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 Management of Devolved Health Services and Healthcare Service Delivery in Arid and Semi-Arid Lands in Kenya

2019 ◽  
Vol 14 (10) ◽  
pp. 21
Author(s):  
Abdihafid Abdullahi Yarow ◽  
Shadrack Jirma ◽  
Elijah Siringi
Keyword(s):  
Health Care ◽  
Health Services ◽  
Service Delivery ◽  
Fiscal Decentralization ◽  
Care Service ◽  
Health Care Service ◽  
Health Service Delivery ◽  
Arid Lands ◽  
Financial Resources ◽  
Semi Arid

The 2010 Constitution provides a legal framework that guarantees an all-inclusive rights-based approach to health service delivery to Kenyans. It provides that Kenyans are entitled to the highest attainable standards of health, which includes the right to healthcare services including reproductive health care (Article 43). The purpose of this study was to investigate the the extent to which management of devolved health services influence health-care service delivery in Arid and Semi-Arid Lands in Kenya. This study was guided by fiscal decentralization theory and theory of performance improvement, as well as sequential theory of decentralization. This study used a triangulation of both positivism and phenomenology. The population under this study constitute the Sub-Counties in ASAL in Kenya with a sample size of 89 Sub-Counties being sampled and 3 patients from each of the 89 sampled sub counties. This study found that, since the onset of devolution, there has been introduction of more healthcare facilities at counties in ASAL resulting with sub-county leaderships have been largely considering the opinions raised by the residents while implementing health services decisions. Management of devolved health services, healthcare has greatly made health facilities and services more accessible to residents compared to before with the previous five years recording great improvement in the quality of the health services at county health centers. The national government should therefore consider increasing financial resources to counties, which would eventually enhance health manpower for better service delivery. This study therefore recommends that the hospitals management should come up with strategies that can help improve financial resources to fund facilities improvement.

Improving service engagement in healthcare through internet of things based healthcare systems

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Vaidik Bhatt ◽  
Samyadip Chakraborty
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Service Delivery ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Content Type ◽  
Service Engagement ◽  
Physician Patient ◽  
Health Care Service Delivery

Purpose The purpose of the study was to empirically validate the linkages between IoT adoption and how it overarched influenced the patient care service engagement. This contributes to the body of knowledge and helps hospital managers to understand the relationship and relevance of IoT adoption; otherwise healthcare sector are late movers towards technology adoption. This gives a nuanced framework towards establishing empirically validated framework which will motivate healthcare services providers to be motivated to adopt and implement IoT enabled care delivery. The physician patient interaction and alignment during decision making will foster positive word of mouth, superior care service and reduce extra overheads for healthcare providers without compromise or rather with increment in service delivery proposition. Design/methodology/approach The study theoretically and empirically describes that with the adoption of internet of things (IoT) devices in health care, better services can be provided to patients by using partial least square – structure equation modelling-based robust technique and explains the better understanding of the health-care process with the help of information pervasiveness, physician-patient orientation and improved patient and physician involvement in the decision-making process. Findings This study shows that wearable IoT device adoption in health-care service delivery opens new opportunities and disrupts the conventional and traditional way of health-care service delivery by empowering the patient to take part in decision-making and enhancing their engagement in health-care service delivery. Research limitations/implications The study might influence by generalizability. Perception-based cross-examination knowledge from the patient’s perspective. It is likely that patients who use these devices will grow accustomed to using them and become more capable of using them. Thus, time-series tests have not been used to catch enhanced skills. New patients’ experiences will be altered over time. Regardless, non-response bias and traditional process bias received excessive interest. Practical implications The study aims at unravelling how the adoption of IoT enabled practices and usage of IoT devices bolsters the available data points in the context of healthcare especially with respect to patient care delivery. The study conceptualizes and empirically validates how the usage of IoT interface enabled technology enables better patient treatment and caregiver participation. The study puts forth a nuanced understanding regarding how pervasively available ubiquitous care information fosters shared decision making. This study further emphasizes that importance of ensuring a reliable computing environment devoid of privacy and security risks. The study attempts at Emphasizing empirically how the enhanced information pervasiveness catapults the patient-provider interactions, through health data exchange. Highlighting the importance of search feature in cloud storage and recovery mechanisms. The study not only fulfills the overarching linkage between enhanced service engagement with IoT adoption, it provides a mental map and ready to refer framework for hospital and healthcare experts to refer to, which prescribes thar care providers must build new methods aimed at empowerment of patients to participate and take more inclusive role. This unique confluence between patients and physicians will unravel the sync; helping not only avoid costly decision errors, but also improve patient care delivery environment. Patients should be permitted to participate in decision-making,inspire patients to be participatory. Originality/value The study efforts to empirically investigate and discover the link between how wearable sensor-based IoT enhances health-care service engagement is underway. Using primary data this linkage validation allows the community and readers at large to gain a nuanced understanding of how superior interaction is enabled by a digital-health-care process with the help of IoT-enabled information pervasiveness, physician-patient orientation and empowered involvement.

