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1

YODA, MIKIKO. "Development of health care equipment in daily life." Journal of Life Support Engineering 10, no. 2 (1998): 86–88. http://dx.doi.org/10.5136/lifesupport.10.86.

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Hick, John L., Dan Hanfling, Jonathan L. Burstein, Joseph Markham, Anthony G. Macintyre, and Joseph A. Barbera. "Protective equipment for health care facility decontamination personnel." Annals of Emergency Medicine 42, no. 3 (September 2003): 370–80. http://dx.doi.org/10.1016/s0196-0644(03)00447-5.

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Oza, Jasmin R., Ashutosh D. Jogia, Bhavesh R. Kanabar, and Dhara V. Thakrar. "Assessment of Facility based newborn care at various health care facilities in Rajkot district." International Journal Of Community Medicine And Public Health 4, no. 4 (March 28, 2017): 1125. http://dx.doi.org/10.18203/2394-6040.ijcmph20171336.

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Background: India carries the single largest share (around 25-30%) of neonatal deaths in the world. It has been estimated that about 70% of neonatal deaths could be prevented if proven interventions are implemented effectively with high coverage.Methods: A cross-sectional observational study was conducted at various health facilities of Rajkot district where facility based newborn care are created as per the guidelines under NRHM. It was conducted during August 2013 to October, 2013. The data entry was done in Microsoft Office Excel 2007 and analyzed in Epi info software from CDC Atlanta. Results: This study included total 32 health facilities including 10 Primary Health Centers (PHC) (24X7), 15 Community Health Centers (CHC), 5 Sub District Hospitals (SDH), one District Hospital (DH) and one Medical College (MC). There are a total of 36 facilities of different level available in government set up for newborn care starting from NBCC to SNCU. All (100%) of the health centers visited were equipped with NBCC for newborn care, while NBSU and SNCU for newborn care were created at only 2 (6.2%) centers respectively. Only 2 out of 10 PHC had all required equipments for NBCC. All the required equipments were available at 3 CHCs out of total 15 CHCs. All the SDH were having adequate equipment for NBCC except resuscitator & separate Digital Thermometer were not available at 2 SDH. At DH, except for Digital thermometer, all equipments were adequate. Only 1 SDH has been established for NBSU and it did not have adequate no. of radiant warmer and resuscitator. DH is lacking in all the required equipment for SNCU except for resuscitator (250 ml) and refrigerator. Out of total 101 health personnel, 68 (67.3%) have been trained for NSSK. From total 68 trained health personnel, 12 (17.7%) got the score above the cut off for resuscitation skill. Out of the trained respondents, 29 (42.7%) acquired score above cut off for routine care.Conclusion: All the PHCs, CHCs, SDHs and DH were deficient in equipments. NBSU was created in only one SDH. SNBU was created at DH and MC, but equipments were not sufficient at both centers. Health care providers involved in facility based newborn care units had poor knowledge regarding routine newborn care and also not properly trained in resuscitation.
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Gardner-Bonneau, Daryle J., and June Isaacson Kailes. "Accessible Health Care: More Than Just Getting Through the Door." Ergonomics in Design: The Quarterly of Human Factors Applications 18, no. 1 (January 2010): 5–10. http://dx.doi.org/10.1518/106480410x12658371678390.

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FEATURE AT A GLANCE: Access to health care requires more than mere access to a health care facility. It requires access to medical equipment and devices. Currently, many older adults and people with disabilities have difficulty accessing medical equipment, including examination chairs and tables, weight scales, and exercise and rehabilitation equipment. This article outlines the problem and its consequences for patients and describes the ergonomics requirements that must be met to ensure accessibility of this equipment for all patients.
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Cavanaugh, Kerri L. "Health literacy in diabetes care: explanation, evidence and equipment." Diabetes Management 1, no. 2 (March 2011): 191–99. http://dx.doi.org/10.2217/dmt.11.5.

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Salt, Ian. "Integrating community equipment services across health and social care." British Journal of Therapy and Rehabilitation 10, no. 12 (December 2003): 536. http://dx.doi.org/10.12968/bjtr.2003.10.12.13415.

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Phan, Linh T., Donna C. Moritz, Rachel T. Weber, Susan C. Bleasdale, and Rachael Jones. "Personal Protective Equipment Doffing Practices of Health Care Workers." American Journal of Infection Control 46, no. 6 (June 2018): S74. http://dx.doi.org/10.1016/j.ajic.2018.04.137.

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Erinosho, Olayiwola A. "Health Care and Medical Technology in Nigeria: An Appraisal." International Journal of Technology Assessment in Health Care 7, no. 4 (1991): 545–52. http://dx.doi.org/10.1017/s0266462300007108.

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AbstractThe objective of the study was to ascertain the extent of utilization of medical technologies (defined as equipment) used in various health care institutions in Nigeria. The study also investigated the factors accounting for use of and under- and nonutilization of this equipment. Sixteen major and minor health care institutions were surveyed. The outcomes of the study indicate that not less than a third of the equipment was out of order at the time of the study. A number of factors are responsible for nonutilization of this equipment. They include lack of infrastructural facilities such as piped water, storage, and power supply; poor handling by badly trained staff; and the low priority that is accorded to maintenance. The study leads to the important conclusion that the local culture is unable to sustain the technologies that are procured.
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Gupta, Vaibhav, and Sachin C. Sarode. "Assessment of Equipment Utilization and Maintenance Schedule at a Dental Institution in Bengaluru, India." World Journal of Dentistry 8, no. 2 (2017): 104–8. http://dx.doi.org/10.5005/jp-journals-10015-1421.

