scholarly journals Silk road: Opportunities for foreign-owned health care clinics in China

1996 ◽  
Vol 19 (2) ◽  
pp. 94 ◽  
Author(s):  
Tin Kin Lee
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Silk Road ◽  
Health Care Facilities ◽  
Care Providers ◽  
Republic Of China ◽  
Health Care Clinics ◽  
Care Facilities ◽  
Industrialised Countries

Hospitals and other health care providers are being squeezed by decliningreimbursement and capitated revenues. As this happens they are looking to expandinto rapidly developing and newly industrialised countries. This article will focus onthe People?s Republic of China as a country with opportunities for developing privatehospitals and health care facilities.

Impact of Training to Improve Knowledge on Blood Transfusion among Health Care Providers from Tertiary Hospitals in Tanzania

2020 ◽  
Vol 31 (2) ◽  
pp. 59-69
Author(s):  
Abdu J. Bhombo ◽  
Oscar Mwashiuya ◽  
Wilhellmuss I. Mauka ◽  
Elineema Meda ◽  
Iragi Ngerageza ◽  
...  
Keyword(s):  
Health Care ◽  
Blood Transfusion ◽  
Health Care Providers ◽  
Transfusion Practice ◽  
Health Care Facilities ◽  
Basic Knowledge ◽  
Care Providers ◽  
Care Facilities ◽  
Post Test ◽  
The Impact

Background: Blood transfusion is a lifesaving therapy which is linked to the adverse outcome when given inappropriately. Inadequate knowledge and skills among health care providers have been reported to contribute to safety issues for recipients and wastage of the precious resource. This study was conducted to determine the impact of training of health care providers in Tanzania on improving the knowledge regarding the transfusion of blood and blood components.Methodology: This was a cross-sectional study which used secondary data from pre and post training assessment questionnaire whereby trainees answered the same set of questions before training (pre-test) and after training (post-test). The questionnaire consisted of two Likert scale questions and eight YES/NO questions which assessed the perception of clinicians, nurses and Laboratory personnel on blood transfusion practices. Moreover, there were thirty multiple-choice questions for assessment of basic knowledge related to usage of blood and blood components.Results: One hundred and eleven (111) health care providers who attended training on blood transfusion were recruited into this study, out of which 72.1% (80/111) were from secondary health care facilities and 6.3% (7/111) were from tertiary health care facilities. The pre-test mean percent score was 32.8% (SD ±12.9%), while the post-test mean percent score was 56.6% (SD ±12.9%). The mean percentage of knowledge gain was 26.6% (SD±13.0%) and 27.1% (SD±12.5%) for health care providers and National Blood Transfusion Service staff respectively. It was observed that only 25.8% (24/93) and 19% (19/100) of participants were aware of the transfusion timing of various blood components and principles of platelet transfusion, respectively. Regarding bedside blood handling practices, only 52.9% (46/87) responded, ‘warm whole blood unit and packed red blood by putting under room temperature for 30 minutes and the majority of participants 63.1% (65/103) reported not to ask for consent before blood transfusion.Conclusion: There was a modest improvement in the knowledge on blood transfusion practice among participants. The overall performance of participants increased from 33% in the pre-test to 57% in the post-test. Therefore, this study has shown the positive impact of training for health care providers in improving their knowledge. We recommend regular on job training courses and mentorship program for health care providers for proficiency in clinical transfusion practice. Key words: Blood Transfusion, Training and Health care providers.

The Evolution of a Public Health Policy: Health Care Providers and the Transmission of HIV

1994 ◽  
Vol 24 (3) ◽  
pp. 535-548 ◽  
Author(s):  
Sally Guttmacher
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Providers ◽  
Public Health Policy ◽  
Health Care Facilities ◽  
Care Providers ◽  
The Public ◽  
Care Facilities ◽  
Potential Benefits ◽  
Spread Of Infection

The single known instance of transmission of HIV from a health care provider to a patient raised issues concerning the responsibility of clinicians to their patients, and sparked debate over policies to prevent the spread of HIV in health care facilities. The intensity and politicization of the debate were reflected in revision of the Centers for Disease Control guidelines to control the spread of infection at health care facilities, and in legislation proposed in Congress. The guidelines and proposed legislation provoked responses by public health and medical organizations, several of which considered the measures to be unnecessarily restrictive and too costly in terms of potential benefits. This article describes the events and responses that took place during 1991–1992 after the public was made aware of the case involving transmission from provider to patient. The author examines the situation in the context of public health efforts to control the spread of HIV.

