scholarly journals Evaluating the State of Health Care Institutions: The Case of Lithuanian Municipalities

Ekonomika ◽  
2019 ◽  
Vol 98 (1) ◽  
pp. 60-80
Author(s):  
Vaida Breimerytė ◽  
Vytautas Kėdaitis ◽  
Algirdas Miškinis ◽  
Kęstutis Trainavičius
Keyword(s):  
Health Care ◽  
Health Indicators ◽  
Health Care Facilities ◽  
The State ◽  
State Of Health ◽  
Multivariate Statistical ◽  
Health Care Institutions ◽  
The Status ◽  
Administrative Units ◽  
The Stability

[full article and abstract in English] Huge differences between the territories that are divided into the city and district municipalities are found after examining theoretical and methodological literature, obtaining abundant statistical information on the status of health care institutions in Lithuania, disclosing the system of indicators describing that status, and taking into account the analysis of the data of all the statistic residents of the Territorial Health Insurance Funds (THIF) and those registered at the outpatient primary personal health care institutions (OPPHCI). The number of residents who have registered at the OPPHCI of city municipalities is different from the rates provided by the statistics. Therefore, in the calculation of health indicators, a meaningful selection of them will more accurately reflect the status of health care facilities. Of these indicators, it is important to select not only those that best describe the existing medical care level in the municipalities but those that are also informative. The system of indicators was selected on the basis of the Delphi method. This article analyzes the state of the health care institutions in Lithuania and the qualitative and quantitative indicators of health care and their evaluation at the municipal level. The authors of this article used multivariate statistical methods in evaluating the state of health care institutions. The reliability and the validity of the obtained results are verified by two models; thus, the stability and suitability of the models are tested in investigating the state of health care institutions in Lithuania. The final aim of the study is to evaluate the administrative units of different territories and, from the medical level perspective, identify the best performing and most lagging municipalities. 

Health care infrastructure amenities – an empirical examination of Indian perspective

2014 ◽  
Vol 9 (3) ◽  
pp. 245-262
Author(s):  
Atul Gupta ◽  
Ipseeta Satpathy ◽  
B. Chandra Mohan Patnaik ◽  
Niharika Patel
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Care Facilities ◽  
The State ◽  
Empirical Examination ◽  
Content Type ◽  
Peace Of Mind ◽  
Care Services ◽  
Care Facilities ◽  
The Status

Purpose – Health is an important issue in our life. A person with good health will have peace of mind and will be able to contribute to nation-building. We cannot expect performance from an ill person with a low morale. In the present paper, the authors tried to understand the ground realities of health-care facilities provided in India and more specifically in Odisha, India. Design/methodology/approach – This empirical paper used a non-experimental design to test a proposed model based on a review of relevant literature. In this paper, an initial pilot study was conducted by taking 44 various variables; however, after the study and taking the expert opinion, the variables were restricted to only 30. For the purpose of study, only state-sponsored hospitals were considered on a random sampling method. Findings – The analysis of data is conducted on a simple percentage method with closed-end options. It is found that even after 67 years of independence, people do not have access to basic medical care facilities in the rural areas and to some extent in semi-urban areas also. The major stumbling block is inadequate infrastructure in these hospitals. Research limitations/implications – While this study offers some insight into the status of healthcare infrastructure in rural India, the sample was limited to respondents in state-sponsored hospitals, which may not represent the views about private hospitals. Practical implications – It seems that in some interior areas of Odisha, people rely more on their fate than then these health-care services. Social implications – Various governments claim that they are spending millions of rupees on health-care service, but the benefits are not being felt by the masses. We are sure that our attempt to highlight the scenario of health-care services in the state of Odisha will be an eye opener and will compel the various stake holders to introspect their involvement in the health-care services provided in these areas. Originality/value – A considerable amount of research has been done evaluating the status of healthcare in India, but this is the first empirical research study to date based on respondents from the rural parts of the state of Odisha in India. Some of these areas are not reachable to researchers due to the poor infrastructure. This contribution is also of special importance amid the recent criticism of the healthcare infrastructure in India by prominent management scholars.

scholarly journals Modern going near creation of in-hospital comfort for patients and medical personnel in psychiatric establishments of health protection

