scholarly journals Accessibility applied to ships, case study Riverine Ambulatory Care Center (RACC)

2013 ◽  
Vol 6 (12) ◽  
pp. 9
Author(s):  
Diana Lorena González ◽  
Priscilla Areiza Frieri
Keyword(s):  
Ambulatory Care ◽  
Physical Environment ◽  
Care Center ◽  
Integrated System ◽  
Medical Services ◽  
Medical Missions ◽  
Physical Barriers ◽  
Mobile Health Unit

Accessibility as a design concept is generally applied in land constructions; however, the medical character of the case study requires it to be considered in the design process as of its conceptual stage. The riverine ambulatory care center (RACC) is a mobile health unit to carry out medical missions in populations located on the riverbanks; given the RACC dimensions, these have limited medical services to primary care and health brigades. Physical barriers1 are the causes for an environment being inaccessible; to eliminate them, from the RACC, an analysis and redesign was performed of the conceptual proposal, based on standards for accessibility, medical spaces, and ships. Two basic moments were taken for intervention, access and interior circulation, yielding as a result the design of an integrated system of products that eliminate the physical barriers from the environment, permitting boarding and offering medical services under equal, comfortable, and safe conditions. Accessibility as modifier of the environment to improve the quality of life of users should not only be applied in medical ships, this study opens an opportunity for industry to optimize the physical environment of other types of ships by applying this concept.

Influence of community satisfaction with individual happiness: comparative study in semi-urban and rural areas of Tikapur, Nepal

2017 ◽  
Vol 25 (3) ◽  
pp. 22-32 ◽  
Author(s):  
Myung-Bae Park ◽  
Chun-Bae Kim ◽  
Chhabi Ranabhat ◽  
Chang-Soo Kim ◽  
Sei-Jin Chang ◽  
...  
Keyword(s):  
Rural Areas ◽  
Physical Environment ◽  
Urban Areas ◽  
Positive Relationship ◽  
National Level ◽  
Medical Services ◽  
Community Satisfaction ◽  
Critical Factors ◽  
Urban And Rural Areas

Happiness is a subjective indicator of overall living conditions and quality of life. Recently, community- and national-level investigations connecting happiness and community satisfaction were conducted. This study investigated the effects of community satisfaction on happiness in Nepal. A factor analysis was employed to examine 24 items that are used to measure community satisfaction, and a multiple regression analysis was conducted to investigate the effects of these factors on happiness. In semi-urban areas, sanitation showed a positive relationship with happiness. In rural areas, edu-medical services were negatively related to happiness, while agriculture was positively related. Gender and perceived health were closely associated with happiness in rural areas. Both happiness and satisfaction are subjective concepts, and are perceived differently depending on the socio-physical environment and personal needs. Sanitation, agriculture (food) and edu-medical services were critical factors that affected happiness; however, the results of this study cannot be generalized to high-income countries.

Balancing Support for Staff and Patient Centeredness Through the Design of Immediate and Relational Space: A Case Study of Ambulatory Care Center Layouts

2020 ◽  
pp. 193758672096155
Author(s):  
Julie Zook ◽  
Timothy J. Spence ◽  
Teri Joy
Keyword(s):  
Ambulatory Care ◽  
Care Center ◽  
Team Work ◽  
Care Team ◽  
Patient Centeredness ◽  
Patient Centered ◽  
Descriptive Case Study ◽  
Centered Care ◽  
Visual Properties

Purpose: This descriptive case study of ambulatory care center typologies builds a layout-based approach to patient-centered care and care team work using theory and methods from space syntax and a recently developed approach to floorplan analysis focused on visibility. Background: Calibrating support for care team work and patient centeredness is a persistent dilemma in ambulatory care settings. Method: A review of literature and floorplan layout analysis are used. Results: The center-stage layout more strongly integrates staff and patients, while the onstage–offstage layout provides greater privacy to the care team. The integration values for exam rooms in each layout were roughly equivalent. Analysis of variations on each floor plan demonstrates ways relatively small variations can modulate visibility conditions without altering integration patterns. Conclusion: Decoupling design of immediate visual properties and relational layout properties can act as a strategy to address competing demands.

scholarly journals Perception of Professional Engineers toward Quality of Worklife and Organizational Commitment: A Case Study

