Exploring the Relationship between Location and Behaviour in Out of Hours Hospital Care

2014 ◽  
pp. 395-400 ◽  
Author(s):  
Michael Brown ◽  
James Pinchin ◽  
Jesse Blum ◽  
Sarah Sharples ◽  
Dominic Shaw ◽  
...  
Keyword(s):  
Hospital Care ◽  
Out Of Hours ◽  
The Relationship

Older people's satisfaction with intermediate care: a systematic review

2007 ◽  
Vol 17 (3) ◽  
pp. 199-218 ◽  
Author(s):  
Andrew Wilson ◽  
Suzanne Richards ◽  
Janette Camosso-Stefinovic
Keyword(s):  
Systematic Review ◽  
Older People ◽  
Older Patients ◽  
Hospital Care ◽  
Patient Choice ◽  
Intermediate Care ◽  
Care Services ◽  
The Relationship

Although intermediate care takes a variety of different forms and has developed somewhat differently in different countries, we believe that intermediate-care schemes have enough in common to make it meaningful to examine the relationship between this method of care and the views of older patients receiving either it or its alternatives. This is particularly important as one of the underlying principles of intermediate care is to extend patient choice; furthermore, most intermediate-care services target older people. In this review we examine evidence about whether older people prefer intermediate or hospital care, and what they like and dislike about intermediate care.

scholarly journals Paramedic-delivered teleconsultations: A scoping review

2021 ◽  
Vol 18 ◽  
Author(s):  
Richard Armour ◽  
Jennie Helmer
Keyword(s):  
Scoping Review ◽  
Hospital Care ◽  
Grey Literature ◽  
Hospital Staff ◽  
Emergency Medical Technicians ◽  
Emergency Ambulance ◽  
Advanced Paramedics ◽  
The Relationship ◽  
Ambulance Crew

Introduction Progression in the field of paramedicine has resulted in the development of novel roles within the profession, including the role of advanced paramedics providing teleconsultations for frontline paramedics. Little is known about the experience of paramedics providing or receiving teleconsultations. This scoping review aimed to investigate paramedic perceptions of physician and paramedic-delivered teleconsultations. Methods A scoping review of MEDLINE, CINAHL and EBM Reviews as well as paramedic-specific journals and the grey literature was conducted. Articles were included if they examined advanced paramedics, paramedics, emergency ambulance crew or emergency medical technicians receiving teleconsultations, or physicians and advanced paramedics providing teleconsultations. Results A total of 7461 unique citations were identified. Two citations were ultimately included in the review. One study examined the delivery of teleconsultations by advanced paramedics and one by physicians, both from the perspective of paramedics. Paramedics delivering teleconsultations generally considered the experience to be positive, while those receiving paramedic-delivered teleconsultations felt the level of advice was appropriate and assisted in expanding their own knowledge base. Paramedics receiving physician-delivered teleconsultations reported variable understanding of the unique challenges of out-of-hospital care and tension in the relationship between paramedics and physicians. Conclusion Little literature was identified examining the perceptions of paramedics delivering or receiving physician-delivered or paramedic-delivered teleconsultations. Given the continuing expansion of teleconsultation programs for out-of-hospital staff, this represents a significantly understudied area.

scholarly journals Las apps en la identidad digital hospitalaria: implicaciones en la reputación y tendencias = Apps in hospital digital identity: implications on reputation and trends

2018 ◽  
Vol 9 (1) ◽  
pp. 82
Author(s):  
Toni González Pacanowski ◽  
Pablo Medina Aguerrebere
Keyword(s):  
Literature Review ◽  
Hospital Care ◽  
Corporate Communication ◽  
Digital Identity ◽  
Medical Apps ◽  
Health Apps ◽  
Palabras Clave ◽  
Spanish Hospital ◽  
The Impact ◽  
The Relationship

Resumen: La internacionalización y la competitividad creciente que caracterizan al sector hospitalario español han llevado a varios centros hospitalarios a potenciar su comunicación institucional como método para mejorar su reputación y así consolidar su posición en el mercado. Entre todas las iniciativas, destaca la apuesta por las apps de contenido médico cuyo objetivo es mejorar la relación establecida con el paciente. El objetivo de este artículo es estudiar el impacto de las apps de salud en la reputación de los hospitales. Para ello, se realiza una revisión bibliográfica y un trabajo de campo sobre apps estables im­pulsadas en el ámbito hospitalario en España. Dichas apps aportan valor a la reputación cuando difun­den información útil para el paciente, se orientan a las prioridades asistenciales del hospital y respetan la confidencialidad y la seguridad. (Investigación vinculada al Plan Nacional CSO2016-81882-REDT).Palabras clave: hospital; comunicación institucional; reputación; marca; Internet; app.Abstract: The internationalization and the increasing competitiveness that characterize the Spanish hospital sec­tor have led several hospitals to enhance their corporate communication as a method to improve their reputation and thus consolidate their position in the market. Among all initiatives, the emphasis is on medical apps whose goal is to improve the relationship established with the patient. This paper aims to study the impact of health apps on the hospitals’ reputation. To do this, we carried out a literature review and a fieldwork about the apps of the mains Spanish hospitals. The main conclusion is that apps add value to reputation when they disseminate information that is useful to the patient, responds to hospital care priorities and respects confidentiality and security.Keywords: hospital; corporate communication; reputation; Brand; Internet; app.

