scholarly journals Impact and Adaptation of Reproductive Training During COVID-19 Pandemic in Malaysia

2021 ◽  
Vol 28 (5) ◽  
pp. 34-41
Author(s):  
Abdul Kadir Abdul Karim ◽  
◽  
Muhammad Azrai Abu ◽  
Mohd Faizal Ahmad ◽  
Norazilah Mat Jin ◽  
...  
Keyword(s):  
Health Care ◽  
Reproductive Medicine ◽  
Health Care Services ◽  
Care Facility ◽  
Health Care Facility ◽  
Simulator Training ◽  
The Novel ◽  
Care Services ◽  
Novel Coronavirus

The novel coronavirus (COVID-19) pandemic has affected the community at large. It has affected almost everyone and every aspect of social, economic and educational activities. Training in reproductive medicine has not been spared, as training in this field requires a combination of clinical interaction with patients, procedural experience, constant discussions and the element of research. The changes to numbers of new infections or active cases dictate the restrictions placed on the community and health care services alike. At the beginning of the pandemic, both the patients’ fear of going to a health care facility and movement restrictions had caused a significant reduction in the number of COVID-19 cases. Furthermore, the Ministry of Health (MOH) Malaysia’s recommendation to withhold all non-essential medical services, including those related to reproductive medicine, falls under this category. Therefore, it could negatively impact the quality of training and lead to an extension of training duration in reproductive medicine. Thus, the procedural experience could be supplemented with simulator training, teleconsultation could replace standard clinic sessions and online meeting platforms could replace routine academic meetings. Any modifications must be adaptable or flexible, as similar infectious pandemics and restrictions could recur from time to time.

scholarly journals Patient Satisfaction With Health Care Services In Outpatient Department Of A Dental College Hospital In Pakistan

2018 ◽  
Vol 8 (1) ◽  
pp. 55-60 ◽  
Author(s):  
Munawar Hussain Soomro ◽  
Mansoor Magsi ◽  
Oussama Lahmar
Keyword(s):  
Health Care ◽  
Patient Satisfaction ◽  
Waiting Time ◽  
Health Care Services ◽  
Clinical Care ◽  
Care Facility ◽  
Health Care Facility ◽  
College Hospital ◽  
Cross Sectional ◽  
Care Services

Introduction: Patient satisfaction is one of the important factors to determine the success of health care facility. The real challenge is not getting ready with mere requirements, but also delivers services ensuring good quality. Thus, there is a need to assess the health care systems regarding patient satisfaction as often as possible. The aim of this study was to determine the patient satisfaction with health care services in out-patient department (OPD) of a dental college hospital in Pakistan.Materials and Methods: A descriptive cross-sectional pilot study was undertaken during the month of May 2015 in the OPD of Bibi Asifa Dental College and Hospital, Larkana, Pakistan. A randomly selected 100 patients were interviewed by using pre-structured questionnaires. The questionnaires had semi-structured, open-ended and closed questions. While analyzing, they were grouped into categories like availability of services, clinical care, waiting time and cost.Results: The overall opinions about the satisfaction level of patients for availability of health services in the hospital were good. As location of the hospital and timings of the OPD were convenient to the most of the patients 86% and 93% respectively. Availability of the doctors was also found adequate. However, regarding seating arrangements one fourth of the total patients were found to be unsatisfied. Efficiency of the doctor was found satisfactory by 83%, while majority of the patients did not faced any kind of language problem.Conclusion: According to patient’s opinion, the study revealed that the degree of satisfaction was satisfactory with respect to waiting time and availability of the doctors in the hospital, which need to be further explored and corrected.Update Dent. Coll. j: 2018; 8 (1): 55-60

scholarly journals Patient Involvement in Decision-Making: An Important Parameter for Better Patient Experience—An Observational Study (STROBE Compliant)

2018 ◽  
Vol 6 (3) ◽  
pp. 231-237 ◽  
Author(s):  
Namrata Makkar ◽  
Kanika Jain ◽  
Vijaydeep Siddharth ◽  
Siddharth Sarkar
Keyword(s):  
Health Care ◽  
Decision Making ◽  
Patient Experience ◽  
Health Care Services ◽  
Positive Response ◽  
Care Facility ◽  
Health Care Facility ◽  
Treatment Team ◽  
Cross Sectional ◽  
Care Services

