Academic literature on the topic 'Timely acces to public hospitals'
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Journal articles on the topic "Timely acces to public hospitals"
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O'Hara, Denise, and Chris Brook. "The utilisation of public and private hospitals in Victoria: An issue of access?" Australian Health Review 19, no. 3 (1996): 40. http://dx.doi.org/10.1071/ah960040b.
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Consumers regard access to hospital services as one of the key components of qualityin health care delivery. A mixed public/private system operates in Victoria, but amorbidity collection from private hospitals was commenced only relatively recently.In 1993?94 the collection covered 82- per cent of private hospital separations, andit was considered timely to examine the utilisation patterns in the private system andcompare them with those in the public system. Medical and surgical emergencies andother complex conditions and procedures are serviced largely in the public sector,whereas private hospitals are utilised for elective and less complex surgery and non-urgentconditions. Occupancy rates are around 79- per cent in public hospitals and67- per cent in private hospitals. Elective surgery waiting list data suggest that whileurgent cases are treated within a month, significant proportions wait six months ormore for non-urgent surgery. Private health insurance is the main factor indetermining access to and the utilisation private hospitals. The current MedicareAgreement and the move to separate the role of purchaser and provider may allowthe maximal utilisation of private hospitals and diminish the burden of chronicillness.
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Saunders, Carla, and David J. Carter. "Right care, right place, right time: improving the timeliness of health care in New South Wales through a public–private hospital partnership." Australian Health Review 41, no. 5 (2017): 511. http://dx.doi.org/10.1071/ah16075.
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Objective The overall aim of the study was to investigate and assess the feasibility of improving the timeliness of public hospital care through a New South Wales (NSW)-wide public–private hospital partnership. Methods The study reviewed the academic and professional grey literature, and undertook exploratory analyses of secondary data acquired from two national health data repositories informing in-patient access and utilisation across NSW public and private hospitals. Results In 2014–15, the NSW public hospital system was unable to deliver care within the medically recommended time frame for over 27 400 people who were awaiting elective surgery. Available information indicates that the annual commissioning of 15% of public in-patient rehabilitation bed days to the private hospital system would potentially free up enough capacity in the NSW public hospital system to enable elective surgery for all public patients within recommended time frames. Conclusions The findings of the study justify a strategic whole-of-health system approach to reducing public patient wait times in NSW and highlight the need for research efforts aimed at securing a better understanding of available hospital capacity across the public and private hospital systems, and identifying and testing workable models that improve the timeliness of public hospital care. What is known about the topic? There are very few studies available to inform public–private hospital service partnerships and the opportunities available to improve timely health care access through such partnerships. What does this paper add? This paper has the potential to open and prompt timely discussion and debate, and generate further fundamental investigation, on public–private hospital service partnerships in Australia where opportunity is available to address elective surgery wait times in a reliable and effective manner. What are the implications for practitioners? The NSW Ministry of Health and its Local Health Districts have the potential to realise a key objective, namely to deliver the ‘right care, in the right place, at the right time’, through the core value of collaboration, using available infrastructure.
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Gomon, Yulia, Alexey Kolbin, Yulia Svetlichnaya, and Maxim Proskurin. "Comprehensive Assessment of Antimicrobial Drug Consumption at the St. Petersburg Hospitals in 2014–2016." Medical Technologies. Assessment and Choice (Медицинские технологии. Оценка и выбор), no. 4 (34) (December 1, 2018): 39–46. http://dx.doi.org/10.31556/2219-0678.2018.34.4.039-046.
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Aim. To measure comprehensive indicators of consumption in order to assess their correlation with the level of resistance of S. aureus, K. pneumoniae, E. coli in multidisciplinary hospitals of St. Petersburg in 2014–2016. Materials and methods. We extracted data on the public procurement of antimicrobial drugs for systemic use (ATC code J01) in multidisciplinary hospitals of St.-Petersburg in 2014–2015 from IMS Health database. Prevalence of resistant strains was assessed based on the results of bacteriological surveys, St. Petersburg Medical Information-analytical Center (MIAC). The indicators of antimicrobial drugs consumption, drug resistance, drug resistance index were calculated. Results. The structure of public procurement of antimicrobial drugs does not correlate with the the prevalence of multi-resistant infections in St. Petersburg hospitals as a result of out-dated standards for specialized medical care. Current epidemiological situation requires purchasing of the the expensive antimicrobial drugs of limited access and performing epidemiological control measures that demand additional investments. Conclusion. The existing standards for specialized medical care should be timely updated with regard to recommendations on antibacterial treatment in accordance with the current epidemiological situation.
