Дисертації з теми "Dandenong and District Hospital"
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Aiken, Alexander. "Hospital-acquired infections in two district hospitals in Kenya." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2013. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.590555.
Повний текст джерелаBedeker, Wiaan Francois. "Impact of basic transthoracic echocardiography at district hospital level." Master's thesis, University of Cape Town, 2015. http://hdl.handle.net/11427/16935.
Повний текст джерелаThe use and demand of echocardiography has increased worldwide. In developed countries, this has not been translated into improved access outside tertiary centres. Previous studies have favoured the appropriate use of echocardiography over its clinical impact, limiting generalisability to resource constrained settings. Objectives: To assess the impact of an echocardiographic service at district hospital level in Cape Town, South Africa. Methods: A prospective, cross-sectional study was performed. A total of 210consecutive patients, referred to the echocardiography clinic over a five-month period, were recruited. Transthoracic echocardiography was evaluated by its indication, new information provided, correlation with referring doctor's diagnosis and subsequent management plan. Impact included the escalation and de-escalation in treatment, as well as usefulness without a change in management. Results: The results show that 84% of the patients' management was impacted by echocardiography. Valvular lesions were the main indication. The most frequent contribution was information provided towards the diagnosis of heart failure and assessment post-myocardial infarction. Fifty-six per cent of the echocardiograms confirming the referring doctor's diagnosis still had a significant impact. The rational prescription of medication had the major impetus, followed by de-escalation of therapy and screening patients for referral to tertiary facilities. Conclusion: Echocardiography has a positive impact on patient management outside tertiary settings, where the definition of impact appears to be different. The value of a normal study, screening prior to upstream referral and usefulness irrespective of change has been established. This should alert policy makers towards the risk of restricted access and promote training.
Toni, Gladys Nosisana. "Accelerated staff turnover among professional nurses at a district hospital." Thesis, Nelson Mandela Metropolitan University, 2007. http://hdl.handle.net/10948/620.
Повний текст джерелаLam, Wai-yee Wendy. "Abdominal wound infection after caesarean delivery in a district hospital." View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36887122.
Повний текст джерелаLam, Wai-yee Wendy, and 林慰儀. "Abdominal wound infection after caesarean delivery in a district hospital." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B39724335.
Повний текст джерелаGray, Zara. "Rituals of health : new healing spaces for Khayelitsha district hospital." Master's thesis, University of Cape Town, 2010. http://hdl.handle.net/11427/17127.
Повний текст джерелаGangai, Bharti. "Patient satisfaction with health services in a rural district hospital." University of the Western Cape, 2015. http://hdl.handle.net/11394/5216.
Повний текст джерелаBACKGROUND: The concept of consumer satisfaction is gaining momentum across all business sectors worldwide. In keeping with this trend, health care systems are now also being reviewed to assess patient satisfaction with regard to the quality of care provided. Patient satisfaction is an instrumental tool for identifying shortcomings and challenges of the health system, and provides patients with a constructive outlet to rate their hospital experience. AIM: To determine the perceived levels of patient satisfaction with health care services. METHODOLOGY: A descriptive cross-sectional study was conducted using patients who attended the Outpatients Department of Untunjambili Hospital in Kwa-Zulu Natal. A sample of 250 patients was selected using systematic random sampling. The research instrument, a structured questionnaire consisted of 23 questions which were subdivided into five categories, namely: biographical data; accessibility to the hospital; infrastructure; overall satisfaction and general comments. The 5-Point Likert Scale was used to determine the perceived levels of patient satisfaction. Data collected from the responses was analysed using the SPSS Programme, Version 22.0. A Significance level of (p=0.05) was applied. RESULTS: The response rate of the study was 99.2% (n=248).The majority of the respondents were female (75.4%) and aged between 20-30 years old. The relative ratio of males to females was approximately 1:3. Nearly half of the participants (48.4%) had a secondary education, and a high degree of illiteracy was noted (21.8%). The majority of patients relied on taxis as the mode of transport to reach the hospital (71.4%), with 55.2% having to pay more than R15.00 for travel costs. While statements relating to personality such as staff friendliness, and doctors treating patients respectfully scored highly (93.5%), more than two thirds reported dissatisfaction with the lengthy waiting times (71.8%). In terms of infrastructure, respondents were mainly satisfied with the seating arrangements, cleanliness and air circulation, but were unhappy with the state of the toilet facilities and the unavailability of drinking water. Overall, 90.3% of patients were satisfied with the level of care they received at Untunjambili Hospital, with 89.5% suggesting that they would recommend the institution to others.
Najjaar, Leilah. "Bed utilisation trends in selected wards across eight district hospitals in the Cape Town district." University of the Western Cape, 2018. http://hdl.handle.net/11394/6889.
Повний текст джерелаBackground: The largest focus areas for the department of health is ensuring access to quality healthcare. The district health system (DHS) model remains the vehicle used by the district managers to deliver on the health department’s goals, objectives and priority focus areas. Strengthening the district health system platform is therefore important to the department to improve access and quality of care to the clients serviced in the province. The district hospitals play a fundamental role since they support primary health care (PHC) and serve as the entry point to more specialised care. The efficient management of beds in the district hospitals is the key in ensuring access to care and preventing bed blocking. Bed Utilisation Rate (BUR) and Average Length of Stay (ALOS) are indicators used to measure the efficiency of hospital beds. This study provides a description of the trends in bed utilisation within the inpatient wards of eight district hospitals in the Cape Town metro district in the 2016-2017 financial period. Methodology: To analyse and compare wards a quantitative approach was used. Inpatient ward activity reports for eight district hospitals were accessed from the department of health’s routine data collection repository. A total of fifty-five wards were compared across small and large hospitals for BUR and ALOS during the financial year period 1 April 2016 to 31 March 2017. Data entry was done in MS EXCEL and analyses were done using STATA 11.0.
Ricketts, David John. "Reconfiguration and modernisation of a district general hospital clinical biochemistry service." Thesis, University of Portsmouth, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.516885.
Повний текст джерелаBerkley, James Alexander. "Invasive bacterial infections in children at a sub Saharan district hospital." Thesis, University of Newcastle upon Tyne, 2002. https://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.289202.
Повний текст джерелаBeutel, Bernhard. "Preventing venous thromboembolism at a district hospital : a quality improvement study." Thesis, Stellenbosch : Stellenbosch University, 2013. http://hdl.handle.net/10019.1/97180.
Повний текст джерелаENGLISH ABSTRACT: Background: Pulmonary embolism (PE) is the most common preventable cause of hospital deaths, and almost all hospitalised patients have at least one risk factor for venous thrombo-embolism (VTE). Despite the availability of highly effective thromboprophylaxis in prevent-ing VTE, numerous studies worldwide have demonstrated its under-utilization. The aim of this study was to review and improve the utilization of thromboprophylaxis in the prevention of VTE in hospitalized patients at Oudtshoorn district hospital. Method: A quality improvement cycle (QIC). Retrospective analysis of files of adult patients admitted to the male and female wards at Oudtshoorn district hospital was performed prior to and after a 5 month intervention phase. The target standards for the QIC were: 1) Availability of a written hospital policy on VTE prevention; 2) Every adult admission should have a for-mal VTE risk assessment documented; 3) Every adult admission who is at risk for VTE should receive thromboprophylaxis. Results: Thirty eight percent of adult patients admitted to Oudtshoorn hospital, excluding the maternity ward, were at risk of developing VTE. There was no written hospital policy on VTE prevention. This was developed and made available during the intervention. In the pre-intervention group there were no patients who had a documented VTE risk assessment. The post intervention group showed a considerable increase with 45.2% having had a completed VTE risk assessment on admission (p<0.00001). In the pre-intervention group only 4.6 per-cent of patients who were at risk of VTE received thromboprophylaxis. There was a statisti-cally significant difference in the number of patients at risk who received thromboprophylax-is in the post-intervention group where 36% of these patients received thromboprophylaxis (p<0.00001). Conclusions: The study identified a major shortcoming in the prevention of VTE in those patients at risk who were admitted to Oudtshoorn district hospital. An intervention as part of a quality improvement cycle has been able to demonstrate a significant improvement in the detection of patients who are at risk of VTE and a subsequent improvement in appropriate thromboprophylaxis. A number of barriers to their implementation have been identified and need to be addressed. This QIC may in time be of value to assist other district hospitals in addressing the issue of VTE prevention.
