scholarly journals Application of telemedicine services based on a regional telemedicine platform in China from 2014 to 2020: Longitudinal Trend Analysis (Preprint)

2021 ◽  
Author(s):  
Fangfang Cui ◽  
Xianying He ◽  
Yunkai Zhai ◽  
Minzhao Lyu ◽  
Jinming Shi ◽  
...  
Keyword(s):  
Chronic Diseases ◽  
Waiting Time ◽  
Regression Models ◽  
Senior Citizens ◽  
Medical Services ◽  
Telemedicine System ◽  
Medical Practitioners ◽  
Medical Institutions ◽  
Primary Service ◽  
Remote Consultations

BACKGROUND Telemedicine, a typical application combining information technology and medical services, breaks the operational model of traditional medical services and brings new opportunities and challenges to the medical industry. China promotes telemedicine with great efforts, and its practices in the deployment of telemedicine platforms and delivery of services have become important references for the research and development of telemedicine globally. OBJECTIVE Our work described in this paper focuses on a regional telemedicine platform that was built in 2014. We analyzed the design scheme of the platform and remote consultations that were conducted via the telemedicine system to understand the deployment and service delivery processes of a typical telemedicine system in China. METHODS We collected information on remote consultations conducted from 2015 to 2020 via the regional telemedicine platform that employs a centralized architectural system model. We employed graphs and statistical methods to describe the changing trends of service volume of remote consultation, geographical and demographical distribution of patients, waiting time and duration of consultations. The factors that affect consultation duration and patient referral were analyzed by multiple linear regression models and binary logistic regression models, respectively. The attitudes towards telemedicine of 225 medical practitioners and 225 patients were collected using the snowball sampling method. RESULTS The development of telemedicine in China shows a growing trend, and medical institutions located in less developed regions and senior citizens are the primary service objects. Cases of remote consultations are mainly with chronic diseases. At present, the importance and necessity of telemedicine are well recognized by both patients and medical practitioners. However, the waiting time needs to be further reduced to improve the efficiency of remote medical services. CONCLUSIONS The development of telemedicine in China is showing a growing trend, and medical institutions located in less developed regions and senior citizens are the primary service objects. Cases of remote consultations are mainly with chronic diseases. At present, the importance and necessity of telemedicine are well recognized by both patients and medical practitioners. However, the waiting time needs to be further reduced to improve the efficiency of remote medical services. CLINICALTRIAL The research does not involve experiments.

scholarly journals Evaluation of the Quality of Medical Care to the Population at the Level of Day Stations and Emergency Stations

2022 ◽  
Vol 8 (1) ◽  
pp. 114-121
Author(s):  
B. Niyazov ◽  
S. Niyazovа
Keyword(s):  
Medical Care ◽  
Emergency Medical Services ◽  
Chronic Diseases ◽  
Emergency Care ◽  
Rural Population ◽  
Medical Services ◽  
Emergency Medical ◽  
Medical Institutions ◽  
Quality Of Medical Care

Insufficient availability of emergency medical services to the rural population is noted. The dynamics of the growth of calls to emergency medical services testifies to the fact that emergency medical institutions have taken over part of inpatient services for the provision of emergency care to patients with chronic diseases and acute colds.

scholarly journals THE BASIC CRITERIA FOR SATISFACTION WITH THE QUALITY OF MEDICAL SERVICES PROVIDED TO CHILDREN IN YAKUTSK

2019 ◽  
Vol 6 (1) ◽  
pp. 132-138 ◽  
Author(s):  
I. P. Lutskan ◽  
E. A. Borisova ◽  
N. V. Savvina ◽  
A. D. Bravin ◽  
L. F. Timofeev ◽  
...  
Keyword(s):  
Health Care ◽  
Public Relations ◽  
Waiting Time ◽  
Medical Center ◽  
Medical Services ◽  
Sociological Research ◽  
City Hospital ◽  
Health Care Need ◽  
Medical Institutions ◽  
Management Procedures

