Expanding Palliative Medicine across Care Settings: One Health System Experience

2018 ◽  
Vol 21 (9) ◽  
pp. 1272-1277 ◽  
Author(s):  
Stacie T. Pinderhughes ◽  
Julie M. Lehn ◽  
Arif H. Kamal ◽  
Ryan Hutchinson ◽  
Lisa O'Neill ◽  
...  
Keyword(s):  
Health System ◽  
Palliative Medicine ◽  
One Health

scholarly journals Who could be One Health Activist at the community level?: A case for India

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Sandul Yasobant ◽  
Walter Bruchhausen ◽  
Deepak Saxena ◽  
Farjana Zakir Memon ◽  
Timo Falkenberg
Keyword(s):  
Health System ◽  
Work Experience ◽  
Financial Incentives ◽  
One Health ◽  
Health Workers ◽  
Structured Interview ◽  
Communicable Diseases ◽  
Community Level ◽  
System Level

Abstract Background Community health workers (CHWs) are the mainstay of the public health system, serving for decades in low-resource countries. Their multi-dimensional work in various health care services, including the prevention of communicable diseases and health promotion of non-communicable diseases, makes CHWs, the frontline workers in their respective communities in India. As India is heading towards the development of One Health (OH), this study attempted to provide an insight into potential OH activists (OHA) at the community level. Thus, this case study in one of India’s western cities, Ahmedabad, targeted identifying OHA by exploring the feasibility and the motivation of CHWs in a local setting. Methods This case study explores two major CHWs, i.e., female (Accredited Social Health Activists/ASHA) health workers (FHWs) and male (multipurpose) health workers (MHWs), on their experience and motivation for becoming an OHA. The data were collected between September 2018 and August 2019 through a mixed design, i.e., quantitative data (cross-sectional structured questionnaire) followed by qualitative data (focus group discussion with a semi-structured interview guide). Results The motivation of the CHWs for liaisoning as OHA was found to be low; however, the FHWs have a higher mean motivation score [40 (36–43)] as compared to MHWs [37 (35–40)] out of a maximum score of 92. Although most CHWs have received zoonoses training or contributed to zoonoses prevention campaigns, their awareness level was found to be different among male and female health workers. Comparing the female and male health workers to act as OHA, higher motivational score, multidisciplinary collaborative work experience, and way for incentive generation documented among the female health workers. Conclusion ASHAs were willing to accept the additional new liaison role of OHAs if measures like financial incentives and improved recognition are provided. Although this study documented various systemic factors at the individual, community, and health system level, which might, directly and indirectly, impact the acceptance level to act as OHA, they need to be accounted for in the policy regime.

scholarly journals ‘One Health’ Actors in Multifaceted Health Systems: An Operational Case for India

Healthcare ◽  
2020 ◽  
Vol 8 (4) ◽  
pp. 387
Author(s):  
Sandul Yasobant ◽  
Walter Bruchhausen ◽  
Deepak Saxena ◽  
Timo Falkenberg
Keyword(s):  
Health System ◽  
Prevention And Control ◽  
One Health ◽  
District Level ◽  
Network Density ◽  
Second Phase ◽  
Local Health ◽  
Zoonotic Infections ◽  
And Control ◽  
The City

The surging trend of (re)emerging diseases urges for the early detection, prevention, and control of zoonotic infections through the One Health (OH) approach. The operationalization of the OH approach depends on the contextual setting, the presence of the actors across the domains of OH, and the extent of their involvement. In the absence of national operational guidelines for OH in India, this study aims to identify potential actors with an attempt to understand the current health system network strength (during an outbreak and non-outbreak situations) at the local health system of Ahmedabad, India. This case study adopted a sequential mixed methods design conducted in two phases. First, potential actors who have been involved directly or indirectly in zoonoses prevention and control were identified through in-depth interviews. A network study was conducted as part of the second phase through a structured network questionnaire. Interest and influence matrix, average degree, network density, and degree of centralization were calculated through Atlas.Ti (ATLAS.ti Scientific Software Development GmbH, Berlin, Germany), UCINET (Analytic Technologies, Lexington, KY, USA) software. The identified actors were categorized based on power, administrative level (either at the city or district level), and their level of action: administrative (policy planners, managers), providers (physicians, veterinarians), and community (health workers, community leaders). The matrix indicated that administrative actors from the district level were ‘context setters’ and the actors from the city level were either ‘players’ or ‘subjects’. The network density showed a strength of 0.328 during the last outbreak of H5N1, which decreased to 0.163 during the non-outbreak situation. Overall, there was low collaboration observed in this study, which ranged from communication (during non-outbreaks) to coordination (during outbreaks). The private and non-governmental actors were not integrated into collaborative activities. This study concludes that not only collaboration is needed for OH among the sectors pertaining to the human and the animal health system but also better structured (‘inter-level’) collaboration across the governance levels for effective implementation.

