A reasonable methodology to estimate the relationship between workload and human resources demand in a cancer unit

2009 ◽  
Vol 27 (15_suppl) ◽  
pp. e17555-e17555
Author(s):  
G. Fasola ◽  
M. Aita ◽  
A. Bin ◽  
A. Follador ◽  
M. Mansutti ◽  
...  
Keyword(s):  
Health Care ◽  
Human Resources ◽  
Working Hours ◽  
University Hospital ◽  
Annual Number ◽  
Additional Time ◽  
Number Of Patients ◽  
Different Types ◽  
Clinical Episode ◽  
The Relationship

e17555 Background: Costs of cancer care account for a growing proportion of European health care spending. Despite the rising price of new cancer drugs draws the attention of medical oncologists and decision makers, personnel spending takes the largest share of health care costs. Nonetheless, few data exist about the relationship between workload and human resources demand in a cancer unit. Here we describe an empirical model to determine staffing requirements according to the annual number of patients. Methods: The Department of Oncology at the University Hospital of Udine, Italy, is a computerized Unit within the regional cancer network taking care of about 1,500 pts/year. Each clinical episode is recorded on a centralized database. Standard time limits are set for different types of consultation. We queried the database to obtain the total number of consultations for every pt taken charge of by the Unit during 2006. Considering both the time scheduled for each type of visit and the number of yearly working hours per employee, we could reach a reasonable estimate of the annual physician and nurse hours per pt and of the number of needed personnel. Results: In 2006, each case generated an average of 16 clinical evaluations, with small differences among breast, lung and colorectal cancer. Corresponding physician- and nurse-time per pt was of 8 and 16 hours, respectively. For the first year - in Units with a mean number of 1,500 pts/year - this translates into a global amount of about 12,000 physician- and 24,000 nurse-hours and a needed number of 7 physicians and 13 nurses, respectively. In the second year, the same cases induced a mean of 4.5 consultations; using a similar approach, the demand for additional time and resources could be estimated as well. Conclusions: A preliminary assessment of the time required for different types of consultation, together with a centralized recording of each clinical episode, allows a reasoned estimate of needed time and personnel resources, thus providing a simple tool to determine the total staff expenditure of a cancer unit. No significant financial relationships to disclose.

scholarly journals Time Requirement and Feasibility of a Systematic Quality Peer Review of Reporting in Radiology

2020 ◽  
Author(s):  
Martin H. Maurer ◽  
Michael Brönnimann ◽  
Christophe Schroeder ◽  
Ehssan Ghadamgahi ◽  
Florian Streitparth ◽  
...  
Keyword(s):  
Human Resources ◽  
Peer Review ◽  
Working Hours ◽  
Diagnostic Procedures ◽  
University Hospital ◽  
Clinical Expertise ◽  
Time Requirement ◽  
Abdominal Mri ◽  
Annual Reporting ◽  
One Year

Objective To estimate the human resources required for a retrospective quality review of different percentages of all routine diagnostic procedures in the Department of Radiology at Bern University Hospital, Switzerland. Materials and Methods Three board-certified radiologists retrospectively evaluated the quality of the radiological reports of a total of 150 examinations (5 different examination types: abdominal CT, chest CT, mammography, conventional X-ray images and abdominal MRI). Each report was assigned a RADPEER score of 1 to 3 (score 1: concur with previous interpretation; score 2: discrepancy in interpretation/not ordinarily expected to be made; score 3: discrepancy in interpretation/should be made most of the time). The time (in seconds, s) required for each review was documented and compared. A sensitivity analysis was conducted to calculate the total workload for reviewing different percentages of the total annual reporting volume of the clinic. Results Among the total of 450 reviews analyzed, 91.1 % (410/450) were assigned a score of 1 and 8.9 % (40/450) were assigned scores of 2 or 3. The average time (in seconds) required for a peer review was 60.4 s (min. 5 s, max. 245 s). The reviewer with the greatest clinical experience needed significantly less time for reviewing the reports than the two reviewers with less clinical expertise (p < 0.05). Average review times were longer for discrepant ratings with a score of 2 or 3 (p < 0.05). The total time requirement calculated for reviewing all 5 types of examination for one year would be more than 1200 working hours. Conclusion A retrospective peer review of reports of radiological examinations using the RADPEER system requires considerable human resources. However, to improve quality, it seems feasible to peer review at least a portion of the total yearly reporting volume. Key Points:  Citation Format

