scholarly journals Faktor-Faktor yang Mempengaruhi Migrasi Sirkuler Pasien Kanker Payudara di Yogyakarta

2016 ◽  
Vol 3 (02) ◽  
pp. 38
Author(s):  
Ratna Dewi
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Cancer Patient ◽  
Health Sector ◽  
Health Care Facilities ◽  
The Other ◽  
The Family ◽  
Care Facilities ◽  
Complete Health ◽  
The Town

AbstrakMigrasi penduduk merupakan salah satu upaya yang dilakukan untuk memenuhi kebutuhan hidup. Hal ini juga terjadi pada pasien kanker. Keterbatasan fasilitas kesehatan di daerah asal akan dapat mendorong mereka untuk mencari pengobatan di luar tempat tinggalnya. Penelitian ini bertujuan untuk mengetahui proses pengambilan keputusan untuk melakukan mobiitas pada pasien kanker yang melakukan pengobatan di yogyakarta. Hasil penelitian menunjukkan bahwa keterbatasan pelayanan kesehatan di daerah asal menyebabkan pasien melakukan pengobatan keluar daerahnya. Ada banyak pertimbangan bagi pasien kanker untuk mengambil keputusan melakukan migrasi. Pertimbangan dapat berupa pengaruh dari dalam maupun luar diri pasien. Kuatnya ikatan kekeluargaan membuat mereka berat meninggalkan daeraah asalnya. Proses pengambilan keputusan bukanlah hal yang mudah karena berkaitan dengan keluarga ataupun pekerjaan yang harus ditinggalkan. Pilihan daerah tujuan dipengaruhi oleh beberapa hal, antara lain jarak antara tempat tinggal dengan kota tujuan, informasi yang diterima mengenai daerah tujuan, dan penilaian pasien kanker terhadap daeah tujuan.Kata-kata Kunci: migrasi sirkuler, kajian lokal Yogyakarta, social ekonomiAbstractPeople migration is an effort to fulfill their living needs. It was happened to the cancer patients. Limited facility of health services in one place can encourage people to get a healing outside the town of origin where the more complete facilities are available. The contrast in the services and facilities of health sector inter-regionally has become one of the matters encouring people to move to find far more complete health facilities. This research was aimed to determine the process of the decision-making of the cancer patient for treatment in Yogyakarta. This happened due to the limited cancer facilities and services in a number of hospitals. The result of the research shows that the limitation of health care facilities in the native region is one of the matters causing the patients to take medication outside their domicilies. There are many considerations to decide to move. Those considerations are the external and also internal effects. The strength of the kinship makes people are hard to leave their town of origin. The decision is not easy to be taken due to issues related to the family or the work which must be abandoned.In case of choosing the recovery place, there are some considerations on it, there are, the distance from the town of origin, the affection from the other people, and the condition or environment.

scholarly journals STUDY OF AUTONOMY OF WOMENS DECISION MAKING AT HOUSEHOLD LEVEL: AN EMPIRICAL STUDY

2021 ◽  
Vol 9 (03) ◽  
pp. 451-454
Author(s):  
Neha Tiwari ◽  
◽  
Jiju N. Vyas ◽  
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Empirical Study ◽  
Health Care Facilities ◽  
Household Level ◽  
Legitimate Power ◽  
The Family ◽  
Care Facilities ◽  
Household Assets ◽  
The City

Women decision making is giving legitimate power or authority to perform the tasks. If women were free to take their own decisions, they would be able to participate in the planning and decision making task and contribute to the development programmes and activities individually. The process of freedom of decision making should start from our own home. Womens position in the household determines womens autonomy in the family. It is worth to examine whether she can decide about household matters like buying household assets and jewelleries, having access to money, having mobility to go to relatives house or getting health care facilities. Present study evaluates the perception of females with respect to their freedom of decision making at household front. This paper also explains how the freedom of decision making of females at household level is influenced by various other factors and their contribution in decision making freedom to the women. The present study was undertaken in the city of Ahmedabad city and it reflect various dimensions of women decision making at household level.