scholarly journals Pediatric patient portal use in one health system

2019 ◽  
Vol 27 (3) ◽  
pp. 444-448 ◽  
Author(s):  
Peter G Szilagyi ◽  
Rebecca Valderrama ◽  
Sitaram Vangala ◽  
Christina Albertin ◽  
David Okikawa ◽  
...  
Keyword(s):  
Health System ◽  
Pediatric Patient ◽  
Patient Engagement ◽  
One Health ◽  
Pediatric Patients ◽  
Pediatric Care ◽  
Health Record ◽  
Patient Portal ◽  
Laboratory Results ◽  
System 1

Abstract Objective The study sought to assess, for children in one large health system, (1) characteristics of active users of the patient portal (≥1 use in prior 12 months), (2) portal use by adolescents, and (3) variations in pediatric patient portal use. Materials and Methods We analyzed data from the electronic health record regarding pediatric portal use during 2017-2018 across a health system (39 871 pediatric patients). Results Altogether, 63.5% of pediatric patients were active portal users. Children (proxies) who were boys, privately insured, white, and spoke English were more likely to be active users. Common uses involved messaging with physicians, medications, allergies, letters, and laboratory results. By 15 years of age, >50% of adolescents used the portal by themselves (without a proxy). Pediatric portal use varied widely across practices. Discussion Pediatric or adolescent portal use is quite high, but large variations exist. Conclusion Use of the portal for pediatric care may reflect varying pediatric patient engagement.

scholarly journals One health collaboration for a resilient health system in India: Learnings from global initiatives

One Health ◽  
2019 ◽  
Vol 8 ◽  
pp. 100096 ◽  
Author(s):  
Sandul Yasobant ◽  
Walter Bruchhausen ◽  
Deepak Saxena ◽  
Timo Falkenberg
Keyword(s):  
Health System ◽  
One Health ◽  
Global Initiatives

One Health information management: health system reforms to support social well-being in Thailand

2021 ◽  
Vol 7 (1) ◽  
pp. 96-103
Author(s):  
Sangtien Youthao ◽  
Somsak Amornsiriphong
Keyword(s):  
Health System ◽  
Human Health ◽  
Health Information ◽  
Information Management ◽  
Data Storage ◽  
One Health ◽  
Animal Health ◽  
Health Sector ◽  
Well Being ◽  
Health Information Management

Background and Aim: The information about the health problems interaction between animal health, ecosystems, and human health that the "One Health (OH)" concept is becoming more complex. This study focused on OH information in Thailand to develop guidelines for establishing a "One Health Information Management (OHIM)" system by drafting the structure of an OH information strategic plan. Materials and Methods: A mixed methods approach was used and included questionnaires, interviews, focus groups, and observations in agencies across the country to gather evidence about actions relating to the OH concept, such as the Memorandum of Agreements between the Ministry of Public Health and eight main agencies. Results: The study concentrated on the key issue that understanding the OH concept is difficult, as the environment and human health sectors include less knowledge of this concept than the animal health sector. Further, there are concerns about the comprehension of OH concepts, and high-level information management and data storage relating to OH, including medicine, cattle, wild animal, environment, and environmental resource management. Data from OH researchers and publicly accessible government data are less integrated and inconsistently managed across agencies. Conclusion: The study of OHIM strategic development should consist of four important points: (1) Clarity in the OH concept, (2) OH staff development, (3) development of an OHIM data network and innovation, and (4) research and academic development, and global OHIM academic exchange. All of these points will lead to health system reforms to support social well-being.

Effect of computerized prescriber order entry on pharmacy: Experience of one health system

2015 ◽  
Vol 72 (2) ◽  
pp. 133-142 ◽  
Author(s):  
Carmit K. McMullen ◽  
Tara A. Macey ◽  
Jill Pope ◽  
Brian Gugerty ◽  
Marti Slot ◽  
...  
Keyword(s):  
Health System ◽  
One Health ◽  
Order Entry ◽  
Computerized Prescriber Order Entry

scholarly journals Policy and Linkages in the Application of a One Health System for Reporting and Controlling African Trypanosomiasis and Other Zoonotic Diseases in Zambia

Pathogens ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. 30
Author(s):  
Gloria M. Mulenga ◽  
Boniface Namangala ◽  
Kalinga Chilongo ◽  
Lars Henning ◽  
Bruce Gummow
Keyword(s):  
Health System ◽  
One Health ◽  
Zoonotic Diseases ◽  
African Trypanosomiasis ◽  
Disease Reporting ◽  
Support Programmes ◽  
The Impact ◽  
Local Levels ◽  
Optimal Implementation

The capacity to detect, control and manage emerging and re-emerging zoonotic diseases in Africa has been limited by a lack of utilisation of available reporting structures and policies to support programmes at national and local levels. This study explored the impact of the Zambian government policies on animal and human disease reporting and management and on One Health opportunities. An in-depth review and analysis of strengths, weaknesses, opportunities, and threats in the existing policies and reporting structures in the departments responsible for Veterinary Services, Health, and Wildlife, was conducted. According to our findings, sub-optimal implementation of existing policies related to the control of zoonotic diseases was impacting disease reporting, and reporting structures play an important role in effective and sustainable reporting of zoonotic diseases. Further, the study explored capacities and strategies in trypanosomiasis control as a case study that could prompt effective adoption of a One Health approach, and as such, the study suggests measures that could help to assess the performance of a One Health system in the control of African trypanosomiasis and other zoonotic diseases.

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