scholarly journals Comment on ‘Mental Handicap: Policies and Priorities’

1984 ◽  
Vol 8 (5) ◽  
pp. 84-85 ◽  
Author(s):  
Joan Bicknell

The mental handicap scene is changing but not as quickly as some would like. A constant stream of letters, consultative documents and booklets remind us of the various ways in which we can work together to create a service where the health care component is rationalized and the large hospitals are reduced in size. The services are changing, but there is variation in the pace of change and in the commitment to the joint planning process involved in such change.

2012 ◽  
Vol 2012 ◽  
pp. 1-8 ◽  
Author(s):  
Jane L. Phillips ◽  
John X. Rolley ◽  
Patricia M. Davidson

Aims and Objectives. This paper provides an overview of the applicability of the PRECEDE-PROCEED Model to the development of targeted nursing led chronic illness interventions.Background. Changing health care practice is a complex and dynamic process that requires consideration of social, political, economic, and organisational factors. An understanding of the characteristics of the target population, health professionals, and organizations plus identification of the determinants for change are also required. Synthesizing this data to guide the development of an effective intervention is a challenging process. The PRECEDE-PROCEED Model has been used in global health care settings to guide the identification, planning, implementation, and evaluation of various health improvement initiatives.Design. Using a reflective case study approach, this paper examines the applicability of the PRECEDE-PROCEED Model to the development of targeted chronic care improvement interventions for two distinct Australian populations: a rapidly expanding and aging rural population with unmet palliative care needs and a disadvantaged urban community at higher risk of cardiovascular disease.Results. The PRECEDE-PROCEED Model approach demonstrated utility across diverse health settings in a systematic planning process. In environments characterized by increasing health care needs, limited resources, and growing community expectations, adopting planning tools such as PRECEDE-PROCEED Model at a local level can facilitate the development of the most effective interventions.Relevance to Clinical Practice. The PRECEDE-PROCEED Model is a strong theoretical model that guides the development of realistic nursing led interventions with the best chance of being successful in existing health care environments.


1987 ◽  
Vol 21 (3) ◽  
pp. 857-865 ◽  
Author(s):  
Amos S. Deinard ◽  
Timothy Dunnigan

In this article difficulties experienced over the past six years in providing health care to Southeast Asian refugees are described. The need to involve patients in the planning process, particularly when dealing with patients who come from markedly different cultures, is discussed. The role of the bilingual interpreter is emphasized, and potential conflicts that may be encountered by them are highlighted. Shortcomings of the health care program and alternative approaches that might have resulted in better acceptance of Western health care by the refugees are detailed.


BMJ ◽  
1991 ◽  
Vol 302 (6772) ◽  
pp. 348-348 ◽  
Author(s):  
N Bouras ◽  
C R Drummond
Keyword(s):  

2021 ◽  
Author(s):  
Samantha Zandvliet

Since the 1990s, Ontario’s health care system has faced a number of changes with respect to increasing expenses not reflected in the allotted funding for hospitals. The restructuring of Ontario’s hospital landscape has resulted in amalgamations, takeovers and closures leaving behind viable surplus hospital sites. This paper focuses on the municipal planning process of adaptive reuse through the lens of former hospitals sites in Ontario. The opportunities and challenges that currently exist in the planning process are examined through four case studies of former hospital sites: Sault Area Hospital in Sault Ste. Marie, St. Catharines General Hospital in St. Catharines, St. Joseph's Hospital in Sudbury and St. Joseph’s Hospital in Peterborough. The findings are summarized in to a set of lessons learned from the planning process. These lessons can be used by municipalities to enhance the overall planning process for these former institutional buildings


2019 ◽  
Vol 13 (5) ◽  
pp. 1437
Author(s):  
Maritza Consuelo Ortiz Sanchez ◽  
Carolina Lima Dos Santos ◽  
Maria Lelita Xavier ◽  
Miriam Marinho Chrizostimo ◽  
André Luiz De Souza Braga ◽  
...  

RESUMO Objetivo: analisar os reflexos do processo do planejamento na assistência prestada em duas unidades da atenção básica de saúde. Método: trata-se de um estudo qualitativo, descritivo, tipo pesquisa de campo, tendo, como cenários, uma Unidade Básica de Saúde e uma Policlínica. Coletaram-se os dados em 2017, utilizando-se, como instrumento, um roteiro de entrevista semiestruturado, com quatro enfermeiros. Apresentaram-se os resultados por meio da Análise de Conteúdo. Resultados: evidenciou-se a categoria “Os reflexos do processo do planejamento na assistência prestada na atenção básica em saúde”.  Conclusão: demonstrou-se o conhecimento, por parte dos enfermeiros, sobre o planejamento ao analisar os discursos, refletindo a preocupação do envolvimento de todos para alcançar as metas institucionais. Possibilitou-se, ao ser empregado pelos enfermeiros, refletir sobre a importância da sua utilização para otimizar os serviços de Enfermagem e das instituições onde estes profissionais estão inseridos, porém, a existência de fragilidades, tais como a falta de recursos humanos, materiais, além da falta de reconhecimento de seu trabalho, dificultam, algumas vezes, o alcance dos objetivos. Descritores: Enfermeiros; Planejamento; Serviços de Saúde; Atenção Primária em Saúde; Administração e Organização; Instalações de Saúde.ABSTRACT Objective: to analyze the effects of the planning process in the assistance provided in two basic health care units. Method: this is a qualitative study, descriptive, field-research type, whose scenarios were a Basic Health Unit and a Polyclinic. Data were collected in 2017, using as instrument a semistructured interviews with four nurses. The results were presented by means of content analysis. Results: the category “Consequences of the planning process in the assistance provided in primary health care” emerged. Conclusion: the nurses demonstrated knowledge about planning when analyzing their speeches, reflecting the concern about the involvement of everyone to achieve the institutional goals. When used by nurses, it allowed reflecting on the importance of its use to optimize the nursing services and institutions where these professionals are inserted, however, the existence of weaknesses, such as the lack of human, material resources, in addition to the lack of recognition of their work, sometimes hinder achieving the objectives.Descriptors: Nurses; Planning; Health Services; Primary Health Care; Administration and Organization; Health Facilities.RESUMEN Objetivo: analizar los efectos del proceso de planificación en la asistencia que se presta en dos unidades de atención básica de la salud. Método: se trata de un estudio cualitativo, descriptivo, del tipo investigación de campo, teniendo como escenarios una unidad básica de salud y un policlínico. Los datos fueron recolectados en el 2017, usando como instrumento una entrevista semiestructurada con cuatro enfermeras. Los resultados fueron presentados por medio de análisis de contenido. Resultados: se evidenció la categoría “Reflexiones del proceso de planificación en la asistencia prestada en la atención primaria de la salud”. Conclusión: Se demostró el conocimiento, por parte de enfermeras, acerca de la planificación cuando se analizaron los discursos, reflejando la preocupación de la participación de todos para lograr los objetivos institucionales. Se utilizado por las enfermeras, reflexiona sobre la importancia de su uso para optimizar los servicios de enfermería e instituciones donde estos profesionales se insertan, sin embargo, la existencia de deficiencias, como la falta de recursos humanos, materiales, además de la falta de reconocimiento de su trabajo, hacen difícil, a veces, lograr los objetivos. Descriptores: Enfermeros; Planificación; Servicios de Salud; Atención Primaria de Salud; Administración y Organización; Instalaciones de Salud.


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