AFRIKAANSE OPSOMMING: No abstract available.
Botha, Janes. "Anatomy 101 : a Human Anatomy Centre at the Tshwane District Hospital." Diss., University of Pretoria, 2011. http://hdl.handle.net/2263/30017.
Повний текст джерелаDissertation (MInt(Prof))--University of Pretoria, 2011.
Architecture
unrestricted
Busolo, Mellanda Isia. "Motivation levels of tuberculosis healthcare staff at a district hospital in Kenya." Thesis, Nelson Mandela Metropolitan University, 2012. http://hdl.handle.net/10948/d1008292.
Повний текст джерелаMitra, Ritabrata. "Modern cardioversion strategies for acute atrial fibrillation in a district general hospital." Thesis, King's College London (University of London), 2004. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.419847.
Повний текст джерелаKoné, Insa [Verfasser]. "Costing of hospital services in rural sub-Saharan Africa - The case of Nouna district hospital, Burkina Faso / Insa Koné." Greifswald : Universitätsbibliothek Greifswald, 2011. http://d-nb.info/1012030253/34.
Повний текст джерелаAlagbe, A. O. "Quality improvement cycle in Opuwo district hospital HIV/AIDS clinic, Kunene region, Namibia." Thesis, Stellenbosch : University of Stellenbosch, 2015. http://hdl.handle.net/10019.1/97214.
Повний текст джерелаMills, Pamela Ruth. "Hospital electronic prescribing and medicines administration system implementation into a district general hospital : a mixed method evaluation of discharge communication." Thesis, Robert Gordon University, 2016. http://hdl.handle.net/10059/1581.
Повний текст джерелаIslam, Farzana. "Quality Improvement System for Maternal and Newborn Health Care Services at District and Sub-district Hospitals in Bangladesh." Doctoral thesis, Örebro universitet, Institutionen för hälsovetenskaper, 2016. http://urn.kb.se/resolve?urn=urn:nbn:se:oru:diva-48416.
Повний текст джерелаSagahutu and Jean Baptiste. "Use of the International Classification of Functioning Disability and Health (ICF) as a theoretical framework to inform interprofessional assessment and management by health care professionals in Rwanda.: a cluster randomised control trial." Thesis, University of Cape Town, 2018. http://hdl.handle.net/11427/28379.
Повний текст джерелаAlves, Juliana Araújo. "Do hospital ao bairro: desativação do “hospital-colônia” e criação do bairro Colônia Antônio Aleixo em Manaus - AM." Universidade Federal do Amazonas, 2011. http://tede.ufam.edu.br/handle/tede/3986.
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Outras
The pages that follow deal with originating a neighborhood of closing of the "Hospital-Colônia" Antônio Aleixo, located in the eastern city of Manaus. For years the neighborhood was stigmatized because of the disease known by the term Hansen biased - leprosy. What confirms the geographical breakdown of the neighborhood, about 15 km away from the city center of Manaus. Its initial activities refer to the 1940s, when inmates are transferred gradually Colônia Belizário Penna in Paricatuba. And it ended officially in 1978 when the hospital is shut down and the colony becomes district of Manaus, and declared open to free movement. Understanding this moment of transition from the hospital district, and the spatiality of everyday space was the goal of this dissertation. The research that led to the text portion of people's lives, understanding that they construct and reproduce their lives, even if restricted to the confines of a hospital. The dissertation is divided into three chapters and, consequently, each is divided into three subchapters. The triad is not random. We start with the understanding that there is a questioning, a statement and, again, another question. First, treat the neighborhood as it is constituted today. In the second chapter deal with the pertinent subjects with leprosy, the special pension, compensation for separated children and so on. The last chapter deals with the past of the neighborhood. Far from conclusive research to finish, this dissertation, she introduced us to new questions. The research that gave rise to dissertation was supported by CNPq (Process 556870/2009-3) for the project "From space the disease to living space".
As páginas que seguem tratam de um bairro originário do encerramento das atividades do “Hospital-Colônia” Antônio Aleixo, situado na zona Leste da cidade de Manaus. Durante anos o bairro foi estigmatizado, em virtude, da hanseníase doença conhecida pelo termo preconceituoso - lepra. O que corroborou para a desintegração geográfica do bairro, afastado cerca de 15 km do centro urbano de Manaus. Suas atividades iniciais remetem a década de 1940, quando paulatinamente são transferidos os internos da Colônia Belizário Penna, em Paricatuba. E se encerraram, oficialmente, em 1978 quando o Hospital é desativado e a Colônia torna-se bairro de Manaus, declarada aberta e de livre circulação. Compreender esse momento de passagem de Hospital a bairro, a espacialidade e o cotidiano desse espaço foi o objetivo da presente dissertação. A pesquisa que originou o texto parte da vida das pessoas, entendendo que elas constroem e reproduzem suas vidas, ainda que restringidas aos limites de um Hospital. A dissertação está dividida em três capítulos e, conseqüentemente, cada um deles é dividido em três subcapítulos. A tríade não é ao acaso. Partimos do entendimento de que há um questionamento, uma afirmação e, novamente, outro questionamento. Primeiramente, tratamos do bairro tal como ele é constituído hoje. No segundo capítulo tratamos de termas pertinentes aos portadores de hanseníase, a pensão especial, a indenização aos filhos separados e etc. O ultimo capítulo trata do passado do bairro. Longe das pesquisas conclusivas ao terminarmos, a presente dissertação, ela já nos apresentou novos questionamentos. A pesquisa que deu origem a dissertação foi financiada pelo CNPq (Processo 556870/2009-3) pelo projeto “Do espaço da doença ao espaço da moradia”.
Ajeneye, Francis O. "Implementation and evaluation of a blood products traceability procedure in a District General Hospital." Thesis, University of Portsmouth, 2012. https://researchportal.port.ac.uk/portal/en/theses/implementation-and-evaluation-of-a-blood-products-traceability-procedure-in-a-district-general-hospital(a3600275-41f8-4423-8dee-f45dea532c56).html.
Повний текст джерелаMwafulirwa, Boss. "Women's experiences of amenorrhea following Depo-Provera use at a district hospital in Malawi." University of the Western Cape, 2016. http://hdl.handle.net/11394/5250.
