Optimization ways of public health management in current economic conditions

1998 ◽  
Vol 79 (6) ◽  
pp. 453-455
Author(s):  
A. N. Galiullin ◽  
R. Z. Nurkhamitov
Keyword(s):  
Public Health ◽  
Health Service ◽  
Service Management ◽  
Health Management ◽  
Economic Conditions ◽  
Opinion Poll ◽  
Public Opinion Poll ◽  
Expert Estimation ◽  
Quality Of Medical Care

The data of public opinion poll, expert estimation of activities of treatment and prophylactic institutions under transition to the budget and insurance medicine are given. It is shown that treatment and prophylactic institutions are not ready to work in current economic conditions. It is concluded that there are unused reserves for improving the quality of medical care in health service management in current economic conditions.

Collaboration and Cooperation of Public Health Service Management in China

2020 ◽  
pp. 1-7
Author(s):  
Wuqi Qiu ◽  
Cordia Chu ◽  
Kun Wang ◽  
Yueli Meng ◽  
Yujie Yang ◽  
...  
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Services ◽  
Service Management ◽  
Public Health Service ◽  
Health Management ◽  
Public Information ◽  
Public Health Services ◽  
Health Service Management ◽  
Public Health Management

ABSTRACT Objectives: Collaboration and cooperation are critical for public health management. Nevertheless, collaboration and cooperation between government departments, as well as other entities, are still in a weak condition in China. This article analyzes the status of collaboration and cooperation in the management of public health services in China and explores the problems and gives strategic suggestions for strengthening collaboration and cooperation in the development of public health service systems in China, in order to provide a reference for improvement of public health management in the future. Methods: This study uses a qualitative case study approach, including documents review, in-depth interview, and focus group. Results: The main problems of collaboration and cooperation in public health service management in China include problems of effective collaboration and cooperation between institutions and relevant departments, public information platform, and implementation of public health and health promotion. On this basis, several relevant policy recommendations are put forward. Conclusions: Collaboration and cooperation are critical for the overall coordination and sustainable development of public health in China, and there is still work to be done in order to achieve appropriate cooperation and collaboration between different entities in the provision of public health services.

Study Design and Statistics

2009 ◽  
Author(s):  
Margaret A. Winker ◽  
Stephen J. Lurie
Keyword(s):  
Public Opinion ◽  
Statistical Analysis ◽  
Medical Research ◽  
Cardiac Catheterization ◽  
Opinion Poll ◽  
Public Opinion Poll ◽  
Margin Of Error ◽  
Heart Functions ◽  
Statistical Results

Statistical concepts, such as the margin of error in a public opinion poll or the probability of rain or snow, appear in everyday conversation. But, just as one may understand how the heart functions and how blood circulates but not be able to perform a cardiac catheterization, an understanding of statistical concepts does not enable one to perform the work of a statistician. Although the concepts may be familiar, the tools of statistics may be misapplied and the results misinterpreted without a statistician’s help. In medical research, the quality of the statistical analysis and clarity of presentation of statistical results are critical to a study’s validity. Decisions about statistical analysis are best made at the time that the study is designed and generally should not be deferred until after the data have been collected. Even the most sophisticated statistical analysis cannot salvage a fundamentally flawed study. Regardless of the statistician’s role, authors (who may include statisticians) are responsible for the appropriate design, analysis, and presentation of the study’s results...

Implementation of public health center accreditation policy in improving the quality of health service in mamuju regency

2020 ◽  
Vol 30 ◽  
pp. 253-256
Author(s):  
Abd. Rahman ◽  
Indar ◽  
Erniwati Ibrahim ◽  
Muhammad Alwy Arifin
Keyword(s):  
Public Health ◽  
Health Service ◽  
Health Center ◽  
Public Health Center

scholarly journals The role of boards in clinical governance: activities and attitudes among members of public health service boards in Victoria

2013 ◽  
Vol 37 (5) ◽  
pp. 682 ◽  
Author(s):  
Marie M. Bismark ◽  
Simon J. Walter ◽  
David M. Studdert
Keyword(s):  
Public Health ◽  
Quality Of Care ◽  
Health Service ◽  
Health Services ◽  
Public Health Service ◽  
Clinical Governance ◽  
Board Members ◽  
Quality And Safety ◽  
Quality Performance

