scholarly journals Characterization of care provided at a Speech Therapy School Clinic affiliated with the Brazilian public healthcare system

Revista CEFAC ◽  
2020 ◽  
Vol 22 (1) ◽  
Author(s):  
Isadora Katariny Monteiro de Sousa Farias ◽  
Ana Nery Barbosa de Araújo ◽  
Cynthia Maria Barboza do Nascimento ◽  
Ivana Arrais de Lavor Navarro Xavier ◽  
Mirella Bezerra Rodrigues Vilela
Keyword(s):  
Healthcare System ◽  
Motor Function ◽  
Waiting Time ◽  
Speech Therapy ◽  
Cross Sectional Study ◽  
Public Healthcare ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
Mean Waiting Time ◽  
The Mean

ABSTRACT Objective: to characterize the care provided at a Speech Therapy School Clinic affiliated with the Brazilian public healthcare system, in 2016. Methods: a cross-sectional study was conducted with data from screening, discharge, discontinuation and medical records. Sociodemographic and clinical variables were assessed, by measuring waiting time and specialty. The reasons for treatment discontinuation were also investigated. The data were presented in tables and expressed as absolute and relative frequencies. Results: one hundred-seven individuals were screened, among whom 53.3% were children, 58.9% were males, 41.1% had language complaints and 35.5% had complaints regarding orofacial motor function. The mean waiting time to begin treatment was 6.6 months. Among all individuals screened, 80.3% began treatment. The treatment, more frequently, addressed orofacial motor function (39.1%) and language (37.9%). Discharge from treatment occurred in 28.6% of cases. Among the 37 individuals whose treatment was discontinued prior to completion, the main reason was abandonment/absences on the part of the patient (71.4%). Conclusion: the speech therapy care profile revealed a greater frequency of children, males and needs regarding language and orofacial motor function. The mean waiting time was 6.6 months and 20% of the individuals screened did not initiate treatment. A high frequency of discontinuation prior to completing treatment was found, due, mainly, to failure on the part of the patients to attend the sessions.

scholarly journals Assessment of patients waiting and service times in the ophthalmology clinic of a public tertiary hospital in Nigeria

2020 ◽  
Vol 54 (4) ◽  
pp. 231-237
Author(s):  
Lateefat B. Olokoba ◽  
Kabir A. Durowade ◽  
Feyi G. Adepoju ◽  
Abdulfatai B. Olokoba
Keyword(s):  
Waiting Time ◽  
Waiting Times ◽  
Sampling Technique ◽  
Tertiary Hospital ◽  
Cross Sectional Study ◽  
Ethical Review ◽  
Cross Sectional ◽  
Arrival Times ◽  
The Mean ◽  
Service Times

Introduction: Long waiting time in the out-patient clinic is a major cause of dissatisfaction in Eye care services. This study aimed to assess patients’ waiting and service times in the out-patient Ophthalmology clinic of UITH. Methods: This was a descriptive cross-sectional study conducted in March and April 2019. A multi-staged sampling technique was used. A timing chart was used to record the time in and out of each service station. An experience based exit survey form was used to assess patients’ experience at the clinic. The frequency and mean of variables were generated. Student t-test and Pearson’s correlation were used to establish the association and relationship between the total clinic, service, waiting, and clinic arrival times. Ethical approval was granted by the Ethical Review Board of the UITH. Result: Two hundred and twenty-six patients were sampled. The mean total waiting time was 180.3± 84.3 minutes, while the mean total service time was 63.3±52.0 minutes. Patient’s average total clinic time was 243.7±93.6 minutes. Patients’ total clinic time was determined by the patients’ clinic status and clinic arrival time. Majority of the patients (46.5%) described the time spent in the clinic as long but more than half (53.0%) expressed satisfaction at the total time spent at the clinic. Conclusion: Patients’ clinic and waiting times were long, however, patients expressed satisfaction with the clinic times.

scholarly journals Estimated hospitalizations attributable to Diabetes Mellitus within the public healthcare system in Brazil from 2008 to 2010: study DIAPS 79

2014 ◽  
Vol 60 (3) ◽  
pp. 222-230 ◽  
Author(s):  
Roger Rosa ◽  
Marcelo Eidi Nita ◽  
Roberto Rached ◽  
Bonnie Donato ◽  
Elaine Rahal
Keyword(s):  
Diabetes Mellitus ◽  
Healthcare System ◽  
Primary Diagnosis ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public ◽  
Unified Health System ◽  
The Mean ◽  
Mean Cost ◽  
The Impact

