Relevant bibliographies by topics / Health service improvement

Contents

  1. Journal articles
  2. Dissertations / Theses
  3. Books
  4. Book chapters
  5. Conference papers
  6. Reports

Academic literature on the topic 'Health service improvement'

Author: Grafiati
Published: 4 June 2021
Last updated: 1 February 2022

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Journal articles on the topic "Health service improvement"

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HEWISON, ALISTAIR. "Service improvement in health care." Journal of Nursing Management 18, no. 7 (October 2010): 779–81. http://dx.doi.org/10.1111/j.1365-2834.2010.01177.x.

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Shepherd, Nicole, Thomas J. Meehan, Fiona Davidson, and Terry Stedman. "An evaluation of a benchmarking initiative in extended treatment mental health services." Australian Health Review 34, no. 3 (2010): 328. http://dx.doi.org/10.1071/ah09698.

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Aim.To evaluate the effectiveness of a benchmarking initiative in facilitating quality improvement and reform in extended care mental health services. Method.Individual interviews and focus group discussions were conducted with 84 staff in 22 extended care mental health services that had previously participated in a State-wide benchmarking exercise in Queensland, Australia. Results.Staff reported positive outcomes from participation in the benchmarking exercise. Information derived from benchmarking provided a different perspective on the strengths and weaknesses of individual services and an opportunity to learn from peer services. Staff in 86% of the services identified issues that needed to be addressed and 64% of services had implemented one or more service improvement projects in response to shortcomings identified through the benchmarking exercise. Conclusions.The collection and reporting of performance data through a process of benchmarking was successful in facilitating service improvement in most of the participating facilities. Engaging services in all stages of the process was considered useful in converting benchmarking data into knowledge that was able to be applied at the local service level. What is known about the topic?Implementing and maintaining service improvement initiatives in mental health services can be difficult, due to ongoing resource limitations in the sector. Although there is currently a drive to promote benchmarking for mental health services, to date, there has been limited evidence that it leads to sustained service improvements. What does this paper add?This paper reports on an evaluation of a benchmarking initiative in extended treatment mental health services in Queensland, Australia. Six months after implementation, staff reported positive outcomes from participation in the project, and 64% of services had implemented one or more service improvement projects. Engagement of service staff in the process of benchmarking is important to ensure success. What are the implications for practitioners?Benchmarking initiatives can lead to service improvement. It is important to involve staff in the process of benchmarking, from choosing performance indicators and collection of data, to interpretation of the results. Organising events where staff can present findings from the project to their peers provides the opportunity to reflect on the direction of their service and learn from others. In this way, information provided through benchmarking can be converted into knowledge that is applied at the service level.
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Russell, Nicholas C. C., Louise M. Wallace, and Diane Ketley. "Evaluation and measurement for improvement in service-level quality improvement initiatives." Health Services Management Research 24, no. 4 (November 2011): 182–89. http://dx.doi.org/10.1258/hsmr.2011.011010.

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The National Health Service (NHS) in England, as with other health services worldwide, currently faces the need to reduce costs and to improve the quality of patient care. Evidence gathered through effective and appropriate measurement and evaluation, is essential to achieving this. Through interviews with service improvement managers and analysis of comments in a seminar of NHS staff involved in health service improvement, we found a lack of understanding regarding the definition and methodology of both measurement and evaluation, which decreases the likelihood that NHS staff will be competent to commission or provide these skills. In addition, we highlight the importance of managers assessing their organizations' ‘readiness’ to undergo change before embarking on a quality improvement (QI) initiative, to ensure that the initiative's impact can be adequately judged. We provide definitions of measurement for improvement and of evaluation, and propose a comparative framework from which to gauge an appropriate approach. Examples of two large-scale QI initiatives are also given, along with descriptions of some of their problems and solutions, to illustrate the use of the framework. We recommend that health service managers use the framework to determine the most appropriate approach to evaluation and measurement for improvement for their context, to ensure that their decisions are evidence based.
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Griffith, Clive, and Jill Turner. "United Kingdom National Health Service. Cancer Services Collaborative “Improvement Partnership”,." European Journal of Surgical Oncology (EJSO) 30 (September 2004): 1–86. http://dx.doi.org/10.1016/j.ejso.2004.07.010.

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Holehouse, Kelly, Karen Oliver, Gillian Rawlinson, and Hazel Roddam. "Collaborative service delivery to address public health issues within a musculoskeletal setting: evaluation of the Healthy Mind, Healthy Body project." International Journal of Therapy and Rehabilitation 26, no. 11 (November 2, 2019): 1–15. http://dx.doi.org/10.12968/ijtr.2018.00196.

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Background/Aims There is a need for greater focus on public health and its impact on musculoskeletal conditions within healthcare delivery. Physiotherapists are well positioned to support this. Outpatient physiotherapy musculoskeletal services traditionally focus on rehabilitation and physical exercise, yet many service users require support to improve both their mental and physical health. This innovative service improvement aimed to embed integrated health promotion within musculoskeletal physiotherapy service delivery. Methods A physiotherapy-led multidisciplinary team introduced patients to other community-based support services to address wider health needs. Results Service evaluation demonstrated a high uptake of self-referral to community services, validating the potential benefit for musculoskeletal condition management. Positive patient feedback indicates that patients valued the service and were well-supported to engage with health improvement. Conclusions Musculoskeletal physiotherapy services need to consider the wider aspects of health, putting public health at the heart of musculoskeletal service delivery.
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Heavens, David, Joanne Hodgekins, Rebecca Lower, Joanne Spauls, Benjamin Carroll, Brioney Gee, Timothy Clarke, and Jonathan Wilson. "Service user experience of the Norfolk youth service." Mental Health Review Journal 25, no. 1 (February 28, 2020): 85–98. http://dx.doi.org/10.1108/mhrj-03-2019-0008.