Objectives To determine the nature and extent of governance activities by health service boards in relation to quality and safety of care and to gauge the expertise and perspectives of board members in this area. Methods This study used an online and postal survey of the Board Chair, Quality Committee Chair and two randomly selected members from the boards of all 85 health services in Victoria. Seventy percent (233/332) of members surveyed responded and 96% (82/85) of boards had at least one member respond. Results Most boards had quality performance as a standing item on meeting agendas (79%) and reviewed data on medication errors and hospital-acquired infections at least quarterly (77%). Fewer boards benchmarked their service’s quality performance against external comparators (50%) or offered board members formal training on quality (53%). Eighty-two percent of board members identified quality as a top priority for board oversight, yet members generally considered their boards to be a relatively minor force in shaping the quality of care. There was a positive correlation between the size of health services (total budget, inpatient separations) and their board’s level of engagement in quality-related activities. Ninety percent of board members indicated that additional training in quality and safety would be ‘moderately useful’ or ‘very useful’. Almost every respondent believed the overall quality of care their service delivered was as good as, or better than, the typical Victorian health service. Conclusions Collectively, health service boards are engaged in an impressive range of clinical governance activities. However, the extent of engagement is uneven across boards, certain knowledge deficits are evident and there was wide agreement among board members that further training in quality-related issues would be useful. What is known about the topic? There is an emerging international consensus that effective board leadership is a vital element of high-quality healthcare. In Australia, new National Health Standards require all public health service boards to have a ‘system of governance that actively manages patient safety and quality risks’. What does this paper add? Our survey of all public health service Boards in Victoria found that, overall, boards are engaged in an impressive range of clinical governance activities. However, tensions are evident. First, whereas some boards are strongly engaged in clinical governance, others report relatively little activity. Second, despite 8 in 10 members rating quality as a top board priority, few members regarded boards as influential players in determining it. Third, although members regarded their boards as having strong expertise in quality, there were signs of knowledge limitations, including: near consensus that (additional) training would be useful; unfamiliarity with key national quality documents; and overly optimistic beliefs about quality performance. What are the implications for practitioners? There is scope to improve board expertise in clinical governance through tailored training programs. Better board reporting would help to address the concern of some board members that they are drowning in data yet thirsty for meaningful information. Finally, standardised frameworks for benchmarking internal quality data against external measures would help boards to assess the performance of their own health service and identify opportunities for improvement.

scholarly journals Facilitation of free residential training inside the country – The fundamental health service responsibility of the Government and its regulatory body

2015 ◽  
Vol 53 (197) ◽  
pp. 40-69 ◽  
Author(s):  
Madhur Dev Bhattarai
Keyword(s):  
Public Health ◽  
General Practice ◽  
Health Service ◽  
Health Services ◽  
Health Management ◽  
Health Service Delivery ◽  
Regulatory Body ◽  
Medical Council ◽  
Public Health Programme ◽  
The Government

For optimum Peripheral Health Service and implementation of various Vertical Public Health Programme Services, network of public Rural and Urban Health Centers with trained Specialists in General Practice (GP) is essential. Later such Specialist GPs will thus fulfill both comprehensive training and experience required for Health Management and Planning Service in the centre.  About 40%-50% of all Residential Trainings and Specialists are required in GP. There are further up to 100 to 150 possible specialties in which remaining doctors can be trained for Specialty Health Services. Though free Residential Training has numerous advantages, its shortage inside country is the bottleneck to provide above mentioned Health Services. Planning for health service delivery by at least trainee residents under supervision or appropriately trained specialists guides Residential Training’s regulations. Fulfillment of objective training criteria as its core focus is the concept now with the major role of Faculty as supervising residents to provide required service in the specialty and simultaneously updating themselves and their team for Evidence-Based Medicine practice. Similarly the need of Ambulatory Health Service and joint management of in-patients by specialists in hospitals has changed unit and bed divisions and requirements for Residential Training. Residents, already the licensed doctors, are thus providing required hospital service as indispensable part of its functional hierarchy for which they need to be paid. With such changing concepts and trends, there are some essential points in existing situation to facilitate free Residential Training inside country. For Government doctors, relevant amendment in their regulation is accordingly required. Keywords: ambulatory care; general practice; health service; hospitalist; medical council; medical education; public health; regulatory body; research; residential training.

scholarly journals Factors Affecting the Perceived Quality of Service and Patient Satisfaction on Inpatient Care of Nabire Hospital Papua

