scholarly journals CAUSES OF MIGRATION AND WORKING CONDITIONS ABROAD AMONG PHYIOTHERAPISTS

Author(s):  
MÁRIA VIZSY ◽  
RÓBERT PÓNUSZ ◽  
MONIKA SÉLLEYNÉ GYURÓ ◽  
LUCA FANNI KAJOS ◽  
PÉTER TARDI ◽  
...  

Introduction: The migration of health professionals severely affects the current number of physicians and professionals in a country. Aim: The aim of our work was to investigate the reasons for the departure of physiotherapists already working abroad, to learn the working conditions abroad, and to explore the conditions for returning home. Method: Our data were obtained by a self-edited, online questionnaire survey. The number of items in our sample was 112 (N = 112) physiotherapists working abroad. Our research was conducted between November 2018 and February 2019. Results: Results of the most influential factors of migration were as follows: 62.5% (70 people) had a lack of financial reward, 55.4% (62 people) had a sense of uncertainty about the future, 49.1% (55 people) did not trust the Hungarian health care organization. The monthly salary of professionals working abroad varied between 1001-2000 Euros in 38.4% (43 people), between 2001 and 3000 in 38.4% (43 people) and was over 3000 Euros in 23.2% (26 people). 76.8% (86 people) didn''t take a second job because they didn''t need it. Factors influencing return were the following: 1) in 69.6% (78 people) “more favorite financial conditions”, 2) in 51.8% (58 people) “better working conditions”, 3) in 42.9% (48 people) “a better organized health care system. Conclusion: Physiotherapists working abroad have left mainly due to a better quality of life, a more predictable vision and more favorite financial conditions, and a change in these conditions would encourage them to return home the most.

2009 ◽  
Vol 15 (4) ◽  
pp. 212-218 ◽  
Author(s):  
Mark Spigt ◽  
Caroline Stefens ◽  
Danique Passage ◽  
Ludovic Van Amelsvoort ◽  
Paul Zwietering

2019 ◽  
Vol 48 (4) ◽  
pp. 716-737 ◽  
Author(s):  
Kim C. Brimhall

Nonprofit leaders and managers are recognizing the benefits of creating inclusive organizations in which everyone feels valued and appreciated, yet little is known about how leaders can foster workplace inclusion. This study examined the relationships among leader engagement, inclusion, innovation, job satisfaction, and perceived quality of care in a diverse nonprofit health care organization. Data were collected at three points in 6-month intervals from a U.S. nonprofit hospital. Multilevel path analysis indicated significant direct associations between leader engagement, inclusion, and innovation. Innovation was directly linked to improved job satisfaction and perceived quality of care. Significant indirect effects were found from leader engagement to increased job satisfaction and perceived quality of care through increased climates for inclusion and innovation. Findings suggest that nonprofit leaders who engage others in critical organizational processes can help foster an inclusive climate that leads to increased innovation, employee job satisfaction, and perceived quality of care.


2012 ◽  
Vol 14 (1) ◽  
pp. 27-41 ◽  
Author(s):  
Sunil C. D’Souza ◽  
A.H. Sequeira

In today’s highly competitive environment, health care organizations are increasingly realizing the need to focus on service quality as a measure to improve their competitive position. While there has been a plethora of conceptual and empirical research regarding the many complexities involved in services marketing, few endeavours have been directed towards integrating the customer’s assessment into models to improve overall service quality. This article examines service quality through a case study of a health care organization in Mangalore, Karnataka, India with a tertiary health provision. The population consisted of patients aged 18–65 years and 45 patients were considered through a purposive sampling technique. The study basically started off using the grounded theory for patient of service quality and this exploration was enabled to formulate a hypothesis; to test the specific hypothesis, the descriptive approach was used. The grounded theory indentified service quality dimensions through open coding, axial coding and selective coding. The analysis was done for the assessment of overall service quality by ‘doctors’, ‘quality of care,’ ‘nursing quality of care’ and ‘operative quality of care’ and the proportion of statistically significant variance. The service quality in which operative quality of care yielded 79 per cent; doctor quality of care yielded 45.6 per cent; and nursing quality of care yielded 63.8 per cent of explanatory power.The results also indicated there is need to improve doctors’ care in the case of this organization. Service attributes related to this dimension requires management attention to improve the doctors’ care of quality. The article concludes by highlighting the dearth in services marketing research for service quality measurement through patient perspective in health care organizations.


