scholarly journals Debate: Quantity of impatient beds and quality of child psychiatric and psychotherapeutic care provision – a German perspective

2021 ◽  
Vol 26 (2) ◽  
pp. 169-170
Author(s):  
Isabel Boege ◽  
Joerg M. Fegert
Keyword(s):  
Care Provision ◽  
Child Psychiatric ◽  
Psychotherapeutic Care

scholarly journals Nocturnal digital surveillance in aged populations and its effects on health, welfare and social care provision: a systematic review

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Matt X. Richardson ◽  
Maria Ehn ◽  
Sara Landerdahl Stridsberg ◽  
Ken Redekop ◽  
Sarah Wamala-Andersson
Keyword(s):  
Systematic Review ◽  
Standard Care ◽  
Social Care ◽  
Grey Literature ◽  
Care Quality ◽  
Risk Of Bias ◽  
Future Research ◽  
Care Provision ◽  
Digital Surveillance

Abstract Background Nocturnal digital surveillance technologies are being widely implemented as interventions for remotely monitoring elderly populations, and often replace person-based surveillance. Such interventions are often placed in care institutions or in the home, and monitored by qualified personnel or relatives, enabling more rapid and/or frequent assessment of the individual’s need for assistance than through on-location visits. This systematic review summarized the effects of these surveillance technologies on health, welfare and social care provision outcomes in populations ≥ 50 years, compared to standard care. Method Primary studies published 2005–2020 that assessed these technologies were identified in 11 databases of peer-reviewed literature and numerous grey literature sources. Initial screening, full-text screening, and citation searching steps yielded the studies included in the review. The Risk of Bias and ROBINS-I tools were used for quality assessment of the included studies. Result Five studies out of 744 identified records met inclusion criteria. Health-related outcomes (e.g. accidents, 2 studies) and social care outcomes (e.g. staff burden, 4 studies) did not differ between interventions and standard care. Quality of life and affect showed improvement (1 study each), as did economic outcomes (1 study). The quality of studies was low however, with all studies possessing a high to critical risk of bias. Conclusions We found little evidence for the benefit of nocturnal digital surveillance interventions as compared to standard care in several key outcomes. Higher quality intervention studies should be prioritized in future research to provide more reliable evidence.

Policies on Telemedicine-Enhanced Hospital Services

2013 ◽  
pp. 1-14
Author(s):  
Angelo Rossi Mori ◽  
Mariangela Contenti ◽  
Rita Verbicaro
Keyword(s):  
Primary Care ◽  
Quality Of Care ◽  
Patient Engagement ◽  
Health Professionals ◽  
Evaluation Criteria ◽  
Comparative Assessment ◽  
Care Provision ◽  
Conceptual Frame ◽  
Care Processes

Modern telemedicine offers to hospitals a whole range of opportunities to improve the appropriateness of their care provision, to offer new services to primary care and to contribute to patient engagement. In this chapter, the authors briefly discuss their approach to facilitate the collaborative production of region-wide telemedicine roadmaps involving the hospitals, explicitly based on national and regional healthcare strategic priorities. In addition, as an operational contribution to support their approach, they introduce a conceptual frame for evaluating and prioritizing multiple ICT-enhanced innovation interventions, within an all-inclusive plan. The proposed frame captures relevant evaluation criteria belonging to four broad categories: the systemic benefits related to the quality of care; direct economic factors; the cultural viability; and the technological feasibility. As an example, the authors simulate an application of our conceptual frame to the comparative assessment of three kinds of telemedicine-enhanced interventions: (i) to improve the care processes driven by the hospital, (ii) to support health professionals, and (iii) to promote citizen’s engagement.

scholarly journals Gratitude in Health Care: A Meta-narrative Review

2020 ◽  
Vol 30 (14) ◽  
pp. 2303-2315
Author(s):  
Giskin Day ◽  
Glenn Robert ◽  
Anne Marie Rafferty
Keyword(s):  
Health Care ◽  
Social Capital ◽  
Care Ethics ◽  
Well Being ◽  
Narrative Review ◽  
Care Provision ◽  
The Past ◽  
Making Sense ◽  
Developing Area

Research into gratitude as a significant sociological and psychological phenomenon has proliferated in the past two decades. However, there is little consensus on how it should be conceptualized or investigated empirically. We present a meta-narrative review that focuses on gratitude in health care, with an emphasis on research exploring interpersonal experiences in the context of care provision. Six meta-narratives from literatures across the humanities, sciences, and medicine are identified, contextualized, and discussed: gratitude as social capital; gifts; care ethics; benefits of gratitude; gratitude and staff well-being; and gratitude as an indicator of quality of care. Meta-narrative review was a valuable framework for making sense of theoretical antecedents and findings in this developing area of research. We conclude that greater attention needs to be given to what constitutes “evidence” in gratitude research and call for qualitative studies to better understand and shape the role and implications of gratitude in health care.