The state of opportunities: clarifying the transitions between opportunity types

2015 ◽  
Vol 53 (7) ◽  
pp. 1398-1411 ◽  
Author(s):  
Chris Welter ◽  
Sharon Alvarez
Keyword(s):  
Human Resources ◽  
Design Methodology ◽  
Theoretical Work ◽  
The Other ◽  
Theory Building ◽  
Content Type ◽  
Different Types ◽  
System States ◽  
The Relationship ◽  
Practical Implications

Purpose – The purpose of this paper is to describe how discovery and creation opportunities transition from one to the other and thereby clarify the relationship between opportunity types. This theoretical work will offer insight for studying opportunities and clarify the different practical implications of different opportunity types. Design/methodology/approach – To further the understanding of opportunity types, the paper employs Dubin’s (1978) theory building methodology focussing specifically on the concepts of system states. Approaching opportunity types as system states clarifies the relationship between discovery and creation opportunities. Findings – This research argues that opportunities transition from creation opportunities to discovery opportunities. Furthermore, understanding the opportunity state can clarify the practical implications for entrepreneurs. In particular, entrepreneurs in discovery states employ different processes regarding human resources, strategy, financing, planning, leadership, and potential competitive advantage than entrepreneurs pursuing creation states. Originality/value – This paper offers value to researchers by clarifying the differences between opportunity types. To date, there has been little to no investigation into how opportunity types change from one type to another. This research offers to clarify the debate about the existence of different opportunity types and move the discussion forward theoretically. Additionally, this manuscript offers practical insights for entrepreneurs pursuing different types of opportunities.

scholarly journals The doctor-patient relationship

2017 ◽  
Vol 3 (2) ◽  
pp. 104
Author(s):  
Maria Vargiami ◽  
Maria Goula
Keyword(s):  
Health Care ◽  
Research Field ◽  
Human Relation ◽  
The Other ◽  
Patient Relationship ◽  
Doctor Patient Relationship ◽  
New Era ◽  
Different Types ◽  
The Relationship ◽  
Online Sources

The relationship between the doctor and the patient is a particular type of human relation. On one hand, the word «patient» states that a person is at a disadvantage, because of his/her illness, and therefore is automatically at a disadvantageous position compared to the doctor. On the other hand, the patient has the opportunity to inform him/herself from online sources, to communicate with other patients, to participate as equal and to choose consciously his/her treatment plan.There are many different types of patients depending on their personality and interaction with their doctor. These types constituted a research field in the 80’s which lead to the analysis of patients’ psychology. After an historical flashback, patients are put in categories according to their reaction to their illness. In addition, the verbal way of approaching patients by their doctor, the patients’ expectations and their encouragement by professionals to participate more actively concerning their health care is underlined. As a result, this is the beginning of a new era, where the patient has requirements concerning both the medical and the human aspect of the doctor-patient relationship.

scholarly journals Adherence with the WHO's hand hygiene recommendations in an Algerian university hospital

2020 ◽  
Vol 16 (3) ◽  
Author(s):  
Mustapha Chelghoum ◽  
Nadjet Lariche ◽  
Ismahene Belbah
Keyword(s):  
Hand Hygiene ◽  
University Hospital ◽  
Chi Square ◽  
Factors Associated ◽  
Regional University ◽  
Care Workers ◽  
Different Types ◽  
Chi Square Test ◽  
Healthcare Associated ◽  
The Relationship

Adherence to hand hygiene recommendations by health care workers (HCWs) participate to minimize healthcare-associated infections. There are few studies, to our present state of knowledge, which interested in the rate of adherence in Algerian hospitals and no one on the associated factors with the non-adherence by HCWs. The objective was to determine the rate of adherence with WHO's hand hygiene recommendations and to identify factors associated with non-adherence, in a regional university hospital. The method used was the direct observation, based on the recording of hygienic actions in opportunities for HCWs in front of the WHO's five indications. To determine the factors associated with non-adherence, a questionnaire was administrated to HCWs. The relationship between the different factors and the achievement of a hygiene action was evaluated by Pearson's Chi-square test. 503 opportunities for hand hygiene were observed among 206 HCWs, during 19 observation sessions. Simple handwashing was noted in 19% of hand hygiene actions. The overall adherence was 21 %. There was a wide variation in the adherence rates between the different departments and the different types of HCWs. There was a statistically significant association (p

