scholarly journals Health System Research: Development, Designs and Methods

2019 ◽  
Vol 3 (1) ◽  
pp. 68-72
Author(s):  
Tulsi Ram Bhandar
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Social Epidemiology ◽  
Local Level ◽  
Healthcare Research ◽  
Health System Research ◽  
Knowledge Generation ◽  
Research Development ◽  
System Research

Health system research concerns with health system and its results provide the bases to managers, policy makers as well as community people to make evidence based decision. There are different interpretations of what a health system is. In narrow meaning, health system is considered the different levels of the health care services such as central level health care, state/ provincial level health care, regional/zonal/district level health care and local level health care. In broad aspect, health system covers different aspects of society such as socio-economic status, culture, religion, education, politics, public sector, private sectors which are the major determinants of social epidemiology. It is also a knowledge generation to improve how societies organise to achieve health goals and contributes to sound, socially relevant and ethically acceptable guidelines for more effective, efficient and sustainable health policies and systems. Key words: Health system research, development, designs, methods, healthcare research

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

scholarly journals Planning Future Health: Developing Big Data and System Modelling Pipelines for Health System Research

2017 ◽  
Vol 27 (4) ◽  
pp. 203-208 ◽  
Author(s):  
Niki Popper ◽  
Florian Endel ◽  
Rudolf Mayer ◽  
Martin Bicher ◽  
Barbara Glock
Keyword(s):  
Big Data ◽  
Health System ◽  
Health System Research ◽  
System Modelling ◽  
System Research ◽  
Future Health

scholarly journals Identifying priority policy issues and health system research questions associated with recovery outcomes for burns survivors in India: a qualitative inquiry

BMJ Open ◽  
2018 ◽  
Vol 8 (3) ◽  
pp. e020045 ◽  
Author(s):  
Jagnoor Jagnoor ◽  
Sheree Bekker ◽  
Shobha Chamania ◽  
Tom Potokar ◽  
Rebecca Ivers
Keyword(s):  
Health System ◽  
Healthcare Providers ◽  
Qualitative Inquiry ◽  
Health System Research ◽  
System Research ◽  
Group Discussions ◽  
Policy Issues ◽  
Referral Networks ◽  
Research Questions ◽  
Priority Policy

ObjectivesThis study aimed to identify priority policy issues and health system research questions associated with recovery outcomes for burns survivors in India.DesignQualitative inquiry; data were collected through semistructured in-depth interviews and focus group discussions.SettingNine sites in urban and rural settings across India, through primary, secondary and tertiary health facilities.ParticipantsHealthcare providers, key informants, burns survivors and/or their carers.ResultsParticipants acknowledged the challenges of burns care and recovery, and identified the need for prolonged rehabilitation. Challenges identified included poor communication between healthcare providers and survivors, limited rehabilitation services, difficulties with transportation to health facility and high cost associated with burns care. Burns survivors and healthcare providers identified the stigma attached with burns as the biggest challenge within the healthcare system, as well as in the community. Systems barriers (eg, limited infrastructure and human resources), lack of economic and social support, and poor understanding of recovery and rehabilitation were identified as major barriers to recovery.ConclusionsThough further research is needed for addressing gaps in data, strengthening of health systems can enable providers to address issues such as developing/providing, protocols, capacity building, effective coordination between key organisations and referral networks.

scholarly journals Health mediator model as a way to access to care and health information for Syrian refugees in Turkey

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
I Kayi ◽  
Z Şimşek2 ◽  
G Yıldırımkaya
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Legal Status ◽  
Healthcare Access ◽  
Syrian Refugees ◽  
Care Services ◽  
Access To Health ◽  
The City

Abstract The number of Syrian refugees residing in Turkey has increased over 200 times since 2012 reaching to 3,621,330 (April 2019). Turkey has granted temporary protection status, including access healthcare in the city of registration. Ministry of Health provides on-site health service in temporary shelters, however more than 90% of the Syrian refugees choose to stay in community settings, which along with language barriers limits their ability to access health care and information. With UNFPA we have designed a health mediator model to improve access to health care and awareness on priority concerns such as mental health, reproductive health, child health, health system in Turkey and legal status provided to Syrian refugees. This study is a participatory operational research to test the health mediator model. Operationalization took place in 3 phases: (1) selection and training of Syrian health mediators and provincial coordinators; (2) household visits and data collection; (3) evaluation and supervision. So far, we have trained 174 health mediators from 24 different Turkish cities. Training took 5 days with up to 30 participants each. UNFPA collaborated with NGOs that work with Syrian refugees for coordination purposes. Health mediators made household visits to reach out to Syrian families, gave health education and where necessary support for access to health care services, and conducted a needs assessment. Data collected has been the subject to weekly supervision meetings by local NGOs, health mediators and coordinators to set priorities for the upcoming week. Health mediator model was effective in reaching out to hard-to-reach groups among Syrian refugees, increased health system and legal awareness, contribute to improved healthcare access and prevention of negative health outcomes such as teenage marriages and pregnancies. Inclusion of refugees in decision-making and guidance during the implementation of the project was key for project success.

Assessing Low-Value Health Care Services In The Military Health System

2019 ◽  
Vol 38 (8) ◽  
pp. 1351-1357 ◽  
Author(s):  
Tracey Pérez Koehlmoos ◽  
Cathaleen King Madsen ◽  
Amanda Banaag ◽  
Adil H. Haider ◽  
Andrew J. Schoenfeld ◽  
...  
Keyword(s):  
Health Care ◽  
Health System ◽  
Health Care Services ◽  
Military Health System ◽  
Military Health ◽  
Care Services ◽  
The Military
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