Journal articles: 'Preventative health services'

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Salzmann, Daniela, and Adele Diederich. "Setting priorities in preventative services." Journal of Public Health 21, no. 6 (July 19, 2013): 515–22. http://dx.doi.org/10.1007/s10389-013-0581-8.

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Piché, Lyne, Jeffrey Mathesius, Patrick Lussier, and Anton Schweighofer. "Preventative Services for Sexual Offenders." Sexual Abuse 30, no. 1 (February 15, 2016): 63–81. http://dx.doi.org/10.1177/1079063216630749.

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The role of primary prevention of sexual offences is an understudied area. The current study examined a sample ( N = 100) of men charged or convicted of a sexual offence to determine their interest in interventions that could be offered prior to offending, reasons for not seeking out interventions in the past, and demographic information including onset of deviant sexual fantasy and interests. The majority indicated that preventative interventions, including individual and group treatment, would have been beneficial, but inaccessibility of interventions and fear of arrest prevented them from seeking services. The findings suggest that men who progress to committing a sexual offence are interested in preventative interventions but require information regarding availability of accessible support and the development of primary prevention structures to fulfill society’s desire to prevent sexual offending.

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Artha, Ketut Ary Diana, Ketut Suarjana, and Pande Putu Januraga. "The provision of promotive and preventative healthcare services by private primary care physicians in the era of the national health insurance program." Public Health and Preventive Medicine Archive 5, no. 2 (December 1, 2017): 140. http://dx.doi.org/10.15562/phpma.v5i2.29.

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Background and purpose: In addition to their duties in addressing the curative and rehabilitative needs of the community, private primary care physicians (PCP) play an important role in providing promotive and preventative healthcare services. This study aims to determine the behaviours, enabling and inhibiting factors involved with the provision of promotive and preventative services by PCP in the era of national health insurance (JKN) implementation.Methods: This research is a mix method study using a combination of quantitative and qualitative approaches. Quantitative surveys were conducted with all PCPs already in working collaboration with the Social Security Administering Agency (BPJS) in the Denpasar City area (61 people). Data analysis techniques used descriptive techniques in order to explore the kinds of promotion and preventative services provided by PCPs. Qualitative research was conducted through in-depth interviews of 8 informants selected by purposive sampling and analyzed thematically to discover the enabling and inhibiting factors of the provision of promotive and preventative services by PCPs.Results: The results showed that 91.8% of PCPs did perform promotive and preventative services in their practice site. PCPs who did not carry out promotive and preventative services demonstrate perceptions, beliefs and motivations categorized as low and weak as well as attitudes that do not support the implementation of such services. Enabling factors of promotion and preventative services by PCPs, include among others, quality of facilities and infrastructure, the receipt of awards from BPJS and capitation systems that benefit physicians financially. Inhibiting factors include a low willingness of the patient to carry out doctor's advice, limitations in the PCPs work time and limited funds to perform preventative/promotive services.Conclusions: Promotive and preventative services are not being optimally carried out by PCPs in Denpasar. This is due to the low willingness of the patients, the limited time of the doctor, and the limited allocated funds for promotive and preventative services and low capitation.

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Mitchell, Brian. "Preventative Child Welfare Services in Victoria." Children Australia 13, no. 1 (1988): 10–14. http://dx.doi.org/10.1017/s0312897000001752.

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The idea of prevention in child welfare is not new. The prevention of substitute placement of children whether on a temporary or long-term basis has been a fundamental principle of child welfare we have held to for many years in Victoria.However, it is only in the last decade that this principle is actually being carried out in practice by a number of voluntary agencies. For many children placement is still commonly used as a solution it is easier to place a child than to promote change within many multi-deficit families.

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Hayes, Derren. "Making the case for health visiting." Children and Young People Now 2019, no. 8 (August 2, 2019): 10. http://dx.doi.org/10.12968/cypn.2019.8.10.

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Rogers, Heidi Honegger, and Scott Harpin. "Improving Access to Preventative Health Services at a Small College." Journal for Nurse Practitioners 12, no. 4 (April 2016): e163-e168. http://dx.doi.org/10.1016/j.nurpra.2015.12.004.

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Frohlich, Norman, Randy Fransoo, and Noralou Roos. "Health Service Use in the Winnipeg Regional Health Authority: Variations across Areas in Relation to Health and Socioeconomic Status." Healthcare Management Forum 15, no. 4_suppl (December 2002): 9–14. http://dx.doi.org/10.1016/s0840-4704(10)60176-7.

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The use of healthcare services in Winnipeg is examined to determine whether groups who appear to have a higher need for medical care actually get more care. Despite universal coverage, considerable variation in service use rates exists. Most of the basic healthcare services are provided in accordance with need as measured by premature mortality rates. Nevertheless, visits to specialist physicians, a variety of high profile procedures, and screening and preventative services appear not to be provided in accordance with need.

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Rupp, Richard, Susan L. Rosenthal, and Amy B. Middleman. "Vaccination: An Opportunity to Enhance Early Adolescent Preventative Services." Journal of Adolescent Health 39, no. 4 (October 2006): 461–64. http://dx.doi.org/10.1016/j.jadohealth.2006.04.007.

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FRETTS, R., B. KESSEL, Y. GOMEZCARRON, G. RODMAN, E. MYERS, R. GOLDBERG, and B. SACHS. "Preventative health services received by menopausal minority women: Successes and failures." Obstetrics & Gynecology 93, no. 4 (April 1999): S33. http://dx.doi.org/10.1016/s0029-7844(99)90069-8.

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Khoury, Zana, Mariam Maloyan, Kathleen Conroy, and Alexandra Epee-Bounya. "Improving delivery of preventative care services using population management strategies." BMJ Open Quality 11, no. 2 (May 2022): e001695. http://dx.doi.org/10.1136/bmjoq-2021-001695.

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BackgroundConsistent and timely delivery of comprehensive preventative care services is a challenge, particularly in underserved patient populations. Previous quality improvement (QI) research has focused on the development of bundled measures of preventative services delivery, but these bundles have not been studied on a population level. We aimed to improve preventative care service delivery on a clinic population level through the use of a bundled measure that includes immunisations, lead screening and use of screening tools among underserved patients under 2 years old.MethodsA QI study was conducted at a community-based academic primary care clinic. A population-level bundled measure was adapted from an existing tool. We used plan–do–study–act cycles to optimise results and tracked bundle outcome rates using a p-type statistical process control chart. Interventions included (1) staff education on measure components, (2) introduction of exam room-based phlebotomy to address lead screening completion rates and (3) population management strategies, including development of a patient registry and use of reminders and visit tracking to increase attendance at well-child visits.ResultsThe percent of bundle completion by 14 months of age increased from a baseline of 58%–77% following implementation of the QI initiatives. A mean shift was identified after the population manager began proactive targeted outreach for the 12-month visit.ConclusionTargeted systems for outreach aimed at bringing patients into the clinic and patient-centred strategies for visit completion are effective at ensuring timely delivery of comprehensive preventative care to an underserved paediatric population.

