scholarly journals Association Between Source of Treatment and Quality of Childhood Diarrhea Management Among Under-Five Children in Nigeria

2021 ◽  
Vol 5 (2) ◽  
pp. 173-182
Author(s):  
Comfort Z. Olorunsaiye ◽  
Hannah M. Degge ◽  
Jiana Saigh
Keyword(s):  
Zinc Supplementation ◽  
Public Hospitals ◽  
Health Centers ◽  
Community Based ◽  
Private Hospitals ◽  
Under Five ◽  
Oral Fluids ◽  
Receive Treatment ◽  
Community Based Services

Background and Objective: Despite the availability of low-cost and effective interventions, diarrhea remains one of the leading causes of under-five morbidity and mortality in Nigeria. We assessed the relationships between the source and quality of treatment for children with diarrhea in Nigeria. Methods: We analyzed cross-sectional data on 3,956 under-five children with a recent diarrheal episode, from the 2018 Nigeria Demographic and Health Survey. The outcome was quality of diarrhea management based on the administration of the following treatment recommendations: oral rehydration salt (ORS), zinc supplementation, increased oral fluids, and continued feeding. The exposure was the source of treatment (none; traditional/informal; public hospitals/health centers; private hospitals/clinics; and community-based services). Using adjusted, multivariable logistic regression, we estimated the odds ratio (OR) and 95% confidence intervals (CI) to predict the factors related to the quality of diarrhea management. Results: In all, only 1 in 5 children received all the four recommended diarrhea interventions. The odds of good quality diarrhea management were higher among children who received treatment in public hospitals/health centers, private hospitals/clinics, and community-based services compared to those of children who did not receive treatment (OR=2.52, 95% CI=1.89-3.34; OR=2.46, 95% CI=1.90-3.16; and OR=1.91, 95% CI=1.40-2.59, respectively). Compared to children whose parents did not seek treatment, the odds of receiving ORS ranged from 2.1 times (OR: 2.11, 95% CI=1.44-3.11) for seeking care in traditional/informal sources to 12.3 times (95% CI=8.81-17.15) in public hospitals/health centers. We observed similar trends for zinc supplementation. The odds of increased oral fluids were higher in public and private hospitals/clinics (OR=1.44, 95% CI=1.03-2.01 and OR=2.08, 95% CI=1.57-2.76, respectively). Across all settings, the odds of continued feeding were significantly lower among children who received treatment compared to children who did not receive treatment. Conclusion and Implications for Translation: Our findings indicate poor quality diarrhea management across various treatment settings. Policies and programs that encourage caregivers to seek treatment and improve the quality of care may contribute to reducing childhood diarrhea-related morbidity and mortality in Nigeria.   Copyright © 2021 Olorunsaiye et al. Published by Global Health and Education Projects, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution License CC BY 4.0.

scholarly journals Overview of Facebook Use by Hospitals in Italy: A Nationwide Survey during the COVID-19 Emergency

2021 ◽  
Vol 18 (14) ◽  
pp. 7225
Author(s):  
Beniamino Schiavone ◽  
Andrea Vitale ◽  
Mena Gallo ◽  
Gianlucasalvatore Russo ◽  
Domenico Ponticelli ◽  
...  
Keyword(s):  
Health Information ◽  
Nationwide Survey ◽  
Public Hospitals ◽  
Communication Strategy ◽  
Private Hospitals ◽  
The Public ◽  
Access To Health ◽  
Facebook Pages ◽  
Pandemic Wave

Background: Facebook is the most popular social network across the world and also allows users access to health information. Our study presents an overview of the official Facebook profiles of hospitals in Italy (n = 1351) and how much they are used. Methods: All hospitals were surveyed on the number of Facebook posts in May (post-lockdown) and October (second pandemic wave) 2020. The number of followers, the creation date of the official page, and the frequency of publication—that is, the average number of days between two subsequent posts—were determined. Results: In Italy, only 28% (n = 379) of the hospitals had official Facebook pages, of which 20.6% (n = 78) were public hospitals, and 79.4% (n = 301) were private hospitals. Of the hospitals with Facebook pages, 49.1% used them every week, and public hospitals published more often. Conclusions: Despite the differences between regions and types of management, the number of hospitals in Italy that use Facebook as a tool for the public dissemination of health information is still low. Hospitals should adopt an effective communication strategy using social networks to improve the quality of health care.