Swallowing Problems after Thyroidectomy

QJM ◽  
2021 ◽  
Vol 114 (Supplement_1) ◽  
Author(s):  
Yasser Mohammed Fawzy El-beltagy ◽  
Samia El-sayed Bassiouny ◽  
Tamer Shokry Sobhy ◽  
Ahmed Essam El-din Rashad Ismail
Keyword(s):  
Vocal Fold ◽  
University Hospital ◽  
Group I ◽  
Number Of Patients ◽  
Swallowing Problems ◽  
Swallowing Evaluation ◽  
Different Types ◽  
Operative Evaluation ◽  
Group Ii ◽  
Group 5

Abstract Background Dysphagia is the medical term that is used to describe the difficulty of swallowing and the feeling of difficulty in passage of solids or semisolids or liquids from the mouth to the stomach. Objectives The aim of this work is to evaluate swallowing after different types of thyroidectomy operations. Subjects and Methods This study is a prospective, randomized trial on evaluation of swallowing after different types of thyroidectomy operations. This thesis study was conducted on 100 patients underwent different types of thyroidectomy operations, recruited from otorhinolaryngology and general surgery outpatient clinic Ain Shams university hospital from April 2018 to September 2019. An informed consent was obtained from each patient or their legal guardians before enrolment in the study. Each patient assessed by A EAT-10 Questionnaire and FEES(functional endoscopic evaluation of swallowing) both (pre-operative, early post-operative(EPO) and late postoperative(LPO). Results The study include 100 patient and mean age of study cases was 37.4 ±10.1; females represented 94% of cases. Total thyroidectomy was performed in 94% of cases. Among our cases, we found that Dysphagia was scored 0% at pre-operative questionnaire, 82% at early post-operative questionnaire and 36% at late post-operative questionnaire. Two groups were compared by FEES: Group I with normal vocal fold mobility(NVFM) and Group II with abnormal vocal fold mobility(AVFM) (unilateral fixed vocal fold). Group I included 89 patients, Forty two percent of them had early Dysphagia, while only 22% of them had late dysphagia. As regard swallowing; we found that early post-operative delayed triggering, early post-operative aspiration; early postoperative penetration and early postoperative residue were 12.4%, 0%, 0% and 42.7% respectively. While late postoperative examination revealed that there was improvement of 6 patients and the number of patients of this group became 95 who had normal vocal fold mobility. And the swallowing evaluation revealed that as regard late post-operative delayed triggering, late post-operative aspiration; late post-operative penetration and late post-operative residue were 11.6%, 0%, 0% and 6.3% had respectively. Group II included 11patients at the early postoperative evaluation, all of them had early Dysphagia (100%). As regard the swallowing evaluation, we found that early post-operative delayed triggering, early post-operative aspiration early postoperative penetration and early postoperative residue were 100%, 54.5%, 100% and 45.5% respectively. But the late post-operative evaluation showed that 45% only of the cases of this group (5 cases) still had abnormal vocal fold mobility (unilateral fixed vocal fold). And as regard swallowing; we found late postoperative delayed triggering, late postoperative aspiration, late post-operative penetration and late post-residue were 100%, 100%, 80% and 0% respectively. Conclusion Dysphagia occurs in patients after thyroidectomy operations (regardless of larynx mobility alteration) and characterized by delayed triggering and stasis of food in the oro and hypopharynx, which is also noticed in LPO, though more frequently in EPO.

Workload, Work Engagement and Job Size – How Physicians’ Decision to Work Less Is Influenced by the Work-Related State of Mind.

