Effects of Profitability Determinants before and after the Implementation of the Coverage Enhancement Policy at Regional Public Hospitals

2021 ◽  
Vol 15 (3) ◽  
pp. 1-8
Author(s):  
Gyu-Hee Lee ◽  
Sung-Kwon Bae
Keyword(s):  
Public Hospitals ◽  
Before And After

scholarly journals DIFFERENCE URINARY INCONTINENCE BEFORE AND AFTER CONDUCTED MASSAGE, KEGEL EXERCISE IN ELDERLY PATIENTS AT PUBLIC HOSPITALS SEMBIRING DELI TUA

2018 ◽  
Vol 1 (1) ◽  
pp. 26-31
Author(s):  
Rahmad Gurusinga ◽  
Elsaria Br Sembiring
Keyword(s):  
Urinary Incontinence ◽  
Elderly Patients ◽  
Pelvic Floor Muscle ◽  
Incidence Rates ◽  
T Test ◽  
Public Hospitals ◽  
Control Group ◽  
Control Group Design ◽  
Need For Treatment ◽  
Before And After

Urinary Incontinence is involuntary urination, or leakage of urinary that is very real and pose a social. High incidence rates urinary incontinence causes the need for treatment with massage, kegel exercise aimed at rebuilding pelvic floor muscle strength. The purpose of this study was to determine whether there is a difference in urinary incontinence before and after the massage, kegel exercise in elderly patients in public hospitals deliberate delitua in 2018. The study design used is quasy experiment, using the design of pre-test and post-test control group design. Population and samples used in this study were 15 elderly who have urinary incontinence taken by accidental sampling. Based on the result of statistical test by using T-test with paired sample T-test obtained dat analysis showed that based on age af patient based on age patient urinary incontinence most aged 60-65 years (66,7%), while at age 66-70 (20,0%), and at least 71-74 (13,3%). Can be known urinary incontinence before given massage, kegel exercise counted 14 people (93,3%) medium incontinence and as many as 1 person (6,7%) severe incontinence. After given message, kegel exercise can be seen that there are descrease that is as much as 7 people (46,7%) light incontinence and as many as 8 people (53,3%) medium incontinence. The conclusions of these result indicate that there is an effect of massage, kegel exercise to urinary incontinence in elderly patients in public hospitals deliberate delitua.

scholarly journals (A86) Emergency Department Patient Presentations during the 2009 Heatwave in Adelaide

2011 ◽  
Vol 26 (S1) ◽  
pp. s24-s25 ◽  
Author(s):  
L. Mayner ◽  
P. Arbon
Keyword(s):  
Emergency Department ◽  
Media Coverage ◽  
Human Life ◽  
Age Groups ◽  
Emergency Department Patient ◽  
Public Hospitals ◽  
Global Media ◽  
Before And After ◽  
Icd 10 ◽  
Icd Codes

BackgroundRecordings of heatwaves date back to the early 1900s and usually are associated with high mortality. In Australia, heatwaves have been the major cause of natural hazard-related deaths. Heatwaves usually do not carry the global media coverage associated with other disasters, and frequently, are referred to as silent disasters. The main impact of heatwaves is on health and human life.ObjectivesPreliminary results are presented for the 2009 heatwave, investigating the emergency department patient presentations from three public hospitals in Adelaide, a city in the central southern area of Australia.MethodsDemographic and syndromic data were obtained from emergency department records. Ethics permission was obtained prior to data collection. Heatwave conditions occurred from 26 January–07 February 2009. Two non-heatwave periods were day-matched approximately two weeks before and after the heatwave. Data were analyzed by age groups, gender, and ICD codes for chronic conditions.ResultsThe two largest groups of people presenting were between 15 and 64 years of age and > 75 years of age during the heatwave and non-heatwave periods. During the heatwave period, both groups had significant increases in patient presentation related to renal problems (ICD 10: N000-N3999) and dehydration and hyperthermia (ICD10: E86, T67). The latter syndrome was far more accentuated during the heatwave, with emergency department patient presentations rising from 2 (non heatwave) to 62 presentations for the 15 and 64 years cohort and from 4 (non heatwave) to 91 for the > 75 years cohort. Cardiovascular- and respiratory-related presentations showed slight increases during the heatwave, while mental health had high presentations for the 15–64 year cohort throughout heatwave and non heatwave periods.ConclusionsBoth young and older people were affected by heatwave, and precautionary warning should be used throughout the community to alert people of the dangers underlying extreme heat conditions.

