scholarly journals Personnel imbalance and ways to overcome it in the healthcare sector

2021 ◽  
Vol 101 ◽  
pp. 02025
Author(s):  
Eleonora Chernenko ◽  
Inna Lebedeva

The National Healthcare Project, which has been implemented in our country since 2019, includes eight federal projects aimed at developing individual elements of the industry. The federal project "Providing medical organizations of the healthcare system with qualified personnel" is the connecting link of all eight projects. It involves the elimination of the shortage of doctors and nurses in polyclinics, the staffing of medical workers by 95% and an increase in the number of doctors by 10% by the end of 2024. Without a sufficient number of specialists in the industry, its effective work is impossible. The surge in the incidence of coronavirus infection has become another challenge for the healthcare industry and exacerbated the problem of staff shortages. To solve the personnel problem, first of all, it is necessary to understand the reasons for the imbalance, to understand the incentives of young people who have just come to receive education and in the labor motives and doctors already working in the industry, to know the reasons that force them to leave the profession. The article presents the results of a study of factors-motivators of medical students, as well as medical workers.

Think India ◽  
2014 ◽  
Vol 17 (1) ◽  
pp. 1-7
Author(s):  
Vedantam Leela

Social Responsibility initiatives are the indispensible strategies for governance and this applies equally well in the field of Corporate framework also. In the recent times, the corporate houses other than healthcare industry, evidently demonstrated that strategic balance among social, environmental, and commercial goals can be accomplished. Corporate hospitals contemporary functioning rests on the anarchic assumptions that healthcare industry functions on the notion that what is good for patients or society cannot be good for business. At a time when patients are overexposed to medical procedures and medical treatment is within the reach of affordability of only those who are well insured, there arises a question,is it not essential for corporate hospitals to adopt CSR initiatives. An important corollary question, that also needs to be examined, is whether and for what reasons CSR initiatives must be nurtured by Corporate Hospitals. Drawing up from the existing research studies on CSR in corporate hospitals in Indian scenario i.e., corporate hospitals and healthcare sector, this paper (i) undertakes a thorough examination of the CSR initiatives needs a thorough examination, (ii) examines the implications of modelling of CSR in corporate hospitals so as to create a right balance between their social and economic objectives, (iii) to this extent, the paper hypothesizes that (a) employee costs of corporate hospitals may positively increase due to CSR initiatives, (b) profit maximization i.e. positive increases due to CSR initiatives, and (c) the degree of workforce efficiency positively increases sales turnover due to CSR initiatives.


2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Razan Nour ◽  
Kerry Jobling ◽  
Alasdair Mayer ◽  
Salma Babikir

Abstract Background Otolaryngology (ENT), plastic surgery, ophthalmology and dermatology are medical specialties which tend to receive less coverage in UK medical school curricula compared to larger, generalist specialties. As a result, there are fewer opportunities for medical students to learn and to cultivate an interest. There are numerous papers that report concerns about junior doctors’ ability to manage conditions within these specialties, which may jeopardise patient safety. The aim of our pilot project was to increase medical students’ interest and knowledge of ENT, plastic surgery, ophthalmology and dermatology. In addition to describing our project, we present and discuss literature on UK undergraduate education in these specialties and its impact on preparedness of junior doctors and future career choices. Methods One hundred twelve final year medical students at Newcastle University were invited to take part in a voluntary two-part (written and clinical) exam, in which prizes could be won and all participants would receive a certificate of participation. We distributed two online surveys to the students, one administered before the exam and one afterwards. Data was collected regarding the students’ motivation for entering the prize exam and the students’ baseline interest and knowledge in these specialties before and after the prize exam. Free-text responses were collected about the students’ opinion of the project and whether participation was beneficial. Results Sixteen students participated in the exam. There was a statistically significant increase in the students’ knowledge in ENT (p < 0.000), plastic surgery (p < 0.000), ophthalmology (p < 0.028) and dermatology (p < 0.012) after participation in the exam, but not in their interest levels. ENT was the preferred specialty of our cohort. The students reported that they found participation beneficial to their learning, particularly receiving exam feedback and explanations to exam questions. Conclusions This pilot project was a useful intervention in increasing medical students’ knowledge in these specialties, but not in their levels of interest. It also demonstrates that medical students are willing to participate in voluntary initiatives (in their spare time) to gain more learning opportunities and that medical students value timely exam feedback to guide their revision.


