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Статті в журналах з теми "District Base Hospital"
Pulungan, Muhammad Rusli. "NASOPHARYNGEAL CARCINOMA IN PANYABUNGAN DISTRICT HOSPITAL." INTERNATIONAL JOURNAL OF NASOPHARYNGEAL CARCINOMA (IJNPC) 2, no. 02 (June 20, 2020): 38–39. http://dx.doi.org/10.32734/ijnpc.v2i02.3932.
Повний текст джерелаStovban, Mykola P., Vasyl M. Mykhalchuk, Alexander K. Tolstanov, and Vira V. Maglona. "INTERACTION LINKS OF HEALTHCARE INSTITUTIONS WITHIN ONE HOSPITAL DISTRICT." Wiadomości Lekarskie 74, no. 3 (2021): 756–60. http://dx.doi.org/10.36740/wlek202103236.
Повний текст джерелаALWI, MUHAMMAD, PUTU KARISMAWAN, I. DEWA KETUT YUDHA S, and IWAN HARSONO. "SARANA PENDIDIKAN, KESEHATAN DAN TINGKAT KEMISKINAN DI KECAMATAN TANJUNG SEBAGAI PUSAT PERTUMBUHAN KABUPATEN LOMBOK UTARA, PASKA GEMPA 2018 DAN MASA PANDEMI COVID-19." GANEC SWARA 16, no. 2 (September 10, 2022): 1616. http://dx.doi.org/10.35327/gara.v16i2.327.
Повний текст джерелаStovban, M. P., and O. K. Tolstanov. "Medical and Social Justification of the Financial and Economic Status of the Snyatyn Central District Hospital before and after the Introduction of the Hospital District." Ukraïnsʹkij žurnal medicini, bìologìï ta sportu 7, no. 6 (December 28, 2022): 116–23. http://dx.doi.org/10.26693/jmbs07.06.116.
Повний текст джерелаMatthews, A. E. W. "CHIEF OCCUPATIONAL THERAPIST WARRNAMBOOL & DISTRICT BASE HOSPITAL WARRNAMBOOL VICTORIA." Australian Occupational Therapy Journal 23, no. 2 (August 27, 2010): 79. http://dx.doi.org/10.1111/j.1440-1630.1976.tb01049.x.
Повний текст джерелаBykov, V. P. "SURGICAL SERVICE OF KARELIAN FRONT HOSPITAL BASE IN 1941-1945." Ekologiya cheloveka (Human Ecology) 22, no. 2 (February 15, 2015): 57–60. http://dx.doi.org/10.17816/humeco17147.
Повний текст джерелаNatalia Krisnawati, Gita, Sucipto Sucipto, and Rina Firliana. "EVALUASI PENERAPAN SIM-RS MENGGUNAKAN COBIT 5 PADA RSUD LAWANG." Antivirus : Jurnal Ilmiah Teknik Informatika 13, no. 2 (November 30, 2019): 80–89. http://dx.doi.org/10.35457/antivirus.v13i2.858.
Повний текст джерелаGajapati, Charushila Gajapati, Shankargauda H. Patil, and Anupama Desai. "Efficacy of rural camps in achieving vision 2020: Our contribution." Indian Journal of Clinical and Experimental Ophthalmology 7, no. 3 (September 15, 2021): 579–82. http://dx.doi.org/10.18231/j.ijceo.2021.113.
Повний текст джерелаTangsawad, Sasithorn, and Surasak Taneepanichskul. "Increasing smear positive-pulmonary tuberculosis cases by strengthening district TB coordinating team in low case-detection provinces, Thailand." Journal of Lung, Pulmonary & Respiratory Research 5, no. 6 (December 20, 2018): 202–10. http://dx.doi.org/10.15406/jlprr.2018.05.00192.
Повний текст джерелаTangsawad, Sasithorn, and Surasak Taneepanichskul. "Efficacy of district tuberculosis co-ordinating team on health service performance for suspected TB patient in district hospital." Journal of Health Research 32, no. 3 (May 14, 2018): 251–56. http://dx.doi.org/10.1108/jhr-05-2018-026.
Повний текст джерелаДисертації з теми "District Base Hospital"
Wu, Jie, and Lina Zhou. "GIS-Based Multi-Criteria Analysis for Hostital Selection in Haidian District of Beijing." Thesis, Högskolan i Gävle, Avdelningen för Industriell utveckling, IT och Samhällsbyggnad, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:hig:diva-13021.
Повний текст джерелаSoares, Emanuelly Paulino. "Análise da inserção do Hospital de Base na rede de atenção às urgências e emergências do Distrito Federal." reponame:Repositório Institucional da UnB, 2014. http://repositorio.unb.br/handle/10482/17590.