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Chiu, Tzu-Ying. "Predictors of Use of Preventative Health Services for People with Disabilities in Taiwan." International Journal of Environmental Research and Public Health 18, no. 4 (February 9, 2021): 1661. http://dx.doi.org/10.3390/ijerph18041661.

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People with disabilities display less use of preventive health services, such as health examinations, flu vaccinations, Pap smears and breast screening, but evidence has shown that preventive health services can detect or even prevent serious diseases and medical problems. Therefore, identifying the factors associated with the use of preventive health services is important for people with disabilities. This study examined the use of preventive health services by people with disabilities and identified other associated factors for people with disabilities. The research used social demographics and the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) 12 items to measure activity and participation (AP) and other factors; there were 742 people with disabilities recruited with stratified proportional sampling. The data were collected through face-to-face interviews. The findings revealed that the common types of preventive services accessed by people with disabilities were health examinations and flu vaccinations; most of them had only used one preventive health service in the past year. The factors of having caregivers of spouses (OR = 1.74), perceived good health (OR = 1.26), and less limitation of AP (OR = 0.99) were significantly associated with the use of preventive services (p < 0.01). The study found a significant association between having children as caregivers and the non-use of Pap smears and breast screening services among women, providing valuable evidence for the distribution of the use of preventive health services for people with disabilities. Furthermore, the study highlighted the present status of disparities in the use of preventive services for people with disabilities and should encourage a boost in the adjustment of the medical environment and service resource allocation by the Taiwanese government for people with disabilities.

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Camp, Janella, Laura Bernstein, and Julie Hicks Patrick. "WOMEN’S HEALTH: PARADOXICAL HEALTH DISPARITIES AMONG ASIAN AMERICAN WOMEN." Innovation in Aging 6, Supplement_1 (November 1, 2022): 787–88. http://dx.doi.org/10.1093/geroni/igac059.2845.

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Abstract Asian Americans are among the fastest growing ethnic minority groups in the U.S (Budiman & Ruiz, 2017), but women’s healthcare is understudied. This may allow potential health disparities to go unnoticed. Our study aims to determine whether Asian American women are utilizing preventative health care services and to examine relations with self-reported health. We used data from a national sample of American women (Nf 58,934; mean age = 47.3 years; range 18 to 80+) from the 2020 Behavioral Risk Factor Surveillance System (BRFSS) data of the Centers for Disease Control and Prevention (CDC). We examined the recency of receiving a PAP smear, a mammogram, and the HPV test, along with subjective assessments of health. Asian American women reported less recent PAP smears, mammograms, and HPV tests, relative to their counterparts. However, Asian American women reported better general and physical health than non-Asian American women. To examine whether Asian American status contributed to health reports above and beyond that accounted for by the preventative tests and age, we conducted a 3-step hierarchical regression. Even after controls, Asian American status accounted for unique variance in health outcomes [F (1, 58,928) = 36.51, p < .001]. Post hoc exploratory analyses further examine the role of race in women’s preventative health care. Our findings indicate that Asian American women report less use of medical services, but better general and physical health. These results suggest that further studies are needed to explore other health behaviors that may account for better health reports among Asian American women.

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McGraw, Jacquie, Rebekah Russell-Bennett, and Katherine M. White. "Tough but not terrific: value destruction in men’s health." Journal of Service Theory and Practice 30, no. 3 (December 25, 2019): 331–59. http://dx.doi.org/10.1108/jstp-03-2019-0065.

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Purpose The purpose of this paper is to investigate the role of masculine identity in generating value destruction and diminished well-being in a preventative health service. Design/methodology/approach This research used five focus groups with 39 Australian men aged between 50 and 74 years. Men’s participation in the National Bowel Cancer Screening Program informed the sample frame. In total, 12 Jungian male archetypes were used to identify different masculine identities. Findings Thematic analysis of the data revealed three themes of masculinity that explain why men destroy value by avoiding the use of a preventative health services including: rejection of the service reduces consumer disempowerment and emasculation, active rejection of resources creates positive agency and suppressing negative self-conscious emotions protects the self. Research limitations/implications Limitations include the single context of bowel cancer screening. Future research could investigate value destruction in other preventative health contexts such as testicular cancer screening, sexual health screening and drug abuse. Practical implications Practical implications include fostering consumer empowerment when accessing services, developing consumer resources to create positive agency and boosting positive self-conscious emotions by promoting positive social norms. Originality/value This research is the first known study to explore how value is destroyed in men’s preventative health using the perspective of gender identity. This research also is the first to explore value destruction as an emotion regulation strategy.

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Phillips, Lisa, Alison R. Yung, Narelle Hearn, Colleen McFarlane, Mats Hallgren, and Patrick D. McGorry. "Preventative Mental Health Care: Accessing the Target Population." Australian & New Zealand Journal of Psychiatry 33, no. 6 (December 1999): 912–17. http://dx.doi.org/10.1046/j.1440-1614.1999.00613.x.

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Objective: Preventative approaches to mental illness are becoming a focus of clinical and research settings. To date, however, few clinical programs have been established with this primary aim. This descriptive paper summarises patterns of referral to one service providing clinical care for young people known to be at high risk of developing a psychotic illness. Methods and results: A 20-month survey of referrals to the service revealed that most patients had a prolonged and circuitous route to assessment. Additionally, a lengthy time period elapsed between the onset of symptoms and initiation of help seeking. Conclusions: Information arising from this survey may influence the development of strategies to improve access to this service and others aimed at the prevention of psychosis. Further, this information may affect the development of generalised pre-ventative mental health services for young people.

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Hough, Tanya. "Evaluation Of Residential Services For Older Adults With Intellectual Disabilities/Developmental Disabilities Residing In The Community." Gerontology and Geriatric Medicine 6, no. 6 (December 31, 2020): 1–7. http://dx.doi.org/10.24966/ggm-8662/100076.

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People with intellectual disabilities/developmental disabilities in the United States are living longer in recent decades. People 65 and older are in better health than previous decades due to more awareness of the beneficial effects of a healthy diet, preventative medical care and physical exercise.

