scholarly journals Improving the methods of organizational and technological design in the reconstruction of health facilities

2021 ◽  
Vol 258 ◽  
pp. 09057
Author(s):  
Konstantin Lyakhovsky ◽  
Alexander Arkhipov

Construction work in the conditions of existing health facilities requires compliance with increased requirements, which imposes additional restrictions on the application of known organizational and technological solutions, which in turn create a need to develop new or improve existing methods of organizational and technological design in the reconstruction of health facilities. In the development of organizational and technological documentation, it is necessary to take into account the fact that medical facilities are not classified as production facilities, although the restrictions for this type of facilities are very significant. The aim of the work is to improve the accuracy of calculations when planning the finishing (plaster) work in terms of labor costs. As a result of the study, based on the initial data, factors describing the limited workplace were identified, which will allow in subsequent studies to justify an increase in labor costs (reduced productivity) for working conditions in a limited space during the reconstruction of health facilities.

2016 ◽  
Vol 12 (1) ◽  
Author(s):  
Luh Putu Sinthya Ulandari ◽  
Putu Ayu Indrayathi

The implementation of credentialing program in JKN is different from the previous era, particularly for new medical facilities and medical provider of PT. Jamsostek and ASABRI. Therefore, this study aims at finding out the description associated with the process of credentialing implementation of the first-level health facilities from the perspective of PPK 1 and BPJS Kesehatan, Denpasar Branch. This research was conducted in January 2014 using qualitative approach. Data was collected through in-depth interviews to 11 medical facilities, as well as 2 executive credentialing teams from BPJS Kesehatan, Denpasar Branch. The subjects were selected purposively and the data was analyzed using thematic analysis. There are still some obstacles in the implementation of such credentialing program: there are still existing providers, especially TNI/Polri, which have the value below standard but are still contracted to serve JKN participants because the number is still relatively small. The new medical facilities have difficulty in self-assessment because there are many indicators that must be met, but the budget is limited. The study concludes that credentialing program has not yet fully applied the concept of managed care, thus regular monitoring to improve medical quality is needed.


2021 ◽  
Vol 92 ◽  
pp. 07011
Author(s):  
Ovidiu Andrei Cristian Buzoianu ◽  
Mihaela Diana Oancea Negescu ◽  
Victor Adrian Troaca ◽  
Carol Cristina Gombos

Research background: In the last two decades, labor markets around the world have become increasingly integrated. Political change and economic reforms have transformed China, India, Indonesia and the former communist bloc countries, effectively involving their consistent workforce in market economies. Purpose of the article: The aim of this paper is to offer globalization, a concept that identifies in the minds of many people with multinational companies and greedy capitalism and that would exploit anyone, a more humane image in terms of the beneficial effects it has on working conditions. Methods: As it becomes more and more a contemporary reality, globalization becomes the most controversial concept in the international economic and political literature. In order to write this article, a methodology was used based on the analysis of demographic and socio-economic statistics, analysis and interpretation of the literature, as well as conducting a case study on the impact of globalization of an emerging country, namely Indonesia. We live in a globalized world and yet there is still no consensus on what globalization means Findings & Value added: At the same time, the development of technologies, combined with the gradual removal of restrictions on cross-border trade and capital flows, have allowed production processes to be relocated away from target markets for an increasing number of products and services. The process of choosing the location of the production center has become more receptive to labor costs.


2020 ◽  
Vol 15 (3) ◽  
pp. 176-203
Author(s):  
Sergey Shishkin ◽  
Aleksandr Temnitsky

The paper presents the results of a study of changes in the salary schemes and working conditions of medical staff, their labor motivation and the compliance of these changes with the objectives of the so-called “effective”, performance-based, contract being introduced. The data from a set of surveys of employees at public medical facilities in 2009–2018 served as the empirical base of the study. It is shown that the introduction of the effective contract had changed the role of factors determining the salary of medical workers. Whereas earlier qualification had been the leading factor, afterwards it was the volume and quality of the work performed as well as the outcomes of a given medical institution or unit. Most doctors had increased the amount of work they do, and the secondary employment of medical staff had slightly been reduced. Survey data indicate quite a stable hierarchy of labor motives among medical workers, the leading ones being earning money, professional interest in work, and altruism. In 2018, the role of the guaranteed employment motive was elevated. Among the positive changes are an increase in the satisfaction of medical workers with the salary, conditions for advanced training, and rules of remuneration. The identified outcomes are generally consistent with the objectives of introducing the effective contract, and they allow one to argue that the new salary scheme has had a positive impact on the labor motivation of medical staff. However, the conclusion of an effective contract was noted by only half of respondents. For the rest, it all boiled down to an increase in salary. These results indicate serious failures in the administration of this reform.


Author(s):  
R. Viner

This series provides a selection of articles from the past. In Fifty years ago: ‘Occupational health: An employer’s view’ R. Viner briefly explores the need for healthier working conditions, such as reduced employee populations and proximity of medical facilities.


