Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.

Background: Chronic wound care represents a considerable burden to patients and the healthcare system, however often goes unrecognised. Through public policy the government directly impacts public health and the health of individuals with the aim of protecting people from potential health risk facto...

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Main Author: Sykorova, Martina
Format: Thesis (University of Nottingham only)
Language:English
Published: 2018
Subjects:
Online Access:https://eprints.nottingham.ac.uk/55602/
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author Sykorova, Martina
author_facet Sykorova, Martina
author_sort Sykorova, Martina
building Nottingham Research Data Repository
collection Online Access
description Background: Chronic wound care represents a considerable burden to patients and the healthcare system, however often goes unrecognised. Through public policy the government directly impacts public health and the health of individuals with the aim of protecting people from potential health risk factors. Healthcare need assessments are of great importance to public policy makers since they provide a status quo of the health needs of a patient population, at a national or local level. Some authors argue that healthcare needs assessments should be legal requirements of public policy. Aim: To explore the influence of public policy on healthcare using wound care as a case study and to research wound care needs of a local population in Nottinghamshire. Methods: The study adopted a mixed method study design using a concurrent triangulation approach. Conceptually, the study utilised the Healthcare Needs Assessment framework. The qualitative study consisted of qualitative interviews with wound care commissioners, providers and healthcare professionals. The quantitative study involved a point prevalence study of wounds on a community nursing caseload in two Clinical Commissioning Group areas in Nottinghamshire. Data were analysed using constant comparative method and descriptive statistics. Findings: In total, 1,462 patients were assessed as part of the point prevalence study. The quantitative study shows that prevalence of wounds as well as associated conditions is increasing. Thirteen qualitative interviews explored how public policy impacts on community services. The qualitative study demonstrates that community nursing and tissue viability services are facing a lot of challenges caused by changing demographics and the New Public Management reform. Conclusion: Current public policies mean that healthcare providers are required to provide ‘more for less’ while increasing the quality of care. The influence of New Public Management reforms significantly affects community and tissue viability nurses causing a decreased satisfaction and increased workload.
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spelling nottingham-556022025-02-28T14:18:51Z https://eprints.nottingham.ac.uk/55602/ Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare. Sykorova, Martina Background: Chronic wound care represents a considerable burden to patients and the healthcare system, however often goes unrecognised. Through public policy the government directly impacts public health and the health of individuals with the aim of protecting people from potential health risk factors. Healthcare need assessments are of great importance to public policy makers since they provide a status quo of the health needs of a patient population, at a national or local level. Some authors argue that healthcare needs assessments should be legal requirements of public policy. Aim: To explore the influence of public policy on healthcare using wound care as a case study and to research wound care needs of a local population in Nottinghamshire. Methods: The study adopted a mixed method study design using a concurrent triangulation approach. Conceptually, the study utilised the Healthcare Needs Assessment framework. The qualitative study consisted of qualitative interviews with wound care commissioners, providers and healthcare professionals. The quantitative study involved a point prevalence study of wounds on a community nursing caseload in two Clinical Commissioning Group areas in Nottinghamshire. Data were analysed using constant comparative method and descriptive statistics. Findings: In total, 1,462 patients were assessed as part of the point prevalence study. The quantitative study shows that prevalence of wounds as well as associated conditions is increasing. Thirteen qualitative interviews explored how public policy impacts on community services. The qualitative study demonstrates that community nursing and tissue viability services are facing a lot of challenges caused by changing demographics and the New Public Management reform. Conclusion: Current public policies mean that healthcare providers are required to provide ‘more for less’ while increasing the quality of care. The influence of New Public Management reforms significantly affects community and tissue viability nurses causing a decreased satisfaction and increased workload. 2018-12-14 Thesis (University of Nottingham only) NonPeerReviewed application/pdf en arr https://eprints.nottingham.ac.uk/55602/1/MR4120%20Dissertation%20Student%20ID%204284458%205th%20October%202017.pdf Sykorova, Martina (2018) Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare. MRes thesis, University of Nottingham. wounds wound care health reforms
spellingShingle wounds
wound care
health reforms
Sykorova, Martina
Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.
title Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.
title_full Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.
title_fullStr Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.
title_full_unstemmed Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.
title_short Wound Healing Project: Using wound care as a case study to assess the impact of public policy on healthcare.
title_sort wound healing project: using wound care as a case study to assess the impact of public policy on healthcare.
topic wounds
wound care
health reforms
url https://eprints.nottingham.ac.uk/55602/