Academic literature on the topic 'Healthcare programmes'
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Journal articles on the topic "Healthcare programmes"
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Cronin, Camille. "Workplace learning – a healthcare perspective." Education + Training 56, no. 4 (May 6, 2014): 329–42. http://dx.doi.org/10.1108/et-03-2013-0039.
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Purpose – The purpose of this paper is to explore the complex relationship between the learner and the learning environment. As a method case study research was employed to examine the student's experience of the learning environment. Work experience is considered to be an essential course requirement for vocational programmes throughout the world. This paper exclusively describes the learning environment and presents a number of significant processes that the learner experiences, each one having an impact on the learning experience. This paper will be of interest to policy makers, academics and educators who face the challenge of trying to understand how students learn in the workplace. Design/methodology/approach – Case study research was used to systematically investigate the learning environments and examine five students’ experience of learning in healthcare settings which included nurseries, nursing homes and hospitals while studying on a two-year health studies Further Education (FE) programme. Through critical incident interviews, observations and documentation data were collected and analysed. Findings – This study has identified the learning environment as a complex entity comprising of six significant processes: physical environment, interaction communication, self-awareness, tasks, feelings and learning. These processes illustrate the multidimensional nature of the learning environment, how dependent they are on each other and how they coexist within the learning environment. Practical implications – In studying this particular student group many similarities have been found with pre-registration nurses and other professional groups studying on undergraduate programmes in higher education who rely on the “workplace” for learning, particularly where the workplace may provide up to half the educational experience in a programme's curriculum. Social implications – This study only really provides a snapshot of a number of healthcare settings that exist in one geographical area, and coupled with the size of the sample itself further limits the study. However, what is inherent in qualitative research particularly in a case study design is the focus on in-depth contextual data. Originality/value – This paper is unique as it examines the learning experience of students on a health studies programme in FE. It describes and discusses their experience of workplace learning.
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Braithwaite, Jeffrey, Kristiana Ludlow, Luke Testa, Jessica Herkes, Hanna Augustsson, Gina Lamprell, Elise McPherson, and Yvonne Zurynski. "Built to last? The sustainability of healthcare system improvements, programmes and interventions: a systematic integrative review." BMJ Open 10, no. 6 (June 2020): e036453. http://dx.doi.org/10.1136/bmjopen-2019-036453.
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IntroductionThe sustainability of healthcare delivery systems is challenged by ageing populations, complex systems, increasing rates of chronic disease, increasing costs associated with new medical technologies and growing expectations by healthcare consumers. Healthcare programmes, innovations and interventions are increasingly implemented at the front lines of care to increase effectiveness and efficiency; however, little is known about how sustainability is conceptualised and measured in programme evaluations.ObjectivesWe aimed to describe theoretical frameworks, definitions and measures of sustainability, as applied in published evaluations of healthcare improvement programmes and interventions.DesignSystematic integrative review.MethodsWe searched six academic databases, CINAHL, Embase, Ovid MEDLINE, Emerald Management, Scopus and Web of Science, for peer-reviewed English journal articles (July 2011–March 2018). Articles were included if they assessed programme sustainability or sustained outcomes of a programme at the healthcare system level. Six reviewers conducted the abstract and full-text review. Data were extracted on study characteristics, definitions, terminology, theoretical frameworks, methods and tools. Hawker’s Quality Assessment Tool was applied to included studies.ResultsOf the 92 included studies, 75.0% were classified as high quality. Twenty-seven (29.3%) studies provided 32 different definitions of sustainability. Terms used interchangeably for sustainability included continuation, maintenance, follow-up or long term. Eighty studies (87.0%) clearly reported the timepoints at which sustainability was evaluated: 43.0% at 1–2 years and 11.3% at <12 months. Eighteen studies (19.6%) used a theoretical framework to conceptualise or assess programme sustainability, including frameworks that were not specifically designed to assess sustainability.ConclusionsThe body of literature is limited by the use of inconsistent definitions and measures of programme sustainability. Evaluations of service improvement programmes and interventions seldom used theoretical frameworks. Embedding implementation science and healthcare service researchers into the healthcare system is a promising strategy to improve the rigour of programme sustainability evaluations.
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Perveen, Shagufta, Zohra S. Lassi, Mohammad Afzal Mahmood, Henry B. Perry, and Caroline Laurence. "Application of primary healthcare principles in national community health worker programmes in low-income and middle-income countries: a scoping review." BMJ Open 12, no. 2 (February 2022): e051940. http://dx.doi.org/10.1136/bmjopen-2021-051940.
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ObjectiveTo identify which primary healthcare (PHC) principles are reflected in the implementation of national community health worker (CHW) programmes and how they may contribute to the outcomes of these programmes in the context of low-income and middle-income countries (LMICs).DesignScoping review.Data sourcesA systematic search was conducted through PubMed, CINAHL, EMBASE and Scopus databases.Eligibility criteriaThe review considered published primary studies on national programmes, projects or initiatives using the services of CHWs in LMICs focused on maternal and child health. We included only English language studies. Excluded were programmes operated by non-government organisations, study protocols, reviews, commentaries, opinion papers, editorials and conference proceedings.Data extraction and synthesisWe reviewed the application of four PHC principles (universal health coverage, community participation, intersectoral coordination and appropriateness) in the CHW programme’s objectives, implementation and stated outcomes. Data extraction was undertaken systematically in an excel spreadsheet while the findings were synthesised in a narrative manner. The quality appraisal of the selected studies was not performed in this scoping review.ResultsFrom 1280 papers published between 1983 and 2019, 26 met the inclusion criteria. These 26 papers included 14 CHW programmes from 13 LMICs. Universal health coverage and community participation were the two commonly reported PHC principles, while intersectoral coordination was generally missing. Similarly, the cultural acceptability aspect of the principle of appropriateness was present in all programmes as these programmes select CHWs from within the communities. Other aspects, particularly effectiveness, were not evident.ConclusionThe implementation of PHC principles across national CHW programmes in LMICs is patchy. For comprehensiveness and improved health outcomes, programmes need to incorporate all attributes of PHC principles. Future research may focus on how to incorporate more attributes of PHC principles while implementing national CHW programmes in LMICs. Better documentation and publications of CHW programme implementation are also needed.
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IJsbrandy, Charlotte, Wim H. van Harten, Winald R. Gerritsen, Rosella P. M. G. Hermens, and Petronella B. Ottevanger. "Healthcare professionals’ perspectives of barriers and facilitators in implementing physical activity programmes delivered to cancer survivors in a shared-care model: a qualitative study." Supportive Care in Cancer 28, no. 7 (December 2, 2019): 3429–40. http://dx.doi.org/10.1007/s00520-019-05108-1.
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Abstract Background The positive impact of physical activity programmes has been recognised, but the current uptake is low. Authorities believe delivering these programmes in a shared-care model is a future perspective. The present study aimed to identify the barriers and facilitators affecting physical activity programme implementation in a shared-care model delivered with the cooperation of all the types of healthcare professionals involved. Methods Thirty-one individual interviews with primary healthcare professionals (PHPs) and four focus group interviews with 39 secondary healthcare professionals (SHPs) were undertaken. We used Grol and Flottorp’s theoretical models to identify barriers and facilitators in six domains: (1) physical activity programmes, (2) patients, (3) healthcare professionals, (4) social setting, (5) organisation and (6) law and governance. Results In the domain of physical activity programmes, those physical activity programmes that were non-tailored to the patients’ needs impeded successful implementation. In the domain of healthcare professionals, the knowledge and skills pertaining to physical activity programmes and non-commitment of healthcare professionals impeded implementation. HCPs expressed their concerns about the negative influence of the patient’s social network. Most barriers occurred in the domain of organisation. The PHPs and SHPs raised concerns about ineffective collaboration and networks between hospitals. Only the PHPs raised concerns about poor communication, indeterminate roles, and lack of collaboration with SHPs. Insufficient and unclear insurance coverage of physical activity programmes was a barrier in the domain of law and governance. Conclusions Improving the domain of organisation seems the most challenging because the collaboration, communication, networks, and interactive roles between the PHPs and SHPs are all inadequate. Survivor care plans, more use of health information technology, improved rehabilitation guidelines, and better networks might benefit implementing physical activity programmes.
