scholarly journals Improving the quality of acute inpatient care

2010 ◽  
Vol 19 (4) ◽  
pp. 287-290 ◽  
Author(s):  
Paul Lelliott ◽  
Sarah Bleksley
Keyword(s):  
Health Service ◽  
Inpatient Care ◽  
Review Process ◽  
Mental Healthcare ◽  
Acute Admission ◽  
National Surveys ◽  
The Past ◽  
Weakest Link ◽  
Per Capita

AbstractOver the past ten years, the National Health Service in England has introduced home treatment teams throughout the country. Despite this, and the fact that England now has the fourth lowest number of beds per capita in Europe, no mental health service has been able to dispense with acute admission beds altogether. One unintended consequence of new investment in community alternatives to inpatient care is that the threshold for admission has risen and acute wards now accommodate a patient group that is more severe with regard to levels of disturbance and social disadvantage. This has compounded the challenge of providing high quality inpatient care and repeated national surveys suggest that acute admission wards are the weakest link in the English mental healthcare system. In response to this, the Royal College of Psychiatrists has established an accreditation scheme for acute admission wards. Only 22 of the first 132 wards to have completed the review process so far are considered to be excellent. Although 59 wards (45% of the total) failed to meet one or more essential standard, 43 of these were able to rectify the problem.Declaration of Interest: None.

scholarly journals The Relationship Of Demand Utilization Of Health Service With Patient Satisfaction At Inpatient Care Unit Of Anuntaloko General Hospital

2020 ◽  
Vol 10 (1) ◽  
pp. 1-12
Author(s):  
Dwi Sitti Oktania
Keyword(s):  
Patient Satisfaction ◽  
Health Service ◽  
Service Quality ◽  
General Hospital ◽  
Inpatient Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Referral Center

Hospital is a comprehensive form of health service institution, includes aspects of promotive, preventive, curative and rehabilitation, as well as a public health referral center. Demand on healthcare service theory consists of revenue, visit cost and  service quality. Anuntaloko Regional General Hospital Parigi Moutong Regency is a referral center and regionalization hospital in Central Sulawesi Province, which the number of visits in 2016 to 2018 in a row were 19.186, 10.971 and 12.954. The study was purposed to determined Relation Between Requests for Use of Health Service and Patient Satisfaction on Inpatient Care Unit at Anuntaloko Regional General Hospital Parigi Moutong Regency. This was a quatitative analysis research with the cross sectional study approach. The population was patients on Inpatient Care Unit of Anuntaloko Regional General Hospital which amounted to 12.954 sampels and through purposive sampling technique. Data was analyzed univariate and bivariate variables using Chi-Square Test. The results showed that there are relation between revenue (p=0,002), visit cost (p=0,002) and service quality (p=0,000) with patients satisfaction on Inpatient Care Unit at Anuntaloko Regional General Hospital Parigi Moutong Regency. The Anuntaloko Regional General Hospital Parigi Moutong Regency is expected to observe routinly so that maintaining the service quality of the good things and improving the service quality of the lack variabels.

scholarly journals Factors Affecting the Perceived Quality of Service and Patient Satisfaction on Inpatient Care of Nabire Hospital Papua

2020 ◽  
Author(s):  
Agustina Utii ◽  
◽  
Bhisma Murti ◽  
Yulia Lanti Retno Dewi ◽  
Priscilla Jessica Pihahey ◽  
...  
Keyword(s):  
Public Health ◽  
Patient Satisfaction ◽  
Health Insurance ◽  
Length Of Stay ◽  
Health Service ◽  
Inpatient Care ◽  
Patient Perception ◽  
Factors Affecting ◽  
Good Patient

