Clinical governance in New Zealand: perceptions from registered health professionals in health care delivery compared with social insurance

2021 ◽  
Author(s):  
Inga O'Brien ◽  
Roy de Groot ◽  
Vera Champion ◽  
Robin Gauld
Keyword(s):  
Health Care ◽  
New Zealand ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Social Insurance ◽  
Care Delivery ◽  
Clinical Governance

When Clock Time Governs Interaction: How Time Influences Health Professionals’ Intersectoral Collaboration

2018 ◽  
Vol 28 (13) ◽  
pp. 2059-2070 ◽  
Author(s):  
Anne Bendix Andersen ◽  
Kirsten Beedholm ◽  
Raymond Kolbæk ◽  
Kirsten Frederiksen
Keyword(s):  
Health Care ◽  
Elderly Patients ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Services ◽  
Care Delivery ◽  
Intersectoral Collaboration ◽  
Clock Time ◽  
Care Services ◽  
Patient Pathways

When setting up patient pathways that cross health care sectors, professionals in emergency units strive to fulfill system requirements by creating efficient patient pathways that comply with standards for length of stay. We conducted an ethnographic field study, focusing on health professionals’ collaboration, of 10 elderly patients with chronic illnesses, following them from discharge to their home or other places where they received health care services. We found that clock time not only governed the professionals’ ways of collaborating, but acceleration of patient pathways also became an overall goal in health care delivery. Professionals’ efforts to save time came to represent a “monetary value,” leading to speedier planning of patient pathways and consequent risks of disregarding important issues when treating and caring for elderly patients. We suggest that such issues are significant to the future planning and improvement of patient pathways that involve elderly citizens who are in need of intersectoral health care delivery.

Empirical exploration of brilliance in health care: perceptions of health professionals

2017 ◽  
Vol 41 (3) ◽  
pp. 336 ◽  
Author(s):  
Leila Karimi ◽  
Ann Dadich ◽  
Liz Fulop ◽  
Sandra G. Leggat ◽  
Jiri Rada ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Health Care Professionals ◽  
Management Practices ◽  
Health Management ◽  
Care Delivery ◽  
Lessons Learned ◽  
Lexical Analysis ◽  
Professional Perspective

Objective The aim of the present study was to develop a positive organisational scholarship in health care approach to health management, informed by health managers and health professionals’ experiences of brilliance in health care delivery. Methods A sample of postgraduate students with professional and/or management experience within a health service was invited to share their experiences of brilliant health services via online discussions and a survey running on the SurveyMonkey platform. A lexical analysis of student contributions was conducted using the individual as the unit of analysis. Results Using lexical analysis, the examination of themes in the concept map, the relationships between themes and the relationships between concepts identified ‘care’ as the most important concept in recognising brilliance in health care, followed by the concepts of ‘staff’ and ‘patient’. Conclusions The research presents empirical material to support the emergence of an evidence-based health professional perspective of brilliance in health management. The findings support other studies that have drawn on both quantitative and qualitative materials to explore brilliance in health care. Pockets of brilliance have been previously identified as catalysts for changing health care systems. Both quality, seen as driven from the outside, and excellence, driven from within individuals, are necessary to produce brilliance. What is known about the topic? The quest for brilliance in health care is not easy but essential to reinvigorating and energising health professionals to pursue the highest possible standards of health care delivery. What does this paper add? Using an innovative methodology, the present study identified the key drivers that health care professionals believe are vital to moving in the direction of identifying brilliant performance. What are the implications for practitioners? This work presents evidence on the perceptions of leadership and management practices associated with brilliant health management. Lessons learned from exceptionally well-delivered services contain different templates for change than those dealing with failures, errors, misconduct and the resulting negativity.

