scholarly journals Status of Compassinate,Respectful and Caring Health Service Delivery: A Scoping Review of Human Factors in Care Delivery (Preprint)

10.2196/30804 ◽  
2021 ◽  
Author(s):  
Adane Weldeab ◽  
Binyam Tilahun ◽  
Berhanu Fikadie ◽  
Dessie Abebaw ◽  
Alemayehu Teklu ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Human Factors ◽  
Scoping Review ◽  
Care Delivery ◽  
Health Service Delivery

scholarly journals Health service delivery and workforce in northern Australia: a scoping review

2020 ◽  
Author(s):  
Alexandra Edelman ◽  
John Grundy ◽  
Sarah Larkins ◽  
Stephanie Topp ◽  
David Atkinson ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Scoping Review ◽  
Health Service Delivery ◽  
Northern Australia

How do we capture the emergency nurse practitioners’ contribution to value in health service delivery?

2017 ◽  
Vol 41 (1) ◽  
pp. 89 ◽  
Author(s):  
Natasha Jennings ◽  
Matthew Lutze ◽  
Stuart Clifford ◽  
Michael Maw
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Nurse Practitioners ◽  
Nurse Practitioner ◽  
Care Delivery ◽  
Health Service Delivery ◽  
Healthcare Team ◽  
Rigorous Research ◽  
Care Outcomes ◽  
Team Evaluation

The emergency nurse practitioner is now a well established and respected member of the healthcare team. Evaluation of the role has focused on patient safety, effectiveness and quality of care outcomes. Comparisons of the role continue to focus on cost, with findings based on incomplete and almost impossible to define, recognition of contribution to service delivery by paralleled practitioners. Currently there is no clear definition as to how nurse practitioners contribute to value in health service delivery. Robust and rigorous research needs to be commissioned taking into consideration the unique hybrid nature of the emergency nurse practitioner role and focusing on the value they contribute to health care delivery.

scholarly journals Evidence of integrated health service delivery during COVID-19 in low- and middle-income countries: protocol for a scoping review

2020 ◽  
Author(s):  
Rachel Neill ◽  
Md Zabir Hasan ◽  
Priyanka Das ◽  
Vasuki Venugopal ◽  
Nishant Jain ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Health Systems ◽  
Scoping Review ◽  
Health Service Delivery ◽  
World Health ◽  
Research Database ◽  
Middle Income ◽  
Middle Income Countries ◽  
Integrated Health

Introduction The importance of integrated, people-centered health systems has been recognized as a central component of achieving Universal Health Coverage. Integration has also been highlighted as a critical element for building resilient health systems that can stand the shock of health emergencies. However, there is dearth of research and systematic synthesis of evidence on the synergistic relationship between integrated health services and pandemic preparedness in low- and low-middle income countries (LMICs). Thus, the authors are organizing a scoping review aiming to explore application of integrated health service delivery approaches during the emerging COVID-19 pandemic in LMICs. Methods and analysis This scoping review adheres to the six steps for scoping reviews from Arksey and OMalley (2005). Peer reviewed scientific literature will be systematically assembled utilizing a standardized and replicable search strategy from seven electronic databases, including PubMed, Embase, Scopus, Web of Science, CINAHL Plus, the World Health Organization Global Research Database on COVID-19, and LitCovid. Initially, the title and abstract of the collected literature, published in English from December 2019 to June 2020, will be screened for inclusion which will be followed by a full text review by two independent reviewers. Data will be charted using a data extraction form and reported in narrative format with accompanying data matrices. Ethics and dissemination No ethical approval is required for the review. The study will be conducted from June to December 2020. Results from this study will provide a snapshot of the evidence currently being generated related to integrated health service delivery in response to the COVID-19 pandemic. The findings will be developed into reports and a peer-reviewed articles and will assist policy makers in making pragmatic and evidence-based decisions for current and future pandemic response.

scholarly journals Perspectives of mass customisation and modularisation in health service delivery: a scoping review

2019 ◽  
Vol 17 (4) ◽  
pp. 255
Author(s):  
Katariina Silander ◽  
Anna Särkilahti ◽  
Paulus Torkki ◽  
Antti Peltokorpi ◽  
Maija Tarkkanen ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Scoping Review ◽  
Health Service Delivery ◽  
Mass Customisation

scholarly journals Evidence of integrated health service delivery during COVID-19 in low and lower-middle-income countries: protocol for a scoping review