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Wilson, Donna, Ryan Brow, Robyn Playfair, and Begoña Errasti-Ibarrondo. "What Is the “Right” Number of Hospital Beds for Palliative Population Health Needs?" Societies 8, no. 4 (November 2, 2018): 108. http://dx.doi.org/10.3390/soc8040108.
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Healthcare services are one of the twelve determinants of population health. While all types of healthcare services are important, timely access to hospital-based care when needed is critical. For three decades, long waits and wait lists for hospital admission and inpatient care have been a concern in Canada. Undersupply of hospital beds to meet population needs may be the cause of this as hospitals were downsized due to government funding cutbacks and hospital expansion has not occurred since despite population growth and aging. The availability of hospital beds for palliative population health needs may therefore be an issue, particularly as longstanding concern exists about terminally-ill and dying people being frequently admitted to hospital and having long hospital stays. A decline in hospital deaths in many developed countries, including Canada, could indicate that palliative population needs for hospital-based care are not being met. This paper compares the number of hospitals and hospital beds that exist in 9 Canadian provinces and 15 developed countries in relation to population and spatial considerations in an attempt to determine an optimal number of hospital beds for the general public and thus also palliative population health needs. Methods: Document analysis. Publicly-available hospital, population, and geographic information was sought for 9 Canadian provinces and 15 developed countries and compared. Results: Major differences in citizen to hospital bed ratios and citizen to hospital ratios across provinces and countries were found. The availability of hospitals and hospital beds clearly varies. Conclusion: Some regions may have too few hospitals and hospital beds to meet the palliative and other care needs of their citizens. Sufficient beds should exist so necessary admissions to hospital can occur without harmful delay.
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Miller, Russell, Nicholas Doria-Anderson, Akira Shibanuma, Jennifer Lisa Sakamoto, Aya Yumino, and Masamine Jimba. "Evaluating Local Multilingual Health Care Information Environments on the Internet: A Pilot Study." International Journal of Environmental Research and Public Health 18, no. 13 (June 25, 2021): 6836. http://dx.doi.org/10.3390/ijerph18136836.
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For foreign-born populations, difficulty in finding health care information in their primary language is a structural barrier to accessing timely health care. While such information may be available at a national level, it may not always be relevant or appropriate to the living situations of these people. Our objective was to explore the quality of online multilingual health information environments by pilot-testing a framework for assessing such information at the prefectural level in Japan. The framework consisted of five health care domains (health system, hospitals, emergency services, medical interpreters, and health insurance). Framework scores varied considerably among prefectures; many resources were machine-translated. These scores were significantly associated with foreign population proportion and the number of hospitals in each prefecture. Our multilingual health care information environment (MHCIE) framework provides a measure of health access inclusivity, which has not been quantified before. It is adaptable to other international contexts, but further validation is required.
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Bray, Yvonne, and Felicity Goodyear-Smith. "Patient and family perceptions of hospice services: I knew they werent like hospitals." Journal of Primary Health Care 5, no. 3 (2013): 206. http://dx.doi.org/10.1071/hc13206.
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INTRODUCTION: The vision for palliative care service provision in New Zealand is for all people who are dying and their families to have timely access to culturally appropriate, quality palliative care services. An Auckland hospices records show that the ethnically diverse population statistics were not reflected in the referrals for hospice services. The aim of this research was to gain a patient-and-their-family perspective on the hospice, including exploration of components of service care that could be improved for various cultural groups. METHODS: Patients currently under the care of the hospice and family members were recruited from hospice records. Semi-structured interviews were conducted to explore the emerging issues. The study collected data from a purposive sample of 18 palliative care patients or carer family members, ranging in age from 39 to 81 years, who reflected the ethnic diversity of the population of the region. Interviewing was carried out by an experienced research assistant and continued until data saturation was reached. FINDINGS: Four key themes emerged hospice personnels approach to patients, quality of service, cultural barriers, and strategies for future improvement. It was determined that the latter two were the most significant to address in this article. CONCLUSION: The study revealed the need for information-giving and education, including public profiling of the hospice to strengthen community involvement. Strategies to reduce ethnic disparities include strengthening the awareness of, and access to, services by connecting with cultural groups through churches, community and specific cultural media. KEYWORDS: Cultural competency; hospice care; palliative care; patient education; terminal care
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Franco, Rogério do Lago, Pedro Henrique Iora, Amanda Carvalho Dutra, Sérgio Quilici Belczak, João Vissoci, Catherine Staton, and Luciano Andrade. "Spatial inequalities of major lower limb amputation rates in Paraná state, Brazil." BMJ Open 10, no. 12 (December 2020): e038980. http://dx.doi.org/10.1136/bmjopen-2020-038980.
