Evaluating Coordinated Care: Complex Problems do not Have Simple Solutions

1999 ◽  
Vol 5 (3) ◽  
pp. 32 ◽  
Author(s):  
Libby Kalucy
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Chronic Conditions ◽  
Health Service Delivery ◽  
Care Planning ◽  
Coordinated Care ◽  
Supportive Environments ◽  
Personal Skills

The current trials of coordinated health care are aimed at changing health service delivery to be more patient-focussed, through care planning and funds pooling. The strategies being implemented with patients with a variety of chronic conditions include creating more supportive environments, developing personal skills and re-orientation of health services.

Examining Models of Mental Health Service Delivery in the Emergency Department

2007 ◽  
Vol 41 (10) ◽  
pp. 784-791 ◽  
Author(s):  
Timothy Wand ◽  
Kathryn White
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Emergency Department ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Health Service Delivery ◽  
Mental Health Service Delivery

The purpose of the present paper was to review the current models of mental health service delivery used in the emergency department (ED) setting. A search was conducted of the nursing and medical literature from 1990 to 2007 for relevant articles and reports. Consideration was also given to the global and local context influencing contemporary mental health services. Wider sociopolitical and socioeconomic influences and systemic changes in health-care delivery have dictated a considerable shift in attention for mental health services worldwide. The ED is a topical location that has attracted interest and necessitated a response. The mental health liaison nurse (MHLN) role embedded within the ED structure has demonstrated the most positive outcomes to date. This model aims to raise mental health awareness and address concerns over patient-focused outcomes such as reduced waiting times, therapeutic intervention and more efficient coordination of care and follow up for individuals presenting to the ED in psychological distress. Further research is required into all methods of mental health service delivery to the ED. The MHLN role is a cost-effective approach that has gained widespread approval from ED staff and mental health patients and is consistent with national and international expectations for mental health services to become fully integrated within general health care. The mental health nurse practitioner role situated within the ED represents a potentially promising alternative for enhanced public access to specialized mental health care.

scholarly journals MODEL PERLINDUNGAN HUKUM TERHADAP KEBIJAKAN PELAYANAN KESEHATAN MASYARAKAT MISKIN DI KABUPATEN BANYUMAS

2012 ◽  
Vol 12 (3) ◽  
Author(s):  
Sri Hartini ◽  
Tedi Sudrajat ◽  
RahadiWasi Bintoro
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Key Words ◽  
Legal Protection ◽  
Legal Culture ◽  
Health Service Delivery ◽  
Health Card ◽  
The Poor

The legal protection to health care, especially for the poor directed to apply the principles of holistic, unity, evenly, acceptable and achievable. Therefore, this article is useful to explain the rules, policies and barriers that occur in its implementation. Based on the classification, there are 3 part in implementing legal protection and health services include arrangement of the essence of health development, funding and health service delivery. Policies that have been implemented in Banyumas includes a health card namelly jamkesmas, jamkesda, and jampersal. In fact, there are resistance from the aspect of substance, structure and legal culture that affects all three models of its implementation. Key words: legal protection, health care, the poor

scholarly journals Management of Devolved Health Services and Healthcare Service Delivery in Arid and Semi-Arid Lands in Kenya

2019 ◽  
Vol 14 (10) ◽  
pp. 21
Author(s):  
Abdihafid Abdullahi Yarow ◽  
Shadrack Jirma ◽  
Elijah Siringi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Service Delivery ◽  
Fiscal Decentralization ◽  
Care Service ◽  
Health Care Service ◽  
Health Service Delivery ◽  
Arid Lands ◽  
Financial Resources ◽  
Semi Arid

The 2010 Constitution provides a legal framework that guarantees an all-inclusive rights-based approach to health service delivery to Kenyans. It provides that Kenyans are entitled to the highest attainable standards of health, which includes the right to healthcare services including reproductive health care (Article 43). The purpose of this study was to investigate the the extent to which management of devolved health services influence health-care service delivery in Arid and Semi-Arid Lands in Kenya. This study was guided by fiscal decentralization theory and theory of performance improvement, as well as sequential theory of decentralization. This study used a triangulation of both positivism and phenomenology. The population under this study constitute the Sub-Counties in ASAL in Kenya with a sample size of 89 Sub-Counties being sampled and 3 patients from each of the 89 sampled sub counties. This study found that, since the onset of devolution, there has been introduction of more healthcare facilities at counties in ASAL resulting with sub-county leaderships have been largely considering the opinions raised by the residents while implementing health services decisions. Management of devolved health services, healthcare has greatly made health facilities and services more accessible to residents compared to before with the previous five years recording great improvement in the quality of the health services at county health centers. The national government should therefore consider increasing financial resources to counties, which would eventually enhance health manpower for better service delivery. This study therefore recommends that the hospitals management should come up with strategies that can help improve financial resources to fund facilities improvement.

