Journal articles on the topic 'Unit: Health Services Research Centre'
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1
Eaton, Kenneth A., and Nigel B. Pitts. "Dental Health Services Research Unit Celebrates 30 Years." Primary Dental Care os16, no. 2 (April 2009): 51–54. http://dx.doi.org/10.1308/135576109787909445.
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Over the years, several members of the staff of the Dental Health Services Research Unit (DHSRU) at Dundee have published papers in Primary Dental Care. Furthermore, its Director, Professor Nigel Pitts, together with Drs Jan Clarkson and Gail Topping have co-edited a number of the Faculty of General Dental Practice (UK)'s standards manuals and contributed to others. It had been suggested to the Unit by several parties that, having been in funded existence for some 30 years, it would be appropriate to mark this anniversary with a conference to explore ‘Dental Health Services Research: After 30 years, what was the impact, what have we learned and where are we going?’ So, following a range of consultations, the conference was convened at the West Park Conference Centre in Dundee with a mixed audience representing both dental research and dental practice.
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Peel, V. J. "Management-Focused Health Informatics Research and Education at the University of Manchester." Methods of Information in Medicine 33, no. 03 (1994): 273–77. http://dx.doi.org/10.1055/s-0038-1635027.
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Abstract:The Health Services Management Unit was established in 1956 and the Centre for Health Informatics in 1988 as one of eight new centres of research and professional practice. New programmes of informatics education have been created to integrate many of the areas of social and management sciences with clinical work. The model, of a multi-disciplinary higher education department based at a University with very substantial departments of Bio-Medicine and Computation, enables the Centre to reflect an alternative paradigm of health informatics. Informatics practitioners from many disciplines are taught a combination of knowledge and skills through a range of educational methods. A classification scheme for educational work is offered.
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Kealy-Bateman, Warren, Andrew McDonald, Paul S. Haber, Tim Green, Bethany White, Viktoria Sundakov, Cathal O’Cionnaith, and Nicholas Glozier. "Development of a joint mental-health and drug health assessment unit and short-stay unit." Australasian Psychiatry 27, no. 4 (May 20, 2019): 374–77. http://dx.doi.org/10.1177/1039856219848825.
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Objectives: There is emerging interest in models of care that focus on assessment and brief inpatient treatment (two to three days) including psychiatric emergency care centre units and short-stay units in Australia. We present the development of a functionally integrated Missenden Assessment Unit and six-bed short-stay unit in the new Professor Marie Bashir Centre at Royal Prince Alfred Hospital in inner-city Sydney. The focus was on collaboration between emergency, drug and alcohol and mental-health services in developing the short-stay unit and Missenden Assessment Unit with joint admission and resource use. We outline the models of care and findings from the 2016 evaluation following the initial two years of operation and consider ongoing challenges. Conclusion: The Missenden Assessment Unit provides an alternative point of presentation for mental-health drug and alcohol patients. The short-stay unit provides coordinated, therapeutic interventions. The Missenden Assessment Unit/short-stay unit reduced the burden of presentations to the emergency department while providing the opportunity for training and collaboration. Further refinement of the models of care should occur with policy development and via research.
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ALWI, MUHAMMAD, PUTU KARISMAWAN, I. DEWA KETUT YUDHA S, and IWAN HARSONO. "SARANA PENDIDIKAN, KESEHATAN DAN TINGKAT KEMISKINAN DI KECAMATAN TANJUNG SEBAGAI PUSAT PERTUMBUHAN KABUPATEN LOMBOK UTARA, PASKA GEMPA 2018 DAN MASA PANDEMI COVID-19." GANEC SWARA 16, no. 2 (September 10, 2022): 1616. http://dx.doi.org/10.35327/gara.v16i2.327.
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Earthquake 2018 and than Covid-19 Pandemic as starting point to conduct research about condition of educations, healties and rate of poverty in Tanjung Districts, North Lombok, West Nusa Tenggara Province. Base on analysis data of centre of Statistic Bureau of North Lombok (BPS) and population projection of Tanjung districts untill 2025, the condition are: fasilities of kindergarten has not been enough yet. The distibution of that finfrastructure among the vilages is not equal. The elemnteray or primary school (Sekolah Dasar), junior high school ( Sekolah Menengah Pertama) are more than enough, Midle high school (sekolah Menengah Atas) are not enough yet. The aditional education fasilities in 2022 need to add, such as 20 units of new kindergarten, 1 units of Midle high school. Health fasilities relatively has not been enough yet, compare to district Tanjung population as much 220.412 and the position distric Tanjung as capital of North Lombok regency e.g community helath centre and sub community health centre (Puskesmas dan Puskesmas Pembantu), polyclinic and laboratory, hospital, private doctor services, farmacy are not enough yet realtively to population. It should there 5 unit of Community health centre dan 82 sub cummunity helath centre, 10 private doctor services, 1 unit of laboratory, 3 unit of hospital C or 1 B type. Base on qualitative data that rate of poverty in Tanjung district is relativly high. The lowest education level, skill, Lack of employment opurtunity, and capital are the prime faktor of poverty
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Hamberi, Hamberi, and Dwi Rohmiatun. "Responsivitas Pelayanan Unit Gawat Darurat di Puskesmas Jabiren." Restorica: Jurnal Ilmiah Ilmu Administrasi Negara dan Ilmu Komunikasi 3, no. 2 (October 16, 2017): 16–20. http://dx.doi.org/10.33084/restorica.v3i2.730.
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This study aims to examine and explain the Responsiveness of Emergency Unit Services (UGD) at Jabiren Health Center, Pulang Pisau Regency. The research method used is descriptive qualitative because the problems brought by researchers are still unclear in nature and are holistic (overall) sources of data in this study consisting of primary and secondary data which is the primary data is the head of Jabiren Health Center, midwife, nurse / officer- medical staff, and the community who received ED services at the Jabiren Health Center. Data collection techniques in this study are observation, interview, and documentation. Based on the results of the survey that the responsiveness of emergency services in Jabiren Health Center is known to be still not optimal because nurses/midwives often do not deliver on time in the ED services, there have been mistakes during the health care process, medicines are still lacking, human resources are still lacking, and there are still facilities for supporting facilities at the ER.
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Viswanath, Vidya, Leela Digumarti, Nadimpalli Satyanarayana Raju, Usha Rani Venkata Lokanandi, Mohana Rao Dasu, Satya Kumari Venkata Bolem, Naresh Katta, Srinivasa Rao Vemula, Vaduguru Venkata Lakshmi Narasimha Sharma, and Raghunadharao Digumarti. "Organising Home-based Palliative Care Services: A Quality Improvement project at the Homi Bhabha Cancer Hospital and Research Centre, Vishakhapatnam." Indian Journal of Palliative Care 27 (August 12, 2021): 197–203. http://dx.doi.org/10.25259/ijpc_370_20.
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Objectives: The key component of a comprehensive palliative care (PC) unit is provision of a regular and sustainable home-based PC (HBPC) service. This quality improvement project aimed to plan, organise and sustain a regular HBPC service in a government cancer centre in Southeast India. The aim was to regularise and increase the number of home care visits among the patients identified for HBPC services through sustainable interventions. Materials and Methods: The A3 methodology with its team-based, structured problem-solving approach was the tool used. The situational process map at baseline was followed up with a sequential cause and effect analysis and team discussions to create sustainable and reliable interventions. These included creating the electronic data system for data collection in PC, allocation of resources and implementation of systems to coordinate HBPC services. The roles and ownership to maintain improvement were established by designation and this requirement has been included in the job description to ensure reliability and sustainability. Results: The regularisation of home care services with a consistent increase in the number of home visits from 2/week to over 6/week helped achieve the Specific, Measurable, Achievable, Relevant and Time bound goal. Better documentation, coordination and accountability were also positive outcomes. Working with different departments and teams along the project helped build trust and understanding along with a sound base for collaborative research. Conclusion: The A3 way of problem solving through dialogue and consensus helped to organise HBPC services and this methodology can be extended to other areas in future.
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Uppin, Mrutyunjay I., Kapildev K. Hannurkar, and Archana M. Uppin. "Study on patient satisfaction among patients with trauma admitted to trauma centre and emergency medical services ward." International Surgery Journal 6, no. 4 (March 26, 2019): 1219. http://dx.doi.org/10.18203/2349-2902.isj20191070.
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Background: Patient satisfaction is an important key factor for determining the quality health care and services offered by the emergency departments in the hospital. The objectives of the study were to assess the satisfaction of the trauma patients attending the trauma center with the services provided by the KLES Dr. Prabhakar Kore Hospital and Research Centre, Belagavi, Karnataka.Methods: Fifty trauma patients admitted and treated in trauma center and emergency medical services ward (TCEMS) at KLES Dr. Prabhakar Kore Hospital and Research Centre, Belagavi, over a period of 3 months (from November 2014 till January 2015) were interviewed. After obtaining an informed consent, the required data was collected using a pre-designed and pre-tested questionnaire.Results: Out of the 50 patients interviewed, 86% were males and 14% were females. Out of them 74% were road traffic accident victims. 67.5% of these victims were between the age group of 21 and 50 yrs. The overall satisfaction was good with all the services provided at the center. 80% were satisfied with the care provided by the doctors, 80% with communication by doctors, more than 75% with accessory services, more than 65% with the wait times at various levels and more than 85% satisfaction with amenities in the ward.Conclusions: In conclusion our study revealed that the availability of consultant in triage area, improvements in communication, quick service at the Casualty Pharmacy, reducing the perceived waiting times at various levels and improvement in the ambience of the unit would further enhance the patient satisfaction with TCEMS.
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Laraswatie, Harisa, Tjahjono Kuntjoro, and Sutopo Patria Jati. "Kebutuhan Perawat Puskesmas Berbasis Analisis Beban Kerja." Jurnal Manajemen Kesehatan Indonesia 4, no. 2 (August 1, 2016): 118–22. http://dx.doi.org/10.14710/jmki.4.2.2016.118-122.