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Purpose There is an international drive to improve mental health services for young people. This study aims to investigate service user experience of a youth mental health service in Norfolk, UK. In addition to suggesting improvements to this service, recommendations are made for the development of youth mental health services in general. Design/methodology/approach A mixed-methods approach was used. Quantitative data from satisfaction questionnaires were analysed using descriptive statistics and compared between two time points. A semi-structured interview was used to generate qualitative data. Thematic analysis was used to identify themes in the interview transcripts and triangulation was used to synthesise quantitative and qualitative data. Findings Service users appeared satisfied with the service. Significant improvements in satisfaction were found between two time points. Qualitative analysis identified three main themes that were important to service users, including support, information and personhood. Practical implications Recommendations for the development of youth mental health services are provided. Although these are based on findings from the Norfolk youth service, they are likely to apply to other mental health services for young people. Originality/value Mental health care for young people requires significant improvement. The Norfolk youth service is one of the first services of its kind in the UK. The findings from this study might be helpful to consider in the development of youth mental health services across the world.
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Oyebode, Femi, Giles Berrisford, and Liz Parry. "Commission for Health Improvement and mental health Services." Psychiatric Bulletin 28, no. 7 (July 2004): 238–40. http://dx.doi.org/10.1192/pb.28.7.238.

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The Commission for Health Improvement (CHI) ceased to function at the end of March 2004. This provides the opportunity to review its contribution and achievements as a new body, the Commission for Healthcare Audit and Inspection (CHAI), takes over its functions∗. CHI recently published its assessment of mental health services (http://www.chi.nhs.uk/eng/news/2003/dec/11.shtml). The report is based on the 35 clinical governance reviews, in England and Wales, published between July 2001 and October 2003; two investigations into serious service failures; and a report on safeguarding arrangements for children in England and a self-audit of child protection arrangements. CHI concluded that mental health services lag behind acute health services in developing clinical governance systems and processes that promote high-quality care and continuous improvement. It specifically highlighted the shortages of psychiatrists and in-patient nurses, and the reliance on agency nurses and locum staff; the unsuitability of buildings and facilities; the pressures on in-patient beds; the lack of management capacity and poor information systems; and the low priority given to services for children and older people.
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Kaufman, Naomi, Claire Dewsnap, and Lauren Theaker. "P231 Service improvement review of sexual health service DNA rates." Sexually Transmitted Infections 92, Suppl 1 (June 2016): A97.1—A97. http://dx.doi.org/10.1136/sextrans-2016-052718.279.

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Reay, Rebecca, Michael Robertson, and Cathy Owen. "Interpersonal psychotherapy for postnatal depression: a quality improvement approach." Australasian Psychiatry 10, no. 3 (September 2002): 211–13. http://dx.doi.org/10.1177/103985620201000302.

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Objective: To outline the processes involved in establishing an integrated perinatal mental health service in a public mental health setting. Conclusions: The Australian Capital Territory (ACT) Mental Health Services established a perinatal mental health service based on coordinated, evidence-based treatments. One of the treatment approaches introduced into the service was Interpersonal Psychotherapy, a time-limited, empirically validated therapy for postnatal depression.
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Liang, Rizhong. "URBAN SPORTS SERVICE STRUCTURE FROM THE PUBLIC HEALTH CONTEXT." Revista Brasileira de Medicina do Esporte 27, spe (March 2021): 108–10. http://dx.doi.org/10.1590/1517-8692202127012020_0114.

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ABSTRACT With the improvement of the quality of life, the residents’ requirements for the construction of urban public sports services have gradually improved. In order to improve the current urban public sports service system, this study analyzes the existing public sports service through the construction of public sports service model. The results show that the current construction of public sports service has some defects, such as single construction subject, unbalanced regional development of sports service, lack of perfect performance evaluation mechanism of sports public service, and so on. Therefore, in the process of public sports service construction, we need to pay attention to the diversification of construction subjects, the cultivation of residents’ awareness of physical exercise, the improvement of performance evaluation mechanisms of sports public services, and the broadening of investment channels. These measures can improve the urban public sports service system from the perspective of public health, and create better quality public sports services. This study analyzes the problems existing in the construction of public sports service by building a model, and puts forward some suggestions for improvement, hoping to provide ideas for scholars who study related experiments.
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Dissertations / Theses on the topic "Health service improvement"

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Hardacre, Jeanne E. "Exploring the links between leadership and improvement in the UK National Health Service." Thesis, University of Warwick, 2011. http://wrap.warwick.ac.uk/53648/.

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Whilst the need for leadership in healthcare is well-recognised, there is still a lack of understanding about how leadership contributes to improving healthcare services. The body of knowledge concerning improvement has grown significantly in recent years, but evidence about links between leadership and health services improvement remains poor, especially within the UK National Health Service. It remains unclear how and why leadership is important to service improvement. This thesis describes aspects of a broader study commissioned by The Health Foundation. Firstly, the work aimed to explore the extent to which different types of service improvement require different types of leadership behaviour. Secondly, it aimed to investigate the nature of any links between leadership behaviour and improving services. The work draws on theoretical models and concepts of leadership and improvement in the literature, as well as empirical research in these areas. A typology of healthcare improvement was developed in order to classify different types of improvement work. Data about leadership behaviours were derived from semistructured interviews and using Q-Sort methodology. The study provides insights into which aspects of leadership are used for different types of improvement work. It makes an original and NHS-specific contribution to the literature, providing empirical evidence of how NHS leadership is associated with service improvement. Results highlight the importance of the relational aspects of leadership behaviour in improving NHS services, reinforcing trends in the literature which promote shared and distributed leadership approaches. A model of improvement leadership is proposed, based on the concept of ‘interdependence’. This model could provide the basis for an alternative emphasis in developing leadership in healthcare organisations, away from teaching skills to individuals, towards a collective, team-based approach to leading services with a shared purpose.
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O’Donnell, Barbara Ann. "Quality improvement, or quality care : an ethnographic study of frontline National Health Service staff engagement with a quality improvement initiative." Thesis, University of the West of Scotland, 2018. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.768251.

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Nordin, Annika. "Expressions of shared interpretations - Intangible outcomes of continuous quality improvement efforts in health- and elderly care." Doctoral thesis, Hälsohögskolan, Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare, 2017. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-37302.