scholarly journals The ageing of population as a factor of configuration of demand for hospital care in the Greek region. The case of Kalamata΄s General Hospital

2016 ◽  
Vol 7 (2) ◽  
Author(s):  
Fotis Droumbalis
Keyword(s):  
General Hospital ◽  
Hospital Care ◽  
Patient Flow ◽  
Local Health ◽  
Ageing Population ◽  
Care Services ◽  
Local Health Care ◽  
Local Health Care System ◽  
The Relationship ◽  
Greek Region

<p>The present paper examines the quantitative<br />characteristics of the burden that a local<br />hospital (General Hospital of Kalamata)<br />bears as a result of the ageing of the local<br />population (Messenia pre- fecture), taking<br />into thorough consideration the excessive<br />demand for hospital care services required<br />by the aged. The analysis is based on primary<br />data of patient flow of the General Hospital<br />of Kalamata during the period 1991-2009.<br />The findings show that there are explicit<br />indica- tions of “hospitalization of the aged’’,<br />while the extent of burden that the hospital<br />system bears from the ageing population of<br />the Messenia prefe-cture depends on the<br />measures used for identify- ing the demand.<br />At any rate, in the present case, it seems<br />that the relationship existing between the<br />ageing population and hospital care services<br />is at a part, a matter of modernization and<br />reformation of the “mix” of care offered to<br />the aged by the local health care system.</p>

scholarly journals Potential Hospital Care Accessibility Scores: Association with Healthcare Utilization and Non-Hospital Care Service Accessibility

2020 ◽  
Author(s):  
Fei GAO ◽  
Matthieu Jaffrelot ◽  
Séverine Deguen
Keyword(s):  
Linear Regression ◽  
Healthcare Utilization ◽  
Hospital Care ◽  
Healthcare Access ◽  
Spatial Accessibility ◽  
Geographic Scale ◽  
Care Services ◽  
Healthcare Needs ◽  
Care Facilities ◽  
The Relationship

Abstract Background: Optimal healthcare access improves people's health status and decreases health inequalities. Many studies demonstrated spatial access importance in health outcomes. Recent studies assessed spatial healthcare access using the enhanced two-step floating catchment area (E2SFCA) method. The aim of this study was to build a hospital facility access indicator at a fine geographic scale and to determine whether there is a complementarity between non-hospital and hospital care accessibility by investigating the length of hospital stays (LOS). Methods: This study focused on the ≥75-year-old population of the Nord administrative region of France. Hospital spatial accessibility was computed with the E2SFCA method, and then the LOS score was calculated from the French national hospital activity and patient discharge database. Linear regression models were used to analyze the relationship between LOS and spatial accessibility to hospital-based care and to the three types of non-hospital care services (general practitioners, physiotherapists, and home-visiting nurses). Results: Overall, there were 19.0 beds in Medical, Surgical and Obstetrics (MCO) facilities and 5.58 beds in Postoperative and Rehabilitation Care facilities (SSR) per 10,000 inhabitants, but with important geographic variations. Accessibility to hospital services was higher for people in large urban areas, despite the dense population and the higher demand. In 2014, the mean LOS scores were 0.26 for MCO and 0.85 for SSR, with a non-homogeneous geographical repartition. Linear regression analysis revealed a strong negative and significant association between hospital and non-hospital care accessibility.Conclusions: This is the first study to measure spatial accessibility to hospital-based cares in France using the E2SFCA method, and the first to investigate the relationship between spatial accessibility to hospital-based care facilities and three types of non-hospital care services and healthcare utilization (LOS). Our findings should help to take decisions about deploying additional beds and to identify the best locations for non-hospital care services. Moreover, they should also help to improve access, and to ensure the best coordination and sustainability of inpatient and outpatient services, in order to better cover the population’s healthcare needs. Other international studies using multiple consensual indicators of healthcare outcomes and accessibility and sophisticated modeling methods should be developed.

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