To see the other types of publications on this topic, follow the link: Quality health services delivery.
Journal articles on the topic 'Quality health services delivery'
Create a spot-on reference in APA, MLA, Chicago, Harvard, and other styles
Consult the top 50 journal articles for your research on the topic 'Quality health services delivery.'
Next to every source in the list of references, there is an 'Add to bibliography' button. Press on it, and we will generate automatically the bibliographic reference to the chosen work in the citation style you need: APA, MLA, Harvard, Chicago, Vancouver, etc.
You can also download the full text of the academic publication as pdf and read online its abstract whenever available in the metadata.
Browse journal articles on a wide variety of disciplines and organise your bibliography correctly.
1
Leynes, Evelyn A. "QUALITY STUDENT SERVICES DELIVERY FOR MINDORO AND MARINDUQUE STATE COLLEGES." International Journal of Research -GRANTHAALAYAH 7, no. 6 (June 30, 2019): 93–106. http://dx.doi.org/10.29121/granthaalayah.v7.i6.2019.763.
Full textAbstract:
This study looked into the profile of the program implementers in terms of age, sex, and educational attainment, number of years as service practitioners and trainings and seminars attended. Likewise it also covered the assessment on the different institutional programs and services which include admission services, guidance and counseling services, scholarship and financial assistance, food services, health services, library services and student housing. The integration of innovative practices in the delivery of quality student services were also determined. Research design was descriptive with the questionnaire as the main data gathering instrument complemented by interview and focus group discussion. Respondents of the study were 84 program implementers and 331 student leaders in the three state colleges in Mindoro and Marinduque (MIMA) provinces including their satellite campuses. Profile description of the program implementers revealed majority were female, middle –aged between 25-35 years of age, masteral degree holders with at most ten years in service as student service implementers. Attended trainings were relatively few. Further, the program implementers assessed the quality services delivery for admission, guidance and counselling services, scholarship and financial assistance were delivered to a great extent while health, food and library services were rated moderate extent. Housing services were delivered to a slight extent. On the other hand, student leaders rated the quality services delivery of all areas was to a moderate extent. Significant differences in the assessments between program implementers and student leaders were noted in most areas except for student housing services where both concurred delivery to a slight extent. More so, the innovative practices to achieve quality student service delivery were delivered to a moderate extent. Based on the findings, a management plan for quality student service delivery for Mindoro and Marinduque state colleges was prepared. It was recommended that the management plan be reviewed for enhancement and tried for implementation to achieve quality student service delivery.
2
KC, Ashish, Dipendra Raman Singh, Madan Kumar Upadhyaya, Shyam Sundar Budhathoki, Abhishek Gurung, and Mats Målqvist. "Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal." Maternal and Child Health Journal 24, S1 (December 17, 2019): 31–38. http://dx.doi.org/10.1007/s10995-019-02846-w.
Full textAbstract:
Abstract Introduction Nepal has pledged to substantially reduce maternal and newborn death by 2030. Improving quality of intrapartum health services will be vital to reduce these deaths. This paper examines quality of delivery and newborn services in health facilities of Nepal. Methods Data were sourced from the Nepal Health Facility Survey 2015, which covered a national representative sample of health facilities. The datasets were analysed to assess service readiness, availability and quality of delivery and newborn care in a sample of 992 health facilities. Results Of the 992 facilities in the sample, 623 provided delivery and newborn care services. Of the 623 facilities offering delivery and newborn care services, 13.3% offered comprehensive emergency obstetric care (CEmONC), 19.6% provided basic emergency obstetric care (BEmONC) and 53.9% provided basic delivery and newborn service. The availability of essential equipment for delivery and newborn care was more than 80% in health facilities. Except for the coverage of vitamin K injection, the coverage of immediate newborn care was more than 85% in all health facilities. The coverage of use of chlorhexidine ointment to all newborns was more than 70% in government hospitals and primary health care centers (PHCCs) and only 32.3% in private hospitals. Conclusions These findings show gaps in equipment and drugs, especially in PHCCs and private health facilities. Improving readiness and availability of equipment and drugs in PHCCs and private health facility will help improve the quality of care to further reduce maternal and newborn mortality in Nepal.
3
Wangai, Priscilla Nduku, Amos Njuguna, and Joseph Ngugi. "Analysis of health seeking behaviour on effective delivery of health services under capitation scheme in Kenya." International Journal of Research in Business and Social Science (2147- 4478) 8, no. 6 (October 20, 2019): 129–36. http://dx.doi.org/10.20525/ijrbs.v8i6.502.
Full textAbstract:
Under capitation health scheme, a member freely selects a health facility from which to seek health services. There is no restriction of the number of times a member seeks health services from the facility within the contract period. This has affected delivery of health service under capitation contracting. This paper documents a quantitative analysis of the effect of health seeking behaviour on effective delivery of health services. Since human behaviour is assumed to be a natural phenomena, a philosophical view of positivism wаs аdopted in this research. Accordingly, a scientific approach was used to deduce the influence of health seeking behaviour on the metrics of effectiveness. Out of 1152 health facilities accredited to offer primary healthcare in Kenya, data was collected from a sample of 297 health units using closed ended questionnaires. Logit regression analysis on the data revealed that congestion in out-patient department had a negative effect on quality of health services delivered but a positive effect on accessibility and affordability of the services. Increased frequency of consultation had a negative effect on all the three measures of effectiveness; quality, accessibility and affordability of health service delivery. Corresponding odds ratios were 0.173, 1.105 and 1.295 respectively.
4
Wangai, Priscilla Nduku, Amos Njuguna, and Joseph Ngugi. "Health providers’ perspective of effect of copayment on delivery of effective health service under capitation in Kenya." International Journal of Research in Business and Social Science (2147- 4478) 8, no. 5 (August 18, 2019): 136–42. http://dx.doi.org/10.20525/ijrbs.v8i5.460.
Full textAbstract:
Co-payment is an out-of-pocket payment collected by the service provider from members capitated by a health scheme for the purpose of gatekeeping against the misuse of the services. This paper documents an assessment of the effect of copayment on the effectiveness of health services delivered under the capitation scheme in Kenya. The unit of analysis was the 1152 health facilities capitated by the National Hospital Insurance Fund to provide outpatient primary healthcare in Kenya as of July 2015. logit regression was used to analyze the data collected from a sample of 297 capitated health facilities. The Effectiveness of the delivery of health services was evaluated using three metrics; quality, accessibility, and affordability. The regression model for each of the metrics was constructed in order to examine the effect of copayment on the delivery of services. The results revealed that an increment of one unit on copayment increased the index of delivery of quality, accessible and affordable health services by .073, 4.349 and 79.4 respectively. The optimal amount of copayment is determined from the models using theories of calculus.
5
Rao, Dr A. V. Nageswara. "Measuring the influence of Internal Service Quality on Health Care Delivery." International Journal of Trend in Scientific Research and Development Volume-2, Issue-4 (June 30, 2018): 656–62. http://dx.doi.org/10.31142/ijtsrd13048.
Full text
6
Davenport, Tracey A., Vanessa Wan Sze Cheng, Frank Iorfino, Blake Hamilton, Eva Castaldi, Amy Burton, Elizabeth M. Scott, and Ian B. Hickie. "Flip the Clinic: A Digital Health Approach to Youth Mental Health Service Delivery During the COVID-19 Pandemic and Beyond." JMIR Mental Health 7, no. 12 (December 15, 2020): e24578. http://dx.doi.org/10.2196/24578.
Full textAbstract:
The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by mental illness and will face further challenges related to the COVID-19 pandemic, it is crucial to deliver appropriate mental health care to young people as early as possible. Integrating digital health solutions into mental health service delivery pathways has the potential to greatly increase efficiencies, enabling the provision of “right care, first time.” We propose an innovative digital health solution for demand management intended for use by primary youth mental health services, comprised of (1) a youth mental health model of care (ie, the Brain and Mind Centre Youth Model) and (2) a health information technology specifically designed to deliver this model of care (eg, the InnoWell Platform). We also propose an operational protocol of how this solution could be applied to primary youth mental health service delivery processes. By “flipping” the conventional service delivery models of majority in-clinic and minority web-delivered care to a model where web-delivered care is the default, this digital health solution offers a scalable way of delivering quality youth mental health care both in response to public health crises (such as the COVID-19 pandemic) and on an ongoing basis in the future.
7
Gros, Daniel F., Cynthia Luethcke Lancaster, Cristina M. López, and Ron Acierno. "Treatment satisfaction of home-based telehealth versus in-person delivery of prolonged exposure for combat-related PTSD in veterans." Journal of Telemedicine and Telecare 24, no. 1 (September 26, 2016): 51–55. http://dx.doi.org/10.1177/1357633x16671096.
