Analyzing spatiotemporal accessibility patterns to tertiary healthcare services by integrating total travel cost into an improved E3SFCA method in Changsha, China

Abstract Objective To explore the experiences and perceptions of stillbirth among mothers from a tertiary medical centre in Kano, Northern Nigeria. Design Qualitative, interpretative. Setting Tertiary healthcare facility, Murtala Muhammad Specialist Hospital (MMSH), Kano, Northern Nigeria. Sample Mothers who had given birth to a liveborn baby at the MMSH in the prior 6 months (n = 31). In order to capture the experiences and perception of stillbirth within this cohort we approached mothers who had in a previous pregnancy experienced a stillbirth. Of the 31 who attended 16 had a previous stillbirth. Methods Semi-structured Focus Group Discussions, consisting of open-ended questions about stillbirth, beliefs, experiences and influences were held in MMSH, conducted over 1 day. Results Our findings highlight that this is a resource-poor tertiary facility serving an ever-growing population, increasing strain on the hospital and healthcare workers. Many of the participants highlighted needing permission from certain family members before accessing healthcare or medical treatment. We identified that mothers generally have knowledge on self-care during pregnancy, yet certain societal factors prevented that from being their priority. Judgement and blame was a common theme, yet a complex area entwined with traditions, superstitions and the pressure to procreate with many mothers described being made to feel useless and worthless if they did not birth a live baby. Conclusions As access to healthcare becomes easier, there are certain traditions, family and social dynamics and beliefs which conflict with scientific knowledge and act as a major barrier to uptake of healthcare services. The findings highlight the need for investment in maternity care, appropriate health education and public enlightenment; they will help inform appropriate interventions aimed at reducing stigma around stillbirth and aide in educating mothers about the importance of appropriate health seeking behaviour. Stillbirths are occurring in this area of the world unnecessarily, globally there has been extensive research conducted on stillbirth prevention. This research has highlighted some of the areas which can be tackled by modifying existing successful interventions to work towards reducing preventable stillbirths.

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Effect of the COVID-19 Pandemic Preparation and Response on Essential Health Services in Primary and Tertiary Healthcare Settings of Amhara Region, Ethiopia

American Journal of Tropical Medicine and Hygiene ◽

10.4269/ajtmh.21-0354 ◽

2021 ◽

Author(s):

Wendemagegn Enbiale ◽

Seid Getahun Abdela ◽

Meaza Seyum ◽

Dereje Bedanie Hundie ◽

Kassawmar Angaw Bogale ◽

...

Keyword(s):

Health Service Delivery ◽

Healthcare Services ◽

Cross Sectional Study ◽

Health Facilities ◽

Childhood Immunization ◽

Cross Sectional ◽

Healthcare Settings ◽

Care Systems ◽

Tertiary Healthcare ◽

Adult Outpatient

Countries like Ethiopia have had to make difficult decisions to balance between the demands of the COVID-19 pandemic and maintaining the essential health service delivery. We assessed the effect of preventive COVID-19 measures on essential healthcare services in selected health facilities of Ethiopia. In a comparative cross-sectional study, we analyzed and compared data from seven health facilities over two periods: the pre-COVID-19 period before the first reported COVID-19 case in the country and during the COVID-19 period. Data were summarized using descriptive statistics and the independent t test. During the COVID-19 period the average number of monthly patient visits in the emergency department, pediatrics outpatient, and adult outpatient dropped by 27%, 30%, and 27%, respectively compared with the pre-COVID-19 period. Family planning; institutional delivery; childhood immunization; antenatal care-, hypertension- and diabetic patient follow-up, did not vary significantly between pre-COVID-19 and during COVID-19. Moreover, the monthly average number of tuberculosis (TB) and HIV patients who visited health facilities for drug refill and clinical evaluation did not vary significantly during the two periods. In conclusion, the study highlights that the effect of public restrictions to mitigate the COVID-19 pandemic on essential care systems should be considered.

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Patient satisfaction survey: A gateway to quality improvement in primary healthcare in the IAF

Indian Journal of Aerospace Medicine ◽

10.25259/ijasm_29_2021 ◽

2021 ◽

Vol 65 ◽

pp. 105-108

Author(s):

VV Joshi ◽

R Dev ◽

NK Tripathy

Keyword(s):

