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1

The Fresno County Refugee Health Volunteer Project: A Case Study in Cross-Cultural Health Care Delivery.  

ERIC Educational Resources Information Center

The Fresno County Refugee Health Volunteer Project enables individuals, families, and community groups to meet their health care needs. In spite of various problems, valuable progress has been made since 1984. The program is a model approach to health care which builds on the strength and skills of the community. (VM)

Rowe, Donald R.; Spees, H. P.

1987-01-01

2

Volunteering for Clinical Trials Can Help Improve Health Care for Everyone | NIH MedlinePlus the Magazine  

MedlinePLUS

... of this page please turn Javascript on. Feature: Clinical Trials Volunteering for Clinical Trials Can Help Improve Health Care for Everyone Past ... healthy people to help," says Melanie Modlin about clinical trials. "We have a role to play in helping ...

3

Volunteering and mutual aid in health and social care in the Czech Republic as an example of active citizenship.  

PubMed

This article informs about recent research findings on voluntary and mutual aid in the Czech Republic with a special attention paid to formal volunteering in health and social care. The data suggest that public involvement is comparable to middle-frequency experienced in European countries. In this respect, volunteering is higher in the Czech Republic than in other former Eastern European countries and is an evidence of a successful and rapid restoration of the civic sector. New patterns of volunteering featured by planning, coordination, and contracting have spread out being strongly supported by national and EU policy measures. Managerial patterns of volunteering are dominating in health and social care institutions. Volunteering in health and social care is firmly motivated by emotional altruism; however, reciprocal (instrumental) and normative motivations are also present, though to a lesser extent compared to other sectors of volunteer activities. In the managerial pattern of volunteering altruism is balanced with personal gains and benefits for those who volunteer. Volunteering is deeply embedded in a civic, humanitarian paradigm instead of a religious faith and duty. PMID:22966733

Krízová, Eva

2012-06-01

4

Formal and informal maternal health care: comparing the service provision of health facilities and village health volunteers in East Sepik Province.  

PubMed

Maternal health across Papua New Guinea (PNG) is of extreme public health concern. In response, the National Department of Health explicitly prioritized improving maternal, neonatal and child health services, envisaging increased collaboration between the formal health system and community-based initiatives as one method for achieving this. This study examined the patterns of formal and non-formal service utilization during pregnancy and childbirth in one province. We analysed the activity database of the East Sepik Women and Children's Health Project's Village Health Volunteer (VHV) program, an informal health service in East Sepik Province of PNG, estimating VHV activity and coverage for two maternal health care services (first antenatal care visit and VHV-attended deliveries) and comparing these to the volume and estimated coverage of these services delivered by the formal health system in East Sepik over the years 2007 to 2010. We found a significant increase in women's utilization of VHVs for first antenatal care and for an attended delivery. Reported coverage of these services delivered by the formal health service declined or at best remained static over the same time period. Our data cannot illuminate the causes of an apparent and highly concerning decline in health facility usage for assisted delivery, nor the reasons for increased usage of VHVs. The factors contributing to these trends in service provision require urgent study, to improve our understanding of the drivers of utilization of critical maternal health services. Our study demonstrates that VHVs deliver a substantial proportion of maternal health services in East Sepik. This finding alone highlights the importance of considering this cadre when planning health service improvements and suggests that a national VHV policy that builds on the work of the National Health Plan in defining the most appropriate role for VHVs in maternal health care is long overdue. PMID:24494511

O'Keefe, Daniel; Davis, Jessica; Yakuna, Glenda; Van Gemert, Caroline; Morgan, Chris

2011-01-01

5

Reducing child global undernutrition at scale in Sofala Province, Mozambique, using Care Group Volunteers to communicate health messages to mothers  

PubMed Central

Background: Undernutrition contributes to one-third of under-5 child mortality globally. Progress in achieving the Millennium Development Goal of reducing under-5 mortality is lagging in many countries, particularly in Africa. This paper shares evidence and insights from a low-cost behavior-change innovation in a rural area of Mozambique. Intervention: About 50,000 households with pregnant women or children under 2 years old were organized into blocks of 12 households. One volunteer peer educator (Care Group Volunteer, or CGV) was selected for each block. Approximately 12 CGVs met together as a group every 2 weeks with a paid project promoter to learn a new child-survival health or nutrition message or skill. Then the CGVs shared the new message with mothers in their assigned blocks. Methods of evaluation: Household surveys were conducted at baseline and endline to measure nutrition-related behaviors and childhood nutritional status. Findings: More than 90% of beneficiary mothers reported that they had been contacted by CGVs during the previous 2 weeks. In the early implementation project area, the percentage of children 0–23 months old with global undernutrition (weight-for-age with z-score of less than 2 standard deviations below the international standard mean) declined by 8.1 percentage points (P<0.001), from 25.9% (95% confidence interval [CI]?=?22.2%–29.6%) at baseline to 17.8% at endline (95% CI?=?14.6%–20.9%). In the delayed implementation area, global undernutrition declined by 11.5 percentage points (P<0.001), from 27.1% (95% CI = 23.6%–30.6%) to 15.6% (95% CI?=?12.6%–18.6%). Total project costs were US$3.0 million, representing an average cost of US$0.55 per capita per year (among the entire population of 1.1 million people) and US$2.78 per beneficiary (mothers with young children) per year. Conclusion: Using the Care Group model can improve the level of global undernutrition in children at scale and at low cost. This model shows sufficient promise to merit further rigorous testing and broader application.

Davis, Thomas P; Wetzel, Carolyn; Hernandez Avilan, Emma; de Mendoza Lopes, Cecilia; Chase, Rachel P; Winch, Peter J; Perry, Henry B

2013-01-01

6

Health Services Student PHARMACY Volunteer  

E-print Network

? ďż˝ Students are selected based on their interests, goals, compatibility, and availability. ďż˝ Personal of a clinic pharmacy serving students in a university setting. Student volunteers are utilized in a clerical Web based application due. Please use link provided below which includes your resume, and personal

Walker, Matthew P.

7

Women Veterans Health Care  

MedlinePLUS

... Health Care » Women Veterans Health Care Women Veterans Health Care Womens Health Women Veterans Health Care Home Program ... Breast Cancer Awareness Healthy Aging WVCC Women Veterans Health Care Did you know that women are the fastest ...

8

Cultural competency and diversity among hospice palliative care volunteers.  

PubMed

This case study examines the current state of cultural competence in hospice and palliative care in the Greater Toronto Area (GTA). Because of changing demographic trends and ethnic minorities underutilizing hospice palliative care services, this research examined the current state of culturally competent care in a hospice setting, and the challenges to providing culturally competent care in a hospice in the GTA. A case study was conducted with a hospice and included in-depth interviews with 14 hospice volunteers. The findings reveal that volunteers encountered cultural clashes when their level of cultural competency was weak. Second, volunteers revealed there was a lack of adequate cultural competency training with their hospice, and finally, there was a lack of ethnic, cultural, and linguistic diversity among the hospice volunteers. PMID:21636588

Jovanovic, Maja

2012-05-01

9

CYCLES OF POVERTY, FOOD INSECURITY, AND PSYCHOSOCIAL STRESS AMONG AIDS CARE VOLUNTEERS IN URBAN ETHIOPIA  

PubMed Central

With the rollout of AIDS therapies, volunteer AIDS care has been promoted across Africa under the assumption that volunteerism is economically imperative in settings of health professional and resource scarcity. As low-income volunteers have become a major part of HIV/AIDS prevention and treatment workforces, it is imperative to question how poverty impacts their well-being. This chapter presents epidemiologic data collected during the 2008 food crisis from a sample of 110 AIDS care volunteers in Addis Ababa, Ethiopia, as well as narratives offered by HIV-positive volunteers, highlighting a widely overlooked way in which food insecurity and mental distress impact efforts to treat AIDS in sub-Saharan Africa. Food insecurity and elevated common mental disorder (CMD) symptom loads were common and tightly linked among the volunteers in the sample. Volunteers who were HIV-positive (17 percent) fared slightly worse in terms of food insecurity and psychosocial well-being. However, positive HIV serostatus was not associated with CMD in multivariate analyses accounting for food insecurity. Narratives illustrate how being HIV-positive shaped experiences of psychosocial stress, which involved unemployment and lack of prospects for marital relationships or strife within them. Our focus demonstrates the potential for mixing ethnographic and epidemiological methods to inform policy questions regarding poverty-reduction through compensation for volunteers’ valuable labor, as well as AIDS care program sustainability. [volunteerism, AIDS care, food insecurity, livelihoods, HIV, psychosocial health] PMID:24077603

Maes, Kenneth; Shifferaw, Selamawit

2013-01-01

10

Health-Care Access in a Rural Area: Perspectives from Russian-Speaking Immigrants, English-Speaking Doctors, and Volunteer Interpreters  

ERIC Educational Resources Information Center

Health-care access for immigrants in the United States is often problematic because of language barriers, lack of health insurance, or differing expectations based on divergent medical systems in the U.S. and the immigrants' home countries. Such difficulties are exacerbated when a linguistic-minority population lives in a rural community that has…

Brua, Charles R.

2009-01-01

11

Get Affordable Health Care  

MedlinePLUS

... icio.us Digg Facebook Google Bookmarks Get Affordable Health Care The Health Resources and Services Administration (HRSA) is ... and other care facilities to help people get health care they can afford. Health Centers Health centers provide ...

12

Health Care Team  

MedlinePLUS

... Story About the NKF You are here Home » Health Care Team Good health care is always a team effort - especially for people ... chronic kidney failure. Since each member of the health care staff contributes to your care, it is important ...

13

Volunteering  

Microsoft Academic Search

\\u000a In recent decades, there has been a burgeoning interest in the study of volunteering, and the number of publications devoted\\u000a to volunteering has grown exponentially. In this chapter, we examine emerging theories and new directions in volunteering\\u000a research. First, we discuss multi-level perspectives that try to understand volunteering in complex interaction with the organizational\\u000a and institutional context. Next, we present

Lesley Hustinx; Femida Handy; Ram A. Cnaan

14

Attitudes Toward Mental Illness Among Mental Health Volunteers.  

ERIC Educational Resources Information Center

Many research efforts have demonstrated relationships between the experience of mental health volunteers and their attitudes toward mental illness. Questionnaire surveys were completed by adult volunteers in psychiatric and nonpsychiatric programs in order to assess general attitudes toward mental patients and to control for the potential effects…

Wahl, Otto F.; And Others

15

Home health care  

MedlinePLUS

... and exercises, wound care, and daily living. Home health care nurses can help manage problems with your wound, ... Centers for Medicare and Medicaid Services. Home health care: what it is and what to expect. ... ...

16

Linking Family Life and Health Professionals, Volunteers, and Family Life Students in a Community Hospice Program.  

ERIC Educational Resources Information Center

This paper describes the Portage County, Ohio community hospice program, emphasizing the linkages between family life specialists, health professionals, volunteers, and students. Hospice service is defined as a specialized, home-based program for the management of pain and other symptoms of terminal illness, with the family as the unit of care.…

Fruit, Dorothy

17

Volunteers for community health. An Ohio hospital sponsors parish nursing programs for area churches and synagogues.  

PubMed

Since 1989, St. Elizabeth Hospital Medical Center, Youngstown, OH, has been conducting a hospital-based, multidenominational volunteer parish nurse program, which now extends to 11 Roman Catholic, Lutheran, Presbyterian, Methodist, Jewish, and Greek Orthodox congregations. Seventeen volunteer nurses are involved, responding to needs within their congregations by providing a variety of healthcare and educational services while revitalizing the Church's healing ministry. Volunteers selected are competent, experienced registered nurses who can relate to and communicate with people of all ages, accurately assess health-related problems, and make appropriate nursing decisions. Parish nurses focus on preventive care, health maintenance, and personal responsibility for maintaining a healthy life-style. Volunteer nurses determine their own schedule, contributing as much time as they can. Each volunteer nurse is responsible for developing a record-keeping system, documenting his or her parish activities, and submitting a quarterly report of volunteer hours and activities to the hospital. Hospital supports include the initial two-day orientation; monthly meetings at the hospital for information sharing, education, and mutual support; and nursing continuing education programs In addition, an advisory committee provides program support and education. St. Elizabeth Hospital Medical Center is exploring several methods of enhancing its health ministry outreach to congregations in dire need of such services. PMID:10118339

Drummond, M; Buss, T F; Ladigo, M A

1992-06-01

18

Vacation health care  

MedlinePLUS

... and help you avoid problems. Talk to your health care provider or visit a travel clinic 4 - 6 ... If you are taking medicine, talk to your health care provider before leaving. Carry all medicines with you ...

19

Health care agents  

MedlinePLUS

... do not have a living will or an advanced directive, your health care agent will be the one ... organs, unless you've stated otherwise in your advance directive Before you choose a health care agent, you ...

20

CONNECTIONS OF CARING: A STUDY OF SEATTLE AQUARIUM VOLUNTEER BEACH NATURALISTS  

E-print Network

CONNECTIONS OF CARING: A STUDY OF SEATTLE AQUARIUM VOLUNTEER BEACH NATURALISTS By DAOUD NEIL MILLER: A STUDY OF SEATTLE AQUARIUM VOLUNTEER BEACH NATURALISTS By DAOUD NEIL MILLER, Master of Arts in Counseling twelve long-term volunteer shoreline interpreters in the Seattle Aquarium Beach Naturalist program

Coble, Theresa G.

21

Your Health Care Team  

MedlinePLUS

... Size: A A A Listen En Espańol Your Health Care Team You You are the most important member of your health care team. After all, you are the one who ... are the first to notice any problems. Your health care team depends on you to talk to them ...

22

Volunteers in Specialist Palliative Care: A Survey of Adult Services in the United Kingdom  

PubMed Central

Abstract Background: Worldwide, the demand for specialist palliative care is increasing but funding is limited. The role of volunteers is underresearched, although their contribution reduces costs significantly. Understanding what volunteers do is vital to ensure services develop appropriately to meet the challenges faced by providers of palliative care. Objective: The study's objective is to describe current involvement of volunteers with direct patient/family contact in U.K. specialist palliative care. Design: An online survey was sent to 290?U.K. adult hospices and specialist palliative care services involving volunteers covering service characteristics, involvement and numbers of volunteers, settings in which they are involved, extent of involvement in care services, specific activities undertaken in each setting, and use of professional skills. Results: The survey had a 67% response rate. Volunteers were most commonly involved in day care and bereavement services. They entirely ran some complementary therapy, beauty therapy/hairdressing, and pastoral/faith-based care services, and were involved in a wide range of activities, including sitting with dying patients. Conclusions: This comprehensive survey of volunteer activity in U.K. specialist palliative care provides an up-to-date picture of volunteer involvement in direct contact with patients and their families, such as providing emotional care, and the extent of their involvement in day and bereavement services. Further research could focus on exploring their involvement in bereavement care. PMID:24475743

Burbeck, Rachel; Low, Joe; Sampson, Elizabeth L.; Bravery, Ruth; Hill, Matthew; Morris, Sara; Ockenden, Nick; Payne, Sheila

2014-01-01

23

Can Volunteer Community Health Workers Decrease Child Morbidity and Mortality in Southwestern Uganda? An Impact Evaluation  

Microsoft Academic Search

BackgroundThe potential for community health workers to improve child health in sub-Saharan Africa is not well understood. Healthy Child Uganda implemented a volunteer community health worker child health promotion model in rural Uganda. An impact evaluation was conducted to assess volunteer community health workers' effect on child morbidity, mortality and to calculate volunteer retention.Methodology\\/Principal FindingsTwo volunteer community health workers were

Jennifer L. Brenner; Jerome Kabakyenga; Teddy Kyomuhangi; Kathryn A. Wotton; Carolyn Pim; Moses Ntaro; Fred Norman Bagenda; Ndaruhutse Ruzazaaza Gad; John Godel; James Kayizzi; Douglas McMillan; Edgar Mulogo; Alberto Nettel-Aguirre; Nalini Singhal

2011-01-01

24

KSC volunteers help paint Baxley Manor as part of Days of Caring '99  

NASA Technical Reports Server (NTRS)

KSC volunteers for Days of Caring '99 unfold protective materials before getting ready to paint at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

1999-01-01

25

KSC volunteers help paint Baxley Manor as part of Days of Caring '99  

NASA Technical Reports Server (NTRS)

A volunteer for Days of Caring '99 prepares a light fixture before painting the walls in the hallway at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

1999-01-01

26

KSC volunteers help paint Baxley Manor as part of Days of Caring '99  

NASA Technical Reports Server (NTRS)

Volunteers for Days of Caring '99 set up the paint trays for painting at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

1999-01-01

27

KSC volunteers help paint Baxley Manor as part of Days of Caring '99  

NASA Technical Reports Server (NTRS)

KSC volunteers with Days of Caring '99 share tasks while getting ready to paint at Baxley Manor, an apartment building for senior citizens on Merritt Island. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

1999-01-01

28

Health Care Indicators  

PubMed Central

This regular feature of the journal includes a discussion of each of the following four topics: community hospital statistics; employment, hours, and earnings in the private health sector; health care prices; and national economic indicators. These statistics are valuable in their own right for understanding the relationship between the health care sector and the overall economy. In addition, they allow us to anticipate the direction and magnitude of health care cost changes prior to the availability of more comprehensive data. PMID:25372574

Donham, Carolyn S.; Maple, Brenda T.; Letsch, Suzanne W.

1993-01-01

29

Health surveillance for rural volunteer firefighters and emergency medical services personnel.  

PubMed

The purpose of this study was to assess the effectiveness of coronary heart disease risk screening as a primary prevention tool. Screening included a lipid screening and American College of Cardiology Framingham cardiac risk profile for volunteers 45 years and older desiring A (interior) or B (exterior) classifications. Health surveillance records from 1998 to 2003 were reviewed for all firefighters and emergency medical services personnel in a rural New York county. Of the 1,458 volunteers evaluated, 1,166 were men and 292 were women. Three hundred fifteen individuals were screened for coronary heart disease risk; 52 had scores indicative of substantially increased risk. Subsequently, a health care provider or cardiologist saw 39 of these individuals, 26 (67%) of whom received pharmacologic, surgical, or other health care intervention. Coronary heart disease risk screening is an effective intervention in this population, and provides volunteers and their primary care providers with added motivation to actively reduce the risk of coronary heart disease via early intervention. PMID:17323871

Gaetano, Diana E; Ackerman, Susan; Clark, Arleen; Hodge, Bernadette; Hohensee, Thomas; May, John; Whiteman, Wendy

2007-02-01

30

KSC volunteers help Meals on Wheels as part of Days of Caring '99  

NASA Technical Reports Server (NTRS)

KSC volunteers at Miracle City Mall, Titusville, help unload containers for Meals on Wheels delivery as part of their '99 Days of Caring participation. The volunteers will also help deliver the meals. Coordinated by the KSC Community Relations Council, Days of Caring provides an opportunity for employees to volunteer their services in projects such as painting, planting flowers, reading to school children, and more. Organizations accepting volunteers include The Embers, Yellow Umbrella, Serene Harbor, Domestic Violence Program, the YMCA of Brevard County, and others.

1999-01-01

31

Health Care and Dependent Care Flexible  

E-print Network

Health Care and Dependent Care Flexible Spending Accounts Discovery Benefits, Inc. (866) 451 for certain health care and child care expenses with pre-tax dollars. FSA's may allow you to save money of money that is withheld from your pay on a pre-tax basis. Note: Health Care Reform extends medical FSA

32

Health Care for College Students  

MedlinePLUS

... Health Care for College Students Ages & Stages Listen Health Care for College Students Article Body I'll be ... student health service before starting an exercise program. Health care on campus If you are going to live ...

33

Assessing change in health professions volunteers' perceptions after participating in Special Olympics healthy athlete events.  

PubMed

This study assessed perceptions of health professions student and faculty volunteers who participated with athletes at the 2009 Special Olympics World Winter Games in Healthy Athlete venues. The volunteers' perceptions and expectations of the abilities of intellectually disabled athletes were measured by administering pre-event and post-event questionnaires consisting of demographic questions and the Prognostic Belief Scale (PBS). Invitations to participate in the study were sent to 165 students and faculty members; of those, eighty (48.5 percent response rate) responded to the pre-event questionnaire, and sixty-seven (40.6 percent response rate) responded to the post-event questionnaire. Of the eighty respondents to the pre-event questionnaire, fifty-five (68.7 percent) also completed the post-event questionnaire. The ANOVA comparing pre- and post-event PBS scores between groups found a trend towards higher scores among the volunteers, but analysis did not demonstrate a significant effect in either group (p=.68) or the interaction of group by time (p=.46). Despite the findings from the PBS, participants' statements suggest the experience had an impact on their perceptions and expectations. Although not statistically significant, this study found a positive trend pre- to post-event in the volunteers' perceptions of the abilities of athletes with intellectual disabilities. In addition to didactic and clinical education, volunteer experiences may enhance care providers' knowledge, skill, and confidence levels for treating clients with intellectual disabilities. PMID:20837738

Freudenthal, Jacqueline J; Boyd, Linda D; Tivis, Rick

2010-09-01

34

The impacts of using community health volunteers to coach medication safety behaviors among rural elders with chronic illnesses.  

PubMed

It is a challenge for rural health professionals to promote medication safety among older adults taking multiple medications. A volunteer coaching program to promote medication safety among rural elders with chronic illnesses was designed and evaluated. A community-based interventional study randomly assigned 62 rural elders with at least two chronic illnesses to routine care plus volunteer coaching or routine care alone. The volunteer coaching group received a medication safety program, including a coach and reminders by well-trained volunteers, as well as three home visits and five telephone calls over a two-month period. All the subjects received routine medication safety instructions for their chronic illnesses. The program was evaluated using pre- and post-tests of knowledge, attitude and behaviors with regard to medication safety. Results show the volunteer coaching group improved their knowledge of medication safety, but there was no change in attitude after the two-month study period. Moreover, the group demonstrated three improved medication safety behaviors compared to the routine care group. The volunteer coaching program and instructions with pictorial aids can provide a reference for community health professionals who wish to improve the medication safety of chronically ill elders. PMID:23414637

Wang, Chi-Jane; Fetzer, Susan J; Yang, Yi-Ching; Wang, Jing-Jy

2013-01-01

35

Health care in Africa.  

PubMed

This is the third and last article reporting professional exchange tours between American nurses and nurses of other countries. In this article, the health care system of Kenya is discussed and comparisons made between this system and our own. Out of this comparison come several insights into our own way of doing things and possibilities for improving them. "Health Care in the Soviet Union" appeared in the April 1984 issue of The Nurse Practitioner. "Health Care in China" appeared in the May 1984 issue of the journal. PMID:6462542

Brown, M S

1984-07-01

36

Continuing Trends in Health and Health Care  

ERIC Educational Resources Information Center

Discusses current trends in health and health care, assesses significance of current data, and investigates causes and implications of the data for future health and health care. For journal availability, see SO 506 144. (Author/DB)

Wilson, Ronald W.; And Others

1978-01-01

37

Health Care Economics  

Microsoft Academic Search

\\u000a “It was the best of times it was the worst of times.” How prophetic was Charles Dickens when applied to health care in America\\u000a today.1 We are currently experiencing unprecedented technologic and therapeutic advancements; however, these come at a tremendous\\u000a price. Health care expenditures have increased by double digits for the past decade, physician reimbursement has decreased\\u000a by over the

David A. Margolin; Lester Rosen

38

Poor retention does not have to be the rule: retention of volunteer community health workers in Uganda  

PubMed Central

Globally, health worker shortages continue to plague developing countries. Community health workers are increasingly being promoted to extend primary health care to underserved populations. Since 2004, Healthy Child Uganda (HCU) has trained volunteer community health workers in child health promotion in rural southwest Uganda. This study analyses the retention and motivation of volunteer community health workers trained by HCU. It presents retention rates over a 5-year period and provides insight into volunteer motivation. The findings are based on a 2010 retrospective review of the community health worker registry and the results of a survey on selection and motivation. The survey was comprised of qualitative and quantitative questions and verbally administered to a convenience sample of project participants. Between February 2004 and July 2009, HCU trained 404 community health workers (69% female) in 175 villages. Volunteers had an average age of 36.7 years, 4.9 children and some primary school education. Ninety-six per cent of volunteer community health workers were retained after 1 year (389/404), 91% after 2 years (386/404) and 86% after 5 years (101/117). Of the 54 ‘dropouts’, main reasons cited for discontinuation included ‘too busy’ (12), moved (11), business/employment (8), death (6) and separation/divorce (6). Of 58 questionnaire respondents, most (87%) reported having been selected at an inclusive community meeting. Pair-wise ranking was used to assess the importance of seven ‘motivational factors’ among respondents. Those highest ranked were ‘improved child health’, ‘education/training’ and ‘being asked for advice/assistance by peers’, while the modest ‘transport allowance’ ranked lowest. Our findings suggest that in our rural, African setting, volunteer community health workers can be retained over the medium term. Community health worker programmes should invest in community involvement in selection, quality training, supportive supervision and incentives, which may promote improved retention. PMID:23650334

Ludwick, Teralynn; Brenner, Jennifer L; Kyomuhangi, Teddy; Wotton, Kathryn A; Kabakyenga, Jerome Kahuma

2014-01-01

39

Poor retention does not have to be the rule: retention of volunteer community health workers in Uganda.  

PubMed

Globally, health worker shortages continue to plague developing countries. Community health workers are increasingly being promoted to extend primary health care to underserved populations. Since 2004, Healthy Child Uganda (HCU) has trained volunteer community health workers in child health promotion in rural southwest Uganda. This study analyses the retention and motivation of volunteer community health workers trained by HCU. It presents retention rates over a 5-year period and provides insight into volunteer motivation. The findings are based on a 2010 retrospective review of the community health worker registry and the results of a survey on selection and motivation. The survey was comprised of qualitative and quantitative questions and verbally administered to a convenience sample of project participants. Between February 2004 and July 2009, HCU trained 404 community health workers (69% female) in 175 villages. Volunteers had an average age of 36.7 years, 4.9 children and some primary school education. Ninety-six per cent of volunteer community health workers were retained after 1 year (389/404), 91% after 2 years (386/404) and 86% after 5 years (101/117). Of the 54 'dropouts', main reasons cited for discontinuation included 'too busy' (12), moved (11), business/employment (8), death (6) and separation/divorce (6). Of 58 questionnaire respondents, most (87%) reported having been selected at an inclusive community meeting. Pair-wise ranking was used to assess the importance of seven 'motivational factors' among respondents. Those highest ranked were 'improved child health', 'education/training' and 'being asked for advice/assistance by peers', while the modest 'transport allowance' ranked lowest. Our findings suggest that in our rural, African setting, volunteer community health workers can be retained over the medium term. Community health worker programmes should invest in community involvement in selection, quality training, supportive supervision and incentives, which may promote improved retention. PMID:23650334

Ludwick, Teralynn; Brenner, Jennifer L; Kyomuhangi, Teddy; Wotton, Kathryn A; Kabakyenga, Jerome Kahuma

2014-05-01

40

Mercury and health care  

PubMed Central

Mercury is toxic heavy metal. It has many characteristic features. Health care organizations have used mercury in many forms since time immemorial. The main uses of mercury are in dental amalgam, sphygmomanometers, and thermometers. The mercury once released into the environment can remain for a longer period. Both acute and chronic poisoning can be caused by it. Half of the mercury found in the atmosphere is human generated and health care contributes the substantial part to it. The world has awakened to the harmful effects of mercury. The World Health Organization and United Nations Environmental Programme (UNEP) have issued guidelines for the countries’ health care sector to become mercury free. UNEP has formed mercury partnerships between governments and other stakeholders as one approach to reducing risks to human health and the environment from the release of mercury and its compounds to the environment. Many hospitals are mercury free now. PMID:21120080

Rustagi, Neeti; Singh, Ritesh

2010-01-01

41

Peace Corps | Health & HIV/AIDS Health Volunteers  

E-print Network

· Arrange training on nutrition, sanitation, and oral rehydration therapy · Identify local leaders to teach families about maternal and child health, basic nutrition, hygiene, or sanitation · Conduct training and Sanitation Extension · Conduct community outreach to heighten awareness of water and sanitation, health

Kaminsky, Werner

42

Shared Primary Health Care  

PubMed Central

Primary health care delivery in large urban centers may be shared between family physicians and specialists. This study examined screening and health promotion interventions by obstetrician-gynecologists as part of an annual examination of asymptomatic women. Procedures most closely linked to gynecological practice were performed most frequently. PMID:21229004

Yaffe, Mark J.; Toop, Jo-Ann

1991-01-01

43

Controlling Health Care Costs  

ERIC Educational Resources Information Center

This article examines issues on health care costs and describes measures taken by public districts to reduce spending. As in most companies in America, health plan designs in public districts are being changed to reflect higher out-of-pocket costs, such as higher deductibles on visits to providers, hospital stays, and prescription drugs. District…

Dessoff, Alan

2009-01-01

44

Engineering VA Health Care  

E-print Network

Engineering VA Health Care The Department of Veterans Affairs is offering a unique career engineers to be effective Healthcare Technology Program Managers in the Veterans Health Administration to serve a very special class of citizens ­ our nation's Veterans. Overview Program Description Roles

Adams, Mark

45

Health care technology assessment  

NASA Astrophysics Data System (ADS)

The role of technology in the cost of health care is a primary issue in current debates concerning national health care reform. The broad scope of studies for understanding technological impacts is known as technology assessment. Technology policy makers can improve their decision making by becoming more aware, and taking greater advantage, of key trends in health care technology assessment (HCTA). HCTA is the systematic evaluation of the properties, impacts, and other attributes of health care technologies, including: technical performance; clinical safety and efficacy/effectiveness; cost-effectiveness and other economic attributes; appropriate circumstances/indications for use; and social, legal, ethical, and political impacts. The main purpose of HCTA is to inform technology-related policy making in health care. Among the important trends in HCTA are: (1) proliferation of HCTA groups in the public and private sectors; (2) higher standards for scientific evidence concerning technologies; (3) methodological development in cost analyses, health-related quality of life measurement, and consolidation of available scientific evidence (e.g., meta-analysis); (4) emphasis on improved data on how well technologies work in routine practice and for traditionally under-represented patient groups; (5) development of priority-setting methods; (6) greater reliance on medical informatics to support and disseminate HCTA findings.

Goodman, Clifford

1994-12-01

46

Enhancing transgender health care.  

PubMed Central

As awareness of transgender men and women grows among health care educators, researchers, policymakers, and clinicians of all types, the need to create more inclusive settings also grows. Greater sensitivity and relevant information and services are required in dealing with transgender men and women. These individuals need their identities to be recognized as authentic, they need better access to health care resources, and they need education and prevention material appropriate to their experience. In addition, a need exists for activities designed to enhance understanding of transgender health issues and to spur innovation. PMID:11392924

Lombardi, E

2001-01-01

47

42 CFR 418.78 - Conditions of participation-Volunteers.  

Code of Federal Regulations, 2010 CFR

...HEALTH AND HUMAN SERVICES (CONTINUED) MEDICARE PROGRAM HOSPICE CARE Conditions of Participation: Patient Care Non-Core Services § 418.78 Conditions of participation—Volunteers. The hospice must use volunteers to the extent...

2010-10-01

48

Values in health care.  

PubMed

The first part of the paper is concerned with the health care values of various groups; namely, those which are resource oriented, disease oriented, political decision-makers, organized sellers and purchasers of health care and patients. These groups are further divided according to selected political/ideological and socio-economic characteristics, essentially along capitalist and socialist lines. Some of the ways in which the values held by these groups are determined, formulated and, by implication at least, changed and the political, economic and other bases for some of their practical applications are identified. The second part of the paper focuses upon values in public health education and related practice. It is argued that to become more useful to the 'health of the public' the new public health worker will have to become more activist, assuming an adversarial stance toward the market economy in capitalist countries and oppressive governmental structures everywhere. A wider integration of knowledge concerning the effects of health of all types of economic, social and political practices is required; this, in turn, would contribute to the emergence of alternative forms of public health analysis and practice. The recognition of wider forms of public health leadership should follow, coupled with organizational changes directed at the greater participation of popular groupings in all types of public health activities. PMID:6484620

Gish, O

1984-01-01

49

Health care in Moscow.  

PubMed Central

In the Russian Federation privatisation is affecting the health care sector as much as it is industry and commerce. That the general public support the transfer of state clinics to the private sector is a mark of their dissatisfaction with the old state run system. Doctors too see better opportunities to practise good medicine and be paid better for doing so. In Moscow the health department has set up a commission to license all clinics providing treatment, which should ensure standards of safety, training, and equipment. The Russian Federation is also trying to establish a medical insurance system to cover its citizens for health care, but in Moscow and elsewhere its implementation has been delayed by arguments and bureaucracy. In the meantime the health of Muscovites remains poor, with a high incidence of birth defects, and illnesses among the young. Images p783-a PMID:8219954

Ryan, M

1993-01-01

50

Mental Health Care in Primary Care Settings  

Microsoft Academic Search

OBJECTIVE To assess family physicians' interactions with mental health professionals (MHPs), their satisfaction with the delivery of mental health care in primary health care settings, and their perceptions of areas for improvement. DESIGN Mailed survey. SETTING Province of Saskatchewan. PARTICIPANTS All FPs in Saskatchewan (N = 816) were invited to participate in the study; 31 were later determined to be

C. C. Doebbeling; Syed M. Shah

2004-01-01

51

Evaluating health care efficiency.  

PubMed

In this chapter we propose a three-pronged approach to assessing efficiency of health care, including financial performance, performance in the production of (intermediate) medical outcomes and performance relating medical outcomes to patient health outcomes. Throughout we use frontier models which can be estimated in a number of ways, including DEA, stochastic frontiers and index numbers. We illustrate the health outcomes model with an application to cataract surgery patients in Sweden and use DEA as our estimator. Again, other frontier estimation methods as well as index numbers could be employed to explore other procedures' effectiveness and overall performance of services and/or hospitals and clinics. PMID:19725364

Färe, Rolf; Grosskopf, Shawna; Lundström, Mats; Roos, Pontus

2008-01-01

52

Primary health care in India--plans.  

PubMed

In India a draft Health Policy has been formulated with the following objectives: to improve and expand the health care delivery system to make primary health care services available to each individual; to make people conscious of their health needs and to encourage their involvement and participation in the planning and implementation of the health programs; to improve the standards of environmental sanitation and personal hygiene leading to reduction in the incidence of diseases and a healthier life; to improve maternal and child health services and to create such services; to control and eradicate common communicable and infectious desease; and to lower by about 50% maternal and infant mortality rates and other mortality rates. To achieve the general objectives, it is proposed to use certain specific indicators to plan and monitor the health programs. The indicators proposed, which are outlined, fall into the categories of health status indicators and indicators for provision of health services. The main objective of primary health care will be to provide better health care services to the rural areas and urban slums. The population will be encouraged both individually and collectively to participate in the development of health. The government and the medical profession will help the people to realize their responsibility by providing a large band of health volunteers from among the community itself to take care of the basic health needs of the community. There will be a more equitable distribution of health resources, and, to correct past imbalances, preferential allocations will be made for developing health facilities in rural areas. The primary emphasis will be on preventive, promotive, and rehabilitative aspects of health which will be integrated with functions and responsibilities of all these institutions which currently are providing only curative services. In providing primary health care, full advantage will be taken of the traditional methods and techniques which are scientifically sound, familiar and acceptable to the community, and easy to adopt. Primary health care will form an integral part of the health system. At this time 5739 primary health centers are operating in India, each covering a population of between 80,000-125,000. Primary health care to the rural population will be backed up by proper referral services. PMID:7183715

Saigal, M D

1982-09-01

53

Long Term Health Study for Oil Spill Clean-up Workers and Volunteers  

MedlinePLUS

... With Us A long term health study for oil spill clean-up workers and volunteers Follow-up underway! ... health study for individuals who helped with the oil spill cleanup, took training, signed up to work, or ...

