Search results for "030503 health policy & services"
showing 10 items of 207 documents
Towards a More Effective Hospital: Helping Health Professionals to Learn from their Own Practice by Developing an Easy to use Clinical Processes Quer…
2016
Application of complex socio-technical systems theory to optimization of clinical processes in hospitals highlights the importance of the acceptance and promotion of responsible autonomy among health professionals. Therefore the independent ability for clinicians to search for answers to questions which are outside the scope of pre-made reports is important. However, the ad-hoc data querying process is slow and error prone due to inability of health professionals to access data directly without involving IT experts. The problem lies in the complexity of means used to query data. We propose a new natural language- and star ontology-based ad-hoc data querying approach which reduces the steep …
Democracy and Depression: A Cross-National Study of Depressive Symptoms and Nonparticipation
2020
Depression is the most common mental health disorder. It has consequences not only on individuals but also on social and political levels. We argue that depressive symptoms impair political participation by reducing the motivation and physical energy of sufferers. We test our hypotheses by conducting regression analyses of four nationally representative cross-sectional and longitudinal surveys that collectively span many democracies. Our results are threefold. First, we find that the severest depressive symptoms lower the probability of voting by 0.05–0.25 points, an effect that is exceeded only by education and age. Second, we show that depressive symptoms negatively affect political inter…
Sense of coherence and burnout in nursing home workers during the COVID‐19 pandemic in Spain
2021
Abstract Care staff in nursing homes work in a challenging environment, and the COVID‐19 pandemic has exacerbated those challenges in an unprecedented way. On the other hand, the sense of coherence (SOC) is a competence that could help these professionals perceive the situation as understandable, manageable and meaningful. This study aims to analyse the extent to which potential risk and protective factors against burnout have affected nursing home workers during the COVID‐19 pandemic and to assess the contribution of these factors to their burnout. Three hundred forty professionals who worked in nursing homes in Spain completed a survey and reported on their sociodemographic characteristic…
Using Parametric Bootstrap to Introduce and Manage Uncertainty: Replicated Loaded Insurance Life Tables
2019
Insurance companies develop loaded life tables to protect themselves against deviations, for example, in the number of expected deaths or in the (residual) expectation of life of their insured. In ...
Adaptation of the Model for Assessment of Telemedicine (MAST) for IoT Telemedicine Services
2017
Internet of Things (IoT) based solutions and services may be used to support and extend the independent living of older adults in their living environments by responding to real needs of caregivers, service providers and public authorities. Telemedicine and telehealth platforms are among the various types of IoT services that could support the provision of health services. Current Health Technology Assessment (HTA) models that are used for the evaluation of telehealth and telemedicine services do not consider IoT aspects. HTA models would ideally need to be extended to include IoT platforms, for an optimal introduction of IoT in everyday provision of health and care services. This paper pre…
Physical activity of university students with disabilities: accomplishment of recommendations and differences by age, sex, disability and weight stat…
2018
Abstract Objectives This article aims to study physical activity and the achievement of World Health Organization physical activity recommendations in university students with disabilities, and to examine differences by sex, age, disability characteristics and weight status. Study design Cross-sectional data from a wider research project conducted at the Spanish universities from Autumn 2016 to Autumn 2017 were analysed. Methods The International Physical Activity Questionnaire-Short Form was administered to 1103 Spanish university students with different disabilities. Nonparametric tests were performed to examine the differences in physical activity based on the interest variables. Results…
Just a leader? Leadership work challenges and identity contradiction experienced by Finnish physician leaders.
2021
PurposeThis study seeks to improve the understanding of physician leaders' leadership work challenges.Design/methodology/approachThe subjects of the empirical study were physician leaders (n = 23) in the largest central hospital in Finland.FindingsA total of five largely identity-related, partially paradoxical dilemmas appeared regarding why working as “just a leader” is challenging for physician leaders. First, the dilemma of identity ambiguity between being a physician and a leader. Second, the dilemma of balancing the expected commitment to clinical patient work by various stakeholders and that of physician leadership work. Third, the dilemma of being able to compensate for leadership sk…
<p>Guidelines and Current Assessment of Health Care Responsibility in Italy</p>
2020
Clinical guidelines are a potential tool for improving the effectiveness and quality of healthcare, decreasing variability in clinical practice, and preventing adverse events. In the purview of Law no. 24/2017, adherence to national guidelines can lead to a reduction in medical malpractice claims and the practice of so-called "defensive medicine". The law has assigned a central role to the guidelines, establishing the National Institute of Health through the new Italian National Center for Clinical Excellence, Quality, and Security (CNEC) as the methodological guarantor in the process of national guideline development. Here we discuss the issue of professional liability as recently outlined…
Digitalisation of municipal healthcare collaboration with volunteers: a case study applying normalization process theory
2021
Abstract Background Increasing use of volunteers in healthcare requires structured collaboration between healthcare services and volunteers. The aim of this research was to explore critical issues and strategies in the implementation process of a digital solution for collaboration with and coordination of volunteers in municipal healthcare services. Methods Qualitative data collection was used to study implementation of a digital system for collaboration with volunteers in three Norwegian municipalities. Three rounds of interviews were conducted with healthcare employees from a volunteer centre and from municipality healthcare units in three municipalities: before implementation, and 6 and …
Key challenges and best practices in the coordination of volunteers in healthcare services: A qualitative systematic review.
2020
Cooperation between voluntary organisations and volunteers within healthcare services contributes to the development of public welfare. The coordination process between healthcare services and volunteers must therefore be studied to understand associated challenges and best practices. This paper presents a systematic literature review of studies that have used qualitative methods. The review was conducted to identify the knowledge base concerning these issues. The search was performed in 4 April 2019 on five databases: EbscoHost, Ovid, Scopus, Emerald and Svemed+. The selection criteria included papers published between 1 January 2009 and 4 April 2019. In total, 5,340 papers were extracted;…