting its clinical and cost advantages relative to traditional services. This represents an important opportunity for research on telemedicine initiatives among underserved populations.
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G., Abhijnana, Selvi Thangaraj, Ranganath T. S., and Vishwanath . "Comparing infrastructure of anganwadi centres under integrated child development services of urban and rural Bangalore: a cross sectional study." International Journal Of Community Medicine And Public Health 6, no. 10 (September 26, 2019): 4510. http://dx.doi.org/10.18203/2394-6040.ijcmph20194521.
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Background: Anganwadi centres under integrated child development services is the largest Project in India to improve not only child health but reproductive, maternal and adolescent health. The aim of the present study is to compare the infrastructure of urban and rural anganwadi which is one of the basic need to provide quality services.Methods: A total of 30 anganwadi centres are involved in our study in which 20 are from rural and 10 are from urban field practice area of Department of Community Medicine, Bangalore Medical College and Research Institute, Bangalore. This study employed interview method with anganwadi worker’s and observation of anganwadi centre using pre-designed, semi structured questionnaire and checklist.Results: 85% of rural and 60% urban anganwadi centres have their own buildings to carry out the services. 20% of rural anganwadi centres lack fixed name boards compared to urban anganwadi centres. 55% of rural anganwadi centres and 90% of urban anganwadi centres lack separate storage for raw food materials. 15% of rural anganwadi centres lack functional toilet facility. 40% of rural anganwadi centres lack functional weighing machine.Conclusions: Anganwadi centres are remote contact point of health care system within the community. The infrastructure of anganwadi centre such as type of building, space for cooking and activities, availability of functional equipments ensure the quality service deliveries which in turn are enhanced by timely supervision from higher authorities.
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Omar, Nabil E., Shereen Elazzazy, Oraib Abdallah, Abdulqadir J. Nashwan, Yassin Eltorki, Hebatalla M. Afifi, Nancy Kassem, Mohamed Yassin, and Anas Hamad. "Perceptions and expectations of health care providers towards clinical pharmacy services at a tertiary cancer centre in Qatar." Journal of Oncology Pharmacy Practice 26, no. 5 (November 13, 2019): 1086–96. http://dx.doi.org/10.1177/1078155219882076.
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Background Clinical pharmacy services started in 2009 at the National Center for Cancer Care and Research, Qatar. Clinical pharmacy services was established to provide comprehensive prescription of drug management and support, and consulting services to build clinically efficient and cost-effective pharmacy program. Aim To determine perceptions and expectations of healthcare providers toward the clinical pharmacy services at the National Center for Cancer Care and Research. Methods A cross-sectional survey of healthcare providers was conducted from January to May 2018. A self-administered electronic/paper survey containing four domains assessing healthcare providers’ perceptions and expectations towards clinical pharmacy services, perceived barriers to clinical pharmacist role and suggested area for improvement was sent to 375 healthcare providers including physicians, operational pharmacists, nurses and dietitians. Results The response rate was 112/375. Most of the healthcare providers (74%) perceived the increasing interest in clinical pharmacy services. Also, they expected (1) providing consultations regarding appropriate medication choices (82%); (2) providing information about medication availability and shortages (82%); (3) assisting in the prescribing of cost-effective drugs by providing pharmacogenomics information routinely (75%) and (4) Participating actively in research activities (74%). Overall, healthcare providers have a high level of trust in the clinical pharmacists’ abilities ( P < 0.01). Nurses were less appreciative ( P < 0.002) of the positive role of clinical pharmacists in direct patient care as compared to both physicians and pharmacists (64.2%, 90% and 95.7%, respectively). Conclusion This study revealed a positive attitude towards the role of clinical pharmacists by healthcare providers at National Center for Cancer Care and Research. However, there is an area of improvement by empowering with privilege and staffing, elevating the awareness and expansion in the ambulatory care settings.
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Novita, Winda, Destanul Aulia Aulia, and Juanita Juanita. "The Relationship between Geography Access and Utilization of Basic Emergency Neonatal Obstetric Services (PONED) in Hamparan Perak Health Center, Deli Serdang Regency in 2018." Budapest International Research and Critics Institute (BIRCI-Journal) : Humanities and Social Sciences 3, no. 1 (February 16, 2020): 674–81. http://dx.doi.org/10.33258/birci.v3i1.829.
