scholarly journals GOVERNING THE TEACHING HOSPITALS IN MALAYSIA: LEGAL ISSUES AND CHALLENGES

Bioethics ◽  
2021 ◽  
Vol 28 (2) ◽  
pp. 26-32
Author(s):  
Izuan Izzaidi Azmi ◽  
◽  
Nurrulhuda Ahmad ◽  
Norazlina Abdul Aziz ◽  
Irini Ibrahim ◽  
...  
Keyword(s):  
Medical Care ◽  
Teaching Hospital ◽  
Clinical Education ◽  
Health Professionals ◽  
Legal Issues ◽  
Teaching Hospitals ◽  
Public And Private ◽  
Legal Position ◽  
And Training ◽  
Diagnosis Of Diseases

Hospital, is an institution that is built, staffed, and equipped for the diagnosis of diseases; for the treatment, both medical and surgical, of the sick and the injured; and for their housing during this process. Generally, hospitals in Malaysia are being categorized into two categories which are: public and private. Another type of hospital that serves as a centre for investigation and teaching is known as a teaching hospital. It provides clinical education and training for future and current doctors, nurses, and other health professionals, in addition to delivering medical care to patients. Some teaching hospitals also have a commitment to research and are centres for experimental, innovative and technically sophisticated services. Despite its important roles, there is no specific legislation to govern the teaching hospital in Malaysia. This situation leads to uncertainties in some crucial areas of the governance. Therefore, this study aims to explore the legal issues and challenges with regard to the teaching hospital’s governance in Malaysia. A thorough doctrinal analysis is being conducted to examine the loopholes of the current legal position. The findings will be used to propose some recommendations for the improvement of the governance of the teaching hospitals in Malaysia.

The diffusion of innovation: Factors influencing the uptake of telehealth

2002 ◽  
Vol 8 (3_suppl) ◽  
pp. 73-75 ◽  
Author(s):  
Judi Walker ◽  
Sue Whetton
Keyword(s):  
Diffusion Of Innovation ◽  
Health Professionals ◽  
Service Sector ◽  
Organizational Structures ◽  
Legal Issues ◽  
Diffusion Of Innovation Theory ◽  
Factors Influencing ◽  
Number Of Factors ◽  
Actual Use ◽  
And Training

summary The actual use of telehealth, particularly for clinical consultations, has in many cases been less than anticipated. The literature identifies a number of factors or barriers. These include legal issues, technical difficulties, time and convenience, cost and training/familiarity with the equipment. No single factor has been identified as being consistently present. Rogers’ diffusion of innovation theory suggests that organizational structures and cultures will affect health professionals’ perceptions of telehealth. The introduction of telehealth services affects existing work practices and workflows. We believe that it is necessary to develop strategies for the introduction of telehealth applications which take into account the idiosyncrasies of the health service sector, and the particular structures and cultures of individual organizations within that sector.

PEDIATRIC PRIORITIES

PEDIATRICS ◽  
1977 ◽  
Vol 59 (2) ◽  
pp. 304-304
Author(s):  
David Morley ◽  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Medical Care ◽  
Teaching Hospital ◽  
Rural Areas ◽  
Urban Areas ◽  
Health Personnel ◽  
Low Cost ◽  
Teaching Hospitals ◽  
The Past

Although three-quarters of the population in most developing countries live in rural areas, three-quarters of the spending on medical care is in urban areas, where three-quarters of the doctors live. Three-quarters of the deaths are caused by conditions that can be prevented at low cost, but three-quarters of the medical budget is spent on curative services, many of them provided for the elite at high cost. I have suggested that teaching hospitals, or "disease palaces", and the specialist approach to health care that such institutions foster, have over the past 20 years hampered progress in health care in developing countries. Such teaching hospitals do not train the type of health personnel required; they do not act as referral centres; nor do they undertake the type of research that the community which supports them requires. Despite these deficiencies, a teaching hospital can absorb a quarter, a third, or even more of the total health budget of the country.

scholarly journals A tale of two colleges: do specialist trainees receive adequate hospital-based training?