Patient Satisfaction ◽

Primary Healthcare ◽

Short Form ◽

Tertiary Care ◽

Healthcare Delivery ◽

Armed Forces ◽

Quality Of Healthcare ◽

Healthcare Services ◽

Important Indicator ◽

Tertiary Healthcare

Patient satisfaction is an important indicator to assess and improve quality of healthcare services. In Armed Forces Medical Services, studies on patient satisfaction are scant and mainly hospital based. Hence, a study was conducted with an objective to assess patient satisfaction in seven Primary Healthcare Delivery Centers (PHDCs) in one of the operational commands in the Indian Air Force (IAF). Patient Satisfaction Questionnaire Short Form 18 (PSQ-18), a simple tool, was used for the survey. The study was unique in the sense that few centers in the survey were remotely located from tertiary care hospitals and the Medical Officers in these PHDCs were relatively inexperienced. The analysis of the survey clearly brought out distinct differences in certain dimensions of patient satisfaction across the PHDCs. In addition, utility of the Hindi translated version of PSQ-18 was ascertained. Based on the results of the study, few important conclusions were drawn; (a) patient satisfaction could be assessed using simple questionnaire such as PSQ-18, (b) the Hindi translated version of PSQ-18 can also be used as a useful tool depending on the participants’ preference, and (c) the observed dimensions affecting patient satisfaction could be addressed through specific interventions. Similar survey is recommended to be conducted across primary, secondary, and tertiary healthcare establishments in the IAF.

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Public financing in healthcare-The case of Kosovo in theory and practice

International Journal of Business and Applied Social Science ◽

10.33642/ijbass.v6n3p4 ◽

2020 ◽

pp. 40-50

Author(s):

Prof.Assis.Dr.Nerimane Bajraktari ◽

Eco.Ali Ahmeti, MSc

Keyword(s):

Practical Knowledge ◽

Healthcare Services ◽

Theory And Practice ◽

Healthcare Sector ◽

The Public ◽

Tertiary Healthcare ◽

The Government ◽

Political Communities ◽

One Year ◽

Legal Entities

The man by nature tries and develops his activity for a better, richer and happier life, which in its essence means fulfilling diversified material, spiritual and cultural needs. Government, social-political communities or public legal entities, contemporary entities and institutions with forms of organization, with mechanism, and their instruments based on laws, must offer an organized life and opportunities for fulfilling general and common needs. Up to date, theoretical and practical knowledge shows that basic needs (security, education, healthcare, protection, jurisprudence, etc.) can be fulfilled more easily, faster, and more successfully, more rationally and continually, with higher quantity and quality with better and fairer organizing of the state and of the public legal entities of the institutions that respond to requests on realization of the new social and economic order of the world. The healthcare sector in Kosovo is financed mainly on income taxes, taxes, and co-payments, whereas out-of-pocket private payments are very high and include about 40% of costs for healthcare services. The budget for healthcare allocated by the government in the year 2015 was in total 163,760,703 million €, whereas the participation of budget for healthcare out of Kosovo’s total budget is 9.73., and 2,79% of GLP, that provided 90.72 € per citizen within one year! PHC is financed through transfers from the central budget to municipalities on specific grant form, on the amount 42,085,036 € that includes 28 % of the budget provided for healthcare. SHC and THC are financed by the Ministry, and it includes over 72% of the budget provided for healthcare. (PHC-primary healthcare, SHC-secondary healthcare, THC- tertiary healthcare).

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An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management

International Journal of Research Foundation of Hospital and Health Care Administration ◽

10.5005/jp-journals-10035-1024 ◽

2014 ◽

Vol 2 (2) ◽

pp. 111-116

Author(s):

Poonam Chaudhary ◽

Pankaj Kaul

Keyword(s):

Patient Management ◽

Low Cost ◽

Healthcare Services ◽

Diagnostic Equipment ◽

Utilization Coefficient ◽

Medical Diagnostic ◽

Tertiary Healthcare ◽

Equipment Utilization ◽

Medium Cost ◽

Medical Equipments

ABSTRACT Equipment utilization management is the evaluation of the medical equipment necessity, appropriateness, and efficiency of the use in the healthcare services or procedures. The investment on an equipment is said to be a good one if it shows a utilization coefficient of 50% or above. The study was descriptive observational in nature and was conducted in the Histopathology Department, PGIMER, Chandigarh. The data for the entire year of 2012 was collected by studying various records of the department including purchase files, inventory registers, log books and service records of medical equipments. The results indicated that the Utilization Coefficients of various diagnostic equipments in the department of Histopathology, PGIMER, Chandigarh for the year 2012 were in the order of 58.1, 62.1 and 60.4% for high cost, medium cost and low cost equipments respectively. On an average, the utilization coefficient of medical equipments under study (Year 2012) of the Histopathology Department, PGIMER, Chandigarh, was found to be 60.2% (above 50%). This figure reflects that the budget spent on average medical diagnostic equipment in this department is very much justifiable. The study also showed that the cost incurred on various cost categories of diagnostic equipments, i.e. the low, medium and high cost equipments was also equally important. How to cite this article Chaudhary P, Kaul P. An Assessment of Diagnostic Equipment Utilization in a Tertiary Healthcare Setup: A Key to Economical Patient Management. Int J Res Foundation Hosp Healthc Adm 2014;2(2):111-116.