Full textAbstract:
Introduction Although there is growing support that evidence-based psychotherapies (EBPs) delivered in-person and through telehealth are equivalent in terms of symptom reduction for posttraumatic stress disorder (PTSD), there has been far less investigation comparing these treatment modalities in terms of patient satisfaction. The present study investigated participant satisfaction and perception of the quality of service delivery within a clinical trial comparing the delivery of an EBP, Prolonged Exposure (PE) for PTSD, through home-based telehealth and in-person services. Methods Veterans ( N = 67) with PTSD were randomized to receive PE via video telehealth technology ( n = 27) or via in-person delivery ( n = 40). Participants completed service demographic questions, PTSD symptom assessments, and satisfaction and service delivery perception questionnaires. Results Analyses of covariance were used to investigate the influence of treatment modality on patient satisfaction and perceived quality of service delivery, while controlling for demographics and PTSD symptoms. No differences were observed on the majority of measures, with the exception of participants in the telehealth condition endorsing willingness to drive further for telehealth services as compared with participants in the in-person condition. Discussion Findings illustrate participant satisfaction and acceptance of EBPs delivered via telehealth at a level consistent with that of in-person services. Preliminary findings suggest that the experience of receiving telehealth services may be associated with increased willingness to participate in telehealth services again. Together, these findings of patient satisfaction and acceptance of telehealth services support the ongoing delivery of EBPs via telehealth as well as their future expansion.
8
Adhikari, Ramesh Kant. "PHYSICIANS AND PRINCIPLE CENTERED DELIVERY OF HEALTH SERVICES." Journal of Nepal Medical Association 42, no. 145 (January 1, 2003): 44–53. http://dx.doi.org/10.31729/jnma.790.
Full textAbstract:
ABSTRACTHealth is the fundamental right of human beings and the constitution of Nepal also envisages that the statewill follow the policy of developing health of the people to improve their living standards. The nationalhealth policy and the evolution of health services in Nepal reveal that there have been attempts to reach allthe citizens with quality services. Health is defined and understood in different ways by different people.However, health of the population is determined by situation and services outside the purview of healthservices. The extent to which health services can influence health of the people is limited and there aregroups of people who advocate that the physicians be active outside the area of health services and medicalcare to promote health.Ideally the principles that guide the health services are equity, quality, relevance and cost- effectiveness,efficiency and compassion. The values of beneficence, non-malfeasance and autonomy also form thecornerstone of the health services. Review of the current health services in Nepal show that further effortsare needed for our health services to achieve those principles. The health services are yet to reach all thepopulation, there is a variation in the quality of services available at different places of the country. Thereis not much information on the cost-effectiveness of the services. A perusal of the health literature from thedeveloped countries recognize that medical harm is one of the important cause of illness but the similarstudies is lacking in our country. The issue of autonomy is still in infancy in Nepal. There is not muchevidence of efforts for quality assurance of the services available.A functional collaboration between medical education, health services and medical practitioners is expectedto achieve ideal values in the health services. There have been a number of international and nationalefforts to bring changes in medical education, medical practices and health care system to make the healthservices more equitable, relevant, and cost-effective and of high quality. The competences and attitudes thephysicians must have in order to provide principle-centered health services have been identified by a numberof studies. Similarly the ways to achieve those goals through better collaboration among the principalstakeholders as well as what physicians themselves can do with assistance from these stakeholders havebeen suggested.Key Words: medical education, medical practices, professional councils, health services,and principles of health services, equality and heath.
9
Ezekiel, Prince Olueseh. "Comparing data Reported Using the National Health Management Information System and data Declared Validated on the PBF Declaration Forms in Funding Health Districts in Nasarawa State." TEXILA INTERNATIONAL JOURNAL OF PUBLIC HEALTH 9, no. 2 (June 30, 2021): 210–19. http://dx.doi.org/10.21522/tijph.2013.09.02.art019.
Full textAbstract:
The National Health Management Information System (NHMIS) Was Designed To Provide Timely And Reliable Health Service Delivery Information. The Efficiency And Effectiveness Of Health Service Delivery Is Assessed By The Availability Of Quality, Complete And Timely Data. The NHMIS Policy Review Was Initiated By A Consortium Of Relevant Stake Holders Led By The Department Of Planning, Research And Statistics (DPRS) Of The Federal Ministry Of Health (FMOH) And The National Primary Health Care Development Agency (NPHCDA). The Emphasis Of The NHMIS Is To Strengthen The Health Information System-HIS In The Country And Promote The Use Of Quality Information For Evidence-Based Decision-Making At The Community, LGA, And National Levels. In Spite Of Substantial Investments, The Health Sector In Nigeria Has Made Slow Progress In Improving Its Health Indices. Thus The Nigeria State Health Investment Project(NSHIP), Through Support From WHO, Introduced The Performance-Based Financing –PBF Currently Rolled Out In Three States- Adamawa, Nasarawa, And The Ondo States To Deliver A Result-Based Approach To Improve Quantity And Quality Of Health Services Especially In The Area Of Maternal Health. Health Centers Receive Funds Directly Based On The Number Of Essential Services They Delivered And The Improved Quality Of Care. This Encouraged Health Centers To Focus On Delivering Results, And The New Funds Enabled Them To Improve Their Services. This Study Compared Data Reported Using The NHMIS And Declared Validated On The PBF Declaration Forms In Funding Health Facilities In Nasarawa State For Quarter 1 (Jan.- Mar.)2018 And Quarter 2 (Apr. – June) 2018.
10
Nisha, Nabila, Mehree Iqbal, Afrin Rifat, and Sherina Idrish. "Mobile Health Services." International Journal of Asian Business and Information Management 6, no. 1 (January 2015): 1–17. http://dx.doi.org/10.4018/ijabim.2015010101.
Full textAbstract:
Today, information and communication technology (ICTs) are influencing health system development across many developing countries, particularly through the application of mobile communications. As such, there has been an initiation of a new paradigm of mobile health services which has made healthcare delivery more accessible, affordable and effective. However, such service delivery platform has been mainly targeted towards the rural population, so there is growing concerns about its acceptance and future use intentions in the urban areas. The aim of this paper is to examine and critically assess the underlying factors that can influence future use intentions of mHealth services in the context of Bangladesh. The conceptual model of the study identifies that information quality, facilitating conditions, trust and effort expectancy plays an important role in capturing users' overall perceptions of mobile health services. Finally, the study highlights the managerial implications, future research directions and limitations from the perspective of Bangladesh.
11
Khanum, Zohra, Amna Khanum, and Fatima Khanum. "MEDICAL SERVICES." Professional Medical Journal 23, no. 03 (March 10, 2016): 350–53. http://dx.doi.org/10.29309/tpmj/2016.23.03.1487.
Full textAbstract:
A better health care delivery system is dependent on many factors. For effectivehealth delivery, its important to identify those factors. Objectives: This study was conducted tostudy the factors responsible for health care delivery system in a tertiary care hospital. Studydesign: An exploratory study. Period: June 2015 to August 2015. Methods: The study wasconducted at Sir Ganga Ram hospital. Fifty doctors were interviewed on a designed Performato know the medical services quality & its attributes. Results: Quality of health services isinfluenced by the factors related to patients, health care system and factors related to healthcare providers. The factors related to patients were very important as seriousness for seekinghealth services was dependent on these factors. Conclusion: Health services are dependenton multiple factors. Factor related to patient’s attitude towards health services needs to beaddressed.
12
Das, Devika, Lalan Wilfong, Katherine Enright, and Gabrielle Rocque. "How Do We Align Health Services Research and Quality Improvement?" American Society of Clinical Oncology Educational Book, no. 40 (May 2020): 282–91. http://dx.doi.org/10.1200/edbk_281093.
Full textAbstract:
Quality improvement (QI) initiatives and health services research (HSR) are commonly used to target health care quality. These disciplines are increasingly important because of the movement toward value-based health care as alternative payment and care delivery models drive institutions and investigators to focus on reducing unnecessary health care use and improving care coordination. QI efforts frequently target medical error and/or efficiency of care through the Plan-Do-Study-Act methodology. Within the QI framework, strategies for data display (e.g., Pareto charts, run charts, histograms, scatter plots) are leveraged to identify opportunities for intervention and improvement. HSR is a multidisciplinary field of study that seeks to identify the most effective way to organize, deliver, and finance health care to maximize the quality and value of care at both the individual and population levels. HSR uses a diverse set of quantitative and qualitative methodologies, such as case-control studies, cohort studies, randomized control trials, and semistructured interview/focus group evaluations. This manuscript provides examples of methodologic approaches for QI and HSR, discusses potential challenges associated with concurrent quality efforts, and identifies strategies to successfully leverage the strengths of each discipline in care delivery.