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ObjectiveThe aim of this observational cross-sectional study was to analyse the spatial distribution of major lower limb amputation (MLLA) rates and associate them to socioeconomic, demographic and public healthcare access-related variables in the State of Paraná, Brazil, from 2012 to 2017.MethodData on MLLA, revascularisation surgeries, diagnostic exams and healthcare coverage were obtained from the Brazilian Public Hospital Information System. Socioeconomic data were obtained from the Brazilian Institute of Geography and Statistics. Spatial autocorrelation of the MLLA rates was tested using Moran’s I method. Multivariate spatial regression models using ordinary least squares regression (OLS) and geographically weighted regression (GWR) were used to identify the variables significantly correlated with MLLA.ResultsA total of 5270 MLLA were included in the analysis. Mean MLLA rates were 24.32 (±18.22)/100 000 inhabitants, showing a positive global spatial autocorrelation (Moran’s I=0.66; p<0.001). Queen contiguity matrix demonstrates that MLLA rates ranged from 7.6 to 46.6/100 000 with five large clusters of high MLLA rates. OLS showed that four of the nine studied variables presented significant spatial correlation with MLLA rates. Colour Doppler ultrasound showed a negative association (p<0.001), while revascularisation surgeries and illiteracy showed a positive correlation (p<0.01). GWR presented the best model (adjusted R2=0.77) showing that the predictors differentially affect the MLLA rates geographically.ConclusionThe high MLLA rates in some regions of the state are influenced by the high rate of illiteracy and low utilisation rate of colour Doppler, indicating a social problem and difficulty in accessing health. On the other hand, the high rates of revascularisation surgeries are related to higher MLLA rates, possibly due to delayed access to specialised hospitals. This indicates that attention must be given to population access to public healthcare in the State of Paraná in order to ensure proper and timely medical attention.
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Khan, Uzma Rahim, Naveed Ahmed, Rubaba Naeem, Umerdad Khudadad, Sarwat Masud, Nadeem Ullah Khan, and Junaid Abdul Razzak. "Heat Emergencies: Perceptions and Practices of Community Members and Emergency Department Healthcare Providers in Karachi, Pakistan: A Qualitative Study." International Journal of Environmental Research and Public Health 18, no. 9 (April 29, 2021): 4736. http://dx.doi.org/10.3390/ijerph18094736.
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Heat waves are the second leading cause of weather-related morbidity and mortality affecting millions of individuals globally, every year. The aim of this study was to understand the perceptions and practices of community residents and healthcare professionals with respect to identification and treatment of heat emergencies. A qualitative study was conducted using focus group discussions and in-depth interviews, with the residents of an urban squatter settlement, community health workers, and physicians and nurses working in the emergency departments of three local hospitals in Karachi. Data was analyzed using content analysis. The themes that emerged were (1) perceptions of the community on heat emergencies; (2) recognition and early treatment at home; (3) access and quality of care in the hospital; (4) recognition and treatment at the health facility; (5) facility level plan; (6) training. Community members were able to recognize dehydration as a heat emergency. Males, elderly, and school-going children were considered at high risk for heat emergencies. The timely treatment of heat emergencies was widely linked with availability of financial resources. Limited availability of water, electricity, and open public spaces were identified as risk factors for heat emergencies. Home based remedies were reported as the preferred practice for treatment by community members. Both community members and healthcare professionals were cognizant of recognizing heat related emergencies.
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Singhal, S., C. Quiñonez, and H. Manson. "Visits for Nontraumatic Dental Conditions in Ontario’s Health Care System." JDR Clinical & Translational Research 4, no. 1 (September 20, 2018): 86–95. http://dx.doi.org/10.1177/2380084418801273.
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Background: Physicians’ offices and emergency departments (EDs) are not suited for addressing nontraumatic dental conditions (NTDCs); however, significant numbers of people in Canada, including Ontario, visit such settings for their dental complaints. Also, people sometimes visit hospitals for day surgery to get their complicated dental conditions treated. This reflects the inefficient usage of the health care system and gaps in accessing timely dental care. Methods: We assessed trends in the burden of NTDCs in Ontario by estimating the visits made for such conditions to physicians, EDs, and hospitals for day surgery. Aggregate data for years 2001 to 2015 were retrieved from Intellihealth Ontario. Descriptive analysis was conducted to calculate rates of visits as stratified by sex, age groups (0 to 6, 7 to 18, 19 to 64, and ≥65 y), and jurisdictions (public health unit level). Results: On average, 70,274 visits to physicians, 51,861 to EDs, and 13,889 to hospital day surgery are made each year in Ontario for NTDCs, which costs approximately CAN$29 million. Children aged 0 to 6 y visit more than their counterparts. Statistically significant increasing trends for physician and ED visits were observed over the years. Analyses show large variations in rates of visits across public health units, with higher rates in rural communities. Conclusion: A large number of visits for NTDCs, with jurisdictional variations, were consistently made to nondental health care settings in Ontario over the last 15 y. Central- and local-level policy options for optimizing resources and health care system use are required. Knowledge Transfer Statement: The findings of this study will provide oral and general health professionals a comprehensive understanding about the ineffective usage of a health care system for nontraumatic dental conditions. Quantifying the burden and associated dollars spent will promote crucial policy discussions to explore the possible options for providing emergency and essential dental services for all Canadians and possible equitable options to enhance access to dental care for vulnerable populations in Canadian society.