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Nurse competence in the interface between primary and tertiary healthcare services

Nursing Open ◽

10.1002/nop2.230 ◽

2018 ◽

Vol 6 (2) ◽

pp. 482-492 ◽

Cited By ~ 3

Author(s):

Ann‐Chatrin Linqvist Leonardsen ◽

Annette Bjerkenes ◽

Inga Rutherford

Keyword(s):

Healthcare Services ◽

Tertiary Healthcare ◽

Nurse Competence

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Nurses' perspectives on technical skill requirements in primary and tertiary healthcare services

Nursing Open ◽

10.1002/nop2.513 ◽

2020 ◽

Vol 7 (5) ◽

pp. 1424-1430

Author(s):

Ann‐Chatrin Linqvist Leonardsen ◽

Ina Kristin Blågestad ◽

Siri Brynhildsen ◽

Richard Olsen ◽

Lars Gunheim‐Hatland ◽

...

Keyword(s):

Healthcare Services ◽

Technical Skill ◽

Tertiary Healthcare ◽

Skill Requirements

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Strategic planning in a highly specialized orthopaedic institution

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh0902063v ◽

2009 ◽

Vol 137 (1-2) ◽

pp. 63-72 ◽

Cited By ~ 3

Author(s):

Zoran Vukasinovic ◽

Vesna Bjegovic-Mikanovic ◽

Radmila Janicic ◽

Dusko Spasovski ◽

Zorica Zivkovic ◽

...

Keyword(s):

Transition Period ◽

National Level ◽

Healthcare Services ◽

Strategic Objectives ◽

Maximum Effort ◽

Tertiary Healthcare ◽

The Impact ◽

Swot Analyses ◽

Descriptive Statistical Analysis

Introduction. The Institute for Orthopaedic Surgery 'Banjica' in Belgrade provides tertiary healthcare services on national level. After decades of constant development, a recent decline coincided with the decade of great social and governmental disturbance, the transition period after the dissociation of former Yugoslavia. Objective. In order to overcome the crisis, we used modern management methods to define problems in the institution management, and to propose appropriate strategies. Methods. A survey that included 100 employees (17.67%) was carried out, followed by descriptive statistical analysis, PEST and SWOT analyses. Results The impact of political fluctuations, ageing of population, financing model, obsolete medical technology was evaluated. Various personal and interpersonal factors were assessed: the quality of medical service (3.59?0.76, mark 1-5); relations among health service participants (3.39?0.78); occupational conditions (not good-91%); human, financial and other resources; professional cooperation, stimulation; rivalry and mobbing (declared in 56%); public informing, institution image (rank 3.70?0.88) and PR activities (new to 78%). 93% declared to give maximum effort at work. Conclusion. Using these results, we defined several strategic objectives. These include strengthening scientific activities, general orientation to specific and exclusive pathological conditions and treatment methods, improvement of management transparency, introduction of quality-based stimulation of workers, support of promotional and PR activities.

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e-Governance for Municipal Hospitals: Subsidy Vs Quality of Healthcare Services

10.28945/2561 ◽

2002 ◽

Author(s):

K. V. Ramani ◽

T. S. Lakhia

Keyword(s):

Health Sector ◽

Quality Of Healthcare ◽

Healthcare Services ◽

Quality Of Services ◽

Level Of Service ◽

Quality Healthcare ◽

Satisfactory Level ◽

Tertiary Healthcare ◽

Hospital Resources

Ahmedabad Municipal Corporation (AMC) in the state of Gujarat, India looks after the basic needs of its four million citizens. AMC offers primary, secondary, and tertiary healthcare services at subsidized rates. The load on AMC tertiary healthcare hospitals has been increasing rapidly, stretching the hospital resources beyond limits. Insufficient resources at these hospitals call for increased allocation of AMC funds to provide a satisfactory level of service. However, AMC is unable to allocate a larger share of its finances to the health sector owing to similar demand from other sectors. AMC authorities are therefore concerned about their ability to offer quality healthcare services at subsidized rates. In this paper, we describe a few e-Gov. applications to address and resolve the issues related to costs, revenues, subsidy, and the quality of services, so that AMC can meet its social obligations in the health sector satisfactorily. Some of our recommendations have been already implemented, while others are under consideration.

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