ABSTRACT Background: The government’s efforts to improve public health level are by providing excellent health service facilities, including promotion, preventive, curative, and rehabilitative. The outcome of quality health service can be measured by patient perception and satisfaction. This study aimed to examine factors affecting the perceived quality of service and patient satisfaction on inpatient care of Nabire Hospital, Papua, Indonesia. Subjects and Method: A cross-sectional study was carried out at Nabire regional hospital, Papua, Indonesia, from March to Mey 2020. A sample of 207 inpatients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were age, income, and length of stay type class health insurance, working, and patient perception toward doctor, nurse, and inpatients facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Inpatients satisfaction decreased with age ≥50 years (OR= 0.72; 95% CI= 0.24 to 2.65; p= 0.720), income ≥Papua minimum wage (OR= 0.77; 95% CI= 0.22 to 2.73; p= 0.685), and length of stay ≥7 days (OR= 0.13; 95% CI= 0.03 to 0.53; p= 0.004). Inpatients satisfaction increased with class 2 and 3 (OR= 1.15; 95% CI= 0.43 to 3.07; p= 0.773), non national health insurance (OR= 1.21; 95% CI= 0.46 to 3.23; p= 0.700), working (OR= 2.13; 95% CI= 0.58 to 7.85; p= 0.258), good patient perception toward doctor (OR= 3.03; 95% CI= 1.15 to 7.99; p<0.001), good persepsi patient perception toward nurse (OR= 4.04; 95% CI= 1.15 to 14.17; p<0.001), and patient perception toward inpatients facilities (OR= 26.8; 95% CI= 11.0 to 65.32; p<0.001). Conclusion: Inpatients satisfaction decreases with age ≥50 years, income ≥Papua minimum wage, and length of stay ≥7 days. Inpatients satisfaction increases with class 2 and 3, non national health insurance, working, good patient perception toward doctor, good persepsi patient perception toward nurse, and patient perception toward inpatients facilities. Keywords: inpatients satisfaction, patient perception, health insurance Correspondence: Agustina Utii. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 081240051451. DOI: https://doi.org/10.26911/the7thicph.04.46

Successful authors’ views on the editorial review processes of accounting journals

2015 ◽  
Vol 27 (4) ◽  
pp. 411-437 ◽  
Author(s):  
Ralph W. Adler ◽  
Gregory Liyanarachchi
Keyword(s):  
Review Process ◽  
Content Type ◽  
The Past ◽  
Public Scrutiny ◽  
And Performance ◽  
Editorial Review ◽  
Editorial Decisions ◽  
Past Experiences ◽  
Geographical Locations

Purpose – The purpose of this paper is to report successful authors’ views about the editorial review processes of a set of 42 accounting journals. The two main objectives are: to enlighten editors and journal publishers in their quest to improve their journals’ editorial review processes and to inform prospective authors about the past experiences successful authors have had with the 42 accounting journals. Design/methodology/approach – A Webmail survey was used to collect data about authors’ experiences with publishing in one of the 42 accounting journals. A total of 856 responses (40 per cent response rate) was received. Various statistical analyses were used to explore a range of editorial review process features, including the timeliness of editorial feedback, timeliness of publishing accepted manuscripts, quality of the feedback provided and performance of the editor. Findings – Authors were found to be generally quite satisfied with the editorial review processes of the journals in which they published. There were, however, notable leaders and laggards observed among the 42 journal titles. The survey findings also revealed that many journals use the practice of basing their editorial decisions on the comments of a single reviewer. In fact, this practice is most prevalent among the journals that are commonly perceived as the field’s “top” journals. These and other editorial review results – for example, comparisons between journal-tiers, geographical locations of editorial review offices and journal specialties – are discussed. Originality/value – This paper extends and moves well beyond Adler and Liyanarachchi (2011), by exploring such additional author perceptions of the editorial review process as the performance of journal editors, the use of multiple reviewers and reviewers’ reporting of the typical faults/weaknesses in the papers they read. Exposing to public scrutiny an academic discipline’s editorial review processes is quite common in some fields of research, most notably medicine. Doing so in the accounting discipline addresses a need that many of the respondents felt was highly necessary and long overdue. While authors will benefit from the paper’s insights, editors and publishers are expected to as well.

scholarly journals Out of the shadows: mental health of Canadian armed forces veterans

2014 ◽  
Vol 11 (4) ◽  
pp. 85-87 ◽  
Author(s):  
James M. Thompson ◽  
Mark A. Zamorski ◽  
Deniz Fikretoglu ◽  
Linda VanTil ◽  
Jitender Sareen ◽  
...  
Keyword(s):  
Mental Health ◽  
Mental Health Service ◽  
Health Service ◽  
Population Studies ◽  
Armed Forces ◽  
The Public ◽  
National Surveys ◽  
The Past ◽  
Canadian Armed Forces

In the past 15 years in Canada, as in other nations, the mental health of veterans has emerged as a key concern for both government and the public. As mental health service enhancement unfolded, the need for wider population studies became apparent. This paper describes the renewal of services and key findings from national surveys of serving personnel and veterans.