Does Sludge/Debris Exist in Today's Vascular Access Ports?

2014 ◽  
Vol 19 (1) ◽  
pp. 23-26 ◽  
Author(s):  
Michael Dalton ◽  
Natan Pheil ◽  
Jim Lacy ◽  
Jordan Dalton
Keyword(s):  
Health Care ◽  
Patient Outcomes ◽  
Health Care Providers ◽  
Vascular Access ◽  
Bloodstream Infections ◽  
Health Care Facilities ◽  
Care Providers ◽  
Care Facilities ◽  
Vascular Access Ports ◽  
Improve Patient

Abstract Sludge is defined as a slushy mass, deposit, or sediment. In vascular access ports (VAPs), it appears to be the buildup of clotted blood, blood components, drug and mineral precipitates or residues, and lipids that adhere to or reside in the internal path of the reservoir. Several studies note the presence of sludge as a risk factor for increased incidence of VAP-related bloodstream infections as well as higher occlusion rates. Overall, the occurrence of sludge in implanted vascular ports may increase patient-associated risks and costs to health care providers by as much as $40,000 per incident. Understanding the significance of these associated risks and costs may lead to solutions that save health care facilities money; better serve health care providers; and ultimately, improve patient outcomes.

scholarly journals “We are taking every precaution to do our part…”: a comparative analysis of nursing, palliative and hospice care facilities’ websites during the COVID-19 pandemic

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Sabahat Ölcer ◽  
Mohamed Idris¹ ◽  
Yüce Yilmaz-Aslan ◽  
Patrick Brzoska
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Hospice Care ◽  
Qualitative Content Analysis ◽  
Health Care Facilities ◽  
Care Staff ◽  
Health Care Staff ◽  
Care Providers ◽  
Potential Health ◽  
Care Facilities

Abstract Background The COVID-19 pandemic has a significant impact on health care processes. Precautions such as restrictions imposed on visitors and social distancing have led to multiple challenges, particularly in terms of communication. Using the case of nursing, palliative and hospice care facilities in Germany and drawing on agenda-setting theory, the present study aims to shed light on how health care facilities use their websites to inform (potential) health care users about changes in regulations, new protective measures implemented and about recommendations in the context of the COVID-19 pandemic. Methods The websites of nursing, palliative and hospice care facilities in Germany were examined using qualitative document analysis and qualitative content analysis. A total of 138 websites was analysed in the study. The data gathered includes all information about COVID-19 on these websites published from the beginning of March until August 15, 2020. Results Facilities show similarities in adhering to the measures taken by the authorities to restrict the spread of SARS-CoV-2 and to protect vulnerable patients and employees. All facilities urged the public to avoid paying visits to patients in facilities unless there was an emergency; however, visiting procedures in practice varied by types of facilities. For optimal communication, telephone and especially video calls were the options preferred by health care providers and health care users. Facilities made great efforts to prevent emotional stress and to strengthen resilience among all stakeholders. Transparency was adopted by many facilities in order to build the public’s trust. Conclusions The agenda of health care facilities has been seriously affected by the COVID-19 pandemic. The study sheds light on the strategies developed by facilities, their efforts to increase emotional resilience among health care staff and health care users, the ethical guidelines they have adopted regarding privacy policies as well as how these themes are communicated via the facilities’ websites. The results can inform other health care facilities about how websites can be used as essential communication tools in times of public health crises.

scholarly journals Endemic Crimean Congo Hemorrhagic Fever in Pakistan

2017 ◽  
Vol 22 (3) ◽  
Author(s):  
Dr. Saira Afzal
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Hemorrhagic Fever ◽  
Health Care Facilities ◽  
Control Measures ◽  
Care Providers ◽  
Crimean Congo Hemorrhagic Fever ◽  
Infection Control Measures ◽  
Care Facilities ◽  
Laboratory Workers