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O Brasil e o mundo enfrentam um cenário epidemiológico, demográfico e econômico dinâmico que sugere grandes desafios para os sistemas de saúde, especialmente os públicos e universais. O crescimento e a agudização das doenças crônicas não-transmissíveis e a perda prematura de pessoas jovens por acidentes e violências são problemas que exigem a configuração de um modelo de atenção centrado. Neste sentido, o Ministério da Saúde junto aos estados e municípios vem trabalhando desde 2010 na implantação de redes de atenção à saúde, no intuito de superar a gestão e a atenção fragmentadas. O presente estudo teve como objetivo geral analisar a inserção do Hospital de Base na Rede de Atenção às Urgências e Emergências no Distrito Federal, e como objetivos específicos caracterizar o HBDF no SUS, caracterizar o serviço de pronto-socorro, Centro de Trauma, deste hospital no SUS, bem como descrever a aplicação dos critérios de qualificação desse serviço enquanto porta de entrada hospitalar de urgência e emergência prioritária. A coleta de dados se deu através de informações secundárias dos sistemas oficiais do Ministério da Saúde e do hospital em questão e da aplicação de questionário com gestores e trabalhadores do serviço de prontosocorro e do Centro de Trauma, porta de entrada dos usuários graves. Os dados coletados foram analisados devidamente considerando a triangulação utilizando-se a técnica de análise temática. Conclui-se que há desconhecimento dos profissionais de saúde participantes do estudo quanto à inserção do hospital na Rede de Atenção às Urgências e Emergência do Distrito Federal; a alta demanda de usuários e definição de fluxos assistenciais e pactos na rede incipiente; a aplicação parcial dos critérios estabelecidos pelo Ministério da Saúde; o pouco investimento na educação permanente em saúde dos trabalhadores; boas práticas em relação à regulação de urgências e emergências pelo SAMU; e, o anseio dos gestores pela efetivação do trabalho em rede. Assim, o processo de inserção do hospital estudado na rede de atenção às urgências e emergências no Distrito Federal acontece de forma lenta e gradual, porém esta ação está presente nos anseios dos gestores e trabalhadores do serviço de prontosocorro e do Centro de Trauma do hospital, por isso deve ser geradora de mobilização para a mudança e para a efetivação da rede de atenção à saúde. __________________________________________________________________________ ABSTRACT
The Brazil and the world face a dynamic epidemiological, demographic and economic scenario suggests major challenges for health systems, especially public and universal. Growth and worsening of chronic non-communicable diseases and premature loss of young people from accidents and violence are problems that require the setting of a model of focused attention. In this regard, the Ministry of Health with states and municipalities has been working since 2010 on the establishment of networks of health care in order to overcome the management and fragmented attention. The present study had as main objective to analyze the insertion of the Base Hospital Network Emergency Care and Emergencies in the Federal District, and characterize the specific objectives HBDF in SUS, characterizing the service emergency room, trauma center, this hospital the SUS, as well as describe the application of eligibility criteria that service while hospital entrance door of urgency and priority emergency. Data collection occurred through secondary information systems officers from the Ministry of Health and the hospital concerned and a questionnaire with managers and workers of the emergency services and trauma center, a gateway for serious users. The collected data were analyzed with due regard to triangulation using the technique of thematic analysis. We conclude that there is a lack of health professionals participating in the study as the insertion of the hospital in the Network Emergency Care and Emergency Federal District; the high demand of users and defining care flows and covenants in incipient network; partial application of the criteria established by the Ministry of Health; little investment in continuing education in health workers; good practice in relation to the regulation of the SAMU emergency care; and the desire of managers for effective networking. Thus, the insertion process studied in the care network to emergency care in Federal District hospital happens slowly and gradually, but this action is present in the anxieties of managers and workers of the emergency services and trauma center's hospital, so it should be generating mobilization for change and for the effectiveness of the health care network.
Freitas, Waleriano Ferreira de. "Perfil epidemiológico e clínico dos pacientes com sorologia e agente para sífilis atendidos no Hospital de Base do Distrito Federal no período de 2012 a 2015." reponame:Repositório Institucional da UnB, 2017. http://repositorio.unb.br/handle/10482/23776.
Повний текст джерелаTexto parcialmente liberado pelo autor. Conteúdo liberado: resumos, referências e apêndices.