2016 ◽  
Vol 34 (2) ◽  
pp. 90-94 ◽  
Author(s):  
Catharina Klausenitz ◽  
Thomas Hesse ◽  
Henriette Hacker ◽  
Klaus Hahnenkamp ◽  
Taras Usichenko

Objective Auricular acupuncture (AA) is effective for the treatment of preoperative anxiety. We aimed to study the feasibility and effects of AA on exam anxiety in a prospective observational pilot study. Methods Healthy medical students received bilateral AA using indwelling fixed needles at points MA-IC1, MA-TF1, MA-SC, MA-AH7, and MA-T on the day before an anatomy exam. The needles were removed after the exam. Anxiety levels were measured using the State-Trait-Anxiety Inventory (STAI) and a 100 mm visual analogue scale (VAS-100) before and after the AA intervention and once again immediately before the exam. The duration of sleep on the night before the exam was recorded and compared to that over the preceding 1 week and 6 months (all through students’ recollection). In addition, blood pressure, heart rate and the acceptability of AA to the students were recorded. Results Ten students (all female) were included in the final analysis. All tolerated the needles well and stated they would wish to receive AA again for exam anxiety in the future. Exam anxiety measured using both STAI and VAS-100 decreased by almost 20% after AA. Conclusions AA was well accepted, the outcome measurement was feasible, and the results have facilitated the calculation of the sample size for a subsequent randomised controlled trial.


2021 ◽  
Author(s):  
Mohammed Tahri Sqalli ◽  
Dena Al-Thani ◽  
Mohamed Badreldin Elshazly ◽  
Mohammed Ahmad Al-Hijji ◽  
Yahya Sqalli Houssaini

BACKGROUND Visual expertise refers to advanced visual skills demonstrated when executing domain‐specific visual tasks. Understanding healthcare practitioners’ visual expertise across different levels in the healthcare sector is crucial in clarifying how to acquire accurate interpretations of electrocardiograms (ECGs). OBJECTIVE The study aims to quantify, through the use of eye-tracking, differences in the visual expertise of medical practitioners, such as medical students, cardiology nurses, technicians, fellows, and consultants, when interpreting ECGs. METHODS Sixty-three participants with different healthcare roles participated in an eye-tracking study that consisted of interpreting 10 ECGs with different heart abnormalities. A counterbalanced within-subjects design was employed with one independent variable consisting of the expertise level of the medical practitioners and two measured eye-tracking dependent variables (fixations count and fixations revisitation). Eye-tracking data was assessed according to the accuracy of interpretation and frequency interpreters visited different leads in ECGs. In addition, the median and standard deviation in the interquartile range for the fixations count and the mean and standard deviation for the ECG lead revisitations were calculated. RESULTS Accuracy of interpretation ranged between 98% among consultants and 52% among medical students. Eye-tracking features also reflected this difference in the accuracy of interpretation. The results of the eye fixations count and eye fixations revisitations indicate that the less experienced medical practitioners need to observe various ECG leads more carefully. However, experienced medical practitioners rely on visual pattern recognition to provide their ECG diagnoses. CONCLUSIONS The results show that visual expertise for ECG interpretation is linked to the practitioner’s role within the healthcare system and the number of years of practical experience interpreting ECGs. Medical practitioners focus on different ECG leads and different waveform abnormalities according to their role in the healthcare sector and their expertise levels.


2021 ◽  
Vol 16 (3) ◽  
pp. 143-151
Author(s):  
A. Yu. Alekseev

The paper discusses the preventive measures carried out in the penitentiary institutions of foreign countries, preventing the penetration and spread of coronavirus infection. Persons serving sentences in places of detention are at increased risk of infection in the event of an outbreak of the disease. Their situation requires separate consideration in planning and responding to crises. Measures to ensure social distancing are implemented through a special legal regime, the introduction of which limits the subjective rights of convicts. The introduced legal restrictions in some states provoked the emergence of criminal emergencies, which required the optimization of criminal and penal legal relations. Due to the emergency in the healthcare sector, it seems possible to use such institutions of criminal law as release from serving a sentence, deferment from serving a sentence, replacing the unserved part of a sentence with a milder type of punishment as an exceptional measure, and developing alternative ways to maintain socially useful ties. These methods include: increasing the duration of calls in correctional facilities, conducting visits through video conferencing, organizing a prompt exchange of information on the health status of relatives and convicts using a hotline, and using secure mobile devices.


