scholarly journals Comparison of thromboprophylaxis patterns in arthroplasty in public and private hospitals

2015 ◽  
Vol 13 (3) ◽  
pp. 410-416
Author(s):  
Aline Pinheiro dos Santos Cortada ◽  
Telma Gomes da Silva ◽  
André Campos da Silva ◽  
Ricardo Prado Golmia ◽  
Renata Leborato Guerra ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
Health Services ◽  
Hip Replacement ◽  
Descriptive Analysis ◽  
Cost Benefit ◽  
Thromboembolism Prophylaxis ◽  
Private Hospitals ◽  
Public And Private ◽  
Total Cost ◽  
Private Organization

Objective To compare therapy for prophylaxis of venous thromboembolism and costs related to hospitalization of patients undergoing total knee and hip replacement within the context of the Brazilian health system.Methods A retrospective study of patients undergoing arthroplasty in 2010 in a public hospital and two private hospitals in the state of São Paulo, conducted by means of medical record review. Costs were estimated based on the use of health care resources during hospitalization. A descriptive analysis was performed using frequency and mean (standard deviation) according to the type of care delivered (by public or private organization).Results A total of 215 patients were evaluated, and 56.3% were submitted to knee surgery and 43.7%, to hip replacement. Approximately 88% and 98% of patients from public and private health services, respectively, received some form of venous thromboembolism prophylaxis, and enoxaparin was the drug most widely used in both systems. The total cost of prophylaxis was R$ 1,873.01 (R$ 26.38 per patient) in the public service and R$ 21,559.73 (R$ 163.33 per patient) in the private service. For the individuals who presented with thromboembolism, the average cost of hospitalization was R$ 6,210.80 and R$ 43,792.59 per patient in public and private health services, respectively.Conclusion Thromboembolism prophylaxis in patients undergoing arthroplasty is most commonly used in the private health services than public organizations, despite its high costs in both services. The cost per patient with thrombosis during hospitalization was higher than the total cost of prophylaxis, suggesting that prevention is associated to better cost-benefit ratio.

Factors affecting maintenance management in hospital buildings

2019 ◽  
Vol 37 (1) ◽  
pp. 6-21 ◽  
Author(s):  
Dana Jandali ◽  
Rateb Sweis
Keyword(s):  
Design Methodology ◽  
Descriptive Analysis ◽  
Public Hospitals ◽  
Maintenance Management ◽  
Management Performance ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Factors Affecting ◽  
Public And Private Hospitals

Purpose The purpose of this paper is to identify and assess the factors affecting maintenance management performance in public and private hospitals in Amman-Jordan. Design/methodology/approach The paper identified 70 items affecting maintenance management performance from the literature review. Descriptive analysis was performed to assess the practices in both sectors. Comparison between public and private hospitals was performed through conducting a Mann-Whitney U-test. Findings Public hospitals were found to be implementing more improved practices than private hospitals. The perception of maintenance staff in both sectors regarding the factors affecting maintenance management performance varied. Originality/value This paper provides an original review of the factors affecting maintenance management in public and private hospitals in Amman-Jordan. The identified factors provide a useful reference to maintenance departments to improve maintenance performance and practices.

scholarly journals Information Technology as Tools of Public Relations Inform in Health Services

2017 ◽  
Vol 2 (4) ◽  
pp. 96
Author(s):  
Tanti Hermawati ◽  
Prahastiwi Utari
Keyword(s):  
Health Services ◽  
Public Relations ◽  
Direct Marketing ◽  
Personal Selling ◽  
Sales Promotions ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Public And Private Hospitals ◽  
Marketing Methods

Internet usage in Indonesia has jumped from just 2 million in 2000 to 45 million in 2011. The use of communication technology has impacted on all aspects of life in Indonesia, including the marketing of medical services by public and private hospitals. This paper reports on a survey ofthree private hospitals in Surakarta, Indonesia, that have usedfive types of marketing communications including: advertising, personal selling, sales promotions, public relations and direct marketing. One of direct marketing methods used is internet marketing with the development of hospital website. This paper describes ICT used by RSU PKU Muhammadiyah Delanggu in informing the public of its health services.