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Cotache-Condor, Cesia F., Katelyn Moody, Tessa Concepcion, Mubarak Mohamed, Shukri Dahir, Edna Adan Ismail, Jonathan Cook, John Will, Henry E. Rice, and Emily R. Smith. "Geospatial analysis of pediatric surgical need and geographical access to care in Somaliland: a cross-sectional study." BMJ Open 11, no. 7 (July 2021): e042969. http://dx.doi.org/10.1136/bmjopen-2020-042969.
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BackgroundThe global burden of disease in children is large and disproportionally affects low-income and middle-income countries (LMICs). Geospatial analysis offers powerful tools to quantify and visualise disparities in surgical care in LMICs. Our study aims to analyse the geographical distribution of paediatric surgical conditions and to evaluate the geographical access to surgical care in Somaliland.MethodsUsing the Surgeons OverSeas Assessment of Surgical Need survey and a combined survey from the WHO’s (WHO) Surgical Assessment Tool—Hospital Walkthrough and the Global Initiative for Children’s Surgery Global Assessment in Paediatric Surgery, we collected data on surgical burden and access from 1503 children and 15 hospitals across Somaliland. We used several geospatial tools, including hotspot analysis, service area analysis, Voronoi diagrams, and Inverse Distance Weighted interpolation to estimate the geographical distribution of paediatric surgical conditions and access to care across Somaliland.ResultsOur analysis suggests less than 10% of children have timely access to care across Somaliland. Patients could travel up to 12 hours by public transportation and more than 2 days by foot to reach surgical care. There are wide geographical disparities in the prevalence of paediatric surgical conditions and access to surgical care across regions. Disparities are greater among children travelling by foot and living in rural areas, where the delay to receive surgery often exceeds 3 years. Overall, Sahil and Sool were the regions that combined the highest need and the poorest surgical care coverage.ConclusionOur study demonstrated wide disparities in the distribution of surgical disease and access to surgical care for children across Somaliland. Geospatial analysis offers powerful tools to identify critical areas and strategically allocate resources and interventions to efficiently scale-up surgical care for children in Somaliland.
Dissertations / Theses on the topic "Timely acces to public hospitals"
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Capp, Stan, and kimg@deakin edu au. "The Geelong Community's Priorities and Expectations of Public Health Care." Deakin University. School of Health Sciences, 2001. http://tux.lib.deakin.edu.au./adt-VDU/public/adt-VDU20040505.114253.
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Abstract
This thesis set out to achieve the following objectives:
(1) To identify the priorities and expectations that the Geelong community has of its public health care system.
(2) To determine if there is a common view on the attributes of a just health system.
(3) To consider a method of utilising the data in the determination of health care priority setting in Barwon Health.
(4) To determine a model of community participation which enables ongoing input into the decision making processes of Barwon Health.
The methodology involved a combination of qualitative and quantitative research. The qualitative work involved the use of focus groups that were conducted with 64 members of the Geelong community. The issues raised informed the development of the interview schedule that was the basis of the quantitative study, which surveyed a representative sample of 400 members of the Geelong community. Prior to reporting on this work, the areas of distributive justice, scarcity and community participation in health care were considered. The research found that timely access to public hospitals, emergency care and aged care services were the major priorities; for many people, the cost was less relevant than a quality service. Shorter waiting times and increased staffing levels were strongly supported. Increased taxes were nominated as the best means of financing the health system they sought. Community based services were less relevant than hospital services but health education was supported. An egalitarian approach to resource distribution was favoured although the community was prepared to discriminate in favour of younger people and against older people. There was strong support for the community to be involved in decision making in the public health care system through surveys or focus groups but very little support was given to priorities being determined by politicians, administrators and to a lesser extent, medical professionals.
Books on the topic "Timely acces to public hospitals"
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Penn, Joseph V. Standards and accreditation for jails, prisons, and juvenile facilities. Oxford University Press, 2015. http://dx.doi.org/10.1093/med/9780199360574.003.0063.
