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1 – 10 of over 109000
Article
Publication date: 1 April 2000

Janice Robinson and Siân Griffiths

New public health policies present social services with new opportunities and challenges. A shared public health and social care agenda is emerging around health improvement…

Abstract

New public health policies present social services with new opportunities and challenges. A shared public health and social care agenda is emerging around health improvement, social exclusion and regeneration. Early signs of synergy indicate that social services have a key role to play in shaping the public health agenda and in acting as a bridge between the NHS and the wider local authority.

Details

Journal of Integrated Care, vol. 8 no. 2
Type: Research Article
ISSN: 1476-9018

Open Access
Article
Publication date: 5 December 2022

Hanna Komulainen, Satu Nätti, Saila Saraniemi and Pauliina Ulkuniemi

Recent literature within public service logic has called for more explicit conceptualisation of customer value in public services. This study aims to fill this gap by examining…

1702

Abstract

Purpose

Recent literature within public service logic has called for more explicit conceptualisation of customer value in public services. This study aims to fill this gap by examining how the customer value approach can be applied in the management of public health care services.

Design/methodology/approach

This study is a qualitative case study of management of public health care services in Finland. The authors interviewed 17 regional health care service developers and analyzed the interview data using thematic analysis.

Findings

The study suggests five propositions for applying customer value approach from the marketing literature in public health care service management. The study enables a deeper understanding of customer value creation in this context and improvement of public health care services.

Originality/value

This study contributes to the public management research in general and public service logic research in particular by suggesting what constitutes customer value in public health care services.

Details

International Journal of Public Sector Management, vol. 36 no. 1
Type: Research Article
ISSN: 0951-3558

Keywords

Article
Publication date: 10 July 2020

Sara Valadi-khorram, Mohammad Reza Amiri and Mohammad Karim Saberi

Considering the important role of public libraries in providing health information service as well as user feedback in improving the quality of health information services, the…

Abstract

Purpose

Considering the important role of public libraries in providing health information service as well as user feedback in improving the quality of health information services, the purpose of this study is to evaluate the quality of health information service in public libraries of Hamadan, Iran, on the basis of the modified LibQUAL model

Design/methodology/approach

This practical research was conducted in an analytic-survey method. The statistical population consists of all members of public libraries of Hamadan over 18 years old (12,237 people), and the sample size is calculated to be 373 people. The stratified sampling method was used, and within each class, a convenience sampling method was used. The modified LibQUAL questionnaire was used to gather data. For checking normality of data distribution, the Kolmogorov–Smirnov test and for analyzing date, descriptive statistics and also Chi-square and Wilcoxon tests were applied using SPSS 25.

Findings

The users' minimum level of public libraries in all three dimensions is an average level. The users' desired level of “information control” is higher than other dimensions. The users' perceived level in dimensions of “human resources” and “information control” is high level, while users' perceived level in “educational service” is an “average” level. There is a superiority gap between desired and perceived level in all dimensions, but the adequacy gap was seen only in the dimension of “educational service.”

Research limitations/implications

In this study, the quality of health information services provided in public libraries is evaluated by the LibQUAL model.

Practical implications

The results of this research can help managers and librarians of public libraries in measuring the quality of health information services and improving the quality of services provided by libraries. Besides, they can take a more accurate planning and pathologic approach, to eliminate the gap between minimum and desired expectations of users and libraries’ real services.

Originality/value

In this study, the quality of health information services provided in public libraries is evaluated by LibQUAL tool.

Details

Library Management, vol. 42 no. 3
Type: Research Article
ISSN: 0143-5124

Keywords

Book part
Publication date: 12 October 2011

Walter Schönfelder and Trond Bliksvær

Contemporary categorizations of western-style welfare states distinguish a particular pattern of organizing social security mainly found in Scandinavian countries, and sometimes…

Abstract

Contemporary categorizations of western-style welfare states distinguish a particular pattern of organizing social security mainly found in Scandinavian countries, and sometimes labeled as a “social democratic welfare regime.” This is characterized by general access of the population to a social security system organized and administered by public authorities. This categorization is widely acknowledged, but the Scandinavian “social democratic” model is rarely ever analyzed in detail.

While most health services are provided by public actors, it is often overlooked that health services in Scandinavian countries in certain fields are delivered to a substantial part by private actors. In Norwegian rehabilitation specialist health care, these private actors stand for more than 30% of all service delivery.

Based on a content analysis of publications of the Norwegian Ministry of Health and Care Services we look into the relation between public and private actors in rehabilitation and relate our findings to classifications of Scandinavian welfare states into an institutional, social democratic model.

