scholarly journals Effect of Deploying Biomedical Equipment Technician on the Functionality of Medical Equipment in the Government Hospitals of Rural Nepal

2021 ◽  
Author(s):  
Rita Thapa ◽  
Alison Yih ◽  
Ashish Chauhan ◽  
Salomi Poudel ◽  
Sagar Singh ◽  
...  
Keyword(s):  
Functional Status ◽  
Medical Devices ◽  
Medical Equipment ◽  
Healthcare Services ◽  
Working Environment ◽  
Health Staff ◽  
Biomedical Equipment ◽  
Government Hospitals ◽  
The Government ◽  
Rural Nepal

Abstract Background: Medical equipment plays a crucial role in the provision of quality healthcare services, despite this more than 50% of equipment in developing countries are non-functioning due to a lack of appropriate human resources to maintain. To address this problem some government hospitals of Nepal have deployed a mid-level technical cadre called 'Biomedical Equipment Technician' (BMET). This study aims to evaluate the effectiveness of deploying a BMET on the functionality of medical equipment in government hospitals of rural Nepal.Methods: We used a mixed-methods approach with a comparative research design. A comprehensive range of 2189 pieces of medical equipment at 22 hospitals with and without BMET were observed to assess their functional status. Medical equipment were stratified into 6 categories based on department and T-tests were conducted. We collected qualitative data from 9 BMETs, 22 medical superintendents, and 22 health staff using semi-structured interviews and focus-group discussions. Thematic content analysis was conducted to explore how the BMET's work was perceived.Findings: The quantity of non-functional devices in hospitals without BMETs was double that of hospitals with BMETs (14% and 7% respectively, p<0.005). Results were similar across all departments including General (16% versus 3%, p=0.056), Lab (15% versus 7%, p<0.005) and Operation Theater (14% versus 5%, p<0.005). Hospitals with BMETs had fewer overall non-functional devices requiring simple or advanced repair compared to hospitals without BMETs [3% versus 7% (p<0.005) simple; 4% versus 6% (p < 0.005) advanced]. In our qualitative analysis, we found that BMETs were highly appreciated by hospital staff. Hospital workers perceived that having a BMET on staff, rather than twice-yearly visits from central-level maintenance technicians, is an effective way to keep medical equipment functional. However, without a favorable working environment, the BMET alone cannot perform optimally. Conclusions: Having a BMET at a rural government hospital has a substantial positive effect on the functional status of medical devices at the hospital. BMETs should be deployed at all rural hospitals to increase the functionality of medical devices, thereby improving the working environment and quality of health services provided.

CAPACITY AND CONFIDENCE IN PERFORMING CLINICAL PROCEDURES AMONG PRIMARY CARE TEAMS IN THE CENTRAL REGION OF VIETNAM

2017 ◽  
pp. 77-83
Author(s):  
Duc Toan Vo ◽  
Minh Tam Nguyen
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Healthcare Delivery ◽  
Healthcare Services ◽  
Care Team ◽  
Primary Care Team ◽  
Health Staff ◽  
Ministry Of Health ◽  
Clinical Procedures ◽  
The Government

Background and Aim: To develop primary care services is one of the top priorities of the health sector in Vietnam. In recent years, the Government and the Ministry of Health have made great efforts to strengthen and improve the quality of healthcare services at the grassroof level. However, several studies showed that the needs for healthcare remained unmet at primary care level. This study aimed to examine the gaps in competency and confidence of the primary care team in delivery of clinical procedures. Methods: A crosssectional descriptive study was conducted in 49 commune health centers (CHCs) of 3 provinces. The health care teams reported their ability and confidence to perform the list of clinical procedures based on the regulation on clinical procedures performed at the CHC issued by the Ministry of Health. Results: The average number of procedures performed by the CHCs was 46,4/109 procedures. There were 65.3% of CHCs performed less than 50% of assigned techniques, and only 28.6% CHCs performed 50-80% of assigned techniques. The confidence of CHC teams was high in performing procedures of Resuscitation, Internal Medicine, Pediatrics and OBGYN. Conclusion: There is a substantial gap in the capability to perform clinical procedures among CHC team. The confidence in performing essential procedural skills varied among procedures, depending on clinical experience and the types of procedure. Our results show a strong call to develop training programs that fit to the competency standards of primary care team in order to enhance the capacity and confidence of health staff in healthcare delivery at grassroots level. Key words: Health care, Thua Thien Hue, Quang Tri

scholarly journals Breakdown Time Analysis in The Effort to Maximize Medical Equipment Productivity in Hospital