54

Navigating the Health Care System  

MedlinePLUS

... Patients Patient Safety Measure Tools & Resources Pharmacy Health Literacy Center Surveys on Patient Safety Culture Quality Measure Tools & Resources Search Professional Resources Search ahrq.gov Health IT Health Information Technology Portfolio Comparative Effectiveness Effective Health Care Program ...

55

Volunteer home-based HIV/AIDS care and food crisis in Addis Ababa, Ethiopia: sustainability in the face of chronic food insecurity  

PubMed Central

Low-income volunteers constitute a major part of AIDS care workforces in sub-Saharan Africa, yet little research has been conducted to determine how poverty and insecurity among volunteers impact their wellbeing and the sustainability of the AIDS treatment programmes they support. This paper presents longitudinal ethnographic and epidemiological research documenting how the 2008 food crisis in Addis Ababa affected AIDS care volunteerscare relationships and motivations. Ethnographic results highlight the distress and demotivation that rising food costs created for caregivers by contributing to their own and their care recipients’ experiences of food insecurity and HIV-related stigmatization. Epidemiological results underscore a high prevalence of food insecurity (approximately 80%) even prior to the peak of food prices. Rising food prices over the 3 years prior to 2008, underemployment and household per capita incomes averaging less than US$1/day, likely contributed to the very high prevalence of food insecurity reported by caregivers in our sample. We also show that new volunteers recruited in early 2008 by one of the non-governmental organizations (NGOs) involved in this study were more likely to be dependants within their households, and that these participants reported lower rates of food insecurity and higher household income. While this shift in volunteer recruitment may help sustain volunteer care programmes in the face of widespread poverty and underemployment, food insecurity was still highly prevalent (58–71%) among this sub-group. Given the inability of the local NGOs that organize volunteers to address the challenge of food insecurity for programme sustainability, our results raise important policy questions regarding compensation for volunteers’ valuable labour and poverty reduction through public health sector job creation. PMID:20439347

Maes, Kenneth C; Shifferaw, Selamawit; Hadley, Craig; Tesfaye, Fikru

2011-01-01

56

Organ Procurement and Health Care Chaplaincy in Australia  

Microsoft Academic Search

As part of an Australian national project, quantitative data via a survey were retrospectively obtained from 327 Australian\\u000a health care chaplains (staff and volunteer chaplains) to initially identify chaplaincy participation in various bioethical\\u000a issues—including organ procurement. Over a third of surveyed staff chaplains (38%) and almost a fifth of volunteer chaplains\\u000a (19.2%) indicted that they had, in some way, been

Lindsay B. Carey; Priscilla Robinson; Jeffrey Cohen

57

Religion, Spirituality and Health Care Treatment Decisions: The Role of Chaplains in the Australian Clinical Context  

Microsoft Academic Search

This paper summarizes the views of Australian health care chaplains concerning their role and involvement in patient\\/family health care treatment decisions. In general terms the findings indicated that the majority of chaplains surveyed believed that it was part of their pastoral role to help patients and their families make decisions about their health care treatment. Differences in involvement of volunteer

Lindsay B. Carey; Jeffrey Cohen

2009-01-01

58

Parkland Health Care Campus  

E-print Network

Planning for Sustainability at the New Parkland Hospital November 8, 2011 Walter Jones, AIA, LEED, IFMA, CHD - Sr. Vice President, Facilities CATEE 2 0 1 1 Clean Air Through Energy Efficiency ESL-KT-11-11-19 CATEE 2011, Dallas..., Texas, Nov. 7 ? 9, 2011 Since 1894, Parkland has been Dedicated to the health and well-being of individuals and communities entrusted to our care Parkland Hospital Mission Statement By our actions, we will define the standards of excellence...

Jones, W., Sr.

2011-01-01

59

Environmental Health: Health Care Reform's Missing Pieces.  

ERIC Educational Resources Information Center

A series of articles that examine environmental health and discuss health care reform; connections between chlorine, chlorinated pesticides, and dioxins and reproductive disorders and cancers; the rise in asthma; connections between poverty and environmental health problems; and organizations for health care professionals who want to address…

Fadope, Cece Modupe; And Others

1994-01-01

60

Reform of Primary Health Care  

Microsoft Academic Search

Never before has American society undergone such dramatic and pervasive changes as those currently effecting national health care needs. New strategies to meet the health care needs created by societal changes must be identified. Consumers, employers, providers, and third-party payers are calling for more cost effective health care, better access and better quality. Simultaneously, the United States has a shortage

Jeanette Lancaster; Wade Lancaster

1995-01-01

61

Commensurate Ratings of Health Care.  

ERIC Educational Resources Information Center

Proposes a new descriptive item statistic, the mean cumulative logit, for scoring ratings of health care at the population level. Demonstrates the advantages of the method using data from the Consumer Assessment of Health Plans Study and shows that the perceived quality of health care is greater for fee-for-service plans than managed care plans in…

Bectel, Gordon G.

2001-01-01

62

Child Care Health Connections, 2002.  

ERIC Educational Resources Information Center

This document is comprised of the six 2002 issues of a bimonthly newsletter on children's health for California's child care professionals. The newsletter provides information on current and emerging health and safety issues relevant to child care providers and links the health, safety, and child care communities. Regular features include columns…

Guralnick, Eva, Ed.; Zamani, Rahman, Ed.; Evinger, Sara, Ed.; Dailey, Lyn, Ed.; Sherman, Marsha, Ed.; Oku, Cheryl, Ed.; Kunitz, Judith, Ed.

2002-01-01

63

Consumerism in Health Care Services  

ERIC Educational Resources Information Center

Discusses the current trend toward a corporate health care system in which services are often paid for by a third party (insurance company or government). Says this results in the consumer's loss of control over the quality and type of health care rendered. Recommends adoption of a federated health care system. (GC)

Carmichael, Lynn P.

1977-01-01

64

National Health Care Skill Standards.  

ERIC Educational Resources Information Center

This booklet contains draft national health care skill standards that were proposed during the National Health Care Skill Standards Project on the basis of input from more than 1,000 representatives of key constituencies of the health care field. The project objectives and structure are summarized in the introduction. Part 1 examines the need for…

Far West Lab. for Educational Research and Development, San Francisco, CA.

65

Sick Care vs Health Care: The Crisis in US Health  

Microsoft Academic Search

Increasingly, the United States is challenging conventional wisdom that wealth = health. Current estimates put US health care spending at approximately 15% of gross domestic product (GDP), the highest in the world(1), but the health system fails to deliver efficient, effective, and equitable health services. Overall, there is a systemic problem: a huge gap between the care that everyone should

White African; Hispanic White African

2007-01-01

66

Health care reforms in Poland.  

PubMed

This paper examines the shape of the recently reformed health care system in Poland. Until December 31,1998 everyone had access to free health care and the medical institutions were financed by the State. Since January 1, 1999, under the provisions of the Universal Health Insurance Act, hospitals became independent from the State budget and gained more financial resources for their activities. 17 regional health insurance funds contract for medical services with hospitals and individual practices. Most services provided to the insured are paid by the funds that receive premiums, but some are still financed from the State budget. The revised legislation on Medical Care Establishments intended to create a better management of health care institutions and administrative control over the quality of care. The system has been severely criticised: it is too bureaucratic, there are too many insurance funds, patients have experienced problems with access to health care, particularly to special treatment or to treatment available outside the area of the health insurance fund to which the patient belongs. The new Minister for Health suggested that the 17 funds should be replaced by 5 "health funds" that would finance health care and be closely connected to the local government answerable for their activities. This paper will deal with the scope of health care packages, the conditions of provision of health services, obligations of health care providers, patient rights, and the quality of health care. PMID:15685913

Baginska, Ewa

2004-01-01

67

Thinking Through Health Care Reform  

Microsoft Academic Search

Emotionality truly shapes critical thinking in the development of American health policy. President Obama has misgauged the\\u000a emotions and thoughts of the Nation and Congress about the health care reform bill. Most Americans don’t approve of the design\\u000a or impetus of health care legislation under the Obama administration. The enacted legislation provides health care insurance\\u000a for all Americans. However, health

Paul J. Flaer; Mustafa Z. Younis; Muhammed Alotaibi; Maha Al Hajeri

68

Does the Relation between Volunteering and Well-Being Vary with Health and Age?  

ERIC Educational Resources Information Center

Previous studies have established a positive association between organizational volunteering and well-being. In the current study, we examined whether the relations between organizational volunteering and positive affect, negative affect, and resilience are modified by respondents' age and number of chronic health conditions. This study used…

Okun, Morris A.; Rios, Rebeca; Crawford, Aaron V.; Levy, Roy

2011-01-01

69

A Message to New UK HealthCare Volunteers and Observers from the Director of Employee Health Welcome to UK HealthCare. We are delighted that you have chosen to spend time with us. Even though you are not an employee of UK  

E-print Network

, rubella, tetanus, diphtheria, pertussis and varicella (chickenpox) are mandatory for all volunteers If there is a medical reason that you cannot receive an MMR vaccine, please bring physician documentation. Tdap (Tetanus and adults that protects against pertussis as well as tetanus and diphtheria. This is different from

MacAdam, Keith

70

Target Audience: Health care professionals  

E-print Network

(palliative care, chronic ill- ness), child welfare, and do- mestic violence. Valerie is an AssistantTarget Audience: Health care professionals Workshop Facilitator: Valerie Spironello, MSW, RSW Valerie has been a social worker for over 20 years working in a variety of settings including health care

Haykin, Simon

71

Health and Wellness Guide for the Volunteer Fire Service.  

National Technical Information Service (NTIS)

Firefighting is one of the nation's most dangerous and hazardous jobs, with heart attacks, high physical stress levels, sprains, and strains all too common. Of all firefighters in the U.S., 73 percent are volunteers. The leading cause of on-duty death amo...

2004-01-01

72

Our experience as a Health Volunteers Overseas-sponsored team in Hu??, Vietnam  

PubMed Central

A group from Texas Oncology and Baylor Charles A. Sammons Cancer Center traveled to Huę´, Vietnam, as part of Health Volunteers Overseas. From February 21 to March 6, 2012, five Baylor Sammons medical oncologists and an oncology nurse worked with a medical oncologist and a surgeon at the Huę´ College of Medicine and Pharmacy, suggesting approaches based on available resources. The two groups worked together to find optimal solutions for the patients. What stood out the most for the Baylor Sammons group was the Huę´ team's remarkable work ethic, empathy for patients, and treatment resourcefulness. The Baylor Sammons group also identified several unmet needs that could potentially be addressed by future volunteers in Huę´, including creation of an outpatient hospice program, establishment of breast cancer screening, modernization of the pathology department, instruction in and better utilization of pain management, better use of clinic space, and the teaching of oncology and English to medical students. There was a mutual exchange of knowledge between the two medical teams. The Baylor Sammons group not only taught but also learned how to take good care of patients with limited resources. PMID:23543968

Denham, Claude A.; Osborne, Cynthia R.; Green, Nathan B.; Divers, Josephine; Pippen, John E.

2013-01-01

73

Adherence and health care costs  

PubMed Central

Medication nonadherence is an important public health consideration, affecting health outcomes and overall health care costs. This review considers the most recent developments in adherence research with a focus on the impact of medication adherence on health care costs in the US health system. We describe the magnitude of the nonadherence problem and related costs, with an extensive discussion of the mechanisms underlying the impact of nonadherence on costs. Specifically, we summarize the impact of nonadherence on health care costs in several chronic diseases, such as diabetes and asthma. A brief analysis of existing research study designs, along with suggestions for future research focus, is provided. Finally, given the ongoing changes in the US health care system, we also address some of the most relevant and current trends in health care, including pharmacist-led medication therapy management and electronic (e)-prescribing. PMID:24591853

Iuga, Aurel O; McGuire, Maura J

2014-01-01

74

Volunteer health professionals and emergencies: assessing and transforming the legal environment.  

PubMed

Volunteer health professionals (VHPs) are essential in emergencies to fill surge capacity and provide needed medical expertise. While some VHPs are well-organized and trained, others arrive spontaneously at the site of a disaster. Lacking organization, training, and identification, they may actually impede emergency efforts. Complications involving medical volunteers in New York City after September 11, 2001, led Congress to authorize federal authorities to assist states and territories in developing emergency systems for the advance registration of volunteer health professionals (ESARVHP). Through advance registration, volunteers can be vetted, trained, and mobilized more effectively during emergencies. The use of VHPs, however, raises multiple legal questions: What constitutes an emergency, how is it declared, and what are the consequences? When are volunteers liable for their actions? When may volunteers who are licensed or certified in one state legally practice their profession in another state? Are volunteers entitled to compensation for harms they incur? This article examines the legal framework underlying the registration and use of volunteers during emergencies and offers recommendations for legal reform, including: (1) establish minimum standards to facilitate interjurisdictional emergency response, improve coordination, and enhance reciprocity of licensing and credentialing; (2) develop liability provisions for VHPs that balance their need to respond without significant fear of civil liability with patients' rights to legal recourse for egregious harms; and (3) provide basic levels of protections for VHPs harmed, injured, or killed while responding to emergencies. PMID:16181044

Hodge, James G; Gable, Lance A; Cálves, Stephanie H

2005-01-01

75

"Cloud" health-care workers.  

PubMed Central

Certain bacteria dispersed by health-care workers can cause hospital infections. Asymptomatic health-care workers colonized rectally, vaginally, or on the skin with group A streptococci have caused outbreaks of surgical site infection by airborne dispersal. Outbreaks have been associated with skin colonization or viral upper respiratory tract infection in a phenomenon of airborne dispersal of Staphylococcus aureus called the "cloud" phenomenon. This review summarizes the data supporting the existence of cloud health-care workers. PMID:11294715

Sherertz, R. J.; Bassetti, S.; Bassetti-Wyss, B.

2001-01-01

76

Gypsies and health care.  

PubMed Central

Gypsies in the United States are not a healthy group. They have a high incidence of heart disease, diabetes mellitus, and hypertension. When they seek medical care, Gypsies often come into conflict with medical personnel who find their behavior confusing, demanding, and chaotic. For their part, Gypsies are often suspicious of non-Gypsy people and institutions, viewing them as a source of disease and uncleanliness. Gypsy ideas about health and illness are closely related to notions of good and bad fortune, purity and impurity, and inclusion and exclusion from the group. These basic concepts affect everyday life, including the way Gypsies deal with eating and washing, physicians and hospitals, the diagnosis of illness, shopping around for cures, and coping with birth and death. PMID:1413769

Sutherland, A

1992-01-01

77

Volunteers supporting older people in formal care settings in England: personal and local factors influencing prevalence and type of participation.  

PubMed

In the UK context of financial austerity and the promotion of the social responsibility through the concept of the "Big Society," volunteers are becoming a more important part of the labor workforce. This is particularly so in the long-term care (LTC) sector, where both shortages of staff and demands for support are particularly high. This article investigate the levels and profile of contribution of volunteers in the LTC sector using a large national data set, National Minimum Data Set for Social Care, linked to local area levels of rurality and socio-economic status. The analysis shows that volunteer activity in formal care services varies between sectors and service types, with no strong relationship between local area deprivation, unemployment levels, and levels of volunteering. However, some significant association was found with level of rurality. The contribution of volunteers is most evident in provision of counseling, support, advocacy, and advice. PMID:25332302

Hussein, Shereen; Manthorpe, Jill

2014-12-01

78

Progress in health care, progress in health?  

Microsoft Academic Search

This paper examines the potential impact of changes in medical care on changing population health in Lithuania, Hungary and Romania, with west Germany included for comparison. We used the concept of deaths from certain causes that should not occur in the presence of timely and effective health care (amenable mortality) and calculated the contribution of changes in mortality from these

Ellen Nolte; Martin McKee; Rembrandt D. Scholz

2004-01-01

79

Health care's move toward differentiation.  

PubMed

As the basis of competition changes, so will the focus of the health care industry's senior managers. The author believes that health plans that differentiate their product offerings, in the eyes of their customers, will be most successful. PMID:10164789

Kaminsky, R

1997-02-01

80

Nursing Home Administrators' Views of Their Own and Volunteer Resident Advocates' Enhancement of Long-Term Care  

Microsoft Academic Search

Volunteers perform much of the work of federally mandated state ombudsman programs which may include review of resident care in nursing facilities to protect against abuse and neglect. Although volunteers' activities may take place in the nursing facility, Nursing Home Administrators' (NHAs) views of their work are seldom studied. Data from questionnaires completed by 199 NHAs predicted enhancement (improvement) of

Pat M. Keith

2005-01-01

81

Space age health care delivery  

NASA Technical Reports Server (NTRS)

Space age health care delivery is being delivered to both NASA astronauts and employees with primary emphasis on preventive medicine. The program relies heavily on comprehensive health physical exams, health education, screening programs and physical fitness programs. Medical data from the program is stored in a computer bank so epidemiological significance can be established and better procedures can be obtained. Besides health care delivery to the NASA population, NASA is working with HEW on a telemedicine project STARPAHC, applying space technology to provide health care delivery to remotely located populations.

Jones, W. L.

1977-01-01

82

Health Care for Gulf War Veterans  

MedlinePLUS

... Toll Free Numbers VA » Health Care » Public Health » Military Exposures » Gulf War Veterans' Illnesses » Benefits » Health Care ... Veterans Public Health Public Health Public Health Home Military Exposures Military Exposures Home 4 Ways to Find ...

83

Comparison of health outcomes among affiliated and lay disaster volunteers enrolled in the World Trade Center Health Registry  

Microsoft Academic Search

BackgroundVolunteers (non-professional rescue\\/recovery workers) are universally present at man-made and natural disasters and share experiences and exposures with victims. Little is known of their disaster-related health outcomes.

Indira Debchoudhury; Alice E. Welch; Monique A. Fairclough; James E. Cone; Robert M. Brackbill; Steven D. Stellman; Mark R. Farfel

84

Contagious Ideas from Health Care  

ERIC Educational Resources Information Center

Financial problems plague both higher education and health care, two sectors that struggle to meet public expectations for quality services at affordable rates. Both higher education and health care also have a complex bottom line, heavy reliance on relatively autonomous professionals, and clients who share personal responsibility for achieving…

Chaffee, Ellen

2009-01-01

85

Multicultural Health Care in Practice  

Microsoft Academic Search

This study presents a first assessment of the challenges faced by Dutch health care providers dealing with the increasing cultural diversity in Dutch society. Qualitative interviews with 24 Dutch caregivers and policy-makers point to a number of important difficulties encountered when confronted with the growing diversity of patient populations. The study focuses explicitly on the challenges health care providers perceive

Gert Olthuis; Godelieve van Heteren

2003-01-01

86

Prospects for Health Care Reform.  

ERIC Educational Resources Information Center

This editorial reviews areas of health care reform including managed health care, diagnosis-related groups, and the Resource-Based Relative Value Scale for physician services. Relevance of such reforms to people with developmental disabilities is considered. Much needed insurance reform is not thought to be likely, however. (DB)

Kastner, Theodore

1992-01-01

87

Service quality in health care.  

PubMed

Although US health care is described as "the world's largest service industry," the quality of service--that is, the characteristics that shape the experience of care beyond technical competence--is rarely discussed in the medical literature. This article illustrates service quality principles by analyzing a routine encounter in health care from a service quality point of view. This illustration and a review of related literature from both inside and outside health care has led to the following 2 premises: First, if high-quality service had a greater presence in our practices and institutions, it would improve clinical outcomes and patient and physician satisfaction while reducing cost, and it would create competitive advantage for those who are expert in its application. Second, many other industries in the service sector have taken service quality to a high level, their techniques are readily transferable to health care, and physicians caring for patients can learn from them. PMID:10029131

Kenagy, J W; Berwick, D M; Shore, M F

1999-02-17

88

Social support, volunteering and health around the world: cross-national evidence from 139 countries.  

PubMed

High levels of social capital and social integration are associated with self-rated health in many developed countries. However, it is not known whether this association extends to non-western and less economically advanced countries. We examine associations between social support, volunteering, and self-rated health in 139 low-, middle- and high-income countries. Data come from the Gallup World Poll, an internationally comparable survey conducted yearly from 2005 to 2009 for those 15 and over. Volunteering was measured by self-reports of volunteering to an organization in the past month. Social support was based on self-reports of access to support from relatives and friends. We started by estimating random coefficient (multi-level) models and then used multivariate logistic regression to model health as a function of social support and volunteering, controlling for age, gender, education, marital status, and religiosity. We found statistically significant evidence of cross-national variation in the association between social capital variables and self-rated health. In the multivariate logistic model, self-rated health were significantly associated with having social support from friends and relatives and volunteering. Results from stratified analyses indicate that these associations are strikingly consistent across countries. Our results indicate that the link between social capital and health is not restricted to high-income countries but extends across many geographical regions regardless of their national-income level. PMID:22305947

Kumar, Santosh; Calvo, Rocio; Avendano, Mauricio; Sivaramakrishnan, Kavita; Berkman, Lisa F

2012-03-01

89

The national health care imperative.  

PubMed

In summary, the nation's health care system is in serious need of reform. It is expensive and woefully inefficient. Millions of people are excluded from coverage, while others receive limited or second-class care. For those millions who suffer serious chronic problems that require long-term care, there is virtually no help. There is no help for the family whose loved one suffers from Alzheimer's disease. There is no help for the family whose child is born with cerebral palsy or epilepsy. There is no help for the middle-aged father, disabled in an automobile accident. Providing good care to all Americans is not a matter of money. America currently spends some 13% of its gross national product on health care, and yet the health statistics of Americans are the worst in the industrialized world. What America needs is a comprehensive system of health care that includes both acute and long-term care. Congress must take action to restore health care as a basic constitutional right of all Americans. Coverage for long-term care must be included within the context of any new national health care program. Funding for such a program should come from the most progressive tax that the Congress can fashion, which to this point is the federal income tax. Although there is an appropriate role for private insurance, it should function as a supplement to rather than as a substitute for a new national program. There are several other elements that are key to a national health care program: Home care must be the first line of any national long-term care program.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10106451

Halamandaris, V J

1990-03-01

90

Teens, technology, and health care.  

PubMed

Teens are avid users of new technologies and social media. Nearly 95% of US adolescents are online at least occasionally. Health care professionals and organizations that work with teens should identify online health information that is both accurate and teen friendly. Early studies indicate that some of the new health technology tools are acceptable to teens, particularly texting, computer-based psychosocial screening, and online interventions. Technology is being used to provide sexual health education, medication reminders for contraception, and information on locally available health care services. This article reviews early and emerging studies of technology use to promote teen health. PMID:25124206

Leanza, Francesco; Hauser, Diane

2014-09-01

91

Health Professionals' Knowledge of Women's Health Care.  

ERIC Educational Resources Information Center

Survey responses from 71 health professionals, benchmarking data from 8 hospitals, continuing education program evaluations, and focus groups with nursing, allied health, and primary care providers indicated a need for professional continuing education on women's health issues. Primary topic needs were identified. The data formed the basis for…

Beatty, Rebecca M.

2000-01-01

92

Academic Health Centers and Health Care Reform.  

ERIC Educational Resources Information Center

A discussion of the role of academic health centers in health care reform efforts looks at the following issues: balancing academic objectivity and social advocacy; managing sometimes divergent interests of centers, faculty, and society; and the challenge to develop infrastructure support for reform. Academic health centers' participation in…

Miles, Stephen H.; And Others

1993-01-01

93

Understanding the role of the volunteer in specialist palliative care: a systematic review and thematic synthesis of qualitative studies  

PubMed Central

Background Volunteers make a major contribution to palliative patient care, and qualitative studies have been undertaken to explore their involvement. With the aim of making connections between existing studies to derive enhanced meanings, we undertook a systematic review of these qualitative studies including synthesising the findings. We sought to uncover how the role of volunteers with direct contact with patients in specialist palliative care is understood by volunteers, patients, their families, and staff. Methods We searched for relevant literature that explored the role of the volunteer including electronic citation databases and reference lists of included studies, and also undertook handsearches of selected journals to find studies which met inclusion criteria. We quality appraised included studies, and synthesised study findings using a novel synthesis method, thematic synthesis. Results We found 12 relevant studies undertaken in both inpatient and home-care settings, with volunteers, volunteer coordinators, patients and families. Studies explored the role of general volunteers as opposed to those offering any professional skills. Three theme clusters were found: the distinctness of the volunteer role, the characteristics of the role, and the volunteer experience of the role. The first answers the question, is there a separate volunteer role? We found that to some extent the role was distinctive. The volunteer may act as a mediator between the patient and the staff. However, we also found some contradictions. Volunteers may take on temporary surrogate family-type relationship roles. They may also take on some of the characteristics of a paid professional. The second cluster helps to describe the essence of the role. Here, we found that the dominant feature was that the role is social in nature. The third helps to explain aspects of the role from the point of view of volunteers themselves. It highlighted that the role is seen by volunteers as flexible, informal and sometimes peripheral. These characteristics some volunteers find stressful. Conclusions This paper demonstrates how qualitative research can be sythnesised systematically, extending methodological techniques to help answer difficult research questions. It provides information that may help managers and service planners to support volunteers appropriately. PMID:24506971

2014-01-01

94

Soviet health care and perestroika.  

PubMed Central

Health and health care in the Soviet Union are drawing special attention during these first years of perestroika, Mikhail Gorbachev's reform of Soviet political and economic life. This report briefly describes the current state of Soviet health and medical care, Gorbachev's plans for reform, and the prospects for success. In recent years the Soviet Union has experienced a rising infant mortality rate and declining life expectancy. The health care system has been increasingly criticized for its uncaring providers, low quality of care, and unequal access. The proposed measures will increase by 50 percent the state's contribution to health care financing, encourage private medicine on a small scale, and begin experimentation with capitation financing. It seems unlikely that the government will be able to finance its share of planned health improvements, or that private medicine, constrained by the government's tight control, will contribute much in the near term. Recovery of the Soviet economy in general as well as the ability of health care institutions to gain access to Western materials will largely determine the success of reform of the Soviet health care system. PMID:2297064

Schultz, D S; Rafferty, M P

1990-01-01

95

Aids for Health and Home Extension Volunteers. Appropriate Technologies for Development. Reprint R-3.  

ERIC Educational Resources Information Center

This book contains various aids for Peace Corps home extension volunteers. Section I, "Culture Resource Material," contains four articles by Paul Benjamin: (1) "Values in American Culture"; (2) "The Cultural Context of Health Education"; (3) "Problems of Introducing Public Health Programs in 'Underdeveloped Areas'"; and (4) "The Role of Beliefs…

Peace Corps, Washington, DC. Information Collection and Exchange Div.

96

Spring 2014 CAN WE FIX HEALTH CARE?  

E-print Network

Spring 2014 CAN WE FIX HEALTH CARE? HEALTH ECONOMICS & POLICY 1 Dr. Katie Fitzpatrick UCOR1630 in health care policy. You will analyze health-related issues in the news, create and interpret graphical- plexity of the health care system and an appreciation of the tradeoffs in health care policy. Course

Carter, John

97

Health care reform in Russia  

Microsoft Academic Search

The break-up of the former Soviet Union has created a greater realisation of the health and health care deficiencies of what are now independent states and the need for reform. The purpose of these two papers is to describe these deficiencies and set the scene for the establishment of some form of national health insurance in Russia and the other

O P Schepin; V Yu Semenov; Igor Sheiman

1992-01-01

98

Asian American health care attitudes.  

PubMed

This paper describes the results of a survey of health care attitudes of a sample of respondents primarily of Asian American background. The importance of bilingualism, Asian background, age, and other attributes of a physician are discussed with relation to subgroups in the sample. The relative importance of the influence of doctors, family, and friends on the choice of physician and health care facility are also presented. The findings may help with the development of effective market segmentation and improved health care service to the Asian American community. PMID:10538733

Perttula, W; Lowe, D; Quon, N S

1999-01-01

99

Managing Home Health Care (For Parents)  

MedlinePLUS

Intensive Health Care at Home Kids can need intensive health care at home after they have been in the hospital ... dolls to help you practice different procedures. Home Health Care Assistance The hospital social worker can help families ...

100

Accreditation Association for Ambulatory Health Care  

MedlinePLUS

... HIPAA compliance Federal and State Regulations/Legislative Resources Health Care Resources Press Releases Contact Us Find a Health Care Organization Accreditation Programs General information Application for survey ...

101

Helping You Choose Quality Behavioral Health Care  

MedlinePLUS

Helping You Choose Quality Behavioral Health Care Selecting quality behavioral health care services for yourself, a relative or friend requires special thought and attention. The Joint Commission on ...

102

Delivering Health Care and Mental Health Care Services to Children in Family Foster Care after Welfare and Health Care Reform.  

ERIC Educational Resources Information Center

Describes the essential features of a health care system that can meet the special needs of children in out-of-home care. Discusses some of the major recent changes brought about by welfare and health care reform. Notes that it remains to be seen whether the quality of services will improve as a result of these reforms. (Author)

Simms, Mark D.; Freundlich, Madelyn; Battistelli, Ellen S.; Kaufman, Neal D.

1999-01-01

103

Respiratory Home Health Care  

MedlinePLUS

... patients and caregivers to perform on a routine basis. Use a liquid soap and lots of warm ... care equipment should be cleaned on a regular basis. Besides washing with a mild detergent and rinsing ...

104

Agents of Change for Health Care Reform  

ERIC Educational Resources Information Center

It is widely recognized throughout the health care industry that the United States leads the world in health care spending per capita. However, the chilling dose of reality for American health care consumers is that for all of their spending, the World Health Organization ranks the country's health care system 37th in overall performance--right…

Buchanan, Larry M.

2007-01-01

105

Training meals on wheels volunteers as health literacy coaches for older adults.  

PubMed

Homebound older adults constitute a "hardly reached" population with respect to health communication. Older adults also typically suffer from health literacy challenges, which put them at increased risk of adverse health outcomes. Suboptimal interactions with providers are one such challenge. Interventions to improve interactive health literacy focus on training consumers/patients in question preparation and asking. Meals on Wheels volunteers are uniquely suited to coach their clients in such interaction strategies. Seventy-three Meals on Wheels volunteers participated in workshops to train as health literacy coaches. The 3- to 4-hour workshops included units on communicating with older adults, on the nature of health literacy, and on the process of interactive health literacy coaching. Participants viewed and discussed videos that modeled the targeted communication behaviors for older adult patients interacting with physicians. They role-played the coaching process. After 9 months, coaches participated in a "booster" session that included videos of ideal coaching practices. Evaluation questionnaires revealed that participants had favorable reactions to the workshops with respect to utility and interest. They especially appreciated learning communication skills and seeing realistic videos. A measure of knowledge about the workshop material revealed a significant increment at posttest. Fidelity of coaching practices with respect to workshop curriculum was confirmed. This training in interactive health literacy for community-based lay volunteers constitutes one way to implement the National Action Plan to Improve Health Literacy for one "hardly reached" population. An online tool kit containing all workshop materials is available. PMID:23877229

Rubin, Donald L; Freimuth, Vicki S; Johnson, Sharon D; Kaley, Terry; Parmer, John

2014-05-01

106

Hospice Care  

MedlinePLUS

Hospice care is end-of-life care. A team of health care professionals and volunteers provides it. ... can remain as alert and comfortable as possible. Hospice programs also provide services to support a patient's ...

107

Health Care Resource Guide  

E-print Network

, and children, simple diagnostic tests, medical assistance, limited immunizations, sports physicals, DOT Program 13 Project Access 14 Riverstone Family Health Clinic 15-16 Shriners Hospital for Children

Collins, Gary S.

108

Early pregnancy detection by female community health volunteers in Nepal facilitated referral for appropriate reproductive health services  

PubMed Central

ABSTRACT Background: Female community health volunteers (FCHVs) are a possible entry point for Nepali women to access timely reproductive health services at the village level. This evaluation assessed the success of a pilot program that trained FCHVs in early pregnancy detection using urine pregnancy tests (UPTs), counseling, and referral to appropriate antenatal, safe abortion, or family planning services. Methods: Between July 2008 and June 2009, the program trained 1,683 FCHVs from 6 districts on how to provide UPTs and appropriate counseling and referral; 1,492 FCHVs (89%) provided follow-up data on the number of clients served and the type of services provided. In addition, the program conducted in-depth interviews with selected FCHVs and other reproductive health service providers on their perceptions of the program. Results: Of the FCHVs with follow-up data, 80% reported providing UPTs to women in the 8-month follow-up period. In total, they conducted 4,598 UPTs, with a mean number of 3.1 tests per FCHV. Among the women with a negative pregnancy test (47%), FCHVs provided 24% of them with oral contraceptive pills and 20% with condoms; referred 10% for other contraceptive services; and provided contraceptive counseling only to 46%. Among the women with positive pregnancy tests (53%), FCHVs referred 68% for antenatal care and 32% for safe abortion services. Conclusions: Providing FCHVs with the skills and supplies required for early pregnancy detection allowed them to make referrals for appropriate reproductive health services. Results of this evaluation suggest that community health workers such as FCHVs are a promising channel for early pregnancy detection and referral. As the intervention is scaled up, the focus should be on ensuring service availability and awareness of available services, UPT supply, and creating viable options for record keeping.

Andersen, Kathryn; Singh, Anuja; Shrestha, Meena Kumari; Shah, Mukta; Pearson, Erin; Hessini, Leila

2013-01-01

109

Help Yourself to Health Care.  

ERIC Educational Resources Information Center

A booklet on health care for limited English speakers provides information on choosing the right doctor, buying medicine, paying the bill, and the individual's role in maintaining his or her health. Cartoons, questions and puzzles concerning the message in cartoons and narrative passages, checklists about an individual's personal habits related to…

Snyder, Sarah

110

An Innovative Approach for Building Health Promotion Program Capacity: A Generic Volunteer Training Curriculum  

Microsoft Academic Search

Purpose: We examined the feasibility of creating a generic training curriculum for volunteers in health pro- motion programs for older adults by identifying common core content topics across 10 national programs. We also considered additional material that could augment common core content topics. De- sign and Methods: We reviewed in detail program manuals and associated materials from 10 national evidence-based

Ellen C. Schneider; Mary Altpeter; Nancy Whitelaw

111

Volunteer Watershed Health Monitoring by Local Stakeholders: New Mexico Watershed Watch  

ERIC Educational Resources Information Center

Volunteers monitor watershed health in more than 700 programs in the US, involving over 400,000 local stakeholders. New Mexico Watershed Watch is a student-based watershed monitoring program sponsored by the state's Department of Game and Fish which provides high school teachers and students with instruction on methods for water quality…

Fleming, William

2003-01-01

112

Determinants of Children's Primary Health Care Use  

Microsoft Academic Search

We review factors that influence children's use of primary health care services. Predictors of pediatric health care use include child health status, child mental health, parent and family functioning, demographic characteristics, and access to health care services. Health services research is marked by inconsistencies due to varying approaches to measurement, population sampling, and analysis, and models that do not incorporate

David M. Janicke; Jack W. Finney

2000-01-01

113

Volunteer Services; 200 West Arbor Drive, San Diego, CA 92103-8959; Telephone: (619) 543-6370; http://health.ucsd.edu/volunteer (PLEASE TYPE OR PRINT NEATLY) DATE: ______________________  

E-print Network

Volunteer Services; 200 West Arbor Drive, San Diego, CA 92103-8959; Telephone: (619) 543-6370; http IN VOLUNTEERING FOR UC SAN DIEGO HEALTH SYSTEM that in the performance of my duties as a volunteer with UC San Diego Health System I must abide by all policies

Squire, Larry R.

114

Health care in Armenia today.  

PubMed Central

Although one of the smallest of the new independent states of the former Soviet Union, the Republic of Armenia has an ancient tradition and a strong ethnic identification, greatly enhanced by the diaspora. In addition to the problems following the dissolution of the Soviet Union, Armenia has had to contend with a draining war in Nagorno-Karabakh and the after-effects of a devastating earthquake in 1988. Humanitarian efforts have ranged from emergency supply deliveries to longer-term sustainable health care partnerships. The United States government, through the Agency for International Development, has organized such partnerships, partially as a result of a multinational mission in 1992 and a subsequent hospital-to-hospital program developed by the American International Health Alliance. We describe the current state of health care in Armenia and some of the problems that need to be addressed to improve health care services to its citizens. PMID:8023481

Farmer, R G; Chobanian, A V

1994-01-01

115

National Health Care Reform, Medicaid, and Children in Foster Care.  

