scholarly journals Motivation management model and practical realization within the health care institutions

2021 ◽  
Vol 2 (2) ◽  
pp. 23-30
Author(s):  
Alla Mamay ◽  
Iuliia Myroshnychenko ◽  
Henryk Dzwigol

The motivation of medical workers is essential to society since the quality of their work affects the individual and public health. The authors highlighted the special role of state and municipal authorities in motivating medical professionals. The study aims to identify the main directions and elaborate the recommendations to build motivational management models in health care facilities. The study reveals the essence and objectives of personnel policy management in health care facilities. The main methods of motivating health workers were analyzed. The authors evaluated the impact of health reforms on health workers’ motivation. The study proposed several ways to improve the motivational management models. The authors conducted an in-depth analysis of economic and non-economic motivation in health care facilities. The methodological basis of the study is comparative analysis, the method of scientific abstraction, induction and deduction analysis, and synthesis. The practical implementation involved the online services Google Ngram Viewer and SciVal. The findings proved the need to develop the health care quality performances and their approval at the local level. The authors concluded that it is necessary to elaborate on a local program of employees’ motivation of utility non-profit enterprises to implement qualitative indicators. This program may include the mayor’s award, awards free internship programs, invitations to cultural events, symbolic gifts, etc. The obtained results showed that the health reform didn’t cover all activity areas of the health care institutions while the funding for medical care per one patient was insufficient. Therefore, the study emphasized the urgency to solve the above strategic problem in state and municipal management in Ukraine. The findings could be useful for the state and the municipal government of Ukraine in elaborating on motivation programs for health workers and their maintenance.

2021 ◽  
Vol 99 (2) ◽  
pp. 62-71
Author(s):  
V.M. Makhniuk ◽  
◽  
H.V. Chaika ◽  
V.V. Chorna ◽  
O.V. Voloshchuk ◽  
...  

Background: Health care facilities located in built-in non-residential premises of residential buildings are medical institutions of a new type. There are no sanitary-and-hygienic requirements for their placement in the Ukrainian legislation for them. The above was a basis for the conduction of the comprehensive hygienic research on this issue using the T. Saati method. Objective: We performed an expert assessment of the impact of architectural planning decisions and maintenance conditions of health care facilities built into residential buildings on the medical workers’ feel and the conditions of the stay of visitors and residents by means of the in pair comparison of hierarchies (the T. Saati method). Materials and methods: In our study we used the materials of the research on the architectural-and-planning decisions on the location and maintenance of built-in residential buildings of health care institutions which were a subject for expert assessment by the T. Saati method. Conclusions: According to the results of the research, the changes into the regulatory framework of urban planning legislation - SBSB.2.2-10-2001 «Health Care Facilities» on the standardization of the special purpose area for temporary mini-parking, built-in health care institutions for medical workers and visitors were substantiated.


2021 ◽  
Vol 905 (1) ◽  
pp. 012124
Author(s):  
F F Al-Fikri ◽  
R A Nugroho ◽  
Sudarmo

Abstract This paper evaluates policy implementation that discusses the management of medical waste in health care facilities. The government establishes a waste management policy with the Decree of the Minister of Health concerning Guidelines for the Management of Medical Waste for Health Service Facilities and Waste from Isolation Activities or Independent Quarantine in the Community in Handling (Covid-19) to prevent transmission and controlling the spread of Covid-19 and protecting health workers, non-health workers, and the public from the impact of waste in handling Covid-19. Although regulations related to the management of Covid-19 waste have been set, there are still problems in some areas in their implementation. The literature study was conducted to evaluate the implementation of medical waste management policies in health care facilities. Evaluation is seen based on socialization, implementation, and policy results. Based on the results of the literature study, it was found that the socialization of the policy had done well, evidenced by the implementation of socialization about medical waste in health care facilities. The implementation encountered several obstacles, such as limited shelters, shortage of waste destruction equipment, and medical waste transportation and processing services that had not yet reached all areas in Indonesia.


Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi

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.


PEDIATRICS ◽  
1981 ◽  
Vol 68 (5) ◽  
pp. 677-683
Author(s):  
R. Giel ◽  
M. V. de Arango ◽  
C. E. Climent ◽  
T. W. Harding ◽  
H. H. A. Ibrahim ◽  
...  

To ascertain the frequency of mental disorders in Sudan, Philippines, India, and Colombia, 925 children attending primary health care facilities were studied. Rates of between 12% and 29% were found in the four study areas. The range of mental disorders diagnosed was similar to that encountered in industrialized countries. The research procedure involved a two-stage screening in which a ten-item "reporting questionnaire" constituted the first stage. The study has shown that mental disorders are common among children attending primary health care facilities in four developing countries and that accompanying adults (usually the mothers) readily recognize and report common psychologic and behavioral symptoms when these are solicited by means of a simple set of questions. Despite this, the primary health workers themselves recognized only between 10% and 22% of the cases of mental disorder. The results have been used to design appropriate brief training courses in childhood mental disorders for primary health workers in the countries participating in the study.


