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Khan, Zubeda, Ghulam Y. Soomro und Samina Soomro. „Mother's Education and Utilisation of Health Care Services in Pakistan“. Pakistan Development Review 33, Nr. 4II (01.12.1994): 1155–66. http://dx.doi.org/10.30541/v33i4iipp.1155-1166.
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Education is one of the crucial social development variables especially for mothers which enriches their mind about their social and reproductive experiences and broadens their understanding to make better choices for themselves and rearing and bearing of their children. In many developing countries there is evidence that mother's education plays an important role in determining child mortality even in situations where the medical facilities are scanty [Berrera (1990); Caldwell (1979, 1981)]. Education, it is argued influences women's beliefs about the good health, causes and cures of diseases that increases the demand of the utilisation of modern health care facilities. Therefore, educated mothers are more likely to seek medical treatment for themselves and for their children resulting in higher intensity of the use of a better quality modern care that grows with the advancement of education. Evidence from the research done elsewhere suggests that mother's education has individual positive effect on the use of health care facilities Abbas and Walker (1986); Berrera (1990) and Caldwell (1979) have pointed out that educated mothers are more likely to take advantage of the modern health facilities than their uneducated counterparts in compliance to the recommended treatments primarily due to the different attitudes in regard to the knowledge and perceptions of the importance of the modern medicine in the care of their children. Berrera (1990) in a study of child nutrition in the Philippines found that the children of educated mothers took more advantage of the public health care facilities than the children of uneducated mothers.
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Ayonrinde, Folasade Oluwatomi. „Prices, Quality, and Demand for Modern Health Care Facilities in Oyo State, Nigeria“. IBADAN JOURNAL OF THE SOCIAL SCIENCES 3, Nr. 1 (15.06.2005): 29–40. http://dx.doi.org/10.36108/ijss/5002.30.0130.
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The study assessed the impact of user fees on demand for health care facilities, and examined the relationship between quality of service and utilization of modern health facilities in the country. The data were collected from 388 individuals ill 1999 from the five health zones ill Oyo State. To analyse the determinants of health facility utilization, information was elicited on individuals’ choice of health care Treatment. Using the Multinomial logit model and analysing with the revealed preference principle that permits the nature of consumers’ preferences to be deduced from observed choices, the results revealed user fees, gender, and distance as significant determinants of demand for health facilities and indicated the clear preference of respondents for private health care providers over public health providers. The policy implications emanating from the study suggest that the distance of public health facilities from patients and waiting Time need to be reduced to increase the rate of utilization. This call be done by government providing more health facilities in all local government areas and these should be within the reach of household members.
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Tostões, Ana. „Health at the core of Modern Movement Architecture“. Cure and Care, Nr. 62 (2020): 2–3. http://dx.doi.org/10.52200/62.a.6qvksdmb.
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Investigation into healthcare facilities involves dealing with multiple spheres beyond the technological, physical and psychological. Nowadays, the growing emphasis on wellbeing goes beyond the seminal ideas that modern buildings were cleansing machines, or that modern architecture and urbanism were shaped by bacteria. Presenting some stimulating philosophically-orientated essays, this journal makes a link between the Modern Movement and what we have entitled the “Cure and Care” concept, connecting health and the environment, body and design. Considering healthcare buildings and their role in the welfare policy of societies, the discussion addresses future challenges, driven by developments in technology and medicine, envisaging a key role for healthcare facilities in ensuring a sustainable built environment.
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Zaman, Mufaiz-Ul, und Rasiya-Ul Zaman. „Importance of Hospital Furniture in Modern Medical Facilities“. International Journal of Health Technology and Innovation 1, Nr. 02 (17.08.2022): 50–52. http://dx.doi.org/10.60142/ijhti.v1i02.44.
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Hospital furniture is an essential part of medical care for hospitals. It includes trolleys, side screens and beds to name just a few. Medical devices alongside modern furnishings have played an important role within health care ever since its inception. Hospital Furniture is one thing that every hospital must possess. The hospitals are committed to ensuring that patients feel comfortable and safe during their treatments, which is why they use advanced furniture technology in all their clinical settings. Medical examination of patients is a crucial part in diagnosing them, and ICU hospital furniture helps to ensure the safety for critical ill people. Clinical furnishings thus have immense variety applications which can be found at any medical facility. Hospital furniture is a necessary and important part of any healthcare system. It can make or break the quality care patients receive while hospitalized, so its design must be top notch. From beds to stretchers, even medical carts, there are numerous types that each has their own specific purpose in mind for hospital use which will help you provide comfort as well maintain safety on both sides with ease. Furniture is essential for creating a comfortable and welcoming environment. It’s also necessary to ensure that furniture can be easily maintained, as well as being durable enough so it lasts through years of use without showing too much wear or tear from normal usage by patients in your hospital facility. The right medical supplier will help to me et al. these needs with their wide variety products available on the market today including: office chairs (especially those designed specifically towards hospitals), tables made especially low height spaces like examining rooms where people may want extra space around them when sitting down but not folded up completely against wall.
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Kumar Kolay, Swapan, und Siddharth Chowdhary. „Obstacles to Acquire Modern Medical Institutional Facility with Special Reference to Maternal Health Care among Tribals of South Bastar in Chhattisgarh“. Indian Journal of Research in Anthropology 8, Nr. 1 (15.06.2022): 9–17. http://dx.doi.org/10.21088/ijra.2454.9118.8122.1.
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Introduction: The Maternal Mortality Ratio of Chhattisgarh is 269 (SRS 2010-11) which are higher than the National average (178). If we analyze the state wise data of MMR we found that Chhattisgarh is fourth in position amongst all states of India. Maternal and child health care is an important aspect of health seeking behaviour which is largely neglected among the tribal groups (Basu et al., 1990). It has been seen that inspite of a lot of government incentive programmes for women health care and development, some obstacles create obstruction to acquire modern medical institutional facilities. It is a burning concern for the development because the problems of tribal women differ from a particular area to another area owing to their geographical location, historical background and the processes of social change (Chauhan, A., 1990). Objectives: The study concerned with the objective of understanding the gap between government modern health facilities and tribal women with special reference to maternal health care. Study Area: For the study purpose tribal dominating villages of south Bastar, Chhattisgarh was selected. Chhattisgarh is known as 10th largest state of India where Bastar is known as its rich and uniqueness of bio-cultural diversity in the whole world. Methodology: Random sampling technique was the key instrument for selecting sample as well as Snowball sampling is also used to identify a few households where maternal and infant related problems occurred through some key informants in the village and ask each of them to identify households where maternal problems have occurred. Questionnaire on different variables of knowledge, attitudes, belief and opinion about government health institution were organised by direct interview. Along with above semi participatory observation was strength for the data collection. Result: The findings stated that the acceptance of modern institutional health facilities is poor amongst tribal people. In addition, a lot of females suffered from ill health due to pregnancy and childbirth in the absence of a well defined concept of health consciousness. Conclusion: The health problems of mothers arise as a result of synergistic effects of malnutrition, poverty, illiteracy, unhygienic living conditions, infections and unregulated fertility. Apart from that superstitious beliefs play an essential obstruction to acquire modern medical facilities. At the same time, poor infrastructure and ineffective public health services is also responsible for low inadequate obstetric care. Keywords: Maternal mortality; Seeking behavior; Modern medical institutional; Tribal women; Superstitious beliefs.
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Oleksich, Zhanna, Jan Polcyn und Oleg Shtogrin. „Adaptation of the best European practices in administering local health care institutions“. Health Economics and Management Review 2, Nr. 2 (2021): 15–22. http://dx.doi.org/10.21272/hem.2021.2-02.
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This study aimed to justify the mechanisms for improving the administration system of local health care facilities based on the best European experience. This study determined the state of health care facilities in Ukraine based on assessing the quality of medical services, rational resources usage, personnel management, and technical and technological improvement. Systematization of scientific sources and approaches to solving investigated issues showed methodological underdevelopment and methodological lack of administration systems of Ukrainian health care facilities at the local level, considering the specifics of medical services. Thus, healthcare institutions need to adapt, develop, and implement the best international practices in administrative technologies. For gaining the research goal, the study was carried out in the following logical sequence: 1) analyzing the current models of health care development processes in the world; 2) determining the features of administration system od the health care institutions; 3) developing recommendations for improving the administration system of local health care facilities in Ukraine. The methodological tool of this research is the systematization of information based on the content analysis of official websites. The research object is the administration system of health care facilities in Ukraine. In the study, the authors present several approaches to organize state administration of health care at the national and regional levels. The authors determined the effective tools for administering health care institutions. The study substantiated the strategic format of developing health care facilities in modern conditions by providing high-quality services, rational resources usage, personnel management, and technical and technological improvement.