2021 ◽  
Vol 1 (1) ◽  
pp. 1-14
Author(s):  
Buyung Sakti Hamel
Keyword(s):  
Medical Devices ◽  
Medical Equipment ◽  
Qualitative Method ◽  
Health Service Delivery ◽  
Professional Organizations ◽  
High Tech ◽  
Government Employees ◽  
Breakdown Time ◽  
Government Hospitals ◽  
Depth Interviews

Health equipment in hospitals determines the productivity of health service delivery. Medical equipment must continue to function properly. One way to measure the success of maintaining medical devices is by standard Breakdown Time. This study aims to determine the application of standard Breakdown Time on damaged medical devices. The research method used is a descriptive qualitative method with in-depth interviews. There are interviewees with private status and ASN (government employees). From the private sector, there are consultants, technical managers, and administrators of professional organizations in the field of medical equipment. Interviewees with ASN status are practitioners of maintenance and repair of health equipment in government hospitals. The results of the interviews were compiled into 6 groups based on the main questions asked, then analyses descriptively. The results of the study, Standard Breakdown Time have not been applied comprehensively in hospitals. Several informants informed that although there is an application of breakdown time, the standard is not yet clear and is only applied to high-tech equipment and/or for a minimal number of equipment there is only one in the hospital. For other equipment, there is no standard when the damage occurs, until when the damaged equipment must be able to function again. In conclusion, the Standard Breakdown Time for medical devices is important and its application must be supported by Ministerial-level regulations.

Equipment Maintenance in Primary and Secondary Healthcare, Punjab

2020 ◽  
pp. 097282011988639
Author(s):  
Muhammad Naiman Jalil ◽  
Rania Sohail ◽  
Areeb Javaid ◽  
Ali Jan Khan
Keyword(s):  
Public Sector ◽  
Medical Equipment ◽  
Healthcare Services ◽  
Healthcare Systems ◽  
Health Care Facilities ◽  
Healthcare Sector ◽  
Medical Services ◽  
Equipment Maintenance ◽  
Biomedical Equipment ◽  
The Impact

Healthcare systems and, more specifically, public sector healthcare systems are complex hierarchical entities. Delivering quality healthcare services is a challenging task facing several key hurdles. Equipment maintenance and availability is one of the key issues since the non-functionality of medical equipment degrades service provision in public sector hospitals. In this case, we discuss the situation of primary and secondary healthcare services in Punjab, Pakistan, focusing on the current condition of equipment functionality and maintenance across thirty-six districts of Punjab. The healthcare sector in Punjab is organized in a tiered manner, with primary health care facilities providing basic medical services to the masses and secondary healthcare facilities providing referral and specialized services to the patients. Providing medical services requires an efficient network of medical professionals, adequate medical equipment, physical infrastructure and sufficient supply of medicines at all levels of the healthcare system. This case identifies and discusses the issue of non-functionality and maintenance of medical equipment in Punjab. Demand for medical equipment is generated on a central and district level, followed by a combination of central- and facility-level procurement. Maintenance of equipment is done by the facility without any standard operating procedures. The purpose of this case is to observe the current maintenance options in practice and to assess the impact of a decentralized maintenance system on the functionality status of biomedical equipment across districts. The objective is also to highlight the need for an efficient maintenance regime in accordance with the nature of the equipment to ensure cost and downtime minimization.

scholarly journals Analyzing The Presence Of Women’s Wards Facility In Government Hospitals Of Karachi

