scholarly journals Human Resource Staffing and Service Functions of Community Health Services Organizations in China

2008 ◽  
Vol 6 (5) ◽  
pp. 421-427 ◽  
Author(s):  
J. Yang ◽  
A. Guo ◽  
Y. Wang ◽  
Y. Zhao ◽  
X. Yang ◽  
...  
2018 ◽  
Vol 42 (1) ◽  
pp. 93 ◽  
Author(s):  
Katherine E. Harding ◽  
Nicole Robertson ◽  
David A. Snowdon ◽  
Jennifer J. Watts ◽  
Leila Karimi ◽  
...  

Objectives Wait lists are common in ambulatory and community-based services. The aim of the present study was to explore managers’ perceptions of factors that contribute to wait times. Methods A qualitative study was conducted using semi-structured interviews with managers and team leaders of ambulatory and community health services within a large health network. Interviews were transcribed and coded, and the codes were then grouped into themes and subthemes. Results Representatives from 26 services participated in the project. Four major themes were identified. Three themes related to reasons and factors contributing to increased wait time for services (inefficient intake and scheduling processes; service disruptions due to human resource issues; and high service demand). A fourth theme related to staff attitudes towards wait times and acceptance and acknowledgement of wait lists. Conclusions Service providers perceive high demand to be a key driver of wait times, but a range of other factors also contributes and may represent opportunities for improving access to care. These other factors include improving process efficiencies, greater consistency of service delivery through more efficient management of human resources and shifting to more consumer-centred approaches in measuring wait times in order to drive improvements in patient flow. What is known about the topic? Wait times are common in out-patient and ambulatory services. These services experience high demand, which is likely to continue to grow as health service delivery shifts from hospital to community settings. What does this paper add? Although demand is an important driver of wait times, there are other modifiable factors that also contribute, including process inefficiencies and service disruption related to human resource issues. An underlying staff attitude of acceptance of wait times appears to be an additional barrier to improving access. What are the implications for practitioners? The findings of the present study suggest that there are opportunities for improving access to ambulatory and community health services through more efficient use of existing resources. However, a more consumer-focused approach regarding acceptability of wait times is needed to help drive change.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Wenling Hu ◽  
Huanqing Hu ◽  
Wei Zhao ◽  
Aiqun Huang ◽  
Qi Yang ◽  
...  

Abstract Background Antenatal care (ANC) played a crucial role in ensuring maternal and child safety and reducing the risk of complications, disability, and death in mothers and their infants. The objective of this study was to evaluate the current status of ANC emphasizing the number, timing, and content of examinations on a national scale. Methods The data was collected from maternal and newborn’s health monitoring system at 8 provinces in China. After ethical approval, all pregnant women registered in the system at their first prenatal care visit, we included 49,084 pregnant women who had delivered between January 1, 2018 and December 31, 2018. Descriptive statistics of all study variables were calculated proportions and chi-square for categorical variables. Results Of the 49,084 women included in this study, the mean number of ANC visits was 6.95 ± 3.45. By percentage, 78.79% women received ANC examinations at least five times, 39.93% of the women received ANC examinations at least eight times and 16.66% of the women received ANC examinations at least 11 times. The proportion of first ANC examination in first trimester was 61.87%. The percentage of normative ANC examinations and the percentage of qualified ANC examinations were 30.98 and 8.03% respectively. Only 49.40% of the total women received all six kinds of examination items in first ANC examination: 91.47% received a blood test, 91.62% received a urine test, 81.56% received a liver function examination, 80.52% received a renal function examination, 79.07% received a blood glucose test, and 86.66% received a HIV/HBV/syphilis tests. 50.85% women received the first ANC examination in maternal and child health care (MCH) institutions, 14.07% in a general hospital, 18.83% in a township hospital, 13.15% in a community health services center, and 3.08% in an unspecified place. The proportion of women who received each of the ANC examination items in community health services center was the highest, but that in the MCH institutions was the lowest. Conclusions There is a big difference between the results of this study and the data in official reports, this study found the current status of antenatal care is not optimal in China, findings from this study suggest that the systematization, continuity and quality of ANC examinations need to be improved.


2021 ◽  
pp. 136749352110058
Author(s):  
Helen J Nelson ◽  
Catherine Pienaar ◽  
Anne M Williams ◽  
Ailsa Munns ◽  
Katie McKenzie ◽  
...  