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Bambaren, C. „(A3) Health Care Facilities Affected by the Earthquake in Chile“. Prehospital and Disaster Medicine 26, S1 (Mai 2011): s1—s2. http://dx.doi.org/10.1017/s1049023x11000203.
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IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.
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Махнова, Наталья, und Natalya Makhnova. „Improvement of financial security of health system of the Russian Federation in modern conditions“. Services in Russia and abroad 9, Nr. 2 (22.07.2015): 0. http://dx.doi.org/10.12737/11898.
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The essence of the problems and ways of improving the single-channel system of financial support of health care system implemented in the Russian Federation today are described in the article. The basic advantages (payment of the final result, the principle of extraterritoriality, etc.) and disadvantages of this type of financing (the growth of corruption in health care facilities, the claiming by regional authorities in advance reduced volumes of work of medical institutions under the territorial program programs of compulsory health insurance etc.) are highlighted. The legal aspects of functioning of the single-channel financing system are represented. In our view the measures for optimize the work of the health system in the Russian Federation should include: transition to the new salary system of health workers and the development of basic and additional list of criteria for the effectiveness of both health professionals and managers of health facilities. The problem of satisfaction of staff requirements in the Russian health care system has a systemic, multifactorial character. Forming an interconnected list of criteria of efficiency of medical staff and their managers would allow, on the one side to attract qualified staff to the region, on the other - to improve control of financial and economic activity of the heads of medical institutions. Furthermore, these measures will allow slightly reduce social tension among health care workers, that will positively impact on the quality of medical care.
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Yavorskyy, Andriy. „Analysis of Indicators of in Patient Surgical Care at the Health Care Facilities in Ivano-Frankivsk Region for 2005-2015“. Galician Medical Journal 23, Nr. 4 (01.11.2016): 201646. http://dx.doi.org/10.21802/gmj.2016.4.6.
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Surgical inpatient care is one of the most capital-intensive types of care. Therefore, the health care system task is to ensure public access to this type of care, to guarantee the safety and quality of its provision on the background of resources rational use.The objective of the research was to analyze the basic parameters of inpatient surgical care quality provided at Ivano-Frankivsk region health care facilities. Materials and methods. The data of statistical reports (17 and 20) of health care facilities in Ivano-Frankivsk region for 2005-2015 were analyzed. Sociological survey of 530 patients treated at the surgical units of inpatient facilities was conducted. Results of the research. Resources for surgical inpatient care in terms of quantity in Ivano-Frankivsk region including beds and staff were determined to be higher than the average national level. However, the quality of staffing of the regional health care facilities (secondary employment coefficient is less than one point, one third of surgeons is with the second qualifying category or is not certified) does not meet modern requirements. Low-duty health care facilities were detected to be characterized by low operational activity (60.6%, 114.0 operations per surgeon per year on average), insufficient relevance of hospitalization (40% of operations may be performed on an outpatient basis), low attractiveness for a significant per cent of patients (46.2%).Conclusions. Regional program for optimization of surgical care provision should be developed.
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Assan, Joseph K., Samuel K. Assan, Nicola Assan und Lauren Smith. „Health Inequality in Resource Poor Environments and the Pursuit of the MDGs“. Journal of Health Management 11, Nr. 1 (Januar 2009): 93–108. http://dx.doi.org/10.1177/097206340901100107.
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The article examines health inequalities and the impact of changing healthcare provision in rural Indonesia. Traditional medicine is often the only source of medical care for a majority of the population in rural Indonesia. However, the pursuit of the Millennium Development Goals (MDGs) requires the provision and implementation of modern healthcare systems. Using case studies from four rural districts in Kaledupa, a remote island in southeast Sulawesi in Indonesia, the study shows that although modern healthcare facilities are present in the sampled island, they seem to be remote with limited access in comparison with the number of traditional practitioners. High costs, cultural beliefs, distrust and distance to modern healthcare facilities appear to be the most common reasons for people opting for traditional healthcare. However, social reconstruction in the perception and provision of care has also led to a gradual disappearance of the traditional healthcare provision. The study calls for policy intervention approaches that are geographically and culturally sensitive as the most pragmatic means towards the attainment of MDG targets for the health sector of Indonesia.
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Dvořáčková, Dagmar, und Adéla Mojžíšová. „Modern trends in the care of seniors in the residential facilities of the social services“. Kontakt 21, Nr. 1 (27.03.2019): 93–97. http://dx.doi.org/10.32725/kont.2018.002.
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Goldman, Richard A., Brian Swendseid, Jason Y. K. Chan, Michelle Lewandowski, Jacqueline Adams, Monica Purcell und David M. Cognetti. „Tracheostomy Management during the COVID-19 Pandemic“. Otolaryngology–Head and Neck Surgery 163, Nr. 1 (28.04.2020): 67–69. http://dx.doi.org/10.1177/0194599820923632.
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The ongoing coronavirus disease 2019 pandemic has led to unprecedented demands on the modern health care system, and the highly contagious nature of the virus has led to particular concerns of infection among health care workers and transmission within health care facilities. While strong data regarding the transmissibility of the infection are not yet widely available, preliminary information suggests risk of transmission among asymptomatic individuals, including those within health care facilities. We believe that the presence of a tracheostomy or laryngectomy stoma poses a unique risk of droplet and aerosol spread particularly among patients with unsuspected infection. At our institution, guidelines for the care of open airways were developed by a multidisciplinary open airway working group, and here we review those recommendations to provide practical guidance to other institutions.
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Radchenko, Vladyslav. „Classification of healthcare facilities: national approach and foreign experience“. Current problems of architecture and urban planning, Nr. 67 (27.10.2023): 360–71. http://dx.doi.org/10.32347/2077-3455.2023.67.360-371.
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The article is devoted to the definition, taking into account foreign experience, of the classification of health care institutions, the analysis of their main types, the outline of problems and shortcomings of the national systematization of medical institutions, the determination of factors influencing the types of medical institutions on their architectural planning. The purpose of the publication is the study of the classification of medical institutions in Ukraine and in foreign countries, the analysis of the main types of medical institutions, the determination of the level of influence of the variety and the purpose of the medical institution on its architectural and planning solution. The article examines the classifications of medical institutions in Ukraine and in foreign countries, emphasizes the dependence of the design of the architectural and planning organization of health care institutions on the purpose, scope and type of medical institution. In Ukraine, despite the approval of the new DBN V.2.2-10:2022 "Health care facilities", the list of types of health care facilities is determined by the order of the Ministry of Health of Ukraine dated 10.28.2002 No. 385. At the same time, an analysis of the normatively approved classification of health care institutions is evidenced by its shortcomings, lack of systematicity, lack of clearly defined relevant classification criteria, in some places, the obsolescence of some of its provisions and inappropriate detailing. In this aspect, it is emphasized the need to revise the classification of health care facilities, which was approved by the mentioned order, taking into account modern realities and foreign experience, their functional purpose and architectural and design solution.
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Rahman, Md Mizanur, und Sakufa Chowdhury. „Does Micro Health Insurance Solve the Problem of Providing Accessible Healthcare to the Poor? Evidence from Niramoy Project, Bangladesh“. Global Disclosure of Economics and Business 3, Nr. 1 (30.06.2014): 55–64. http://dx.doi.org/10.18034/gdeb.v3i1.171.
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Billion of people in the world are out of reach from the modern health care facilities and medicine. Micro health insurance is one of the methods of providing accessible health care facilities to the poor. Micro health insurance in Bangladesh provides basic health care at an affordable rate for the poor and the ultra-poor. The traditional insurance program consists of front cash at each stage of service delivery, but micro health insurance scheme with its partner-agent model based distribution channel cover the adequate risk protection, inclusivity of access, affordability and program sustainability. The results of the analysis showed that micro health insurance program in Bangladesh has improved at the present time, but the increased access cannot reduce the essential health-related costs of marginal household.
JEL Classification Code: G22; J65
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Stovban, M. P., V. M. Mikhalchuk, O. K. Tolstanov und Z. V. Gbur. „Hospital Districts: Modern Issues of Activity“. Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 5, Nr. 5 (01.11.2020): 229–35. http://dx.doi.org/10.26693/jmbs05.05.229.