Повний текст джерелаDepo-Provera, an injectable contraceptive, is utilized by about 30% of married women in Malawi. Most women have reported their preference to use Depo-Provera due to its effectiveness in preventing pregnancy, reversibility and easy to use since it is given once at 12-weeks intervals. Despite the method having such advantages, it has menstrual effects, and one of the major concerns for women, particularly in Africa, is amenorrhea. In Malawi, 40% of Depo-Provera users report experiencing amenorrhea after one year of use. Despite the concern for amenorrhea, some women have continued using the method. Literature shows that there is limited information on women's experiences of amenorrhea following use of Depo-Provera. A descriptive phenomenological research design was used to explore and describe women’s experiences of amenorrhea following use of Depo-Provera in order to understand how women experience amenorrhea and give meaning to the experience. Data were collected through in-depth unstructured interviews with six women, who were selected using purposive sampling. The interviews were conducted in Tumbuka language. Data analysis was done using Colaizzi’s method of analyzing descriptive phenomenological data. Five themes and some sub-themes emerged from data analysis. The themes were: "Lack of knowledge on cause of amenorrhea", "Fear of pregnancy", "Misconceptions associated with Depo-Provera Induced Amenorrhea", "Lack of proper counseling on amenorrhea resulting from Depo-Provera use" and "Amenorrhea not perceived as a problem when midwives provide adequate information". The themes showed that women accessing family planning services from Chitipa district hospital were not provided with information on amenorrhea resulting from using Depo- Provera. Hence, they expressed fear when they experienced the side effect. Participants stated that they were afraid of becoming infertile after using the family planning method, getting pregnant as well as amenorrhea itself. Their intention to discontinue using the method was largely associated with negative rumors, beliefs and misconceptions. The conclusion of the study is that there is need for midwives to provide information on amenorrhea resulting from Depo-Provera use. This will assist clients to understand that amenorrhea could occur as a side effect, and hence improve continued utilization of the method.
Shiviti, Mamere P. "Work related stress amongst nurse managers in a rural district hospital in Limpopo Province." Diss., University of Pretoria, 2020. http://hdl.handle.net/2263/75176.
Повний текст джерелаDissertation (MNurs Nursing Management)--University of Pretoria, 2020.
Nursing Science
MNurs (Nursing Management)
Unrestricted
Chimatira, Raymond. "Challenges, barriers and opportunities in integrating TB/HIV services in Tsandi District Hospital, Namibia." Thesis, University of Western Cape, 2012. http://hdl.handle.net/11394/3308.
Повний текст джерелаBACKGROUND: Namibia has generalised Human Immunodeficiency Virus (HIV) and tuberculosis (TB) epidemics. In response to the TB/HIV co-epidemics in Namibia, the Ministry of Health and Social Services approved a policy of TB/HIV collaborative activities at national level and the integration of TB/HIV services at the point of service delivery. The present study explored barriers and facilitators of integration of TB and HIV service delivery in Tsandi District Hospital, which lies in rural northern Namibia. It focused on understanding the perspectives of healthcare workers and service users on integration of TB and HIV services at the health facility. AIMS & OBJECTIVES: The study aimed to describe the barriers, facilitators, and opportunities of integrated TB/HIV service delivery in Tsandi District Hospital. The specific objectives were: to describe the staffing and support systems in place for the integration of TB/HIV care; to describe the perceptions and experiences of integrated TB/HIV care by the health care workers, management and co-infected clients; and to describe the factors that facilitate or hinder the integration of TB/HIV services in the district from the point of view of district hospital managers, health care workers and co-infected clients. METHODS: The study used a descriptive qualitative study design with semistructured key-informant interviews conducted with five healthcare managers and senior clinicians and focus group discussions with 14 healthcare workers and five TB/HIV co-infected patients, supplemented by non-participant observation in Tsandi district hospital over two weeks between May – June 2011. Sessions were audiorecorded, transcribed, and thematically analysed. RESULTS: Several factors influenced whether and to what degree Tsandi district hospital was able to achieve integration of TB and HIV services. These are: (1) model of care and nature of referral links; (2) the availability and use of human resources and workspace; (3) the system of rotating staff among departments in the hospital; (4) the supply and mode of providing medicines to patients; (5) information systems, recording and reporting arrangements; (6) and the amount of follow-up and supervision of the integrated services. The main suggested barrier factors are: (1) poor communication and weak referrals links between services; (2) inadequate infrastructure to encourage and deliver TB and HIV care; (3) staff shortages and high workload; (4) lack of training and skills among healthcare workers; (5) financial constraints and other socioeconomic challenges; and (6) fragmented recording and reporting systems with limited data use to improve service delivery. The four main facilitating factors are: (1) positive staff attitudes towards TB/HIV integration; (2) common pool of staff managing different programmes; (3) joint planning and review of TB and HIV activities at the ARV Committee; and (4) informal task sharing to alleviate healthcare worker shortages. CONCLUSIONS: This study recommends that the district build on the current facilitators of integration, while the inhibitors should be worked on in order to improve the delivery of TB/HIV services in the district. Simple and practical recommendations have been made to address the some of the barriers at district level. It is hoped that these will inform future planning and review of the current model of care by the District nagement Team.
Linzamo, Freddy Moba. "The Causes of non-compliance to tuberculosis treatment in patients at Matlala District Hospital." Thesis, University of Limpopo (Medunsa Campus), 2011. http://hdl.handle.net/10386/876.
Повний текст джерелаMatsie, Manako Alice Tsoana. "The impact of motivation on employee performance at level one district hospitals, with special reference to Metsimaholo District Hospital in Sasolburg / M.A.T. Matsie." Thesis, North-West University, 2008. http://hdl.handle.net/10394/2525.
Повний текст джерелаThesis (M.B.A.)--North-West University, Vaal Triangle Campus, 2009.
Reachable, Johannes. "Caesarean sections in Abraham Esau District Hospital." Thesis, 2011. http://hdl.handle.net/10539/10843.
Повний текст джерелаNzaumvila, Doudou kunda. "Analysis of glass injuries in a district hospital." Thesis, 2016. http://hdl.handle.net/10539/21177.
Повний текст джерелаBackground and aim The Emergency Department (ED) of Embhuleni Hospital is used to see patients with glass-related injuries on a regular basis. This study aimed to compile and analyse data on glass injuries presenting to the ED of Embhuleni Hospital. Objectives The objectives of the study were to describe the demographic profile of patients presenting to the ED of Embhuleni Hospital with glass injuries, to determine the type of glass causing these injuries, to describe the characteristics of the injuries resulting from glass, to identify and describe the circumstances associated with different types of glass injuries, and to determine the social impact of glass injuries. Methods: This study was a prospective descriptive study. From the 1st of February 2013 to the 31st July 2013, the sample size that was used consisted of 104 participants. Descriptive statistics were used to assess the characteristics of the glass injuries. Results: Five different types of glass were reported as the causes of injuries, namely car glass (7.69 %), glass ampoules (3.85 %), glass bottles (82.69%), glass windows (3.85%) and street glass shards (1.92%). Glass bottle injuries were mainly caused by assaults (90.47 %), and the victims were mostly young males (80.23 %). The assaults occurred on alcohol-licenced premises in 65.11% of the cases. These injuries happened mostly over weekends (83.72 %) between 18:00 hours and 4:00 hours. The face (34.23 %) and the scalp (26.84 %) were the most affected body parts. Conclusion: Assault was the leading cause of glass injuries, especially on alcohol-licensed premises. Glass injuries generally resulted in minor lacerations with very few complications (2.68%). Key words: glass injury, district hospital.
MT2016
Chi, Tony Wing-Cheong, and 池永昌. "Strategic Choice for The Hospital Governance Mode of Taiwan-based Private District Hospital." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/11049509656774979193.
