Athlete health and safety at large sport events: the development of consensus-driven guidelines

2020 ◽  
pp. bjsports-2020-102771
Author(s):  
Margo Mountjoy ◽  
Jane Moran ◽  
Hosny Ahmed ◽  
Stephane Bermon ◽  
Xavier Bigard ◽  
...  
Keyword(s):  
Knowledge Translation ◽  
Action Plan ◽  
Health And Safety ◽  
Healthcare Services ◽  
International Federation ◽  
Medical Services ◽  
Local Context ◽  
Sporting Events ◽  
Medical Risk ◽  
Sport Events

All sport events have inherent injury and illness risks for participants. Healthcare services for sport events should be planned and delivered to mitigate these risks which is the ethical responsibility of all sport event organisers. The objective of this paper was to develop consensus-driven guidelines describing the basic standards of services necessary to protect athlete health and safety during large sporting events. By using the Knowledge Translation Scheme Framework, a gap in International Federation healthcare programming for sport events was identified. Event healthcare content areas were determined through a narrative review of the scientific literature. Content experts were systematically identified. Following a literature search, an iterative consensus process was undertaken. The outcome document was written by the knowledge translation expert writing group, with the assistance of a focus group consisting of a cohort of International Federation Medical Chairpersons. Athletes were recruited to review and provide comment. The Healthcare Guidelines for International Federation Events document was developed including content-related to (i) pre-event planning (eg, sport medical risk assessment, public health requirements, environmental considerations), (ii) event safety (eg, venue medical services, emergency action plan, emergency transport, safety and security) and (iii) additional considerations (eg, event health research, spectator medical services). We developed a generic standardised template guide to facilitate the planning and delivery of medical services at international sport events. The organisers of medical services should adapt, evaluate and modify this guide to meet the sport-specific local context.

scholarly journals Addressing Health Insurance Deductions through an Interventional Study: the Case of a Large Central Hospital

2016 ◽  
Vol 11 (2) ◽  
pp. 39-48
Author(s):  
Erfan Kharazmi ◽  
Asiyeh Salehi ◽  
Neda Hashemi ◽  
Shekufe Ghaderi ◽  
Nahid Hatam
Keyword(s):  
Healthcare Provider ◽  
Failure Mode ◽  
Armed Forces ◽  
Healthcare Services ◽  
Intervention Programs ◽  
Medical Services ◽  
Mode Effects ◽  
The Social ◽  
Potential Failure ◽  
Efficiency And Productivity

Objective: A large proportion of hospitals’ private income is provided by insurance organisations. Hospitals in Iran face various problems in terms of insurance deductions from insurance organisations resulting from inefficient performance by both the hospitals and the insurers. These problems necessitate more specific cost control in this area. This research assesses the causes of insurance deductions by using the Failure Mode Effects Analysis (FMEA) technique, and addresses the issues resulting in deductions by providing some interventions through the Pareto technique. Design: The 10-step pattern of FMEA was implemented for assessing the main causes of insurance deduction in this study. Setting: Data was collected from deduced amounts by three main/largest contracting party insurance organisations (e.g. the Social Security Insurance Organisation, Medical Services Insurance Organisation and Armed Forces Medical Services Insurance Organisation of Namazi Hospital, a large healthcare provider in the South of Iran, in 2014. Findings: Sixty-five potential failure causes were identified, of which 26 were related to the anaesthesia unit, 23 were related to the surgery room unit and 16 were related to the hospitalisation unit. Deductions in the anaesthesia and hospitalisation units and the surgery room were reduced after intervention programs by 14.42%, 57.76%, and 51.52%, respectively. Conclusions: Using the FMEA technique in a large healthcare provider in Iran resulted in identifying the main causes of insurance deductions and provided intervention programs in order to increase the efficiency and productivity of healthcare services. Abbreviations: FMEA – Failure Mode Effects Analysis; RPN – Risk Priority Number.

scholarly journals Forecast of the COVID-19 trend in India: a simple modelling approach

2021 ◽  
Author(s):  
Haitao Song ◽  
Guihong Fan ◽  
Shi Zhao ◽  
Huichen Li ◽  
Qihua Huang ◽  
...  
Keyword(s):  
Model Simulation ◽  
Current Trend ◽  
Health And Safety ◽  
Wave Pattern ◽  
Mortality Data ◽  
Local Elections ◽  
Sporting Events ◽  
Epidemic Size ◽  
New Variant ◽  
Short Period