2020 ◽  
Author(s):  
Agustina Utii ◽  
◽  
Bhisma Murti ◽  
Yulia Lanti Retno Dewi ◽  
Priscilla Jessica Pihahey ◽  
...  
Keyword(s):  
Public Health ◽  
Patient Satisfaction ◽  
Health Insurance ◽  
Length Of Stay ◽  
Health Service ◽  
Inpatient Care ◽  
Patient Perception ◽  
Factors Affecting ◽  
Good Patient

ABSTRACT Background: The government’s efforts to improve public health level are by providing excellent health service facilities, including promotion, preventive, curative, and rehabilitative. The outcome of quality health service can be measured by patient perception and satisfaction. This study aimed to examine factors affecting the perceived quality of service and patient satisfaction on inpatient care of Nabire Hospital, Papua, Indonesia. Subjects and Method: A cross-sectional study was carried out at Nabire regional hospital, Papua, Indonesia, from March to Mey 2020. A sample of 207 inpatients was selected by stratified random sampling. The dependent variable was patient satisfaction. The independent variables were age, income, and length of stay type class health insurance, working, and patient perception toward doctor, nurse, and inpatients facilities. The data were collected by questionnaire and analyzed by a multiple logistic regression. Results: Inpatients satisfaction decreased with age ≥50 years (OR= 0.72; 95% CI= 0.24 to 2.65; p= 0.720), income ≥Papua minimum wage (OR= 0.77; 95% CI= 0.22 to 2.73; p= 0.685), and length of stay ≥7 days (OR= 0.13; 95% CI= 0.03 to 0.53; p= 0.004). Inpatients satisfaction increased with class 2 and 3 (OR= 1.15; 95% CI= 0.43 to 3.07; p= 0.773), non national health insurance (OR= 1.21; 95% CI= 0.46 to 3.23; p= 0.700), working (OR= 2.13; 95% CI= 0.58 to 7.85; p= 0.258), good patient perception toward doctor (OR= 3.03; 95% CI= 1.15 to 7.99; p<0.001), good persepsi patient perception toward nurse (OR= 4.04; 95% CI= 1.15 to 14.17; p<0.001), and patient perception toward inpatients facilities (OR= 26.8; 95% CI= 11.0 to 65.32; p<0.001). Conclusion: Inpatients satisfaction decreases with age ≥50 years, income ≥Papua minimum wage, and length of stay ≥7 days. Inpatients satisfaction increases with class 2 and 3, non national health insurance, working, good patient perception toward doctor, good persepsi patient perception toward nurse, and patient perception toward inpatients facilities. Keywords: inpatients satisfaction, patient perception, health insurance Correspondence: Agustina Utii. Masters Program in Public Health. Universitas Sebelas Maret, Jl. Ir. Sutami 36A, Surakarta 57126, Central Java. Email: [email protected]. Mobile: 081240051451. DOI: https://doi.org/10.26911/the7thicph.04.46

scholarly journals ANALYSIS OF SELF-RATED HEALTH BY RESIDENTS OF THE UNTSUKUL DISTRICT, REPUBLIC OF DAGESTAN (ON RESULTS OF THE QUESTIONNAIRE SURVEY)

2018 ◽  
Vol 13 (3) ◽  
pp. 107-119
Author(s):  
Patimat A. Bekshokova ◽  
Gayirbeg M. Abdurakhmanov ◽  
Kerim S. Bekshokov ◽  
Patimat I. Gabibova ◽  
Kazbek K. Bekshokov ◽  
...  
Keyword(s):  
Public Health ◽  
Medical Care ◽  
Rural Settlements ◽  
Medical Activity ◽  
Self Rated Health ◽  
Medical Institutions ◽  
Public Health Institutions ◽  
Quality Of Medical Care ◽  
Health Institutions

Aim.To carry out a comparative analysis of self-rated health, medical activity, and satisfaction with the quality of medical care in public health institutions by residents of rural settlements of the Untsukul district, Republic of Dagestan.Methods.The study was conducted by the method of questioning 2643 respondents, among them 1453 women and 1181 men.Results.According to the results of the survey, the majority of the interviewed residents of Untsukul district (68.2%) are satisfied with their health. Medical activity of the population at the time of the study was 60.6%. As to respondents who applied to the medical institutions of the Untsukul district during this period, 13.5% are not satisfied with the quality of medical care in public health institutions, 23.5% are fully satisfied, 30% are not fully satisfied.Conclusion.A social survey in the form of a questionnaire is one of the most effective methods of obtaining information about the self-rated health of the population. Timely analysis of medical activity of the population, its satisfaction with the quality of medical care will improve the efficiency of the health system.