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Huang, Yuan-Han, Linlin Ma, Luke A. Sabljak, and Zachary A. Puhala. "Development of sustainable community paramedicine programmes: a case study in Pennsylvania." Emergency Medicine Journal 35, no. 6 (April 17, 2018): 372–78. http://dx.doi.org/10.1136/emermed-2017-207211.
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BackgroundCommunity paramedicine (CP) models have been applied across rural and urban communities in support of healthcare delivery systems for nearly two decades. However, there is still insufficient information regarding the development of sustainable CP programmes. This study explores the strategies used by active CP programmes and investigates their operational statuses, community demographics, financial models and challenges for programme development.MethodsA series of interviews was conducted with four CP programmes in Pennsylvania, USA, which are affiliated with a local government, a health system, an ambulance service and an emergency medical service, respectively. Each CP programme uses its own model with unique goals, as well as providing corresponding services/care based on the demands from their communities.ResultsThree CP programmes in the study were mainly aimed at reducing healthcare resource utilisation (ie, reduce readmissions or ED utilisation), but one of the programmes developed a sustainable model aiding newborn care in the community. Establishing a solid reimbursement mechanism and working closely with collaborators are two major strategies for developing sustainable CP programmes. Complete data collection and a programme evaluation process will also be important to demonstrate the value of its CP models to potential collaborators and policy-makers. However, the cost-effectiveness of a CP model is still not easy to identify due to the separate programmes being developed without uniform goals.ConclusionThe challenges and solutions from the four programmes under study can provide a road map for the development of CP programmes for other communities.
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Pollack, Todd M., Vo Thi Tuyet Nhung, Dang Thi Nhat Vinh, Duong Thi Hao, Le Thi Thu Trang, Pham Anh Duc, Nguyen Van Kinh, et al. "Building HIV healthcare worker capacity through telehealth in Vietnam." BMJ Global Health 5, no. 4 (April 2020): e002166. http://dx.doi.org/10.1136/bmjgh-2019-002166.
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Development of a robust technical assistance system is an essential component of a sustainable HIV response. Vietnam’s National HIV Program is transitioning from a largely donor-funded programme to one primarily supported by domestic resources. Telehealth interventions are increasingly being used for training, mentoring and expert consultation in high-resource settings and hold significant potential for use as a tool to build HIV health worker capacity in low and middle-income countries. We designed, implemented and scaled up a novel HIV telehealth programme for Vietnam, with the goal of building a sustainable training model to support the country’s HIV workforce needs. Over a 4-year period, HIV telehealth programmes were initiated in 17 public institutions with participation of nearly 700 clinical sites across 62 of the 63 provinces in the country. The telehealth programme was used to deliver certificate training courses, provide clinical mentoring and case-based learning, support programme implementation, provide coaching in quality improvement and disseminate new guidelines and policies. Programme evaluation demonstrated improved health worker self-reported competence in HIV care and treatment and high satisfaction among the programme participants. Lessons learnt from Vietnam’s experience with telehealth can inform country programmes looking to develop a sustainable approach to HIV technical assistance and health worker capacity building.
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Zafiropoulos, George. "Educational programmes: Saving money in healthcare." British Journal of Healthcare Management 21, no. 12 (December 2, 2015): 571–76. http://dx.doi.org/10.12968/bjhc.2015.21.12.571.
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Shi, Jianwei, Qingfeng Du, Xin Gong, Chunhua Chi, Jiaoling Huang, Wenya Yu, Rui Liu, et al. "Is training policy for general practitioners in China charting the right path forward? a mixed methods analysis." BMJ Open 10, no. 9 (September 2020): e038173. http://dx.doi.org/10.1136/bmjopen-2020-038173.
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ObjectivesSince 2010, the Chinese government has gradually increased its investment in the training of general practitioners (GPs) to support their role as ‘gatekeepers’ in the healthcare system. However, this training is still organised from the perspective of specialist care. We aimed to assess the appropriateness of the principal GP admission training programme curricula in China, including Residents Training for GPs (RTGP), Residents Training for Assistant GPs (RTAGP) and Training for Specialists with General Practice interest (TSGP).SettingThe study focussed on GP training programmes in Shanghai, China.ParticipantsData on disease competences developed in three GP clinical training programmes (RTGP, RTAGP and TSGP) were derived from official programme training manuals. Data on the proportion of outpatient visits for each disease were taken from the Shanghai community healthcare centres grassroots outpatient database.Primary and secondary outcome measuresWe first conducted a quantitative analysis by comparing the structure of current training curricula with actual outpatient utilisation patterns across all community healthcare institutions in Shanghai from 2014 to 2018. Qualitative analysis was then conducted to evaluate GP training programmes based on Donabedian’s model.ResultsQuantitative analysis showed that the distribution of diseases for which competences were taught did not match the composition of outpatient visits in community healthcare institutions. Concerns identified through qualitative analysis included teachers who were mostly specialists, lack of equipment for differential diagnosis in community healthcare institutions, insufficient teaching of referral standards and GP training in large hospitals that consistently neglected communication skills.ConclusionsThe establishment and implementation of admission training programmes for GPs in China lacks a focus on general practice training and may be improved by adopting an evidence-based general perspective aligned with the medical needs of the community.
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Weier, Naomi, Dilip Nathwani, Karin Thursky, Thomas Tängdén, Vera Vlahović-Palčevski, Oliver Dyar, Bojana Beović, et al. "An international inventory of antimicrobial stewardship (AMS) training programmes for AMS teams." Journal of Antimicrobial Chemotherapy 76, no. 6 (March 19, 2021): 1633–40. http://dx.doi.org/10.1093/jac/dkab053.
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Abstract Background Healthcare professionals are increasingly expected to lead antimicrobial stewardship (AMS) initiatives. This role in complex healthcare environments requires specialized training. Objectives Little is known about the types of AMS training programmes available to clinicians seeking to play a lead role in AMS. We aimed to identify clinicians’ awareness of AMS training programmes, characteristics of AMS training programmes available and potential barriers to participation. Methods AMS training programmes available were identified by members of the ESCMID Study Group for Antimicrobial Stewardship (ESGAP) via an online survey and through an online search in 2018. Individual training programme course coordinators were then contacted (September–October 2018) for data on the target audience(s), methods of delivery, intended outcomes and potential barriers to accessing the training programme. Results A total of 166/250 ESGAP members (66%) responded to the survey, nominating 48 unique AMS training programmes. An additional 32 training programmes were identified through an online search. AMS training programmes were from around the world. Less than half (44.4%) of respondents were aware of one or more AMS training programmes available, with pharmacists more aware compared with medical doctors and other professionals (73% versus 46% and 25%, respectively). AMS training programmes were most commonly delivered online (59%) and aimed at medical doctors (46%). Training costs and a lack of recognition by health professional societies were the most frequently cited barriers to participation in AMS training programmes. Conclusions The development of a systematic inventory of AMS training programmes around the globe identifies opportunities and limitations to current training available. Improving access and increasing awareness amongst target participants will support improved education in AMS.
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Tseung, Victrine, Susan Jaglal, Nancy Margaret Salbach, and Jill I. Cameron. "A Qualitative study assessing organisational readiness to implement caregiver support programmes in Ontario, Canada." BMJ Open 10, no. 5 (May 2020): e035559. http://dx.doi.org/10.1136/bmjopen-2019-035559.
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ObjectiveTo qualitatively explore factors affecting implementation of caregiver support programmes in healthcare institutions in a regional stroke system.DesignA qualitative descriptive study with the Ontario Stroke System (OSS) was conducted. Data were collected through focus groups and in-depth interviews. Transcripts were coded and analysed using inductive thematic analysis.SettingRegional Stroke System, Ontario, Canada.ParticipantsOSS stakeholders including medical directors, executives, programme directors, education coordinators, rehabilitation and community and long-term care specialists, primary care leaders and healthcare professionals.InterventionNot applicable.Main outcome measuresData collection explored perceptions of the need for caregiver support programmes and factors that may affect their implementation.ResultsFour focus groups (n=43) and 29 interviews were completed. Analyses identified themes related to (1) evidence that a caregiver programme will improve health and health system outcomes, (2) personnel requirements, (3) barriers associated with current billing and referral processes and (4) integration with current practice and existing workflow processes.ConclusionsImplementation strategies to adopt caregiver programmes into clinical practice should incorporate evidence and consider personnel and existing workflow processes.