scholarly journals Intensive Care Unit Services Preparedness for the Pandemic: An Efficiency Analysis

2021 ◽  
Vol 14 ◽  
pp. 117863292110375
Author(s):  
Songul Cinaroglu
Keyword(s):  
Intensive Care Unit ◽  
Critical Care ◽  
Intensive Care ◽  
Health Resources ◽  
Public Hospitals ◽  
Teaching Hospitals ◽  
Efficient Management ◽  
Study Results ◽  
Before And After ◽  
The Difference

Intensive care unit (ICU) services efficiency and the shortage of critical care professionals has been a challenge during pandemic. Thus, preparing ICUs is a prominent part of any pandemic response. The objective of this study is to examine the efficiencies of ICU services in Turkey right before the pandemic. Data were gathered from the Public Hospital Statistical Year Book for the year 2017. Analysis are presented at hospital level by comparing teaching and non-teaching hospitals. Bootstrapped data envelopment analysis procedure was used to gather more precise efficiency scores. Three analysis levels are incorporated into the study such as, all public hospitals (N = 100), teaching (N = 53), non-teaching hospitals (N = 47), and provinces that are providing high density of ICU services through the country (N = 54). Study results reveal that average efficiency scores of ICU services obtained from teaching hospitals (eff = 0.65) is higher than non-teaching (eff = 0.54) hospitals. After applying the bootstrapping techniques, efficiency scores are significantly improved and the difference between before and after bootstrapping results are statistically significant ( P < .05). Province based analysis indicates that, ICU services efficiencies are high for provinces located in southeast part of the country and highly populated places, such as İstanbul. Evidence-based operational design that considers the spatial distribution of health resources and effective planning of critical care professionals are critical for efficient management of intensive care. Study results will be helpful for health policy makers to deeply understand dynamics of critical care.

scholarly journals Educational sessions may not be enough to improve knowledge about hand hygiene: Assessing the knowledge about hand hygiene of health workers before and after an educational workshop in Sudan

F1000Research ◽  
2018 ◽  
Vol 7 ◽  
pp. 449 ◽  
Author(s):  
Ihab B. Abdalrahman ◽  
Sara Shamat ◽  
Sara Mamoun ◽  
Reem Abdelraheem ◽  
Esraa Salah ◽  
...  
Keyword(s):  
Health Care ◽  
Hand Hygiene ◽  
Health Workers ◽  
Public Hospitals ◽  
World Health ◽  
Improvement Project ◽  
Before And After ◽  
Health Organization ◽  
Almost All ◽  
Educational Workshop

Background: In an attempt to defeat the high prevalence of health care associated infections, by raising the awareness about hand hygiene, we implemented a quasi-experimental study as part of a quality improvement project to evaluate the efficacy of focused educational workshop on knowledge about hand hygiene among health care workers in Sudan. Methods: Seventy-three participants were recruited from two public hospitals and one private hospital in Khartoum, Sudan in September 2017. The knowledge before and after the educational workshop was assessed for each participant using the World Health Organization hygiene associated infection questionnaire. We analyzed data using SPSS v22 and used McNemar’s test to compare knowledge before and after the workshop. Results: Around 40% of participants worked in general ward and 85% of them were women. Almost 70% were midwives or nurses. The mean age of participants was 28.4 years. We compared the knowledge of hand hygiene between nurses and doctors before the workshop, and the results showed that nurses had better knowledge in almost all aspects of hand hygiene. When we compared the knowledge before and immediately after the workshop for all participants, we found that there was no significant improvement in almost all aspects of knowledge about hand hygiene (P>0.05). Conclusion: Comparing the knowledge before and after the workshop, we found no significant improvement in almost all aspects of hand hygiene. Of note, nurses’ knowledge about hand hygiene was consistently higher than doctors.  Additional studies are needed to identify the optimal design of educational sessions.