scholarly journals Perbedaan Komunikasi Terapeutik Perawat Di Ruang Rawat Inap RS Pemerintah Dan RS Swasta

2017 ◽  
Vol 12 (1) ◽  
pp. 43
Author(s):  
Nova Fitria ◽  
Zahroh Shaluhiyah
Keyword(s):  
Job Satisfaction ◽  
Private Hospital ◽  
Work Motivation ◽  
Work Climate ◽  
Public Hospitals ◽  
Therapeutic Communication ◽  
Cross Sectional ◽  
Private Hospitals ◽  
Government Hospitals

ABSTRAKDengan adanya kesetaraan peran rumah sakit pemerintah dan rumah sakit swasta dalam meningkatkan kualitas layanan kesehatan di Indonesia, maka setiap rumah sakit harus memberikan pelayanan yang baik dan berkualitas. Perawat merupakan bagian dari SDM Rumah Sakit yang memberikan pengaruh cukup besar terhadap kualitas pelayanan. Pelaksanaan asuhan keperawatan yang baik tidak dapat dipisahkan dari peran komunikasi terapeutik yang dilakukan oleh perawat yang juga merupakan salah satu upaya peningkatan pelayanan kepada pasien. Jenis penelitian ini adalah penelitian kuantitatif dengan desain penelitian menggunakan cross-sectional. Hasil penelitian menunjukkan ada perbedaan yang signifikan pada pelaksanaan komunikasi terapeutik perawat di RS Pemerintah dan di RS Swasta, dimana pelaksanaan komunikasi terapeutik perawat di RS swasta lebih baik. Faktor-faktor yang berhubungan secara signifikan dengan pelaksanaan komunikasi terapeutik perawat di RS Pemerintah dan di RS Swasta adalah sama, yaitu variabel kepuasan kerja, motivasi kerja, iklim kerja, dukungan teman kerja dan dukungan kepala ruang. Faktor yang paling dominan berpengaruh terhadap kepatuhan perawat di RS Pemerintah dalam melaksanakan komunikasi terapeutik adalah motivasi kerja (OR 36,866); sedangkan di RS Swasta adalah dukungan kepala ruang (OR 28,598). Perbedaan yang bermakna antara RS Pemerintah dengan RS Swasta nampak pada variabel: umur, masa kerja, sikap, kepuasan kerja, motivasi kerja, iklim kerja, dukungan teman kerja, dukungan kepala ruang, dan pelaksanaan komunikasi terapeutik itu sendiri. Kata Kunci: Pelaksanaan, Komunikasi Terapeutik, RS Pemerintah-RS Swasta Differences Therapeutic Communication Nurse In Inpatient Room Government Hospital And Private Hospital;quality role of government hospitals and private hospitals in improving the quality of health services in Indonesia, causing every hospital should provide a good service and quality. Nurses are part of hospital human resource that considerable influence on the quality of service, and the implementation of good nursing care can not be separated from therapeutic communication. the optimal implementation of therapeutic communication by nurse is one of the efforts to improve services to the patients. The type of this research was quantitative with cross-sectional study. The results showed a significant differences in the implementation of nurses therapeutic communication between public hospitals and private hospitals, where the implementation of nurses therapeutic communication in private hospital are better. Associated factors significantly with the implementation of nurses therapeutic communication in public hospitals and in private hospitals are the same, the variables are job satisfaction, work motivation, work climate, coworkers support and head of ward support. The most dominant factor that affects the compliance of nurses in government hospitals in implementing therapeutic communication is work motivation (OR 36.866), while in private hospitals is head of ward support (OR 28.598). Significant differences between the government hospitals and private hospitals appears on variables: age, period of work, attitude, job satisfaction, work motivation, work climate, coworker support, head of ward support, and the implementation of therapeutic communication itself. Keywords: Implementation, Therapeutic Communication, Government-Private Hospital

scholarly journals Current status of quality of care for public hospitals in Korea : Comprehensive comparison with private hospitals

2021 ◽  
Vol 5 (1) ◽  
pp. e10
Author(s):  
Hey Jin Ko ◽  
Eunji Yun ◽  
Boryung Ahn ◽  
Won Mo Jang ◽  
Jin Yong Lee
Keyword(s):  
Quality Of Care ◽  
Quality Evaluation ◽  
Public Hospitals ◽  
Quality Level ◽  
Incentive Scheme ◽  
Hospital Services ◽  
Average Quality ◽  
Private Hospitals ◽  
Comprehensive Comparison