2007 ◽  
Vol 31 (3) ◽  
pp. 362
Author(s):  
Warren M Rozen ◽  
Elan D Kaplan ◽  
Katharine J Drummond ◽  
Robert J Millar
Keyword(s):  
Teaching Hospital ◽  
Teaching Hospitals ◽  
Specialist Training ◽  
Surgical Trainees ◽  
Survey Results ◽  
Trainee Satisfaction ◽  
And Training

Background: Both medical and surgical trainees have a dual reliance on their specialist training college and their respective teaching hospitals to maintain standards in teaching and training. Although guidelines are in place for the administration of this teaching, hospital-based teaching has been minimally regulated. A review of trainee satisfaction with current levels of hospital-based training was performed, both to reflect the thoughts of trainees themselves and to highlight specific areas requiring improvement. Methods: Sixty-four basic specialist trainees (44 surgical [BSTs] and 20 physician [BPTs]) from all of the major Melbourne metropolitan teaching hospitals completed an anonymous survey. Results: Surgical trainees considered all areas of hospital-based training to be deficient, with overall dissatisfaction significantly greater for BSTs compared with BPTs (P = 0.046). A requirement for increased hospital-based training was similarly greater for BSTs (P = 0.0072). Conclusion: The study confirms the need for a change in the regulation and administration of hospital-based teaching for surgical trainees.

Clinical trials — the personal perspective of the research physician?

2020 ◽  
Vol 75 (3) ◽  
pp. 256-263
Author(s):  
Maria Y. Egorova ◽  
Irina A. Shuvalova ◽  
Olga I. Zvonareva ◽  
Igor D. Pimenov ◽  
Olga S. Kobyakova ◽  
...  
Keyword(s):  
Clinical Trials ◽  
Medical Care ◽  
New Technologies ◽  
Healthcare Providers ◽  
Study Drug ◽  
Well Being ◽  
Personal Perspective ◽  
Public And Private ◽  
Factors Affecting ◽  
To Receive

Background. The organization of clinical trials (CTs) requires the participation and coordination of healthcare providers, patients, public and private parties. Obstacles to the participation of any of these groups pose a risk of lowering the potential for the implementation of CTs. Researchers are a key human resource in conducting of CT. Their motivation for participation can have a significant impact on the recruitment and retention of patients, on the quality of the data collected, which determines the overall outcome of the study. Aims to assess the factors affecting the inclusion of Russian physicians-researchers in CT, and to determine their role in relations with patients-participants. Materials and methods. The study was organized as a part of the Russian multicenter face-to-face study. A survey was conducted of researchers from 10 cities of Russia (20172018). The participation in the survey for doctors was anonymous and voluntary. Results. The study involved 78 respondents. Most research doctors highly value the importance of research for science (4,84 0,39), society (4,67 0,46) and slightly lower for participating patients (4,44 0,61). The expectations of medical researchers are related to improving their financial situation and attaining new experience (n = 14; 18,18%). However, the opportunity to work with new technologies of treatment and diagnosis (n = 41; 52,56%) acted as a motivating factor. According to the questionnaire, the vast majority of research doctors (n = 29; 37,18%) believe that the main reason for patients to participate in CT is to receive quality and free medical care. The most significant obstacle to the inclusion of participants in CT was the side effects of the study drug (n = 38; 48,71%). Conclusions. The potential of clinical researchers in Russia is very high. The patient-participant acts for the research doctor as the subject of the study, and not the object, so the well-being of the patient is not indifferent to the doctor. However, the features of the functioning of our health care system form the motivation of doctors-researchers (additional earnings, professional self-development) and the way they perceive the motivation of patients (CT as an opportunity to receive quality medical care).

Viewpoint From the Division of Community Child Health

PEDIATRICS ◽  
1974 ◽  
Vol 54 (2) ◽  
pp. 251-251
Author(s):  
Joel Bass ◽  
Dorothea Johnson ◽  
Jacqueline Kirby ◽  
George A. Lamb ◽  
Janice C. Levy ◽  
...  
Keyword(s):  
Primary Care ◽  
Child Health ◽  
Medical Care ◽  
Medical Schools ◽  
House Staff ◽  
Teaching Hospitals ◽  
Primary Medical Care

We read with interest Dr. Nathan's comments on primary medical care (Pediatrics, 52:768, 1973), but feel compelled to add another viewpoint. One of the striking changes occurring today in teaching hospitals and medical schools is an increased awareness of and interest in primary care. Some institutions, including our own, have created residencies and fellowships in ambulatory pediatrics as a response to house staff interests and also in response to the needs of the surrounding community.

