Coronavirus Pandemic- The real lessons are learnt in the time of crises

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1011-1014
Author(s):  
Rathi Saurabh D ◽  
Nikhade P ◽  
Motwani N ◽  
Baror S ◽  
Jaiswal A
Keyword(s):  
Health Care ◽  
Infection Control ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Control Measures ◽  
Public Health Care ◽  
Standard Equipment ◽  
Healthcare Facilities ◽  
Private Care

The world for every human has changed in the past few months, with one single reason for all- nCOVID-19. Coronavirus had left a significant impact on our life as an individual and as a nation. Every sector in the country is affected, and every situation deemed changed from the previous one. Post-Covid is a new era in itself. This pandemic had helped us to show our inefficiencies in different sectors and profession, including healthcare facilities. Change in the healthcare facility has to be focused. Indian health care facility is based on private care, whereas the pandemic requires public health care approach. The focus needs to be shifted from personal care to community-based care. The annual budget for health welfare is 1-2 per cent of the GDP, which in the future should be increased. More investment, more funds, and more number of doctors can help to combat with such crises efficiently. India has poor infection control standards and policies. Strict infection control measures, standard equipment and training of the paramedics and other healthcare workers are the areas that we can improve. This article highlights the lessons our healthcare facility can learn from this coronavirus pandemic and changes that await for our healthcare system.

scholarly journals Safeguarding Abuse in Health Care

2018 ◽  
Vol 12 (2) ◽  
pp. 5-10
Author(s):  
Chanda Karki Bhandari ◽  
Gehanath Baral
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Health Care Professionals ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Structural Level ◽  
Care Providers ◽  
Ethical Guidelines ◽  
Abuse In Health Care

Aims: The aim of the review is to understand the concept of abuse in health care in general and its various forms. It includes- review what is meant by healthcare and health care abuse; identify its various forms and to recognize who may be the most potential victims; find out the reasons of abuse by health care providers; and know the role of  ethical guidelines and institutional policy in confronting abuse in health care.Methods: Literatures and publications on the subject were searched in order to identify research studies investigating abuse in health care that were studied, analyzed and presented.  Results: Abuse in health care today is an emerging concept in need of a clear analysis and definition. At the same time, boundaries to the related concepts are not demarcated. Medical professionals and institutions are being targeted worldwide today for negligence and the medical litigation has become a huge challenge. Throughout history, health care professionals have been trusted because of their competency and caring abilities. However, the disturbing reality is that physical and psychological maltreatment of patients do occur in the health care settings throughout the world. The abuse can vary from treating someone with disrespect in a way which significantly affects the person's quality of life, to causing actual physical suffering. Differently able and dependent people are more susceptible to such abuse. Work overload, Staff burnout, lack of information and instructions were also indicated to underlie instances of abuse in health care.Conclusions: We in the healthcare facility should first accept that abuse in health care does occur and causes distress. This change needs to occur at individual, cultural and structural level. Next step will be for the staffs to be aware of abuse in health care when it happens and recognize it as such. It is always better to create a situation where we could prevent abuse from happening at health centers. Hospital personnel must implement a change in workplace culture to stop abusive behaviors wherever they occur. Each and every health care facility should be client friendly and respecting their rights. Effective ethical guidelines were needed to minimize abuse as existing ethical codes were found to be ineffective and above all there was a lack of awareness of the contents of the relevant ethical documents.

scholarly journals Factors affecting health care facility utilization in rural areas of Lucknow district

2018 ◽  
Vol 5 (5) ◽  
pp. 1766
Author(s):  
Vinita Shukla ◽  
Pratibha Gupta
Keyword(s):  
Public Health ◽  
Health Care ◽  
Health Facility ◽  
Rural Areas ◽  
Care Facility ◽  
Health Care Facility ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Public And Private ◽  
Background Population