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ABSTRACT Introduction Quality of diagnostic and treatment care provided to patients largely depends on the availability of sophisticated medical equipment. Regular equipment maintenance helps in providing quality care and maintaining utilization coefficient (UC) of the medical equipment. Equipment utilization is the evaluation of medical equipment necessity, appropriateness, and efficiency of the use in diagnosing and treating a patient. If equipment shows UC of more than 50%, it is said to be a good investment. Objective To assess UC of dental institution equipment along with their maintenance schedule to increase operational efficiency. Materials and methods An observational study was conducted at a 250 chaired dental institution in Bengaluru in 2015 to calculate the use coefficient of medical equipment. Maintenance schedule was also recorded for all the equipment. Necessary permissions were obtained before starting the study. Results Around 50% of these medical equipments were underutilized. Only four equipments had preventive maintenance schedule under which services usually provided every 4 months. Most of the equipment did not have any maintenance contract. Conclusion It should be an earnest endeavor of the management and users to optimize the equipment utilization to obtain maximum return on capital invested. In an era of cost-intensive medical care, every equipment being installed in health care institutions need to be fully and properly utilized. Clinical Significance Findings of this study will enable the administrators to ensure that the equipment is in proper working condition to provide optimal patient care. How to cite this article Gupta V, Gupta N, Sarode GS, Sarode SC, Patil S. Assessment of Equipment Utilization and Maintenance Schedule at a Dental Institution in Bengaluru, India. World J Dent 2017;8(2):104-108.
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KC, Ashish, Dipendra Raman Singh, Madan Kumar Upadhyaya, Shyam Sundar Budhathoki, Abhishek Gurung, and Mats Målqvist. "Quality of Care for Maternal and Newborn Health in Health Facilities in Nepal." Maternal and Child Health Journal 24, S1 (December 17, 2019): 31–38. http://dx.doi.org/10.1007/s10995-019-02846-w.

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Abstract Introduction Nepal has pledged to substantially reduce maternal and newborn death by 2030. Improving quality of intrapartum health services will be vital to reduce these deaths. This paper examines quality of delivery and newborn services in health facilities of Nepal. Methods Data were sourced from the Nepal Health Facility Survey 2015, which covered a national representative sample of health facilities. The datasets were analysed to assess service readiness, availability and quality of delivery and newborn care in a sample of 992 health facilities. Results Of the 992 facilities in the sample, 623 provided delivery and newborn care services. Of the 623 facilities offering delivery and newborn care services, 13.3% offered comprehensive emergency obstetric care (CEmONC), 19.6% provided basic emergency obstetric care (BEmONC) and 53.9% provided basic delivery and newborn service. The availability of essential equipment for delivery and newborn care was more than 80% in health facilities. Except for the coverage of vitamin K injection, the coverage of immediate newborn care was more than 85% in all health facilities. The coverage of use of chlorhexidine ointment to all newborns was more than 70% in government hospitals and primary health care centers (PHCCs) and only 32.3% in private hospitals. Conclusions These findings show gaps in equipment and drugs, especially in PHCCs and private health facilities. Improving readiness and availability of equipment and drugs in PHCCs and private health facility will help improve the quality of care to further reduce maternal and newborn mortality in Nepal.
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Žigman, Dubravko, Slaven Krajina, and Marija Krznarić. "Application of Real-Time Locating in Health Care." Archives of Industrial Hygiene and Toxicology 60, no. 4 (December 1, 2009): 503–8. http://dx.doi.org/10.2478/10004-1254-60-2009-1978.

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Application of Real-Time Locating in Health CareThis paper describes real-time locating technology and its possible use in health care. Real time locating may be applied in different segments of everyday life, including hospitals (medical equipment and devices, locating patients, and alarm in case of emergency), working environment (locating persons to control access to restricted areas or in case of fire to see if anyone has been trapped inside the building), sports, logistics, retail trade, and offices. Tagged hospital equipment is easy to trace inside hospital premises and the system makes it possible to track patients and staff, and to redistribute work in particular wards.
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Fabricio Avelino Bispo, Marinilda Lima Souza, and Sergio Pitombo. "Maintenance Management in a Health Care Establishment." JOURNAL OF BIOENGINEERING AND TECHNOLOGY APPLIED TO HEALTH 2, no. 1 (August 30, 2019): 27–33. http://dx.doi.org/10.34178/jbth.v2i1.52.

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With the accelerated growth of the health area in Brazil, institutions increasingly seek to optimize the operations by leveraging the results and becoming competitive in the market. Ensuring the high availability of infrastructure and assets provides that the organization is a strategic tool to achieve positive productivity results. However, it is necessary to structure the engineering department of the maintenance and correct administration of the flows that integrate the sector to meet the expected results. The use of computerized maintenance control tools helps in the management of environments and equipment, assuring the operational reliability of the health care establishment. This article presents the stages of implementation of management and maintenance in a health care establishment. The results demonstrate the evolution in the control of the maintenance department with greater efficiency, planning, increased availability of infrastructure and equipment as well as reduced costs for the operation of health sector processes in Brazil.
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Lepelstat, Lawrence. "Health Care Reform’s Impact on Home Medical Equipment (HME) Providers." Home Health Care Management & Practice 23, no. 4 (April 5, 2011): 249–51. http://dx.doi.org/10.1177/1084822311401853.

