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Готові списки джерел за темами / 4203 Health services and systems / Статті в журналах

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Статті в журналах з теми "4203 Health services and systems"

Автор: Grafiati

Опубліковано: 10 січня 2023

Оновлено: 28 січня 2023

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1

Sweeney, Patricia, Tamika Hoyte, Mesfin S. Mulatu, Jacquelyn Bickham, Antoine D. Brantley, Curt Hicks, Shanell L. McGoy, et al. "Implementing a Data to Care Strategy to Improve Health Outcomes for People With HIV: A Report From the Care and Prevention in the United States Demonstration Project." Public Health Reports 133, no. 2_suppl (November 2018): 60S—74S. http://dx.doi.org/10.1177/0033354918805987.

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Objectives: The Care and Prevention in the United States Demonstration Project included implementation of a Data to Care strategy using surveillance and other data to (1) identify people with HIV infection in need of HIV medical care or other services and (2) facilitate linkages to those services to improve health outcomes. We present the experiences of 4 state health departments: Illinois, Louisiana, Tennessee, and Virginia. Methods: The 4 state health departments used multiple databases to generate listings of people with diagnosed HIV infection (PWH) who were presumed not to be in HIV medical care or who had difficulty maintaining viral suppression from October 1, 2013, through September 29, 2016. Each health department prioritized the listings (eg, by length of time not in care, by viral load), reviewed them for accuracy, and then disseminated the listings to staff members to link PWH to HIV care and services. Results: Of 16 391 PWH presumed not to be in HIV medical care, 9852 (60.1%) were selected for follow-up; of those, 4164 (42.3%) were contacted, and of those, 1479 (35.5%) were confirmed to be not in care. Of 794 (53.7%) PWH who accepted services, 694 (87.4%) were linked to HIV medical care. The Louisiana Department of Health also identified 1559 PWH as not virally suppressed, 764 (49.0%) of whom were eligible for follow-up. Of the 764 PWH who were eligible for follow-up, 434 (56.8%) were contacted, of whom 269 (62.0%) had treatment adherence issues. Of 153 PWH who received treatment adherence services, 104 (68.0%) showed substantial improvement in viral suppression. Conclusions: The 4 health departments established procedures for using surveillance and other data to improve linkage to HIV medical care and health outcomes for PWH. To be effective, health departments had to enhance coordination among surveillance, care programs, and providers; develop mechanisms to share data; and address limitations in data systems and data quality.

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2

Hesselink, Gijs, Julie Johnson, Paul Batalden, Michelle Carlson, Wytske Geense, Stef Groenewoud, Sylvester Jones, et al. "‘Reframing Healthcare Services through the Lens of Co-Production’ (RheLaunCh): a study protocol for a mixed methods evaluation of mechanisms by which healthcare and social services impact the health and well-being of patients with COPD and CHF in the USA and The Netherlands." BMJ Open 7, no. 9 (September 2017): e017292. http://dx.doi.org/10.1136/bmjopen-2017-017292.

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IntroductionThe USA lags behind other high-income countries in many health indicators. Outcome differences are associated with differences in the relative spending between healthcare and social services at the national level. The impact of the ratio and delivery of social and healthcare services on the individual patient’s health is however unknown. ‘Reframing Healthcare Services through the Lens of Co-Production’ (RheLaunCh) will be a cross-Atlantic comparative study of the mechanisms by which healthcare and social service delivery may impact patient health with chronic conditions. Insight into these mechanisms is needed to better and cost-effectively organise healthcare and social services.MethodsWe designed a mixed methods study to compare the socioeconomic background, needs of and service delivery to patients with congestive heart failure and chronic obstructive pulmonary disease in the USA and the Netherlands. We will conduct: (1) a literature scan to compare national and regional healthcare and social service systems; (2) a retrospective database study to compare patient’s socioeconomic and clinical characteristics and the service use and spending at the national, regional and hospital level; (3) a survey to compare patient perceived quality of life, receipt and experience of service delivery and ability of these services to meet patient needs; and (4) multiple case studies to understand what patients need to better govern their quality of life and how needs are met by services.Ethics and disseminationEthics approval was granted by the ethics committee of the Radboud University Medical Center (2016–2423) in the Netherlands and by the Human Subjects Research Committee of the Hennepin Health Care System, Inc. (HSR #16–4230) in the USA. Multiple approaches will be used for dissemination of results, including (inter)national research presentations and peer-reviewed publications. A website will be established to support the development of a community of practice.