Dissertations / Theses on the topic "Healthcare programmes"
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Evans, Amanda. "Interprofessional collaborative practice in healthcare : perceptions and experiences of healthcare students undertaking accelerated pre-registration programmes in the practice placement setting." Thesis, King's College London (University of London), 2012. https://kclpure.kcl.ac.uk/portal/en/theses/interprofessional-collaborative-practice-in-healthcare(a159fb2d-29bd-4364-b0e5-c7eb6ab7ed9d).html.
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This study investigates experiences of accelerated pre-registration healthcare students of collaborative interprofessional working and examines their perceptions of the factors which influence this, including the interprofessional education they have undertaken. It is set in context of current NHS policy, where professional collaboration is advocated as a means of addressing issues of quality, efficacy and efficiency in patient care. Design: Mixed Methods Study Method: Three studies were undertaken. 1. Longitudinal panel survey examining students’ attitudes to interprofessional learning, (questionnaire administered at three points during the course) 2. Survey study using critical incident technique to explore examples of ’good’ and ’poor’ collaborative practice 3. Interview study examining beliefs and attitudes in depth. Subjects: Total sample of 207 students, from two cohorts of accelerated learning students (nursing, physiotherapy and dietetics) attending one university. Analysis: Descriptive statistical analysis was performed to describe the population characteristics, the context of their practice and reported practice incidents. Thematic content analysis, employing triangulation between data sources, was applied to the qualitative data. Results: This accelerated group was similar to standard pre-registration students, entering university with a strong professional identity and openness to interprofessional learning, which attitudes declined over time. ’On the job’ learning was identified as the predominant way students learned about working collaboratively. Five factors were identified as key in influencing interprofessional activity of which Communication and Teamwork were the most important.
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Lehl, S. "Healthcare practitioners' and patients' perspectives of a weight management service and the place of psychological support within this." Thesis, University of Wolverhampton, 2016. http://hdl.handle.net/2436/617877.
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Both the NHS and Public Health are keen to identify how best to manage long term health condition’s as a result from obesity and vice-versa. There is evidence to support the efficacy of psychological support in weight management programmes. This study explored the perceived importance of psychological support within weight management services; perspectives of both client and healthcare practitioners, in view of considering the implications for the role of a counselling psychologist. There were nine interviews conducted with five healthcare practitioners and four clients. The professionals’ disciplines included: physiologist, dietician, health psychologist, programme manager, and a medical consultant. Of the four patients, two had accessed psychology services as part of their weight management programme and two had not. Data was analysed using thematic analysis. Five overarching themes were identified. Tension (pivotal central theme) this connected to: Lifestyle; Quality of Life (QoL); Service Delivery Model; and Professional and Personal beliefs and values. The findings highlighted that perceived importance of psychological support was influenced by an individuals’ background and experiences by both groups. The implications for the role of a counselling psychologist was to provide training to health professionals as well as raising clients’ awareness of the role of counselling and psychological support within such programmes. Further research is needed to understand better the potential of psychological support within weight management services to help contain UK obesity.
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Neves, Ana Margarida Lopes das. "Efeitos da formação na prevenção de lesões músculo-esqueléticas da coluna lombar nos profissionais de saúde : revisão sistemática." Master's thesis, Universidade Nova de Lisboa. Escola Nacional de Saúde Pública, 2012. http://hdl.handle.net/10362/9708.
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RESUMO - A morbilidade associada às lesões músculo-esqueléticas da coluna lombar é estimada em 0,8 milhões de DALYS em todo o mundo, constituindo-se a maior causa de absentismo ao trabalho, o que induz uma enorme perda económica. Os profissionais de saúde são um grupo vulnerável a ocorrência de lesões-músculo-esqueléticas ligadas ao trabalho (LMELT), nomeadamente aqueles que mobilizam os doentes no seu dia-a-dia.
Perante a frequente perspetiva da imutabilidade da situação de trabalho, a pressão organizacional na prestação de cuidados e o reduzido número de recursos humanos, subsiste a implementação de programas centrados na formação dos profissionais de saúde sobre técnicas e mobilização de doentes, com o intuito de prevenir as LMELT inerentes a esta atividade.
O objetivo do estudo é analisar as principais intervenções descritas na bibliografia no que respeita ao impacto da formação dos profissionais de saúde sobre mobilização de doentes, nomeadamente enfermeiros, de modo a contribuir para a prevenção de LMELT ao nível da coluna vertebral.
Realizou-se uma revisão sistemática segundo a metodologia do Prisma Statement® nas bases de dados PubMed, Web of Science, B-On, JSTOR, Science, Nature, Scielo e IndeX, no período de 1998-2011, em Português, Inglês e Francês. Foram identificados 79 artigos. Após triagem e avaliação da qualidade dos estudos foram selecionados 11.
Verificou-se que não existe evidência científica que suporte o investimento em programas centrados na formação/informação dos profissionais de saúde acerca das técnicas de mobilização de doentes com o intuito de prevenir as lesões músculo-esqueléticas da coluna lombar. Constatou-se que os programas de intervenção multifatorial, apoiados na componente sistémica e integrada, permitem compreender as relações entre o trabalhador, o trabalho e os efeitos sobre a saúde, de forma a implementar medidas eficazes para a prevenção de LMELT.ABSTRACT - Morbidity from lumbar spine musculoskeletal disorders is estimated to be around 0.8 million DALYS worldwide and is the main cause of absenteeism from work, causing high economic and social losses. Healthcare professionals are one of the most vulnerable groups to work-related musculoskeletal disorders (WRMSD), namely those moving and handling patients everyday. Facing the frequent perspective of unchanging working conditions, organisational pressure on healthcare and the lack of human resources, programmes focused on training healthcare professionals in patient mobilisation techniques are implemented in order to prevent WRMSD associated with this activity. The aim of this study was to focus on the main interventions described in the bibliography concerning the impact of healthcare professional training on patient handling, more specifically nurses, with regard to helping to prevent WRMSD of the lumbar spine. A systematic review was conducted according to the Prisma Statement® method based on data from PubMed, Web of Science, B-On, JSTOR, Science, Nature, Scielo and IndeX, between 1998 and 2011, in Portuguese, English and French. 79 articles were found and after screening and assessing the quality of the studies, 11 were selected and analysed. There is no scientific evidence to warrant investment in programmes focused on healthcare professional training/information on patient mobilization techniques to prevent musculoskeletal disorders of the lumbar spine. Multifactorial intervention programmes based on systemic and integrative components allow us to understand the relationship between workers, their work and health-related issues and how to implement efficient WRMSD prevention measures.
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Arrighi, Yves. "Essays in the economics of health policies." Thesis, Aix-Marseille, 2013. http://www.theses.fr/2013AIXM1094.