ERIC Educational Resources Information Center

Outlines access to health care for children in out-of-home care under current law, reviews how health care access for these children would be affected by President Clinton's health care reform initiative, and proposes additional measures that could be considered to improve access and service coordination for children in the child welfare system.…

Halfon, Neal; And Others

1994-01-01

116

HealthCare.gov  

MedlinePLUS

... MD 21244 Whitehouse.gov USA.gov × Get Email/Text Updates Learn more about new health insurance options ... Northern Mariana Islands Puerto Rico Virgin Islands For Text Messages Optional Privacy Policy Subscription Complete! Now that ...

117

Contribution of the Community Health Volunteers in the Control of Buruli Ulcer in B?nin  

PubMed Central

Background Buruli ulcer (BU) is a neglected tropical disease caused by Mycobacterium ulcerans. Usually BU begins as a painless nodule, plaque or edema, ultimately developing into an ulcer. The high number of patients presenting with ulcers in an advanced stage is striking. Such late presentation will complicate treatment and have long-term disabilities as a consequence. The disease is mainly endemic in West Africa. The primary strategy for control of this disease is early detection using community village volunteers. Methodology/Principal Findings In this retrospective, observational study, information regarding Buruli ulcer patients that reported to one of the four BU centers in Bénin between January 2008 and December 2010 was collected using the WHO/BU01 forms. Information used from these forms included general characteristics of the patient, the results of diagnostic tests, the presence of functional limitations at start of treatment, lesion size, patient delay and the referral system. The role of the different referral systems on the stage of disease at presentation in the hospital was analyzed by a logistic regression analysis. About a quarter of the patients (26.5%) were referred to the hospital by the community health volunteers. In our data set, patients referred to the hospital by community health volunteers appeared to be in an earlier stage of disease than patients referred by other methods, but after adjustment by the regression analysis for the health center, this effect could no longer be seen. The Polymerase Chain Reaction (PCR) for IS2404 positivity rate among patients referred by the community health volunteers was not systematically lower than in patients referred by other systems. Conclusions/Significance This study clarifies the role played by community health volunteers in Bénin, and shows that they play an important role in the control of BU. PMID:25275562

Barogui, Yves Thierry; Sopoh, Ghislain Emmanuel; Johnson, Roch Christian; de Zeeuw, Janine; Dossou, Ange Dodji; Houezo, Jean Gabin; Chauty, Annick; Aguiar, Julia; Agossadou, Didier; Edorh, Patrick A.; Asiedu, Kingsley; van der Werf, Tjip S.; Stienstra, Ymkje

2014-01-01

118

UNIVERSITY OF CONNECICUT HEALTH CENTER CORRECTIONAL MANAGED HEALTH CARE  

E-print Network

UNIVERSITY OF CONNECICUT HEALTH CENTER CORRECTIONAL MANAGED HEALTH CARE POLICY AND PROCEDURES SERVICES Effective Date: 04/01/01 POLICY: University of Connecticut Health Center (UCHC), Correctional Managed Health Care (CMHC) shall ensure that newly admitted inmates to Connecticut Department

Oliver, Douglas L.

119

Optimization of preventive health care facility locations  

Microsoft Academic Search

BACKGROUND: Preventive health care programs can save lives and contribute to a better quality of life by diagnosing serious medical conditions early. The Preventive Health Care Facility Location (PHCFL) problem is to identify optimal locations for preventive health care facilities so as to maximize participation. When identifying locations for preventive health care facilities, we need to consider the characteristics of

Wei Gu; Xin Wang; S. Elizabeth McGregor

2010-01-01

120

FastStats: Home Health Care  

MedlinePLUS

... and Territorial Data NCHS Home FastStats Home Home Health Care Data are for the U.S. Number of current ... diabetes, 11 percent of discharges (2007) Source: Home Health Care and Discharged Hospice Care Patients: United States, 2000 ...

121

Health Care Reform and Alzheimer's Disease  

MedlinePLUS

... care and research. Subscribe now Medicare and the health care reform law Drug rebates for seniors At a ... Detection of possible cognitive impairment under Medicare The health care reform law created a new Medicare benefit to ...

122

National Lesbian Health Care Survey: Implications for Mental Health Care  

Microsoft Academic Search

This article presents demographic, lifestyle, and mental health information about 1,925 lesbians from all 50 states who participated as respondents in the National Lesbian Health Care Survey (1984–1985), the most comprehensive study on U.S. lesbians to date. Over half the sample had had thoughts about suicide at some time, and 18% had attempted suicide. Thirty-seven percent had been physically abused

Judith Bradford; Caitlin Ryan; Esther D. Rothblum

1994-01-01

123

Health Care Reform: A Values Debate.  

ERIC Educational Resources Information Center

Addresses the crisis in health care, considering costs, lack of access, and system ineffectiveness. Reviews "Setting Relationships Right," the Catholic Health Association's proposal for health care reform. Advocates educators' awareness of children's health needs and health care reform issues and support for the Every Fifth Child Act of 1992. (DMM)

Popko, Kathleen

1992-01-01

124

Finding Low-Cost Mental Health Care  

MedlinePLUS

... Teens > Mind > Mental Health > Finding Low-Cost Mental Health Care Print A A A Text Size What's in ... if you're concerned about paying for mental health care. Lots of people need help and worry that ...

125

Health Care Procedure Considerations and Individualized Health Care Plans  

ERIC Educational Resources Information Center

Teachers need to maintain a safe, healthy environment for all their students in order to promote learning. However, there are additional considerations when students require health care procedures, such as tube feeding or clean intermittent catheterization. Teachers must effectively monitor their students and understand their roles and…

Heller, Kathryn Wolff; Avant, Mary Jane Thompson

2011-01-01

126

Homeless persons and health care.  

PubMed

Health care is generally unavailable for the homeless. This heterogeneous group of men and women, including long-term street dwellers, residents of shelters, the chronically mentally ill, the economically debased, and alienated youth, are subject to a broad range of acute and chronic diseases, intensified by unsuitable living conditions, stress, and sociopathic behavior. Trauma, pulmonary tuberculosis, infestations, and peripheral vascular disease are common problems among the homeless; incomplete and fragmentary medical care permits exacerbation of chronic disorders. Outreach programs imaginatively constructed by teams of physicians, nurses, and social workers can effectively reestablish and maintain health services for these disenfranchised persons. PMID:3511826

Brickner, P W; Scanlan, B C; Conanan, B; Elvy, A; McAdam, J; Scharer, L K; Vicic, W J

1986-03-01

127

Health disparities among health care workers.  

PubMed

In this article we describe the process of an interdisciplinary case study that examined the social contexts of occupational and general health disparities among health care workers in two sets of New England hospitals and nursing homes. A political economy of the work environment framework guided the study, which incorporated dimensions related to market dynamics, technology, and political and economic power. The purpose of this article is to relate the challenges encountered in occupational health care settings and how these could have impacted the study results. An innovative data collection matrix that guided small-group analysis provided a firm foundation from which to make design modifications to address these challenges. Implications for policy and research include the use of a political and economic framework from which to frame future studies, and the need to maintain rigor while allowing flexibility in design to adapt to challenges in the field. PMID:19940090

Mawn, Barbara; Siqueira, Eduardo; Koren, Ainat; Slatin, Craig; Devereaux Melillo, Karen; Pearce, Carole; Hoff, Lee Ann

2010-01-01

128

[About the legal regulation of health care].  

PubMed

The adoption of the law "About foundations of population health care in the Russian Federation" in absence of concept of health care development determining the major targets and tasks of the sector gives rise in citizen incomprehension and rejection of innovations of health policy. To determine the vector of development of Russian health care as compared with Soviet system of health care the analysis of particular positions of the Federal law "On foundations of population health care" (2011) and the USSR law "On approval of foundations of legislation of USSR and Union republics on health care" (1969) is made. PMID:23634600

Yefremov, D V

2012-01-01

129

take care of What Matters Health Family  

E-print Network

your receipts! Health care account max of $2500; child day care account max of $5000 Convenienttake care of What Matters Health · Family · Finances · Future Medical Coverage Penn State offers plans allow you freedom of choice of health care providers both in and out of network. PPO Blue plan

Lee, Dongwon

130

Health care and the transcendent  

Microsoft Academic Search

This paper examines the values implicit in health care providers serving dying persons. It studies why providers should form a relationship with the dying person that is more human, less mechanistic, and less directed to that person as an economic unit or as a “case” of this or that disease. Much of the literature on the dying makes such suggestions

Clyde Nabe

1989-01-01

131

Spirituality, health care, and bioethics  

Microsoft Academic Search

This article explores the relationship of spirituality to health care and bioethics in terms of the need and efforts of people to make sense of their lives in the face of illness, injury, or impending death. Moving beyond earlier associations with specific religious traditions, spirituality has come to designate the way in which people can integrate their experiences with their

Maureen Muldoon; Norman King

1995-01-01

132

Health care insolvency and bankruptcy.  

PubMed

Bankruptcy is an event that is often considered a business' worst nightmare. Debt, lawyers, and the U.S. government can lead to the eventual destruction of a business. This article shows how declaring bankruptcy can be a helpful instrument in continuing a successful venture in the health care marketplace. PMID:10182242

Handelsman, L; Speiser, M; Maltz, A; Kirpalani, S

1998-08-01

133

Prevalence of latex hypersensitivity among health care workers in Malaysia.  

PubMed

Health care workers have been reported to constitute one of the few high-risk groups related to IgE-mediated hypersensitivity associated with the use of latex products. This paper describes the first ever study of prevalence carried out in Malaysia among these workers. One hundred and thirty health care personnel from Hospital Kuala Lumpur were skin tested. Extracts used were prepared from seven different brands of natural rubber latex gloves with varying levels of extractable protein (EPRRIM). Out of the 130 volunteers, 4 (3.1%) had positive skin test to latex with extracts with high levels of EPRRIM (> 0.7 mg/g). The prevalence among the Malaysian health care workers can be considered to be low in comparison to that of some consumer countries as the USA which reported a prevalence of as high as 16.9%. PMID:10972001

Shahnaz, M; Azizah, M R; Hasma, H; Mok, K L; Yip, E; Ganesapillai, T; Suraiya, H; Nasuruddin, B A

1999-03-01

134

Managed consumerism in health care.  

PubMed

The future of market-oriented health policy and practice lies in "managed consumerism," a blend of the patient-centric focus of consumer-driven health care and the provider-centric focus of managed competition. The optimal locus of incentives will vary among health services according to the nature of the illness, the clinical technology, and the extent of discretion in utilization. A competitive market will manifest a variety of comprehensive and limited benefit designs, broad and narrow contractual networks, and single-and multispecialty provider organizations. PMID:16284020

Robinson, James C

2005-01-01

135

Towards an alternative economics of health care.  

PubMed

It is argued here that an economics centred on subjective utility-maximization is unsuitable for the analysis and policy grounding of health care provision. To some extent, the peculiarities of health care have been recognized by mainstream health economists, who sometimes abandon Paretian welfare considerations to focus on needs instead. This article examines important peculiarities of health care that are relatively neglected in the literature. Some of these concern health care needs: while health itself is a universal need, needs for health care provision are largely involuntary, varied, and idiosyncratic. These issues have important consequences for the planning of health care systems and the extent of transaction costs in any market-based system. These factors, combined with the inherent dynamism of modern health care needs and capabilities, create an opening for alternative approaches to health care economics. PMID:19099619

Hodgson, Geoffrey M

2009-01-01

136

Improving oral health and oral health care delivery for children.  

PubMed

National and state-level evidence has documented ongoing disparities in children's health and utilization of oral health care services, prompting a re-examination of factors associated with poor oral health and low use of oral health services. These efforts have yielded a wide array of proposals for improving children's oral health and oral health care delivery. This paper offers a perspective on the current context of efforts to improve children's oral health and oral health care delivery. PMID:21485933

Crall, James J

2011-02-01

137

What is the health care product?  

PubMed

Because of the current competitive environment, health care providers (hospitals, HMOs, physicians, and others) are constantly searching for better products and better means for delivering them. The health care product is often loosely defined as a service. The authors develop a more precise definition of the health care product, product line, and product mix. A bundle-of-elements concept is presented for the health care product. These conceptualizations help to address how health care providers can segment their market and position, promote, and price their products. Though the authors focus on hospitals, the concepts and procedures developed are applicable to other health care organizations. PMID:10119211

France, K R; Grover, R

1992-06-01

138

Financing the health care Internet.  

PubMed

Internet-related health care firms have accelerated through the life cycle of capital finance and organizational destiny, including venture capital funding, public stock offerings, and consolidation, in the wake of heightened competition and earnings disappointments. Venture capital flooded into the e-health sector, rising from $3 million in the first quarter of 1998 to $335 million two years later. Twenty-six e-health firms went public in eighteen months, raising $1.53 billion at initial public offering (IPO) and with post-IPO share price appreciation greater than 100 percent for eighteen firms. The technology-sector crash hit the e-health sector especially hard, driving share prices down by more than 80 percent for twenty-one firms. The industry now faces an extended period of consolidation between e-health and conventional firms. PMID:11192423

Robinson, J C

2000-01-01

139

Agent-based health care management An Agent-based Approach to Health Care Management  

E-print Network

Agent-based health care management 1 An Agent-based Approach to Health Care Management Jun Huang1, London WC2A 3PX, UK. Abbreviated title: Agent-based health care management Complete Mailing Address. London E1 4NS UK #12;Agent-based health care management 2 Abstract The provision of medical care

Mascardi, Viviana

140

Retention of female volunteer community health workers in Dhaka urban slums: a prospective cohort study  

PubMed Central

Background Volunteer community health workers (CHWs) are a key approach to improving community-based maternal and child health services in developing countries. BRAC, a large Bangladeshi non-governmental organization (NGO), has employed female volunteer CHWs in its community-based health programs since 1977, recently including its Manoshi project, a community-based maternal and child health intervention in the urban slums of Bangladesh. A case–control study conducted in response to high dropout rates in the first year of the project showed that financial incentives, social prestige, community approval and household responsibilities were related to early retention in the project. In our present prospective cohort study, we aimed to better understand the factors associated with retention of volunteer CHWs once the project was more mature. Methods We used a prospective cohort study design to examine the factors affecting retention of volunteer CHWs who remained in the project after the initial start-up period. We surveyed a random sample of 542 CHWs who were working for BRAC Manoshi in December 2008. In December 2009, we revisited this cohort of CHWs and interviewed those who had dropped out about the main reasons for their dropping out. We used a multivariable generalized linear model regression analysis with a log link to estimate the relative risk (RR) of independent factors on retention. Results Of the 542 CHWs originally enrolled, 120 had dropped out by the end of one year, mainly because they left the slums. CHWs who received positive community appraisal (adjusted RR?=?1.45, 95% confidence interval (CI)?=?1.10 to 1.91) or were associated with other NGOs (adjusted RR?=?1.13, 95% CI?=?1.04 to 1.23) were more likely to have been retained in the project. Although refresher training was also associated with increased retention (adjusted RR?=?2.25, 95% CI?=?1.08 to 4.71) in this study, too few CHWs had not attended refresher training regularly to make it a meaningful predictor of retention that could be applied in the project setting. Conclusion Factors that affect retention of CHWs may change over time, with some factors that are important in the early years of a project losing importance as the project matures. Community health programs operating in fragile urban slums should consider changing factors over program duration for better retention of volunteer CHWs. PMID:24886046

2014-01-01

141

Consumer Attitudes toward Health and Health Care: A Differential Perspective.  

ERIC Educational Resources Information Center

Questionnaires returned by 343 out of 350 subjects measured health attitudes and health status. Results suggest that some consumers take a more scientific approach to health care and prevention. Demographic factors, health status, and health consciousness are partial predictors of consumer attitudes and approach to health care. (SK)

Gould, Stephen J.

1988-01-01

142

Transitions: From Pediatric to Adult Health Care  

MedlinePLUS

... Businesses & Schools > Transitions Transitions From Pediatric to Adult Health Care Transitioning from teenage years to adulthood can be ... management and make more independent judgments about their health care needs. NDEP has assembled the materials below to ...

143

CDC Vital Signs: Making Health Care Safer  

MedlinePLUS

... About CDC.gov . Vital Signs Share Compartir Making Health Care Safer Stop Infections from Lethal CRE Germs Now ... CRE infections on your state's Notifiable Diseases list. Health Care CEOs/Medical Officers can Require and strictly enforce ...

144

New health policies on Primary Health Care in Greece  

Microsoft Academic Search

Introduction. Modern views about health and its medical, sanitary and financial components impose the reorganization of the health care system and its direction towards regional decentralization and primary health care. Political strategies in Greece have been turned towards this direction years ago. Aim. Present review aimed at presenting the importance of Primary Health Care, describing its organizational and functional framework

Theodoula Adamakidou; Athena Kalokerinou

2010-01-01

145

Awakening child consumerism in health care.  

PubMed

Consumer participation, especially among children and their families, is requisite in bargaining assertively for quality care in today's health care industry. The emergence of self-care behaviors must be evoked, cultivated, and embraced during childhood in order to nurture a discriminating attitude toward health care ventures. PMID:1574366

Pittman, K P

1992-01-01

146

Catholic health care: future blueprint.  

PubMed

Every Catholic hospital is influenced by one of two models of behavior, the private-business model and the public-service model. Which model eventually dominates an organization's actions is determined by the behavior of its leaders--sponsors, trustees, executive managers, and physicians. Since these internal forces are more likely than are external forces to determine an organization's course, Catholic health care leaders must consciously decide which value they wish to embrace. They also must improve their ability to forecast and influence the future, beginning with the creation of an independent national commission formed to assess the status of Catholic health care. Religious institutes, seeking collaboration and dialogue among themselves, should play a key role in implementing such a commission's recommendations. The Catholic health care systems that emerge in the future as a result of long-range planning and a value-driven philosophy will be multicongregational rather than owned by a single religious institute, fewer in number and larger in scope, and influential on a regional level. They will be expected to participate in networking with local non-Catholic providers and to integrate finance and delivery. PMID:10279352

Connors, E J

1986-11-01

147

Families, Managed Care, & Children's Mental Health.  

ERIC Educational Resources Information Center

This theme issue of a bulletin on family support and children's mental health focuses on managed care and the impact on children who are in need of mental health services. Articles include: "Private Sector Managed Care and Children's Mental Health" (Ira S. Lourie and others); "Just What Is Managed Care?" (Chris Koyanagi); "Managed Behavioral…

McManus, Marilyn C., Ed.

1996-01-01

148

The Family Therapist as Health Care Consultant  

Microsoft Academic Search

Increasingly therapists are called upon to serve as consultants to health care organizations. The consultant is expected to assess the contribution a family systems therapy perspective can make. Among the areas considered are: the family as a health care agency; the place of direct family therapy treatment in health care; protection of the family at risk; the development of appropriate

Donald A. Bloch

1984-01-01

149

Competitor analysis in health care marketing.  

PubMed

Health care providers increasingly are relying upon marketing as a means of overcoming growing competition. Competition-oriented marketing necessitates a comprehensive analysis of the competitive setting, a task which the health care marketing literature has generally given little attention. Herein the concept, perspective and tools of competitor analysis are borrowed from strategic planning and adapted for use in health care marketing. PMID:10299944

Salvatore, T

1984-01-01

150

Confucian Trust, Market and Health Care Reform  

Microsoft Academic Search

Health care systems in the world are beset by a common problem. The problem to frame a moral basis for health care policy that provides all citizens with basic coverage, encourages innovation, contains costs, and supports commitment to trust and responsibility which can guarantee the reliable function of the market and the ethical behaviour of health care professionals. This paper

Julia Tao

151

Communicating in Multicultural Health Care Organizations.  

ERIC Educational Resources Information Center

This paper investigates the multicultural demands of health care delivery by examining the role of organizational communication in promoting effective multicultural relations in modern health care systems. The paper describes the multicultural make-up of modern health care systems--noting, for example that providers from different professional…

Kreps, Gary L.; Kunimoto, Elizabeth

152

Mental Health Consultation in Child Care and  

E-print Network

Mental Health Consultation in Child Care and Early Childhood Settings Opportunities to Expand-922-1300 · www.cpeip.fsu.edu #12;Mental Health Consultation in Child Care and Early Childhood Settings ....................................... 27 Strategies for Implementing Early Childhood Mental Health Consultation in Child Care

McQuade, D. Tyler

153

Providing primary health care with non-physicians.  

PubMed

The definition of primary health care is basically the same, but the wide variety of concepts as to the form and type of worker required is largely due to variations in economic, demographic, socio-cultural and political factors. Whatever form it takes, in many parts of the developing world, it is increasingly clear that primary health care must be provided by non-physicians. The reasons for this trend are compelling, yet it is surprisingly opposed by the medical profession in many a developing country. Nonetheless, numerous field trials are being conducted in a variety of situations in several countries around the world. Non-physician primary health care workers vary from medical assistants and nurse practitioners to aide-level workers called village mobilizers, village volunteers, village aides and a variety of other names. The functions, limitations and training of such workers will need to be defined, so that an optimal combination of skills, knowledge and attitudes best suited to produce the desired effect on local health problems may be attained. The supervision of such workers by the physician and other health professionals will need to be developed in the spirit of the health team. An example of the use of non-physicians in providing primary health care in Sarawak is outlined. PMID:6497324

Chen, P C

1984-04-01

154

Health and Social Care Is Health and Social Care right for me?  

E-print Network

Health and Social Care Is Health and Social Care right for me? Are you are interested in caring for a specialised degree in medicine, nursing or social work? If yes, then Health and Social Care could be the subject for you. You will need good time management skills as well as a passion for care in order to get

Harman, Neal.A.

155

Contribution of Primary Care to Health Systems and Health  

PubMed Central

Evidence of the health-promoting influence of primary care has been accumulating ever since researchers have been able to distinguish primary care from other aspects of the health services delivery system. This evidence shows that primary care helps prevent illness and death, regardless of whether the care is characterized by supply of primary care physicians, a relationship with a source of primary care, or the receipt of important features of primary care. The evidence also shows that primary care (in contrast to specialty care) is associated with a more equitable distribution of health in populations, a finding that holds in both cross-national and within-national studies. The means by which primary care improves health have been identified, thus suggesting ways to improve overall health and reduce differences in health across major population subgroups. PMID:16202000

Starfield, Barbara; Shi, Leiyu; Macinko, James

2005-01-01

156

Factors Important to Success in the Volunteer Long-Term Care Ombudsman Role  

ERIC Educational Resources Information Center

This study found that the satisfaction of one state's largely older volunteers' altruistic, affiliation, and self-improvement motives corresponded to increased organizational loyalty and better performance across several dimensions. Younger volunteers served for shorter periods and were more highly motivated by the "self-improvement" need.…

Nelson, H. Wayne; Hooker, Karen; DeHart, Kimberly N.; Edwards, John A.; Lanning, Kevin

2004-01-01

157

Beneficence, justice, and health care.  

PubMed

This paper argues that societal duties of health promotion are underwritten (at least in large part) by a principle of beneficence. Further, this principle generates duties of justice that correlate with rights, not merely "imperfect" duties of charity or generosity. To support this argument, I draw on a useful distinction from bioethics and on a somewhat neglected approach to social obligation from political philosophy. The distinction is that between general and specific beneficence; and the approach from political philosophy has at times been called equality of concern. After clarifying the distinction and setting out the basis of the equality of concern view, I argue that the result is a justice-based principle of "specific" beneficence that should be reflected in a society's health policy. I then draw on this account to criticize, refine, and extend some prominent health care policy proposals from the bioethics literature. PMID:24783323

Kelleher, J Paul

2014-03-01

158

Selectivity within primary health care.  

PubMed

While great strides have been made in improving socioeconomic conditions in the developing world, prospects for health for all remain remote. Resources are few, and difficult decisions must be made concerning the priorities for their use. This paper addresses several topics involved in making these choices including the methods for determining priorities and ensuring effectiveness of resource use. First, prioritizing. Information is needed concerning the prevalence, mortality, morbidity, feasibility and cost of control for each disease of importance in the area under consideration. Second, the use of technology. In discussion of health care some have denigrated the concentration many programs have placed on specific methods and technologies. Nevertheless, technological advances, while some have had detrimental results, have often led to improved living conditions; for example, improved seed and fertilizer use, improved water pumps, family planning efforts. These technologies required a larger investment in management, financial and communication systems. Health interventions are frequently more various and complex than these and need a similar support system for impact. However there are many shortcomings in health services; the paper looks at some of these learnt through experience, and concludes that the lack of impact on health of large scale health programs that have provided selective interventions is probably related to an inadequate recognition of the importance of community and political involvement and of the necessary social, cultural, financial, management and administrative underpinnings. PMID:3388068

Walsh, J A

1988-01-01

159

Health Literacy and Communication Quality in Health Care Organizations  

Microsoft Academic Search

The relationship between limited health literacy and poor health may be due, in part, to poor communication quality within health care delivery organizations. We explored the relationship between health literacy status and receiving patient-centered communication in clinics and hospitals serving communication-vulnerable patient populations. Thirteen health care organizations nationwide distributed a survey to 5929 patients. All patients completed seven items assessing

Matthew K. Wynia; Chandra Y. Osborn

2010-01-01

160

Health Care Reform and the Academic Health Center.  

ERIC Educational Resources Information Center

A discussion of the implications of health care reform for academic health centers (a complex of institutions which educate health professionals) looks at problems in the current system, the role of academic health centers in the current system, financial pressures, revenue sources other than patient care, impact on health research, and human…

Kimmey, James R.

1994-01-01

161

Basic Health Care. Instructor's Teaching Guide.  

ERIC Educational Resources Information Center

The curriculum for the training of the entry level health workers (referred to as nursing aid, assistant, or basic health care worker) is organized with a modular approach and designed within the framework of a humanistic learning growth model. Module 1, The Health Core, provides basic education for any health care worker. Module 2, The Patient…

Miami-Dade Community Coll., FL.

162

Establishment of primary health care in Vietnam.  

PubMed

Basic demographic and epidemiological data relevant to health problems in Vietnam are described in this paper. Existing health service arrangements are referred to, with particular emphasis on the strategy for development of primary health care. The establishment of the paediatric centre in Ho Chi Minh City is reported, and examples of its valuable work in primary health care development are described. PMID:2121182

Birt, C A

1990-08-01

163

Health Care: A Brave New World.  

PubMed

The current U.S. health care system, with both rising costs and demands, is unsustainable. The combination of a sense of individual entitlement to health care and limited acceptance of individual responsibility with respect to personal health has contributed to a system which overspends and underperforms. This sense of entitlement has its roots in a perceived right to health care. Beginning with the so-called moral right to health care (all life is sacred), the issue of who provides health care has evolved as individual rights have trumped societal rights. The concept of government providing some level of health care ranges from limited government intervention, a 'negative right to health care' (e.g., prevention of a socially-caused, preventable health hazard), to various forms of a 'positive right to health care'. The latter ranges from a decent minimum level of care to the best possible health care with access for all. We clarify the concept of legal rights as an entitlement to health care and present distributive and social justice counter arguments to present health care as a privilege that can be provided/earned/altered/revoked by governments. We propose that unlike a 'right', which is unconditional, a 'privilege' has limitations. Going forward, expectations about what will be made available should be lowered while taking personal responsibility for one's health must for elevated. To have access to health care in the future will mean some loss of personal rights (e.g., unhealthy behaviors) and an increase in personal responsibility for gaining or maintaining one's health. PMID:23494290

Morrisette, Shelley; Oberman, William D; Watts, Allison D; Beck, Joseph B

2013-03-14

164

Internet and Your Health 1 UC Irvine Health Care Facilitator  

E-print Network

Internet and Your Health 1 UC Irvine Health Care Facilitator Internet and Your Health of diseases, from arthritis to warts as well as information on managed care. The Internet should regulations, advocacy and advice on managed care problems. 4. www.medicare.gov - The official government web

Burke, Peter

165

New perspectives on health and health care policy  

Microsoft Academic Search

Health care reform has been the primary focus of policymakers for much of the past year, culminating with the Patient Protection and Affordable Care Act that was signed into law by President Obama on March 23, 2010. The vigorous national debate on the act has highlighted the importance of innovative, high-quality research on health and health care policy.

Darren Lubotsky; Bhashkar Mazumder; Zach Seeskin

2010-01-01

166

Health Information Systems for Primary Health Care: Thinking About Participation  

E-print Network

Health Information Systems for Primary Health Care: Thinking About Participation Elaine Byrne in supporting primary health care functioning, the design, development and implementation of these systems care, especially in the context of developing countries, a very challenging task. An important step

Sahay, Sundeep

167

Improving Access to Health Care: School-Based Health Centers.  

ERIC Educational Resources Information Center

This article explores an approach for better serving the complete health care needs of children, specifically, the efficacy of school-based health centers (SBHCs) to provide a service delivery mechanism capable of functioning as a medical home for children, providing primary care for both their physical and behavioral health care needs. The…

Dowden, Shauna L.; Calvert, Richard D.; Davis, Lisa; Gullotta, Thomas P.

168

Health Care Reform: Opportunities for Improving Adolescent Health.  

ERIC Educational Resources Information Center

Health care reform represents a major step toward achieving the goal of improved preventive and primary care services for all Americans, including children and adolescents. Adolescence is a unique developmental age district from both childhood and adulthood with special vulnerabilities, health concerns, and barriers to accessing health care. It is…

Irwin, Charles E., Jr., Ed.; And Others

169

Oral health care for hospitalized children.  

PubMed

Oral health care may be the greatest unmet health need of children in the U.S. Half of the children in the U.S. suffer from tooth decay by 8 years of age. The consequences of poor oral health are many, including mouth pain, inability to chew and eat, abscess and soft tissue infection, diminished self-esteem, and impaired school performance. Numerous medical conditions, such as asthma and diabetes, and developmental disabilities, such as cerebral palsy and autism, have associated oral health implications. Oral health care is often neglected by nondental health providers. Nurses are in a unique position to contribute to the improvement of this national health problem by promoting oral health care among hospitalized children and their families. A hospital program for oral health care is proposed, including assessment of teeth and gingiva, ensuring oral care for all, as well as oral health education as part of patient education. PMID:22132567

Blevins, Jo Young

2011-01-01

170

Challenges for health care development in Croatia.  

PubMed

The main aim of the research done in this paper was to establish key challenges and perspectives for health care development in the Republic of Croatia in the next two decades. Empirical research was conducted in the form of semi-structured interviews involving 49 subjects, representatives of health care professionals from both, public and private sectors, health insurance companies, pharmaceutical companies, drug wholesalers, and non-governmental organisations (patient associations). The results have shown that key challenges and problems of Croatian health care can be divided into three groups: functioning of health care systems, health care personnel, and external factors. Research has shown that key challenges related to the functioning of health care are inefficiency, financial unviability, inadequate infrastructure, and the lack of system transparency. Poor governance is another limiting factor. With regard to health care personnel, they face the problems of low salaries, which then lead to migration challenges and a potential shortage of health care personnel. The following external factors are deemed to be among the most significant challenges: ageing population, bad living habits, and an increase in the number of chronic diseases. However, problems caused by the global financial crisis and consequential macroeconomic situation must not be neglected. Guidelines for responding to challenges identified in this research are the backbone for developing a strategy for health care development in the Republic of Croatia. Long-term vision, strategy, policies, and a regulatory framework are all necessary preconditions for an efficient health care system and more quality health services. PMID:23213924

Ostoji?, Rajko; Bilas, Vlatka; Franc, Sanja

2012-09-01

171

Pilot Evaluation of a Prototype Critical Care Blood Glucose Monitor in Normal Volunteers  

PubMed Central

Background Availability of a highly accurate in-hospital automated blood glucose (BG) monitor could facilitate implementation of intensive insulin therapy protocols through effective titration of insulin therapy, improved BG control, and avoidance of hypoglycemia. We evaluated a functional prototype BG monitor designed to perform frequent automated blood sampling for glucose monitoring. Methods Sixteen healthy adult volunteer subjects had intravenous catheter insertions in a forearm or hand vein and were studied for 8 hours. The prototype monitor consisted of an autosampling unit with a precise computer-controlled reversible syringe pump and a glucose analytical section. BG was referenced against a Yellow Springs Instrument (YSI) laboratory analyzer. Sampling errors for automated blood draws were assessed by calculating the percent of failed draws, and BG data were analyzed using the Bland and Altman technique. Results Out of 498 total sample draws, unsuccessful draws were categorized as follow: 11 (2.2%) were due to autosampler technical problems, 21 (4.2%) were due to catheter-related failures, and 37 (7.4%) were BG meter errors confirmed by a glucometer-generated error code. Blood draw difficulties or failures related to the catheter site (e.g., catheter occlusion or vein collapse) occurred in 6/15 (40%) subjects. Mean BG bias versus YSI was 0.20 ± 12.6 mg/dl, and mean absolute relative difference was 10.4%. Conclusions Automated phlebotomy can be performed in healthy subjects using this prototype BG monitor. The BG measurement technology had suboptimal accuracy based on a YSI reference. A more accurate BG point-of-care testing meter and strip technology have been incorporated into the future version of this monitor. Development of such a monitor could alleviate the burden of frequent BG testing and reduce the risk of hypoglycemia in patients on insulin therapy. PMID:20144376

Torjman, Marc C.; Goldberg, Michael E.; Littman, Jeffrey J.; Hirsh, Robert A.; Dellinger, Richard P.

2009-01-01

172

Health care management in workers' compensation.  

PubMed

A high-performing, effective health care delivery system is critical to the recovery of injured workers within a workers' compensation insurance system. Timely and effective health care has the potential to minimize indemnity costs and therefore contribute to the insurer's financial state. While costs remain a concern to insurers, cost-containment initiatives within the health care arena have evolved from a strict "deep discount" approach to more sophisticated health care strategies that follow managed care-style models. In the future, health care strategies are likely to become more integrated within the business operations of workers' compensation insurance systems. The next evolution of health care strategy within workers' compensation will likely include consensus-based contracts with providers that stipulate the role and function of each party while reinforcing a continuous improvement mindset. It is probable that a component of this evolving system will include shared risk and reimbursement that is based on performance. Insurers who begin to evaluate the true impact of a comprehensive health care strategy will find it necessary and advantageous to modify their business relationship with health care providers. Those who are able to articulate a business strategy that capitalizes on the skills of the health care community are likely to gain a competitive advantage. Most importantly, this bridging of intellectual capacity across the insurance and health care domains will result in a delivery system that is valued by, and contributes to, its key participants--the employers and the injured workers. PMID:9589449

Nikolaj, S; Boon, B

1998-01-01

173

Strengthening of primary health care: key to deliver inclusive health care.  

PubMed

Inequity and poverty are the root causes of ill health. Access to quality health services on an affordable and equitable basis in many parts of the country remains an unfulfilled aspiration. Disparity in health care is interpreted as compromise in 'Right to Life.' It is imperative to define 'essential health care,' which should be made available to all citizens to facilitate inclusivity in health care. The suggested methods for this include optimal utilization of public resources and increasing public spending on health care. Capacity building through training, especially training of paramedical personnel, is proposed as an essential ingredient, to reduce cost, especially in tertiary care. Another aspect which is considered very important is improvement in delivery system of health care. Increasing the role of 'family physician' in health care delivery system will improve preventive care and reduce cost of tertiary care. These observations underlie the relevance and role of Primary health care as a key to deliver inclusive health care. The advantages of a primary health care model for health service delivery are greater access to needed services; better quality of care; a greater focus on prevention; early management of health problems; and cumulative improvements in health and lower morbidity as a result of primary health care delivery. PMID:23873190

Yeravdekar, Rajiv; Yeravdekar, Vidya Rajiv; Tutakne, M A; Bhatia, Neeta P; Tambe, Murlidhar

2013-01-01

174

Collaborative Partnerships in Health, Medicine & Social Care  

E-print Network

Collaborative Partnerships in Health, Medicine & Social Care Launch Conference Lancaster University and Social Care. By leading the establishment of a Hub partnership approach, involving NHS Trusts and other and globally in Health, Medicine and Social Care. Guest Speakers will include: Dr Louise Wood (Head

Meju, Max

175

Prospective Medicine: The Next Health Care Transformation  

Microsoft Academic Search

The introduction of science into the practice of medicine in the early 20th century was a transforming event for the profession. Now, breakthroughs in science and know how make it possible to transform care once again and to fix the broken U.S. health care system. To realize this poten- tial, new models of prospective health care must be created and

Ralph Snyderman; R. Sanders Williams

2003-01-01

176

Training health professionals in the care of the elderly.  