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3

Phelps, Pamela, Thomas S. Achey, Katherine D. Mieure, Lourdes Cuellar, Heidemarie MacMaster, Robert Pecho, and Virginia Ghafoor. "A Survey of Opioid Medication Stewardship Practices at Academic Medical Centers." Hospital Pharmacy 54, no. 1 (May 30, 2018): 57–62. http://dx.doi.org/10.1177/0018578718779005.

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Purpose: The results of a survey of academic medical centers assessing the presence and description of opioid stewardship activities. Methods: Academic medical centers within the Vizient University Health System Consortium Pharmacy Network were asked to complete a survey related to opioid stewardship activities. The survey consisted of 30 questions aimed at identifying current opioid stewardship practices among hospitals and health systems. Results: There were 27 respondents to the survey. Only 42.3% of respondents have opioid stewardship activities in place. Opioid stewardship practices are primarily linked to either formal consult services or the role of a clinical pharmacy specialist. Very few institutions have opioid stewardship embedded into the daily practice of clinical pharmacists. Just over half of respondents have pharmacists as part of a pain consult team. Principle roles of pharmacists on consult teams include provider education, patient education, and optimization of therapy outside of a collaborative practice or prescribing role. Over half of the respondents participating in stewardship maintain a pharmacist’s role in monitoring surgery and postoperative opioid prescribing. The majority of respondents have opioid medication policies in place to address range orders, smart pump programming of opioids, limits on meperidine use, and cumulative limits on acetaminophen dosing. Conclusion: There are limited examples of pharmacy services related to opioid stewardship. The authors believe this is a pharmacy practice model that will evolve with the national attention to the opioid epidemic and new Joint Commission Standards.

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4

Chen, Hao, and Isabelle Y. S. Chan. "The influences of facilities management on mental health of underground development users during the pandemic in Hong Kong." IOP Conference Series: Earth and Environmental Science 1101, no. 3 (November 1, 2022): 032020. http://dx.doi.org/10.1088/1755-1315/1101/3/032020.

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Abstract The outbreak of COVID-19 has triggered an unprecedented health crisis across the world. Previous research indicated that the fear of being infected in public place has transportation hindered the commuters’ choice on. In fact, underground transportation systems, especially those located in high- density cities, have been perceived as high risk environments under the pandemic. In addition, the prolonged COVID-19 outbreak, together with the negative public impression towards underground environment, have to certain extent triggered various mental health responses amongst citizens (e.g., 42.3% increase of anxiety in Hong Kong). This study thus aims to investigate the impacts of FM on underground development users’ mental health in Hong Kong. To achieve this aim, a questionnaire survey approach is adopted. The survey is designed to contain three parts: background information, satisfaction towards underground FM (space management, building services, and supporting facilities related to the pandemic), and mental health level (emotional exhaustion, depersonalization, and claustrophobia). Data is collected over four underground subway stations in Hong Kong. Person correlation and regression analysis are conducted to determine the statistically significant relationships between underground FM and users’ mental health. The results indicated that satisfaction towards visual access, immediate access, and hygiene practices have negative relationship with the occurrence of emotional exhuastion and depersonalization, except for claustrophobia symptoms. The study results provide empirical evidence for practitioners to make informed decisions in FM plans for enhancing mental health of underground development users under and after the pandemic.

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5

Wariri, Oghenebrume, Bassey Edem, Esin Nkereuwem, Oluwatosin O. Nkereuwem, Gregory Umeh, Ed Clark, Olubukola T. Idoko, Terna Nomhwange, and Beate Kampmann. "Tracking coverage, dropout and multidimensional equity gaps in immunisation systems in West Africa, 2000–2017." BMJ Global Health 4, no. 5 (September 2019): e001713. http://dx.doi.org/10.1136/bmjgh-2019-001713.