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Every pregnancy and childbirth is a risky event, therefore every pregnant and childbirth woman must be as close as possible to basic emergency obstetric services. Health service units that are close and affordable to the community Community Health Centreare expected to be able to provide basic emergency neonatal obstetric services. Deli Serdang Regency has a high number of maternal mortality rates (AKI) and there are still cases of maternal deaths due to delays in handling due to geographical factors which is one of the causes of the low utilization of PONED (Pelayanan Obstetri Neonatal Emergency Dasar) Community Health Centre. The study aims to analyze the relationship between geographic access and the use of PONED in Hamparan Perak Health Center, Deli Serdang Regency.This type of research is an explanatory survey with cross sectional approach. The study was conducted in the working area of the Hamparan Perak Health Center with a sample of 100 pregnant, childbirth and postpartum women obtained using the proportional random sampling method. The independent variable in the study is geographic access. The dependent variable in research is the use of PONED. Data obtained using a questionnaire. Data analysis was performed using the chi-square test. The results showed a significant relationship between geographic access and the use of PONED (OR = 9,615; 95% CI = 2,974 to 31,088; p = 0.001). Pregnant, childbirth and childbirth mothers who have an assessment of good geographical access will use the PONED Community Health Centre.
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Viswanath, Vidya, Leela Digumarti, Nadimpalli Satyanarayana Raju, Usha Rani Venkata Lokanandi, Mohana Rao Dasu, Satya Kumari Venkata Bolem, Naresh Katta, Srinivasa Rao Vemula, Vaduguru Venkata Lakshmi Narasimha Sharma, and Raghunadharao Digumarti. "Organising Home-based Palliative Care Services: A Quality Improvement project at the Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam." Indian Journal of Palliative Care 27 (August 12, 2021): 197–203. http://dx.doi.org/10.25259/ijpc_370_20.
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Objectives: The key component of a comprehensive palliative care (PC) unit is provision of a regular and sustainable home-based PC (HBPC) service. This quality improvement project aimed to plan, organise and sustain a regular HBPC service in a government cancer centre in Southeast India. The aim was to regularise and increase the number of home care visits among the patients identified for HBPC services through sustainable interventions. Materials and Methods: The A3 methodology with its team-based, structured problem-solving approach was the tool used. The situational process map at baseline was followed up with a sequential cause and effect analysis and team discussions to create sustainable and reliable interventions. These included creating the electronic data system for data collection in PC, allocation of resources and implementation of systems to coordinate HBPC services. The roles and ownership to maintain improvement were established by designation and this requirement has been included in the job description to ensure reliability and sustainability. Results: The regularisation of home care services with a consistent increase in the number of home visits from 2/week to over 6/week helped achieve the Specific, Measurable, Achievable, Relevant and Time bound goal. Better documentation, coordination and accountability were also positive outcomes. Working with different departments and teams along the project helped build trust and understanding along with a sound base for collaborative research. Conclusion: The A3 way of problem solving through dialogue and consensus helped to organise HBPC services and this methodology can be extended to other areas in future.
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Thevathasan, Naythrah, Kerrie E. Luck, Alison Luke, and Shelley Doucet. "Perceptions and experiences of care providers as clients of NaviCare/SoinsNavi: a patient navigation centre for children and youth with complex care needs." Integrated Healthcare Journal 4, no. 1 (June 2022): e000072. http://dx.doi.org/10.1136/ihj-2020-000072.