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Webb, Nicola, and Sidrah Muntaha. "Developing an evaluation model in the Multi-Agency Preventative project." Clinical Psychology Forum 1, no. 159 (March 2006): 32–35. http://dx.doi.org/10.53841/bpscpf.2006.1.159.32.

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This article reflects on our experience of developing and implementing an evaluation model in a multi-agency Child and Adolescent mental health services (CAMHS) team that aimed to prevent mental health problems in Bangladeshi adolescents and provide short-term early intervention.

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Portillo, Erin M., Denise Vasquez, and Louis D. Brown. "Promoting Hispanic Immigrant Health via Community Health Workers and Motivational Interviewing." International Quarterly of Community Health Education 41, no. 1 (January 10, 2020): 3–6. http://dx.doi.org/10.1177/0272684x19896731.

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Hispanic immigrant health disparities are among the highest in the nation, especially related to obesity and access to health services. Healthy Fit (En Forma Saludable) is a health promotion program that leverages public health department infrastructure to address these disparities through the use of three key innovations explored in this article: community health workers (CHWs), motivational interviewing (MI), and vouchers for free preventative health services. CHWs trained in MI conduct a health screening and then distribute preventive service vouchers and health resources as needed based on screening results. Vouchers cover breast, cervical, and colorectal cancer screening, and several vaccinations including flu and human papillomavirus. Resources to support exercise, to support a healthy diet, to quit smoking, and to reduce risky drinking are also distributed as needed. CHWs then use MI to address perceived barriers and strengthen intrinsic motivation to make use of the health resources. Integrating these strategies provides a low-cost approach to promote healthy behavior in an underserved immigrant population.

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Davey, Janet, Judith Herbst, Raechel Johns, Joy Parkinson, Rebekah Russell-Bennett, and Nadia Zainuddin. "The role of health locus of control in value co-creation for standardized screening services." Journal of Service Theory and Practice 30, no. 1 (December 17, 2019): 31–55. http://dx.doi.org/10.1108/jstp-08-2018-0180.

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Purpose Despite the availability and accessibility of standardized screening services, such as preventative health services, many individuals avoid participation. The extant health literature has indicated that health locus of control (HLOC) influences engagement and uptake of health services. The purpose of this paper is to explore how the microfoundation, HLOC, contributes to value co-creation via service-generated and self-generated activities in standardized screening services. Design/methodology/approach A qualitative study of 25 consumers who have experienced one of the three standardized screening services in Australia was undertaken, followed by thematic analysis of the data. Findings Service-generated activities elicit reactive responses from consumers – compliance and relinquishing control – but when customers lead co-creation activities, their active responses emphasize protecting self and others, understanding relationship needs and gaining control. Consumers with high internal HLOC are more likely to take initiative for their health, take active control of the process and feel empowered through participating. Consumers with low internal HLOC, in contrast, require more motivation for participation, including encouragement from powerful others through promotion or interpersonal dialogue. Social implications These findings can be used by policymakers and providers of preventative health services for the betterment of citizen health. Originality/value The integration of the DART framework, customer value co-creation activities, and the delineation of self-generated and service-generated activities provides a holistic framework to understand the influence of HLOC on the co-creation of value in standardized screening services.

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Boričić, Katarina, Danijela Simić, Violeta Rakić, and Nevena Šović. "A study of knowledge, risk perception, preventative behaviours and attitudes regarding COVID-19 pandemic." Glasnik javnog zdravlja 96, no. 3 (2022): 248–61. http://dx.doi.org/10.5937/serbjph2203248b.

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Pandemic of the coronavirus disease (COVID-19) has had a great impact on various aspects of population health. The impact of COVID-19 pandemic on sexual and reproductive health is often neglected. This study was aimed at assessing the impact of the crisis caused by COVID-19 on sexual and reproductive health, sex-related behaviours, access to sexual and reproductive health services and the quality of intrapersonal relationships. The online survey was implemented by the research team of the Institute of Public Health of Serbia "Dr Milan Jovanović Batut", on a single-stage stratified sample of 1006 respondents over the age of 18, in the period from 7 to 14 August 2021, with the support of the Ministry of Health and the Office of the United Nations Population Fund (UNFPA) for Serbia, using the methodology developed by the Academic Network for Sexual and Reproductive Health led by the University of Ghent. Survey results show that the COVID-19 crisis had no major effect on sexual and reproductive health, sexual behaviours and access to sexual and reproductive health services for a vast majority of respondents, except when it comes to access to HIV-testing services, or services for testing for other STIs, as well as services related to cervical and breast cancer screening. A study of knowledge, risk perception, preventative behaviour and attitudes related to the COVID-19 pandemic can contribute significantly to the planning of preventative interventions, primarily in emergency situations, with the final objective of improving sexual and reproductive health of the Serbian population.

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Mahmoudi, Elham, lauren Groskaufmanis, Neil Kamdar, Anam Khan, and Mark Peterson. "Racial-Ethnic Disparities in Access to Preventive Services Among Privately Insured Adults With Disabilities." Innovation in Aging 5, Supplement_1 (December 1, 2021): 546. http://dx.doi.org/10.1093/geroni/igab046.2097.

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Abstract Introduction: Cerebral palsy (CP) and spina bifida (SB) are congenital disabilities. Due to life-long disability, adults with CP/SB are with greater needs for preventative care. Little is known about racial/ethnic disparities in use of preventative services in this population. Our objective was to examine racial/ethnic disparities in use of preventative care. Methods: Using 2007-2017 private claims data, we identified White, Black, and Hispanic adults (18+) with CP/SB [n=11,635; White=8,935; Black=1,457; Hispanic=1,243)]. We quantified the National Institute of Medicine (NAM) definition of disparity by matching health related variables (age, sex, comorbid conditions, and Elixhauser index) between Whites and each minority subpopulation. Generalized estimating equations were used and all models were adjusted for age, sex, comorbidities, income, education, and U.S. Census divisions. Outcomes of interest were: (1) any office visit; (2) any physical therapy/ occupational therapy (PT/OT); (3) annual wellness visit; (4) bone density screening; (5) cholesterol screening; (6) diabetes screening. Results: Rate of recommended services for all adults with CP/SB were low and no significant results were found for most preventative services across race/ethnicity. Compared with Whites, Hispanics had lower odds of annual wellness visit (OR: 0.71; 95% CI: 0.53, 0.96) but higher odds of diabetes screening (OR: 1.48; 95% CI: 1.13, 1.93). Blacks had lower odds of bone density screening (OR: 0.54; 95% CI: 0.31-0.95), and annual wellness visit (OR: 0.50; 95% CI: 0.24-1.00). Conclusions: There were no substantial racial/ethnic disparities in use of preventive services among privately insured adults with CP/SB who had a higher-than-average income and education level.