2018 ◽  
Vol 2018 ◽  
pp. 1-7 ◽  
Author(s):  
Samuel Harrenson Nyarko ◽  
Abdul Majeed Tahiru

Background. The kaya business is known to pose significant health-related risks to female migrants. This study sought to explore the health-related concerns of female head porters in the Mallam Atta market, Accra, Ghana. Methods. A qualitative study was conducted in which twenty female head porters at the Mallam Atta market in Accra were interviewed. A thematic analysis was performed and the emerging themes were presented and supported with quotations from the respondents. Results. Poor accommodation and eating habits, harsh working conditions, and lack of knowledge about health conditions exposed the respondents to several health-related concerns like neck pains, skin rashes, malaria, cholera, and stomach ache among other infections. The popular means of seeking health care was through purchasing drugs from pharmacies or drug peddlers instead of health facilities. Financial constraints, lack of faith in the National Health Insurance Scheme, and long waiting periods at the health facilities militated against seeking appropriate health care at the hospitals and clinics. Conclusion. Political willpower needs to be strengthened for poverty reduction strategies such as training of hairdressing, dress and soap making, and shea butter processing for women from the Northern regions in order to ameliorate their livelihoods and/or reduce migration to the south.


2019 ◽  
Vol 574 (7) ◽  
pp. 8-11
Author(s):  
Agata Krystosik-Gromadzińska

Occupational safety on ships during inland shipping is a complicated subject due to particular working conditions, quite different from those on land. Depending on the tasks carried out, the size and the technical state of the inland shipping ships, harmful and onerous factors include noise, vibrations, high or low temperature, as well as limited space of both workplaces and social rooms. The work on the inland shipping ships is also connected with the particular work time distribution. Since the age of the majority of inland shipping ships in Poland exceeds 50 years, occupational safety is a very serious issue. Working conditions largely rely on the owner’s due diligence and the crew’s sufficient work culture, whereas they should also come from suitable regulations.


Author(s):  
A. V Radkevych ◽  
M. I Netesa ◽  
A. M Netesa

Purpose. The urbanization development in the twenty-first century is characterized by increasing the share of multifunctional infrastructure complexes among the total volume of new and renovated construction. Projects with a developed stylobate part are characterized by significant demand, as well as placing parking lots in the space of underground floors. Such solutions make it possible to effectively use the underground space while minimizing the filling of 1–5 floors. The latter requirement is typical for the construction of historic centers, where urban restrictions regulate the maximum height of the building. The research is aimed at increasing the efficiency of works provided they are combined during the arrangement of underground phase of multifunctional complexes, which are built in the historic part of cities, in a densely built-up area and extremely limited space. Methodology. The authors reviewed the world experience in the installation of multifunctional complexes and introduced best practices in organizational and technological solutions during the development of design and technological documentation for the arrangement of underground phase of the object «New construction of a multifunctional complex with parking at 25 Volodymyra Vernadskoho Street, Dnipro.» The main construction processes of the underground phase arrangement in difficult conditions of compacted construction are considered and the critical elements during their design are determined. The technological sequence of performing related works by various contractors has been improved in order to create a time reserve and increase the reliability of the entire technological process. Findings. Organizational and technological solutions have been identified that allow combining construction and installation processes of underground phase of multifunctional complexes with a significant number of subcontractors under conditions of compacted construction, as well as under complex hydrogeological conditions or during construction in the historic buildings of the central part of cities. Originality. The authors for the first time conducted research in the field of underground phase arrangement given the location of construction equipment in the limited space of the construction site in the historic part of Dnipro and proposed a number of solutions to increase the reliability of the main construction process. Practical value. Based on the results obtained, one can correct the location of construction equipment and determine the rational sequence of construction and installation works, as well as predict the further development of construction technology. These studies can be useful during the study of disciplines «Technology of Construction Production», «Technology of special works», for the organization of scientific and practical seminars, refresher courses and more.


Author(s):  
Md. Abdul Ahad ◽  
Farjana Eleen ◽  
Mitu Chowdhury

In Bangladesh, children are working under hazardous condition due to the necessity that pushes them to labour. The present study is an attempt to explore the socio-economic conditions of child labourers, working conditions as well as employer’s views regarding child labours of Sylhet city. The study was conducted through personal interview with 70 child labourers and 50 employers. The simple random sampling procedure was used to select respondents. The study reveals that 48% cannot read and write. In case of occupation, 20% are automobile worker, 18% are rickshaw puller and 13% are domestic labor. About 64% of child labourers are landless, and 40% of the child labourer's monthly income rages from 600-1000 Taka as well as 40% are dependent on employer’s convenience. About 45% child labourer's working in hazardous environment and 76% are working 11 or more hours per day. Safeguard and medical facilities from owner’s side are not satisfactory. According to employers view, 32% and 28% recruit child labourers because of their obedience and availability of child workers respectively. Most of the employer’s (46%) recruit child labourer through the help of worker’s parents/relatives. Almost all of the employers revealed that they do not provide medical, transportation, even training facilities to the child labourers. But 84% of the employers provide foods during work time. The above data are clearly reflecting the hazardous circumstances of child labourers. Finally, areas and context-specific data are essential to raise awareness against child labour and also for future policies and effective surveillance initiatives.


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