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

scholarly journals ANALYSIS OF TOURIST TRAVEL PATTERNS TOWARD HEALTH CARE FACILITIES

2018 ◽  
Vol 3 (2) ◽  
pp. 1
Author(s):  
Nida Hanifah ◽  
Marta Nilasari Catur Pujianingsih ◽  
Dea Handika Pratiwi ◽  
Linta Alfi Fahmi ◽  
Fathurohim Anhari ◽  
...  
Keyword(s):  
Health Care ◽  
Network Analysis ◽  
Health Service ◽  
Health Sector ◽  
Route Planning ◽  
Health Care Facilities ◽  
Travel Patterns ◽  
Service Facility ◽  
Healthcare Facilities ◽  
Care Facilities

One of the sectors that are closely related and reasonably determining for the growth and development of the tourism sector is the health sector. The aim of this research  was to a) know the affordability of health care facilities from tourism Prambanan and Plaosan Temple,  b) to know the travel patterns of tourists headed for healthcare facilities. This research uses qualitative descriptive method by using data collection observation techniques, documentation, and data analysis using network analysis. The network analysis method that used is the closest facility. The results of this research show that a) the affordability of the nearest health service facility from the Plaosan Temple object is Kebondalem Lor Puskesmas which is traveled by 1.7 km distance and takes about 4 minutes from the location of Plaosan Temple, while the closest health service facility from the Prambanan Temple is Prambanan Puskesmas which is taken with distance of 5.3 km and travel time 14 minutes from location of Prambanan Temple. to be known travelers can use private vehicles at tourism Plaosan Temple, because the attractions have a radius of 1.7 km. While on the tourist object of tourism Prambanan Temple can not use private vehicle because the mileage exceeds 3 km, and b) The travel pattern of tourists to health care facilities is categorized good, because the tourists can access health services with the nearest route and adequate facilities. Keywords: Travel Patterns, Health Facilities, Network Analysis   ReferencesAnwar, A. (2010). Introduction to Health Administration.Jakarta: Binarupa Aksara.Groenou, M. V., & Tilburg, T. V. (1975). Network Anaysis. Vrije Universitet, Amsterdam, The Netherland.Kuntarto, A., & Purwanto, T. H. (2012). Use of Geographic Information Network Analysis System for Route Planning Tourists in Sleman. Journal of The Earth Indonesia of Vol 1 Number 2, 141.Laksono, A. D., & dkk. (2016). The accessibility of health service in Indonesia. Yogyakarta: KANISIUS PT.Law number. 36 Year 2009 About HealthLaw number. 47 Year 2016 About Health Facilities.Moeleong, L. (2002). Qualitative Research Methods. Bandung: Teens Rosdakarya.Muta'ali, L. (2013). Regional and City Spatial Planning (Tinjauan Normatif-Teknis). Yogyakarta: Badan Penerbit Fakultas Geografi (BPFG) Gadjah Mada University.Narsid, S. (1988). Development Geography. Jakarta: Space.O.Z, T. (1997). Transport Planning and Modeling. Bandung: Institut Teknologi Bandung.  

scholarly journals Guidelines for the orthopedic surgeon in the era of COVID-19

2021 ◽  
Vol 12 (4) ◽  
Author(s):  
Monther A. Gharaibeh ◽  
Badera Al Mohammad ◽  
Besher Gharaibeh ◽  
Laith Khasawneh ◽  
Saeed Al Naser
Keyword(s):  
Health Care ◽  
Health Care Workers ◽  
Orthopaedic Surgery ◽  
Quality Care ◽  
Health Care Facilities ◽  
The Other ◽  
Work Flow ◽  
Care Workers ◽  
Care Facilities ◽  
Current Outbreak

Amid the current pandemic of coronavirus disease 2019 (COVID-19), orthopaedic surgery was one of the fewer specialties that remained active managing emergent and urgent orthopaedic and trauma cases. On the other hand, with the continued spread of this pandemic and its associated socioeconomic confinement and unpredictability of the pandemic curve; many health care facilities were forced into halting all elective and non-urgent activities including orthopaedic specialties. This in part was to help in reallocation of required resources and focusing on the proper management of COVID-19 patients, and to prevent the transmission of infection among health care workers and patients. In this article we analyzed developments and recommendations of international reports about the current outbreak and its impact on the practice of orthopaedic surgery. Our aim was to provide comprehensive and easy guidelines for the management of urgent and emergent cases in hot zones and for the process of returning to usual orthopaedic work flow in a balanced strategy to assure safe practice and providing quality care without the risk of exhausting institutional resources or the risk of COVID- 19 transmission among health care workers or patients

Rama V. Baru. Private Health Care in India: Social Characteristics and Trends. New Delhi: Sage Publications, 1998. Hardback. Indian Rs 295.00. 184 pages.