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The article examines the state of development of hospital districts. According to the results of the research, the urgency of solving the issue of improving the regulatory framework governing the activities of hospital districts was determined. Today, health care is the most pressing issue at the global level and affects the whole society, and the issue of ensuring the right to health care for everyone is enshrined at different levels: internationally, it is declared in the WHO statute; also reflected in the regulatory framework of regional organizations, the constitution of the European Union, enshrined in the national constitutions of all countries. Ukraine is currently in the active stage of reforming the health system and its acute issue in the context of decentralization reform is the formation and operation of hospital districts, the logic of which is based on the territorial availability of quality health care. Given the social significance of hospital districts, the topic of problems of their activities and the development of solutions for their leveling is in demand. Ukraine today has one of the most inefficient hospital systems in the world, the problems of which are the lack of a hospital planning system and the practice of cooperation between local communities and the authorities that represent them. Therefore, an important part of medical reform in terms of reforming and streamlining the network of health care facilities was the approval of the Procedure for the establishment of hospital districts. The study examined the foreign experience of organizing hospital districts, in particular the district of Roth (Bavaria, Germany). A study of the definition of "hospital districts" and identified its main characteristics: the association of health care facilities; providing secondary medical care; clear definition of territory and consumers of services. The mechanism of functioning of the hospital district is considered, its tasks are defined. The principles of work of the main governing body of the hospital district - the hospital council, which is an advisory body and includes representatives of state bodies, local governments, enterprises, institutions and organizations. The purpose and powers of the hospital council are determined. Hospital districts that should operate in the regions of the country are considered. Conclusion. We revealed the main problems in the activity of hospital districts: inconsistency and lack of sufficient regulatory framework on the issue of the process of creating hospital districts; lack of methodological recommendations in the formation of hospital districts on the list of functions of a multidisciplinary hospital and the types of its departments that should operate within it; lack of attention to the assessment of regional features during the formation of hospital districts; unresolved personnel problem; unresolved issues of public access to medical services. We also suggested the ways to solve them
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Кобушко, Я. В., Н. Є. Летуновська und В. Ю. Христій. „BASIC DETERMINANTS OF EFFECTIVE HEALTH INSTITUTIONS MANAGEMENT AS AN ELEMENT OF SOCIAL AND MEDICAL PROVISION IN A REGION“. Управління змінами та інновації, Nr. 3 (30.06.2022): 33–38. http://dx.doi.org/10.32782/cmi/2022-3-6.
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The research subject is the socio-economic relations system that takes place in the management system of health care institutions. The article aims to identify directions for increasing the efficiency of management of health care facilities. A comparative analysis of existing approaches to managing medical facilities was carried out. Conclusions were made that the national health care system of Ukraine, needs adaptation to modern technologies and socio-economic changes caused by the emergence of epidemiological threats such as COVID-19. The authors determined the peculiarities of the functioning of the medical services market. Specific characteristics for the market of medical services and unique accents in the state regulation of this market are revealed. The health care system of another country is briefly analyzed with an emphasis on innovative components. Based on the research results, proposals are given for implementing measures to improve the management of health care institutions.
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Stašys, Rimantas. „E-HEALTH SERVICES AND THEIR REQUIREMENTS EVALUATION“. Business, Management and Education 8, Nr. 1 (20.12.2010): 246–60. http://dx.doi.org/10.3846/bme.2010.17.
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E-health could be defined as the use of modern information technologies within the health care facilities in order to better satisfy expectations and needs of the patients, medical staff and administration. As the research shows economic profits exceed investments in the e-health three times. Studies in Lithuania in December of 2008 show that only 38 % of the country hospitals have online WebPages. Only large hospitals located in the major Lithuanian cities have internet sites. Situation within the outpatient facilities is even worse. Only 12 % of these health care facilities had online services offered to the public according to the survey completed at the end of 2008. There is insufficient focus for doctors’ advices and not enough links to other websites. Additionally, many sites do not contain information about career opportunities within a facility. Finally, online sites lack such information as the institution’s service charges or their implementation for various projects. Only a few hospitals have an online registra-tion feature and very few provide work hours. Outpatient service facilities do not reflect the institution’s activities adequately. None of the outpatient service facilities provide business reports; there is no information about their participation in the international projects. Only four WebPages contain sections providing the career opportunities for the office and a list of new doctor positions available. By the comparison of the Webpages of polyclinics and health care facilities one can indicate that polyclinic facilities have better online pages. Most of the health care consumers would use the Internet to find out such information as the doctor’s qualifications and work experience, information about main diseases and their symptoms, the medications and their side effects, tips on healthy lifestyle, as well as utilize registration to a specialist feature. Most of the respondents surveyed also indicated that there should be more information about health care services and their prices, institution’s medical equipment and devices as well as their methods of treatment. The best practice for the e-Health website is classifying it into four groups: information on the health care institution, information relating to the services provided, information on the medical staff working in the office, other information. 48 % of the respondents were not familiar with the online registration possibility, and 74 % of survey participants would like to use the feature. Only 13 % of the respondents knew that they could fill prescription online and only 10 % were aware of the electronic medical record. All of this leads to the conclusion that Lithuanian consumers lack information about the e-health.
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L., J. F. „MOUNTING SENSE OF JOB MALAISE PROMPTS MORE HEALTH-CARE WORKERS TO JOIN UNIONS“. Pediatrics 94, Nr. 3 (01.09.1994): 396. http://dx.doi.org/10.1542/peds.94.3.396.
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In search of job security and a voice in health-care reform, a growing number of workers at hospitals, nursing homes, and rehabilitation facilities are joining labor unions. Hospital workers filed 158 petitions for union elections in 1993, up from only 19 in 1989, according to a study by Management Science Associates, Inc, a labor consulting firm. And unions won 58% of health-care elections in 1993—the highest win rate in the industry since 1984, according to Modern Health Care, an industry journal.
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Tiyara Safitri, Respatiningrum Respatiningrum und Fidyah Aminin. „MODERN TECHNOLOGY TO DIAGNOSE EARLY POSTPARTUM HEMORRHAGE IN ISLAND AREAS : A SYSTEMATIC REVIEW“. International Journal of Social Science 1, Nr. 5 (01.02.2022): 865–74. http://dx.doi.org/10.53625/ijss.v1i5.2429.
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Mortality and morbidity due to bleeding occur due to delayed care. On the island, more advanced technology models based on the 4.0 digital development facilities and infrastructures are important to improve the health service quality. This literature review identifies modern technology-based bleeding detection as an effort to detect and diagnose early postpartum hemorrhage on the island. This systematic review study selected the data with the PRISMA protocol method. The researchers took 12 journal article outlets with years of publications from 2011 until 2020. The researchers found 587 articles. However, the most relevant articles with the applied keywords were 12 articles. Various modern technology-based detections for bleeding applied pantograph, gravimetric, bag collector, under-buttock, SAPHE mat, and scoring measurement to efficiently promote early bleeding. These investigated models were more effective than visual estimation with effectiveness percentages of 25-89%. Technology-based detections could early detect and facilitate postpartum hemorrhage and provide immediate care. High technological advancement in the health field facilitates the patients' care, especially in islands that need immediate action. The results of this research are useful to promote further research about modern-technology-based models to detect and diagnose postpartum hemorrhage in islands.
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Dvoynikov, Sergey, und Svetlana Arhipova. „To the Problem of Increased Efficiency in Health Care Strategic Management“. Medical Technologies. Assessment and Choice (Медицинские технологии. Оценка и выбор), Nr. 1 (35) (01.05.2019): 50–55. http://dx.doi.org/10.31556/2219-0678.2019.35.1.050-055.
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Introduction. Modern health care is a leader in the social sector in terms of the number of public-private partnership projects. Monitoring of the implementation of strategic projects proves that the targets on the key indicators of the road map are reached. However, experts give a negative assessment of the availability and quality of medical care. Methods. The article describes the experience of using the balanced scorecard as an instrument for linking the key health care indicators and performance indicators of individual health facilities. Principles underlying cohesion and balance of the separate elements of the system are justified. Methods for identifying a statistically significant causal relationship between indicators are analyzed. A general model for the assessment of the attainment of the strategic goals by taking into account the three-level healthcare system is proposed. Results. The presented details on the structure of indicators could be used by managers of health facilities for the development of their own strategies. The article concluded that further specification on the methodology of obtaining objective information to assess the success in health care strategic management is necessary.
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Fantozzi, Pier Lorenzo, Giuseppe Baracca, Fabio Manenti und Giovanni Putoto. „Measuring Physical access to primary health care facilities in Gambella Region (Western Ethiopia)“. Proceedings of the ICA 4 (03.12.2021): 1–8. http://dx.doi.org/10.5194/ica-proc-4-30-2021.
