Application of Economic Impact Analysis to a Local Public Health Agency and its “Academic Health Department”

Wc, Livingood; Coughlin, Susan; Bowman, Wendi; Bryant, Thomas; Goldhagen, Jeffrey

doi:10.1177/003335490712200104

Cited by 14 publications

(5 citation statements)

References 7 publications

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“…Telehealth removes barriers to accessing quality, specialty healthcare in rural communities by providing access to experts and decreasing the need for travel to obtain specialty care (Hassija & Gray, 2011; Pammer et al, 2001; Potter et al, 2014; Schwamm et al, 2009; Weinstein et al, 2014). In addition, local economies benefit from healthcare spending that remains within the local community (Livingood et al, 2007).…”

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confidence: 99%

The Implementation of the Sexual Assault Forensic Examination Telehealth Center: A Program Evaluation

Miyamoto

Thiede

Wright

et al. 2021

Journal of Forensic Nursing

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Introduction Substantial disparities in the quality of post-sexual-assault (SA) care exist in the United States, particularly in rural areas. This study evaluates the implementation of the Sexual Assault Forensic Examination Telehealth Center, a program to improve SA care by increasing access to experienced sexual assault nurse examiners via telehealth, in three rural hospitals. Materials and Methods The Dynamic Sustainability Framework (DSF) guided the implementation of the intervention. Survey and implementation data were evaluated 1 year after implementation using a nonexperimental pre–post design. Outcomes include patient and nurse perceptions of telehealth, local site nurse (LSN) confidence, and hospital protocol/policy changes. Results Forty-one telehealth consultations were completed in the program's first year. An average of 34 system-level protocol changes were made per site. LSNs demonstrated statistically significant increases in confidence to provide SA care at 1 year. LSNs and telehealth sexual assault nurse examiners (expert consultants) reported that quality of SA care improved (87% and 83%, respectively). Patients highly rated the care they received (83%), reported telehealth improved care (78%), and reported feeling better after the examination (74%). Discussion Using the DSF for implementation supported a tailored approach and successful adoption and also allowed for program iteration based on lessons learned. Conclusions The Sexual Assault Forensic Examination Telehealth model resulted in improved local nurse confidence in provision of SA care, nurse perception of improvement in care quality, and high patient care experience ratings. These findings and the use of the DSF have implications for SA specialty care implementation in rural communities.

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confidence: 99%

The Implementation of the Sexual Assault Forensic Examination Telehealth Center: A Program Evaluation

Miyamoto

Thiede

Wright

et al. 2021

Journal of Forensic Nursing

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“…The maternal Health Programs are; Antenatal care, Intranatal Care, and Post-natal care and Institutional Deliveries. 6 …”

Section: Maternal Health Programsmentioning

confidence: 99%

Strategies to improve the maternal health programmes under NHM towards MDG-5: maternal mortality in Karnataka

Kularni¹,

Venkatesh²

2017

Int J Community Med Public Health

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Background: Since from the inception of safe mother hood programs in India during 1982-1990, there is no enough maternal health initiative and financial resource for funding public health activities. So number of maternal deaths is more in India, presently which is accounted 20% of the world total maternal deaths. The global and national importance has been given during 1990 by forming millennium development goal -5 (MDG) to improve maternal health programs. During these days MMR was high and there has been recognition for Maternal Health Programs since from 1997, when RCH-I, in the year 2005. National rural health mission (NRHM) was launched with the primary and main objective was to reduce infant and maternal mortality rate as per goal and target fixed by the 12th five year plan (NHM) and MDG -5. Under NHM enough financial resources envelop has been allotted to states of India as per program implementation plan (PIP), so effective utilization of these strategic and financial resources to reduce MMR. Hence this study needs to form strategies to improve the maternal health programs to reduce maternal mortality ratio as per NHM and MDG. Methods: We used the range of methods, like analytical methods to generate the strategies to reduce maternal deaths due to the particular cause by introducing the maternal health programmes with the strategies. Results: Maternal mortality ratio reduced from an estimated level of 437 in 1990 to 178 in 2010–12.The all India and Karnataka target for 2015 was 109 so far not reached. It has to be reached at least by 2017. Conclusions: Optimal using of resources with the implementation of proper strategies, it will give the exact result for achievement of planned goal. This study is also revealed that all the aspects of maternal health programmes and MMR.

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“…Studies of organizational determinants have targeted either public organizations such as administrative institutions,202,203 research centers, and universities,144,204 or private organizations such as industries 205. Studies of individual determinants have targeted actors up- or downstream from KT: deciders,206–209 managers, professionals,210,211 knowledge brokers,212 researchers,159,189,212,213 and the general population 213.…”

Section: Specific and General Contextual Determinants Of The Programmentioning

confidence: 99%

Innoversity in knowledge-for-action and adaptation to climate change: the first steps of an 'evidence-based climatic health' transfrontier training program

Lapaige¹

2010

AMEP

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It has become increasingly clear to the international scientific community that climate change is real and has important consequences for human health. To meet these new challenges, the World Health Organization recommends reinforcing the adaptive capacity of health systems. One of the possible avenues in this respect is to promote awareness and knowledge translation in climatic health, at both the local and global scales. Within such perspective, two major themes have emerged in the field of public health research: 1) the development of advanced training adapted to ‘global environment’ change and to the specific needs of various groups of actors (doctors, nurses, public health practitioners, health care managers, public service managers, local communities, etc) and 2) the development of strategies for implementing research results and applying various types of evidence to the management of public health issues affected by climate change. Progress on these two fronts will depend on maximum innovation in transdisciplinary and transsectoral collaborations. The general purpose of this article is to present the program of a new research and learning chair designed for this double set of developmental objectives – a chair that emphasizes ‘innoversity’ (the dynamic relationship between innovation and diversity) and ‘transfrontier ecolearning for adaptive actions’. The Écoapprentissages, santé mentale et climat collaborative research chair (University of Montreal and Quebec National Public Health Institute) based in Montreal is a center for ‘transdisciplinary research’ on the transfrontier knowledge-for-action that can aid adaptation of the public health sector, the public mental health sector, and the public service sector to climate change, as well as a center for complex collaborations on evidence-based climatic health ‘training’. This program-focused article comprises two main sections. The first section presents the ‘general’ and ‘specific contexts’ in which the chair emerged. The ‘general context’ pertains to the health-related challenge of finding ways to integrate, transfer, and implement knowledge, a particularly pointed challenge in Canada. The ‘specific context’ refers to the emerging research field of adaptation of public health to climate change. In the second section, the characteristics of the research chair are more extensively detailed (the vision of ‘innoversity’ and ‘ transfrontier knowledge-for-action,’ the approach of shared responsibility and complex collaboration, objectives, and major axes of research). We conclude with a call for complex collaboration toward knowledge-for-action in public health services/mental health services/public services’ adaptation to climate change: this call is aimed at individual and institutional actors in the North and South/West and East concerned by these issues.

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Application of Economic Impact Analysis to a Local Public Health Agency and its “Academic Health Department”

Cited by 14 publications

References 7 publications

The Implementation of the Sexual Assault Forensic Examination Telehealth Center: A Program Evaluation

The Implementation of the Sexual Assault Forensic Examination Telehealth Center: A Program Evaluation

Strategies to improve the maternal health programmes under NHM towards MDG-5: maternal mortality in Karnataka

Innoversity in knowledge-for-action and adaptation to climate change: the first steps of an 'evidence-based climatic health' transfrontier training program

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