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Where is Batho Pele? The perspective of child and adolescent mental health service users in the Western Cape Province of South Africa.
BMC Public Health
January 2025
Division of Child and Adolescent Psychiatry, University of Cape Town, 46 Sawkins Road, Rondebosch, Cape Town, 7700, South Africa.
Background: Mental health disorders of children and adolescents represent a key area of concern, yet child and adolescent mental health services (CAMHS) are neglected, especially in low- and middle-income countries. There is a clear need to provide services that are relevant to the needs of service users, but little research to date has explored their needs and experiences of services, or to identify their recommendations for service strengthening. In 1997 the South African Government introduced the "Batho Pele" ('People First') initiative in all public sector services, with the aim of putting the voices of service users at the centre of decision-making of policy development and implementation.
View Article and Find Full Text PDFCollaboration between ambulance services and primary care: a scoping review protocol.
BMJ Open
January 2025
Department of Health and Caring Sciences, Linnaeus University Faculty of Health and Life Sciences, Kalmar/Växjö, Sweden.
Introduction: Making decisions about the appropriate level of care is a significant challenge for healthcare professionals, especially when older patients present with diffuse symptoms. Collaboration between ambulance services and primary care may promote a comprehensive understanding of patient needs. However, such collaboration remains limited, potentially leading to lower care quality and higher costs.
View Article and Find Full Text PDFDeveloping a decision support tool to predict delayed discharge from hospitals using machine learning.
BMC Health Serv Res
January 2025
Department of Industrial Engineering, Dalhousie University, PO Box 15000, Halifax, B3H 4R2, NS, Canada.
Background: The growing demand for healthcare services challenges patient flow management in health systems. Alternative Level of Care (ALC) patients who no longer need acute care yet face discharge barriers contribute to prolonged stays and hospital overcrowding. Predicting these patients at admission allows for better resource planning, reducing bottlenecks, and improving flow.
View Article and Find Full Text PDFFactors influencing the length of postgraduate training and motives for choosing general practice as a specialty. Results of a cross-sectional study of general practitioners after completion of the specialist examination.
GMS J Med Educ
December 2024
Goethe University Frankfurt, Institute of General Practice, Frankfurt/Main, Germany.
Background: The attractiveness of general practice (GP) is increasing, as is evident in its growing popularity among students and the sharp rise in specialist certifications. However, in view of the future challenges at the GP level of care, there is a shortage of young doctors. It would thus be desirable if postgraduate training could be completed quickly, particularly in this area.
View Article and Find Full Text PDFResuscitation, yes or no ? the criteria for transferring patients with hematological malignancies to intensive care. A qualitative study.
BMC Palliat Care
December 2024
Palliative Care Unit, Louise Michel Hospital, Clermont-Ferrand University Hospital, 54 rue Montalembert BP69, Clermont-Ferrand, Cedex 1, Clermont-Ferrand, 63003, France.
Background: Having a hematological malignancy increases the risk of a poor-quality end of life and of dying in intensive care. There is no prognostic score to predict survival on admission to intensive care, but many patients die there. To identify the criteria used in deciding to transfer patients with hematological malignancies to intensive care.
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