PubMed

Twenty-seven projects for the development of interdisciplinary geriatric curricula were supported by the Health Resources Administration's Bureau of Health Professions in fiscal 1979. A variety of clinical training sites were used (e.g., university gerontology centers, VA medical centers, senior citizen facilities, adult health care centers), and innovative teaching approaches were developed. For example, a combined medical/dental/optometry clinic is conducted by students at the three professional schools; medical students accompany volunteers serving Meals on Wheels; and dental students treat patients in nursing homes in a mobile dental unit. Students have gained insights into the problems of the elderly and the roles of other health professionals through the interdisciplinary-team training courses. Nurse-practitioner programs to prepare nurses to provide primary health care to the elderly were also supported by the Bureau, as were special projects to develop short-term in-service basic training programs for nurses' aides and orderlies in nursing homes, to upgrade the skills of the paraprofessionals who care for the elderly. In other projects, the geriatric educational needs of pharmacy students were assessed, and dental schools promoted remote-site training to improve access to dental care for the elderly. PMID:7056985

Panneton, P E; Moritsugu, K P; Miller, A M

1982-02-01

177

Decentralisation of health care and its impact on health outcomes  

Microsoft Academic Search

This paper explores the impact of health care decentralisation on a characteristic of human development: the overall level of a population's health. While much of the literature on decentralisation in health care has stressed the advantages of sub national provision of health services, in the absence of a quantitative measure of the magnitude of the effect of decentralisation, there is

Dolores Jimenez; Peter C. Smith

178

Health and Pre-Professional Health care is currently Canada's  

E-print Network

Health and Pre-Professional Health care is currently Canada's second-largest service industry. In addition to traditional health-related roles (e.g., physician, nurse, dentist, pharmacist), a wealth of new health care careers are opening as a result of recent scientific, medical and technological advances

179

[Primary health care essential attributes and the family health strategy].  

PubMed

The essential attributes of Primary Health Care are attention at first contact, longitudinality, completeness and coordination, and the derived attributes are family and community orientation and cultural competence. This paper discusses the presence of such attributes in Family Health Strategy, a political and governmental proposal to change the health care model in the context of the Unified Health System in Brazil. PMID:24092323

Oliveira, Maria Amélia de Campos; Pereira, Iara Cristina

2013-09-01

180

Using appreciative inquiry to transform health care.  

PubMed

Amid tremendous changes in contemporary health care stimulated by shifts in social, economic and political environments, health care managers are challenged to provide new structures and processes to continually improve health service delivery. The general public and the media are becoming less tolerant of poor levels of health care, and health care professionals need to be involved and supported to bring about positive change in health care. Appreciative inquiry (AI) is a philosophy and method for promoting transformational change, shifting from a traditional problem-based orientation to a more strength-based approach to change, that focuses on affirmation, appreciation and positive dialog. This paper discusses how an innovative participatory approach such as AI may be used to promote workforce engagement and organizational learning, and facilitate positive organizational change in a health care context. PMID:24099230

Trajkovski, Suza; Schmied, Virginia; Vickers, Margaret; Jackson, Debra

2013-08-01

181

Health Sciences Center Department of Internal Medicine Employee Health Promotion Program Health Care Provider Report  

E-print Network

Health Sciences Center Department of Internal Medicine Employee Health Promotion Program Health Care Provider Report Dear Health Care Provider: Your patient, ______________________________, has applied for enrollment in a fitness program sponsored by the University of New Mexico, Employee Health

New Mexico, University of

182

Rewarding altruism: addressing the issue of payments for volunteers in public health initiatives.  

PubMed

Lay involvement in public health programmes occurs through formalised lay health worker (LHW) and other volunteer roles. Whether such participation should be supported, or indeed rewarded, by payment is a critical question. With reference to policy in England, UK, this paper argues how framing citizen involvement in health only as time freely given does not account for the complexities of practice, nor intrinsic motivations. The paper reports results on payment drawn from a study of approaches to support lay people in public health roles, conducted in England, 2007-9. The first phase of the study comprised a scoping review of 224 publications, three public hearings and a register of projects. Findings revealed the diversity of approaches to payment, but also the contested nature of the topic. The second phase investigated programme support matters in five case studies of public health projects, which were selected primarily to reflect role types. All five projects involved volunteers, with two utilising forms of payment to support engagement. Interviews were conducted with a sample of project staff, LHWs (paid and unpaid), external partners and service users. Drawing on both lay and professional perspectives, the paper explores how payment relates to social context as well as various motivations for giving, receiving or declining financial support. The findings show that personal costs are not always absorbed, and that there is a potential conflict between financial support, whether sessional payment or expenses, and welfare benefits. In identifying some of the advantages and disadvantages of payment, the paper highlights the complexity of an issue often addressed only superficially. It concludes that, in order to support citizen involvement, fairness and value should be considered alongside pragmatic matters of programme management; however policy conflicts need to be resolved to ensure that employment and welfare rights are maintained. PMID:24581065

South, Jane; Purcell, Martin E; Branney, Peter; Gamsu, Mark; White, Judy

2014-03-01

183

Medicine and health care: implications for health sciences library practice.  

PubMed Central

The American health care system is experiencing a period of unprecedented change. This paper identifies and discusses the major changes in patient care, research, control of the health care system, and medical education, and their implications for health sciences librarians. These changes have resulted in new demands for effective information delivery and a broader health sciences library clientele. There are both challenges and opportunities for health sciences librarians as they respond to information pressures of the current health care environment and anticipate future needs. PMID:3708196

Hafner, A W; Schwarz, M R

1986-01-01

184

"Race" and Community Care. "Race," Health and Social Care Series.  

ERIC Educational Resources Information Center

This collection offers a wide-ranging introduction to contemporary issues surrounding the health care needs of members of minority ethnic communities within the framework of community care in Britain. The following chapters consider state welfare, minority communities, family structures, and social change: (1) "'Race' and Community Care: An…

Ahmad, Waqar I. U., Ed.; Atkin, Karl, Ed.

185

Health care of youth aging out of foster care.  

PubMed

Youth transitioning out of foster care face significant medical and mental health care needs. Unfortunately, these youth rarely receive the services they need because of lack of health insurance. Through many policies and programs, the federal government has taken steps to support older youth in foster care and those aging out. The Fostering Connections to Success and Increasing Adoptions Act of 2008 (Pub L No. 110-354) requires states to work with youth to develop a transition plan that addresses issues such as health insurance. In addition, beginning in 2014, the Patient Protection and Affordable Care Act of 2010 (Pub L No. 111-148) makes youth aging out of foster care eligible for Medicaid coverage until age 26 years, regardless of income. Pediatricians can support youth aging out of foster care by working collaboratively with the child welfare agency in their state to ensure that the ongoing health needs of transitioning youth are met. PMID:23184106

2012-12-01

186

Work ability in health care workers  

Microsoft Academic Search

Work Ability Index was used as a complementary tool for the periodical health surveillance of health care workers in order to evaluate their functional working capacity and to plan more appropriate preventive and compensatory measures. 867 health care workers of both sexes (337 men, 530 women), aged between 23 and 65 years and with a work experience from 0.5 to

G. Costa; S. Sartori; B. Bertoldo; D. Olivato; G. Antonacci; V. Ciuffa; F. Mauli

2005-01-01

187

Correctional Managed Health Care CMHC ANNUAL REPORT  

E-print Network

The Connecticut Department of Correction (CDOC) historically provided health services to inmates directly, using provide compassionate and clinically appropriate health care to inmates within the DOC correctionalCorrectional Managed Health Care CMHC ANNUAL REPORT July 2011 - June 2012 Introduction Correctional

Oliver, Douglas L.

188

Native-American elders. Health care status.  

PubMed

This article reviews current data relevant to the health care status of elderly Native Americans, a population cohort encompassing American Indians and Alaskan Natives/Aleutians. Several topics are addressed, including the history of Native American health policy, heart disease, diabetes mellitus, cancer, oral health, nutrition, long-term care, and the circumstances of urban Native American elders. PMID:7720023

Rousseau, P

1995-02-01

189

Medical rationing as a health care strategy  

Microsoft Academic Search

Notes the problem of rising health care costs in the USA. Considers a highly controversial solution to this problem, which is to consider health care as a scarce resource and to ration access to it. Whether rationing is done by age, ability to pay, or a cost-benefit analysis, the very concept contradicts the US belief in the right to health

Gay Wayland; Brian H. Kleiner

1997-01-01

190

Special Issue: The Family and Health Care.  

ERIC Educational Resources Information Center

Discusses research and interventions related to family health care. Topics include health promotion; risk behaviors; vulnerability and illness onset; choosing health care systems; stress; caregiving and coping; family counseling; and family responses to Alzheimer's Disease, pediatric cancer, cystic fibrosis, diabetes, and obesity. (JAC)

Doherty, William J., Ed.; McCubbin, Hamilton I., Ed.

1985-01-01

191

Healing, Medical Care, and Health Service Organizations  

Microsoft Academic Search

This paper reviews the reasons for disappointing health results from U.S. medical care, and prescribes val- ues for health service organizations (HSOs) that will provide a foundation for better medicine. Although the United States spends more money that any other country in the world on medical care, it ranks twenty-sixth in major indicators of population health. One reason for this

William E. Lafferty

2004-01-01

192

Community health centers as primary providers of health care  

Microsoft Academic Search

In their essay, Shelly Raymer Duncan and Cinthia L. Deye examine the experience of community health centers as primary providers\\u000a of health care. These centers provide quality health care for their clientele and operate in an efficient manner. The authors\\u000a argue that community health centers are a viable mechanism for the provision of comprehensive quality primary care for underserved\\u000a persons.

Shelly Raymer Duncan; Cinthia L. Deye

2006-01-01

193

Page 1 of 11 HEALTH CARE COLLEGES  

E-print Network

, Communication Disorders, Dentistry, Nursing, Physician Assistant Studies, Public Health, Radiation Sciences degree of trust between the professional and the individuals he or she serves. Each health profession has"). The health care colleges are: Dentistry, Health Sciences, Medicine, Nursing, Pharmacy, and Public Health

Hayes, Jane E.

194

Empowering patients to direct their health care  

Microsoft Academic Search

The American health care system has changed dramatically during the past 50 years. We no longer live in the days of cradle-to-grave care by a single family practice doctor who knew us and our medical history like the back of his hand. Health care is far more fluid and fast-paced; we often change insurance companies and primary care physicians. We

Rebecca S Busch

2003-01-01

195

Active, Medical Documents in Health Care  

Microsoft Academic Search

Distributed and heterogeneous information systems can be observed in health care. In order to implement the vision of seamless\\u000a health care, the boundaries of institutions need to be closed. Furthermore, information needs to be provided to the members\\u000a of the health care team according to the principle of information logistics for the effective and efficient support of treatment\\u000a processes. Since

Andreas Schweiger; Helmut Krcmar

196

Environmental scanning and the health care manager.  

PubMed

Health care managers and supervisors work in an environment of major changes and ongoing turbulence. Basic terms and strategic approaches are described to enable managers and supervisors to better understand the process of environmental scanning in the turbulent health care environment. Drawing from multiple disciplines, the information allows health care managers and supervisors to improve their skills as environmental scanners as they develop and implement strategic plans in this environment. PMID:16131929

Layman, Elizabeth J; Bamberg, Richard

2005-01-01

197

Consumer Financial Issues in Health Care  

Microsoft Academic Search

While government officials, health care providers, and insurers debate the cause and cure of high and rising health care costs,\\u000a consumers face the daunting task of making critical health care decisions for themselves and family members in a complex market.\\u000a This chapter describes the characteristics of and key players in that market. Reasons given in the academic and popular press

Deanna L. Sharpe

198

Barriers to health care for street youth.  

PubMed

This study investigates the barriers to health care faced by runaway adolescents. A convenience sample of 89 street youth located through community agencies was surveyed to elicit their perceptions of barriers to care. Results indicated that these youth experience a wide range of barriers to health care, both objective and subjective. They also experience fears with regard to receiving health care, many of which seem developmental in nature. The relative isolation of these youth compounds the objective barriers they face, yet many overcame these barriers and received needed care. PMID:9358291

Geber, G M

1997-11-01

199

Justice, welfare and health care.  

PubMed Central

Miss Telfer offers a new analysis, classifying health care into four systems, only one of which, the "laissez-faire" type, is unlikely to be acceptable today. The other three systems are defined here as "liberal humanitarian", "liberal socialist" and "pure socialist." Each is analysed for its content and for the views of its protagonists and antagonists. On these issues no dogma is proclaimed as the author says she has sought to "bring out some of the principles at issue in any discussion of the rights and wrongs of socialized medicine". This journal is surely the proper place for such a discussion as the worlds of the politician, of the economist, of the doctor and of the patient come to a point in the philosophies behind the aspect of medical ethics exemplified in the provision of medical services by the state. Miss Telfer also glances down the byways of the medicine of the market place. PMID:966258

Telfer, E.

1976-01-01

200

Effective health care corporate compliance.  

PubMed

The pace and intensity of oversight and investigation of health care organizations has greatly increased at all levels. Well run organizations with ethical management committed to following all laws and regulations are still at risk for compliance violations and punitive penalties. Under the Federal Sentencing Guidelines, organizations with an "effective" corporate compliance program may receive reduced penalties. The seven components of an effective program as defined in the guidelines are: (1) Standards and procedures; (2) oversight responsibilities; (3) employee training; (4) monitoring and auditing; (5) reporting systems; (6) enforcement and discipline; and (7) response and prevention. Lack of a compliance program needlessly exposes the organization to an avoidable risk of damage from non-compliance--whether intentional or not. Moreover, an effective program can contribute to the efficient operation of the organization and be a key piece of its corporate culture. PMID:10947465

Saum, T B; Byassee, J

2000-01-01

201

Attending unintended transformations of health care infrastructure  

PubMed Central

Introduction Western health care is under pressure from growing demands on quality and efficiency. The development and implementation of information technology, IT is a key mean of health care authorities to improve on health care infrastructure. Theory and methods Against a background of theories on human-computer interaction and IT-mediated communication, different empirical studies of IT implementation in health care are analyzed. The outcome is an analytical discernment between different relations of communication and levels of interaction with IT in health care infrastructure. These relations and levels are synthesized into a framework for identifying tensions and potential problems in the mediation of health care with the IT system. These problems are also known as unexpected adverse consequences, UACs, from IT implementation into clinical health care practices. Results This paper develops a conceptual framework for addressing transformations of communication and workflow in health care as a result of implementing IT. Conclusion and discussion The purpose of the conceptual framework is to support the attention to and continuous screening for errors and unintended consequences of IT implementation into health care practices and outcomes. PMID:18043725

Wentzer, Helle; Bygholm, Ann

2007-01-01

202

Religion, Spirituality and Your Mental Health Care  

MedlinePLUS

Religion, Spirituality and Your Mental Health Care Quick Links Facts for Families - Numerical List Facts for Families - Keyword (Alphabetical) Facts for Families No. 107; Updated December 2012 Click ...

203

The Health and Social Care Act 2008.  

PubMed

Several inquiry reports have shown that there is still a need to further improve health and social care and strengthen public confidence in these services. The reports have particularly emphasized the need for stricter regulation of health and adult social care providers and the need to use statutory powers to ensure compliance with quality and safety standards.This article outlines how the provisions of the Health and Social Care Act 2008 aim to address this need to further regulate quality and safety standards in health and social care. PMID:21240085

Griffith, Richard; Tengnah, Cassam

2010-12-01

204

Health Care-Acquired Viral Respiratory Diseases  

PubMed Central

Health care–associated viral respiratory infections, common among hospitalized children, also occur among adults and institutionalized persons and result in increased patient morbidity, mortality, and health care costs. Approximately 20% of patients with health care–associated pneumonia have viral respiratory infections, with 70% of these infections caused by adenovirus, influenza virus, parainfluenza virus, and respiratory syncytial virus (RSV).1 These infections typically reflect the level of viral activity within the community.1,2 This article focuses on the epidemiology, transmission, and control of health care–associated RSV and influenza virus. PMID:21316002

Goins, William P.; Talbot, H. Keipp; Talbot, Thomas R.

2014-01-01

205

Marketing Public Health Through Older Adult Volunteering: Experience Corps as a Social Marketing Intervention  

PubMed Central

Objectives. We present a social marketing conceptual framework for Experience Corps Baltimore City (EC) in which the desired health outcome is not the promoted product or behavior. We also demonstrate the feasibility of a social marketing–based recruitment campaign for the first year of the Baltimore Experience Corps Trial (BECT), a randomized, controlled trial of the health benefits of EC participation for older adults. Methods. We recruited older adults from the Baltimore, MD, area. Participants randomized to the intervention were placed in public schools in volunteer roles designed to increase healthy behaviors. We examined the effectiveness of a recruitment message that appealed to generativity (i.e., to make a difference for the next generation), rather than potential health benefits. Results. Among the 155 participants recruited in the first year of the BECT, the average age was 69 years; 87% were women and 85% were African American. Participants reported primarily generative motives as their reason for interest in the BECT. Conclusions. Public health interventions embedded in civic engagement have the potential to engage older adults who might not respond to a direct appeal to improve their health. PMID:20167888

Tanner, Elizabeth K.; Seeman, Teresa E.; Xue, Qian-Li; Rebok, George W.; Frick, Kevin D.; Carlson, Michelle C.; Wang, Tao; Piferi, Rachel L.; McGill, Sylvia; Whitfield, Keith E.; Fried, Linda P.

2010-01-01

206

Health care and human rights.  

PubMed

On April 6, 1995, in New Delhi, India, demonstrators with the group AIDS Bhedbhav Virodhi Andolan (ABVA) protested against the death of an AIDS patient in Calcutta due to medical negligence. They observed two minutes of silence in the memory of Dipak Biswas and carried signs stating Fight AIDS Not AIDS Patients, AIDS Patients Have Human Rights, and Wake Up, National Human Rights Commission. The demonstrators also submitted a memorandum to the Chairman of the National Human Rights Commission and a 26-page report entitled Who's Afraid of AIDS drafted by the Drug Action Forum and the Health Services Association. The report accuses three well-known medical institutions in Calcutta for insensitive treatment of Dipak, and it brings to light the subsequent victimization of his family following his death. Dipak's brother was dismissed from his job. His mother and sister were forced to leave the area. Some important health care questions and human rights issues the report brings up include: despite the commitment of the central and state governments to provide treatment to AIDS patients, AIDS patients tend not to receive care; hospital personnel from top management down are unaware of WHO guidelines on the management of AIDS patients and of the ethical norms concerning confidentiality; and AIDS patients and their families have no one to help them with treatment or with the social stigma. In the case of Dipak, hospital personnel did not tell his family that he had AIDS but told the press and members of the funeral party, who declined to touch his body. ABVA promotes AIDS-related human rights issues, such as the rights of gays, sex workers, prisoners, international travelers, and professional blood donors. The group documents inappropriate practices. For example, some companies practice arbitrary blood testing of employees and prospective recruits without their informed consent. They then fire or refuse to hire persons found to be HIV positive. PMID:12319587

Balasubrahmanyan, V

1995-01-01

207

Integrating mental health into primary health care in Zambia: a care provider's perspective  

PubMed Central

Background Despite the 1991 reforms of the health system in Zambia, mental health is still given low priority. This is evident from the fragmented manner in which mental health services are provided in the country and the limited budget allocations, with mental health services receiving 0.4% of the total health budget. Most of the mental health services provided are curative in nature and based in tertiary health institutions. At primary health care level, there is either absence of, or fragmented health services. Aims The aim of this paper was to explore health providers' views about mental health integration into primary health care. Methods A mixed methods, structured survey was conducted of 111 health service providers in primary health care centres, drawn from one urban setting (Lusaka) and one rural setting (Mumbwa). Results There is strong support for integrating mental health into primary health care from care providers, as a way of facilitating early detection and intervention for mental health problems. Participants believed that this would contribute to the reduction of stigma and the promotion of human rights for people with mental health problems. However, health providers felt they require basic training in order to enhance their knowledge and skills in providing health care to people with mental health problems. Recommendations It is recommended that health care providers should be provided with basic training in mental health in order to enhance their knowledge and skills to enable them provide mental health care to patients seeking help at primary health care level. Conclusion Integrating mental health services into primary health care is critical to improving and promoting the mental health of the population in Zambia. PMID:20653981

2010-01-01

208

Prostate cancer support groups, health literacy and consumerism: are community-based volunteers re-defining older men's health?  

PubMed

In this article we describe the connections between prostate cancer support groups (PCSGs) and men's health literacy and consumer orientation to health care services. The study findings are drawn from participant observations conducted at 16 PCSGs in British Columbia, Canada and 54 individual interviews that focused on men's experiences of attending group meetings. Men's communication and interactions at PCSGs provide important insights for how men talk about and conceptualize health and illness. For example, biomedical language often predominated at group meetings, and men used numbers and measures to engage with risk discourses in linking prostate cancer markers to various treatment options and morbidity and mortality rates. Many groups afforded opportunities for men to interact with health care providers as a means to better understand the language and logic of prostate cancer management. The health literacy skills fostered at PCSGs along with specific group-informed strategies could be mobilized in the men's subsequent clinical consultations. Consumer discourses and strategies to contest power relations with health care professionals underpinned many men's search for prostate cancer information and their commitment to assisting other men. Key were patients' rights, and perhaps responsibility, to compare diverse health products and services in making decisions across the entire trajectory of their prostate cancer. Overall, the study findings reveal PCSGs as having the capacity to contest as well as align with medical expertise and services facilitating men's transition from patient to informed health care consumers. The processes through which this occurs may direct the design of older men's health promotion programs. PMID:21177714

Oliffe, John L; Bottorff, Joan L; McKenzie, Michael M; Hislop, T Gregory; Gerbrandt, Julieta S; Oglov, Valerie

2011-11-01

209

Organization and financing of mental health care in Poland  

Microsoft Academic Search

Organization of care: Health care is provided to patients with mental disorders by the state health care facilities as well as by social help agencies. Mental health care services are provided mostly by mental health facilities and partly by primary care units. Outpatient clinics, separate for psychiatric patients and substance abusers, are the most numerous mental health care units, amounting

Wanda Langiewicz; Elzbieta Slupczynska-Kossobudzka

2000-01-01

210

Health care revival renews, rekindles, and revives.  

PubMed

In a Black community in Boston, Mass, a community health center developed a faith-based initiative to improve the health of community residents. In partnership with a steering committee composed of community health advocates, church leaders, and community leaders, the community health center planned and implemented annual Health Care Revival meetings at which screening activities and dissemination of health information are integrated with inspirational singing and scripture readings. The success of the Health Care Revival initiative is demonstrated by an increased use of community health center services after each revival meeting, by participants' evaluations, and by an increase in the number of community health improvement projects begun as a direct result of the Health Care Revival initiative. PMID:11818285

Lawson, Erma; Young, Azzie

2002-02-01

211

Health Care Costing: Data, Methods, Future Directions  

Cancer.gov

Health Services and Economics Branch staff have collaborated with colleagues at the Agency for Healthcare Research and Quality (AHRQ), the Department of Veterans Affairs (VA), and Emory University to develop a supplement to the journal Medical Care. The supplement, published in July 2009, examines a broad array of methodologic issues related to health care cost estimation. The supplement's papers are led by experts in health economics, epidemiology, health services research, and biostatistics.

212

Hurdles to health: immigrant and refugee health care in Australia  

Microsoft Academic Search

Refugees and asylum seekers face a number of barriers to accessing health care and improved health status. These include language difficulties, financial need and unemployment, cultural differ- ences, legal barriers and a health workforce with generally low awareness of issues specific to refugees. Importantly, current Australian govern- ment migration and settlement policy also impacts on access to health and health

Sally B Murray; Sue A Skull

2005-01-01

213

Children with Special Health Care Needs: Impact of Health Care Expenditures on Family Financial Burden  

Microsoft Academic Search

We investigated the relationship between health care expenditures for Special Health Care Needs (SHCN) children and family\\u000a perception of financial burden. Using 2005\\/2006 National Survey of Children with Special Health Care Needs data, a multivariate\\u000a logistic regression model was used to estimate the relationship between the SHCN child’s health care expenditure and perceived\\u000a financial burden, while controlling for family and

Lisa C. Lindley; Barbara A. Mark

2010-01-01

214

Investing in Primary Health Care Achieving better health care in the community  

E-print Network

Investing in Primary Health Care Achieving better health care in the community #12;Images by Nasir of primary care and this investment has been more than matched by considerable national research funding to Oxford of some of the UK's top primary care senior scientists by attracting a large number of junior

Oxford, University of

215

Diversity, Health, and the State of Patient Care in the US Health Care System  

Microsoft Academic Search

The current supplement adds to a growing body of literature by examining factors related to quality of health care with an emphasis on patient-centered care in the context of the Latino population. Despite being the largest of the racial\\/ethnic groups within the US, we have only begun to explore Latino perspectives on health and health care and the ways in

Hayden B. Bosworth; Ronnie D. Horner

2009-01-01

216

The Health Care Labor Shortage: Report of the Health Care Labor Shortage Work Group.  

ERIC Educational Resources Information Center

A work group consisting of representatives of public agencies, education, the health care industry, and unions and professional associations was formed to examine education and training issues related to the shortage of health care workers in Washington state. The group concluded that the shortage of available workers in many health care

Washington State Workforce Training and Education Coordinating Board, Olympia.

217

Health care reform and job satisfaction of primary health care physicians in Lithuania  

Microsoft Academic Search

BACKGROUND: The aim of this research paper is to study job satisfaction of physicians and general practitioners at primary health care institutions during the health care reform in Lithuania. METHODS: Self-administrated anonymous questionnaires were distributed to all physicians and general practitioners (N = 243, response rate – 78.6%), working at Kaunas primary health care level establishments, in October – December

Ilona Buciuniene; Aurelija Blazeviciene; Egle Bliudziute

2005-01-01

218

Learning Health Care Systems: Leading Through Research  

PubMed Central

The Health Maintenance Organization Research Network (HMORN), a consortium of 19 health care delivery systems with integrated research centers, held their 18th annual conference in Seattle, Washington from April 29 to May 2, 2012. Group Health Research Institute hosted the conference, “Learning health care systems: Leading through research”. The 2012 theme was chosen to reflect the critical role of collaboration among researchers, clinicians and health systems to improve health care nationally. Over 500 researchers and health care professionals participated in this conference. Representatives from the NCI, NHLBI, NIMH, and PCORI met with researchers to advance the quality and breadth of public domain research in HMOs. In this article we summarize information about the HMORN and its 18th annual conference. PMID:22904375

Newton, Katherine M.; Larson, Eric B.

2012-01-01

219

Segmenting the mental health care market.  

PubMed

The authors report the results of a segmentation study of the mental health care market. A random sample of 387 residents of a western city were interviewed by telephone. Cluster analysis of the data identified six market segments. Each is described according to the mental health care services to which it is most sensitive. Implications for targeting the segments are discussed. PMID:10104017

Stone, T R; Warren, W E; Stevens, R E

1990-03-01

220

A Guide to Adolescent Health Care EPSDT.  

ERIC Educational Resources Information Center

This document provides guidelines for individuals giving health care to adolescents through the Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program. Chapter One briefly indicates needs of adolescents and outlines legal aspects of health care for adolescents such as age of majority, informed consent, confidentiality, disclosure of…

Health Care Financing Administration (DHEW), Washington, DC.

221

Teaching Primary Health Care: An Interdisciplinary Approach.  

ERIC Educational Resources Information Center

Nursing and radiology students (n=15) at the University of Malta who completed an interdisciplinary module on primary health care reported they found the theoretical material applicable to practice; the module enabled them to learn about their potential role in primary health care. (SK)

Bezzina, Paul; Keogh, Johann J.; Keogh, Mariana

1998-01-01

222

Flashpoint in HealthCare Reform  

Microsoft Academic Search

Health care is an explosive flashpoint in U.S. politics this year more than ever. By 2013, Americans will either be headed, however slowly and fitfully, toward virtually universal access to decent health care or most of us will be struggling to use dwindling public vouchers to purchase ever more expensive private insurance. These alternate futures reflect what will happen if

Theda Skocpol

2012-01-01

223

Financial management in leading health care systems.  

PubMed

To understand better the financial management practices and strategies of modern health care organizations, we conducted interviews with chief financial officers (CFOs) of several leading health care systems. In this introduction, we present an overview of the project and summary responses on corporate financial structures and strategic challenges facing CFOs. PMID:10845383

Smith, D G; Wheeler, J R; Rivenson, H L; Reiter, K L

2000-01-01

224

Health Care Provider Physical Activity Prescription Intervention  

ERIC Educational Resources Information Center

Purpose: To examine the feasibility and impact of a health care provider’s (HCP) physical activity (PA) prescription on the PA of patients on preventive care visits. Methods: Consenting adult patients completed health and PA questionnaires and were sequentially assigned to intervention groups. HCPs prescribed PA using a written prescription only…

Josyula, Lakshmi; Lyle, Roseann

2013-01-01

225

Educating primary care clinicians about health disparities  

Microsoft Academic Search

Racial and ethnic health disparities inarguably exist in the United States. It is important to educate primary care clinicians regarding this topic because they have the ability to have an impact in the reduction of health disparities. This article presents the evidence that disparities exist, how clinicians contribute to these disparities, and what primary care clinicians can do to reduce

Roberto Cardarelli; Ana L Chiapa

2007-01-01

226

On Changing Indian Eligibility for Health Care.  

ERIC Educational Resources Information Center

Analyzes empirical data from one service area in Oklahoma as an illustration of the likely effects of proposed restrictions limiting eligibility of Native Americans for Indian Health Service care. Findings indicate dwindling support for Indian health care and negative impact on future Indian population. (PS)

Bashushur, Rashid; And Others

1987-01-01

227

Service quality in health care setting  

Microsoft Academic Search

Purpose – This paper attempts to explore the concept of service quality in a health care setting. Design\\/methodology\\/approach – This paper probes the definition of service quality from technical and functional aspects for a better understanding on how consumers evaluate the quality of health care. It adopts the conceptual model of service quality frequently used by the most researchers in

Wan Edura Wan Rashid; Hj. Kamaruzaman Jusoff

2009-01-01

228

Many Faces: Addressing Diversity in Health Care  

Microsoft Academic Search

Diversity. The changing demographics and economics of our growing multicultural world, and the long-standing disparities in the health status of people from culturally diverse backgrounds has challenged health care providers and organizations to consider cultural diversity as a priority. The purpose of this article is to present a model that will be helpful in providing culturally competent care. The concept

Josepha Campinha-Bacote

229

science And society Universal health care, genomic  

E-print Network

medicine. Indian J. Nat. Products 19, 16­23 (2003). 12. Patwardhan, B., Vaidya, A. & Chorghade, M. Ayurvedascience And society Universal health care, genomic medicine and Thailand: investing in today.AmajorfuturechallengewillbeforThailand to integrate genomic medicine in its relatively young universal health-care system. One of Thailand

Cai, Long

230

Improving Health Care for Assisted Living Residents  

Microsoft Academic Search

Purpose: The purpose of this article is to explore how medical care is delivered to older people in assisted living (AL) settings and to suggest ways for improving it. Design and Methods: We present a review of the limited research available on health care for older AL residents and on building testable models of better ways to organize primary health

Robert L. Kane; John R. Mach

231

An introduction to China's health care system.  

PubMed

The Chinese health care system was originally a highly centralized one. It had great success in improving the people's health. The county-township-village three-tier health care system has contributed much to rural primary health care, and has set an example of primary health care to the developing nations. In the 1980s, this system experienced transformations along with the changes of the country's administrative system and economic policy. The transformations are characterized by the disintegration of the rural cooperative medical service, by the decentralization of township hospitals from county to township governments, by official permission for private practice, by the implementation of the personal responsibility system in health institutions, by the health security reform, and by the development of health insurance in rural areas. The long-existing health administrative problems which were aggravated in the last decade are the rural-urban differences in resource allocation and the large proportion of people without health security. With the increase of medical service prices in recent years due to the inflation of the whole economy, it is believed that the cost of health care will create an economic burden to the low-income, fee-for-service paying individuals and will further affect the health of the population. In the process of the national economic reform, it is an important and difficult task for the health administrators to adjust the health care system promptly and properly. Only by continuously carrying forward good traditions, correcting mistakes and consistently persisting in health reform, can China further raise its health care to a new, prosperous stage. PMID:2056096

Liu, X Z; Wang, J L

1991-01-01

232

Chater 4 Roles of Child Health-Care Providers Roles of Child Health-Care  

E-print Network

screening, as recommended. 4. Provide family lead education. 5. Provide diagnostic and follow-up testing-up care, child health-care providers should per- form blood lead testing when children have unexplained-Care Providers 2. Give anticiator gbidance. During prenatal care and during preventive care at 3-6 months

233

Catholic health care: rationale for ministry.  

PubMed

This essay attempts to describe contemporary Catholic sponsored health care in the United States and to describe the purpose and structure of these particular Christian charitable organizations within the broader society. As health care has become more complex, critics claim that there is not a need for Catholic sponsored health care any longer. The author attempts to evaluate critically whether Catholic health care has a place in contemporary society. He reviews some salient biblical, ecclesial, and justice teachings of the Church to demonstrate why religious institutional presence is still needed. The author reviews contemporary health care structures to show how this is accomplished. He also uncovers additional issues which need to be addressed in order for these charitable institutions to carry on the ministry of the Church, to shape social structures, and to proclaim the reign of God. PMID:11657996

Brodeur, Dennis

1999-04-01

234

The promise of Lean in health care.  

PubMed

An urgent need in American health care is improving quality and efficiency while controlling costs. One promising management approach implemented by some leading health care institutions is Lean, a quality improvement philosophy and set of principles originated by the Toyota Motor Company. Health care cases reveal that Lean is as applicable in complex knowledge work as it is in assembly-line manufacturing. When well executed, Lean transforms how an organization works and creates an insatiable quest for improvement. In this article, we define Lean and present 6 principles that constitute the essential dynamic of Lean management: attitude of continuous improvement, value creation, unity of purpose, respect for front-line workers, visual tracking, and flexible regimentation. Health care case studies illustrate each principle. The goal of this article is to provide a template for health care leaders to use in considering the implementation of the Lean management system or in assessing the current state of implementation in their organizations. PMID:23274021

Toussaint, John S; Berry, Leonard L

2013-01-01

235

Children with Special Health Care Needs  

Microsoft Academic Search

The health care model presented in this paper is a non-linear, systems approach to service delivery. The model was a by-product of three ethnic-specific conferences that were convened to discuss strategies for improving access to care and the quality of services provided to children with special health care needs (CSHCN) from diverse cultural backgrounds. The model evolved as insights regarding

Theora Evans; Ann Garwick

2002-01-01

236

Correctional health care: implications for public health policy.  

PubMed Central

"Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional facilities. The intent of the series is to gain a better understanding about the unmet health needs of incarcerated persons, the importance of addressing the health service delivery system in correctional facilities, and the implications that may arise from neglecting to address these health issues on health outcomes for individual detainees and society at-large when detainees transition back into the community. This article provides a descriptive overview of the corrections population, their sociodemographics, health care needs, and health concerns that are in need of improvement. This article also offers recommendations for public policy consideration to improve the overall health of inmates and society at large. PMID:12069208

Adams, Diane L.; Leath, Brenda A.

2002-01-01

237

Correctional health care: implications for public health policy.  

