Academic literature on the topic 'Hospitals Victoria Emergency service'
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Journal articles on the topic "Hospitals Victoria Emergency service"
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Duckett, Stephen, and Amanda Kenny. "Hospital outpatient and emergencyservices in rural Victoria." Australian Health Review 23, no. 4 (2000): 115. http://dx.doi.org/10.1071/ah000115.
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Outpatient and emergency services in rural hospitals have rarely been studied. This paper analyses routinely collecteddata, together with data from a survey of hospitals, to provide a picture of these services in Victorian public hospitals.The larger rural hospitals provide the bulk of rural outpatients and emergency services, particularly so for medicaloutpatients. Cost per service varies with the size of the hospital, possibly reflecting differences in complexity. Fundingpolicies for rural hospital outpatient and emergency services should be sufficiently flexible to take into account thedifferences between rural hospitals.
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Rezaei-Darzi, Ehsan, Janneke Berecki-Gisolf, and Dasamal Tharanga Fernando. "How representative is the Victorian Emergency Minimum Dataset (VEMD) for population-based injury surveillance in Victoria? A retrospective observational study of administrative healthcare data." BMJ Open 12, no. 12 (December 2022): e063115. http://dx.doi.org/10.1136/bmjopen-2022-063115.
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ObjectiveThe Victorian Emergency Minimum Dataset (VEMD) is a key data resource for injury surveillance. The VEMD collects emergency department data from 39 public hospitals across Victoria; however, rural emergency care services are not well captured. The aim of this study is to determine the representativeness of the VEMD for injury surveillance.DesignA retrospective observational study of administrative healthcare data.Setting and participantsInjury admissions in 2014/2015–2018/2019 were extracted from the Victorian Admitted Episodes Dataset (VAED) which captures all Victorian hospital admissions; only cases that arrived through a hospital’s emergency department (ED) were included. Each admission was categorised as taking place in a VEMD-contributing versus a non-VEMD hospital.ResultsThere were 535 477 incident injury admissions in the study period, of which 517 207 (96.6%) were admitted to a VEMD contributing hospital. Male gender (OR 1.13 (95% CI 1.10 to 1.17)) and young age (age 0–14 vs 45–54 years, OR 4.68 (95% CI 3.52 to 6.21)) were associated with VEMD participating (vs non-VEMD-participating) hospitals. Residing in regional/rural areas was negatively associated with VEMD participating (vs non-VEMD participating) hospitals (OR=0.11 (95% CI 0.10 to 0.11)). Intentional injury (assault and self-harm) was also associated with VEMD participation.ConclusionsVEMD representativeness is largely consistent across the whole of Victoria, but varies vastly by region, with substantial under-representation of some areas of Victoria. By comparison, for injury surveillance, regional rates are more reliable when based on the VAED. For local ED-presentation rates, the bias analysis results can be used to create weights, as a temporary solution until rural emergency services injury data is systematically collected and included in state-wide injury surveillance databases.
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Fahey, Kieren P., Ben Gelbart, Felix Oberender, Jenny Thompson, Tom Rozen, Christopher James, Catriona McLaren, Jonathan Sniderman, and Wonie Uahwatanasakul. "Interhospital transport of children with bronchiolitis by a statewide emergency transport service." Critical Care and Resuscitation 23, no. 3 (September 6, 2021): 292–99. http://dx.doi.org/10.51893/2021.3.oa6.
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OBJECTIVE: To investigate the rate of interhospital emergency transport for bronchiolitis and intensive care admission following the introduction of high flow nasal cannula and standardised paediatric observation and response charts. DESIGN: Retrospective cohort study. SETTING: A statewide paediatric intensive care transport service and its two referral paediatric intensive care units (PICUs) in Victoria, Australia. PARTICIPANTS: Children less than 2 years old emergently transported with bronchiolitis during two time periods: 2008–2012 and 2015–2019. MAIN OUTCOME MEASURES: Incidence rates of bronchiolitis transport episodes, PICU admissions and respiratory support. RESULTS: 802 children with bronchiolitis were transported during the study period, 233 in the first period (2008–2012) and 569 in the second period (2015–2019). The rate of interhospital transport for bronchiolitis increased from 32.9 to 71.8 per 100 000 children aged 0–2 years. The population-adjusted rate of PICU admission increased from 16.2 to 36.6 per 100 000 children aged 0–2 years. Metropolitan hospitals were the predominant referral source and this increased from 60.1% of transports to 78.6% (P < 0.001). In children admitted to a PICU, the administration of high flow nasal cannula during transport increased significantly from 1.7% to 75.9% (P < 0.001) and a concomitant reduction in continuous positive airway pressure and mechanical ventilation occurred (40–12.4% and 27–6.9% respectively; P < 0.001). The proportion of mechanical ventilation as well as PICU and hospital length of stay decreased over time. CONCLUSIONS: The population-adjusted rate of interhospital transport and admission to the PICU for bronchiolitis increased over time. This occurred despite a lower rate of non-invasive and invasive mechanical ventilation during transport and in the PICU.
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McDonald, Paul. "From Streets to Sidewalks: Developments in Primary Care Services for Injecting Drug Users." Australian Journal of Primary Health 8, no. 1 (2002): 65. http://dx.doi.org/10.1071/py02010.
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Primary Health Care for the Injecting Drug User (IDU) has been established in Victoria in recognition of the serious health needs of IDUs, which require a relevant and effective response. Research shows the medical consequences that flow from drug abuse, ranging from the onset of blood borne viruses to cardiovascular conditions, and the propensity of drug users to access health services only through accident and emergency areas of hospitals. In 1999, the Victorian government announced the funding of five Local Drug Strategies in five of Melbourne's 'hotspot' street drug areas to address both the needs of users and communities in relation to substance abuse. This funding was an impetus to establish and trial the concept of primary health services, combining both a fixed site and a mobile outreach service. These services are designed to meet the primary health needs of street-based injecting drug users who are at high risk of experiencing overdose or other forms of drug-related harm.
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Boyle, Malcolm J., M. ClinEpi, Erin C. Smith, and Frank L. Archer. "Trauma Incidents Attended by Emergency Medical Services in Victoria, Australia." Prehospital and Disaster Medicine 23, no. 1 (February 2008): 20–28. http://dx.doi.org/10.1017/s1049023x00005501.
