ºÝºÝߣshows by User: tarry2020 / http://www.slideshare.net/images/logo.gif ºÝºÝߣshows by User: tarry2020 / Thu, 24 Nov 2016 12:18:56 GMT ºÝºÝߣShare feed for ºÝºÝߣshows by User: tarry2020 Transfer of the idea of the Managed Clinical Network into less advanced settings /slideshow/transfer-of-the-idea-of-the-managed-clinical-network-into-less-advanced-settings/69492527 transferofideaofmcn-161124121856
The concept of the ‘managed clinical network’ has provoked significant attention for its promise as a means of improving services for people where their condition requires care across a range of organisations and agencies. The concept suggests a model of service organisation and governance that gives privilege to working relationships among organisations, clinical work groups, and/or individual clinicians and so promotes coordination and integration of scarce care resources, knowledge and practice. Despite repeated calls by the World Health Organisation for the adoption of managed clinical networks in developing countries, the feasibility of the network model of service delivery in this setting has not been demonstrated. Taking the implementation of programme clusters for care and support of HIV/AIDS in Rivers State, Nigeria as a ‘more feasible’ case study, and the formation of ‘HIV/AIDS Programme clusters’ that were supported by The Global Fund as analogous to the idea of the managed clinical network; this research examined the transfer of this policy idea from where such ‘technologies’ have been trailed in practice in a number of countries affording very different institutional conditions: notably in Australia, the USA and the UK, into less advanced settings. As suggested by the expressed ‘Theory of Change’, this study observed that the two HIV/AIDS programme clusters under review, altered networks of relationships and produced new forms of collaborative practice within these HIV/AIDS programme clusters in response to an understanding of the disease as a ‘wicked problem’, requiring collective action. Though operationally feasible, the findings of this research also indicate that, because these networks challenge existing institutional arrangements in Nigeria, the ability of collaborating partners to sustain the networks without reform within the institutional context is unclear. Further research is recommended, to explore ‘how’ and ‘why’ the idea of the managed clinical network, as an alternative means of service integration, might be implemented in an institutional context that is characterized by a mix of modes of governance (hierarchy and markets) typical of developing nations, and the possibility of ‘sustainable transfer’ into this environment. ]]>
The concept of the ‘managed clinical network’ has provoked significant attention for its promise as a means of improving services for people where their condition requires care across a range of organisations and agencies. The concept suggests a model of service organisation and governance that gives privilege to working relationships among organisations, clinical work groups, and/or individual clinicians and so promotes coordination and integration of scarce care resources, knowledge and practice. Despite repeated calls by the World Health Organisation for the adoption of managed clinical networks in developing countries, the feasibility of the network model of service delivery in this setting has not been demonstrated. Taking the implementation of programme clusters for care and support of HIV/AIDS in Rivers State, Nigeria as a ‘more feasible’ case study, and the formation of ‘HIV/AIDS Programme clusters’ that were supported by The Global Fund as analogous to the idea of the managed clinical network; this research examined the transfer of this policy idea from where such ‘technologies’ have been trailed in practice in a number of countries affording very different institutional conditions: notably in Australia, the USA and the UK, into less advanced settings. As suggested by the expressed ‘Theory of Change’, this study observed that the two HIV/AIDS programme clusters under review, altered networks of relationships and produced new forms of collaborative practice within these HIV/AIDS programme clusters in response to an understanding of the disease as a ‘wicked problem’, requiring collective action. Though operationally feasible, the findings of this research also indicate that, because these networks challenge existing institutional arrangements in Nigeria, the ability of collaborating partners to sustain the networks without reform within the institutional context is unclear. Further research is recommended, to explore ‘how’ and ‘why’ the idea of the managed clinical network, as an alternative means of service integration, might be implemented in an institutional context that is characterized by a mix of modes of governance (hierarchy and markets) typical of developing nations, and the possibility of ‘sustainable transfer’ into this environment. ]]> Thu, 