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14

Tishchenko, A. G., B. N. Sharshevskii, and L. A. Shuster. "Health Care 90: Some development trends in medical electronic equipment." Biomedical Engineering 25, no. 3 (May 1991): 96–98. http://dx.doi.org/10.1007/bf00566702.

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15

Peng, Junyan, Yicheng Huang, Kanbin Yu, Renjie Fan, and Jia Zhou. "Maternal health care wearing equipment based on fetal information monitoring." Journal of Infection and Public Health 13, no. 12 (December 2020): 2009–13. http://dx.doi.org/10.1016/j.jiph.2019.07.031.

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Gralton, Jan, William D. Rawlinson, and Mary-Louise McLaws. "Health care workers' perceptions predicts uptake of personal protective equipment." American Journal of Infection Control 41, no. 1 (January 2013): 2–7. http://dx.doi.org/10.1016/j.ajic.2012.01.019.

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Zellmer, Caroline, Sarah Van Hoof, and Nasia Safdar. "Variation in health care worker removal of personal protective equipment." American Journal of Infection Control 43, no. 7 (July 2015): 750–51. http://dx.doi.org/10.1016/j.ajic.2015.02.005.

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Arif, Anum, Ahsin Manzoor Bhatti, Akhter Hussain, Mohammad Tariq, Osama Hadi, and Syed Hashim Ali Inam. "Physiological Impacts of Personal Protective Equipment on Health Care Workers." Indonesian Journal Of Occupational Safety and Health 10, no. 1 (March 17, 2021): 1. http://dx.doi.org/10.20473/ijosh.v10i1.2021.1-5.

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Introduction: Since the outbreak of the Ebola virus, its design has constantly been evolving to serve the purpose of protection without hampering the efficiency. In a study conducted in 2019, before the advent of COVID 19, it was found that performing precarious laboratory or clinical works while wearing PPE involved various restrictions compared to the same work without PPE. The objective of this study is to identify the influence of personal protective equipment on physiological parameters and the individual wellbeing of healthy workers. Methods: This Pilot Quasi-experimental study was performed on 12 volunteers fitting the inclusion criteria. Candidates were seated comfortably and their baseline resting pulse rate, respiratory rate, oxygen saturation via pulse oximeter, blood pressure, and End-tidal CO2 were recorded via a portable monitor. All candidates were asked to wear a KN95 mask along with a 3 ply mask over it and wear anti-fog goggles. All the above-mentioned parameters were recorded again after five minutes of comfortable sitting and ten minutes of brisk walk. Result: Significant difference is found between resting EtCO2 and after wearing of PPE (P = 0 .044). After a brief exercise, the further rise in EtCO2 is also significant (P = 0.002). There is no significant rise in pulse after wearing PPE (P = 0.092) but on exertion after wearing PPE, the rise in pulse is statistically significant (P = 0.002). The rest of the variables, such as the rise in respiratory rate, blood pressure, and fall in oxygen saturation rise has no statistical significance. Conclusion: Personal protective equipment has proven to rise in end-tidal carbon dioxide and tachycardia, which can lead to headache, dizziness, and respiratory discomfort. All of the factors can hamper the health care workers' performance and can adversely affect their efficiency.Keywords: covid-19, end tidal CO2, personal protective equipment, physiological
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19

Mathew, Shibi, and Mathew Philip. "Personal Protective Equipment during Endoscopy." Journal of Digestive Endoscopy 11, no. 01 (March 2020): 45–52. http://dx.doi.org/10.1055/s-0040-1712344.

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AbstractThe novel coronavirus disease 2019 (COVID-19) which originated in China has been declared a pandemic by the World Health Organization (WHO). This virus gets transmitted through air droplets and direct contact. Health care workers doing aerosol-generating procedures are at a higher risk of acquiring the infection. Many procedures done by the gastrointestinal endoscopists are classified as aerosol-generating procedures, which in turn underline the need for proper safety precautions during these procedures. Apart from general safety measures advised by various organizations, proper use of personal protective equipment (PPE) is a pivotal factor in safeguarding health care personnel during endoscopy. This article provides a short overview of the different PPEs available and their proper use in endoscopy.
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Sathler, Tamara De Melo, João Flávio Almeida, Samuel Vieira Conceição, Luiz Ricardo Pinto, and Francisco Cardoso de Campos. "Integration of Facility Location and Equipment Allocation in Health Care Management." Brazilian Journal of Operations & Production Management 16, no. 3 (August 29, 2019): 513–27. http://dx.doi.org/10.14488/bjopm.2019.v16.n3.a13.