2021 ◽  
Author(s):  
Franziska Jung ◽  
Erik Bodendieck ◽  
Markus Bleckwenn ◽  
Felix Hussenöder ◽  
Melanie Luppa ◽  
...  
Keyword(s):  
Health Care ◽  
Work Engagement ◽  
Health Care Professionals ◽  
Working Hours ◽  
Size Reduction ◽  
Three Dimensions ◽  
Baseline Survey ◽  
Work Related ◽  
Long Term Study ◽  
The Relationship

Abstract Background: According to new estimates, the health care sector will suffer a shortage of physicians in primary and specialty care. In this context, work engagement and burnout are two constructs that have gained attention recently. The aim of this study was to investigate how these constructs are related to job size preference.Method: The present study is based on the baseline survey of the long-term study of physicians with different specialties, in which 1,001 physicians took part (response rate: 33.4%). Workload was measured using the Copenhagen Burnout Inventory adapted for health care professionals; work engagement was assessed using the Utrecht Work Engagement scale. Data analyses includes regression and mediation models.Results: Overall, 297 out of 725 physicians plan to reduce their job size. Several reasons - such as workload - are discussed. Multiple regression analyses show that job size reduction is significantly linked to all three dimensions of workload (p<0.001) as well as work engagement (p=0.001). In addition, work engagement significantly mediates the relationship between workload on job size reduction (patient-related: b= −0.135, p<0.001; work-related: b= −0.190, p<0.001; personal: b= −0.133, p<0.001 ).Discussion: Physicians that tend to reduce working hours exhibit different levels of work engagement as well as workload (personal, patient- and work-related). Moreover, work engagement is acting as a mediator, influencing the relationship between workload and job size reduction. Therefore, interventions that increase work engagement may buffer negative effects of workload on job size changes.

Looking into care: The reliability and feasibility of a Taxonomy of Care for Youth

2016 ◽  
Vol 17 (1) ◽  
pp. 21-33 ◽  
Author(s):  
KE Evenboer ◽  
AMN Huyghen ◽  
J Tuinstra ◽  
SA Reijneveld ◽  
EJ Knorth
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Youth Care ◽  
Emotional And Behavioural Problems ◽  
Rater Reliability ◽  
Child And Youth Care ◽  
Primary Health ◽  
Different Types ◽  
The Mean ◽  
The Relationship

Summary Classifying the care provided to children with emotional and behavioural problems can provide empirical insights into the relationship between child characteristics, the care offered and outcomes after leaving care. The Taxonomy of Care for Youth (TOCFY) has recently been shown to validly classify this care in six domains covering all aspects of care. The aim of this study was to assess the inter-rater reliability and feasibility of TOCFY. Two raters independently classified the care provided to 200 children (50 per organisation) from organisations in primary health care, child and youth care, and mental health care (two organisations), based on their care records. We assessed inter-rater reliability and the degree to which TOCFY categories could be applied anyhow, that is its feasibility. Findings Mean agreement was 89.8% between raters; excluding the cases scored as ‘unknown’, the mean agreement was 82.2%. TOCFY-categories could be applied for over 90% regarding each of the six domains. Applications TOCFY is a valid, reliable and feasible instrument to classify care within different types of care organisations. Give these promising findings, application and further evaluation of TOCFY is recommended.

scholarly journals The dynamics of social care and employment in mid-life

2017 ◽  
Vol 39 (2) ◽  
pp. 381-408 ◽  
Author(s):  
MADELIN GOMEZ-LEON ◽  
MARIA EVANDROU ◽  
JANE FALKINGHAM ◽  
ATHINA VLACHANTONI
Keyword(s):  
Employment Status ◽  
Negative Impact ◽  
Labour Force ◽  
Working Hours ◽  
Paid Work ◽  
Older Parents ◽  
Care Giving ◽  
Different Types ◽  
The Impact ◽  
The Relationship

ABSTRACTThis study investigates the relationship between the provision of informal care to older parents/parents-in-law and the employment status of adult children in mid-life. The study analyses unique panel data for a cohort of individuals born in 1958 in Britain, focusing on respondents at risk of providing care (i.e. with at least one surviving parent/parent-in-law) and in employment at 50. Logistic regression is used to investigate the impact of caring at 50 and 55 on employment status at 55, controlling for socio-demographic characteristics, the respondent's health status and their partner's employment status. Separate models examine (a) the likelihood of exiting the labour force versus continuing work, and (b) amongst those continuing in work, the likelihood of reducing hours of employment. Different types of care (personal, basic and instrumental support) are distinguished, along with hours of caring. The results highlight that providing care for more personal tasks, and for a higher number of hours, are associated with exiting employment for both men and women carers. In contrast, the negative impact of more intense care-giving on reducing working hours was significant only for men – suggesting that women may juggle intensive care commitments alongside work or leave work altogether. Facilitating women and men to combine paid work and parental care in mid-life will be increasingly important in the context of rising longevity.

