Development and application of a remote island medicine system in Quezon, Quezon / (Record no. 3314)
[ view plain ]
| 000 -LEADER | |
|---|---|
| fixed length control field | 03514 a2200193 4500 |
| 100 ## - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Mier, Jana Deborah B. |
| 9 (RLIN) | 12556 |
| 245 1# - TITLE STATEMENT | |
| Title | Development and application of a remote island medicine system in Quezon, Quezon / |
| Statement of responsibility, etc. | Jana Deborah B. Mier. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | xiii, 111 leaves : color illustrations |
| 500 ## - GENERAL NOTE | |
| -- | Mier, J. D. B. (2016). Development and application of a remote island medicine system in Quezon, Quezon (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines. |
| 502 ## - DISSERTATION NOTE | |
| Department | Graduate School of Public and Development Management |
| Program | Health Systems and Development |
| Batch | Batch 6 |
| Additional Note | Thesis (MPM-HSD)--Development Academy of the Philippines. |
| 520 ## - SUMMARY, ETC. | |
| Summary, etc. | Bringing quality health care to remote islands remains a challenge in the Philippines. In Quezon, Quezon, a 5th class municipality in Alabat Island, there are problems encountered in the referral of patients requiring secondary or tertiary level of care or consultation with a medical specialist. Resulting delays in receiving appropriate level of medical care ultimately lead to poor patient outcomes - untimely deaths and disability, complications and prolonged course of illness. This research-action project aimed to prevent poor patient outcomes in Quezon, Quezon brought about by issues that challenge the access to prompt and appropriate level of medical care, which are caused by geographical constraints and its consequences, being a remote island municipality. It explored the current local experience when a patient is in need of referral to a higher level of medical care, both from the demand and supply sides, and identified strategies and interventions that can be applied to improve patients' access to a higher level of medical care. An audit of referral forms in the year 2015, key informant interviews with local government officials and focus group discussions with referred patients and their caregivers were conducted to come up with a descriptive analysis of the current local experience when a patient is in need of referral to specialists or transfer to a hospital. The findings were then analyzed in comparison to the conceptual Remote Island Medical Framework. Results from the different methods described the existing medical care and referral system in Quezon, Quezon and may be divided into the following themes: 1) referral patterns and patient experience including the causes of delays in referral,2) notable locally available or locally facilitated services and 3) gaps or remaining challenges. The gaps pointed out were regarding the inadequacy of locally available diagnostics, medicines and specialty services, the specific constraints delaying transfer to hospital or consultation with specialist - expected costs and lack of free emergency sea transport - and the inefficiencies in the referral process. These were then addressed by improving the capacity of the local health workforce, setting up eHealth solutions such as teleconsultation services, strengthening the network with clinical specialists and referral centers, and establishing the patient transport system. |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Health services administration. |
| 9 (RLIN) | 17686 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Remote island medicine system--Quezon, Quezon, Philippines. |
| 9 (RLIN) | 21910 |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Rural health care. |
| 9 (RLIN) | 21911 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Cruzada, Evelyn C. (Panel Chairperson) |
| 9 (RLIN) | 12317 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Mercado, Harold L. (Institutional Partner) |
| 9 (RLIN) | 12559 |
| 700 ## - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Roberto, Generoso (External Expert) |
| 9 (RLIN) | 12313 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) | |
| Koha item type | THESIS |
| Source of classification or shelving scheme | Library of Congress Classification |
| Withdrawn status | Lost status | Source of classification or shelving scheme | Damaged status | Not for loan | Home library | Current library | Date acquired | Total Checkouts | Full call number | Barcode | Date last seen | Price effective from | Koha item type |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Library of Congress Classification | MAIN | MAIN | 01/17/2019 | RA 440.6 M54 2016 | TD00276 | 01/17/2019 | 09/16/2022 | THESIS |