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Goal: This study aims at solving a location problem of Medical Specialties Centers (MSCs) and medical care equipment allocation. Addressing both problems simultaneously is an opportunity to improve public health service quality in the long-term since the literature traditionally treats these problems separately. Design / Methodology / Approach: The challenge consists in maximizing demand satisfaction with the minimum resource allocation in the public health care reality, where there is limited resource availability and high demand for medical services. For that, it was developed an integrated mathematical model, throughout mixed linear programming. The problem is a case study applied to the secondary public health care level in a Brazilian state. The method is generic and suitable to set the location and allocate resources in health care if the decision maker’s intention is to maximize the use of specialists’ assistance and medical exams. Results: The results reveal possible improvements in accessibility. Among the insights, the state government should hire 4% more specialists and acquire 1.5% more equipment to assist 99% of population demand for health care service on the secondary level. Limitation of the investigation: Usually, one appointment can result in more than one medical exam referral. However, this study considers that each specialist meeting refers to only one exam per consultation. Practical implications: This study contributes to healthcare planning, suggesting a better distribution and allocation of facilities, equipment, and professionals. Moreover, the study proposes accessibility improvements to health unit centers. Originality / Value: The main contribution of this work is the new integrated approach to public health care planning. The system proposes the reduction of access inequality and the improvement of the quality of health care services.
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Gottlieb, Alison S., and Francis G. Caro. "Providing low-tech assistive equipment through home care services: The Massachusetts Assistive Equipment Demonstration." Technology and Disability 13, no. 1 (May 14, 2001): 41–53. http://dx.doi.org/10.3233/tad-2000-13105.

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Rosyidah, Hanifatur, Korrie De Koning, and Hermen Ormel. "Quality of maternal health care in Indonesia." Journal of Health Technology Assessment in Midwifery 2, no. 1 (May 30, 2019): 10–22. http://dx.doi.org/10.31101/jhtam.924.

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Maternal Mortality Ratio (MMR) in Indonesia remains high, 190 per 100,000 live births in 2013. World Bank emphasizes that 60% of maternal death is contributed by poor quality of care. Lack of attitude, competence and compliance of midwives were found in Indonesia, which indicate poor quality of maternal health care. The objective of this study is to analyze factors influencing the quality of maternal health care in Indonesia. The literatures from 2004-2014 were selected and reviewed. The latest framework of 2014 on quality maternal health care by Renfrew et al. was used as a guide. The quality of maternal health care in Indonesia is influenced by lack of midwives’ competence, inadequate supervision and monitoring, lack of drugs and equipment supply, lack of community involvement in health services. In order to address the gaps in quality of maternal health care in Indonesia, six effective interventions are proposed; namely: maternal health audit and feedback, cultural competence, education, educational outreach visit, optimizing the role of lay health workers, group prenatal care and ensure adequate supply of drugs and equipment. The interventions needs to be carried out through a collaborative approach, policy change, pilot study and strengthen activities in implementation level.
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Iwakiri, Kazuyuki, Masaya Takahashi, Midori Sotoyama, Mamoru Hirata, and Naomi Hisanaga. "Usage Survey of Care Equipment in Care Service Facilities for the Elderly." SANGYO EISEIGAKU ZASSHI 49, no. 1 (2007): 12–20. http://dx.doi.org/10.1539/sangyoeisei.49.12.

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Blinov, N. N., A. Iu Vasil'ev, and V. Ia Zinichenko. "Need and sufficiency of technical re-equipment of national health care." Laboratornaya sluzhba 3, no. 4 (2014): 44. http://dx.doi.org/10.17116/labs20143444-48.

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Tomas, Myreen E., Sirisha Kundrapu, Priyaleela Thota, Venkata C. K. Sunkesula, Jennifer L. Cadnum, Thriveen Sankar Chittoor Mana, Annette Jencson, et al. "Contamination of Health Care Personnel During Removal of Personal Protective Equipment." JAMA Internal Medicine 175, no. 12 (December 1, 2015): 1904. http://dx.doi.org/10.1001/jamainternmed.2015.4535.

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Beam, Elizabeth L., Shawn G. Gibbs, Kathleen C. Boulter, Marcia E. Beckerdite, and Philip W. Smith. "A method for evaluating health care workers’ personal protective equipment technique." American Journal of Infection Control 39, no. 5 (June 2011): 415–20. http://dx.doi.org/10.1016/j.ajic.2010.07.009.

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Jarou, Zachary J. "Contamination of Health Care Personnel During Removal of Personal Protective Equipment." Journal of Emergency Medicine 50, no. 3 (March 2016): 543–44. http://dx.doi.org/10.1016/j.jemermed.2016.01.009.

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Gillespie, Elizabeth, Anita Lovegrove, and Despina Kotsanas. "Health care workers use disposable microfiber cloths for cleaning clinical equipment." American Journal of Infection Control 43, no. 3 (March 2015): 308–9. http://dx.doi.org/10.1016/j.ajic.2014.12.003.

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29

Fischer, William A., David J. Weber, and David A. Wohl. "Personal Protective Equipment: Protecting Health Care Providers in an Ebola Outbreak." Clinical Therapeutics 37, no. 11 (November 2015): 2402–10. http://dx.doi.org/10.1016/j.clinthera.2015.07.007.

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Ma, Hao, Hao Liu, and Zhi Qing Ma. "The Design of Communication System for Wearable Health Monitoring Equipment." Applied Mechanics and Materials 599-601 (August 2014): 1106–10. http://dx.doi.org/10.4028/www.scientific.net/amm.599-601.1106.