1998 ◽  
Vol 37 (3) ◽  
pp. 299-300
Author(s):  
Samina Nazli
Keyword(s):  
Health Care ◽  
Public Expenditure ◽  
Developed Countries ◽  
Health Care Facilities ◽  
The Other ◽  
Social Characteristics ◽  
New Delhi ◽  
Private Health Care ◽  
Human Right ◽  
Care Facilities

The provision of health care has been recognised as a fundamental human right. Consequently, developed countries incur heavy expenditures in the provision of health care facilities to their citizens. For example, Canada’s public expenditure on health as a percentage of Gross Domestic Product (GDP) is 6.9 percent, Norway’s is 6.6 percent, the USA’s is 6.5 percent, and Japan’s is 5.6 percent. On the other end of the scale are the developing countries such as Niger, which spends 1.6 percent of its GDP on health, Mozambique 1 percent, Haiti 1.3 percent, and Senegal 1.2 percent. In South Asia, Pakistan spends 0.8 percent and India 0.7 percent of their GDP, respectively, on health provision.

Not for Resuscitation: two decades of challenge for nursing ethics and practice

1997 ◽  
Vol 4 (3) ◽  
pp. 227-238 ◽  
Author(s):  
Lorinda Schultz
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Clinical Practice ◽  
Cardiopulmonary Resuscitation ◽  
Health Care Facilities ◽  
Nursing Ethics ◽  
Practice Nurses ◽  
Nursing Role ◽  
Legal Foundation ◽  
Care Facilities

Since the 1970s, the designation of some patients as ‘not for resuscitation’ (NFR) has become standard practice in many health care facilities. Considerable disquiet has subsequently arisen about the way these decisions are implemented in practice. Nurses, in particular, often find themselves initiating or withholding cardiopulmonary resuscitation (CPR) in situations characterized by verbal orders, euphemistic documentation and poor communication, and when consultations with patients about their CPR choices often do not take place. These practices have developed in large part because a clear legal foundation for withdrawal of treatment decisions such as NFR is still lacking in many countries. The problems with NFR were identified in the 1970s and 1980s and are not new, but, as yet, we have not been able to bring about the necessary changes, in effect to translate broadly accepted ethical principles into clinical practice. This paper explores some of the reasons for this and provides a review and analysis of the main issues, including NFR guidelines and the nursing role in NFR decision-making.

scholarly journals (A2) Strategies to Recover the Health Care Capacity Post Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s1
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Sector ◽  
Winter Season ◽  
Health Care Facilities ◽  
Small Scale ◽  
Care Facilities ◽  
Private Health Sector ◽  
Foreign Governments ◽  
Set Up ◽  
Care Capacity

BackgroundThe earthquake that struck Chile on February 27th, 2010 produced profound damage of hospital services with 4249 bed lost especially in the regions of Maule and Bio. The capacity of the health was critically reduced in ability to assure health access to affected people by the disaster.Discussion of InterventionsThe first strategy to maintain health services was the deployment of 18 field hospitals from Chilean organizations (Army and Air Force), international organizations and foreign governments. This measure allowed for 533 beds and 16 surgical blocks in the first weeks. There were 14 field hospitals until November. Taking into account the beginning of the winter season, the national government set up another sort of strategy to increase the capacity of the health care facilities: § Strengthening of hospitals without damage that were close to the disaster area. These hospitals were used as referral centers. § Purchasing of 708 beds from the private health sector. § Habilitation of free spaces to be used for inpatients. § Increasing the capacity of home care health programs to release beds. § Construction of some small temporary units to admit patients. § Small-scale interventions to repair damages in hospitals. § Extending the work time until 16 hours in the primary health care facilities. § Improving of the efficient of the using of human and physical resources. § Restructuration of the hospital network that allowed adding 300 new beds.ResultsThe ministry of health recovered more than 94% of loss beds and 92% of surgical blocks through July. However, it is necessary to identify US$ 2720 million for reconstruction program and to establish a national strategy of safe hospitals in order to reduce the future costs of the recovery of damaged health care facilities. *Based on information from PAHO – Chile.

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