Reports of rationing from the neglected realm of capital investment: Responses to resource constraint in the English National Health Service

Williams, Iestyn; Allen, Kerry; Plahe, Gunveer

doi:10.1016/j.socscimed.2019.02.015

Cited by 5 publications

(5 citation statements)

References 47 publications

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“…This can be considered a healthcare system issue because many countries, including Cyprus, are currently dealing with financial constraints, and our participants also indicated that it is the government's responsibility because of the financial restrictions. Adding to this, Williams et al [20] confirmed that lack of money for equipment affects quality of care, and they explained that the importance of "priority setting" is to decide at various system levels how to distribute limited funds to certain groups of patients and available treatments. Therefore, it is important that decision makers at all levels understand that "priority setting" and lack of resources are issues that lead to several other negative outcomes and that they address this scarcity in order to improve both nurses' efficiency as well as patient outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…The literature demonstrates that nurses and other healthcare professionals encounter many barriers to providing optimal diabetes care. The most important findings regarding the barriers are nurses' lack of knowledge about diabetes, lack of resources, and lack of time [19,20]. In 2015, 31.1% of acute hospital sites had no diabetes inpatient specialist nurses and 9.2% of sites did not have any consultant time for diabetes inpatient care [21].…”

Section: Introductionmentioning

confidence: 99%

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Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis

Nikitara

Constantinou

Andreou

et al. 2020

Behavioral Sciences

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Background: The aim of this study was to comprehend how people with diabetes view their experiences of the possible barriers and facilitators in inpatient care for type 1 diabetes from non-specialized nurses. Design: An interpretative phenomenology analysis (IPA) was conducted. Methods: The sample consisted of people with type 1 diabetes 1 (n = 24) who use the services of the state hospitals in Cyprus. The data were collected in two phases: firstly, focus groups with people with diabetes (n = 2) were conducted and analysed, and then individual semi-structured interviews with people with diabetes (n = 12) were conducted. Results: It is evident from the findings that people with diabetes experienced several barriers in diabetes inpatient care, which is concerning since this can have adverse effects on patients’ outcomes. No facilitators were reported. Conclusion: Significant results were found in relation to the barriers to diabetes inpatient care. Crucially, the findings demonstrate that all these factors can negatively affect the quality of care of patients with diabetes, and most of these factors are related not only to diabetes care but also generally to all patients who receive inpatient care. Interestingly, no participant reported any facilitators to their care, which further affected the negative perceptions of the care received.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis

Nikitara

Constantinou

Andreou

et al. 2020

Behavioral Sciences

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“…One of the most important factors that determine how people view their quality of life is the quality of healthcare (CGI, 2014). At the same time, the main concern of governments around the world is the challenge to find ways to provide health care that is both affordable and high quality (Williams et al, 2019) and healthcare and health systems all over the world are undergoing intensive reforms (Durrani, 2016). Therefore, it was predictable that findings from the current study would have added to these issues, since most of the participants with diabetes highlight the failure of the healthcare system to provide them with adequate care and they blame the structure of the system, even though the Cyprus healthcare system is under transition.…”

Section: Discussionmentioning

confidence: 99%

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

et al. 2020

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Aim The aim and objective of this study was to understand how non‐specialized nurses understand the possible barriers and facilitators of inpatient care for type 1 diabetes. Design An interpretative phenomenology approach was conducted. Methods The sample consisted of non‐specialized nurses ( N = 24) working in medical, surgical and nephrology wards in the state hospitals in Cyprus. The data were collected during 2016‐2018 from one focus group with nurses ( N = 6) and individual semi‐structured interviews with nurses ( N = 18) conducted. The Standards for Reporting Qualitative Research checklist used to ensure the quality of the study. Results It is evident from the study findings that nurses experience several barriers in diabetes inpatient care reported which are of great concern since this could have adverse effects on patients' outcomes. Only one facilitator has been reported by few nurses.

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“…Our analysis shows that rationing occurs as part of both administrative processes, designed to streamline the processing of exhibits, and through in-built technical features of DF tools. Echoing Williams et al (2019) interviewees' reactions to health service rationing, our participants agreed, in principle, with the necessity of some form of rationing DF services, but feared that the measures taken did not fully address the pervasive shortage of resources.…”

Section: Rationing Negotiationsmentioning

confidence: 94%

“…The now developed academic and policy debate about healthcare priority setting and rationing has centred on questions about their necessity, how they ought to be done, and how they are done in practice (Williams et al 2019). Our focus in this article is with the last of these concerns, as it applies to DF.…”

Section: Conceptual Frameworkmentioning

confidence: 99%

Rationing bytes: managing demand for digital forensic examinations

Rappert

Wheat

Wilson‐Kovacs

2020

Policing and Society

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With the growing sophistication and prevalence of digital devices such as mobile phones, computers, tablets, sat-navs, and domestic appliances, the extraction, analysis and interpretation of digital data has become increasingly central to intelligence gathering and criminal proceedings. However, the very extent of data available today challenges the ability of police agencies to turn seized devices into useful evidence. To date, most social science scholarship about forensics has concentrated on DNA profiling and its societal and ethical issues. In contrast, other forensic fields, including digital forensics, have had little analytical scrutiny. Based on unprecedented access to a forensic collaboration in England, this study addresses the question: In conditions of constrained resources, how do police agencies manage the insatiable demand for digital examinations? In doing so, we bring rationing classification schemes from healthcare studies into the field of criminology in order to characterise the techniques for reconciling demand with capacity. As detailed, formal attempts to ration demand are confounded by informal practices and procedures that can impact on the capacity of the workforce and the speed with which cases are processed. In addition, the rationing of digital devices has significant consequences for the definition and distribution of skills and expertise across criminal justice agencies.

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Reports of rationing from the neglected realm of capital investment: Responses to resource constraint in the English National Health Service

Cited by 5 publications

References 47 publications

Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis

Views of People with Diabetes Regarding Their Experiences of the Facilitators and Barriers in Type 1 Diabetes Inpatient Care: An Interpretative Phenomenological Analysis

Facilitators and barriers to the provision of type 1 diabetes inpatient care: An interpretive phenomenological analysis

Rationing bytes: managing demand for digital forensic examinations

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