scholarly journals Making the case for Community Interpreting in health care: from needs assessment to risk management

2021 ◽  
Vol 5 ◽  
Author(s):  
Diana Abraham ◽  
Marco A. Fiola
Keyword(s):  
Risk Management ◽  
Language Barriers ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Management Perspective ◽  
French Speaking ◽  
English Speaking ◽  
The Government ◽  
Government Of Canada ◽  
Rights Issue

In Canada, community interpreting is little recognized and valued by public institutions, including those in the healthcare sector. Although many healthcare practitioners recognize the crucial role played by interpreters in delivering healthcare services, some of them ascribe to the notion that the inability to communicate with English-speaking or French-speaking patients is the patient ’s problem, and that any linguistic miscommunication which may occur is the responsibility of the patient. This attitude contributes to the degree to which healthcare practitioners rely on interpreting provided by family members, including children, without consideration either for risks of errors and omission or for potential violations of confidentiality, which are likely to occur when askingfriends or relatives to provide interpreting services. This “wall of resistance” has been deemed responsiblefor much of the difficulty experienced in Canada by immigrant and minority language advocacy groups in trying to ensure community interpreting services for immigrants, refugees and those Canadians with limited proficiency in English and/or French. A recently completed research studyfunded by the Government of Canada suggests that a paradigm shift may be operating in the healthcare sector, and that instead of still seeing language barriers solely as a human rights issue, language barriers should be considered from a risk-management perspective as well. This paper will review some of the mainfindings of this study.

Corrupt Practices in the Public Health Sector: A Focus on Metropolitan Local Government Areas of Kano State, Nigeria

2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi
Keyword(s):  
Public Health ◽  
Local Government ◽  
Health Sector ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Healthcare Provision ◽  
The Public ◽  
Public Health Sector ◽  
The Government

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.

scholarly journals Public financing in healthcare-The case of Kosovo in theory and practice

2020 ◽  
pp. 40-50
Author(s):  
Prof.Assis.Dr.Nerimane Bajraktari ◽  
Eco.Ali Ahmeti, MSc
Keyword(s):  
Practical Knowledge ◽  
Healthcare Services ◽  
Theory And Practice ◽  
Healthcare Sector ◽  
The Public ◽  
Tertiary Healthcare ◽  
The Government ◽  
Political Communities ◽  
One Year ◽  
Legal Entities

The man by nature tries and develops his activity for a better, richer and happier life, which in its essence means fulfilling diversified material, spiritual and cultural needs. Government, social-political communities or public legal entities, contemporary entities and institutions with forms of organization, with mechanism, and their instruments based on laws, must offer an organized life and opportunities for fulfilling general and common needs. Up to date, theoretical and practical knowledge shows that basic needs (security, education, healthcare, protection, jurisprudence, etc.) can be fulfilled more easily, faster, and more successfully, more rationally and continually, with higher quantity and quality with better and fairer organizing of the state and of the public legal entities of the institutions that respond to requests on realization of the new social and economic order of the world. The healthcare sector in Kosovo is financed mainly on income taxes, taxes, and co-payments, whereas out-of-pocket private payments are very high and include about 40% of costs for healthcare services. The budget for healthcare allocated by the government in the year 2015 was in total 163,760,703 million €, whereas the participation of budget for healthcare out of Kosovo’s total budget is 9.73., and 2,79% of GLP, that provided 90.72 € per citizen within one year! PHC is financed through transfers from the central budget to municipalities on specific grant form, on the amount 42,085,036 € that includes 28 % of the budget provided for healthcare. SHC and THC are financed by the Ministry, and it includes over 72% of the budget provided for healthcare. (PHC-primary healthcare, SHC-secondary healthcare, THC- tertiary healthcare).

scholarly journals Når trenger jeg å tilkalle tolk? Forskning om tolking i helsetjenesten

2015 ◽  
Vol 2 (1) ◽  
Author(s):  
Gry Sagli
Keyword(s):  
Healthcare Worker ◽  
Health Personnel ◽  
Language Barriers ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Research Strategy ◽  
Research Literature ◽  
Healthcare Sector ◽  
Healthcare Personnel ◽  
Patient Centered

