scholarly journals Geriatric interventions: the evidence base for comprehensive health care services for older people

2005 ◽  
Vol 29 (2) ◽  
pp. 151 ◽  
Author(s):  
Nicholas J Cordato ◽  
Sabari Saha ◽  
Michael A Price
Keyword(s):  
Health Care Services ◽  
Psychosocial Problems ◽  
Evidence Base ◽  
Management Approach ◽  
Ageing Population ◽  
Ample Evidence ◽  
Care Services ◽  
Frail Elderly People ◽  
Comprehensive Health ◽  
Future Demands

Specialist geriatric services apply a comprehensive, multidisciplinary evaluation and management approach to the multidimensional and usually interrelated medical, functional and psychosocial problems faced by at-risk frail elderly people. This paper examines currently available data on geriatric interventions and finds ample evidence supporting both the efficacy and the cost-effectiveness of these specialist interventions when utilised in appropriately targeted patients. It is proposed that substantial investment in these programs is required to meet the future demands of Australia?s ageing population.

scholarly journals Older multimorbid patients’ experiences on integration of services: a systematic review

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Lilian Keene Boye ◽  
Christian Backer Mogensen ◽  
Tine Mechlenborg ◽  
Frans Boch Waldorff ◽  
Pernille Tanggaard Andersen
Keyword(s):  
Health Care ◽  
Continuity Of Care ◽  
Health Care Services ◽  
Health Care Systems ◽  
Easy Access ◽  
Ageing Population ◽  
Health Providers ◽  
Care Coordinator ◽  
Care Services ◽  
Care Systems

Abstract Background Half of the older persons in high-income counties are affected with multimorbidity and the prevalence increases with older age. To cope with both the complexity of multimorbidity and the ageing population health care systems needs to adapt to the aging population and improve the coordination of long-term services. The objectives of this review were to synthezise how older people with multimorbidity experiences integrations of health care services and to identify barriers towards continuity of care when multimorbid. Methods A systematic literature search was conducted in February 2018 by in Scopus, Embase, Cinahl, and Medline using the PRISMA guidelines. Inclusion criteria: studies exploring patients’ point of view, ≥65 and multi-morbid. Quality assessment was conducted using COREQ. Thematic synthesis was done. Results Two thousand thirty studies were identified, with 75 studies eligible for full text, resulting in 9 included articles, of generally accepted quality. Integration of health care services was successful when the patients felt listened to on all the aspects of being individuals with multimorbidity and when they obtained help from a care coordinator to prioritize their appointments. However, they felt frustrated when they did not have easy access to their health providers, when they were not listened to, and when they felt they were discharged too early. These frustrations were also identified as barriers to continuity of care. Conclusions Health care systems needs to adapt to people with multimorbidity and find solutions on ways to create flexible systems that are able to help older patients with multimorbidity, meet their individual needs and their desire to be involved in decisions regarding their care. A Care coordinator may be a solution.

scholarly journals Participative management in health care services

Curationis ◽  
1995 ◽  
Vol 18 (1) ◽  
Author(s):  
M. Muller
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Care Delivery ◽  
Inductive Reasoning ◽  
Participative Management ◽  
Management Approach ◽  
Health Care Organisation ◽  
Care Services ◽  
Care Organisation ◽  
Interactive Decision Making

The need and demand for the highest-quality management of all health care delivery activities requires a participative management approach. The purpose with this article is to explore the process of participative management, to generate and describe a model for such management, focusing mainly on the process of participative management, and to formulate guidelines for operationalisation of the procedure. An exploratory, descriptive and theory-generating research design is pursued. After a brief literature review, inductive reasoning is mainly employed to identify and define central concepts, followed by the formulation of a few applicable statements and guidelines. Participative management is viewed as a process of that constitutes the elements of dynamic interactive decision-making and problem-solving, shared governance, empowerment, organisational transformation, and dynamic communication within the health care organisation. The scientific method of assessment, planning, implementation and evaluation is utilised throughout the process of participative management.