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Numerous challenges confront correctional health staff in serving the needs of incarcerated adults and juveniles. Effective screening, timely referral, and appropriate treatment are critical. Their implementation requires interagency collaboration, adherence to established national standards of care, and implementation of continuous quality improvement practices and research on the health needs of this vulnerable patient population. Effective evaluation and treatment during incarceration meets important public health objectives and helps improve health services and effective transition into the community upon release. Many types of ‘free world’ health care organizations—such as hospitals, nursing homes, and psychiatric facilities—are accredited by the Joint Commission. Similarly, jails, prisons, juvenile detention, and other correctional facilities may be accredited by the National Commission on Correctional Health Care (a spinoff from the American Medical Association), the American Correctional Association, the Joint Commission, or a combination of the above. Although national accreditation is typically voluntary, it is often a contractual requirement for universities, other health care systems, and private vendors who provide health care services to correctional systems. In addition, when facilities undergo investigation or litigation, or are placed in receivership or federal oversight, they are often mandated to establish and maintain national accreditations. This chapter presents a brief historical narrative of the events that resulted in the development and adoption of national jail, prison, and juvenile correctional health care standards; a cogent review of jail and prison standards with particular relevance to psychiatry and mental health; and discussion of accreditation programs.
Book chapters on the topic "Timely acces to public hospitals"
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Abdul Aleem Baig, Mirza. "mHealth-Based Microfluidic Lab-on-a-Chip for International Health Security." In Contemporary Developments and Perspectives in International Health Security - Volume 1. IntechOpen, 2021. http://dx.doi.org/10.5772/intechopen.90283.
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The increasing threats of emerging and reemerging infectious disease outbreaks demand research and development (R&D) of effective and fit-for-all-purpose tools and technologies for international public health security. Recent advances in biomedical engineering, mostly related to the convergence of communication and network technology in health, i.e., mobile health with microfluidic Lab-on-a-Chip technology can improve the international public health crises and employ in international public health security. Lab-on-a-Chip technology is now commonly found in most research centers, hospitals, and clinics where health care infrastructure is weak, and access to quality and timely medical care is challenging. Microfluidic devices—also known as Lab-on-a-Chip (LoC)—are an alternative for accessible, cost-effective, and early detection medical trials. The mHealth-based microfluidic LoC technology has been under rapid development, and they are becoming influential tools in a wide range of biomedical research and international public health applications. The perspective in this chapter demonstrates a potentially transformative opportunity for the deployment of mHealth with LoC with the fabrication protocols and their potential for strengthening and improving the international public health security. This attempt is not conclusive and exhaustive, and it is anticipated that such a discussion will enable the exchange of ideas between biomedical engineering, microfluidic LoC technology professionals, international public health, and health security experts.
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Tanniru, Mohan, and Mark Martz. "A Proposed Architecture to Sustain Public-Private Partnership." In Theory and Practice of Business Intelligence in Healthcare, 185–99. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2310-0.ch009.
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Information technology has enabled tertiary health care providers to improve patient access to preventive and post-discharge care transition services. When such services are supported by facilities that are under the control of the hospital, hospitals can still influence the delivery and overall quality of patient care services. However, for a variety of reasons, many hospitals rely on external care providers who operate relatively independently from the hospital to deliver these services. As such, service delivery intended to create efficiency and value to patients can become complex, challenging to deliver, and resource intensive—especially if the service delivery spans a prolonged time horizon. This chapter discusses one case of an intermediary who helps hospitals address the smoking cessation needs of patients. Using service dominant logic research, the service exchanges among three different ecosystems (healthcare providers, intermediary, and patients) are modeled and intelligence needed to align their goals using blockchain architecture is highlighted.
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Gonçalves-Pereira, Manuel, and António Leuschner. "Portugal." In Dementia Care: International Perspectives, 219–30. Oxford University Press, 2019. http://dx.doi.org/10.1093/med/9780198796046.003.0029.
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Dementia care in Portugal presents a mixed balance of strengths and important problems and challenges. This chapter begins by highlighting the scarcity of health service data on dementia, within a rapidly changing and complex array of health and social care systems. Public, private, and third-sector services are not integrated enough to fully meet the needs of people with dementia and their families. Despite examples of good standards in dementia care, some complex challenges still need tackling. Portugal does not have a National Dementia Plan, although formal efforts are being made and a general strategy has been proposed. The chapter briefly discusses leading issues, while highlighting that any selection of goals and the feasibility of achieving them are constrained by a shortage of resources. Taking the need to improve timely diagnosis and integrated formal services as an example, the exact role of primary care is one of the primary topics for discussion. In short, there are three aspects which Portugal does well in terms of dementia care: (1) every person with dementia has access to emergency services and, in principle, to primary care services within the public National Health Service; (2) there are examples of high-quality standards in clinical dementia care, mainly in urban centres, and an increasing interest from the social sector, non-governmental organizations, and private institutions in community or institutional social care; and (3) there is increasing interest in dementia-related service research, as well as in psycho-geriatric training. For the future, first, primary care should be more involved in early diagnosis of dementia and its appropriate disclosure, as well as in other areas, e.g. treatment monitoring in collaboration with specialized care, counselling and support, and monitoring caregivers’ health. Second, the complex bio-psycho-social needs in dementia should be better met through improvement of: timely access to community formal services or specialized accommodation when necessary; ‘dementia-friendly’ communities and health/social units (e.g. general hospitals, given the multimorbidity in people with dementia); management of behavioural and psychological symptoms of dementia (with more emphasis on non-pharmacological approaches, and less on antipsychotics); informal caregivers’ support, ensuring minimum standards of information, counselling, psycho-education, and other family interventions; and legal procedures, access to new technologies, and decent end-of-life care. Finally, gaps should be bridged between health and social care, fostering care coordination and case management in every phase of dementia (with standardization of dementia care processes, e.g. definition of the roles of professionals).
