scholarly journals HOSPITALIZATIONS FOR CHOLECYSTITIS AND CHOLELITHIASIS IN THE STATE OF RIO GRANDE DO SUL, BRAZIL

2016 ◽  
Vol 29 (2) ◽  
pp. 77-80 ◽  
Author(s):  
Emeline Caldana NUNES ◽  
Roger dos Santos ROSA ◽  
Ronaldo BORDIN
Keyword(s):  
Length Of Stay ◽  
Health System ◽  
National Health ◽  
Average Length ◽  
National Health System ◽  
Rio Grande ◽  
The State ◽  
Hospital Services ◽  
Rio Grande Do Sul ◽  
Average Length Of Stay

ABSTRACT Background: The cholelithiasis is disease of surgical resolution with about 60,000 hospitalizations per year in the Sistema Único de Saúde (SUS - Brazilian National Health System) of the Rio Grande do Sul state. Aim: To describe the profile of hospitalizations for cholecystitis and cholelithiasis performed by the SUS of Rio Grande do Sul state, 2011-2013. Methods: Hospital Information System data from the National Health System through morbidity list for cholelithiasis and cholecystitis (ICD-10 K80-K81). Variables studied were sex, age, number of hospitalizations and approved Hospitalization Authorizations (AIH), total amount and value of hospital services generated, days and average length of stay, mortality, mortality and case fatality ratio, from health regions of the Rio Grande do Sul. Results: During 2011-2013 there were 60,517 hospitalizations for cholecystitis and cholelithiasis, representing 18.86 hospitalizations per 10,000 inhabitants/year, most often in the age group from 60 to 69 years (41.34 admissions per 10,000 inhabitants/year) and female (27.72 hospitalizations per 10,000 inhabitants/year). The fatality rate presented an inverse characteristic: 13.52 deaths per 1,000 admissions/year for males, compared with 7.12 deaths per 1,000 admissions/year in females. The state had an average total amount spent and value of hospital services of R$ 16,244,050.60 and R$ 10,890,461.31, respectively. The health region "Capital/Gravataí Valley" exhibit the highest total expenditure and hospital services, and the largest number of deaths, and average length of stay. Conclusion: The hospitalization and lethality coefficients, the deaths, the length of stay and spending related to admissions increased from 50 years old. Females had a higher frequency and higher values spent on hospitalization, while the male higher coefficient of mortality and mean hospital stay.

Assessing the state of lean and six sigma practices in healthcare in Mexico

2019 ◽  
Vol 32 (4) ◽  
pp. 644-662 ◽  
Author(s):  
Rodrigo E. Peimbert-García ◽  
Timothy Matis ◽  
Jaime H. Beltran-Godoy ◽  
Claudia L. Garay-Rondero ◽  
Julio C. Vicencio-Ortiz ◽  
...  
Keyword(s):  
Health System ◽  
Latin American ◽  
National Health ◽  
Six Sigma ◽  
Management Practices ◽  
Research Work ◽  
National Health System ◽  
The State ◽  
Content Type ◽  
Sampling Procedures

Purpose The purpose of this study is to assess the state at which lean and six sigma (LSS) are used as a management system to improve the national health system national health system of Mexico. Design/methodology/approach Cross-sectional survey-research. The survey was administered at 30 different hospitals across six states in Mexico. These were selected using convenience sampling and participants (N = 258) were selected through random/snowball sampling procedures, including from top managers down to front-line staff. Findings Only 16 per cent of respondents reported participation in LSS projects. Still, these implementations are limited to using isolated tools, mainly 5s, failure mode and effects analysis (FMEA) and Fishbone diagram, with the lack of training/knowledge and financial resources as the top disabling factors. Overall, LSS has not become systematic in daily management and operations. Research limitations/implications The sampling procedure was by convenience; however, every attempt was made to ensure a lack of bias in the individual responses. If still there was a bias, it is conjectured that this would likely be in overestimating the penetration of LSS. Practical implications The penetration of LSS management practices into the Mexican health system is in its infancy, and the sustainability of current projects is jeopardized given the lack of systematic integration. Hence, LSS should be better spread and communicated across healthcare organizations in Mexico. Originality/value This is the first research work that evaluates the use of LSS management practices in a Latin American country, and the first journal paper that focuses on LSS in healthcare in Mexico.

scholarly journals Association between osteoporosis, health-related productivity loss and use of hospital services in outpatients of the Brazilian National Health System

2017 ◽  
Vol 23 (3) ◽  
Author(s):  
Ana Paula Rodrigues Rocha ◽  
Bruna Camilo Turi-Lynch ◽  
Luana Carolina de Morais ◽  
Monique Yndawe Castanho Araujo ◽  
Caroline Paula Cristina Palomo ◽  
...  
Keyword(s):  
Health System ◽  
National Health ◽  
Productivity Loss ◽  
National Health System ◽  
Hospital Services ◽  
Health Related

scholarly journals Difficulties in access and estimates of public beds in intensive care units in the state of Rio de Janeiro

2016 ◽  
Vol 50 (0) ◽  
Author(s):  
Rosane Sonia Goldwasser ◽  
Maria Stella de Castro Lobo ◽  
Edilson Fernandes de Arruda ◽  
Simone Aldrey Angelo ◽  
José Roberto Lapa e Silva ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Length Of Stay ◽  
Rio De Janeiro ◽  
Average Length ◽  
Patient Flow ◽  
The State ◽  
System Stability ◽  
Ministry Of Health ◽  
Average Length Of Stay

