Identifying Characteristics of PPP Projects for Healthcare Facilities for the Elderly Based on Payment Mechanisms in China

2021 ◽  
Vol 37 (6) ◽  
pp. 05021009
Author(s):  
Ke Dai ◽  
Sining Li ◽  
Jung In Kim ◽  
Min Jae Suh
Keyword(s):  
The Elderly ◽  
Healthcare Facilities ◽  
Payment Mechanisms

scholarly journals A comparison of the levels of satisfaction with the medical services provided by primary healthcare centers in selected communes in Lubelskie Voivodeship

2016 ◽  
Vol 126 (1) ◽  
pp. 8-12
Author(s):  
Daria Przybylska ◽  
Piotr Przybylski ◽  
Bartłomiej Drop ◽  
Krzysztof Czarnocki ◽  
Wojciech Przybylski ◽  
...  
Keyword(s):  
Family Medicine ◽  
Primary Healthcare ◽  
The Elderly ◽  
Healthcare Services ◽  
Medical Services ◽  
Public Healthcare ◽  
Healthcare Facilities ◽  
Primary Type ◽  
Primary Healthcare Centers

Abstract Introduction. Family medicine remains the primary type of medical services in Poland and it is supposed to treat both individual patients and the society as a whole. Due to the growing commercialization of the health service, most primary healthcare centers have transformed into non-public healthcare facilities. The public ones (called SPZOZ in Polish) account only for a small fraction of the whole number of primary healthcare facilities. The quality of medical services provided by such facilities, as patients see it, remains one of the key elements determining the development of family medicine centers. Aim. The aim of this paper was to assess patient satisfaction levels regarding the healthcare services they received in two primary healthcare institutions, both of the NZOZ and SPZOZ type, in a small town located close to Lublin. Material and methods. An anonymous survey was filled out by 30 patients of both a public and non-public healthcare center located in Niemce (Niemce Commune, Lublin District). The quality of services was assessed using an original questionnaire in the form of a poll. Results. The results obtained indicate a clear relationship between one’s trust to the physician, diagnosis accuracy and visiting the particular center again, in order to continue the treatment. For older subjects, it was nurses’ kindness and politeness that was the most important. The elderly appreciated the kindness and politeness of the nurses in particular. No significant differences were found between the institutions in respect of the overall perception of satisfaction with services. In terms of infrastructure assessment, the majority of positive feedback was provided for NZOZ. Conclusions. The findings above suggest that it is essential to conduct surveys on a regular basis, in order to check patients’ assessment of the service quality in various institutons.

scholarly journals COVID-19: urgent actions, critical reflections and future relevance of ‘WaSH’: lessons for the current and future pandemics

2020 ◽  
Vol 18 (5) ◽  
pp. 613-630 ◽  
Author(s):  
Guy Howard ◽  
Jamie Bartram ◽  
Clarissa Brocklehurst ◽  
John M. Colford ◽  
Federico Costa ◽  
...  
Keyword(s):  
The Elderly ◽  
Evidence Base ◽  
Disease Emergence ◽  
Behavioural Science ◽  
Healthcare Facilities ◽  
Piped Water ◽  
Sanitation And Hygiene ◽  
Hygiene Promotion ◽  
High Risk Populations

Abstract The COVID-19 pandemic placed hygiene at the centre of disease prevention. Yet, access to the levels of water supply that support good hand hygiene and institutional cleaning, our understanding of hygiene behaviours, and access to soap are deficient in low-, middle- and high-income countries. This paper reviews the role of water, sanitation and hygiene (WaSH) in disease emergence, previous outbreaks, combatting COVID-19 and in preparing for future pandemics. We consider settings where these factors are particularly important and identify key preventive contributions to disease control and gaps in the evidence base. Urgent substantial action is required to remedy deficiencies in WaSH, particularly the provision of reliable, continuous piped water on-premises for all households and settings. Hygiene promotion programmes, underpinned by behavioural science, must be adapted to high-risk populations (such as the elderly and marginalised) and settings (such as healthcare facilities, transport hubs and workplaces). WaSH must be better integrated into preparation plans and with other sectors in prevention efforts. More finance and better use of financing instruments would extend and improve WaSH services. The lessons outlined justify no-regrets investment by government in response to and recovery from the current pandemic; to improve day-to-day lives and as preparedness for future pandemics.

