Tuesday, May 5, 2020

Annotated Bibliography for Healthy Structures and Governance

Question: Write about theAnnotated Bibliography for Healthy Structures and Governance. Answer: Introduction The organized systems in health act as networks and coordinate their movements so that it can help in improving their care facilities, conditions of sanitations and reduction in budget, which will help in gaining satisfaction by the patients. One of the universal phenomenons in the modern world is the ageing of the population, which has been increasing in the developed countries. The consumers in the modern world needs the health services that will help them in meeting their requirements, which suggests that the services needs to be integrated and connected in a better manner. The consumers or the patients need to experience a better service with respect to healthy structures and governance. The integration of the social and medical care helps in the fragmentation of the services of the patients in the health care systems around the world. The increased rate of diseases that are chronic in nature has helped in providing necessary reforms so that these problems can be addressed proper ly. The care that is coordinated within a health system is an important issue within the primary health care system in various countries. The increases in the diseases that are chronic in nature have to be maintained in a complex manner by the different health care systems so that the care service can be managed in a better way within the community. The provision of the services has to be inclusive of the support and the coordination mechanisms that will help the general practioners in serving the patients who are inducted in the aged care homes in a better manner. The government of Australia had started the Aged Care General Practitioner Panels on 18th November 2330, which had taken the initiative of making some changes that would help in strengthening the medical care facilities. The divisions that are present in the practice of aged care facilities helps in drawing up of the action plan, which has been made mandatory by the government in 2005. The review of the literature has helped in studying the status that is present currently in the services of the facilities that are present with respect to the residential aged care in Australia. The initiative that has been taken up the government has helped in improving the quality of the care and the facilities that are present with respect to the facilities in aged care. This has helped the practioners in improving the access in the services with the help of new models, which has helped in decreasing the costs of the facilities. The articles have helped in studying the challenges that are present in the society with respect to the care and attempt in providing better access to the health care of the aged residents in the old age facilities. The issues that are present in the care has to be taken care of by applying the necessary models so that the care can be provided in a better manner to the old age residents in the care facilities. The aim of the medical and the social care is that it will help in addressing the integration that is present in the services of the patient in the systems of health care. The group of patients who have complex issues with their health has to be provided with better benefits so that it may help in reducing the chronic diseases along with the mental conditions of the patients. The process of integration will help in improving the coordination and the efficiency of the health care along with controlling the costs by providing better quality of treatment. The palliative care that is present in the communities is challenging for the practioners in the rural areas, which has caused a shortage in the workforce. The study will help in assessing the needs of the qualities that are present in the palliative care facility with respect to the aged residents. The identification of the needs will help the staffs in providing better care in delivering the palliative facility to the residents. The elements that are present in the care facilities has to be integrated in a better manner so that the care can be provided in the primary and the secondary sectors. Summary The chronic diseases that are non-communicable in nature with respect to ageing will include cancer, diabetes, respiratory diseases and cancer. According to the Pan American Health Organization, almost 60 percent of the deaths have occurred due to these conditions (Rodrigues, et al., 2015). The method that was used was cross sectional in approach where the population of the Alfenas region was taken in to consideration. The results showed that the consistency was satisfactory in nature, as it had a correlation that was less than 0.30. The interface of provider and patient needs to consider the expectation and needs of the patients. The method of collecting interviews was based on the literature that was available for the past 10 years. The findings based on the available literature were that the care and advice that was provided to the patients after the hours of service was taken in high value by the consumers. The patients want to get involved in the decisions that were made based o n their medical reports (Oliver-Baxter J. , Brown, OConnor, Lunnay, Bywood, 2013). The health needs are different for the patients that are grouped in to three categories, which are patients with more than two chronic diseases, the elderly people and the patients that suffer from severe mental conditions. The authors have discussed that most of the health care organizations tries to improve their costs and the care that is provided to the target patients. The government also provides help by providing a well-defined framework so that the services can be provided in a better manner. The resources that need to be used are the platforms that will help in managing the information technology and involve better incentives in the primary care unit(Maruthappu, Hasan, Zeltner, 2015). The methods that were used by the authors were dependent on the electronic databases that helped in combining the integration and the primary health care services for the study to be conducted in an efficient manner. The primary method of the study included the assessment that was laid down in the Scottish Intercollegiate Guidelines Network along with the various informations that was