80,442 research outputs found
Task sharing within a managed clinical network to improve child health in Malawi
No full textThe Ministry of Health, Malawi, for its full support and collaboration during the development and implementation of this programme, including providing salaries for MOH staff during training. Deutsche Gesellschaft für Internationale Zusammenarbeit (GIZ) GmbH for scholarships for BSc for CO PCH 2013–2014 intake and the salary of a paediatrician to provide training to this cadre. University of St Andrews Global Health Implementation programme for funding BSc PCH 2013–2017. University of Edinburgh for funding BSc PCH 2013–2016. The Scottish Government for funding the virtual learning environment for this cadre. Nchima Trust for funding BSc PCH 2014 intake. ELMA Philanthropies for funding MMED scholarships for specialist paediatricians. ELMA Philanthropies for funding BSc 2015–2018 intake, funding for supervision and mentoring visitsBackground Eighty per cent of Malawi’s 8 million children live in rural areas, and there is an extensive tiered health system infrastructure from village health clinics to district hospitals which refers patients to one of the four central hospitals. The clinics and district hospitals are staffed by nurses, non-physician clinicians and recently qualified doctors. There are 16 paediatric specialists working in two of the four central hospitals which serve the urban population as well as accepting referrals from district hospitals. In order to provide expert paediatric care as close to home as possible, we describe our plan to task share within a managed clinical network and our hypothesis that this will improve paediatric care and child health. Presentation of the hypothesis Managed clinical networks have been found to improve equity of care in rural districts and to ensure that the correct care is provided as close to home as possible. A network for paediatric care in Malawi with mentoring of non-physician clinicians based in a district hospital by paediatricians based at the central hospitals will establish and sustain clinical referral pathways in both directions. Ultimately, the plan envisages four managed paediatric clinical networks, each radiating from one of Malawi’s four central hospitals and covering the entire country. This model of task sharing within four hub-and-spoke networks may facilitate wider dissemination of scarce expertise and improve child healthcare in Malawi close to the child’s home. Testing the hypothesis Funding has been secured to train sufficient personnel to staff all central and district hospitals in Malawi with teams of paediatric specialists in the central hospitals and specialist non-physician clinicians in each government district hospital. The hypothesis will be tested using a natural experiment model. Data routinely collected by the Ministry of Health will be corroborated at the district. This will include case fatality rates for common childhood illness, perinatal mortality and process indicators. Data from different districts will be compared at baseline and annually until 2020 as the specialists of both cadres take up posts. Implications of the hypothesis If a managed clinical network improves child healthcare in Malawi, it may be a potential model for the other countries in sub-Saharan Africa with similar cadres in their healthcare system and face similar challenges in terms of scarcity of specialists.Peer reviewe
Examining student mental health at Kwantlen Polytechnic University
No full textThis study focuses on student mental health at Kwantlen Polytechnic University (KPU) to address concerns by examining the association between optimal mental health and a Mental Wellness and Communications (MWC) course, comparing the mental health of KPU students with the Canadian population, and identifying factors associated with mental health.
Literature and gaps in research related to student mental health are presented. To address concerns about low rates of mental health among students, survey questions were designed to identify how many students were considered to be mentally healthy, how the results compared to national averages, and if there were predictors of student mental health.
The research sample was selected from students enrolled in the Health Foundations (HF) certificate program at KPU. Out of 169 participants, 89 pre-intervention and postintervention surveys were used for analysis. Results show that HF students have statistically significantly lower rates of mental health compared to the general Canadian population. Age was significantly associated with positive mental health scores, and a supportive university environment was related to mental health. The MWC course seems to have an inverse relationship with percentages of optimal mental health among students, in contrast with findings from the control group.
On the basis of the results of this research, it can be concluded that students are in need of mental health promoting activities. Further investigations are needed into the reasoning for declining rates of mental health among students enrolled in the MWC course. Future larger scale studies focusing on student mental health and associated factors will be beneficial in order to promote emotional, social and psychological well-being among college and university students.Includes bibliographical references (pages 56-66).