Objective: to estimate the number of hospitalizations attributable to diabetes mellitus (DM) and its complications within the public healthcare system in Brazil (SUS) and the mean cost paid per hospitalization. Methods: the official database from the Hospital Information System of the Unified Health System (SIH/SUS) was consulted from 2008 to 2010. The proportion of hospitalizations attributable to DM was estimated using attributable risk methodology. The mean cost per hospitalization corresponds to direct medical costs in nursing and intensive care, from the perspective of the SUS. Results: the proportion of hospitalizations attributable to DM accounted for 8.1% to 12.2% of total admissions in the period, varying according to use of maximum (self-reported with correction factor) or minimal (self-reported) DM prevalence. The hospitalization rate was 47 to 70.8 per 10.000 inhabitants per year. The mean cost per hospitalization varied from 1.302 Brazilian Reais (BRL) to 1,315 BRL. Assuming the maximum prevalence, hospitalizations were distributed as 10.3% as DM itself, 36.6% as chronic DM-associated complications and 53.1% as general medical conditions. Advancing age was accompanied by an increase in hospitalization rates and corresponding costs, and more pronounced in male patients. Conclusion: the results express the importance of DM in terms of the use of health care resources and demonstrate that studies of hospitalizations with DM as a primary diagnosis are not sufficient to assess the magnitude of the impact of this disease.

scholarly journals Obstetric Violence in Spain (Part II): Interventionism and Medicalization during Birth

2020 ◽  
Vol 18 (1) ◽  
pp. 199
Author(s):  
Desirée Mena-Tudela ◽  
Susana Iglesias-Casás ◽  
Víctor Manuel González-Chordá ◽  
Águeda Cervera-Gasch ◽  
Laura Andreu-Pejó ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Female Empowerment ◽  
Public Healthcare ◽  
Sectional Study ◽  
Cross Sectional ◽  
Autonomous Communities ◽  
Private Healthcare ◽  
Healthcare Settings ◽  
Obstetric Violence ◽  
The Mean

Background: obstetric violence can partially be represented by the high number of interventions and medicalization rates during the birthing process. The objective of the present study was to determine the interventionism and medicalization levels during childbirth in Spain. Methods: a descriptive, retrospective, and cross-sectional study was conducted between January 2018 and June 2019. Results: the intervention percentages were 34.2% for Kristeller maneuver and 39.3% for episiotomy. Differences appeared in public, private, and mixed healthcare settings (p < 0.001). The mean satisfaction, with healthcare in the different settings, was estimated at 6.88 points (SD ± 2.146) in public healthcare, 4.76 points (SD ± 3.968) in private healthcare, and 8.03 points (SD ± 1.930) in mixed healthcare (p < 0.001). No statistically significant differences were found in Spanish autonomous communities. Conclusions: births in Spain seem to be highly intervened. In this study, a certain equity criterion was found concerning interventionism during childbirth in Spain. Healthcare influenced female intervention, satisfaction, and perception levels for obstetric violence; this evidences that female empowerment plays an important role.

scholarly journals Waiting time analysis in a paediatric outpatient clinic in South East Nigeria

2021 ◽  
Vol 8 (2) ◽  
pp. 50-59
Author(s):  
Onyinye Anyanwu ◽  
Thecla Ezeonu ◽  
Lauretta Orji ◽  
Obumneme Ezeanosike ◽  
Charles Ikegwuonu ◽  
...  
Keyword(s):  
Patient Satisfaction ◽  
Waiting Time ◽  
Cross Sectional Study ◽  
University Teaching ◽  
Care Practice ◽  
Cross Sectional ◽  
Time Flow ◽  
Paediatric Outpatient ◽  
The Mean ◽  
Mean Time

Objective:  Waiting time is a resource investment by the patient for the desired goal of being attended to by the physician. It is the time taken  or spent in waiting to be attended to by a physician in a health facility. It is important because waiting time is an essential determinant of patient satisfaction in health care practice, and its study would expose the bottleneck areas in patient’s time-flow so that the facility can improve services with that regard. Materials and Methods: A cross-sectional study of time spent by paediatric patients in the outpatient department of Alex Ekwueme Federal University Teaching Hospital Abakaliki by secretly following the patients from arrival at CHOP till after consultation. Means were calculated of time spent in various areas.  Results: Of the 384 patients observed, the mean (SD) total time spent in the hospital was 142.58 (23.17) minutes while waiting time and consultation time were 113.15(18.01) and 24.43 (10.38) minutes respectively. The mean time spent at the nurse’s bay was 23.79 (6.47) minutes, while that spent at the queue was 22.94 (8.98) minutes. The time spent at the records unit was the highest, with a mean time of 47.2 (17.42) minutes.  Conclusion: The long waiting time obtained from the current study is mostly attributable to delays from the records/registration unit, therefore conceited efforts aimed at improvement of service delivery in this unit will reduce patient waiting time and invariably patient satisfaction.

scholarly journals Inpatients’ Perception of Patient-Centered Care in Guangdong Province, China: A Cross-Sectional Study