Objective: This ecological study aims to perform a comprehensive comparison and evaluation of the quality of care in public and private hospitals according to hospital type.Methods: Thisstudy compared and analyzed the results of the National Quality Assessment Program (NQAP) of Health Insurance Review and Assessment Service (HIRA) and Incentive Scheme for Quality Evaluation of Hospital Services. The NQAP results published on the HIRA website, as of the end of May 2021, and the internal data of HIRA for the 2020 Incentive Scheme for Quality Evaluation of Hospital Services were used as data collection sources.Results: The NQAP analysisrevealed that the overall average scores were higher for public rather than private hospitals, while the Incentive Scheme for Quality Evaluation of Hospital Services analysis reported that the proportion of higher grades (i.e., grades 1 and 2) was higher in public hospitals. Therefore, it was revealed that public hospital quality levels were notlowerthan that of private hospitals.However, itis necessary to improve the quality levelsin terms ofthe quality distribution.Conclusions: The quality levels of public hospitals are notlowerthan that of private hospitals. However,the high average quality level, we identified certain areas that required improvement in their quality level throughout the distribution. Currently, public hospitals that are particularly located in the lower ranks should strive to achieve the average quality level demonstrated by same level private hospitals, thereby, achieving progressive quality levels and minimizing the between institutions. Thus, furtherresearch should focus on identifying the trends of differencesin quality levels, and they should determine the causes by controlling for the characteristics of medical institutions.

Do patients really perceive better quality of service in private hospitals than public hospitals in India?

2019 ◽  
Vol 26 (2) ◽  
pp. 590-613 ◽  
Author(s):  
Swapnarag Swain
Keyword(s):  
Service Quality ◽  
Public Hospitals ◽  
High Income Group ◽  
Private Hospitals ◽  
Public And Private ◽  
Content Type ◽  
Perceived Service Quality ◽  
Medical College ◽  
Medical Colleges

PurposeThe purpose of this paper is to compare perceived service quality of public/government and private medical college hospitals.Design/methodology/approachThis study adopts a descriptive, cross-sectional and research design. The research sample includes 340 in patients from six medical college hospitals located in the state of Odisha, India. Primary data are collected through a structured closed ended questionnaire containing 66 items on 1–7 point Likert scale. Statistical tools like factor analysis and ANOVA are performed with the help of SPSS-17 software to analyze the collected data.FindingsThis study identifies 13 dimensions of perceived hospital service quality. The comparative study indicates better performance of public/government hospitals across the technical dimensions of perceived service quality, whereas private hospitals report better performance across majority of the functional dimensions.Originality/valueIn the Indian healthcare system, public hospitals provide low-cost healthcare targeted toward low to middle socio-economic population whereas, large corporate private hospitals provide high-cost healthcare targeted toward high-income group. So the comparison between them produces an obvious result indicating better service quality in private hospitals. Present study minimizes this gap by comparing the service quality of public and private medical college hospitals. Medical colleges ensure access to health services for a larger group of people. Thus, similarity in the segment of population receiving medical services in public and private medical colleges is higher, making the comparison of perceived service quality fairer.

scholarly journals Measuring and Assessing the Wealth Influence on the Efficiency of the Health System through the Private Sector

2020 ◽  
Vol 31 (4) ◽  
pp. 437-449
Author(s):  
Mina Fanea-Ivanovici ◽  
Marius-Cristian Pană ◽  
Mihail Dumitru Sacală ◽  
Cristina Voicu
Keyword(s):  
Public Health ◽  
Private Sector ◽  
Health Sector ◽  
Public Hospitals ◽  
Quality Of Services ◽  
Private Hospitals ◽  
The Public ◽  
Public Health Sector ◽  
Private Health Sector