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A sífilis é uma doença infecto-contagiosa de transmissão sexual e vertical. Nos últimos anos, sua incidência vem aumentando em gestantes, recém nascidos, homens que fazem sexo com homens e em portadores do HIV. A sífilis pode ser classificada em estágios segundo o tempo de infecção e as manifestações clínicas. O acometimento ocular e do sistema nervoso central pode ocorrer em qualquer fase da doença. O diagnóstico da sífilis é realizado atráves da associação de dados clínicos, epidemiológicos e laboratoriais. Os pacientes devem ser atendidos na atenção básica, à exceção daqueles com manifestações graves. Este estudo propôs estudar o perfil clínico e epidemiológico dos pacientes atendidos no Hospital de Base do Distrito Federal. Objetivo: Descrever o perfil clínico e epidemiológico dos pacientes com sífilis atendidos no Hospital de Base do Distrito Federal no período de1º de janeiro de 2012 a 31 de dezembro de 2015. Métodos: Realizou-se um estudo descritivo baseado na análise dos dados clínicos, epidemiológicos e laboratoriais contidos nos prontuários. Resultados: Foram avaliados 191 pacientes atendidos nos ambulatórios, enfermarias e na emergência. A maioria (79,58%) era proveniente do Distrito Federal. A idade média foi 48 anos, com predomínio do sexo masculino (66,49%). A sífilis latente tardia representou 110 (57, 59%) casos; sífilis primária 8 (4,2%); sífilis secundária 4 (2,1%) e a sífilis latente recente 3 (1,57%) casos. A infecção pelo HIV estava associada em 54 (28,27%) pacientes. A sífilis ocular foi diagnosticada em 16 (8,37) casos e a neurossífilis em 12 (6,28%). Dos 153 (80,1%) pacientes com indicação de tratamento, somente 72 (47,05%) foram tratados. Discussão: A grande maioria dos pacientes foi diagnosticada como portadora de sífilis latente tardia, principalmente devido baixa qualidade dos dados relativos a sinais e sintomas da doença disponíveis nos prontuários. Pelo mesmo fato, em 81 (42,40%) pacientes não apresentavam nenhum registro de tratamento nos prontuários e prescrições médicas. Entre os pacientes sem dados relativos ao tratamento, dois tinham neurossífilis e cinco sífilis ocular. Conclusão:.As limitadas informações relativas a sinais, sintomas e ao tratamento da sífilis foram determinantes para o elevado número de pacientes com diagnóstico de sífilis latente tardia. A excassez de dados comprometeu de forma importante a avaliação do perfíl clínico dos pacientes da instituição e evidenciou fragilidades no atendimento dos pacientes com sífilis.
Syphilis is an infectious disease sexual and vertical transmission. In recent years, its incidence has been increasing in pregnant women, newborns, men who have sex with men and people with HIV. Syphilis can be classified in stages according to the time of infection and clinical manifestations. Ocular and central nervous system involvement may occur at any stage of the disease. The diagnosis of syphilis is made through the association of clinical, epidemiological and laboratory data. Patients should be cared for in basic care, except for those with severe manifestations. This study proposed to study the clinical and epidemiological profile of the patients attended at the Base Hospital of the Federal District. Objective: To describe the clinical and epidemiological profile of patients with syphilis attended at the Base Hospital of the Federal District from january 1, 2012 to december 31, 2015. Methods: A descriptive study was conducted based on the analysis of the clinical, epidemiological and laboratory data contained in the medical records. Results: A total of 191 patients attended at outpatient clinics, hospitalization room and in the emergency room were evaluated. The majority (79.58%) came from the Federal District. The mean age was 48 years, with a predominance of males (66.49%). Late latent syphilis represented 110 (57, 59%) cases; primary syphilis 8 (4.2%); secondary syphilis 4 (2.1%) and recent latent syphilis 3 (1.57%) cases. HIV infection was associated in 54 (28.27%) patients. Ocular syphilis was diagnosed in 16 (8.37) cases and neurosyphilis in 12 (6.28%). Of the 153 (80.1%) patients with indication of treatment, only 72 (47.05%) were treated. Discussion: The vast majority of patients were diagnosed as having latent late syphilis, mainly due to poor quality of data regarding signs and symptoms of the disease available in the medical records. By the same fact, in 81 (42.40%) patients did not present any records of treatment in medical records and prescriptions. Among the patients with no treatment data, two had neurosyphilis and five ocular syphilis. Conclusion: Limited information on signs, symptoms and treatment of syphilis were determinant for the high number of patients diagnosed with latent late syphilis. The lack of data significantly compromised the evaluation of the patients' clinical profile and showed weaknesses in the care of patients with syphilis.
Lopes, Renata Vernay. "Elaboração de um manual de reserva de concentrados de hemácias para cirurgias eletivas no Hospital de Base do Distrito Federal." Universidade de São Paulo, 2018. http://www.teses.usp.br/teses/disponiveis/17/17155/tde-08012019-154356/.
