Community health in the global and Asia-Pacific context
Ben Y.F. Fong, Martin C.S. Wong in The Routledge Handbook of Public Health and the Community, 2021
Community health services in the UK cover an extensive and diverse range of activities but vary among local areas. It is estimated that the NHS holds more than half (53%) of the total value of community health services, and the rest is held by pharmacies, private providers, local authorities and social enterprises (Gershlick & Firth, 2017). The provision of services has undergone frequent restructuring, resulting in a complex commission of services. There is no single community health model of services in the UK as the nature of local health services depends on the local population and geography.
International comparison of equity in healthcare services
Songül Çınaroğlu in Equity and Healthcare Reform in Developing Economies, 2020
The pattern of the distribution of out-of-pocket (OOP) health expenses and different functions of health services have garnered the interest of health policymakers in different countries (Haakenstad et al., 2019). The distinguishing feature of the distributive pattern of OOP health expenses in developed countries is its regressive pattern. In other words, the financial burden of OOP health expenditures falls on the shoulders of poor households (Wagstaff et al., 1989). This statement can be clarified further using the literature that shows that the Netherlands, Britain, and the US were found to have a regressive financing system. Among these countries, Britain has a mildly progressive financing system. The Dutch system was marginally less regressive than the American system. Specifically, the US has a regressive system (Wagstaff et al., 1989).
The international context
Meads Geoff, Pat Gordon, Diane Plamping in Future Options for General Practice, 2018
In this chapter, the answer to these important, but difficult, questions must be both brief and disappointing. Comparisons of quality in health services depend ideally on measurements of the outcomes of care, particularly measurement and comparison of health status and the assessment of satisfaction in those who use the service. Between countries, comparisons of the state of health still rely on such broad and crude indicators as expectation of life or infant mortality, because for these clearly defined features national statistics are reliable; like can be compared with like. The possibility of finding outcome indicators sufficiently relevant and specific for use in comparing the effectiveness of different patterns of care across national boundaries remains for the future. Even if this is achieved (as seems possible) and differences in more specific measurements of health are found between countries, there is still the problem of attributing differences to particular national features in the structure and process of care. There are many other variables which might account for the differences in outcome.
Evaluation of outpatient service quality: What do patients and providers think?
Published in International Journal of Healthcare Management, 2023
Pouria Farrokhi, Aidin Aryankhesal, Rafat Bagherzadeh, Asgar Aghaei Hashjin
Regarding the high growth rate of health services in developed and developing countries, service quality has become one of the most important prerequisites for the success of healthcare providers,, i.e. hospitals, clinics, and medical centers. Service quality is connected with loyalty, trust, and satisfaction concepts; therefore, healthcare organizations should provide suitable services in line with their patients’ requirements. According to Meesala and Pual, the two dimensions of reliability and responsiveness directly affect patient satisfaction [8]. Also, Zhou et al. have indicated that service quality indirectly influences patient loyalty [9]. Satisfied clients intend to reuse healthcare services when they need them again. In other words, clients’ satisfaction can be achieved if their needs are identified and fulfilled by health service organizations [10,11].
Access and engagement with places in the community, and the quality of life among people with spinal cord damage
Published in The Journal of Spinal Cord Medicine, 2022
Ali Lakhani, Sanjoti Parekh, David P. Watling, Peter Grimbeek, Ross Duncan, Susan Charlifue, Elizabeth Kendall
Participants were requested to indicate the physical accessibility across six aspects of health services. Health services included general practitioners, dentists, occupational therapists, physiotherapists, hospitals, pharmacists, and specialists and the six domains of the physical environment consisted of: exterior building, interior building, restrooms, waiting room, examination room and specialist equipment.26,27 An overall indicator of health service physical accessibility was calculated by summing the number of accessible aspects divided by the number of potential aspects [6] across all health services used. This resulted in a percentage where a higher value was indicative of a high level of health service physical accessibility. In relation to health service use, participants were requested to indicate, over the last 12 months, if they were able to use the suggested health services (by responding yes or no) when needed. The number of health services used when needed was added to establish a health service use measure.
Nursing management challenges: Effect of quality of work life on depersonalization
Published in International Journal of Healthcare Management, 2021
P. Yukthamarani Permarupan, Abdullah Al Mamun, Naeem Hayat, Roselina Ahmad Saufi, Naresh Kumar Samy
The healthcare industry is one of the most critical sectors that provide essential health services to society. The health services provided by medical doctors, nursing staff, and paramedical staff. The nursing staff are the core of the health sector. The health sector reported that the shortage of nursing staff and the challenging nature of the nursing profession are the reasons for the difficulty to perform nursing jobs and retaining nursing staff. The demanding nature of the profession and working with continuous work hour can cause burnout and depersonalization. The effect of depersonalization tackled by the provision of QWL factors for the constitution at work organization, safe and healthy working conditions, social integration at the workplace, social relevance of work, and work and life span. Effective management of QWL can reduce the adverse effects of depersonalization.
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