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Best Practice

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Document Typology: Article
Target groups: Health Workers,Caregivers,Policy Maker and Administrators
country Where It Took Place: Lithuania
Name of compiler: Aldona Droseikiene
name of institution: Lithuanian multiple sclerosis Union
role: Project manager
language Of The Description: English
title: Challenges in modernization of nursing services 
description Of The Best Practice:
Nowadays in Lithuania there is a lack of theoretical solutions for
effective public administration theories of various models used for
nursing services sector for modernization and development. Aim of
this article is to examine the trends in nursing and to offer strategic
solutions for the modernization of nursing services with guidelines of
public administration. During this study we analyzed policy documents,legislation of EU countries and Lithuania, we made strategic decisions of nursing services. We discussed the concept, issues and problems of modern nursing‘s role in society. How to improve, to develop nursing services, what are for the research priorities for the theories of comparative analysis of theories and their applicability to improve medical care, research methodology. How we can use public administration to improve the development of nursing service,structure, to analyze dynamics, management and situation in Lithuania.
Correspondence to: sandrasileikaite@yahoo.com
Results:
Patient reports were used to measure patient satisfaction, accessibility of services, comprehensiveness of care, responsiveness to patients’ needs and performance of preventive medicine activities. Other research tools included staff surveys, in-depth interviews and administrative data on transfer among sick funds. The findings counter fears that budgetary control and cost-containment negatively affect quality of care and patient satisfaction.
Quality indicators:
Use of citizens narrative descriptions in order to improve the healthcare services
Comment:
The program components were implemented gradually in the five clinics in the period of five years. Not all, however, were fully implemented. The staff survey conducted after implementation of the program identified a number of changes in the work procedures of the clinics: heightened cost consciousness, discussion of the monthly expenditure reports, emphasis on the need to economize, and attempts to economize.
Evaluation:
Evaluates the impact of this program on patient satisfaction and other selected indicators of quality of care, using a controlled case study methodology.Structured questionnaires were used in face-to-face interviews with a representative stratified sample of more than 100 patients registered in the clinics

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