The Use of Information and Communication Technologies for Health Service Delivery in Namibia

2010 ◽  
pp. 191-206
Author(s):  
Meke I. Shivute ◽  
Blessing M. Maumbe
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Information And Communication Technologies ◽  
Mobile Phones ◽  
Communication Technologies ◽  
Health Service Delivery ◽  
Health Service Providers ◽  
Information And Communication ◽  
Sub Saharan

Information and communication technologies (ICT) have transformed health service delivery (HSD) in developing countries although the benefits are not yet fully understood. This chapter examines the use of ICT for HSD in the Namibian context. To obtain insights into the extent and degree of the current ICT uses, the chapter begins by mapping a HSD landscape for Namibia. The reported ICT use patterns are based on a primary survey of 134 patients and key informant interviews held with 27 health service providers (HSPs) in Khomas and Oshana regions of Namibia. The results from the survey indicate that Namibian patients use diverse range of ICT to access health services including the traditional television and radio, and the more modern mobile phones and computers to a limited extent. HSPs reported the growing use of ICT in various functional areas such as admissions, clinical support, family planning, maternity, and emergency services. The chapter identifies key challenges and policy implications to enhance the uptake of ICT-based health services in Namibia. The relatively high penetration rates of traditional ICT such as televisions and radios coupled with a growing use of mobile phones presents new alternative opportunities for expanding HSD to Namibian patients in remote settings. The chapter will benefit HSP and patients as they decide on affordable technology choices; and policy makers as they design interventions to stimulate the use of ICT in HSD in Namibia. The results provide key insights for other Sub-Saharan African countries contemplating ICT integration in health services.

The Use of Information and Communication Technologies for Health Service Delivery in Namibia

2011 ◽  
pp. 1074-1089
Author(s):  
Meke I. Shivute ◽  
Blessing M. Maumbe
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Information And Communication Technologies ◽  
Mobile Phones ◽  
Communication Technologies ◽  
Health Service Delivery ◽  
Health Service Providers ◽  
Information And Communication ◽  
Sub Saharan

Information and communication technologies (ICT) have transformed health service delivery (HSD) in developing countries although the benefits are not yet fully understood. This chapter examines the use of ICT for HSD in the Namibian context. To obtain insights into the extent and degree of the current ICT uses, the chapter begins by mapping a HSD landscape for Namibia. The reported ICT use patterns are based on a primary survey of 134 patients and key informant interviews held with 27 health service providers (HSPs) in Khomas and Oshana regions of Namibia. The results from the survey indicate that Namibian patients use diverse range of ICT to access health services including the traditional television and radio, and the more modern mobile phones and computers to a limited extent. HSPs reported the growing use of ICT in various functional areas such as admissions, clinical support, family planning, maternity, and emergency services. The chapter identifies key challenges and policy implications to enhance the uptake of ICT-based health services in Namibia. The relatively high penetration rates of traditional ICT such as televisions and radios coupled with a growing use of mobile phones presents new alternative opportunities for expanding HSD to Namibian patients in remote settings. The chapter will benefit HSP and patients as they decide on affordable technology choices; and policy makers as they design interventions to stimulate the use of ICT in HSD in Namibia. The results provide key insights for other Sub-Saharan African countries contemplating ICT integration in health services.

scholarly journals Impact of care coordination on Australia's mental health service delivery system

2014 ◽  
Vol 38 (4) ◽  
pp. 396 ◽  
Author(s):  
Lisa Brophy ◽  
Craig Hodges ◽  
Kieran Halloran ◽  
Margaret Grigg ◽  
Mary Swift
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Delivery System ◽  
Care Coordination ◽  
Health Service Delivery ◽  
Service Delivery System ◽  
Coordinated Care ◽  
Mental Health Service Delivery

Care coordination models have developed in response to the recognition that Australia’s health and welfare service system can be difficult to access, navigate and is often inefficient in caring for people with severe and persistent mental illness (SPMI) and complex care and support needs. This paper explores how the Australian Government’s establishment of the Partners in Recovery (PIR) initiative provides an opportunity for the development of more effective and efficient models of coordinated care for the identified people with SPMI and their families and carers. In conceptualising how the impact of the PIR initiative could be maximised, the paper explores care coordination and what is known about current best practice. The key findings are the importance of having care coordinators who are well prepared for the role, can demonstrate competent practice and achieve better systemic responses focused on the needs of the client, thus addressing the barriers to effective care and treatment across complex service delivery systems. What is known about the topic? Care coordination, as an area of mental health practice in Australia, has not been well defined and the evidence available about its effectiveness is uneven. Even so, care coordination is increasingly identified as having the potential to deliver a more person-centred response to the health and social needs of people with severe and persistent mental illness (SPMI), as well as enhance the responsiveness of Australia’s mental health service delivery system. The introduction of Partners in Recovery (PIR), a new Australian Government initiative based on coordinated care approaches, provides the impetus to investigate the hoped for mental health system enhancements and related improved client outcomes. What does this paper add? This paper offers a rationale for care coordination, referred to in the PIR model as support facilitation, as a primary enabler for enhanced person-centred, cost-effective and sustainable mental health service delivery. The paper discusses support facilitation as an integral practice platform for supporting the successful implementation and sustainability of the PIR initiative. It also addresses issues that may be encountered in establishing the roles and functions of various components of the initiative’s care coordination model. What are the implications for practitioners? The key implications for PIR support facilitation practitioners are to reconsider their function and roles within a mental health service delivery system that places care coordination at its centre. This paper establishes that any model of care coordination requires well-trained and enthusiastic practitioners with a sophisticated appreciation of current barriers to care. Practitioners will be required to value partnerships as a means of addressing barriers that impact on the establishment and maintenance of robust, system-wide responses that are genuinely consumer focused.