Purpose. Population assessment of the quality and effectiveness of medical services, as well as the activities of medical organizations working with the child population in comparison with 2016–2017.Materials and methods. Sociological research in polyclinics of four large health care institutions of Yakutsk of the com­pared groups is carried out: Polyclinic No. 1–100 respondents, City hospital No. 2–60 respondents, City hospital No. 3–80 respondents, medical center of Yakutsk — 100 respondents. The study was conducted in 2016–2017. during the study, 340 respondents were interviewed, including 87% of women and 13% of men (the survey was conducted among parents and other legal representatives of minor patients).Results. The article deals with the issues related to the implementation in the activities of public health institutions of the Republic of Sakha (Yakutia) quality standards and evaluation of the results of their implementation in terms of pa­tient awareness of the service (availability, openness of information), comfort conditions of service, waiting time for the service, the attitude of staff to patients (courtesy, goodwill), competence of staff and the overall level of satisfaction with the service provided. Despite the fact that more than 60% of respondents are aware of the functioning of the official websites of medical institutions, only 15.8% of respondents used information about the services and how to get them posted on them. At the same time, three-quarters of respondents are aware of the possibility of remote appointment by phone or Internet. However, only 18.6% of them took advantage of these opportunities, and 56% did not resort to them. The greatest criticism is caused by the lack of medical report on the patients’ state of health –60.8% of dissatisfied surveyed parents chose this criterion. More than 40% of complaints are due to the fact that pediatricians have not given recommendations for diagnosis and treatment. More than half of the survived participants (54.5%) at the recent visit to a medical institution, received a medical service on the day of making an appointment. The average waiting time to visit a paediatrician is 76 minutes. Two-thirds of respondents complain about the lack of available sitting chairs. Almost half of the respondents indicate the lack of drinking water in medical institutions, Almost 80% of respondents are generally satisfied with the medical services received in the clinics of Yakutsk. More than 70% of respondents are ready to recom­mend their clinic to friends, acquaintances and colleagues.Conclusion. According to the results of the study, it was concluded that the organizers of health care need to readjust appropriately some management procedures of the organizations, in particular: patients’ attendance by specialists, public relations, personnel management, facilities and resources, in connection with the visitor’s basic rebukes.

Chronic Patients’ Satisfaction with the Medical Aid

2020 ◽  
pp. 34-38
Author(s):  
Yekaterina Grigoryeva ◽  
Mariya Yeremina ◽  
Galina Bochkareva
Keyword(s):  
Medical Care ◽  
Chronic Diseases ◽  
Structural Component ◽  
Comprehensive Assessment ◽  
Chronic Patients ◽  
Medical Aid ◽  
Patients Satisfaction ◽  
Medical Institutions

Population’s satisfaction with medical care has recently become an important structural component of the comprehensive assessment of the healthcare activities. The satisfaction is subjectively determined which makes it possible to assess the level of the population’s satisfaction with medical care. The sociological survey is recognised as the most informative method of study. The article provides the results of study of satisfaction with medical care of the respondents suffering from chronic diseases and followed up at the medical institutions of Saratov that has been conducted by the authors.

Risk of major chronic diseases in transport, rescue and security industries: a longitudinal register-based study

2021 ◽  
pp. oemed-2021-107764
Author(s):  
Kimmo Herttua ◽  
Linda Juel Ahrenfeldt ◽  
Tapio Paljarvi
Keyword(s):  
Oral Cancer ◽  
Chronic Diseases ◽  
Respiratory Disease ◽  
Regression Models ◽  
Cox Regression ◽  
Chronic Respiratory Disease ◽  
Police Force ◽  
Rescue Service ◽  
Active Population ◽  
Increased Risk