Повний текст джерела國立臺灣大學
會計學研究所
92
The trend of the development of Taiwan healthcare industry is following the change of managed care system. Since the National Health Insurance (NHI) has dominantly controlled the redistribution of the healthcare resource, the reimbursement for hospitals is getting more inadequate than before. The referring system of NHI is failure so that the traditional pyramid form of healthcare network has been dissociated. The medical centers at the top level are getting bigger and bigger. They are not only doing the R&D and intensive care but also the primary care that is originally belonging to the district hospitals’ duty. According to the new global budget policy of NHI, the yearly growth rate of the health care system is limited within 4%. It is such a business crisis that the district hospitals at the middle level of the system have to deal with. Several steps have been done by hospitals for the changing of the external environment. Internally, the hospitals pay more attention to cost control, administrative management and flexibility, continue quality improvement, competitive advantage, medical informatics, and the segment of non-insurance payment services. Externally, they are looking for horizontal and/or vertical integrations, strategic alliances and portfolio investments. Take it for granted; the resource of the private district hospitals is in short supply. The strategic revolution of hospital management is going on and on. Systems or networks are being formed continually in Taiwan. We would like to know if any strategic choice for governance mode of Taiwan-based private district hospitals could create a sustainable ability of trans-regional extension of the healthcare enterprise, even entering the healthcare market of Mainland China. Three private district hospitals in Taoyuan County have been chosen purposely as materials in this case study. Deep interviews have been arranged to the top manager in each hospital. Through the interviews, the strategic choices, drivers and governance modes have been detected. The results of the observation are explained and analyzed with the review literatures. All of those hospitals have different strategic choices and governance modes. The hospital, which has a strategic alliance with a medical center, totally reserves its unified ownership and independent organization. The driver for change is induced by shortages of skills. The character of this kind of strategic alliance is in short term and conservative contracting. The other hospital emphasizes value added. Using the concept of centralization, it wants to integrate the resource within its system. The driver for change is induced by quality improvement. It is classified as a system with unified ownership. The last hospital follows the financial leadership. The driver for change is induced by cost containment. Its healthcare network of strategic alliance has been spreading around the whole country rapidly. Each unit preserves the ownership of its hospital. In the other words, the ownership of this kind of network is not unified but hybrid. They share the competitive advantage from cost down as well as the efficiency of professional or non-professional processing. Recently, This hospital is the first successful mover of Taiwan based hospitals extending its network to Mainland China. A suitable governance mode is probably one of the key factors of Taiwan-based private district hospitals not only the growing ability of system/network business locally but also the transnational healthcare business in Mainland China.
Huang, Ching-Yuan, and 黃清淵. "A Case Study on Total Outsourcing of Hospital Information System in District Hospital." Thesis, 2003. http://ndltd.ncl.edu.tw/handle/5v4fbq.
Повний текст джерела中原大學
資訊管理研究所
91
Since we bring national health insurance into practice,health environment changes, technology apply widely, and hospitals compete more violently. Therefore, it make hospitals gradually notice the importance of applying technology to improve the competitiveness itself. The advanced and adaptive health information system can reduce the health resource cost, improve the service efficiency、medical quality and enhance hospital management efficiency. Cause the internet age coming, information explode rapidly, it totally subvert the operation style and characteristic of hospital and gradually change the old point-of-view that seller's market is indissoluble. All the hospitals right now are customer service-oriented and more emphasize on customer satisfaction. Therefore, besides to fulfill the customer's need on health service, CRM and hospital management will become the competitive advantage in the future's health market. Generally, there are four ways to maintain the information system of district hospital. One is to develop and maintain by hospital itself. It need to hire two to five mis employee;Other is to buy the software developed by vendors and maintain by hospital or vendors;Other is "Selective Outsourcing", it delegate some part of information system or deploy stage to the professional vendor;Other is "Total Outsourcing", the percentage of IT Outsourcing is up to 80%[Lacity and Hirschheim(1995)]. Because district hospital consider labor cost and the limit resource of IS personnel, most of information system are delegated and maintained by vendors to reach the best service quality and hospital management effect. These days, few hospital carry out the total outsourcing, therefore this study use case study and analyze district hospitals that have already bring total outsourcing into practice to collect the information. This Study found that: (1)When the district hospital implement total outsourcing, it won't level down the information quality. (2)It can cut the cost down. (3)The hospital need not to worry about the risk that vendor will make. (4)When it comes to cost, there are a big gap between the hospital and vendor. (5)It is very difficult for the district hospital to implement total outsourcing. (6)After total outsourcing, there are some difficulty to retain the original MIS employee. In spite of that, When hospital make IT Outsourcing decision and cost is a important factor ,we hope our research result can be a good reference. Key Word: District Hospital, Total Outsourcing, Case Study
Phala, Makeku Stella. "Assessment of medical equipment in the maternity unit at a district hospital of the greater Tubatse sub-district." Thesis, 2014.
Знайти повний текст джерелаMecklenburg Hospital provides a comprehensive package of promotive, preventive, curative and rehabilitative reproductive health services for women which are not available in primary health care clinics and community health centres. These services require special equipment (such as cardiotochograph machine) and personnel (such as medical doctors) that are not available in these health facilities. The availability of medical equipment is one of the crucial components of effective maternal health services. Specific life saving medical equipment must be available for routine and emergency management of maternal and neonatal complications. This study is undertaken since no formal study has been done to systematically study the availability and related cost of medical equipment in a district Hospital maternity ward.
Mboweni, Agrey Ernest. "Referral pattern for maternity patients in the Nkhensani district hospital in Giyani sub-district." Thesis, 2012.
Знайти повний текст джерелаBackground: Nkhensani Hospital is a level 1 district hospital which provides comprehensive and integrated health care for the Giyani sub–district population, which is estimated to be 270 000. The major services provided are casualty, medicine, paediatrics, maternity and surgery. The hospital is experiencing challenges in the maternity ward which is admitting more patients than the 47 allocated beds. Monthly, an average of 400 women are admitted for delivery from clinics. The causes are suspected to be due to a number of different factors like shortage of staff at the clinics, poor referral system, poor services at clinics and health centres, poor facilities, and pregnant woman not attending antenatal care and bypassing lower levels of care. Aim: To describe the pattern and appropriateness of referrals in patients attending the maternity ward at the Nkhensani Hospital. Methodology: A retrospective study was used to review and asses the patient records for the study (January to December 2009). Information was obtained from the Hospital Information System and secondary data from patients records will be used to assess the referral pattern in Nkhensani Hospital’s maternity ward. Results: The data showed that the patients admitted had a mean age of 26 years, with a range from 15 to 45 years. Patients were admitted for various reasons, which when categorised were found to have 57% of inappropriate referrals. Similarly 68% of referrals were found to have low risk pregnancies. About 85% of the deliveries were normal vaginal deliveries. Of the patients who attended the facility, 57% were referred from clinics, 19% from community health centres, 1% from general practitioners and 23% as self referrals. The source of referral was not found to be v associated with appropriate reasons for delivery, risk category, length of stay or mode of delivery. Conclusion: The research showed that the referral pattern in the maternity ward from clinics and health centres as well as self referrals indicated that policies were not being adhered to, which led to an over utilisation of the maternity ward in Nkhensani Hospital under Giyani sub-district
Yeh, Po-Hsien, and 葉柏顯. "Hospital Pharmacy Drug Label and Patient Perspective- Taking examples for District Hospital in Taiwan." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/49455137435540678907.