2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren

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.


2020 ◽  
Vol 18 (3) ◽  
pp. 247-257
Author(s):  
Ehsan Mousavi ◽  
Vivek Sharma ◽  
Dhaval Gajjar ◽  
Shervin Shoai Naini

Purpose The purpose of this study is to evaluate the effectiveness of the control cubes for dust control in health-care facilities. Research shows that more than 80% of pathogenic agents in hospitals are spread into the air, where they either remain airborne or deposit on the surface. At the same time, renovation and repair activities, including regular maintenance, are a necessity in active health-care facilities and a multitude of studies have documented their impact on indoor air quality. The dust that is generated by construction activities may potentially carry pathogenic agents, varying from coarse particles (≤10 µm, PM10) to fine particles (≤2.5 µm, PM2.5), including airborne bacteria, and fungal spores linked to high patient mortality in immune-compromised patients. Design/methodology/approach This study measures the impact and effectiveness of one such preventative measure, namely, the control cube (CC), on air quality during renovation and repair. CC is a temporary structure, typically made from stainless steel, around the local repair zone to minimize the spread of dust and potential microorganisms. The current paper presents a comparative analysis to identify the effectiveness of a CC equipped with the high-efficiency particulate filtration (HEPA) filter in a hospital setting by simulating construction renovation and repair work. Findings A baseline was established to measure the effectiveness of CCs and the impact of negative pressure on the indoor air quality in a hospital during simulated renovation work. Results showed that CCs are very effective in minimizing the spread of dust due to construction activities in the hospital. However, it is imperative to ensure that the air inside the CC is cleaned via filtration. Originality/value CCs are very effective, and this paper investigates the best approach for facility managers to implement this strategy.


2015 ◽  
Vol 3 (1) ◽  
Author(s):  
Meilany Tangkilisan ◽  
Angle Sorisi ◽  
Josef S. B. Tuda

Abstract: The problem of public health, especially in developing coutries such as Indonesia, is based on the physical aspects such as health facilities, the treatment of disease, and non physical aspects related to the health problem. Malaria is still a public health problem because it often creates exrtraordinary events, which has great impact on quality on life and economy, and may result death. The main keys of reducing the incidence of malaria especially in high endemic areas are prevention and treatment. This study aimed to determine the role of health care facilities on the incidence of malaria in Silian Raya sub-district of Southheast Minahasa district. This was a descriptive survey study. The population was the community in Silian Raya sub-district of Southeast Minahasa district with total samples 194 respondents. The results showed that the counseling done by health workers was at the most 2 times (39.2%). Spraying insecticide by health workers was 1 time (41.8%). People that used the available health care facilities in Silian Raya sub-district, the health center, were 51.0%.Keywords: malaria, prevention, treatmentAbstrak: Masalah kesehatan masyarakat terutama di negara-negara berkembang seperti Indonesia didasarkan pada, aspek fisik seperti sarana kesehatan dan pengobatan penyakit, dan aspek non fisik yang menyangkut masalah kesehatan.Malaria masih merupakan masalah kesehatan masyarakat karena sering menimbulkan Kejadian Luar Biasa (KLB), berdampak luas terhadap kualitas hidup dan ekonomi, serta dapat mengakibatkan kematian. Dalam upaya mengurangi angka kejadian malaria terutama di daerah endemis tinggi, upaya pencegahan dan pengobatan merupakan kunci utama. Tujuan penelitian ini untuk mengetahui peran sarana pelayanan kesehatan terhadap kejadian malaria di Kecamatan Silian Raya Kabupaten Minahasa Tenggara. Jenis penelitian ini adalah survey yang bersifat deskriptif. Populasi penelitian adalah masyarakat di Kecamatan Silian Raya Kabupaten Minahasa Tenggara dengan jumlah sampel 194 responden. Hasil penelitian menunjukkan penyuluhan yang dilakukan oleh tenaga kesehatan tertinggi 2 kali (39,2%). Penyemprotan insektisida oleh tenaga kesehatan tertinggi 1 kali (41,8%) dan masyarakat yang langsung memanfaatkan sarana pelayanan kesehatan yang tersedia di Kecamatan Silian Raya yaitu Puskesmas (51,0%).Kata kunci: malaria, pencegahan, pengobatan


Author(s):  
Miroslava Krstic ◽  
Vladimir Obradovic ◽  
Zorica Terzic-Supic ◽  
Dejana Stanisavljevic ◽  
Jovana Todorovic

