http://hdl.handle.net/10147/48920 Sun, 26 May 2013 02:35:01 GMT 2013-05-26T02:35:01Z http://hdl.handle.net/10147/267173 Title: The structure of psychological services within the Eastern Regional Health Authority. Authors: Molloy, Edmond; Clarke, Brid Description: "We exist under the auspices of the E.H.B., to make available in the most appropriate and effective way the knowledge and skills of psychology, to promote psychological well-being and to prevent and alleviate psychological problems at both individual and social levels." It is beyond the proper scope of this assignment to critique this statement but it is necessary to draw out some of its implications as perceived by this consultant. Key words are: - Under the auspices of - To make available - Promote psychological well-being Prevent and alleviate psychological problems There is a passive, subordinate ring to the first two noted phrases, and the second two tend to separate out the psychological dimension of health. This latter tendency is inconsistent with a more holistic paradigm as expressly favoured by psychologists themselves. The following mission statement and the supporting strategies which would follow naturally, would represent a synthesis of what the consultant heard from the psychologists. Sat, 01 Jan 2000 00:00:00 GMT http://hdl.handle.net/10147/267173 2000-01-01T00:00:00Z http://hdl.handle.net/10147/267075 Title: Survey of services available to young chronically ill and physically disabled people aged between 18 and 65: report Authors: Eastern Regional Health Authority (ERHA) Description: Many Persons with physical and/or sensory disability are faced with numerous obstacles in their efforts to attain an optimal quality of life and to play a full role within their families and communities. Among the requirements to help ensure that people with physical and sensory disabilities can participate fully in their communities is the availability of a range of accommodation options together with a variety of health and social supports to maximise their independence. This range of accommodation and support options should be flexible enough to meet the particular needs of each individual. This review aims to address the current situation in regard to the accommodation and support needs of the young, chronically disabled client in the Eastern region i.e. that person between the age of 18 and 65 years with either a congenital or an acquired disability, that may be either progressive or static, and is irrespective of any accompanying cognitive impairment. Thu, 01 Jan 2004 00:00:00 GMT http://hdl.handle.net/10147/267075 2004-01-01T00:00:00Z http://hdl.handle.net/10147/266232 Title: Review of consultant level ENT surgery services in the Eastern Region: an update of 1983 Comhairle na n'Ospideal report on ENT surgery services. Authors: Eastern Regional Health Authority (ERHA) Description: Existing acute hospital services for people diagnosed in need of inpatient ENT care were put in place in the 1980's at seven designated hospitals: Beaumont Hospital, the Mater Hospital, St. James's Hospital, AMNCH, St. Vincent's University Hospital, Temple Street Children's Hospital, and Our Lady's Hospital for Sick Children. These services, provided under the Health Act (1970) 3, are free of charge and include access to both inpatient and out-patient treatments as required. Outpa1ient facilities were also provided in JCM, Naas, St. Michael's and Loughlinstown. In 1983 the report of the committee on the development of ENT services was published (Comhairle, 1983) 2. In relation to the level of resource provision - particularly beds and consultant manpower - appropriate to the specialty of otolaryngology, Comhairle recommended that the general approach to planning of services must be based on a wider population catchment. This relates to the scale of the workload derived from a given population and the need to concentrate sufficient workload to justify the provision of a reasonably sized· unit in terms of staff, equipment space and other resources. (Para 3.2:8-9). In relation to the eastern region, the Comhairle recommended that in the future development of services, there should be a major rationalisation of the existing services. This rationalisation necessitated a substantial reduction In the existing ENT bed stock in the eastern region; the closure of a number of smaller inpatient units and the relocation, In the long-term, of the existing unit at the Royal Victoria Eye and Ear Hospital. Tue, 01 Jan 2002 00:00:00 GMT http://hdl.handle.net/10147/266232 2002-01-01T00:00:00Z http://hdl.handle.net/10147/266192 Title: Report on childhood immunisation Authors: Laffoy, Marie Description: In 2000, there was a measles outbreak in the Eastern Region, which led to 1,253 cases, three deaths and just over 350 hospital admissions. In 2001, there was a decline in the uptake rates at 12 and 24 months for all primary immunisations. This decrease was most marked for the Measles, Mumps and Rubella Vaccine (MMR) uptake rates at 24 months where a drop of 21 % was noted. This reflected a national trend and was also influenced by negative media coverage of MMR vaccine. A Regional Immunisation Committee was convened in February 2002, which resulted in this report. The issues considered by the Regional Committee were: 1. Planning and organisation of immunisation programmes including structures, processes, staffing and the. immunisation contract between Area Health Boards and General Practitioners 2. Information systems for immunisation surveillance 3. Materials management 4. Communication strategies The deficits identified in the four areas outlined above were as follows: Planning and Organisation 1. A standard practice does not exist in the Region for provision of lists to general practitioners.(GP) of cohorts of children requiring primary immunisation. This limits calculation of an important performance indicator within practice populations i.e. uptake rates of primary childhood immunisations and estimation of targets for bonus payments. 2. Problems exist in relation to the timeliness of receipt of immunisation returns by Area Health Boards (AHBs) from GPs and also in the timeliness of payment of GPs for primary childhood immunisations. 3. There is no regional policy for identifying and following up defaulters. 4. Use of parent·held records is not standard practice across the Region. 5. Difficulties in recruiting and retaining staff to run school immunisation programmes have impacted negatively on the uptake of booster vaccination in the 4 to 6 year age group in some Community Services Areas (CSAs). Sun, 20 Jan 2013 00:00:00 GMT http://hdl.handle.net/10147/266192 2013-01-20T00:00:00Z