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A nurse’s necessity at a health centre viewed from workload analysis is required to identify a nurse’s necessities adjusted with service standards and real condition at a health centre. This requirement is in accordance with the change of an outpatient health centre status to be an inpatient health centre in which infrastructure and human resource need to be improved. This was a qualitative study using case study approach started from data collection, FGD, NGT, work sampling, to indepth interview with stakeholders who had experiences in calculating an employee’s necessities based on ABK and nurse representative. Furthermore, data were analysed using a form to calculate an employee’s necessities obtained from BKN. The results of calculation of a nurse’s necessities showed that number of nurses required for an inpatient unit were nine persons consisted of five skilled nurses and four expert nurses. This number was equal to nine beds that were required (1:1). On the other hand, number of nurses required for an outpatient unit including BP, UKM, and Pustu were 26 persons (16 skilled nurses and 10 expert nurses) or 1 nurse served 1,458 people or 456 families. Rembang 2 Health Centre needs to fulfil a nurse’s necessities by considering innovation of nursing services to reduce burden of human resource. A nursing committee needs to be formed by District Health Office as an institution that is responsible to supervise functional positions. Standards of nursing diagnosis and an information system of nursing care services need to be determined in order to describe an autonomy level of individual, family, group, and community in District of Rembang in terms of self-care. In addition, academics need to conduct further research regarding workload of other functional positions in health in order to achieve goals of national health development.
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Taylor, Rachel M., Lorna A. Fern, Julie Barber, Faith Gibson, Sarah Lea, Nishma Patel, Stephen Morris, et al. "Specialist cancer services for teenagers and young adults in England: BRIGHTLIGHT research programme." Programme Grants for Applied Research 9, no. 12 (November 2021): 1–82. http://dx.doi.org/10.3310/pgfar09120.
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Background When cancer occurs in teenagers and young adults, the impact is far beyond the physical disease and treatment burden. The effect on psychological, social, educational and other normal development can be profound. In addition, outcomes including improvements in survival and participation in clinical trials are poorer than in younger children and older adults with similar cancers. These unique circumstances have driven the development of care models specifically for teenagers and young adults with cancer, often focused on a dedicated purpose-designed patient environments supported by a multidisciplinary team with expertise in the needs of teenagers and young adults. In England, this is commissioned by NHS England and delivered through 13 principal treatment centres. There is a lack of evaluation that identifies the key components of specialist care for teenagers and young adults, and any improvement in outcomes and costs associated with it. Objective To determine whether or not specialist services for teenagers and young adults with cancer add value. Design A series of multiple-methods studies centred on a prospective longitudinal cohort of teenagers and young adults who were newly diagnosed with cancer. Settings Multiple settings, including an international Delphi study of health-care professionals, qualitative observation in specialist services for teenagers and young adults, and NHS trusts. Participants A total of 158 international teenage and young adult experts, 42 health-care professionals from across England, 1143 teenagers and young adults, and 518 caregivers. Main outcome measures The main outcomes were specific to each project: key areas of competence for the Delphi survey; culture of teenagers and young adults care in the case study; and unmet needs from the caregiver survey. The primary outcome for the cohort participants was quality of life and the cost to the NHS and patients in the health economic evaluation. Data sources Multiple sources were used, including responses from health-care professionals through a Delphi survey and face-to-face interviews, interview data from teenagers and young adults, the BRIGHTLIGHT survey to collect patient-reported data, patient-completed cost records, hospital clinical records, routinely collected NHS data and responses from primary caregivers. Results Competencies associated with specialist care for teenagers and young adults were identified from a Delphi study. The key to developing a culture of teenage and young adult care was time and commitment. An exposure variable, the teenagers and young adults Cancer Specialism Scale, was derived, allowing categorisation of patients to three groups, which were defined by the time spent in a principal treatment centre: SOME (some care in a principal treatment centre for teenagers and young adults, and the rest of their care in either a children’s or an adult cancer unit), ALL (all care in a principal treatment centre for teenagers and young adults) or NONE (no care in a principal treatment centre for teenagers and young adults). The cohort study showed that the NONE group was associated with superior quality of life, survival and health status from 6 months to 3 years after diagnosis. The ALL group was associated with faster rates of quality-of-life improvement from 6 months to 3 years after diagnosis. The SOME group was associated with poorer quality of life and slower improvement in quality of life over time. Economic analysis revealed that NHS costs and travel costs were similar between the NONE and ALL groups. The ALL group had greater out-of-pocket expenses, and the SOME group was associated with greater NHS costs and greater expense for patients. However, if caregivers had access to a principal treatment centre for teenagers and young adults (i.e. in the ALL or SOME groups), then they had fewer unmet support and information needs. Limitations Our definition of exposure to specialist care using Hospital Episode Statistics-determined time spent in hospital was insufficient to capture the detail of episodes or account for the variation in specialist services. Quality of life was measured first at 6 months, but an earlier measure may have shown different baselines. Conclusions We could not determine the added value of specialist cancer care for teenagers and young adults as defined using the teenage and young adult Cancer Specialism Scale and using quality of life as a primary end point. A group of patients (i.e. those defined as the SOME group) appeared to be less advantaged across a range of outcomes. There was variation in the extent to which principal treatment centres for teenagers and young adults were established, and the case study indicated that the culture of teenagers and young adults care required time to develop and embed. It will therefore be important to establish whether or not the evolution in services since 2012–14, when the cohort was recruited, improves quality of life and other patient-reported and clinical outcomes. Future work A determination of whether or not the SOME group has similar or improved quality of life and other patient-reported and clinical outcomes in current teenage and young adult service delivery is essential if principal treatment centres for teenagers and young adults are being commissioned to provide ‘joint care’ models with other providers. Funding This project was funded by the National Institute for Health Research (NIHR) Programme Grants for Applied Research programme and will be published in full in Programme Grants for Applied Research; Vol. 9, No. 12. See the NIHR Journals Library website for further project information.
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Rathore, Bhumika, Sireesha Sadasivan, and Vinay Bhardwaj. "Time Required by Dental Post Graduates and Graduates for Direct Patient Care in Peripheral Outreach Centre - A Comparative Work Sampling Analysis." Dental Journal of Advance Studies 04, no. 03 (December 2016): 152–55. http://dx.doi.org/10.1055/s-0038-1672062.
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AbstractBackground: The inequity of oral health services persist due to inadequate dentist to patient ratio in the peripheral areas. The possibility of management of more number of patients lies within an efficient work force, in order to render oral health services in a well-organised manner. Objectives: The research was taken up with the primary objective of determining the most time efficient manpower in a peripheral dental unit. Secondary objective was to determine the time spent in each treatment procedure in proportion to total time involved in direct patient care. Third objective, was to recommend an appropriate range of sample for further similar studies using observatory methodology in peripheral centres. Methodology: Work measurement was done for the postgraduate and the undergraduate students for the treatments performed by them in the unit. Participatory observations were made on randomly selected days, and timings were recorded using standardised stop watch. Descriptive analysis was performed for the data obtained using Statistical Package for Social Science (IBM Corp. Released 2010. IBM SPSS Statistics for Windows, Version 19.0. Armonk, NY: IBM Corp.). Results: Mean timing was found to be highest for all treatment procedures amongst graduates when compared to the postgraduates and maximum proportion of time was spent for extractions amongst all the treatments performed. Conclusion: Availability of speciality services will help the hospitals render more proficient services to the rural masses.
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Cammell, Paul. "Emergency psychiatry: a product of circumstance or a growing sub-speciality field?" Australasian Psychiatry 25, no. 1 (September 26, 2016): 53–55. http://dx.doi.org/10.1177/1039856216665286.
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Objectives: This article reviews recent trends in the provision of psychiatric services to the emergency departments of tertiary hospitals in Australia, involving the establishment of specialised in-reach or liaison services as well as various forms of short stay unit attached to emergency departments. The Emergency Psychiatry Service at Flinders Medical Centre, South Australia, is described as a case example. Its specialised models of assessment and clinical care are described, highlighting how these are differentiated from more traditional models in inpatient, community and general hospital consultation–liaison psychiatry. Conclusions: Emergency psychiatry, and in particular the application of specialised psychiatric models of in-reach service and short stay units, is an increasingly important and growing field of psychiatry that warrants further exploration in research. The Emergency Psychiatry Service at Flinders Medical Centre has developed a distinct group of assessment and treatment approaches that exemplifies this growing field.
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Chiappelli, Marco, Francesca Pileggi, Giorgio Rosini, and Giovanni Neri. "A three years follow-up of a group of «everyday patients» in a mental health centre." Epidemiologia e Psichiatria Sociale 6, no. 2 (August 1997): 107–17. http://dx.doi.org/10.1017/s1121189x00004905.
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SUMMARYObjective — This research concerns those patients who most attend the community Mental Health Centre (CSM), hereby called «everyday patients». According to a previous research (Pileggi et al., 1992) a sample of patients mostly attending the Centre had been pointed out. Basing on the number of attendances, it emerged that some of those patients (57) had been on the average attending the Centre more than twice a week and, despite being only 10% of the total number of users, they had taken on a large share of the services offered by the Centre (30%). Therefore, those patients were the ones the Centre had been working for more intensely and continuously. Three years later, the object of this research is to check the assistance and clinical destiny of such patients and compare their patterns of attendances to those ones regarding the remainder of the CSM users. The hypothesis is that «everyday patients» are assisted by different and continuous treatments and that such a procedure prevents patients from dropping out and determines a strong reduction in relapses and less frequent attendances. Design — Longitudinal study on a 42 patient sample (19 males, 23 females) on therapy at CSM. Setting — Mental Health Centre, «Saragozza» District, Sanitary Unit of Bologna. Main outcome measures — The following elements have been examined: 1) social and demographic features; 2) duration of psychiatric history; 3) clinical diagnosis according to DSM-HI-R, set by patients personal psychiatrist; 4) global functioning level as examined by two psychiatrists or psychologists from the Centre, using DSM-III-R Global Functioning Scale (GFS); 5) actions carried out and patterns of using the CSM services over the past 12 months. Concordance measures among independent examiners (Cohen K) and non-parametric variability measures for comparison between groups (Chi-square and Kruskal-Wallis tests) have been used. Results and conclusion — Results partially confirm the original hypotheses. In particular, complicated services (psychological and pharmacological therapies and rehabilitation) are carried out for the most of «everyday patients» and much more intensely to them than to the remainder of the users. No drop-out has been found out, the global functioning level of the patients is good in most of cases and the number of necessary admissions to psychiatric wards has been reduced. However, the «attendance share» relevant to the sample of «everyday patients» is still high compared to the total number of the CSM users. Besides, discharge rate is nought.
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Akbar, Hairil, Heriyana Amir, Suci Rahayu Ningsih, and Widya Astuti. "Hubungan Mutu Pelayanan Petugas Kesehatan Terhadap Minat Kunjungan Ulang Pasien Rawat Jalan di Puskesmas X." Pena Medika Jurnal Kesehatan 10, no. 2 (December 27, 2020): 8. http://dx.doi.org/10.31941/pmjk.v10i2.1247.
