scholarly journals Collaboration between Local Public Health Units and Regional Health Authorities in Canada for Integrated Health System Planning Using a Population Health Approach: Research

2018 ◽  
Vol 18 (s2) ◽  
pp. 177
Author(s):  
Ruta Kristina Valaitis ◽  
Vera Etches ◽  
Amira Ali ◽  
Anita Kothari ◽  
Lise Labreque ◽  
...  
Keyword(s):  
Public Health ◽  
Health System ◽  
Population Health ◽  
Regional Health ◽  
System Planning ◽  
Local Public Health ◽  
Health System Planning ◽  
Health Authorities ◽  
Integrated Health ◽  
Regional Health Authorities

scholarly journals Lessons learned from ramping up a Canadian Take Home Naloxone programme during a public health emergency: a mixed-methods study

BMJ Open ◽  
2019 ◽  
Vol 9 (10) ◽  
pp. e030046 ◽  
Author(s):  
Sympascho Young ◽  
Sierra Williams ◽  
Michael Otterstatter ◽  
Jennifer Lee ◽  
Jane Buxton
Keyword(s):  
Public Health ◽  
Mixed Methods ◽  
Public Health Emergency ◽  
Mixed Methods Study ◽  
Rural Site ◽  
Secondary Outcome ◽  
Regional Health ◽  
Health Authorities ◽  
Regional Health Authorities ◽  
Overdose Deaths

ObjectivesThis study describes the 2016 expansion of the British Columbia Take Home Naloxone (BCTHN) programme quantitatively and explores the challenges, facilitators and successes during the ramp up from the perspectives of programme stakeholders.DesignMixed-methods study.SettingThe BCTHN programme was implemented in 2012 to reduce opioid overdose deaths by providing naloxone kits and overdose recognition and response training in BC, Canada. An increase in the number of overdose deaths in 2016 in BC led to the declaration of a public health emergency and a rapid ramp up of naloxone kit production and distribution. BCTHN distributes naloxone to the five regional health authorities of BC.ParticipantsFocus groups and key informant interviews were conducted with 18 stakeholders, including BC Centre for Disease Control staff, urban and rural site coordinators, and harm reduction coordinators from the five regional health authorities across BC.Primary and secondary outcome measuresTake Home Naloxone (THN) programme activity, qualitative themes and lessons learnt were identified.ResultsIn 2016, BCTHN responded to a 20-fold increase in demand of naloxone kits and added over 300 distribution sites. Weekly numbers of overdose events and overdose deaths were correlated with increases in THN kits ordered the following week, during 2013–2017. Challenges elicited include forecasting demand, operational logistics, financial, manpower and policy constraints. Facilitators included outsourcing kit production, implementing standing orders and policy changes in naloxone scheduling, which allowed for easier hiring of staff, reduced paperwork and expanded client access.ConclusionFor THN programmes preparing for potential increases in naloxone demand, we recommend creating an online database, implementing standing orders and developing online training resources for standardised knowledge translation to site staff and clients.

Managing the effectiveness of the regional health system

2020 ◽  
Vol 26 (3) ◽  
pp. 698-720
Author(s):  
E.V. Lobkova ◽  
A.S. Petrichenko
Keyword(s):  
Public Health ◽  
Health System ◽  
System Analysis ◽  
Health Indicators ◽  
Krasnoyarsk Krai ◽  
Regional Health ◽  
Luenberger Observer ◽  
Efficiency Assessment ◽  
Public Health Indicators

Subject. This article studies the mechanism of State health regulation and methods of management of efficiency of regional healthcare institutions. Objectives. The article aims to analyze the territorial health system in the context of the urgent need to optimize budget expenditures and address public health problems, as well as develop directions to improve the effectiveness of the regional health system of the Krasnoyarsk Krai. Methods. For the study, we used the method of index numbers and calculation of dynamics indicators using official statistics data. Results. We have developed and now present a system of indicators of regional health efficiency assessment, focused mainly on public health indicators and quality of medical services. We also offer our own version of the Luenberger observer modification adapted to the objectives of the regional health system analysis. Conclusions and Relevance. The article concludes that it is necessary to optimize the regional health system using the parameters of medical and social efficiency of the system. The proposed approach to assessing the effectiveness of regional health system can be used as a mechanism to develop recommendations for the management of the network of medical and prophylactic institutions of the region.

scholarly journals Recruitment into psychiatry

1996 ◽  
Vol 20 (3) ◽  
pp. 177-177 ◽  
Author(s):  
David Storer
Keyword(s):  
Advisory Committee ◽  
Manpower Planning ◽  
Regional Health ◽  
Senior Registrar ◽  
Adequate Supply ◽  
Health Authorities ◽  
Joint Planning ◽  
Regional Health Authorities

The major problem of manpower planning in psychiatry has until fairly recently been one of securing enough posts in the training grades to place doctors wishing to train in psychiatry and to ensure an adequate supply of applicants for consultant posts. Numerous consultant vacancies and a ‘bottleneck’ between registrar and senior registrar grades was the frustrating combination largely consequent upon the failure of some regional health authorities to fund the posts which Joint Planning Advisory Committee (JPAC) had approved.

scholarly journals A Community-Powered, Asset-Based Approach to Intersectoral Urban Health System Planning in Chicago

2016 ◽  
Vol 106 (10) ◽  
pp. 1872-1878 ◽  
Author(s):  
Stacy Tessler Lindau ◽  
Katherine Diaz Vickery ◽  
HwaJung Choi ◽  
Jennifer Makelarski ◽  
Amber Matthews ◽  
...  
Keyword(s):  
Health System ◽  
Urban Health ◽  
System Planning ◽  
Health System Planning
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