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Bäckman, Guy. "Health Policy in Finland." International Journal of Technology Assessment in Health Care 4, no. 3 (July 1988): 375–84. http://dx.doi.org/10.1017/s0266462300000337.

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AbstractThis article surveys attempts by the Finnish government to plan and budget health care since the Primary Health Care Act of 1972. A national board of health allocates approved resources to local authorities who develop plans for preventative and primary health care and hospital services. The acquisition of expensive technologies are debated at the national level. The author presents studies which suggest that there is a considerable need for expansion of both diagnostic and therapeutic technologies in Finland. These adjustments will be necessary to meet the needs of an economically, socially, and demographically changing country.

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Haime, Zoë. "Challenges for the non-clinical researcher working in mental health services." PsyPag Quarterly 1, no. 119 (June 2021): 26–28. http://dx.doi.org/10.53841/bpspag.2021.1.119.26.

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Mental health research aims to improve our understanding of illnesses, provide better preventative approaches, enhance diagnosis and treatment strategies, increase our understanding of biological markers of disorders, and progress our knowledge of co-morbidities between physical and mental health. A need exists to engage researchers in undertaking work in this field, however we rarely consider the barriers in place for a non-clinical researcher working in the mental health environment. This article aims to reflect on barriers to conducting research as a non-clinical researcher in a clinical mental health setting and to consider approaches to overcoming these barriers.

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Lynn, Amanda M., Badr Al-Bawardy, Sang Hyoung Park, and Sunanda Kane. "20 LOW DISCUSSION RATES OF PREVENTATIVE HEALTH SERVICES IN INFLAMMATORY BOWEL DISEASE (IBD) PATIENTS." Inflammatory Bowel Diseases 25, Supplement_1 (February 2019): S2. http://dx.doi.org/10.1093/ibd/izy393.003.

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Lynn, Amanda M., Badr Al-Bawardy, Sang Hyoung Park, and Sunanda Kane. "20 LOW DISCUSSION RATES OF PREVENTATIVE HEALTH SERVICES IN INFLAMMATORY BOWEL DISEASE (IBD) PATIENTS." Gastroenterology 156, no. 3 (February 2019): S2—S3. http://dx.doi.org/10.1053/j.gastro.2019.01.047.

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Pharr, Jennifer R., Mary Angela M. Terencio, and Timothy Bungum. "Physical Activity Guidelines Compliance and Its Relationship With Preventative Health Behaviors and Risky Health Behaviors." Journal of Physical Activity and Health 17, no. 10 (October 1, 2020): 1003–8. http://dx.doi.org/10.1123/jpah.2020-0039.

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Background: People who are physically active enjoy a multitude of health benefits across their lifespan compared with people who are not physically active. However, little research has sought to determine whether those who meet the physical activity (PA) guidelines also engage in other healthy behaviors. The purpose of this study was to compare healthy behaviors of people who met the PA guidelines set forth by the U.S. Department of Health and Human Services to those who did not meet the guidelines. Methods: This was a cross-sectional study using data from the Behavioral Risk Factor Surveillance System survey conducted in 2017. Descriptive statistical analyses were performed using chi-square tests. Odds and adjusted odds ratios were calculated using multiple logistic regressions. Results: Those who met the PA guidelines were more likely to get a flu shot, have a medical checkup, take human immunodeficiency virus tests, wear seatbelts, and binge drink more frequently, compared with those who did not meet the guidelines. This group is also less likely to be smokers and be overweight or obese in comparison to their inactive counterparts. Conclusion: The positive association between PA and other healthy behaviors represents synergistic health activities, with healthy behaviors supporting others.

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Rao, Rahul (Tony), and Brian Draper. "Addressing alcohol-related dementia should involve better detection, not watchful waiting." British Journal of Psychiatry 212, no. 2 (February 2018): 67–68. http://dx.doi.org/10.1192/bjp.2017.14.

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SummaryAlcohol-related dementia represents an underrecognised mental disorder with both clinical and public mental health aspects. There is considerable scope for improving its assessment within both mainstream and specialist mental health services, but ongoing challenges remain in ensuring its timely detection so that appropriate preventative and rehabilitative interventions can be applied.Declaration of interestNone.

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Mullan, Leanne, Karen Wynter, Andrea Driscoll, and Bodil Rasmussen. "Preventative and early intervention diabetes-related foot care practices in primary care." Australian Journal of Primary Health 26, no. 2 (2020): 161. http://dx.doi.org/10.1071/py19183.

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The aim of this study was to identify current preventative and early intervention diabetes-related foot care practices among Australian primary care healthcare professionals. A survey was developed to obtain information about preventative and early intervention foot care actions, priorities of care, access and referral to expert multidisciplinary foot care teams and adherence to best-practice diabetes-related foot care recommendations. The survey was distributed to GPs and Credentialled Diabetes Educators (CDEs). Surveys were completed by 10 GPs and 84 CDEs. Only 45% of all respondents reported removing the shoes and socks of their patients with diabetes at a consultation. Eighty-one percent of participants reported having access to specialist multidisciplinary foot care teams. Those in urban settings were significantly more likely to report access than those in rural areas (P=0.04). Median scores indicated that participants did not often utilise specialist teams to refer patients with diabetes-related foot ulceration and Charcot’s neuroarthropathy. Only 16% of participants reported having access to specialist foot care telehealth services; patients with diabetes-related foot ulceration and Charcot’s neuroarthropathy were rarely referred to these services. This study is the first Australian study to elicit information about preventative and early intervention diabetes-related foot care practices by GPs and CDEs working in Australian primary care. In the presence of acute diabetes-related foot complications, primary healthcare practitioners are not always adhering to best practice foot care recommendations. Further studies are required to understand the reasons for this and ensure evidence-based best practice foot care delivery to people with diabetes.

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Edmiston, E. Kale, Cameron A. Donald, Alice Rose Sattler, J. Klint Peebles, Jesse M. Ehrenfeld, and Kristen Laurel Eckstrand. "Opportunities and Gaps in Primary Care Preventative Health Services for Transgender Patients: A Systematic Review." Transgender Health 1, no. 1 (January 2016): 216–30. http://dx.doi.org/10.1089/trgh.2016.0019.

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Tummalapalli, Sri Lekha, and Salomeh Keyhani. "Trends in Preventative Health Services for Veterans with Military Coverage Compared to Non-Military Coverage." Journal of General Internal Medicine 35, no. 4 (October 16, 2019): 1330–33. http://dx.doi.org/10.1007/s11606-019-05377-w.

