Total Cost of Pre-Hospital Emergency Missions based on the Activity-based Costing Model and its Comparison with the Cost of Private Emergency Pre-Hospital Emergency Services in Mashhad in 2016

Background: Pre-hospital care plays an important role in managing patients who require emergency services and preserving human life. The aim of this study was to evaluate the cost of completed public pre-hospital emergency missions according to the activity-based costing model and to compare it with the cost of private pre-hospital emergency services in Mashhad in 2016. Methods: In this applied and descriptive cross-sectional study, the data were collected using a researcher-made form 4 major groups of costs were identified to estimate the total costs: 1- Personnel salaries, 2- Current expenses 3- Medical consumables 4- Depreciation. The cost of providing pre-hospital services was calculated based on the activity-based costing. Eventually, the cost of pre-hospital emergency services was compared between the public and private sectors. To investigate the cost-effective factors for missions, multiple regression analysis, Breusch-Pagan, Ramsey RESET, Swilk, and Linktest diagnostic tests were used by Stata 11.0 software. Results: The average cost of each mission was equal to 2114337 ± 217786 thousand Rials in 58 emergency medical centers of Mashhad in 2016. Of this cost, 78.51 %, (1660129 ± 1578445 Rials) was related to employees' salaries, 19.24 % (406842 ± 375083 Rials) was related to the current costs of each center, 0.23 % (4796 ± 4476 Rials) was related to depreciation, and 2/02 % (42761 ± 42822 Rials) was related to medical consumables in each pre-hospital emergency mission. The value of contract with an emergency pre-hospital emergency was 1104000 Rials for each mission in 2016, which is almost half of the cost related to the public pre-hospital. Results of the regression model estimation also showed that among the variables of the model, the fuel cost variable was identified as an effective variable on the cost of each mission (p = 0.0001). Conclusion: The private sector provides pre-hospital emergency services at a lower cost. Moreover, before establishing a pre-hospital pre-service center, the cost-effectiveness of establishing a center in each region should be checked.

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CONSUMO DE ALIMENTOS PROCESSADOS E ULTRAPROCESSADOS POR ESCOLARES DE ARROIO DO TIGRE, RS

Revista Interdisciplinar de Estudos em Saúde ◽

10.33362/ries.v7i1.1300 ◽

2018 ◽

Vol 7 (1) ◽

pp. 157-164

Author(s):

Rubiane Inara Wagner ◽

Patrícia Molz ◽

Camila Schreiner Pereira

Keyword(s):