2019 ◽  
pp. 48-53
Author(s):  
V.V. Chorna ◽  
I.V. Sergeta ◽  
V.M. Makhnyuk
Keyword(s):  
Health Care ◽  
Health Care Facilities ◽  
The State ◽  
The Body ◽  
Hospital Environment ◽  
Burnout Syndrome ◽  
Psychological Status ◽  
Ministry Of Health ◽  
Health Care Institutions ◽  
Study Results

Today requires an important focus on providing psychological comfort both for health care professionals in preventing emotional burnout syndrome and inpatient comfort for patients in these settings. The purpose of the work is to carry out a comparative analysis of European experience on the principles of functional and aesthetic organization of interiors and decoration materials of premises of psychiatric health care institutions, to determine the characteristics of the influence of natural and artificial lighting on the psychophysiological state of the body of patients and medical professionals. The material of the study was Form № 18 of the Ministry of Health of Ukraine "Report on work on control of environmental factors affecting the state of health of the population" of the State Institution "Vinnytsia Regional Laboratory Center of the Ministry of Health of Ukraine" for the period 2016-2019. Content analysis of domestic and foreign scientific sources, as well as bibliosemantic, theoretical and analytical methods of research were used in the work. The statistical processing of the study results was performed in a licensed standardized package "Statistica 6.1 for Windows". As a result of studying the experience of European countries on the creation of in- hospital comfort for patients and medical staff of psychiatric health care institutions, the following has been established: taking into account the sanitary and hygienic requirements in the design and arrangement of facilities for mentally ill persons should correspond to the therapeutic environment and promote the establishment of security regimen, improving treatment and prevention work, preventing hospital-acquired infections and therefore being one and the same priorities reform of mental health in Ukraine. According to the results of studying foreign experience on the basis of a systematic and ergo design approach to the re-profiling and reconstruction of existing psychoneurological hospitals in Ukraine, it is determined that its main purpose is to provide comfortable conditions for patients stay and create conditions for conducting psychosocial therapy and rehabilitation of persons with mental disorders. Therefore, the adaptation of hygiene requirements during the design and arrangement of the premises of psychiatric health care facilities should be aimed at ensuring the optimal individual and psychological status of patients and the appropriate parameters of the hospital environment and its sanitary and hygienic characteristics, which must correspond to the latest technology in providing high quality medical care using a biopsychosocial approach that will facilitate the transition to European standards.

scholarly journals Modern state of the health of the popuation in Ukraine

2021 ◽  
Vol 100 (3) ◽  
pp. 4-12
Author(s):  
I.P. Kryvych ◽  
◽  
Yu.Yu. Chumak ◽  
H.M. Gusieva ◽  
◽  
...  
Keyword(s):  
Health Care ◽  
Behavioral Disorders ◽  
The State ◽  
Vulnerable Groups ◽  
Health Improvement ◽  
Health State ◽  
State Of Health ◽  
Ministry Of Health ◽  
Holistic View ◽  
Mental And Behavioral Disorders

A retrospective and prospective analyses of the rate of incidence and prevalence of diseases of the population of Ukraine over 1990-2017 were carried out on the basis of sectoral statistical reports and professional editions, which made it possible to characterize the current state of health and identify the tendencies in the incidence and disease prevalence in the country. Objective: We studied and analyzed the tendencies of the health state of the population in Ukraine. Materials and methods: We used the data of the sectoral statistical reports and professional editions over 1990-2017, as well as the annual report “On the State of Health of the Population, Sanitary-and-Epidemiological Situation, and Results of the Activity of Health Care System” by the Ministry of Health of Ukraine, State Institution «Ukrainian Institute for Strategic Studies, Ministry of Health of Ukraine». The method of the statistical analysis of the factual and analytical material was used as a main one, it forms a holistic view of health and medico-demographic situation in the country. Results: During the years of Ukraine's independence, insufficient attention has been paid to the problems of health improvement. The population numbers is falling sharply. In Ukraine, health care costs are low in comparison with the European countries. The structure of morbidity has changed over the last 10-15 years. The most vulnerable groups: children and adolescents, the elderly are of particular concern. An important role in the formation of morbidity rates is played by chronic non-communicable diseases, their level increased significantly in 2005-2010. The general pathological incidence of school-age children in those years also increased and had a significantly higher level among girls than boys. The incidence rate of mental and behavioral disorders in Ukraine has increased. The prevalence of mental and behavioral disorders had its own features in different regions. The rates of incidence and prevalence of diseases in the children of 0-17 years old of age were quite high and had a wavy nature. Conclusions: The implementation of the state and sectoral measures for the improvement of the health of the population of Ukraine, a cardinal reconstruction of the public view regarding the causes and consequences of a significant deterioration in the health of the population can be solved by a radical way of the preservation and strengthening of both personal and public health.

