Articles de revues : « Basel Mission Hospital »

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Bouvette, Max Joseph, Jiazhang Xing, Vanessa Ann Moore, Anh B. Lam, Changchuan Jiang, Nirmal Choradia et Ryan David Nipp. « Assessing the missions and visions of NCI-designated cancer centers and their affiliated hospitals. » Journal of Clinical Oncology 42, n^o 16_suppl (1 juin 2024) : e23118-e23118. http://dx.doi.org/10.1200/jco.2024.42.16_suppl.e23118.

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e23118 Background: Mission and vision statements (MVS) help convey an institution's identity and priorities. Missions describe objectives and responsibilities, while visions describe overarching directions for the future. Effectively communicating MVS is particularly important for cancer centers and hospitals seeking to inspire and reach patients and employees. We sought to assess the composition, readability, and topics addressed for MVS provided by NCI-designated cancer centers and their affiliated hospitals. Methods: We extracted MVS data from institutional websites for 65 NCI-designated cancer centers and 59 affiliated hospitals in 2023 (6 cancer centers did not have an affiliated hospital). We determined the composition of statements using word counts and time to read. We assessed the readability of statements using Flesch-Kincaid (FK) reading ease and grade level scores. We reviewed the MVS to determine the presence of four topics: equity, quality care, training, and research. We used descriptive statistics to compare these issues in MVS for cancer center versus the hospital. Results: Among the 65 cancer centers, we found mission statements for 93.9% (61/65) and vision statements for 63.1% (41/65). All affiliated hospitals provided a mission statement and 86.4% (51/59) had a vision statement. Data for composition, readability, and topics addressed for MVS are provided in the table. Overall, readability of MVS was difficult based on FK reading ease scores, with relatively high reading grade levels. Mission statements for cancer centers had a significantly lower reading ease and higher grade level compared with hospitals. In general, mission statements were slightly longer than vision statements, more frequently addressing the topics of quality care, training, and research. Compared with hospitals, cancer centers had a significantly lower frequency of mentioning the topic "training" in their MVS. Conclusions: We found that the majority of NCI-designated cancer centers report mission statements, but fewer provide vision statements. We demonstrated difficult readability for the MVS provided, highlighting a need to consider simpler diction and structure of language. Additionally, our work provides an overview of topics addressed for these statements including equity, quality care, training, and research. These topics underscore the values and priorities of an institution, and this review of MVS provides insights into the messaging that cancer centers communicate. [Table: see text]

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Alstrup, Karen, Jens Aage Kølsen Petersen, Stephen Sollid, Søren Paaske Johnsen et Leif Rognås. « Mortality and hospitalisation in the Danish Helicopter Emergency Medical Service (HEMS) population from 2014 to 2018 : a national population-based study of HEMS triage ». BMJ Open 10, n^o 8 (août 2020) : e038718. http://dx.doi.org/10.1136/bmjopen-2020-038718.

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ObjectiveTo describe characteristics and outcomes for patients where the Danish Helicopter Emergency Medical Service (HEMS) either transported the patient to hospital, treated the patient on scene but did not transport the patient or was dispatched but cancelled en route to the patient (aborted mission), and to assess the field triage by comparing these outcomes.DesignNational population-based study.Setting and participantsHEMS dispatches are undertaken from the five Danish emergency dispatch medical centres according to national guidelines. The study analysed all primary missions with helicopter take off where the patient was admitted to hospital between 1st October 2014 and 30th April 2018.Main outcome measuresMortality rates, admittance to an intensive care unit (ICU), need of mechanical ventilation and length of hospital stay (LOS).Results6931 patients were admitted to hospital; 3311 patients were air lifted, 164 patients were ground escorted by a HEMS physician, 1421 were assisted on scene by HEMS, but escorted by the ground units and 2035 missions were aborted. The mortality was highest among the airlifted and ground escorted patients, and lowest among the patients in the aborted mission group. Mortality for the airlifted patients increased from 8.2% (95% CI; 7.3 to 9.2) at day 1 to 19.5% (95% CI; 18.2 to 20.9) after 1 year. The airlifted and ground escorted patients were frequently admitted to ICU and subsequently mechanically ventilated and they also had an increased LOS compared with the patients only assisted on scene by HEMS and the patients in the aborted mission group.ConclusionPatients to whom HEMS are dispatched are often critically ill or injured and have a relatively high mortality. The patients airlifted or ground escorted to hospital by HEMS appear more critically ill or injured compared with the assisted patients and the patients in the aborted mission group. The on-scene triage seems appropriate.

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King, Heather C., Monique Bouvier, Natalie Todd, Coleman J. Bryan, Gregg Montalto, Christine Johnson, Robert Hawkins, Lisa A. Braun, John Malone et Patricia Watts Kelley. « Shipboard Global Health Engagement Missions : Essential Lessons for Military Healthcare Personnel ». Military Medicine 184, n^o 11-12 (29 mai 2019) : e758-e764. http://dx.doi.org/10.1093/milmed/usz113.

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Abstract Introduction Global health engagement missions are conducted to improve and protect the health of populations worldwide. Recognizing the strong link between health and security, the Armed Forces have increased the number of global health engagement missions over the last decade to support force health protection, medical readiness, enhance interoperability, improve host nation capacity building, combat global health threats (i.e., emerging infectious diseases), support humanitarian assistance and disaster relief efforts, as well as build trust and deepen professional medical relationships worldwide. These missions additionally support the US Global Health Security Agenda, US National Security Strategy, US National Defense Strategy and National Military Strategy. Although global health engagement missions are conducted by armed forces with numerous military units and geographical locations, military healthcare personnel assigned to US Naval hospital ships also perform a wide range of these missions. These missions comprise some of the largest global health engagement missions conducted, encompassing hundreds of subject matter expert exchanges, community health exchanges, medical symposiums, and side-by-side partnered healthcare in countries around the world. Military healthcare personnel who have completed past missions possess valuable knowledge related to ship-based global health engagement missions. Capturing and transferring this knowledge to future deployed personnel is important for future successful missions, but has remained a significant challenge. The purpose of this study was to capture and examine first-person accounts of experiential learning among active duty physicians, nurses, and hospital corpsmen who had participated in recent hospital ship-based global heath engagement missions. Materials and Methods We used the interpretive, ethnographic method of interviewing and data analysis described by Benner. Interviews elicited detailed, narrative examples of experiences from military health care personnel who had participated in previous global health engagement missions aboard hospital ships (N = 141). Our approach to gaining meaning from these narratives was guided by three central strategies: (1) identify paradigm cases, (2) identify themes within and across participant narratives of meaningful patterns, and (3) identify exemplars to represent common patterns of meaning and common situations. Additionally, we collected demographic information. Results Our findings provide firsthand descriptions of five essential elements to prepare military healthcare personnel for shipboard global health engagement missions. These essential elements are mission clarity, preparedness, experiential knowledge, lessons learned, and flexibility/adaptability. Conclusions Widespread dissemination of the lessons learned from military global health engagement missions is crucial to shaping forces that operate effectively in a rapidly changing global environment. Sharing lessons learned increases efficiency, adaptability, and agility, while decreasing variance in processes and the need to relearn mission-specific lessons.

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Scouten, William T., Melissa L. Mehalick, Elizabeth Yoder, Andrea McCoy, Tracy Brannock ; et Mark S. Riddle. « The Epidemiology of Operation Stress during Continuing Promise 2011 : A Humanitarian Response and Disaster Relief Mission aboard a US Navy Hospital Ship ». Prehospital and Disaster Medicine 32, n^o 4 (20 mars 2017) : 393–402. http://dx.doi.org/10.1017/s1049023x17000218.

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AbstractIntroductionOperational stress describes individual behavior in response to the occupational demands and tempo of a mission. The stress response of military personnel involved in combat and peace-keeping missions has been well-described. The spectrum of effect on medical professionals and support staff providing humanitarian assistance, however, is less well delineated. Research to date concentrates mainly on shore-based humanitarian missions.ProblemThe goal of the current study was to document the pattern of operational stress, describe factors responsible for it, and the extent to which these factors impact job performance in military and civilian participants of Continuing Promise 2011 (CP11), a ship-based humanitarian medical mission.MethodsThis was a retrospective study of Disease Non-Battle Injury (DNBI) data from the medical sick-call clinic and from weekly self-report questionnaires for approximately 900 US military and civilian mission participants aboard the USNS COMFORT (T-AH 20). The incidence rates and job performance impact of reported Operational Stress/Mental Health (OS/MH) issues and predictors (age, rank, occupation, service branch) of OS/MH issues (depression, anxiety) were analyzed over a 22-week deployment period.ResultsIncidence rates of OS/MH complaints from the sick-call clinic were 3.7% (4.5/1,000 persons) and 12.0% (53/1,000 persons) from the self-report questionnaire. The rate of operational stress increased as the mission progressed and fluctuated during the mission according to ship movement. Approximately 57% of the responders reported no impact on job performance. Younger individuals (enlisted ranks E4-6, officer ranks O1-3), especially Air Force service members, those who had spent only one day off ship, and those who were members of specific directorates, reported the highest rates of operational stress.ConclusionThe overall incidence of OS/MH complaints was low in participants of CP11 but was under-estimated by clinic-based reporting. The OS/MH complaints increased as the mission progressed, were more prevalent in certain groups, and appeared to be related to ship’s movement. These findings document the pattern of operational stress in a ship-based medical humanitarian mission and confirm unique ship-based stressors. This information may be used by planners of similar missions to develop mitigation strategies for known stressors and by preventive medicine, behavioral health specialists, and mission leaders to develop sensitive surveillance tools to better detect and manage operational stress while on mission.ScoutenWT, MehalickML, YoderE, McCoyA, BrannockT, RiddleMS. The epidemiology of operation stress during Continuing Promise 2011: a humanitarian response and disaster relief mission aboard a US Navy hospital ship. Prehosp Disaster Med. 2017;32(4):393–402.

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Adu-Gyamfi, Samuel, Mariama Marciana Kuusaana, Benjamin Dompreh Darkwa et Lucky Tomdi. « The Changing Landscape of Mission Medicine and Hospitals in Sub-Saharan Africa ». Christian Journal for Global Health 7, n^o 5 (21 décembre 2020) : 65–81. http://dx.doi.org/10.15566/cjgh.v7i5.417.