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Abstract. As part of the project “More equity and quality of health services in Gambella, Gambella Region”, financed by the Italian Agency for Development Cooperation (AICS) and implemented by the Italian NGO Doctors with Africa CUAMM (Padua, Italy) a geographic database of the distribution of health facilities of Gambella Region (western Ethiopia) was created. This data collection was carried out in two missions carried out in February 2018 and November-December 2019. It allowed a mapping of the access roads and the location of health facilities using Geomatic Approaches and related technologies (Remote Survey, Field Survey, GPS, GIS). The field work has allowed the investigation in 11 Waredas (i.e. districts) with the census of 3 primary hospitals, 26 health centres and 121 HPs and related road access by car or, in case of inaccessibility of vehicles, by foot or boat.The final result of this work is the availability of a detailed cartographic picture of the geographical distribution of Health Facilities (HFs) in order to support the modern decision-making tools to be adopted for the distribution of human and instrumental resources. As an example we describe a network analysis performed by ESRI™ Network Analyst which showed the importance of this approach to remodel a more efficient referral system.
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Melnyk, Alla, und Leonid Radzvyliuk. „Implementation of strategic planning in the practice of modern medical institution management: methodological and applied aspects“. Herald of Economics, Nr. 3 (21.11.2021): 66. http://dx.doi.org/10.35774/visnyk2021.03.066.
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Introduction. Dismantling of the old economic model of health care as a purely budget organization, which took place under the influence of medical reform in Ukraine, led to a new nature of economic relations, the need for work and development of hospitals as participants in a competitive environment, regional or local health services market, exacerbated the impact of opportunities and threats. Given the uncertainty and dynamism of change, this highlights the need for strategic planning primarily at the level of medical institutions that provide secondary and tertiary (specialized) care to determine priorities and focus resources on achieving their development goals, which requires attention to the scientific and methodological framework ensuring this task.Purpose. The purpose of the article is to substantiate the need for strategic planning for the development of health care facilities in the context of medical reform and to develop recommendations for its implementation in their management.Research methods. In the course of the research the following methods were used: induction and deduction, system analysis - to determine the components of strategic planning at the level of health care, PEST analysis - to identify factors influencing the development of health care and factors that indicate the need to implement strategic planning in the hospital management system, institutional and comparative analysis - to identify features of strategic planning models, SWOT-analysis, expert assessments - to assess the internal and external environment of the organization, setting goals and strategic priorities.Results. Based on the analysis of the theoretical basis, the author’s approach to the interpretation of the essential characteristics of strategic planning of health care facilities is formed. The current state of the internal and external environment of health care facilities that provide secondary care in the context of health care reform in Ukraine is assessed, problems are identified. The planning system in medical institutions of this type is analyzed. The factors of actualization of the problem of implementation of strategic planning at the present stage are revealed and the necessity of its implementation in management of health care institutions is proved. Based on empirical evaluation conducted using the methods of expert collective commission, SPEIS-analysis, SWOT-analysis, the strengths and weaknesses of modern hospitals, opportunities and threats, the degree of probability and importance of the impact of opportunities and threats on the development of medical institutions, critical issues, the mission is specified, the main strategic goals and priorities are defined. An algorithm for the implementation of strategic planning in hospital management, a system of strategies and their content characteristics is proposed.Perspectives. Further research is needed on organizational design related to the implementation of strategies of medical institutions, organization of strategies, overcoming resistance to changes related to the implementation of strategies, training staff to work in new conditions, the use of other management actions aimed at building a perfect mechanism strategic planning.
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Mario, Ekoriano, und Ardiana Irma. „Quality of Care in Modern Contraceptive Service Delivery in the Public and Private Sector: A Cross Sectional Study in Indonesia“. Global Journal of Health Science 12, Nr. 7 (17.05.2020): 102. http://dx.doi.org/10.5539/gjhs.v12n7p102.
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The Government of Indonesia has established a set of program interventions to enhance the quality of family planning services. The program gives preferences to the acceptance of family planning services and the readiness of the supply side. This study is intended to better understand the extent to which the public and private sectors deliver quality family planning services in 4 selected provinces within Indonesia. The six elements of quality of care (Bruce, 1990) were utilized as the study framework. The study confirmed that the mean of all six elements of quality of care are significant (alpha =0,05) in two out of the four study sites. From the clients’ point of view, information on contraceptive choices was the most neglected aspect in the public health facilities, while ‘follow up and a continuity mechanism’ was most neglected in the private health facilities. The equity index showed a substantial difference in the overall quality of care between the two types of health facilities (public= 4.53 versus private= 5.34). As far as health providers are concerned, quality of care is still below the optimum standard. Emphasis should be given to formally shape the desired health provider behavior and find a way to create an ‘after-sales-service’ scheme. The concept of quality goals need to be mindful of program maturity across regions. Periodic monitoring and evaluation is required to ensure more client satisfaction which leading to more sustained use of modern contraceptives.
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Egbunu Abiodun Abosede, Makolo Daniel und Alkali Daniels Emmanuel. „A spatial analysis of health care accessibility and utilization among rural households in Kogi State, Nigeria“. International Journal of Life Science Research Archive 3, Nr. 1 (30.09.2022): 101–9. http://dx.doi.org/10.53771/ijlsra.2022.3.1.0085.
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This study was aimed at a Spatial Analysis of Health Care Accessibility and Utilization among Rural Households in Kogi State, Nigeria. Primary data employed in this study were obtained with the aid of well-structured questionnaires. A multi-stage sampling technique was employed in the selection of respondents. The analytical techniques used in this study included descriptive statistics and Healthcare Accessibility Index. Descriptive statistics such as frequencies and percentages were used to describe the sources and uses of healthcare facilities in relation to socio-economic characteristics as well as the level of utilization of health care services. Results obtained in this study revealed that 58% of the respondents had access to health care services while only 42.50% utilized these services. Findings in this study also revealed that 71% of the household heads were males while the remaining 29% were females. However, 41% of the male headed households have access to healthcare services compared to 17% of the female headed households. Furthermore, 71% of the respondents were in their economic active age (≤ 50 years). About 75.55% of the respondents within this age bracket accesses and utilizes healthcare service more than the elderly ones. Exactly 43.50% had no formal education while 6, 23.5, 11.5, and 15.5% had adult, primary, secondary and tertiary education respectively. Thirteen percent (13.0%) of those with primary education had access to health care services while 78.57% out of these utilized the healthcare services. Furthermore, 24.5% of those with no formal education had access to healthcare service while 69.23% of the respondents utilized healthcare services. Majority (40.5%) of the rural households lived 5 to 9 km to a public health center with 21% having access to healthcare facilities and 85.7% utilizing the facilities. Eleven percent of respondents living 4 km from the healthcare service provider have access to healthcare facilities while 90.09% of the respondents utilized it. About 13% of the respondent who lives 10 to 14 km from healthcare service had access while 61.11% utilized the services. Forty-three percent (43.75%) of respondents living more than 14 km to their healthcare providers makes use of the available healthcare facilities. The result, therefore, indicates that utilization of available health facilities increases with proximity to the health centers. Seven percent (7%) of respondents have family size of 1-4 members per household, whereas only 60% of the respondents within this group with access to healthcare facilities utilized it. Furthermore, those with household size above 14 members have the highest health service utilization with 85.71%. This study has shown that there is unequal distribution of health facilities as well as low level of accessibility of household to medical facilities in the study area. To this end, governments at all tiers should ensure equitable accessibility to health care delivery across the rural areas by deploying more medical and Para-medical staffs to the rural areas. Rural development policies should promote the creation of enabling environment to enhance participation in modern health care delivery in rural areas. There is also a serious need for sensitization programme to create awareness about the importance of using modern healthcare facilities among the rural dwellers.
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Bindhani, Basanta Kumar, und Jayanta Kumar Nayak. „Common Health Problems and Health-seeking Behavior Among the Tribals of Odisha, India“. Oriental Anthropologist: A Bi-annual International Journal of the Science of Man 21, Nr. 2 (11.11.2021): 303–10. http://dx.doi.org/10.1177/0972558x211049094.
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The present study aims to explore the common health problems and the health-seeking behavior among the tribal population in Koraput district of Odisha. In order to assess the common health problems and the treatment-seeking behavior, 300 tribal individuals from 173 households in the age group of 18–64 years and 24 health care staff were recruited for the study. Information regarding health facilities, their affordability, and morbidity status were obtained through pre-structured questionnaires. Data analysis was carried out using SPSS-20 and Microsoft Excel software tools. Anemia, diarrheal problems, cold, pneumonia, vaginal problems, skin infection, fever, malnutrition, and sickle cell anemia were the common health problems reported by the respondents. In addition, the study found that the majority of the respondents relied on traditional health care practices. The initiation of proper awareness can help in reducing traditional health care practices among the tribal communities. Furthermore, the involvement of modern health care practitioners would help to reduce the disease burden in tribal communities.
