Population health care

2019 ◽  
pp. 142-174
Author(s):  
John Ashton
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Population Health ◽  
Public Health Approach ◽  
University Hospitals ◽  
Planned Parenthood ◽  
Mainstream Media ◽  
Alder Hey

This chapter addresses the value of health services as a public health measure and makes the case for the use of public health skills in health service planning. The question as to what sort of health services are most appropriate to optimize population health is explored with reference to the development of the World Health Organization Alma Ata Declaration with its emphasis on the eight elements of primary health care. The application of epidemiological thinking in National Health Service frameworks for health care is described. Examples of the use of a public health approach in health care planning include: planned parenthood and family planning services; population-based diabetic retinopathy screening; and whole-system health care transformation in the county of Cumbria. Also covered are the proactive role of the mainstream media in taking the public on a journey of change and the handling of serious clinical service failure in the form of inappropriate organ retention at the Alder Hey Children’s Hospital, breast screening failure in a Cumbrian hospital, and a corporate clinical disaster at the Morecambe Bay University Hospitals.

scholarly journals Persepsi Peserta JKN Terhadap Penyelenggara Pelayanan Kesehatan Rujukan

2018 ◽  
pp. 38-46
Author(s):  
Iin Nurlinawati ◽  
Rosita Rosita
Keyword(s):  
Public Health ◽  
Health Care ◽  
Focus Group ◽  
Health Service ◽  
Health Services ◽  
Health Center ◽  
Health Facility ◽  
Public Perception ◽  
Group Discussion ◽  
Public Health Center

Abstrak Permenkes 71 tahun 2013 tentang Pelayanan Kesehatan pada Jaminan Kesehatan Nasional menyebutkan bahwa penyelenggara pelayanan kesehatan meliputi semua fasilitas kesehatan yang bekerja sama dengan BPJS Kesehatan berupa fasilitas kesehatan tingkat pertama dan rujukan tingkat lanjutan. Minat masyarakat untuk memanfaatkan penyelenggara pelayanan kesehatan dengan JKN akan dipengaruhi beberapa faktor diantaranya persepsi pasien akan mutu pelayanan kesehatan, baik pada pelayanan kesehatan tingkat pertama ataupun pada fasilitas kesehatan rujukan. Penelitian ini bertujuan untuk mengetahui persepsi pasien rawat jalan peserta JKN terhadap penyelenggara pelayanan kesehatan rujukan di Puskesmas X Kota Depok. Penelitian bersifat deskriptif dengan pendekatan kualitatif yang dilaksanakan di Puskesmas X Kota Depok, pada bulan Agustus 2017. Informan dikumpulkan di Puskesmas, kemudian dilakukan focus group discussion (FGD). Data yang dikumpulkan meliputi karakteristik informan, persepsi masyarakat terhadap pelayanan kesehatan di Puskesmas dan rumah sakit yang menjadi rujukan Puskesmas X. Pemilihan informan adalah pasien yang pernah berobat di Puskesmas X dan melakukan rujukan ke rumah sakit dalam kurun waktu satu tahun terakhir. Hasil penelitian menunjukkan bahwa persepsi masyarakat terhadap pelayanan kesehatan di Puskesmas X cukup baik, informasi alur rujukan disampaikan secara jelas. Permohonan rujukan di Puskesmas menurut informan lebih nyaman karena proses rujukan mudah dan pasien mendapatkan rujukan langsung untuk beberapa kali kunjungan ke rumah sakit sehingga tidak harus sering kembali ke Puskesmas. Namun persepsi masyarakat terhadap pelaksanaan pelayanan kesehatan pada rumah sakit rujukan kurang baik karena pelayanan yang diberikan masih jauh dari harapan masyarakat. Kata kunci: Persepsi, Pelayanan kesehatan, Puskesmas, Rujukan Abstract Permenkes 71 of 2013 on Health Services on National Health Insurance states that the providers of health services include all Health Facility in cooperation with BPJS Health in the form of first rate health facilities and advanced level referral. Public interest to utilize health service providers with JKN will be influenced by several factors such as the patient’s perception on the quality of health service, either at first level health service or at referral health facility. To determine the outpatient JKN member’s perception to referal health services at X Public Health Center Depok. The research was descriptive with qualitative approach which was carried out at X Public Health Center Depok, in August 2017. Informants were collected at Puskesmas, then conducted focus group discussion (FGD). The data collected include the characteristics of informants, public perceptions of health services at health centers and hospitals that became the reference of X Community Health Center. Selection of informants were patients who had been treated at X Health Center and made referral to the hospital within the last one year. The results showed that public perception of health service at X Public Health Center was good enough, the referral flow information was presented clearly. Referral application at Puskesmas according to informant is more convenient because the referral process is easy and the patient get direct referral for several visit to hospital so that they do not have to return to Puskesmas often. However, the public perception on the implementation of health service at referral hospital is not good because the service given is still far from the expectation of society. Keywords : Perception, Health Care, Primary Health Care, Referral