2019 ◽  
Vol 27 (2) ◽  
pp. 100-104
Author(s):  
Małgorzata Nadziakiewicz ◽  
Alina Mikolajczyk

Abstract This article presents the quality, safety and assessment system as the important tools to supervise the health care organization. Quality is the sum of the properties and characteristics of a product, process or service that is appropriate to meet the complex requirements. In the case of health care is difficult to valuate quality, the universal indicators become useful tool. The development of quality indicators requires collecting of data and their proper processing. The high quality of medical services requires continuous improvement and adaptation to patients’ needs. The quality indicators, for example, refer directly to the effects of therapy and are used to measure the success or failure of the applied therapeutic methods. Measuring the results of activities indicates only the level of quality of the services provided. The data helps to analyze information and improve the quality and safety of health care services.


2020 ◽  
Vol 7 (1) ◽  
pp. 19-22
Author(s):  
Li-Yuan Xing ◽  
Jing-Hui Song ◽  
Fan Yan

AbstractObjectiveThis study focuses on how leadership could influence the quality of care in a health-care organization.MethodsThe concept of leadership and quality are analyzed. In addition, issues concerning how leadership can influence quality of care through the effect on the organizational culture and the engagement of both nurses and patients are discussed.ResultsLeadership is the pivotal factor in the improvement of quality through the effect on the organizational culture and the engagement of both nurses and patients.ConclusionsLeadership can influence the quality of care directly and indirectly. The organization and the leaders should know the importance of effective leadership to a better work environment, facilitate the implementation of the new mode of nursing, and provide best services to the patients.


Author(s):  
María Carmen Carnero

The support services of health care organizations, such as maintenance, have not traditionally been considered important from the perspective of care quality. Nevertheless, the degree of excellence in maintenance significantly influences availability, maintenance costs and safety of facilities, medical equipment, patients and care staff. Thus, it would be of great importance for health care organizations to apply benchmarking to their maintenance processes, as do other processing companies, in order to determine the quality of maintenance provided, and compare it to other, similar, organizations. This would also allow all the continuous improvement processes to be controlled, and actions for radical improvement to be carried out by comparing performance with that of companies in other sectors. This chapter describes a multicriteria model integrating a fuzzy Analytic Hierarchy Process with utility theory to obtain a valuation for the Maintenance Service of a Health Care Organization over time.


2020 ◽  
Vol 5 (5) ◽  
pp. 204-211
Author(s):  
A. V. Kolomoets ◽  
◽  
V. M. Mikhalchuk ◽  
O. K. Tolstanov ◽  
Z. V. Gbur ◽  
...  

In the logistics approach, the health care organization is seen as a system that incorporates many interconnected processes, the ultimate goal of which is to provide quality health services. Modern system and process approaches to management have also undergone significant changes in the management of medical institutions, applying new methods and technologies of resource management, which are based on the concept of logistics. The positive aspects of logistics technologies in health care institutions are the following: the ability to influence the strategy and tactics of health care institutions, the formation of new competitive market advantages in this market segment. The use of logistics methods and technologies optimizes the processes of information input on the amount of resources consumed, its receipt and transmission of information, thus improving the quality of medical care. The main idea of the logistics process is to create a certain result from the resources available in medical institutions. It should be noted that today companies in various sectors of the economy are interested in the transition to logistics management. The advantage of the logistical approach in health care is the ability to influence the strategy and tactics of the medical organization, to create new competitive advantages in the market of medical services. The use of logistics accelerates the process of obtaining and transmitting information about the necessary resources as a result, improving the quality of medical services. In this way, logistics coordinates the resource provision of the health care organization as a whole. Conclusion. Implementation and use of the world best practices of the logistics concept "just in time" to optimize the needs and time of supply of medical devices of each structural unit of the medical institution will ensure continuity of processes in the health care facility as medical supplies and property arrive on time, and , at the same time do not accumulate in warehouses unclaimed (which, in turn, reduces the turnover of working capital and as a result negatively affects the financial stability of the organization), which contributes to the rapid restructuring of the supply system to the needs of health care