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Missions have played numerous developmental roles towards the achievement of economic and social advancement including the provision of healthcare. From their entry into Africa, they have employed numerous methods in order to introduce their Christian faith. The construction of schools and hospitals, engagement in public health campaigns, provision of relevant services for the poor, and spearheading the provision of formal education, among others, have been the most effective mechanisms. The activities of missionaries have taken different dimensions as their scope continues to change over time. Nevertheless, existing literature shows little data on the changing landscape of mission medicine and hospitals in Africa. Using a systematic literature review approach, the current study discusses the changing landscape of mission medicine and hospitals in Sub-Saharan Africa. This contribution dwells partly on the missionary theory of medical practice to define most of the services of these faith-based organization (FBOs) in Africa. Findings from the study have revealed that mission hospitals have established schools and training schemes that allow them to train medical personnel to complement the limited number of health personnel on the continent. In the twenty-first century, they have contributed to achieving the targets of the Millennium Development Goals (MDGs) and the Sustainable Development Goals (SDGs), especially aspects that focus on health. It is evident that while the focus, methods, and partnerships have changed, missions in healthcare have not diverted their attention from sharing the gospel of Jesus Christ.

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IKE, Elizabeth Urenna. « Neonatal Morbidity and Mortality Pattern in a Mission Hospital in Nigeria : A Facility-Based One Year Retrospective Study ». International Journal of Nursing & ; Midwifery Research 8, n^o 2&3 (10 avril 2021) : 3–10. http://dx.doi.org/10.24321/2455.9318.202106.

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Neonatal period is sensitive due to the physiological adaptations newborns make to adapt to extra uterine environment. High percentage of mortality during infancy occur during this period especially in developing countries. Nigeria neonatal mortality record is among the worst in the world.This study examined morbidity and mortality pattern of neonates admitted to Our Lady of Apostles (OLA) Catholic hospital, Okeofa Ibadan. This hospital-based retrospective study was carried out among admitted neonates at OLA Catholic hospital Oluyoro Ibadan, for a period of 1 year from May, 2017 to June 2018. Overall, 360 complete case notes were reviewed. A 5-sectioned structured checklist containing 39 items designed by the researchers was used for data collection. Data was analyzed using descriptive statistics and chi-square test.Among 360 neonatal case notes that were studied, 310 (86.1%) were admitted within the first and 7th day of life with the mean day of admission being 4 ± 5.5 days. 248 (68.9%) of the neonates had normal birth weight, 59 (16.4%) had low birth weight and 53 (14.7%) were macrosomic babies with the mean weight being 3 ± 0.6 kg. The two main causes of admission were neonatal sepsis 113 (31.4%) and birth asphyxia 94 (26.1%).A total of 248 (68.9%) neonates survived and were discharged home, 79 (21.9%) were discharged against medical advice, 25 (6.9%) were referred to a higher centre and 8 (2.2%) died. There is a significant association between neonates’ gender (P0.025), birth weight (P0.013) and neonatal outcome.Sepsis and birth asphyxia were the leading causes of neonatal morbidity and mortality. Efforts should be intensified to improve the care provided to women and their newborns during labor and immediate postpartum period respectively.

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Jakulis, Martynas. « NOBILES PAUPERES : VILNIAUS MISIONIERIŲ ŠPITOLĖS GLOBOTINIAI XVIII A. » Lietuvos Didžioji Kunigaikštystė Visuomenė. Kasdienybės istorija, T. 4 (8 octobre 2018) : 58–72. http://dx.doi.org/10.33918/xviiiastudijos/t.4/a2.

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In 1695, Jan Teofil Plater and his wife Aleksandra founded a hospital for six impoverished nobles in Vilnius. Situated near the newly built church of the Ascension and the convent of the Congregation of Mission in the Subocz suburb beyond the city walls, this hospital was the first and, until the end of the eighteenth century, the only charitable institution providing care for individuals of particular social status. The article, based on the hospital’s registry book and other sources, examines the quantitative, as well as qualitative characteristics of the institution’s clientele, such as its fluctuations in size, its social composition, and the causes of its inmates’ impoverishment. The research revealed that, despite the demand for care, the overseers managed to maintain a stable number of inmates, rarely admitting more than one or two persons every year, and thus ensuring a steady operation of the hospital (see table 1). However, in contrast with other charitable institutions in Vilnius, the clientele of the Congregation of Mission hospital changed frequently because of expulsions (39.6 percent of all cases) and inmates leaving the hospital on their own initiative (20.1 percent) already in the first year of their stay. The mortality of inmates (27.8 percent) affected the size and turnover of the clientele to a much lesser extent than observed in other hospitals. Although there are no reliable data on the inmates’ age and health, such statistics show that they probably were younger and healthier than the clients of other charitable institutions in Vilnius. Moreover, the Congregation of Mission hospital’s inmates differed from the clients of other institutions in respect of social composition. Impoverished petty nobles, originating mainly from the districts of Lida and Oszmiana, constituted the majority (56.25 percent) of the hospital’s inmates whose social status is noted in the registry book (62.5 percent). The nobles became clients of the Congregation of Mission hospital either because of old age, disability, as well as other accidental causes, or because of increased social vulnerability outside mutual aid networks, comprised of family members, kin or neighbours. The article argues that the foundation of a hospital designated to provide care primarily for impoverished nobles shows that the poverty of nobles was recognized by contemporaries as a social problem that should be tackled. Keywords: poverty, charity, hospital, the Congregation of Mission, Vilnius, nobles, eighteenth century.

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Licina, Derek. « Hospital Ships Adrift ? Part 1 : A Systematic Literature Review Characterizing US Navy Hospital Ship Humanitarian and Disaster Response, 2004-2012 ». Prehospital and Disaster Medicine 28, n^o 3 (15 février 2013) : 230–38. http://dx.doi.org/10.1017/s1049023x13000149.

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AbstractBackgroundUnited States foreign policy is tied extensively to health initiatives, many related to the use of military assets. Despite substantial resource investment by the US Department of Defense (DoD) in hospital ship humanitarian assistance and disaster response missions, the impact of this investment is unclear.MethodsA systematic literature review of both peer-reviewed and grey literature using eight databases representing the international community and multiple sectors was conducted. Data on the characteristics of missions directly related to US Navy hospital ship humanitarian assistance and disaster response from 2004-2012 were extracted and documented.ResultsOf the 1445 sources reviewed, a total of 43 publications met criteria for review. Six (13.9%) met empirical documentation criteria and 37 (86.0%) were considered nonempirical expert opinions and anecdotal accounts that were primarily descriptive in nature. Overall, disaster response accounted for 67.4% (29/43) and humanitarian assistance 25.6% (11/43). Public and private sector participants produced 79.0% (34/43) and 20.9% (9/43) of the publications respectively. Of private sector publications, 88.9% (8/9) focused on disaster response compared to 61.8% (21/34) from the public sector. Of all publications meeting inclusion criteria, 81.4% (35/43) focused on medical care, 9.3% (4/43) discussed partnerships, 4.7% (2/43) training, and 4.7% (2/43) medical ethics and strategic utilization. No primary author publications from the diplomatic, development, or participating host nations were identified. One (2.3%) of the 43 publications was from a partner nation participant.DiscussionWithout rigorous research methods yielding valid and reliable data-based information pertaining to Navy hospital ship mission impact, policy makers are left with anecdotal reports to influence their decision-making processes. This is inadequate considering the frequency of hospital ship deployments used as a foreign policy tool and the considerable funding that is involved in each mission. Future research efforts should study empirically the short- and long-term impacts of hospital ship missions in building regional and civil-military partnerships while meeting the humanitarian and disaster response needs of host nation populations.LicinaD. Hospital ships adrift? Part 1: a systematic literature review characterizing US Navy hospital ship humanitarian and disaster response, 2004-2012. Prehosp Disaster Med.2013;28(3):1–10..

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Shakeer, Irfan, Prakash Narayanan et Anju Baby. « A Review of Web-Based Immunization Information System of Ernakulam District “Unite for Healthy Ernakulam, Kerala (U4HE)” : Perceived End-User Barriers ». National Journal of Community Medicine 14, n^o 10 (1 octobre 2023) : 682–86. http://dx.doi.org/10.55489/njcm.141020233150.

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Background: Reported coverage estimates for vaccine have the inherent problem of missing private entity data, to circumvent this, the National Health Mission, Ernakulam, designed and implemented an Immunization Information System (IIS) to collect routine vaccination reports from the private sector. This study attempted to identify the barriers to reporting by the private sector. Methodology: The study was conducted in Kerala's Ernakulam district. The design of the study was cross-sectional. The end–users, who are from the private sector, were the participants of 28 in-depth interviews in the study. Results: The new reporting system has increased private sector involvement in information exchange, all 78 private hospitals (100%) were reporting to NHM Ernakulam. But the completeness of reporting was not uniform. Major barriers identified were the lack of IIS interoperability with the hospital information system (HIS) being used by the private hospitals, variance because of lack of training of staff entering the data, and the unavailability of dedicated staff for reporting data. Conclusion: Addressing these barriers could improve the reporting of routine vaccination data from the private sector.

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Nord, Catharina. « Healthcare and Warfare. Medical Space, Mission and Apartheid in Twentieth Century Northern Namibia ». Medical History 58, n^o 3 (19 juin 2014) : 422–46. http://dx.doi.org/10.1017/mdh.2014.31.

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AbstractIn the year 1966, the first government hospital, Oshakati hospital, was inaugurated in northern South-West Africa. It was constructed by the apartheid regime of South Africa which was occupying the territory. Prior to this inauguration, Finnish missionaries had, for 65 years, provided healthcare to the indigenous people in a number of healthcare facilities of which Onandjokwe hospital was the most important. This article discusses these two agents’ ideological standpoints. The same year, the war between the South-West African guerrillas and the South African state started, and continued up to 1988. The two hospitals became involved in the war; Oshakati hospital as a part of the South African war machinery, and Onandjokwe hospital as a ‘terrorist hospital’ in the eyes of the South Africans. The missionary Onandjokwe hospital was linked to the Lutheran church in South-West Africa, which became one of the main critics of the apartheid system early in the liberation war. Warfare and healthcare became intertwined with apartheid policies and aggression, materialised by healthcare provision based on strategic rationales rather than the people’s healthcare needs. When the Namibian state took over a ruined healthcare system in 1990, the two hospitals were hubs in a healthcare landscape shaped by missionary ambitions, war and apartheid logic.