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BackgroundSeveral West African countries are unlikely to achieve the recommended Global Vaccine Action Plan (GVAP) immunisation coverage and dropout targets in a landscape beset with entrenched intra-country equity gaps in immunisation. Our aim was to assess and compare the immunisation coverage, dropout and equity gaps across 15 West African countries between 2000 and 2017.MethodsWe compared Bacille Calmette Guerin (BCG) and the third dose of diphtheria–tetanus–pertussis (DTP3) containing vaccine coverage between 2000 and 2017 using the WHO and Unicef Estimates of National Immunisation Coverage for 15 West African countries. Estimated subregional median and weighted average coverages, and dropout (DTP1–DTP3) were tracked against the GVAP targets of ≥90% coverage (BCG and DTP3), and ≤10% dropouts. Equity gaps in immunisation were assessed using the latest disaggregated national health survey immunisation data.ResultsThe weighted average subregional BCG coverage was 60.7% in 2000, peaked at 83.2% in 2009 and was 65.7% in 2017. The weighted average DTP3 coverage was 42.3% in 2000, peaked at 70.3% in 2009 and was 61.5% in 2017. As of 2017, 46.7% of countries (7/15) had met the GVAP targets on DTP3 coverage. Average weighted subregional immunisation dropouts consistently reduced from 16.4% in 2000 to 7.4% in 2017, meeting the GVAP target in 2008. In most countries, inequalities in BCG, and DTP3 coverage and dropouts were mainly related to equity gaps of more than 20% points between the wealthiest and the poorest, high coverage regions and low coverage regions, and between children of mothers with at least secondary education and those with no formal education. A child’s sex and place of residence (urban or rural) minimally determined equity gaps.ConclusionsThe West African subregion made progress between 2000 and 2017 in ensuring that its children utilised immunisation services, however, wide equity gaps persist.

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6

Al Khawashki, H. "Emergency health services systems." Eastern Mediterranean Health Journal 5, no. 4 (August 15, 1999): 778–84. http://dx.doi.org/10.26719/1999.5.4.778.

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7

Richardson, Sarah, Tonny Luggya, Alasdair Gray, and Liz Grant. "1062 Disease burden, acuity and patient management in emergency care presentations to Ugandan facilities." Emergency Medicine Journal 39, no. 3 (February 21, 2022): 266.2–266. http://dx.doi.org/10.1136/emermed-2022-rcem.47.

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Aims/BackgroundEmergency care is being provided to, and utilised by, Ugandan patients despite there being no formal system capable of producing optimal outcomes. For the country’s emergency care system to be appropriate and contextualised, there must first be an understanding of the actual utilisation of emergency care services. Current coding systems for analysing and comparing disease burden across sites do not adequately represent the patient population and resources required for quality emergency care to be delivered.ObjectiveTo describe the burden of disease, acuity and management of emergency patients presenting to secondary Ugandan health facilities.Methods/DesignA retrospective review of 4704 emergency care patient charts from November 2018 to April 2019 was performed from 11 sites throughout Uganda. A novel diagnosis coding system was developed for use in LMIC emergency care context consisting of 482 codes, 158 sub-categories and 7 disease classes.Results6506 diagnoses were recorded, 34.98% of patients had 2 or more diagnoses. 33.8% were conditions of non-infective origin, 30.1% conditions of infective origin and 25.7% injury. Top 5 diagnoses were malaria, anaemia, pneumonia, head injury and soft tissue injury. Patient charts documented triage in 0.13% of cases, at least 1 vital sign in 42.3% of cases and at least 1 form of examination in 41.4% of cases. 62.3% patients had at least 1 form of investigation. 73.2% of patients received an IV treatment, most commonly antibiotics (52.5%) and IV crystalloids (33.1%).ConclusionThis is the first study of all-cause disease burden and management of emergency patients presenting across multiple Ugandan facilities. The development and application of an emergency care specific diagnostic coding system applicable to LMICs is a vital step to enable understanding and comparison across facilities. By appreciating the burden of emergency care disease, strategies can be put in place to implement an integrated emergency care system in Uganda.

