scholarly journals The Implications of Endocrinology in Orthodontics – Literature Review

2020 ◽  
Vol 24 (1) ◽  
pp. 8-13
Author(s):  
Adeel Tahir Kamal ◽  
Hafiz Taha Mahmood ◽  
Mubassar Fida
Keyword(s):  
Health Care ◽  
Psychological Health ◽  
Vital Role ◽  
Basic Knowledge ◽  
Quality Health Care ◽  
Facial Disfigurement ◽  
Physiological Processes ◽  
Quality Health ◽  
Physical And Psychological Health

SummaryEndocrinopathies have a variety of orofacial presentations which span from dental malocclusion to facial disfigurement. These characteristics depend on the nature and severity of the condition. An orthodontist should understand the body’s physiological processes to be able to timely determine the optimum intervention and plan treatment stages accordingly in compromised individuals. Communication between the two specialties should be well coordinated and should help facilitate quality health care to the patient. This review was aimed to impart the basic knowledge and the pivotal guidelines for orthodontic management in these conditions. Systemic conditions require multidisciplinary management and the dental team should aim to provide quality oral health care to enhance the overall quality of life and the orthodontist plays a vital role in helping patients achieve physical and psychological health.

scholarly journals Quality indicators of dental health care in Serbia

2019 ◽  
Vol 66 (1) ◽  
pp. 36-42
Author(s):  
Svetlana Jovanović ◽  
Maja Milošević ◽  
Irena Aleksić-Hajduković ◽  
Jelena Mandić
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Health System ◽  
Quality Indicators ◽  
Health Care Quality ◽  
Care Quality ◽  
System Quality ◽  
Quality Health Care ◽  
Quality Health

Summary Health care has witnessed considerable progresses toward quality improvement over the past two decades. More precisely, there have been global efforts aimed to improve this aspect of health care along with experts and decision-makers reaching the consensus that quality is one of the most significant dimensions and features of health system. Quality health care implies highly efficient resource use in order to meet patient’s needs in terms of prevention and treatment. Quality health care is provided in a safe way while meeting patients’ expectations and avoiding unnecessary losses. The mission of continuous improvement in quality of care is to achieve safe and reliable health care through mutual efforts of all the key supporters of health system to protect patients’ interests. A systematic approach to measuring the process of care through quality indicators (QIs) poses the greatest challenge to continuous quality improvement in health care. Quality indicators are quantitative indicators used for monitoring and evaluating quality of patient care and treatment, continuous professional development (CPD), maintaining waiting lists, patients and staff satisfaction, and patient safety.

scholarly journals Medicare Telehealth Pre and Post-COVID-19

2021 ◽  
Author(s):  
Sophia Albanese ◽  
Amar Gupta ◽  
Ilina Shah ◽  
Joanna Mitri
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Literature Review ◽  
Geographic Location ◽  
State Agencies ◽  
Fee For Service ◽  
Medicare Beneficiaries ◽  
Quality Health Care ◽  
Quality Health

ABSTRACT The COVID-19 pandemic led to temporary relaxations for telehealth with respect to physician licensure, geographic location, and eligible sites for reimbursement. Earlier policies had impacted the rate of adoption of telehealth and retarded the ability to derive full benefits related to cost, access to care, and quality of care. This aspect is analyzed using 2018 Medicare fee-for-service codes and rates for 10 telemedicine services. Based on the analysis of these data, additional research, and literature review, this report describes how interstate practices can be better leveraged to achieve maximum potential for direct and indirect savings that can accrue through such pragmatic approaches for certain services. The interstate collaborations proposed in this report provide examples of broader telehealth policies that could foster increasing access to quality health care for Medicare beneficiaries and can potentially be used as insight to assist federal and state agencies as they review the continuation, cessation, or modifications of relaxations granted due to the COVID-19 pandemic.

scholarly journals Effective Team Working in Health Care

2016 ◽  
Author(s):  
Michael A. West ◽  
Lynn Markiewicz
Keyword(s):  
Professional Development ◽  
Health Care ◽  
Patient Satisfaction ◽  
Well Being ◽  
High Quality ◽  
Quality Health Care ◽  
Team Working ◽  
Quality Health ◽  
High Quality Health Care

In this chapter we show that team working is vital for high quality health care but that team working is often poor. We draw on research to show that effective team working is associated with fewer errors that harm staff and patients; fewer staff injuries; better staff well-being; higher levels of patient satisfaction; better quality of care; and lower patient mortality. “Pseudo team working” leads to the opposite outcomes. We describe how effective team based working can be developed and identify the importance of team objectives and leadership. The chapter describes the specific challenges for team working in health care, including the complexity of the context and the historical legacy of separate professional development and status hierarchies. We explore how these challenges can be overcome, arguing that ensuring effective team working in health care is critical to ensuring the delivery of high quality, continually improving and compassionate health care.