The aim of the paper is to provide an analysis of the dynamics of the public and private health sectors in Romania. Using descriptive statistics, it first investigates whether the public health sector follows the reformation trends suggested by official strategies and reports, and to what extent the private health sector is a viable alternative to the public one, by analysing the demand for private inpatient services. We look into the reduction in the occupancy degree in public hospitals as a means to increase the efficiency of public health expenditures, which represents one way to reform the public health sector. We also find that the increase in the occupancy degree in private hospitals is negatively correlated with the quality of services provided by public hospitals, but positively correlated with population wealth. Increase in the occupancy degree in private hospitals is an indicator of poor quality of services in public hospitals. It can also be explained by increasing expectations and requirements of beneficiaries as a reflection of increase in wealth and of their will to preserve their health capital. Using regression models, the paper then proposes the Wealth-Health Index, a composite indicator to explore the connection between wealth and health and the dynamics of the private health sector. Investment in physical infrastructure and the size of medical staff in the private sector is positively correlated with wealth increase.

scholarly journals Riscos legais litigiosos na assistência à saúde

2019 ◽  
Vol 13 ◽  
Author(s):  
Regina Ribeiro Parizi Carvalho ◽  
Welington Cardoso de Oliveira Cadidé
Keyword(s):  
Health Care ◽  
Outpatient Service ◽  
Care Patient ◽  
Public Hospitals ◽  
Private Hospitals ◽  
Legal Risks ◽  
Court Proceedings ◽  
Quantitative Descriptive ◽  
Collection Form

Objetivo: analisar as demandas judiciais que envolveram riscos legais ou jurídicos litigiosos na assistência à saúde. Método: trata-se de um estudo quantitativo, descritivo, retrospectivo. Pesquisaram-se 1.138 processos válidos do universo de 1.599. Utilizou-se ficha de coleta de dados assim como a planilha Excel para organizaão e análise dos processos judiciais, frequência e razão nos hospitais públicos, privados e filantrópicos. Resultados: revelou-se ocorrência maior da razão de processos nos hospitais privados (8,06). Apresentou-se o risco erro médico com maior concentração (58,1%) nos hospitais privados (65,6%), no serviço ambulatorial (65,0%) e na área cirúrgica (58,9%).  Conclusão: destaca-se que os riscos legais litigiosos na assistência foram mais frequentes nos hospitais privados. Mostrou-se a assistência prestada em hospitais públicos com qualidade, sendo os resultados conclusivos e reveladores, entretanto, é importante ampliar esse tipo de estudo para melhor caracterização do perfil do risco diante do tipo de serviço e da clientela, gerando parâmetro para a avaliação da qualidade da assistência prestada em todo o território nacional. Descritores: Risco; Responsabilidade Legal; Responsabilidade Civil; Assistência à Saúde; Segurança do Paciente; Judicialização da Saúde.AbstractObjective: to analyze the lawsuits that involved legal or litigious legal risks in health care. Method: this is a quantitative, descriptive, retrospective study. 1,138 valid processes from the universe of 1,599 were searched. Data collection form was used as well as Excel spreadsheet for the organization and analysis of court proceedings, frequency and reason in public, private and philanthropic hospitals. Results: a higher occurrence of the ratio of processes in private hospitals was found (8.06). The risk of medical error was higher (58.1%) in private hospitals (65.6%), outpatient service (65.0%) and surgical area (58.9%). Conclusion: It is noteworthy that the litigious legal risks in care were more frequent in private hospitals. The assistance provided in quality public hospitals has been shown, and the results are conclusive and revealing. However, it is important to expand this type of study to better characterize the risk profile regarding the type of service and the clientele, generating a parameter for the evaluation of quality of care provided throughout the national territory. Descriptors: Risk; Liability, Legal; Responsabilidad Civil; Delivery of Health Care; Patient Safety; Health's Judicialization.ResumenObjetivo: analizar las demandas judiciales que involucraron riesgos legales o litigiosos en la atención médica. Método: este es un estudio cuantitativo, descriptivo, retrospectivo. Se buscaron 1.138 procesos válidos del universo de 1.599. Se utilizó el formulario de recopilación de datos, así como una hoja de cálculo Excel para la organización y el análisis de los procedimientos judiciales, la frecuencia y la razón en hospitales públicos, privados y filantrópicos. Resultados: se encontró una mayor incidencia de la proporción de procesos en hospitales privados (8.06). El riesgo de error médico fue mayor (58.1%) en hospitales privados (65.6%), servicio ambulatorio (65.0%) y área quirúrgica (58.9%). Conclusión: cabe destacar que los riesgos legales litigiosos en la atención fueron más frecuentes en los hospitales privados. Se ha demostrado la asistencia brindada en hospitales públicos de calidad y los resultados son concluyentes y reveladores. Sin embargo, es importante ampliar este tipo de estudio para caracterizar mejor el perfil de riesgo con respecto al tipo de servicio y la clientela, generando un parámetro para la evaluación de calidad de la atención prestada en todo el territorio nacional. Descriptores: Riesgo; Responsabilidad Legal; Responsabilidad Civil; Prestación de Atención de Salud; Seguridad del Paciente; Judicialización de la Salud.