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Schuchman, Mattan, Mindy Fain et Thomas Cornwell. « The Resurgence of Home-Based Primary Care Models in the United States ». Geriatrics 3, n^o 3 (16 juillet 2018) : 41. http://dx.doi.org/10.3390/geriatrics3030041.

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This article describes the forces behind the resurgence of home-based primary care (HBPC) in the United States and then details different HBPC models. Factors leading to the resurgence include an aging society, improved technology, an increased emphasis on home and community services, higher fee-for-service payments, and health care reform that rewards value over volume. The cost savings come principally from reduced institutional care in hospitals and skilled nursing facilities. HBPC targets the most complex and costliest patients in society. An interdisciplinary team best serves this high-need population. This remarkable care model provides immense provider satisfaction. HBPC models differ based on their mission, target population, geography, and revenue structure. Different missions include improved care, reduced costs, reduced readmissions, and teaching. Various payment structures include fee-for-service and value-based contracts such as Medicare Shared Savings Programs, Medicare capitation programs, or at-risk contracts. Future directions include home-based services such as hospital at home and the expansion of the home-based workforce. HBPC is an area that will continue to expand. In conclusion, HBPC has been shown to improve the quality of life of home-limited patients and their caregivers while reducing health care costs.

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Rabner, Barry S. « How to Help Hospitals Achieve Their Mission Through Good Design ». HERD : Health Environments Research & ; Design Journal 5, n^o 3 (avril 2012) : 7–11. http://dx.doi.org/10.1177/193758671200500302.

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In 2003, Princeton HealthCare System (PHCS) completed a strategic plan that called for replacing its 220-bed acute care hospital—a decision driven by the need to serve a growing and aging population and the demand for new programs, services, technologies, and clinical strategies. As hospitals nationwide undertake similar projects to replace aging facilities, they face many of the same challenges. Various factors must be considered when designing a new hospital. Two significant obstacles to great design exist: First, hospital executives understand the economic and clinical drivers that affect hospital care and financial performance but often lack an appreciation for how design decisions can impact these critical factors. Second, CEOs often delegate oversight to others in the organization. The CEO's direct participation is necessary to ensure that the project reflects the organization's values and strategic and operational objectives. Solutions to address this dilemma include increased use of evidence-based design and strategies such as tying payment for design services to long-term facility performance indicators. Effective partnerships among healthcare planners, facility designers, and hospital executives will result in a new facility whose design promotes improved clinical outcomes, greater patient satisfaction, and financial viability.

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Kurniasari, Chanif. « PERENCANAAN STRATEGI BERDASARKAN ANALISIS MISI, VISI DAN SWOT RS DI BANTUL YOGYAKARTA ». Surya Medika : Jurnal Ilmiah Ilmu Keperawatan dan Ilmu Kesehatan Masyarakat 14, n^o 1 (23 août 2019) : 39. http://dx.doi.org/10.32504/sm.v14i1.102.

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Background: The concept of strategic management has not been optimally yet done by the Bantul Yogyakarta Hospital. The issue of the development and preparation of a strategic plan has been done but is more of an interest in the management of accreditation. In addition, there are several themes that have become the thoughts of the leadership of the Bantul Yogyakarta Hospital, namely the JKN program, there are many hospitals that near of Bantul Yogyakarta Hospital, and increasing number of people around of the Hospital. For this reason, recommendations for strategy formulation are needed.Objective: This study is aimed to develop recommendations for strategy formulation for Hospital with mission evaluation, vision and SWOT analysis.Method: This study used a qualitative method with a type of case study. The speaker in this study is the leader of the Foundation and Hospital.Results: The results of the exploration of mission and vision produce 5 mission points and 5 vision points. Internal environment analysis used Value Chain Model from Porter and external environment analysis used the Health Service System Environmental Analysis Model. The results of the SWOT analysis produced 17 strengths, 15 weaknesses, 6 opportunities and 4 threats. The preparation of the SWOT matrix produced: 5 SO strategies, 2 WO strategies, 2 ST strategies, and 2 WT strategies. Strategic recommendations for Hospital are: goal strategies in the form of recommendations for mission and vision statements, low cost strategies, implementation strategies, penetration strategies, market development strategies and product development strategiesConclusion: Re-formulation of the mission and vision of Hospital based on the results of the exploration of mission and vision. From the results of the mission and vision formulation, internal and external environmental analysis, and SWOT analysis formulated a strategy formulation recommendation, namely the objective strategy in the form of recommendations for mission and vision statements, low cost strategies, implementation strategies, penetration strategies, market development strategies and product development strategies.

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Gaidry, Alicia D., Radhames E. Lizardo, James M. Prieto, Jason B. Brill, Amy A. Hernandez, Hope N. Moore, Marion C. Henry et al. « An Analysis of Essential Pediatric Surgical Cases Encountered During a Decade of Large-Scale Military Humanitarian Aid Missions ». Military Medicine 185, n^o 11-12 (1 novembre 2020) : e2143-e2149. http://dx.doi.org/10.1093/milmed/usaa177.

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Abstract Introduction Disease Control Priorities, 3rd Edition (DCP3) is an evidence-based, published resource that outlines essential procedures recommended for developing health care systems. These systems must consider various populations and the incidence of certain surgical conditions that require treatment. In relation to pediatric patients, the prevalence of certain surgical conditions encountered remains unclear in several low- and middle-income countries. Over the past 15 years, the USNS Mercy, one of the U.S. Navy’s large hospital ships, has led the Pacific Partnership missions, which provide large-scale humanitarian aid throughout Southeast Asia. The data collected during these missions provide an opportunity to analyze the scope of pediatric operations performed in resource-limited countries. This analysis may assist in future planning for specific needs during military humanitarian missions. Materials and Methods Surgical case data were prospectively collected during the six Pacific Partnership missions from 2006 to 2018. Demographic data were analyzed for all patients ≤8 years of age who underwent an operation. These data were retrospectively reviewed and all case logs were categorized by mission year, procedure-type, and host nation. Operations were classified based on 44 essential operations delineated in DCP3. Primary outcome was incidence of DCP3 essential operations. Secondary outcomes were perioperative complications. Standard statistical methods were performed for descriptive analysis. Results A total of 3,209 major and minor operations were performed during 24 port visits in nine countries. Pediatric cases represented 1,117 (38%) of these procedures. Pediatric surgeons performed 291 (26%) of these cases. Based on DCP3 criteria, 789 pediatric operations (71%) were considered essential procedures. The most common DCP3-aligned procedures were cleft lip repair (432, 57%), hernia repair (207, 27%), and hydrocelectomy (60, 8%). Operative volume for pediatric surgery was highest during the 2008 mission (522 cases), when two pediatric surgeons were deployed, and lowest during the 2018 mission (five cases), when the mission focus was on education rather than surgical procedures and lack of pediatric cases referred by the host nation. Overall complication rate for pediatric cases was 1%. Conclusions This study represents the largest known analysis of military humanitarian assistance. Pediatric operations represented over one-third of the surgical volume during Pacific Partnership missions from 2006 to 2018. The majority of cases were DCP3-aligned and associated with a low complication rate. Future humanitarian aid missions and host nations should allocate appropriate medical and educational resources to treat DCP3 pediatric surgical diseases in low- and middle-income countries to support long-term capacity building while maintaining optimal surgical outcomes.

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Abor, Patience Aseweh. « Examining gender diversity on hospital boards in Ghana ». International Journal of Health Governance 22, n^o 4 (4 décembre 2017) : 269–82. http://dx.doi.org/10.1108/ijhg-04-2017-0016.

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Purpose The issue of gender diversity on hospital boards plays a significant role in the financial health and clinical performance of hospitals. The purpose of this paper is to examine the determinants of gender diversity of hospital boards in Ghana. Specifically, this study examined the proportion of females on hospital boards and considered how hospital-level characteristics such as hospital size, age, location and ownership structure explain the board gender diversity of hospital boards in Ghana. Design/methodology/approach A quantitative approach based on 100 hospitals was used. Findings The results of the study indicate that women are represented on all hospitals with governing boards but with different proportions depending on ownership form. In all, women represent less than half of board membership. Smaller and older hospitals were found to have more female representation on their board. Also, not-for-profit mission and for-profit private hospitals tend to engage more females than their counterpart public hospitals. Research limitations/implications The study examined female representation on hospital boards depending on only hospital-level characteristics such as hospital size, age, location and ownership. Other factors could be determining the appointment of females on hospital boards other than hospital characteristics. Social implications Efforts on improving the role of women on hospital boards need to be encouraged. Originality/value Evidence from this study clearly suggests underrepresentation of women in the top echelons of hospitals owned by government or the state, bigger and newer hospitals.

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Palakawong Na Ayutthaya, Paneevon, Oraluck Pattanaprateep et Ammarin Thakkinstian. « Unit Cost Analysis for Health Academic and Operational Purposes ». Ramathibodi Medical Journal 43, n^o 1 (31 mars 2020) : 47–53. http://dx.doi.org/10.33165/rmj.2020.43.1.217894.

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Background: Unit cost estimation is one of the key planning tasks of organisation in order to allocate resources to each activity properly. Therefore, this study was conducted applying top-down costing approach, for academic unit cost estimation. Objective: To estimate the unit costs using top-down allocation costing approach for academic and operational purposes of the Department of Clinical Epidemiology and Biostatistics (CEB) at Faculty of Medicine, Ramathibodi Hospital, Mahidol University. Methods: A cross-sectional study of the cost of CEB in fiscal year 2018 was retrieved. Direct and indirect costs were allocated to CEB based on 3 main missions (education, research, and academic services) considering staffs’ activities and time spent for each mission. Three cost per unit of measures (cost per student, cost per publication, and cost per research consultation) were estimated accordingly to these 3 main missions. Results: In the fiscal year 2018, direct and indirect costs were ฿15 178 761 and ฿737 496, respectively. As for staffs’ time spent for each mission activity, CEB mission costs were ฿6 807 282 for education (฿3 914 187 and ฿2 893 095 for MSc and PhD, respectively), ฿5 912 895 for research, and ฿2 186 280 for academic services. Conclusions: Unit cost should be estimated properly to minimise and optimally allocate resources to each activity. This study should be useful for other departments as a guideline for their cost management and resource planning.

