Method of quality improvement and economic efficiency of pharmacotherapy for community-acquired pneumonia and its utility in Ukraine health-care facilities

2020 ◽  
Vol 26 (2-3) ◽  
pp. 11-20
Author(s):  
A.B. Zimenkovsky ◽  
◽  
M.Ya. Sekh ◽  
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Economic Efficiency ◽  
Average Cost ◽  
Community Acquired Pneumonia ◽  
Health Care Facilities ◽  
Medical Documentation ◽  
Main Diagnosis ◽  
Prescription Form ◽  
Care Facilities

Aim. Development of a method quality improvement and economic efficiency of pharmacotherapy for community-acquired pneumonia with the possibility of its further use in Ukraine health care facilities. Material and Methods. The object of the study was medical documentation of patients (n=370) diagnosed with community-acquired pneumonia (1st group - patients treated in 2017 on a regular prescription (n=270); 2nd group - patients treated in 2018 according to the "Standardized prescription form" developed by the authors (n=100)). According to the presence of complications or concomitant pathology, patients of both groups were divided into 4 subgroups: subgroup 1 - patients with the main diagnosis - community-acquired pneumonia without complications and concomitant pathology; 2 - patients with community-acquired pneumonia and its complications; 3 - patients with community-acquired pneumonia and concomitant pathology; 4 - patients with community-acquired pneumonia, its complications and concomitant pathology. The following methods were applied: system analysis, analytical and comparative, systematic literature searching, clinical, pharmacological, pharmaceutical, statistical, structural and logical, economic. Results and Discussion. The "Standardized prescription form" was developed and implemented in the therapeutic department of one of inpatient health care establishments of Lviv, which treated 100 patients at the time of the study. Quality assessment of pharmacotherapy revealed a decrease in the number of medication-related problems in patients of group 2 (17 medication-related problems per 100 patients) compared to patients of group 1 (4364 medication-related problems in 270 patients). The results of the study of differences in the average cost of one prescription form of patients of the 1st and 2nd groups revealed a possiblility ofa significant reduction of the average cost of pharmacotherapy per patient (p <0.0001) with the application of our invention: in subgroup 1 - by 1426. 23 UAH [47.81 $] (from 2418.325 UAH [84. 47 $] in 2017 to 992. 10 UAH [36.66 $] in 2018); in subgroup 2 - by 1527.72 UAH [50.94 $] (from 2724.40 UAH [95.16 $] to 1196.68 UAH [44.22 $]); in subgroup 3 - by 1267.87 UAH [42.11 $] (from 2338.31 UAH [81.67 $] to 1070.44 UAH [39.56]) and in subgroup 4 - by 908.39 UAH [28.96 $] (from 2272.755 UAH [79.38 $] in 2017 to 1364.37 UAH [50.42 $] in 2018). Thus, the new form of regular prescription form used by us allowed rationalizing pharmacotherapy of community-acquired pneumonia, saving 128 255. 25 UAH [4245.5 $] on averagefor 100 treated patients. Conclusions. By applying the "Standardized prescription form", we not only managed to reduce the number of medication-related problems resulting from irrational use of medications, but also significantly reduced economic costs of treating patients with community-acquired pneumonia. The total cost savings as a result of the patients' pharmacotherapy rationalization was 128,255.25 UAH ($ 4,245.50) per 100 treated patients. Keywords: community-acquired pneumonia, medication-related problems, cost of pharmacotherapy, rational pharmacotherapy

scholarly journals Guidelines for implantation of a quality improvement training programme for health professionals in the ministry of health and social services in Namibia

2016 ◽  
Vol 4 (1) ◽  
pp. 54
Author(s):  
Julia Paul Nangombe ◽  
Hans Justus Amukugo
Keyword(s):  
Health Care ◽  
Quality Improvement ◽  
Social Services ◽  
Health Professionals ◽  
Care Delivery ◽  
Training Programme ◽  
Health Care Facilities ◽  
Successful Implementation ◽  
Quality Health Care ◽  
Care Facilities

This paper is focuses on the description of the guidelines for implantation of a quality improvement training programme for health professionals. The formulation of the guidelines also borrowed the CDC (2001) steps and UNFPA phases of developing the guidelines for successful implementation of the training programme at the health care facilities in the MoHSS. The facilitator(s) and implementers of the training programme are advised to first understand the background and the development process of the training programme for successful implementation. These guidelines have been developed to assist quality manager(s) and facilitator(s) with the implementation of the quality improvement training programme for health professionals at the health care facilities (MoHSS).The guidelines enhance consistency in steps and methods to be followed during the implementation of the programme. The guidelines were derived from the conceptual framework that was developed during the exploratory and situation analysis of quality health care delivery at the health care facilities. Two prominent theories were adapted in developing these guidelines. Firstly, Deming’s PDSA model of quality improvement and secondly, Kolb’s experiential learning theory. These theories were used to understand the teaching and learning styles. The guidelines outlined the process, activities, and elements required to implement the such programme.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.

FIRST AID AND TREATMENT FOR CHILDREN ACCIDENT INJURY IN BUON MA THUOT CITY, DAK LAK PROVINCE 2014

2017 ◽  
pp. 69-74
Author(s):  
Van Hung Nguyen ◽  
Van Thang Vo
Keyword(s):  
Health Care ◽  
Intervention Program ◽  
First Aid ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Health Staff ◽  
Cross Sectional ◽  
Care Facilities ◽  
Accident Injuries ◽  
Accident Injury

Background: Accident injuries caused has been serious heatlth problem in developing coutries. Children is vulnerable group with accident injury beucase of lacking knowlegde and exposing with risk factors in eviromental household. The treatment outcome for accident injury of children usually has more serious than other groups. The aims of this study to describle some characteristics of first aid and the outcome of treatment for children accident in Buon Ma Thuot, Dak Lak provice in 2014. Methodology: A cross-sectional study was conducted total 2,273 household which was 4,505 children aged under 16 in 8 communes, Buon Ma Thuot city, Daklak province. Interview technique with structural questionnaire and household observation methods were used for data collection. Results: The propotion of first aid was 75.9%; not received any first aid (23.8%); mortality at accident place (0.3%). At the time accident: The highest personal involving first aid was pedestrians 54.1%; 25% of health staff, self- first aid was 14.5%. Two main of first aid methods were hemostasis and bandeged with 45.5%; 28% respectiviely. After first aid, there was 80% delivering to health care facilities. The transport methods were motocycle (91.8%), car (5.6%) and ambulance (0.4%). The rate of approach health care facilities around early 6 hours were 86.7%. The characteristics of damages: sub-damages (scratches, dislocations, sprains...) were 36.9 %, deep damages (fractures, open wounds) accounted for 44.6%. Inpatient treatment was 23.9%; 91.5% medical therapy, surgery of 8.2%. The outcome of treatment were good (97.2%), sequelae/disability 2.6%. Conclusion: First aid activities for children at time and properly right were demonstrated effectively for prevented seriously outcome. There should be an intervention program for children with the appropriate models to reduce accident injuries in children; improvement first aid to communities and health care worker. Key words: accident injury, first aid, capacity first care, children under 16 years old

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