BMJ Open ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. e042872
Author(s):  
Rachel Neill ◽  
Md Zabir Hasan ◽  
Priyanka Das ◽  
Vasuki Venugopal ◽  
Nishant Jain ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Health Systems ◽  
Scoping Review ◽  
Health Service Delivery ◽  
Data Matrix ◽  
Research Database ◽  
Middle Income ◽  
Middle Income Countries ◽  
Integrated Health

IntroductionThe importance of integrated, people-centred health systems has been recognised as a central component of Universal Health Coverage. Integration has also been highlighted as a critical element for building resilient health systems that can withstand the shock of health emergencies. However, there is a dearth of research and systematic synthesis of evidence on the synergistic relationship between integrated health services and pandemic preparedness, response, and recovery in low-income and lower-middle-income countries (LMICs). Thus, the authors are organising a scoping review aiming to explore the application of integrated health service delivery approaches during the emerging COVID-19 pandemic in LMICs.Methods and analysisThis scoping review adheres to the six steps for scoping reviews from Arksey and O’Malley. Peer-reviewed scientific literature will be systematically assembled using a standardised and replicable search strategy from seven electronic databases, including PubMed, Embase, Scopus, Web of Science, CINAHL Plus, the WHO’s Global Research Database on COVID-19 and LitCovid. Initially, the title and abstract of the collected literature, published in English from December 2019 to June 2020, will be screened for inclusion which will be followed by a full-text review by two independent reviewers. Data will be charted using a data extraction form and reported in narrative format with accompanying data matrix.Ethics and disseminationNo ethical approval is required for the review. The study will be conducted from June 2020 to May 2021. Results from this scoping review will provide a snapshot of the evidence currently being generated related to integrated health service delivery in response to the COVID-19 pandemic in LMICs. The findings will be developed into reports and a peer-reviewed article and will assist policy-makers in making pragmatic and evidence-based decisions for current and future pandemic responses.

scholarly journals Integrated health service delivery during COVID-19: a scoping review of published evidence from low-income and lower-middle-income countries

2021 ◽  
Vol 6 (6) ◽  
pp. e005667
Author(s):  
Md Zabir Hasan ◽  
Rachel Neill ◽  
Priyanka Das ◽  
Vasuki Venugopal ◽  
Dinesh Arora ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Health System ◽  
Scoping Review ◽  
Low Income ◽  
Building Blocks ◽  
Health Service Delivery ◽  
Middle Income ◽  
Published Evidence ◽  
Integrated Health

BackgroundIntegrated health service delivery (IHSD) is a promising approach to improve health system resilience. However, there is a lack of evidence specific to the low/lower-middle-income country (L-LMIC) health systems on how IHSD is used during disease outbreaks. This scoping review aimed to synthesise the emerging evidence on IHSD approaches adopted in L-LMIC during the COVID-19 pandemic and systematically collate their operational features.MethodsA systematic scoping review of peer-reviewed literature, published in English between 1 December 2019 and 12 June 2020, from seven electronic databases was conducted to explore the evidence of IHSD implemented in L-LMICs during the COVID-19 pandemic. Data were systematically charted, and key features of IHSD systems were presented according to the postulated research questions of the review.ResultsThe literature search retrieved 1487 published articles from which 18 articles met the inclusion criteria and included in this review. Service delivery, health workforce, medicine and technologies were the three most frequently integrated health system building blocks during the COVID-19 pandemic. While responding to COVID-19, the L-LMICs principally implemented the IHSD system via systematic horizontal integration, led by specific policy measures. The government’s stewardship, along with the decentralised decision-making capacity of local institutions and multisectoral collaboration, was the critical facilitator for IHSD. Simultaneously, fragmented service delivery structures, fragile supply chain, inadequate diagnostic capacity and insufficient workforce were key barriers towards integration.ConclusionA wide array of context-specific IHSD approaches were operationalised in L-LMICs during the early phase of the COVID-19 pandemic. Emerging recommendations emphasise the importance of coordination and integration across building blocks and levels of the health system, supported by a responsive governance structure and stakeholder engagement strategies. Future reviews can revisit this emerging evidence base at subsequent phases of COVID-19 response and recovery in L-LMICs to understand how the approaches highlighted here evolve.

scholarly journals The Hotel Study—Clinical and Health Service Effectiveness in a Cohort of Homeless or Marginally Housed Persons

2017 ◽  
Vol 62 (7) ◽  
pp. 482-492 ◽  
Author(s):  
William G. Honer ◽  
Alejandro Cervantes-Larios ◽  
Andrea A. Jones ◽  
Fidel Vila-Rodriguez ◽  
Julio S. Montaner ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Opioid Dependence ◽  
Care Delivery ◽  
Specific Treatment ◽  
Clinical Effectiveness ◽  
Health Service Delivery ◽  
Standardized Mortality Ratio ◽  
Physician Visits ◽  
Marginally Housed