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Coogan, Leigh Argentieri. "A FEW FOR-PROFIT BUSINESSES’ BATTLE OVER THE AFFORDABLE CARE ACT’S PREVENTATIVE SERVICES MANDATE." Journal of Law and Commerce 32, no. 2 (July 18, 2014): 381–400. http://dx.doi.org/10.5195/jlc.2014.64.

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Under the Patient Protection and Affordable Care Act (ACA), employers are required to provide employees with health plans, which must include FDA, approved contraceptives with no cost sharing. While Health and Humans Services (HHS) revised the regulation to allow for a compromise among religious organizations and non-profits run by religious organizations, private for profit businesses must comply with the ACA even if the business asserts to be founded on religious principles. Several for profit business have sued in district court for an injunction against the requirements. However, a circuit split exists among courts granting preliminary injunctions against the ACA pending a granting of appeal. This note will focus on whether the federal government can compel secular, for profit organizations to provide employee health plans that include contraceptives, the morning after pill and sterilization under the Religious Freedom Restoration Act. Unless the statute or regulation changes, the Supreme Court will likely need to grant certiorari to resolve the issue.

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Slabaugh, Kristen, Shannon Harris, and Samuel Wilcock. "Initiation of Standardized Depression Screening in College Health: A Quality Improvement Project." Journal of Doctoral Nursing Practice 11, no. 2 (October 2018): 143–50. http://dx.doi.org/10.1891/2380-9418.11.2.143.

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Background: Depression is a leading health concern in college health. An on-campus health clinic was identified as conducting complaint-based screening. U.S. Preventative Services Task Force recommends standardized screening in all primary care settings. Objective: To implement a quality improvement project for standardized screening and referral of depressive symptoms and identify factors related to mentoring program interest in a college health clinic. Methods: Demographic survey and Patient Health Questionnaire-2 (PHQ-2) were distributed to students who met inclusion criteria. Positive screens received further intervention with Patient Health Questionnaire-9 (PHQ-9) and immediate evaluation, encouragement of follow-up, or educational handout. Results: Of students receiving primary care services at a college health center, 221 completed demographic surveys, 165 completed the PHQ-2, and eight students received interventions for positive screens. Furthermore, 74.6% of students expressed interest in a mentoring program. Conclusions: The project demonstrates ease of standardized screening in the college health setting without excessive burden to staff or budget. This is a critical preventative care measure for improving early detection and management of depression at college health centers. Implications for Nursing: Initiation of standardized screening on college campuses is a worthwhile investment and should be implemented by registered nurses (RNs) and advanced practice nurses. Support program initiation should be considered to help students with unmanaged symptoms.

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Drielsma, Paul. "Early intervention home visiting: A preventative model to strengthen isolated families." Children Australia 23, no. 1 (1998): 4–11. http://dx.doi.org/10.1017/s1035077200008452.

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Burnside is an agency of the Uniting Church and has a role to facilitate the development of children and families most in need through quality services, research and advocacy. This article describes a home visiting model which was developed and approved for implementation as a three year pilot by Burnside on the Central Coast in NSW, beginning in 1997. The model is described and presented as a format that may be useful to stimulate similar program proposals elsewhere. The model uses paid professionals within the context of a ‘Family Centre’ with a volunteer network to offer ongoing home visiting support to first-time parents facing social and geographical isolation and who have few supports and resources to meet their needs. Importantly, the model relies on close collaboration with Child Health services and a partnership with other community agencies and the local community itself. The model accommodates current debate about the need to break cycles of abuse through positive preventative family support to strengthen families and communities.

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Mumbauer, Jayna, and Viki Kelchner. "Promoting Mental Health Literacy through Bibliotherapy in School-Based Settings." Professional School Counseling 21, no. 1 (January 2017): 1096–2409. http://dx.doi.org/10.5330/1096-2409-21.1.85.

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Considering that one in five children has or has had a mental disorder in a given year (National Institute of Mental Health, 2010), the demand for mental health services within the school setting is immense. Bibliotherapy can serve as a preventative and responsive treatment for increasing mental health literacy within the school setting. The authors review relevant bibliotherapy and mental health literacy research, introduce the concept of mental health literacy in the school setting, and provide counselors and educators with practical tools to implement the concept.

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Solantaus, Tytti, and Sini Toikka. "The Effective Family Programme: Preventative Services for the Children of Mentally Ill Parents in Finland." International Journal of Mental Health Promotion 8, no. 3 (August 2006): 37–44. http://dx.doi.org/10.1080/14623730.2006.9721744.

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Najat Abdrabbo AlYafei and Bushra Naaz Fathima Jaleel. "Preparing to meet the oral health needs of the elderly in Qatar - A model for Domiciliary Oral Health Care Services." World Journal of Advanced Research and Reviews 8, no. 3 (December 30, 2020): 184–91. http://dx.doi.org/10.30574/wjarr.2020.8.3.0459.

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Aging is a natural and irreversible process of life. Oral health of elderly people is an important public health issue and good oral health is an essential part of their health care. Currently, the challenge lies in aligning the existing health system with the needs and preferences of the elderly people. The aim of this article is to propose a model for Domiciliary Oral Health Care Services for elderly in Qatar, wherein a definite pathway for oral care is identified and the Domiciliary Oral Health Care Services program is standardized, from the initial phase of oral assessment, through the oral health promotion and preventative phase until the dental treatment phase. This model will help to deliver oral health care to elderly who may be unable to access or face difficulties to access the dental services in conventional dental clinical settings due to disability, infirmity or old age. It will ensure oral comfort, pain relief, essential oral care and enhancement of oral hygiene for the elderly. Working in collaboration with organizations offering Home Healthcare Services, Domiciliary Oral Health Care Services will help in realization of the shared goal of achieving ‘Healthy Ageing’, holistic health and welfare for the elderly in Qatar. By favoring the policy to initiate the DOHCS as “Essential health services that benefits all elderly people living in Qatar”, the State of Qatar would probably be the pioneer in Middle East region to initiate such a program at National level for improving the oral health of the elderly.

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Walker, Michelle. "Cost Comparison of Treating Uninsured Patients at a Hospital-Based Free Clinic, Emergency Room, and Inpatient Hospitalizations: A Retrospective Chart Review." Clinical Scholars Review 6, no. 1 (2013): 47–52. http://dx.doi.org/10.1891/1939-2095.6.1.47.