ObjectiveTo investigate the risk of hospitalisation for major chronic diseases across representative transport, rescue and security industries.MethodsWe performed a register-based study of 624 571 workers from six industries in Denmark between 2000 and 2005, followed up hospitalisation for chronic diseases up to 17 years, and compared with a 20% random sample of the economically active population.ResultsHR from the Cox regression models showed that seafarers had higher risk of lung cancer (men: 1.54, 95% CI 1.31 to 1.81; women: 1.63, 95% CI 1.13 to 2.36), and male seafarers had higher risk of diabetes (1.32, 95% CI 1.21 to 1.43) and oral cancer (1.51, 95% CI 1.21 to 1.88). Men and women in land transport had increased risk of diabetes (men: 1.68, 95% CI 1.63 to 1.73; women 1.55, 95% CI 1.40 to 1.71) and chronic respiratory disease (men: 1.21, 95% CI 1.16 to 1.25; women 1.42, 95% CI 1.32 to 1.53). Among women, a higher risk of gastrointestinal cancer was observed in aviation (1.53, 95% CI 1.23 to 1.89) and police force (1.29, 95% CI 1.01 to 1.65), oral cancer in defence forces (1.83, 95% CI 1.20 to 2.79), and chronic respiratory disease in rescue service (1.47, 95% CI 1.21 to 1.77), while men in defence forces, police force and rescue service had mainly lower risk of these chronic diseases.ConclusionsWe observed considerable health disparities from chronic diseases across transport, rescue and security industries, with workers in seafaring and land transport generally bearing the greatest relative burden.

scholarly journals [Islamic Alternative Medical Center in Malaysia: Nurse Perception of Jin Application in Treatment] Pusat Perubatan Alternatif Islam di Malaysia: Persepsi Perawat Terhadap Aplikasi Jin dalam Rawatan

2015 ◽  
Vol 9 ◽  
pp. 43-63
Author(s):  
Mohd Farhan Md Ariffin ◽  
Khadher Ahmad ◽  
Muhammad Ikhlas Rosele ◽  
Mohamad Zaim Isamail
Keyword(s):  
Alternative Treatment ◽  
Medical Center ◽  
Treatment Center ◽  
Current Development ◽  
Medical Practitioners ◽  
Nurse Perception ◽  
Treatment Services ◽  
Medical Institutions ◽  
The University ◽  
Research Grant