scholarly journals Perceptions and Needs of Artificial Intelligence in Health Care to Increase Adoption: Scoping Review (Preprint)

2021 ◽  
Author(s):  
Han Shi Jocelyn Chew ◽  
Palakorn Achananuparp
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Service Delivery ◽  
Scoping Review ◽  
Data Privacy ◽  
Care Service ◽  
Health Care Service ◽  
Mitigation Strategies ◽  
User Experience Design ◽  
Health Care Service Delivery

BACKGROUND Artificial intelligence (AI) has the potential to improve the efficiency and effectiveness of health care service delivery. However, the perceptions and needs of such systems remain elusive, hindering efforts to promote AI adoption in health care. OBJECTIVE This study aims to provide an overview of the perceptions and needs of AI to increase its adoption in health care. METHODS A systematic scoping review was conducted according to the 5-stage framework by Arksey and O’Malley. Articles that described the perceptions and needs of AI in health care were searched across nine databases: ACM Library, CINAHL, Cochrane Central, Embase, IEEE Xplore, PsycINFO, PubMed, Scopus, and Web of Science for studies that were published from inception until June 21, 2021. Articles that were not specific to AI, not research studies, and not written in English were omitted. RESULTS Of the 3666 articles retrieved, 26 (0.71%) were eligible and included in this review. The mean age of the participants ranged from 30 to 72.6 years, the proportion of men ranged from 0% to 73.4%, and the sample sizes for primary studies ranged from 11 to 2780. The perceptions and needs of various populations in the use of AI were identified for general, primary, and community health care; chronic diseases self-management and self-diagnosis; mental health; and diagnostic procedures. The use of AI was perceived to be positive because of its availability, ease of use, and potential to improve efficiency and reduce the cost of health care service delivery. However, concerns were raised regarding the lack of trust in data privacy, patient safety, technological maturity, and the possibility of full automation. Suggestions for improving the adoption of AI in health care were highlighted: enhancing personalization and customizability; enhancing empathy and personification of AI-enabled chatbots and avatars; enhancing user experience, design, and interconnectedness with other devices; and educating the public on AI capabilities. Several corresponding mitigation strategies were also identified in this study. CONCLUSIONS The perceptions and needs of AI in its use in health care are crucial in improving its adoption by various stakeholders. Future studies and implementations should consider the points highlighted in this study to enhance the acceptability and adoption of AI in health care. This would facilitate an increase in the effectiveness and efficiency of health care service delivery to improve patient outcomes and satisfaction.

scholarly journals Perceptions and Needs of Artificial Intelligence in Health Care to Increase Adoption: Scoping Review

10.2196/32939 ◽  
2022 ◽  
Vol 24 (1) ◽  
pp. e32939
Author(s):  
Han Shi Jocelyn Chew ◽  
Palakorn Achananuparp
Keyword(s):  
Artificial Intelligence ◽  
Health Care ◽  
Service Delivery ◽  
Scoping Review ◽  
Data Privacy ◽  
Care Service ◽  
Health Care Service ◽  
Mitigation Strategies ◽  
User Experience Design ◽  
Health Care Service Delivery

