MEASURING SPATIAL HEALTHCARE FACILITIES ACCESSIBILITY USING TWO-STEP FLOATING CATCHMENT ANALYSIS (2SFCA) (Case Study: Cianjur Regency, Indonesia)

2021 ◽  
pp. 11
Author(s):  
Muhamad Iqbal Januadi Putra ◽  
Nabila Dety Novia Utami
Keyword(s):  
Travel Time ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Spatial Disparities ◽  
Time Threshold

The presence of healthcare facilities is quite essential to provide good healthcare services in a particular area, however, the existence of healthcare facilities is not evenly distributed in Cianjur Regency. This condition leads to the disparities of healthcare facilities across the Cianjur Regency. In this paper, we aim to measure and map the spatial disparities of healthcare facilities using a Two-Step Floating Catchment Analysis (2SFCA). This method can calculate the magnitude of spatial accessibility for healthcare facilities by formulating the travel time threshold and the quality of healthcare facilities across the study area. This research shows the result that the spatial accessibility of healthcare facilities in the Cianjur Regency is not evenly distributed across the districts. The spatial accessibility value resulted from 2SFCA is ranging from 0- 3.97. A low value indicates low spatial accessibility, while a higher value shows good accessibility. The majority of districts in the Cianjur Regency have the spatial accessibility value 0-0.5 (86%). Meanwhile, only a few have the higher value; value 0.5-0.99 as much as 6.6%, 0.99-1.49 as 3.3%, and 3.48-3.97 has a percentage of 3.3%. Also, this analysis results in the cluster of good spatial accessibility in healthcare facilities, namely the Pagelaran District and Cipanas District. Interestingly, the downtown of Cianjur Regency has lower spatial accessibility compared to both areas.

The Process of Strategic, Agile, Innovation Development

2020 ◽  
pp. 370-394
Author(s):  
Say Yen Teoh ◽  
Shun Cai
Keyword(s):  
Process Model ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Innovation Strategy ◽  
Healthcare Industry ◽  
Innovation Development ◽  
Healthcare Information ◽  
Medical Practitioners

Despite many attempts to introduce computerization in the healthcare industry, the majority of the current healthcare information systems still fail to meet the rising expectations of patients for service. This study aims to understand how agility and innovation capabilities can be strategically nurtured, developed, and managed to upgrade the quality of healthcare services. Based on a case study, a process model is developed to explain that an agile innovation strategy is a complex helix process involving a firm's sensitivity and responsiveness to integrating and reconfiguring its resources to cope with innovative change. Three key managerial contributions for IT and medical practitioners are presented.

scholarly journals Analysis of Spatial Accessibility and Capacity of Multi-Level Healthcare Facilities in Greater Irbid Municipality, Jordan

2021 ◽  
pp. 111-121
Keyword(s):  
Health Services ◽  
Travel Time ◽  
Healthcare Facility ◽  
Healthcare Services ◽  
Spatial Accessibility ◽  
Healthcare Facilities ◽  
Location Allocation ◽  
Actual Patient ◽  
Driving Time ◽  
Comprehensive Health

Measuring the spatial accessibility and capacity of healthcare facilities is an important task to improve the quality of health services and reduce the pressure on them. This research assesses the current spatial accessibility and capacity of two-level of healthcare facilities (comprehensive healthcare centers and hospitals) in the Greater Irbid Municipality using the enhanced two-step floating catchment area (E2SFCA) method. To do this, Network analysis techniques including original-destination matrix (OD), service area, and location-allocation were employed for determining the travel time from residents' points towards every healthcare facility, the service coverage and capacity within travel time zones, and the number of served areas by every healthcare facility. Then, optimum locations for new healthcare facilities that improve the accessibility and capacity rates were determined. The results show that while all areas in the study area are located within a 30-minute drive from the hospital's locations, 18 out of 23 areas are within 15 minutes drive towards the comprehensive health centers. This means that 28.80% of the population needs more than 15 minutes of driving time to access the second level of healthcare services. In addition, the annual average of the actual patient-doctor ratio ranges from 1338 to 2900 patients per doctor in the hospitals, and 2676 to 8524 patients per doctor in the comprehensive healthcare centers, and thus, the health services are inadequate in the study area. Furthermore, the suggested new healthcare facilities in terms of the numbers and optimum location would improve the spatial accessibility and the capacity ratio.