Повний текст джерелаOptimizing blood ordering and transfusion has been largely discussed because of patient\'s safety and money constraints. The highest use of red blood cells in a hospital is related to surgical procedures. The preoperative blood order in quantities much higher than necessary, overloads the Blood bank, which configures wasted human resources, wasted public resources and can cause injury to the patient. In most hospitals many blood components are reserved for surgeries, but few are used. The difficulty in transporting and storing the blood components in suitable conditions outside the Blood bank aggravates this situation and increases the costs. Many blood components are requested but not used and return to the blood transfusion service without conditions to be reintegrated into the stock. Considering that Hospital de Base of the Federal District Brazil is the one with the highest quantity of preoperative crossmatching orders in our state, the purpose of this study was to create a maximum blood ordering schedule (MBOS) for elective surgeries. MBOS has been established since 1977 and should be based on recommendation that each hospital may develop for its specific needs. This MBOS should recommend the maximum packed red blood cell quantity to be reserved for each type of surgery, aiming to promote the rational use of blood in the hospitals. For that, a survey of the data of surgeries performed at the Hospital de Base was carried out from February to July 2015. For each surgery, we analyzed if there was a request and use of a packed red blood cell. With the data obtained, the index of patients transfused for each type of surgery was calculated, and the manual was elaborated, consisting of a chart with hemotherapy decision to be adopted in each type of surgery. The manual included 3 types of recommendations for blood bank staff: none, type and screen only, or crossmatch units of packed red blood cells. The approximate amount of resources that would be saved if the suggested strategy were adopted in 2015 were also calculated. The idea is to have a systematic implementation of the manual in the hospital considering the moment of ordering blood products and the moment of adopting the strategy proposed at the blood bank. Some improvements are needed such as guidelines with suggestions including the complete and accurate filling of the surgical map (exact type of surgery) and implementation of a better blood ordering system with more information about patients and surgeries. This kind of manual most be reviewed periodically since surgical procedures can change over time with new techniques been included in the therapeutic strategies. The success in implementing this manual depends on the consent and collaboration of a multidisciplinary team including surgeons, anesthesiologists, and blood bank staff.
Silveira, Carlos Alberto Pinto da. "Resposta ao tratamento com mesilato de Imatinibe nos portadores de Leucemia Mielóide Crônica do Hospital de Base do Distrito Federal." reponame:Repositório Institucional da UnB, 2011. http://repositorio.unb.br/handle/10482/7596.
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A leucemia mielóide crônica é doença mieloproliferativa crônica, caracterizada pela presença do cromossomo Filadélfia, que é o resultado da translocação balanceada entre os cromossomos 9 e 22. A conseqüência molecular desta translocação é a formação de um gene híbrido BCR-ABL, que codifica uma proteína quimérica com atividade tirosina quinase, diretamente implicada na patogênese da doença. O mesilato de imatinibe (Glivec®) é um inibidor seletivo dessa enzima. O presente estudo realizou uma análise descritiva, observacional e retrospectiva de pacientes atendidos no ambulatório de Hematologia do Hospital de Base de Brasília, no período compreendido entre maio de 2002 a abril de 2009 e teve como objetivo, avaliar a eficácia do tratamento com mesilato de imatinibe como opção de primeira linha, em portadores de leucemia mielóide crônica em fase crônica, através das respostas hematológica e citogenética, assim como pela avaliação de desfechos de longo prazo, como a sobrevida global e sobrevida livre de progressão para fases mais adiantadas da doença. Cento e cinco pacientes foram elegíveis, sendo que 98 (93,3%) deles, em fase crônica precoce, isto é, menos de um ano entre diagnóstico e início do tratamento. Cinquenta e cinco (70,5%) de 78 pacientes foram classificados como de risco intermediário ou alto risco, de acordo com o escore prognóstico de Sokal. A taxa de resposta hematológica foi de 96,4% ao longo do estudo. Aos doze meses, as respostas citogenéticas maior e completa foram de 71,7% e 65,9%, respectivamente, enquanto aos 48 meses, de 83,7% e de 80,5%, respectivamente. A resposta molecular maior apresentou taxa crescente de resposta acumulada, chegando a 59,5% aos 48 meses. A sobrevida global foi de 92,1% aos 48 meses, com 89,3% dos pacientes apresentando sobrevida livre de progressão para fases mais avançadas da doença, no mesmo período. A resposta citogenética maior aos 12 meses correlacionou-se, significativamente, com a sobrevida global (p = 0,010) e com a sobrevida livre de progressão (p = 0,032). Não houve diferenças significativas nas taxas de resposta citogenética completa aos 12 meses (p = 0,592), na sobrevida global (p = 0,489) e na sobrevida livre de progressão (p = 0,306), de acordo com o escore prognóstico de Sokal. A dose utilizada foi de 400mg ao dia, em média. A medicação foi bem tolerada, com apenas 2 (1,9%) dos pacientes mostrando toxicidade hematológica graus 3 – 4. A mediana de seguimento foi de 23 meses (variação de 3 a 97 meses). Ao término da avaliação 73 (69,5%) dos pacientes ainda faziam uso do mesilato de imatinibe e 32 (30,5%) tinham descontinuado a medicação, sendo que 18 (17.1%), por resposta insatisfatória. O tratamento de pacientes portadores de Leucemia Mielóide Crônica em fase crônica, com mesilato de imatinibe, proporcionou taxas de respostas inferiores às dos principais estudos clínicos, mas relacionou-se com sobrevida livre de progressão e sobrevida global em significativa proporção de pacientes. Seguimento por tempo mais prolongado será necessário para melhor avaliação dos desfechos de sobrevida, dado o relativo curto período de observação. ______________________________________________________________________________ ABSTRACT