scholarly journals How Healthcare Interactions Contribute to Burden for Care Partners of Older Adults

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 151-151
Author(s):  
Anne Mueller ◽  
Beth Fields
Keyword(s):  
Older Adults ◽  
Health Care ◽  
Logistic Regression ◽  
Medical Information ◽  
National Study ◽  
Regression Analyses ◽  
Coordinated Care ◽  
Care Partners ◽  
Different Types ◽  
The Relationship

Abstract As the aging population in the U.S. continues to grow, care partners (i.e. family and friends) are assuming increasingly intense and complex caregiving responsibilities. Care partner burden is associated with poorer health outcomes for older adults and more frequent rehospitalizations. This secondary data analysis aims to examine the relationship between different types of health care interactions and care partner burden. A total of 2,588 care partners of Medicare beneficiaries age 65 and older were included. Secondary analyses were conducted using cross-sectional data from the 2017 National Study of Caregiving. Logistic regression analyses were used to determine the relationship between health care interactions and care partner burden while controlling for demographic characteristics. The average care partner was 62 years old (range 18-98), female (68.1%), and white (62.8%). More than half of the care partners (51.3%) reported financial, emotional, and/or physical difficulty as a result of helping the older adult. Logistic regression analyses show that care partners who made medical appointments (AOR=2.04), accessed online medical information (AOR=1.55), and coordinated care between medical providers (AOR=2.15) were significantly more likely to report burden. Care partners are important allies in supporting the health of older adults but may experience excess burden due to health care interactions. Practitioners and researchers may need to evaluate ways to improve the ease, efficiency, and accessibility of different types of health care interactions for care partners of older adults. A better understanding of factors that contribute to care partner burden may inform tailored interventions and future health and aging policies.

scholarly journals Investigating the relationship between the long-term exposure to air pollution and the frequency of depression in Shiraz during 2010-2017

2021 ◽  
Vol 8 (1) ◽  
pp. 9-14
Author(s):  
Leila Keshtgar ◽  
Samaneh Shahsavani ◽  
Ahmad Maghsoudi ◽  
Amir Anushiravani ◽  
Foroozandeh Zaravar ◽  
...  
Keyword(s):  
Air Pollution ◽  
Significant Relationship ◽  
Hospital Admissions ◽  
Environmental Pollutants ◽  
University Hospital ◽  
Mean Values ◽  
Number Of Patients ◽  
Background Exposure ◽  
The Relationship

Background: Exposure to environmental pollutants which have entered the atmosphere due to human and industrial activities results in harmful and unwanted effects on human health. The undesired effects of air pollution on mental disorders, mortality, and psychological disorders have been proven. Depression is a common mental health problem in today’s societies which impacts the quality of life. The objective of this study was to determine the relation between exposure to air pollution and frequency of depression in Shiraz (Southern Iran). Methods: Archived documents of 2658 patients diagnosed with major depressive disorder (MDD) from a psychiatric university hospital were reviewed. The concentrations of five air pollutants including CO, NOX, O3 , PM10, and NO2 were determined daily in two air quality monitory stations in downtown Shiraz (Imam Hossein Square) and Kazeroon Gate. The data relevant to these five pollutants were gathered every day for 83 months, from 2010 to 2017, and for more precision, the mean values were used. The relationship between the concentration of each pollutant in the air and the number of patients referring to hospital was determined using the Spearman’s correlation coefficient. Results: There was a direct and significant relationship between all pollutants and the number of hospital admissions in each month (P<0.05) except for CO which did not show a significant relationship with hospital admission due to depression (P>0.05). Conclusion: The results of this study indicated a positive relationship between air pollution and depression. Of course, to prove this relationship, it is essential to conduct a number of studies with appropriate methodology and design.

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