scholarly journals Individual health services and the denial of health services in German medical practices: prevalence, regional differences and socio-demographic determinants

2009 ◽  
Vol 21 (4) ◽  
pp. 491-498
Author(s):  
Susanne Richter ◽  
Heinke Rehder ◽  
Heiner Raspe
2018 ◽  
Vol 1 (2) ◽  
pp. 148-156
Author(s):  
Delfina Gusman ◽  
Marryo Borry WD

Clinics are health care facilities that provide individual health services that provide basic medical and / or specialist services. Primary Clinic is a clinic that provides basic medical services both general and special. To establish primary clinics until they can operate through a series of licensing processes, namely the Hinder Ordonnantie (HO) Permit, Clinical Establishment Permit (IMK) and Clinical Operational Permit (IOK). The results of the process are overlapping or suggesting requirements that make the process ineffective and inefficient


2020 ◽  
Vol 6 (1) ◽  
pp. 97-118
Author(s):  
Delfina Gusman ◽  
Marryo Borry

Clinic is a health service facility that organizes individual health services that provide basic and/or specialist medical services. Primary Clinic (Klinik Pratama) is a Clinic that organizes basic medical services both general and specific. To establish a Klinik Pratama so that it can operate through a series of licensing processes namely Nuisance/Hinder Ordonnantie Permit (HO), Establishment Permit Clinic (IMK) and Clinical Operating Permit (IOK). The results of this process are overlapping or repetitive requirements, making the process ineffective and inefficient. This research is intended to analyze the dispute on health facility licensing in Padang City, West Sumatra. This paper analyzes overlapping of clinical licensing. The main problems that analyzed in this paper concerning to analyze and review clinical licensing, analyze licensing regulations at the Padang City level as a basis for recommendations on simplification, deletion and merging of licenses by the Padang City Government.


2020 ◽  
Vol 5 (1) ◽  
pp. 12
Author(s):  
Fardiansyah - Fadhli

Yuliddin Away Regional General Hospital (RSUDYA) as an institution provides individual health services in a complete manner that often experiences obstacles in providing optimum services to community, in some cases, complaints from the public. During this time, complaints are accommodated by the existence of a complaint box in each service division, but the use of this method is difficult to obtain accurate information and the process of executing these complaints requires a relatively long period. The implementation of information and communication technology in the form of applications is expected to improve responsive and informative service quality. Through the Android-based Complaints application, it was found that with the use of this application the community was easy in providing advice and criticism of the services of Yuliddin Away Hospital.


2003 ◽  
Vol 48 (3) ◽  
pp. 176-186 ◽  
Author(s):  
Régis Blais ◽  
Jean-Jacques Breton ◽  
Mylène Fournier ◽  
Marie St-Georges ◽  
Claude Berthiaume

Objectives: The purpose of this study was twofold: 1) to determine whether publicly funded mental health services and resources available in 4 large regions in the province of Quebec were distributed according to the mental health needs of children aged 6 to 14 years and 2) to assess whether the variations in mental health services and resources across the 4 regions had changed over a 5-year period. Methods: Indicators of need according to the child's parent (presence of mental disorder, measure of adaptation, and perception of need for help) from an epidemiologic survey of 2400 noninstitutionalized children were compared with both in-school and community professional resources and with physician and hospital services in 1992–1993. Resource and service data were also collected for 1997–1998. Resource and service data came from professional colleges and government administrative databases. Results: No significant regional differences were found for need indicators, but there were large discrepancies in mental health resources and services in 1992–1993. Differences in professional resources were largest for special education teachers in the school system and for psychiatrists in the community. The regional differences in resources and services were as large in 1997–1998 as they were in 1992–1993. Conclusions: Despite universal health care in Quebec and a government mental health policy stressing equity of access, the available mental health resources for children aged 6 to 14 years are not distributed across regions according to needs. More evidence-based planning is required, specifically using epidemiologic survey data, to match resources to needs and to monitor changes over time.


2008 ◽  
Vol 14 (9) ◽  
pp. 1071-1072 ◽  
Author(s):  
Sheila Busato ◽  
Emília C. Mansoldo Tanaka ◽  
Álvaro da Silva Santos ◽  
Thais Eiko Higuchi ◽  
José Roberto Leite ◽  
...  

2019 ◽  
Author(s):  
Edi Abdurachman ◽  
Yuli Eni ◽  
Asnan Furinto ◽  
Dezie Warganegara ◽  
Idris Gautama So

Hospitals are health care institutions for people who provide individual health services. Health services in hospitals are provided for inpatients, outpatients, and emergency unit patient. Facilities in the hospital are also provided for the fulfillment of health services for all patients. However, currently, there are still many doctors who are unbalanced in getting patients. For example, in a hospital, there is a doctor who is a favorite of patients, so they have a large queue of patients. However, on the other hand, some doctors are not favorites so that almost no patients come. This makes the hospital inefficient in terms of labor and time. This study discusses the efficiency of existing resources in hospitals which includes input variables (beds, general practitioners, specialist doctors, nurses, pharmacists, medical technicians, health workers, non-health workers, building area) and output variables (inpatient, outpatient, and patient emergency unit). The method used in this study is Stochastic Frontier Analysis using Frontier 4.1 software. The results indicated that more than 50% of the hospitals are below the efficiency average. This happens for the three types of output.