scholarly journals Effect of Health Transformation Plan on the Public Hospitals Performance Indicators; a case study in Iran

2020 ◽  
Author(s):  
Mohammad Ranjbar ◽  
Hassan Jafari ◽  
Mohammad Baziyar ◽  
Mohsen Pakdaman ◽  
Vahid Pirasteh
Keyword(s):  
Performance Indicators ◽  
Average Length ◽  
Interrupted Time Series ◽  
Cross Sectional Study ◽  
Public Hospitals ◽  
Health Coverage ◽  
Monthly Basis ◽  
Cross Sectional ◽  
Average Length Of Stay ◽  
Before And After

Abstract Introduction: Health systems need constant changes and reforms in their structure in order to adapt to changing conditions and meet the needs of society. One of the fundamental changes in the health system of Iran is the health transformation plan (HTP), the effects of which must be examined from different aspects. Therefore, the purpose of this study is to investigate the effect of HTP on the performance indicators of public hospitals in the context of Yazd. Methods: The present cross-sectional study was carried out in all public hospitals in Yazd. Six performance indicators were examined on a monthly basis and in two time periods of 12 months before and after the implementation of HTP. Data were analyzed using SPSS software program version 22, the paired T-test and the Interrupted Time Series model. Findings: The implementation of the health transformation plan did not have a significant effect on the bed rotation distance, average length of stay and the ratio of surgical operations to bed indicators (p> 0.05). However, it had a statistically significant effect on the level and trend of mortality and hospitalization rates (p <0.05). Moreover, the implementation of HTP had a significant effect on the level of the bed occupancy indicator (P <0.05), but did not have a significant effect on the trend of this indicator (p> 0.05).Conclusion: Based on the research findings, all the selected indicators changed to some extent after the implementation of HTP, which in a way showed the effect of this plan on the performance of hospitals. Therefore, the continuation of such a plan, provided that sustainable financial resources are planned and human and physical resources are organized properly, can be an important step towards achieving universal health coverage and increasing justice in access to services.

scholarly journals Educational Video Improves the Knowledge about Outpatients’ Usage of Antibiotics in Hospital

2021 ◽  
Author(s):  
Fauna Herawati ◽  
Rika Yulia ◽  
Bustanul Arifin ◽  
Ikhwan Frasetyo ◽  
Setiasih Setiasih ◽  
...  
Keyword(s):  
Antibiotic Resistance ◽  
General Hospital ◽  
Sampling Technique ◽  
Knowledge Score ◽  
Public Hospitals ◽  
Educational Video ◽  
Before And After ◽  
Antibiotics Use ◽  
Quasi Experimental ◽  
The Difference

Irrational use or misuse of antibiotics, particularly by outpatients, increases antibiotic resistance. A lack of public knowledge about &lsquo;Responsible use of antibiotics&rsquo; and &lsquo;How to obtain antibiotics&rsquo; is a major cause of this. This study aimed to assess the effectiveness of an educational video about antibiotics and antibiotics use to increase outpatient's knowledge in two public hospitals in East Java, Indonesia. A quasi-experimental research setting was used with a one-group pretest-posttest design, carried out from November 2018 to January 2019. The study population consisted of outpatients, to whom antibiotics were prescribed, in two public hospitals in East Java, Indonesia. Participants were selected using a purposive sampling technique; 98 outpatients at MZ General Hospital in S regency and 96 at SG General Hospital in L regency were included. A questionnaire was used to measure the respondents&rsquo; knowledge and consisted of five domains, i.e. definition of infections and antibiotics, obtaining the antibiotics, directions of use, storage instructions, antibiotic resistance. The knowledge test score was the total score of the Guttman scale (a dichotomy of &lsquo;yes&rsquo; or &lsquo;no&rsquo; answers). To determine the significance of the difference in knowledge before and after providing the educational video and in the knowledge score between hospitals, the (paired) Student&rsquo;s t-test was applied. The educational videos significantly improved outpatients' knowledge, which increased with 41% in MZ General Hospital and 42% in SG General Hospital. An educational video is a useful method to improve the knowledge of the outpatients regarding antibiotics.