Повний текст джерела雲林科技大學
資訊管理系碩士班
97
Drug Labels on the return home after medical treatment is the most common medication guide,the current requirements of the Department of Health Drug Labels for major hospitals, must be 13 kinds of necessary marked with three kinds of proposals marked,the reference to domestic integrate the views of outside experts.Looking at other countries, there is no uniform standard Drug Labels notice,this article attempts to pharmacists by Pharmacy Department and Information Management''s point of view,the statutory notice and the information point of view self-disclosure to explore Drug Labels marked and patients the quality and quantity of knowledge,trust and the relationship between drug behavior and structural approach to empirical formula.To explore the 13+3 drug labels kinds of information while at the same time trying to model theoretical framework to verify the side effects of treatment with the patient behavior. Department of Health in May 8, 2002, executive order on the request must be marked drug labels and 13 marked three proposed projects,duo to increase drug safety.But people''s awareness drug labels and scholars to explore much of the literature.The Legislative Yuan on April 21, 2009, the Third Reading of law and medical law doctors amendment to require the delivery of public medical institutions Drugs should be marked and must be marked 13 marked three proposed projects. After amending the law regardless of the hospitals, clinics, traditional Chinese medicine or community pharmacies should comply with the law,After this time repairs the law, no matter the hospital, the clinic, the Chinese medicine or the community pharmacy should observe legally, violates heavily may impose 100,000 Yuan fines. When medicine bag announcement, as soon as populace''s cognition viewpoint''s discussion is worth searching. The empirical study of the Department of Medicine for the district hospital from the main population.This research uses the pharmacist questionnaire survey, the grand total sends out 300 questionnaire personally, recycling questionnaire altogether 252, the effective questionnaire produced a final response rate of 84%.After using structural equation model(SEM) to analyze returned questionnaires,the results show fine goodness of fit in measuring model and structure model.In addtion ,7 hypotheses are supported in p-value<0.05.the full support.The results showed that the public notice for drug labels information, medication safety awareness, treatment behavior, health beliefs and inseparable relationship between drug labels. In addition, the research discovered that the side effect the indication indeed will cause the populace regarding to seek medical help the behavior, the healthy faith change, this regarding will obey the doctor''s advice behavior also to have the influence. In conclusion,By way of this survey result, may learn that drug labels and the medication safety cognition the populace, and the confirmation side effect indication the influence which applies drugs to the populace,and the confirmation side effect indication the influence which applies drugs to the populace, and will provide in the future the drug labels revision direction. In addition when also provides each big hospital medicament department, the revision drug labels indication item, provides the ponder the direction.
Lin, Thin-Yen, and 林信延. "The administrations of hospital on the treatments of physicians – A study of district hospital." Thesis, 2011. http://ndltd.ncl.edu.tw/handle/76638578723081551527.
Повний текст джерела義守大學
管理學院管理碩士在職專班
99
In order to control the medical cost, Bureau of National Health Insurance had reformed its payment system for several times. The cost of drug has some problems with setting drug price. For reducing drug cost, Bureau of National Health insurance has implemented the routine drug price surveys and reformed its drug payment system. For these reasons, the Hospital’s cost-control measures are more exacting. In order to control the rising drug cost, the Hospital connects the drug cost with paying physicians salary and bonus. In this study, we used case study to explore whether the administration of NHI and hospital affect the treatment of physicians to their patients. The outpatient’s drug cost percentage is 22.51%. The hospitalization’s drug cost percentage is 6.57%. Departments of service, years of service, and management staff of physicians significantly affected the drug cost (p<0.0001). According to analyze the claims data from October 2008 to June 2010 of the case district hospital, the treatment of physicians was influenced by Bureau of National Health Insurance payment system and the administration of hospital. All physicians were submitted the administration of hospital, but not sustained. Reducing drug cost per patient was the main way by physicians to cut down the drug cost. Physicians reduced more drug cost in outpatient services than in inpatient services, because the outpatient’s drug cost occupied the higher percentage(84.16%)in total drug cost. Senior physicians more submitted the policy of hospital than other physicians did. When physicians reduced drug cost, it accompanied with rising examination cost. Using financial way to control the treatments of physicians to cut down drug cost was effective at the beginning, but it could not sustain for a long time.
Ramodise, Kgaugelo Betrets. "An analysis of theatre utilization at Sekororo District Hospital." Thesis, 2014.
Знайти повний текст джерелаBACKGROUND – District hospitals provides level of care services that are part of the basic service package for district hospitals. Services applicable to district hospitals’ operating theatres include performance of elective and emergency surgical procedures. A study was conducted at Sekororo district hospital to evaluate the functioning of the operating theatre system. AIM: To describe the profile of patients, theatre down time and theatre throughput efficiencies at the district hospital for the period 1 April 2009 – 31 March 2011. METHODOLOGY: This was a cross sectional study based on a retrospective record review. The study setting was Sekororo District Hospital Operating Theatre. The population included records of all operations performed in the theatre during the study period. Theatre utilization was calculated as well as patient throughput to assess the internal operational efficiencies. The throughput of elective and emergency cases were compared. RESULTS: A total of 702 cases were performed during the study period. The majority of cases performed in the operating theatre were maternity cases (caesarean sections). Maternity cases accounted for 602 cases. The most common indication for caesarean sections (CS) is Cephalo-pelvic Disproportion (CPD) (49.2%). For the maternity cases, the majority were emergency cases (84.33%), and 15.67% elective cases. Theatre utilization for this period was 3% (3.6% for 2009/10 and 3.2% for 2010/11). There was a statistically significant difference (p<0.01) between the average throughput for emergency and elective cases – 25 minutes for emergency cases (confidence interval 20-35 minutes) versus 62.5 minutes for elective cases (confidence interval 38.75 – 78.75 minutes). CONCLUSION: The theatre utilization rate is extremely low for this study period. Patient throughput is much more efficient for emergency cases. Further studies are required to determine resource allocation to the operating theatre that resulted in the low theatre utilization.
Chien, Sheng-Che, and 簡聖哲. "The Study of Transformation Strategy in the District Hospital." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/30867554356368521178.
Повний текст джерела國立臺灣大學
醫療機構管理研究所
97
In Taiwan, the medical system was insufficient resources before 1980. The local community hospitals had the most important function that was the front line to help patients in the remote districts. The National Health Insurance (NHI) was established in 1995. In addition, a management-determined system of global budgeting and expenditure limits was beginning in 2002. At the same time more hospitals were established and existing hospitals were expanded their services were. With the advent of NHI, many corporations are interested opportunity in this industry, because the insurance and payment system would be standardization. However, this situation cause a lot of hospitals wants to share this market. The medical industry became very competitive in Taiwan. The hospital income has 95% from the insured of NHI. Because of the density of hospitals vying for the aggregate of payment dollars, the amount a given hospital sees is less each year. In fact, some smaller hospitals are becoming insolvent as a result of this constriction. There were over 750 local hospitals before 1989 in Taiwan, but there were only 300 remaining in 2007. Smaller hospitals are recognizing this serious problem and try to think about the transformation strategy in the hospital. The study uses method of Qualitative Research which examines the successful structures of current local hospitals. The causes of their success include Strategic Alliances, Outsourcing services, Diversification, Deductibles, Community Hospitals, Specialized Hospitals and Medical Corporate Aggregates. These 7 structures were analyzed and infer that strategies for hospital transformation. The study uses the method of SWOT analysis, particularly strengths and opportunities. Also, it has determined 10 strategies for smaller hospitals that want to transform their status or financial solvency. Finally, this study will provide some suggestions to help hospital improvement and transformation of strategy.
Chen, Wei-Chih, and 陳威志. "The Analysis of Healthcare Intellectual Capital--District Hospital Perspective." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/kr24wm.
