1,010,256 research outputs found
Assessing LGUs' Health Service Delivery Performance: the Cases of Agusan del Sur and Dumaguete City
With the devolution of health service delivery from the Department of Health to local government units (LGUs) as mandated in the 1991 Local Government Code, how have the LGUs performed in their new task? And how have the local constituents responded to the new set-up? Read more on these...local government unit, health facilities, health service delivery, local government code, local service delivery
Service Participant Voices in Child Welfare, Children\u27s Mental Health, and Psychotherapy
Service providers are becoming increasingly interested in hearing the views of service participants regarding issues of service delivery. This trend is viewed as progressive and sensitive to the many complex issues facing a diverse service participant population. In order to understand what is known related to this trend, the paper reviews the literature in child welfare, children’s mental health, and psychotherapy where service participant feedback regarding aspects of service delivery has been studied. The findings from the three areas of service delivery are organized into a number of tangible themes. Suggestions for future research in the area of participant voice are noted
ADDRESSING GAPS IN THE DELIVERY OF COMMUNITY SERVICES: THE CASE OF ONE INNER-CITY COMMUNITY
The need for more effective approaches to the delivery of health and social services in inner-city communities is well established. Attempts to improve service delivery in such areas as housing, health care and job training usually concentrate on strengthening\u27 community education efforts and other strategies designed to motivate potential users of community services. Little emphasis has been placed on increasing the communication between different community service providers to achieve better coordination among organizations responsible for service delivery in inner-city communities. As a consequence, major service gaps exist including such problems as duplication of services, limited accessiblity [accessibility], and the absence of essential services. Such service gaps may go unnoticed unless community service providers and inner-city residents organize to address these problems. This paper reports on a study of community service providers who are working with residents to deal with the problem of service gaps in their inner-city community
Decentralization and Public Delivery of Health Care Services in India
This paper examines delivery of public health care services in India, in the broader context of decentralization. It provides an overview of the basic features and recent developments in intergovernmental fiscal relations and accountability mechanisms, and examines the implications of these institutions for the quality of public service delivery. It then addresses recent policy proposals on the public provision of health care, in the context of decentralization. Finally, it makes suggestions for reform priorities to improve public health care delivery.federalism, decentralization, intergovernmental relations, accountability, service delivery, health care
Magna Carta of Public Health Workers: Does it really Fulfill its Intent?
The Magna Carta of Public Health Workers (RA 7305) was enacted to ensure that health workers are properly compensated, thereby helping to promote better delivery of quality health care service. This Note, however, poses some questions after examining data and information regarding payment and funding of the Magna Carta benefits. Does the law really fulfill its original intent? Or does it cause more damage than good?health sector, hospitals, health service delivery, Philippines, health, health funds, disaster risk management, health workers
Reforming institutions for service delivery : a framework for development assistance with an application to the health, nutrition, and population portfolio
World Development Report 1997: The State in a Changing World (report no. 17300) argued that institutions-the rules of the game that govern production and exchange-shape a country's prospects for sustained market-led growth. The author provides an institutional framework for service delivery, an essential component of state capability. He applies this framework to an evaluation of Bank support for service delivery in the health, nutrition, and population sector. He argues for greater institutional pluralism in the ways the World Bank does business in infrastructure, rural, and social sectors, but cautions against making efficient service delivery an issue of"state versus market."The Bank and its clients face the challenge of fitting menus of"better practice"delivery options to maps of institutional reality. In the health, nutrition, and population sector, the Bank should (1) unbundle and categorize essential health and clinical services according to goods characteristics and (2) integrate country knowledge into operations through upstream assessments of state, political, and social institutions. Overall, the Bank has made progress toward a"goods characteristics"approach, particularly in infrastructure and some rural services-but it has lagged in the social sectors, where support remains largely technocratic. Cross-sector comparisons reveal four generations of support for service delivery. First-generation support focused mainly on physical implementation of projects. Second-generation interventions, which characterized most social service interventions, focused on improving the financial and organizational viability of implementing agencies through technical assistance. Third-generation support was marked by significant unbundling of service delivery activities and clearer links to goods characteristics. In irrigation (1982-94), telecommunications (1980s-present), and transport (1990s), the one-size-fits-all monopoly model gave way to a range of options based on greater private sector and citizen participation in delivery. These included leases, concessions, outsourcing, and contracting as well as building, operating, transfer, and turnover schemes. Fourth-generation interventions are works-in-progress and represent efforts to develop new governance arrangements that systematically combine competition, voice, and hierarchy in the design, delivery, and monitoring of Bank projects. The Bank has a poor track record building country knowledge of institutional endowments that affect service delivery. The author identifies concepts and tools valuable for sector specialists'operations.Enterprise Development&Reform,Public Health Promotion,Health Economics&Finance,Decentralization,Health Monitoring&Evaluation,Governance Indicators,Poverty Assessment,Environmental Economics&Policies,Health Monitoring&Evaluation,Health Economics&Finance