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Rego, Amélia, et Beatriz Araújo. « Ethics guiding the action of the hospital manager ». Journal of Hospital Administration 8, n^o 2 (26 février 2019) : 14. http://dx.doi.org/10.5430/jha.v8n2p14.

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Objective: We believe there are ethical issues that emerge in the management of hospital health units, therefore in this article we discuss the interface between the areas of Bioethics and Management. This research aims to contribute to the operationalization of a profile of ethical competencies to manage hospitals with ethical weighing and linkage to values.Methods: This is an exploratory and descriptive study with 421 hospital managers of 25 hospitals in the northern zone of Portugal, integrated in the National Health Service. To collect data, we used the Questionnaire of Ethicity in Hospital Management and analyzed the contents of the electronic pages of 36 hospitals about the mission, values and vision they advocate.Results: In addition to the philosophical perspective of each person, health professionals in hospital management respect the complex multidimensionality, recognizing the singularity and the personal, social and cultural individuality. Values and personal ethics can be a guide for action in the field of health. In the results of this study, we present a framework of ethical competencies for the management of the hospital, which aims to optimize management with ethical weighing with the following dimensions: Decision, Primacy of the human person, Responsibility, Integrity, Training and development, Equity and access, Organization and Social Responsibility.Conclusions: Based on the results of this study, we conclude that there is a need to implement a matrix of ethical competencies that guide health professionals to respect people and their rights – in the management of health care and services, in clinical practice or in scientific investigation. The managers of the hospitals integrate the guidelines in the code of ethics of their professional group and in the mission, values and institutional vision. Overall, they claim to have a framework of ethical competencies, acting with reference to the ethical paradigm of personalism.

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Herasmus, Hilda. « Analisa Dan Perancangan Pelayanan Pada Rumah Sakit Berbasis Web ». Jurnal Sains Informatika Terapan 1, n^o 3 (10 octobre 2022) : 126–30. http://dx.doi.org/10.62357/jsit.v1i3.104.

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In today's sophisticated era, hospitals are required to increase their performance and competitiveness without reducing their social mission. Hospitals must determine strategic ideas, including being able to quickly and accurately make decisions to improve services to the community. Hospital Service Information Systems are computerized systems that process and integrate all health service business process flows in the form of coordination networks, reporting and administrative procedures. to support performance and obtain information quickly, precisely and accurately. A computer-based Management Information System is a very important supporting tool, one might even say absolute, for hospital operations. Various experiences of hospitals using conventional administrative systems show that there are many lost opportunities to gain profits due to weak coordination between departments and a lack of fast, precise, accurate and integrated information support.

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Hutriani, Ina Winiastuti, Muhammad Saddam Ali et Zulvita Amanda. « Implementasi Prinsip Green Hospital pada Desain Lanskap Gerbang Masuk RSD DR A Dadi Tjokrodipo Bandar Lampung ». Jurnal Lanskap Indonesia 16, n^o 1 (3 avril 2024) : 69–76. http://dx.doi.org/10.29244/jli.v16i1.48547.

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dr A Dadi Tjokrodipo Regional Hospital Bandar Lampung is one of the hospitals whose mission to create a clean, green and pollution-free hospital environment. This mission is in line with the Program of the Ministry of Health Republic of Indonesia, namely The green hospital Program, a hospital which has designed, built/renovated, operated and maintained by considering the principles of health and a sustainable environment. The implementation of the green hospital principles at dr A Dadi Tjokrodipo Regional Hospital has not been optimal, one area which is the landscape of the hospital gate. This study aims to provide recommendations in the landscape design of hospital gate by implementing the principles of green hospital to support dr A Dadi Tjokrodipo Regional Hospital towards green hospital in Bandar Lampung. This study used design method modified from LaGro (2013) which consisted of a site survey stage; literature study; analysis-synthesis stage and conceptual design stage. Based on the results of this research, the implementation of green hospital principles in the landscape design of the dr A Dadi Tjokrodipo Regional Hospital applied to two major criteria, namely design and construction criteria and operational criteria. Design and construction criteria implemented include land development criteria and healing garden criteria. The operational criteria applied include transportation criteria and green material procurement criteria. Design recommendations based on the principle of green hospital can be followed up in the form of detailed engineering design (DED) documents and proposed budget plans so that the design can be implemented in the field.

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Journal, IJSREM. « HOSPITAL FINDER ». INTERANTIONAL JOURNAL OF SCIENTIFIC RESEARCH IN ENGINEERING AND MANAGEMENT 08, n^o 01 (15 janvier 2024) : 1–6. http://dx.doi.org/10.55041/ijsrem28154.

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Introducing the Hospital Finder App - Your Ultimate Guide to Finding the Best Medical Care! Are you looking for a reliable and trustworthy hospital finder app to help you locate the best medical care? Look no further! Our Hospital Finder App is here to assist you in finding top- notch hospitals and medical facilities near you. With our comprehensive directory, you can easily search and compare hospitals based on your specific needs and preferences. Our app features a user-friendly interface and a wide range of filters to help you find the perfect hospital for your medical needs. You can search by location, specialty, insurance, and more. Plus, our app provides detailed information on each hospital, including patient reviews, ratings, and contact information. Our mission is to provide you with the best possible medical care, and we believe that starts with helping you find the right hospital. Download our app today and discover the power of informed healthcare choices! rigorous standards of scientific research, presenting a comprehensive and secure framework for the findings. Keywords: Hospitals near me ,Medical facilities ,Healthcare providers ,Doctor search,Specialist directory, Insurance coverage ,Patient reviews Hospital ratings ,Contact information Emergency care ,Urgent care ,Specialized treatment ,Preventive care , Wellness services .

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Di Bartolomeo, Stefano, Paolo Gava, Anatolij Truhlář, Mårten Sandberg et The Euphorea Group. « Cross-Sectional Investigation of HEMS Activities in Europe : A Feasibility Study ». Scientific World Journal 2014 (2014) : 1–5. http://dx.doi.org/10.1155/2014/201570.

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Objectives.To gather information on helicopter emergency medical services (HEMSs) activities across Europe.Methods.Cross-sectional data-collection on daily (15 November 2013) activities of a sample of European HEMSs. A web-based questionnaire with both open and closed questions was used, developed by experts of the European Prehospital Research Alliance (EUPHOREA).Results.We invited 143 bases from 11 countries; 85 (60%) reported base characteristics only and 73 (51%) sample-day data too. The variety of base characteristics was enormous; that is, the target population ranged from 94.000 to 4.500.000. Of 158 requested primary missions, 62 (0.82 per base) resulted in landing. Cardiac aetiology (36%) and trauma (36%) prevailed, mostly of life-threatening severity (43%, 0.64 per mission). Had HEMS been not dispatched, patients would have been attended by another physician in 67% of cases, by paramedics in 24%, and by nurses in 9%. On-board physicians estimated to have caused a major decrease of death risk in 47% of missions, possible decrease in 22%, minor benefit in 17%, no benefit in 11%, and damage in 3%. Earlier treatment and faster transport to hospital were the main reasons for benefit. The most frequent therapeutic procedure was drug administration (78% of missions); endotracheal intubation occurred in 25% of missions and was an option hardly offered by ground crews.Conclusions.The study proved feasible, establishing an embryonic network of European HEMS. The participation rate was low and limits the generalizability of the results. Fortunately, because of its cross-sectional characteristics and the handy availability of the web platform, the study is easily repeatable with an enhanced network.

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Rego, Amélia, Beatriz Araújo et Daniel Serrão. « The mission, vision and values in hospital management ». Journal of Hospital Administration 5, n^o 1 (23 novembre 2015) : 62. http://dx.doi.org/10.5430/jha.v5n1p62.

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Objective: Management depends on choices, on the hierarchy of actions, goals and values on which these decisions are founded, because values guide our actions. This study aims to identify the contents exposed in the vision, mission and values of the hospitals in the north of Portugal. It also aims to analyze the existence of content differentiation, based on the implemented management model.Methods: The design of this study is exploratory, descriptive, and explanatory. Thus, the data qualitative analysis was performed on the contents of the mission, values and vision publicized on the web pages available on 12th and 13th April 2014 in 36 Hospitals/Medical Centers of the National Health Service and hospitals linked with the Ministry of Health, for the purpose of the Integrated Management System of Subscribers to Surgery.Results: According to the definition of their mission, values and vision, the values on which hospitals are anchored focus on assistance, organization and management, quality, ethics and social responsibility. The expression of spirituality is limited to two hospitals. As for the hospital’s mission, spirituality is expressly assumed in six of the hospitals. Regarding the implemented management model, hospitals explicitly present their values, mission and vision, whether they are integrated into the National Health Service, irrespective of their legal nature (Public-Private Partnership or Public Enterprise), whether they are from the private or social sector. All of them claim to have ethical values, expressing the need to promote human dignity, the quality in the various areas and the holistic care to be provided. The concern of the private sector to add value for its employees, recipients and shareholders stands out.Conclusions: Managers recognize that ethics and human values are the foundation for the functioning of hospitals. They are aware that the mission, values and vision constitute accreditation criteria, acknowledging that they have a global reach. In the Social Sector, they are declared in the Quality Policy and in hospitals with a Public Enterprise management model they are framed in the Institutional Ethics Code.

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Pangkey, Dicky Yulius, Masydzulhak Djamil, Ahmad Hidayat Sutawijaya et Ahmad Badawi Saluy. « Strategi Pengelolaan Sumber Daya Manusia dalam Meningkatkan Kinerja Berkelanjutan Di Rumah Sakit Tipe C Jakarta Timur ». Jurnal Doktor Manajemen (JDM) 5, n^o 1 (30 avril 2022) : 15. http://dx.doi.org/10.22441/jdm.v5i1.14742.