Details

Access to Care and Factors that Impact Access, Patients as Partners in Care and Changing Roles of Health Providers
Type: Book
ISBN: 978-0-85724-716-2

Keywords

Book part
Publication date: 16 July 2015

Laura Senier, Matthew Kearney and Jason Orne

This mixed-methods study reports on an outreach clinics program designed to deliver genetic services to medically underserved communities in Wisconsin.

Abstract

Purpose

This mixed-methods study reports on an outreach clinics program designed to deliver genetic services to medically underserved communities in Wisconsin.

Methodology/approach

We show the geographic distribution, funding patterns, and utilization trends for outreach clinics over a 20-year period. Interviews with program planners and outreach clinic staff show how external and internal constraints limited the program’s capacity. We compare clinic operations to the conceptual models guiding program design.

Findings

Our findings show that state health officials had to scale back financial support for outreach clinic activities while healthcare providers faced increasing pressure from administrators to reduce investments in charity care. These external and internal constraints led to a decline in the overall number of patients served. We also find that redistribution of clinics to the Milwaukee area increased utilization among Hispanics but not among African-Americans. Our interviews suggest that these patterns may be a function of shortcomings embedded in the planning models.

Research/Policy Implications

Planning models have three shortcomings. First, they do not identify the mitigation of health disparities as a specific goal. Second, they fail to acknowledge that partners face escalating profit-seeking mandates that may limit their capacity to provide charity services. Finally, they underemphasize the importance of seeking trusted partners, especially in working with communities that have been historically marginalized.

Originality/Value

There has been little discussion about equitably leveraging genetic advances that improve healthcare quality and efficacy. The role of State Health Agencies in mitigating disparities in access to genetic services has been largely ignored in the sociological literature.

Article
Publication date: 1 March 1979

Thomas Blumenthal

An analysis of community health, its history, successes and failures, depends on an understanding of its scope, but there is little consensus as to precisely what the discipline…

Abstract

An analysis of community health, its history, successes and failures, depends on an understanding of its scope, but there is little consensus as to precisely what the discipline entails. Some view it as a strict scientific discipline, others see it as a social movement, and still others conceive of it as a conglomerate of various disciplines. It is useful initially to identify the medical components of community health, and then to approach its interdisciplinary aspects. Community health, strictly defined, includes such fields as disease control, environmental sanitation, maternal and child care, dental health, nutrition, school health, geriatrics, occupational health, and the treatment of drug and alcohol abuse. This limited definition, though accurate, does not differentiate the field from the much older area of public health. Within community health, the disease focus of traditional public health epidemiology, the total health focus of community medicine, and the outcome focus of health services research are interconnected. Community health combines the public health concern for health issues of defined populations with the preventive therapeutic approach of clinical medicine. An emphasis on personal health care is the result of this combination. Robert Kane describes the field accurately and succinctly: “We envision community medicine as a general organizational framework which draws upon a number of disciplines for its tools. In this sense, it is an applied discipline which adopts the knowledge and skills of other areas in its effort to solve community health problems. The tools described here include community diagnosis (which draws upon such diverse fields as sociology, political science, economics, biostatistics, and epidemiology), epidemiology itself, and health services research (the application of epidemiologic techniques on analyzing the effects of medical care on health).”

Details

Collection Building, vol. 1 no. 3
Type: Research Article
ISSN: 0160-4953

Book part
Publication date: 24 January 2022

Sevilay Ece Gümüş Özuyar

Introduction − Covid-19, which first emerged in Wuhan, People’s Republic of China, in January 2020, with an unknown source, spread to all countries of the world very quickly and…

Abstract

Introduction − Covid-19, which first emerged in Wuhan, People’s Republic of China, in January 2020, with an unknown source, spread to all countries of the world very quickly and caused the death of over two million people world-wide. This ever-increasing global need for health care has created a radical transformation in terms of not only in health care, but also in all public services. Transportation services for the transfer of patients to health institutions, education services due to the dangers of face-to-face training, justice services due to the postponement of non-urgent court proceedings, security services in terms of restriction sanctions and all public services in general due to the disruption of access to public services due to flexible working hours applied to public personnel has entered into an unplanned provision.

Purpose: The aim of this chapter is to identify the problems that arise in the provision of public goods and services due to the global epidemic of Covid-19, and to bring a new interpretation to the theoretical discussions about the optimal delivery level of public services when there is a situation of communicable disease.