PubMed

"Correctional Health Care: Implications for Public Health Policy" is the first in a series of articles that examines the special health care needs of persons who are incarcerated in America's correctional facilities. The intent of the series is to gain a better understanding about the unmet health needs of incarcerated persons, the importance of addressing the health service delivery system in correctional facilities, and the implications that may arise from neglecting to address these health issues on health outcomes for individual detainees and society at-large when detainees transition back into the community. This article provides a descriptive overview of the corrections population, their sociodemographics, health care needs, and health concerns that are in need of improvement. This article also offers recommendations for public policy consideration to improve the overall health of inmates and society at large. PMID:12069208

Adams, Diane L; Leath, Brenda A

2002-05-01

238

Transforming Care Delivery through Health Information Technology  

PubMed Central

The slow but progressive adoption of health information technology (IT) nationwide promises to usher in a new era in health care. Electronic health record systems provide a complete patient record at the point of care and can help to alleviate some of the challenges of a fragmented delivery system, such as drug-drug interactions. Moreover, health IT promotes evidence-based practice by identifying gaps in recommended treatment and providing clinical decision-support tools. In addition, the data collected through digital records can be used to monitor patient outcomes and identify potential improvements in care protocols. Kaiser Permanente continues to advance its capability in each of these areas. PMID:23596377

Wheatley, Benjamin

2013-01-01

239

Home Health Care: What It Is and What to Expect  

MedlinePLUS

... You are here: Plan of care Share Home health care: what it is and what to expect What is home health care? Home health care is a wide range of ... agency listed. What should you expect from home health care? Doctor’s orders are needed to start care. Once ...

240

Integrated networks and health care provider cooperatives: new models for rural health care delivery and financing.  

PubMed

Minnesota's 1994 health care reform legislation authorized the establishment of community integrated service networks (CISNs) and health care provider cooperatives, which were envisioned as new health care delivery models that could be successfully implemented in rural areas of the state. Four CISNs are licensed, and three organizations are incorporated as health care provider cooperatives. Many of the policy issues Minnesota has faced regarding the development of CISNs and health care provider cooperatives in rural areas are similar to those raised by current Medicare reform proposals. PMID:9143900

Casey, M M

1997-01-01

241

Vaccine perceptions among Oregon health care providers.  

PubMed

Health care providers exert a significant influence on parental pediatric vaccination decisions. We conducted hour-long interviews with traditional and alternative health care providers in which we explored a range of associations between vaccination perceptions and practice. A key finding was that the Health Belief Model constructs of perceived susceptibility to and severity of either an illness or an adverse vaccine event partially explained health care provider (HCP) beliefs about the risks or benefits of vaccination, especially among alternative care providers. Low or high perceived susceptibility to a vaccine-preventable disease (VPD) or of the severity of a given VPD affects whether an HCP will promote or oppose pediatric vaccination recommendations. Beyond these perceptions, health and vaccination beliefs are affected by the contextual factors of personal experience, group norms, immunology beliefs, and beliefs about industry and government. Building powerful affective heuristics might be critical to balancing the forces that defeat good public health practices. PMID:23964059

Bean, Sandra J; Catania, Joseph A

2013-09-01

242

Meeting new health care challenges with a proven innovation: nurse-managed health care clinics.  

PubMed

Beginning in January 2014, millions of Americans will enroll in health insurance plans under the Affordable Care Act. Some of these individuals were obtaining health care in safety net health clinics, emergency departments, or urgent care centers; many were going without needed care and will be new to the health care system. In addition to these newly insured, the ranks of older Americans and persons in need of chronic disease management will be on the rise. The way in which health care is delivered will have to change in order for the health care workforce to meet the demand for their services without sacrificing quality or access. Nurse practitioners and registered nurses have the education and skills to provide health promotion, disease prevention, and chronic disease management services that will make up a sizable portion of the demand. Amending state practice acts so that the authority to practice matches the ability to practice and opening provider panels to advanced practice nurses will provide opportunities to establish or expand sustainable nurse-led primary care practices in health care shortage areas. Along with these changes, models of health care delivery that incorporate differentiated practice roles and shared interprofessional responsibility for providing care will maximize the capacity of the system to provide the health care that people need. PMID:24569758

Link, Denise G; Perry, Diane; Cesarotti, Evelyn L

2014-01-01

243

Migrant farmworker children: Health status, barriers to care, and nursing innovations in health care delivery  

Microsoft Academic Search

Migrant farmworkers are one of the most health care-impoverished populations in the United States. Mobility, hazardous occupations, cultural diversity, and low socioeconomic status place migrants, and particularly migrant children, at high risk for inadequate health care and preventable health problems. This article presents a synthesis of the existing research on migrant demographics, major health risks, and geographic, financial, and cultural

Marni E Gwyther; Melinda Jenkins

1998-01-01

244

[Renewing primary health care in the Americas].  

PubMed

At the 2003 meeting of the Directing Council of the Pan American Health Organization (PAHO), the PAHO Member States issued a mandate to strengthen primary health care (Resolution CD44. R6). The mandate led in 2005 to the document "Renewing Primary Health Care in the Americas. A Position Paper of the Pan American Health Organization/WHO [World Health Organization]," and it culminated in the Declaration of Montevideo, an agreement among the governments of the Region of the Americas to renew their commitment to primary health care (PHC). Scientific data have shown that PHC, regarded as the basis of all the health systems in the Region, is a key component of effective health systems and can be adapted to the range of diverse social, cultural, and economic conditions that exist. The new, global health paradigm has given rise to changes in the population's health care needs. Health services and systems must adapt to address these changes. Building on the legacy of the International Conference on Primary Health Care, held in 1978 in Alma-Ata (Kazakhstan, Union of Soviet Socialist Republics), PAHO proposes a group of strategies critical to adopting PHC-based health care systems based on the principles of equity, solidarity, and the right to the highest possible standard of health. The main objective of the strategies is to develop and/or strengthen PHC-based health systems in the entire Region of the Americas. A substantial effort will be required on the part of health professionals, citizens, governments, associations, and agencies. This document explains the strategies that must be employed at the national, subregional, Regional, and global levels. PMID:17565795

Macinko, James; Montenegro, Hernán; Nebot Adell, Carme; Etienne, Carissa

2007-01-01

245

Volunteering as a community mental health educator: Positives and negatives for recovery Volunteering as a community mental health educator: Positives and negatives for recovery  

Microsoft Academic Search

Abstract An advocacy role that is highly visible within the community is that of a consumer educator, when people with lived experience of mental illness use their personal experience to educate others in the community. This study investigated the positives and negatives for recovery of volunteering in an advocacy role as a consumer educator. A phenomenological qualitative research design was

Shelly Read; Debra J Rickwood

246

Health and Ambulatory Care Use Among Native American Veterans  

Microsoft Academic Search

In 1995, the Veterans Health Administration reorganized its health services structure to emphasize ambulatory care. Successful health care planning and improving access to ambulatory care services now depends upon a better understanding of health care needs and outpatient services. Because the veteran population is heterogeneous, it is important to understand the health, access issues, and utilization of ambulatory care services

Valentine M. Villa; Nancy D. Harada; Anh-Luu T. Huynh-Hohnbaum

2010-01-01

247

Managing complaints in health and social care.  

PubMed

An important aspect of allowing patients to take control of their health care is the introduction of new procedures for dealing with complaints. This article examines the concepts that underpin the new Department of Health regulations on complaints management and what they will mean for health and social care professionals. It also explains why these regulations focus on restorative justice rather than blame when adverse events occur. PMID:20432639

Holmes-Bonney, Kathy

2010-04-01

248

Health care reform and the primary care workforce bottleneck.  

PubMed

To establish and sustain the high-performing health care system envisioned in the Affordable Care Act (ACA), current provisions in the law to strengthen the primary care workforce must be funded, implemented, and tested. However, the United States is heading towards a severe primary care workforce bottleneck due to ballooning demand and vanishing supply. Demand will be fueled by the "silver tsunami" of 80 million Americans retiring over the next 20 years and the expanded insurance coverage for 32 million Americans in the ACA. The primary care workforce is declining because of decreased production and accelerated attrition. To mitigate the looming primary care bottleneck, even bolder policies will be needed to attract, train, and sustain a sufficient number of primary care professionals. General internists must continue their vital leadership in this effort. PMID:22042605

Schwartz, Mark D

2012-04-01

249

Petroleum and health care: evaluating and managing health care's vulnerability to petroleum supply shifts.  

PubMed

Petroleum is used widely in health care-primarily as a transport fuel and feedstock for pharmaceuticals, plastics, and medical supplies-and few substitutes for it are available. This dependence theoretically makes health care vulnerable to petroleum supply shifts, but this vulnerability has not been empirically assessed. We quantify key aspects of petroleum use in health care and explore historical associations between petroleum supply shocks and health care prices. These analyses confirm that petroleum products are intrinsic to modern health care and that petroleum supply shifts can affect health care prices. In anticipation of future supply contractions lasting longer than previous shifts and potentially disrupting health care delivery, we propose an adaptive management approach and outline its application to the example of emergency medical services. PMID:21778473

Hess, Jeremy; Bednarz, Daniel; Bae, Jaeyong; Pierce, Jessica

2011-09-01

250

Mental Health under National Health Care Reform: The Empirical Foundations.  

ERIC Educational Resources Information Center

Reviews research pertinent to mental health services under health care reform proposals. Examines redistributional impact of inclusion of outpatient mental health benefits, optimal benefit packages, and findings that mental health services lower medical utilization costs. Argues that extending minimalist model of time-limited benefits to national…

Hudson, Christopher G.; DeVito, Jo Anne

1994-01-01

251

Mobile Health Means Better Health Care for All  

E-print Network

Abstract — Electronic health (eHealth) is an essential tool for improving healthcare delivery and patient care. Although the healthcare industry is information-intensive, it suffers from a high degree of fragmentation which results in inefficiency. There are four key steps in fixing this inefficiency. First, the healthcare industry should adopt Information and Communication Technology (ICT) systems that can allow effective health information management. When used effectively, health ICT systems, such as Electronic Health Record (EHR), Electronic Medical Record (EMR), and Personal Health Record (PHR) can significantly improve health information sharing and patient care. Second, as patients are viewed as partners and participants in their care, PHR systems can enhance the healthcare delivery by engaging patients in their care process. Also, with today’s

Israel R. Kabashiki

252

eHealth: extending, enhancing, and evolving health care.  

PubMed

eHealth holds the promise of revolutionizing health care by improving its efficiency; extending and enhancing its reach; energizing and engaging its practitioners and their patients; and in the process, democratizing, decentralizing, and even partially demystifying the practice of medicine. In emerging and developing countries, the use of eHealth and smart health-care planning has the potential to expand access to necessary treatments and prevention services that can serve as underpinnings of rapid economic development. In developed countries, the application of eHealth promises to restructure the business model of health-care delivery, while at the same time improving and personalizing the quality of care received. This article reviews the past, present, and future of eHealth in an effort to illuminate the potential of its impact. PMID:23683088

Meier, Carlos A; Fitzgerald, Maria C; Smith, Joseph M

2013-01-01

253

Achieving population health in accountable care organizations.  

PubMed

Although "population health" is one of the Institute for Healthcare Improvement's Triple Aim goals, its relationship to accountable care organizations (ACOs) remains ill-defined and lacks clarity as to how the clinical delivery system intersects with the public health system. Although defining population health as "panel" management seems to be the default definition, we called for a broader "community health" definition that could improve relationships between clinical delivery and public health systems and health outcomes for communities. We discussed this broader definition and offered recommendations for linking ACOs with the public health system toward improving health for patients and their communities. PMID:23678910

Hacker, Karen; Walker, Deborah Klein

2013-07-01

254

Health Services and Health Care Providers  

MedlinePLUS

... these professionals are familiar with the issues that college students often face, such as stress, chronic health conditions, ... for any illnesses. If for some reason your college doesn't have student health services, an administrator at your school should ...

255

Health care reform and rural mental health: Severe mental illness  

Microsoft Academic Search

Service needs of rural severely mentally ill and strengths of rural communities are addressed. Health care reform policy development at present appears to neglect the seriously mentally ill in general and rural services specifically. Examples of strategies to meet the needs for health care, psychiatric treatment, psychosocial rehabilitation and appropriate housing are described. The advantages and drawbacks of such efforts

Catherine F. Kane; Jacqueline M. Ennis

1996-01-01

256

Health care system factors affecting end-of-life care.  

PubMed

The field of palliative care in the United States developed in response to a public health crisis--namely, poor quality of life for patients with serious illness and their families--and most palliative care research to date has been appropriately focused on identifying patient and family needs and identifying gaps in the current health care system and in the education of our health care professionals. Research has also begun to develop and evaluate new interventions and systems to address these care gaps. Preliminary studies suggest modest benefits of an array of programs designed to deliver palliative care services. These benefits include improved pain and other symptoms, increased family satisfaction, and lower hospital costs. Unfortunately, the validity and reliability of these findings are limited by important methodological weaknesses including small sample sizes, poorly described and nongeneralizable interventions, diverse and nonstandardized outcome measures, and poor study designs (i.e., lack of appropriate control groups, nonblinded designs). Comprehensive and rigorous research is needed to evaluate the effect of well-delineated and generalizable palliative care structures and processes on important clinical and use outcomes. Large multisite studies that have adequate power to detect meaningful differences in clinical and use outcomes, and that use well-defined and generalizable structures and evidence-based care processes, well-defined uniform outcome measures, and analyses that link the outcomes of interest to individual components of the interventions, are needed to guide further development of the field. PMID:16499472

Morrison, R Sean

2005-01-01

257

Appendix: Health Care Systems The provision of high-quality health care in the United States and globally will challenge  

E-print Network

policy; and 3) Health care treatment. #12;Health Care Operations Clinics, hospitals, hospital networksAppendix: Health Care Systems The provision of high-quality health care in the United States., 2008). * * First two sentences of "Envisioning the Health Care Initiative at Lehigh" The financial

Napier, Terrence

258

Space technology in remote health care  

NASA Technical Reports Server (NTRS)

A program for an earth-based remote health service system is discussed as a necessary step for the development and verification of a remote health services spacecraft capability. This demonstration program is described to provide data for developing health care for future manned space missions.

Belasco, N.

1974-01-01

259

Young People's Experiences of Mental Health Care  

ERIC Educational Resources Information Center

Fifteen in-depth interviews were conducted to explore young people's experiences of mental health care in Australia with the aim of informing the headspace National Youth Mental Health Foundation. The interviews revealed that significant numbers of respondents had been aware of their mental health problems for several years before seeking help and…

Cohen, Anjalee; Medlow, Sharon; Kelk, Norm; Hickie, Ian; Whitwell, Bradley

2009-01-01

260

Home Health and Informal Care Utilization  

E-print Network

and Sano also are supported by the Department of Veterans Affairs, Veterans Health Administration of the Department of Veterans Affairs. Address correspondence to: Carolyn W. Zhu, PhD, Health Economist, GeriatricHome Health and Informal Care Utilization and Costs Over Time in Alzheimer's Disease Carolyn W. Zhu

261

Health Care Reform: Recommendations and Analysis.  

ERIC Educational Resources Information Center

Health care reform needs to assure coverage to all children regardless of income level or illnesses; address benefits, financing, administration, and delivery systems; provide substantial subsidies to low-income families; be equitable for all people; provide better monitoring of child health; protect and strengthen health providers who assist…

Lewit, Eugene M.; And Others

1993-01-01

262

Reflections on curative health care in Nicaragua.  

PubMed Central

Improved health care in Nicaragua is a major priority of the Sandinista revolution; it has been pursued by major reforms of the national health care system, something few developing countries have attempted. In addition to its internationally recognized advances in public health, considerable progress has been made in health care delivery by expanding curative medical services through training more personnel and building more facilities to fulfill a commitment to free universal health coverage. The very uneven quality of medical care is the leading problem facing curative medicine now. Underlying factors include the difficulty of adequately training the greatly increased number of new physicians. Misdiagnosis and mismanagement continue to be major problems. The curative medical system is not well coordinated with the preventive sector. Recent innovations include initiation of a "medicina integral" residency, similar to family practice. Despite its inadequacies and the handicaps of war and poverty, the Nicaraguan curative medical system has made important progress. PMID:2705603

Slater, R G

1989-01-01

263

[External and internal financing in health care].  

PubMed

The objective of this contribution is to characterize the functional and institutional features of the German health-care system. This takes place after a short introduction and examination of the ongoing debate on health care in Germany. External funding describes the form of revenue generation. Regarding external funding of the German health care system, one of the favored alternatives in the current debate is the possibility of introducing per capita payments. After a short introduction to the capitation option, focus is on the so-called health fund that is currently debated on and being made ready for implementation in Germany, actually a mixed system of capitation and contributions based on income. On the other hand, internal funding is the method of how different health-care services are purchased or reimbursed. This becomes a rather hot topic in light of new trends for integrated and networked care to patients and different types of budgeting. Another dominating question in the German health-care system is the liberalization of the contractual law, with its "joint and uniform" regulations that have to be loosened for competition gains. After a discussion of the consequences of diagnosis-related groups (DRGs) in Germany, the article is concluded by a note on the political rationality of the current health-care reform for increased competition within the Statutory Health Insurance and its players as exemplified by the health fund. To sum up, it has to be said that the complexity and specific features of how the German system is financed seem to require ongoing reform considerations even after realization of the currently debated health-care reform law which, unfortunately, is dominated by political rationalities rather than objective thoughts. PMID:17497087

Henke, Klaus-Dirk

2007-05-15

264

Improving Incentives in Health Care Spending  

Microsoft Academic Search

Although U.S. economic growth is likely to continue to\\u000a be robust, the growth of private and public spending on\\u000a health care presents long-run public policy challenges.\\u000a To meet these challenges health care resources must be\\u000a used more efficiently. Currently, there are few incentives\\u000a to put health care dollars to the highest value use. This\\u000a is true in both public and

Katherine Baicker

2006-01-01

265

Future developments in health care performance management  

PubMed Central

This paper highlights the challenges of performance management in health care, wherein multiple different objectives have to be pursued. The literature suggests starting with quality performance, following the sand cone theory, but considering a multidimensional concept of health care quality. Moreover, new managerial approaches coming from an industrial context and adapted to health care, such as lean management and risk management, can contribute to improving quality performance. Therefore, the opportunity to analyze them arises from studying their overlaps and links in order to identify possible synergies and to investigate the opportunity to develop an integrated methodology enabling improved performance. PMID:24255600

Crema, Maria; Verbano, Chiara

2013-01-01

266

Health care coalitions: from joint purchasing to local health reform.  

PubMed

For several decades, business and health coalitions have played an important role in representing the interests of business in the health care arena. During the 1990s, these coalitions focused their efforts on supporting purchasing activities related to health insurance benefits and direct health care. Based on a national survey conducted in 2006, and prior similar surveys, we find that business and health coalitions have invested in pooling regional health care data, promoting public reporting of quality and cost information, and coordinating pay-for-performance initiatives. In addition, many business and health coalitions are broadening their membership to include other stakeholders and to support community health reform efforts with far-reaching benefits. Through this work, coalitions increasingly are recognizing and embracing their role as catalysts for local market reform. PMID:18767380

Camillus, Joseph A; Rosenthal, Meredith B

2008-01-01

267

The link between health care spending and health outcomes for the new English Primary Care Trusts  

Microsoft Academic Search

English programme budgeting data have yielded major new insights into the link between health care spending and health outcomes. This paper updates two recent studies that have used programme budgeting data for 295 Primary Care Trusts (PCTs) in England to examine the link between spending and outcomes for several programmes of care. We use the same economic model employed in

Stephen Martin; Nigel Rice; Peter C Smith

2008-01-01

268

Analysis of Assembly Bill 213: Health Care Coverage for Lymphedema  

E-print Network

Division of Health Care Finance and Policy, July 26). Thishealth care services plans licensed by Knox-Keene 1 and to health insurance policieshealth care services plans licensed by Knox-Keene 5 and to health insurance policies

California Health Benefits Review Program (CHBRP)

2005-01-01

269

Giving Teens a Voice in Health Care Decisions  

MedlinePLUS

Giving Teens a Voice in Health Care Decisions KidsHealth > Parents > Doctors & Hospitals > Caring for a Seriously or Chronically Ill Child > Giving Teens a Voice in Health Care Decisions Print A A A ...

270

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2011 CFR

...2011-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2011-04-01

271

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2013 CFR

...2013-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2013-04-01

272

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2012 CFR

...2012-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2012-04-01

273

20 CFR 402.65 - Health care information.  

Code of Federal Regulations, 2010 CFR

...2010-04-01 false Health care information. 402...Employees' Benefits SOCIAL SECURITY ADMINISTRATION... § 402.65 Health care information. We have...information about health care programs under titles...and Medicaid) of the Social Security Act. We...

2010-04-01

274

76 FR 37307 - Rural Health Care Support Mechanism  

Federal Register 2010, 2011, 2012, 2013

...02-60; FCC 11-101] Rural Health Care Support Mechanism AGENCY: Federal...discounted services under the rural health care program. Grandfathered providers...but play a key role in delivering health care services to surrounding...

2011-06-27

275

77 FR 42185 - Rural Health Care Support Mechanism  

Federal Register 2010, 2011, 2012, 2013

...02-60; FCC 12-74] Rural Health Care Support Mechanism AGENCY: Federal...responsible basis for specific Rural Health Care Pilot Program participants that...connectivity and the resulting health care benefits that patients...

2012-07-18

276

76 FR 57637 - TRICARE; Continued Health Care Benefit Program Expansion  

Federal Register 2010, 2011, 2012, 2013

...0720-AB30 TRICARE; Continued Health Care Benefit Program Expansion AGENCY...eligible to purchase Continued Health Care Benefit Program (CHCBP) coverage...program that provides continued health care coverage for eligible...

2011-09-16

277

38 CFR 17.901 - Provision of health care.  

... 2014-07-01 false Provision of health care. 17.901 Section 17.901...DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children...Birth Defects § 17.901 Provision of health care. (a) Spina bifida....

2014-07-01

278

The Shifting Landscape of Health Care: Toward a Model of Health Care Empowerment  

PubMed Central

In a rapidly changing world of health care information access and patients’ rights, there is limited conceptual infrastructure available to understand how people approach and engage in treatment of medical conditions. The construct of health care empowerment is defined as the process and state of being engaged, informed, collaborative, committed, and tolerant of uncertainty regarding health care. I present a model in which health care empowerment is influenced by an interplay of cultural, social, and environmental factors; personal resources; and intrapersonal factors. The model offers a framework to understand patient and provider roles in facilitating health care empowerment and presents opportunities for investigation into the role of health care empowerment in multiple outcomes across populations and settings, including inquiries into the sources and consequences of health disparities. PMID:21164096

2011-01-01

279

Challenges to Native American health care.  

PubMed Central

Native American health care programs face complex and unprecedented challenges resulting from the increased assumption of clinical operations by tribal authorities, shortfalls in Federal funding, modifications in state and Federal health and welfare programs, and intensifying involvement with managed care organizations. These challenges are further complicated by service populations that are increasing at a faster rate than the growth in funding. The authors conducted onsite surveys of 39 Native American health programs in 10 states in order to assess the organizational and management problems they faced. The trend toward transfer of health programs from the Indian Health Service to tribal operation seems likely to continue and accelerate. The survey results indicate that in order for programs to be effective in the long run, they will need to be guided by skilled managers able to adapt to these powerful changes in the health care environment. Images p[23]-a p27-a p28-a p30-a PMID:9885525

Noren, J; Kindig, D; Sprenger, A

1998-01-01

280

Challenges to Native American health care.  

PubMed

Native American health care programs face complex and unprecedented challenges resulting from the increased assumption of clinical operations by tribal authorities, shortfalls in Federal funding, modifications in state and Federal health and welfare programs, and intensifying involvement with managed care organizations. These challenges are further complicated by service populations that are increasing at a faster rate than the growth in funding. The authors conducted onsite surveys of 39 Native American health programs in 10 states in order to assess the organizational and management problems they faced. The trend toward transfer of health programs from the Indian Health Service to tribal operation seems likely to continue and accelerate. The survey results indicate that in order for programs to be effective in the long run, they will need to be guided by skilled managers able to adapt to these powerful changes in the health care environment. PMID:9885525

Noren, J; Kindig, D; Sprenger, A

1998-01-01

281

The ORIGINS of Primary Health Care and SELECTIVE Primary Health Care  

PubMed Central

I present a historical study of the role played by the World Health Organization and UNICEF in the emergence and diffusion of the concept of primary health care during the late 1970s and early 1980s. I have analyzed these organizations’ political context, their leaders, the methodologies and technologies associated with the primary health care perspective, and the debates on the meaning of primary health care. These debates led to the development of an alternative, more restricted approach, known as selective primary health care. My study examined library and archival sources; I cite examples from Latin America. PMID:15514221

Cueto, Marcos

2004-01-01

282

Health care and health promotion in southern Italian communities.  

PubMed

Health promotion projects may be regarded as responses to insufficient health care in Europe, where modern health problems, consumer needs, participation and life quality are neglected. In Southern Italy and especially in Naples the situation is particularly difficult (poverty, poor accessibility of health care, high infant mortality, epidemics etc.); nevertheless there exist elements of everyday life which are advantageous for health promotion. The health projects described started around Naples in the 'seventies. They focused on the psychosocial problems of marginalized people (elderly people, women, mentally and physically handicapped men, big families etc.). Different elements of health care (prevention, primary health care, health education), social work and political and cultural activation were linked together in the local centres of social medicine. Thus the accessibility of health care was improved, social distance between suppliers and users reduced, and poor and disadvantaged people better integrated into the social life of the community. One important step in the realization of such aims was the stimulation of politically and socially defined homogeneous target groups with similar interests and needs. The specific measures, organizational structures and the personal staff are directed to these target groups in an integrated way. They are based on the teamwork of different professions and cooperation with other related organizations, and they include explicitly political, social and cultural activities, different from the self-help activities related only to health in most of Central Europe.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:10286860

Füller, A

1986-01-01

283

The Medicaid Managed Care Program. In To Improve Health and Health Care, vol. IX  

Microsoft Academic Search

In the 1990s, insurance companies and employers began to rely on managed care to control costs, and state governments followed suit by adopting managed care in Medicaid programs. To deal with the challenges associated with developing effective state Medicaid managed care programs, the Robert Wood Johnson Foundation developed the Medicaid Managed Care Initiative in 1995 to help states, health plans,

Marsha R. Gold; Justin S. White; Erin Fries Taylor

2005-01-01

284

[Calculation of workers' health care costs].  

PubMed

In different health care systems, there are different schemes of organization and principles of financing activities aimed at ensuring the working population health and safety. Regardless of the scheme and the range of health care provided, economists strive for rationalization of costs (including their reduction). This applies to both employers who include workers' health care costs into indirect costs of the market product manufacture and health care institutions, which provide health care services. In practice, new methods of setting costs of workers' health care facilitate regular cost control, acquisition of detailed information about costs, and better adjustment of information to planning and control needs in individual health care institutions. For economic institutions and institutions specialized in workers' health care, a traditional cost-effect calculation focused on setting costs of individual products (services) is useful only if costs are relatively low and the output of simple products is not very high. But when products form aggregates of numerous actions like those involved in occupational medicine services, the method of activity based costing (ABC), representing the process approach, is much more useful. According to this approach costs are attributed to the product according to resources used during different activities involved in its production. The calculation of costs proceeds through allocation of all direct costs for specific processes in a given institution. Indirect costs are settled on the basis of resources used during the implementation of individual tasks involved in the process of making a new product. In this method, so called map of processes/actions consisted in the manufactured product and their interrelations are of particular importance. Advancements in the cost-effect for the management of health care institutions depend on their managerial needs. Current trends in this regard primarily depend on treating all cost reference subjects as cost objects and taking account of all their interrelations. Final products, specific assignments, resources and activities may all be regarded as cost objects. The ABC method is characterized by a very high informative value in terms of setting prices of products in the area of workers' health care. It also facilitates the assessment of costs of individual activities under a multidisciplinary approach to health care and the setting costs of varied products. The ABC method provides precise data on the consumption of resources, such as human labor or various materials. PMID:17533995

Rydlewska-Liszkowska, Izabela

2006-01-01

285

Health and Health Care Disparities among Homeless Women  

PubMed Central

While disparities in health and health care between vulnerable (e.g., minorities, low income) and majority populations are well documented, less is known about disparities within these special populations that are large and diverse. Such knowledge is essential to determine the most needy within these generally needy populations and to plan interventions to reduce their health and health care disparities. With data from 1,331 women residing in Los Angeles County, in one of the largest, most comprehensive studies of the health of homeless women to date, we examined the health and health care disparities among homeless African American, Latina and white women. We further explored if race/ethnicity and other factors that predispose homeless women to poor health or enable them to obtain better health care were associated with their unmet need for medical care. We found that white, non-Latina women were more likely to report unmet need than African Americans and Latinas, and women suffering from drug abuse, violence, or depression were most in need of care. These findings should be considered in targeting and addressing the special needs of homeless women of different racial/ethnic groups. PMID:21170815

Teruya, Cheryl; Longshore, Douglas; Andersen, Ronald M.; Arangua, Lisa; Nyamathi, Adeline; Leake, Barbara; Gelberg, Lillian

2011-01-01

286

Long-Term Care, Formal Home Health Care, and Informal Care  

Microsoft Academic Search

We use the 1993 wave of the AHEAD data set to estimate a game- theoretic model of families' decisions concerning time spent caring for elderly individuals and Ţnancial transfers for home health care. The out- come is a Nash equilibrium where each family member jointly determines his or her consumption, transfers for formal care, and time allocation — informal care,

David Byrne; Michelle S. Goeree; Bridget Hiedemann; Steven Stern

287

The Rehabilitation Nurse in the Home Health Care Setting  

Microsoft Academic Search

The primary goals of home health care nursing and rehabilitation nursing are strikingly similar. Rehabilitation nursing principles should guide home health care nurses as they formulate and deliver quality patient care. Home health care agencies eager to keep up with the emerging trends in health care delivery are encouraged to recruit and hire rehabilitation nurses. This article discusses the principles

Leslie Jean Neal

1996-01-01

288

Public health care in balance : exploring popular support for health care systems in the European Union  

Microsoft Academic Search

Health care systems are important elements of western European welfare states. Earlier research indicates that public health care has always been warmly welcomed and supported by the public, even in periods of retreat of the welfare state due to retrenchment policies. Using data from 1973, Ardigó (1995) reviewed comparative evidence on the public opinion concerning health services in seven European

J. M. P. Gevers; J. P. T. M. Gelissen; W. A. Arts; R. J. A. Muffels

1999-01-01

289

Educating primary care clinicians about health disparities  

PubMed Central

Racial and ethnic health disparities inarguably exist in the United States. It is important to educate primary care clinicians regarding this topic because they have the ability to have an impact in the reduction of health disparities. This article presents the evidence that disparities exist, how clinicians contribute to these disparities, and what primary care clinicians can do to reduce disparities in their practice. Clinicians are able to impact health disparities by receiving and providing cross-cultural education, communicating effectively with patients, and practicing evidence-based medicine. The changes suggested herein will have an impact on the current state of health of our nation. PMID:17371577

Cardarelli, Roberto; Chiapa, Ana L

2007-01-01

290

Essays on health care delivery and financing  

E-print Network

This thesis contains essays on health care delivery and financing. Chapter 1 studies the effect of organizational structure on physician behavior. I investigate this by studying emergency department (ED) physicians who ...

Chan, David C. (David Cchimin)

2013-01-01

291

Defense Health Care: DOD Chiropractor Wage Rates.  

National Technical Information Service (NTIS)

In response to congressional direction in House Report 112-479, the enclosed briefing provides information on the wage rates of the Department of Defense s (DOD) federal civilian chiropractors compared with the wages of other federal civilian health care ...

B. S. Farrell, G. Coleman, J. E. Anderson, L. Atkinson, T. Carr

2013-01-01

292

Lactose Intolerance: Information for Health Care Providers  

E-print Network

't traditionally include dairy products in their diets.3 There are three main types of lactose intolerance patients with lactose intolerance may believe they are allergic to milk or milk products. A milk allergy Lactose Intolerance: Information for Health Care

Rau, Don C.

293

Primary health care consumerism amongst elderly Australians.  

PubMed

Despite acceptance of many of the principles justifying government intervention in health care provision and financing, much recent market-based policy in Australia, the USA and the UK has been based on the assumption that patients have the potential to behave as 'good consumers'. Good consumers are patients with the ability and desire to seek out health care of good quality and reasonable cost. In this paper, an exploratory survey of general practice attenders in Western and Northern Sydney is reported. The aim of the survey was to assess the extent to which patients critically select and evaluate their general practitioner, as a good consumer may be expected to do. The results demonstrate a lack of consumer-oriented behaviour both in general and amongst older respondents in particular. If such results hold true, market-based health care policies relying on consumers to judge quality of care are likely to be detrimental to the health of older people. PMID:1927736

Donaldson, C; Lloyd, P; Lupton, D

1991-07-01

294

Health care costs and personal bankruptcy.  

PubMed

In response to published but unconfirmed reports that health care costs were a leading cause of personal bankruptcy in the U.S., court records of all bankruptcy petitioners in one judicial district were examined. The records were analyzed by income, employment, debt categories and amounts. Within the limitations of the study, health care costs seem not to have played a significant role in the financial lives of this population. PMID:6765745

Gold, B A; Donahue, E A

1982-01-01

295

Can we have universal health care?  

Microsoft Academic Search

Barack Obama aspires to be a “transformative” president, with his hopes particularly fixed on America’s finally achieving a universal health care system. But would his health plan go far enough to transform a system that has been dominated and distorted by for-profit insurers who maximize profit by rationing care to patients, restricting doctors' choice of treatments, and raising premiums? Of

Roger Bybee

2009-01-01

296

Emerging trends in health care finance.  

PubMed

Access to capital will become more difficult. Capital access is dependent on ability to repay debt, which, in turn, is dependent on internally generated cash flows. Under any health care reform proposal, revenue inflows will be slowed. The use of corporate finance techniques to limit financial risk and lower cost will be a permanent response to fundamental changes to the health care system. These changes will result in greater balance sheet management, centralized capital allocation, and alternative sources of capital. PMID:7614219

Sterns, J B

1994-01-01

297

Health care fraud: a critical challenge.  

PubMed

Fraud is defined as an international deception or misrepresentation that the individual or entity makes knowing that the misrepresentation could result in some unauthorized benefit to the individual, the entity, or some other party. This article focuses on acts committed by health care providers but it is important to note that health care fraud also encompasses those fraudulent acts perpetrated by employer groups, members or insureds, and employees. PMID:10154068

Leonardo, J A

1996-01-01

298

Gender, social roles and health care utilization  

E-print Network

GENDER, SOCIAL ROLES AND HEALTH CARE UTILIZATION A Thesis by JENNIFER LOUISE DAVID Submitted to the Office of Graduate Studies of Texas A&M University in partial fulfillment of the requirements for the degree of MASTER OF SCIENCE December... 1992 Major Subject: Sociology GENDER, SOCIAL ROLES AND HEALTH CARE UTILIZATION A Thesis by JENNIFER LOUISE DAVID Approved as to style and content by: Howard B. Kaplan (Chair of Committee) m. Alex Mclntosh (Member) J oehr (Member) 0 0N...

David, Jennifer Louise

2012-06-07

299

Model Child Care Health Policies. Fourth Edition.  

ERIC Educational Resources Information Center

Drawn from a review of policies at over 100 child care programs nationwide, this document compiles model health policies intended for adaptation and selective use by out-of-home child care facilities. Following an introduction, the document presents model policy forms with blanks for adding individualized information for the following areas: (1)…

Aronson, Susan S.

300

Future health care technology and the hospital.  