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The number of outpatient visits in the X community health center in 2016 was 32633 patients, and in 2017 the number of visits increased by 38374 patients, while in 2018 the number of visits decreased by 36604 patients. Based on data from outpatient visits at X health center that the number of patient visits decreased, where in 2017 increased and in 2018 decreased the number of patient visits. The purpose of the study was to determine the relationship between the quality of health care services and the interest of outpatient visits to the X community health center. The type of research conducted was observational analytic research using a cross sectional study approach. This research was carried out in the technical service unit of the X community health center in 2019. The population was all patients using outpatient care facilities at Cipancuh Health Center in 2019, with 36604 outpatients. The sample size is 100 people. Sampling is done by simple random sampling. Statistical test results, namely the quality of health services ( value = 0,000) are related to the interest of outpatient visits in the Technical Implementation Unit of the X community Health Center in 2019. It is expected that the staff will further improve the quality of their services in the hope that patients who use outpatient facilities.
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Boardman, A. P., and N. Bouras. "Self-referrals to a community psychiatric clinic." Psychiatric Bulletin 13, no. 9 (September 1989): 490–92. http://dx.doi.org/10.1192/pb.13.9.490.
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Over recent years a number of non-hospital based services have been developed that can be subsumed under the title of Community Mental Health Centres (CMHCs). Conferences held by the King's Fund (McAusland, 1985) and the National Unit for psychiatric Research and Development (Sayce, 1987) have highlighted the importance of CMHC-like services in health authorities' plans to develop community based psychiatric services. There is no single view of CMHCs in the United Kingdom and, while many such centres already exist, they are diverse in nature and their activities have been sparsely documented.
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Lauslahti, Kalevi, Risto Roine, Virpi Semberg, Martti Kekomäki, Mauno Konttinen, and Pekka Karp. "HEALTH TECHNOLOGY ASSESSMENT IN FINLAND." International Journal of Technology Assessment in Health Care 16, no. 2 (April 2000): 382–99. http://dx.doi.org/10.1017/s0266462300101059.
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Finland has a long tradition of supporting social programs that promote equality and the welfare state. The healthcare system is financed mainly by taxation. Everyone is insured against illness. Each of Finland's five provinces is run by a provincial government that monitors the provision of social welfare and health care. However, the municipalities actually provide the services and regulate medical equipment and regionalization of services. During the early 1990s, gross domestic product (GDP) fell dramatically, and healthcare expenditure rose to 9.4% of GDP. Due to the economy's rapid recovery, the share of healthcare expenditure has again decreased and now matches the average level of OECD countries of approximately 7.7 %. The former Finnish method of central planning and norm setting has guaranteed a fairly uniform development of necessary services throughout the country and free or low-cost access. Tight central planning did not, however, create incentives to contain costs. Therefore, in the beginning of the 1990s, decision-making power was largely decentralized to the municipalities, and the principles of state subsidies were reformed. In 1995, the Finnish Office for Health Care Technology Assessment (FinOHTA) was set up as a new unit of the National Research and Development Centre for Welfare and Health (STAKES). FinOHTA is intended to function as a national central body for advancing HTA-related work in Finland, with the ultimate goal of promoting the effectiveness and efficiency of Finnish health care. At present, the importance of HTA is widely recognized in Finland, especially in the face of rising healthcare costs.
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Gheorghiu, Ionela, Alain Lesage, Adam Mongodin, and Marlène Galdin. "PP142 A Mental Health Hospital-based Health Technology Assessment In Quebec, Canada: Structure And Products." International Journal of Technology Assessment in Health Care 33, S1 (2017): 137–38. http://dx.doi.org/10.1017/s0266462317002896.
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INTRODUCTION:Our Hospital-based Health Technology Assessment unit (HB-HTA) was founded in 2011 following the nomination of Louis-H. Lafontaine hospital as the Montreal University Mental Health Institute (IUSMM). From the beginning, the HB-HTA has been supporting and advising the Chief Executive Officer of IUSMM in the decision-making process concerning the implementation of new technologies and practices in mental health. Since 2015, the HB-HTA is part of the East of Montreal Regional Integrated Health and Social Services Centre (CIUSSS de l'Est-de-l’Île de Montréal), continuing to support decisions in mental health. Currently, the HB-HTA unit is nested in the Quality, Performance and Ethics department.METHODS:Formed by a coordinator, a scientific advisor and a manager, the HB-HTA team plans, organizes and sets up the evaluation activities. The unit benefits from the support of a Steering Committee which consists of representatives of clinical, administrative and research directions, as well as of health users and families. This committee determine the strategic orientation of the HB-HTA unit, prioritize the projects, approves the evaluation products and gives indications on the knowledge transfer process.RESULTS:To answer the decision questions, our HB-HTA unit employs two types of products: evaluation reports and informative notes. Based on an exhaustive literature search and consultations with stakeholders, the evaluation reports offer recommendations to support the decision-making process. The informative notes are rapid responses based on a partial literature search. The nature of this type of analysis does not allow the formulation of recommendations, however, a conclusion of the consulted literature is offered.CONCLUSIONS:Based on the work of our HB-HTA unit, some important decisions were made by the IUSMM. As an example, the systematic screening of psychiatric patients for drug and alcohol was not favored by our institution; rather than this, priority was given to staff training, in order to better identify and treat psychiatric patients with substance abuse comorbidity.
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Hunt, Jennifer, and Alexis Travis. "Lessons On Using Health Research & Technology To Broaden Resources For Older Adults Across The State." Innovation in Aging 5, Supplement_1 (December 1, 2021): 97. http://dx.doi.org/10.1093/geroni/igab046.366.
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Abstract The vision of the Michigan state unit on aging is for residents to live well and thrive as they age. The COVID-19 pandemic exacerbated the existing problem of older adult social isolation. Social engagement and community involvement are keys to healthy aging. Combining state resources with the GetSetUp virtual community allowed for statewide connections and extended resources, creating an almost around-the-clock virtual senior center. Through customized courses the state was able to offer vaccine navigation sign-up classes, among other classes, to help older adults interact with essential health and aging services. As Michigan continues to work to address health equity and social determinants of health beyond the pandemic, technology designed specifically for older adults is an important component of programmatic offerings. It also allows for a public-private partnership opportunity to support older adults as they age.
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Kurniasih, Dea Anita Ariani, Elsa Pudji Setiawati, Ivan Surya Pradipta, and Anas Subarnas. "Patients’ Perspectives of Interprofessional Collaboration in Breast Cancer Unit." Healthcare 11, no. 3 (January 23, 2023): 332. http://dx.doi.org/10.3390/healthcare11030332.
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Interprofessional teamwork provides significant benefits for patients. However, qualitative research on interprofessional collaboration in the breast cancer unit is uncommon. Therefore, a qualitative study was conducted to assess the perceptions of outpatient breast cancer patients regarding interprofessional collaboration in the breast care unit of an Indonesian referral center hospital. The teamwork involved in the interprofessional collaboration included breast cancer specialists, pharmacists, and nurses. In this study, in-depth interviews were performed with nine breast cancer outpatients. All interviews were audio recorded, transcribed verbatim, and analyzed using thematic analysis. The findings were divided into two categories to gather breast cancer patients’ viewpoints on interprofessional collaboration: (1) obstacle components to interprofessional collaboration: incompleteness of health personnel, no justification from health personnel, no knowledge of patients about health professionals, no involvement of patients in the therapy decision making; (2) enabling elements: patient-oriented, patient expectations, collaboration among healthcare personnel, patient participation in interprofessional collaboration, health personnel responsibilities, comprehensive hospital services. Respondents assumed interprofessional collaboration positively. However, several obstacles must be overcome to implement interprofessional collaboration in a breast care setting effectively. The research findings can be utilized to establish interprofessional collaborations aimed at improving quality healthcare in breast cancer units.
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Avrianti, Ika. "Planning Matrix Sebagai Upaya Peningkatan Mutu Pelayanan Rawat Inap di Rumah Sakit Umum Bhakti Rahayu Surabaya." Jurnal Administrasi Kesehatan Indonesia 4, no. 2 (December 30, 2016): 163. http://dx.doi.org/10.20473/jaki.v4i2.2016.163-175.
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Inpatient unit of Bhakti Rahayu Hospital as one potential revenue center for the hospital expected to be able to support an increas the income of the hospital. The issue of this research is the decrease trend of Bed Occupancy rate 48,96% with trend -15,79%.This research aims to increas the quality of inpatient services care in Bhakti Rahayu Hospital based on planning matrix. This research was in inpatient unit Bhakti Rahayu Hospital with an descriptive design cross sectional study of the 80 patients who are representing inpatient hospitalization were taken by simple random sampling. Data was collected by using questionnaires distributed to patients and analysed by quantitative methods arranged in the planning matrix table. The results showed that inpatient services quality has not met the standards of good service so that the service implementation need improvement and enhancement services primarily on aspects of the physical and human resources. The conclusions showed that to increase the quality of health care based on internal factors was very important. Physical aspects and human resources are the top priority to fix up.Keywords:services quality, planning matrix, inpatient unit
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Brierley, Joe, Sarah Aylett, Anne MacNiven, and Mariana Dittborn. "Work of a paediatric bioethics centre during the COVID-19 pandemic first phase." Archives of Disease in Childhood 106, no. 9 (January 12, 2021): 906–10. http://dx.doi.org/10.1136/archdischild-2020-320375.
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ObjectivesDecisions with an ethical component have been controversial during the COVID-19 pandemic, whether leaked intensive care unit (ICU)-rationing documents, transfer of people to care-homes to ‘protect the National Health Service’ or the duty to treat patients despite inadequate personal protective equipment. To counter criticism of ethics per se, and to help those planning ethics support we describe the practical work of a children’s hospital bioethics team in supporting children, families and clinicians during this unprecedented period.Design/settingThree phases of activity: (i) preparation: we composed several documents to support/guide hospital teams and, together with colleagues, provided them to regional inpatient, community and hospice settings. We adapted existing mechanisms to combat workforce moral injury; (ii) activity (March–June 2020): was highest in our rapid response service where children/families consider difficult treatment decisions with medical teams. Education provided ‘pandemic webcasts’ on decision-making and broader child-health concerns. Staff support was essential, especially for those deployed to overwhelmed local adult ICUs. Research ascertained young people’s views on the pandemic; (iii) reflection: focussed on (a) research about future re-deployment to adult services and minimisation of moral distress/injury, (b) remote video-conferencing—parents’/participants’ experience/ability to consider complex ethical issues and (c) role of faith/non-faith in society’s recovery and children’s views.Main outcome/conclusionsOur bioethics team’s role during the pandemic included: case reviews via video-conferencing, many involving innovative therapy for severely unwell children with COVID-19/Paediatric-Inflammatory-Multisystem Syndrome-Temporally associated with SARS-CoV-2 together with their parents; processes to protect healthcare staff from moral harm and research/educational activity focused on paediatric-specific ethical arising during the pandemic.
