scholarly journals Common Features of Architectural Design of the Medical Purpose Building

2019 ◽  
Vol 18 (4) ◽  
pp. 311-318 ◽  
Author(s):  
I. V. Bulakh
Keyword(s):  
Health Care ◽  
Architectural Design ◽  
Healthcare Facility ◽  
Developed Countries ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Lack Of Information ◽  
Medical Technologist ◽  
The Developed Countries ◽  
Modern Experience

The paper considers principal features and specific character of architectural design for health care institutions. Main designing stages, missions and complexities for every successive designing step have been revealed in the paper. The paper presents specific features, main stages and design approaches to designing of modern health care facilities, comfortable architectural environment of health institutions, which have been formed on the basis of the analysis of advanced international experience in the field of designing healthcare facilities. The proposed approaches are based on modern experience in designing medical buildings over the past decade in the developed countries. A special attention has been paid to obsolete methods for architecture-planning organization of healthcare facilities and modern approaches to arrangement of engineering and other systems which significantly influence on economical efficiency, quality, comfort and effectiveness of architectural environment in healthcare institutions. Every healthcare facility, every separate department are considered as unique in their essence, for this reason it is not so easy to reflect modern technological solutions and architectural tendencies. The paper contains an attempt to attract attention of architects to the complexity in designing of a building to be constructed, to find ways which will help to reach its step-by-step solution. It has been noted as well that there is a necessity to arrange interaction between an architect and a medical technologist. Modern medical departments and hospitals have been recently designed and built in the Ukraine, but they are in increasingly short number. These facilities have been constructed due to decision makers who, in spite of diverse difficulties, lack of information and specialists, lack of proper funding, etc., are trying to do their best in order to reach the modern level of desingning and construction of hospitals. So-called “typical” medical projects of 70-ies and 80-ies continue to be implemented up to now. This is certainly due to inadequate funding, but such economy has at the end rather high cost.

scholarly journals Profil Rujukan Kasus Nonspesifik pada Fasilitas Kesehatan Tingkat Primer

2015 ◽  
Vol 9 (4) ◽  
pp. 327
Author(s):  
Elda Nazriati ◽  
Nuzelly Husnedi
Keyword(s):  
Health Care ◽  
Focus Group ◽  
Focus Group Discussion ◽  
Primary Healthcare ◽  
Service Management ◽  
Group Discussion ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Resource Service

AbstrakSalah satu indikator kualitas fasilitas kesehatan tingkat primer (FKTP)adalah rendahnya rujukan nonspesialistik. Rujukan nonspesialistik adalahrujukan dari 144 penyakit yang seharusnya dapat diatur di FKTP.Kenyataannya, masih banyak kasus nonspesialistik yang dirujuk ke fasilitas kesehatan sekunder. Penelitian deskriptif dengan metode campuran kuantitatif dan kualitatif ini bertujuan untuk mengetahui pola dan penyebab kasus penyakit nonspesialistik yang dirujuk ke fasilitas kesehatan tingkat sekunder di Kota Pekanbaru. Gambaran kasus penyakit nonspesialistik dikumpulkan dari data Badan Penyelenggara Jaminan Sosial Kesehatan Kota Pekanbaru periode Desember 2014 - April 2015, sedangkan faktor penyebab rujukan diperoleh dari focus group discussion yang diikuti oleh 40 dokter berdasarkan jenis FKTP. Penelitian ini menampilkan 20 kasus nonspesialistik yang paling sering dirujuk, di antaranya hipertensi esensial, miopia ringan, dan diabetes melitus. Penyebab rujukan kasus penyakit nonspesialistik antara lain kesalahan kode serta terbatasnya fasilitas, sumber daya manusia, manajemen pelayanan, dan kompetensi dokter. Semua faktor keterbatasan tersebut perlu diantisipasi agar upaya rujukan dapat diminimalisir.AbstractOne of primary healthcare facility quality indicators is the low non-specialistreferral. Non-specialist referral is referral of 144 diseases that should bearranged in primary healthcare facilities. In fact, there are many non-specialist cases referred to secondary health care facilities. This descriptive study using quantitative and qualitative method aimed to determine patterns and causes of non-specialist diseases referred to secondary primary health care in Pekanbaru City. Depiction of non-specialist disease cases was collected from data of the state health insurance scheme in Pekanbaru City on December 2014 - April 2015 period, meanwhile causes of referral were obtained from focus group discussion participated by 40 doctors based on types of primary healthcare facilities. This study showed 20 non-specialist cases oftenly referred including essential hypertension, mild myopia and diabetes mellitus. Causes of non-specialist disease referrals were code error as well as limited facilities, human resource, service management and competence of doctors. Such limitations need to be anticipated in order to minimalize act of referrals.