2021 ◽  
Vol 58 ◽  
pp. 004695802110594
Author(s):  
Ling-ming Zhou ◽  
Richard Huan Xu ◽  
Yan-hua Xu ◽  
Jing-hui Chang ◽  
Dong Wang
Keyword(s):  
Healthcare System ◽  
Rural Areas ◽  
Guangdong Province ◽  
Patient Centered Care ◽  
Public Healthcare ◽  
Cross Sectional Survey ◽  
Patient Centered ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
Centered Care

This study aimed to investigate the perceptions of patient-centered care (PCC) among inpatients in Guangdong Province (GD), China. Based on these perspectives, we sought to understand existing PCC practices in medical institutions and identify the impacts of inpatients’ sociodemographic status on their perceived PCC. A self-developed PCC questionnaire was used to investigate inpatients’ perceptions of PCC. A cross-sectional survey was conducted in nine tertiary-level hospitals across five cities in GD. Descriptive statistics was used to describe the levels of PCC in GD. The differences in PCC levels across different sociodemographic groups were assessed using analysis of variance and multivariate linear regression. Valid responses were provided by 1863 inpatients. The mean overall PCC score was 8.58 (standard deviation [SD] = 1.36); inpatients from the Pearl River Delta and eastern GD area reported significantly higher scores than those from western and northern GD area ( P<.01). Inpatients from rural areas tended to report lower PCC scores than their urban counterparts. Among the PCC questionnaire sub-domains, inpatients scored highest and lowest in “patient experience” (mean = 8.96, SD = 1.34) and “medical insurance” (mean = 7.93, SD = 2.05), respectively. This study provided a comprehensive overview of inpatients’ perceptions of PCC in the public healthcare system in GD, China. Our findings highlighted that a majority of inpatients were satisfied with the PCC in public healthcare system; however, a significant discrepancy between inpatients with different sociodemographic status remained.

scholarly journals What motivates physicians to propose private services in a mixed private-public healthcare system? A mixed methods study

2022 ◽  
Vol 22 (1) ◽  
Author(s):  
Tal Michael ◽  
Dani Filc ◽  
Nadav Davidovitch
Keyword(s):  
Healthcare System ◽  
Private Insurance ◽  
Public Healthcare ◽  
Dual Practice ◽  
Cross Sectional ◽  
Public Healthcare System ◽  
Daily Experience ◽  
Logistic Regression Models ◽  
Pocket Money ◽  
Role Players

Abstract Background Implementation of private elements, including private insurances, in public healthcare system is now common in many countries, and its impacts have been well studied. Little, however, is known about the motives leading physicians, major role players in the system, to promote the usage of private services. The aim of this study was to explore the various motives leading physicians within public systems to propose private services to their patients, while examining the possible associations to their specialty and level of commitment. Methods A total of 197 physicians from specialisms loaded more to private/public sectors participated in a cross-sectional telephone survey regarding their attitudes on their practices, private insurances, access to healthcare, and job satisfaction. The association between the likert scale questions to their recommendation to purchase private insurance, and the commitment they felt towards patients were analyzed using Generalized Estimating Equations (GEE) as well as logistic regression models. Results Our findings suggest physicians engaged in dual practice are less likely to promote private insurances among their patients if they are satisfied with their public job (OR = 0.92, 95%CI 0.89,0.94). Physicians perceived private insurances as beneficial for patients, were found likely to promote them (OR = 1.65, %95CI 1.16, 2.35). The commitment physicians felt toward patients who paid out-of-pocket money was associated to their sense of being trusted and valued (OR = 1.99, 95%CI 1.33, 2.88; OR = 1.5, 95%CI 1.05, 2.13 respectively). Conclusion This study suggests a deeper understanding of physicians’ daily experience of the private-public mix and it’s consequences, and could provide a platform for future studies. Further studies on physician’s role in health privatization processes are needed, and could aid policymakers in their efforts to strengthen healthcare systems around the world.

scholarly journals Queue analysis of public healthcare system to reduce waiting time using flexsim 6.0

2020 ◽  
Vol 1 (2) ◽  
pp. 101
Author(s):  
Putri Amalia ◽  
Nur Cahyati
Keyword(s):  
Health Service ◽  
Healthcare System ◽  
Waiting Time ◽  
Low Cost ◽  
Waiting Times ◽  
Simulation Method ◽  
Public Healthcare ◽  
Public Healthcare System ◽  
The Public ◽  
The Government

Public healthcare is a health service facility from the government at a low cost. The problem is the long queue, which makes long patients’ waiting times. The patients are waiting for a maximum of more than 3 hours in the general polyclinic. Besides, the registration counter is almost busy all the time. The utilization is about 96.96%. Therefore, the objective of this research is to reduce the patients’ waiting time using the simulation method. Flexsim 6.0 software is employed to develop the public healthcare system and also develop some alternatives to improve the problem. The simulation model has been verified and validated. The result shows the waiting time is decreased by more than 80% by adding the resource in the registration counter. For managerial insight, this research could help the public healthcare system in satisfying the patients.

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