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Elsayem, A. F., D. Hui, Z. Li, M. Flores, W. A. Atkinson, and E. Bruera. "Acute palliative care unit in a comprehensive cancer center (CCC): Financial and clinical outcomes." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): e20518-e20518. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e20518.
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e20518 Background: Acute palliative care units (APCU) in CCCs improves symptom control for advanced cancer patients and supports their families. However, these services are not available in the majority of cancer centers. Concerns regarding financial reimbursements represent a major barrier for establishing APCUs. The purpose of this study is to report the clinical outcomes and compare the financial outcomes of our APCU as compared to other services at our CCC. Methods: We reviewed all admissions to the APCU over the last 5 fiscal years for demographic information, length of stay, discharges, survival, hospital billings and collection of charges, and compared these to the rest of the institution. Results: 2,510 unique patients were admitted to the APCU. Median age was 59 years (19–101) and 51% were female. The median length of stay in APCU was 8 days (Q1-Q3 6–10). Median survival of patients discharged home, to health care facilities and hospice were 53, 22, and 13 days, respectively (p<0.001, log rank test), with 6 month survival of 20%, 4%, and 2%, respectively. Professional collections ranged from 42–47% of charges for APCU, vs. 32–38% for rest of the CCC and were stable over the 5 year period. Hospital collections were 47–51% of charges for APCU, vs. 55–57% for the rest of the CCC. The payer mix included commercial 1155 (46%), Medicare 755 (30%), Medicaid 126 (5%), mixed 127 (5%), indigent 198 (8%), and others 149 (6%). Conclusions: The ACPU has reimbursement outcomes consistent with the American acute care model and comparable to the rest of the CCC for last 5 years. The APCU is as viable as any other clinical programs in our institution. Further research is needed to investigate possible reasons for lack of APCU in cancer centers. No significant financial relationships to disclose.
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Wu, C. Y., C. K. Chang, R. D. Hayes, M. Broadbent, M. Hotopf, and R. Stewart. "Clinical risk assessment rating and all-cause mortality in secondary mental healthcare: the South London and Maudsley NHS Foundation Trust Biomedical Research Centre (SLAM BRC) Case Register." Psychological Medicine 42, no. 8 (December 8, 2011): 1581–90. http://dx.doi.org/10.1017/s0033291711002698.
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BackgroundMental disorders are widely recognized to be associated with increased risk of all-cause mortality. However, the extent to which highest-risk groups for mortality overlap with those viewed with highest concern by mental health services is less clear. The aim of the study was to investigate clinical risk assessment ratings for suicide, violence and self-neglect in relation to all-cause mortality among people receiving secondary mental healthcare.MethodA total of 9234 subjects over the age of 15 years were identified from the South London and Maudsley Biomedical Research Centre Case Register who had received a second tier structured risk assessment in the course of their clinical care. A cohort analysis was carried out. Total scores for three risk assessment clusters (suicide, violence and self-neglect) were calculated and Cox regression models used to assess survival from first assessment.ResultsA total of 234 deaths had occurred over an average 9.4-month follow-up period. Mortality was relatively high for the cohort overall in relation to national norms [standardized mortality ratio 3.23, 95% confidence interval (CI) 2.83–3.67] but not in relation to other mental health service users with similar diagnoses. Only the score for the self-neglect cluster predicted mortality [hazard ratio (HR) per unit increase 1.14, 95% CI 1.04–1.24] with null findings for assessed risk of suicide or violence (HRs per unit increase 1.00 and 1.06 respectively).ConclusionsLevel of clinician-appraised risk of self-neglect, but not of suicide or violence, predicted all-cause mortality among people receiving specific assessment of risk in a secondary mental health service.
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Listyorini, Puguh Ika. "Identifikasi Prioritas Masalah Unit Rekam Medis di Puskesmas Nusukan." Jurnal Rekam Medis dan Informasi Kesehatan 3, no. 1 (March 31, 2020): 24–28. http://dx.doi.org/10.31983/jrmik.v3i1.5574.
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Health services consist of two kinds, namely medical and non-medical services. One of the non-medical services provided by the medical record unit. In providing medical record unit services do not always run well, therefore it is necessary to identify the priority determination of the problem to find out what problems must be solved first. The Multiple Criteria Utility Assessment (MCUA) method is a method of determining priority problems with scoring techniques. The purpose of this study was to determine the priority of problems in the medical record unit of the Nusukan Health Center using the MCUA Method. This research uses descriptive research design with 4 speakers. According to the results of the identification of problems carried out by the Group Group Discussion (FGD) that there are 3 problems in the medical record unit of the Nusukan Public Health Center, namely the lack of resources for medical records, medical record documents, and the availability of rooms for managing medical records that are still limited. The priority problem with the MCUA method shows that the problem with the highest value is the lack of medical record personnel. Before making additional workforce, it is recommended to calculate the workforce needs in the medical record unit according to the workload of the medical record officer so that the additional workforce is in accordance with the workload of the officer.AbstrakPelayanan kesehatan terdiri dari dua macam yaitu pelayanan medis dan non medis. Pelayanan non medis salah satunya diberikan oleh unit rekam medis. Dalam memberikan pelayanan unit rekam medis tidak selalu berjalan dengan baik, oleh karena itu perlu dilakukan identifikasi penentuan prioritas masalah untuk mengetahui masalah apa saja yang harus diselesaikan terlebih dahulu. Metode Multiple Criteria Utility Assessment (MCUA) adalah salah satu metode penentuan prioritas masalah dengan tekhnik scoring. Tujuan penelitian ini untuk mengetahui prioritas masalah di unit rekam medis Puskesmas Nusukan menggunakan Metode MCUA. Penelitian ini menggunakan desain penelitian deskriptif dengan 4 orang narasumber. Menurut hasil identifikasi masalah yang dilakukan dengan Forum Group Discussion (FGD) bahwa terdapat 3 masalah di unit rekam medis Puskesmas Nusukan, yaitu kurangnya sumber daya tenaga rekam medis, missfile dokumen rekam medis, dan ketersediaan ruagan untuk penggelolaan rekam medis yang masih terbatas. Prioritas masalah dengan metode MCUA menunjukkan masalah dengan nilai paling tinggi adalah kurangnya sumber daya tenaga rekam medis. Sebelum melakukan penambahan tenaga kerja, maka disarankan agar menghitung kebutuhan tenaga kerja di unit rekam medis menurut beban kerja petugas rekam medis agar penambahan tenaga kerja sesuai dengan beban kerja petugas.
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Jurnal Kebijakan & Manajemen Publik, Jurnal Governance, Yulis Setyowati, and Suprayoga Suprayoga. "Analisis Indeks Kepuasaan Masyarakat Terhadap Pelayanan Balai Pengobatan Pada Malam Hari Di Puskesmas Manukan Kulon Surabaya." Governance, JKMP (Governance, Jurnal Kebijakan & Manajemen Publik) 2, no. 1 (February 23, 2022): 43–47. http://dx.doi.org/10.38156/gjkmp.v2i1.36.
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This research to know public satisfaction index to services at night clinic at the health center, by applying the principles set forth in Kepmenpan Service No. KEP/25/M.PAN/2/2004 on community satisfaction index, which includes 14 elements. Type of study was a descriptive quantitative research. Sampling Sampling uses incidental and gained 100 people. Retrieving data with the distribution of questionnaires to the respondents. To analyze the data using the General Guidelines for Preparation of SME Kepmenpan No. 25 of 2004.Based on research results generated that element of service procedures to get the highest score with a total average value per element of 3.28 with the quality of services Excellent. The index of community satisfaction with clinic services unit at the health center Manukan Kulon get a value of 77.51 with good service quality. People's satisfaction levels of service in the evening clinic at the Puskesmas Manukan Kulon is Satisfied.
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Maisa Putra, Deni, and Alfauzain Alfauzain. "Design Of Tracer Using Microsoft Access Unit In Medical Record Primary Health In Padang." International Journal of Engineering, Science and Information Technology 1, no. 3 (July 3, 2021): 64–74. http://dx.doi.org/10.52088/ijesty.v1i3.90.
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Microsoft Access (also known as Access) is an application used to process databases. The implementation of storage at the Primary Health Center is still manual if the patient's medical record file is not found on the storage shelf, the officer will make a temporary file which will cause the accumulation of files on the shelf. There is still a misplaced medical record file (Missfile) due to the absence of a tracer being stored as a control for releasing medical record files and borrowing medical record files. The purpose of this research is how to design a tracer using Microsoft Access in the medical record unit at Primary Health Center, Padang. This research is about designing a tracer in the medical record unit at Primary Health Center in Padang. This type of research is Research and Development, conducting in-depth interviews, observation, and testing at the storage area and interviews with 1 head of administration, 1 head of medical records, and 2 storage officers. This research was conducted from 25 July to 2 August 2019 at Padang Primary Health Center. Based on the research results, it was found that the identification of tracer data elements in a computerized manner was more complete in implementing the application by developing the UML (Unified Modeling Language) method, namely by using use case diagrams and activity diagrams, as well as data flow diagrams. Efficiency is obtained by means of manually, 1 and computerized 3.5 so that the tracer efficiency is more computerized while the effectiveness is in accordance with what the officers expect. The conclusion in this study found that the officers were satisfied and the application was as expected because it was easy to use. Judging from the test results, this tracer application can be used, seen from the expectations and satisfaction of the officers, the data is appropriate and can improve performance, effectiveness, and efficiency in service. Therefore, the researchers hope that this application can be implemented in services and developed again in the future.
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Caska, Barbara A., Rosemary E. Patnode, and Deborah Clickner. "Feasibility of a Nurse Staffed Lift Team." AAOHN Journal 46, no. 6 (June 1998): 283–88. http://dx.doi.org/10.1177/216507999804600603.
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The present investigation evaluated the feasibility of creating a lift team with existent medical center nursing staff. Four nurse volunteers at low risk for injury were trained in proper lifting techniques and equipment use. Scheduled and paged maximal assistance transfers were performed by rotating pairs of team members over 21 days. The team successfully completed 94% of requested lifts, averaging 25 per day. Transfers between bed and chair were performed most frequently with the aid of a transfer belt. Greatest demands for team services were on a nursing home unit and an extended/subacute care unit. Unit staff responded positively to the team. Further research is needed to determine the team's impact on unit wide staff injuries and to evaluate the long term effects of working as a lift team member.