Chronic myeloid leukemia is a myeloproliferative disorder characterized by Philadelphia chromossome, which is the result of a balanced translocation between chromosomes 9 and 22. The molecular consequence of this translocation is a hybrid BCR-ABL gene, which encodes a chimeric protein with tyrosine kinase activity, directly implicated in the pathogenesis of the disease. Imatinib mesylate (Glivec®) is a selective inhibitor of such protein. This was a descriptive, observational and retrospective analysis of patients in Hospital de Base, Brasília-Brazil, followed from May 2002 to April 2009. The aim was to assess the efficacy of imatinib mesylate as front-line therapy in chronic-phase chronic myeloid leukemia patients, with hematologic and cytogenetic response, as well the long-term outcomes, such overall survival and progression-free survival to later stages of the disease. One hundred and five patients were eligible and 98 (93.3%) were in late chronic-phase, that is, less than one year, from the start of therapy. Fifty-five (70.5%) out of 78 patients were in intermediate or high risk group of Sokal score. The hematologic response rate was 96.4% at any time during the observation period. The cumulative rates of major and complete cytogenetic responses at 12 months were 71.7% and 65.9%, respectively, while at 48 months, they were 83.7% and 80.5%, respectively. Molecular response rate improved slowly and steadily over time, reaching 59.5% at 48 months. The 4-year overall survival and progression free survival rates were 92.1% and 89.3%, respectively. Cytogenetic response by 12 months significantly correlated with overall survival (p = 0.010) and progression-free survival (p = 0,032). There were no significant differences in the rates of complete cytogenetic response at 12 months (p = 0.592), in overall survival (p = 0.489) and in progression free survival (p = 0.306), according to Sokal risk score. The dose of imatinib was 400 mg daily on average and the drug was well tolerated, with only 2 (1.9%) patients showing hematological toxicity grades 3-4. The median follow-up was 23 months (range 3 – 97). At the end of the evaluation 73 (69.5%) of patients were still using imatinib mesylate and 32 (30.5%) had discontinued the medication, eighteen (17.1%) for unsatisfactory response. Treatment with imatinib mesilate as frontline therapy in chronic-phase chronic myeloid leukemia patients, induced lower response rates than published data, but was related to satisfactory rates of survival and event-free survival. Best analysis of long-term outcomes requires extended follow-up, given the short observation period.
Manning, Kathryn. "A facility-based therapeutic group programme versus usual care for weight loss in obese patients attending a district hospital in the Cape Metropole." Master's thesis, University of Cape Town, 2014. http://hdl.handle.net/11427/5924.
Повний текст джерелаIncludes bibliographical references.
The primary aim of this research was to compare the impact of a six-week facility-based therapeutic group (FBTG) programme with that of usual care on weight loss and reduction in BMI in obese patients with one or more risk factors for the development of NCDs or existing NCDs, attending a district hospital in the Cape Metropole.
Janssen, Maria Esther. "Fatores associados ao óbito por dengue no Distrito Federal, Brasil, no período de 2007 a 2015 : um estudo de caso-controle de base hospitalar." reponame:Repositório Institucional da UnB, 2017. http://repositorio.unb.br/handle/10482/24092.
Повний текст джерелаTexto parcialmente liberado pelo autor. Conteúdo restrito: Conclusão e apêndice.
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Introdução: os óbitos por dengue têm sido bastante estudados, porém não se conhece suficientemente bem todos os fatores associados a esses óbitos.Objetivo: identificar os fatores associados à mortalidade por dengue no Distrito Federal no período de 2007 a 2015. Métodos: estudo epidemiológico descritivo e analítico tipo caso-controle, de base hospitalar, de 71 óbitos por dengue ocorridos no Distrito Federal, Brasil, entre janeiro de 2007 e dezembro de 2015. O grupo de casos (pacientes que tiveram dengue com pelo menos um sinal de alarme, internados na rede pública ou privada do DF e evoluíram para óbito), foi comparado com o grupo controle (pacientes que tiveram dengue com pelo menos um sinal de alarme, internados na rede pública ou privada do DF e que sobreviveram). Casos e controles foram confirmados por critério laboratorial. As informações foram coletadas a partir de prontuários médicos, sendo analisadas, entre outras, algumas variáveis relacionadas à qualidade da assistência médica. Utilizou-se a regressão logística para a identificação dos fatores associados aos óbitos. A regressão logística multivariada foi realizada utilizando-se a análise de variância (ANOVA) do modelo completo, empregando-se, posteriormente, o teste qui-quadrado. Resultados: as seguintes variáveis foram selecionadas: “idade maior que 45 anos”, “presença de diabetes”, de “hipertensão arterial sistêmica”, de valores de “uréia maiores que 50 mg/dl”, de “leucócitos menores ou iguais a 4.000/mm3”, “tempo entre o início dos sintomas e o primeiro atendimento maior ou igual a 3 dias” e “percorreu três ou mais serviços de saúde”. Conclusões: as variáveis selecionadas foram consideradas fatores importantes para a ocorrência dos óbitos por dengue no Distrito Federal. Sugere-se a adoção de medidas nos serviços de saúde que garantam um atendimento mais adequado a esses pacientes.