scholarly journals Mental Health Service in Ghana: A Review of the Case

2017 ◽  
Vol 6 (4) ◽  
pp. 299 ◽  
Author(s):  
Samuel Adu-Gyamfi
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Mental Health Services ◽  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Mental Health Care ◽  
Psychiatric Hospitals ◽  
The Government

Mental health care in Ghana has been fraught with several challenges leading to stagnant growth in mental health service delivery and in some cases a severe depreciation in the nature of care. The Government of Ghana pays little or no attention to mental health care in the country, a situation that has led to poor service delivery in the three major psychiatric hospitals in Ghana. The implementation of the Ghana Mental Act of 2012 has also been faced with major challenges with no significant progress being made. This studytherefore sought to review and document the development of mental health care services in Ghana. Specifically, the study examined the various legislations on mental health that have been enacted  in Ghana since 1900; investigated the implementation of the current Mental Health Act of Ghana; found out whether the Ghanaian government has prioritise mental health services in the country and assessed the challenges and problems that confronted mental health services in Ghana since 1900.The study concludes that, since 1888 efforts have been made by various governments to legislate the provision of mental services in Ghana. However, these legislations have not always protected the rights and interest of the mentally ill.

scholarly journals Flip the Clinic: A Digital Health Approach to Youth Mental Health Service Delivery During the COVID-19 Pandemic and Beyond (Preprint)

2020 ◽  
Author(s):  
Tracey A Davenport ◽  
Vanessa Wan Sze Cheng ◽  
Frank Iorfino ◽  
Blake Hamilton ◽  
Eva Castaldi ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Service ◽  
Health Service ◽  
Service Delivery ◽  
Digital Health ◽  
Youth Mental Health ◽  
Health Service Delivery ◽  
Model Of Care ◽  
Mental Health Service Delivery

UNSTRUCTURED The demand for mental health services is projected to rapidly increase as a direct and indirect result of the COVID-19 pandemic. Given that young people are disproportionately disadvantaged by mental illness and will face further challenges related to the COVID-19 pandemic, it is crucial to deliver appropriate mental health care to young people as early as possible. Integrating digital health solutions into mental health service delivery pathways has the potential to greatly increase efficiencies, enabling the provision of “right care, first time.” We propose an innovative digital health solution for demand management intended for use by primary youth mental health services, comprised of (1) a youth mental health model of care (ie, the Brain and Mind Centre Youth Model) and (2) a health information technology specifically designed to deliver this model of care (eg, the InnoWell Platform). We also propose an operational protocol of how this solution could be applied to primary youth mental health service delivery processes. By “flipping” the conventional service delivery models of majority in-clinic and minority web-delivered care to a model where web-delivered care is the default, this digital health solution offers a scalable way of delivering quality youth mental health care both in response to public health crises (such as the COVID-19 pandemic) and on an ongoing basis in the future.

scholarly journals Health services for Indigenous children in remote Australia: a strategic literature review

2021 ◽  
Author(s):  
Philippa Jane Dossetor ◽  
Kathryn Thorburn ◽  
June Oscar ◽  
Maureen Carter ◽  
Heather E Jeffery ◽  
...  
Keyword(s):  
Health Service ◽  
Health Services ◽  
Service Delivery ◽  
Best Practice ◽  
Grey Literature ◽  
Health Service Delivery ◽  
Child Health Service ◽  
Health Service Provision ◽  
Essential Information ◽  
Indigenous Children

Abstract Introduction: There is a significant gap between health outcomes in Indigenous and non-Indigenous children, which may relate to inequity in health service provision, particularly in remote areas. We aim to review the literature to describe health services and their use by children living in remote Australia, comparing them to best practice models to identify opportunities for improvements.Methods: Electronic-databases of medical literature were searched from Jan 1990 to Dec 2013. Grey literature was identified through investigation of websites, including local, state and national health departments. Essential information was extracted and summarised for papers meeting inclusion criteria for the review.Results: A total of 45 titles was identified in a strategic search of electronic medical databases and 47 in the grey literature. Strict inclusion and exclusion criteria applied. Data were extracted from 92 documents.Conclusions: Barriers exist to effective child health service delivery in remote Australia including availability and access. Existing services cannot meet demand. Gold standard models for service delivery incorporating community engagement and collaboration should be explored. Increased resources and focus on primary prevention and health promotion are essential.

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