Pharmaceutical review using telemedicine – a before and after feasibility study

2010 ◽  
Vol 16 (2) ◽  
pp. 95-99 ◽  
Author(s):  
Louise K Poulson ◽  
Lisa Nissen ◽  
Ian Coombes
Keyword(s):  
Phase I ◽  
Feasibility Study ◽  
Phase 1 ◽  
Public Hospitals ◽  
Phase 2 ◽  
Face To Face ◽  
Main Hospital ◽  
Pharmaceutical Activity ◽  
Before And After ◽  
Two Phases

Only 42 of the 116 public hospitals in Queensland employ qualified pharmacists to staff their pharmacies. We undertook a feasibility study to determine if pharmaceutical reviews, undertaken face-to-face by a visiting pharmacist, could be replicated using telemedicine. The study was conducted in two phases, with the same pharmacist coordinating the project from the main hospital to two rural hospitals, which relied on supply nurses for all their pharmaceutical services. All inpatients admitted between October 2006 and May 2007 were included in the study. In Phase I the pharmacist made weekly visits to both facilities, to perform face-to-face pharmaceutical reviews of the current inpatients. In Phase 2, all pharmaceutical reviews were performed remotely by the pharmacist by telephone or videoconference. In Phase 1, 186 pharmaceutical activities were performed (mean 3.9 per patient). Of these, 78 pharmacist-initiated changes were recommended and 47 (60%) were implemented. In Phase 2, a total of 296 activities were performed (mean 3.1 per patient) and of the 140 recommendations made by the remote pharmacist, 74 (53%) were accepted. Of the accepted recommendations, there were 11 major interventions (those with a potential to prevent harm to the patient) in Phase 1 and 32 in Phase 2. There were no significant differences in the pharmaceutical activity rates in the two phases. Telepharmacy therefore may be an effective method of providing pharmaceutical reviews for patients in rural inpatient facilities, without an on-site pharmacist.

scholarly journals Decline in influenza cases in Mexico after the implementation of public health measures for COVID-19

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Daniel Arellanos-Soto ◽  
Gerardo Padilla-Rivas ◽  
Javier Ramos-Jimenez ◽  
Kame Galan-Huerta ◽  
Sonia Lozano-Sepulveda ◽  
...  
Keyword(s):  
Public Health ◽  
Public Hospitals ◽  
Control Measures ◽  
Mitigation Measures ◽  
Health Measures ◽  
Before And After ◽  
Influenza Activity ◽  
Nationwide Surveillance ◽  
And Control ◽  
Viral Respiratory

AbstractMexico took swift action and has strictly followed mitigation measures to prevent the spread of coronavirus disease, COVID-19. In this study we compared influenza activity indicators in our country after the implementation of public health measures for COVID-19. We compared indicators of influenza activity in 2020 before and after public health measures were taken to reduce COVID-19 with the corresponding indicators from three preceding years and the immediate one, and the potential decrease in seasonal influenza cases/deaths. Nationwide surveillance data revealed a drastic decline in influenza diagnosis in outpatient clinics and public hospitals, influenza positivity rates of clinical specimens, and confirmed severe cases during the following 10 weeks of 2020 as lockdown activities and control measures were established compared with the same period of 2019. Our results suggest that the measures taken for COVID-19 were effective in reducing the spread of other viral respiratory diseases as influenza in our country.

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