Повний текст джерела靜宜大學
管理碩士在職專班
97
The Analysis of Healthcare Intellectual Capital--District Hospital Perspective Abstract This research was focused on a single district hospital to find out the concept, categories, content, relative importance of intellectual capital (IC) of a hospital, and to explore the difference between the importance and the possession level of healthcare intellectual capital. By analyzing the issue of healthcare intellectual capital, the hospital may develop a set of indicators to measure the level of hospital intellectual capital, and to establish an IC management system in a district hospital. Based on the established system, the hospital could control and accumulate the information of its intellectual capital, and adopt the hospital''s strategies to enhance its competitiveness for long-term value creation. Firstly, by conducting the in-depth interview and questionnaire survey on the experienced employees, this empirical research aimed at identifying perspectives and relative importance of all elements of the hospital intellectual capital. Secondly, through the questionnaires answered by the employees, this study tried to find out the importance and the possession level of hospital intellectual capital. Finally, the factor analysis, paired T-test, Pearson correlation coefficient analysis were used to analyze the data to find out the intellectual capital perspectives, furthermor, to analyze the difference between the importance and the possession level of the hospital''s intellectual capital. According to the literature review and in-depth interview with experienced employees, the intellectual capital of district hospital could be categorized into six dimensions: human capital, process capital, innovative capital, marketing and reputation capital, customer capital, and relational capital. Based on the results from 122 respondents, twenty-four elements of intellectual capital were extracted from factor analysis and eighty-one items of key elements of intellectual capital in the district hospital were constructed. The results of this study showed that the most important IC category in district hospital was customer capital, and the other categories were in the following order: human capital, innovative capital, marketing and reputation capital, process capital, and relational capital. The results of IC possession level showed that district hospital had relatively high level of human capital and relatively low level of innovative capital. This might be due to the fact that the employees were lack of strong desire for aggressive innovation and constant improvement; therefore, the improvement of the hospital, the management of the hospital as well as the future development of the district hospital were hindered. This empirical study showed that there was difference between the importance and the possession level of all the categories and elements of intellectual capital. That means the possession level didn''t meet the required standard, demonstrating that there is still huge space for improving the staff quality, education and training system, management process, innovative medical technique, information technology, media marketing, relationship with customers, and expansion of source of new customers as well as the social network. In the era of knowledge-based economy, the district hospital should establish its intellectual capital management system, accumulate its unique intellectual capital, and effectively combine the practice with the hospital management. Eventually, hospital could strengthen its long-term competitiveness, prove its vitality, and gain new opportunity under the current harsh medical environment.
Wang, Sheng-Hung, and 王勝弘. "The Study of Hospital fire contingency plan study- Taking Xinzhuang District Hospital as an Example." Thesis, 2014. http://ndltd.ncl.edu.tw/handle/rukxhr.
Повний текст джерела中華科技大學
土木防災工程研究所在職專班
102
The purpose of this report is to address the need for continued improvement in hospital fire plans, evacuation and training. Hospitals are among the most difficult and challenging facilities for fire fighters to perform their duties. Often tight spaces, crowding and equipment scattered throughout the halls further complicate the safe evacuation of the sick and injured. Special needs patients often need to be transported along with equipment and require nonobstructed pathways. The complexity of these tasks in addition to fighting the fire or disaster require in depth planning, organizing and training of both fire fighters and hospital staff. Hospital fires have such a high potential for loss of life that having the best possible evacuation plan should be high priority. Each hospital staff member should know exactly what their responsibilities are in the event of a disaster and be trained to do it effectively. They should also be trained to recognize potential fire hazards and preventive techniques. A clear order of priorities should be documented and known by responsible staff members. Firefighters should know in advance what resources and equipment is already available at the hospital and how to provide the best support in evacuations with the least amount of casualties. I propose we use the new Taipei Shin Zhuang Hospital as the object of study. To simulate a model for hospital fire and evacuation plans. Teach firefighters to be more effective in rescue and evacuation, as well as controlling and eliminating hazards in less time. This research combined with literature reviews, interviews, computer simulations will be analyzed to formulate comprehensive planning, improvements in procedures, equipment, training and preparedness. Hopefully the information will benfit many hospitals, firefighters and result in the saving of many lives.
林美惠. "Study of District Hospital service quality and satisfaction-- In case of Pingtung Yu-Sheng Hospital." Thesis, 2002. http://ndltd.ncl.edu.tw/handle/98810654566796235875.
Повний текст джерела義守大學
管理科學研究所
90
Abstract Medical care has become more accessible since the implementation of the National Health Insurance in 1995. Medical costs have increased because of this development. With the rapid changes in society and improved public health standards, the way we look at diseases is very different from the past. As people become better educated and more aware of their needs, patients will seek health care actively instead of just passively accepting treatment, intensifying competition between clinics. Because of this, the quality of health care and customer satisfaction has become important considerations for the management of hospitals. This study is based on the quality of service and patient satisfaction of Yu-Shang hospital in order to further understand the relationship between patients and clinics. This study integrates Non-difference and SERVPERF service quality graph as the study tool. Patients of Yu-Shang hospital were asked to fill out a questionnaire comparing the importance the tangibles, reliability, responsiveness, assurance, and empathy. A comparison between their expectations and their actual feelings about the hospital was also drawn. This was done to get a general feel of the patients’ overall appraisal of the clinic, their willingness to come back, and whether or not they would recommend treatment at Yu-Shang hospital to their relatives. Results: 1.With regard to Yu-Shang hospital’s quality of health care, most patients rated it as fairly satisfactory. Perhaps this is an area that could use more attention. 2.Patients from different backgrounds showed different results in comparison between expectations and actual feelings when asked about the quality of health care provided by Yu-Shang hospital. It is suggested that measures be taken to improve on the areas deemed unsatisfactory by the patients in order to maintain competitiveness.
Msiza, Lydia Lebohang Perseverance. "Clinical procedures in the maternity unit of a district hospital." Thesis, 2015. http://hdl.handle.net/10539/17337.
Повний текст джерелаBACKGROUND: The World Health Organization (WHO) has acknowledged the importance of maternal care and listed it as part of its Millennium Development Goals (MDGs). The 5th goal is focused on improving maternal health by reducing the maternal mortality rate by 75% by 2015. South Africa has aligned itself with the MDGs. The Gauteng Department of Health and Social Development has also embraced the MDGs and decided to improve its maternal health services. It has decided to target Intra-partum period for interventions to improve maternal health because intra-partum period is associated with a high rate of perinatal death from intra-partum hypoxia (4.8 per 1000 births) (National Department of Health, 2000), as well as a significant number of maternal death (8.7%) (NCCEMD, 2007). This study was planned to systematically study the clinical procedure performed during the intra-partum period at the Heidelberg Hospital (a semi - rural district hospital in the Lesedi Sub – district of Sedibeng District in Gauteng Province). AIM: To describe the clinical procedures and factors related to these procedures and maternal and neonatal health outcomes for the mothers admitted and delivered in the Maternity unit at Heidelberg hospital during one year period (1st April 2010 to 31st March 2011) METHODOLOGY: The setting of this study was the Maternity unit of the Heidelberg Hospital. A cross sectional study design was used based on retrospective review of routinely collected data for 12 months (2010 April 1st to 2011 March 31st). No intervention was done as a part of this study. The study variables included different clinical procedures (such as normal vaginal delivery, assisted vaginal delivery, caesarean section, evacuation of uterus, caesarean hysterectomy), socio-demographic profile of patients (such as age, gender, ethnicity, medical aid), clinical profile (such antenatal diseases, booking status, intra-partum complications, postpartum complications) and maternal and perinatal outcomes. RESULTS: The study found highest number of deliveries (78.6%) were normal vertex deliveries and a very few (1%) assisted and breech deliveries. The caesarean section rate was high (20.4%) as compared to the normal national target (12, 5%). Fetal distress and CPD was the main indications for caesarean section. The majority of women who delivered at Heidelberg Hospital maternity came from poor socio-economic class, mostly single, teenagers, and unemployed. They were the most vulnerable group in the Society. The majority of women were booked and referred from PHC clinic where they were booked for antenatal check-up. Pregnancy induced hypertension was the commonest obstetric problem encountered during antenatal period. Most women who delivered at Heidelberg hospital during the period were discharged without complications, no maternal deaths were reported. There were 8.1% preterm deliveries but a relatively high still birth rate which is of concern. CONCLUSION: The study was the first of its kind to be done at Heidelberg Hospital and the Sedibeng Health District. The study systematically analysed routinely collected data and identified high risk patients, who would require special attention. This study would hopefully assist the Hospital Management to realise the high rate of CS and to develop appropriate measures to reduce unnecessary C/S being done, and to strengthen referral systems. In addition, further study is necessary at clinic level in the sub-district to identify work-loads in the feeder clinics.
