scholarly journals Stakeholders' Perception of the Introduction of Specialized Hospitals for Urologic Diseases: Qualitative Study

2021 ◽  
Vol 27 (2) ◽  
pp. 2-17
Author(s):  
Hye-Ran Jeong ◽  
Jee-Hee Pyo ◽  
Eun-Young Choi ◽  
Ju-Young Kim ◽  
Young-Kwon Park ◽  
...  

Purpose: The purpose of this study is to seek in-depth perspectives of stakeholders on the necessity and specific criteria for designating a specialized hospital for urologic diseases.Methods: Eight participants experts in urology medicine and specialized hospital system were divided into four groups. Following the semi-structured guidelines, an in-depth interview was conducted twice and a focus group discussion was conducted three times. All the interviews were transcribed verbatim and analyzed.Results: The majority of participants predicted that there would be demand for specialized hospitals for urologic diseases. The criteria of designating a specialized hospital, such as the number of hospital beds and quality of health care, have to be modified in consideration of the specificity of urology. The introduction of a specialized hospital would improve the healthcare delivery system, positively affecting hospitals and patients. Furthermore, government support is essential for the maintenance of specialized hospital systems as urology hospitals experience difficulties in generating profits.Conclusion: This study is expected to be used as base data for introducing and operating a specialized hospital for urologic diseases. In addition, it is expected that the methodology and results of this study would encourage follow-up studies on specialized hospitals and provide guidelines to evaluate the effectiveness of such hospitals in other medical fields.

2015 ◽  
Vol 1 (1) ◽  
pp. 16
Author(s):  
Khairunnisa Khairunnisa ◽  
Nila Krisnawati

Five-star hotels are known by their immense competitiveness, first-class portrayal and are superior in level of extravagance, eccentricity, representation, sophistication and amenities. Slow growth of five-star hotels aggravates strong competition, thus forcing hotel businesses to be competitive. This study attempts to analyze service quality and brand awareness toward strategic competitiveness and its impact on the performance of XYZ Hotel. The study applies both quantitative and qualitative research, which were obtained from questionnaire distribution to 100 respondents who have stayed at the hotel, in-depth interview with the PR and Front Office managers, and Focus Group Discussion with managers and hotel experts from Jakarta and Tangerang. The finding suggests that service quality has no correlation with strategic competitiveness and no significant impact on performance. Thus, brand awareness was found to be the most influential factor on strategic competitiveness. However, it is necessitated that five-star hotel continuously improve the quality of its service and the factors associated with service quality. 


2020 ◽  
pp. archdischild-2019-318677
Author(s):  
Steven Hirschfeld ◽  
Florian B Lagler ◽  
Jenny M Kindblom

Children have the right to treatment based on the same quality of information that guides treatment in adults. Without the proper evaluation of medicinal products and devices in paediatric clinical trials that are designed to meet the rigorous standards of the competent authorities, children are discriminated from advances in medicine. There are regulatory, scientific and ethical incentives to address the knowledge gap regarding efficacy and safety of medicines in the paediatric population. High-quality clinical trials involving children of all ages can generate data that will ultimately close the knowledge gaps and support decision making.For clinical trials that enrol children, the needs are specialised and often resource intensive. Prerequisites for successful paediatric clinical trials are personnel with training in both paediatrics and neonatology and expertise in clinical trials in these populations. Moreover, national and international networks for efficient collaboration, dissemination of information, and sharing of resources and expertise are also needed, together with competent, efficient and high-quality local infrastructure with effective processes. Monitoring and oversight bodies with the relevant competence, including expertise in paediatrics, is also an important prerequisite for paediatric clinical trials. Compromise in any of these components will compromise the downstream results.This paper discusses the structures and competences needed in order to perform effective, high-quality paediatric clinical trials with the ultimate goal of better medicines and treatments for children. We propose a model of examining the process as a series of components that each has to be optimised, then all the components are actively optimised to function together as an ecosystem, and the resulting ecosystem functions well with the general research system and the healthcare delivery system.


