Continuity of Care and Home Care / organization of a process to improve the integration with the territorial health care facilities and the involvement of the family for a safe discharge of chronic patients

Purpose This study sought to investigate a framework for ensuring the confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. In most instances, trauma to HIV/AIDS patients accelerate because of their personal information relating to the state of illness leaks to public people. Design/methodology/approach This qualitative study used literature to study confidentiality and security of information at the public health-care facilities to curb HIV/AIDS trauma among patients in Africa. Findings The study revealed that confidentiality and security of information has been neglected, in most instances, at the health-care facilities, and this has, to some extent, affected HIV/AIDS patients negatively, leading to trauma, stigma and skipping of treatment by patients resulting in accelerated mortality among chronic patients. The study recommends that patients’ information be always strictly controlled and kept confidential and secured at all the times, especially that of HIV/AIDS patients. Practical implications The proposed framework can be used by health-care facilities to guide the management and promotion of the confidentiality and security of information in the public health-care facilities to curb additional trauma to HIV/AIDS patients in the context of Africa, and even beyond. Originality/value The study provides a framework to ensure the confidentiality and security of information at the public health-care facilities to curb additional trauma to HIV/AIDS patients.

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Faktor-Faktor yang Mempengaruhi Migrasi Sirkuler Pasien Kanker Payudara di Yogyakarta

Insignia Journal of International Relations ◽

10.20884/1.ins.2016.3.02.471 ◽

2016 ◽

Vol 3 (02) ◽

pp. 38

Author(s):

Ratna Dewi

Keyword(s):

Health Care ◽

Decision Making ◽

Cancer Patient ◽

Health Sector ◽

Health Care Facilities ◽

The Other ◽

The Family ◽

Care Facilities ◽

Complete Health ◽

The Town

AbstrakMigrasi penduduk merupakan salah satu upaya yang dilakukan untuk memenuhi kebutuhan hidup. Hal ini juga terjadi pada pasien kanker. Keterbatasan fasilitas kesehatan di daerah asal akan dapat mendorong mereka untuk mencari pengobatan di luar tempat tinggalnya. Penelitian ini bertujuan untuk mengetahui proses pengambilan keputusan untuk melakukan mobiitas pada pasien kanker yang melakukan pengobatan di yogyakarta. Hasil penelitian menunjukkan bahwa keterbatasan pelayanan kesehatan di daerah asal menyebabkan pasien melakukan pengobatan keluar daerahnya. Ada banyak pertimbangan bagi pasien kanker untuk mengambil keputusan melakukan migrasi. Pertimbangan dapat berupa pengaruh dari dalam maupun luar diri pasien. Kuatnya ikatan kekeluargaan membuat mereka berat meninggalkan daeraah asalnya. Proses pengambilan keputusan bukanlah hal yang mudah karena berkaitan dengan keluarga ataupun pekerjaan yang harus ditinggalkan. Pilihan daerah tujuan dipengaruhi oleh beberapa hal, antara lain jarak antara tempat tinggal dengan kota tujuan, informasi yang diterima mengenai daerah tujuan, dan penilaian pasien kanker terhadap daeah tujuan.Kata-kata Kunci: migrasi sirkuler, kajian lokal Yogyakarta, social ekonomiAbstractPeople migration is an effort to fulfill their living needs. It was happened to the cancer patients. Limited facility of health services in one place can encourage people to get a healing outside the town of origin where the more complete facilities are available. The contrast in the services and facilities of health sector inter-regionally has become one of the matters encouring people to move to find far more complete health facilities. This research was aimed to determine the process of the decision-making of the cancer patient for treatment in Yogyakarta. This happened due to the limited cancer facilities and services in a number of hospitals. The result of the research shows that the limitation of health care facilities in the native region is one of the matters causing the patients to take medication outside their domicilies. There are many considerations to decide to move. Those considerations are the external and also internal effects. The strength of the kinship makes people are hard to leave their town of origin. The decision is not easy to be taken due to issues related to the family or the work which must be abandoned.In case of choosing the recovery place, there are some considerations on it, there are, the distance from the town of origin, the affection from the other people, and the condition or environment.