scholarly journals Persistence of symptoms and quality of life at 35 days after hospitalization for COVID-19 infection

PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243882
Author(s):  
Laurie G. Jacobs ◽  
Elli Gourna Paleoudis ◽  
Dineen Lesky-Di Bari ◽  
Themba Nyirenda ◽  
Tamara Friedman ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Active Role ◽  
Mental Function ◽  
Clinical Services ◽  
Community Based ◽  
Lower Odds ◽  
Persistent Symptoms ◽  
Muscular Pain ◽  
Community Based Services

Background Characterizing the prevalence and persistence of symptoms associated with COVID-19 infection following hospitalization and their impact is essential to planning post-acute community-based clinical services. This study seeks to identify persistent COVID-19 symptoms in patients 35 days post-hospitalization and their impact on quality of life, health, physical, mental, and psychosocial function. Methods and findings This prospective cohort study used the PROMIS® Instruments to identify symptoms and quality of life parameters in consecutively enrolled patients between March 22 and April 16, 2020, in New Jersey. The 183 patients (median age 57 years; 61.5% male, 54.1% white) reported persistent symptoms at 35 days, including fatigue (55.0%), dyspnea (45.3%), muscular pain (51%), associated with a lower odds rating general health (41.5%, OR 0.093 [95% CI: 0.026, 0.329], p = 0.0002), quality of life (39.8%; OR 0.116 [95% CI: 0.038, 0.364], p = 0.0002), physical health (38.7%, OR 0.055 [95% CI: 0.016, 0.193], p <0.0001), mental health (43.7%, OR 0.093 [95% CI: 0.021, 0.418], p = 0.0019) and social active role (38.7%, OR 0.095 [95% CI: 0.031, 0.291], p<0.0001), as very good/excellent, particularly adults aged 65 to 75 years (OR 8·666 [95% CI: 2·216, 33·884], p = 0·0019). Conclusions COVID-19 symptoms commonly persist to 35 days, impacting quality of life, health, physical and mental function. Early post-acute evaluation of symptoms and their impact on function is necessary to plan community-based services.

Quality of Immediate Postoperative Nursing Care for Patients in Public and Private Hospitals in Erbil City, Iraq- Comparative Study

2020 ◽  
Vol 3 (2) ◽  
pp. 126-135
Author(s):  
Sideeq Ali ◽  
Keyword(s):  
Comparative Study ◽  
Nursing Care ◽  
Public Hospitals ◽  
Care Practice ◽  
Private Hospitals ◽  
Public And Private ◽  
The Public ◽  
Post Operation ◽  
Public And Private Hospitals

Background and objective: The 1 to 2 hours for the first 24 hours after surgical operation is a crucial time to perform patient care. The study aimed to assess and compare quality of immediate post operation nursing care for patients undergoing surgeries in the public and private hospitals in Erbil City. Methods: A comparative study design was conducted on non-probability and purposive sample of 106 nurses (53 nurses of public hospitals and 53 nurses from private hospitals) in the surgical unit in all public and some private hospitals in Erbil city. The data was col-lected between February and July, 2019 by direct observation and using an observational questionnaire. Results: The majority of the nurses were young adults who had graduated from a nursing institute who were of middle income and lived in an urban area. The duration of experi-ence as a nurse was between 1 to 10 years. The majority of the nurses (98.1%) in the pub-lic hospitals they practiced poor nursing care practice, while most of the nurses (69.8) in the private hospitals practiced good nursing care practices. Very high significant differ-ence found between immediate post operation nursing care in public and private hospi-tals (P <0.000). Conclusion: The study concluded that; postoperative nursing care is very important to improve health services, but the quality of the nursing care in the public hospitals as a generally was very poor when compared with the private hospitals. We recommended improving their skills by implementation job description, opening training course and monitoring of the nurses as well as awareness and follow-up.

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