This article is about interpreting in the healthcare sector in Norway. Effective communication between patients and health personnel is vital for the provision of high-quality, patient- centered healthcare services. As Norway, like many other countries, becomes increasingly multi-ethnic and multi-lingual, language barriers and cultural misunderstandings present a significant long-term challenge in healthcare. It is now well established that the use of qualified interpreters significantly improves the quality of healthcare. Accordingly it is crucial that a qualified interpreter be available when necessary. Legal rules and guidelines state that health personnel are responsible for assessing whether the services of an interpreter are necessary. These documents offer few clues, however, about which criteria a healthcare worker should apply when deciding whether to book an interpreter, and in practice healthcare workers find it difficult to assess when an interpreter’s presence will be necessary. The main aim of this article is to explore what the research literature has to say about this question. What are the main issues that research has focused on? Does research offer any answers as to exactly when an interpreter needs to be called? Research concerning the use of interpreters in healthcare in Norway is still very limited. Nonetheless, in the past few years some studies and reports have been published. The main issues that have been discussed are: the interpreter’s roles and responsibilities, under-use of qualified interpreters in healthcare; and strategies employed by health personnel in order to cope with language barriers when not using an interpreter. Only some very general conclusions can be drawn from these studies. Little attention has been given to the question of how to decide when a qualified interpreter is required. Two important issues have scarcely been addressed in the context of healthcare in Norway: the level of the patient’s proficiency in Norwegian; and the extent of the language gap between the patient and the healthcare worker. Lack of knowledge on this topic is significant, as obviously the language gap is the principal cause of the need for language assistance in the first instance. Another consideration is the importance of the conversation: depending upon the seriousness of the situation, a healthcare worker must exercise judgment in deciding the extent to which accurate communication needs to be ensured. This question, at least in the context of healthcare personnel and their patients, should be addressed to groups other than researchers on interpreting; the question illustrates the need for an inter-disciplinary research strategy in order adequately to address issues related to interpreting in healthcare.

scholarly journals Les enjeux de la réforme du Sénat

2005 ◽  
Vol 25 (1) ◽  
pp. 189-208
Author(s):  
Léon Dion
Keyword(s):  
Prime Minister ◽  
French Language ◽  
Revision Procedure ◽  
French Speaking ◽  
English Speaking ◽  
The Government ◽  
Education Culture ◽  
Act One ◽  
Public Demand

The proposed reform of the Senate has not originated from widespread public demand but from the determination of Prime Minister Trudeau to proceed with the revision of the Canadian Constitution without further delay. In view of the refusal of the government of Quebec to sign and recognize the Constitution Act, one may question the advisability of such a move. The author proposes that before proceeding to a reform of the Senate, one should amend the constitutional revision procedure adopted in 1982 so as to recognize more fully the Canadian duality and to modify the amending formula in a way more satisfactory to Quebec. As to the Senate reform itself, a mechanism for the election of Senators is proposed, as well as two principles of a « double majority » : a first constituted of French-speaking and English-speaking Senators for a better protection of the French language, and a second made up of the Senators from Quebec and from the other provinces to deal with matters of education, culture, social affairs, communications and immigration.

Inter-Governmental Meeting on Youth Employment and National Development

1968 ◽  
Vol 6 (2) ◽  
pp. 262-264
Author(s):  
Archibal Callaway
Keyword(s):  
United Nations ◽  
National Development ◽  
Youth Employment ◽  
Economic Commission ◽  
The World ◽  
French Speaking ◽  
English Speaking ◽  
The United Nations ◽  
The Government

Organised by the Economic Commission for Africa, with the Government of Niger as host, this meeting brought together delegates from 16 African Governments (11 French-speaking, 5 English-speaking) and observer/ participants from the United Nations and its specialised agencies (I.L.O., U.N.E.S.C.O., U.N.I.C.E.F., F.A.O., W.H.O.), the O.A.U., the World Assembly of Youth, the World Y.W.C.A., the Organisation internationale des employeurs, and the All Africa Conference of Churches.