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This thesis is anchored in improvement science, the research field of improvement. Improvement science describes and explores improvement in real-life contexts and “system of profound knowledge” (Deming, 2000) is a cornerstone. Performance measures, including their variation over time, are fundamental in the research and evaluation of outcomes of continuous quality improvement efforts (CQI efforts). However, the strong emphasis on operationalisations and measurements risks overshadowing other kinds of outcomes to which CQI efforts can lead. Research has shown that it is advantageous that those performing change have some kind of “sharedness”, e.g. shared cognitions, understanding, knowledge, interpretations or frame of reference. Despite the diversity of concepts and scientific studies, “sharedness” is mainly described as a prerequisite for change. This thesis addresses the call to broaden the scientific approach in improvement science and to take advantage of knowledge developed since Deming's time. It has a point of departure in the presumption that CQI efforts also lead to intangible outcomes; qualitative effects that are not easily captured with traditional performance measures. The concept “Expressions of shared interpretations” is used to study “sharedness” as intangible outcomes. The overall aim with this thesis is to explore Expressions of shared interpretations as intangible outcomes of CQI efforts from the perspective of clinical microsystems and healthcare professionals. The specific aims are to examine and establish how Expressions of shared interpretations develop, influence CQI efforts and change over time. Using a qualitative approach, this thesis comprises four papers, based on three studies. The empirical context is healthcare and welfare organizations providing care: hospital clinics in county councils/regions and nursing homes in municipalities. The studies include time periods from one to three and a half years, totalling six years. Expressions of shared interpretations inherently mean that the methods for data analysis need to be based on commonalities or patterns in the data. In this thesis three methods are used: qualitative content analysis, thematic analysis and directed content analysis. To examine time-related changes, year-to-year comparative analyses of themes and categories are done. To explore Expressions of shared interpretations, different theoretical frameworks are used: team cognitions (Paper 1), sensemaking theory (Paper 2), cognitive shifts (Paper 3) and programme theories (Paper 4). A directed content analysis is applied in a meta-analysis of the results presented in the four papers. The results indicate that Expressions of shared interpretations develop as intangible outcomes of CQI efforts and a general programme theory of CQI efforts in health- and elderly care is developed, illuminating how Expressions of shared interpretations change and influence CQI efforts. The general programme theory incorporates the PDSA cycle and describes the complex, interconnected and continuous development of Expressions of shared interpretations. It also illuminates how Expressions of shared interpretations provide change performers with momentum to engage in forthcoming PDSA cycles and how sensemaking is a central activity. CQI efforts in health- and elderly care are characterised by a “just get on with it” attitude, while in this thesis, thoughtfulness is emphasized. Existing improvement tools support collaboration, creativity and analysis of critical aspects of the operations, yet none of the improvement tools help change performers gain understanding of the CQI effort as such. To address this, this thesis suggests that change performers complement the use of improvement tools with an inquiring mind, that they collaborate in thoughtful dialogues and that leaders function as inquirers. To support this posture, the widely used Model for improvement is complemented with a fourth question: What are our assumptions? The question pinpoints the need to be thoughtful in every step of the CQI effort, not just in the analysis of the problem at hand.
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Gilbert, Nathalie. "Understanding the Process of Patient Engagement in Planning and Evaluation of Health Services: A Case Study of the Psychosocial Oncology Program at the Ottawa Hospital." Thesis, Université d'Ottawa / University of Ottawa, 2018. http://hdl.handle.net/10393/37893.

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The underlying philosophy of patient-centred care (PCC) advocates for patients to have an active role in all areas of their care, including broader areas of the health care system such as planning and evaluation. Despite efforts made in the past decade that would see greater patient engagement, conventional evaluation approaches continue to dominate the landscape in health services evaluation. To date, limited empirical research has examined the effects of patient engagement or the best approach to engage patients (Abelson et al., 2015; Baker, 2014; Baker, Judd, Fancott, & Maika, 2016). Furthermore, a relative lack of collaboration and shared knowledge exists between the evaluation community and health sector in the rapidly developing area of patient engagement and the development of best practices. Consequently, health organizations continue to struggle with how best to involve patients (i.e., process) in health service improvement initiatives, as well as learn from patient experience (Baker, 2014; Baker, Judd, et al., 2016; Luxford et al., 2011). This dissertation responded to some of these challenges and through this intervention study, the specific purpose of the thesis study was to gain a better understanding of the process of patient engagement in planning and evaluation by addressing the following research questions: 1. What are the facilitators and barriers of engaging patients in planning and evaluation of health services and why? 2. What did the process of engagement look like with respect to Cousins and Whitmore’s (1998) three dimensions of collaborative inquiry? 3. What are the observed effects of the engagement process? This longitudinal qualitative case study began with the creation of the Patient and Family Engagement Committee (PFEC) at the Ottawa Hospital Psychosocial Oncology Program (PSOP) and completed an evaluation project over a period of six months. The research study occurred in parallel with the evaluation project and was designed to gain a better understanding of the process of patient engagement and the role that evaluation plays in this context. The study consisted of three phases and data collection relied on multiple sources. Facilitators that influenced the patient engagement process include: accommodating participant needs, commitment, orientation meeting, designated lead with evaluation skills, homework between meetings, and mutual respect. Having a designated lead, mutual respect, and commitment to the project were the three most highly endorsed facilitators at the end of the project. Conversely, barriers identified include time and resources, imbalanced participation, change in health status, and living at a distance. Time and resources was endorsed as the most significant barrier to the patient engagement process across all three phases of the study. Motivations for participant involvement revolved around giving back, improving health services, learning, commitment to research/evaluation, and providing or hearing a unique perspective. The study examined participatory aspects of the focal evaluation using Cousins and Whitmore’s (1998) three fundamental dimensions of process in collaborative approaches to evaluation: stakeholder diversity, control of evaluation process, and depth of participation. Findings revealed that intended benefits of participant involvement included reach to decision-makers, improved health services, increased diffusion of patient/family engagement, improved access/awareness of services, and a follow-up to assess influence of engagement. Participants’ experiences of being involved invoked enthusiasm for the project, were personally rewarding, instilled a sense of optimism that the project would have an influence, closed the loop on healing, contributed to a shift from a personal to broader health care focus, and contributed to learning. Further research is needed to gain a better understanding of the processes involved or evaluation approaches that could contribute to translating patient engagement into improved outcomes. The findings of this study have enhanced understanding of key contributions that patients, family members, health professionals, and evaluators bring to the patient engagement process, and enriched understanding of key facilitators and barriers to ensure successful patient engagement.
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Verma, Swati. "Defining service quality in an outpatient clinic with complex constituency." [Tampa, Fla.] : University of South Florida, 2007. http://purl.fcla.edu/usf/dc/et/SFE0002240.