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Information management practices in public tertiary health-care facilities: an empirical investigation from the state of Kuwait

Records Management Journal ◽

10.1108/rmj-10-2019-0062 ◽

2021 ◽

Vol ahead-of-print (ahead-of-print) ◽

Author(s):

Dari Alhuwail

Keyword(s):

Health Care ◽

Information Management ◽

Management Practices ◽

Health Care Organizations ◽

Health Care Facilities ◽

Care Organization ◽

Data Set ◽

Content Type ◽

Management Standard ◽

Care Facilities

Purpose This paper aims to gain insights about information management practices in public health-care organizations in Kuwait and offer recommendations to improve these practices. Design/methodology/approach This study involves secondary analysis of quantitative and qualitative accreditation-related data pertaining to the compliance with the Information Management standard at seven public tertiary health-care facilities over two accreditation cycles. Findings Overall, organizations improved their compliance with the Information Management standard. However, issues exist with effectively and efficiently transmitting data, aggregating clinical and administrative data and using the information for both strategic planning and quality improvement initiatives. Research limitations/implications The analysed data set does not provide information about the improvements done between the accreditation cycles. Caution should be applied before assuming generalizability of the results, considering the context and social constructs around the health-care system is essential. Practical implications Compliance with predetermined criteria through accreditation can improve information management practices. Without proper management of information at health-care facilities, achieving safe and effective patient care is futile. The role of health information technology (IT) should not be sidelined; robust health IT solutions can help support good information management practices thereby improving care quality and aiding health-care reform. Originality/value Concerning information management, health-care organizations providing focused services have clear advantages over organizations providing general care services. Considering the type of care organization (general vs specialized) can provide insights into how information management practices can affect the operations of the organization.

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IBM FABRIC MASK MAKING TRAINING FOR THE RESIDENTS OF EAST PENFUI VILLAGE, KUPANG TENGAH, KUPANG DISTRICT IN CENTRAL PANDEMI COVID-19

Journal of Health Community Service ◽

10.33086/jhcs.v1i1.2107 ◽

2021 ◽

Vol 1 (1) ◽

pp. 25-28

Author(s):

Anita Lidesna Shinta Amat ◽

Herman Pieter Louis Wungouw ◽

Efrisca Damanik

Keyword(s):

Health Care ◽

Home Care ◽

Community Service ◽

First Aid ◽

Health Care Facilities ◽

Daily Activities ◽

Modes Of Transmission ◽

Care Facilities ◽

Almost All ◽

Respiratory Droplets

Covid-19 pandemic has become a global problem that has an impact on almost all levels of society, both those with income and no income. Recommendations regarding the use of masks in the community, during home care, and in health care facilities in areas need to be mobilized massively. Current information indicates that the two main modes of transmission of the COVID-19 virus are respiratory droplets and contact. The use of masks has become a culture in life and daily activities so that the need for masks has increased. Therefore, it is necessary to have a stock of masks that are clean and of good type of cloth as prevention and first aid when doing activities outside the home. The condition of the residents in Penfui Village shows that not all are able to provide a large stock of masks for at least 1 house / small family. This situation prompted the Community Service team from the Faculty of Medicine (FK) Undana to provide training in making cloth masks for the community in East Penfui Village.

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Understanding barriers to implementing referral procedures in the rural and semi-urban district hospitals in Tanzania: Experiences of healthcare providers working in maternity units

PLoS ONE ◽

10.1371/journal.pone.0255475 ◽

2021 ◽

Vol 16 (8) ◽

pp. e0255475

Author(s):

Lilian Mselle ◽

Nathanael Sirili ◽

Amani Anaeli ◽

Siriel Massawe

Keyword(s):