13
Daigle, Patrick, and Abraham Rudnick. "Shifting to Remotely Delivered Mental Health Care: Quality Improvement in the COVID-19 Pandemic." Psychiatry International 1, no. 1 (September 22, 2020): 31–35. http://dx.doi.org/10.3390/psychiatryint1010005.
Full textAbstract:
This paper presents an organizational (ambulatory) case study of shifting mental health care from in-person to remote service delivery due to the current (COVID-19) pandemic as a rapid quality improvement initiative. Remotely delivered mental health care, particularly using synchronous video and phone, has been shown to be cost-effective, especially for rural service users. Our provincial specialized mental health clinic rapidly shifted to such remote delivery during the current pandemic. We report on processes and outputs of this rapid quality improvement initiative, which serves a purpose beyond pandemic circumstances, such as improving access to such specialized mental health care for rural and other service users at any time. In conclusion, shifting specialized mental health care from in-person to remotely delivered services as much as possible could be beneficial beyond the current pandemic. More research is needed to optimize the implementation of such a shift.
14
Boland, Billy. "Quality improvement in mental health services." BJPsych Bulletin 44, no. 1 (October 4, 2019): 30–35. http://dx.doi.org/10.1192/bjb.2019.65.
Full textAbstract:
Quality improvement (QI) approaches are becoming increasingly important in the delivery of mental healthcare internationally. They were originally developed in the manufacturing industry, but the principle of having a systematic approach to improvement has spread to many other industries, not least to healthcare. Quality improvement approaches in healthcare were pioneered in the USA at organisations such as Virginia Mason and the Institute for Healthcare Improvement. In recent years, they have become firmly established in mental health services in the UK's National Health Service (NHS). There are a number of different approaches to quality improvement, but two leading models have taken root: ‘lean thinking’ (also known as ‘lean methodology’ or simply ‘lean’), which arose out of Virginia Mason, and the ‘Model for Improvement’, which came out of the Institute of Healthcare Improvement. This article describes these two quality improvement approaches, critiques their philosophy and explores how they can apply in the provision of mental healthcare, particularly with reference to the use of data, evidence and metrics.
15
Turkson, Paa Kobina. "Predictors of Clients' Satisfaction with Delivery of Animal Health Care Services in Periurban Ghana." Veterinary Medicine International 2011 (2011): 1–4. http://dx.doi.org/10.4061/2011/321369.
Full textAbstract:
The study used logistic regression modelling to determine predictors of satisfaction with delivery of animal health care services for 889 clients (livestock and poultry keepers) in periurban Ghana. Of the 15 indicators tested as predictors of satisfaction in this study, 8 were included in the best fit model. These were accessibility, availability of services, service charge, effectiveness, efficiency, quality of services, meeting client needs, and getting help. Efficiency and effectiveness were perceived by the respondents to be synonymous, as were service quality and effectiveness, as suggested by when cross tabulated. Therefore, one or the other could be used in future studies but not both to avoid collinearity. The identified predictors could be targeted for improvement in quality of service delivery to livestock and poultry keepers in Ghana.
16
Hampshire, Rachel D., Victor M. Aguayo, Hamani Harouna, Julie A. Roley, Ann Tarini, and Shawn K. Baker. "Delivery of nutrition services in health systems in sub-Saharan Africa: opportunities in Burkina Faso, Mozambique and Niger." Public Health Nutrition 7, no. 8 (December 2004): 1047–53. http://dx.doi.org/10.1079/phn2004641.
Full textAbstract:
AbstractBackground:In sub-Saharan Africa, underweight and micronutrient deficiencies account for an estimated 25% of the burden of disease. As the coverage of national health systems expands, increased opportunities exist to address the needs of children and women, the most vulnerable to these deficiencies, through high-quality nutrition services.Objectives:To assess health providers' knowledge and practice with regard to essential nutrition services for women and children in Burkina Faso, Mozambique and Niger, in order to assist the development of a standard guide and tools to assess and monitor the quality of the nutrition services delivered through national health systems.Findings:The three surveys reveal the extent of missed opportunities to deliver nutrition services during routine prenatal, postnatal and child-care consultations for the prevention and treatment of highly prevalent nutritional deficiencies.Conclusion:A commitment to improving the quality of facility-based nutrition services is necessary to impact on the health outcomes of women and children ‘covered’ by national health systems. Rigorous assessment and monitoring of the quality of nutrition services should inform health programme and policy development. Building on the lessons learned in these three assessments, Helen Keller International has developed a standard Guide and Tools to assess the quality of the nutrition services delivered through national health systems. These tools can be adapted to assess ongoing nutrition services in health facilities, provide a framework for nutrition programming, inform the development of pre-service as well as in-service nutrition training curricula for providers, and evaluate the impact of nutrition training on providers' practices.
17
Akinbode, James O., Eniola A. Sokefun, and Muideen O. Aremu. "Appraisal of Health Maintenance Organisations’ Performance in the Nigerian Healthcare Service Sector." Journal of Healthcare Engineering 2019 (October 10, 2019): 1–6. http://dx.doi.org/10.1155/2019/6820609.
Full textAbstract:
The quality of healthcare service delivery under the existing health maintenance organisations (HMOs) in Nigeria has been a major concern to enrollees who have contested the value received from their respective HMO accredited hospitals under the program. This paper appraised health maintenance organisations’ performance in the Nigerian healthcare service sector capturing enrollees’ experience on the issues of access, responsiveness, and quality of healthcare service choice to measure the success or failure of the program since inception. The study adopted survey design with three hundred forty enrollees of ten leading HMOs in Nigeria that operate in different parts of Lagos Metropolis. Data collected were analysed with relevant descriptive and inferential statistics while hypotheses tested were at 0.05 level of significance. Findings revealed that HMO accredited hospitals have not ensured adequate access of enrollees to healthcare services, their responsiveness to enrollees’ healthcare requests have not been impressive, and quality of healthcare services to enrollees have also not been excellent. Based on the findings, the study recommends that HMOs and government should improve on monitoring the quality of healthcare service delivery at their accredited hospitals and concluded that the performance of the HMOs in the area of healthcare service delivery is not world class when it comes to access, responsiveness, and quality of service delivery.
18
Bebko, Charlene Pleger. "Consumer Factors Affecting the Delivery of Quality Health Care Services." Health Marketing Quarterly 11, no. 1-2 (February 25, 1994): 19–42. http://dx.doi.org/10.1300/j026v11n01_04.
Full text
19
Green, Claudia G., Marian Harrison, Kamali Henderson, and Alice Lenihan. "Total Quality Management in the Delivery of Public Health Services." Journal of Public Health Management and Practice 4, no. 5 (September 1998): 72–81. http://dx.doi.org/10.1097/00124784-199809000-00011.
Full text
20
Bellehsen, Mayer, Jacqueline Moline, Rehana Rasul, Kristin Bevilacqua, Samantha Schneider, Jason Kornrich, and Rebecca M. Schwartz. "A Quality Improvement Assessment of the Delivery of Mental Health Services among WTC Responders Treated in the Community." International Journal of Environmental Research and Public Health 16, no. 9 (April 30, 2019): 1536. http://dx.doi.org/10.3390/ijerph16091536.
Full textAbstract:
The World Trade Center Health Program (WTCHP) provides mental health services through diverse service delivery mechanisms, however there are no current benchmarks to evaluate utilization or quality. This quality improvement (QI) initiative sought to examine the delivery and effectiveness of WTCHP mental health services for World Trade Center (WTC) responders who receive care through the Northwell Health Clinical Center of Excellence (CCE), and to characterize the delivery of evidence-based treatments (EBT) for mental health (MH) difficulties in this population. Methods include an analysis of QI data from the Northwell CCE, and annual WTCHP monitoring data for all responders certified for mental health treatment. Nearly 48.9% of enrolled responders with a WTC-certified diagnosis utilized treatment. The majority of treatment delivered was focused on WTC-related conditions. There was significant disagreement between provider-reported EBT use and independently-evaluated delivery of EBT (95.6% vs. 54.8%, p ≤ 0.001). EBT delivery was associated with a small decrease in Posttraumatic Stress Disorder (PTSD) symptoms over time. Providers engaged in the process of data collection, but there were challenges with adherence to outcome monitoring and goal setting. Data from this report can inform continued QI efforts in the WTCHP, as well as the implementation and evaluation of EBT.