found on the websites of the State Health Departments. The research was based on 85 studies that were primary in nature along with 21 article reviews were taken in to consideration. The results of the study showed that chronic diseases account to 39 percent, aged diseases accounted to 18 percent and problems related to mental health amounted to 28 percent (Powell Davies, et al., 2017). The study by the authors helped in providing a detailed account of the learning design in the health care systems that are primary in Australia. The study has been conducted based on the exploration of the places and the re-modeling of the practices in the health care sector by the professionals according to the New South Wales Government. The analysis has been done based on the ethnographical study, which was conducted over a period of 2011-2014. The findings of the study highlighted that there were major changes in the practices within the health care system such as the improvement of the care facilities undertaken by the nurses. The organization focused on developing the designs that will help in achieving better health care services by developing their staffs so that they can operate in an efficient manner (Rule, Dunston, Solomon, 2016). The main objective of the study that was conducted by these researcher were to identify the main stakeholders that has enabled along with limited the use of the health impact assessment (HIA) during the decisions that are taken within the health care organizations. The method that has been used by the authors is that they carried out in-depth interviews of 14 informants within the regional and the local organizations that included the role of stakeholders. The results of the study helped in identifying the the themes that were taken for the study such as the integration method that was used in HIA with the existing structures within the organization and the leadership that was present in HIA (Ahmad, Chappel, Pless-Mulloli, White, 2008). The continuous improvement of the quality has helped the organizations in being effective with the contextual and the other factors. The study conducted by the authors dealt with the changes that were present in the delivery service along with the various ranges that helped in participating in the programs aimed at achieving improved quality with respect to care in Australia. The method used by the authors was that they collected the data from 36 health centres along with the quarterly reports of those organizations. The result was that it helped in identifying the effectiveness of improvement of the quality on a continuous basis, which helped in establishing the links between the patients and the staffs (Schierhout, et al., 2013). The reformations in the health care sectors are based on improving the integration related to the care provided in the primary and secondary sectors. The authors reviewed the literature from PubMed, CINAHL, and MEDLINE along with the different institutions such as Cochrane Library and others during 2006-2012. The results were that it helped in understanding the effectiveness of the governance and the delivery structures with respect to the services (Nicholson, Jackson, Marley, 2013). The care that is provided to the aged within the community is challenging mostly in the rural areas because of the shortages in the work force. The focus groups that are intended to look after the aged communities needs to analyze the strengths and weaknesses so that the quality of the care can be delivered in a better manner. The palliative care that is to be provided to the aged people is facing problems due to the lack of shortages in work force. The focus groups need to be educated in a proper manner so that proper care can be provided to the aged individual by implementing set of rules and regulations so that the care can be provided in a better manner (Mitchell, Nicholson, McDonald, Bucetti, 2011). The use of better quality and timeliness by the practioner of medical services have to provide better care to the aged care patients, as they require high medical needs due to their factor of age. The main objective is that the practioner needs to use various models that are present in health care services so that they can provide better facilities of care for the patients. The models such as Continuity Model, RACF Panel Model, and the General Practioner with Special Interest in Residential Aged Care model can be used by the medical practioners so that they can provide better care to the patients. The use of the models that are present within the hospital needs to be developed if the illness is acute for the aged patients (Reed, 2015). Conclusion Thus, it can be concluded that the managers in healthcare and the workers need to work in coordination so that the performance can be improved within the Integrated Health Service Delivery Network. Therefore, it can be concluded that the improvement of the patients were being done in an efficient manner but by maintaining the costs and the use of health systems that were complex in nature were to be done by better communication techniques at the local level. Further it can be added that the outcomes are potential in improving the health care facilities so that it can help the facilities in saving their costs. Thus, it can be concluded that the government along with the other legislator bodies play an important role in taking proper care of the patients within the primary health care services. Thus, it can be concluded that the authors have helped in establishing the models that will help in understanding the primary care services in Australia. The nurses as well have to undergo the training process so that they can provide optimum services to the patients. The authors concluded that the vacuum that was present in the leadership within these organizations were not defined clearly in the previous studies. Their studies helped in finding the limits with the use of HIA within the process of making the decisions in the health care organizations. Thus, it can be concluded that the continuous improvement of the quality will help the organizations in providing a relationship between the staffs and the patients in a better manner. Thus it can be concluded that the models of governance will provide a better integration regarding the secondary and primary services of health care. Bibliography Ahmad, B., Chappel, D., Pless-Mulloli, T., White, M. (2008). Enabling