<p>“In times of stress and danger such as come about as the result of an epidemic, many tragic and cruel phases of human nature are brought out, as well as many brave and unselfish ones.”</p><p><strong>William Crawford Gorgas</strong></p><p>      Crimean Congo hemorrhagic fever is endemic in certain parts of world. It is a <em><a title="Zoonotic" href="https://en.wikipedia.org/wiki/Zoonotic">zoonotic</a></em> disease and reservoirs are domestic and wild animals. It spreads by vector <em><a title="Hyalomma" href="https://en.wikipedia.org/wiki/Hyalomma">Hyalomma</a></em> tick or contact with infected animals or people or infected secretions. The clinical disease spectrum includes fever with flu like symptoms, hemorrhages and mortality rate of 10 – 40%. The incubation period is 1 – 3 days after a tick bite or 5 – 6 days following exposure to infected blood or tissues. The <em><a title="Influenza" href="https://en.wikipedia.org/wiki/Influenza">flu</a></em> – like symptoms may resolve after one week. In up to 75% of cases, however, signs of <em><a title="Hemorrhage" href="https://en.wikipedia.org/wiki/Hemorrhage">hemorrhage</a></em> appear within 3–5 days of the onset of illness in the form of skin bruises, nose bleeds, vomiting, and black stools. The <em><a title="Liver" href="https://en.wikipedia.org/wiki/Liver">liver</a></em> becomes swollen and tender. Patients usually begin to show signs of recovery after 9 – 10 days from when symptoms presented.<sup>1</sup> 10 – 40% of the cases result in mortality by the end of the second week of illness and may be attributed by hemorrhagic shock, hypovolemia, septacaemia, acute kidney failure, and acute respiratory distress syndrome.<sup>2</sup></p><p>      Pakistan has witnessed severe outbreaks in 2009 and 2010. In 2009, epidemic of Crimean Congo hemorrhagic fever was reported from Baluchistan. In September 2010, an outbreak was reported in Pakistan’s <em><a title="Khyber Pakhtunkhwa" href="https://en.wikipedia.org/wiki/Khyber_Pakhtunkhwa">Khyber Pakhtunkhwa</a></em> province. Poor diagnosis and record keeping has caused the extent of the epidemic to be uncertain, though some reports indicate over 100 cases, with a case – fatality rate above 10%. Crimean – Congo haemorrhagic fever is declared endemic in Pakistan. Human infections caused by the Crimean-Congo haemorrhagic virus have been occurring throughout the year and in wide geographic areas of the country. The seasonal spike has been reported this year and guidelines for prevention in public and health care providers are formulated. However, clear and rational policies from law enforcement agencies to avoid spread from endemic foci to other non-endemic areas through transportation of animals or contact with infected cases especially during Eid festivals are still needed. The transportation of animals is greatly increased during Eid festival in Pakistan and risk of epidemic is also increased. Law enforcement and Agricultural regulations require de-ticking farm animals before transportation or delivery for slaughter. Protocols for safety during slaughter and disposal of infected wastes should be formulated and implemented. In the case when feverish patients with evidence of bleeding are reported, emergency preparations for resuscitation or intensive care are required urgently. Moreover guidelines regarding suspected cases quarantine, body secretions and wastes isolation and disposal in health care facilities and standard precautions for laboratory workers, nursing staff and doctors should be adopted.</p><p>      Surveillance and laboratory diagnosis for early detection of cases, infection control measures in health care facilities and risk communication should be strengthened especially in high risk areas in the country. Seroprevalence of antibodies against Crimean Congo hemorrhagic virus in our community is still unknown.</p><p>      Preventive steps are simple but awareness in masses about Crimean congo hemorrhagic fever is the most important step. Some of the important steps for prevention are:</p><ul><li>Use a repellent containing 20% – 30% DEET or 20% Picaridin. Re-apply according to manufacturer’s directions.</li><li>Wear neutral – coloured and light – weight clothes, long – sleeved shirts and full pants. Tuck pants into socks for further protection.</li><li>Apply a permethrin spray or solution to clothing and gear.</li><li>When walking through grass lands avoid tall grasses and shrubs.</li><li>Carefully examine body, clothing, gear, and animals for ticks.</li><li>Apply sunscreen first followed by the repellent and preferably 20 minutes later.</li><li>Avoid coming into contact with the blood or tissues of animals. Healthcare practitioners should take appropriate infection control measures to prevent infection. Standard operating procedures to handle infectious materials and suspected cases should be displayed in clinical settings.</li><li>Laboratory staff should wear protective gear and waste disposal should be according to the protocols.</li></ul><p>      There is no effective commercially available vaccine or chemoprophylaxis against Crimean-Congo Hemorrhagic Fever. Thus efforts should be directed to prevent this disease by awareness in masses. Moreover, seroprevalence in general public as well as in specific groups including health care providers, laboratory workers, butchers, veterans and surgeons should be detected by screening and later on confirmed by Enzyme Linked Immunosorbant Assay (ELISA). Early case detection, quarantine of susceptible cases and adoption of standard protocols during management of patients can decrease the spread of this deadly virus.</p>

