scholarly journals Rapid Integrated Healthcare Response for the First U.S. Evacuees from Wuhan, China During the COVID-19 Pandemic

2020 ◽  
pp. 1-10
Author(s):  
Michael Mesisca ◽  
Geoff Leung ◽  
Jonelle Morris ◽  
Matthew Chang ◽  
Roderick Verbeck ◽  
...  
Keyword(s):  
Health System ◽  
Medical Care ◽  
Behavioral Health ◽  
Federal Agencies ◽  
Integrated Healthcare ◽  
Riverside County ◽  
Health Support ◽  
Multi Disciplinary Team

Abstract On January 29th, 2020, 195 U.S. citizens were evacuated from the COVID-19 epidemic in Wuhan, China to March Air Reserve Base in Riverside, California, and entered the first federally mandated quarantine in over 50 years. With less than one day notice, a multi-disciplinary team from Riverside County and Riverside University Health System in conjunction with local and federal agencies established on-site 24-hour medical care and behavioral health support. This report details the coordinated efforts by multiple teams that took place to provide care for the passengers and to support the surrounding community.

Derecho a la protección de la salud y exclusión de la asistencia sanitaria: la crisis económica como pretexto para la limitación del acceso a los servicios y prestaciones del estado del bienestar

2014 ◽  
pp. 125-148
Author(s):  
Vicenç AGUADO I CUDOLÀ ◽  
Raquel PRADO PÉREZ
Keyword(s):  
Health Services ◽  
Health System ◽  
Medical Care ◽  
Home Health ◽  
Vulnerable Groups ◽  
Unemployment Benefit ◽  
Autonomous Communities ◽  
International Obligations ◽  
Constitutional Right ◽  
Economic Criteria

LABURPENA: 16/2010 Errege Lege Dekretuak osasun-laguntzan ezarritako erreformak asegurudun eta onuradun kontzeptuak erabiltzen ditu osasun-sistema publikoa erabiltzeko bide gisa. Sistema guztiz unibertsalizatzeko joera geldiarazten da horrela, eta, soilik irizpide ekonomikoetan oinarrituta, sistematik kanpo utzi nahi dira egoera ahulean dauden zenbait kolektibo, hala nola, egoera irregularrean dauden etorkinak eta langabezian dauden, laurogeita hamar egun baino gehiagoz atzerrian dauden eta langabezia-prestazioa edo –subsidioa jasotzeari utzi dioten emigratzaile espainiarrak. Defendatzen den tesia da egoera ahulean dauden taldeak kanporatzea osasuna babesteko konstituzio-eskubidearen eta estatu espainiarrak bere gain hartutako nazioarteko betebeharren kontrakotzat jo daitekeela. Gainera, erreformak berriz zentralizatzeko asmo garbia dauka, Gizarte Segurantzako berezko ideiak erabiliz; autonomia-erkidegoek barne-osasunaren alorrean haien gain hartutako eskumenak zatikatzen ditu erkidegoetako osasun-zerbitzuak deskoordinatuta daudenaren aitzakian baina hori inola frogatu gabe. RESUMEN: La reforma de la asistencia sanitaria llevada a cabo por el Real Decreto-Ley 16/2012 utiliza las nociones de asegurado y beneficiario como vias de acceso al sistema publico de salud. Se frena una tendencia dirigida a una plena universalizacion del sistema para excluir, en base a criterios meramente economicos, a determinados colectivos vulnerables como los inmigrantes en situacion irregular y los emigrantes espanoles en paro que estan mas de noventa dias en el extranjero y que han dejado de percibir la prestacion o subsidio de desempleo. La tesis que se defiende es que la exclusion de grupos vulnerables puede entenderse contraria al derecho constitucional a la proteccion de la salud y a las obligaciones internacionales asumidas por el Estado espanol. La reforma tiene, ademas, un rasgo claramente recentralizador, a traves de la utilizacion de las nociones propias de la Seguridad Social, que laminan competencias que habian asumido las comunidades autonomas en materia de sanidad interior, bajo el pretexto de una no acreditada descoordinacion entre los servicios de salud autonomicos. ABSTRACT: The reform of medical care carried out by means of the Royal Decreelaw uses the concepts of insured and beneficiary as ways of access to the publich health system. It curbs the trend towards a full univesalization of the system in order to exclude, based upon merely economic criteria, some specific vulnerable groups as irregular inmigrants and Spanish unemployed emigrants who are abroad more than ninety days and who are not receiving the unemployment benefit. The thesis is that the exclusion of vulnerable groups can be considered against the constitutional right to the health protection and to the international obligations assumed by the Spanish state. Besides the reform has a clear recentralizing feature by using notions typical to Social Security which laminate the competences that had been taken by the Autonomous Communities in the field of home health, with the excuse of a non proved discordination between the automic health services.

