scholarly journals Do surgical patients of remote areas really need to overburden urban medical colleges: a practical survey analysis

2019 ◽  
Vol 6 (2) ◽  
pp. 564
Author(s):  
Anjana Bose ◽  
Agniva Ghosh Dastidar
Keyword(s):  
Health Care ◽  
Care Delivery ◽  
Hospital Staff ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Survey Analysis ◽  
Medical College ◽  
Safe Level ◽  
Efficient Management ◽  
Medical Colleges

Background: Public health care delivery is inadequate and as a result the demand supply gap is large, this is specially so in rural India. Even with so many hospitals in the peripheries still there is overcrowding in the urban Medical Colleges. Overcrowding is when hospitals operate beyond a safe level of 85% bed occupancy. This leads to delay in treatment and subsequent medical complications. Furthermore, quality of the treatment is jeopardised as its effects physician’s effectiveness, causing frustration among medical staff and may even contribute to violence. The objective was to identify the elective/non-emergency operations that could have been done in rural hospitals but were done in a tertiary Medical College and to find out the cause for avoiding the local government hospitals nearer to their residence. This study suggested some remedies to correct this disparity.Methods: This was an observational and descriptive study where patient’s type of operation, distance travelled and cause for coming to an urban Medical College was noted.Results: Majority of the patients did not have any idea as to why they chose this hospital, other reasons are lack of infrastructure in their rural hospital, bad reputation, lack of cleanliness, malpractice by the hospital staff etc.Conclusions: Health care facilities in different locations should be based on utilization rates and also proper and efficient management of these established facilities should be done.

scholarly journals TO ASSESS THE LEVEL OF CLEANLINESS, HYGIENE, AND INFECTION CONTROL PRACTICES IN PUBLIC HEALTH CARE FACILITIES.

2019 ◽  
Vol 3 (10) ◽  
Author(s):  
Dr. Vasundhara Aras
Keyword(s):  
Public Health ◽  
Health Care ◽  
Infection Control ◽  
Care Delivery ◽  
Hospital Staff ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Staff Members ◽  
Hand Wash ◽  
One Year

Method: This study is conducted at Primary, Secondary and Tertiary level of health care delivery centre of Indore district. Doctors, Staff Nurses, Housekeeping Staff, Staff Members, Beneficiaries (patient/relative). One year July 2010 - June 2011 Doctor Staff and Personnel involved in all selected centers were interviewed. 120 doctors, 56 nurses, 23 Housekeeping staff and 80 patients were selected for interviews & by method of Observation. Records view Hospital staff and patients interview record. Result: IMCHRC, BSBH, Manpur, Sanwer, Simrol, & Hatod has 80% of hospital cleanliness with 72% of segregation collection, storage & transportation of BMW. DH Indore has 70% of cleanliness and 72% of segregation collection, storage & transportation of BMW, whereas Depalpur has 70% & 68%, respectively. Total number of doctors in all facilities is 120. 75% &70% of Cleanliness and hygiene in procedure area and ambulatory & auxiliary area, respectively at IMCHRC, DH, BSBH Mhow. Sanwer & Hatod with 75% in both the areas by Depalpur 50%. Only Manpur and Simrol are with 100%. Conclusion: Knowledge attitude and practices regarding Infection Control, benefits of hand wash & 6 steps of Hand wash correct method of wearing and removing hand gloves, when to use & its types, making Chlorine Solution, Decontamination & Cleaning of Instruments, standard Precautions, Knowledge about Personal Protective Equipment (PPE) and its practice among nurse and staff among all health care personnel is satisfactory. Keywords: Cleanliness, Public Health, Care & Infection.