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Motorny, Sergey P. "Big Information Technology Bet of a Small Community Hospital." In Healthcare Administration, 1034–51. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch054.
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Broadlawns Medical Center (BMC) is a teaching acute care community hospital of 200 beds located in Des Moines, Iowa. As other safety net providers across the nation, the hospital operates in a difficult environment with a growing number of uninsured patients and simultaneously dwindling tax support. By 2005, George Washington University and several Joint Commission reports had publicly highlighted the hospital's challenges of financial sustainability and the provided quality of care. The hospital's senior management team decided to adopt an Electronic Health Record (EHR) system in an attempt to gain access to real-time performance data. The EHR adoption project posed many organizational, managerial, and technological challenges but also provided numerous eventual benefits. BMC had not only successfully resolved the stated problems of healthcare quality, financial stability, and patient satisfaction scores, but also became one of the national leaders in healthcare information technology.
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Tong, Carrison K. S., and Eric T. T. Wong. "Picture Archiving and Communication System for Public Healthcare." In Encyclopedia of Multimedia Technology and Networking, Second Edition, 1162–70. IGI Global, 2009. http://dx.doi.org/10.4018/978-1-60566-014-1.ch158.
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For the past 100 years, film has been almost the exclusive medium for capturing, storing, and displaying radiographic images. Film is a fixed medium with usually only one set of images available. Today, the radiologic sciences are on the brink of a new age. In particular, Picture Archiving and Communication System (PACS) technology allows for a near filmless process with all of the flexibility of digital systems. PACS consists of image acquisition devices, storage archiving units, display stations, computer processors, and database management systems. These components are integrated by a communications network system. Filmless radiology is a method of digitizing traditional films into electronic files that can be viewed and saved on a computer. This technology generates clearer and easier-to-read images, allowing the patient the chance of a faster evaluation and diagnosis. The time saved may prove to be a crucial element in facilitating the patient’s treatment process. With filmless radiology, images taken from various medical sources can be manipulated to enhance resolution, increasing the clarity of the image. Images can also be transferred internally within hospital departments and externally to other locations such as the office of the patient’s doctor or medical specialist in other parts of the world. This is made possible through the picture-archiving and communication system (Dreyer, Mehta, & Thrall, 2001), which electronically captures, transmits, displays, and saves images into digital archives for use at any given time. The PACS functions as a state-of-the-art repository for long-term archiving of digital images, and includes the backup and bandwidth to safeguard uninterrupted network availability. The objective of the picture-archiving and communications system is to improve the speed and quality of clinical care by streamlining radiological service and consultation. With instant access to images from virtually anywhere, hospital doctors and clinicians can improve their work processes and speed up the delivery of patient care. Besides making film a thing of the past, the likely benefits would include reduced waiting times for images and reports, and the augmented ability of clinicians since they can get patient information and act upon it much more quickly. It also removes all the costs associated with hard film and releases valuable space currently used for storage. According to Dr. Lillian Leong, Chairman of the Radiology IT Steering Group of the Hong Kong Medical Authroity, a single hospital can typically save up to 2.5 million Hong Kong dollars (approximately US$321,000) a year in film processing cost (Intel, 2007). The growing importance of PACS on the fight against highly infectious disease such as Severe Acute Respiratory Syndrome (SARS) is also identified (Zhang & Xue, 2003). In Hong Kong, there was no PACS-related project until the establishment of Tseung Kwan O Hospital (TKOH) in 1998. The TKOH is a 600-bed acute hospital with a hospital PACS installed for the provision of filmless radiological service. The design and management of the PACS for patient care was discussed in the first edition of this encyclopedia (Tong & Wong, 2005). The TKOH was opened in 1999 with PACS installed. At the beginning, due to immature PACS technologies, the radiology service was operating with film printing. A major upgrade was done in 2003 for the implementation of server clustering, network resilience, liquid crystal display (LCD), smart card, and storage-area-network (SAN) technologies. This upgrade has greatly improved the reliability of the system. Since November 2003, TKOH has started filmless radiology service for the whole hospital. It has become one of the first filmless hospitals in the Greater China region (Seto, Tsang, Yung, Ching, Ng, & Ho, 2003; Tsou, Goh, Kaw, & Chee, 2003).