scholarly journals KUALITAS PENCATATAN ASUHAN KEPERAWATAN KOMUNITAS

2020 ◽  
Vol 9 (1) ◽  
pp. 1048-1059
Author(s):  
Diding Sarifudin
Keyword(s):  
Public Health ◽  
Health Service ◽  
Path Analysis ◽  
Public Health Service ◽  
Community Nursing ◽  
Cross Sectional ◽  
Record Keeping ◽  
Nursing Activity ◽  
Nursing Record

Cakupan kegiatan keperawatan komunitas di Kabupaten Cirebon masih rendah, sedangkan perawat sebagai pelaksananya merupakan tenaga kesehatan terbanyak dibandingkan dengan tenaga kesehatan lainnya. Perawat melakukan asuhan keperawatan komunitas seharusnya dengan pendokummentasian atau pencatatan yang merupakan panduan sehingga kegiatannya terarah dan terpadu sesuai dengan masalah yang ditemukan. Tujuan penelitian ini adalah ingin mengetahui kualitas pencatatan asuhan keperawatan komunitas di Kabupaten Cirebon tahun 2006 dan faktor-faktor yang mempengaruhinya. Penelitian ini adalah penelitian kuantitatif dengan menggunakan rancangan cross-sectional. Data dikumpulkan dari 71 perawat puskesmas dengan menggunakan perhitungan besar sampel Lot quality assurance sampling (LQAS-Lot) secara sistematic random sampling, selain dilakukan wawancara juga dilakukan pemeriksaan catatan asuhan keperawatan masing-masing responden 5 dokumen. Penelitian dilakukan pada bulan September 2006 dengan menggunakan analisis univariat dan analisis jalur (path analysis). Dari data yang dikumpulkan diperoleh kualitas pencatatan dengan baik sebesar 59,2%. Hasil pemodelan dengan analisis jalur ternyata kepemimpinan merupakan variabel utama yang mempunyai pengaruh sebesar 46,8% terhadap kualitas pencatatan asuhan keperawatan, variabel lain yang mempunyai pengaruh terhadap kualitas pencatatan asuhan keperawatan adalah pengetahuan sebesar 31%, sikap sebesar 17,6 %, imbalan sebesar 11,6%, dan variabel masa kerja melalui sikap sebesar 4%. Kepemimpinan kepala puskesmas mampu meningkatkan kualitas pencatatan asuhan keperawatan yang dilakukan karyawannya, selain itu kepemimpinan dapat meningkatkan pengetahuan, mengatur imbalan yang diberikan, dan dapat merubah sikap karyawannya. Bagi Dinas Kesehatan yang mempunyai kewajiban membina kepala puskesmas maka harus selalu membina dan mengevaluasi kinerja kepala puskesmas.Kata Kunci : Kualitas pencataan Asuhan Keperawatan ABSTRACTScope of community nursing activity in district of Cirebon has undervalued. In fact, number of nurse resources there larger than another medical profession. They to be organized in community nursing activity and nursing activity record-keeping as principal guide, they will working in sistematic way and well integrated according to the problem raised from public health service. This research aim to determine the quality of community nursing activity record-keeping in district of Cirebon for year of 2006 and the influencing factors within. Research belong to quantitative research with cross-sectional design. Data collecting using Lot quality assurance sampling (LQAS-Lot) with sistematic random sampling method by surveying and interviewing 71 nurse from local public health services, including checking of  5 document from each respondent’s nursing record. Research taken during september 2006 and using univariat analysis and path analysis. The result shows the quality of record-keeping which noticed as good are 52,2 % in value. Modelling result from path analysis put leadership as main variable which influence the quality of nursing record-keeping at 46,8%. Another variable which having influence on quality of nursing record-keeping are nurse’s knowledge at 31%, nurse’s attitude at 17,6%, rewards at 11,6% and working period at 4%. Leadership skills of local public service’s head can improve the quality of record-keeping of community nursing activity by its employees (nurses). Besides, leaderships skills direct to improvement of knowledge, remuneration management, and change in attitude. District public health service which has responsibility in training and developing officer to become head of local public health service should  control and monitor their working performance continuously.Key word : quality of community nursing

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