21
Gauly, Julia, Jonathan Ross, Isobel Hall, Irekanmi Soda, and Helen Atherton. "Pharmacy-based sexual health services: a systematic review of experiences and attitudes of pharmacy users and pharmacy staff." Sexually Transmitted Infections 95, no. 7 (August 5, 2019): 488–95. http://dx.doi.org/10.1136/sextrans-2019-054096.
Full textAbstract:
BackgroundPharmacies are increasingly providing services related to contraception and STIs. Identifying pharmacy staff’ and users’ experiences and attitudes relating to sexual health services is critical to understand users’ needs and examining how pharmacy staff can most effectively contribute to patient-centred care. This systematic review aimed to examine pharmacy staff and pharmacy users’ experiences and attitudes towards the delivery of a large range of sexual health services.MethodsSeven electronic databases and the reference lists of all included studies were searched in September 2018. Studies giving insight into pharmacy users’ and pharmacy staff’s experiences and attitudes towards the delivery of services related to contraception and STIs were included. The Mixed Methods Appraisal Tool was used to assess the quality of included studies and a narrative synthesis applied to analyse evidence.ResultsNineteen studies were included. Eleven studies looked at pharmacy staff, four at users and four at both groups. Users found services accessible and convenient and staff found service provision feasible. However, several barriers to service delivery were identified including lack of privacy for delivering services, lack of trained staff available to provide services and subjective judgements being made on who should be provided or offered a service.DiscussionBarriers to service delivery need to be addressed to allow pharmacies to deliver their full potential. Future research on pharmacy-based gonorrhoea and syphilis screening, and hepatitis B vaccination is needed.PROSPERO registration numberCRD42018106807.
22
Benowitz, Stephen C. "New Age Personnel — Quality Service Delivery in Changing Times." Public Personnel Management 23, no. 2 (June 1994): 181–85. http://dx.doi.org/10.1177/009102609402300201.
Full textAbstract:
Many organizations must re-evaluate the manner in which personnel services are delivered to customers. Growing demands and increasing responsibilities placed on personnel offices have changed the nature of their work. Fiscal constraints have led to cutbacks in available staff to meet these needs. Larger organizations may have to re-evaluate the structure and responsibilities of centralized vs. decentralized systems. The National institutes of Health (NTH) is a large organization (19,000 employees) with a decentralized personnel services program. New responsibilities placed on the program (e.g., ethics, federal government recruitment and hiring regulations) and reduced resources have led to a re-examination of the services that customers need most, and of the level of the organization that is most effective in providing the service. Using focus groups, NIH identified a number of critical areas of personnel service delivery; me ten most critical are being reviewed by TQM teams. Each team will recommend the most appropriate organizational level to provide the service and will identify ways to simplify procedures (including automation) for both personnel offices and customers. This article will discuss the approach used at NTH and provide information on the results that have been accomplished to date.
23
Komashie, A., and P. J. Clarkson. "REQUIREMENTS FOR DIAGRAMING IN THE DESIGN OF MENTAL HEALTH DELIVERY SERVICES." Proceedings of the Design Society: DESIGN Conference 1 (May 2020): 1959–68. http://dx.doi.org/10.1017/dsd.2020.166.
Full textAbstract:
AbstractDelivering good quality mental health services remains a top priority in the English National Health Service (NHS). An approach to designing better delivery systems that takes into account the complexities of mental health services is highly desirable. This paper follows previous work that have sought to identify the key components of mental health delivery systems and explored the nature of the relationships between them. The paper presents the results of a qualitative thematic analysis of the requirements for diagrams as tools for describing and representing delivery systems in mental health.
24
Syovinya Muteti, Marinah. "Influence of Organizational Change on Public Health Maternal Health Care Service Delivery in Kitui County (A Survey of Level 4 Hospitals in Kitui County)." Journal of Public Policy & Governance 5, no. 2 (August 5, 2021): 84–100. http://dx.doi.org/10.53819/81018102t1001.
Full textAbstract:
The County Governments in Kenya are faced with poor service delivery especially in the provision of maternal health care services. Maternal health care services in public hospitals are not meeting up to the quality standard as outlined by the Ministry of Health in Kenya. The paper sought to determine the influence of leadership and universal health coverage on public health maternal health care in Kitui County. This study was guided by Transformational Leadership Theory and Theory X & Y. The study focused on 11 public hospitals providing maternity services in Kitui County. The target population of the study was 203 health officers that include 26 doctors, 10 specialists, 41 clinical officers and 126 nurses across the 13 level 4 hospitals providing maternity services in Kitui County. Data was collected by use of structured closed ended questionnaire. Data analysis was conducted using SPSS Version 25.0 Software. Pearson Correlation showed that leadership and universal health coverage have a positive correlation with public health maternal health care service delivery. Model summary results indicated that leadership and universal health coverage explain 52.1 percent of public health maternal health care service delivery. Coefficient regression revealed that coefficient of leadership has appositive and significant influence (β=.203, p=.001<0.05) on and public health maternal health care service delivery. It was also found that coefficient of Universal Health Coverage and public health maternal health care service delivery have a positive and significant relationship (β=.662, p=.000<0.05). The study concludes that leadership is one of the key health systems factors affecting the performance of maternal health services at facility level. Conclusion can be made further that universal health coverage improves public health maternal health care service delivery. The study recommends for the need of maternal health care providers to review their leadership guidelines and styles with aim of enhancing quality of leadership in the management of hospitals. Though universal health coverage is on trial, the study recommends for the need to adequately support the implementation of universal health coverage.
25
Pbert, Lori, Jane Zapka, Denise G. Jolicoeur, Mary Jo White, Karin Valentine Goins, George Reed, and Judith K. Ockene. "Implementing State Tobacco Treatment Services." Health Promotion Practice 12, no. 6 (May 13, 2011): 802–10. http://dx.doi.org/10.1177/1524839910376035.
Full textAbstract:
This case study was conducted between 2000 and 2003 to examine the implementation of community based tobacco treatment programs funded by the Massachusetts Department of Public Health Tobacco Control Program (MTCP). Four dimensions of implementation, drawn from several models of program evaluation are explored: (a) quantity of services, (b) quality of services, (c) implementation/use of systems, and (d) sustainability. The quantity of services delivered was high, reflecting MTCP’s focus on increasing availability of services, particularly in underserved populations. The quality of physician-delivered tobacco intervention did not meet national benchmarks for delivery of all 5As (Ask, Advise, Assess, Assist, Arrange follow-up) and only about half of organizations reported routine systems for auditing tobacco use documentation. Implementation of systems to identify tobacco users and deliver tobacco treatment varied widely by community health settings, with low rates of tobacco use documentation found. Finally, in an era of greater competition for scarce prevention dollars, sustainability of services over time must be planned for from the outset, as indicated by the success of programs that sustained services by proactively and creatively incorporating tobacco treatment into their organizations. This case study can inform states’ policies in their design of tobacco treatment services in community health settings.
26
Oluoch-Aridi, Jackline, Francis Wafula, Gilbert Kokwaro, and Mary B. Adam. "‘We just look at the well-being of the baby and not the money required’: a qualitative study exploring experiences of quality of maternity care among women in Nairobi’s informal settlements in Kenya." BMJ Open 10, no. 9 (September 2020): e036966. http://dx.doi.org/10.1136/bmjopen-2020-036966.
Full textAbstract:
ObjectiveTo examine how women living in an informal settlement in Nairobi perceive the quality of maternity care and how it influences their choice of a delivery health facility.DesignQualitative study.SettingsDandora, an informal settlement, Nairobi City in Kenya.ParticipantsSix focus group discussions with 40 purposively selected women aged 18–49 years at six health facilities.ResultsFour broad themes were identified: (1) perceived quality of the delivery services, (2) financial access to delivery service, (3) physical amenities at the health facility, and (4) the 2017 health workers’ strike.The four facilitators that influenced women to choose a private health facility were: (1) interpersonal treatment at health facilities, (2) perceived quality of clinical services, (3) financial access to health services at the facility, and (4) the physical amenities at the health facility. The three barriers to choosing a private facility were: (1) poor quality clinical services at low-cost health facilities, (2) shortage of specialist doctors, and (3) referral to public health facilities during emergencies.The facilitators that influenced women to choose a public facility were: (1) physical amenities for dealing with obstetric emergencies and (2) early referral to public maternity during antenatal care services. Barriers to choosing a public facility were: (1) perception of poor quality clinical services, (2) concerns over security for newborns at tertiary health facilities, (3) fear of mistreatment during delivery, (4) use of unsupervised trainee doctors for deliveries, (5) poor quality of physical amenities, and (6) inadequate staffing.ConclusionThe study provides insights into decision-making processes for women when choosing a delivery facility by identifying critical attributes that they value and how perceptions of quality influence their choices.