scholarly journals Mapping and Assessment of Healthcare Facilities Using GIS in a Part of Ikorodu Metropolis, Lagos State

2019 ◽  
Vol 4 (8) ◽  
pp. 55-62
Author(s):  
E. Effiong ◽  
O. F. Iyiola ◽  
Isaac Adelakun Gbiri ◽  
M. O. Oludiji ◽  
S. T. Oyebanji ◽  
...  
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Local Community ◽  
Healthcare Facility ◽  
Health Care Facilities ◽  
Healthcare Facilities ◽  
Care Services ◽  
Care Facilities ◽  
Development Area ◽  
Digital Healthcare

The uneven distribution of health care services in Nigeria had been validated the inequalities in the accessibility and the best of fitness care services rendered to citizens. Basic fitness care offerings continue to be a cardinal responsibility of the authorities for the survival of her citizenry. Mostly in the developing country, the accessibility to these health care centres is poorly understood and underserved by the timing populations. there is a need to apprehend the elements that affect or inhibit health care used and what contributed to the use elements in term of distance from residences to the health care amenities and the thickly populace developed round the facilities. This paper focuses on the acceptable evaluation of spatial distribution of health care facilities and proposed for new health centres in some of catchments location that deserves it primarily based on distance and population figures in Ikorodu Local Community Development Area. It was subdivided  into Ibese, Ojubode , Local Govt, Police Post, Ebute , Ogoloto , Tos Benson, Ita Elewa, Sambo , Alagbala  and Eyita Area with their two land mass for every the catchment area inside the learn about which covered two Ibese Area, Ojubode Area, Local Govt. Area, Police Post Area, Ebute Area, Ogoloto Area, Tos Benson Area, Ita Elewa, Sambo Area, Alagbala Area and Eyita Area covered 128.585 ha, 59.658 ha, 106.793ha, 99.631ha, 140.803ha, 109.485ha, 131.518 ha, 111.625ha, 155.051 ha, 89.698 ha and 112.907 ha. Based on buffer coverage and population used and it was revealed and proposed new healthcare centres  for  Ojubode, Local Govt, Ibese, part of Eyita, Sambo,Alagbala and Ogoloto areas maps were produced. The useful geodatabase was created for digital healthcare facility mapping for less difficult replace every time it’s necessary.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

scholarly journals A National Accessibility Audit of Primary Health Care Facilities in Brazil—Are People with Disabilities Being Denied Their Right to Health?

2021 ◽  
Vol 18 (6) ◽  
pp. 2953
Author(s):  
Alexandro Pinto ◽  
Luciana Sepúlveda Köpcke ◽  
Renata David ◽  
Hannah Kuper
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
People With Disabilities ◽  
Health Care Facilities ◽  
Internal Space ◽  
Major Barrier ◽  
Healthcare Facilities ◽  
Primary Health ◽  
Care Facilities ◽  
Primary Health Care Facilities

Poor accessibility of healthcare facilities is a major barrier for people with disabilities when seeking care. Yet, accessibility is rarely routinely audited. This study reports findings from the first national assessment of the accessibility of primary health care facilities, undertaken in Brazil. A national accessibility audit was conducted by trained staff of all 38,812 primary healthcare facilities in Brazil in 2012, using a 22-item structured questionnaire. An overall accessibility score was created (22 items), and three sub-scales: external accessibility (eight items), internal accessibility (eight items), information accessibility (six items). The main finding is that the overall accessibility score of primary care facilities in Brazil was low (mean of 22, standard deviation (SD) of 0.21, on a 0–100 scale). Accessibility of different aspects of the healthcare facilities was also low, including external space (mean = 31.0, SD = 2.0), internal space (18.9, 1.9) and accessibility features for people with other visual or hearing impairments (6.3, SD = 1.0). Scores were consistently better in the least poor regions of Brazil and in facilities in larger municipality size (indicating more urban areas). In conclusion, large-scale accessibility audits are feasible to undertake. Poor accessibility means that people with disabilities will experience difficulties in accessing healthcare, and this is a violation of their rights according to international and Brazilian laws.