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8

Bintier, Paul R. "Information Systems and Mental Health Services." Computers in Human Services 9, no. 1-2 (April 22, 1993): 47–57. http://dx.doi.org/10.1300/j407v09n01_08.

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9

Ingram, Richard C., Patrick M. Bernet, and Julia F. Costich. "Public Health Services and Systems Research." Journal of Public Health Management and Practice 18, no. 6 (2012): 515–19. http://dx.doi.org/10.1097/phh.0b013e31825fbb40.

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10

Ellis, Randall P., and Thomas G. McGuire. "Optimal payment systems for health services." Journal of Health Economics 9, no. 4 (January 1990): 375–96. http://dx.doi.org/10.1016/0167-6296(90)90001-j.

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11

Scutchfield, F. Douglas, and Robert M. Shapiro. "Public Health Services and Systems Research." American Journal of Preventive Medicine 41, no. 1 (July 2011): 98–99. http://dx.doi.org/10.1016/j.amepre.2011.04.001.

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12

Scutchfield, F. Douglas, Alex F. Howard, and Glen P. Mays. "Public Health Services and Systems Research." American Journal of Preventive Medicine 42, no. 5 (May 2012): S84—S86. http://dx.doi.org/10.1016/j.amepre.2012.01.024.

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13

Larkin, Michelle A., and James S. Marks. "Public Health Services and Systems Research." American Journal of Preventive Medicine 42, no. 5 (May 2012): S79—S81. http://dx.doi.org/10.1016/j.amepre.2012.01.025.

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14

Scutchfield, F. Douglas, James S. Marks, Debra J. Perez, and Glen P. Mays. "Public Health Services and Systems Research." American Journal of Preventive Medicine 33, no. 2 (August 2007): 169–71. http://dx.doi.org/10.1016/j.amepre.2007.03.013.

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15

Taylor, Paul. "Evaluating telemedicine systems and services." Journal of Telemedicine and Telecare 11, no. 4 (June 1, 2005): 167–77. http://dx.doi.org/10.1258/1357633054068955.

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The evaluation of telemedicine involves attempts to answer a wide range of questions involved in making decisions about safety, about practicality and about utility. Roughly speaking, if we wish to provide a telemedicine service we should first establish that it is safe, next that it is practical and finally that it is worthwhile. In establishing safety, most laboratory studies of telemedicine have a common structure, and consist of the following steps: (1) selection of cases; (2) interpretation; (3) comparison with a gold standard; (4) statistical analyses. Most of the studies to establish the practicality of telemedicine have been carried out as demonstrations, to show that a proposed application can be implemented in a chosen setting. In terms of utility, telemedicine has been used to improve the efficiency of an existing service or to make an existing service available to a new community. One of the difficulties is that the vendors of relatively expensive telemedicine systems and services disseminate much of the information on the topic. We have to focus not on the glamorous technology but on the underlying issue of how the participants in health care (patients, general practitioners, specialists) can communicate more effectively, using the range of technological options open to them. Ensuring that the most appropriate technology is used in the most effective way should be the primary aim of telemedicine research. There is now sufficient evidence for us to be confident that telemedicine is a safe alternative to conventional care in a variety of situations and for a number of clinical conditions. Reliable evidence that it is a practical and cost-effective alternative is, at the time of writing, harder to find.

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16

Avison, D. E., and C. P. Catchpole. "Information systems for the community health services." Medical Informatics 13, no. 2 (January 1988): 117–26. http://dx.doi.org/10.3109/14639238809010087.

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17

Krug, Etienne, and Alarcos Cieza. "Strengthening health systems to provide rehabilitation services." Bulletin of the World Health Organization 95, no. 3 (March 1, 2017): 167. http://dx.doi.org/10.2471/blt.17.191809.

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Krug, Etienne, and Alarcos Cieza. "Strengthening Health Systems to Provide Rehabilitation Services." Annals of Rehabilitation Medicine 41, no. 2 (2017): 169. http://dx.doi.org/10.5535/arm.2017.41.2.169.