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Handayani, Putu Wuri, Puspa Indahati Sandhyaduhita, Achmad Nizar Hidayanto, Ave Adriana Pinem, Haya Rizqi Fajrina, Kasiyah M. Junus, Indra Budi, and Dumilah Ayuningtyas. "Integrated Hospital Information System Architecture Design in Indonesia." In Hospital Management and Emergency Medicine, 244–73. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch014.
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Implementing Hospital Information System is an ultimately important practice that should be performed by hospitals in order to deliver accurate, timely, complete, and easily accessible data/information in an integrated manner. Given the specific characteristics of Indonesia, the objective of this research is to design an Information System Architecture as part of the Enterprise Architecture based on The Open Group Architecture Framework in order to support the Hospital Information System implementation in Indonesia. This research focuses on the hospitals basic processes, viz. the emergency processes, the inpatient processes and the outpatient processes. The integration aspect of the architecture should connect the hospitals with other related stakeholders. This research is a qualitative study by conducting interviews and observations in three government public hospitals, several directorate generals of the Indonesian Ministry of Health and a representative from the WHO. The result of this research is an integrated Information System Architecture model.
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Handayani, Putu Wuri, Puspa Indahati Sandhyaduhita, Achmad Nizar Hidayanto, Ave Adriana Pinem, Haya Rizqi Fajrina, Kasiyah M. Junus, Indra Budi, and Dumilah Ayuningtyas. "Integrated Hospital Information System Architecture Design in Indonesia." In Advances in Healthcare Information Systems and Administration, 207–36. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-9446-0.ch013.
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Implementing Hospital Information System is an ultimately important practice that should be performed by hospitals in order to deliver accurate, timely, complete, and easily accessible data/information in an integrated manner. Given the specific characteristics of Indonesia, the objective of this research is to design an Information System Architecture as part of the Enterprise Architecture based on The Open Group Architecture Framework in order to support the Hospital Information System implementation in Indonesia. This research focuses on the hospitals basic processes, viz. the emergency processes, the inpatient processes and the outpatient processes. The integration aspect of the architecture should connect the hospitals with other related stakeholders. This research is a qualitative study by conducting interviews and observations in three government public hospitals, several directorate generals of the Indonesian Ministry of Health and a representative from the WHO. The result of this research is an integrated Information System Architecture model.
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Phaholthep, Charanya, Thirawut Bunyasakseri, and Paweena Phaholthep. "The Investigation of Physical Design, Executives’ Attitude and Policy Towards Service Efficiency Based on Universal Design Principles; A Case Study of Naresuan University Hospital." In Universal Design 2021: From Special to Mainstream Solutions. IOS Press, 2021. http://dx.doi.org/10.3233/shti210404.
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Public hospitals should be designed to clover as wider inclusivity levels as possible forproviding access for all. Unfortunately, and for a variety of reasons, a quality service is not always provided. When evaluation of the service quality in healthcare organizations is carried out, it is mostly conducted in terms of medical service quality, whilst the physical layout, functionality and facilitating devices are not given as much scrutiny. Post Occupation Evaluation (POE) is notably an efficient process for checking the satisfaction of users after the building has been in-used for a certain period of times. However, hospital is generally a type of building and service that need to support users with a variety of physical capabilities thus, a conventional POE may not cover all requirements of users, so this research has employed the UD concepts as a basis to combined with POE for evaluating service performance of a hospital of the case study, Naresuan University hospital, THAILAND. Even though the POE delivered a good design suggestion that is beneficial to users with a wide range of physical ability but that may not guarantee the new design will be agreed by all stakeholders and implemented through success. As a matter of fact, to success an implementing of a good design does not depend solely on a designer, specifically for this case study, a universal design to a hospital. This research found that to make UD perfectly effects in a hospital (in Thailand context) may require more supportive factors beyond just pointing out problems related to physical conditions of the design and suggest a design solution. As in the context of Thailand, this research identified 4 factors contributing to the success of UD which the designer should be accountable for (1) public understanding of the basic concepts of UD (2) all the related background such as culture, tradition and economic etc. that contributed the attitudes of all stakeholders (of the hospital) towards people with physical impairments (3) the rights, laws, regulations and policies for people with disabilities in the context of the country and (4) the participation of all types of users. And in doing so, this research added an extensive evaluation to the general POE to cover as more factors as possible to those involved with the design implementation. Therefore, an extensive evaluation process so called “Comprehensive Post-Occupancy Evaluation C-POE” has been created and employed in this study for offering more comprehensive solution that cover all possibilities cause of problems, the evaluation processes are as follows; (1) evaluating physical features and users’ behavior (the experimental access audit), (2) examining administrative policy, HA and UD principles and (3) interviewing attitude of executives about UD.