27
Nguyen, Phuong, Long Khuong, Priyanjana Pramanik, Purnima Menon, Sk Masum Billah, Ellen Piwoz, and Hannah Leslie. "Quality-Adjusted Coverage of Nutrition Interventions Across the Continuum of Care: Insights from Household and Health Facility Data in Bangladesh." Current Developments in Nutrition 4, Supplement_2 (May 29, 2020): 254. http://dx.doi.org/10.1093/cdn/nzaa043_105.
Full textAbstract:
Abstract Objectives Improving the impact of nutrition interventions requires adequate measurement of both reach and quality of interventions, but limited evidence exists on advancing coverage measurement. We adjust crude health coverage estimates, taking into consideration the inputs required to deliver quality nutrition services, across the continuum of care in Bangladesh. Methods We used data from Bangladesh Demographic and Health Surveys 2014 to assess use of maternal and child health services and Service Provision Assessments 2014 to determine facility readiness to deliver nutrition interventions during antenatal (ANC), institutional delivery, and postnatal care (PNC). Service readiness was computed as the mean availability of four nutrition-specific inputs, capturing human resources and training, equipment, diagnostics, and medicines. Crude coverage was combined with service readiness to create a measure of input-adjusted nutrition coverage at the national and regional levels, across place of residence, and by maternal educational and household socio-economic quintiles. Results Crude coverage varied, with greater use of any ANC (79%) and postnatal care (61–81%), than institutional delivery (37%). Nutrition service readiness was lower than crude coverage at each time point, such that nutrition input-adjusted coverage was 45% for ANC, 25% for institutional delivery, and 38–49% for preventive and sick child postnatal care, respectively. Input-adjusted coverage varied by 10–22 percentage points (pp) between regions within the country. Inequalities in input-adjusted coverage were large during ANC and institutional delivery (12–17 pp between urban and rural areas, ∼17pp between low and high education, and 30–36pp between highest and lowest wealth quintiles), and less variable for postnatal care (<10%). Conclusions Nutrition input-adjusted coverage was suboptimal and varied sub-nationally and across the continuum of care in Bangladesh. Special efforts are needed to improve the reach as well as the quality of health and nutrition services to achieve the Sustainable Development Goals. Funding Sources Bill & Melinda Gates Foundation through A4NH.
28
Bakar, Rukia Rajab, Rachel N. Manongi, and Blandina T. Mmbaga. "Health Facility Capacity to Provide Maternal and Newborn Healthcare Services in Unguja." Global Journal of Health Science 11, no. 10 (August 20, 2019): 120. http://dx.doi.org/10.5539/gjhs.v11n10p120.
Full textAbstract:
Globally, every year 529,000 maternal deaths occur, 99% of which in developing countries with majority being in Sub-Saharan Africa. Maternal, Newborn and Child Health (MNCH) services depend on the accessibility, availability and quality of antenatal care (ANC), delivery and postnatal services. The aim of this study was to assess the health facilities’ capacity and readiness to provide MNCH services in Unguja Island, Zanzibar.
A facility-based cross-sectional survey was conducted from May to June 2015 at public health facilities providing MNCH services. Data was collected by using the modified Service Availability and Readiness Assessment tool.
Eighteen health facilities were assessed, two-thirds (66.7%, n = 12) of which were offering both maternity and reproductive and child health (RCH) services, 4 (22.2%) RCH services only, and 2 (11.1%) maternity services only. Readiness score for ANC services was 66% with high readiness scores in diagnostics services (89%) and equipment (69%). Overall, 14% offered all seven signal functions. Overall, delivery service readiness score was 48%. Overall readiness for comprehensive emergency obstetric and neonatal care services was 13%. Staff training and guidelines readiness score was 11%, while medicine and commodities score was 9%.
The health facilities’ readiness in providing MNCH services remains inadequate in Unguja Island. Readiness in providing services was low for delivery and emergency obstetric and neonatal care services. Basic and advanced delivery services need to be improved in parallel with provision of necessary equipment, medicines and commodities and staff training for better MNCH service delivery.
29
Nguyen, Phuong Hong, Long Quỳnh Khương, Priyanjana Pramanik, Sk Masum Billah, Purnima Menon, Ellen Piwoz, and Hannah H. Leslie. "Effective coverage of nutrition interventions across the continuum of care in Bangladesh: insights from nationwide cross-sectional household and health facility surveys." BMJ Open 11, no. 1 (January 2021): e040109. http://dx.doi.org/10.1136/bmjopen-2020-040109.
Full textAbstract:
IntroductionImproving the impact of nutrition interventions requires adequate measurement of both reach and quality of interventions, but limited evidence exists on advancing coverage measurement. We adjusted contact-based coverage estimates, taking into consideration the inputs required to deliver quality nutrition services, to calculate input-adjusted coverage of nutrition interventions across the continuum of care from pregnancy through early childhood in Bangladesh.MethodsWe used data from the 2014 Bangladesh Demographic and Health Surveys to assess use of maternal and child health services and the 2014 Service Provision Assessment to determine facility readiness to deliver nutrition interventions. Service readiness captured availability of nutrition-specific inputs (including human resources and training, equipment, diagnostics and medicines). Contact coverage was combined with service readiness to create a measure of input-adjusted coverage at the national and regional levels, across place of residence, and by maternal education and household socioeconomic quintiles.ResultsContact coverage varied from 28% for attending at least four ANC visits to 38% for institutional delivery, 35% for child growth monitoring and 81% for sick child care. Facilities demonstrated incomplete readiness for nutrition interventions, ranging from 48% to 51% across services. Nutrition input-adjusted coverage was suboptimal (18% for ANC, 23% for institutional delivery, 20% for child growth monitoring and 52% for sick child care) and varied between regions within the country. Inequalities in input-adjusted coverage were large during ANC and institutional delivery (14–17 percentage points (pp) between urban and rural areas, 15 pp between low and high education, and 28-34 pp between highest and lowest wealth quintiles) and less variable for sick child care (<2 pp).ConclusionNutrition input-adjusted coverage was suboptimal and varied subnationally and across the continuum of care in Bangladesh. Special efforts are needed to improve the reach as well as the quality of health and nutrition services to achieve the Sustainable Development Goals.
30
Dawson, Angela J., Kumuda Wijewardena, and Ellie Black. "Health and education provider collaboration to deliver adolescent sexual and reproductive health in Sri Lanka." South East Asia Journal of Public Health 3, no. 1 (January 18, 2014): 42–49. http://dx.doi.org/10.3329/seajph.v3i1.17710.
Full textAbstract:
The complex nature of adolescent sexual and reproductive health (ASRH) determinants demands a multidisciplinary and intersectoral approach. Collaborative approaches are central to the delivery of quality health care and services but the focus is often health sector specific. Few research studies have explored the views and experiences of health workers and teachers and examined how ASRH services and information are provided by professionals across the education and health sector. Sri Lanka has made considerable progress towards addressing the Millennium Development Goals (MDG), however, there are still gaps reflected in adolescent health, social indicators, and the delivery of services. Enhancing the collective efforts of teachers and health professionals may help to improve the quality and use of services and ASRH knowledge. This study aimed to identify the experiences, needs, knowledge, attitudes and practices of primary healthcare and education professionals and the strategies that best support them to deliver sexual and reproductive health information, education, counseling and clinical services to Sri Lankan adolescents. Qualitative and survey data were gathered from 65 nurses, midwives, public health inspectors, medical officers, teachers, counselors and principals in the district of Kalutara. Knowledge, attitudes and service gaps were identified in relation to contraception and policy guiding practice. Participants highlighted concerns with confidence, roles and training that were said to affect student access to appropriate health services. ASRH Collaborative practices were noted across the sectors and strategies suggested for improvement. Findings suggest that inter-professional educa-tion and training may provide opportunities to enhance collaboration supported and guided by appropriate policy, supervision and job descriptions (i.e. roles and responsibilities). South East Asia Journal of Public Health 2013; 3(1): 42-49 DOI: http://dx.doi.org/10.3329/seajph.v3i1.17710
31
Skorin-Kapov, Lea, Ognjen Dobrijevic, and Domagoj Piplica. "Towards Evaluating the Quality of Experience of Remote Patient Monitoring Services." International Journal of Mobile Human Computer Interaction 6, no. 4 (October 2014): 59–89. http://dx.doi.org/10.4018/ijmhci.2014100104.
