Mental health and addiction credential in primary care

This report is an evaluation of a demonstration coordinated by Health Workforce New Zealand. The credential aims to recognise and boost the skills and knowledge of registered nurses who work with patients with mental health and addiction needs. This evaluation report finds credentialing: improves the competence and confidence of primary care nurses working with patients with mental health and addiction issues aids understanding of the integration of physical and mental health encourages closer collaboration with secondary care and community practitioners. Barriers for wider implementation include: limited understanding of the value credentialing can add to staff competency difficulty obtaining release time for nurses to attend education and training lack of available education resources

Wharekauri, Rēkohu, Chatham Islands health and social needs

This report is an independent review of the health and social needs of Chatham Islanders. Executive summary Background: Whānau Ora is about the transformation of whānau/family – with whānau/family setting their direction. Whānau Ora is driven by a focus on outcomes: that whānau/family will be self-managing; living healthy lifestyles; participating fully in society; confidently participating in te ao Māori (the Māori world); economically secure and successfully involved in wealth creation; and cohesive, resilient and nurturing. Ha O Te Ora O Wharekauri Trust – Māori Community Services (‘Māori Community Services’) is one of 34 Whānau Ora provider collectives across New Zealand. Within these Whānau Ora provider collectives, there are approximately 180 service providers. The number of providers within each provider collective varies from 1 to 20. Ha O Te Ora O Wharekauri Trust is one of the few Whānau Ora provider collectives with only one provider: their service arm Māori Community Services. Te Whānau Whāriki: Whānau Ora Business Plan was developed by Māori Community Services (2011) to ensure business continuity, enhance management and governance, and put in place adequate infrastructure and appropriately trained staff to support Whānau Ora-based delivery programmes. The business plan seeks innovative opportunities to do things differently to support whānau/families to realise their aspirations. The Ministry of Health commissioned a report on the health and social needs of Chatham Islands. Māori Community Services intends to use the report to guide their work based on the aspirations and realities of whānau/families living on Chatham Islands. Māori Community Services were also keen to explore the feasibility of holding a Health and Wellbeing Day on Chatham Island, potentially using a model similar to PHARMAC’s One Heart Many Lives Program. It is intended that this report will inform other health and social organisations based on Chatham Islands and on the ‘mainland’, so they can work together to support whānau/families on Chatham Islands to realise their aspirations in both the short and long term

The Impact of Health Reform on Health System Spending

Examines the 2010 healthcare reform law's impact on national health expenditures, through new coverage, savings in public programs, insurance exchanges, and health system modernization; the federal budget; Medicare; and premiums for private coverage

Health-industry linkages for local health: reframing policies for African health system strengthening

The benefits of local production of pharmaceuticals in Africa for local access to medicines and to effective treatment remain contested. There is scepticism among health systems experts internationally that production of pharmaceuticals in sub-Saharan Africa (SSA) can provide competitive prices, quality and reliability of supply. Meanwhile low-income African populations continue to suffer poor access to a broad range of medicines, despite major international funding efforts. A current wave of pharmaceutical industry investment in SSA is associated with active African government promotion of pharmaceuticals as a key sector in industrialization strategies. We present evidence from interviews in 2013–15 and 2017 in East Africa that health system actors perceive these investments in local production as an opportunity to improve access to medicines and supplies. We then identify key policies that can ensure that local health systems benefit from the investments. We argue for a ‘local health’ policy perspective, framed by concepts of proximity and positionality, which works with local priorities and distinct policy time scales and identifies scope for incentive alignment to generate mutually beneficial health–industry linkages and strengthening of both sectors. We argue that this local health perspective represents a distinctive shift in policy framing: it is not necessarily in conflict with ‘global health’ frameworks but poses a challenge to some of its underlying assumptions

Towards a Competitive Health Care System

The antitrust laws constitute the foundation and fundamental strength of the U.S. democratic free enterprise system. Competition enhances both the democratic and economic opportunities, including in the healthcare markets. Although healthcare markets have significant market imperfections, a competitive system is more appropriate for the healthcare markets because it delivers choice among alternatives that regulation does not. Thus, the question to ask in the healthcare system is what can be done to make competition work better

Health Care Opinion Leaders' Views on Health Care Delivery System Reform

Presents findings of a survey of experts on reforming delivery systems -- organized delivery systems, patient-centered medical homes, and retail clinics -- and recommended policy strategies, such as improving the primary care system

Acceptance of Health Information System for Public Health Centre in North Borneo, Indonesia

This study sought the factor associated with own acceptance of HIS for PHC by using the modification of Technology Acceptance Model (TAM) in the Sebengkok PHC, Central Tarakan Subdistrict, Tarakan City, North Borneo, Indonesia. A cross-sectional approach was conducted through a survey on the 37 of PHC\u27s user. A set of questionnaires which was adopted from the previous research was used to collect the information from the participant. The model was developed by involving job relevance, output quality, result demonstrability, screen design, terminology, facilitating condition, perceived of usefulness, perceived ease of use, intention to use and system use (actual usage) as the construct. According to the hypothesis testing, perceived usefulness predicted by terminology, perceived ease of use is significantly predicted by screen design and terminology, perceived usefulness significantly predicts the intention of use and perceived ease of use, while system use which predicted considerably by the intention of use and facilitating condition. This study may have a contribution to the future improvement of HIS for PHC and guide the next coming research to dig the difference acceptance among the user