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ObjectiveNaviCare/SoinsNavi is a bilingual patient navigation centre for children and youth 25 years of age or younger with complex care needs in New Brunswick. This research-based centre employs two bilingual patient navigators, one a registered nurse and the other a lay navigator, who assist children/youth, family members and the care team by facilitating more convenient and integrated care using a personalised family-centred approach. The purpose of this study was to explore the perceptions and experiences of care providers who use NaviCare/SoinsNavi. This study builds on ongoing research exploring the experiences of children/youth and their families who are clients of NaviCare/SoinsNavi.MethodsInterviews were conducted with 10 care providers (n=10) from various sectors including social support services (n=6), primary care (n=2), mental health services (n=1) and acute care (n=1).ResultsQualitative interviews were conducted and five themes related to the participants’ perceptions and experiences with NaviCare/SoinsNavi emerged, including : (1) trusted source, (2) connector, (3) capacity builder, (4) partner and (5) time saver. The overall impression of NaviCare/SoinsNavi was positive in the service’s ability to help support care providers and streamline the care they provide to their clients.ConclusionsIt is within every healthcare provider’s scope of practice to provide navigational support to essential programmes and services; however, due to limitations in time, resources and capacity, services such as NaviCare/SoinsNavi can be used to help close gaps in care that exists for children/youth with complex care needs and their families.
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Staniszewska, Sophie, Carole Mockford, Greg Chadburn, Sarah-Jane Fenton, Kamaldeep Bhui, Michael Larkin, Elizabeth Newton, David Crepaz-Keay, Frances Griffiths, and Scott Weich. "Experiences of in-patient mental health services: systematic review." British Journal of Psychiatry 214, no. 06 (March 21, 2019): 329–38. http://dx.doi.org/10.1192/bjp.2019.22.
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BackgroundIn-patients in crisis report poor experiences of mental healthcare not conducive to recovery. Concerns include coercion by staff, fear of assault from other patients, lack of therapeutic opportunities and limited support. There is little high-quality evidence on what is important to patients to inform recovery-focused care.AimsTo conduct a systematic review of published literature, identifying key themes for improving experiences of in-patient mental healthcare.MethodA systematic search of online databases (MEDLINE, PsycINFO and CINAHL) for primary research published between January 2000 and January 2016. All study designs from all countries were eligible. A qualitative analysis was undertaken and study quality was appraised. A patient and public reference group contributed to the review.ResultsStudies (72) from 16 countries found four dimensions were consistently related to significantly influencing in-patients' experiences of crisis and recovery-focused care: the importance of high-quality relationships; averting negative experiences of coercion; a healthy, safe and enabling physical and social environment; and authentic experiences of patient-centred care. Critical elements for patients were trust, respect, safe wards, information and explanation about clinical decisions, therapeutic activities, and family inclusion in care.ConclusionsA number of experiences hinder recovery-focused care and must be addressed with the involvement of staff to provide high-quality in-patient services. Future evaluations of service quality and development of practice guidance should embed these four dimensions.Declaration of interestK.B. is editor of British Journal of Psychiatry and leads a national programme (Synergi Collaborative Centre) on patient experiences driving change in services and inequalities.
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Uppin, Mrutyunjay I., Kapildev K. Hannurkar, and Archana M. Uppin. "Study on patient satisfaction among patients with trauma admitted to trauma centre and emergency medical services ward." International Surgery Journal 6, no. 4 (March 26, 2019): 1219. http://dx.doi.org/10.18203/2349-2902.isj20191070.
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Background: Patient satisfaction is an important key factor for determining the quality health care and services offered by the emergency departments in the hospital. The objectives of the study were to assess the satisfaction of the trauma patients attending the trauma center with the services provided by the KLES Dr. Prabhakar Kore Hospital and Research Centre, Belagavi, Karnataka.Methods: Fifty trauma patients admitted and treated in trauma center and emergency medical services ward (TCEMS) at KLES Dr. Prabhakar Kore Hospital and Research Centre, Belagavi, over a period of 3 months (from November 2014 till January 2015) were interviewed. After obtaining an informed consent, the required data was collected using a pre-designed and pre-tested questionnaire.Results: Out of the 50 patients interviewed, 86% were males and 14% were females. Out of them 74% were road traffic accident victims. 67.5% of these victims were between the age group of 21 and 50 yrs. The overall satisfaction was good with all the services provided at the center. 80% were satisfied with the care provided by the doctors, 80% with communication by doctors, more than 75% with accessory services, more than 65% with the wait times at various levels and more than 85% satisfaction with amenities in the ward.Conclusions: In conclusion our study revealed that the availability of consultant in triage area, improvements in communication, quick service at the Casualty Pharmacy, reducing the perceived waiting times at various levels and improvement in the ambience of the unit would further enhance the patient satisfaction with TCEMS.