Lu, Nan-Han, and 呂南翰. "Research of Marketing Strategy Management in a Military District Hospital." Thesis, 2007. http://ndltd.ncl.edu.tw/handle/7r95ba.
Повний текст джерела國立中山大學
高階經營碩士班
95
The main responsibility of the medical institution is to provide medical services that meet patients’ needs as well as create health value in a patient’s life. Hospital marketing, a type of service marketing promoting intangible products, is a way of utilizing medical service marketing to provide patients with more efficient medical service. Since the implementation of National Health Insurance, Taiwan’s medical system has experienced an increased of enterprization in hospital management, the implementation of a global budget payment system, the financial crisis and the impact of rising medical right demanded by the Taiwanese. The military district hospitals that are responsible for maintaining the combat power of the military staff also pay an important role in the National Health Insurance medical system. While confronting the change in the competitive environment and the transformation of the entire medical ecology, military district hospitals should take a step further to adjust and develop a new marketing strategy. The research method of this paper adapts a case study based on information from a military district hospital located in southern Taiwan. The discussion focuses on the changes in current medical ecology and the competitive advantages of the subject hospital. Diamond Theory by Michael Porter and SWOT analysis are used to evaluate the strengths and weakness in and outside of the hospital, determine the trend choice for the hospital’s new positioning, and define the right strategy to target to its market segment. All of these are based on the concept of national defense. The paper will also take into consideration the subject hospital’s special features and competitive advantages, and build an 8P marketing model centering on patients in order to formulate the best combination of marketing strategies for the subject hospital. The paper has three conclusions, first of all, recognize the competitive advantages and the opportunities of the subject hospital; second, assert the new positioning of the transformed medical service; finally, establish a patient-oriented marketing strategy. In addition, this paper also suggests the best marketing strategy combination by applying innovative and pragmatic managerial thinking in order to give the military hospital a brand new image.
Wang, David, and 王信隆. "A Study of Information System Success in a District Hospital." Thesis, 2009. http://ndltd.ncl.edu.tw/handle/33199864333621038529.
Повний текст джерела樹德科技大學
資訊管理研究所
97
As National Health Insurance was established in Taiwan, most patients nowadays could see a doctor with ease. Simultaneously, due to increase of health service, more and more health institutions have established and extended service variety. However, it leads the cost of National Health Insurance raise. To control the cost of National Health Insurance, the government has modified relevant medical policy to continually lower the cost. Hence, most of hospitals adopt Information Technology (IT) to enhance the performance and competition. The aim of this study is to develop an integrative understanding of the factors that support or inhibit individuals to adopt the health information system (HIS) and to find whether organization commit would also influence the performance of HIS. We applied information system successful model (ISS), and we also add one dimension for discussion: organization commit. This research used a case study and assembles the questionnaire from individuals who have experienced health information system, and applies survey and Structural Equation Model (SEM) to analyze the results from the questionnaires. Finally, results confirm that individuals are satisfying to use the HIS if it considers service quality and system quality. Furthermore, organization commits and user satisfaction are positively influence the performance of HIS.
Hung, Ssu-Wen, and 洪思雯. "Effects of Market Position and Competition on District Hospital Closures." Thesis, 2001. http://ndltd.ncl.edu.tw/handle/74264382176794253783.
Повний текст джерела中國醫藥學院
醫務管理研究所
89
The study was designed to investigate the effects of operational strategies and market competition on the closures of district hospitals in Taiwan. From 1996 to 1998, all hospitals accredited as district hospitals in Taiwan were selected to be research samples. Market was partitioned according to the sixty-three sub-medical regions from the Department of Health, Executive Yuan. The dependent variable was dichotomized as "closure" or "not closure". The independent variables were categorized into three groups:market position, competition, and control variables. Data were obtained from three sources, including the “Hospital Medical Care Organization Survey in Taiwan Area” which were collected annually by the Department of Health, Executive Yuan, “Taiwan-Fukien Demographic Fact Book” published yearly by the Ministry of the Interior, and “Report on the Survey of Family Income and Expenditure in Taiwan Area of Republic of China” published annually by the Directorate-general of Budget, Accounting and Statistics, Executive Yuan. To analysis the relationship of dependent variable and independent variables, Logistic regression was adopted as statistical method. The major finding of this study was that both operational strategies and market competition had impacts on the closure of district hospitals. District hospitals operating in market with high density measured by the hospitals had high risk of closure. In terms of operational strategies, district hospitals that differentiated from others in the size on the basis of the number of full-time employments were significant on the closure of hospitals. District hospitals with more employees were tend to close. Finally, the ownership and the number of outpatient visit were also significant factors of the closure of hospitals. Private hospitals and hospitals with less number of outpatient visit had high risk of closure. Based on the results of this study, the implications of hospitals’ managements, the health policy, and the future study research were discussed.
簡鈺玫. "The Factors Affecting Hospital Wireless Nurse Station Adoption : A Case Study of South District Teaching Hospital." Thesis, 2004. http://ndltd.ncl.edu.tw/handle/61432474328227901244.
Повний текст джерела國立中正大學
資訊管理學系
92
The change of the medical environment has caused violent competition and pressure among hospitals. Most managers of the hospitals have used business process reengineering and organization reengineering to deal with the problem. They hope the operating cost can be reduced and improve the performance of the hospitals thus attracting more customers. The development of information technology has offered a great opportunity for an organization in the process of re-engineering and gaining higher competition ability. Recent studies indicate that using information technology has a positive impact in raising efficiency in the organization. One of the most discussed issue is using portable computer of PDA combining the access on the internet to establish a mobile nursing station. Through the assistance of the internet, mobile nursing station enables the hospitals to operate on a larger scale and reduce manpower. However, most literatures published in Taiwan focused on establishment of the mobile nursing station, and no study discusses the users’ acceptance of using this technology. This study adopts technology acceptance model (TAM) and uses the in-patient department of a teaching hospital in Chiai City as a case to find out the influencing factors of users acceptance of the mobile nursing station. All the nurses in the department using the mobile nursing station are included in the survey. 185 of questionnaire were sent out and I received 181 were returned. The percentage of returned rate is 97.8%. The number of valid questionnaire is 165 and invalid is 16. Therefore, the rate of explaination is 91.2%. Analysis of variation and stepwise regression analysis are used to analysis the results. The results show that (1) The influencing factors of users’ intention to use the mobile nursing station are: The perceived usefulness, the safety issue, and the perceived ease of use of the system. (2) The most important factors affecting the users to use the mobile nursing station is the perceived usefulness and the perceived ease of use convenience. The results confirmed the hypothesis of TAM. The least important factor is the support from high level managers. The results of the study can beused as references for hospital managers to reduce the chances of failure when adopting a mobile nursing station.
Lourens, Adriaan Eksteen. "Trends of adult admissions in a district hospital in Limpopo Province." Thesis, 2011. http://hdl.handle.net/10539/10782.
Повний текст джерелаYang, Hui-Tsun, and 楊惠淳. "Whether the Services from Hospital Volunteers Fit What Medical Staffs Need? The Example of T District Hospital." Thesis, 2012. http://ndltd.ncl.edu.tw/handle/57080884794013750620.
Повний текст джерела國立雲林科技大學
商管專業學院碩士班
100
Recently, a lot of reports and discussions focused on a shortage of medical stuffs and working overtime in hospital in Taiwan. This issue drives my interest to concern about it. It is not surprised to see lots of nice volunteers worked in the hospital, and tried to make their efforts to assist patients and medical stuffs。Here, I asked whether the efforts from volunteers could help medical stuffs to release their pressure or loading from works. Therefore, in order to answer this question, this paper explores whether the hospital''s volunteer services fit the needs of healthcare professionals via content analysis and interviews in T district hospitals. In this study, the 32 staffs working in the T district hospital were conducted interviews. They worked in emergency room, outpatient, nursing and medical technology department. Summarized and analysis the degree of difference for the services provided by existing volunteers and the health care staffs required to be assisted . On the one hand the hospital is able to adjust and to improve the services projects of volunteers, and the other hand health care workers to be more appropriate to get assistances. The conclusion of this study is that medical staff services provided by hospital volunteers are in the affirmative and it is necessary. However, volunteers are concentrated in some specific groups, leading to inadequate number of emergency room and ward volunteers. Just few volunteers assist in those departments. Hospital volunteer services should be more flexible maneuvering in order to help to more health care workers.