Australian health professionals’ social media (Web 2.0) adoption trends: early 21st century health care delivery and practice promotion

2012 ◽  
Vol 18 (1) ◽  
pp. 31 ◽  
Author(s):  
Wayne T. Usher
Keyword(s):  
Health Care ◽  
Social Media ◽  
Initial Data ◽  
Web 2.0 ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Online Survey ◽  
Care Delivery ◽  
Web 2.0 Technologies ◽  
Australian Health

This study was concerned with indentifying reasons behind patterns of social media (Web 2.0) usage associated with eight of Australia’s major health professions. Attention was given to uncovering some of the more significant motivations for the resistance or adoption of Web 2.0 technologies for health care delivery and practice promotion by Australian health professionals. Surveys were developed from a common set of questions with specific variations between professions negotiated with professional health societies. Survey questions were constructed in an attempt to identify Web 2.0 adoption trends. An online survey (www.limesurvey.org) was used to collect data. Initial data preparation involved the development of one integrated SPSS file to incorporate all responses from the eight surveys undertaken. Initial data analysis applied Frequencies and Crosstabs to the identified groups and provided a profile of respondents by key business and demographic characteristics. Of the 935 respondents, 9.5% of participants indicated that they used Web 2.0 for their professional work, 19.1% of them did not use it for work but used it for their personal needs and 71.3% of them did not use Web 2.0 at all. Participants have indicated that the main reason for ‘choosing not to adopt’ Web 2.0 applications as a way of delivering health care to their patients is due to the health professionals’ lack of understanding of Web 2.0 (83.3%), while the main reason for ‘choosing to adopt’ Web 2.0 applications is the perception of Web 2.0 as a quick and effective method of communication (73.0%). This study has indicated that Australian health professionals ‘choose not to adopt’ Web 2.0 usage as a way of delivering health care primarily due to ‘a lack of understanding as to how social media would be used in health care’ (83.3%). This study identifies that Australian health professionals are interacting with Web 2.0 technologies in their private lives but are failing to see how such technologies might be used throughout their professions. Australian health professionals are willing to undertake online educational courses (n = 553, 58%) designed to upskill them about how Web 2.0 may be used for practice promotion and health care delivery.

scholarly journals New Zealand men’s health care: are we meeting the needs of men in general practice?

2009 ◽  
Vol 1 (4) ◽  
pp. 302 ◽  
Author(s):  
Eileen McKinlay ◽  
Marjan Kljakovic ◽  
Lynn McBain
Keyword(s):  
Health Care ◽  
General Practice ◽  
New Zealand ◽  
Focus Groups ◽  
Health Professionals ◽  
Care Delivery ◽  
Men’S Health ◽  
Men's Health ◽  
General Practice Care ◽  
Practice Care

AIM: To describe and compare how men and health professionals perceive men’s health and health care. METHOD: A qualitative study with an inductive thematic analysis of transcripts from three sequential sets of focus groups. The first set included groups totalling 21 general practitioners and 10 practice nurses; the second set with a group of 12 men under 25 years and a group of 10 older men over 35 years; and the third set with the original groups of health professionals. Datasets were analysed individually, sequentially and comparatively for men’s and health professionals’ beliefs about health and health care. RESULTS: In the initial focus groups, health professionals reported system, structural, and attitudinal barriers inhibiting men attending general practice. Men reported broad-based health beliefs and, despite reluctance to seek formal health care, men value general practice care and want recognition of their preferred consulting styles. In the final focus groups, researchers fed-back analysis of the health professionals’ and men’s focus group data with the aim of encouraging further focussed men’s health initiatives. However, there was a general lack of enthusiasm from health professionals to do more than what was being done already. CONCLUSIONS: Despite men and health professionals recognising the importance of men’s health, there is general unwillingness on the part of both men and health professionals, for different reasons, to engage with men’s health care in general practice. Understanding how men view health and health care delivery has the potential to inform alternative approaches in general practice care. KEYWORDS: New Zealand; men’s health; general practice; general practitioner; practice nurse

Allied Health Workers in Pediatrics

PEDIATRICS ◽  
1972 ◽  
Vol 49 (6) ◽  
pp. 924-924
Author(s):  
Arnold H. Matlin
Keyword(s):  
Health Care ◽  
Health Care Delivery ◽  
Health Professionals ◽  
Private Practice ◽  
Allied Health ◽  
Health Workers ◽  
Care Delivery ◽  
Trained Personnel

I strongly disagree with the opinions of Dr. Pick in regard to the appropriate role of allied health workers. Dr. Pick is concerned with the private practice of pediatrics, while to me the more important issue is the overall health care of children. In view of the worsening crisis in health care delivery, we can no longer afford the luxury of letting highly trained health professionals perform functions that can be equally well performed by less highly trained personnel.

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