Methodology: The principles of public goods and service provision of G20 countries, Covid-19 mortality rates, indicators of the well-being of healthcare delivery such as the number of bed and personnel, the type and number of devices used to diagnose the Covid disease, and the public service restrictions taken to eliminate Covid-19, have been evaluated by employing descriptive analysis. In order to prevent income and advanced levels from becoming distinctive features, G20 countries with similar income and development levels were selected for this research.

Findings: Due to the Covid-19 pandemic, there has been a distortion in the preference of provision of almost all public goods, and it has been observed that the delivery level of public services affects each other since all are linked like a chain. Failure to achieve what is expected from international organizations, which should be in a regulatory position in this regard, has increased concerns about the optimal presentation level of all public goods, especially health, in the future. As long as there is a global pandemic and countries do not take effective measures, a bad second best position that is far from optimal results but provides that instant solutions.

Details

Insurance and Risk Management for Disruptions in Social, Economic and Environmental Systems: Decision and Control Allocations within New Domains of Risk
Type: Book
ISBN: 978-1-80117-140-3

Keywords

Article
Publication date: 16 September 2011

Marcus Roberts

The purpose of this paper is to examine the implications for drug and alcohol treatment of radical policy changes being implemented by the government, particularly the proposed…

376

Abstract

Purpose

The purpose of this paper is to examine the implications for drug and alcohol treatment of radical policy changes being implemented by the government, particularly the proposed transition of responsibility for treatment from the National Treatment Agency to a new public health service from 2013.

Design/methodology/approach

It is argued that this is a critical moment in the development of substance misuse services in England, particularly given the impact of health service reform. Concerns are raised about the lack of reference to drug and alcohol treatment in key policy documents, such as the Department of Health's White Paper Healthy Lives, Healthy People. The removal of the “ring fence” from the pooled treatment budget may result in national disinvestment at a time when public spending cuts are likely to reduce local authority spending on drug and alcohol treatment. It will be challenging to deliver on the vision of recovery in the “Drug strategy 2010”.

Findings

The new public health structures and the commitment to recovery create new opportunities to improve services too – for example, the potential for joint working through Health and Wellbeing Boards. It is also positive that Healthy Lives, Healthy People stated that the NHS Constitution will apply to the public health service.

Originality/value

While these changes could provide a platform for improving outcomes, there is a genuine risk that substantial disinvestment in drug and alcohol services will be witnessed.

Details

Drugs and Alcohol Today, vol. 11 no. 3
Type: Research Article
ISSN: 1745-9265

Keywords

Book part
Publication date: 8 December 2007

Sue Gena Lurie

Social and economic trends toward local governance form the context for health and mental health policy and the reorganization of care systems for cost-containment in the United…

Abstract

Social and economic trends toward local governance form the context for health and mental health policy and the reorganization of care systems for cost-containment in the United States. Local management of public–private collaborations is promoted by state agencies as a means of rationalizing mental health care and community support services. This chapter analyses the local process of developing public–private partnerships for mental health care, based on an ethnographic case study of county Mental Health/Mental Retardation and behavioral health committees and coalitions in Texas, from 1995 to 2001. Following this period, local service agencies continued collaboration to increase community awareness and resources for care. Findings were that while the rapid transition to local control under conditions of reduced resources impeded implementation of a public–private mental health care system, commitment to a service safety net for persons with mental disabilities was sustained.

Details

The Economics of Health and Wellness: Anthropological Perspectives
Type: Book
ISBN: 978-1-84950-490-4

Book part
Publication date: 16 September 2019

Gerlinde Verbist and Michael Förster

This chapter discusses the major steps and issues related to the inclusion of public services in inequality research. Empirically, it investigates how the income distribution in…

Abstract

This chapter discusses the major steps and issues related to the inclusion of public services in inequality research. Empirically, it investigates how the income distribution in countries changes when the value of publicly provided services to households is included. The authors consider five major categories of public services: education, health care, social housing, childcare and elderly care. On average across OECD countries, spending on these ‘in-kind’ benefits accounts for about 13% of GDP, slightly more than the spending on cash transfers – but with considerable cross-country variation. Broadening the income concept to account for in-kind benefits considerably increases households’ economic resources. But public services also contribute to reducing income inequality, by between one-fifth and one-third depending on the inequality measure. This chapter suggests that publicly provided services fulfil an important direct redistributive role in OECD countries.

Details

What Drives Inequality?
Type: Book
ISBN: 978-1-78973-377-8

Keywords

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