JAVA Revises Peer-Reviewer Guidelines

2006 ◽  
Vol 11 (2) ◽  
pp. 98-100
Author(s):  
Deborah Richardson ◽  
Tom Vesely ◽  
Nancy Costa ◽  
Stephanie Dean ◽  
Nancy Moureau ◽  
...  
Keyword(s):  
Vascular Access ◽  
Review Process ◽  
The Past ◽  
Peer Reviewers ◽  
New Guidelines

Abstract When a manuscript is submitted to the Journal of the Association for Vascular Access (JAVA). it undergoes a stringent review process by two to three peer reviewers who are experts in the field of vascular access. To ensure that authors are provided the most helpful review possible, JAVA's Publications Committee felt that an assessment of reviewer guidelines used in the past several years was in order. Therefore, a small taskforce of members from JAVA's Publications Committee reviewed the existing guidelines and, over a three-month period, updated them. The goal of these revised guidelines is for peer reviewers to be able to provide authors with highly detailed and informative reviews. For reviewers, the new guidelines will clarify the type of information required in a review, which in turn, will generate more detailed feedback for the authors. Both authors and JAVA reviewers will find these new guidelines important because they will ultimately improve the quality of the manuscripts published in the Journal.

scholarly journals Diversity and choice in mental healthcare

2011 ◽  
Vol 35 (12) ◽  
pp. 443-444 ◽  
Author(s):  
Philip Sugarman
Keyword(s):  
Quality Of Care ◽  
National Health Service ◽  
Health Service ◽  
Mental Healthcare ◽  
Economic Changes ◽  
Clear Cut ◽  
Vulnerable People ◽  
Working Together ◽  
The Uk

SummaryIndependent sector psychiatrists believe that they work hard for the benefit of vulnerable people. Differences between them and National Health Service colleagues are not clear cut in terms of motivation or quality of care. However, unfair generalisations are made about the diverse ‘private sector’, with selective comparison such as with the worst of US healthcare. Although there are many examples of excellence in the UK state, commercial and charity sectors, global economic changes are bringing risk of care failures from which no area can be immune. We should all be working together to protect our patients from the mistakes of others.

Preventable Causes of Death versus Infant Mortality as an Indicator of the Quality of Health Services

1986 ◽  
Vol 16 (4) ◽  
pp. 553-563 ◽  
Author(s):  
Carol Buck ◽  
Shelley Bull
Keyword(s):  
Health Outcome ◽  
Infant Mortality ◽  
Health Service ◽  
Causes Of Death ◽  
Developed Countries ◽  
Practitioner Training ◽  
Quality Of Health Services ◽  
Per Capita ◽  
Highly Correlated

We have made a preliminary comparison of infant mortality with the preventable causes of death proposed by Rutstein and colleagues, as indicators of the quality of health care. Two analyses were carried out. The first analysis compared the correlations of infant mortality and of the preventable deaths with four health service variables in 17 developed countries. Infant mortality was more highly correlated with the health service variables and less highly correlated with per capita income in comparison with the preventable deaths. The second analysis examined correlations of the two mortality indicators with variables reflecting the quality of general practitioner training in England. Here again, infant mortality appeared to be more sensitive, although reasons for regarding this result with caution are emphasized. Suggestions are made for further research on the concept of preventable mortality as a health outcome indicator.