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Lupaszkoi, Hizden Thomas. "Creating a community of practice to prevent readmissions : An improvement work on shared learning between an intensive care unit and a surgical ward." Thesis, Hälsohögskolan, Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-30244.

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Background ICU readmissions within 72 hours after discharge from the intensive care unit (ICU) is a problem because this leads to higher mortality and longer hospital stays. This is a particular problem for the hospital studied for this thesis because there are only three fully equipped ICU beds available.   Aim To prevent readmissions by introducing nursing rounds as a concept of “communities of practice” (CoP) and to identify supportive and prohibitive mechanisms in the improvement work and knowledge needed for further improvement work in similar settings.   Methods Questionnaires, focus groups, Nelson’s improvement ramp, and qualitative content analysis.   Results There were no readmissions from the participating ward after the nursing rounds started, but the reason for this is not clear. The staff experienced the nursing rounds as valuable and they reported greater feelings of confidence, increased exchange, and use of their own knowledge.   Discussion The findings presented here support that hypothesis that CoP builds knowledge that can improve patient care. The information provided to the participants during the improvement project was identified as the most supportive mechanism for improvement work, and a lack of resources was seen as the most prohibitive mechanism.
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Etheridge, Lucinda. "The trouble with culture : an interpretive case study of organisational culture, learning and quality improvement in the National Health Service." Thesis, University College London (University of London), 2014. http://discovery.ucl.ac.uk/10018723/.

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This interpretive case study investigates the relationship between organisational culture, organisational learning and cultural change in the National Health Service (NHS). Starting from a social constructivist standpoint, it conceives of organisational culture as a dynamic entity, socially and discursively constructed through engagement with surroundings, in contrast to the managerial discourse evident in NHS policy and research literature. The conceptual framework informing the research is based on cultural historical activity theory and a three perspectives theory of organisational culture. This allows exploration of individual and collective learning within the context of organisational social and cultural practice, exploring the organisation at the macro level but also through the lived experiences of individuals. An interprofessional department in an NHS provider organisation was studied for four months as it went through a programme of service improvement. Data was collected and analysed iteratively through a combination of observation, interview, documentary reading and field notes. Analysis using an activity theoretical approach generated a „thick description‟ of the organisation. Organisational stories were analysed to explore meaning making. Findings suggest that organisational culture can be considered a shared epistemic object within fluid networks of activity. Individual and collective learning is linked through practice, mediated by external political motivations and internally generated contradictions. Understandings of professional power play a major part and can lead to unexpected directions of travel. Conceptually, the study shows activity theory to be a useful framework for analysing learning and cultural change in NHS organisations. It adds to the debate on the self and the role of power and contradiction in activity theory through the application of a three perspectives approach to culture. It can help guide practitioners and policy makers in the NHS by encouraging them to rethink their understandings of culture and how cultural change is achieved through mediated practice.
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Eriksson, Per Gustav. "Analysis of Physiotherapists Perceptions for Improvement of Digital Innovation." Thesis, KTH, Medicinteknik och hälsosystem, 2020. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-279129.

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With the current challenges for the healthcare such as increased demand for care, financial and resource constraints along with rapid changes and complexity there is high believe in digital innovation and digitalisation to efficacy resources and aid in delivering a safer, more accessible and patient centred valuable care. There is a digitalisation that is ongoing, being used and implemented over several different areas of healthcare. Since healthcare can be seen as a complex adaptive system, there is a need to understand several agents. The aim is to gather more knowledge about perceptions within the physiotherapy staff and give recommendations and directions for improvements regarding digital innovation. Opinions about digital innovation have been gathered with open interviews and a semisystematic literature review with focus on physiotherapy. Too find subjective data the mixed method Q methodology was applied. The open interviews resulted in eight categories: digital innovation, digital innovation being used, digital innovation not used, management, obstacles, education, wishful thinking, applications and systems and associated opinions. The semi-systematic literature review showed on a rapid scientifically development, 25 articles was found and thematically analysed. 140 cited viewpoints and facts was merged with the results from the open interviews. Ten physiotherapists performed the q-sort consisting of 25 statements. Three factors were found. Interpreted as digital innovation optimism & patient oriented, digital innovation scepticism & management oriented and digital innovation sceptical optimism. Video-call technique is strongly encouraged by factor one contrary to factor two. Integrity is the major conflicting viewpoint between the factors. The result shows that gender can affect if a physiotherapist is either optimistic or sceptical to digital innovation. Using existing models such as UTAUT could improve acceptance about digital innovation. Education is perceived as important among all factors. Nine participants responded on baseline questions showing low knowledge of the term mHealth and little communication with IT departments.
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Karolina, Nord. "Att leva inte bara existera : Att arbeta personcentrerat med sociala aktiviteter på ett äldreboende." Thesis, Hälsohögskolan, Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-34180.