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Viewing the health care problem facing the aging society, an intelligent wearable monitoring system is designed, which is able to collecting real-time data and analyze the data for physiological parameters for a plurality of monitoring object. The system, with CAN bus interface chip C8051F040 low power and wireless RF chip nRF24L01 as the core, collect real-time multiple physiological parameters of monitored objects through wireless mode, and send the data to the monitoring center through high reliability CAN bus mode, so as to achieve the intelligent home health care function.
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Prisyazhnaya, N. V., and M. O. Koriagin. "THE PERCEPTION OF OUTCOMES OF HEALTH CARE MODERNIZATION BY MEDICAL SPECIALISTS." Sociology of Medicine 18, no. 2 (December 15, 2019): 122–27. http://dx.doi.org/10.18821/1728-2810-2019-18-2-122-127.

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The social institute of medicine, which has been developing steadily throughout the existence of mankind, covers not only clinical aspects of health, but also socio-economic, cultural, organizational and other components of population health protection. Nowadays, at the "digitalization" stage of society development, health care system is being rebuilt on the basis actual requirements. The condition of the "catching-up" development of industry is implementation of modernization measures targeted to updating material and technical components of health care system, as well as expansion of skills of medical personnel with modern medical equipment and programs. The article presents the results of medical and sociological study (pilot survey) of peculiarities of perception of results of modernization of health care system by medical specialists (as exemplified by the personnel of Krasnogorsk multi-field hospital). The most medical specialists working with equipment received under the state program of modernization of the health care perceived modernization positively (especially personnel working in medicine more than ten years) and believe that measures applied contributed into improving quality of medical care of patients. However, in order to increase efficiency of application of new medical equipment, it is necessary to include into health care modernization program position of mandatory training of medical staff.
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Pandita, Aakash, and Girish Gupta. "GAAREIP: Indian Innovation of Caps and Personal Protective Equipment." Journal of Neonatology 34, no. 1-2 (June 2020): 24–27. http://dx.doi.org/10.1177/0973217920927606.

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The world has recently been hit by a pandemic caused by the novel Coronavirus infection. The infection is highly contagious and possesses a significant risk for health care workers caring for the infected patients. With more than 200 countries being affected and around 3,00,000 deaths across the globe, the essential supply of masks and personal protective equipment has been falling short of the ever increasing need. In such crisis there is a need for innovating and designing endogenous masks and equipment to avoid compromise in care of the effected patients and for safeguarding the health of health care workers.
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Krug, Steven E. "Staff and equipment for pediatric critical care transport." Current Opinion in Pediatrics 4, no. 3 (June 1992): 445–50. http://dx.doi.org/10.1097/00008480-199206000-00010.

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Chen, Xing, Hong Lun Hou, Ming Hui Wu, and Mei Mei Huo. "Wrist Wearable Physiological Signal Detection Equipment with Biochemical Materials." Advanced Materials Research 459 (January 2012): 293–97. http://dx.doi.org/10.4028/www.scientific.net/amr.459.293.

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This paper designed a wrist Device which can detect physiological information and save the information data. The information got by device is including Oxygen saturation of blood, Pulse rate and steps. And the device even can distinguish the state of human body between fall and normal activities with 3-axis accelerometer. The equipment designed for family health care and remote healthy care field. The operation of device is so easy to be mastered that the device might have a potential value for the future medical field
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Osoro, Alfred A., Edwine B. Atitwa, and John K. Moturi. "Universal Health Coverage." World Journal of Social Science Research 7, no. 4 (September 18, 2020): p14. http://dx.doi.org/10.22158/wjssr.v7n4p14.

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Universal Health Coverage has attracted global attention as an ideal vehicle that will drive health care services to the individuals, families, and communities globally. Good health systems are capable of serving the needs of entire populations, including the availability of infrastructure, human resources, health technologies, and medicines. This study seeks to identify the barriers and challenges which have hindered the provision of basic health care to communities and suggest ways of addressing some of them. Literature search reviewed 40 materials which were more relevant. Results revealed that there have been disparities in the provision of healthcare. Challenges in service provision include; lack of political commitment, weak health system resulting from limited financial allocation and poor leadership, lack of adequate number of skilled human resources, equipment and supplies and poor infrastructures. For UHC to be successful, an effective and well-functioning Primary Health Care (PHC) system is essential. Thus health systems can be strengthened through financial allocation; training of skilled and well-motivated healthcare workers. Also provision of right equipment and supplies, equity in resource distribution, improvement of infrastructures to meet the needs of the people is fundamental.
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Cheung, Amanda, Nancy Clayden, Wrechelle Ocampo, Linet Kiplagat, Jaime Kaufman, Barry Baylis, John M. Conly, et al. "Documentation and investigation of missing health care equipment: The need to safeguard high priced devices in health care institutions." Journal of Hospital Administration 6, no. 2 (February 13, 2017): 10. http://dx.doi.org/10.5430/jha.v6n2p10.