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Tebay, Vince, Westim Ratang, and Elsyan Marlissa. "Effectiveness of Health Sector Special Autonomy Funds Management Program Supiori Regency, Papua." Journal of Social and Development Sciences 7, no. 3 (October 9, 2016): 25–29. http://dx.doi.org/10.22610/jsds.v7i3.1407.
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Under the Special Autonomy Law, indigenous Papuans receive special attention and are the main subject of development. The existence of the central government, provincial government, district/city governments, as well as subordinate institutions, are all geared to provide the best service to the indigenous people of Papua, in order that improvedsocial welfare can be realized, so that the lives of indigenous people of Papua can be in line with that of the rest of the population in Indonesia. There are four very important service sectors within the strategic mandate of the Special Autonomy Law to be implemented by the government in relation to the welfare of indigenous Papuans, namely: education, health and nutrition, village infrastructure, and economic empowerment. Supiori local government has yet to determine the performance indicators pertaining to implemented programs and activities funded by Special Autonomy. These conditions make the assessment of performance against the use of Special Autonomy funds difficult because indicators of achievement of the program/ activity are not available.Types of data collected in this study include both secondary and primary data. The data collection techniques used in this study are:Questionnaires and Distributed Questionnaires, In-Depth Interviews, Library Research, and Focus Group Discussions.Supiori Autonomy health sector funding of the programs and activities of the Department of Health in 2012 has been quite effective and beneficial for the Health Services Unit, which includes hospitals, health centers and Puskesmas Pembantu health center. In addition, medical personnel (nurses), Posyandu cadres, pregnant and nursing mothers, infants and toddlers, children and the community district also enjoy greater health benefits.There needs to be involvement and participation in the Health Services Unit Autonomy fund management, in areas ranging from planning to follow-up. Participation can be done through discussions about Health Services Unit needs, as well as the needs foundin the planning and budgeting of Special Autonomy funds in the Supiori health field.
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Syardiansah, Syardiansah. "Analisis Indeks Kepuasan Masyarakat terhadap Pelayanan Publik pada Pusat Kesehatan Masyarakat Langsa Barat." Jurnal Administrasi Publik : Public Administration Journal 9, no. 1 (June 18, 2019): 70. http://dx.doi.org/10.31289/jap.v9i1.2255.
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<p>Langsa Barat Health Center is a first-rate health facility that provides health services to the community. In providing health services to the community, all existing service units and all employees are committed to providing quality health care and care for the safety of patients, visitors, communities and employees. Service standards are a commitment of service providers to provide services with a certain quality determined on the basis of a combination of community expectations and the ability of service providers. Establishment of service standards through identification of service type, identification of service type, customer identification, customer expectation identification, vision and service mission formulation, process and procedure analysis, facilities and infrastructure, time and cost of service.To set the standard of service whether or not a reference is used from the Decree of the Minister of Administrative Reform Number KEP / 25 / M.PAN / 2/2004 on general guidelines for the preparation of public satisfaction index. Where is the location of this research is Puskesmas Langsa Barat. This study aims to determine the index of community satisfaction with public services at the Langsa Barat Health Center. The respondents in this study were the health service users in Langsa Barat Health Center.Based on the result of the research, it is found that service indicator is in the form of officer discipline, officer responsibility, courtesy and officer friendliness, suitability of cost with specified, and service unit comfort have excellent service quality. While other indicators have good service quality. And overall the index of community satisfaction on public services at Langsa Barat Health Center has good quality of service.</p>
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Bhattarai, Madhur Dev. "Facilitation of free residential training inside the country – The fundamental health service responsibility of the Government and its regulatory body." Journal of Nepal Medical Association 53, no. 197 (March 31, 2015): 40–69. http://dx.doi.org/10.31729/jnma.2704.
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For optimum Peripheral Health Service and implementation of various Vertical Public Health Programme Services, network of public Rural and Urban Health Centers with trained Specialists in General Practice (GP) is essential. Later such Specialist GPs will thus fulfill both comprehensive training and experience required for Health Management and Planning Service in the centre. About 40%-50% of all Residential Trainings and Specialists are required in GP. There are further up to 100 to 150 possible specialties in which remaining doctors can be trained for Specialty Health Services. Though free Residential Training has numerous advantages, its shortage inside country is the bottleneck to provide above mentioned Health Services. Planning for health service delivery by at least trainee residents under supervision or appropriately trained specialists guides Residential Training’s regulations. Fulfillment of objective training criteria as its core focus is the concept now with the major role of Faculty as supervising residents to provide required service in the specialty and simultaneously updating themselves and their team for Evidence-Based Medicine practice. Similarly the need of Ambulatory Health Service and joint management of in-patients by specialists in hospitals has changed unit and bed divisions and requirements for Residential Training. Residents, already the licensed doctors, are thus providing required hospital service as indispensable part of its functional hierarchy for which they need to be paid. With such changing concepts and trends, there are some essential points in existing situation to facilitate free Residential Training inside country. For Government doctors, relevant amendment in their regulation is accordingly required.
Keywords: ambulatory care; general practice; health service; hospitalist; medical council; medical
education; public health; regulatory body; research; residential training.
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Carpiniello, Bernardo, Federica Pinna, Gianluca Pillai, Valentina Nonnoi, Enrica Pisano, Silvia Corrias, Maria Germana Orrù, Walter Orrù, Fernanda Velluzzi, and Andrea Loviselli. "Obesity and psychopathology. A study of psychiatric comorbidity among patients attending a specialist obesity unit." Epidemiologia e Psichiatria Sociale 18, no. 2 (June 2009): 119–27. http://dx.doi.org/10.1017/s1121189x00001007.
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SummaryAims – The study aims to evaluate the frequency of association between Axis I and II disorders according to DSMIVTR criteria and obesity, and use of mental health services in a clinical sample of patients attending a centre for the diagnosis and treatment of Obesity. Methods – 150 consecutive patients (32 Males, 118 females, mean age 44.614.3 yrs; mean BMI 35.46.2) were interviewed by means of SCID I and SCID II. Results – Lifetime Prevalence of Axis I disorders was 58% (males 50%; females 61%); the highest prevalence rate was found for Anxiety Disorders (approx 35%), whilst 30% of subjects were affected by Mood disorders, chiefly Major Depression (20%), and 18% by Eating Disorders. 28% of obese patients presented a Personality Disorder, 23% of patients being affected both by an Axis I and Axis II disorder. Mood Disorders, in particular Major Depression, were significantly prevalent among female obese. 50% of females and approx 37% males included in the sample had contacted mental health units for treatment. Conclusion – Data obtained in the present study confirm the high prevalence rates of mental disorders in obese patients seeking treatment. Specialist units should therefore include thorough psychiatric evaluation of patients as a routine practice.Declaration of Interest: The study was supported by a research grant by University of Cagliari (ex 60% funding, financial year 2006); the authors declare no conflict of interest.
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Gupta, Indrani, Mayur Trivedi, Vishal Jani, Kanksha Barman, Avantika Ranjan, Manas Sharma, and Tushar Mokashi. "Costing of Health and Wellness Centres: A Case Study of Gujarat." Journal of Health Management 24, no. 1 (February 10, 2022): 105–17. http://dx.doi.org/10.1177/09720634221078691.
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The National Health Policy 2017 recommended the establishment of health and wellness centres (HWC) as the primary platform to deliver comprehensive primary health care in India and emphasised that about two-thirds of the health budget of the government should be invested on primary care. In February 2018, the government announced its plan to create 150,000 HWCs under the Ayushman Bharat initiative by transforming the already existing sub-centres (SCs), primary health centres (PHCs) and urban PHCs as HWCs by 2022. The operationalisation of HWCs has been planned in a phased manner. However, for scaling up and replicability, it is imperative for the government to know how much to budget for this initiative, so that there are no interruptions in the smooth flow of services. Taking Gujarat as a case study, the study took a sample of eight HWCs for estimating the total and per-unit costs for each type of HWC. OPD footfalls were taken as an indicator for measuring output. The incremental unit costs were estimated by calculating the difference between the pre and post-conversion unit costs, in order to understand the cost implications of the conversion. The study also estimated the possible total costs in relation to the health budget of the state to understand the financial implications of scaling up HWCs. The results indicated that though the costs have gone up after conversion, outpatient department (OPD) footfalls have also increased at all facilities, but most significantly for the SCs, resulting in costs per OPD footfalls coming down significantly. For nearly all the centres, there has been a fall in the incremental costs per OPD visits indicating that the conversion to HWC has been quite economical. It was estimated that a total of about ₹7.13 billion will be spent on running 1,500 HWCs in the year 2020–2021, though, the incremental costs of scaling up would be significantly less at about ₹940 million. If, however, the entire gamut of services envisaged to be a part of the HWC initiative are added, the costs are likely to increase. More research with additional data points would be required to confirm these tentative findings, but the results could be used as a baseline for future such studies.
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Mutyambizi-Mafunda, Vimbayi, Bronwyn Myers, Katherine Sorsdahl, Crick Lund, Tracey Naledi, and Susan Cleary. "Integrating a brief mental health intervention into primary care services for patients with HIV and diabetes in South Africa: study protocol for a trial-based economic evaluation." BMJ Open 9, no. 5 (May 2019): e026973. http://dx.doi.org/10.1136/bmjopen-2018-026973.
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IntroductionDepression and alcohol use disorders are international public health priorities for which there is a substantial treatment gap. Brief mental health interventions delivered by lay health workers in primary care services may reduce this gap. There is limited economic evidence assessing the cost-effectiveness of such interventions in low-income and middle-income countries. This paper describes the proposed economic evaluation of a health systems intervention testing the effectiveness, cost-effectiveness and cost-utility of two task-sharing approaches to integrating services for common mental disorders with HIV and diabetes primary care services.Methods and analysisThis evaluation will be conducted as part of a three-armed cluster randomised controlled trial of clinical effectiveness. Trial clinical outcome measures will include primary outcomes for risk of depression and alcohol use, and secondary outcomes for risk of chronic disease (HIV and diabetes) treatment failure. The cost-effectiveness analysis will evaluate cost per unit change in Alcohol Use Disorder Identification Test and Centre for Epidemiological Studies scale on Depression scores as well as cost per unit change in HIV RNA viral load and haemoglobin A1c, producing results of provider and patient cost per patient year for each study arm and chronic disease. The cost utility analyses will provide results of cost per quality-adjusted life year gained. Additional analyses relevant for implementation including budget impact analyses will be conducted to inform the development of a business case for scaling up the country’s investment in mental health services.Ethics and disseminationThe Western Cape Department of Health (WCDoH) (WC2016_RP6_9), the South African Medical Research Council (EC 004-2/2015), the University of Cape Town (089/2015) and Oxford University (OxTREC 2–17) provided ethical approval for this study. Results dissemination will include policy briefs, social media, peer-reviewed papers, a policy dialogue workshop and press briefings.Trial registration numberPACTR201610001825405.