2004 ◽  
Vol 6 (3) ◽  
pp. 323 ◽  
Author(s):  
Razali Mat Zin
Keyword(s):  
Organizational Commitment ◽  
Physical Environment ◽  
Growth And Development ◽  
Empirical Investigation ◽  
Social Relevance ◽  
Quality Of Worklife ◽  
Study Results ◽  
Development Participation

This empirical investigation was aimed to determine the pattern of the  relationships between the perceived presence of quality of worklife (QWL) factors and organizational commitment using samples from professional engineers in Malaysia. Engineers in private sector were selected to participate in this study. A total of 250 sets of questionnaires were sent to the selected organizations, and 152 useable questionnaire representing a response rate of 60.8% were used for statistical analysis. A QWL measure consisting of seven factors: growth and development, participation, physical environment, supervision, pay and benefit, social relevance, and workplace integration was developed based on Walton’s (1974) conception. The three-component model and measure of organizational commitment developed by Allen and Meyer (1990) was adopted in this study. Results of regression analysis indicated that only two QWL factors, growth and development and pay and benefit, were significant in explaining organizational commitment. Implication and suggestions for further research are also discussed.

scholarly journals Does the integration of TB medical services in the general hospital improve the quality of TB care? Evidence from a case study in China

2012 ◽  
Vol 35 (2) ◽  
pp. 322-328 ◽  
Author(s):  
Q. Sun ◽  
J. Yin ◽  
X. Yin ◽  
G. Zou ◽  
M. Liang ◽  
...  
Keyword(s):  
General Hospital ◽  
Medical Services

Establishing the Criteria for the Quality of Elderly Medical Care From the Multiple Perspectives

2018 ◽  
Vol 9 (4) ◽  
pp. 44-54
Author(s):  
Wan-I Lee ◽  
Chun-Chi Chen ◽  
Yu-Bin Huang
Keyword(s):  
Medical Care ◽  
Physical Environment ◽  
Older Patients ◽  
Medical Personnel ◽  
Care Process ◽  
Medical Services ◽  
Multiple Perspectives ◽  
Medical Decisions ◽  
Medical Institutions

In 1993, Taiwan has transformed into an aged society. Compared with general patients, older patients differ considerably in body functionality, mentally, and mobility-wise. The primary customers of medical institutions are adult patients in Taiwan, and the needs of older patients are often ignored; however, older patients visiting the case hospital in this study accounted for nearly 30% of the total number of outpatients. This indicates that the needs of older patients are a matter requiring the serious attention of medical personnel. This is a common issue for all countries that were entered an aging structure of the population. This study investigated the attention paid by supervisors and medical personnel involved with medical decisions to the quality of medical services received by older outpatients. An analytic hierarchy process (AHP) was employed to interview 10 experts in older medical care providing age-friendly medical care at the case hospital, medical staff including senior physicians, nursing department supervisors, administration department supervisors, and certified managers. The results indicate that the supervisors and medical personnel considered the “communication and services” provided to older patients during their medical treatments to be the most crucial factor in their treatment process, rating it twice as important as the next most important criteria, the care process and physical environment. Medical personnel paid great attention to communicate with and servicing older patients; listening to their needs and concerns was deemed the most critical, followed by being able to empathize with them to solve problems. Asking patients about their problems when they visited the hospital was considered the most crucial aspect of the care process; in the physical environment, it was spatial planning and traffic flow design. The results of this study enable other countries' medical institution managers and relevant competent authorities to gain insight into the attention paid by front-line employees in promoting age-friendly medical care. If supervisors and medical personnel involved with medical decisions share a similar attitude toward promoting medical service quality, government authorities and medical institutions can implement and enhance an age-friendly medical treatment environment for older patients, as well as increase quality of patient-centered medical services.

scholarly journals RAILWAY AND PORTS INTEGRATION SYSTEM AS SOLUTION OF ISLAND TRANSPORTATION PROBLEM (CASE STUDY SUMATRA ISLAND)