Immunoferritin localization of intracellular antigens in positively stained frozen sections

1978 ◽  
Vol 36 (2) ◽  
pp. 168-169
Author(s):  
K. T. Tokuyasu
Keyword(s):  
Surface Tension ◽  
Water Surface ◽  
Thin Layers ◽  
The Other ◽  
Positive Staining ◽  
Frozen Sections ◽  
The Past ◽  
Ultrathin Frozen Sections ◽  
Definition Of

During the past investigations of immunoferritin localization of intracellular antigens in ultrathin frozen sections, we found that the degree of negative staining required to delineate u1trastructural details was often too dense for the recognition of ferritin particles. The quality of positive staining of ultrathin frozen sections, on the other hand, has generally been far inferior to that attainable in conventional plastic embedded sections, particularly in the definition of membranes. As we discussed before, a main cause of this difficulty seemed to be the vulnerability of frozen sections to the damaging effects of air-water surface tension at the time of drying of the sections.Indeed, we found that the quality of positive staining is greatly improved when positively stained frozen sections are protected against the effects of surface tension by embedding them in thin layers of mechanically stable materials at the time of drying (unpublished).

Exercise Capacity in Chronic Heart Failure

2012 ◽  
Vol 9 (1) ◽  
pp. 57-60 ◽  
Author(s):  
Gina G Mentzer ◽  
Alex J Auseon
Keyword(s):  
Quality Of Life ◽  
Heart Failure ◽  
Exercise Training ◽  
Exercise Capacity ◽  
Positive Impact ◽  
Pharmacologic Therapy ◽  
The Past ◽  
Diagnosis And Prognosis ◽  
Future Therapy

Heart failure (HF) affects more than 5 million people and has an increasing incidence and cost burden. Patients note symptoms of dyspnea and fatigue that result in a decreased quality of life, which has not drastically improved over the past decades despite advances in therapies. The assessment of exercise capacity can provide information regarding patient diagnosis and prognosis, while doubling as a potential future therapy. clinically, there is acceptance that exercise is safe in hf and can have a positive impact on morbidity and quality of life, although evidence for improvement in mortality is still lacking. specific prescriptions for exercise training have not been developed because many variables and confounding factors have prevented research trials from demonstrating an ideal regimen. Physicians are becoming more aware of the indices and goals for hf patients in exercise testing and therapy to provide comprehensive cardiac care. it is further postulated that a combination of exercise training and pharmacologic therapy may eventually provide the most benefits to those suffering from hf.

Bioethics In Neurospinal Patient Care

2018 ◽  
Vol 1 (2) ◽  
pp. 1
Author(s):  
Andi Asadul Islam
Keyword(s):  
Time Frame ◽  
Hippocratic Oath ◽  
Moral Vision ◽  
Human Identity ◽  
The Past ◽  
Harvey Cushing ◽  
Sharp Focus ◽  
Realistic Approach ◽  
Cord Injury

Neurosurgery is among the newest of surgical disciplines, appearing in its modern incarnation at the dawn of twentieth century with the work of Harvey Cushing and contemporaries. Neurosurgical ethics involves challenges of manipulating anatomical locus of human identity and concerns of surgeons and patients who find themselves bound together in that venture.In recent years, neurosurgery ethics has taken on greater relevance as changes in society and technology have brought novel questions into sharp focus. Change of expanded armamentarium of techniques for interfacing with the human brain and spine— demand that we use philosophical reasoning to assess merits of technical innovations.Bioethics can be defined as systematic study of moral challenges in medicine, including moral vision, decisions, conduct, and policies related to medicine. Every surgeon should still take the Hippocratic Oath seriously and consider it a basic guide to follow good medical ethics in medical practice. It is simple and embodies three of the four modern bioethics principles – Respecting autonomy, beneficence, nonmaleficence, and justice.Spinal cord injury (SCI) is a devastating condition often affecting young and healthy individuals around the world. Currently, scientists are pressured on many fronts to develop an all-encompassing “cure” for paralysis. While scientific understanding of central nervous system (CNS) regeneration has advanced greatly in the past years, there are still many unknowns with regard to inducing successful regeneration. A more realistic approach is required if we are interested in improving the quality of life of a large proportion of the paralyzed population in a more expedient time frame.

Sign in / Sign up

Export Citation Format

Share Document