PHP60 Outcomes of Integrated Medical Care Service Provided in Outpatient Units in a Medical Center: Two-Year Experience

The study described in this paper aimed to determine a funding model for an after-hoursprimary medical care service in the rural town of Moe, a socioeconomicallydisadvantaged area of Victoria suffering the rigours of industry restructuring andprivatisation. It has 12.5 equivalent full-time general practitioners servicing 21- 966persons.A break-even analysis of the financial viability compared the expected costs ofproviding the service with the anticipated income. A mixed funding model isrecommended. This would incorporate a general practitioner incentive scheme andState Government underwriting of infrastructure and basic non-medical staffing costsduring the business development phase to supplement the income from the HealthInsurance Commission.

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State-Funded Comprehensive Primary Medical Care Service Programs for Medically Underserved Populations: 1995 vs 2000

American Journal of Public Health ◽

10.2105/ajph.2002.003723 ◽

2005 ◽

Vol 95 (2) ◽

pp. 254-259

Author(s):

Sara Wilensky ◽

Sara Rosenbaum ◽

Dan Hawkins ◽

Heather Mizeur

Keyword(s):

Medical Care ◽

Underserved Populations ◽

Care Service ◽

Medically Underserved ◽

Primary Medical Care ◽

Service Programs ◽

Medically Underserved Populations ◽

Medical Care Service

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Alcohol intoxication: evaluation of the population appealability and emergency medical care in Kazan

Kazan medical journal ◽

10.17750/kmj2017-243 ◽

2017 ◽

Vol 98 (2) ◽

pp. 243-247

Author(s):

V L Paykov ◽

E I Zamaleeva ◽

D A Zhukov ◽

O L Chernova

Keyword(s):

Medical Care ◽

Emergency Care ◽

Alcohol Intoxication ◽

Care Service ◽

Medical Personnel ◽

Urgent Care ◽

Emergency Medical Care ◽

Calendar Time ◽

Emergency Medical ◽

Medical Care Service

Aim. To study population appealability for emergency medical care with alcohol intoxication as well as the features of medical care service for them in Kazan at modern stage. Methods. The data from emergency call cards from 2015 with the diagnosis «alcohol intoxication» (form No.11/u) were studied. A survey of 271 responders (medical personnel of mobile teams of emergency care and admission departments of the hospitals) of medical care service for people with alcohol intoxication in the streets was performed. Results. In the structure of performed calls for adult popultion the ratio of patients who called an ambulance because of alcohol intoxication was 2.1% and because of the need for urgent care - 5.7%. Males were more prevalent than females: 82.1 and 17.9% respectively. Predominantly people younger than 60 years appealed: among males 82.7%, among females - 79%. Maximum appealability was registered in July (7.4 calls per 10 000 adults); during the week - on Saturday (11.9 per 10 000 adults), and during the day - during the period from 5 to 6 pm. The survey of the teams of ambulances and admission departments demonstrated the need for re-establishment of medical sobering-up stations (83.5 and 80% respectively) and more rarely the responders suggested development of specialized medical departments and active delivery of people with alcohol intoxication to specialized institutions involving law enforcement officials and personnel of specialized sobering-up stations (13 and 14.3% respectively). Conclusion. In the structure of the calls performed by emergency care stations the ratio of patients who called an ambulance because of alcohol intoxication among adults was 2.1% and because of the need for urgent care - 5.7%; the appealability was affected by sex, age and calendar time; analysis of the survey results demonstrated the need for re-establishment of recently closed medical sobering-up stations and for development of specialized medical departments.

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BURNOUT SYNDROME IN NURSING PROFESSIONALS OF EMERGENCY MEDICAL CARE SERVICE

Revista de Pesquisa Cuidado é Fundamental Online ◽

10.9789/2175-5361.2012.v4i4.3125-3135 ◽

2012 ◽

Vol 4 (4) ◽

pp. 3125-3135

Author(s):

Márcia Astrês Fernandes ◽

Fábbio Kleyton de Sousa ◽

Jairo Silva dos Santos ◽

Joiciane de Andrade Rodrigues ◽

Maria Helena Palucci Marziale

Keyword(s):

Medical Care ◽

Care Service ◽

Burnout Syndrome ◽

Emergency Medical Care ◽

Emergency Medical ◽

Medical Care Service ◽

Nursing Professionals

Objetivo: Identificar a presença da Síndrome de Burnout nos profissionais de enfermagem do Serviço de Atendimento Móvel de Urgência de Teresina - Piauí. Método: Trata-se de um estudo quantitativo e descritivo. Os sujeitos foram 17 Enfermeiros e 33 Auxiliares/Técnicos de Enfermagem. Utilizou-se o instrumento de Maslach Burnout Inventary (MBI) e um questionário sócio demográfico e profissional. Resultados: Os resultados apontaram que a maioria dos profissionais apresenta graus de baixo a moderado em relação às dimensões da Síndrome, não evidenciando a presença da doença. Conclusão: Se faz necessária a adoção de medidas preventivas e estratégias de minimização do estresse laboral, para melhorar a qualidade de vida no ambiente de trabalho e a saúde do trabalhador.Descritores: Burnout, Enfermagem, Urgência, Emergência.

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