Mental health policy in Greece: Implications into practice in the era of economic crisis

2011 ◽  
Vol 26 (S2) ◽  
pp. 539-539 ◽  
Author(s):  
I. Grammatikopoulos ◽  
S. Koupidis ◽  
E. Petelos ◽  
P. Theodorakis
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Health Policy ◽  
Mental Health Care ◽  
Economic Crisis ◽  
Rural Areas ◽  
Care Delivery ◽  
Mental Health Policy ◽  
Regional Distribution ◽  
Health Care Facilities

IntroductionBudgets allocated for mental health make up a relatively small proportion of total health expenditures, although there is an increasing burden of mental disorders.ObjectivesTo review the mental health situation in Greece with regards to mental health policy through review of relevant literature.AimsTo explore the basic implications of the economic crisis from a health policy perspective, reporting constraints and opportunities.MethodsA narrative review in PubMed/Medline along with a hand search in selected Greek biomedical journals was undertaken, relevant to mental health policy.ResultsGreece is among the OECD countries with high health expenditure as a percentage of Gross Domestic Product (9.7% of GDP in 2008) but it doesn’t have a specified budget for mental health and is mostly depended in out-of-pocket expenditure (48%). The system is plagued by problems, including geographical inequalities, overcentralization, bureaucratic management and poor incentives in the public sector. The lack of cost-effectiveness and the informal payments comprise a major source of inequity and inefficiency. Uneven regional distribution of psychiatrists exists and rural areas are mostly uncovered by mental health care facilities, as well as extramural mental health units and rehabilitation places, despite the current reorganization of the whole mental health care delivery system.ConclusionsThe core problem with mental health services in Greece is the shrinking budget with poor financial administration consistent with inadequate implementation of mental health policy. A clear authority with defined responsibility for overall mental health policy and budgetary matters is needed.

CANADA'S FAILURE

PEDIATRICS ◽  
1994 ◽  
Vol 93 (4) ◽  
pp. 569-569
Author(s):  
J. F. L.
Keyword(s):  
Health Care ◽  
New England ◽  
Care Delivery ◽  
Health Care Facilities ◽  
User Fees ◽  
Capital Expenditures ◽  
The Past ◽  
Care Facilities ◽  
Dog Owners ◽  
The Government

The direct costs of Canada's national health insurance are not as troublesome as the distortive effect they have on health care delivery. Health care facilities have been forced to cut back severely on their capital expenditures, thus depleting the availability of advanced medical equipment. As a result, many patients must seek advanced treatment elsewhere. According to a recent study reported in the New England Journal of Medicine, nearly one-third of Canada's doctors have sent patients outside the country for treatment during the past five years. About 10% of all British Columbia residents requiring cancer therapy have been sent to the U.S. In Toronto, because the government doesn't provide enough money for personnel, 3,000 beds have been removed from service, while thousands of patients are on waiting lists for admission. Even where advanced equipment is available, bureaucratic absurdities prevent proper use. According to the April issue of "Fraser Forum," dogs at York Central Hospital in metropolitan Toronto were able to get CAT scans immediately while humans were put on a waiting list. The reason? Canadian patients are not allowed to pay for CAT scans, and the procedure costs too much to operate more than a few hours a day for nonpaying customers. Dog owners, on the other hand, were permitted to pay to use it. The user fees paid by the dog owners allowed the machine to operate longer, thus more human patients could be scanned. When this information was released, instead of considering user fees for humans, the Canadian government banned the tests for dogs!

Willingness to pay for traditional, complementary and alternative medicine (TCAM) among Malaysian adults

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
M.Z.Y. Koh ◽  
Yen-Nee Goh
Keyword(s):  
Health Care ◽  
Willingness To Pay ◽  
Alternative Medicine ◽  
Complementary And Alternative Medicine ◽  
Health Care Facilities ◽  
Partial Least Square ◽  
Least Square ◽  
Public Health Care ◽  
Content Type ◽  
Complementary And Alternative