Introduction: while there have been many studies about deaths by dengue, it is not well known all the risk factors associated with such deaths.Objective: to identify the risk factors associated with dengue mortality in the Brazilian Federal District during the period 2007 to 2015.Methods: a case-control, hospital-based, descriptive and analytical epidemiological study of 71 deaths from dengue in the Federal District, Brazil, occurred from January 2007 to December 2015.The case group (patients who had at least one warning sign, from the public or private hospital networks of Federal District, who died) was compared to the control group (patients who had at least one warning sign, from the public or private hospital networks of Federal District, who did not die). Cases and controls were confirmed by laboratorial criteria. The information was gathered by means of medical records, which were also analysed for quality of the medical service offered to the inpatients. Logistic regression was performed to identify the factors associated to the deaths. Multivariate logistic regression was performed using the analysis of variance (ANOVA) of the complete model, the chi-square test being used aftwerwards. Results: the following variables were selected: "age greater than 45 years", "presence of diabetes", "systemic arterial hypertension", "urea values greater than 50 mg / dl", "leukocytes less than or equal to 4,000 / mm3 "," time between onset of symptoms and first care greater than or equal to 3 days "and" went through three or more health services”. Conclusions: the selected variables were considered important factors for the occurrence of dengue deaths in the Federal District, Brazil. It is suggested to adopt measures in the health services that guarantee a more adequate care for these patients.
Baba, Djara Monita Jean. "Performance measurement of district level hospitals in low income countries: participatory development of an instrument to assess inputs, processes, and outputs for evidence-based management and quality improvement." Thesis, Boston University, 2014. https://hdl.handle.net/2144/10935.
Повний текст джерелаBACKGROUND: The potential of hospital performance measurement (HPM) to contribute to improved quality of care and patient outcomes is underrepresented in the health system strengthening literature and no standardized HPM instrument exists for hospitals in developing countries. The problem centered Participatory Action Research (PAR) approach is particularly suited to addressing complex organizational problems in low resource settings and is gaining acceptance as an applied research method in healthcare settings. METHODS: This quasi-experimental study using the PAR approach was carried out in 4 hospitals in Cameroon. Quantitative (415 surveys) and qualitative (129 interviews and 77 observations) methods examined how participating in the design of a HPM instrument influences health personnel's knowledge, attitude, interest, and intention to continue use of performance measurement for quality improvement. Changes in scores for the above outcomes from before and after implementation of the performance indicators were compared to scores from a non-participating control hospital at the same time points. RESULTS: Personnel designed and pilot tested performance measurement indicators in all hospital services. Hospitals that actively participated in instrument design showed a statistically significant increase in HPM knowledge and attitude, and were more likely to report intention to continue using HPM as compared to the non-participating hospital. Hospital personnel participating in the design process were more aware of the workload barriers to implementing HPM but nonetheless were more motivated to continue the HPM effort. In addition, the PAR approach fostered ownership, increased skills, raised awareness of performance gaps, and led to a contextually appropriate tool. CONCLUSIONS: The results of this study demonstrate the feasibility of designing and implementing an HPM instrument in a low-resource health care system and highlight the positive benefits of the PAR approach. Further research is needed to determine the effect of regular HPM on quality of care and its sustainability over time in resource constrained settings.
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.
Yu, Cheng-Ching, and 余政經. "The Difficulties and Strategies of Private District Hospitals under National Health Insurance System—the Feasibility of Developing Hospital-Based Nursing Homes." Thesis, 2006. http://ndltd.ncl.edu.tw/handle/32103287208415942484.