2021 ◽  
Vol 9 (1) ◽  
pp. 13-32
Author(s):  
Rizkiyani Istifada ◽  
Etty Rekawati ◽  
Wiwin Wiarsih

Nurses have an important task in the strategy of intervention to reduce of Non-Communicable Diseases (NCD)’ incidence. Community health nurses have tried to control the problem of NCD. However, the incidence of NCD has not decreased as expected. The promotion and prevention of non-communicable diseases are one of the efforts to control PTM. This study aims to explore the experience of nurses in implementing the strategies of NCD’ promotive and preventive. This study used a qualitative descriptive phenomenological design. A total of 16 community health nurses were selected using purposive sampling. The inclusion criteria of this study were (1) nurses who served at the community health center for a minimum of 6 months, (2) performed individual health services in the community health center and carried out family visits and services in the community. The data were analyzed using Colaizzi's approach. This research was approved by the Committee of Ethics in the Faculty of Nursing, Universitas Indonesia. This study resulted in five strategies of nurses implementing to NCD’ promotion and prevention, include (1) health education, (2) partnership with community health workers, (3) coordination, (4) stand with the community, (5) monitoring the change of behavior in the community. Nurses’ experience of NCD’s promotion and prevention in the community health center still needs improvement to achieve holistic and comprehensive health services. Nurses should be attention to the preparation of themselves before implementing the promotion and prevention, such as preparation of the topic, communication with colleagues and communities, and doing a partnership with multisectoral.


1973 ◽  
Vol 3 (2) ◽  
pp. 213-221 ◽  
Author(s):  
B. Popović ◽  
M. Škribić ◽  
R. Kohn

Health care in Yugoslavia is provided through a partnership of federal, republic, and local health authorities in collaboration with health insurance funds, sociopolitical and work associations, as well as other associations which represent either the providers or users of health services, or those who shape the development of health policy. The concept of cooperation culminates in a high degree of autonomy for individual health institutions, with self-management characterizing the general pattern of Yugoslav health care delivery. Self-management entails legal, administrative, and fiscal autonomy of the institution, both in its relations with other agencies and within the institution itself, with high levels of self-management within individual departments and sections. Given this diminished role of classical hierarchical organization, the health institution operates with a minimum of legal restraints in responding to the special social interests concerned with health matters. To deal with the institution's external role on the one hand, and its internal cohesion on the other, two organs have been created to serve these respective functions: the council and the management board. Self-management requires planning for several distinct levels: the individual health institution, the local community, and the entire republic. Health services development planning requires cooperation of all pertinent organizations in achieving a “social agreement” on the objectives and priorities of the health services, the resources required, and the specific plans for construction and renovation of health facilities. The principles of the “social agreement” encourage the interest as well as the broad support of citizens and their representatives in the development, implementation, and financing of health protection plans.


2020 ◽  
Vol 2 (02) ◽  
pp. 40-56
Author(s):  
Rissa Afni Rissa ◽  
Aditia Arief Firmanto

The implementation of traditional medical practices is supported by several regulations including the Minister of Health Decree No. 1076 / MENKES / SK / VII / 2003 concerning Organizers of Traditional Medicine and Law No. 36 of 2009 concerning Health. This research was conducted using the normative-empirical method. The study population was taken by purposive sampling according to the research objectives. Data analysis in this legal analysis research uses qualitative methods. The rules and conditions set for the management of traditional medical practices in Bandar Lampung City are guided by PerMenKes No. 61 of 2016 concerning Empirical Traditional Health Services, PP of the Republic of Indonesia No. 103 of 2014 concerning Traditional Health Services and Decree of the Head of Lampung Provincial Health Office Number 442 regarding Guidelines for Developing Traditional Health Services in Lampung Province in 2009. The resulting legal analysis is evident from 60 respondents that there are 39 people or 65% already know that the traditional medicine where they seek treatment already have a permit, this will increase the confidence of patients to seek treatment to a legal license. The results of the study of 60 patient respondents were only 3 people who were given health insurance by traditional medical providers. While the remaining 57 patient respondents were not given health insurance by traditional medical providers. This proves that only 5% of traditional medicine dares to give health insurance to their patients. Patients or people who seek treatment are entitled to health insurance following the legal basis for health insurance. The Bandar Lampung City Health Office has not optimally conducted supervision and education on traditional medicine in the Bandar Lampung City. It is hoped that the mayor's regulations will effectively regulate traditional medical practices, preventive measures, and make patients more selective in choosing health healing facilities.


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