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AbstractIntroduction:International literature describing the profile of trauma patients attended by a statewide emergency medical services (EMS) system is lacking. Most literature is limited to descriptions of trauma responses for a single emergency medical service, or to patients transported to a specific Level-1 trauma hospital. There is no Victorian or Australian literature describing the type of trauma patients transported by a state emergency medical service.Purpose:The purpose of this study was to define a profile of all trauma incidents attended by statewide EMS.Methods:A retrospective cohort study of all patient care records (PCR) for trauma responses attended by Victorian Ambulance Services for 2002 was conducted. Criteria for trauma categories were defined previously, and data were extracted from the PCRs and entered into a secure data repository for descriptive analysis to determine the trauma profile. Ethics committee approval was obtained.Results:There were 53,039 trauma incidents attended by emergency ambulances during the 12-month period. Of these, 1,566 patients were in physiological distress, 11,086 had a significant pattern of injury, and a further 8,931 had an identifiable mechanism of injury. The profile includes minor trauma (n = 9,342), standing falls (n = 20,511), no patient transported (n = 3,687), and deceased patients (n = 459).Conclusions:This is a unique analysis of prehospital trauma. It provides a baseline dataset that may be utilized in future studies of prehospital trauma care. Additionally, this dataset identifies a ten-fold difference in major trauma between the prehospital and the hospital assessments.
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Siegloff, L., L. Cusack, P. Arbon, A. Hutton, and L. Mayner. "(A109) Health Workforce and Disaster Preparedness of Rural Hospitals." Prehospital and Disaster Medicine 26, S1 (May 2011): s30—s31. http://dx.doi.org/10.1017/s1049023x11001117.
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Following the devastating March 2009 Victorian bushfire disaster in rural areas of Australia, authorities reviewed strategies designed to protect communities during periods of extreme fire risk. New policy and regulation were introduced and designed to ensure that small rural communities were protected and prepared to confront a wildfire emergency during days of extreme heat or bushfire risk weather. As a result on days of declared ‘catastrophic’ bushfire weather conditions government agencies in South Australia have implemented a policy for schools (including pre-schools) to be temporarily closed. On these days community members are advised to evacuate early to safe regional centres, and to limit travel on country roads. The WADEM Guidelines for Disaster Evaluation and Research demonstrate that Basic Societal Functions (BSFs), such as education, health, transport and others, are interconnected and interdependent. For example in small rural communities in South Australia people may have a number of important roles including being parents, volunteers of emergency services while also being employed as staff of local hospitals. This project reviewed the impact of school closures and other protective measures on the availability of the rural nursing workforce and on rural hospitals. Rural hospitals in Australia are staffed, on average, by 2–8 nurses, service very small communities and are separated by great distances. As a result, small changes in the absentee rate for nurses can have a significant impact on the operation of these hospitals. This paper will argue that policy changes in other sectors, such as education, can impact on societal activities such as childcare, volunteer emergency service work, and hospital staffing, in ways that may not be anticipated unless the impact on all Basic Societal Functions are considered by policymakers.
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McLean, Karen, Harriet Hiscock, Dorothy Scott, and Sharon Goldfeld. "What is the timeliness and extent of health service use of Victorian (Australia) children in the year after entry to out-of-home care? Protocol for a retrospective cohort study using linked administrative data." BMJ Paediatrics Open 3, no. 1 (January 2019): e000400. http://dx.doi.org/10.1136/bmjpo-2018-000400.
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IntroductionChildren entering out-of-home care have high rates of health needs across all domains of health. To identify these needs early and optimise long-term outcomes, routine health assessment on entry to care is recommended by child health experts and included in policy in many jurisdictions. If effective, this ought to lead to high rates of health service use as needs are addressed. Victoria (Australia) has no state-wide approach to deliver routine health assessments and no data to describe the timing and use of health service visits for children in out-of-home care. This retrospective cohort data linkage study aims to describe the extent and timeliness of health service use by Victorian children (aged 0–12 years) who entered out-of-home care for the first time between 1 April 2010 and 31 December 2015, in the first 12 months of care.Methods and analysisThe sample will be identified in the Victorian Child Protection database. Child and placement variables will be extracted. Linked health databases will provide additional data: six state databases that collate data about hospital admissions, emergency department presentations and attendances at dental, mental and community health services and public hospital outpatients. The federal Medicare Benefits Schedule claims dataset will provide information on visits to general practitioners, specialist physicians (including paediatricians), optometrists, audiologists and dentists. The number, type and timing of visits to different health services will be determined and benchmarked to national standards. Multivariable logistic regression will examine the effects of child and system variables on the odds of timely health visits, and proportional-hazards regression will explore the effects on time to first health visits.Ethics and disseminationEthical and data custodian approval has been obtained for this study. Dissemination will include presentation of findings to policy and service stakeholders in addition to scientific papers.
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Eastwood, Kathryn, Stuart Howell, Ziad Nehme, Judith Finn, Karen Smith, Peter Cameron, Dion Stub, and Janet E. Bray. "Impact of a mass media campaign on presentations and ambulance use for acute coronary syndrome." Open Heart 8, no. 2 (October 2021): e001792. http://dx.doi.org/10.1136/openhrt-2021-001792.
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ObjectiveBetween 2009 and 2013, the National Heart Foundation of Australia ran mass media campaigns to improve Australian’s awareness of acute coronary syndrome (ACS) symptoms and the need to call emergency medical services (EMS). This study examined the impact of this campaign on emergency department (ED) presentations and EMS use in Victoria, Australia.MethodsThe Victorian Department of Health and Human Services provided data for adult Victorian patients presenting to public hospitals with an ED diagnosis of ACS or unspecified chest pain (U-CP). We modelled changes in the incidence of ED presentations, and the association between the campaign period and (1) EMS arrival and (2) referred to ED by a general practitioner (GP). Models were adjusted for increasing population size, ACS subtype and demographics.ResultsBetween 2003 and 2015, there were 124 632 eligible ED presentations with ACS and 536 148 with U-CP. In patients with ACS, the campaign period was associated with an increase in ED presentations (incidence rate ratio: 1.11; 95% CI 1.07 to 1.15), a decrease in presentations via a GP (adjusted OR (AOR): 0.77; 95% CI 0.70 to 0.86) and an increase in EMS use (AOR: 1.10; 95% CI 1.05 to 1.17). Similar, but smaller associations were seen in U-CP.ConclusionsThe Warning Signs Campaign was associated with improvements in treatment seeking in patients with ACS—including increased EMS use. The increase in ACS ED presentations corresponds with a decrease in out-of-hospital cardiac arrest over this time. Future education needs to focus on improving EMS use in ACS patient groups where use remains low.
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Joyce, Catherine M., Jo Wainer, Frank Archer, Andrea Wyatt, and Leon Pitermann. "Trends in the paramedic workforce: a profession in transition." Australian Health Review 33, no. 4 (2009): 533. http://dx.doi.org/10.1071/ah090533.