Abstract By February 2021, the overall impact of the COVID-19 pandemic in India had been relatively mild in terms of total reported cases and deaths. Surprisingly, the second wave in early April becomes devastating and attracts worldwide attention. On April 30, 2021, India became the first country reporting over 400,000 daily new cases. Multiple factors drove the rapid growth of the epidemic in India and caused a large number of deaths within a very short period. These factors include a new variant with increased transmissibility, a lack of preparations exists national wide, and health and safety precautions poorly implemented or enforced during festivals, sporting events, and state/local elections. Moreover, India's cases and deaths are vastly underreported due to poor infrastructure, and low testing rates. In this paper, we use the COVID-19 mortality data in India and a mathematical model to calculate the effective reproduction number and to model the wave pattern in India. We propose a new approach to forecast the epidemic size and peak timing in India with the aim to inform mitigation in India. Our model simulation matched the reported deaths accurately and is reasonably close to results of serological study. We forecast that the IAR could reach 43% by June 13, 2021 under the current trend, which means 532,629 reported deaths with a 95% CI (552,445, 513,194) ie., double the current total deaths. Our approach is readily applicable in other countries and with other type of data (e.g. excess deaths).

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.

Abrechnungsbetrug im Krankenhaus

2021 ◽  
Author(s):  
Johannes Wölfel
Keyword(s):  
Private Practice ◽  
Criminal Liability ◽  
Healthcare Services ◽  
Criminal Code ◽  
Medical Services ◽  
Reimbursement System ◽  
Executive Management ◽  
Management Level ◽  
Liability Risks

The billing of healthcare services is multilayered and complex. This is particularly true for medical services in hospitals. The historically developed reimbursement system offers room for billing errors and even fraud. This study examines the issue of billing fraud in hospitals, which has not yet been addressed by the highest courts. Based on the discussion in the private practice sector, case groups are elaborated, categorized and classified with regard to § 263 StGB (German Criminal Code). In this context, not only the criminal liability of directly acting persons is examined, but also possible criminal liability risks for the management level. The focus is on the executive management and the chief physicians.

Cardiac safety at sports events: the medical action plan

2019 ◽  
pp. 411-418
Author(s):  
Luis Serratosa ◽  
Efraim Kramer ◽  
Mats Börjesson
Keyword(s):  
Health Care ◽  
Communication Systems ◽  
Medical Equipment ◽  
Action Plan ◽  
Sudden Cardiac Arrest ◽  
Skills Training ◽  
Health Care Personnel ◽  
Medical Services ◽  
Sports Events ◽  
Emergency Medical

The cardiac-specific medical services plan, in and around a sports stadium or arena, should be carefully undertaken and individualized, in order to ensure safe, effective, and coordinated management of any sudden cardiac arrest (SCA). This is ensured practically by tailoring the designated number and skills of on-duty health-care personnel and by having adequate and appropriate medical equipment, effective communication systems, and the emergency medical service transportation logistics required to initiate cardiopulmonary resuscitation (CPR) and defibrillation within the first 3–5 minutes after SCA, regardless of the size or type of sport environment. The planning should be written down in a medical action plan (MAP) which should be communicated to all relevant and appropriate officials, health-care personnel, and, where relevant, participants and spectators. Relevant contact information regarding activation of the necessary emergency medical services, listing the sport environment health-care personnel, and continuous education and skills training are vital parts of the MAP.

IoT in Healthcare

2020 ◽  
pp. 1575-1586
Author(s):  
Somasundaram R ◽  
Mythili Thirugnanam
Keyword(s):  
Medical Information ◽  
Health And Safety ◽  
Healthcare Services ◽  
Wearable Technologies ◽  
Security Issues ◽  
Technological Advances ◽  
Working Principle ◽  
In Transit ◽  
The Internet Of Things ◽  
Confidentiality And Privacy

The fields of computer science and electronics have merged to result into one of the most notable technological advances in the form of realization of the Internet of Things. The market for healthcare services has increased exponentially at the same time security flaws could pose serious threats to the health and safety of patients using wearable technologies and RFID. The volume and sensitivity of data traversing the IoT environment makes dangerous to messages and data could be intercepted and manipulated while in transit. This scenario must absolutely respect the confidentiality and privacy of patient's medical information. Therefore, this chapter presents various security issues or vulnerabilities with respect to attacks and various situations how information will be attacked by the attacker in healthcare IoT. The working principle of healthcare IoT also discussed. The chapter concludes the performance of various attacks based on the past work. In the future this work can be extended to introduce a novel mechanism to resolve various security issues in healthcare IoT.