24 Nov 2016 12:18:56 GMT /slideshow/transfer-of-the-idea-of-the-managed-clinical-network-into-less-advanced-settings/69492527 tarry2020@slideshare.net(tarry2020) Transfer of the idea of the Managed Clinical Network into less advanced settings tarry2020 The concept of the ‘managed clinical network’ has provoked significant attention for its promise as a means of improving services for people where their condition requires care across a range of organisations and agencies. The concept suggests a model of service organisation and governance that gives privilege to working relationships among organisations, clinical work groups, and/or individual clinicians and so promotes coordination and integration of scarce care resources, knowledge and practice. Despite repeated calls by the World Health Organisation for the adoption of managed clinical networks in developing countries, the feasibility of the network model of service delivery in this setting has not been demonstrated. Taking the implementation of programme clusters for care and support of HIV/AIDS in Rivers State, Nigeria as a ‘more feasible’ case study, and the formation of ‘HIV/AIDS Programme clusters’ that were supported by The Global Fund as analogous to the idea of the managed clinical network; this research examined the transfer of this policy idea from where such ‘technologies’ have been trailed in practice in a number of countries affording very different institutional conditions: notably in Australia, the USA and the UK, into less advanced settings. As suggested by the expressed ‘Theory of Change’, this study observed that the two HIV/AIDS programme clusters under review, altered networks of relationships and produced new forms of collaborative practice within these HIV/AIDS programme clusters in response to an understanding of the disease as a ‘wicked problem’, requiring collective action. Though operationally feasible, the findings of this research also indicate that, because these networks challenge existing institutional arrangements in Nigeria, the ability of collaborating partners to sustain the networks without reform within the institutional context is unclear. Further research is recommended, to explore ‘how’ and ‘why’ the idea of the managed clinical network, as an alternative means of service integration, might be implemented in an institutional context that is characterized by a mix of modes of governance (hierarchy and markets) typical of developing nations, and the possibility of ‘sustainable transfer’ into this environment. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/transferofideaofmcn-161124121856-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> The concept of the ‘managed clinical network’ has provoked significant attention for its promise as a means of improving services for people where their condition requires care across a range of organisations and agencies. The concept suggests a model of service organisation and governance that gives privilege to working relationships among organisations, clinical work groups, and/or individual clinicians and so promotes coordination and integration of scarce care resources, knowledge and practice. Despite repeated calls by the World Health Organisation for the adoption of managed clinical networks in developing countries, the feasibility of the network model of service delivery in this setting has not been demonstrated. Taking the implementation of programme clusters for care and support of HIV/AIDS in Rivers State, Nigeria as a ‘more feasible’ case study, and the formation of ‘HIV/AIDS Programme clusters’ that were supported by The Global Fund as analogous to the idea of the managed clinical network; this research examined the transfer of this policy idea from where such ‘technologies’ have been trailed in practice in a number of countries affording very different institutional conditions: notably in Australia, the USA and the UK, into less advanced settings. As suggested by the expressed ‘Theory of Change’, this study observed that the two HIV/AIDS programme clusters under review, altered networks of relationships and produced new forms of collaborative practice within these HIV/AIDS programme clusters in response to an understanding of the disease as a ‘wicked problem’, requiring collective action. Though operationally feasible, the findings of this research also indicate that, because these networks challenge existing institutional arrangements in Nigeria, the ability of collaborating partners to sustain the networks without reform within the institutional context is unclear. Further research is recommended, to explore ‘how’ and ‘why’ the idea of the managed clinical network, as an alternative means of service integration, might be implemented in an institutional context that is characterized by a mix of modes of governance (hierarchy and markets) typical of developing nations, and the possibility of ‘sustainable transfer’ into this environment.