"A thesis submitted in partial fulfillment of the requirements for the degree of Master of Psychiatric Nursing."Student mental healthMental health promotionDual continuum model of mental health and mental illnessPositive mental healthFlourishingUndergraduate studentsMental health continuum-short formPsychiatric nursin
European network for Health Technology Assessment, EUnetHTA: Planning, development, and implementation of a sustainable European network for Health Technology Assessment
No full textUdgivelsesdato: 2009-DecOBJECTIVES: The European network on Health Technology Assessment (EUnetHTA) aimed to produce tangible and practical results to be used in the various phases of health technology assessment and to establish a framework and processes to support this. This article presents the background, objectives, and organization of EUnetHTA, which involved a total of sixty-four partner organizations. METHODS: Establishing an effective and sustainable structure for a transnational network involved many managerial, policy, and methodological tools, according to the objective of each task or Work Package. Transparency in organization, financial transactions, and decision making was a key principle in the management of the Project as was the commitment to appropriately involve stakeholders. RESULTS: EUnetHTA activities resulted in a clear management and governance structure, efficient partnership, and transnational cooperation. The Project developed a model for sustainable continuation of the EUnetHTA Collaboration. CONCLUSIONS: The EUnetHTA Project achieved its goals by producing a suite of practical tools, a strong network, and plans for continuing the work in a sustainable EUnetHTA Collaboration that facilitates and promotes the use of HTA at national and regional levels. Responsiveness to political developments in Europe should be balanced with maintaining a high level of ambition to promote independent, evidence-based information and well-tested tools for best practice based on a strong network of HTA institutions
A call to advance and translate research into policy on governance, ethics, and conflicts of interest in public health: the GECI-PH network
No full textEfforts to adopt public health policies that would limit the consumption of unhealthy commodities, such as tobacco, alcohol and ultra-processed food products, are often undermined by private sector actors whose profits depend on the sales of such products. There is ample evidence showing that these corporations not only try to influence public health policy; they also shape research, practice and public opinion. Globalization, trade and investment agreements, and privatization, amongst other factors, have facilitated the growing influence of private sector actors on public health at both national and global levels. Protecting and promoting public health from the undue influence of private sector actors is thus an urgent task. With this backdrop in mind, we launched the “Governance, Ethics, and Conflicts of Interest in Public Health” Network (GECI-PH Network) in 2018. Our network seeks to share, collate, promote and foster knowledge on governance, ethical, and conflicts of interest that arise in the interactions between private sectors actors and those in public health, and within multi-stakeholder mechanisms where dividing lines between different actors are often blurred. We call for strong guidance to address and manage the influence of private sector actors on public health policy, research and practice, and for dialogue on this important topic. Our network recently reached 119 members. Membership is diverse in composition and expertise, location, and institutions. We invite colleagues with a common interest to join our network
University Health Sciences Center Joins Intergroup\u27s Medical Network
No full textIntergroup of Utah, a health maintenance organization, has signed a contract with the University of Utah Health Sciences Center which will give Intergroup customers access to the services of a major academic hospital
Partnership capacity for community health improvement plan implementation: findings from a social network analysis
No full textabstract: Background
Many health departments collaborate with community organizations on community health improvement processes. While a number of resources exist to plan and implement a community health improvement plan (CHIP), little empirical evidence exists on how to leverage and expand partnerships when implementing a CHIP. The purpose of this study was to identify characteristics of the network involved in implementing the CHIP in one large community. The aims of this analysis are to: 1) identify essential network partners (and thereby highlight potential network gaps), 2) gauge current levels of partner involvement, 3) understand and effectively leverage network resources, and 4) enable a data-driven approach for future collaborative network improvements.
Methods
We collected primary data via survey from n = 41 organizations involved in the Health Improvement Partnership of Maricopa County (HIPMC), in Arizona. Using the previously validated Program to Analyze, Record, and Track Networks to Enhance Relationships (PARTNER) tool, organizations provided information on existing ties with other coalition members, including frequency and depth of partnership and eight categories of perceived value/trust of each current partner organization.
Results
The coalition’s overall network had a density score of 30 %, degree centralization score of 73 %, and trust score of 81 %. Network maps are presented to identify existing relationships between HIPMC members according to partnership frequency and intensity, duration of involvement in the coalition, and self-reported contributions to the coalition. Overall, number of ties and other partnership measures were positively correlated with an organization’s perceived value and trustworthiness as rated by other coalition members.