Lack of extended venous thromboembolism prophylaxis in high-risk patients undergoing major orthopaedic or major cancer surgery

2009 ◽  
Vol 102 (07) ◽  
pp. 56-61 ◽  
Author(s):  
Klaus-Arno Siebenrock ◽  
Urs Metzger ◽  
Philipp Tuor ◽  
Daniel Sterzing ◽  
Kurt Oehy ◽  
...  
Keyword(s):  
Venous Thromboembolism ◽  
High Risk ◽  
Knee Replacement ◽  
Hip Replacement ◽  
Orthopaedic Surgery ◽  
Cancer Surgery ◽  
Interquartile Range ◽  
Major Surgery ◽  
Thromboembolism Prophylaxis ◽  
Vte Prophylaxis

SummaryExtended pharmacological venous thromboembolism (VTE) prophylaxis beyond discharge is recommended for patients undergoing high-risk surgery. We prospectively investigated prophylaxis in 1,046 consecutive patients undergoing major orthopaedic (70%) or major cancer surgery (30%) in 14 Swiss hospitals. Appropriate in-hospital prophylaxis was used in 1,003 (96%) patients. At discharge, 638 (61%) patients received prescription for extended pharmacological prophylaxis: 564 (77%) after orthopaedic surgery, and 74 (23%) after cancer surgery (p <0.001). Patients with knee replacement (94%), hip replacement (81%), major trauma (80%), and curative arthroscopy (73%) had the highest prescription rates for extended VTE prophylaxis; the lowest rates were found in patients undergoing major surgery for thoracic (7%),gastrointestinal (19%),and hepatobiliary (33%) cancer. The median duration of prescribed extended prophylax is was longer in patients with orthopaedic surgery (32 days, interquartile range 14–40 days) than in patients with cancer surgery (23 days, interquartile range 11–30 days; p<0.001).Among the 278 patients with an extended prophylaxis order after hip replacement, knee replacement, or hip fracture surgery, 120 (43%) received a prescription for at least 35 days, and among the 74 patients with an extended prophylaxis order after major cancer surgery, 20 (27%) received a prescription for at least 28 days. In conclusion, approximately one quarter of the patients with major orthopaedic surgery and more than three quarters of the patients with major cancer surgery did not receive prescription for extended VTE prophylaxis. Future effort should focus on the improvement of extended VTE prophylaxis, particularly in patients undergoing major cancer surgery.

scholarly journals Determinants of patient satisfaction with outpatient health services at public and private hospitals in Addis Ababa, Ethiopia

2012 ◽  
Vol 4 (1) ◽  
Author(s):  
Tayue Tateke ◽  
Mirkuzie Woldie ◽  
Shimeles Ololo
Keyword(s):  
Patient Satisfaction ◽  
Health Services ◽  
Addis Ababa ◽  
Public Hospitals ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Outpatient Health Services ◽  
Public And Private Hospitals

Background: Patients have explicit desires or requests for services when they visit hospitals. However, inadequate discovery of their needs may result in patient dissatisfaction. This study aimed to determine the levels and determinants of patient satisfaction with outpatient health services provided at public and private hospitals in Addis Ababa, Central Ethiopia.Methods: A comparative cross-sectional study was conducted from 27 March to 30 April 2010. The study included 5 private and 5 public hospitals. Participants were selected using systematic random sampling. A pre-tested and contextually prepared structured questionnaire was used to conduct interviews. Descriptive statistics, analysis of variance, factor analysis and multiple linear regressions were performed using computer software (SPSS 16.0).Results: About 18.0% of the patients at the public hospitals were very satisfied whilst 47.9% were just satisfied with the corresponding proportions a bit higher at private hospitals. Selfjudged health status, expectation about the services, perceived adequacy of consultation duration, perceived providers’ technical competency, perceived welcoming approach and perceived body signalling were determinants of satisfaction at both public and private hospitals.Conclusions: Although patients at the private hospitals were more satisfied than those at the public hospitals with the health care they received, five of the predictors of patient satisfaction in this study were common to both settings. Thus, hospitals in both categories should work to improve the competencies of their employees, particularly health professionals, to win the interests of the clients and have a physical structure that better fits the expectations of the patients.

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