scholarly journals Health Care System and Policy Factors Influencing Engagement in HIV Medical Care: Piecing Together the Fragments of a Fractured Health Care Delivery System

2011 ◽  
Vol 52 (suppl_2) ◽  
pp. S238-S246 ◽  
Author(s):  
Michael J. Mugavero ◽  
Wynne E. Norton ◽  
Michael S. Saag
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Health Care System ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Factors Influencing ◽  
Care System

scholarly journals CLINICIAN-PERCEIVED CHALLENGES OF OSTEOPOROSIS CARE IN AN INTEGRATED HEALTHCARE DELIVERY SYSTEM

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S756-S756
Author(s):  
Aaron T Seaman ◽  
Melissa J Steffen ◽  
Karla Miller ◽  
Samantha Solimeo
Keyword(s):  
Health Care ◽  
At Risk ◽  
Health Care System ◽  
Delivery System ◽  
Health Care Delivery ◽  
Bone Health ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Osteoporosis Care ◽  
Care System

Abstract The burden of osteoporosis, both on the health care system and individuals, is high. Despite this, a high percentage of patients with or at risk of osteoporosis are not identified, screened and treated appropriately. Delivering osteoporosis care to at-risk patients is complicated by a fractured health care delivery system. In this presentation, we present data from interviews with VA clinicians in order to identify challenges of osteoporosis care within the VA health care system. While clinicians reported initiating a range of bone health care delivery interventions, they identified challenges that inhibited long-term sustainability: 1) low prioritization of bone health among national and facility leadership; 2) fragmentation of clinical responsibility and care delivery; and 3) barriers endemic to the osteoporosis care delivery system. Our results indicate that, even within an integrated health care delivery system, significant coordination challenges exist.

scholarly journals Challenges of implementing sustainable health care delivery in Nigeria under environmental uncertainty

2014 ◽  
Vol 3 (6) ◽  
pp. 113 ◽  
Author(s):  
Anyika N. Emmanuel
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Delivery System ◽  
Health Care Delivery ◽  
Developing Economies ◽  
Care Delivery ◽  
Environmental Uncertainty ◽  
Health Care Delivery System ◽  
Sustainable Health ◽  
Care System

Introduction: The increasing cost of health care in developed and developing economies has called for a change in the way health activities are implemented. Nigeria is faced with fundamental health care related challenges coupled with recent security issues. Uncertainty prevails as health system dynamics unfolds. Objectives: To explore the relationship between environmental uncertainty and health care delivery system in Nigeria. The study aims at reviewing the dynamics of health care delivery in some developed economies and Nigeria with regard to methods of adaptation of health care under uncertainty, and developing a framework for sustainable health care delivery. Methods: Databases were searched for relevant literatures using the following keywords: environmental and health uncertainty, Nigerian health care system, Nigerian primary health care, health care financing and sustainability. Other keywords used include: US, Europe and China health care dynamics, among others. Scientific databases obtained from the Internet were used including online journals, which were sourced mainly from the Google. Relationships if any were established and a framework for sustainability developed. Results: Environmental uncertainty has a multiplicity of interactions with different aspects of health care system, resulting in poor infrastructural development, inadequate government funding, absence of integrated system for disease prevention and surveillance, policy reversals, security challenges, and unimpressive health indicators in Nigeria. A framework for implementing sustainable health care delivery under uncertainty is proposed. Discussion and conclusion: Uncertainty abounds in the Nigerian health care delivery system; causing further distortion in development of the health sector. Effective mobilization of health care professionals, use of sustainable care plans by government, use of integrated medical intelligence and surveillance systems, accountability, commitment, and above all quality leadership - will minimize uncertainty factors and enhance health care performance and sustainability in Nigeria. 

The provision of basic medical care Health microplanning: a systems approach to appropriate technology

1977 ◽  
Vol 199 (1134) ◽  
pp. 61-68
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Systems Approach ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Appropriate Technology ◽  
Care Health ◽  
Basic Medical

A method of detailed technological planning is described in which a subsystem of the total health care delivery system is identified, and the components within it created and integrated with one another. The components produced are termed a microplan, since they concern planning for technical detail. A project for microplanning in Indonesia is discussed, and some of the promising features of the new method described.

Is It Possible For Caring To Be An Expression of Human Agape In The 21 st Century?

1998 ◽  
Vol 2 (3) ◽  
pp. 32-39 ◽  
Author(s):  
Les Fitzgerald
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Delivery System ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Casemix Funding ◽  
Care Models ◽  
Caring Relationship ◽  
Paradigmatic Change

In Australia and in particular the State of Victoria, the health care delivery system is undergoing paradigmatic change. The development of a bureaucratic health care system that incorporates Casemix Funding, Australian National-Diagnostic Related Groupings and Managed Care models has resulted in the quantification of health care, which has undervalued the art of nursing. This article suggests that in human agape, regard for one’s neighbour and also one’s self clarifies the caring relationship and can assist the emancipation of the artisan component of nursing. A vision of nursing in the future shows a profession engaged in discourse and everyday dialogue about the concept of love as it relates to caring in nursing.

Outcome measures in the rehabilitation of older adults

2001 ◽  
Vol 11 (1) ◽  
pp. 83-89 ◽  
Author(s):  
Chris MacKnight ◽  
Colin Powell
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Medical Care ◽  
Delivery System ◽  
Health Care Delivery ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Outcomes Of Care ◽  
Measuring Outcomes

Why measure?Before we consider what to measure and how to measure outcomes in the rehabilitation of frail older adults, an antecedent question is, why measure these things? Without an answer satisfactory for both measurers and measured, much effort and ingenuity will be expended with resultant perspiration and exasperation and little else.Traditionally, medical care, i.e. that identified by physicians, has assumed that its principal objective was patient care, i.e. that appreciated by patients. Outcomes of care from the viewpoint of the patient, of his or her informal supporters, of the involved health care professionals, and of the health care delivery system have to be clarified and made operationally explicit. This recognition requires definition and measurement. Thus a powerful reason for measuring outcomes for recipients and providers of health care, as well as the health care delivery system, is to know what is happening (the descriptive question) and with what effect (the analytical question).

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