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Purpose: The rates of the uncompensated health care services have steadily increased across the nation since 2008. Uninsured individuals are less likely to receive preventative services and are more likely to suffer adverse health outcomes and hospitalization for acute conditions. Providing primary and preventative health care to the uninsured is potentially more cost-effective through free clinics as compared to emergency room (ER) or inpatient care. A retrospective chart review was conducted to compare the cost of treating patients in a free clinic, ER, and inpatient hospitalization at one regional hospital in Pennsylvania. Methods: A descriptive, correlational study was conducted in a rural free clinic and its affiliate hospital in Altoona, Pennsylvania. Patients were selected to participate if they were active patients during the fiscal years of the study. A convenience sample (n = 242) of active clinic patients during the fiscal years of the study was selected for chart review. Consent was obtained to access their records. Medical charts were reviewed for frequency of visits, diagnoses, time, charges of ER, and inpatient hospitalizations for the fiscal years of 2009 and 2010. Direct costs for the free clinic were obtained from the executive director. ER and inpatient hospitalization charges were obtained from the regional hospital chief financial officer. Results/Analysis: The data indicate a decrease in average patient clinic visit cost from 2009 to 2010 from $84 to $74. There was a 54% increase in patient visits within that time frame, with patient comorbidities increasing from 1 in 2009 to 4 in 2010. There was found to be a significant positive correlation between clinic visits, inpatient hospitalizations and ER visits in 2009 and a weaker correlation in 2010. Patients were seen in the clinic 23 times their inpatient visits and 45 times their ER visits in 2010. Conclusion: Implications for practice suggest these clinics can provide primary health care needs to patients without insurance in declining health for a reasonable cost. Overall preventative health care services will decrease ER and inpatient hospitalizations and ultimately health care costs.

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Zalmanovitch, Yair, and Dana R. Vashdi. "The relationship between socio-economic factors and responsiveness gaps in primary, preventative and health promotion services." Health Expectations 18, no. 6 (July 2, 2014): 2638–50. http://dx.doi.org/10.1111/hex.12238.

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Yazel-Smith, Lisa, Heidi L. Hancher-Rauch, and Angelitta Britt-Spells. "Health Educator Perspectives on Seeking Medicaid Reimbursement in Indiana." Health Promotion Practice 22, no. 1 (May 3, 2019): 132–40. http://dx.doi.org/10.1177/1524839919845670.

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Health education is a growing field. However, there is confusion about the role delineation of health education specialists (HES) and other health education (HE) providers. Additionally, recent reimbursement opportunities allow employers to bill for HE services but offer confusing language regarding eligible service-providing professionals. This study surveyed health educators in Indiana to assess knowledge, attitudes, and perceived abilities to bill Medicaid and other insurers for HE services. Using a cross-sectional research design, an original 22-item Web-based questionnaire was developed and distributed to all Certified Health Education Specialist/Master Certified Health Education Specialist (CHES/MCHES) practitioners residing in Indiana. Additional respondents were recruited using a snowball technique, as original respondents asked to share the survey with colleagues. A final data set of 61 respondents was analyzed. All respondents’ organizations provided HE services, with the majority indicating they do not charge and do not bill for HE services. Additionally, 60% of the respondents agreed that HES should be reimbursed for services, and the vast majority believed reimbursement to be important for the field. With recent reimbursement opportunities for HE and preventative health services, it is important that HES advocate for the profession and for potential reimbursement opportunities, such as Medicaid, to enhance the field and support HES jobs.

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Boyers, D., M. van der Pol, V. Watson, T. Lamont, B. Goulao, C. Ramsay, A. Duncan, L. Macpherson, and J. Clarkson. "The Value of Preventative Dental Care: A Discrete-Choice Experiment." Journal of Dental Research 100, no. 7 (February 4, 2021): 723–30. http://dx.doi.org/10.1177/0022034521989943.

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Scale and polish (SP) and oral hygiene advice (OHA) are commonly provided in primary care dental practice to help prevent periodontal disease. These services are widely consumed by service users, incurring substantial cost, without any clear evidence of clinical benefit. This article aims to elicit general population preferences and willingness to pay (WTP) for preventative dental care services and outcomes. An online discrete-choice experiment (DCE) was completed by a nationally representative sample of the UK general population. Respondents each answered 10 choice tasks that varied in terms of service attributes (SP, OHA, and provider of care), outcomes (bleeding gums and aesthetics), and cost. Choice tasks were selected using a pivoted segmented experimental design to improve task realism. An error components panel logit model was used to analyze the data. Marginal WTP (mWTP) for each attribute and level was calculated. In total, 667 respondents completed the DCE. Respondents valued more frequent SP, care provided by a dentist, and personalized OHA. Respondents were willing to pay for dental packages that generated less frequent (“never” or “hardly ever”) bleeding on brushing and teeth that look and feel at least “moderately clean.” Respondents were willing to pay more (+£145/y) for improvements in an aesthetic outcome from “very unclean” (−£85/y) to “very clean” (+£60/y) than they were for reduced bleeding frequency (+£100/y) from “very often” (−£54/y) to “never” (+£36/y). The general population value routinely provided SP, even in the absence of reductions in bleeding on brushing. Dental care service providers must consider service user preferences, including preferences for both health and nonhealth outcomes, as a key factor in any service redesign. Furthermore, the results provide mWTP estimates that can be used in cost-benefit analysis of these dental care services.

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Straus, Lianne, Andy McEwen, and Helen Croker. "Smoking Attitudes and Prevalence of a Somali Population in London." Journal of Smoking Cessation 2, no. 2 (November 1, 2007): 68–72. http://dx.doi.org/10.1375/jsc.2.2.68.

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AbstractThis research examines the prevalence and attitudes of smoking among a Somali population in London. Eight focus groups and 77 assisted questionnaires were conducted. Findings show that there was little knowledge of local smoking cessation services and several themes arose including: the format and ineffective promotion of the United Kingdom National Health Service (NHS) Stop Smoking Services, health prom xotion and ambivalence towards preventative health behaviour. Smoking rates in this Somali population appear to be higher than in the UK general population, and higher still among men over 40 years old and those that regularly use qat. Smoking cessation services for the Somali population may be more popular if there were group clinics and culturally effective promotion of the services. The relationship between qat use and smoking should be considered when targeting services to the Somali population.

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Chien, Shih-Ying, Ming-Chuen Chuang, and I.-Ping Chen. "Why People Do Not Attend Health Screenings: Factors That Influence Willingness to Participate in Health Screenings for Chronic Diseases." International Journal of Environmental Research and Public Health 17, no. 10 (May 17, 2020): 3495. http://dx.doi.org/10.3390/ijerph17103495.