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19

Manyuchi, Albert Edgar, Coleen Vogel, Caradee Y. Wright, and Barend Erasmus. "Systems approach to climate services for health." Climate Services 24 (December 2021): 100271. http://dx.doi.org/10.1016/j.cliser.2021.100271.

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Cinque, Marcello, Antonio Coronato, and Alessandro Testa. "Dependable Services for Mobile Health Monitoring Systems." International Journal of Ambient Computing and Intelligence 4, no. 1 (January 2012): 1–15. http://dx.doi.org/10.4018/jaci.2012010101.

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The design and realization of health monitoring systems has attracted the interest of large communities both from industry and academia. Remote and continuous monitoring of patient’s vital signs is the target of an emerging business market that aims both to improve the quality of life of patients and to reduce costs of national healthcare services. Such applications, however, are particularly critical from the point of view of dependability. This presents the design of a set of services for the assurance of high degrees of dependability to generic mobile health monitoring systems. The design is based on the results of a detailed failure modes and effects analysis (FMEA), conducted to identify the typical dependability threats of health monitoring systems. The FMEA allowed the authors to conceive a set of configurable monitoring services, enriching the system with the ability to detect failures at runtime, and enabling the realization of dependable services for future mobile health monitoring systems.

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21

Tiwari, Vikram, Joseph J. Quinlan, and Wilton C. Levine. "Scaling Perioperative Services Across Health Care Systems." International Anesthesiology Clinics 57, no. 1 (2019): 1–17. http://dx.doi.org/10.1097/aia.0000000000000218.

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Krug, Etienne, and Alarcos Cieza. "Strengthening health systems to provide rehabilitation services." Neuropsychological Rehabilitation 29, no. 5 (May 2017): 672–74. http://dx.doi.org/10.1080/09602011.2017.1319391.

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23

Sarris, A., and M. G. Sawyer. "Automated Information Systems in Mental Health Services." International Journal of Mental Health 18, no. 4 (December 1989): 18–30. http://dx.doi.org/10.1080/00207411.1989.11449141.

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24

Martin, Laurie T., Alonzo Plough, Katherine G. Carman, Laura Leviton, Olena Bogdan, and Carolyn E. Miller. "Strengthening Integration Of Health Services And Systems." Health Affairs 35, no. 11 (November 2016): 1976–81. http://dx.doi.org/10.1377/hlthaff.2016.0605.

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25

Siddamallaiah, H. S. "Guest Editorial: Health Information Systems and Services." DESIDOC Journal of Library & Information Technology 33, no. 2 (March 1, 2013): 81–82. http://dx.doi.org/10.14429/djlit.33.2.4190.

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26

Krug, Etienne, and Alarcos Cieza. "Strengthening Health Systems to Provide Rehabilitation Services." American Journal of Physical Medicine & Rehabilitation 96, no. 6 (June 2017): 438–39. http://dx.doi.org/10.1097/phm.0000000000000753.

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27

Blobel, Bernd, and Martin Holena. "CORBA security services for health information systems." International Journal of Medical Informatics 52, no. 1-3 (October 1998): 29–37. http://dx.doi.org/10.1016/s1386-5056(98)00122-1.

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28

Krug, Etienne, and Alarcos Cieza. "Strengthening health systems to provide rehabilitation services." Canadian Journal of Occupational Therapy 84, no. 2 (April 2017): 72–73. http://dx.doi.org/10.1177/0008417417705853.

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29

Saxena, Shekhar, Mark van Ommeren, Antonio Lora, and Benedetto Saraceno. "Monitoring of mental health systems and services." Social Psychiatry and Psychiatric Epidemiology 41, no. 6 (March 25, 2006): 488–97. http://dx.doi.org/10.1007/s00127-006-0053-3.

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30

Krug, Etienne, and Alarcos Cieza. "Strengthening health systems to provide rehabilitation services." Physiotherapy Research International 22, no. 3 (July 2017): e1691. http://dx.doi.org/10.1002/pri.1691.