2019 ◽  
Vol 37 (34) ◽  
pp. 3234-3242 ◽  
Author(s):  
Kyle H. Sheetz ◽  
Justin B. Dimick ◽  
Hari Nathan

PURPOSE Centralization is often proposed as a strategy to improve the quality of certain high-risk health care services. We evaluated the extent to which existing hospital systems centralize high-risk cancer surgery and whether centralization is associated with short-term clinical outcomes. PATIENTS AND METHODS We merged data from the American Hospital Association’s annual survey on hospital system affiliation with Medicare claims to identify patients undergoing surgery for pancreatic, esophageal, colon, lung, or rectal cancer between 2005 and 2014. We calculated the degree to which systems centralized each procedure by calculating the annual proportion of surgeries performed at the highest-volume hospital within each system. We then estimated the independent effect of centralization on the incidence of postoperative complications, death, and readmissions after accounting for patient, hospital, and system characteristics. RESULTS The average degree of centralization varied from 25.2% (range, 6.6% to 100%) for colectomy to 71.2% (range, 8.3% to 100%) for pancreatectomy. Greater centralization was associated with lower rates of postoperative complications and death for lung resection, esophagectomy, and pancreatectomy. For example, there was a 1.1% (95% CI, 0.8% to 1.4%) absolute reduction in 30-day mortality after pancreatectomy for each 20% increase in the degree of centralization within systems. Independent of volume and hospital quality, postoperative mortality for pancreatectomy was two times higher in the least centralized systems than in the most centralized systems (8.9% v 3.7%, P < .01). Centralization was not associated with better outcomes for colectomy or proctectomy. CONCLUSION Greater centralization of complex cancer surgery within existing hospital systems was associated with better outcomes. As hospitals affiliate in response to broader financial and organization pressures, these systems may also present unique opportunities to improve the quality of high-risk cancer care.


2021 ◽  
Author(s):  
Madhusudan Neupane (PhD) ◽  
Shree Ram Khanal (PhD)

The study has explored the impact of agriculture radio programs among rural farmers to increase their productivity and quality of life in rural area. It represents the positive effects of radio program on farmers who use to listen agriculture radio program regularly. This qualitative study was carried out by basic observation, focus group discussion, and in-depth interview as data collection tools. The study revealed that agriculture radio program had changed the knowledge, attitudes and practise of the farmers to increase productions. Agriculture radio programs were associated with various factual and fruitful activities, such as planting hybrid rice, off-season vegetables, using modern technique of farming, goat farming, poultry farming etc through agriculture radio programs. Enough resources, technical knowhow and incentives are crucial for the enhancement of the standards of life of farmers as well as their productivity.


2020 ◽  
Vol 18 (2) ◽  
pp. 103-116
Author(s):  
Ahmad Hassan Ahmad ◽  
Muktar M. Koya

Corruption is a complex and multifaceted challenge of global concern. The correctional setting in Nigeria is not exempted from the more general context of this issue. Nigeria has a poorly structured service for correctional healthcare system driven by a collection of socioeconomic and legal factors especially corruption. One of the pressing challenges in Nigerian public health is to provide services to those who need them the most, particularly those behind bars and therefore hard to reach. Yet, it remains obvious that, a significant majority of those with health problems are incarcerated in the correctional centers of Nigeria. This study which is anchored on Economic Theory of Corruption examined corrupt practices associated with healthcare delivery in Kano Central and Goron Dutse Correctional Centers. The study utilized quantitative and qualitative methods in eliciting data from convicted and awaiting trial inmates and healthcare providers. Thus, a total of 350 inmates were sampled across convicts and awaiting trial inmates through the simple random sampling technique using Wiseman’s 1999 table of sample size. In addition, two respondents (healthcare officials) were purposively sampled for in-depth interview. The findings revealed some level of negation especially as it concerns referrals and the inmates’ treatment charges outside the correctional setting. The study recommends the need for complete overhaul of the correctional healthcare delivery system in line with recommended global best practices.


1995 ◽  
Vol 16 (3) ◽  
pp. 179-182
Author(s):  
Peter A. Gross

While the Democrats and the Republicans debate the Health Care Reform Bill and how we are going to pay for universal coverage, a revolution in healthcare delivery already is taking place right under our eyes. Even if the federal government doesn't pass legislation on healthcare this term, the healthcare delivery system will have been changed so dramatically that it will be unrecognizable from what we knew just a couple of years ago. Consolidation of hospitals, cost reduction, and the quality of care are themes that will be evident in medical delivery for the next few years. Among these three, cost reduction is and will be the engine of change.