scholarly journals Perceptions of Healthcare Professionals on Covid-19 in Lesotho: a Cross-sectional Survey

2021 ◽  
Author(s):  
Isabel Nyangu ◽  
Maseabata Ramathebane
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Healthcare Professionals ◽  
Survey Design ◽  
Well Being ◽  
Health Care Facilities ◽  
Care Providers ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
Care Facilities

Abstract BackgroundHealth care professionals at the frontline of the Covid-19 pandemic require continued support to ensure not only their well-being, but enhanced care for those infected by the disease.AimThe aim of this study was to assess the perceptions of health care providers regarding the Covid-19 pandemic in Lesotho. MethodologyA quantitative cross-sectional survey design was used to collect data from a sample of 190 health care workers who were conveniently sampled from a total of 25 health care facilities (12 hospitals and 13 health center clinics). The sample included nurses, doctors, pharmacists, laboratory scientists/ technicians, dentists, counsellors, and administrative assistants. A total of 255 structured questionnaires were distributed and 190 of them were returned completed (75% response rate). Data were collected in September 2021 and analyzed using SPSS (vs23). Permission to conduct this study was granted by the relevant authorities. Informed written consent was given by the participants in writing before they could take part in this study.ResultsThe level of education was found to be associated with positive perceptions of the respondents on the Covid-19 pandemic. Respondents generally had positive views about the Covid-19 pandemic. Their views were positive as they understood that Covid-19 can affect anyone including themselves and is not a disease for any particular race. They were also aware that they could contract Covid-19, even despite pre-existing conditions. Respondents perceived that there was a positive prognosis after contracting Covid-19 if necessary precautions were taken. They had positive perceptions as they knew that the virus was affecting many people worldwide, including the elderly, and were willing to take the test and did not mind having to pay for it if asked to do so. Even though the Covid-19 test was viewed not to take too much time, respondents felt that it is rather painful and uncomfortable. The test providers were perceived as friendly and not rude, and respondents did not have any preferred gender for the test providers. Respondents were also willing to discuss issues on Covid-19 with families and friends. Majority of the respondents lived close to health care facilities.ConclusionsThis study concludes that health care providers at the frontline were mostly nurses. Positive perceptions about the Covid-19 pandemic in Lesotho were found as respondents were knowledgeable, and were willing to test for the disease. Test providers were viewed as pleasant and health care facilities were accessible. This shows positive progress towards fighting the pandemic in Lesotho.RecommendationsSupport for frontline healthcare professionals remains crucial to ensure effective service delivery. More education can be provided to improve the general views about the Covid-19 to improve uptake of services not only amongst healthcare professionals but the general public as well.

scholarly journals Lung cancer in Brazil

2018 ◽  
Vol 44 (1) ◽  
pp. 55-64 ◽  
Author(s):  
Luiz Henrique Araujo ◽  
Clarissa Baldotto ◽  
Gilberto de Castro Jr ◽  
Artur Katz ◽  
Carlos Gil Ferreira ◽  
...  
Keyword(s):  
Lung Cancer ◽  
Health Care ◽  
Health Care Providers ◽  
Control Patient ◽  
Cancer Mortality ◽  
Health Care Facilities ◽  
Current Status ◽  
Care Providers ◽  
Care Facilities ◽  
Smoking Control

ABSTRACT Lung cancer is one of the most incident types of cancer and a leading cause of cancer mortality in Brazil. We reviewed the current status of lung cancer by searching relevant data on prevention, diagnosis, and treatment in the country. This review highlights several issues that need to be addressed, including smoking control, patient lack of awareness, late diagnosis, and disparities in the access to cancer health care facilities in Brazil. We propose strategies to help overcome these limitations and challenge health care providers, as well as the society and governmental representatives, to work together and to take a step forward in fighting lung cancer.