scholarly journals Contacting out-of-hours primary care or emergency medical services for time-critical conditions - impact on patient outcomes

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Morten Breinholt Søvsø ◽  
Morten Bondo Christensen ◽  
Bodil Hammer Bech ◽  
Helle Collatz Christensen ◽  
Erika Frischknecht Christensen ◽  
...  
Keyword(s):  
Emergency Medical Services ◽  
Healthcare Services ◽  
Medical Services ◽  
Critical Conditions ◽  
Stroke Patients ◽  
Out Of Hours ◽  
Icu Stay ◽  
Emergency Medical ◽  
Time Critical ◽  
Hospital Contact

Abstract Background Out-of-hours (OOH) healthcare services in Western countries are often differentiated into out-of-hours primary healthcare services (OOH-PC) and emergency medical services (EMS). Call waiting time, triage model and intended aims differ between these services. Consequently, the care pathway and outcome could vary based on the choice of entrance to the healthcare system. We aimed to investigate patient pathways and 1- and 1–30-day mortality, intensive care unit (ICU) stay and length of hospital stay for patients with acute myocardial infarction (AMI), stroke and sepsis in relation to the OOH service that was contacted prior to the hospital contact. Methods Population-based observational cohort study during 2016 including adult patients from two Danish regions with an OOH service contact on the date of hospital contact. Patients <18 years were excluded. Data was retrieved from OOH service databases and national registries, linked by a unique personal identification number. Crude and adjusted logistic regression analyses were performed to assess mortality in relation to contacted OOH service with OOH-PC as the reference and cox regression analysis to assess risk of ICU stay. Results We included 6826 patients. AMI and stroke patients more often contacted EMS (52.1 and 54.1%), whereas sepsis patients predominately called OOH-PC (66.9%). Less than 10% (all diagnoses) of patients contacted both OOH-PC & EMS. Stroke patients with EMS or OOH-PC & EMS contacts had higher likelihood of 1- and 1–30-day mortality, in particular 1-day (EMS: OR = 5.33, 95% CI: 2.82–10.08; OOH-PC & EMS: OR = 3.09, 95% CI: 1.06–9.01). Sepsis patients with EMS or OOH-PC & EMS contacts also had higher likelihood of 1-day mortality (EMS: OR = 2.22, 95% CI: 1.40–3.51; OOH-PC & EMS: OR = 2.86, 95% CI: 1.56–5.23) and 1–30-day mortality. Risk of ICU stay was only significantly higher for stroke patients contacting EMS (EMS: HR = 2.38, 95% CI: 1.51–3.75). Stroke and sepsis patients with EMS contact had longer hospital stays. Conclusions More patients contacted OOH-PC than EMS. Sepsis and stroke patients contacting EMS solely or OOH-PC & EMS had higher likelihood of 1- and 1–30-day mortality during the subsequent hospital contact. Our results suggest that patients contacting EMS are more severely ill, however OOH-PC is still often used for time-critical conditions.

scholarly journals Rethinking the Social Value of Sport Events Through an Asset-Based Community Development (ABCD) Perspective

2016 ◽  
Vol 30 (3) ◽  
pp. 329-340 ◽  
Author(s):  
Laura Misener ◽  
Nico Schulenkorf
Keyword(s):  
Community Development ◽  
Pacific Islands ◽  
Healthy Lifestyle ◽  
Social Value ◽  
Sporting Events ◽  
The Social ◽  
Challenges And Opportunities ◽  
Management And Development ◽  
Asset Based Community Development ◽  
Sport Events

With an increasing emphasis on the social value of sport and events, there has been a shift in focus regarding the management and development process of event projects as well as their associated outcomes. This shift is about emphasizing a more strategic approach to developing social benefits by recognizing and utilizing leverageable resources related to sport events as a means of fostering lasting social and economic change (Chalip, 2006; O’Brien & Chalip, 2007; Schulenkorf & Edwards, 2012). In this paper, we adapt and apply the asset-based community development (ABCD) approach as a means of developing a more action-oriented, community-based approach to leveraging the social assets of sporting events. In applying the ABCD approach, we aim to shift the focus of event-led projects away from attempts to “solve” social problems (i.e., deficit perspective) to enhancing the existing strengths of communities (i.e., strengths perspective). We reflect on case study findings that highlight the challenges and opportunities in realizing an ABCD approach for disadvantaged communities through an examination of a healthy lifestyle community event initiative in the Pacific Islands.