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Hospitals are an essential part of the health sector; this makes the hospital service industry important. Facing increasingly fierce competition in health care services, every hospital requires proper and good management without reducing the quality of service. Not only applying the concept of good quality human resources, but every employee of the hospital service industry can carry out the vision and mission that is supported by management strategies that can not only improve performance but are also sustainable. Pre-survey was conducted to find out what factors can improve sustainable performance. Three hospitals type C in East Jakarta became the pre-survey research population, based on performance data it was found that the three hospitals were only able to achieve 80 percent performance, with leadership, loyalty, and initiative scores having quite low proportions. A total of 60 employees participated in the pre-survey. Pre-survey results show that employees have a low organizational commitment (3.65) and believe that they have sufficient competence (4.36) which is expected of the hospital where they work. These results indicate that sustainable performance needs to be investigated further, especially what factors can influence it. The implications for further research are explained in the discussion.

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Noble, Vanessa, et Julie Parle. « ‘The Hospital was just like a Home’ : Self, Service and the ‘McCord Hospital Family’ ». Medical History 58, n^o 2 (avril 2014) : 188–209. http://dx.doi.org/10.1017/mdh.2014.10.

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AbstractFor more than a century, McCord Hospital, a partly private and partly state-subsidised mission hospital has provided affordable health-care services, as well as work and professional training opportunities for thousands of people in Durban, a city on the east coast of South Africa. This article focuses on one important aspect of the hospital’s longevity and particular character, or ‘organisational culture’: the ethos of a ‘McCord Family’, integral to which were faith and a commitment to service. While recognising that families – including ‘hospital families’ like that at McCord – are contentious social constructs, with deeply embedded hierarchies and inequalities based on race, class and gender, we also consider however how the notion of ‘a McCord family’ was experienced and shared in complex ways. Indeed, during the twentieth century, this ethos was avidly promoted by the hospital’s founders and managers and by a wide variety of employees and trainees. It also extended to people at a far geographical remove from Durban. Moreover, this ethos became so powerful that many patients felt that it shaped their convalescence experience positively. This article considers how this ‘family ethos’ was constructed and what made it so attractive to this hospital’s staff, trainees and patients. Furthermore, we consider what ‘work’ it did for this mission hospital, especially in promoting bonds of multi-racial unity in the contexts of segregation and apartheid society. More broadly, it suggests that critical histories of the ways in which individuals, hospitals, faith and ‘families’ intersect may be of value for the future of hospitals as well as of interest in their past.

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Lindtjorn, Bernt, et Thor Henrik Henriksen. « The Experience of Mission Hospitals in Southern Ethiopia in Identifying and Responding to Infectious Disease Outbreaks ». Christian Journal for Global Health 7, n^o 4 (9 novembre 2020) : 3–13. http://dx.doi.org/10.15566/cjgh.v7i4.433.

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Emerging infectious diseases and epidemics are often seen at mission health institutions. Work at such Christian institutions seeks to practice holistic medicine, and the core priorities included dedicated clinical care combined with community responsibility. This paper describes some unusual, and some more common epidemics that occurred at three mission hospitals in southern Ethiopia during the last 60 to 70 years. The hospitals covered vast areas and large populations, mostly from poor subsistence farming communities. With great topographical and climatic variations, the catchment areas include multiple climate zones that cause substantial variations in ecology and vegetation, and thus also in disease patterns. Our review is based on personal notes, hospital records, and previous scientific publications. We observed epidemics such as cholera and other diarrheal diseases, relapsing fever, meningitis, gonococcal conjunctivitis, the emerging of HIV and Helicobacter infections, and parasitic infections such as malaria and visceral leishmaniasis. Hospitals should ideally have collaborated with local and national health authorities to combat such events. Unfortunately, that was not always possible because of wars, political unrest or lack of capacity. Sometimes these hospitals did not have sufficient laboratory infrastructure to diagnose infections such as arboviral diseases. More emphasis should have been on enabling the hospitals to both diagnose and control epidemics.

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Fentiana, Nina, et Daniel Ginting. « Strategi Peningkatan Pendapatan Rumah Sakit Berdasarkan Analisis SWOT ». Jurnal Ilmiah Universitas Batanghari Jambi 20, n^o 3 (3 octobre 2020) : 1008. http://dx.doi.org/10.33087/jiubj.v20i3.1034.

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The hospital as a business entity in the service sector has its own mission, which is to provide quality services with the achievement of patient satisfaction which is marked by reduced complaints from customers, increased visits so that it shows high company performance. SWOT analysis is a systematic identification of various factors to formulate a company strategy. This research is to find the right strategic opportunity or opportunity, where there is a large market share that allows hospitals to grow and develop. The focus of this research is a strategic plan in an effort to increase hospital income by analyzing a picture of hospital performance in the last 3 years from 2017 to 2019. The study was conducted using a qualitative approach in one of the hospitals in Langsa City. Based on the results of the SWOT diagram, the strategic plan that will be implemented to increase hospital income is to implement standardization of human resources (number of SOP educational task descriptions), cost efficiency, superior services, patient satisfaction surveys and implement efficiency of direct general financing and investment.

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Tiangco, Beatrice, Shanaia Esthelle Joy Daguit, Nicole Cathlene Astrologo, Leo Flores, Ric Nonato Parma et Leo Anthony Celi. « Challenges in the maintenance of an open hospital-based cancer registry system in a low-to-middle-income country (LMIC) : 2017–2022 experience ». PLOS Digital Health 3, n^o 1 (24 janvier 2024) : e0000328. http://dx.doi.org/10.1371/journal.pdig.0000328.

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Hospital-based cancer registries (HBCRs) record data on all patients diagnosed and/or treated for cancer at healthcare facilities and evaluate the burden of the disease and the quality of healthcare services at that hospital, helping improve patient care, and providing an assessment of healthcare quality. The CARE PH app was created as a tool to facilitate a system of hospital-based cancer registries in the Philippines, a lower middle-income country. From 2017 to 2022, a total of 60,021 cancer registrants from 44 CARE PH hospitals were entered into the database. Breast cancer was the most common primary site, accounting for 17,660 cases (29.4%). This was followed by colorectal cancer at 11.1%, cervical cancer at 6.2%, head and neck cancer at 5.9%, and prostate and other male genital cancer at 5.1%.Among the 30 data fields collected, 17 exhibited 0–20% missing data, eight displayed 21%-90% missing data, while five depicted 91%-100% missing data. Most of the data fields with missing data are in the treatment and follow-up modules, which are stored in separate forms in a patient’s record. Digital transformation of hospitals from paper-based charts to electronic medical records, and the integration of the HBCR to the EMR and hospital information system, will likely be the best solution for these limitations. It is recommended that the creation and maintenance of HBCRs nationwide must be harmonized, and embedded in all relevant national programs and legislations. The development of an information technology process that is based on a cancer patient’s journey, should be built on an open system embedded in a well designed enterprise architecture, functioning under the guidance of a strong leadership and governance team. All these must be present in order to create and maintain a robust HBCR that is useful for furthering cancer registry and research in the country.

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de Mattos Oliveira, Lízia Felix Cotias, Robert P. Lennon, John W. Roman, John F. Sullivan et Edmund A. Milder. « Health Characteristics of the Madeira Riverine Population ». Military Medicine 185, n^o 7-8 (20 mars 2020) : e1222-e1228. http://dx.doi.org/10.1093/milmed/usaa006.

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Abstract Introduction The Amazon River Basin is the largest and the most complex fluvial system in the world. The Brazilian government provides dental and medical care to the riverine populations in this region in part through medical assistance missions, conducted by four hospital ships. The Brazilian Navy invited U.S. Navy medical personnel to join the February 2019 mission aboard Navio de Assistência Hospitalar (NAsH) Carlos Chagas to provide care along the Madeira River. Materials and Methods In the course of providing primary care services, demographic, health, and dental data of the Madeira Riverine population were collected. Descriptive statistics were used to generate average health and dental data. Chi-square tests were used to compare population prevalence data. Linear regression was used to evaluate dental caries per patient with proximity to nearest large population center and village population. This project was approved by Naval Medical Center Portsmouth Institutional Review Board. Results The Madeira Riverine population has similar dental health to Brazilians living in urban centers. Their prevalence of hypertension and diabetes compared favorably with the U.S. averages (17.7% vs. 34.3% [P < 0.001] and 3% vs. 9.4% [P < 0.001], respectively). Based on the most prevalent ICD-10 code diagnoses, future missions can expect high volumes of patients with intestinal parasites, hypertension, common skin infections, women’s health concerns, and musculoskeletal complaints. Conclusions This study adds to the limited health data currently available on Brazilian Riverine populations. It demonstrates the effectiveness of the Hospital Assistance missions in providing dental care and documents some unique aspects of Riverine health that warrant further study.

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Sechriest II, MD, V. Franklin, Vern Wing, MS, G. Jay Walker, BA, Maureen Aubuchon, BS et David W. Lhowe, MD. « Healthcare delivery aboard US Navy hospital ships following earthquake disasters : Implications for future disaster relief missions ». American Journal of Disaster Medicine 7, n^o 4 (1 septembre 2012) : 281–94. http://dx.doi.org/10.5055/ajdm.2012.0101.

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Objective: Since 2004, the US Navy has provided ship-borne medical assistance during three earthquake disasters. Because Navy ship deployment for disaster relief (DR) is a recent development, formal guidelines for equipping and staffing medical operations do not yet exist. The goal of this study was to inform operational planning and resource allocation for future earthquake DR missions by 1) reporting the type and volume of patient presentations, medical staff, and surgical services and 2) providing a comparative analysis of the current medical and surgical capabilities of a hospital ship and a casualty receiving and treatment ship (CRTS).Design: The following three earthquake DR operations were reviewed retrospectively: 1) USNS Mercy to Indonesia in 2004, 2) USNS Mercy to Indonesia in 2005, and 3) USNS Comfort/USS Bataan to Haiti in 2010. (The USS Bataan was a CRTS.) Mission records and surgical logs were analyzed. Descriptive and statistical analysis was performed. Comparative analysis of hospital ship and CRTS platforms was made based on firsthand observations.Results: For the three missions, 986 patient encounters were documented. Of 1,204 diagnoses, 80 percent were disaster-related injuries, more than half of which were extremity trauma. Aboard hospital ships, healthcare staff provided advanced (Echelon III) care for disaster-related injuries and various nondisaster- related conditions. Aboard the CRTS, staff provided basic (Echelon II) care for disaster-related injuries.Conclusions: Our data indicate that musculoskeletal extremity injuries in sex- and age-diverse populations comprised the majority of clinical diagnoses. Current capabilities and surgical staffing of hospital ships and CRTS platforms influenced their respective DR operations, including the volume and types of surgical care delivered.