Objective: The Hotel Study was initiated in Vancouver’s Downtown East Side (DTES) neighborhood to investigate multimorbidity in homeless or marginally housed people. We evaluated the clinical effectiveness of existing, illness-specific treatment strategies and assessed the effectiveness of health care delivery for multimorbid illnesses. Method: For context, we mapped the housing locations of patients presenting for 552,062 visits to the catchment hospital emergency department (2005-2013). Aggregate data on 22,519 apprehensions of mentally ill people were provided by the Vancouver Police Department (2009-2015). The primary strategy was a longitudinal cohort study of 375 people living in the DTES (2008-2015). We analysed mortality and evaluated the clinical and health service delivery effectiveness for infection with human immunodeficiency virus or hepatitis C virus, opioid dependence, and psychosis. Results: Mapping confirmed the association between poverty and greater number of emergency visits related to substance use and mental illness. The annual change in police apprehensions did not differ between the DTES and other policing districts. During 1581 person-years of cohort observation, the standardized mortality ratio was 8.43 (95% confidence interval, 6.19 to 11.50). Physician visits were common (84.3% of participants over 6 months). Clinical treatment effectiveness was highest for HIV/AIDS, intermediate for opioid dependence, and lowest for psychosis. Health service delivery mechanisms provided examples of poor access, poor treatment adherence, and little effect on multimorbid illnesses. Conclusions: Clinical effectiveness was variable, and illness-specific service delivery appeared to have little effect on multimorbidity. New models of care may need to be implemented.

Status of Compassinate, Respectful and Caring Health Service Delivery: A Scoping Review of Human Factors in Care Delivery (Preprint)

2021 ◽  
Author(s):  
Adane Weldeab ◽  
Binyam Tilahun ◽  
Berhanu Fikadie ◽  
Dessie Abebaw ◽  
Alemayehu Teklu ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Health Care Delivery ◽  
Scoping Review ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Health Service Delivery ◽  
The Status ◽  
Service Training

BACKGROUND As countries are trying to achieve Universal Health Coverage (UHC), quality delivery of health services is crucial. Compassionate, Respectful and Caring health professional (CRC) is an initiative on the need to provide quality services of care to clients and patients. However, there is an evidence gap on the status of compassionate, respectful and caring health care service delivery. OBJECTIVE This scoping review aimed to map global evidences on the status of compassionate, respectful and caring health service delivery practice METHODS An exhaustive literature review and Delphi technique was used to find out the research questions. The studies were searched using electronic databases like MEDLINE (PubMed), Cochrane library, Web of Science, Hinari and WHO library. Additionally, grey literature like Google, Google scholar and World Wide Science were scrutinized. Studies that applied any study design, data collection and analysis methods related to Caring, Respectful and Compassionate care were included. Two authors extracted the data and compared the results. Discrepancies were resolved by discussion or the third reviewer made the decision. The study findings from the existing literature were presented using thematic analysis. RESULTS A total of 1,193 potentially relevant studies were generated from the initial search and 20 studies were included in the final review. From this review, we have identified five thematic areas named as; the status of CRC implementation, facilitators for CRC health care service delivery, barriers in CRC health care delivery, Disrespectful and abusive care encountered by patients; and Perspectives on CRC. The findings of this review indicated that improving the monitoring mechanism of the health facility, improving accountability and aware of the consequences of maltreatment within facilities were critical steps to improve the health care delivery practices. CONCLUSIONS This scoping review identified that as there were low practices of compassionate, respectful and caring (CRC) service provision. Lack of training, the volume of patient flow and bed shortage were founded the main contributors of CRC health care delivery. Therefore, the health care system shall to consider the components of CRC in health care delivery through in-service training, pre-service training, monitoring and evaluation, community engagement, workload division and performance appraisal.

scholarly journals Perspectives of mass customisation and modularisation in health service delivery: a scoping review

2019 ◽  
Vol 17 (4) ◽  
pp. 255
Author(s):  
Minna Kaila ◽  
Maija Tarkkanen ◽  
Paulus Torkki ◽  
Katariina Silander ◽  
Antti Peltokorpi ◽  
...  
Keyword(s):  
Health Service ◽  
Service Delivery ◽  
Scoping Review ◽  
Health Service Delivery ◽  
Mass Customisation
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