scholarly journals Developing an environmentally sustainable NHS: outcomes of implementing an educational intervention on sustainable health care with UK public health registrars

2012 ◽  
Vol 23 (2) ◽  
pp. 27 ◽  
Author(s):  
Kate E. Charlesworth ◽  
Sumantra Ray ◽  
Fiona Head ◽  
David Pencheon
Keyword(s):  
Public Health ◽  
Health Care ◽  
Educational Intervention ◽  
Environmentally Sustainable ◽  
Sustainable Health

scholarly journals Managerial role in enhancing employee motivation in public health care

2011 ◽  
Vol 8 (4) ◽  
pp. 401-410
Author(s):  
Ghamiet Aysen ◽  
Sanjana Brijball Parumasur
Keyword(s):  
Public Health ◽  
Health Care ◽  
Working Conditions ◽  
Care Management ◽  
Employee Motivation ◽  
Public Health Care ◽  
Intrinsic Factors ◽  
Managerial Role ◽  
Public Sector Employees ◽  
Sustainable Health

Engulfed by numerous setbacks pronounced by huge manpower crises, work overload and poor working conditions, public sector employees find it increasingly difficult to ensure a more patient-focused, results-driven and sustainable health care system. Whilst extrinsic rewards are almost non-existent, managers in public health care can play a pivotal role in enhancing employee motivation through intrinsic factors. This study aims to assess managerial characteristics for public health care (management of attention, meaning, self, trust, risk, feelings) and employee motivation (achievement, power, affiliation) and, the relationships between these. A sample of 338 employees (stratified random sampling) and 18 managers (consensus sampling) were drawn. Descriptive and inferential statistics were used to analyse the data. Based on the results, the study provides guidance for enhancing employee motivation and consequently, service delivery in public health care.

scholarly journals Charity vs. government health care

2018 ◽  
Vol 6 (26) ◽  
pp. 51-57
Author(s):  
Gilbert Berdine
Keyword(s):  
Public Health ◽  
Health Care ◽  
Lower Cost ◽  
Marginal Utility ◽  
Public Health Care ◽  
Government Health ◽  
Relief Of Suffering ◽  
Sustainable Health ◽  
Over Time

Part 3 of this series on sustainable health care discusses charity as a market phenomenon. Charity is explained as a result of the Law of Marginal Utility and the limitation of scare resources. Charity is contrasted with government health care or public health care. Charity and government health care are driven by different incentives. Charities compete for limited donations leading to improved relief of suffering at lower cost over time. Government health care acts like all monopolies and delivers a declining quality of output at ever increasing cost.

scholarly journals Towards Climate Resilient and Environmentally Sustainable Health Care Facilities

2020 ◽  
Vol 17 (23) ◽  
pp. 8849
Author(s):  
Carlos Corvalan ◽  
Elena Villalobos Prats ◽  
Aderita Sena ◽  
Diarmid Campbell-Lendrum ◽  
Josh Karliner ◽  
...  
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Health Coverage ◽  
Environmentally Sustainable ◽  
Use Of Resources ◽  
Care Facilities ◽  
Sustainable Health ◽  
Health Care Waste

The aim of building climate resilient and environmentally sustainable health care facilities is: (a) to enhance their capacity to protect and improve the health of their target communities in an unstable and changing climate; and (b) to empower them to optimize the use of resources and minimize the release of pollutants and waste into the environment. Such health care facilities contribute to high quality of care and accessibility of services and, by helping reduce facility costs, also ensure better affordability. They are an important component of universal health coverage. Action is needed in at least four areas which are fundamental requirements for providing safe and quality care: having adequate numbers of skilled human resources, with decent working conditions, empowered and informed to respond to these environmental challenges; sustainable and safe management of water, sanitation and health care waste; sustainable energy services; and appropriate infrastructure and technologies, including all the operations that allow for the efficient functioning of a health care facility. Importantly, this work contributes to promoting actions to ensure that health care facilities are constantly and increasingly strengthened and continue to be efficient and responsive to improve health and contribute to reducing inequities and vulnerability within their local settings. To this end, we propose a framework to respond to these challenges.

