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At least 127 records · Page 7Linked to original sources
PubMed2001

Participation in arranging continuing health care packages: experiences and aspirations of service users.

AIMS: This paper examines patients' and carers' experiences of receiving community health services, and considers the degree of patients' participation in the management of their continuing care. BACKGROUND: Care management, advocated for many years as a way of ensuring appropriate and coordinated care, emphasizes the involvement of patients and carers in care planning. Evidence suggests that such involvement is unusual. METHODS: Semi-structured interviews were carried out with 99 continuing health care patients and/or their carers. FINDINGS: A few informants had willingly chosen to be active in arranging and coordinating their care, and a few others, who did not take an active role, were very satisfied with the services which they received. The majority, however, were not satisfied, feeling unclear about how their needs had been assessed and how services had been arranged. They were mostly disappointed by the absence of information and by the lack of regular contact with NHS and/or Social Services personnel. Some had felt compelled to become proactive in order to ensure that the care provided was adequate. CONCLUSIONS: Community nurses are valued by patients, and are well placed to be care managers. However, less qualified staff are also able to offer the regular support and information which patients want and value.

Adult↗
PubMed1970

User services offered by medical school libraries in 1968: results of a national survey employing new methodology.

The breadth and depth of services that ninety-two medical school libraries offer to individual users were ascertained by interviewing the heads of these libraries, employing a standardized inventory procedure developed earlier (Bulletin 56:380-403, Oct. 1968). Selected aspects of the descriptive data obtained on services to faculty and to medical students are presented and commented upon. Comparisons with the findings of earlier surveys suggest that increases in the staffs and budgets of medical school libraries over the past two decades have gone largely to supporting a rapidly increasing volume of service, rather than to any striking increase in the breadth and depth of services. To facilitate summarization and comparisions among libraries the descriptive data were weighted and converted to quantitative measures; the weighting scheme was established by a group of five academic medical librarians to reflect the relative values the group assigned to different services. One of these quantitative measures, the percentage score for overall services relative to the optimal library, summarizes a library's services in a single figure. On this measure, medical school libraries ranged from 38 percent to 87 percent; the median overall score was 63 percent. Results of some exploratory analyses are described; these analyses attempted to find explanations for the observed differences among libraries and among geographical regions on the quantitative measures. Present and potential uses of the survey data for managerial and research purposes are discussed. One of the most important of these uses is in establishing and implementing standards-activities which should be carried out by the library profession itself-and recommendations are made for a program of such activities that is appropriate for the Medical Library Association.

Libraries, Medical↗
PubMed2006

Comparative study of the characteristics of family planning service users and non-users in northwest Ethiopia.

Three hundred and forty-four (49.6%) family planning users and 350 (50.4%) non-family planning users were included in a study to assess the factors that are associated with utilisation of family planning services at different levels of health institutions in northwest Ethiopia. Desire for (more) children was the most common reason (51.4%) for not using family planning services, followed by inadequate knowledge about family planning services (14.6%). A higher proportion of the non-users were illiterate, of lower parity, and had their last child under one year of age (P<0.05). In logistics regression analysis family planning was significantly lower in the illiterate. Positive husband's attitude had the strongest association (OR 9.3, 95% CI 4.6, 18.7) with family planning. In addition to programs that create demand for smaller well-spaced children, IEC and family planning services should target men and strong emphasis should be given to use of family planning methods in as early period after birth as possible.

Adolescent↗
PubMed2002

Compelled to interact: forensic community mental health nurses' and service users' relationships.

This is the first of two papers reporting community forensic mental health nurses' experiences of restriction orders and supervised discharge mechanisms. Service user/nurse relationships and risk are addressed in this initial paper. A mixed method/approach was used. A piloted 15-item questionnaire sought quantitative and qualitative data from 122 nurses throughout England and Wales; 57 questionnaires were returned. Limitations applying to gaining qualitative data via written questionnaire are overtly acknowledged. Quantitative data were analysed using the SPSS program. Content analysis and reflexive appraisal of qualitative data led to production of critically appraised conclusions. Findings are illustrative of complexity. Increased understanding of relevant issues, rather than definitive conclusions, is claimed as an outcome. Reductionist approaches are insufficient in illustrating relevant complexities; nurses offer considered, contextualized responses; diametrically opposed opinions exist about the value of interpersonal relationships and balances between care, control and risk assessment.

Adult↗
PubMed2004

[Attitude and behavior of health services users in the face of real or perceived emergencies].

OBJECTIVES: To perform an opinion poll of users of normal health care, excluding emergency care, and also to identify populations which have required emergency care and to clarify the parameters which influence user decisions. METHODS: A transversal descriptive survey of users of Primary Medical Assurance Centres (Caisse Primaire d'Assurance Maladie) in the catchment area of the Hôpital Nord in Marseilles, France, on a given day (7 days in total). Data were gathered using a standardised questionnaire based on the following topics: socio-demographic profile of interviewed participants, patient attitude toward general practitioners' care, the reaction to a situation felt to be urgent and for which they resorted to emergency services. RESULTS: Interpretation of the results from 253 completed questionnaires demonstrated that users are mainly young, underprivileged, females, but who are not excluded from the health care system (good social security cover and marked presence of a family doctor). User behaviour differs according to the moment at which the problem arises (working hours, outside working hours) and depending on the degree of urgency perceived. ARISE OF DEMAND: In the most of cases, the patient consults emergency services for himself/herself. He/She takes the decision without prior consultation with a physician, within one hour of the problem arising, whether the problem is perceived as urgent or life-threatening, and arrived there under his/her own means. The main reason given is the access to emergency services without appointment and the principal medical reasons were for injuries and pain. CONCLUSION: This study demonstrates that users have a coherent approach depending on physician's consulting hours and according to user's perception of the emergency. On the other hand it is clear that users lack information concerning available after-hours care and the physicians night-duty organisation.

Adult↗