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Woodside, Joseph M. « Organizational health management through metaphor : a mission-based approach ». Journal of Health Organization and Management 32, n^o 3 (21 mai 2018) : 374–93. http://dx.doi.org/10.1108/jhom-05-2017-0098.

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PurposeThe purpose of this paper is to identify the underlying metaphors that hospitals use to establish their organizational mission. Metaphors impact the direction and managerial decision making of organizations, and provide a method to more easily communicate to a variety of stakeholders.Design/methodology/approachA text analytics process is run to evaluate the mission statements from the largest hospitals by revenue in each of the 50 states of the USA and District of Columbia to identify the types of metaphor-based organizational health management methods.FindingsA cluster analysis is generated to evaluate primary mission-based metaphors, and metatriangulation is used to evaluate output, develop theory and provide practical implications for healthcare management.Originality/valueKey contributions include a review of healthcare metaphors, an analysis for understanding commonly utilized metaphors, a theory building process for developing a new integrated value-based care management metaphor, and a value-based process is developed for providing healthcare managers an easy to follow and repeatable process for improving organizational communication.

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Rahmasari, Suci, Harfindo Nismal, Yudi Setyawan, Dyana Putri et Aminatu Nur Rahmah. « Strategic Planning for Hospital Management Information System (SIMRS) Dental and Oral Hospital (RSGM) Universitas Andalas (Unand) Indonesia ». Bioscientia Medicina : Journal of Biomedicine and Translational Research 7, n^o 10 (27 septembre 2023) : 3620–27. http://dx.doi.org/10.37275/bsm.v7i10.868.

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In the current information era, hospitals, including dental and oral hospitals, are required to improve performance and competitiveness as a business entity by not reducing the mission it carries. Currently, computer-based management information systems are a very important supporting tool, and it could even be said to be absolutely necessary to support hospital operational management. A hospital management information system, hereinafter abbreviated as SIMRS, is a communication information technology system that processes and integrates the entire flow of hospital service processes in the form of a network of coordination, reporting, and administrative procedures to obtain precise and accurate information and is part of the health information system. Efforts to utilize information systems are a step forward that need to be implemented in the face of very rapid changes, and the impact of the era of globalization is starting to be felt. Having a health information system is very helpful in data processing activities, most of which are carried out using computers that have been programmed with various programs that will handle an application.

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Mutia, Muliawati, et Pujianto Pujianto. « Application of The 7p Mix Marketing on Patient Satisfaction at Hospitals ». Malahayati Nursing Journal 4, n^o 9 (1 septembre 2022) : 2270–81. http://dx.doi.org/10.33024/mnj.v4i9.6941.

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ABSTRACT Hospital is a health service institution that provides complete individual health services that provide inpatient, outpatient, and emergency services. In addition, the Hospital also carries out a business mission to earn profit and ensure the sustainability of its business. The marketing mix is a hospital strategy to maximize service delivery to clients. This study aims to analyze the effect of the 7P's marketing mix (product, price, place, promotion, process, people, physical building) on patient satisfaction in hospitals. Literature review is used for research methods, the initial step in determining the topic, the keywords used, Science Direct, Pro Quest, Google Scholar dan Elsevier are the database journals used. Reference search is limited from 2016 to 2020. The keywords used are “Marketing Mix 7p, Hospital, Patient Satisfaction”. Research references found there are 65 studies. A total of 55 articles were excluded and 10 articles were included in the discussion. Selection journals were selected based on inclusion criteria. The inclusion criteria in this study were the analysis of the influence of the 7P Marketing Mix on Patient Satisfaction in Hospitals. Based on the 5 studies reviewed, one study explained that the 7P marketing mix had a significant effect on patient satisfaction through statistical tests with p value = 0.00 < = 0.05. The level of patient satisfaction affects the optimal marketing of the 7Ps. Keywords: Marketing Mix, Marketing Mix 7P, Hospital Patient Satisfaction

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Thomas, Richard, et Niels French. « The Population Health Model : A Timely Approach for Mission Hospitals ». Christian Journal for Global Health 7, n^o 5 (21 décembre 2020) : 82–88. http://dx.doi.org/10.15566/cjgh.v7i5.363.

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Mission hospitals have long provided a source of care along with spiritual support for populations around the world, often serving the disadvantaged not served by other facilities. For a variety of reasons, the future of mission hospitals has been thrown into doubt, and options for repurposing these institutions are being explored. Because of the mission of mission hospitals, there approach has historically differed from those of other health system (including many faith-based facilities). The multi-purpose attribute of mission hospitals makes them excellent candidates for adopting a population health approach. The population health model as now being developed in the United States represents a radical departure from traditional clinical practice and, in fact, reduces the significance of medical care as a means to improving community health. The model emphasizes treatment of populations rather than individuals, takes a holistic approach to the provision of care (to the point of addressing social determinants of health), and enlists the community in collaborative arrangements for collective impact. Mainstream hospitals have had difficulty in implementing a true population health approach for a variety of reasons, and mission hospitals appear to represent an effective vehicle for putting the model into practice.

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Tri Widayanti. « Perencanaan Enterprise Architecture Pada Rumah Sakit Ibu Dan Anak Mulia Menggunakan Togaf Adm ». Jikom : Jurnal Informatika dan Komputer 13, n^o 2 (30 octobre 2023) : 26–34. http://dx.doi.org/10.55794/jikom.v13i2.110.

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Processing of patient data at the Mulia Mother and Child Hospital has so far been carried out on a paper-based basis and there has been no data integration between the registration, polyclinic, pharmacy and medical records departments. In order for better service and patient data processing to support decision making and provide fast and accurate information, enterprise architecture analysis and planning is needed. The aim of this research is enterprise architecture planning for information systems and information technology that will be applied to maternal and child hospitals in line with the vision and mission so that strategic objectives can be achieved. The research uses the Open Group Architecture Framework (TOGAF) method with the Architecture Development Method (ADM). TOGAF ADM has eight stages, this research only uses five stages, namely Preliminary, Architecture Vision, Business Architecture, Information System Architecture, and Technology Architecture. The research results are in the form of an information system and information technology blueprint that can support business processes to achieve the strategic goals expected by Mulia mother and child hospital. Apart from that, the TOGAF ADM method produces architectural designs according to the institution's vision and mission, so that it can overcome existing problems.

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Thekkekara, John Varghese. « Sustainability and Inclusiveness in a Competitive Market : A Study of Faith-Based Hospitals in India ». Christian Journal for Global Health 7, n^o 2 (30 juin 2020) : 7–18. http://dx.doi.org/10.15566/cjgh.v7i2.321.

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Introduction: The Christian Healthcare Network is the largest faith-based healthcare network in India, functioning, most often, in the hard-to-reach and underdeveloped areas. It is facing serious challenges such as being forced to comply with the recent changes in government regulations, policies, and globalized market situations. Such changes in the social and financial environment are driving hospitals to adopt newer strategies to remain sustainable. Some of the mission hospitals are compromising their mission goals for which they were founded. If financial viability becomes the goal, social responsibility to the community and the true meaning of mission gets distorted. Their mission must remain the primary belief system, which legitimizes the structural arrangements and ideology of business. Mission and business must go hand-in-hand. Methods: An embedded case study method was used to purposively study 16 selected cases of Christian faith-based hospitals (FBHs) pan India with the objective to understand the nature of services employed, the role played by FBHs in India in different contexts, their challenges in the changing business environment, and how successful they were in remaining both sustainable and inclusive at the same time. Results: The study found that despite the variation in the services and infrastructure of mission hospitals across India, these facilities have had an on-going commitment and a long-standing operation with regard to population health. In their different settings, they are either the only service provider or the referral centre for the public facilities and the trusted choice of the middle- and lower-middle class population. The least sustainable and inclusive among them seem to have deviated from their founding objectives due to market changes, but more than a quarter of them were successful in remaining inclusive and sustainable. In pursuit of competitive advantages, some of them remained sustainable by dropping their inclusiveness, while a few ended up in existential crisis because of their adhesiveness to inclusivism. The challenges of attracting professionals, generating funds for development, and operating within the ethical boundaries set by the church are well addressed by the models which are sustainable and inclusive. Conclusion: In the context of drastic changes in both internal and external environments, some of the FBHs lost their business, some lost their mission and a few got corporatized. But a few remain successful in terms of inclusiveness and sustainability by innovative strategies.

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Sichembe, Wantula, S. D. Manyozo et R. Moodie. « The epidemiology of Road Traffic Crashes in Rural Zambia : A Retrospective Hospital-Based Study at Monze Mission Hospital ». Medical Journal of Zambia 46, n^o 4 (31 décembre 2019) : 264–76. http://dx.doi.org/10.55320/mjz.46.4.592.

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Background: Road trauma represents a significant yet neglected public health challenge in Zambia leading to loss of lives, severe disabilities and hampering development. It disproportionately affects low and middle income countries (LMIC) with 90% of all road deaths occurring there. Zambia, like many other LMIC lacks robust evidence to guide road safety initiatives and program planning due to limited research, poor quality data and competing health priorities. Objectives: We aimed to investigate the epidemiology of road trauma cases seen at a general hospital in Monze district from 2013 to 2017. We further assessed the road trauma data quality as captured by the hospital registry. Methods: We reviewed records for all road trauma cases seen at Monze Mission Hospital from 2013 to 2017. Descriptive statistics were used to summarised using means and proportion. We further assess the variables captured for each case that presented at the hospital including socio-demographic and trauma-related details. Depending on the quality of data obtained, statistical methods were applied to explain the epidemiology including Chi-square, t-tests and proportional tests were used to assess the differences in means and proportions, respectively. Results: The road trauma data at MMH are very poor evidenced by a lot of missing variables for road trauma cases that would aid understanding of the epidemiology of road trauma cases seen at the facility. However, of the 449 road trauma cases reviewed, 62.4% of these were males. The highest road trauma burden was recorded among those aged 15-44. Time trend analysis shows a decreasing pattern in road deaths in Monze district. The case-fatality rates were very high with more than 90% the of deaths occurring before arrival at the hospital. However, many case files lacked data on occupation, education level, type of road user, type of vehicles involved and time of collision. Conclusion: The available data at MMH suggested that young and active people aged 15-44 years were the most affected of road trauma in Monze district, with males experiencing a higher burden than females. The data also showed a decreasing trend in the road trauma burden in Monze district. However, these results should be interpreted with great caution as the data are highly unreliable due to suspected very high levels of underreporting.