Background: Population is increasing rapidly so with the limited resources government alone cannot cater the health of whole population. Private health sector is equally important for the improvement of health of the people. In view of these facts the present study was planned to assess the utilization of health care services (both public and private) and to assess the reasons for visiting that particular health facility (public or private).Methods: Study was cross sectional for 1 year period. Total sample size was 1024. In the present study only rural area was taken. By using multistage stratified random sampling 6 villages were selected and sample came out as 516. Data was analyzed by stata software version -12 for windows and chi square test.Results: 50% respondents visited public, 38% private and 10% visited others (charitable, pharmacies etc.). 62% respondents belonged to lower socio economic status preferred public health care facility. The main reason for visiting public health facility was free services and for private was got cure earlier from that heath facility. Majority of people visited any health facility for illness. (344 out of 516) and 50% of them visited for respiratory diseases. For chronic illness majority (60%) preferred public health care facility.Conclusions: Both public and private health care facilities should be made well equipped and affordable so that people can make choices and not forced to choose particular health facility.

scholarly journals Primary Health Care Facility Preparedness for Outpatient Service Provision During the COVID-19 Pandemic in India: Cross-Sectional Study (Preprint)

2020 ◽  
Author(s):  
Suneela Garg ◽  
Saurav Basu ◽  
Ruchir Rustagi ◽  
Amod Borle
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infection Control ◽  
Care Facility ◽  
Health Care Facilities ◽  
Control Measures ◽  
Primary Health Care Facility ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Primary Health

BACKGROUND Primary health centers (PHCs) represent the first tier of the Indian health care system, providing a range of essential outpatient services to people living in the rural, suburban, and hard-to-reach areas. Diversion of health care resources for containing the coronavirus disease (COVID-19) pandemic has significantly undermined the accessibility and availability of essential health services. Under these circumstances, the preparedness of PHCs in providing safe patient-centered care and meeting the current health needs of the population while preventing further transmission of the severe acute respiratory syndrome coronavirus 2 infection is crucial. OBJECTIVE The aim of this study was to determine the primary health care facility preparedness toward the provision of safe outpatient services during the COVID-19 pandemic in India. METHODS We conducted a cross-sectional study among supervisors and managers of primary health care facilities attached to medical colleges and institutions in India. A list of 60 faculties involved in the management and supervision of PHCs affiliated with the community medicine departments of medical colleges and institutes across India was compiled from an accessible private organization member database. We collected the data through a rapid survey from April 24 to 30, 2020, using a Google Forms online digital questionnaire that evaluated preparedness parameters based on self-assessment by the participants. The preparedness domains assessed were infrastructure availability, health worker safety, and patient care. RESULTS A total of 51 faculties responded to the survey. Each medical college and institution had on average a total of 2.94 (SD 1.7) PHCs under its jurisdiction. Infrastructural and infection control deficits at the PHC were reported in terms of limited physical space and queuing capacity, lack of separate entry and exit gates (n=25, 49%), inadequate ventilation (n=29, 57%), and negligible airborne infection control measures (n=38, 75.5%). N95 masks were available at 26 (50.9%) sites. Infection prevention and control measures were also suboptimal with inadequate facilities for handwashing and hand hygiene reported in 23.5% (n=12) and 27.4% (n=14) of sites, respectively. The operation of outpatient services, particularly related to maternal and child health, was significantly disrupted (<i>P</i>&lt;.001) during the COVID-19 pandemic. CONCLUSIONS Existing PHC facilities in India providing outpatient services are constrained in their functioning during the COVID-19 pandemic due to weak infrastructure contributing to suboptimal patient safety and infection control measures. Furthermore, there is a need for effective planning, communication, and coordination between the centralized health policy makers and health managers working at primary health care facilities to ensure overall preparedness during public health emergencies.

scholarly journals Preventing Airborne Disease Transmission: Review of Methods for Ventilation Design in Health Care Facilities

2011 ◽  
Vol 2011 ◽  
pp. 1-21 ◽  
Author(s):  
Amir A. Aliabadi ◽  
Steven N. Rogak ◽  
Karen H. Bartlett ◽  
Sheldon I. Green
Keyword(s):  
Health Care ◽  
Disease Transmission ◽  
Care Facility ◽  
Health Care Facility ◽  
Building Design ◽  
Health Care Facilities ◽  
Control Measures ◽  
Design Parameters ◽  
Future Research ◽  
Care Facilities