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Ambulance services play a key role in the Australian health system, as the primary providers of pre-hospital clinical care, emergency care and specialised transport.1 Although at present there is a strong focus on broad health system reform, and health workforce reform specifically, little attention has been paid to the place of pre-hospital clinical care and the paramedic workforce that provides these services. Despite their significant role in the health system, there is no strategic national approach by government to the development of ambulance services or the paramedic workforce. In this paper, we review current and emerging trends impacting on the paramedic workforce. We examine changes in patterns of ambulance service provision and the nature of clinical work undertaken by paramedics, as well as developments in education, training and career pathways. We focus on the current situation in Victoria to illustrate and identify a number of important implications of current changes, for the profession, service and training providers, and policy makers.
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Eastwood, Kathryn, Karen Smith, Amee Morgans, and Johannes Stoelwinder. "Appropriateness of cases presenting in the emergency department following ambulance service secondary telephone triage: a retrospective cohort study." BMJ Open 7, no. 10 (October 2017): e016845. http://dx.doi.org/10.1136/bmjopen-2017-016845.
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ObjectiveTo investigate the appropriateness of cases presenting to the emergency department (ED) following ambulance-based secondary telephone triage.DesignA pragmatic retrospective cohort analysis of all the planned and unplanned ED presentations within 48 hours of a secondary telephone triage.SettingThe secondary telephone triage service, called the Referral Service, and the hospitals were located in metropolitan Melbourne, Australia and operated 24 hours a day, servicing 4.25 million people. The Referral Service provides an in-depth secondary triage of cases classified as low acuity when calling the Australian emergency telephone number.PopulationCases triaged by the Referral Service between September 2009 and June 2012 were linked to ED and hospital admission records (N=44,523). Planned ED presentations were cases referred to the ED following the secondary triage, unplanned ED presentations were cases that presented despite being referred to alternative care pathways.Main outcome measuresAppropriateness was measured using an ED suitability definition and hospital admission rates. These were compared with mean population data which consisted of all of the ED presentations for the state (termed the ‘average Victorian ED presentation’).ResultsPlanned ED presentations were more likely to be ED suitable than unplanned ED presentations (OR 1.62; 95% CI 1.5 to 1.7; p<0.001) and the average Victorian ED presentation (OR 1.85; 95% CI 1.01 to 3.4; p=0.046). They were also more likely to be admitted to the hospital than the unplanned ED presentation (OR 1.5; 95% CI 1.4 to 1.6; p<0.001) and the average Victorian ED presentation (OR 2.3, 95% CI 2.24 to 2.33; p<0.001). Just under 15% of cases diverted away from the emergency care pathways presented in the ED (unplanned ED attendances), and 9.5% of all the alternative care pathway cases were classified as ED suitable and 6.5% were admitted to hospital.ConclusionsSecondary telephone triage was able to appropriately identify many ED suitable cases, and while most cases referred to alternative care pathways did not present in the ED. Further research is required to establish that these were not inappropriately triaged away from the emergency care pathways.
Dissertations / Theses on the topic "Hospitals Victoria Emergency service"
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O'Meara, Peter Francis Public Health & Community Medicine Faculty of Medicine UNSW. "Models of ambulance service delivery for rural Victoria." Awarded by:University of New South Wales. Public Health and Community Medicine, 2002. http://handle.unsw.edu.au/1959.4/18771.
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The primary aim of the research project was to develop conceptual models of rural ambulance service delivery based on different worldviews or philosophical positions, and then to compare and contrast these new and emerging models with existing organisational policy and practice. Four research aims were explored: community expectations of pre-hospital care, the existing organization of rural ambulance services, the measurement of ambulance service performance, and the comparative suitability of different pre-hospital models of service delivery. A unique feature was the use of soft systems methodology to develop the models of service delivery. It is one of the major non-traditional systems approaches to organisational research and lends itself to problem solving in the real world. The classic literature-hypothesis-experiment-results-conclusion model of research was not followed. Instead, policy and political analysis techniques were used as counter-points to the systems approach. The program of research employed a triangulation technique to adduce evidence from various sources in order to analyse ambulance services in rural Victoria. In particular, information from questionnaires, a focus group, interviews and performance data from the ambulance services themselves were used. These formed a rich dataset that provided new insight into rural ambulance services. Five service delivery models based on different worldviews were developed, each with its own characteristics, transformation processes and performance criteria. The models developed are titled: competitive; sufficing; community; expert; and practitioner. These conceptual models are presented as metaphors and in the form of holons and rich pictures, and then transformed into patient pathways for operational implementation. All five conceptual models meet the criteria for systemic desirability and were assessed for their political and cultural feasibility in a range of different rural communities. They provide a solid foundation for future discourse, debate and discussion about possible changes to the way pre-hospital services are delivered in rural Victoria.
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Andersson, Sanna, and Sandra Stålhult. "Hospitals exposed to flooding in Manila City, Philippines : GIS analyses of alternative emergency routes and allocation of emergency service and temporary medical centre." Thesis, Karlstads universitet, Fakulteten för humaniora och samhällsvetenskap (from 2013), 2014. http://urn.kb.se/resolve?urn=urn:nbn:se:kau:diva-33042.
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Every year the Philippines get affected by a number of typhoons, which cause severe damage, sometimes due to flooding. The capital, Manila, is located on a flood plain that is partly at, and even below sea level and with several rivers crossing the area. These are some of the factors that contribute to that Manila often is affected by severe flooding. During ten weeks of the spring semester in 2014, this thesis was conducted as a completion of the bachelor program Geographic Information System (GIS) at Karlstad University, Sweden. Eight weeks were spent in Manila in the Philippines at the University of the Philippines Diliman, School of Urban and Regional Planning (UP SURP). The aim of the study was to investigate how hospitals in Manila City get affected during flooding. GIS was used to perform network analyses, in order to calculate the shortest route for the emergency service to travel from a station via a barangay to a hospital. The shortest alternative route during a 5-year flood was also calculated in order to compare the distance differences that might be due to flood. During a 100-year flood another type of analysis was performed, where suggestions for suitable locations for placing emergency service and temporary medical centre were presented. These suggestions on suitable locations were placed in an area that will not be affected during a 100-year flood. Results from the analyses showed that Manila City is a very exposed area during flood. During a 5-year flood some parts of Manila City will be highly exposed and about 1/4 of the population will be affected. The shortest alternative route for the emergency service to use during flood will generally be longer than in normal situations. Some hospitals cannot be accessed from some barangays due to impassable roads. During a 100-year flood the area gets gravely affected, almost 2/3 of the population will be affected and many roads become impassable, which limits the accessibility in Manila City.
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Frederick, John (John William) 1952. ""The help I need is more than the help they can give me" : a study of the life circumstances of emergency relief clients." Monash University, Dept. of Social Work, 2004. http://arrow.monash.edu.au/hdl/1959.1/5151.