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Sichembe, Wantula, S. D. Manyozo et R. Moodie. « The epidemiology of Road Traffic Crashes in Rural Zambia : A Retrospective Hospital-Based Study at Monze Mission Hospital ». Medical Journal of Zambia 46, n^o 4 (19 mars 2020) : 264–76. http://dx.doi.org/10.55320/mjz.46.4.235.

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Background: Road trauma represents a significant yet neglected public health challenge in Zambia leading to loss of lives, severe disabilities and hampering development. It disproportionately affects low and middle income countries (LMIC) with 90% of all road deaths occurring there. Zambia, like many other LMIC lacks robust evidence to guide road safety initiatives and program planning due to limited research, poor quality data and competing health priorities. Objectives: We aimed to investigate the epidemiology of road trauma cases seen at a general hospital in Monze district from 2013 to 2017. We further assessed the road trauma data quality as captured by the hospital registry. Methods: We reviewed records for all road trauma cases seen at Monze Mission Hospital from 2013 to 2017. Descriptive statistics were used to summarised using means and proportion. We further assess the variables captured for each case that presented at the hospital including socio-demographic and trauma-related details. Depending on the quality of data obtained, statistical methods were applied to explain the epidemiology including Chi-square, t-tests and proportional tests were used to assess the differences in means and proportions, respectively. Results: The road trauma data at MMH are very poor evidenced by a lot of missing variables for road trauma cases that would aid understanding of the epidemiology of road trauma cases seen at the facility. However, of the 449 road trauma cases reviewed, 62.4% of these were males. The highest road trauma burden was recorded among those aged 15-44. Time trend analysis shows a decreasing pattern in road deaths in Monze district. The case-fatality rates were very high with more than 90% the of deaths occurring before arrival at the hospital. However, many case files lacked data on occupation, education level, type of road user, type of vehicles involved and time of collision. Conclusion: The available data at MMH suggested that young and active people aged 15-44 years were the most affected of road trauma in Monze district, with males experiencing a higher burden than females. The data also showed a decreasing trend in the road trauma burden in Monze district. However, these results should be interpreted with great caution as the data are highly unreliable due to suspected very high levels of underreporting.

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Pardede, Evangelis, WILLIAMS KWASI PEPRAH et Patience Boatemaa Antwi-Yamoah. « The Influence of Organizational Culture on Planning as Perceived by Employees in The Hospital ». Abstract Proceedings International Scholars Conference 7, n^o 1 (18 décembre 2019) : 1030–43. http://dx.doi.org/10.35974/isc.v7i1.950.

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Introduction: Planning is essential to healthcare institutions. The first important factor that indicates the effectiveness and efficiency of an organization is planning and the realization of how the vision and mission that have been set up are implemented. However, organizational culture plays a key role in setting a plan for hospitals. It is upon this premises that this study seeks to find the impact of organizational culture on planning as professed by employees in the hospital and the significant difference between sex and age when planning was considered. Method: This was quantitative research which was designed as descriptive-correlational. The self-constructed instrument was conveniently administered to 108 hospital employees within Laguna in the Philippines to measure their hospital organizational culture and planning. The statistical study treatment was based on SPSS version 23, where Mean and Standard Deviation and Pearson Correlation and t-test were used to analyze the data. Result: The results revealed that hospital planning was very high, and they strongly agree with the influence of their organizational culture. Furthermore, the study resulted that there is a high correlation between organizational culture and planning. There was a significant difference in sex, however, there was no significant difference in age. The implication is that hospitals must make sure that their firms’ culture supports planning so that they can meet their objectives. Discussion: The study recommends that hospitals must make sure that their cultural practices support planning. This is among the various ways to achieve hospitals success and make them effective and efficient.

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Johnson, Brenda P., MyoungJin Kim, Emily E. McMahon et Ali Mojadam. « VISIBILITY OF PROGRAMS AND SERVICES ON HOSPITAL WEBSITES : GERIATRICS COMPARED WITH OBSTETRICS ». Innovation in Aging 3, Supplement_1 (novembre 2019) : S446. http://dx.doi.org/10.1093/geroni/igz038.1675.

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Abstract Hospitals increasingly use a digital platform to market their services as well as reflect the values and mission of the organization. As payment incentives and national initiatives grow for making hospitals more “age friendly” in both the quality and extent of specialized services for older adults, the visibility of these services on a digital platform is of interest. This exploratory, descriptive analysis of hospital websites was to illuminate the ease with which a consumer could identify that a hospital has specialized services in geriatrics as compared with obstetrics. A proportionate stratified random sampling based on the five geographical regions of the country was used to select 220 hospitals with 5% margin of error, 95% confidence interval and 50% sample proportion with no prior information from a population of over 600 hospitals known to have implemented at least one quality initiative specific to older adults (NICHE). A binary matrix was developed for collecting data related to the visibility of services in three main areas of hospital websites: 1) images and terms on the homepage 2) identification of programs in the “Services” function and 3) availability of the specialty in the “Search for Doctor” function. Data show that the frequency of all key words used to identify obstetrical services was greater than those used to describe geriatric services across all functional areas explored in this study. Implications are that hospital websites may be an underutilized resource for marketing services as well as accurately reflecting specialized services for the older adult population.

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Wernz, Christian, Hui Zhang et Kongkiti Phusavat. « International study of technology investment decisions at hospitals ». Industrial Management & ; Data Systems 114, n^o 4 (6 mai 2014) : 568–82. http://dx.doi.org/10.1108/imds-10-2013-0422.

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Purpose – Healthcare costs have increased considerably over the past decades around the world. Major contributors to this trend are expensive medical technologies. The purpose of this paper is to use a case study approach to understand how organizational and country level factors influence hospital investment behavior. Design/methodology/approach – The paper developed a conceptual framework based upon decision theory and institutional theory from which key questions were derived. The paper conducted semi-structured group interviews with relevant stakeholders in six hospitals located in five countries (Germany, India, Thailand, South Korea, USA). Findings – The paper found that the investment decisions of the interviewed hospitals are primarily affected by the healthcare system, the socio-economic and cultural context, and the organization's mission. Most of the interviewed hospitals consider multiple criteria in their decision-making framework and share similar organizational processes. Practical implications – The paper identified an international best practice approach to investment decision making at one of the hospitals. The other hospitals, despite being leading institutions in their respective countries, do not have sufficiently advanced and objective assessment approaches and would benefit from a more data-driven and systematic decision process. Originality/value – Prior research has documented that investment decisions at hospitals are driven by organizational factors. This paper shows how, in addition, country level factors – in particular healthcare system and cultural aspects – affect hospital decision-making behavior.

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Taufik, Abd Rahman, Ali Djamhuri et Erwin Saraswati. « Performance Measurement Using Balanced Scorecard (BSC) (Study at Hospitals in Pasuruan) ». Journal of Accounting and Business Education 3, n^o 1 (1 septembre 2018) : 1. http://dx.doi.org/10.26675/jabe.v3i1.11553.

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<p>Balanced scorecard (BSC) is a performance measurement method which is applied to private organizations to balance between financial and nonfinancial aspects. However, in this case, the financial measure of BSC application to non-profit public sector organizations is very different from private organizations. This study aims at measuring the performance of hospitals in Pasuruan based on four BSC perspectives (financial perspective, customer perspective, internal business process perspective,and learning and growth perspective). This study was conducted at the hospital using secondary data in the form of financial reports and non-financial reports. The object of this research was the hospitals in Pasuruan. The results showed that the performance of the three hospitals in Pasuruan in using BCS gauge is good. This reflects that the three hospitals in Pasuruan always strive to realize the achievement of vision, mission, and goals as one of the optimal public health services in Pasuruan and surrounding areas.</p>

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Markham, Barbara, et Jonathan Lomas. « Review of the Multi-Hospital Arrangements Literature : Benefits, Disadvantages and Lessons for Implementation ». Healthcare Management Forum 8, n^o 3 (octobre 1995) : 24–35. http://dx.doi.org/10.1016/s0840-4704(10)60916-7.

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The multi-hospital arrangements literature is reviewed for Canada and the United States. There is a notable lack of evaluations on the outcomes of these arrangements, especially in the Canadian context. For evaluations that do make it to the literature, generalizability of conclusions is difficult because most is based on case studies and relates to “for-profit” U.S. hospitals. We are forced to conclude, however, that there is little definitive evidence that quality of care is improved by multi-hospital arrangements or to support or refute the claims of better human resources deployment. The most striking organizational benefit appears to be that institutions considering merger or other arrangements are forced into explicit considerations of their mission and goals. Many of the potential disadvantages of multi-hospital arrangements may be ameliorated with appropriate strategic planning and attention to detail during negotiation of the arrangement. As new multi-institutional arrangements may cause harm as well as reap benefits, careful evaluation is needed.

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Daei, Azra, Ali Sadeghzadeh Vaighan, Sona Tayebi Imani et Hassan Ashrafi-rizi. « 187 : MEDICAL LIBRARY AND INFORMATION SCIENCE STUDENTS' READINESS AND ATTITUDES TO ENTER HOSPITALS AS CLINICAL LIBRARIANS : A CASE STUDY OF ISFAHAN UNIVERSITY OF MEDICAL SCIENCES ». BMJ Open 7, Suppl 1 (février 2017) : bmjopen—2016–015415.187. http://dx.doi.org/10.1136/bmjopen-2016-015415.187.