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Cette thèse contribue à l’analyse des relations entre santé, revenu et politiques de santé. Il m’a semblé nécessaire de mener cette recherche pour chaque direction de la relation. Ainsi, le 1er article étudie la solvabilité financière de différentes politiques de lutte contre le SIDA grâce à un modèle de microsimulation. La santé y est vue comme un facteur de production ; son amélioration génère des gains de productivité. Cette analyse montre que les programmes de traitement peuvent générer un surplus économique et ce net des coûts engendrés. Le 4ème article étudie la relation entre santé infantile et milieu social d’origine à partir d’une enquête internationale. Les analyses montrent que si un gradient socio-économique de santé s’impose à tous à travers le globe (les enfants issus de milieux pauvres sont en moins bonne santé), ce gradient varie selon le niveau de revenu et d’offre de soin du pays considéré. Les deux autres articles s’intéressent aux problèmes de mesures liés à la mise sous traitement des agents malades : le poids de ces derniers dans la population augmente. Au niveau macroéconomique, le PIB par habitant pourrait diminuer si les traitements ne permettent pas de maintenir un niveau de productivité suffisant. Les analyses dans le cadre du VIH montrent que cet effet pervers ne supplante pas les effets positifs. Cette problématique est élargie à la mesure du bien être dans le 3ème article de la thèse. En ne s’attachant qu’aux populations vivantes, les indicateurs traditionnels ne tiennent pas compte du fait que certains agents auraient pu être maintenus en vie (avec un bien être moindre). Les comparaisons inter-pays pourraient ainsi être fausséesThis dissertation aims at improving our understanding of the links between health and wealth, and between health programs and macroeconomic outcomes. Because the former might be bi-directional, it seemed sensible to tackle this issue for each direction of the causality. In the 1st paper, I examine using microsimulation the financial solvability of alternative policies against HIV. Health improvements at the individual level generate productivity gains which translate into an economic surplus that outweighs programs’ costs. In the 4th paper, I examine the relationship between child health and social background using an international survey. Analysis reveals a substantial gradient in health: across the globe, poorer children have worse health. Yet, the effect of wealth is moderated by country-level income and health-supply variables. The two other papers focus on rather methodological issues raised by the fact that curative programs save lives but increase the prevalence of the disease. One study highlights that average income could fall if treatments cannot guarantee a sufficient level of productivity among sick workers. Despite this adverse effect, the microsimulation model demonstrates that treatment policies can raise per capita income in the context of HIV. The 3rd paper of the thesis extends this message to welfare measurement. By restricting attention to the living population, standard indicators of welfare ignore the fact that individuals who would otherwise be dead can be kept alive through treatment, but with a lower than average welfare. Cross-country comparisons based on indicators that are made invariant to the population size may therefore be biased
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Patel, Deepak N. "Participation in a health promotion programme and healthcare costs : cross-sectional research of the Discovery Vitality programme." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/11687.
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Includes abstract.Includes bibliographical references (leaves 55-61).
To examine the association between 1) the levels of participation in an incentive based health promotion program (study1), 2) the level of engagement with the fitness related activities (Study2) and medical claims and hospital admission amongst adult members of a major health insurer.
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Bradley, Dominique K. F. "The 'Productive Community Services' programme : implementing change in a community healthcare organisation." Thesis, University of Essex, 2015. http://repository.essex.ac.uk/15475/.
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The Productive Community Services (PCS) is a change programme which aims to engage frontline healthcare staff in improving quality and productivity. PCS draws on tested improvement methodologies such as Lean, however there has been little research specifically carried out on PCS in practice. The aims of this study were to explore the perceptions of the healthcare staff that implemented the programme, to identify the enabling and constraining contexts of the programme’s mechanisms of change, and to examine the meaningfulness and reliability of quantitative data generated during a PCS implementation. It also sought to explore the implications of these findings for managers, implementation teams, and commissioners in healthcare. To achieve this, an implementation of PCS was investigated using methods of participant observation, analysis of qualitative and quantitative data, semi-structured interviews and a focus group. A mixed methods approach was taken using the principles of Realist Evaluation. The results indicate that perspectives of the implementation varied widely, and that pay-for-performance targets contributed towards staff perceiving that the programme was irrelevant. Stock value was reduced by over £42,500, the time taken to find patient information was reduced by 62%, and services spent on average 36% of their time with patients. However, these figures lacked reliability and meaningfulness as the data were not validated or were produced using apparently flawed experimental designs. Contexts that constrained or enabled the mechanisms of change included staff attitudes, available resources, the effectiveness of communication, and whether technology could be used to resolve problems identified. The findings indicate that managers in healthcare should challenge implementation teams if the purpose of an innovation is unclear, that implementation teams need to be equipped with knowledge about technological solutions to efficiency in healthcare, and Commissioners need to ensure that pay-for-performance targets promote continuous quality improvement rather than temporary solutions.
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Jaafaripooyan, Ebrahim. "Contextual approach to the performance analysis of Iran's national accreditation programme for healthcare organisations." Thesis, University of Southampton, 2011. https://eprints.soton.ac.uk/210549/.
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The importance of focusing on performance measurement systems (PMSs) in the public sector has increased following the introduction of new public management (NPM) initiatives, which placed a greater emphasis on organisational accountability and performance measurement. PMSs have always been a key player in ensuring accountability and improvement in the practices of public sector (e.g. healthcare) organisations. Critical features of the health sector have particularly warranted the application of various internal or external PMSs in this area as well as the regular assessment of their own performance. This is crucial in terms of both maintaining their alignment with the initially determined objectives and improving their merits and capabilities to continuously detect the deficiencies and malpractices in healthcare organisations (HCOs). Iran’s national accreditation programme for healthcare organizations (NAPH) has served as the sole element of macro control and regulation in the country’s health sector at national level. It has been set up to reflect, operationalise and guarantee the intentions of the government for promoting quality and safety in the local HCOs, mainly hospitals, across the country. Despite the NAPH’s importance and vital position in the country’s health system and its long-time implementation, the contextual effects of this evaluator mechanism on the individual hospitals have not been empirically researched in current organizational context; i.e. there is a lack of empirical evidence in the literature on how this macro PMS impacts in practice on the hospitals at local level. Accordingly, this study aims to render a contextual evaluation of the performance of this evaluatory system. A middle-range thinking (MRT) research approach has informed the study. Drawing on this approach, Broadbent and Laughlin’s theoretical framework was adopted to both guide the empirical work and help with the analysis and interpretation of the empirical data. The findings of the study showed that it was mainly the financial benefits rather than the quality improvement merits of the current hospital accreditation and evaluation programme that were apparently the main rationale behind the conformity of the hospitals. Both dysfunctional and beneficial consequences were associated with the NAPH by the hospitals’ members. In addition, the hospitals showed different reactions including rejection and gaming as well as absorption to achieve the beneficial gains of the programme. However, they also adopted some requirements of the NAPH exclusively in view of its perceived merits and some other contextual factors. Changes in the hospitals as a result of the programme occurred mostly in the early years following its introduction or modification. This study further provides both theoretical and practical research implications for policy and practice for the improvement of this evaluation mechanism
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Ma, Y. "The development and evaluation of a breastfeeding training programme for healthcare professionals in China." Thesis, Coventry University, 2015. http://curve.coventry.ac.uk/open/items/53d0027f-3864-4a21-9ef9-3a1e48879927/1.
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Breastfeeding is widely considered the healthiest way to feed an infant. Promoting breastfeeding and increasing breastfeeding rates has become a global strategy to improve children’s health. However the latest rate of exclusive breastfeeding at six months in 2014 in China was 30% in rural areas and 16% in urban areas. Support from skilled practitioners can positively influence breastfeeding initiation rates, duration and women’s breastfeeding experience. This research aims to develop and evaluate a new breastfeeding training programme for professionals to improve support for breastfeeding mothers in China. Mixed research methods were used in the research which included qualitative and quantitative studies. Two qualitative studies provided the evidence for the importance of training professionals in two essential skills of positioning and attachment (P & A) and hand expression (HE). This study further applied a 15-minute breastfeeding DVD training intervention to train Chinese professionals in P & A and HE. At the meantime, the research developed two valid breastfeeding assessment tools, including knowledge assessment tool and confidence assessment tool. Two quantitative studies of the pilot study and RCT study evaluated the effectiveness of DVD training intervention on improving professionals’ knowledge and confidence before and after DVD training by the two breastfeeding assessment tools. The findings in both studies indicated that the DVD training intervention significantly improve the professionals’ knowledge and confidence in P & A and HE with a big effect size. The semi-structured interviews conducted after the RCT study showed the feasibility and applicability of DVD training for professionals in China. This first evidence-based new training programme is likely to be widely implemented in China due to its effectiveness, convenience and ease of access. However, the long-term effectiveness of the DVD training at improving professionals’ knowledge, confidence and breastfeeding outcome needs to be further examined in the future.
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Onate, Öberg Bernard. "Jämförelse av bildkvalité mellan standardsskelettscintigrafi och programmet Evolution for Bone TM i GE-healthcare gammakamera." Thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2018. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-68429.
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Hale, Rachel. "An actor-network analysis of the healthcare worker influenza immunisation programme in Wales, 2009-2011." Thesis, University of Nottingham, 2016. http://eprints.nottingham.ac.uk/33126/.