scholarly journals Problematics of regulatory definition of categories of persons and relevant services for medical support of police

2020 ◽  
Vol 1 (1) ◽  
pp. 227-232
Author(s):  
Liliya Andrush
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Police Officers ◽  
Legal Framework ◽  
Health Care Facilities ◽  
Medical Rehabilitation ◽  
Rehabilitation Centers ◽  
Health Care Institutions ◽  
Basic Services ◽  
Definition Of

The article analyzes the legal framework for the health care of police officers and their families. Three main models of providing police officers with health services (health insurance, budgetary, mixed) are outlined, and it is noted that Ukraine finances departmental health care institutions at the expense of budgetary funds and provides basic services that are free of charge. It is emphasized that the fundamental rules governing the relevant issues are contained in the Law of Ukraine “On the National Police”. Article 95 of this Law is analyzed, according to it the main categories of persons who are entitled to free medical care in the health care institutions of the Ministry of Internal Affairs (police officers, their families - children 18 or 23 years of age in the study in higher education institutions, husband or wife) main forms, family members of the dead or missing police officers, police officers with disabilities in service). It is stated that such services are eligible for some categories of former police officers and their families. It is also about the legal provision of rehabilitation, sanitary and health resorts, wellness as well as recreation measures in departmental medical rehabilitation centers, sanatoriums, rest homes, boarding houses and health institutions of different categories of police officers, their families. Various instructions and regulations are being analyzed to clarify the categories of persons applying for medical care, rehabilitation and recreation in departmental health care facilities, conditions for free rest, etc. The study also reveals a list of institutions that are part of the departmental health care system.

INTERACTION OF DOMINANT PARTY WITH ETHNIC GROUPS IN COMPETITIVE AUTHORITARIANISM IN MALAYSIA

2020 ◽  
Vol 14 (3) ◽  
pp. 107-113
Author(s):  
Tatiana Lavrova ◽  
Keyword(s):  
Ethnic Groups ◽  
Historical Context ◽  
The State ◽  
Power Sharing ◽  
Competitive Authoritarianism ◽  
Dominant Party ◽  
State Apparatus ◽  
The Status ◽  
The Stability ◽  
And Control

The author covers the question of the stability of competitive authoritarianism in Malaysia. In this case, such a regime is particularly stable, possibly due to the developed and institutionalized model of interaction between the dominant party and ethnic groups, implemented in the conditions of the polyethnic composition of the state. It was crucial to take into account the historical context of the British colonization of Malaysia, which had led to the influx of migrants, and the presence of a political party in power for 61 years, which was practically merged with the state apparatus and fully represented only one ethnic group. "Ethnic outbidding" implemented by the dominant party UMNO provided a numerically greater population with benefits in exchange for support of the ruling party. Simultaneously, the incorporation of ethnic groups into the state's political structure and the use of the power-sharing model allowed UMNO to act as an umbrella party and to maintain the status quo. The unspoken Treaty, first, was based on granting the privilege to the indigenous Malay population, and, second, protected the interests of non-Malays. Thus, granting bumiputera and non-Malays certain privileges, the establishment was able to consolidate a non-democratic regime and control over complex Malaysian society.

scholarly journals COVID-19: Capitalist and postcapitalist perspectives

2020 ◽  
Vol 13 (3) ◽  
pp. 305-309
Author(s):  
Anitra Nelson
Keyword(s):  
Health Care ◽  
The State ◽  
Industrial Agriculture ◽  
Mutual Aid ◽  
State Of Health ◽  
Latent Potential ◽  
Neoliberal Policies ◽  
Novel Coronavirus

The Covid-19 pandemic has exposed weaknesses of capitalism as an economy and polity, and revealed the latent potential of postcapitalism. A novel coronavirus is more likely to arise given massive industrial agriculture; the state of health care sectors is a result of neoliberal policies; the pandemic’s impacts were characterised by capitalist inequities; economic repercussions expose a crisis-prone system. Conversely, responses included pandemic solidarity and sharply increasing mutual aid groups. Postcapitalist currents have been arguing for localisation of economies and autonomous governance for decades; the Covid-19 pandemic reveals the rationale for these calls and the urgency to apply such approaches.