Health Care ◽

Continuity Of Care ◽

Health Care Facilities ◽

Obstetric Complications ◽

Referral System ◽

Care Hospital ◽

Care Providers ◽

Urban District ◽

District Hospitals ◽

Care Facilities

Introduction Maternal and perinatal deaths occurring in low and middle income countries could be prevented with timely access to maternal and new-born care. In order to increase access to maternal and child health services, a well-functioning referral system that allows for continuity of care across different tiers of healthcare is required. A reliable healthcare system, with adequate numbers of skilled staff, resources and mechanisms, is critical to ensuring that access to care is available when the need arises. Material and methods This descriptive, qualitative study design was used to explore barriers to implementing a reliable referral system. Twelve individual qualitative interviews were conducted with health care providers working in rural and semi-urban district hospitals in the Northern, Western, Eastern and Southern zones of Tanzania. Thematic analysis guided analysis of data. Results Three (3) main and interconnected themes were abstracted from the data relating to participants’ experiences of referring women with obstetric complications to adequate obstetric care. These were: 1. Adhering to a rigid referral protocol; 2. Completing the referral of women to an adequate health facility and 3. Communicating the condition of the woman with obstetric complications between the referring and receiving facilities. Conclusion Because of referral regulations, assistant medical officers were unable to make referral decisions even when they felt that a referral was needed. The lack of availability of hospital transport as well as the lack of a reliable feedback mechanism, prohibited effective referrals of patients. The Ministry of Health should revise the referral protocol to allow all clinicians to provide referrals, including assistant medical officers- who make up the majority of clinical staff in rural health care facilities. A mechanism to ensure effective communication between the referral facility and the tertiary care hospital should be instituted for quality and continuity of care. Furthermore, health care facilities should put aside budget for fuelling the ambulance for effective referrals.

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Access to chronic medicines: patients’ preferences for a last kilometre medicine delivery service in Cape Town, South Africa

BMC Family Practice ◽

10.1186/s12875-021-01392-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Siraaj Adams ◽

Mwila Mulubwa ◽

Mea van Huyssteen ◽

Angeni Bheekie

Keyword(s):

South Africa ◽

Health Care ◽

Health Facility ◽

Employment Status ◽

Health Care Facilities ◽

Chronic Patients ◽

Chi Square ◽

Delivery Service ◽

Care Facilities ◽

Chi Square Test

Abstract Background Chronic patients are required to access their chronic medicines on a regular basis, often only to refill their repeat prescriptions. Adherence to chronic medicines is challenging and has stimulated health care providers to devise differentiated service delivery models of care to decentralise chronic medicine distribution to decrease the frequency of medicine collection at health care facilities. One such option includes a last kilometre medicine delivery service. This study investigated chronic patients’ preferences for a last kilometre medicine delivery service model. Methods An exploratory non-randomised quantitative study was conducted over 4 weeks at four public sector primary health care facilities in Cape Town, South Africa. Data was collected on a structured questionnaire from chronic patients queuing to receive medication at each facility’s pharmacy waiting area. Patient demographics were noted to align with preferences for chronic medicine service delivery characteristics including; mobile ordering, fee for service and location for delivery. Chi-square test and frequencies were employed to analyse data using SPSS version 23. Results A total of 116 patients participated in this study. Most were interested in a medicine delivery service (80.2%) and were willing to use a mobile application to order their medicines (84.5%). Almost all patients (96.8%) preferred that their medicines be delivered to their home. More than three quarters of participants were willing to pay for the service (77.6%). Chi-square test showed that gender, age group, employment status, distance to the health facility and /or average waiting time at the clinic significantly influenced the preference for certain characteristics of the medicine delivery service (p < 0.05). Conclusion Most participants were interested in a last kilometre medicine delivery service, especially those older than 45 years, waiting for more than 6 h at the facility, and staying within one kilometre radius of the clinic. More studies are needed to establish the influence of patients’ employment status and the distance to health facility on interest in the medicine delivery service.

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STUDY OF AUTONOMY OF WOMENS DECISION MAKING AT HOUSEHOLD LEVEL: AN EMPIRICAL STUDY

International Journal of Advanced Research ◽

10.21474/ijar01/12603 ◽

2021 ◽

Vol 9 (03) ◽

pp. 451-454

Author(s):

Neha Tiwari ◽

◽

Jiju N. Vyas ◽

Keyword(s):

Health Care ◽

Decision Making ◽

Empirical Study ◽

Health Care Facilities ◽

Household Level ◽

Legitimate Power ◽

The Family ◽

Care Facilities ◽

Household Assets ◽

The City

Women decision making is giving legitimate power or authority to perform the tasks. If women were free to take their own decisions, they would be able to participate in the planning and decision making task and contribute to the development programmes and activities individually. The process of freedom of decision making should start from our own home. Womens position in the household determines womens autonomy in the family. It is worth to examine whether she can decide about household matters like buying household assets and jewelleries, having access to money, having mobility to go to relatives house or getting health care facilities. Present study evaluates the perception of females with respect to their freedom of decision making at household front. This paper also explains how the freedom of decision making of females at household level is influenced by various other factors and their contribution in decision making freedom to the women. The present study was undertaken in the city of Ahmedabad city and it reflect various dimensions of women decision making at household level.

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