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Frontline healthcare workers (HCWs) in the UK have been prioritised for free occupational immunisation against seasonal influenza since 1999. During the 2009-10 influenza pandemic, they were identified as a priority group to receive the strain-specific vaccine. Nevertheless, take-up rates among HCWs have rarely exceeded 50%, even during the pandemic. Most attempts to change this situation have been predicated on the assumption that these low rates are the result of reluctance or resistance by individual HCWs, who must be persuaded or coerced to comply with employer directives. To gain a novel understanding of this immunisation programme, an actor-network theory approach is adopted to trace the journeys of vaccines through two Local Health Boards in Wales during the 2009-10 H1N1 influenza pandemic and in the following winter influenza season (i.e. during 2010-11). The research reported shows that low uptake is largely the result of complex social, organizational and cultural processes. Only when these have been changed will it be appropriate to frame the remaining problem as reluctance or resistance by individual HCWs. The study reveals that this immunisation programme is inherently unstable and subject to ambivalence from actors at all levels. Suggestions for practical improvement are given.
Books on the topic "Healthcare programmes"
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Bournemouth University. Institute of Health and Community Studies. QAA major review of NHS funded healthcare programmes: Self evaluation document. Poole: Bournemouth University, Institute of Health & Community Studies, 2005.
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Organization, World Health, ed. Equity, social determinants, and public health programmes. Geneva, Switzerland: World Health Organization, 2010.
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Hignett, Sue. Measuring the effectiveness of competency - based education and training programmes in changing the manual handling behaviour of healthcare staff. Sudbury: HSE books, 2005.
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Health, Nova Scotia Dept of. Healthcare update: Regionalization. [Halifax]: Dept. of Health, 1998.
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Administering medications: Pharmacology for healthcare professionals. 7th ed. New York, NY: McGraw-Hill, 2012.
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American Health Information Management Association, ed. Quality and performance improvement in healthcare: A tool for programmed learning. 4th ed. Chicago, Ill: American Health Information Management Association, 2010.
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Patricia, Shaw, and American Health Information Management Association., eds. Quality and performance improvement in healthcare: A tool for programmed learning. 3rd ed. Chicago, Ill: American Health Information Management Association, 2007.
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Designing 21st century healthcare: Leadership in hospitals and healthcare systems. Chicago, Ill: Health Administration Press, 1998.
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Security, National Association for Healthcare. Basic training manual and study guide for healthcare security officers: A programme of the National Association for Healthcare Security. [London]: National Association for Healthcare Security, 1997.
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Force, Healthcare Industries Task. Better healthcare through partnership: A programme for action : final report, November 2004. London: Department of Health, 2004.
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Mfutso-Bengo, Joseph, Elizabeth Bukusi, and Eva Mfutso-Bengo. "Public Health Ethics and Rights in Healthcare Programmes." In Advancing Global Bioethics, 215–34. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-93230-9_16.
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Magri, Mara, and Raquel Espada Martín. "The Accreditation Process." In Quality Management and Accreditation in Hematopoietic Stem Cell Transplantation and Cellular Therapy, 123–36. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64492-5_14.
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AbstractAchieving accredited status for hematopoietic cell transplantation (HCT) programme shows an ongoing commitment to the quality and safety of the services offered and of the activities performed. Accreditation is considered a standard through which a healthcare facility or service is shown to offer quality and healthcare that meet minimum standards and guidelines offered by different quality boards (at national and international levels). Among the most well-known accreditation agencies in the world are the Joint Commission and the Joint Commission on Accreditation of Healthcare Organizations (JC and JCAHO), the International Society for Quality in Health Care (ISQua), the Accreditation Commission for Health Care, Inc. (ACHC), the Healthcare Quality Association on Accreditation (HQAA) and, specifically for HCT programmes, the FACT and the JACIE.Any patient entering a healthcare facility wants and deserves to know that staff is trained and facilities are clean and well maintained and that procedures follow standards that reduce chances of error, infection or negligence.
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Richter, Marlise, and Kholi Buthelezi. "Stigma, Denial of Health Services, and Other Human Rights Violations Faced by Sex Workers in Africa: “My Eyes Were Full of Tears Throughout Walking Towards the Clinic that I Was Referred to”." In Sex Work, Health, and Human Rights, 141–52. Cham: Springer International Publishing, 2021. http://dx.doi.org/10.1007/978-3-030-64171-9_8.
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AbstractAn ethical and forward-looking health sector response to sex work aims to create a safe, effective, and non-judgemental space that attracts sex workers to its services. Yet, the clinical setting is often the site of human rights violations and many sex workers experience ill-treatment and abuse by healthcare providers. Research with male, female, and transgender sex workers in various African countries has documented a range of problems with healthcare provision in these settings, including: poor treatment, stigmatisation, and discrimination by healthcare workers; having to pay bribes to obtain services or treatment; being humiliated by healthcare workers; and, the breaching of confidentiality. These experiences are echoed by sex workers globally. Sex workers’ negative experiences with healthcare services result in illness and death and within the context of the AIDS epidemic act as a powerful barrier to effective HIV and STI prevention, care, and support. Conversely positive interactions with healthcare providers and health services empower sex workers, affirm sex worker dignity and agency, and support improved health outcomes and well-being. This chapter aims to explore the experiences of sex workers with healthcare systems in Africa as documented in the literature. Findings describe how negative healthcare workers’ attitudes and sexual moralism have compounded the stigma that sex workers face within communities and have led to poor health outcomes, particularly in relation to HIV and sexual and reproductive health. Key recommendations for policy and practice include implementation of comprehensive, rights-affirming health programmes designed in partnership with sex workers. These should be in tandem with structural interventions that shift away from outdated criminalized legal frameworks and implement violence prevention strategies, psycho-social support services, sex worker empowerment initiatives, and peer-led programmes.
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Renzi, Pietro, and Alberto Franci. "EGIPSS model for the evaluation of performance in healthcare." In Proceedings e report, 167–72. Florence: Firenze University Press, 2021. http://dx.doi.org/10.36253/978-88-5518-461-8.32.
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The need to improve performance in the Italian healthcare sector and thereby optimise the availability and delivery of related services has long been recognised. The associated reforms and developmental programmes have meant that the focus of health services has moved from a means-based approach to a results-based approach; which was an essential step to enabling real performance improvements according to the new public management paradigm. What is essential is a means of measuring and evaluating changes in healthcare sector performance which will support policy-makers to provide transparency and accountability, in accordance with the Tallinn Charter. This is particularly relevant in the healthcare sector, where outcomes are critical. This paper examines the concept of performance and performance assessment in the healthcare sector; acknowledging the inherent difficulties caused by the complexity of the systems and the multiplicity of performance-related definitions involved. This latter point is illustrated by the fact that many international organisations, such as the WHO and the OECD, have used varying models to assess and compare the performance of health systems in different countries. The authors have compared and evaluated a wide range of models and have determined the merits of the EGIPSS (Évaluation Globale et Intégrée de la Performance des Systèmes de Santé) integrative model. This is based on Parson's theory of social action which specifies four functions necessary for an organisation to survive. EGIPSS takes into consideration the conceptual contributions of different organisations, and covers a comparatively large number of performance measurements. A detailed illustration of the methodology is presented, together with some healthcare-related results for the Republic of San Marino and parts of the Marche Region in Italy.
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Langeland, Eva, Liv Hanson Ausland, Hrafnhildur Gunnarsdottir, Susanna H. Arveklev, and Hege Forbech Vinje. "Promoting Salutogenic Capacity in Health Professionals." In The Handbook of Salutogenesis, 611–24. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-030-79515-3_55.
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AbstractFrom a salutogenic perspective, relational and reflective competencies are key to the success of competence building. Reflecting on and exploring one’s (life) experience in a continuous learning process can enhance salutogenic competence.This chapter, whose authors have many years of experience building health professionals’ salutogenic competence, is nicely illustrated with teaching and coaching examples drawn from (a) a master’s programme for students in various health professions, (b) salutogenic talk-therapy groups, (c) students in health promotion training programmes, and (d) on-the-job training of healthcare professionals working in childcare services.The chapter discusses the concept of “self-tuning,” referring to habitual self-sensitivity, reflection, and mobilising of resources, which can play a central role in all types of training. This chapter emphasises that trainers should strive to “live the talk,” developing their personal salutogenic capacity – in other words, do what you teach and be what you teach.
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Petelos, Elena, Dimitra Lingri, Dimitris Patestos, and Christos Lionis. "The COVID-19 Pandemic and Refugees in Greece: A New Challenge for Healthcare Service Provision, Public Health Programmes and Policymaking." In IMISCOE Research Series, 299–319. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-11574-5_15.