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Background: Chronic diseases are a leading cause of morbidity and mortality worldwide, and preventative screenings are the most effective way to reduce the risk of developing a chronic disease. However, many individuals do not take advantage of preventative screening services for chronic diseases, especially in rural areas. In this study, we investigated (1) the factors that affect people’s willingness to participate in chronic disease screenings and (2) reasons why people have not undergone screening for a chronic disease in the past. Methods: Study participants (aged 30–65 of years age; n = 204) included individuals from four areas in northern of Taiwan that are considered to have a high chronic disease risk. To identify factors that influence willingness to attend health screenings, data were collected by questionnaire. Results: Over 50% of participants (58.33%; n = 119) indicated that they were unaware of community-based screenings for chronic diseases offered by Chang Gung Memorial Hospital, which is one of the top-rated medical centers in Taiwan. Factors that increase willingness to participate in health screenings for chronic diseases include: (1) the convenience of screening site locations; (2) affordability; and (3) other considerations related to healthcare providers and diagnostic facilities (e.g., reputation, degree of modernization, etc.). Conversely, factors that reduce willingness to participate in health screenings include: (1) a belief that one was currently healthy; (2) lack of time; (3) a belief that screening procedures were too complicated to understand; (4) physical pain or negative emotions such as fear, anxiety, embarrassment, pain, and discomfort and, (5) having had a negative experience during a previous health checkup. Conclusions: Our findings demonstrate that health attitudes, sociodemographic factors, and other motivating and preventative factors affect peoples’ willingness to participate in health screenings. The motivating factors and barriers for people to participate in health screening for chronic diseases are very heterogeneous. However, understanding the barriers and motivating factors to health screening would mean that interventions with the purpose of decreasing people’s health risks and reducing deaths and disabilities caused by a chronic illness could be implemented.

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Blount, Ashley J., Charmayne R. Adams, Ann L. Anderson-Berry, Corrine Hanson, Kara Schneider, and Gurudutt Pendyala. "Biopsychosocial Factors during the Perinatal Period: Risks, Preventative Factors, and Implications for Healthcare Professionals." International Journal of Environmental Research and Public Health 18, no. 15 (August 3, 2021): 8206. http://dx.doi.org/10.3390/ijerph18158206.

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Women face risks to their wellbeing during the perinatal period of pregnancy. However, there is a dearth of information on perinatal risk factors within the biopsychosocial paradigm. Emphasis is often placed on biological components associated with pregnancy and women’s health. However, psychological and social determinants of health are integral during the perinatal period, and mental wellness is often a determinant for positive maternal and neonatal health outcomes. This article reviews risk factors of perinatal wellness (e.g., physical and nutritional concerns, trauma, discrimination, adverse childhood events) and highlights protective factors for women in their perinatal period. Healthcare professionals can support perinatal health by focusing on culturally and contextually appropriate research and prevention, providing equal access to sexual and reproductive healthcare information and services, providing quality education and training for helping professionals, and supporting policies for positive sexual and reproductive women’s healthcare.

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Hurley-Kim, Keri, Jeffery Goad, Sheila Seed, and Karl Hess. "Pharmacy-Based Travel Health Services in the United States." Pharmacy 7, no. 1 (December 27, 2018): 5. http://dx.doi.org/10.3390/pharmacy7010005.

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The aim of this paper is to review pharmacy laws and regulations, pharmacist training, clinic considerations, and patient care outcomes regarding pharmacy-based travel health services in the United States. Pharmacists and pharmacies in the United States are highly visible and accessible to the public, and have long been regarded as a source for immunization services. As international travel continues to increase and grow in popularity in this country, there is a pressing need for expanded access to preventative health services, including routine and travel vaccinations, as well as medications for prophylaxis or self-treatment of conditions that may be acquired overseas. In the United States, the scope of pharmacy practice continues to expand and incorporate these preventable health services to varying degrees on a state-by-state level. A literature review was undertaken to identify published articles on pharmacist- or pharmacy-based travel health services or care in the United States. The results of this paper show that pharmacists can help to increase access to and awareness of the need for these services to ensure that patients remain healthy while traveling abroad, and that they do not acquire a travel-related disease while on their trip. For those pharmacists interested in starting a travel health service, considerations should be made to ensure that they have the necessary training, education, and skill set in order to provide this specialty level of care, and that their practice setting is optimally designed to facilitate the service. While there is little published work available on pharmacy or pharmacist-provided travel health services in the United States, outcomes from published studies are positive, which further supports the role of the pharmacist in this setting.

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Dusic, EJ, Deborah J. Bowen, Robin Bennett, Kevin C. Cain, Tesla Theoryn, Mariebeth Velasquez, Elizabeth Swisher, Jeannine M. Brant, Brian Shirts, and Catharine Wang. "Socioeconomic Status and Interest in Genetic Testing in a US-Based Sample." Healthcare 10, no. 5 (May 10, 2022): 880. http://dx.doi.org/10.3390/healthcare10050880.

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Cancer is a significant burden, particularly to individuals of low socioeconomic status (SES). Genetic testing can provide information about an individual’s risk of developing cancer and guide future screening and preventative services. However, there are significant financial barriers, particularly for individuals of low SES. This study used the Early Detection of Genetic Risk (EDGE) Study’s patient baseline survey (n = 2329) to evaluate the relationship between socioeconomic status and interest in pursuing hereditary cancer genetic testing. Analysis was completed for two interest outcomes—overall interest in genetic testing and interest in genetic testing if the test were free or low cost. Many demographic and SES variables were predictors for interest in genetic testing, including education, income, and MacArthur Subjective Social Scale (SSS). After controlling for the healthcare system, age, and gender, having a higher education level and a higher household income were associated with greater general interest. Lower SSS was associated with greater interest in genetic testing if the test was free or low cost. If genetic testing is the future of preventative medicine, more work needs to be performed to make this option accessible to low-SES groups and to ensure that those services are used by the most underserved populations.

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Šuligoj, Metod. "CHARACTERIZATION OF HEALTH-RELATED HOTEL PRODUCTS ON THE SLOVENIAN COAST." Geoadria 25, no. 1 (December 10, 2020): 39–52. http://dx.doi.org/10.15291/geoadria.3158.

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Health services in tourism are usually provided in hotels with complementary offers and centres without accommodation. The focus of this study is on hotels on the Slovenian coast, a traditional health destination. The research is aimed at the identification of hotels that offer health services in order to analyse and determine product clusters; the paper focuses only on the structure of the coastal health products through which providers generate revenue. A total of 25 up-scale, luxury and comfort hotels with health services were identified (population) and included in the analysis. Through qualitative comparative analysis, the following clusters of hotel health products were created: (1) medical therapy, (2) physical activities, (3) spiritual and mental activities, (4) psychological and physical relaxation. The results suggest that hotels should pay attention to constructing complete health-related products by putting more energy into the reinforcement of spiritual activities, and the typical local natural healing factors related to climate and sea. It is also necessary to point out that excessive commercialization should not obscure the primary purpose – to offer preventative and curative programmes to ensure health.