PubMed

The past decades have been a time of rapid technological change in health care, but technological change will probably accelerate during the next decade or so. This will bring problems, but it will also present certain opportunities. In particular, the health care system is faced with the need to spend its limited resources more effectively. The number of hospital beds is being reduced, and lengths of stay are falling. In the future, the health care system will have to care for an increasing number of elderly people, both with chronic disease and also with dependency because of frailty and functional problems. The hospital of the future will probably be smaller and more intensive in the nature of its care. In part, this is because many present and future clinical technologies can be delivered outside of the hospital setting. And communication technologies offer the possibility of tying the various parts of the health care system into one true system. This would mean that the future hospital would have a more active role in supervising technical care outside of the hospital, and in making specialized knowledge accessible in all parts of the health system. PMID:10104535

Banta, H D

1990-01-01

301

Workplace flexibility, self-reported health, and health care utilization  

Microsoft Academic Search

Flexible work arrangements, or organizational practises that permit employees to adjust their work schedule or location to better manage demands outside of work, are a popular family-friendly benefit. There is relatively little research examining the health outcomes associated with flexibility and no published studies examining associations with health care utilization. We analyzed responses to self-administered Health Risk Appraisals (HRAs) completed

Adam B. Butler; Joseph G. Grzywacz; Susan L. Ettner; Bo Liu

2009-01-01

302

Mental health stigma and primary health care decisions.  

PubMed

People with serious mental illness have higher rates of mortality and morbidity due to physical illness. In part, this occurs because primary care and other health providers sometimes make decisions contrary to typical care standards. This might occur because providers endorse mental illness stigma, which seems inversely related to prior personal experience with mental illness and mental health care. In this study, 166 health care providers (42.2% primary care, 57.8% mental health practice) from the Veteran?s Affairs (VA) medical system completed measures of stigma characteristics, expected adherence, and subsequent health decisions (referral to a specialist and refill pain prescription) about a male patient with schizophrenia who was seeking help for low back pain due to arthritis. Research participants reported comfort with previous mental health interventions. Path analyses showed participants who endorsed stigmatizing characteristics of the patient were more likely to believe he would not adhere to treatment and hence, less likely to refer to a specialist or refill his prescription. Endorsement of stigmatizing characteristics was inversely related to comfort with one?s previous mental health care. Implications of these findings will inform a program meant to enhance VA provider attitudes about people with mental illness, as well as their health decisions. PMID:24774076

Corrigan, Patrick W; Mittal, Dinesh; Reaves, Christina M; Haynes, Tiffany F; Han, Xiaotong; Morris, Scott; Sullivan, Greer

2014-08-15

303

Latino Adults’ Access to Mental Health Care  

PubMed Central

Since the early 1980s, epidemiological studies using state-of-the-art methodologies have documented the unmet mental health needs of Latinos adults in the U.S. and Puerto Rico. This paper reviews 16 articles based on seven epidemiological studies, examines studies methodologies, and summarizes findings about how Latino adults access mental health services. Studies consistently report that, compared to non-Latino Whites, Latinos underutilize mental health services, are less likely to receive guideline congruent care, and rely more often on primary care for services. Structural, economic, psychiatric, and cultural factors influence Latinos’ service access. In spite of the valuable information these studies provide, methodological limitations (e.g., reliance on cross-sectional designs, scarcity of mixed Latino group samples) constrict knowledge about Latinos access to mental health services. Areas for future research and development needed to improve Latinos’ access and quality of mental health care are discussed. PMID:16598658

Cabassa, Leopoldo J.; Zayas, Luis H.; Hansen, Marissa C.

2008-01-01

304

Public health implications of substandard correctional health care.  

PubMed

US citizens face a growing threat of contracting communicable diseases owing to the high recidivism rate in state and federal prisons, poor screening and treatment of prisoners, and inferior follow-up health care upon their release. Insufficient education about communicable diseases--for prisoners and citizens alike--and other problems, such as prejudice against prisoners, escalating costs, and an unreliable correctional health care delivery system for inmates, all contribute to a public health problem that requires careful examination and correction for the protection of everyone involved. PMID:16186448

Restum, Zulficar Gregory

2005-10-01

305

Assuring Equity Through Health and Health Care Reform Conference Registration Information (Type or Print)  

E-print Network

Research in Clinical and Translational Science Immigrant Health Caring for Veterans Children's HealthAssuring Equity Through Health and Health Care Reform Conference Registration Information (Type of Health Reform in the Pharmaceutical Industry Sustaining Community Health Workers Comparative

Brown, Lucy L.

306

Health practices of critical care nurses.  

PubMed

Little is known about the health practices of critical care nurses (CCNs). Because their health behaviors may influence their inclinations to counsel patients, it is important that CCNs engage in a healthy lifestyle and serve as health exemplars. The purpose of this survey was to describe the health practices of 499 CCNs. Data were gathered by questionnaires that elicited information regarding smoking habits, oral health and dietary practices, energy expenditure, seat belt use, alcohol consumption, and health surveillance behaviors. This article is a sequel to a previous manuscript that reported findings relative to the smoking practices of CCNs. Results of the study suggest that the CCNs surveyed were not fulfilling their roles as health exemplars. Although some reported favorable health practices, many indicated habits that were less than desirable. These data document the need to develop strategies for improving the health behaviors of CCNs, thereby protecting their future health. Ultimately, these strategies may benefit their patients. PMID:1592608

Haughey, B P; Kuhn, M A; Dittmar, S S; Wu, Y W

1992-05-01

307

78 FR 38718 - Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage...  

Federal Register 2010, 2011, 2012, 2013

...designated as a result of the Health Care Safety Net Amendments of 2002...definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U...health professional shortages. The Health Care Safety Net Amendments of 2002...

2013-06-27

308

77 FR 38838 - Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage...  

Federal Register 2010, 2011, 2012, 2013

...designated as a result of the Health Care Safety Net Amendments of 2002...definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U...health professional shortages. The Health Care Safety Net Amendments of 2002...

2012-06-29

309

76 FR 68198 - Lists of Designated Primary Medical Care, Mental Health, and Dental Health Professional Shortage...  

Federal Register 2010, 2011, 2012, 2013

...designated as a result of the Health Care Safety Net Amendments of 2002...definition of such Tribes in the Indian Health Care Improvement Act of 1976, 25 U...health professional shortages. The Health Care Safety Net Amendments of 2002...

2011-11-03

310

Health care consumerism movement takes a step forward.  

PubMed

One of the contributing factors to both the increase in health care costs and the backlash to managed care was the lack of consumer awareness of the cost of health care service, the effect of health care costs on profits and wages, and the need to engage consumers more actively as consumers in health care decisions. This article reviews the birth of the health care consumerism movement and identifies gaps in health care consumerism today. The authors reveal some of the keys to building a sustainable health care consumerism framework, which involves enlisting consumers as well as other stakeholders. PMID:20608112

Thompson, Michael; Cutler, Charles M

2010-01-01

311

Humanitarian and civic assistance health care training and cultural awareness promoting health care pluralism.  

PubMed

Integration between traditional and contemporary health care in a host nation can be beneficial to nation- and capacity-building and, subsequently, to the overall health of the society. "Traditional" health care in this sense refers to the indigenous health care system in the host nation, which includes characteristic religious or cultural practices, whereas "contemporary" health care is also known as "conventional" or "Westernized"; integration is a synchronization of these two health care forms. However, the choice of integration depends on the political and cultural situation of the nation in which the Department of Defense health care personnel are intervening. Thus, cultural awareness training is essential to ensure the success of missions related to global health and in promoting a health care system that is most beneficial to the society. The present study attempts to show the benefits of both cultural training and health care integration, and how adequately evaluating their efficacy has been problematic. The author proposes that determinants of this efficacy are better documentation collection, extensive predeployment cultural awareness and sensitivity training, and extensive after-action reports for future development. PMID:23756013

Facchini, Rose E

2013-05-01

312

Ethics and Culture in Mental Health Care  

Microsoft Academic Search

This article examines the complex relationship between culture, values, and ethics in mental health care. Cultural competence is a practical, concrete demonstration of the ethical principles of respect for persons, beneficence (doing good), nonmaleficence (not doing harm), and justice (treating people fairly)—the cornerstones of modern ethical codes for the health professions. Five clinical cases are presented to illustrate the range

Jinger G. Hoop; Tony DiPasquale; Juan M. Hernandez; Laura Weiss Roberts

2008-01-01

313

Health Care Spending: Context and Policy  

Microsoft Academic Search

[Excerpt] The United States spends a large and growing share of national income on health care. In 2007, health spending is expected to approach $2.3 trillion and account for more than 16% of gross domestic product (GDP). We spend substantially more than other developed countries, both per capita and as a share of GDP. However, given our wealth, such spending

Jennifer Jenson

2007-01-01

314

Tax Options for Financing Health Care Reform  

Microsoft Academic Search

Summary Several tax options have been proposed to provide financing for health care reform. President Obama has proposed restricting itemized deductions for high income taxpayers, along with some narrower provisions. The Senate Finance Committee has provided a list of options for health- related tax provisions. Individuals testifying at a round-table discussion have also proposed a number of other options, including

Jane G. Gravelle

315

Poverty, Ethnic Identity, and Health Care.  

ERIC Educational Resources Information Center

This book tries to present the health care problems of the major ethnic minority groups in perspective. Although poverty is probably the most crucial variable in the genesis of these problems, there are still many subtle and not so subtle forms of discrimination operating in the health field. Unfortunately, discrimination in other aspects of…

Bullough, Bonnie; Bullough, Vern L.

316

Business risk and the health care entrepreneur.  

PubMed

This article addresses issues of business risk in the home health care industry. General concepts of risk are discussed, and the unique attributes affecting risk in the home health industry are identified and reviewed particularly as they affect market entry strategies, differentiation, innovation, and regulation. PMID:8263081

Woerner, L

1994-01-01

317

Twenty-first century health care.  

PubMed

A dynamic, proactive health-care environment is beckoning. Fueled by consumer-led awareness, digital television, the Internet and a preoccupation with preventative health maintenance, it will define a new genre of products. In a series of provocative statements, this visionary article explores what the future may hold for diagnostics and medical devices. PMID:10387620

Pearson, M

1999-04-01

318

Health care technology as a policy issue  

Microsoft Academic Search

he rapidly rising costs of health care became the most im- portant health policy issue in many countries during the 1980s and early 1990s. These costs are now threatening the prospects for providing higher quality services to broader population groups, especially in the United States. The reasons for rising costs clearly include the aging of the popula- tion, with associated

H. David Banta

1994-01-01

319

Your Guide to Health Care Coverage  

E-print Network

link community service and learning objectives for youth from kindergarten through college as well, the covered services you are entitled to are called "your benefits." This guide is an overview of your health into training or service. Your health care benefits will terminate automatically on the date your service ends

320

Computers, Health Care, and Medical Information Science.  

ERIC Educational Resources Information Center

Discusses the new discipline of medical information science (MIS) and examines some problem-solving approaches used in its application in the clinical laboratory, emphasizing automation by computer technology. The health care field is viewed as one having overlapping domains of clinical medicine, health management and statistics, and fundamental…

Lincoln, Thomas L.; Korpman, Ralph A.

1980-01-01

321

Do Healthy People Worry? Modern Health Worries, Subjective Health Complaints, Perceived Health, and Health Care Utilization  

Microsoft Academic Search

Background  Modern health worries (MHW) are concerns related to modern or technological features of daily life (e.g., air pollution, x-rays,\\u000a food additives, etc.), and have been associated with subjective health complaints (SHC) and health care use.\\u000a \\u000a \\u000a \\u000a \\u000a Purpose  The MHW scale was expected to predict aspects of health status in healthy individuals (e.g., health care visits, health perceptions,\\u000a and medication use). SHC was

Kelly B. Filipkowski; Joshua M. Smyth; Abraham M. Rutchick; Alecia M. Santuzzi; Meera Adya; Keith J. Petrie; Ad A. Kaptein

2010-01-01

322

Who pays for health care in Ghana?  

PubMed Central

Background Financial protection against the cost of unforeseen ill health has become a global concern as expressed in the 2005 World Health Assembly resolution (WHA58.33), which urges its member states to "plan the transition to universal coverage of their citizens". An important element of financial risk protection is to distribute health care financing fairly in relation to ability to pay. The distribution of health care financing burden across socio-economic groups has been estimated for European countries, the USA and Asia. Until recently there was no such analysis in Africa and this paper seeks to contribute to filling this gap. It presents the first comprehensive analysis of the distribution of health care financing in relation to ability to pay in Ghana. Methods Secondary data from the Ghana Living Standard Survey (GLSS) 2005/2006 were used. This was triangulated with data from the Ministry of Finance and other relevant sources, and further complemented with primary household data collected in six districts. We implored standard methodologies (including Kakwani index and test for dominance) for assessing progressivity in health care financing in this paper. Results Ghana's health care financing system is generally progressive. The progressivity of health financing is driven largely by the overall progressivity of taxes, which account for close to 50% of health care funding. The national health insurance (NHI) levy (part of VAT) is mildly progressive and formal sector NHI payroll deductions are also progressive. However, informal sector NHI contributions were found to be regressive. Out-of-pocket payments, which account for 45% of funding, are regressive form of health payment to households. Conclusion For Ghana to attain adequate financial risk protection and ultimately achieve universal coverage, it needs to extend pre-payment cover to all in the informal sector, possibly through funding their contributions entirely from tax, and address other issues affecting the expansion of the National Health Insurance. Furthermore, the pre-payment funding pool for health care needs to grow so budgetary allocation to the health sector can be enhanced. PMID:21708026

2011-01-01

323

of Health Care National Institutes of Health  

E-print Network

sound science to the study of cam would yield dividends­new therapies to benefit health, prevent disease made clear that there would be no equivocation in the face of negative findings. The evidence would built a significant communications program operations. This outreach effort, along with the all

Bandettini, Peter A.

324

National Lesbian Health Care Survey Mental Health Implications,  

National Technical Information Service (NTIS)

The results of a survey of lesbians to determine their health care needs are reported. The survey was conducted in 1984-85. Responses were received from 1,917 lesbians who resided in all fifty states.

J. B. Bradford, C. C. Ryan

1987-01-01

325

Health care financing: recent experience in Africa.  

PubMed

The economic realities of health sector development in Africa has been analyzed in this paper. Both the global and national macroeconomic context has been defined. Given the available data, it is clear that most African countries face increasingly serious economic realities, such as slow or even declining economic growth (per capita), a depressed food production situation, severe balance of payments crises, and increasing dependence on external financial assistance. Given the limited but increasingly available 1981 and 1982 data, the economic situation in many countries is more constrained than those indicated by the data contained in this paper. In this context, the potential competitive situation facing governmental health care systems was reviewed. In addition, the diversity in the sources of health expenditures between countries in Africa was highlighted. These data provide clear evidence that governments clearly do not finance the entire health care system and that individual payment for service in many countries represent an important source of revenue for many care providers in various health care systems operating in any given country. The potential for governments to finance either an expansion of or improvements to the government component of their health care systems is then reviewed. The highlights of this analysis include the following points. First, the tax structure in many African countries is highly dependent on export and import duties, which in turn creates dependency on sustained foreign demand for exports.(ABSTRACT TRUNCATED AT 250 WORDS) PMID:6422557

Dunlop, D W

1983-01-01

326

Making better use of health care information.  

PubMed

Effective use of health care information holds the promise of improved care and reduced health costs. A number of challenges must, however, be met. Incentives for using information must be introduced. A code of practice for using patient data to allay confidentiality concerns is needed. An institution is needed to accelerate the development of health information standards. Awareness must be raised about the opportunities provided by more effective use of information. Champions are needed to create the required information-intensive infrastructures. PMID:10131593

Aspden, P

1994-02-01

327

Specialization in psychology and health care reform.  

PubMed

This article begins by contextualizing specialization and board certification of psychologists, with attention paid to relevant definitions and expectations of other health care professionals. A brief history of specialization and board certification in professional psychology is offered. The benefits of board certification through the American Board of Professional Psychology are highlighted. Consideration is then given to the primary reasons for psychologists working in academic health sciences centers to specialize in the current health care climate and to obtain board certification as a mark of such specialization. PMID:22105540

Kaslow, Nadine J; Graves, Chanda C; Smith, Chaundrissa Oyeshiku

2012-03-01

328

Health Care Basics: Choosing the  

E-print Network

Obstructive Pulmonary Disease (COPD) · Coronary Artery Disease (CAD) · Hypertension(integratedwithCAD/CHF) #12(adult/pediatric) · Diabetes · Cardiovascular Disease · Chronic Heart Failure (CHF) · Chronic Kidney Disease · Chronic help members with chronic or acute conditions by supporting them in adhering to their physicians' care

Hutcheon, James M.

329

Palliative health care: ancient wisdom.  

PubMed

An ancient story from Bhagavata Purana may be relevant to the psychology and spirituality of palliative care in modern medicine. This article brings an ancient Indian story that people still use during the grieving process. Symbolism of the old story is explained in a modern perspective. PMID:22811211

Mehta, Jay

2013-08-01

330

The health care market: can hospitals survive?  

PubMed

Does it sound familiar? Resources are scarce, competition is tough, and government regulations and a balanced budget are increasingly hard to meet at the same time. This is not the automobile or oil industry but the health care industry, and hospital managers are facing the same problems. And, maintains the author of this article, they must borrow some proven marketing techniques from business to survive in the new health care market. He first describes the features of the new market (the increasing economic power of physicians, new forms of health care delivery, prepaid health plans, and the changing regulatory environment) and then the possible marketing strategies for dealing with them (competing hard for physicians who control the patient flow and diversifying and promoting the mix of services). He also describes various planning solutions that make the most of a community's hospital facilities and affiliations. PMID:10247957

Goldsmith, J C

1980-01-01

331

[Health care expenditures and the aging population].  

PubMed

The impact of a longer life on future health care expenditures will be quite moderate because of the high costs of dying and the compression of mortality in old age. If not age per se but proximity to death determines the bulk of expenditures, a shift in the mortality risk to higher ages will not significantly affect lifetime health care expenditures, as death occurs only once in every life. A calculation of the demographic effect on health care expenditures in Germany up until 2050 that explicitly accounts for costs in the last years of life leads to a significantly lower demographic impact on per-capita expenditures than a calculation based on crude age-specific health expenditures. PMID:22526849

Felder, S

2012-05-01

332

HealtH Care BasiCs Health Care Basics  

E-print Network

-785-0006 Kaiser: 404-365-0966 (Metro Atlanta) 800-611-1811 (outside Atlanta) · Health support programs at 404-261-2590 in Atlanta or 888-865-5813 outside of Atlanta. Comparison guide To assist you in making

Hutcheon, James M.

333

Children with Special Health Care Needs: How Immigrant Status is Related to Health Care Access, Health Care Utilization, and Health Status  

Microsoft Academic Search

To compare health care access, utilization, and perceived health status for children with SHCN in immigrant and nonimmigrant\\u000a families. This cross-sectional study used data from the 2003 California Health Interview Survey to identify 1404 children\\u000a (ages 0–11) with a special health care need. Chi-square and logistic regression analyses were used to examine relations between\\u000a immigrant status and health access, utilization,

Joyce R. Javier; Lynne C. Huffman; Fernando S. Mendoza; Paul H. Wise

2010-01-01

334

Working with Community Health Workers as 'volunteers' in a vaccine trial: practical and ethical experiences and implications.  

PubMed

Community engagement is increasingly emphasized in biomedical research, as a right in itself, and to strengthen ethical practice. We draw on interviews and observations to consider the practical and ethical implications of involving Community Health Workers (CHWs) as part of a community engagement strategy for a vaccine trial on the Kenyan Coast. CHWs were initially engaged as an important network to be informed about the trial. However over time, and in response to community advice, they became involved in trial information sharing and identifying potential participants; thereby taking on roles that overlapped with those of employed fieldworkers (FWs). While CHWs involvement was generally perceived as positive and appreciated, there were challenges in their relations with FWs and other community members, partly related to levels and forms of remuneration. Specifically, payment of CHWs was not as high as for FWs and was based on 'performance'. This extrinsic motivation had the potential to crowd out CHWs intrinsic motivation to perform their pre-existing community roles. CHWs remuneration potentially also contributed to CHWs distorting trial information to encourage community members to participate; and to researchers encouraging CHWs to utilize their social connections and status to increase the numbers of people who attended information giving sessions. Individual consent processes were protected in this trial through final information sharing and consent being conducted by trained clinical staff who were not embedded in study communities. However, our experiences suggest that roles and remuneration of all front line staff and volunteers involved in trials need careful consideration from the outset, and monitoring and discussion over time. PMID:23521823

Angwenyi, Vibian; Kamuya, Dorcas; Mwachiro, Dorothy; Marsh, Vicki; Njuguna, Patricia; Molyneux, Sassy

2013-04-01

335

Health Care Delivery in Athletics.  

ERIC Educational Resources Information Center

A structural framework is provided for a responsive athletic injury control program, the Health Supervision Loop in Sport. The use of certified athletic trainers is recommended to lessen the risk of sport-related injuries. (FG)

Clarke, Kenneth S.

1982-01-01

336

Mental Health Care: Who's Who  

MedlinePLUS

... with a master’s degree or doctoral degree in psychology (Psy.D.), philosophy (Ph.D.) or education (Ed. ... work experience. Licensed Professional Counselor: Master’s degree in psychology, counseling or a related field. Mental Health Counselor: ...

337

Care Coordination: A Case Study Linking Primary Health Care  

Microsoft Academic Search

The purpose of this project is to demonstrate, through a case study, how York Community Services (YCS) is a leader in the delivery ofprimary health care through its integration ofhealth, legal and social services. YCS is located in Toronto, Ontario, Canada. YCS's mandate is to serve populations that have traditionally been on the margins ofsociety and therefore have had difficulty

Monica M. Lancaster; David P. Thow

2001-01-01

338

SectionILesson3SewingMachineCare Master Clothing Volunteer Program  

E-print Network

machine? 2) What types of oil can you use to oil your machine? 3) What are the steps to cleaning your Care Materials 1. Sewing machine and manual 2. Machine oil, small lint brush, and cloth for cleaning 3. Cleaning and Oiling a Sewing Machine III. Needles and Thread IV. Threading and Operating a Sewing Machine V

339

Building the national health information infrastructure for personal health, health care services, public health, and research  

PubMed Central

Background Improving health in our nation requires strengthening four major domains of the health care system: personal health management, health care delivery, public health, and health-related research. Many avoidable shortcomings in the health sector that result in poor quality are due to inaccessible data, information, and knowledge. A national health information infrastructure (NHII) offers the connectivity and knowledge management essential to correct these shortcomings. Better health and a better health system are within our reach. Discussion A national health information infrastructure for the United States should address the needs of personal health management, health care delivery, public health, and research. It should also address relevant global dimensions (e.g., standards for sharing data and knowledge across national boundaries). The public and private sectors will need to collaborate to build a robust national health information infrastructure, essentially a 'paperless' health care system, for the United States. The federal government should assume leadership for assuring a national health information infrastructure as recommended by the National Committee on Vital and Health Statistics and the President's Information Technology Advisory Committee. Progress is needed in the areas of funding, incentives, standards, and continued refinement of a privacy (i.e., confidentiality and security) framework to facilitate personal identification for health purposes. Particular attention should be paid to NHII leadership and change management challenges. Summary A national health information infrastructure is a necessary step for improved health in the U.S. It will require a concerted, collaborative effort by both public and private sectors. If you cannot measure it, you cannot improve it. Lord Kelvin PMID:12525262

Detmer, Don E

2003-01-01

340

Health Care Systems in Transition  

Microsoft Academic Search

This document may be freely reviewed or abstracted, but not for commercial purposes. For rights of reproduction,in part or in whole, application should b e made to the Secretariat of the European Observatory on Health Systems and Policies, WHO Regional Office for Europe, Scherfigsvej 8, DK-2100 Copenhagen Ř, Denmark. The European Observatory on Health Systems and Policies welcomes,such applications. The

John Holley; Oktay Akhundov; Ellen Nolte; Laura MacLehose; Martin McKee

341

Translational Research Overview Health Policy and Primary Care Research Center  

E-print Network

Translational Research Overview Health Policy and Primary Care Research Center Effective and timely findings that leads to the improvement of care and the revi- sion of health care policy. #12;REFERENCES translation of research into health care practice is essential to the delivery of high quality care. Despite

Oliver, Douglas L.

342

Providing Safe Health Care: The Role of Educational Support Personnel.  

ERIC Educational Resources Information Center

This handbook is written for the educational support person (ESP) who may or may not be a trained or licensed health care provider, but whose job has come to include caring for students with disabilities with special health care needs. Section 1, "The Laws Governing the ESP and the Care of the Student with Special Health Care Needs," discusses the…

Weiss, Julie

343

Prevention of health care-associated infections.  

PubMed

Health care-associated infections cause approximately 75,000 deaths annually, in addition to increasing morbidity and costs. Over the past decade, a downward trend in health care-associated infections has occurred nationwide. Basic prevention measures include administrative support, educating health care personnel, and hand hygiene and isolation precautions. Prevention of central line- or catheter-associated infections begins with avoidance of unnecessary insertion, adherence to aseptic technique when inserting, and device removal when no longer necessary. Specific recommendations for preventing central line-associated bloodstream infections include use of chlorhexidine for skin preparation, as a component of dressings, and for daily bathing of patients in intensive care units. Catheter-associated urinary tract infections are the most common device-related health care-associated infection. Maintaining a closed drainage system below the patient reduces the risk of infection. To prevent ventilator-associated pneumonia, which is associated with high mortality, mechanically ventilated patients should be placed in the semirecumbent position and receive antiseptic oral care. Prevention of surgical site infections includes hair removal using clippers, glucose control, and preoperative antibiotic prophylaxis. Reducing transmission of Clostridium difficile and multidrug-resistant organisms in the hospital setting begins with hand hygiene and contact precautions. Institutional efforts to reduce unnecessary antibiotic prescribing are also strongly recommended. Reducing rates of methicillin-resistant Staphylococcus aureus infection can be achieved through active surveillance cultures and decolonization therapy with mupirocin. PMID:25251230

Hsu, Vincent

2014-09-15

344

Staying alive: strategies for accountable health care.  

PubMed

The Patient Protection and Affordable Care Act signed into law in March 2010, has led to sweeping changes to the US health care system. The ensuing pace of change in health care regulation is unparalleled and difficult for physicians to keep up with. Because of the extraordinary challenges that have arisen, the public policy committee of the Society for Surgery of the Alimentary tract conducted a symposium at their 52nd Annual Meeting in May 2011 to educate participants on the myriad of public policy changes occurring in order to best prepare them for their future. Expert speakers presented their views on policy changes affecting diverse areas including patient safety, patient experience, hospital and provider fiscal challenges, and the life of the practicing surgeon. In all areas, surgical leadership was felt to be critical to successfully navigate the new health care landscape as surgeons have a long history of providing safe, high quality, low cost care. The recognition of shared values among the diverse constituents affected by health care policy changes will best prepare surgeons to control their own destiny and successfully manage new challenges as they emerge. PMID:22399268

Marcus, Stuart G; Reid-Lombardo, Kaye M; Halverson, Amy L; Maker, Vijay; Demetriou, Achilles; Fischer, Josef E; Bentrem, David; Rudnicki, Marek; Hiatt, Jonathan R; Jones, Daniel

2012-05-01

345

Health Care Autonomy in Children with Chronic Conditions: Implications for Self Care and Family Management  

PubMed Central

Synopsis Health care autonomy typically occurs during late adolescence but health care providers and families often expect children with chronic health conditions to master self-care earlier. Few studies have examined the development of health care autonomy as it pertains to self-care and family management. This review will link the three concepts and discuss implications for families and health care providers. Case studies are provided as exemplars to highlight areas where intervention and research is needed. PMID:23659815

Beacham, Barbara L.; Deatrick, Janet A.

2013-01-01

346

Rapid Business Transformations in Health Care: A Systems Approach  

ERIC Educational Resources Information Center

The top two priorities of health care business leaders are to constantly improve the quality of health care while striving to contain and reduce the high cost of health care. The Health Care industry, similar to all businesses, is motivated to deliver innovative solutions that accelerate business transformation and increase business capabilities. …

Shulaiba, Refaat A.

2011-01-01

347

Health Care for the International Student: Asia and the Pacific.  

ERIC Educational Resources Information Center

This handbook consists of 24 papers addressing various aspects on health care and health care systems and services for foreign students from the Asia Pacific Region. The papers are: "Providing Health Care for International Students" (Donald F. B. Char); "Major Health Care Systems in Asia and the Pacific: Mainland China, Taiwan, Hong Kong" (Julia…

Naughton, June C., Ed.; And Others

348

Unmanaged care: towards moral fairness in health care coverage.  

PubMed

Health insurers are generally guided by the principle of "actuarial fairness," according to which they distinguish among various risks on the basis of cost-related factors. Thus, insurers often limit or deny coverage for vision care, hearing aids, mental health care, and even AIDS treatment based on actuarial justifications. Furthermore, approximately forty-two million Americans have no health insurance at all, because most of these individuals cannot afford the cost of insurance. This Article argues that Americans have come to demand more than actuarial fairness from health insurers and are increasingly concerned by what I call "moral fairness." This is evidenced by the hundreds of laws that have been passed to constrain insurers' discretion with respect to particular coverage decisions. Legislative mandates are frequent, but seemingly haphazard, following no systematic methodology. This Article suggests an analytical framework that can be utilized to determine which interventions are appropriate and evaluates a variety of means by which moral fairness could be promoted in the arena of health care coverage. PMID:15214342

Hoffman, Sharona

2003-01-01

349

Just health care (I): Is beneficence enough?  

PubMed

Few in our society believe that access to health care should be determined primarily by ability to pay. We believe instead that society has an obligation to assure access to adequate health care for all. This is the view explicitly endorsed in the President's Commission Report Securing Access to Health Care. But there is an important moral ambiguity here, for this obligation may be construed as being either beneficence-based or justice-based. A beneficence-based construal would yield a much weaker obligation with respect to the distribution of health care. In the first section of this paper I argue that the President's Commission is committed only to this weaker construal of this obligation. In the second section I argue that such a beneficence-based obligation is really rooted in a libertarian conception of justice, similar to that recently articulated by Engelhardt, and that this conception is seriously flawed when it comes to effecting a just distribution of health care. PMID:2675374

Fleck, L M

1989-06-01

350

Consumerism in health care. Prevalence and predictors.  

PubMed

Current efforts to contain health care costs include a variety of strategies aimed at the users of health services. These approaches attempt to encourage users to be more cost-conscious and to shop for lower-cost services and more efficient health care plans. The primary method for achieving this is by increasing the consumer's exposure to the cost of health insurance and the cost of care. The assumption is that approaches that increase cost-sensitivity will stimulate greater consumerism among the users of care. This paper presents findings from a study that investigates the extent to which members of insured populations have a consumer approach to health care, identifies factors related to consumer behaviors and attributes, and examines the degree to which consumer cost-sensitivity is associated with other consumer-oriented behaviors. The data used are derived from face-to-face interviews. Only a minority of the respondents engage in the examined consumer behaviors. Both social demographic and attitudinal factors affect the likelihood of engaging in consumer behaviors. Being cost-sensitive appears to be only a minor stimulant to other consumer attributes. Policy implications are discussed. PMID:3320590

Hibbard, J H; Weeks, E C

1987-11-01

351

Psychiatric and Medical Health Care Policies in Juvenile Detention Facilities  

ERIC Educational Resources Information Center

A study aims to examine the existing health care policies in U.S. juvenile detention centres. The results conclude that juvenile detention facilities have many shortfalls in providing care for adolescents, particularly mental health care.

Pajer, Kathleen A.; Kelleher, Kelly; Gupta, Ravindra A.; Rolls, Jennifer; Gardner, William

2007-01-01

352

A Health Care Planner: Teaching Low-Income Consumers about Health Care Alternatives.  

ERIC Educational Resources Information Center

This module, one of six on teaching consumer matters to low-income groups, focuses on health care alternatives. It provides helpers of low-income people in Virginia with a composite of information in the areas of traditional health care, alternatives to the traditional methods, insurance, medications, and fraudulent practices. At the end of each…

Fitch, Sandra F.

353

Child Care Health Connections, 2001: A Health and Safety Newsletter for California Child Care Professionals.  

ERIC Educational Resources Information Center

This document is comprised of the six 2001 issues of a bimonthly newsletter providing information on young children's health and safety for California's child care professionals. Regular features include a column on infant/toddler concerns, a question-answer column regarding medical and health issues, and resources for child care providers.…

Walery, Nancy, Ed.; Evinger, Sara, Ed.; Dailey, Lyn, Ed.; Zamani, Rahman, Ed.; Guralnick, Eva, Ed.

2001-01-01

354

The value of pharmacists in health care.  

PubMed

The American health care system is concerned about the rise of chronic diseases and related resource challenges. Management of chronic disease traditionally has been provided by physicians and nurses. The growth of the care management industry, in which nurses provide remote telephonic monitoring and coaching, testifies to the increasing need for care management and to the value of nonphysician clinicians. However, this model is challenged by a number of factors, including low enrollment and the growing shortage of nurses. The challenges to the traditional model are causing policy makers and payers to consider innovative models. One such model includes the pharmacist as an essential provider of care. Not only is the number of pharmacists growing, but they are playing an ever broader role in a variety of settings. This article broadly surveys the current state of pharmacist provision of care management services and highlights the increasingly proactive role played by Walgreen Co. toward this trend, using recently conducted research. Pharmacists are making a noticeable impact on and contribution to the care of chronic diseases by improving adherence to medications, a key factor in the improvement of outcomes. Literature also suggests that pharmacies are increasingly encouraging, expanding, and highlighting the role and contributions of their professional pharmacists. Although the role of the pharmacist in chronic care management is still developing, it is likely to grow in the future, given the needs of the health care system and patients. PMID:22313438

Patwardhan, Avinash; Duncan, Ian; Murphy, Patricia; Pegus, Cheryl

2012-06-01

355

Essays on the Evolution of Health Care Technology  

E-print Network

Human Services, Health Resources and Services Administration [database online]. Health Care ProfessionsHuman Services, 2008; lnterStudy Publications, 2008). The ARF contains data on health professions,

Hodgson, Ashley Renee

2011-01-01

356

Confronting AIDS. Directions for Public Health, Health Care, and Research.  

ERIC Educational Resources Information Center

This book is addressed to anyone involved with or affected by the Acquired Immune Deficiency Syndrome (AIDS) epidemic, including legislators, researchers, health care personnel, insurance providers, educators, health officials, executives in the pharmaceutical industry, blood bank administrators, and other concerned individuals. The following…

Institute of Medicine (NAS), Washington, DC.

357

Community health services and health care utilization in rural Bangladesh  

Microsoft Academic Search

The study, which is based on data from two household level health surveys conducted in 1976 and 1987 in the Companiganj area of rural Bangladesh, examines the premise that the utilization of public health care services can be increased by increasing the availability and accessability of effective medicines to the public and by improving the disease recognition and management by

Ruhul Amin; Shifiq A. Chowdhury; G. M. Kamal; J. Chowdhury

1989-01-01

358

Pediatric Mental Health Emergencies and Special Health Care Needs  

PubMed Central

SYNOPSIS Children with mental health problems are increasingly being evaluated and treated by both pediatric primary care and pediatric emergency physicians. This article focuses on the epidemiology, evaluation, and management of the two most common pediatric mental health emergencies, suicidal and homicidal/aggressive patients, as well as the equally challenging population of children with autism or other developmental disabilities. PMID:24093903

Chun, Thomas H.; Katz, Emily R.; Duffy, Susan J.

2013-01-01

359

Health care reform, behavioral health, and the criminal justice population.  