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Personcentrerad omsorg är en del av värdegrunden inom svensk äldreomsorg och har visat sig ha positiva effekter på de boendes välbefinnande och bibehållandet av förmågor. Syftet med förbättringsarbetet: Med stöd av förbättringsmetoder erbjuda de boende en mer personcentrerad omvårdnad genom ett systematiskt och kontinuerligt arbete med individuellt anpassade sociala aktiviteter och reminiscens. Syftet med studien av förbättringsarbetet var att beskriva omsorgspersonalens upplevelser av lärande och förbättringar både i sin arbetssituation och för de boende. Förbättringsarbetets metod mätningar och förbättringsverktyg. Förbättringsidén utgörs av tydliga rutiner för arbetsdagen och för morgonmötet, där individuellt anpassade aktiviteter skall vara inplanerade och genomföras minst en (1) ggr/vecka för varje boende. Studiens metod: Kvalitativ innehållsanalys av skriftliga svar på öppna frågor. Resultat: Vid mätperiodens slut syns en tydlig uppåtgående trend. Dock hade inte ett stabilt resultat med 1 aktivitet/vecka och boende uppnåtts. Alla avdelningar hade nya rutiner för dagen på plats samt en struktur för dagsplaneringen. Det mätinstrument som utvecklats under arbetet används systematiskt som både mät- och planeringsverktyg. Som en del i arbetet har bland annant Reminiscenslådor och Aktivitetsskåp utvecklats på boendet. Studien visade tydliga förbättringar i de boendes välbefinnande. De uppfattas som lugnare, mindre stressade och de uttrycker mindre ensamhet och oro. Omvårdnadspersonalen beskriver också tydliga förbättringar i sin arbetsmiljö, de känner sig mer tillfredsställda då de kan arbeta mer personcentrerat och de upplever bättre teamarbete och mer ordning och reda och struktur med de nya rutinerna på plats. Slutsats: Systematiskt arbete med rutiner kan frigöra tid till att arbeta mer personcentrerat och med att individanpassa de sociala aktiviteter som erbjuds de boende. Tydliga mandat, stöd från ledning samt tydlig coaching av medarbetarna är avgörande faktorer för att lyckas med förändringsarbetet.
Introduction: A quality improvement project was started to provide person-centered care through personalized social activities. The specific aim was to systematically offer residients person-centered care through personalized social activities minimum once a week. The aim of the study was to describe staff's views on learning and improvements both for the residents an in their work situation. Method: The improvement model was used throughout the improvement project. A tool to measure the number of activities in a simple and illustrative way was developed. The case study was conducted through open questions that the staff answered in writing. The material was then analyzed using qualitative content analysis. Results: The results have been going up consistently throughout the whole measuring period. All three sections at the nursing home have implemented new routines and structure for planning the day. The instrument to measure the number of social activities called "Blomman" is now also functioning as a planning tool. Boxes for Reminiscence and lockers with items and various tools for social activities have been installed. The quality improvement gave improvements in the wellbeing of the residents. The staff describes residents as calmer, less stressed and that they express less loneliness. The staff also desbride that they have gotten to know the residents better. The results also show that staff is more satisfied by providingt person-centered care. They work better as a team and have more order and structure and results show a general improvement in the work environment. Conclusion: Implementing routines and structure for planning can be a way of getting more time for the staff to provide more person-centered care. This can be done by individualizing social activities so that they correspond to the residents' needs and interests. To be successful it is essential to have support from the management for a project like this and to be able to support the staff throughout the change process.
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Gertsson, Sara-Marie. "Förbättrad vård efter bristning vid förlossning : En fallstudie om patientdelaktighet." Thesis, Hälsohögskolan, Högskolan i Jönköping, The Jönköping Academy for Improvement of Health and Welfare, 2019. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-46852.

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Bakgrund. Att få en allvarlig bristning i samband med förlossning kan ge kvinnor smärta, lidande, och låg livskvalitet under lång tid. Syfte. Syftet med förbättringsarbetet har varit att förbättra eftervården genom att införa strukturerad uppföljning, öka kvalitén i bedömning och diagnostik, förbättra informationen till patienten och utveckla former för patientdelaktighet i förbättringsarbetet. Syftet med studien har varit att ur ett verksamhetsperspektiv beskriva erfarenheterna av patientdelaktigheten i förbättringsarbetet. Metod. Förbättringsarbetet har designats med hjälp av Förbättringstrappan och utgått från ett patientprocessorienterat perspektiv. Metod för studien var kvalitativ i form av en fallstudie. Resultat. Genom förbättringsarbetet följs kvinnorna upp via bristningsregistret, uppföljningsbesök med 3D- ultraljud görs på en specialinrättad mottagning. Vidare får kvinnorna individuell fysioterapeutinformation innan hemgång, en vårdkedja har införts och former för patientdelaktighet har utformats och använts. Dessa är frågeformulär, intervjuer, workshops och patientföreträdare i förbättringsnätverket. Resultatet från studien visar att formerna för patientdelaktighet ger skilda förutsättningar för delaktigheten. Resultatet visar på betydelsen av organisatoriska förutsättningar, värdet av patientdelaktighet, utmaningar vid införande och vilket reellt inflytande som patientdelaktigheten haft under processen och för resultaten av förbättringsarbetet. Slutsatser. Patientdelaktighet skapar värde i flera dimensioner. Patientdelaktighet behöver designas, anpassas till kontexten och förbättringsarbetets mål och dess syfte behöver vara tydligt uttryckt.
Background. Perineal tears during childbirth can lead to after-delivery complications that leads to great suffering and low quality of life for a long time. Purpose. The purpose has been to improve after-delivery care by systematic follow-up, increasing the quality of diagnostics and management of these women, improving the information for the patient and developing new ways of improving including patients in the improvement work. The purpose of the study has been to study the effect of patient participation in the improvement work. Method. "The improvement ramp" and patient process-oriented perspective has been used to design the improvement work. The method of the study was qualitative in the form of a case study. Results. Follow-up using 3D-ultrasound is introduced. A care chain has been introduced and ways of patient participation have been designed and used. These are questionnaires, interviews, workshops and patient representatives in the improvement network. The results of the study show that the ways of patient participation provide different conditions for participation. The result shows the importance of organizational conditions, the value of patient participation, challenges in the introduction and the real influence that patient participation has had during the process and on the results of the improvement work. Conclusions. Patient-participation in QI creates values in several dimensions. Patient-participation needs to be carefully designed in compliance with context, goals and purpose.
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Books on the topic "Health service improvement"

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1946-, Scott Gail, ed. Service quality improvement: The customer satisfaction strategy for health care. Chicago, Ill: American Hospital Pub., 1994.

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Performance improvement 1995: Evaluation activities of the Public Health Service. [Washington, D.C.?]: The Service, 1995.

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Macleod, Don. Lip Service. New York: Penguin Group USA, Inc., 2009.

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Rawstron, Sara. Quality improvement in the National Health Service: Moving in the right circles?. Wolverhampton: University ofWolverhampton, 1995.

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Lilley, Roy C. Writing investment plans and health improvement programmes: A workbook for the health service and primary care team. Abingdon: Radcliffe Medical Press, 1999.

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Bullivant, John. Introduction to benchmarking for continuous improvement in health and local government: Workbook. Wrexham: Benchmarking reference centre, 1997.