scholarly journals Leadership and motivation among employees in health-care facilities in Serbia

2018 ◽  
Vol 24 (1) ◽  
pp. 33 ◽  
Author(s):  
Miroslava Krstic ◽  
Vladimir Obradovic ◽  
Zorica Terzic-Supic ◽  
Dejana Stanisavljevic ◽  
Jovana Todorovic
Keyword(s):  
Health Care ◽  
Job Security ◽  
Health Care Facilities ◽  
Motivational Factors ◽  
Team Work ◽  
Motivational Factor ◽  
Cross Sectional ◽  
Patient’S Satisfaction ◽  
Health Care Institutions ◽  
Care Facilities

Reserarch question: This paper investigates whether motivational factors have influence on the work of employees in health care organizations of Serbia and what factors affect employees. Motivation: Motivation and job satisfaction among different groups of workers in health care facilities in Serbia are an important issue. This study’s purpose is to assist health managers in their efforts to fulfill individual and organizational targets by highlighting the most preferred motivational factors among the employees. With good leadership and with the building of good motivational system the organization can increase its value and competitiveness. It has been shown that employees are more motivated and work under less stress if there is a support from their leader or manager (Jensen, 2010). Idea: The  core  idea  of  this  paper  is to  evaluate  the  relationship  between motivational factors and work of employees in health care institutions in Serbia. The central hypothesis of this study is what the managers within health care institutions have to do to improve motivation as well as their abilities for the fulfillment of both individual’s and organization’s needs. Data: The cross-sectional study included 217 physicians, nurses, technicians, health associates and non-medical staff in 21 facilities of primary, secondary and tertiary levels in Pozarevac, Belgrade, Nis, Pirot, Novi Sad, Zrenjanin, Krusevac, Varvarin and Novi Pazar. Tools: The research instrument was a questionnaire with questions regarding socio-demographic characteristics, participants’ characteristics and motivational factors. The data were analyzed using descriptive and analytical statistics. Findings: The most important motivational factors are: salary, good interpersonal relationships and team work, contribution to population’s health and patient’s satisfaction. Around 10% of the participants thought that work could be done well even without motivational factors’ presence. Employees from the areas outside Belgrade rated job security higher in comparison with employees from Belgrade. A study conducted at the University of llorin Teaching Hospital in 2011 showed that salary was the most important motivational factor, followed by job security (Ojokuku& Salami, 2011). Contribution: Salary is an important motivational factor for employees in health care facilities in Serbia. Managers should work on the improvement of motivational factors through acknowledgement of needs of individual employees as well as through involving employees into decision making. 

scholarly journals Nature financial and legal regulation of medical service of National Police employees

2020 ◽  
pp. 167-170
Author(s):  
Oksana Strelchenko ◽  
Alexey Bukhtiyarov ◽  
Iryna Bulyk
Keyword(s):  
Health Care ◽  
Police Officers ◽  
Social Protection ◽  
Legal Regulation ◽  
Health Care Facilities ◽  
The State ◽  
Social Orientation ◽  
Medical Support ◽  
Internal Affairs ◽  
National Police

Health is the greatest social and individual value, a priority criterion of socio-economic development of the country, and alsolargely determines the state of social well-being of citizens. The creation of departmental medicine in the system of the Ministry ofInternal Affairs was due to the need to perform a number of special tasks, including: medical and psychophysiological examination,medical support of operational and service activities of employees of the Ministry of Internal Affairs of Ukraine. It should also be notedthat medical relations exist not only in the sphere of activity of health care institutions subordinated to the Ministry of Health ofUkraine, but also departmental ones, in particular those within the sphere of management of the Ministry of Internal Affairs of Ukraine.Such facilities provide medical services to the appropriate categories of persons who have the right to be served in them, including thepolice. The activities of bodies and units of the National Police to generate their own revenues are not only a socially oriented way toattract additional financial resources to ensure the effective implementation of these units of state functions, but also solves a numberof current issues of social protection of police: the state must create conditions providing police. At the present stage of state formation,according to the current legislation, there is a network of departmental health care facilities, which are maintained at the expense ofbudget funds. Such a network includes, along with clinics and hospitals, and health facilities (boarding houses, medical rehabilitationcenters, recreation centers, etc.), cultural and sports organizations. In this context, the social protection of police officers should be consideredin a broad sense, including a number of important components that are directly related to the provision of money. The issue ofthe widespread perception of social protection includes health care, as the provision of the latter undoubtedly allows to obtain a pronouncedsocial effect. Medical support of police officers has a clear social orientation, this is what the functioning of departmentalmedi cine of the Ministry of Internal Affairs of Ukraine is aimed at.