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Shigli, Kamal, Sushma S. Nayak, Prajna Pramod Nayak, Anita Basavaraj und Shivasakthy M. „Innovative solutions to reform geriatric oral health in India: Alliance for healthy aging“. Indian Journal of Community Health 33, Nr. 1 (31.03.2021): 222–25. http://dx.doi.org/10.47203/ijch.2021.v33i01.033.
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Geriatric population is showing an increasing trend, owing to the increased awareness as well as improved healthcare facilities and access. The aging Indian population of the modern-day has diverse and more complex dental needs, unlike the olden-days. Hence, the authors propose innovative strategies to cater to the dental needs of the increasing geriatric population in India. Barriers for provision of geriatric dental care in India are elucidated, which are lack of geriatric training, access problems and financial issues. Approaches to confront these barriers have been explained. The increasing and compounding dental needs of the aging Indian population requires multifaceted and contemporary strategies.
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Jenkin, Gabrielle L. S., Jacqueline McIntosh und Susanna Every-Palmer. „Fit for What Purpose? Exploring Bicultural Frameworks for the Architectural Design of Acute Mental Health Facilities“. International Journal of Environmental Research and Public Health 18, Nr. 5 (27.02.2021): 2343. http://dx.doi.org/10.3390/ijerph18052343.
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Acute mental health care facilities have become the modern equivalent to the old asylum, designed to provide emergency and temporary care for the acutely mentally unwell. These facilities require a model of mental health care, whether very basic or highly advanced, and an appropriately designed building facility within which to operate. Drawing on interview data from our four-year research project to examine the architectural design and social milieu of adult acute mental health wards in Aotearoa New Zealand, official documents, philosophies and models of mental health care, this paper asks what is the purpose of the adult inpatient mental health ward in a bicultural country and how can we determine the degree to which they are fit for purpose. Although we found an important lack of clarity and agreement around the purpose of the acute mental health facility, the general underpinning philosophy of mental health care in Aotearoa New Zealand was that of recovery, and the CHIME principles of recovery, with some modifications, could be translated into design principles for an architectural brief. However, further work is required to align staff, service users and official health understandings of the purpose of the acute mental health facility and the means for achieving recovery goals in a bicultural context.
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Boovaragasamy, Chithra, und Seetharaman Narayanan. „Patients’ satisfaction regarding facilities and services provided at AYUSH clinics of primary health centres in rural Puducherry“. International Journal Of Community Medicine And Public Health 6, Nr. 6 (27.05.2019): 2498. http://dx.doi.org/10.18203/2394-6040.ijcmph20192311.
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Background: Patient satisfaction is a crucial component of the health care system in today’s competitive modern era. There is a limited literature describing the patient satisfaction on AYUSH care and therefore this study was undertaken to assess the satisfaction about facilities, healthcare providers and treatment among the patients attending selected AYUSH-attached PHCs in rural Puducherry.Methods: A facility based cross-sectional study was conducted among the patients who attended AYUSH clinics at 4 selected PHCs of Puducherry over a period of one year. Personal Interviews using semi-structured pretested proforma was conducted for capturing information on socio-demographic variables, satisfaction regarding the facilities and health care providers. Telephonic interviews were conducted two weeks after the centre-based personal interviews, to assess the patients’ treatment satisfaction levels.Results: Out of the 584 patients interviewed, 71.23% rated as very good/excellent their interaction with the healthcare providers, with regards to satisfaction about the infrastructure facilities, the proportion rating very good/excellent ranged from 64.47% to 93.93% across the different AYUSH PHCs.Conclusions: Overall satisfaction about the quality of services and treatment was good among the patients.
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Bulakh, I. V. „Common Features of Architectural Design of the Medical Purpose Building“. Science & Technique 18, Nr. 4 (13.08.2019): 311–18. http://dx.doi.org/10.21122/2227-1031-2019-18-4-311-318.
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The paper considers principal features and specific character of architectural design for health care institutions. Main designing stages, missions and complexities for every successive designing step have been revealed in the paper. The paper presents specific features, main stages and design approaches to designing of modern health care facilities, comfortable architectural environment of health institutions, which have been formed on the basis of the analysis of advanced international experience in the field of designing healthcare facilities. The proposed approaches are based on modern experience in designing medical buildings over the past decade in the developed countries. A special attention has been paid to obsolete methods for architecture-planning organization of healthcare facilities and modern approaches to arrangement of engineering and other systems which significantly influence on economical efficiency, quality, comfort and effectiveness of architectural environment in healthcare institutions. Every healthcare facility, every separate department are considered as unique in their essence, for this reason it is not so easy to reflect modern technological solutions and architectural tendencies. The paper contains an attempt to attract attention of architects to the complexity in designing of a building to be constructed, to find ways which will help to reach its step-by-step solution. It has been noted as well that there is a necessity to arrange interaction between an architect and a medical technologist. Modern medical departments and hospitals have been recently designed and built in the Ukraine, but they are in increasingly short number. These facilities have been constructed due to decision makers who, in spite of diverse difficulties, lack of information and specialists, lack of proper funding, etc., are trying to do their best in order to reach the modern level of desingning and construction of hospitals. So-called “typical” medical projects of 70-ies and 80-ies continue to be implemented up to now. This is certainly due to inadequate funding, but such economy has at the end rather high cost.
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Alam, ABM Saiful, AKM Monwarul Islam und Humayra Jesmin. „Snake Bite as a Public Health Problem: Bangladesh Perspective“. BIRDEM Medical Journal 5, Nr. 1 (25.06.2016): 24–29. http://dx.doi.org/10.3329/birdem.v5i1.28370.
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Snake bite is an important but often under-recognized public health problem in Bangladesh, with an incidence density one of the highest in the world, which may be 623.4/100,000 person years. The proportion of poisonous snake bites is 10 to 45%, with the reported mortality 0.5 to 22%. Among the 82 species of snakes, 28 are venomous; bites by green pit vipers, cobras and kraits are the most commonly identified ones. High population density, widespread agricultural activities, numerous venomous snake species and lack of functional snake bite control programs favour the high burden of snake bites. Poorer rural populations are the main victims, imposing considerable socioeconomic impact. Treatment of snake bite is largely dominated by traditional snake charmers (Ozha) or Kaviraj offering unscientific practices and healers, causing undue delay and precluding standard medical management. Delayed presentation to the hospital, lack of availability of antivenom and modern management facility are the main causes of death. Antivenoms are entirely dependent on import, are expensive, and are not customized to local needs. Auxiliary intensive care facilities are not widely available; health care personnel often lack necessary expertise. However, the trend is changing. Public awareness is growing, health care personnel are being trained, and a national guideline for snake bite management has been formulated. Further research, introduction of modern diagnostic facilities, local manufacture of antivenom, and above all, integrated approach on the part of Government, policy-makers and international community can change the outlook of snake bite as a neglected tropical condition in Bangladesh.Birdem Med J 2015; 5(1): 24-29
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Alen, Horacio, und Daniel Ernesto Gutiérrez Raina. „Perceived satisfaction with nursing care“. Health Leadership and Quality of Life 2 (29.11.2023): 27. http://dx.doi.org/10.56294/hl202327.
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Patient satisfaction has become a crucial indicator of quality of care, influencing treatment compliance and patient loyalty. Key factors, such as communication, empathy, and nursing staff safety, play an essential role in user satisfaction. Dimensions affecting user satisfaction include tangibility of facilities, reliability of care, and responsiveness. This article also examines the relationship between user satisfaction and socioeconomic variables such as gender, age, academic level, and length of hospitalization. It highlights the importance of collecting patient feedback through surveys and evaluations to identify areas for improvement and promote innovation in health care delivery. In summary, user satisfaction is a crucial indicator in modern health care that drives continuous improvement in the quality of care in Latin America and around the world.
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Kushwaha, Ashwini Kumar. „Scope and Utility of Ayurveda in Rural and Primary Health Care“. International Research Journal of Ayurveda & Yoga 05, Nr. 05 (2022): 174–84. http://dx.doi.org/10.47223/irjay.2022.5528.
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The population of India is 1.38 billion, of which 65.07% live in rural areas. Health care injustice is a universal phenomenon in rural India and the condition of rural and primary health care in India remains unsatisfactory even after 75 years of independence. Modern health facilities are very poor in rural areas and about 65% of the population lives in rural areas, using Ayurveda and medicinal plants as their primary health care needs. The holisticapproach of Ayurveda can provide most of the health services in rural India from its own resources such as preventive and promotive health care. Non-pharmacological remedies of Ayurveda like Sadvrittaand Swasthyavritta, Achara Rasayana and Yogaand the use of kitchen spices and common medicinal plants available in rural areas are better alternatives to primary health care in rural areas.
