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1.
BMJ Open ; 9(10): e030243, 2019 10 07.
Artículo en Inglés | MEDLINE | ID: mdl-31594883

RESUMEN

OBJECTIVE: To examine the forms, scale and role of community and voluntary support for community hospitals in England. DESIGN: A multimethods study. Quantitative analysis of Charity Commission data on levels of volunteering and voluntary income for charities supporting community hospitals. Nine qualitative case studies of community hospitals and their surrounding communities, including interviews and focus groups. SETTING: Community hospitals in England and their surrounding communities. PARTICIPANTS: Charity Commission data for 245 community hospital Leagues of Friends. Interviews with staff (89), patients (60), carers (28), volunteers (35), community representatives (20), managers and commissioners (9). Focus groups with multidisciplinary teams (8 groups across nine sites, involving 43 respondents), volunteers (6 groups, 33 respondents) and community stakeholders (8 groups, 54 respondents). RESULTS: Communities support community hospitals through: human resources (average=24 volunteers a year per hospital); financial resources (median voluntary income = £15 632); practical resources through services and activities provided by voluntary and community groups; and intellectual resources (eg, consultation and coproduction). Communities provide valuable supplementary resources to the National Health Service, enhancing community hospital services, patient experience, staff morale and volunteer well-being. Such resources, however, vary in level and form from hospital to hospital and over time: voluntary income is on the decline, as is membership of League of Friends, and it can be hard to recruit regular, active volunteers. CONCLUSIONS: Communities can be a significant resource for healthcare services, in ways which can enhance patient experience and service quality. Harnessing that resource, however, is not straight forward and there is a perception that it might be becoming more difficult questioning the extent to which it can be considered sustainable or 'renewable'.


Asunto(s)
Organizaciones de Beneficencia , Hospitales Comunitarios , Asignación de Recursos , Voluntarios , Adulto , Actitud , Organizaciones de Beneficencia/ética , Organizaciones de Beneficencia/métodos , Organizaciones de Beneficencia/organización & administración , Organizaciones de Beneficencia/estadística & datos numéricos , Inglaterra , Femenino , Apoyo Financiero , Hospitales Comunitarios/economía , Hospitales Comunitarios/organización & administración , Humanos , Masculino , Programas Nacionales de Salud/economía , Programas Nacionales de Salud/organización & administración , Investigación Cualitativa , Asignación de Recursos/ética , Asignación de Recursos/métodos , Asignación de Recursos/tendencias , Rol , Percepción Social , Validez Social de la Investigación , Voluntarios/clasificación , Voluntarios/psicología , Voluntarios/estadística & datos numéricos
3.
J Manipulative Physiol Ther ; 30(9): 718-28, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-18082744

RESUMEN

OBJECTIVE: This study evaluates the actual or potential contribution of the chiropractic profession in meeting US healthcare workforce needs. METHODS: The authors performed a descriptive cross-sectional mail survey of US chiropractors in 2002 to 2003. RESULTS: The amount of charity care provided by chiropractors closely approximates that of medical physicians; on a weekly basis, approximately 2 weekly hours of chiropractic care are provided for free, and 4 weekly hours are provided at a reduced fee. CONCLUSION: Chiropractors serve a vital, though often overlooked, role in the US health care safety net.


Asunto(s)
Organizaciones de Beneficencia/economía , Quiropráctica/economía , Planes de Aranceles por Servicios/estadística & datos numéricos , Encuestas de Atención de la Salud , Accesibilidad a los Servicios de Salud/economía , Atención no Remunerada/estadística & datos numéricos , Adulto , Actitud del Personal de Salud , Organizaciones de Beneficencia/estadística & datos numéricos , Quiropráctica/normas , Quiropráctica/estadística & datos numéricos , Ahorro de Costo , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Administración de la Práctica Médica/economía , Administración de la Práctica Médica/normas , Calidad de la Atención de Salud , Encuestas y Cuestionarios , Estados Unidos
4.
Zhonghua Yi Shi Za Zhi ; 37(3): 146-51, 2007 Jul.
Artículo en Chino | MEDLINE | ID: mdl-18453204