Tuberculosis in the Workplace: OSHA's Compliance Experience

1996 ◽  
Vol 17 (3) ◽  
pp. 159-164
Author(s):  
Melissa McDiarmid ◽  
Melissa J. Gamponia ◽  
Margaret A.K. Ryan ◽  
Jon Mark Hirshon ◽  
N.A. Gillen ◽  
...  
Keyword(s):  
Occupational Safety ◽  
Integrated Management ◽  
Skin Testing ◽  
Control Program ◽  
The Elderly ◽  
Homeless Shelters ◽  
Respiratory Protection ◽  
Health Administration ◽  
Term Care ◽  
Healthcare Facilities

AbstractObjective:Inspections of 272 facilities were performed between May 1992 and October 1994 to determine compliance with applicable Occupational Safety and Health Administration (OSHA) requirements for prevention of tuberculosis (TB) transmission.Design:Retrospective record review of two data sources: (1) OSHA's Computerized Integrated Management Information System and (2) an inspector-completed questionnaire on inspection results.Setting/Participants:Inspections of five types of facilities: healthcare institutions, correctional facilities, homeless shelters, long-term–care facilities for the elderly, and others, including drug treatment centers that the Centers for Disease Control and Prevention (CDC) identified as having a higher than expected rate of TB.Methods:The OSHA Compliance Memorandum, based on the 1990 CDC Guidelines, which outlined elements of a TB prevention program, was used in performing 272 inspections of facilities between May 1992 and October 1994. Elements of compliance were recorded and reviewed from the IMIS database and inspectors' questionnaires.Results:Regulated facilities were not fully compliant with OSHA guidance. Generally, healthcare facilities performed better than other facilities. Most facilities (79%) were compliant with administrative elements of a comprehensive TB control program, such as early identification of known or suspected infectious TB patients and skin testing of workers. Only 29% of inspected facilities were found to have acceptable respiratory protection programs for the prevention of occupational TB.Conclusion:Facilities have not been fully compliant with the OSHA memorandum describing protection of workers from TB. Facility compliance was better with some traditionally recognized TB infection control elements, but was weaker in the area of respiratory protection programs. This may reflect a lack of familiarity with the latter type of hazard protection.

scholarly journals (A252) Impact of Protracted, Intrastate Conflict on Population Health in Manipur, India

2011 ◽  
Vol 26 (S1) ◽  
pp. s69-s69
Author(s):  
V. Kaushik ◽  
S. Nair ◽  
Y. Tanwar ◽  
S. Sinha ◽  
N. Roy
Keyword(s):  
Drug Users ◽  
Suicide Attempts ◽  
Physical Violence ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Medical Personnel ◽  
The Elderly ◽  
Hospital Inpatient ◽  
Age Group ◽  
Healthcare Facilities

IntroductionManipur is a state in northeastern India and in civil war for > 45 years. Healthcare delivery and access is affected due to poor security, restricted accessibility, and the incapacity of this fragile state.MethodsThe burden of morbidity and mortality in the conflict area of Manipur was estimated using data sources (hospital attendance, hospital inpatient, and death registries, national family and health registries, and in-depth interviews of healthcare providers) and compared to national averages. These findings were co-related with violent events reported in the local newspaper.ResultsExcess mortality was observed in the 21–50 year age group, but not in females or the elderly. The major causes of deaths were non-communicable diseases, cerebrovascular accidents, and chronic pulmonary disease. Chronic conflict increased the burden of alcohol liver disease and of mental health diseases. Suicidal deaths were common in the mid-twenty age group and usually due to agricultural pesticide consumption. These deaths were higher in men, and suicide attempts were higher in women. The prevalence of intravenous drug users and of HIV was reported to be five times as higher than the national average. High rates of disappearances, mutilation, torture, kidnapping, and hostage-taking, spousal physical violence and attacks on healthcare facilities and medical personnel were events of concern. There were no reported events of suicide bombers.ConclusionsProtracted conflict dramatically changes the demographics and disease burden. Humanitarian space constantly is under threat of attack and the insecurity interferes with the provision of sustained preventive and curative services. Recommendations to be implemented would measures to continue treatment in the insecure environment through telephonic or online medical helplines, vaccination, and drug supplies during negotiated ceasefires or curfew times and protecting humanitarian spaces. However, militarization of healthcare may not be favorable solution.

scholarly journals Ethical issues in assistive ambient living technologies for ageing well