Patient experience surveys have a user focus and measure the quality of person-centered health care for hospital inpatients and consumers of community health services, providing a governance process to evaluate the quality of care and to action improvement. Experience of care has been described as effective communication, respect and dignity, and emotional support. Measurement criteria for these domains are not standardized, leading to inconsistent reporting of patient experience. The objective of this scoping review was to synthesize evidence for measuring experience of care in children’s community health services using the Joanna Briggs Institute framework for scoping review method. Three parent-reported surveys met the inclusion criteria, and 50 survey items were assessed by expert reviewers for fit to domains of healthcare experience. Conceptual domains of parent experience in children’s community health services included respect and dignity, effective communication, and emotional support. A gap was identified, in that few items in identified surveys measured emotional support. This contribution will promote consistent reporting of healthcare experience, informing policy and practice for person-centered health care.


1971 ◽  
Vol 20 (6) ◽  
pp. 545
Author(s):  
ROSELLA. CUNNINGHAM

1970 ◽  
Vol 19 (6) ◽  
pp. 546
Author(s):  
Hodgman ◽  
Callahan Eileen

2021 ◽  
Vol 4 (1) ◽  
pp. Editing
Author(s):  
Diyah Probowulan ◽  
Nina Martiana

Muhammadiyah's charitable efforts as a community based on economic assets have a significant number of assets that are non-profit oriented. This certainly will be very different in the perspective of economic assets when viewed from the accounting field because Muhammadiyah charity efforts are based on publicity, this is very interesting to study because there are still a lack of public-based research. The purpose of this study is to reveal the perspective of the meaning of charity business as a community based on economic assets in the Muhammadiyah Business Charity sector in health in Jember Regency. This research uses a phenomenology paradigm with qualiative methods to interpret charity business as an asset-based economy of humanity. The perspective of economic assets is similar to the founders statement of Muhammadiyah, KH Ahmad Dahlan, such as ta'awun, tawashi ', and fastabikhul khoirot. When the internalization of economic assets is successful, the performance of charity efforts will continue to increase and not cause fundamental ideological conflicts. The results of the research show that Amal is a community-based economic asset and human resource as an economic driver of the people, of course as a means of propaganda, a means of improving public health services, and as an organizational asset. In essence, the charitable endeavors of Ranap Ambulu clinic, Asyifa Wuluhan Clinic, Ar Rahman Bangsalsari Clinic and dr. Suherman Sumbersari in Jember Regency is a means to improve the community health services community and also the assets of Muhammadiyah organizations in Jember Regency.Keywords Business Charity, Perspective, Economic Assets, PhenomenologyAbstrak: Upaya amal usaha Muhammadiyah sebagai komunitas yang didasarkan pada aset ekonomi memiliki sejumlah besar aset yang berorientasi nirlaba. Ini tentu akan sangat berbeda dalam perspektif aset ekonomi jika dilihat dari bidang akuntansi karena upaya amal usaha Muhammadiyah didasarkan pada publisitas, ini sangat menarik untuk dikaji karena masih kurangnya penelitian berbasis publik. Penelitian ini bertujuan untuk mengungkap perspektif makna aset ekonomi amal usaha Muhammadiyah di bidang kesehatan di Kabupaten Jember. Penelitian ini menggunakan paradigma kualitatif dengan metode fenomenologis interpretif untuk menginterpretasikan aset ekonomi amal usaha berbasis keumatan. Perspektif aset ekonomi dikonfirmasi oleh nilai permaknaan yang dipromosikan oleh pendiri Muhammadiyah yaitu Kyai Haji Ahmad Dahlan, antara lain ta'awun, tawashi ', dan fastabikhul khoirot. Kemudian makna aset ekonomi diinternalisasi dalam semua upaya amal melalui beberapa tahap secara bersamaan. Ketika internalisasi aset ekonomi berhasil, kinerja upaya amal akan terus meningkat dan tidak menyebabkan konflik ideologis mendasar. Hasil penelitian menunjukkan bahwa Amal adalah aset ekonomi berbasis masyarakat dan sumber daya manusia sebagai pendorong ekonomi rakyat, tentu saja sebagai sarana propaganda, sarana meningkatkan pelayanan kesehatan masyarakat, dan sebagai aset organisasi. Intinya, upaya amal klinik Ranap Ambulu, Klinik Asyifa Wuluhan, Klinik Ar Rahman Bangsalsari dan dr. Suherman Sumbersari di Kabupaten Jember adalah sarana untuk meningkatkan pelayanan kesehatan masyarakat dan juga aset organisasi Muhammadiyah di Kabupaten Jember.Kata Kunci:  Amal Usaha, Aset Ekonomi, Berbasis Keumatan 


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