Public School ◽

Nutritional Status ◽

Private School ◽

Food Habits ◽

Cross Sectional Study ◽

School Students ◽

Cross Sectional ◽

Public And Private ◽

The Public ◽

Cereal Bars

O objetivo deste estudo foi comparar a frequência do consumo de alimentos processados e ultraprocessados e verificar a associação entre estado nutricional por adolescentes do ensino público e privado do município de Arroio do Tigre, RS. Trata-se de um estudo transversal realizado com adolescentes, com idade entre 10 e 15 anos, de uma escola pública e uma privada de Arroio do Tigre, RS. O estado nutricional foi avaliado pelo índice de massa corporal. Aplicou-se um questionário de frequência alimentar contendo alimentos processados e ultraprocessados. A amostra foi composta por 64 adolescentes com idade média de 12,03±1,15 anos, sendo 53,1% da escola pública. A maioria dos adolescentes encontravam-se eutróficos (p=0,343), e quando comparado com o consumo de alimentos processados e ultraprocessados, a maioria dos escolares eutróficos relataram maior frequência no consumo de balas e chicletes (50,0%) e barra de cereais (51,0%), de 1 a 3 vezes por semana (p=0,004; p=0,029, respectivamente). Houve também uma maior frequência de consumo de alimentos processados e ultraprocessados como pizza (73,5%; p0,001), refrigerante (58,8%; p=0,036) e biscoito recheado (58,8%; p=0,008) entre 1 a 3 vezes por semana na escola pública em comparação a escola privada. O consumo de suco de pacote (p=0,013) foi relatado não ser consumido pela maioria dos alunos da escola particular em comparação a escola pública. Os dados encontrados evidenciam um consumo expressivo de alimentos processados e ultraprocessados pelos adolescentes de ambas as escolas, destacando alimentos com alto teor de açúcar e sódio.Palavras-chave: Hábitos alimentares. Adolescentes. Alimentos industrializados. ABSTRACT: The objective of this study was to compare the frequency of consumption of processed and ultraprocessed foods and to verify the association between nutritional status by adolescents from public and private schools in the municipality of Arroio do Tigre, RS. This was a cross-sectional study conducted with adolescents, aged 10 to 15 years, from a public school and a private school in Arroio do Tigre, RS. Nutritional status was assessed by body mass index. A food frequency questionnaire containing processed and ultraprocessed foods was applied. The sample consisted of 64 adolescents with a mean age of 12.03±1.15 years, 53.1% of the public school. Most of the adolescents were eutrophic (p=0.343), and when compared to the consumption of processed and ultraprocessed foods, most eutrophic schoolchildren reported a higher frequency of bullets and chewing gum (50.0%) and cereal bars (51.0%), 1 to 3 times per week (p=0.004, p=0.029, respectively). There was also a higher frequency of consumption of processed and ultraprocessed foods such as pizza (73.5%, p0.001), refrigerant (58.8%, p=0.036) and stuffed biscuit (58.8%, p=0.008) between 1 to 3 times a week in public school compared to private school. Consumption of packet juice (p=0.013) was reported not to be consumed by the majority of private school students compared to public school. Conclusion: The data found evidenced an expressive consumption of processed and ultraprocessed foods by the adolescents of both schools, highlighting foods with high sugar and sodium content.Keywords: Food Habits. Adolescents. Industrialized Foods.

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Baseline assessment of therapeutic injection practices in Pakistan in 2020: a cross-sectional study

Journal of the Pakistan Medical Association ◽

10.47391/jpma.0003 ◽

2021 ◽

pp. 16-21

Author(s):

Syed Sharaf Ali Shah ◽

Safdar Pasha ◽

Nikhat Iftikar ◽

Altaf Ahmed Soomro ◽

Nazia Farrukh ◽

...

Keyword(s):

Public Sector ◽

Healthcare Providers ◽

Cross Sectional Study ◽

Health Facilities ◽

Cross Sectional ◽

Injection Equipment ◽

Public And Private ◽

Healthcare Facilities ◽

The Public ◽

Injection Safety

Objective: To assess the magnitude of the problem of injection safety in public and private health facilities in two districts of Sindh and Punjab provinces of Pakistan. Methods: A cross-sectional observational study was conducted between October and December 2020 among public and private health facilities of two districts of Pakistan: Gujarat in Punjab and Larkana in Sindh provinces. A convenient sample size of 60 healthcare facilities (30 from each district) was taken due to time and resource constraint. Six data collection tools were used which included structured observations and interviews with injection prescribers and providers based on WHO Revised Tool C, which were finalised after piloting. Results: Reuse of injection equipment was not observed in any of the 60 health facilities. In exit interviews of 120 patients, it was found that 27 (22.5%) patients reported receiving an injection, while 11 (9.2%) were prescribed intravenous (IV) drips. More injections and drips were prescribed in the private sector (n=15; 25.0%) in comparison with the public sector (n=12; 20.0%). Slightly higher proportion of IV drips were prescribed by the private providers when compared to public sector healthcare providers: 6 (10.0%) vs 5 (8.3%) respectively. Most of the prescribers (n=58; 96.7%) reported that patients who attended public and private health facilities demanded injectable medicines. Used syringes and drips were noted to be visible in open containers and buckets for final disposal in 20 (33.3%) assessed health facilities. Continuou...