Transfer of the idea of the Managed Clinical Network into less advanced settings from Tarry Asoka
]]> 133 4 https://cdn.slidesharecdn.com/ss_thumbnails/transferofideaofmcn-161124121856-thumbnail.jpg?width=120&height=120&fit=bounds presentation Black http://activitystrea.ms/schema/1.0/post http://activitystrea.ms/schema/1.0/posted 0 Researching Networks and Collaboration – reflections of a novice /slideshow/researching-networks-collaboration/17139717 researchingnetworkscollaboration-130312122653-phpapp02
Networks have become the flavour of our time as ‘wicked problems’ (large, messy, complex and systemic) require multi-stakeholder actors to work together to find a common solution. But how feasible are networks within the institutional contexts they are expected to function? An attempt to answer this question led one into an array of perspectives not only of networks but also about collaboration, which is seen as the ‘very essence’ of networks. Meanwhile, a developing insight is that to be successful, networks will have to be context specific, but useful learning can come from elsewhere where network implementation is advanced – since core elements of collaboration such as trust, social capital, reciprocity are human nature. ]]>
Networks have become the flavour of our time as ‘wicked problems’ (large, messy, complex and systemic) require multi-stakeholder actors to work together to find a common solution. But how feasible are networks within the institutional contexts they are expected to function? An attempt to answer this question led one into an array of perspectives not only of networks but also about collaboration, which is seen as the ‘very essence’ of networks. Meanwhile, a developing insight is that to be successful, networks will have to be context specific, but useful learning can come from elsewhere where network implementation is advanced – since core elements of collaboration such as trust, social capital, reciprocity are human nature. ]]> Tue, 12 Mar 2013 12:26:53 GMT /slideshow/researching-networks-collaboration/17139717 tarry2020@slideshare.net(tarry2020) Researching Networks and Collaboration – reflections of a novice tarry2020 Networks have become the flavour of our time as ‘wicked problems’ (large, messy, complex and systemic) require multi-stakeholder actors to work together to find a common solution. But how feasible are networks within the institutional contexts they are expected to function? An attempt to answer this question led one into an array of perspectives not only of networks but also about collaboration, which is seen as the ‘very essence’ of networks. Meanwhile, a developing insight is that to be successful, networks will have to be context specific, but useful learning can come from elsewhere where network implementation is advanced – since core elements of collaboration such as trust, social capital, reciprocity are human nature. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/researchingnetworkscollaboration-130312122653-phpapp02-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> Networks have become the flavour of our time as ‘wicked problems’ (large, messy, complex and systemic) require multi-stakeholder actors to work together to find a common solution. But how feasible are networks within the institutional contexts they are expected to function? An attempt to answer this question led one into an array of perspectives not only of networks but also about collaboration, which is seen as the ‘very essence’ of networks. Meanwhile, a developing insight is that to be successful, networks will have to be context specific, but useful learning can come from elsewhere where network implementation is advanced – since core elements of collaboration such as trust, social capital, reciprocity are human nature.
Researching Networks and Collaboration – reflections of a novice from Tarry Asoka
]]> 472 6 https://cdn.slidesharecdn.com/ss_thumbnails/researchingnetworkscollaboration-130312122653-phpapp02-thumbnail.jpg?width=120&height=120&fit=bounds presentation Black http://activitystrea.ms/schema/1.0/post http://activitystrea.ms/schema/1.0/posted 0 Evaluation Of Health Insurance Implementation In Nigeria /slideshow/evaluation-of-health-insurance-implementation-in-nigeria/15385910 evaluationofhealthinsuranceimplementationinnigeria-13541060766445-phpapp01-121128063700-phpapp02
As public resources to finance health care in Nigeria continue to decline, the country has embraced the concept of health insurance as a source of significant alternative funding. And based on experience gathered from the implementation of the National Health Insurance Scheme, there is strong evidence to suggest that this idea is feasible in Nigeria. However, with a very low coverage rate, the health insurance programme in Nigeria is facing many challenges that have slowed down progress. This presentation reflects on these issues and notes that the current system of health insurance in the country is still useful in securing universal financial access to healthcare for all Nigerians. What is required is to: strengthen already existing structures, modify areas that need adjustments, and facilitate rapid programme uptake especially at the State level through creative engagement with stakeholders.]]>
