scholarly journals The impacts of private hospital entry on the public market for elective care in England

2020 ◽  
Vol 73 ◽  
pp. 102353
Author(s):  
Elaine Kelly ◽  
George Stoye
Keyword(s):  
Private Hospital ◽  
The Public ◽  
Public Market ◽  
Hospital Entry

scholarly journals Hygienic-sanitary conditions of food sold in the public market and open market in the municipality of Arapiraca-AL

2020 ◽  
Vol 12 (4) ◽  
pp. 29-43
Author(s):  
Lucineide Santos da Silva ◽  
Claudimary Bispo dos Santos
Keyword(s):  
Open Market ◽  
Check List ◽  
The Public ◽  
Public Market ◽  
Sanitary Conditions

As feiras e mercados públicos oferecem diversos produtos e serviços em um único local, revelam hábitos e manifestações culturais, sendo de grande importância sócio-econômico-cultural para o município. Porém, os alimentos muitas vezes são comercializados em condições que propiciam a contaminação por microrganismos quando não são adotadas práticas adequadas de manipulação e exposição. Sendo assim, o objetivo deste estudo foi avaliar as condições higiênico-sanitárias dos alimentos perecíveis comercializados na feira livre e no mercado público do município de Arapiraca-AL. Foram realizadas duas visitas semanais em dezembro/2018, uma visita no Mercado Público, e a outra na feira livre, que ocorre no dia de segunda-feira, localizada nas ruas próximas ao Mercado Público. Os alimentos avaliados foram frutas e hortaliças, carnes e pescados, através de um roteiro de inspeção (check-list) baseado na Resolução da Diretoria Colegiada – RDC nº 216/2004 da Agência Nacional de Vigilância Sanitária – ANVISA, cujos itens selecionados foram condições de comercialização, condições de armazenamento, condições de higiene dos manipuladores e das instalações. Na maioria dos aspectos avaliados, principalmente na feira livre, os resultados foram insatisfatórios, devido ao não cumprimento das normas vigentes. Conclui-se que a feira livre não possui estrutura mínima para que possam ser aplicadas as normas higiênico-sanitárias na venda de carnes e pescados e o mercado público apesar de ter uma melhor infraestrutura, os feirantes desrespeitam essas normas.

scholarly journals SASOCP position statement on the pharmacist’s role in antibiotic stewardship 2018

2018 ◽  
Vol 33 (1) ◽  
pp. 28-35 ◽  
Author(s):  
N. Schellack ◽  
E. Bronkhorst ◽  
R. Coetzee ◽  
B. Godman ◽  
A. G. S. Gous ◽  
...  
Keyword(s):  
South African ◽  
Private Hospital ◽  
Behavioural Change ◽  
Position Statement ◽  
African Society ◽  
South African Society ◽  
The Public ◽  
Monitoring Strategies ◽  
Life Saving ◽  
Prescribed Medicines

Antibiotics are the most commonly prescribed medicines in global healthcare practice today. Their effectiveness is crucial and often life-saving in humanity’s battle against pathogens and infectious diseases. Antibiotic/antimicrobial stewardship strategies and programmes have become vital to the preservation of effective antibiotics and the optimisation of their use. The South African Society of Clinical Pharmacy (SASOCP) has written this guideline to outline the importance, role and purpose of pharmacists in such stewardship programmes, both in the public, as well as the private hospital sectors in South Africa. It also provides an overview of various approaches to antibiotic preservation, behavioural change, stewardship measures, and monitoring strategies.

Assessing performance-use preferences through an institutional logics lens

2019 ◽  
Vol 32 (1) ◽  
pp. 2-20
Author(s):  
Benard Ngoye ◽  
Vicenta Sierra ◽  
Tamyko Ysa
Keyword(s):  
Public Sector ◽  
Performance Measurement ◽  
Institutional Logics ◽  
Content Type ◽  
The Public ◽  
Measurement Systems ◽  
Cognitive Frames ◽  
Public Market ◽  
Theoretical Predictions ◽  
Performance Measurement Systems

PurposeThe purpose of this paper is to examine the influence of shared cognitive frames, in particular, that of institutional logics, on the deployment and use of performance measurement systems (PMSs) in the public sector.Design/methodology/approachUsing novel priming techniques derived from behavioral and social psychology, three institutional logics – the public, market-managerial and professional logics – are differentially surfaced in three independent experimental groups. The influence of these primed institutional logics on performance measurement use preferences are then empirically assessed using appropriate analysis of variance techniques.FindingsContrary to theoretical predictions, the paper reveals logic congruence regarding some uses of PMSs in the public sector, and divergence regarding others. Individuals applying a public logic were more likely to propose performance measurement use for strategic planning or strategic alignment; while those applying a professional logic were more likely to propose performance measurement use for learning, compared to otherwise primed individuals.Research limitations/implicationsConsidering the sample size and the novelty of the priming tools, it is feasible that other potentially significant effects may have been missed.Originality/valueThe paper addresses a gap in literature regarding the influence of shared cognitive frames on performance measurement use in public sector organizations. The paper further presents priming techniques embedded within an experimental design as an appropriate method for the micro-level study of attitudes, preferences and judgments in the public sector.

