Choosing hospital medicine (with Appendix: A week in the life of a consultant physician,

Background: The criteria set of assessing hospital quality in Vietnam in 2016 was revied from the criteria set in 2013 by the Ministry of Health in order to help hospitals to self-assess towards improvinge quality of hospitals in the international integration context. The study aimed to assess the quality of public hospitals in Can Tho City according to the revised criteria set of the Ministry of Health in 2016 and compare the quality among three hospital ranks (including grade I, grade II, and grade III) via to 5 groups of quality criteria. Methods: A cross-sectional study, using secondary data analysis was applied to assess the service quality of 7 general public hospitals in Can Tho City. Results: The average total score of 7 hospitals is 245 and the average for the criteria of 7 hospitals is 2.99, which is just satisfactory. In the criterion of quality, criterion D and E had the lowest scores compared to the other three groups. There was no statistically significant difference (p = 0.076) among the mean scores for the three hospital categories. Conclusion: The quality of public hospitals in Can Tho city in 2016 only reached moderately good level (2.99). Interventions should be developed to improve the quality of hospitals, with particular emphasis on improving the quality of criteria groups D and E. Key words: Quality, hospital, medicine, health, public, Can Tho

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The Intersection of Complex Care and Hospital Medicine: Opportunities to Advance Health for Chronically Ill Populations

Hospital Pediatrics ◽

10.1542/hpeds.2020-0079 ◽

2020 ◽

Vol 10 (8) ◽

pp. 715-718 ◽

Cited By ~ 1

Author(s):

David Y. Ming ◽

Mary L. Ehlenbach ◽

Carla Falco ◽

Ryan J. Coller

Keyword(s):

Hospital Medicine ◽

Chronically Ill ◽

Complex Care

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A Taxonomic Review of Patient Complaints in Adult Hospital Medicine

Journal of Patient Experience ◽

10.1177/23743735211007351 ◽

2021 ◽

Vol 8 ◽

pp. 237437352110073

Author(s):

Richard M Elias ◽

Karen M Fischer ◽

Mustaqeem A Siddiqui ◽

Trevor Coons ◽

Cindy A Meyerhofer ◽

...

Keyword(s):

Hospital Admissions ◽

Hospital Medicine ◽

Patient Complaints ◽

Period Data ◽

The Mean ◽

Key Features ◽

Person Characteristics ◽

The Relationship ◽

Adult Hospital

Previous studies show that patient complaints can identify gaps in quality of care, but it is difficult to identify trends without categorization. We conducted a review of complaints relating to admissions on hospital internal medicine (HIM) services over a 26-month period. Data were collected on person characteristics and key features of the complaint. The complaints were also categorized into a previously published taxonomy. Seventy-six unsolicited complaints were identified, (3.5 per 1000 hospital admissions). Complaints were more likely on resident services. The mean duration between encounter and complaint was 18 days, and it took an average of 12 days to resolve the complaint. Most patients (59%) had a complaint in the Relationship domain. Thirty-nine percent of complaints mentioned a specific clinician. When a clinician was mentioned, complaints regarding communication and humaneness predominated (68%). The results indicate that the efforts to reduce patient complaints in HIM should focus on the Relationships domain.

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Inequalities in the Regional Distribution of Private Psychiatric Services Provided under Medicare

Australian & New Zealand Journal of Psychiatry ◽

10.3109/00048679309075826 ◽

1993 ◽

Vol 27 (4) ◽

pp. 630-637 ◽

Cited By ~ 13

Author(s):

Anthony F. Jorm ◽

Stephen J. Rosenman ◽

Patricia A. Jacomb

Keyword(s):

Rural Areas ◽

Economic Status ◽

Social Indicators ◽

Regional Distribution ◽

National Health Survey ◽

Psychiatric Services ◽

Socio Economic Status ◽

Medicare Data ◽

Consultant Physician ◽

Using Data

An analysis was carried out on Medicare data to find out if there are inequalities in the geographical distribution of private psychiatric services in Australia. The number of psychiatric services and persons becoming patients per 100,000 population was calculated for each federal electorate for the year 1985/86 and related to social indicators derived from the 1986 census. As a comparison, services provided by consultant physicians were analyzed as well. The data were based on the electorate of the patient rather than the electorate of the practitioner. Consultant psychiatrist services were found to be received more often in high socio-economic status electorates and those with older populations, and less often in rural areas. A similar pattern was found for consultant physician services, although the relationship with socio-economic status was not as strong. Frequent psychiatric consultations of longer duration, which are an indicator of insight psychotherapy, were more common in higher socioeconomic status electorates. A limitation of the Medicare data is that they cover only private services. To overcome this limitation, a supplementary analysis was carried out on the distribution of consultations for mental disorders using data from the National Health Survey. These data confirmed that individuals of high socio-economic status with a mental disorder are more likely to receive specialist treatment.

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Dr Joseph Dudley ‘Benjy’ Benjafield: Microbiologist, soldier and Bentley Boy racing driver

Journal of Medical Biography ◽

10.1177/0967772019876090 ◽

2019 ◽

pp. 096777201987609

Author(s):

Liam McLoughlin

Keyword(s):

World War Ii ◽

World War I ◽

Clinical Course ◽

World War ◽

Civilian Life ◽

College Hospital ◽

Army Medical ◽

Consultant Physician ◽

Spanish Flu ◽

Bacteriological Laboratory

Dr Joseph Dudley ‘Benjy’ Benjafield qualified from University College Hospital Medical School, London in 1912. He joined the Royal Army Medical Corps during World War I and was in charge of the 37th Mobile Bacteriological Laboratory serving with the British Egyptian Expeditionary Force when the Spanish flu struck in late 1918. He observed the features and clinical course of the pandemic and published his findings in the British Medical Journal in 1919. On return to civilian life, he was appointed as Consultant physician to St George’s Hospital, Hyde Park Corner, London where he remained in practice for the rest of his career. He was a respected amateur gentleman racing driver frequently racing at the Brooklands circuit from 1924 after buying a Bentley 3-litre and entering the Le Mans 24 h race seven times between 1925 and 1935, winning in 1927. He was one of an elite club of young men known as The Bentley Boys and went on to become a founding member of the British Racing Drivers Club (BRDC) in 1927. He rejoined the Royal Army Medical Corps during World War II, serving briefly again in Egypt. He died in 1957.

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