Former Health Boardshttp://hdl.handle.net/10147/6319102024-03-28T11:10:49Z2024-03-28T11:10:49ZCost-effectiveness of assessments for disabled persons maintenance allowances, (D.P.M.A.), from the viewpoint of the Area Medical Officer, (A.M.0.).O'Connor, Mairehttp://hdl.handle.net/10147/6384322023-11-21T06:19:23Z1989-02-01T00:00:00ZCost-effectiveness of assessments for disabled persons maintenance allowances, (D.P.M.A.), from the viewpoint of the Area Medical Officer, (A.M.0.).
O'Connor, Maire
Under the Health Acts of 1953 and 1970, and regulations made under the Acts,
a "Health Board shall provide for the payment of Maintenance Allowances to
disabled persons over 16 years of age where neither the person nor the person's
spouse, (if any), is able to provide for his maintenance".
At the present time, a person completes an application form giving details
which include income. He/she also provides a form completed by a registered
medical practitioner, stating the applicant's disability and whether it is the
opinion of the medical practitioner that, by reason of the disability, the
applicant is "substantially handicapped in undertaking work of a kind which,
if he/she were not suffering from that disability, would be suited to his/her
age, experience and qualifications".
If the applicant is deemed financially eligible for D.P.M.A., the file is then
handed over to an A.M.O.. He/she arranges to see the applicant in order to
obtain medical details of the disability. With the permission of the applicant,
the A.M.O. then contacts the consultant involved in the case, and requests cj
a medical report from the consultant and whether, in the opinion of the
consultant, the applicant is eligible for D.P.M.A.. On receipt of this, the
A.M.O. will discuss the application with the D.C.C./M.O.H. and a decision made
whether or not to recommend the application on medical grounds. The file then
passes on to the administrative staff. If the application is rejected, the
applicant is notified, while if accepted, the Programme Manager is notified of
the reasons for accepting the application.
1989-02-01T00:00:00ZWorking in Partnership for HIV Prevention in Gay Saunas: A Pilot Project in Two Gay SaunasHayden, KarlGay HIV Strategieshttp://hdl.handle.net/10147/6301922021-08-26T02:39:06Z1998-11-01T00:00:00ZWorking in Partnership for HIV Prevention in Gay Saunas: A Pilot Project in Two Gay Saunas
Hayden, Karl; Gay HIV Strategies
The bass of the pilot project began with the
publication of two earlier studies. The first study was,
HIV Prevention Strategies and the Gay Community;
Phase One Report A Baseline Study (Department
of Health and GLEN/NEXUS, 1996). Section 5 of the
study deals with the Gay Commercial Sector. The
study noted ‘The importance of the commercial
venues make them a crucial focus of any HIV/ADS prevention work. Of particular
concern however are the saunas which are frequented by quite large numbers of men who are not ‘our’.
Interviews with gay men during the course of this project would suggest that the saunas are a meeting
place for quite a large number of cider gay men - a group that has possibly been neglected in
prevention strategies in the past. The saunas also tend to attract men from different parts of the country
including men from urban centres such as Cork and Limerick who would not be ‘out’ in their own areas.
indeed because of this range of clientele the saunas have co particular importance in relation to any
future prevention strategies’.
The study found that ‘According to gay men interviewed, the saunas actually provide a place for men to
‘cruise’ in a safe environment, free from fear of harassment or violence, They provide saunas, steam
rooms, coffee rooms and rest rooms which allow men to socialise with each other in a more intimate
environment. in terms of socialising, the saunas often provide a place for men to meet who would not
feet comfortable in the more open, gay-identified bars and clubs’.
In negative terms the men reported that the saunas ‘do not provide adequate safer-sex information’.
Also, ‘condoms are not always available on the premises and when they are, they have to be purchased
at reception’ which some gay men interviewed said they found ‘embarrassing and off-putting’.
The study suggested that ‘saunas present major opportunities but also problems in relation to HIV
prevention. On the positive side they are meeting places for possibly a more diverse group of gay men
In terms of age, location and sexual identity than would be the case in the bars, clubs and gay
community groups. As a result prevention measures directed towards the saunas could have a
significant impact on the wider gay population. However, in order for this to happen, and whether the
owners are aware or not, there would have to be some acceptance that some degree of sexual activity
does take place, or at least initiated, on these premises, then measures could Include not only the
prevision of condoms and safer-sex materials, but the training of staff as safer sex educators and
possibly the recruitment of different clientele as educators among their peers. in effect the saunas could
actually become learning centres on safer-sex for a very wide group of gay men’
As with clientele of the saunas, the study interviewed the sauna owners and voluntary gay groups as well
as AIDS organisations. They found ‘Interviews with the sauna owners would suggest that they recognise
the opportunities presented to them to engage with the gay community to prevent HIV transmission and
to facilitate safer-sex practices within the broad commercial sector, in addition, Interviews with both
voluntary gay groups and AIDS organisations would suggest that co-operation between HIV educators
and commercial venue owners Is a key in any future HIV prevention strategies’.