2019 ◽  
Vol 5 (2) ◽  
pp. 156-165
Author(s):  
C.L. Randall ◽  
K. Hort ◽  
C.E. Huebner ◽  
E. Mallott ◽  
L. Mancl ◽  
...  

Introduction: Tribal health care systems are striving to implement internal changes to improve dental care access and delivery and reduce health inequities for American Indian and Alaska Native children. Within similar systems, organizational readiness to implement change has been associated with adoption of system-level changes and affected by organizational factors, including culture, resources, and structure. Objectives: The objectives of this study were to assess organizational readiness to implement changes related to delivery of evidence-based dental care within a tribal health care organization and determine workforce- and perceived work environment–related factors associated with readiness. Methods: A 92-item questionnaire was completed online by 78 employees, including dental providers, dental assistants, and support staff (88% response rate). The questionnaire queried readiness for implementation (Organizational Readiness for Implementing Change), organizational context and resources, workforce issues, organizational functioning, and demographics. Results: Average scores for the change commitment and change efficacy domains (readiness for implementation) were 3.93 (SD = .75) and 3.85 (SD = .80), respectively, where the maximum best score was 5. Perceived quality of management, a facet of organizational functioning, was the only significant predictor of readiness to implement change (B = .727, SE = .181, P < .0002) when all other variables were accounted for. Conclusion: Results suggest that when staff members (including dentists, dental therapists, hygienists, assistants, and support staff) from a tribal health care organization perceive management to be high quality, they are more supportive of organizational changes that promote evidence-based practices. Readiness-for-change scores indicate an organization capable of institutional adoption of new policies and procedures. In this case, use of more effective management strategies may be one of the changes most critical for enhancing institutional behaviors to improve population health and reduce health inequities. Knowledge Transfer Statement: The results of this study can be used by clinicians and other leaders implementing changes within dental care organizations. To promote organizational readiness for change and, ultimately, more expedient and efficient adoption of system-level changes by stakeholders, consideration should be given to organizational functioning generally and quality of management practices specifically.


2019 ◽  
Vol 292 ◽  
pp. 01046
Author(s):  
Eva Hoke ◽  
Romana Heinzová ◽  
Jiří Konečný

The contribution focuses on the current economic situation, especially on low unemployment, which has an impact on the labor market situation in the Czech Republic. Generally, low unemployment is a positive phenomenon in the economy, but what if unemployment is so low that organizations and businesses cannot find high-quality employees? Today, it is already proven that effective using of human capital within economic operators significantly improves their economic performance and, as far as public sector organizations are concerned, it improves public services. Well educated and motivated employees who are not overloaded can become the "brand" of individual healthcare facilities and a human factor as the source of the wealth and prosperity of state and non-state healthcare facilities. Our attention is therefore focused on selected health care organization, where there has been an acute shortage of medical and non-medical staff. The paper deals with the analysis of low unemployment, which is called the personal capacities crisis, its causes and its consequences as well. How to solve this critical shortage of health care staff? So far, the quality of Czech health care has been very high, but if this situation is maintained, the quality of patient care can be fundamentally endangered. The conclusion of the paper contains suggestions and recommendations on how to make this area more effective.


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