Hlatywayo, Nanana Glory. "Deliveries at maternity ward at Evander District Hospital in the Mpumalanga Province." Thesis, 2014. http://hdl.handle.net/10539/15275.
Повний текст джерелаBackground: The South African Department of Health stipulated that district hospitals must provide comprehensive package of preventive, promotive, curative and rehabilitative reproductive health services for women that requires medical and special resources, not found in the health centres and clinics (Department of Health, 2002). The Evander District (ED) Hospital, a district hospital situated in the Govan Mbeki Subdistrict in the Mpumalanga Province provides both in-patient (36 beds in maternity unit and four nursery beds) and outpatient services. The Hospital Maternity Unit has recently been criticised by the Mpumalanga Department of Health for high rate of CS (30%), and perinatal mortality rate (40 per 1000). But, the Hospital never analysed the data collected routinely to develop an understanding of the challenges faced by the Unit. The Unit staff complained about inadequate resources as one of the reasons. The Hospital has introduced a Cost centre in the Maternity Unit for efficient management of resource allocation for the Unit. This study analysed the routinely collected data from the Hospital Information System and Maternity Unit Cost centre for assessing the maternity services currently rendered by the Evander District Hospital. Aim: To described the deliveries at the Evander Hospital over a period of 6 months from 01st January 2011 to 30th June 2011. Methodology: It was a cross sectional study that reviewed the records from Hospital Information System (all antenatal cards and Obstetric files of the women who delivered at the labour ward during the study period) and Maternity Unit cost center. The variables used for the study included number and type of deliveries, socio-demographic and clinical profiles of patients, maternal and perinatal complications and outcomes. In addition, costing information collected during the same period. Descriptive and inferential statistics were used for analysis. Permissions were obtained from the Mpumalanga Department of Health and University of the Witwatersrand ‘Human Research Ethics Committee (Medical) before commencement of the study. Results: A total of 1,081 deliveries were performed at the Evander Hospital over sixmonth period. The highest number of deliveries was NVD (67.44%), followed by caesarean sections (31.82%). The majority of the women who delivered came from poor socio-economic class and mostly single and black, which is a reflection of the characteristics of the catchment population of the Evander Hospital. Teenage pregnancy rate was quite high (20%). The majority of the subjects were primipara (41%). Although most of them (91.3%) of them were booked, only 14% had stipulated number of antenatal visits (4 or more visits) and 7.4% of booked mothers, did not have booking blood results, which was a missed opportunity. HIV was the most prevalent (33, 31.3%) medical conditions, which is similar to the HIV prevalence reported in antenatal sero-prevalence survey in South Africa. Only 17% had planned and scheduled CS. Very few patients had post-partum complications indicating well managed third stage of labour. There was no maternal death during this period. All patients were discharged home. More than 17% (n=185) subjects had low birth weight babies (less than 2500 g), which is just above national average of 16%. The median Apgar score among children delivered at Evander Hospital was 9. Interestingly, the Apgar scores of babies of subjects who had operative deliveries were significantly lower than those who had nonoperative deliveries. Most of the babies were born alive. Stillbirth rate (7 per 1000 live births) was significantly lower than South African national average 17.8 per 1000 live births. The total medical cost for the maternity ward for the six months studied amounted to R 4,584,466, the average monthly cost being R 76,407.67. The most expensive items were drugs and pharmaceuticals and least expensive being the medical consumables. Conclusion: This study was the first of its kind to be done in this Hospital and the Health District. The study identified gaps where management of pregnant women in the Evander Hospital could be further improved through improved booking, planned deliveries and thereby reducing low birth weight rates and still birth rate. This would assist the Hospital Management to develop appropriate measures to reduce unnecessary CS being done, NVD being delivered in the hospital rather than using CHC, and strengthening referral system and strategies to reduce HIV and AIDS incidence. In addition, further study is necessary at the PHC facilities in the Sub-district to identify determinants for high rate of teenage pregnancy.
Yang, Shin-yi, and 楊心怡. "Strategic responses of district hospital to national health insurance 1995-1997." Thesis, 1998. http://ndltd.ncl.edu.tw/handle/81461323396844913457.
Повний текст джерела高雄醫學院
公共衛生學研究所
86
Abstract The purpose of this study is to survey whether there are changes occurring in the service quantity and management strategy of district hospitals after the enforcement of National Health Insurance Policy. Method of the survey is a filled-in questionnaire approved by specialists .There are four major sessions in the questionnaire including information of hospitals, difficulties encountering after the enforcement of National Health Insurance Policy, responses of National Health Insurance Policy, informatioof examinee. Responses of National Health Insurance Policy refer to both internal and external management strategies. Starting from September 1997, the survey had been horizontally conducted on district hospitals (including district teaching hospitals.) Examinee are 479 contracted hospitals of National Health Insurance Bureau in Taiwan area (including Taiwan, Penghu, Chinmen and Matsu), listed in 1996 Annual Report of Public Health published in September 1997 as well as evaluated as district hospitals oristrict teaching hospital by Public Health Bureau. Questionnaires were conducted through mail. There were 157 valid questionnaires in return and the retrieving rate is 32.77%. The result of survey indicates changes of service quantity including outpatient and inpatient services. Over 50% of sampling hospitals think that their service quantities have been reduced. About the same percentage of hospitals believe their net revenue and profitability has been reduced comparing with those before the implement of National Health Insurance. As far as the internal management strategy is concerned, 91.08% of examinee consider patients with National Health Insurance as first priority in their management strategy. 62.24% of total sampling hospitals choose to focus on items, which are not covered by National Health Insurance. 57.32% have been emphasized treatments for chronic diseases. In items of vertical integration (strategy alliance, chain alliance, or the participation of consulting company of hospital management), currently there are 3participant hospitals comparing with 18 before the implement of National Health Insurance. It is expected to have 56 participant hospitals three years later. This shows that more and more district hospitals choose vertical integration as their management strategy. There were 131 hospitals operated exclusively with their own investment. The number reduces to 110 now. After three years, only 49 hospitals will be operated exclusively with their own investment. It indicates that fewer hospitals choose to e old management strategy to cope with the change of national policy. Factors affecting internal management strategy: hospitals, which consider patients with National Health Insurance as first priority, related hospital workers (p=0.0303.),hospital which choosing to offer service for patients with chronic disease(p= 0.0303); and beds(p= 0.0189,hospitals choosing to focus on patients who will pay medical bill by themselves: related hospital worker(p= 0.042); and beds (p=0.05).Factors affecting external management strategy are linked with the management strategy in next the years, hospital managers (p=0.013), and total numbers of hospital workers (p=0.0006). Owing to the confidentiality of financial resources, data concerning actual operation of sampling hospitals are not available in this survey. As a result, in this regard, no comparison and evaluation of management efficiency before and after the implement of National Health Insurance Policy can be done.
Nyathi, Fridah Busisiwe Gillian. "An audit of perinatal mortality and morbidity at a district hospital." Thesis, 2013. http://hdl.handle.net/10539/12683.
Повний текст джерелаNaidu, Karmisha. "Patient satisfaction with complete dentures received from an urban district hospital." Thesis, 2018. https://hdl.handle.net/10539/25382.
Повний текст джерелаLG2018