1998-11-01T00:00:00ZEvaluation of the child health service: report of the sub programme evaluation group on child healthEastern Health Boardhttp://hdl.handle.net/10147/6270842020-01-29T02:16:00Z1996-02-01T00:00:00ZEvaluation of the child health service: report of the sub programme evaluation group on child health
Eastern Health Board
The brief of this committee was "to indicate the measures which the Eastern Health
Board (EHB) proposes to use in assessing the effectiveness of its child health
services". The Board provides a huge range of services for children - health
promotion, disease prevention, primary, secondary and tertiary care, child support and
maintenance. It is only possible to provide a cameo view of the services taking
account of their complexity and the time constraints on the committee.
It is neccessary to distinguish between health services provided for children living
within the Eastern Health Board and services provided by the Eastern Health Board.
As most of the secondary and tertiary services and many of the support and
maintenance services are provided by agencies other than the Eastern Health Board, it
is not appropriate to view services provided by the Board in isolation.
1996-02-01T00:00:00ZThe Impact of Meningococcal Group C immunisation on Bacterial Meningitis in the South Eastern Health Board 1999-2002O'Connor, B.M.O'Connor, M.Mahon, M.O'Reilly, O.http://hdl.handle.net/10147/6270702020-01-24T01:59:49Z2002-01-01T00:00:00ZThe Impact of Meningococcal Group C immunisation on Bacterial Meningitis in the South Eastern Health Board 1999-2002
O'Connor, B.M.; O'Connor, M.; Mahon, M.; O'Reilly, O.
Bacterial meningitis is is a significant cause of morbidity and mortality'. 11 also represents considerable
workload, both in imam of the individual case and inn the wider public health conical. Bacterial meningitis
causes concern and anxiety among the public and vigilance is required to ensure early detection and
prompt antibiotic treatment for suspected cases along with other appropriate public health measure &
This report examines the impact of meningococcal C vaccination in the South Eastern Health Board
(SEHB) along with information obtained (hiring enhanced surveillance of bacterial meningitis for the
period 1999-2002..
2002-01-01T00:00:00ZHealth services research & development strategy discussion paperDepartment of Public Healthhttp://hdl.handle.net/10147/6270592020-01-21T01:58:10Z2000-07-01T00:00:00ZHealth services research & development strategy discussion paper
Department of Public Health
Synopsis
Health Services Research means research into the delivery of health care and involves the investigation
of the health needs of the population and the effectiveness and the efficiency of the provision of
services to meet those needs. The more commonly used term is Health Services Research and
Development (R&D).
Much of its work is applied and multi-disciplinary, requiring researchers not only with medical and
paramedical backgrounds, but also with experience in social and behavioural sciences (sociology,
anthropology, economics, geography, social psychology, etc), organisational and management science,
statistics and epidemiology.
The increasing expense of delivering health care and the increased accountability of health care
providers, has made it necessary to ensure that services provided are the most appropriate to meet the
population's need and to guarantee that they are delivered in the least wasteful way possible.
Creating a research-based healthcare system is an important way of creating a strong and efficient
health sector.
A strategic approach should be adopted with suitable National and Regional Structures to ensure that
the health services R&D function is as effective as possible.
At national level, a dedicated agency should be given responsibility for selection of research projects
and funding of those projects. The Health Research Board is likely to be the most suitable location for
this function. Funding for health services R&D should be earmarked to remove competition with
biomedical research.
2000-07-01T00:00:00ZSchool Health Services: A Brief ReviewO'Connor, Mairehttp://hdl.handle.net/10147/6269952019-12-25T03:05:15Z1993-09-01T00:00:00ZSchool Health Services: A Brief Review
O'Connor, Maire
School Health Services developed in the early part of this century
precipitated by the health of men recruited for the Boer War. The service has
continued with various modifications since then. In 1967, the review of Child
Health Services provided guidelines for what children should have
developmental examinations e.g. towns of certain population sizes, as well
as school health services. By virtue of these recommendations all children
living in Dublin should have a developmental examination.
In the 1980's, due largely to pressure of manpower/resources as well as to
the questionable yield, selected school medical examinations came into
being in some areas, where, depending on the information supplied by
parents, a child was or was not selected for a medical examination. Vision
and hearing tests continued to be given to all at some stage in their primary
school life.
Since the start of the century, health, in general, has improved in conjunction
with nutrition and general living conditions. Vaccination programmes have
been developed and parental education/awareness increased.