Full textAbstract:
The applicability of advanced mobile technologies in the m-Health domain has led to a number of studies and (limited) commercial products supporting delivery of health services to remote users. A key issue regarding successful delivery and acceptance of such services is meeting their Quality of Service (QoS) and Quality of Experience (QoE) requirements, focusing on technical aspects and end user perceived quality, respectively. In this paper, the authors address the topic of evaluating QoE for non-emergency remote patient monitoring services. They identify relevant QoE influence factors and metrics, and present the results of a QoE evaluation study, whereby they focus on usability aspects. The study involves 26 users testing a prototype version of the Ericsson Mobile Health service, which is based on a smartphone application and measurement of vital signs via medical sensors. The results show a strong correlation between QoE and: perceived effectiveness of the mobile interface (regarding both adequacy of smartphone screen size and smartphone application navigational support), perceived ease of conducting a blood pressure measurement task, and user motivation for service usage.
32
Snowdon, John. "Mental health service delivery in long-term care homes." International Psychogeriatrics 22, no. 7 (June 18, 2010): 1063–71. http://dx.doi.org/10.1017/s1041610210000773.
Full textAbstract:
ABSTRACTBackground:The prevalence of mental disorders in long-term care (LTC) homes is high, but quality and availability of mental health services to assess and help in management of cases have been criticized.Method:Literature concerning mental health problems in LTC homes was reviewed, especially regarding models of mental health service delivery and factors that affect development, persistence and reduction of symptoms and distress.Results:The advantages of consultation-liaison arrangements and of telepsychiatry were noted. Discussions led to development of recommendations aimed at improving mental health expertise and provision of assessment and intervention services in LTC homes in diverse countries. Prompt recognition of mental health problems among residents is required, with availability of a team working within the facility to deal with these problems. Commonly such multidisciplinary teams are formed by facility staff linking with visiting mental health professionals or services. Quality of care is also affected by the organization, attitudes and education within LTC facilities.Conclusion:Provision of optimal mental health care in LTC settings is dependent on adequate funding, availability of expertise and education, positive and caring attitudes, recognition of needs, and supportive teamwork. The latter should include cooperative links between well-resourced and under-resourced regions.
33
Nisha, Nabila, Mehree Iqbal, Afrin Rifat, and Sherina Idrish. "Exploring the Role of Service Quality and Knowledge for Mobile Health Services." International Journal of E-Business Research 12, no. 2 (April 2016): 45–64. http://dx.doi.org/10.4018/ijebr.2016040104.
Full textAbstract:
The use of mobile technology-based services has made healthcare delivery more accessible and affordable in recent times. In fact, mobile health services today act as an effective means of providing healthcare knowledge to users directly from providers. However, the cynical behavior of users regarding this medium of healthcare services often encircles around the quality of such services. The aim of this paper is to examine the role of service quality and knowledge among other underlying factors that can influence future use intentions of m-Health services in the context of Bangladesh. The conceptual model of the study identifies that certain aspects of service qualities like reliability, privacy, responsiveness, empathy and information quality along with facilitating conditions, effort expectancy, performance expectancy and social influence plays an important role in capturing users' overall perceptions of mobile health services. Finally, the study highlights managerial implications, future research directions and limitations from the Bangladesh perspective.
34
Gitobu, C. M., P. B. Gichangi, and W. O. Mwanda. "Satisfaction with Delivery Services Offered under the Free Maternal Healthcare Policy in Kenyan Public Health Facilities." Journal of Environmental and Public Health 2018 (2018): 1–9. http://dx.doi.org/10.1155/2018/4902864.
Full textAbstract:
Background. Patients’ satisfaction is an individual's positive assessment regarding a distinct dimension of healthcare and the perception about the quality of services offered in that health facility. Patients who are not satisfied with healthcare services in a certain health facility will bypass the facility and are unlikely to seek treatment in that facility. Objective. To determine satisfaction level of mothers with the free maternal services in selected Kenyan public health facilities after the implementation of the free maternal healthcare policy. Methods. Data was collected through a quantitative exit survey questionnaire. The respondents were mothers who had delivered in the health facilities and were waiting to leave the health facilities after discharge. The sample included 2,216 mothers in 77 public health facilities across 14 counties in Kenya under tier 3 and tier 4 categories. The number of respondents to be interviewed was proportionately arrived at based on each health facility’s bed capacity. Results. The study established a satisfaction rate of 54.5% among the beneficiaries of the free maternal healthcare services in the country. Mothers benefiting from the free delivery services were satisfied with communication by the healthcare workers, staff availability in the delivery rooms, availability of staff in the wards, and drug and supplies availability (>56%) but unsatisfied with consultation time, cleanliness, and privacy in the wards (<56%). High education levels and lengthy stay in healthcare facilities were negatively associated with the satisfaction with the free delivery services (P<0.05). Conclusion. There is a high satisfaction with the free maternal healthcare services in Kenya. However, the implementation of the free maternal healthcare policy was associated with low privacy, poor hygiene, and low consultation time in the health facilities. Therefore there is need to address these service gaps so as to attract more mothers to deliver in public health facilities.
35
Ngo, Anh D., Dana L. Alden, Nguyen Hang, and Nhuan Dinh. "Developing and Launching the Government Social Franchise Model of Reproductive Health Care Service Delivery in Vietnam." Social Marketing Quarterly 15, no. 1 (March 2009): 71–89. http://dx.doi.org/10.1080/15245000802632417.
Full textAbstract:
Social franchising, an effective social marketing business model, has increased the quality of health care services in developing and developed countries. Typically, private sector physicians and pharmacies are recruited by local or international nonprofit organizations into branded networks of clinics that benefit from economies of scale, a standardized business model, higher quality services, and sophisticated social marketing. While generally effective in the private sector, social franchising of public government operated clinics is very limited. As a result, the social franchise model is relatively untested as a means of enhancing the capacity and quality of public health care services for individuals with limited financial resources. Addressing the need for additional study, this case analysis traces development and launch of a social franchise network of reproductive health services through community public health clinics in two provinces in central Vietnam. Improvement of the clinic infrastructure, increased standardization of quality services, staff instruction on proactive relationship management, and promotion of a culturally relevant brand all appear to have contributed to the successful launch of the network in this case study. The decision to implement a standardized schedule of affordable service fees in one of the two provinces also appears to have improved perceived service quality. Implementation of planned staff incentives has proven to be the most challenging aspect of what is referred to as the government social franchise (GSF) model. Overall, initial evaluation suggests that significant improvement in reproductive health care service quality can be achieved through adaptation of the social franchise model to public sector context.
36
Rix, Susannah, and Geoff Shepherd. "Acute wards: problems and solutions." Psychiatric Bulletin 27, no. 3 (March 2003): 108–11. http://dx.doi.org/10.1192/pb.27.3.108.
Full textAbstract:
Aims and MethodTo develop an evidence-based approach that supports the improvement of front-line delivery of adult acute in-patient services. Key factors of effective organisational change were identified from the literature. These were adopted as part of an ‘evidence-based service development’ programme. This approach was used by the Health Advisory Service in a project with an NHS Trust in south east England.ResultsSignificant progress was made in improving the quality of local acute in-patient services.Clinical ImplicationsFurther development and evaluation of this approach should be undertaken, since it seems to offer significant opportunities to deliver real improvements in the quality of services.
37
Rix, Susannah, and Geoff Shepherd. "Acute wards: problems and solutions." Psychiatric Bulletin 27, no. 03 (March 2003): 108–11. http://dx.doi.org/10.1192/s0955603600001653.
Full textAbstract:
Aims and Method To develop an evidence-based approach that supports the improvement of front-line delivery of adult acute in-patient services. Key factors of effective organisational change were identified from the literature. These were adopted as part of an ‘evidence-based service development’ programme. This approach was used by the Health Advisory Service in a project with an NHS Trust in south east England. Results Significant progress was made in improving the quality of local acute in-patient services. Clinical Implications Further development and evaluation of this approach should be undertaken, since it seems to offer significant opportunities to deliver real improvements in the quality of services.
38
Killaspy, H. "Quality assessment of mental health rehabilitation services." European Psychiatry 33, S1 (March 2016): S6. http://dx.doi.org/10.1016/j.eurpsy.2016.01.787.