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Stausberg, Jürgen, Sonja Harkener, and Sebastian C. Semler. "Recent Trends in Patient Registries for Health Services Research." Methods of Information in Medicine 60, S 01 (April 16, 2021): e1-e8. http://dx.doi.org/10.1055/s-0041-1724104.
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Abstract Background Patient registries are an established methodology in health services research. Since more than 150 years, registries collect information concerning groups of similar patients to answer research questions. Elaborated recommendations about an appropriate development and an efficient operation of registries are available. However, the scene changes rapidly. Objectives The aim of the study is to describe current trends in registry research for health services research. Methods Registries developed within a German funding scheme for model registries in health services research were analyzed. The observations were compared with recent recommendations of the Agency for Healthcare Research and Quality (AHRQ) on registries in the 21st century. Results Analyzing six registries from the funding scheme revealed the following trends: recruiting healthy individuals, representing familial or other interpersonal relationships, recording of patient-reported experiences or outcomes, accepting participants as study sites, active informing of participants, integrating the registry with other data collections, and transferring data from the registry to electronic patient records. This list partly complies with the issues discussed by the AHRQ. The AHRQ structured its ideas in five chapters, increasing focus on the patient, engaging patients as partners, digital health and patient registries, direct-to-patient registry, and registry networks. Conclusion For the near future, it can be said that the concept and the design of a registry should place the patient in the center. Registries will be increasingly linked together and interconnected with other data collections. New challenges arise regarding the management of data quality and the interpretation of results from less controlled settings. Here, further research related to the methodology of registries is needed.
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Pitcher, Claire, Elizabeth Saewyc, Annette Browne, and Paddy Rodney. "Access to Primary Health Care Services for Youth Experiencing Homelessness: “You shouldn’t need a health card to be healthy.”." Witness: The Canadian Journal of Critical Nursing Discourse 1, no. 2 (December 17, 2019): 73–92. http://dx.doi.org/10.25071/2291-5796.34.
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On any given night, thousands of Canadian youth face homelessness in either absolute (living on the street) or relative (couch surfing, staying in emergency shelters) terms. This study explores influences primary health care access among youth experiencing homelessness in a large Canadian urban centre. Using a qualitative research design and convenience sampling, 8 youth participated in in-depth individual interviews and 4 clinicians with expertise in working with youth in primary care settings participated in a facilitated solutions-focused dialogue based on findings from the youth interviews. Data collection occurred from January to November 2016. Main findings included: (1) Youth experiencing homelessness feel powerless when interacting with health care providers, (2) Health care systems exist as rule-based bureaucracies and (3) Homeless youth are in survival mode when it comes to their health. The authors offer recommendations to promote more equitable access to primary health care services for homeless youth.
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Al-turaiki, M. H. S., and L. A. Al-falahi. "Prosthetics and orthotics: A survey of centres in the Kingdom of Saudi Arabia." Prosthetics and Orthotics International 16, no. 1 (April 1992): 38–45. http://dx.doi.org/10.3109/03093649209164306.
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This paper reports the results of a survey carried out to evaluate existing prosthetic and orthotic facilities and programmes of education, training, and research and development in the Kingdom of Saudi Arabia. One hundred and twenty hospitals and medical rehabilitation centres were each circularised with a questionnaire requesting information that mainly concerned (i) types of prostheses/ orthoses, (ii) area of facility, (iii) personnel number and qualifications, and (iv) problems encountered and suggested solutions. The completed questionnaires revealed that in the final analysis of data there were only ten prosthetic/orthotic facilities. The survey provided useful data on the personnel, equipment, and facilities available in each hospital or medical rehabilitation centre, together with details of the services to prospective referring clinicians. Two centres were found to provide high quality services by qualified personnel. There were no formal prosthetic/orthotic training programmes and there was only one prosthetic/orthotic research and development centre. The respondents generally felt that there were three major problems: (i) lack of qualified personnel, (ii) lack of materials and components, and (iii) lack of continuing education and training programmes. It is hoped that presentation of these results will provide facts for both health-care providers and educators which may be used as a basis for development in this important area of healthcare.