Developmental examinations at 9/12 are available to all in the Dublin area,
as are visits from Public Health Nurse up to the age of 6 yrs. The majority of
children are now born in hospital with Paediatricians and so have Paediatric
Neonatal checks. Developmental checks at 6 weeks of age are also
available from G.P.'s and Maternity Hospitals. With all these developments,
the yield from general school medical examinations should be minimal if not
zero. Should the service continue in its present format for such a small
return?
Increasingly the problems noted by parents and teachers - which aren't
already under treatment - are social and behavioural problems. The "new
morbidities" which children are now exposed to, such as anti-social
behaviour, substance abuse, non-accidental injury accidents and suicides
are presenting a challenge. The World Health Organisations is of no doubt
that the changing patterns of child morbidity in industrialised societies
demand a new and dynamic response from school health service.
Shrinking economic resources and awareness of the potential for prevention
makes it desirable to reconsider how health services, health education and
the school environment can contribute to improve health.
1993-09-01T00:00:00ZThe evaluation of mental health care in-patient treatment versus day hospital care: A study in mental health careO'Shea, EamonHughes, Jennyhttp://hdl.handle.net/10147/6240622019-08-30T12:06:31Z1998-01-01T00:00:00ZThe evaluation of mental health care in-patient treatment versus day hospital care: A study in mental health care
O'Shea, Eamon; Hughes, Jenny
This project is part of the Mid-Western Health Board’s response to developments in mental health policy at national level. The objectives of the mental health services, as set out by the Department of Health, are: to promote mental health; and to restore the mentally ill to as independent and normal a life as possible. These objectives originate in the Planning for the Future Report, which set out new strategies for mental health care in Ireland. These strategies included the replacement of institutional beds with a range of community-based alternatives, including day hospital and day care facilities. Within the psychiatric service itself, continuity of care is seen as important. This means that the same team of professionals, linking with primary medical care and primary carers, provide care at all levels, from in-patient to community residence, for all illnesses, and for all stages of illness.
1998-01-01T00:00:00ZRoll on Ten Year Action Plan For Services For Older Persons 1999 - 2008Eastern Health Boardhttp://hdl.handle.net/10147/6240612019-08-30T11:57:12Z1998-01-01T00:00:00ZRoll on Ten Year Action Plan For Services For Older Persons 1999 - 2008
Eastern Health Board
A multi-disciplinary/cross programme working group was formed in August 1997 to prepare this present report.
The working group met on 12 occasions and consulted widely with care providers, carers and voluntary organisations. The working group, held a one day workshop to which 5 5 voluntary organisations were invited and aired their views on services for older people and discussed how we as a Board might develop services into the next millennium.
In addition a separate meeting was held with the Irish Private Nursing Homes Association and the Working Group received submissions from many professional groups.
The working group also met with representatives of each of the local authorities in our Boards area with a view to developing' partnerships for the development of services for older people in a seamless fashion particularly in the area of sheltered housing.
1998-01-01T00:00:00ZOrganisation & Methods: An Approach to Problem Solving & Guideline to PracticeMurphy, Brendanhttp://hdl.handle.net/10147/6240572019-08-30T11:57:09Z1993-01-01T00:00:00ZOrganisation & Methods: An Approach to Problem Solving & Guideline to Practice
Murphy, Brendan
Whilst this publication will help to spread information about good practices, it is essentially a complement and supplement and not an alternative to traditional O&M studies. Many problems will continue to demand not only access to useful data but also the technical skills, practical experience, objectivity and time offered by O&M specialists. One of the problems in writing this book has been not what to include, but what to omit. Additionally, writing a book on O&M which can be used by different people with different backgrounds and different levels of experience is a difficult task. Any such document is bound to be a compromise and, like all compromises, there will be points of weakness. It is hoped, however, that the reader will find the contents useful and instructive. These contents are largely drawn from the O&M Team’s experiences within the Mid-Western Health Board, together with the author’s experiences in the Department of Health & Social Services (Efficiency Services Branch), N. Ireland, and I trust that these contents will be of practical use in improving performanc j and productivity. Finally, please note that the subject area is quite large and a further reading list has been included at the end for additional reference.
1993-01-01T00:00:00ZMaternal and Early Child Health: A Strategy for Health and Social GainMid Western Health Boardhttp://hdl.handle.net/10147/6240432019-08-30T12:04:44Z1994-11-01T00:00:00ZMaternal and Early Child Health: A Strategy for Health and Social Gain
Mid Western Health Board
The purpose of this paper to examine existing maternal and early child health, service provision and identify opportunities for the securement of measurable health and social gain.
1994-11-01T00:00:00Z