factors and barriers for the use of health impact assessment in decision-making processes. . Public Health, 122(5), , 452-457. Burling, S. (2004). General Practitioner Panels coming to aged care facilities. . Geriaction, 22(4),, 14. Davies, G. P., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K., McDonald, J. (n.d.). Coordination of care within primary health care and with other sectors: A systematic review. Gadzhanova, S., Reed, R. (2007). Medical services provided by general practitioners in residential aged-care facilities in Australia. . Medical Journal of Australia, 187(2), , 92. Greaves, M., Rogers Clark, C. (2009). The experience of socially isolated older people in accessing and navigating the health care system. Australian Journal of Advanced Nursing, The, 27(2),, 5. Hillen, J. B., Vitry, A., Caughey, G. E. (2017). Trends in general practitioner services to residents in aged care. . Australian journal of primary health, 22(6),, 517-522. Maruthappu, M., Hasan, A., Zeltner, T. (2015). Enablers and barriers in implementing integrated care. . Health Systems Reform, 1(4), , 250-256. Mitchell, G., Nicholson, C., McDonald, K., Bucetti, A. (2011). Enhancing palliative care in rural Australia: the residential aged care setting. Australian Journal of Primary Health, 17(1), 95-101. Nicholson, C., Jackson, C., Marley, J. (2013). A governance model for integrated primary/secondary care for the health-reforming first worldresults of a systematic review. . BMC health services research, 13(1), 528. OConnell, B., Hawkins, M., Considine, J., Au, C. (2013). Referrals to hospital emergency departments from residential aged care facilities: Stuck in a time warp. Contemporary nurse, 45(2), , 228-233. Oliver-Baxter, J., Brown, L., OConnor, J., Lunnay, B., Bywood, P. (2013). Integrated care: What can be done at the micro level to influence integration in primary health care?. PHC RIS policy issue review. PHC RIS policy issue review. Adelaide, Aust: Primary Health Care Research and Information Service. Pain, T., Stainkey, L., Chapman, S. (2014). AgedCare+ GP: description and evaluation of an in-house model of general practice in a residential aged-care facility. . Australian journal of primary health, 20(3), , 224-227. Penfold, J. (2013). Positive outcomes for scheme that links care homes with GP practices: Julie Penfold looks at an initiative in Lancashire that is improving quality of services and reducing hospital admissions. . Primary Health Care, 23(10), , 9-10. Powell Davies, G., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K., McDonald, J. (2017). Coordination of care within primary health care and with other sectors: a systematic review. Reed, R. L. (2015). Models of general practitioner services in residential aged care facilities. Australian family physician, 44(4), 176. Rodrigues, L. B., dos Santos, C. B., Goyat, S. L., Popolin, M. P., Yamamura, M., Deon, K. C., . . . Arcncio, R. A. (2015). Assessment of the coordination of integrated health service delivery networks by the primary health care: COPAS questionnaire validation in the Brazilian context. BMC family practice, 16(1), 87. Rule, J., Dunston, R., Solomon, N. (2016). Learning and change in the redesign of a primary health care initiative. . Journal of Workplace Learning, 28(7), , 451-467. Schierhout, G., Hains, J., Si, D., Kennedy, C., Cox, R., Kwedza, R., . . . Dowden, M. (2013). Evaluating the effectiveness of a multifaceted, multilevel continuous quality improvement program in primary health care: developing a realist theory of change. . Implementation Science, 8(1), 119. Truscott, J. E. (2007). Nurse practitioners and GPs: Addressing the needs of older persons living in residential aged care. . Australian family physician, 36(9),, 765. Burling, S. (2004). General Practitioner Panels coming to aged care facilities. . Geriaction, 22(4),, 14. Gadzhanova, S., Reed, R. (2007). Medical services provided by general practitioners in residential aged-care facilities in Australia. . Medical Journal of Australia, 187(2), , 92 Greaves, M., Rogers Clark, C. (2009). The experience of socially isolated older people in accessing and navigating the health care system. Australian Journal of Advanced Nursing, The, 27(2),, 5. Hillen, J. B., Vitry, A., Caughey, G. E. (2017). Trends in general practitioner services to residents in aged care. . Australian journal of primary health, 22(6),, 517-522. Maruthappu, M., Hasan, A., Zeltner, T. (2015). Enablers and barriers in implementing integrated care. . Health Systems Reform, 1(4), , 250-256. Mitchell, G., Nicholson, C., McDonald, K., Bucetti, A. (2011). Enhancing palliative care in rural Australia: the residential aged care setting. Australian Journal of Primary Health, 17(1), 95-101. Nicholson, C., Jackson, C., Marley, J. (2013). A governance model for integrated primary/secondary care for the health-reforming first worldresults of a systematic review. . BMC health services research, 13(1), 528. OConnell, B., Hawkins, M., Considine, J., Au, C. (2013). Referrals to hospital emergency departments from residential aged care facilities: Stuck in a time warp. Contemporary nurse, 45(2), , 228-233. Oliver-Baxter, J., Brown, L., OConnor, J., Lunnay, B., Bywood, P. (2013). Integrated care: What can be done at the micro level to influence integration in primary health care?. PHC RIS policy issue review. PHC RIS policy issue review. Adelaide, Aust: Primary Health Care Research and Information Service. Pain, T., Stainkey, L., Chapman, S. (2014). AgedCare+ GP: description and evaluation of an in-house model of general practice in a residential aged-care facility. . Australian journal of primary health, 20(3), , 224-227. Powell Davies, G., Harris, M., Perkins, D., Roland, M., Williams, A., Larsen, K., McDonald, J. (2017). Coordination of care within primary health care and with other sectors: a systematic review. Rule, J., Dunston, R., Solomon, N. (2016). Learning and change in the redesign of a primary health care initiative. . Journal of Workplace Learning, 28(7), , 451-467. Schierhout, G., Hains, J., Si, D., Kennedy, C., Cox, R., Kwedza, R., . . . Dowden, M. (2013). Evaluating the effectiveness of a multifaceted, multilevel continuous quality improvement program in primary health care: developing a realist theory of change. . Implementation Science, 8(1), 119.

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