Conclusions
Our study presents a novel use of social network analysis methods to evaluate the coalition of organizations involved in implementing a CHIP in an urban community. The large coalition had relatively low network density but high degree centralization—meaning key organizations link organizations otherwise not tightly partnering. Coalition members rated each other highly on trust, a positive sign for future partnership development efforts. Examination of network maps reveal key organizations that can be targeted for future partnership facilitation and expansion. Future network data collection will enable exploration of longitudinal trends and exploration of network characteristics versus health behavior, status, and outcome changes.The electronic version of this article is the complete one and can be found online at: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-016-3194-
South African Child Gauge 2009/2010
No full textThe South African Child Gauge is produced annually by the Children's Institute, University of Cape Town to monitor government and civil society's progress towards realising the rights of children.This issue focuses on child health and is divided into three parts. Part 1 focuses on legislature affecting children's health; Part 2 consists of twelve essays looking at different aspects of child health in SA from infectious diseases to strengthening health care systems for children; and Part 3 consists of key numeric indicators on children's health in South Africa. This collection of papers focuses on 'the meaning of children’s right to social services,' and can be used for independent study/research or for integration into child development curriculum
The experiences, responsibilities, and recommendations of the Registered Nurse Health Coach in Alberta
No full textThe Center for Disease Control (CDC) reports that almost half of the adult population are living with at least one chronic disease and 70% of healthcare costs involve the care of individuals with long term chronic conditions. The Registered Nurse Health Coach (RNHC) is well positioned to partner with these individuals to enhance primary healthcare delivery and improve health outcomes. This thesis includes a literature review on the current evidence on the RNHC role and a study guided by the following broad question: what are the experiences, roles, and recommendations of the Registered Nurse Health Coach in Alberta? A qualitative descriptive study design was utilized to examine the RNHC experiences in the Alberta primary healthcare setting and explore the opportunities and challenges experienced by the RNHC. Limited research exists in Canada on the role of the RNHC. Findings from this study suggested that the RNHC role supports individuals achieve their healthcare needs through specialized skills and a unique approach to health. This approach helps RNHCs create partnerships with clients that empowers individuals to positively influence their own health. The RNHC participants from this study discussed how these partnerships and experiences with clients reignited their passion and pride as Registered Nurses practicing as health coaches. It is expected the findings will contribute to the current understanding of the RNHC role within the Alberta primary care context. This knowledge will inform future research, healthcare teams, and Registered Nurses in the Alberta Primary Care Network (PCN) of the role of RNHCs
The Brimbank atlas of health and education
No full textPresents a detailed regional profile of the City of Brimbank, covering a range of health, education and other social and demographic characteristics.
Overview
This atlas, prepared by the Public Health Information Development Unit at The University of Adelaide for the Mitchell Institute, provides a range of information for decision-makers, planners, service providers, researchers and communities.
It is hoped its production will bring a better understanding of the complex interactions between individuals and families, their environments and social structures over a lifetime, and how these factors influence the health, education and ultimately, the flourishing of current and future generations of Brimbank residents.
In order to do this, a number of indicators have been chosen to describe different aspects of the population, and, by using them, to highlight differences, especially in health and education outcomes, across the community. The indicators have also been selected to cover the lifespan and offers a perspective on understanding inequalities across life and tracing outcomes at one stage of life, to the accumulation of experiences which occurred at earlier stages
Scoping a public health impact assessment of aquaculture with particular reference to tilapia in the UK
No full textBackground. The paper explores shaping public health impact assessment tools for tilapia, a novel emergent aquaculture sector in the UK. This Research Council’s UK Rural Economy and Land Use project embraces technical, public health, and marketing perspectives scoping tools to assess possible impacts of the activity. Globally, aquaculture produced over 65 million tonnes of food in 2008 and will grow significantly requiring apposite global public health impact assessment tools.<p></p>
Methods. Quantitative and qualitative methods incorporated data from a tridisciplinary literature. Holistic tools scoped tilapia farming impact assessments. Laboratory-based tilapia production generated data on impacts in UK and Thailand along with 11 UK focus groups involving 90 consumers, 30 interviews and site visits, 9 visits to UK tilapia growers and 2 in The Netherlands.<p></p>
Results. The feasibility, challenges, strengths, and weaknesses of creating a tilapia Public Health Impact Assessment are analysed. Occupational and environmental health benefits and risks attached to tilapia production were identified.<p></p>
Conclusions. Scoping public health impacts of tilapia production is possible at different levels and forms for producers, retailers, consumers, civil society and governmental bodies that may contribute to complex and interrelated public health assessments of aquaculture projects. Our assessment framework constitutes an innovatory perspective in the field
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