Body and health in the training of health professionals: a mapping of scientific production

2021 ◽  
Vol 2 (1) ◽  
Author(s):  
Márcia Cristina Rocha Paranhos ◽  
Lívia De Rezende Cardoso
Keyword(s):  
Health Professionals ◽  
Professional Training ◽  
State Of The Art ◽  
National Curriculum ◽  
Health Curriculum ◽  
Academic Production ◽  
Unified Health System ◽  
Curriculum Guidelines ◽  
Theses And Dissertations ◽  
And Training

This article builds a mapping in order to analyze the theses and dissertations about body, health, curriculum and training of health professionals. For this, theses and dissertations were mapped in the period from 2010 to 2020 through a state-of-the-art study. The composition of the data is given by the presentation and discussion of the listed texts. As for research, these concern the production of bodies based on biotechnological discourses; professional training in health; others point to the curricula of health courses after the National Curriculum Guidelines (DCN); the performance of health professionals in relation to the Unified Health System (SUS); teaching strategies for health training; corporeidity in the curricula, especially in the curricula of the Physical Education course; the anatomoclinical body and educational health practices. In this perspective, some contributions, limits and possibilities of this academic production were observed.

P–047 Knowledge, professional attitudes and training of health professionals on male contraceptive methods

2021 ◽  
Vol 36 (Supplement_1) ◽  
Author(s):  
J Perrin ◽  
J Tcherdukian ◽  
A Netter ◽  
E Lechevalier ◽  
F Bretelle ◽  
...  
Keyword(s):  
General Practitioners ◽  
Health Professionals ◽  
Large Scale ◽  
Hormonal Contraception ◽  
Male Contraception ◽  
Contraceptive Methods ◽  
Medical Specialties ◽  
Professional Attitudes ◽  
Male Contraceptive ◽  
And Training

Abstract Study question Among health professionals involved in contraceptive prescribing, what are the knowledge, professional attitudes and training on male contraceptive methods? Summary answer The health professionals involved in prescribing contraception are not sufficiently trained in male contraception and almost all of them want more. What is known already The most recent large-scale studies show that 70% of couple contraception is provided by women and that the majority of men and women would be willing to adopt male contraception as couple contraception. The medicalization of contraception places the medical profession at the forefront of the acceptability of and information regarding a contraceptive method. However, only one study have evaluated health professionals’ knowledge of the various methods of male contraception (MC), including male hormonal contraception (MHC) and male thermal contraception (MTC). Study design, size, duration Between April 2020 and June 2020, we carried out a descriptive prospective multicentre study in a medical population of 2243 prescribers of couple contraception in France. Participants/materials, setting, methods The participants were obstetrician-gynaecologists, medical gynaecologists, general practitioners or midwives. They completed a three-part numerical questionnaire, including i) sociodemographic characteristics and personal experiences with contraception, ii) knowledge and professional attitudes about male contraception and iii) training on male contraception. Main results and the role of chance The overall participation rate was 19% (340/2243). Condoms and withdrawal were known by 98% and 89% of the population, respectively. Vasectomy was known by 75% of the population and significantly better known by obstetrician-gynaecologists than by medical gynaecologists and general practitioners (p = 0.026). Male hormonal contraception (MHC) and male thermal contraception (MTC) were known by 10% and 23% of the population, respectively, and were significantly better known by medical gynaecologists and general practitioners than by other specialties (p < 0.001). More than half (55%) of the population never or infrequently offered MC during a couple’s contraceptive request consultation. Female practitioners offered MC significantly more often than male practitioners (48% vs. 26%; p = 0.033). Only 14% of the population had ever participated in training on MC, 96% wished to be better trained on MC, and 86% expressed a willingness to participate in such a training. Limitations, reasons for caution The population was mainly representative of medical health practitioners of southeastern France. There was an over-representation of women in all medical specialties, except for midwives. Wider implications of the findings: Our study shows that health professionals involved in contraception have limited knowledge about MC and are eager to have more information about it. To advance the acceptability and dissemination of such contraceptive methods, it seems imperative to provide health professionals with an adapted training program on male contraception. Trial registration number 2020–01–23–03

Sign in / Sign up

Export Citation Format

Share Document