scholarly journals Developing a Model of Distributed, Decentralized Digitally Connected Cancer Control Program

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 240s-240s
Author(s):  
M. Kuriakose ◽  
P. Sebastian ◽  
S. Balasubramanian ◽  
R. Sadanandan
Keyword(s):  
Health Care ◽  
Cancer Care ◽  
Cancer Control ◽  
Control Program ◽  
Health Care Facilities ◽  
The State ◽  
Cancer Centers ◽  
Number Of Patients ◽  
Out Of Pocket Expenses ◽  
Cancer Control Program

Background and context: Traditional method of managing cancer through establishing large comprehensive cancer centers are ineffective in developing country setting that has poorly developed primary health care facilities. These larger cancer centers become victims of their success and attract increasing number of patients from distant places, overstretching the resources and increasing out-of-pocket expenses for the patients. Increasing the number of cancer centers also is not effective as each unit by itself will not have the critical mass of expertise to offer comprehensive cancer care. In addition, for sustainability and improved resource utilization, the cancer care needs to be integrated with the existing health care system. The state with a population ∼ 33.3 million has 19 cancer treatment facilities distributed throughout the coastal districts. The cancer incidence rate of the state is 128 per 100,000, which is the fourth highest in the country. Aim: To develop a model for distributed, decentralized digitally connected cancer control program for the state of Kerala, India. Strategy/Tactics: A model for distributed, decentralized digitally connected cancer care that offers resource stratified cancer care and integrate with the existing health care. Program/Policy process: The distributed cancer care network for the state that will be digitally connected using a recently introduced e-health program to interconnect the cancer care as well as to integrate with the existing healthcare network. The cancer centers will be stratified in 4 levels. Level 1 would be 3 apex cancer centers with most advanced infrastructure and serves as quaternary centers and coordinate cancer care in 3 zones. The Level 2 cancer centers established at medical colleges and cancer centers in major private medical hospitals offer comprehensive cancer care in a geographic area and serve as tertiary cancer referral centers. Level 3 centers are located in the district and Taluk hospitals that offers primary cancer care for common cancers including palliative daycare chemotherapy. Level 4 units are established as part of the national health mission in primary and family health centers which provide the important task of cancer surveillance and improving cancer literacy for the public with peoples participation. Outcomes: The expected outcomes are downstaging of cancer, developing a resource-stratified referral pathway that minimize treatment delay, provide cancer care within 90 minutes of travel and lowering out-of-pocket expenses. What was learned: Planning of the program involved participation of major stakeholders of cancer and health care of the state as well as NGO.

scholarly journals Development of internal control and audit in Ukraine

2021 ◽  
Vol 12 (6) ◽  
pp. s376-s390
Author(s):  
Olena Antoniuk ◽  
Natalia Koval ◽  
Svitlana Savitska ◽  
Yaroslavna Mulyk ◽  
Natalya Kuzyk ◽  
...  
Keyword(s):  
Health Care ◽  
Internal Control ◽  
National Level ◽  
Internal Audit ◽  
The State ◽  
State Control ◽  
Health Care Institutions ◽  
Role Of The State ◽  
State Audit ◽  
Financial Audit

Control plays an important role in ensuring the efficient use of funds, both public and business sectors of the economy. The purpose of the article is to consider the role of the State Audit Service of Ukraine in the implementation of financial state control. The study is based on the analysis of reports of the State Audit office of Ukraine on the results of state financial audits of health care institutions, which last took place in 2019. The analysis of the reports of the Ministry of Finance of Ukraine allowed to establish the effectiveness of the state financial audit at the national level during last three years. The article provides answers to the following questions: i) what tasks are performed by the State Audit office of Ukraine; ii) features of external and internal audit of public sector entities in Ukraine; iii) the effectiveness of internal audit at the national level on the basis of state financial audits; iv) problematic issues of internal audit development on the example of health care institutions; v) the main directions of development of the state internal audit in Ukraine.

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