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Karailanov, Mikhail G., Alexey V. Mikheev, Igor G. Prokin und Andrey V. Apchel. „Ambulatory complementary technologies in primary care for domestic healthcare“. Bulletin of the Russian Military Medical Academy 25, Nr. 2 (13.07.2023): 269–74. http://dx.doi.org/10.17816/brmma192514.
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ABSTRACT. In recent years, the primary healthcare sector in our country has undergone significant development, driven by the implementation of tasks and the achievement of key indicators outlined in the National Healthcare Project. This growth has been supported by the countrys economic progress, leading to increased funding for the healthcare industry. Recently, a notable shift in focus has been toward preventive measures and outpatient care in medical facilities that provide primary health services. These measures include promoting a healthy lifestyle, assessing disease risks, and ensuring timely treatment and monitoring. The primary objective of all therapeutic and preventive measures is to enhance the lifespan and quality of life of our population. Since its establishment in 2020, the modernization of primary care, identified as a priority for healthcare development in the upcoming years, has made significant strides in improving accessibility and the quality of medical services. A key driver of this progress of healthcare in the Russian Federation is the extensive use of modern medical technologies, particularly in the provision of primary health care. This shift has also necessitated significant changes in professional terminology within the field. Consequently, an in-depth analysis of the potential integration and widespread use of modern medical technologies in medical facilities providing primary health care has led to the proposal of a new term: ambulatory complementary technologies. This term aims to enhance the conceptual framework of primary healthcare systems and eliminate discrepancies in medical professional terminology. This paper not only describes the reasons behind the emergence of the term ambulatory complementary technologies but also provides a clear definition and outlines prospects for its further development. By introducing this term, we aim to achieve a more accurate interpretation of the key indicators used to comprehensively assess primary healthcare across various regions of the Russian Federation. Ultimately, these efforts are geared toward enhancing the effectiveness of primary healthcare organizations.
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Frimpong, Seth Kwadwo. „Health care and population growth in Ghana: A catalyst for development in New Dwaben“. Abibisem: Journal of African Culture and Civilization 8 (01.12.2019): 49–76. http://dx.doi.org/10.47963/ajacc.v8i.851.
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Health care is one of the important elements in the development of every nation. In view of that eveiy government makes it a priority to provide efficient health care to its people through the establishment of facilities, providing medication and also training health workers. The construction of modern health care facilities by the colonial government in New Dwaben, Koforidua, in 1926, represents a serious attempt to provide for the health needs of the people of the Gold Coast. The advent of the hospital helped to improve the health of the people of the community and, to a large extent, contributed to the development of social and economic activities in New Dwaben. This article examines the factors that led to the establishment of the hospital and how it contributed to growth of social and economic activities in New Dwaben, Koforidua. There was growth in social and economic activities including employment, agriculture, transportation, population, entertainment, trade, sanitation, jobs partly due to the advent of the Koforidua Government Hospital in New Dwaben.
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Jirsch, Dennis. „Patient-Focused Care: The Systemic Implications of Change“. Healthcare Management Forum 6, Nr. 4 (Dezember 1993): 27–32. http://dx.doi.org/10.1016/s0840-4704(10)61132-5.
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Continuous quality improvement and customer identification have become pivotal concerns for modern management. It is evident that much past activity in health care has been narrowly focused, technologically based and of unknown efficiency. Identifying the patient as primary and overarching customer for health service organizations serves to simplify, refocus and redesign institutions so that resources and personnel are organized and allocated based on patient-care needs. Health care facilities can, accordingly, be ranked on the basis of their commitment and achievement with regard to patient-focused care. Quality becomes a matter of providing excellent and efficient medical care and satisfying the demands of the larger patient experience. Redefining the organization in the context of patient need profoundly changes the work place, creating less rigid, flattened organizational structures and emphasizing leadership rather than managerial activities.
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Bhattarai, Sailesh, Surya Bahadur Parajuli, Rajan Bikram Rayamajhi, Ishwari Sharma Paudel und Nilambar Jha. „Health Seeking Behavior and Utilization of Health Care Services in Eastern Hilly Region of Nepal“. Journal of College of Medical Sciences-Nepal 11, Nr. 2 (12.11.2015): 8–16. http://dx.doi.org/10.3126/jcmsn.v11i2.13669.
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noBackground & Objectives: Preventive, promotive, curative, and rehabilitative health care services depend not only in availability & accessibility of it but also on awareness and attitude of the people and various inter-woven social structure that determines in making choice. The objective of this study was to explore health seeking behavior and utilization of health care services in the rural places in VDCs of Ilam district of Eastern Nepal.Materials & Methods: A cross sectional study was conducted in between period of March 25th 2013 to April 10th 2013 Fikkal and Pashupatinagar VDCs in Ilam district with sample of 300 people. Data was collected using a semi-structured questionnaire.Results: One fifth of the populations were found to be seeking traditional healers’ service and 80 percent among modern treatment system were relying on private treatment facility for treating sickness. People who had lived more than 20 years in that place and who felt modern health services were costly were likely to use service of traditional healers. Similarly people suffering from chronic illness, having health facility more than 30 minutes and using stretcher or walking as means of transportation were using government health centers more compared to private services.Conclusion: Significant people still use traditional healers’ service and the government health facility utilization was low as compared to private. The people living for longer period in that place and having the concept that modern health centers are costly were primary user of traditional healing system. Health facility nearby or people who could afford for automobile travel facilities were using costly private health centers.JCMS Nepal. 2015; 11(2):8-16
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Vahanova, L., К. Potsiluiko und N. Yakobchuk. „FUNCTIONING OF ECONOMIC BUSINESSES IN THE HEALTHCARE SPHERE AT THE MODERN STAGE OF DECENTRALIZATION“. Market economy: modern management theory and practice 20, Nr. 1(47) (01.04.2021): 158–74. http://dx.doi.org/10.18524/2413-9998.2021.1(47).227014.
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Today, the current situation in the field of health care indicates the presence of at least two problems, such as poor quality of services and corruption in medical institutions. Today, local authorities have a responsibility to ensure that community residents have access to doctors and their services, as well as to improve the quality of medical services. The current work of scientists does not currently provide an answer to the essence of the new challenges and threats to the continued decentralization of health care that currently face the united territorial communities. The health risks that may arise in the process of continuing decentralization have been studied.
The authors present opportunities for the implementation of the powers of local governments to ensure health reform, as well as the sequence of actions of public health facilities and their owners since the decentralization.
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Farrakhov, A. Z. „Pediatric health care modernization in the Republic of Tatarstan: first results“. Kazan medical journal 94, Nr. 2 (15.04.2013): 145–51. http://dx.doi.org/10.17816/kmj1578.
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Aim. To summarize the first results of pediatric healthcare modernization in the Republic of Tatarstan. Methods. Analytical, expert, comparison and systematic approaches were used as a research methods. Results. The obtained results vividly depict the main goal of the modernization performed - to improve the pediatric healthcare on the basis of the innovative medical and management technologies. Modernization is understood as a process of current healthcare facilities enhancement and renovation, bringing them in line with new requirements, norms, technical regulations, healthcare quality measurement tools and qualification of healthcare professionals. The main attention is devoted to healthcare management, computerization of healthcare facilities, modern training technologies, interdepartmental integration. Modernization priorities are shared by the whole country, however, their implementation depends on intra- and off-system healthcare features in subjects of Russian Federation. It is useful to unite the efforts of the healthcare system in the process of modernization in terms of healthcare management based on territorial responsibility of high medical technologies centers and development of governmental-private partnerships. Conclusion. One of the priority trends of prevention service of pediatric healthcare in the Republic of Tatarstan is to form the prevention policies by introduction of a new functional structure - pediatric healthcare centers. The important role should be given to quality assessment of the introduced innovations by statistical, quantitative and qualitative assessments, showing the effectiveness of the healthcare.
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Olsson, Imaobong, und Ndu Ekpenyong Akpan. „The Effects of Traditional Medical Practices on Health Care Delivery System in Nigeria. Quantitative Case Study of Ibiaku Issiet Community of Akwa Ibom State, Nigeria“. Journal of Social Science Studies 10, Nr. 1 (29.06.2023): 265. http://dx.doi.org/10.5296/jsss.v10i1.21119.
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This research investigates the factors influencing the persistent use of traditional medicine and its implications for the acceptance and utilization of modern healthcare in the urban local government area of Ibiaku Issiet, Akwa Ibom State, Nigeria. Sociologists and medical sociologists have expressed concerns about the continued reliance on traditional healers, which often disregards modern scientific methods and facilities. A sample of 150 respondents was randomly selected, and data was collected using a structured questionnaire. The study reveals that the high cost of modern healthcare is a significant challenge rural dwellers face, leading them to seek more affordable traditional medicine. Traditional remedies have effectively catered to the sociocultural preferences and aspirations associated with modern medical care. Nigeria's socio-economic and sociocultural context, characterized by beliefs in witchcraft, spirits, and gods as causes of diseases, make eradicating this deeply rooted cultural heritage futile. Consequently, individuals are more likely to prefer modern medicine to traditional treatment methods. Based on the findings, it is recommended that traditional medicine be granted legal recognition and co-recognition as an official healthcare system in Nigeria. There is a pressing need to enhance the status, funding, and facilities of traditional medical clinics and practitioners and develop comprehensive training programs.
