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Biomedical subjects

R Javetz

Publications and source records attributed to R Javetz.

7 recordsLinked to original sources
PubMed1996

Patients' complaints as a management tool for continuous quality improvement.

Continuous quality improvement focuses on the customer and, therefore, requires attention to customers' feedback as a vital input. Customers' feedback in general hospitals includes utilization statistics of various services, patient satisfaction surveys and patients' complaints. The role of complaint data as a management tool, and particularly as applied to quality improvement, has received little attention in the literature. As a quality control tool, complaints are investigated on the individual, unit and organizational levels. Repeated complaints about the same units, procedures or individuals, are especially important for quality review. The role of the hospital administration is to draw on the human, technological and procedural resources at its disposal, along a solution time interval (immediate, short and long term), in designing its policy for quality improvement. Presents three examples of policy changes. The aggregate of complaint data serves, in addition, for follow-up of the effect of changes introduced by policy decisions.

Health Care Surveys↗
PubMed1993

Defining and assessing risky behaviours.

This paper presents the deliberations and conclusions of an international group of health practitioners, researchers and planners who met in 1991 to explore risky behaviours and risk assessment in the context of the World Health Organization's strategy Health for All By 2000. A definition of risky behaviours is discussed and a method of exploring risk contexts, 'a risk equation', is presented. Lay risk assessment is explored and contrasted with professional perceptions of risk as evidenced in health education campaigns. It is concluded that the application of epidemiological techniques--the study of the incidence and prevalence of risk-related and health-related behaviours--employing qualitative methods provides a useful means of exploring the social and cultural context of risk behaviour.

Attitude of Health Personnel↗
PubMed1991

Lay self-care in health: the views and perspectives of Israeli laypeople.

A random sample of 407 Israel laypeople was interviewed about several dimensions of their attitudes toward lay self-care in health. The dimensions studied were perceptions of laypeople's motives in undertaking self-care, views regarding the division of responsibility for individual health between laypeople and professionals, and opinions regarding the effects of lay autonomy and initiatives in health care and seven specific self-care behaviors. These attitudes were analyzed in relation to sociodemographic and health-related variables. The findings suggest that Israeli laypeople take a medically-dependent view of health care, and indicate that self-care in health is not a particularly salient or widely advocated behavior. This research complements previous studies on Israeli physicians and allied health professionals' attitudes towards self-care.

Adult↗
PubMed1990

Patient initiatives and physician-challenging behaviors: the views of Israeli health professionals.

The views of Israeli physicians, nurses, physiotherapists, occupational therapists, and medical social workers were compared regarding patient behaviors which express autonomy and initiative in the doctor-patient interaction. The data show that these professionals do not view such behaviors positively. Gender is relevant to the physicians' views, with male physicians, particularly the specialists, having the least negative views, and female residents and general practitioners the most negative. Allied health professionals express less negative views than the physicians, and attribute to the physicians more negative views than those actually expressed by the physicians. There is overall agreement among the different professional groups about the relative acceptability of these behaviors. Those which threaten the physician's dominance in the process of diagnosis and prescription of treatment are rejected outright, while others are tolerated but not accepted. The findings are interpreted in the light of the status-related motives of Israeli health professionals.

Allied Health Personnel↗
PubMed1989

Self-care in Israel: physicians' views and perspectives.

This paper examines physicians' perceptions about potential effects of lay self-care. The research was designed to explore these perceptions regarding three types of effects with particular reference to their general distribution and their inter-relationships. The findings showed that physicians distinguished clearly among the effects of self-care but that their opinions differ considerably regarding the effects on utilization, costs and hospitalization rates. The implications of these findings are discussed.

Attitude of Health Personnel↗
PubMed1989

Knowledgeability of theories of occupational therapy practitioners in Israel.

A reflective occupational therapist is conceived as one who values theory and uses it as a tool for setting and solving problems in clinical situations. In this study, we investigated the extent of knowledge ability of theories of occupational therapy practitioners in Israel. Data were collected in two stages: (a) through personal interviews with a representative sample of all occupational therapists (n = 98) with the use of a semistructured questionnaire and (b) through telephone interviews of recent graduates of one school (n = 40) with the use of a shortened version of the original questionnaire. The findings from an open-ended question concerning knowledgeability theories reflected (a) the degree of the theories' scientific development, (b) the differentiation between models conceived as theories and those seen as techniques for treatment, and (c) the changes in professional curricula resulting from scientific and clinical developments in the field. In addition, a more general knowledge level, termed recognition, showed a consistent understanding of the theories and treatment modalities relevant in the practitioners' specialty areas. The results of this study indicate a need for further articulation of theory in clinical practice as well as better educational preparation of the "reflective practitioner" (Scbön, 1983).

Health Knowledge, Attitudes, Practice↗