Values and behaviours: using the Ten Essential Shared Capabilities to support policy reform in mental health practice
This paper will review aspects of current policy in mental health with specific reference to policy that has a values focus. In this context, values refers to the standards and expectations we hold and which we use to guide aspects of practice performance. Service users state that core values that support, respect choice, collaboration, and customer service are critical foundation stones of a trusting therapeutic relationship. Attending to these foundations for practice has merit in ensuring the quality of care delivery in mental health. This paper will analyse what this means for the mental health workforce in their engagement with service users and delivery of policy priorities. Finally, the paper will explore resources, such as the Ten Essential Shared Capabilities (see Appendix 1), which support engagement and ongoing promotion of person-centred mental health care
The Value of Evidence-Based Computer Simulation of Oral Health Outcomes for Management Analysis of the Alaska Dental Health Aide Program
Objectives: To create an evidence‐based research tool to inform and guide policy and program
managers as they develop and deploy new service delivery models for oral disease prevention and
intervention.
Methods: A village‐level discrete event simulation was developed to project outcomes
associated with different service delivery patterns. Evidence‐ based outcomes were associated with
dental health aide activities, and projected indicators (DMFT, F+ST, T‐health, SiC, CPI, ECC) were proxy
for oral health outcomes. Model runs representing the planned program implementation, a more
intensive staffing scenario, and a more robust prevention scenario, generated 20‐year projections of
clinical indicators; graphs and tallies were analyzed for trends and differences.
Results: Outcomes associated with alternative patterns of service delivery indicate there is
potential for substantial improvement in clinical outcomes with modest program changes. Not all
segments of the population derive equal benefit when program variables are altered. Children benefit
more from increased prevention, while adults benefit more from intensive staffing.
Conclusions: Evidence‐ based simulation is a useful tool to analyze the impact of changing
program variables on program outcome measures. This simulation informs dental managers of the
clinical outcomes associated with policy and service delivery variables. Simulation tools can assist public
health managers in analyzing and understanding the relationship between their policy decisions and
long‐term clinical outcomes.The Ford Foundation
Decentralization and Public Delivery of Health Care Services in India
This paper examines delivery of public health care services in India, in the broader context of decentralization. It provides an overview of the basic features and recent developments in intergovernmental fiscal relations and accountability mechanisms, and examines the implications of these institutions for the quality of public service delivery. It then addresses recent policy proposals on the public provision of health care, in the context of decentralization. Finally, it makes suggestions for reform priorities to improve public health care delivery
Qualitative investigation of the role of collaborative football and walking football groups in mental health recovery
Efforts to increase physical activity levels in people with serious mental health conditions are viewed as desirable but little is known about how best to support this group to engage in exercise over extended periods. From a personal recovery perspective, the dominant paradigm in current mental health service delivery, one promising route involves participation with, rather than administration to or supervision of, mental health service users in team sports, usually football, in order to foster sharing of common interests and experiences. We aimed to explore the factors underlying the success of four collaborative mental health football (soccer) projects and the role played by football in mental health care delivery and in personal recovery. We held semi-structured focus groups with service user (n = 18) and staff (n = 7) participants from four football groups (two 'walking' football and two regular football) in two geographical National Health Service Boards in Scotland. Thematic analysis revealed that, central to success, were perceived relational, and personal and physical recovery-related benefits; competition and collaboration-related aspects were important drivers of interest in and commitment to the groups. Further, participants identified barriers to and concerns for continued success; specifically, they expressed that they need more explicit support from senior management. The clear emerging message was that collaborative football groups were perceived by participants as a conduit for recovery and an important aspect of mental healthcare delivery. Playing football was associated with a sense of wellbeing, and enhanced relationships between service users and staff
- …