1,259 research outputs found
Comparing care at walk-in centres and at accident and emergency departments: an exploration of patient choice, preference and satisfaction
No full textObjectives:
To explore the impact of establishing walk-in centres alongside emergency departments on
patient choice, preference and satisfaction.
Methods:
A controlled, mixed-method study comparing eight emergency departments with co-located
walk-in centres with the same number of ‘traditional’ emergency departments. This paper
focuses on the results of a cross-sectional questionnaire survey of users.
Results:
Survey data demonstrated that patients were frequently unable to distinguish between being
treated at a walk-in centre or an A&E department, and even where this was the case,
opportunities to exercise choice about their preferred care provider were often limited. Few
made an active choice to attend a co-located walk-in centre. Patients attending walk-in
centres were just as likely to be satisfied overall with the care they received as their
counterparts who were treated in the co-located A&E facility, although a small proportion of
walk-in centre users did report greater satisfaction with some specific aspects of their care
and consultation.
Conclusions:
Whilst one of the key policy goals underpinning the co-location of walk-in centres next to an
A&E department was to provide patients with more options for accessing healthcare and
greater choice, leading in turn to increased satisfaction, this evaluation was able to provide
little evidence to support this. The high percentage of patients expressing a preference for
care in an established emergency department compared to a new walk-in centre facility
raises questions for future policy development. Further consideration should therefore be
given to the role that A&E focused walk-in centres play in the Department of Health’s
current policy agenda, as far as patient choice is concerned
Sars-Cov-2/Covid-19 [Coronavirus] Global Scientific Research and How it Impacts Workplace Health Management and Health Services, Including Policy Implications
No full textBackground/Objectives The research rationale is that many economic, policy, and government implications result from the COVID-19 pandemic. Author published a literature review on COVID-19 research specific to Australia including policy and media releases. This Australian scientific literature assessed the social impact, government, and policy implications. This manuscript expands on previous research by assessing global pandemic policy specifically in relation to workplace health management, health services and systems. Methods A search strategy was created using the MeSH Browser. The MeSH (Medical Subject Headings) is the NLM controlled vocabulary thesaurus used for indexing articles for PubMed and is at; https://www.ncbi.nlm.nih.gov/mesh. (((((("SARS-CoV-2"[Mesh])) OR "COVID-19"[Mesh]) OR "Coronavirus"[Mesh]) AND "Policy"[Mesh]). The following individual text words were added to the search string – ‘health services’; - ‘workforce’; - ‘health systems’ in order to quantify the extent of literature pertaining to workplace health management. Results The PubMed Mesh search performed retrieved 2934 articles. Adding individual text words resulted in the following retrievals; health services - 926 retrievals, workforce – 74 retrievals, health systems – 414 retrievals. Conclusions The impact of a pandemic upon workforce services is immense. It relates to variations as a result of shutdowns and adapted essential service provisions. This results in reduced screening or current testing strategies, changes to other routine procedures/services, immunizations/vaccinations and/or reduced treatment for patients with pre-existing diseases. A rapid shift in service delivery with increased usage of digital technologies & e- health in particular in high-income countries is evident, with low and middle-income countries somewhat compromised by poorer infrastructure
Learning theories and interprofessional education: a user's guide
No full textThere is increasing interest in the theoretical underpinning of interprofessional education (IPE) and writers in this field are drawing on a wide range of disciplines for theories that have utility in IPE. While this has undoubtedly enriched the research literature, for the educational practitioner, whose aim is to develop and deliver an IPE curriculum that has sound theoretical underpinnings, this plethora of theories has become a confusing, and un-navigable quagmire. This article aims to provide a compass for those educational practitioners by presenting a framework that summarizes key learning theories used in IPE and the relationship between them. The study reviews key contemporary learning theories from the wider field of education used in IPE and the explicit applications of these theories in the IPE literature to either curriculum design or programme evaluation. Through presenting a broad overview and summary framework, the study clarifies the way in which learning theories can aid IPE curriculum development and evaluation. It also highlights areas where future theoretical development in the IPE field is required
Cost-justifying usability: an update for the internet age
No full textYou just know that an improvement of the user interface will reap rewards, but how do you justify the expense and the labor and the time-guarantee a robust ROI!-ahead of time? How do you decide how much of an investment should be funded? And what is the best way to sell usability to others? In this completely revised and new edition, Randolph G. Bias (University of Texas at Austin, with 25 years' experience as a usability practitioner and manager) and Deborah J. Mayhew (internationally recognized usability consultant and author of two other seminal books including The Usability Engine
'Trying to put a square peg into a round hole':a qualitative study of healthcare professionals' views of integrating complementary medicine into primary care for musculoskeletal and mental health comorbidity