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Smith, David, Paul Newton, Jenni Berlin, and Shirley Barrett. "A community approach to engaging Gypsy and Travellers’ in cancer services." Health Promotion International 35, no. 5 (October 16, 2019): 1094–105. http://dx.doi.org/10.1093/heapro/daz103.

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Abstract While cancer outcomes in the UK have improved, inequalities remain with poorer and some ethnic minority populations experiencing lower survival rates. Research has addressed Gypsies’ and Travellers’ cancer-related beliefs, experiences and practices as part of wider studies but this is the first study in the UK to specifically focus on cancer. Findings suggest that health beliefs and practices are shaped by historical and contemporary social processes and the marginal position of Gypsies and Travellers in the UK society can result in a preference for seeking information and support from within the community. Starting from a health assets perspective, findings indicate that the structure of social relations in Gypsy and Traveller communities could be more widely utilized in health promotion programmes. Developing and extending techniques employed by Gypsy and Traveller Non-governmental Organisations such as community-based interventions and the use of lay health advisers, could be an effective method of health promotion by raising knowledge of cancer, engaging community members in preventative programmes and encouraging earlier access to services.

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Brown, Maria D., Joseph Rausch, and Elise D. Berlan. "Provider Adherence to Preventative Health Care Guidelines in Adolescent Girls Presenting for Well Visit." Clinical Pediatrics 58, no. 3 (November 19, 2018): 295–301. http://dx.doi.org/10.1177/0009922818813571.

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A dearth of research exists examining provider adherence to preventative health care guidelines at adolescent well-care visits. We examined adherence in 3 domains: documentation of sexual activity, documentation of menstrual characteristics, and administration of the human papillomavirus vaccine. We identified electronic health records of a random sample of 124 adolescent girls seen within the hospital-affiliated pediatric primary care clinics from July 1, 2014, to June 30, 2015. Approximately one quarter of the records examined had no documentation of sexual activity. Documentation occurred more frequently in English speakers ( P = .003). Asian girls had the least documentation of sexual activity ( P = .003). Clinicians documented menses characteristics in only 27% of adolescent girls with no documentation noted for Asian adolescents. Over 40% of eligible adolescents did not receive the human papillomavirus vaccine. Only 19.4% of adolescents received all the 3 recommended services. This study demonstrates that adolescent girls are not receiving recommended assessments or care to protect their reproductive health.

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Prescott, Dana. "Weaponizing Clinical Mental Health in Family Justice Courts: Ethical and Legal Minefields." JoFSW 6, no. 1 (March 25, 2022): 22–42. http://dx.doi.org/10.15763/issn.1936-9298.2022.6.1.22-42.

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In child custody litigation, parents engage in complex and iterative patterns of conflict. These patterns may include allegations of interpersonal violence, addiction, mental health disorders, and parental alienation. In such cases, a licensed mental health professional (LMHP) may be providing clinical services for a child. However, the education and training of LMHPs may not include a thorough understanding of risk when exposed to child custody litigation, including ethical complaints and civil lawsuits. This article explores preventative strategies for managing that risk by applying a forensic model for case management when child custody conflict and litigation enters the clinical portal.

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Roberts, Russell, Caroline Johnson, Malcolm Hopwood, Joseph Firth, Kate Jackson, Grant Sara, John Allan, Rosemary Calder, and Sam Manger. "The Potential Impact of a Public Health Approach to Improving the Physical Health of People Living with Mental Illness." International Journal of Environmental Research and Public Health 19, no. 18 (September 17, 2022): 11746. http://dx.doi.org/10.3390/ijerph191811746.

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With already wide disparities in physical health and life expectancy, COVID-19 presents people with mental illness with additional threats to their health: decreased access to health services, increased social isolation, and increased socio-economic disadvantage. Each of these factors has exacerbated the risk of poor health and early death for people with mental illness post-COVID-19. Unless effective primary care and preventative health responses are implemented, the physical illness epidemic for this group will increase post the COVID-19 pandemic. This perspective paper briefly reviews the literature on the impact of COVID-19 on service access, social isolation, and social disadvantage and their combined impact on physical health, particularly cancer, respiratory diseases, heart disease, smoking, and infectious diseases. The much-overlooked role of poor physical health on suicidality is also discussed. The potential impact of public health interventions is modelled based on Australian incidence data and current research on the percentage of early deaths of people living with mental illnesses that are preventable. Building on the lessons arising from services’ response to COVID-19, such as the importance of ensuring access to preventive, screening, and primary care services, priority recommendations for consideration by public health practitioners and policymakers are presented.

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George, Rebecca Kate, and Karen Webster. "The Future of Allied Health leadership in New Zealand-Aotearoa: A literature review." Asia Pacific Journal of Health Management 16, no. 2 (June 27, 2021): 16–27. http://dx.doi.org/10.24083/apjhm.v16i2.743.

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Background: The allied heath, scientific and technical (allied health) workforce is the second largest workforce in New Zealand, providing diagnostic, therapeutic and preventative services. Increasingly consumers present with complex conditions requiring multiprofessional integrated services and a legacy of profession-focused leadership development is being challenged. [1] Future health and disability systems require leaders prepared to lead complex services, less focussed on their professional background and more on understanding their interprofessional services. [2, 3] The Allied health workforce is well placed to lead these systems, providing interprofessional experience, a biopsychosocial lens and collaborative models of practice. Aim: To provide an understanding of the literature and research available that addresses the leadership of healthcare services by allied health clinicians. Methodology: An initial database review was completed using a systematic approach, across CINAHL complete; EBSCO Business; Medline; and EBSCO Health databases from March 2020 to September 2020. An expanded search used Google Scholar and NZ, UK and Australian based government websites to access institutional documents, such as policies, reviews and reports. Results: The review identified an emerging pool of research on allied health leadership in Australia and the UK but a paucity of literature on allied health leadership in New Zealand. Three themes were identified and explored within the article: health leadership frameworks, current state and barriers and enablers identified. Conclusions: Literature advocates for a broader scope of clinicians into strategic leadership roles. Despite evidence of strategic allied health roles in New Zealand there remains a dearth of literature on allied health leadership. To foster and sustain the development of allied health leaders in New Zealand it is important to understand the enablers that impact this process.

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Journal articles on the topic 'Preventative health services'

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