scholarly journals Records management and risk management at Kenya Commercial Bank Limited, Nairobi

2011 ◽  
Vol 13 (1) ◽  
Author(s):  
Cleophas Ambira ◽  
Henry Kemoni
Keyword(s):  
Risk Management ◽  
Commercial Bank ◽  
Management Practices ◽  
Process Analysis ◽  
Management Model ◽  
Success Factor ◽  
Records Management ◽  
Wide Range ◽  
The Government ◽  
Government Of Canada

Background: This paper reported empirical research findings of an MPhil in Information Sciences (Records and Archives Management) study conducted at Moi University in Eldoret, Kenya between September 2007 and July 2009.Objectives: The aim of the study was to investigate records management and risk management at Kenya Commercial Bank (KCB) Ltd, in the Nairobi area and propose recommendations to enhance the functions of records and risk management at KCB. The specific objectives of the study were to, (1) establish the nature and type of risks to which KCB is exposed, (2) conduct business process analysis and identify the records generated by KCB, (3) establish the extent to which records management is emphasised within KCB as a tool to managing risk, (4) identify which vital records of KCB need protection because of their nature and value to the bank and (5) make recommendations to enhance current records management practices to support the function of risk management in KCB.Method: The study was qualitative. Data were collected through face-to-face interviews. The theoretical framework of the study involved triangulation of the records continuum model by Frank Upward (1980) and the integrated risk management model by the Government of Canada (2000).Results: The key findings of the study were, (1) KCB is exposed to a wide range of risks by virtue of its business, (2) KCB generates a lot of records in the course of its business activities and (3) there are inadequate records management practices and systems, the lack of which undermines the risk management function.Conclusion: The findings of this study have revealed the need to strengthen records management as a critical success factor in risk mitigation within KCB and, by extension, the Kenyan banking industry. A records management model was proposed to guide the management of records within an enterprise-wide risk management framework in the bank.

scholarly journals Bilingualism in Canada: the legislation's reform

2021 ◽  
pp. 0
Author(s):  
Tatiana Shchukina
Keyword(s):  
Learning Opportunities ◽  
Language Minority ◽  
Official Language ◽  
Minority Communities ◽  
French And English ◽  
French Speaking ◽  
Official Language Minority ◽  
Official Languages ◽  
The Government ◽  
Government Of Canada

The Official Language Act plays a key role in the lives of Canadians. Its purpose is to ensure respect for English and French as the official languages of Canada in governmental and parliamentary institutions, support the development and vitality of official language minority communities, set out powers, duties and functions of federal institutions with respect to the official languages of Canada. The Government of Canada has decided to modernize the Act to ensure that it continues to serve Canadians in a changing environment. That is why the Government of Canada showed its commitment to promote, protect and update a law by sharing its vision for official languages reform in February, titled French and English: Towards a substantive equality of official languages in Canada. After 30 years since the last major update, a modernization of the Official Languages Act is necessary to allow the law to keep pace with the social, demographic and technological realities in today’s society, which did not exist during the last revision in 1988. The bill recognizes the diversity of provincial and territorial language regimes and focuses on learning opportunities of the first language in minority settings and on learning opportunities of a second official language in a majority situation to improve the rate of bilingualism among Canadians. The bill also seeks to protect institutions of official language minority communities both for the English-speaking minority in Quebec and for the French-speaking minority in the rest of the country, and proposes new ways to better protect French in Canada, including in Québec.  