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AbstractThe COVID-19 pandemic has disrupted everyone’s life globally, nevertheless, its impact on refugees and migrants has been particularly profound. This chapter analyses key parameters on the living and healthcare provision conditions for these groups, the obstacles to access and to service provision, and the institutional context in Greece – a country with a large number of refugees and one of the main ports of entry to Europe. The impact of COVID-19 is examined in relation to containment, care provision and preparedness measures, with special reference to the conditions in the refugee settlements and to capturing the measures implemented over the first two years of the pandemic. Comprehensive contextualisation is achieved by examining EU legislation and policies, the Greek care provision system and obstacles to its access; an overview of key characteristics for optimal care delivery is also provided. The existing body of evidence on health and hygiene is reviewed along with key regulatory and legislative aspects, to inform the current debate, research and policy. The role of health information, mediation, public health messaging and risk communication is also briefly examined, together with key considerations in terms of social cohesion and societal resilience. Brief recommendations in terms of health and social policy, with relevance to national and local authorities, and all relevant stakeholders, are made, aiming to reduce the harm, as well as collateral damage, and to inform future policies for public health programmes and care provision for these groups. Given the changing refugee landscape due to the current war in Ukraine, which has resulted in a new wave of displaced persons within the European area, particular attention is needed on the potential disparities that may be created amongst different refugee groups that ought to be protected to the same degree.
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Donaldson, Liam. "Safer Care: Shaping the Future." In Textbook of Patient Safety and Clinical Risk Management, 53–66. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-59403-9_5.
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AbstractFundamental characteristics of healthcare, including approaches to priority-setting, culture, traditions of professional practice, leadership styles, and accountability mechanisms mean that many deep-seated causes of unsafe care have proved intractable to transformation. The wisdom and experience of patients and families that have suffered harm is enormous and should be better harnessed. The World Health Organization has led a diverse range of global action on patient safety over two decades. This has been highly successful in promoting interest, understanding, and commitment as well as driving specific programmes of action throughout the world. The organisation has also played a powerful convening role in bringing experts, organisations, and countries together to discuss and plan initiatives. This focus must be maintained in the face of slow and inconsistent improvement.
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Keating, Conrad. "Selective Primary Healthcare." In Kenneth Warren and the Great Neglected Diseases of Mankind Programme, 53–79. Cham: Springer International Publishing, 2017. http://dx.doi.org/10.1007/978-3-319-50147-5_3.
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Lee, Po-Chang. "Introduction to the National Health Insurance of Taiwan." In Digital Health Care in Taiwan, 1–15. Cham: Springer International Publishing, 2022. http://dx.doi.org/10.1007/978-3-031-05160-9_1.
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AbstractThis chapter provides an overview of Taiwan’s National Health Insurance (NHI) system. In 1995, major social insurance programmes, such as labour insurance, government employee health insurance and farmers’ insurance, were merged and enlarged to form the NHI to deliver universal health coverage. Since its inception, the payment system of the NHI is the fee-for-service method. Moreover, most of the health care is provided by private sectors, and there are no restrictions on patients seeking medical care. Owing to the high medical accessibility, the volume of outpatient services is high, and the National Health Insurance Administration (NHIA) has to develop various measures to maintain its financial stability. Several strategies have been implemented by the NHIA for health equity, and the NHI MediCloud system, the NHI card and ‘My Health Bank’ were provided to ensure patients’ safety and enhance healthcare quality.
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Bajaj, Komal, Michael Meguerdichian, Jessica Pohlman, and Katie Walker. "Programme development and sustainability in healthcare simulation." In Healthcare Simulation Education, 112–18. Chichester, UK: John Wiley & Sons, Ltd, 2017. http://dx.doi.org/10.1002/9781119061656.ch15.
Full textConference papers on the topic "Healthcare programmes"
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"Мониторинг государственных программ здоровьесбережения (на примере Cвердловской области)." In XII Ural Demographic Forum “Paradigms and models of demographic development”. Institute of Economics of the Ural Branch of the Russian Academy of Sciences, 2021. http://dx.doi.org/10.17059/udf-2021-2-14.
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As the Russian Federation is characterised by the difficult situation in the healthcare sector and a population decline, it is necessary to pay special attention to priority strategic goals, namely, improvement of the healthcare system. This article analyses the main human health indicators on the example of Sverdlovsk oblast in the period from 2000 to 2020, taking into account regional characteristics. The key factors influencing the growth of mortality in Sverdlovsk oblast are presented. An integrated approach is needed on the part of state and municipal authorities to solve the aforementioned problems. State programmes of health protection are the foundation of public management. The research conducts a comparative analysis of the existing state and municipal healthcare development programmes in Sverdlovsk oblast. The main goals are identified and the priority areas of development are described. The purpose of this study is a comprehensive analysis of the structure, target indicators, regulatory framework of state and regional healthcare programmes in the Russian Federation and adaptation of these programmes at the regional level (on the example of Sverdlovsk oblast). Such methods as the historical approach, the study and generalisation of information, comparison, synthesis, analysis of time series were used in this research.
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Petersone, Mara, Ingars Erins, and Karlis Ketners. "Is Latvia Ready For The Value-Based Healthcare Era?" In 13th International Conference on Applied Human Factors and Ergonomics (AHFE 2022). AHFE International, 2022. http://dx.doi.org/10.54941/ahfe1002130.
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The Value Based Health Care (VBHC) has recently become the leading conceptual approach to health care in the world, but no value-based healthcare programme has yet been established in Latvia. Despite the critical interest in the implementation of VBHC programmes on the part of the health sector stakeholders, still the key persons in VBHC programmes are physicians. Goal of research: To clarify the views of physicians and young physicians on values-based health care fundamental principles and their vision for their further inclusion in Latvian health care. Method: The research uses data from a survey conducted among physicians and young physicians who practice at Pauls Stradins Clinical University Hospital.Results: 42% of physicians responded that patient surveys on the effectiveness of treatment for certain groups of patients could help to improve the results of treatment; 51% of physicians responded that patient surveys on their experience during treatment can help to improve their treatment results; much more cautious were physicians regarding the question whether comparing the results of treatment between physicians teams/hospitals could help to improve the results – 39% replied ‘Yes’ and 24% ‘Rather yes than no’; similarly cautious was the reply to the question whether the voluntary public availability of treatment results from a medical treatment facility could have a positive impact on the visibility of the service provider – 31% replied ‘Yes’ and 25% ‘Rather yes’; the convincing 82% of replies were to the question whether an exchange of experience and knowledge in the team of physicians helps to improve the results of treatment; the convincing majority of 86% of physicians believe that a multidisciplinary team of physicians can help improve the results of treatment; as a positive response, can be considered that 63% of respondents think that reforms in health care may be initiated not only by the Ministry of Health. The most interesting answer would be to the question of what management strategies should be developed in the healthcare system, where the first place, with 349 points, was taken by the answer “Cooperation with external partners (manufacturers, scientific centres, insurers, IT and other service providers)”.Conclusions: The results of the survey show that the application of VBHC principles will not contradict to views of physicians on traditional management models in health care and their role in it.Proposals: However, prior to starting the introduction of VBHC programmes in Latvian health care, there are grounds for launching discussions on the benefits of VBHC compared to the traditional management model. Policy recommendations: For hospital management and health sector supervisors to avoid resistance of physicians to implementing VBHC, the strategy should focus not on VBHC resource-efficient programmes but on patient-centred healthcare.
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Ibifunke Lucy, Adegunle. "Comparative analysis of treatment objectives within the National Cancer Control Programmes in France and Germany." In 2nd Annual Global Healthcare Conference (GHC 2013). Global Science and Technology Forum Pte Ltd, 2013. http://dx.doi.org/10.5176/2251-3833_ghc13.31.
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Nahaboo Solim, MA, AM Tarin, and B. Kawai-Calderhead. "5 Evaluation of leadership and management training programmes for foundation doctors." In Leaders in Healthcare Conference, Poster Abstracts, 4–6 November 2019, Birmingham, UK. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/leader-2019-fmlm.5.