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Tan, Joseph, H. Joseph Wen, and Neveen Awad. "Health care and services delivery systems as complex adaptive systems." Communications of the ACM 48, no. 5 (May 2005): 36–44. http://dx.doi.org/10.1145/1060710.1060737.

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Moghaddasi, Hamid, and Alireza Tabatabaei Tabrizi. "Applications of Cloud Computing in Health Systems." Global Journal of Health Science 9, no. 6 (October 28, 2016): 33. http://dx.doi.org/10.5539/gjhs.v9n6p33.

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INTRODUCTION: Equitable access to health services is one of the health justice criteria. E-health can sometimes be helpful in this regard. This study is aimed to find the use of cloud computing services across health system.METHOD: In the present review article, numerous research papers from different resources, such as MEDLINE, IEEE and Science direct, were studied. Based on the subject, 210 studies were found. After quality analysis of the papers, 78 studies were selected, from which 53 articles were directly related to the applications of cloud computing in health system.FINDINGS: Cloud computing services are widely used in various industries. Therefore, health system takes advantage of the services. Findings indicate that, the applications of cloud computing in health system, including telemedicine, medical imaging, public and personal health, clinical and hospital information systems, medical decision support system, care, secondary use of health data, serve as different types of specialized software used to analyze gene sequences and archive huge biological data. Generally cloud computing services are available in two sectors in any health system as follows: E-health services and Bioinformatics.CONCLUSION: Facilitated access to the E-health services and big data in health systems are the main features of exploiting cloud computing services in health systems. Using cloud computing in health systems not only makes health services more affordable, but also helps nations to achieve health equity.

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Farahmandian, Vahid, and Abbas Asosheh. "Implicit, Context Management Systems for Mobile Health Services." E-Health Telecommunication Systems and Networks 04, no. 01 (2015): 1–9. http://dx.doi.org/10.4236/etsn.2015.41001.

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34

McGee, Heather M., and Lori H. Diener. "Behavioral Systems Analysis in Health and Human Services." Behavior Modification 34, no. 5 (September 2010): 415–42. http://dx.doi.org/10.1177/0145445510383527.

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This article provides a behavioral systems approach to improve operational performance in health and human service organizations. This article provides six performance truths that are relevant to any organization and a case study from a community mental health network of agencies. A comprehensive analysis, as described here, will help health and human service leaders identify the critical areas in which to focus improvement efforts to better achieve their organizational mission.

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35

Diaz-Rossello, Jose Luis. "Health services research, outcomes, and perinatal information systems." Current Opinion in Pediatrics 10, no. 2 (April 1998): 117–22. http://dx.doi.org/10.1097/00008480-199804000-00001.

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36

Martins, Dwayne. "Book Review: Information Systems for Health Services Administration." Healthcare Management Forum 12, no. 1 (April 1999): 44–45. http://dx.doi.org/10.1016/s0840-4704(10)60691-6.

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37

Thompson, R. S. "Systems approaches and the delivery of health services." JAMA: The Journal of the American Medical Association 277, no. 8 (February 26, 1997): 670–71. http://dx.doi.org/10.1001/jama.277.8.670.

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38

Scutchfield, F. Douglas, Debra Joy Pérez, Judith A. Monroe, and Alex F. Howard. "New Public Health Services and Systems Research Agenda." American Journal of Preventive Medicine 42, no. 5 (May 2012): S1—S5. http://dx.doi.org/10.1016/j.amepre.2012.01.027.

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39

Harris, Jenine K., Kate E. Beatty, Colleen Barbero, Alex F. Howard, Robin A. Cheskin, Robert M. Shapiro, and Glen P. Mays. "Methods in Public Health Services and Systems Research." American Journal of Preventive Medicine 42, no. 5 (May 2012): S42—S57. http://dx.doi.org/10.1016/j.amepre.2012.01.028.

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40

Thompson, Robert S. "Systems Approaches and the Delivery of Health Services." JAMA: The Journal of the American Medical Association 277, no. 8 (February 26, 1997): 670. http://dx.doi.org/10.1001/jama.1997.03540320072039.