2019 ◽  
Vol 10 (1) ◽  
pp. 21-44
Author(s):  
Khalid Mahmood Iraqi ◽  
Asma Manzoor ◽  
Seema Manzoor
Keyword(s):  
Service Providers ◽  
Healthcare Services ◽  
Structured Interview ◽  
Public Hospitals ◽  
Data Availability ◽  
Easy Access ◽  
Quality Healthcare ◽  
Quality Life ◽  
Government Hospitals ◽  
The Government

Changing global trends have made people more aware and conscious about their health and attainment of quality life by accessing healthcare services. But countries like Pakistan are not able to maintain quality healthcare services for common people. The healthcare service providers are not able to face challenges in this regard. The system of healthcare in Pakistan faces many issues and challenges of imbalance and insufficiency regarding deliverance and access to effective and quality healthcare services. The governments should develop an appropriate health system whose mechanism can be easily accessible for people especially women. For this purpose data from public hospitals has been collected to analyze specific issues within the boundaries of a specific environment and situation, because proper and accurate data availability can assure the effective policy making mechanism. In this study data has been collected by semi-structured interview schedule. Three public hospitals (Civil, Jinnah and Abbasi Shaheed) were selected as a universe of the study, and the respondents were purposively selected for conducting interviews in detail. The findings of this study reveal that in developing countries like Pakistan the healthcare services are not provided adequately in the public sector. People do not have easy access to healthcare opportunities for many reasons among which one reason is poverty, which leads to ill health and low health status. This growing dissatisfaction leads to imbalance societal gap, which demands appropriate measures and policies by the government. Government hospitals have some women specific wards but public private partnership has not been very effective, despite the establishment of Act and collaborations in public-private domain.

scholarly journals Contributions of interpersonal conflict management on performance of government hospitals in Nigeria

2021 ◽  
Vol 12 (7) ◽  
pp. 1785-1807
Author(s):  
Kelechi Johnmary Ani ◽  
Chigozie Onu ◽  
Ijeoma Genevieve Anikelechi
Keyword(s):  
Conflict Management ◽  
Interpersonal Conflict ◽  
Hospital Staff ◽  
Mortality Rates ◽  
Working Environment ◽  
Teaching Hospitals ◽  
Collaborative Approach ◽  
Government Hospital ◽  
Government Hospitals ◽  
The Government

This study investigated the place of interpersonal conflict management on performance of government hospitals in Nigeria and specifically. The purpose is to ascertain how collaborative approach of interpersonal conflict management affect mortality rates reduction in government hospitals and investigate if avoidance technique in conflict management improves the working relationships in the government hospital within Nigeria. The study adopted survey research design and was conducted in National Hospital Abuja, and University of Nigeria Teaching Hospital (UNTH) Ituku/Ozalla, Enugu State, Nigeria. The study population is 1629, which includes all health professionals employed in selected public- owned teaching hospitals. A sample size of 312 was drawn from the population. The study used descriptive statistics (frequency, charts, tables and simple percentage) to calculate, analyse, show or summarize responses to the research questions. The hypotheses were tested using ordinal logistic regression. Findings showed that collaborative approach has significantly contributed in reducing mortality rates in government hospitals in Nigeria, and avoidance as a means of interpersonal conflict management helped improve the working relations of selected government hospital staff in Nigeria. The study recommended that they should be improved communication, and collaboration between management, clerks, nurses, doctors and workers representatives in running the affairs of the hospitals. Again, conflicting tendencies should always be avoided by workers for more efficient, peaceful, coordinated and minimal conflicts in working environment within the healthcare industry.

