scholarly journals Building spaces for controversial public engagement – Exploring and challenging democratic deficits in NHS marketization

2018 ◽  
Vol 6 (2) ◽  
pp. 759-775 ◽  
Author(s):  
Carl Walker ◽  
Kepa Artaraz ◽  
Mary Darking ◽  
Ceri Davies ◽  
Stephanie Fleischer ◽  
...  
Keyword(s):  
Public Sector ◽  
Health Services ◽  
Public Engagement ◽  
Ways Of Knowing ◽  
Political Activism ◽  
Evidence Based ◽  
Local Health ◽  
The Creation ◽  
The Many ◽  
The Impact

The Brighton Citizen's Health Services Survey (BCHSS) was developed to explore and potentially challenge how knowledge is used and by whom in the production of local health commissioning institutions and relations. Through the creation of an ‘animating set of questions’, it sought to open up spaces through which to make visible some of the ways of knowing and valuing the NHS and health services that had been minimised through the commensuration practices of post-2012 public engagement. In this way there was a clear agenda to facilitate a form of knowledge democratisation which opened up and validated different 'health publics’, in order to explore and broaden participative engagement opportunities. The paper provides an account of the project. It considers the theoretical and methodological underpinnings of this example of ‘evidence-based activism’, reflects on the impact of the project on local commissioning and considers the range of controversies that arose as a result of the work. It explores the way that research straddling the boundary between academic inquiry and political activism speaks to the many issues that are prevalent in the changing HE sector as well as NHS privatisation, health commissioning and public sector cuts.

COVID’s Effect on India’s Health Services: A Commentary

Social Change ◽  
2021 ◽  
Vol 51 (4) ◽  
pp. 483-492
Author(s):  
Imrana Qadeer
Keyword(s):  
Public Sector ◽  
Health Services ◽  
Healthcare Services ◽  
The Public ◽  
State Authority ◽  
Comprehensive Framework ◽  
The Impact ◽  
Second Wave

Using a comprehensive framework (the state’s will to deliver, its institutional strength and its legitimacy), this article assesses the impact of the COVID-19 pandemic on public sector healthcare services in India. The power to deliver was explicit when the interventions were harsh, increasing the burden of death and disease on health services. But when it came to healthcare by the public sector we find a worsening of achievements of non-COVID ailments during the pandemic and an inability to tackle the second wave due to gaps in the nation's infrastructure, a centralised control undermining state authority; and visible results of a flawed policy that pushed further the agenda of making healthcare a profitable business.

Lecture Capture as a Tool to Enhance Student Accessibility

2013 ◽  
pp. 1245-1254
Author(s):  
Susan Vajoczki ◽  
Susan Watt
Keyword(s):  
Student Learning ◽  
Evidence Based ◽  
Faculty Participation ◽  
Learning Technology ◽  
Lecture Capture ◽  
Approach To Learning ◽  
Closed Captioning ◽  
Disability Accommodation ◽  
The Many ◽  
The Impact

This case examines the incremental introduction of lecture-capture as a learning technology at a research-intensive university with the goal of addressing issues created by increases in both undergraduate enrolments and disability accommodation needs. This process began with podcasting lectures, leading ultimately to a lecture capture system with closed captioning. At each step, the changes were evaluated in terms of their impact on student learning, acceptability to students and faculty, and application to different disciplines. This evidence-based approach is in keeping with the research culture of the academy and has been helpful in advocating for budgetary support and encouraging faculty participation. As a result of this project, the authors unexpectedly gained substantial knowledge about the complexity of students’ lives, the impact of that complexity on their approach to learning, instructor misperceptions about the impact of this form of learning, the presence of many unreported disabilities, and the many different ways in which students used the system.

Evidence-Informed, Culture-Based Interventions and Best Practices in American Indian and Alaska Native Communities

2015 ◽  
Author(s):  
R. Dale Walker ◽  
Douglas A. Bigelow
Keyword(s):  
Health Services ◽  
Best Practices ◽  
American Indian ◽  
Behavioral Health ◽  
Alaska Native ◽  
Ways Of Knowing ◽  
Evidence Based ◽  
Native Communities ◽  
Knowledge And Practice ◽  
Evidence Based Programs

This chapter provides information and advice to audiences at the practice, program management, and governance levels concerned with “evidence-based programs and practices” in Native Communities. The authors emphasize a defense of culture-based knowledge and practice because the systematic attempt to impose an “evidence-based” mandate on providers of behavioral health services in Native Communities has not been an incentive to incorporate scientifically tested information about interventions. The approach recommended here respects and accommodates culture-based knowledge, ways of knowing, and practice in Native Communities while facilitating the uptake of science-based knowledge.