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Bailit, H. L. "Health Services Research." Advances in Dental Research 17, no. 1 (December 2003): 82–85. http://dx.doi.org/10.1177/154407370301700119.

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Анотація:

The major barriers to the collection of primary population-based dental services data are: (1) Dentists do not use standard record systems; (2) few dentists use electronic records; and (3) it is costly to abstract paper dental records. The value of secondary data from paid insurance claims is limited, because dentists code only services delivered and not diagnoses, and it is difficult to obtain and merge claims from multiple insurance carriers. In a national demonstration project on the impact of community-based dental education programs on the care provided to underserved populations, we have developed a simplified dental visit encounter system. Senior students and residents from 15 dental schools (approximately 200 to 300 community delivery sites) will use computers or scannable paper forms to collect basic patient demographic and service data on several hundred thousand patient visits. Within the next 10 years, more dentists will use electronic records. To be of value to researchers, these data need to be collected according to a standardized record format and to be available regionally from public or private insurers.

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Perez, Miguel A., Antonio Gonzalez, and Helda Pinzon-Perez. "Cultural Competence in Health Care Systems." Californian Journal of Health Promotion 4, no. 1 (March 1, 2006): 102–8. http://dx.doi.org/10.32398/cjhp.v4i1.737.

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This study studied cultural competence training needs in a health services system in California. Results indicated that the major training needs were related to (1) cultural factors that affect consumers’ access to services, (2) ethnic and cultural beliefs, traditions, and customs, (3) training for interpreters, and (4) crosscultural communication. Significant differences were found in regard to administrator and staff participation in cultural awareness activities, perception of the work environment as culturally competent, perception of culturally-related barriers, and perceived training needs. The findings support the importance of a continuous assessment of the educational needs of employees regarding cultural competence.

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Lopez-Casasnovas, Guillem. "Converging trends in national health services and social health insurance systems." Journal of Medical Economics 10, no. 4 (January 2007): 587–90. http://dx.doi.org/10.3111/13696990701817400.

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44

Parkhurst, Justin Oliver, Loveday Penn-Kekana, Duane Blaauw, Dina Balabanova, Kirill Danishevski, Syed Azizur Rahman, Virgil Onama, and Freddie Ssengooba. "Health systems factors influencing maternal health services: a four-country comparison." Health Policy 73, no. 2 (August 2005): 127–38. http://dx.doi.org/10.1016/j.healthpol.2004.11.001.

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45

Martin, Carmel M., and Joachim P. Sturmberg. "Perturbing ongoing conversations about systems and complexity in health services and systems." Journal of Evaluation in Clinical Practice 15, no. 3 (June 2009): 549–52. http://dx.doi.org/10.1111/j.1365-2753.2009.01164.x.

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46

Amaddeo, Francesco, and Michele Tansella. "Information systems for mental health." Epidemiologia e Psichiatria Sociale 18, no. 1 (March 2009): 1–4. http://dx.doi.org/10.1017/s1121189x00001378.

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The use of information systems and computer science applications in the health sector is now entrenched and widespread. In mental health services there are the typical applications of information systems concerning administrative, clinical and research issues, as well as innovative applications concerning diagnostic procedures, self-help, communication and delivery of psychotherapy.

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Littlejohns, Peter, Katharina Kieslich, Albert Weale, Emma Tumilty, Georgina Richardson, Tim Stokes, Robin Gauld, and Paul Scuffham. "Creating sustainable health care systems." Journal of Health Organization and Management 33, no. 1 (March 18, 2019): 18–34. http://dx.doi.org/10.1108/jhom-02-2018-0065.