Повний текст джерела國立臺灣大學
醫療機構管理研究所
94
Objective The objectives of this study are to understand: (1) the characteristics of the district hospitals; (2) the management problems that district hospitals are facing currently; (3) the feasibility of developing hospital-based nursing home (4) the SWOT analysis of hospital-based nursing home (5) the key factors that have helped district hospitals transformed into nursing homes. Method This study has adopted in-depth interview of qualitative research in 2005 on three individuals who were CEO of district hospitals to discuss the management problems that the district hospitals are facing currently and whether the establishment of nursing home can be the solution. Subsequently, interview with two former health officers are supplemented to address the dilemma faced by district hospitals and broader viewpoints on the establishment of nursing home. Significant findings & conclusion The major dilemma faced by district hospitals: the difficulties of recruitment, the decreasing source of income from inpatients, the inadequacy of competitive advantages, the tightening of health insurance subsidy and the rigidity of evaluation standard. The strategies of district hospitals: the strategic alliance, the joint venture, the hospital-based nursing home, the joint outpatient service and collective purchase. The SWOT analysis for hospital- based nursing home: (1) Strengths (S) – the better hardware equipments, the outstanding emergent nursing quality, the flexible human resource allocation, the abundant medical resources and the professional nursing staff; (2) Weaknesses (W) – more medical disputes, worse atmosphere in hospitals, high turnover rate of nursing staff and higher charges; (3) Opportunities (O) – the increasing needs for sub-acute care, the rising medical treatment of chronic illness for elderly, the ageing needs and the social needs; (4) Threats (T) – keen competition in prices and demand for improving quality. Suggestions Policy and management: (1) The government should establish sub-acute care system and assist small-scaled hospitals to develop hospital-based nursing home, converting them into sub-acute care institutions, as well as consolidating their concepts of long-term care and reduce the minimum number of bed for acute illness from 20 to 10. (2) The Bureau of National Health Insurance should subsidize sub-acute care. (3) The district hospitals should improve their management quality to ward sub-acute residents from large-scaled hospitals to independent nursing home. Future study: (1) Conduct more interviews in district hospitals, large scale hospitals and independent nursing homes in the Northern cities or other cities in Taiwan to get a better understanding of whether there are cultural differences between the Northern cities and Southern cities, as well as participation and interaction among all levels of health care organizations; (2) investigate the number of potential sub-acute patients and using the results as references for assisting district hospitals to develop sub-acute care institution.
Книги з теми "District Base Hospital"
Forth, G. J. A history of the Warrnambool & District Base Hospital. Rushcutters Bay, N.S.W: Halstead Press, 2002.
Знайти повний текст джерелаCouncil, Manitoulin-Sudbury District Health. Hospital based emergency health services, Regional Municipality of Sudbury: Report one of the Hospital Services Study Group, emergency health services co-ordinating committee Manitoulin-Sudbury District Health Council. Sudbury, Ont: Sudbury-Manitoulin District Health Council, 1985.
Знайти повний текст джерелаJyrkinen, Anna Riitta. Mielisairaanhoito Kellokosken piirimielisairashoitolassa vuosina 1915-1918: Hoitolan ensimmäisten potilaiden dokumentteihin perustuva analyysi = Mental health care in the Kellokoski Mental District Hospital during the years 1915-1918 : the analysis based on the documents of the first patients. Kuopio: Kuopion yliopisto, 2005.
Знайти повний текст джерелаDavidson, Robert, Andrew J. Brent, Anna C. Seale, and Lucille Blumberg, eds. Oxford Handbook of Tropical Medicine 5e. 5th ed. Oxford University Press, 2021. http://dx.doi.org/10.1093/med/9780198810858.001.0001.
Повний текст джерелаNewton, Andrew. Macro-Level Generators of Crime, Including Parks, Stadiums, and Transit Stations. Edited by Gerben J. N. Bruinsma and Shane D. Johnson. Oxford University Press, 2018. http://dx.doi.org/10.1093/oxfordhb/9780190279707.013.16.
Повний текст джерелаEnabling clinical work: Proposals formulated at a workshop held in September 1984 about the organisational arrangements required to enable hospital clinical work, based on studies done in five districts. [London]: King's Fund, 1985.
Знайти повний текст джерелаЧастини книг з теми "District Base Hospital"
Bramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "1974–1982: A Unified Geographically Based Health System." In Community Nursing Services in England, 17–31. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_3.
Повний текст джерелаBramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2015–Date: Focus on Integration." In Community Nursing Services in England, 83–91. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_8.
Повний текст джерелаBramwell, Donna, Kath Checkland, Jolanta Shields, and Pauline Allen. "2010–2015: The Health and Social Care Act, NHS Fragmentation." In Community Nursing Services in England, 75–82. Cham: Springer International Publishing, 2023. http://dx.doi.org/10.1007/978-3-031-17084-3_7.
Повний текст джерелаBehera, Sachin Kumar. "Medical Tourism in Visakhapatnam by People of South Odisha." In Global Developments in Healthcare and Medical Tourism, 96–111. IGI Global, 2020. http://dx.doi.org/10.4018/978-1-5225-9787-2.ch006.
Повний текст джерелаRuban S, Naresh A, and Sanjeev Rai. "A Noninvasive Model to Detect Malaria Based on Symptoms Using Machine Learning." In Advances in Parallel Computing Technologies and Applications. IOS Press, 2021. http://dx.doi.org/10.3233/apc210119.