Corrupt Practices in the Public Health Sector: A Focus on Metropolitan Local Government Areas of Kano State, Nigeria

2020 ◽  
Vol 18 (2) ◽  
pp. 149
Author(s):  
Mohammed Mustapha Namadi
Keyword(s):  
Public Health ◽  
Local Government ◽  
Health Sector ◽  
Sampling Technique ◽  
Healthcare Services ◽  
Healthcare Sector ◽  
Healthcare Provision ◽  
The Public ◽  
Public Health Sector ◽  
The Government

Corruption is pervasive in Nigeria at all levels. Thus, despite recent gains in healthcare provision, the health sector faces numerous corruption related challenges. This study aims at examining areas of corruption in the health sector with specific focus on its types and nature. A sample size of 480 respondents aged 18 years and above was drawn from the eight Metropolitan Local Government Areas of Kano State, using the multistage sampling technique. The results revealed evidence of corrupt practices including those related to unnecessary-absenteeism, diversion of patients from the public health facilities to the private sector, diverting money meant for the purchase of equipment, fuel and diesel, bribery, stealing of medications, fraud, misappropriation of medications and unjustifiable reimbursement claims. In order to resolve the problem of corrupt practices in the healthcare sector, the study recommended the need for enforcement of appropriate code of ethics guiding the conduct of the health professionals, adoption of anti-corruption strategies, and strengthening the government monitoring system to check corruption in public health sector in order to ensure equitable access to healthcare services among the under-privileged people in the society.

Funding models and expenditures with primary healthcare in Salvador, Bahia, Brazil metropolitan area

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
T Vivas ◽  
M Duarte ◽  
A Pitta ◽  
B Christovam
Keyword(s):  
Public Health ◽  
Metropolitan Area ◽  
Primary Healthcare ◽  
Healthcare Services ◽  
Ministry Of Health ◽  
Healthcare Budget ◽  
Health Budget ◽  
The Public ◽  
Before And After ◽  
The Government

Abstract Background The government investments in quality primary healthcare are the basis to strengthening the health systems and monitoring the public expenditure in this area is a way to assess the effectiveness and efficiency of the public health policies. The Brazil Ministry of Health changed, in 2017, the method of onlending federal resources to states and cities seeking to make the public funds management more flexible. This change, however, suppressed mandatory investments in primary healthcare. This research aims to determine the difference of expenditures on primary healthcare in Salvador, Bahia, Brazil metropolitan area before and after this funding reform, seeking to verify how it can impact the quality of primary healthcare services and programs. Methods This is an ecological time-series study that used data obtained in the Brazil Ministry of Health budget reports. The median and interquartile range of expenditures on primary healthcare (set as the percentage of total public health budget applied in primary care services and programs) of the 13 cities in the Salvador metropolitan area were compared two years before and after the reform. Results The median of expenditures on primary healthcare in Salvador metropolitan area was 25.5% (13,9% - 32,2%) of total public health budget before and 24.8% (20.8% - 30.0%) of total public health budget after the reform (-0.7% difference). Seven cities decreased the expenditures on primary healthcare after the reform, ranging from 1.2% to 10.8% reduction in the primary healthcare budget in five years. Conclusions Expenditures on primary healthcare in Salvador metropolitan area decreased after the 2017 funding reform. Seven of 13 cities reduced the government investments on primary healthcare services and programs in this scenario. Although the overall difference was -0.7%, the budget cuts ranged from 1.2% to 10.8% in the analyzed period and sample. More studies should assess these events in wide areas and with long time ranges. Key messages Public health funding models can impact the primary healthcare settings regardless of the health policy. Reforms in the funding models should consider the possible benefits before implementation. Funding models and methods that require mandatory investments in primary healthcare may be considered over more flexible ones.

SUIT CLAIMS RESEARCH-HOSPITAL DOCTORS SUBMITTED PHONY BILLS TO GET U.S. FUNDS

PEDIATRICS ◽  
1995 ◽  
Vol 96 (5) ◽  
pp. A41-A41
Author(s):  
J. F. L.
Keyword(s):  
Drug Administration ◽  
Medical Devices ◽  
Food And Drug Administration ◽  
Controversial Issue ◽  
Criminal Investigation ◽  
Research Hospital ◽  
Medical Centers ◽  
Cardiac Procedures ◽  
Hospital Doctors ◽  
The Government