Background and Aim: Preferences of service users is an important consideration for developing health-care services. This study aimed to assess the experiences of the patients with substance use disorders who were admitted to a tertiary health-care facility in India. Method: This cross-sectional sectional study recruited adult inpatients who stayed for a period of 7 days or more. The Picker Patient Experience questionnaire (PPE-15) was used to gather information about the views of the patients about the care received at the center. Results: Responses were available from 113 inpatients. Majority of the participants were males and were dependent on opioids. The experience was generally positive about being treated with respect and dignity and access to information. The participants were most satisfied with opportunity being given to discuss anxiety and fear about the condition or treatment (91.2% positive response) and least satisfied with differences in responses from doctors and nurses (43.4% positive response). Further attention seemed desired about communication with the staff and patients’ involvement in their own treatment-related decision-making. Conclusion: Efforts need to be made to involve patients in their own treatment-related decision-making and to improve communication with the treatment team. This might lead to better involvement in treatment process, which could enhance the treatment outcomes in this vulnerable population.

scholarly journals Maternal Health Care Expenditure among Women in Rural Areas of Pakistan

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
Abdul -ur- Rehman ◽  
Muhammad Adnan ◽  
Hina Mahmood ◽  
Mahmoodul Hassan ◽  
Ayesha Humayun
Keyword(s):  
Public Health ◽  
Health Care ◽  
Maternal Health ◽  
Private Sector ◽  
Health Care Services ◽  
Care Facility ◽  
Health Care Facility ◽  
Private Health Care ◽  
Care Services ◽  
Private Health Care Facility

Background:  With Pakistan failing to achieve Millennium Development Goals we have now entered into a new era of Sustainable Development Goals. Decreasing child mortality, improving maternal health and increasing the proportion of births by trained birth attendants, are the areas with unmet goals. As 29.5% of population of Pakistan is below the poverty line, expenditure on maternal health care services is of great importance as it determines the utilization of health care services to a large extent.Objective:  To assess maternal health care expenditure and its sociodemographic predictors in rural Khanewal, Punjab, Pakistan.Methodology:  In this cross sectional study average cost on delivery (both SVD and Cesarean section) was assessed in both public and private sector of ruralKhanewal. Total 257 women who had delivered in the last one year were included.Results:  Results revealed that 69.3% of mothers were illiterate.56.8% sought antenatal care in public health unit and 43.2% in a private health care facility. 49.8% delivered in a public health unit and 50.2% in private health care facility. Total expense on antenatal care and delivery was found to be <4,000PKR (<$38.16) in 55.6% (reportedly in a public health care unit) and was >16,000PKR (>$152.65) in 23.3% (reportedly in a private health care facility). A significant difference was found between expense, in public vs private sector and SVD vs. C-section.Conclusion:  This study revealed that there is high financial cost on maternal health services in both public and private sector of rural Khanewal. Although in private sector the cost is more as compared to public sector but still it is high keeping the notion of free health care services in Pakistan by the government. There-fore it is suggested to improve the quality of health care in public sector and if possible to provide free of cost services to mothers during delivery.

Access to health care and Informal Patient Payments for health care in Serbia

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
S Buch Mejsner ◽  
S Lavasani Kjær ◽  
L Eklund Karlsson
Keyword(s):  
Health Care ◽  
Health System ◽  
Access To Health Care ◽  
Health Care Services ◽  
Local Population ◽  
Civil Servants ◽  
Care Providers ◽  
Care Services ◽  
Access To Health

Abstract Background Evidence often shows that migrants in the European region have poor access to quality health care. Having a large number of migrants seeking towards Europe, crossing through i.e. Serbia, it is crucial to improve migrants' access to health care and ensure equality in service provision Aim To investigate what are the barriers and facilitators of access to health care in Serbia, perceived by migrants, policy makers, health care providers, civil servants and experts working with migrants. Methods six migrants in an asylum center and eight civil servants in the field of migration were conducted. A complementary questionnaire to key civil servants working with migrants (N = 19) is being distributed to complement the data. The qualitative and quantitative data will be analysed through Grounded Theory and Logistic Regression respectively. Results According to preliminary findings, migrants reported that they were able to access the health care services quite easily. Migrants were mostly fully aware of their rights to access these health care services. However, the interviewed civil servants experienced that, despite the majority of migrants in camps were treated fairly, some migrants were treated inappropriately by health care professionals (being addressed inappropriately, poor or lacking treatment). The civil servants believed that local Serbs, from their own experiences, were treated poorer than migrants (I.e. paying Informal Patient Payments, poor quality of and access to health care services). The interviewed migrants were trusting towards the health system, because they felt protected by the official system that guaranteed them services. The final results will be presented at the conference. Conclusions There was a difference in quality of and access to health care services of local Serbs and migrants in the region. Migrants may be protected by the official health care system and thus have access to and do not pay additional fees for health care services. Key messages Despite comprehensive evidence on Informal Patient Payments (IPP) in Serbia, further research is needed to highlight how health system governance and prevailing policies affect IPP in migrants. There may be clear differences in quality of and access to health care services between the local population and migrants in Serbia.