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Mavrov, Momchil, und Mariya Hristozova. „E- HEALTH: THE MODERN INSTRUMENT FOR IMPROVING HEALTH SYSTEMS AND PROVIDING ACCESSIBLE AND HIGH-QUALITY HEALTH CARE“. Knowledge International Journal 34, Nr. 5 (04.10.2019): 1581–86. http://dx.doi.org/10.35120/kij34051581m.
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In the last two decades, information and communication technologies have significantly changed the development of relations in all sectors of public life. The modern information еra has provided unlimited opportunities for free exchange of information on all issues of public importance and the use of new technologies in order to raise the standard of living of members of society and their financial well-being. Information and communication technologies (ICT) are increasingly used in healthcare. A major factor in this trend is the extreme importance of information in medical practice. The way in which information about patients' health status is received and used by healthcare providers has a significant impact on the quality of care. The information itself, the selection and its completeness, becomes a decisive factor for the behavior of the participants in the national health systems - state bodies, medical establishments, professional companies, patient organizations and others.In this sense, the integration of information systems for electronic data interchange provides enormous opportunities for the rapid and efficient management of health information and hence for the more efficient operation of healthcare facilities and healthcare professionals. That's why, one of the most important tools for enhancing the effectiveness of any national health system is the construction of e-health (e-health). E-health is a valuable tool for improving national health systems and providing affordable and high quality health services. The successful construction and use of e-Health improves the communication environment and provides a number of benefits for the relevant national health system as well as for the whole community. In addition to building e-health, an effective healthcare system also requires the creation of an electronic health record for each patient, also referred to as electronic medical records. An electronic health record is a record that contains certain health information for one person in a format suitable for computer processing and use. Creating electronic health records is of great benefit to both patients and healthcare professionals. For example, the introduction of electronic medical records provides quick and easy access for physicians to patients' medical records, enabling them to track all important circumstances and changes in the patient's health status, and to tailor them to conduct specific diagnostic and healing activities.
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Kamal, Shahid. „Leadership Skills Development & Establishment of Multi-Disciplinary Team (MDT) Tumor Boards“. National Journal of Health Sciences 8, Nr. 1 (21.03.2023): 1–2. http://dx.doi.org/10.21089/njhs.81.0001.
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Leadership and managerial skills have long been identified in the developed countries as essential components of their post graduate trainees to enable them to meet the challenges of modern health care systems. However, health care systems in LMIC have their own challenges. Certain models such as public, public-private partnerships, private, welfare and insurance-based systems do exist in this part of the world, but comprehensive and efficient integration is still lacking. Cancer patients depend largely upon public sector facilities already over-burdened by long waiting list.
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Erchafo, Belay, Lonsako Abute, Tegegn Tedesse, Tagesse Sedoro und Aregash Mecha. „Knowledge, attitude and practice towards complementary and alternative medicine and associated factors among health care professionals in public health facilities of Hadiya Zone, South Ethiopia“. PLOS ONE 17, Nr. 9 (09.09.2022): e0274333. http://dx.doi.org/10.1371/journal.pone.0274333.
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Background Even if modern medicine is becoming more widely available, a considerable portion of the world’s population continues to rely on complementary and alternative medicine. Complementary and alternative medicine is used by 80% of the population in developing countries for their health care. The study was conducted to assess Knowledge, Attitude and practice towards complementary and alternative medicine and associated factors among health care professionals in public health facilities of Hadiya Zone, South Ethiopia. Methods The study was conducted in Hadiya Zone from October 10 to October 30, 2019. A facility-based cross-sectional study design was employed using simple random sampling methods. Three hundred sixty six health care professionals were selected using a simple random sample method. The data were collected using a standardized self-administered and pre-tested questionnaire that was adapted from different literatures. We used descriptive statistics, as well as bivariate and multivariate logistic regression analysis. An association was determined using P-values less than 0.05 and 95 percent confidence intervals. The results of the study were presented using texts and tables. Results Three hundred and fifty-five respondents were interviewed, with a 97 percent respondent rate. Two hundred thirty-two (65.4%) of the study participants have good knowledge towards complementary and alternative medicine, 216 (60.8%) have a favorable attitude toward complementary and alternative medicine, and 182 (51.3%) have utilized it in the previous two years. Some of the factors associated with knowledge, attitude, and practice towards complementary and alternative medicine were health care professionals who have contact with patients who seek complementary and alternative medicine [AOR = 1.89(95% CI; 1.18, 3.03), female health care professionals [AOR = 2.43(95% CI; 2.68, 9.74), and more than six years work experience [AOR = 1.68(95% CI; 1.04, 2.71). Conclusion The knowledge, attitude, and practice of complementary and alternative medicine among health care professionals were low. Creating communication lines with patients and facilitating the integration of complementary and alternative medicine with modern medicine.
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TERNAVSKYІ, A. I. „THEORETICAL APPROACHES TO DETERMINING THE ESSENCE OF STRATEGIC DEVELOPMENT MANAGEMENT OF DENTAL MEDICAL INSTITUTIONS“. Economic innovations 23, Nr. 1(78) (20.03.2021): 162–72. http://dx.doi.org/10.31520/ei.2021.23.1(78).162-172.
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Topicality. Reforming the modern health care system requires comprehensive strategic measures that will help improve the management of modern health care facilities, including dental health facilities. The market of dental medical services is an important component in the structure of the market of medical services, as evidenced by the intensive development of dental services, expansion of not only medical but also cosmetic services, improving their quality and level of service. Therefore, there is an urgent need to determine the essence of the management of strategic development of dental institutions. Aim and tasks. Purpose and objectives: to determine the fundamental theoretical approaches to understanding the essence of management of strategic development of dental institutions. Research results. The level and quality of medical services characterize the sustainable development of the country, as other areas cannot be fully developed if the health care system is low. Formation and development of strategic management is an important part of corporate management not only of the production enterprise, but also of health care institutions, and it acquires especially important participation in the conditions of medical reform with the purpose of further social, medical, financial and economic competitive advantages in the medical services market. Without effective medical care, citizens are not interested in solving secondary problems, because the issue of preserving and maintaining health is always in the first place. With the spread of market development priorities, the management of medical institutions in general and dental medical institutions in particular is becoming important. Conclusion. Management of strategic development of dental medical institution is aimed at introducing new dental medical technologies, improving the level of professional training of medical staff of dental medical institutions and improving the quality of dental care using new standards in dentistry. Management of strategic development of dental medical institutions is possible only with the support of the dental care system by the state, through standardization, certification and financial support, observance of human rights in the health care system and state support of dental care to socially vulnerable groups.
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BILETSKA, Iryna. „ANALYSIS OF INNOVATIVE DEVELOPMENT OF HEALTHCARE INSTITUTIONS AS A FUNCTION OF THE MANAGEMENT OF THEIR SYSTEMIC DEVELOPMENT“. Herald of Khmelnytskyi National University 302, Nr. 1 (Januar 2022): 310–15. http://dx.doi.org/10.31891/2307-5740-2022-302-1-52.
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The article investigates the problems of innovative development of enterprises in modern conditions of management and competition. The urgency of improving the innovative management of health care facilities is indicated. It is concluded that the current methodological approaches to the analysis of innovation activities of enterprises are insufficient and they need further improvement. The purpose of the article is to substantiate the new methodological and applied principles of analyzing the innovative activities of health care institutions in the context of improving control as a function of management of their further development. Leading methods of evaluation of innovation activity, innovation potential and innovative development of enterprises are generalized. The components and indicators of evaluation of innovative development of health care institutions are determined. An algorithm for comprehensive assessment of innovative development of health care facilities has been developed. The peculiarities of the management of innovative development of health care institutions have been identified, among which the risk of making a wrong management decision is increased; availability of a differentiated institutional and legal basis for regulating the innovation sphere for enterprises providing medical services; strategic focus of enterprises on the development of service and product innovations; limited state support for innovation; the presence of risks of leakage of information containing trade secrets. The applied significance of the research results lies in the qualitative and thorough analysis of innovation activity, and, consequently, the adoption of more informed management decisions for their further development. The scientific novelty of the research results is the further development of methods for analyzing the innovative development of health care facilities as one of the basic functions of their management.