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Giles, Glenn, Merridy Malin, and Peter Harvey. "The Centre of Clinical Research Excellence in Aboriginal and Torres Strait Islander Health: An Operational Rationale and Some Reflections on Progress so far." Australian Journal of Primary Health 12, no. 2 (2006): 97. http://dx.doi.org/10.1071/py06028.
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The Centre of Clinical Research Excellence (CCRE) in Aboriginal and Torres Strait Islander Health was established in late 2003 through a major National Health and Medical Research Council (NHMRC) grant involving collaboration between the Aboriginal Health Council of South Australia (AHCSA), Flinders University, and Aboriginal Health Services. Our foundation research communities are the Aboriginal communities served by these Aboriginal Health Services in the Spencer Gulf / Eyre Peninsula region. In recent years a number of collaborative research programs involving chronic illness management, self-management and coordinated care have been implemented in these communities and this work is the basis of the initial CCRE activities. Key objectives of the CCRE are to improve the health status of Indigenous people through conducting relevant and meaningful Aboriginal controlled health research, providing formal training for Indigenous health researchers and developing innovative approaches to health care that can be readily translated and applied to support communities. The inclusion, empowerment and engagement of Indigenous people in the process of managing community health represent tangible strategies for achieving more equitable health outcomes for Aboriginal people. This paper outlines the CCRE operational rationale and presents early activities and outcomes across the three strategic areas of CCRE operations: research, education and training, and translation. Some critical reflections are offered on the progress and experience of the CCRE thus far. A common obstacle this CCRE has encountered is that the limited (especially staff) resources available to the Aboriginal Health Services with which we are collaborating make it difficult for them to engage with and progress the projects we are pursuing.
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Chiappelli, Marco, Francesca Pileggi, Giorgio Rosini, and Giovanni Neri. "A three years follow-up of a group of «everyday patients» in a mental health centre." Epidemiologia e Psichiatria Sociale 6, no. 2 (August 1997): 107–17. http://dx.doi.org/10.1017/s1121189x00004905.
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SUMMARYObjective — This research concerns those patients who most attend the community Mental Health Centre (CSM), hereby called «everyday patients». According to a previous research (Pileggi et al., 1992) a sample of patients mostly attending the Centre had been pointed out. Basing on the number of attendances, it emerged that some of those patients (57) had been on the average attending the Centre more than twice a week and, despite being only 10% of the total number of users, they had taken on a large share of the services offered by the Centre (30%). Therefore, those patients were the ones the Centre had been working for more intensely and continuously. Three years later, the object of this research is to check the assistance and clinical destiny of such patients and compare their patterns of attendances to those ones regarding the remainder of the CSM users. The hypothesis is that «everyday patients» are assisted by different and continuous treatments and that such a procedure prevents patients from dropping out and determines a strong reduction in relapses and less frequent attendances. Design — Longitudinal study on a 42 patient sample (19 males, 23 females) on therapy at CSM. Setting — Mental Health Centre, «Saragozza» District, Sanitary Unit of Bologna. Main outcome measures — The following elements have been examined: 1) social and demographic features; 2) duration of psychiatric history; 3) clinical diagnosis according to DSM-HI-R, set by patients personal psychiatrist; 4) global functioning level as examined by two psychiatrists or psychologists from the Centre, using DSM-III-R Global Functioning Scale (GFS); 5) actions carried out and patterns of using the CSM services over the past 12 months. Concordance measures among independent examiners (Cohen K) and non-parametric variability measures for comparison between groups (Chi-square and Kruskal-Wallis tests) have been used. Results and conclusion — Results partially confirm the original hypotheses. In particular, complicated services (psychological and pharmacological therapies and rehabilitation) are carried out for the most of «everyday patients» and much more intensely to them than to the remainder of the users. No drop-out has been found out, the global functioning level of the patients is good in most of cases and the number of necessary admissions to psychiatric wards has been reduced. However, the «attendance share» relevant to the sample of «everyday patients» is still high compared to the total number of the CSM users. Besides, discharge rate is nought.