Purpose Health plays a crucial role in the daily lives and supporting health is the important role of medicine. With the availability of traditional, complementary and alternative medicine (TCAM), the demands and willingness to pay among users are increasing. Hence, this study aims to determine the psychological factors influencing the willingness to pay for TCAM among Malaysian adults. Design/methodology/approach In total, 300 completed self-administered questionnaires were collected from Malaysian adults using a purposive sampling method through intercepts at public health-care facilities. A structural equation modelling approach using partial least square was used to test the hypotheses. Findings The findings show that attitude, subjective norms, perceived price and knowledge have a significant impact on willingness to pay for TCAM. Surprisingly, there was no relationship found between perceived behavioural control and health consciousness on willingness to pay for TCAM. Originality/value The findings of this study are expected to provide better insights into TCAM use among Malaysian adults. The results are also important to encourage health-care institutions and practitioners to educate the general public on the safety of TCAM to ensure more health benefits to the users.

Book Review: Sanjeev Kelkar, India’s Public Health Care Delivery, Policies for Universal Health Care

2021 ◽  
Vol 26 (2) ◽  
pp. 251-253
Author(s):  
Nandini Jayakumar
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Care Delivery ◽  
Care Delivery ◽  
Public Health Care ◽  
Universal Health Care ◽  
Universal Health

Sanjeev Kelkar, India’s Public Health Care Delivery, Policies for Universal Health Care. Singapore: Palgrave Macmillan, 2021, xix + 496 pp., Ä 93.08. ISBN: 9789813341791 (Hardback).

Spatial distribution of public health care facilities in rural areas of Nalanda district, Bihar

2020 ◽  
Vol 66 (4) ◽  
pp. 387-399
Author(s):  
Anand Kumar ◽  
◽  
Dhiraj Kumar Sharma ◽  
Satya Prakash ◽  
Ram Sakal Yadava ◽  
...  
Keyword(s):  
Public Health ◽  
Health Care ◽  
Spatial Distribution ◽  
Community Development ◽  
Rural Areas ◽  
Graphical Representation ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Location Quotient ◽  
Care Facilities

At this critical juncture of time when the whole world is facing a health care emergency due to the occurrence of (SARS-CoV-2) pandemic. It becomes necessary to critically evaluate public health care facilities and their availability to common people to tackle the ongoing crisis rationally. In this regard, this paper tries to study the spatial distribution of public health care facilities and their availability in rural areas of Nalanda district. Location quotient, Lorenz curve and Gini's coefficient have been worked out to find unequal concentration, availability and distribution of public health care facilities across the study area. To show the concentration and distribution of health care facilities over space maps have been drawn on ArcGIS. MS Excel and Word have been used for showing the availability of health care facilities through graphical representation and for tabulation purposes. This paper concludes that community development blocks surrounding district headquarter have a higher concentration and larger availability of rural public health care facilities in comparison to peripheral community development blocks of the study area.

scholarly journals Patient Experience of Obstetric Care During the COVID-19 Pandemic: Preliminary Results From a Recurring National Survey

2020 ◽  
Vol 7 (5) ◽  
pp. 653-656
Author(s):  
Dani Bradley ◽  
Arianna Blaine ◽  
Neel Shah ◽  
Ateev Mehrotra ◽  
Rahul Gupta ◽  
...  
Keyword(s):  
Health Care ◽  
Patient Experience ◽  
Surveillance System ◽  
Care Delivery ◽  
Obstetric Care ◽  
Health Care Facilities ◽  
Traditional Health ◽  
Care Facilities ◽  
Traditional Health Care ◽  
Ongoing Surveillance

The experience of pregnant and postpartum patients continues to evolve during the COVID-19 pandemic. Limited clinical data and the unknown nature of the virus’ impact and transmission routes have forced constant changes to traditional care delivery. Dependence on telehealth technology such as telephonic and videoconferencing has surged, and patients’ willingness to visit traditional health care facilities has plummeted. We set out to create an ongoing surveillance system to monitor changes to prenatal and obstetric care and the patient experience during the COVID-19 pandemic.

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