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Trends in treatment of anterior cruciate ligament injuries of the knee in the public and private healthcare systems of Brazil

Sao Paulo Medical Journal ◽

10.1590/1516-3180.2013.1314498 ◽

2013 ◽

Vol 131 (4) ◽

pp. 257-263 ◽

Cited By ~ 7

Author(s):

Diego Costa Astur ◽

Rodrigo Ferreira Batista ◽

Gustavo Goncalves Arliani ◽

Moises Cohen

Keyword(s):

Anterior Cruciate Ligament ◽

Cruciate Ligament ◽

Treatment Options ◽

Cross Sectional Study ◽

Medical Decision ◽

Cross Sectional ◽

Public And Private ◽

The Public ◽

Private Healthcare ◽

Anterior Cruciate

CONTEXT AND OBJECTIVE Orthopedic surgery implies high costs for both public and private healthcare. The aim of this study was to better understand the differences between the public and private sectors regarding treatment of a damaged anterior cruciate ligament, which is a common knee injury. DESIGN AND SETTING Descriptive cross-sectional study conducted during the Brazilian Orthopedics Congress in Brasília. METHODS We applied questionnaires during the 2010 Brazilian Orthopedics Congress, with participation by 241 knee surgeons from 24 Brazilian states. This was followed by statistical analysis on the data that were obtained. RESULTS The orthopedic surgeons who were evaluated used different approaches and treatment options in different Brazilian states, comparing between the public and private systems. CONCLUSION Both in the public and in the private systems in Brazil, because of non-medical issues surrounding the treatment, the best medical decision is not always made. This may be harmful both to patients and to physicians.

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Cost-effectiveness Analysis of Per-abdominal and Laparoscopic Cholecystectomy

10.14293/s2199-1006.1.sor-.ppydtv6.v1 ◽

2019 ◽

Author(s):

Shahariar Islam

Keyword(s):

Laparoscopic Cholecystectomy ◽

Cost Effectiveness ◽

Treatment Cost ◽

Cost Effective ◽

Cross Sectional Study ◽

Total Treatment Cost ◽

Laboratory Cost ◽

Cross Sectional ◽

Average Hospital ◽

The Cost

Cholelithiasis is one of the major problems which need cholecystectomy. Laparoscopic cholecystectomy is a newer technique. But there is a need to evaluate the cost-effectiveness of per-abdominal and laparoscopic method from patients perspective. The study was performed to assess the cost-effectiveness of per-abdominal and laparoscopic cholecystectomy. Materials and Methods: This cross sectional study in two sample situations was conducted among 90 purposively selected cholecystectomy patients of which 60 patients underwent laparoscopic cholecystectomy (LC) and 30 patients underwent per-abdominal cholecystectomy (PAC) from three tertiary level government hospitals of Dhaka, Bangladesh at the time of their discharge through face to face interview using a semi-structured questionnaire and checklist. The study found average age 45.33(13.63) and 41.75(13.39) years in PAC and LC respectively. Average monthly income was less in the PAC group Tk.23200.00(12374.61) than LC Tk.24925.00(12166.86). Average duration of suffering from cholelithiasis was 9.50(8.68) months in PAC group and 12.43(17.49) months in LC group. Average hospital stay was 13.97(6.88) days in PAC group while it was 12.02(6.66) days in LC group. Average treatment cost was little higher Tk.21927.407795.89 in LC group than Tk.21466.306261.42 in the PAC group. Both direct cost and indirect cost were also higher in LC group (Tk.18668.305965.67 and Tk.3661.324229.85) than in PAC group (Tk.18228.004624.75 and Tk.3350.004124.58). But these differences were not statistically significant. In both groups treatment cost significantly increased with duration of hospitalization (correlation, p<0.01). Cure rate was significantly high in LC group (94.4%) than in PAC group (86.7%) (χ2, p<0.05). This study revealed LC method is cost-effective than PAC method. Total treatment cost in LC can be reduced by minimizing hospital cost, laboratory cost and securing the income of the patients which enhance the economic load.

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Assessment of surgical capacity in Chiapas, Mexico: a cross-sectional study of the public and private sector

BMJ Open ◽

10.1136/bmjopen-2020-044160 ◽

2021 ◽

Vol 11 (7) ◽

pp. e044160

Author(s):

Lina Roa ◽

Ellie Moeller ◽

Zachary Fowler ◽

Fernando Carrillo ◽

Sebastian Mohar ◽

...

