To support the initiatives dealing with the impact of COVID-19, the International Organization for Standardization (ISO) has made some of its standards supporting the biological evaluation of medical devices and protective clothing used in health care settings accessible for free.
Counselling in Health Care Settings free download torrent
Download File: https://jinyurl.com/2vGDzw
Ensuring access to primary health care is widely accepted as key to improving health outcomes [1]. In the case of Indigenous populations living with high rates of chronic disease, access to these services is even more crucial [2]. Even in developed countries such as Australia, the number of Indigenous peoples dying from cardiovascular disease is 1.5 times that of their non-Indigenous counterparts [3]. Despite this, Indigenous peoples are often prevented from accessing these types of services due to a range of barriers including the high cost of health care, experiences of discrimination and racism and poor communication with health care professionals [4]. Evidence suggests that access to primary health care can be improved when services are tailored to the needs of, or owned and managed by Indigenous communities themselves [5, 6]. This is because Indigenous health care services are more likely to be free of racism and are generally more culturally appropriate than mainstream services [7]. They also tend to employ Indigenous staff who are able to speak the local language and are often known by people accessing the service [8].
Service delivery models implemented within settings where primary health care services were provided predominantly for Indigenous peoples were included in the original scoping review. Indigenous peoples were defined as:
The rising number of patients with Covid-19 as well as the infection control measures have affected healthcare service delivery, including mental healthcare. Mental healthcare delivery in low and middle income countries where resources were already limited are likely to be affected more during this pandemic. This paper describes the efforts of ensuring mental healthcare delivery is continued in a referral hospital in Kenya, Moi Teaching and Referral hospital, as well as the challenges faced. These efforts are guided by the interim guidelines developed by the Kenyan ministry of health. Some of the adjustments described includes reducing number of patients admitted, shortening the stay in the inpatient setting, using outdoors for therapy to promote physical distancing, utilization of electronic platforms for family therapy sessions, strengthening outpatient services, and supporting primary care workers to deliver mental health care services. Some of the challenges include limited ability to move about, declining ability for patients to pay out of pocket due to the economic challenges brought about by measures to control Covid-19, limited drug supplies in primary care facilities, inability to fully implement telehealth due to connectivity issues and stigma for mental health which results in poor social support for the mentally ill patients. It is clear that current pandemic has jeopardized the continuity of usual mental healthcare in many settings. This has brought to sharp focus the need to decentralize mental health care and promote community based services. Meanwhile, there is need to explore feasible alternatives to ensure continuity of care.
3 Terms and conditions apply. Patients who participate in any federal or state healthcare programs, such as Medicaid or Medicare, are not eligible for co-pay assistance. However, these patients may be eligible to receive their medicine for free through the Pfizer Patient Assistance Program. Terms and conditions apply.
The following information applies to U.S.-based healthcare providers seeking to deploy Cerner certified API technology for their Cerner Millennium or Soarian Clinicals EHR. Pricing identified is effective as of November 1, 2021. Cerner certified API technology is available free of charge to clients utilizing the Cerner Ambulatory ASP model as it is part of the bundled product available to Cerner Ambulatory clients. For information on certified API access and fees for app developers, see API Access and Fees.
Findings from this study illustrate the commitment of different IHPs with limited training to a task-sharing model under difficult situations to increase the access to good quality mental health care for patients in remote settings. The positive uptake of this model by the informal sector, as explained by promotion of trust and respect between formal and informal providers, and minimal attitudinal barriers by the IHPs, is a huge step to reducing the mental health treatment gap. While the resource barriers and lack of psychotropic medicines hinder a task-sharing model in Kenya, these issues are solvable and could be contextually addressed through continuous dialogue, monitoring psychotropic medicine distribution at health facilities, and translating the number of cases detected at the community level to demand. The use of existing resources in the communities by strengthening collaboration between informal and formal health providers through establishing referral pathways underpins this model. Even though the challenges for CHWs, THs and FHs are discussed collectively, it is crucial to note that some challenges are specific to particular providers due to their role before the introduction of a task-sharing model. For instance, mistrust in terms of referral was seen among traditional and faith healers, who are known to treat mental illnesses using various alternative treatments rather than referring to health facilities. As such, patients start losing confidence in the IHPs in general. However, opportunities specific to these challenges were identified during the discussions. 2ff7e9595c
Comments