No full textBackgroundComorbidity of musculoskeletal (MSK) and mental health (MH) problems is common but challenging to treat using conventional approaches. Integration of conventional with complementary approaches (CAM) might help address this challenge. Integration can aim to transform biomedicine into a new health paradigm or to selectively incorporate CAM in addition to conventional care. This study explored professionals’ experiences and views of CAM for comorbid patients and the potential for integration into UK primary care.MethodsWe ran focus groups with GPs and CAM practitioners at three sites across England and focus groups and interviews with healthcare commissioners. Topics included experience of co-morbid MSK-MH and CAM/integration, evidence, knowledge and barriers to integration. Sampling was purposive. A framework analysis used frequency, specificity, intensity of data, and disconfirming evidence.ResultsWe recruited 36 CAM practitioners (4 focus groups), 20 GPs (3 focus groups) and 8 commissioners (1 focus group, 5 interviews).GPs described challenges treating MSK-MH comorbidity and agreed CAM might have a role. Exercise- or self-care-based CAMs were most acceptable to GPs. CAM practitioners were generally pro-integration.A prominent theme was different understandings of health between CAM and general practitioners, which was likely to impede integration. Another concern was that integration might fundamentally change the care provided by both professional groups. For CAM practitioners, NHS structural barriers were a major issue. For GPs, their lack of CAM knowledge and the pressures on general practice were barriers to integration, and some felt integrating CAM was beyond their capabilities. Facilitators of integration were evidence of effectiveness and cost effectiveness (particularly for CAM practitioners). Governance was the least important barrier for all groups.There was little consensus on the ideal integration model, particularly in terms of financing. Commissioners suggested CAM could be part of social prescribing.ConclusionsCAM has the potential to help the NHS in treating the burden of MSK-MH comorbidity. Given the challenges of integration, selective incorporation using traditional referral from primary care to CAM may be the most feasible model. However, cost implications would need to be addressed, possibly through models such as social prescribing or an extension of integrated personal commissioning
Cognitive Theory and the Selling of the Flat Tax
No full textIn this article, Professor Deborah A. Geier brings to bear the insights of Professor Edward J. McCaffery, regarding the interaction of cognitive theory and the tax world, to the flat tax proposal. The article explores how the perceptual biases described by Professor McCaffery might affect both taxpayers\u27 impressions of the contours of the proposed tax base and their behavioral reponses to the same incentive. The author warns that any errors in her application of Professor McCaffery\u27s work to the flat tax are entirely her own
MMWR. Morbidity and mortality weekly report
No full text"The Summary of Notifiable Diseases--United States, 2004 contains the official statistics, in tabular and graphic form, for the reported occurrence of nationally notifiable infectious diseases in the United States for 2004. Unless otherwise noted, the data are final totals for 2004 reported as of December 2, 2005. These statistics are collected and compiled from reports sent by state health departments to the National Notifiable Diseases Surveillance System (NNDSS), which is operated by CDC in collaboration with the Council of State and Territorial Epidemiologists (CSTE). The Summary is available at http://www.cdc.gov/mmwr/summary.html. This site also includes publications from previous years. The Highlights section presents noteworthy epidemiologic and prevention information for 2004 for selected diseases and additional information to aid in the interpretation of surveillance and disease-trend data. Part 1 contains tables showing incidence data for the nationally notifiable diseases during 2004. The tables provide the number of cases reported to CDC for 2004 nationwide as well as the distribution of cases by geographic location and the patient's demographic characteristics (age, sex, race, and ethnicity). Part 2 contains graphs and maps that depict summary data for certain notifiable diseases described in tabular form in Part 1. The Selected Reading section presents general and disease-specific references for notifiable infectious diseases. These references provide additional information on surveillance and epidemiologic concerns, diagnostic concerns, and disease-control activities." - p. 1prepared by Ruth Ann Jajosky, Patsy A. Hall, Deborah A. Adams , Felicia J. Dawkins , Pearl Sharp , Willie J. Anderson , J. Javier Aponte , Gerald F. Jones , David A. Nitschke , Carol A. Worsham , Nelson Adekoya, Timothy Doyle, National Center for Public Health Informatics, Coordinating Center for Health Information and Service, CDC.Selected reading: p. 71-79
MMWR. Morbidity and mortality weekly report
No full text"The Highlights section presents noteworthy epidemiologic and prevention information for 2006 for selected diseases and additional information to aid in the interpretation of surveillance and disease-trend data. Part 1 contains tables showing incidence data for the nationally notifiable infectious diseases during 2006. The tables provide the number of cases reported to CDC for 2006 as well as the distribution of cases by month, geographic location, and the patient's demographic characteristics (age, sex, race, and ethnicity). Part 2 contains graphs and maps that depict summary data for certain notifiable infectious diseases described in tabular form in Part 1. Part 3 contains tables that list the number of cases of notifiable diseases reported to CDC since 1975. This section also includes a table enumerating deaths associated with specified notifiable diseases reported to CDC's National Center for Health Statistics (NCHS) during 2002-2004. The Selected Reading section presents general and disease-specific references for notifiable infectious diseases. These references provide additional information on surveillance and epidemiologic concerns, diagnostic concerns, and disease-control activities." - p. 1prepared by Scott J.N. McNabb, Ruth Ann Jajosky, Patsy A. Hall-Baker, Deborah A. Adams, Pearl Sharp, Carol Worsham, Willie J. Anderson, J. Javier Aponte, Gerald F. Jones, David A. Nitschke, Araceli Rey, Michael S. Wodajo, Division of Integrated Surveillance Systems and Services, National Center for Public Health Informatics, Coordinating Center for Health Information and Service, CDC."The statistical summary of notifiable diseases in the United States is published to accompany each volume of the Morbidity and mortality weekly report."--T.p. verso.Selected reading: p. 84-94
Mental Health and Primary Care: Dutch and Israeli Experiences By G. J. Visser, J. M. Bensing, B. P. R. Gersons, Utrecht, The Netherlands: NIVEL. 1986. 217 pp. fl 31, 50.
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