PubMed

The 2010 Patient Protection and Affordable Care Act (ACA) has a number of important features for individuals who are involved with the criminal justice system. Among the most important changes is the expansion of Medicaid to more adults. The current study estimates that 10% of the total Medicaid expansion could include individuals who have experienced recent incarceration. The ACA also emphasizes the importance of mental health and substance abuse benefits, potentially changing the landscape of behavioral health treatment providers willing to serve criminal justice populations. Finally, it seeks to promote coordinated care delivery. New care delivery and appropriate funding models are needed to address the behavioral health and other chronic conditions experienced by those in criminal justice and to coordinate care within the complex structure of the justice system itself. PMID:24807645

Cuellar, Alison Evans; Cheema, Jehanzeb

2014-10-01

360

Racial and Ethnic Disparities in Access to Health Insurance and Health Care  

E-print Network

health, Latino and AAPI men and women experience disparities compared to whites and AfricanDisparities In Access to Health Insurance and Health Care AfricanDisparities In Access to Health Insurance and Health Care Among African-

Brown, E. Richard; Ojeda, Victoria D.; Wyn, Roberta; Levan, Rebecca

2000-01-01

361

Health Care Costs Workshop Agenda  

Cancer.gov

Skip to Main Content at the National Institutes of Health | www.cancer.gov Print Page E-mail Page Search: Please wait while this form is being loaded.... Home Browse by Resource Type Browse by Area of Research Research Networks Funding Information About

362

Internal Marketing, Negative Experiences, and Volunteers'Commitment to Providing High-Quality Services in a UK Helping and Caring Charitable Organization  

Microsoft Academic Search

This empirical study examined the effects of “negative'' contact experiences with beneficiaries on charity volunteers' job satisfaction and organizational commitment within a helping and caring charitable organization that for 3.5 years had operated an internal marketing program. It was hypothesized that negative experiences downwardly moderated (i) the impact of the charity's internal market activities on satisfaction and commitment, and (ii)

Roger Bennett; Anna Barkensjo

2005-01-01

363

Open Access to essential health care information.  

PubMed

Open Access publishing is a valuable resource for the synthesis and distribution of essential health care information. This article discusses the potential benefits of Open Access, specifically in terms of Low and Middle Income (LAMI) countries in which there is currently a lack of informed health care providers - mainly a consequence of poor availability to information. We propose that without copyright restrictions, Open Access facilitates distribution of the most relevant research and health care information. Furthermore, we suggest that the technology and infrastructure that has been put in place for Open Access could be used to publish download-able manuals, guides or basic handbooks created by healthcare providers in LAMI countries. PMID:15575959

Stokes, Christabel E L; Pandey, Manoj

2004-01-01

364

Sustainability and the health care manager: Part II.  

PubMed

Are there additional costs associated with achieving goals of sustainable health care? Will going green enhance or impede financial performance? These are questions that all health care managers should confront, yet there is little evidence to show that health care sustainability is affordable or profitable. This article considers what is presently known and suggests that health care managers use an assessment framework to determine whether they are ready to achieve health care sustainability. PMID:21808179

Ramirez, Bernardo; Oetjen, Reid M; Malvey, Donna

2011-01-01

365

Assessing and enhancing health care providers' response to domestic violence.  

PubMed

This study aimed to examine possible changes from 2008 to 2012 in the skills of health care staff in identifying and intervening in domestic violence (DV). A longitudinal descriptive study design with volunteer samples (baseline; n = 68, follow-up; n = 100) was used to acquire information regarding the present state and needs of the staff in practices related to DV. The results of the baseline survey were used as a basis for planning two interventions: staff training and drafting practical guidelines. Information was collected by questionnaires from nurses, physicians, and social workers and supplemented by responses from the interviews. The data were analysed using both quantitative and qualitative methods. A chi-square test was used to test the statistical significance of the data sets. In addition, participants' quotes are used to describe specific phenomena or issues. The comparison showed that overall a small positive change had taken place between the study periods. However, the participants were aware of their own shortcomings in identifying and intervening in DV. Changes happen slowly, and administrative support is needed to sustain such changes. Therefore, this paper offers recommendations to improve health care providers' response to DV. Moreover, there is a great need for evaluating the training programme used. PMID:24864205

Leppäkoski, Tuija; Flinck, Aune; Paavilainen, Eija

2014-01-01

366

Health Care System Reform in China: Issues, Challenges and Options  

Microsoft Academic Search

This paper examines health care reform in urban and rural China. Before health care reform, Chinese health service facilities were run entirely by the state and basically they performed a social welfare function. This health care system greatly improved the population health conditions but many problems started to emerge in 1980s when the economic reform started. Since then, the government

Rong Hu; Chunli Shen; Heng-fu Zou

2011-01-01

367

Health Literacy and Health Care Spending and Utilization in a Consumer-Driven Health Plan  

Microsoft Academic Search

We examined health literacy and health care spending and utilization by linking responses of three health literacy questions to 2006 claims data of enrollees new to consumer-driven health plans (n = 4,130). Better health literacy on all four health literacy measures (three item responses and their sum) was associated with lower total health care spending, specifically, lower emergency department and inpatient admission

Nancy A. Hardie; Kelly Kyanko; Susan Busch; Anthony T. LoSasso; Regina A. Levin

2011-01-01

368

Mapping the literature of health care chaplaincy  

PubMed Central

Objective: This study examined citation patterns and indexing coverage from 2008 to 2010 to determine (1) the core literature of health care chaplaincy and (2) the resources providing optimum coverage for the literature. Methods: Citations from three source journals (2008–2010 inclusive) were collected and analyzed according to the protocol created for the Mapping the Literature of Allied Health Professions Project. An analysis of indexing coverage by five databases was conducted. A secondary analysis of self-citations by source journals was also conducted. Results: The 3 source journals—Chaplaincy Today, the Journal of Health Care Chaplaincy, and the Journal of Pastoral Care and Counseling—ranked as the top 3 journals in Zone 1 and provided the highest number of most frequently cited articles for health care chaplaincy. Additional journals that appeared in this highly productive zone covered the disciplines of medicine, psychology, nursing, and religion, which were also represented in the Zones 2 and 3 journals. None of the databases provided complete coverage for the core journals; however, MEDLINE provided the most comprehensive coverage for journals in Zones 1 and 2, followed by Academic Search Complete, CINAHL, PsycINFO, and ATLA. Self-citations for the source journals ranged from 9% to 16%. Conclusions: Health care chaplaincy draws from a diverse body of inter-professional literature. Libraries wishing to provide access to journal literature to support health care chaplaincy at their institutions will be best able to do this by subscribing to databases and journals that cover medical, psychological, nursing, and religion- or spirituality-focused disciplines. PMID:23930090

Johnson, Emily; Dodd-McCue, Diane; Tartaglia, Alexander; McDaniel, Jennifer

2013-01-01

369

Solid health care waste management status at health care centers in the West Bank - Palestinian Territory  

SciTech Connect

Health care waste is considered a major public health hazard. The objective of this study was to assess health care waste management (HCWM) practices currently employed at health care centers (HCCs) in the West Bank - Palestinian Territory. Survey data on solid health care waste (SHCW) were analyzed for generated quantities, collection, separation, treatment, transportation, and final disposal. Estimated 4720.7 m{sup 3} (288.1 tons) of SHCW are generated monthly by the HCCs in the West Bank. This study concluded that: (i) current HCWM practices do not meet HCWM standards recommended by the World Health Organization (WHO) or adapted by developed countries, and (ii) immediate attention should be directed towards improvement of HCWM facilities and development of effective legislation. To improve the HCWM in the West Bank, a national policy should be implemented, comprising a comprehensive plan of action and providing environmentally sound and reliable technological measures.

Al-Khatib, Issam A. [Institute of Environmental and Water Studies, Birzeit University, P.O. Box 14, Birzeit, Ramallah, West Bank (Palestinian Territory, Occupied)], E-mail: ikhatib@birzeit.edu; Sato, Chikashi [Department of Civil and Environmental Engineering, Idaho State University, Pocatello, Idaho (United States)

2009-08-15

370

Out of Place: Mediating Health and Social Care in Ontario's Long-Term Care Sector  

ERIC Educational Resources Information Center

The paper discusses two reforms in Ontario's long-term care. The first is the commercialization of home care as a result of the implementation of a "managed competition" delivery model. The second is the Ministry of Health and Long-Term Care's privileging of "health care" over "social care" through changes to which types of home care and home…

Daly, Tamara

2007-01-01

371

Can We Talk? Priorities for Patient Care Differed Among Health Care Providers  

Microsoft Academic Search

Objective: Poor communication and collaboration between members of a patient's health care team can result in medical errors and poor quality of care. The purpose of this study was to assess communication and consensus regarding patient care goals between members of the health care team (physicians, registered nurses (RNs), and patient care technicians (PCTs)) caring for the same patient on

Bradley Evanoff; Patricia Potter; Laurie Wolf; Deborah Grayson; Clay Dunagan; Stuart Boxerman

372

Pharmacy and the health-care environment.  

PubMed

The current revolution in the delivery of health care is examined, possibilities for the future are considered, and preparations for meeting the challenges of the future are discussed. The main elements in the revolution involve changes in the economic, business, and technological aspects of health-care delivery. The economic influences have included diagnosis-related groups (DRGs) and the Gramm-Rudman-Hollings legislation as it affects Medicare. Hospitals and hospital pharmacists have had to look closely at their own involvement and take measures to cut costs. The care of the elderly and the indigent and the issue of malpractice will require particular attention. Diversification and incorporation have brought many changes. Among them are the blurring of the traditional roles of pharmacy practice, as evidenced, for example, in the area of home health care. The changes made possible by technology are inseparable from the other current trends, and they add another dimension to health-care considerations--that of moral choices. Furthermore, pharmacy practitioner organizations will have to develop strategies for controlling the destiny of the profession in a corporate atmosphere. Pharmacists can achieve their full potential as society's drug therapy experts if they are flexible and creative enough to apply, in this new environment, the basic principles for which the profession has long stood. PMID:3728477

Oddis, J A

1986-06-01

373

Health care policy and cancer survivorship.  

PubMed

The United States and the European Union (EU) vary widely in approaches to ensuring affordable health care coverage for our respective populations. Such variations stem from differences in the political systems and beliefs regarding social welfare. These variations are also reflected in past and future initiatives to provide high quality cancer survivorship care. The United States spends considerably more on health care compared to most European countries, often with no proven benefit. In the United States, individuals with chronic illnesses, such as cancer survivors, often experience difficulties affording insurance and maintaining coverage, a problem unknown to EU countries with national health insurance. This article reviews health policy development over time for the United States and EU and the impact for cancer survivors. For the United States, the impact of the Affordable Care Act on improving access to affordable care for cancer survivors is highlighted. For the EU, the importance of multiple-morbidity disease management, cancer plan development, and pan-European data collection for monitoring cancer outcomes is addressed. Given predicted workforce shortages and ever-increasing numbers of aging cancer survivors on both sides of the Atlantic, sharing lessons learned will be critical. PMID:23695931

Virgo, Katherine S; Bromberek, Julia L; Glaser, Adam; Horgan, Denis; Maher, Jane; Brawley, Otis W

2013-06-01

374

Health care of homeless veterans  

Microsoft Academic Search

It is important to understand the needs of those veterans who are homeless. We describe characteristics of homeless male veterans\\u000a and factors associated with needing VA benefits from a two-city, community survey of 531 homeless adults. Overall, 425 were\\u000a male, of whom 127 were veterans (29.9%). Significantly more veterans had a chronic medical condition and two or more mental\\u000a health

Thomas P. O’Toole; Alicia Conde-Martel; Jeanette L. Gibbon; Barbara H. Hanusa; Michael J. Fine

2003-01-01

375

Health Care Policies for Children in Out-of-Home Care.  

ERIC Educational Resources Information Center

Examined health care policies and services for children under 46 state welfare agencies. Found that most states had written policies regarding health care for foster children, but half had no management system to record health care data. Most states did not meet standards set by the Child Welfare League of America for health care of these…

Risley-Curtiss, Christina; Kronenfeld, Jennie Jacobs

2001-01-01

376

Thinking about equity in health care.  

PubMed

Public health care systems such as the British National Health Service typically profess two principal objectives: to improve the health of the whole population; and to reduce inequalities in health within it. Given scarce resources, these objectives are often in conflict. Much attention has justifiably been paid, by health economists, to addressing the former objective with methods of economic appraisal. My intention is to focus on the more difficult issue of the pursuit of 'equity' in health care, specifically the desire to reduce inequalities in health. This raises philosophical and policy questions about what makes some people more deserving of care than others, and whether or not society should adopt a forgiving stance towards those who have compromised their health status in some way, and offer access to treatment. Also, decision-makers may need to distinguish between the goal of raising the level of those worse-off and reducing inequality across society as a whole. Moreover, it is important to clarify what we wish to be made less unequal within the realm of health care provision. Tough decisions like these are based on value judgements and trading off one priority against another. In the interests of equity, such decisions need to be transparent and based on the preferences of society as a whole rather than covert and capricious. No manager needs reminding that resources are limited or that if more favourable treatment is accorded to some, inevitably less favourable treatment is accorded to others. Policy-making for a whole unit requires a nurse manager to offer a perspective on multidisciplinary matters and engage in wider public policy issues facing the team. As circumstances change, existing practice may be challenged as unfair, inefficient, or failing to account for important patient characteristics which make them different. Here, thinking clearly about equity is very important, and nurse managers are important as clarifiers of the thinking about what should be considered when making these difficult decisions. PMID:16108777

Williams, Alan

2005-09-01

377

Second Health Care Worker in Dallas Tests Positive for Ebola  

MedlinePLUS

... features on this page, please enable JavaScript. Second Health Care Worker in Dallas Tests Positive for Ebola Nurse ... WEDNESDAY, Oct. 15, 2014 (HealthDay News) -- A second health care worker who helped treat a patient who died ...

378

Talking with Your Health Care Professionals about Kidney Disease  

MedlinePLUS

... Kidney Disease Additional Kidney Information Talking with Your Health Care Professionals The most important person on your health ... if you already have it. Tips for Your Health Care Visits Be prepared. The more you plan for ...

379

Health Education in Child Care: Opportunities and Challenges.  

ERIC Educational Resources Information Center

This article addresses the health and safety risks associated with child care facilities, including injuries and infectious diseases. Related health education needs for child care providers, parents, and children are examined, and recommendations for health educators are provided. (SM)

Nalle, Maureen A.

1996-01-01

380

Health Care Issues in Southern Rural Black America.  

ERIC Educational Resources Information Center

High infant and maternal mortality, poverty, isolation, a shortage of health professionals, inadequate health care facilities, and difficult geographic access to care are some of the health-related problems that plague Black rural southerners. (GC)

Turner, Henrie M.

1986-01-01

381

Arab culture and mental health care.  

PubMed

This selective review describes recent literature and the author's experience with mental illness and mental health care, and the impact of cultural transformation on mental health in some Arab Islamic cultures, particularly in Egypt, Qatar and Kuwait. Traditional extended Arab families provide a structure for their members that may sometimes prevent and or compensate for the effects of parental loss and mental disability. The role of traditional families in the care of members and in medical decision-making is discussed. The impact of cultural change on Arab culture is also examined, as is the effect of intergenerational conflict in traditional families. PMID:19091731

Fakhr El-Islam, M

2008-12-01

382

Partners HealthCare Center for Connected Health.  

PubMed

This article reviews the history, current status, and future plans of the Partners HealthCare Center for Connected Health (the Center). Established in 1995 by Harvard Medical School teaching hospitals, the Center develops strategies to move healthcare from the hospital and doctor's office into the day-to-day lives of patients. It leverages information technology to help manage chronic conditions, maintain health and wellness, and improve adherence to prescribed regimen, patient engagement, and clinical outcomes. Since inception, it has served over 30,000 patients. The Center's core functions include videoconference-based real-time virtual visits, home vital sign monitoring, store-and-forward online consultations, social media, mobile technology, and other novel methods of providing care and enabling health and wellness remotely and independently of traditional time and geographic constraints. It offers a wide range of services, programs, and research activities. The Center comprises over 40 professionals with various technical and professional skills. Internally within Partners HealthCare, the role of the Center is to collaborate, guide, advise, and support the experimentation with and the deployment and growth of connected health technologies, programs, and services. Annually, the Center engages in a deliberative planning process to guide its annual research and operational agenda. The Center enjoys a diversified revenue stream. Funding sources include institutional operating budget/research funds from Partners HealthCare, public and private competitive grants and contracts, philanthropic contributions, ad hoc funding arrangements, and longer-term contractual arrangements with third parties. PMID:23330595

Ternullo, Joseph; Jethwani, Kamal; Lane, Susan; Myint-U, Khinlei; Havasy, Robert; Carter, Michael; Kvedar, Joseph

2013-05-01

383

The Ethical Self-Fashioning of Physicians and Health Care Systems in Culturally Appropriate Health Care  

Microsoft Academic Search

Diverse advocacy groups have pushed for the recognition of cultural differences in health care as a means to redress inequalities\\u000a in the U.S., elaborating a form of biocitizenship that draws on evidence of racial and ethnic health disparities to make claims\\u000a on both the state and health care providers. These efforts led to federal regulations developed by the U.S. Office

Susan J. Shaw; Julie Armin

2011-01-01

384

Improving Health Care Quality Reporting: Lessons from the California HealthCare Foundation. Oakland, CA: California HealthCare Foundation  

Microsoft Academic Search

The California HealthCare Foundation has devoted substantial resources to promoting public reporting on the quality of California hospitals, physician groups, and nursing homes. Mathematica conducted an evaluation of the foundation's work from 1998 through 2005, identifying lessons from its experience in fostering quality information and exploring avenues for future foundation involvement in the field. This brief looks at the measurement

Beth Stevens; Tim Lake; Erin Fries Taylor

2007-01-01

385

Organizational economics and health care markets.  

PubMed Central

As health policy emphasizes the use of private sector mechanisms to pursue public sector goals, health services research needs to develop stronger conceptual frameworks for the interpretation of empirical studies of health care markets and organizations. Organizational relationships should not be interpreted exclusively in terms of competition among providers of similar services but also in terms of relationships among providers of substitute and complementary services and in terms of upstream suppliers and downstream distributors. This article illustrates the potential applicability of transactions cost economics, agency theory, and organizational economics more broadly to horizontal and vertical markets in health care. Examples are derived from organizational integration between physicians and hospitals and organizational conversions from nonprofit to for-profit ownership. PMID:11327173

Robinson, J C

2001-01-01

386

Poverty Status, Health Behaviours, and Health: Implications for Social Assistance and Health Care Policy  

Microsoft Academic Search

This study investigated the relationships among poverty status, health behaviours, and the health of 130 Albertans living in poor families. For the purposes of this study, poverty status indicated whether poor families were receiving social assistance along with comprehensive health care benefits or whether they were working poor without comprehensive health care benefits. Findings from seven separate path analyses indicate

Deanna L. Williamson; Janet E. Fast

1998-01-01

387

Social Learning Theory and Behavioral Health Care  

Microsoft Academic Search

Health costs in the US have risen at astronomic rates, rising from 4.6% of the GNP in 1950 to 8.3% in 1975. Yet, despite the compounding costs of medical care, the health of the population has not improved significantly since 1950, when viewed from the standpoint of increased longevity or decrease in the incidence of the major causes of death

Kenton L. Burns

1979-01-01

388

The Contribution of Health Services Research to Improved Dermatologic Care  

PubMed Central

To translate scientific discovery into improved health, we must study health care itself: ie, how people access health care, costs or other barriers to the provision of good care, and what happens to patients as a result of this care. Health services research (HSR) is the interdisciplinary field that studies health care and its effects. This paper reviews different types of HSR and highlights some dermatologic examples that have resulted in improved health care systems or have helped us understand access to existing systems. The paper also addresses some of the political and systematic challenges for health services research overall, and for individual investigators and program leaders. PMID:22071474

Chren, Mary-Margaret

2011-01-01

389

Successful Reentry: The Perspective of Private Correctional Health Care Providers  

PubMed Central

Due to public health and safety concerns, discharge planning is increasingly prioritized by correctional systems when preparing prisoners for their reintegration into the community. Annually, private correctional health care vendors provide $3 billion of health care services to inmates in correctional facilities throughout the U.S., but rarely are contracted to provide transitional health care. A discussion with 12 people representing five private nationwide correctional health care providers highlighted the barriers they face when implementing transitional health care and what templates of services health care companies could provide to state and counties to enhance the reentry process. PMID:17131191

Greifinger, Robert B.

2006-01-01

390

Health care users' satisfaction in Brazil, 2003.  

PubMed

Evaluation of users' satisfaction with the health system brings back longstanding questions concerning the quality of services provided to the Brazilian population. The current study analyzes satisfaction with outpatient and inpatient care based on the results of the World Health Survey, conducted in Brazil in 2003. To explain satisfaction with various aspects of care through a small number of factors, the factor analysis technique was used, through principal components analysis (PCA). Multiple regression models identified associations between satisfaction scores and different sociodemographic variables. For outpatient care, waiting time showed the lowest degree of satisfaction, and in the case of hospitalization, freedom to choose the physician was the worst evaluated aspect. Three components were extracted from the PCA, related respectively to satisfaction with health professionals, health services, and health problem solution. Multiple regression analysis showed that having experienced some type of discrimination (on the basis of gender, age, poverty, social class, skin color, or type of disease) and being an exclusive user of the public National Health System involved a lower degree of users' satisfaction. PMID:16463002

Gouveia, Giselle Campozana; Souza, Wayner Vieira de; Luna, Carlos F; Souza-Júnior, Paulo Roberto Borges de; Szwarcwald, Célia Landmann

2005-01-01

391

Exposure of health workers in primary health care to glutaraldehyde  

PubMed Central

Background In order to avoid proliferation of microorganisms, cleaning, disinfection and sterilisation in health centres is of utmost importance hence reducing exposure of workers to biological agents and of clients that attend these health centres to potential infections. One of the most commonly-used chemical is glutaraldehyde. The effects of its exposure are well known in the hospital setting; however there is very little information available with regards to the primary health care domain. Objective To determine and measure the exposure of health workers in Primary Health Care Centres. Environmental to glutaraldehyde and staff concentration will be measured and compared with regulated Occupational Exposure Limits. Methods/Design Observational, cross-sectional and multi-centre study. The study population will be composed of any health professionals in contact with the chemical substance that work in the Primary Health Care Centres in the areas of Barcelončs Nord, Maresme, and Barcelona city belonging to the Catalan Institute of Health. Data will be collected from 1) Glutaraldhyde consumption from the previous 4 years in the health centres under study. 2) Semi-structured interviews and key informants to gather information related to glutaraldehyde exposure. 3) Sampling of the substance in the processes considered to be high exposure. Discussion Although glutaraldehyde is extensively used in health centres, scientific literature only deals with certain occupational hazards in the hospital setting. This study attempts to take an in-depth look into the risk factors and environmental conditions that exist in the primary care workplace with exposure to glutaraldehyde. PMID:24180250

2013-01-01

392

ARTEMIS: a collaborative framework for health care.  

PubMed

Patient centered healthcare delivery is an inherently collaborative process. This involves a wide range of individuals and organizations with diverse perspectives: primary care physicians, hospital administrators, labs, clinics, and insurance. The key to cost reduction and quality improvement in health care is effective management of this collaborative process. The use of multi-media collaboration technology can facilitate timely delivery of patient care and reduce cost at the same time. During the last five years, the Concurrent Engineering Research Center (CERC), under the sponsorship of DARPA (Defense Advanced Research Projects Agency, recently renamed ARPA) developed a number of generic key subsystems of a comprehensive collaboration environment. These subsystems are intended to overcome the barriers that inhibit the collaborative process. Three subsystems developed under this program include: MONET (Meeting On the Net)--to provide consultation over a computer network, ISS (Information Sharing Server)--to provide access to multi-media information, and PCB (Project Coordination Board)--to better coordinate focussed activities. These systems have been integrated into an open environment to enable collaborative processes. This environment is being used to create a wide-area (geographically distributed) research testbed under DARPA sponsorship, ARTEMIS (Advance Research Testbed for Medical Informatics) to explore the collaborative health care processes. We believe this technology will play a key role in the current national thrust to reengineer the present health-care delivery system. PMID:8130536

Reddy, R; Jagannathan, V; Srinivas, K; Karinthi, R; Reddy, S M; Gollapudy, C; Friedman, S

1993-01-01

393

The Role of Informatics in Health Care Reform  

E-print Network

reducing cost has become a high priority. There has been a push for Accountable Care Organizations, whichThe Role of Informatics in Health Care Reform Yueyi I. Liu, MD, PhD, Daniel L. Rubin, MD, MS Improving health care quality while simultaneously reducing cost has become a high priority of health care

Rubin, Daniel L.

394

Reason for Visit: Is Migrant Health Care that Different?  

ERIC Educational Resources Information Center

Purpose: The purpose of this pilot study was to determine the reasons for which migrant agricultural workers in Pennsylvania seek health care. Methods: Participants were individuals 14 years of age and over, actively involved in agricultural labor and presenting for medical care at 6 migrant health care centers. Bilingual health care providers…

Henning, George F.; Graybill, Marie; George, John

2008-01-01

395

Cancer care--A stress for health professionals  

Microsoft Academic Search

Literature related to health care professionals dealing with stress of cancer care is still in its infancy. The authors distinguish papers of general interest (the most frequent), papers identifying stressors, and papers about stress consequences. Most of them recognize death of the patients as a major stressor for health care professionals. There are also additional stressors specific to health care

Nicole Delvaux; Darius Razavi; Christine Farvacques

1988-01-01

396

Health Care Reform: How Will It Impact You?  

ERIC Educational Resources Information Center

Discusses the impact of health care reform on child-care centers and child-care employees. Topics covered include requirements to provide health insurance for all employees; subsidies for businesses with fewer than 50 employees; subsidies for low income employees; family coverage; health are costs for 2 working parents; and costs to day-care

Lukaszewski, Thomas

1993-01-01

397

Health Care Assistant Core. Instructor Manual.  

ERIC Educational Resources Information Center

This document contains the core curriculum for a basic high school course for health care assistants. It is designed as a 1-semester course of study, after which students can take a course in an emphasis area, such as veterinary, nursing, pharmacology, or physical therapy, in which they learn skills for specific entry-level jobs. The curriculum…

Feilner, Veronica; Robling, Jeannine

398

German health care system in transition  

Microsoft Academic Search

As is the case with all other health care systems, the German one is in constant transition. The reasons—such as costly medical innovations, aging population, and lack of overall economic growth—are well known, widely discussed, and not unique to Germany. Although the problems are not unique to Germany, there are some trends in each country which may be of interest

J.-Matthias Graf von der Schulenburg

2005-01-01

399

Primary health care in the Pacific  

Microsoft Academic Search

It is widely accepted that a Primary Health Care (PHC) response needs to be separately designed for each individual country, but less emphasis has been given to the need to consider different objectives under different circumtances. During the 1970s and 1980s the island States of the Pacific are facing their era of major movement towards political independence and self-sufficiency, which

Kenneth W. Newell

1983-01-01

400

Erythema Migrans in Primary Health Care  

Microsoft Academic Search

Abstract Lyme borreliosis (LB) is the most ,common ,vector-borne disease in the ,northern hemisphere, and southern Sweden is a highly endemic area. In over 70% of the cases, LBis represented by the ,non-disseminated cutaneous ,form erythema ,migrans (EM). This thesis has its focus on EM from ,a primary ,health care perspective ,in southern

Louise Bennet

401

Raich, Health Care, and the Commerce Clause  

Microsoft Academic Search

This article considers to what extent health care may be viewed as a traditional area of state concern in the context of the Supreme Court’s revival of federalism principles, in particular limits on Congress’ Commerce Clause power, and what effect Raich v. Ashcroft, heard by the Court in the fall 2004 term, might have on these issues. Addressing these questions

Alex Kreit; Aaron Marcus

2005-01-01

402

HEALTH CARE CLAIM FORM Yale University (05102)  

E-print Network

drugs, remember to submit the receipt that the pharmacist has attached to the prescription, instead $ * Over-the-counter medicine requires a prescription from an authorized health care provider to be eli REQUESTED AMOUNT PATIENT NAME $ * Over-the-counter medicine requires a prescription from an authorized

403

Online Collaborative Learning in Health Care Education  

ERIC Educational Resources Information Center

At our University, the Faculty of Health, Social Care and Education has delivered a variety of undergraduate and postgraduate courses via flexible distance learning for many years. Distance learning can be a lonely experience for students who may feel isolated and unsupported. However e-learning provides an opportunity to use technology to…

Westbrook, Catherine

2012-01-01

404

Counseling and Mental Health Care in Palestine  

ERIC Educational Resources Information Center

The authors provide a brief overview of counseling and mental health care in Palestine, including their history and a summary of their current status. Finally, a discussion is presented of future trends in the development of the profession with regard to recent changes in the region.

Shawahin, Lamise; Ciftci, Ayse

2012-01-01

405

Comparability of Health Care Responsiveness in Europe  

ERIC Educational Resources Information Center

The aim of this paper is to measure and to correct for the potential incomparability of responses to the SHARE survey on health care responsiveness. A parametric approach based on the use of anchoring vignettes is applied to cross-sectional data (2006-2007) in eleven European countries. More than 7,000 respondents aged 50 years old and over were…

Sirven, Nicolas; Santos-Eggimann, Brigitte; Spagnoli, Jacques

2012-01-01

406

How Stigma Interferes with Mental Health Care  

ERIC Educational Resources Information Center

Many people who would benefit from mental health services opt not to pursue them or fail to fully participate once they have begun. One of the reasons for this disconnect is stigma; namely, to avoid the label of mental illness and the harm it brings, people decide not to seek or fully participate in care. Stigma yields 2 kinds of harm that may…

Corrigan, Patrick

2004-01-01

407

Equine Health Care Equine Field Service  

E-print Network

;Equine Health Care What vaccines are available? · Tetanus toxoid · Eastern Equine Encephalitis · Western Equine Encephalitis · Influenza · Rhinopneumonitis · Rabies · West Nile · Tetanus antitoxin Core Vaccines · Eastern and Western Encephalitis · West Nile · Tetanus · Rabies http

Buehrer, R. Michael

408

General practitioners' perceptions of effective health care  

Microsoft Academic Search

Objectives To explore general practitioners' perceptions of effective health care and its application in their own practice; to examine how these perceptions relate to assumptions about clinicians' values and behaviour implicit in the evidence based medicine approach. Design A qualitative study using semistructured interviews. Setting Eight general practices in North Thames region that were part of the Medical Research Council

Zelda Tomlin; Charlotte Humphrey; Stephen Rogers

1999-01-01

409

Telematics for rural health care practitioners  

NASA Astrophysics Data System (ADS)

The " crisis" in rural health care i. e. the decreasing number of practitioners is partially caused by the increasing use of technology in health care. Health care practitioners in rural Canada are progressively finding their practice more difficult because of their isolation from the population centers housing many of the services and supplies needed in the modern practice of medicine. The centralization of these supplies and services results from the increasing use of technology in medicine. It is uneconomical to place expensive equipment highly trained technicians and consultants and well-stocked and current information sources in rural locations where they are underutilized. Thus over the years the increasing use of technology makes rural practice more difficult and less attractive in comparison to an urban practice that can easily and cheaply employ the benefits of technology and expert consultation. The Saskatchewan situation is examined using data collected by the authors and compared to other rural areas reported in the literature. The ways that computer communications can help alleviate this situation are explained and illustrated through a review of North American telematics activities. Telematic services for physicians are developing in North America. This is in synergy with the increasing ownership of computers by physicians. We contrast the Canadian scene with the American. Telematics is a technological approach that can be employed to reduce the isolation of rural health care practitioners. It can provide

Greenfield, Robert H.; Kardaun, Jan W. P. F.

1990-06-01

410

Health care's most wired. A wired exchange.  

PubMed

There was a time when innovation in health care information technology meant being at the cutting edge of managerial systems. Hospitals made significant investments in financially oriented technology. In the past five years, the investment in clinical IT appears to have outstripped the investment in managerial systems, including enterprise resource planning aimed at improving the supply chain. PMID:15453607

Solovy, Alden

2004-08-01

411

Unleashing the health care border guards.  

PubMed

A fervent anti-immigrant sentiment is picking up momentum, and it is reflected in state and federal legislative proposals, including those addressing health reform. If these bills become law, including a California initiative, doctors and nurses could be turned into border patrol guards, and as many as one million legal immigrants could be denied non-emergency medical care. PMID:10142812

Reynoso, C

1994-01-01

412

Hospital mergers and reproductive health care.  

PubMed

In the US, when one of the two hospitals involved in a merger is a Catholic hospital, comprehensive reproductive health care tends to suffer. The Catholic Church forbids its hospitals from providing and making direct referrals for many reproductive health services (i.e., reversible contraception, infertility treatments, male and female sterilization, abortion, condoms for HIV prevention, and emergency contraception). These mergers are especially severe in small towns and rural areas. Several groups have formed to address this hidden crisis. In Troy, New York, a settlement was reached about 12 months after a law suit was filed against the conditions of a merger between a Catholic hospital and a nonsectarian hospital. After a long fight, the settlement essentially guaranteed that patients who are dependent on religious institutions obtain the contraceptive and sterilization services they need and want, but abortion services and referrals continued to be denied. The state of Montana considered the impact of a merger of a Catholic institution and a nonsectarian institution, yet continued availability of all reproductive health services was not guaranteed. The American Civil Liberties Union asked the Federal Trade Commission (FTC) to investigate the merger's impact on reproductive health care, since the merger created a monopoly on acute care in Great Falls. FTC took no action. Key factors to provision of reproductive health services other than abortion in cases of mergers between a Catholic hospital and a nonsectarian hospital include the type of association the two hospitals enter into, the local bishop's willingness to accept a creative solution, and the willingness of the state to consider the implications of such a merger and take steps to guarantee the continued availability of services. State reproductive health care advocacy groups (e.g., MergerWatch in New York) are increasing public awareness of the risks these mergers pose and helping residents ensure that reproductive health services remain available. Pressures to reduce costs will likely require Catholic hospitals to continue to merge with nonsectarian hospitals. PMID:8959420

Donovan, P

1996-01-01

413

Judaism, justice, and access to health care.  

PubMed

This paper develops the traditional Jewish understanding of justice (tzedakah) and support for the needy, especially as related to the provision of medical care. After an examination of justice in the Hebrew Bible, the values and institutions of tzedakah in Rabbinic Judaism are explored, with a focus on legal codes and enforceable obligations. A standard of societal responsibility to provide for the basic needs of all, with a special obligation to save lives, emerges. A Jewish view of justice in access to health care is developed on the basis of this general standard, as well as explicit discussion in legal sources. Society is responsible for the securing of access to all health care needed by any individual. Elucidation of this standard of need and corresponding societal obligations, and the significance of the Jewish model for the contemporary United States, are considered. PMID:10113824

Mackler, A L

1991-06-01

414

Associations Between Older Adults' Spoken Interactive Health Literacy and Selected Health Care and Health Communication Outcomes  

Microsoft Academic Search

Recent trends in the conceptualization of health literacy lead toward expansive notions of health literacy as social practice, rather than as a narrower cognitive capacity to understand health-related texts and materials. These expansive and complex constructions of health literacy demand tools for assessing individuals’ propensities to actively seek information in their interactions with health care professionals and other health information

Donald L. Rubin; John Parmer; Vicki Freimuth; Terry Kaley; Mumbi Okundaye

2011-01-01

415

Value-based health care: a surgical oncologist's perspective.  

PubMed

There is ongoing debate on how to reform the health care system. Value-based systems have been proposed to account for both quality and cost. The primary goal of value-based health care is to achieve good health outcomes for patients with consideration of dollars spent. To do so, it is imperative that health care providers define meaningful outcome metrics for specific medical conditions and consider the full cycle of care as well as multiple dimensions of care. PMID:22583997

Cormier, Janice N; Cromwell, Kate D; Pollock, Raphael E

2012-07-01

416

Measuring adverse selection in managed health care.  