scholarly journals Poor quality for the poor? A study of inequalities in service readiness and provider knowledge in Indonesian primary health care facilities

2021 ◽  
Vol 20 (1) ◽  
Author(s):  
Manon Haemmerli ◽  
Timothy Powell-Jackson ◽  
Catherine Goodman ◽  
Hasbullah Thabrany ◽  
Virginia Wiseman
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Poor Quality ◽  
Health Facilities ◽  
Quality Health Care ◽  
Public And Private ◽  
The Poor ◽  
Service Readiness ◽  
Quality Health

Abstract Background For many low and middle-income countries poor quality health care is now responsible for a greater number of deaths than insufficient access to care. This has in turn raised concerns around the distribution of quality of care in LMICs: do the poor have access to lower quality health care compared to the rich? The aim of this study is to investigate the extent of inequalities in the availability of quality health services across the Indonesian health system with a particular focus on differences between care delivered in the public and private sectors. Methods Using the Indonesian Family Life Survey (wave 5, 2015), 15,877 households in 312 communities were linked with a representative sample of both public and private health facilities available in the same communities. Quality of health facilities was assessed using both a facility service readiness score and a knowledge score constructed using clinical vignettes. Ordinary least squares regression models were used to investigate the determinants of quality in public and private health facilities. Results In both sectors, inequalities in both quality scores existed between major islands. In public facilities, inequalities in readiness scores persisted between rural and urban areas, and to a lesser extent between rich and poor communities. Conclusion In order to reach the ambitious stated goal of reaching Universal Health Coverage in Indonesia, priority should be given to redressing current inequalities in the quality of care.

scholarly journals The perceptions of professional nurses regarding factors affecting the provision of quality health care services at selected rural public clinics in the Capricorn district, Limpopo Province

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Nick T. Matlala ◽  
Rambelani N. Malema ◽  
Mamare A. Bopape ◽  
Peter M. Mphekgwana
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Quality Of Health Care ◽  
Health Care Services ◽  
Quality Health Care ◽  
Care Services ◽  
Primary Health ◽  
Quality Health ◽  
Professional Nurses

Background: Despite many initiatives made by the National Department of Health through the Minister of Health, the provision of quality health care services remains a serious challenge in South Africa, especially in public rural clinics.Aim: The study aims to determine the perceptions of professional nurses on the factors affecting the provision of quality health care services at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Setting: The study was conducted at selected public primary health care clinics in rural areas of the Capricorn District, Limpopo Province.Methods: This study utilised a quantitative method, descriptive and a cross-sectional study conducted for three months at the selected public primary health care clinics. A structured self-administered questionnaire was used to collect data from 155 professional nurses who met the selection criteria. Data were analysed using Statistical Package for Social Sciences programme version 26.0.Results: The results of 155 professional nurses were only 116 (74%) and reported that the use of modern technology such as electronic blood pressure, sonar machines and pulse reading computers improves the quality of health care services. Also 129 (84%), 124 (77%) and 118 (76%) reported that they were overwhelmed by the workload, the staff attitude and cleanliness of the clinic, respectively, which all affect the quality of health care services rendered. Moreover, only about 29 (19%) were satisfied with the salary they earned.Conclusion: Despite the effort and interventions put in place by the Department of Health with regard to the Ideal Clinic Realisation and Maintenance in response to the current deficiencies in the quality of primary health care services and to lay a strong foundation for the implementation of National Health Insurance. The quality of health care services is still hindered by several factors such as an overwhelming workload, the attitude of the staff and cleanliness in the work environment, poor infrastructure and the professional nurses perceive the environment as lacking equipment.

Quality Shortfalls From Health Care Waste: A Unifying Root Cause of Burnout

2020 ◽  
pp. 37-46
Author(s):  
Stephen J. Swensen ◽  
Tait D. Shanafelt
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Professionals ◽  
Care Delivery ◽  
Health Care Delivery System ◽  
Poor Quality ◽  
Quality Health Care ◽  
Root Cause ◽  
Quality Health

The current health care delivery system is perfectly designed to create high rates of professional burnout in physicians, nurses, advanced practice providers, and other health care professionals. In most organizations, a gap exists between the quality of care professionals aspire to deliver and the quality of care actually delivered, which creates burnout. Poor quality health care is fundamentally about waste, and leaders in the health care industry have primary accountability and responsibility for system waste. The following are five categories of waste in health care: Failures of care delivery and care coordination, overtreatment, administrative complexity, pricing failures, and fraud and abuse.

scholarly journals Hospital with No-class Wards Policy: An Effort to Create the Right to Access to Quality Health Care for the Poor