Повний текст джерелаTapuria, Archana, Maria Kordowicz, Mark Ashworth, Ewan Ferlie, Vasa Curcin, Rositsa Koleva-Kolarova, Julia Fox-Rushby, Sylvia Edwards, Tessa Crilly, and Charles Wolfe. "IT Evaluation of Foundation Healthcare Group Vanguard Project." In Studies in Health Technology and Informatics. IOS Press, 2021. http://dx.doi.org/10.3233/shti210246.
Повний текст джерелаEsteves, Francisco Madeira, Luís Manuel de Macedo Gomes Lagartinho, and Pedro Fernandes da Anunciação. "Information Systems for Management Decision Support in Portuguese Public Hospital." In Handbook of Research on ICTs and Management Systems for Improving Efficiency in Healthcare and Social Care, 1172–90. IGI Global, 2013. http://dx.doi.org/10.4018/978-1-4666-3990-4.ch061.
Повний текст джерелаEsteves, Francisco Madeira, Luís Manuel de Macedo Gomes Lagartinho, and Pedro Fernandes da Anunciação. "Information Systems for Management Decision Support in Portuguese Public Hospital." In Healthcare Administration, 1015–33. IGI Global, 2015. http://dx.doi.org/10.4018/978-1-4666-6339-8.ch053.
Повний текст джерелаAdamo-Villani, Nicoletta, and Hazar Dib. "Online Virtual Learning Environments." In Web Design and Development, 16–37. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8619-9.ch002.
Повний текст джерелаAdamo-Villani, Nicoletta, and Hazar Dib. "Online Virtual Learning Environments." In Mobile Computing and Wireless Networks, 327–48. IGI Global, 2016. http://dx.doi.org/10.4018/978-1-4666-8751-6.ch015.
Повний текст джерелаТези доповідей конференцій з теми "District Base Hospital"
Aslam, Usama, Mehreen Mudassar, and Mohsin Munir. "P079 Approach to primary biliary cholangitis management in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.87.
Повний текст джерелаSaunsbury, Emma, and Daniel Maggs. "P010 End of life care in patients with cirrhosis: a district general hospital perspective." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.19.
Повний текст джерелаChew, Yun Jie, Savanthi Fernando, and John Hutchinson. "P013 Retrospect analysis of patients with primary biliary cholangitis (PBC) in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.22.
Повний текст джерелаRoskilly, Anna, Rebecca Day, and Charlotte Ford. "OP24 Upper gastrointestinal bleeding in patients with chronic liver disease; a district general hospital experience." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 20–23 September 2022. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2022. http://dx.doi.org/10.1136/gutjnl-2022-basl.37.
Повний текст джерелаChew, Yun Jie, and John Hutchinson. "P015 Retrospective analysis of follow up in primary biliary cholangitis (PBC) in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.24.
Повний текст джерелаChew, Yun Jie, Savanthi Fernando, and John Hutchinson. "P014 Treatment of primary biliary cholangitis (PBC): retrospective review of current therapies in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.23.
Повний текст джерелаChew, Yun Jie, and John Hutchinson. "P027 Retrospective analysis of bone protection care in primary biliary cholangitis (PBC) in a district general hospital." In Abstracts of the British Association for the Study of the Liver Annual Meeting, 22–24 November 2021. BMJ Publishing Group Ltd and British Society of Gastroenterology, 2021. http://dx.doi.org/10.1136/gutjnl-2021-basl.36.
Повний текст джерелаSmith, Clare, Susan Dargan, Ria Wright, Katherine Gumbs, and Sinead Henderson. "83 Evidencing care of the dying adult in a district general hospital." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.110.
Повний текст джерелаNewton, Ayla, Denise Dunsire, Brigid Purcell, Maria King, Penny McNamara, and Richella Ryan. "58 Anticipatory prescribing practice at a district general hospital: a service evaluation." In The APM’s Annual Supportive and Palliative Care Conference, In association with the Palliative Care Congress, “Towards evidence based compassionate care”, Bournemouth International Centre, 15–16 March 2018. British Medical Journal Publishing Group, 2018. http://dx.doi.org/10.1136/bmjspcare-2018-aspabstracts.85.
Повний текст джерелаMosquéra, Júlia Milhomem, Amanda Ribeiro Alves, Gianna Carolina Pereira Cavalli, Larissa Feitosa de Albuquerque Lima Ramos, and Flávio Lúcio Vasconcelos. "GLOBAL SURVIVAL BASED ON CLINICAL, HISTOLOGICAL, AND BIOLOGICAL TUMOR CRITERIA IN A SECONDARY PUBLIC BRAZILIAN HOSPITAL." In Abstracts from the Brazilian Breast Cancer Symposium - BBCS 2021. Mastology, 2021. http://dx.doi.org/10.29289/259453942021v31s2045.
Повний текст джерелаЗвіти організацій з теми "District Base Hospital"
Rapid appraisal of IPP-VI training of ANMs in Uttar Pradesh. Population Council, 1996. http://dx.doi.org/10.31899/rh1996.1005.
Повний текст джерела