scholarly journals Do We Get What We Pay For? Examining the Relationship Between Payments and Clinical Outcomes in High-Volume Elective Surgery in a Commercially-Insured Population

2020 ◽  
Vol 57 ◽  
pp. 004695802096878
Author(s):  
Madison Arenchild ◽  
Anaeze C. Offodile ◽  
Lee Revere
Keyword(s):  
Elective Surgery ◽  
High Volume ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Care Provision ◽  
Quality Outcomes ◽  
Prolonged Length ◽  
The Cost ◽  
The Relationship

Studies evaluating the cost and quality of healthcare services have produced inconsistent results. We seek to determine if higher paid hospitals have higher quality outcomes compared to those receiving lower payments, after accounting for clinical and market level factors. Using inpatient commercial claims from the IBM® MarketScan® Research Databases, we used an ordinal logistic regression to analyze the association between hospital median payments for elective hip and knee procedures and 3 quality outcomes: prolonged length of stay, complication rate, and 30-day readmission rate. Patient-level and market factor covariates were appropriately adjusted. Hospital-level payments were found to be not significantly correlated with hospital quality of care. This research suggests that higher payments cannot predict higher quality outcomes. This finding has implications for provider-payer negotiations, value-based insurance designs, strategies to increase high-value care provision, and consumer choices in an increasingly consumer-oriented healthcare landscape.

Provision and Wellbeing: An Agenda for Public Resources Research

1982 ◽  
Vol 14 (3) ◽  
pp. 297-310 ◽  
Author(s):  
K Jones ◽  
A Kirby
Keyword(s):  
Quality Of Life ◽  
Health Care ◽  
Social Policy ◽  
Empirical Work ◽  
Health Care Provision ◽  
Public Facility ◽  
Care Provision ◽  
Public Resources ◽  
A Chain

This paper begins by assessing the state of public facility location research, and follows Dear in suggesting that a new context for analysis is required. Such a context is outlined, placing public goods within a chain of provision that links social policy with the individual's quality of life. Parts of this argument are illustrated with recourse to preliminary empirical work undertaken in Reading on aspects of health-care provision.

Experimental Evidence on the Long-Run Impact of Community-Based Monitoring

2017 ◽  
Vol 9 (1) ◽  
pp. 33-69 ◽  
Author(s):  
Martina Björkman Nyqvist ◽  
Damien de Walque ◽  
Jakob Svensson
Keyword(s):  
Health Care ◽  
Health Outcomes ◽  
Lower Cost ◽  
Care Delivery ◽  
Care Provision ◽  
Community Based ◽  
Long Run ◽  
Short Run

We evaluate the longer run impact of a local accountability intervention in primary health care provision in Uganda. Short-run improvements in health care delivery and health outcomes remained in the longer run despite minimal follow-up. We find no impact on the quality of care or health outcomes of a lower cost intervention that focused on encouraging participation but did not provide information on staff performance. We provide suggestive evidence that informed beneficiaries are more likely to identify and challenge (mis)behavior by providers and, as a result, turn their focus to issues that they can manage locally. (JEL H75, I11, I18, O15, O18)

scholarly journals Should dehydration in older people be a marker of lack of quality in long term care provision?

2014 ◽  
Vol 15 (4) ◽  
pp. 232-236 ◽  
Author(s):  
Lee Hooper ◽  
Diane K Bunn
Keyword(s):  
Older People ◽  
Residential Care ◽  
Design Methodology ◽  
Long Term Care ◽  
Care Provision ◽  
Good Care ◽  
Term Care ◽  
Content Type

Purpose – The purpose of this paper is to consider whether dehydration in older people should be used as a marker of lack of quality in long-term care provision. Design/methodology/approach – The piece examines the assumed relationship between dehydration and the quality of care, and then considers the factors that can lead to dehydration in older people. Findings – Even with the best care, older people, in the absence of a sense of thirst, and for fear of urinary accidents, difficulties getting to the toilet or choking, may choose to drink less than would be ideal for their health. While good care supports older people to minimise these problems, it also respects older people making their own decisions around when, what and how much to drink. It appears that dehydration may sometimes be a sign of good care, as well as arising from poor care. Social implications – Residential care homes should not be stigmatised on the basis of their residents being dehydrated, but rather helped to explore whether they are achieving an appropriate balance between care and quality of life for their residents. Originality/value – This discussion may be of use to those living in, working in, managing or assessing residential care.

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