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Rahimi, Samira Abbagholizadeh. "Application of Fuzzy Soft Set in Patients' Prioritization." In Hospital Management and Emergency Medicine, 367–90. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-7998-2451-0.ch019.
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Based on studies, access to healthcare services and long waiting time is one of the main issues in many countries including Canada and United States. Healthcare organizations can't increase their limited resources nor treat all patients simultaneously. Then, patients' access to these services should be prioritized in a way that best uses the scarce resources and insures patients' safety. Prioritization is essential and inevitable not only because of resource shortage, which have not been improved during years, but also because it is a crucial issue that could contribute to the capability and stability of the healthcare systems, and most importantly to patients' safety. On the other hand, inappropriate prioritization of patients waiting for treatment, could affect directly on inefficiencies in healthcare delivery, quality of care, and most importantly on patients' safety and their quality of life and satisfaction. Inspired by these facts, in this chapter the importance of patients' prioritization and using fuzzy logic in this area will be discussed, and a novel hybrid framework using fuzzy soft sets for patients' prioritization will be proposed. The proposed framework may have a significant impact on patients' safety, and on both medical community and the public's faith in justice and equity.
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Kermott, Cindy. "Epidemiology 1: Basic Concepts." In Mayo Clinic Preventive Medicine and Public Health Board Review, 33–43. Oxford University Press, 2010. http://dx.doi.org/10.1093/med/9780199743018.003.0003.
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Descriptive and analytic methods are used in epidemiologic investigations. Statistical tools are used to describe data, evaluate hypotheses, and apply causal theory. Epidemiologic research can be used to determine whether a causative relationship exists between a disease and its associated factors. Epidemiologic data can be collected by government agencies, hospitals, medical insurance carriers, third-party payers, physician practices, and managed care programs. Each data collection system has potential weaknesses such as introduced errors, incomplete records, limited access, and nonrepresentative populations. Registries are detailed listings of all occurrences of a disease or condition within a defined region. An outbreak investigation begins by establishing the existence of an outbreak. After the case definition is established, factors such as person, time, and place are used to develop causal hypotheses. The hypotheses are tested to evaluate credibility, and reconsideration or refinement of the hypotheses may be necessary. Control measures may be taken before the outbreak source or route of spread is ascertained. Prevention and control measures must be communicated.
Conference papers on the topic "Timely acces to public hospitals"
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Harahap, Sarah Geltri, Cicylia Candi, and Adang Bachtiar. "Acceptance and Barrier in Using Telemedicine Health Services of Hospitals among Paediatric Outpatients: A Systematic Review." In The 7th International Conference on Public Health 2020. Masters Program in Public Health, Universitas Sebelas Maret, 2020. http://dx.doi.org/10.26911/the7thicph.04.31.
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ABSTRACT Background: Utilization of the telemedicine application is an alternative option for paediatric health services without a direct visit to hospitals, especially in pandemic or disease outbreak conditions. The important telemedicine services, especially for paediatric patients, need to be tackled by stakeholders and hospital management teams. This study aimed to investigate the acceptance and barrier in using telemedicine health services of hospitals among paediatric outpatients. Subjects and Method: A systematic review was conducted by searching from ScienceDirect and Scopus databases. The keywords were “telemedicine OR patient paediatric”. The inclusion criteria were open accessed and English-language articles published between 2019 to 2020. The data were reported by PRISMA flow chart. Results: Nine articles met the inclusion criteria. Feasibility and the easiness to use of the application, cost-effectiveness, less travel time, easy access to medicine, and effective health services were the optimal services received by paediatric outpatients in using telemedicine. The limitations of telemedicine services were lack of physical and diagnostic examinations, information for socio-demographic and socioeconomic status, patient insurance coverage, direct care services, and privacy and confidentiality of patients. Conclusion: Not all the conditions of paediatric outpatients receive optimal health services through telemedicine. An innovative approach is needed to improve telemedicine’s available health services, especially for paediatric outpatients who need direct health care without visiting the hospitals. Keywords: telemedicine, paediatric outpatients, health services Correspondence: Sarah Geltri Harahap. Master Program of Policy and Health Administration, Faculty of Public Health, University of Indonesia. Email: sarah.geltri@ui.ac.id. Mobile: +6281375985375. DOI: https://doi.org/10.26911/the7thicph.04.31