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Purpose In order to create sustainable health systems, many countries are introducing ways to prioritise health services underpinned by a process of health technology assessment. While this approach requires technical judgements of clinical effectiveness and cost effectiveness, these are embedded in a wider set of social (societal) value judgements, including fairness, responsiveness to need, non-discrimination and obligations of accountability and transparency. Implementing controversial decisions faces legal, political and public challenge. To help generate acceptance for the need for health prioritisation and the resulting decisions, the purpose of this paper is to develop a novel way of encouraging key stakeholders, especially patients and the public, to become involved in the prioritisation process. Design/methodology/approach Through a multidisciplinary collaboration involving a series of international workshops, ethical and political theory (including accountability for reasonableness) have been applied to develop a practical way forward through the creation of a values framework. The authors have tested this framework in England and in New Zealand using a mixed-methods approach. Findings A social values framework that consists of content and process values has been developed and converted into an online decision-making audit tool. Research limitations/implications The authors have developed an easy to use method to help stakeholders (including the public) to understand the need for prioritisation of health services and to encourage their involvement. It provides a pragmatic way of harmonising different perspectives aimed at maximising health experience. Practical implications All health care systems are facing increasing demands within finite resources. Although many countries are introducing ways to prioritise health services, the decisions often face legal, political, commercial and ethical challenge. The research will help health systems to respond to these challenges. Social implications This study helps in increasing public involvement in complex health challenges. Originality/value No other groups have used this combination of approaches to address this issue.

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Wahlbeck, K. "European comparisons between mental health services." Epidemiology and Psychiatric Sciences 20, no. 1 (March 2011): 15–18. http://dx.doi.org/10.1017/s2045796011000060.

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When developing accessible, affordable and effective mental health systems, exchange of data between countries is an important moving force towards better mental health care. Unfortunately, health information systems in most countries are weak in the field of mental health, and comparability of data is low.Special international data collection exercises, such as the World Health Organization (WHO) Atlas Project and the WHO Baseline Project have provided valuable insights in the state of mental health systems in countries, but such single-standing data collections are not sustainable solutions. Improvements in routine data collection are urgently needed. The European Commission has initiated major improvements to ensure harmonized and comprehensive health data collection, by introducing the European Community Health Indicators set and the European Health Interview Survey. However, both of these initiatives lack strength in the field of mental health. The neglect of the need for relevant and valid comparable data on mental health systems is in conflict with the importance of mental health for European countries and the objectives of the ‘Europe 2020’ strategy.The need for valid and comparable mental health services data is today addressed only by single initiatives, such as the Organisation for Economic Co-operation and Development work to establish quality indicators for mental health care. Real leadership in developing harmonized mental health data across Europe is lacking. A European Mental Health Observatory is urgently needed to lead development and implementation of monitoring of mental health and mental health service provision in Europe.

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Wilson, Claire, Mohammad Taghi Yasamy, Jodi Morris, Atieh Novin, Khalid Saeed, and Sebastiana D. Nkomo. "Mental health services: the African gap." Journal of Public Mental Health 13, no. 3 (September 9, 2014): 132–41. http://dx.doi.org/10.1108/jpmh-09-2013-0059.

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Purpose – Neuropsychiatric disorders account for a substantial proportion of disease burden and disability in Africa. Despite this, mental health systems are under-resourced in Africa, as in most parts of the world, creating a “treatment gap” and denying the African population the right to mental health achieved through access to mental health services. The paper aims to discuss these issues. Design/methodology/approach – The mental health systems of African countries were compared with figures for all low- and middle-income countries (LAMICS) using data from the World Health Organization Assessment Instrument for Mental Health Systems. Comparable global figures were also available for some indicators from the WHO's World Mental Health Atlas 2011. Findings – Selected indicators of mental health systems are presented for 14 African countries and shows that they are lower as compared to figures for all other LAMICS and also global figures. The treatment gap for mental disorders is much higher in Africa than comparable global figures. For example, the treatment gap for mood disorders has been estimated from 95 to 100 per cent for some African countries. Originality/value – There is an imbalance between need and service provision in the area of mental health across the world but particularly in Africa. Despite this, there are a greater number of outpatient than inpatient services in Africa which provides an opportunity for development of community-based services. There are also many encouraging examples of effective approaches to reducing the burden of neuropsychiatic disease in Africa.

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Mays, Glen P., and F. Douglas Scutchfield. "Improving Population Health by Learning From Systems and Services." American Journal of Public Health 105, S2 (April 2015): S145—S147. http://dx.doi.org/10.2105/ajph.2015.302624.

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