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Mountford, Nicola, Gemma Watts, Luis Fernandez Luque, Ioanna Chouvarda, Threase Kessie, and Tara Cusack. "An Interdisciplinary 4th Level Education Model:Connected Health." In Third International Conference on Higher Education Advances. Valencia: Universitat Politècnica València, 2017. http://dx.doi.org/10.4995/head17.2017.5485.
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This paper responds to the need for interdisciplinary approaches to fourth level education that better reflect the complexity of the world in which we work and conduct research. We discuss this need in technology-enabled healthcare, Connected Health. We propose a model for fourth level interdisciplinary education and discuss its trial application in two European structured PhD programmes in the Connected Health research arena. We suggest broader learning objectives for the emerging fourth level graduate, methods for incorporating multiple disciplinary inputs and perspectives into deep disciplinary PhD training, intersectoral approaches to ensure employability and impact, and innovative training methods and structures to facilitate interdisciplinary and intersectoral learning. We give some examples of innovative training modules used within the pilot programmes. Finally we discuss six core elements of a truly interdisciplinary programme at fourth level - exposure to different environments, joint supervision, a genuine role for the non academic sector, career development training and planning, the development of a sustainable network beyond the life of the programme, and data openess.
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Brewer, Hilary, Joe Whitton, and Ben Rees. "0185 An Evaluation Of The Use Of Simulation In The Core Surgical Training Programmes Across The Uk Postgraduate Schools." In Association for Simulated Practice in Healthcare Annual Conference 11–13 November 2014 Abstracts. The Association for Simulated Practice in Healthcare, 2014. http://dx.doi.org/10.1136/bmjstel-2014-000002.89.
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Fores, M., M. Chambers, R. Natarajan, and P. Bailey. "P44 Train the trainer: using simulation to enhance the development of cell salvage education programmes." In Abstracts of the Association for Simulation Practice in Healthcare Annual Conference, 6th to 7th November 2017, Telford, UK. The Association for Simulated Practice in Healthcare, 2017. http://dx.doi.org/10.1136/bmjstel-2017-aspihconf.127.
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Litiņa, Sanita, Anika Miltuze, and Karīna Svētiņa. "Factors Influencing Digital Competence: A Focus Group Study From the Perspective of the Medical College Students." In 80th International Scientific Conference of the University of Latvia. University of Latvia Press, 2022. http://dx.doi.org/10.22364/htqe.2022.16.
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Over the last decade, learning and working in medicine has been increasingly influenced by digital tools. Today’s medical students are growing up in a digital age where digital tools and devices are a regular part of professional life. The development of digital competence is crucial for healthcare education, as healthcare professionals will be the ones helping orientate patients in digital healthcare systems and tools. This study aims to explore the opinions and experiences of medical college students regarding the factors influencing digital competence. Four focus group discussions were organised, with 26 medical college students in total in various study programmes in December 2021. The interviews were conducted in Latvian and transcribed by the lead researcher. Thematic analysis of the focus group discussions identified four main themes to be associated with the factors influencing digital competence: personal factors (self-confidence in using Information and Communication Technologies (ICTs), attitudes towards ICTs, prior training on ICTs, motivation), learning design (online, blended learning), lecturers’ digital competence and external aspects (family support, Covid-19 pandemic). This study presented results that could also be helpful for other universities to promote targeted development and improvement of digital competence of their students.
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Sucháček, Jan, and Jaroslav Koutský. "Infrastruktura v krajských městech České republiky z mediálního pohledu." In XXIV. mezinárodního kolokvia o regionálních vědách. Brno: Masaryk University Press, 2021. http://dx.doi.org/10.5817/cz.muni.p210-9896-2021-53.
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Thematic composition of contributions in the frame of national TV coverage affects media portrayals of investigated territories. The article focuses on important categories of infrastructure, such as healthcare, education, science and transportation at the level of individual regional capitals. The objective of the paper is to analyse and assess the contributions that deal with selected parts of infrastructure and are related to the individual regional capitals in the Czech Republic. We will concentrate on the news that appeared within the programmes Události and Události, komentáře broadcasted by public Czech TV and Televizní noviny in the frame of private TV Nova news reporting. The whole issue is evaluated mainly from qualitative perspective. As it turned out, in spite of the importance of infrastructure for urban development, the national TV news reporting does not pay sufficient attention to that category at the level of individual regional capitals.
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Johnson, Kevin, Claire O Donnell, Kathleen Markey, and Brian Lake. "Irish Nursing Students Perceptions of a Technology Enhanced Blended Approach to Teaching and Learning." In InSITE 2009: Informing Science + IT Education Conference. Informing Science Institute, 2009. http://dx.doi.org/10.28945/3366.
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Health informatics is becoming increasingly important for healthcare professionals and strategies to promote health informatics development are becoming increasingly popular in undergraduate professional programmes. With this in mind, a blended or hybrid learning approach was piloted with an undergraduate BSc nursing module in the university. The aim of this pilot was to design, develop, implement and evaluate the students’ perceived reactions to learning, teaching and assessment incorporating several online components. Blended learning is the combination of multiple approaches to learning such as a combination of technology-based materials and face-to-face sessions used together to deliver instruction. A branded version of Sakai (the university’s Learning Management System [LMS]) was used. The students interacted with the system on a weekly basis and their perceptions were codified with the aid of an online questionnaire based on the preferred COLLES format. Additionally, a touch screen based recording suite was availed of permitting the students to record themselves performing a task and later review the footage. The initial findings appear to provide a positive outlook towards the use of technology within the course and the potential for further expansion in the near future.
Reports on the topic "Healthcare programmes"
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Herrera, Cristian, and Andy Oxman. Does integration of primary healthcare services improve healthcare delivery and outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/170411.
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Primary healthcare in many low- and middle-income countries is organised through vertical programmes for specific health problems such as tuberculosis control or childhood immunisation. Vertical programmes can help deliver particular technologies or services, but may lead to service duplication and fragmentation. To address such problems, the World Health Organization and other organizations promote integration, where inputs, delivery, management and organization of particular service functions are brought together. Integration may involve adding a service to an existing vertical programme or full integration of services within routine healthcare delivery.
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Herrera, Cristian, Andy Oxman, and Shaun Treweek. Does integration of primary healthcare services improve healthcare delivery and outcomes? SUPPORT, 2017. http://dx.doi.org/10.30846/1704112.
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Primary healthcare in many low- and middle-income countries is organised through vertical programmes for specific health problems such as tuberculosis control or childhood immunisation. Vertical programmes can help deliver particular technologies or services, but may lead to service duplication and fragmentation. To address such problems, the World Health Organization and other organizations promote integration, where inputs, delivery, management and organization of particular service functions are brought together. Integration may involve adding a service to an existing vertical programme or full integration of services within routine healthcare delivery.
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Martin, Matthew. The Crisis of Extreme Inequality in SADC: Fighting austerity and the pandemic. Oxfam, Development Finance International, Norwegian Church Aid, May 2022. http://dx.doi.org/10.21201/2022.8793.
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The COVID-19 pandemic has worsened the extreme inequality in Southern African Development Community (SADC) countries, and pushed millions into poverty. The economic crisis continues due to the obscene global vaccine inequality. As of end March 2022, a dismal 14% of SADC citizens had been fully vaccinated against COVID-19, compared with 65.5% in the United States and 73% in the European Union. In 2021, with infections rising in SADC, the critical health, social protection and economic programmes put in place by most governments in 2020 were rolled back and replaced with austerity, in the context of growing debt burdens and lack of external support for country budgets. Such austerity has been built into IMF programmes in the region. Recovering from the pandemic, however, offers SADC governments a once-in-a-generation opportunity to do what their citizens want: increase taxes on the wealthy and large corporations, boost public spending (especially on healthcare, education and social protection), and increase workers’ rights as well as tackling joblessness and precarious work. With external support, including through debt relief and aid, they could reduce inequality drastically and eliminate extreme poverty by 2030.
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Martin, Matthew. The Crisis of Extreme Inequality in SADC: Fighting austerity and the pandemic. Oxfam, Development Finance International, Norwegian Church Aid, May 2022. http://dx.doi.org/10.21201/2022.8793.