WHICH HEALTH FINANCING MODEL IS BETTER: TAX-FINANCED OR SOCIAL HEALTH INSURANCE? WHAT DOES INTERNATIONAL EXPERIENCE PROVE?

2021 ◽  
Vol 67 (1) ◽  
pp. 9-9
Author(s):  
E.G. Potapchik ◽  
Keyword(s):  
Health Care ◽  
Health Insurance ◽  
Structural Characteristics ◽  
Health Expenditures ◽  
Health Financing ◽  
Health Care Expenditures ◽  
Developed Countries ◽  
Financing System ◽  
Financing Model ◽  
The Developed Countries

In Russia disputes on the need to abandon Compulsory Health Insurance (CHI) and return to the tax-based financing are yet to subside. At present, after the statement of the President of the Russian Federation V. Putin about the possibility to establish a state health care corporation, discussions on the issue have only escalated. Purpose. To conduct a comparative assessment of the public health financing model impact on the access and structural characteristics of health care delivery in the developed countries. Material and methods. Assessment of the potential impact of public funding models on the health system performance is carried out by analyzing variations in the main indicators of financial access, health care uptake and health status of the population, achieved in the developed countries with different health financing models. Results. Health care expenditures in countries with CHI are higher than in countries with the tax-based financing model. In countries with CHI the share of administrative expenses is slightly higher than in countries with the tax-based financing system. The share of spending on preventive care is slightly higher in countries with the tax-based financing system. There is a slightly lower level of outpatient and inpatient care uptake in countries with the tax-based financing system compared to countries with CHI. The premature mortality rate in countries with CHI is slightly lower than in countries with the tax-based system. Conclusion. The obtained data indicate that there are no significant differences in the access and structural characteristics of medical care in the health care system of the developed countries with different financing models. The main difference remains the level of health expenditures. In countries with CHI, the level of health expenditures is higher than in countries with the tax-based financing, which is largely due to the existence of a separate source of funding. The level of administrative costs in countries with CHI is also higher than in countries with the tax-based system.

scholarly journals Delayed access to treatment and frequency of acute respiratory infection as risk factors of severe pneumonia among children aged 12-59 months in Denpasar, Bali

2017 ◽  
Vol 5 (1) ◽  
pp. 61
Author(s):  
Dewa Ayu Ketut Sri Abadi ◽  
Dewa Nyoman Wirawan ◽  
Anak Agung Sagung Sawitri ◽  
I Gusti Ayu Trisna Windiani
Keyword(s):  
Risk Factors ◽  
Health Care ◽  
Access To Health Care ◽  
Respiratory Infections ◽  
Severe Pneumonia ◽  
Health Care Facilities ◽  
First Episode ◽  
Access To Treatment ◽  
Healthcare Facilities ◽  
Care Facilities

Background and purpose: Period prevalence of pneumonia among children in Indonesia increased from 2.1 in 2007 to 2.7 per 1000 children in 2013. The highest incidence was found among children aged 12-23 months. This study aims to examine association between delayed access to health care facilities and severity of children pneumonia.Methods: A case control study was conducted in Denpasar City. A total of 132 children were recruited to participate in this study, consisted of 44 cases and 88 controls. Cases were selected from 161 children with severe pneumonia who registered at Pulmonology Department of Sanglah General Hospital between January 2015 to April 2016. Controls were selected from 261 children aged 12-59 months with mild pneumonia who visited out-patient service at all community health centres in Denpasar City between January 2015 and April 2016. Cases and controls were matched by sex. Data were collected by interview with the parents in their houses. Data were analysed using multivariate analysis with logistic regression.Results: Risk factors associated to severity of pneumonia among children aged 12-59 months were delayed access to treatment for more than three days (AOR=2.15;95%CI: 1.39-3.32), non-health care facilities at first episode of illness (AOR=4.02; 95%CI: 1.53-10.61) and frequent episodes of respiratory infections (>4 times) over the last 6 months (AOR=5.45; 95%CI: 2.13-13.96).Conclusion: Delayed access to treatment, did not access healthcare facilities at first episode of illness, and high frequency of acute respiratory infections are risk factors of severe pneumonia among children.