Author(s):  
Shikha Yadav

<div><p><em>This paper studies one of the healthcare industry of India “Sun Pharmaceutical Industries Limited” which is ranked at 352 amongst the world’s largest 500 companies on corporate sustainability and environmental impact according to Newsweek in 2016. Sun Pharmaceutical Industries limited is the only company in the healthcare sector in India which has been listed as one of the Green companies in India. This paper mainly focuses on understanding and analysing the Green initiatives as a part of Corporate social responsibility (CSR) taken by the company which makes it the green company in India in Healthcare sector. </em></p></div><em>The green scores of the company has also increased by 4% compared to the previous year (2015), which shows that the company is always striving to incorporate strategic Green HRM. Strategic Green HRM is one of the growing innovative approaches which promotes the sustainable use of resources of the business organisation and thus integrates environmental management into HRM.</em>


2015 ◽  
Vol 17 (3) ◽  
pp. 61-77
Author(s):  
J Hernon ◽  
M Brandon ◽  
J Cossar ◽  
T Shakespeare

Research has established that disabled young people are at greater risk of experiencing all forms of maltreatment, especially neglect (Jones et al, 2012). Despite increasing awareness of their heightened vulnerability, the maltreatment of disabled children remains under-recognised and is under-reported. Disabled children have the same rights as all children to be protected from maltreatment; to have their concerns listened to; to participate fully in decisions made about them; and to receive help to recover from maltreatment. In this paper Cossar et al’s (2013) framework for understanding the processes of recognition, telling and receiving help following maltreatment from the child’s perspective, is applied to disabled children. The particular barriers that disabled children and those working with them face in recognising and responding to maltreatment are analysed by reviewing what is known about child protection practice with disabled children, mainly in the UK. Suggestions are made about how practice with disabled children could be improved.


POPULATION ◽  
2019 ◽  
Vol 22 (4) ◽  
pp. 126-136
Author(s):  
Elena Kostina ◽  
Nadezhda Orlova ◽  
Anastasia Rubina

The relevance of the regional demographic policy study in the Far East is beyond doubt. This article considers the real demographic situation in Primorsky krai and shows that its territory has seen a steady decline in the population due to natural decrease and migration outflow connected with the low standard and quality of life that in turn reduces the attractiveness of the region and makes it particularly vulnerable to global challenges. Attention is paid to the fact that under the conditions of the Russian Federation subjects' differentiation by geographical location, natural resources potential and level of socio-economic development there is no single approach to the regional demographic policy. Differences in the characteristics of the subjects lead to the necessity of developing demographic programs that would take into account the regional specifics, traditions, characteristics and needs of a particular territory. There are presented the results of the author's study of subjective assessments of the social well-being of young people in Primorsky krai and their migration intentions. The data obtained show that a significant part of young people assess the situation in Primorsky krai as unfavorable for further self-realization; the majority of respondents answered that in other regions/countries it would be easier for them to build a career, start a business, and achieve a high level of material well-being. The directions of the regional demographic policy, which allow attracting and retaining highly qualified personnel in the region, are suggested.


Author(s):  
Oksana V. Besschetnova ◽  

The article presents the analysis of the problem of domestic violence on the basis of domestic and foreign statistical data and the research results. Attention is focused on the aggravation of this problem during the pandemic of the new coronavirus infection COVID-19 in many countries of the world. The situation of uncertainty, a long stay in a confined space, the fear of contracting a new coronavirus infection, the inability to receive adequate medical care due to the congestion of the healthcare system, loss of financial stability, disruption of the usual rhythm of life led to the escalation of psychological tension. This resulted in the increase of domestic violence. The important role in resolving the situation and helping the victims of domestic violence under quarantine conditions was performed by specialized state and non-governmental organizations. Their activities underwent the structural, financial, and technological changes in the post-Covid-19 period. At the same time, in Russia there is a need of adopting a new federal law on combating domestic violence which will reduce the number of domestic crimes and increase the family values.


2018 ◽  
Vol 24 (1) ◽  
pp. 112-128
Author(s):  
Tom Matthews ◽  
Victoria Holt ◽  
Senem Sahin ◽  
Amelia Taylor ◽  
David Griksaitis

This research investigated the prevalence of looked-after and adopted young people within a case file review of 185 young people referred to a UK gender identity development service over a 2-year period (1 April 2009 to 1 April 2011). Data were extracted from referral letters, clinical notes and clinician letters. Looked-after young people were found to represent 4.9% of referrals in this cohort, which is significantly higher than within the English general population (0.58%). Adopted young people represented 3.8% of referrals. In addition, the findings showed that looked-after young people were less likely to receive a diagnosis of gender dysphoria compared with young people living within their birth family. There were no statistically significant differences in the gender ratio or age of first gender dysphoric experience between groups. Looked-after and adopted young people were also not found to be experiencing greater impairment in overall functioning compared to other young people referred to the gender identity development service. In conclusion, there are a substantial proportion of referrals pertaining to looked-after or adopted young people, and it appears the referral route and process through the service may be distinct, particularly for looked-after young people. This may be understood by considering the possible complexities in the presentation of these groups, alongside the established higher levels of complexity generally for those experiencing feelings of gender dysphoria.


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