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Schmidt, Susanne, Martin Goros, Helen M. Parsons, Can Saygin, Hung-Da Wan, Paula K. Shireman, and Jonathan A. L. Gelfond. "Improving Initiation and Tracking of Research Projects at an Academic Health Center: A Case Study." Evaluation & the Health Professions 40, no. 3 (September 20, 2016): 372–79. http://dx.doi.org/10.1177/0163278716669793.
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Research service cores at academic health centers are important in driving translational advancements. Specifically, biostatistics and research design units provide services and training in data analytics, biostatistics, and study design. However, the increasing demand and complexity of assigning appropriate personnel to time-sensitive projects strains existing resources, potentially decreasing productivity and increasing costs. Improving processes for project initiation, assigning appropriate personnel, and tracking time-sensitive projects can eliminate bottlenecks and utilize resources more efficiently. In this case study, we describe our application of lean six sigma principles to our biostatistics unit to establish a systematic continual process improvement cycle for intake, allocation, and tracking of research design and data analysis projects. The define, measure, analyze, improve, and control methodology was used to guide the process improvement. Our goal was to assess and improve the efficiency and effectiveness of operations by objectively measuring outcomes, automating processes, and reducing bottlenecks. As a result, we developed a web-based dashboard application to capture, track, categorize, streamline, and automate project flow. Our workflow system resulted in improved transparency, efficiency, and workload allocation. Using the dashboard application, we reduced the average study intake time from 18 to 6 days, a 66.7% reduction over 12 months (January to December 2015).
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Viqtrayana, I. Putu Eka. "Kendala Provider Dan User Dalam Memanfaatkan Program Pelayanan Kegawatdaruratan Public Safety Center (PSC) 119 Di Kabupaten Tabanan." JURNAL MEDIKA USADA 4, no. 2 (August 25, 2021): 67–79. http://dx.doi.org/10.54107/medikausada.v4i2.109.
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Abstract
Background: Emergency conditions cannot be predicted at any time and require immediate help, so PSC 119 emergency services are here to help when handling victims, save lives, improve emergency services, and prevent them. After less than two years of implementing the Tabanan Serasi PSC 119 program, there are still many people in Tabanan Regency who do not know for sure about the existing PSC 119 services.
Objective: This study aims to determine the constraints of providers and users in utilizing the PSC 119 emergency service program in Tabanan Regency.
Methods: This study used a qualitative research design with an exploratory approach. This research was conducted in Unit PSC 119 of the Tabanan District Health Office in June-July 2020. The research data were analyzed using thematic methods. Data were collected through observation of the implementation, tracing documents and exploring 12 informants. Two main informants as providers are coordinator and implementer. Ten supporting informants as users, namely the community has not and have used it.
Results: The results showed that the use of PSC 119 in emergency services from providers/managers were, lack of procurement of infrastructure, human resource constraints, program structure position, round table, not yet utilizing call center 119, PSC operators lack of coordination with PSC 119 network. , do not have radiomedical equipment, and lack of monitoring and evaluation. Constraints from users/communities are contacting the 119 call center, public knowledge about PSC 119 services, and outreach activities. Strategies to overcome obstacles are to propose priorities according to the priority scale, seek human resources, seek infrastructure; training for implementing officers; implementation monitoring and evaluation; create innovation services; and socialize to the community about the program.
Conclusion: There are several obstacles to the use of PSC 119 in emergency services, both from providers/managers and users/communities, so the advice obtained is that the program manager continues to socialize, utilize existing personnel and make service innovations. The Tabanan District Health Office is expected to facilitate the implementation, carry out monitoring and evaluation of the PSC 119 program every year and improve the development and facilitate the program proposing PSC 119 to become a Technical Implementing Unit.
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Taufiqurrahman, Muhamad, and Ratna Wardani. "Application of Work Safety and Health Management Systems in the Technical Implementation Center of Primary Health Care Bendilwungu, Tulungagung, East Java." Journal for Quality in Public Health 4, no. 1 (November 25, 2020): 1–9. http://dx.doi.org/10.30994/jqph.v4i1.143.
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Background. The Occupational Safety and Health Management System in Fasyankes is part of the overall Health Services Facility management system in the context of risk control related to work process activities in the Health Services Facility in order to create a healthy, safe, safe and comfortable work environment. The purpose of this research is to explore the implementation, evaluation process, impact and expectation of SMK3 in Primary Health Care Bendilwungu Tulungagung
Method. Based on the type of this research is a qualitative research to describe the implementation of SMK3 at Primary Health Care Bendilwungur. Another supporting instrument uses an instrument in the form of a list of questions containing semi-structured questions. The research informants numbered ten and four. Research Triangulation at the Puskesmas. Other tools used are friends, field notes, cellphones, then documented in the form of transcripts (field notes). Data processing was carried out by means of content analysis. Furthermore, it is reported and presented in a descriptive description in relation to the theory.
Results. The results of the study indicate that the application of SMK3 in the Primary Health Care Bendilwungu has been running from the end of 2018 as indicated by the existence of the SK Head of the Puskesmas as a guideline and legal umbrella in implementing the implementation of SMK3 in the Puskesmas. In the process of implementing and implementing SMK3 in the Puskesmas there are basic obstacles namely that there is no calm of K3 and SMK3 professionals and the joining of the SMK3 Implementation Unit with Patient Safety and the lack of knowledge and understanding of K3 and SMK3 to several Puskesmas employees.
Conclusion. The Primary Health Care Bendilwungu needs to improve its discrepancies in the application of SMK3 and provide training and guidance on K3 and SMK3 to employees so as to always improve the OHS work standard supervision at the Primary Health Care Bendilwungu and make K3 a work culture.
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Faro Albuquerque, Isabel, Rita Campos Cunha, Luís Dias Martins, and Armando Brito Sá. "Primary health care services: workplace spirituality and organizational performance." Journal of Organizational Change Management 27, no. 1 (February 4, 2014): 59–82. http://dx.doi.org/10.1108/jocm-11-2012-0186.
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Purpose – The paper aims to study the influence of three dimensions of workplace spirituality (inner life, meaningful work and sense of community) on perceived and objective organizational performance in two primary health care settings: health centres (HCs) and family health units (FHUs), differing in terms of work organization. Design/methodology/approach – Data on workplace spirituality and perceived organizational performance were collected from a sample of 266 health care workers (doctors, nurses and administrative staff). Data on objective performance were obtained from the respective regional health authorities. Multiple regression, GLM, and tests of mediation were carried out. Findings – In both groups, perceived and objective organizational performance are predicted by sense of community. Additionally, FHUs presented significantly higher values in perceived and objective organizational performance, as well as sense of community and meaningful work. Finally, workplace spirituality and sense of community were found to mediate the relationship between work group and perceived and objective organizational performance. Research limitations/implications – The study's limitations include the convenience sample, as well as lack of control for the social desirability effect. Patient satisfaction surveys as well as the inclusion of predictive variables such as leadership should be considered in future studies. Practical implications – Primary health care services, and particularly FHUs, revealed the importance of workplace spirituality. Work teams with higher sense of community had higher performance results, which may therefore be an input in policy decisions regarding primary health care. Originality/value – This study compared the scores of workplace spirituality and perceived and objective organizational performance in two types of primary health care services, in a setting that approximates the quasi-field experiment. Workplace spirituality emerged as significantly mediating the relationship between work unit type and organizational performance.
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Pradanthi, Ines Meiyola, Maya Weka Santi, and Atma Deharja. "Evaluasi Electronic Health Record (EHR) dengan Metode PIECES di Unit Rekam Medis Pusat RSUPN dr. Cipto Mangunkusumo." J-REMI : Jurnal Rekam Medik dan Informasi Kesehatan 1, no. 3 (August 12, 2020): 216–25. http://dx.doi.org/10.25047/j-remi.v1i3.2047.
Full textAbstract:
National Center General Hospital Dr. Cipto Mangunkusumo is one of the hospitals whose services haveused Hospital Management Information System (SIMRS). The SIMRS used in RSCM is called the ElectronicHealth Record (EHR). In its application, there were still obstacles that made the staff less satisfied with theEHR, one of which was the loading of the EHR. The purpose of this study is to evaluate the EHR in termsof user satisfaction using the PIECES method (performance, information, economic, control, efficiency,service). This type of research is qualitative research, by describing the results of interviews andobservations that have been conducted by researchers and assessed by the PIECES method. Respondentsin this study were 1 filling officer, 1 reporting officer, 1 warehouse officer, and 1 expedition officer. The resultsobtained in this study are that the EHR performance has produced data according to user needs and thereis still a fairly long loading. EHR is able to provide quality information that is easily understood and has beenintegrated with BPJS. that the EHR can produce data according to user needs and the EHR still needs timeif the officer inputs or loads. The EHR has a use value because it is integrated with BPJS Health and alsohas an EHR officer or improvement team. EHR users feel that having an EHR makes it easy for EHR userswhen performing health services such as searching for patient files and making reports. The conclusion isthat the EHR makes it easy for users to do their work. Suggestions given by researchers are to the UMSI toupdate the EHR and perform maintenance on the system and hardware.
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Rantung, Heindra Baithard, Darmawansyah Darmawansyah, and Muhammad Asdar. "Analysis of the Planning Process at the Health Center Level at the Poso Regency Health Office." International Journal Papier Public Review 2, no. 3 (July 22, 2021): 58–68. http://dx.doi.org/10.47667/ijppr.v2i3.104.