Modelling online user behavior for medical knowledge learning

2018 ◽  
Vol 118 (4) ◽  
pp. 889-911 ◽  
Author(s):  
Daifeng Li ◽  
Andrew Madden ◽  
Chaochun Liu ◽  
Ying Ding ◽  
Liwei Qian ◽  
...  
Keyword(s):  
Transfer Learning ◽  
Domain Knowledge ◽  
Service Providers ◽  
Healthcare Services ◽  
Internet Technology ◽  
Factor Graph ◽  
Medical Services ◽  
Accurate Analysis ◽  
Content Type ◽  
Medical Domain

Purpose Internet technology allows millions of people to find high quality medical resources online, with the result that personal healthcare and medical services have become one of the fastest growing markets in China. Data relating to healthcare search behavior may provide insights that could lead to better provision of healthcare services. However, discrepancies often arise between terminologies derived from professional medical domain knowledge and the more colloquial terms that users adopt when searching for information about ailments. This can make it difficult to match healthcare queries with doctors’ keywords in online medical searches. The paper aims to discuss these issues. Design/methodology/approach To help address this problem, the authors propose a transfer learning using latent factor graph (TLLFG), which can learn the descriptions of ailments used in internet searches and match them to the most appropriate formal medical keywords. Findings Experiments show that the TLLFG outperforms competing algorithms in incorporating both medical domain knowledge and patient-doctor Q&A data from online services into a unified latent layer capable of bridging the gap between lay enquiries and professionally expressed information sources, and make more accurate analysis of online users’ symptom descriptions. The authors conclude with a brief discussion of some of the ways in which the model may support online applications and connect offline medical services. Practical implications The authors used an online medical searching application to verify the proposed model. The model can bridge users’ long-tailed description with doctors’ formal medical keywords. Online experiments show that TLLFG can significantly improve the searching experience of both users and medical service providers compared with traditional machine learning methods. The research provides a helpful example of the use of domain knowledge to optimize searching or recommendation experiences. Originality/value The authors use transfer learning to map online users’ long-tail queries onto medical domain knowledge, significantly improving the relevance of queries and keywords in a search system reliant on sponsored links.

The impact of extreme weather on mass-participation sporting events

2019 ◽  
Vol 10 (2) ◽  
pp. 95-109
Author(s):  
Julia Kathryn Giddy
Keyword(s):  
Best Practice ◽  
Weather Conditions ◽  
Extreme Weather ◽  
Survey Method ◽  
Sporting Events ◽  
Content Type ◽  
Sport Events ◽  
Mass Participation ◽  
The Impact ◽  
Insight Into

Purpose The purpose of this paper is to investigate the impact of extreme weather on tourism events through the perceptions of participants, using the case of the 2017 Cape Town Cycle Tour (CTCT). Design/methodology/approach This study utilized a survey method to collect data. Questionnaires were distributed online to would-be participants in the cancelled 2017 CTCT. The questionnaire included both fixed-response and open-ended questions. Findings The results show that participants experienced mixed emotions to event cancellation. Most felt that the weather conditions warranted cancellation, but some concerns emerged as to how the cancellation was managed. In addition, many felt that the organization of the race needs to be rethought due to numerous negative weather experiences in recent years. Research limitations/implications The findings in this study are exploratory. They focus on a single event in one city. However, they provide important initial insight into how sporting event participants react to the negative impacts of extreme weather. Practical implications These results have important management implications in addressing the impact of weather on the events sector. They are significant in understanding best practice with regard to managing participants in the case of weather impacts on an event. They also demonstrate interesting results with regard to participant loyalty among active sport events tourists. Originality/value The originality of this study is in its extension of the broad discussion of the impact of extreme weather and climate change on tourism to the events sector. The implications of changing weather and climatic patterns on events, particularly mass-participation sporting events, are clear and need to be considered in order to effectively manage future impacts on this important economic sector. This is done by providing insight into how participants respond to these types of circumstances.

Sign in / Sign up

Export Citation Format

Share Document