Accommodating health and social care needs: routine resource allocation in stroke rehabilitation

Allen, Davina; Griffiths, Lesley; Lyne, Patricia

doi:10.1111/j.0141-9889.2004.00397.x

Cited by 29 publications

(39 citation statements)

References 26 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…[20][21][22] Over a 16-week period from January to May 2005, the authors conducted semistructured interviews, 1 hour in length, with 37 medical and public health professionals in the greater Pittsburgh area who played a decision-making role in vaccine allocation, whether from an administrative or direct care perspective. Investigators used preprepared questions to inquire about a person's initial and evolving awareness about the vaccine shortage and its institutional implications, and about the design, implementation, communication, and social acceptance of local vaccine rationing policy.…”

Section: Methodsmentioning

confidence: 99%

“…20,22 People's ability to call on prior relationships provides a high degree of flexibility and innovation with which to handle local contingencies. If, however, a group exists at the fringes of personal and professional networks, then they may have less opportunity to advocate for their needs or present aid to others in need.…”

Section: Informal Arrangements and Relationships Facilitated Providermentioning

confidence: 99%

See 1 more Smart Citation

Influenza Vaccine Scarcity 2004–05: Implications for Biosecurity and Public Health Preparedness

Schoch-Spana

Fitzgerald

Kramer

2005

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, an

View full text Add to dashboard Cite

In the event of a bioterrorist event or a pandemic flu outbreak, it might be necessary to ration vaccine or other treatments. In this article, researchers examine how medical and public health decision makers negotiated the unanticipated 2004-05 influenza vaccine shortage, using the regional hospital system headquartered in Pittsburgh, Pennsylvania, as the focal study site. This account of that case study describes the circumstances that contributed to the national and local vaccine shortage; the improvisation by health policymakers, hospital administrators, physicians, and nurses to prevent influenza cases despite the shortfall; and some of the legal, fiscal, logistical, social, and political pressures that local health professionals faced in deciding who should receive the limited supply of influenza vaccine. This instance of an acute vaccine shortage provided an opportunity to examine the practical and ethical dilemmas of managing medical resources during a public health emergency.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Informal Arrangements and Relationships Facilitated Providermentioning

confidence: 99%

Influenza Vaccine Scarcity 2004–05: Implications for Biosecurity and Public Health Preparedness

Schoch-Spana

Fitzgerald

Kramer

2005

Biosecurity and Bioterrorism: Biodefense Strategy, Practice, an

View full text Add to dashboard Cite

show abstract

“…An ethnographic study of how health care professionals accommodate the needs of stroke patients suggests that an individual's level of knowledge about how health and social care systems work (said to be a form of social capital) influences the quality of care they received [36]. Our study of younger stroke survivors found that for a minority cultural capital in the form of tacit knowledge of skills and knowledge shaped reported experiences of care and unmet need.…”

Section: Discussionmentioning

confidence: 79%

Navigating stroke care: the experiences of younger stroke survivors

Sadler

Daniel

Wolfe

et al. 2014

Disability and Rehabilitation

View full text Add to dashboard Cite

Stroke care can be conceptualised as a temporal field of social activity and relationships which shapes variations in experiences of care among younger stroke survivors, and differences in expectations of support at different time points after stroke. On entering the field of stroke participants reported needing health care professional guidance and expertise to manage the acute event, yet difficulties accessing information in hospital limited the agency of some individuals wanting to take an active role in their recovery. After discharge from hospital variations in experiences of care among participants were more evident, with a number still seeking professional guidance, and requiring the capital and agency to navigate the field of stroke. Despite international efforts to improve the quality of acute care, effective models of community stroke care still need to be developed.

show abstract

“…To identify the level of severity of violence that each participant suffered, it was inquired by experimentation for each item; when responding yes to at least one of them, the level of severity of each woman on the item with the highest score was considered. In this way there was no certainty of need but probability of need, accepting the problematic nature of the need promulgated from sociology, and contrary to the dichotomizing biomedical logic (19) . …”

Section: Measurement Of Need (N)mentioning

confidence: 99%

Cobertura efectiva del manejo de la violencia contra mujeres en municipios Mexicanos: límites de la métrica

Viviescas-Vargas

Idrovo

López-López

et al. 2013

Rev. esc. enferm. USP

View full text Add to dashboard Cite

RESUMENEl estudio estimó la cobertura efectiva de los servicios en salud de primer nivel de atención para el manejo de la violencia doméstica contra la mujer en tres municipios mexicanos. Se estimó la prevalencia y severidad de la violencia usando una escala validada, y la cobertura efectiva con la propuesta de Shengelia y colaboradores, con modificaciones. Se consideró atención con calidad cuando hubo sugerencia de hacer la denuncia a las autoridades. La utilización y calidad de la atención fue baja en los tres municipios analizados, siendo más frecuente la utilización cuando hubo violencia sexual o física. La cobertura efectiva en Guachochi, Jojutla y Tizimín fue de 29,41%, 16,67% y cero, respectivamente. El indicador de cobertura efectiva tiene dificultades para medir eventos y respuestas no se fundamentan en modelos biomédicos. Los hallazgos sugieren que el indicador puede ser mejorado al incorporar otras dimensiones de la calidad. DESCRIPTORES Cobertura de los Servicios de Salud Violencia contra la mujer Indicadores de servicios México RESUMOO estudo estimou a cobertura eficaz dos serviços da atenção primaria em saúde na gestão da violência doméstica contra as mulheres em três cidades mexicanas. Estimou-se a prevalência e a gravidade da violência doméstica por meio de uma escala validada enquanto a cobertura eficaz foi obtida por meio da proposta de Shengelia e colaboradores, com algumas alterações. O atendimento foi considerado de qualidade quando houve a sugestão de fazer a denúncia às autoridades. O uso dos serviços e a qualidade do atendimento foram baixos nos três municípios analisados, sendo mais frequente a utilização do serviço quando houve violência sexual ou física. A cobertura efetiva em Guachochi, Jojutla e Tizimin foi de 29,41%, 16,67% e zero, respectivamente. O índice de cobertura eficaz apresentou dificuldade em medir desfechos reais e respostas não baseadas em modelos biomédicos. Os resultados sugerem que o indicador pode ser melhorado pela incorporação de outras dimensões da qualidade do atendimento. DESCRITORES Cobertura de Serviços de Saúde Violência contra a mulher Indicadores de serviços México ABSTRACTThe study estimated the effective coverage of health services in primary care for the management of domestic violence against women in three municipalities in Mexico. We estimated the prevalence and severity of violence using a validated scale, and the effective coverage proposed by Shengelia and partners with any modifications. Quality care was considered when there was a suggestion to report it to authorities. The use and quality of care was low in the three municipalities analyzed, used most frequently when there was sexual or physical violence. Effective coverage was 29.41%, 16.67% and zero in Guachochi, Jojutla and Tizimín, respectively. The effective coverage indicator had difficulties in measuring events and responses that were not based on biomedical models. Findings suggest that the indicator can be improved by incorporating other dimensions of quality. DESCRIPTORS Health Service...

show abstract

Accommodating health and social care needs: routine resource allocation in stroke rehabilitation

Cited by 29 publications

References 26 publications

Influenza Vaccine Scarcity 2004–05: Implications for Biosecurity and Public Health Preparedness

Influenza Vaccine Scarcity 2004–05: Implications for Biosecurity and Public Health Preparedness

Navigating stroke care: the experiences of younger stroke survivors

Cobertura efectiva del manejo de la violencia contra mujeres en municipios Mexicanos: límites de la métrica

Contact Info

Product

Resources

About