Keyword(s):

Cross Sectional Study ◽

Public Hospitals ◽

Surgical Volume ◽

Sectional Study ◽

Surgical Capacity ◽

Catastrophic Expenditure ◽

Cross Sectional ◽

Private Hospitals ◽

Public And Private ◽

The Public

IntroductionSurgical, anaesthesia and obstetric (SAO) care are essential, life-saving components of universal healthcare. In Chiapas, Mexico’s southernmost state, the capacity of SAO care is unknown. This study aims to assess the surgical capacity in Chiapas, Mexico, as it relates to access, infrastructure, service delivery, surgical volume, quality, workforce and financial risk protection.MethodsA cross-sectional study of Ministry of Health public hospitals and private hospitals in Chiapas was performed. The translated Surgical Assessment Tool (SAT) was implemented in sampled hospitals. Surgical volume was collected retrospectively from hospital logbooks. Fisher’s exact test and Mann-Whitney U test were used to compare public and private hospitals. Catastrophic expenditure from surgical care was calculated.ResultsData were collected from 17 public hospitals and 20 private hospitals in Chiapas. Private hospitals were smaller than public hospitals and public hospitals performed more surgeries per operating room. Not all hospitals reported consistent electricity, running water or oxygen, but private hospitals were more likely to have these basic infrastructure components compared with public hospitals (84% vs 95%; 60% vs 100%; 94.1% vs 100%, respectively). Bellwether surgical procedures performed in private hospitals cost significantly more, and posed a higher risk of catastrophic expenditure, than those performed in public hospitals.ConclusionCapacity limitations are greater in public hospitals compared with private hospitals. However, the cost of care in the private sector is significantly higher than the public sector and may result in catastrophic expenditures. Targeted interventions to improve the infrastructure, workforce availability and data collection are needed.

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Pharmacy students’ views on the objective structured clinical examination (OSCE): findings from two Malaysian universities

Pharmacy Education ◽

10.46542/pe.2021.211.3944 ◽

2021 ◽

pp. 39-44

Author(s):

Mohamed Hassan Elnaem ◽

Muhammad Zuljalil Ilham Wahab ◽

Aqilah Mohd Ali ◽

Umi Syuhada Abd Rahim ◽

Nuraqilah Zulkifli ◽

...

Keyword(s):

Clinical Examination ◽

Time Allocation ◽

Cross Sectional Study ◽

Pharmacy Students ◽

Objective Structured Clinical Examination ◽

Cross Sectional ◽

Public And Private ◽

The Public ◽

Constructive Feedback ◽

Study Participants

Objectives: To investigate and compare the views of undergraduate pharmacy students in two Malaysian pharmacy schools (one private and one public) regarding the organisation, quality, and objectivity of Objective Structured Clinical Examination (OSCE). Methods: A cross-sectional study was undertaken among penultimate and final year students in two Malaysian pharmacy schools between October to December 2019 (International Islamic University Malaysia [IIUM] and University of Cyberjaya [UoC]). A questionnaire was developed, tested, validated and then distributed to study participants through online Google forms. Results: A total of 221 undergraduate pharmacy students participated in the study. Students from the public university disagreed with the allocated time for the OSCE stations (IIUM 63.9% and 48.7% vs UoC 11.6% and 14.3%). Relatively few students agreed that OSCE is a less stressful type of assessment compared to other traditional methods (IIUM 7.2% and 10.3% vs UoC 39.5% and 23.8%). Both groups of students’ also disagreed that OSCE marks were likely to be affected by the student’s gender (IIUM 73.2% and 66.7% vs UoC 67.4% and 78.6%). Conclusion: The majority of participants had positive views on the organisation, quality, and objectivity of OSCE, with several differences between students in public and private universities. There are few areas to be further considered to ensure more positive OSCE experience for students such as revision on the time allocation for every station and on the provision of timely constructive feedback.