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Mak, Kin-ming, and 麥健銘. "Emergency psychiatric attendance in a Hong Kong hospital: a local experience in understanding factors associatedwith re-attendance." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B3972489X.
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梁寶珊 and Po-shan Melissa Leung. "The prevalence of domestic violence among the female Chinese population in the accident and emergency department." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2002. http://hub.hku.hk/bib/B25910681.
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Tse, Po-shu Patrick, and 謝寶樹. "An application of short-term scheduling tactics to the accident and emergency department of a public hospital in Hong Kong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1990. http://hub.hku.hk/bib/B31264785.
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Moore, Simon Peter. "Delays in the emergency department and their effects on the ambulance provider." CSUSB ScholarWorks, 2002. https://scholarworks.lib.csusb.edu/etd-project/2067.
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Silva, Nilce Mara da. "Aspectos facilitadores e dificultadores do trabalho do enfermeiro em cargos gerenciais em hospital." Universidade de São Paulo, 2015. http://www.teses.usp.br/teses/disponiveis/22/22132/tde-07032016-210705/.
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A nova configuração do papel dos hospitais, na perspectiva da construção de redes de atenção à saúde, tem implicações para o trabalho do enfermeiro com cargo gerencial no tocante às suas ações/decisões administrativas, assistenciais e de ensino. Nesse sentido, este estudo teve o objetivo de identificar os aspectos facilitadores e dificultadores do trabalho do enfermeiro em cargos gerenciais, em um hospital público, de urgência, do interior paulista. Para tanto, foi realizado um estudo descritivo de abordagem quantitativa de dados qualitativos, utilizando a Técnica do Incidente Crítico, para o levantamento das percepções e atitudes em relação ao objeto de investigação. O estudo foi desenvolvido em uma instituição hospitalar de ensino, pública, de nível terciário, situada no nordeste do Estado de São Paulo, Brasil. Participaram 15 enfermeiros em cargos gerenciais que atuavam no referido cargo há pelo menos um ano, sendo excluídos aqueles que se encontravam ausentes do local de trabalho à época da coleta dos dados, em decorrência de afastamentos legais ou por não ter sido possível realizar a entrevista após cinco agendamentos cancelados. A coleta dos dados ocorreu por meio de entrevista semiestruturada individual. Foram relatados incidentes críticos, que se constituíram em 42 situações, das quais 33,3% foram positivas e 66,7% negativas; repercutindo em 57 comportamentos, sendo 84,2% positivos e 15,8% negativos e 74 consequências, sendo 41,9% positivas e 58,1% negativas. Os dados da análise de conteúdo foram agrupados por similaridade de conteúdo. Consideram-se aspectos facilitadores situação/comportamento/consequência com referências predominantemente positivas, as categorias, a saber: interação: equipe, paciente, família; gerenciar a unidade de trabalho; questionar a implantação do Grupo Gestor e comunicar-se. Em contrapartida, foram considerados aspectos dificultadores situação/comportamento/consequência com referências predominantemente negativas, as categorias: estrutura organizacional; gestão de infraestrutura e gestão de pessoas. Cabe destacar que esses resultados podem subsidiar o trabalho do enfermeiro em cargo gerencial e, também, dos próprios gestores do hospital, uma vez que os aspectos dificultadores do trabalho do enfermeiro em cargo gerencial dizem respeito, em sua maioria, a questões de pouca governabilidade para esse profissional. Assim, evidencia-se a necessidade de maior aproximação dos gestores e enfermeiros com cargo gerencial, a fim de, juntos, solucionarem questões que favoreçam o processo de cuidar e de coordenar o trabalho. É inegável a clareza que os participantes trouxeram sobre sua responsabilidade profissional, visto que, embora os incidentes tenham tido referências predominantemente negativas, os comportamentos apresentados tiveram referências predominantemente positivas, evidenciando os esforços que esses profissionais despendem para superar as dificuldades vivenciadas e a importância considerada em poder compartilhar decisões e ações a serem realizadasThe new configuration of the role of hospitals, with a view to building health care networks, has implications for the work of nurses in management positions in relation to their administrative, helth care and teaching actions/decisions. This study aimed to identify the facilitating and hindering aspects of the work of nurses in management positions in a public emergency hospital in the interior of the state of São Paulo. A descriptive study with quantitative approach of the qualitative data was performed, using the Critical Incident Technique, to survey the perceptions and attitudes in relation to the researched object. The study was developed in a public tertiary-level teaching hospital, located in the northeast region of São Paulo state, Brazil. In total, 15 nurses in management positions, who worked in the function for at least one year, participated, excluding those who were absent from the workplace at the time of data collection as a result of legal absences or because it was not possible to conduct the interview after five appointments canceled. Data collection was performed through individual semi-structured interview. Critical incidents consisting of 42 cases were reported, of which 33.3% were positive and 66.7% negative, culminating in 57 behaviors, of which 84.2% positive and 15.8% negative, and 74 consequences, 41.9% positive and 58.1% negative. Content analysis data were grouped by similarity of content. Situation, behavior and consequence with predominantly positive references were considered as facilitating aspects, with the following categories: interaction- team, patient, family; to manage the work unit; to question the implementation of the Management Group and to communicate. On the other hand, situation, behavior and consequence with predominantly negative references were considered hindering aspects, with the following categories: organizational structure; infrastructure management and personnel management. It is highligted that these results may support the work of nurses in management positions as well as hospital managers, once the hindering aspects of the work of nurses in management positions are related mostly to issues of poor governance to this professional. Thus, the study evidences the need for closer alignment of managers and nurses with management position, in order to commonly solve issues that favor the care process and work coordination. It is undeniable the clarity that participants have about their professional liability, since although the incidents have had predominantly negative references, behaviors presented had mainly positive references, showing the efforts that these professionals expend to overcome the difficulties experienced and the importance considered in sharing decisions and actions to be taken
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Barakat, Soraia Fatima Coelho. ""Caracterização da demanda do Serviço de Emergências Clínicas de um hospital terciário do município de São Paulo"." Universidade de São Paulo, 2004. http://www.teses.usp.br/teses/disponiveis/5/5159/tde-07112005-174138/.