scholarly journals Patient and provider perception of appropriateness, acceptability, and feasibility of behavioral health home (BHH) core components based on program implementation in an urban, safety-net health system

2021 ◽  
Vol 2 ◽  
pp. 263348952110437
Author(s):  
Ana M Progovac ◽  
Miriam C Tepper ◽  
H. Stephen Leff ◽  
Dharma E Cortés ◽  
Alexander (Cohen) Colts ◽  
...  
Keyword(s):  
Primary Care ◽  
Health System ◽  
Behavioral Health ◽  
Program Implementation ◽  
Health Management ◽  
Safety Net ◽  
Clinical Settings ◽  
Urban Safety ◽  
Core Components ◽  
Health Home

Background This manuscript evaluates patient and provider perspectives on the core components of a Behavioral Health Home (BHH) implemented in an urban, safety-net health system. The BHH integrated primary care and wellness services (e.g., on-site Nurse Practitioner and Care Manager, wellness groups and tools, population health management) into an existing outpatient clinic for people with serious mental illness (SMI). Methods As the qualitative component of a Hybrid Type I effectiveness-implementation study, semi-structured interviews were conducted with providers and patients 6 months after program implementation, and responses were analyzed using thematic analysis. Valence coding (i.e., positive vs. negative acceptability) was also used to rate interviewees’ transcriptions with respect to their feedback of the appropriateness, acceptability, and feasibility/sustainability of 9 well-described and desirable Integrated Behavioral Health Core components (seven from prior literature and two additional components developed for this intervention). Themes from the thematic analysis were then mapped and organized by each of the 9 components and the degree to which these themes explain valence ratings by component. Results Responses about the team-based approach and universal screening for health conditions had the most positive valence across appropriateness, acceptability, and feasibility/sustainability by both providers and patients. Areas of especially high mismatch between perceived provider appropriateness and measures of acceptability and feasibility/sustainability included population health management and use of evidence-based clinical models to improve physical wellness where patient engagement in specific activities and tools varied. Social and peer support was highly valued by patients while incorporating patient voice was also found to be challenging. Conclusions Findings reveal component-specific challenges regarding the acceptability, feasibility, and sustainability of specific components. These findings may partly explain mixed results from BHH models studied thus far in the peer-reviewed literature and may help provide concrete data for providers to improve BHH program implementation in clinical settings. Plain language abstract Many people with serious mental illness also have medical problems, which are made worse by lack of access to primary care. The Behavioral Health Home (BHH) model seeks to address this by adding primary care access into existing interdisciplinary mental health clinics. As these models are implemented with increasing frequency nationwide and a growing body of research continues to assess their health impacts, it is crucial to examine patient and provider experiences of BHH implementation to understand how implementation factors may contribute to clinical effectiveness. This study examines provider and patient perspectives of acceptability, appropriateness, and feasibility/sustainability of BHH model components at 6–7 months after program implementation at an urban, safety-net health system. The team-based approach of the BHH was perceived to be highly acceptable and appropriate. Although providers found certain BHH components to be highly appropriate in theory (e.g., population-level health management), their acceptability of these approaches as implemented in practice was not as high, and their feedback provides suggestions for model improvements at this and other health systems. Similarly, social and peer support was found to be highly appropriate by both providers and patients, but in practice, at months 6–7, the BHH studied had not yet developed a process of engaging patients in ongoing program operations that was highly acceptable by providers and patients alike. We provide these data on each specific BHH model component, which will be useful to improving implementation in clinical settings of BHH programs that share some or all of these program components.

scholarly journals Lessons learned while building a trauma-informed public behavioral health system in the City of Philadelphia

2016 ◽  
Vol 59 ◽  
pp. 21-32 ◽  
Author(s):  
Rinad S. Beidas ◽  
Danielle R. Adams ◽  
Hilary E. Kratz ◽  
Kamilah Jackson ◽  
Steven Berkowitz ◽  
...  
Keyword(s):  
Health System ◽  
Behavioral Health ◽  
Lessons Learned ◽  
Trauma Informed ◽  
Behavioral Health System ◽  
The City
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