Reserarch question: This paper investigates whether motivational factors have influence on the work of employees in health care organizations of Serbia and what factors affect employees. Motivation: Motivation and job satisfaction among different groups of workers in health care facilities in Serbia are an important issue. This study’s purpose is to assist health managers in their efforts to fulfill individual and organizational targets by highlighting the most preferred motivational factors among the employees. With good leadership and with the building of good motivational system the organization can increase its value and competitiveness. It has been shown that employees are more motivated and work under less stress if there is a support from their leader or manager (Jensen, 2010). Idea: The  core  idea  of  this  paper  is to  evaluate  the  relationship  between motivational factors and work of employees in health care institutions in Serbia. The central hypothesis of this study is what the managers within health care institutions have to do to improve motivation as well as their abilities for the fulfillment of both individual’s and organization’s needs. Data: The cross-sectional study included 217 physicians, nurses, technicians, health associates and non-medical staff in 21 facilities of primary, secondary and tertiary levels in Pozarevac, Belgrade, Nis, Pirot, Novi Sad, Zrenjanin, Krusevac, Varvarin and Novi Pazar. Tools: The research instrument was a questionnaire with questions regarding socio-demographic characteristics, participants’ characteristics and motivational factors. The data were analyzed using descriptive and analytical statistics. Findings: The most important motivational factors are: salary, good interpersonal relationships and team work, contribution to population’s health and patient’s satisfaction. Around 10% of the participants thought that work could be done well even without motivational factors’ presence. Employees from the areas outside Belgrade rated job security higher in comparison with employees from Belgrade. A study conducted at the University of llorin Teaching Hospital in 2011 showed that salary was the most important motivational factor, followed by job security (Ojokuku& Salami, 2011). Contribution: Salary is an important motivational factor for employees in health care facilities in Serbia. Managers should work on the improvement of motivational factors through acknowledgement of needs of individual employees as well as through involving employees into decision making. 


2021 ◽  
Vol 67 (2) ◽  
pp. 3-3
Author(s):  
I.Z. Zubairov ◽  
◽  
L.Sh. Nazarova ◽  
S.G. Ahmerova ◽  
D.Kh. Kalimullina ◽  
...  

Due to high prevalence of rheumatic diseases, which are often characterized by a chronic, progressive course and early patient disability, the problem of health care quality in rheumatology remains extremely relevant. The purpose of the study was to analyze patient satisfaction with availability and quality of rheumatological outpatient care provided by health care facilities of the Republic of Bashkortostan. A survey of 289 adult patients who visited a rheumatologist for outpatient care at health care facilities of the Republic of Bashkortostan was conducted from May,1 to December,1, 2019 The study results show that in general patients expressed high satisfaction with the services provided and conditions of health care facilities (77% and 78%, respectively). At the same time, satisfaction with doctors’ professional skills was moderate (54%), while satisfaction with the organization of making a rheumatological appointment and official website of the facility was low (37% and 29%, respectively). In general, the data obtained indicate that patients highly appreciate quality of rheumatological outpatient care in the Republic of Bashkortostan. However, the need to further improve professional competencies of doctors, organization of scheduling appointments and official websites of health care facilities call for a special attention.


2021 ◽  
Vol 2 (2) ◽  
pp. 31-42
Author(s):  
Stanislav Kotenko ◽  
Iana Kobushko ◽  
Iryna Heiets ◽  
Oleksandr Rusanov

The Constitution of Ukraine stipulates that an individual, his/her life, and health are the highest state social values. The authors highlighted that the health care system is the basis of social policy, national security, public health, and economic development. The current reformation of medical and legal reforms in Ukraine are fully covered by health legislation. In the context of these laws, the government promotes the development of private, communal, and state healthcare facilities. The authors noted that private medicine is snowballing in Ukraine, but the competitiveness of private health care facilities is insufficient in state medical reform. The study emphasized the absence of appropriate tools and mechanisms to motivate staff in private healthcare facilities. Based on the findings, the authors proposed introducing a set of evaluation indicators combined into a single integrated system – key performance indicators (KPIs), which would be the basis for calculating the bonus payroll. In turn, this system of material incentives should encourage medical staff to work effectively, be active, and initiative. The mechanism for developing a set of KPIs should be approved at the administration of the private health care facility. At the same time, medical workers of all levels must participate in KPIs elaborating. The indicators of medical care quality could be further used to improve healthcare, differentiated work assessment of medical staff, and healthcare facility in general, in accreditation and certification of private health care facilities. In the study, the authors formed and analyzed groups of indicators for different categories of the medical staff of private medical institutions. The obtained results showed that different bonus rates are needed to motivate employees at various levels to create an additional incentive to build a medical career. Thus, it could be argued that private healthcare facilities should develop motivation policy and strategy, revise system and forms of remuneration, improve the mechanism of motivation and incentives, focus on increasing competitiveness indicators in private medicine.


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