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A superlotação de serviços de emergência é problema sério e de grande relevância do sistema de saúde, não sendo restrito ao nosso meio. Os estudos que enfocam esse tema vêm tomando proporções na literatura internacional. O que se vem vivenciando há mais de uma década são prontos socorros lotados devido a um deslocamento da população em direção a estes serviços, configurando-os como prestadores de atenção primária de assistência à saúde e, não de fato, destinados ao atendimento de emergências. O principal objetivo do estudo foi recompor a trajetória do usuário do serviço de saúde até a chegada à unidade de emergência de um hospital terciário do município, qualificando-o segundo as razões de escolha de atendimento e caracterizando seu perfil socioeconômico e demográfico. Este estudo de corte transversal se restringiu à análise da demanda espontânea do Pronto Socorro de Emergências Clínicas do Hospital das Clínicas da Universidade de São Paulo. Foram entrevistados todos os usuários que procuraram este serviço durante uma semana típica. Dos pacientes entrevistados, foram incluídos no estudo 881 pacientes, o que representou 93,1% do total. Realizada a análise estatística univariada, seguida pela construção de um modelo de regressão logística, para estudo das variáveis associadas à vinda direta ao pronto socorro. Os resultados demonstraram que a demanda era constituída predominantemente de mulheres, brancas, com idade média de 44 anos, baixo grau de instrução, com rendimento per capita mensal de até uns salários mínimos e residentes no município de São Paulo (81,3%). Cinco por cento tinham direito à assistência médica privada. Quanto ao acesso a serviços de saúde, 72,5% residiam próximo a serviços de saúde de atenção primária e 53,4% a hospitais e/ou prontos socorros. Quanto à trajetória percorrida antes da chegada ao pronto socorro, 56,2% procuraram diretamente o pronto socorro. Dos pacientes que procuraram outros serviços previamente, 26,4% passaram por unidades básicas de saúde e 73,6% por outros hospitais/prontos socorros. Dos 881 pacientes entrevistados, 771 foram dispensados após consulta médica. As características associadas à vinda direta ao pronto socorro foram: nível superior de escolaridade, não ser casado, não ter diagnóstico médico, possuir cartão do Hospital das Clínicas, ter idade entre 25 e 39 anos e contribuir para a Previdência Social. Por outro lado, quanto maior a duração da queixa e quanto mais distante o local de residência, menor a probabilidade de procurar este serviço diretamente. As razões do uso dos serviços de emergência envolvem mecanismos complexos, além da credibilidade e confiança na instituição, facilidade de acesso e baixa resolutividade dos outros serviços da rede pública de saúde. Contrariamente ao senso comum e a visão corrente de vários gestores do sistema de saúde, a problemática de superlotação dos serviços de emergência não reside apenas na atenção primária, mas sim no baixo poder de resolução da rede hospitalar.Overcrowding in Emergency Department is a Public Health problem not only in Brazil. However, information about the population that search for emergency medical care at tertiary hospitals in Brazil is incomplete. Therefore, the main objective of this work was to reconstruct the pathway of these patients until their arrival to the Clinical Emergency Department of a tertiary Hospital. During a typical week, 1121 patients were attended at the Hospital das Clínicas Clinical Emergency Department, São Paulo, Brazil. From this total, 946 were interviewed and 881 (93,1%) were selected to the study. The selected patients were questioned by health care professionals before the medical consult, regarding their demographic characterization, as well as questions about the reasons why they choose this specific health service. Variables associated to the patients coming to the hospital were studied by univariate analysis followed by construction of a logistic regression model. The emergency service demand is composed predominantly by white women, 44 years old (mean age), living in São Paulo City (81,3%), low instruction grade, monthly income around US$ 80. Only 5% of them have private health care plan. Usually they have a primary medical service (72,5%) or a hospital/emergency service (53,4%)in their home neighborhoods. More than half of the patients (56,2%) came directly to the Clinical Emergency Department, without searching for a less complex service. The most frequent diagnosis was upper airways infections. More than 92% of the patients attended were discharged after a simple medical consultation, suggesting that they could have been seen in a less complex health care facility. Patients not married, aged between 25 and 39 years old, with higher level of instruction, without clinical disease and that had been attended at Hospital das Clínicas any time were more likely to search this emergency service before to go to other health services. In other hand, patients living far from the service and with symptoms during several days were less likely to search this service directly. Asked the reasons they search this specific Emergency Service, patients cited credibility and trust are major factors, along with lack of confidence and solving ability of the others services. Factors priming the patients to have this specific service as a first choice were living close to the Hospital, higher education level, symptoms lasting less than one day and fever as a presenting symptom. From the patients attended in other services, prior to their arrival at this Emergency Department, 26,4% were seen at primary care facilities and 73,6% at other hospitals. In this study we have shown that the reasons why patients search for a Clinical Emergency Department in a tertiary Hospital is very complex, including easy access, credibility and lack of trust in other services. These results are contrary to the common sense, and the current view of Health Care directors. Overcrowding in Emergency Departments is due not only to inefficiency Primary Care services, but also to low solving ability of hospital services.
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Wanecq, Charles-Antoine. "Sauver, protéger et soigner : une histoire des secours d’urgence en France (années 1920-années 1980)." Thesis, Paris, Institut d'études politiques, 2018. http://www.theses.fr/2018IEPP0039.
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Cette thèse porte sur l’élaboration et les usages sociaux de la notion d’urgence vitale dans la France contemporaine. Entendue comme la nécessité d’agir vite pour éviter une mort probable, l’urgence constitue un mode de plus en plus ordinaire de prise en charge des pathologies. À partir d’une étude de sources multiples, médicales, administratives, hospitalières ou encore associatives, cette recherche doctorale propose de saisir les logiques sociales, économiques et politiques que suscite un accident, lorsqu’une ou plusieurs vies humaines sont menacées. Alors que, dans l’entre-deux-guerres, les innovations médico-chirurgicales de la Première Guerre mondiale ne trouvent que rarement une traduction dans le monde civil, le risque nucléaire et l’augmentation rapide de la mortalité routière contribuent à la mise en œuvre d’une politique publique d’organisation des secours d’urgence, orchestrée par un bureau du ministère de la Santé et centrée sur l’hôpital public. Fondée sur une analyse de la division du travail et des dispositifs techniques qui rendent possible la rationalisation de l’offre de secours, la thèse replace les débats qui portent sur la valeur accordée aux vies humaines dans l’histoire de la santé et des institutions en charge de la protection des populationsThis dissertation deals with the elaboration and the social uses of the notion of vital emergency in contemporary France. The concept of emergency – defined as a need for urgent action to avoid death - constitutes an increasingly common form of medical care. Based on a study of multiple sources, including the archives of physicians, administrations, hospitals and associations, this doctoral research aims at understanding the social, economic and political processes set in motion by an accident, when one or several human lives are threatened. During the interwar period, the innovative medical and surgical techniques of the First World War were seldom implemented in the civilian world ; however the nuclear risk and the increasing mortality rate caused by road acccidents led to an organization of emergency medical services in public hospitals. This public policy was overseen by a division of the Ministry of Health. Through an analysis of the division of labour and of the technical devices which rationalized the provision of emergency care, this dissertation changes the focus of the debates on the value of human lives in the history of health and of the institutions in charge of the protection of populations
Books on the topic "Hospitals Victoria Emergency service"
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Victoria. Consultative Council on Emergency and Critical Care Services. Report prepared by the Consultative Council on Emergency and Critical Care Services following a Review of Emergency Departments and Critical Care Units in Major Victorian Public Hospitals. [Melbourne?: The Services, 1991.