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Objective: Missing medical equipment in health care settings decrease productivity, increase spending to replace losses, and potentially endanger patient safety. By documenting and investigating the causes of these incidents, strategies to prevent future occurrences can be developed.Methods: As an example of this approach, we describe the inadvertent disposal of an expensive medical device during a randomized controlled trial (RCT) conducted within a medical facility. The incident was carefully documented and investigated shortly after it occurred. This information was used to develop targeted interventions to prevent further occurrences.Results: The device was a mattress overlay connected to a computer monitor that generated a continuous pressure image for use by nursing staff in the prevention of pressure injuries. An Environmental Services staff member disposed of one of these devices when the room of an enrolled patient was cleaned following their transfer to another unit. Miscommunication (or a misunderstanding of communicated information) and lack of awareness were identified as the main causes of this error.Discussion: By using the loss as a learning opportunity, the investigation of the incident led to strategies for preventing future occurrences. These included frequent training sessions for staff and improvements in signage. A detailed, factual and timely investigation of the events around the loss of armamentarium coupled with analysis on how to prevent future occurrences should be considered for all incidents involving high cost equipment.Conclusions: A standardized, non-judgmental approach to documenting and investigating the causes of costly equipment loss can lead to strategies for improved asset management and the prevention of further incidents of this nature.
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Heuck, Claus C., and Andrȳ Deom. "Health care in the developing world: need for appropriate laboratory technology." Clinical Chemistry 37, no. 4 (April 1, 1991): 490–96. http://dx.doi.org/10.1093/clinchem/37.4.490.

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Abstract Health care technology is rapidly advancing, and the development of equipment based on new principles has had a strong impact on laboratory services in Western countries. The use of such technologies frequently creates problems in countries of the Third World, because the effects of several interacting elements are not always taken into account. Not only technical factors but also socioeconomic and political factors, as well as differences in diseases in developing countries, must be considered. Standardization of equipment and methodology, and adaptation to local health systems, will facilitate improvement of laboratory services. Training and incentives for local initiatives are fundamental elements for the provision of cost-effective health care.
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Paramita, Windya Kartika. "Systematic Review: Affecting Behaviour of Hygiene and Health Care of the Eldery." Jurnal PROMKES 9, no. 1 (March 30, 2021): 69. http://dx.doi.org/10.20473/jpk.v9.i1.2021.69-78.

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Background: The Elderly is an age group that has decreased organ function which is susceptible to various diseases. The elderly also experience physical decline which can affect personal hygiene and health care behavior. Objective: To determine the factors that affect the personal hygiene and health care of the elderly. Method: Personal hygiene referred to in this study was hygiene to care for the whole body including skin, feet, teeth, nails, and hair. This study was a systematic review of studies with primary data related to factors affecting personal hygiene and health care for the elderly. The study was conducted on 35 international journals. Results: Personal hygiene of the elderly are feet. Factors that influence their hygiene on demographic factors include residence, education, source of income, gender, age, and knowledge. Factors affecting elderly hygiene on personal characteristic factors include need assistance, perceived benefits, disease, frequency of cleansing, self-efficacy, physical change, degree of independence, mobility, and self-motivation. Factors affecting them on facilities and infrastructure factors supporters include equipment, care services facilities, equipment, distance to care service facilities, social support, and practical conditions. Factors affecting on healthy program factors include training, education caregiver, motivation caregiver, health promotion, health information seeking, satisfaction, informal care, behavioral programs, utilization, and functional health literacy. Conclusion: Factors affecting personal hygiene and health care for the elderly include demographics, characteristics of the elderly, supporting facilities, and infrastructure and health programs. Dominant factor affecting personal hygiene and health care for elderly are educational, residence, and income source.
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39

Newsham, Katherine R. "Performance Enhancement and Health Care Professionals’ Ethical Obligation." International Journal of Athletic Therapy and Training 22, no. 1 (January 2017): 19–23. http://dx.doi.org/10.1123/ijatt.2016-0021.

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Performance enhancement is a multibillion dollar industry, with little known about the efficacy or safety of many practices. Many sport governing bodies have banned certain equipment, supplements, and drugs, yet, some athletes use anyway. This use may pose a danger to the individual user, as well as to other participants, and can challenge the integrity of the sport. We must consider how we, as health care professionals, balance personal autonomy, individual safety, and the integrity of sport in fulfilling our social contract.
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40

IWAKI, Tsunehito. "Mechatronics for Health Care Support : Equipment Coming in Contact with Elderly People." Journal of the Society of Mechanical Engineers 101, no. 950 (1998): 50–53. http://dx.doi.org/10.1299/jsmemag.101.950_50.

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41

John, Amrita, Myreen E. Tomas, Jennifer L. Cadnum, Thriveen S. C. Mana, Annette Jencson, Aaron Shaikh, Trina F. Zabarsky, Brigid M. Wilson, and Curtis J. Donskey. "Are health care personnel trained in correct use of personal protective equipment?" American Journal of Infection Control 44, no. 7 (July 2016): 840–42. http://dx.doi.org/10.1016/j.ajic.2016.03.031.

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42

Heslop, Liza, Andrew Howard, Juanita Fernando, Andrew Rothfield, and Lyn Wallace. "Wireless communications in acute health-care." Journal of Telemedicine and Telecare 9, no. 4 (August 1, 2003): 187–93. http://dx.doi.org/10.1258/135763303322225490.

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Before a particular form of wireless communication is implemented within a health-care institution, consideration should be given to the system's capacity for transmitting voice, data and video information, as well as its reliability and coverage. An important associated choice concerns the best combination of user devices that will enable secure and rapid transmission of data to clinical staff at the point of care. Several technologies are available. No new technology that is likely to become available over the next five years will address the two main concerns of health service organizations: the need for non-interference with sensitive equipment; and the need for immediate communication of urgent messages. We therefore believe that health industries with a mobile workforce will gain five to eight years of useful life from cordless telephone systems and that paging or other radio-based devices will remain an important mode of communication for at least the next five years, especially where emergency communication is concerned.
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43

Barnett, Paul G. "Determination of VA Health Care Costs." Medical Care Research and Review 60, no. 3_suppl (September 2003): 124S—141S. http://dx.doi.org/10.1177/1077558703256483.