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Łysoń, Artur. „Spory co do statusu prawnego Samodzielnego Publicznego Zakładu Opieki Zdrowotnej“. Studenckie Prace Prawnicze, Administratywistyczne i Ekonomiczne 19 (28.12.2016): 161–77. http://dx.doi.org/10.19195/1733-5779.19.13.
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Disputes as to the Legal Status of Independent Public Health Care FacilitiesLife and health are values which are of fundamental importance both for individuals and for the proper functioning of society. Therefore, topics concerning health care in Poland have always aroused great controversy and numerous disputes. The functioning of the health care system is an important topic of public debate, scientific controversy, as well as private dispute amongst Poles. This article does not, however, focus on the sociological aspects of the operation of the health care system, but rather on the legal status of the primary legal-organizational unit of the system, namely independent public health care facilities. The analysis has been subjected to the genesis of the solutions functioning to date as well as the problems which have arisen in this respect. The legal conditions surrounding the activity of independent public health care facilities IPHF presented in this article, in particular the disputes as to whether or not these entities have alegal personality and entrepreneurial status, demonstrate alack of consistency on the part of the legislature, imprecision and inconsistency of regulations and anotable absence of aconception as to how the health care system should ultimately be shaped from the institutional point of view. Without denying the benefits of the introduction of modern methods of management in medical entities, it should be stressed that simply achange in the legal-organizational form is not comprehensive reform, but only afragment thereof.
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Balakina, Alevtina, Vadim Petrunin und Yuri Lempl. „System of requirements to modern finishing materials in solutions of interiors in medical premises that are sources of radiation“. E3S Web of Conferences 376 (2023): 03008. http://dx.doi.org/10.1051/e3sconf/202337603008.
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This article is devoted to the detailed analysis of requirements applicable to modern finishing materials used in the interiors of health care institutions, in particular in the interiors of medical premises where the sources of radiation are located. The authors have studied a number of regulatory statutory documents in effect in the territory of the Russian Federation and analyzed the practical experience in the decoration of this category of premises at the health care capital construction facilities. Based on the theoretical material and practical experience studied by the authors, the authors single out and describe the basic requirements to modern finishing materials used in the interiors of medical premises being the sources of radiation, as well as propose the versions of visual design of medical premises where the sources of radiation are located.
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Lee, Yang Jae, Gautam Adusumilli, Rauben Kazungu, Godwin Anywar, Francis Kyakulaga, Esther Katuura, Shanti Parikh und Merlin Willcox. „Treatment-seeking behavior and practices among caregivers of children aged ≤5 y with presumed malaria in rural Uganda“. Transactions of The Royal Society of Tropical Medicine and Hygiene 113, Nr. 9 (29.05.2019): 525–33. http://dx.doi.org/10.1093/trstmh/trz039.
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Abstract Background We aimed to determine the rate of herbal medicine usage and the treatment-seeking patterns of children aged ≤5 y with presumed or confirmed malaria in an endemic area of Uganda. Methods We interviewed guardians of 722 children aged 6 months to 5 y, who had experienced an episode of presumed malaria in the previous 3 months, about the illness history. Results Overall, 36.1% of patients took herbal medicines but most also sought modern medical care; 79.2% received Artemether-Lumefantrine (AL), but only 42.7% received the correct AL dose. Of the 36.6% of patients treated in drug shops, 9.8% had a diagnostic test and 30.2% received the correct dose of AL. Antibiotics were frequently provided with AL at drug shops (62%) and formal health centers (45%). There were no significant differences in the self-reported outcomes associated with different treatments. Conclusion Almost all of the patients who took herbal medicine also took modern antimalarials, so further research is needed to explore potential interactions between them. Although formal health facilities provided the correct diagnosis and dose of AL to a majority of children with malaria, many children still received inappropriate antibiotics. Quality of care was worse in drug shops than in formal health facilities.
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Kenny, Nuala P. „Moral Distress in a Pandemic and Catholic Contributions to the Renewal of Public Health“. National Catholic Bioethics Quarterly 22, Nr. 2 (2022): 231–37. http://dx.doi.org/10.5840/ncbq202222221.
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Throughout history Christians have responded to the need for direct care for the sick in imitation of the healing ministry of Jesus and in the creation of hospitals as signs of God’s love. The COVID-19 pandemic has created a global, unprecedented modern experience of vulnerability. It has resulted in moral distress for doctors and health care workers in overwhelmed facilities. It has also revealed profound inequity in access to health care, the tragic consequences of the neglect of public health and its focus on communities, and the effects of poverty and marginalization on the risk of illness and death. This paper proposes insights from Catholic social teaching that can guide a renewal of public health by rebalancing duties to individuals and communities, and renewing medicine as a public trust. These insights can assist in reducing moral distress in scarcity.
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Chorna, V. V., I. V. Sergeta und V. M. Makhnyuk. „Modern going near creation of in-hospital comfort for patients and medical personnel in psychiatric establishments of health protection“. Biomedical and Biosocial Anthropology, Nr. 35 (05.05.2019): 48–53. http://dx.doi.org/10.31393/bba35-2019-08.
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Today requires an important focus on providing psychological comfort both for health care professionals in preventing emotional burnout syndrome and inpatient comfort for patients in these settings. The purpose of the work is to carry out a comparative analysis of European experience on the principles of functional and aesthetic organization of interiors and decoration materials of premises of psychiatric health care institutions, to determine the characteristics of the influence of natural and artificial lighting on the psychophysiological state of the body of patients and medical professionals. The material of the study was Form № 18 of the Ministry of Health of Ukraine "Report on work on control of environmental factors affecting the state of health of the population" of the State Institution "Vinnytsia Regional Laboratory Center of the Ministry of Health of Ukraine" for the period 2016-2019. Content analysis of domestic and foreign scientific sources, as well as bibliosemantic, theoretical and analytical methods of research were used in the work. The statistical processing of the study results was performed in a licensed standardized package "Statistica 6.1 for Windows". As a result of studying the experience of European countries on the creation of in- hospital comfort for patients and medical staff of psychiatric health care institutions, the following has been established: taking into account the sanitary and hygienic requirements in the design and arrangement of facilities for mentally ill persons should correspond to the therapeutic environment and promote the establishment of security regimen, improving treatment and prevention work, preventing hospital-acquired infections and therefore being one and the same priorities reform of mental health in Ukraine. According to the results of studying foreign experience on the basis of a systematic and ergo design approach to the re-profiling and reconstruction of existing psychoneurological hospitals in Ukraine, it is determined that its main purpose is to provide comfortable conditions for patients stay and create conditions for conducting psychosocial therapy and rehabilitation of persons with mental disorders. Therefore, the adaptation of hygiene requirements during the design and arrangement of the premises of psychiatric health care facilities should be aimed at ensuring the optimal individual and psychological status of patients and the appropriate parameters of the hospital environment and its sanitary and hygienic characteristics, which must correspond to the latest technology in providing high quality medical care using a biopsychosocial approach that will facilitate the transition to European standards.
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Kassie, Girma, und Bekele Tefera. „Effects of community-based health insurance on modern family planning utilization in Ethiopia“. Gates Open Research 3 (09.05.2019): 1461. http://dx.doi.org/10.12688/gatesopenres.12960.1.
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Background: Community-based health insurance (CBHI) has been established in a number of developing countries to expand access to modern health care service. However, few studies have focused on health care utilization of CBHI members in Ethiopia. Accordingly, the aim of this study was to assess the effect of CBHI on modern family planning (FP) utilization as part of its routine outcome monitoring activities. Methods: The USAID Transform: Primary Health Care project, conducted a continuous monitoring follow up visit using a multistage sampling technique in its four major targeted regions. A total of 3433 households were selected and 3313 women of reproductive age (15-49 years) were interviewed. The questionnaire captured the CBHI status of each household and FP use data from randomly selected women. Microsoft Access database was used to enter the data, which was then transferred to SPSS Version 20 for further analysis. Results: In total 50.8% of married women (aged 15-49 years) were found to be enrolled in CBHI. Current modern FP use is 47.5% among married women in project-supported areas. Modern FP use is 50.9% among married women who are exposed to CBHI schemes, versus 44.1% among women who are not exposed to CBHI which is statistically significant. Conclusions: Modern FP utilization among insured women was higher compared with uninsured women. While FP methods are provided for free, CBHI enrolment improves FP use among women of child-bearing age. Women who have access to CBHI may frequently visit health facilities seeking services for themselves and their families, during which they may be introduced to FP services. This in turn may improve their awareness and attitude towards FP. The results will increase awareness for program implementers of the benefits of CBHI schemes in FP programming, particularly in rural settings, and provide an opportunity to increase lifelong returns in Ethiopia.