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Epidemiology Study on Poisoning in Patients Received Pre-hospital Emergency Services in Ghaemshahr, Iran

Journal of Guilan University of Medical Sciences ◽

10.32598/jgums.30.1.1 ◽

2021 ◽

Vol 30 (1) ◽

pp. 28-39

Author(s):

Ebrahim Nasiri ◽

◽

Peyman Talebi ◽

Qasem Mahmoudpour ◽

Jamal Rezaei Orimi ◽

...

Keyword(s):

Young People ◽

Emergency Services ◽

Cross Sectional Study ◽

Therapeutic Interventions ◽

Medical Emergency ◽

Public Health Issue ◽

Hospital Emergency ◽

Cross Sectional ◽

Route Of Exposure ◽

One Year

Background: Poisoning is an important public health issue and causes high mortality rate each year worldwide. Having epidemiological information can lead to proper planning for its prevention and intervention. Objective: This study aims to investigate the one-year prevalence and causes of poisoning in patients received pre-hospital emergency services in Ghaemshahr, Mazandaran, Iran. Materials and Methods: This is a descriptive cross-sectional study. After reviewing the medical files of 12552 patients collected from the Medical Emergency and Accident Management Center in Ghaemshahr, Iran in 2016, 398 poisoned patients were found. Their data including age, gender, place of residence, agent and cause of poisoning, and received therapeutic interventions were extracted and recorded. Results: Of 398 patients, 17.3% had received treatment; 271 (68.1%) were male and 127 (31.9%) were female. The most common cause of poisoning was abuse (58.1%); 58.3% of the poisonings were caused by the use of medications and the rest were non-medication poisonings. Tramadol (29.6%) was the most common medication that had caused poisoning. Among non-medication poisonings, the most common agent were substances (22.6%) and alcohol (13.1%). The most common route of exposure to poisoning agent (toxins) was by ingestion. Conclusion: Due to the increasing abuse of substances and medications such as tramadol among young people and considering the high prevalence of intentional poisoning in young women, there are a need for psychological support, proper monitoring of medicine distribution, and creating social and recreational opportunities for the young people in Iran.

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Examining the Antecedents of Job Satisfaction and further its impact on Organizational Commitment

Journal of Public Administration and Governance ◽

10.5296/jpag.v3i3.6224 ◽

2013 ◽

Vol 3 (3) ◽

pp. 317

Author(s):

Aisha Javeria ◽

Muhammad Rizwan ◽

Ali Junaid Khan ◽

Amjad Hameed ◽

Qazi Naeem ◽

...

Keyword(s):

Job Satisfaction ◽

Organizational Commitment ◽

Cross Sectional Study ◽

Vital Role ◽

Cross Sectional ◽

Public And Private ◽

Workplace Environment ◽

The Public ◽

Public And Private Sector ◽

Self Administered Questionnaire

The Human capital plays a vital role in success of any organization. The contended and committed employee is a key to achieve organizational objective. There are several researches conducted to understand the function of worker’s satisfaction and commitment towards job but this area of study is remain unexposed. The purpose of this study is to discuss and examine the forces which lead to private and govt sector workers Job satisfaction and organizational commitment. A theoretical model was anticipated and tested and findings indicates various challenges for HRM that the factors which contributes to job satisfaction does not necessarily makes the employee committed. This research is a cross sectional study. A sample of 170 respondents was taken from the Public and Private sector Professional around Pakistan. The data was collected through a self-administered questionnaire, using the earlier conventional scales and the results demonstrated that Relationship with coworkers, workplace environment, empowerment, pay and promotion have a significant positive relationship with job satisfaction while in turn only the job satisfaction and empowerment leads to organizational commitment. Relationship with coworkers, pay and promotion and workplace environment have insignificant relation with organizational commitment.

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Dentists’ Self-perception on Teledentistry: The Changing Landscape Driven by Technological Booming in the 21stCentury.