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Gazi, Rukhsana. Functioning of Thana Functional Improvement Pilot Project: Perspectives of managers, service providers, clients, and community. Dhaka: ICDDR,B Centre for Health and Population Research, 2001.

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Kim, Jong-Il. On the further improvement of the health service: Letter to the national conference of health workers, April 21, 1985. Pyongyang, Korea: Foreign Languages Publishing House, 1992.

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Il-sŏng, Kim. On the further improvement of the health service: Letter to the National Conference of Health Workers, April 21, 1985. Pyongyang, Korea: Foreign Languages Pub. House, 1987.

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United States. Congress. House. Committee on Post Office and Civil Service. Federal Employees Benefits Improvement Act of 1985: Report (to accompany H.R. 3384). [Washington, D.C.?: U.S. G.P.O., 1985.

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Book chapters on the topic "Health service improvement"

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Johnson, Julie K., and Deborah Debono. "Process Mapping to Improve Quality in Behavioural Health Service Delivery." In Quality Improvement in Behavioral Health, 109–18. Cham: Springer International Publishing, 2016. http://dx.doi.org/10.1007/978-3-319-26209-3_8.

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McDermott, Aoife, and Mary A. Keating. "Creating a Climate for Service Improvement through Role Structures." In Culture and Climate in Health Care Organizations, 174–84. London: Palgrave Macmillan UK, 2010. http://dx.doi.org/10.1057/9780230274341_15.

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Wei, He, and Liu Qingqing. "Research on Improvement of Community Public Health Service Based on Scientific Decision." In Recent Trends in Decision Science and Management, 217–25. Singapore: Springer Singapore, 2020. http://dx.doi.org/10.1007/978-981-15-3588-8_26.

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Locock, Louise, Glenn Robert, Annette Boaz, Caroline Shuldham, Jonathan Fielden, and Sue Ziebland. "Testing Accelerated Experience-Based Co-design: Using a National Archive of Patient Experience Narrative Interviews to Promote Rapid Patient-Centred Service Improvement." In Patient-Centred Health Care, 173–85. London: Palgrave Macmillan UK, 2013. http://dx.doi.org/10.1057/9781137308931_14.

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Smith, Margaret E., and Jonathan F. Finks. "Collaborative Quality Improvement." In Health Services Research, 137–53. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28357-5_13.

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Rakhmanova Pollard, Nilufar, Igor Semenenko, Uliana Snidevych, Emily Keyes, Roman Yorick, Alyona Gerasimova, and Bruno Bouchet. "Improving HIV Counseling and Testing in Tuberculosis Service Delivery in Ukraine: Profile of a Pilot Quality Improvement Team and Its Scale-Up Journey." In Improving Health Care in Low- and Middle-Income Countries, 209–29. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-43112-9_13.

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Reinke, Caroline E., and Rachel R. Kelz. "Using Data for Local Quality Improvement." In Health Services Research, 79–87. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-28357-5_7.

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Alharethi, Salman, Abdullah Gani, and Mohd Khalit Othman. "Emergency Departments." In Advances in Intelligent Systems and Computing, 341–58. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-030-03405-4_23.

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Abstract Emergency services are essential and any person may require these services at some point in their lives. Emergency services are run by complex management and consist of many different parts. It is essential to establish effective procedures to ensure that patients are treated in a timely fashion. By obtaining real-time information, it is expected that intelligent decisions would be made. Hence, thorough analytics of problems concerning appropriate operational effective management, would help prevent patient dissatisfaction in the future. Mapping studies are utilized to configure and explore a research theme, whereas systematic reviews are utilized to combine proofs. The use of improvement strategies and quality measurements of the health care industry, specifically in emergency departments, are essential to value patients’ level of satisfaction and the quality of the service provided based on patients’ experience. This paper explores and creates momentum with all the methodologies utilized by researchers from 2010 and beyond with the stress on patient fulfillment in the emergency services segment.
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Noyes, Katia, Fergal J. Fleming, James C. Iannuzzi, and John R. T. Monson. "Health Services Information: Data-Driven Improvements in Surgical Quality: Structure, Process, and Outcomes." In Health Services Evaluation, 141–70. New York, NY: Springer US, 2019. http://dx.doi.org/10.1007/978-1-4939-8715-3_8.

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Min, Byung-Won. "Improvement of Mobile U-health Services System." In Communications in Computer and Information Science, 44–51. Berlin, Heidelberg: Springer Berlin Heidelberg, 2011. http://dx.doi.org/10.1007/978-3-642-27204-2_6.

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Conference papers on the topic "Health service improvement"

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Dewi, Ni Putu Juwanita. "The Implementation of Public Service in General Hospital of Sukabumi City, West Java." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.08.

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ABSTRACT Background: A hospital is a facility to provide a health service which is primarily give access to curative health. The demands of the public for better services is a need that must be met by government agencies that provide health services. This study aimed to observe the implementation of public service in general hospital of Sukabumi City West Java. Subjects and Method: This study used a qualitative method using a frame of mind from Edward III’s Policy Theory. The data were conducted by enrolled a tot al of 16 informants. Data were collected through in-depth interviews, observation, and review of documents related to public services at general hospital of Sukabumi city. The data were analyzed descriptively. Results: In this study, the implementation of public services at the general hospital of Sukabumi City had been running well but was not optimal and required improvement in several aspects. There is a need of regular meetings to discuss the implementation of public services, monitoring and evaluation by the board of directors, communication training for hospital staff, especially employees who deal directly with patients and / or patients’ families, repair, improvement of public facilities at the Sukabumi City Hospital, and there should be a special department to coordinate the implementation of public services. Conclusion: The implementation of public services at the general hospital of Sukabumi City has been running well. The optimalization and improvement are needed for this hospital. Keywords: implementation, public service, hospital Correspondence: Ni Putu Juwanita Dewi. RSUD R. Syamsudin, SH General Hospital, Sukabumi, Law College of Pasundan, Sukabumi, 43313, West Java, Indonesia. Email: happynitadewi@gmail.com. Mobile Phone: +62817438713 DOI: https://doi.org/10.26911/the7thicph.04.08
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Fuller, F., and R. Gadsby. "P28 Improving transition for patients with diabetes: a service improvement project." In RCPCH and SAHM Adolescent Health Conference; Coming of Age, 18–19 September 2019. BMJ Publishing Group Ltd, 2019. http://dx.doi.org/10.1136/bmjpo-2019-rcpch-sahm.33.