scholarly journals Factors Contributing to Inequality in Access to Urban Health Service Delivery in Low Resource Setting Country Bangladesh 

2021 ◽  
Author(s):  
Mohammad Shafiqul Islam ◽  
Muhammad Mustofa Kamal
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Service ◽  
Health Services ◽  
Health System ◽  
Urban Health ◽  
Urban Poor ◽  
Medical Expenditure ◽  
Public Health Care ◽  
Poor People

Abstract Background: Many poor people have limited accessibility in health services and also unable to afford quality health care for poor socio-economic conditions, income disparities, and socio-cultural barriers. This study attempts to examine the factors associated with accessibility and affordability of urban health services.Methods: This research is being carried out using mixed research approach. Primary data was collected using simple random sampling technique from 150 household’s residents in Sylhet City who have experience in receiving services from the urban public health care centers. This study uses a structured interview schedule both open ended as well as close ended questions. Moreover, descriptive statistics are used for analyzing field data. Results: This study found that 56% urban poor people have inadequate accessibility of health services as they have different types of financial difficulties including maintaining medical expenditure. The health system prevail discrepancy between mentioned services in citizen charter and availability of services as education and the existence of superstitions significantly impact on access to public health care but religion and age have a little impact in getting health services. Most of the respondents either satisfied (47%) or highly satisfied (29%) with the cordiality of senior consultants, and almost half of the respondents assumed the standard of cabin service is satisfactory (44%) as well as highly satisfactory (2%); however, wealthy and powerful people of the society always get privileges over disadvantaged people paying extra money or social network to get a cabin. Unfortunately, the professionalism of nurses and 4th class employees of public hospitals are not satisfactory. Moreover, the public health system exist a high level corruption and bureaucratic barrier that affect equal health service accessibility. Furthermore, adequate information is a more challenging factor than economic and cultural factors in access to adequate health care.Conclusion: Reform in health system management and service provision are useful for promoting accessibility in health services. Therefore, expansion of health coverage, introduction to health insurance scheme, empowerment of urban poor, and ensuring efficient and accountable health service management in public hospital must be ensured for getting adequate health services.

Health Care for South Lebanon's Civilian Population Following the June 1982 War

1985 ◽  
Vol 1 (1) ◽  
pp. 50-54
Author(s):  
T.H. Tulchinsky ◽  
Yakov Adler
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Child Nutrition ◽  
Renal Dialysis ◽  
Nutrition Status ◽  
Local Health ◽  
Dialysis Unit ◽  
Medical Needs ◽  
South Lebanon

AbstractFollowing the June 1982 war in South Lebanon, the Israel Ministry of Health sent a medical team to assess health conditions in the area, to assist in the restoration of local health services, and to provide additional medical assistance as needed in public health and specialized medical services. For the approximately 600,000 population of the area, public health sanitary conditions were restored by local authorities, with some external assistance. Sanitation and housing for the refugee camp populations were difficult to solve because of extensive damage in the camps; but United Nations activities, supported by international and Israeli sources, were effective. Epidemic conditions did not occur. Monitoring for specific infectious diseases showed increases not exceeding usual summer conditions. Child nutrition status was satisfactory. Medical needs for specialty services, not available in South Lebanon, were arranged through screening and referral to Israeli hospitals. Renal dialysis needs were met by establishing a dialysis unit using local personnel in a damaged and non-functioning government hospital. Private medical and hospital services, the bulk of health care in the area, functioned except for minor dislocations throughout the war and post-war period. Israeli medical aid, managed by a small multidisciplinary team, was designed to assist and, where necessary, augment rather than replace local health services.