In the current development, it is found that the growth of alternative treatment centers based on "Islamic treatment" is growing in line with the development of mainstream technology. The question is, what is the reality and significance of Islamic treatment institutions in Malaysia despite its rapid growth? Therefore, this article tries to reveal the reality and scenario of the development of Islamic treatment centers in Malaysia for the consideration of all parties. Islamic treatment centers in Malaysia do have the potential to be developed and even able to transcend national borders. This can be proven when the demand for treatment services based on "tibb nabawi" is getting more attention. However, after the growth of the Islamic treatment center, there were also heard complaints, ridicule and cynical tone towards the Islamic treatment center, either from patients or nurses of the same age. Many claim that certain treatment centers still practice the genie element in treatment. Not to be outdone, many patients and even Islamic medical practitioners themselves claim that there are still elements of the use of jinn in Islamic treatment. So, what is the view of the founders of Islamic medical institutions in Malaysia regarding the use of jinn in treatment? Through a study at seventy (70) Islamic treatment centers in Malaysia through a project under the University of Malaya research grant in December 2012 to June 2013 numbered UMRG 419-12 HNE Al-Quran & Al-Sunnah Alternative Treatment Center: A Malaysian study, researchers have conclude various useful inputs starting with the background of the nurse or founder as well as the background of the Islamic treatment institution in Malaysia itself. The views of the founders of the Islamic treatment center on the use of jinn are also included in order to be a medium of knowledge of members of the community as a whole to be used as a guide in assessing the credibility and integrity of Islamic treatment centers in Malaysia. Dalam perkembangan semasa kini, didapati pertumbuhan pusat rawatan alternatif berteraskan “rawatan Islam” semakin berkembang sejajar dengan perkembangan teknologi arus perdana. Persoalannya, apakah realiti dan signifikan institusi rawatan Islam di Malaysia di sebalik pertumbuhannya yang pesat? Justeru, artikel ini cuba mendedahkan tentang realiti dan senario perkembangan pusat rawatan Islam di Malaysia untuk renungan semua pihak. Pusat rawatan Islam di Malaysia sememangnya memiliki potensi untuk dikembangkan bahkan mampu melangkaui sempadan negara. Hal ini boleh dibuktikan apabila permintaan terhadap khidmat rawatan berasaskan “tibb nabawi” kian mendapat perhatian. Namun, setelah berkembangnya pusat rawatan Islam, terdengar pula di telinga rungutan, cemuhan dan nada sinis terhadap pusat rawatan Islam, sama ada dari pesakit atau perawat seangkatan. Banyak pihak yang mendakwa pusat rawatan tertentu masih mengamalkan unsur jin dalam rawatan. Tidak kalah juga ramai pesakit bahkan pengamal perubatan Islam sendiri yang mendakwa masih terdapat unsur-unsur penggunaan jin dalam rawatan Islam. Jadi, apakah pandangan para pengasas institusi rawatan Islam di Malaysia berkaitan penggunaan jin dalam rawatan? Melalui kajian di tujuh puluh (70) pusat rawatan Islam di Malaysia melalui projek di bawah geran penyelidikan Universiti Malaya pada Disember 2012 hingga Jun 2013 bernombor UMRG 419-12 HNE Pusat Rawatan Alternatif Berteraskan Al-Quran & Al-Sunnah: Kajian Malaysia, pengkaji telah menyimpulkan pelbagai input berguna bermula dengan latar belakang perawat atau pengasas serta latar belakang institusi rawatan Islam di Malaysia itu sendiri. Pandangan pengasas pusat rawatan Islam tentang penggunaan jin turut dimuatkan agar dapat menjadi medium ilmu pengetahuan anggota masyarakat seluruhnya untuk dijadikan panduan dalam menilai kredibiliti dan integriti pusat rawatan Islam di Malaysia.   Kata Kunci: Latar Belakang, Pengasas, Pusat Rawatan Islam, Pandangan, Jin.

An effective strategy for the development of paid medical services in a medical organization

2021 ◽  
Vol 89 (3) ◽  
pp. 11-15
Author(s):  
Yu.V. Sulkina ◽  
◽  
N.V. Bolonyaeva ◽  
E.K. Gaponenko ◽  
E.V. Denisova ◽  
...  
Keyword(s):  
Health Care ◽  
Medical Services ◽  
Effective Strategy ◽  
Additional Source ◽  
Medical Organization ◽  
Additional Material ◽  
Health Care Institutions ◽  
Medical Institutions

The relevance of the development of paid services in health care institutions is mainly due to the interest of managers in the development of medical institutions, since the funds received are both a source of additional material incentives for employees and an additional source of equipment for the institution

REFORMS OF CHINA’S HEALTHCARE SYSTEM AND DEVELOPMENT OF THE MARKET FOR MEDICAL SERVICES DURING THE COVID-19 PANDEMIC

2021 ◽  
pp. 12-32
Author(s):  
Elena Pekhtereva ◽  
Keyword(s):  
United States ◽  
Pharmaceutical Industry ◽  
Chronic Diseases ◽  
Healthcare System ◽  
Chinese Population ◽  
Large Scale ◽  
The United States ◽  
Medical Services ◽  
National Healthcare ◽  
National Healthcare System

The article provides an overview of the state and problems of the healthcare system in China. Since 2009 a large-scale reform of the national healthcare system has been underway, aimed at overcoming the uneven provision of medical services to residents of different regions and different segments of the Chinese population, at reducing the number of chronic diseases and increasing healthcare spendings. Some aspects of the functioning of the medical services market in China, the second largest after the corresponding market in the United States, are also considered. The achievements of the Chinese pharmaceutical industry in the production of vaccines to prevent coronavirus are noted.

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