Value Co-Creation of Health Care Services Through Competency Modeling

2012 ◽  
Vol 3 (4) ◽  
pp. 1-15 ◽  
Author(s):  
Hironobu Matsushita ◽  
Kyoichi Kijima
Keyword(s):  
Health Services ◽  
Health Care Services ◽  
Institutional Care ◽  
Management Systems ◽  
Clinical Settings ◽  
Ageing Population ◽  
Working Population ◽  
Competency Modeling ◽  
Care Services ◽  
Model Of Competency

With the growing challenge of an ageing population and decreasing working population, health services management systems are required to develop, evaluate and retain human resources such as nurses more efficiently and effectively. However, the fact remains that nursing shortage has become a societal problem in many countries. In order to help health services administrators align more effective health services management systems, this study focuses on value co-creation through competency modeling as a crucial factor within the community of institutional care services. First, this study found that nurses are a heterogeneous group in terms of required competencies. Second, different roles require different sets of competencies. Third, the urgent need to adapt to innovation in clinical settings also requires that nurses have different sets of competencies. Finally, this paper proposes a model, namely evolutionary action research for value co-creation, to make a shared internal model of competency work effectively in the context of value co-creation of care services.

Health care services utilization in a comprehensive health centre, in a rural community of South-South, Nigeria

2020 ◽  
Vol 1 (1) ◽  
pp. 39-44
Author(s):  
Rejoice Luka-Lawal1 ◽  
Jenny Momoh ◽  
Elijah Njoku ◽  
Ivie Esene ◽  
Akhere Asogun
Keyword(s):  
Health Care ◽  
Rural Community ◽  
Health Care Services ◽  
Health Centre ◽  
Services Utilization ◽  
Care Services ◽  
Comprehensive Health ◽  
Health Care Services Utilization

scholarly journals Organization and content of primary care for adolescents – comparison of actual and desired situation

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
D E M C Jansen ◽  
A Visser ◽  
J P M Vervoort ◽  
P Kocken ◽  
S A Reijneveld ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Adolescent Health ◽  
Health Care Services ◽  
Health Care Systems ◽  
Quality Health Care ◽  
Care Services ◽  
Comprehensive Health ◽  
Care Systems ◽  
Migrant Adolescents

Abstract To successfully navigate increasing autonomy, independence and health behaviors in adolescence, accessible adolescent health care services (AHS) are essential. AHS comprise all services in primary care that are aimed at the specific needs of adolescents and can be provided in various settings such as public services, private services, schools and hospitals. In the MOCHA project (Models of Child Health Appraised) we assessed the structure and content of AHS in 30 European countries against the standards in the field of adolescent health services: accessibility, staff attitude, communication, staff competency and skills, confidential and continuous care, age appropriate environment, involvement in health care, equity and respect and a strong link with the community. The results revealed that although half of the 30 countries did adopt adolescent-specific policies, many countries did not meet the current standards of quality health care for adolescents. For example, the ability to provide emergency mental health care is limited. In addition, one third of the countries do not have a formal policy which guarantees the confidentiality of a consult and the possibility to consult a physician without parents knowing. Finally, around half of the countries do not have specialized centers in adolescent health care in order to tackle comprehensive health issues. Access to adolescent health care services needs to be improved for vulnerable adolescents such as migrant adolescents. Schools, ambulatory settings and hospitals should offer accessible, comprehensive health care and a culturally appropriate approach, particularly given the number of migrant adolescents living in EU and EEA countries. Finally, the health care systems should improve their communication strategies, to assist young people in understanding their rights and responsibility in the domain of health, and how and where to access to adequate care.

PD85 Testing Search Filters To Retrieve Economic Evaluations In Embase

2018 ◽  
Vol 34 (S1) ◽  
pp. 158-158
Author(s):  
Ingrid Harboe ◽  
Arna Desser ◽  
Lena Nordheim ◽  
Julie Glanville
Keyword(s):  
Health Care ◽  
Health Economic ◽  
Economic Evaluation ◽  
Health Care Services ◽  
Evidence Base ◽  
Bibliographic Databases ◽  
Economic Evaluations ◽  
Care Services ◽  
Health Authorities ◽  
Search Filters