PubMed

Health plans paid by capitation have an incentive to distort the quality of services they offer to attract profitable and to deter unprofitable enrollees. We characterize plans' rationing as a "shadow price" on access to various areas of care and show how the profit maximizing shadow price depends on the dispersion in health costs, individuals' forecasts of their health costs, the correlation between use in different illness categories, and the risk adjustment system used for payment. These factors are combined in an empirically implementable index that can be used to identify the services that will be most distorted by selection incentives. PMID:11186848

Frank, R G; Glazer, J; McGuire, T G

2000-11-01

417

Online Simulation of Health Care Reform: Helping Health Educators Learn and Participate  

ERIC Educational Resources Information Center

Young and healthy undergraduates in health education were not predisposed to learn the complex sprawl of topics in a required course on U.S. Health Care. An online simulation of health care reform was used to encourage student learning about health care and participating in health care reform. Students applied their understanding of high costs,…

Jecklin, Robert

2010-01-01

418

Complementary and alternative medicine use in oncology: A questionnaire survey of patients and health care professionals  

PubMed Central

Background We aimed to investigate the prevalence and predictors of Complementary and Alternative Medicine (CAM) use among cancer patients and non-cancer volunteers, and to assess the knowledge of and attitudes toward CAM use in oncology among health care professionals. Methods This is a cross-sectional questionnaire survey conducted in a single institution in Ireland. Survey was performed in outpatient and inpatient settings involving cancer patients and non-cancer volunteers. Clinicians and allied health care professionals were asked to complete a different questionnaire. Results In 676 participants including 219 cancer patients; 301 non-cancer volunteers and 156 health care professionals, the overall prevalence of CAM use was 32.5% (29.1%, 30.9% and 39.7% respectively in the three study cohorts). Female gender (p < 0.001), younger age (p = 0.004), higher educational background (p < 0.001), higher annual household income (p = 0.001), private health insurance (p = 0.001) and non-Christian (p < 0.001) were factors associated with more likely CAM use. Multivariate analysis identified female gender (p < 0.001), non-Christian (p = 0.001) and private health insurance (p = 0.015) as independent predictors of CAM use. Most health care professionals thought they did not have adequate knowledge (58.8%) nor were up to date with the best evidence (79.2%) on CAM use in oncology. Health care professionals who used CAM were more likely to recommend it to patients (p < 0.001). Conclusions This study demonstrates a similarly high prevalence of CAM use among oncology health care professionals, cancer and non cancer patients. Patients are more likely to disclose CAM usage if they are specifically asked. Health care professionals are interested to learn more about various CAM therapies and have poor evidence-based knowledge on specific oncology treatments. There is a need for further training to meet to the escalation of CAM use among patients and to raise awareness of potential benefits and risks associated with these therapies. PMID:21609461

2011-01-01

419

Behavioral health and health care reform models: patient-centered medical home, health home, and accountable care organization.  

PubMed

Discussions of health care delivery and payment reforms have largely been silent about how behavioral health could be incorporated into reform initiatives. This paper draws attention to four patient populations defined by the severity of their behavioral health conditions and insurance status. It discusses the potentials and limitations of three prominent models promoted by the Affordable Care Act to serve populations with behavioral health conditions: the Patient-Centered Medical Home, the Health Home initiative within Medicaid, and the Accountable Care Organization. To incorporate behavioral health into health reform, policymakers and practitioners may consider embedding in the reform efforts explicit tools-accountability measures and payment designs-to improve access to and quality of care for patients with behavioral health needs. PMID:23188486

Bao, Yuhua; Casalino, Lawrence P; Pincus, Harold Alan

2013-01-01

420

Barriers to Health Care among the Elderly in Japan  

PubMed Central

Japan is undergoing a set of health care reforms aimed at cutting rising health care costs and increasing the efficiency of health care delivery. This empirical study used a large-scale community survey on 15,302 elderly people 65 years and older (56.0% women) conducted in seven municipalities in 2006, to reveal clear-cut evidence of barriers to necessary care. The reasons for not getting health care is attributed to health care cost for the elderly with lower income, while higher income counterparts reported being busy or having a condition not serious enough to seek care. PMID:20617033

Murata, Chiyoe; Yamada, Tetsuji; Chen, Chia-Ching; Ojima, Toshiyuki; Hirai, Hiroshi; Kondo, Katsunori

2010-01-01

421

Health Care for Micronesians and Constitutional Rights  

PubMed Central

Under the Compacts of Free Association (COFA), people from the Freely Associated States — the Republic of Palau (ROP), the Republic of the Marshall Islands (RMI), and the Federated States of Micronesia (FSM) — have been migrating to the United States in increasing numbers. In 1996, Congress passed broad welfare reform (Personal Responsibility and Work Opportunity Reconciliation Act) which limited certain federal benefits previously available to COFA migrants, including Medicaid benefits. Prior to July 2010, the State of Hawai‘i had continued to include COFA migrants under its state-funded Medicaid program. In the face of budget constraints, the State removed these people from its Medicaid rolls. A challenge on the legal basis of the denial of equal protection of the laws, ie, the Fourteenth Amendment to the US Constitution, was successful in reinstating health care to the COFA migrants in December 2010. From the health worker's perspective, regardless of various social justice arguments that may have been marshaled in favor of delivering health care to the people, it was an appeal to the judicial system that succeeded. From the attorney's perspective, the legal victories are potentially limited to the four walls of the courtroom without community involvement and related social justice movements. Together, the authors propose that in order to better address the issue of health care access for Micronesian peoples, we must work together, as health and legal advocates, to define a more robust vision of both systems that includes reconciliation and community engagement. PMID:22235150

Shek, Dina

2011-01-01

422

China's health care sector in transition: resources, demand and reforms  

Microsoft Academic Search

Economic development and reforms have had profound impacts on China's health care sector. As a resul, the health care sector in China is in transition. This report reviews the major changes, and the possible policy response to these changes in China's health care sector. It discusses resource availability in the Chinese health sector, and analyses the trend of household demand

Yanrui Wu

1997-01-01

423

Primary Care Health Service For office use only  

E-print Network

Primary Care Health Service For office use only [ ] Mailed (date) ___/___/___/ Initial Health Information From: Barnard College Primary Care Health Service Specific Description of Information in writing and present my written revocation to the Manager of the Barnard College Primary Care Health

424

Access to health care for undocumented immigrants: rights and practice  

Microsoft Academic Search

The purpose of this article is to analyse undocumented immigrants' right to access to health care and their access in practice. Undocumented immigrants have a right to equal access to health care. Access to more than emergency health care in Denmark is dependent on immigration status. Medical doc- tors' duty to treat does not apply to non-emergency health needs, and

Anne Rytter Hansen; Allan Krasnik; Erling Hřg

425

Narratives and Newcomers: Rethinking Culturally Appropriate Health Care  

Microsoft Academic Search

Cultural appropriateness has become an important conceptual tool for health care professionals serving diverse patient populations. Physicians and other health care providers working in urban communities are increasingly challenged to provide care that is responsive to the health needs and beliefs of immigrants, refugees and other newcomers to mainstream health services. This paper argues that notions of cultural 'sensitivity' or

Samuel Dunn

2000-01-01

426

Determinants of health care utilization by immigrants in Portugal  

Microsoft Academic Search

BACKGROUND: The increasing diversity of population in European Countries poses new challenges to national health systems. There is a lack of data on accessibility and use of health care services by migrants, appropriateness of the care provided, client satisfaction and problems experienced when confronting the health care system. This limits knowledge about the multiple determinants of the utilization of health

Sónia F Dias; Milton Severo; Henrique Barros

2008-01-01

427

Volunteering with the Friends of Westonbirt Arboretum  

E-print Network

channel of communication: volunteers have the opportunity to voice their opinions through feedback are volunteers. Sports, education, religion, health and social welfare are the most common fields of volunteering

428

Factors associated with health care access and outcome.  

PubMed

This study aims to (1) assess ethnic differences in health care access and health outcome between Asian Americans and whites and between Asian American subgroups, (2) examine effects of cultural factors, and (3) investigate moderating effects of health risk behaviors between cultural characteristics and health care access and outcome. Data were derived from the 2007 California Health Interview Survey. Asian Americans (n = 4,462) and whites (n = 4,470) were included. There were significant ethnic differences in health care access and health perception between Asian Americans and Whites and across Asian American subgroups. Health risk behaviors moderated relationships between cultural factors and health care access and outcome. Findings reveal that ethnicity affects an individual's health care access and health perception, and their health behaviors are an important factor that may improve or worsen outcomes. This study may increase our knowledge base of research and interventions to enhance ethnic minority populations' health care accessibility and perceptions. PMID:22780701

Paek, Min-So; Lim, Jung-Won

2012-01-01

429

Health care continuation coverage. Final rules.  

PubMed

This document contains final rules implementing the notice requirements of the health care continuation coverage (COBRA) provisions of part 6 of title I of the Employee Retirement Income Security Act of 1974 (ERISA or the Act). The continuation coverage provisions generally require group health plans to provide participants and beneficiaries who under certain circumstances would lose coverage (qualified beneficiaries) the opportunity to elect to continue coverage under the plan at group rates for a limited period of time. The final rules set minimum standards for the timing and content of the notices required under the continuation coverage provisions and establish standards for administering the notice process. These rules affect administrators of group health plans, participants and beneficiaries (including qualified beneficiaries) of group health plans, and the sponsors and fiduciaries of such plans. These rules also provide model notices for use by administrators of single-employer group health plans to satisfy their obligation to provide general notices and election notices. PMID:15162808

2004-05-26

430

[Communication between health care professionals and patients].  

PubMed

In recent years, a wide variety of health-related issues make the headlines almost everyday: the shortage of physicians, an increase in elderly patients, a difficulty in maintaining emergency pediatric care services (due to the declining birthrate), the capacity of the existing emergency medical services, medical malpractice, and the H1N1 influenza vaccine. In Japan, there has been an increasing demand for health care with an emphasis on quality over quantity based the viewpoint of health care recipients, instead of providers. Since 1995, when the obligation of informed consent was adopted, there has been an improvement, although still insufficient, in patient-oriented medical services, including attitudes towards patients. A clinical laboratory technician is required to conduct a clinical examination in a prompt and accurate manner, based on a physician's instructions written on the examination slip. Based on the results of the examination, the physician determines the diagnosis and informs the patient of it, which means that clinical laboratory technicians support the QOL of patients indirectly. Patients sometimes ask about the purpose, methods, and results of a clinical examination, prior to, following, or during its implementation. In hospitals with recently developed complex, advanced equipment for clinical examination, physicians and laboratory technicians place orders for examinations without providing any detailed explanation to patients. Patients feel very anxious and nervous wondering what clinical examination they are going to undergo, and demand an adequate explanation of the test from laboratory technicians. However, patients are often dissatisfied with their manner and remarks, such as "The attending physician will give you the results in detail", and make complaints in some cases. As a provider of health care services, clinical laboratory technicians have a responsibility to meet their patients' demands. It is very important for clinical laboratory technicians to provide patients with an explanation in a caring and considerate manner, making it simple and easy-to-understand as long as it does not contradict the laws and results of an examination. PMID:20662272

Ohara, Yoshiko

2010-06-01

431

Traditional health practitioners as primary health care workers.  

PubMed

The author conducted a field study in 1993 to evaluate the effectiveness of four projects that were training traditional health practitioners (THPs) to provide primary health care (PHC) services in Ghana, Mexico, and Bangladesh. The study, funded by a grant from the World Health Organization, Division of Strengthening Health Services, concluded that incorporating trained THPs in PHC programmes can be cost effective in providing essential and culturally relevant health services to communities. The main objective of the study was to evaluate how effective the training projects were and to determine what impacts they might have upon the communities served. A qualitative field evaluation was performed using data collected from project documents, observations, and field interviews with a selection of health agency staff, THPs, and community members. A summary of results is presented from the four field studies. For details refer to the full report. PMID:9204727

Hoff, W

1997-01-01

432

Family-Centered Care: Current Applications and Future Directions in Pediatric Health Care  

Microsoft Academic Search

Family-centered care (FCC) is a partnership approach to health care decision-making between the family and health care provider.\\u000a FCC is considered the standard of pediatric health care by many clinical practices, hospitals, and health care groups. Despite\\u000a widespread endorsement, FCC continues to be insufficiently implemented into clinical practice. In this paper we enumerate\\u000a the core principles of FCC in pediatric

Dennis Z. KuoAmy; Amy J. Houtrow; Polly Arango; Karen A. Kuhlthau; Jeffrey M. Simmons; John M. Neff

433

Introducing Multiprofessional Team Practice and Community-Based Health Care Services into the Curriculum: A Challenge for Health Care Educators  

Microsoft Academic Search

As our health care system changes, our educational curriculum for health care providers needs to be redesigned and focused on the delivery of multiprofessional, community-centered, and primary I prevention health care. This article describes the development and outcome of several multiprofessional courses that have been offered across curricula in the Schools of Medicine, Nursing, Professional Psychology, and Allied Health. Multiprofessional

Mary R. Talen; Margaret Clark Graham; Gordon Walbroehl

1994-01-01

434

[The scientific entertainer in primary health care].  

PubMed

The scientific method is capable of being applied in primary care. In this article we defend the role of the "scientific entertainer "as strategic and necessary in achieving this goal. The task has to include playful and light-hearted content. We explore some words in English that may help us to understand the concept of "scientific entertainer" from a semantic point of view (showman, master of ceremonies, entrepreneur, go-between) also in Spanish language (counsellor, mediator, methodologist) and finally in Latin and Greek (tripalium, negotium, chronos, kairos). We define the clinical, manager or research health-worker who is skilled in primary care as a "primarylogist". PMID:22018794

Ortega-Calvo, Manuel; Santos, José Manuel; Lapetra, José

2012-09-01

435

Second discipline in Health Management and Policy HMP 401, US Health Care Systems  

E-print Network

Second discipline in Health Management and Policy Required: HMP 401, US Health Care Systems HMP 501, Epidemiology and Community Medicine HMP 721, Managing Health Care Organizations Either HMP 711, Health Systems] HMP 712, Health Systems Research II Course Descriptions: HMP 401 - United States Health Care Systems

New Hampshire, University of

436

Faculty of Health and Medical Sciences School of Health & Social Care  

E-print Network

Faculty of Health and Medical Sciences School of Health & Social Care Complex Health Assessment-agency perspective in health and social care domains. Module Content · Multi-professional and Interagency Working,000 words Faculty of Health and Medical Sciences School of Health and Social Care T: +44 (0) 1483 684505 F

Doran, Simon J.

437

Faculty of Health and Medical Sciences School of Health & Social Care  

E-print Network

Faculty of Health and Medical Sciences School of Health & Social Care Early Interventions health or social services for the care of people with mental health problems, and have the support and preparation between some taught days. Faculty of Health and Medical Sciences School of Health and Social Care

Doran, Simon J.

438

Health Care System Reforms in Developing Countries  

PubMed Central

This article proposes a critical but non-systematic review of recent health care system reforms in developing countries. The literature reports mixed results as to whether reforms improve the financial protection of the poor or not. We discuss the reasons for these differences by comparing three representative countries: Mexico, Vietnam, and China. First, the design of the health care system reform, as well as the summary of its evaluation, is briefly described for each country. Then, the discussion is developed along two lines: policy design and evaluation methodology. The review suggests that i) background differences, such as social development, poverty level, and population health should be considered when taking other countries as a model; ii) although demand-side reforms can be improved, more attention should be paid to supply-side reforms; and iii) the findings of empirical evaluation might be biased due to the evaluation design, the choice of outcome, data quality, and evaluation methodology, which should be borne in mind when designing health care system reforms. PMID:25170464

Han, Wei

2012-01-01

439

Health Care for the Wongs: Health Insurance, Choosing a Doctor.  

ERIC Educational Resources Information Center

A short fictional work for limited English speakers presents a young family's experience in learning about the value of health insurance and the importance of having a physician when medical care is needed. Information is related regarding insurance acquired through one's place of employment and the availability of medical assistance, through…

Thypin, Marilyn; Glasner, Lynne

440

Health Insurance Eligibility, Utilization of Medical Care, and Child Health  

Microsoft Academic Search

The authors study the effect of public insurance for children on their utilization of medical care and health outcomes by exploiting recent expansions of the Medicaid program to low-income children. These expansions doubled the fraction of children eligible for Medicaid between 1984 and 1992. Take-up of these expansions was much less than full, however, even among otherwise uninsured children. Despite

Janet Currie; Jonathan Gruber

1996-01-01

441

Changing roles and responses of health care workers in HIV treatment and care.  

PubMed

A key limiting factor in the scale up and sustainability of HIV care and treatment programmes is the global shortage of trained health care workers. This paper discusses why it is important to move beyond conceptualising health care workers simply as 'inputs' in the delivery of HIV treatment and care, and to also consider their roles as partners and agents in the process of health care. It suggests a framework for thinking about their roles and responses in HIV care, considers the current evidence base, and concludes by identifying key areas for future research on health care workers' responses in HIV treatment and care in low and middle income settings. PMID:19055620

Rajaraman, Divya; Palmer, Natasha

2008-11-01

442

42 CFR 476.76 - Cooperation with health care facilities.  

42 Public Health 4 2014-10-01 2014-10-01 false Cooperation with health care facilities. 476.76 Section 476.76 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES...

2014-10-01

443

Health Care Costs in End-of-Life and Palliative Care: The Quest for Ethical Reform  

Microsoft Academic Search

Health reform in the United States must address both access to medical services and universal insurance coverage, as well as health care cost containment. Uncontrolled health care costs will undermine improvements in access and coverage in the long-run, and will also be detrimental to other important social programs and goals. Accordingly, the authors offer an ethical perspective on health care

Bruce Jennings; Mary Beth Morrissey

2011-01-01

444

Reforming the Health Care System for Children and the Elderly to Balance Cure and Care.  

ERIC Educational Resources Information Center

Issues in balancing health services and costs in a changing society, where groups have differential access to health care, are discussed, including need for a universal health care system, growing cost of health care for the elderly, prolongation of life among older adults, and the claims of children on services. (MSE)

Callahan, Daniel

1992-01-01

445

Cost-effectiveness and the socialization of health care  

Microsoft Academic Search

The more health care is socialized, the more cost-effectiveness is an appropriate criterion for expenditure. Utility-maximizing individuals, facing divisibility of health care purchases and declining marginal health gains, and complete information about probable health improvements, should buy health care according to its cost-effectiveness. Absent these features, individual health spending will not be cost-effective; and in any case, differences in personal

Philip Musgrove

1995-01-01

446

Health policies and the relationships between socioeconomic status, access to health care, and health  

PubMed Central

Health policies tend to focus on improving the access to health care of persons of low-socioeconomic status to improve their health. This commentary argues that health policies directly directed at health and socioeconomic status (and other components of individual welfare) will also be effective if one wants to improve the well-being of the poor. PMID:24354849

2013-01-01

447

Health care social media: engagement and health care in the digital era.  

PubMed

Health care as an industry continues in reluctant participation with consumers through social networks. Factors behind health care's laggard position range from providers' concerns about patient privacy and lack of personal psychic bandwidth to organizational anxiety about employee time management and liability for online behavior. Despite these concerns, our patients are spending increasing amounts of their time online, often looking for information regarding their diagnosis, treatment, care providers, and hospitals, with much of that time spent in social networks. Our real opportunity for meaningful engagement in the future may depend on our capacity to meet our patients where they are, online, utilizing the tools that they use, that is, social media. PMID:23787711

Aase, Lee; Timimi, Farris K

2013-09-01

448

HSDM Presents: "Integrating Oral Health and Primary Care"  

E-print Network

HSDM Presents: "Integrating Oral Health and Primary Care" A3 Advancement · Achievement Health, Mental Health, and Primary Care for the Elderly" Lisa Thompson, DMD Clinical Instructor in Oral Health Policy and Epidemiology Harvard School of Dental Medicine 4:00 pm "Integrating Oral Health

Bar, Moshe

449

Women and Health Care: A Bibliography With Selected Annotation.  

ERIC Educational Resources Information Center

This bibliography provides a comprehensive historical review of the literature on women and health care. The materials presented address the following areas of concern: (1) basic issues in health care for women; (2) special health concerns and needs of women; (3) sexuality and mental health; (4) women's projects designed to improve their health

Ruzek, Sheryl K.

450

Barriers and Facilitators: Parolees' Perceptions of Community Health Care  

PubMed Central

Paroled individuals have physical and mental health problems and addiction disorders at rates greater than the general population. The aim of this study was to identify the perceived barriers and facilitators parolees encounter in their efforts to access and utilize health care services in the community. Qualitative data were collected via individual interviews with 17 chronically ill, middle-aged male parolees. Study results included financial and administrative barriers to care; structural facilitators to care; and the influence of clinicians' professional demeanor on health care access. Increased access to health care can provide opportunities to address both the health care and reintegration needs of individuals on parole. PMID:19861321

Marlow, Elizabeth; White, Mary C.; Chesla, Catherine A.

2010-01-01

451

Advanced practice nursing in performing arts health care.  

PubMed

Performing arts medicine is a growing health care profession specializing in the needs of performing artists. As part of the performing arts venue, the dancer, a combination of athlete and artist, presents with unique health care needs requiring a more collaborative and holistic health care program. Currently there are relatively few advanced practice nurses (APNs) who specialize in performing arts health care. APNs, with focus on collaborative and holistic health care, are ideally suited to join other health care professionals in developing and implementing comprehensive health care programs for the performing artist. This article focuses on the dancer as the client in an APN practice that specializes in performing arts health care. PMID:20644180

Weslin, Anna T; Silva-Smith, Amy

2010-06-01

452

Complementary and Alternative Medicine (CAM): Expanding Horizons of Health Care  

MedlinePLUS

... Past Issues Special Section CAM Expanding Horizons of Health Care Past Issues / Winter 2009 Table of Contents For ... and why it is important to tell your health care providers about your use of CAM. We hope ...

453

Occupational HIV Transmission and Prevention among Health Care Workers  

MedlinePLUS

... Share Compartir Occupational HIV Transmission and Prevention Among Health Care Workers Fast Facts Occupational transmission of HIV to ... every hour counts. Building Better Prevention Programs for Health Care Workers Continued diligence in the following areas is ...

454

Understanding Health Care Decisions (at the End of Life)  

MedlinePLUS

... can be overwhelming to be asked to make health care decisions for someone who is dying and no ... dying did not pick one person to make health care choices before becoming unable to do so. That ...

455

Consumers Learning To Recognize High-Value Health Care Providers  

MedlinePLUS

... salud para tĂ Newsletters Events Newsroom Navigating the Health Care System Advice Columns from Dr. Carolyn Clancy Former ... 3 2012 Consumers Learning To Recognize High-Value Health Care Providers By Carolyn M. Clancy, M.D. As ...

456

Questions to Ask a Veteran's Health Care Providers  

MedlinePLUS

... caregiver.va.gov Questions to Ask a Veteran’s Health Care Providers . The list of questions below can help ... you accept? . Planning for Discharge from the Hospital/Health Care Facility . As part of the process of planning ...

457

Report Identifies Game Changers for U.S. Health Care  

MedlinePLUS

... enable JavaScript. Report Identifies Game Changers for U.S. Health Care Recent innovations, developments may transform direction of patient ... recent events expected to alter the delivery of health care and use of medicines over the next decade. ...

458

Ten Things Lesbians Should Discuss with Their Health Care Provider  

MedlinePLUS

... for high blood pressure, cholesterol problems, and diabetes. Health care providers can also offer tips on quitting smoking, ... lesbians experience violence in their intimate relationships. However, health care providers do not ask lesbians about intimate partner ...

459

More Young Adults Getting Mental Health Care Under Obamacare  

MedlinePLUS

... please enable JavaScript. More Young Adults Getting Mental Health Care Under Obamacare: Study Increase was slight, but a ... be allowing more young adults to receive mental health care. Soon after the rule took hold, the number ...

460

Health Care System Responses to Children Exposed to Domestic Violence.  

ERIC Educational Resources Information Center

Summarizes health care approaches to identifying and treating child and adult victims of domestic violence. Describes innovative programs that tie children's well-being to that of their mothers and proposes strategies for improving current health care system responses. (SLD)

Culross, Patti L.

1999-01-01

461

How Do Health Care Providers Diagnose Polycystic Ovary Syndrome (PCOS)?  

MedlinePLUS

... En Espańol How do health care providers diagnose PCOS? Skip sharing on social media links Share this: Page Content Your health care provider may suspect PCOS if you have eight or fewer periods per ...

462

38 CFR 17.901 - Provision of health care.  

Code of Federal Regulations, 2013 CFR

...Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered...through the Department of Veterans Affairs. However, the health care benefits...

2013-07-01

463

38 CFR 17.901 - Provision of health care.  

Code of Federal Regulations, 2012 CFR

...Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered...through the Department of Veterans Affairs. However, the health care benefits...

2012-07-01

464

38 CFR 17.901 - Provision of health care.  

Code of Federal Regulations, 2011 CFR

...Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Health Care Benefits for Certain Children of Vietnam Veterans and Veterans with Covered...through the Department of Veterans Affairs. However, the health care benefits...

2011-07-01

465

38 CFR 59.160 - Adult day health care requirements.  

...Pensions, Bonuses, and Veterans' Relief 2 2014-07-01... false Adult day health care requirements...Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS (CONTINUED...59.160 Adult day health care...

2014-07-01

466

How Do Health Care Providers Diagnose Adrenal Gland Disorders?  

MedlinePLUS

... Trials Resources and Publications En Espańol How do health care providers diagnose adrenal gland disorders? Skip sharing on ... and urine tests. 1 Cushing’s Syndrome If a health care provider suspects Cushing’s syndrome, he or she may ...

467

Health Care Reform: Out Greatest Opportunity...Ever!  

ERIC Educational Resources Information Center

Discusses inevitability of health care reform in United States, considers the reform process itself, and explains the plan of the President's Task Force on National Health Care Reform. Also considers the prospects for Congressional response to reform proposals. (NB)

Keigher, Sharon M.

1993-01-01

468

Different Setting, Different Care: Integrating Prevention and Clinical Care in School-Based Health Centers  

PubMed Central

School-based health centers (SBHCs) are widely credited with increasing students’ access to care by making health services affordable and convenient. SBHCs can also provide a qualitatively different type of health care for children and adolescents than that delivered by community providers. Health services offered in a school setting can integrate clinical care with public health interventions and environmental change strategies. This ability to reach outside the walls of the exam room makes SBHCs uniquely positioned to address the multiple determinants of health. We describe innovative California SBHC programs focusing on obesity prevention, asthma, mental health, and oral health that represent new models of health care for children and adolescents. PMID:20634447

Chin, Teresa; Blackburn, Samantha; Echeverria, Cecilia

2010-01-01

469

Different setting, different care: integrating prevention and clinical care in school-based health centers.  

PubMed

School-based health centers (SBHCs) are widely credited with increasing students' access to care by making health services affordable and convenient. SBHCs can also provide a qualitatively different type of health care for children and adolescents than that delivered by community providers. Health services offered in a school setting can integrate clinical care with public health interventions and environmental change strategies. This ability to reach outside the walls of the exam room makes SBHCs uniquely positioned to address the multiple determinants of health. We describe innovative California SBHC programs focusing on obesity prevention, asthma, mental health, and oral health that represent new models of health care for children and adolescents. PMID:20634447

Clayton, Serena; Chin, Teresa; Blackburn, Samantha; Echeverria, Cecilia

2010-09-01

470

Technological trends in health care: electronic health record.  

PubMed

The most relevant technological trend affecting health care organizations and physician services is the electronic health record (EHR). Billions of dollars from the federal government stimulus bill are available for investment toward EHR. Based on the government directives, it is evident EHR has to be a high-priority technological intervention in health care organizations. Addressed in the following pages are the effects of the EHR trend on financial and human resources; analysis of advantages and disadvantages of EHR; action steps involved in implementing EHR, and a timeline for implementation. Medical facilities that do not meet the timetable for using EHR will likely experience reduction of Medicare payments. This article also identifies the strengths, weaknesses, opportunities, and threats of the EHR and steps to be taken by hospitals and physician medical groups to receive stimulus payment. PMID:21045583

Abraham, Sam

2010-01-01

471

To be Truly Alive: Motivation Among Prison Inmate Hospice Volunteers and the Transformative Process of End-of-Life Peer Care Service.  

PubMed

Some US prisons are meeting the growing need for end-of-life care through inmate volunteer programs, yet knowledge of the motivations of inmate caregivers is underdeveloped. This study explored the motivations of inmate hospice volunteers from across Louisiana State (n = 75) through an open-ended survey, a grounded theory approach to analysis, and comparison of responses by experience level and gender. Participants expressed complex motivations; Inter-related themes on personal growth, social responsibility and ethical service to vulnerable peers suggested that inmate caregivers experience an underlying process of personal and social transformation, from hospice as a source of positive self-identity to peer-caregiving as a foundation for community. Better understanding of inmate caregiver motivations and processes will help prisons devise effective and sustainable end of life peer-care programs. PMID:24071627

Cloyes, Kristin G; Rosenkranz, Susan J; Wold, Dawn; Berry, Patricia H; Supiano, Katherine P

2014-11-01

472

Economic evaluation of interventions in health care.  

PubMed

Economic evaluation is rapidly becoming an invaluable tool for healthcare decision making, especially in light of current pressures on health services to reduce costs and increase expenditure on health care. This article provides an overview of the main methods used for the economic evaluation of healthcare interventions, and their applications and limitations. It is intended as an introduction to the topic for readers with no background in economics, and can be used to review the basic concepts of economic evaluation in healthcare provision. PMID:25370268

McFarland, Agi

2014-11-01

473

The entrepreneurial revolution in health care delivery.  

PubMed

The rapid changes in the health marketplace have opened the door for entrepreneurs. The author shows how entrepreneurs seek previously unthought of solutions to problems and through a team effort increase corporate value. According to the author, there is a specific profile of the successful entrepreneur. The qualities of the entrepreneur and the managers that work with them, therefore, are discussed in detail. Finally, several examples of problems in health care that present entrepreneurial opportunities are presented. The author includes scenarios for taking advantage of these opportunities. PMID:10283363

Silver, A D

1987-06-01

474

Capital investment strategies in health care systems.  

PubMed

Capital investment decisions are among the most important decisions made by firms. They determine the firm's capacity for providing services and commit the firm's cash for an extended period of time. Interviews with chief financial officers of leading health care systems reveal capital investment strategies that generally follow the recommendations of modern finance theory. Still, there is substantial variation in capital budgeting techniques, methods of risk adjustment, and the importance of qualitative considerations in investment decision making. There is also variation in delegation of investment decision making to operating units and methods of performance evaluation. Health care systems face the same challenges as other organizations in developing and implementing capital investment strategies that use consistent methods for evaluation of projects that have inconsistent aims and outcomes. PMID:10845384

Reiter, K L; Smith, D G; Wheeler, J R; Rivenson, H L

2000-01-01

475

Redistributive effects of Swedish health care finance.  

PubMed

This paper investigates the redistributive effects of the Swedish health care financing system in 1980 and 1990 for four different financial sources: county council taxes, payroll taxes, direct payments and state grants. The redistributive effects are decomposed into vertical, horizontal and 'reranking' segments for each of the four financial sources. The data used are based on probability samples of the Swedish population, from the Level of Living Survey (LNU) from 1981 and 1991. The paper concludes that the Swedish health care financing system is weakly progressive, although direct payments are regressive. There is some horizontal inequity and 'reranking', which mainly comes from the county council taxes, since those tax rates vary for each county council. The implication is that, to some extent, people with equal incomes are treated unequally. PMID:10346051

Gerdtham, U G; Sundberg, G

1998-01-01

476

Marketing service guarantees for health care.  

PubMed

The author introduces the concept of service guarantees for application in health care and differentiates between explicit, implicit, and conditional vs. unconditional types of guarantees. An example of an unconditional guarantee of satisfaction is provided by the hospitality industry. Firms conveying an implicit guarantee are those with outstanding reputations for products such as luxury automobiles, or ultimate customer service, like Nordstrom. Federal Express and Domino's Pizza offer explicit guarantees of on-time delivery. Taking this concept into efforts to improve health care delivery involves a number of caveats. Customers invited to use exceptional service cards may use these to record either satisfaction or dissatisfaction. The cards need to provide enough specific information about issues so that "immediate action could be taken to improve processes." Front-line employees should be empowered to respond to complaints in a meaningful way to resolve the problem before the client leaves the premises. PMID:10711165

Levy, J S

1999-01-01

477

[Guideline 'Overweight' for child health care].  

PubMed

The '5th National Growth Study' indicates that the percentage of overweight children in the Netherlands has risen from 9-12% in 1997 to 13-15% in 2009. Child Health Care is a unique setting for promotion of development, growth and behaviour of children, in which tailored prevention can be offered. Detection of overweight in children and intervention by Child Health Care takes place in a multidisciplinary setting linking general practitioners, paediatricians, dieticians, teachers, physiotherapists, pedagogues and psychologists. For overweight children, a change plan is created based on exercise, playing outside, having breakfast every day, as little as possible sweetened beverages and fast-food, and less time spent in front of the television or computer, with fewer energy-rich snacks. As recommended in the Dutch CBO guideline 'Obesity', obese children are referred to a general practitioner or paediatrician. PMID:23343730

Kist-van Holthe, Joana E; Bulk-Bunschoten, Anneke M W; Renders, Carry M; L'Hoir, Monique; Kuijpers, Ton; HiraSing, Remy A

2013-01-01

478

Health Care Reform: What School Mental Health Professionals Need to Know  

E-print Network

Health Care Reform: What School Mental Health Professionals Need to Know On March 23, 2010, President Obama signed comprehensive health care reform, the Patient Protection and Affordable Care Act (ACA), into law (P.L. 111-148). This major reform to health care certainly has had and will continue to have

Weber, David J.

479

The rural health care system in China.  

PubMed

The implementation strategy for health for all (HFA) in China is presented as a targeted effort toward the rural population which makes up 900 million of the total 1160 million population. The WHO objective of HFA by 2000 was accepted by China in 1983 and 1986. Socioeconomic development has improved considerably since 1949. Targets were established 1) to double the 1980 gross national product (GNP) and guarantee food, clothing, and shelter between 1981 and 1990; 2) to quadruple the 1980 GNP between 1991 and 2000, and 3) to attain the average income per capita of medium-developed countries. The political system is the Communist Party of China (CPC). The Chinese People's Political Consultative Conference, which is comprised of members of the CPC and other individuals from democratic and other organizations, fills an advisory role. The National People's Congress is the highest organ of state power and serves to legislate, supervise, and make decisions in some matters including personnel. The Standing Committee exercises state power when the Congress is not in session. It is a 1-chamber system (state administration, judicial system, and chamber system) and members of the People's Congress do not resign. Since 1949, the health system has grown to 209,000 medical and health institutions, 2.6 million hospital beds, 4.9 million medical and health workers, an average life expectancy that has increased from 35 years to 69 years, an infant mortality rate that has declined from 20% to 5.1% from 20%, and a maternal mortality that has declined from 150/10,000 to 9.4/10,000. Diseases such as cholera and smallpox have been eliminated and other diseases such as malaria and goiter have been brought under control. A cooperative medical and health care system which was established in the 1960s was replaced with a fee system in the 1980s, which has led to medical care problems for the rural poor. At present there is a rural medical insurance system and a cooperative health system with 3 tiers (health clinic, township hospital, and county professional hospitals). In 1990, there were village clinics in 87% of the villages. In 1990, central government and local management are implementing the objectives stated in 1) Program Objectives of Global Goals for Health by 2000 in Rural Areas, 2) Management Procedures for Primary Health Care, and 3) Evaluation Standards of Health for All by 2000. Implementation began in 1989-90, and stage 2 is to begin in 1991-95, and stage 3 in 1996-2000. The problems that will be encountered are investment, population growth, and personnel training. PMID:12285735

Xian, H G

1992-06-01

480

Do governance choices matter in health care networks?: an exploratory configuration study of health care networks  

PubMed Central

Background Health care networks are widely used and accepted as an organizational form that enables integrated care as well as dealing with complex matters in health care. However, research on the governance of health care networks lags behind. The research aim of our study is to explore the type and importance of governance structure and governance mechanisms for network effectiveness. Methods The study has a multiple case study design and covers 22 health care networks. Using a configuration view, combinations of network governance and other network characteristics were studied on the level of the network. Based on interview and questionnaire data, network characteristics were identified and patterns in the data looked for. Results Neither a dominant (or optimal) governance structure or mechanism nor a perfect fit among governance and other characteristics were revealed, but a number of characteristics that need further study might be related to effective networks such as the role of governmental agencies, legitimacy, and relational, hierarchical, and contractual governance mechanisms as complementary factors. Conclusions Although the results emphasize the situational character of network governance and effectiveness, they give practitioners in the health care sector indications of which factors might be more or less crucial for network effectiveness. PMID:23800334