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In the absence of billing data, alternative methods are used to estimate the cost of hospital stays, outpatient visits, and treatment innovations in the U.S. Department of Veterans Affairs (VA). The choice of method represents a trade-off between accuracy and research cost. The direct measurement method gathers information on staff activities, supplies, equipment, space, and workload. Since it is expensive, direct measurement should be reserved for finding short-run costs, evaluating provider efficiency, or determining the cost of treatments that are innovative or unique to VA. The pseudo-bill method combines utilization data with a non-VA reimbursement schedule. The cost regression method estimates the cost of VA hospital stays by applying the relationship between cost and characteristics of non-VA hospitalizations. The Health Economics Resource Center uses pseudo-bill and cost regression methods to create an encounter-level database of VA costs. Researchers are also beginning to use the VA activity-based cost allocation system.
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44

Leenders, Josette, and Lars-Åke Marké. "An Annotated Bibliography on Home Care Technologies." International Journal of Technology Assessment in Health Care 1, no. 2 (April 1985): 371–93. http://dx.doi.org/10.1017/s0266462300000155.

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Curtiss, F. R. (1984). Reimbursement dilemma regarding home health-care products and services. Am. J. Hosp. Pharm., August, 41(8), 1548–57.Reimbursement mechanisms for home health-care products and services are discussed in detail. The two major categories of the home health care industry—(1) skilled nursing, homemaker, and other services, and (2) equipment, supplies, and other products (including drugs)—are reimbursed by third-party payers differently. While prospective pricing of inpatient care encourages the growth of home-care services, government administrators are concerned about potential spending growth at time of ballooning deficits, and private health insurers are uncertain about coverage criteria. Nuances of Medicare coverage criteria and private insurance reimbursement for home health care services are described. Medicaid coverage of drugs and biologicals for home patients is also described. The Health Care Financing Administration (HCFA) is expected to clarify and restrict Medicare coverage and payment of home-care products, equipment, and supplies. Medical justification will probably become more specific with greater attention to patient diagnoses and prognosis of patient therapies. Per-case payment methods will be refined to encompass home care. The government and private insurance programs will move toward capitation payment methods under which institutions will have even greater incentives to develop sophisticated home-care programs to substitute for institutional care. L.A.M.
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45

Elikplim Pomevor, Kokui, and Augustine Adomah-Afari. "Health providers’ perception of quality of care for neonates in health facilities in a municipality in Southern Ghana." International Journal of Health Care Quality Assurance 29, no. 8 (October 10, 2016): 907–20. http://dx.doi.org/10.1108/ijhcqa-04-2016-0055.

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Purpose The purpose of this paper is to assess available human resources for neonatal care and their skills, in order to explore health providers’ perceptions of quality of neonatal care in health facilities in Ghana. Design/methodology/approach Data were gathered using qualitative interviews with health providers working in the maternity and paediatric wards and midwives; direct observation; and documentary review at a regional hospital, a municipal hospital and four health centres in a municipality in a region in Southern Ghana. Data were analysed using thematic framework through the process of coding in six phases to create and establish meaningful patterns. Findings The study revealed that health providers were concerned about the number of staff available, their competence and also equipment available for them to work more efficiently. Some essential equipment for neonatal care was either not available or was non-functional where it was available, while aseptic procedures were not adhered to. Moreover, personal protective equipment such as facemask, caps, aprons were not used except in the labour wards where staff had to change their footwear before entering. Research limitations/implications Limited number of health providers and facilities used, lack of exploration of parents of neonates’ perspective of quality of neonatal care in this study and other settings, including the teaching hospitals. The authors did not examine issues related to the ineffective use of IV cannulation for neonates by nurses as well as referral of neonates. Additionally, the authors did not explore the perspectives of management of the municipal and regional health directorates or policy makers of the Ministry of Health and Ghana Health Service regarding the shortage of staff, inadequate provision of medical equipment and infrastructure. Practical implications This paper suggests the need for policy makers to redirect their attention to the issues that would improve the quality of neonatal health care in health facilities in Ghana and in countries with similar challenges. Social implications The study found that the majority of nursing staff catering for sick newborns were not trained in neonatal nursing. Babies were found sleeping in separate cots but were mixed with older children. The study suggests that babies should be provided with a separate room and not mixed with older babies. Originality/value There seemed to be no defined policy framework for management of neonatal care in the country’s health care facilities. The study recommends the adoption of paediatric and neonatal care nursing as a specialty in the curricula of health training institutions. In-service trainings should encompass issues related to management of sick babies, care of preterm babies, neonatal resuscitation and intravenouscannulation, among others.
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Talbot-johnstone, Tim, and Lorna Pender. "Improving patient care and outcomes: Standardisation of resuscitation training and equipment provision for health care providers." Resuscitation 130 (September 2018): e80-e81. http://dx.doi.org/10.1016/j.resuscitation.2018.07.164.