RESUMEN

The late Qing Dynasty had witnessed the peak of epidemic outbreak in the southern part of China. However, that is also the time when the non-governmental charity activities in Guangdong grew into prosperity. As is shown in the 1909 archives of China's association activities, Guangdong charity organizations at the time played an active role in medical and relieving activities, by using flexible and various means of relief with extensive beneficiaries. Some of those medical activities are beyond the category of mere charity relief. The ideology advocated by the founders and the practitioners of such charity organizations constructed the most fundamental local humanity relief and health care system, as well as their painstaking efforts in bringing these ideas into reality, have contributed significantly to the local stability and harmony of the society, to the cultivation of public welfare awareness in the social and medical sectors of modern Guangdong society, and to the development of Guangdong's public sanitary system. Moreover, they have brought noteworthy influence on the continuation of traditional Chinese medicine and the advancement of the local regional medical studies.


Asunto(s)
Organizaciones de Beneficencia/historia , Servicios de Salud/historia , Organizaciones de Beneficencia/estadística & datos numéricos , China , Servicios de Salud/estadística & datos numéricos , Historia del Siglo XIX , Historia del Siglo XX
5.
Med Teach ; 28(2): 171-4, 2006 Mar.
Artículo en Inglés | MEDLINE | ID: mdl-16707299

RESUMEN

All doctors are required to undertake Continuing Professional development (CPD)--for good practice and for the purposes of annual appraisal and re-validation. The medical workforce in palliative medicine is diverse. Many doctors work on a part time basis, with the same CPD requirements as those working fulltime. This survey was undertaken: to establish whether doctors had fulfilled their CPD requirements in the year 2001-2002 and to identify problems or difficulties experienced by doctors in undertaking CPD. A questionnaire was sent to all doctors known to be working in non-training posts within palliative medicine in October 2002, requesting information on CPD undertaken between 1 April 2001 and 31 March 2002. Questions were also asked regarding knowledge and understanding of appraisal and revalidation. The response rate was 53% (381/721). Palliative medicine was the main post for 276 (72%) respondents and 169 were on the specialist register (44%). The subgroup most likely to have fulfilled CPD requirements were those on the Specialist Register (64%), and those least likely were those holding a contract with a charitable organisation (33%). Less than half of those not on the specialist register understood CPD and revalidation requirements. Overall, only 43% of respondents were meeting CPD requirements (median 25 credits; range 5-375 hours). This study has highlighted widespread barriers to the successful planning, participation in, and recording of, CPD for palliative medicine doctors, with those who are not on the specialist register appearing to be particularly disadvantaged. Individual doctors' information needs need to be addressed, but organisational support for CPD is also required. We believe many of these issues also apply in other specialities.


Asunto(s)
Educación Médica Continua , Cuidados Paliativos , Organizaciones de Beneficencia/estadística & datos numéricos , Educación Médica , Educación Médica Continua/estadística & datos numéricos , Humanos , Medicina/estadística & datos numéricos , Programas Nacionales de Salud/estadística & datos numéricos , Sistema de Registros , Especialización , Encuestas y Cuestionarios , Reino Unido
6.
Complement Ther Med ; 11(3): 165-7, 2003 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-14659380

RESUMEN

A custom-made questionnaire was sent to all UK medical charities in 1999 and again in 2002. Its primary aim was to assess the commitment of these institutions towards funding research in complementary and alternative medicine (CAM). Sixty-two (1999) and 60 (2002) answers were received corresponding to response rates of 62% and 55%. The total CAM research funds have increased from pound 70,000 in 1999 to pound 412,755 in 2002. In terms of total research budgets, this amounts to 0.05% and 0.31%, respectively. The number of CAM research projects has increased but so has the number of charities who do not fund CAM research. We conclude from these data that CAM research funding by UK medical charities has increased. In relative terms it does, however, remain low and out of proportion to the prevalence of CAM use in the UK.


Asunto(s)
Organizaciones de Beneficencia/economía , Terapias Complementarias/economía , Apoyo a la Investigación como Asunto/estadística & datos numéricos , Agencias Voluntarias de Salud/estadística & datos numéricos , Organizaciones de Beneficencia/estadística & datos numéricos , Recolección de Datos , Apoyo Financiero , Estudios de Seguimiento , Humanos , Reino Unido , Agencias Voluntarias de Salud/economía
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