Environmentally sustainable health care: now is the time for action

2020 ◽  
Vol 212 (8) ◽  
pp. 361-362 ◽  
Author(s):  
Diana L Madden ◽  
Anthony Capon ◽  
Philip G Truskett
Keyword(s):  
Health Care ◽  
Environmentally Sustainable ◽  
Sustainable Health

Effectiveness of a Primary Health Care Program on Urban and Rural Community Disaster Preparedness, Islamic Republic of Iran: A Community Intervention Trial

2013 ◽  
Vol 7 (5) ◽  
pp. 481-490 ◽  
Author(s):  
Ali Ardalan ◽  
Hani Mowafi ◽  
Hossein Malekafzali Ardakani ◽  
Farid Abolhasanai ◽  
Ali-Mohammad Zanganeh ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Primary Health Care ◽  
Educational Intervention ◽  
Disaster Preparedness ◽  
Community Intervention ◽  
Control Group ◽  
Intervention Trial ◽  
Primary Health ◽  
And Control

AbstractBackgroundTo evaluate the effectiveness of a capacity-building intervention administered through a primary health care (PHC) system on community disaster preparedness in Iran.MethodsA controlled community intervention trial with pre- and postassessments was conducted in 2011 in 3 provinces of Iran. In each province, 2 areas were chosen and randomly selected as an intervention or control group. A total of 9200 households were in the intervention area and 10 010 were in the control area. In each study group in each province 250 households were sampled for pre- and postassessment surveys. Community health volunteers led by PHC staff administered an educational intervention covering elements of hazard awareness and preparedness, with a focus on earthquakes and floods. Relative changes for awareness and readiness scores were assessed to demonstrate changes in outcome variables from pre- to postassessments in intervention and control groups. An effectiveness test of significance was based on interaction between time and area.ResultsHouseholds in intervention communities exhibited improved disaster awareness and readiness with respect to all outcome measures. Relative changes in awareness in intervention and control areas were 2.94 and -0.08, respectively (P < .001). Relative changes for readiness scores were 5.52 in intervention areas and 0.56 in control areas (P < .001). Relative changes for awareness and readiness were significantly correlated with a community's baseline risk perception and previous experience with natural disasters (P < .001).ConclusionsAn educational intervention administered through the PHC system effectively improved disaster awareness and readiness at a community level. For sustainability, community disaster reduction programs must be integrated into routine public health service delivery. (Disaster Med Public Health Preparedness. 2013;7:481-490)

scholarly journals The Effect of Educational Intervention on Rational Prescribing in Public Health Facilities in Selected Local Government Areas of Rivers State: An Interventional Study

2021 ◽  
pp. 79-95
Author(s):  
Golden Owhonda ◽  
Felix Emeka Anyiam
Keyword(s):  
Public Health ◽  
Health Care ◽  
Local Government ◽  
Drug Use ◽  
Educational Intervention ◽  
The State ◽  
Health Facilities ◽  
Public Health Facilities ◽  
Rational Prescribing ◽  
Rivers State

Background: Despite progress made so far in identifying intervention models to improve drug use, irrational use of drugs has remained a serious global health problem. The study intends to determine the effectiveness of an educational intervention on rational prescribing among prescribers in selected local government areas of Rivers State. Methods: This was a quasi-experimental study that measured the effect of educational intervention on rational prescribing of drugs among prescribers in public health facilities in two selected Local Government Areas (LGA) of Rivers State: Ikwerre LGA (KELGA) which served as the control and Port Harcourt LGA (PHALGA) which served as the intervention by using cluster sampling with randomization. Paired data were analysed using McNemar’s Chi-square test and the paired t-test. The level of significance was set at P≤ 0.05. The EPI-INFO version 7.02 statistical software was used in the analysis. Results: Findings showed that the largest category of prescribers was nurse/midwives representing 48.61% and 44.4% in the intervention and control LGA respectively. There was an improvement in the knowledge and attitude of respondents in the facilities in the intervention LGA at one month and three months post-intervention (P<0.05). The average number of drugs per encounter (ANDPE), the percentage encounters with an antibiotic (PEA), the percentage encounters with an injection (PEI) were lower for the interventions group compared to the control (P<0.05). Percentage generic drug prescription (PGD) was higher in the intervention group compared to the control (P=0.001). Conclusion: Educational intervention was an effective and sustainable means of improving rational prescribing in the state. Update courses and continuing medical education on rational drug use should be held periodically for health care professionals by the State and National Primary Health Care Development Agency as well as other interested stakeholders.

Environmentally sustainable health care: now is the time for action

2020 ◽  
Vol 213 (10) ◽  
pp. 478
Author(s):  
Forbes McGain ◽  
Meriel Chamberlin ◽  
Jane Milburn
Keyword(s):  
Health Care ◽  
Environmentally Sustainable ◽  
Sustainable Health
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