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47

KOTCH, J. B., D. J. CHALMERS, J. D. LANGLEY, and S. W. MARSHALL. "Child day care and home injuries involving playground equipment." Journal of Paediatrics and Child Health 29, no. 3 (June 1993): 222–27. http://dx.doi.org/10.1111/j.1440-1754.1993.tb00492.x.

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48

Banaee, Sean, Denise M. Claiborne, and Muge Akpinar-Elci. "Occupational health practices among dental care professionals before and during the COVID-19 pandemic." Work 68, no. 4 (April 27, 2021): 993–1000. http://dx.doi.org/10.3233/wor-205319.

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BACKGROUND: The COVID-19 pandemic has posed a substantial burden on dental care professionals. While dentistry is known as one of the most exposed and high-risk professions, dental care professionals are indeed at even greater risk. OBJECTIVE: The aim of this study was to assess knowledge, attitudes, occupational health practices, personal protective equipment usage, and mental stressors during COVID-19 pandemic among dental care professionals. METHODS: A cross-sectional study was conducted among dental care professionals who were subscribers to a dental hygiene journal using a self-administered online survey (n = 1047 respondents). Cross-tabulations were performed to determine differences in the responses to the statements related to different domains. RESULTS: COVID-19 impacted the healthy work-life balance (p < 0.001) and caused sleeping difficulty among the respondents (p < 0.001). Moreover, a lower response on changing respirators and gloves for each patient compared with before viral pandemic was observed (p < 0.01). CONCLUSIONS: Ongoing training on infection control, occupational health practices, and PPE usage can prevent the transmission of COVID-19 among dental care professionals and the public. Lack of adequate personal protective equipment (PPE) is a burden for applying occupational health practices in dental clinics and present a risk to the public. COVID-19 may contribute to developing psychological stress and disrupt healthy work-life balance among dental professionals.
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49

Baumgarten, Alexandre, Fernando Neves Hugo, Alexandre Fávero Bulgarelli, and Juliana Balbinot Hilgert. "Curative procedures of oral health and structural characteristics of primary dental care." Revista de Saúde Pública 52 (April 3, 2018): 35. http://dx.doi.org/10.11606/s1518-8787.2018052016291.

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OBJECTIVE: To evaluate if the provision of clinical dental care, by means of the main curative procedures recommended in Primary Health Care, is associated with team structural characteristics, considering the presence of a minimum set of equipment, instrument, and supplies in Brazil’s primary health care services. METHODS: A cross-sectional exploratory study based on data collected from 18,114 primary healthcare services with dental health teams in Brazil, in 2014. The outcome was created from the confirmation of five clinical procedures performed by the dentist, accounting for the presence of minimum equipment, instrument, and supplies to carry them out. Covariables were related to structural characteristics. Poisson regression with robust variance was used to obtain crude and adjusted prevalence ratios, with 95% confidence intervals. RESULTS: A total of 1,190 (6.5%) dental health teams did not present the minimum equipment to provide clinical dental care and only 2,498 (14.8%) had all the instrument and supplies needed and provided the five curative procedures assessed. There was a positive association between the outcome and the composition of dental health teams, higher workload, performing analysis of health condition, and monitoring of oral health indicators. Additionally, the dental health teams that planned and programmed oral health actions with the primary care team monthly provided the procedures more frequently. Dentists with better employment status, career plans, graduation in public health or those who underwent permanent education activities provided the procedures more frequently. CONCLUSIONS: A relevant number of Primary Health Care services did not have the infrastructure to provide clinical dental care. However, better results were found in dental health teams with oral health technicians, with higher workload and that plan their activities, as well as in those that employed dentists with better working relationships, who had dentists with degrees in public health and who underwent permanent education activities.
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Gaievskyi, Stanislav, and Colin Meghoo. "Availability of Essential Medical Equipment for Prehospital Trauma Care on Public Ambulances in Ukraine." Prehospital and Disaster Medicine 34, s1 (May 2019): s104. http://dx.doi.org/10.1017/s1049023x19002164.

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Introduction:The public ambulance system in Ukraine is the primary deliverer of prehospital care for trauma patients in this Eastern European country, but no national assessment has previously been made to ensure the presence of essential medical equipment on these ambulances.Aim:Working with the Ukraine Ministry of Health, our aim was to assess the availability of public ambulances of medical equipment essential for managing traumatic injury using an internationally recognized standard for prehospital care.Methods:We identified 53 Advanced Life Support (ALS) ambulances from randomly selected cities for evaluation. We performed an inventory of available medical equipment and supplies on these ambulances against a matrix of essential equipment for prehospital providers developed by the World Health Organization (WHO).Results:Essential medical equipment in the categories of personal protection, patient monitoring, hemorrhage control, and immobilization were generally available in the ALS public ambulances surveyed. Deficiencies were noted in equipment and supplies for basic and advanced airway monitoring and management.Discussion:Public ALS ambulances across Ukraine are adequately equipped with many essential medical supplies to manage traumatic injury, but have deficiencies in both basic and advanced airway management. Correcting these deficiencies may improve prehospital survival of the traumatically injured patient. The results of this study will enable the Ukraine Ministry of Health to develop requirements of essential medical equipment for all public ALS ambulances in the country, to inform resource allocation decisions, and to guide public health policy regarding prehospital trauma care.
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