2018 ◽  
Vol 3 (9) ◽  
pp. 63
Author(s):  
Madihah Mat Idris ◽  
Magda Sibley ◽  
Karim Hadjri

During the 1970s, different types of hospital courtyard design (HCG) were implemented in the planning of Malaysian public hospitals. Consequently, various hospitals of different scales and design concepts were built to provide a better healthcare delivery system for local communities. However, the different typologies of HCG designs are yet to be systematically evaluated. Furthermore, designers and hospital managers are not aware of how different types of HCG perform. Face-to-face interview surveys and field measurements were employed in this study to develop an understanding of users’ perceptions, experiences and satisfaction levels with the quality of HCG in a Malaysian public hospital.Keywords: Hospital courtyard garden; perceptions; experiences; level of satisfaction.eISSN: 2398-4287 © 2018. The Authors. Published for AMER ABRA cE-Bs by e-International Publishing House, Ltd., UK. This is an open access article under the CC BYNC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/). Peer–review under responsibility of AMER (Association of Malaysian Environment-Behaviour Researchers), ABRA (Association of Behavioural Researchers on Asians) and cE-Bs (Centre for Environment-Behaviour Studies), Faculty of Architecture, Planning & Surveying, Universiti Teknologi MARA, Malaysia.https://doi.org/10.21834/e-bpj.v3i9.1534


Author(s):  
Lisa C. Lindley ◽  
Jessica Keim-Malpass

Access to high-quality pediatric hospice and palliative care is becoming increasingly important as the prevalence of children with serious illness grows and the complexity of their health at end of life rises. Pediatric hospice and palliative care is end-of-life care focused on enhancing the quality of end of life for the child and the family, preventing and/or minimizing suffering, optimizing function, and offering opportunities for personal and spiritual growth. Access to care is a multidimensional process proceeding from health policy through the characteristics of the healthcare delivery system to the utilization of healthcare services and quality of care accessed.


2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Basrowi

This study aims at describing principles of fairness education examined from intellectual and financial aspects of sociology in the social perspectives.  Relying on the quantitative approach, this study collected data using survey, observation, in depth interview, and documentary analysis.  Area sampling techniques were used in this study involving one countries and one cities in the Makasar provinces.  The number of respondents and their areas were 2 persons from Education Department Office, 12 principals,  12 school-teachers, 12 student-parents, 3 members of School Committee, and 24 students. Data of this study were analyzed using tabulation techniques focusing on the frequency and rate percentage.  Three findings were revealed in this study.  First, schools that have conducted principles of fairness education included schools that opened acceleration classes, superior classes, SNBI classes, bilingual classes, and inclusive or integrated classes.  Second, schools that implemented principles of fairness education emphasizing on financial aspects were schools that gave scholarships and cross-subsidy. Third, schools that accommodated principles of fairness education based on the intellectual aspect put strong emphasis on the quality of input students. In addition, financial aspects in the implementation of principles of fairness education included economy status of students’ parents, school budget condition, support from local government, support from school committee, and support from stakeholders.


2010 ◽  
Vol 1 (2) ◽  
pp. 79-87 ◽  
Author(s):  
Utkarsh Shah

This research paper attempts to collate literature from various sources, in an attempt to answer three pertinent questions related to healthcare in India. Firstly, what is it meant by ‘private sector’ in healthcare delivery system of India, secondly how has the private sector evolved over the decades and what has been the role of the government in propelling the growth. Finally, the paper tries to highlight some of the factors that have promoted the growth of private sector in India with specific reference to quality of medical care. The paper explicitly indicates that the deficiencies in the public health delivery system of India, was the key to growth of private infrastructure in healthcare. The shift of hospital industry for ‘welfare orientation’ to ‘business orientation’ was marked by the advent of corporate hospitals, supported by various policy level initiatives made by the government. Today, there are over 20 international healthcare brands in India with several corporate hospitals. However, a large section of the ‘private healthcare delivery segment’ is scattered and quality of medical care continues to remain a matter of concern. This paper tracks the various government initiatives to promote private investment in healthcare and attempts to explore the reasons for preference of the private sector. Surprisingly, in contrast to contemporary belief, quality of medical care doesn’t seem to be the leading cause for preference of the private sector. Except for a few select corporate and trust hospitals, quality of medical care in private sector seems to be poor and at times compromised.


Sign in / Sign up

Export Citation Format

Share Document