2020 ◽  
Vol 79 (47-48) ◽  
pp. 36077-36089
Author(s):  
Francesco Panico ◽  
Gennaro Cordasco ◽  
Carl Vogel ◽  
Luigi Trojano ◽  
Anna Esposito
Keyword(s):  
Ethical Issues ◽  
Healthcare Providers ◽  
Personal Space ◽  
The Elderly ◽  
Ageing Population ◽  
Healthcare Facilities ◽  
Raising Awareness ◽  
New Research ◽  
Physical Changes

AbstractAssistive Ambient Living (AAL) in ageing refers to any device used to support ageing related psychological and physical changes aimed at improving seniors’ quality of life and reducing caregivers’ burdens. The diffusion of these devices opens the ethical issues related to their use in the human personal space. This is particularly relevant when AAL technologies are devoted to the ageing population that exhibits special bio-psycho-social aspects and needs. In spite of this, relatively little research has focused on ethical issues that emerge from AAL technologies. The present article addresses ethical issues emerging when AAL technologies are implemented for assisting the elderly population and is aimed at raising awareness of these aspects among healthcare providers. The overall conclusion encourages a person-oriented approach when designing healthcare facilities. This process must be fulfilled in compliance with the general principles of ethics and individual nature of the person devoted to. This perspective will develop new research paradigms, paving the way for fulfilling essential ethical principles in the development of future generations of personalized AAL devices to support ageing people living independently at their home.

scholarly journals Securing the Elderly Body: Dementia, Surveillance, and the Politics of "Aging in Place"

2002 ◽  
Vol 5 (3) ◽  
Author(s):  
Alison Marie Kenner
Keyword(s):  
Information Technologies ◽  
Aging In Place ◽  
Medical Personnel ◽  
The Elderly ◽  
Third Party ◽  
Commercial Development ◽  
Technological Design ◽  
Healthcare Facilities ◽  
People With Dementia ◽  
Monitoring Technologies

Aging in place, the option to grow old in one's home instead of institutional healthcare facilities, is predicated on the development of technologies and resources that network patients, caregivers, medical personnel, and third party interlocutors. Monitoring systems and other information technologies are broadly considered to be the most promising means to establish these connections, and home care technologies for elderly people with dementia comprise one of the fastest growing areas of commercial development. Grounded in the political economy of aging and understood as surveillance, monitoring technologies for the elderly highlight sociopolitical responses to aging and dementia and raise critical questions about caregiving, quality of life, and the way technological design engages with everyday rights. This paper will analyze surveillance technologies for the elderly with attention to issues of power and inequality, and how these dynamics may or may not be considered in technological design for the oldest populations

scholarly journals CHARMIE: A Collaborative Healthcare and Home Service and Assistant Robot for Elderly Care

2021 ◽  
Vol 11 (16) ◽  
pp. 7248
Author(s):  
Tiago Ribeiro ◽  
Fernando Gonçalves ◽  
Inês S. Garcia ◽  
Gil Lopes ◽  
António F. Ribeiro
Keyword(s):  
Elderly Care ◽  
Fall Detection ◽  
The Elderly ◽  
Obstacle Detection ◽  
Human Robot Interaction ◽  
Map Building ◽  
Healthcare Facilities ◽  
Assistive Robots ◽  
Wide Range ◽  
Set Up

The global population is ageing at an unprecedented rate. With changes in life expectancy across the world, three major issues arise: an increasing proportion of senior citizens; cognitive and physical problems progressively affecting the elderly; and a growing number of single-person households. The available data proves the ever-increasing necessity for efficient elderly care solutions such as healthcare service and assistive robots. Additionally, such robotic solutions provide safe healthcare assistance in public health emergencies such as the SARS-CoV-2 virus (COVID-19). CHARMIE is an anthropomorphic collaborative healthcare and domestic assistant robot capable of performing generic service tasks in non-standardised healthcare and domestic environment settings. The combination of its hardware and software solutions demonstrates map building and self-localisation, safe navigation through dynamic obstacle detection and avoidance, different human-robot interaction systems, speech and hearing, pose/gesture estimation and household object manipulation. Moreover, CHARMIE performs end-to-end chores in nursing homes, domestic houses, and healthcare facilities. Some examples of these chores are to help users transport items, fall detection, tidying up rooms, user following, and set up a table. The robot can perform a wide range of chores, either independently or collaboratively. CHARMIE provides a generic robotic solution such that older people can live longer, more independent, and healthier lives.

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