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Duckett, S. J. Hospital outpatient and emergency services in rural Victoria. Melbourne, VIC: Department of Human Services, 2000.
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Emergency room. London: Scholastic Children's Books, 1995.
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Emergency room. New York: Scholastic, 1994.
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Ireland. Office of the Comptroller and Auditor General. Health Service Executive: Emergency departments. Dublin: Stationery Office, 2009.
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Kelly, John. The use of resources in accident and emergency departments: Final report. London: Medical Architecture Research Unit, Polytechnic of North London, 1986.
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Dunaway, Michele. Emergency engagement. Toronto: Harlequin, 2005.
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Office, National Audit. NHS accident and emergency departments in Scotland. London: HMSO, 1992.
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Breton, Madeleine. Situation dans les salles d'urgence: 1988-1991. [Québec]: Gouvernement du Québec, Ministère de la santé et des services sociaux, Direction générale de la planification et de l'évaluation, 1991.
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Office, National Audit. NHS accident & emergency departments in Scotland: Report. London: HMSO, 1992.
Find full textBook chapters on the topic "Hospitals Victoria Emergency service"
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Andersen, Bjørg Marit. "Ambulances, Emergency Medical Service (EMS) and Other Transports of Patients." In Prevention and Control of Infections in Hospitals, 973–83. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-99921-0_75.
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Joshi, SK. "Chapter-10 Emergency Service." In Quality Management in Hospitals, 80–87. Jaypee Brothers Medical Publishers (P) Ltd., 2009. http://dx.doi.org/10.5005/jp/books/10689_10.
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Sandhyaduhita, Puspa Indahati, Haya Rizqi Fajrina, Ave Adriana Pinem, Achmad Nizar Hidayanto, Putu Wuri Handayani, and Kasiyah M. Junus. "Hospital Service Quality from Patients Perspective." In Hospital Management and Emergency Medicine, 550–66. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch027.
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This study aims to identify and analyse strategic service quality as perception-minus-expectation from patient perspective using SERVQUAL-based Handayani et al.'s framework. The result from 297 respondents shows that the criteria gaps are given as follows in descending order from the biggest gap: (1) responsiveness, (2) assurance, (3) professionalism, (4) reliability, (5) empathy and (6) tangible. Apparently, the gap for each criterion transpires to be significantly different which straightforwardly indicates the quality of the service delivered by hospitals for each criterion is still below respondents' expectations. Recommendation towards hospitals is proposed from technological point of view in forms of IT support in order to significantly improve the process as the dimension of the responsiveness criterion. Nonetheless, suggestion towards the Ministry of Health as the policy maker is also addressed that urges the establishment of policy and its implementation concerning IT support for accelerating hospitals automation.
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Hung, Shin-Yuan, Wei-Min Huang, David C. Yen, She-I. Chang, and Chien-Cheng Lu. "Effect of Information Service Competence and Contextual Factors on the Effectiveness of Strategic Information Systems Planning in Hospitals." In Hospital Management and Emergency Medicine, 146–71. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch009.
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Many hospitals in Taiwan have started to encounter new and fierce competition as a result of the enactment of the National Health Insurance Policy in 1995. Hospitals should strive to use information technology (IT) strategically to improve their competitive advantage and meet the dynamic challenges in this competitive environment. This study adopts the Technology-Organization-Environment framework to understand the effects of contextual factors (e.g., environmental uncertainty and information intensity) and information service competence on the effectiveness of strategic information systems planning (SISP) to improve hospital management efficiency. A field survey was conducted using questionnaires distributed to accredited hospitals that serve patients from different regions/districts and with academic teaching qualifications/capabilities. These hospitals represent approximately a quarter of all hospitals in Taiwan. The findings show that the environmental unpredictability and business competence of IS executives are negatively related to the two SISP constructs: IT participation in the hospital planning and alignment of the IT plan with the comprehensive hospital plan. In addition, the findings demonstrate that information intensity has a significantly positive relation to both aforementioned SISP constructs. Finally, both constructs justify the significant positive correlations with the use of IT in increasing competitive advantages and improving the satisfaction of customers and end users. This research intends to guide the healthcare industry in raising competitive advantages to improve the operational efficiency of hospital management in today's highly digitalized environment.
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Kuruvilla, Abey, and Suraj M. Alexander. "Predicting Ambulance Diverson." In Advancing the Service Sector with Evolving Technologies, 1–10. IGI Global, 2012. http://dx.doi.org/10.4018/978-1-4666-0044-7.ch001.
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The high utilization level of emergency departments in hospitals across the United States has resulted in the serious and persistent problem of ambulance diversion. This problem is magnified by the cascading effect it has on neighboring hospitals, delays in emergency care, and the potential for patients’ clinical deterioration. We provide a predictive tool that would give advance warning to hospitals of the impending likelihood of diversion. We hope that with a predictive instrument, such as the one described in this paper, hospitals can take preventive or mitigating actions. The proposed model, which uses logistic and multinomial regression, is evaluated using real data from the Emergency Management System (EM Systems) and 911 call data from Firstwatch® for the Metropolitan Ambulance Services Trust (MAST) of Kansas City, Missouri. The information in these systems that was significant in predicting diversion includes recent 911 calls, season, day of the week, and time of day. The model illustrates the feasibility of predicting the probability of impending diversion using available information. We strongly recommend that other locations, nationwide and abroad, develop and use similar models for predicting diversion.
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Yeo, Elaine. "Supporting a Culture of Continuous Improvement in Hospitals and Emergency Medical Services—An Automated External Defibrillator's Approach." In Emergency Medical Service Systems: A Global Perspective, 134. Jaypee Brothers Medical Publishers (P) Ltd., 2014. http://dx.doi.org/10.5005/jp/books/12298_30.
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Taylor, Kylie, and Ameer Mody. "Pediatric Emergency Telehealth." In A Practical Guide to Emergency Telehealth, edited by Hartmut Gross, 160–70. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780190066475.003.0014.