Background Artificial intelligence (AI) has the potential to improve the efficiency and effectiveness of health care service delivery. However, the perceptions and needs of such systems remain elusive, hindering efforts to promote AI adoption in health care. Objective This study aims to provide an overview of the perceptions and needs of AI to increase its adoption in health care. Methods A systematic scoping review was conducted according to the 5-stage framework by Arksey and O’Malley. Articles that described the perceptions and needs of AI in health care were searched across nine databases: ACM Library, CINAHL, Cochrane Central, Embase, IEEE Xplore, PsycINFO, PubMed, Scopus, and Web of Science for studies that were published from inception until June 21, 2021. Articles that were not specific to AI, not research studies, and not written in English were omitted. Results Of the 3666 articles retrieved, 26 (0.71%) were eligible and included in this review. The mean age of the participants ranged from 30 to 72.6 years, the proportion of men ranged from 0% to 73.4%, and the sample sizes for primary studies ranged from 11 to 2780. The perceptions and needs of various populations in the use of AI were identified for general, primary, and community health care; chronic diseases self-management and self-diagnosis; mental health; and diagnostic procedures. The use of AI was perceived to be positive because of its availability, ease of use, and potential to improve efficiency and reduce the cost of health care service delivery. However, concerns were raised regarding the lack of trust in data privacy, patient safety, technological maturity, and the possibility of full automation. Suggestions for improving the adoption of AI in health care were highlighted: enhancing personalization and customizability; enhancing empathy and personification of AI-enabled chatbots and avatars; enhancing user experience, design, and interconnectedness with other devices; and educating the public on AI capabilities. Several corresponding mitigation strategies were also identified in this study. Conclusions The perceptions and needs of AI in its use in health care are crucial in improving its adoption by various stakeholders. Future studies and implementations should consider the points highlighted in this study to enhance the acceptability and adoption of AI in health care. This would facilitate an increase in the effectiveness and efficiency of health care service delivery to improve patient outcomes and satisfaction.

scholarly journals The race to the top initiative: towards excellence in health-care service delivery

2015 ◽  
Vol 3 ◽  
pp. S16
Author(s):  
E Nahimana ◽  
H Iyer ◽  
A Manzi ◽  
A Uwingabiye ◽  
N Gupta ◽  
...  
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Race To The Top ◽  
Health Care Service Delivery

scholarly journals mHealth and Health Care Service Delivery in Africa: A Systematic Review

2021 ◽  
Vol 13 (2) ◽  
pp. 123
Author(s):  
Austin Eze Egede ◽  
Cajetan Ikechukwu Ilo ◽  
Maryjane Ikechukwu-Nwobodo ◽  
Tessy Amaka Nnaji ◽  
Rita Ihuoma Anaba ◽  
...  
Keyword(s):  
Systematic Review ◽  
Health Care ◽  
Science Citation Index ◽  
Citation Index ◽  
Care Delivery ◽  
Care Service ◽  
Health Care Service ◽  
Text Messages ◽  
Science Citation ◽  
Services Delivery

We conducted a systematic review of studies on mHealth and health care services delivery that were carried out within Africa. Our search process was through MEDLINE, and then on PubMed, we searched key terms based on various keywords: “Whatsapp, health, Africa, Text messages, health impact, Africa, mHealth tools, Africa”. This was done in December of 2018. Only English written articles from journals indexed in Science Citation Index Expanded and Social Science Citation Index were incorporated in this review. In line with our inclusion criteria, only a total of 19 out of 155 studies were relevant. Inferences from these studies showed that mHealth tools are speedy and quality means for health care delivery in Africa. We also found out that there is less usage of internet devices in Africa as suspected. There is a serious need for improvement in the use of other online based mHealth tools as it was found that the use of Short Messaging Service (SMS) has been the nearly the sole mHealth intervention utilized in Africa. This, it is believed would foster better wider intervention and implementation of quality health outcomes in Africa, and other low and middle-income regions of the world.

Health care service delivery based on the Internet of things: A systematic and comprehensive study

2019 ◽  
Vol 33 (2) ◽  
pp. e4179 ◽  
Author(s):  
Muhammet Usak ◽  
Milan Kubiatko ◽  
Muhammad Salman Shabbir ◽  
Olesya Viktorovna Dudnik ◽  
Kittisak Jermsittiparsert ◽  
...  
Keyword(s):  
Health Care ◽  
Internet Of Things ◽  
Service Delivery ◽  
Care Service ◽  
Health Care Service ◽  
The Internet ◽  
The Internet Of Things ◽  
Health Care Service Delivery ◽  
Comprehensive Study
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