Full textAbstract:
ObjectivesProviding good quality mental health care is vital to achieve better outcomes but service quality is a complex, multidimensional construct that extends beyond the delivery of specific evidence based treatments and interventions. This makes it difficult to operationalize and measure, particularly at the international level where different socioeconomic and political contexts impact. Mental health rehabilitation services focus on people with severe and complex psychosis. This group are one of the most socially excluded in society and are vulnerable to exploitation and abuse. They are also, be definition, difficult to treat and, historically, have often been institutionalised in hospital or community facilities.AimsThis presentation will report on the development and application of an internationally validated quality assessment tool for longer term mental health care facilities, the Quality Indicator for Rehabilitative Care (QuIRC).MethodsThe content of the QuIRC was derived from a systematic literature review, international Delphi exercise and review of care standards in ten European countries. Its psychometric properties were assessed in over 200 longer-term mental health facilities across Europe involving validation with over 1750 service users. It has subsequently been used in a national programme of research into inpatient mental health rehabilitation services in England which will also be briefly described.ResultsThe QuIRC has excellent inter-rater reliability and validity. Specific aspects of care assessed by the QuIRC have been found to be associated with successful community discharge from inpatient mental health rehabilitation services.ConclusionsThe QuIRC is a free to use, standardised and validated on-line international quality assessment benchmarking and research tool, available in ten European languages.Disclosure of interestThe author has not supplied his declaration of competing interest.
39
Unger, Jean-Pierre, Bruno Marchal, and Andrew Green. "Quality standards for health care delivery and management in publicly oriented health services." International Journal of Health Planning and Management 18, S1 (2003): S79—S88. http://dx.doi.org/10.1002/hpm.722.
Full text
40
GRIFFITHS, PAULA, and ROB STEPHENSON. "UNDERSTANDING USERS’ PERSPECTIVES OF BARRIERS TO MATERNAL HEALTH CARE USE IN MAHARASHTRA, INDIA." Journal of Biosocial Science 33, no. 3 (July 2001): 339–59. http://dx.doi.org/10.1017/s002193200100339x.
Full textAbstract:
This paper uses data collected using in-depth, semi-structured interviews to examine utilization of maternal health care services among two rural and urban populations of Pune and Mumbai in Maharashtra, India. The study aims to identify key social, economic and cultural factors influencing women’s decisions to use maternal health care and the places used for child delivery, whilst considering the accessibility of facilities available in the local area. Socioeconomic status was not found to be a barrier to service use when women perceived the benefits of the service to outweigh the cost, and when the service was within reasonable distance of the respondent’s place of residence. A large number of women perceived private services to be superior to those provided by the government, although cost often meant they were unable to use them. The provision of services did not ensure that women used them; they had to first perceive them to be beneficial to their health and that of their unborn child. Respondents identified the poor quality of services offered at government institutions to be a motivating factor for delivering at home. Thus further investigation is needed into the quality of services provided by government facilities in the area. A number of respondents who had received antenatal care went on to deliver in the home environment without a trained birth attendant. Further research is needed to establish the types of care provided during an antenatal consultation to establish the feasibility of using these visits to encourage women, particularly those with high-risk pregnancies, to be linked to a trained attendant for delivery.
41
Ephraim-Emmanuel, Benson Chukwunweike, Adetutu Adigwe, Roland Oyeghe, and Daprim S. T. Ogaji. "Quality of health care in Nigeria: a myth or a reality." International Journal of Research in Medical Sciences 6, no. 9 (August 25, 2018): 2875. http://dx.doi.org/10.18203/2320-6012.ijrms20183621.
Full textAbstract:
The delivery of high quality health care is crucial to achieving enhanced health benefits, patient safety and a positive patient experience of health care. This article provides insight on the quality of the health care delivery in Nigeria and aim to uncover if quality health care in Nigeria is a reality or a myth. Relevant information was abstracted from included articles and used to provide both descriptive and analytical discourse on the subject. Discussions and reflections were carried out along an established quality framework of treatment effectiveness, acceptability, efficiency, the appropriateness of the means of delivery as well as equity. The slow pace of development of quality systems in health service delivery in Nigeria is evidenced by the poor quality of health services as well as the poor health status of the population. The pace of developing quality systems in health care delivery in Nigeria is unsatisfactory. There is a need to galvanise the efforts of relevant stakeholders including the patient in charting a new agenda for health care quality improvement in Nigeria.
42
Shrivastava, SaurabhRamBihariLal, and PrateekSaurabh Shrivastava. "Ensuring delivery of quality-assured health services to individuals in prison." Current Medical Issues 18, no. 4 (2020): 346. http://dx.doi.org/10.4103/cmi.cmi_42_20.
Full text
43
Tabong, Philip Teg-Nefaah, Joseph Maaminu Kyilleh, and William Wilberforce Amoah. "Reasons for the utilization of the services of traditional birth attendants during childbirth: A qualitative study in Northern Ghana." Women's Health 17 (January 2021): 174550652110024. http://dx.doi.org/10.1177/17455065211002483.
Full textAbstract:
Background: Skilled delivery reduces maternal and neonatal mortality. Ghana has put in place measures to reduce geographical and financial access to skilled delivery. Despite this, about 30% of deliveries still occur either at home or are conducted by traditional birth attendants. We, therefore, conducted this study to explore the reasons for the utilization of the services of traditional birth attendants despite the availability of health facilities. Method: Using a phenomenology study design, we selected 31 women who delivered at facilities of four traditional birth attendants in the Northern region of Ghana. Purposive sampling was used to recruit only women who were resident at a place with a health facility for an in-depth interview. The interviews were recorded and transcribed into Microsoft word document. The transcripts were imported into NVivo 12 for thematic analyses. Results: The study found that quality of care was the main driver for traditional birth attendant delivery services. Poor attitude of midwives, maltreatment, and fear of caesarean section were barriers to skilled delivery. Community norms dictate that womanhood is linked to vaginal delivery and women who deliver through caesarean section do not receive the same level of respect. Traditional birth attendants were believed to be more experienced and understand the psychosocial needs of women during childbirth, unlike younger midwives. Furthermore, the inability of women to procure all items required for delivery at biomedical facilities emerged as push factors for traditional birth attendant delivery services. Preference for squatting position during childbirth and social support provided to mothers by traditional birth attendants are also an essential consideration for the use of their services. Conclusion: The study concludes that health managers should go beyond reducing financial and geographical access to improving quality of care and the birth experience of women. These are necessary to complement the efforts at increasing the availability of health facilities and free delivery services.
44
Fiori, Kevin Peter, Jennifer Schechter, Sesso Christophe Gbeleou, Sandra Braganza, Joseph Rhatigan, Spero Houndenou, Andrew Lopez, Emily Bensen, and Lisa Hirschhorn. "Closing the delivery gap." International Journal of Health Care Quality Assurance 31, no. 4 (May 14, 2018): 327–36. http://dx.doi.org/10.1108/ijhcqa-02-2017-0024.
Full textAbstract:
Purpose The purpose of this paper is to describe the authors’ experience operationalizing the care delivery value chain (CDVC) as a management and continuous quality improvement (QI) approach to strengthen HIV/AIDS services provided in Northern Togo through addressing gaps across a care continuum. Design/methodology/approach The authors led a series of discussions to develop a CDVC specific to existing HIV/AIDS services in Northern Togo. Using the CDVC framework, 28 specific gaps in service delivery were identified and integrated into a strategic QI plan. Findings At 12 months, 92 percent of delivery gaps had demonstrated improvement. The CDVC framework proved to be valuable in the following ways. First, it facilitated the first comprehensive mapping of HIV/AIDS services in the Kara region of Togo. Second, it enabled the identification of gaps or insufficiencies in the currently available services across the full continuum of care. Third, it catalyzed the creation of a strategic QI plan based on identified gaps. Research limitations/implications This case description is the authors’ experience in one setting and should not be considered comparative in nature. Furthermore, the approach described may not be applicable to all initiatives and/or organizations. As described, the lack of sophisticated and comprehensive data collection systems limited the authors’ ability to collect reliable data on some of the QI initiatives planned. Practical implications The operationalization of the CDVC framework is an effective approach to drive continuous QI. Originality/value Through the operationalization of the CDVC, the authors developed a new approach for assessing existing services, identifying gaps in service delivery and directing continuous QI initiatives in a strategic manner.
45
Jessup, Rebecca L., Denise A. O’Connor, Polina Putrik, Kobi Rischin, Janet Nezon, Sheila Cyril, Sasha Shepperd, and Rachelle Buchbinder. "Alternative service models for delivery of healthcare services in high-income countries: a scoping review of systematic reviews." BMJ Open 9, no. 1 (January 2019): e024385. http://dx.doi.org/10.1136/bmjopen-2018-024385.