Physicians at dozens of prominent research hospitals nationwide allegedly submitted phony bills and sometimes even falsified patients' records to obtain as much as $1 billion in federal payments for sophisticated, but still experimental, cardiac procedures, a newly unsealed whistleblower suit claims. The allegations of years of systematic fraud involving as many as 130 major medical centers nationwide, accusations that already have prompted a previously reported criminal investigation, are likely to shine a spotlight on the controversial issue of which cutting-edge devices and procedures currently are, or should be, eligible for Medicare or Medicaid claims. Existing regulations say that the government generally won't pay for treatment considered to be "experimental" or for the use of medical devices that haven't been formally approved by the Food and Drug Administration...

Medical Device Regulation and the Proposed Therapeutic Products Bill: Devising a New Regime

2021 ◽  
Vol 52 (2) ◽  
pp. 319-342
Author(s):  
Laura Hardcastle
Keyword(s):  
Patient Safety ◽  
New Zealand ◽  
Medical Devices ◽  
Cosmetic Products ◽  
Regulatory Oversight ◽  
Speed To Market ◽  
The Government ◽  
The Right ◽  
Promote Patient Safety ◽  
Medical Device Regulation

Despite medical devices being integral to modern healthcare, New Zealand's regulation of them is decidedly limited, with repeated attempts at reform having been unsuccessful. With the Government now indicating that new therapeutic products legislation may be introduced before the end of the year, the article considers the case for change, including to promote patient safety, before analysing the draft Therapeutic Products Bill previously proposed by the Ministry of Health, and on which any new legislation is expected to be based. It concludes that, while the proposed Bill is a step in the right direction, introducing regulatory oversight where there is currently next to none, there is still significant work to be done. In particular, it identifies a need to clarify whether the regime is indeed to be principles-based and identifies further principles which might be considered for inclusion. It further proposes regulation of cosmetic products which operate similarly to medical devices to promote safety objectives, while finding a need for further analysis around the extent to which New Zealand approval processes should rely on overseas regulators. Finally, it argues that, in an area with such major repercussions for people's health, difficult decisions around how to develop a framework which balances safety with speed to market should not be left almost entirely to an as yet unknown regulator but, rather, more guidance from Parliament is needed.

scholarly journals Measuring the Efficiency of Health Services Areas in Kingdom of Saudi Arabia Using Data Envelopment Analysis (DEA): A Comparative Study between the Years 2014 and 2006

2017 ◽  
Vol 9 (4) ◽  
pp. 172 ◽  
Author(s):  
Sanaa Mohamed Aly Helal ◽  
Haga Abdelrahman Elimam
Keyword(s):  
Saudi Arabia ◽  
Data Envelopment Analysis ◽  
Health Services ◽  
Production Efficiency ◽  
Data Envelopment ◽  
Kingdom Of Saudi Arabia ◽  
Average Production ◽  
Government Hospitals ◽  
The Government ◽  
Using Data

The study aimed to assess the efficiency of health services provided by the government hospitals in various districts of the Kingdom of Saudi Arabia. The number of beds at hospitals, doctors, nursing staff and paramedical categories were used as inputs for the model. The average productivity efficiency of government hospitals in the districts of the Kingdom of Saudi Arabia in 2014 was 92.3%; whereas, the average internal production efficiency of these districts in the provision of health services through their respective hospitals was 94.7%; and the average external productivity efficiency in the different cities of the districts in Kingdom of the Saudi Arabia was 97.5%. It has been found that the average overall productivity efficiency was 90.2%, concerning the relative efficiency indicators of government hospitals, which were based on the hospitals’ distribution of Saudi Arabian districts in 2006. An analysis of the indicator showed that the average production efficiency of the services provided (internally) by the districts of the Kingdom of Saudi Arabia was 94.7%, and that the average of the external production efficiency for such services was 95.4%. The Data Envelopment Analysis is a successful technique in measuring the performance efficiency of hospitals and it also assists to identify possible improvement and reduction in cost.

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