The Process of Strategic, Agile, Innovation Development

2015 ◽  
Vol 23 (3) ◽  
pp. 1-22 ◽  
Author(s):  
Say Yen Teoh ◽  
Shun Cai
Keyword(s):  
Process Model ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
Innovation Strategy ◽  
Healthcare Industry ◽  
Innovation Development ◽  
Medical Practitioners ◽  
Healthcare Information Systems

Despite many attempts to introduce computerization in the healthcare industry, the majority of the current healthcare information systems still fail to meet the rising expectations of patients for service. This study aims to understand how agility and innovation capabilities can be strategically nurtured, developed, and managed to upgrade the quality of healthcare services. Based on a case study, a process model is developed to explain that an agile innovation strategy is a complex helix process involving a firm's sensitivity and responsiveness to integrating and reconfiguring its resources to cope with innovative change. Three key managerial contributions for IT and medical practitioners are presented.

scholarly journals A case study on the quality of healthcare in Uganda: Examining the effectiveness, safety, patient-centred and timeliness of district healthcare facilities

2021 ◽  
Vol 1 (2) ◽  
pp. 133-144
Author(s):  
David Mwesigwa ◽  
◽  
Khalid Abdul Wahid ◽  
Nipon Sohheng ◽  
◽  
...  
Keyword(s):  
Case Study Research ◽  
Health Sector ◽  
National Health System ◽  
Quality Of Healthcare ◽  
Health Service Delivery ◽  
Working Environment ◽  
Factors Affecting ◽  
Healthcare Facilities

Abstract Purpose: This study aims to examine the quality of healthcare in Uganda in terms of effectiveness, safety, patient-centred and timeliness of District Healthcare Facilities. Research methodology: This study took a case study design involving an intensive, descriptive, and holistic analysis of PHFs in the Hoima district. Case study research involves studying a single entity in depth so as to understand the larger cases; to describe and explain rather than predict. Results: The main factors affecting the quality of healthcare were; National health system, overall working environment, national budgetary allocation to the health sector, and collaboration between health centres and hospitals. Enhancing the quality of healthcare requires addressing the aforesaid as well as engaging with the LLGAs. Limitations: This study only covers one district local government in a country where there are over 100 districts hence limiting the notion of generalization of results. Contribution: This study contributes to understanding health-related issues from the perspective of quality, which is very key in health service delivery.

scholarly journals Association of patients’ perception of quality of healthcare received and colorectal cancer screening uptake: An analysis of two national surveys in the United States

2020 ◽  
Author(s):  
Karan Chawla ◽  
Angesom Kibreab ◽  
Victor & Scott ◽  
Edward L. Lee ◽  
Farshad Aduli ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
United States ◽  
Healthcare Delivery ◽  
Quality Of Healthcare ◽  
Healthcare Services ◽  
The United States ◽  
Crc Screening ◽  
Fair Poor ◽  
National Trends

Objective: It is unknown whether patients’ ratings of the quality of healthcare services they receive truly correlate with the quality of care from their providers. Understanding this association can potentiate improvement in healthcare delivery. We evaluated the association between patients’ ratings of the quality of healthcare services received and uptake of colorectal cancer (CRC) screening. Subject and Methods: We used two iterations of the Health Information National Trends Survey (HINTS) of adults in the United States. HINTS 2007 (4,007 respondents; weighted population=75,397,128) evaluated whether respondents were up-to-date with CRC screening while HINTS 4 cycle 3 (1,562 respondents; weighted population=76,628,000) evaluated whether participants had ever received CRC screening in the past. All included respondents from both surveys were at least 50 years of age, had no history of CRC, and had rated the quality of healthcare services that they had received at their healthcare provider’s office in the previous 12 months. Results: HINTS 2007 data showed that respondents who rated their healthcare as good, or fair/poor were significantly less likely to be up to date with CRC screening compared to those who rated their healthcare as excellent. We found comparable results from analysis of HINTS 4 cycle 3 data with poorer uptake of CRC screening as the healthcare quality ratings of respondents’ reduced. Conclusion: Our study suggested that patients who reported receiving lower quality of healthcare services were less likely to have undergone and be compliant with CRC screening recommendations. It is important to pay close attention to patient feedback surveys in order to improve healthcare delivery.

Sign in / Sign up

Export Citation Format

Share Document