scholarly journals The therapeutic journey of families of children with respiratory diseases in the public health service

2012 ◽  
Vol 20 (3) ◽  
pp. 453-461 ◽  
Author(s):  
Beatriz Rosana Gonçalves de Oliveira ◽  
Neusa Collet ◽  
Débora Falleiros de Mello ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Services ◽  
Respiratory Diseases ◽  
Health Issues ◽  
Public Health Services ◽  
The Public ◽  
Primary Health ◽  
Therapeutic Encounters ◽  
Access To Medical Care

This study's purpose was to identify the therapeutic journey of families seeking health care for their children with respiratory diseases. This qualitative study had the participation of parents of children younger than five years old who were hospitalized with respiratory diseases. Path mapping was used as an instrument to collect data, which was analyzed through thematic analysis. The findings indicate that families sought the health services as soon as they perceived symptoms and had access to medical care, however such care was not decisive in resolving their health issues. Even though the families returned to the service at least another three times, the children had to be hospitalized. The attributes of primary health care were not observed in the public health services, while therapeutic encounters had no practical success.

scholarly journals Membangun Komunikasi dalam Sinergi Pelayanan Kesehatan di Kabupaten Bandung

2020 ◽  
Vol 14 (1) ◽  
pp. 17-28
Author(s):  
Ditha Prasanti ◽  
Ikhsan Fuady ◽  
Sri Seti Indriani
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Active Role ◽  
Communication Process ◽  
Public Health Services ◽  
District Health ◽  
The Government ◽  
The One ◽  
The Village

The "one data" policy driven by the government through the Ministry of Health is believed to be able to innovate and give a new face to health services. Of course, the improvement of health services starts from the smallest and lowest layers, namely Polindes. Starting from this policy and the finding of relatively low public health service problems, the authors see a health service in Polindes, which contributes positively to improving the quality of public health services. The health service is the author's view of the communication perspective through the study of Communication in the Synergy of Public Health Services Polindes (Village Maternity Post) in Tarumajaya Village, Kertasari District, Bandung Regency. The method used in this research is a case study. The results of the study revealed that public health services in Polindes are inseparable from the communication process that exists in the village. The verbal communication process includes positive synergy between the communicator and the communicant. In this case, the communicators are village midwives, village officials, namely the village head and his staff, the sub-district health center, and the active role of the village cadres involved. In contrast, the communicant that was targeted was the community in the village of Tarumajaya. This positive synergy results in a marked increase in public services, namely by providing new facilities in the village, RTK (Birth Waiting Home).   Kebijakan “one data” yang dimotori oleh pemerintah melalui Kementerian kesehatan diyakini mampu membuat inovasi dan memberikan wajah baru terhadap layanan kesehatan. Tentunya, perbaikan layanan kesehatan tersebut dimulai dari lapisan terkecil dan terbawah yakni Polindes. Berawal dari kebijakan tersebut dan masih ditemukannya masalah pelayanan kesehatan publik yang relatif rendah, penulis melihat sebuah layanan kesehatan di Polindes, yang memberikan kontribusi positif dalam peningkatan kualitas layanan kesehatan masyarakat. Pelayanan kesahatan tersebut penulis lihat dari perpektif komunikasi melaui penelitian Komunikasi dalam Sinergi Pelayanan Kesehatan Publik Polindes (Pos Bersalin Desa) di Desa Tarumajaya, Kecamatan Kertasari, Kabupaten Bandung ini dilakukan. Metode yang digunakan dalam penelitian ini adalah studi kasus. Hasil penelitian mengungkapkan bahwa pelayanan kesehatan publik di Polindes, tidak terlepas dari adanya proses komunikasi yang terjalin di desa tersebut. Proses komunikasi verbal tersebut meliputi sinergitas positif antara pihak komunikator dan komunikan. Dalam hal ini, komunikator tersebut adalah Bidan Desa, Aparat Desa yakni Kepala Desa beserta staffnya, Puskesmas tingkat kecamatan, serta peran aktif dari para kader desa yang terlibat. Sedangkan komunikan yang menjadi target adalah masyarakat di desa Tarumajaya. Sinergitas positif tersebut menghasilkan peningkatan pelayanan publik yang nyata, yaitu dengan adanya penyediaan fasilitas baru di desa, RTK (Rumah Tunggu Kelahiran).

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