Health care facility ventilation design greatly affects disease transmission by aerosols. The desire to control infection in hospitals and at the same time to reduce their carbon footprint motivates the use of unconventional solutions for building design and associated control measures. This paper considers indoor sources and types of infectious aerosols, and pathogen viability and infectivity behaviors in response to environmental conditions. Aerosol dispersion, heat and mass transfer, deposition in the respiratory tract, and infection mechanisms are discussed, with an emphasis on experimental and modeling approaches. Key building design parameters are described that include types of ventilation systems (mixing, displacement, natural and hybrid), air exchange rate, temperature and relative humidity, air flow distribution structure, occupancy, engineered disinfection of air (filtration and UV radiation), and architectural programming (source and activity management) for health care facilities. The paper describes major findings and suggests future research needs in methods for ventilation design of health care facilities to prevent airborne infection risk.

scholarly journals Primary Health Care Facility Preparedness for Outpatient Service Provision During the COVID-19 Pandemic in India: Cross-Sectional Study

10.2196/19927 ◽  
2020 ◽  
Vol 6 (2) ◽  
pp. e19927 ◽  
Author(s):  
Suneela Garg ◽  
Saurav Basu ◽  
Ruchir Rustagi ◽  
Amod Borle
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Infection Control ◽  
Care Facility ◽  
Health Care Facilities ◽  
Control Measures ◽  
Primary Health Care Facility ◽  
Outpatient Services ◽  
Cross Sectional ◽  
Primary Health

Background Primary health centers (PHCs) represent the first tier of the Indian health care system, providing a range of essential outpatient services to people living in the rural, suburban, and hard-to-reach areas. Diversion of health care resources for containing the coronavirus disease (COVID-19) pandemic has significantly undermined the accessibility and availability of essential health services. Under these circumstances, the preparedness of PHCs in providing safe patient-centered care and meeting the current health needs of the population while preventing further transmission of the severe acute respiratory syndrome coronavirus 2 infection is crucial. Objective The aim of this study was to determine the primary health care facility preparedness toward the provision of safe outpatient services during the COVID-19 pandemic in India. Methods We conducted a cross-sectional study among supervisors and managers of primary health care facilities attached to medical colleges and institutions in India. A list of 60 faculties involved in the management and supervision of PHCs affiliated with the community medicine departments of medical colleges and institutes across India was compiled from an accessible private organization member database. We collected the data through a rapid survey from April 24 to 30, 2020, using a Google Forms online digital questionnaire that evaluated preparedness parameters based on self-assessment by the participants. The preparedness domains assessed were infrastructure availability, health worker safety, and patient care. Results A total of 51 faculties responded to the survey. Each medical college and institution had on average a total of 2.94 (SD 1.7) PHCs under its jurisdiction. Infrastructural and infection control deficits at the PHC were reported in terms of limited physical space and queuing capacity, lack of separate entry and exit gates (n=25, 49%), inadequate ventilation (n=29, 57%), and negligible airborne infection control measures (n=38, 75.5%). N95 masks were available at 26 (50.9%) sites. Infection prevention and control measures were also suboptimal with inadequate facilities for handwashing and hand hygiene reported in 23.5% (n=12) and 27.4% (n=14) of sites, respectively. The operation of outpatient services, particularly related to maternal and child health, was significantly disrupted (P<.001) during the COVID-19 pandemic. Conclusions Existing PHC facilities in India providing outpatient services are constrained in their functioning during the COVID-19 pandemic due to weak infrastructure contributing to suboptimal patient safety and infection control measures. Furthermore, there is a need for effective planning, communication, and coordination between the centralized health policy makers and health managers working at primary health care facilities to ensure overall preparedness during public health emergencies.

scholarly journals Disability management in a public-private health care facility in South Africa: an organisational perspective