2019 ◽  
Vol 21 (1) ◽  
pp. 18-37 ◽  
Author(s):  
Budi Aji ◽  
Herman Sumawan
Keyword(s):  
Health Care ◽  
Local Context ◽  
Quality Of Services ◽  
Future Research ◽  
Health Coverage ◽  
Quality Health Care ◽  
The Poor ◽  
Quality Health ◽  
The Right

The purpose of the present study was to explore the experience of the patients and hospital behaviour after the implementation of the no-class wards policy and its possible impact on the poor and non-poor patients provision and quality of care. This case study was conducted at Wates Hospital and purposeful sampling was used to yield participants. This study employed in-depth interviews with health care users district health care stakeholders, and focus group discussions with hospital healthcare professionals. The no-class wards policy had clearly demonstrated on improving the right to access to quality health care for the poor. The policy had been effectively reducing the experiences of patients on discriminatory treatment and improving quality of services. The policy also had an impact on increasing hospital utilization significantly among public insurance beneficiaries for both the poor and non-poor patients which supports the success of the implementation of the universal health coverage. Moreover, the policy had improved the assurance of quality of services. Future research needs to expand on our work to compare the implementation of no-class wards policy in other hospitals in different regions in Indonesia considering different local context such as local political issues, public expectations and other technical issues.

Dying in Australian hospitals: will a separate national clinical standard improve the delivery of quality care?

2015 ◽  
Vol 39 (2) ◽  
pp. 202 ◽  
Author(s):  
Katherine Clark ◽  
Aileen Collier ◽  
David C. Currow
Keyword(s):  
Health Care ◽  
End Of Life ◽  
Quality Care ◽  
Quality Standard ◽  
Discussion Paper ◽  
Quality Health Care ◽  
Quality Health ◽  
Care Gaps ◽  
Quality In Healthcare

While it is commonly stated that for most people the preferred place of death is their own homes, the actual reality is that most people will die in hospitals. This is both by choice and necessity. However, for many, the care that they receive would not necessarily align with their expectations. The need to improve the quality of health care at the end of life has been acknowledged by the Australian Commission for Safety and Quality in Healthcare with the release of a recent discussion paper. It is presumed this is a prelude to the release of another quality standard specifically for end of life care. The aim of this paper is to question whether such a standard is likely to result in the hoped for improvements in care. What is known about the topic? Numerous reports highlight that the care received by people dying predictably in hospital would not always be considered of sufficient quality to reliably and safely address their needs. As the numbers of people dying in Australian hospitals is likely to exponentially rise over the next decade there is a real need to address this care gap. What does this paper add? The need to address this care gaps has been highlighted by the Australian Commission for Safety and Quality in Healthcare. While this focus is welcomed, this paper questions whether any changes can be made without considering the fundamental issues precluding the delivery of quality health care as would be expected by any other patient cohort. What are the implications for practitioners? As with care at any point, patients and their families expect care to be delivered in a quality paradigm: patient-centred, evidence-based and safe. Care at the end of life is no different.

scholarly journals Awareness on Preventive Measures taken by Health Care Professionals Attending COVID-19 Patients among Dental Students

2020 ◽  
Vol 14 (S 01) ◽  
pp. S105-S109
Author(s):  
Bianca Princeton ◽  
Preetha Santhakumar ◽  
Lavanya Prathap
Keyword(s):  
Health Care ◽  
Health Care Professionals ◽  
Preventive Measures ◽  
Vital Role ◽  
Dental Students ◽  
World Health ◽  
Quality Health Care ◽  
Quality Health ◽  
Access And Quality ◽  
Health Organization

Abstract Objectives Coronavirus disease is an infectious disease caused by a newly discovered coronavirus. This virus primarily spreads through droplets of saliva or discharge from the nose when an infected person coughs or sneezes. This virus was named after its shape, which takes the form of a crown with protrusions around it. The World Health Organization has recommended personal protective equipments (PPE) to doctors and health care workers attending COVID-19 patients. PPE generally includes masks, goggles, respirators, gloves, face shields, and isolation gowns. The principle aim of this study is to create awareness among dental students about the preventive measures taken by health care professionals while attending patients affected with COVID-19. Materials & Methods A questionnaire comprising 15 questions was created using an online Google forms website and was circulated among 100 dental students. The survey was conducted within a week in the months of April to May 2020. The results and observations were recorded in the form of pie charts. Results Ninety-three percent of the participants have stated that health care professionals must clean their hands often, cover their nose and mouth, and maintain safe distance from everyone in order to prevent the virus from affecting them. Sixty-three percent of the participants are familiar with the term PPE. Majority assume that health care professionals are given enough safety precautions while treating a patient with coronavirus. Conclusion Hence, to conclude, health care professionals play a vital role in improving access and quality health care for the population, and hence, they must be protected as well. Since dental students treat patients, they are vulnerable to infection as well, and must take proper safety measures.

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