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Pediatric Emergency Telehealth (PET) has enormous potential to help address the health care needs of children and families. In some regions, health care is particularly fragmented or difficult to access for the pediatric patient. Telehealth may bridge those gaps, improve continuity of care, and enhance communication between children’s hospitals and general pediatricians practicing in both rural and urban communities. Launching a PET service requires careful preparation with community health networks and stakeholders to ensure that the model is providing adjunct services as opposed to on-demand primary care services. General pediatricians’ offices that lack the capability to implement a virtual care system may seek consultation from the PET service in terms of triage, recommendations, or direct patient care. A substantial effort is required at initiation of a PET program but is useful in mitigating disease exposure such as Covid-19, as well as improving emergency department metrics such as patient satisfaction, length of stay, wait times, and revenue capture.
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Kuruvilla, Abey, Suraj M. Alexander, and Xiaolin Li. "A Study of the Cascading Effects of Ambulance Diversion among Hospitals." In Implementation and Integration of Information Systems in the Service Sector, 32–41. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-2649-2.ch003.
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This research effort is undertaken to determine the impact that one hospital’s diversion status has on other hospitals in a region and the strength of these interactions. The conditional probability of one hospital going on diversion given that another is already on diversion is evaluated. Based on this analysis, the strength of interactions among the hospitals is established. Through statistical analyses of historical data, the strength of the mutual effects of diversion among a collection of hospitals is determined. These effects are mutual if one hospital’s diversion status affected another’s, then the reverse was also true. The intensity of these interactions between hospitals is varied, some being stronger than others. The model illustrates an approach to studying the cascading effects of diversion among hospitals in a region. This is important, because the status of any hospital in a region can signal the likelihood of impending diversion in every other hospital in the region. This allows actions that might prevent the occurrence of diversion or mitigate the cascading effects of Emergency Medical Systems diversion.
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Çil, Zeynel Abidin, and Abdullah Caliskan. "Machine Learning Applications for Classification Emergency and Non-Emergency Patients." In Advances in Healthcare Information Systems and Administration, 104–20. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2581-4.ch006.
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Emergency departments of hospitals are busy. In recent years, patient arrivals have significantly risen at emergency departments in Turkey like other countries in the world. The main important features of emergency services are uninterrupted service, providing services in a short time, and priority to emergency patients. However, patients who do not need immediate treatment can sometimes apply to this department due to several reasons like working time and short waiting time. This situation can reduce efficiency and effectiveness at emergency departments. On the other hand, computers solve complex classification problems by using machine learning methods. The methods have a wide range of applications, such as computational biology and computer vision. Therefore, classification of emergency and non-emergency patients is vital to increase productivity of the department. This chapter tries to find the best classifier for detection of emergency patients by utilizing a data set.
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Şenaras, Arzu Eren, and Hayrettin Kemal Sezen. "A Simulation Model for Resource Balancing in Healthcare Systems." In Hospital Management and Emergency Medicine, 336–51. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch017.
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This study aims to analyze resource effectiveness through developed model. Changing different number of resources and testing their response, appropriate number of resources can be identified as a basis of resource balancing through what-if analysis. The simulation model for emergency department is developed by Arena package program. The patient waiting times are reduced by the tested scenarios. Health care system is very expensive sector and related costs are very high. To raise service quality, number of doctor and nurse are increased but system target is provided by increased number of register clerk. Testing different scenarios, effective policy can be designed using developed simulation model. This chapter provides the readers to evaluate healthcare system using discrete event simulation. The developed model could be evaluated as a base for new implementations in other hospitals and clinics.
Conference papers on the topic "Hospitals Victoria Emergency service"
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Nehme, Z., S. Namachivayam, W. Butt, S. Bernard, and K. Smith. "48 Trends in the incidence and outcome of paediatric out-of-hospital cardiac arrest in victoria, australia." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2018). British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjopen-2018-ems.48.
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Delorenzo, A., St T. Clair, E. Andrew, S. Bernard, and K. Smith. "33 Characteristics of patients undergoing pre-hospital rapid sequence intubation by intensive care flight paramedics in victoria, australia." In Meeting abstracts from the second European Emergency Medical Services Congress (EMS2017). British Medical Journal Publishing Group, 2017. http://dx.doi.org/10.1136/bmjopen-2017-emsabstracts.33.
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Bailey, Paul, Nicola Freeman, Katherine Rooke, and Hannah Creswell. "PG60 ‘Introducing a simple simulation program, to promote non-technical skills and human factors awareness, for nurses in the Nottingham emergency general surgery service (NEGSS/Ward C31) in the nottingham university hospitals NHS trust’." In Abstracts of the ASPiH 2020 Virtual Conference, 10–11 November 2020. The Association for Simulated Practice in Healthcare, 2020. http://dx.doi.org/10.1136/bmjstel-2020-aspihconf.108.
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"CHANGES IN HEMODYNAMIC STATUS, SLEEP PATTERN, MENTAL HEALTH , AND SOCIAL LIFE AMONG NIGHT SHIFT MEDICAL WORKER IN JORDANIAN HOSPITALS." In International Conference on Public Health and Humanitarian Action. International Federation of Medical Students' Associations - Jordan, 2022. http://dx.doi.org/10.56950/bgcw7569.
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Background: Shift work is essential for many occupations like in the Emergency Medical Service that provides critical services that must be available all hours as a result of the irregularly day and night nature work (e.g., 9 p.m to 7:30 am ) with long-duration shifts (e.g., 24h and 48h) they could end up with a higher risk of disturbances in hemodynamic status which is contributed to (shock, heart failure, pressure changes, Sleep deficiency) along with mental health issue Objective: we aim to compare the blood pressure, heart rate, and O2 saturation and investigate the effect of demographic that includes (BMI, age, sex, educational level, mental status, memory, and decision-making ability. ) symptoms, and substance consumption (including caffeine, tea, energy drink, alcohol, smoking, multi-vitamin ..etc) between two group night shift and day shift Method: this study will be conducted in private hospitals and public hospitals in Jordan (Amman and Irbid ) and its design is a cross-sectional observational where adult health care providers will be invited to participate in completing an interviewer administration questionnaire Results: the high percentage of night medical workers faced a problem in many aspects including sleep disturbances, higher pressure, high caffeine intake, low focus, and decision-making ability along with social and family issues and mental health disturbances Conclusion: so we could conclude that medical night Shift work is associated with impaired alertness and low efficacy due to sleep loss and circadian disturbances so the performance remains mainly impaired during night shifts and the ability to focus and solve the problem and memorize information become lower with time In the end, we hope that medical institutions and hospitals would care more about the working environment not only the physical side but also mental health which should be put under the consideration Keywords: hemodynamic status, night shift, mental health, cardiovascular disease, social life
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Lacerda, Peneloppe Santos e., Luciana Jandre Boechat Alves, Carolina da Cunha Silveira Freitas, Saulo Bandeira Dias, and Tania da Rocha Santos. "EXPERIENCES IN THE MASTOLOGY SERVICE OF A BRAZILIAN HOSPITAL DURING THE COVID-19 PANDEMIC." In Scientifc papers of XXIII Brazilian Breast Congress - 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s1029.
