Hospice: people-centered care.
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Hospices↗
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Results for “people-centered care”
Explore indexed PubMed citations for clinical trials, systematic reviews and public health research. Read source abstracts and follow each citation to its original PubMed record.
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A people-centered approach to primary health care implementation in Mvumi, Tanzania.
The Mvumi community-based health care programme in Dodoma Region has been attempting to involve communities in promoting their health. It established a dialogue using communication and adult training skills and assisted communities only in those activities which they themselves planned and which they were ready to finance. Such activities included training of community resource persons such as traditional midwives and village health promoters/workers. Within only 4 years substantial output and outcome results could be demonstrated. Many village communities, for example, have assumed responsibility for the village-based nutrition rehabilitation of their severely malnourished children.
Community Health Services↗
Willingness to switch to long-acting regimens among people with HIV: a systematic review and meta-analysis.
OBJECTIVES: Long-acting regimens (LARs) offer promising alternatives for people with HIV, enhancing autonomy and convenience. Understanding preferences for LAR is essential to guide policy and implementation. DESIGN: This systematic review and meta-analysis examined willingness among adults with HIV to switch from daily oral antiretroviral therapy (ART) to LAR. METHODS: Following PRISMA guidelines, we included studies of adults with HIV using daily oral ART reporting willingness to switch to existing or hypothetical LAR. The primary outcome was the proportion willing to switch. Articles were searched in PubMed and Embase up to October 2024. Risk of bias was assessed using the RoB-PrevMH tool. A random-effects meta-analysis with a generalized linear mixed model synthesized willingness for LAR. Subgroup analyses explored heterogeneity. Alternative LAR were summarized descriptively. RESULTS: Searches identified 2038 records, of which 22 studies were included. Most studies were conducted in Europe or North America (96%). Willingness to switch to any LAR was 70% [95% confidence interval (95% CI): 59-79; I2  = 97.9%]. Furthermore, two-monthly intramuscular injections were the most frequently investigated LAR, with a pooled willingness of 60% (95%CI: 42-76; I2  = 97.5%). No study-level characteristics explained heterogeneity. Limited studies investigated willingness for alternative LAR. CONCLUSION: The majority of people with HIV expressed willingness to switch to LAR, with two-monthly intramuscular injections being the most commonly investigated formulation. Substantial heterogeneity persisted, suggesting that LAR preferences are highly context dependent. Evidence on alternative LAR, including tablets, implants and intravenous infusions, is limited. Low and middle-income countries were underrepresented, highlighting the need for geographically diverse research to better understand context-specific preferences and thereby inform treatment policy.
Humans↗
New priorities for health sector reform in Central and Eastern Europe.
After the breakdown of the state socialism, a number of changes have occurred in the legal framework, as well as governmental policy, ownership, production, financing, and reimbursement of health care in Central and Eastern Europe (CEE). However, the policy context in CEE makes priority setting a necessary step to ensure the efficient use of public funds for health. The problems with prioritizing of health services in the Central and Eastern Europe are, in essence, related to the general position of health care within broad national priorities. The percentage of gross domestic product spent on health is insufficient and many cost-effective interventions are currently neglected, under-funded or provided with low quality standards. If the health status is to be improved, such interventions should be granted a greater priority. The experience from the established market economies indicate that: (a) overall future system of priorities setting in health care in the CEE should be driven by new democratic values; (b) new systems must be people-centered, more oriented to the needs of individual patient and specific groups, and sensitive to inequalities, unemployment, and social poverty; (c) they should be health-focused; and (d) they should be evidence-based and oriented towards primary health care.
Delivery of Health Care↗
'People-centered teams' provide support for staff.
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Hospitals, Urban↗
Nurses as implementers of organizational culture.
Drawing from both theory and case-study data, the role of nurse leaders in implementing constructive organizational cultures is discussed. Constructive cultures create high-performance work environments, increasing both employee and patient satisfaction, and ultimately affecting economic performance. Nursing administrators aspiring to implement a constructive culture should emphasize people-centered values through a collective mission, strategic human resource management practices, and a patient service-oriented philosophy. Furthermore, constructive organizational cultures create successful high-performance work environments when nurses have positive colleague interactions and approach tasks in a manner that helps them experience self-actualization, while at the same time achieving organizational goals.
Female↗
After reduction in force: reinvigorating the survivors.
In these days of reengineering health care and downsizing many health organizations, a great deal of attention is given to means of reducing the work force. Not nearly as much attention is paid to the survivors of a staff reduction and the problems that arise in the wake of a generally demotivating activity. However, it is the survivors--those who remain after downsizing--that will have the greatest influence on the organization's future performance. Therefore, the survivors must be remotivated and reinvigorated. Such is the task of surviving supervisors and middle managers, and their primary tools are communication, education, and people-centered management.
Employment↗
Supervising the health care professional.
Those employees called professionals are in some ways little different from any other employees but in a few ways can be anywhere from subtly to dramatically different. As others, professionals are motivated by a unique mix of needs that can be used to gain insight into the appropriate supervisory techniques to apply. Different approaches to supervision are sometimes called for in the face of professionals' advantages, specifically their generally greater education and their external mobility owing to the presence of specific expertise used in other organizations, and their resulting loyalty to an occupation that frequently outweighs loyalty to an organization. The professional in short supply enjoys unique advantages that provide additional challenges for supervision. The conclusion eventually reached concerning supervising professionals is that honest, people-centered management is the key to success.
Attitude of Health Personnel↗
Nutrition surveillance and intervention, South Africa.
Under the apartheid regime there was no national framework for development in South Africa. Now, for the first time in South Africa, the government of national unity has provided a framework for development. This is a people-centered development strategy that calls for intersectoral collaboration and a vision for community involvement. Within this framework, the Department of Health has developed an integrated nutrition program with a health-based component and a community-based aspect. There is now a movement towards community-based program and nutrition surveillance. Although it is still early, there are some lessons that can be learned from these programs: growth monitoring can be used to promote community-based surveillance and to provide information upon which the communities can act; training, supervision, and information dissemination is essential, and it is also important to identify indicators to monitor success; building on existing infrastructure and capabilities within communities and linking up with NGOs and other organizations who have long-standing relationships with the communities is essential; identifying and capitalizing on indigenous resources and capabilities within countries is important; and there has to be political commitment.
Africa↗