scholarly journals Implementing an Integrated Large-Scale Clinical Information System for ISSSTE’s Hospital Network in Mexico

2021 ◽  
Vol 3 (2) ◽  
pp. 444-453
Author(s):  
Arturo Cervantes Trejo ◽  
Sophie Domenge Treuille ◽  
Isaac Castañeda Alcántara
Keyword(s):  
Health Care ◽  
Information System ◽  
Health Care Services ◽  
Large Scale ◽  
Clinical Information System ◽  
Clinical Information ◽  
Public Hospitals ◽  
Care Services ◽  
Cost Reductions

AbstractThe Institute for Security and Social Services for State Workers (ISSSTE) is a large public provider of health care services that serve around 13.2 million Mexican government workers and their families. To attain process efficiencies, cost reductions, and improvement of the quality of diagnostic and imaging services, ISSSTE was set out in 2019 to create a digital filmless medical image and report management system. A large-scale clinical information system (CIS), including radiology information system (RIS), picture archiving and communication system (PACS), and clinical data warehouse (CDW) components, was implemented at ISSSTE’s network of forty secondary- and tertiary-level public hospitals, applying global HL-7 and Digital Imaging and Communications in Medicine (DICOM) standards. In just 5 months, 40 hospitals had their endoscopy, radiology, and pathology services functionally interconnected within a national CIS and RIS/PACS on secure private local area networks (LANs) and a secure national wide area network (WAN). More than 2 million yearly studies and reports are now in digital form in a CDW, securely stored and always available. Benefits include increased productivity, reduced turnaround times, reduced need for duplicate exams, and reduced costs. Functional IT solutions allow ISSSTE hospitals to leave behind the use of radiographic film and printed medical reports with important cost reductions, as well as social and environmental impacts, leading to direct improvement in the quality of health care services rendered.

Using Employer Purchasing Power to Improve the Quality of Perinatal Care

PEDIATRICS ◽  
1999 ◽  
Vol 103 (Supplement_E1) ◽  
pp. 248-254 ◽  
Author(s):  
Anne G. Castles ◽  
Arnold Milstein ◽  
Cheryl L. Damberg
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Health Care Services ◽  
Health Care Organizations ◽  
Perinatal Care ◽  
Quality Measurement ◽  
Quality Data ◽  
Purchasing Power ◽  
Care Services

Large employers have become increasingly involved in helping to set the agenda for quality measurement and improvement. Moreover, they are beginning to hold health care organizations accountable for their performance through marketplace incentives, including the public reporting of comparative quality data and the linkage of reimbursement to performance on quality measures. The Pacific Business Group on Health (PBGH) is an employer coalition that has been prominent in establishing models for collaborative quality measurement and improvement in the California marketplace. PBGH's involvement in quality stems from an environment in which purchasers were faced with high health care costs, yet virtually no information with which to assess the value their employees received from that care. Research indicating widespread variation in performance across health care organizations and seemingly limited oversight for quality of care within the industry has further motivated purchasers' efforts to better understand the quality of care being delivered to their em-ployees. Using the purchasing power of employers representing 2.5-million covered lives, PBGH endeavors to encourage the transition of the health care marketplace from one that competes solely on price to one that competes on price and quality. This entails collaborating with the health care industry to develop and publicly report valid performance data for use by both large employers and consumers of health care services. It also includes communicating to the marketplace purchasers' commitment to making purchasing decisions based on quality as well as cost. PBGH efforts to measure, report, and improve quality have been demonstrated by several undertakings in the perinatal care arena, including research to assess cesarean section rates and newborn readmission rates across California hospitals. employer coalition, purchaser, quality measurement, quality improvement, report cards, perinatal quality of care.

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