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The COVID-19 pandemic has worsened the extreme inequality in Southern African Development Community (SADC) countries, and pushed millions into poverty. The economic crisis continues due to the obscene global vaccine inequality. As of end March 2022, a dismal 14% of SADC citizens had been fully vaccinated against COVID-19, compared with 65.5% in the United States and 73% in the European Union. In 2021, with infections rising in SADC, the critical health, social protection and economic programmes put in place by most governments in 2020 were rolled back and replaced with austerity, in the context of growing debt burdens and lack of external support for country budgets. Such austerity has been built into IMF programmes in the region. Recovering from the pandemic, however, offers SADC governments a once-in-a-generation opportunity to do what their citizens want: increase taxes on the wealthy and large corporations, boost public spending (especially on healthcare, education and social protection), and increase workers’ rights as well as tackling joblessness and precarious work. With external support, including through debt relief and aid, they could reduce inequality drastically and eliminate extreme poverty by 2030.
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Martin, Matthew, Jo Walker, Kwesi W. Obeng, and Christian Hallum. The West Africa Inequality Crisis: Fighting austerity and the pandemic. Development Finance International, Oxfam, October 2021. http://dx.doi.org/10.21201/2021.8045.
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The COVID-19 pandemic has revealed and worsened the depth of inequality in West Africa. It has pushed millions into poverty. There is no end in sight due to the obscene global vaccine inequality, which means that less than 4% of West Africans had been fully vaccinated against COVID-19 as at September 2021, compared with 52% in the United States and 57% in the European Union. In 2021, when COVID-19 infections are rising in West Africa, the critical support health and socioeconomic programmes put in place by most governments in 2020 are being rolled back and replaced with austerity. Many governments are following advice from the IMF and World Bank, reminiscent of the severe cuts in spending imposed under the structural adjustment policies of the 1980s and 1990s. However, as this paper argues, the pandemic offers West African governments a once-in-a-generation opportunity to invest heavily in inequality-busting policies by boosting public spending (especially on healthcare, education and social protection), making tax systems more progressive, and tackling joblessness and precarious work. This report uses the Commitment to Reducing Inequality Index (CRII) framework devised by Oxfam and Development Finance International to assess the policies of West African governments. Visit the CRI Index website to learn more: www.inequalityindex.org.
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Matanda, Dennis. Measurement of female genital mutilation/cutting status: Perspectives from healthcare providers, policymakers, programme implementers, and researchers. Population Council, 2020. http://dx.doi.org/10.31899/rh12.1014.
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Rudd, Ian. Leveraging Artificial Intelligence and Robotics to Improve Mental Health. Intellectual Archive, July 2022. http://dx.doi.org/10.32370/iaj.2710.
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Artificial Intelligence (AI) is one of the oldest fields of computer science used in building structures that look like human beings in terms of thinking, learning, solving problems, and decision making (Jovanovic et al., 2021). AI technologies and techniques have been in application in various aspects to aid in solving problems and performing tasks more reliably, efficiently, and effectively than what would happen without their use. These technologies have also been reshaping the health sector's field, particularly digital tools and medical robotics (Dantas & Nogaroli, 2021). The new reality has been feasible since there has been exponential growth in the patient health data collected globally. The different technological approaches are revolutionizing medical sciences into dataintensive sciences (Dantas & Nogaroli, 2021). Notably, with digitizing medical records supported the increasing cloud storage, the health sector created a vast and potentially immeasurable volume of biomedical data necessary for implementing robotics and AI. Despite the notable use of AI in healthcare sectors such as dermatology and radiology, its use in psychological healthcare has neem models. Considering the increased mortality and morbidity levels among patients with psychiatric illnesses and the debilitating shortage of psychological healthcare workers, there is a vital requirement for AI and robotics to help in identifying high-risk persons and providing measures that avert and treat mental disorders (Lee et al., 2021). This discussion is focused on understanding how AI and robotics could be employed in improving mental health in the human community. The continued success of this technology in other healthcare fields demonstrates that it could also be used in redefining mental sicknesses objectively, identifying them at a prodromal phase, personalizing the treatments, and empowering patients in their care programs.
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Almulihi, Qasem, and Asaad Shujaa. Does Departmental Simulation and Team Training Program Reduce Medical Error and Improve Quality of Patient Care? A Systemic Review. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, March 2022. http://dx.doi.org/10.37766/inplasy2022.3.0006.
Full textAbstract:
Review question / Objective: This systematic review aimed to assess whether human simulations or machine stimulations programs would help to prevent medical errors and improve patient safety. Information sources: The search terms “Medical Simulation” [Mesh], “Medication Errors” [Mesh], “Patient safety” [Mesh] were implemented, to be as specific and selective as possible. We searched for all the publications in the Medline database, Web of Science, and Google Scholar from 2000 (when the idea of simulation in healthcare to prevent ME was employed for the first time by the Institute of Medicine (IOM)) to Feb 2022 with only English language-based literature Electronic databases.
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Berkman, Nancy D., Eva Chang, Julie Seibert, Rania Ali, Deborah Porterfield, Linda Jiang, Roberta Wines, Caroline Rains, and Meera Viswanathan. Management of High-Need, High-Cost Patients: A “Best Fit” Framework Synthesis, Realist Review, and Systematic Review. Agency for Healthcare Research and Quality (AHRQ), October 2021. http://dx.doi.org/10.23970/ahrqepccer246.
Full textAbstract:
Background. In the United States, patients referred to as high-need, high-cost (HNHC) constitute a very small percentage of the patient population but account for a disproportionally high level of healthcare use and cost. Payers, health systems, and providers would like to improve the quality of care and health outcomes for HNHC patients and reduce their costly use of potentially preventable or modifiable healthcare services, including emergency department (ED) and hospital visits. Methods. We assessed evidence of criteria that identify HNHC patients (best fit framework synthesis); developed program theories on the relationship among contexts, mechanisms, and outcomes of interventions intended to change HNHC patient behaviors (realist review); and assessed the effectiveness of interventions (systematic review). We searched databases, gray literature, and other sources for evidence available from January 1, 2000, to March 4, 2021. We included quantitative and qualitative studies of HNHC patients (high healthcare use or cost) age 18 and over who received intervention services in a variety of settings. Results. We included 110 studies (117 articles). Consistent with our best fit framework, characteristics associated with HNHC include patient chronic clinical conditions, behavioral health factors including depression and substance use disorder, and social risk factors including homelessness and poverty. We also identified prior healthcare use and race as important predictors. We found limited evidence of approaches for distinguishing potentially preventable or modifiable high use from all high use. To understand how and why interventions work, we developed three program theories in our realist review that explain (1) targeting HNHC patients, (2) engaging HNHC patients, and (3) engaging care providers in these interventions. Theories identify the need for individualizing and tailoring services for HNHC patients and the importance of building trusting relationships. For our systematic review, we categorized evidence based on primary setting. We found that ED-, primary care–, and home-based care models result in reduced use of healthcare services (moderate to low strength of evidence [SOE]); ED, ambulatory intensive caring unit, and primary care-based models result in reduced costs (low SOE); and system-level transformation and telephonic/mail models do not result in changes in use or costs (low SOE). Conclusions. Patient characteristics can be used to identify patients who are potentially HNHC. Evidence focusing specifically on potentially preventable or modifiable high use was limited. Based on our program theories, we conclude that individualized and tailored patient engagement and resources to support care providers are critical to the success of interventions. Although we found evidence of intervention effectiveness in relation to cost and use, the studies identified in this review reported little information for determining why individual programs work, for whom, and when.
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Hamilton, Carolyn. Review and Recommendations for Strengthening Transitioning-from-State-Care Services for Youth in the Protection System. Inter-American Development Bank, July 2022. http://dx.doi.org/10.18235/0004354.
Full textAbstract:
Research studies from a range of countries indicate that, despite differences in policies, youth who age out of state care have significant similarities in outcomes globally. These young people have difficulty finding stable and affordable housing; accessing a social network, healthcare, and supportive and safe social relationships; and engaging in education, training, and employment. The present report, focused on youth aging out of residential care and detention in Belize, aims to contribute to the growing literature on frameworks, models, programs, and best practices to address service gaps and barriers and improve outcomes for youth transitioning to post care. The report presents a diagnostic of available services to support youth in Belize to successfully transition to post-care and provides recommendations to strengthen services that improve their post-care outcomes.