Consumer-Driven Health Care

2000 ◽  
Vol 35 (5) ◽  
pp. 477-478
Author(s):  
F. Randy Vogenberg
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Services ◽  
Health Systems ◽  
Quality Health Care ◽  
Managed Health Care ◽  
The Future ◽  
Quality Health ◽  
The Many ◽  
The Impact

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.

scholarly journals The Impact of Performance Audit: the New Zealand Experience

2021 ◽  
Author(s):  
◽  
Nurul Athirah Abd Manaf
Keyword(s):  
New Zealand ◽  
Public Sector ◽  
Performance Improvement ◽  
Managerial Practices ◽  
The Public ◽  
Performance Audit ◽  
And Performance ◽  
Auditor General ◽  
The Many ◽  
The Impact

<p>Performance audit, compared to the traditional financial and compliance audits, is a relatively new innovation that emerged amidst accountability concerns in the public sector. Economic crises, ministerial scandal and inefficiencies were among the impetus that led the public to demand better performance and greater accountability in the public sector, and performance audit was among the many responses to such demand. In New Zealand, performance audit is carried out by the Controller and Auditor General (the AG) under the mandate granted by the Public Audit Act 2001. Adapting the methodology from grounded theory, this study looks at the impact of performance audit on seven entities audited in 2006 by the AG. This study found that the entities were impacted through the manifestation of implemented audit recommendations and the attainment of performance audit goals. In particular, there is a high acceptance and implementation rate to the audit recommendations made in the seven audits. The implementation of accepted recommendations consequently led to the changes within the entities in terms of managerial practices, as well as internal systems and processes. In some entities, these changes were translated into performance improvement, where the entities experienced changes in the way that they carried out their operations. However, based on interviewees' accounts being the auditees of the audits, most interviewees viewed performance audit as having a greater role for performance accountability compared to performance improvement. Whilst the auditees found the audit recommendations useful, the impact on performance in their view has not been significant. Rather, the auditees viewed performance audit as having a more important role as an assurance tool in terms of their accountability to the public.</p>

scholarly journals The Experience of a District General Hospital with a Large Outdoor Music Festival in England

2017 ◽  
Vol 16 (2) ◽  
pp. 65-68
Author(s):  
A Kamour ◽  
◽  
R. Yardley ◽  
J. Stuart ◽  
M. Longshaw ◽  
...  
Keyword(s):  
Health Services ◽  
Surveillance System ◽  
Emergency Services ◽  
District General Hospital ◽  
Local Health ◽  
Local Hospital ◽  
Oral Ingestion ◽  
Music Festivals ◽  
Music Festival ◽  
The Impact

Objectives: To assess the impact of the Parklife annual music festival on the local hospital, North Manchester General. Methods: Data was obtained retrospectively by analysis of emergency department records during the weekend of Parklife 2015. Results: 32 patients were identified, 56% reported taking drugs. 34% were admitted for overnight observation. 4 patients presented with methaemoglobinaemia following oral ingestion of amyl nitrate. One patient had a methaemoglobin fraction of 90.6%, which is amongst the most extreme recorded in literature. Conclusion: Music festivals can impose a burden on local health services. Organisers should operate an efficient surveillance system in order to prevent the sale and use of recreational drugs, providing adequate on-site health services and working in collaboration with local emergency services.

Reining in the Pharmacy Budget

2000 ◽  
Vol 35 (4) ◽  
pp. 354-356
Author(s):  
F. Randy Vogenberg
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Services ◽  
Health Systems ◽  
Quality Health Care ◽  
Managed Health Care ◽  
The Future ◽  
Quality Health ◽  
The Many ◽  
The Impact

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.