2021 ◽  
Vol 21 (3) ◽  
pp. 1440-1450
Author(s):  
Rubendri Govender ◽  
Pragashnie Govender ◽  
Deshini Naidoo
Keyword(s):  
South Africa ◽  
Health Care ◽  
Return To Work ◽  
Care Facility ◽  
Health Care Facility ◽  
Disability Management ◽  
Public Health Care ◽  
Management Policy ◽  
Early Return ◽  
Management Policies

Background: Job retention, long-term absenteeism and medical boarding pay-outs are significant concerns for employers with- in the public health care sector of South Africa. Objective: To describe disability management policies, procedures and programmes of employees following impairment and disability in a public-private healthcare facility in South Africa. Methods: An exploratory qualitative study design was used with key informants in senior management and nursing managers (n=12) selected via purposive sampling. Audio-recorded data from semi-structured interviews and a focus group were themati- cally analysed using inductive reasoning. Results: There is poor adherence to occupational health and disability management policies and the current referral process is informal with managers using discretion to manage employees with ill health and acquired disability. The procedures prescribed in the policy and procedure on incapacity and ill-health-retirement need to be followed, and an early return to work programme within the health care facility needs to be implemented. Conclusions: Despite South Africa having many policies on recruitment and reasonable accommodations, there is a lack of implementation of these policies. An integrated disability management policy and programme encompassing health prevention, early return to work strategies, vocational rehabilitation and the implementation of reasonable accommodation is required to ensure that employees who have acquired disabilities or ill health are successful in the workplace. Keywords: Disability management; vocational assessments; return to work.

scholarly journals Trends in forceps deliveries in a tertiary health care facility in Serbia

2019 ◽  
Vol 147 (3-4) ◽  
pp. 185-188
Author(s):  
Milos Petronijevic ◽  
Svetlana Vrzic-Petronijevic ◽  
Danijela Bratic ◽  
Tatjana Nikolic ◽  
Zorica Jestrovic
Keyword(s):  
Health Care ◽  
Prediction Models ◽  
Care Facility ◽  
Health Care Facility ◽  
Healthcare Facility ◽  
Cesarean Sections ◽  
Forceps Delivery ◽  
Gynecology And Obstetrics ◽  
Vaginal Deliveries ◽  
Tertiary Healthcare

Introduction/Objective. Increased incidence of cesarean sections leads to the reduction of incidence of instrumental vaginal deliveries. The aim of this study was to analyze the trends of forceps deliveries at the tertiary healthcare facility. Methods. The study was performed at the Clinic of Gynecology and Obstetrics, covering a 30-year period, from 1987 to 2016 with a total of 198,882 births. Results. Forceps delivery rate was significantly lowering during time, while the cesarean section rates were rising. Conclusion. Using linear, cubic and quadratic prediction models, we can estimate that in the year 2020 there will be no more forceps deliveries. However, minding the confidence interval of 95% some forceps deliveries might still be carried out. Since it has been shown that the forceps is a very useful obstetric tool, this very important skill might soon be neglected due to the lack of training.

scholarly journals Independent public healthcare unit as an entrepreneur – considerations based on the Act on Medical Activity

2015 ◽  
Vol 125 (3) ◽  
pp. 159-161
Author(s):  
Kamil Szereda ◽  
Jolanta Szymańska
Keyword(s):  
Health Care ◽  
Care Facility ◽  
Health Care Facility ◽  
Legal Aspects ◽  
Health Care Facilities ◽  
Public Health Care ◽  
Legal Person ◽  
Public Healthcare ◽  
Medical Activity ◽  
Legal Personality

Abstract An entrepreneur is someone that engages in a business activity on their own behalf. An entrepreneur might be a natural person, legal person and an organizational unit without legal personality, to which the legal capacity is given by a separate act. Regarding the current legislation, Supreme Court rulings and opinions contained in publications, the authors discuss the legal aspects of entrepreneur’s running an autonomous public health care facility. Since the act on medical activity has become law, both the status of health care facilities and the case law concerning their status as enterprises changed.

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