Introduction:Health technology assessments (HTAs) are increasingly used by Norwegian health authorities as the evidence base when prioritizing which health care services to offer. HTAs typically consist of a systematic review of the effects and safety of two or more health care interventions, and an economic evaluation of the interventions, based on systematic literature searches in bibliographic databases. Objective: To identify the best performing of seven search filters to retrieve health economic evaluations used to inform HTAs, by comparing the cost-effectiveness analysis (CEA) filter to six published filters in Ovid Embase, and achieve a sensitivity of at least 0.90 with a precision of 0.10, and specificity of at least 0.95.Methods:In this filter validation study, the included filters’ performances were compared against a gold standard of economic evaluations published in 2008–2013 (n = 2,248) from the National Health Service Economic Evaluation Database (NHS EED), and the corresponding records (n = 2,198) in the current version of Ovid Embase.Results:The CEA filter had a sensitivity of 0.899 and precision of 0.029. One filter had a sensitivity of 0.880 and a precision of 0.075, which was closest to the objective. The filter with lowest sensitivity (0.702) had a precision of 0.141.Conclusions:Developing search filters for identifying health economic evaluations, with a good balance between sensitivity and precision, is possible but challenging. Researchers should agree on acceptable levels of performance before concluding on which search filter to use.

scholarly journals Study protocol for a national retrospective review of femoral periprosthetic fracture management. Is there variation in practice?

2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Ahmed A H Nasser ◽  
Govind Chauhan ◽  
Khabab Osman ◽  
Saroop Nandra ◽  
Rajpal Nandra ◽  
...  
Keyword(s):  
Health Care Services ◽  
Collaborative Study ◽  
Research Network ◽  
Coefficient Of Determination ◽  
Management Approach ◽  
True Incidence ◽  
Care Services ◽  
Effective Treatment Modality ◽  
Fracture Management ◽  
The Uk

Abstract Introduction The incidence of femoral periprosthetic fractures (PPFs) in the UK is on the rise. This rising incidence presents a clinical and an economic burden on the national health care services. There is also uncertainty about the most effective treatment modality for femoral PPFs, as well as a lack of evidence for a standardized management approach. We aimed to identify the true incidence and any variation in the management of femoral PPFs nationally. Methods and analysis This multicentre national collaborative study has been designed by a trainee led research network in collaboration with a well-established university research organization. Data will be collected from participating centres over a period of 10 years (2010–2019). All adults presenting with a femoral PPF will be identified, and the mode of treatment for each fracture subtype will be recorded. Other measures will evaluate patient and treatment variables, objective and subjective outcome measures. Univariate and multivariate regression analyses will be used, as well as the coefficient of determination (R) in an attempt to measure the degree to which the models could explain the variation in management. Ethics and dissemination This multicentre national project was approved by the local clinical governance department at each participating hospital site. The results of this study will be submitted to international peer reviewed journals and appropriate national and international conferences.

scholarly journals Older multimorbid patients’ experiences on integration of services: A systematic review

2019 ◽  
Author(s):  
Lilian Keene Guldhammer Boye ◽  
Christian Backer Mogensen ◽  
Tine Mechlenborg ◽  
Frans Boch Waldorff ◽  
Pernille Tanggaard Andersen
Keyword(s):  
Health Care ◽  
Continuity Of Care ◽  
Health Care Services ◽  
Health Care Systems ◽  
Easy Access ◽  
Ageing Population ◽  
Health Providers ◽  
Care Coordinator ◽  
Care Services ◽  
Care Systems

Abstract Background Half of the older persons in high-income counties are affected with multimorbidity and the prevalence increases with older age. To cope with both the complexity of multimorbidity and the ageing population health care systems needs to adapt to the aging population and improve the coordination of long-term services. The objectives of this review were to synthezise how older people with multimorbidity experiences integrations of health care services and to identify barriers towards continuity of care when multimorbid. Methods A systematic literature search was conducted in February 2018 by in Scopus, Embase, Cinahl, and Medline using the PRISMA guidelines. Inclusion criteria: studies exploring patients’ point of view, ≥65 and multi-morbid. Quality assessment was conducted using COREQ. Thematic synthesis was done. Results 2030 studies were identified, with 75 studies eligible for full text, resulting in 9 included articles, of generally accepted quality. Integration of health care services was successful when the patients felt listened to on all the aspects of being individuals with multimorbidity and when they obtained help from a care coordinator to prioritize their appointments. However, they felt frustrated when they did not have easy access to their health providers, when they were not listened to, and when they felt they were discharged too early. These frustrations were also identified as barriers to continuity of care. Conclusions Health care systems needs to adapt to people with multimorbidity and find solutions on ways to create flexible systems that are able to help older patients with multimorbidity, meet their individual needs and their desire to be involved in decisions regarding their care. A Care coordinator may be a solution.

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