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One of the activities required by every puskesmas (Community Health Center) in overcoming the problems faced in each area is planning at the puskesmas level. To accommodate the need to increase the ability and coverage of health services in an integrated and integrated manner with the problems that exist in the work environment of the Puskesmas. The purpose of this study was to analyze the planning process at the Puskesmas level at the Poso District Health Office. This type of research is qualitative and the unit of analysis from the implementation of this research is carried out on 2 (two) Puskesmas in the Poso District Health Office. Meanwhile, the research informants were employees/staff of the related puskesmas and the key informant was the Head of the Poso District Health Office as a triangulation check for the validity of the data. The results of the research based on the preparation stage, a planning team was formed by the Head of the Puskesmas, in the situation analysis stage the problem analysis process was carried out through Encuesta Mawas Diri (SMD), the problem formulation stage using the USG method (Uraaatanga metoaaa) problems, the last stage was the preparation of the RUK (Proposed Activity Plan) which are prepared at the puskesmas still refer to the applicable government policies. Suggestions in this study are expected that the puskesmas in the Poso District Health Office can arrange their annual activity plans optimally, while still fostering community participation in improving community health status.
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Muhtaddin, Erwin. "ANALYSIS OF HEALTH MANAGEMENT SYSTEM IMPLEMENTATION (SIMPUS) IN SUPPORTING MEDICAL RECORD SERVICES." Journal Of Applied Health Research And Development 4, no. 2 (December 20, 2022): 141–50. http://dx.doi.org/10.58228/jahrd.v4i2.122.
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Background: Puskesmas is the primary pillar of health care in Indonesia and also organizes the first level of Community Health Efforts (UKM) and Individual Health Efforts (UKP). The Puskesmas prioritizes promotive and preventive efforts to achieve the best public health degrees in their working areas. In carrying out its functions, puskesmas have several authorities, one of which is carrying out medical record activities (PERMENKES, 2014). Methods: The research design used is descriptive research with a qualitative approach. The data collection method used is by using the in-depth interview method using an interview guide. The population in the study were all service officers who in carrying out their duties related to SIMPUS were 8 people, Inclusion Criteria: Service officers who used SIMPus, Officers who could apply Simpus, Willing to become informants, Exclusion Criteria: Officers who could not use SIMP, Polindes, Pustu , Dentistry that has not been connected to simpus
Conclusion: Availability in the number and qualifications of human resource education involved in the use of E-Puskesmas/SIMPUS at the Curug Health Center is still a problem that needs to be considered to be pursued, so that it can support health services to the community, especially in the field of Medical Records and Health Information. Human resources are in accordance with educational qualifications, so the program can run well. Suggestion: Adding human resources, especially D3 Medical Records and Information graduates or other Health Degrees so that the Coordinator of the Medical Records Unit is not burdened with other responsibilities.
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Leung, Bonnie, Selina Wong, Kiran Malli, and Cheryl Ho. "Access to palliative care services for limited English proficient patients with advanced NSCLC." Journal of Clinical Oncology 38, no. 29_suppl (October 10, 2020): 99. http://dx.doi.org/10.1200/jco.2020.38.29_suppl.99.
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99 Background: More than a quarter of people living in British Columbia, Canada speak languages other than English in their homes. Immigrants often encounter communication challenges with their health care providers (HCPs), have poor health literacy, and have a limited understanding on navigating the health care system. NSCLC patients with limited English proficiency (LEP) may receive less palliative care services despite high symptom burden and significant needs due to these factors. The study goals were to observe the difference in access to community palliative home care (CPHC) and rate of completing a Do Not Resuscitate (DNR) form between NSCLC patients who are English proficient (EP) and LEP. Methods: All patients with advanced NSCLC referred to BC Cancer–Vancouver Centre in 2016 and received medical care were included (N=176). Patients seen with a medical interpreter were considered to be LEP. Demographics and clinical information were collected retrospectively. UVA using X2 test and Fisher’s exact test were used to compare EP and LEP patients. Mann-Whitney test was used to compare the median time from CPHC referral and signed DNR to death between EP and LEP patients. Results: Language of communication: English 65%, Cantonese 22%, Mandarin 6%, Korean 1%, Tagalog 1%, and other 5%. Baseline characteristics: median age 69 EP vs 76 LEP, female 44% EP vs 65% LEP, non-squamous 68% EP vs 72% LEP and squamous 14% EP vs 6% LEP. There was no difference in the rate of CPHC referral (87% EP vs 80% LEP, p=0.342) and signed DNR form (92% EP vs 89% LEP, p=0.549). The median time from CPHC referral to death was 10 weeks EP vs 15 weeks LEP (p=0.039). The median time from signed DNR to death was 5 weeks EP vs 6 weeks LEP (p=0.806). There was no statistically significant difference in location of death between the two groups: acute care 20% EP vs 24% LEP, home 27% EP vs 13% LEP, hospice 36% EP vs 39% LEP, and tertiary palliative care unit 17% EP vs 24% LEP (p=0.251). Conclusions: EP and LEP patients with NSCLC had similar rates of CPHC service referrals and end of life planning. This suggests assistance of medical interpreters at the time of oncology visits help message delivery between LEP patients and HCPs. LEP patients had earlier referrals to CPHC prior to death which may reflect an enhanced awareness and effort by HCPs to have earlier conversations with patients who may have language and cultural barriers with discussing goals of care. Good communication improves patients and their family’s understanding of the goals and scope of palliative care services and allow HCPs to better understand the patients’ wishes.
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Dwyer, Alison, and John McNeil. "Are Clinical Registries Actually Used? The Level of Medical Staff Participation in Clinical Registries, and Reporting within a Major Tertiary Teaching Hospital." Asia Pacific Journal of Health Management 11, no. 1 (March 16, 2016): 56–64. http://dx.doi.org/10.24083/apjhm.v11i1.245.
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Clinical Registries are established to provide a clinically credible means for monitoring and benchmarking healthcare processes and outcomes, to identify areas for improvement, and drive strategies for improving patient care. Clinical Registries are used to assess changes in clinical practice, appropriateness of care and health outcomes over time. The American Heart Association Policy Statement in April 2011 called for expanding the application for existing and future Clinical Registries, with well-designed Clinical Registry programs. Concurrently, in Australia, and similarly within the United States and United Kingdom, there has been an increased focus on performance measurement for quality and patient safety. Within Victoria, the Victorian Clinical Governance Policy Framework outlines clinical effectiveness as one of the four domains of Clinical Governance
As Clinical Registries evaluate effectiveness and safety of patient care by measuring patient outcomes compared with peers, the use of Clinical Registries data to improve a health service’s quality of care seems intuitive. A mixed methods approach was utilised, involving (1) semi-structured interviews and (2) documentation audit in this study conducted at Austin Health, a major tertiary teaching hospital in North-Eastern metropolitan Melbourne, affiliated with the University of Melbourne and various research institutes within Austin LifeSciences.
Although many studies have highlighted the benefits of data collected via individual Clinical Registries, [5,6] the level of voluntary medical staff participation in Clinical Registries at a health service level is yet to be established. The aim of this study was to document the level of medical staff involvement for Clinical Registries within a major tertiary teaching hospital, and the level of reporting into Quality Committees within the organisation.
This study demonstrates that along with a very high level of medical staff participation in Clinical Registries, there is a lack of systematic reporting of Registries data into quality committees beyond unit level, and utilisation of such data to reflect upon practice and drive quality improvement.
Abbreviations: CREPS – Centre for Excellence in Patient Safety; CSU – Clinical Services Unit; HOU – Heads of Unit; VASM – Victorian Audit of Surgical Mortality.
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Ashra, Fauzi, and Syafrina Amalia. "The Relationship Between Characteristics Of Nurse And Their Response Time In Emergency Case In Emergency Unit Of Public Health Care Kumanis Sijunjung In 2016." Jurnal Kesehatan 9, no. 2 (July 31, 2018): 89. http://dx.doi.org/10.35730/jk.v9i2.355.
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Response time is the time between the clients entering the room and request addressed. Response time for the patient is more and less 5 minutes. Long response time can result in a risk of death or severe injury. From the observation data obtained from health centers Kumanis Sijunjung average response time of 5-8 minutes. This study aims to examine the relationship between the characteristics of the nurse and their response time in handling an emergency case in the emergency unit of the health center Kumanis Sijunjung in 2016. This type of research was quantitative with a cross-sectional study. The population in this study was all of the nurses in the emergency unit of health center Kumanis Sijunjung. The Sampling technique was saturated sampling, who was 18 people. The instrument used was observation. The research result showed that there was no relationship between the age of the nurses and their response time (p-value = 0.02), and there was no relationship between gender and their response time (p-value = 1.000),then, there was no relationship between the education of nurses and their response time (p-value = 0909 ), and there was a relationship between a long working relationship and their response time (p-value = 0.02). Suggestions for emergency unit nurses in order to improve professionalism in serving the availability of human resources and infrastructure affect the speed of services.
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Ismayilov, Fuad, and Sevil Asadova. "Training on the management of depression in primary care in Azerbaijan." International Psychiatry 8, no. 2 (May 2011): 43–45. http://dx.doi.org/10.1192/s1749367600002459.
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In 2006, the Azerbaijan Ministry of Health and the World Bank launched the 6-year Health Sector Reform Project (HSRP). The principal goal of the Project is to prepare and implement a fundamental and comprehensive reform of the health system in Azerbaijan, including a major emphasis on strengthening the primary care system (Ministry of Health Project Implementation Unit, 2007). The project envisions the development of a new optimised system of services, with the integration of mental health into general healthcare. In the line of this process, the Public Health and Reform Centre (PHRC) of the Ministry of Health has developed evidence-based clinical practice guidelines on depression, for implementation within primary care (Ministry of Health, 2009). At the same time, representatives from the PHRC and the Departments of Psychiatry and Family Medicine of Azerbaijan Medical University, as well as the State Institute for Advanced Training of Physicians (in cooperation with the World Health Organization Country Office), formed a task force to carry out a survey to assess the need for education in mental health for primary care doctors. A total of 308 primary care doctors (see Table 1) working in 14 settings in different regions of the country were randomly selected and interviewed by the research team.
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Dedem, Dedi, Welly Sando, and Suci Badri Yana. "Analisis Sistem Informasi Kesehatan Daerah (SIKDA) Generik Di Unit Rekam Medis Puskesmas Langsat Tahun 2020." Photon: Jurnal Sain dan Kesehatan 11, no. 1 (January 10, 2021): 55–62. http://dx.doi.org/10.37859/jp.v11i1.2237.
