Business Pandemic Infuenza Planning Checklist

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Adolescent Health Services: Missing Opportunities

Examines the status of adolescents' health and health services, including critical needs, promising models, and components for improving disease prevention and health promotion. Recommends better primary care, coordinated policy, and expanded coverage

Client Satisfaction Towards Quality of Health Services: an Assessment at Primary Healthcare of District Gujranwala

This survey designed to evaluate the satisfaction level and the factors that affect the patient satisfaction regarding health care delivery services with the aim to improve the services in the primary health care settings of Gujranwala. A Cross Sectional Study done on randomly selected patients attending the basic health units of Gujranwala, with more than18 years of age. Pretested structured "Liker scale questionnaire" was used for data collection. Out of total respondents, 62 (41.3%) clients were satisfied with the services provided by the basic health units of Gujranwala. The factors identified to determine patient satisfaction were accessibility of services, behavior of staff, health education, level of cleanliness, drug availability and miscellaneous services. Not a single ranked area of satisfaction noticed. Client\u27s occupation and income had significant relationship with the patient satisfaction level. Gender, age, and education of clients were not contributing factors; they not affect the client satisfaction level.Less than half clients were satisfied with the services provided by the basic health units. Management of health facilities needs to improve the services

The Specificity of the Changes in the Lithuanian Health Tourism Services Industry

Purpose of the article: Even if the health tourism is one of the niche tourisms, it demonstrates successful growth comparing to the general tourism, other niches sectors, such as eco, medical, sport, adventure and other forms of tourism. The purpose is to disclose the specificity of the changes in the Lithuanian health tourism services industry comparing to the changes of the general tourism, what includes all kinds of tourism, including the health. Methodology/methods: Scientific literature analysis in order to disclose the coverage, specifics of the health tourism industry, and comparative statistical data analysis on the general and health tourism are done. Scientific aim: The article deals with the specificity of the health tourism services industry, its participators, value for the customer, distinguishing similar tourism subsectors, forms, trends in the development of health tourism in Lithuania. Findings: The results of the survey show the idiosyncrasy in the changings in the health tourism services industry in the Lithuanian market comparing to the general tourism. The amount of the health tourism services establishments is decreasing, as opposite to the number of general tourism. It is not bad trend for the health tourism, as the size of the establishment is growing. Incomes per health tourist are larger comparing to the general tourists, as health tourists stay shorter, but pay more. There are some changes also in the profile of the health tourism services customer. The evaluation of the health tourism services quality is also better than the general tourism at all. Conclusions: Findings show that here are some differences in the dynamics of analysed tourism forms. The health tourism becomes to be more concentrated; services centres are growing. The duration of the stay of the health tourist is shorter, but more profitable, and the quality is evaluated better comparing to the health tourism services used by Lithuanian tourists abroad. The positive future could be for attracting foreigners, who are looking for health services cheaper, quicker, as well as for better quality of the treatments and health Procedures

Tackling disinvestment in health care services

Rising levels of demand due to ageing populations and increases in long term conditions (White 2007), increased levels of expectation amongst patients and inflationary pressure caused by the rising cost of new technologies are amongst the explanations for the funding shortfalls in government funded health systems across the world (Newhouse 1992). The challenge facing these health systems has also been intensified by the worldwide economic downturn. Within health systems, efforts have been made to increase productivity and efficiency and to control costs without reducing quality (Garner and Littlejohns 2011) but the scale of the task necessitates further action (Donaldson et al. 2010). Beyond productivity and efficiency gains the next logical step for decision makers is disinvestment in cost-ineffective services, prioritisation of funding for one service over another or what Prasad (2012) refers to as ‘medical reversal’. The aims of this study were to explore the experiences of budget holders within the English National Health Service (NHS) in their attempts to implement programmes of disinvestment, and to consider factors which influence the success (or otherwise) of this activity. This paper begins with clarification of terminology and a summary of the current state of knowledge with regard to health service disinvestment, before presenting and discussing findings. The research suggests that disinvestment activity is varied across organisations and ranges from ‘invest to save’ schemes through to ‘true disinvestment.’ Although the majority of interviewees accept that disinvestment is necessary most had made little progress at the time of interview beyond ‘picking the low hanging fruit’. Interviewees identify a number of determinants of disinvestment such as: local/national relationships, co-ordination/ collaboration and; professional understanding and support

Tanzania: In their own words: Poor women and health services.

"In Their Own Words: Poor Women And Health Services" highlights critical constraints that poor women experience in accessing health services, including the challenges they face and the strategies they use to overcome them. This summary report is meant to inform policy development and resource allocation in relation to basic services for the poor, and to mobilize the financial, human and material resources necessary to strengthen health services for women living in poverty. It is a 4 page companion piece to the longer "Poor peoples' experience of Health Services in Tanzania www.africafiles.org/article.asp?ID=7585 Women's Dignity specializes in treatment of and education on the problem of fistula in women when delivering a child

Barriers to Utilisation of Sexual Health Services by Female Sex Workers in Nepal

Sexual health services are relatively rare in Nepal. Female sex workers (FSWs) do not use health services as much as would be desirable. A study was conducted to identify barriers to access of sexual health services by FSWs in Nepal. A mixed-method approach consisting of a 425 questionnaire-based survey and 15 in-depth interviews were conducted in 2007. One fifth of the FSWs had never visited health facilities. FSWs turned to private clinics followed by clinics belonging to non-governmental organisations and pharmacies for treatment. A combination of personal and service-related factors acted as critical barriers in accessing health services. Lack of confidentiality, discrimination and negative attitudes held by health care providers, poor communication between service providers and fear of exposure to the public as a sex worker were the major barriers to seeking sexual health services. These barriers should be taken into account while planning for sexual health services