ABSTRACT OBJECTIVE To estimate the required number of public beds for adults in intensive care units in the state of Rio de Janeiro to meet the existing demand and compare results with recommendations by the Brazilian Ministry of Health. METHODS The study uses a hybrid model combining time series and queuing theory to predict the demand and estimate the number of required beds. Four patient flow scenarios were considered according to bed requests, percentage of abandonments and average length of stay in intensive care unit beds. The results were plotted against Ministry of Health parameters. Data were obtained from the State Regulation Center from 2010 to 2011. RESULTS There were 33,101 medical requests for 268 regulated intensive care unit beds in Rio de Janeiro. With an average length of stay in regulated ICUs of 11.3 days, there would be a need for 595 active beds to ensure system stability and 628 beds to ensure a maximum waiting time of six hours. Deducting current abandonment rates due to clinical improvement (25.8%), these figures fall to 441 and 417. With an average length of stay of 6.5 days, the number of required beds would be 342 and 366, respectively; deducting abandonment rates, 254 and 275. The Brazilian Ministry of Health establishes a parameter of 118 to 353 beds. Although the number of regulated beds is within the recommended range, an increase in beds of 122.0% is required to guarantee system stability and of 134.0% for a maximum waiting time of six hours. CONCLUSIONS Adequate bed estimation must consider reasons for limited timely access and patient flow management in a scenario that associates prioritization of requests with the lowest average length of stay.

The Problem of Capacity Management in Greek Public Hospitals

2017 ◽  
Vol 1 (2) ◽  
pp. 414
Author(s):  
Christos Tsitsakis ◽  
Persefoni Polychronidou ◽  
Anastasios Karasavvoglou
Keyword(s):  
Length Of Stay ◽  
Average Length ◽  
National Health System ◽  
Healthcare Services ◽  
Capacity Management ◽  
Point Of View ◽  
Public Hospitals ◽  
Theory Of Constraints ◽  
Healthcare Organizations ◽  
Average Length Of Stay

<p class="AbstractText">One of the most important problems that the users of Greek National Health System face, is the long waiting lists. Αrather superficial explanationof this phenomenon is usually refer the increasing demand for healthcare services, ignoring that the problem is mainly a problem of capacity management, which is associated with the occupancy rate of specific wards of a hospital, and the average length of stay.</p><p class="AbstractText">The theory of constraints can apply successfully to healthcare organizations, to solve problems of capacity management, reducing the inpatient length of stay and increasing the satisfaction from the offering services as has been proved by international research.</p><p class="AbstractText">In this paper, we study the problem from this point of view. Our qualitative research revealed that there is a bottle-neck in the normal flow of patients, because of the delays in the imaging departments of the hospitals.</p>The increase of the capacity of the imaging departments would offer a feasible solution to the problem.

scholarly journals Self-rated health and hospital services use in the Spanish National Health System: a longitudinal study

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Nayara Tamayo-Fonseca ◽  
Andreu Nolasco ◽  
Jose A. Quesada ◽  
Pamela Pereyra-Zamora ◽  
Inmaculada Melchor ◽  
...  
Keyword(s):  
Longitudinal Study ◽  
Health System ◽  
National Health ◽  
National Health System ◽  
Hospital Services ◽  
Self Rated Health ◽  
System A ◽  
Spanish National Health System ◽  
Services Use

scholarly journals Analysis of the provision of surgical care in Zhytomyr oblast for the period 2008-2017

2018 ◽  
Vol 22 (4) ◽  
pp. 724-729
Author(s):  
N.P. Suslik ◽  
O.O. Zaritskiy ◽  
O.M. Zaritskіy ◽  
I.V. Ogiychuk ◽  
L.A. Vozna ◽  
...  
Keyword(s):  
Length Of Stay ◽  
Correlation Coefficient ◽  
Statistical Methods ◽  
Average Length ◽  
Surgical Care ◽  
The State ◽  
Human Potential ◽  
Surgical Service ◽  
Surgical Interventions ◽  
Average Length Of Stay

Annually more than 20% of patients who undergo treatment in hospitals of Zhytomyr region are operated. The purpose of the study was to trace the state of the organization of the surgical service of Zhytomyr region for the period from 2008 to 2017 (inclusive) to identify problems and ways to solve them. The article analyzes human potential, works of surgical beds and indicators of planned and urgent surgical care for the population of Zhytomyr region for the indicated period using analytical, analytical-synthetic and statistical methods with calculation of correlation coefficient. Positive dynamics was revealed: the average number of days of bed occupation increased, the average length of stay of the patient in the bed decreased, the bed turnover increased, the frequency of surgical interventions increased and postoperative lethality decreased. At the same time there is a problem of staffing; systematic work is needed to improve the indicators associated with late hospitalization of patients.

scholarly journals Australian hospital services: An overview

2002 ◽  
Vol 25 (1) ◽  
pp. 2 ◽  
Author(s):  
S.J. Duckett
Keyword(s):  
Length Of Stay ◽  
Private Health Insurance ◽  
Average Length ◽  
Admission Rate ◽  
Public Hospitals ◽  
State Governments ◽  
Hospital Services ◽  
Private Hospitals ◽  
Average Length Of Stay ◽  
Australian Hospital

Hospital services in Australia are provided by public hospitals (about 75% of hospitals, two-thirds of separations) and private hospitals (the balance). Australians use about one bed day per person per year, with an admission rate of about300 admissions per thousand population per annum. Provision rates for public hospitals have declined significantly (by 40%) over the last 20 years but separation rates have increased. Average length of stay for overnight patients has been stable but, because the proportion of same day patients has increased dramatically, overall length of stay has declined from around seven days in the mid 1980s to around four days in the late 1990s. Overall, the Commonwealth and state governments each meet about half the costs of public hospital care, private health insurance meets about two-thirds of the costs of private hospitals.

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