Physical intervention:a review of the literature on its use, staff and patient views, and the impact of training
Attitude of Health Personnel
Attitude to Health
Education, Nursing, Continuing
Health Knowledge, Attitudes, Practice
Health Services Needs and Demand
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As a principal control measure, physical intervention is intended to be a skilled manual, or hands-on, method of physical restraint implemented by trained individuals, with the intention of controlling the aggressive patient, to restore safety in the clinical environment. Physical intervention is however a contentious practice. There have been reports in the literature of negative psychological views from staff and patients on the procedure. Although formal structured training was introduced in response to concerns around patient safety during restraint, concerns remain that PI is sometimes construed as a stand-alone violence prevention initiative. Its potential for misuse, and overuse, in corrupted cultures of care has emerged as a social policy issue. The following paper critically explores the literature on training in physical intervention in the United Kingdom.
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Good Practices in Health Financing : Lessons from Reforms in Low and Middle-Income CountriesWaters, Hugh R.; Schieber, George J.; Gottret, Pablo (Washington, DC : World Bank, 2012-05-25)This volume focuses on nine countries that have completed, or are well along in the process of carrying out, major health financing reforms. These countries have significantly expanded their people's health care coverage or maintained such coverage after prolonged political or economic shocks. In doing so, this report seeks to expand the evidence base on good performance in health financing reforms in low- and middle-income countries. The countries chosen for the study were Chile, Colombia, Costa Rica, Estonia, the Kyrgyz Republic, Sri Lanka, Thailand, Tunisia, and Vietnam. With health at the center of global development policy on humanitarian as well as economic and health security grounds, the international community and developing countries are closely focused on scaling up health systems to meet the Millennium Development Goals (MDGs), improving financial protection, and ensuring long-term financing to sustain these gains. With the scaling up of aid, both donors and countries have come to realize that money alone cannot buy health gains or prevent impoverishment due to catastrophic medical bills. This realization has sent policy makers looking for reliable evidence about what works and what does not, but they have found little to guide their search.
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to discuss selected health challenges in the Russian
Federation, focusing on outcomes, expenditures and options
for policy and institutional reforms in the health care
system. The areas covered in the paper draw on recent
studies and reports, and take into account lessons derived
from the implementation of the World Bank-funded Health
Reform Implementation Project (HRIP) at the federal level
and in the Chuvash Republic and the Voronezh Oblast-the
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