HEALTH FINANCING POLICIES

1999 ◽  
Vol 15 (4) ◽  
pp. 686-698 ◽  
Author(s):  
Hengjin Dong ◽  
Lennart Bogg ◽  
Clas Rehnberg ◽  
Vinod Diwan
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Financing ◽  
Health Care Facilities ◽  
Central China ◽  
Care Providers ◽  
Prescribing Behavior ◽  
Care Facilities ◽  
Insured Patients ◽  
Village Health

Objectives: To describe effects of health financing on providers' opinions and prescribing behavior in rural China.Methods: A multi-stage sampling procedure was used to select county, township, and village health care facilities. A total of 1,064 health care providers in county, township, and village health care facilities in six counties in central China were randomly selected and surveyed during one week by written questionnaire.Results: Patient's health financing systems (insurance or out-of-pocket payment), financing methods for health facilities (general budget or fee for service), and payment methods for providers (salary or bonus) influenced provider prescribing. Bonuses could improve the quality of health care, but could also be an incentive to prescribe more drugs or more expensive drugs and other services. The providers were of the view that patients' health financing and ability to pay were the main determinants of the type of treatment. Insured patients could have more access to expensive drugs, referred to specialized health care facilities, and have a higher cure rate (according to the doctor's opinion) for tuberculosis. Most of the clinical doctors said that they prescribed more expensive antibiotics for insured patients and changed prescriptions according to patients' demands, financial ability, and health financing systems in the treatment of some diseases, such as chronic bronchitis, tuberculosis, and hypertension.Conclusion: The empirical data suggest that the main factor influencing provider prescribing behavior is the economic incentives in relation to health care financing for both health care providers and consumers.

scholarly journals Barriers to Effective HIV Testing Services and Strategies for Its Promotion at the Primary Health Care Facilities in Ibadan, Nigeria

2020 ◽  
pp. 24-32
Author(s):  
Christiana A. Oluwamotemi ◽  
Funmilayo A. Okanlawon ◽  
Elizabeth R. Edoni ◽  
Ademola L. Adelekan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hiv Testing ◽  
Health Care Providers ◽  
Health Care Facilities ◽  
Care Providers ◽  
Primary Health ◽  
Care Facilities ◽  
Hiv Testing Services ◽  
Primary Health Care Facilities

Background: HIV testing services (HTS) act as a critical entry point to HIV care, treatment and prevention services, and offer the opportunity for specially-trained health care providers to encourage avoidance of high risk sexual behaviour among both HIV negative and HIV-positive individuals. However, there are some challenges that can hinder effective delivery of HIV Counseling and Testing services by health care providers. This study was therefore designed to investigate barriers to effective HIV testing services and strategies for its promotion at the primary health care facilities in Ibadan. Methods: This descriptive cross-sectional study was carried out among health care providers in primary health care facilities in five local government areas in Ibadan metropolis, Nigeria. A 4-stage sampling techniques was used to select 19 respondents and interviewed using key informant interview guide. Interviews were transcribed verbatim. Spot check of transcripts were conducted to ensure completeness of the transcription. The data were sorted, categorized, and analyzed using a qualitative data analysis computer software package (NVivo). Results: All the respondents interviewed reported that, there were pre and post-tests counseling including HIV testing services in their facilities. Some respondents added there were laboratory services and linkages to other care and support services for those tested positive to HIV. However, most of the respondents reported insufficient consumables, insufficient staff, no privacy, lack of infrastructures as barriers to effective HIV testing services. Many of the respondents recommended community sensitization, more provision for consumables, drugs and kits as strategies for promoting HIV testing services. Conclusion: This study revealed that the primary health centres have pre-test and post-test HIV counseling services but insufficient consumables and staff were the major barriers to HIV testing services in this study. It is therefore necessary for government to make provision for consumables and more personnel to boost the activities of the health facilities.

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