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Regional information system is a term that is used to describe a system consisting of a combination of input such as human resources (brainware), software, information needs format (informware), information technology and communication technology, the process of sending an analysis report recording (entry). the feedback and output data information mechanism that can be accessed together and has adequate quality, regional information system in the Langsat Health Center Medical Record Unit only started in 2017, SIKDA in the medical records unit lacks Human Resources because it does not there is a Medical Record and IT graduate. Obstacles that occur, such as disruption of soft ware and hard ware networks when opened, experience delays, causing delays in the given services. For the Fund itself, there is no special budget provided for the implementation of theregional information system application because it has been allocated by the Health Office. Budget allocation of funds is held only if needed. This type of qualitative research uses interview and observational sheets. The research was conducted in February-September, at Langsat Public Health Center, Pekanbaru City. The research subjects were the Head of Langsat Community Health Center, the Head of the Medical Records Unit, the person in charge of SIKDA, and Operators. Data analysis was used by systematically managing the interview guidelines, then processing the data, data from observations were identified to describe each variable, a summary will be presented in a narrative form. The results of this study indicate that the Generic regional information system in the Medical Records Unit has been running at its maximum, even though there is a lack of calm in Human Resources there are no medical records and IT graduates. Infrastructure is lacking in terms of ginset, Fund Allocation is not a special budget. Must improve Human Resources, Facilities and Infrastructure.
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Dedem, Dedi, Welly Sando, and Suci Badri Yana. "Analisis Sistem Informasi Kesehatan Daerah (SIKDA) Generik Di Unit Rekam Medis Puskesmas Langsat Tahun 2020." Photon: Jurnal Sain dan Kesehatan 11, no. 1 (January 10, 2021): 55–62. http://dx.doi.org/10.37859/jp.v11i1.2237.
Full textAbstract:
Regional information system is a term that is used to describe a system consisting of a combination of input such as human resources (brainware), software, information needs format (informware), information technology and communication technology, the process of sending an analysis report recording (entry). the feedback and output data information mechanism that can be accessed together and has adequate quality, regional information system in the Langsat Health Center Medical Record Unit only started in 2017, SIKDA in the medical records unit lacks Human Resources because it does not there is a Medical Record and IT graduate. Obstacles that occur, such as disruption of soft ware and hard ware networks when opened, experience delays, causing delays in the given services. For the Fund itself, there is no special budget provided for the implementation of theregional information system application because it has been allocated by the Health Office. Budget allocation of funds is held only if needed. This type of qualitative research uses interview and observational sheets. The research was conducted in February-September, at Langsat Public Health Center, Pekanbaru City. The research subjects were the Head of Langsat Community Health Center, the Head of the Medical Records Unit, the person in charge of SIKDA, and Operators. Data analysis was used by systematically managing the interview guidelines, then processing the data, data from observations were identified to describe each variable, a summary will be presented in a narrative form. The results of this study indicate that the Generic regional information system in the Medical Records Unit has been running at its maximum, even though there is a lack of calm in Human Resources there are no medical records and IT graduates. Infrastructure is lacking in terms of ginset, Fund Allocation is not a special budget. Must improve Human Resources, Facilities and Infrastructure.
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Shields, Linda. "WHAT IS “FAMILY-CENTRED CARE”?" European Journal for Person Centered Healthcare 3, no. 2 (June 3, 2015): 139. http://dx.doi.org/10.5750/ejpch.v3i2.993.
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Family-centred care is a ubiquitous term in paediatric health facilities. It means that an admitted child can never be treated as a single individual patient, that the family is the unit of care, as the parents and family are central to the child’s wellbeing, especially during traumatic experiences. There is no rigorous evidence that family-centred care works, but qualitative research is drawing out some grave concerns with how it is implemented. Part of the problem is that there are many descriptions of family-centred care, but few definitions, and some of its component parts may be in place in some health services without the whole model being in place. This causes confusion amongst health professionals and parents and children, and makes it impossible to test in a randomised controlled trial. This paper discusses these problems and suggests that a new model, child-centred care, may be a better model of care for children.
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Drake, Bettina, Aimee James, Heidi Miller, Akila Anandarajah, Kia L. Davis, Sheryll Jackson, Graham A. Colditz, and Vetta Sanders Thompson. "Strategies to Achieve Breast Health Equity in the St. Louis Region and Beyond over 15+ Years." Cancers 14, no. 10 (May 23, 2022): 2550. http://dx.doi.org/10.3390/cancers14102550.
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Community-based participatory strategies are a promising approach to addressing disparities in community health outcomes. This paper details the efforts of Siteman Cancer Center to achieve breast health equity over the past 15+ years. We begin by describing the activities and successes arising from our breast health community partnerships including identifying priorities, developing recommendations, and implementing patient navigation services to advance breast health. This system-wide coordinated navigation approach that includes primary and specialty care providers helped to increase potential impact on reducing breast health disparities by expediting care, increasing care efficiency, and standardizing referral procedures across systems for all women including those who are uninsured and underinsured. We also discuss a mobile mammography unit that has been deployed to serve women living in both urban and rural regions. The van reached a particularly vulnerable population that was mostly poor, uninsured, and with limited educational backgrounds regardless of their zip code of service. This work shows that collaborations between academic and community partners have resulted in decreased late stage at diagnosis and improved access to mammography. Furthermore, we offer lessons learned and recommendations that may be applicable to other communities.
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Tabrizi, Sepehr N., Barbara A. Paterson, Christopher K. Fairley, Francis J. Bowden, and Suzanne M. Garland. "Comparison of tampon and urine as self-administered methods of specimen collection in the detection of Chlamydia trachomatis , Neisseria gonorrhoeae and Trichomonas vaginalis in women." International Journal of STD & AIDS 9, no. 6 (June 1, 1998): 347–49. http://dx.doi.org/10.1258/0956462981922386.
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1 Department of Microbiology, The Royal Women's Hospital, Victoria, 2 Menzies School of Health Research, Rocklands Drive, Tiwi, 3 Department of Epidemiology and Preventive Medicine, Alfred Hospital, Monash University, Prahran, Victoria and 4 AIDS/STD Unit, Centre for Disease Control, Territory Health Services, Darwin, Australia Summary: Self-administered sampling techniques for the detection of sexually transmitted diseases (STDs) are particularly useful due to their ease of collection and better patient compliance. Urine specimens, and recently tampons, have been described as methods of specimen collection for the detection of some STDs in women. In this study, 660 women had both first-void urine (FVU) and tampon specimens analysed by polymerase chain reaction (PCR) for the detection of Chlamydia trachomatis , Neisseria gonorrhoeae and Trichomonas vaginalis . Overall 6.5%, 10.1% and 17.9% of urine samples were positive whereas 7%, 21.2% and 22% of tampon specimens were positive for C. trachomatis , N. gonorrhoeae and T. vaginalis respectively. Tampon-collected specimens tested by PCR were more sensitive than urine specimens for the detection of N. gonorrhoeae and T. vaginalis ( P 0.001) and equally sensitive for the detection of C. trachomatis ( P =0.45). <
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Wu, Yanting, Isabelle Marc, Luigi Bouchard, Fengxiu Ouyang, Zhong-Cheng Luo, Jianxia Fan, Lise Dubois, et al. "Study protocol for the Sino-Canadian Healthy Life Trajectories Initiative (SCHeLTI): a multicentre, cluster-randomised, parallel-group, superiority trial of a multifaceted community-family-mother-child intervention to prevent childhood overweight and obesity." BMJ Open 11, no. 4 (April 2021): e045192. http://dx.doi.org/10.1136/bmjopen-2020-045192.
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IntroductionChildhood overweight and obesity (OWO) is a primary global health challenge. Childhood OWO prevention is now a public health priority in China. The Sino-Canadian Healthy Life Trajectories Initiative (SCHeLTI), one of four trials being undertaken by the international HeLTI consortium, aims to evaluate the effectiveness of a multifaceted, community-family-mother-child intervention on childhood OWO and non-communicable diseases risk.Methods and analysisThis is a multicentre, cluster-randomised, controlled trial conducted in Shanghai, China. The unit of randomisation is the service area of Maternal Child Health Units (N=36). We will recruit 4500 women/partners/families in maternity and district level hospitals. Participants in the intervention group will receive a multifaceted, integrated package of health promotion interventions beginning in preconception or in the first trimester of pregnancy, continuing into infancy and early childhood. The intervention, which is centred on a modified motivational interviewing approach, will target early-life maternal and child risk factors for adiposity. Through the development of a biological specimen bank, we will study potential mechanisms underlying the effects of the intervention. The primary outcome for the trial is childhood OWO (body mass index for age ≥85th percentile) at 5 years of age, based on WHO sex-specific standards. The study has a power of 0.8 (α=0.05) to detect a 30% risk reduction in the proportion of children with OWO at 5 years of age, from 24.4% in the control group to 17% in the intervention group. Recruitment was launched on 30 August 2018 for the pilot study and 10 January 2019 for the formal study.Ethics and disseminationThe study has been approved by the Medical Research Ethics Committee of the International Peace Maternity and Child Health Hospital in Shanghai, China, and the Research Ethics Board of the Centre Intégré Universitaire de Santé et Services Sociaux de l’Estrie–CHUS in Sherbrooke, Canada. Data sharing policies are consistent with the governance policy of the HeLTI consortium and government legislation.Trial registration numberChiCTR1800017773.Protocol versionNovember 11, 2020 (Version #5).
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Rubagumya, Fidel, Ainhoa Costas-Chavarri, Achille Manirakiza, Gad Murenzi, Francois Uwinkindi, Christian Ntizimira, Ivan Rukundo, et al. "State of Cancer Control in Rwanda: Past, Present, and Future Opportunities." JCO Global Oncology, no. 6 (September 2020): 1171–77. http://dx.doi.org/10.1200/go.20.00281.
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Rwanda is a densely populated low-income country in East Africa. Previously considered a failed state after the genocide against the Tutsi in 1994, Rwanda has seen remarkable growth over the past 2 decades. Health care in Rwanda is predominantly delivered through public hospitals and is emerging in the private sector. More than 80% of patients are covered by community-based health insurance (Mutuelle de Santé). The cancer unit at the Rwanda Biomedical Center (a branch of the Ministry of Health) is responsible for setting and implementing cancer care policy. Rwanda has made progress with human papillomavirus (HPV) and hepatitis B vaccination. Recently, the cancer unit at the Rwanda Biomedical Center launched the country’s 5-year National Cancer Control Plan. Over the past decade, patients with cancer have been able to receive chemotherapy at Butaro Cancer Center, and recently, the Rwanda Cancer Center was launched with 2 linear accelerator radiotherapy machines, which greatly reduced the number of referrals for treatment abroad. Palliative care services are increasing in Rwanda. A cancer registry has now been strengthened, and more clinicians are becoming active in cancer research. Despite these advances, there is still substantial work to be done and there are many outstanding challenges, including the need to build capacity in cancer awareness among the general population (and shift toward earlier diagnosis), cancer care workforce (more in-country training programs are needed), and research.