Public policy and operational alignment in light of public service retrenchment – lessons learned from Canada

2015 ◽  
Vol 83 (3) ◽  
pp. 443-462 ◽  
Author(s):  
Karine Levasseur ◽  
Andrea Rounce
Keyword(s):  
Public Policy ◽  
Central Government ◽  
Lessons Learned ◽  
Policy Makers ◽  
The Public ◽  
Management Perspective ◽  
The Government ◽  
Government Of Canada ◽  
One Year

This article examines the Strategic and Operating Review (SOR) process used by the Government of Canada through a strategic management perspective. Initiated by the Harper government in the 2011 Budget as a one-year process, SOR is expected to secure savings of CDN$4 billion by 2014–15 from the CDN$80 billion operating budget of departments. Our article assesses to what degree the strategic operational cuts support the public policy priorities of the Harper government. Points for practitioners Using Canada as a case study to understand how budgetary cuts are handled, this article provides an opportunity to consider how policy makers align operational cuts with public policy priorities. While the budget cuts in this case study are operational in nature, they require direction from central government to support – not undermine – public policy priorities.

Critical Review of Trends, Drivers, Issues, and Challenges of Primary Healthcare Services in India

2019 ◽  
Vol 5 (02) ◽  
Author(s):  
Bhumit A. Shah ◽  
Madhusudan N. Pandya
Keyword(s):  
Health Care ◽  
Public Sector ◽  
Care Delivery ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Current Status ◽  
Public Healthcare ◽  
Bottom Line ◽  
Healthcare Needs ◽  
The Government

The Indian health care system is typical in nature and the Government has invested in building a strong public healthcare infrastructure. The pivotal role is played by the evolution of foremost non-public sector facilities created by the Government as healthcare emerges as the priority sector of the Government of India. However, with a population of virtually 1.35 Billion, with a majority living within the rural hinterlands, there is a scope to enhance the healthcare facilities to improve the health of individuals. It is noteworthy to mention that approximately about 70 per cent of the disbursal on health expenditure is borne by the individual, a steep value that pushes several families into debt. The recently proclaimed “Ayushman Bharat” scheme in India, that will cowl a minimum of 40 per cent of the population, envisages a holistic approach. It seeks to deal with the inherent issues of accessibility and affordability and supply an all-around answer to healthcare needs for the masses. The bottom line of the scheme entails enhancing accessibility, and providing cost- effective insurance to the people at the bottom of pyramid. It leverages the strengths of the general public sector and private players to redefine the health care delivery system. An attempt is made in this research article is made to review in brief the current status of healthcare in India and components of healthcare sector. This article also provides brief discussion on the challenges and opportunities faced by India’s Healthcare sector in delivering healthcare services.

Policy Review: Dubai Health Authority’s COVID-19 Rapid Response

2020 ◽  
Vol 5 (Special) ◽  
Keyword(s):  
United Arab Emirates ◽  
Well Being ◽  
Healthcare Services ◽  
Rapid Response ◽  
Policy Implications ◽  
World Health ◽  
Healthcare Sector ◽  
Services Delivery ◽  
First Case ◽  
The World

Dubai Health Authority (DHA) is the entity regulating the healthcare sector in the Emirate of Dubai, ensuring high quality and safe healthcare services delivery to the population. The World Health Organization (WHO) declared COVID-19 a pandemic on the 11th of March 2020, indicating to the world that further infection spread is very likely, and alerting countries that they should be ready for possible widespread community transmission. The first case of COVID-19 in the United Arab Emirates was confirmed on 29th of January 2020; since then, the number of cases has continued to grow exponentially. As of 8th of July 2020 (end of the day), 53,045 cases of coronavirus have been confirmed with a death toll of 327 cases. The UAE has conducted over 3,720,000 COVID-19 tests among UAE citizens and residents over the past four months, in line with the government’s plans to strengthen virus screening to contain the spread of COVID-19. There were vital UAE policies, laws, regulations, and decrees that have been announced for immediate implementation to limit the spread of COVID- 19, to prevent panic and to ensure the overall food, nutrition, and well-being are provided. The UAE is amongst the World’s Top 10 for COVID-19 Treatment Efficiency and in the World’s Top 20 for the implementation of COVID-19 Safety measures. The UAE’s mission is to work towards resuming life after COVID-19 and enter into the recovery phases. This policy research paper will discuss the Dubai Health Authority’s rapid response initiatives towards combating the control and spread of COVID-19 and future policy implications and recommendations. The underlying factors and policy options will be discussed in terms of governance, finance, and delivery.

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