Talking about and Using Pharmacoeconomics Properly

2001 ◽  
Vol 36 (7) ◽  
pp. 717-722
Author(s):  
F. Randy Vogenberg
Keyword(s):  
Health Care ◽  
Managed Care ◽  
Health Services ◽  
Health Systems ◽  
Quality Health Care ◽  
Managed Health Care ◽  
The Future ◽  
Quality Health ◽  
The Many ◽  
The Impact

Managed health care has changed the way health services are provided and paid for. It is still evolving. Many pharmacists have already felt the impact of these changes. This continuing feature illuminates the many facets of managed care with special emphasis placed on how these changes may affect pharmacists working in health systems. The expertise provided by pharmacists will be needed to fulfill the potential of affordable, comprehensive, and quality health care as promised by managed care. Pharmacists must understand what is happening, why it is happening, and what is likely to happen in the future. To be an active and effective player, you must understand what is happening on the field.

Health Service Impact from Mass Gatherings: A Systematic Literature Review

2016 ◽  
Vol 32 (1) ◽  
pp. 71-77 ◽  
Author(s):  
Jamie Ranse ◽  
Alison Hutton ◽  
Toby Keene ◽  
Shane Lenson ◽  
Matt Luther ◽  
...  
Keyword(s):  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Literature Review ◽  
Systematic Literature Review ◽  
Ambulance Service ◽  
Local Health ◽  
Mass Gathering ◽  
Mass Gatherings ◽  
The Impact

AbstractBackgroundDuring a mass gathering, some participants may receive health care for injuries or illnesses that occur during the event. In-event first responders provide initial assessment and management at the event. However, when further definitive care is required, municipal ambulance services provide additional assessment, treatment, and transport of participants to acute care settings, such as hospitals. The impact on both ambulance services and hospitals from mass-gathering events is the focus of this literature review.AimThis literature review aimed to develop an understanding of the impact of mass gatherings on local health services, specifically pertaining to in-event and external health services.MethodThis research used a systematic literature review methodology. Electronic databases were searched to find articles related to the aim of the review. Articles focused on mass-gathering health, provision of in-event health services, ambulance service transportation, and hospital utilization.ResultsTwenty-four studies were identified for inclusion in this review. These studies were all case-study-based and retrospective in design. The majority of studies (n=23) provided details of in-event first responder services. There was variation noted in reporting of the number and type of in-event health professional services at mass gatherings. All articles reported that patients were transported to hospital by the ambulance service. Only nine articles reported on patients presenting to hospital. However, details pertaining to the impact on ambulance and hospital services were not reported.ConclusionsThere is minimal research focusing on the impact of mass gatherings on in-event and external health services, such as ambulance services and hospitals. A recommendation for future mass-gathering research and evaluation is to link patient-level data from in-event mass gatherings to external health services. This type of study design would provide information regarding the impact on health services from a mass gathering to more accurately inform future health planning for mass gatherings across the health care continuum.RanseJ, HuttonA, KeeneT, LensonS, LutherM, BostN, JohnstonANB, CrillyJ, CannonM, JonesN, HayesC, BurkeB. Health service impact from mass gatherings: a systematic literature review. Prehosp Disaster Med. 2017;32(1):71–77.

scholarly journals The Need for an Evidence-Based Encyclopaedia in Health Services Research in Pharmacy

2020 ◽  
Vol 17 (7) ◽  
pp. 2549 ◽  
Author(s):  
Zaheer-Ud-Din Babar
Keyword(s):  
Health Services Research ◽  
Health Services ◽  
Pharmacy Practice ◽  
Practice Research ◽  
Evidence Based ◽  
Global Level ◽  
Services Research ◽  
The Uk ◽  
The Impact

Pharmacy practice research (PPR) is a specialty field within the wider area of health services research and it focuses on studies of how and why people access pharmacy services. This stream of research is also referred to as more universally recognized term such as health services research in pharmacy. The health services research in pharmacy has increased manifold; however, the impact of this research is not visible at the global level. The editorial explains several issues on quality and quantity of evidence produced including how evidence produced could contribute to improve quality of care and patients’ health outcomes. It also narrates examples from the UK and Australia showing how health services research in pharmacy has made an impact on healthcare service delivery. The editorial argues that building an encyclopaedia in health services research in pharmacy is vital to enhance the visibility and impact of this research.

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