Full textAbstract:
IntroductionCosts associated with the delivery of healthcare services are growing at an unsustainable rate. There is a need for health systems and healthcare providers to consider the economic impacts of the service models they deliver and to determine if alternative models may lead to improved efficiencies without compromising quality of care. The aim of this protocol is to describe a scoping review of the extent, range and nature of available synthesised research on alternative delivery arrangements for health systems relevant to high-income countries published in the last 5 years.DesignWe will perform a scoping review of systematic reviews of trials and economic studies of alternative delivery arrangements for health systems relevant to high-income countries published on ‘Pretty Darn Quick’ (PDQ)-Evidence between 1 January 2012 and 20 September 2017. All English language systematic reviews will be included. The Cochrane Effective Practice and Organisation of Care taxonomy of health system interventions will be used to categorise delivery arrangements according to: how and when care is delivered, where care is provided and changes to the healthcare environment, who provides care and how the healthcare workforce is managed, co-ordination of care and management of care processes and information and communication technology systems. This work is part of a 5-year Partnership Centre for Health System Sustainability aiming to investigate and create interventions to improve health-system-performance sustainability.Ethics and disseminationNo primary data will be collected, so ethical approval is not required. The study findings will be published and presented at relevant conferences.
46
Geroso, Mary Je P., and Merlita V. Caelian. "The Quality of Healthcare System of Level 1 Hospitals in Northern Negros Occidental." Philippine Social Science Journal 3, no. 2 (November 16, 2020): 155–56. http://dx.doi.org/10.52006/main.v3i2.248.
Full textAbstract:
Healthcare is a primary concern of everyone. The United Nations Sustainable Development Goals recognize the importance of healthcare, ensuring healthy lives for all. Hence, healthcare organizations worldwide are interested in achieving better quality and performance. The Philippines supports this thrust towards achieving universal health coverage. The Philippine Health Agenda for 2016 to 2022 focus on recognizing the advancement and protection of public health. It has to discourse not just the universal and equitable delivery of health care but also the economic, social, and environmental dimensions of health concerns. The enactment of the Local Government Code provided that local government units deliver public health services with the national government's technical assistance through the Department of Health (DOH). Thus, this study describes and compares the level of quality of hospital healthcare system of Level 1 Hospitals in Northern Negros Occidental in the areas of hospital management, patient care management, and service delivery as assessed by implementers and patients' folks when they are taken as a whole and when grouped according to their designation. Likewise, it identified the challenges encountered by implementers and recommendations of patients' folks to improve the healthcare system of hospitals.
47
Desta, Seare Hadush, and Shaik Yousuf Basha. "The Role of Health Extension Workers in Primary Health Care in AsgedeTsi'mbla District: A Case of Lim'at T'abya Health Post." International Journal of Social Sciences and Management 4, no. 4 (October 30, 2017): 248–66. http://dx.doi.org/10.3126/ijssm.v4i4.18504.
Full textAbstract:
Health Extension Workers are the health service providers to the community in delivering integrated preventive, promotive and basic curative health services. Hitherto no studies have been carried out in Lim ‘at T’abya health post focusing on the role of health extension workers. Thus the researcher has randomly selected 263 participants in order to achieve the intended objectives of the study. The researcher used both quantitative and qualitative approaches. The result of the study identified the major Health Extension Program services which are delivered by Health Extension Workers in the health post to seek malaria treatment, child immunization and Antenatal Care followed by Postnatal Care, family planning, referral for delivery, diarrhea treatment and health education. The challenges of Health Extension Workers hindering their performance for the unsuccessful health service provision identified as strong societal cultural beliefs, remoteness, poor relation with supervisors, communication system and road construction, low remuneration, lack of refresher courses and improper attention by Qebelle administrators to health agendas. Attitude of community towards Health Extension Workers communication skill, quality of service provision and social behaviors is over all positive but the following up of referred patients and the skill to diagnosing community health problems that Health Extension Workers need to work sensitively which are answered negatively by the respondents. To increase community’s health post utilization, health posts should be equipped with minimum essential medical equipment with particular focus on malaria treatments, family planning, deliver, treatment of common illnesses and immunization services in the study area.Int. J. Soc. Sc. Manage. Vol. 4, Issue-4: 248-266
48
Quartey, Perez, and Emmanuel Ntekuni. "Clients’ Satisfaction with Quality of Service Delivery at a Government Hospital in Ghana." Advances in Social Sciences Research Journal 7, no. 12 (December 25, 2020): 210–54. http://dx.doi.org/10.14738/assrj.712.9454.
Full textAbstract:
Client satisfaction with health service delivery has been frequently used as an indirect measure of quality of service. Many healthcare delivery stakeholders and policy makers such as governments, health managers and clients alike are now attaching importance to healthcare quality. The main objective of the study was to examine the clients’ satisfaction with quality of healthcare at Atebubu Government Hospital. The mixed-method cross-sectional (both quantitative and qualitative) approach was adopted for the study. A structured questionnaire on five thematic areas (Infrastructure, Timeliness, Cost, Staff competence, Staff commitment and attitude) was used to interview exiting clients from the 7 units (Records, Consultancy, Pharmacy, Maternal and Child Health, X-ray, Laboratory and Ear, Nose and Throat). The study included a total of 1,470 clients. The overall mean perception level of the quality of service delivery and level of satisfaction were 69.8% and 70.8% respectively. The detailed breakdown of the responses showed that the mean scores for the Records (82.3%), Consultation (90.3%), X-ray (60.2%), Maternal and Child Health (80.1%), Ear, Nose and Throat (86.2%) were all satisfactory. However, the scores for the laboratory (48.3%) and pharmacy (48.1%) were both unsatisfactory mainly due to long waiting time and cost of accessing services. Clients’ satisfaction with quality of healthcare services at the Records, Consultancy, Maternal and Child Health, X-ray and the Ear, Nose and Throat departments were good. However, there was poor satisfaction with quality of services at the Laboratory and Pharmacy departments, with the main reasons for the dissatisfaction hinging on timeliness and cost.
49
Leggat, Sandra G., and Cathy Balding. "Bridging existing governance gaps: five evidence-based actions that boards can take to pursue high quality care." Australian Health Review 43, no. 2 (2019): 126. http://dx.doi.org/10.1071/ah17042.
Full textAbstract:
Objective To explore the impact of the organisational quality systems on quality of care in Victorian health services. Methods During 2015 a total of 55 focus groups were conducted with more than 350 managers, clinical staff and board members in eight Victorian health services to explore the effectiveness of health service quality systems. A review of the quality and safety goals and strategies outlined in the strategic and operating plans of the participating health services was also undertaken. Results This paper focuses on the data related to the leadership role of health service boards in ensuring safe, high-quality care. The findings suggest that health service boards are not fully meeting their governance accountability to ensure consistently high-quality care. The data uncovered major clinical governance gaps between stated board and executive aspirations for quality and safety and the implementation of these expectations at point of care. These gaps were further compounded by quality system confusion, over-reliance on compliance, and inadequate staff engagement. Conclusion Based on the existing evidence we propose five specific actions boards can take to close the gaps, thereby supporting improved care for all consumers. What is known about this topic? Effective governance is essential for high-quality healthcare delivery. Boards are required to play an active role in their organisation’s pursuit of high quality care. What does this paper add? Recent government reports suggest that Australian health service boards are not fully meeting their governance requirements for high quality, safe care delivery, and our research pinpoints key governance gaps. What are the implications for practitioners? Based on our research findings we outline five evidence-based actions for boards to improve their governance of quality care delivery. These actions focus on an organisational strategy for high-quality care, with the chief executive officer held accountable for successful implementation, which is actively guided and monitored by the board.
50
Sheetz, Anne H. "Developing School Health Services In Massachusetts: A Public Health Model." Journal of School Nursing 19, no. 4 (August 2003): 204–11. http://dx.doi.org/10.1177/10598405030190040401.
Full textAbstract:
In 1993 the Massachusetts Department of Public Health (MDPH) began defining essential components of school health service programs, consistent with the public health model. The MDPH designed and funded the Enhanced School Health Service Programs to develop 4 core components of local school health services: (a) strengthening the administrative infrastructure; (b) promoting health education, including tobacco control activities; (c) linking school health services with health care providers; and (d) implementing management information systems. Funds were appropriated in 1992 from the tobacco excise tax. With additional funding appropriated in 1999 and 2000 from the Tobacco Settlement Fund, these school nurse–managed programs have increased in number. The goal is to develop a statewide system of high-quality school health service programs responsive to the specific needs of students in each community. To be effective, these programs must be recognized as essential components of the primary health care delivery system serving children.