scholarly journals The Latest Progress and Development Trend in the Research of Ballistocardiography (BCG) and Seismocardiogram (SCG) in the Field of Health Care

2021 ◽  
Vol 11 (19) ◽  
pp. 8896
Author(s):  
Xiuping Han ◽  
Xiaofei Wu ◽  
Jiadong Wang ◽  
Hongwen Li ◽  
Kaimin Cao ◽  
...  
Keyword(s):  
Health Care ◽  
Health Assessment ◽  
Development Trend ◽  
Developed Countries ◽  
Current Status ◽  
Research Subjects ◽  
Leading Position ◽  
Important Direction ◽  
Set Up ◽  
The Developed Countries

The current status of the research of Ballistocardiography (BCG) and Seismocardiogram (SCG) in the field of medical treatment, health care and nursing was analyzed systematically, and the important direction in the research was explored, to provide reference for the relevant researches. This study, based on two large databases, CNKI and PubMed, used the bibliometric analysis method to review the existing documents in the past 20 years, and made analyses on the literature of BCG and SCG for their annual changes, main countries/regions, types of research, frequently-used subject words, and important research subjects. The results show that the developed countries have taken a leading position in the researches in this field, and have made breakthroughs in some subjects, but their research results have been mainly gained in the area of research and development of the technologies, and very few have been actually industrialized into commodities. This means that in the future the researchers should focus on the transformation of BCG and SCG technologies into commercialized products, and set up quantitative health assessment models, so as to become the daily tools for people to monitor their health status and manage their own health, and as the main approaches of improving the quality of life and preventing diseases for individuals.

What do malaysian think of the quality of healthcare delivered?: a qualitative analysis of written impression (Preprint)

2021 ◽  
Author(s):  
Nur Wahida Zulkifli
Keyword(s):  
Health Care ◽  
Service Delivery ◽  
Waiting Time ◽  
Health Care Services ◽  
Health Care Facilities ◽  
Opinion Poll ◽  
Healthcare Facilities ◽  
The Public ◽  
Care Services

BACKGROUND The public opinion and experience on the health care services are crucial to provide valuable insight towards improving and strengthening the health care systems. OBJECTIVE This study aims to explore the public perspective regarding the quality of health care services rendered by the health care facilities in Malaysia. METHODS The snowballing strategy was used to reach the target through an online opinion poll with three open-ended questions on the strengths of the healthcare facilities, their expectation and suggestion for improvement along with the sociodemographic characteristic. Data were analysed using a thematic approach. RESULTS A total of 800 participants (68% of females and 32% of males) participated. Their responses were grouped into 5 main themes namely: (1) system; (2) input; (3) service delivery; (4) outputs; (5) outcomes. Public feel that they are respected and treated with care by the healthcare providers. However, most of the participants highlighted the issue of long waiting time when they visited healthcare facilities. In relation to this issue, they suggested the facilities to have more staff especially doctors to improve current service. CONCLUSIONS In conclusion, enhancing service delivery by reducing the waiting time, should be the main focus as viewed by the public. The quality of services provided would certainly be improved by having sufficient resources including healthcare workers.

scholarly journals Training of Ultrasound in Neonatology: Global or Local?

2013 ◽  
Vol 7 (3) ◽  
pp. 338-345 ◽  
Keyword(s):  
Health Care ◽  
Developing Countries ◽  
Low Income ◽  
Health Care Professionals ◽  
Obstet Gynecol ◽  
Developed Countries ◽  
Basic Health ◽  
The Developed Countries ◽  
Training Opportunities

ABSTRACT From the beginning of its use in neonatology, ultrasound is used more frequently and for many indications. Number of indications is increasing from year to year, while the training opportunities and curricula are not following the same trend. Nowadays ultrasound has been used for determination of functional hemodynamics in critically sick neonates which increases educational burden on the young neonatologists. This only applies to the developed countries where neonatology is well developed, while in low income so called developing countries some basic health problems of neonates have not been solved and there is substantial lack of health care professionals and equipment as well. How to cite this article Stanojevic M. Training of Ultrasound in Neonatology: Global or Local? Donald School J Ultrasound Obstet Gynecol 2013;7(3):338-345.

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.  

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