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Alam, Vardah, Lucia Yin, Hadiya Khan, Laura Tincknell, Emma Wallis, and Gulshan Sethi. "114 Leading a quality improvement project across a London-based sexual health service." 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.114.

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Suswojo, Heru. "IMPROVEMENT OF LABORATORY SERVICE QUALITY OF OUTPATIENT INSTALLATION AT SEMEN GRESIK HOSPITAL BY QUALITY FUNCTION DEPLOYMENT (QFD) METHOD." In International Conference on Public Health. The International Institute of Knowledge Management (TIIKM), 2018. http://dx.doi.org/10.17501/icoph.2017.3213.

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Suryaputra, Dede, and Wibowo Adik. "Analysis of System and Service Management Improvement for Mental Health at Mental Hospitals: A Systematic Review." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph-fp.04.10.

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Suryaputra, Dede, and Wibowo Adik. "Analysis of System and Service Management Improvement for Mental Health at Mental Hospitals: A Systematic Review." In The 6th International Conference on Public Health 2019. Masters Program in Public Health, Graduate School, Universitas Sebelas Maret, 2019. http://dx.doi.org/10.26911/the6thicph.04.55.

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Becerril-Alquicira, A., and M. R. Ortiz-Posadas. "Improvement of the health technology management process of the public Health Service in Morelos using the Six Sigma methodology." In 2010 32nd Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC 2010). IEEE, 2010. http://dx.doi.org/10.1109/iembs.2010.5627370.

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Lombardo, G. J., K. J. McCants, and M. Klein. "Strategies for the Improvement of Quality of Life and Service at the Wellsite." In SPE Health, Safety and Environment in Oil and Gas Exploration and Production Conference. Society of Petroleum Engineers, 1991. http://dx.doi.org/10.2118/23204-ms.

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Charalambides, M., M. Kershaw, J. Pemberton, K. Brock, and T. Barrett. "G436(P) Audit and quality improvement of the national health service England (NHSE) specialised service for children with alstrom syndrome." In Royal College of Paediatrics and Child Health, Abstracts of the RCPCH Conference–Online, 25 September 2020–13 November 2020. BMJ Publishing Group Ltd and Royal College of Paediatrics and Child Health, 2020. http://dx.doi.org/10.1136/archdischild-2020-rcpch.377.

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Hermanto, Hermanto, and Eka Fitri Novita Sari. "Improvement of Service Learning Results for Volley Balls Through Modification of Bola Gebok Traditional Game." In Proceedings of the 5th International Conference on Physical Education, Sport, and Health (ACPES 2019). Paris, France: Atlantis Press, 2019. http://dx.doi.org/10.2991/acpes-19.2019.46.

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Reports on the topic "Health service improvement"

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Frazer, Sarah, Anna Wetterberg, and Eric Johnson. The Value of Integrating Governance and Sector Programs: Evidence from Senegal. RTI Press, September 2021. http://dx.doi.org/10.3768/rtipress.2021.rb.0028.2109.

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As the global community works toward the Sustainable Development Goals, closer integration between governance and sectoral interventions offers a promising, yet unproven avenue for improving health service delivery. We interrogate what value an integrated governance approach, intentionally combining governance and sectoral investments in strategic collaboration, adds to health service readiness and delivery using data from a study in Senegal. Our quasi-experimental research design compared treatment and control communes to determine the value added of an integrated governance approach in Senegal compared to health interventions alone. Our analysis shows that integrated governance is associated with improvements in some health service delivery dimensions, specifically, in aspects of health facility access and quality. These findings—that health facilities are more open, with higher quality infrastructure and staff more frequently following correct procedures after integrated governance treatment—suggests a higher level of service readiness. We suggest that capacity building of governance structures and an emphasis on social accountability could explain the added value of integrating governance and health programming. These elements may help overcome a critical bottleneck between citizens and local government often seen with narrower sector or governance-only approaches. We discuss implications for health services in Senegal, international development program design, and further research.
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Mark, Tami L., William N. Dowd, and Carol L. Council. Tracking the Quality of Addiction Treatment Over Time and Across States: Using the Federal Government’s “Signs” of Higher Quality. RTI Press, July 2020. http://dx.doi.org/10.3768/rtipress.2020.rr.0040.2007.

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The objective of this study was to track trends in the signs of higher-quality addiction treatment as defined by the National Institute on Drug Abuse, the National Institute on Alcohol Abuse and Addiction, and the Substance Abuse and Mental Health Services Administration. We analyzed the National Survey of Substance Abuse Treatment Services from 2007 through 2017 to determine the percent of facilities having the characteristics of higher quality. We analyzed the percent by state and over time. • We found improvements between 2007 and 2017 on most measures, but performance on several measures remained low. • Most programs reported providing evidence-based behavioral therapies. • Half or fewer facilities offered medications for opioid use disorder; mental health assessments; testing for hepatitis C, HIV, and sexually transmitted diseases; self-help groups; employment assistance; and transportation assistance. • There was significant state-level variation across the measures.
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Hayes, Anne M. Assessment as a Service Not a Place: Transitioning Assessment Centers to School-Based Identification Systems. RTI Press, April 2020. http://dx.doi.org/10.3768/rtipress.2020.op.0064.2004.

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The World Health Organization and World Bank (2011) estimate that there are more than 1 billion people with disabilities in the world. To address this population’s diverse needs, the United Nations drafted their Convention on the Rights of Persons with Disabilities (CRPD) in 2006. Article 24 (Education) of the CRPD requires ratifying countries to develop an inclusive education system to address the educational needs of students with disabilities alongside their peers without disabilities. Despite substantive improvements and movement toward inclusive education, many low- and middle-income countries (LMICs) continue to struggle with accurately identifying and supporting students with disabilities, including knowing how to effectively screen, evaluate, and qualify students for additional services (Hayes, Dombrowski, Shefcyk, & Bulat, 2018a). These challenges stem from the lack of policies, practices, and qualified staff related to screening and identification. As a result, many students with less-apparent disabilities—such as children with learning disabilities—remain unidentified and do not receive the academic supports they need to succeed in school (Friend & Bursuck, 2012). This guide attempts to address the lack of appropriate, useful disability screening and identification systems and services as countries look to educate all students in inclusive settings. Specifically, this guide introduces viable options for screening and identification related to vision, hearing, and learning disabilities in inclusive classrooms in LMICs. It also provides guidance on how LMICs can transition from an assessment-center model toward a school-based identification model that better serves an inclusive education system.
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Carrasquilla-Barrera, Alberto, Arturo José Galindo-Andrade, Gerardo Hernández-Correa, Ana Fernanda Maiguashca-Olano, Carolina Soto, Roberto Steiner-Sampedro, and Juan José Echavarría-Soto. Report of the Board of Directors to the Congress of Colombia - July 2020. Banco de la República de Colombia, February 2021. http://dx.doi.org/10.32468/inf-jun-dir-con-rep-eng.07-2020.