JOURNAL ASRO ◽  
2018 ◽  
Vol 9 (1) ◽  
pp. 47
Author(s):  
Satrio Teguh Amandiri ◽  
Ahmadi Ahmadi ◽  
Budi Santoso W
Keyword(s):  
Economic Development ◽  
Spanning Tree ◽  
Transportation Problem ◽  
Integrated System ◽  
Dijkstra Algorithm ◽  
Railway Transportation ◽  
Road Transportation ◽  
Sumatra Island

ABSTRACT The quality of Transportation system is one of island economic level determinant. Railway transportation evidently more efficient than road transportation. Trans-Sumatra railway construction can be a solution for transportation problem in Sumatra Island. This analysis integrated railway and port to improve economic development in 8 provinces on Sumatra using Spanning Tree and Dijkstra algorithm. It need 1965 kilometers of railway to connect all the 8 provinces. It also generates 1518 kilometers as the distance of Malahayati Port to Panjang Port connection. This integrated system can be a breakthrough solution for Sumatra transportation problem in economic development and the Malacca Strait traffic problem.  Keywords: Trans-Sumatra railway, Minimum Route, Spanning Tree Algorithm, Dijkstra, Algorithm

scholarly journals Evaluating Quality of Master Plans: A Case Study of Master Plan of Amritsar: 2010-2031

2020 ◽  
Vol 7 (2) ◽  
pp. 81-94 ◽  
Author(s):  
Seema Kaushal
Keyword(s):  
Physical Environment ◽  
Evaluation Criteria ◽  
Master Plan ◽  
Master Plans ◽  
To Come ◽  
Plan Making ◽  
Indian Cities ◽  
Future Growth

The purpose of a Master plan is to promote growth and regulate the present and future development of towns and cities. It is a vision document giving perspective of 20 to 25 years keeping in view the future growth of population, economic development potentials and ecological improvements likely to come up during the plan period. Therefore, the quality of Master plans is of great concern. Literature reveals that the Master plans in India have not produced a satisfactory physical environment (Tiwari, 2002) and have not been effective in the outputs as well as outcomes (Meshram, 2006) requiring a reform in the traditional Master plan making approach by incorporating evaluation right from the beginning making it an integral part of plan making exercise. For improving the quality of Master plans and plan making processes, an evaluation criteria has been prepared by the author based on the theoretical framework and evaluation principles given by various authors in various time periods. An attempt has been made to analyze the quality of Master plan Amritsar prepared by SAI consulting private limited, based on the criteria developed and the conclusions have been drawn from the results for further improvements in the quality of Master Plans of Indian cities.

Environmental Impact Prediction and Assessment: the Southern Indian Lake Experience

1984 ◽  
Vol 41 (4) ◽  
pp. 720-732 ◽  
Author(s):  
R. E. Hecky ◽  
R. W. Newbury ◽  
R. A. Bodaly ◽  
K. Patalas ◽  
D. M. Rosenberg
Keyword(s):  
Environmental Impact ◽  
Physical Environment ◽  
Light Limitation ◽  
Coregonus Clupeaformis ◽  
Impact Prediction ◽  
Biological Responses ◽  
Environmental Impact Statements ◽  
Measured Change

The impoundment of Southern Indian Lake (SIL) and diversion from the lake of the Churchill River in northern Manitoba, Canada, were the subjects of two independent environmental impact statements. Subsequently, a case study measured change in the limnological and biological characteristics of the lake after development. Comparison of pre- and post-impoundment observations allows an assessment of the predictive capability that was applied to the lake by the preimpact statements. Predictions related to the physical environment, e.g. increased shoreline erosion, littoral sedimentation, higher turbidity, and decreased light penetration and visibility, were qualitatively correct; however, an unpredicted decrease in water temperature also occurred. Increased phosphorus availability and light limitation of primary production were also correctly forecasted in a qualitative manner. These aspects will be quantitatively predictable in future reservoirs because of studies at SIL and elsewhere. Biological responses above the primary trophic level were mostly not predicted or predicted incorrectly. Unpredicted changes that were especially significant to the fishery were rapid declines in the quantity and quality of whitefish (Coregonus clupeaformis) catch, increases in mercury concentrations in fish, and the need for extensive compensation programs to keep the fishery economically viable. Testable hypotheses to explain all unpredicted events have been formulated but require experimental verification. The paradigm of reservoir ecosystem development that is present in the literature requires reformulation if future environmental impact analyses of reservoirs are to be improved.

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