The Open Dentistry Journal ◽

10.2174/1874210602014010291 ◽

2020 ◽

Vol 14 (1) ◽

pp. 291-297

Author(s):

Alla T. Alsharif ◽

Shaima S. Al-harbi

Keyword(s):

Saudi Arabia ◽

Cost Effective ◽

Cross Sectional Study ◽

Potential Cost ◽

Internal Reliability ◽

Cross Sectional ◽

Convenience Sample ◽

The Public ◽

Self Perceptions ◽

Dental Practitioners

Aim: Teledentistry has gained popularity worldwide because it is cost-effective and increase accessibility to dental healthcare. This study assessed the self-perceptions of teledentistry among dental practitioners in Saudi Arabia and examinedany gender-related differences. Methods: This cross-sectional study was conducted between January and December 2017 and recruited a convenience sample of dental practitioners, whose self-perceptions of the practice-related use of teledentistry were assessed viaateledentistry survey (TDS). The TDS consisted off our sections:efficiency in patient care, cost reduction,capabilities forimproving practice, and security and confidentiality.Data analyseswere conducted throughdescriptive statistics,internalreliability tests(Cronbach’s alpha), andchi-squaredtests of the TDS. Results: The response rate was 620/800(78%). Most respondents were female (62%), and 58% of themworked in the public sector. The internal reliability of the TDS was 0.85 for the whole sampleand 0.85 and 0.90 for males and females, respectively. Among the entire sample, 51% agreed that teledentistry reduced potential cost, and 65% reported shortened waitlists. More females (42%, p<0.001) than males (22%) agreed that teledentistry could help monitor a patient’s condition.More females (35%) than males (13%, p<0.001) considered that teledentistry would require additional appointments for imaging. More females(29%, p=0.0001) than males (22%) expressed great concern aboutpotential violations of confidentiality. Conclusion: These findings suggest thatteledentistry in dental practiceis well perceived by practitioners in Saudi Arabia. Gender differences in perceptions are linked to certain aspects of teledentistry.

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Estimating the costs of the national basic public health services in Zhuhai, China, through activity-based costing: a cross-sectional study

BMJ Open ◽

10.1136/bmjopen-2018-024831 ◽

2019 ◽

Vol 9 (6) ◽

pp. e024831 ◽

Cited By ~ 1

Author(s):

Zan Wang ◽

Qin Ao ◽

Yinbo Luo ◽

Qi Wang ◽

Zuxun Lu ◽

...

Keyword(s):

Public Health ◽

Cross Sectional Study ◽

Activity Based Costing ◽

Sectional Study ◽

Public Health Services ◽

Cross Sectional ◽

Per Capita ◽

The Government ◽

The Cost ◽

Capita Cost

ObjectiveOur research aims to estimate the per capita cost of 13 items in the basic public health service (BPHS) project in Zhuhai, China, and provide an economical basis for the improvement of the cost compensation mechanism used by the government.DesignThis research is a cross-sectional study.SettingA total of 19 primary healthcare facilities (PHFs) in Zhuhai, China, are involved in this research.ParticipantsA total of 152 participants (114 personnel engaged in BPHS, 19 financial personnel and 19 PHF heads) were included in this study, which was conducted from May 2017 to July 2017.Primary and secondary outcome measuresWe used the activity-based costing model to calculate the cost of providing BPHS in Zhuhai. An analytical hierarchy process was used to determine the difficulty dimension and workload coefficient.ResultsThe weights of the difficulty dimensions in the provision of BPHS in Zhuhai were 35.04% (coordination of residents), 24.03% (staff workload), 21.36% (complexity of work-related skills) and 19.59% (basic qualities of staff). The average difficulty coefficient of each subproject was 5.28. The actual per capita cost of BPHS provision in 2016 was 97.48 RMB (12.76 EUR), which was higher than the actual standard compensation of 55 RMB (7.2 EUR) in Zhuhai. Immunisation was the most costly among the 13 service items (17.82 RMB or 2.33 EUR per person), whereas the management of tuberculosis was the least costly item (0.57 RMB or 0.07 EUR per person).ConclusionsGovernment funds for basic public health services cannot compensate for the actual costs. Accordingly, subsidies should be increased based on the actual per capita cost for sustainable BPHS development. The government should improve the methods used in cost estimation and measures used as the basis for awarding performance incentives.

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