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Background and aims:Expert searcher, teacher, content manager, and patient advocate are clinical librarian roles. Clinical Librarian has a potential role in facilitating evidence-based practice in hospital settings. Nowadays, clinical librarian has a role in the treatment group and even in clinical decision makings. The Clinical librarian job is empty in Iran's hospitals but efforts are emerging that clinical librarian enter to Hospital jobs. So the purpose of this research was to investigate the medical library and information science students' readiness to enter hospitals as a clinical librarians.Method:The survey method was used. The population of this research was medical library and information science students (N=74, BSc, MSc, PhD students) in Isfahan University of Medical Sciences. The instrument utilized in study was a questionnaire developed by the researchers themselves and its validity was established through a panel of experts. The reliability of questionnaire was determined by calculating the Cronbach's alpha coefficient.Results:Great number of students indicated clinical librarian's mission is to facilitate access to quality information that is necessary for improving health. Students largely stated their current curriculum didn't prepared to clinical librarian mission so they didn't have enough self-confidence to work with physicians and the medical team.Conclusion:Health services are facing organizational change. New technologies and rapid growth of medical knowledge and information creates a demand for new ways of providing information. Clinical librarian programs may deliver patients specific information in a timely manner. To get this target students must be prepared with courses helping them to improve clinical knowledge; so medical library and information science curriculums must change in each level.

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Petrovic, Ilija. « Foreign medical help in Serbian liberation wars from 1912 until 1918 ». Archive of Oncology 18, n^o 4 (2010) : 143–48. http://dx.doi.org/10.2298/aoo1004143p.

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This work concerns involvement of the foreign medical missions during the Serbian Liberation Wars from 1912 until 1918, the work of their members immediately behind the front lines and in the back, healing of the wounded and the diseased, especially at the time of the great epidemics of typhoid fever, and also the efforts of numerous Serbian friends who collected the funds and material for equipping and sending of those missions. An American mission which came first to Serbia, soon after the beginning of the war operations and which was led by Dr. Edward Ryan, was specially mentioned. For many smaller of bigger missions, it is known that they acted in some of the Serbian war zones. A special attention was paid to the work of The Scottish Women's Hospital, its formation and means of funding, work in war conditions, attitudes towards wounded Serbs and posture during the Serbian retreat before the German, Austro-Hungarian and Bulgarian occupying armies. This text is largely the author's own view of his two books on medical assistance which the Serbs received from their friends from abroad (Medical Missions at Serbian Battlefields 1912-1918 and The Scottish Women with the Serbs 1914-1918). The first of these booklets contains a list with over 1350 names (of which, approximately 700 are the medical doctors), and the other 1230, were based on the author's personal inspection of the available literature and materials, significantly increased the official data of the Serbian Red Cross about the number of medical staff who reached Serbian battlefields: doubles them for the Balkan wars, while in the Great war they were at least five times greater.

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Lantz, Paula M., Nicole Rubin et D. Richard Mauery. « Hospital leadership perspectives on the contributions of Ronald McDonald Houses ». Journal of Health Organization and Management 29, n^o 3 (18 mai 2015) : 381–92. http://dx.doi.org/10.1108/jhom-09-2013-0194.

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Purpose – The purpose of this paper is to describe an international survey of hospital executives and administrators’ perspectives on the contributions of their affiliation with a Ronald McDonald House (RMH) as an example of accommodation in family-centered care to the hospital’s mission, operations and patient experience. Design/methodology/approach – RMHs worldwide provided the names and e-mail addresses of the people holding key leadership positions in their main hospital partner, who in turn were invited to complete an internet-based survey (530 participants; response rate of 54.5 percent). Findings – Hospital leaders reported very positive opinions about the contributions of their RMHs affiliation to their ability to serve seriously ill children and their families. This included such important outcomes as increasing family integrity and family participation in care decisions; and decreasing psychosocial stress and hospital social work resource burdens associated with lodging, food, transportation and sibling support. Hospital chief executive offices (CEOs) and medical directors reported very strong and positive opinions regarding the value-added of their RMHs affiliation in many areas, including enhanced marketing of hospital specialty services and reduced length of stay. Research limitations/implications – Survey response bias is a limitation, although the results are still useful in terms of identifying multiple ways in which RMHs are perceived as contributing to hospitals’ operations and provision of family-centered care. Practical implications – Overall, the results suggest that, internationally, hospital leaders believe that RMHs play a key and valued role in their provision of family-centered care to seriously ill children and their families. Social implications – Family accommodation is more than the simple provision of lodging and plays an integral role how hospitals approach family-centered care. Originality/value – This international study contributes to the general literature on the role of family accommodation in hospitals’ provision of family-centered care and the specific and very sparse literature on RMHs in particular.

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Cotogni, Paolo, et Anna De Luca. « Caring for Patients in Need of Palliative Care : Is This a Mission for Acute Care Hospitals ? Key Questions for Healthcare Professionals ». Healthcare 10, n^o 3 (6 mars 2022) : 486. http://dx.doi.org/10.3390/healthcare10030486.

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The prevalence of patients affected by end-stage diseases or advanced cancer is increasing due to an aging population and progression in medicine and public healthcare. The burden of symptoms these people suffer in the last months of life often forces them to seek aid in an emergency department. In developed countries, acute care hospital-based services are often better designed to treat acute clinical conditions than to manage the needs of patients with serious chronic diseases. Thus, the palliative care (PC) population poses very real clinical challenges to healthcare professionals who care for them in hospital settings. The authors have formulated four key questions (who, why, when, and how) to address in order to identify a model for providing the best care for these PC patients. The questions are related to: (1) defining people living with serious chronic diseases; (2) managing the challenge of unplanned hospital admission of these people; (3) identifying PC patients among people with serious chronic diseases; and (4) determining the appropriate work of caring for this inpatient PC population. Clinicians need the knowledge, tools, and services to care for these PC patients, and acute care hospitals should plan the work of caring for these inpatients.

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Bart, Chris. « A comparative analysis of mission statement content in secular and faith‐based hospitals ». Journal of Intellectual Capital 8, n^o 4 (23 octobre 2007) : 682–94. http://dx.doi.org/10.1108/14691930710830837.

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Salis, Zapri, et Doni Jepisah. « Pengelolaan Sistem Informasi Manajemen (SIM) RS di RSUD Kota Dumai Tahun 2021 ». Jurnal Ilmiah Universitas Batanghari Jambi 22, n^o 3 (31 octobre 2022) : 2004. http://dx.doi.org/10.33087/jiubj.v22i3.2875.

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Management Information System is a computer-based system to process patient medical data and administrative data owned by the hospital. Based on the initial survey conducted in the field, all facilities and infrastructure supporting the use of SIMRS have not been fulfilled, such as computers, networks that have not been connected to all parts of the SIM RS installation. Residency method is qualitative using USG and Fishbone method. Informants in the residency amounted to 2 people with the subject of 1 person being the Head of the SIM Installation of the Hospital and 1 staff of the SIM Hospital. The results of the identification of the problem found that the facilities and infrastructure to support the use of the SIM Hospital were not yet optimal, the SPO in the SIM RS installation was not yet optimal, the implementation of tasks was not yet optimal in accordance with the organizational structure, the vision and mission of the SIM RS installation was still joined to the Vision and Mission of the Dumai City Hospital. The priority of the problem is that the facilities and infrastructure to support the use of the SIM Hospital are not met with a total score of 13. Recommendations It is hoped that an assessment of the Vision and Mission of the SIM Hospital should be made separately so that the objectives to be achieved from SIM installation, pay attention to infrastructure such as computers and internet networks for implementation. SIM RS which is integrated into all units, further clarifies the main tasks and functions of the RS SIM Installation, providing training related to the management of the RS SIM for HR in the SIM Hospital Installation.

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Atalan, Abdulkadir, et Cem Çağrı Dönmez. « Dynamic Price Application to Prevent Financial Losses to Hospitals Based on Machine Learning Algorithms ». Healthcare 12, n^o 13 (26 juin 2024) : 1272. http://dx.doi.org/10.3390/healthcare12131272.

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Hospitals that are considered non-profit take into consideration not to make any losses other than seeking profit. A model that ensures that hospital price policies are variable due to hospital revenues depending on patients with appointments is presented in this study. A dynamic pricing approach is presented to prevent patients who have an appointment but do not show up to the hospital from causing financial loss to the hospital. The research leverages three distinct machine learning (ML) algorithms, namely Random Forest (RF), Gradient Boosting (GB), and AdaBoost (AB), to analyze the appointment status of 1073 patients across nine different departments in a hospital. A mathematical formula has been developed to apply the penalty fee to evaluate the reappointment situations of the same patients in the first 100 days and the gaps in the appointment system, considering the estimated patient appointment statuses. Average penalty cost rates were calculated based on the ML algorithms used to determine the penalty costs patients will face if they do not show up, such as 22.87% for RF, 19.47% for GB, and 14.28% for AB. As a result, this study provides essential criteria that can help hospital management better understand the potential financial impact of patients missing appointments and can be considered when choosing between these algorithms.

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Imach, Sebastian, Andreas Deschler, Stefan Sammito, Miguel Reis, Sylta Michaelis, Beneditk Marche, Thomas Paffrath, Bertil Bouillon et Thorsten Tjardes. « Performing Advanced Trauma Life Support (ATLS) across Borders : Midterm Follow-Up of the Aeromedical Evacuation after Civilian Bus Accident at Madeira ». Journal of Clinical Medicine 12, n^o 14 (8 juillet 2023) : 4556. http://dx.doi.org/10.3390/jcm12144556.

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On 17 April 2019, a coach with tourists from Germany crashed in Madeira, requiring repatriation by the German Air Force. The Advanced Trauma Life Support (ATLS) concept was the central component of patient care. Data in Madeira were collected through a structured interview. The analysis of the Aeromedical Evacuation was based on intensive care transport records. In Germany, all available medical data sheets were reviewed for data collection. Quality of life (HRQoL) was evaluated by the 12-item Short Form Health Survey (SF-12). Twenty-eight prehospital patients were transported to the Level III Trauma Center in Funchal (Madeira). Five operative procedures were performed. Fifteen patients were eligible for Aeromedical Evacuation (AE). In the second hospital phase in Germany, in total 82 radiological images and 9 operations were performed. Hospital stay lasted 11 days (median, IQR 10–18). Median follow-up (14 of 15 patients) was 16 months (IQR 16–21). Eighty percent (8 out of 10) showed an increased risk for post-traumatic stress disorder (PTSD). Six key findings were identified in this study: divergent injury classification, impact of AE mission on health status, lack of communication, need of PTSD prophylaxis, patient identification, and media coverage. Those findings may improve AE missions in the future, e.g., when required after armed conflicts.

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