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Results for “Health Systems Plans”

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At least 19 recordsLinked to original sources
PubMed1980

Analysis of health education sections of health systems plans.

Health Systems Agencies are required by federal guidelines to plan for and provide educational opportunities for residents of their health service areas. A study was conducted of 9 health education components of health systems plans developed by HSAs in Region III. The health education plans were analyzed and scored using the "Health Education Plan Scorecard" developed by Sullivan and adapted by the present authors. Specifically this modified scorecard consists of eight dimensions of the health education planning process: Involvement, Principles and Practice of Health Education, Defining Problems, Setting Goals and Objectives, Recommending Actions, Obtaining Resources, Planning for Implementation, and Planning for Evaluation. Ratings were generally higher on the first five dimensions of the scorecard. The last three dimensions produced lower scores. The overall average score was 41 points out of a possible 100. Thus indicating the general overall low scores received by the plans. The paper includes 18 recommendations to HSAs for improving the quality of health education plans. A key recommendation is that the Health Education Plan Scorecard should be used as a guide and check list during the plan development process.

Evaluation Studies as Topic↗
PubMed1981

Vision care in health system plans.

The establishment of Health System Agencies, with the responsibility of developing a Health Systems Plan and Annual Implementation Plan, enables community vision care needs to be addressed in a logical and rational manner. Vision care program and activities that could be incorporated into these plans are discussed as they relate to HSP development and to a suggested HSP classification system.

Adult↗
PubMed1987

Management control in a publicly planned health system: a case study from Finland.

Implementing improved management control systems has become a high priority within publicly planned health care systems in recent years. This article explores present management control practices and dilemmas within the Finnish health care system. Based upon an intensive case study of one central hospital district, the article analyzes current intra-institutional and cross-institutional management efforts. Subsequently it evaluates implications from the study's findings for both the Finnish and other publicly planned health care systems.

Capital Expenditures↗
PubMedDate not supplied

Determinants of successful community health system planning.

Needs assessment and other community health planning projects are being conducted in many parts of the country. Whether these projects are successful, in that they lead to implementation of recommendations, has not been systematically assessed. This study describes how local public health officials in Iowa view the planning projects that were conducted in their communities. Planning projects occurred in over half of the counties in the state. Most were led by local public health agencies. Hospitals were participants in three-fourths of the projects. Successful implementation was associated with the number of planning techniques used and the breadth of representation on the steering committee. The most common recommendations related to the expansion of prevention/promotion services and community health nursing. Public health nursing had been integrated with local hospitals in one-third of the counties, with no reductions in performance.

Community Health Planning↗
PubMed1999

Transferring public-health nursing research to health-system planning: assessing the relevance and accessibility of systematic reviews.

A descriptive study was designed to gain an understanding of the research needs, perceptions of barriers to research utilization, and attitudes towards systematic reviews of decision-makers in public health at the level of systems planning. Public-health consultants and managers in Ontario were surveyed about barriers to research utilization and awareness of and attitudes towards systematic reviews as a method of/vehicle for research transfer. Access to 5 completed reviews was provided in summary, abstract, and full form, and on diskette, hard copy, and Internet. A follow-up survey at 3 months assessed use, relevance, application, and further dissemination of the reviews. A total of 242 people in positions of public-health policy and decision-making participated. Respondents reported a great, largely unmet, need for research evidence. They viewed systematic reviews as likely to overcome the barriers to research use related to critical appraisal, time, timeliness, availability, cost and credibility, but not the barriers related to policy climate, authority, or implementation resources. Three months after requesting a review, 93% said they would follow it up; 91% remembered receiving it, and 71% of these had read it while 23% stated it played a part in program planning or decision-making.

Adult↗
PubMed1977

Marginal patients, marginal delivery systems and health systems plans.

Marginal patients are those who are either denied access to medical care or who have chosen not to utilize medical care for their health problems. Marginal delivery systems have at times been developed by these marginal patients to meet their own needs as they define them. The structure and ideas of eight such marginal systems in Alameda County, California, are examined. Structurally, these systems are characterized by their notions of mandate, their unique development and evolution, individuality, independence, consumer control and short existence. The ideas held in these systems include new definitions of health, an expanded definition of appropriate health promoting activities, different definitions of clientele groups, new notions of division of labor and personnel, new forms of governance and decision making, different insights into the financing of health care and refreshingly new notions of medical politics.

Attitude to Health↗