As public resources to finance health care in Nigeria continue to decline, the country has embraced the concept of health insurance as a source of significant alternative funding. And based on experience gathered from the implementation of the National Health Insurance Scheme, there is strong evidence to suggest that this idea is feasible in Nigeria. However, with a very low coverage rate, the health insurance programme in Nigeria is facing many challenges that have slowed down progress. This presentation reflects on these issues and notes that the current system of health insurance in the country is still useful in securing universal financial access to healthcare for all Nigerians. What is required is to: strengthen already existing structures, modify areas that need adjustments, and facilitate rapid programme uptake especially at the State level through creative engagement with stakeholders.]]> Wed, 28 Nov 2012 06:36:59 GMT /slideshow/evaluation-of-health-insurance-implementation-in-nigeria/15385910 tarry2020@slideshare.net(tarry2020) Evaluation Of Health Insurance Implementation In Nigeria tarry2020 As public resources to finance health care in Nigeria continue to decline, the country has embraced the concept of health insurance as a source of significant alternative funding. And based on experience gathered from the implementation of the National Health Insurance Scheme, there is strong evidence to suggest that this idea is feasible in Nigeria. However, with a very low coverage rate, the health insurance programme in Nigeria is facing many challenges that have slowed down progress. This presentation reflects on these issues and notes that the current system of health insurance in the country is still useful in securing universal financial access to healthcare for all Nigerians. What is required is to: strengthen already existing structures, modify areas that need adjustments, and facilitate rapid programme uptake especially at the State level through creative engagement with stakeholders. <img style="border:1px solid #C3E6D8;float:right;" alt="" src="https://cdn.slidesharecdn.com/ss_thumbnails/evaluationofhealthinsuranceimplementationinnigeria-13541060766445-phpapp01-121128063700-phpapp02-thumbnail.jpg?width=120&amp;height=120&amp;fit=bounds" /><br> As public resources to finance health care in Nigeria continue to decline, the country has embraced the concept of health insurance as a source of significant alternative funding. And based on experience gathered from the implementation of the National Health Insurance Scheme, there is strong evidence to suggest that this idea is feasible in Nigeria. However, with a very low coverage rate, the health insurance programme in Nigeria is facing many challenges that have slowed down progress. This presentation reflects on these issues and notes that the current system of health insurance in the country is still useful in securing universal financial access to healthcare for all Nigerians. What is required is to: strengthen already existing structures, modify areas that need adjustments, and facilitate rapid programme uptake especially at the State level through creative engagement with stakeholders.
Evaluation Of Health Insurance Implementation In Nigeria from Tarry Asoka
]]> 14172 5 https://cdn.slidesharecdn.com/ss_thumbnails/evaluationofhealthinsuranceimplementationinnigeria-13541060766445-phpapp01-121128063700-phpapp02-thumbnail.jpg?width=120&height=120&fit=bounds presentation Black http://activitystrea.ms/schema/1.0/post http://activitystrea.ms/schema/1.0/posted 0 https://cdn.slidesharecdn.com/profile-photo-tarry2020-48x48.jpg?cb=1513931365 Tarry Asoka, is professionally trained in both Medicine and Management, having acquired the MBBS degree from the University of Ilorin, Nigeria; and the MBA degree in Health, Population and Nutrition from Keele University, United Kingdom. In addition, he is a vocationally trained Family Physician with over 25 years of experience in providing and managing health services in all sectors of the health system – private, public, faith-based, NGO and International Agency. Dr Asoka is also an alumnus of the prestigious Cambridge Health Leadership Programme – which clearly places him among global leaders in health. As an Independent Health Management Consultant and Advisor, he brings diverse s http://www.carenet.info https://cdn.slidesharecdn.com/ss_thumbnails/transferofideaofmcn-161124121856-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/transfer-of-the-idea-of-the-managed-clinical-network-into-less-advanced-settings/69492527 Transfer of the idea o... https://cdn.slidesharecdn.com/ss_thumbnails/researchingnetworkscollaboration-130312122653-phpapp02-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/researching-networks-collaboration/17139717 Researching Networks a... https://cdn.slidesharecdn.com/ss_thumbnails/evaluationofhealthinsuranceimplementationinnigeria-13541060766445-phpapp01-121128063700-phpapp02-thumbnail.jpg?width=320&height=320&fit=bounds slideshow/evaluation-of-health-insurance-implementation-in-nigeria/15385910 Evaluation Of Health I...