scholarly journals A Systematic Approach to Assess the Quality of Centre-Based Care Services for Infants and Toddlers in Hong Kong

2019 ◽  
Vol 8 (4) ◽  
Author(s):  
Wai Ling CHAN
Keyword(s):  
Hong Kong ◽  
Systematic Approach ◽  
Infants And Toddlers ◽  
Care Services

Impact of facilities management on the quality of life for the elderly in care and attention homes – Cross-validation by quantitative and qualitative studies

2016 ◽  
Vol 26 (8) ◽  
pp. 1070-1090 ◽  
Author(s):  
Mei-yung Leung ◽  
Jingyu Yu ◽  
Ming L. A. Chong
Keyword(s):  
Quality Of Life ◽  
Hong Kong ◽  
The Elderly ◽  
Facilities Management ◽  
Structured Interviews ◽  
Care Services ◽  
One Year ◽  
Management Of Care ◽  
The Relationship

The rapid increase in elderly population has increased demand on care services and care and attention homes in Hong Kong. Elderly residents in care and attention homes rely heavily on facilities to maintain their quality of life. However, many care and attention homes are not purpose-built for elderly people. This paper investigates the relationship between facilities management of care and attention homes and elderly quality of life using both quantitative and qualitative data. A questionnaire was distributed among elders of eight recruited care and attention homes with four categories (government-financed non-purpose-built, government-financed purpose-built, self-financed non-purpose-built and self-financed purpose-built) in Hong Kong. Selected care and attention homes were a good mixture of operating types, building age and building types. A total of 56 questionnaires were completed by both elderly residents and staff in care and attention homes (37.5% were male and 62.5% were female), followed by semi-structured interviews; 48.2% of respondents were over 80 years of age and 93% had lived in C&A homes for more than one year. The findings identified 19 indoor facilities factors and also measured elderly quality of life. The results showed that space identification, distance, ventilation, furniture, non-slip floors and recreation facilities were positively related to elderly quality of life. Based on these findings, several practical recommendations are proposed, including allocating larger spaces for bedrooms, designing ventilation, installation of non-slip flooring, family-like furniture and the arrangement of recreational facilities.

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

scholarly journals Implementing an Integrated Large-Scale Clinical Information System for ISSSTE’s Hospital Network in Mexico

2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Services ◽  
Large Scale ◽  
Clinical Information System ◽  
Clinical Information ◽  
Public Hospitals ◽  
Care Services ◽  
Cost Reductions

AbstractThe Institute for Security and Social Services for State Workers (ISSSTE) is a large public provider of health care services that serve around 13.2 million Mexican government workers and their families. To attain process efficiencies, cost reductions, and improvement of the quality of diagnostic and imaging services, ISSSTE was set out in 2019 to create a digital filmless medical image and report management system. A large-scale clinical information system (CIS), including radiology information system (RIS), picture archiving and communication system (PACS), and clinical data warehouse (CDW) components, was implemented at ISSSTE’s network of forty secondary- and tertiary-level public hospitals, applying global HL-7 and Digital Imaging and Communications in Medicine (DICOM) standards. In just 5 months, 40 hospitals had their endoscopy, radiology, and pathology services functionally interconnected within a national CIS and RIS/PACS on secure private local area networks (LANs) and a secure national wide area network (WAN). More than 2 million yearly studies and reports are now in digital form in a CDW, securely stored and always available. Benefits include increased productivity, reduced turnaround times, reduced need for duplicate exams, and reduced costs. Functional IT solutions allow ISSSTE hospitals to leave behind the use of radiographic film and printed medical reports with important cost reductions, as well as social and environmental impacts, leading to direct improvement in the quality of health care services rendered.

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