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Introduction: The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) has a disastrous global effect, with negative socioeconomic impacts and an unforgiven effect on health. Besides the high mortality rates and levels of sequela, the increased demand for resources caused by the pandemic also influenced the feasibility of elective procedures performed in services and hospitals worldwide. Breast cancer patients have a worse prognosis if infected with the coronavirus disease 2019 (COVID-19). However, delays in their treatment when attempting to reduce their exposure to SARSCoV-2 or delays resulted from the redirection of hospital resources toward COVID-19 efforts may similarly result in a poor prognosis. In an attempt to spare hospital resources that could be utilized in the management of COVID-19 while securing the well-being of our patients with breast cancer, we implemented a new set of guidelines. Following the recommendations from the Brazilian Society of Clinical Oncology (SBOC) and the American Society of Clinical Oncology (ASCO), we established that oncological interventions would be acceptable in situations when we could maximize patient safety. As such, in our Mastology Service of the Hospital Central da Aeronáutica (MST-HCA), a Brazilian Air Force Hospital in Rio de Janeiro, we expanded our recommendations for neoadjuvant therapies, restricted surgeries, and maintained outpatient care only for emergency cases. Objective: The aim of this study was to focus on managing the quality of care and assessing the ways to ensure adequate therapy for cancer patients during the COVID-19 pandemic. Methodology: We performed a retrospective analysis of chart information reviewing the occurrence of surgical procedures and indications for neoadjuvant therapies for patients with breast cancer from MST-HCA. The study period was between March 16 and August 1, 2020, compared with the same period in the year 2019, prior to the COVID-19 pandemic. Results: From March 16 to August 1, 2020, the MST-HCA performed a total of 20 surgeries, out of which 16 were oncological surgeries. In the same interval in 2019, there were 28 surgeries, out of which 19 were oncological surgeries. We found a 28.6% reduction in the number of surgeries during the pandemic compared with the same period in 2019. In contrast, there was an increase of 133% in the prescriptions of neoadjuvant therapies, with three patients undergoing such treatments in 2019 versus seven patients in 2020. Six of these patients had an indication for conservative surgery and only one for total mastectomy, and methods of marking the lesion were used. These methods include the placement of a metal clip in patients with an impalpable disease by the Radiology team and the performance of a skin tattoo with ink in patients with a palpable disease by the Mastology team at the outpatient clinic. Conclusions: There was a difference in the number of medical procedures due to a higher risk of SARS-COV2 infection in patients. As this is a retrospective study, we did not assess the prognosis; however, we were able to maintain the team quality standard expected even in the pandemic scenario. Using the marking methods, we were able to perform a conservative surgical approach in a safer moment for hospitalization, since the sum of senility, multiple morbidities, and cancer diagnosis constitutes a high risk of coinfection by COVID-19.
Reports on the topic "Hospitals Victoria Emergency service"
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Savedoff, William, Pedro Bernal, Marcella Distrutti, Laura Goyoneche, and Carolina Bernal. Open configuration options Going Beyond Normal Challenges for Health and Healthcare in Latin America and the Caribbean Exposed by Covid-19. Inter-American Development Bank, May 2022. http://dx.doi.org/10.18235/0004242.
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This technical note describes how the COVID-19 pandemic has affected Latin America and the Caribbean, and considers the implications for future population health, health spending, healthcare service reforms, and investments to prepare for future health emergencies. It provides a summary of the few existing empirical studies and then contributes original analysis using administrative data from hospitals and vital registration systems in five countries. It shows substantial declines in health and healthcare delivery during the first year of the pandemic, especially for preventive and elective care. Some countries were able to return healthcare to historical levels, while others were still below average in 2021. The study concludes with reflections on how the pandemic has altered health policy recommendations for the region, generating a greater sense of urgency to make progress on long-standing agendas such as eliminating fragmentation, integrating care, and pursuing digital transformation while reordering priorities toward investments in emergency preparedness, disease surveillance, resilience, and self-sufficiency. In other words, going beyond normal.
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Voices of vulnerable and underserved adolescents in Guatemala: A summary of the qualitative study 'Understanding the lives of indigenous young people in Guatemala'. Population Council, 2005. http://dx.doi.org/10.31899/pgy19.1011.
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Governments in developing countries recognize the need for appropriate technology for the treatment of emergencies from incomplete abortion or miscarriage. Numerous studies have investigated the appropriateness of an integrated model of postabortion care (PAC) that includes three essential elements: emergency treatment for spontaneous or induced abortion; counseling and family planning services; and links to other reproductive health services. Many integrated PAC services include replacement of the conventional clinical treatment, sharp curettage (SC), with manual vacuum aspiration (MVA). In 1997 and 1999 the Population Council supported intervention studies in Mexico and Bolivia, respectively, to assess PAC programs in terms of safety, effectiveness, quality of care, cost, and subsequent contraceptive use by clients. Both interventions introduced integrated PAC services and compared the outcomes of MVA and SC use in large public hospitals. To assess changes in service quality and costs, researchers analyzed clinical records and interviewed clients and providers before and after the interventions. As noted in this summary, SC and MVA are equally safe and effective and can be provided on an outpatient basis. Integrating clinical treatment with family planning counseling and services increased clients’ knowledge and contraceptive use.
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Bolivia and Mexico: System-wide planning is needed for decentralized postabortion care. Population Council, 2005. http://dx.doi.org/10.31899/rh16.1000.
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Governments in developing countries recognize the need for appropriate technology for the treatment of emergencies from incomplete abortion or miscarriage. Numerous studies have investigated the appropriateness of an integrated model of postabortion care (PAC) that includes three essential elements: emergency treatment for spontaneous or induced abortion; counseling and family planning services; and links to other reproductive health services. Many integrated PAC services include replacement of the conventional clinical treatment, sharp curettage (SC), with manual vacuum aspiration (MVA). In 1997 and 1999 the Population Council supported intervention studies in Mexico and Bolivia, respectively, to assess PAC programs in terms of safety, effectiveness, quality of care, cost, and subsequent contraceptive use by clients. Both interventions introduced integrated PAC services and compared the outcomes of MVA and SC use in large public hospitals. To assess changes in service quality and costs, researchers analyzed clinical records and interviewed clients and providers before and after the interventions. As noted in this summary, SC and MVA are equally safe and effective and can be provided on an outpatient basis. Integrating clinical treatment with family planning counseling and services increased clients’ knowledge and contraceptive use.