Constraints of Time

2016 ◽  
Author(s):  
Gergely Baics
Keyword(s):  
Seasonal Cycles ◽  
Problem Of Time ◽  
Public Markets ◽  
The Public ◽  
Food Shopping ◽  
Public Market ◽  
New Yorkers

This chapter addresses the problem of time by examining the temporal geography of household provisioning. It scrutinizes the seasonal, weekly, and daily schedules of food shopping, outlining how complementary rhythms provided steady supplies to customers, while also sustaining permanent and stable trade at the public markets. The provisioning journey was structured not only by the distance one traveled to the public market but also by the conjunctures of time. Just as public markets distributed all varieties of foodstuffs to New Yorkers at a dozen privileged locations, their year-round business agglomerated food supplies of widely different seasonal cycles. Not surprisingly, seasonality first and foremost determined the frequency of residents' marketing visits.

scholarly journals Sedation/Analgesia Administration Practice Varies according to Endoscopy Facility (Hospital- or Office-Based) Setting: Results from a Nationwide Survey in Greece

2020 ◽  
Vol 2020 ◽  
pp. 1-9
Author(s):  
Georgios Tziatzios ◽  
Dimitrios N. Samonakis ◽  
Theocharis Tsionis ◽  
Spyridon Goulas ◽  
Dimitrios Christodoulou ◽  
...  
Keyword(s):  
Airway Management ◽  
Public Hospital ◽  
Private Hospital ◽  
Life Support ◽  
Advanced Life Support ◽  
Nationwide Survey ◽  
Web Based ◽  
The Public ◽  
Management Techniques ◽  
The Impact

Objectives. To examine the impact of endoscopy setting (hospital-based vs. office-based) on sedation/analgesia administration and to provide nationwide data on monitoring practices among Greek gastroenterologists in real-world settings. Material and Methods. A web-based survey regarding sedation/analgesia rates and monitoring practices during endoscopy either in a hospital-based or in an office-based setting was disseminated to the members of the Hellenic Society of Gastroenterology and Professional Association of Gastroenterologists. Participants were asked to complete a questionnaire, which consisted of 35 items, stratified into 4 sections: demographics, preprocedure (informed consent, initial patient evaluation), intraprocedure (monitoring practices, sedative agents’ administration rate), and postprocedure practices (recovery). Results. 211 individuals responded (response rate: 40.3%). Propofol use was significantly higher in the private hospital compared to the public hospital and the office-based setting for esophagogastroduodenoscopy (EGD) (85.8% vs. 19.5% vs. 10.5%, p<0.0001) and colonoscopy (88.2% vs. 20.1% vs. 9.4%, p<0.0001). This effect was not detected for midazolam, pethidine, and fentanyl use. Endoscopists themselves administered the medications in most cases. However, a significant contribution of anesthesiology sedation/analgesia provision was detected in private hospitals (14.7% vs. 2.8% vs. 2.4%, p<0.001) compared to the other settings. Only 35.2% of the private offices have a separate recovery room, compared to 80.4% and 58.7% of the private hospital- and public hospital-based facilities, respectively, while the nursing personnel monitored patients’ recovery in most of the cases. Participants were familiar with airway management techniques (83.9% with bag valve mask and 23.2% with endotracheal intubation), while 49.7% and 21.8% had received Basic Life Support (BLS) and Advanced Life Support (ALS) training, respectively. Conclusion. The private hospital-based setting is associated with higher propofol sedation administration both for EGD and for colonoscopy. Greek endoscopists are adequately trained in airway management techniques.

Personality disorder among first ever admissions to an Irish public and private hospital

1996 ◽  
Vol 13 (1) ◽  
pp. 6-8 ◽  
Author(s):  
John M Cooney ◽  
Conor K Farren ◽  
Anthony W Clare
Keyword(s):  
Personality Disorder ◽  
Personality Disorders ◽  
Private Hospital ◽  
Psychiatric Morbidity ◽  
Psychiatric Hospitals ◽  
Private Institutions ◽  
Public And Private ◽  
The Public ◽  
True Prevalence ◽  
Significant Difference

AbstractObjective: The identification of personality disorder among psychiatric in-patients is important because of the effect on the course and outcome of illness. The introduction of a multiaxial approach to diagnosis, has resulted in a higher than previously reported rate of occurrence of personality disorder in a variety of psychiatric settings. A prevalence of personality disorder of 4.9% is reported in the official statistics for Irish psychiatric hospitals. The aim of this study is to determine the true prevalence of personality disorders in two Irish psychiatric hospitals, one public and one private, using a multiaxial approach to diagnosis.Methods: The Standardised Assessment of Personality (SAP) is a validated, semistructured, informant based instrument that reliably generates diagnoses of personality disorder irrespective of current mental state. Over a four month period, 78 consecutive, first ever admissions to two hospitals were examined using the SAP.Results: The prevalence of personality disorder in this population was 26%. There was no significant difference in the rate of personality disorder between the public and private institutions.Conclusions: The prevalence of personality disorder amongst in-patients in both public and private psychiatric hospitals in Ireland is far higher than previously reported. This highlights the importance of a multiaxial approach to diagnosis in order to establish the true extent of psychiatric morbidity.

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