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In Colombia, as well as in the rest of the world, the Covid-19 pandemic has seriously damaged the health and well-being of the people. In order to limit the damage, local and national authorities have had to order large sectors of the population to be confined at their homes for long periods of time. An inevitable consequence of isolation has been the collapse of economic activity, expenditure, and employment, a phenomenon that has hit many countries of the world affected by the disease. It is an unprecedented crisis in modern times, not so much for its intensity (which is undoubtedly immense), but because its origin is not economic. That is what makes it so unpredictable and difficult to manage. Naturally, its economic consequences are enormous. Governments and central banks from all over the world are struggling to mitigate them, but the final solution is not in the hands of the economic authorities. Only science can provide a way out. In the meantime, the economic indicators in Colombia and in the rest of the world cause concern. The output falls, the massive loss of jobs, and the closure of businesses of all sizes have become daily news. Added to this, there is the deterioration in global financial conditions and the increase in the risk indicators. Financial volatility has increased and stock indexes have fallen. In the face of the lower global demand, export prices of raw materials have fallen, affecting the terms of trade for producing countries. Workers’ remittances have declined due to the increase of unemployment in developed countries. This crisis has also generated a strong reduction of global trade of goods and services, and effects on the global value chains. Central banks around the world have reacted decisively and quickly with strong liquidity injections and significant cuts to their interest rates. By mid-July, such determined response had succeeded to revert much of the initial deterioration in global financial conditions. The stock exchanges stopped their fall, and showed significant recovery in several countries. Risk premia, which at the beginning of the crisis took an unusual leap, recorded substantial corrections. Something similar happened with the volatility indexes of global financial markets, which exhibited significant improvement. Flexibilization of confinement measures in some economies, broad global liquidity, and fiscal policy measures have also contributed to improve global external financial conditions, albeit with indicators that still do not return to their pre-Covid levels.
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Guidelines for Drinking Water Safety Planning for West Bengal. Asian Development Bank, December 2020. http://dx.doi.org/10.22617/tim200370-2.

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Water safety planning is considered an international best practice for assessing and managing public health risks from drinking water supply systems. Under the West Bengal Drinking Water Sector Improvement Project and in close collaboration with the World Health Organization, the Asian Development Bank assisted in developing these water safety planning guidelines for the state of West Bengal. This document offers practical guidance for taking a water safety planning approach to bulk water supply systems, particularly in developing and implementing the stages of rural drinking water delivery service schemes in India and elsewhere.
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Digital Health Implementation Guide for the Pacific. Asian Development Bank, June 2021. http://dx.doi.org/10.22617/tim210178-2.

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Planning and investing in digital health information systems can lead to improvements in decision-making, patient services, and quality of care. With increased internet connectivity, Pacific island countries have more opportunities to move away from paper-based information systems and connect remote health facilities for greater information exchange. This guide provides resources for those working in health information planning, design, and implementation, including in public health, and includes examples from across the Pacific. The guide makes recommendations on how to achieve a comprehensive and sustainable digital health information system that improves decision-making and, ultimately, improves patient experiences.
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Family Planning Programs for the 21st Century: Rationale and Design. Population Council, 2012. http://dx.doi.org/10.31899/rh11.1016.

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Family planning improves health, reduces poverty, and empowers women. Yet, today, more than 200 million women in the developing world want to avoid pregnancy but are not using a modern method of contraception. They face many obstacles, including lack of access to information and health-care services, opposition from their husbands and communities, misperceptions about side effects, and cost. Family planning programs are among the most successful development interventions of the past 50 years. They are unique in their range of potential benefits, encompassing economic development, maternal and child health, educational advances, and women’s empowerment. Research shows that with high-quality voluntary family planning programs, governments are able to reduce fertility and produce large-scale improvements in health, wealth, human rights, and education. This book is a comprehensive resource for policymakers and donors. It makes the case for increased funding and support of voluntary family planning, and details how to design programs to operate both ethically and effectively.
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National report 2009-2019 - Rural NEET in Hungary. OST Action CA 18213: Rural NEET Youth Network: Modeling the risks underlying rural NEETs social exclusion, December 2020. http://dx.doi.org/10.15847/cisrnyn.nrhu.2020.12.

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In Hungary, NEET Youth are faced with many problems: social exclusion; lack of opportunities (e.g., education, health, infrastructure, public transport, labour market conditions); low so-cio-economic status; and, a lack of relationships outside the enclosed settlements. In Hungary, the most frequent risk factors are: a socio-economically disadvantageous envi-ronment; low levels of education and schooling problems; lack of proper housing; financial problems; learning difficulties; dissatisfaction with the school; socio-emotional disorders; delinquency; health problems; homelessness; and, drug or alcohol abuse. NEET Youth are fa-cing with this multi-dimensional difficulties, regional disparities and a lack of proper services.The general employment statistics have been improving in Hungary since 2010. The emplo-yment rate of the 15-39-year-old population has increased from 53.0% to 62.5% between 2009 - 2019. The employment rate improved in every type of settlement/area. The improve-ment can be attributed to the community work in the marginalised regions micro-regions and settlements. The NEET rate shows a considerable improvement of nearly 40% between 2009 and 2019 in the urban environment for all age groups. A slight improvement can be detected in the towns and urban environment, which amounts to 25% for all age groups between 2009 and 2019. However special services and targeted programmes are required to make a diffe-rence for NEET Youth.
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